| Upmc Community Medicine, Inc | |
|
5215 Centre Ave Ste 100 Pittsburgh PA 15232-1303 | |
| (412) 623-6200 | |
| Not Available |
| Full Name | Upmc Community Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5215 Centre Ave Ste 100, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Patricia Devlin (DIRECTOR) |
| Authorized Official Contact | 4124327469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Community Medicine, Inc 2 Hot Metal St Pittsburgh PA 15203-2348 Ph: (412) 432-5864 | Upmc Community Medicine, Inc 5215 Centre Ave Ste 100 Pittsburgh PA 15232-1303 Ph: (412) 623-6200 |
| NPI Number | 1558976092 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Medicare PECOS PAC ID | 2062318975 |
|---|---|
| Medicare Enrollment ID | O20040217000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558976092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James E Blaugrund |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831162312 PECOS PAC ID: 7113830555 Enrollment ID: I20031111000384 |
| Provider Name | Scott E Celin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124091244 PECOS PAC ID: 6800709163 Enrollment ID: I20031112000070 |
| Provider Name | Philip A Pollice |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922071406 PECOS PAC ID: 2062325327 Enrollment ID: I20031112000088 |
| Provider Name | Brian R Hamlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891705521 PECOS PAC ID: 9335053362 Enrollment ID: I20031114000226 |
| Provider Name | David A Brillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386617132 PECOS PAC ID: 9234043290 Enrollment ID: I20031114000333 |
| Provider Name | Marcy L Jackovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699744888 PECOS PAC ID: 8022912849 Enrollment ID: I20031124000261 |
| Provider Name | John P Uribe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851361315 PECOS PAC ID: 3072418797 Enrollment ID: I20031204000928 |
| Provider Name | Jessica B Field |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902849243 PECOS PAC ID: 4183520737 Enrollment ID: I20031212000303 |
| Provider Name | Shawn O Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972577112 PECOS PAC ID: 6305743139 Enrollment ID: I20031218000400 |
| Provider Name | Radhika Kondaveeti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225065790 PECOS PAC ID: 3476450230 Enrollment ID: I20031218000534 |
| Provider Name | Richard P Frey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689617789 PECOS PAC ID: 5092612770 Enrollment ID: I20031219000108 |
| Provider Name | Gary L Lemoncelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548250947 PECOS PAC ID: 7315845005 Enrollment ID: I20031219000216 |
| Provider Name | Frank H Kush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093788275 PECOS PAC ID: 7012815574 Enrollment ID: I20031222000777 |
| Provider Name | David L Blinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124091871 PECOS PAC ID: 0446158802 Enrollment ID: I20031222000806 |
| Provider Name | Ronald J Nigborowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467425660 PECOS PAC ID: 1052219417 Enrollment ID: I20031222000821 |
| Provider Name | Dianne M Zalenski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811963085 PECOS PAC ID: 5698673911 Enrollment ID: I20031223000729 |
| Provider Name | Donald G Klinestiver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114904075 PECOS PAC ID: 6305744574 Enrollment ID: I20031229000077 |
| Provider Name | Gregory L Molter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134100274 PECOS PAC ID: 6406754571 Enrollment ID: I20031229000113 |
| Provider Name | Jennifer A Stasko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023083284 PECOS PAC ID: 0648178681 Enrollment ID: I20031229000538 |
| Provider Name | William S Musser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063400208 PECOS PAC ID: 0840191292 Enrollment ID: I20040119000085 |
| Provider Name | Christopher D Olbrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255306577 PECOS PAC ID: 5193626513 Enrollment ID: I20040119000430 |
| Provider Name | Patricia M Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356385744 PECOS PAC ID: 2062313380 Enrollment ID: I20040119000458 |
| Provider Name | Henry A Bakkila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962458976 PECOS PAC ID: 8628970613 Enrollment ID: I20040121000655 |
| Provider Name | Maryellen A Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396714150 PECOS PAC ID: 0941102735 Enrollment ID: I20040122000761 |
| Provider Name | Vincent M Balestrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164485918 PECOS PAC ID: 1456253046 Enrollment ID: I20040123000577 |
| Provider Name | Stephen A Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679512792 PECOS PAC ID: 1850294000 Enrollment ID: I20040127000964 |
| Provider Name | Sarah M Gilmour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275573396 PECOS PAC ID: 2769385699 Enrollment ID: I20040129000093 |
| Provider Name | Anne L Tilley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891786208 PECOS PAC ID: 2567365299 Enrollment ID: I20040130000039 |
| Provider Name | Mark T Dosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801851167 PECOS PAC ID: 8325941966 Enrollment ID: I20040130000143 |
| Provider Name | Louis E Leff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962505537 PECOS PAC ID: 7315840964 Enrollment ID: I20040130000226 |
| Provider Name | Ronnie C Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952404527 PECOS PAC ID: 3476456021 Enrollment ID: I20040130000238 |
| Provider Name | Bernadette G Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878774 PECOS PAC ID: 9739082306 Enrollment ID: I20040130000316 |
| Provider Name | Philip A Gelacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871588087 PECOS PAC ID: 1254234834 Enrollment ID: I20040130000384 |
| Provider Name | Joseph E Calhoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558346114 PECOS PAC ID: 3779486303 Enrollment ID: I20040130000588 |
| Provider Name | Virginia M Balderston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487632311 PECOS PAC ID: 2365345899 Enrollment ID: I20040130000714 |
| Provider Name | Adam E Sohnen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952404535 PECOS PAC ID: 9032012562 Enrollment ID: I20040130000752 |
| Provider Name | Elmer J Holzinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841393428 PECOS PAC ID: 5597668962 Enrollment ID: I20040202000156 |
| Provider Name | George H Gleeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881797454 PECOS PAC ID: 4981507357 Enrollment ID: I20040202000203 |
| Provider Name | James R Sahovey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013085299 PECOS PAC ID: 4385547769 Enrollment ID: I20040202000238 |
| Provider Name | Michelle A Rathgeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932143732 PECOS PAC ID: 9638062607 Enrollment ID: I20040204000213 |
| Provider Name | Joseph L Lipinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801835228 PECOS PAC ID: 0042103954 Enrollment ID: I20040204000978 |
| Provider Name | Andrew W Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528002706 PECOS PAC ID: 6406749209 Enrollment ID: I20040205000507 |
| Provider Name | Ravi Janardhanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518901123 PECOS PAC ID: 2961395751 Enrollment ID: I20040205000599 |
| Provider Name | Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538158878 PECOS PAC ID: 3678467685 Enrollment ID: I20040211000249 |
| Provider Name | Emeil M Shenouda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215916986 PECOS PAC ID: 2769377019 Enrollment ID: I20040217000331 |
| Provider Name | Samuel J Tallerico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538139589 PECOS PAC ID: 0345135570 Enrollment ID: I20040217000973 |
| Provider Name | Daniel J Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209141 PECOS PAC ID: 1951296623 Enrollment ID: I20040220000381 |
| Provider Name | Donald B Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609815299 PECOS PAC ID: 6305734567 Enrollment ID: I20040309000523 |
| Provider Name | Balu B Shetty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033104948 PECOS PAC ID: 8426947318 Enrollment ID: I20040310001195 |
| Provider Name | Syed S Hyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386635985 PECOS PAC ID: 5799675146 Enrollment ID: I20040318000787 |
| Provider Name | Aparna V Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053338558 PECOS PAC ID: 5294626131 Enrollment ID: I20040322000985 |
| Provider Name | Patrick N Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982670725 PECOS PAC ID: 5193616647 Enrollment ID: I20040323001339 |
| Provider Name | Thulasingam Ravindramurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316912280 PECOS PAC ID: 4981595352 Enrollment ID: I20040324000134 |
| Provider Name | Anna Boettcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720058761 PECOS PAC ID: 9234021643 Enrollment ID: I20040329000981 |
| Provider Name | Stephen F Conti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902806300 PECOS PAC ID: 0648162933 Enrollment ID: I20040330000430 |
| Provider Name | Scott L Radinovic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942280631 PECOS PAC ID: 8426040791 Enrollment ID: I20040330000975 |
| Provider Name | Craig G Viti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912973256 PECOS PAC ID: 0840282810 Enrollment ID: I20040331000557 |
| Provider Name | John A Raffensperger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396710869 PECOS PAC ID: 4486646478 Enrollment ID: I20040331000675 |
| Provider Name | Mitchell J Patti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144295304 PECOS PAC ID: 0547252561 Enrollment ID: I20040331000841 |
| Provider Name | Chad M Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699703694 PECOS PAC ID: 3072506138 Enrollment ID: I20040405001386 |
| Provider Name | Norberto Y Yumang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023075728 PECOS PAC ID: 6204749625 Enrollment ID: I20040413001236 |
| Provider Name | Sandra Ann Cromo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992793236 PECOS PAC ID: 8426043001 Enrollment ID: I20040415000181 |
| Provider Name | Eric F Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982676458 PECOS PAC ID: 8325033376 Enrollment ID: I20040419000598 |
| Provider Name | Andrew K Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669465886 PECOS PAC ID: 0648267922 Enrollment ID: I20040428001030 |
| Provider Name | Koushik Mukherjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679563563 PECOS PAC ID: 4880682467 Enrollment ID: I20040503001346 |
| Provider Name | Joann B Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457395105 PECOS PAC ID: 5597753574 Enrollment ID: I20040506000520 |
| Provider Name | Helen R Thornton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558301697 PECOS PAC ID: 2365431905 Enrollment ID: I20040510000686 |
| Provider Name | Elizabeth Stanton Wettick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366596264 PECOS PAC ID: 8022007574 Enrollment ID: I20040510000813 |
| Provider Name | Anthony J Elisco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922021856 PECOS PAC ID: 0345239208 Enrollment ID: I20040511000285 |
| Provider Name | Ann Louise Mcgaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649244047 PECOS PAC ID: 4981694023 Enrollment ID: I20040512001264 |
| Provider Name | Kary J Schroyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831181320 PECOS PAC ID: 6406846963 Enrollment ID: I20040517000116 |
| Provider Name | Jonathan K Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295701076 PECOS PAC ID: 9537061015 Enrollment ID: I20040518001137 |
| Provider Name | Christopher L Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104858869 PECOS PAC ID: 6002807930 Enrollment ID: I20040520000233 |
| Provider Name | Andrew C Fackler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310308 PECOS PAC ID: 8426039769 Enrollment ID: I20040525000251 |
| Provider Name | Joy L Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205835709 PECOS PAC ID: 3476534611 Enrollment ID: I20040525001088 |
| Provider Name | Alfonso C Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467437632 PECOS PAC ID: 3971584640 Enrollment ID: I20040527001082 |
| Provider Name | Lori Marie Bigi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093787137 PECOS PAC ID: 4880676626 Enrollment ID: I20040604000145 |
| Provider Name | Barry G Segal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902845878 PECOS PAC ID: 9830083989 Enrollment ID: I20040604000457 |
| Provider Name | Barbara L Hanowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487679510 PECOS PAC ID: 9234112012 Enrollment ID: I20040611000718 |
| Provider Name | Kim R Avolio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467419002 PECOS PAC ID: 0749264000 Enrollment ID: I20040615000587 |
| Provider Name | Tina Musahl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033190244 PECOS PAC ID: 0042294365 Enrollment ID: I20040615000915 |
| Provider Name | Xiaohong H Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739997 PECOS PAC ID: 1850376310 Enrollment ID: I20040621000520 |
| Provider Name | Farial F Rawji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821084484 PECOS PAC ID: 4981680600 Enrollment ID: I20040624001410 |
| Provider Name | Daniel F Van Riper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790711646 PECOS PAC ID: 9032195763 Enrollment ID: I20040624001464 |
| Provider Name | Hubert Shick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699266 PECOS PAC ID: 5092791103 Enrollment ID: I20040629000424 |
| Provider Name | Matthew D Crago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932107570 PECOS PAC ID: 1951387034 Enrollment ID: I20040630000086 |
| Provider Name | John M Lagnese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336188820 PECOS PAC ID: 9638156102 Enrollment ID: I20040701001446 |
| Provider Name | Jean M Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457353591 PECOS PAC ID: 8820077993 Enrollment ID: I20040714000695 |
| Provider Name | David M Rasmussen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366473555 PECOS PAC ID: 3476532664 Enrollment ID: I20040720000831 |
| Provider Name | Debra L Tabas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164498440 PECOS PAC ID: 3274512462 Enrollment ID: I20040720000848 |
| Provider Name | Sukanya Srinivasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487629408 PECOS PAC ID: 8325028541 Enrollment ID: I20040720001116 |
| Provider Name | David Wayne Hefner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568421477 PECOS PAC ID: 7719967041 Enrollment ID: I20040726000589 |
| Provider Name | David E Wood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154320133 PECOS PAC ID: 1850371147 Enrollment ID: I20040726000973 |
| Provider Name | Christopher Gordon Tsai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639145949 PECOS PAC ID: 2466424510 Enrollment ID: I20040809001382 |
| Provider Name | Paulette West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104896141 PECOS PAC ID: 3274505268 Enrollment ID: I20040810001057 |
| Provider Name | Stanley C May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003881731 PECOS PAC ID: 9830161660 Enrollment ID: I20040811000772 |
| Provider Name | Allison M Dilks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990629 PECOS PAC ID: 7810960432 Enrollment ID: I20040812001393 |
| Provider Name | Frank Farone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255313938 PECOS PAC ID: 2567436751 Enrollment ID: I20040824000159 |
| Provider Name | Christopher Thomas Rihn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720053150 PECOS PAC ID: 7719953678 Enrollment ID: I20040902000836 |
| Provider Name | Darrell W. Petz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053392225 PECOS PAC ID: 5496722746 Enrollment ID: I20040915000658 |
| Provider Name | Ted C Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639118219 PECOS PAC ID: 8921902081 Enrollment ID: I20040915000751 |
| Provider Name | Daniel R Steiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700868502 PECOS PAC ID: 3678541992 Enrollment ID: I20040923000513 |
| Provider Name | Vasantha C Madhavan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407827629 PECOS PAC ID: 2567431471 Enrollment ID: I20040930000033 |
| Provider Name | Michele R Matthews-mlakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689648529 PECOS PAC ID: 1052370186 Enrollment ID: I20041005001001 |
| Provider Name | Bonnie K Case |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821060773 PECOS PAC ID: 4486613460 Enrollment ID: I20041006000094 |
| Provider Name | Gabriel J Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770522385 PECOS PAC ID: 4385603257 Enrollment ID: I20041006000915 |
| Provider Name | Diane Balestrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124081369 PECOS PAC ID: 3274592068 Enrollment ID: I20041007000376 |
| Provider Name | Brian K Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912947912 PECOS PAC ID: 0446219919 Enrollment ID: I20041008001133 |
| Provider Name | Christine L Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477513364 PECOS PAC ID: 9537129481 Enrollment ID: I20041014000668 |
| Provider Name | Lisa P Schlar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780646794 PECOS PAC ID: 4183684053 Enrollment ID: I20041014000827 |
| Provider Name | Douglas V Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984931 PECOS PAC ID: 8729048178 Enrollment ID: I20041015000154 |
| Provider Name | Edward J Goralczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033116553 PECOS PAC ID: 4183684533 Enrollment ID: I20041015000453 |
| Provider Name | Sandra C Sauereisen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659345684 PECOS PAC ID: 3072573609 Enrollment ID: I20041018000511 |
| Provider Name | Daniel P Lapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063472348 PECOS PAC ID: 2163483413 Enrollment ID: I20041020001225 |
| Provider Name | William H Fee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942275839 PECOS PAC ID: 3971578519 Enrollment ID: I20041101000673 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174523807 PECOS PAC ID: 1658333448 Enrollment ID: I20041103000635 |
| Provider Name | Nenad Ned Bugarija |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770646648 PECOS PAC ID: 4587626361 Enrollment ID: I20041104000107 |
| Provider Name | Mary C Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437187952 PECOS PAC ID: 9133182629 Enrollment ID: I20041105000454 |
| Provider Name | Mark R Fantaski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689651630 PECOS PAC ID: 9638133929 Enrollment ID: I20041117000820 |
| Provider Name | Kathy A Mcnutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379556 PECOS PAC ID: 1557325669 Enrollment ID: I20041118000382 |
| Provider Name | Andrew J Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548235245 PECOS PAC ID: 0244294189 Enrollment ID: I20041119000080 |
| Provider Name | Dana K Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851331995 PECOS PAC ID: 1456316736 Enrollment ID: I20041129000445 |
| Provider Name | Paul J Brayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777650 PECOS PAC ID: 5698730976 Enrollment ID: I20041129000473 |
| Provider Name | Richard D Bruehlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689620080 PECOS PAC ID: 6204891591 Enrollment ID: I20041129000508 |
| Provider Name | Mark W Morrissey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205801867 PECOS PAC ID: 2961467261 Enrollment ID: I20041129000579 |
| Provider Name | Lisa B Ference |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336112515 PECOS PAC ID: 0840255147 Enrollment ID: I20041129000604 |
| Provider Name | David L Tomaselli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770559072 PECOS PAC ID: 3274598578 Enrollment ID: I20041129000619 |
| Provider Name | Kathleen T Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568402584 PECOS PAC ID: 7911962220 Enrollment ID: I20041129000707 |
| Provider Name | Emily S Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134191851 PECOS PAC ID: 9335104652 Enrollment ID: I20041129000753 |
| Provider Name | Frank R Cymerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586350 PECOS PAC ID: 8628036183 Enrollment ID: I20041230000028 |
| Provider Name | Kathleen M Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790802007 PECOS PAC ID: 9032177845 Enrollment ID: I20041230000032 |
| Provider Name | Nathan B Sipes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568486405 PECOS PAC ID: 1254399561 Enrollment ID: I20050103000425 |
| Provider Name | Chad D Caldwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710957352 PECOS PAC ID: 6608834932 Enrollment ID: I20050103000579 |
| Provider Name | Nicholas L Shinsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538144068 PECOS PAC ID: 9537117593 Enrollment ID: I20050106000068 |
| Provider Name | Alan Lewis Finkelstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699747618 PECOS PAC ID: 6800844408 Enrollment ID: I20050111000266 |
| Provider Name | Norman R Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982678371 PECOS PAC ID: 0042268534 Enrollment ID: I20050111000915 |
| Provider Name | Lori A Stiefel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639141203 PECOS PAC ID: 6204884794 Enrollment ID: I20050111000929 |
| Provider Name | Rahila S Khwaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356396097 PECOS PAC ID: 6901855287 Enrollment ID: I20050113000376 |
| Provider Name | David N. Arisumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366499311 PECOS PAC ID: 8820047103 Enrollment ID: I20050113000506 |
| Provider Name | John M Karian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518931559 PECOS PAC ID: 9830148717 Enrollment ID: I20050118000713 |
| Provider Name | Mark R Biedrzycki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194797233 PECOS PAC ID: 7012968225 Enrollment ID: I20050204000515 |
| Provider Name | Maisie Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568450088 PECOS PAC ID: 3779534649 Enrollment ID: I20050208000805 |
| Provider Name | David A Harinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710950597 PECOS PAC ID: 0143271908 Enrollment ID: I20050209000421 |
| Provider Name | James A Gleason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437123767 PECOS PAC ID: 9638121213 Enrollment ID: I20050211000084 |
| Provider Name | Edwin Q Ravano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710975628 PECOS PAC ID: 6002868239 Enrollment ID: I20050216000575 |
| Provider Name | Ricardo B Raymundo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497756894 PECOS PAC ID: 2769435866 Enrollment ID: I20050301000708 |
| Provider Name | Essam M Demian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548223431 PECOS PAC ID: 2264488246 Enrollment ID: I20050323000204 |
| Provider Name | James D Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073536934 PECOS PAC ID: 4183670771 Enrollment ID: I20050328000142 |
| Provider Name | Carl S Werne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508852351 PECOS PAC ID: 0446156285 Enrollment ID: I20050329000998 |
| Provider Name | Vijay H Vakharia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659304442 PECOS PAC ID: 7618924051 Enrollment ID: I20050407000179 |
| Provider Name | Charles W Atwood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508838905 PECOS PAC ID: 0042258485 Enrollment ID: I20050418000700 |
| Provider Name | Susan Shockey Kensinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972652659 PECOS PAC ID: 9638118102 Enrollment ID: I20050426000285 |
| Provider Name | Robert G Wolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457456717 PECOS PAC ID: 0941249288 Enrollment ID: I20050427000237 |
| Provider Name | Carissa L Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023082310 PECOS PAC ID: 4183663263 Enrollment ID: I20050428000043 |
| Provider Name | Bupesh Kaul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912971482 PECOS PAC ID: 9931148871 Enrollment ID: I20050429000100 |
| Provider Name | Mikhail Vassilenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053380584 PECOS PAC ID: 9032158902 Enrollment ID: I20050429000380 |
| Provider Name | Farhad Ismail-beigi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194716522 PECOS PAC ID: 0042283897 Enrollment ID: I20050429000432 |
| Provider Name | Mark A Fye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053318196 PECOS PAC ID: 3971405101 Enrollment ID: I20050502000302 |
| Provider Name | Elizabeth A Clancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609959444 PECOS PAC ID: 5193765634 Enrollment ID: I20050504000773 |
| Provider Name | Eydie L Moses-kolko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063486728 PECOS PAC ID: 4183664543 Enrollment ID: I20050505000538 |
| Provider Name | Shailaja Parepally |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407889777 PECOS PAC ID: 1557301660 Enrollment ID: I20050509000532 |
| Provider Name | Ganesan Shobana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154437507 PECOS PAC ID: 9638110349 Enrollment ID: I20050512000543 |
| Provider Name | Todd L Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689640799 PECOS PAC ID: 8820906324 Enrollment ID: I20050512000627 |
| Provider Name | Thomas P Wein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790751311 PECOS PAC ID: 9830130459 Enrollment ID: I20050513000294 |
| Provider Name | Eric A Frankel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946518 PECOS PAC ID: 7517908130 Enrollment ID: I20050513000323 |
| Provider Name | Isaac Levari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770574139 PECOS PAC ID: 2769378082 Enrollment ID: I20050518000014 |
| Provider Name | Mary Ann D Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477553873 PECOS PAC ID: 8426099664 Enrollment ID: I20050518000081 |
| Provider Name | Rina Chabra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881640274 PECOS PAC ID: 2860433034 Enrollment ID: I20050518000346 |
| Provider Name | Kabir Ariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780625624 PECOS PAC ID: 9638110745 Enrollment ID: I20050519000218 |
| Provider Name | Lawrence R John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821061409 PECOS PAC ID: 1951342070 Enrollment ID: I20050519000272 |
| Provider Name | Keith Alan Niggemyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962592659 PECOS PAC ID: 6406897412 Enrollment ID: I20050519001046 |
| Provider Name | Paula J Schall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114900818 PECOS PAC ID: 3678515434 Enrollment ID: I20050523000977 |
| Provider Name | Todd M Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699756874 PECOS PAC ID: 6002858636 Enrollment ID: I20050524001159 |
| Provider Name | Hitendra R Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003897265 PECOS PAC ID: 6305819152 Enrollment ID: I20050525001027 |
| Provider Name | Vidya Szymkowiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700852324 PECOS PAC ID: 8820030018 Enrollment ID: I20050527000199 |
| Provider Name | Kenneth K Ung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265488241 PECOS PAC ID: 6305888314 Enrollment ID: I20050531000513 |
| Provider Name | David G Baer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194797167 PECOS PAC ID: 7012956501 Enrollment ID: I20050531000907 |
| Provider Name | Lalithkumar K Solai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821063983 PECOS PAC ID: 5799728168 Enrollment ID: I20050607000258 |
| Provider Name | James L Liszewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235182833 PECOS PAC ID: 9739122078 Enrollment ID: I20050607000964 |
| Provider Name | Peter A Dickinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346246485 PECOS PAC ID: 9638113517 Enrollment ID: I20050613000083 |
| Provider Name | Matthew Charles Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750376893 PECOS PAC ID: 9335183904 Enrollment ID: I20050614001235 |
| Provider Name | Mark W Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184644569 PECOS PAC ID: 2668416843 Enrollment ID: I20050617000864 |
| Provider Name | Jorge Lindenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952375198 PECOS PAC ID: 6800796020 Enrollment ID: I20050630000434 |
| Provider Name | Laun R Hallstrom |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366557845 PECOS PAC ID: 1850337221 Enrollment ID: I20050707000483 |
| Provider Name | Dominick A Defrances |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255301123 PECOS PAC ID: 6204862055 Enrollment ID: I20050713000055 |
| Provider Name | Heather M Hanzlik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437129384 PECOS PAC ID: 8820024672 Enrollment ID: I20050713000061 |
| Provider Name | Laurel Marie Steele |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306850136 PECOS PAC ID: 2062449358 Enrollment ID: I20050719000301 |
| Provider Name | Michael S Srodes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639142110 PECOS PAC ID: 9830178698 Enrollment ID: I20050720000610 |
| Provider Name | Eric S Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427012780 PECOS PAC ID: 7012945389 Enrollment ID: I20050728000289 |
| Provider Name | Rajani Kondaveeti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598724874 PECOS PAC ID: 3375571599 Enrollment ID: I20050729000309 |
| Provider Name | David Robert Weber |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144283037 PECOS PAC ID: 4183608490 Enrollment ID: I20050802000305 |
| Provider Name | Geoffrey R Camp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306819875 PECOS PAC ID: 1850329616 Enrollment ID: I20050802000825 |
| Provider Name | Sabrina Kelly Varga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427024769 PECOS PAC ID: 7911946975 Enrollment ID: I20050802000960 |
| Provider Name | Matthew R Panahandeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881650174 PECOS PAC ID: 4688602287 Enrollment ID: I20050803000519 |
| Provider Name | Harshad C Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003899543 PECOS PAC ID: 3375572951 Enrollment ID: I20050804000847 |
| Provider Name | Jennifer Lynn Sepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700855731 PECOS PAC ID: 3870522535 Enrollment ID: I20050812000058 |
| Provider Name | Mark L Stabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578698494 PECOS PAC ID: 2769411438 Enrollment ID: I20050812000098 |
| Provider Name | Lisa A Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366415291 PECOS PAC ID: 3072542752 Enrollment ID: I20050812000234 |
| Provider Name | Konasale M Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972578052 PECOS PAC ID: 7618907700 Enrollment ID: I20050818000272 |
| Provider Name | Wendy S Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043246184 PECOS PAC ID: 0840220844 Enrollment ID: I20050819000057 |
| Provider Name | Sarah B Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679529598 PECOS PAC ID: 9638100266 Enrollment ID: I20050824000150 |
| Provider Name | Herbert C Bazron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609803048 PECOS PAC ID: 3476584855 Enrollment ID: I20050825000366 |
| Provider Name | Yaqin Xia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346216645 PECOS PAC ID: 4981637923 Enrollment ID: I20050912000469 |
| Provider Name | Karen M Moyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043282809 PECOS PAC ID: 2264411305 Enrollment ID: I20050914000794 |
| Provider Name | Kenneth C Nash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265406961 PECOS PAC ID: 4880629948 Enrollment ID: I20050928000510 |
| Provider Name | Christopher Samuel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992798219 PECOS PAC ID: 8527083195 Enrollment ID: I20051012000874 |
| Provider Name | Colleen K Ebbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780623306 PECOS PAC ID: 3779509435 Enrollment ID: I20051021000299 |
| Provider Name | Venkatlaxman B Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811999790 PECOS PAC ID: 9133148695 Enrollment ID: I20051115000248 |
| Provider Name | Nasr Issa Yazigi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689640906 PECOS PAC ID: 0648290916 Enrollment ID: I20051201000175 |
| Provider Name | Deborah W Byrns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598758138 PECOS PAC ID: 2466472527 Enrollment ID: I20051205000064 |
| Provider Name | Daniel Edmundowicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114990579 PECOS PAC ID: 0941221568 Enrollment ID: I20051212000242 |
| Provider Name | Jacqueline S Weaver-agostoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386635761 PECOS PAC ID: 5890716179 Enrollment ID: I20051214000598 |
| Provider Name | Lucille B Aiken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316377245 PECOS PAC ID: 5799707394 Enrollment ID: I20051223000146 |
| Provider Name | Walter D Beam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285688002 PECOS PAC ID: 1951324177 Enrollment ID: I20060113000041 |
| Provider Name | Priya P Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700864386 PECOS PAC ID: 2567486624 Enrollment ID: I20060117000707 |
| Provider Name | Jerome H Bonier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053304907 PECOS PAC ID: 3072537141 Enrollment ID: I20060117000863 |
| Provider Name | Edward J Uberti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851384556 PECOS PAC ID: 9436173598 Enrollment ID: I20060117000878 |
| Provider Name | Amesh A Adalja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023209871 PECOS PAC ID: 4587688536 Enrollment ID: I20060118000323 |
| Provider Name | Brian J Duclos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699795658 PECOS PAC ID: 1153335955 Enrollment ID: I20060201000174 |
| Provider Name | Connie M Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669680393 PECOS PAC ID: 0345254157 Enrollment ID: I20060201000243 |
| Provider Name | Peter A Machi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619935806 PECOS PAC ID: 1658385265 Enrollment ID: I20060203000104 |
| Provider Name | Amita Mital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003812843 PECOS PAC ID: 7719992064 Enrollment ID: I20060208000447 |
| Provider Name | Kara E Quigley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093812448 PECOS PAC ID: 5395750475 Enrollment ID: I20060210000137 |
| Provider Name | Kamran Ur Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063559474 PECOS PAC ID: 2860407343 Enrollment ID: I20060221000517 |
| Provider Name | William C Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841220282 PECOS PAC ID: 6002858511 Enrollment ID: I20060301000714 |
| Provider Name | Thomas B Rice |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538115282 PECOS PAC ID: 6901812528 Enrollment ID: I20060306000417 |
| Provider Name | Robert M Woods |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558352500 PECOS PAC ID: 9234146564 Enrollment ID: I20060313000053 |
| Provider Name | Donald B Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174514129 PECOS PAC ID: 7416964747 Enrollment ID: I20060313000060 |
| Provider Name | Vera L. Stabile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457421455 PECOS PAC ID: 1355358383 Enrollment ID: I20060315000440 |
| Provider Name | Rene R Straka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730158643 PECOS PAC ID: 9436168267 Enrollment ID: I20060406000197 |
| Provider Name | Yram J Groff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326080722 PECOS PAC ID: 9032128939 Enrollment ID: I20060420000057 |
| Provider Name | Yvonne R Chan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710929146 PECOS PAC ID: 7719877976 Enrollment ID: I20060614000117 |
| Provider Name | Ibrahim I Ghobrial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336102219 PECOS PAC ID: 9537171087 Enrollment ID: I20060626000332 |
| Provider Name | William H Markle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760446231 PECOS PAC ID: 0143232603 Enrollment ID: I20060627000106 |
| Provider Name | Michelle L Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326083387 PECOS PAC ID: 1759393010 Enrollment ID: I20060705000055 |
| Provider Name | Jeanne Doperak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205871696 PECOS PAC ID: 3476566357 Enrollment ID: I20060718000334 |
| Provider Name | Kenneth Charles Plowey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184674012 PECOS PAC ID: 3072517218 Enrollment ID: I20060831000215 |
| Provider Name | Matthew A. Vasil |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1043227275 PECOS PAC ID: 6608870498 Enrollment ID: I20060911000156 |
| Provider Name | Jeffrey Duane Lineman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275540403 PECOS PAC ID: 1759385552 Enrollment ID: I20060911000197 |
| Provider Name | Debra L Salim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023062031 PECOS PAC ID: 0547264194 Enrollment ID: I20060913000113 |
| Provider Name | Jamie L Probst-siska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508873027 PECOS PAC ID: 9436154564 Enrollment ID: I20060925000357 |
| Provider Name | Witold R Jurewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487670022 PECOS PAC ID: 2466458955 Enrollment ID: I20061005000407 |
| Provider Name | Rhonda K French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548215957 PECOS PAC ID: 9931105954 Enrollment ID: I20061016000353 |
| Provider Name | James Garofalo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780659334 PECOS PAC ID: 5193755338 Enrollment ID: I20061018000013 |
| Provider Name | Roger Jan Zioncheck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871514802 PECOS PAC ID: 4587661020 Enrollment ID: I20061026000164 |
| Provider Name | Anthony B Fiorillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720051816 PECOS PAC ID: 0547268393 Enrollment ID: I20061110000197 |
| Provider Name | Troy A Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578539680 PECOS PAC ID: 9739097239 Enrollment ID: I20061120000459 |
| Provider Name | Victor I Colaiaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346216413 PECOS PAC ID: 4284542788 Enrollment ID: I20061129000072 |
| Provider Name | Jeffrey A Bedlion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194791269 PECOS PAC ID: 3173431673 Enrollment ID: I20061129000090 |
| Provider Name | Andrew H Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487620480 PECOS PAC ID: 2365440252 Enrollment ID: I20061202000067 |
| Provider Name | Ellen Sue Berne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528033321 PECOS PAC ID: 2466451323 Enrollment ID: I20061204000526 |
| Provider Name | Alan Jeffrey Steckel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467427237 PECOS PAC ID: 3870592629 Enrollment ID: I20061205000641 |
| Provider Name | Tracy Robin Seewald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063487338 PECOS PAC ID: 1951300706 Enrollment ID: I20061205000664 |
| Provider Name | James R Jarvis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567222 PECOS PAC ID: 9133128895 Enrollment ID: I20061207000336 |
| Provider Name | James M Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194791210 PECOS PAC ID: 4183532682 Enrollment ID: I20061208000005 |
| Provider Name | James Robert Mclaughlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841266574 PECOS PAC ID: 4486686763 Enrollment ID: I20061211000164 |
| Provider Name | Francis X Solano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710952874 PECOS PAC ID: 5698774164 Enrollment ID: I20061211000245 |
| Provider Name | Vicki March |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284011 PECOS PAC ID: 9032118500 Enrollment ID: I20061211000267 |
| Provider Name | Richard K Gongloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154394781 PECOS PAC ID: 1951300433 Enrollment ID: I20061211000352 |
| Provider Name | Anthony Spinola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477528487 PECOS PAC ID: 2365441805 Enrollment ID: I20061212000205 |
| Provider Name | Michael W Finikiotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952374142 PECOS PAC ID: 9436158870 Enrollment ID: I20061212000235 |
| Provider Name | Mieczyslaw Weinfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669448015 PECOS PAC ID: 7416956842 Enrollment ID: I20061213000322 |
| Provider Name | Anthony P Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881660108 PECOS PAC ID: 7012916356 Enrollment ID: I20061213000562 |
| Provider Name | Dennis F Stull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367577 PECOS PAC ID: 3072513076 Enrollment ID: I20061221000320 |
| Provider Name | Patricia G Coyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801868476 PECOS PAC ID: 4385644343 Enrollment ID: I20061222000226 |
| Provider Name | Jeffrey L Reasbeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518933647 PECOS PAC ID: 6901714401 Enrollment ID: I20070105000019 |
| Provider Name | Michele Lynn Organist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619104 PECOS PAC ID: 7810998515 Enrollment ID: I20070124000018 |
| Provider Name | Gregory M Bump |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437190261 PECOS PAC ID: 8628045515 Enrollment ID: I20070212000388 |
| Provider Name | Robert C Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306889779 PECOS PAC ID: 4284736141 Enrollment ID: I20070223000023 |
| Provider Name | Sailaja Koduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306811344 PECOS PAC ID: 9931201589 Enrollment ID: I20070228000219 |
| Provider Name | Janet S Godfrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558359588 PECOS PAC ID: 1951404425 Enrollment ID: I20070321000582 |
| Provider Name | Mona D Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730245713 PECOS PAC ID: 1355308644 Enrollment ID: I20070410000590 |
| Provider Name | Tracey D Conti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447223854 PECOS PAC ID: 8921103227 Enrollment ID: I20070416000195 |
| Provider Name | Robert J Pavlak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639133184 PECOS PAC ID: 0446355259 Enrollment ID: I20070423000299 |
| Provider Name | Gregory E. Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730105503 PECOS PAC ID: 9436255932 Enrollment ID: I20070430000357 |
| Provider Name | Larry Gitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568438539 PECOS PAC ID: 2365548708 Enrollment ID: I20070502000189 |
| Provider Name | Mark A Duca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023081445 PECOS PAC ID: 8729184957 Enrollment ID: I20070505000032 |
| Provider Name | Nancy Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679561062 PECOS PAC ID: 7810094661 Enrollment ID: I20070514000215 |
| Provider Name | Maria P Dugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275521791 PECOS PAC ID: 8820195449 Enrollment ID: I20070516000245 |
| Provider Name | Maya Theresa Nimgaonkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326007295 PECOS PAC ID: 6103924659 Enrollment ID: I20070606000392 |
| Provider Name | Howard S Pittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790777415 PECOS PAC ID: 9032011200 Enrollment ID: I20070612000671 |
| Provider Name | Aaron G Smuckler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144232406 PECOS PAC ID: 9830295690 Enrollment ID: I20070613000351 |
| Provider Name | Bridget A Orourke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073540464 PECOS PAC ID: 0042271256 Enrollment ID: I20070615000031 |
| Provider Name | Kevin J Fritz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821218439 PECOS PAC ID: 9234238064 Enrollment ID: I20070620000281 |
| Provider Name | Reena Arwind Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851593503 PECOS PAC ID: 8628177391 Enrollment ID: I20070620000571 |
| Provider Name | Edward C Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962471409 PECOS PAC ID: 3476652611 Enrollment ID: I20070628000300 |
| Provider Name | David Perry Mccandless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627923 PECOS PAC ID: 8426099623 Enrollment ID: I20070703000047 |
| Provider Name | Amgad H Abdu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851420392 PECOS PAC ID: 6901906130 Enrollment ID: I20070717000263 |
| Provider Name | David N Ferraro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548464407 PECOS PAC ID: 4880794023 Enrollment ID: I20070717000384 |
| Provider Name | Anju Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518165299 PECOS PAC ID: 6709987399 Enrollment ID: I20070726000514 |
| Provider Name | Nancy A Wallroff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043283872 PECOS PAC ID: 5597866038 Enrollment ID: I20070727000117 |
| Provider Name | Melissa L Dosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730387416 PECOS PAC ID: 1951492933 Enrollment ID: I20070806000273 |
| Provider Name | Mary Pat S Friedlander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033103270 PECOS PAC ID: 0547352619 Enrollment ID: I20070821000066 |
| Provider Name | Euhan J Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053524991 PECOS PAC ID: 2961594098 Enrollment ID: I20070822000211 |
| Provider Name | Lynn M Potts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497798797 PECOS PAC ID: 9638261688 Enrollment ID: I20070822000562 |
| Provider Name | Richard Barrett Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568436921 PECOS PAC ID: 6901998939 Enrollment ID: I20070822001297 |
| Provider Name | David S Miller |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1811998081 PECOS PAC ID: 7214020387 Enrollment ID: I20070905000590 |
| Provider Name | Nagib Manov |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508061698 PECOS PAC ID: 4486748894 Enrollment ID: I20070917000108 |
| Provider Name | Joyce L Eckard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356385538 PECOS PAC ID: 4082708441 Enrollment ID: I20070917000583 |
| Provider Name | Rana Billeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912065806 PECOS PAC ID: 9032203021 Enrollment ID: I20070921000170 |
| Provider Name | James Dewar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629045661 PECOS PAC ID: 9739157355 Enrollment ID: I20071003000156 |
| Provider Name | Karen H Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114020450 PECOS PAC ID: 7113012261 Enrollment ID: I20071004000006 |
| Provider Name | Barbara Merovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255549358 PECOS PAC ID: 3577659028 Enrollment ID: I20071016000044 |
| Provider Name | Edward A Verdream |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508078213 PECOS PAC ID: 8022105394 Enrollment ID: I20071102000285 |
| Provider Name | Robin Z Dietly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629056114 PECOS PAC ID: 8426145665 Enrollment ID: I20071105000040 |
| Provider Name | Rupa Mokkapatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942288436 PECOS PAC ID: 2567559750 Enrollment ID: I20071105000461 |
| Provider Name | Carmen Andreescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306965090 PECOS PAC ID: 0547358830 Enrollment ID: I20071120000621 |
| Provider Name | James W Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578541165 PECOS PAC ID: 4082703079 Enrollment ID: I20071128000434 |
| Provider Name | Anton Y Plakseychuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281132 PECOS PAC ID: 0244320455 Enrollment ID: I20071212000073 |
| Provider Name | Mohamed K Tejpar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083664247 PECOS PAC ID: 9739279720 Enrollment ID: I20071213000748 |
| Provider Name | Manohar Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750350435 PECOS PAC ID: 5395835300 Enrollment ID: I20071214000037 |
| Provider Name | Tiffany L Koelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578747044 PECOS PAC ID: 6406936251 Enrollment ID: I20080107000011 |
| Provider Name | Karen Leigh Brown |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730113838 PECOS PAC ID: 0547342982 Enrollment ID: I20080124000428 |
| Provider Name | Bryan P Negrini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487670246 PECOS PAC ID: 7810079001 Enrollment ID: I20080128000007 |
| Provider Name | Michael L Mlecko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487644720 PECOS PAC ID: 4385726074 Enrollment ID: I20080204000332 |
| Provider Name | James A Pilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801891593 PECOS PAC ID: 9234143934 Enrollment ID: I20080226000657 |
| Provider Name | Paul G Tepe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407810930 PECOS PAC ID: 0840374070 Enrollment ID: I20080227000364 |
| Provider Name | Joseph F Richetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518925627 PECOS PAC ID: 4981788049 Enrollment ID: I20080227000705 |
| Provider Name | George R Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447214978 PECOS PAC ID: 4082798178 Enrollment ID: I20080228000054 |
| Provider Name | Beth Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871557306 PECOS PAC ID: 8022192905 Enrollment ID: I20080303000133 |
| Provider Name | Adrianna K Wegrecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144427576 PECOS PAC ID: 1850476573 Enrollment ID: I20080305000484 |
| Provider Name | William N Gilleland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336145903 PECOS PAC ID: 8820174907 Enrollment ID: I20080331000044 |
| Provider Name | Michael J Mine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457317414 PECOS PAC ID: 7113004789 Enrollment ID: I20080407000374 |
| Provider Name | Daniel J Parks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487832051 PECOS PAC ID: 9638256175 Enrollment ID: I20080408000298 |
| Provider Name | Bruce W Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144263211 PECOS PAC ID: 1658459532 Enrollment ID: I20080417000148 |
| Provider Name | James H Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710967120 PECOS PAC ID: 9335218221 Enrollment ID: I20080519000350 |
| Provider Name | Juno E Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992970412 PECOS PAC ID: 9830269224 Enrollment ID: I20080528000053 |
| Provider Name | Bela Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205016581 PECOS PAC ID: 8224108444 Enrollment ID: I20080530000501 |
| Provider Name | Linda J Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932250271 PECOS PAC ID: 0749244044 Enrollment ID: I20080605000110 |
| Provider Name | Roberta L Bashore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285626820 PECOS PAC ID: 0840361390 Enrollment ID: I20080611000493 |
| Provider Name | Barbara S Kevish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922055946 PECOS PAC ID: 7012095987 Enrollment ID: I20080616000018 |
| Provider Name | Timothy Odonnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760485510 PECOS PAC ID: 6305879875 Enrollment ID: I20080703000024 |
| Provider Name | Bhavana Gandotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891971156 PECOS PAC ID: 1759454481 Enrollment ID: I20080714000483 |
| Provider Name | Morcos W Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578774188 PECOS PAC ID: 2264505940 Enrollment ID: I20080715000286 |
| Provider Name | Christopher Jacob Esper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669679122 PECOS PAC ID: 8921171497 Enrollment ID: I20080716000365 |
| Provider Name | Keith Stowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457365249 PECOS PAC ID: 8022181007 Enrollment ID: I20080724000167 |
| Provider Name | Jennifer L Fierle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962687178 PECOS PAC ID: 4385718972 Enrollment ID: I20080730000640 |
| Provider Name | Itamar Levari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891953840 PECOS PAC ID: 5597830307 Enrollment ID: I20080813000507 |
| Provider Name | Emmanuel Frempong-manso |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760679948 PECOS PAC ID: 4385719533 Enrollment ID: I20080822000050 |
| Provider Name | Lisa A Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689747297 PECOS PAC ID: 5991871758 Enrollment ID: I20080903000270 |
| Provider Name | Clifford Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619958550 PECOS PAC ID: 2466528781 Enrollment ID: I20080910000081 |
| Provider Name | Monika A Kassyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477544849 PECOS PAC ID: 8123194446 Enrollment ID: I20080911000015 |
| Provider Name | Margaret L Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134110570 PECOS PAC ID: 6709952096 Enrollment ID: I20080911000023 |
| Provider Name | Gretchen Shelesky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124283791 PECOS PAC ID: 4981771987 Enrollment ID: I20080917000138 |
| Provider Name | Eric J Ardinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679779094 PECOS PAC ID: 7113094046 Enrollment ID: I20080918000512 |
| Provider Name | Kavitha Bhat Schelbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912993502 PECOS PAC ID: 0547238883 Enrollment ID: I20080923000589 |
| Provider Name | Renee M Garvin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215156575 PECOS PAC ID: 2264509454 Enrollment ID: I20080930000769 |
| Provider Name | Beth A Bereksazi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609052901 PECOS PAC ID: 6901974906 Enrollment ID: I20081003000463 |
| Provider Name | Dana L Ailes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891809166 PECOS PAC ID: 5496823973 Enrollment ID: I20081010000312 |
| Provider Name | Veronica M Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528028008 PECOS PAC ID: 1052479284 Enrollment ID: I20081016000540 |
| Provider Name | Umesh A Golani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033150412 PECOS PAC ID: 4284539008 Enrollment ID: I20081022000085 |
| Provider Name | Susan G Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780834549 PECOS PAC ID: 4183782790 Enrollment ID: I20081027000568 |
| Provider Name | Raja M Chakrapani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366424541 PECOS PAC ID: 8628096914 Enrollment ID: I20081027000785 |
| Provider Name | Teiichi Takedai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518951888 PECOS PAC ID: 2567403520 Enrollment ID: I20081028000222 |
| Provider Name | Amanda K Cassidy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265681670 PECOS PAC ID: 2365500717 Enrollment ID: I20081029000290 |
| Provider Name | Michelle D Keibler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063663854 PECOS PAC ID: 1254490295 Enrollment ID: I20081106000149 |
| Provider Name | Jose B Caballe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386747590 PECOS PAC ID: 4486715315 Enrollment ID: I20081210000252 |
| Provider Name | Kimberly Snyder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396922431 PECOS PAC ID: 7911087689 Enrollment ID: I20081217000557 |
| Provider Name | Patricia L Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477718112 PECOS PAC ID: 6901964238 Enrollment ID: I20090120000241 |
| Provider Name | Fred P Heidenreich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891795472 PECOS PAC ID: 1951314392 Enrollment ID: I20090209000117 |
| Provider Name | Michael I Gaffney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194726208 PECOS PAC ID: 9133132574 Enrollment ID: I20090209000256 |
| Provider Name | Peter V Kochupura |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184813388 PECOS PAC ID: 8325103278 Enrollment ID: I20090210000454 |
| Provider Name | Hubert G Foka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235215203 PECOS PAC ID: 9032119516 Enrollment ID: I20090212000007 |
| Provider Name | Keith R Lagnese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801859509 PECOS PAC ID: 2264329812 Enrollment ID: I20090213000465 |
| Provider Name | Matthew Ray Gingo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184770794 PECOS PAC ID: 2062578446 Enrollment ID: I20090310000472 |
| Provider Name | Timothy Horsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578519096 PECOS PAC ID: 9032004726 Enrollment ID: I20090422000134 |
| Provider Name | Kimberley E Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366696973 PECOS PAC ID: 1850440199 Enrollment ID: I20090518000040 |
| Provider Name | Stephanie S Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023083524 PECOS PAC ID: 7416006077 Enrollment ID: I20090601000515 |
| Provider Name | Meghan E Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396939302 PECOS PAC ID: 1557411675 Enrollment ID: I20090611000511 |
| Provider Name | Syed S Haider |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962615286 PECOS PAC ID: 3971653726 Enrollment ID: I20090616000808 |
| Provider Name | Mubashar S Chughtai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811994411 PECOS PAC ID: 1153471933 Enrollment ID: I20090617000267 |
| Provider Name | Wendy M Craig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306006051 PECOS PAC ID: 8820148505 Enrollment ID: I20090618000524 |
| Provider Name | Jillyn Roxberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366543472 PECOS PAC ID: 8426109976 Enrollment ID: I20090624000215 |
| Provider Name | Ankur Puri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164410940 PECOS PAC ID: 3577614023 Enrollment ID: I20090624000250 |
| Provider Name | Skye M Dedi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629219605 PECOS PAC ID: 1355492661 Enrollment ID: I20090626000377 |
| Provider Name | Michael R Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851412845 PECOS PAC ID: 5395896633 Enrollment ID: I20090629000006 |
| Provider Name | Philip Frank Iozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215931019 PECOS PAC ID: 4587557863 Enrollment ID: I20090630000181 |
| Provider Name | Marcia T Wertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659525889 PECOS PAC ID: 0143371062 Enrollment ID: I20090706000199 |
| Provider Name | Christopher J Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295933620 PECOS PAC ID: 0840376042 Enrollment ID: I20090709000711 |
| Provider Name | Charles B Luke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326222902 PECOS PAC ID: 6709938301 Enrollment ID: I20090713000266 |
| Provider Name | Muhammad Asad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851568695 PECOS PAC ID: 8325110463 Enrollment ID: I20090724000365 |
| Provider Name | Adefunke Olawaiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427080969 PECOS PAC ID: 4385672393 Enrollment ID: I20090730000152 |
| Provider Name | Katie Mcclelland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346403177 PECOS PAC ID: 5395898944 Enrollment ID: I20090730000153 |
| Provider Name | Patrick J Strollo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891760740 PECOS PAC ID: 5294888350 Enrollment ID: I20090806000616 |
| Provider Name | Donald C Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043475304 PECOS PAC ID: 3072666049 Enrollment ID: I20090810000154 |
| Provider Name | Stuart G Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225003155 PECOS PAC ID: 1052465549 Enrollment ID: I20090818000660 |
| Provider Name | William F Dewolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346405511 PECOS PAC ID: 5799831954 Enrollment ID: I20090914000530 |
| Provider Name | Juan F Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114188174 PECOS PAC ID: 1153467394 Enrollment ID: I20091001000550 |
| Provider Name | David Yuan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184893679 PECOS PAC ID: 2567508500 Enrollment ID: I20091006000342 |
| Provider Name | Ming-hui Fan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063561694 PECOS PAC ID: 8022154558 Enrollment ID: I20091014000036 |
| Provider Name | David H Rice |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710049184 PECOS PAC ID: 5294872289 Enrollment ID: I20091023000273 |
| Provider Name | Surbhi M Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093955320 PECOS PAC ID: 6608914775 Enrollment ID: I20091110000402 |
| Provider Name | Sofia Y Naz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104027366 PECOS PAC ID: 8123166907 Enrollment ID: I20091116000475 |
| Provider Name | Renee E Gilhousen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041568 PECOS PAC ID: 0840338497 Enrollment ID: I20091119000087 |
| Provider Name | Shuja Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002835 PECOS PAC ID: 5991844466 Enrollment ID: I20091124000084 |
| Provider Name | Jane A Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063428100 PECOS PAC ID: 9739280553 Enrollment ID: I20091202000649 |
| Provider Name | Ashleigh E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457685000 PECOS PAC ID: 5890834907 Enrollment ID: I20091203000220 |
| Provider Name | Stephen John Mitrosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245279546 PECOS PAC ID: 6901945674 Enrollment ID: I20091209000619 |
| Provider Name | Hader A Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598098170 PECOS PAC ID: 4880734557 Enrollment ID: I20091211000045 |
| Provider Name | Alan H Klein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609877463 PECOS PAC ID: 3173663457 Enrollment ID: I20091217000173 |
| Provider Name | Christopher C Schmidt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548262579 PECOS PAC ID: 3971499849 Enrollment ID: I20091217000222 |
| Provider Name | Dean G Sotereanos |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801898770 PECOS PAC ID: 9335289636 Enrollment ID: I20091217000389 |
| Provider Name | Rowena D Pingul-ravano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902059777 PECOS PAC ID: 3870633720 Enrollment ID: I20091228000300 |
| Provider Name | Melissa R Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497082374 PECOS PAC ID: 2961542824 Enrollment ID: I20091228000409 |
| Provider Name | Mark E Baratz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710986609 PECOS PAC ID: 3274674031 Enrollment ID: I20091231000152 |
| Provider Name | Jody F Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316272016 PECOS PAC ID: 5597807438 Enrollment ID: I20100115000243 |
| Provider Name | Seth R Rubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235102542 PECOS PAC ID: 8921140435 Enrollment ID: I20100121000681 |
| Provider Name | Thomas B Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629079660 PECOS PAC ID: 9537202957 Enrollment ID: I20100208000605 |
| Provider Name | Lynda Steelman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346471166 PECOS PAC ID: 8820132889 Enrollment ID: I20100215000748 |
| Provider Name | Paul T Lobur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245236975 PECOS PAC ID: 3072657915 Enrollment ID: I20100216000812 |
| Provider Name | Peter Bendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326010588 PECOS PAC ID: 5597840587 Enrollment ID: I20100217000670 |
| Provider Name | George Wahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477269 PECOS PAC ID: 6901940592 Enrollment ID: I20100220000043 |
| Provider Name | Mary Ann Hynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245272905 PECOS PAC ID: 3971647298 Enrollment ID: I20100224000247 |
| Provider Name | William R Henwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811970338 PECOS PAC ID: 5193869410 Enrollment ID: I20100224000303 |
| Provider Name | Andrew L Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821033846 PECOS PAC ID: 4082758222 Enrollment ID: I20100225000505 |
| Provider Name | Thomas L Schauble |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689778730 PECOS PAC ID: 4789767187 Enrollment ID: I20100304000054 |
| Provider Name | Theodore Vuchinich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992892681 PECOS PAC ID: 1052494457 Enrollment ID: I20100308000192 |
| Provider Name | Mariola Roguszka-jozwiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668424 PECOS PAC ID: 0143365437 Enrollment ID: I20100311000470 |
| Provider Name | Matthew Liwski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316137383 PECOS PAC ID: 9133201494 Enrollment ID: I20100325000832 |
| Provider Name | Diane W Inserra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699776633 PECOS PAC ID: 7214063437 Enrollment ID: I20100326000809 |
| Provider Name | Robin G Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922074566 PECOS PAC ID: 8022144583 Enrollment ID: I20100413000121 |
| Provider Name | Joseph F Talarico |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023087178 PECOS PAC ID: 0648307702 Enrollment ID: I20100421000360 |
| Provider Name | Aaron J Listopad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962476770 PECOS PAC ID: 4688701576 Enrollment ID: I20100426000031 |
| Provider Name | Becky T Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205809803 PECOS PAC ID: 3870620768 Enrollment ID: I20100426000146 |
| Provider Name | Randy M Kreider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720052905 PECOS PAC ID: 2961539796 Enrollment ID: I20100427000227 |
| Provider Name | Lora A. Cox-vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518165950 PECOS PAC ID: 2567590052 Enrollment ID: I20100504000202 |
| Provider Name | Robert D Mcgann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093769010 PECOS PAC ID: 6608942248 Enrollment ID: I20100504000551 |
| Provider Name | Ken Md Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942278387 PECOS PAC ID: 0547398976 Enrollment ID: I20100505001028 |
| Provider Name | Janet A Newcomer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336114792 PECOS PAC ID: 1254469695 Enrollment ID: I20100506000026 |
| Provider Name | Rogi Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720650 PECOS PAC ID: 4183752538 Enrollment ID: I20100506000138 |
| Provider Name | Beth A Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427022029 PECOS PAC ID: 5294863577 Enrollment ID: I20100506000609 |
| Provider Name | Shashikala Sarma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568162 PECOS PAC ID: 3870621089 Enrollment ID: I20100510000356 |
| Provider Name | Dean A Petrucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831164003 PECOS PAC ID: 6507994738 Enrollment ID: I20100510000462 |
| Provider Name | Anupama S Channarasappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518939065 PECOS PAC ID: 7012045248 Enrollment ID: I20100510000497 |
| Provider Name | Robert L Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881666543 PECOS PAC ID: 2365570595 Enrollment ID: I20100510000532 |
| Provider Name | Alan R Aspinall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777395 PECOS PAC ID: 9537297767 Enrollment ID: I20100510000549 |
| Provider Name | Edward J Garofolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932176781 PECOS PAC ID: 8022146174 Enrollment ID: I20100511000191 |
| Provider Name | Mary F Bohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679541379 PECOS PAC ID: 0941338909 Enrollment ID: I20100512000509 |
| Provider Name | George J Kochik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164496576 PECOS PAC ID: 5698803682 Enrollment ID: I20100512000836 |
| Provider Name | Timothey C Denko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720050214 PECOS PAC ID: 7012045958 Enrollment ID: I20100513000386 |
| Provider Name | William Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103359 PECOS PAC ID: 5496883365 Enrollment ID: I20100513000622 |
| Provider Name | Joseph A Gent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750354742 PECOS PAC ID: 6901934652 Enrollment ID: I20100517000737 |
| Provider Name | Seema Guglani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003889916 PECOS PAC ID: 6406984194 Enrollment ID: I20100518000279 |
| Provider Name | Stephen E Perryman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184699613 PECOS PAC ID: 9537297221 Enrollment ID: I20100518000341 |
| Provider Name | George M Zubak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659347847 PECOS PAC ID: 2567591233 Enrollment ID: I20100519000392 |
| Provider Name | John T. Wisneski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245206325 PECOS PAC ID: 1658400296 Enrollment ID: I20100520000290 |
| Provider Name | Michael G Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800604 PECOS PAC ID: 5799814356 Enrollment ID: I20100520000480 |
| Provider Name | Edward J Mcclain Iii |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518932243 PECOS PAC ID: 3577692979 Enrollment ID: I20100524000341 |
| Provider Name | Susan Beth Hainley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922072594 PECOS PAC ID: 2365571767 Enrollment ID: I20100524000378 |
| Provider Name | Vincent J Silvaggio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598730699 PECOS PAC ID: 7517096910 Enrollment ID: I20100524000404 |
| Provider Name | Carl Hasselman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558339291 PECOS PAC ID: 0143359331 Enrollment ID: I20100526000831 |
| Provider Name | Bryan Mosora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780829168 PECOS PAC ID: 7911036132 Enrollment ID: I20100527000011 |
| Provider Name | Carlos M Mayer-costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467482760 PECOS PAC ID: 4789713876 Enrollment ID: I20100528000098 |
| Provider Name | Gopinath R Rajupet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902871478 PECOS PAC ID: 3779612700 Enrollment ID: I20100528000599 |
| Provider Name | Deborah A Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932175783 PECOS PAC ID: 3072642909 Enrollment ID: I20100602000295 |
| Provider Name | James J Marcin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457353401 PECOS PAC ID: 8325177140 Enrollment ID: I20100603000346 |
| Provider Name | Jennifer A Ciambotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568434322 PECOS PAC ID: 0648300327 Enrollment ID: I20100607000166 |
| Provider Name | David M Zlotnicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689640872 PECOS PAC ID: 4587794029 Enrollment ID: I20100610000405 |
| Provider Name | Lewis V Whitman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457327819 PECOS PAC ID: 6608906011 Enrollment ID: I20100611000133 |
| Provider Name | Gordon R Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336112960 PECOS PAC ID: 8426188749 Enrollment ID: I20100614000338 |
| Provider Name | Eric R Weaverling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740256973 PECOS PAC ID: 6204919400 Enrollment ID: I20100614000487 |
| Provider Name | George B Sestric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164497442 PECOS PAC ID: 8224168356 Enrollment ID: I20100616000034 |
| Provider Name | Joseph John Secosky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770592354 PECOS PAC ID: 3577614924 Enrollment ID: I20100616000107 |
| Provider Name | David R Sacco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861484362 PECOS PAC ID: 9739219213 Enrollment ID: I20100618000632 |
| Provider Name | Donald Ralph Schowalter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790750669 PECOS PAC ID: 1052442969 Enrollment ID: I20100621000745 |
| Provider Name | Steven P Harris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073600763 PECOS PAC ID: 8325121726 Enrollment ID: I20100622000111 |
| Provider Name | Julie A Kmiec |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437352887 PECOS PAC ID: 1153452750 Enrollment ID: I20100625000563 |
| Provider Name | Charles T Dugan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861465858 PECOS PAC ID: 8729119193 Enrollment ID: I20100629000195 |
| Provider Name | Nadeem Ul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609844349 PECOS PAC ID: 1355472754 Enrollment ID: I20100629000568 |
| Provider Name | Daniel L Kass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629176995 PECOS PAC ID: 3072550284 Enrollment ID: I20100701000552 |
| Provider Name | Flora M Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669441713 PECOS PAC ID: 7214069129 Enrollment ID: I20100713000047 |
| Provider Name | Stephanie L Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194797183 PECOS PAC ID: 4880726306 Enrollment ID: I20100720000253 |
| Provider Name | Kate E Bayer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598761868 PECOS PAC ID: 5193767457 Enrollment ID: I20100721000664 |
| Provider Name | Alex J Kline |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558563098 PECOS PAC ID: 7012053564 Enrollment ID: I20100727000797 |
| Provider Name | Jawaid Kalim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043486178 PECOS PAC ID: 1759433493 Enrollment ID: I20100729000185 |
| Provider Name | Elbert R Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184620320 PECOS PAC ID: 5698807691 Enrollment ID: I20100804000162 |
| Provider Name | David J Mcadams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215901152 PECOS PAC ID: 1355474545 Enrollment ID: I20100810000094 |
| Provider Name | James H Mercuri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902027071 PECOS PAC ID: 6507990504 Enrollment ID: I20100812000634 |
| Provider Name | Charles J Burke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356313076 PECOS PAC ID: 7012031339 Enrollment ID: I20100824000153 |
| Provider Name | Adam K Lucich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457551301 PECOS PAC ID: 8022132307 Enrollment ID: I20100824000985 |
| Provider Name | Erin B Concannon-fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982679866 PECOS PAC ID: 4183748338 Enrollment ID: I20100825000682 |
| Provider Name | Der-long Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679549216 PECOS PAC ID: 4082738190 Enrollment ID: I20100826000309 |
| Provider Name | Daniel J Chantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878879 PECOS PAC ID: 2961526017 Enrollment ID: I20100826000781 |
| Provider Name | Andrew S Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538381 PECOS PAC ID: 9234253238 Enrollment ID: I20100827000332 |
| Provider Name | James P. Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487626149 PECOS PAC ID: 3870617806 Enrollment ID: I20100827000661 |
| Provider Name | Daniel Medic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023000585 PECOS PAC ID: 7012031065 Enrollment ID: I20100828000017 |
| Provider Name | Scott E Recalde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629006713 PECOS PAC ID: 8628193810 Enrollment ID: I20100910000875 |
| Provider Name | Richard C Stigliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902802069 PECOS PAC ID: 5496808073 Enrollment ID: I20100917000934 |
| Provider Name | Barry V Coutinho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164494738 PECOS PAC ID: 9739205980 Enrollment ID: I20100925000164 |
| Provider Name | Robert L Volosky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578573812 PECOS PAC ID: 1153373733 Enrollment ID: I20100928000084 |
| Provider Name | Kevin A Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346250693 PECOS PAC ID: 4789636366 Enrollment ID: I20100928000120 |
| Provider Name | Matthew H Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922091313 PECOS PAC ID: 6305038704 Enrollment ID: I20101004000959 |
| Provider Name | Oksana Karpov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821294414 PECOS PAC ID: 6002008042 Enrollment ID: I20101008000107 |
| Provider Name | Lawrence F Rahall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033103924 PECOS PAC ID: 0547452526 Enrollment ID: I20101008000549 |
| Provider Name | Gregory J Gallik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699749085 PECOS PAC ID: 7113119058 Enrollment ID: I20101011000130 |
| Provider Name | Donna Knupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356347819 PECOS PAC ID: 9436137874 Enrollment ID: I20101022000591 |
| Provider Name | Shannon R Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073711669 PECOS PAC ID: 2466510763 Enrollment ID: I20101026001059 |
| Provider Name | Michael G Risbano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457307589 PECOS PAC ID: 7517906985 Enrollment ID: I20101027000818 |
| Provider Name | Martin G Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043235260 PECOS PAC ID: 5597834853 Enrollment ID: I20101029000426 |
| Provider Name | Kristina M Curci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376518027 PECOS PAC ID: 2961434378 Enrollment ID: I20101029001280 |
| Provider Name | Kathleen A Fitch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477525434 PECOS PAC ID: 4688736754 Enrollment ID: I20101029001325 |
| Provider Name | Renato P Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243082 PECOS PAC ID: 5698969723 Enrollment ID: I20101102000805 |
| Provider Name | Benjamin L Shipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912980723 PECOS PAC ID: 0648464776 Enrollment ID: I20101102000852 |
| Provider Name | Phillip C.f. Dias-mandoly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326152125 PECOS PAC ID: 3971797010 Enrollment ID: I20101102000918 |
| Provider Name | Spiro N Papas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770558207 PECOS PAC ID: 9739374455 Enrollment ID: I20101108001049 |
| Provider Name | Timothy P Gaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225001886 PECOS PAC ID: 1951596683 Enrollment ID: I20101108001252 |
| Provider Name | Mark Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467766022 PECOS PAC ID: 8921293697 Enrollment ID: I20101109000207 |
| Provider Name | Lisa D Duvall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104899541 PECOS PAC ID: 8426243031 Enrollment ID: I20101109000838 |
| Provider Name | Lauri J Adler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780656025 PECOS PAC ID: 3870788003 Enrollment ID: I20101112000503 |
| Provider Name | Julie F Cameron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679513147 PECOS PAC ID: 1456248657 Enrollment ID: I20101115000584 |
| Provider Name | Shashi Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710949466 PECOS PAC ID: 8022046317 Enrollment ID: I20101117000424 |
| Provider Name | Mamta D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396933081 PECOS PAC ID: 9931395613 Enrollment ID: I20101119000750 |
| Provider Name | Clark M Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295702645 PECOS PAC ID: 6608062195 Enrollment ID: I20101123000775 |
| Provider Name | John M Brehm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821048455 PECOS PAC ID: 6709881527 Enrollment ID: I20101130000139 |
| Provider Name | Mary C Dougherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194794453 PECOS PAC ID: 8921294927 Enrollment ID: I20101201001116 |
| Provider Name | Rajal G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748093 PECOS PAC ID: 9032305008 Enrollment ID: I20101202000470 |
| Provider Name | Keith J Szekely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410165 PECOS PAC ID: 6709924707 Enrollment ID: I20101203000541 |
| Provider Name | Kenneth J Szekely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467450254 PECOS PAC ID: 9739267212 Enrollment ID: I20101206000342 |
| Provider Name | Henry C Groff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841269602 PECOS PAC ID: 1355538224 Enrollment ID: I20101206000482 |
| Provider Name | Sona Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376539809 PECOS PAC ID: 5799779864 Enrollment ID: I20101209000457 |
| Provider Name | Patricia K Kitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245204734 PECOS PAC ID: 8022205434 Enrollment ID: I20101210000985 |
| Provider Name | Myles H Zuckerman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245232115 PECOS PAC ID: 7315134616 Enrollment ID: I20101213000968 |
| Provider Name | Carolyn D Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225001548 PECOS PAC ID: 5092902254 Enrollment ID: I20101214000612 |
| Provider Name | Lynn A Myers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801908264 PECOS PAC ID: 3173710274 Enrollment ID: I20101214001115 |
| Provider Name | Emily R Giardina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730407198 PECOS PAC ID: 3971791716 Enrollment ID: I20101221000804 |
| Provider Name | Rudolph Antoncic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282437 PECOS PAC ID: 2466516885 Enrollment ID: I20101229001006 |
| Provider Name | Virginia Milne |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528373388 PECOS PAC ID: 8022206382 Enrollment ID: I20101230000667 |
| Provider Name | Sarah Debrunner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790981785 PECOS PAC ID: 3577664564 Enrollment ID: I20110104000478 |
| Provider Name | David R Hakas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578581930 PECOS PAC ID: 5890984207 Enrollment ID: I20110114000616 |
| Provider Name | Seetha T Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407828361 PECOS PAC ID: 1153510565 Enrollment ID: I20110114000624 |
| Provider Name | Alfred J Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588632517 PECOS PAC ID: 9436338753 Enrollment ID: I20110119000498 |
| Provider Name | Sathiavathi S Natarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588973440 PECOS PAC ID: 6709065543 Enrollment ID: I20110125000839 |
| Provider Name | Craig S Mauro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275736662 PECOS PAC ID: 1254510605 Enrollment ID: I20110201000239 |
| Provider Name | Mehrshid Kiazand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942494877 PECOS PAC ID: 5991985186 Enrollment ID: I20110204000429 |
| Provider Name | Emily L Gruendler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174830889 PECOS PAC ID: 2062692296 Enrollment ID: I20110204000946 |
| Provider Name | Eileen Moore Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336162023 PECOS PAC ID: 4082803150 Enrollment ID: I20110217000892 |
| Provider Name | Helen H Dorra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063627057 PECOS PAC ID: 7810178969 Enrollment ID: I20110222000875 |
| Provider Name | Ellen M Whyte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174599534 PECOS PAC ID: 5890977433 Enrollment ID: I20110303000383 |
| Provider Name | John Zisko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578680070 PECOS PAC ID: 5698792158 Enrollment ID: I20110303000560 |
| Provider Name | Rachel Ann Beels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679876759 PECOS PAC ID: 7618159815 Enrollment ID: I20110309000585 |
| Provider Name | Cameron Dezfulian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578563565 PECOS PAC ID: 9436117074 Enrollment ID: I20110310000698 |
| Provider Name | Mohamad S Ayasso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295726693 PECOS PAC ID: 8123091972 Enrollment ID: I20110315000414 |
| Provider Name | Robert William Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699878827 PECOS PAC ID: 3173672680 Enrollment ID: I20110329000182 |
| Provider Name | Amy J Diplacido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235314428 PECOS PAC ID: 8729262209 Enrollment ID: I20110407000117 |
| Provider Name | Carey T Vinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518952993 PECOS PAC ID: 9436333929 Enrollment ID: I20110407000235 |
| Provider Name | Nicole M Kichta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790779064 PECOS PAC ID: 9032101274 Enrollment ID: I20110505000410 |
| Provider Name | Clarissa A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437456126 PECOS PAC ID: 8820273865 Enrollment ID: I20110506000170 |
| Provider Name | Joseph A Martinelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669415766 PECOS PAC ID: 7618153370 Enrollment ID: I20110512000801 |
| Provider Name | Jody B Glance |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871799163 PECOS PAC ID: 9335325836 Enrollment ID: I20110518000327 |
| Provider Name | Patricia M Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477858512 PECOS PAC ID: 6002092434 Enrollment ID: I20110518000802 |
| Provider Name | Adam Tripp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265638753 PECOS PAC ID: 4688850720 Enrollment ID: I20110525000460 |
| Provider Name | Kristen L Nardozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841429321 PECOS PAC ID: 0648457697 Enrollment ID: I20110531000724 |
| Provider Name | Michael S Nillas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649282658 PECOS PAC ID: 8729084157 Enrollment ID: I20110601000654 |
| Provider Name | Ure Laura Mezu-chukwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932398872 PECOS PAC ID: 9739366089 Enrollment ID: I20110614000284 |
| Provider Name | Michelle S Victain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548440415 PECOS PAC ID: 0042394314 Enrollment ID: I20110706000192 |
| Provider Name | Franklin H Chou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811199318 PECOS PAC ID: 3072791417 Enrollment ID: I20110707000095 |
| Provider Name | Elizabeth D Radomsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306890934 PECOS PAC ID: 1658559950 Enrollment ID: I20110708000216 |
| Provider Name | Usha Gollamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922303940 PECOS PAC ID: 4880862697 Enrollment ID: I20110722000043 |
| Provider Name | Stacey M Bowser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306006275 PECOS PAC ID: 7012185747 Enrollment ID: I20110722000377 |
| Provider Name | Nicole N De Bolt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912984832 PECOS PAC ID: 2567630064 Enrollment ID: I20110728000446 |
| Provider Name | Erika J Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386895076 PECOS PAC ID: 4082883467 Enrollment ID: I20110802000439 |
| Provider Name | Stephanie M Szekely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912232802 PECOS PAC ID: 5799823712 Enrollment ID: I20110803000287 |
| Provider Name | Christian S Lima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003060740 PECOS PAC ID: 1456520535 Enrollment ID: I20110805000371 |
| Provider Name | Majed Maalouf |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073741245 PECOS PAC ID: 2860662202 Enrollment ID: I20110823000377 |
| Provider Name | Ravi Kondaveeti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942317482 PECOS PAC ID: 4284633561 Enrollment ID: I20110823000468 |
| Provider Name | Kimberly B Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144483553 PECOS PAC ID: 7719157023 Enrollment ID: I20110824000301 |
| Provider Name | Abir A Senz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306007000 PECOS PAC ID: 8224208426 Enrollment ID: I20110825000601 |
| Provider Name | Jennifer L Zahniser |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851566194 PECOS PAC ID: 2769652890 Enrollment ID: I20110829000662 |
| Provider Name | Steven P Hand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417092362 PECOS PAC ID: 2163528043 Enrollment ID: I20110901000132 |
| Provider Name | Su Min Cho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477747509 PECOS PAC ID: 5092985960 Enrollment ID: I20110901000157 |
| Provider Name | Elizabeta Kovkarova-naumovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467604496 PECOS PAC ID: 0749451375 Enrollment ID: I20110912000441 |
| Provider Name | Bryan A Doner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285931394 PECOS PAC ID: 9436320975 Enrollment ID: I20110914000262 |
| Provider Name | Matthew J Synan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982809190 PECOS PAC ID: 9931372638 Enrollment ID: I20111025000299 |
| Provider Name | Catherine V Palmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801861430 PECOS PAC ID: 0446424253 Enrollment ID: I20111114000047 |
| Provider Name | Alissa M Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528296696 PECOS PAC ID: 8921272113 Enrollment ID: I20111128000683 |
| Provider Name | Rick Hyre |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093788739 PECOS PAC ID: 6901071919 Enrollment ID: I20111202000109 |
| Provider Name | William M Konitsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215111844 PECOS PAC ID: 7315022241 Enrollment ID: I20111207000160 |
| Provider Name | Leah Annette G Dilangalen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528219805 PECOS PAC ID: 6608057799 Enrollment ID: I20111207000314 |
| Provider Name | Charles E Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205819232 PECOS PAC ID: 3274524194 Enrollment ID: I20111219000089 |
| Provider Name | Frank Joseph Lodeserto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326242173 PECOS PAC ID: 8527233667 Enrollment ID: I20111219000554 |
| Provider Name | Saiqua A Waien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629144217 PECOS PAC ID: 2668496050 Enrollment ID: I20111219000758 |
| Provider Name | Nathan R Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648535 PECOS PAC ID: 7911173463 Enrollment ID: I20120104000450 |
| Provider Name | Michelle L Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942579289 PECOS PAC ID: 0446426720 Enrollment ID: I20120111000605 |
| Provider Name | Debra S Eisner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881667848 PECOS PAC ID: 6608043526 Enrollment ID: I20120118000271 |
| Provider Name | Fritz J Lubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942409479 PECOS PAC ID: 5395822191 Enrollment ID: I20120120000770 |
| Provider Name | Karen Suzanne Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467622175 PECOS PAC ID: 6406929322 Enrollment ID: I20120126000381 |
| Provider Name | Honore Satcho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528209699 PECOS PAC ID: 5799942033 Enrollment ID: I20120130000262 |
| Provider Name | Brandon L Beach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548538937 PECOS PAC ID: 2769649961 Enrollment ID: I20120131000078 |
| Provider Name | Nicolas J De La Pena |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477554772 PECOS PAC ID: 2365609435 Enrollment ID: I20120201000035 |
| Provider Name | Troy A Sorchilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982973814 PECOS PAC ID: 2163689100 Enrollment ID: I20120203000056 |
| Provider Name | Domenic M Mantella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326273392 PECOS PAC ID: 4880851591 Enrollment ID: I20120208000620 |
| Provider Name | Annette L Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902177124 PECOS PAC ID: 2163689753 Enrollment ID: I20120209000545 |
| Provider Name | Matthew A Wirt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699929349 PECOS PAC ID: 8820255425 Enrollment ID: I20120209000652 |
| Provider Name | Jamie L Modaffari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729145 PECOS PAC ID: 9638337835 Enrollment ID: I20120220000397 |
| Provider Name | Alicia A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669455978 PECOS PAC ID: 4789744459 Enrollment ID: I20120220000843 |
| Provider Name | Brenda K Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497742878 PECOS PAC ID: 2163681677 Enrollment ID: I20120301000751 |
| Provider Name | Lisa J Thompson-barent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518238195 PECOS PAC ID: 7214196773 Enrollment ID: I20120302000312 |
| Provider Name | Timothy A Newcomer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437140019 PECOS PAC ID: 5092975458 Enrollment ID: I20120322000589 |
| Provider Name | Larry J Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275687857 PECOS PAC ID: 2466612148 Enrollment ID: I20120404000894 |
| Provider Name | Margaret L Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977252 PECOS PAC ID: 7517128713 Enrollment ID: I20120416000507 |
| Provider Name | Kerri W Last |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093771701 PECOS PAC ID: 6204098866 Enrollment ID: I20120427000476 |
| Provider Name | John William Kasckow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508879842 PECOS PAC ID: 4486544640 Enrollment ID: I20120507000283 |
| Provider Name | Sandra K Majocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073887618 PECOS PAC ID: 4082876180 Enrollment ID: I20120508000183 |
| Provider Name | Kelley A Anderson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528212271 PECOS PAC ID: 5991968232 Enrollment ID: I20120523000442 |
| Provider Name | Lori D Zitelli |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396010062 PECOS PAC ID: 1355504598 Enrollment ID: I20120525000066 |
| Provider Name | Kristen L Engle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366417305 PECOS PAC ID: 1557524543 Enrollment ID: I20120601000248 |
| Provider Name | Richard L Weinberg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518981224 PECOS PAC ID: 7315962529 Enrollment ID: I20120618000228 |
| Provider Name | Kalpana Chennareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750513768 PECOS PAC ID: 0042476707 Enrollment ID: I20120724000758 |
| Provider Name | Kelly J Chaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588892632 PECOS PAC ID: 5698931236 Enrollment ID: I20120725000708 |
| Provider Name | Desiree A Yetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689803017 PECOS PAC ID: 9830345032 Enrollment ID: I20120803000116 |
| Provider Name | Amit Neog |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669629762 PECOS PAC ID: 6709032428 Enrollment ID: I20120813000683 |
| Provider Name | Kathleen F Popinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699066274 PECOS PAC ID: 2163679283 Enrollment ID: I20120824000481 |
| Provider Name | William M Trachtman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184646598 PECOS PAC ID: 3779562061 Enrollment ID: I20120827000526 |
| Provider Name | Timothy M Fullerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295964195 PECOS PAC ID: 1355599366 Enrollment ID: I20120918000020 |
| Provider Name | Marc C Gauthier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649407628 PECOS PAC ID: 6608025804 Enrollment ID: I20121003000664 |
| Provider Name | Dina M Difeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992060636 PECOS PAC ID: 4789833898 Enrollment ID: I20121005000013 |
| Provider Name | Beth L Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013265842 PECOS PAC ID: 2769631688 Enrollment ID: I20121009000173 |
| Provider Name | Lea M Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861742587 PECOS PAC ID: 9638329816 Enrollment ID: I20121024000442 |
| Provider Name | Valerie P Wislo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145150 PECOS PAC ID: 8820249915 Enrollment ID: I20121120000186 |
| Provider Name | Deepa Burman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1649420969 PECOS PAC ID: 6608028345 Enrollment ID: I20121204000368 |
| Provider Name | Julie A Bulford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841542834 PECOS PAC ID: 8527210053 Enrollment ID: I20121210000255 |
| Provider Name | Stephanie Stebelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114262458 PECOS PAC ID: 7618129750 Enrollment ID: I20121218000304 |
| Provider Name | Kenneth W Moritz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447595681 PECOS PAC ID: 6709030570 Enrollment ID: I20130201000060 |
| Provider Name | Loukia Papatheodorou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497092126 PECOS PAC ID: 8224283312 Enrollment ID: I20130220000468 |
| Provider Name | Gina L Debeni |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336427228 PECOS PAC ID: 1456506021 Enrollment ID: I20130305000321 |
| Provider Name | Katie L Barry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881996007 PECOS PAC ID: 5890940316 Enrollment ID: I20130306000215 |
| Provider Name | Kelly A Saversky |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891949095 PECOS PAC ID: 7214078401 Enrollment ID: I20130307000416 |
| Provider Name | Lisa M Livecchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013211622 PECOS PAC ID: 6002061330 Enrollment ID: I20130312000349 |
| Provider Name | Nathaniel M Weathington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063615466 PECOS PAC ID: 6103061932 Enrollment ID: I20130328000100 |
| Provider Name | Park W Bateson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093029506 PECOS PAC ID: 6204075328 Enrollment ID: I20130621000507 |
| Provider Name | Jonathan Elmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962674077 PECOS PAC ID: 1052579364 Enrollment ID: I20130701000313 |
| Provider Name | Jared Chiarchiaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962644328 PECOS PAC ID: 4688814262 Enrollment ID: I20130702000233 |
| Provider Name | Christina F Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255569018 PECOS PAC ID: 8426298035 Enrollment ID: I20130702000555 |
| Provider Name | Margaret K Behr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194044917 PECOS PAC ID: 6204076169 Enrollment ID: I20130717000565 |
| Provider Name | Linda M Welsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902995806 PECOS PAC ID: 2769664119 Enrollment ID: I20130720000274 |
| Provider Name | Sheila Ramgopal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932333416 PECOS PAC ID: 2163663642 Enrollment ID: I20130725000490 |
| Provider Name | Amy C Heinzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184945388 PECOS PAC ID: 3779726898 Enrollment ID: I20130821000341 |
| Provider Name | Faraaz A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023245677 PECOS PAC ID: 6204079320 Enrollment ID: I20130821000373 |
| Provider Name | Jennifer L Kuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914188 PECOS PAC ID: 2264675966 Enrollment ID: I20130828000500 |
| Provider Name | Rachel E Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952622144 PECOS PAC ID: 5496998064 Enrollment ID: I20130829000402 |
| Provider Name | Jonathan Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844888 PECOS PAC ID: 4587807920 Enrollment ID: I20130904000085 |
| Provider Name | Richard B Hoffmaster |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912135799 PECOS PAC ID: 3870737638 Enrollment ID: I20130917000308 |
| Provider Name | Samuel T Detwiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548259617 PECOS PAC ID: 1850382839 Enrollment ID: I20130919000266 |
| Provider Name | Susan R Saxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578689378 PECOS PAC ID: 3971737891 Enrollment ID: I20131009000552 |
| Provider Name | Luke J Jesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689995805 PECOS PAC ID: 0042444671 Enrollment ID: I20131014001149 |
| Provider Name | Nancy Jane Pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639370406 PECOS PAC ID: 3678708849 Enrollment ID: I20131023001521 |
| Provider Name | Matthew A Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124346978 PECOS PAC ID: 3779719232 Enrollment ID: I20131112000797 |
| Provider Name | Catherine M Novosel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669786612 PECOS PAC ID: 0345476917 Enrollment ID: I20131204001493 |
| Provider Name | Ereny R Eskarous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013237759 PECOS PAC ID: 9739316761 Enrollment ID: I20131218000620 |
| Provider Name | Katrina M Clacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669800330 PECOS PAC ID: 8325276066 Enrollment ID: I20140102000710 |
| Provider Name | Noor A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235112228 PECOS PAC ID: 8729216387 Enrollment ID: I20140107000132 |
| Provider Name | Lakshmi K Kodey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508178427 PECOS PAC ID: 6204064587 Enrollment ID: I20140113000986 |
| Provider Name | Donna L Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578993978 PECOS PAC ID: 1557599446 Enrollment ID: I20140123000897 |
| Provider Name | Bernadette Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275882292 PECOS PAC ID: 4789813767 Enrollment ID: I20140218000006 |
| Provider Name | Stacey L Moretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780006254 PECOS PAC ID: 1153551791 Enrollment ID: I20140227001745 |
| Provider Name | Paula R Scalise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579721 PECOS PAC ID: 6901036011 Enrollment ID: I20140311000046 |
| Provider Name | Heather A Dryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588098164 PECOS PAC ID: 3971737644 Enrollment ID: I20140317000734 |
| Provider Name | Kristina M Azar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639195043 PECOS PAC ID: 2163465022 Enrollment ID: I20140320001252 |
| Provider Name | Lou A Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322159 PECOS PAC ID: 2163653817 Enrollment ID: I20140324000754 |
| Provider Name | Elena D Flores-noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952724544 PECOS PAC ID: 8628200730 Enrollment ID: I20140403001480 |
| Provider Name | Saralinda A Haskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912330069 PECOS PAC ID: 0446482400 Enrollment ID: I20140407001461 |
| Provider Name | Shelli M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467798553 PECOS PAC ID: 1456583210 Enrollment ID: I20140409000896 |
| Provider Name | Lindsay H Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316360308 PECOS PAC ID: 7113150038 Enrollment ID: I20140430001073 |
| Provider Name | Elizabeth A Mohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952622151 PECOS PAC ID: 7618100298 Enrollment ID: I20140506001336 |
| Provider Name | Donald Ray Siddoway |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235392093 PECOS PAC ID: 5092939827 Enrollment ID: I20140617001043 |
| Provider Name | Daniel Colin Zank |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437461811 PECOS PAC ID: 6901049311 Enrollment ID: I20140619001358 |
| Provider Name | Kimberly M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851722581 PECOS PAC ID: 4789809773 Enrollment ID: I20140708000458 |
| Provider Name | Carrie S Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346678646 PECOS PAC ID: 7416173919 Enrollment ID: I20140718000331 |
| Provider Name | Ashley M Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225321003 PECOS PAC ID: 7214153691 Enrollment ID: I20140721000697 |
| Provider Name | Patrice A Rau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366736704 PECOS PAC ID: 0042436313 Enrollment ID: I20140722001550 |
| Provider Name | Ian J Barbash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922328392 PECOS PAC ID: 5496916884 Enrollment ID: I20140723000388 |
| Provider Name | Periklis Papapetropoulos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306267729 PECOS PAC ID: 3274759469 Enrollment ID: I20140724000444 |
| Provider Name | Matthew P Harbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866487 PECOS PAC ID: 9436376126 Enrollment ID: I20140804000119 |
| Provider Name | Matthew C Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790096907 PECOS PAC ID: 9537387949 Enrollment ID: I20140827000839 |
| Provider Name | Adam M Chasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821382292 PECOS PAC ID: 3678791902 Enrollment ID: I20140828002139 |
| Provider Name | Kenneth L Urish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063670065 PECOS PAC ID: 1153565379 Enrollment ID: I20140903000740 |
| Provider Name | Allison L Flaherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134430937 PECOS PAC ID: 0648408393 Enrollment ID: I20140926000176 |
| Provider Name | Kathleen M Storer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629496476 PECOS PAC ID: 2567682461 Enrollment ID: I20140926001931 |
| Provider Name | Beena J Puthenpurayil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841985 PECOS PAC ID: 1951521533 Enrollment ID: I20141002000668 |
| Provider Name | Sameh M Anton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205110335 PECOS PAC ID: 5193945681 Enrollment ID: I20141006000285 |
| Provider Name | Stacy L Lemmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437567112 PECOS PAC ID: 4587884986 Enrollment ID: I20141007002004 |
| Provider Name | Christine P Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780084616 PECOS PAC ID: 9931320058 Enrollment ID: I20141014002255 |
| Provider Name | Frank J Koziara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295801082 PECOS PAC ID: 7719978295 Enrollment ID: I20141020001361 |
| Provider Name | Benjamin Boss |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942614615 PECOS PAC ID: 5395966923 Enrollment ID: I20141024001211 |
| Provider Name | Adrian W Clayton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902055734 PECOS PAC ID: 9032330394 Enrollment ID: I20141030000278 |
| Provider Name | Kathleen T Costigan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174769749 PECOS PAC ID: 1850534249 Enrollment ID: I20141106001478 |
| Provider Name | Lacey M Lowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902208838 PECOS PAC ID: 9638391501 Enrollment ID: I20141107001488 |
| Provider Name | Veronika White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306135819 PECOS PAC ID: 3072748052 Enrollment ID: I20141112000246 |
| Provider Name | Mylynda B Massart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497936587 PECOS PAC ID: 1153473392 Enrollment ID: I20141112001600 |
| Provider Name | Nicole M Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922382530 PECOS PAC ID: 3274855929 Enrollment ID: I20141208000791 |
| Provider Name | Tina Marie Melisko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775195 PECOS PAC ID: 0345562831 Enrollment ID: I20141212000701 |
| Provider Name | Kasey L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821492604 PECOS PAC ID: 9931422235 Enrollment ID: I20141217001611 |
| Provider Name | Kimberly A Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352737 PECOS PAC ID: 7719200070 Enrollment ID: I20141218000939 |
| Provider Name | Silvana Spertus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891719555 PECOS PAC ID: 1759311517 Enrollment ID: I20141222000411 |
| Provider Name | Danielle A Roe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700179587 PECOS PAC ID: 4082938550 Enrollment ID: I20150112001311 |
| Provider Name | Melissa Lynn Whoolery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598168551 PECOS PAC ID: 6204150451 Enrollment ID: I20150120000074 |
| Provider Name | James William Dombroski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306134473 PECOS PAC ID: 2163662834 Enrollment ID: I20150121001602 |
| Provider Name | Winfred T Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922268481 PECOS PAC ID: 8628241924 Enrollment ID: I20150224000419 |
| Provider Name | Donna Lee Geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912302415 PECOS PAC ID: 1557686755 Enrollment ID: I20150226001261 |
| Provider Name | Lacey J Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104216514 PECOS PAC ID: 2567789795 Enrollment ID: I20150326001277 |
| Provider Name | Alyssa J Solimene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184914392 PECOS PAC ID: 2567780240 Enrollment ID: I20150408002323 |
| Provider Name | Caroline W Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730445651 PECOS PAC ID: 0941528491 Enrollment ID: I20150413000914 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407197734 PECOS PAC ID: 4789902800 Enrollment ID: I20150421000807 |
| Provider Name | Lawson F Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922190784 PECOS PAC ID: 1153641147 Enrollment ID: I20150514001011 |
| Provider Name | Alexandra G Potock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366708133 PECOS PAC ID: 8426378829 Enrollment ID: I20150527000946 |
| Provider Name | Georgios Kitsios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285920843 PECOS PAC ID: 7911218086 Enrollment ID: I20150616000858 |
| Provider Name | Donna C Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962797225 PECOS PAC ID: 4789995622 Enrollment ID: I20150619000170 |
| Provider Name | Barbara S Nightingale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083925903 PECOS PAC ID: 3274844808 Enrollment ID: I20150623001154 |
| Provider Name | Steven F Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700847365 PECOS PAC ID: 1153451380 Enrollment ID: I20150713002729 |
| Provider Name | Florian B Mayr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730488107 PECOS PAC ID: 4789997180 Enrollment ID: I20150714001781 |
| Provider Name | Theresa M Meldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013394808 PECOS PAC ID: 7214240555 Enrollment ID: I20150716000337 |
| Provider Name | Vivek Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508123134 PECOS PAC ID: 9436462462 Enrollment ID: I20150721000512 |
| Provider Name | Heather A Margonari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194107128 PECOS PAC ID: 5991018657 Enrollment ID: I20150723008978 |
| Provider Name | Nathan R Pyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750761334 PECOS PAC ID: 3476866005 Enrollment ID: I20150724011312 |
| Provider Name | Nathan T Formaini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972730604 PECOS PAC ID: 6608094032 Enrollment ID: I20150805007248 |
| Provider Name | Larissa A Jackline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316327265 PECOS PAC ID: 2668786377 Enrollment ID: I20150807014421 |
| Provider Name | Syeda S Zaidi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710266945 PECOS PAC ID: 1759697592 Enrollment ID: I20150825003525 |
| Provider Name | John W Evankovich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154689511 PECOS PAC ID: 1850608795 Enrollment ID: I20150909003251 |
| Provider Name | Brent S Harlan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215080361 PECOS PAC ID: 0042435620 Enrollment ID: I20150914001820 |
| Provider Name | Jonathon A Wertz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225263577 PECOS PAC ID: 4587971932 Enrollment ID: I20150916003218 |
| Provider Name | Stephanie L Lubin Rocca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710354071 PECOS PAC ID: 9830406990 Enrollment ID: I20150922001996 |
| Provider Name | Bryan Hooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326368085 PECOS PAC ID: 7416107362 Enrollment ID: I20150925001586 |
| Provider Name | Jamie L Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290404 PECOS PAC ID: 8820306434 Enrollment ID: I20151001000838 |
| Provider Name | Alison T Lennox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477849883 PECOS PAC ID: 1557679925 Enrollment ID: I20151005001189 |
| Provider Name | Lisa Tanya Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447366554 PECOS PAC ID: 6507886058 Enrollment ID: I20151006002187 |
| Provider Name | Anita Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962883413 PECOS PAC ID: 3971812066 Enrollment ID: I20151012000064 |
| Provider Name | Megan M Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598140162 PECOS PAC ID: 3577872332 Enrollment ID: I20151016001460 |
| Provider Name | Corrine B Pfaff |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386029536 PECOS PAC ID: 5799094546 Enrollment ID: I20151019002063 |
| Provider Name | Teagan M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194161372 PECOS PAC ID: 0840500567 Enrollment ID: I20151110000949 |
| Provider Name | Jae Young Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356650410 PECOS PAC ID: 9638304280 Enrollment ID: I20151112002250 |
| Provider Name | Stephanie Irene Maximous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205063641 PECOS PAC ID: 5496911794 Enrollment ID: I20151120000856 |
| Provider Name | Susan M Marchezak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245602887 PECOS PAC ID: 2062712193 Enrollment ID: I20151123000406 |
| Provider Name | Yugandhar C Kalagara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285039602 PECOS PAC ID: 6608176128 Enrollment ID: I20151204000970 |
| Provider Name | Kara A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277080 PECOS PAC ID: 7810297231 Enrollment ID: I20151207002467 |
| Provider Name | Bethany L Sincek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716597 PECOS PAC ID: 4082915061 Enrollment ID: I20151216001195 |
| Provider Name | Julia V Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982805396 PECOS PAC ID: 9133266430 Enrollment ID: I20151228001553 |
| Provider Name | Mary S Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912287483 PECOS PAC ID: 0446553234 Enrollment ID: I20160128001949 |
| Provider Name | Jeffrey K Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194764860 PECOS PAC ID: 9739154584 Enrollment ID: I20160203001236 |
| Provider Name | Taimur Akram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034804 PECOS PAC ID: 1052564630 Enrollment ID: I20160208000172 |
| Provider Name | Sherry A Burgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285092999 PECOS PAC ID: 6103121181 Enrollment ID: I20160301000053 |
| Provider Name | Christine L Fahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112023 PECOS PAC ID: 6103122551 Enrollment ID: I20160310000865 |
| Provider Name | Catherine V Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114391380 PECOS PAC ID: 2264739200 Enrollment ID: I20160318000933 |
| Provider Name | Kristen S Kozak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942554787 PECOS PAC ID: 3971808973 Enrollment ID: I20160321000035 |
| Provider Name | Brandi L Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235507294 PECOS PAC ID: 5991002479 Enrollment ID: I20160329000175 |
| Provider Name | Umang A Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376707810 PECOS PAC ID: 2466639224 Enrollment ID: I20160519002102 |
| Provider Name | Krista M Leman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942563101 PECOS PAC ID: 1759671969 Enrollment ID: I20160531001835 |
| Provider Name | Cathy R Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730535444 PECOS PAC ID: 3678572880 Enrollment ID: I20160603000567 |
| Provider Name | Wynne R Lundblad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205198199 PECOS PAC ID: 1951692763 Enrollment ID: I20160627001216 |
| Provider Name | Morgan Faeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407144892 PECOS PAC ID: 3779875364 Enrollment ID: I20160629002330 |
| Provider Name | Darcy M Moschenross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073801197 PECOS PAC ID: 5597057125 Enrollment ID: I20160630000497 |
| Provider Name | Christina Alimin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215298682 PECOS PAC ID: 0042502718 Enrollment ID: I20160718000511 |
| Provider Name | Brittany E Proddutur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376806547 PECOS PAC ID: 9739409574 Enrollment ID: I20160720000590 |
| Provider Name | Rebecca B Simcik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558604405 PECOS PAC ID: 0143448498 Enrollment ID: I20160809001204 |
| Provider Name | Daniel J Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821350398 PECOS PAC ID: 1355643172 Enrollment ID: I20160809002598 |
| Provider Name | Azariyas A Challa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008088 PECOS PAC ID: 3173742707 Enrollment ID: I20160830001192 |
| Provider Name | Aashish V Jog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134479736 PECOS PAC ID: 7012202005 Enrollment ID: I20160830002129 |
| Provider Name | Lauren A Aldewereld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134561293 PECOS PAC ID: 8123321833 Enrollment ID: I20160901001889 |
| Provider Name | Megan E Keirans |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669822649 PECOS PAC ID: 5991091795 Enrollment ID: I20160902001103 |
| Provider Name | Amber L Glaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689011561 PECOS PAC ID: 6406172790 Enrollment ID: I20160912002310 |
| Provider Name | Elaine P Boron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811335664 PECOS PAC ID: 9133416159 Enrollment ID: I20160920000082 |
| Provider Name | William G Bain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659647675 PECOS PAC ID: 3274782446 Enrollment ID: I20160928000693 |
| Provider Name | Gregory F Meloy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376838425 PECOS PAC ID: 2961790134 Enrollment ID: I20161004002435 |
| Provider Name | Natasha M Gombami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138750 PECOS PAC ID: 0446548200 Enrollment ID: I20161011000450 |
| Provider Name | Gregory B Pallus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811358807 PECOS PAC ID: 8224326806 Enrollment ID: I20161014000247 |
| Provider Name | Edward R Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770921538 PECOS PAC ID: 5092093211 Enrollment ID: I20161024000099 |
| Provider Name | Oluremi Ajala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629412325 PECOS PAC ID: 7719129808 Enrollment ID: I20161031000129 |
| Provider Name | Amber Breindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278259 PECOS PAC ID: 1254619901 Enrollment ID: I20161031001865 |
| Provider Name | Ashley K Secunda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730523374 PECOS PAC ID: 3375821937 Enrollment ID: I20161102000542 |
| Provider Name | Megan R Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132878 PECOS PAC ID: 6002195377 Enrollment ID: I20161110000313 |
| Provider Name | Brittany A Palmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376794578 PECOS PAC ID: 4789819863 Enrollment ID: I20161110000974 |
| Provider Name | Ritika Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073953089 PECOS PAC ID: 5193004323 Enrollment ID: I20161110002608 |
| Provider Name | Kareem I Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952736969 PECOS PAC ID: 1951680016 Enrollment ID: I20161111001211 |
| Provider Name | Samridhi Chikersal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659712362 PECOS PAC ID: 3678862133 Enrollment ID: I20161213000871 |
| Provider Name | Christopher T Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578851077 PECOS PAC ID: 8123309820 Enrollment ID: I20170111000277 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20170119000176 |
| Provider Name | Muayad Kadhim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053710228 PECOS PAC ID: 5193944114 Enrollment ID: I20170119000230 |
| Provider Name | Autumn K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922559178 PECOS PAC ID: 7315229606 Enrollment ID: I20170121000075 |
| Provider Name | Andrea R Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215203302 PECOS PAC ID: 6800170960 Enrollment ID: I20170309000824 |
| Provider Name | Lenise N Murphy-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904664 PECOS PAC ID: 2769767631 Enrollment ID: I20170316001816 |
| Provider Name | Jason P Spinneweber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803163 PECOS PAC ID: 6709162290 Enrollment ID: I20170418001315 |
| Provider Name | Brandi B Eutsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902176928 PECOS PAC ID: 1557648169 Enrollment ID: I20170509002148 |
| Provider Name | Colleen M Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212368 PECOS PAC ID: 0840419057 Enrollment ID: I20170517000482 |
| Provider Name | James N Irvine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053673038 PECOS PAC ID: 2163799883 Enrollment ID: I20170601000614 |
| Provider Name | Robin E Leap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063778603 PECOS PAC ID: 8123395522 Enrollment ID: I20170606000300 |
| Provider Name | Megan Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932515608 PECOS PAC ID: 4981995776 Enrollment ID: I20170614000832 |
| Provider Name | Alexis L Parente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629519582 PECOS PAC ID: 0143598110 Enrollment ID: I20170615000699 |
| Provider Name | Michele P Denial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326121765 PECOS PAC ID: 3779531587 Enrollment ID: I20170630001594 |
| Provider Name | Ryan M Juza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629398292 PECOS PAC ID: 6608017132 Enrollment ID: I20170703000960 |
| Provider Name | Konstantinos Tourlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952741217 PECOS PAC ID: 0547489809 Enrollment ID: I20170710001876 |
| Provider Name | Adrienne M Conroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215340914 PECOS PAC ID: 3476844424 Enrollment ID: I20170712000491 |
| Provider Name | Timothy B Kaselitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104187186 PECOS PAC ID: 4385873512 Enrollment ID: I20170713003014 |
| Provider Name | Tomeka Lynette Suber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205079787 PECOS PAC ID: 7416106158 Enrollment ID: I20170719000134 |
| Provider Name | Gina M Perez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477576734 PECOS PAC ID: 1951298587 Enrollment ID: I20170719000649 |
| Provider Name | Ryan P Lapointe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967929 PECOS PAC ID: 7315217601 Enrollment ID: I20170719002096 |
| Provider Name | Chadwick Seth Richard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932442860 PECOS PAC ID: 7113145335 Enrollment ID: I20170727001489 |
| Provider Name | Karthik R Kode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930497 PECOS PAC ID: 5294977377 Enrollment ID: I20170727003436 |
| Provider Name | Eric Preston Nolley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063777100 PECOS PAC ID: 0941438832 Enrollment ID: I20170728002048 |
| Provider Name | Eva K Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356769467 PECOS PAC ID: 2567733975 Enrollment ID: I20170803001303 |
| Provider Name | Jennifer L Rowland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578793345 PECOS PAC ID: 0143591453 Enrollment ID: I20170804001981 |
| Provider Name | Stephanie N Hucko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336552058 PECOS PAC ID: 6608166293 Enrollment ID: I20170807000423 |
| Provider Name | Rajvi Harish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921666 PECOS PAC ID: 4486958931 Enrollment ID: I20170814000888 |
| Provider Name | Cheryl Honey Pivirotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730436171 PECOS PAC ID: 7416247531 Enrollment ID: I20170821001378 |
| Provider Name | Robin M Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225566078 PECOS PAC ID: 3274805585 Enrollment ID: I20170822001778 |
| Provider Name | Kaitlin V Peters |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750624839 PECOS PAC ID: 1557633583 Enrollment ID: I20170824003571 |
| Provider Name | Erin Rhinehart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720320146 PECOS PAC ID: 1759686868 Enrollment ID: I20170914003958 |
| Provider Name | Amber E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265724074 PECOS PAC ID: 8921258385 Enrollment ID: I20170915000982 |
| Provider Name | Namir Khandker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841559077 PECOS PAC ID: 3870867138 Enrollment ID: I20170926000269 |
| Provider Name | Sanketh R Proddutur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184037822 PECOS PAC ID: 8628368164 Enrollment ID: I20171003006364 |
| Provider Name | Victoria Mccurry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161888 PECOS PAC ID: 3072826379 Enrollment ID: I20171101000161 |
| Provider Name | Swetha Samineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174852172 PECOS PAC ID: 1951555689 Enrollment ID: I20171101002532 |
| Provider Name | Ellen P Carrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437579414 PECOS PAC ID: 4284939174 Enrollment ID: I20171102002866 |
| Provider Name | Jeremy R Dincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257977 PECOS PAC ID: 2466741855 Enrollment ID: I20171106000130 |
| Provider Name | Susan Schilinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854923 PECOS PAC ID: 8628334547 Enrollment ID: I20171109001788 |
| Provider Name | Robin Hogenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097653 PECOS PAC ID: 4183981400 Enrollment ID: I20171121003220 |
| Provider Name | Quynh Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932512480 PECOS PAC ID: 0244597516 Enrollment ID: I20171122001530 |
| Provider Name | Tonya L Telesz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568980332 PECOS PAC ID: 4880952217 Enrollment ID: I20171213000370 |
| Provider Name | Thomas J Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205214459 PECOS PAC ID: 9638474307 Enrollment ID: I20171219000096 |
| Provider Name | Jonathan D Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486313 PECOS PAC ID: 4385934942 Enrollment ID: I20180117000176 |
| Provider Name | Elizabeth E Geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629433289 PECOS PAC ID: 3476812512 Enrollment ID: I20180117001123 |
| Provider Name | Nathan C Patrick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053687673 PECOS PAC ID: 8729368386 Enrollment ID: I20180119001917 |
| Provider Name | Audrey B Kreke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730693862 PECOS PAC ID: 1355600347 Enrollment ID: I20180119002447 |
| Provider Name | Misty D Lingenfelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295240695 PECOS PAC ID: 5092074823 Enrollment ID: I20180123003426 |
| Provider Name | Daniel R Lueders |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740575703 PECOS PAC ID: 7810145851 Enrollment ID: I20180129000302 |
| Provider Name | Raymond S Kelley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134102734 PECOS PAC ID: 7911809983 Enrollment ID: I20180207001401 |
| Provider Name | Kayla J Guntrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993570 PECOS PAC ID: 3870853948 Enrollment ID: I20180209001462 |
| Provider Name | Jacob B Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568657062 PECOS PAC ID: 7911185582 Enrollment ID: I20180213002932 |
| Provider Name | Pamela Jane Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417465949 PECOS PAC ID: 9234490830 Enrollment ID: I20180222001035 |
| Provider Name | Taylor Elizabeth Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013352525 PECOS PAC ID: 5294953493 Enrollment ID: I20180228000802 |
| Provider Name | Stephanie Nicole Vargas Baverso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720594633 PECOS PAC ID: 8224399423 Enrollment ID: I20180305000992 |
| Provider Name | Breanna Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700387214 PECOS PAC ID: 5395007959 Enrollment ID: I20180319001183 |
| Provider Name | Colleen M Rex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330091 PECOS PAC ID: 0648532135 Enrollment ID: I20180321000985 |
| Provider Name | Kelley M Barcelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112595 PECOS PAC ID: 4880957646 Enrollment ID: I20180410001330 |
| Provider Name | Devon Charlton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215203443 PECOS PAC ID: 2163786294 Enrollment ID: I20180426000129 |
| Provider Name | Emily J Zambito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932627072 PECOS PAC ID: 7618231499 Enrollment ID: I20180502001230 |
| Provider Name | Emily M Smerilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914212 PECOS PAC ID: 6608130026 Enrollment ID: I20180510000515 |
| Provider Name | Luann E Caryl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477058105 PECOS PAC ID: 8022372481 Enrollment ID: I20180510002069 |
| Provider Name | Sabrina Khaleeq Arshed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023567286 PECOS PAC ID: 8527332675 Enrollment ID: I20180523000952 |
| Provider Name | Lessie Eric Golden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528401510 PECOS PAC ID: 7416273107 Enrollment ID: I20180531002858 |
| Provider Name | Carlos R Pacheco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356684872 PECOS PAC ID: 2860611308 Enrollment ID: I20180606000886 |
| Provider Name | Daniel G Dunlap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447697404 PECOS PAC ID: 5395090666 Enrollment ID: I20180611001619 |
| Provider Name | Lia M Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780191080 PECOS PAC ID: 9335404060 Enrollment ID: I20180611002051 |
| Provider Name | Weston C Nix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215340948 PECOS PAC ID: 2163712696 Enrollment ID: I20180611002300 |
| Provider Name | Joseph Stanley Bednash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114293677 PECOS PAC ID: 2264787456 Enrollment ID: I20180611002907 |
| Provider Name | Erin Nuzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235577909 PECOS PAC ID: 5991014524 Enrollment ID: I20180613001958 |
| Provider Name | Mustapha El Lakis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912498304 PECOS PAC ID: 4486909348 Enrollment ID: I20180618000418 |
| Provider Name | Adam M Stubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467832931 PECOS PAC ID: 0143575043 Enrollment ID: I20180618002111 |
| Provider Name | Kyle Edward Shilk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306278023 PECOS PAC ID: 7113272048 Enrollment ID: I20180618003292 |
| Provider Name | Garima Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922400530 PECOS PAC ID: 2466749056 Enrollment ID: I20180619002482 |
| Provider Name | Kimberly A R Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437333689 PECOS PAC ID: 6406146646 Enrollment ID: I20180620002582 |
| Provider Name | Justin W Arner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871932467 PECOS PAC ID: 8628323284 Enrollment ID: I20180622000292 |
| Provider Name | Emily A Ketterer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437598760 PECOS PAC ID: 3375833825 Enrollment ID: I20180705000003 |
| Provider Name | Sneh P Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154703528 PECOS PAC ID: 3072869635 Enrollment ID: I20180712000268 |
| Provider Name | Swati S Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821471954 PECOS PAC ID: 3375890841 Enrollment ID: I20180716002817 |
| Provider Name | Kerry M Horvath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316327273 PECOS PAC ID: 4789974270 Enrollment ID: I20180716003367 |
| Provider Name | Faisal Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831140011 PECOS PAC ID: 6103855572 Enrollment ID: I20180717002498 |
| Provider Name | Tyler M Reinthaler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770961690 PECOS PAC ID: 7517272602 Enrollment ID: I20180726000090 |
| Provider Name | Danielle M Cassels |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184119679 PECOS PAC ID: 5496002172 Enrollment ID: I20180726001452 |
| Provider Name | Leah Allen Stem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407236623 PECOS PAC ID: 5496003626 Enrollment ID: I20180806000236 |
| Provider Name | Natalie M Mannino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366788341 PECOS PAC ID: 5092063230 Enrollment ID: I20180806000917 |
| Provider Name | Donna M Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295913184 PECOS PAC ID: 8426306564 Enrollment ID: I20180806001057 |
| Provider Name | Alexander Kobzik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629344312 PECOS PAC ID: 8628393857 Enrollment ID: I20180807003147 |
| Provider Name | Jenan Gabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295177053 PECOS PAC ID: 4183856768 Enrollment ID: I20180809000062 |
| Provider Name | Bhawna Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699157966 PECOS PAC ID: 9638428022 Enrollment ID: I20180817001666 |
| Provider Name | Michele H Celko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043492705 PECOS PAC ID: 4385931930 Enrollment ID: I20180820000191 |
| Provider Name | Michelle L Gable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039857 PECOS PAC ID: 2264748763 Enrollment ID: I20180828003584 |
| Provider Name | Amaris A Yandel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548673783 PECOS PAC ID: 2769775279 Enrollment ID: I20180912000698 |
| Provider Name | Jennifer L Newitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639439219 PECOS PAC ID: 1658511738 Enrollment ID: I20180912001344 |
| Provider Name | Elizabeth Schano-goldberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013945427 PECOS PAC ID: 4587915475 Enrollment ID: I20180914001469 |
| Provider Name | Gregory Jaffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829444 PECOS PAC ID: 3971802570 Enrollment ID: I20180917000760 |
| Provider Name | Jeremy S Isaacson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851689004 PECOS PAC ID: 8022236629 Enrollment ID: I20180925000101 |
| Provider Name | Christopher Michael Treat |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558771618 PECOS PAC ID: 1052683273 Enrollment ID: I20181004000874 |
| Provider Name | Jonathan A Levy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952644718 PECOS PAC ID: 3476841289 Enrollment ID: I20181005000622 |
| Provider Name | Neil Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609132398 PECOS PAC ID: 2264703974 Enrollment ID: I20181009001424 |
| Provider Name | David Anthony Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811257561 PECOS PAC ID: 5193043503 Enrollment ID: I20181015000155 |
| Provider Name | Lindsay A Nakaishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780062679 PECOS PAC ID: 8628383700 Enrollment ID: I20181018002926 |
| Provider Name | Amanda G Carl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679952832 PECOS PAC ID: 8527365394 Enrollment ID: I20181023000856 |
| Provider Name | Kylee M Sickafus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418371 PECOS PAC ID: 6901159417 Enrollment ID: I20181031001392 |
| Provider Name | Gillian R Zeile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013378124 PECOS PAC ID: 9335431576 Enrollment ID: I20181113001285 |
| Provider Name | Ashishkumar R Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699290775 PECOS PAC ID: 0648514638 Enrollment ID: I20181203000174 |
| Provider Name | Jeremy C Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023458452 PECOS PAC ID: 4688990336 Enrollment ID: I20181205002394 |
| Provider Name | Katelyn E Laughran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015687 PECOS PAC ID: 4688918378 Enrollment ID: I20181206002393 |
| Provider Name | Brian R Rosborough |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013398544 PECOS PAC ID: 0941518567 Enrollment ID: I20181211000175 |
| Provider Name | Kaitlin M Dionisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306313358 PECOS PAC ID: 1557608577 Enrollment ID: I20190130000267 |
| Provider Name | Amanda L. Roeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396821 PECOS PAC ID: 8224376991 Enrollment ID: I20190205003222 |
| Provider Name | Sheena Dohar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144618414 PECOS PAC ID: 9234432667 Enrollment ID: I20190220002540 |
| Provider Name | Ashley N Jarzenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053885426 PECOS PAC ID: 9830439538 Enrollment ID: I20190315000984 |
| Provider Name | Craig M Riley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861734105 PECOS PAC ID: 4981926128 Enrollment ID: I20190320003382 |
| Provider Name | Eleanor B Valenzi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235577024 PECOS PAC ID: 1951534916 Enrollment ID: I20190408000719 |
| Provider Name | Valerie A Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063997252 PECOS PAC ID: 5698016863 Enrollment ID: I20190417000010 |
| Provider Name | Emily B Brant |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225443666 PECOS PAC ID: 8022350776 Enrollment ID: I20190429000982 |
| Provider Name | Christina K Thorngren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972983955 PECOS PAC ID: 1052683596 Enrollment ID: I20190513000482 |
| Provider Name | Hector Colon Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508132119 PECOS PAC ID: 4183848849 Enrollment ID: I20190514000225 |
| Provider Name | Scott Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073933438 PECOS PAC ID: 0446520571 Enrollment ID: I20190521002574 |
| Provider Name | Tara Zehrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457745887 PECOS PAC ID: 2062760325 Enrollment ID: I20190530000561 |
| Provider Name | Tammie F Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174084339 PECOS PAC ID: 2860735131 Enrollment ID: I20190530001121 |
| Provider Name | Sara J Straesser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124432414 PECOS PAC ID: 7315270741 Enrollment ID: I20190617003016 |
| Provider Name | Jessica Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198095 PECOS PAC ID: 5092049437 Enrollment ID: I20190619000561 |
| Provider Name | Scott R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518316256 PECOS PAC ID: 7618248469 Enrollment ID: I20190620002793 |
| Provider Name | Emily Abbott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912345737 PECOS PAC ID: 1759513898 Enrollment ID: I20190624001018 |
| Provider Name | Deepti G Singhvi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639411291 PECOS PAC ID: 9032408331 Enrollment ID: I20190626000357 |
| Provider Name | Mark W Kubik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881937340 PECOS PAC ID: 4587914114 Enrollment ID: I20190711001446 |
| Provider Name | Syed Arsalan Akhter A Zaidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558814848 PECOS PAC ID: 6709111529 Enrollment ID: I20190716000583 |
| Provider Name | Jennifer Milko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215591680 PECOS PAC ID: 9335475425 Enrollment ID: I20190726002344 |
| Provider Name | Thomas Robert Zink |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801212196 PECOS PAC ID: 1850667718 Enrollment ID: I20190730000073 |
| Provider Name | Shashank Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255780722 PECOS PAC ID: 4486932654 Enrollment ID: I20190730000181 |
| Provider Name | Sidra B Chavla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982052494 PECOS PAC ID: 7416220140 Enrollment ID: I20190731001226 |
| Provider Name | Nikola Gligorijevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043671563 PECOS PAC ID: 0547597163 Enrollment ID: I20190806000051 |
| Provider Name | Yui Sugiura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982066288 PECOS PAC ID: 6305131319 Enrollment ID: I20190808000578 |
| Provider Name | Kristie M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548744816 PECOS PAC ID: 7012244049 Enrollment ID: I20190813002848 |
| Provider Name | Alexander Henry Macdonell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851701437 PECOS PAC ID: 8729308655 Enrollment ID: I20190815002646 |
| Provider Name | Shane A Eikenberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528421443 PECOS PAC ID: 5799075099 Enrollment ID: I20190822000772 |
| Provider Name | Kathryn B Wunderle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821483496 PECOS PAC ID: 7517273576 Enrollment ID: I20190904000209 |
| Provider Name | Heather M Mikes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235364340 PECOS PAC ID: 7416102223 Enrollment ID: I20190916000780 |
| Provider Name | Stephanie C Araujo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184075731 PECOS PAC ID: 4981990264 Enrollment ID: I20190925000581 |
| Provider Name | Ibrahim T Bawab |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013390236 PECOS PAC ID: 0244532265 Enrollment ID: I20190925000643 |
| Provider Name | Shayla Nicole Stromyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700430725 PECOS PAC ID: 6002146560 Enrollment ID: I20190925002913 |
| Provider Name | Kaveh Moghbeli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679969521 PECOS PAC ID: 0143514141 Enrollment ID: I20190925003353 |
| Provider Name | Dimitrios Papadopoulos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417502063 PECOS PAC ID: 2961732391 Enrollment ID: I20190926002389 |
| Provider Name | Cara Ciesielka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326434192 PECOS PAC ID: 2860736345 Enrollment ID: I20190926002491 |
| Provider Name | Sarah Scott B Dietz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548551922 PECOS PAC ID: 9537387923 Enrollment ID: I20191003001682 |
| Provider Name | Marla Patrice Rhem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700266640 PECOS PAC ID: 6305136854 Enrollment ID: I20191004001318 |
| Provider Name | Kathryn Margaret Vreeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457700197 PECOS PAC ID: 9133492796 Enrollment ID: I20191009003313 |
| Provider Name | Amanda E Reyher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487116265 PECOS PAC ID: 9032440722 Enrollment ID: I20191010001805 |
| Provider Name | Melissa J Coyne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639523376 PECOS PAC ID: 7315232337 Enrollment ID: I20191014002668 |
| Provider Name | Cara Rose Mcananey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548673239 PECOS PAC ID: 7719109941 Enrollment ID: I20191029000315 |
| Provider Name | Meichia Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972035384 PECOS PAC ID: 0941532329 Enrollment ID: I20191105000469 |
| Provider Name | Hailey N Trudgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164081493 PECOS PAC ID: 3173955432 Enrollment ID: I20191107002375 |
| Provider Name | Asmau Misawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316325384 PECOS PAC ID: 9739494881 Enrollment ID: I20191120000877 |
| Provider Name | Richard J Toth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841641529 PECOS PAC ID: 5991090847 Enrollment ID: I20191211000339 |
| Provider Name | Kimberley Demerle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013328335 PECOS PAC ID: 3476858374 Enrollment ID: I20191230000346 |
| Provider Name | Ann Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538701347 PECOS PAC ID: 6901230556 Enrollment ID: I20200107002250 |
| Provider Name | Yvonne W Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871139717 PECOS PAC ID: 6305272097 Enrollment ID: I20200128001380 |
| Provider Name | Margaret Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649622366 PECOS PAC ID: 4688967458 Enrollment ID: I20200130001774 |
| Provider Name | Laken J Kuntz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700426962 PECOS PAC ID: 2860828738 Enrollment ID: I20200212002718 |
| Provider Name | Jill A Zupetic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487064267 PECOS PAC ID: 5193944395 Enrollment ID: I20200217000016 |
| Provider Name | Daniel M Cohen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497720163 PECOS PAC ID: 7113967159 Enrollment ID: I20200313000383 |
| Provider Name | Susan E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881259364 PECOS PAC ID: 5698104388 Enrollment ID: I20200401000009 |
| Provider Name | Andrew Schoenling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467806679 PECOS PAC ID: 9830426170 Enrollment ID: I20200401001015 |
| Provider Name | Heather L Trautman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205474319 PECOS PAC ID: 2668802216 Enrollment ID: I20200422000658 |
| Provider Name | Mark Andreae |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881088482 PECOS PAC ID: 0840531299 Enrollment ID: I20200423000753 |
| Provider Name | Christopher A Franz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861887887 PECOS PAC ID: 2365799343 Enrollment ID: I20200428002276 |
| Provider Name | Rohan Ganguli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013980192 PECOS PAC ID: 8224000971 Enrollment ID: I20200428002404 |
| Provider Name | Gabriel Rothschild Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417376468 PECOS PAC ID: 4082914320 Enrollment ID: I20200429003012 |
| Provider Name | Melissa S Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851926224 PECOS PAC ID: 4880025360 Enrollment ID: I20200518001158 |
| Provider Name | Matthew J Gorgone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326368606 PECOS PAC ID: 9739372657 Enrollment ID: I20200518001603 |
| Provider Name | Erika S Linkenheimer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184277485 PECOS PAC ID: 9436570637 Enrollment ID: I20200526001014 |
| Provider Name | Jack Chen He |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346506755 PECOS PAC ID: 2769774058 Enrollment ID: I20200615003169 |
| Provider Name | Claudia J Chapa Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679966766 PECOS PAC ID: 1850625369 Enrollment ID: I20200629002825 |
| Provider Name | Stephanie Trembulak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548702806 PECOS PAC ID: 1951725233 Enrollment ID: I20200701001299 |
| Provider Name | Bryan D Rynearson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851772586 PECOS PAC ID: 8022431154 Enrollment ID: I20200708002641 |
| Provider Name | Scott M Dakan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609397959 PECOS PAC ID: 4789940776 Enrollment ID: I20200713003647 |
| Provider Name | Luis Felipe Carrazana Suarez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669859989 PECOS PAC ID: 9436572161 Enrollment ID: I20200714000175 |
| Provider Name | Travis John Seaman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083093926 PECOS PAC ID: 5799077814 Enrollment ID: I20200714002133 |
| Provider Name | Matthew R Leach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467849513 PECOS PAC ID: 4183960271 Enrollment ID: I20200715000275 |
| Provider Name | Allison Nicole Vogl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336674670 PECOS PAC ID: 8527327899 Enrollment ID: I20200715001559 |
| Provider Name | Alex J Israel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497140388 PECOS PAC ID: 7618391764 Enrollment ID: I20200722000355 |
| Provider Name | Catherine E Kananen Roman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831623149 PECOS PAC ID: 3274803549 Enrollment ID: I20200723002736 |
| Provider Name | Benjamin R Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417343757 PECOS PAC ID: 9335443415 Enrollment ID: I20200724002003 |
| Provider Name | Donald A Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184088858 PECOS PAC ID: 2668897364 Enrollment ID: I20200728003625 |
| Provider Name | Anjana Chandrasekhara Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710400031 PECOS PAC ID: 2264858463 Enrollment ID: I20200819000520 |
| Provider Name | Tyler J Vandyck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104206358 PECOS PAC ID: 9638483191 Enrollment ID: I20200819001361 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558716092 PECOS PAC ID: 7416243753 Enrollment ID: I20200819001514 |
| Provider Name | Gorka Murga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003348186 PECOS PAC ID: 5991074320 Enrollment ID: I20200819003799 |
| Provider Name | Christina R Yurko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164958914 PECOS PAC ID: 4082983051 Enrollment ID: I20200821000264 |
| Provider Name | Yufei Ge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760919344 PECOS PAC ID: 3870910649 Enrollment ID: I20200826000378 |
| Provider Name | Moh'd Sbeih |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912273962 PECOS PAC ID: 0840560660 Enrollment ID: I20200827002626 |
| Provider Name | Richard H Zou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164885018 PECOS PAC ID: 8123314861 Enrollment ID: I20200901000008 |
| Provider Name | Perry J Tiberio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063826337 PECOS PAC ID: 8628380995 Enrollment ID: I20200916002378 |
| Provider Name | Preeya S Fozdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225568413 PECOS PAC ID: 5799057139 Enrollment ID: I20200917000381 |
| Provider Name | Mounif E Rifkah |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699122622 PECOS PAC ID: 7416220934 Enrollment ID: I20200917001671 |
| Provider Name | John E Rodaitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922521574 PECOS PAC ID: 4587082839 Enrollment ID: I20200917002920 |
| Provider Name | Ibrahim S Fanous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013433416 PECOS PAC ID: 6901165281 Enrollment ID: I20201014000032 |
| Provider Name | Sonya Khurana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376808188 PECOS PAC ID: 3072844117 Enrollment ID: I20201014000067 |
| Provider Name | Yuriy Zamota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104232909 PECOS PAC ID: 8820340714 Enrollment ID: I20201014003740 |
| Provider Name | Kavitha Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952717837 PECOS PAC ID: 5092033092 Enrollment ID: I20201015000147 |
| Provider Name | Jie Qu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578942470 PECOS PAC ID: 5799097648 Enrollment ID: I20201026000709 |
| Provider Name | Kimberly A Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770194128 PECOS PAC ID: 7911958509 Enrollment ID: I20201211000103 |
| Provider Name | Marian A Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710429162 PECOS PAC ID: 3375828346 Enrollment ID: I20210122001147 |
| Provider Name | Stella L Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942647839 PECOS PAC ID: 6002122058 Enrollment ID: I20210122001733 |
| Provider Name | Jillian L Chapman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235742370 PECOS PAC ID: 9335553676 Enrollment ID: I20210128001420 |
| Provider Name | Amber Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988667 PECOS PAC ID: 8729492814 Enrollment ID: I20210201002656 |
| Provider Name | Rochelle L Pietropaulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154826899 PECOS PAC ID: 9133533953 Enrollment ID: I20210205001110 |
| Provider Name | Gretchen A Crum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851355929 PECOS PAC ID: 2860807062 Enrollment ID: I20210222001372 |
| Provider Name | Jose F Abad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295962546 PECOS PAC ID: 2668628132 Enrollment ID: I20210315000185 |
| Provider Name | Brian E Malley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457888471 PECOS PAC ID: 3072881549 Enrollment ID: I20210429000089 |
| Provider Name | Lynne A Cipriani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063019974 PECOS PAC ID: 1456760628 Enrollment ID: I20210429002845 |
| Provider Name | Ryan M Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437770815 PECOS PAC ID: 3971912783 Enrollment ID: I20210507000945 |
| Provider Name | Tory L Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811482169 PECOS PAC ID: 1759782048 Enrollment ID: I20210624000088 |
| Provider Name | Mark Ramzy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841729340 PECOS PAC ID: 9234540642 Enrollment ID: I20210629000199 |
| Provider Name | Blake L Choplin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174918288 PECOS PAC ID: 1153624432 Enrollment ID: I20210713003075 |
| Provider Name | Stacy J Bartlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013404771 PECOS PAC ID: 1557619632 Enrollment ID: I20210721004189 |
| Provider Name | Solomiya Teterichko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861886012 PECOS PAC ID: 8325316870 Enrollment ID: I20210723000560 |
| Provider Name | Omar M Yaldo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548610470 PECOS PAC ID: 3375836935 Enrollment ID: I20210727000944 |
| Provider Name | Sanjeev Tyagi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609294313 PECOS PAC ID: 0244508661 Enrollment ID: I20210727001118 |
| Provider Name | Luna Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942798525 PECOS PAC ID: 0648527960 Enrollment ID: I20210727002497 |
| Provider Name | Stephanie Maestre |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427408699 PECOS PAC ID: 0345643425 Enrollment ID: I20210727002690 |
| Provider Name | Ramey K Roppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720576812 PECOS PAC ID: 2668727835 Enrollment ID: I20210728000788 |
| Provider Name | Oanh H Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437653995 PECOS PAC ID: 8123364999 Enrollment ID: I20210728000892 |
| Provider Name | Ashley C Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083061659 PECOS PAC ID: 6406148949 Enrollment ID: I20210728001898 |
| Provider Name | Randall S Ruffner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114380532 PECOS PAC ID: 5698014686 Enrollment ID: I20210728003214 |
| Provider Name | Megan L Killeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336631696 PECOS PAC ID: 4082960653 Enrollment ID: I20210729001959 |
| Provider Name | Lauren T Perlis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871081760 PECOS PAC ID: 4082967013 Enrollment ID: I20210730000576 |
| Provider Name | Nicholas M Reinthaler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114410545 PECOS PAC ID: 4486900305 Enrollment ID: I20210730002403 |
| Provider Name | Sonya K Narla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518313725 PECOS PAC ID: 8224381298 Enrollment ID: I20210802000688 |
| Provider Name | Morgan J Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578094678 PECOS PAC ID: 7719263185 Enrollment ID: I20210805000065 |
| Provider Name | Sadiq M Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295189348 PECOS PAC ID: 5991109050 Enrollment ID: I20210811002278 |
| Provider Name | Lee Montgomery Sasala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619359106 PECOS PAC ID: 4385069699 Enrollment ID: I20210812000165 |
| Provider Name | Laila Younes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124511001 PECOS PAC ID: 1850648700 Enrollment ID: I20210812000968 |
| Provider Name | Dewan S Majid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215390075 PECOS PAC ID: 8022305804 Enrollment ID: I20210813003205 |
| Provider Name | Philippe A Knapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487141693 PECOS PAC ID: 9335498179 Enrollment ID: I20210816003065 |
| Provider Name | Tiffany S Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578926523 PECOS PAC ID: 9335544014 Enrollment ID: I20210818001380 |
| Provider Name | David J Sinopoli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760772081 PECOS PAC ID: 9335398759 Enrollment ID: I20210826001446 |
| Provider Name | Amirreza Fatehi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114596616 PECOS PAC ID: 0244636918 Enrollment ID: I20210903000336 |
| Provider Name | Courtney Leigh Goettel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114410529 PECOS PAC ID: 8022366053 Enrollment ID: I20210903000570 |
| Provider Name | Kathryn Bobak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952836579 PECOS PAC ID: 8426325960 Enrollment ID: I20211013001818 |
| Provider Name | Tony Macedonia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902192818 PECOS PAC ID: 2961794789 Enrollment ID: I20211022000851 |
| Provider Name | Erika L Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689279960 PECOS PAC ID: 9830587807 Enrollment ID: I20211025000282 |
| Provider Name | Regan E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902574213 PECOS PAC ID: 7416345467 Enrollment ID: I20211025003151 |
| Provider Name | Kaylee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891317764 PECOS PAC ID: 0042608093 Enrollment ID: I20211025003211 |
| Provider Name | Teun Teunis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427626928 PECOS PAC ID: 5496143356 Enrollment ID: I20211026000835 |
| Provider Name | Rachel Capp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477002327 PECOS PAC ID: 5496143364 Enrollment ID: I20211026001264 |
| Provider Name | Ellen Dinerman Bin-nun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477967958 PECOS PAC ID: 5991014425 Enrollment ID: I20211027000208 |
| Provider Name | Mamatha Gajulavarthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205330107 PECOS PAC ID: 1254720667 Enrollment ID: I20211104002986 |
| Provider Name | Jonathan Tam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841853397 PECOS PAC ID: 2769871557 Enrollment ID: I20211117000499 |
| Provider Name | Trisha A Domachowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626136 PECOS PAC ID: 5395137699 Enrollment ID: I20220119000038 |
| Provider Name | Alyssa S Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962994475 PECOS PAC ID: 3971859174 Enrollment ID: I20220119002855 |
| Provider Name | Heather L Magill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346908340 PECOS PAC ID: 3274925490 Enrollment ID: I20220121000059 |
| Provider Name | Holly M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102667 PECOS PAC ID: 7113319021 Enrollment ID: I20220126000409 |
| Provider Name | Emma L Palinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437810264 PECOS PAC ID: 3971996067 Enrollment ID: I20220214001763 |
| Provider Name | Nicole A Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750032991 PECOS PAC ID: 3779976881 Enrollment ID: I20220214002283 |
| Provider Name | Alysa L Petrik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447911326 PECOS PAC ID: 2466847645 Enrollment ID: I20220325000798 |
| Provider Name | Leah A Mcdowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316434137 PECOS PAC ID: 2668720988 Enrollment ID: I20220325002220 |
| Provider Name | Amanda Marie Curry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710466412 PECOS PAC ID: 6901205921 Enrollment ID: I20220409000386 |
| Provider Name | Shan Modi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437680329 PECOS PAC ID: 2466721527 Enrollment ID: I20220409000401 |
| Provider Name | Amanda L Pinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730823311 PECOS PAC ID: 0345627352 Enrollment ID: I20220512002470 |
| Provider Name | Somair Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427581271 PECOS PAC ID: 0547531121 Enrollment ID: I20220513001002 |
| Provider Name | Quratulain Samoon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871946665 PECOS PAC ID: 9638464860 Enrollment ID: I20220516000029 |
| Provider Name | Melissa Bacci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871081521 PECOS PAC ID: 6800299140 Enrollment ID: I20220517000981 |
| Provider Name | Ivan E B Saraiva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194984815 PECOS PAC ID: 5799071015 Enrollment ID: I20220518001209 |
| Provider Name | Allison L Tichenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397841 PECOS PAC ID: 7719258771 Enrollment ID: I20220602001302 |
| Provider Name | Timothy M Bober |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235636465 PECOS PAC ID: 0648528935 Enrollment ID: I20220617001193 |
| Provider Name | Danby Kang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528449857 PECOS PAC ID: 1759689862 Enrollment ID: I20220622001609 |
| Provider Name | Lucas L Warton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326509621 PECOS PAC ID: 9436483583 Enrollment ID: I20220625000582 |
| Provider Name | Devan E Stanko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770229213 PECOS PAC ID: 9436538048 Enrollment ID: I20220628000226 |
| Provider Name | Nathan Rech |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992150023 PECOS PAC ID: 7810377397 Enrollment ID: I20220629003488 |
| Provider Name | Gerard Danosos |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376882464 PECOS PAC ID: 4880849157 Enrollment ID: I20220705000233 |
| Provider Name | Alex G Raymond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114447182 PECOS PAC ID: 8224300256 Enrollment ID: I20220708000864 |
| Provider Name | Jennifer Kalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730748013 PECOS PAC ID: 0648650341 Enrollment ID: I20220711003797 |
| Provider Name | Shoaib Fakhri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992200844 PECOS PAC ID: 6901152099 Enrollment ID: I20220719002700 |
| Provider Name | Sophia T Kunkle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497216519 PECOS PAC ID: 5294069704 Enrollment ID: I20220721001289 |
| Provider Name | Kaleigh P Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689238362 PECOS PAC ID: 8628302304 Enrollment ID: I20220808001731 |
| Provider Name | Alisa J Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245896323 PECOS PAC ID: 3072902295 Enrollment ID: I20220809003406 |
| Provider Name | Ahmed Attia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447844899 PECOS PAC ID: 0648678466 Enrollment ID: I20220812000971 |
| Provider Name | Sai Swapnika Guttikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689134835 PECOS PAC ID: 9638405947 Enrollment ID: I20220812002219 |
| Provider Name | Carissa A Pokrant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801456421 PECOS PAC ID: 6406182831 Enrollment ID: I20220817001596 |
| Provider Name | Jennifer M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740915222 PECOS PAC ID: 2264815430 Enrollment ID: I20220822000340 |
| Provider Name | Hande Atalay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184289720 PECOS PAC ID: 9638405772 Enrollment ID: I20220826001777 |
| Provider Name | Leslie E Carrese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063933687 PECOS PAC ID: 6103200381 Enrollment ID: I20220907003068 |
| Provider Name | Josiah Radder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659878783 PECOS PAC ID: 3072997170 Enrollment ID: I20220908000269 |
| Provider Name | Cody A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164981122 PECOS PAC ID: 3971836164 Enrollment ID: I20220909001792 |
| Provider Name | Kaylee Dakers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548754815 PECOS PAC ID: 6608120282 Enrollment ID: I20220912000615 |
| Provider Name | Mary Rose Bethel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609512367 PECOS PAC ID: 6608251038 Enrollment ID: I20220920003798 |
| Provider Name | Elise Cowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629705744 PECOS PAC ID: 7315322658 Enrollment ID: I20220922001075 |
| Provider Name | Ryan M Sprouse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235869710 PECOS PAC ID: 7810372042 Enrollment ID: I20220923001097 |
| Provider Name | Thomas R Wojda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730670605 PECOS PAC ID: 1254716426 Enrollment ID: I20220924000028 |
| Provider Name | Katy L Leskowat |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225777881 PECOS PAC ID: 3678959533 Enrollment ID: I20220929001213 |
| Provider Name | Anna M Frantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508536889 PECOS PAC ID: 3779969407 Enrollment ID: I20221004002820 |
| Provider Name | Vicki P Gannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356008841 PECOS PAC ID: 3870979370 Enrollment ID: I20221006002946 |
| Provider Name | Mustafa Gedik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730458092 PECOS PAC ID: 6800190737 Enrollment ID: I20221010000043 |
| Provider Name | Jane Meuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326769654 PECOS PAC ID: 9830565118 Enrollment ID: I20221012002353 |
| Provider Name | Sarah D Atwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578226601 PECOS PAC ID: 6709252646 Enrollment ID: I20221018003334 |
| Provider Name | Ja Hea Hea Gu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1932717758 PECOS PAC ID: 7517360084 Enrollment ID: I20221109002282 |
| Provider Name | Michael Z Burchesky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730803735 PECOS PAC ID: 6608243266 Enrollment ID: I20221110002338 |
| Provider Name | Rebecca M Lob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063148153 PECOS PAC ID: 6305214834 Enrollment ID: I20221115000883 |
| Provider Name | Cameron M Zapadka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245956200 PECOS PAC ID: 9436527827 Enrollment ID: I20221115003231 |
| Provider Name | James A Wardrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760108856 PECOS PAC ID: 0749659381 Enrollment ID: I20221203000226 |
| Provider Name | Jeffrey J Hageman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922319623 PECOS PAC ID: 5092957159 Enrollment ID: I20230111000103 |
| Provider Name | Judith Renee Himler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568698967 PECOS PAC ID: 4183923196 Enrollment ID: I20230201003034 |
| Provider Name | Katie L Guardino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891417515 PECOS PAC ID: 4385016104 Enrollment ID: I20230203001871 |
| Provider Name | Kassandra O Allbright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194213942 PECOS PAC ID: 3870995863 Enrollment ID: I20230217002628 |
| Provider Name | Courtney L Szigety |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891363248 PECOS PAC ID: 4789087479 Enrollment ID: I20230303001619 |
| Provider Name | Lisa Ann Rolnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275958092 PECOS PAC ID: 9436522877 Enrollment ID: I20230306000259 |
| Provider Name | Liane M Errico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831554377 PECOS PAC ID: 3072986363 Enrollment ID: I20230308000276 |
| Provider Name | Brandy Cb George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588900237 PECOS PAC ID: 3870738362 Enrollment ID: I20230315002576 |
| Provider Name | Kanupriya Soni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093247058 PECOS PAC ID: 5193090389 Enrollment ID: I20230525001119 |
| Provider Name | Brianna L Smyth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720603061 PECOS PAC ID: 7618399593 Enrollment ID: I20230530002460 |
| Provider Name | Matthew F Welles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538629126 PECOS PAC ID: 8123355773 Enrollment ID: I20230609001038 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669961702 PECOS PAC ID: 1052661238 Enrollment ID: I20230616002565 |
| Provider Name | Thomas Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407317381 PECOS PAC ID: 0446593909 Enrollment ID: I20230630000220 |
| Provider Name | Sydney A Minoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609571835 PECOS PAC ID: 7719346154 Enrollment ID: I20230704000067 |
| Provider Name | Bradley D Hodapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326668161 PECOS PAC ID: 5698106540 Enrollment ID: I20230711000848 |
| Provider Name | Benjamin Carnahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598384067 PECOS PAC ID: 1850713686 Enrollment ID: I20230711001258 |
| Provider Name | Eman Md Fadhel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952930182 PECOS PAC ID: 5890155618 Enrollment ID: I20230712001398 |
| Provider Name | Matthew A Tofani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871122523 PECOS PAC ID: 2264863976 Enrollment ID: I20230725002280 |
| Provider Name | Nisha K Shah |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093212565 PECOS PAC ID: 7911235288 Enrollment ID: I20230727003775 |
| Provider Name | Sultan Mahmood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801151907 PECOS PAC ID: 1355564022 Enrollment ID: I20230728001094 |
| Provider Name | Oyinkansola M Ogundimu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932738739 PECOS PAC ID: 8325461080 Enrollment ID: I20230801000864 |
| Provider Name | Sylwia A Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255800884 PECOS PAC ID: 0840535597 Enrollment ID: I20230804003612 |
| Provider Name | Melissa A Meola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362216 PECOS PAC ID: 7214399062 Enrollment ID: I20230810004568 |
| Provider Name | Martha F Brucato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407112964 PECOS PAC ID: 5294083614 Enrollment ID: I20230814000976 |
| Provider Name | Marybrooke U Burval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316563752 PECOS PAC ID: 0446612873 Enrollment ID: I20230816001640 |
| Provider Name | Rebecca A. Halvorsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044525 PECOS PAC ID: 7810234374 Enrollment ID: I20230821000936 |
| Provider Name | Rebecca B Strong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326732835 PECOS PAC ID: 7719349828 Enrollment ID: I20230821002900 |
| Provider Name | Marisa Wallas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033748199 PECOS PAC ID: 6608238720 Enrollment ID: I20230821003530 |
| Provider Name | Jay Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316432677 PECOS PAC ID: 3173872264 Enrollment ID: I20230822002786 |
| Provider Name | Justin Thomas Badon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831686328 PECOS PAC ID: 0446509871 Enrollment ID: I20230824002212 |
| Provider Name | Cailyn D'haem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437774833 PECOS PAC ID: 1557724812 Enrollment ID: I20230905000518 |
| Provider Name | Katrina Potter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427747153 PECOS PAC ID: 9830552009 Enrollment ID: I20230906001003 |
| Provider Name | Lauren Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538629183 PECOS PAC ID: 7719212653 Enrollment ID: I20230908002658 |
| Provider Name | Ellen Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609497056 PECOS PAC ID: 0143641878 Enrollment ID: I20230913003154 |
| Provider Name | Alyssa M Bartus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528759958 PECOS PAC ID: 0345694527 Enrollment ID: I20230921001034 |
| Provider Name | Emma Rose Alscher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801411244 PECOS PAC ID: 3274950456 Enrollment ID: I20230926004014 |
| Provider Name | Cara M Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154942191 PECOS PAC ID: 1759735681 Enrollment ID: I20230927000716 |
| Provider Name | Andrea Carolina Alvarado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619464716 PECOS PAC ID: 1052791308 Enrollment ID: I20230928001356 |
| Provider Name | Daniel O Hedayati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407380074 PECOS PAC ID: 3779952114 Enrollment ID: I20231003000681 |
| Provider Name | Noopur Doshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598392227 PECOS PAC ID: 5597180745 Enrollment ID: I20231005001814 |
| Provider Name | Amanda C Moale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255829032 PECOS PAC ID: 3779835913 Enrollment ID: I20231010000217 |
| Provider Name | Kyle W Inman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225493604 PECOS PAC ID: 7810247988 Enrollment ID: I20231010000938 |
| Provider Name | Divya V Tumuluru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205456498 PECOS PAC ID: 0143641456 Enrollment ID: I20231011002984 |
| Provider Name | Kaylee M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225745235 PECOS PAC ID: 4981059870 Enrollment ID: I20231012002342 |
| Provider Name | Jennifer K Mall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508486465 PECOS PAC ID: 8527499979 Enrollment ID: I20231014000546 |
| Provider Name | Vanessa I Orris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194101998 PECOS PAC ID: 8820444086 Enrollment ID: I20231024001849 |
| Provider Name | Ryan J Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285324913 PECOS PAC ID: 3274980867 Enrollment ID: I20231102003647 |
| Provider Name | Rutaba Tajammal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144880311 PECOS PAC ID: 4082941356 Enrollment ID: I20231104000026 |
| Provider Name | Grace H Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699270082 PECOS PAC ID: 5890171805 Enrollment ID: I20231104000279 |
| Provider Name | Joshua S Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053931600 PECOS PAC ID: 9335515691 Enrollment ID: I20231106002540 |
| Provider Name | Himal Chapagain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730701913 PECOS PAC ID: 4284055724 Enrollment ID: I20231108001390 |
| Provider Name | Kristen R Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700569647 PECOS PAC ID: 8628425311 Enrollment ID: I20231117001891 |
| Provider Name | Hiam Naiditch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083142509 PECOS PAC ID: 6406126770 Enrollment ID: I20231125000296 |
| Provider Name | Marielle B Williamson-rea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700407566 PECOS PAC ID: 4981027547 Enrollment ID: I20231127002003 |
| Provider Name | Maura K Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962083402 PECOS PAC ID: 5092163279 Enrollment ID: I20231128003862 |
| Provider Name | Amelia J Baumgardner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184359440 PECOS PAC ID: 0446632327 Enrollment ID: I20231130003954 |
| Provider Name | Nina T Depp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881469898 PECOS PAC ID: 5092163857 Enrollment ID: I20231205000715 |
| Provider Name | Kristie May Tincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902357494 PECOS PAC ID: 6406136639 Enrollment ID: I20231212000957 |
| Provider Name | Reona E Colaizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548940455 PECOS PAC ID: 0648629683 Enrollment ID: I20231215000689 |
| Provider Name | Mark A Petrocelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033344171 PECOS PAC ID: 8325342496 Enrollment ID: I20231219000397 |
| Provider Name | Christina M Morelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417729690 PECOS PAC ID: 1254781198 Enrollment ID: I20231219001554 |
| Provider Name | Michael Andrew Kochik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700232709 PECOS PAC ID: 4981082807 Enrollment ID: I20231220000539 |
| Provider Name | Peter C Nauka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710446752 PECOS PAC ID: 2769863646 Enrollment ID: I20240104002307 |
| Provider Name | Elisabeth Ziqing Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950018 PECOS PAC ID: 1355678392 Enrollment ID: I20240115000056 |
| Provider Name | Catherine Tarantine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912568734 PECOS PAC ID: 2163759861 Enrollment ID: I20240116001058 |
| Provider Name | Erin L Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942412598 PECOS PAC ID: 4587016423 Enrollment ID: I20240117000383 |
| Provider Name | Lauren Alexandra Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396523379 PECOS PAC ID: 7911359476 Enrollment ID: I20240119002473 |
| Provider Name | Katherine G Arbuckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073382453 PECOS PAC ID: 8325483027 Enrollment ID: I20240305000178 |
| Provider Name | Ondrea N Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639949589 PECOS PAC ID: 9133565682 Enrollment ID: I20240307000619 |
| Provider Name | Virginia E Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588426407 PECOS PAC ID: 9436596889 Enrollment ID: I20240321001935 |
| Provider Name | Deborah R Gilboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659300523 PECOS PAC ID: 4183703895 Enrollment ID: I20240401002058 |
| Provider Name | Mercedes S Lancia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255197224 PECOS PAC ID: 1456791441 Enrollment ID: I20240424001401 |
Heritage Valley Multispecialty Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Park Manor Blvd, Pittsburgh, PA 15205 Phone: 412-749-6920 Fax: 412-749-6779 | |
St. Clair Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - Pamalyn, Pittsburgh, PA 15243 Phone: 412-942-2548 | |
Pittsburgh Family Practice Assoc., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 Forbes Ave, Pittsburgh, PA 15219 Phone: 412-232-3555 Fax: 412-232-3523 | |
Allegheny Endocrinology Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 E North Avenue, Suite 205, Pittsburgh, PA 15212 Phone: 412-359-3426 Fax: 412-359-6974 | |
West End Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Neptune St, Pittsburgh, PA 15220 Phone: 412-921-7200 Fax: 412-921-4681 | |
Donna L. Knupp Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 Murray Ave, Pittsburgh, PA 15217 Phone: 412-521-2857 Fax: 412-521-4918 | |
University Of Pittsburgh Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 Centre Ave, First Floor, Pittsburgh, PA 15232 Phone: 412-647-3087 Fax: 412-647-4050 |