| University Of Wisconsin Medical Foundation, Inc | |
|
7974 Uw Health Court Middleton WI 53562-5531 | |
| (608) 829-5485 | |
| (608) 833-0999 |
| Full Name | University Of Wisconsin Medical Foundation, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7974 Uw Health Court, Middleton, Wisconsin |
| Authorized Official Name and Position | Robert W Flannery (CAO AND CFO) |
| Authorized Official Contact | 6088214223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Wisconsin Medical Foundation, Inc 7974 Uw Health Court Middleton WI 53562-5531 Ph: (608) 829-5485 | University Of Wisconsin Medical Foundation, Inc 7974 Uw Health Court Middleton WI 53562-5531 Ph: (608) 829-5485 |
| NPI Number | 1598784555 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 6608785464 |
|---|---|
| Medicare Enrollment ID | O20031111000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598784555 | NPI | - | NPPES |
| 32743900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rakesh Sarda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689661506 PECOS PAC ID: 1254244569 Enrollment ID: I20031111000740 |
| Provider Name | David R Paolone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235194846 PECOS PAC ID: 1254245012 Enrollment ID: I20031117000083 |
| Provider Name | Meghan E Warren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497724579 PECOS PAC ID: 4284539289 Enrollment ID: I20031203000469 |
| Provider Name | Katharina S Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053380345 PECOS PAC ID: 4486559275 Enrollment ID: I20031204000736 |
| Provider Name | Patricia M Thaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396709911 PECOS PAC ID: 2062317654 Enrollment ID: I20031205000509 |
| Provider Name | John A Jerisha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053389288 PECOS PAC ID: 5991602369 Enrollment ID: I20031215000386 |
| Provider Name | Yasmin S Bradfield |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073589545 PECOS PAC ID: 2365349107 Enrollment ID: I20031218000437 |
| Provider Name | Giorgio Gimelli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629044706 PECOS PAC ID: 1557269065 Enrollment ID: I20031222000512 |
| Provider Name | Christopher T Healy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891764841 PECOS PAC ID: 1254239783 Enrollment ID: I20031222000667 |
| Provider Name | David B Niemann |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275505406 PECOS PAC ID: 2769380716 Enrollment ID: I20031229000641 |
| Provider Name | Paul M Harari |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902869522 PECOS PAC ID: 3173422953 Enrollment ID: I20031231000534 |
| Provider Name | Rama K Maganti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518074400 PECOS PAC ID: 7315846839 Enrollment ID: I20040105000254 |
| Provider Name | Charles W Acher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679537211 PECOS PAC ID: 4284535006 Enrollment ID: I20040115000637 |
| Provider Name | Perry J Pickhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962464123 PECOS PAC ID: 3779484068 Enrollment ID: I20040120000016 |
| Provider Name | Mary Lynn Zupanc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861444366 PECOS PAC ID: 6800798372 Enrollment ID: I20040123001067 |
| Provider Name | Joseph A Bellissimo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477526515 PECOS PAC ID: 2264334689 Enrollment ID: I20040124000261 |
| Provider Name | David A Slosky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386731404 PECOS PAC ID: 6305749383 Enrollment ID: I20040128000694 |
| Provider Name | David A Bryce |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1194792838 PECOS PAC ID: 6204720329 Enrollment ID: I20040210000917 |
| Provider Name | Nazi S Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225004245 PECOS PAC ID: 5496649394 Enrollment ID: I20040211000828 |
| Provider Name | Gregory D Bills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851367940 PECOS PAC ID: 8224922042 Enrollment ID: I20040212000042 |
| Provider Name | Arlene M Tobin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720061740 PECOS PAC ID: 5395630594 Enrollment ID: I20040217000706 |
| Provider Name | Jessica Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720116098 PECOS PAC ID: 4789579459 Enrollment ID: I20040220000424 |
| Provider Name | Mon Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003824376 PECOS PAC ID: 8123914009 Enrollment ID: I20040226000649 |
| Provider Name | Julie A Lederman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982668547 PECOS PAC ID: 5597651224 Enrollment ID: I20040227000446 |
| Provider Name | Michael J Garren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013971662 PECOS PAC ID: 1850288085 Enrollment ID: I20040302001343 |
| Provider Name | Ryan J Wubben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760443170 PECOS PAC ID: 4789571779 Enrollment ID: I20040303000907 |
| Provider Name | David J Ende |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124091780 PECOS PAC ID: 2264323930 Enrollment ID: I20040323000465 |
| Provider Name | Paul H Hinderaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013980879 PECOS PAC ID: 5799676466 Enrollment ID: I20040323000585 |
| Provider Name | Thomas R Wallhaus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215900022 PECOS PAC ID: 9335030006 Enrollment ID: I20040323000661 |
| Provider Name | David H Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760456354 PECOS PAC ID: 1052202728 Enrollment ID: I20040323000685 |
| Provider Name | David T Bernhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093784241 PECOS PAC ID: 5698666147 Enrollment ID: I20040323001376 |
| Provider Name | Sharon M Weber |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114983814 PECOS PAC ID: 3072405919 Enrollment ID: I20040326000244 |
| Provider Name | Scott A Ensminger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902919699 PECOS PAC ID: 8022900661 Enrollment ID: I20040327000220 |
| Provider Name | Gerald J Lang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215992987 PECOS PAC ID: 7214829803 Enrollment ID: I20040329000066 |
| Provider Name | Marlowe W Eldridge |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114994571 PECOS PAC ID: 5799778635 Enrollment ID: I20040406000948 |
| Provider Name | Sarah J Redemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104889864 PECOS PAC ID: 9931194651 Enrollment ID: I20040420000720 |
| Provider Name | Charles G Stepherson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508835596 PECOS PAC ID: 3375539125 Enrollment ID: I20040426000444 |
| Provider Name | Elizabeth L Teigen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285603282 PECOS PAC ID: 5799771556 Enrollment ID: I20040426000569 |
| Provider Name | Kathleen M Baus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063480291 PECOS PAC ID: 8729074596 Enrollment ID: I20040426000621 |
| Provider Name | Jonathan Kay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477537702 PECOS PAC ID: 8325035132 Enrollment ID: I20040426000993 |
| Provider Name | Marcia J Slattery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851367916 PECOS PAC ID: 0648267351 Enrollment ID: I20040426001701 |
| Provider Name | Peter M Stanko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912932823 PECOS PAC ID: 0749278729 Enrollment ID: I20040506000553 |
| Provider Name | Carolyn Christenson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437119575 PECOS PAC ID: 7012906019 Enrollment ID: I20040506000797 |
| Provider Name | Paul M Sondel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205802360 PECOS PAC ID: 6507855574 Enrollment ID: I20040506001253 |
| Provider Name | Carol H Carr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649238197 PECOS PAC ID: 7618966599 Enrollment ID: I20040506001389 |
| Provider Name | Michael L Bentz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952366635 PECOS PAC ID: 3274522818 Enrollment ID: I20040510000732 |
| Provider Name | Charles K Stone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558322461 PECOS PAC ID: 1658360169 Enrollment ID: I20040510001239 |
| Provider Name | Jonas J Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972610582 PECOS PAC ID: 6204826449 Enrollment ID: I20040518000534 |
| Provider Name | Joseph P Holt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336245844 PECOS PAC ID: 1254322571 Enrollment ID: I20040524000925 |
| Provider Name | Jantina R Vonk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396798914 PECOS PAC ID: 4981685153 Enrollment ID: I20040525001249 |
| Provider Name | Ramon S Pajarillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609985548 PECOS PAC ID: 9436130200 Enrollment ID: I20040527000226 |
| Provider Name | Aaron L Carrel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568438224 PECOS PAC ID: 6507849353 Enrollment ID: I20040611000457 |
| Provider Name | Elizabeth A Sadowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093783987 PECOS PAC ID: 1355325945 Enrollment ID: I20040614000061 |
| Provider Name | Lisa M Schmaltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366410243 PECOS PAC ID: 7012991607 Enrollment ID: I20040614000113 |
| Provider Name | Jennifer L Udulutch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992760375 PECOS PAC ID: 0244214781 Enrollment ID: I20040614001299 |
| Provider Name | Robyn D Knudtson Manske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902889140 PECOS PAC ID: 5193709871 Enrollment ID: I20040618000165 |
| Provider Name | Amanda E Mravec |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730143322 PECOS PAC ID: 9830174218 Enrollment ID: I20040621000794 |
| Provider Name | James R Runo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649231564 PECOS PAC ID: 2062497209 Enrollment ID: I20040622000220 |
| Provider Name | Ruth A Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730157116 PECOS PAC ID: 2365427374 Enrollment ID: I20040623000726 |
| Provider Name | Lee D Faucher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790749349 PECOS PAC ID: 0345225199 Enrollment ID: I20040624000144 |
| Provider Name | Jana E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316919533 PECOS PAC ID: 5092790857 Enrollment ID: I20040624000214 |
| Provider Name | Michael E Eastman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578530705 PECOS PAC ID: 6800871682 Enrollment ID: I20040624000375 |
| Provider Name | David S Wargowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043288921 PECOS PAC ID: 3072599331 Enrollment ID: I20040628000157 |
| Provider Name | Seth M Barudin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821051640 PECOS PAC ID: 9335125640 Enrollment ID: I20040628000583 |
| Provider Name | Shea N Lues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023072683 PECOS PAC ID: 8921086943 Enrollment ID: I20040707001373 |
| Provider Name | Jaya Lakshmi Krishna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154394914 PECOS PAC ID: 7214907583 Enrollment ID: I20040727000089 |
| Provider Name | Molly A Hinshaw |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275589418 PECOS PAC ID: 6204806698 Enrollment ID: I20040731000323 |
| Provider Name | Kirsten S Abramson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417909979 PECOS PAC ID: 6901877281 Enrollment ID: I20040802000722 |
| Provider Name | James A Rindfleisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908197 PECOS PAC ID: 4486625753 Enrollment ID: I20040802001344 |
| Provider Name | Jeffrey K Corrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558370692 PECOS PAC ID: 3779554522 Enrollment ID: I20040804000979 |
| Provider Name | James L Hinshaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437123031 PECOS PAC ID: 3173595527 Enrollment ID: I20040806001194 |
| Provider Name | David M Kushner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659347672 PECOS PAC ID: 4486626777 Enrollment ID: I20040809000020 |
| Provider Name | Karen L Moncher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902872930 PECOS PAC ID: 8123091618 Enrollment ID: I20040813000412 |
| Provider Name | Rubina Qamar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366423774 PECOS PAC ID: 9830090737 Enrollment ID: I20040813001255 |
| Provider Name | David J Ringdahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154381457 PECOS PAC ID: 5890769228 Enrollment ID: I20040823000548 |
| Provider Name | Gregory P Demuri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205895786 PECOS PAC ID: 1254305287 Enrollment ID: I20040824001292 |
| Provider Name | Kristin A Bradley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295798718 PECOS PAC ID: 4981670965 Enrollment ID: I20040910000007 |
| Provider Name | Girma Tefera |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689638215 PECOS PAC ID: 1456328392 Enrollment ID: I20040910001269 |
| Provider Name | Nasia Safdar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316904071 PECOS PAC ID: 7618944976 Enrollment ID: I20040915000714 |
| Provider Name | Robert J Przybelski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184675969 PECOS PAC ID: 7214904424 Enrollment ID: I20040915001091 |
| Provider Name | Rashmi M Agni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750342267 PECOS PAC ID: 0143298265 Enrollment ID: I20040917000025 |
| Provider Name | Lisa A Semmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649247826 PECOS PAC ID: 1951379015 Enrollment ID: I20040917000315 |
| Provider Name | Steven R Barczi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730156761 PECOS PAC ID: 0941278964 Enrollment ID: I20040917000927 |
| Provider Name | Ellen L Connor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518933274 PECOS PAC ID: 4880662816 Enrollment ID: I20040917000986 |
| Provider Name | Randall J Degreef |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396705778 PECOS PAC ID: 3779552195 Enrollment ID: I20041001000034 |
| Provider Name | Jean M Riquelme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568446128 PECOS PAC ID: 3779496062 Enrollment ID: I20041001001040 |
| Provider Name | John K Park |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487623773 PECOS PAC ID: 0941269534 Enrollment ID: I20041008000406 |
| Provider Name | Craig J Kozler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962429613 PECOS PAC ID: 6204896616 Enrollment ID: I20041012000015 |
| Provider Name | John R Hoch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114982725 PECOS PAC ID: 0648230631 Enrollment ID: I20041014000069 |
| Provider Name | Robert W Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386698769 PECOS PAC ID: 3173583861 Enrollment ID: I20041018000166 |
| Provider Name | Gina A Utrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730135377 PECOS PAC ID: 4385604925 Enrollment ID: I20041018000570 |
| Provider Name | Janet Cushing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700860467 PECOS PAC ID: 7719948249 Enrollment ID: I20041019000829 |
| Provider Name | Barbara J Koschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629033873 PECOS PAC ID: 6507827557 Enrollment ID: I20041022000426 |
| Provider Name | Catherine L Gallagher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891768545 PECOS PAC ID: 6608838867 Enrollment ID: I20041029000789 |
| Provider Name | David R Murray |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669496675 PECOS PAC ID: 1254393481 Enrollment ID: I20041101000182 |
| Provider Name | Beverly A Kienitz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144299637 PECOS PAC ID: 6204811417 Enrollment ID: I20041103000807 |
| Provider Name | Lynn S Broderick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083683031 PECOS PAC ID: 6608838347 Enrollment ID: I20041103001087 |
| Provider Name | Aaron S Field |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083682421 PECOS PAC ID: 6507828258 Enrollment ID: I20041103001160 |
| Provider Name | Myron A Pozniak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053380931 PECOS PAC ID: 2860454527 Enrollment ID: I20041103001176 |
| Provider Name | Frederick Kelcz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508826801 PECOS PAC ID: 4385606052 Enrollment ID: I20041103001280 |
| Provider Name | Michael J Tuite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467420950 PECOS PAC ID: 8224091913 Enrollment ID: I20041104000133 |
| Provider Name | Donna G Blankenbaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558322065 PECOS PAC ID: 9739142423 Enrollment ID: I20041104000166 |
| Provider Name | Scott B Perlman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1649248030 PECOS PAC ID: 8628031333 Enrollment ID: I20041104000292 |
| Provider Name | Thomas M Grist |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841269859 PECOS PAC ID: 3072576792 Enrollment ID: I20041104000406 |
| Provider Name | Allen David Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487622973 PECOS PAC ID: 1658334057 Enrollment ID: I20041106000189 |
| Provider Name | Pamela A Propeck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417911041 PECOS PAC ID: 1254394695 Enrollment ID: I20041108000398 |
| Provider Name | Lance T Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295798429 PECOS PAC ID: 8628963063 Enrollment ID: I20041112000325 |
| Provider Name | Seth H Dailey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346204989 PECOS PAC ID: 1153385927 Enrollment ID: I20041112000400 |
| Provider Name | Ann E Evensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801855812 PECOS PAC ID: 8123082823 Enrollment ID: I20041112000716 |
| Provider Name | Gary J Wendt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093784316 PECOS PAC ID: 9931163664 Enrollment ID: I20041112000877 |
| Provider Name | Fred T Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427027713 PECOS PAC ID: 4183688831 Enrollment ID: I20041112001063 |
| Provider Name | Elizabeth S Burnside Rollins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306801980 PECOS PAC ID: 4880658541 Enrollment ID: I20041112001103 |
| Provider Name | Natalie S Callander |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1649247339 PECOS PAC ID: 7416842125 Enrollment ID: I20041116000654 |
| Provider Name | Kristin T Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871569954 PECOS PAC ID: 4880658756 Enrollment ID: I20041119000302 |
| Provider Name | Paul A Staskowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548224264 PECOS PAC ID: 6002871977 Enrollment ID: I20041120000072 |
| Provider Name | Megan Fitzgerald Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265422109 PECOS PAC ID: 0547226532 Enrollment ID: I20041201000900 |
| Provider Name | Gregory M Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629044631 PECOS PAC ID: 0840257044 Enrollment ID: I20041220000047 |
| Provider Name | Heather A Abernethy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104826288 PECOS PAC ID: 2466419601 Enrollment ID: I20041220000273 |
| Provider Name | Steven B Tyska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780645614 PECOS PAC ID: 1254399314 Enrollment ID: I20041221000928 |
| Provider Name | Patricia L Kress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396774212 PECOS PAC ID: 0143288712 Enrollment ID: I20041229000420 |
| Provider Name | Cindy L Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508826470 PECOS PAC ID: 4486612850 Enrollment ID: I20050103000025 |
| Provider Name | Kimberly A Sowers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821053570 PECOS PAC ID: 2567410806 Enrollment ID: I20050104000484 |
| Provider Name | Kathleen R Maginot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922074095 PECOS PAC ID: 9739138983 Enrollment ID: I20050114000516 |
| Provider Name | Gregory S Rebella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447203179 PECOS PAC ID: 1951350032 Enrollment ID: I20050114000767 |
| Provider Name | Christopher A Nestleroad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881621803 PECOS PAC ID: 8527017631 Enrollment ID: I20050115000009 |
| Provider Name | Joseph P Connor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992773576 PECOS PAC ID: 2567411432 Enrollment ID: I20050118000643 |
| Provider Name | Eliot C Williams |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265493175 PECOS PAC ID: 2062325350 Enrollment ID: I20050125001010 |
| Provider Name | Ford Ballantyne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679540207 PECOS PAC ID: 0143270215 Enrollment ID: I20050126000687 |
| Provider Name | Kristina K Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427120153 PECOS PAC ID: 6507816592 Enrollment ID: I20050127000448 |
| Provider Name | Istvan Danko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326015645 PECOS PAC ID: 4385694215 Enrollment ID: I20050127000748 |
| Provider Name | Jonathan L Temte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972567865 PECOS PAC ID: 4981654613 Enrollment ID: I20050131000074 |
| Provider Name | Micah R Chan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659322048 PECOS PAC ID: 8224089347 Enrollment ID: I20050207000465 |
| Provider Name | Kathleen N Hipke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215905476 PECOS PAC ID: 6608827647 Enrollment ID: I20050207000705 |
| Provider Name | Mark L Stram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315158 PECOS PAC ID: 4385695071 Enrollment ID: I20050210000310 |
| Provider Name | Roland J Vega |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518922293 PECOS PAC ID: 2860444593 Enrollment ID: I20050210000708 |
| Provider Name | Denise K Brost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861464174 PECOS PAC ID: 8820040025 Enrollment ID: I20050216000318 |
| Provider Name | Robert J Dempsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073585287 PECOS PAC ID: 8325951619 Enrollment ID: I20050216000326 |
| Provider Name | Madhulika Mathur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467546762 PECOS PAC ID: 7911959077 Enrollment ID: I20050216000845 |
| Provider Name | Prasanna Raman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609836709 PECOS PAC ID: 9335191451 Enrollment ID: I20050217000289 |
| Provider Name | Roxane F Gorbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568416121 PECOS PAC ID: 4183677867 Enrollment ID: I20050222000723 |
| Provider Name | Scott Allen Hagen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467428771 PECOS PAC ID: 1951355627 Enrollment ID: I20050304000682 |
| Provider Name | John S Hokanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700852829 PECOS PAC ID: 2860446382 Enrollment ID: I20050308000886 |
| Provider Name | Lalitha V Iyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821066713 PECOS PAC ID: 8426002940 Enrollment ID: I20050308000956 |
| Provider Name | Lee T Dresang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932151016 PECOS PAC ID: 0749234706 Enrollment ID: I20050311000680 |
| Provider Name | Julianne E Zweifel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477521490 PECOS PAC ID: 8628022696 Enrollment ID: I20050311000779 |
| Provider Name | Michael H Mcdonald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619157161 PECOS PAC ID: 6709831365 Enrollment ID: I20050318000069 |
| Provider Name | Amy J Kind |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992773832 PECOS PAC ID: 8426003658 Enrollment ID: I20050321000462 |
| Provider Name | Charles A Weber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093776908 PECOS PAC ID: 5991751760 Enrollment ID: I20050324000366 |
| Provider Name | Kristin A Seaborg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831166016 PECOS PAC ID: 9638125941 Enrollment ID: I20050329001133 |
| Provider Name | Michael M Altaweel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700853876 PECOS PAC ID: 3173579471 Enrollment ID: I20050330000395 |
| Provider Name | Walter G Kao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457328940 PECOS PAC ID: 4981662350 Enrollment ID: I20050330000756 |
| Provider Name | Darci L Pfeil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174591309 PECOS PAC ID: 0042266231 Enrollment ID: I20050330001151 |
| Provider Name | Evelyn L Dawis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487736724 PECOS PAC ID: 6002889409 Enrollment ID: I20050412001036 |
| Provider Name | Luke Joseph Lamers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353799 PECOS PAC ID: 6305894668 Enrollment ID: I20050420001011 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861469058 PECOS PAC ID: 5597703462 Enrollment ID: I20050420001402 |
| Provider Name | John E Temprano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497722482 PECOS PAC ID: 3870531551 Enrollment ID: I20050422000348 |
| Provider Name | Sarah M Nehls |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841266368 PECOS PAC ID: 2860397494 Enrollment ID: I20050512000880 |
| Provider Name | Benjamin C Marcus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639134398 PECOS PAC ID: 9335121474 Enrollment ID: I20050531000871 |
| Provider Name | Robert B Hegeman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588630644 PECOS PAC ID: 8628010543 Enrollment ID: I20050601000376 |
| Provider Name | Gregory M Cooley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558302778 PECOS PAC ID: 3577530864 Enrollment ID: I20050603000305 |
| Provider Name | Scott J Brantmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329526 PECOS PAC ID: 6305889023 Enrollment ID: I20050603000548 |
| Provider Name | Paul H Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154411486 PECOS PAC ID: 4880637495 Enrollment ID: I20050606000241 |
| Provider Name | Melissa A Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194857805 PECOS PAC ID: 5991747032 Enrollment ID: I20050607001295 |
| Provider Name | Lesley A Coert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053389122 PECOS PAC ID: 6305889494 Enrollment ID: I20050609000474 |
| Provider Name | Bruce A Grau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710948187 PECOS PAC ID: 5294779013 Enrollment ID: I20050613001233 |
| Provider Name | Sanjay Asthana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932176526 PECOS PAC ID: 8820032642 Enrollment ID: I20050613001248 |
| Provider Name | Mari L Lamers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962498576 PECOS PAC ID: 2567406259 Enrollment ID: I20050614000450 |
| Provider Name | Loren C Denlinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508827411 PECOS PAC ID: 3779527478 Enrollment ID: I20050614000599 |
| Provider Name | Timothy M Juergens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659476273 PECOS PAC ID: 8426093733 Enrollment ID: I20050627000604 |
| Provider Name | Cari L Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912974130 PECOS PAC ID: 5294761748 Enrollment ID: I20050715000232 |
| Provider Name | Apple A Bodemer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770546426 PECOS PAC ID: 2769418227 Enrollment ID: I20050715000317 |
| Provider Name | Amish N Raval |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699736074 PECOS PAC ID: 2163459959 Enrollment ID: I20050723000047 |
| Provider Name | Scott M Mead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528034568 PECOS PAC ID: 1850328659 Enrollment ID: I20050723000098 |
| Provider Name | Jenifer A Siragusa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053361246 PECOS PAC ID: 4082641568 Enrollment ID: I20050726001151 |
| Provider Name | Sophie K Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307449 PECOS PAC ID: 2365470846 Enrollment ID: I20050727000670 |
| Provider Name | Joshua D Mezrich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558326710 PECOS PAC ID: 0345278438 Enrollment ID: I20050729000959 |
| Provider Name | Margaret Lee Schwarze |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639136443 PECOS PAC ID: 5496728875 Enrollment ID: I20050801000976 |
| Provider Name | Michael P Ejercito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710085048 PECOS PAC ID: 3779551940 Enrollment ID: I20050802001293 |
| Provider Name | Michael Abernethy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013972579 PECOS PAC ID: 9537197272 Enrollment ID: I20050803000036 |
| Provider Name | Cathy N Burkat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386610871 PECOS PAC ID: 8729017181 Enrollment ID: I20050806000091 |
| Provider Name | Christopher J Crnich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740257419 PECOS PAC ID: 1254360076 Enrollment ID: I20050811000333 |
| Provider Name | Scott Brian Reeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457320376 PECOS PAC ID: 2264410208 Enrollment ID: I20050816000978 |
| Provider Name | Susanne K Seeger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982676169 PECOS PAC ID: 9638109911 Enrollment ID: I20050816000997 |
| Provider Name | Ahsan Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043286057 PECOS PAC ID: 0648172049 Enrollment ID: I20050816001017 |
| Provider Name | Vanessa L C Rein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396706776 PECOS PAC ID: 1850321076 Enrollment ID: I20050817000819 |
| Provider Name | Kathryn A Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023085230 PECOS PAC ID: 0345270575 Enrollment ID: I20050817000875 |
| Provider Name | Tracy A Klein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184630360 PECOS PAC ID: 9133159981 Enrollment ID: I20050822000352 |
| Provider Name | Michael J Ward |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912962531 PECOS PAC ID: 2567493166 Enrollment ID: I20050823001058 |
| Provider Name | Steven P Howard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124081740 PECOS PAC ID: 5193756526 Enrollment ID: I20050825000772 |
| Provider Name | Heather Potter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013983584 PECOS PAC ID: 3173554383 Enrollment ID: I20050827000174 |
| Provider Name | Mary L Zasadil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881659175 PECOS PAC ID: 8628009834 Enrollment ID: I20050827000183 |
| Provider Name | Ann S Sheehy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164483079 PECOS PAC ID: 4981635109 Enrollment ID: I20050827000194 |
| Provider Name | Aimee M Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295701258 PECOS PAC ID: 1658302682 Enrollment ID: I20050829001055 |
| Provider Name | Lonie R Salkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669431102 PECOS PAC ID: 0345272274 Enrollment ID: I20050831000484 |
| Provider Name | Mary L Ehlenbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619939675 PECOS PAC ID: 3678505328 Enrollment ID: I20050902000264 |
| Provider Name | Jack B Nitschke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538135546 PECOS PAC ID: 0840222329 Enrollment ID: I20050906000645 |
| Provider Name | Juliet L Aylward |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1144289307 PECOS PAC ID: 7517937493 Enrollment ID: I20050910000166 |
| Provider Name | Bruce P Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427018720 PECOS PAC ID: 3072545060 Enrollment ID: I20050910000222 |
| Provider Name | Mark B Beamsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306807698 PECOS PAC ID: 6507898590 Enrollment ID: I20050910000246 |
| Provider Name | Laura A Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205897089 PECOS PAC ID: 6204861115 Enrollment ID: I20050929000349 |
| Provider Name | James Conway |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447226188 PECOS PAC ID: 7810920618 Enrollment ID: I20050929000586 |
| Provider Name | Elizabeth M Goetz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669441663 PECOS PAC ID: 1759316508 Enrollment ID: I20050929000801 |
| Provider Name | Andrea I Martonffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174630784 PECOS PAC ID: 1254357437 Enrollment ID: I20051017001028 |
| Provider Name | Ravi S Hirekatur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780653170 PECOS PAC ID: 8224054267 Enrollment ID: I20051019000903 |
| Provider Name | Brian R Woody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174527832 PECOS PAC ID: 6709803083 Enrollment ID: I20051026000428 |
| Provider Name | Cassandra J Valmadrid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700847175 PECOS PAC ID: 5890712152 Enrollment ID: I20051026001140 |
| Provider Name | Glenn Liu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629039078 PECOS PAC ID: 4385661578 Enrollment ID: I20051027000271 |
| Provider Name | Sameer K Mathur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1063488138 PECOS PAC ID: 6406873090 Enrollment ID: I20051102000468 |
| Provider Name | Michael David Devine |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164498671 PECOS PAC ID: 5890713317 Enrollment ID: I20051103000421 |
| Provider Name | Rebecca A Konkol |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043286560 PECOS PAC ID: 2365460037 Enrollment ID: I20051110000876 |
| Provider Name | Jennifer M Weiss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891761961 PECOS PAC ID: 9234158460 Enrollment ID: I20051117000128 |
| Provider Name | Abdul Munem M Kenj Halabi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043658412 PECOS PAC ID: 0648299792 Enrollment ID: I20051117000369 |
| Provider Name | Jennifer S Winchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629040795 PECOS PAC ID: 6406876846 Enrollment ID: I20051130000870 |
| Provider Name | Mustafa K Baskaya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083686398 PECOS PAC ID: 1153341342 Enrollment ID: I20051202000315 |
| Provider Name | Lauren M Dallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649238270 PECOS PAC ID: 6406876309 Enrollment ID: I20051206000748 |
| Provider Name | Wei Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821059346 PECOS PAC ID: 2567483456 Enrollment ID: I20051207000456 |
| Provider Name | Kathleen E Walsh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427122894 PECOS PAC ID: 5294756680 Enrollment ID: I20051213000607 |
| Provider Name | Maryl R Johnson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1548236581 PECOS PAC ID: 6507880622 Enrollment ID: I20060117000381 |
| Provider Name | Sarah K Schumacher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154382067 PECOS PAC ID: 5294749289 Enrollment ID: I20060130000164 |
| Provider Name | Anne C Volk Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689637332 PECOS PAC ID: 7113931726 Enrollment ID: I20060203000096 |
| Provider Name | Helen M Luce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225064413 PECOS PAC ID: 4688689938 Enrollment ID: I20060208000392 |
| Provider Name | John G Mccartney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114993151 PECOS PAC ID: 8820003973 Enrollment ID: I20060213000033 |
| Provider Name | Namrata Magar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063458339 PECOS PAC ID: 7719933886 Enrollment ID: I20060222000407 |
| Provider Name | Judith A Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386617116 PECOS PAC ID: 8628084258 Enrollment ID: I20060306000524 |
| Provider Name | Arnold Wald |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063488419 PECOS PAC ID: 4981645199 Enrollment ID: I20060314000627 |
| Provider Name | Mary S Landry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750357760 PECOS PAC ID: 0143237255 Enrollment ID: I20060315000193 |
| Provider Name | Newrhee Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952370256 PECOS PAC ID: 9537177241 Enrollment ID: I20060322000294 |
| Provider Name | Julie Ann Hajewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588629711 PECOS PAC ID: 2961410238 Enrollment ID: I20060328000509 |
| Provider Name | Elizabeth A Poi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043317290 PECOS PAC ID: 5092785725 Enrollment ID: I20060406000541 |
| Provider Name | Sara Ann Holz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689635401 PECOS PAC ID: 9032120563 Enrollment ID: I20060518000106 |
| Provider Name | Samuel S Charles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225089253 PECOS PAC ID: 9335150713 Enrollment ID: I20060523000167 |
| Provider Name | Tyler Marshall Prout |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003864125 PECOS PAC ID: 2961413372 Enrollment ID: I20060524000161 |
| Provider Name | Peter Joseph Chase |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295792158 PECOS PAC ID: 2769493170 Enrollment ID: I20060524000174 |
| Provider Name | Barbara L Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508816828 PECOS PAC ID: 7113824467 Enrollment ID: I20060524000207 |
| Provider Name | James D Maloney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386695047 PECOS PAC ID: 3870490394 Enrollment ID: I20060606000109 |
| Provider Name | Jason R Stangl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326093386 PECOS PAC ID: 4981615069 Enrollment ID: I20060606000312 |
| Provider Name | John J Wilson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407825755 PECOS PAC ID: 2567473655 Enrollment ID: I20060607000063 |
| Provider Name | Amy J Muchow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598717837 PECOS PAC ID: 9133131204 Enrollment ID: I20060608000293 |
| Provider Name | Robert F Corliss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952351843 PECOS PAC ID: 1052323052 Enrollment ID: I20060612000019 |
| Provider Name | Noelle K Loconte |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972568269 PECOS PAC ID: 2668484601 Enrollment ID: I20060612000282 |
| Provider Name | Ronald P Guiao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952353328 PECOS PAC ID: 1557373503 Enrollment ID: I20060613000040 |
| Provider Name | Kathleen A King |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710930409 PECOS PAC ID: 0547272502 Enrollment ID: I20060613000125 |
| Provider Name | Luther L Gaston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497708234 PECOS PAC ID: 9739191396 Enrollment ID: I20060622000238 |
| Provider Name | David C Hindle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609822204 PECOS PAC ID: 1759393226 Enrollment ID: I20060627000139 |
| Provider Name | Katherine S Sample |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083670582 PECOS PAC ID: 6901819044 Enrollment ID: I20060713000190 |
| Provider Name | David W Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144206715 PECOS PAC ID: 4082627716 Enrollment ID: I20060726000053 |
| Provider Name | Dorota Walkiewicz Jedrzejczak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720011984 PECOS PAC ID: 9234142886 Enrollment ID: I20060726000245 |
| Provider Name | Timothy A Mical Deering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578513982 PECOS PAC ID: 8820001282 Enrollment ID: I20060801000357 |
| Provider Name | Erin M Sessler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871523043 PECOS PAC ID: 1456354778 Enrollment ID: I20060807000021 |
| Provider Name | Azita G Hamedani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275523573 PECOS PAC ID: 0648262402 Enrollment ID: I20060807000147 |
| Provider Name | Joanna B Ruchala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922066208 PECOS PAC ID: 2769485002 Enrollment ID: I20060807000185 |
| Provider Name | Michael P Sloan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891750162 PECOS PAC ID: 9739182940 Enrollment ID: I20060808000421 |
| Provider Name | Michael D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003850967 PECOS PAC ID: 4789647603 Enrollment ID: I20060808000581 |
| Provider Name | Timothy D Drews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336118868 PECOS PAC ID: 9133122195 Enrollment ID: I20060811000007 |
| Provider Name | Amorn N Salyapongse |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225023906 PECOS PAC ID: 4284637125 Enrollment ID: I20060816000124 |
| Provider Name | Robyn L Titel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730158726 PECOS PAC ID: 5092718742 Enrollment ID: I20060817000560 |
| Provider Name | Parag A Tipnis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215973946 PECOS PAC ID: 4981626033 Enrollment ID: I20060821000348 |
| Provider Name | Laura J Buyan Dent |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235197351 PECOS PAC ID: 6901892637 Enrollment ID: I20060824000518 |
| Provider Name | Deborah P Wubben |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831132000 PECOS PAC ID: 5496759755 Enrollment ID: I20060830000018 |
| Provider Name | Jamie J Kling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184683310 PECOS PAC ID: 7113921271 Enrollment ID: I20060831000467 |
| Provider Name | Michael John Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861406043 PECOS PAC ID: 6002810132 Enrollment ID: I20060905000069 |
| Provider Name | Gregory M Gauthier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194787754 PECOS PAC ID: 3678577673 Enrollment ID: I20060906000129 |
| Provider Name | Melinda Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174517320 PECOS PAC ID: 9739183625 Enrollment ID: I20060907000343 |
| Provider Name | Anne R Niebler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578532701 PECOS PAC ID: 9638173453 Enrollment ID: I20060911000404 |
| Provider Name | Joshua J Sebranek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588620249 PECOS PAC ID: 8022012756 Enrollment ID: I20060911000540 |
| Provider Name | Kenneth J Vandyke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831155597 PECOS PAC ID: 4981608627 Enrollment ID: I20060911000583 |
| Provider Name | Elaine M Pelley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164470258 PECOS PAC ID: 2769486414 Enrollment ID: I20060912000021 |
| Provider Name | Stephen L Rose |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316987407 PECOS PAC ID: 1254336787 Enrollment ID: I20060915000406 |
| Provider Name | Mihai C Teodorescu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1104873371 PECOS PAC ID: 0648275123 Enrollment ID: I20060918000148 |
| Provider Name | Peter A Ferrazzano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932146735 PECOS PAC ID: 4082619077 Enrollment ID: I20060926000247 |
| Provider Name | Justin A Sattin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013965185 PECOS PAC ID: 8921085606 Enrollment ID: I20060928000296 |
| Provider Name | Tony L Kille |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518918952 PECOS PAC ID: 2062417769 Enrollment ID: I20061003000068 |
| Provider Name | Sandra C Carr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629033881 PECOS PAC ID: 9335145937 Enrollment ID: I20061004000309 |
| Provider Name | Elizabeth D Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861412728 PECOS PAC ID: 3274539838 Enrollment ID: I20061005000082 |
| Provider Name | Ronnie J Kirschling |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235151614 PECOS PAC ID: 7618873373 Enrollment ID: I20061009000167 |
| Provider Name | Daniel H Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255350641 PECOS PAC ID: 6507862695 Enrollment ID: I20061012000537 |
| Provider Name | Mihaela Teodorescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952419954 PECOS PAC ID: 7315943404 Enrollment ID: I20061012000544 |
| Provider Name | Linda L Eckhardt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164487591 PECOS PAC ID: 1254338890 Enrollment ID: I20061025000063 |
| Provider Name | Blaise A Nemeth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528027166 PECOS PAC ID: 0042217697 Enrollment ID: I20061025000109 |
| Provider Name | Tanya R Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114018926 PECOS PAC ID: 2062419047 Enrollment ID: I20061106000138 |
| Provider Name | Allison M Grayev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962447789 PECOS PAC ID: 9032117148 Enrollment ID: I20061128000609 |
| Provider Name | Laura Kuhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528099785 PECOS PAC ID: 5395743355 Enrollment ID: I20061129000431 |
| Provider Name | Randall T Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376508481 PECOS PAC ID: 0244238202 Enrollment ID: I20061129000492 |
| Provider Name | Holly A Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780604132 PECOS PAC ID: 2466450390 Enrollment ID: I20061201000028 |
| Provider Name | Matthew R Wolff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528029964 PECOS PAC ID: 4587663901 Enrollment ID: I20061213000234 |
| Provider Name | Chelsea M Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982626388 PECOS PAC ID: 0648279067 Enrollment ID: I20061213000275 |
| Provider Name | Michele L Pipp-dahm |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598719858 PECOS PAC ID: 8022017458 Enrollment ID: I20061213000352 |
| Provider Name | James E Gern |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154399038 PECOS PAC ID: 8022018753 Enrollment ID: I20070103000355 |
| Provider Name | Mai A Elezaby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366525990 PECOS PAC ID: 2466452867 Enrollment ID: I20070109000442 |
| Provider Name | Katherine S Habeeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619068657 PECOS PAC ID: 0244230308 Enrollment ID: I20070115000080 |
| Provider Name | Sarah C Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184781411 PECOS PAC ID: 3072514355 Enrollment ID: I20070130000186 |
| Provider Name | Tamahra M Baines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891749156 PECOS PAC ID: 4981605177 Enrollment ID: I20070131000350 |
| Provider Name | Meriel S Rongstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154380624 PECOS PAC ID: 2668474834 Enrollment ID: I20070201000374 |
| Provider Name | Olga R Arrufat Tobon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497721658 PECOS PAC ID: 7315949492 Enrollment ID: I20070201000538 |
| Provider Name | Ann M Tomashek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629121892 PECOS PAC ID: 0244332385 Enrollment ID: I20070221000125 |
| Provider Name | John W Siebert |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063594521 PECOS PAC ID: 8527012558 Enrollment ID: I20070221000155 |
| Provider Name | Gwenevere C Mcintosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487620647 PECOS PAC ID: 7012019482 Enrollment ID: I20070305000105 |
| Provider Name | Bora Ozel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316998917 PECOS PAC ID: 6406959261 Enrollment ID: I20070315000187 |
| Provider Name | Ellen C Spiering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952322885 PECOS PAC ID: 1850494428 Enrollment ID: I20070320000333 |
| Provider Name | Julie A Gocey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255308995 PECOS PAC ID: 8224132592 Enrollment ID: I20070326000316 |
| Provider Name | Kathy Anne Rozema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730174863 PECOS PAC ID: 2163457375 Enrollment ID: I20070402000109 |
| Provider Name | Donita R Croft |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508948688 PECOS PAC ID: 1658476114 Enrollment ID: I20070412000283 |
| Provider Name | Kenneth S Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962626739 PECOS PAC ID: 8527166065 Enrollment ID: I20070607000335 |
| Provider Name | Julie E Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679524078 PECOS PAC ID: 5294833737 Enrollment ID: I20070607000390 |
| Provider Name | Toby Christopher Campbell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700802220 PECOS PAC ID: 6406950625 Enrollment ID: I20070607000411 |
| Provider Name | Cynthia M Stanford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740239425 PECOS PAC ID: 9931207008 Enrollment ID: I20070613000491 |
| Provider Name | Jesus I Iruretagoyena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285757997 PECOS PAC ID: 9436257508 Enrollment ID: I20070613000532 |
| Provider Name | Nikole Adriane Neidlinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184754467 PECOS PAC ID: 3678461357 Enrollment ID: I20070613000611 |
| Provider Name | Barbara L Loevinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225127038 PECOS PAC ID: 0446359483 Enrollment ID: I20070615000526 |
| Provider Name | David Foley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518998046 PECOS PAC ID: 9032191119 Enrollment ID: I20070619000326 |
| Provider Name | Christie M Bartels |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093770422 PECOS PAC ID: 7214036458 Enrollment ID: I20070628000365 |
| Provider Name | Kristopher M Schroeder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063477057 PECOS PAC ID: 9032219183 Enrollment ID: I20070703000243 |
| Provider Name | Yaohui Xu |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1972656650 PECOS PAC ID: 8820198971 Enrollment ID: I20070703000273 |
| Provider Name | Daniel W Knoch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700848314 PECOS PAC ID: 2466552534 Enrollment ID: I20070703000461 |
| Provider Name | Marcus R Chacon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609953462 PECOS PAC ID: 2163468364 Enrollment ID: I20070714000222 |
| Provider Name | Geoffrey S Baer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295939601 PECOS PAC ID: 9133229446 Enrollment ID: I20070714000242 |
| Provider Name | Timothy M Mcculloch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477686830 PECOS PAC ID: 3577573385 Enrollment ID: I20070717000352 |
| Provider Name | Kristin M Schmiedlin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245439249 PECOS PAC ID: 3375644396 Enrollment ID: I20070720000515 |
| Provider Name | John T Kelly |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104874361 PECOS PAC ID: 9931200359 Enrollment ID: I20070728000168 |
| Provider Name | Sujani S Kakumanu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568413839 PECOS PAC ID: 7911008347 Enrollment ID: I20070728000192 |
| Provider Name | Paul J Neary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508860537 PECOS PAC ID: 6800987868 Enrollment ID: I20070806000064 |
| Provider Name | John B Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265516421 PECOS PAC ID: 9234220617 Enrollment ID: I20070814000788 |
| Provider Name | Natasha Lanaeh Wagner Frost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720183940 PECOS PAC ID: 3870500564 Enrollment ID: I20070823000286 |
| Provider Name | Krystal J Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073719175 PECOS PAC ID: 3173615077 Enrollment ID: I20070823000382 |
| Provider Name | Jennie B Hounshell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649249988 PECOS PAC ID: 0648362368 Enrollment ID: I20070824000651 |
| Provider Name | Hajnal K Kinda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528268067 PECOS PAC ID: 5294828307 Enrollment ID: I20070906000136 |
| Provider Name | Jeffery E Kobernusz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699967000 PECOS PAC ID: 2466545579 Enrollment ID: I20070906000157 |
| Provider Name | Erika A Fehrenbach Prell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013107069 PECOS PAC ID: 6002909652 Enrollment ID: I20070912000575 |
| Provider Name | Danielle R Gindlesberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265401574 PECOS PAC ID: 7315031812 Enrollment ID: I20070914000120 |
| Provider Name | Erin Leigh Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629038898 PECOS PAC ID: 6507950045 Enrollment ID: I20070914000523 |
| Provider Name | Matthew T Lister |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821200239 PECOS PAC ID: 9537253091 Enrollment ID: I20070914000683 |
| Provider Name | Humberto G Rosas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861429557 PECOS PAC ID: 0840295598 Enrollment ID: I20070915000102 |
| Provider Name | Michael K Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801847652 PECOS PAC ID: 9234223603 Enrollment ID: I20070915000156 |
| Provider Name | Kelly S Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457471542 PECOS PAC ID: 3274627252 Enrollment ID: I20070921000099 |
| Provider Name | Blythe F Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104011014 PECOS PAC ID: 9436244423 Enrollment ID: I20071005000439 |
| Provider Name | Prasad S Dalvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477757797 PECOS PAC ID: 2961597893 Enrollment ID: I20071005000814 |
| Provider Name | Chin Feng D Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528252921 PECOS PAC ID: 2466549985 Enrollment ID: I20071031000349 |
| Provider Name | Mark L Schiebler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467450056 PECOS PAC ID: 2860589041 Enrollment ID: I20071105000364 |
| Provider Name | Nicole L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801082979 PECOS PAC ID: 7911094107 Enrollment ID: I20071105000466 |
| Provider Name | Kimberly E Stepien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497709174 PECOS PAC ID: 6406853902 Enrollment ID: I20071110000145 |
| Provider Name | Zinije Jonuzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603472 PECOS PAC ID: 3375631708 Enrollment ID: I20071117000150 |
| Provider Name | Amanda J Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063608636 PECOS PAC ID: 9234227398 Enrollment ID: I20071127000150 |
| Provider Name | Cheryl J Roets |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609878453 PECOS PAC ID: 4082702162 Enrollment ID: I20071127000318 |
| Provider Name | Janice M Singles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497719074 PECOS PAC ID: 0648368738 Enrollment ID: I20071127000401 |
| Provider Name | Bartho Caponi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326006743 PECOS PAC ID: 0345330767 Enrollment ID: I20071221000068 |
| Provider Name | Susan L Rebsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871590422 PECOS PAC ID: 1355421595 Enrollment ID: I20071231000268 |
| Provider Name | Anna Huttenlocher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134195399 PECOS PAC ID: 3577643626 Enrollment ID: I20080102000557 |
| Provider Name | Rebecca M Rakocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891983870 PECOS PAC ID: 8820178452 Enrollment ID: I20080108000611 |
| Provider Name | Peter S Rahko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063473981 PECOS PAC ID: 1759461320 Enrollment ID: I20080108000872 |
| Provider Name | James H Stein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427019348 PECOS PAC ID: 8628158292 Enrollment ID: I20080108000904 |
| Provider Name | Anurag Soni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215924816 PECOS PAC ID: 1759345218 Enrollment ID: I20080114000006 |
| Provider Name | Tin N Oo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063612869 PECOS PAC ID: 8921189804 Enrollment ID: I20080116000763 |
| Provider Name | Rebecca S Sippel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073561577 PECOS PAC ID: 2264436245 Enrollment ID: I20080118000291 |
| Provider Name | Bermans J Iskandar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720054471 PECOS PAC ID: 1153403092 Enrollment ID: I20080130000578 |
| Provider Name | Nicole E St Clair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437123429 PECOS PAC ID: 0648353854 Enrollment ID: I20080212000130 |
| Provider Name | Marcy M Weidkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881870962 PECOS PAC ID: 9830272053 Enrollment ID: I20080212000212 |
| Provider Name | Diana M Pederson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578747630 PECOS PAC ID: 4082797204 Enrollment ID: I20080212000223 |
| Provider Name | Tricia A Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174736656 PECOS PAC ID: 1052494119 Enrollment ID: I20080212000645 |
| Provider Name | Wendy L Marchant |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245439405 PECOS PAC ID: 1557444668 Enrollment ID: I20080213000327 |
| Provider Name | Mark R Albertini |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609842624 PECOS PAC ID: 4183707219 Enrollment ID: I20080213000461 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20080227000658 |
| Provider Name | William Rhead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861445512 PECOS PAC ID: 4183709611 Enrollment ID: I20080308000029 |
| Provider Name | Sanjeev R Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790887578 PECOS PAC ID: 0143305078 Enrollment ID: I20080317000338 |
| Provider Name | Edward Lalik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790770857 PECOS PAC ID: 1355332859 Enrollment ID: I20080318000628 |
| Provider Name | Michael P Obrien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194777888 PECOS PAC ID: 1850477423 Enrollment ID: I20080324000106 |
| Provider Name | Teresa L Lincicum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396783536 PECOS PAC ID: 7315950953 Enrollment ID: I20080402000279 |
| Provider Name | Peter Frosio Nichol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245320852 PECOS PAC ID: 3476531146 Enrollment ID: I20080404000661 |
| Provider Name | Douglas E Kopp |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356317358 PECOS PAC ID: 4082791165 Enrollment ID: I20080415000032 |
| Provider Name | Todd Michael Gudausky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881604932 PECOS PAC ID: 7012912470 Enrollment ID: I20080423000391 |
| Provider Name | Dawn B Davis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164480513 PECOS PAC ID: 6709965684 Enrollment ID: I20080502000546 |
| Provider Name | Mark E Burkard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194903971 PECOS PAC ID: 9830278704 Enrollment ID: I20080505000046 |
| Provider Name | Gregory R Trost |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922074947 PECOS PAC ID: 8729157896 Enrollment ID: I20080515000042 |
| Provider Name | Sabrina M Butteris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932246345 PECOS PAC ID: 8628148475 Enrollment ID: I20080605000061 |
| Provider Name | Laura L Hammel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831141050 PECOS PAC ID: 0840360665 Enrollment ID: I20080605000745 |
| Provider Name | Conrad D Pun |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720297112 PECOS PAC ID: 0840360459 Enrollment ID: I20080609000064 |
| Provider Name | David T Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942477617 PECOS PAC ID: 9335219955 Enrollment ID: I20080609000119 |
| Provider Name | Jessica B Robbins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407971336 PECOS PAC ID: 9739259367 Enrollment ID: I20080609000175 |
| Provider Name | Guelay Bilen- Rosas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912178476 PECOS PAC ID: 9830260256 Enrollment ID: I20080612000363 |
| Provider Name | Thomas L Hartjes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083635700 PECOS PAC ID: 1052482619 Enrollment ID: I20080625000569 |
| Provider Name | Kevin R Kozak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124219241 PECOS PAC ID: 3173696465 Enrollment ID: I20080719000084 |
| Provider Name | Troy J Kleist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467417543 PECOS PAC ID: 2062585102 Enrollment ID: I20080722000602 |
| Provider Name | Michael Wilhelm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083680292 PECOS PAC ID: 0749236305 Enrollment ID: I20080724000171 |
| Provider Name | Parul Dureja Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518925965 PECOS PAC ID: 3971676867 Enrollment ID: I20080725000322 |
| Provider Name | Brian G Arndt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326085069 PECOS PAC ID: 8527132315 Enrollment ID: I20080728000340 |
| Provider Name | Jonathan Eric Fliegel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043271943 PECOS PAC ID: 6800817081 Enrollment ID: I20080728000749 |
| Provider Name | Jeremy L Peacock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265481931 PECOS PAC ID: 8426122110 Enrollment ID: I20080729000486 |
| Provider Name | Justine Y Bruce |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164518692 PECOS PAC ID: 2567536261 Enrollment ID: I20080729000596 |
| Provider Name | Kenneth J Noonan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861457541 PECOS PAC ID: 8527132919 Enrollment ID: I20080802000091 |
| Provider Name | Katherine A Lemon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881651180 PECOS PAC ID: 6800960030 Enrollment ID: I20080805000737 |
| Provider Name | Meghan G Lubner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184845133 PECOS PAC ID: 5294809299 Enrollment ID: I20080809000088 |
| Provider Name | Brian K Markhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154335420 PECOS PAC ID: 8729152665 Enrollment ID: I20080811000394 |
| Provider Name | Dobie L Giles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659344422 PECOS PAC ID: 9234146903 Enrollment ID: I20080811000505 |
| Provider Name | Kari Braun Wisinski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982895751 PECOS PAC ID: 9537157664 Enrollment ID: I20080829000193 |
| Provider Name | Diane L Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053586677 PECOS PAC ID: 2264508779 Enrollment ID: I20080908000293 |
| Provider Name | Joshua D Liberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265551196 PECOS PAC ID: 1355366402 Enrollment ID: I20080910000555 |
| Provider Name | Amy L Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033159330 PECOS PAC ID: 7810063955 Enrollment ID: I20080913000178 |
| Provider Name | Barbara J Higgins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497776090 PECOS PAC ID: 0345317863 Enrollment ID: I20080925000497 |
| Provider Name | Christopher J Doro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326263260 PECOS PAC ID: 7214004548 Enrollment ID: I20080929000092 |
| Provider Name | Vivek Prabhakaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891848115 PECOS PAC ID: 1254406218 Enrollment ID: I20081002000613 |
| Provider Name | Margaret Alison Brooks |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144254780 PECOS PAC ID: 4789635418 Enrollment ID: I20081013000167 |
| Provider Name | Steven Ewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730207093 PECOS PAC ID: 7416015680 Enrollment ID: I20081017000209 |
| Provider Name | Maria F Fabbrocini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184731150 PECOS PAC ID: 2062491244 Enrollment ID: I20081017000377 |
| Provider Name | Joy L Teelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801058722 PECOS PAC ID: 4284792268 Enrollment ID: I20081020000389 |
| Provider Name | Andrew S Lehr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497903819 PECOS PAC ID: 9133287139 Enrollment ID: I20081020000648 |
| Provider Name | Ramon J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730343831 PECOS PAC ID: 7810055837 Enrollment ID: I20081021000135 |
| Provider Name | Sarah Elizabeth Mcachran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386795227 PECOS PAC ID: 0749387348 Enrollment ID: I20081021000397 |
| Provider Name | Evelyn C Tunnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922276468 PECOS PAC ID: 0840358255 Enrollment ID: I20081028000803 |
| Provider Name | Lori A Oettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164471256 PECOS PAC ID: 1951469303 Enrollment ID: I20081029000332 |
| Provider Name | Daniel E Cole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962470997 PECOS PAC ID: 8921167362 Enrollment ID: I20081030000293 |
| Provider Name | Keisha Ashley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194981613 PECOS PAC ID: 4385703628 Enrollment ID: I20081031000471 |
| Provider Name | John S Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205823317 PECOS PAC ID: 4183783921 Enrollment ID: I20081107000283 |
| Provider Name | Lisa M Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306828785 PECOS PAC ID: 6002989639 Enrollment ID: I20081119000719 |
| Provider Name | Lianne L Stephenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164487153 PECOS PAC ID: 1759441637 Enrollment ID: I20081121000492 |
| Provider Name | Kurt M Jacobson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518947712 PECOS PAC ID: 3577598911 Enrollment ID: I20081121000520 |
| Provider Name | Erin S Costanzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144473232 PECOS PAC ID: 1254491913 Enrollment ID: I20081125000626 |
| Provider Name | Karol J Huenerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780836338 PECOS PAC ID: 7012078686 Enrollment ID: I20081202000378 |
| Provider Name | Michelle M Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699940643 PECOS PAC ID: 4688734981 Enrollment ID: I20081204000818 |
| Provider Name | Katherine Anne Watermolen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356495931 PECOS PAC ID: 2860553062 Enrollment ID: I20081205000744 |
| Provider Name | Erri C Hewitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700038742 PECOS PAC ID: 4183785314 Enrollment ID: I20081206000135 |
| Provider Name | Stephanie S Faucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194975813 PECOS PAC ID: 3971665811 Enrollment ID: I20081231000033 |
| Provider Name | Lisa R Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316105075 PECOS PAC ID: 9335201193 Enrollment ID: I20090105000111 |
| Provider Name | Meredith E Rumble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497907216 PECOS PAC ID: 3274696901 Enrollment ID: I20090107000224 |
| Provider Name | Vidushi Sood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194712703 PECOS PAC ID: 9830179977 Enrollment ID: I20090109000433 |
| Provider Name | Tamara Kay Willman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346215233 PECOS PAC ID: 5698789394 Enrollment ID: I20090110000208 |
| Provider Name | Shawn P Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356458517 PECOS PAC ID: 1951484971 Enrollment ID: I20090115000711 |
| Provider Name | Anne V Hoeft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316184203 PECOS PAC ID: 5193881886 Enrollment ID: I20090304000592 |
| Provider Name | Sumona Saha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720204605 PECOS PAC ID: 8628058500 Enrollment ID: I20090312000366 |
| Provider Name | Andrew John Waclawik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952373185 PECOS PAC ID: 7416013693 Enrollment ID: I20090313000233 |
| Provider Name | Hrissanthi Ikonomidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104063692 PECOS PAC ID: 6608933882 Enrollment ID: I20090316000635 |
| Provider Name | Frederick S Edelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366415986 PECOS PAC ID: 3971660010 Enrollment ID: I20090317000596 |
| Provider Name | Wendi E Marien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033362389 PECOS PAC ID: 5395802037 Enrollment ID: I20090324000355 |
| Provider Name | Thomas B Brazelton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295701936 PECOS PAC ID: 3375600091 Enrollment ID: I20090325000392 |
| Provider Name | Gregory D Avey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881644813 PECOS PAC ID: 6305993064 Enrollment ID: I20090415000304 |
| Provider Name | Brooke S Lachance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902083348 PECOS PAC ID: 4082762406 Enrollment ID: I20090423000161 |
| Provider Name | Kristan M Sodergren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821053430 PECOS PAC ID: 5991853350 Enrollment ID: I20090423000554 |
| Provider Name | Kimberly R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346490547 PECOS PAC ID: 5496803769 Enrollment ID: I20090427000296 |
| Provider Name | Sharon M Bartosh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710953419 PECOS PAC ID: 7719035278 Enrollment ID: I20090511000519 |
| Provider Name | Michael J Hannaman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912955568 PECOS PAC ID: 3476601956 Enrollment ID: I20090512000107 |
| Provider Name | Juan P Boriosi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457594970 PECOS PAC ID: 7214085703 Enrollment ID: I20090512000296 |
| Provider Name | Eva K Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356581888 PECOS PAC ID: 9436208956 Enrollment ID: I20090512000540 |
| Provider Name | Daniel J Jackson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003823923 PECOS PAC ID: 6103975545 Enrollment ID: I20090514000294 |
| Provider Name | Mark E Benson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114950987 PECOS PAC ID: 8527080704 Enrollment ID: I20090514000338 |
| Provider Name | Amgad S Hanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124237581 PECOS PAC ID: 5294894929 Enrollment ID: I20090514000429 |
| Provider Name | Tabassum A Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508074618 PECOS PAC ID: 8921157215 Enrollment ID: I20090515000244 |
| Provider Name | Ryan Mattison |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1538184825 PECOS PAC ID: 4981634797 Enrollment ID: I20090521000045 |
| Provider Name | Jessica N Rock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639247562 PECOS PAC ID: 1355491580 Enrollment ID: I20090610000387 |
| Provider Name | Joel Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679539910 PECOS PAC ID: 6608887450 Enrollment ID: I20090612000022 |
| Provider Name | Richard J Bruce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649220427 PECOS PAC ID: 8921179870 Enrollment ID: I20090615000685 |
| Provider Name | Jennifer L Schoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194976696 PECOS PAC ID: 1254482870 Enrollment ID: I20090622000460 |
| Provider Name | John P Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740493352 PECOS PAC ID: 5193826063 Enrollment ID: I20090625000121 |
| Provider Name | Jennifer C Passini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538105721 PECOS PAC ID: 6406907856 Enrollment ID: I20090625000418 |
| Provider Name | Victoria M Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396780110 PECOS PAC ID: 2668523937 Enrollment ID: I20090626000033 |
| Provider Name | Greta J Kuphal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346280310 PECOS PAC ID: 0648321943 Enrollment ID: I20090626000257 |
| Provider Name | Jeffrey Paul Kanne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639186463 PECOS PAC ID: 9335187319 Enrollment ID: I20090707000486 |
| Provider Name | Thomas C Teelin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457309072 PECOS PAC ID: 6305998865 Enrollment ID: I20090714000292 |
| Provider Name | Marty G Mozena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902842115 PECOS PAC ID: 6204988769 Enrollment ID: I20090714000301 |
| Provider Name | Eileen A Storm |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548495278 PECOS PAC ID: 9931251428 Enrollment ID: I20090714000599 |
| Provider Name | Victor J Weiss |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619028768 PECOS PAC ID: 2961564588 Enrollment ID: I20090724000603 |
| Provider Name | Denise K Fryzelka |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790880128 PECOS PAC ID: 4284787664 Enrollment ID: I20090803000223 |
| Provider Name | Jeffrey W Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215162250 PECOS PAC ID: 2860545951 Enrollment ID: I20090807000123 |
| Provider Name | Kathleen E Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649235755 PECOS PAC ID: 7911050984 Enrollment ID: I20090810000127 |
| Provider Name | Amy J Baillies |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023072667 PECOS PAC ID: 3971657867 Enrollment ID: I20090811000668 |
| Provider Name | Nathan Welham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831153444 PECOS PAC ID: 9133273048 Enrollment ID: I20090812000138 |
| Provider Name | Dipesh Navsaria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902842198 PECOS PAC ID: 3870647795 Enrollment ID: I20090812000228 |
| Provider Name | Jason A Dambach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831367887 PECOS PAC ID: 1557415122 Enrollment ID: I20090817000166 |
| Provider Name | Sarina B Schrager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285695072 PECOS PAC ID: 0345394870 Enrollment ID: I20090819000113 |
| Provider Name | Michael J Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104866151 PECOS PAC ID: 5991859365 Enrollment ID: I20090819000581 |
| Provider Name | Satoru Osaki |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063641025 PECOS PAC ID: 0345394607 Enrollment ID: I20090820000591 |
| Provider Name | Stevie J Marvin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649441528 PECOS PAC ID: 6103970207 Enrollment ID: I20090824000276 |
| Provider Name | Louis A Sanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972564870 PECOS PAC ID: 4385798412 Enrollment ID: I20090824000526 |
| Provider Name | Katherine A Lothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518192376 PECOS PAC ID: 4082769567 Enrollment ID: I20090904000412 |
| Provider Name | Anne Marie Lozeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882412 PECOS PAC ID: 1951456367 Enrollment ID: I20090909000394 |
| Provider Name | Susan L Thibeault |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538108949 PECOS PAC ID: 2264587435 Enrollment ID: I20090911000564 |
| Provider Name | Tricia A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231901 PECOS PAC ID: 2062568215 Enrollment ID: I20090914000420 |
| Provider Name | Molly A Knigge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275601841 PECOS PAC ID: 4385790351 Enrollment ID: I20090916000076 |
| Provider Name | Emily J Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104089911 PECOS PAC ID: 5698849081 Enrollment ID: I20090921000623 |
| Provider Name | Emily R Winslow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629021621 PECOS PAC ID: 2769582238 Enrollment ID: I20090922000331 |
| Provider Name | Joshua C Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952340713 PECOS PAC ID: 4981631744 Enrollment ID: I20090922000361 |
| Provider Name | Jason L Horowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710168869 PECOS PAC ID: 2466521448 Enrollment ID: I20090922000616 |
| Provider Name | Wayne Eugene Musser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093781031 PECOS PAC ID: 0941113245 Enrollment ID: I20090923000207 |
| Provider Name | William E Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407817281 PECOS PAC ID: 8325194905 Enrollment ID: I20090923000470 |
| Provider Name | Kristin A Shadman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417973637 PECOS PAC ID: 2365598828 Enrollment ID: I20090924000448 |
| Provider Name | Carole E Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083796049 PECOS PAC ID: 3577669191 Enrollment ID: I20090925000144 |
| Provider Name | Sarah E Ahrens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497796924 PECOS PAC ID: 6507893179 Enrollment ID: I20090925000501 |
| Provider Name | Orhan S Ozkan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1043394398 PECOS PAC ID: 8224130687 Enrollment ID: I20091006000698 |
| Provider Name | Jeremy P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891710190 PECOS PAC ID: 8628076635 Enrollment ID: I20091015000293 |
| Provider Name | Kathy D Hartke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932129921 PECOS PAC ID: 5799739132 Enrollment ID: I20091016000088 |
| Provider Name | Michael D Repplinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154521425 PECOS PAC ID: 5294872693 Enrollment ID: I20091016000136 |
| Provider Name | Sarah J Maudlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689895617 PECOS PAC ID: 1951448141 Enrollment ID: I20091020000647 |
| Provider Name | Ryan T Kipp |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588854467 PECOS PAC ID: 8921145657 Enrollment ID: I20091028000538 |
| Provider Name | Nicole L Baumann Blackmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548227838 PECOS PAC ID: 6406993179 Enrollment ID: I20091029000073 |
| Provider Name | Alanna M Kessler Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336475672 PECOS PAC ID: 5991842544 Enrollment ID: I20091030000136 |
| Provider Name | Janis P Tupesis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851454375 PECOS PAC ID: 5597727727 Enrollment ID: I20091030000313 |
| Provider Name | Kathleen Wackerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336100718 PECOS PAC ID: 1456498047 Enrollment ID: I20091030000547 |
| Provider Name | Jeffrey Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588624654 PECOS PAC ID: 2769520485 Enrollment ID: I20091117000302 |
| Provider Name | Jay Charles Lick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609978808 PECOS PAC ID: 3577538107 Enrollment ID: I20091118000075 |
| Provider Name | Kristen L Panther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366671430 PECOS PAC ID: 7113066747 Enrollment ID: I20091120000153 |
| Provider Name | Heather B Neuman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780843680 PECOS PAC ID: 0143369454 Enrollment ID: I20091130000249 |
| Provider Name | Nikki L Brechtel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1073848842 PECOS PAC ID: 6507905338 Enrollment ID: I20091208000087 |
| Provider Name | Andrew D Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760613418 PECOS PAC ID: 0749320448 Enrollment ID: I20091210000286 |
| Provider Name | Jeffrey A Huebner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447243209 PECOS PAC ID: 1153340112 Enrollment ID: I20100111000708 |
| Provider Name | William J Kinsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376545939 PECOS PAC ID: 2668431230 Enrollment ID: I20100122000034 |
| Provider Name | Prabhav V Kenkre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093825390 PECOS PAC ID: 7214034867 Enrollment ID: I20100122000255 |
| Provider Name | Joel D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679549604 PECOS PAC ID: 8628111697 Enrollment ID: I20100130000307 |
| Provider Name | Deborah K Boushea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306813084 PECOS PAC ID: 7719020650 Enrollment ID: I20100201000632 |
| Provider Name | Diane E Head |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093781585 PECOS PAC ID: 7517939762 Enrollment ID: I20100201000772 |
| Provider Name | Martha M Wynn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093782112 PECOS PAC ID: 4688717549 Enrollment ID: I20100201000775 |
| Provider Name | Jon A Arnason |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265760433 PECOS PAC ID: 8628111580 Enrollment ID: I20100202000016 |
| Provider Name | Christopher Robert Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922026483 PECOS PAC ID: 4981745049 Enrollment ID: I20100203000815 |
| Provider Name | Amy J Niedermeier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447215892 PECOS PAC ID: 6901949346 Enrollment ID: I20100206000129 |
| Provider Name | Kathryn E Puls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659502649 PECOS PAC ID: 2365584927 Enrollment ID: I20100211000584 |
| Provider Name | Susan I Toth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649234360 PECOS PAC ID: 8921142050 Enrollment ID: I20100212000458 |
| Provider Name | Gregory K Hartig |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386608966 PECOS PAC ID: 5698819613 Enrollment ID: I20100215000377 |
| Provider Name | Thomas R Pasic |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689638256 PECOS PAC ID: 2466596499 Enrollment ID: I20100215000439 |
| Provider Name | Kurt M Rongstad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265496814 PECOS PAC ID: 4981748530 Enrollment ID: I20100219000331 |
| Provider Name | Stefan V Zachary |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1104881895 PECOS PAC ID: 1456264738 Enrollment ID: I20100219000348 |
| Provider Name | William J Mott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891750303 PECOS PAC ID: 5597809145 Enrollment ID: I20100219000379 |
| Provider Name | Pamela B Alsum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710954417 PECOS PAC ID: 5496899049 Enrollment ID: I20100219000390 |
| Provider Name | Jane K Pearson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427091404 PECOS PAC ID: 4981748563 Enrollment ID: I20100219000686 |
| Provider Name | Kelsey L Rickels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194988618 PECOS PAC ID: 5092889188 Enrollment ID: I20100226000854 |
| Provider Name | Peter A Pickhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821058959 PECOS PAC ID: 6305981358 Enrollment ID: I20100302000938 |
| Provider Name | Ellen M Hartenbach |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1689640708 PECOS PAC ID: 8729123690 Enrollment ID: I20100303000213 |
| Provider Name | Kathryn E Schueller |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205876257 PECOS PAC ID: 1355486259 Enrollment ID: I20100303000568 |
| Provider Name | David P Rakel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336109636 PECOS PAC ID: 2264577006 Enrollment ID: I20100304000904 |
| Provider Name | David T Kunstman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316907454 PECOS PAC ID: 2365587011 Enrollment ID: I20100304001023 |
| Provider Name | Derek R Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760443063 PECOS PAC ID: 4981749637 Enrollment ID: I20100304001040 |
| Provider Name | Joseph Mcmahon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841266889 PECOS PAC ID: 5799820478 Enrollment ID: I20100305000290 |
| Provider Name | Amy K Proebstle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790014280 PECOS PAC ID: 4789729492 Enrollment ID: I20100305000536 |
| Provider Name | Venkat K Rao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548225204 PECOS PAC ID: 9133032436 Enrollment ID: I20100306000237 |
| Provider Name | Adnan Said |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669433454 PECOS PAC ID: 7113062704 Enrollment ID: I20100308000209 |
| Provider Name | Patrick R Pfau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346201795 PECOS PAC ID: 5799820387 Enrollment ID: I20100308000258 |
| Provider Name | Michael K Fritsch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912968439 PECOS PAC ID: 5193860500 Enrollment ID: I20100309000589 |
| Provider Name | Mark Reichelderfer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699736512 PECOS PAC ID: 8628113008 Enrollment ID: I20100310000378 |
| Provider Name | Ann Baggot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326017245 PECOS PAC ID: 5092840397 Enrollment ID: I20100311000622 |
| Provider Name | Daniela C Constantinescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033103940 PECOS PAC ID: 0244365583 Enrollment ID: I20100311001063 |
| Provider Name | Serguei Y Lopukhin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457329682 PECOS PAC ID: 7012042377 Enrollment ID: I20100312000136 |
| Provider Name | George A Arndt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447226493 PECOS PAC ID: 5698800969 Enrollment ID: I20100312000199 |
| Provider Name | Randy S Heidel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003855206 PECOS PAC ID: 7012042385 Enrollment ID: I20100312000242 |
| Provider Name | Alan J Bridges |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245207927 PECOS PAC ID: 9638274442 Enrollment ID: I20100312000369 |
| Provider Name | Paul T Stanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20100312000509 |
| Provider Name | Deirdre A Burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336117704 PECOS PAC ID: 9032244256 Enrollment ID: I20100312000834 |
| Provider Name | Tosha B Wetterneck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154397222 PECOS PAC ID: 4385779446 Enrollment ID: I20100316000174 |
| Provider Name | Barbara A Blodi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548236839 PECOS PAC ID: 9638204514 Enrollment ID: I20100317000430 |
| Provider Name | Wade W Woelfle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790764199 PECOS PAC ID: 9638204449 Enrollment ID: I20100318000681 |
| Provider Name | Jennifer Kb Durocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104052828 PECOS PAC ID: 5698800365 Enrollment ID: I20100319000369 |
| Provider Name | Eric A Gaumnitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356318943 PECOS PAC ID: 2567597263 Enrollment ID: I20100319000675 |
| Provider Name | David A Feldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396712444 PECOS PAC ID: 5890820591 Enrollment ID: I20100319000710 |
| Provider Name | Steven E Cattapan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457328148 PECOS PAC ID: 9335274042 Enrollment ID: I20100319000732 |
| Provider Name | Cynthia M Carlsson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104870666 PECOS PAC ID: 8325173032 Enrollment ID: I20100319000741 |
| Provider Name | Randy Kittleson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578539581 PECOS PAC ID: 6406981117 Enrollment ID: I20100319000749 |
| Provider Name | William D Aughenbaugh |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1033178272 PECOS PAC ID: 2264567890 Enrollment ID: I20100320000176 |
| Provider Name | Peter M Popic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871569392 PECOS PAC ID: 0143355776 Enrollment ID: I20100320000203 |
| Provider Name | Arthur C Walaszek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174599336 PECOS PAC ID: 7810022324 Enrollment ID: I20100322000808 |
| Provider Name | Nathan J Rudin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972567527 PECOS PAC ID: 7810022340 Enrollment ID: I20100322000923 |
| Provider Name | Nalini Sehgal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1285698837 PECOS PAC ID: 5991830424 Enrollment ID: I20100322000930 |
| Provider Name | Bonnie J Weigert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942264502 PECOS PAC ID: 3072648500 Enrollment ID: I20100322000940 |
| Provider Name | Kimberly J Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477529493 PECOS PAC ID: 0840325395 Enrollment ID: I20100323000169 |
| Provider Name | David M Gamm |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346216488 PECOS PAC ID: 8224163795 Enrollment ID: I20100323000356 |
| Provider Name | Angela M.w. Oconnor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457334468 PECOS PAC ID: 0446386726 Enrollment ID: I20100325000470 |
| Provider Name | Linda Eckstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679537864 PECOS PAC ID: 8022144336 Enrollment ID: I20100325000853 |
| Provider Name | Letitia M Geanon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326010539 PECOS PAC ID: 2365578689 Enrollment ID: I20100325000890 |
| Provider Name | Zoltan G Hevesi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497721898 PECOS PAC ID: 1254466519 Enrollment ID: I20100326000082 |
| Provider Name | Jeffrey A Wells |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689698516 PECOS PAC ID: 5092841213 Enrollment ID: I20100326000851 |
| Provider Name | David W Queoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016403 PECOS PAC ID: 3476689613 Enrollment ID: I20100327000032 |
| Provider Name | Shauna J Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501405 PECOS PAC ID: 1658407895 Enrollment ID: I20100327000043 |
| Provider Name | Amy M Podmolik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275594673 PECOS PAC ID: 4183750326 Enrollment ID: I20100327000056 |
| Provider Name | Mary E Mcsweeney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396711420 PECOS PAC ID: 9436285400 Enrollment ID: I20100329000930 |
| Provider Name | Jon S Odorico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649234246 PECOS PAC ID: 1951437920 Enrollment ID: I20100329000953 |
| Provider Name | Yoram Shenker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770544157 PECOS PAC ID: 4587790555 Enrollment ID: I20100329000960 |
| Provider Name | Charles Paul Heise |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346205036 PECOS PAC ID: 7214063288 Enrollment ID: I20100329000964 |
| Provider Name | Jeffrey S Sleeth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609844174 PECOS PAC ID: 6204962194 Enrollment ID: I20100330000994 |
| Provider Name | David B Allen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669448973 PECOS PAC ID: 4688700305 Enrollment ID: I20100331001037 |
| Provider Name | Amy N Plumb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114996113 PECOS PAC ID: 2163558867 Enrollment ID: I20100406000406 |
| Provider Name | Camilla K Matthews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982672994 PECOS PAC ID: 5799812236 Enrollment ID: I20100415000063 |
| Provider Name | Gwendolyn M Regan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750345476 PECOS PAC ID: 8921135260 Enrollment ID: I20100419000709 |
| Provider Name | Joni Diane Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912967365 PECOS PAC ID: 9830226026 Enrollment ID: I20100420000452 |
| Provider Name | Vaishalee P Kenkre |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1386890978 PECOS PAC ID: 8022145275 Enrollment ID: I20100421000102 |
| Provider Name | Michael P Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093781502 PECOS PAC ID: 0547397689 Enrollment ID: I20100422000299 |
| Provider Name | Thomas Broderick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912973496 PECOS PAC ID: 0749259612 Enrollment ID: I20100422000324 |
| Provider Name | Robert T Striker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760443121 PECOS PAC ID: 1658408695 Enrollment ID: I20100422000430 |
| Provider Name | Peter D Newcomer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386605756 PECOS PAC ID: 2365579307 Enrollment ID: I20100422000453 |
| Provider Name | Elizabeth S Yun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982670469 PECOS PAC ID: 9537296587 Enrollment ID: I20100422000473 |
| Provider Name | Karl Willmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700852217 PECOS PAC ID: 2668509613 Enrollment ID: I20100422000555 |
| Provider Name | Ellen R Wald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053387720 PECOS PAC ID: 8921135948 Enrollment ID: I20100423000182 |
| Provider Name | Julie K Nielsen-witkovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518927813 PECOS PAC ID: 3173650009 Enrollment ID: I20100423000351 |
| Provider Name | Erin R Vanness |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912976135 PECOS PAC ID: 1658408596 Enrollment ID: I20100423000571 |
| Provider Name | William R Heifner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285693325 PECOS PAC ID: 5294862140 Enrollment ID: I20100423000696 |
| Provider Name | Shobhina G Chheda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538136213 PECOS PAC ID: 6608903497 Enrollment ID: I20100428000104 |
| Provider Name | Elizabeth George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255308409 PECOS PAC ID: 8325175128 Enrollment ID: I20100428000117 |
| Provider Name | Richard L Illgen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255395976 PECOS PAC ID: 2961539762 Enrollment ID: I20100428000127 |
| Provider Name | Daniel K Resnick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396711552 PECOS PAC ID: 2860529666 Enrollment ID: I20100428000143 |
| Provider Name | Shardha Srinivasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205804010 PECOS PAC ID: 1850428657 Enrollment ID: I20100428000150 |
| Provider Name | Megan A Moreno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588670400 PECOS PAC ID: 7012950314 Enrollment ID: I20100506000858 |
| Provider Name | Erik A Ranheim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275595456 PECOS PAC ID: 0547398869 Enrollment ID: I20100506001052 |
| Provider Name | Patricia L Deffner Valley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063480895 PECOS PAC ID: 4587792734 Enrollment ID: I20100507000479 |
| Provider Name | Josephine M Harter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730140252 PECOS PAC ID: 2264560457 Enrollment ID: I20100508000139 |
| Provider Name | Megan E Piper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598921769 PECOS PAC ID: 9638207475 Enrollment ID: I20100514000389 |
| Provider Name | Stephen Y Nakada |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801851415 PECOS PAC ID: 4880722677 Enrollment ID: I20100515000029 |
| Provider Name | Paul W Kranner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588630610 PECOS PAC ID: 3870621519 Enrollment ID: I20100517000662 |
| Provider Name | Deborah A Rusy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750357273 PECOS PAC ID: 9739218405 Enrollment ID: I20100519000403 |
| Provider Name | Amy R Grelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561936 PECOS PAC ID: 4183753726 Enrollment ID: I20100520000323 |
| Provider Name | Ricardo V Lloyd |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063499689 PECOS PAC ID: 1456495175 Enrollment ID: I20100520000837 |
| Provider Name | Paul H Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164488458 PECOS PAC ID: 8123028420 Enrollment ID: I20100524000036 |
| Provider Name | Claire M Gervais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225097868 PECOS PAC ID: 1850420977 Enrollment ID: I20100528000371 |
| Provider Name | Patricia C Sabb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083680565 PECOS PAC ID: 4385773407 Enrollment ID: I20100528000399 |
| Provider Name | Jonathan T Ketzler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275509754 PECOS PAC ID: 3375672397 Enrollment ID: I20100528000524 |
| Provider Name | Stephen K Sauer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477529931 PECOS PAC ID: 0345379376 Enrollment ID: I20100528000564 |
| Provider Name | T Michael Nork |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568438083 PECOS PAC ID: 5890824825 Enrollment ID: I20100528000571 |
| Provider Name | Joan E Hamblin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801836549 PECOS PAC ID: 4486783453 Enrollment ID: I20100601000327 |
| Provider Name | Mary G Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306807607 PECOS PAC ID: 0345379319 Enrollment ID: I20100601000374 |
| Provider Name | David F Jarrard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467416024 PECOS PAC ID: 0143359067 Enrollment ID: I20100602000190 |
| Provider Name | Michael B Walsh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437110343 PECOS PAC ID: 8921137860 Enrollment ID: I20100602000364 |
| Provider Name | Nizar N Jarjour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700852654 PECOS PAC ID: 6002945979 Enrollment ID: I20100602000743 |
| Provider Name | Edward J Borman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851340657 PECOS PAC ID: 3779612668 Enrollment ID: I20100602000936 |
| Provider Name | John L Juozevicius |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346201241 PECOS PAC ID: 9931238771 Enrollment ID: I20100603000524 |
| Provider Name | Nicholas Vonbergen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124229406 PECOS PAC ID: 6002986619 Enrollment ID: I20100603000634 |
| Provider Name | Ned H Kalin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447219928 PECOS PAC ID: 5799880514 Enrollment ID: I20100603000896 |
| Provider Name | James E Haine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629063110 PECOS PAC ID: 3072642859 Enrollment ID: I20100604000135 |
| Provider Name | Mark D Gideonsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841236445 PECOS PAC ID: 7012047830 Enrollment ID: I20100604000597 |
| Provider Name | Jennifer J Eddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134151319 PECOS PAC ID: 0941330765 Enrollment ID: I20100604000703 |
| Provider Name | Douglas G Mcneel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104892280 PECOS PAC ID: 1052441888 Enrollment ID: I20100604000829 |
| Provider Name | Mark H Moss |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093781163 PECOS PAC ID: 5597895326 Enrollment ID: I20100604000842 |
| Provider Name | Lara L Duwe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144284787 PECOS PAC ID: 8123158953 Enrollment ID: I20100604000847 |
| Provider Name | Timothy J Chybowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346218757 PECOS PAC ID: 1456481290 Enrollment ID: I20100604000913 |
| Provider Name | Anne R Eglash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053380428 PECOS PAC ID: 2961532700 Enrollment ID: I20100604000964 |
| Provider Name | Elizabeth R Trowbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962463323 PECOS PAC ID: 0840194213 Enrollment ID: I20100604000980 |
| Provider Name | Dennis G Maki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255307195 PECOS PAC ID: 6406986256 Enrollment ID: I20100604000992 |
| Provider Name | Pamela M Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699736504 PECOS PAC ID: 0941330799 Enrollment ID: I20100604000996 |
| Provider Name | Deborah A Raehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154350056 PECOS PAC ID: 8729118575 Enrollment ID: I20100604001050 |
| Provider Name | Lisa M Grant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215996392 PECOS PAC ID: 6901936756 Enrollment ID: I20100604001067 |
| Provider Name | Clifford B Tribus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588628168 PECOS PAC ID: 1355471103 Enrollment ID: I20100604001076 |
| Provider Name | Bryan L Magenheim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124094156 PECOS PAC ID: 4082744834 Enrollment ID: I20100604001082 |
| Provider Name | John P Sheehan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1699736090 PECOS PAC ID: 6507996352 Enrollment ID: I20100604001117 |
| Provider Name | James E Svenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700847183 PECOS PAC ID: 5698805455 Enrollment ID: I20100604001133 |
| Provider Name | Brenda K Jenkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610301 PECOS PAC ID: 4688704448 Enrollment ID: I20100604001146 |
| Provider Name | Mark J Lucarelli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992771034 PECOS PAC ID: 7618926668 Enrollment ID: I20100605000079 |
| Provider Name | Justin L Gottlieb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164498697 PECOS PAC ID: 3779470372 Enrollment ID: I20100605000087 |
| Provider Name | David M Melnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023073632 PECOS PAC ID: 7012047889 Enrollment ID: I20100605000126 |
| Provider Name | James H Shropshire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225092950 PECOS PAC ID: 3971633652 Enrollment ID: I20100607000116 |
| Provider Name | Karen M Loomans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649246596 PECOS PAC ID: 3577693266 Enrollment ID: I20100607000273 |
| Provider Name | Sam Joseph Lubner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003838145 PECOS PAC ID: 7719984889 Enrollment ID: I20100607000567 |
| Provider Name | William P Shannon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043282221 PECOS PAC ID: 4284764929 Enrollment ID: I20100607000829 |
| Provider Name | Kim M Kantor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700852795 PECOS PAC ID: 8820128416 Enrollment ID: I20100608000501 |
| Provider Name | Ellie Golestanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376500033 PECOS PAC ID: 0749310217 Enrollment ID: I20100609000694 |
| Provider Name | Deepak V Gopal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518911064 PECOS PAC ID: 1456481936 Enrollment ID: I20100609000728 |
| Provider Name | Tony S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831166990 PECOS PAC ID: 3476683954 Enrollment ID: I20100609000827 |
| Provider Name | Patrick A Dowling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073580700 PECOS PAC ID: 6103956693 Enrollment ID: I20100609000841 |
| Provider Name | Christopher C Luzzio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720051576 PECOS PAC ID: 2163552654 Enrollment ID: I20100609000876 |
| Provider Name | Mary T Bekx |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578539656 PECOS PAC ID: 8921138454 Enrollment ID: I20100610000285 |
| Provider Name | David R Andes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154398857 PECOS PAC ID: 8325178866 Enrollment ID: I20100610000369 |
| Provider Name | Luis A Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497711196 PECOS PAC ID: 1951431493 Enrollment ID: I20100610000384 |
| Provider Name | Olubunmi Kumapayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659335214 PECOS PAC ID: 9638209034 Enrollment ID: I20100610001176 |
| Provider Name | Jason W Pinchot |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639339971 PECOS PAC ID: 3971633223 Enrollment ID: I20100611000658 |
| Provider Name | Ellen M Barbouche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467429167 PECOS PAC ID: 0648300913 Enrollment ID: I20100611000886 |
| Provider Name | Lorna E Belsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912974536 PECOS PAC ID: 1557491826 Enrollment ID: I20100611000888 |
| Provider Name | Grace C Devadas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023128279 PECOS PAC ID: 6204966575 Enrollment ID: I20100612000094 |
| Provider Name | Heidi A Smedal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144284738 PECOS PAC ID: 2163552449 Enrollment ID: I20100612000161 |
| Provider Name | Neil C Binkley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659348241 PECOS PAC ID: 4385693076 Enrollment ID: I20100615000068 |
| Provider Name | James W Leonard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245295955 PECOS PAC ID: 6002946225 Enrollment ID: I20100615000764 |
| Provider Name | Nancy Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487621165 PECOS PAC ID: 1951431022 Enrollment ID: I20100616000564 |
| Provider Name | Lynn P Posick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447214093 PECOS PAC ID: 6103956289 Enrollment ID: I20100616000608 |
| Provider Name | Leslie Leigh Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053633115 PECOS PAC ID: 7911037098 Enrollment ID: I20100616000609 |
| Provider Name | Christine S Seibert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689635591 PECOS PAC ID: 1557491669 Enrollment ID: I20100617000011 |
| Provider Name | Laura J Zakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659332096 PECOS PAC ID: 3375673486 Enrollment ID: I20100617000015 |
| Provider Name | Christopher J Hildebrand |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205897022 PECOS PAC ID: 1456481381 Enrollment ID: I20100618000700 |
| Provider Name | Howard H Bailey |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861468936 PECOS PAC ID: 8022003854 Enrollment ID: I20100618000746 |
| Provider Name | John W Weiss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457313645 PECOS PAC ID: 6406986330 Enrollment ID: I20100618000758 |
| Provider Name | Michele M Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316913460 PECOS PAC ID: 7719017656 Enrollment ID: I20100618000838 |
| Provider Name | Gregory G Kolden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124094149 PECOS PAC ID: 9335270180 Enrollment ID: I20100623000664 |
| Provider Name | Weixiong Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225099096 PECOS PAC ID: 9234260001 Enrollment ID: I20100623000819 |
| Provider Name | Suzanne M Selvaggi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710948237 PECOS PAC ID: 3971533001 Enrollment ID: I20100624000764 |
| Provider Name | Melody M Cole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568421642 PECOS PAC ID: 4688705247 Enrollment ID: I20100625000068 |
| Provider Name | Michael R Lucey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699741611 PECOS PAC ID: 0941331532 Enrollment ID: I20100625000468 |
| Provider Name | Andreas Friedl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730140245 PECOS PAC ID: 0143351742 Enrollment ID: I20100625000577 |
| Provider Name | John-michael N Khalil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588848923 PECOS PAC ID: 4587714407 Enrollment ID: I20100626000261 |
| Provider Name | Jennifer L Poehls |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538359484 PECOS PAC ID: 0941331599 Enrollment ID: I20100626000278 |
| Provider Name | Laurel L Romer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508827981 PECOS PAC ID: 2264498260 Enrollment ID: I20100626000413 |
| Provider Name | John D Penner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437160421 PECOS PAC ID: 9234030537 Enrollment ID: I20100630000416 |
| Provider Name | Catherine P Leith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649232695 PECOS PAC ID: 6608907878 Enrollment ID: I20100702000096 |
| Provider Name | James M Sosman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831150291 PECOS PAC ID: 9436280518 Enrollment ID: I20100707000114 |
| Provider Name | Kevin S Mcallister |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669448510 PECOS PAC ID: 0941331979 Enrollment ID: I20100708000280 |
| Provider Name | Patricia A Tellez Giron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487619599 PECOS PAC ID: 0941331912 Enrollment ID: I20100708000664 |
| Provider Name | Gail Gaustad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841259926 PECOS PAC ID: 6406988401 Enrollment ID: I20100709000124 |
| Provider Name | Steven J Novacheck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629051891 PECOS PAC ID: 2163554106 Enrollment ID: I20100709000672 |
| Provider Name | Paul R Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558354068 PECOS PAC ID: 9739080185 Enrollment ID: I20100712000306 |
| Provider Name | Samuel O Poore |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760425433 PECOS PAC ID: 8325170293 Enrollment ID: I20100713000694 |
| Provider Name | Amy L Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316919434 PECOS PAC ID: 5799817466 Enrollment ID: I20100715000263 |
| Provider Name | Danalyn K Rayner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013913144 PECOS PAC ID: 1658347687 Enrollment ID: I20100715000918 |
| Provider Name | Ahmed Medhat Afifi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497893861 PECOS PAC ID: 6507871647 Enrollment ID: I20100716000188 |
| Provider Name | Joan C Hermsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073572004 PECOS PAC ID: 2062544653 Enrollment ID: I20100716000727 |
| Provider Name | Ryan C Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760428015 PECOS PAC ID: 0042342529 Enrollment ID: I20100719000864 |
| Provider Name | Kate Lynn Amond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598087447 PECOS PAC ID: 6800928037 Enrollment ID: I20100722000932 |
| Provider Name | Nathaniel Brooks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306802053 PECOS PAC ID: 7214081405 Enrollment ID: I20100728000947 |
| Provider Name | Lisa K Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477786101 PECOS PAC ID: 8224161096 Enrollment ID: I20100730000029 |
| Provider Name | William B Taft |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851509434 PECOS PAC ID: 2163555897 Enrollment ID: I20100802001020 |
| Provider Name | Timothy J Kamp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619943602 PECOS PAC ID: 9234262528 Enrollment ID: I20100806000751 |
| Provider Name | Laurel B Mark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629044664 PECOS PAC ID: 9133252422 Enrollment ID: I20100806000767 |
| Provider Name | David T Plante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467588871 PECOS PAC ID: 4789751264 Enrollment ID: I20100810000698 |
| Provider Name | Aaron M Wieland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689887986 PECOS PAC ID: 0840324745 Enrollment ID: I20100813000710 |
| Provider Name | Mansoor Shariff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316055346 PECOS PAC ID: 9830002286 Enrollment ID: I20100814000092 |
| Provider Name | Julie M Kessel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396714556 PECOS PAC ID: 4183671068 Enrollment ID: I20100818000190 |
| Provider Name | Alsia Sunness |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982665360 PECOS PAC ID: 3375677958 Enrollment ID: I20100818000441 |
| Provider Name | Dana M Resop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922153808 PECOS PAC ID: 4284787359 Enrollment ID: I20100818000790 |
| Provider Name | Bethany M Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629001417 PECOS PAC ID: 7618091901 Enrollment ID: I20100823000958 |
| Provider Name | Kenneth B De Santes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427027317 PECOS PAC ID: 3476677766 Enrollment ID: I20100823001033 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20100824001038 |
| Provider Name | Robin M Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558320002 PECOS PAC ID: 4880718055 Enrollment ID: I20100825000900 |
| Provider Name | Jocelyn M Blake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124063458 PECOS PAC ID: 9739203803 Enrollment ID: I20100825001105 |
| Provider Name | Shahriar M Salamat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992766414 PECOS PAC ID: 1254455371 Enrollment ID: I20100826000451 |
| Provider Name | Jeffrey J Pothof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619094380 PECOS PAC ID: 7719001759 Enrollment ID: I20100827000885 |
| Provider Name | Charlotte Owens Ladd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225087091 PECOS PAC ID: 5395846539 Enrollment ID: I20100831000592 |
| Provider Name | Luther Sigurdsson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508194457 PECOS PAC ID: 1355465899 Enrollment ID: I20100903000876 |
| Provider Name | Dai Yamanouchi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275862716 PECOS PAC ID: 5294850475 Enrollment ID: I20100910000839 |
| Provider Name | Melissa A Cercone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558564062 PECOS PAC ID: 6800911579 Enrollment ID: I20100917000851 |
| Provider Name | Bethany E Westerfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609837525 PECOS PAC ID: 6608991385 Enrollment ID: I20100917001007 |
| Provider Name | Roberta Marie Strigel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710078746 PECOS PAC ID: 7113071879 Enrollment ID: I20100920000709 |
| Provider Name | Hannah M Copp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801082599 PECOS PAC ID: 4789709288 Enrollment ID: I20100920001154 |
| Provider Name | Eliza A Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003852161 PECOS PAC ID: 3971629056 Enrollment ID: I20100927000291 |
| Provider Name | Timothy J Ziemlewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184885683 PECOS PAC ID: 6800946773 Enrollment ID: I20100927001390 |
| Provider Name | Christine M Seroogy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053387704 PECOS PAC ID: 4284826686 Enrollment ID: I20101004000867 |
| Provider Name | Erin L Sebens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790092294 PECOS PAC ID: 3971795063 Enrollment ID: I20101007000770 |
| Provider Name | Gerald T Pankratz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790985141 PECOS PAC ID: 2466644588 Enrollment ID: I20101007001103 |
| Provider Name | Roy A Jhagroo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023216603 PECOS PAC ID: 8325230378 Enrollment ID: I20101008000164 |
| Provider Name | Amy L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679649123 PECOS PAC ID: 9830381763 Enrollment ID: I20101008001297 |
| Provider Name | Christopher G Guglielmo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770750432 PECOS PAC ID: 9638361504 Enrollment ID: I20101011000450 |
| Provider Name | Jill M Cardwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518966068 PECOS PAC ID: 7416149000 Enrollment ID: I20101014000918 |
| Provider Name | Karen H Pletta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508834490 PECOS PAC ID: 9830382415 Enrollment ID: I20101015000698 |
| Provider Name | Igor Slukvin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083675508 PECOS PAC ID: 6608069109 Enrollment ID: I20101015001057 |
| Provider Name | Anne C Means |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568439677 PECOS PAC ID: 2961695465 Enrollment ID: I20101015001062 |
| Provider Name | Laura M Houser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505885 PECOS PAC ID: 9830383413 Enrollment ID: I20101027001030 |
| Provider Name | Kristin A Lewicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285695106 PECOS PAC ID: 5597959148 Enrollment ID: I20101028000194 |
| Provider Name | Mary H Pak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427024595 PECOS PAC ID: 4486848033 Enrollment ID: I20101028000219 |
| Provider Name | Bruce S Klein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073589727 PECOS PAC ID: 2163616418 Enrollment ID: I20101030000141 |
| Provider Name | Karen M Hillery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144298977 PECOS PAC ID: 7416141742 Enrollment ID: I20101101000842 |
| Provider Name | Beth Ann Drolet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477505386 PECOS PAC ID: 2769676931 Enrollment ID: I20101101001588 |
| Provider Name | Allison C Redpath Mahon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962601484 PECOS PAC ID: 3476748120 Enrollment ID: I20101108001417 |
| Provider Name | Kim H Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420620 PECOS PAC ID: 7315132560 Enrollment ID: I20101112000783 |
| Provider Name | Teresa Mangin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144385352 PECOS PAC ID: 9032284104 Enrollment ID: I20101115001382 |
| Provider Name | Ashlyn Brigham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578878534 PECOS PAC ID: 4486840295 Enrollment ID: I20101118001273 |
| Provider Name | Randi L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316258965 PECOS PAC ID: 5799971511 Enrollment ID: I20101118001354 |
| Provider Name | Christopher D Fletcher |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114121092 PECOS PAC ID: 8527254218 Enrollment ID: I20101119000832 |
| Provider Name | Lauren K Gilbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144535055 PECOS PAC ID: 6002002730 Enrollment ID: I20101120000106 |
| Provider Name | Thomas Shiffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164561171 PECOS PAC ID: 5597822726 Enrollment ID: I20101122000239 |
| Provider Name | Rebecca L Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487967352 PECOS PAC ID: 1052507324 Enrollment ID: I20101129000614 |
| Provider Name | Benjamin J Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982734695 PECOS PAC ID: 5395813554 Enrollment ID: I20101130000335 |
| Provider Name | Courtney Hogendorn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265404453 PECOS PAC ID: 1759577737 Enrollment ID: I20101202000626 |
| Provider Name | Alexander J Lepak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265490536 PECOS PAC ID: 3971790924 Enrollment ID: I20101203000343 |
| Provider Name | Christopher M Manakas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518919208 PECOS PAC ID: 7517154305 Enrollment ID: I20101206000775 |
| Provider Name | Elaine M Makarowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922296268 PECOS PAC ID: 7719044932 Enrollment ID: I20101213000275 |
| Provider Name | Tamara Scerpella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1811992886 PECOS PAC ID: 4587790100 Enrollment ID: I20101214000628 |
| Provider Name | Jacqueline L Gerhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952563231 PECOS PAC ID: 1951598044 Enrollment ID: I20101215000822 |
| Provider Name | Lee G Wilke |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134203003 PECOS PAC ID: 2466591417 Enrollment ID: I20101217000832 |
| Provider Name | Kenneth J Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639284789 PECOS PAC ID: 6204024425 Enrollment ID: I20110103000489 |
| Provider Name | Edwin Abel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083800510 PECOS PAC ID: 0345391066 Enrollment ID: I20110114000332 |
| Provider Name | Susan G Hubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245545177 PECOS PAC ID: 0941499313 Enrollment ID: I20110117000085 |
| Provider Name | Randall Kimple |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326253998 PECOS PAC ID: 5193857316 Enrollment ID: I20110117000103 |
| Provider Name | Matthew C Tattersall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710187018 PECOS PAC ID: 5496934655 Enrollment ID: I20110120000801 |
| Provider Name | Mark Lingenfelter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063461606 PECOS PAC ID: 6507808136 Enrollment ID: I20110125000660 |
| Provider Name | Joshua M Lang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740226067 PECOS PAC ID: 3870772403 Enrollment ID: I20110127000783 |
| Provider Name | Ann P O'rourke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164470662 PECOS PAC ID: 7315126950 Enrollment ID: I20110127000899 |
| Provider Name | Cristina M Delgadillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023212073 PECOS PAC ID: 6305025941 Enrollment ID: I20110127000920 |
| Provider Name | David C Goodspeed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689638512 PECOS PAC ID: 3476732926 Enrollment ID: I20110128001034 |
| Provider Name | Christine L Biedermann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487652517 PECOS PAC ID: 3072792530 Enrollment ID: I20110131000059 |
| Provider Name | Siobhan M Byrne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417915836 PECOS PAC ID: 6901085398 Enrollment ID: I20110201000773 |
| Provider Name | Laura E Kwitek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457585721 PECOS PAC ID: 8325192115 Enrollment ID: I20110202000763 |
| Provider Name | Emily J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700191798 PECOS PAC ID: 7012197346 Enrollment ID: I20110203000710 |
| Provider Name | Sheryl L Henderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356386189 PECOS PAC ID: 3476733221 Enrollment ID: I20110210000783 |
| Provider Name | Burton J Kushner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205802725 PECOS PAC ID: 3870773559 Enrollment ID: I20110214000067 |
| Provider Name | Carey E Gleason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215028980 PECOS PAC ID: 5395926885 Enrollment ID: I20110216000506 |
| Provider Name | Trevor W Dennie |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1710030333 PECOS PAC ID: 8628259728 Enrollment ID: I20110223000142 |
| Provider Name | Elizabeth H Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548561707 PECOS PAC ID: 4486835345 Enrollment ID: I20110224000892 |
| Provider Name | Courtney E Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073798096 PECOS PAC ID: 9830277839 Enrollment ID: I20110225000410 |
| Provider Name | Ilene D Klassy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477731719 PECOS PAC ID: 1850477449 Enrollment ID: I20110302000036 |
| Provider Name | Ian C Grimes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275737165 PECOS PAC ID: 7618159823 Enrollment ID: I20110309000726 |
| Provider Name | Kelly N Mcgregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104025279 PECOS PAC ID: 5294823969 Enrollment ID: I20110310000180 |
| Provider Name | Dustin A Deming |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831393883 PECOS PAC ID: 8123200227 Enrollment ID: I20110310000695 |
| Provider Name | Peter E Qualey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689673014 PECOS PAC ID: 5890977904 Enrollment ID: I20110310000884 |
| Provider Name | Jane M Seliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295044972 PECOS PAC ID: 1456533132 Enrollment ID: I20110317000149 |
| Provider Name | Sarah E Holum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487961132 PECOS PAC ID: 6608059217 Enrollment ID: I20110318000815 |
| Provider Name | Molly M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871795583 PECOS PAC ID: 5890978282 Enrollment ID: I20110322000968 |
| Provider Name | Judy A Mccorkell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649231333 PECOS PAC ID: 3375726664 Enrollment ID: I20110323001034 |
| Provider Name | Anastasia L Doherty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841240710 PECOS PAC ID: 0547443699 Enrollment ID: I20110326000032 |
| Provider Name | James B Bigham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558595363 PECOS PAC ID: 8426231283 Enrollment ID: I20110331000876 |
| Provider Name | Terrance J Donnelly |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851343362 PECOS PAC ID: 9032393350 Enrollment ID: I20110412000345 |
| Provider Name | Jennifer E Lochner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063420511 PECOS PAC ID: 4789752452 Enrollment ID: I20110412000716 |
| Provider Name | Sara Best |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124079207 PECOS PAC ID: 0446305585 Enrollment ID: I20110418000487 |
| Provider Name | Brenda S Kepler Leske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154384006 PECOS PAC ID: 4284819178 Enrollment ID: I20110419000332 |
| Provider Name | Ryan J Herringa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528225711 PECOS PAC ID: 2163607391 Enrollment ID: I20110503000219 |
| Provider Name | David A Sonetti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770767261 PECOS PAC ID: 3375739030 Enrollment ID: I20110504000655 |
| Provider Name | Dixon Blake Kaufman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871527176 PECOS PAC ID: 3274676002 Enrollment ID: I20110505000745 |
| Provider Name | Kara Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477634624 PECOS PAC ID: 2163608175 Enrollment ID: I20110509000431 |
| Provider Name | Sara E Gustafson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750603908 PECOS PAC ID: 2365628104 Enrollment ID: I20110512000481 |
| Provider Name | Ryan Westergaard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255423737 PECOS PAC ID: 4486747946 Enrollment ID: I20110520000330 |
| Provider Name | Laura J Maursetter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114197878 PECOS PAC ID: 2961564067 Enrollment ID: I20110520000420 |
| Provider Name | Mary Westergaard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851503916 PECOS PAC ID: 2264500461 Enrollment ID: I20110520000435 |
| Provider Name | David F Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366602666 PECOS PAC ID: 5799961959 Enrollment ID: I20110524000320 |
| Provider Name | Meghan B Brennan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033154356 PECOS PAC ID: 4789861501 Enrollment ID: I20110603000506 |
| Provider Name | Katherine F Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851405997 PECOS PAC ID: 1759332984 Enrollment ID: I20110603000521 |
| Provider Name | Siobhan D Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477717494 PECOS PAC ID: 3779760327 Enrollment ID: I20110607000682 |
| Provider Name | Erin G Brooks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588727721 PECOS PAC ID: 6800073297 Enrollment ID: I20110613000454 |
| Provider Name | Justin O Endo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932167384 PECOS PAC ID: 3870770274 Enrollment ID: I20110613000496 |
| Provider Name | Jessica A Nehls Rennhack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306146972 PECOS PAC ID: 5395922504 Enrollment ID: I20110615000288 |
| Provider Name | Bradford S Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982996906 PECOS PAC ID: 6002093242 Enrollment ID: I20110615000582 |
| Provider Name | Emily M Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932492030 PECOS PAC ID: 4486832151 Enrollment ID: I20110628000529 |
| Provider Name | Ronni L Hayon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295994598 PECOS PAC ID: 5294913992 Enrollment ID: I20110628000821 |
| Provider Name | Freddy Caldera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255594537 PECOS PAC ID: 9234317959 Enrollment ID: I20110629000113 |
| Provider Name | Kelly A G Herold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083818918 PECOS PAC ID: 3577741115 Enrollment ID: I20110629000547 |
| Provider Name | Nathan K Sandbo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679775316 PECOS PAC ID: 9931149978 Enrollment ID: I20110707000174 |
| Provider Name | David C Upton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457397663 PECOS PAC ID: 9234317546 Enrollment ID: I20110708000300 |
| Provider Name | David M Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366738056 PECOS PAC ID: 8426226721 Enrollment ID: I20110712000239 |
| Provider Name | David J Gazeley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932228723 PECOS PAC ID: 8820266026 Enrollment ID: I20110713000697 |
| Provider Name | Laura H Jacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336335686 PECOS PAC ID: 6204004302 Enrollment ID: I20110715000260 |
| Provider Name | Daniel Bennett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265492490 PECOS PAC ID: 2668456294 Enrollment ID: I20110720000413 |
| Provider Name | Jamie J Limjoco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013178599 PECOS PAC ID: 7214105121 Enrollment ID: I20110720000493 |
| Provider Name | Sushant Srinivasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770707135 PECOS PAC ID: 3476721135 Enrollment ID: I20110722000665 |
| Provider Name | Carol J Tolejano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346258431 PECOS PAC ID: 6901074608 Enrollment ID: I20110725000486 |
| Provider Name | Petros V Anagnostopoulos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801868336 PECOS PAC ID: 7113913609 Enrollment ID: I20110805000328 |
| Provider Name | Karina Conlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619287943 PECOS PAC ID: 0941479943 Enrollment ID: I20110809000168 |
| Provider Name | Miriam A Shelef |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467498667 PECOS PAC ID: 8426227117 Enrollment ID: I20110815000661 |
| Provider Name | Jolie A Nottelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750675781 PECOS PAC ID: 1951570498 Enrollment ID: I20110817000882 |
| Provider Name | Michael T Lohmeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669681482 PECOS PAC ID: 8123173226 Enrollment ID: I20110818000677 |
| Provider Name | Elizabeth N Chapman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225293251 PECOS PAC ID: 8628248770 Enrollment ID: I20110826000424 |
| Provider Name | Sarah E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881982387 PECOS PAC ID: 4880864933 Enrollment ID: I20110826000472 |
| Provider Name | Sara K Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417183849 PECOS PAC ID: 9133399223 Enrollment ID: I20110829000377 |
| Provider Name | Megan S Furstenberg Knauff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871871251 PECOS PAC ID: 7416127006 Enrollment ID: I20110909002766 |
| Provider Name | Elizabeth L Lake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265622146 PECOS PAC ID: 7911178496 Enrollment ID: I20110913000468 |
| Provider Name | Heather C Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972759967 PECOS PAC ID: 5799956066 Enrollment ID: I20110916000111 |
| Provider Name | Jennifer M Wright |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669661013 PECOS PAC ID: 8224209192 Enrollment ID: I20110926000618 |
| Provider Name | Karin L Zuegge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992912901 PECOS PAC ID: 1153518766 Enrollment ID: I20110927000482 |
| Provider Name | Emerald J Doll |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700174968 PECOS PAC ID: 7719158492 Enrollment ID: I20110929000576 |
| Provider Name | Andrew M Swanson |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1275798217 PECOS PAC ID: 4880866524 Enrollment ID: I20110930000570 |
| Provider Name | David S Kiefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497810220 PECOS PAC ID: 9739122029 Enrollment ID: I20111005000712 |
| Provider Name | Natasha J Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841579513 PECOS PAC ID: 4486826708 Enrollment ID: I20111011000219 |
| Provider Name | Peggy A Katsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578845202 PECOS PAC ID: 9335311570 Enrollment ID: I20111011000564 |
| Provider Name | Jessica E Ashba |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1558641407 PECOS PAC ID: 1052583994 Enrollment ID: I20111018000828 |
| Provider Name | Christian M Capitini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376697359 PECOS PAC ID: 0345413142 Enrollment ID: I20111021000416 |
| Provider Name | Dawn R Konop Sage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285915165 PECOS PAC ID: 5890968630 Enrollment ID: I20111024000305 |
| Provider Name | Angela M Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336423177 PECOS PAC ID: 8426221110 Enrollment ID: I20111025000121 |
| Provider Name | Bret Benally Thompson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639276785 PECOS PAC ID: 2860577475 Enrollment ID: I20111026000964 |
| Provider Name | Amy Lynn Stella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093801599 PECOS PAC ID: 4385617216 Enrollment ID: I20111027000558 |
| Provider Name | Dustin E Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821378670 PECOS PAC ID: 3577736933 Enrollment ID: I20111031000214 |
| Provider Name | Kari L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389550 PECOS PAC ID: 2961675392 Enrollment ID: I20111101000150 |
| Provider Name | Eric Christian Johannsen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437115680 PECOS PAC ID: 7618049743 Enrollment ID: I20111107000801 |
| Provider Name | Jessica W Dalby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912166992 PECOS PAC ID: 8729251624 Enrollment ID: I20111108000905 |
| Provider Name | Danielle Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790073997 PECOS PAC ID: 7911170873 Enrollment ID: I20111109000641 |
| Provider Name | Amy S Hof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242544 PECOS PAC ID: 1557535150 Enrollment ID: I20111116000738 |
| Provider Name | Caitlin S Pepperell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386976991 PECOS PAC ID: 1456525989 Enrollment ID: I20111119000118 |
| Provider Name | Angela L Sergeant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215219597 PECOS PAC ID: 8123292422 Enrollment ID: I20111123000290 |
| Provider Name | Cheri Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336447846 PECOS PAC ID: 9830371723 Enrollment ID: I20111206000632 |
| Provider Name | Kristin E Caldera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780842476 PECOS PAC ID: 1052586591 Enrollment ID: I20111212000108 |
| Provider Name | Vincent L Cryns |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639235039 PECOS PAC ID: 9638358484 Enrollment ID: I20111220000569 |
| Provider Name | Elizabeth Bartholomew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679851398 PECOS PAC ID: 5597932707 Enrollment ID: I20120111000369 |
| Provider Name | Yanjun Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235332867 PECOS PAC ID: 3476605601 Enrollment ID: I20120117000841 |
| Provider Name | Christopher S Bermant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568626588 PECOS PAC ID: 6103093547 Enrollment ID: I20120125000532 |
| Provider Name | Cassondra L Kovach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043201338 PECOS PAC ID: 7315918265 Enrollment ID: I20120207000204 |
| Provider Name | William N Rose |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699945469 PECOS PAC ID: 5991962508 Enrollment ID: I20120209000790 |
| Provider Name | Nicole A Bonk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699909499 PECOS PAC ID: 6204094477 Enrollment ID: I20120220000099 |
| Provider Name | Eben S Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053680033 PECOS PAC ID: 8729246665 Enrollment ID: I20120222001068 |
| Provider Name | Caitlin B Weitzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679844393 PECOS PAC ID: 2466610050 Enrollment ID: I20120229000258 |
| Provider Name | Sean M Oneill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528298213 PECOS PAC ID: 3971761479 Enrollment ID: I20120229000415 |
| Provider Name | Joseph Y Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083806350 PECOS PAC ID: 4082873302 Enrollment ID: I20120306000757 |
| Provider Name | Jenna M Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528331832 PECOS PAC ID: 1951560291 Enrollment ID: I20120306000934 |
| Provider Name | Douglas R Kitchin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417138546 PECOS PAC ID: 4688833940 Enrollment ID: I20120307000092 |
| Provider Name | Gary R Griglione |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013931203 PECOS PAC ID: 1850421686 Enrollment ID: I20120312000449 |
| Provider Name | Jennifer A Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265701262 PECOS PAC ID: 2567622806 Enrollment ID: I20120324000090 |
| Provider Name | Russell L Lemmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518950591 PECOS PAC ID: 5890810352 Enrollment ID: I20120327000085 |
| Provider Name | Molly E Raske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093820730 PECOS PAC ID: 9436220142 Enrollment ID: I20120328000963 |
| Provider Name | Sara Damewood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710146360 PECOS PAC ID: 2365574787 Enrollment ID: I20120329000031 |
| Provider Name | Mark C Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952537375 PECOS PAC ID: 6204096126 Enrollment ID: I20120329000450 |
| Provider Name | Ryan J Spencer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1881859684 PECOS PAC ID: 9830356286 Enrollment ID: I20120420000506 |
| Provider Name | Shelly M Cook |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902841182 PECOS PAC ID: 9931361656 Enrollment ID: I20120425000547 |
| Provider Name | Brian R Sharp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912166216 PECOS PAC ID: 5193987634 Enrollment ID: I20120430000689 |
| Provider Name | Anne M Kolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868869 PECOS PAC ID: 9133381585 Enrollment ID: I20120501000056 |
| Provider Name | Kristina Matkowskyj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023266087 PECOS PAC ID: 8820250046 Enrollment ID: I20120507000005 |
| Provider Name | Mariah Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013134725 PECOS PAC ID: 4284714197 Enrollment ID: I20120508000394 |
| Provider Name | Jamie Hess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992967343 PECOS PAC ID: 3274679212 Enrollment ID: I20120516000219 |
| Provider Name | Katie M Lewellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154687143 PECOS PAC ID: 7214190610 Enrollment ID: I20120522001334 |
| Provider Name | Bridget L Muldowney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821298274 PECOS PAC ID: 7719140722 Enrollment ID: I20120531000030 |
| Provider Name | Ravi K Viswanathan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326084534 PECOS PAC ID: 0941356323 Enrollment ID: I20120614000064 |
| Provider Name | Christina E Broadwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558571950 PECOS PAC ID: 7618042029 Enrollment ID: I20120618000246 |
| Provider Name | Sarah J James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356514160 PECOS PAC ID: 2668636788 Enrollment ID: I20120620000802 |
| Provider Name | Kristen M Sharp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235392184 PECOS PAC ID: 8022273754 Enrollment ID: I20120703000325 |
| Provider Name | Rachel M Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780941427 PECOS PAC ID: 2264697663 Enrollment ID: I20120710000747 |
| Provider Name | Venkata N Meduri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437424835 PECOS PAC ID: 7315103405 Enrollment ID: I20120717000577 |
| Provider Name | Eliza A Bergstrom |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801156385 PECOS PAC ID: 1759547771 Enrollment ID: I20120719000183 |
| Provider Name | Azam Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295790525 PECOS PAC ID: 0840477469 Enrollment ID: I20120801000129 |
| Provider Name | John E Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710121215 PECOS PAC ID: 4183870405 Enrollment ID: I20120801000839 |
| Provider Name | Deborah J Marble |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215191739 PECOS PAC ID: 3375696305 Enrollment ID: I20120801000861 |
| Provider Name | Kyle D Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831331305 PECOS PAC ID: 9335395417 Enrollment ID: I20120806000097 |
| Provider Name | Samantha N Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700010386 PECOS PAC ID: 2961658042 Enrollment ID: I20120806000125 |
| Provider Name | Georgios Kirvassilis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205191806 PECOS PAC ID: 1759537830 Enrollment ID: I20120806000155 |
| Provider Name | Michael S Pomroy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235396425 PECOS PAC ID: 1052475902 Enrollment ID: I20120806000238 |
| Provider Name | Jacob J Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114657 PECOS PAC ID: 6103072293 Enrollment ID: I20120806000284 |
| Provider Name | Laura A Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801159744 PECOS PAC ID: 8123274271 Enrollment ID: I20120806000876 |
| Provider Name | Mark A Micek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871620468 PECOS PAC ID: 2264535764 Enrollment ID: I20120814000573 |
| Provider Name | Jennifer L Rehm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619913811 PECOS PAC ID: 7618123134 Enrollment ID: I20120815000475 |
| Provider Name | Amy L Bauman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205060001 PECOS PAC ID: 6507012028 Enrollment ID: I20120815000509 |
| Provider Name | Jason Woods Stephenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720269137 PECOS PAC ID: 8628128477 Enrollment ID: I20120815000791 |
| Provider Name | Nicole N Weathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447419312 PECOS PAC ID: 4284806738 Enrollment ID: I20120820000843 |
| Provider Name | Mohamed H Hamdan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609957497 PECOS PAC ID: 8123071685 Enrollment ID: I20120820001025 |
| Provider Name | Cathy A Lee Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942430715 PECOS PAC ID: 3173770237 Enrollment ID: I20120823000766 |
| Provider Name | Daniel J Sklansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396894887 PECOS PAC ID: 3072707694 Enrollment ID: I20120823000804 |
| Provider Name | Jonathan S Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568696342 PECOS PAC ID: 4486801552 Enrollment ID: I20120823000962 |
| Provider Name | Michael S Pulia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922276138 PECOS PAC ID: 5698849636 Enrollment ID: I20120824000146 |
| Provider Name | Amy M Chybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841545548 PECOS PAC ID: 5395992911 Enrollment ID: I20120904000205 |
| Provider Name | Lisa M Barroilhet |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730300443 PECOS PAC ID: 8426206608 Enrollment ID: I20120912000788 |
| Provider Name | Jeannina Antoinette Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184716870 PECOS PAC ID: 5597846279 Enrollment ID: I20120914000343 |
| Provider Name | Kirstin A Nackers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790915387 PECOS PAC ID: 4587812466 Enrollment ID: I20120918000794 |
| Provider Name | Christine L Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649335472 PECOS PAC ID: 1951453919 Enrollment ID: I20120924000282 |
| Provider Name | Phillip J Hemmerling |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639431406 PECOS PAC ID: 5395994909 Enrollment ID: I20120925000557 |
| Provider Name | Noelle L Van De Kreeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841550613 PECOS PAC ID: 8123277621 Enrollment ID: I20120926000799 |
| Provider Name | Katherine Gonzaga |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629118211 PECOS PAC ID: 2961651179 Enrollment ID: I20121003000806 |
| Provider Name | Rebecca Tharaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932361920 PECOS PAC ID: 3779756556 Enrollment ID: I20121004000788 |
| Provider Name | Premraj Makkuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730395740 PECOS PAC ID: 5092857532 Enrollment ID: I20121004000837 |
| Provider Name | Monica M Zablotney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962750547 PECOS PAC ID: 0648429696 Enrollment ID: I20121005000592 |
| Provider Name | Jennifer L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073878443 PECOS PAC ID: 6103075171 Enrollment ID: I20121008000109 |
| Provider Name | Amanda F Goplen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366798902 PECOS PAC ID: 6901055979 Enrollment ID: I20121008000133 |
| Provider Name | Erin Ew Billmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902151517 PECOS PAC ID: 8123277191 Enrollment ID: I20121008000197 |
| Provider Name | Rebecca L Macallister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013147883 PECOS PAC ID: 8820248479 Enrollment ID: I20121017000534 |
| Provider Name | Matthew M Kalscheur |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134382609 PECOS PAC ID: 9436337672 Enrollment ID: I20121018000136 |
| Provider Name | Kathleen Murphy Ende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225193196 PECOS PAC ID: 6608026844 Enrollment ID: I20121023000809 |
| Provider Name | Kjersten L Busse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881859254 PECOS PAC ID: 9537235197 Enrollment ID: I20121024000272 |
| Provider Name | Camille E Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609124866 PECOS PAC ID: 8729238852 Enrollment ID: I20121025000285 |
| Provider Name | Brooke E Schliewe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467712851 PECOS PAC ID: 1355591223 Enrollment ID: I20121031000095 |
| Provider Name | Gabriel A Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215287834 PECOS PAC ID: 0941451553 Enrollment ID: I20121107000760 |
| Provider Name | Molly Anne Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942531363 PECOS PAC ID: 3678618980 Enrollment ID: I20121109000463 |
| Provider Name | Dominic O Co |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649329574 PECOS PAC ID: 4981855301 Enrollment ID: I20121113000309 |
| Provider Name | Trisha Baneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386961357 PECOS PAC ID: 0446432215 Enrollment ID: I20121113000439 |
| Provider Name | Katherine G Garland |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851640551 PECOS PAC ID: 6305097452 Enrollment ID: I20121119000370 |
| Provider Name | Rose A Staden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215219027 PECOS PAC ID: 7618128695 Enrollment ID: I20121126000200 |
| Provider Name | Megan K Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083964456 PECOS PAC ID: 4880846773 Enrollment ID: I20121128000131 |
| Provider Name | Tatyana S Risch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114278801 PECOS PAC ID: 8325290802 Enrollment ID: I20121207000275 |
| Provider Name | Heidi C Bertram |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528011319 PECOS PAC ID: 1557513066 Enrollment ID: I20121208000024 |
| Provider Name | Jeffrey David Larson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144266479 PECOS PAC ID: 3072778430 Enrollment ID: I20130116000487 |
| Provider Name | Janet E Lainhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346348422 PECOS PAC ID: 4688868045 Enrollment ID: I20130128000265 |
| Provider Name | Scott A Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659320422 PECOS PAC ID: 4284888728 Enrollment ID: I20130208000178 |
| Provider Name | Kathleen Murphy Ende |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225193196 PECOS PAC ID: 6608026844 Enrollment ID: I20130218000410 |
| Provider Name | Andrea R Carberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225357122 PECOS PAC ID: 7315182698 Enrollment ID: I20130315000203 |
| Provider Name | Mary E Wiesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801130190 PECOS PAC ID: 1456596642 Enrollment ID: I20130315000372 |
| Provider Name | Dawn M Elfenbein |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548437163 PECOS PAC ID: 9830334465 Enrollment ID: I20130401000507 |
| Provider Name | Ashley E Kujava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487993010 PECOS PAC ID: 3476798000 Enrollment ID: I20130401000512 |
| Provider Name | Chessa L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568709723 PECOS PAC ID: 3476798893 Enrollment ID: I20130405000318 |
| Provider Name | Justin C Bohrer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114155041 PECOS PAC ID: 7113163478 Enrollment ID: I20130411000588 |
| Provider Name | James S Vangemert |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891902946 PECOS PAC ID: 3274779210 Enrollment ID: I20130418000360 |
| Provider Name | Kerry L Ahrens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639497621 PECOS PAC ID: 8820234636 Enrollment ID: I20130424000511 |
| Provider Name | Adrienne R Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895088 PECOS PAC ID: 7618113341 Enrollment ID: I20130424000769 |
| Provider Name | Travis C Rumery |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639389141 PECOS PAC ID: 5890847933 Enrollment ID: I20130530000702 |
| Provider Name | Amy M Fowler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992960975 PECOS PAC ID: 9234393182 Enrollment ID: I20130608000151 |
| Provider Name | Brian W Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093944902 PECOS PAC ID: 9133368798 Enrollment ID: I20130612000312 |
| Provider Name | Alexis M Eastman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306164306 PECOS PAC ID: 6002055522 Enrollment ID: I20130613000334 |
| Provider Name | Luke M Funk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558440677 PECOS PAC ID: 4587828082 Enrollment ID: I20130617000262 |
| Provider Name | Charles M Leys |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073660940 PECOS PAC ID: 6800933987 Enrollment ID: I20130618000674 |
| Provider Name | Paula J Cody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376769794 PECOS PAC ID: 9638318843 Enrollment ID: I20130619000652 |
| Provider Name | Robert J Kotloski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780849299 PECOS PAC ID: 2769621697 Enrollment ID: I20130625000421 |
| Provider Name | Ryan J Coller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922279801 PECOS PAC ID: 3678626017 Enrollment ID: I20130626000817 |
| Provider Name | Hee Soo Jung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053515247 PECOS PAC ID: 1254571904 Enrollment ID: I20130701000680 |
| Provider Name | Edward L Bradbury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649444019 PECOS PAC ID: 7214177898 Enrollment ID: I20130702000237 |
| Provider Name | Michael A Mancera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922236322 PECOS PAC ID: 5991961435 Enrollment ID: I20130705000033 |
| Provider Name | Brooke R Kwiecinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528223484 PECOS PAC ID: 8921248303 Enrollment ID: I20130708000454 |
| Provider Name | Yao Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487813622 PECOS PAC ID: 8628236205 Enrollment ID: I20130709000257 |
| Provider Name | Margo J Reeder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548496664 PECOS PAC ID: 9638319726 Enrollment ID: I20130715000135 |
| Provider Name | Jeniel E Nett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316905698 PECOS PAC ID: 5799925897 Enrollment ID: I20130715000181 |
| Provider Name | Heather D Boehme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447591243 PECOS PAC ID: 2466692561 Enrollment ID: I20130715000243 |
| Provider Name | Kathryn A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457516247 PECOS PAC ID: 5294975306 Enrollment ID: I20130715000364 |
| Provider Name | Scott R. Chaiet |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184828170 PECOS PAC ID: 2961667159 Enrollment ID: I20130717000539 |
| Provider Name | Andrew F Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679739965 PECOS PAC ID: 4688844590 Enrollment ID: I20130719000172 |
| Provider Name | Jenna N Torgeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396064549 PECOS PAC ID: 9032350764 Enrollment ID: I20130723000646 |
| Provider Name | Darya G Buehler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487854717 PECOS PAC ID: 5294976924 Enrollment ID: I20130723000680 |
| Provider Name | Jensena M Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316259617 PECOS PAC ID: 8426299173 Enrollment ID: I20130723000887 |
| Provider Name | Robert K Bour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285892844 PECOS PAC ID: 7113168741 Enrollment ID: I20130724000811 |
| Provider Name | Michael A Woods |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518096817 PECOS PAC ID: 5991946543 Enrollment ID: I20130725000102 |
| Provider Name | Todd L Goldman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588875777 PECOS PAC ID: 6709027253 Enrollment ID: I20130725000128 |
| Provider Name | Christopher J Painter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598081192 PECOS PAC ID: 6709027287 Enrollment ID: I20130725000495 |
| Provider Name | Melissa A Gannage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710181698 PECOS PAC ID: 6608017108 Enrollment ID: I20130725000757 |
| Provider Name | Brittany J Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427290741 PECOS PAC ID: 5395986822 Enrollment ID: I20130726000089 |
| Provider Name | Christopher D Darling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558504761 PECOS PAC ID: 1153562400 Enrollment ID: I20130729000669 |
| Provider Name | Ashli L Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487094272 PECOS PAC ID: 5991946295 Enrollment ID: I20130730000252 |
| Provider Name | Justin L Brucker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194997601 PECOS PAC ID: 0446491633 Enrollment ID: I20130731000362 |
| Provider Name | Stephanie N Gardon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629234240 PECOS PAC ID: 3971745860 Enrollment ID: I20130805000931 |
| Provider Name | Jian Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194794909 PECOS PAC ID: 5991729071 Enrollment ID: I20130806000610 |
| Provider Name | Micheal F Bassetti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639332158 PECOS PAC ID: 2466694252 Enrollment ID: I20130807000230 |
| Provider Name | Kristin M Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104050889 PECOS PAC ID: 5597907220 Enrollment ID: I20130809000049 |
| Provider Name | Nayan R Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356788590 PECOS PAC ID: 8729220454 Enrollment ID: I20130809000105 |
| Provider Name | Magnolia J Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841459658 PECOS PAC ID: 2961576194 Enrollment ID: I20130813000136 |
| Provider Name | Robert E Terbrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023334448 PECOS PAC ID: 5890937098 Enrollment ID: I20130819000532 |
| Provider Name | Anne M Oconnor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942245477 PECOS PAC ID: 5597768978 Enrollment ID: I20130820000429 |
| Provider Name | Maria A Stanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801904826 PECOS PAC ID: 7214912005 Enrollment ID: I20130821000702 |
| Provider Name | Aparna M Mahajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083803480 PECOS PAC ID: 9931342003 Enrollment ID: I20130821000893 |
| Provider Name | Roman M Kagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265872477 PECOS PAC ID: 8729221759 Enrollment ID: I20130823000538 |
| Provider Name | Seth Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306054390 PECOS PAC ID: 8325133556 Enrollment ID: I20130826000686 |
| Provider Name | Jacqueline M Kruser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609194638 PECOS PAC ID: 5294978938 Enrollment ID: I20130828000993 |
| Provider Name | Andrew T Steinhauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518304799 PECOS PAC ID: 5496999245 Enrollment ID: I20130917000216 |
| Provider Name | Mihai Mititelu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699937896 PECOS PAC ID: 4789831827 Enrollment ID: I20130920000376 |
| Provider Name | Ellen M Reyerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245249713 PECOS PAC ID: 5496752735 Enrollment ID: I20131001000469 |
| Provider Name | Joshua P Babu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376777151 PECOS PAC ID: 5597999763 Enrollment ID: I20131002000396 |
| Provider Name | Kathryn L Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760431522 PECOS PAC ID: 4284764754 Enrollment ID: I20131008001612 |
| Provider Name | Dena L Piechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417393596 PECOS PAC ID: 9638303191 Enrollment ID: I20131016001164 |
| Provider Name | Sima K Ramratnam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699004812 PECOS PAC ID: 0648405837 Enrollment ID: I20131023002006 |
| Provider Name | Daniel K Shirley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588873376 PECOS PAC ID: 3072748276 Enrollment ID: I20131024000096 |
| Provider Name | Shahab A Akhter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114998044 PECOS PAC ID: 1052408812 Enrollment ID: I20131031000302 |
| Provider Name | Matthew W Ireland |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720415268 PECOS PAC ID: 5395970057 Enrollment ID: I20131105000791 |
| Provider Name | Renee A Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258112 PECOS PAC ID: 1052546769 Enrollment ID: I20131106000362 |
| Provider Name | Kraig T Kumfer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609192244 PECOS PAC ID: 8921233545 Enrollment ID: I20131106001089 |
| Provider Name | Ryan J Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790063782 PECOS PAC ID: 0042445686 Enrollment ID: I20131106001612 |
| Provider Name | Cemil Nuriler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326472614 PECOS PAC ID: 6800022161 Enrollment ID: I20131115001456 |
| Provider Name | Shagun Saggar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235105750 PECOS PAC ID: 9638104102 Enrollment ID: I20131118000501 |
| Provider Name | Nike Mourikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548286354 PECOS PAC ID: 2466459128 Enrollment ID: I20131121000207 |
| Provider Name | Kaye L Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326476417 PECOS PAC ID: 4789810706 Enrollment ID: I20131122000206 |
| Provider Name | Robert D Steiner |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1982612420 PECOS PAC ID: 4183696727 Enrollment ID: I20131122001280 |
| Provider Name | Chris K Rokkas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508295841 PECOS PAC ID: 0042447195 Enrollment ID: I20131216001662 |
| Provider Name | Jessica L Pasquan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518397660 PECOS PAC ID: 9335376342 Enrollment ID: I20131219001191 |
| Provider Name | Gregory A Tester |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477783603 PECOS PAC ID: 9133245285 Enrollment ID: I20131219001675 |
| Provider Name | Sarah E Panzer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053439323 PECOS PAC ID: 1456585538 Enrollment ID: I20140210000381 |
| Provider Name | Thomas Jay Raife |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942298542 PECOS PAC ID: 7618012451 Enrollment ID: I20140228000314 |
| Provider Name | Shelly J Weisheipl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740276070 PECOS PAC ID: 3173601978 Enrollment ID: I20140324001671 |
| Provider Name | Benjamin M Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225316458 PECOS PAC ID: 9133350523 Enrollment ID: I20140327002319 |
| Provider Name | Sarah M Schlueter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215368998 PECOS PAC ID: 6305077629 Enrollment ID: I20140328001479 |
| Provider Name | Charles Pearce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053542076 PECOS PAC ID: 2769613942 Enrollment ID: I20140401002038 |
| Provider Name | Courtney Joshua Balentine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437307287 PECOS PAC ID: 3476785437 Enrollment ID: I20140407001388 |
| Provider Name | Kimberly S Hoppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689096000 PECOS PAC ID: 2769614502 Enrollment ID: I20140410000709 |
| Provider Name | Tania M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386069250 PECOS PAC ID: 6002048386 Enrollment ID: I20140421001454 |
| Provider Name | Corey A Amlong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235454067 PECOS PAC ID: 2365675956 Enrollment ID: I20140506001705 |
| Provider Name | Alaa A Abd-elsayed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194967703 PECOS PAC ID: 6103065958 Enrollment ID: I20140507000168 |
| Provider Name | Daniel M O Connell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043434798 PECOS PAC ID: 0244427268 Enrollment ID: I20140519001265 |
| Provider Name | Peter A Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609164821 PECOS PAC ID: 4183857162 Enrollment ID: I20140519001710 |
| Provider Name | Michael J Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588942684 PECOS PAC ID: 0648403980 Enrollment ID: I20140521000228 |
| Provider Name | Thomas W Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290594 PECOS PAC ID: 2062635717 Enrollment ID: I20140527000888 |
| Provider Name | Catherine L Wraight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184886103 PECOS PAC ID: 5395968945 Enrollment ID: I20140529000282 |
| Provider Name | Mark J Biagtan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376707307 PECOS PAC ID: 7719110386 Enrollment ID: I20140529001828 |
| Provider Name | Steve Y Cho |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902945181 PECOS PAC ID: 6406940733 Enrollment ID: I20140602000210 |
| Provider Name | Evan J Warner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700104346 PECOS PAC ID: 0840423901 Enrollment ID: I20140602000388 |
| Provider Name | Ryan Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598995748 PECOS PAC ID: 2466601653 Enrollment ID: I20140602001884 |
| Provider Name | Briana L Jelenc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053601112 PECOS PAC ID: 5395980361 Enrollment ID: I20140603001537 |
| Provider Name | Laura B Huffman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376855288 PECOS PAC ID: 9931350360 Enrollment ID: I20140605000425 |
| Provider Name | Kyle A Richards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356524805 PECOS PAC ID: 5395969596 Enrollment ID: I20140609002192 |
| Provider Name | Andrew M Baschnagel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578793048 PECOS PAC ID: 8820212855 Enrollment ID: I20140613001582 |
| Provider Name | Lisa L Boyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457396855 PECOS PAC ID: 7517962772 Enrollment ID: I20140616002228 |
| Provider Name | Andrew M Watson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598081473 PECOS PAC ID: 4284867847 Enrollment ID: I20140618001443 |
| Provider Name | Karina A Atwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124311717 PECOS PAC ID: 7719101062 Enrollment ID: I20140620000922 |
| Provider Name | Melissa N Dattalo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578705067 PECOS PAC ID: 7214192756 Enrollment ID: I20140626000924 |
| Provider Name | Chinar Omprakash Lath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366716250 PECOS PAC ID: 2668631284 Enrollment ID: I20140701001114 |
| Provider Name | Didier A Mandelbrot |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295773596 PECOS PAC ID: 9739130287 Enrollment ID: I20140701001185 |
| Provider Name | Elizabeth Bradford Mcbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285954917 PECOS PAC ID: 0446482848 Enrollment ID: I20140710000132 |
| Provider Name | Nicholas A Kuehnel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871882993 PECOS PAC ID: 2062638554 Enrollment ID: I20140717002565 |
| Provider Name | Melanie A Schmitt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730319203 PECOS PAC ID: 4385886274 Enrollment ID: I20140722002466 |
| Provider Name | Andrea K Schnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710265731 PECOS PAC ID: 3375776198 Enrollment ID: I20140725000883 |
| Provider Name | Christos Kyriakopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336304211 PECOS PAC ID: 7517183635 Enrollment ID: I20140725002292 |
| Provider Name | Cynthia M Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194016865 PECOS PAC ID: 2264481563 Enrollment ID: I20140730000317 |
| Provider Name | Evie H Carchman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114123502 PECOS PAC ID: 9537385281 Enrollment ID: I20140801000801 |
| Provider Name | Elizabeth H Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316263403 PECOS PAC ID: 9739311440 Enrollment ID: I20140804001710 |
| Provider Name | Zachary S Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730475427 PECOS PAC ID: 9335372960 Enrollment ID: I20140807000440 |
| Provider Name | Sarah Rosalie Goecks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740692987 PECOS PAC ID: 2860619160 Enrollment ID: I20140811001155 |
| Provider Name | Mihaela H Bazalakova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962665596 PECOS PAC ID: 7719145184 Enrollment ID: I20140812001973 |
| Provider Name | Heather M. Peto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750638268 PECOS PAC ID: 1153549688 Enrollment ID: I20140826000810 |
| Provider Name | Emma R Knudsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386052918 PECOS PAC ID: 9234357666 Enrollment ID: I20140827001353 |
| Provider Name | Jennifer M. Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821400185 PECOS PAC ID: 8628296068 Enrollment ID: I20140827001931 |
| Provider Name | Heather L Bartlett |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1487649323 PECOS PAC ID: 9133146012 Enrollment ID: I20140828001997 |
| Provider Name | Nicholas B Haun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215225446 PECOS PAC ID: 1153554134 Enrollment ID: I20140902000006 |
| Provider Name | Susan M Dondlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568877884 PECOS PAC ID: 6800014010 Enrollment ID: I20140902000353 |
| Provider Name | Kristin L Doerfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275948119 PECOS PAC ID: 6507084563 Enrollment ID: I20140904001678 |
| Provider Name | Sarah Marie Katterheinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124436894 PECOS PAC ID: 4789802752 Enrollment ID: I20140904002013 |
| Provider Name | Matthew P Swedlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871885434 PECOS PAC ID: 1850510744 Enrollment ID: I20140908001265 |
| Provider Name | Victoria Anne Wepfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386052470 PECOS PAC ID: 0446479349 Enrollment ID: I20140908001476 |
| Provider Name | Kelly A. Lavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205114329 PECOS PAC ID: 7214160217 Enrollment ID: I20140908002689 |
| Provider Name | Mark G Kleedehn |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508187964 PECOS PAC ID: 5395968069 Enrollment ID: I20140911001955 |
| Provider Name | Michelle Ann Poliak-tunis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669607347 PECOS PAC ID: 6103075437 Enrollment ID: I20140915001533 |
| Provider Name | Jennifer S Karnowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528386554 PECOS PAC ID: 0648402974 Enrollment ID: I20140919000025 |
| Provider Name | Vivek Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003991746 PECOS PAC ID: 6002999281 Enrollment ID: I20140930003116 |
| Provider Name | Sandesh Parajuli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184861718 PECOS PAC ID: 7618021296 Enrollment ID: I20141001002013 |
| Provider Name | Lisa M Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205990520 PECOS PAC ID: 9436205648 Enrollment ID: I20141002000687 |
| Provider Name | Maxfield P Flynn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770716185 PECOS PAC ID: 6406076769 Enrollment ID: I20141008002033 |
| Provider Name | Dan Gralnek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811995319 PECOS PAC ID: 5799886024 Enrollment ID: I20141008002628 |
| Provider Name | Janet Marie Legare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356325914 PECOS PAC ID: 2860521028 Enrollment ID: I20141014000765 |
| Provider Name | Jocelyn P Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194127092 PECOS PAC ID: 2062633134 Enrollment ID: I20141015001266 |
| Provider Name | Amr A Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083900559 PECOS PAC ID: 7719138429 Enrollment ID: I20141020002018 |
| Provider Name | Terri L Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679657555 PECOS PAC ID: 3274562376 Enrollment ID: I20141029000026 |
| Provider Name | Craig A Beversdorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902234735 PECOS PAC ID: 3274763834 Enrollment ID: I20141030000743 |
| Provider Name | Elizabeth A Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295028876 PECOS PAC ID: 7517189756 Enrollment ID: I20141104000798 |
| Provider Name | Eric S Marty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710299037 PECOS PAC ID: 1951534775 Enrollment ID: I20141117000051 |
| Provider Name | Christine D Sharkey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770783797 PECOS PAC ID: 7719119049 Enrollment ID: I20141118000351 |
| Provider Name | Amanda J Hesse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720494800 PECOS PAC ID: 9638391048 Enrollment ID: I20141119000214 |
| Provider Name | Amanda G Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279579 PECOS PAC ID: 3779705157 Enrollment ID: I20141119002475 |
| Provider Name | Anna Christine Momont |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801094305 PECOS PAC ID: 3072782028 Enrollment ID: I20141121001104 |
| Provider Name | Catherine Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225439227 PECOS PAC ID: 7719209857 Enrollment ID: I20141201001327 |
| Provider Name | Lindsey Selander |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932481173 PECOS PAC ID: 0345411179 Enrollment ID: I20141202002382 |
| Provider Name | Brian Griffith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013035310 PECOS PAC ID: 3779489653 Enrollment ID: I20141209001589 |
| Provider Name | Amanda S Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831473073 PECOS PAC ID: 0749453249 Enrollment ID: I20141217001050 |
| Provider Name | Rachel C Molander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851340624 PECOS PAC ID: 8426371774 Enrollment ID: I20141218000583 |
| Provider Name | Ann Braus |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1033401609 PECOS PAC ID: 8628391471 Enrollment ID: I20141230002601 |
| Provider Name | Scott R Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700874328 PECOS PAC ID: 9234271065 Enrollment ID: I20141231001310 |
| Provider Name | Stephanie R Steinman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831100726 PECOS PAC ID: 8022331586 Enrollment ID: I20150108001419 |
| Provider Name | Michelle Swader |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508296765 PECOS PAC ID: 0446574560 Enrollment ID: I20150121000634 |
| Provider Name | Ciara J Barclay-buchanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851599385 PECOS PAC ID: 9032303771 Enrollment ID: I20150123000531 |
| Provider Name | Naomi Lever |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326455353 PECOS PAC ID: 0345564993 Enrollment ID: I20150130001214 |
| Provider Name | Nevein Ibrahim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1629333240 PECOS PAC ID: 0648493379 Enrollment ID: I20150316001392 |
| Provider Name | Bridget M. Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871991323 PECOS PAC ID: 4587981105 Enrollment ID: I20150319001260 |
| Provider Name | Marc B Gladden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073802161 PECOS PAC ID: 8820221765 Enrollment ID: I20150321000117 |
| Provider Name | Erin K Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225125 PECOS PAC ID: 3779800123 Enrollment ID: I20150323001871 |
| Provider Name | Ashley Diana Choudoir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477950137 PECOS PAC ID: 2860715299 Enrollment ID: I20150401002271 |
| Provider Name | Renee M Bobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894121 PECOS PAC ID: 4880911767 Enrollment ID: I20150402002414 |
| Provider Name | Tripti Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528218781 PECOS PAC ID: 9537395157 Enrollment ID: I20150407002484 |
| Provider Name | Allison J Plummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053704213 PECOS PAC ID: 7517285919 Enrollment ID: I20150415001493 |
| Provider Name | Sanbrita Mondal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093022584 PECOS PAC ID: 0042496358 Enrollment ID: I20150423002219 |
| Provider Name | Jordan Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033441019 PECOS PAC ID: 9638363583 Enrollment ID: I20150513001227 |
| Provider Name | Brian Foley Grogan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871753517 PECOS PAC ID: 8527388404 Enrollment ID: I20150515001091 |
| Provider Name | Samuel I Frost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861704223 PECOS PAC ID: 6002136983 Enrollment ID: I20150515001326 |
| Provider Name | Amy Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083628226 PECOS PAC ID: 7012933310 Enrollment ID: I20150516000075 |
| Provider Name | Jessica Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538315122 PECOS PAC ID: 9931325032 Enrollment ID: I20150516000109 |
| Provider Name | Salah Uddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861676736 PECOS PAC ID: 0749334118 Enrollment ID: I20150518000065 |
| Provider Name | Manish Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366476905 PECOS PAC ID: 2062428089 Enrollment ID: I20150519002782 |
| Provider Name | Aaron Kraut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033406046 PECOS PAC ID: 8628398385 Enrollment ID: I20150520000479 |
| Provider Name | Judith Ann Gadde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992026769 PECOS PAC ID: 7719126119 Enrollment ID: I20150520000566 |
| Provider Name | Walker B Shapiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417391509 PECOS PAC ID: 1052631710 Enrollment ID: I20150520000576 |
| Provider Name | Andrew Cathers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205197506 PECOS PAC ID: 4587984265 Enrollment ID: I20150520001507 |
| Provider Name | Ning Fu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124224571 PECOS PAC ID: 6800984154 Enrollment ID: I20150521001428 |
| Provider Name | Theodore F Elsaesser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497042402 PECOS PAC ID: 7810927217 Enrollment ID: I20150521001855 |
| Provider Name | Sarah A Webber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154680031 PECOS PAC ID: 6507099066 Enrollment ID: I20150523000038 |
| Provider Name | Maria D Martin Rother |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194038588 PECOS PAC ID: 8820318330 Enrollment ID: I20150526000521 |
| Provider Name | Andrew B Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154563377 PECOS PAC ID: 9234459751 Enrollment ID: I20150526000701 |
| Provider Name | Kyla Megan Bennett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881851848 PECOS PAC ID: 2365762721 Enrollment ID: I20150526002355 |
| Provider Name | Wendell B Lake |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669672192 PECOS PAC ID: 2769615392 Enrollment ID: I20150528000531 |
| Provider Name | Megan Elizabeth Peters |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093945800 PECOS PAC ID: 1456584630 Enrollment ID: I20150601001954 |
| Provider Name | Megan E Gussick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346500642 PECOS PAC ID: 1254652357 Enrollment ID: I20150601002506 |
| Provider Name | Elizabeth A Felton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437383940 PECOS PAC ID: 9436308467 Enrollment ID: I20150603003056 |
| Provider Name | David Tillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265792246 PECOS PAC ID: 3476786823 Enrollment ID: I20150609000001 |
| Provider Name | Neil Jacob Paloian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982896668 PECOS PAC ID: 5698090850 Enrollment ID: I20150609001073 |
| Provider Name | John E Scarborough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700960689 PECOS PAC ID: 3173544822 Enrollment ID: I20150610000983 |
| Provider Name | Brianne C Thornton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841678786 PECOS PAC ID: 8820309016 Enrollment ID: I20150615000965 |
| Provider Name | William Filbey |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245621051 PECOS PAC ID: 7719298926 Enrollment ID: I20150615001405 |
| Provider Name | Jacquelyn A Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003231234 PECOS PAC ID: 5890006985 Enrollment ID: I20150616001330 |
| Provider Name | Adam Steven Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831455542 PECOS PAC ID: 9032332507 Enrollment ID: I20150617000493 |
| Provider Name | Vincent J Minichiello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922442003 PECOS PAC ID: 3274844170 Enrollment ID: I20150618002221 |
| Provider Name | Aric C Hall |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1538332804 PECOS PAC ID: 0648449777 Enrollment ID: I20150618002583 |
| Provider Name | Karoline Lynn Canada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275920852 PECOS PAC ID: 8628389434 Enrollment ID: I20150622000225 |
| Provider Name | Saurabh Rajguru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104056597 PECOS PAC ID: 6507099314 Enrollment ID: I20150622001396 |
| Provider Name | Brie Strook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366835944 PECOS PAC ID: 6204147960 Enrollment ID: I20150622001810 |
| Provider Name | Swapnil Sunil Lanjewar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003170671 PECOS PAC ID: 6507177201 Enrollment ID: I20150622002719 |
| Provider Name | Athanasia Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295967982 PECOS PAC ID: 1759692288 Enrollment ID: I20150624001581 |
| Provider Name | Stuart W Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013295237 PECOS PAC ID: 6901039684 Enrollment ID: I20150624002552 |
| Provider Name | Paul F Laeseke |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902030778 PECOS PAC ID: 6800108085 Enrollment ID: I20150630002203 |
| Provider Name | Krista M Vandenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679951636 PECOS PAC ID: 2466764675 Enrollment ID: I20150701000067 |
| Provider Name | Kelly L Burley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1548647977 PECOS PAC ID: 0042522153 Enrollment ID: I20150702000641 |
| Provider Name | Kenneth Patrick Ligaray |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215139951 PECOS PAC ID: 5092808683 Enrollment ID: I20150706002660 |
| Provider Name | Kara Hoppe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063677920 PECOS PAC ID: 8224292396 Enrollment ID: I20150709000272 |
| Provider Name | John-paul Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912225939 PECOS PAC ID: 7416269196 Enrollment ID: I20150709000805 |
| Provider Name | Nicholas L Rabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851638118 PECOS PAC ID: 8022254424 Enrollment ID: I20150713001360 |
| Provider Name | Paul S Weisman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861712549 PECOS PAC ID: 2163735671 Enrollment ID: I20150713001940 |
| Provider Name | Jessica M Schuster |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861711822 PECOS PAC ID: 5991948937 Enrollment ID: I20150713002548 |
| Provider Name | Erica M Knavel Koepsel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700164928 PECOS PAC ID: 3476866625 Enrollment ID: I20150717001020 |
| Provider Name | Nina Srichand Menda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811961824 PECOS PAC ID: 2668490657 Enrollment ID: I20150717001151 |
| Provider Name | Megan Farrell Neuman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770551566 PECOS PAC ID: 9335154129 Enrollment ID: I20150717001340 |
| Provider Name | Katherine C Sampene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992029557 PECOS PAC ID: 7416176607 Enrollment ID: I20150720002152 |
| Provider Name | Hema Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558625350 PECOS PAC ID: 0648419614 Enrollment ID: I20150720002769 |
| Provider Name | Amber Leigh Shada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568666410 PECOS PAC ID: 3476781477 Enrollment ID: I20150724012150 |
| Provider Name | Angela Lee Farber Gibson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497981351 PECOS PAC ID: 6709019987 Enrollment ID: I20150730011273 |
| Provider Name | Jonathan B Takahashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891053765 PECOS PAC ID: 1658685946 Enrollment ID: I20150730012299 |
| Provider Name | Kristine M Matson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609084862 PECOS PAC ID: 2163510033 Enrollment ID: I20150730013230 |
| Provider Name | Sara Spencer Mccoy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639480650 PECOS PAC ID: 8224200761 Enrollment ID: I20150731015702 |
| Provider Name | Paul D Dimusto |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205954096 PECOS PAC ID: 5193958551 Enrollment ID: I20150731015761 |
| Provider Name | Roderick Corro Deano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790056984 PECOS PAC ID: 0143534289 Enrollment ID: I20150803000515 |
| Provider Name | Lindsay H Voss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689932204 PECOS PAC ID: 1355574260 Enrollment ID: I20150803001376 |
| Provider Name | Nathaniel Ark Chin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902114754 PECOS PAC ID: 9638306277 Enrollment ID: I20150804003268 |
| Provider Name | Ginette Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346628351 PECOS PAC ID: 9537473582 Enrollment ID: I20150804004645 |
| Provider Name | Paul Spencer Whiting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578790556 PECOS PAC ID: 9739300021 Enrollment ID: I20150810002117 |
| Provider Name | Cynthia Mw Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306228796 PECOS PAC ID: 0143535864 Enrollment ID: I20150810002590 |
| Provider Name | Justin N Tawil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235367590 PECOS PAC ID: 2961725346 Enrollment ID: I20150810002817 |
| Provider Name | Christa Pittner Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659639532 PECOS PAC ID: 0244545812 Enrollment ID: I20150812007291 |
| Provider Name | Francisco Javier Castro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023376373 PECOS PAC ID: 0840505277 Enrollment ID: I20150813012569 |
| Provider Name | Jonathan E Kohler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134231293 PECOS PAC ID: 8325353659 Enrollment ID: I20150817000795 |
| Provider Name | Bethany Howlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306112172 PECOS PAC ID: 3173845427 Enrollment ID: I20150817001800 |
| Provider Name | Laura B Wyatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013358308 PECOS PAC ID: 4981832219 Enrollment ID: I20150821013507 |
| Provider Name | Elizabeth Marie Petty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447331889 PECOS PAC ID: 5294879631 Enrollment ID: I20150824001303 |
| Provider Name | Gauri Bhutani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235466020 PECOS PAC ID: 6800043274 Enrollment ID: I20150824001420 |
| Provider Name | Andrew J Kornaus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962885012 PECOS PAC ID: 2567778194 Enrollment ID: I20150827002189 |
| Provider Name | Eileen Anne Cowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366602096 PECOS PAC ID: 2961662093 Enrollment ID: I20150901001660 |
| Provider Name | Abigail M Bales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013275940 PECOS PAC ID: 1658504725 Enrollment ID: I20150902000769 |
| Provider Name | Antonio Bosch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295743656 PECOS PAC ID: 3779476437 Enrollment ID: I20150903000731 |
| Provider Name | Loyda E Braithwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477938439 PECOS PAC ID: 9335455484 Enrollment ID: I20150903001428 |
| Provider Name | Ketty Thertus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083928121 PECOS PAC ID: 1951528439 Enrollment ID: I20150904000724 |
| Provider Name | Jennifer R Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104180298 PECOS PAC ID: 6608007638 Enrollment ID: I20150915001322 |
| Provider Name | Michael Douglas Rickels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124332283 PECOS PAC ID: 1456521590 Enrollment ID: I20150915002147 |
| Provider Name | Carrah A Tovar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326423286 PECOS PAC ID: 6204144231 Enrollment ID: I20150924001855 |
| Provider Name | Nataliya Volodymyrivna Uboha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619146347 PECOS PAC ID: 5698964484 Enrollment ID: I20150925000792 |
| Provider Name | Emily Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578948584 PECOS PAC ID: 5799093969 Enrollment ID: I20151008000421 |
| Provider Name | Lillian P Golbach Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447635362 PECOS PAC ID: 7214246115 Enrollment ID: I20151015001378 |
| Provider Name | Steven J Garlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982704078 PECOS PAC ID: 8729253158 Enrollment ID: I20151020001573 |
| Provider Name | Anne Osnat Lidor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912948613 PECOS PAC ID: 7517098353 Enrollment ID: I20151023001363 |
| Provider Name | Hau Dang Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871774752 PECOS PAC ID: 7719054022 Enrollment ID: I20151026000017 |
| Provider Name | Matthew Darwin Tyl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851734222 PECOS PAC ID: 4880903277 Enrollment ID: I20151026002814 |
| Provider Name | Meghann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306667 PECOS PAC ID: 0143530667 Enrollment ID: I20151112000355 |
| Provider Name | Richard Lee Feinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477622421 PECOS PAC ID: 5597844944 Enrollment ID: I20151123002762 |
| Provider Name | Claire Ann Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831561810 PECOS PAC ID: 8729388632 Enrollment ID: I20151125001643 |
| Provider Name | Samantha T Gollup |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881063584 PECOS PAC ID: 5991005464 Enrollment ID: I20151207000228 |
| Provider Name | Molly K Barrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972977395 PECOS PAC ID: 2163723230 Enrollment ID: I20151214002127 |
| Provider Name | Cory L Sieburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396119806 PECOS PAC ID: 8628379773 Enrollment ID: I20151215002884 |
| Provider Name | Erica Lynn Julson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740655612 PECOS PAC ID: 9436450434 Enrollment ID: I20151216002130 |
| Provider Name | Ann Hoffmann Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467629733 PECOS PAC ID: 3870618515 Enrollment ID: I20151216002430 |
| Provider Name | Rachel Margaret Mcminn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104290527 PECOS PAC ID: 5991006769 Enrollment ID: I20151221001254 |
| Provider Name | Erick Tarula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992027700 PECOS PAC ID: 5890096614 Enrollment ID: I20151221002746 |
| Provider Name | Brianna M. Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548634975 PECOS PAC ID: 8820399322 Enrollment ID: I20151228001668 |
| Provider Name | Anna D Kunde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811123755 PECOS PAC ID: 3678874195 Enrollment ID: I20151229000037 |
| Provider Name | Aurora Pop-vicas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326070863 PECOS PAC ID: 9931209830 Enrollment ID: I20160113002078 |
| Provider Name | Carisa Lynn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093171449 PECOS PAC ID: 1355644675 Enrollment ID: I20160120002450 |
| Provider Name | Julie E Sherry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376620450 PECOS PAC ID: 7618270968 Enrollment ID: I20160121000249 |
| Provider Name | Stephanie M Shulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790159705 PECOS PAC ID: 4183927312 Enrollment ID: I20160122000397 |
| Provider Name | Brandon S Bykowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033469754 PECOS PAC ID: 1759501216 Enrollment ID: I20160210001559 |
| Provider Name | Lindsay Michelle Riesch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386014215 PECOS PAC ID: 7012211014 Enrollment ID: I20160211002568 |
| Provider Name | Julie M. Slattery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942667563 PECOS PAC ID: 3375703218 Enrollment ID: I20160307001303 |
| Provider Name | Anne Marie French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164434619 PECOS PAC ID: 6002918869 Enrollment ID: I20160322001702 |
| Provider Name | Christine A Heisler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548279896 PECOS PAC ID: 2264436252 Enrollment ID: I20160325000273 |
| Provider Name | Justin W Blazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124481148 PECOS PAC ID: 6507165586 Enrollment ID: I20160426000010 |
| Provider Name | Micah T Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750518213 PECOS PAC ID: 0143540906 Enrollment ID: I20160504000950 |
| Provider Name | Stephanie M Mcgregor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932549722 PECOS PAC ID: 9537463203 Enrollment ID: I20160504001575 |
| Provider Name | Krystal L Weierstahl |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316213804 PECOS PAC ID: 8628200433 Enrollment ID: I20160504002065 |
| Provider Name | Rong Hu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487932620 PECOS PAC ID: 1355662818 Enrollment ID: I20160509001844 |
| Provider Name | Zachary Borden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750677290 PECOS PAC ID: 1951524743 Enrollment ID: I20160510002111 |
| Provider Name | Kathleen M Shannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396721767 PECOS PAC ID: 1658269741 Enrollment ID: I20160512001046 |
| Provider Name | Elizabeth Ann Misch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588727432 PECOS PAC ID: 6406740356 Enrollment ID: I20160518002576 |
| Provider Name | Natalie Wheeler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497070361 PECOS PAC ID: 4486967957 Enrollment ID: I20160519002235 |
| Provider Name | Daniel Erik Abbott |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1750412615 PECOS PAC ID: 2961535745 Enrollment ID: I20160526001403 |
| Provider Name | Robyn Winner Paloian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255485926 PECOS PAC ID: 5799972626 Enrollment ID: I20160526001475 |
| Provider Name | Christopher Michael Saddler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669750683 PECOS PAC ID: 8628201399 Enrollment ID: I20160527001010 |
| Provider Name | Marin Darsie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548554348 PECOS PAC ID: 5294052346 Enrollment ID: I20160531002267 |
| Provider Name | Ali Gardezi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356506794 PECOS PAC ID: 7517136807 Enrollment ID: I20160531002370 |
| Provider Name | Michael P Hartung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750660692 PECOS PAC ID: 9133419369 Enrollment ID: I20160531002456 |
| Provider Name | Vidthya Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861836058 PECOS PAC ID: 2163645037 Enrollment ID: I20160601001225 |
| Provider Name | Fahad Aziz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881968188 PECOS PAC ID: 1456509637 Enrollment ID: I20160601001494 |
| Provider Name | Stephanie Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205192770 PECOS PAC ID: 7810117173 Enrollment ID: I20160607001409 |
| Provider Name | Amy S Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699136242 PECOS PAC ID: 3072803873 Enrollment ID: I20160607002214 |
| Provider Name | Yew-xin Teh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013147420 PECOS PAC ID: 3476608944 Enrollment ID: I20160609001446 |
| Provider Name | Eric S Bergstrom |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326401142 PECOS PAC ID: 8224328802 Enrollment ID: I20160610000014 |
| Provider Name | Neetika Garg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851521736 PECOS PAC ID: 5597069450 Enrollment ID: I20160613000468 |
| Provider Name | Luis Lomeli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851686281 PECOS PAC ID: 2264689785 Enrollment ID: I20160614002255 |
| Provider Name | Subarna Dhital |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356518047 PECOS PAC ID: 2860547692 Enrollment ID: I20160615000002 |
| Provider Name | Nilay Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578792982 PECOS PAC ID: 7719124411 Enrollment ID: I20160615000356 |
| Provider Name | Raheel Ahmed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346423829 PECOS PAC ID: 0840430096 Enrollment ID: I20160617000386 |
| Provider Name | Jasmine Yvonne Zapata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952745234 PECOS PAC ID: 6507089182 Enrollment ID: I20160617000412 |
| Provider Name | Anne F Josiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326241944 PECOS PAC ID: 0648436444 Enrollment ID: I20160617000522 |
| Provider Name | Nicole M Pulia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619318433 PECOS PAC ID: 4082905138 Enrollment ID: I20160620001910 |
| Provider Name | Dinushan Chathuranga Kaluarachchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942548375 PECOS PAC ID: 2567753627 Enrollment ID: I20160620002499 |
| Provider Name | Miranda J Bice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316246614 PECOS PAC ID: 4183856685 Enrollment ID: I20160627000017 |
| Provider Name | Lisa Arkin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639309941 PECOS PAC ID: 3971721440 Enrollment ID: I20160628000297 |
| Provider Name | Joseph P Roche |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104020932 PECOS PAC ID: 1456643857 Enrollment ID: I20160705001691 |
| Provider Name | Aaron F Struck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922238336 PECOS PAC ID: 9739312166 Enrollment ID: I20160711000348 |
| Provider Name | Ashley J Jennings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528324282 PECOS PAC ID: 7517190432 Enrollment ID: I20160712000306 |
| Provider Name | Lindsay R Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811343833 PECOS PAC ID: 5698067635 Enrollment ID: I20160712000739 |
| Provider Name | Lacey Jean Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396142253 PECOS PAC ID: 6103135827 Enrollment ID: I20160713001724 |
| Provider Name | Farah Kaiksow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639436801 PECOS PAC ID: 8022323427 Enrollment ID: I20160714000260 |
| Provider Name | Erin Hammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932576 PECOS PAC ID: 7911227707 Enrollment ID: I20160714002538 |
| Provider Name | Charles P Bergstrom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225059421 PECOS PAC ID: 1850323858 Enrollment ID: I20160718001879 |
| Provider Name | Dawd S Siraj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578520706 PECOS PAC ID: 4284715632 Enrollment ID: I20160718002249 |
| Provider Name | Tiffany Lin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386937803 PECOS PAC ID: 6204137128 Enrollment ID: I20160720002403 |
| Provider Name | Sean M Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356785430 PECOS PAC ID: 7719209618 Enrollment ID: I20160722000771 |
| Provider Name | Melanie A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882005 PECOS PAC ID: 8426341538 Enrollment ID: I20160727001533 |
| Provider Name | Catharine B Garland |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417282443 PECOS PAC ID: 0941512115 Enrollment ID: I20160729000614 |
| Provider Name | Heather Marie Metcalf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508137076 PECOS PAC ID: 8527282813 Enrollment ID: I20160801001092 |
| Provider Name | Taha Y El-shahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700225117 PECOS PAC ID: 4385937176 Enrollment ID: I20160802000478 |
| Provider Name | Matthew Wesley Harer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619293248 PECOS PAC ID: 5890923957 Enrollment ID: I20160802002128 |
| Provider Name | Hamid Emamekhoo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053602342 PECOS PAC ID: 8820310568 Enrollment ID: I20160804001249 |
| Provider Name | Andrea Nicole Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942643457 PECOS PAC ID: 2961711908 Enrollment ID: I20160804002530 |
| Provider Name | Bryan Dustin Pooler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851650030 PECOS PAC ID: 2365746831 Enrollment ID: I20160804002674 |
| Provider Name | Brett Foster Michelotti |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366677007 PECOS PAC ID: 6608183181 Enrollment ID: I20160804002708 |
| Provider Name | Derek Hoyme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469808 PECOS PAC ID: 2062657372 Enrollment ID: I20160808002817 |
| Provider Name | Anne Marie Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841643475 PECOS PAC ID: 6406140706 Enrollment ID: I20160809002931 |
| Provider Name | Lisa F Mclennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710334214 PECOS PAC ID: 3870887920 Enrollment ID: I20160811002184 |
| Provider Name | Kerry S Rees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699118679 PECOS PAC ID: 6002039682 Enrollment ID: I20160812002270 |
| Provider Name | Michael Francis Zywicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275086548 PECOS PAC ID: 2365737228 Enrollment ID: I20160817001746 |
| Provider Name | Margaret Mary Greco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686414 PECOS PAC ID: 9739251703 Enrollment ID: I20160817003183 |
| Provider Name | Sarah B Saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952753931 PECOS PAC ID: 0143515940 Enrollment ID: I20160818000041 |
| Provider Name | Maggie S. Steingraber-pharr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790112258 PECOS PAC ID: 3971739202 Enrollment ID: I20160818001909 |
| Provider Name | Erin I Plumley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366996928 PECOS PAC ID: 4789979014 Enrollment ID: I20160825000032 |
| Provider Name | Laura J. Kopplin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003106378 PECOS PAC ID: 4284889767 Enrollment ID: I20160825001292 |
| Provider Name | Thomas Keenan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285912402 PECOS PAC ID: 4385868652 Enrollment ID: I20160825001368 |
| Provider Name | Catherine Cooch Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265673164 PECOS PAC ID: 5991090110 Enrollment ID: I20160825002781 |
| Provider Name | Eric Ark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639525629 PECOS PAC ID: 8224324249 Enrollment ID: I20160831000219 |
| Provider Name | Elise Hanna Lawson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1972769206 PECOS PAC ID: 3971899915 Enrollment ID: I20160831000849 |
| Provider Name | Jeannine I Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118301 PECOS PAC ID: 9436445335 Enrollment ID: I20160831002994 |
| Provider Name | Molly Groose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164789822 PECOS PAC ID: 1850523267 Enrollment ID: I20160901000174 |
| Provider Name | Edward Dunbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053653469 PECOS PAC ID: 5597065037 Enrollment ID: I20160908001340 |
| Provider Name | Amy E Domeyer-klenske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982964698 PECOS PAC ID: 7517191497 Enrollment ID: I20160908002737 |
| Provider Name | Jessica M Van Beek-king |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518288844 PECOS PAC ID: 0749429959 Enrollment ID: I20160919001654 |
| Provider Name | Benjamin Schnapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962781138 PECOS PAC ID: 9335453638 Enrollment ID: I20160920001129 |
| Provider Name | Sarah Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790232189 PECOS PAC ID: 1254628217 Enrollment ID: I20160920001360 |
| Provider Name | Maura K Grasshoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992047229 PECOS PAC ID: 2567759467 Enrollment ID: I20160920002728 |
| Provider Name | Kristin Leigh Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225262033 PECOS PAC ID: 0345498861 Enrollment ID: I20160927000521 |
| Provider Name | Kimberly Ann Fleischmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447705975 PECOS PAC ID: 9739476037 Enrollment ID: I20161003001267 |
| Provider Name | Jordan S Kenik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215371554 PECOS PAC ID: 8921221862 Enrollment ID: I20161005001129 |
| Provider Name | Jacques Galipeau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629307004 PECOS PAC ID: 6709928039 Enrollment ID: I20161012000874 |
| Provider Name | Jonathan S Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346403961 PECOS PAC ID: 4880850452 Enrollment ID: I20161025002184 |
| Provider Name | Anupriya S Schnapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679891220 PECOS PAC ID: 4486932316 Enrollment ID: I20161028000167 |
| Provider Name | Cassandra A Padovani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316492572 PECOS PAC ID: 0648558171 Enrollment ID: I20161103000316 |
| Provider Name | Ryan Michael Mcadams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912983347 PECOS PAC ID: 1254490345 Enrollment ID: I20161104000009 |
| Provider Name | Syed A Masood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548471204 PECOS PAC ID: 0840367843 Enrollment ID: I20161107002645 |
| Provider Name | Brittany Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365008 PECOS PAC ID: 9032498456 Enrollment ID: I20161108000267 |
| Provider Name | Maria Standiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649728411 PECOS PAC ID: 1052690419 Enrollment ID: I20161108001452 |
| Provider Name | Jessica A La Mar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598214348 PECOS PAC ID: 6002195310 Enrollment ID: I20161109000719 |
| Provider Name | Carissa Dolens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689122723 PECOS PAC ID: 3476832791 Enrollment ID: I20161109001093 |
| Provider Name | Paul John Hayner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861500274 PECOS PAC ID: 3577561992 Enrollment ID: I20161115001428 |
| Provider Name | Melissa Marie Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831649979 PECOS PAC ID: 6709165707 Enrollment ID: I20161115001920 |
| Provider Name | Gillian I Silberzahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831494210 PECOS PAC ID: 7911287040 Enrollment ID: I20161207002271 |
| Provider Name | Ambar Haleem |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104035864 PECOS PAC ID: 4183774581 Enrollment ID: I20161212001074 |
| Provider Name | Emma L Mohr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609133875 PECOS PAC ID: 3577883735 Enrollment ID: I20161223000290 |
| Provider Name | Moniba Nazeef |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760794911 PECOS PAC ID: 3971755083 Enrollment ID: I20170105001690 |
| Provider Name | Christopher R.n. Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659679421 PECOS PAC ID: 7810215548 Enrollment ID: I20170110002538 |
| Provider Name | Lisa A. Netkowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710321807 PECOS PAC ID: 2365755311 Enrollment ID: I20170123001544 |
| Provider Name | Smitha K Holla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922386929 PECOS PAC ID: 9931332475 Enrollment ID: I20170123001903 |
| Provider Name | Zachary N Stowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730289836 PECOS PAC ID: 3870750631 Enrollment ID: I20170203000985 |
| Provider Name | Marissa J Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100879 PECOS PAC ID: 9638452212 Enrollment ID: I20170206000119 |
| Provider Name | Ryan J Drake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194168633 PECOS PAC ID: 9638392525 Enrollment ID: I20170207001605 |
| Provider Name | Lydia J. Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609830884 PECOS PAC ID: 9537442991 Enrollment ID: I20170208002065 |
| Provider Name | Colleen Mary Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700324910 PECOS PAC ID: 2668755653 Enrollment ID: I20170217001250 |
| Provider Name | Allison D Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205223708 PECOS PAC ID: 9638485493 Enrollment ID: I20170307000143 |
| Provider Name | Danielle E Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154736650 PECOS PAC ID: 3971887993 Enrollment ID: I20170310000896 |
| Provider Name | Travis Dziubinski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1417488859 PECOS PAC ID: 4082999222 Enrollment ID: I20170330000641 |
| Provider Name | Laura Holt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255659686 PECOS PAC ID: 4981848660 Enrollment ID: I20170331001572 |
| Provider Name | Becki M Kuik-connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881133882 PECOS PAC ID: 5092091736 Enrollment ID: I20170413000431 |
| Provider Name | Heather Anne Danke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760783070 PECOS PAC ID: 0840576484 Enrollment ID: I20170413000765 |
| Provider Name | Benjamin T Gillespie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841421872 PECOS PAC ID: 0042444069 Enrollment ID: I20170424001541 |
| Provider Name | Shaun S Shaker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134483183 PECOS PAC ID: 9032498068 Enrollment ID: I20170428001177 |
| Provider Name | Sara A Mijal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720107261 PECOS PAC ID: 3072732643 Enrollment ID: I20170502002186 |
| Provider Name | Timothy Mccormick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730311762 PECOS PAC ID: 3173817228 Enrollment ID: I20170508002137 |
| Provider Name | Suzanne Westbrook Van Landingham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285072652 PECOS PAC ID: 6709013030 Enrollment ID: I20170509001838 |
| Provider Name | Eric E Adelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801913322 PECOS PAC ID: 6305014259 Enrollment ID: I20170510000150 |
| Provider Name | Nancy C Raymond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801970280 PECOS PAC ID: 3274423926 Enrollment ID: I20170510001586 |
| Provider Name | Rebecca Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902341852 PECOS PAC ID: 6800173378 Enrollment ID: I20170510001975 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20170511002688 |
| Provider Name | Jessica Wallis-bhyravabotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879296 PECOS PAC ID: 3476862616 Enrollment ID: I20170516000957 |
| Provider Name | Jamie L Elliott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639436694 PECOS PAC ID: 4183857865 Enrollment ID: I20170517000520 |
| Provider Name | Matthew D Nitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548527229 PECOS PAC ID: 1850694787 Enrollment ID: I20170517001175 |
| Provider Name | John Stephen Symanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073812236 PECOS PAC ID: 3870722408 Enrollment ID: I20170517001579 |
| Provider Name | Malinda West |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679837629 PECOS PAC ID: 2466763909 Enrollment ID: I20170522000357 |
| Provider Name | Jillian Ann Karow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609131887 PECOS PAC ID: 9537479126 Enrollment ID: I20170524001130 |
| Provider Name | Emily C Cardamone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831631282 PECOS PAC ID: 3870860646 Enrollment ID: I20170526000500 |
| Provider Name | Joshua M Glazer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508150905 PECOS PAC ID: 6103075916 Enrollment ID: I20170526001909 |
| Provider Name | Joseph Delic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578829503 PECOS PAC ID: 7416224159 Enrollment ID: I20170530001907 |
| Provider Name | Peter Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295153583 PECOS PAC ID: 8022327477 Enrollment ID: I20170602000586 |
| Provider Name | Christopher Cassara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508093501 PECOS PAC ID: 4789812835 Enrollment ID: I20170605000633 |
| Provider Name | Jin Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831432178 PECOS PAC ID: 8628346046 Enrollment ID: I20170607002330 |
| Provider Name | Richard C Lennertz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922447473 PECOS PAC ID: 9931342045 Enrollment ID: I20170608001428 |
| Provider Name | Erin N Quattromani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174779789 PECOS PAC ID: 6709063977 Enrollment ID: I20170609000392 |
| Provider Name | Emily R Torell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912317124 PECOS PAC ID: 7810201258 Enrollment ID: I20170612000844 |
| Provider Name | David Bluemke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043276728 PECOS PAC ID: 0749278505 Enrollment ID: I20170614000226 |
| Provider Name | Patrick John Peebles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316238751 PECOS PAC ID: 3577789742 Enrollment ID: I20170620001923 |
| Provider Name | Jared L Dubey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679993919 PECOS PAC ID: 1355655671 Enrollment ID: I20170620002630 |
| Provider Name | Joshua S Shapiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184030645 PECOS PAC ID: 2163649872 Enrollment ID: I20170620002706 |
| Provider Name | Jennifer Lynne Rodgers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639292089 PECOS PAC ID: 2163691684 Enrollment ID: I20170621001663 |
| Provider Name | Kristin A Tiedt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043657919 PECOS PAC ID: 3072754894 Enrollment ID: I20170628001889 |
| Provider Name | Adam L Weinstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558623520 PECOS PAC ID: 7416193412 Enrollment ID: I20170628003316 |
| Provider Name | Michael A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316279433 PECOS PAC ID: 5294901526 Enrollment ID: I20170706000889 |
| Provider Name | Kevin B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154617538 PECOS PAC ID: 9537477872 Enrollment ID: I20170706002724 |
| Provider Name | Nicholas M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689916793 PECOS PAC ID: 7618277658 Enrollment ID: I20170726003739 |
| Provider Name | Joshua Leon Hermsen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063460566 PECOS PAC ID: 6002039658 Enrollment ID: I20170728003005 |
| Provider Name | Joseph A Mcbride |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053639823 PECOS PAC ID: 1254632862 Enrollment ID: I20170801000318 |
| Provider Name | Daniel Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982137147 PECOS PAC ID: 5092086629 Enrollment ID: I20170801000568 |
| Provider Name | Marc L Kalin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932442027 PECOS PAC ID: 9931470598 Enrollment ID: I20170801001774 |
| Provider Name | Katherine Gast |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144557125 PECOS PAC ID: 3072829381 Enrollment ID: I20170801002050 |
| Provider Name | David Oliver Francis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154430072 PECOS PAC ID: 6204960602 Enrollment ID: I20170801002541 |
| Provider Name | Jessica Christine Babal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215296033 PECOS PAC ID: 2163736786 Enrollment ID: I20170802000812 |
| Provider Name | Theodore Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275949463 PECOS PAC ID: 5395964894 Enrollment ID: I20170802001492 |
| Provider Name | Lisa L Klesius |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578908844 PECOS PAC ID: 6507081932 Enrollment ID: I20170803002722 |
| Provider Name | Adam D Wallace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386969079 PECOS PAC ID: 2264744945 Enrollment ID: I20170804002869 |
| Provider Name | Erica F Reinig |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073804399 PECOS PAC ID: 5698920791 Enrollment ID: I20170804002918 |
| Provider Name | Rachel Lillian Petro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205255163 PECOS PAC ID: 0547483992 Enrollment ID: I20170807000295 |
| Provider Name | Kathleen Ann Kastner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760703169 PECOS PAC ID: 4981907631 Enrollment ID: I20170808001865 |
| Provider Name | Tiffany Ann Glazer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629365135 PECOS PAC ID: 8628383502 Enrollment ID: I20170814003206 |
| Provider Name | Ryan D Luellwitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316388903 PECOS PAC ID: 7012289721 Enrollment ID: I20170815003726 |
| Provider Name | Sean M Ronnekleiv-kelly |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1164687125 PECOS PAC ID: 7719110998 Enrollment ID: I20170815004605 |
| Provider Name | Brian H Gander |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841519782 PECOS PAC ID: 5597041939 Enrollment ID: I20170821001279 |
| Provider Name | James A Stadler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750510244 PECOS PAC ID: 2668778176 Enrollment ID: I20170821002969 |
| Provider Name | Anne Renate Bachhuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760903819 PECOS PAC ID: 0042582108 Enrollment ID: I20170824000629 |
| Provider Name | Cristina B Sanger |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1851617617 PECOS PAC ID: 8820233596 Enrollment ID: I20170824000899 |
| Provider Name | Carrie Katherine Barker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720045024 PECOS PAC ID: 3577714476 Enrollment ID: I20170824002706 |
| Provider Name | Sumer K Wallace |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1407168602 PECOS PAC ID: 5092930230 Enrollment ID: I20170830002471 |
| Provider Name | Shivani Garg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528321122 PECOS PAC ID: 7214200088 Enrollment ID: I20170830002962 |
| Provider Name | Sara N Liegel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356630149 PECOS PAC ID: 6800029729 Enrollment ID: I20170830003524 |
| Provider Name | Johanna C Streyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790103919 PECOS PAC ID: 6608173836 Enrollment ID: I20170901002943 |
| Provider Name | Melisa Lee Hergert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841715588 PECOS PAC ID: 4082987565 Enrollment ID: I20170905002009 |
| Provider Name | Sreevalli Atluru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528300688 PECOS PAC ID: 9032499645 Enrollment ID: I20170906000196 |
| Provider Name | Adam Scott Brinkman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427212455 PECOS PAC ID: 3870726318 Enrollment ID: I20170906000800 |
| Provider Name | Julia Rose Lubsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124462205 PECOS PAC ID: 4880907732 Enrollment ID: I20170906002441 |
| Provider Name | Tess Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740701150 PECOS PAC ID: 1759654122 Enrollment ID: I20170906003164 |
| Provider Name | Jillian Kay Landeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912317181 PECOS PAC ID: 7517230998 Enrollment ID: I20170906003568 |
| Provider Name | Clare Francis Armbruster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462542 PECOS PAC ID: 8820361249 Enrollment ID: I20170907000846 |
| Provider Name | Erik Allen Woodhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915175 PECOS PAC ID: 2769755974 Enrollment ID: I20170911002226 |
| Provider Name | Emily J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265842306 PECOS PAC ID: 0840503900 Enrollment ID: I20170913000982 |
| Provider Name | Ashley M Braithwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194242917 PECOS PAC ID: 0345513388 Enrollment ID: I20170913001750 |
| Provider Name | Suhaib Kazmouz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053559559 PECOS PAC ID: 7113079104 Enrollment ID: I20170915002340 |
| Provider Name | Andrea M. Spiker |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922322429 PECOS PAC ID: 2062660657 Enrollment ID: I20170918002795 |
| Provider Name | Nastassja L Petermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215453550 PECOS PAC ID: 0244504090 Enrollment ID: I20170918003646 |
| Provider Name | Sharon K Finlayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003338864 PECOS PAC ID: 6406120187 Enrollment ID: I20170919001998 |
| Provider Name | Megan M Gratz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316366743 PECOS PAC ID: 2668695016 Enrollment ID: I20170919002180 |
| Provider Name | Parker Hoerz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003226259 PECOS PAC ID: 9234445024 Enrollment ID: I20170920002504 |
| Provider Name | Lisa M Kruse |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1891923777 PECOS PAC ID: 3577792902 Enrollment ID: I20170922001526 |
| Provider Name | Brittany C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742495 PECOS PAC ID: 7214201698 Enrollment ID: I20170923000002 |
| Provider Name | Daniel P Mccarthy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417105149 PECOS PAC ID: 8729390117 Enrollment ID: I20170923000476 |
| Provider Name | Liana M Eskola |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700223534 PECOS PAC ID: 4880987353 Enrollment ID: I20170928002958 |
| Provider Name | Trisha Lynn Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275762981 PECOS PAC ID: 8729260138 Enrollment ID: I20170929001257 |
| Provider Name | Nicole Lm Reilly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700164811 PECOS PAC ID: 0749413144 Enrollment ID: I20171003004937 |
| Provider Name | Anne Marie Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780634840 PECOS PAC ID: 5395837835 Enrollment ID: I20171004003452 |
| Provider Name | Courtney Erin Morgan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598076630 PECOS PAC ID: 7618242348 Enrollment ID: I20171006000064 |
| Provider Name | Anna L Yearous-algozin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699114538 PECOS PAC ID: 8325288673 Enrollment ID: I20171006000457 |
| Provider Name | Kori L Vander Yacht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194249524 PECOS PAC ID: 6901171503 Enrollment ID: I20171009000139 |
| Provider Name | Amy E Brinza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619492899 PECOS PAC ID: 0446525869 Enrollment ID: I20171010002446 |
| Provider Name | David P Al-adra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093224776 PECOS PAC ID: 6002182144 Enrollment ID: I20171018000398 |
| Provider Name | Zachary L Erickson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528577830 PECOS PAC ID: 3678849494 Enrollment ID: I20171024000337 |
| Provider Name | Jeffrey David Swick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154762078 PECOS PAC ID: 7214151406 Enrollment ID: I20171026001147 |
| Provider Name | Kelly Ann Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003325051 PECOS PAC ID: 7012273337 Enrollment ID: I20171102000194 |
| Provider Name | Christy Ann Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659881043 PECOS PAC ID: 3173889334 Enrollment ID: I20171106000399 |
| Provider Name | Elise N Strycharske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639688021 PECOS PAC ID: 0749546869 Enrollment ID: I20171106002797 |
| Provider Name | Courtney L Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892816 PECOS PAC ID: 2668738709 Enrollment ID: I20171107000435 |
| Provider Name | Angela L Maginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462781 PECOS PAC ID: 2567728603 Enrollment ID: I20171107000465 |
| Provider Name | Troy A Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639688252 PECOS PAC ID: 5193081065 Enrollment ID: I20171108003180 |
| Provider Name | Alicia N Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518482983 PECOS PAC ID: 3870859630 Enrollment ID: I20171110000390 |
| Provider Name | Rachel Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902318322 PECOS PAC ID: 6204192941 Enrollment ID: I20171113001589 |
| Provider Name | Megan Krmpotich Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912416132 PECOS PAC ID: 6800152315 Enrollment ID: I20171115002338 |
| Provider Name | Nassima N Baba-ahmed Fertikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063778900 PECOS PAC ID: 6204076029 Enrollment ID: I20171121002757 |
| Provider Name | Bolanle M Famakin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295879005 PECOS PAC ID: 8820216591 Enrollment ID: I20171121003135 |
| Provider Name | Andrew T Braun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235338062 PECOS PAC ID: 9638240856 Enrollment ID: I20171127000609 |
| Provider Name | Allison Swiertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033635602 PECOS PAC ID: 5698032621 Enrollment ID: I20171130000108 |
| Provider Name | Angela S Lothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297703 PECOS PAC ID: 6800153453 Enrollment ID: I20171206002674 |
| Provider Name | Heidi T Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164404679 PECOS PAC ID: 7911265723 Enrollment ID: I20171228001952 |
| Provider Name | Claire F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627049 PECOS PAC ID: 4486912151 Enrollment ID: I20171229002133 |
| Provider Name | Rebecca Manget Minter |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497856405 PECOS PAC ID: 7911065305 Enrollment ID: I20180102002747 |
| Provider Name | Jason Lai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285020669 PECOS PAC ID: 0042524688 Enrollment ID: I20180111002989 |
| Provider Name | John E Rectenwald |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992806905 PECOS PAC ID: 3476578683 Enrollment ID: I20180119000510 |
| Provider Name | Jennifer L Pleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578944401 PECOS PAC ID: 9739448705 Enrollment ID: I20180119001114 |
| Provider Name | Jessica Lauren Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912451378 PECOS PAC ID: 8729374970 Enrollment ID: I20180122002183 |
| Provider Name | Neil D. Brauner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184134470 PECOS PAC ID: 3971862814 Enrollment ID: I20180122002205 |
| Provider Name | Danielle Marie Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821503731 PECOS PAC ID: 0941560429 Enrollment ID: I20180131002560 |
| Provider Name | Gowtam Ravipati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417102229 PECOS PAC ID: 0749294338 Enrollment ID: I20180209001240 |
| Provider Name | Carolyn A Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922376086 PECOS PAC ID: 1254595689 Enrollment ID: I20180214000362 |
| Provider Name | Kristi M Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807697 PECOS PAC ID: 5799045696 Enrollment ID: I20180215000206 |
| Provider Name | Sarah Jean Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648039 PECOS PAC ID: 6608137203 Enrollment ID: I20180222000988 |
| Provider Name | Amy Jo Kjeldahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609313295 PECOS PAC ID: 7315222080 Enrollment ID: I20180315001615 |
| Provider Name | Paul Franklin Rabedeaux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255690129 PECOS PAC ID: 7416180831 Enrollment ID: I20180322000680 |
| Provider Name | Muhammad Umair Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245646397 PECOS PAC ID: 9335445832 Enrollment ID: I20180403001359 |
| Provider Name | Allan R Brasier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033278833 PECOS PAC ID: 0345379293 Enrollment ID: I20180424001464 |
| Provider Name | Traci L Gundlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982106555 PECOS PAC ID: 6406110428 Enrollment ID: I20180427001600 |
| Provider Name | Malcolm M Decamp |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356373872 PECOS PAC ID: 4183604960 Enrollment ID: I20180508000396 |
| Provider Name | Ariel M Bodker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053798884 PECOS PAC ID: 1153686142 Enrollment ID: I20180522001066 |
| Provider Name | Xinliu P Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811227226 PECOS PAC ID: 9739444654 Enrollment ID: I20180524001497 |
| Provider Name | Adam R Burr |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245626555 PECOS PAC ID: 5294039822 Enrollment ID: I20180524001878 |
| Provider Name | Michele L Malloy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609274521 PECOS PAC ID: 4183933005 Enrollment ID: I20180530002253 |
| Provider Name | Jennika Lindsay Finup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720577299 PECOS PAC ID: 7113282518 Enrollment ID: I20180606002384 |
| Provider Name | Adam Kevin Kney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043586480 PECOS PAC ID: 4688929870 Enrollment ID: I20180612000092 |
| Provider Name | Michael Jay Suer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598101164 PECOS PAC ID: 3274767462 Enrollment ID: I20180618002120 |
| Provider Name | Melanie Boly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362654 PECOS PAC ID: 7315162104 Enrollment ID: I20180621001023 |
| Provider Name | Christina E Amend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780070086 PECOS PAC ID: 0042516668 Enrollment ID: I20180621001171 |
| Provider Name | Aaron Stansbury Hess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740609502 PECOS PAC ID: 6800019738 Enrollment ID: I20180621001277 |
| Provider Name | Zachary David Goldberger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972613354 PECOS PAC ID: 8224201496 Enrollment ID: I20180621002547 |
| Provider Name | William Patrick Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700220910 PECOS PAC ID: 5496050320 Enrollment ID: I20180621002643 |
| Provider Name | Kathleen A Schildroth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902225410 PECOS PAC ID: 1456578301 Enrollment ID: I20180622000453 |
| Provider Name | Milap K Dubal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194112698 PECOS PAC ID: 4082920848 Enrollment ID: I20180625001176 |
| Provider Name | David Kosoff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356608210 PECOS PAC ID: 5698908697 Enrollment ID: I20180625002061 |
| Provider Name | Srivathsa C Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861735672 PECOS PAC ID: 1850676438 Enrollment ID: I20180626003518 |
| Provider Name | Brian S Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396076618 PECOS PAC ID: 8628201928 Enrollment ID: I20180627001139 |
| Provider Name | Kelli Jo Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427391846 PECOS PAC ID: 1658502992 Enrollment ID: I20180628001558 |
| Provider Name | Kerstin Eide Austin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497013023 PECOS PAC ID: 9830313881 Enrollment ID: I20180628001633 |
| Provider Name | Kaitlin Elizabeth Sundling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992141832 PECOS PAC ID: 9436405487 Enrollment ID: I20180703002946 |
| Provider Name | Anita Ahmed Turk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083978829 PECOS PAC ID: 2062645484 Enrollment ID: I20180705000079 |
| Provider Name | Jeffrey Randall Olech |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366785768 PECOS PAC ID: 4082846837 Enrollment ID: I20180705000730 |
| Provider Name | Laurel J. Bessey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811329691 PECOS PAC ID: 6103049705 Enrollment ID: I20180706002587 |
| Provider Name | Nancy Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265420491 PECOS PAC ID: 3375898570 Enrollment ID: I20180717002996 |
| Provider Name | Jessica Marie Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821359134 PECOS PAC ID: 8224272661 Enrollment ID: I20180723001982 |
| Provider Name | Jennifer Ciske Larson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962820027 PECOS PAC ID: 6608092457 Enrollment ID: I20180724002620 |
| Provider Name | Patrick T Daley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164817961 PECOS PAC ID: 0749555399 Enrollment ID: I20180731000595 |
| Provider Name | Melissa A Villegas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346684693 PECOS PAC ID: 5294083788 Enrollment ID: I20180731001332 |
| Provider Name | Kelly W Capel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356768220 PECOS PAC ID: 2365762895 Enrollment ID: I20180731003833 |
| Provider Name | Brian Thomas Nickel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588920227 PECOS PAC ID: 2163791682 Enrollment ID: I20180731004060 |
| Provider Name | Eric Michael Schauberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780959924 PECOS PAC ID: 6901154244 Enrollment ID: I20180802003641 |
| Provider Name | David D Pham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023344199 PECOS PAC ID: 4183886443 Enrollment ID: I20180802003706 |
| Provider Name | Paulina Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699063883 PECOS PAC ID: 4587897558 Enrollment ID: I20180806000822 |
| Provider Name | Randall M. Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710463088 PECOS PAC ID: 5395093447 Enrollment ID: I20180806001726 |
| Provider Name | Kristin Bevil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912326869 PECOS PAC ID: 8921222332 Enrollment ID: I20180806002537 |
| Provider Name | Patricia Barbara Grzebielski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831517010 PECOS PAC ID: 2365759529 Enrollment ID: I20180807000868 |
| Provider Name | Molly Kathleen Lepic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215348180 PECOS PAC ID: 0648554550 Enrollment ID: I20180809004209 |
| Provider Name | Aaron Cole Eifler |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1548525348 PECOS PAC ID: 6800144718 Enrollment ID: I20180809004427 |
| Provider Name | Janine Rhoades |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841588993 PECOS PAC ID: 8527297191 Enrollment ID: I20180810001142 |
| Provider Name | Christopher Michael Domes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376818609 PECOS PAC ID: 3577888908 Enrollment ID: I20180813000711 |
| Provider Name | Anne K Hoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972097830 PECOS PAC ID: 5395094023 Enrollment ID: I20180814001262 |
| Provider Name | David W Hennessy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528346756 PECOS PAC ID: 4183857709 Enrollment ID: I20180814002519 |
| Provider Name | Katherine Leigh Kozarek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649617598 PECOS PAC ID: 7012210396 Enrollment ID: I20180817000026 |
| Provider Name | Erin M Fouch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336258292 PECOS PAC ID: 2668568007 Enrollment ID: I20180821001300 |
| Provider Name | Christine M Whelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861987257 PECOS PAC ID: 6305195587 Enrollment ID: I20180821003298 |
| Provider Name | Laura Bozzuto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841636081 PECOS PAC ID: 1658670724 Enrollment ID: I20180822003465 |
| Provider Name | Eve Paretsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104863604 PECOS PAC ID: 7911907415 Enrollment ID: I20180823001163 |
| Provider Name | Caitlin Kristi Croegaert Koch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417434788 PECOS PAC ID: 4688923519 Enrollment ID: I20180824002833 |
| Provider Name | Keth M Pride |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1851528624 PECOS PAC ID: 5294058210 Enrollment ID: I20180827000661 |
| Provider Name | Greta M Breckbill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154808491 PECOS PAC ID: 2769731512 Enrollment ID: I20180828000820 |
| Provider Name | Ebba T Hjertstedt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467728527 PECOS PAC ID: 3971822438 Enrollment ID: I20180830000274 |
| Provider Name | Nicole Trimble Shapiro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659713758 PECOS PAC ID: 0345590014 Enrollment ID: I20180830002522 |
| Provider Name | Farhan Raza |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1245542166 PECOS PAC ID: 6608166483 Enrollment ID: I20180830002899 |
| Provider Name | Katherine Elizabeth Schaumberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205383049 PECOS PAC ID: 5496038192 Enrollment ID: I20180830003621 |
| Provider Name | Allison Elizabeth Dyrek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114404118 PECOS PAC ID: 7113277757 Enrollment ID: I20180901000024 |
| Provider Name | Jennifer M Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851306450 PECOS PAC ID: 8729139480 Enrollment ID: I20180904001238 |
| Provider Name | Ray S King |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336460666 PECOS PAC ID: 4688812381 Enrollment ID: I20180904001602 |
| Provider Name | Katherine A Mccreary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033506555 PECOS PAC ID: 6204141070 Enrollment ID: I20180905001232 |
| Provider Name | Ian Joseph Koszewski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073872032 PECOS PAC ID: 5294967568 Enrollment ID: I20180905002242 |
| Provider Name | Megan K Mirkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538541149 PECOS PAC ID: 2365756277 Enrollment ID: I20180905002516 |
| Provider Name | Lauren Michelle Mixtacki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790171254 PECOS PAC ID: 7911278346 Enrollment ID: I20180918003542 |
| Provider Name | Erin M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558680165 PECOS PAC ID: 8022257807 Enrollment ID: I20180924001647 |
| Provider Name | Travis Gordon Kruger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265844682 PECOS PAC ID: 4082924154 Enrollment ID: I20180927001688 |
| Provider Name | Maira Oliveira Luettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437448503 PECOS PAC ID: 7416209234 Enrollment ID: I20181005001862 |
| Provider Name | Luke William Chandler |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821578329 PECOS PAC ID: 4789936337 Enrollment ID: I20181009001495 |
| Provider Name | Laura C Bayer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821570870 PECOS PAC ID: 7416209515 Enrollment ID: I20181017001470 |
| Provider Name | Briana Lea Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588149629 PECOS PAC ID: 6901159953 Enrollment ID: I20181022002597 |
| Provider Name | Amanda Rae Doubleday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114212123 PECOS PAC ID: 8729342944 Enrollment ID: I20181026000076 |
| Provider Name | Rachna Tiwari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699905679 PECOS PAC ID: 4284877440 Enrollment ID: I20181031001820 |
| Provider Name | Rebecca Edwards Koslov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376026492 PECOS PAC ID: 6406100262 Enrollment ID: I20181114000113 |
| Provider Name | Daniel Joel Mcculley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114313434 PECOS PAC ID: 6901116888 Enrollment ID: I20181115000354 |
| Provider Name | Elizabeth G Weitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705567 PECOS PAC ID: 2264786821 Enrollment ID: I20181116002127 |
| Provider Name | Timothy J Geier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154897668 PECOS PAC ID: 8426302928 Enrollment ID: I20181120001587 |
| Provider Name | Helen Manning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750899357 PECOS PAC ID: 3476807751 Enrollment ID: I20181127000606 |
| Provider Name | Julie Bosch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992284962 PECOS PAC ID: 6800130469 Enrollment ID: I20181207002257 |
| Provider Name | Lacey M Stelle |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518253640 PECOS PAC ID: 1658675848 Enrollment ID: I20181210002523 |
| Provider Name | Allyson Catherine Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417476664 PECOS PAC ID: 7416214655 Enrollment ID: I20181211001285 |
| Provider Name | Katlynn Ann Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912475393 PECOS PAC ID: 4385989797 Enrollment ID: I20181212003420 |
| Provider Name | Sabrina Lynn Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942272 PECOS PAC ID: 0446595888 Enrollment ID: I20181213000602 |
| Provider Name | Abbie Elizabeth Treiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851876841 PECOS PAC ID: 1658616941 Enrollment ID: I20181213003237 |
| Provider Name | Jennifer M. Egelseer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407944317 PECOS PAC ID: 4688676489 Enrollment ID: I20181218002120 |
| Provider Name | Dylan Steven Ledford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427443753 PECOS PAC ID: 9234421504 Enrollment ID: I20181231000891 |
| Provider Name | Laura Burns Eisenmenger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214479 PECOS PAC ID: 9234361494 Enrollment ID: I20190103000981 |
| Provider Name | Aurangzeb Baber |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1942513932 PECOS PAC ID: 0244480705 Enrollment ID: I20190118000406 |
| Provider Name | Katrina L. Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558838383 PECOS PAC ID: 4981942620 Enrollment ID: I20190205002045 |
| Provider Name | Kristin Eliza Friedl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306319686 PECOS PAC ID: 9931447356 Enrollment ID: I20190211001276 |
| Provider Name | Reem Almomani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730561911 PECOS PAC ID: 8022356336 Enrollment ID: I20190212002204 |
| Provider Name | Beth B Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922202183 PECOS PAC ID: 0941427132 Enrollment ID: I20190225002018 |
| Provider Name | Alida M Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891259107 PECOS PAC ID: 8628317062 Enrollment ID: I20190304000638 |
| Provider Name | Xonanet Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326512799 PECOS PAC ID: 5698014819 Enrollment ID: I20190306002019 |
| Provider Name | Chris Alan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871067553 PECOS PAC ID: 5395085112 Enrollment ID: I20190314000130 |
| Provider Name | Christie Lynn-warren King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093279085 PECOS PAC ID: 8325388812 Enrollment ID: I20190320000766 |
| Provider Name | Titus Dutcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999796 PECOS PAC ID: 3971581349 Enrollment ID: I20190326002215 |
| Provider Name | Dawna L Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003389172 PECOS PAC ID: 9234470121 Enrollment ID: I20190402001385 |
| Provider Name | Kathleen Siobhan Mccraw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548726110 PECOS PAC ID: 6608117361 Enrollment ID: I20190405000290 |
| Provider Name | Aisha I Rosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518427277 PECOS PAC ID: 8527309277 Enrollment ID: I20190408001377 |
| Provider Name | Stephanie Ann Savage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891785739 PECOS PAC ID: 0749459659 Enrollment ID: I20190411002297 |
| Provider Name | Lindsay N Corder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780159574 PECOS PAC ID: 0840531174 Enrollment ID: I20190413000123 |
| Provider Name | Shannon A Gedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013475656 PECOS PAC ID: 8527301720 Enrollment ID: I20190509001593 |
| Provider Name | Ben L Zarzaur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396795704 PECOS PAC ID: 7517942014 Enrollment ID: I20190514000995 |
| Provider Name | Ryan Keith Newberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467897439 PECOS PAC ID: 0244577138 Enrollment ID: I20190521003307 |
| Provider Name | Christopher Michael Myczkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659783652 PECOS PAC ID: 9133443930 Enrollment ID: I20190523001793 |
| Provider Name | Daniel M. Ranieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801214994 PECOS PAC ID: 6204143050 Enrollment ID: I20190524000238 |
| Provider Name | Yinzhong Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194147785 PECOS PAC ID: 7416249263 Enrollment ID: I20190524000379 |
| Provider Name | Patrick R Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952788796 PECOS PAC ID: 8426346974 Enrollment ID: I20190524000494 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346656873 PECOS PAC ID: 4284946260 Enrollment ID: I20190524001514 |
| Provider Name | Alexander Douglas Milsap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669836060 PECOS PAC ID: 3779876248 Enrollment ID: I20190528001329 |
| Provider Name | Patrick Scott Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689060055 PECOS PAC ID: 1557678471 Enrollment ID: I20190528002117 |
| Provider Name | Samantha Katherine Pabich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508284761 PECOS PAC ID: 9032410998 Enrollment ID: I20190529001259 |
| Provider Name | Matthew William Shore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669814737 PECOS PAC ID: 8729202049 Enrollment ID: I20190529001459 |
| Provider Name | Hani I Kuttab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114375961 PECOS PAC ID: 3971895442 Enrollment ID: I20190605000099 |
| Provider Name | Eric R Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851787386 PECOS PAC ID: 7719295203 Enrollment ID: I20190605000563 |
| Provider Name | Benjamin B Whiddon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831586817 PECOS PAC ID: 8729392626 Enrollment ID: I20190607000754 |
| Provider Name | Kristen A Marten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477916898 PECOS PAC ID: 2860785938 Enrollment ID: I20190607001495 |
| Provider Name | Steven P Daniels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174941934 PECOS PAC ID: 0840538070 Enrollment ID: I20190612000368 |
| Provider Name | Michael Joseph Beninati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033453600 PECOS PAC ID: 6204122898 Enrollment ID: I20190613000429 |
| Provider Name | Kallie Harrier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083271902 PECOS PAC ID: 3476886029 Enrollment ID: I20190613000449 |
| Provider Name | Robert B Fujiki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871151837 PECOS PAC ID: 1658604160 Enrollment ID: I20190614000195 |
| Provider Name | Bridget Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851636369 PECOS PAC ID: 9537451810 Enrollment ID: I20190618001363 |
| Provider Name | Daniel R Matson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093101701 PECOS PAC ID: 5193059558 Enrollment ID: I20190619001550 |
| Provider Name | Samuel Douglas Volin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356755573 PECOS PAC ID: 0143529545 Enrollment ID: I20190620001686 |
| Provider Name | Andrew Schaefer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528420072 PECOS PAC ID: 0648565051 Enrollment ID: I20190620002709 |
| Provider Name | William E Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760735351 PECOS PAC ID: 1850625039 Enrollment ID: I20190621000324 |
| Provider Name | Aaron Robert Chopee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679980379 PECOS PAC ID: 0547594608 Enrollment ID: I20190624000695 |
| Provider Name | Walid A Farhat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861052441 PECOS PAC ID: 8325372311 Enrollment ID: I20190625002604 |
| Provider Name | John Henry Norman Harrison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003236225 PECOS PAC ID: 0547563991 Enrollment ID: I20190625003104 |
| Provider Name | Thomas Landis Ratchford Jr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144563537 PECOS PAC ID: 7719115625 Enrollment ID: I20190626001820 |
| Provider Name | Amy Bruno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508265679 PECOS PAC ID: 0941534796 Enrollment ID: I20190627001529 |
| Provider Name | Adam Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164802138 PECOS PAC ID: 5294049755 Enrollment ID: I20190701000779 |
| Provider Name | Minnie W Kieler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942659883 PECOS PAC ID: 6406136282 Enrollment ID: I20190701000877 |
| Provider Name | Priyanka A Pophali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245598101 PECOS PAC ID: 7618288390 Enrollment ID: I20190703000468 |
| Provider Name | Ashley M Malm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740610468 PECOS PAC ID: 1355676503 Enrollment ID: I20190711000414 |
| Provider Name | Mark William Wirtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063772275 PECOS PAC ID: 1557641875 Enrollment ID: I20190711000452 |
| Provider Name | Kristin Catani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982056602 PECOS PAC ID: 6204129075 Enrollment ID: I20190712000544 |
| Provider Name | David D Aufhauser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528350725 PECOS PAC ID: 5193024172 Enrollment ID: I20190712001673 |
| Provider Name | Kalyan Vara Ganesh Nadiminti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568761427 PECOS PAC ID: 6709042088 Enrollment ID: I20190715000932 |
| Provider Name | Emily Susan Mycyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992365589 PECOS PAC ID: 6608101555 Enrollment ID: I20190715001410 |
| Provider Name | Stephen Halliday |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154612554 PECOS PAC ID: 0941502785 Enrollment ID: I20190715002315 |
| Provider Name | Samantha Ann Murray-bainer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568858348 PECOS PAC ID: 3375852247 Enrollment ID: I20190715002619 |
| Provider Name | Kevin D Kurt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184824757 PECOS PAC ID: 5193818219 Enrollment ID: I20190715003210 |
| Provider Name | Courtney E. Kohn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487074613 PECOS PAC ID: 1951605203 Enrollment ID: I20190716000341 |
| Provider Name | Kimberly E Daniel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013205202 PECOS PAC ID: 4688807563 Enrollment ID: I20190716001129 |
| Provider Name | Ali Pirasteh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164788253 PECOS PAC ID: 5092088708 Enrollment ID: I20190716002893 |
| Provider Name | Katharine Marie Greenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588026025 PECOS PAC ID: 5395008056 Enrollment ID: I20190717000037 |
| Provider Name | John Martin Floberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225456981 PECOS PAC ID: 0042545683 Enrollment ID: I20190718001236 |
| Provider Name | Amnah Aurangzeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295182939 PECOS PAC ID: 7012207913 Enrollment ID: I20190718001279 |
| Provider Name | Claudette Onyelobi Adegboro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740617414 PECOS PAC ID: 6608161328 Enrollment ID: I20190719000434 |
| Provider Name | Hilary E Faust |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669764817 PECOS PAC ID: 5698044816 Enrollment ID: I20190723001486 |
| Provider Name | Kellia J Hansmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952791766 PECOS PAC ID: 8628361235 Enrollment ID: I20190725000392 |
| Provider Name | William R Hartman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659345080 PECOS PAC ID: 8729047980 Enrollment ID: I20190725000865 |
| Provider Name | Christina Beaird Barreda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164866216 PECOS PAC ID: 3274757562 Enrollment ID: I20190729000000 |
| Provider Name | Brittany M Galusha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841647302 PECOS PAC ID: 3072806751 Enrollment ID: I20190729001883 |
| Provider Name | Matthew M Churpek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184807885 PECOS PAC ID: 0042367872 Enrollment ID: I20190801002164 |
| Provider Name | Blake Evan Fleeman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508155391 PECOS PAC ID: 1951536176 Enrollment ID: I20190802003095 |
| Provider Name | Matthew Dean Grimes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386087740 PECOS PAC ID: 3971726647 Enrollment ID: I20190805001094 |
| Provider Name | Alexander Roland Miranda |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538587324 PECOS PAC ID: 3779839220 Enrollment ID: I20190807000998 |
| Provider Name | Jane Ellen Churpek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063609121 PECOS PAC ID: 6204007339 Enrollment ID: I20190807001631 |
| Provider Name | Trenton Snyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972957504 PECOS PAC ID: 7517250632 Enrollment ID: I20190808000151 |
| Provider Name | Margarita Nisman German |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356606206 PECOS PAC ID: 2961635925 Enrollment ID: I20190813003618 |
| Provider Name | Angela Marie Marchant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124482542 PECOS PAC ID: 8729371281 Enrollment ID: I20190815000552 |
| Provider Name | Jillian Marie Bodden Hoenisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871145367 PECOS PAC ID: 2264769157 Enrollment ID: I20190815001707 |
| Provider Name | Caitlin J Regner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371418 PECOS PAC ID: 7214220789 Enrollment ID: I20190821000015 |
| Provider Name | Katelyn Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306490123 PECOS PAC ID: 6002144615 Enrollment ID: I20190821000127 |
| Provider Name | Stephanie Lynn Reopelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053965681 PECOS PAC ID: 6305174913 Enrollment ID: I20190821000385 |
| Provider Name | Emily Marie Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613817 PECOS PAC ID: 9537497011 Enrollment ID: I20190821002957 |
| Provider Name | Brian P Bye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760828263 PECOS PAC ID: 3274774609 Enrollment ID: I20190823000227 |
| Provider Name | David Sterken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295122182 PECOS PAC ID: 7719235373 Enrollment ID: I20190823000694 |
| Provider Name | Anthony J Garcia-prats |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003996356 PECOS PAC ID: 7012948227 Enrollment ID: I20190829000051 |
| Provider Name | Mara E Terras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700175551 PECOS PAC ID: 9830324524 Enrollment ID: I20190829000292 |
| Provider Name | Chey V Collura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326453200 PECOS PAC ID: 1355568122 Enrollment ID: I20190829000709 |
| Provider Name | Mahua Dey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891933057 PECOS PAC ID: 0244548097 Enrollment ID: I20190829001915 |
| Provider Name | Rebecca A Busch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831487164 PECOS PAC ID: 8022241298 Enrollment ID: I20190829003399 |
| Provider Name | John M Stratton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548817935 PECOS PAC ID: 3971831868 Enrollment ID: I20190830001307 |
| Provider Name | Jessica Lynn Bothun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295382679 PECOS PAC ID: 1153650098 Enrollment ID: I20190903000791 |
| Provider Name | Leah K O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295380566 PECOS PAC ID: 0941539787 Enrollment ID: I20190904002012 |
| Provider Name | Jerdan Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285054338 PECOS PAC ID: 8921356015 Enrollment ID: I20190905000715 |
| Provider Name | Nathan T Lepp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801017876 PECOS PAC ID: 0042457160 Enrollment ID: I20190906001196 |
| Provider Name | Kleitia Dida |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750743100 PECOS PAC ID: 9032406301 Enrollment ID: I20190909000000 |
| Provider Name | Emily Diana Kerins Ruedinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922268846 PECOS PAC ID: 7719201698 Enrollment ID: I20190909003896 |
| Provider Name | Alexa R Beversdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043862790 PECOS PAC ID: 6800125949 Enrollment ID: I20190916000012 |
| Provider Name | Julia Zepnick Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417472341 PECOS PAC ID: 2062741101 Enrollment ID: I20190916000087 |
| Provider Name | Jonathan Ogden Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073623104 PECOS PAC ID: 4183775232 Enrollment ID: I20190916000506 |
| Provider Name | Bethany Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598314304 PECOS PAC ID: 3476882473 Enrollment ID: I20190916002877 |
| Provider Name | Katryn N Furuya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205887312 PECOS PAC ID: 3678539053 Enrollment ID: I20190920001920 |
| Provider Name | Michael P Leasure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700144524 PECOS PAC ID: 7911211438 Enrollment ID: I20190927001350 |
| Provider Name | Eun Ha Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962793646 PECOS PAC ID: 8628388204 Enrollment ID: I20190930002060 |
| Provider Name | Anna Carole Hormig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770132268 PECOS PAC ID: 6204167133 Enrollment ID: I20191008001512 |
| Provider Name | Leslie R Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548815277 PECOS PAC ID: 9436480191 Enrollment ID: I20191010000205 |
| Provider Name | Kathryn Ann Kelly Mcqueen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972574168 PECOS PAC ID: 2466496294 Enrollment ID: I20191010000259 |
| Provider Name | Sara M Misurelli |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518508639 PECOS PAC ID: 9032440797 Enrollment ID: I20191010000373 |
| Provider Name | Clare Elizabeth O'connor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992123178 PECOS PAC ID: 4789988262 Enrollment ID: I20191011002623 |
| Provider Name | Catherine Fairbanks Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686785 PECOS PAC ID: 3274843198 Enrollment ID: I20191014002002 |
| Provider Name | Pippa Froukte Cosper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003255142 PECOS PAC ID: 9537386578 Enrollment ID: I20191017000178 |
| Provider Name | Christina Escuder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750931580 PECOS PAC ID: 2062744238 Enrollment ID: I20191022000697 |
| Provider Name | Lindsey L Boucher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700428562 PECOS PAC ID: 4385976372 Enrollment ID: I20191024000002 |
| Provider Name | Alicia Towne Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346609914 PECOS PAC ID: 0446582365 Enrollment ID: I20191025002550 |
| Provider Name | Kari A Weier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154688752 PECOS PAC ID: 9032441555 Enrollment ID: I20191101000095 |
| Provider Name | Lisa M Nackers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225435274 PECOS PAC ID: 9234454620 Enrollment ID: I20191107000034 |
| Provider Name | Victoria Jade Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730640178 PECOS PAC ID: 0941632178 Enrollment ID: I20191108002207 |
| Provider Name | Amy C S Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669664769 PECOS PAC ID: 5496848871 Enrollment ID: I20191111000059 |
| Provider Name | Wanda Meeteer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508401076 PECOS PAC ID: 2062844509 Enrollment ID: I20191121000767 |
| Provider Name | Joseph W Mckew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710538426 PECOS PAC ID: 1355773748 Enrollment ID: I20191125001248 |
| Provider Name | Jennifer L Trott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447895644 PECOS PAC ID: 5092148403 Enrollment ID: I20191125001975 |
| Provider Name | Heather Marie Tramel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407173412 PECOS PAC ID: 1658670476 Enrollment ID: I20191125002486 |
| Provider Name | Jessica Ann Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459769 PECOS PAC ID: 1456784701 Enrollment ID: I20191127002086 |
| Provider Name | Stephanie Jan Killoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023652310 PECOS PAC ID: 0749613990 Enrollment ID: I20191203000560 |
| Provider Name | Uzoamaka E Achufusi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154558773 PECOS PAC ID: 4183776362 Enrollment ID: I20191210000858 |
| Provider Name | Carley J. Zeal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306289046 PECOS PAC ID: 6608172648 Enrollment ID: I20191211000332 |
| Provider Name | Andrea Poist Bird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700155512 PECOS PAC ID: 1658704366 Enrollment ID: I20191211001945 |
| Provider Name | Ashley Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184278699 PECOS PAC ID: 1759715931 Enrollment ID: I20191220001582 |
| Provider Name | Claire E P Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179509 PECOS PAC ID: 8224462353 Enrollment ID: I20191226001559 |
| Provider Name | Bailey Elizabeth Higby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154967123 PECOS PAC ID: 1355775313 Enrollment ID: I20191227000912 |
| Provider Name | Jacqueline Sue Wolff-ellifson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023653847 PECOS PAC ID: 4789018763 Enrollment ID: I20191227002028 |
| Provider Name | Briana Lynn Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407220668 PECOS PAC ID: 9830524073 Enrollment ID: I20200116002697 |
| Provider Name | Abraham Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679513626 PECOS PAC ID: 2466479787 Enrollment ID: I20200124000757 |
| Provider Name | Sarah E Polyak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942729611 PECOS PAC ID: 9234565763 Enrollment ID: I20200131002680 |
| Provider Name | Bala Bhagavath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780889618 PECOS PAC ID: 1153414941 Enrollment ID: I20200205002135 |
| Provider Name | Sancia Ferguson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497070601 PECOS PAC ID: 9133434228 Enrollment ID: I20200206001369 |
| Provider Name | Christopher S Purtell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992190789 PECOS PAC ID: 9234445131 Enrollment ID: I20200207000355 |
| Provider Name | Katie Fink |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376183095 PECOS PAC ID: 2365878477 Enrollment ID: I20200210001747 |
| Provider Name | William T Alward |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609880939 PECOS PAC ID: 0648266551 Enrollment ID: I20200211001576 |
| Provider Name | Linda K Geren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790316172 PECOS PAC ID: 0244666246 Enrollment ID: I20200211002419 |
| Provider Name | James Peter Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407926926 PECOS PAC ID: 3072563774 Enrollment ID: I20200212001202 |
| Provider Name | James C Plasky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023595485 PECOS PAC ID: 0244589240 Enrollment ID: I20200221000432 |
| Provider Name | Jennifer M Racz |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053864405 PECOS PAC ID: 9436446473 Enrollment ID: I20200303002733 |
| Provider Name | Anne M Marsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063612448 PECOS PAC ID: 5193005080 Enrollment ID: I20200304001001 |
| Provider Name | Kristin Irene Harkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003440462 PECOS PAC ID: 4789012642 Enrollment ID: I20200309000496 |
| Provider Name | Sree V Pilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760883995 PECOS PAC ID: 3476810177 Enrollment ID: I20200312000723 |
| Provider Name | Emily M Fontaine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531096 PECOS PAC ID: 9436380029 Enrollment ID: I20200313000011 |
| Provider Name | Kellene Vokaty Eagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639407174 PECOS PAC ID: 7719165430 Enrollment ID: I20200316001047 |
| Provider Name | Jeffrey James Helgager |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407263924 PECOS PAC ID: 0941427975 Enrollment ID: I20200316001074 |
| Provider Name | Maria R Rosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992804793 PECOS PAC ID: 0648319814 Enrollment ID: I20200317000942 |
| Provider Name | Mackenzie Capshaw Asel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831538099 PECOS PAC ID: 0143528778 Enrollment ID: I20200319002711 |
| Provider Name | Stacy Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679937072 PECOS PAC ID: 0244523819 Enrollment ID: I20200324001146 |
| Provider Name | Lynn M Schnapp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205912953 PECOS PAC ID: 1355475336 Enrollment ID: I20200324001277 |
| Provider Name | Carly A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730714973 PECOS PAC ID: 8921437930 Enrollment ID: I20200326001294 |
| Provider Name | Jennifer Diane Hildner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396370193 PECOS PAC ID: 1658700679 Enrollment ID: I20200326001360 |
| Provider Name | John F Swietlik |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285029314 PECOS PAC ID: 4880974666 Enrollment ID: I20200331002012 |
| Provider Name | Kristine M Hippler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417583725 PECOS PAC ID: 1951731975 Enrollment ID: I20200415001269 |
| Provider Name | Andrea Kaye Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740816016 PECOS PAC ID: 3375973258 Enrollment ID: I20200416001125 |
| Provider Name | Chris Konstantinou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346246162 PECOS PAC ID: 9335198423 Enrollment ID: I20200424002313 |
| Provider Name | Nicki Lynn Seager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174154330 PECOS PAC ID: 3072943406 Enrollment ID: I20200424002506 |
| Provider Name | Gonzalo E Ruiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407167356 PECOS PAC ID: 9436388840 Enrollment ID: I20200427002344 |
| Provider Name | Aaron Kuntz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053766931 PECOS PAC ID: 4789979360 Enrollment ID: I20200512001969 |
| Provider Name | Ann Chodara |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578959870 PECOS PAC ID: 5991011470 Enrollment ID: I20200512002070 |
| Provider Name | Daniel G Rhoades |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265828354 PECOS PAC ID: 7719291772 Enrollment ID: I20200512002127 |
| Provider Name | Daniel L Rosenberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265828024 PECOS PAC ID: 7214245596 Enrollment ID: I20200512002201 |
| Provider Name | Elyse I Harris |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215324090 PECOS PAC ID: 4587976550 Enrollment ID: I20200512002316 |
| Provider Name | Jeremy D Kratz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417344177 PECOS PAC ID: 5698081180 Enrollment ID: I20200513000031 |
| Provider Name | Kurtis J Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748907 PECOS PAC ID: 1850641986 Enrollment ID: I20200513000054 |
| Provider Name | Marina N Sharifi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265896450 PECOS PAC ID: 8628361250 Enrollment ID: I20200513000139 |
| Provider Name | Matthew J Brunner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568858264 PECOS PAC ID: 4486960952 Enrollment ID: I20200513000213 |
| Provider Name | Megan K Lutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306232863 PECOS PAC ID: 1254647803 Enrollment ID: I20200513000377 |
| Provider Name | Peter Stadmeyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548656879 PECOS PAC ID: 6406163963 Enrollment ID: I20200513000661 |
| Provider Name | Robert Farney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134514763 PECOS PAC ID: 7810289816 Enrollment ID: I20200513000906 |
| Provider Name | William Stevens Barge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487034799 PECOS PAC ID: 7113218892 Enrollment ID: I20200513000995 |
| Provider Name | Emily B Hesselink |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922494665 PECOS PAC ID: 1951618453 Enrollment ID: I20200513001063 |
| Provider Name | Michael David Puricelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679834089 PECOS PAC ID: 2365672912 Enrollment ID: I20200519000306 |
| Provider Name | Amy L. Jaeger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134528151 PECOS PAC ID: 1951622851 Enrollment ID: I20200519000561 |
| Provider Name | Corlin M Jewell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225563059 PECOS PAC ID: 4789954900 Enrollment ID: I20200519002830 |
| Provider Name | Alison R Gegios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669867990 PECOS PAC ID: 9830420090 Enrollment ID: I20200521000095 |
| Provider Name | Michelle Denice Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427404128 PECOS PAC ID: 2860784246 Enrollment ID: I20200521000938 |
| Provider Name | Madhuchhanda I Roy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518387539 PECOS PAC ID: 5395968077 Enrollment ID: I20200527000663 |
| Provider Name | Joshua James Lyle Gauger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851754840 PECOS PAC ID: 2264724947 Enrollment ID: I20200601000017 |
| Provider Name | Iliya Amaza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205242732 PECOS PAC ID: 7113237298 Enrollment ID: I20200602000438 |
| Provider Name | Mitchell K Daun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265827943 PECOS PAC ID: 2961776356 Enrollment ID: I20200603003079 |
| Provider Name | Joshua R Fage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437579844 PECOS PAC ID: 9436570140 Enrollment ID: I20200605000320 |
| Provider Name | Jeffrey S. Grzybowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114381647 PECOS PAC ID: 9537451257 Enrollment ID: I20200605001897 |
| Provider Name | Nicholas J Pytel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700204773 PECOS PAC ID: 3274838156 Enrollment ID: I20200605002313 |
| Provider Name | Ying Eva Lu-boettcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669852000 PECOS PAC ID: 6507173085 Enrollment ID: I20200608001572 |
| Provider Name | Lashika D Yogendran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700310182 PECOS PAC ID: 7517237340 Enrollment ID: I20200608002752 |
| Provider Name | Andrew Louis Wentland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295121986 PECOS PAC ID: 6406151158 Enrollment ID: I20200609001538 |
| Provider Name | Irene A Hurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184041097 PECOS PAC ID: 0941586838 Enrollment ID: I20200611002885 |
| Provider Name | Benjamin Layne Eithun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902132376 PECOS PAC ID: 1850713025 Enrollment ID: I20200616001672 |
| Provider Name | Evan T Nolander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700310166 PECOS PAC ID: 5092085852 Enrollment ID: I20200616002263 |
| Provider Name | Majid Afshar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265699151 PECOS PAC ID: 5092868646 Enrollment ID: I20200619000641 |
| Provider Name | Sara B Warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215446265 PECOS PAC ID: 7517389398 Enrollment ID: I20200624001682 |
| Provider Name | Bethany A Meyering |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346865581 PECOS PAC ID: 0244652022 Enrollment ID: I20200624001712 |
| Provider Name | Alexandra Wick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699205831 PECOS PAC ID: 7911271812 Enrollment ID: I20200629000263 |
| Provider Name | Jacquelyn Hanna Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811330376 PECOS PAC ID: 7911203914 Enrollment ID: I20200629000950 |
| Provider Name | Newton J Hurst |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417248170 PECOS PAC ID: 3971807348 Enrollment ID: I20200629002408 |
| Provider Name | Paul Matthew Manganaro |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568088474 PECOS PAC ID: 1052733516 Enrollment ID: I20200630000679 |
| Provider Name | Deval Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336675370 PECOS PAC ID: 3072883230 Enrollment ID: I20200630002339 |
| Provider Name | Matthew T Perkovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326569047 PECOS PAC ID: 0547534968 Enrollment ID: I20200706001238 |
| Provider Name | Ethan J Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053792895 PECOS PAC ID: 2567723554 Enrollment ID: I20200707000225 |
| Provider Name | Ashley Privalle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710340757 PECOS PAC ID: 3173815503 Enrollment ID: I20200707002882 |
| Provider Name | Daniel Scott Modaff |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295092104 PECOS PAC ID: 0749412054 Enrollment ID: I20200707003199 |
| Provider Name | Melissa M Macdonald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194143370 PECOS PAC ID: 9234354598 Enrollment ID: I20200709000036 |
| Provider Name | Margaret A Knoedler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578950234 PECOS PAC ID: 1052617644 Enrollment ID: I20200710002951 |
| Provider Name | Robin Paudel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619369626 PECOS PAC ID: 9931415452 Enrollment ID: I20200714000459 |
| Provider Name | Vrunda H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306294988 PECOS PAC ID: 6608149471 Enrollment ID: I20200714001469 |
| Provider Name | Edward M Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912393703 PECOS PAC ID: 2860700879 Enrollment ID: I20200715003398 |
| Provider Name | Alexandra Mary Schultz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225391659 PECOS PAC ID: 1456775956 Enrollment ID: I20200716002264 |
| Provider Name | Frederick Ketchum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912354994 PECOS PAC ID: 5698069037 Enrollment ID: I20200716002809 |
| Provider Name | Jessica Sue Tischendorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740523927 PECOS PAC ID: 8628291192 Enrollment ID: I20200716002851 |
| Provider Name | Katrina Hickle-koclanes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235525973 PECOS PAC ID: 0143530071 Enrollment ID: I20200716003828 |
| Provider Name | Evan Chesler Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245677061 PECOS PAC ID: 5991085714 Enrollment ID: I20200716003972 |
| Provider Name | Barrett P Kenny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922427467 PECOS PAC ID: 4486877867 Enrollment ID: I20200717000353 |
| Provider Name | Allison E Schroeder |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1750905931 PECOS PAC ID: 5991129207 Enrollment ID: I20200720003522 |
| Provider Name | Colin Durand Boettcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447646484 PECOS PAC ID: 2163758228 Enrollment ID: I20200723003328 |
| Provider Name | Meaghan Trainor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730567736 PECOS PAC ID: 1355645110 Enrollment ID: I20200724000402 |
| Provider Name | Allison Lindell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619395878 PECOS PAC ID: 1456574888 Enrollment ID: I20200724002185 |
| Provider Name | Blair Golden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235523101 PECOS PAC ID: 3173828456 Enrollment ID: I20200729000111 |
| Provider Name | Camille Ladanyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780097071 PECOS PAC ID: 5890911697 Enrollment ID: I20200729001124 |
| Provider Name | Saryn V Stramecki Doucette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366653628 PECOS PAC ID: 6800997776 Enrollment ID: I20200730003184 |
| Provider Name | Elizabeth Scholzen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720437304 PECOS PAC ID: 6709178791 Enrollment ID: I20200731001088 |
| Provider Name | Frank C. Lin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275973737 PECOS PAC ID: 4082978283 Enrollment ID: I20200731001975 |
| Provider Name | Ashton M Fuchs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588132310 PECOS PAC ID: 0648695015 Enrollment ID: I20200731002107 |
| Provider Name | Elizabeth Marie Salisbury Afshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932366812 PECOS PAC ID: 1456532969 Enrollment ID: I20200803002029 |
| Provider Name | Kevin A. Mayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245856954 PECOS PAC ID: 1557786811 Enrollment ID: I20200803003061 |
| Provider Name | Andrew R Spiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588907992 PECOS PAC ID: 9133342611 Enrollment ID: I20200804000265 |
| Provider Name | Megan Elizabeth Yanny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679935951 PECOS PAC ID: 3971898750 Enrollment ID: I20200807001388 |
| Provider Name | Julia R. Berian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740576339 PECOS PAC ID: 3971806837 Enrollment ID: I20200813001339 |
| Provider Name | Katie B Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811216716 PECOS PAC ID: 0345598264 Enrollment ID: I20200818002812 |
| Provider Name | Melinda E Chen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558656066 PECOS PAC ID: 3274781216 Enrollment ID: I20200819000254 |
| Provider Name | Tyler D Will |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932634862 PECOS PAC ID: 7911277769 Enrollment ID: I20200821002697 |
| Provider Name | Meisam Hosseinabadi Moghbelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790827210 PECOS PAC ID: 1557438546 Enrollment ID: I20200824000852 |
| Provider Name | James D Gentry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144555947 PECOS PAC ID: 0941227540 Enrollment ID: I20200825000477 |
| Provider Name | William S Bradham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659428506 PECOS PAC ID: 6608909742 Enrollment ID: I20200825003638 |
| Provider Name | Srinivas N Naidu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750592739 PECOS PAC ID: 9830352913 Enrollment ID: I20200827001298 |
| Provider Name | Andrew S Mcclintock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104318724 PECOS PAC ID: 6204253818 Enrollment ID: I20200827002414 |
| Provider Name | Andreas Robert De Biasi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295024453 PECOS PAC ID: 7810314440 Enrollment ID: I20200827003317 |
| Provider Name | Timothy M Schmidt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598182974 PECOS PAC ID: 8628388568 Enrollment ID: I20200831000688 |
| Provider Name | Kyle Z Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578091294 PECOS PAC ID: 9638449622 Enrollment ID: I20200831003041 |
| Provider Name | Chad M Ennis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184010977 PECOS PAC ID: 3375856180 Enrollment ID: I20200901000394 |
| Provider Name | Charles P Shahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033477070 PECOS PAC ID: 8820234586 Enrollment ID: I20200901001415 |
| Provider Name | Therese A Aschkenase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914541 PECOS PAC ID: 4981021128 Enrollment ID: I20200902000760 |
| Provider Name | Monica Arun Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881004356 PECOS PAC ID: 2860610748 Enrollment ID: I20200903000722 |
| Provider Name | Mehreen Kisat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275895229 PECOS PAC ID: 9830454040 Enrollment ID: I20200904000525 |
| Provider Name | Alyssa N Reding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053920496 PECOS PAC ID: 0840618872 Enrollment ID: I20200908002237 |
| Provider Name | Michael Jon Hansen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518352152 PECOS PAC ID: 8325342751 Enrollment ID: I20200910003357 |
| Provider Name | Lucia Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104439678 PECOS PAC ID: 4183042922 Enrollment ID: I20200910003519 |
| Provider Name | Gozde Demiralp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972795383 PECOS PAC ID: 6305033614 Enrollment ID: I20200911001153 |
| Provider Name | Vinay L Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639583750 PECOS PAC ID: 3577783612 Enrollment ID: I20200917001761 |
| Provider Name | Michael A Kessler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396132619 PECOS PAC ID: 5092021584 Enrollment ID: I20200918000352 |
| Provider Name | Patrick R Varley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386965481 PECOS PAC ID: 4789002064 Enrollment ID: I20200918000728 |
| Provider Name | Luke Hillman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841617776 PECOS PAC ID: 6800190752 Enrollment ID: I20200918002046 |
| Provider Name | Gina M Forte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538572615 PECOS PAC ID: 4981952991 Enrollment ID: I20200921000079 |
| Provider Name | Shuang Zhao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790165371 PECOS PAC ID: 5496049975 Enrollment ID: I20200921001809 |
| Provider Name | Jonathan James Mietchen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073030961 PECOS PAC ID: 8325466527 Enrollment ID: I20200921002295 |
| Provider Name | Bridget Erin Shields |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730561846 PECOS PAC ID: 2062705619 Enrollment ID: I20200921002302 |
| Provider Name | Josef Tofte |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801215314 PECOS PAC ID: 0143446419 Enrollment ID: I20200922001089 |
| Provider Name | Whitney Fallahian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083000749 PECOS PAC ID: 9739469180 Enrollment ID: I20200923000208 |
| Provider Name | Brittany J Storhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477167146 PECOS PAC ID: 7214356062 Enrollment ID: I20200929001788 |
| Provider Name | Grace C Blitzer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053844852 PECOS PAC ID: 1355611567 Enrollment ID: I20200929003768 |
| Provider Name | Lauren Formella Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649790858 PECOS PAC ID: 3678839545 Enrollment ID: I20200930000273 |
| Provider Name | Syed Nabeel Zafar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1760740898 PECOS PAC ID: 1850680596 Enrollment ID: I20200930000665 |
| Provider Name | Heidi Marie Kloster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528188182 PECOS PAC ID: 3870714462 Enrollment ID: I20200930002815 |
| Provider Name | Katherine Hass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084893 PECOS PAC ID: 9931528502 Enrollment ID: I20200930003406 |
| Provider Name | Roomasa Channa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013204163 PECOS PAC ID: 1850540683 Enrollment ID: I20201001000185 |
| Provider Name | Agnieszka J Silbert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871543447 PECOS PAC ID: 0042201600 Enrollment ID: I20201001001367 |
| Provider Name | Margaret Claire Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275141822 PECOS PAC ID: 5092134593 Enrollment ID: I20201002000735 |
| Provider Name | Shenikqua Bouges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639597099 PECOS PAC ID: 8527370246 Enrollment ID: I20201006002381 |
| Provider Name | Terri A Lefeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770191777 PECOS PAC ID: 2163841461 Enrollment ID: I20201006003112 |
| Provider Name | William P Jacoby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972037141 PECOS PAC ID: 1658640040 Enrollment ID: I20201007001553 |
| Provider Name | Sari L Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376158667 PECOS PAC ID: 5890115000 Enrollment ID: I20201008002354 |
| Provider Name | Todd O Noreuil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053396242 PECOS PAC ID: 7618929860 Enrollment ID: I20201013000465 |
| Provider Name | James Clark Ircink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023545886 PECOS PAC ID: 7012264245 Enrollment ID: I20201015003341 |
| Provider Name | Erik C Bartholomew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720344260 PECOS PAC ID: 9436462389 Enrollment ID: I20201016000048 |
| Provider Name | Robert Edmond Shaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205221983 PECOS PAC ID: 1759701477 Enrollment ID: I20201020000111 |
| Provider Name | Jefree James Schulte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427462456 PECOS PAC ID: 3375847296 Enrollment ID: I20201020000224 |
| Provider Name | Kim Keppler-noreuil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629063334 PECOS PAC ID: 7416092762 Enrollment ID: I20201021000137 |
| Provider Name | Sara Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265039812 PECOS PAC ID: 4789004391 Enrollment ID: I20201021000697 |
| Provider Name | Elizabeth A Mann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326484650 PECOS PAC ID: 9931407624 Enrollment ID: I20201027003151 |
| Provider Name | Bridget M Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205113339 PECOS PAC ID: 6002080355 Enrollment ID: I20201029000797 |
| Provider Name | Erin M Lowery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750543823 PECOS PAC ID: 4486838174 Enrollment ID: I20201102001857 |
| Provider Name | Dorothy Anne Imhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073112082 PECOS PAC ID: 1951711738 Enrollment ID: I20201105002667 |
| Provider Name | Brian F Mullan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043208085 PECOS PAC ID: 6103916671 Enrollment ID: I20201110000614 |
| Provider Name | Kelli M Notaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790383321 PECOS PAC ID: 3971913443 Enrollment ID: I20201112000904 |
| Provider Name | Kelly Marie Faltersack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134661689 PECOS PAC ID: 0749691012 Enrollment ID: I20201118001939 |
| Provider Name | Heidi L Twedt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861414435 PECOS PAC ID: 4688866411 Enrollment ID: I20201203000401 |
| Provider Name | Darcy Ann Stagman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235381534 PECOS PAC ID: 4284046608 Enrollment ID: I20201209000420 |
| Provider Name | Meeghan A Lautner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1477736478 PECOS PAC ID: 4486894193 Enrollment ID: I20201211000013 |
| Provider Name | Corinne Altamira |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235696642 PECOS PAC ID: 8628480837 Enrollment ID: I20201211002252 |
| Provider Name | Jean Marie Reiche |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326379033 PECOS PAC ID: 9830501980 Enrollment ID: I20201214001343 |
| Provider Name | Gracie Michelle Mcdermott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194367128 PECOS PAC ID: 2466864566 Enrollment ID: I20201215000192 |
| Provider Name | Katherine M Bybee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972057214 PECOS PAC ID: 8325450323 Enrollment ID: I20201216001516 |
| Provider Name | Glenda Frances Kittell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992036784 PECOS PAC ID: 0547672479 Enrollment ID: I20201216003162 |
| Provider Name | Wendy R Hahn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205299104 PECOS PAC ID: 4183036023 Enrollment ID: I20201216003241 |
| Provider Name | Kavita H Poddar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538575444 PECOS PAC ID: 1052723905 Enrollment ID: I20201217000383 |
| Provider Name | Kristan A O'toole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427665397 PECOS PAC ID: 1153733977 Enrollment ID: I20201218000558 |
| Provider Name | Michelle Parisa Toigo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508482118 PECOS PAC ID: 9537571302 Enrollment ID: I20201221000100 |
| Provider Name | Katherine E Packwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316553720 PECOS PAC ID: 9931512332 Enrollment ID: I20210104000492 |
| Provider Name | Kaitlin Joy Hoard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699391326 PECOS PAC ID: 7810300274 Enrollment ID: I20210105000761 |
| Provider Name | Janna Kirsten Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891076972 PECOS PAC ID: 8325200017 Enrollment ID: I20210105001996 |
| Provider Name | Wendy Broekema |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538542733 PECOS PAC ID: 4385057603 Enrollment ID: I20210106000523 |
| Provider Name | Sara-nicole N Nicoles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851895635 PECOS PAC ID: 2062761414 Enrollment ID: I20210107000944 |
| Provider Name | Kristina Lea Penniston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184953267 PECOS PAC ID: 9739593336 Enrollment ID: I20210121002435 |
| Provider Name | Jessica L Peszek |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538756861 PECOS PAC ID: 7911311345 Enrollment ID: I20210127000176 |
| Provider Name | Morgan M. Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619565439 PECOS PAC ID: 7517371958 Enrollment ID: I20210127000381 |
| Provider Name | Alison Jayme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174965164 PECOS PAC ID: 5890928204 Enrollment ID: I20210128000775 |
| Provider Name | Jane M Kersten |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255929063 PECOS PAC ID: 5799199634 Enrollment ID: I20210204000363 |
| Provider Name | Matthew K Rekowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487250437 PECOS PAC ID: 6305251562 Enrollment ID: I20210221000012 |
| Provider Name | Kathleen L Gorenc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729764 PECOS PAC ID: 8921413832 Enrollment ID: I20210225003393 |
| Provider Name | Barbara L Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609295310 PECOS PAC ID: 3971827627 Enrollment ID: I20210304001133 |
| Provider Name | Kelley Anastasia Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295141109 PECOS PAC ID: 7810303435 Enrollment ID: I20210305001923 |
| Provider Name | Amber Rae Bladorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235724170 PECOS PAC ID: 7810304854 Enrollment ID: I20210318001717 |
| Provider Name | Anastasia C Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700982261 PECOS PAC ID: 3971763715 Enrollment ID: I20210319001852 |
| Provider Name | John Truitt Dollerschell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083057020 PECOS PAC ID: 8921309956 Enrollment ID: I20210322001395 |
| Provider Name | Samantha Skaife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740874585 PECOS PAC ID: 3678980455 Enrollment ID: I20210323000519 |
| Provider Name | Christopher Clay Hanger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407822091 PECOS PAC ID: 4789582586 Enrollment ID: I20210323001322 |
| Provider Name | Margrett Christine Sampe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366936049 PECOS PAC ID: 2365859105 Enrollment ID: I20210324000180 |
| Provider Name | Karine De Oliveira Dias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932428695 PECOS PAC ID: 9133347362 Enrollment ID: I20210326000425 |
| Provider Name | Kathleen Dawn T Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548855349 PECOS PAC ID: 3678980893 Enrollment ID: I20210405001990 |
| Provider Name | Christina H Bryndzia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659660330 PECOS PAC ID: 4486958832 Enrollment ID: I20210409001101 |
| Provider Name | Preston Michael Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144675133 PECOS PAC ID: 2163781964 Enrollment ID: I20210420002658 |
| Provider Name | Brian Kaspar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891244687 PECOS PAC ID: 6709167596 Enrollment ID: I20210428000465 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20210428001977 |
| Provider Name | Lesley A Friedhoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083926570 PECOS PAC ID: 6608107958 Enrollment ID: I20210504001446 |
| Provider Name | Elizabeth S Richards |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477941466 PECOS PAC ID: 3971831231 Enrollment ID: I20210505002964 |
| Provider Name | Alyce Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174111926 PECOS PAC ID: 1658780408 Enrollment ID: I20210506001590 |
| Provider Name | Krista L Kienitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467478966 PECOS PAC ID: 9638588486 Enrollment ID: I20210506001696 |
| Provider Name | Michael Stephen Meyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083126494 PECOS PAC ID: 3577972231 Enrollment ID: I20210510001058 |
| Provider Name | Brittney Bernardoni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043605678 PECOS PAC ID: 1355653908 Enrollment ID: I20210510002068 |
| Provider Name | Michael Ries |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336674217 PECOS PAC ID: 8325318397 Enrollment ID: I20210511000390 |
| Provider Name | Prashant Nagpal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255763579 PECOS PAC ID: 4284861782 Enrollment ID: I20210511002048 |
| Provider Name | Jeffrey Todd Vassalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306280409 PECOS PAC ID: 7911135520 Enrollment ID: I20210513001182 |
| Provider Name | Melissa Jane Burckardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730629346 PECOS PAC ID: 1153730510 Enrollment ID: I20210514001744 |
| Provider Name | Toni-denise Espina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962829994 PECOS PAC ID: 6204130594 Enrollment ID: I20210520000279 |
| Provider Name | Rachael Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279741 PECOS PAC ID: 6901221670 Enrollment ID: I20210520000571 |
| Provider Name | Michael Francis Spigner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417319427 PECOS PAC ID: 6901190552 Enrollment ID: I20210524002615 |
| Provider Name | Matthew H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447538566 PECOS PAC ID: 8820394729 Enrollment ID: I20210528000528 |
| Provider Name | Daniel E Enz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699792440 PECOS PAC ID: 5799184404 Enrollment ID: I20210601000679 |
| Provider Name | Rebekah Lynn Chapman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700971256 PECOS PAC ID: 2961404520 Enrollment ID: I20210602002070 |
| Provider Name | Eric James Monroe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073747796 PECOS PAC ID: 3870818495 Enrollment ID: I20210602002164 |
| Provider Name | Lindsey N Taylor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699123612 PECOS PAC ID: 8628361292 Enrollment ID: I20210603001299 |
| Provider Name | Rhiannon Jane Talbot |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841723467 PECOS PAC ID: 7113271602 Enrollment ID: I20210603003152 |
| Provider Name | Elizabeth A Townsend |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427583327 PECOS PAC ID: 4981974979 Enrollment ID: I20210607000746 |
| Provider Name | Giuseppe V Toia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710364187 PECOS PAC ID: 1951605815 Enrollment ID: I20210610000163 |
| Provider Name | Charlotte Lasenna |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538521521 PECOS PAC ID: 6103110705 Enrollment ID: I20210610000592 |
| Provider Name | Collin Michels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558894105 PECOS PAC ID: 6204236367 Enrollment ID: I20210610001524 |
| Provider Name | Michael Joseph Accavitti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679952642 PECOS PAC ID: 4082905955 Enrollment ID: I20210610003033 |
| Provider Name | Floreta Shapiro |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1740717198 PECOS PAC ID: 7214337336 Enrollment ID: I20210611000024 |
| Provider Name | Anna M Habermeyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023414869 PECOS PAC ID: 7315261641 Enrollment ID: I20210616000708 |
| Provider Name | John Tyler Moses |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275100562 PECOS PAC ID: 8527468123 Enrollment ID: I20210618001942 |
| Provider Name | Olivia M Dittmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508431214 PECOS PAC ID: 8325448921 Enrollment ID: I20210618002026 |
| Provider Name | Hannah L Sleep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295303816 PECOS PAC ID: 6507267010 Enrollment ID: I20210622001016 |
| Provider Name | Andrey Prilutskiy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588026538 PECOS PAC ID: 8921394065 Enrollment ID: I20210622001170 |
| Provider Name | Taylor Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124694674 PECOS PAC ID: 0749681179 Enrollment ID: I20210623001501 |
| Provider Name | Abigail Stewart Cutler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316385776 PECOS PAC ID: 9133422736 Enrollment ID: I20210623002781 |
| Provider Name | Bipin Sunkara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306333679 PECOS PAC ID: 4688083298 Enrollment ID: I20210629003504 |
| Provider Name | Vincent T Ma |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437530722 PECOS PAC ID: 4183924905 Enrollment ID: I20210630000721 |
| Provider Name | Justin B Levinson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215322888 PECOS PAC ID: 8123371994 Enrollment ID: I20210630003929 |
| Provider Name | Janelle Sobecki |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518385244 PECOS PAC ID: 2860797149 Enrollment ID: I20210701003502 |
| Provider Name | Lauren E Armstrong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811564545 PECOS PAC ID: 1557762176 Enrollment ID: I20210701003863 |
| Provider Name | Anna M Kaiser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396855425 PECOS PAC ID: 8921912866 Enrollment ID: I20210709002255 |
| Provider Name | Jennifer L Philip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063831816 PECOS PAC ID: 1951524354 Enrollment ID: I20210713000138 |
| Provider Name | Nathaniel Logan Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598333189 PECOS PAC ID: 9931501996 Enrollment ID: I20210713002874 |
| Provider Name | Ellen M Selkie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649404898 PECOS PAC ID: 8628383148 Enrollment ID: I20210716001135 |
| Provider Name | Luke D Zurbriggen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699161901 PECOS PAC ID: 4486960838 Enrollment ID: I20210716001317 |
| Provider Name | Ankush Bhatia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225394802 PECOS PAC ID: 0941550792 Enrollment ID: I20210719001110 |
| Provider Name | Robert Freidel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730685835 PECOS PAC ID: 1658628854 Enrollment ID: I20210719001642 |
| Provider Name | Rachel Kathryn Weber Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780119370 PECOS PAC ID: 4486924339 Enrollment ID: I20210720001638 |
| Provider Name | Katrina Wolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235635913 PECOS PAC ID: 9537416482 Enrollment ID: I20210721001511 |
| Provider Name | Jacob C Halvorsen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326423930 PECOS PAC ID: 1153614888 Enrollment ID: I20210721003702 |
| Provider Name | Roberto Javier Vidri Alonso-rochi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497042998 PECOS PAC ID: 1658591219 Enrollment ID: I20210722000042 |
| Provider Name | Andrew O'donnell Coyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155286 PECOS PAC ID: 9234356247 Enrollment ID: I20210722000491 |
| Provider Name | Anand Kumar Narayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124304217 PECOS PAC ID: 3971752270 Enrollment ID: I20210723000932 |
| Provider Name | Haik Yanashyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619380433 PECOS PAC ID: 4284983206 Enrollment ID: I20210724000012 |
| Provider Name | Kevin M Riggle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669747853 PECOS PAC ID: 6507156064 Enrollment ID: I20210726000840 |
| Provider Name | Ryan E Tsuchida |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568995983 PECOS PAC ID: 7416226170 Enrollment ID: I20210727001754 |
| Provider Name | Kathryn Less |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548763378 PECOS PAC ID: 4385047471 Enrollment ID: I20210727002975 |
| Provider Name | Paul G Durick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417122920 PECOS PAC ID: 9032262993 Enrollment ID: I20210728001131 |
| Provider Name | Maryam L Famouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783196 PECOS PAC ID: 1951672450 Enrollment ID: I20210728002587 |
| Provider Name | Alexander S Chiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194145334 PECOS PAC ID: 6507187630 Enrollment ID: I20210728003163 |
| Provider Name | Richard T Lenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285200741 PECOS PAC ID: 3971906884 Enrollment ID: I20210729000054 |
| Provider Name | Carolyn M Sleeth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609372101 PECOS PAC ID: 8628325701 Enrollment ID: I20210729002289 |
| Provider Name | Ali Zandieh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518320126 PECOS PAC ID: 7618264383 Enrollment ID: I20210729003689 |
| Provider Name | Kathryn Kecheng Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528359700 PECOS PAC ID: 8628383429 Enrollment ID: I20210804003403 |
| Provider Name | Carl Andrew Cassel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689087900 PECOS PAC ID: 1355638263 Enrollment ID: I20210809001338 |
| Provider Name | Molly Ann Day |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356721450 PECOS PAC ID: 8022323708 Enrollment ID: I20210809001545 |
| Provider Name | Bryn Dionna Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477713949 PECOS PAC ID: 6406008911 Enrollment ID: I20210811000620 |
| Provider Name | Tauqeer Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285085498 PECOS PAC ID: 7618261082 Enrollment ID: I20210812002795 |
| Provider Name | Lauren Fetsko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699155382 PECOS PAC ID: 8022310242 Enrollment ID: I20210816001370 |
| Provider Name | Inna Neyman Lobeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336435494 PECOS PAC ID: 5294033171 Enrollment ID: I20210816001836 |
| Provider Name | Jacqueline Susan Israel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518200831 PECOS PAC ID: 8527282946 Enrollment ID: I20210816003480 |
| Provider Name | Mark R Mccabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407352537 PECOS PAC ID: 3274968276 Enrollment ID: I20210817002483 |
| Provider Name | Chelsea R Guenzler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275067985 PECOS PAC ID: 3870998693 Enrollment ID: I20210817002837 |
| Provider Name | Karen L Mecklenburg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376655886 PECOS PAC ID: 4486847894 Enrollment ID: I20210818001326 |
| Provider Name | Rachel Marie Engen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548434780 PECOS PAC ID: 5991976599 Enrollment ID: I20210818001377 |
| Provider Name | Vinaya P Bhatia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538589064 PECOS PAC ID: 5799029260 Enrollment ID: I20210819002317 |
| Provider Name | Sonya Kirmani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861712358 PECOS PAC ID: 4385886811 Enrollment ID: I20210820003138 |
| Provider Name | Jon Fredrick Pennycuff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568889756 PECOS PAC ID: 2365747714 Enrollment ID: I20210823001515 |
| Provider Name | Benjamin C. Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689348567 PECOS PAC ID: 5991100315 Enrollment ID: I20210824001731 |
| Provider Name | Rebecca A Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326712795 PECOS PAC ID: 9739584905 Enrollment ID: I20210826000379 |
| Provider Name | Kendra L Fabian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003294547 PECOS PAC ID: 9133436595 Enrollment ID: I20210901003447 |
| Provider Name | Brenda Jo Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623869 PECOS PAC ID: 1153727821 Enrollment ID: I20210903000340 |
| Provider Name | Daniel D Shapiro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003236738 PECOS PAC ID: 2769792761 Enrollment ID: I20210904000003 |
| Provider Name | Shannon Cannon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558604512 PECOS PAC ID: 9638496177 Enrollment ID: I20210908000789 |
| Provider Name | Jacqueline Mary Garonzik Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649324641 PECOS PAC ID: 0749468494 Enrollment ID: I20210908001251 |
| Provider Name | Ellie M Ament |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235803958 PECOS PAC ID: 3274939715 Enrollment ID: I20210908001933 |
| Provider Name | Lauren M Golla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992237176 PECOS PAC ID: 3678802295 Enrollment ID: I20210908001984 |
| Provider Name | Carrie F Thiessen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467771055 PECOS PAC ID: 7517286685 Enrollment ID: I20210909000342 |
| Provider Name | Robert Thomas Arrigo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326425406 PECOS PAC ID: 4082010319 Enrollment ID: I20210910001962 |
| Provider Name | Melisa Carrasco Mccaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336567833 PECOS PAC ID: 4789973520 Enrollment ID: I20210913000313 |
| Provider Name | Crystal Grace Bockoven |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831642750 PECOS PAC ID: 6002101698 Enrollment ID: I20210913003520 |
| Provider Name | Kari Ann Esser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598783466 PECOS PAC ID: 2264839265 Enrollment ID: I20210917000713 |
| Provider Name | Amanda Frisosky Abuaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225415011 PECOS PAC ID: 7012212830 Enrollment ID: I20210923000165 |
| Provider Name | Arij Ghaith Beshish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457857930 PECOS PAC ID: 4082966494 Enrollment ID: I20210924002641 |
| Provider Name | David Andrew Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669815585 PECOS PAC ID: 0941444657 Enrollment ID: I20210928000047 |
| Provider Name | Sandip Biswal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528158359 PECOS PAC ID: 9032217559 Enrollment ID: I20211001000404 |
| Provider Name | Laura E Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595065 PECOS PAC ID: 8921406059 Enrollment ID: I20211004003155 |
| Provider Name | Amy D. Millard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154390490 PECOS PAC ID: 7214335355 Enrollment ID: I20211005000109 |
| Provider Name | Ashley N Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609545052 PECOS PAC ID: 4284032350 Enrollment ID: I20211005001510 |
| Provider Name | Cayden Donald Wiese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730858481 PECOS PAC ID: 3870991821 Enrollment ID: I20211006001290 |
| Provider Name | Jonathan Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724293 PECOS PAC ID: 2062810831 Enrollment ID: I20211007003655 |
| Provider Name | Alexandra M Colwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700557600 PECOS PAC ID: 8820496631 Enrollment ID: I20211008001375 |
| Provider Name | Haleigh N Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012706 PECOS PAC ID: 4183955560 Enrollment ID: I20211009000038 |
| Provider Name | Maureen M Ivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942971981 PECOS PAC ID: 9133527898 Enrollment ID: I20211011000637 |
| Provider Name | Shelby J Beattie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275205833 PECOS PAC ID: 1658779202 Enrollment ID: I20211012001631 |
| Provider Name | Eric J Weinlander |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487017836 PECOS PAC ID: 5193155810 Enrollment ID: I20211012001710 |
| Provider Name | Mackenzie Burke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194494906 PECOS PAC ID: 5799183372 Enrollment ID: I20211012002879 |
| Provider Name | Lisa A Vinney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700050143 PECOS PAC ID: 2466850078 Enrollment ID: I20211013000411 |
| Provider Name | Ian Rasch |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720759731 PECOS PAC ID: 1153729652 Enrollment ID: I20211014000572 |
| Provider Name | Rachel Tilsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518636240 PECOS PAC ID: 2769880194 Enrollment ID: I20211014002645 |
| Provider Name | Bret R Schluederberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437678299 PECOS PAC ID: 3476951815 Enrollment ID: I20211014002764 |
| Provider Name | Oresta Solomiea Rule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124522651 PECOS PAC ID: 9234480989 Enrollment ID: I20211018001675 |
| Provider Name | Parisa Amleshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689619314 PECOS PAC ID: 7517970809 Enrollment ID: I20211020001946 |
| Provider Name | Josie M. Ullsperger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912679697 PECOS PAC ID: 0244628402 Enrollment ID: I20211021000903 |
| Provider Name | Elizabethwin S. Gutgesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811669419 PECOS PAC ID: 4688062706 Enrollment ID: I20211022000653 |
| Provider Name | Cassandra J Liss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205268687 PECOS PAC ID: 7719111699 Enrollment ID: I20211022001144 |
| Provider Name | Aditi Vidholia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225412851 PECOS PAC ID: 2769797281 Enrollment ID: I20211025001648 |
| Provider Name | Simon A Holoubek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043697618 PECOS PAC ID: 9335434554 Enrollment ID: I20211026001357 |
| Provider Name | Meghan Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043973167 PECOS PAC ID: 3274921010 Enrollment ID: I20211027001018 |
| Provider Name | Kristin M Ebert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275959199 PECOS PAC ID: 6406146984 Enrollment ID: I20211028001176 |
| Provider Name | Erin J Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841729076 PECOS PAC ID: 5698196673 Enrollment ID: I20211102000839 |
| Provider Name | Jennifer Tweed |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992474548 PECOS PAC ID: 7012305584 Enrollment ID: I20211102003214 |
| Provider Name | Deanna M Jewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285015719 PECOS PAC ID: 2365754710 Enrollment ID: I20211103001747 |
| Provider Name | Valerie R Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487316113 PECOS PAC ID: 8022406487 Enrollment ID: I20211104000480 |
| Provider Name | Amik Sodhi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336384585 PECOS PAC ID: 6608026802 Enrollment ID: I20211104002980 |
| Provider Name | Katelyn Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346848132 PECOS PAC ID: 8921497215 Enrollment ID: I20211108000375 |
| Provider Name | Sara Jane Westergaard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962668426 PECOS PAC ID: 6709048754 Enrollment ID: I20211109000517 |
| Provider Name | Vanessa Vaziri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194116491 PECOS PAC ID: 5698164523 Enrollment ID: I20211116000934 |
| Provider Name | Jessica Marie Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003052572 PECOS PAC ID: 5294124988 Enrollment ID: I20211118001858 |
| Provider Name | Renee D Wilberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295255644 PECOS PAC ID: 5597154294 Enrollment ID: I20211118002178 |
| Provider Name | Allison M. Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669922886 PECOS PAC ID: 6204119720 Enrollment ID: I20211118002668 |
| Provider Name | Michael Allen Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790440733 PECOS PAC ID: 8325437940 Enrollment ID: I20211119000182 |
| Provider Name | Michael A Segal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487151312 PECOS PAC ID: 7214287119 Enrollment ID: I20211124001941 |
| Provider Name | Kelly H Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114698016 PECOS PAC ID: 4981094950 Enrollment ID: I20211206002061 |
| Provider Name | Martha J Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588664809 PECOS PAC ID: 1850347501 Enrollment ID: I20211210000963 |
| Provider Name | Ashley N Berka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003444837 PECOS PAC ID: 8921438631 Enrollment ID: I20211213000246 |
| Provider Name | Worawute Supaongprapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205913951 PECOS PAC ID: 4385638386 Enrollment ID: I20211220000229 |
| Provider Name | Laura Peihan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891019824 PECOS PAC ID: 2860635448 Enrollment ID: I20211221000235 |
| Provider Name | Jessica Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548922297 PECOS PAC ID: 7517358609 Enrollment ID: I20211228001476 |
| Provider Name | Katherine Anne Wang |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881993624 PECOS PAC ID: 0547556573 Enrollment ID: I20211230001169 |
| Provider Name | Autumn Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508525643 PECOS PAC ID: 6901297852 Enrollment ID: I20220103001352 |
| Provider Name | Nimira Jina |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447632815 PECOS PAC ID: 1658628938 Enrollment ID: I20220107000128 |
| Provider Name | Zhubin J Gahvari |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1679816805 PECOS PAC ID: 1557585767 Enrollment ID: I20220113001606 |
| Provider Name | Ryan M Juza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629398292 PECOS PAC ID: 6608017132 Enrollment ID: I20220126002666 |
| Provider Name | Rachael M Jocewicz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265918239 PECOS PAC ID: 2163754425 Enrollment ID: I20220128000429 |
| Provider Name | Nathan T. Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134758097 PECOS PAC ID: 3173945961 Enrollment ID: I20220204001291 |
| Provider Name | Kaitlyn K Frisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053077693 PECOS PAC ID: 4587057906 Enrollment ID: I20220208001313 |
| Provider Name | Kathryn E Gannon-loew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801154000 PECOS PAC ID: 3678706108 Enrollment ID: I20220214000979 |
| Provider Name | Nicole Trimble Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713758 PECOS PAC ID: 0345590014 Enrollment ID: I20220217001103 |
| Provider Name | Johanna Ruth Senderhauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497408637 PECOS PAC ID: 5991199440 Enrollment ID: I20220225000804 |
| Provider Name | Adrienne L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962163378 PECOS PAC ID: 6305230657 Enrollment ID: I20220302001185 |
| Provider Name | Matthew J Kempfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043962194 PECOS PAC ID: 9537553508 Enrollment ID: I20220308003017 |
| Provider Name | Shelley L Parrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649922451 PECOS PAC ID: 5294120093 Enrollment ID: I20220314001384 |
| Provider Name | Tracy Steffes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130938 PECOS PAC ID: 8325433170 Enrollment ID: I20220315001079 |
| Provider Name | Petar G Igic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053365494 PECOS PAC ID: 9638182801 Enrollment ID: I20220316001617 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20220316002891 |
| Provider Name | Kaitlin A Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265070 PECOS PAC ID: 0547655680 Enrollment ID: I20220328000918 |
| Provider Name | Elizabeth Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619636081 PECOS PAC ID: 0143616029 Enrollment ID: I20220331002489 |
| Provider Name | Whitaker L Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346727971 PECOS PAC ID: 5698162733 Enrollment ID: I20220420001529 |
| Provider Name | Leah Marie Colligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568848547 PECOS PAC ID: 3375851819 Enrollment ID: I20220421000720 |
| Provider Name | Robert D Guzy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558511907 PECOS PAC ID: 2860637816 Enrollment ID: I20220421002150 |
| Provider Name | Amy B Susnow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043246994 PECOS PAC ID: 3577950468 Enrollment ID: I20220422002368 |
| Provider Name | Sodienye Tetenta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447459763 PECOS PAC ID: 7517019102 Enrollment ID: I20220425001419 |
| Provider Name | Linda Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104933654 PECOS PAC ID: 3476521543 Enrollment ID: I20220425001742 |
| Provider Name | Hara Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891871877 PECOS PAC ID: 0749260503 Enrollment ID: I20220426000627 |
| Provider Name | Christine E Mcguinty |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265094254 PECOS PAC ID: 2668708769 Enrollment ID: I20220426002567 |
| Provider Name | Bhuvaneswari Durairaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942797014 PECOS PAC ID: 2860749405 Enrollment ID: I20220429000156 |
| Provider Name | Nicole L Werner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730476243 PECOS PAC ID: 6305152380 Enrollment ID: I20220503001590 |
| Provider Name | Laura R Hanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205223997 PECOS PAC ID: 3577808542 Enrollment ID: I20220510000387 |
| Provider Name | Vanessa Rudy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972252963 PECOS PAC ID: 8022495266 Enrollment ID: I20220510000517 |
| Provider Name | Jonathan Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174935019 PECOS PAC ID: 4587880265 Enrollment ID: I20220517003156 |
| Provider Name | Danielle Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154882116 PECOS PAC ID: 9436484557 Enrollment ID: I20220518000895 |
| Provider Name | Jessica L Derks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427703172 PECOS PAC ID: 8022495654 Enrollment ID: I20220519001508 |
| Provider Name | John B Silva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386008746 PECOS PAC ID: 3678865383 Enrollment ID: I20220525000342 |
| Provider Name | Rohan Chandra Kashyap Bodapati Venkata Naga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174019459 PECOS PAC ID: 6709286651 Enrollment ID: I20220525000400 |
| Provider Name | Collin John Kreple |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629463062 PECOS PAC ID: 8820349574 Enrollment ID: I20220601000475 |
| Provider Name | Nicholas W Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922560713 PECOS PAC ID: 5991039190 Enrollment ID: I20220601001744 |
| Provider Name | Paige J Richards |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497240717 PECOS PAC ID: 8729322003 Enrollment ID: I20220601001834 |
| Provider Name | Philip M James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982674123 PECOS PAC ID: 2062492937 Enrollment ID: I20220601002077 |
| Provider Name | Sabrina S Sam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063932531 PECOS PAC ID: 8022362599 Enrollment ID: I20220601002280 |
| Provider Name | Daniel P Gorski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093169187 PECOS PAC ID: 4880987957 Enrollment ID: I20220602001083 |
| Provider Name | David Q Leinweber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261554 PECOS PAC ID: 8426486101 Enrollment ID: I20220602001360 |
| Provider Name | Sara Pfender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700256054 PECOS PAC ID: 8729398458 Enrollment ID: I20220602002663 |
| Provider Name | Courtney M Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114664042 PECOS PAC ID: 1355729369 Enrollment ID: I20220603000795 |
| Provider Name | Lisa Marie Cotter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972007136 PECOS PAC ID: 2062747199 Enrollment ID: I20220607001753 |
| Provider Name | Abigail Marie Nimtz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053757161 PECOS PAC ID: 9638557440 Enrollment ID: I20220607003208 |
| Provider Name | Nicholas Charles Laucis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255782116 PECOS PAC ID: 6901190891 Enrollment ID: I20220609002973 |
| Provider Name | Bradley Schmidt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487040259 PECOS PAC ID: 5395045561 Enrollment ID: I20220616001054 |
| Provider Name | Brian Cacioppo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992202188 PECOS PAC ID: 4789931916 Enrollment ID: I20220616002517 |
| Provider Name | Lindsey R Boyke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750942876 PECOS PAC ID: 2961739743 Enrollment ID: I20220616002874 |
| Provider Name | Trevor Mckown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871836346 PECOS PAC ID: 8628219888 Enrollment ID: I20220620001739 |
| Provider Name | Morgan White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568924363 PECOS PAC ID: 0446584635 Enrollment ID: I20220620001933 |
| Provider Name | Angelie Azuncion Manaloto Santos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356838601 PECOS PAC ID: 9133463656 Enrollment ID: I20220624000450 |
| Provider Name | Erin R Kooima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013652130 PECOS PAC ID: 2860871639 Enrollment ID: I20220624001416 |
| Provider Name | Timothy Livett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881089902 PECOS PAC ID: 9335441468 Enrollment ID: I20220627002688 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20220628001186 |
| Provider Name | Jade A Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871941252 PECOS PAC ID: 7517246366 Enrollment ID: I20220629000233 |
| Provider Name | Abdul Wahab Arif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154983666 PECOS PAC ID: 7214360676 Enrollment ID: I20220704000050 |
| Provider Name | Sunil G Nair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598079568 PECOS PAC ID: 5799900601 Enrollment ID: I20220705001057 |
| Provider Name | Kaitlin V Bradley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073974747 PECOS PAC ID: 1355617473 Enrollment ID: I20220706001507 |
| Provider Name | Matthew Vandehei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720584188 PECOS PAC ID: 6800276940 Enrollment ID: I20220706003264 |
| Provider Name | Julie L Vanasten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174744692 PECOS PAC ID: 4183634736 Enrollment ID: I20220706003860 |
| Provider Name | Brenna A Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083176861 PECOS PAC ID: 3274867445 Enrollment ID: I20220707002221 |
| Provider Name | Jessica M Beier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922567106 PECOS PAC ID: 1557695376 Enrollment ID: I20220711002323 |
| Provider Name | Kelly Erin Mcclanahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104557404 PECOS PAC ID: 8628458411 Enrollment ID: I20220711003042 |
| Provider Name | Whitley N Hulse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235591876 PECOS PAC ID: 4385938240 Enrollment ID: I20220712002050 |
| Provider Name | Dana Loke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538521794 PECOS PAC ID: 6305130782 Enrollment ID: I20220712003758 |
| Provider Name | Hannah Rose Koerten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427545219 PECOS PAC ID: 7517348113 Enrollment ID: I20220713003012 |
| Provider Name | Melissa Mattioda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548417363 PECOS PAC ID: 2769863034 Enrollment ID: I20220718002166 |
| Provider Name | Luke Christopher Addesso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013470186 PECOS PAC ID: 7416283577 Enrollment ID: I20220721002882 |
| Provider Name | James David Alstott |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477896355 PECOS PAC ID: 9739474560 Enrollment ID: I20220728001257 |
| Provider Name | Cassie L Nankee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922532696 PECOS PAC ID: 5890061956 Enrollment ID: I20220728003154 |
| Provider Name | Ali Salah Antar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770010340 PECOS PAC ID: 8224410873 Enrollment ID: I20220729001125 |
| Provider Name | Corey L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992437974 PECOS PAC ID: 3375925845 Enrollment ID: I20220729002748 |
| Provider Name | Anupama Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063861706 PECOS PAC ID: 7416249065 Enrollment ID: I20220730000400 |
| Provider Name | Diane E Bussan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891354916 PECOS PAC ID: 8022343250 Enrollment ID: I20220802003337 |
| Provider Name | Samuel G Dillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891149191 PECOS PAC ID: 9234493602 Enrollment ID: I20220803003368 |
| Provider Name | Neil Kunal Munjal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417215435 PECOS PAC ID: 5395157838 Enrollment ID: I20220805001906 |
| Provider Name | Charles Changik Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639661788 PECOS PAC ID: 3577802164 Enrollment ID: I20220808000442 |
| Provider Name | Amanda S Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811906316 PECOS PAC ID: 0446272140 Enrollment ID: I20220808000587 |
| Provider Name | Jessica Marie Gulliver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295197820 PECOS PAC ID: 3072883826 Enrollment ID: I20220808001325 |
| Provider Name | Muhammad Umair Usman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568007508 PECOS PAC ID: 3971936113 Enrollment ID: I20220808002949 |
| Provider Name | Larissa L Reinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215666037 PECOS PAC ID: 8022490945 Enrollment ID: I20220809000940 |
| Provider Name | Matthew W Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982166120 PECOS PAC ID: 0244565562 Enrollment ID: I20220810001062 |
| Provider Name | Allexa Hammond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124480405 PECOS PAC ID: 8426389404 Enrollment ID: I20220812001523 |
| Provider Name | Maryam Zamanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336674167 PECOS PAC ID: 2668742297 Enrollment ID: I20220812001795 |
| Provider Name | Atalie Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326770744 PECOS PAC ID: 6709269426 Enrollment ID: I20220812002612 |
| Provider Name | Paul Schroder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427443910 PECOS PAC ID: 4183007818 Enrollment ID: I20220812003078 |
| Provider Name | Simanjit K Mand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164953931 PECOS PAC ID: 0042589145 Enrollment ID: I20220815001424 |
| Provider Name | Peter S Assaad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538324660 PECOS PAC ID: 0547586901 Enrollment ID: I20220816000240 |
| Provider Name | Jeremiah Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619439403 PECOS PAC ID: 3375877558 Enrollment ID: I20220817003374 |
| Provider Name | Andrew T Scrima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508361932 PECOS PAC ID: 4981020773 Enrollment ID: I20220817003680 |
| Provider Name | Danielle Hartwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154883932 PECOS PAC ID: 5597099655 Enrollment ID: I20220818000506 |
| Provider Name | Ashley Mohan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770076994 PECOS PAC ID: 5698021244 Enrollment ID: I20220818001495 |
| Provider Name | Taylor M Lata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720641749 PECOS PAC ID: 8527391176 Enrollment ID: I20220818002296 |
| Provider Name | Taylor Rhea House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629430871 PECOS PAC ID: 3072806769 Enrollment ID: I20220822001450 |
| Provider Name | Kyle L Lacy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356847834 PECOS PAC ID: 1759638711 Enrollment ID: I20220823002348 |
| Provider Name | Dana James Irrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063771228 PECOS PAC ID: 9931406774 Enrollment ID: I20220823003131 |
| Provider Name | Karla A Wetley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205330644 PECOS PAC ID: 0345575270 Enrollment ID: I20220825001496 |
| Provider Name | Ben Edwin Biesterveld |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114307030 PECOS PAC ID: 0547575318 Enrollment ID: I20220830001631 |
| Provider Name | Eduard Matkovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871912998 PECOS PAC ID: 6406270636 Enrollment ID: I20220830001978 |
| Provider Name | Jackson G Turbeville |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790217768 PECOS PAC ID: 3971874553 Enrollment ID: I20220830002417 |
| Provider Name | Aaron L Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467958561 PECOS PAC ID: 1658628771 Enrollment ID: I20220831002184 |
| Provider Name | Jessica A Musto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689087371 PECOS PAC ID: 1153613567 Enrollment ID: I20220831002304 |
| Provider Name | Timothy G Elgin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780973479 PECOS PAC ID: 4284904608 Enrollment ID: I20220831002771 |
| Provider Name | Luke Nankee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518496926 PECOS PAC ID: 5496020075 Enrollment ID: I20220901001114 |
| Provider Name | Cameron D Crockett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407206634 PECOS PAC ID: 9537546585 Enrollment ID: I20220906001049 |
| Provider Name | Mckenzie A Thorp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538622725 PECOS PAC ID: 8820324528 Enrollment ID: I20220908000942 |
| Provider Name | Carmen M Campbell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124252887 PECOS PAC ID: 9335372465 Enrollment ID: I20220909000894 |
| Provider Name | Matthew M Goldsmith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205499373 PECOS PAC ID: 1850625682 Enrollment ID: I20220909002055 |
| Provider Name | Rebecca Margaret Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205178530 PECOS PAC ID: 7517287311 Enrollment ID: I20220910000695 |
| Provider Name | Tyler J Grunow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699237479 PECOS PAC ID: 8729312905 Enrollment ID: I20220916001437 |
| Provider Name | Carol Esther Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568921435 PECOS PAC ID: 8527392323 Enrollment ID: I20220916002693 |
| Provider Name | Paige Brunett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871149385 PECOS PAC ID: 5395120877 Enrollment ID: I20220920000980 |
| Provider Name | Gina Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508326372 PECOS PAC ID: 4789914441 Enrollment ID: I20220921001689 |
| Provider Name | Kelly M Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306018023 PECOS PAC ID: 1658514542 Enrollment ID: I20220921003438 |
| Provider Name | Teresa Chapman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730290214 PECOS PAC ID: 6103901004 Enrollment ID: I20220927004010 |
| Provider Name | Daniel Y Cho |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043605868 PECOS PAC ID: 3375850316 Enrollment ID: I20221005002785 |
| Provider Name | Kaitlyn J Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124272430 PECOS PAC ID: 9931349339 Enrollment ID: I20221006001722 |
| Provider Name | Yu Xia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477829166 PECOS PAC ID: 3476893587 Enrollment ID: I20221017000449 |
| Provider Name | Hallum Kirkwoood Dickens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538691696 PECOS PAC ID: 8527338276 Enrollment ID: I20221018001322 |
| Provider Name | Sandra Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720023781 PECOS PAC ID: 4981735859 Enrollment ID: I20221018001410 |
| Provider Name | Cheyenne N Heidenreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861124422 PECOS PAC ID: 2860868775 Enrollment ID: I20221018002016 |
| Provider Name | Rose Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679200513 PECOS PAC ID: 4183090012 Enrollment ID: I20221018003191 |
| Provider Name | Suzanne M Norby |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710950886 PECOS PAC ID: 2668501156 Enrollment ID: I20221018003387 |
| Provider Name | John Munday |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427789296 PECOS PAC ID: 7214303015 Enrollment ID: I20221019002143 |
| Provider Name | Alexandra Leigh Difulvio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780316901 PECOS PAC ID: 4587030382 Enrollment ID: I20221019002160 |
| Provider Name | Bradley Thomas Nix |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568825420 PECOS PAC ID: 6608112925 Enrollment ID: I20221019003104 |
| Provider Name | Jose R Parra |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932163169 PECOS PAC ID: 4587619960 Enrollment ID: I20221020001009 |
| Provider Name | Kelsey Ann Legro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275191868 PECOS PAC ID: 7315379328 Enrollment ID: I20221020002227 |
| Provider Name | Nicole T. Michler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194447573 PECOS PAC ID: 4385010073 Enrollment ID: I20221020002744 |
| Provider Name | Andrew Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124681200 PECOS PAC ID: 9436484870 Enrollment ID: I20221020002855 |
| Provider Name | Sarah Korger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861996688 PECOS PAC ID: 6507191798 Enrollment ID: I20221025001489 |
| Provider Name | Lydia Xiong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669046165 PECOS PAC ID: 0749656148 Enrollment ID: I20221025003440 |
| Provider Name | Ryan Joseph Longfellow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356768683 PECOS PAC ID: 1557586542 Enrollment ID: I20221102002992 |
| Provider Name | Monica Bhanot |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932588290 PECOS PAC ID: 4284001231 Enrollment ID: I20221103000906 |
| Provider Name | Jo L Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548622715 PECOS PAC ID: 5092007385 Enrollment ID: I20221103002662 |
| Provider Name | Megan M Dudek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457813222 PECOS PAC ID: 9335473511 Enrollment ID: I20221110002102 |
| Provider Name | Lauren Longhenry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144947383 PECOS PAC ID: 1557738077 Enrollment ID: I20221111001876 |
| Provider Name | Katherine E Bakke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083145007 PECOS PAC ID: 2961776968 Enrollment ID: I20221114001721 |
| Provider Name | Hutch Stilgenbauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255837381 PECOS PAC ID: 9032528617 Enrollment ID: I20221116000790 |
| Provider Name | Laura J Bradstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710604061 PECOS PAC ID: 0244608222 Enrollment ID: I20221122003476 |
| Provider Name | Naren Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609288638 PECOS PAC ID: 4183988041 Enrollment ID: I20221125000564 |
| Provider Name | Jordan L Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285130963 PECOS PAC ID: 5597013953 Enrollment ID: I20221130001380 |
| Provider Name | Sydney Judith Zettler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134837461 PECOS PAC ID: 8325416076 Enrollment ID: I20221130001653 |
| Provider Name | Tinika Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205544582 PECOS PAC ID: 7719355478 Enrollment ID: I20221130001917 |
| Provider Name | Zachary D Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497280887 PECOS PAC ID: 5092071167 Enrollment ID: I20221130002385 |
| Provider Name | Haroon M Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285082743 PECOS PAC ID: 9335431287 Enrollment ID: I20221130003482 |
| Provider Name | Robert M Kraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407653 PECOS PAC ID: 5193050623 Enrollment ID: I20221206000962 |
| Provider Name | Joey L Thims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497488522 PECOS PAC ID: 7911376462 Enrollment ID: I20221206001404 |
| Provider Name | Yimin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437716735 PECOS PAC ID: 4486981321 Enrollment ID: I20221206002390 |
| Provider Name | Anna M Noterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861101784 PECOS PAC ID: 0446629620 Enrollment ID: I20221209001571 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20221216000693 |
| Provider Name | Philip Najm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336341312 PECOS PAC ID: 6204904725 Enrollment ID: I20221223000296 |
| Provider Name | Emily Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114381514 PECOS PAC ID: 5799078309 Enrollment ID: I20221227001061 |
| Provider Name | Jennifer Lee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922644848 PECOS PAC ID: 7214307669 Enrollment ID: I20221230000757 |
| Provider Name | Kali R Mesdjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760190037 PECOS PAC ID: 8224408323 Enrollment ID: I20230106000568 |
| Provider Name | Sarah E Mc Dermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346622628 PECOS PAC ID: 1254637572 Enrollment ID: I20230110001188 |
| Provider Name | Dominique Schiffer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437259892 PECOS PAC ID: 2860567419 Enrollment ID: I20230110001314 |
| Provider Name | Melissa Joy Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457075152 PECOS PAC ID: 5597135467 Enrollment ID: I20230110003075 |
| Provider Name | Sandra Pahnke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548915523 PECOS PAC ID: 9830560549 Enrollment ID: I20230117000859 |
| Provider Name | Stacey Helf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720798556 PECOS PAC ID: 7315318995 Enrollment ID: I20230118000891 |
| Provider Name | Nora S Burnham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174168389 PECOS PAC ID: 3072984665 Enrollment ID: I20230118001231 |
| Provider Name | Kasey R Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144944109 PECOS PAC ID: 8921479569 Enrollment ID: I20230119000338 |
| Provider Name | James R. Fink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164527495 PECOS PAC ID: 6002852910 Enrollment ID: I20230123001987 |
| Provider Name | Lauren D Jerzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043929847 PECOS PAC ID: 1052782315 Enrollment ID: I20230124001724 |
| Provider Name | Michael J. Berkenbush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235660390 PECOS PAC ID: 6002245800 Enrollment ID: I20230124001921 |
| Provider Name | Ravneet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144783226 PECOS PAC ID: 7315275914 Enrollment ID: I20230125003024 |
| Provider Name | Matthew J Folstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853272 PECOS PAC ID: 7416282835 Enrollment ID: I20230131001976 |
| Provider Name | Ekaterina Klenchina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326697798 PECOS PAC ID: 3072984905 Enrollment ID: I20230131003432 |
| Provider Name | Caleb P Kitcho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669035499 PECOS PAC ID: 8426382979 Enrollment ID: I20230207000242 |
| Provider Name | Caroline J Vlasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479289 PECOS PAC ID: 8820460470 Enrollment ID: I20230208002969 |
| Provider Name | Douglas Gregory Olk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710939780 PECOS PAC ID: 7315072188 Enrollment ID: I20230213000938 |
| Provider Name | Jennifer A. Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568175388 PECOS PAC ID: 6204208598 Enrollment ID: I20230215000414 |
| Provider Name | Kelsey L Shadel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720620 PECOS PAC ID: 4486026531 Enrollment ID: I20230217002083 |
| Provider Name | Anil Prasad Ramarao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659481661 PECOS PAC ID: 1153404165 Enrollment ID: I20230217002332 |
| Provider Name | Thawinun Bunditrojanarit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871208603 PECOS PAC ID: 4082086038 Enrollment ID: I20230221001034 |
| Provider Name | Joel E Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306875711 PECOS PAC ID: 1355351958 Enrollment ID: I20230221002104 |
| Provider Name | James Murray Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352615 PECOS PAC ID: 7911370978 Enrollment ID: I20230222002784 |
| Provider Name | Kelsey Raeann Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376254433 PECOS PAC ID: 3173996097 Enrollment ID: I20230223002222 |
| Provider Name | Stephanie P Turner Bartell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578844270 PECOS PAC ID: 7911370887 Enrollment ID: I20230224001460 |
| Provider Name | Michael C Risk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841307667 PECOS PAC ID: 3476609694 Enrollment ID: I20230228001080 |
| Provider Name | Rebecca L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871208108 PECOS PAC ID: 6709259286 Enrollment ID: I20230303000249 |
| Provider Name | Erica Yumi Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164043584 PECOS PAC ID: 9830598424 Enrollment ID: I20230307002757 |
| Provider Name | Meredith Winkelhake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356051015 PECOS PAC ID: 8426422320 Enrollment ID: I20230315003072 |
| Provider Name | Nathan S Ledeaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306201363 PECOS PAC ID: 2365777927 Enrollment ID: I20230317002615 |
| Provider Name | Neeta Shenai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881956225 PECOS PAC ID: 4981963634 Enrollment ID: I20230321001049 |
| Provider Name | Karissa A Harenda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356065171 PECOS PAC ID: 8325412828 Enrollment ID: I20230324000095 |
| Provider Name | Gabriela C Lobato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497259287 PECOS PAC ID: 1557619731 Enrollment ID: I20230327001005 |
| Provider Name | Dejan Vrtikapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043874183 PECOS PAC ID: 9436484862 Enrollment ID: I20230328000138 |
| Provider Name | Bonnie Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760892814 PECOS PAC ID: 7113230335 Enrollment ID: I20230328000904 |
| Provider Name | Alison Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154022978 PECOS PAC ID: 3779958996 Enrollment ID: I20230331000584 |
| Provider Name | Nicole M Follette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649974031 PECOS PAC ID: 0547635856 Enrollment ID: I20230418001552 |
| Provider Name | Meghan D Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891496782 PECOS PAC ID: 4486029709 Enrollment ID: I20230418002273 |
| Provider Name | Andreja B Lakic |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396286399 PECOS PAC ID: 2365719218 Enrollment ID: I20230418002366 |
| Provider Name | Joan Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740267749 PECOS PAC ID: 6103889514 Enrollment ID: I20230419000868 |
| Provider Name | Hasmik Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528767985 PECOS PAC ID: 9638534837 Enrollment ID: I20230421001673 |
| Provider Name | Thomas Joseph Justin Raj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477847572 PECOS PAC ID: 2668858143 Enrollment ID: I20230424000742 |
| Provider Name | Joellen Kozlowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710023130 PECOS PAC ID: 7618157090 Enrollment ID: I20230503002515 |
| Provider Name | Leslie Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770088387 PECOS PAC ID: 7012373095 Enrollment ID: I20230517001035 |
| Provider Name | Evan Charles Benner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225532716 PECOS PAC ID: 8820454762 Enrollment ID: I20230518000827 |
| Provider Name | Abdul-rahman Ihmoud Abusalim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023678596 PECOS PAC ID: 4385976851 Enrollment ID: I20230519000461 |
| Provider Name | Margaret Scandura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336111921 PECOS PAC ID: 0648570788 Enrollment ID: I20230519002052 |
| Provider Name | Laurence Nicholas Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275030850 PECOS PAC ID: 9133470735 Enrollment ID: I20230519002565 |
| Provider Name | Dana M Hayden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114173192 PECOS PAC ID: 3476721234 Enrollment ID: I20230522000257 |
| Provider Name | Andrey Vavrenyuk |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093211195 PECOS PAC ID: 4880050699 Enrollment ID: I20230522001416 |
| Provider Name | Kelly Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265926604 PECOS PAC ID: 1153678230 Enrollment ID: I20230522001943 |
| Provider Name | Robert R Brenteson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972090363 PECOS PAC ID: 4284022898 Enrollment ID: I20230522002796 |
| Provider Name | Hannah Christine Schumacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306475629 PECOS PAC ID: 5193148930 Enrollment ID: I20230523001733 |
| Provider Name | Sepideh Chagharvand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700311628 PECOS PAC ID: 7416227475 Enrollment ID: I20230524002120 |
| Provider Name | Sriram Gonakoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710549514 PECOS PAC ID: 1355673096 Enrollment ID: I20230524002151 |
| Provider Name | Elizabeth H Sullivan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154582146 PECOS PAC ID: 3274895537 Enrollment ID: I20230524002421 |
| Provider Name | Kiriana Morse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528529377 PECOS PAC ID: 7618205790 Enrollment ID: I20230524002538 |
| Provider Name | Joe-ann Moser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447719208 PECOS PAC ID: 2466783543 Enrollment ID: I20230524003016 |
| Provider Name | Meinkeng Stephannie Acha-morfaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467934836 PECOS PAC ID: 4981938974 Enrollment ID: I20230525001049 |
| Provider Name | Mohammad Amr Sabbagh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386201549 PECOS PAC ID: 5294078531 Enrollment ID: I20230525001519 |
| Provider Name | Emily C Serrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285122374 PECOS PAC ID: 0648527531 Enrollment ID: I20230525002399 |
| Provider Name | Keely Dinse |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811421902 PECOS PAC ID: 4486011988 Enrollment ID: I20230526001113 |
| Provider Name | Catherine Elizabeth Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689206567 PECOS PAC ID: 8628407699 Enrollment ID: I20230527000291 |
| Provider Name | Karina Liliette Viloria Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881045466 PECOS PAC ID: 5395102867 Enrollment ID: I20230530000757 |
| Provider Name | Tayler Marie Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356945463 PECOS PAC ID: 9931566320 Enrollment ID: I20230530002201 |
| Provider Name | Michael C Veronesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780908400 PECOS PAC ID: 2860796158 Enrollment ID: I20230530002343 |
| Provider Name | Sarah Louise Floden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265095400 PECOS PAC ID: 3274867718 Enrollment ID: I20230531000401 |
| Provider Name | Kimberly Marie-dubois Bannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447549829 PECOS PAC ID: 8729392592 Enrollment ID: I20230531001668 |
| Provider Name | Jacob B Fleecs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043716954 PECOS PAC ID: 2860859170 Enrollment ID: I20230601000559 |
| Provider Name | Ankur Prasad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427584085 PECOS PAC ID: 8729358841 Enrollment ID: I20230605003262 |
| Provider Name | Thomas Morison Russell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295185056 PECOS PAC ID: 8426340571 Enrollment ID: I20230606002183 |
| Provider Name | James Oh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548253354 PECOS PAC ID: 7810011129 Enrollment ID: I20230606002233 |
| Provider Name | Paul B Tessmann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861601833 PECOS PAC ID: 4981850245 Enrollment ID: I20230606002752 |
| Provider Name | Monica Yun Liu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760979223 PECOS PAC ID: 5294083606 Enrollment ID: I20230606003136 |
| Provider Name | Andrew J Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760104897 PECOS PAC ID: 1355708173 Enrollment ID: I20230608002335 |
| Provider Name | Joshua Daniel Niforatos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458649 PECOS PAC ID: 3476888900 Enrollment ID: I20230608002787 |
| Provider Name | Ross Tanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861951949 PECOS PAC ID: 7911364781 Enrollment ID: I20230609000963 |
| Provider Name | Charisse Liz Baste Treece |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346781630 PECOS PAC ID: 2860763067 Enrollment ID: I20230609002870 |
| Provider Name | Nnenna Nwankwo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922378710 PECOS PAC ID: 7214296052 Enrollment ID: I20230612000312 |
| Provider Name | Ryan D Larochelle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568921302 PECOS PAC ID: 3375877004 Enrollment ID: I20230613001240 |
| Provider Name | Jennifer Ann Mirrielees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205465291 PECOS PAC ID: 0840613626 Enrollment ID: I20230613001402 |
| Provider Name | Lihua Bao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114306396 PECOS PAC ID: 6406146000 Enrollment ID: I20230613001496 |
| Provider Name | Stacey L Ishman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245287101 PECOS PAC ID: 7810932274 Enrollment ID: I20230613001878 |
| Provider Name | Nicholas Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798967 PECOS PAC ID: 0648560755 Enrollment ID: I20230613001913 |
| Provider Name | Eric C Vecchio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972032258 PECOS PAC ID: 6406125715 Enrollment ID: I20230613002757 |
| Provider Name | Matthew T Mccauley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588105837 PECOS PAC ID: 7012281462 Enrollment ID: I20230614000332 |
| Provider Name | Meghan C Wallner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275092090 PECOS PAC ID: 9234597840 Enrollment ID: I20230614000399 |
| Provider Name | Kevin J Carlson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124523170 PECOS PAC ID: 8325395148 Enrollment ID: I20230614000483 |
| Provider Name | Kaylin G Darling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760011894 PECOS PAC ID: 4880011899 Enrollment ID: I20230614001225 |
| Provider Name | Thomas P Lo Duca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497247159 PECOS PAC ID: 5698022085 Enrollment ID: I20230614003043 |
| Provider Name | Stephanie Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192449 PECOS PAC ID: 2264854017 Enrollment ID: I20230614003045 |
| Provider Name | Lindsey Kent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164059366 PECOS PAC ID: 3173947298 Enrollment ID: I20230614003578 |
| Provider Name | Sunil K Vasireddi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629497722 PECOS PAC ID: 5597066902 Enrollment ID: I20230615002634 |
| Provider Name | Marcus Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487115424 PECOS PAC ID: 9436484714 Enrollment ID: I20230615003477 |
| Provider Name | Jennifer E Svarverud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053739623 PECOS PAC ID: 4880988567 Enrollment ID: I20230616002061 |
| Provider Name | Michael Gillcrist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124710405 PECOS PAC ID: 5496113748 Enrollment ID: I20230620001510 |
| Provider Name | David C Kerbl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265969422 PECOS PAC ID: 9436517588 Enrollment ID: I20230621002464 |
| Provider Name | Jakub Michal Siembida |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982125159 PECOS PAC ID: 7517325467 Enrollment ID: I20230624000288 |
| Provider Name | Anudeepa Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902225428 PECOS PAC ID: 5698069748 Enrollment ID: I20230626000193 |
| Provider Name | Miena Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285125781 PECOS PAC ID: 6204264088 Enrollment ID: I20230626000822 |
| Provider Name | Estefan M. Beltran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669001616 PECOS PAC ID: 6901228733 Enrollment ID: I20230626000959 |
| Provider Name | Maheswaran Dhanasekaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316478688 PECOS PAC ID: 3678995511 Enrollment ID: I20230627000368 |
| Provider Name | Emma Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457972804 PECOS PAC ID: 7012331838 Enrollment ID: I20230627003079 |
| Provider Name | Karam Han |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902339609 PECOS PAC ID: 2365713351 Enrollment ID: I20230628000849 |
| Provider Name | Emily Duffy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013479674 PECOS PAC ID: 8224438122 Enrollment ID: I20230628004234 |
| Provider Name | Katherine Connelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912402140 PECOS PAC ID: 4183970106 Enrollment ID: I20230629000747 |
| Provider Name | Anna Uhing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124657424 PECOS PAC ID: 5698199172 Enrollment ID: I20230629003875 |
| Provider Name | Emerson S Kendall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184282048 PECOS PAC ID: 4082948179 Enrollment ID: I20230703001688 |
| Provider Name | Kane Laks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104455609 PECOS PAC ID: 0244654879 Enrollment ID: I20230704000059 |
| Provider Name | Melissa Ricker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184253775 PECOS PAC ID: 7315369113 Enrollment ID: I20230705001287 |
| Provider Name | Bryce N Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932737293 PECOS PAC ID: 9537582598 Enrollment ID: I20230706002414 |
| Provider Name | Connor Walter Gullstrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396364204 PECOS PAC ID: 3072938109 Enrollment ID: I20230707000791 |
| Provider Name | Peter James Cormier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942707815 PECOS PAC ID: 6800142407 Enrollment ID: I20230707003487 |
| Provider Name | David Hernandez Gonzalo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578706180 PECOS PAC ID: 5799926036 Enrollment ID: I20230710000741 |
| Provider Name | Justin E Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720617624 PECOS PAC ID: 0446672299 Enrollment ID: I20230710000829 |
| Provider Name | Peter Marogil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528447331 PECOS PAC ID: 3870831639 Enrollment ID: I20230710000916 |
| Provider Name | Philip A Palmon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518492412 PECOS PAC ID: 6002186012 Enrollment ID: I20230710001004 |
| Provider Name | Hongtao Liu |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1336332345 PECOS PAC ID: 1052589504 Enrollment ID: I20230711002507 |
| Provider Name | Monica Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568968840 PECOS PAC ID: 0446509897 Enrollment ID: I20230711004268 |
| Provider Name | Joseph A Krenzer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699269753 PECOS PAC ID: 9335496058 Enrollment ID: I20230712000685 |
| Provider Name | Katharine H Molinarolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689169898 PECOS PAC ID: 3577817824 Enrollment ID: I20230712001960 |
| Provider Name | Nicholas H George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255892709 PECOS PAC ID: 1254665771 Enrollment ID: I20230712002126 |
| Provider Name | Clara Beasley Hitchcock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033748850 PECOS PAC ID: 8022478700 Enrollment ID: I20230712004033 |
| Provider Name | Luis A Pagan-carlo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245298991 PECOS PAC ID: 4385627751 Enrollment ID: I20230713002920 |
| Provider Name | Sarah Elizabeth Train |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376070763 PECOS PAC ID: 1658643788 Enrollment ID: I20230714001380 |
| Provider Name | Caroline Hensley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679102537 PECOS PAC ID: 8628490489 Enrollment ID: I20230714002110 |
| Provider Name | Jacob T Mccallum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194210492 PECOS PAC ID: 8527302702 Enrollment ID: I20230714002946 |
| Provider Name | Laura L Dos Reis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548899149 PECOS PAC ID: 3870917370 Enrollment ID: I20230715000630 |
| Provider Name | Samantha N Cordum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679102503 PECOS PAC ID: 1355764325 Enrollment ID: I20230717001258 |
| Provider Name | Anjali Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194719690 PECOS PAC ID: 3274678891 Enrollment ID: I20230717002367 |
| Provider Name | Mary Ellen Toner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942994322 PECOS PAC ID: 5092175471 Enrollment ID: I20230717002598 |
| Provider Name | Andrew Jay Bowen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205331329 PECOS PAC ID: 4082962154 Enrollment ID: I20230718001516 |
| Provider Name | Kelly Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467849430 PECOS PAC ID: 9133435795 Enrollment ID: I20230719001666 |
| Provider Name | Kathleen Fink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902917909 PECOS PAC ID: 1951452994 Enrollment ID: I20230720002549 |
| Provider Name | Casey Freymiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477117117 PECOS PAC ID: 2961738455 Enrollment ID: I20230720003641 |
| Provider Name | Beau Batty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194388330 PECOS PAC ID: 6305171737 Enrollment ID: I20230724003514 |
| Provider Name | Adrien M Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366860983 PECOS PAC ID: 6103043195 Enrollment ID: I20230724003590 |
| Provider Name | Justin Massey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588161418 PECOS PAC ID: 3274880414 Enrollment ID: I20230725000726 |
| Provider Name | Nandakumar M Menon |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982134334 PECOS PAC ID: 4880969559 Enrollment ID: I20230725001933 |
| Provider Name | Corey Lehnert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275096125 PECOS PAC ID: 0749517548 Enrollment ID: I20230725003307 |
| Provider Name | Olga Fajardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730619693 PECOS PAC ID: 8022386887 Enrollment ID: I20230726001189 |
| Provider Name | Ruth Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023559374 PECOS PAC ID: 6901174895 Enrollment ID: I20230726001217 |
| Provider Name | Ashley Krepline |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992167266 PECOS PAC ID: 3971865270 Enrollment ID: I20230726003526 |
| Provider Name | Ran Tao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093335895 PECOS PAC ID: 5698198737 Enrollment ID: I20230727002733 |
| Provider Name | Craig A Tork |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558704908 PECOS PAC ID: 8820479942 Enrollment ID: I20230727003209 |
| Provider Name | Ryan L Sappenfield |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194201194 PECOS PAC ID: 5799162400 Enrollment ID: I20230728000517 |
| Provider Name | Mara Esber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962188144 PECOS PAC ID: 1658732284 Enrollment ID: I20230731000741 |
| Provider Name | Samantha Tyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619596442 PECOS PAC ID: 0244653145 Enrollment ID: I20230731003086 |
| Provider Name | George Wayne Deleon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376602409 PECOS PAC ID: 1052411220 Enrollment ID: I20230801001354 |
| Provider Name | Natalie Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780048959 PECOS PAC ID: 2769775832 Enrollment ID: I20230801002760 |
| Provider Name | Annika Pamala Weinhammer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386148799 PECOS PAC ID: 8224363361 Enrollment ID: I20230802001330 |
| Provider Name | Mariya Kochubey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215433560 PECOS PAC ID: 4981065257 Enrollment ID: I20230802003488 |
| Provider Name | James R Nellen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174086748 PECOS PAC ID: 3779817572 Enrollment ID: I20230803003827 |
| Provider Name | Stuart Feichtinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104357664 PECOS PAC ID: 1759620065 Enrollment ID: I20230807002479 |
| Provider Name | Ekaterina Fedorova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003311671 PECOS PAC ID: 2163883141 Enrollment ID: I20230808000315 |
| Provider Name | Jeanette R Comstock |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013476381 PECOS PAC ID: 8820416456 Enrollment ID: I20230808001106 |
| Provider Name | Yang Zong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043715055 PECOS PAC ID: 7719232867 Enrollment ID: I20230808001849 |
| Provider Name | Ryan Joseph Hutten |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447754395 PECOS PAC ID: 9739423401 Enrollment ID: I20230808002819 |
| Provider Name | Brian James Nagle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346745890 PECOS PAC ID: 5193187177 Enrollment ID: I20230809000634 |
| Provider Name | James Thomas Bernatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194250167 PECOS PAC ID: 6406126499 Enrollment ID: I20230809003425 |
| Provider Name | Jamie Lynn Buisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548940638 PECOS PAC ID: 5092177949 Enrollment ID: I20230809003973 |
| Provider Name | Matthew Winston Caldis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922461029 PECOS PAC ID: 4284927831 Enrollment ID: I20230810002967 |
| Provider Name | Natalia I Rush |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891133724 PECOS PAC ID: 0446549638 Enrollment ID: I20230811000846 |
| Provider Name | Matthew F Blum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558892372 PECOS PAC ID: 9739465733 Enrollment ID: I20230811003104 |
| Provider Name | Jennifer Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598444648 PECOS PAC ID: 0547622284 Enrollment ID: I20230814000723 |
| Provider Name | Tyler J Sternhagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689203903 PECOS PAC ID: 6507289154 Enrollment ID: I20230815003097 |
| Provider Name | Margaret R Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396291233 PECOS PAC ID: 9335563824 Enrollment ID: I20230816002549 |
| Provider Name | Jan A Herholdt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558449538 PECOS PAC ID: 0446341226 Enrollment ID: I20230816003448 |
| Provider Name | Sarah Eastman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851019269 PECOS PAC ID: 2062896459 Enrollment ID: I20230817001455 |
| Provider Name | Mariana Lee Montero Jaques |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003445545 PECOS PAC ID: 9931523503 Enrollment ID: I20230818002585 |
| Provider Name | Erica M Drapeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477224178 PECOS PAC ID: 2062808306 Enrollment ID: I20230821001481 |
| Provider Name | Ran C Zhang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528413762 PECOS PAC ID: 4183915150 Enrollment ID: I20230822000318 |
| Provider Name | Emily Behrend |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174147110 PECOS PAC ID: 4284058728 Enrollment ID: I20230823000751 |
| Provider Name | Jenny Tumba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087312 PECOS PAC ID: 1759638950 Enrollment ID: I20230823002559 |
| Provider Name | Ziad M Sad Aldeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629683784 PECOS PAC ID: 5698195691 Enrollment ID: I20230823002862 |
| Provider Name | Nicole A Boschuetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033506910 PECOS PAC ID: 5799097804 Enrollment ID: I20230823003052 |
| Provider Name | Amanda L Barrella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700868650 PECOS PAC ID: 8820113954 Enrollment ID: I20230823003229 |
| Provider Name | Connie X Wang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639638521 PECOS PAC ID: 4082944608 Enrollment ID: I20230825001730 |
| Provider Name | Lynneta J Latham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154966364 PECOS PAC ID: 6002279841 Enrollment ID: I20230828002232 |
| Provider Name | Rachel Coburn |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952863334 PECOS PAC ID: 1052649019 Enrollment ID: I20230828003789 |
| Provider Name | Christopher David Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245869973 PECOS PAC ID: 2668895210 Enrollment ID: I20230830000308 |
| Provider Name | Ashley Woodfin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710349378 PECOS PAC ID: 0941583314 Enrollment ID: I20230830000881 |
| Provider Name | Anna C Beck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740669076 PECOS PAC ID: 4688988181 Enrollment ID: I20230830001125 |
| Provider Name | Anna M Walsh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205491461 PECOS PAC ID: 3577897990 Enrollment ID: I20230830004226 |
| Provider Name | Dawn Ledbetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750381323 PECOS PAC ID: 3971526088 Enrollment ID: I20230831000914 |
| Provider Name | Eileen M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780367540 PECOS PAC ID: 0547623845 Enrollment ID: I20230905002338 |
| Provider Name | Samantha Christine Spanbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522911 PECOS PAC ID: 7618331802 Enrollment ID: I20230906002102 |
| Provider Name | Abbygael Leigh Brodbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992485791 PECOS PAC ID: 5092179283 Enrollment ID: I20230906002447 |
| Provider Name | Mahnaz X Behdad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760861553 PECOS PAC ID: 7517257876 Enrollment ID: I20230906003394 |
| Provider Name | Prerna Dogra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487046488 PECOS PAC ID: 6709194293 Enrollment ID: I20230907000474 |
| Provider Name | Jonathan D Housman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881009413 PECOS PAC ID: 4082830351 Enrollment ID: I20230907002916 |
| Provider Name | Marc H Labovich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891777686 PECOS PAC ID: 7719103415 Enrollment ID: I20230908000579 |
| Provider Name | Benjamin L Spector |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306294558 PECOS PAC ID: 2769774330 Enrollment ID: I20230908002831 |
| Provider Name | Jaime L. Bergh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841977972 PECOS PAC ID: 7214391226 Enrollment ID: I20230908003593 |
| Provider Name | Kristin Ksobiech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124801329 PECOS PAC ID: 6709240724 Enrollment ID: I20230910000094 |
| Provider Name | Elizabeth M Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194176750 PECOS PAC ID: 1153613351 Enrollment ID: I20230911000816 |
| Provider Name | Sarah Maria H Donohue |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730614520 PECOS PAC ID: 3870863095 Enrollment ID: I20230911001655 |
| Provider Name | Bethany K Bulgrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336821818 PECOS PAC ID: 1153785001 Enrollment ID: I20230912001324 |
| Provider Name | Naomi L Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629751441 PECOS PAC ID: 6002270899 Enrollment ID: I20230912003692 |
| Provider Name | Christopher P Cost |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902015217 PECOS PAC ID: 7416278791 Enrollment ID: I20230913000242 |
| Provider Name | Douglas Snyder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891144697 PECOS PAC ID: 3072800895 Enrollment ID: I20230913000625 |
| Provider Name | Leanne M Mansfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356861843 PECOS PAC ID: 3173987815 Enrollment ID: I20230913001609 |
| Provider Name | Alexandra A Erdmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447607213 PECOS PAC ID: 7517250673 Enrollment ID: I20230913002203 |
| Provider Name | Krista M Reagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720251523 PECOS PAC ID: 7315194412 Enrollment ID: I20230913002243 |
| Provider Name | Jeung Eun Yoon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922489038 PECOS PAC ID: 0446614986 Enrollment ID: I20230915002518 |
| Provider Name | Michelle A Leroy Hatheway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578994976 PECOS PAC ID: 6507087954 Enrollment ID: I20230915003132 |
| Provider Name | Lindsey J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407549553 PECOS PAC ID: 2466816897 Enrollment ID: I20230918002842 |
| Provider Name | Di Yan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841795671 PECOS PAC ID: 9335496587 Enrollment ID: I20230919001469 |
| Provider Name | Stephen P Polanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942732136 PECOS PAC ID: 5799139861 Enrollment ID: I20230922001101 |
| Provider Name | Ana De Roo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861870255 PECOS PAC ID: 7618282922 Enrollment ID: I20230922002033 |
| Provider Name | Eduard Vasilevskis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437116977 PECOS PAC ID: 9739100553 Enrollment ID: I20230926001551 |
| Provider Name | Patrick J Belton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518349588 PECOS PAC ID: 7911219845 Enrollment ID: I20230927000417 |
| Provider Name | Shelly S Lineberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093405037 PECOS PAC ID: 4183078025 Enrollment ID: I20230927001164 |
| Provider Name | William B Cammarano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215968805 PECOS PAC ID: 3173717584 Enrollment ID: I20230927001957 |
| Provider Name | Joshua D Warner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922452366 PECOS PAC ID: 7113219841 Enrollment ID: I20230927002633 |
| Provider Name | Muhammad Hassan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093591737 PECOS PAC ID: 2365896180 Enrollment ID: I20230928000478 |
| Provider Name | Nicci Owusu-brackett |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023437167 PECOS PAC ID: 2769887652 Enrollment ID: I20230928000537 |
| Provider Name | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20230928000740 |
| Provider Name | Carrie A Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851501605 PECOS PAC ID: 8325199367 Enrollment ID: I20230929002287 |
| Provider Name | Salma Salama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629750542 PECOS PAC ID: 2668826272 Enrollment ID: I20231002001070 |
| Provider Name | Brian Kenealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043849540 PECOS PAC ID: 6002238870 Enrollment ID: I20231004000182 |
| Provider Name | Andrea L Axtell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437562584 PECOS PAC ID: 4587882220 Enrollment ID: I20231004002784 |
| Provider Name | Sarah E. Nigro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407421472 PECOS PAC ID: 9032564323 Enrollment ID: I20231005002769 |
| Provider Name | Taylor Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558140368 PECOS PAC ID: 3173978319 Enrollment ID: I20231009002079 |
| Provider Name | Angelica Rosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538842943 PECOS PAC ID: 5890140057 Enrollment ID: I20231009002697 |
| Provider Name | Caroline K Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568807303 PECOS PAC ID: 3274756614 Enrollment ID: I20231009003138 |
| Provider Name | Virginia Medinilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710497144 PECOS PAC ID: 4486901899 Enrollment ID: I20231010000089 |
| Provider Name | Cassandra L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659154995 PECOS PAC ID: 7517312622 Enrollment ID: I20231010002068 |
| Provider Name | Matthew J Nudelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205456779 PECOS PAC ID: 3375998321 Enrollment ID: I20231011000342 |
| Provider Name | Dayna M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437936036 PECOS PAC ID: 7416302385 Enrollment ID: I20231012001447 |
| Provider Name | Eleanor F Meisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164051686 PECOS PAC ID: 3274955042 Enrollment ID: I20231016003628 |
| Provider Name | Abigail Jebaraj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942761739 PECOS PAC ID: 6800214354 Enrollment ID: I20231017001120 |
| Provider Name | Erica Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700177110 PECOS PAC ID: 4284941360 Enrollment ID: I20231018000292 |
| Provider Name | Gihan E. Dawood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255489746 PECOS PAC ID: 6800845447 Enrollment ID: I20231019003223 |
| Provider Name | Shiri G Raphaely |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548757925 PECOS PAC ID: 8224385117 Enrollment ID: I20231020001231 |
| Provider Name | Christopher Lindholm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336671437 PECOS PAC ID: 3870864044 Enrollment ID: I20231025003573 |
| Provider Name | Quaovi Hemeka Sodji |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255789293 PECOS PAC ID: 3173979069 Enrollment ID: I20231030000954 |
| Provider Name | Jeffrey Oli Grosland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154619211 PECOS PAC ID: 4284919267 Enrollment ID: I20231031003369 |
| Provider Name | Niki Popp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386872166 PECOS PAC ID: 9335380039 Enrollment ID: I20231101001449 |
| Provider Name | Ana Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770112658 PECOS PAC ID: 1456773381 Enrollment ID: I20231101002251 |
| Provider Name | Susan J Wittman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073686671 PECOS PAC ID: 3173606290 Enrollment ID: I20231101002425 |
| Provider Name | Jacquelyn A Dunahoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245694645 PECOS PAC ID: 8022300532 Enrollment ID: I20231103000250 |
| Provider Name | Lindsey M Czubakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619751674 PECOS PAC ID: 4981051422 Enrollment ID: I20231106002062 |
| Provider Name | Rebecca Johan Steinmetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020483 PECOS PAC ID: 3779930086 Enrollment ID: I20231108001772 |
| Provider Name | Laura Wipperfurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093587131 PECOS PAC ID: 2264889294 Enrollment ID: I20231113000734 |
| Provider Name | Ayden D Zarkhah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487159091 PECOS PAC ID: 8022492982 Enrollment ID: I20231113001576 |
| Provider Name | Emilie S Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790567683 PECOS PAC ID: 1153778162 Enrollment ID: I20231114000178 |
| Provider Name | Carolyn M Nguyen Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841073186 PECOS PAC ID: 5496102410 Enrollment ID: I20231114000710 |
| Provider Name | Jennifer Rose Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841078250 PECOS PAC ID: 8729435540 Enrollment ID: I20231115001993 |
| Provider Name | Victoria R. Rendell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134515513 PECOS PAC ID: 6507160678 Enrollment ID: I20231115002233 |
| Provider Name | Erin M Heredia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396526612 PECOS PAC ID: 1254788995 Enrollment ID: I20231116003691 |
| Provider Name | Jodi J Longdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932881794 PECOS PAC ID: 1658517230 Enrollment ID: I20231117002308 |
| Provider Name | Christina R Rippl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205609336 PECOS PAC ID: 0042668592 Enrollment ID: I20231122001634 |
| Provider Name | Janice M Dorsten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972513265 PECOS PAC ID: 5092736397 Enrollment ID: I20231127001997 |
| Provider Name | Daniel Gonzalo Pique |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770119794 PECOS PAC ID: 5395142574 Enrollment ID: I20231128000429 |
| Provider Name | Alexandra Danyel Burtch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063286680 PECOS PAC ID: 4688022676 Enrollment ID: I20231201000712 |
| Provider Name | Shirl L Schaffer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295712164 PECOS PAC ID: 2567402357 Enrollment ID: I20231206000754 |
| Provider Name | Benjamin Schessler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366087587 PECOS PAC ID: 8325473572 Enrollment ID: I20231206003545 |
| Provider Name | Tarachandra Narumanchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538253570 PECOS PAC ID: 3779512215 Enrollment ID: I20231212001226 |
| Provider Name | Kristen Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487116877 PECOS PAC ID: 9931433281 Enrollment ID: I20231212001783 |
| Provider Name | Seyed Abbas Mirabbasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427449297 PECOS PAC ID: 5395046155 Enrollment ID: I20231215001464 |
| Provider Name | Scott Czinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548911431 PECOS PAC ID: 7214322049 Enrollment ID: I20231218002975 |
| Provider Name | Eumenia Costa Da Cunha Castro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720381742 PECOS PAC ID: 8527208008 Enrollment ID: I20231219000704 |
| Provider Name | Thomas I. Sweet |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1164581732 PECOS PAC ID: 5991875841 Enrollment ID: I20231220003852 |
| Provider Name | Scott Infusino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972007409 PECOS PAC ID: 8325383433 Enrollment ID: I20240101000102 |
| Provider Name | Michael J Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649683855 PECOS PAC ID: 6709112691 Enrollment ID: I20240105001674 |
| Provider Name | Thomas R Wodushek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871556365 PECOS PAC ID: 2668555640 Enrollment ID: I20240109001084 |
| Provider Name | Jessica M Fall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962153684 PECOS PAC ID: 1557712908 Enrollment ID: I20240110000794 |
| Provider Name | Mia S Marquis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831105410 PECOS PAC ID: 6507217981 Enrollment ID: I20240110002218 |
| Provider Name | Jacqueline Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093276990 PECOS PAC ID: 4587991583 Enrollment ID: I20240113000321 |
| Provider Name | Laura L Menningen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609844083 PECOS PAC ID: 7911359575 Enrollment ID: I20240118003602 |
| Provider Name | Wesley Skyler Belcourt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356885404 PECOS PAC ID: 7719339340 Enrollment ID: I20240119001449 |
| Provider Name | Ryan Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689002214 PECOS PAC ID: 7012369572 Enrollment ID: I20240119002452 |
| Provider Name | Tonya Lawfer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174866685 PECOS PAC ID: 1759733223 Enrollment ID: I20240119002817 |
| Provider Name | Pankaj Prasun |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1699922369 PECOS PAC ID: 8325352230 Enrollment ID: I20240122001400 |
| Provider Name | Chelsea Langrehr |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609348556 PECOS PAC ID: 7618329095 Enrollment ID: I20240122002565 |
| Provider Name | Molly Hall Ripley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629326103 PECOS PAC ID: 7719339100 Enrollment ID: I20240122002897 |
| Provider Name | Amy Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104940360 PECOS PAC ID: 9234581505 Enrollment ID: I20240123001344 |
| Provider Name | Edward James Rataj |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457691396 PECOS PAC ID: 5597117887 Enrollment ID: I20240123001775 |
| Provider Name | Madeline C Barger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689090680 PECOS PAC ID: 9436501723 Enrollment ID: I20240123001958 |
| Provider Name | Katherine Leigh Richgels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457516833 PECOS PAC ID: 4880046184 Enrollment ID: I20240123002044 |
| Provider Name | Ruby A. Adams-stevenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871700708 PECOS PAC ID: 3779935077 Enrollment ID: I20240123002120 |
| Provider Name | Jessica T Corroo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821640202 PECOS PAC ID: 0143672345 Enrollment ID: I20240123002409 |
| Provider Name | Jennifer L Heck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508254996 PECOS PAC ID: 3577915776 Enrollment ID: I20240123002544 |
| Provider Name | Elizabeth Reeve |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972156529 PECOS PAC ID: 2860844081 Enrollment ID: I20240123003260 |
| Provider Name | Andrea L Janquart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821424748 PECOS PAC ID: 4587016712 Enrollment ID: I20240123003698 |
| Provider Name | Denise Pisarski Rosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083168389 PECOS PAC ID: 5597117747 Enrollment ID: I20240123004461 |
| Provider Name | Adam Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952636813 PECOS PAC ID: 7315390507 Enrollment ID: I20240124000811 |
| Provider Name | Kay Cram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356833008 PECOS PAC ID: 8022461268 Enrollment ID: I20240124002354 |
| Provider Name | Rhonda L Sager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093307902 PECOS PAC ID: 9032562285 Enrollment ID: I20240124002741 |
| Provider Name | Lindsay Kinateder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912440710 PECOS PAC ID: 2567815749 Enrollment ID: I20240124003908 |
| Provider Name | Anne Colleen Totero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043559669 PECOS PAC ID: 0941653042 Enrollment ID: I20240125000076 |
| Provider Name | Andrew Jacob Vanhyfte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730415902 PECOS PAC ID: 1759734858 Enrollment ID: I20240125000111 |
| Provider Name | Deena Weinstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659899631 PECOS PAC ID: 3678926797 Enrollment ID: I20240125000741 |
| Provider Name | Natalie A Albino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568238095 PECOS PAC ID: 5193178192 Enrollment ID: I20240125003569 |
| Provider Name | Ann M Grob |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265895387 PECOS PAC ID: 7810340817 Enrollment ID: I20240125003573 |
| Provider Name | Elsbeth Blum Ng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215059571 PECOS PAC ID: 2466512124 Enrollment ID: I20240126001711 |
| Provider Name | Madelyn Grace Esposito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356726251 PECOS PAC ID: 3678926540 Enrollment ID: I20240126001714 |
| Provider Name | Karilin A Bare |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689010175 PECOS PAC ID: 5991158891 Enrollment ID: I20240126002829 |
| Provider Name | Katlyn Marie Dhein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255976817 PECOS PAC ID: 0547613465 Enrollment ID: I20240126003592 |
| Provider Name | Rebecca M Alberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619096328 PECOS PAC ID: 6002269933 Enrollment ID: I20240126004041 |
| Provider Name | Adriane B Gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962800193 PECOS PAC ID: 1254784838 Enrollment ID: I20240131000305 |
| Provider Name | Carla Jean Eichinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427360544 PECOS PAC ID: 0042663569 Enrollment ID: I20240131001711 |
| Provider Name | Anastasia Stefani Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477126308 PECOS PAC ID: 4486097755 Enrollment ID: I20240205000768 |
| Provider Name | Kieran D Sahasrabudhe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912354366 PECOS PAC ID: 7911290143 Enrollment ID: I20240205002650 |
| Provider Name | Arianna Berry |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932979770 PECOS PAC ID: 2769825843 Enrollment ID: I20240206000751 |
| Provider Name | Levy O'brion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184878613 PECOS PAC ID: 2668532235 Enrollment ID: I20240207000819 |
| Provider Name | Stephanie Ahrens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699316216 PECOS PAC ID: 9830532522 Enrollment ID: I20240209001427 |
| Provider Name | Kiruba Vembu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487997326 PECOS PAC ID: 2668760406 Enrollment ID: I20240214003098 |
| Provider Name | Megan Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316708027 PECOS PAC ID: 5991149833 Enrollment ID: I20240219001701 |
| Provider Name | Yesenia Yamileth Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588438162 PECOS PAC ID: 7810331733 Enrollment ID: I20240220001011 |
| Provider Name | Christine Butts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477579951 PECOS PAC ID: 9638175979 Enrollment ID: I20240222001680 |
| Provider Name | Emilie Pinkovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780467852 PECOS PAC ID: 6608211958 Enrollment ID: I20240227001929 |
| Provider Name | Charles V Lindsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881801934 PECOS PAC ID: 1557706751 Enrollment ID: I20240227004193 |
| Provider Name | Brooke Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891261699 PECOS PAC ID: 2365887346 Enrollment ID: I20240229001560 |
| Provider Name | Derek Wiedmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194596080 PECOS PAC ID: 2769827567 Enrollment ID: I20240304000535 |
| Provider Name | Laura H Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538622022 PECOS PAC ID: 9739503202 Enrollment ID: I20240304002742 |
| Provider Name | Lauren Dahms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083475354 PECOS PAC ID: 9335585561 Enrollment ID: I20240311002550 |
| Provider Name | Dipanjan Banerjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295787299 PECOS PAC ID: 0749241859 Enrollment ID: I20240314000884 |
| Provider Name | Christoph Reitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639135007 PECOS PAC ID: 8325024771 Enrollment ID: I20240314001806 |
| Provider Name | Sara Marie Monson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023776804 PECOS PAC ID: 1951747625 Enrollment ID: I20240315003427 |
| Provider Name | Jack C Borders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306800404 PECOS PAC ID: 4183652167 Enrollment ID: I20240327000515 |
| Provider Name | Kenneth J Mack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689651044 PECOS PAC ID: 6507901022 Enrollment ID: I20240329001789 |
| Provider Name | Kelly F Ruse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497256705 PECOS PAC ID: 8224412432 Enrollment ID: I20240401002090 |
| Provider Name | William Hayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760433098 PECOS PAC ID: 9638143373 Enrollment ID: I20240401002100 |
| Provider Name | Daniel Glover |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588126130 PECOS PAC ID: 2163754748 Enrollment ID: I20240403001095 |
| Provider Name | Anna E Frackman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932631256 PECOS PAC ID: 2860892965 Enrollment ID: I20240403002118 |
| Provider Name | Christopher J Wirth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467746214 PECOS PAC ID: 3577901719 Enrollment ID: I20240405002948 |
| Provider Name | Matt Aron Heckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477310001 PECOS PAC ID: 7416395520 Enrollment ID: I20240409003169 |
| Provider Name | Ronald L Newman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265528269 PECOS PAC ID: 9032302088 Enrollment ID: I20240417000779 |
| Provider Name | Mikyung Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538239819 PECOS PAC ID: 3476554189 Enrollment ID: I20240424001275 |
| Provider Name | Kwadwo A Oduro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447697602 PECOS PAC ID: 8426286394 Enrollment ID: I20240426003280 |
| Provider Name | Niraj Desai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649246059 PECOS PAC ID: 3971560434 Enrollment ID: I20240430001747 |
| Provider Name | Marc Zabate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255866810 PECOS PAC ID: 6800164567 Enrollment ID: I20240430003688 |
| Provider Name | Alexandra M Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801658489 PECOS PAC ID: 9032559380 Enrollment ID: I20240502004056 |
| Provider Name | Emily Danielle Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518628254 PECOS PAC ID: 1557758281 Enrollment ID: I20240506000318 |
| Provider Name | Mikayla Beth Kohls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568224012 PECOS PAC ID: 9638519713 Enrollment ID: I20240507000859 |
| Provider Name | Cheri S Milton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659587111 PECOS PAC ID: 9931540028 Enrollment ID: I20240507001788 |
| Provider Name | Phillip Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609628601 PECOS PAC ID: 5092156349 Enrollment ID: I20240516004176 |
| Provider Name | Todd Robert Sheldon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124376918 PECOS PAC ID: 1759723778 Enrollment ID: I20240522002483 |
| Provider Name | Anne E Lindstrom |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427809862 PECOS PAC ID: 5698117398 Enrollment ID: I20240528000555 |
| Provider Name | Chinelo Pamela Onyenekwu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205498920 PECOS PAC ID: 0941660344 Enrollment ID: I20240603000261 |
| Provider Name | Amanda L Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902659709 PECOS PAC ID: 4880136035 Enrollment ID: I20240604001545 |
Generations Fertility Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2365 Deming Way, Middleton, WI 53562 Phone: 608-828-1868 | |
Wisconsin Fertility Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3146 Deming Way, Middleton, WI 53562 Phone: 608-824-0075 Fax: 608-829-0748 | |
Pivotal Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 Laura Ln Ste 130, Middleton, WI 53562 Phone: 888-688-4746 | |
Midwest Open Mri, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8309 Greenway Boulevard, Suite 100, Middleton, WI 53562 Phone: 608-836-7220 Fax: 608-836-7229 | |
Hanna Medical Clinic Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3207 Laura Ln Ste 105, Middleton, WI 53562 Phone: 608-203-8022 Fax: 608-203-8041 | |
Premise Health Of Wisconsin Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Discovery Dr, Middleton, WI 53562 Phone: 608-338-0400 Fax: 608-824-8817 |