| Ut Internal Medicine Pellissippi | |
|
9625 Kroger Park Dr Ste 450 Knoxville TN 37922-5880 | |
| (865) 690-2992 | |
| (865) 690-2993 |
| Full Name | Ut Internal Medicine Pellissippi |
|---|---|
| Speciality | Internal Medicine |
| Location | 9625 Kroger Park Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Beth A Maynard (VICE PRESIDENT) |
| Authorized Official Contact | 8656706754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Internal Medicine Pellissippi Po Box 415000-msc8174 Nashville TN 37241-8174 Ph: (865) 670-6199 | Ut Internal Medicine Pellissippi 9625 Kroger Park Dr Ste 450 Knoxville TN 37922-5880 Ph: (865) 690-2992 |
| NPI Number | 1790738763 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/05/2020 |
| Medicare PECOS PAC ID | 5294646378 |
|---|---|
| Medicare Enrollment ID | O20031111000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790738763 | NPI | - | NPPES |
| 3285144 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wayne C Curfman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891807152 PECOS PAC ID: 6507760493 Enrollment ID: I20031121000710 |
| Provider Name | Heena Np Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538104617 PECOS PAC ID: 9537065594 Enrollment ID: I20031210000420 |
| Provider Name | Robert F Elder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801994793 PECOS PAC ID: 6204748643 Enrollment ID: I20031217000335 |
| Provider Name | Calvin Morton Bard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992730105 PECOS PAC ID: 5698674216 Enrollment ID: I20040102000611 |
| Provider Name | Courtney C George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730287764 PECOS PAC ID: 8426957861 Enrollment ID: I20040106000091 |
| Provider Name | William P Powers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093787590 PECOS PAC ID: 6901799428 Enrollment ID: I20040206000482 |
| Provider Name | Cynthia N Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548313372 PECOS PAC ID: 1254225246 Enrollment ID: I20040211000142 |
| Provider Name | Nathan E Schrock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679573372 PECOS PAC ID: 1759279482 Enrollment ID: I20040305000292 |
| Provider Name | Todd A Nickloes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447293675 PECOS PAC ID: 7618865262 Enrollment ID: I20040306000019 |
| Provider Name | Michael L Eisenstadt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790865335 PECOS PAC ID: 1850280223 Enrollment ID: I20040312001224 |
| Provider Name | William Neal Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417902776 PECOS PAC ID: 8224020862 Enrollment ID: I20040401001462 |
| Provider Name | Guy W. Tillinghast |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205853793 PECOS PAC ID: 6608869763 Enrollment ID: I20040405001393 |
| Provider Name | Guy L Smoak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649238791 PECOS PAC ID: 3971597899 Enrollment ID: I20040413001365 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20040419001314 |
| Provider Name | Claude A La Charite |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336127083 PECOS PAC ID: 7416944426 Enrollment ID: I20040429001120 |
| Provider Name | Julio A Solla |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295768182 PECOS PAC ID: 5890784839 Enrollment ID: I20040506001079 |
| Provider Name | Thomas L Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053493791 PECOS PAC ID: 3476542432 Enrollment ID: I20040506001208 |
| Provider Name | Douglas L Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669345 PECOS PAC ID: 1850381757 Enrollment ID: I20040513000797 |
| Provider Name | Matthew L Mancini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194755454 PECOS PAC ID: 4486644937 Enrollment ID: I20040517000050 |
| Provider Name | Murad G Salaita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144313073 PECOS PAC ID: 5698757755 Enrollment ID: I20040602001295 |
| Provider Name | Jennie S Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114910247 PECOS PAC ID: 4183607682 Enrollment ID: I20040607001475 |
| Provider Name | Kenneth L Justice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891747853 PECOS PAC ID: 7416938030 Enrollment ID: I20040614001283 |
| Provider Name | Issam M Almashharawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598734006 PECOS PAC ID: 1456335413 Enrollment ID: I20040616001057 |
| Provider Name | Eric J Littleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063499846 PECOS PAC ID: 2163409913 Enrollment ID: I20040630000742 |
| Provider Name | Jeffrey H Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285635961 PECOS PAC ID: 8527045392 Enrollment ID: I20040630000823 |
| Provider Name | Jennifer H Brinkmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467534727 PECOS PAC ID: 5991783458 Enrollment ID: I20040710000399 |
| Provider Name | Christina M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003839382 PECOS PAC ID: 7113906769 Enrollment ID: I20040716000540 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417059254 PECOS PAC ID: 2769462050 Enrollment ID: I20040726000974 |
| Provider Name | Daniel Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013975168 PECOS PAC ID: 9436129145 Enrollment ID: I20040729001016 |
| Provider Name | Michael S Bailey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811926322 PECOS PAC ID: 8921078585 Enrollment ID: I20040729001379 |
| Provider Name | Kathryn A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902806524 PECOS PAC ID: 9830160001 Enrollment ID: I20040802001442 |
| Provider Name | Sameh S Naguib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568415685 PECOS PAC ID: 9234100876 Enrollment ID: I20040805000547 |
| Provider Name | Raj M Baljepally |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598766370 PECOS PAC ID: 0648242933 Enrollment ID: I20040807000262 |
| Provider Name | Jeffrey B Hirsh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801897699 PECOS PAC ID: 7012989296 Enrollment ID: I20040809000785 |
| Provider Name | Cynthia D Payne-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053400788 PECOS PAC ID: 3375517907 Enrollment ID: I20040820000412 |
| Provider Name | Jeffry D Bieber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831294891 PECOS PAC ID: 7618942327 Enrollment ID: I20040826001282 |
| Provider Name | Rocio A Huet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073555041 PECOS PAC ID: 6901871466 Enrollment ID: I20040827001086 |
| Provider Name | Richard R Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457341018 PECOS PAC ID: 1355316001 Enrollment ID: I20040828000056 |
| Provider Name | Kevin M Martinolich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659388197 PECOS PAC ID: 6305811290 Enrollment ID: I20040902000274 |
| Provider Name | Elise E Schriver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891701322 PECOS PAC ID: 1759375470 Enrollment ID: I20040902000946 |
| Provider Name | Paul R Branca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700893252 PECOS PAC ID: 1254307077 Enrollment ID: I20040902001303 |
| Provider Name | Michael T Mccormack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114934676 PECOS PAC ID: 3072589639 Enrollment ID: I20040903000960 |
| Provider Name | Meharban Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083707020 PECOS PAC ID: 6204803810 Enrollment ID: I20040914000184 |
| Provider Name | Bruce R Leforce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790767796 PECOS PAC ID: 2567430366 Enrollment ID: I20040920000871 |
| Provider Name | Julia R Van Zyl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467545434 PECOS PAC ID: 6507834116 Enrollment ID: I20040921001350 |
| Provider Name | Lawrence R Smith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1245323021 PECOS PAC ID: 8325016934 Enrollment ID: I20040921001354 |
| Provider Name | Crystal F Wheelon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831282680 PECOS PAC ID: 8628046125 Enrollment ID: I20040922000809 |
| Provider Name | Tina M Dudney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285641746 PECOS PAC ID: 9830001098 Enrollment ID: I20040922001119 |
| Provider Name | Lou M Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295778421 PECOS PAC ID: 8022077395 Enrollment ID: I20041004000835 |
| Provider Name | Nikki B Zite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518065416 PECOS PAC ID: 7911966437 Enrollment ID: I20041008000749 |
| Provider Name | Oscar H Grandas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366550014 PECOS PAC ID: 5294795035 Enrollment ID: I20041015000182 |
| Provider Name | C B Bowling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255398004 PECOS PAC ID: 6406818616 Enrollment ID: I20041030000217 |
| Provider Name | Larry Shuster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588630891 PECOS PAC ID: 8022071208 Enrollment ID: I20041109000295 |
| Provider Name | William J Mahlow |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205830171 PECOS PAC ID: 3779547419 Enrollment ID: I20041112000942 |
| Provider Name | Diana L Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720186646 PECOS PAC ID: 2961466602 Enrollment ID: I20041112001015 |
| Provider Name | David R Huntsinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619978491 PECOS PAC ID: 7113983636 Enrollment ID: I20041207000471 |
| Provider Name | Carol D Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186109 PECOS PAC ID: 7810945789 Enrollment ID: I20050106000987 |
| Provider Name | Joseph C Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750382362 PECOS PAC ID: 5395793780 Enrollment ID: I20050112000603 |
| Provider Name | John H Acker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497756241 PECOS PAC ID: 6305895798 Enrollment ID: I20050112000690 |
| Provider Name | James W Cox |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932100542 PECOS PAC ID: 3072562479 Enrollment ID: I20050112000746 |
| Provider Name | John C Scott |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992706782 PECOS PAC ID: 5496704892 Enrollment ID: I20050112000794 |
| Provider Name | Aleona A Oculam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578661518 PECOS PAC ID: 1052360914 Enrollment ID: I20050118000603 |
| Provider Name | Staci K Stalcup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487652699 PECOS PAC ID: 0840243044 Enrollment ID: I20050228001004 |
| Provider Name | Clay E Stalcup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750389979 PECOS PAC ID: 8820041023 Enrollment ID: I20050228001012 |
| Provider Name | James E Shamiyeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093720435 PECOS PAC ID: 4587610027 Enrollment ID: I20050328000609 |
| Provider Name | Milan N Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083694707 PECOS PAC ID: 2365498540 Enrollment ID: I20050330001101 |
| Provider Name | Douglas L Damron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396785317 PECOS PAC ID: 4284681388 Enrollment ID: I20050331000898 |
| Provider Name | Shelley L Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467674721 PECOS PAC ID: 7911954334 Enrollment ID: I20050407000039 |
| Provider Name | Gary L Klipple |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538263926 PECOS PAC ID: 9335189828 Enrollment ID: I20050504000308 |
| Provider Name | Wendy N May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326021981 PECOS PAC ID: 8729020474 Enrollment ID: I20050524000419 |
| Provider Name | Deborah L Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437242419 PECOS PAC ID: 6608819586 Enrollment ID: I20050602000549 |
| Provider Name | Claire Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811990112 PECOS PAC ID: 6406899210 Enrollment ID: I20050602000905 |
| Provider Name | Daniel M Spica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326184383 PECOS PAC ID: 7315981735 Enrollment ID: I20050616000652 |
| Provider Name | Kimberly B Fortner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033217930 PECOS PAC ID: 3173569829 Enrollment ID: I20050701000864 |
| Provider Name | Heath R Many |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033151675 PECOS PAC ID: 0648206557 Enrollment ID: I20050712001018 |
| Provider Name | Steven P Rider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730159534 PECOS PAC ID: 8325076268 Enrollment ID: I20050801000981 |
| Provider Name | Bennie W Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180908 PECOS PAC ID: 3779511647 Enrollment ID: I20050801001266 |
| Provider Name | Linda L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609858364 PECOS PAC ID: 6406886142 Enrollment ID: I20050812000834 |
| Provider Name | Ilse J Anderson |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1558330936 PECOS PAC ID: 9739110594 Enrollment ID: I20050822001320 |
| Provider Name | John L Bell |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447343298 PECOS PAC ID: 7719976950 Enrollment ID: I20050909000323 |
| Provider Name | Brian F Wiseman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669442547 PECOS PAC ID: 2769415132 Enrollment ID: I20050915000815 |
| Provider Name | Samar M Alsharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528032984 PECOS PAC ID: 2365475415 Enrollment ID: I20050919000182 |
| Provider Name | Heather K Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720023708 PECOS PAC ID: 5597799288 Enrollment ID: I20050922000155 |
| Provider Name | Mary S Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538143961 PECOS PAC ID: 8628090669 Enrollment ID: I20051219000896 |
| Provider Name | Kristie G Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861526667 PECOS PAC ID: 1254354129 Enrollment ID: I20060105000694 |
| Provider Name | Ramani M Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417955154 PECOS PAC ID: 6709800279 Enrollment ID: I20060125000254 |
| Provider Name | Richard L Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366537391 PECOS PAC ID: 6002820800 Enrollment ID: I20060201000117 |
| Provider Name | Juli D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205855699 PECOS PAC ID: 1052376126 Enrollment ID: I20060215000341 |
| Provider Name | Mitchell H Goldman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588694913 PECOS PAC ID: 2365458205 Enrollment ID: I20060301000378 |
| Provider Name | David M Rankin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225027865 PECOS PAC ID: 5799757142 Enrollment ID: I20060420000589 |
| Provider Name | Janice T Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083657373 PECOS PAC ID: 0749290104 Enrollment ID: I20060428000496 |
| Provider Name | Juliana Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183235 PECOS PAC ID: 7517996333 Enrollment ID: I20060714000023 |
| Provider Name | David W Luck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962445726 PECOS PAC ID: 8527083732 Enrollment ID: I20060727000459 |
| Provider Name | Gregory J Mancini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548211857 PECOS PAC ID: 2567492473 Enrollment ID: I20060811000227 |
| Provider Name | Anthony L Cabrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316984008 PECOS PAC ID: 8426052614 Enrollment ID: I20060830000364 |
| Provider Name | Kabel A Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811915317 PECOS PAC ID: 5496759458 Enrollment ID: I20060905000422 |
| Provider Name | Lisa M Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407891187 PECOS PAC ID: 0648275586 Enrollment ID: I20060927000188 |
| Provider Name | Brian J Daley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245273465 PECOS PAC ID: 5496646119 Enrollment ID: I20061005000554 |
| Provider Name | Charles Thomas Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134141880 PECOS PAC ID: 7214933217 Enrollment ID: I20061016000146 |
| Provider Name | Alexander Gaitanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114937844 PECOS PAC ID: 8022016641 Enrollment ID: I20061115000089 |
| Provider Name | Kevin S Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497833834 PECOS PAC ID: 1052310083 Enrollment ID: I20061220000260 |
| Provider Name | Anna H Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063596062 PECOS PAC ID: 9537169669 Enrollment ID: I20070112000475 |
| Provider Name | Kevin S Cornwell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982634754 PECOS PAC ID: 6305847278 Enrollment ID: I20070118000592 |
| Provider Name | Lisa A Dugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083615868 PECOS PAC ID: 8022019827 Enrollment ID: I20070122000440 |
| Provider Name | Jano J Janoyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992743314 PECOS PAC ID: 1153382353 Enrollment ID: I20070124000227 |
| Provider Name | James D Garmany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295826048 PECOS PAC ID: 9638171689 Enrollment ID: I20070205000587 |
| Provider Name | Fitzhugh L Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477527653 PECOS PAC ID: 1951404003 Enrollment ID: I20070312000166 |
| Provider Name | Simi Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902836620 PECOS PAC ID: 0749383206 Enrollment ID: I20070321000501 |
| Provider Name | Eduardo R Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821012329 PECOS PAC ID: 8426152216 Enrollment ID: I20070404000258 |
| Provider Name | Julie W Jeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053489187 PECOS PAC ID: 3678679370 Enrollment ID: I20070425000687 |
| Provider Name | Allan M Grossman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659367233 PECOS PAC ID: 9537266721 Enrollment ID: I20070523000294 |
| Provider Name | Kristy Vandiver Klena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508945817 PECOS PAC ID: 6507964061 Enrollment ID: I20070606000474 |
| Provider Name | K Paige Kessler Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855566 PECOS PAC ID: 2062510431 Enrollment ID: I20070607000739 |
| Provider Name | Jill M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417096967 PECOS PAC ID: 7618077512 Enrollment ID: I20070706000289 |
| Provider Name | Bret Rogers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922123744 PECOS PAC ID: 6709986110 Enrollment ID: I20070714000103 |
| Provider Name | Jason D Keller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194832352 PECOS PAC ID: 7719988732 Enrollment ID: I20070725000788 |
| Provider Name | Rochelle L Aaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306067921 PECOS PAC ID: 9335230341 Enrollment ID: I20070806000561 |
| Provider Name | James O Shirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154390649 PECOS PAC ID: 8820189715 Enrollment ID: I20070807000424 |
| Provider Name | Sonya D Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508081175 PECOS PAC ID: 3375634926 Enrollment ID: I20070810000332 |
| Provider Name | James Wadzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437351970 PECOS PAC ID: 0244321842 Enrollment ID: I20070810000777 |
| Provider Name | Ronald H Lands |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982601811 PECOS PAC ID: 3678516200 Enrollment ID: I20070816000803 |
| Provider Name | Allison Eaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124222963 PECOS PAC ID: 8820180029 Enrollment ID: I20070817000140 |
| Provider Name | Stephanie B Cross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184693939 PECOS PAC ID: 1052219672 Enrollment ID: I20070822001527 |
| Provider Name | Clarissa Geyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528264223 PECOS PAC ID: 8325130198 Enrollment ID: I20070824000131 |
| Provider Name | Keith D Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235237843 PECOS PAC ID: 6901822709 Enrollment ID: I20070828000496 |
| Provider Name | Jeffrey E Everett |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407849532 PECOS PAC ID: 3779674916 Enrollment ID: I20070912000569 |
| Provider Name | David Crouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932150430 PECOS PAC ID: 7214959642 Enrollment ID: I20070912000913 |
| Provider Name | Monica K Crane |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982713053 PECOS PAC ID: 8729022686 Enrollment ID: I20070914000497 |
| Provider Name | Sara Bertha Juarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932119351 PECOS PAC ID: 1658379193 Enrollment ID: I20070917000122 |
| Provider Name | Mary E Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518165745 PECOS PAC ID: 8224122049 Enrollment ID: I20070924000365 |
| Provider Name | Janet E Lubas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326011149 PECOS PAC ID: 9032204706 Enrollment ID: I20070926001204 |
| Provider Name | Catherine H Kingery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851512818 PECOS PAC ID: 3577659051 Enrollment ID: I20071015000032 |
| Provider Name | David R Ayers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184648297 PECOS PAC ID: 0042119703 Enrollment ID: I20071106000870 |
| Provider Name | Christy C Park |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538281316 PECOS PAC ID: 1850366337 Enrollment ID: I20080130000489 |
| Provider Name | Wahid T Hanna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093761124 PECOS PAC ID: 0345253191 Enrollment ID: I20080220000195 |
| Provider Name | Cara C. Connors |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578755617 PECOS PAC ID: 9032293246 Enrollment ID: I20080227000196 |
| Provider Name | Joseph Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477554632 PECOS PAC ID: 1759467673 Enrollment ID: I20080318000522 |
| Provider Name | Landy M Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043491715 PECOS PAC ID: 0648358804 Enrollment ID: I20080429000337 |
| Provider Name | Antony Charles |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467435222 PECOS PAC ID: 9830161322 Enrollment ID: I20080503000056 |
| Provider Name | Christopher Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295721355 PECOS PAC ID: 0547247785 Enrollment ID: I20080505000838 |
| Provider Name | Teresa G Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538184270 PECOS PAC ID: 8729167564 Enrollment ID: I20080506000376 |
| Provider Name | Elizabeth L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972776854 PECOS PAC ID: 3971682378 Enrollment ID: I20080510000040 |
| Provider Name | Jessica E Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104091081 PECOS PAC ID: 6103995642 Enrollment ID: I20080523000034 |
| Provider Name | Tjuan L Overly |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467672014 PECOS PAC ID: 8325146673 Enrollment ID: I20080610000687 |
| Provider Name | Marie J Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063602837 PECOS PAC ID: 6305919713 Enrollment ID: I20080717000762 |
| Provider Name | Jaclyn Van Nes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154592897 PECOS PAC ID: 8628141793 Enrollment ID: I20080723000034 |
| Provider Name | Amanda W Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235390238 PECOS PAC ID: 8729152202 Enrollment ID: I20080731000546 |
| Provider Name | Jamie T Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669647319 PECOS PAC ID: 2163596115 Enrollment ID: I20080808000457 |
| Provider Name | Cathleen C Suto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080819000847 |
| Provider Name | Amy P Neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194993345 PECOS PAC ID: 9537235288 Enrollment ID: I20080904000402 |
| Provider Name | James Lewis |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053510586 PECOS PAC ID: 6901994839 Enrollment ID: I20080911000245 |
| Provider Name | Ramanujan Samavedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922167790 PECOS PAC ID: 7618061086 Enrollment ID: I20080917000638 |
| Provider Name | Stephen M Teague |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780639021 PECOS PAC ID: 3375610090 Enrollment ID: I20080923000213 |
| Provider Name | Christina M Stockwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730216524 PECOS PAC ID: 0345317079 Enrollment ID: I20080923000346 |
| Provider Name | Stuart J Bresee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386645158 PECOS PAC ID: 6002714912 Enrollment ID: I20081009000178 |
| Provider Name | Vaishali Doshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922198407 PECOS PAC ID: 2961497110 Enrollment ID: I20081112000406 |
| Provider Name | Ann M Forster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093967069 PECOS PAC ID: 5991867038 Enrollment ID: I20081223000557 |
| Provider Name | Amy B Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578718342 PECOS PAC ID: 5991867053 Enrollment ID: I20081224000078 |
| Provider Name | Prayrana Chhabra Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953807 PECOS PAC ID: 2466520036 Enrollment ID: I20081226000114 |
| Provider Name | Perry Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427201698 PECOS PAC ID: 8022172592 Enrollment ID: I20090128000112 |
| Provider Name | Paul W Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407820863 PECOS PAC ID: 6406844497 Enrollment ID: I20090128000555 |
| Provider Name | Stephanie L Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821260803 PECOS PAC ID: 0941364269 Enrollment ID: I20090202000415 |
| Provider Name | Leigh Kennard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861630089 PECOS PAC ID: 6608932470 Enrollment ID: I20090303000119 |
| Provider Name | Cheryl L Deets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053401893 PECOS PAC ID: 5092777466 Enrollment ID: I20090303000634 |
| Provider Name | Shadi M.s. Ayyoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477674232 PECOS PAC ID: 5890881916 Enrollment ID: I20090305000455 |
| Provider Name | Christy B Bottoms |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023268638 PECOS PAC ID: 6709943228 Enrollment ID: I20090326000493 |
| Provider Name | Sara A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003057167 PECOS PAC ID: 4981751302 Enrollment ID: I20090421000697 |
| Provider Name | Sunni Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043452865 PECOS PAC ID: 5395894810 Enrollment ID: I20090512000563 |
| Provider Name | Haley Laymance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013151539 PECOS PAC ID: 8325197932 Enrollment ID: I20090601000026 |
| Provider Name | Raymond A Dieter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063405603 PECOS PAC ID: 2769532902 Enrollment ID: I20090610000438 |
| Provider Name | Thomas E Gaines |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447243068 PECOS PAC ID: 9537219670 Enrollment ID: I20090610000484 |
| Provider Name | Jerry J Crook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740316959 PECOS PAC ID: 7810097748 Enrollment ID: I20090619000398 |
| Provider Name | Vicki F Cannington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588807523 PECOS PAC ID: 2365593027 Enrollment ID: I20090619000540 |
| Provider Name | Sangeeta Gulati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255418315 PECOS PAC ID: 3173674744 Enrollment ID: I20090623000272 |
| Provider Name | Andrew J Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922233774 PECOS PAC ID: 1951453778 Enrollment ID: I20090708000769 |
| Provider Name | Natalie P Blache |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922254192 PECOS PAC ID: 9436201001 Enrollment ID: I20090711000021 |
| Provider Name | Jeffory G Jennings |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1598744336 PECOS PAC ID: 3274503529 Enrollment ID: I20090803000749 |
| Provider Name | Kenneth M Bielak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861459836 PECOS PAC ID: 7810041589 Enrollment ID: I20090813000843 |
| Provider Name | Larry C Kilgore |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265482921 PECOS PAC ID: 1951296201 Enrollment ID: I20091002000265 |
| Provider Name | Wendy J Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285883090 PECOS PAC ID: 3173660537 Enrollment ID: I20091019000004 |
| Provider Name | Walter W Schoutko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639145840 PECOS PAC ID: 6103963442 Enrollment ID: I20091020000082 |
| Provider Name | Jennifer N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891028056 PECOS PAC ID: 8426196031 Enrollment ID: I20091118000473 |
| Provider Name | Monico Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962479451 PECOS PAC ID: 6406996008 Enrollment ID: I20091211000468 |
| Provider Name | Lauren E Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134452378 PECOS PAC ID: 0941343842 Enrollment ID: I20100201000289 |
| Provider Name | Aaron J Smyth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053575357 PECOS PAC ID: 2567505472 Enrollment ID: I20100201000318 |
| Provider Name | David Durbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154366326 PECOS PAC ID: 9436237435 Enrollment ID: I20100210000239 |
| Provider Name | Sonya R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073558334 PECOS PAC ID: 2264576727 Enrollment ID: I20100222000392 |
| Provider Name | Nathan C Trentham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134185358 PECOS PAC ID: 8022192988 Enrollment ID: I20100520000235 |
| Provider Name | Sherry E Coffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750552014 PECOS PAC ID: 3476684564 Enrollment ID: I20100707000201 |
| Provider Name | Christopher M Tolleson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225159890 PECOS PAC ID: 3476685371 Enrollment ID: I20100712000685 |
| Provider Name | Shanle G Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184850257 PECOS PAC ID: 5193858157 Enrollment ID: I20100728000844 |
| Provider Name | Robert J Bertoli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477601235 PECOS PAC ID: 1456308782 Enrollment ID: I20100813000611 |
| Provider Name | Peter Kvamme |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972506178 PECOS PAC ID: 0446349278 Enrollment ID: I20100907000057 |
| Provider Name | Amy E. Forsee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457459315 PECOS PAC ID: 2668597493 Enrollment ID: I20100916000336 |
| Provider Name | Anthony L. Florian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962500819 PECOS PAC ID: 6800911660 Enrollment ID: I20100916000680 |
| Provider Name | John T Foust |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205834835 PECOS PAC ID: 8224071857 Enrollment ID: I20100922000030 |
| Provider Name | Carlos A Rollhauser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407933658 PECOS PAC ID: 1557553096 Enrollment ID: I20101004000018 |
| Provider Name | John H. Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063510931 PECOS PAC ID: 4082806526 Enrollment ID: I20101004000050 |
| Provider Name | Stephen S. Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841302288 PECOS PAC ID: 0941492490 Enrollment ID: I20101004000129 |
| Provider Name | Timothy J. Panella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801908223 PECOS PAC ID: 7911199468 Enrollment ID: I20101004000173 |
| Provider Name | Robert D. Shutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740388693 PECOS PAC ID: 4789876830 Enrollment ID: I20101007000266 |
| Provider Name | William S Broome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679671515 PECOS PAC ID: 6507058666 Enrollment ID: I20101007000371 |
| Provider Name | Ann C Stuart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699873554 PECOS PAC ID: 8224220314 Enrollment ID: I20101007000796 |
| Provider Name | John P Narro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295815512 PECOS PAC ID: 6608068648 Enrollment ID: I20101008000022 |
| Provider Name | Susan N. Newman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700984010 PECOS PAC ID: 1557554706 Enrollment ID: I20101020000242 |
| Provider Name | Randall G Trudell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083684724 PECOS PAC ID: 7618092966 Enrollment ID: I20101020000421 |
| Provider Name | Matthew J Mccarty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184694333 PECOS PAC ID: 7618160771 Enrollment ID: I20101021000161 |
| Provider Name | Kristopher J Kimball |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073721635 PECOS PAC ID: 5890896195 Enrollment ID: I20101025000084 |
| Provider Name | Shelly V. Durbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447267265 PECOS PAC ID: 9234323890 Enrollment ID: I20101028000311 |
| Provider Name | Karmi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568677458 PECOS PAC ID: 2062591027 Enrollment ID: I20101104000208 |
| Provider Name | James C. Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407954449 PECOS PAC ID: 4385838127 Enrollment ID: I20101105000012 |
| Provider Name | Kathleen S Herbig |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376747824 PECOS PAC ID: 0345392049 Enrollment ID: I20101112001121 |
| Provider Name | Gayathri D Baljepally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861586109 PECOS PAC ID: 3779778832 Enrollment ID: I20101115000754 |
| Provider Name | Michael W. Carringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306039649 PECOS PAC ID: 5092901751 Enrollment ID: I20101122000265 |
| Provider Name | Kathrine Danelle Smyth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891959854 PECOS PAC ID: 1557557501 Enrollment ID: I20101202000254 |
| Provider Name | John Henry Dougherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497725121 PECOS PAC ID: 0749477545 Enrollment ID: I20101206000862 |
| Provider Name | Henry Sperry Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275558231 PECOS PAC ID: 1254334246 Enrollment ID: I20101215000071 |
| Provider Name | Michelle L Brewer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023088721 PECOS PAC ID: 1052509106 Enrollment ID: I20101216000472 |
| Provider Name | Jack E Gotcher |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619967676 PECOS PAC ID: 5597678342 Enrollment ID: I20101222000145 |
| Provider Name | Keri Melancon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538365424 PECOS PAC ID: 3375731821 Enrollment ID: I20101228000045 |
| Provider Name | Srilatha Chilukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306939178 PECOS PAC ID: 6002004207 Enrollment ID: I20110103000274 |
| Provider Name | Donna S. Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528375789 PECOS PAC ID: 3577742055 Enrollment ID: I20110211000592 |
| Provider Name | Mark D. Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003993163 PECOS PAC ID: 5597756759 Enrollment ID: I20110217000217 |
| Provider Name | Kathryn H Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063715779 PECOS PAC ID: 6406037613 Enrollment ID: I20110222000318 |
| Provider Name | John W Lacey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964487 PECOS PAC ID: 3375454457 Enrollment ID: I20110308000074 |
| Provider Name | Cristina E Semeco Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793341 PECOS PAC ID: 7214002153 Enrollment ID: I20110309000039 |
| Provider Name | Michael E Bullen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578646436 PECOS PAC ID: 7911087952 Enrollment ID: I20110405000382 |
| Provider Name | Kellie L Mathewson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780983841 PECOS PAC ID: 7315121225 Enrollment ID: I20110418000258 |
| Provider Name | Blaine L Enderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346283553 PECOS PAC ID: 0143111864 Enrollment ID: I20110429000343 |
| Provider Name | Autumn Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336439322 PECOS PAC ID: 0345427332 Enrollment ID: I20110531000099 |
| Provider Name | Bridgett N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134427651 PECOS PAC ID: 6800073693 Enrollment ID: I20110603000128 |
| Provider Name | Robin Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497901748 PECOS PAC ID: 9133307424 Enrollment ID: I20110711000600 |
| Provider Name | Alex Cantafio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235184656 PECOS PAC ID: 9739230772 Enrollment ID: I20110719000313 |
| Provider Name | Bradley J Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326203548 PECOS PAC ID: 0042488470 Enrollment ID: I20110729000258 |
| Provider Name | Stephanie Gunnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447315577 PECOS PAC ID: 7315116795 Enrollment ID: I20110802000361 |
| Provider Name | Lynnette Gallastegui Osterlund |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356457238 PECOS PAC ID: 6507035201 Enrollment ID: I20110815000699 |
| Provider Name | Jared Kravitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427105212 PECOS PAC ID: 5890811749 Enrollment ID: I20110816000037 |
| Provider Name | Christie M Carringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619124930 PECOS PAC ID: 9436328085 Enrollment ID: I20110816000503 |
| Provider Name | Melissa P Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013120815 PECOS PAC ID: 2062683279 Enrollment ID: I20110920000590 |
| Provider Name | Jamie L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861773582 PECOS PAC ID: 9739352014 Enrollment ID: I20111102000054 |
| Provider Name | Scott Lawrence Stevens |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154374262 PECOS PAC ID: 7315850161 Enrollment ID: I20111102000063 |
| Provider Name | James R Langdon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053313650 PECOS PAC ID: 9931278173 Enrollment ID: I20111115000286 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20111205000886 |
| Provider Name | Hope R Sellars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619254968 PECOS PAC ID: 9133395734 Enrollment ID: I20120103000613 |
| Provider Name | Michael B Freeman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396769717 PECOS PAC ID: 8325017494 Enrollment ID: I20120123000212 |
| Provider Name | Lisa Caroline Buckingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205083060 PECOS PAC ID: 4284817891 Enrollment ID: I20120125000100 |
| Provider Name | Lindsay K Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629365051 PECOS PAC ID: 0648438036 Enrollment ID: I20120214000538 |
| Provider Name | Rajiv Dhand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538118872 PECOS PAC ID: 3971600057 Enrollment ID: I20120214000641 |
| Provider Name | Irina V Lavrik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831359686 PECOS PAC ID: 9638338130 Enrollment ID: I20120301000594 |
| Provider Name | Arseniy Tsapenko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962604140 PECOS PAC ID: 4183806433 Enrollment ID: I20120306000756 |
| Provider Name | James M Mcloughlin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1376745653 PECOS PAC ID: 2163515164 Enrollment ID: I20120307000645 |
| Provider Name | Yvette E Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689645814 PECOS PAC ID: 0042479032 Enrollment ID: I20120312000183 |
| Provider Name | Teri L Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265522452 PECOS PAC ID: 8729248596 Enrollment ID: I20120402000481 |
| Provider Name | Upinder K Dhand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558328906 PECOS PAC ID: 5890894885 Enrollment ID: I20120424000712 |
| Provider Name | Amy L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194081190 PECOS PAC ID: 1153584073 Enrollment ID: I20120511000443 |
| Provider Name | Sara E Andies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851659148 PECOS PAC ID: 5991969875 Enrollment ID: I20120605000205 |
| Provider Name | Benjamin R Helms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194958942 PECOS PAC ID: 2466617162 Enrollment ID: I20120703000014 |
| Provider Name | John C Callison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528115334 PECOS PAC ID: 1355506916 Enrollment ID: I20120703000719 |
| Provider Name | Carmelo V Venero |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588609119 PECOS PAC ID: 7113928110 Enrollment ID: I20120710000432 |
| Provider Name | Mallory M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588925895 PECOS PAC ID: 9537325642 Enrollment ID: I20120718000082 |
| Provider Name | Andrew S Ferrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609081520 PECOS PAC ID: 4880725795 Enrollment ID: I20120723000945 |
| Provider Name | Erinn R Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053518886 PECOS PAC ID: 4880840107 Enrollment ID: I20120801000882 |
| Provider Name | Joshua D Arnold |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417070103 PECOS PAC ID: 9931356300 Enrollment ID: I20120821000337 |
| Provider Name | Shelly E Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214844 PECOS PAC ID: 8729235825 Enrollment ID: I20120824000252 |
| Provider Name | Bonnie E Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639431943 PECOS PAC ID: 4385891407 Enrollment ID: I20120824000439 |
| Provider Name | Flavius Dragila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619107216 PECOS PAC ID: 7911155338 Enrollment ID: I20120910000485 |
| Provider Name | Amber S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831445022 PECOS PAC ID: 8729236039 Enrollment ID: I20120911000712 |
| Provider Name | Mark A Casillas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245458082 PECOS PAC ID: 7012165988 Enrollment ID: I20120918000677 |
| Provider Name | Ryan A Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926440 PECOS PAC ID: 8628227568 Enrollment ID: I20121009000340 |
| Provider Name | Samer S Hodroge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760716971 PECOS PAC ID: 6608025465 Enrollment ID: I20121011000395 |
| Provider Name | Nihad A Menoofli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709477 PECOS PAC ID: 3274705165 Enrollment ID: I20121017000165 |
| Provider Name | Samuel T Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821253899 PECOS PAC ID: 8022288968 Enrollment ID: I20121030000408 |
| Provider Name | Jacob J Ledlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912257817 PECOS PAC ID: 7113177924 Enrollment ID: I20121031000627 |
| Provider Name | Travis D Deyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760749337 PECOS PAC ID: 7618128331 Enrollment ID: I20121106000362 |
| Provider Name | Paige C Ledlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003136060 PECOS PAC ID: 2062696131 Enrollment ID: I20121128000226 |
| Provider Name | Barbara M Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689969826 PECOS PAC ID: 8921250366 Enrollment ID: I20121210000418 |
| Provider Name | Reagan Bollig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598949232 PECOS PAC ID: 7618120544 Enrollment ID: I20121231000128 |
| Provider Name | Amber Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674430 PECOS PAC ID: 7517110448 Enrollment ID: I20121231000138 |
| Provider Name | Richard H Mays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275560351 PECOS PAC ID: 1153576079 Enrollment ID: I20130226000631 |
| Provider Name | Amber Lea Wieniewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285943423 PECOS PAC ID: 7810134053 Enrollment ID: I20130508000194 |
| Provider Name | Steven J Dibiase |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750332292 PECOS PAC ID: 0840229001 Enrollment ID: I20130514000568 |
| Provider Name | Rachel A Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396088399 PECOS PAC ID: 1456599067 Enrollment ID: I20130521000125 |
| Provider Name | Min Chong Yoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962606756 PECOS PAC ID: 8921294331 Enrollment ID: I20130709000612 |
| Provider Name | Erin W Jackson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730323296 PECOS PAC ID: 9133364102 Enrollment ID: I20130710000115 |
| Provider Name | Bethany A Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053758433 PECOS PAC ID: 5991946808 Enrollment ID: I20130718000337 |
| Provider Name | Audrey D Barry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366678971 PECOS PAC ID: 6800037318 Enrollment ID: I20130725000858 |
| Provider Name | Erin G Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992932842 PECOS PAC ID: 9739320003 Enrollment ID: I20130729000891 |
| Provider Name | Brett A Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790958593 PECOS PAC ID: 9032350335 Enrollment ID: I20130730000186 |
| Provider Name | Matthew Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588979470 PECOS PAC ID: 0840431870 Enrollment ID: I20130802000227 |
| Provider Name | David N Aljadir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922201136 PECOS PAC ID: 8921240755 Enrollment ID: I20130807000791 |
| Provider Name | Adrian Jefferson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376785543 PECOS PAC ID: 9335395839 Enrollment ID: I20130812000608 |
| Provider Name | Emily M Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497067045 PECOS PAC ID: 4789827882 Enrollment ID: I20130821000087 |
| Provider Name | Brian J Wheeler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689993016 PECOS PAC ID: 9335386754 Enrollment ID: I20130830000576 |
| Provider Name | Tia M Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694913 PECOS PAC ID: 0143463513 Enrollment ID: I20130904000460 |
| Provider Name | Gina Smith Mcneer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457790719 PECOS PAC ID: 1456594787 Enrollment ID: I20130905000238 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20130909000477 |
| Provider Name | Darlene A Settles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326470576 PECOS PAC ID: 0143464537 Enrollment ID: I20130925000643 |
| Provider Name | Joseph R Kelley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376751354 PECOS PAC ID: 0941373609 Enrollment ID: I20131014000963 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568670321 PECOS PAC ID: 9032383047 Enrollment ID: I20131017001643 |
| Provider Name | Barbara K Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295815132 PECOS PAC ID: 3072748086 Enrollment ID: I20131029001413 |
| Provider Name | Sahar M Lotfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104139393 PECOS PAC ID: 4183850399 Enrollment ID: I20131118001281 |
| Provider Name | Emily C Decroos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114041902 PECOS PAC ID: 8022289636 Enrollment ID: I20131210001090 |
| Provider Name | Melissa A Longden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336570969 PECOS PAC ID: 8022248277 Enrollment ID: I20140307001645 |
| Provider Name | Ben R Barton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487757605 PECOS PAC ID: 7517971294 Enrollment ID: I20140325000259 |
| Provider Name | Stacy Stephenson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053531012 PECOS PAC ID: 8325162118 Enrollment ID: I20140402001697 |
| Provider Name | Megumi M Vogt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366429367 PECOS PAC ID: 9436382520 Enrollment ID: I20140424001865 |
| Provider Name | Chad E Paxson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366562894 PECOS PAC ID: 3173789443 Enrollment ID: I20140514001874 |
| Provider Name | Seema Maheshwari-sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659380228 PECOS PAC ID: 2062658222 Enrollment ID: I20140515001938 |
| Provider Name | Jonathan Tillman Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538271176 PECOS PAC ID: 1052384328 Enrollment ID: I20140521001767 |
| Provider Name | Haylee E Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258456 PECOS PAC ID: 6608090956 Enrollment ID: I20140607000056 |
| Provider Name | Caroline F Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104256031 PECOS PAC ID: 3375767247 Enrollment ID: I20140616000939 |
| Provider Name | Holly R Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697608 PECOS PAC ID: 5395969067 Enrollment ID: I20140619001300 |
| Provider Name | Lora M Cooper-yoakum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689092751 PECOS PAC ID: 8426273293 Enrollment ID: I20140710002494 |
| Provider Name | Monica R Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518385665 PECOS PAC ID: 7214152925 Enrollment ID: I20140711001798 |
| Provider Name | Heather M Reed-day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235428533 PECOS PAC ID: 2466689187 Enrollment ID: I20140911001274 |
| Provider Name | Meredith Ann Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194044503 PECOS PAC ID: 6608095047 Enrollment ID: I20140916002438 |
| Provider Name | Ashley Brooke Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658226 PECOS PAC ID: 6709005846 Enrollment ID: I20140922002447 |
| Provider Name | Denise D Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609283456 PECOS PAC ID: 5799904777 Enrollment ID: I20140924001726 |
| Provider Name | Michael M Mcnally |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063612323 PECOS PAC ID: 0345483764 Enrollment ID: I20140924002136 |
| Provider Name | Andrew J Russ |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932145166 PECOS PAC ID: 2163642844 Enrollment ID: I20140930002802 |
| Provider Name | Robert K. Mcgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285042861 PECOS PAC ID: 6103046834 Enrollment ID: I20141001001532 |
| Provider Name | Julia Jackson Mccary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644910 PECOS PAC ID: 4880862846 Enrollment ID: I20141016002586 |
| Provider Name | Ryan Kerr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023303203 PECOS PAC ID: 8022250240 Enrollment ID: I20141017001154 |
| Provider Name | Jace Perkerson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588837561 PECOS PAC ID: 9537394770 Enrollment ID: I20141024001095 |
| Provider Name | Brenton Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912311838 PECOS PAC ID: 2668693086 Enrollment ID: I20141028000380 |
| Provider Name | Amy R Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548675150 PECOS PAC ID: 1557582970 Enrollment ID: I20141028000448 |
| Provider Name | Pryor Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457626764 PECOS PAC ID: 4789814773 Enrollment ID: I20141103001502 |
| Provider Name | Sarah H Bertini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396148854 PECOS PAC ID: 8921320938 Enrollment ID: I20141202001732 |
| Provider Name | Elizabeth E Shieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558775692 PECOS PAC ID: 2264754118 Enrollment ID: I20141203000822 |
| Provider Name | Lisa Angelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245631076 PECOS PAC ID: 5597088120 Enrollment ID: I20150106001353 |
| Provider Name | Esha I Cannon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700183522 PECOS PAC ID: 6507180064 Enrollment ID: I20150112000641 |
| Provider Name | Tokunbo T Akinleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851797625 PECOS PAC ID: 9436474939 Enrollment ID: I20150204000267 |
| Provider Name | Jessica B Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093116741 PECOS PAC ID: 6406171883 Enrollment ID: I20150205001228 |
| Provider Name | Brian E Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679861256 PECOS PAC ID: 9537301254 Enrollment ID: I20150302001036 |
| Provider Name | Jennifer Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649696949 PECOS PAC ID: 5496072076 Enrollment ID: I20150318002577 |
| Provider Name | Lynette A Medlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740685668 PECOS PAC ID: 0042537441 Enrollment ID: I20150324001269 |
| Provider Name | Patricia J Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346638095 PECOS PAC ID: 4688991763 Enrollment ID: I20150330001519 |
| Provider Name | Amanda O Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194135558 PECOS PAC ID: 1254659840 Enrollment ID: I20150410001060 |
| Provider Name | Amanda Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012098 PECOS PAC ID: 0648598110 Enrollment ID: I20150413001384 |
| Provider Name | Kristina M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902299035 PECOS PAC ID: 8628397247 Enrollment ID: I20150504001527 |
| Provider Name | Steven V Dill |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770732836 PECOS PAC ID: 2264698190 Enrollment ID: I20150504002039 |
| Provider Name | Leslie E Mardis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952795361 PECOS PAC ID: 2860712312 Enrollment ID: I20150522001654 |
| Provider Name | Jamie E Carnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632783 PECOS PAC ID: 2668792003 Enrollment ID: I20150526001882 |
| Provider Name | Robin A Swaggerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659766756 PECOS PAC ID: 4880915750 Enrollment ID: I20150603002085 |
| Provider Name | Susan P Teffeteller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598157224 PECOS PAC ID: 3870638067 Enrollment ID: I20150619001463 |
| Provider Name | Thomas J Christianson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972895068 PECOS PAC ID: 3476795600 Enrollment ID: I20150714000818 |
| Provider Name | Muhammad Masud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700179231 PECOS PAC ID: 8628381662 Enrollment ID: I20150720001341 |
| Provider Name | Kabir D Harricharan Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588919518 PECOS PAC ID: 3476795196 Enrollment ID: I20150728005351 |
| Provider Name | Hyun C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205101680 PECOS PAC ID: 9830403351 Enrollment ID: I20150728005676 |
| Provider Name | Kayleigh Mcdaniel Litton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588921407 PECOS PAC ID: 8527200021 Enrollment ID: I20150729009140 |
| Provider Name | Matt Jeremiah J Chua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649419029 PECOS PAC ID: 5294885109 Enrollment ID: I20150803002391 |
| Provider Name | Lori M Staudenmaier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063767093 PECOS PAC ID: 1658513791 Enrollment ID: I20150810002213 |
| Provider Name | Jessica A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154702298 PECOS PAC ID: 2769797430 Enrollment ID: I20150811004024 |
| Provider Name | John Michael Douglass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669734059 PECOS PAC ID: 8022273507 Enrollment ID: I20150820010809 |
| Provider Name | April Mcgeorge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699050682 PECOS PAC ID: 1052575727 Enrollment ID: I20150820011038 |
| Provider Name | Jillian M Lloyd |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699919886 PECOS PAC ID: 6800022054 Enrollment ID: I20150828000851 |
| Provider Name | Robert E Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114213253 PECOS PAC ID: 3779727037 Enrollment ID: I20150902000534 |
| Provider Name | Erick A Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780066266 PECOS PAC ID: 2365759685 Enrollment ID: I20150919000049 |
| Provider Name | Neil E Faulkner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417165739 PECOS PAC ID: 8426230731 Enrollment ID: I20150924000701 |
| Provider Name | John W Smiddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417331059 PECOS PAC ID: 0941518260 Enrollment ID: I20151006000598 |
| Provider Name | Lawrence Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134207095 PECOS PAC ID: 5799923330 Enrollment ID: I20151006001230 |
| Provider Name | Roy F Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841222759 PECOS PAC ID: 8527142926 Enrollment ID: I20151009001604 |
| Provider Name | Christen V Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982963336 PECOS PAC ID: 2860634201 Enrollment ID: I20151012000476 |
| Provider Name | Catherine Lindsay Mcknight |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306073366 PECOS PAC ID: 1153579016 Enrollment ID: I20151012000569 |
| Provider Name | Isaac Noble Biney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780939751 PECOS PAC ID: 3678882685 Enrollment ID: I20151014000692 |
| Provider Name | Tracy E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174908511 PECOS PAC ID: 4284943143 Enrollment ID: I20151016001110 |
| Provider Name | Benjamin I Shepple |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083848733 PECOS PAC ID: 0244469062 Enrollment ID: I20151016001209 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780812198 PECOS PAC ID: 9032434758 Enrollment ID: I20151016002207 |
| Provider Name | Judy K Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120853 PECOS PAC ID: 1254640899 Enrollment ID: I20151021001018 |
| Provider Name | Sarah K Wiklund |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104293315 PECOS PAC ID: 2961711593 Enrollment ID: I20151022001318 |
| Provider Name | Martha L D'ambrosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659370427 PECOS PAC ID: 8224220348 Enrollment ID: I20151023002477 |
| Provider Name | Jennifer C Piel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396039343 PECOS PAC ID: 8729205216 Enrollment ID: I20151026001462 |
| Provider Name | Benjamin P Dalton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396979936 PECOS PAC ID: 8628387966 Enrollment ID: I20151027002228 |
| Provider Name | David A Perkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699098616 PECOS PAC ID: 9638334766 Enrollment ID: I20151112001945 |
| Provider Name | Erin Hood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518266865 PECOS PAC ID: 7911207311 Enrollment ID: I20151207001942 |
| Provider Name | Mark R Priestley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023480084 PECOS PAC ID: 3173823564 Enrollment ID: I20151208002349 |
| Provider Name | Heather R Massengill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043683329 PECOS PAC ID: 3971804758 Enrollment ID: I20151221001626 |
| Provider Name | Shenika D Welch-charles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437306131 PECOS PAC ID: 2264688134 Enrollment ID: I20160104000425 |
| Provider Name | George F Torres |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962471755 PECOS PAC ID: 9133264641 Enrollment ID: I20160113002047 |
| Provider Name | Shannon R Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259647 PECOS PAC ID: 5294032124 Enrollment ID: I20160321001522 |
| Provider Name | Erik S. Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275907685 PECOS PAC ID: 8527367721 Enrollment ID: I20160421001918 |
| Provider Name | Lauren S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033578828 PECOS PAC ID: 6305135351 Enrollment ID: I20160516001125 |
| Provider Name | Ronald E Leppanen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629430061 PECOS PAC ID: 4486945375 Enrollment ID: I20160623002002 |
| Provider Name | Janey L Chrisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700242088 PECOS PAC ID: 3779875976 Enrollment ID: I20160708000924 |
| Provider Name | Jeanne Dople |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689037228 PECOS PAC ID: 7911290291 Enrollment ID: I20160725000745 |
| Provider Name | Michael R Buckley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801038716 PECOS PAC ID: 7214220433 Enrollment ID: I20160726002236 |
| Provider Name | Justin M Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457791733 PECOS PAC ID: 7315181948 Enrollment ID: I20160727002705 |
| Provider Name | Matthew W Ison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699940759 PECOS PAC ID: 7517123359 Enrollment ID: I20160810001660 |
| Provider Name | Laura J Spranklin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669792586 PECOS PAC ID: 2961644067 Enrollment ID: I20160810001708 |
| Provider Name | Michael R Polin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942437181 PECOS PAC ID: 7911143722 Enrollment ID: I20160812001778 |
| Provider Name | Karen N Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053775973 PECOS PAC ID: 6305130303 Enrollment ID: I20160815001756 |
| Provider Name | Brock T Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790121267 PECOS PAC ID: 9335383025 Enrollment ID: I20160822002107 |
| Provider Name | Ronald Stephen Hamrick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447542162 PECOS PAC ID: 8123323565 Enrollment ID: I20160823000543 |
| Provider Name | Nathan P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730527144 PECOS PAC ID: 3971747684 Enrollment ID: I20160826001904 |
| Provider Name | William A Kittrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817169 PECOS PAC ID: 9739323403 Enrollment ID: I20160906001268 |
| Provider Name | Reza Shams Pirzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831419779 PECOS PAC ID: 9032419585 Enrollment ID: I20160921000433 |
| Provider Name | Naveen T Raj |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326483207 PECOS PAC ID: 5991011702 Enrollment ID: I20160921000663 |
| Provider Name | Mahmoud A Shorman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780011809 PECOS PAC ID: 3779713029 Enrollment ID: I20160921001130 |
| Provider Name | Larra S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349469 PECOS PAC ID: 3678860863 Enrollment ID: I20161003002329 |
| Provider Name | Hugh H Jarnagin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349626 PECOS PAC ID: 8527356641 Enrollment ID: I20161005001640 |
| Provider Name | Jennifer R Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639623374 PECOS PAC ID: 2365730413 Enrollment ID: I20161005002657 |
| Provider Name | Tracie R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669928511 PECOS PAC ID: 1759679731 Enrollment ID: I20161006000838 |
| Provider Name | Brittany N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104278746 PECOS PAC ID: 7012205008 Enrollment ID: I20161006001223 |
| Provider Name | Heather L Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516830 PECOS PAC ID: 9032409156 Enrollment ID: I20161019002513 |
| Provider Name | Robyn Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881141265 PECOS PAC ID: 7911286919 Enrollment ID: I20161115001778 |
| Provider Name | Ashley Currier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472909 PECOS PAC ID: 6002196748 Enrollment ID: I20161214002618 |
| Provider Name | Grant A Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247530 PECOS PAC ID: 5991088353 Enrollment ID: I20170208002072 |
| Provider Name | Roberto Fernandez-romero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194839639 PECOS PAC ID: 1557527173 Enrollment ID: I20170314000206 |
| Provider Name | Sandra Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801332903 PECOS PAC ID: 3779869821 Enrollment ID: I20170404001812 |
| Provider Name | Mary Jane Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578009486 PECOS PAC ID: 9638455025 Enrollment ID: I20170419003046 |
| Provider Name | Yaci V Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906438 PECOS PAC ID: 5496032294 Enrollment ID: I20170504000316 |
| Provider Name | Stephanie Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336685395 PECOS PAC ID: 7315224995 Enrollment ID: I20170509000936 |
| Provider Name | Jessica R Carringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952793978 PECOS PAC ID: 2163729195 Enrollment ID: I20170605002919 |
| Provider Name | Karen Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660473 PECOS PAC ID: 7517235344 Enrollment ID: I20170619002393 |
| Provider Name | Leslie K Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364090 PECOS PAC ID: 3577831346 Enrollment ID: I20170620001078 |
| Provider Name | Lauren Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164963641 PECOS PAC ID: 5991073793 Enrollment ID: I20170620002674 |
| Provider Name | Christine C Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871028001 PECOS PAC ID: 2062780695 Enrollment ID: I20170622001175 |
| Provider Name | Susan S Houchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023273257 PECOS PAC ID: 2365711025 Enrollment ID: I20170712000947 |
| Provider Name | Ramona Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881859007 PECOS PAC ID: 0345511556 Enrollment ID: I20170807002373 |
| Provider Name | Jamie D Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124463708 PECOS PAC ID: 4688818396 Enrollment ID: I20170809002218 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20170816003418 |
| Provider Name | Kari M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124552989 PECOS PAC ID: 2062784150 Enrollment ID: I20170824001703 |
| Provider Name | Julia Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891223798 PECOS PAC ID: 2466724471 Enrollment ID: I20170824002930 |
| Provider Name | Denia Ramirez Montealegre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851509376 PECOS PAC ID: 0941462311 Enrollment ID: I20170828004578 |
| Provider Name | Steven D Dolacky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528384690 PECOS PAC ID: 9133492655 Enrollment ID: I20170906000068 |
| Provider Name | Eli Becker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508858507 PECOS PAC ID: 7810956927 Enrollment ID: I20170912000633 |
| Provider Name | Jonathan Boone |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235457151 PECOS PAC ID: 1153567367 Enrollment ID: I20170920001214 |
| Provider Name | Ammar El Nachef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508961590 PECOS PAC ID: 0446210850 Enrollment ID: I20170925000319 |
| Provider Name | Sarah Elizabeth Parker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699937888 PECOS PAC ID: 7618117060 Enrollment ID: I20170925002630 |
| Provider Name | Christopher M Snell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619307139 PECOS PAC ID: 1850666215 Enrollment ID: I20171011000967 |
| Provider Name | Janelle Katie Moulder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619118650 PECOS PAC ID: 4082881099 Enrollment ID: I20171024001351 |
| Provider Name | Lauren G Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861917940 PECOS PAC ID: 8628344462 Enrollment ID: I20171024001585 |
| Provider Name | Megan K Mccarley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841728185 PECOS PAC ID: 4688940208 Enrollment ID: I20171026002850 |
| Provider Name | Francisco J Soto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356395255 PECOS PAC ID: 1456497601 Enrollment ID: I20171028000125 |
| Provider Name | Raul Vasquez - Garagatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518283522 PECOS PAC ID: 7719133412 Enrollment ID: I20171028000208 |
| Provider Name | James C Mosley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518090125 PECOS PAC ID: 6305990672 Enrollment ID: I20171103000439 |
| Provider Name | Kristen Mcfarland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630070 PECOS PAC ID: 9931496023 Enrollment ID: I20171106002360 |
| Provider Name | John S Anastasi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285691113 PECOS PAC ID: 2163466376 Enrollment ID: I20171107001380 |
| Provider Name | Katoura R Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871903633 PECOS PAC ID: 1759647738 Enrollment ID: I20171107002761 |
| Provider Name | Peter P Mckeown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699737494 PECOS PAC ID: 8325107808 Enrollment ID: I20171107003184 |
| Provider Name | Marissa D Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210738 PECOS PAC ID: 5294091120 Enrollment ID: I20171109002257 |
| Provider Name | Reem A Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861804932 PECOS PAC ID: 1658669981 Enrollment ID: I20171113002106 |
| Provider Name | Edna Katherine London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074910 PECOS PAC ID: 3779849450 Enrollment ID: I20171120002397 |
| Provider Name | Meredith B Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912422163 PECOS PAC ID: 5890054290 Enrollment ID: I20180110001242 |
| Provider Name | Ganesh Sundar Kumpati |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871508671 PECOS PAC ID: 3173528098 Enrollment ID: I20180111001671 |
| Provider Name | Laurel W Bivens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699286013 PECOS PAC ID: 4981964376 Enrollment ID: I20180202001243 |
| Provider Name | Bradley L Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549967 PECOS PAC ID: 6103186432 Enrollment ID: I20180207000631 |
| Provider Name | Chelsea M Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487163549 PECOS PAC ID: 9335409515 Enrollment ID: I20180208000354 |
| Provider Name | Erin W Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255734885 PECOS PAC ID: 0446514244 Enrollment ID: I20180502002167 |
| Provider Name | Nichole K Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194259036 PECOS PAC ID: 0345504932 Enrollment ID: I20180508000113 |
| Provider Name | Courtney S Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033622725 PECOS PAC ID: 9638434897 Enrollment ID: I20180517002895 |
| Provider Name | Dennis R Lester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649657347 PECOS PAC ID: 1557659232 Enrollment ID: I20180606000964 |
| Provider Name | Jazmin N Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935589 PECOS PAC ID: 0042565822 Enrollment ID: I20180619002490 |
| Provider Name | Muddassir Mehmood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619154358 PECOS PAC ID: 6608991047 Enrollment ID: I20180619003379 |
| Provider Name | Carolyn E. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558876300 PECOS PAC ID: 0143576678 Enrollment ID: I20180712003422 |
| Provider Name | Mohamad Imam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447696406 PECOS PAC ID: 5395025761 Enrollment ID: I20180723001910 |
| Provider Name | Edward W Pottmeyer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1982710539 PECOS PAC ID: 4880651553 Enrollment ID: I20180727000628 |
| Provider Name | Danna S Bush |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437260361 PECOS PAC ID: 3072611318 Enrollment ID: I20180731001331 |
| Provider Name | Jason Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154609923 PECOS PAC ID: 0840548194 Enrollment ID: I20180802003964 |
| Provider Name | Ashley N Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346747839 PECOS PAC ID: 3173871381 Enrollment ID: I20180803002674 |
| Provider Name | Frankie C Cate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619479789 PECOS PAC ID: 6608124326 Enrollment ID: I20180812000000 |
| Provider Name | Austin A Hogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619460946 PECOS PAC ID: 0749530376 Enrollment ID: I20180831002095 |
| Provider Name | William A. Paczkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205327103 PECOS PAC ID: 2365792454 Enrollment ID: I20180911003195 |
| Provider Name | Kelly Schwirian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649682147 PECOS PAC ID: 7113277195 Enrollment ID: I20180912003205 |
| Provider Name | James M Hart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093196420 PECOS PAC ID: 0749588929 Enrollment ID: I20180920002028 |
| Provider Name | Clayton D Humphrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104289057 PECOS PAC ID: 1759677222 Enrollment ID: I20180920002582 |
| Provider Name | Candice M Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336548 PECOS PAC ID: 1456602077 Enrollment ID: I20180920002783 |
| Provider Name | Jodie M Simms-macleod |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508266164 PECOS PAC ID: 7012269798 Enrollment ID: I20181008001642 |
| Provider Name | Laura Kathryne Pohl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164930863 PECOS PAC ID: 8022360569 Enrollment ID: I20181010002075 |
| Provider Name | Tausha R Monday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275010662 PECOS PAC ID: 2365794534 Enrollment ID: I20181017000005 |
| Provider Name | Lindsay A Samarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467931980 PECOS PAC ID: 6800148073 Enrollment ID: I20181017000039 |
| Provider Name | James W Chamblee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255817268 PECOS PAC ID: 6709138977 Enrollment ID: I20181017000066 |
| Provider Name | Joshua L Slager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053890582 PECOS PAC ID: 9234481409 Enrollment ID: I20181017000112 |
| Provider Name | Jennifer D Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962989772 PECOS PAC ID: 3678826799 Enrollment ID: I20181018003189 |
| Provider Name | Kyle L Kleppe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881957199 PECOS PAC ID: 7618119959 Enrollment ID: I20181019001340 |
| Provider Name | Elizabeth Noble Ergen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821350521 PECOS PAC ID: 7911200498 Enrollment ID: I20181022000110 |
| Provider Name | Brittany L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295261220 PECOS PAC ID: 5395098974 Enrollment ID: I20181029001725 |
| Provider Name | Adriana Matos Stiles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275910184 PECOS PAC ID: 1951655059 Enrollment ID: I20181107003809 |
| Provider Name | Ashley R. Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255814067 PECOS PAC ID: 6608120928 Enrollment ID: I20181126001185 |
| Provider Name | Alexander J.p.w. Hartmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134412877 PECOS PAC ID: 3274848049 Enrollment ID: I20181204000858 |
| Provider Name | Megan D Edwards |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730446535 PECOS PAC ID: 9436376001 Enrollment ID: I20181205003161 |
| Provider Name | Krista A Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639647464 PECOS PAC ID: 5193061257 Enrollment ID: I20190110000316 |
| Provider Name | Debra A Moroney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443886 PECOS PAC ID: 2365788437 Enrollment ID: I20190110000374 |
| Provider Name | Sarah C. Musgrove |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104379122 PECOS PAC ID: 4981988227 Enrollment ID: I20190112000176 |
| Provider Name | Sylvia Tony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989770 PECOS PAC ID: 3971849605 Enrollment ID: I20190116002706 |
| Provider Name | Christine F Lauro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235366758 PECOS PAC ID: 4587806930 Enrollment ID: I20190117000018 |
| Provider Name | Paul J Hauptman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1619987930 PECOS PAC ID: 1850398223 Enrollment ID: I20190122001472 |
| Provider Name | Trea Austin Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437629334 PECOS PAC ID: 9931446366 Enrollment ID: I20190123003160 |
| Provider Name | Nilesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699159244 PECOS PAC ID: 4486945870 Enrollment ID: I20190207002923 |
| Provider Name | Amber N Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104309129 PECOS PAC ID: 3577801919 Enrollment ID: I20190211002268 |
| Provider Name | Joan F Sarratt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316050461 PECOS PAC ID: 5698704948 Enrollment ID: I20190318002178 |
| Provider Name | Niki L Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992280499 PECOS PAC ID: 2264773837 Enrollment ID: I20190408002700 |
| Provider Name | Aimee A Wehber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114337896 PECOS PAC ID: 2961799051 Enrollment ID: I20190409001735 |
| Provider Name | Hannah Jumper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730584038 PECOS PAC ID: 2961727433 Enrollment ID: I20190415002543 |
| Provider Name | Dena K Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477016103 PECOS PAC ID: 8628301652 Enrollment ID: I20190606001964 |
| Provider Name | Radhakrishnan Ramchandren |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700089331 PECOS PAC ID: 3678518131 Enrollment ID: I20190627002560 |
| Provider Name | Benjamin T Bevill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235491408 PECOS PAC ID: 6103048269 Enrollment ID: I20190717003476 |
| Provider Name | Melissa Allen Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484872 PECOS PAC ID: 6406182021 Enrollment ID: I20190719001104 |
| Provider Name | Alicia N Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632007 PECOS PAC ID: 2860728433 Enrollment ID: I20190719002925 |
| Provider Name | Marcum W Collins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154732436 PECOS PAC ID: 3971899121 Enrollment ID: I20190726001409 |
| Provider Name | Thomas C Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033678735 PECOS PAC ID: 8022345487 Enrollment ID: I20190807002274 |
| Provider Name | Patrick C Buczynski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697514 PECOS PAC ID: 7214223296 Enrollment ID: I20190808003714 |
| Provider Name | Felicia H Wheeler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730522053 PECOS PAC ID: 6901045582 Enrollment ID: I20190813002131 |
| Provider Name | Austin Jacob Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942655097 PECOS PAC ID: 5193016673 Enrollment ID: I20190822004344 |
| Provider Name | Christopher M Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124481064 PECOS PAC ID: 1658667159 Enrollment ID: I20190828003957 |
| Provider Name | Christopher M Waggoner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038521 PECOS PAC ID: 6709137193 Enrollment ID: I20190829000801 |
| Provider Name | Michael R Slattery |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609877158 PECOS PAC ID: 7719933597 Enrollment ID: I20190904002710 |
| Provider Name | Emmanuel Isang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215347174 PECOS PAC ID: 6103191432 Enrollment ID: I20190924002437 |
| Provider Name | Daniel H Mcgrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821317470 PECOS PAC ID: 9234371956 Enrollment ID: I20191002001180 |
| Provider Name | Mary Cummins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922492248 PECOS PAC ID: 1052642881 Enrollment ID: I20191009002231 |
| Provider Name | Nitin S Sachan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992167548 PECOS PAC ID: 5294028593 Enrollment ID: I20191018000184 |
| Provider Name | Sara Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477113892 PECOS PAC ID: 0941531172 Enrollment ID: I20191018001792 |
| Provider Name | Zachary Beam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245640713 PECOS PAC ID: 9335438654 Enrollment ID: I20191021001810 |
| Provider Name | Anthony R Villarosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235179979 PECOS PAC ID: 2860445269 Enrollment ID: I20191023001790 |
| Provider Name | Linzee Devan Holtkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871145144 PECOS PAC ID: 3779815279 Enrollment ID: I20191104000411 |
| Provider Name | Andrew D Nicholson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528293701 PECOS PAC ID: 8527367978 Enrollment ID: I20191108003036 |
| Provider Name | Donetta L Sinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175311 PECOS PAC ID: 5597197475 Enrollment ID: I20191114001245 |
| Provider Name | Susan M Leach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609428382 PECOS PAC ID: 6204268121 Enrollment ID: I20191114003007 |
| Provider Name | Mary Juliana Widmeyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326468075 PECOS PAC ID: 6002124575 Enrollment ID: I20191119002902 |
| Provider Name | Courtney B Guider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417884 PECOS PAC ID: 1850724238 Enrollment ID: I20191126002072 |
| Provider Name | Laura M Enomoto |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023338688 PECOS PAC ID: 3678841368 Enrollment ID: I20191203001250 |
| Provider Name | Christina M Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124408877 PECOS PAC ID: 4880946797 Enrollment ID: I20191226001047 |
| Provider Name | Landon R Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194376608 PECOS PAC ID: 1052745007 Enrollment ID: I20191227000494 |
| Provider Name | Arshita Dwarkadas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164802872 PECOS PAC ID: 3870886740 Enrollment ID: I20191227002178 |
| Provider Name | Christopher A Scheiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487864773 PECOS PAC ID: 0446572374 Enrollment ID: I20200106003103 |
| Provider Name | Nicole M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962051078 PECOS PAC ID: 5395170369 Enrollment ID: I20200121002513 |
| Provider Name | Hanna Gayle Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449465 PECOS PAC ID: 9234564055 Enrollment ID: I20200123002619 |
| Provider Name | Katherine C Ladage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164078218 PECOS PAC ID: 8729414263 Enrollment ID: I20200201000150 |
| Provider Name | Ashley A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881230126 PECOS PAC ID: 5395171540 Enrollment ID: I20200206000325 |
| Provider Name | Heather L Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932778 PECOS PAC ID: 9234566738 Enrollment ID: I20200222000003 |
| Provider Name | Benjamin C Verzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506193 PECOS PAC ID: 5890081319 Enrollment ID: I20200305000849 |
| Provider Name | Jennifer L Metikosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790315976 PECOS PAC ID: 8921436064 Enrollment ID: I20200324000102 |
| Provider Name | Adam Jerome Tyson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437444973 PECOS PAC ID: 6406078104 Enrollment ID: I20200401002756 |
| Provider Name | Lauren C Ade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598305070 PECOS PAC ID: 4183053200 Enrollment ID: I20200410000209 |
| Provider Name | Erin H Pidkowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376226 PECOS PAC ID: 4981038346 Enrollment ID: I20200410001431 |
| Provider Name | Dusti A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510163 PECOS PAC ID: 7810327830 Enrollment ID: I20200415000949 |
| Provider Name | Sarah J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821634601 PECOS PAC ID: 9638509664 Enrollment ID: I20200415001538 |
| Provider Name | Ashlie E Wolfenbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396377685 PECOS PAC ID: 7517397425 Enrollment ID: I20200416002707 |
| Provider Name | Kristie V Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942765615 PECOS PAC ID: 0840620704 Enrollment ID: I20200417001163 |
| Provider Name | Philip H Hanneman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356788202 PECOS PAC ID: 5395987846 Enrollment ID: I20200622003046 |
| Provider Name | Sandra Zaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962935254 PECOS PAC ID: 1951672328 Enrollment ID: I20200709003226 |
| Provider Name | David C Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659805067 PECOS PAC ID: 4486905759 Enrollment ID: I20200722003983 |
| Provider Name | Priya V Raghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023542180 PECOS PAC ID: 2668897984 Enrollment ID: I20200804001865 |
| Provider Name | Mihaela Satalan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548581630 PECOS PAC ID: 8729220603 Enrollment ID: I20200811001065 |
| Provider Name | Erica Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255968046 PECOS PAC ID: 8729405428 Enrollment ID: I20200826001794 |
| Provider Name | Alexander C Cavalea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376958231 PECOS PAC ID: 5597022434 Enrollment ID: I20200827002086 |
| Provider Name | Anna J Acker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770938847 PECOS PAC ID: 5799063574 Enrollment ID: I20200827003348 |
| Provider Name | Anne K Kassira |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174780951 PECOS PAC ID: 6204982028 Enrollment ID: I20200828002139 |
| Provider Name | Davis Pappandreou Berry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316380744 PECOS PAC ID: 6507004249 Enrollment ID: I20200909002234 |
| Provider Name | David A Guel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457782559 PECOS PAC ID: 1254759905 Enrollment ID: I20200914000738 |
| Provider Name | Megan Elisabeth Bill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851741367 PECOS PAC ID: 9830480573 Enrollment ID: I20200915001344 |
| Provider Name | Sean A Jordan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679835268 PECOS PAC ID: 8820355530 Enrollment ID: I20200915003425 |
| Provider Name | Lauren Mccollum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255759288 PECOS PAC ID: 1355769720 Enrollment ID: I20200916002704 |
| Provider Name | Morgan A Spurlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982133559 PECOS PAC ID: 6103176474 Enrollment ID: I20201002001645 |
| Provider Name | Jessica Wenger West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164035317 PECOS PAC ID: 1153741202 Enrollment ID: I20201012002318 |
| Provider Name | Stephanie Elizabeth Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285995951 PECOS PAC ID: 6800147190 Enrollment ID: I20201014000266 |
| Provider Name | Ryan K Schmocker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457639478 PECOS PAC ID: 1759514672 Enrollment ID: I20201014003245 |
| Provider Name | Colin Sherman Hirst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235493123 PECOS PAC ID: 3779881503 Enrollment ID: I20201016001676 |
| Provider Name | Erika Noelle Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649881038 PECOS PAC ID: 4880014620 Enrollment ID: I20201016002525 |
| Provider Name | Christopher A Yandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134732738 PECOS PAC ID: 5698185726 Enrollment ID: I20201102000383 |
| Provider Name | Kay Marie Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457747701 PECOS PAC ID: 4981911179 Enrollment ID: I20201119002322 |
| Provider Name | Kenna N Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982218459 PECOS PAC ID: 6507279684 Enrollment ID: I20210111000088 |
| Provider Name | Tanaz Vaghaiwalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164867354 PECOS PAC ID: 6204240609 Enrollment ID: I20210126002212 |
| Provider Name | Robert C Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114904430 PECOS PAC ID: 5193713824 Enrollment ID: I20210204000703 |
| Provider Name | Mary Gaines Irish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730590225 PECOS PAC ID: 0042591190 Enrollment ID: I20210208002060 |
| Provider Name | Stefanos Boukovalas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235485137 PECOS PAC ID: 1254746704 Enrollment ID: I20210216002032 |
| Provider Name | Julia L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386246643 PECOS PAC ID: 0840605143 Enrollment ID: I20210218002604 |
| Provider Name | Renju V Vechurettu Raj |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083961528 PECOS PAC ID: 5294977278 Enrollment ID: I20210219001791 |
| Provider Name | Catherine L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589029 PECOS PAC ID: 1153736111 Enrollment ID: I20210225000661 |
| Provider Name | Brian Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205913506 PECOS PAC ID: 0244488344 Enrollment ID: I20210301002050 |
| Provider Name | Kristal K Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144848383 PECOS PAC ID: 5799191169 Enrollment ID: I20210309002965 |
| Provider Name | Reshmi R Nath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285980524 PECOS PAC ID: 3678883253 Enrollment ID: I20210311001692 |
| Provider Name | Ashley B White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700475316 PECOS PAC ID: 4688081649 Enrollment ID: I20210318002612 |
| Provider Name | Suyog Mokashi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821241357 PECOS PAC ID: 7214223700 Enrollment ID: I20210415001416 |
| Provider Name | Kristen M Martini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447878079 PECOS PAC ID: 7517375272 Enrollment ID: I20210416001843 |
| Provider Name | Marty Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205428166 PECOS PAC ID: 2163830852 Enrollment ID: I20210419000855 |
| Provider Name | Courtney Diane Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908154 PECOS PAC ID: 9931517547 Enrollment ID: I20210420002901 |
| Provider Name | Luis E Zayas-rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184823312 PECOS PAC ID: 5698909935 Enrollment ID: I20210422002435 |
| Provider Name | Marie S Mattus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427636117 PECOS PAC ID: 3375952286 Enrollment ID: I20210505002348 |
| Provider Name | Abdrahim N Aloud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699179556 PECOS PAC ID: 5991097602 Enrollment ID: I20210514001188 |
| Provider Name | Hailey N Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598350423 PECOS PAC ID: 4688083033 Enrollment ID: I20210514001352 |
| Provider Name | Omar M Alsharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548758527 PECOS PAC ID: 6305198284 Enrollment ID: I20210514001355 |
| Provider Name | Kristen J Rash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326659483 PECOS PAC ID: 5294144564 Enrollment ID: I20210518000438 |
| Provider Name | Mahmoud Bayoumi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023541109 PECOS PAC ID: 8224315072 Enrollment ID: I20210518001849 |
| Provider Name | Katherine N Thurman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760830897 PECOS PAC ID: 7810283389 Enrollment ID: I20210602001131 |
| Provider Name | Devin B Gillaspie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679837264 PECOS PAC ID: 4789827437 Enrollment ID: I20210610002489 |
| Provider Name | Kelly George Mccaul |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1295701522 PECOS PAC ID: 2668497850 Enrollment ID: I20210614002389 |
| Provider Name | Scott L Shubeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497250484 PECOS PAC ID: 7517218886 Enrollment ID: I20210629000030 |
| Provider Name | Amy Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013585272 PECOS PAC ID: 0143360370 Enrollment ID: I20210712002096 |
| Provider Name | Brogan Walters Fulks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821522038 PECOS PAC ID: 0042585275 Enrollment ID: I20210713002473 |
| Provider Name | Fernando A Del Rey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851883698 PECOS PAC ID: 0941603120 Enrollment ID: I20210726002351 |
| Provider Name | William A Nunemaker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841787223 PECOS PAC ID: 0244581510 Enrollment ID: I20210802001359 |
| Provider Name | Christopher Brett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417367863 PECOS PAC ID: 5496971533 Enrollment ID: I20210802002607 |
| Provider Name | Clinton A Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184112500 PECOS PAC ID: 8426309790 Enrollment ID: I20210809000350 |
| Provider Name | Jonathan A Towe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013477264 PECOS PAC ID: 3274860861 Enrollment ID: I20210818000853 |
| Provider Name | Jesse Ryan Smith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124431275 PECOS PAC ID: 9032412622 Enrollment ID: I20210820001371 |
| Provider Name | Katie E Gardner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336521194 PECOS PAC ID: 2668785510 Enrollment ID: I20210820001482 |
| Provider Name | Haley Daigle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942658596 PECOS PAC ID: 8921396144 Enrollment ID: I20210824000690 |
| Provider Name | Taylor N Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073131397 PECOS PAC ID: 8426453689 Enrollment ID: I20210826000116 |
| Provider Name | Christian P Probst |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1023337136 PECOS PAC ID: 8527355700 Enrollment ID: I20210827002726 |
| Provider Name | Phillip Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700383056 PECOS PAC ID: 9234480195 Enrollment ID: I20210827003000 |
| Provider Name | Samuel G Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144727579 PECOS PAC ID: 5890046163 Enrollment ID: I20210827003015 |
| Provider Name | Gregory Kahler Low |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194269944 PECOS PAC ID: 4688932551 Enrollment ID: I20210909001273 |
| Provider Name | Kristin Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725102 PECOS PAC ID: 0042560468 Enrollment ID: I20210909002357 |
| Provider Name | Saikrishna Gadde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497134118 PECOS PAC ID: 5092070300 Enrollment ID: I20210914002370 |
| Provider Name | Valerie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971552 PECOS PAC ID: 5395149587 Enrollment ID: I20210916000839 |
| Provider Name | James D Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083110449 PECOS PAC ID: 8123379492 Enrollment ID: I20210928000257 |
| Provider Name | Shadi V Barbu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841678802 PECOS PAC ID: 5799182143 Enrollment ID: I20210928000492 |
| Provider Name | Ashton Jean Brooks |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720473655 PECOS PAC ID: 5496170839 Enrollment ID: I20210928001161 |
| Provider Name | Veera Motashaw |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295171726 PECOS PAC ID: 0143534883 Enrollment ID: I20211006002519 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20211008002280 |
| Provider Name | Alina P Wertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902302276 PECOS PAC ID: 7012267073 Enrollment ID: I20211008002295 |
| Provider Name | Zachary Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346868635 PECOS PAC ID: 8628466505 Enrollment ID: I20211026001502 |
| Provider Name | Michael D Hodgeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447284484 PECOS PAC ID: 2668379256 Enrollment ID: I20211102000187 |
| Provider Name | Caitlin Tabler Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003448986 PECOS PAC ID: 4082003942 Enrollment ID: I20211115001289 |
| Provider Name | Adam A Debusk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821359415 PECOS PAC ID: 1355633884 Enrollment ID: I20211117001449 |
| Provider Name | Kara D Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700549466 PECOS PAC ID: 3476943945 Enrollment ID: I20211124001874 |
| Provider Name | Katherine H Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801356084 PECOS PAC ID: 4688903404 Enrollment ID: I20211129001342 |
| Provider Name | Amber D Rochette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164925814 PECOS PAC ID: 0749670313 Enrollment ID: I20211214002421 |
| Provider Name | Hayely Grace Filippone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974164 PECOS PAC ID: 9234520594 Enrollment ID: I20211220002703 |
| Provider Name | Srinithya Mallela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386170892 PECOS PAC ID: 4183042260 Enrollment ID: I20211222001036 |
| Provider Name | Rhonda M Mcanally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962174227 PECOS PAC ID: 1850782020 Enrollment ID: I20211222002043 |
| Provider Name | Branden S Bruzzese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669144770 PECOS PAC ID: 2668864257 Enrollment ID: I20220111000947 |
| Provider Name | Allison E Breeden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437814753 PECOS PAC ID: 1658763180 Enrollment ID: I20220113001091 |
| Provider Name | Brandy L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114551272 PECOS PAC ID: 2668893769 Enrollment ID: I20220114001470 |
| Provider Name | Melissi L Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578098265 PECOS PAC ID: 1759620941 Enrollment ID: I20220124001828 |
| Provider Name | Bruce Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679531453 PECOS PAC ID: 2163465576 Enrollment ID: I20220223000585 |
| Provider Name | Wendy L Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457002875 PECOS PAC ID: 6103210794 Enrollment ID: I20220224001221 |
| Provider Name | Parviz Gholami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740462464 PECOS PAC ID: 7315075546 Enrollment ID: I20220307000190 |
| Provider Name | William D Watson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083601546 PECOS PAC ID: 1557582780 Enrollment ID: I20220408001020 |
| Provider Name | Sarah B Jenkins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124481775 PECOS PAC ID: 2264726231 Enrollment ID: I20220419000924 |
| Provider Name | John Edward Griepentrog |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942643119 PECOS PAC ID: 0547570210 Enrollment ID: I20220608002260 |
| Provider Name | Sarah K Shelton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144631565 PECOS PAC ID: 9638411077 Enrollment ID: I20220609002872 |
| Provider Name | Samuel R Mowery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679034359 PECOS PAC ID: 6204167448 Enrollment ID: I20220629002848 |
| Provider Name | Rachel M Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700517885 PECOS PAC ID: 7810377751 Enrollment ID: I20220708002169 |
| Provider Name | Allan Hamilton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922462910 PECOS PAC ID: 3678979788 Enrollment ID: I20220711003258 |
| Provider Name | Shaker Barham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366825077 PECOS PAC ID: 2264812924 Enrollment ID: I20220712001887 |
| Provider Name | Sydney N Shadowens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740910934 PECOS PAC ID: 0244612976 Enrollment ID: I20220727004316 |
| Provider Name | Lindsey Baumhoer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376095380 PECOS PAC ID: 1850679317 Enrollment ID: I20220729000441 |
| Provider Name | Mohammed H Tageldin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366963829 PECOS PAC ID: 6406192335 Enrollment ID: I20220801000147 |
| Provider Name | Raleigh C Cutrer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700240843 PECOS PAC ID: 7315233871 Enrollment ID: I20220803000367 |
| Provider Name | Supriya Palwinder Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366812109 PECOS PAC ID: 9032469994 Enrollment ID: I20220803000728 |
| Provider Name | Julia A Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417417403 PECOS PAC ID: 1456681816 Enrollment ID: I20220803002844 |
| Provider Name | Matthew Madion |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376075846 PECOS PAC ID: 7214272079 Enrollment ID: I20220810001590 |
| Provider Name | Shaun B Ajinkya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952750416 PECOS PAC ID: 7214217256 Enrollment ID: I20220812002683 |
| Provider Name | Ardy Davarifar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205221603 PECOS PAC ID: 6507110467 Enrollment ID: I20220820000337 |
| Provider Name | Daniel R Tabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356075758 PECOS PAC ID: 4082098074 Enrollment ID: I20220824002771 |
| Provider Name | Daniel A Galvez Lima |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225419823 PECOS PAC ID: 6608188032 Enrollment ID: I20220825000834 |
| Provider Name | Rachel M Kowaleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500927 PECOS PAC ID: 4587992300 Enrollment ID: I20220825002141 |
| Provider Name | Enambir Singh Josan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013399575 PECOS PAC ID: 3476801036 Enrollment ID: I20220825002395 |
| Provider Name | Jacqueline L Honeywill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629796297 PECOS PAC ID: 0446634364 Enrollment ID: I20220826000456 |
| Provider Name | Prashant J James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609250562 PECOS PAC ID: 9931493434 Enrollment ID: I20220831000267 |
| Provider Name | Lauren A Lamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164159737 PECOS PAC ID: 6002290210 Enrollment ID: I20220907000406 |
| Provider Name | Andrew B. Wills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609338151 PECOS PAC ID: 0244569507 Enrollment ID: I20220908001229 |
| Provider Name | Kashif A Shaikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770901894 PECOS PAC ID: 5193943900 Enrollment ID: I20220913001054 |
| Provider Name | Desiree D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528713328 PECOS PAC ID: 7113302324 Enrollment ID: I20220923000454 |
| Provider Name | Jacob D Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154700227 PECOS PAC ID: 6608175401 Enrollment ID: I20220926002419 |
| Provider Name | Kaela Elise Parnell Blake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205222072 PECOS PAC ID: 4183049026 Enrollment ID: I20220927000056 |
| Provider Name | Fatema S Uddin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144430893 PECOS PAC ID: 4284879495 Enrollment ID: I20221005000540 |
| Provider Name | Wala M Abusalah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578034161 PECOS PAC ID: 5991139883 Enrollment ID: I20221005001625 |
| Provider Name | Scott E Mcaleer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821558073 PECOS PAC ID: 4486982287 Enrollment ID: I20221006000773 |
| Provider Name | Emily L Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053048983 PECOS PAC ID: 0446636849 Enrollment ID: I20221010000892 |
| Provider Name | Anna Currid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801212840 PECOS PAC ID: 0042435596 Enrollment ID: I20221025000213 |
| Provider Name | Jessica D Seiferth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639808900 PECOS PAC ID: 4981070430 Enrollment ID: I20221025000895 |
| Provider Name | Rachael Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184342776 PECOS PAC ID: 7517334600 Enrollment ID: I20221102001406 |
| Provider Name | Hannah F Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922720630 PECOS PAC ID: 9335517747 Enrollment ID: I20221116000571 |
| Provider Name | Mackenzie R Owens Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602636 PECOS PAC ID: 2163890062 Enrollment ID: I20221128001390 |
| Provider Name | Lauren M Conde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179283 PECOS PAC ID: 9032588165 Enrollment ID: I20221213001637 |
| Provider Name | Tyler Holley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1154760411 PECOS PAC ID: 4880814771 Enrollment ID: I20230103000907 |
| Provider Name | Ala'a Mitoubsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841915113 PECOS PAC ID: 1355711474 Enrollment ID: I20230106001819 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20230110000415 |
| Provider Name | Juan J Goyanes-vasquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831622968 PECOS PAC ID: 7113398728 Enrollment ID: I20230118001951 |
| Provider Name | Jessica Greenway Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093431959 PECOS PAC ID: 7517338916 Enrollment ID: I20230123001627 |
| Provider Name | Amanda Baynard Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225649817 PECOS PAC ID: 6204246408 Enrollment ID: I20230124000537 |
| Provider Name | Felicia S Wassenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851067649 PECOS PAC ID: 6608274477 Enrollment ID: I20230127000106 |
| Provider Name | Katherine Elizabeth Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765850 PECOS PAC ID: 3678945581 Enrollment ID: I20230202000281 |
| Provider Name | Steven M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255842746 PECOS PAC ID: 1355693383 Enrollment ID: I20230206001818 |
| Provider Name | Sallie A Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578285854 PECOS PAC ID: 6507239456 Enrollment ID: I20230224000351 |
| Provider Name | Cree J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689397705 PECOS PAC ID: 6901279405 Enrollment ID: I20230303001016 |
| Provider Name | Kyle C Lange |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629503032 PECOS PAC ID: 9133498983 Enrollment ID: I20230308000166 |
| Provider Name | Cassandra H Trepanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396458493 PECOS PAC ID: 6608240270 Enrollment ID: I20230322000433 |
| Provider Name | Rachel W Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639551674 PECOS PAC ID: 6002129095 Enrollment ID: I20230420000070 |
| Provider Name | Albert Thomas Quiery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164487120 PECOS PAC ID: 6002838778 Enrollment ID: I20230424001661 |
| Provider Name | Bryan A West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932494093 PECOS PAC ID: 9931429529 Enrollment ID: I20230503000789 |
| Provider Name | Hope Sorey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407557226 PECOS PAC ID: 0941666739 Enrollment ID: I20230522000592 |
| Provider Name | Osmund Ugochukwu Agbo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275728529 PECOS PAC ID: 6800974627 Enrollment ID: I20230522000914 |
| Provider Name | Stacy J Tanner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598020935 PECOS PAC ID: 2668604240 Enrollment ID: I20230602000419 |
| Provider Name | Hope Ledger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871226878 PECOS PAC ID: 6800254194 Enrollment ID: I20230619000949 |
| Provider Name | Juyeon Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417452327 PECOS PAC ID: 6406216258 Enrollment ID: I20230712002446 |
| Provider Name | James L Wang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124524004 PECOS PAC ID: 8729339072 Enrollment ID: I20230720003432 |
| Provider Name | Margaret M Swanberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871526707 PECOS PAC ID: 8729266044 Enrollment ID: I20230815004146 |
| Provider Name | Matthew A Hicks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508307646 PECOS PAC ID: 3173985397 Enrollment ID: I20230818001989 |
| Provider Name | Chelsea Nicole Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033747373 PECOS PAC ID: 7911320684 Enrollment ID: I20230823001688 |
| Provider Name | Krupa R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356979157 PECOS PAC ID: 7810311776 Enrollment ID: I20230825001593 |
| Provider Name | Igal Mirman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598298317 PECOS PAC ID: 8527461086 Enrollment ID: I20230828000439 |
| Provider Name | Marc J Oropilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902433212 PECOS PAC ID: 3274957972 Enrollment ID: I20230828000600 |
| Provider Name | Madison B Compton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891323705 PECOS PAC ID: 7911321617 Enrollment ID: I20230828001574 |
| Provider Name | Roger W Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841721776 PECOS PAC ID: 4789933649 Enrollment ID: I20230828001679 |
| Provider Name | Morgan Hampton Randall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326306523 PECOS PAC ID: 7416258694 Enrollment ID: I20230901001441 |
| Provider Name | John L Murray |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1730614736 PECOS PAC ID: 7315301231 Enrollment ID: I20230912000210 |
| Provider Name | Kyle J Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538796701 PECOS PAC ID: 2860816642 Enrollment ID: I20230912001976 |
| Provider Name | James Z Drew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982232302 PECOS PAC ID: 4688098809 Enrollment ID: I20230915001373 |
| Provider Name | Breanna Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356024996 PECOS PAC ID: 7719331636 Enrollment ID: I20230927000437 |
| Provider Name | Kimberly M Linden |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205212230 PECOS PAC ID: 9335558188 Enrollment ID: I20230928000903 |
| Provider Name | Justin D Gerard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104275643 PECOS PAC ID: 4082907662 Enrollment ID: I20230929000260 |
| Provider Name | Hannah Nemec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023472867 PECOS PAC ID: 7012268030 Enrollment ID: I20230929000269 |
| Provider Name | Lauren B Grimsley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730560111 PECOS PAC ID: 6901158781 Enrollment ID: I20230929000530 |
| Provider Name | Ghaida K Zaid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225523210 PECOS PAC ID: 7113274846 Enrollment ID: I20231002001440 |
| Provider Name | Chirag D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215565015 PECOS PAC ID: 9931523313 Enrollment ID: I20231002003727 |
| Provider Name | Michael J Rohrer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801424130 PECOS PAC ID: 4284058652 Enrollment ID: I20231003001342 |
| Provider Name | Amanda L Brandner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235817040 PECOS PAC ID: 1951756261 Enrollment ID: I20231005003802 |
| Provider Name | Bryan A Walker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144727959 PECOS PAC ID: 0446501324 Enrollment ID: I20231010000176 |
| Provider Name | Caroline C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326822925 PECOS PAC ID: 2860848165 Enrollment ID: I20231023002610 |
| Provider Name | Jonathan Crawford Delong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114365418 PECOS PAC ID: 4284036864 Enrollment ID: I20231025003316 |
| Provider Name | Olga Valeryevna Slusher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316301047 PECOS PAC ID: 6709124795 Enrollment ID: I20231026000528 |
| Provider Name | Brenda C Svoboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437837697 PECOS PAC ID: 9234585258 Enrollment ID: I20231027001147 |
| Provider Name | James N Cantrell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679064042 PECOS PAC ID: 9234585175 Enrollment ID: I20231027002781 |
| Provider Name | Ashley M Epperly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386421030 PECOS PAC ID: 3274981683 Enrollment ID: I20231127000059 |
| Provider Name | Kim T Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496088 PECOS PAC ID: 2961756010 Enrollment ID: I20231130001957 |
| Provider Name | Krista L Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356113005 PECOS PAC ID: 5193176204 Enrollment ID: I20240112001340 |
| Provider Name | Christina S Glenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609188754 PECOS PAC ID: 1951671114 Enrollment ID: I20240124003786 |
| Provider Name | Kinzey M Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700666112 PECOS PAC ID: 5890138283 Enrollment ID: I20240213003183 |
| Provider Name | Sydney N Stooksbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437838463 PECOS PAC ID: 6204273923 Enrollment ID: I20240318001533 |
| Provider Name | Jerica K Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104453364 PECOS PAC ID: 0749604619 Enrollment ID: I20240410000626 |
| Provider Name | Dena S Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124883848 PECOS PAC ID: 0143660654 Enrollment ID: I20240501002116 |
| Provider Name | Guillermo A Quiceno |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487621330 PECOS PAC ID: 2668474701 Enrollment ID: I20240516003083 |
| Provider Name | Elman M Urbina Meneses |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235650375 PECOS PAC ID: 3971906611 Enrollment ID: I20240603001771 |
Families First Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2908 Tazewell Pike, Knoxville, TN 37918 Phone: 865-688-8999 Fax: 865-688-8090 | |
Urgent Care Centers Across America Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 Middlebrook Pike # 203, Knoxville, TN 37931 Phone: 865-281-5236 | |
Daphne M. Norwood, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Box U114, Knoxville, TN 37920 Phone: 865-305-9349 Fax: 865-305-9144 | |
Baptist Primary And Senior Care - Downtown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Blount Ave, Suite 502, Knoxville, TN 37920 Phone: 865-549-2942 Fax: 865-549-2941 | |
Foreveryoung Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5816 Kingston Pike Ste 1, Knoxville, TN 37919 Phone: 865-444-2130 | |
Ortho Sport & Spine Physicians Knoxville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Fountain Valley Dr Ste 350, Knoxville, TN 37918 Phone: 678-752-7246 | |
Norwood Senior Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5541 Clinton Hwy, Knoxville, TN 37912 Phone: 865-281-2961 |