| Unlv Medicine | |
|
3016 W Charleston Blvd Ste 100 Las Vegas NV 89102-1973 | |
| (702) 895-0497 | |
| (702) 895-0074 |
| Full Name | Unlv Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3016 W Charleston Blvd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Joann Strobbe (PRESIDENT) |
| Authorized Official Contact | 7022721352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlv Medicine 3016 W Charleston Blvd Ste 100 Las Vegas NV 89102-1973 Ph: (702) 895-0497 | Unlv Medicine 3016 W Charleston Blvd Ste 100 Las Vegas NV 89102-1973 Ph: (702) 895-0497 |
| NPI Number | 1407397235 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4183991458 |
|---|---|
| Medicare Enrollment ID | O20170517002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407397235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aron F Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194703801 PECOS PAC ID: 3971409947 Enrollment ID: I20031210000487 |
| Provider Name | Paul T Wilkes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386643575 PECOS PAC ID: 1052203510 Enrollment ID: I20040329000657 |
| Provider Name | Joseph P Thornton |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1538147251 PECOS PAC ID: 7911990684 Enrollment ID: I20040407000835 |
| Provider Name | Nazia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508844119 PECOS PAC ID: 6103810783 Enrollment ID: I20040414001498 |
| Provider Name | Lisa A Durette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447359955 PECOS PAC ID: 2860469756 Enrollment ID: I20040910000973 |
| Provider Name | Angelica E Honsberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508899253 PECOS PAC ID: 2163470618 Enrollment ID: I20050111000624 |
| Provider Name | Anne M Abruscato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386694537 PECOS PAC ID: 1658322987 Enrollment ID: I20050203000826 |
| Provider Name | Annette F Mayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144271933 PECOS PAC ID: 4789630799 Enrollment ID: I20050928000011 |
| Provider Name | Robert Hang Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588659460 PECOS PAC ID: 2365489358 Enrollment ID: I20051004000122 |
| Provider Name | Sandhya Wahi Gururaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821199860 PECOS PAC ID: 9931128584 Enrollment ID: I20051114000556 |
| Provider Name | Miracle Wangsuwana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750377693 PECOS PAC ID: 3375563257 Enrollment ID: I20051207000275 |
| Provider Name | Thomas J Strahler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760431746 PECOS PAC ID: 3375550759 Enrollment ID: I20060309000260 |
| Provider Name | Steven D Lampinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578502217 PECOS PAC ID: 7416964259 Enrollment ID: I20060320000288 |
| Provider Name | Elissa Jennifer Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912959289 PECOS PAC ID: 9335171156 Enrollment ID: I20060822000112 |
| Provider Name | Garnette D Mccracken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063466498 PECOS PAC ID: 1153326582 Enrollment ID: I20060919000129 |
| Provider Name | Ali Kia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861418436 PECOS PAC ID: 1355341207 Enrollment ID: I20061228000182 |
| Provider Name | Lawrence G Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689716466 PECOS PAC ID: 6204933880 Enrollment ID: I20070515000633 |
| Provider Name | Adam V Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942241534 PECOS PAC ID: 4981796026 Enrollment ID: I20070822000388 |
| Provider Name | Badrunnisa I Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841865 PECOS PAC ID: 4587748983 Enrollment ID: I20080225000160 |
| Provider Name | Marsha Matsunaga-kirgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518945260 PECOS PAC ID: 4880770031 Enrollment ID: I20080327000683 |
| Provider Name | Alison L Netski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740331719 PECOS PAC ID: 5597790360 Enrollment ID: I20080328000758 |
| Provider Name | Jennifer Lynne Joy Cornejo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992972293 PECOS PAC ID: 7214007186 Enrollment ID: I20080604000146 |
| Provider Name | Jennifer L Baynosa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184748212 PECOS PAC ID: 9032290903 Enrollment ID: I20080707000728 |
| Provider Name | Tsungju J O-lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265479745 PECOS PAC ID: 4284670936 Enrollment ID: I20081106000174 |
| Provider Name | Aditi Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033234372 PECOS PAC ID: 7618037110 Enrollment ID: I20081113000302 |
| Provider Name | Elena I Zenkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063602597 PECOS PAC ID: 4789747304 Enrollment ID: I20090108000302 |
| Provider Name | David N Jackson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1235236308 PECOS PAC ID: 2365506912 Enrollment ID: I20090127000600 |
| Provider Name | Kathleen J Wild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023061801 PECOS PAC ID: 7719043389 Enrollment ID: I20090305000538 |
| Provider Name | Pisespong Patamasucon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790763415 PECOS PAC ID: 5799832994 Enrollment ID: I20090403000399 |
| Provider Name | Kate E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326163940 PECOS PAC ID: 6406901172 Enrollment ID: I20090901000490 |
| Provider Name | Richard C Baynosa |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881718021 PECOS PAC ID: 5698811644 Enrollment ID: I20091006000415 |
| Provider Name | Beverly A Neyland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306824024 PECOS PAC ID: 7517006075 Enrollment ID: I20091123000629 |
| Provider Name | David Parks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649258302 PECOS PAC ID: 0749329910 Enrollment ID: I20091201000266 |
| Provider Name | Deborah A Kuhls |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780662569 PECOS PAC ID: 9739214347 Enrollment ID: I20100322000701 |
| Provider Name | Matthew Ng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245218858 PECOS PAC ID: 0941371793 Enrollment ID: I20100421000562 |
| Provider Name | Daniel M Kirgan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1437137197 PECOS PAC ID: 0648307611 Enrollment ID: I20100422000728 |
| Provider Name | John A Varras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164400719 PECOS PAC ID: 3476680406 Enrollment ID: I20100423000294 |
| Provider Name | Annabel E Barber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891773446 PECOS PAC ID: 8527121979 Enrollment ID: I20100426000364 |
| Provider Name | Robert C Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669450219 PECOS PAC ID: 8224165147 Enrollment ID: I20100426000392 |
| Provider Name | John M Menezes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891773404 PECOS PAC ID: 3274660873 Enrollment ID: I20100429000617 |
| Provider Name | Misti M Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184602682 PECOS PAC ID: 3870621246 Enrollment ID: I20100505000308 |
| Provider Name | Gary K Shen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013995737 PECOS PAC ID: 1951430115 Enrollment ID: I20100526000458 |
| Provider Name | Kenneth E Izuora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023167525 PECOS PAC ID: 6305945643 Enrollment ID: I20100907000675 |
| Provider Name | Ryan A Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841314416 PECOS PAC ID: 0648395228 Enrollment ID: I20100920000793 |
| Provider Name | Rebecca L Scherr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609044395 PECOS PAC ID: 3173649571 Enrollment ID: I20100922001088 |
| Provider Name | Miriam Een |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043298847 PECOS PAC ID: 2860685187 Enrollment ID: I20101019001293 |
| Provider Name | Lianne Ong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487779260 PECOS PAC ID: 6709071012 Enrollment ID: I20101112000354 |
| Provider Name | Arthur O. Romero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669631743 PECOS PAC ID: 0648459776 Enrollment ID: I20110121000471 |
| Provider Name | Michael G Scheidler |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1588664437 PECOS PAC ID: 8527243559 Enrollment ID: I20110506000198 |
| Provider Name | Rani M Kharrubi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184886749 PECOS PAC ID: 3274703616 Enrollment ID: I20110823000438 |
| Provider Name | Wade R Gaal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851553572 PECOS PAC ID: 9133392939 Enrollment ID: I20111021000457 |
| Provider Name | Joseph Dennis Shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144410127 PECOS PAC ID: 2668527946 Enrollment ID: I20111024000450 |
| Provider Name | John V Anooshian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235189705 PECOS PAC ID: 6305010950 Enrollment ID: I20111117000464 |
| Provider Name | Petar Planinic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922200054 PECOS PAC ID: 5890973549 Enrollment ID: I20120404000246 |
| Provider Name | Faisal Suba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
| Provider Name | Charles R St Hill |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275657207 PECOS PAC ID: 0547392292 Enrollment ID: I20120621000110 |
| Provider Name | Laura K Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396896072 PECOS PAC ID: 2860641305 Enrollment ID: I20120927000333 |
| Provider Name | Jonathan Wirjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265694673 PECOS PAC ID: 7416107719 Enrollment ID: I20121023000268 |
| Provider Name | Ovunc Bardakcioglu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942428958 PECOS PAC ID: 0042307969 Enrollment ID: I20130116000453 |
| Provider Name | Mario Jose Gaspar De Alba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275546590 PECOS PAC ID: 7214001478 Enrollment ID: I20130117000208 |
| Provider Name | David P Stoebling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205123452 PECOS PAC ID: 0648407379 Enrollment ID: I20131230000053 |
| Provider Name | William Aaron Rosenberg |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1538106497 PECOS PAC ID: 9931124674 Enrollment ID: I20140221000201 |
| Provider Name | Jeffrey D Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992799654 PECOS PAC ID: 8123251782 Enrollment ID: I20140506000865 |
| Provider Name | Terry L Bartmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376966192 PECOS PAC ID: 1850514340 Enrollment ID: I20140602002142 |
| Provider Name | Paul J Chestovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073762589 PECOS PAC ID: 7214098813 Enrollment ID: I20140708000651 |
| Provider Name | David Dijohn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699722819 PECOS PAC ID: 0345208898 Enrollment ID: I20140721001181 |
| Provider Name | Siri L Kjos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881657922 PECOS PAC ID: 9931174174 Enrollment ID: I20140806002351 |
| Provider Name | Matthew S Grolle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245474204 PECOS PAC ID: 6709003726 Enrollment ID: I20140814000574 |
| Provider Name | Rooman Ahad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275748493 PECOS PAC ID: 1153549241 Enrollment ID: I20140903001066 |
| Provider Name | Irene Goya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477633584 PECOS PAC ID: 5395964985 Enrollment ID: I20140912001718 |
| Provider Name | Nadia A Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033379276 PECOS PAC ID: 1850540329 Enrollment ID: I20141110001392 |
| Provider Name | Dodds P Simangan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922307594 PECOS PAC ID: 5991928038 Enrollment ID: I20141205000351 |
| Provider Name | Rosalie Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043262397 PECOS PAC ID: 4880917491 Enrollment ID: I20150106000373 |
| Provider Name | Michelle A Fontenelle-gilmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053472449 PECOS PAC ID: 3476518853 Enrollment ID: I20150610000020 |
| Provider Name | Jyoti Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194024687 PECOS PAC ID: 4688807332 Enrollment ID: I20150629002939 |
| Provider Name | Rabea Alhosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902034713 PECOS PAC ID: 4587807672 Enrollment ID: I20150806011613 |
| Provider Name | Kush Md Modi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780998518 PECOS PAC ID: 6507172301 Enrollment ID: I20150824002044 |
| Provider Name | Ji W Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285804674 PECOS PAC ID: 2466639877 Enrollment ID: I20150826001397 |
| Provider Name | Yarini Quezada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083875652 PECOS PAC ID: 3779890330 Enrollment ID: I20150914002726 |
| Provider Name | Rita E Marrero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497868301 PECOS PAC ID: 2769790435 Enrollment ID: I20150929002378 |
| Provider Name | David Savarese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902981350 PECOS PAC ID: 3173658176 Enrollment ID: I20151204002433 |
| Provider Name | Jeremy P Kilburn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104907559 PECOS PAC ID: 7719110329 Enrollment ID: I20160108000169 |
| Provider Name | Sean M Keeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205997277 PECOS PAC ID: 3779670708 Enrollment ID: I20160503000563 |
| Provider Name | Mutsumi John Kioka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497064521 PECOS PAC ID: 8921250457 Enrollment ID: I20160818001417 |
| Provider Name | Fatehali G Peera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952500845 PECOS PAC ID: 3678761046 Enrollment ID: I20160913000529 |
| Provider Name | Syed F Saquib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164656161 PECOS PAC ID: 4486940533 Enrollment ID: I20160915001867 |
| Provider Name | Ty B Erickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083783823 PECOS PAC ID: 0840108130 Enrollment ID: I20160922002273 |
| Provider Name | Oluwafunmilola T Okuyemi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508027665 PECOS PAC ID: 4880822683 Enrollment ID: I20161011001936 |
| Provider Name | Matthew Douglas Fain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720390107 PECOS PAC ID: 2466693825 Enrollment ID: I20161017001831 |
| Provider Name | David G Kuykendall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356683049 PECOS PAC ID: 0749412443 Enrollment ID: I20161027001978 |
| Provider Name | David G Weismiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283734 PECOS PAC ID: 6204970478 Enrollment ID: I20161102001274 |
| Provider Name | Megan Elizabeth Masterson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407268295 PECOS PAC ID: 6608093935 Enrollment ID: I20170615002329 |
| Provider Name | Sisi Tian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447510854 PECOS PAC ID: 4880963222 Enrollment ID: I20170628002824 |
| Provider Name | Birjees Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205253416 PECOS PAC ID: 8123247202 Enrollment ID: I20170802002981 |
| Provider Name | Stephanie A Jones |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1184777120 PECOS PAC ID: 0042480790 Enrollment ID: I20170818002273 |
| Provider Name | Gordon V Ohning |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316967961 PECOS PAC ID: 4183856008 Enrollment ID: I20170818002928 |
| Provider Name | Shirong Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568697886 PECOS PAC ID: 0749591782 Enrollment ID: I20170821003528 |
| Provider Name | Allison G Mcnickle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689995441 PECOS PAC ID: 2466748041 Enrollment ID: I20171013002644 |
| Provider Name | Rachael L Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366735300 PECOS PAC ID: 4587892161 Enrollment ID: I20171102002669 |
| Provider Name | Pamela J. Stephenson Girgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427353978 PECOS PAC ID: 0648536144 Enrollment ID: I20171116002232 |
| Provider Name | Lisa Marie Contreras |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902255961 PECOS PAC ID: 7719246933 Enrollment ID: I20180116002731 |
| Provider Name | Amber L Champion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821258757 PECOS PAC ID: 1850556390 Enrollment ID: I20180124003131 |
| Provider Name | Rebecca Ann Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740429687 PECOS PAC ID: 8022175959 Enrollment ID: I20180129001032 |
| Provider Name | Glenn Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134506793 PECOS PAC ID: 6709175706 Enrollment ID: I20180131001591 |
| Provider Name | Julie Foutz Beasley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659587426 PECOS PAC ID: 2668735788 Enrollment ID: I20180424000612 |
| Provider Name | Jo-lawrence Bigcas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104171503 PECOS PAC ID: 5799033296 Enrollment ID: I20180827002209 |
| Provider Name | Buddhadeb Dawn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528043460 PECOS PAC ID: 0244133122 Enrollment ID: I20180907002660 |
| Provider Name | Rajiv J Ganesan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588058044 PECOS PAC ID: 3779890645 Enrollment ID: I20181112000952 |
| Provider Name | Glendell S De Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174819064 PECOS PAC ID: 4486803343 Enrollment ID: I20181218001478 |
| Provider Name | Shirley A Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205391752 PECOS PAC ID: 9638404395 Enrollment ID: I20190717002502 |
| Provider Name | Dimal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811359433 PECOS PAC ID: 8820382187 Enrollment ID: I20190816001173 |
| Provider Name | Justin D Jeffries |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619339157 PECOS PAC ID: 1456645720 Enrollment ID: I20190910002314 |
| Provider Name | Carmen Elena Flores |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174966576 PECOS PAC ID: 0042540742 Enrollment ID: I20190923003276 |
| Provider Name | Robert J Mazo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528042660 PECOS PAC ID: 2365403029 Enrollment ID: I20191002000932 |
| Provider Name | Megumi Akiyama |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720347545 PECOS PAC ID: 2567695117 Enrollment ID: I20191011002149 |
| Provider Name | Mayra Alejandra Jones-betancourt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659708246 PECOS PAC ID: 6901143114 Enrollment ID: I20191103000009 |
| Provider Name | Ashley L Pistorio |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851611339 PECOS PAC ID: 3870712169 Enrollment ID: I20191108001496 |
| Provider Name | Christopher Roland Franco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285752543 PECOS PAC ID: 5496180473 Enrollment ID: I20200122000143 |
| Provider Name | Keith Andrew Berry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528274842 PECOS PAC ID: 3678879558 Enrollment ID: I20200427001877 |
| Provider Name | Ahmed Al-tameemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134513211 PECOS PAC ID: 1052627114 Enrollment ID: I20200731001568 |
| Provider Name | Leo Joseph Terzian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730430117 PECOS PAC ID: 8325463839 Enrollment ID: I20200731002252 |
| Provider Name | Ana Mrkaic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568854651 PECOS PAC ID: 3577858935 Enrollment ID: I20200825000522 |
| Provider Name | Shiven Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528594801 PECOS PAC ID: 6305260316 Enrollment ID: I20200831000523 |
| Provider Name | Brian Christopher Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487944724 PECOS PAC ID: 0143536102 Enrollment ID: I20201001001759 |
| Provider Name | Brandi S Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265896922 PECOS PAC ID: 5395038509 Enrollment ID: I20201012001859 |
| Provider Name | Lisa M Angotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316380389 PECOS PAC ID: 2668704123 Enrollment ID: I20201030000294 |
| Provider Name | Mark Hansen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851566947 PECOS PAC ID: 7315091212 Enrollment ID: I20201104000994 |
| Provider Name | Kevin Kuruvilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134531908 PECOS PAC ID: 6608093182 Enrollment ID: I20201105001131 |
| Provider Name | Kristyn Cisilino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275143711 PECOS PAC ID: 9739590175 Enrollment ID: I20201116002357 |
| Provider Name | Marc Jeffrey Kahn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891880084 PECOS PAC ID: 3971627563 Enrollment ID: I20201117002329 |
| Provider Name | Harris W Kashtan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801209283 PECOS PAC ID: 1456762681 Enrollment ID: I20201119001738 |
| Provider Name | Harry Ching |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720405004 PECOS PAC ID: 9537386446 Enrollment ID: I20201203002330 |
| Provider Name | Osman Khan Yousufzai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992232417 PECOS PAC ID: 8224309166 Enrollment ID: I20201231001345 |
| Provider Name | Erin Caverly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689084196 PECOS PAC ID: 6305141904 Enrollment ID: I20210105001999 |
| Provider Name | Julpohng Vilai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598085003 PECOS PAC ID: 8325275209 Enrollment ID: I20210105003258 |
| Provider Name | Heisy B Asusta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992166706 PECOS PAC ID: 4880009877 Enrollment ID: I20210225001657 |
| Provider Name | Brian J O'connell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730494741 PECOS PAC ID: 3173753902 Enrollment ID: I20210414002482 |
| Provider Name | Syed M Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508215583 PECOS PAC ID: 9931492824 Enrollment ID: I20210507000892 |
| Provider Name | Vanessa Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932603008 PECOS PAC ID: 7618226978 Enrollment ID: I20210630003419 |
| Provider Name | Josephine J Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992209316 PECOS PAC ID: 9436407905 Enrollment ID: I20210824003524 |
| Provider Name | Farhad Alikozai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760979678 PECOS PAC ID: 1658620083 Enrollment ID: I20210830003449 |
| Provider Name | Hilary R Linzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813291 PECOS PAC ID: 0042616120 Enrollment ID: I20210915002192 |
| Provider Name | Mason Jahnke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457767246 PECOS PAC ID: 1951675586 Enrollment ID: I20210920002094 |
| Provider Name | Jocelyn Burke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538393244 PECOS PAC ID: 1052544137 Enrollment ID: I20211015001066 |
| Provider Name | Shana M Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811259419 PECOS PAC ID: 3577700731 Enrollment ID: I20211129000263 |
| Provider Name | Jessica Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619263035 PECOS PAC ID: 8820394679 Enrollment ID: I20211129001950 |
| Provider Name | Emily Tibbits |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831523067 PECOS PAC ID: 1052733896 Enrollment ID: I20211130002022 |
| Provider Name | Olga R Garcia |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356721344 PECOS PAC ID: 5193123446 Enrollment ID: I20220303001282 |
| Provider Name | Shelby Danelle Prows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285004887 PECOS PAC ID: 0244617546 Enrollment ID: I20220505002380 |
| Provider Name | Heather Boakye-wenzel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023407483 PECOS PAC ID: 7618285966 Enrollment ID: I20220722000935 |
| Provider Name | Jill H Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518215755 PECOS PAC ID: 2860786365 Enrollment ID: I20220815001684 |
| Provider Name | Caroline J. Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649702986 PECOS PAC ID: 8628467826 Enrollment ID: I20220902001243 |
| Provider Name | Jee-hong Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629423140 PECOS PAC ID: 4486992856 Enrollment ID: I20220929003489 |
| Provider Name | Justin Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124551171 PECOS PAC ID: 8022442441 Enrollment ID: I20221006002016 |
| Provider Name | Meenakshi Rajan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386900629 PECOS PAC ID: 0345467296 Enrollment ID: I20221024002733 |
| Provider Name | Paul Hiles |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821380643 PECOS PAC ID: 0143462010 Enrollment ID: I20221109002210 |
| Provider Name | Kassandra G Colletta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083102131 PECOS PAC ID: 6002165941 Enrollment ID: I20221116000475 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801239140 PECOS PAC ID: 5395975080 Enrollment ID: I20221117001028 |
| Provider Name | Melissa Maria Rosas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760844641 PECOS PAC ID: 2668733916 Enrollment ID: I20221207002337 |
| Provider Name | Vignan Manne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346660420 PECOS PAC ID: 1951523463 Enrollment ID: I20221208002407 |
| Provider Name | Marcy Melendrez |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1528518800 PECOS PAC ID: 2668841743 Enrollment ID: I20221212002510 |
| Provider Name | Leanne Lyn Free |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053760371 PECOS PAC ID: 2961825427 Enrollment ID: I20221219000691 |
| Provider Name | Vanessa Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568191716 PECOS PAC ID: 5890165872 Enrollment ID: I20230109001816 |
| Provider Name | Suparna Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023498276 PECOS PAC ID: 8224469960 Enrollment ID: I20230123002389 |
| Provider Name | Irma Corral |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841503091 PECOS PAC ID: 9032380290 Enrollment ID: I20230124000765 |
| Provider Name | Johnson J Ukken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932763737 PECOS PAC ID: 1456688829 Enrollment ID: I20230223001397 |
| Provider Name | Yvonne Carter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184771107 PECOS PAC ID: 3870567373 Enrollment ID: I20230316001100 |
| Provider Name | Taylor M Schanda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780118893 PECOS PAC ID: 0941569768 Enrollment ID: I20230329002083 |
| Provider Name | Travis Arnold Lloyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164747390 PECOS PAC ID: 8820319403 Enrollment ID: I20230405001453 |
| Provider Name | Matthew Perryman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912431008 PECOS PAC ID: 6800165051 Enrollment ID: I20230516001309 |
| Provider Name | Robert Rakosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801234232 PECOS PAC ID: 7416189295 Enrollment ID: I20230522003059 |
| Provider Name | Melinda De Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134830847 PECOS PAC ID: 5092186874 Enrollment ID: I20230523002864 |
| Provider Name | Chad Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578927679 PECOS PAC ID: 2860730827 Enrollment ID: I20230614002670 |
| Provider Name | Walter Chatham |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154363315 PECOS PAC ID: 1052371507 Enrollment ID: I20230703000508 |
| Provider Name | Irma Fleming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104157577 PECOS PAC ID: 7214230309 Enrollment ID: I20230707003181 |
| Provider Name | Omar Sanyurah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235758293 PECOS PAC ID: 9931525268 Enrollment ID: I20230717002137 |
| Provider Name | Kyaw Min Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033746003 PECOS PAC ID: 3476979758 Enrollment ID: I20230717002436 |
| Provider Name | Osman Rahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336778612 PECOS PAC ID: 9537585765 Enrollment ID: I20230718002479 |
| Provider Name | Kitzy Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033879499 PECOS PAC ID: 9234526955 Enrollment ID: I20230721003072 |
| Provider Name | Paul R Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609133354 PECOS PAC ID: 1052796950 Enrollment ID: I20230727003228 |
| Provider Name | Lyanna J Lafredo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447364484 PECOS PAC ID: 6507907466 Enrollment ID: I20230731001629 |
| Provider Name | Sadaf Fakhra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841827144 PECOS PAC ID: 4688090053 Enrollment ID: I20230807002845 |
| Provider Name | Tony Voong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871129718 PECOS PAC ID: 1052734621 Enrollment ID: I20230808003076 |
| Provider Name | Matthew Schreiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851787014 PECOS PAC ID: 7719291558 Enrollment ID: I20230816000461 |
| Provider Name | David J Colangione |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669993408 PECOS PAC ID: 1759656325 Enrollment ID: I20230821000692 |
| Provider Name | Lance P Horner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952842205 PECOS PAC ID: 5496014441 Enrollment ID: I20230823003093 |
| Provider Name | Manrique A Guerrero |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780055889 PECOS PAC ID: 1951702661 Enrollment ID: I20230824002706 |
| Provider Name | Bentley Howard Massey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831686005 PECOS PAC ID: 4385007681 Enrollment ID: I20230905002252 |
| Provider Name | Joshua Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487041802 PECOS PAC ID: 2961712302 Enrollment ID: I20230906003947 |
| Provider Name | Derek Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290372 PECOS PAC ID: 2769788736 Enrollment ID: I20230907003348 |
| Provider Name | Jared Haydon Griffard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386093136 PECOS PAC ID: 0749576171 Enrollment ID: I20230913000565 |
| Provider Name | Tague Michael Thorson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922595206 PECOS PAC ID: 6204185655 Enrollment ID: I20230920003237 |
| Provider Name | Lorena Suarez-kelly |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1528385267 PECOS PAC ID: 6507135712 Enrollment ID: I20230921001506 |
| Provider Name | Letoshia Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306160262 PECOS PAC ID: 0042445215 Enrollment ID: I20230921002194 |
| Provider Name | Jose Aponte Pieras |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528591740 PECOS PAC ID: 4183997174 Enrollment ID: I20230928003129 |
| Provider Name | Paulina Altshuler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205397833 PECOS PAC ID: 8022348796 Enrollment ID: I20231003001914 |
| Provider Name | Thomas Mitchell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124314000 PECOS PAC ID: 6800229949 Enrollment ID: I20231003003027 |
| Provider Name | Michele Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639876675 PECOS PAC ID: 6507212701 Enrollment ID: I20231024003555 |
| Provider Name | Jason Hagop Dorian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326540519 PECOS PAC ID: 6507289386 Enrollment ID: I20231116001665 |
| Provider Name | Erica Chimelski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326402165 PECOS PAC ID: 7719353218 Enrollment ID: I20231120003169 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598128068 PECOS PAC ID: 1254678378 Enrollment ID: I20231128003334 |
| Provider Name | Rachel Paige Hall-ulibarri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184306201 PECOS PAC ID: 5092167130 Enrollment ID: I20240115000320 |
| Provider Name | Alexa Wells |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750017661 PECOS PAC ID: 8224474564 Enrollment ID: I20240308003749 |
| Provider Name | James K Poling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548763204 PECOS PAC ID: 8921452715 Enrollment ID: I20240311000945 |
| Provider Name | Sarah Haggerty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518233394 PECOS PAC ID: 8426495144 Enrollment ID: I20240318001349 |
| Provider Name | Ana Hernandez-lee |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1114193422 PECOS PAC ID: 3173960804 Enrollment ID: I20240318001684 |
| Provider Name | Jennifer Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053187955 PECOS PAC ID: 1951749290 Enrollment ID: I20240404003055 |
| Provider Name | Leora Tova Ruth Frimer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285254953 PECOS PAC ID: 8729442389 Enrollment ID: I20240417003097 |
| Provider Name | David R Velez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992282438 PECOS PAC ID: 4082958293 Enrollment ID: I20240418003344 |
| Provider Name | Adam H Wilensky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871099705 PECOS PAC ID: 1658725346 Enrollment ID: I20240502004063 |
| Provider Name | Dawn Marie Pekarek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205846722 PECOS PAC ID: 5193756443 Enrollment ID: I20240514002800 |
| Provider Name | Dominique Nimallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528505427 PECOS PAC ID: 2961843180 Enrollment ID: I20240517002988 |
| Provider Name | Vivek Pamulapati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346690302 PECOS PAC ID: 0840536785 Enrollment ID: I20240604001009 |
| Provider Name | William Pinette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114467545 PECOS PAC ID: 4284906678 Enrollment ID: I20240604004237 |
| Provider Name | Mahdika Underwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770042079 PECOS PAC ID: 3274862289 Enrollment ID: I20240606000164 |
| Provider Name | Jill Humphrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790874402 PECOS PAC ID: 3173625852 Enrollment ID: I20240612002158 |
Medical Group At Sun City, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-240-8155 Fax: 702-240-8161 | |
Viren B Patel Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Smoke Ranch Rd, Suite 120, Las Vegas, NV 89128 Phone: 702-477-7044 Fax: 702-259-4843 | |
Shari Klein Do A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8571 W Lake Mead Blvd Ste 100, Las Vegas, NV 89128 Phone: 702-545-0283 Fax: 702-545-0285 | |
Ardeshir Rohani Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3824 S Jones Blvd Ste A, Las Vegas, NV 89103 Phone: 702-463-3000 Fax: 702-463-3000 | |
Mai Health And Beauty Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6771 W Charleston Blvd, Ste. B, Las Vegas, NV 89146 Phone: 702-480-2044 | |
Rebecca Garcia Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9975 S Eastern Ave Ste 110, Las Vegas, NV 89183 Phone: 435-896-7944 | |
Bedrock Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2235 E Flamingo Rd Ste 144, Las Vegas, NV 89119 Phone: 702-272-9500 |