| Usacs Integrated Acute Care Services Of Texas, Pllc | |
|
1401 Medical Pkwy Cedar Park TX 78613-7763 | |
| (330) 493-4443 | |
| Not Available |
| Full Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Medical Pkwy, Cedar Park, Texas |
| Authorized Official Name and Position | David Johnson (COO) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usacs Integrated Acute Care Services Of Texas, Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Usacs Integrated Acute Care Services Of Texas, Pllc 1401 Medical Pkwy Cedar Park TX 78613-7763 Ph: (330) 493-4443 |
| NPI Number | 1801300322 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 7618237264 |
|---|---|
| Medicare Enrollment ID | O20180131000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801300322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366435133 PECOS PAC ID: 7214824812 Enrollment ID: I20040228000493 |
| Provider Name | Jack A Nuszen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154402188 PECOS PAC ID: 3375526676 Enrollment ID: I20040609000058 |
| Provider Name | Donovan H Sigerfoos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497760565 PECOS PAC ID: 0143286765 Enrollment ID: I20041206000797 |
| Provider Name | David A Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285727206 PECOS PAC ID: 3577514538 Enrollment ID: I20050207000890 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20050302000702 |
| Provider Name | Daniel Y Levesque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033125307 PECOS PAC ID: 4082659552 Enrollment ID: I20050624000433 |
| Provider Name | Asma Nuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720180870 PECOS PAC ID: 8224066626 Enrollment ID: I20050727000878 |
| Provider Name | Mark Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124046784 PECOS PAC ID: 6800825308 Enrollment ID: I20050804001018 |
| Provider Name | Hanzy Bustamante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508828641 PECOS PAC ID: 5496786691 Enrollment ID: I20050827000065 |
| Provider Name | Aman A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033132758 PECOS PAC ID: 3870527054 Enrollment ID: I20050927000380 |
| Provider Name | Leanne T Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285657072 PECOS PAC ID: 2860594884 Enrollment ID: I20070222000192 |
| Provider Name | Suma S Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174558605 PECOS PAC ID: 7517051600 Enrollment ID: I20070920000173 |
| Provider Name | Robert K Seiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588670848 PECOS PAC ID: 2668552555 Enrollment ID: I20080104000235 |
| Provider Name | Inayat A Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710964895 PECOS PAC ID: 1658379755 Enrollment ID: I20080213000161 |
| Provider Name | Saleem M Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265443451 PECOS PAC ID: 8820176456 Enrollment ID: I20080423000406 |
| Provider Name | Raja Pathapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669501 PECOS PAC ID: 3779522081 Enrollment ID: I20080605000872 |
| Provider Name | David Dmitry Boltan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447468624 PECOS PAC ID: 5698846194 Enrollment ID: I20080611000057 |
| Provider Name | Scott T Wiesenborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851582464 PECOS PAC ID: 2365513967 Enrollment ID: I20080625000059 |
| Provider Name | Hajra Madani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255515516 PECOS PAC ID: 6305917923 Enrollment ID: I20080625000180 |
| Provider Name | Usha Gujja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750578779 PECOS PAC ID: 6800984766 Enrollment ID: I20080729000351 |
| Provider Name | Venkata Lakshmi S K Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689303 PECOS PAC ID: 0446255301 Enrollment ID: I20080818000490 |
| Provider Name | Manuel A Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740451517 PECOS PAC ID: 2961578109 Enrollment ID: I20080911000531 |
| Provider Name | Ricardo Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164438446 PECOS PAC ID: 5092883272 Enrollment ID: I20081002000035 |
| Provider Name | Ruben D Salinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154515252 PECOS PAC ID: 8123196623 Enrollment ID: I20081010000499 |
| Provider Name | Latha Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487844957 PECOS PAC ID: 4486714235 Enrollment ID: I20081124000400 |
| Provider Name | Eric Malsam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134316060 PECOS PAC ID: 6204999873 Enrollment ID: I20090107000612 |
| Provider Name | Elizabeth W Fomby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805783 PECOS PAC ID: 5193872646 Enrollment ID: I20090420000623 |
| Provider Name | Lindsay Boltan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538379433 PECOS PAC ID: 1254480577 Enrollment ID: I20090515000501 |
| Provider Name | Vinoop Daggubati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376771915 PECOS PAC ID: 5890849145 Enrollment ID: I20090820000486 |
| Provider Name | Zainab Abdulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622979 PECOS PAC ID: 0547306813 Enrollment ID: I20090930000577 |
| Provider Name | Bodie Correll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518125731 PECOS PAC ID: 5890833263 Enrollment ID: I20091105000450 |
| Provider Name | Martha Flagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689908832 PECOS PAC ID: 7517006067 Enrollment ID: I20091123000614 |
| Provider Name | Stephen D Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548480858 PECOS PAC ID: 1254418254 Enrollment ID: I20100609000625 |
| Provider Name | Matthew S Brice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306854732 PECOS PAC ID: 2466582507 Enrollment ID: I20100616000101 |
| Provider Name | Kausik Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538377478 PECOS PAC ID: 4789729476 Enrollment ID: I20100910000070 |
| Provider Name | Natacha Isadora Qureshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770772832 PECOS PAC ID: 1052437944 Enrollment ID: I20100928001712 |
| Provider Name | Johany A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982861050 PECOS PAC ID: 8426242199 Enrollment ID: I20101027000720 |
| Provider Name | Clayton A Mccuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Mauricio A Sardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902005523 PECOS PAC ID: 9931271509 Enrollment ID: I20101115000375 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Esther Seoanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730498213 PECOS PAC ID: 4981887569 Enrollment ID: I20110318000413 |
| Provider Name | Steven Mark Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306887070 PECOS PAC ID: 1355525833 Enrollment ID: I20110407000124 |
| Provider Name | Rakhi S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891983771 PECOS PAC ID: 5698951754 Enrollment ID: I20110525000716 |
| Provider Name | Monica M Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821289000 PECOS PAC ID: 4587841226 Enrollment ID: I20110607000461 |
| Provider Name | Lakshmi Ramasahayam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497985238 PECOS PAC ID: 0446381990 Enrollment ID: I20110613000767 |
| Provider Name | Sandra K Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497040943 PECOS PAC ID: 9830368414 Enrollment ID: I20110816000852 |
| Provider Name | Ernesto Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235460080 PECOS PAC ID: 6901076652 Enrollment ID: I20110907001057 |
| Provider Name | Erin Koval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598976763 PECOS PAC ID: 1557494184 Enrollment ID: I20110929000337 |
| Provider Name | Alan J Vaught |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396989026 PECOS PAC ID: 1658545579 Enrollment ID: I20111110000523 |
| Provider Name | Jeremy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144557679 PECOS PAC ID: 2769656628 Enrollment ID: I20111111000114 |
| Provider Name | Ayanava Majumdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152747 PECOS PAC ID: 2769656438 Enrollment ID: I20111114000854 |
| Provider Name | Nabanita Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118522 PECOS PAC ID: 6103090816 Enrollment ID: I20111115000389 |
| Provider Name | Neelima Gowrigari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205097318 PECOS PAC ID: 8527224757 Enrollment ID: I20120716000493 |
| Provider Name | Amanda G Allensworth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841420916 PECOS PAC ID: 8921255324 Enrollment ID: I20120820000772 |
| Provider Name | Raeeda M Gheewala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851507115 PECOS PAC ID: 8022275346 Enrollment ID: I20120906000430 |
| Provider Name | Pedro Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861769598 PECOS PAC ID: 2961650205 Enrollment ID: I20120912000169 |
| Provider Name | Glen Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932458080 PECOS PAC ID: 0749439982 Enrollment ID: I20121004000153 |
| Provider Name | Mamta Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679707988 PECOS PAC ID: 9436308517 Enrollment ID: I20121004000641 |
| Provider Name | Rasmey Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467614008 PECOS PAC ID: 3577734201 Enrollment ID: I20130111000458 |
| Provider Name | Robert D Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144569450 PECOS PAC ID: 2163667684 Enrollment ID: I20130403000352 |
| Provider Name | Elizabeth Catherine Vasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487861076 PECOS PAC ID: 2062536956 Enrollment ID: I20130429000295 |
| Provider Name | Nathan Koranteng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982957924 PECOS PAC ID: 1153563184 Enrollment ID: I20130805000151 |
| Provider Name | Benyam G Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646560 PECOS PAC ID: 9537301197 Enrollment ID: I20130809000529 |
| Provider Name | Jennifer R Werner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306157334 PECOS PAC ID: 0749439990 Enrollment ID: I20130828000079 |
| Provider Name | Abhishek Vedavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942536164 PECOS PAC ID: 4284877549 Enrollment ID: I20130905000609 |
| Provider Name | Eric E. Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922324359 PECOS PAC ID: 2860626538 Enrollment ID: I20131011001051 |
| Provider Name | Christina T. Doan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447576087 PECOS PAC ID: 3375778525 Enrollment ID: I20131024001730 |
| Provider Name | Oluwaseun Akinwale Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316243868 PECOS PAC ID: 0446422364 Enrollment ID: I20131113000618 |
| Provider Name | Jonathan Guerra Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265745335 PECOS PAC ID: 0042446486 Enrollment ID: I20131113001542 |
| Provider Name | Preeti Venkatraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003040544 PECOS PAC ID: 5395971667 Enrollment ID: I20131114000704 |
| Provider Name | Linda Chibuzor Esuzor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566973 PECOS PAC ID: 6305092875 Enrollment ID: I20131115001347 |
| Provider Name | Wilfredo Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427487115 PECOS PAC ID: 1153550835 Enrollment ID: I20140128001528 |
| Provider Name | Dustin J Herschap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134540834 PECOS PAC ID: 2769612001 Enrollment ID: I20140305001788 |
| Provider Name | Claudia R Szych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275858284 PECOS PAC ID: 7810127099 Enrollment ID: I20140310000523 |
| Provider Name | Moira J Pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043577463 PECOS PAC ID: 6406087493 Enrollment ID: I20140314000392 |
| Provider Name | Queen A Idowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780946608 PECOS PAC ID: 6800043084 Enrollment ID: I20140507001152 |
| Provider Name | Kavitha Bagadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871782961 PECOS PAC ID: 8921295981 Enrollment ID: I20140515000707 |
| Provider Name | Paul B Gravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689834319 PECOS PAC ID: 2860665569 Enrollment ID: I20140602001382 |
| Provider Name | Ee Sing Angela Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336577287 PECOS PAC ID: 6800010208 Enrollment ID: I20140604001476 |
| Provider Name | Alok D Desh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780979823 PECOS PAC ID: 7618193194 Enrollment ID: I20140717002137 |
| Provider Name | Katia Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079968 PECOS PAC ID: 1951527183 Enrollment ID: I20140724001648 |
| Provider Name | Gniewomira P Swaldek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316194533 PECOS PAC ID: 0042487167 Enrollment ID: I20140801000498 |
| Provider Name | Jason R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680554 PECOS PAC ID: 7012134331 Enrollment ID: I20140811001634 |
| Provider Name | Michael Joseph Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174810048 PECOS PAC ID: 4688892276 Enrollment ID: I20140822001670 |
| Provider Name | Foad Kiamanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790073674 PECOS PAC ID: 4789802786 Enrollment ID: I20140904002766 |
| Provider Name | Theodore C Klem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063702876 PECOS PAC ID: 1254550734 Enrollment ID: I20140916000061 |
| Provider Name | Hawkins Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20140925001424 |
| Provider Name | Vivek K Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104089945 PECOS PAC ID: 8527230119 Enrollment ID: I20140925001877 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20141105000133 |
| Provider Name | Naga Maruthi Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Madhusudhana R Mudduluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346472230 PECOS PAC ID: 1456508787 Enrollment ID: I20150127000725 |
| Provider Name | Samatha Eppakayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841581683 PECOS PAC ID: 0143545350 Enrollment ID: I20150211000467 |
| Provider Name | Sarah E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275976425 PECOS PAC ID: 8729204102 Enrollment ID: I20150316001311 |
| Provider Name | Mary A Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407287162 PECOS PAC ID: 3870810401 Enrollment ID: I20150319001966 |
| Provider Name | Jason R Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154378297 PECOS PAC ID: 4082605688 Enrollment ID: I20150506000849 |
| Provider Name | Prasanthi K Arety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333713 PECOS PAC ID: 3274845938 Enrollment ID: I20150709000066 |
| Provider Name | John C Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023377165 PECOS PAC ID: 5698088938 Enrollment ID: I20150716000295 |
| Provider Name | Jefferson Rabanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760863609 PECOS PAC ID: 5294049318 Enrollment ID: I20150804003263 |
| Provider Name | Navin Dhingra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518212984 PECOS PAC ID: 0042525644 Enrollment ID: I20150811005296 |
| Provider Name | Arjina Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479320 PECOS PAC ID: 5890002935 Enrollment ID: I20150922001327 |
| Provider Name | Zoya Chittireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631117 PECOS PAC ID: 1052629938 Enrollment ID: I20150925000649 |
| Provider Name | Hilmi Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205196243 PECOS PAC ID: 6103134408 Enrollment ID: I20151007000603 |
| Provider Name | Samira Shahnaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495575 PECOS PAC ID: 9830407097 Enrollment ID: I20151007003142 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20151019000089 |
| Provider Name | Renato Lacurom Delos Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457635559 PECOS PAC ID: 1355596446 Enrollment ID: I20151105001352 |
| Provider Name | Lauren Tada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730558636 PECOS PAC ID: 2062712060 Enrollment ID: I20151124000290 |
| Provider Name | Christopher Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881065357 PECOS PAC ID: 2860793197 Enrollment ID: I20151210001992 |
| Provider Name | Jordan M Cherry |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053782235 PECOS PAC ID: 3870895378 Enrollment ID: I20151230000073 |
| Provider Name | Yogita Mantena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659358794 PECOS PAC ID: 1658357207 Enrollment ID: I20151230000802 |
| Provider Name | Magdiel R. De La Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669845186 PECOS PAC ID: 1254633399 Enrollment ID: I20160107000218 |
| Provider Name | Ranjit K Dhelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
| Provider Name | Audra J Sunderland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134575103 PECOS PAC ID: 2567754963 Enrollment ID: I20160705001664 |
| Provider Name | Michelle E Banister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619210929 PECOS PAC ID: 9537454939 Enrollment ID: I20160824002156 |
| Provider Name | Anand Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205233970 PECOS PAC ID: 2961797378 Enrollment ID: I20160824002273 |
| Provider Name | Miguel Antonio Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083058358 PECOS PAC ID: 8022303361 Enrollment ID: I20160825000386 |
| Provider Name | Mathew T Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596337 PECOS PAC ID: 3678702974 Enrollment ID: I20160920000603 |
| Provider Name | Heather Nicole Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205371739 PECOS PAC ID: 3274818844 Enrollment ID: I20170322000246 |
| Provider Name | Leatha D Tampke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007191 PECOS PAC ID: 8022393461 Enrollment ID: I20170327000653 |
| Provider Name | Roberto M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291736 PECOS PAC ID: 7012293848 Enrollment ID: I20170411000575 |
| Provider Name | Ernest C Nwachukwu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831503168 PECOS PAC ID: 7214230507 Enrollment ID: I20170627001461 |
| Provider Name | Christopher J De Ochoa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619387396 PECOS PAC ID: 4183994106 Enrollment ID: I20170725002051 |
| Provider Name | Susan E Conway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871913798 PECOS PAC ID: 5496025215 Enrollment ID: I20170726002748 |
| Provider Name | Michael Joseph Aterno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276173 PECOS PAC ID: 6800168022 Enrollment ID: I20170823003190 |
| Provider Name | Sharon Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641786 PECOS PAC ID: 3173804093 Enrollment ID: I20170907002844 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20171004002400 |
| Provider Name | Wael A Alnajjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669890489 PECOS PAC ID: 0547536955 Enrollment ID: I20171030001003 |
| Provider Name | Malory Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952825275 PECOS PAC ID: 6608132444 Enrollment ID: I20171109003079 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20171205001286 |
| Provider Name | Michael P Maruska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659669018 PECOS PAC ID: 5799902417 Enrollment ID: I20171212001878 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178507 PECOS PAC ID: 0547541807 Enrollment ID: I20171219002964 |
| Provider Name | Elaine D Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330422 PECOS PAC ID: 7113286790 Enrollment ID: I20180108001114 |
| Provider Name | Omurkan Mira Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676838 PECOS PAC ID: 1153683289 Enrollment ID: I20180329000699 |
| Provider Name | Joshua Pozos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689060048 PECOS PAC ID: 8123318854 Enrollment ID: I20180604000763 |
| Provider Name | Elliana Wiesner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699156273 PECOS PAC ID: 1355631706 Enrollment ID: I20180620001050 |
| Provider Name | Kristin M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190572 PECOS PAC ID: 2567696214 Enrollment ID: I20180620002865 |
| Provider Name | Shiva Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013573 PECOS PAC ID: 3274753140 Enrollment ID: I20180628002532 |
| Provider Name | Alejandro Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528322476 PECOS PAC ID: 1759697303 Enrollment ID: I20180712001253 |
| Provider Name | Hammad Salim Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528452505 PECOS PAC ID: 0244541753 Enrollment ID: I20180712002573 |
| Provider Name | Klever C Uleanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497266977 PECOS PAC ID: 3375890239 Enrollment ID: I20180724000397 |
| Provider Name | Aviral C Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669852273 PECOS PAC ID: 0941599567 Enrollment ID: I20180731002646 |
| Provider Name | Kristen A Weibel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649666249 PECOS PAC ID: 9032467220 Enrollment ID: I20180803001961 |
| Provider Name | Krishan B Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398615 PECOS PAC ID: 3274854518 Enrollment ID: I20180821000854 |
| Provider Name | Thao Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003203662 PECOS PAC ID: 8921310913 Enrollment ID: I20180829001141 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20180904001576 |
| Provider Name | Sarah Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952797557 PECOS PAC ID: 9638478720 Enrollment ID: I20181009002025 |
| Provider Name | John Edward Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023499100 PECOS PAC ID: 0547512816 Enrollment ID: I20181015002476 |
| Provider Name | Sayf Yassin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043605371 PECOS PAC ID: 8224334677 Enrollment ID: I20181017000479 |
| Provider Name | Kathryn Figer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760865505 PECOS PAC ID: 8820341290 Enrollment ID: I20181101000746 |
| Provider Name | Zachary Thomas-alan Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568947505 PECOS PAC ID: 7315281185 Enrollment ID: I20181205001001 |
| Provider Name | Giri Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366767048 PECOS PAC ID: 0042466898 Enrollment ID: I20190301002239 |
| Provider Name | Hussain Shabbir Malbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228150 PECOS PAC ID: 0042566432 Enrollment ID: I20190328000018 |
| Provider Name | Juan Pablo Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003298175 PECOS PAC ID: 6305187824 Enrollment ID: I20190410002686 |
| Provider Name | Lowell G Rollins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053766048 PECOS PAC ID: 1052603735 Enrollment ID: I20190605003073 |
| Provider Name | Camille Ayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851746077 PECOS PAC ID: 7113253667 Enrollment ID: I20190723000125 |
| Provider Name | Ilona Nekhayeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093169203 PECOS PAC ID: 8022303122 Enrollment ID: I20190812000241 |
| Provider Name | Ebony N Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609230812 PECOS PAC ID: 1759678295 Enrollment ID: I20190822002634 |
| Provider Name | Omar Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630856 PECOS PAC ID: 2365716321 Enrollment ID: I20190822002818 |
| Provider Name | Joyce Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558716142 PECOS PAC ID: 7315239258 Enrollment ID: I20190924003100 |
| Provider Name | Belinda Benavidez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346899879 PECOS PAC ID: 3274865936 Enrollment ID: I20191029003147 |
| Provider Name | Mohammed Zawahiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639508542 PECOS PAC ID: 7517237324 Enrollment ID: I20191118000675 |
| Provider Name | Soumya Mohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971214 PECOS PAC ID: 6406283233 Enrollment ID: I20200217003418 |
| Provider Name | Hui Gao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093158933 PECOS PAC ID: 3779879770 Enrollment ID: I20200304001151 |
| Provider Name | Jake G Halvorsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497015002 PECOS PAC ID: 9436456969 Enrollment ID: I20200324000105 |
| Provider Name | Mohamed A Sheta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457666570 PECOS PAC ID: 7517279805 Enrollment ID: I20200422000214 |
| Provider Name | Faraz Saifi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053844555 PECOS PAC ID: 8224469325 Enrollment ID: I20200505001374 |
| Provider Name | Emilio Roberto Narvaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316488026 PECOS PAC ID: 9739510744 Enrollment ID: I20200507000338 |
| Provider Name | Kim Phung Le Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609253202 PECOS PAC ID: 0345665287 Enrollment ID: I20200810000630 |
| Provider Name | Matthew L Applebaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184155897 PECOS PAC ID: 1658644026 Enrollment ID: I20200930000306 |
| Provider Name | Samir Musleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033157110 PECOS PAC ID: 2163465675 Enrollment ID: I20200930002049 |
| Provider Name | Henry M Selke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730272535 PECOS PAC ID: 5193899649 Enrollment ID: I20201118001287 |
| Provider Name | Michael P Bibler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780047035 PECOS PAC ID: 0042507782 Enrollment ID: I20201123000048 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20201207000134 |
| Provider Name | Lisa Marie Gleitmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952643678 PECOS PAC ID: 9830469683 Enrollment ID: I20201214002798 |
| Provider Name | Donte Mcclary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689647497 PECOS PAC ID: 9436063179 Enrollment ID: I20210112000986 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20210121002204 |
| Provider Name | Keagan Glyn Mouret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265082358 PECOS PAC ID: 6507270493 Enrollment ID: I20210204002378 |
| Provider Name | Kenneth Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878811 PECOS PAC ID: 0941543128 Enrollment ID: I20210210002686 |
| Provider Name | Lindsey Karka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174133268 PECOS PAC ID: 5597172361 Enrollment ID: I20210323000005 |
| Provider Name | Laura J Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144811712 PECOS PAC ID: 7911314455 Enrollment ID: I20210329001364 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20210330002608 |
| Provider Name | Naimeh Tashakkorinia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336535772 PECOS PAC ID: 3971854589 Enrollment ID: I20210331000800 |
| Provider Name | Abdulhamid Firas Al-douri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20210507001985 |
| Provider Name | Poushali Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811200629 PECOS PAC ID: 9335383470 Enrollment ID: I20210511000079 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20210526003101 |
| Provider Name | James Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992297642 PECOS PAC ID: 4183970940 Enrollment ID: I20210528000558 |
| Provider Name | Luis Alberto Landeros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831774694 PECOS PAC ID: 1254732761 Enrollment ID: I20210622000920 |
| Provider Name | Sheena R Kodavaluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033470919 PECOS PAC ID: 0244453454 Enrollment ID: I20210702002612 |
| Provider Name | Hamza Muhammad Tola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20210729002252 |
| Provider Name | Courtney P Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487227708 PECOS PAC ID: 5395148191 Enrollment ID: I20210729004043 |
| Provider Name | Pragati Banda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567298 PECOS PAC ID: 4486816287 Enrollment ID: I20210730001147 |
| Provider Name | Mark Nicholas Ziats |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356790091 PECOS PAC ID: 5597050005 Enrollment ID: I20210805002578 |
| Provider Name | Michael Thomas Sellechio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851753982 PECOS PAC ID: 1557634458 Enrollment ID: I20210903001564 |
| Provider Name | Ahsan Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669807244 PECOS PAC ID: 9931470960 Enrollment ID: I20210914000613 |
| Provider Name | Eziuche Nwakanma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225290091 PECOS PAC ID: 0840459012 Enrollment ID: I20210927001346 |
| Provider Name | Merrick Bautista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952807729 PECOS PAC ID: 9032465372 Enrollment ID: I20211020000145 |
| Provider Name | Osama G Mitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532071 PECOS PAC ID: 1153227475 Enrollment ID: I20211130000072 |
| Provider Name | Darren Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124517172 PECOS PAC ID: 3375933740 Enrollment ID: I20211130001030 |
| Provider Name | Suganya Chandramohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088148 PECOS PAC ID: 5395000103 Enrollment ID: I20211208002944 |
| Provider Name | Chidozie Odigwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20211214000526 |
| Provider Name | Oluwaseyi Segun Balasire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235243 PECOS PAC ID: 5799045316 Enrollment ID: I20211222000859 |
| Provider Name | Jenna Whylings Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942627575 PECOS PAC ID: 7012200041 Enrollment ID: I20211223001315 |
| Provider Name | Sarah C Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663968 PECOS PAC ID: 5799176665 Enrollment ID: I20220104000354 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20220202000770 |
| Provider Name | Alphonsus Wing Kung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205064540 PECOS PAC ID: 2668628041 Enrollment ID: I20220207002055 |
| Provider Name | Ivan Young Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076099 PECOS PAC ID: 0345635439 Enrollment ID: I20220329000262 |
| Provider Name | Mia Wynn Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295141570 PECOS PAC ID: 0042508913 Enrollment ID: I20220329001994 |
| Provider Name | Syed Zia Uddin Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962884338 PECOS PAC ID: 6305152463 Enrollment ID: I20220514000037 |
| Provider Name | Hasitha D Manohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255810693 PECOS PAC ID: 9133520109 Enrollment ID: I20220516002613 |
| Provider Name | Daniel Lino Harbison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771775 PECOS PAC ID: 9931533296 Enrollment ID: I20220519000015 |
| Provider Name | Abigail Ruth Jaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574201 PECOS PAC ID: 7214316546 Enrollment ID: I20220616002109 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20220621002650 |
| Provider Name | Travis C Mccubbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621560 PECOS PAC ID: 9335473610 Enrollment ID: I20220623001117 |
| Provider Name | Lakshya U Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932668977 PECOS PAC ID: 2668852856 Enrollment ID: I20220706000954 |
| Provider Name | Kathryn G Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467199166 PECOS PAC ID: 6800278953 Enrollment ID: I20220805000775 |
| Provider Name | Jeffrey D Murillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538484472 PECOS PAC ID: 8729212204 Enrollment ID: I20220820000028 |
| Provider Name | Maritza Pantoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306370374 PECOS PAC ID: 8022491117 Enrollment ID: I20220823002076 |
| Provider Name | Daniel Artruo Espinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841851383 PECOS PAC ID: 0941685549 Enrollment ID: I20220919000735 |
| Provider Name | Amanda Nicole Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679038921 PECOS PAC ID: 4183091903 Enrollment ID: I20221108003352 |
| Provider Name | John Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184358905 PECOS PAC ID: 5698142354 Enrollment ID: I20221109001574 |
| Provider Name | Steven J Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679924781 PECOS PAC ID: 3779876859 Enrollment ID: I20230103000661 |
| Provider Name | Jessecia L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952173 PECOS PAC ID: 6406213396 Enrollment ID: I20230608000820 |
| Provider Name | Michelle Brito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740806157 PECOS PAC ID: 7719303908 Enrollment ID: I20230626001351 |
| Provider Name | Kurt Isaac-elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922623446 PECOS PAC ID: 6103288105 Enrollment ID: I20230808001665 |
| Provider Name | Edwin Ivan Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215575568 PECOS PAC ID: 5890158547 Enrollment ID: I20230828002915 |
| Provider Name | Jack M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023692183 PECOS PAC ID: 8527422146 Enrollment ID: I20230915001095 |
| Provider Name | Marsha H Hamner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144357724 PECOS PAC ID: 3476653528 Enrollment ID: I20230927003518 |
| Provider Name | Karla Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124656442 PECOS PAC ID: 0143643171 Enrollment ID: I20231010004141 |
| Provider Name | Lori Ann Banse-fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982085700 PECOS PAC ID: 1052612728 Enrollment ID: I20231013000058 |
| Provider Name | Rizwan Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467854992 PECOS PAC ID: 8123393287 Enrollment ID: I20231026004445 |
| Provider Name | Michael Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992285605 PECOS PAC ID: 7618213240 Enrollment ID: I20231107000113 |
| Provider Name | Patricia Andrea Tan Montierth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499636 PECOS PAC ID: 6406203801 Enrollment ID: I20231107001177 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20231114001574 |
| Provider Name | Chukwuemeka Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389196 PECOS PAC ID: 1557698826 Enrollment ID: I20231211003459 |
| Provider Name | Ursula Pandit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598293292 PECOS PAC ID: 6305183781 Enrollment ID: I20240213000636 |
| Provider Name | Albert Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499668 PECOS PAC ID: 1254655897 Enrollment ID: I20240306000524 |
| Provider Name | Saroj Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942511498 PECOS PAC ID: 1759415508 Enrollment ID: I20240326001044 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225481153 PECOS PAC ID: 6901189752 Enrollment ID: I20240404001020 |
| Provider Name | Sovik De Sirkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588124739 PECOS PAC ID: 0143664334 Enrollment ID: I20240404002314 |
| Provider Name | Yaw Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699234567 PECOS PAC ID: 6204162167 Enrollment ID: I20240405001598 |
| Provider Name | Lawson Ishalaiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164008728 PECOS PAC ID: 9335549401 Enrollment ID: I20240701002113 |
| Provider Name | Muhaymin S Abdul-moheeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689240541 PECOS PAC ID: 5496290124 Enrollment ID: I20240717002462 |
| Provider Name | Anayet U Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20240724001706 |
| Provider Name | Saleem Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437656691 PECOS PAC ID: 8022367689 Enrollment ID: I20240817000677 |
| Provider Name | Mark Angel Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992373518 PECOS PAC ID: 9032659842 Enrollment ID: I20240907000260 |
| Provider Name | Andreia R Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174544787 PECOS PAC ID: 7214934611 Enrollment ID: I20240923000252 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20241002003398 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20241011001827 |
| Provider Name | Laurie Lavery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275507402 PECOS PAC ID: 2769427251 Enrollment ID: I20241014004423 |
| Provider Name | Njuggie W Ndeere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669771887 PECOS PAC ID: 4981136801 Enrollment ID: I20241017000336 |
| Provider Name | Kareem A Hinedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245276633 PECOS PAC ID: 8527015544 Enrollment ID: I20241022000791 |
| Provider Name | Aneisha Crossbourne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396900882 PECOS PAC ID: 6406025428 Enrollment ID: I20241022002766 |
| Provider Name | Timothy C Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20241023002533 |
| Provider Name | Angelo M Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20241026000022 |
| Provider Name | Kwadwo Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124335872 PECOS PAC ID: 3870711765 Enrollment ID: I20241028001986 |
| Provider Name | George Germanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858390 PECOS PAC ID: 5991105058 Enrollment ID: I20241106001399 |
| Provider Name | Yessenia Degante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356178545 PECOS PAC ID: 9133654635 Enrollment ID: I20241120003701 |
| Provider Name | Elizabeth Imathiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174351878 PECOS PAC ID: 5294260121 Enrollment ID: I20241202000463 |
Cedar Park Covid Test Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Cottonwood Creek Trl Ste 180b, Cedar Park, TX 78613 Phone: 512-737-2662 | |
Rrcp Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Whitestone Blvd, Suite 105, Cedar Park, TX 78613 Phone: 512-918-2225 Fax: 512-918-2229 | |
Cedar Park Pediatric And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613 Phone: 512-336-2777 | |
Texas Cardiac Arrhythmia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 E Whitestone Blvd, Suite 230, Cedar Park, TX 78613 Phone: 512-206-2999 | |
Complete Cure Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 E Whitestone Blvd Ste 120, Cedar Park, TX 78613 Phone: 512-297-8044 Fax: 512-918-2933 |