| University Primary Care Practices Inc | |
|
9000 Mentor Ave Ste 204 Mentor OH 44060-4496 | |
| (216) 383-0100 | |
| (216) 383-6481 |
| Full Name | University Primary Care Practices Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9000 Mentor Ave Ste 204, Mentor, Ohio |
| Authorized Official Name and Position | Steve Riddle (DIRECTOR OF BILLING SERVICES) |
| Authorized Official Contact | 2163836480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Primary Care Practices Inc Po Box 8792 Belfast ME 04915-8792 Ph: (216) 383-6776 | University Primary Care Practices Inc 9000 Mentor Ave Ste 204 Mentor OH 44060-4496 Ph: (216) 383-0100 |
| NPI Number | 1003935339 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/09/2010 |
| Medicare PECOS PAC ID | 3072417534 |
|---|---|
| Medicare Enrollment ID | O20031125000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003935339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Orest Stecyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063453611 PECOS PAC ID: 7911801873 Enrollment ID: I20031121000602 |
| Provider Name | Scott Watson Mabee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336320456 PECOS PAC ID: 2062316920 Enrollment ID: I20031125000567 |
| Provider Name | Raymond P Bermea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528249653 PECOS PAC ID: 3274437611 Enrollment ID: I20031201000188 |
| Provider Name | Emil Hayek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679675375 PECOS PAC ID: 5092611293 Enrollment ID: I20031209000721 |
| Provider Name | Karla J Madalin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194786822 PECOS PAC ID: 3476459561 Enrollment ID: I20031210000021 |
| Provider Name | Soghra Homafar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780751289 PECOS PAC ID: 4880591262 Enrollment ID: I20031215000418 |
| Provider Name | Rosemarie O Olivo Okal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720070154 PECOS PAC ID: 3375440233 Enrollment ID: I20031217001066 |
| Provider Name | Mark A Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659300119 PECOS PAC ID: 7517865082 Enrollment ID: I20031222000459 |
| Provider Name | Amelita C Quedding-pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969557 PECOS PAC ID: 9739087123 Enrollment ID: I20031223000009 |
| Provider Name | Steven A Gaich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134123516 PECOS PAC ID: 7911805536 Enrollment ID: I20031223000017 |
| Provider Name | Lawrence J Witmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639130768 PECOS PAC ID: 6103724059 Enrollment ID: I20031230000168 |
| Provider Name | Paul V Miotto |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1427019678 PECOS PAC ID: 5496653388 Enrollment ID: I20031230000344 |
| Provider Name | Yolanda R Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114981404 PECOS PAC ID: 0143129627 Enrollment ID: I20040105000047 |
| Provider Name | Mark S Smilek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992810527 PECOS PAC ID: 1759288665 Enrollment ID: I20040105000404 |
| Provider Name | Harmohinder S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578552568 PECOS PAC ID: 1456250885 Enrollment ID: I20040106000075 |
| Provider Name | John Willar Peck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891895538 PECOS PAC ID: 4183523194 Enrollment ID: I20040108000048 |
| Provider Name | Jennifer L Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760459812 PECOS PAC ID: 7719887637 Enrollment ID: I20040108001084 |
| Provider Name | Tushar Kantilal Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649286360 PECOS PAC ID: 2062312937 Enrollment ID: I20040109000042 |
| Provider Name | Jayanthi Alagarsamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710976089 PECOS PAC ID: 2668372491 Enrollment ID: I20040109000389 |
| Provider Name | Praveer Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255429783 PECOS PAC ID: 3274433917 Enrollment ID: I20040109000988 |
| Provider Name | Valeriu Dan Vlasie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285635524 PECOS PAC ID: 4486555802 Enrollment ID: I20040119000416 |
| Provider Name | Jeffrey M Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568460400 PECOS PAC ID: 8325949514 Enrollment ID: I20040120000483 |
| Provider Name | Walter J Wojnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750351094 PECOS PAC ID: 9638071624 Enrollment ID: I20040121000649 |
| Provider Name | James C Ramicone |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366481830 PECOS PAC ID: 1254238132 Enrollment ID: I20040121000788 |
| Provider Name | Deborah A Nobilio-vicario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831169333 PECOS PAC ID: 3173425055 Enrollment ID: I20040122000007 |
| Provider Name | Mohammad Shaukat Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225008618 PECOS PAC ID: 8022910900 Enrollment ID: I20040122000035 |
| Provider Name | John M Craker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215909510 PECOS PAC ID: 2466354386 Enrollment ID: I20040122000256 |
| Provider Name | Marie Kuchynski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780764977 PECOS PAC ID: 0840192670 Enrollment ID: I20040122000947 |
| Provider Name | Peter Guyon Striegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588753123 PECOS PAC ID: 4587567797 Enrollment ID: I20040127000765 |
| Provider Name | Marwan Massouh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508841669 PECOS PAC ID: 6709785702 Enrollment ID: I20040129000186 |
| Provider Name | William F Demas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033100334 PECOS PAC ID: 0648163261 Enrollment ID: I20040209000387 |
| Provider Name | Michael J Seider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649251703 PECOS PAC ID: 3274426895 Enrollment ID: I20040209000458 |
| Provider Name | Marek A Buczek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093748113 PECOS PAC ID: 3678467156 Enrollment ID: I20040215000007 |
| Provider Name | Philip D Wendschuh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548249741 PECOS PAC ID: 2567369440 Enrollment ID: I20040217001070 |
| Provider Name | Lilia Margar Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568567543 PECOS PAC ID: 9931094901 Enrollment ID: I20040218000679 |
| Provider Name | Geetha Mohan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316927668 PECOS PAC ID: 6406741339 Enrollment ID: I20040218000994 |
| Provider Name | Atul Hulyalkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336128693 PECOS PAC ID: 8325945249 Enrollment ID: I20040219000116 |
| Provider Name | Steven Dwayne Strausbaugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427070838 PECOS PAC ID: 5294636213 Enrollment ID: I20040220000785 |
| Provider Name | William H Cuff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861485609 PECOS PAC ID: 0244125839 Enrollment ID: I20040220001185 |
| Provider Name | Kimberley Eaton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083771075 PECOS PAC ID: 3678469202 Enrollment ID: I20040223000367 |
| Provider Name | Hassan A Abbass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023053980 PECOS PAC ID: 0446146583 Enrollment ID: I20040225000488 |
| Provider Name | Jennifer L Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306849401 PECOS PAC ID: 2062308075 Enrollment ID: I20040226000196 |
| Provider Name | Tanya Banerjee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326114497 PECOS PAC ID: 1557257250 Enrollment ID: I20040227000268 |
| Provider Name | Sharon E Van Nostran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124035340 PECOS PAC ID: 5496642746 Enrollment ID: I20040302000164 |
| Provider Name | Laura Seaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952365280 PECOS PAC ID: 0749177004 Enrollment ID: I20040302000231 |
| Provider Name | Deborah Reed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891808135 PECOS PAC ID: 2567359847 Enrollment ID: I20040302000297 |
| Provider Name | Joseph T Iemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295799690 PECOS PAC ID: 5890693832 Enrollment ID: I20040308000171 |
| Provider Name | Rahul Prakash Khandekar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225092521 PECOS PAC ID: 0941198378 Enrollment ID: I20040308001036 |
| Provider Name | Haissam M Gamaleldin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831190289 PECOS PAC ID: 4284522400 Enrollment ID: I20040309000915 |
| Provider Name | Andrea E. M. Waker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336103704 PECOS PAC ID: 3971491937 Enrollment ID: I20040310000415 |
| Provider Name | Mohammed S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891765186 PECOS PAC ID: 6507755436 Enrollment ID: I20040310001492 |
| Provider Name | John Andrefsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356373344 PECOS PAC ID: 2567352453 Enrollment ID: I20040316000671 |
| Provider Name | Adam J Haas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891717179 PECOS PAC ID: 1850282633 Enrollment ID: I20040322001355 |
| Provider Name | Nadim Al-mubarak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750358941 PECOS PAC ID: 4385536481 Enrollment ID: I20040325000520 |
| Provider Name | Julie A Ronyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801906003 PECOS PAC ID: 3577455567 Enrollment ID: I20040325001111 |
| Provider Name | Colleen B Staszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780651836 PECOS PAC ID: 7810989910 Enrollment ID: I20040331000045 |
| Provider Name | Samuel Louis Friedlander |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689630345 PECOS PAC ID: 3476546854 Enrollment ID: I20040405000048 |
| Provider Name | John J Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548250327 PECOS PAC ID: 2567455884 Enrollment ID: I20040405000342 |
| Provider Name | Steven Alan Galun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003880139 PECOS PAC ID: 7315848223 Enrollment ID: I20040406000025 |
| Provider Name | Thomas D Bruno |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043232416 PECOS PAC ID: 0941293815 Enrollment ID: I20040406001240 |
| Provider Name | Barbara A Dooner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912999269 PECOS PAC ID: 0941293831 Enrollment ID: I20040406001315 |
| Provider Name | John Jasper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851300875 PECOS PAC ID: 8123011921 Enrollment ID: I20040407000290 |
| Provider Name | Jennifer M Carandang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912909862 PECOS PAC ID: 0345233862 Enrollment ID: I20040408000193 |
| Provider Name | John J Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666737 PECOS PAC ID: 4880687664 Enrollment ID: I20040408000343 |
| Provider Name | Jerald Katcher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154330744 PECOS PAC ID: 3870587314 Enrollment ID: I20040408001187 |
| Provider Name | Paul A Bjorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376530261 PECOS PAC ID: 5890789341 Enrollment ID: I20040408001251 |
| Provider Name | Wendy Kissinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568564284 PECOS PAC ID: 4688668726 Enrollment ID: I20040412001682 |
| Provider Name | Stephen James Burgun |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396831798 PECOS PAC ID: 0042204869 Enrollment ID: I20040413001461 |
| Provider Name | Elizabeth Valentine Brandewie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275582652 PECOS PAC ID: 4486649464 Enrollment ID: I20040419000795 |
| Provider Name | Tamar Yuri Bejanishvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376558767 PECOS PAC ID: 7810982543 Enrollment ID: I20040420000739 |
| Provider Name | Kurt D Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548223852 PECOS PAC ID: 1456347608 Enrollment ID: I20040422000968 |
| Provider Name | Shirley A Sternen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417940396 PECOS PAC ID: 8022004282 Enrollment ID: I20040422001105 |
| Provider Name | Joann Eisenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023119609 PECOS PAC ID: 8527055367 Enrollment ID: I20040426001233 |
| Provider Name | Mary C Macdonald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841373362 PECOS PAC ID: 5698760361 Enrollment ID: I20040427000272 |
| Provider Name | Katherine Anne Longsdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568468569 PECOS PAC ID: 4385631985 Enrollment ID: I20040427000446 |
| Provider Name | Ashok K Dayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134174485 PECOS PAC ID: 3274520812 Enrollment ID: I20040427000774 |
| Provider Name | Anthony E Bacevice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598714388 PECOS PAC ID: 2668460460 Enrollment ID: I20040503000024 |
| Provider Name | Marsha J Bortmas Pantalone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881608511 PECOS PAC ID: 1951390905 Enrollment ID: I20040506001116 |
| Provider Name | Abdallah Issam Kabbara |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275526428 PECOS PAC ID: 2062401524 Enrollment ID: I20040510000871 |
| Provider Name | Margaret Guido |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396766705 PECOS PAC ID: 4587653845 Enrollment ID: I20040511000874 |
| Provider Name | Theodore Raymond Pacheco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023097201 PECOS PAC ID: 1456258334 Enrollment ID: I20040511000976 |
| Provider Name | David Blaine Joyce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114907243 PECOS PAC ID: 5294632170 Enrollment ID: I20040511001076 |
| Provider Name | Bryan D Loos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700853850 PECOS PAC ID: 1850380940 Enrollment ID: I20040512000816 |
| Provider Name | Daniel R Wulff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427044734 PECOS PAC ID: 9830189851 Enrollment ID: I20040513000183 |
| Provider Name | Virginia R Vatev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255430864 PECOS PAC ID: 2163403460 Enrollment ID: I20040524001502 |
| Provider Name | Jeffrey M Boyko |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023061165 PECOS PAC ID: 8820079627 Enrollment ID: I20040527000454 |
| Provider Name | Sara L Stein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326152877 PECOS PAC ID: 1254312903 Enrollment ID: I20040527000922 |
| Provider Name | Kathleen M Scroggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639185259 PECOS PAC ID: 7810978483 Enrollment ID: I20040528000460 |
| Provider Name | Mark Alan Bostelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821050204 PECOS PAC ID: 1759365844 Enrollment ID: I20040616000475 |
| Provider Name | Dawn M Zacharias |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609853183 PECOS PAC ID: 7517941446 Enrollment ID: I20040617000011 |
| Provider Name | Deborah L Ewing-wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124133483 PECOS PAC ID: 8820072598 Enrollment ID: I20040618000082 |
| Provider Name | Sharon C Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184686693 PECOS PAC ID: 0840275061 Enrollment ID: I20040622000907 |
| Provider Name | Suresh D Mendpara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427036391 PECOS PAC ID: 8921083718 Enrollment ID: I20040624000440 |
| Provider Name | Keir Thelander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578006508 PECOS PAC ID: 9133105836 Enrollment ID: I20040624001288 |
| Provider Name | Jennifer L Honsaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376536557 PECOS PAC ID: 0749266401 Enrollment ID: I20040624001736 |
| Provider Name | Regina M Bruno |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104818426 PECOS PAC ID: 1456337013 Enrollment ID: I20040625000262 |
| Provider Name | John Y Zhao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992772818 PECOS PAC ID: 4789660028 Enrollment ID: I20040627000001 |
| Provider Name | Vladimir Dubchuk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669577870 PECOS PAC ID: 9931186996 Enrollment ID: I20040707000819 |
| Provider Name | Michelle Marie Platz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457432437 PECOS PAC ID: 7810975802 Enrollment ID: I20040707001216 |
| Provider Name | Laura Musser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801878715 PECOS PAC ID: 3577541507 Enrollment ID: I20040707001435 |
| Provider Name | Ravi Vedantum Chari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093779639 PECOS PAC ID: 6204814437 Enrollment ID: I20040713000598 |
| Provider Name | Sandra Lillian Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306950258 PECOS PAC ID: 6901885011 Enrollment ID: I20040714000259 |
| Provider Name | Rami Nazem Hachwi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144309824 PECOS PAC ID: 0941280713 Enrollment ID: I20040723001111 |
| Provider Name | Jeremy Charles Hoban |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659364891 PECOS PAC ID: 6800866500 Enrollment ID: I20040729000915 |
| Provider Name | Raju Modi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528007143 PECOS PAC ID: 0840261046 Enrollment ID: I20040803000000 |
| Provider Name | Robert James Pujolas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144299330 PECOS PAC ID: 0840261053 Enrollment ID: I20040803000003 |
| Provider Name | Matthew A Kacir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477555357 PECOS PAC ID: 4183695778 Enrollment ID: I20040805000877 |
| Provider Name | Sami Elias Moufawad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1558490748 PECOS PAC ID: 3375515646 Enrollment ID: I20040807000152 |
| Provider Name | Colleen M Brezine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578512463 PECOS PAC ID: 5294707576 Enrollment ID: I20040810001544 |
| Provider Name | David Curtis Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558357673 PECOS PAC ID: 9032182837 Enrollment ID: I20040819000144 |
| Provider Name | James L Sechler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710921374 PECOS PAC ID: 4284615899 Enrollment ID: I20040901000603 |
| Provider Name | William J Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053363622 PECOS PAC ID: 1850366717 Enrollment ID: I20040901001556 |
| Provider Name | Ann Marie Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063497964 PECOS PAC ID: 3577539303 Enrollment ID: I20040903000157 |
| Provider Name | Larissa Elgudin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629004387 PECOS PAC ID: 2163498858 Enrollment ID: I20040903000387 |
| Provider Name | Laura Anne Davis Luarde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114919222 PECOS PAC ID: 9537135108 Enrollment ID: I20040903001041 |
| Provider Name | Natalina N Andreani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669412755 PECOS PAC ID: 5294701603 Enrollment ID: I20040908000162 |
| Provider Name | Nader Husam Muhammad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972543031 PECOS PAC ID: 7517933633 Enrollment ID: I20040909000270 |
| Provider Name | Paula B Usis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326130303 PECOS PAC ID: 4183690266 Enrollment ID: I20040909000654 |
| Provider Name | Ernest R Degidio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386622298 PECOS PAC ID: 3173599180 Enrollment ID: I20040909000890 |
| Provider Name | Tracy M Bartone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417048109 PECOS PAC ID: 0345217386 Enrollment ID: I20040910000545 |
| Provider Name | Gary Richard Lofgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063414811 PECOS PAC ID: 8820066731 Enrollment ID: I20040920000212 |
| Provider Name | Stephanie M Geletka |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1942202973 PECOS PAC ID: 7113995887 Enrollment ID: I20040921000184 |
| Provider Name | Annette F. Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730121948 PECOS PAC ID: 9830168590 Enrollment ID: I20040929000508 |
| Provider Name | Thomas J Schmeiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275549701 PECOS PAC ID: 1254300122 Enrollment ID: I20041001000024 |
| Provider Name | Gerald Melvin Burma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164464640 PECOS PAC ID: 5294704623 Enrollment ID: I20041001000146 |
| Provider Name | Jason D Ridgel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225020449 PECOS PAC ID: 4880663186 Enrollment ID: I20041001000732 |
| Provider Name | Vincent J Franczek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043211568 PECOS PAC ID: 1153380365 Enrollment ID: I20041005000033 |
| Provider Name | Chirag J Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568464667 PECOS PAC ID: 2668431776 Enrollment ID: I20041005000810 |
| Provider Name | Jennifer Ann Rossi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205852225 PECOS PAC ID: 2961462973 Enrollment ID: I20041014000302 |
| Provider Name | Ruchi Taliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386634681 PECOS PAC ID: 1355303330 Enrollment ID: I20041102000252 |
| Provider Name | Dominic S Lefoer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700981479 PECOS PAC ID: 7719949734 Enrollment ID: I20041102000578 |
| Provider Name | Eric J Shapiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104825629 PECOS PAC ID: 4587627443 Enrollment ID: I20041110001363 |
| Provider Name | Mourhaf A Traboulssi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639158827 PECOS PAC ID: 9436056314 Enrollment ID: I20041116000160 |
| Provider Name | Hassan M Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326027442 PECOS PAC ID: 4789581661 Enrollment ID: I20041116000258 |
| Provider Name | William P Mcguinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851370175 PECOS PAC ID: 1557268430 Enrollment ID: I20041116000572 |
| Provider Name | Jennifer Wurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510166 PECOS PAC ID: 5092770552 Enrollment ID: I20041123000946 |
| Provider Name | Samer N Narouze |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780776351 PECOS PAC ID: 8426013541 Enrollment ID: I20041130000691 |
| Provider Name | Kristen Marie Falinski Cole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699728105 PECOS PAC ID: 3274599873 Enrollment ID: I20041206000648 |
| Provider Name | William Scott Sheldon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124008941 PECOS PAC ID: 3072410950 Enrollment ID: I20041208000807 |
| Provider Name | Michael Vacante |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295715035 PECOS PAC ID: 0547167561 Enrollment ID: I20041208000837 |
| Provider Name | John W Schaeffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033199930 PECOS PAC ID: 6002713021 Enrollment ID: I20041208000891 |
| Provider Name | Charles D Oshaughnessy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831178003 PECOS PAC ID: 0749187623 Enrollment ID: I20041208000961 |
| Provider Name | Naim Z Farhat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881673234 PECOS PAC ID: 0446157325 Enrollment ID: I20041208001017 |
| Provider Name | Jill C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104922962 PECOS PAC ID: 9931167160 Enrollment ID: I20041220001030 |
| Provider Name | Donald J Ebersbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104919224 PECOS PAC ID: 8123086352 Enrollment ID: I20041220001089 |
| Provider Name | John Richard Hagopian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184611071 PECOS PAC ID: 0547228918 Enrollment ID: I20050103000054 |
| Provider Name | James F Donohue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295722148 PECOS PAC ID: 4587557848 Enrollment ID: I20050103000104 |
| Provider Name | Yasser Samuel Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487750253 PECOS PAC ID: 4981662269 Enrollment ID: I20050103001018 |
| Provider Name | Doug Allen Marsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114989449 PECOS PAC ID: 5698723815 Enrollment ID: I20050105000006 |
| Provider Name | Tim A Sidor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154399483 PECOS PAC ID: 4587612700 Enrollment ID: I20050105000288 |
| Provider Name | Kim Marie Robusto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649370917 PECOS PAC ID: 3678521473 Enrollment ID: I20050107000934 |
| Provider Name | Ali Jahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770546681 PECOS PAC ID: 7113975681 Enrollment ID: I20050111000756 |
| Provider Name | Charles S Duvall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407878770 PECOS PAC ID: 1254392681 Enrollment ID: I20050125000017 |
| Provider Name | Patrick Terrance Furness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215927314 PECOS PAC ID: 0941250708 Enrollment ID: I20050131000007 |
| Provider Name | James E Ohliger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043202252 PECOS PAC ID: 8527019157 Enrollment ID: I20050201000664 |
| Provider Name | Melissa M Nassif Pla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972508182 PECOS PAC ID: 7911958343 Enrollment ID: I20050203000031 |
| Provider Name | Philip Joseph Coverdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740225911 PECOS PAC ID: 4486605722 Enrollment ID: I20050203000907 |
| Provider Name | Toni E Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912083007 PECOS PAC ID: 7113978057 Enrollment ID: I20050208000571 |
| Provider Name | Michael J Dobrovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515961 PECOS PAC ID: 8527051309 Enrollment ID: I20050209000628 |
| Provider Name | Karim Razmjouei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935279 PECOS PAC ID: 2668423328 Enrollment ID: I20050210000099 |
| Provider Name | Monique A Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619969110 PECOS PAC ID: 0749231439 Enrollment ID: I20050210000316 |
| Provider Name | Brian S Putka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346284890 PECOS PAC ID: 0143272823 Enrollment ID: I20050211000004 |
| Provider Name | Niculina R Olariu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134111255 PECOS PAC ID: 2264484773 Enrollment ID: I20050214000056 |
| Provider Name | Fredrick Joseph Barton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194717934 PECOS PAC ID: 2567415052 Enrollment ID: I20050224000395 |
| Provider Name | James J Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659394393 PECOS PAC ID: 3375596638 Enrollment ID: I20050225000759 |
| Provider Name | Christine Ann Leoson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902851405 PECOS PAC ID: 2062465156 Enrollment ID: I20050301000683 |
| Provider Name | Christine D Boyko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770545444 PECOS PAC ID: 2466406921 Enrollment ID: I20050308000519 |
| Provider Name | Bradley Joseph Vargo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902807118 PECOS PAC ID: 8628961919 Enrollment ID: I20050309001058 |
| Provider Name | Carl Forrest |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033131305 PECOS PAC ID: 1850347030 Enrollment ID: I20050330001072 |
| Provider Name | Salvatore P Sidoti |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528093473 PECOS PAC ID: 7012963234 Enrollment ID: I20050331000703 |
| Provider Name | Gabriel Lupu Stanescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225127285 PECOS PAC ID: 3870530538 Enrollment ID: I20050413001228 |
| Provider Name | Michael Joseph Rish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184616682 PECOS PAC ID: 6103864889 Enrollment ID: I20050422000301 |
| Provider Name | Gabriella Palma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881686624 PECOS PAC ID: 3072551662 Enrollment ID: I20050423000098 |
| Provider Name | Martha B Passek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689693277 PECOS PAC ID: 5991744088 Enrollment ID: I20050428000116 |
| Provider Name | Cynthia Kraus Balina |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447365622 PECOS PAC ID: 0244279180 Enrollment ID: I20050429000073 |
| Provider Name | Michael A Adornetto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235139767 PECOS PAC ID: 7517950397 Enrollment ID: I20050504001104 |
| Provider Name | Jason A Fried |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275575201 PECOS PAC ID: 4183664949 Enrollment ID: I20050511000316 |
| Provider Name | Mary Yursky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144246570 PECOS PAC ID: 2961443007 Enrollment ID: I20050518000999 |
| Provider Name | Janice A Lyons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003825605 PECOS PAC ID: 9931141454 Enrollment ID: I20050525000434 |
| Provider Name | Kamaleswary Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154391647 PECOS PAC ID: 1254374556 Enrollment ID: I20050608000039 |
| Provider Name | Steven A Surace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720071467 PECOS PAC ID: 7911940150 Enrollment ID: I20050608000327 |
| Provider Name | Mukesh Bhatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326026154 PECOS PAC ID: 6608810528 Enrollment ID: I20050613000393 |
| Provider Name | Jason Vincent Sustersic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124056163 PECOS PAC ID: 5193769255 Enrollment ID: I20050620000413 |
| Provider Name | Andre Decates |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346249299 PECOS PAC ID: 9133164163 Enrollment ID: I20050621000791 |
| Provider Name | Nicole C Troy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538115639 PECOS PAC ID: 9436194073 Enrollment ID: I20050623000408 |
| Provider Name | Louis Albert Horwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285681387 PECOS PAC ID: 3971548207 Enrollment ID: I20050627000807 |
| Provider Name | Annette Cosentino Bressi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720186067 PECOS PAC ID: 9830135680 Enrollment ID: I20050701000004 |
| Provider Name | Chetan P Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639156516 PECOS PAC ID: 0840236618 Enrollment ID: I20050701000192 |
| Provider Name | Molly Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952487134 PECOS PAC ID: 3577509280 Enrollment ID: I20050705000370 |
| Provider Name | Sapna V Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881614931 PECOS PAC ID: 7517903925 Enrollment ID: I20050707000011 |
| Provider Name | Mark O Farmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144282468 PECOS PAC ID: 3274579560 Enrollment ID: I20050708000353 |
| Provider Name | Mary C Revolinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790774099 PECOS PAC ID: 2062448582 Enrollment ID: I20050715000001 |
| Provider Name | Myra J Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851408959 PECOS PAC ID: 6709813694 Enrollment ID: I20050722000113 |
| Provider Name | Michelle Lee Twombly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467409896 PECOS PAC ID: 9638106339 Enrollment ID: I20050725000861 |
| Provider Name | Rosemary Gaffney Etheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417941428 PECOS PAC ID: 5698703791 Enrollment ID: I20050729001035 |
| Provider Name | Diane Mayo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942293741 PECOS PAC ID: 5991734584 Enrollment ID: I20050804000090 |
| Provider Name | Pasha Saeed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639267297 PECOS PAC ID: 2961431580 Enrollment ID: I20050804000386 |
| Provider Name | Brad Schubert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730308479 PECOS PAC ID: 3577592062 Enrollment ID: I20050804000978 |
| Provider Name | Sheryl L Grobelny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386637569 PECOS PAC ID: 6507895877 Enrollment ID: I20050808000012 |
| Provider Name | Christine E Fultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972559763 PECOS PAC ID: 1850320128 Enrollment ID: I20050808000044 |
| Provider Name | Gregg H Faiman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508959644 PECOS PAC ID: 0547291288 Enrollment ID: I20050823000553 |
| Provider Name | Deanne H Siegal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487773024 PECOS PAC ID: 7618908351 Enrollment ID: I20050823000568 |
| Provider Name | Thomas W Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669464673 PECOS PAC ID: 5890726129 Enrollment ID: I20050826000317 |
| Provider Name | Brian P Radesic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508959834 PECOS PAC ID: 5294767828 Enrollment ID: I20050906000072 |
| Provider Name | Jonathan H Salewski |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548223761 PECOS PAC ID: 9436042660 Enrollment ID: I20050919000864 |
| Provider Name | Robert J Stansbrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750301032 PECOS PAC ID: 8921032657 Enrollment ID: I20050922000474 |
| Provider Name | Frank Michael Sabo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063417251 PECOS PAC ID: 8527092055 Enrollment ID: I20050923000078 |
| Provider Name | Kataiba Tabbaa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356406524 PECOS PAC ID: 6901842525 Enrollment ID: I20050929000400 |
| Provider Name | Mahboob Quaderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184724551 PECOS PAC ID: 3274558374 Enrollment ID: I20051007000531 |
| Provider Name | Julie Davis Kayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043280761 PECOS PAC ID: 7113942632 Enrollment ID: I20051013000132 |
| Provider Name | Alberto Noel Diaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952416802 PECOS PAC ID: 3375560733 Enrollment ID: I20051026000176 |
| Provider Name | Eva M Fried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487736047 PECOS PAC ID: 7618995903 Enrollment ID: I20051104000459 |
| Provider Name | Diane Huey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356315949 PECOS PAC ID: 3971521147 Enrollment ID: I20051107000037 |
| Provider Name | Stephanie J Sadlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790726800 PECOS PAC ID: 1052339173 Enrollment ID: I20051108000185 |
| Provider Name | Arash Rashidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790774289 PECOS PAC ID: 3678591310 Enrollment ID: I20051110000639 |
| Provider Name | Douglas F Naylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306800511 PECOS PAC ID: 9234106113 Enrollment ID: I20051114000231 |
| Provider Name | Shalini Mohindra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588624316 PECOS PAC ID: 6800815424 Enrollment ID: I20051114000326 |
| Provider Name | Michael R Patrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629092655 PECOS PAC ID: 8224055603 Enrollment ID: I20051114001160 |
| Provider Name | Alexander M Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912905845 PECOS PAC ID: 8426077553 Enrollment ID: I20051117000214 |
| Provider Name | Howard B Minott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780650697 PECOS PAC ID: 6901826064 Enrollment ID: I20051206000101 |
| Provider Name | Melanie L Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932179272 PECOS PAC ID: 3870514649 Enrollment ID: I20051208000782 |
| Provider Name | Stacy Ann Schmotzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740260587 PECOS PAC ID: 8022039528 Enrollment ID: I20051213000097 |
| Provider Name | Ewa M Gross-sawicka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639149115 PECOS PAC ID: 8022039387 Enrollment ID: I20051214000477 |
| Provider Name | James T Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427029545 PECOS PAC ID: 8820995707 Enrollment ID: I20051214000916 |
| Provider Name | Scott H Mccallister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306825617 PECOS PAC ID: 7618874595 Enrollment ID: I20051215000152 |
| Provider Name | Robert J Krajcik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003886755 PECOS PAC ID: 6002837267 Enrollment ID: I20051215000198 |
| Provider Name | Arthur Ulatowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639177074 PECOS PAC ID: 5294750154 Enrollment ID: I20051230000673 |
| Provider Name | Lori K Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588741177 PECOS PAC ID: 4880616044 Enrollment ID: I20060103000003 |
| Provider Name | Ramachand Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493052 PECOS PAC ID: 0840212023 Enrollment ID: I20060103000131 |
| Provider Name | Traci E Evans-ellacott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588634976 PECOS PAC ID: 5597787663 Enrollment ID: I20060103000851 |
| Provider Name | Michael M Langer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043280480 PECOS PAC ID: 9133178403 Enrollment ID: I20060104000397 |
| Provider Name | Charles L Maccallum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295728475 PECOS PAC ID: 7911980339 Enrollment ID: I20060104000727 |
| Provider Name | Michelle Renee Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952370090 PECOS PAC ID: 8123041167 Enrollment ID: I20060105000384 |
| Provider Name | David J Headen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528160348 PECOS PAC ID: 1052334885 Enrollment ID: I20060109000024 |
| Provider Name | Melissa Ann Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861410516 PECOS PAC ID: 6204869688 Enrollment ID: I20060127000249 |
| Provider Name | Faranak Zarrabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073564035 PECOS PAC ID: 9133134489 Enrollment ID: I20060208000394 |
| Provider Name | Elizabeth M Confalone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891882296 PECOS PAC ID: 5597752899 Enrollment ID: I20060208000809 |
| Provider Name | Wendy L Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750339396 PECOS PAC ID: 5395750442 Enrollment ID: I20060213000005 |
| Provider Name | Juan S Solis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316943178 PECOS PAC ID: 0941215834 Enrollment ID: I20060215000000 |
| Provider Name | Deana Kay Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689693251 PECOS PAC ID: 2062427529 Enrollment ID: I20060221000093 |
| Provider Name | Joseph Centa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902875180 PECOS PAC ID: 8527092295 Enrollment ID: I20060304000006 |
| Provider Name | Richard L Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568446177 PECOS PAC ID: 0244247989 Enrollment ID: I20060321000467 |
| Provider Name | Scott B Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568559441 PECOS PAC ID: 8729097530 Enrollment ID: I20060406000015 |
| Provider Name | Jennifer E Payne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144304841 PECOS PAC ID: 1951310630 Enrollment ID: I20060406000681 |
| Provider Name | Mehrdad M Tavallaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689625634 PECOS PAC ID: 4183633886 Enrollment ID: I20060407000079 |
| Provider Name | Michael Jesse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538125885 PECOS PAC ID: 9537139316 Enrollment ID: I20060425000471 |
| Provider Name | William E Ervine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710936505 PECOS PAC ID: 6507876646 Enrollment ID: I20060503000494 |
| Provider Name | Andrew Z Filiatraut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891755591 PECOS PAC ID: 3476564857 Enrollment ID: I20060523000116 |
| Provider Name | James H Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952366858 PECOS PAC ID: 3870505746 Enrollment ID: I20060613000249 |
| Provider Name | Grzegorz A Pitas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639105059 PECOS PAC ID: 7517979750 Enrollment ID: I20060707000044 |
| Provider Name | Tod R Podl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588629174 PECOS PAC ID: 8921010174 Enrollment ID: I20060707000073 |
| Provider Name | Michele Lowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841235884 PECOS PAC ID: 0345253597 Enrollment ID: I20060711000290 |
| Provider Name | Natasha Cruz-jaszkewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396798245 PECOS PAC ID: 5294748299 Enrollment ID: I20060714000287 |
| Provider Name | Brian C Fitzsimons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427013481 PECOS PAC ID: 8426061235 Enrollment ID: I20060721000177 |
| Provider Name | Suzana Sarac-leonard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386675163 PECOS PAC ID: 4385657055 Enrollment ID: I20060725000006 |
| Provider Name | David C Brinkman-sull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861444564 PECOS PAC ID: 5698788263 Enrollment ID: I20060726000433 |
| Provider Name | Matthew S Schaeffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831138601 PECOS PAC ID: 2466429188 Enrollment ID: I20060727000000 |
| Provider Name | Jeffrey Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992757959 PECOS PAC ID: 7911900741 Enrollment ID: I20060817000358 |
| Provider Name | Rachel N Kay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700801982 PECOS PAC ID: 3072516608 Enrollment ID: I20060821000096 |
| Provider Name | Gary W Dinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895945 PECOS PAC ID: 0547265407 Enrollment ID: I20060927000308 |
| Provider Name | Craig M Hileman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184738619 PECOS PAC ID: 6507861408 Enrollment ID: I20060928000039 |
| Provider Name | Nancy Wasserbauer Kingston |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922022524 PECOS PAC ID: 1658377924 Enrollment ID: I20061010000144 |
| Provider Name | Edward J Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306800222 PECOS PAC ID: 4880690197 Enrollment ID: I20061010000485 |
| Provider Name | James T Pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790715340 PECOS PAC ID: 0648276808 Enrollment ID: I20061011000183 |
| Provider Name | Sheila Rice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023106473 PECOS PAC ID: 8628074820 Enrollment ID: I20061011000459 |
| Provider Name | Yongjin Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891732863 PECOS PAC ID: 6002846938 Enrollment ID: I20061024000540 |
| Provider Name | Amy King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043251663 PECOS PAC ID: 1658378518 Enrollment ID: I20061107000242 |
| Provider Name | Maureen E Stein-vavro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407805955 PECOS PAC ID: 5193722056 Enrollment ID: I20061107000247 |
| Provider Name | William Aram Larchian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598729840 PECOS PAC ID: 4688671571 Enrollment ID: I20061108000009 |
| Provider Name | Sarah A Davies |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699869685 PECOS PAC ID: 9436157237 Enrollment ID: I20061109000452 |
| Provider Name | Crystal L Mosca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508956343 PECOS PAC ID: 4183622285 Enrollment ID: I20061128000554 |
| Provider Name | Robert Mosteller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871678011 PECOS PAC ID: 7113926924 Enrollment ID: I20061205000332 |
| Provider Name | Margarita Brin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801905450 PECOS PAC ID: 1951300722 Enrollment ID: I20061206000119 |
| Provider Name | Beena Sreekumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073503645 PECOS PAC ID: 0244290518 Enrollment ID: I20061212000055 |
| Provider Name | Thomas J King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063453116 PECOS PAC ID: 4880686930 Enrollment ID: I20061214000065 |
| Provider Name | Lawrence T Kent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346284296 PECOS PAC ID: 5496747545 Enrollment ID: I20061214000203 |
| Provider Name | Robert A Cirino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194766204 PECOS PAC ID: 0244222396 Enrollment ID: I20061214000224 |
| Provider Name | James M Coviello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134135841 PECOS PAC ID: 1254330475 Enrollment ID: I20061215000102 |
| Provider Name | Robert C Warren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710964143 PECOS PAC ID: 5698774842 Enrollment ID: I20061215000407 |
| Provider Name | Alice M Denton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972613180 PECOS PAC ID: 7810996956 Enrollment ID: I20061219000005 |
| Provider Name | Karen M Monheim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194835306 PECOS PAC ID: 4082613120 Enrollment ID: I20061219000013 |
| Provider Name | Michael K Koehler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962419234 PECOS PAC ID: 7416997671 Enrollment ID: I20070109000130 |
| Provider Name | Raymond W Rozman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265445530 PECOS PAC ID: 0244230613 Enrollment ID: I20070109000190 |
| Provider Name | Jason A Stern |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215005319 PECOS PAC ID: 9133120165 Enrollment ID: I20070118000191 |
| Provider Name | John Tumbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932200573 PECOS PAC ID: 4284675000 Enrollment ID: I20070122000079 |
| Provider Name | Jennifer L Williams Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396846861 PECOS PAC ID: 2961403829 Enrollment ID: I20070122000085 |
| Provider Name | Richard Ungvarsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861492142 PECOS PAC ID: 5395736003 Enrollment ID: I20070123000641 |
| Provider Name | Maria Therese Madden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093715344 PECOS PAC ID: 3870594385 Enrollment ID: I20070126000116 |
| Provider Name | Shaun R Roof |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588745483 PECOS PAC ID: 9638102155 Enrollment ID: I20070201000092 |
| Provider Name | Christine J Bledsoe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780733527 PECOS PAC ID: 0446252589 Enrollment ID: I20070202000313 |
| Provider Name | Amitabh P Goel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689606006 PECOS PAC ID: 9234131186 Enrollment ID: I20070207000025 |
| Provider Name | Rostyslav Koziy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801833058 PECOS PAC ID: 4082677414 Enrollment ID: I20070215000509 |
| Provider Name | Jeanne Marie Knotek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053417717 PECOS PAC ID: 1456453760 Enrollment ID: I20070216000227 |
| Provider Name | Cailin Stubbs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295725075 PECOS PAC ID: 0042312035 Enrollment ID: I20070221000650 |
| Provider Name | Alyson F Chepla |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902993546 PECOS PAC ID: 6103823091 Enrollment ID: I20070227000191 |
| Provider Name | Gary A Salovon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356340061 PECOS PAC ID: 7911009592 Enrollment ID: I20070228000455 |
| Provider Name | Brenda S Rarick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396729422 PECOS PAC ID: 7618070103 Enrollment ID: I20070322000024 |
| Provider Name | Paul Brzozowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972503894 PECOS PAC ID: 8325931686 Enrollment ID: I20070322000303 |
| Provider Name | Brenda Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780637041 PECOS PAC ID: 0143324509 Enrollment ID: I20070326000137 |
| Provider Name | Sandhia N Varyani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952391823 PECOS PAC ID: 9638273766 Enrollment ID: I20070330000009 |
| Provider Name | Christopher E Parnell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689625295 PECOS PAC ID: 8325072465 Enrollment ID: I20070410000122 |
| Provider Name | Marie A Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831182013 PECOS PAC ID: 3274638705 Enrollment ID: I20070412000014 |
| Provider Name | Wendy L Geaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588657761 PECOS PAC ID: 6800991332 Enrollment ID: I20070412000023 |
| Provider Name | Shelby J Cash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851384036 PECOS PAC ID: 4789789215 Enrollment ID: I20070412000040 |
| Provider Name | Todd Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063497626 PECOS PAC ID: 6305940651 Enrollment ID: I20070417000405 |
| Provider Name | David S Rapkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265456297 PECOS PAC ID: 1254436983 Enrollment ID: I20070425000065 |
| Provider Name | Peter M Adamek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427070887 PECOS PAC ID: 9133224884 Enrollment ID: I20070425000255 |
| Provider Name | Evan J Goodman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487676763 PECOS PAC ID: 9830294594 Enrollment ID: I20070425000294 |
| Provider Name | Raymond G Graber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730101015 PECOS PAC ID: 6901901669 Enrollment ID: I20070425000312 |
| Provider Name | Robert F Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285671578 PECOS PAC ID: 5991801011 Enrollment ID: I20070507000639 |
| Provider Name | Girish D Mulgaokar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700807849 PECOS PAC ID: 5395700215 Enrollment ID: I20070509000542 |
| Provider Name | Lisa M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700826708 PECOS PAC ID: 7012014848 Enrollment ID: I20070514000017 |
| Provider Name | Catherine M Lamb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124112206 PECOS PAC ID: 2860590080 Enrollment ID: I20070611000679 |
| Provider Name | Zoard Vasarhelyi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174744262 PECOS PAC ID: 6406954643 Enrollment ID: I20070612000087 |
| Provider Name | Donald L Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356394688 PECOS PAC ID: 7214036045 Enrollment ID: I20070620000209 |
| Provider Name | Basanta K Mohapatra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487649836 PECOS PAC ID: 0749389294 Enrollment ID: I20070625000033 |
| Provider Name | Julie Z Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255384848 PECOS PAC ID: 1355432725 Enrollment ID: I20070814000740 |
| Provider Name | Sara R Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720298599 PECOS PAC ID: 3476645383 Enrollment ID: I20070823000462 |
| Provider Name | Kurtis C Dornan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518188879 PECOS PAC ID: 9234221797 Enrollment ID: I20070828001118 |
| Provider Name | Rosemary R Farag |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932135613 PECOS PAC ID: 1759475114 Enrollment ID: I20070917000548 |
| Provider Name | Robert J Berkowitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518061902 PECOS PAC ID: 6709989080 Enrollment ID: I20070918000196 |
| Provider Name | Edwin R Shirley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376563650 PECOS PAC ID: 9931293602 Enrollment ID: I20070926000237 |
| Provider Name | John E Feighan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376589978 PECOS PAC ID: 1355316985 Enrollment ID: I20071003000049 |
| Provider Name | Lisa Marie Young |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720275092 PECOS PAC ID: 4385730886 Enrollment ID: I20071015000149 |
| Provider Name | Balaji Saravanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538351358 PECOS PAC ID: 0345336293 Enrollment ID: I20071023000714 |
| Provider Name | Emily K Chakraborty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770770976 PECOS PAC ID: 3072600840 Enrollment ID: I20071026000358 |
| Provider Name | David M Bonnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205935145 PECOS PAC ID: 1759478084 Enrollment ID: I20071102000007 |
| Provider Name | Arminda L Lumapas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750587754 PECOS PAC ID: 4183711419 Enrollment ID: I20071102000035 |
| Provider Name | Sean M Mcneeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962446047 PECOS PAC ID: 9739110859 Enrollment ID: I20071108000419 |
| Provider Name | Ildiko Kondray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275534380 PECOS PAC ID: 2062500515 Enrollment ID: I20071116000023 |
| Provider Name | Gregory Thomas Stefano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316155989 PECOS PAC ID: 2365530417 Enrollment ID: I20071127000014 |
| Provider Name | Niketa Jagdish Chheda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780615260 PECOS PAC ID: 8224045810 Enrollment ID: I20071129000279 |
| Provider Name | Samir Ahuja |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497850622 PECOS PAC ID: 8628168879 Enrollment ID: I20071212000392 |
| Provider Name | Rachel C Decapite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689856932 PECOS PAC ID: 0648360438 Enrollment ID: I20071217000633 |
| Provider Name | William S Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659363752 PECOS PAC ID: 8426148115 Enrollment ID: I20071219000037 |
| Provider Name | Julie O Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093716755 PECOS PAC ID: 6800986514 Enrollment ID: I20071219000195 |
| Provider Name | Timothy J Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205949690 PECOS PAC ID: 8224118328 Enrollment ID: I20080102000188 |
| Provider Name | Judith K Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134106974 PECOS PAC ID: 9335220748 Enrollment ID: I20080111000095 |
| Provider Name | Kimberly S Royal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851388714 PECOS PAC ID: 1557442670 Enrollment ID: I20080115000514 |
| Provider Name | Mark S Rodgers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881610129 PECOS PAC ID: 1658453683 Enrollment ID: I20080130000430 |
| Provider Name | Mojtaba E Youssefi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396800645 PECOS PAC ID: 5991887879 Enrollment ID: I20080131000034 |
| Provider Name | Anthony John Muni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164630208 PECOS PAC ID: 4486736014 Enrollment ID: I20080204000701 |
| Provider Name | Dale R Thomae |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922087741 PECOS PAC ID: 1557310497 Enrollment ID: I20080207000034 |
| Provider Name | Nabil Azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164428777 PECOS PAC ID: 6305929472 Enrollment ID: I20080213000003 |
| Provider Name | Laura Lynn Ridgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386813327 PECOS PAC ID: 0840375481 Enrollment ID: I20080307000003 |
| Provider Name | Michael J Lynch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699989392 PECOS PAC ID: 0244315646 Enrollment ID: I20080310000454 |
| Provider Name | Peter T Gotsis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760654750 PECOS PAC ID: 0648357079 Enrollment ID: I20080409000207 |
| Provider Name | Elrie Christian Tucker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245283480 PECOS PAC ID: 0345327441 Enrollment ID: I20080414000022 |
| Provider Name | Daniel S Polster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902897887 PECOS PAC ID: 5799863304 Enrollment ID: I20080423000258 |
| Provider Name | David W Delzell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336138379 PECOS PAC ID: 6002986494 Enrollment ID: I20080528000060 |
| Provider Name | Jianhua Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053406421 PECOS PAC ID: 5496825895 Enrollment ID: I20080528000130 |
| Provider Name | Phillip Venable |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912903170 PECOS PAC ID: 4082784350 Enrollment ID: I20080529000879 |
| Provider Name | Valji D Munjapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134212111 PECOS PAC ID: 1951471689 Enrollment ID: I20080606000020 |
| Provider Name | Eli Silver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740377449 PECOS PAC ID: 5597858308 Enrollment ID: I20080611000143 |
| Provider Name | Leslie Z Vidmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033240031 PECOS PAC ID: 5698846442 Enrollment ID: I20080623000016 |
| Provider Name | Tina M Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205023173 PECOS PAC ID: 0840361432 Enrollment ID: I20080625000760 |
| Provider Name | Michael G Mancuso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962510800 PECOS PAC ID: 9931271574 Enrollment ID: I20080626000470 |
| Provider Name | Heather D Groetz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790957967 PECOS PAC ID: 1052483302 Enrollment ID: I20080702000388 |
| Provider Name | Yoram Moyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194730580 PECOS PAC ID: 6800881889 Enrollment ID: I20080716000123 |
| Provider Name | Irina I Papirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831104223 PECOS PAC ID: 3870697568 Enrollment ID: I20080716000158 |
| Provider Name | Samuel C Kerns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902075054 PECOS PAC ID: 3375616550 Enrollment ID: I20080722000008 |
| Provider Name | Alan Panteck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417165705 PECOS PAC ID: 1850464843 Enrollment ID: I20080724000264 |
| Provider Name | Michael Saffian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952417073 PECOS PAC ID: 7719085612 Enrollment ID: I20080724000553 |
| Provider Name | Michael D Altose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891909222 PECOS PAC ID: 6901979822 Enrollment ID: I20080724000616 |
| Provider Name | Amrita Chadha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093767188 PECOS PAC ID: 4688574940 Enrollment ID: I20080730000040 |
| Provider Name | Rajvinder Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609038348 PECOS PAC ID: 0648344788 Enrollment ID: I20080807000157 |
| Provider Name | Sharon S Wagamon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811107683 PECOS PAC ID: 1850466764 Enrollment ID: I20080812000400 |
| Provider Name | Rebecca A Fredrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346449014 PECOS PAC ID: 5890862940 Enrollment ID: I20080916000322 |
| Provider Name | Valerie A Hadam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811187750 PECOS PAC ID: 0042387045 Enrollment ID: I20080917000166 |
| Provider Name | Soozan S Abouhassan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710188545 PECOS PAC ID: 8527135599 Enrollment ID: I20080917000737 |
| Provider Name | Craig K Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407877707 PECOS PAC ID: 7517942774 Enrollment ID: I20080924000298 |
| Provider Name | Diane M Dzurik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104087386 PECOS PAC ID: 0547337834 Enrollment ID: I20080929000616 |
| Provider Name | Eliot Sunho Ro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407061385 PECOS PAC ID: 4688741846 Enrollment ID: I20080930000418 |
| Provider Name | Jamie M Byler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588854913 PECOS PAC ID: 4587722251 Enrollment ID: I20081024000072 |
| Provider Name | Margaret M Kost |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710141908 PECOS PAC ID: 8325107162 Enrollment ID: I20081107000317 |
| Provider Name | Todd M Zeiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222621 PECOS PAC ID: 6204995897 Enrollment ID: I20081112000092 |
| Provider Name | Tyra L Mone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356343974 PECOS PAC ID: 9739248329 Enrollment ID: I20081112000105 |
| Provider Name | Sean D Hoynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336141811 PECOS PAC ID: 7719046309 Enrollment ID: I20081112000120 |
| Provider Name | David J Dulle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518969013 PECOS PAC ID: 3971662578 Enrollment ID: I20081112000147 |
| Provider Name | Amy M Kovalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063669273 PECOS PAC ID: 2466512496 Enrollment ID: I20081121000003 |
| Provider Name | Peijun Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295746352 PECOS PAC ID: 9234291212 Enrollment ID: I20081230000097 |
| Provider Name | Kristin L Kaelber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871551846 PECOS PAC ID: 4981600012 Enrollment ID: I20090113000000 |
| Provider Name | Rajeev Kumar Garg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265562359 PECOS PAC ID: 8820182546 Enrollment ID: I20090223000383 |
| Provider Name | Paul R Minnillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306091384 PECOS PAC ID: 0749346625 Enrollment ID: I20090228000034 |
| Provider Name | Brant Schalk Holtzmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760460356 PECOS PAC ID: 8820154644 Enrollment ID: I20090303000602 |
| Provider Name | Kelly A Raj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447479472 PECOS PAC ID: 6709942535 Enrollment ID: I20090304000010 |
| Provider Name | Randall Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629229539 PECOS PAC ID: 5799841995 Enrollment ID: I20090312000281 |
| Provider Name | Jane R Webb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255576146 PECOS PAC ID: 1850458787 Enrollment ID: I20090320000364 |
| Provider Name | Roger Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598746752 PECOS PAC ID: 5294882585 Enrollment ID: I20090402000010 |
| Provider Name | Kathy L Seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568453231 PECOS PAC ID: 3779630074 Enrollment ID: I20090402000088 |
| Provider Name | Donna Kay Boyd Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467606178 PECOS PAC ID: 2769539097 Enrollment ID: I20090402000434 |
| Provider Name | Marwan Ghassan Nasif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710107099 PECOS PAC ID: 6901998996 Enrollment ID: I20090406000066 |
| Provider Name | Daniel R Newshutz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801053202 PECOS PAC ID: 4385705607 Enrollment ID: I20090409000412 |
| Provider Name | Chad W Ulmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871777292 PECOS PAC ID: 4688721590 Enrollment ID: I20090410000221 |
| Provider Name | Sarah Lombardo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770502197 PECOS PAC ID: 9931256641 Enrollment ID: I20090415000725 |
| Provider Name | Doug Raber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578554846 PECOS PAC ID: 8022107358 Enrollment ID: I20090416000393 |
| Provider Name | Elizabeth K Carvill |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245289636 PECOS PAC ID: 9436206828 Enrollment ID: I20090422000520 |
| Provider Name | Jeffrey M Stover |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174764674 PECOS PAC ID: 2264580125 Enrollment ID: I20090501000457 |
| Provider Name | Donya M Woconish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487778999 PECOS PAC ID: 6002964848 Enrollment ID: I20090504000678 |
| Provider Name | Folarin Kalada Sogbetun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356536882 PECOS PAC ID: 4789732546 Enrollment ID: I20090505000147 |
| Provider Name | Michelle Josephine Belardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659320455 PECOS PAC ID: 6002964574 Enrollment ID: I20090512000014 |
| Provider Name | Christopher L Tangen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336344746 PECOS PAC ID: 4284783341 Enrollment ID: I20090520000005 |
| Provider Name | Heather Marie Orenic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215176318 PECOS PAC ID: 6103975180 Enrollment ID: I20090521000398 |
| Provider Name | Jessica H Bittence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407848492 PECOS PAC ID: 2668521329 Enrollment ID: I20090528000673 |
| Provider Name | Kara Jeanine Quan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831270826 PECOS PAC ID: 3678623501 Enrollment ID: I20090615000304 |
| Provider Name | David D Cella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700024130 PECOS PAC ID: 2062562887 Enrollment ID: I20090616000539 |
| Provider Name | Michael K Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710182332 PECOS PAC ID: 0547311722 Enrollment ID: I20090629000399 |
| Provider Name | Jason T Jankowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053512822 PECOS PAC ID: 4486713427 Enrollment ID: I20090630000026 |
| Provider Name | Justin J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881796068 PECOS PAC ID: 0446302178 Enrollment ID: I20090710000188 |
| Provider Name | Michael S Mcdermott |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1518195189 PECOS PAC ID: 9830241983 Enrollment ID: I20090721000150 |
| Provider Name | Ian Suzelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124260435 PECOS PAC ID: 9032261045 Enrollment ID: I20090722000007 |
| Provider Name | John E Coletta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609997071 PECOS PAC ID: 3779636311 Enrollment ID: I20090730000050 |
| Provider Name | Jaime M Cook |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083840797 PECOS PAC ID: 8022161520 Enrollment ID: I20090731000052 |
| Provider Name | Cheryl A Tatka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366695884 PECOS PAC ID: 8628121068 Enrollment ID: I20090731000501 |
| Provider Name | William B Stanfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093792889 PECOS PAC ID: 2163497017 Enrollment ID: I20090803000664 |
| Provider Name | Daniel J Zanotti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891772661 PECOS PAC ID: 2769535194 Enrollment ID: I20090803000675 |
| Provider Name | Robert Zanotti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124005939 PECOS PAC ID: 8820048325 Enrollment ID: I20090803000718 |
| Provider Name | Gina V Horne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881714301 PECOS PAC ID: 6800949884 Enrollment ID: I20090810000244 |
| Provider Name | Katherine E Ayers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962687871 PECOS PAC ID: 4082768916 Enrollment ID: I20090812000312 |
| Provider Name | Isabelle E Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104037357 PECOS PAC ID: 3375697758 Enrollment ID: I20090819000684 |
| Provider Name | Jenna M Mcintosh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891922290 PECOS PAC ID: 0042365827 Enrollment ID: I20090831000304 |
| Provider Name | George P Saridakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245287879 PECOS PAC ID: 4789618133 Enrollment ID: I20090901000128 |
| Provider Name | Michael E Saridakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164462875 PECOS PAC ID: 6507890951 Enrollment ID: I20090901000166 |
| Provider Name | Jenifer F Tabin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083624290 PECOS PAC ID: 6800941063 Enrollment ID: I20090911000468 |
| Provider Name | Irina Jaeger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023215936 PECOS PAC ID: 8426103607 Enrollment ID: I20090911000592 |
| Provider Name | Rami Abbass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659523405 PECOS PAC ID: 4688720816 Enrollment ID: I20090914000248 |
| Provider Name | Amy M Reese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497727812 PECOS PAC ID: 3173608155 Enrollment ID: I20090915000521 |
| Provider Name | Julie A Delbalso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396979274 PECOS PAC ID: 1850437112 Enrollment ID: I20090930000445 |
| Provider Name | Bridgette Marie Wiggers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902053150 PECOS PAC ID: 6305982703 Enrollment ID: I20091014000688 |
| Provider Name | Jennifer Ann Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417117524 PECOS PAC ID: 6901942333 Enrollment ID: I20091015000048 |
| Provider Name | David Linz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821198342 PECOS PAC ID: 9234276577 Enrollment ID: I20091020000134 |
| Provider Name | Heather C Mielke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124149869 PECOS PAC ID: 0941347165 Enrollment ID: I20091021000087 |
| Provider Name | Kelly Dula |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871826735 PECOS PAC ID: 1658418892 Enrollment ID: I20091021000298 |
| Provider Name | Gregory L Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538197884 PECOS PAC ID: 9335244805 Enrollment ID: I20091027000798 |
| Provider Name | Jessica Ann Koury |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700119047 PECOS PAC ID: 0446398846 Enrollment ID: I20091104000597 |
| Provider Name | David J Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518032648 PECOS PAC ID: 4486728136 Enrollment ID: I20091105000679 |
| Provider Name | Allen Segal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497730220 PECOS PAC ID: 2365580578 Enrollment ID: I20091109000541 |
| Provider Name | Martin J Frantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538146428 PECOS PAC ID: 9931166170 Enrollment ID: I20091123000002 |
| Provider Name | Erin L Duchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841425667 PECOS PAC ID: 2668511155 Enrollment ID: I20091123000056 |
| Provider Name | Harkeet S Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366649261 PECOS PAC ID: 9638218902 Enrollment ID: I20091125000425 |
| Provider Name | Kenneth Mooney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225010168 PECOS PAC ID: 2961573472 Enrollment ID: I20091210000165 |
| Provider Name | Lori A Margevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578747788 PECOS PAC ID: 5597805960 Enrollment ID: I20091215000535 |
| Provider Name | Roy Buchinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245312016 PECOS PAC ID: 5496895849 Enrollment ID: I20091216000445 |
| Provider Name | Paula Jo Parker-deuley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487758124 PECOS PAC ID: 9032259213 Enrollment ID: I20091218000452 |
| Provider Name | David M Rosenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578669305 PECOS PAC ID: 3072654722 Enrollment ID: I20100104000427 |
| Provider Name | Claudia P Villabona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033207626 PECOS PAC ID: 2769523422 Enrollment ID: I20100104000489 |
| Provider Name | Andrew Warren Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366645939 PECOS PAC ID: 9032250212 Enrollment ID: I20100111000077 |
| Provider Name | Lori Shoos Mullen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518067628 PECOS PAC ID: 9234270364 Enrollment ID: I20100111000631 |
| Provider Name | Chantal I Dalencour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265434120 PECOS PAC ID: 5991846081 Enrollment ID: I20100112000348 |
| Provider Name | Mona Jagetia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346232188 PECOS PAC ID: 7517008600 Enrollment ID: I20100112000359 |
| Provider Name | Matthew Joseph Frantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439513 PECOS PAC ID: 5294792438 Enrollment ID: I20100115000187 |
| Provider Name | Niraj Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069952 PECOS PAC ID: 4183764038 Enrollment ID: I20100122000169 |
| Provider Name | Mary Ghaly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598939381 PECOS PAC ID: 4183767569 Enrollment ID: I20100208000186 |
| Provider Name | Stephen P Kitzmiller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205166212 PECOS PAC ID: 6800801978 Enrollment ID: I20100208000304 |
| Provider Name | Emmanuel A Yanelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356413835 PECOS PAC ID: 0547304636 Enrollment ID: I20100212000146 |
| Provider Name | Jill R Kramer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942537683 PECOS PAC ID: 9436293362 Enrollment ID: I20100216000694 |
| Provider Name | Roxana M Stanescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861585945 PECOS PAC ID: 7719021534 Enrollment ID: I20100217000651 |
| Provider Name | Sara Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507301 PECOS PAC ID: 7618011438 Enrollment ID: I20100217000662 |
| Provider Name | Erika A Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124111273 PECOS PAC ID: 4981748738 Enrollment ID: I20100218000032 |
| Provider Name | Denise L Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659460483 PECOS PAC ID: 1153465901 Enrollment ID: I20100218000043 |
| Provider Name | Chad Braham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336479690 PECOS PAC ID: 0345384988 Enrollment ID: I20100219000211 |
| Provider Name | Caroline Grace Steinetz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437134400 PECOS PAC ID: 3072657543 Enrollment ID: I20100222000500 |
| Provider Name | Edward Jastrzemski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962577726 PECOS PAC ID: 8921143140 Enrollment ID: I20100226000425 |
| Provider Name | Benjamin Prestegaard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205904075 PECOS PAC ID: 6002951225 Enrollment ID: I20100226000436 |
| Provider Name | Alan Rosenwasser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407922511 PECOS PAC ID: 1557406774 Enrollment ID: I20100226000443 |
| Provider Name | Mark B Rorick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790788727 PECOS PAC ID: 3173668068 Enrollment ID: I20100303000447 |
| Provider Name | Kristen M Shakour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518296870 PECOS PAC ID: 5193860963 Enrollment ID: I20100304000130 |
| Provider Name | Sarah Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346315116 PECOS PAC ID: 1355486044 Enrollment ID: I20100305000384 |
| Provider Name | Edwin George Avery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639157241 PECOS PAC ID: 4082759782 Enrollment ID: I20100305000480 |
| Provider Name | Elizabeth M Demko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598094856 PECOS PAC ID: 8325183023 Enrollment ID: I20100305000526 |
| Provider Name | Barbara Bates Vizy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013918820 PECOS PAC ID: 8527100601 Enrollment ID: I20100308000596 |
| Provider Name | Karen M Hummel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962508374 PECOS PAC ID: 4183769680 Enrollment ID: I20100309000369 |
| Provider Name | Josephine Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508946708 PECOS PAC ID: 5991840282 Enrollment ID: I20100311000525 |
| Provider Name | John M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730289877 PECOS PAC ID: 8628103736 Enrollment ID: I20100315000686 |
| Provider Name | Linda M Dilisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831129121 PECOS PAC ID: 1254466204 Enrollment ID: I20100317000012 |
| Provider Name | Matthew M Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881782936 PECOS PAC ID: 9436284205 Enrollment ID: I20100318000273 |
| Provider Name | Nicholas R Priban |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578893152 PECOS PAC ID: 8022143767 Enrollment ID: I20100319000047 |
| Provider Name | Elisabeth S Roter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548366370 PECOS PAC ID: 8820125362 Enrollment ID: I20100415000004 |
| Provider Name | Colleen Valentine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871815852 PECOS PAC ID: 9133256514 Enrollment ID: I20100415000623 |
| Provider Name | Plakkat K Velayudhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992793244 PECOS PAC ID: 2466589601 Enrollment ID: I20100427000428 |
| Provider Name | Unni P K Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679569552 PECOS PAC ID: 6305971607 Enrollment ID: I20100427000572 |
| Provider Name | Janette M Stephenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922180686 PECOS PAC ID: 7012045479 Enrollment ID: I20100506000223 |
| Provider Name | Doris M Leone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851398853 PECOS PAC ID: 5890788392 Enrollment ID: I20100514000277 |
| Provider Name | Nicholas John Ksenich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952513277 PECOS PAC ID: 0345386678 Enrollment ID: I20100524000167 |
| Provider Name | Frank Matthew Hiti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073725396 PECOS PAC ID: 6709922032 Enrollment ID: I20100524000202 |
| Provider Name | John Walter Escolas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386856698 PECOS PAC ID: 0446396774 Enrollment ID: I20100524000271 |
| Provider Name | Jack William Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134331440 PECOS PAC ID: 8022147420 Enrollment ID: I20100524000337 |
| Provider Name | Dennis Edward Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982816294 PECOS PAC ID: 5991841223 Enrollment ID: I20100524000390 |
| Provider Name | James Carroccio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922210228 PECOS PAC ID: 0547306870 Enrollment ID: I20100524000419 |
| Provider Name | Kenneth John Carbone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649482936 PECOS PAC ID: 8729124052 Enrollment ID: I20100524000477 |
| Provider Name | Jennifer Aileen Calabrese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053523340 PECOS PAC ID: 9739225061 Enrollment ID: I20100524000514 |
| Provider Name | Charles Michael Butrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013129394 PECOS PAC ID: 2567508898 Enrollment ID: I20100524000532 |
| Provider Name | Bradley Don Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619191731 PECOS PAC ID: 9830235167 Enrollment ID: I20100524000557 |
| Provider Name | Douglas John Potoczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710190046 PECOS PAC ID: 7517003841 Enrollment ID: I20100525000688 |
| Provider Name | Abraham Olanrewaju Pedro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578775805 PECOS PAC ID: 4880730118 Enrollment ID: I20100527000181 |
| Provider Name | Samia C Baaklini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649370735 PECOS PAC ID: 9436288404 Enrollment ID: I20100601000372 |
| Provider Name | Scott Christopher Feudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184713885 PECOS PAC ID: 4284763194 Enrollment ID: I20100602000115 |
| Provider Name | Alan Mathew Hirsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760571566 PECOS PAC ID: 5092844910 Enrollment ID: I20100602000144 |
| Provider Name | John C Eyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285733964 PECOS PAC ID: 3577692490 Enrollment ID: I20100602000232 |
| Provider Name | Eric Martin Yasinow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568551364 PECOS PAC ID: 3375672207 Enrollment ID: I20100602000261 |
| Provider Name | Michael D Gaugler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033189527 PECOS PAC ID: 9830262013 Enrollment ID: I20100602001083 |
| Provider Name | Thomas Janicki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730285248 PECOS PAC ID: 5395874168 Enrollment ID: I20100603000945 |
| Provider Name | Lisa M Rock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932205770 PECOS PAC ID: 4082743851 Enrollment ID: I20100603000994 |
| Provider Name | Donna J Sexton-cicero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922107549 PECOS PAC ID: 6406986082 Enrollment ID: I20100608000455 |
| Provider Name | Sona Shah Kirpekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225137920 PECOS PAC ID: 4486784063 Enrollment ID: I20100608000472 |
| Provider Name | Kenneth J Vito |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629048194 PECOS PAC ID: 8921171109 Enrollment ID: I20100615000597 |
| Provider Name | Gary M Ritten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437211307 PECOS PAC ID: 6800795980 Enrollment ID: I20100616000113 |
| Provider Name | David A Mcconoughey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922290196 PECOS PAC ID: 1052442944 Enrollment ID: I20100621000496 |
| Provider Name | Marie Tani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154314581 PECOS PAC ID: 0446273502 Enrollment ID: I20100701000645 |
| Provider Name | Leonard M Weinberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245223676 PECOS PAC ID: 5890718951 Enrollment ID: I20100713000420 |
| Provider Name | Roland J Reyes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427035427 PECOS PAC ID: 0143352922 Enrollment ID: I20100714000189 |
| Provider Name | William F Grossman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588698617 PECOS PAC ID: 6507886652 Enrollment ID: I20100722000004 |
| Provider Name | John J Farinacci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679507701 PECOS PAC ID: 7416977566 Enrollment ID: I20100722000018 |
| Provider Name | Jared S Levin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306809728 PECOS PAC ID: 1052207891 Enrollment ID: I20100726000000 |
| Provider Name | Sanjay R Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073588414 PECOS PAC ID: 9931232097 Enrollment ID: I20100727000525 |
| Provider Name | Saif Rehman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831185875 PECOS PAC ID: 4082747068 Enrollment ID: I20100727000912 |
| Provider Name | Michael Anthony Lopresti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861455370 PECOS PAC ID: 0244126084 Enrollment ID: I20100729000320 |
| Provider Name | James Richard Allman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710980248 PECOS PAC ID: 1951295344 Enrollment ID: I20100804000651 |
| Provider Name | John C Kromalic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528134921 PECOS PAC ID: 7214061829 Enrollment ID: I20100818000838 |
| Provider Name | Marina M Sincerney |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1437463338 PECOS PAC ID: 7214061738 Enrollment ID: I20100818001120 |
| Provider Name | Heather D Mcfarland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255549432 PECOS PAC ID: 6608990502 Enrollment ID: I20100830000613 |
| Provider Name | Elizabeth Srima Ranasinghe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740211549 PECOS PAC ID: 0648213223 Enrollment ID: I20100831000119 |
| Provider Name | Laura Ann Eiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447565296 PECOS PAC ID: 4385768803 Enrollment ID: I20100903000687 |
| Provider Name | Jessica A Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265759401 PECOS PAC ID: 5193840551 Enrollment ID: I20100909000346 |
| Provider Name | Frank Costello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073506879 PECOS PAC ID: 8820113848 Enrollment ID: I20100915000043 |
| Provider Name | Deanna L Love |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184617805 PECOS PAC ID: 6800911835 Enrollment ID: I20100915000233 |
| Provider Name | Nicholas A Russo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295900512 PECOS PAC ID: 6800934639 Enrollment ID: I20100923000030 |
| Provider Name | Zachary P Nearman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134440142 PECOS PAC ID: 1052437183 Enrollment ID: I20100927000884 |
| Provider Name | Brittany L Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992018998 PECOS PAC ID: 4082730973 Enrollment ID: I20100928001672 |
| Provider Name | Premalkumar R Patwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538320601 PECOS PAC ID: 1850583626 Enrollment ID: I20101012000590 |
| Provider Name | Paul W Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861435893 PECOS PAC ID: 8123921079 Enrollment ID: I20101014000892 |
| Provider Name | John T Altier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609869445 PECOS PAC ID: 7012031321 Enrollment ID: I20101015000299 |
| Provider Name | John M Urbancic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457336562 PECOS PAC ID: 5395869168 Enrollment ID: I20101027000814 |
| Provider Name | Daniel Joseph Nolan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750691564 PECOS PAC ID: 3870787153 Enrollment ID: I20101101000211 |
| Provider Name | Michelle L Grove |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164484671 PECOS PAC ID: 3971588153 Enrollment ID: I20101105001246 |
| Provider Name | James Murtagh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20101111000874 |
| Provider Name | Daniel R Smaltz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427366616 PECOS PAC ID: 4486840568 Enrollment ID: I20101201000787 |
| Provider Name | Michael D Stencel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912987512 PECOS PAC ID: 7012017171 Enrollment ID: I20101227000223 |
| Provider Name | Matthew A Joy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912916107 PECOS PAC ID: 0345438636 Enrollment ID: I20110103000026 |
| Provider Name | Vincent P Sustersic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851329825 PECOS PAC ID: 3173702396 Enrollment ID: I20110120000355 |
| Provider Name | Melissa A Digiannantonio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891946968 PECOS PAC ID: 2163572330 Enrollment ID: I20110120001047 |
| Provider Name | Marc Eric Guay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770682973 PECOS PAC ID: 2769520311 Enrollment ID: I20110126000175 |
| Provider Name | Bethany A Biddle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134424591 PECOS PAC ID: 2062692346 Enrollment ID: I20110203000139 |
| Provider Name | Rachael B Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104121169 PECOS PAC ID: 1850572231 Enrollment ID: I20110217000483 |
| Provider Name | Lori Rusterholtz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508808155 PECOS PAC ID: 3375503964 Enrollment ID: I20110221001004 |
| Provider Name | Mario L Nigro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235170275 PECOS PAC ID: 1759562614 Enrollment ID: I20110224000889 |
| Provider Name | Kaitlyn H Jakubec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184920712 PECOS PAC ID: 8921289604 Enrollment ID: I20110301000492 |
| Provider Name | Brittney Michelle Nighswander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255638078 PECOS PAC ID: 9931381480 Enrollment ID: I20110304000697 |
| Provider Name | Karen L Pertl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740323070 PECOS PAC ID: 1355523705 Enrollment ID: I20110307001007 |
| Provider Name | Inga V Shvartsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780987842 PECOS PAC ID: 1052593365 Enrollment ID: I20110308000711 |
| Provider Name | Ashwin Turakhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396830774 PECOS PAC ID: 7618159872 Enrollment ID: I20110309000114 |
| Provider Name | Christopher D Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063449882 PECOS PAC ID: 0749380806 Enrollment ID: I20110316000049 |
| Provider Name | Brandi Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255454500 PECOS PAC ID: 3476735192 Enrollment ID: I20110316000632 |
| Provider Name | Riaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356537716 PECOS PAC ID: 2264579135 Enrollment ID: I20110321000619 |
| Provider Name | Joanna K Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639384985 PECOS PAC ID: 3375617988 Enrollment ID: I20110321001061 |
| Provider Name | Susan L Jaros |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336303692 PECOS PAC ID: 7214110568 Enrollment ID: I20110323000587 |
| Provider Name | Aamir Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558529404 PECOS PAC ID: 0840474060 Enrollment ID: I20110413000607 |
| Provider Name | Tina A Frisina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922398379 PECOS PAC ID: 0547446650 Enrollment ID: I20110525000077 |
| Provider Name | Nancy Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558652743 PECOS PAC ID: 3072790914 Enrollment ID: I20110602000261 |
| Provider Name | Richard S Cartabuke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962554295 PECOS PAC ID: 3678549599 Enrollment ID: I20110602000603 |
| Provider Name | Ademola K Abiose |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033190038 PECOS PAC ID: 5496782963 Enrollment ID: I20110627000394 |
| Provider Name | Roger Goomber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871787879 PECOS PAC ID: 2365620911 Enrollment ID: I20110629000593 |
| Provider Name | Anna Rosenfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871550400 PECOS PAC ID: 6406863364 Enrollment ID: I20110629000718 |
| Provider Name | Tamer H Said |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629243449 PECOS PAC ID: 2860670247 Enrollment ID: I20110707000508 |
| Provider Name | Gregory F Spagnuolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376708552 PECOS PAC ID: 8123296308 Enrollment ID: I20110713000517 |
| Provider Name | Sarah E Prosak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467772004 PECOS PAC ID: 3375711492 Enrollment ID: I20110715000426 |
| Provider Name | Evan A Rae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770746828 PECOS PAC ID: 3971771098 Enrollment ID: I20110715000481 |
| Provider Name | Robert Leb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487722351 PECOS PAC ID: 1850388505 Enrollment ID: I20110719000522 |
| Provider Name | Anthony R Tripi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609164789 PECOS PAC ID: 8820266612 Enrollment ID: I20110721000671 |
| Provider Name | Kevin A Andryc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013175835 PECOS PAC ID: 9537296355 Enrollment ID: I20110801000910 |
| Provider Name | Eric G Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942482047 PECOS PAC ID: 2466621362 Enrollment ID: I20110810000544 |
| Provider Name | Lauren N Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134379225 PECOS PAC ID: 2365612850 Enrollment ID: I20110818000595 |
| Provider Name | Natalie S Evans |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1487830527 PECOS PAC ID: 8022288398 Enrollment ID: I20110823000916 |
| Provider Name | Santosh Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710959739 PECOS PAC ID: 9537295597 Enrollment ID: I20110916000220 |
| Provider Name | Amy E Wilber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407037435 PECOS PAC ID: 6507037371 Enrollment ID: I20110928000070 |
| Provider Name | Neeraj Mahajan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1194718692 PECOS PAC ID: 0042384042 Enrollment ID: I20111005000714 |
| Provider Name | James V Cireddu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720222144 PECOS PAC ID: 9830361104 Enrollment ID: I20111010000289 |
| Provider Name | Aubrey R Shearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083990964 PECOS PAC ID: 7012181142 Enrollment ID: I20111129000463 |
| Provider Name | Renee C Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891077731 PECOS PAC ID: 6608041553 Enrollment ID: I20111205000884 |
| Provider Name | Kimberly A Togliatti-trickett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336201334 PECOS PAC ID: 0143291179 Enrollment ID: I20111220000529 |
| Provider Name | Patrick A Renner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992805600 PECOS PAC ID: 2567629587 Enrollment ID: I20120202000709 |
| Provider Name | Richard Y Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285620468 PECOS PAC ID: 1153365838 Enrollment ID: I20120206000178 |
| Provider Name | Emmanuel C Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477655959 PECOS PAC ID: 8325124050 Enrollment ID: I20120207000878 |
| Provider Name | Elizabeth A Schuld |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013207430 PECOS PAC ID: 3173780889 Enrollment ID: I20120208000714 |
| Provider Name | Diana Carmona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841262656 PECOS PAC ID: 8224069463 Enrollment ID: I20120210000705 |
| Provider Name | Kimberly M Choudhary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427329556 PECOS PAC ID: 6103084447 Enrollment ID: I20120216000229 |
| Provider Name | Marvin G Francisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386915650 PECOS PAC ID: 2668630765 Enrollment ID: I20120221000475 |
| Provider Name | David Mansur |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669499125 PECOS PAC ID: 4688718265 Enrollment ID: I20120228000437 |
| Provider Name | David C Carpenter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659358224 PECOS PAC ID: 7012176456 Enrollment ID: I20120305000497 |
| Provider Name | Terrianne M Basch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770855017 PECOS PAC ID: 0244499531 Enrollment ID: I20120306000417 |
| Provider Name | Elaine M Costanzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295008308 PECOS PAC ID: 8022277961 Enrollment ID: I20120312000797 |
| Provider Name | Woosup Park |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043292998 PECOS PAC ID: 3476539958 Enrollment ID: I20120316000416 |
| Provider Name | Stacie A Knirsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578848388 PECOS PAC ID: 1557521580 Enrollment ID: I20120328000495 |
| Provider Name | Sarah A Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922374784 PECOS PAC ID: 8022279199 Enrollment ID: I20120417000369 |
| Provider Name | Armelle Y Jemmy Nouafo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467526970 PECOS PAC ID: 8527022409 Enrollment ID: I20120425000265 |
| Provider Name | Darshana G Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790770923 PECOS PAC ID: 9739156845 Enrollment ID: I20120502000560 |
| Provider Name | Ogechi Muoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366604613 PECOS PAC ID: 9234391418 Enrollment ID: I20120504000247 |
| Provider Name | Gregory K Applegate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396766689 PECOS PAC ID: 1052574407 Enrollment ID: I20120522000873 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20120605000611 |
| Provider Name | Pankil Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447269535 PECOS PAC ID: 5193980993 Enrollment ID: I20120628000579 |
| Provider Name | Xin Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013188630 PECOS PAC ID: 0446415913 Enrollment ID: I20120706000605 |
| Provider Name | Vishal Sawhney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164622247 PECOS PAC ID: 5698931590 Enrollment ID: I20120720000577 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Maggie K Marcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184979965 PECOS PAC ID: 8426204942 Enrollment ID: I20120815000489 |
| Provider Name | Dennis Jurcevic |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780847632 PECOS PAC ID: 1052568466 Enrollment ID: I20120820000853 |
| Provider Name | Mushtaq Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497733075 PECOS PAC ID: 9032130554 Enrollment ID: I20120820001195 |
| Provider Name | Jennifer A Dorth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518132463 PECOS PAC ID: 0143477331 Enrollment ID: I20120822000735 |
| Provider Name | Angela M Capp |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912266941 PECOS PAC ID: 1557518701 Enrollment ID: I20120823000604 |
| Provider Name | Christina M Bagby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093927444 PECOS PAC ID: 6406025493 Enrollment ID: I20120824000656 |
| Provider Name | Ibrahim Sabry Farid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508817164 PECOS PAC ID: 2062669062 Enrollment ID: I20120827000637 |
| Provider Name | Zachary Barsman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861751893 PECOS PAC ID: 9537316294 Enrollment ID: I20120831000127 |
| Provider Name | Chinmay B Vyas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740410844 PECOS PAC ID: 0143477711 Enrollment ID: I20120904000767 |
| Provider Name | Sherrie A Gabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699022491 PECOS PAC ID: 9638328198 Enrollment ID: I20120927000635 |
| Provider Name | Christina M Trillis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891975652 PECOS PAC ID: 2062661283 Enrollment ID: I20121003000909 |
| Provider Name | Brett W Mccoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659527679 PECOS PAC ID: 5092964163 Enrollment ID: I20121004000503 |
| Provider Name | Susanne F Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891082475 PECOS PAC ID: 0749439826 Enrollment ID: I20121004000594 |
| Provider Name | Maina Njega Mungai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255569208 PECOS PAC ID: 8123279411 Enrollment ID: I20121114000334 |
| Provider Name | Carol L Stith |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922368208 PECOS PAC ID: 7719139021 Enrollment ID: I20121213000406 |
| Provider Name | Alicia M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720220650 PECOS PAC ID: 1052564515 Enrollment ID: I20130111000172 |
| Provider Name | Jeffrey B Shroyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942239827 PECOS PAC ID: 7719952340 Enrollment ID: I20130204000574 |
| Provider Name | Ewa B Bak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185339 PECOS PAC ID: 7315091410 Enrollment ID: I20130226000268 |
| Provider Name | Sarah B Arbuckle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043558182 PECOS PAC ID: 7012152663 Enrollment ID: I20130402000123 |
| Provider Name | Lisa M Dials |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609113133 PECOS PAC ID: 5092951004 Enrollment ID: I20130418000031 |
| Provider Name | Karla Shayne Housel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497089684 PECOS PAC ID: 1355487703 Enrollment ID: I20130502000552 |
| Provider Name | Nicholas L Pesa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942465224 PECOS PAC ID: 5496993925 Enrollment ID: I20130522000734 |
| Provider Name | Adam Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033167028 PECOS PAC ID: 0648418541 Enrollment ID: I20130605000409 |
| Provider Name | Mary Penkala |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104260413 PECOS PAC ID: 8325286016 Enrollment ID: I20130608000206 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20130625000467 |
| Provider Name | Brian Sunderville |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1770920175 PECOS PAC ID: 7911148424 Enrollment ID: I20130725000824 |
| Provider Name | Anna L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821430620 PECOS PAC ID: 1153562111 Enrollment ID: I20130802000532 |
| Provider Name | Anupam A Jha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174806293 PECOS PAC ID: 5890937742 Enrollment ID: I20130806000676 |
| Provider Name | Bradley Matthew Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447570072 PECOS PAC ID: 7214123132 Enrollment ID: I20130807000725 |
| Provider Name | Chad E Raymond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437323912 PECOS PAC ID: 8325280035 Enrollment ID: I20130808000847 |
| Provider Name | Nishanthini Sooriyapalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447563515 PECOS PAC ID: 9931341518 Enrollment ID: I20130810000104 |
| Provider Name | Michael S Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952746067 PECOS PAC ID: 5597907873 Enrollment ID: I20130815000821 |
| Provider Name | Anthony Ashkar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376862417 PECOS PAC ID: 0143462432 Enrollment ID: I20130815000931 |
| Provider Name | Aaron Matthew Young |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740574219 PECOS PAC ID: 3577705615 Enrollment ID: I20130820000279 |
| Provider Name | Gretchen V Gerace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801024070 PECOS PAC ID: 3971746934 Enrollment ID: I20130823000847 |
| Provider Name | Tarek Hammad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912212135 PECOS PAC ID: 4587807433 Enrollment ID: I20130826000535 |
| Provider Name | Saneka Chakravarty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013115054 PECOS PAC ID: 9436392214 Enrollment ID: I20130826001012 |
| Provider Name | Nadia U Mansour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215145628 PECOS PAC ID: 2062651508 Enrollment ID: I20130828000282 |
| Provider Name | Lauren E Kerr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861621344 PECOS PAC ID: 7618111261 Enrollment ID: I20130920000292 |
| Provider Name | Tonia Denise Gaiter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992772214 PECOS PAC ID: 5294819652 Enrollment ID: I20130926000343 |
| Provider Name | Jodie Lynne Strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669447611 PECOS PAC ID: 4284633736 Enrollment ID: I20131023001974 |
| Provider Name | Megan S Guthrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417383225 PECOS PAC ID: 5890920425 Enrollment ID: I20131106001264 |
| Provider Name | Jenna M Seavey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982039186 PECOS PAC ID: 0446485080 Enrollment ID: I20131106001500 |
| Provider Name | Perry O Anarado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538345202 PECOS PAC ID: 3072659770 Enrollment ID: I20140107001083 |
| Provider Name | Shelley M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467624205 PECOS PAC ID: 2860570587 Enrollment ID: I20140128000185 |
| Provider Name | Nicole Marie Pugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629490354 PECOS PAC ID: 3173752565 Enrollment ID: I20140205001027 |
| Provider Name | Ashley M Vaughn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255753562 PECOS PAC ID: 7012146368 Enrollment ID: I20140206001642 |
| Provider Name | Jacqueline Amanda Madere |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083037352 PECOS PAC ID: 6800026428 Enrollment ID: I20140227001202 |
| Provider Name | Renee L Reigert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174946222 PECOS PAC ID: 6901036540 Enrollment ID: I20140227002028 |
| Provider Name | Lori A Falzone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245431527 PECOS PAC ID: 6002046000 Enrollment ID: I20140312001398 |
| Provider Name | Sean Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821412719 PECOS PAC ID: 7315178332 Enrollment ID: I20140314001566 |
| Provider Name | Gordon Adam Bodzin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053388637 PECOS PAC ID: 5395795413 Enrollment ID: I20140317001751 |
| Provider Name | Francis Mwangi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265695605 PECOS PAC ID: 3870724743 Enrollment ID: I20140319000632 |
| Provider Name | Amanda D Angus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265857577 PECOS PAC ID: 1153552781 Enrollment ID: I20140325001328 |
| Provider Name | Emily A Mcgroarty |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871931261 PECOS PAC ID: 2264676667 Enrollment ID: I20140327000573 |
| Provider Name | Carla Jean Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184041816 PECOS PAC ID: 5092947721 Enrollment ID: I20140411001792 |
| Provider Name | Kimberly Rae Stutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679995658 PECOS PAC ID: 9537391750 Enrollment ID: I20140422000816 |
| Provider Name | Felecia Wimberly-gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053730390 PECOS PAC ID: 3577796150 Enrollment ID: I20140506001253 |
| Provider Name | Vincent Degeorge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982921045 PECOS PAC ID: 9638393358 Enrollment ID: I20140618002034 |
| Provider Name | Crystal R Lantz-de George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316265663 PECOS PAC ID: 7315161924 Enrollment ID: I20140620000685 |
| Provider Name | Daniel Fleksher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235428897 PECOS PAC ID: 0840415048 Enrollment ID: I20140701002496 |
| Provider Name | Curtis Riffle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073681565 PECOS PAC ID: 0941201099 Enrollment ID: I20140709001144 |
| Provider Name | Dominic V Sanniti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386937472 PECOS PAC ID: 8426201575 Enrollment ID: I20140716001027 |
| Provider Name | Yuhann Kenneth Lim Lopez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104093863 PECOS PAC ID: 5799901310 Enrollment ID: I20140716002548 |
| Provider Name | Keivan Zandinejad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871771733 PECOS PAC ID: 5294802617 Enrollment ID: I20140722002560 |
| Provider Name | David A Gumucio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083900252 PECOS PAC ID: 4789800038 Enrollment ID: I20140723001447 |
| Provider Name | Aryavarta Kumar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851533020 PECOS PAC ID: 0042436008 Enrollment ID: I20140728001734 |
| Provider Name | William C Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841605466 PECOS PAC ID: 6103043898 Enrollment ID: I20140804000334 |
| Provider Name | Jun Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235457961 PECOS PAC ID: 6608093984 Enrollment ID: I20140811000311 |
| Provider Name | Mary Jo Wolinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174948483 PECOS PAC ID: 5991922056 Enrollment ID: I20140813001425 |
| Provider Name | David Wayne Glasser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821020298 PECOS PAC ID: 3870574213 Enrollment ID: I20140829001460 |
| Provider Name | Karen M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689639 PECOS PAC ID: 9436377421 Enrollment ID: I20140904002616 |
| Provider Name | Mohammed K Mazumder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891935250 PECOS PAC ID: 3779764337 Enrollment ID: I20140908002087 |
| Provider Name | Joseph W Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528200904 PECOS PAC ID: 9133362486 Enrollment ID: I20140911000404 |
| Provider Name | David G Marsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720239395 PECOS PAC ID: 8224281837 Enrollment ID: I20140917002225 |
| Provider Name | Melvin E Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356404099 PECOS PAC ID: 9638100795 Enrollment ID: I20140918000388 |
| Provider Name | Virginia M Factor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376841635 PECOS PAC ID: 2163641168 Enrollment ID: I20140923001726 |
| Provider Name | Kristin M Klosterman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992021869 PECOS PAC ID: 9032339106 Enrollment ID: I20141013002287 |
| Provider Name | Julie Wise |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518368034 PECOS PAC ID: 7012138134 Enrollment ID: I20141014001935 |
| Provider Name | Sherry L Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519178 PECOS PAC ID: 9436370186 Enrollment ID: I20141021001905 |
| Provider Name | Jayne Murphy-bryner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792196 PECOS PAC ID: 4082835426 Enrollment ID: I20141028000967 |
| Provider Name | Safeta Sandy Hagen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083018071 PECOS PAC ID: 0345462370 Enrollment ID: I20141106002411 |
| Provider Name | Anita Petrovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915506 PECOS PAC ID: 3173745650 Enrollment ID: I20141118001364 |
| Provider Name | Mada F Helou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386955490 PECOS PAC ID: 2365664620 Enrollment ID: I20141121000342 |
| Provider Name | Lisa A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063815587 PECOS PAC ID: 0749502920 Enrollment ID: I20141124002320 |
| Provider Name | Heather L Blume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346592078 PECOS PAC ID: 7517280571 Enrollment ID: I20141223001062 |
| Provider Name | Dipali A Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851671945 PECOS PAC ID: 9537482450 Enrollment ID: I20141230001304 |
| Provider Name | Timothy B Chirdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023308160 PECOS PAC ID: 9739403635 Enrollment ID: I20150126000636 |
| Provider Name | Edward A Craft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043504780 PECOS PAC ID: 0749504652 Enrollment ID: I20150126000929 |
| Provider Name | Ajay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730461237 PECOS PAC ID: 4082938907 Enrollment ID: I20150126001390 |
| Provider Name | J Martin Leland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851593412 PECOS PAC ID: 4789743444 Enrollment ID: I20150126002047 |
| Provider Name | Anton Zarjetski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932597283 PECOS PAC ID: 2769707736 Enrollment ID: I20150216000224 |
| Provider Name | Irene Nikokirakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518356864 PECOS PAC ID: 0840516803 Enrollment ID: I20150310001242 |
| Provider Name | Betty S Kampman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184016834 PECOS PAC ID: 7517285356 Enrollment ID: I20150408000197 |
| Provider Name | Lisa Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629461082 PECOS PAC ID: 5092033589 Enrollment ID: I20150413002288 |
| Provider Name | Jasmina L Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467865162 PECOS PAC ID: 9830319334 Enrollment ID: I20150504002297 |
| Provider Name | Jana M Tucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033502166 PECOS PAC ID: 5799005625 Enrollment ID: I20150518000728 |
| Provider Name | Anjan Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780653154 PECOS PAC ID: 5890742449 Enrollment ID: I20150521000397 |
| Provider Name | Ekaterina Yerukhim |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730595216 PECOS PAC ID: 8123348737 Enrollment ID: I20150521002715 |
| Provider Name | Santina Maria Ciarallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427154673 PECOS PAC ID: 2466778279 Enrollment ID: I20150522000885 |
| Provider Name | Ashley B Simpson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508184631 PECOS PAC ID: 0648591727 Enrollment ID: I20150601002045 |
| Provider Name | Debra Defranco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531629 PECOS PAC ID: 0749501138 Enrollment ID: I20150610002702 |
| Provider Name | Alison Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023317005 PECOS PAC ID: 8426369794 Enrollment ID: I20150612002420 |
| Provider Name | Bryan Jeffrey Pace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023250396 PECOS PAC ID: 0042521312 Enrollment ID: I20150612002483 |
| Provider Name | Saleem Chowdhry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104087865 PECOS PAC ID: 0547571648 Enrollment ID: I20150616001594 |
| Provider Name | Holly L Harper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174751119 PECOS PAC ID: 5193967115 Enrollment ID: I20150623001800 |
| Provider Name | Joel S David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942560222 PECOS PAC ID: 3274845813 Enrollment ID: I20150709002625 |
| Provider Name | Lindsay D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114307709 PECOS PAC ID: 6204149602 Enrollment ID: I20150714001887 |
| Provider Name | James Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710365143 PECOS PAC ID: 7214240597 Enrollment ID: I20150715001309 |
| Provider Name | Suzanne M Russo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063437515 PECOS PAC ID: 8729003157 Enrollment ID: I20150715001884 |
| Provider Name | Michael Robert Kaufmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972822112 PECOS PAC ID: 0345553491 Enrollment ID: I20150717001169 |
| Provider Name | Donna Monica Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962885814 PECOS PAC ID: 2163736752 Enrollment ID: I20150727000799 |
| Provider Name | Sherry L Cucci |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689056475 PECOS PAC ID: 6305150517 Enrollment ID: I20150731016619 |
| Provider Name | Mohamed A Abdalla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902007073 PECOS PAC ID: 1355655382 Enrollment ID: I20150804003854 |
| Provider Name | Rebecca C Keating |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467830125 PECOS PAC ID: 8123332178 Enrollment ID: I20150804004771 |
| Provider Name | John Horinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619234689 PECOS PAC ID: 0547493405 Enrollment ID: I20150805007546 |
| Provider Name | Thomas J Barwacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316213077 PECOS PAC ID: 5395050066 Enrollment ID: I20150811004058 |
| Provider Name | Jason P De Roulet |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255575825 PECOS PAC ID: 5991010670 Enrollment ID: I20150811004472 |
| Provider Name | Charles W Luther |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003017104 PECOS PAC ID: 3173715273 Enrollment ID: I20150813011806 |
| Provider Name | Kendall E Looney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720462930 PECOS PAC ID: 2264747682 Enrollment ID: I20150813012318 |
| Provider Name | Charles Y Peng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326200387 PECOS PAC ID: 2860660735 Enrollment ID: I20150819008665 |
| Provider Name | Betsy L Garratt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144545864 PECOS PAC ID: 3870808769 Enrollment ID: I20150821012906 |
| Provider Name | Douglass Sherlock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194078717 PECOS PAC ID: 2163737057 Enrollment ID: I20150821013170 |
| Provider Name | Michael A Steiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578944617 PECOS PAC ID: 0345556098 Enrollment ID: I20150826002009 |
| Provider Name | Luis Argote-greene M.d. |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598877748 PECOS PAC ID: 8820304587 Enrollment ID: I20150826002251 |
| Provider Name | Adham Haj Abdulkader |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417282484 PECOS PAC ID: 4981911476 Enrollment ID: I20150916000744 |
| Provider Name | Michael Y Elias |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902285273 PECOS PAC ID: 7214244649 Enrollment ID: I20150917002245 |
| Provider Name | Regina R Skinner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104204171 PECOS PAC ID: 5193036333 Enrollment ID: I20150929000870 |
| Provider Name | Jessica A Milliman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871868687 PECOS PAC ID: 6608184239 Enrollment ID: I20151001001381 |
| Provider Name | Michael P Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811079379 PECOS PAC ID: 4880787548 Enrollment ID: I20151006003032 |
| Provider Name | Melissa M Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366811937 PECOS PAC ID: 8224347380 Enrollment ID: I20151013000204 |
| Provider Name | Paul R Bures |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336300334 PECOS PAC ID: 4789993684 Enrollment ID: I20151015001325 |
| Provider Name | Lauren M Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144587148 PECOS PAC ID: 2668605700 Enrollment ID: I20151021002420 |
| Provider Name | Anna Serels |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871889907 PECOS PAC ID: 4981857117 Enrollment ID: I20151028001914 |
| Provider Name | Angelica Rizzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811367964 PECOS PAC ID: 1850601659 Enrollment ID: I20151106001207 |
| Provider Name | Fawad Taj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780816843 PECOS PAC ID: 8022328723 Enrollment ID: I20151109002589 |
| Provider Name | David W Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735243 PECOS PAC ID: 6709196132 Enrollment ID: I20151113001681 |
| Provider Name | Kay Gianantonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619346038 PECOS PAC ID: 7012217987 Enrollment ID: I20151125000532 |
| Provider Name | Victoria L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871979088 PECOS PAC ID: 8527368273 Enrollment ID: I20151201003366 |
| Provider Name | Susan Ratay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720333222 PECOS PAC ID: 8325348931 Enrollment ID: I20151204000201 |
| Provider Name | Allyson E Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871972109 PECOS PAC ID: 4587965777 Enrollment ID: I20151211001935 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821460700 PECOS PAC ID: 0941502843 Enrollment ID: I20160108002522 |
| Provider Name | Amanda R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073994919 PECOS PAC ID: 4486956380 Enrollment ID: I20160108002559 |
| Provider Name | Lindsay Lynn Burkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189003 PECOS PAC ID: 5294037024 Enrollment ID: I20160111001049 |
| Provider Name | Ashley K Georger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025607 PECOS PAC ID: 0648574517 Enrollment ID: I20160212002072 |
| Provider Name | Marina F Damis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881978781 PECOS PAC ID: 6103120001 Enrollment ID: I20160215000569 |
| Provider Name | Tara N Kainrad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902263551 PECOS PAC ID: 8022313618 Enrollment ID: I20160218002239 |
| Provider Name | Sean C O`brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003271347 PECOS PAC ID: 5193020790 Enrollment ID: I20160218002390 |
| Provider Name | Kristen M Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609234061 PECOS PAC ID: 5092010652 Enrollment ID: I20160219001926 |
| Provider Name | Britney Ann Dobroka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962868430 PECOS PAC ID: 0446556997 Enrollment ID: I20160309000364 |
| Provider Name | Janet Kubera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949380 PECOS PAC ID: 3971800962 Enrollment ID: I20160317001691 |
| Provider Name | Janine M Brocone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356709216 PECOS PAC ID: 9335446970 Enrollment ID: I20160328000959 |
| Provider Name | Ibrahima Goudiaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851639504 PECOS PAC ID: 8224336631 Enrollment ID: I20160419001690 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20160504001949 |
| Provider Name | Melissa Hudzik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437547379 PECOS PAC ID: 5890009674 Enrollment ID: I20160518000347 |
| Provider Name | Abraham Sayon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104088285 PECOS PAC ID: 1456590306 Enrollment ID: I20160603000905 |
| Provider Name | Fahad Bin Zulfiqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144840 PECOS PAC ID: 0648560458 Enrollment ID: I20160607002421 |
| Provider Name | David A Vincent |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467544262 PECOS PAC ID: 0244247914 Enrollment ID: I20160627002398 |
| Provider Name | Daniel I Asher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134414204 PECOS PAC ID: 7012209257 Enrollment ID: I20160708001866 |
| Provider Name | Yevgeniya Dvorkin Wininger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710274725 PECOS PAC ID: 1254624497 Enrollment ID: I20160725002981 |
| Provider Name | Dany A Raad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659687721 PECOS PAC ID: 6709179948 Enrollment ID: I20160725002999 |
| Provider Name | Olga Khorishko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306296421 PECOS PAC ID: 7911291786 Enrollment ID: I20160802003189 |
| Provider Name | Stephanie Mesko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780926881 PECOS PAC ID: 4688979545 Enrollment ID: I20160803001725 |
| Provider Name | Denise Lentz Hartup |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396007803 PECOS PAC ID: 3476847856 Enrollment ID: I20160808001597 |
| Provider Name | Mustafa Abas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720392988 PECOS PAC ID: 9537453808 Enrollment ID: I20160809001931 |
| Provider Name | Nishit P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750720827 PECOS PAC ID: 0042513137 Enrollment ID: I20160822001408 |
| Provider Name | Linden Abigail Karas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275837569 PECOS PAC ID: 8224350392 Enrollment ID: I20160825002342 |
| Provider Name | Palak Shroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094090 PECOS PAC ID: 4981990637 Enrollment ID: I20160907001406 |
| Provider Name | Patricia A Levan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168659 PECOS PAC ID: 5799839478 Enrollment ID: I20160914002747 |
| Provider Name | Jacob A Petrosky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881959013 PECOS PAC ID: 9931351707 Enrollment ID: I20160915001611 |
| Provider Name | Nada Tayeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104276963 PECOS PAC ID: 1052608163 Enrollment ID: I20160916001632 |
| Provider Name | Turker Yilmaz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033451158 PECOS PAC ID: 4688961683 Enrollment ID: I20160919002142 |
| Provider Name | Haralambos C Tzinis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467728949 PECOS PAC ID: 5799076162 Enrollment ID: I20160920000591 |
| Provider Name | Dane A Coyne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245522028 PECOS PAC ID: 9032406913 Enrollment ID: I20160920002247 |
| Provider Name | Paul B Poommipanit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487779757 PECOS PAC ID: 0244355220 Enrollment ID: I20160920003020 |
| Provider Name | Maroun Matta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871897215 PECOS PAC ID: 2860789393 Enrollment ID: I20160927000358 |
| Provider Name | Jeffrey C Thompson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427378272 PECOS PAC ID: 7810113347 Enrollment ID: I20160927002380 |
| Provider Name | Natalie A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144563685 PECOS PAC ID: 9234360389 Enrollment ID: I20160928000773 |
| Provider Name | Jordan N Baker-horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953976 PECOS PAC ID: 3274820618 Enrollment ID: I20160928001228 |
| Provider Name | Katherine Christine Carmichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023351798 PECOS PAC ID: 3779889647 Enrollment ID: I20160928001529 |
| Provider Name | Christopher Bohac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952690638 PECOS PAC ID: 7214176171 Enrollment ID: I20161006001253 |
| Provider Name | Rachel M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194273912 PECOS PAC ID: 2062790207 Enrollment ID: I20161024000920 |
| Provider Name | Christina Stachur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124386305 PECOS PAC ID: 9335427509 Enrollment ID: I20161024001678 |
| Provider Name | Sameh Rizkalla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700829280 PECOS PAC ID: 2163497652 Enrollment ID: I20161027002473 |
| Provider Name | Corrie Nemeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553254 PECOS PAC ID: 6406135755 Enrollment ID: I20161109002268 |
| Provider Name | Deborah L Revello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821542275 PECOS PAC ID: 4880973957 Enrollment ID: I20161111001548 |
| Provider Name | Jennifer L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335023 PECOS PAC ID: 4183903164 Enrollment ID: I20161115000918 |
| Provider Name | Sarah Stocker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972730257 PECOS PAC ID: 4880730159 Enrollment ID: I20161115002689 |
| Provider Name | Tarek R Gharibeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568658276 PECOS PAC ID: 5991969172 Enrollment ID: I20161122000935 |
| Provider Name | Pierre El Hachem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942632872 PECOS PAC ID: 7214238625 Enrollment ID: I20161130002142 |
| Provider Name | Tracy M Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871048256 PECOS PAC ID: 9739469156 Enrollment ID: I20161130002510 |
| Provider Name | Kristie May Tincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902357494 PECOS PAC ID: 6406136639 Enrollment ID: I20161206000601 |
| Provider Name | Marissa B Rokicki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235687161 PECOS PAC ID: 4284914128 Enrollment ID: I20161209001791 |
| Provider Name | Tajul Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609212869 PECOS PAC ID: 7517101280 Enrollment ID: I20161213001289 |
| Provider Name | Ilana G Kresch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598169989 PECOS PAC ID: 0446530182 Enrollment ID: I20161214002661 |
| Provider Name | Jessica M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669923207 PECOS PAC ID: 7911288501 Enrollment ID: I20161219001544 |
| Provider Name | Kevin C Nkeze Shu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803049 PECOS PAC ID: 7618259086 Enrollment ID: I20170119000616 |
| Provider Name | Sarah S Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083169924 PECOS PAC ID: 0941582050 Enrollment ID: I20170125002835 |
| Provider Name | Jeremy T Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528386729 PECOS PAC ID: 6709015951 Enrollment ID: I20170126002483 |
| Provider Name | Jacob Rasanow |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124476924 PECOS PAC ID: 9537441456 Enrollment ID: I20170127002256 |
| Provider Name | Laura C Vrabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255873774 PECOS PAC ID: 0042593378 Enrollment ID: I20170213001176 |
| Provider Name | Mark C Hussing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386634962 PECOS PAC ID: 4981683380 Enrollment ID: I20170220000965 |
| Provider Name | Michael S Holler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053854919 PECOS PAC ID: 9133403447 Enrollment ID: I20170306001972 |
| Provider Name | Katalin Silaghi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306398474 PECOS PAC ID: 1759666522 Enrollment ID: I20170316002264 |
| Provider Name | Julie H Mccall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508306499 PECOS PAC ID: 3678858115 Enrollment ID: I20170323000794 |
| Provider Name | Emily Mazzone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093257263 PECOS PAC ID: 3971888348 Enrollment ID: I20170327001913 |
| Provider Name | Thomas Geisler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740608538 PECOS PAC ID: 9234431107 Enrollment ID: I20170404001911 |
| Provider Name | Cecelia Gallagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144496126 PECOS PAC ID: 9830475409 Enrollment ID: I20170413001546 |
| Provider Name | Myttle A Mayuga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780830950 PECOS PAC ID: 4688941966 Enrollment ID: I20170517002699 |
| Provider Name | Sarah Tutolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619401577 PECOS PAC ID: 1456628585 Enrollment ID: I20170522000836 |
| Provider Name | Christopher L Tisdel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548239080 PECOS PAC ID: 1153210372 Enrollment ID: I20170613002530 |
| Provider Name | Pamela H Li |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356514186 PECOS PAC ID: 9739301029 Enrollment ID: I20170614002919 |
| Provider Name | Kiran A Faryar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700224789 PECOS PAC ID: 5799090338 Enrollment ID: I20170623001796 |
| Provider Name | Farshad Forouzandeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629209176 PECOS PAC ID: 3173892643 Enrollment ID: I20170627002812 |
| Provider Name | Alton Dunlap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154723153 PECOS PAC ID: 9335464346 Enrollment ID: I20170628001821 |
| Provider Name | Daniel J Wyler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710244009 PECOS PAC ID: 2769751981 Enrollment ID: I20170703000680 |
| Provider Name | Jonathan K Frankel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205127024 PECOS PAC ID: 6204105034 Enrollment ID: I20170710002545 |
| Provider Name | Lindsey M Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851779581 PECOS PAC ID: 2062726649 Enrollment ID: I20170710002798 |
| Provider Name | Amy Elizabeth Hosmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326368283 PECOS PAC ID: 4082914130 Enrollment ID: I20170711000018 |
| Provider Name | Erin N Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437578838 PECOS PAC ID: 7416173539 Enrollment ID: I20170725003024 |
| Provider Name | Paul Coletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194654 PECOS PAC ID: 2264702166 Enrollment ID: I20170726001552 |
| Provider Name | Alyssa Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831611581 PECOS PAC ID: 0345510251 Enrollment ID: I20170726001610 |
| Provider Name | Laura L Hartzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487176400 PECOS PAC ID: 0941570782 Enrollment ID: I20170726003772 |
| Provider Name | Donna Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295255610 PECOS PAC ID: 6103196845 Enrollment ID: I20170727003569 |
| Provider Name | Ryan Anthony Ferra |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1548797939 PECOS PAC ID: 2264703677 Enrollment ID: I20170803001400 |
| Provider Name | Joelle D Popowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194254904 PECOS PAC ID: 6507137783 Enrollment ID: I20170807001198 |
| Provider Name | Kristian H Wall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669764916 PECOS PAC ID: 2466693197 Enrollment ID: I20170815002693 |
| Provider Name | Nicholas Bryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366965568 PECOS PAC ID: 7416229182 Enrollment ID: I20170816001614 |
| Provider Name | Marcus D Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538682893 PECOS PAC ID: 6507138278 Enrollment ID: I20170816001665 |
| Provider Name | Robert W Dallara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477829356 PECOS PAC ID: 0749552206 Enrollment ID: I20170817001986 |
| Provider Name | Gregory Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518387174 PECOS PAC ID: 2860783115 Enrollment ID: I20170823001581 |
| Provider Name | Liming Yu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356453229 PECOS PAC ID: 9234355868 Enrollment ID: I20170823003436 |
| Provider Name | Carolina O Barba-willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497278766 PECOS PAC ID: 5698047561 Enrollment ID: I20170828002230 |
| Provider Name | Abdelle L Ferdinand Cheres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881949865 PECOS PAC ID: 5496028003 Enrollment ID: I20170901001932 |
| Provider Name | Asha Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275897126 PECOS PAC ID: 0446523815 Enrollment ID: I20170906002838 |
| Provider Name | Nicholas Palella |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1750802609 PECOS PAC ID: 4789957150 Enrollment ID: I20170906003012 |
| Provider Name | Amy-elizabeth C Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275068017 PECOS PAC ID: 0244503589 Enrollment ID: I20170907001942 |
| Provider Name | Tristan E Henn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679991905 PECOS PAC ID: 6709181654 Enrollment ID: I20170914003469 |
| Provider Name | David P Kucmanic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932623865 PECOS PAC ID: 5294009932 Enrollment ID: I20170920000351 |
| Provider Name | Scott Yasinow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932529872 PECOS PAC ID: 8325312762 Enrollment ID: I20170922001832 |
| Provider Name | Nicole Piwarski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295253342 PECOS PAC ID: 9830463223 Enrollment ID: I20170925000120 |
| Provider Name | Carrie Astrab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497271654 PECOS PAC ID: 6901170190 Enrollment ID: I20170927001947 |
| Provider Name | Benjamin Silver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649569054 PECOS PAC ID: 8921393356 Enrollment ID: I20170927002120 |
| Provider Name | Jennifer S Gerckens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245556117 PECOS PAC ID: 8921249426 Enrollment ID: I20170927002573 |
| Provider Name | Kathryn Boyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003339623 PECOS PAC ID: 2668747619 Enrollment ID: I20171002002170 |
| Provider Name | Carrie L Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841715737 PECOS PAC ID: 6103191895 Enrollment ID: I20171005001769 |
| Provider Name | Lauren A Cameron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891054466 PECOS PAC ID: 1153696885 Enrollment ID: I20171005003505 |
| Provider Name | James D Walter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770881302 PECOS PAC ID: 6507164209 Enrollment ID: I20171019003006 |
| Provider Name | Christopher Pluskota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114304029 PECOS PAC ID: 4587964069 Enrollment ID: I20171030001986 |
| Provider Name | Brendan F Kappus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831432897 PECOS PAC ID: 6709027089 Enrollment ID: I20171106000655 |
| Provider Name | Tracy M Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487176673 PECOS PAC ID: 6901163377 Enrollment ID: I20171121000580 |
| Provider Name | Lisa N Skariot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275882144 PECOS PAC ID: 4284883091 Enrollment ID: I20171128001015 |
| Provider Name | Lily Grace Veeravalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528474426 PECOS PAC ID: 5092018762 Enrollment ID: I20171212003261 |
| Provider Name | Stephanie Pesicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215454160 PECOS PAC ID: 1456619121 Enrollment ID: I20171229002262 |
| Provider Name | Megan Lynn Oberhauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871910042 PECOS PAC ID: 5496059156 Enrollment ID: I20180112001162 |
| Provider Name | Megan E Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828418 PECOS PAC ID: 8729347653 Enrollment ID: I20180122001476 |
| Provider Name | Frank T Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417474263 PECOS PAC ID: 5496014284 Enrollment ID: I20180124002867 |
| Provider Name | Amber E Bulcroft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861918799 PECOS PAC ID: 2769743509 Enrollment ID: I20180219001756 |
| Provider Name | Brea E Loewit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447751664 PECOS PAC ID: 8820350424 Enrollment ID: I20180319002878 |
| Provider Name | Justin Robert Stegman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467962886 PECOS PAC ID: 8426310046 Enrollment ID: I20180320000990 |
| Provider Name | Mary E Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435086 PECOS PAC ID: 7810250511 Enrollment ID: I20180411000539 |
| Provider Name | Nicole Marie Soptelean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912410903 PECOS PAC ID: 9335402536 Enrollment ID: I20180423001721 |
| Provider Name | Aman Naji Ramella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467836031 PECOS PAC ID: 7810250016 Enrollment ID: I20180423002114 |
| Provider Name | Amy Denise Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548777832 PECOS PAC ID: 2860755949 Enrollment ID: I20180424002986 |
| Provider Name | Eric T Kirby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811316565 PECOS PAC ID: 4183925688 Enrollment ID: I20180509001756 |
| Provider Name | Brittney Jergovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811334147 PECOS PAC ID: 8527363449 Enrollment ID: I20180531001175 |
| Provider Name | Austin C Knott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396164125 PECOS PAC ID: 2466765946 Enrollment ID: I20180531001302 |
| Provider Name | Aram Benjamin Loeb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598015125 PECOS PAC ID: 9739481706 Enrollment ID: I20180614001737 |
| Provider Name | Hasan B Abuamsha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942684477 PECOS PAC ID: 5698020352 Enrollment ID: I20180620002280 |
| Provider Name | James Czernicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922598291 PECOS PAC ID: 7618222019 Enrollment ID: I20180625003581 |
| Provider Name | Samantha Kiefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295114387 PECOS PAC ID: 6204100936 Enrollment ID: I20180626003616 |
| Provider Name | Matthew David Muller |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962907972 PECOS PAC ID: 7810243250 Enrollment ID: I20180627002555 |
| Provider Name | Jessica M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618642 PECOS PAC ID: 6406102698 Enrollment ID: I20180629002562 |
| Provider Name | Nikhil R Borkhetaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831585819 PECOS PAC ID: 6406156942 Enrollment ID: I20180703000705 |
| Provider Name | Brittany J Dietz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114419959 PECOS PAC ID: 9638425655 Enrollment ID: I20180705002423 |
| Provider Name | Irina Bransteter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689187353 PECOS PAC ID: 5890041784 Enrollment ID: I20180706002503 |
| Provider Name | Christine Louise Culver |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164929725 PECOS PAC ID: 8921354648 Enrollment ID: I20180710002470 |
| Provider Name | Fei Yan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720466071 PECOS PAC ID: 6507154283 Enrollment ID: I20180716001298 |
| Provider Name | Ryan Pack |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437446093 PECOS PAC ID: 6406071117 Enrollment ID: I20180719001854 |
| Provider Name | Kristina B Maditz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093197105 PECOS PAC ID: 5890004089 Enrollment ID: I20180719002648 |
| Provider Name | John Francis Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801153614 PECOS PAC ID: 0840547774 Enrollment ID: I20180723003098 |
| Provider Name | Ruba Khattab |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396092755 PECOS PAC ID: 3971850637 Enrollment ID: I20180726000903 |
| Provider Name | Adam T Beattie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770877672 PECOS PAC ID: 3072824218 Enrollment ID: I20180730001238 |
| Provider Name | Leah Gaeta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861993651 PECOS PAC ID: 9537417167 Enrollment ID: I20180730002287 |
| Provider Name | Alexander William Solt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336646801 PECOS PAC ID: 1456609916 Enrollment ID: I20180731003990 |
| Provider Name | Matthew Christian Andersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023436011 PECOS PAC ID: 2860740800 Enrollment ID: I20180807002711 |
| Provider Name | Julia Loeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326301003 PECOS PAC ID: 8224269162 Enrollment ID: I20180809005970 |
| Provider Name | Robert Allen Chester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477030401 PECOS PAC ID: 3375891054 Enrollment ID: I20180813002668 |
| Provider Name | Hannah Y Zhou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003259169 PECOS PAC ID: 6709024995 Enrollment ID: I20180815003328 |
| Provider Name | Scott Martin Ciaccia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366608218 PECOS PAC ID: 2567619448 Enrollment ID: I20180815003559 |
| Provider Name | Marvin Siy Sih |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326238304 PECOS PAC ID: 9739322405 Enrollment ID: I20180822003886 |
| Provider Name | Julie Nafula Murumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811473887 PECOS PAC ID: 7517216401 Enrollment ID: I20180827001672 |
| Provider Name | Justine Lee Westover |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336636232 PECOS PAC ID: 6901156223 Enrollment ID: I20180907001765 |
| Provider Name | Amanda Iliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647920 PECOS PAC ID: 6507116795 Enrollment ID: I20180910001975 |
| Provider Name | Andrea Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427391853 PECOS PAC ID: 8426308438 Enrollment ID: I20180912000336 |
| Provider Name | Cristen Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418256 PECOS PAC ID: 7911257969 Enrollment ID: I20180912001972 |
| Provider Name | Olesya Rabosyuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588141261 PECOS PAC ID: 0749530681 Enrollment ID: I20180913002207 |
| Provider Name | Shine Kochukunju Raju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326326968 PECOS PAC ID: 9133470057 Enrollment ID: I20180914002779 |
| Provider Name | Tiffany M Frazee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235364308 PECOS PAC ID: 5193961290 Enrollment ID: I20180920002231 |
| Provider Name | Yehuda E Salamon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447599485 PECOS PAC ID: 1557622198 Enrollment ID: I20180925000847 |
| Provider Name | Megan E Sippey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639436835 PECOS PAC ID: 1850690710 Enrollment ID: I20180927001586 |
| Provider Name | Ahmed Medhat Darwish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053380055 PECOS PAC ID: 6800800434 Enrollment ID: I20181001001526 |
| Provider Name | George Robles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255741021 PECOS PAC ID: 9133420516 Enrollment ID: I20181002001731 |
| Provider Name | Michael Jeffrey Link |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558846667 PECOS PAC ID: 5294087565 Enrollment ID: I20181015002391 |
| Provider Name | Matthew A Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700297702 PECOS PAC ID: 2365733094 Enrollment ID: I20181017003199 |
| Provider Name | Abby L Harting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952885295 PECOS PAC ID: 9436402278 Enrollment ID: I20181025000890 |
| Provider Name | Rita B Merman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447224233 PECOS PAC ID: 0446443386 Enrollment ID: I20181026000961 |
| Provider Name | Andrew Robert Fischer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962473553 PECOS PAC ID: 8628020542 Enrollment ID: I20181026001821 |
| Provider Name | Jaculine Yun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326520768 PECOS PAC ID: 5890049969 Enrollment ID: I20181108002838 |
| Provider Name | Jillian Marie Kapur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780150516 PECOS PAC ID: 3577817394 Enrollment ID: I20181114002416 |
| Provider Name | Connor M Mcnamara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912348640 PECOS PAC ID: 4880822915 Enrollment ID: I20181119001147 |
| Provider Name | Caitanya Nalini Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104161033 PECOS PAC ID: 1951555671 Enrollment ID: I20181121000370 |
| Provider Name | Jillian M Pinchbeck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124500343 PECOS PAC ID: 1052665403 Enrollment ID: I20181121001354 |
| Provider Name | Daanish A. Kazi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801003124 PECOS PAC ID: 2567442817 Enrollment ID: I20181203003148 |
| Provider Name | Gabrielle Landon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962979955 PECOS PAC ID: 6901140862 Enrollment ID: I20181203003318 |
| Provider Name | Cherie Renee Phillips |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003064825 PECOS PAC ID: 0244465565 Enrollment ID: I20181206002523 |
| Provider Name | Jonathan Benjamin Macknin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1740442730 PECOS PAC ID: 6901125954 Enrollment ID: I20181212002399 |
| Provider Name | Laura H Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528451929 PECOS PAC ID: 3375837180 Enrollment ID: I20190116002044 |
| Provider Name | Kelly Nicole Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437621091 PECOS PAC ID: 3173861192 Enrollment ID: I20190215001670 |
| Provider Name | Christina Rebic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275003964 PECOS PAC ID: 0648518621 Enrollment ID: I20190218001145 |
| Provider Name | Sharon T Goldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512213 PECOS PAC ID: 7315285129 Enrollment ID: I20190220001219 |
| Provider Name | Ann Phillips |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790235299 PECOS PAC ID: 2264771898 Enrollment ID: I20190226003137 |
| Provider Name | Claudine E. Siegert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235114372 PECOS PAC ID: 3678663960 Enrollment ID: I20190227001594 |
| Provider Name | Hannah W. Lazar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003382862 PECOS PAC ID: 6103165444 Enrollment ID: I20190304000964 |
| Provider Name | Tiffany Lindsay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841755006 PECOS PAC ID: 8921348475 Enrollment ID: I20190319002450 |
| Provider Name | Lilli Benck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396215265 PECOS PAC ID: 4981944246 Enrollment ID: I20190322001687 |
| Provider Name | Aaron H Sikowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962693572 PECOS PAC ID: 2567559222 Enrollment ID: I20190325002689 |
| Provider Name | Peter E Oley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104232206 PECOS PAC ID: 2860618832 Enrollment ID: I20190401002557 |
| Provider Name | Joshua Mark Fegan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295207769 PECOS PAC ID: 1850632613 Enrollment ID: I20190404002880 |
| Provider Name | Marlarie Charee Hardee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861959546 PECOS PAC ID: 0143561753 Enrollment ID: I20190409001602 |
| Provider Name | Erica Michelle Gaitley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538585302 PECOS PAC ID: 0042523888 Enrollment ID: I20190425002609 |
| Provider Name | Lee A Devinney-boymel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821569443 PECOS PAC ID: 6507108339 Enrollment ID: I20190426002300 |
| Provider Name | Joseph P Capichioni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164819876 PECOS PAC ID: 8820330012 Enrollment ID: I20190509000996 |
| Provider Name | Molly Lynne Stropko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265994354 PECOS PAC ID: 4587907407 Enrollment ID: I20190516001949 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20190531002068 |
| Provider Name | Julia Catherine Liebner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497133003 PECOS PAC ID: 8224361308 Enrollment ID: I20190604002349 |
| Provider Name | Emily Therese Poynton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902226848 PECOS PAC ID: 7810112927 Enrollment ID: I20190611002251 |
| Provider Name | Hussein Hamad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992137780 PECOS PAC ID: 5496051138 Enrollment ID: I20190620003379 |
| Provider Name | Angela Marie Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417268350 PECOS PAC ID: 3375715592 Enrollment ID: I20190620003531 |
| Provider Name | Antonio J Sotolongo Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255618302 PECOS PAC ID: 5092049122 Enrollment ID: I20190624003424 |
| Provider Name | Nissreen Elfadawy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801226279 PECOS PAC ID: 8527354281 Enrollment ID: I20190626003684 |
| Provider Name | Percy Kwabena Adonteng-boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972959419 PECOS PAC ID: 5890020036 Enrollment ID: I20190711000103 |
| Provider Name | Sahar Elsheikh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518378850 PECOS PAC ID: 7315272440 Enrollment ID: I20190711002979 |
| Provider Name | Travia M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821652645 PECOS PAC ID: 5890020549 Enrollment ID: I20190717002227 |
| Provider Name | Gregory J Rivenbark |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164089306 PECOS PAC ID: 5698000370 Enrollment ID: I20190717002993 |
| Provider Name | Samantha L Prochaska |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902465883 PECOS PAC ID: 8921334517 Enrollment ID: I20190718003604 |
| Provider Name | Matthew T Niehaus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952745077 PECOS PAC ID: 7517104235 Enrollment ID: I20190724003529 |
| Provider Name | Ante Tony Pletikosic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881049732 PECOS PAC ID: 1658665351 Enrollment ID: I20190726001842 |
| Provider Name | Benjamin D Colvard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629336680 PECOS PAC ID: 0143555664 Enrollment ID: I20190730002017 |
| Provider Name | Stephen V Masnyj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952729576 PECOS PAC ID: 7911287206 Enrollment ID: I20190730004690 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083059992 PECOS PAC ID: 0345521209 Enrollment ID: I20190805001991 |
| Provider Name | Charita Chanelle Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851745277 PECOS PAC ID: 8820380579 Enrollment ID: I20190809002872 |
| Provider Name | Khon D Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841645322 PECOS PAC ID: 8224397153 Enrollment ID: I20190814004212 |
| Provider Name | Nabilah Abdullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699123810 PECOS PAC ID: 2860720455 Enrollment ID: I20190820003725 |
| Provider Name | Cole Christopher Budinsky |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740625615 PECOS PAC ID: 6406084789 Enrollment ID: I20190822003342 |
| Provider Name | Jock N Taylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780064568 PECOS PAC ID: 1658647805 Enrollment ID: I20190822003755 |
| Provider Name | Kristen Alley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053767590 PECOS PAC ID: 0547558116 Enrollment ID: I20190827004019 |
| Provider Name | Kasey M Palm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386038586 PECOS PAC ID: 5395053870 Enrollment ID: I20190828003418 |
| Provider Name | Durga V. Satyavolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487615092 PECOS PAC ID: 8729149331 Enrollment ID: I20190828004167 |
| Provider Name | Emily F Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915122 PECOS PAC ID: 4183997273 Enrollment ID: I20190905001010 |
| Provider Name | Matthew T Boylan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699120501 PECOS PAC ID: 1355638834 Enrollment ID: I20190909001757 |
| Provider Name | Oliver Naval Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699250167 PECOS PAC ID: 4880924752 Enrollment ID: I20190919002895 |
| Provider Name | Sarah A Lavalette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811921125 PECOS PAC ID: 4789658469 Enrollment ID: I20191007003467 |
| Provider Name | Dianna L Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932752037 PECOS PAC ID: 3870509771 Enrollment ID: I20191015003694 |
| Provider Name | Jonathan Louis Rifici |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1659932960 PECOS PAC ID: 5092047134 Enrollment ID: I20191023000744 |
| Provider Name | Samer J Shaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194189266 PECOS PAC ID: 7012200595 Enrollment ID: I20191101002480 |
| Provider Name | Ajit Nandkumar Chary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20191106003266 |
| Provider Name | Lisa Marie Stempak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588983043 PECOS PAC ID: 2961710710 Enrollment ID: I20191112000607 |
| Provider Name | Emilie C Lanter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1043862816 PECOS PAC ID: 2567895253 Enrollment ID: I20191211001129 |
| Provider Name | Mark A Tatum |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396389755 PECOS PAC ID: 5698108256 Enrollment ID: I20191212001243 |
| Provider Name | Amanda Knittel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689225294 PECOS PAC ID: 4587098835 Enrollment ID: I20191219002846 |
| Provider Name | Kimberly R Kavulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558904862 PECOS PAC ID: 3072947332 Enrollment ID: I20191219003178 |
| Provider Name | Ashley Courtney Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982248522 PECOS PAC ID: 1052745197 Enrollment ID: I20191226001887 |
| Provider Name | Heather Michelle Herrera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407278310 PECOS PAC ID: 5799915849 Enrollment ID: I20191230000610 |
| Provider Name | Aaron Michael Geissinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988192 PECOS PAC ID: 3678907433 Enrollment ID: I20200102002533 |
| Provider Name | Heidi Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699321646 PECOS PAC ID: 8325184393 Enrollment ID: I20200108001708 |
| Provider Name | Kaitlin Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441447 PECOS PAC ID: 5294160743 Enrollment ID: I20200110002092 |
| Provider Name | Caroline Sami Al Haddadin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629218086 PECOS PAC ID: 6002058443 Enrollment ID: I20200113000313 |
| Provider Name | Hala Abdul-al |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376934893 PECOS PAC ID: 8426483199 Enrollment ID: I20200128000333 |
| Provider Name | Nicholas W Felter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134768922 PECOS PAC ID: 5294161568 Enrollment ID: I20200204002887 |
| Provider Name | Eileen Wong |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275841066 PECOS PAC ID: 9638304116 Enrollment ID: I20200217004328 |
| Provider Name | Harpreet Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770804247 PECOS PAC ID: 1052632809 Enrollment ID: I20200306002243 |
| Provider Name | Laurie C Bruening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996043 PECOS PAC ID: 0345678579 Enrollment ID: I20200320002215 |
| Provider Name | Amanda Opaskar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134515232 PECOS PAC ID: 3072942028 Enrollment ID: I20200326003143 |
| Provider Name | Shannon Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245737121 PECOS PAC ID: 1850631409 Enrollment ID: I20200327003035 |
| Provider Name | Walter Gerrard Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003446436 PECOS PAC ID: 3870922669 Enrollment ID: I20200330002583 |
| Provider Name | Fatima N Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790103125 PECOS PAC ID: 6305147935 Enrollment ID: I20200409002031 |
| Provider Name | Lauren Nicole Kwasny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124680954 PECOS PAC ID: 1658700778 Enrollment ID: I20200410000626 |
| Provider Name | Robert J Trager |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962824599 PECOS PAC ID: 0143452219 Enrollment ID: I20200413003836 |
| Provider Name | Jason Ice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467951863 PECOS PAC ID: 3072869007 Enrollment ID: I20200421001141 |
| Provider Name | Jennifer Lynn Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952939746 PECOS PAC ID: 3072943703 Enrollment ID: I20200421002662 |
| Provider Name | Malca Kierson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497911648 PECOS PAC ID: 2062660012 Enrollment ID: I20200429001703 |
| Provider Name | Christopher A Hunt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649626698 PECOS PAC ID: 0446681407 Enrollment ID: I20200507003245 |
| Provider Name | Ashley Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184244667 PECOS PAC ID: 7911338785 Enrollment ID: I20200511002455 |
| Provider Name | Megan Abrams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932561032 PECOS PAC ID: 7113358995 Enrollment ID: I20200511003291 |
| Provider Name | Andrew Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518387901 PECOS PAC ID: 1850722364 Enrollment ID: I20200518002239 |
| Provider Name | Carol Lynn Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285273938 PECOS PAC ID: 9638590987 Enrollment ID: I20200522001192 |
| Provider Name | Kylene M Camilletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902439235 PECOS PAC ID: 3870914914 Enrollment ID: I20200528001255 |
| Provider Name | Reddy S Singasani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578882627 PECOS PAC ID: 7416378401 Enrollment ID: I20200529000845 |
| Provider Name | Scott M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518593730 PECOS PAC ID: 5991126526 Enrollment ID: I20200605001314 |
| Provider Name | Darinka Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639706179 PECOS PAC ID: 5193146728 Enrollment ID: I20200605001682 |
| Provider Name | Thomas Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558710897 PECOS PAC ID: 8224459862 Enrollment ID: I20200605001959 |
| Provider Name | Fadel Alkacace |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619599586 PECOS PAC ID: 4284056649 Enrollment ID: I20200612001772 |
| Provider Name | George William Patterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285257154 PECOS PAC ID: 2365864576 Enrollment ID: I20200616003594 |
| Provider Name | Stephanie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387231 PECOS PAC ID: 5597187682 Enrollment ID: I20200618000864 |
| Provider Name | Hetu Rajesh Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1396200549 PECOS PAC ID: 5698018554 Enrollment ID: I20200624002234 |
| Provider Name | Arun Nag Santhosh Mallapareddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780048264 PECOS PAC ID: 4789968942 Enrollment ID: I20200625002616 |
| Provider Name | Joshua Randall Clevenger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386064962 PECOS PAC ID: 1759683766 Enrollment ID: I20200701001272 |
| Provider Name | Michael L Fisher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295150209 PECOS PAC ID: 7012212392 Enrollment ID: I20200707000570 |
| Provider Name | Jeffrey Adam Sadowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275517336 PECOS PAC ID: 9638100035 Enrollment ID: I20200708001856 |
| Provider Name | Rikesh K Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497173918 PECOS PAC ID: 5092045070 Enrollment ID: I20200709003478 |
| Provider Name | Zeeshan Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164861209 PECOS PAC ID: 1759681281 Enrollment ID: I20200713003493 |
| Provider Name | Ghazal Khandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256206 PECOS PAC ID: 8628348208 Enrollment ID: I20200714003311 |
| Provider Name | Fady F Haddad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306286372 PECOS PAC ID: 4385995885 Enrollment ID: I20200715000535 |
| Provider Name | Sadia Sultana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093151557 PECOS PAC ID: 6709011463 Enrollment ID: I20200716003419 |
| Provider Name | Rachel Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467018200 PECOS PAC ID: 8628492022 Enrollment ID: I20200717002083 |
| Provider Name | Eli Scher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477949782 PECOS PAC ID: 3274827332 Enrollment ID: I20200731001054 |
| Provider Name | Bennett W Yu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609922343 PECOS PAC ID: 8628060274 Enrollment ID: I20200803002431 |
| Provider Name | Andrew R Freedman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598766743 PECOS PAC ID: 7911990460 Enrollment ID: I20200804000434 |
| Provider Name | Kenneth V Kall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255864880 PECOS PAC ID: 0143599985 Enrollment ID: I20200804001695 |
| Provider Name | William C Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154740074 PECOS PAC ID: 1951606201 Enrollment ID: I20200805002537 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679073001 PECOS PAC ID: 4789930843 Enrollment ID: I20200810001734 |
| Provider Name | Michael A Zell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760860704 PECOS PAC ID: 4486967015 Enrollment ID: I20200818003073 |
| Provider Name | Viktoriya Katsnelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861912230 PECOS PAC ID: 7618394552 Enrollment ID: I20200824003029 |
| Provider Name | Reid Rubsamen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073549499 PECOS PAC ID: 4284763756 Enrollment ID: I20200825003338 |
| Provider Name | Robert Piasecki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790854982 PECOS PAC ID: 6002873833 Enrollment ID: I20200825003342 |
| Provider Name | Courtney Jean Munn-huesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487297032 PECOS PAC ID: 2163849902 Enrollment ID: I20200825003444 |
| Provider Name | Alan Eric Bakst |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275580185 PECOS PAC ID: 9537168968 Enrollment ID: I20200827002537 |
| Provider Name | Clint Joseph Oommen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548588775 PECOS PAC ID: 5294027637 Enrollment ID: I20200903000506 |
| Provider Name | Rashed A Ghandour |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316440654 PECOS PAC ID: 3072931039 Enrollment ID: I20200908003450 |
| Provider Name | Jacqueline M Molchan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184246035 PECOS PAC ID: 7618395534 Enrollment ID: I20200909002230 |
| Provider Name | Ramy Abou Ghayda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093257446 PECOS PAC ID: 8022397876 Enrollment ID: I20200915002213 |
| Provider Name | Ashwinraj Amalraj |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487278586 PECOS PAC ID: 0446679849 Enrollment ID: I20201005002080 |
| Provider Name | Meredith Ann Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942739453 PECOS PAC ID: 2264706886 Enrollment ID: I20201006003188 |
| Provider Name | Devon L Kirsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962026153 PECOS PAC ID: 0446679609 Enrollment ID: I20201007002992 |
| Provider Name | Nardine Zakhary |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1588047070 PECOS PAC ID: 6901193994 Enrollment ID: I20201023002493 |
| Provider Name | Paulina K Komso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619583424 PECOS PAC ID: 1254741580 Enrollment ID: I20201027003444 |
| Provider Name | Sarah Nicole Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427656420 PECOS PAC ID: 6103236955 Enrollment ID: I20201105001344 |
| Provider Name | Iesha Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881139897 PECOS PAC ID: 7315204955 Enrollment ID: I20201106000214 |
| Provider Name | Lyndsay Mae Mangeri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447851381 PECOS PAC ID: 3779993100 Enrollment ID: I20201113000511 |
| Provider Name | James Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568900371 PECOS PAC ID: 6002185600 Enrollment ID: I20201117002293 |
| Provider Name | Carmine P Iafelice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467913483 PECOS PAC ID: 1456762426 Enrollment ID: I20201123002151 |
| Provider Name | Anna H Nye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659973626 PECOS PAC ID: 7416368048 Enrollment ID: I20201202002474 |
| Provider Name | Manish P Kapadia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891958401 PECOS PAC ID: 3870733652 Enrollment ID: I20201209002931 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811595861 PECOS PAC ID: 1557773884 Enrollment ID: I20201210001420 |
| Provider Name | Joseph Michel Wakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366882839 PECOS PAC ID: 0749574127 Enrollment ID: I20201210002930 |
| Provider Name | John A Gerka Stuyt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982047494 PECOS PAC ID: 2860632262 Enrollment ID: I20201221001360 |
| Provider Name | Nicholas Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386297869 PECOS PAC ID: 6406186311 Enrollment ID: I20210107002063 |
| Provider Name | Lung San Louie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487995684 PECOS PAC ID: 3072832369 Enrollment ID: I20210107002370 |
| Provider Name | Heather Elise Schmitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427645225 PECOS PAC ID: 2668885708 Enrollment ID: I20210108000836 |
| Provider Name | Kimberley Darlene Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649872524 PECOS PAC ID: 6204241987 Enrollment ID: I20210210000356 |
| Provider Name | Cheryl Ann Durden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598954042 PECOS PAC ID: 6406944560 Enrollment ID: I20210212001406 |
| Provider Name | Natalie Elizabeth Oberstar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740884675 PECOS PAC ID: 4688089246 Enrollment ID: I20210212002286 |
| Provider Name | Taylor Gilger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104443068 PECOS PAC ID: 6507278330 Enrollment ID: I20210215000195 |
| Provider Name | Kaley Marie Wiet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568053155 PECOS PAC ID: 8022423417 Enrollment ID: I20210217000771 |
| Provider Name | Hafiz Ahmad Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407144678 PECOS PAC ID: 0941429567 Enrollment ID: I20210217002228 |
| Provider Name | Jamie L Ladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437747656 PECOS PAC ID: 2961818802 Enrollment ID: I20210301002644 |
| Provider Name | Laura Cicigoi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013504034 PECOS PAC ID: 6608282496 Enrollment ID: I20210302001837 |
| Provider Name | Kristina Roesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871884494 PECOS PAC ID: 4385050434 Enrollment ID: I20210315002530 |
| Provider Name | Jennifer A Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396072245 PECOS PAC ID: 8426464421 Enrollment ID: I20210316001891 |
| Provider Name | Stephanie Meade Fernald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410646 PECOS PAC ID: 6800203704 Enrollment ID: I20210319001551 |
| Provider Name | Hillary J Rockey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659720845 PECOS PAC ID: 9133536055 Enrollment ID: I20210322000250 |
| Provider Name | Selena Bruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336756956 PECOS PAC ID: 3971910795 Enrollment ID: I20210323002201 |
| Provider Name | Kathryn Mary Tegeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407274889 PECOS PAC ID: 4688081904 Enrollment ID: I20210401000926 |
| Provider Name | Maria Weinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396764775 PECOS PAC ID: 5597679662 Enrollment ID: I20210401001874 |
| Provider Name | William R Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982200515 PECOS PAC ID: 9032526124 Enrollment ID: I20210408001193 |
| Provider Name | Heather N Parr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245827757 PECOS PAC ID: 5395153449 Enrollment ID: I20210409001344 |
| Provider Name | Vytas Vaitkus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922442631 PECOS PAC ID: 2062772049 Enrollment ID: I20210413001468 |
| Provider Name | Jonathan Evan Marcus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619002888 PECOS PAC ID: 2769573849 Enrollment ID: I20210414001641 |
| Provider Name | Alexander Song Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972967487 PECOS PAC ID: 6800205642 Enrollment ID: I20210507002460 |
| Provider Name | Prashant Vempati |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487017935 PECOS PAC ID: 7315291655 Enrollment ID: I20210510000596 |
| Provider Name | Maria Ann Phillis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902296320 PECOS PAC ID: 6901177567 Enrollment ID: I20210510000973 |
| Provider Name | Mariya Pogrebetskaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891227633 PECOS PAC ID: 1759667140 Enrollment ID: I20210511002898 |
| Provider Name | Lisa M. Louwers |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659586543 PECOS PAC ID: 5395154827 Enrollment ID: I20210512002569 |
| Provider Name | Lindsay Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891988 PECOS PAC ID: 9739327362 Enrollment ID: I20210513001729 |
| Provider Name | Felicia Venable Lemoine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134651060 PECOS PAC ID: 3870861495 Enrollment ID: I20210514002402 |
| Provider Name | Daniel Eidelberg Spratt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780905901 PECOS PAC ID: 2668787383 Enrollment ID: I20210514002448 |
| Provider Name | Catherine Sustersic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932529 PECOS PAC ID: 9335558675 Enrollment ID: I20210517002255 |
| Provider Name | Laura Hillary Schapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066631 PECOS PAC ID: 3375812902 Enrollment ID: I20210519003077 |
| Provider Name | Justin Paul Rondinelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710410477 PECOS PAC ID: 6305117029 Enrollment ID: I20210519003091 |
| Provider Name | Shade A Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811473465 PECOS PAC ID: 4385043553 Enrollment ID: I20210520003075 |
| Provider Name | Logeswari Neelakandan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048504 PECOS PAC ID: 2961751375 Enrollment ID: I20210527003185 |
| Provider Name | Yulanka Castro Dominguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629404223 PECOS PAC ID: 6406141761 Enrollment ID: I20210608000891 |
| Provider Name | Kevin D'rummo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437512746 PECOS PAC ID: 9436444346 Enrollment ID: I20210608003295 |
| Provider Name | Shashank Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174865653 PECOS PAC ID: 7113266651 Enrollment ID: I20210610000706 |
| Provider Name | Raed Zuhour |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972965507 PECOS PAC ID: 5496040255 Enrollment ID: I20210615001503 |
| Provider Name | Patrick Eugene Bonano |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720654528 PECOS PAC ID: 4082015300 Enrollment ID: I20210624000985 |
| Provider Name | Christopher Lee Hager |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568038362 PECOS PAC ID: 1658772835 Enrollment ID: I20210624003664 |
| Provider Name | George Anthony Scaravelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447828587 PECOS PAC ID: 6002217254 Enrollment ID: I20210625001879 |
| Provider Name | Alexa Hoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1295312015 PECOS PAC ID: 2466853155 Enrollment ID: I20210701002839 |
| Provider Name | Akram Y Elgendy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437578218 PECOS PAC ID: 8527284223 Enrollment ID: I20210702002544 |
| Provider Name | Naveen George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114376498 PECOS PAC ID: 3072884402 Enrollment ID: I20210715003361 |
| Provider Name | Nevin Cherian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316475841 PECOS PAC ID: 5395013031 Enrollment ID: I20210719001287 |
| Provider Name | Lubomyr Vantsa |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1659940146 PECOS PAC ID: 6709289234 Enrollment ID: I20210721003593 |
| Provider Name | Charles F Hunley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962653683 PECOS PAC ID: 5799973517 Enrollment ID: I20210722001610 |
| Provider Name | Christopher Michael Lagnese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831624865 PECOS PAC ID: 2961805114 Enrollment ID: I20210726001193 |
| Provider Name | Evis Cuko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275982555 PECOS PAC ID: 3971899048 Enrollment ID: I20210728003831 |
| Provider Name | Stephanie Paige Gabrielle Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417522905 PECOS PAC ID: 8921401936 Enrollment ID: I20210728003919 |
| Provider Name | Lauren E Hadney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124525449 PECOS PAC ID: 4082017850 Enrollment ID: I20210730002749 |
| Provider Name | Divya Sree Madhuramthakam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073017943 PECOS PAC ID: 2668875444 Enrollment ID: I20210730002954 |
| Provider Name | Christopher D'amico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821585860 PECOS PAC ID: 3072860881 Enrollment ID: I20210730003097 |
| Provider Name | Sarah Lynnette Shahrimanyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851889703 PECOS PAC ID: 9436406246 Enrollment ID: I20210802003156 |
| Provider Name | Zane Giffen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841653029 PECOS PAC ID: 6305138041 Enrollment ID: I20210803002647 |
| Provider Name | Kyle Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598112930 PECOS PAC ID: 0244634558 Enrollment ID: I20210809003835 |
| Provider Name | Kyle John Ericson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174933048 PECOS PAC ID: 9830490820 Enrollment ID: I20210810003267 |
| Provider Name | Debbie Eghobamien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346813540 PECOS PAC ID: 3072917939 Enrollment ID: I20210813003239 |
| Provider Name | Eboselumhen O Iseghohi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437642931 PECOS PAC ID: 4880947654 Enrollment ID: I20210816003750 |
| Provider Name | Raymond Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972023612 PECOS PAC ID: 0547530297 Enrollment ID: I20210818002687 |
| Provider Name | Brandon William Jonard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336567742 PECOS PAC ID: 2062718224 Enrollment ID: I20210819003875 |
| Provider Name | Matthew Burstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386031839 PECOS PAC ID: 0648563858 Enrollment ID: I20210820000780 |
| Provider Name | Bridget M Gallagher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568881167 PECOS PAC ID: 0749523264 Enrollment ID: I20210820001155 |
| Provider Name | Suzanne M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138051 PECOS PAC ID: 4789089137 Enrollment ID: I20210823002163 |
| Provider Name | Rachel Morgan Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033602131 PECOS PAC ID: 9931452133 Enrollment ID: I20210827001526 |
| Provider Name | Tanureet Arora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912382201 PECOS PAC ID: 9931456746 Enrollment ID: I20210830003423 |
| Provider Name | Lauren Rose Pike |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588231989 PECOS PAC ID: 5193121754 Enrollment ID: I20210907001724 |
| Provider Name | Brittany Behm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235424144 PECOS PAC ID: 7618196007 Enrollment ID: I20210915001174 |
| Provider Name | Kristina De Roia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770259244 PECOS PAC ID: 5597162487 Enrollment ID: I20210920002030 |
| Provider Name | Juliana R Egan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700556669 PECOS PAC ID: 5496152068 Enrollment ID: I20210923003202 |
| Provider Name | Durga Prasad Acharya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811484363 PECOS PAC ID: 9436556842 Enrollment ID: I20210928002763 |
| Provider Name | Adi Cosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295230886 PECOS PAC ID: 7416354782 Enrollment ID: I20210929002001 |
| Provider Name | Nicholas Zaorsky |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073804373 PECOS PAC ID: 3577832971 Enrollment ID: I20210930001924 |
| Provider Name | Kimberly Person |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045888 PECOS PAC ID: 9436557006 Enrollment ID: I20211012002335 |
| Provider Name | Maria Elizabeth Martinelli |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124792031 PECOS PAC ID: 0143618314 Enrollment ID: I20211021001292 |
| Provider Name | Alyssa Perchinske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588335988 PECOS PAC ID: 5890183552 Enrollment ID: I20211028002823 |
| Provider Name | Malka Merav Bannet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639467756 PECOS PAC ID: 8426375734 Enrollment ID: I20211103003298 |
| Provider Name | Shakele Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316614936 PECOS PAC ID: 9830588227 Enrollment ID: I20211104002282 |
| Provider Name | Kaitlyn Rossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700468006 PECOS PAC ID: 3274922786 Enrollment ID: I20211122001453 |
| Provider Name | Treasure Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023274750 PECOS PAC ID: 8123419785 Enrollment ID: I20211215002881 |
| Provider Name | Hannah B Detec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194497610 PECOS PAC ID: 2163814229 Enrollment ID: I20220121001722 |
| Provider Name | Tara Knable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720757412 PECOS PAC ID: 1951794510 Enrollment ID: I20220203002250 |
| Provider Name | Marissa Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780341057 PECOS PAC ID: 7719370956 Enrollment ID: I20220210000532 |
| Provider Name | Conor Voyles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285385260 PECOS PAC ID: 6608269865 Enrollment ID: I20220210001654 |
| Provider Name | German Echeverry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689995771 PECOS PAC ID: 3577794197 Enrollment ID: I20220214002132 |
| Provider Name | Ian Funnell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841517604 PECOS PAC ID: 2668691031 Enrollment ID: I20220221002198 |
| Provider Name | Erin Michelle Falasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669061156 PECOS PAC ID: 1951795681 Enrollment ID: I20220223001443 |
| Provider Name | Basem Alsarraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124381942 PECOS PAC ID: 3173820891 Enrollment ID: I20220228002387 |
| Provider Name | Patrick O'day |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710638838 PECOS PAC ID: 8022402494 Enrollment ID: I20220301000532 |
| Provider Name | Amy Elizabeth Manzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700152741 PECOS PAC ID: 2769794536 Enrollment ID: I20220301002587 |
| Provider Name | Marc Vincent Manacci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003561929 PECOS PAC ID: 3870987209 Enrollment ID: I20220301002624 |
| Provider Name | Brian Horten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750032728 PECOS PAC ID: 5496149718 Enrollment ID: I20220303000474 |
| Provider Name | Kuei-mei Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194470856 PECOS PAC ID: 5193119139 Enrollment ID: I20220308001533 |
| Provider Name | Sandeep Kaur Sarkaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801390703 PECOS PAC ID: 7113272246 Enrollment ID: I20220321002758 |
| Provider Name | Brittany Rae Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568117281 PECOS PAC ID: 6305231630 Enrollment ID: I20220323000302 |
| Provider Name | Thomas David Sutcliffe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225782287 PECOS PAC ID: 9638565435 Enrollment ID: I20220404001837 |
| Provider Name | Evan Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689330995 PECOS PAC ID: 8729474168 Enrollment ID: I20220411002385 |
| Provider Name | Aliva Lou Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760131908 PECOS PAC ID: 3870845746 Enrollment ID: I20220421000733 |
| Provider Name | Tyler Lee Weisent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184372583 PECOS PAC ID: 8921495789 Enrollment ID: I20220425002680 |
| Provider Name | Carwyn Kruler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164830253 PECOS PAC ID: 4789804287 Enrollment ID: I20220601000779 |
| Provider Name | Shearwood Mcclelland |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750573127 PECOS PAC ID: 2062762461 Enrollment ID: I20220602000125 |
| Provider Name | Angela Yuanyuan Jia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902338718 PECOS PAC ID: 3577838333 Enrollment ID: I20220606001759 |
| Provider Name | Omar Sadiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508250986 PECOS PAC ID: 6002123643 Enrollment ID: I20220615002873 |
| Provider Name | Ghassan Elkadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740224948 PECOS PAC ID: 8820083918 Enrollment ID: I20220617001563 |
| Provider Name | Sydney A Huffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275272635 PECOS PAC ID: 0648659656 Enrollment ID: I20220622002128 |
| Provider Name | Libby Yael Jubas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1306588066 PECOS PAC ID: 4082093919 Enrollment ID: I20220622002996 |
| Provider Name | Nathan Menendez |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467193169 PECOS PAC ID: 5698154565 Enrollment ID: I20220623001127 |
| Provider Name | Yeshkirat Kaur |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134867880 PECOS PAC ID: 0840670436 Enrollment ID: I20220628003565 |
| Provider Name | Tyler Grubb |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124762760 PECOS PAC ID: 4880074418 Enrollment ID: I20220629001323 |
| Provider Name | Erica Zanath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588195028 PECOS PAC ID: 2163802679 Enrollment ID: I20220630000383 |
| Provider Name | David Warren Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174714844 PECOS PAC ID: 0547640963 Enrollment ID: I20220701001344 |
| Provider Name | Thomas J O'neill |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1639373327 PECOS PAC ID: 3971799586 Enrollment ID: I20220709000582 |
| Provider Name | Muhamad Rasyeed Ramadan Jusran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932849304 PECOS PAC ID: 1759762230 Enrollment ID: I20220714002015 |
| Provider Name | Rachel Sue Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093458978 PECOS PAC ID: 7012398209 Enrollment ID: I20220719003075 |
| Provider Name | Lynden Baesch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619407194 PECOS PAC ID: 6204105141 Enrollment ID: I20220726001378 |
| Provider Name | Shaun D Harper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174572101 PECOS PAC ID: 5698780153 Enrollment ID: I20220728003257 |
| Provider Name | Jauhleene Chamu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982135620 PECOS PAC ID: 2264814763 Enrollment ID: I20220731000138 |
| Provider Name | Chloe Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720441439 PECOS PAC ID: 8729373634 Enrollment ID: I20220801001595 |
| Provider Name | Zachary Kwasnicka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144684945 PECOS PAC ID: 6103208392 Enrollment ID: I20220804001772 |
| Provider Name | Jenna Flick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295466373 PECOS PAC ID: 6800278011 Enrollment ID: I20220804002986 |
| Provider Name | Luna Chaaban |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902329659 PECOS PAC ID: 4385026384 Enrollment ID: I20220808003229 |
| Provider Name | Fenny Zen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982268678 PECOS PAC ID: 1759615552 Enrollment ID: I20220810001676 |
| Provider Name | Marwa Mohammed Sabha |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548714892 PECOS PAC ID: 5193055580 Enrollment ID: I20220811002704 |
| Provider Name | Sonia Voiculescu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619318581 PECOS PAC ID: 5890032510 Enrollment ID: I20220811003783 |
| Provider Name | Yasmine Hirbawi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932756368 PECOS PAC ID: 7911238142 Enrollment ID: I20220812001926 |
| Provider Name | Paul Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659861714 PECOS PAC ID: 2062768096 Enrollment ID: I20220816001764 |
| Provider Name | Ebony Eppinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316682156 PECOS PAC ID: 9931582418 Enrollment ID: I20220816002205 |
| Provider Name | Kevin V Chaung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275064503 PECOS PAC ID: 7012286982 Enrollment ID: I20220817001729 |
| Provider Name | Alicia Kaye Nation |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508452905 PECOS PAC ID: 9032592308 Enrollment ID: I20220818003167 |
| Provider Name | Tarek Elshazly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609336056 PECOS PAC ID: 6204161060 Enrollment ID: I20220823001070 |
| Provider Name | Karina Nieto |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861883795 PECOS PAC ID: 6507168689 Enrollment ID: I20220825003889 |
| Provider Name | Jessica Kusina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013467968 PECOS PAC ID: 9234513417 Enrollment ID: I20220907002938 |
| Provider Name | Samer Ali Husseini De Oliveira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992065916 PECOS PAC ID: 4880079938 Enrollment ID: I20220910000321 |
| Provider Name | Hope Helene Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083108369 PECOS PAC ID: 6901287291 Enrollment ID: I20220916001732 |
| Provider Name | Stephanie Brode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316501067 PECOS PAC ID: 7113260472 Enrollment ID: I20220922001746 |
| Provider Name | Dana Habash Bseiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174631436 PECOS PAC ID: 2062429954 Enrollment ID: I20220922001877 |
| Provider Name | John Igwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316443724 PECOS PAC ID: 6305193327 Enrollment ID: I20220922002234 |
| Provider Name | Sari Meryl Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518693886 PECOS PAC ID: 0345625588 Enrollment ID: I20220923001600 |
| Provider Name | Maria Christine Baytosh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982325379 PECOS PAC ID: 7911382163 Enrollment ID: I20220923001965 |
| Provider Name | James E Ohliger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306291885 PECOS PAC ID: 7012311079 Enrollment ID: I20220923002482 |
| Provider Name | Corey Speers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932429172 PECOS PAC ID: 5799098349 Enrollment ID: I20220926001319 |
| Provider Name | Joseph E Bellissimo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760770408 PECOS PAC ID: 8820269251 Enrollment ID: I20221007002247 |
| Provider Name | Edward Kaye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336559947 PECOS PAC ID: 7214235043 Enrollment ID: I20221018001476 |
| Provider Name | Katie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760106132 PECOS PAC ID: 2163898099 Enrollment ID: I20221018003280 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20221021000753 |
| Provider Name | Jessica Marie Lally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922722982 PECOS PAC ID: 0143697656 Enrollment ID: I20221111001541 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20221115001802 |
| Provider Name | Krishna Thandra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942512777 PECOS PAC ID: 4284877127 Enrollment ID: I20221115001967 |
| Provider Name | Jamie E James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477116622 PECOS PAC ID: 7012385941 Enrollment ID: I20221123002409 |
| Provider Name | Maheshwaran Sivarajah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649598095 PECOS PAC ID: 7618263534 Enrollment ID: I20221129003227 |
| Provider Name | Angelina Maneval |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124447461 PECOS PAC ID: 6800013756 Enrollment ID: I20221201000763 |
| Provider Name | Choua Thao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20221207002025 |
| Provider Name | Christopher Anton Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063131548 PECOS PAC ID: 7416326871 Enrollment ID: I20221207002465 |
| Provider Name | Luis Augusto Palma Dallan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124631114 PECOS PAC ID: 7911376272 Enrollment ID: I20221207003141 |
| Provider Name | Michael Timar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477042968 PECOS PAC ID: 4183976962 Enrollment ID: I20221208001410 |
| Provider Name | Sierra Rei Glass |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104449735 PECOS PAC ID: 0840616173 Enrollment ID: I20221208001520 |
| Provider Name | Katherine Ann Ferrante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346965183 PECOS PAC ID: 2668841412 Enrollment ID: I20221216002373 |
| Provider Name | Praxediz A Meza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801860945 PECOS PAC ID: 2769395292 Enrollment ID: I20221227001286 |
| Provider Name | Melissa M Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710557871 PECOS PAC ID: 4082084546 Enrollment ID: I20221228002244 |
| Provider Name | Lauren Henke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093129553 PECOS PAC ID: 5597984062 Enrollment ID: I20230117000525 |
| Provider Name | Pranshu Mohindra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336451921 PECOS PAC ID: 8628201258 Enrollment ID: I20230124003337 |
| Provider Name | Andrew M Monea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043880040 PECOS PAC ID: 6204207459 Enrollment ID: I20230125003259 |
| Provider Name | Emily S Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770208217 PECOS PAC ID: 5890166847 Enrollment ID: I20230130001930 |
| Provider Name | Samuel Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1013542372 PECOS PAC ID: 0345661369 Enrollment ID: I20230202001108 |
| Provider Name | Natalie Bellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619436664 PECOS PAC ID: 3274876263 Enrollment ID: I20230207002017 |
| Provider Name | Stephanie Mcginty Wallingford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093427379 PECOS PAC ID: 2567834229 Enrollment ID: I20230207002415 |
| Provider Name | Rebecca Grace Mihic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740914126 PECOS PAC ID: 9739551144 Enrollment ID: I20230213001916 |
| Provider Name | Victoria Ensor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770963910 PECOS PAC ID: 2365755170 Enrollment ID: I20230303002246 |
| Provider Name | Matthew Scott Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453684 PECOS PAC ID: 9537532973 Enrollment ID: I20230306000238 |
| Provider Name | Gary K Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164514337 PECOS PAC ID: 4082742200 Enrollment ID: I20230309001486 |
| Provider Name | Osei Tutu Owusu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538184486 PECOS PAC ID: 6901831247 Enrollment ID: I20230313001898 |
| Provider Name | Anna Melomud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760869598 PECOS PAC ID: 3870825599 Enrollment ID: I20230316002114 |
| Provider Name | Ping S Chu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316957368 PECOS PAC ID: 9931126182 Enrollment ID: I20230414001605 |
| Provider Name | Maria Jamison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437514791 PECOS PAC ID: 0143510529 Enrollment ID: I20230421001388 |
| Provider Name | Erin Stehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134825557 PECOS PAC ID: 3173988011 Enrollment ID: I20230428002260 |
| Provider Name | Beth Zanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447921853 PECOS PAC ID: 0042606568 Enrollment ID: I20230510001650 |
| Provider Name | Jonathan Straley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548827306 PECOS PAC ID: 6507191236 Enrollment ID: I20230519000234 |
| Provider Name | Lauren Mathias |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912361072 PECOS PAC ID: 4284032095 Enrollment ID: I20230524002089 |
| Provider Name | Harrison Ghouche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417417502 PECOS PAC ID: 1759615925 Enrollment ID: I20230601002622 |
| Provider Name | John Pfeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396200150 PECOS PAC ID: 9931597366 Enrollment ID: I20230606001320 |
| Provider Name | Andrew Jonathan Gross |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942798608 PECOS PAC ID: 4587021621 Enrollment ID: I20230606001597 |
| Provider Name | Nima Hani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801157219 PECOS PAC ID: 1759651334 Enrollment ID: I20230608003158 |
| Provider Name | Anwaar Fahim Eddir |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538856513 PECOS PAC ID: 8325406085 Enrollment ID: I20230628001275 |
| Provider Name | Siham Chaffag |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598440893 PECOS PAC ID: 8820456510 Enrollment ID: I20230628002360 |
| Provider Name | Sundeep Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336590017 PECOS PAC ID: 2264765718 Enrollment ID: I20230630000769 |
| Provider Name | James A Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285103267 PECOS PAC ID: 6002153517 Enrollment ID: I20230630002413 |
| Provider Name | Anna K Milton |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760176606 PECOS PAC ID: 3577922731 Enrollment ID: I20230706001020 |
| Provider Name | Noah Alcodray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740749597 PECOS PAC ID: 9931432812 Enrollment ID: I20230706002261 |
| Provider Name | Keith Andrews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104385350 PECOS PAC ID: 3678807575 Enrollment ID: I20230707002181 |
| Provider Name | Daohan Lu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497430607 PECOS PAC ID: 4082073002 Enrollment ID: I20230707002789 |
| Provider Name | Jared Daniel Oing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285101634 PECOS PAC ID: 9537406640 Enrollment ID: I20230720002816 |
| Provider Name | Joshua Michael Henning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417511965 PECOS PAC ID: 9234590944 Enrollment ID: I20230727002964 |
| Provider Name | Matthew Klafter |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275227373 PECOS PAC ID: 5698136273 Enrollment ID: I20230728002282 |
| Provider Name | Victoria Oeftering |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1801588322 PECOS PAC ID: 1456712728 Enrollment ID: I20230802003415 |
| Provider Name | Michael Kmentt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619661998 PECOS PAC ID: 1456712736 Enrollment ID: I20230802003838 |
| Provider Name | Maryam Alimirah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801328281 PECOS PAC ID: 7214203116 Enrollment ID: I20230810003840 |
| Provider Name | Ryan W Lakits |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477279016 PECOS PAC ID: 7911374137 Enrollment ID: I20230815004068 |
| Provider Name | Patrick J Fagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124522271 PECOS PAC ID: 3072975408 Enrollment ID: I20230816001697 |
| Provider Name | Tony R El-hayek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780171488 PECOS PAC ID: 3971859109 Enrollment ID: I20230825000393 |
| Provider Name | Gabrielle Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669154811 PECOS PAC ID: 1759744501 Enrollment ID: I20230828002638 |
| Provider Name | Sanjul Prakash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538785233 PECOS PAC ID: 6709240971 Enrollment ID: I20230907001356 |
| Provider Name | Allison Rose Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154002053 PECOS PAC ID: 8820452592 Enrollment ID: I20230913002942 |
| Provider Name | Charles Eddy Seacrist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619669488 PECOS PAC ID: 0446614812 Enrollment ID: I20230919000843 |
| Provider Name | Janette Marie Fleissner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710665013 PECOS PAC ID: 3173977006 Enrollment ID: I20230927000833 |
| Provider Name | Meghan Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194391839 PECOS PAC ID: 7719331131 Enrollment ID: I20231003002650 |
| Provider Name | Bradley Bassett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609654185 PECOS PAC ID: 2961856349 Enrollment ID: I20231004000996 |
| Provider Name | Abby Layne Maurer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225606528 PECOS PAC ID: 5698120079 Enrollment ID: I20231005001592 |
| Provider Name | Susan Ringler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740063528 PECOS PAC ID: 2365897576 Enrollment ID: I20231009000533 |
| Provider Name | Austen Rekolt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720866312 PECOS PAC ID: 3476908526 Enrollment ID: I20231010004014 |
| Provider Name | Victoria Marie Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033476874 PECOS PAC ID: 8123473022 Enrollment ID: I20231012002541 |
| Provider Name | Mark R Paulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699743708 PECOS PAC ID: 8628077351 Enrollment ID: I20231013000520 |
| Provider Name | Laura M. Yeater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013544303 PECOS PAC ID: 7214332261 Enrollment ID: I20231026003815 |
| Provider Name | Matthew Hirschfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568637056 PECOS PAC ID: 7113160003 Enrollment ID: I20231102003365 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073069332 PECOS PAC ID: 9830486174 Enrollment ID: I20231121003202 |
| Provider Name | Erin Elizabeth Ohliger Upperman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952835878 PECOS PAC ID: 1850669185 Enrollment ID: I20231201002099 |
| Provider Name | Layale Makki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649888959 PECOS PAC ID: 0840602017 Enrollment ID: I20231222002463 |
| Provider Name | Michael Molnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199255 PECOS PAC ID: 1951753656 Enrollment ID: I20240118001630 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20240130001175 |
| Provider Name | Arun Ranganath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720224223 PECOS PAC ID: 5092851329 Enrollment ID: I20240201003042 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20240201004550 |
| Provider Name | Terris Laurent White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467773978 PECOS PAC ID: 4880974146 Enrollment ID: I20240209003645 |
| Provider Name | Emily E Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487423539 PECOS PAC ID: 1052755030 Enrollment ID: I20240217000536 |
| Provider Name | Stephen Harden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043623135 PECOS PAC ID: 3274883780 Enrollment ID: I20240311001988 |
| Provider Name | Laura Clark Breen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912762337 PECOS PAC ID: 4587000583 Enrollment ID: I20240313001132 |
| Provider Name | Kassandra Vansteenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558125534 PECOS PAC ID: 2860838604 Enrollment ID: I20240314002748 |
| Provider Name | Ashley Marie Sokolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063277481 PECOS PAC ID: 9335587831 Enrollment ID: I20240403001316 |
| Provider Name | Sam Eljammal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604310 PECOS PAC ID: 3577694751 Enrollment ID: I20240408001188 |
| Provider Name | Francisco Javier Larrondo Galvez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710743968 PECOS PAC ID: 6800234873 Enrollment ID: I20240410000616 |
| Provider Name | Atallah Baydoun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174964787 PECOS PAC ID: 3274973219 Enrollment ID: I20240424003200 |
| Provider Name | Danelle Renee Dominic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952158586 PECOS PAC ID: 8426499039 Enrollment ID: I20240514003064 |
| Provider Name | Johnny Wei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104318336 PECOS PAC ID: 1951659655 Enrollment ID: I20240516003605 |
| Provider Name | Kareem Rasul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023645710 PECOS PAC ID: 0244672483 Enrollment ID: I20240520003570 |
| Provider Name | Caroline Szczecinski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134889785 PECOS PAC ID: 8820461825 Enrollment ID: I20240525000217 |
| Provider Name | Carmen Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093217275 PECOS PAC ID: 6608318969 Enrollment ID: I20240603002012 |
Crossroads Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9220 Mentor Ave, Mentor, OH 44060 Phone: 440-354-9924 Fax: 877-242-9583 | |
Lake County Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 Phone: 440-352-4880 Fax: 440-352-3629 | |
Hackett Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8300 Tyler Blvd, Suite 300, Mentor, OH 44060 Phone: 440-205-1529 Fax: 440-205-0840 | |
Bowersox Wound Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6966 Heisley Rd Ste F, Mentor, OH 44060 Phone: 440-488-4575 | |
Wound Think Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Grace Dr, Mentor, OH 44060 Phone: 440-227-2000 | |
Suhas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9110 Mentor Ave Ste 9b, Mentor, OH 44060 Phone: 440-701-8030 |