| Utica Park Clinic | |
|
1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 | |
| (918) 579-3826 | |
| (918) 579-1262 |
| Full Name | Utica Park Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1145 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Brandon Mudd (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9185791841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utica Park Clinic 1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 Ph: (918) 579-3627 | Utica Park Clinic 1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 Ph: (918) 579-3826 |
| NPI Number | 1235182775 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 12/02/2020 |
| Medicare PECOS PAC ID | 9436122496 |
|---|---|
| Medicare Enrollment ID | O20040817001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235182775 | NPI | - | NPPES |
| 200044160A | Medicaid | OK |
| Provider Name | Clark J Tingleaf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881624153 PECOS PAC ID: 1759280472 Enrollment ID: I20040105000600 |
| Provider Name | Jess T Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889551 PECOS PAC ID: 1850290958 Enrollment ID: I20040107000912 |
| Provider Name | Paul Guy Hagood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124087952 PECOS PAC ID: 4385544550 Enrollment ID: I20040117000143 |
| Provider Name | Andreas F Revelis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1902809080 PECOS PAC ID: 2163323957 Enrollment ID: I20040123000913 |
| Provider Name | Roderick N Purdie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750318994 PECOS PAC ID: 5395648570 Enrollment ID: I20040129000560 |
| Provider Name | Richard L Drake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336326206 PECOS PAC ID: 9436043874 Enrollment ID: I20040209000515 |
| Provider Name | Lora M Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154371524 PECOS PAC ID: 1557255429 Enrollment ID: I20040211000651 |
| Provider Name | Guy Wayne Sneed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710975164 PECOS PAC ID: 5294621421 Enrollment ID: I20040225000396 |
| Provider Name | Brian K Berryman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184614919 PECOS PAC ID: 1951298470 Enrollment ID: I20040301000587 |
| Provider Name | Wesley K Maples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013974757 PECOS PAC ID: 7911896394 Enrollment ID: I20040312001244 |
| Provider Name | William Keith Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720015415 PECOS PAC ID: 8426040619 Enrollment ID: I20040330001229 |
| Provider Name | Breece M Eberley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689626376 PECOS PAC ID: 6608861497 Enrollment ID: I20040420000424 |
| Provider Name | Julie Knox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467519496 PECOS PAC ID: 1052307063 Enrollment ID: I20040423001205 |
| Provider Name | Courtney Gail Elliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538182555 PECOS PAC ID: 5395736961 Enrollment ID: I20040521000543 |
| Provider Name | Nancy Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235190448 PECOS PAC ID: 9133101363 Enrollment ID: I20040602000973 |
| Provider Name | Mitchell J. Collier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902856909 PECOS PAC ID: 8123003845 Enrollment ID: I20040618000591 |
| Provider Name | Perri A Craven |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316960909 PECOS PAC ID: 5294714168 Enrollment ID: I20040721001624 |
| Provider Name | Laurie A Duckett |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114923794 PECOS PAC ID: 9739151473 Enrollment ID: I20040812000010 |
| Provider Name | Randy J Grellner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356364376 PECOS PAC ID: 7416923271 Enrollment ID: I20040903000033 |
| Provider Name | Donald L Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255345294 PECOS PAC ID: 9830165604 Enrollment ID: I20040903000169 |
| Provider Name | Thomas Daniel Mihelich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538193214 PECOS PAC ID: 9436125986 Enrollment ID: I20040907000249 |
| Provider Name | Lisa G King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073545885 PECOS PAC ID: 4082680558 Enrollment ID: I20040907000421 |
| Provider Name | Bradley Dean Hoyt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577415 PECOS PAC ID: 3072589563 Enrollment ID: I20040907000615 |
| Provider Name | Clayton Flanary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740215680 PECOS PAC ID: 9638145865 Enrollment ID: I20040908001199 |
| Provider Name | Jeffrey L Galles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235183567 PECOS PAC ID: 3577539725 Enrollment ID: I20040908001390 |
| Provider Name | Russell D Moneypenny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750311536 PECOS PAC ID: 7012983018 Enrollment ID: I20040909000854 |
| Provider Name | Robert B Hightower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861425878 PECOS PAC ID: 9335116151 Enrollment ID: I20040913000289 |
| Provider Name | Christopher Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538111976 PECOS PAC ID: 1759358518 Enrollment ID: I20040913000546 |
| Provider Name | Debra Kaye Madaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487608808 PECOS PAC ID: 0648247320 Enrollment ID: I20040913000735 |
| Provider Name | Thomas E Madaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356398358 PECOS PAC ID: 5991772600 Enrollment ID: I20040913000975 |
| Provider Name | Tariq Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689628364 PECOS PAC ID: 6305813981 Enrollment ID: I20040914000040 |
| Provider Name | Steven Landgarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295772580 PECOS PAC ID: 1153239009 Enrollment ID: I20040916001364 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447297205 PECOS PAC ID: 7618945288 Enrollment ID: I20040921001033 |
| Provider Name | Wayne Gartner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972509727 PECOS PAC ID: 4688642259 Enrollment ID: I20040921001055 |
| Provider Name | Michael G Gietzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273461 PECOS PAC ID: 7416925953 Enrollment ID: I20040922000343 |
| Provider Name | David R Ring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871516898 PECOS PAC ID: 8820066368 Enrollment ID: I20040922000386 |
| Provider Name | Khalid S Aly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952334955 PECOS PAC ID: 1557339017 Enrollment ID: I20040922000470 |
| Provider Name | Lauri S Blesch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306896998 PECOS PAC ID: 9335117829 Enrollment ID: I20040922000737 |
| Provider Name | Richard A Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972557585 PECOS PAC ID: 5092783324 Enrollment ID: I20040923000565 |
| Provider Name | Mary K Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316960339 PECOS PAC ID: 5092783357 Enrollment ID: I20040923000822 |
| Provider Name | Diana M Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518919091 PECOS PAC ID: 0345218608 Enrollment ID: I20040923000844 |
| Provider Name | Beau C Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275568115 PECOS PAC ID: 5496654105 Enrollment ID: I20040923000878 |
| Provider Name | Terence M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685020 PECOS PAC ID: 8729056098 Enrollment ID: I20040923000909 |
| Provider Name | Patti W Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962432757 PECOS PAC ID: 4284602566 Enrollment ID: I20040923000980 |
| Provider Name | Janhavi S Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346278413 PECOS PAC ID: 8628046901 Enrollment ID: I20040923001001 |
| Provider Name | Deborah J Dejarnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609899624 PECOS PAC ID: 8325016611 Enrollment ID: I20040923001027 |
| Provider Name | Debra Sue Colpitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851316913 PECOS PAC ID: 3476521766 Enrollment ID: I20040923001057 |
| Provider Name | Paul E Battles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568485589 PECOS PAC ID: 6507779741 Enrollment ID: I20040924000382 |
| Provider Name | King E Morris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053334078 PECOS PAC ID: 3375512551 Enrollment ID: I20040927000119 |
| Provider Name | Rodney L Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740211044 PECOS PAC ID: 5496724312 Enrollment ID: I20040928000715 |
| Provider Name | Candy N Ting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330035 PECOS PAC ID: 5890756720 Enrollment ID: I20041022001060 |
| Provider Name | Mark D Callery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548246895 PECOS PAC ID: 1254393812 Enrollment ID: I20041027000623 |
| Provider Name | Gregory R Pittman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679538938 PECOS PAC ID: 6406840933 Enrollment ID: I20041109000329 |
| Provider Name | Michael S Lowe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700834918 PECOS PAC ID: 5294798492 Enrollment ID: I20041109000470 |
| Provider Name | Clinton Anthony |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528061603 PECOS PAC ID: 4880595677 Enrollment ID: I20041110000853 |
| Provider Name | Danny E Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851352645 PECOS PAC ID: 1759348782 Enrollment ID: I20041211000048 |
| Provider Name | Paul A Whitham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437137122 PECOS PAC ID: 2961469994 Enrollment ID: I20041211000109 |
| Provider Name | Yancy Jon Galutia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981848 PECOS PAC ID: 8921066671 Enrollment ID: I20041228000418 |
| Provider Name | Michael T Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528001518 PECOS PAC ID: 6103875505 Enrollment ID: I20050113000704 |
| Provider Name | Frank David Kondos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415366 PECOS PAC ID: 9335197920 Enrollment ID: I20050114000008 |
| Provider Name | Seth David Nodine |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972555993 PECOS PAC ID: 4183673320 Enrollment ID: I20050114000456 |
| Provider Name | Jason D Remington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739932 PECOS PAC ID: 7517916224 Enrollment ID: I20050120000351 |
| Provider Name | Dominick P Palmisano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295709939 PECOS PAC ID: 2961454772 Enrollment ID: I20050219000035 |
| Provider Name | Muhammad Imran Shaukat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770585325 PECOS PAC ID: 8527016831 Enrollment ID: I20050225000231 |
| Provider Name | Eugene O Dickens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306801675 PECOS PAC ID: 7012969116 Enrollment ID: I20050225000473 |
| Provider Name | Christopher D Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023089331 PECOS PAC ID: 4385697408 Enrollment ID: I20050301000184 |
| Provider Name | Catherine L Gaffney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831143155 PECOS PAC ID: 8224087648 Enrollment ID: I20050312000042 |
| Provider Name | Dana D Morrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417918954 PECOS PAC ID: 9032152319 Enrollment ID: I20050607001246 |
| Provider Name | Derrick J Coupe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902850340 PECOS PAC ID: 8123069168 Enrollment ID: I20050615000532 |
| Provider Name | Randall M Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275560708 PECOS PAC ID: 6800841735 Enrollment ID: I20050629000675 |
| Provider Name | Ronald N Oglesby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578595955 PECOS PAC ID: 2163450230 Enrollment ID: I20050729000767 |
| Provider Name | Claudia E Cea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083677892 PECOS PAC ID: 9335183714 Enrollment ID: I20050815000837 |
| Provider Name | Christopher Alan Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225063647 PECOS PAC ID: 8729023171 Enrollment ID: I20050822001136 |
| Provider Name | Christian P Luessenhop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831177047 PECOS PAC ID: 9931125523 Enrollment ID: I20051022000305 |
| Provider Name | Ghassan Tawil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710001771 PECOS PAC ID: 8527085307 Enrollment ID: I20051115001047 |
| Provider Name | Kimberely Dawn Kmita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679598809 PECOS PAC ID: 3779514716 Enrollment ID: I20051129000232 |
| Provider Name | Jules L Merenda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932174331 PECOS PAC ID: 8527951029 Enrollment ID: I20051214000930 |
| Provider Name | Margie S Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235213182 PECOS PAC ID: 3678592425 Enrollment ID: I20060110000366 |
| Provider Name | Edwin L Mccreary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609820034 PECOS PAC ID: 4688686256 Enrollment ID: I20060622000343 |
| Provider Name | Richard R Jesudass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275556284 PECOS PAC ID: 6507860905 Enrollment ID: I20060825000382 |
| Provider Name | Keith S Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306853874 PECOS PAC ID: 1254335235 Enrollment ID: I20060905000579 |
| Provider Name | Tana M Stutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902882269 PECOS PAC ID: 1456356492 Enrollment ID: I20060925000533 |
| Provider Name | Leslie K Walker |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275576118 PECOS PAC ID: 9436152196 Enrollment ID: I20061018000028 |
| Provider Name | Cheryl B Kroeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730112574 PECOS PAC ID: 2466469879 Enrollment ID: I20061221000074 |
| Provider Name | James V Rooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
| Provider Name | John K Gearhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609853175 PECOS PAC ID: 5294736914 Enrollment ID: I20070124000185 |
| Provider Name | Andre R May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942286547 PECOS PAC ID: 5597767327 Enrollment ID: I20070208000022 |
| Provider Name | Eric Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043231749 PECOS PAC ID: 5092713008 Enrollment ID: I20070212000693 |
| Provider Name | Andrea M Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578674503 PECOS PAC ID: 4082717392 Enrollment ID: I20070307000038 |
| Provider Name | Brian G Ogg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053330134 PECOS PAC ID: 2062319718 Enrollment ID: I20070324000156 |
| Provider Name | Jon E Orjala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265428098 PECOS PAC ID: 9537119763 Enrollment ID: I20070417000031 |
| Provider Name | Jenny L Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881662666 PECOS PAC ID: 0648376848 Enrollment ID: I20070504000232 |
| Provider Name | Martha J Cahalen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417027780 PECOS PAC ID: 7719083666 Enrollment ID: I20070509000465 |
| Provider Name | Frank W Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578670402 PECOS PAC ID: 8820194723 Enrollment ID: I20070510000136 |
| Provider Name | Jack R Snedden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215908041 PECOS PAC ID: 8022115393 Enrollment ID: I20070522000008 |
| Provider Name | Andrea Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043284292 PECOS PAC ID: 5991711566 Enrollment ID: I20070620000117 |
| Provider Name | Christopher W Sorrels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023085636 PECOS PAC ID: 6406955103 Enrollment ID: I20070621000042 |
| Provider Name | Thomas B Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417942020 PECOS PAC ID: 4880793587 Enrollment ID: I20070621000048 |
| Provider Name | James M Ross |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285605113 PECOS PAC ID: 8921108762 Enrollment ID: I20070710000439 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
| Provider Name | Chad E Crawley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720282478 PECOS PAC ID: 9739271693 Enrollment ID: I20070822001571 |
| Provider Name | Oliver A Cerqueira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538295423 PECOS PAC ID: 4486746260 Enrollment ID: I20070824000164 |
| Provider Name | Sreelatha K Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033262712 PECOS PAC ID: 4789778481 Enrollment ID: I20070925000345 |
| Provider Name | Debra Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871786376 PECOS PAC ID: 9436246162 Enrollment ID: I20071029000156 |
| Provider Name | Andrea E Stafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477766616 PECOS PAC ID: 5698862860 Enrollment ID: I20071105000334 |
| Provider Name | Bronwyn L Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619161205 PECOS PAC ID: 7214027747 Enrollment ID: I20071220000144 |
| Provider Name | Bethaney B Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861674681 PECOS PAC ID: 3072699214 Enrollment ID: I20080327000597 |
| Provider Name | Anthony C Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992765457 PECOS PAC ID: 6103902226 Enrollment ID: I20080328000482 |
| Provider Name | Martin J Davis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366570145 PECOS PAC ID: 6709963564 Enrollment ID: I20080404000181 |
| Provider Name | Brent Wyatt Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447434097 PECOS PAC ID: 7416034962 Enrollment ID: I20080408000340 |
| Provider Name | Edward E Rylander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871564930 PECOS PAC ID: 3173600517 Enrollment ID: I20080409000225 |
| Provider Name | Enis Sakirgil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891976957 PECOS PAC ID: 9830276195 Enrollment ID: I20080410000444 |
| Provider Name | Scott Allen Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356312573 PECOS PAC ID: 1951489921 Enrollment ID: I20080416000655 |
| Provider Name | Bryan C Spears |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518166347 PECOS PAC ID: 5395839617 Enrollment ID: I20080416000666 |
| Provider Name | Paul W Kempe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396825345 PECOS PAC ID: 8729080106 Enrollment ID: I20080520000392 |
| Provider Name | Jennifer B Bierach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043352198 PECOS PAC ID: 6103998711 Enrollment ID: I20080626000267 |
| Provider Name | Jeffrey M Hunt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255420204 PECOS PAC ID: 4385663343 Enrollment ID: I20080701000098 |
| Provider Name | Jennifer L O Stasik |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447385091 PECOS PAC ID: 1355413568 Enrollment ID: I20080703000392 |
| Provider Name | Mallory A Nitzel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467502377 PECOS PAC ID: 0143393751 Enrollment ID: I20080715000666 |
| Provider Name | Ron M Gann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689770760 PECOS PAC ID: 7315011715 Enrollment ID: I20080804000110 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
| Provider Name | Michael S Gebetsberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851378350 PECOS PAC ID: 8729153994 Enrollment ID: I20080822000266 |
| Provider Name | Sarah R Elneser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407018088 PECOS PAC ID: 6800962739 Enrollment ID: I20080829000158 |
| Provider Name | Stephanie Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750582979 PECOS PAC ID: 3678640141 Enrollment ID: I20080925000102 |
| Provider Name | Mark A Birdsong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295857167 PECOS PAC ID: 6002984200 Enrollment ID: I20081001000118 |
| Provider Name | Yinyin Jl Devoe |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1427192434 PECOS PAC ID: 6709954787 Enrollment ID: I20081003000294 |
| Provider Name | Asim Maqsood |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1821137050 PECOS PAC ID: 2365533932 Enrollment ID: I20081009000820 |
| Provider Name | Justin Thankachan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851433221 PECOS PAC ID: 8123186103 Enrollment ID: I20081020000468 |
| Provider Name | Matthew R Acker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881818417 PECOS PAC ID: 9537227202 Enrollment ID: I20081024000024 |
| Provider Name | Kelly Lynette Shuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376542472 PECOS PAC ID: 7012978547 Enrollment ID: I20081117000343 |
| Provider Name | Dustin Cupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417113226 PECOS PAC ID: 6800956517 Enrollment ID: I20081125000111 |
| Provider Name | Jason Charles Joice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144424821 PECOS PAC ID: 8426119900 Enrollment ID: I20081212000417 |
| Provider Name | Kimberly A Sorensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619937034 PECOS PAC ID: 8921160235 Enrollment ID: I20081222000052 |
| Provider Name | Kevin D Dare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942458773 PECOS PAC ID: 2567526486 Enrollment ID: I20090121000450 |
| Provider Name | Steven J Finley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356594998 PECOS PAC ID: 4880750736 Enrollment ID: I20090302000542 |
| Provider Name | Thomas J Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457547051 PECOS PAC ID: 0042305302 Enrollment ID: I20090316000557 |
| Provider Name | Patrick J Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316181720 PECOS PAC ID: 4385795145 Enrollment ID: I20090708000138 |
| Provider Name | Estacia Diann Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316196959 PECOS PAC ID: 4981756640 Enrollment ID: I20090710000491 |
| Provider Name | Traci L White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518170927 PECOS PAC ID: 1456404433 Enrollment ID: I20090810000240 |
| Provider Name | Scott A Newbrough |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053551234 PECOS PAC ID: 9133273493 Enrollment ID: I20090820000612 |
| Provider Name | Lisha R Porch-petitt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104054147 PECOS PAC ID: 8527112895 Enrollment ID: I20090820000678 |
| Provider Name | Zeeshaan Khan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053520080 PECOS PAC ID: 3072669944 Enrollment ID: I20090917000232 |
| Provider Name | Muhammad Afzal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417096629 PECOS PAC ID: 0547316200 Enrollment ID: I20090922000086 |
| Provider Name | Ajay R Bedekar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962478024 PECOS PAC ID: 6901822816 Enrollment ID: I20090924000148 |
| Provider Name | Kristoffer Lee Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891923553 PECOS PAC ID: 6608922117 Enrollment ID: I20090925000063 |
| Provider Name | Kim Marie Schorer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023242302 PECOS PAC ID: 7416094842 Enrollment ID: I20091016000418 |
| Provider Name | Lindsey M King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367996 PECOS PAC ID: 1658410501 Enrollment ID: I20091205000145 |
| Provider Name | Gregory P Disalvatore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588652929 PECOS PAC ID: 8527101278 Enrollment ID: I20100203000870 |
| Provider Name | Gary L Steinbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341616 PECOS PAC ID: 4082749759 Enrollment ID: I20100319000346 |
| Provider Name | David M White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922338425 PECOS PAC ID: 2769517440 Enrollment ID: I20100319000415 |
| Provider Name | Frank Tomecek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366403990 PECOS PAC ID: 2163467374 Enrollment ID: I20100324000966 |
| Provider Name | Andrew Gottehrer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013913359 PECOS PAC ID: 5991831075 Enrollment ID: I20100327000584 |
| Provider Name | Justin T Atherton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912935644 PECOS PAC ID: 6406952969 Enrollment ID: I20100330000225 |
| Provider Name | Terence Edmund Grewe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003866286 PECOS PAC ID: 8820075849 Enrollment ID: I20100408000281 |
| Provider Name | Harvey Arthur Tatum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659333623 PECOS PAC ID: 2668455650 Enrollment ID: I20100429000403 |
| Provider Name | Grace R Kennedy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568478071 PECOS PAC ID: 0840227716 Enrollment ID: I20100430000031 |
| Provider Name | Brian D Worley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508873423 PECOS PAC ID: 1759318629 Enrollment ID: I20100430000091 |
| Provider Name | Karen E Parks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962731851 PECOS PAC ID: 2365573987 Enrollment ID: I20100625000801 |
| Provider Name | Andrew Jonathan Sperling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932347929 PECOS PAC ID: 7012049067 Enrollment ID: I20100709000746 |
| Provider Name | Chelsey Diane Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437359288 PECOS PAC ID: 7719019884 Enrollment ID: I20100726000347 |
| Provider Name | Carol J Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811936412 PECOS PAC ID: 0749194959 Enrollment ID: I20100730000074 |
| Provider Name | Richard Doyle Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366410441 PECOS PAC ID: 8527003730 Enrollment ID: I20100805000714 |
| Provider Name | Jason L Riffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487817698 PECOS PAC ID: 3072638477 Enrollment ID: I20100908000743 |
| Provider Name | Jeffrey M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124279328 PECOS PAC ID: 9335264514 Enrollment ID: I20100910000761 |
| Provider Name | David N Scheck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689642902 PECOS PAC ID: 6305836685 Enrollment ID: I20101007000391 |
| Provider Name | Supriya Koya |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770790289 PECOS PAC ID: 2163614280 Enrollment ID: I20101007001133 |
| Provider Name | Larry Kyle Hrdlicka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518903160 PECOS PAC ID: 9436109667 Enrollment ID: I20101012001087 |
| Provider Name | Alok P Pasricha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053359661 PECOS PAC ID: 7810992377 Enrollment ID: I20101021000528 |
| Provider Name | James H Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407047723 PECOS PAC ID: 5395938005 Enrollment ID: I20101026000346 |
| Provider Name | Lori Gaye Hyden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104009463 PECOS PAC ID: 2062575608 Enrollment ID: I20101116000802 |
| Provider Name | Bert Eric Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649221177 PECOS PAC ID: 3072709989 Enrollment ID: I20101117001567 |
| Provider Name | James Brendan Wingo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508835190 PECOS PAC ID: 7810183613 Enrollment ID: I20101118001062 |
| Provider Name | Taniesha Buffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114107836 PECOS PAC ID: 2860689692 Enrollment ID: I20101206001234 |
| Provider Name | Bernard N Robinowitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598760712 PECOS PAC ID: 4688861081 Enrollment ID: I20101210000830 |
| Provider Name | Sheela Vardey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407048978 PECOS PAC ID: 0345438966 Enrollment ID: I20101227000548 |
| Provider Name | Timothy R Bower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316989361 PECOS PAC ID: 9537357041 Enrollment ID: I20101228000891 |
| Provider Name | Lauren Michele Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013109297 PECOS PAC ID: 6204015571 Enrollment ID: I20110119001090 |
| Provider Name | Amjad Mreyoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518107051 PECOS PAC ID: 9537226832 Enrollment ID: I20110121000154 |
| Provider Name | Benjamin Kamp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922266121 PECOS PAC ID: 4486833290 Enrollment ID: I20110126000398 |
| Provider Name | Kyle C Wooderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508095977 PECOS PAC ID: 1951585769 Enrollment ID: I20110401000614 |
| Provider Name | Carl E Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194991828 PECOS PAC ID: 0042335234 Enrollment ID: I20110505000364 |
| Provider Name | Malinda Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750365698 PECOS PAC ID: 0648458687 Enrollment ID: I20110622000573 |
| Provider Name | Jehanzeb Riaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205130218 PECOS PAC ID: 2365611522 Enrollment ID: I20110805000088 |
| Provider Name | Imad Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20110915000274 |
| Provider Name | Clint J Basener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528122413 PECOS PAC ID: 1759577208 Enrollment ID: I20110922000578 |
| Provider Name | Weera Chainakul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932142866 PECOS PAC ID: 1355512088 Enrollment ID: I20110928000833 |
| Provider Name | Tania A. Reyna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316143621 PECOS PAC ID: 0345412037 Enrollment ID: I20110929000729 |
| Provider Name | Geoffrey Burton Plumlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538133640 PECOS PAC ID: 5698715902 Enrollment ID: I20111027000939 |
| Provider Name | J Dustin Rosenhamer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558658138 PECOS PAC ID: 0840463378 Enrollment ID: I20111028000462 |
| Provider Name | Sarah L Oberste |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952614091 PECOS PAC ID: 7719150952 Enrollment ID: I20111102000861 |
| Provider Name | Sujan Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073741732 PECOS PAC ID: 1557536976 Enrollment ID: I20111214000441 |
| Provider Name | April R Zumwalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629375993 PECOS PAC ID: 1052586377 Enrollment ID: I20111214000511 |
| Provider Name | Sheri Candida Burson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053611103 PECOS PAC ID: 7113193004 Enrollment ID: I20111227000108 |
| Provider Name | Mandy Rutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063781623 PECOS PAC ID: 2860650066 Enrollment ID: I20120220000460 |
| Provider Name | Melonie King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811216567 PECOS PAC ID: 8022276997 Enrollment ID: I20120223000243 |
| Provider Name | Harold L Bolnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346205549 PECOS PAC ID: 1951215417 Enrollment ID: I20120411000280 |
| Provider Name | Amy S Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528333515 PECOS PAC ID: 5799948618 Enrollment ID: I20120511000448 |
| Provider Name | Jeffrey Brian Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497982052 PECOS PAC ID: 1951567619 Enrollment ID: I20120724000760 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20120725000093 |
| Provider Name | Kyle J Schauf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265662092 PECOS PAC ID: 9830346030 Enrollment ID: I20120822000786 |
| Provider Name | Ryan M Freeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811282395 PECOS PAC ID: 5496936015 Enrollment ID: I20120827000433 |
| Provider Name | Christopher Robert Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447211990 PECOS PAC ID: 7012061492 Enrollment ID: I20120831000397 |
| Provider Name | Jean-maria Christina Langley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831352723 PECOS PAC ID: 9537316120 Enrollment ID: I20120905000148 |
| Provider Name | Shawna R Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639444532 PECOS PAC ID: 1254589450 Enrollment ID: I20120913000080 |
| Provider Name | Maria Elaine Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184853186 PECOS PAC ID: 0547418774 Enrollment ID: I20120913000391 |
| Provider Name | Michael R Phillips |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619904513 PECOS PAC ID: 4385540160 Enrollment ID: I20120913000756 |
| Provider Name | Erin M Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487884995 PECOS PAC ID: 0446396121 Enrollment ID: I20121108000235 |
| Provider Name | Wayland R Billings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316170434 PECOS PAC ID: 2769635309 Enrollment ID: I20130110000511 |
| Provider Name | Alberto J Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700137064 PECOS PAC ID: 7719131820 Enrollment ID: I20130124000501 |
| Provider Name | Wesley Alan Updike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623884 PECOS PAC ID: 9931357639 Enrollment ID: I20130205000361 |
| Provider Name | Julie Styles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932473568 PECOS PAC ID: 7113189812 Enrollment ID: I20130228000405 |
| Provider Name | Karin A Beals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386981413 PECOS PAC ID: 4880839547 Enrollment ID: I20130328000469 |
| Provider Name | Amie K Framel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083741516 PECOS PAC ID: 4183879521 Enrollment ID: I20130522000421 |
| Provider Name | Lisa K Lee |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093151169 PECOS PAC ID: 0941449870 Enrollment ID: I20130625000419 |
| Provider Name | Sarah Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912228149 PECOS PAC ID: 8224270525 Enrollment ID: I20130816000140 |
| Provider Name | Kelli Lea Leek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780029603 PECOS PAC ID: 3375785413 Enrollment ID: I20130820000304 |
| Provider Name | Robert L Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528388717 PECOS PAC ID: 5597908194 Enrollment ID: I20130829000671 |
| Provider Name | Johnie L Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104846732 PECOS PAC ID: 8426131590 Enrollment ID: I20130830000786 |
| Provider Name | Stephen Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
| Provider Name | Brandon Maray Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083921191 PECOS PAC ID: 0941444913 Enrollment ID: I20130912000283 |
| Provider Name | Madison L Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801188248 PECOS PAC ID: 9537303599 Enrollment ID: I20130913000513 |
| Provider Name | Julio Novelo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942327747 PECOS PAC ID: 9234209057 Enrollment ID: I20130927000010 |
| Provider Name | Priti Gurung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518278506 PECOS PAC ID: 3870727399 Enrollment ID: I20131016000035 |
| Provider Name | Lori Ann Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359298 PECOS PAC ID: 5698909059 Enrollment ID: I20131018000464 |
| Provider Name | Roger K Pfeiffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215054622 PECOS PAC ID: 3173798550 Enrollment ID: I20131030001768 |
| Provider Name | Emmanuel Samedi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174862783 PECOS PAC ID: 0840436366 Enrollment ID: I20131119000786 |
| Provider Name | Kendra D Round |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033459763 PECOS PAC ID: 6103065263 Enrollment ID: I20140211000453 |
| Provider Name | Michele Diane Crawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184046336 PECOS PAC ID: 6608008792 Enrollment ID: I20140403000954 |
| Provider Name | Nydia E Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104240183 PECOS PAC ID: 0345473336 Enrollment ID: I20140428001004 |
| Provider Name | Brandi N Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811314909 PECOS PAC ID: 8628291564 Enrollment ID: I20140522001585 |
| Provider Name | Isaiah William Wilson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376715664 PECOS PAC ID: 8123278355 Enrollment ID: I20140617002360 |
| Provider Name | Shane D Parks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588988745 PECOS PAC ID: 5092842799 Enrollment ID: I20140808002137 |
| Provider Name | Scott K Hudson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639313265 PECOS PAC ID: 0749411023 Enrollment ID: I20140825000699 |
| Provider Name | Tara B Hasenpflug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400544 PECOS PAC ID: 9537391065 Enrollment ID: I20140826001314 |
| Provider Name | Michelle S Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306255138 PECOS PAC ID: 1355561309 Enrollment ID: I20140925002029 |
| Provider Name | Ravonne M John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477960920 PECOS PAC ID: 3870714058 Enrollment ID: I20141103000342 |
| Provider Name | Ashley M Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487944427 PECOS PAC ID: 7911138052 Enrollment ID: I20141208001167 |
| Provider Name | Peggy Moore Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427463082 PECOS PAC ID: 7517289127 Enrollment ID: I20141210002027 |
| Provider Name | Helen L Hoggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124426978 PECOS PAC ID: 2961726716 Enrollment ID: I20150127000374 |
| Provider Name | Laura Kyle Brett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235398066 PECOS PAC ID: 1850520495 Enrollment ID: I20150129001704 |
| Provider Name | Eric M Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235363 PECOS PAC ID: 8325362965 Enrollment ID: I20150130000897 |
| Provider Name | Peter Stevan Jerome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396740668 PECOS PAC ID: 7315915733 Enrollment ID: I20150212000124 |
| Provider Name | Pavan Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992021802 PECOS PAC ID: 8022240092 Enrollment ID: I20150306001925 |
| Provider Name | Amy L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306264676 PECOS PAC ID: 0042538126 Enrollment ID: I20150422000270 |
| Provider Name | Jennifer C Patchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568866416 PECOS PAC ID: 5597083683 Enrollment ID: I20150422000672 |
| Provider Name | Tiffany Marie Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063803146 PECOS PAC ID: 7719206135 Enrollment ID: I20150507000653 |
| Provider Name | Holly E Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972826659 PECOS PAC ID: 4981732963 Enrollment ID: I20150609000168 |
| Provider Name | Starla M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992071179 PECOS PAC ID: 4587978903 Enrollment ID: I20150729009371 |
| Provider Name | Devon Michael Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356721237 PECOS PAC ID: 2466766332 Enrollment ID: I20150805008817 |
| Provider Name | Jaclyn C Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003001785 PECOS PAC ID: 5799871612 Enrollment ID: I20150805009008 |
| Provider Name | Andre Fredieu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578543260 PECOS PAC ID: 4587550017 Enrollment ID: I20150807013251 |
| Provider Name | William D Butron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467743443 PECOS PAC ID: 3678898608 Enrollment ID: I20150813010866 |
| Provider Name | Tara Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922176429 PECOS PAC ID: 5597902742 Enrollment ID: I20150813011404 |
| Provider Name | Katherine A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662612 PECOS PAC ID: 1658686506 Enrollment ID: I20150820011823 |
| Provider Name | Andrew Lott Barker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083858138 PECOS PAC ID: 4880810498 Enrollment ID: I20150909000914 |
| Provider Name | Kryston L Salsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498476 PECOS PAC ID: 3678880572 Enrollment ID: I20150909001941 |
| Provider Name | Dae Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003000597 PECOS PAC ID: 4082848189 Enrollment ID: I20150912000130 |
| Provider Name | Melanie N Ketchandji |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811247885 PECOS PAC ID: 1052628781 Enrollment ID: I20150914001411 |
| Provider Name | Jeannette Elaine Windschitl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396122800 PECOS PAC ID: 9032426283 Enrollment ID: I20150921001135 |
| Provider Name | Aimee K Musgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093198939 PECOS PAC ID: 3678881471 Enrollment ID: I20150928002555 |
| Provider Name | David Mccoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477847416 PECOS PAC ID: 0244546653 Enrollment ID: I20151008003010 |
| Provider Name | Christopher A Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689056996 PECOS PAC ID: 3375852445 Enrollment ID: I20151013000807 |
| Provider Name | Robert Allen Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427099530 PECOS PAC ID: 5890797559 Enrollment ID: I20151019001768 |
| Provider Name | Maryanne K Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378050 PECOS PAC ID: 8921318684 Enrollment ID: I20151109001343 |
| Provider Name | Darin Gwartney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003107855 PECOS PAC ID: 7618278037 Enrollment ID: I20151209000294 |
| Provider Name | Bryan Kientz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912381526 PECOS PAC ID: 1355642026 Enrollment ID: I20151222002133 |
| Provider Name | Jacob Josiah Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285995977 PECOS PAC ID: 6608178991 Enrollment ID: I20160104001070 |
| Provider Name | Andrea Skelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003131285 PECOS PAC ID: 5890092514 Enrollment ID: I20160324000224 |
| Provider Name | Brian Dale Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851751531 PECOS PAC ID: 4688971310 Enrollment ID: I20160324000332 |
| Provider Name | Jamie L. Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124415815 PECOS PAC ID: 9931410289 Enrollment ID: I20160628001343 |
| Provider Name | Travis J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386985869 PECOS PAC ID: 0143513937 Enrollment ID: I20160802000340 |
| Provider Name | Matthew Ryan Wilson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1316006083 PECOS PAC ID: 2062644370 Enrollment ID: I20160809001410 |
| Provider Name | Timmeni Lynn Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740545722 PECOS PAC ID: 8729372875 Enrollment ID: I20160811002057 |
| Provider Name | Amanda J Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477810851 PECOS PAC ID: 1355564279 Enrollment ID: I20160818000418 |
| Provider Name | Leonard Lacefield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447590088 PECOS PAC ID: 2769777101 Enrollment ID: I20160824000227 |
| Provider Name | Kimberly Dawn Byler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427409358 PECOS PAC ID: 5395030621 Enrollment ID: I20160825000117 |
| Provider Name | Lauren Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659733681 PECOS PAC ID: 5193011807 Enrollment ID: I20160907000367 |
| Provider Name | Kayla J Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410067 PECOS PAC ID: 8921386871 Enrollment ID: I20161027000074 |
| Provider Name | Carole Elizabeth Mccorkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730636119 PECOS PAC ID: 2860771755 Enrollment ID: I20161117000202 |
| Provider Name | David C Cameron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538422423 PECOS PAC ID: 6002049715 Enrollment ID: I20161201001307 |
| Provider Name | Damon Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548400500 PECOS PAC ID: 1355625294 Enrollment ID: I20170221002096 |
| Provider Name | Scott Patrick Reeder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972817054 PECOS PAC ID: 2264700194 Enrollment ID: I20170619002278 |
| Provider Name | Elwood F Williams |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1003175258 PECOS PAC ID: 8820248990 Enrollment ID: I20170705003192 |
| Provider Name | Kristin L Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164842845 PECOS PAC ID: 2466722293 Enrollment ID: I20170726002954 |
| Provider Name | Emily Kathryn Grewe Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543141 PECOS PAC ID: 3375845399 Enrollment ID: I20170807000264 |
| Provider Name | Kristine Elaine Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043553902 PECOS PAC ID: 1254602170 Enrollment ID: I20170810000784 |
| Provider Name | Jessica L Poteet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598102808 PECOS PAC ID: 2860763760 Enrollment ID: I20170811000515 |
| Provider Name | Daniel Eshaghian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275943128 PECOS PAC ID: 1951673367 Enrollment ID: I20170821000304 |
| Provider Name | Michael Scott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457677023 PECOS PAC ID: 9032382643 Enrollment ID: I20170823003007 |
| Provider Name | Larissa C Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033451687 PECOS PAC ID: 9335411347 Enrollment ID: I20170824002611 |
| Provider Name | Nelson Royall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407145758 PECOS PAC ID: 6204072556 Enrollment ID: I20171006001055 |
| Provider Name | Tiffany Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316264 PECOS PAC ID: 1456626944 Enrollment ID: I20171010000803 |
| Provider Name | Kimberly A Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538670690 PECOS PAC ID: 4981961935 Enrollment ID: I20171129000217 |
| Provider Name | Jessica Louise Mcelhenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932613288 PECOS PAC ID: 8628337276 Enrollment ID: I20180105001392 |
| Provider Name | Stephanie S Mcquarters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284358 PECOS PAC ID: 0345294955 Enrollment ID: I20180116000408 |
| Provider Name | Milton Kevin Omondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894291 PECOS PAC ID: 5294094108 Enrollment ID: I20180123002301 |
| Provider Name | Sarah Elizabeth Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699280982 PECOS PAC ID: 9436419900 Enrollment ID: I20180131001639 |
| Provider Name | Bea Jaye Warlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730698739 PECOS PAC ID: 0143580662 Enrollment ID: I20180201001079 |
| Provider Name | Elizabeth Weilert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537277 PECOS PAC ID: 3678836780 Enrollment ID: I20180424000034 |
| Provider Name | Issam A Alawin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295040806 PECOS PAC ID: 0648580449 Enrollment ID: I20180611001751 |
| Provider Name | Kristopher Wayne Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013409945 PECOS PAC ID: 9739435504 Enrollment ID: I20180709003142 |
| Provider Name | Amara Gayathri Nandikolla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669745667 PECOS PAC ID: 1456623990 Enrollment ID: I20180710000487 |
| Provider Name | Clevius A Curry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487989927 PECOS PAC ID: 2860450004 Enrollment ID: I20180711002908 |
| Provider Name | Emily Lynn Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528565587 PECOS PAC ID: 8224384730 Enrollment ID: I20180712002585 |
| Provider Name | Alexandra Kloeck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679957328 PECOS PAC ID: 1456609395 Enrollment ID: I20180808002917 |
| Provider Name | Tracy Lee Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043714587 PECOS PAC ID: 4486562618 Enrollment ID: I20180813001964 |
| Provider Name | Laurel Elizabeth Stacy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134640162 PECOS PAC ID: 0244580868 Enrollment ID: I20180907001721 |
| Provider Name | Kristin D King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730526328 PECOS PAC ID: 1254566599 Enrollment ID: I20180920002905 |
| Provider Name | Halie Dawn Muckelrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770003006 PECOS PAC ID: 8325398936 Enrollment ID: I20180924002295 |
| Provider Name | Blake L Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962499574 PECOS PAC ID: 2466465570 Enrollment ID: I20180926001032 |
| Provider Name | Christina Lou Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134636558 PECOS PAC ID: 8022360635 Enrollment ID: I20181010000191 |
| Provider Name | Suma Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767029 PECOS PAC ID: 7911259148 Enrollment ID: I20181016001985 |
| Provider Name | Valerie Anne Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083194302 PECOS PAC ID: 2365795820 Enrollment ID: I20181030002460 |
| Provider Name | April E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452750 PECOS PAC ID: 3072887389 Enrollment ID: I20181112000079 |
| Provider Name | Evan Clayton Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811471303 PECOS PAC ID: 9638423114 Enrollment ID: I20181120000999 |
| Provider Name | Kelly Ann Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326527060 PECOS PAC ID: 0941554240 Enrollment ID: I20181126001021 |
| Provider Name | Lindsey Haguewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942794029 PECOS PAC ID: 5294079596 Enrollment ID: I20181127001967 |
| Provider Name | Chika C Okwufulueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780179366 PECOS PAC ID: 5597009993 Enrollment ID: I20181211002193 |
| Provider Name | Jaron Marriott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396106837 PECOS PAC ID: 9931444320 Enrollment ID: I20181212002293 |
| Provider Name | Kelsey Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109629 PECOS PAC ID: 7618212952 Enrollment ID: I20181214001658 |
| Provider Name | Lisa Mask Bull |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790121499 PECOS PAC ID: 6507164944 Enrollment ID: I20190109002086 |
| Provider Name | Maya I Kinmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609108 PECOS PAC ID: 5092051037 Enrollment ID: I20190111000443 |
| Provider Name | Jaclyn Drass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831678390 PECOS PAC ID: 3072851476 Enrollment ID: I20190211000583 |
| Provider Name | Christopher Michael Treat |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558771618 PECOS PAC ID: 1052683273 Enrollment ID: I20190213001432 |
| Provider Name | Lacy G Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598233298 PECOS PAC ID: 9537407721 Enrollment ID: I20190213002559 |
| Provider Name | Hannah Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572900 PECOS PAC ID: 0446598494 Enrollment ID: I20190218000032 |
| Provider Name | Erin Molly Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641202 PECOS PAC ID: 5597006502 Enrollment ID: I20190401000450 |
| Provider Name | Kala Marie Gaydos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972876191 PECOS PAC ID: 7315288370 Enrollment ID: I20190401002261 |
| Provider Name | Vicki Dawn Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619452372 PECOS PAC ID: 6103167796 Enrollment ID: I20190409000446 |
| Provider Name | Spencer A Hylander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360084 PECOS PAC ID: 3476895509 Enrollment ID: I20190422000222 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427525880 PECOS PAC ID: 4981946514 Enrollment ID: I20190501002467 |
| Provider Name | Shay N Surowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841728896 PECOS PAC ID: 7214270560 Enrollment ID: I20190530000400 |
| Provider Name | Ammie Wall Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164085502 PECOS PAC ID: 0547593626 Enrollment ID: I20190604002140 |
| Provider Name | Jonathan A Israel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407122427 PECOS PAC ID: 3274753231 Enrollment ID: I20190612000505 |
| Provider Name | Kayla Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396237426 PECOS PAC ID: 3173857315 Enrollment ID: I20190622000049 |
| Provider Name | Timothy Patric Mcconn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437545746 PECOS PAC ID: 9234427881 Enrollment ID: I20190628000254 |
| Provider Name | Shantel Laniece Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112603 PECOS PAC ID: 3173857737 Enrollment ID: I20190702000646 |
| Provider Name | Bienvenue M Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689237109 PECOS PAC ID: 7719212422 Enrollment ID: I20190717000553 |
| Provider Name | Matthew Else |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265891212 PECOS PAC ID: 3375879034 Enrollment ID: I20190801003174 |
| Provider Name | Brooke A Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154887446 PECOS PAC ID: 7315274982 Enrollment ID: I20190806002104 |
| Provider Name | Amie Denise Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932604626 PECOS PAC ID: 0749517696 Enrollment ID: I20190814003986 |
| Provider Name | Jaime L Mcminn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660578 PECOS PAC ID: 6103154513 Enrollment ID: I20190822004076 |
| Provider Name | Andrew J Prince |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649614421 PECOS PAC ID: 8729305032 Enrollment ID: I20190824000607 |
| Provider Name | Rachael Lea Pattison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265878045 PECOS PAC ID: 4789965898 Enrollment ID: I20190827003930 |
| Provider Name | Bonita Franklin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1427477140 PECOS PAC ID: 5294051553 Enrollment ID: I20190930003167 |
| Provider Name | Hannah E Howard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902293020 PECOS PAC ID: 6002128022 Enrollment ID: I20191018000970 |
| Provider Name | Candice R Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487217634 PECOS PAC ID: 3476985979 Enrollment ID: I20191122000135 |
| Provider Name | Kyndal Renee' Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083250757 PECOS PAC ID: 1759714231 Enrollment ID: I20191216000162 |
| Provider Name | Tyler Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491141 PECOS PAC ID: 3072942283 Enrollment ID: I20200408003245 |
| Provider Name | Regina N Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831725001 PECOS PAC ID: 4385073576 Enrollment ID: I20200409002368 |
| Provider Name | Jack Milton Sommers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568560464 PECOS PAC ID: 4789014549 Enrollment ID: I20200417001614 |
| Provider Name | Sammi Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972139558 PECOS PAC ID: 7517389851 Enrollment ID: I20200616000072 |
| Provider Name | Pamela Grafton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568967602 PECOS PAC ID: 5294064127 Enrollment ID: I20200623001647 |
| Provider Name | Samantha Nicole Kuplicki |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275088635 PECOS PAC ID: 9436447893 Enrollment ID: I20200623001933 |
| Provider Name | Russell Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770003063 PECOS PAC ID: 1557783206 Enrollment ID: I20200625000830 |
| Provider Name | Andrea Dawn Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336794650 PECOS PAC ID: 6901229194 Enrollment ID: I20200707000545 |
| Provider Name | Janet Seals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689208191 PECOS PAC ID: 7214350289 Enrollment ID: I20200709000724 |
| Provider Name | Molly M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403037 PECOS PAC ID: 0244654895 Enrollment ID: I20200716000447 |
| Provider Name | Rachel Joann Kersker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439258 PECOS PAC ID: 5294152088 Enrollment ID: I20200825001523 |
| Provider Name | Susanna C Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174131288 PECOS PAC ID: 1254750375 Enrollment ID: I20200923001042 |
| Provider Name | Christin Baker-hankton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154861607 PECOS PAC ID: 5395087449 Enrollment ID: I20200929001425 |
| Provider Name | Amy Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477163087 PECOS PAC ID: 5799104022 Enrollment ID: I20201006000631 |
| Provider Name | Aaron M Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225394653 PECOS PAC ID: 3971828666 Enrollment ID: I20201211000057 |
| Provider Name | Robin Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750901682 PECOS PAC ID: 8022114370 Enrollment ID: I20201222000479 |
| Provider Name | Aimee Marie Kehres |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811508146 PECOS PAC ID: 1951715309 Enrollment ID: I20210127000903 |
| Provider Name | Joshua R Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730772716 PECOS PAC ID: 3577970300 Enrollment ID: I20210323002444 |
| Provider Name | Queen Erue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659955771 PECOS PAC ID: 1759780554 Enrollment ID: I20210527002032 |
| Provider Name | Scott Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174025795 PECOS PAC ID: 0941609382 Enrollment ID: I20210604001064 |
| Provider Name | Darren Lawrence Vargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386184877 PECOS PAC ID: 1355753161 Enrollment ID: I20210611001220 |
| Provider Name | Kishore Vipperla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669663811 PECOS PAC ID: 4981757556 Enrollment ID: I20210611001455 |
| Provider Name | Judd W Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235628918 PECOS PAC ID: 8628478369 Enrollment ID: I20210616003142 |
| Provider Name | Joel Horton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851754121 PECOS PAC ID: 6103111521 Enrollment ID: I20210617000120 |
| Provider Name | Talisha L Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564212 PECOS PAC ID: 4486992880 Enrollment ID: I20210617003034 |
| Provider Name | Jessica Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831627637 PECOS PAC ID: 6406126945 Enrollment ID: I20210622002903 |
| Provider Name | Kevin Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215467055 PECOS PAC ID: 1153692223 Enrollment ID: I20210630004264 |
| Provider Name | Joseph M Fugaro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972536969 PECOS PAC ID: 4486650330 Enrollment ID: I20210713001436 |
| Provider Name | Angela Michelle Ragsdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962812438 PECOS PAC ID: 9830591528 Enrollment ID: I20210719001186 |
| Provider Name | Emily Garland Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508434689 PECOS PAC ID: 6709280415 Enrollment ID: I20210803001291 |
| Provider Name | Kristen Nicole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899410 PECOS PAC ID: 1759786429 Enrollment ID: I20210818001060 |
| Provider Name | Evan David Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101742 PECOS PAC ID: 8426945643 Enrollment ID: I20210830001680 |
| Provider Name | Kelli Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447924980 PECOS PAC ID: 9234535857 Enrollment ID: I20210908000424 |
| Provider Name | John R Bergquist |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750645529 PECOS PAC ID: 5294972733 Enrollment ID: I20210920002414 |
| Provider Name | James H Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447748959 PECOS PAC ID: 4385041862 Enrollment ID: I20210927000795 |
| Provider Name | Melody Lynn Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811571110 PECOS PAC ID: 2163829656 Enrollment ID: I20210927001302 |
| Provider Name | Devyn Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831869494 PECOS PAC ID: 5193123826 Enrollment ID: I20211012000416 |
| Provider Name | Christina Lou Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134636558 PECOS PAC ID: 8022360635 Enrollment ID: I20211019001830 |
| Provider Name | Travis M Griffiths |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619467610 PECOS PAC ID: 9739437286 Enrollment ID: I20211026002232 |
| Provider Name | Pheng Cing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164180816 PECOS PAC ID: 7719378280 Enrollment ID: I20211217001559 |
| Provider Name | Taylore Dawn Kusel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598437097 PECOS PAC ID: 8729470240 Enrollment ID: I20220113000699 |
| Provider Name | Linda Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932425089 PECOS PAC ID: 5890810626 Enrollment ID: I20220203000713 |
| Provider Name | Clint Merritt |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275910192 PECOS PAC ID: 7719279520 Enrollment ID: I20220420002139 |
| Provider Name | Meisha Oertle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023779287 PECOS PAC ID: 0547647612 Enrollment ID: I20220510002483 |
| Provider Name | John L Eckenrode |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093782245 PECOS PAC ID: 3971514142 Enrollment ID: I20220617000434 |
| Provider Name | Amrit Dockery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801397468 PECOS PAC ID: 3870983026 Enrollment ID: I20220628001078 |
| Provider Name | Mohamed S Eslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710440631 PECOS PAC ID: 4082094339 Enrollment ID: I20220705002863 |
| Provider Name | Mark Street |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982165361 PECOS PAC ID: 2163802265 Enrollment ID: I20220707001183 |
| Provider Name | Kaleb Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679070361 PECOS PAC ID: 4880075316 Enrollment ID: I20220715000029 |
| Provider Name | Stephen Reid Pilkington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477118867 PECOS PAC ID: 4981933520 Enrollment ID: I20220718003481 |
| Provider Name | Barry Edward Dockery |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457889388 PECOS PAC ID: 4981036712 Enrollment ID: I20220728000440 |
| Provider Name | Cyriece Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154984995 PECOS PAC ID: 8224410659 Enrollment ID: I20220802002420 |
| Provider Name | Xuyen Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780144675 PECOS PAC ID: 1456733476 Enrollment ID: I20220806000794 |
| Provider Name | Codi Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831833847 PECOS PAC ID: 3577945518 Enrollment ID: I20220808000962 |
| Provider Name | Kayla Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821725854 PECOS PAC ID: 8123400181 Enrollment ID: I20220808001275 |
| Provider Name | Yera Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164984811 PECOS PAC ID: 2961885744 Enrollment ID: I20220811000054 |
| Provider Name | Aelayna N Meyer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043445620 PECOS PAC ID: 1557586203 Enrollment ID: I20220827000430 |
| Provider Name | Alisson N Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558835306 PECOS PAC ID: 5496130619 Enrollment ID: I20220923000911 |
| Provider Name | Ashley M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831820539 PECOS PAC ID: 9830575828 Enrollment ID: I20220928001975 |
| Provider Name | John Condie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639219553 PECOS PAC ID: 2264513902 Enrollment ID: I20221202000204 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230123000220 |
| Provider Name | Ellen B King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669918603 PECOS PAC ID: 1951671163 Enrollment ID: I20230306002018 |
| Provider Name | Heidi Renee Hoffman Fuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689371429 PECOS PAC ID: 6002834355 Enrollment ID: I20230330001130 |
| Provider Name | Felecia C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487340527 PECOS PAC ID: 8527427764 Enrollment ID: I20230706000018 |
| Provider Name | Eugene Nii Markwei Quaye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659804508 PECOS PAC ID: 3779905500 Enrollment ID: I20230714002645 |
| Provider Name | Harlan B Stern |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063809754 PECOS PAC ID: 6901135516 Enrollment ID: I20230717000761 |
| Provider Name | Majd A Kabbani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609253285 PECOS PAC ID: 2567736069 Enrollment ID: I20230718000402 |
| Provider Name | Brandon Edward Rawlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437788452 PECOS PAC ID: 5890184899 Enrollment ID: I20230718001798 |
| Provider Name | Christopher Jason Guinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858358 PECOS PAC ID: 8022484757 Enrollment ID: I20230720001826 |
| Provider Name | John P Carradini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285262014 PECOS PAC ID: 6800256827 Enrollment ID: I20230721000779 |
| Provider Name | Crystal L Loveland Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043906878 PECOS PAC ID: 9931569431 Enrollment ID: I20230726000928 |
| Provider Name | Wesley C Maxcey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619536315 PECOS PAC ID: 6709111404 Enrollment ID: I20230815002830 |
| Provider Name | Jessica M Koshy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376006494 PECOS PAC ID: 6800259946 Enrollment ID: I20230823000516 |
| Provider Name | Sarah Winer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669182044 PECOS PAC ID: 5193179240 Enrollment ID: I20230925000488 |
| Provider Name | Yasser M Khorchid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174962765 PECOS PAC ID: 2163662537 Enrollment ID: I20230929000086 |
| Provider Name | Michael C Garrison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740962836 PECOS PAC ID: 3274988480 Enrollment ID: I20231009000532 |
| Provider Name | Alexia L Dickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316563125 PECOS PAC ID: 7810368560 Enrollment ID: I20231011000252 |
| Provider Name | Mattie N Lethermon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740063577 PECOS PAC ID: 0345696530 Enrollment ID: I20231024002967 |
| Provider Name | Chase K Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023493566 PECOS PAC ID: 9335561638 Enrollment ID: I20240307001504 |
| Provider Name | Pornpimol Anprasertporn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265743462 PECOS PAC ID: 8325268592 Enrollment ID: I20240423002430 |
| Provider Name | Firas Jafri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376079442 PECOS PAC ID: 0143762005 Enrollment ID: I20240606001707 |
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467 | |
Family Health And Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091 | |
Family Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333 | |
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953 | |
Sunshine Care Partners Of Dfw Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244 |