| Upmc Western Maryland Health Services, Llc | |
|
12502 Willowbrook Rd Cumberland MD 21502-6491 | |
| (240) 964-8921 | |
| Not Available |
| Full Name | Upmc Western Maryland Health Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12502 Willowbrook Rd, Cumberland, Maryland |
| 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 Western Maryland Health Services, Llc Po Box 1671 Cumberland MD 21501-1671 Ph: (240) 964-7000 | Upmc Western Maryland Health Services, Llc 12502 Willowbrook Rd Cumberland MD 21502-6491 Ph: (240) 964-8921 |
| NPI Number | 1447976584 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 7113396011 |
|---|---|
| Medicare Enrollment ID | O20221216000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447976584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Napoleon C Marcelo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700833365 PECOS PAC ID: 4981591260 Enrollment ID: I20040305000427 |
| Provider Name | Maria Rodowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245275775 PECOS PAC ID: 3072500933 Enrollment ID: I20040430000714 |
| Provider Name | Jorge R Andrade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619973914 PECOS PAC ID: 3274523253 Enrollment ID: I20040512001615 |
| Provider Name | Julie F Bielec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891754370 PECOS PAC ID: 7618952441 Enrollment ID: I20040623001668 |
| Provider Name | Steven R Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205812013 PECOS PAC ID: 6103804869 Enrollment ID: I20040709000338 |
| Provider Name | Mahmood Solaiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316928849 PECOS PAC ID: 4981684933 Enrollment ID: I20040721001178 |
| Provider Name | Samuel Bieligk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982618112 PECOS PAC ID: 2567423999 Enrollment ID: I20041020000173 |
| Provider Name | Dennis Daniel Dey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972546364 PECOS PAC ID: 8123080702 Enrollment ID: I20041027000735 |
| Provider Name | Kevin Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053527895 PECOS PAC ID: 8325084197 Enrollment ID: I20050701000196 |
| Provider Name | Riaz A Janjua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508865908 PECOS PAC ID: 7012945330 Enrollment ID: I20050728000738 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20050728000759 |
| Provider Name | Jason Layman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811942147 PECOS PAC ID: 5395761480 Enrollment ID: I20051018000892 |
| Provider Name | William Davidson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851355614 PECOS PAC ID: 1456378272 Enrollment ID: I20051031000579 |
| Provider Name | Mark A Sagin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750343505 PECOS PAC ID: 3870508591 Enrollment ID: I20060215000831 |
| Provider Name | Richard G Schmitt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336271667 PECOS PAC ID: 4789699406 Enrollment ID: I20060215000835 |
| Provider Name | Lawrence Shombert |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679555452 PECOS PAC ID: 3870485998 Enrollment ID: I20070315000282 |
| Provider Name | Blanche H Mavromatis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336137876 PECOS PAC ID: 0446241822 Enrollment ID: I20071011000128 |
| Provider Name | Marian P Lamonte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679534267 PECOS PAC ID: 6002903838 Enrollment ID: I20071026000037 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20080109000500 |
| Provider Name | James Deren |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053310078 PECOS PAC ID: 1456433549 Enrollment ID: I20080129000104 |
| Provider Name | Chintamaneni P Choudari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538148283 PECOS PAC ID: 8426130378 Enrollment ID: I20080130000652 |
| Provider Name | Rashid Hanif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285637116 PECOS PAC ID: 9638114192 Enrollment ID: I20080326000740 |
| Provider Name | Abbas Omais |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699748046 PECOS PAC ID: 9133213226 Enrollment ID: I20080428000237 |
| Provider Name | Peter J Horneffer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1437145356 PECOS PAC ID: 8224129432 Enrollment ID: I20081113000078 |
| Provider Name | Ritu Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851568224 PECOS PAC ID: 1052381720 Enrollment ID: I20081205000684 |
| Provider Name | Michele Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407973894 PECOS PAC ID: 7315032026 Enrollment ID: I20081209000698 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20090213000178 |
| Provider Name | Ronald Clifford Kinsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477580660 PECOS PAC ID: 4082647755 Enrollment ID: I20090224000378 |
| Provider Name | Beth Jelinek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689700023 PECOS PAC ID: 5991858565 Enrollment ID: I20090729000390 |
| Provider Name | Michael W Stasko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740365584 PECOS PAC ID: 1153468996 Enrollment ID: I20091027000425 |
| Provider Name | Kheder Ashker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770561979 PECOS PAC ID: 4082751839 Enrollment ID: I20091027000521 |
| Provider Name | Roy D Chisholm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275550279 PECOS PAC ID: 2668519414 Enrollment ID: I20091027000586 |
| Provider Name | Kiran Samindla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932300845 PECOS PAC ID: 3072652015 Enrollment ID: I20091203000512 |
| Provider Name | Sunil K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093886657 PECOS PAC ID: 2961537535 Enrollment ID: I20100322000310 |
| Provider Name | Christopher B Haas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093786436 PECOS PAC ID: 3173654423 Enrollment ID: I20100630000202 |
| Provider Name | Jose T Loveria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677908 PECOS PAC ID: 5193812063 Enrollment ID: I20100804000924 |
| Provider Name | Milton Y Lum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740507433 PECOS PAC ID: 3476679382 Enrollment ID: I20100929000152 |
| Provider Name | Mark G Nelson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134111743 PECOS PAC ID: 6103019526 Enrollment ID: I20101019000012 |
| Provider Name | Cengiz Aygun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174528798 PECOS PAC ID: 3870551369 Enrollment ID: I20101029000498 |
| Provider Name | Vinay K Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609984517 PECOS PAC ID: 6204920531 Enrollment ID: I20101203000925 |
| Provider Name | Edward T. Soriano |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093797540 PECOS PAC ID: 4183602329 Enrollment ID: I20110121000586 |
| Provider Name | Nicholas Koutrelakos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912972415 PECOS PAC ID: 2163312216 Enrollment ID: I20110314000445 |
| Provider Name | Nicole Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770733248 PECOS PAC ID: 1456538297 Enrollment ID: I20110606000089 |
| Provider Name | Jeremy R Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144465600 PECOS PAC ID: 2769651579 Enrollment ID: I20110812000306 |
| Provider Name | Erica Camille Contreras |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922202696 PECOS PAC ID: 5799954251 Enrollment ID: I20110818000149 |
| Provider Name | Sumit Bhutani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932347820 PECOS PAC ID: 5395915615 Enrollment ID: I20110824000393 |
| Provider Name | Hassaan Rasheed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679724801 PECOS PAC ID: 3476723479 Enrollment ID: I20110831000070 |
| Provider Name | Thomas Hartsuch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306830252 PECOS PAC ID: 4981876208 Enrollment ID: I20111011000293 |
| Provider Name | Edward Michael Ehlers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104883883 PECOS PAC ID: 2365487345 Enrollment ID: I20120220000724 |
| Provider Name | Jennifer A Perrin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073834685 PECOS PAC ID: 8224291232 Enrollment ID: I20120531000071 |
| Provider Name | Joni Brode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427310101 PECOS PAC ID: 1658518618 Enrollment ID: I20130510000251 |
| Provider Name | James Novick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184664807 PECOS PAC ID: 1456321959 Enrollment ID: I20130511000008 |
| Provider Name | Allison P Lutz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205122421 PECOS PAC ID: 2264670504 Enrollment ID: I20130529000256 |
| Provider Name | Amanda S. Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437310612 PECOS PAC ID: 3274773585 Enrollment ID: I20131028001404 |
| Provider Name | Sherilyn S Crist |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174962849 PECOS PAC ID: 7810123825 Enrollment ID: I20131122000024 |
| Provider Name | David Edward Weng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831154731 PECOS PAC ID: 2769494764 Enrollment ID: I20140325000648 |
| Provider Name | Rondal Zapf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659709558 PECOS PAC ID: 8729210786 Enrollment ID: I20140407001425 |
| Provider Name | Hwan Y Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173436 PECOS PAC ID: 3476542978 Enrollment ID: I20140630000540 |
| Provider Name | Anupama S Khandare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255610580 PECOS PAC ID: 7012134893 Enrollment ID: I20140819001781 |
| Provider Name | Emme D Chapman-jackson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1740487727 PECOS PAC ID: 1052557675 Enrollment ID: I20141023000385 |
| Provider Name | Nancy Lou White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336545466 PECOS PAC ID: 0244554962 Enrollment ID: I20150128000815 |
| Provider Name | Gratiela E Zbarcea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497860399 PECOS PAC ID: 5890892756 Enrollment ID: I20150205001471 |
| Provider Name | Mary Ann Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174736441 PECOS PAC ID: 3678643749 Enrollment ID: I20150225002061 |
| Provider Name | Tarek Abou Ghazala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609867381 PECOS PAC ID: 7618950817 Enrollment ID: I20150420001626 |
| Provider Name | Beverly Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023411683 PECOS PAC ID: 7911226535 Enrollment ID: I20150504001417 |
| Provider Name | Erin Bohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538263082 PECOS PAC ID: 0042497604 Enrollment ID: I20150508000082 |
| Provider Name | Jennifer Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811957202 PECOS PAC ID: 8224045430 Enrollment ID: I20150624000099 |
| Provider Name | Stanley S Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255568994 PECOS PAC ID: 6406168723 Enrollment ID: I20150630000179 |
| Provider Name | Syed Zain Ayaz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437405388 PECOS PAC ID: 1153549589 Enrollment ID: I20150724011244 |
| Provider Name | Laura Jean Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396044863 PECOS PAC ID: 0244545200 Enrollment ID: I20150819009158 |
| Provider Name | Rameet Thapa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346553534 PECOS PAC ID: 3678722857 Enrollment ID: I20151012000100 |
| Provider Name | Mary Ann Lange Bishop |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609929801 PECOS PAC ID: 9335280676 Enrollment ID: I20151016000089 |
| Provider Name | Smriti Manandhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801109095 PECOS PAC ID: 8325299035 Enrollment ID: I20151030000262 |
| Provider Name | Harry Phillip Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063400570 PECOS PAC ID: 7214998459 Enrollment ID: I20160209000914 |
| Provider Name | John Keats |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538197876 PECOS PAC ID: 3173607538 Enrollment ID: I20160504002067 |
| Provider Name | Hemant Chatrath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639306012 PECOS PAC ID: 7315090255 Enrollment ID: I20160804000307 |
| Provider Name | Vamshidhar Vootla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144485467 PECOS PAC ID: 3678720034 Enrollment ID: I20160822000057 |
| Provider Name | Lynn Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538444369 PECOS PAC ID: 8224293634 Enrollment ID: I20160915001677 |
| Provider Name | Manuj Agarwal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316262363 PECOS PAC ID: 9335451855 Enrollment ID: I20160921001133 |
| Provider Name | Tiffany L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922556612 PECOS PAC ID: 6204114069 Enrollment ID: I20161028001453 |
| Provider Name | Tammy L Crayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386192250 PECOS PAC ID: 2365723798 Enrollment ID: I20161227000476 |
| Provider Name | Diana Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326580473 PECOS PAC ID: 7618253337 Enrollment ID: I20170412002009 |
| Provider Name | Linda Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275737009 PECOS PAC ID: 2466721022 Enrollment ID: I20170713001026 |
| Provider Name | Tracy Lavern Evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467479402 PECOS PAC ID: 1951399179 Enrollment ID: I20170810001126 |
| Provider Name | Ji Su Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801185558 PECOS PAC ID: 7315263001 Enrollment ID: I20171122000649 |
| Provider Name | Saiqa Choudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043508450 PECOS PAC ID: 9032430780 Enrollment ID: I20171122001833 |
| Provider Name | Jeremy Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769742 PECOS PAC ID: 7113285347 Enrollment ID: I20171218001129 |
| Provider Name | Kathryn Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652306 PECOS PAC ID: 8820356801 Enrollment ID: I20171220002654 |
| Provider Name | Allison Denise Rexrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275845406 PECOS PAC ID: 9436275344 Enrollment ID: I20180425000245 |
| Provider Name | Vinita Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679507248 PECOS PAC ID: 0547309916 Enrollment ID: I20180521002017 |
| Provider Name | Maria Mayorga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558457127 PECOS PAC ID: 4880730977 Enrollment ID: I20180622000532 |
| Provider Name | Lynda Dougherty |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376534149 PECOS PAC ID: 6103005756 Enrollment ID: I20180802001836 |
| Provider Name | April A Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124462098 PECOS PAC ID: 3779832266 Enrollment ID: I20180816000845 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063726461 PECOS PAC ID: 5395031439 Enrollment ID: I20180822001029 |
| Provider Name | Marielle S Gross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023420486 PECOS PAC ID: 8729357082 Enrollment ID: I20180906001784 |
| Provider Name | Leigh Ann Wiltison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528556503 PECOS PAC ID: 3779836549 Enrollment ID: I20181024001096 |
| Provider Name | Arthur Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508044165 PECOS PAC ID: 7315121720 Enrollment ID: I20181030002941 |
| Provider Name | Eric S Hager |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083814933 PECOS PAC ID: 3072602952 Enrollment ID: I20181130000979 |
| Provider Name | Henrietta Akintoye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992148472 PECOS PAC ID: 2264705086 Enrollment ID: I20190111001745 |
| Provider Name | Ashley Chucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675293 PECOS PAC ID: 7618217035 Enrollment ID: I20190322000037 |
| Provider Name | Or Cohen-inbar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578971594 PECOS PAC ID: 5991045148 Enrollment ID: I20190326000282 |
| Provider Name | Anna Reineke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306303227 PECOS PAC ID: 4789925090 Enrollment ID: I20190416000086 |
| Provider Name | Neil Shachter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942336516 PECOS PAC ID: 2860576980 Enrollment ID: I20190502000231 |
| Provider Name | Benjamin Goldstein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578978383 PECOS PAC ID: 9931444262 Enrollment ID: I20190621002223 |
| Provider Name | John A Burnett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932151420 PECOS PAC ID: 3971685462 Enrollment ID: I20191024000503 |
| Provider Name | Iakov Nikolayevich Rudenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932595527 PECOS PAC ID: 6406288174 Enrollment ID: I20191119000080 |
| Provider Name | Michael J Botticelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962439273 PECOS PAC ID: 7719157809 Enrollment ID: I20200114001982 |
| Provider Name | Kristen Renee Kessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744869 PECOS PAC ID: 8123453321 Enrollment ID: I20200116000895 |
| Provider Name | Misty D Lingenfelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295240695 PECOS PAC ID: 5092074823 Enrollment ID: I20200131001387 |
| Provider Name | Charles W Borders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609069616 PECOS PAC ID: 5890933352 Enrollment ID: I20200226002171 |
| Provider Name | Shawn Howell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447392659 PECOS PAC ID: 1951488659 Enrollment ID: I20200228000367 |
| Provider Name | Urooj Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093354698 PECOS PAC ID: 0345204525 Enrollment ID: I20200309001258 |
| Provider Name | Tina M Noone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144604323 PECOS PAC ID: 4688989957 Enrollment ID: I20200323000131 |
| Provider Name | Pete A Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821790 PECOS PAC ID: 8820427800 Enrollment ID: I20200327000461 |
| Provider Name | Adobea Asiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724623 PECOS PAC ID: 7416235288 Enrollment ID: I20200415000073 |
| Provider Name | Sheena Buskirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396273520 PECOS PAC ID: 2264702117 Enrollment ID: I20200415000815 |
| Provider Name | Ayham M Bataineh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972904365 PECOS PAC ID: 4486923372 Enrollment ID: I20200422002324 |
| Provider Name | Neeharik Mareedu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467834556 PECOS PAC ID: 9739468323 Enrollment ID: I20200514002563 |
| Provider Name | Sahar Alee Koloukani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730635988 PECOS PAC ID: 3971890278 Enrollment ID: I20200519000119 |
| Provider Name | Ragneel Reddy Bijjula |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366730491 PECOS PAC ID: 6901053891 Enrollment ID: I20200701001551 |
| Provider Name | Manish Singla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912089202 PECOS PAC ID: 7315186079 Enrollment ID: I20200714000850 |
| Provider Name | Bethany Hines |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174148571 PECOS PAC ID: 2264850353 Enrollment ID: I20200922003283 |
| Provider Name | Rachel Marie Sproat |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972119618 PECOS PAC ID: 5698194694 Enrollment ID: I20200924001093 |
| Provider Name | Shravan Kooragayalu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346502697 PECOS PAC ID: 9739467721 Enrollment ID: I20201015001154 |
| Provider Name | Charlisa Gibson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205102753 PECOS PAC ID: 6204101876 Enrollment ID: I20201130001913 |
| Provider Name | Stephanie L Mcvicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538767959 PECOS PAC ID: 0941612386 Enrollment ID: I20201209001229 |
| Provider Name | Emily B Teets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053938803 PECOS PAC ID: 0042622821 Enrollment ID: I20201221000259 |
| Provider Name | Megan Kathleen Gordon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407455249 PECOS PAC ID: 1759794761 Enrollment ID: I20210113000205 |
| Provider Name | Amit Hurgobind Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528330313 PECOS PAC ID: 7911275706 Enrollment ID: I20210122000298 |
| Provider Name | Matthew Edward Simmons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396942223 PECOS PAC ID: 7315116142 Enrollment ID: I20210201001171 |
| Provider Name | Katherine J Eyegue-sandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790088557 PECOS PAC ID: 4688859762 Enrollment ID: I20210204000741 |
| Provider Name | Emily Gammoh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790137636 PECOS PAC ID: 2769715804 Enrollment ID: I20210205001589 |
| Provider Name | Lacey Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999504 PECOS PAC ID: 4688089105 Enrollment ID: I20210216000827 |
| Provider Name | Dace Person |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057592 PECOS PAC ID: 8022351428 Enrollment ID: I20210311000233 |
| Provider Name | Hani Alkhatib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699116491 PECOS PAC ID: 1456593821 Enrollment ID: I20210330000746 |
| Provider Name | Kenya Tenidea Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790373025 PECOS PAC ID: 4385052406 Enrollment ID: I20210409000034 |
| Provider Name | Christopher David Ackerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356875843 PECOS PAC ID: 4486063872 Enrollment ID: I20210517000069 |
| Provider Name | Robert Gallagher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043396120 PECOS PAC ID: 4981820594 Enrollment ID: I20210520000270 |
| Provider Name | Marcel Odaimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467436279 PECOS PAC ID: 2264500263 Enrollment ID: I20210527001777 |
| Provider Name | Nicole Rene Schriver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679142814 PECOS PAC ID: 6002210861 Enrollment ID: I20210802002549 |
| Provider Name | Kristina R Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699044768 PECOS PAC ID: 3375866478 Enrollment ID: I20210802003590 |
| Provider Name | Brian Kirsh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871592493 PECOS PAC ID: 9234126038 Enrollment ID: I20210806001056 |
| Provider Name | Carla Blaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891366340 PECOS PAC ID: 4880098847 Enrollment ID: I20210812002517 |
| Provider Name | Lala Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003417163 PECOS PAC ID: 9234311861 Enrollment ID: I20210826000192 |
| Provider Name | Fynda Fillie-faboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649846999 PECOS PAC ID: 7113324286 Enrollment ID: I20210916002610 |
| Provider Name | Kara S Hughan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083822597 PECOS PAC ID: 0749478196 Enrollment ID: I20211109000366 |
| Provider Name | April Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992181 PECOS PAC ID: 2961892237 Enrollment ID: I20211130001244 |
| Provider Name | Melissa J Anslow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437412954 PECOS PAC ID: 2163786468 Enrollment ID: I20211204000137 |
| Provider Name | Luis De Jesus Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528370756 PECOS PAC ID: 7618269275 Enrollment ID: I20211208002251 |
| Provider Name | Richard C Strauss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750315867 PECOS PAC ID: 2567499205 Enrollment ID: I20211214001170 |
| Provider Name | Burnice Lyla Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639834898 PECOS PAC ID: 3678963253 Enrollment ID: I20211214002648 |
| Provider Name | Amy M Jean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699892752 PECOS PAC ID: 7618040395 Enrollment ID: I20220111000038 |
| Provider Name | Joseph E Dohar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225002827 PECOS PAC ID: 9537319884 Enrollment ID: I20220125002973 |
| Provider Name | Joy Elaine Linthicum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942955331 PECOS PAC ID: 4688068299 Enrollment ID: I20220224002433 |
| Provider Name | Elena Isenbergh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922145739 PECOS PAC ID: 1153415039 Enrollment ID: I20220311002326 |
| Provider Name | Linda M Russo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255306254 PECOS PAC ID: 8224010707 Enrollment ID: I20220314000090 |
| Provider Name | Janice A Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174974513 PECOS PAC ID: 1850628801 Enrollment ID: I20220407000064 |
| Provider Name | Alan Chanales |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093719023 PECOS PAC ID: 7315984697 Enrollment ID: I20220407002209 |
| Provider Name | Belinda N Rivera-lebron |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801053822 PECOS PAC ID: 8426234246 Enrollment ID: I20220419000021 |
| Provider Name | Samuel Muench |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164871562 PECOS PAC ID: 5991183741 Enrollment ID: I20220607000716 |
| Provider Name | Steven F Kendell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295763795 PECOS PAC ID: 4082515044 Enrollment ID: I20220623000815 |
| Provider Name | Emily B Brant |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225443666 PECOS PAC ID: 8022350776 Enrollment ID: I20220708000012 |
| Provider Name | Stephanie Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518602408 PECOS PAC ID: 1850772427 Enrollment ID: I20220714001184 |
| Provider Name | Pradhum Ram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194108373 PECOS PAC ID: 5597149377 Enrollment ID: I20220827000390 |
| Provider Name | Yoosif Mohamed Ali Abdalla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679851760 PECOS PAC ID: 6103059803 Enrollment ID: I20220901001099 |
| Provider Name | Stephanie Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205560109 PECOS PAC ID: 2264816347 Enrollment ID: I20220909000118 |
| Provider Name | Ramon Riojas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225354145 PECOS PAC ID: 5799918538 Enrollment ID: I20220912000015 |
| Provider Name | Arindam Ghatak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699047621 PECOS PAC ID: 3971896713 Enrollment ID: I20221004002850 |
| Provider Name | Shayna Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609466424 PECOS PAC ID: 5496162760 Enrollment ID: I20221107000648 |
| Provider Name | Mohammed R Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104864966 PECOS PAC ID: 9234038217 Enrollment ID: I20221202001404 |
| Provider Name | Lacey Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568985943 PECOS PAC ID: 4880063916 Enrollment ID: I20221213001516 |
| Provider Name | Hawwa Alao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376774752 PECOS PAC ID: 7911206024 Enrollment ID: I20230104000303 |
| Provider Name | Manoj Maloo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558550566 PECOS PAC ID: 2062596703 Enrollment ID: I20230208000584 |
| Provider Name | Srini Vasan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376541649 PECOS PAC ID: 6901877893 Enrollment ID: I20230220002269 |
| Provider Name | Douglas Burka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962666263 PECOS PAC ID: 9638235260 Enrollment ID: I20230316000857 |
| Provider Name | George Iskander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457685034 PECOS PAC ID: 6901115534 Enrollment ID: I20230317000461 |
| Provider Name | Mohammad Mojadidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043571029 PECOS PAC ID: 4688989015 Enrollment ID: I20230329000677 |
| Provider Name | Robin Hogenmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097653 PECOS PAC ID: 4183981400 Enrollment ID: I20230405001081 |
| Provider Name | Kimberley Farmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326008400 PECOS PAC ID: 9830182096 Enrollment ID: I20230410001509 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20230418000781 |
| Provider Name | Ryan Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376006643 PECOS PAC ID: 6103150404 Enrollment ID: I20230420000269 |
| Provider Name | Imran M Bajwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871553222 PECOS PAC ID: 4880588706 Enrollment ID: I20230425000974 |
| Provider Name | Jaime Roura-monllor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447651195 PECOS PAC ID: 4082070024 Enrollment ID: I20230518000407 |
| Provider Name | Glenna Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477253680 PECOS PAC ID: 0749647055 Enrollment ID: I20230601000312 |
| Provider Name | Robert Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033182290 PECOS PAC ID: 8921007212 Enrollment ID: I20230605000383 |
| Provider Name | Jeffrey Cary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235129131 PECOS PAC ID: 7517002025 Enrollment ID: I20230605000786 |
| Provider Name | Daniel Ciaburri |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710002910 PECOS PAC ID: 7416909213 Enrollment ID: I20230605001584 |
| Provider Name | Oluwateniola Boluwatife Olatunde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891217162 PECOS PAC ID: 8022355668 Enrollment ID: I20230606002327 |
| Provider Name | Diana L Metzger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477563468 PECOS PAC ID: 2668465857 Enrollment ID: I20230710000340 |
| Provider Name | Otto Villa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669461414 PECOS PAC ID: 8527151497 Enrollment ID: I20230718002609 |
| Provider Name | Alexis Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184316010 PECOS PAC ID: 2961862289 Enrollment ID: I20230719000041 |
| Provider Name | Jennifer Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349679 PECOS PAC ID: 1153688445 Enrollment ID: I20230815000163 |
| Provider Name | Amber Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346933264 PECOS PAC ID: 5496117574 Enrollment ID: I20230822001838 |
| Provider Name | Sardar Shah-khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811421597 PECOS PAC ID: 3173893732 Enrollment ID: I20230823000439 |
| Provider Name | Teresa Hayes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376567487 PECOS PAC ID: 8527330430 Enrollment ID: I20230825000385 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20230825001272 |
| Provider Name | Nimesh K Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538493754 PECOS PAC ID: 9537474630 Enrollment ID: I20230912002763 |
| Provider Name | Alaaeldin A Shalaby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316912595 PECOS PAC ID: 3870550791 Enrollment ID: I20231011001306 |
| Provider Name | Tooba F Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760968648 PECOS PAC ID: 3173924271 Enrollment ID: I20231104000196 |
| Provider Name | Abdallah Kharnaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679861611 PECOS PAC ID: 2466681010 Enrollment ID: I20231106003433 |
| Provider Name | Kamal Mubarak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619914108 PECOS PAC ID: 3678585080 Enrollment ID: I20231109000274 |
| Provider Name | Erin Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263890 PECOS PAC ID: 5496059719 Enrollment ID: I20231115001336 |
| Provider Name | Phuc T Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851625982 PECOS PAC ID: 7810172525 Enrollment ID: I20231115001768 |
| Provider Name | Barry Dicicco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093717324 PECOS PAC ID: 3173582392 Enrollment ID: I20231121000048 |
| Provider Name | Waymee Lwin Conner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659668028 PECOS PAC ID: 8022323492 Enrollment ID: I20231121001549 |
| Provider Name | Reza Hashemipour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861846958 PECOS PAC ID: 2264813013 Enrollment ID: I20231121002203 |
| Provider Name | Dale Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487639043 PECOS PAC ID: 6709823644 Enrollment ID: I20231124000432 |
| Provider Name | Amy O'boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679548341 PECOS PAC ID: 9638447949 Enrollment ID: I20231130000520 |
| Provider Name | David William Silvestre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619315967 PECOS PAC ID: 1456665769 Enrollment ID: I20231204003563 |
| Provider Name | Eboni January |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20231219001914 |
| Provider Name | Darwana R Todd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851360655 PECOS PAC ID: 4789645540 Enrollment ID: I20231219002077 |
| Provider Name | Craig P Dobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164413191 PECOS PAC ID: 7214169887 Enrollment ID: I20231220004246 |
| Provider Name | Tomasz J Niewiarowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073624441 PECOS PAC ID: 6305839895 Enrollment ID: I20231228002458 |
| Provider Name | Kathryn E Kirk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477655371 PECOS PAC ID: 5698716462 Enrollment ID: I20240111004271 |
| Provider Name | Matthew Chandler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568618940 PECOS PAC ID: 3577598630 Enrollment ID: I20240117000620 |
| Provider Name | Flavio D Manela |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548337595 PECOS PAC ID: 2860464666 Enrollment ID: I20240118004592 |
| Provider Name | Amy G. Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093923757 PECOS PAC ID: 3476709650 Enrollment ID: I20240124003983 |
| Provider Name | Bryan Manga Nomen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831501857 PECOS PAC ID: 4486007515 Enrollment ID: I20240125000811 |
| Provider Name | Kacey Barb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093418014 PECOS PAC ID: 3870946668 Enrollment ID: I20240129001314 |
| Provider Name | Kenneth N Josovitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922094580 PECOS PAC ID: 1759364573 Enrollment ID: I20240130002797 |
| Provider Name | Kirsti Anne Campbell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750811964 PECOS PAC ID: 9032462957 Enrollment ID: I20240214001406 |
| Provider Name | Kevin Collier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730287228 PECOS PAC ID: 1254407604 Enrollment ID: I20240214003069 |
| Provider Name | Mylan Ravi Satchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629269527 PECOS PAC ID: 4284898115 Enrollment ID: I20240305003571 |
| Provider Name | Jessica Md Korman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285860486 PECOS PAC ID: 0345428355 Enrollment ID: I20240314001586 |
| Provider Name | Michael Schrift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447889894 PECOS PAC ID: 0446681720 Enrollment ID: I20240319000333 |
| Provider Name | Jessica Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336902881 PECOS PAC ID: 6507204310 Enrollment ID: I20240329000123 |
| Provider Name | Hannah D Schrift |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821446923 PECOS PAC ID: 9739471418 Enrollment ID: I20240402000410 |
| Provider Name | Jonathan Koff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104926302 PECOS PAC ID: 0941376891 Enrollment ID: I20240402001121 |
| Provider Name | Grant Gibb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225416951 PECOS PAC ID: 5991005019 Enrollment ID: I20240403002849 |
| Provider Name | Mohammed A Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962476143 PECOS PAC ID: 1850336975 Enrollment ID: I20240404002784 |
| Provider Name | Noriecel D Mendoza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659320323 PECOS PAC ID: 9234142274 Enrollment ID: I20240411000736 |
| Provider Name | Michele Kyle Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063158723 PECOS PAC ID: 5698158624 Enrollment ID: I20240416000567 |
| Provider Name | Rene Stokes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164650982 PECOS PAC ID: 8224272844 Enrollment ID: I20240417000639 |
| Provider Name | Gerald Bertiger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265470140 PECOS PAC ID: 5597654533 Enrollment ID: I20240419000903 |
| Provider Name | Ghazaleh Aram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154499069 PECOS PAC ID: 5597814962 Enrollment ID: I20240422000335 |
Vik Poonai M D Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 924 Seton Dr, Cumberland, MD 21502 Phone: 301-777-5458 Fax: 301-777-5459 | |
Sunil K. Gupta, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Kent Ave Ste 101, Cumberland, MD 21502 Phone: 301-724-7117 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Mechanic St, Cumberland, MD 21502 Phone: 877-522-1275 Fax: 833-888-7145 | |
Wonsock Shin Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Bishop Walsh Rd, Cumberland, MD 21502 Phone: 301-759-3800 | |
Upmc Western Maryland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W Industrial Blvd, Cumberland, MD 21502 Phone: 240-964-9355 Fax: 240-964-9356 | |
Comprehensive Rehab Consultants Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Furnace St, Cumberland, MD 21502 Phone: 301-777-5941 | |
Upmc Western Maryland Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502 Phone: 240-964-6000 |