| Uuhc - Redwood Center | |
|
1525 W 2100 S Salt Lake City UT 84119-1401 | |
| (801) 213-9900 | |
| Not Available |
| Full Name | Uuhc - Redwood Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 W 2100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Sean Mulvihill (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uuhc - Redwood Center Po Box 510708 Salt Lake City UT 84151-0708 Ph: (801) 587-6336 | Uuhc - Redwood Center 1525 W 2100 S Salt Lake City UT 84119-1401 Ph: (801) 213-9900 |
| NPI Number | 1598169203 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Medicare PECOS PAC ID | 9739403569 |
|---|---|
| Medicare Enrollment ID | O20150126002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598169203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles D White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366486805 PECOS PAC ID: 6406750256 Enrollment ID: I20031122000061 |
| Provider Name | Amy P Powell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376639229 PECOS PAC ID: 2668377268 Enrollment ID: I20031205000586 |
| Provider Name | Whitney M Bancroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447425293 PECOS PAC ID: 4789589342 Enrollment ID: I20031205000758 |
| Provider Name | Howard Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568559516 PECOS PAC ID: 9234036104 Enrollment ID: I20031217001140 |
| Provider Name | Laurene G Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629145123 PECOS PAC ID: 7214835578 Enrollment ID: I20031223000410 |
| Provider Name | Jared Esplin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316037914 PECOS PAC ID: 9830097724 Enrollment ID: I20031230000353 |
| Provider Name | Eric M Wood |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1992719504 PECOS PAC ID: 4486553955 Enrollment ID: I20040103000060 |
| Provider Name | Richard L Backman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528158151 PECOS PAC ID: 9335049444 Enrollment ID: I20040113000411 |
| Provider Name | Sandra L Van Leuven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538109715 PECOS PAC ID: 9537051792 Enrollment ID: I20040325000332 |
| Provider Name | Mark A Mckay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528149317 PECOS PAC ID: 4284627506 Enrollment ID: I20040405000347 |
| Provider Name | Laura A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861571333 PECOS PAC ID: 5395739486 Enrollment ID: I20040412001348 |
| Provider Name | John W Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487688552 PECOS PAC ID: 9133113947 Enrollment ID: I20040414000140 |
| Provider Name | Timothy W Odell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972693588 PECOS PAC ID: 6901893957 Enrollment ID: I20040429001421 |
| Provider Name | Craig Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073694865 PECOS PAC ID: 9436149721 Enrollment ID: I20040518000201 |
| Provider Name | Bryan Vincent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982785770 PECOS PAC ID: 5890785091 Enrollment ID: I20040518000258 |
| Provider Name | Robert H Corry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891876686 PECOS PAC ID: 4284624404 Enrollment ID: I20040518000389 |
| Provider Name | Clair R Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255412045 PECOS PAC ID: 7517948433 Enrollment ID: I20040526001570 |
| Provider Name | Matthew B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699787770 PECOS PAC ID: 9234113184 Enrollment ID: I20040617000181 |
| Provider Name | Susan Saffel-shrier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740370360 PECOS PAC ID: 3072591411 Enrollment ID: I20040712000612 |
| Provider Name | Michael C Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306936901 PECOS PAC ID: 0244201283 Enrollment ID: I20040804000067 |
| Provider Name | Clarivette Bosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245320860 PECOS PAC ID: 0749254381 Enrollment ID: I20040820000486 |
| Provider Name | Larisa B Yaroshchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427148014 PECOS PAC ID: 3577538875 Enrollment ID: I20040831000355 |
| Provider Name | Arnold B Morrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548252950 PECOS PAC ID: 1850367764 Enrollment ID: I20040902000496 |
| Provider Name | Sara M Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134219744 PECOS PAC ID: 3971567983 Enrollment ID: I20041118000341 |
| Provider Name | David G Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154411775 PECOS PAC ID: 2365408705 Enrollment ID: I20041207000704 |
| Provider Name | Robert L Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417047044 PECOS PAC ID: 2264498377 Enrollment ID: I20041209000362 |
| Provider Name | Alan K Morgan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437230224 PECOS PAC ID: 3971551748 Enrollment ID: I20050107000727 |
| Provider Name | Ellie S Brownstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760572341 PECOS PAC ID: 4789632555 Enrollment ID: I20050107000740 |
| Provider Name | Gordon S Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881784403 PECOS PAC ID: 7113975889 Enrollment ID: I20050110000396 |
| Provider Name | Mehrnoosh Shakeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386719821 PECOS PAC ID: 0749238418 Enrollment ID: I20050110000408 |
| Provider Name | Walter Karl Townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548350176 PECOS PAC ID: 9032167564 Enrollment ID: I20050111000489 |
| Provider Name | Mary H Parsons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508956129 PECOS PAC ID: 9335197821 Enrollment ID: I20050111000892 |
| Provider Name | An Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144319997 PECOS PAC ID: 9032167523 Enrollment ID: I20050111000921 |
| Provider Name | D Jared Wehrli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194815787 PECOS PAC ID: 2264480623 Enrollment ID: I20050112000397 |
| Provider Name | Edward J Bieber |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831194174 PECOS PAC ID: 9739138751 Enrollment ID: I20050118000229 |
| Provider Name | Joseph H Berman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780772624 PECOS PAC ID: 6901855923 Enrollment ID: I20050118000235 |
| Provider Name | Theodore S Paisley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415556 PECOS PAC ID: 3072562826 Enrollment ID: I20050119000262 |
| Provider Name | David Shaskey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033220603 PECOS PAC ID: 2668421397 Enrollment ID: I20050119000986 |
| Provider Name | Michelle M Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427196849 PECOS PAC ID: 3072563956 Enrollment ID: I20050127001122 |
| Provider Name | Timothy L Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700967593 PECOS PAC ID: 2668423393 Enrollment ID: I20050209001034 |
| Provider Name | Susan E Cochella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992895585 PECOS PAC ID: 5294787131 Enrollment ID: I20050218000284 |
| Provider Name | Joseph B Stanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144310772 PECOS PAC ID: 3971555814 Enrollment ID: I20050218000327 |
| Provider Name | Kirsten L Stoesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831289461 PECOS PAC ID: 0244282184 Enrollment ID: I20050218000333 |
| Provider Name | Sonja N Van Hala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023108610 PECOS PAC ID: 5698727535 Enrollment ID: I20050218000340 |
| Provider Name | Sean David Biggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841233558 PECOS PAC ID: 4486606332 Enrollment ID: I20050218000371 |
| Provider Name | John Speed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326138959 PECOS PAC ID: 8527011808 Enrollment ID: I20050226000089 |
| Provider Name | Jennifer P Leiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851481469 PECOS PAC ID: 6406809631 Enrollment ID: I20050228000406 |
| Provider Name | Bernadett O Kiraly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508956111 PECOS PAC ID: 0042263287 Enrollment ID: I20050228000520 |
| Provider Name | Allan Jeffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336212414 PECOS PAC ID: 9335138221 Enrollment ID: I20050325000247 |
| Provider Name | Jeffrey D Olpin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609966225 PECOS PAC ID: 2365489861 Enrollment ID: I20050415000640 |
| Provider Name | Richard M Craig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174613764 PECOS PAC ID: 1355389941 Enrollment ID: I20050423000095 |
| Provider Name | Julie S Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831274521 PECOS PAC ID: 5890733497 Enrollment ID: I20050423000110 |
| Provider Name | Michael K Magill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976386 PECOS PAC ID: 6709824303 Enrollment ID: I20050423000112 |
| Provider Name | Ryan T Rushton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013007632 PECOS PAC ID: 0941249791 Enrollment ID: I20050430000045 |
| Provider Name | Colleen M Schubach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164503959 PECOS PAC ID: 3072553445 Enrollment ID: I20050504001071 |
| Provider Name | Debra S Shinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790874238 PECOS PAC ID: 6204876543 Enrollment ID: I20050505001209 |
| Provider Name | Marian Hong Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285667980 PECOS PAC ID: 9032190723 Enrollment ID: I20050509000801 |
| Provider Name | Thomas J Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205911997 PECOS PAC ID: 6901847219 Enrollment ID: I20050517000882 |
| Provider Name | Hugh M Stoneburner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003991498 PECOS PAC ID: 9335180165 Enrollment ID: I20050520001023 |
| Provider Name | Kelly P Murnin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164512778 PECOS PAC ID: 5698716421 Enrollment ID: I20050520001029 |
| Provider Name | Christopher W Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447340054 PECOS PAC ID: 5193768745 Enrollment ID: I20050606000551 |
| Provider Name | Jeffrey Cline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184714776 PECOS PAC ID: 6204872724 Enrollment ID: I20050706000351 |
| Provider Name | Joelle Maryn Creager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558394692 PECOS PAC ID: 9931135274 Enrollment ID: I20050708000774 |
| Provider Name | Scott M Stallings |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700818259 PECOS PAC ID: 9739115353 Enrollment ID: I20050714000324 |
| Provider Name | Gavin Nicholas Vanstaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380433 PECOS PAC ID: 9638104367 Enrollment ID: I20051001000067 |
| Provider Name | Margaret H Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881784411 PECOS PAC ID: 0244255545 Enrollment ID: I20051005001160 |
| Provider Name | Stacey Bank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790797959 PECOS PAC ID: 7517983232 Enrollment ID: I20051021000007 |
| Provider Name | Mary E Shapiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174578611 PECOS PAC ID: 6103839139 Enrollment ID: I20060717000167 |
| Provider Name | Jessica L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982638250 PECOS PAC ID: 6800899170 Enrollment ID: I20060808000032 |
| Provider Name | Cynthia Lynn Ehrig Gellner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477584332 PECOS PAC ID: 8729083134 Enrollment ID: I20060918000468 |
| Provider Name | Michael J Penrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346294717 PECOS PAC ID: 6608873245 Enrollment ID: I20061025000067 |
| Provider Name | Nassir F. Marrouche |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881708295 PECOS PAC ID: 2860499191 Enrollment ID: I20061031000073 |
| Provider Name | Hena Kundra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851358949 PECOS PAC ID: 8628006962 Enrollment ID: I20061227000237 |
| Provider Name | Robert Z Tashjian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659300044 PECOS PAC ID: 1951363100 Enrollment ID: I20070207000435 |
| Provider Name | Shannon Liz Tilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093767196 PECOS PAC ID: 2668474404 Enrollment ID: I20070208000131 |
| Provider Name | Martin L Abbinanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891847117 PECOS PAC ID: 0648375758 Enrollment ID: I20070418000534 |
| Provider Name | Heidi Kapanka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093753774 PECOS PAC ID: 4082658950 Enrollment ID: I20070502000453 |
| Provider Name | Patience E Owan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538111604 PECOS PAC ID: 7315843554 Enrollment ID: I20070612000687 |
| Provider Name | Florian Nickisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598748725 PECOS PAC ID: 1153381595 Enrollment ID: I20070723000121 |
| Provider Name | Ali Salari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598898579 PECOS PAC ID: 7315038528 Enrollment ID: I20070802000162 |
| Provider Name | Allison E Kierstead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457552085 PECOS PAC ID: 9830281229 Enrollment ID: I20070815000103 |
| Provider Name | Miguel L Knochel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730136243 PECOS PAC ID: 4789771510 Enrollment ID: I20071026000072 |
| Provider Name | Crystal M Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275745606 PECOS PAC ID: 5092802777 Enrollment ID: I20071026000523 |
| Provider Name | Brandi L Bolton Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811176761 PECOS PAC ID: 3375626583 Enrollment ID: I20080212000125 |
| Provider Name | William H Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134219769 PECOS PAC ID: 8224115985 Enrollment ID: I20080404000274 |
| Provider Name | Amy F Reeder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083631436 PECOS PAC ID: 7012088552 Enrollment ID: I20080611000387 |
| Provider Name | Philip N Isenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134315872 PECOS PAC ID: 2567535008 Enrollment ID: I20080717000110 |
| Provider Name | David E Anisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346235793 PECOS PAC ID: 2466526702 Enrollment ID: I20080804000560 |
| Provider Name | Laura M Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740270867 PECOS PAC ID: 9739171646 Enrollment ID: I20081014000268 |
| Provider Name | Emily J Harold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437287851 PECOS PAC ID: 7618035858 Enrollment ID: I20081016000635 |
| Provider Name | Christopher A Gee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568570729 PECOS PAC ID: 5698863520 Enrollment ID: I20081021000006 |
| Provider Name | Matthew Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326298563 PECOS PAC ID: 6305908492 Enrollment ID: I20081226000013 |
| Provider Name | Kelly L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861667602 PECOS PAC ID: 3779634530 Enrollment ID: I20090708000107 |
| Provider Name | Julia A Ozbolt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205053527 PECOS PAC ID: 0547311326 Enrollment ID: I20090708000353 |
| Provider Name | Keri L Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457548430 PECOS PAC ID: 4587718481 Enrollment ID: I20090812000045 |
| Provider Name | Jeremy J Biggs |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679758536 PECOS PAC ID: 6406900018 Enrollment ID: I20090817000533 |
| Provider Name | Karly A Pippitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619155637 PECOS PAC ID: 6305991480 Enrollment ID: I20090826000607 |
| Provider Name | Lida J Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609803980 PECOS PAC ID: 3476608902 Enrollment ID: I20090903000730 |
| Provider Name | Susan D Pohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043271422 PECOS PAC ID: 9335294602 Enrollment ID: I20090910000286 |
| Provider Name | Timothy W Farrell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306959747 PECOS PAC ID: 4183770852 Enrollment ID: I20090922000169 |
| Provider Name | Cynthia Canga Siao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669497558 PECOS PAC ID: 2163564774 Enrollment ID: I20100120000558 |
| Provider Name | Osman N Sanyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558451179 PECOS PAC ID: 2163558560 Enrollment ID: I20100324000894 |
| Provider Name | Rachel A Weir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487779955 PECOS PAC ID: 5890822654 Enrollment ID: I20100427000621 |
| Provider Name | Sarah C Petersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073786711 PECOS PAC ID: 9335277169 Enrollment ID: I20100514000302 |
| Provider Name | Tawni L Jetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346579687 PECOS PAC ID: 1557499399 Enrollment ID: I20100514000381 |
| Provider Name | Maria Nemethy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760628333 PECOS PAC ID: 1052436474 Enrollment ID: I20100908001055 |
| Provider Name | Michelle M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386729077 PECOS PAC ID: 0941493381 Enrollment ID: I20101019000228 |
| Provider Name | Peter G Churgin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760506471 PECOS PAC ID: 6002000304 Enrollment ID: I20101101000473 |
| Provider Name | Brandon L Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710972641 PECOS PAC ID: 7214903905 Enrollment ID: I20110301000644 |
| Provider Name | Angelo Pulgiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952322836 PECOS PAC ID: 3577577980 Enrollment ID: I20110719000217 |
| Provider Name | Erica N Baiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821242108 PECOS PAC ID: 7214105725 Enrollment ID: I20110727000194 |
| Provider Name | Farrant H Sakaguchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841451473 PECOS PAC ID: 7810168242 Enrollment ID: I20110915000476 |
| Provider Name | Veronica Szalkowski-lehane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619121274 PECOS PAC ID: 9537330758 Enrollment ID: I20110920000676 |
| Provider Name | Alexis Michelle Somers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346566171 PECOS PAC ID: 7416123930 Enrollment ID: I20120105000340 |
| Provider Name | Melissa Cheng |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1518112358 PECOS PAC ID: 8729248216 Enrollment ID: I20120320000684 |
| Provider Name | Katherine Fortenberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982902185 PECOS PAC ID: 5496915787 Enrollment ID: I20120323000225 |
| Provider Name | Michelle L Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194987875 PECOS PAC ID: 8820252299 Enrollment ID: I20120614000620 |
| Provider Name | Kyle B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568697241 PECOS PAC ID: 0042466609 Enrollment ID: I20120814000459 |
| Provider Name | Kimberly D Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568606317 PECOS PAC ID: 7315194479 Enrollment ID: I20120823000809 |
| Provider Name | Spencer D Mortensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548321078 PECOS PAC ID: 2668620022 Enrollment ID: I20120911000094 |
| Provider Name | Kara A Frame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811124514 PECOS PAC ID: 7911157292 Enrollment ID: I20121022000780 |
| Provider Name | Clare D Eggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568725760 PECOS PAC ID: 1153571070 Enrollment ID: I20121030000154 |
| Provider Name | Aaron D Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841444759 PECOS PAC ID: 4880882448 Enrollment ID: I20130621000074 |
| Provider Name | Brian M Ely |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1447468293 PECOS PAC ID: 4385721687 Enrollment ID: I20130712000038 |
| Provider Name | Sheila A Deyette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881038933 PECOS PAC ID: 4385885730 Enrollment ID: I20130726000456 |
| Provider Name | Brian M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518307669 PECOS PAC ID: 7214170828 Enrollment ID: I20130829000801 |
| Provider Name | Jeness L Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881031771 PECOS PAC ID: 2668616814 Enrollment ID: I20130910000493 |
| Provider Name | Clinton R Sheffield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972745073 PECOS PAC ID: 6901030824 Enrollment ID: I20131009000477 |
| Provider Name | Kelli M Graziano |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1568622850 PECOS PAC ID: 2062647175 Enrollment ID: I20131026000132 |
| Provider Name | Christopher N German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792905 PECOS PAC ID: 7517192503 Enrollment ID: I20131029000804 |
| Provider Name | Carolyn Ming-wai Kwok Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316152200 PECOS PAC ID: 4880867837 Enrollment ID: I20131111001118 |
| Provider Name | Richard L. Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861522070 PECOS PAC ID: 6204020662 Enrollment ID: I20131212001471 |
| Provider Name | Malcolm C Masteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255368148 PECOS PAC ID: 9537399803 Enrollment ID: I20140306000492 |
| Provider Name | Kerry E Whittemore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942455589 PECOS PAC ID: 1052541216 Enrollment ID: I20140308000320 |
| Provider Name | Whitney J Mentaberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972936326 PECOS PAC ID: 2062643554 Enrollment ID: I20140326001518 |
| Provider Name | Marlana M Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669765327 PECOS PAC ID: 5991953895 Enrollment ID: I20140430002477 |
| Provider Name | Daniel M Cushman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588985014 PECOS PAC ID: 6406071794 Enrollment ID: I20140630000591 |
| Provider Name | Phillip Don Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407294903 PECOS PAC ID: 0244455210 Enrollment ID: I20140707001660 |
| Provider Name | Kencee K Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093031569 PECOS PAC ID: 8729219936 Enrollment ID: I20140708002536 |
| Provider Name | Magdalena Quinton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801027081 PECOS PAC ID: 7719102342 Enrollment ID: I20140715001416 |
| Provider Name | Susanne Frances Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316354616 PECOS PAC ID: 9830316769 Enrollment ID: I20140815002039 |
| Provider Name | Nathan A Bexfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124318225 PECOS PAC ID: 6204069396 Enrollment ID: I20140827001224 |
| Provider Name | Alana M Jonat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306136932 PECOS PAC ID: 7719117258 Enrollment ID: I20140902001977 |
| Provider Name | Saskia Spiess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689966004 PECOS PAC ID: 1153541339 Enrollment ID: I20141010001272 |
| Provider Name | Celia H Woodcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538124623 PECOS PAC ID: 5597788158 Enrollment ID: I20141107000688 |
| Provider Name | Cristine Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700929338 PECOS PAC ID: 6103148986 Enrollment ID: I20141205000446 |
| Provider Name | Erika A Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558660795 PECOS PAC ID: 3971735796 Enrollment ID: I20141226000645 |
| Provider Name | Daniel Knitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659625770 PECOS PAC ID: 1658525639 Enrollment ID: I20150116000790 |
| Provider Name | Julia A. Rawlings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396061677 PECOS PAC ID: 0840514071 Enrollment ID: I20150117000235 |
| Provider Name | Katherine M Hastings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358363 PECOS PAC ID: 6002046547 Enrollment ID: I20150121000081 |
| Provider Name | Shilpa Raju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316153174 PECOS PAC ID: 1557518487 Enrollment ID: I20150210001778 |
| Provider Name | Chelsea Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922363795 PECOS PAC ID: 4880918697 Enrollment ID: I20150522001258 |
| Provider Name | Alexej Barg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487042008 PECOS PAC ID: 7416278122 Enrollment ID: I20150606000054 |
| Provider Name | Sonja E Raaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457641003 PECOS PAC ID: 6901039007 Enrollment ID: I20150622000789 |
| Provider Name | Ashley Marie Tekippe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811251507 PECOS PAC ID: 7810217460 Enrollment ID: I20150708001778 |
| Provider Name | Jessica Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780067561 PECOS PAC ID: 2466765318 Enrollment ID: I20150721001396 |
| Provider Name | Tiffany Pulgiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538542840 PECOS PAC ID: 5395051494 Enrollment ID: I20150903003019 |
| Provider Name | Michelle Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117381 PECOS PAC ID: 0749420826 Enrollment ID: I20150917000345 |
| Provider Name | Mary C Fleck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285018408 PECOS PAC ID: 1052626934 Enrollment ID: I20150930000519 |
| Provider Name | Kirstin Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467762716 PECOS PAC ID: 5799093167 Enrollment ID: I20151005001398 |
| Provider Name | Jared Fixmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881828622 PECOS PAC ID: 4082864467 Enrollment ID: I20151006001407 |
| Provider Name | Matthew Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184008039 PECOS PAC ID: 5698084739 Enrollment ID: I20151012002301 |
| Provider Name | Amy Locke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558450403 PECOS PAC ID: 5092855023 Enrollment ID: I20151222002175 |
| Provider Name | Brook Vietor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508246844 PECOS PAC ID: 2062717267 Enrollment ID: I20160225002597 |
| Provider Name | David Charles Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356324511 PECOS PAC ID: 5799084406 Enrollment ID: I20160502002014 |
| Provider Name | Gregory Cetton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760456370 PECOS PAC ID: 5799675765 Enrollment ID: I20160503000853 |
| Provider Name | Bradley Lynn Stoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306283056 PECOS PAC ID: 2365745965 Enrollment ID: I20160705001577 |
| Provider Name | Abbie Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548775 PECOS PAC ID: 5193018349 Enrollment ID: I20160726000391 |
| Provider Name | Lauren Borowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013353556 PECOS PAC ID: 7315268927 Enrollment ID: I20160811001479 |
| Provider Name | Crystal Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346690799 PECOS PAC ID: 4688968605 Enrollment ID: I20160812001671 |
| Provider Name | Frances Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612435 PECOS PAC ID: 9234423260 Enrollment ID: I20160812001989 |
| Provider Name | Edward Mullaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508294141 PECOS PAC ID: 9133415805 Enrollment ID: I20160906001755 |
| Provider Name | John Michael Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902154172 PECOS PAC ID: 9638498975 Enrollment ID: I20160920002072 |
| Provider Name | Jose E Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447466081 PECOS PAC ID: 4385769389 Enrollment ID: I20160929002728 |
| Provider Name | Daniel B Garvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316385495 PECOS PAC ID: 5698909661 Enrollment ID: I20161003002167 |
| Provider Name | Carol Volante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316038391 PECOS PAC ID: 9133210362 Enrollment ID: I20161006000909 |
| Provider Name | Abigail Zeveloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518211705 PECOS PAC ID: 7719275619 Enrollment ID: I20161010000453 |
| Provider Name | Arwen C York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255881397 PECOS PAC ID: 3173801719 Enrollment ID: I20161101002654 |
| Provider Name | April Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720438633 PECOS PAC ID: 5991083495 Enrollment ID: I20161104000569 |
| Provider Name | Nichole Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558679621 PECOS PAC ID: 2567741770 Enrollment ID: I20161110001889 |
| Provider Name | Jennifer Pantelakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467805135 PECOS PAC ID: 3577842459 Enrollment ID: I20161116002581 |
| Provider Name | Matthew Chabot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053601096 PECOS PAC ID: 8628294691 Enrollment ID: I20161116002655 |
| Provider Name | Anthony Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720532617 PECOS PAC ID: 4880974278 Enrollment ID: I20161130001487 |
| Provider Name | Bobbi Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184077075 PECOS PAC ID: 0345520763 Enrollment ID: I20161130002649 |
| Provider Name | Jennifer Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578018834 PECOS PAC ID: 0749560191 Enrollment ID: I20161201000892 |
| Provider Name | Caitlin Pehrson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669814117 PECOS PAC ID: 5799069340 Enrollment ID: I20170228000942 |
| Provider Name | Clark Vaughan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659365898 PECOS PAC ID: 9638143316 Enrollment ID: I20170313002360 |
| Provider Name | Tara Haight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891136479 PECOS PAC ID: 2961635933 Enrollment ID: I20170322001821 |
| Provider Name | Margaret B Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871565424 PECOS PAC ID: 5092793943 Enrollment ID: I20170329002139 |
| Provider Name | Tillie M Borrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154872539 PECOS PAC ID: 6709161870 Enrollment ID: I20170403001043 |
| Provider Name | Brooke Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932576 PECOS PAC ID: 9234415506 Enrollment ID: I20170421000972 |
| Provider Name | James Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245643642 PECOS PAC ID: 0042587271 Enrollment ID: I20170518002058 |
| Provider Name | Marta Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679864250 PECOS PAC ID: 0648547729 Enrollment ID: I20170519001682 |
| Provider Name | Zainab Kagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003109794 PECOS PAC ID: 7911145313 Enrollment ID: I20170530001632 |
| Provider Name | Robert Aaron Chestnut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174935118 PECOS PAC ID: 6204144546 Enrollment ID: I20170620002333 |
| Provider Name | Jennifer Vogt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700030061 PECOS PAC ID: 6406028588 Enrollment ID: I20170630001193 |
| Provider Name | Kathryn Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821415159 PECOS PAC ID: 2769783208 Enrollment ID: I20170703000525 |
| Provider Name | Cynthia Archer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275629024 PECOS PAC ID: 6204864879 Enrollment ID: I20170707002879 |
| Provider Name | Richard Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336451400 PECOS PAC ID: 6103942941 Enrollment ID: I20170721000041 |
| Provider Name | Joel M Wecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326482803 PECOS PAC ID: 9032436167 Enrollment ID: I20170809002414 |
| Provider Name | Erin Elizabeth Mcadams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093192700 PECOS PAC ID: 8224310321 Enrollment ID: I20170816002687 |
| Provider Name | Michael K Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174985808 PECOS PAC ID: 6901178524 Enrollment ID: I20170816004333 |
| Provider Name | Rebecca Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528589579 PECOS PAC ID: 8022380948 Enrollment ID: I20170828000327 |
| Provider Name | Ryan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184145617 PECOS PAC ID: 2567735418 Enrollment ID: I20170829001858 |
| Provider Name | Paige Patterson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023374626 PECOS PAC ID: 9830321827 Enrollment ID: I20170830002250 |
| Provider Name | Clayton Powers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003343971 PECOS PAC ID: 7012280563 Enrollment ID: I20170905000979 |
| Provider Name | Jedediah Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366963928 PECOS PAC ID: 4183997539 Enrollment ID: I20170906001938 |
| Provider Name | Jay Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984600 PECOS PAC ID: 8426017211 Enrollment ID: I20170915000639 |
| Provider Name | Whitney M Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376052910 PECOS PAC ID: 7517232903 Enrollment ID: I20171011002079 |
| Provider Name | Linda Vezie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639694730 PECOS PAC ID: 8527333756 Enrollment ID: I20171013001259 |
| Provider Name | Brian Michael Vukelic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821225392 PECOS PAC ID: 5496905044 Enrollment ID: I20171019001009 |
| Provider Name | Victoria Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942627922 PECOS PAC ID: 2062720279 Enrollment ID: I20171023003005 |
| Provider Name | Sariah P Machado-lovon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679095111 PECOS PAC ID: 8325314909 Enrollment ID: I20171026001060 |
| Provider Name | Jessica Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538518469 PECOS PAC ID: 3779840582 Enrollment ID: I20171204002116 |
| Provider Name | Kolawole S Okuyemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326057696 PECOS PAC ID: 2062454671 Enrollment ID: I20180123002900 |
| Provider Name | Sarang Kim Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265813752 PECOS PAC ID: 3971895244 Enrollment ID: I20180202000301 |
| Provider Name | Aubrianne E Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922513001 PECOS PAC ID: 1254691272 Enrollment ID: I20180212001107 |
| Provider Name | Dana Carla Gershenoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154831709 PECOS PAC ID: 8224399019 Enrollment ID: I20180216002244 |
| Provider Name | Jordan M Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396130902 PECOS PAC ID: 2062794159 Enrollment ID: I20180321002126 |
| Provider Name | Rachel D Kroencke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140172 PECOS PAC ID: 4587944004 Enrollment ID: I20180418001873 |
| Provider Name | Spencer Tingey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962829374 PECOS PAC ID: 4183989908 Enrollment ID: I20180529001778 |
| Provider Name | Sean Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821484304 PECOS PAC ID: 8224317417 Enrollment ID: I20180606002608 |
| Provider Name | Joshua D Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098909 PECOS PAC ID: 2860707205 Enrollment ID: I20180620003391 |
| Provider Name | Aubrey Ann Kruisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922593722 PECOS PAC ID: 3971853532 Enrollment ID: I20180904000482 |
| Provider Name | Rebecca C Abbey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043604341 PECOS PAC ID: 9638458805 Enrollment ID: I20180921000339 |
| Provider Name | Stacy Higley Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167827 PECOS PAC ID: 7911259197 Enrollment ID: I20181017000299 |
| Provider Name | Julia Ewanowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659850873 PECOS PAC ID: 5799038436 Enrollment ID: I20181026002133 |
| Provider Name | Rynthia G Crosbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235649674 PECOS PAC ID: 2668733064 Enrollment ID: I20181031000064 |
| Provider Name | Mylena Avalos Dominguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861970337 PECOS PAC ID: 1355695487 Enrollment ID: I20181108001237 |
| Provider Name | Yasaman Keshavarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437638822 PECOS PAC ID: 5890049951 Enrollment ID: I20181108002794 |
| Provider Name | Matthew Berke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710467188 PECOS PAC ID: 7012251861 Enrollment ID: I20181205000176 |
| Provider Name | Tawni M Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316426059 PECOS PAC ID: 9335484310 Enrollment ID: I20181219001722 |
| Provider Name | William E Turgoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477039261 PECOS PAC ID: 3274873716 Enrollment ID: I20190320002671 |
| Provider Name | Ranae Michelle Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276291 PECOS PAC ID: 1456691773 Enrollment ID: I20190325001735 |
| Provider Name | Laurie Whittaker Leclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871505214 PECOS PAC ID: 4183783327 Enrollment ID: I20190327001087 |
| Provider Name | Christian Porter Torres-george |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588145817 PECOS PAC ID: 4183965114 Enrollment ID: I20190401001107 |
| Provider Name | Nicholas R Brening |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699160465 PECOS PAC ID: 5597047605 Enrollment ID: I20190417000751 |
| Provider Name | Reid Joseph Leinart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023416047 PECOS PAC ID: 3274842166 Enrollment ID: I20190426001295 |
| Provider Name | Tamiyah S Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255802781 PECOS PAC ID: 5294077624 Enrollment ID: I20190503001249 |
| Provider Name | Rebecca Lynn Currier Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278854 PECOS PAC ID: 0244506772 Enrollment ID: I20190507001811 |
| Provider Name | Jason Lippman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679920904 PECOS PAC ID: 4880960343 Enrollment ID: I20190513002708 |
| Provider Name | Michael Pestotnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093178154 PECOS PAC ID: 2567753445 Enrollment ID: I20190522003270 |
| Provider Name | Natasha Nicolle Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972069532 PECOS PAC ID: 3577806066 Enrollment ID: I20190524001725 |
| Provider Name | Julia Margarita Kammel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407210446 PECOS PAC ID: 9032485651 Enrollment ID: I20190603002332 |
| Provider Name | Rachel Marie Caspar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053774273 PECOS PAC ID: 5799051157 Enrollment ID: I20190607001964 |
| Provider Name | Kyle Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154785616 PECOS PAC ID: 3274825344 Enrollment ID: I20190618000365 |
| Provider Name | Michael Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780038141 PECOS PAC ID: 9739413832 Enrollment ID: I20190624002025 |
| Provider Name | Nathalia Homolka Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447718887 PECOS PAC ID: 7517291115 Enrollment ID: I20190702001897 |
| Provider Name | Joseph Patrick Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679130561 PECOS PAC ID: 8022343516 Enrollment ID: I20190703002156 |
| Provider Name | Jonathan Sawicki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629463591 PECOS PAC ID: 0749594331 Enrollment ID: I20190708001874 |
| Provider Name | James D Owens |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194073940 PECOS PAC ID: 1355607995 Enrollment ID: I20190710000423 |
| Provider Name | Samantha Lee Stacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992261077 PECOS PAC ID: 6800121997 Enrollment ID: I20190711001733 |
| Provider Name | Tyson Charles Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023511961 PECOS PAC ID: 1254667595 Enrollment ID: I20190724004177 |
| Provider Name | Amber Margolis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407416712 PECOS PAC ID: 1355677048 Enrollment ID: I20190802000977 |
| Provider Name | Molly Doose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023374378 PECOS PAC ID: 3476841883 Enrollment ID: I20190806003258 |
| Provider Name | Amber Marie Porschatis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710400429 PECOS PAC ID: 5496083859 Enrollment ID: I20190822002146 |
| Provider Name | Laura Elizabeth Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265743397 PECOS PAC ID: 1557581717 Enrollment ID: I20191008003652 |
| Provider Name | Tiffany Fay Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316286354 PECOS PAC ID: 8123311545 Enrollment ID: I20191025002639 |
| Provider Name | Rachel Press Goossen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346695327 PECOS PAC ID: 4880960319 Enrollment ID: I20191031002127 |
| Provider Name | Julie Lerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477900793 PECOS PAC ID: 2860788122 Enrollment ID: I20191107002534 |
| Provider Name | Angela Afton Grange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702925 PECOS PAC ID: 3577995588 Enrollment ID: I20191113001141 |
| Provider Name | Erik Shane Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881247427 PECOS PAC ID: 2062844913 Enrollment ID: I20191113003515 |
| Provider Name | Joshua Stephen Falk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821649443 PECOS PAC ID: 2062844772 Enrollment ID: I20191119001328 |
| Provider Name | Benjamin H Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801242391 PECOS PAC ID: 2961768403 Enrollment ID: I20191203001170 |
| Provider Name | Danielle A Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598164246 PECOS PAC ID: 2365875366 Enrollment ID: I20191205000995 |
| Provider Name | Molly Quick Mcfadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184901522 PECOS PAC ID: 4688974330 Enrollment ID: I20191211002998 |
| Provider Name | Hafsa M Abdikadir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184184863 PECOS PAC ID: 3375977119 Enrollment ID: I20200102001331 |
| Provider Name | Vanessa Elizabeth Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497212120 PECOS PAC ID: 9830523679 Enrollment ID: I20200102001671 |
| Provider Name | Keaton L Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144677931 PECOS PAC ID: 5890086060 Enrollment ID: I20200129001133 |
| Provider Name | Jennifer Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861824724 PECOS PAC ID: 0143656553 Enrollment ID: I20200204000168 |
| Provider Name | Amy Lynn Thorsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700424736 PECOS PAC ID: 6305273210 Enrollment ID: I20200304002873 |
| Provider Name | Lilian Silva Dana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641448 PECOS PAC ID: 2365870110 Enrollment ID: I20200310002103 |
| Provider Name | Casey Edward Cranor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265093785 PECOS PAC ID: 3678901279 Enrollment ID: I20200313001207 |
| Provider Name | Sharee Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346872017 PECOS PAC ID: 4789012238 Enrollment ID: I20200316000638 |
| Provider Name | Kira Sue Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498221 PECOS PAC ID: 5597194167 Enrollment ID: I20200402000385 |
| Provider Name | Archana A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659925915 PECOS PAC ID: 4981035144 Enrollment ID: I20200504002107 |
| Provider Name | Anna J Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480716 PECOS PAC ID: 5991058547 Enrollment ID: I20200614000028 |
| Provider Name | Eleni W Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992237374 PECOS PAC ID: 5092086223 Enrollment ID: I20200629002624 |
| Provider Name | Alexa N Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891303202 PECOS PAC ID: 6406272152 Enrollment ID: I20200806002408 |
| Provider Name | Kenneth Wensen Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497767248 PECOS PAC ID: 6901790997 Enrollment ID: I20201008001434 |
| Provider Name | Cara Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184758 PECOS PAC ID: 0840600060 Enrollment ID: I20201029000627 |
| Provider Name | Dana C Ostermiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609977842 PECOS PAC ID: 4082676358 Enrollment ID: I20201202003232 |
| Provider Name | Kristi Kay Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741042 PECOS PAC ID: 3072925122 Enrollment ID: I20201214001075 |
| Provider Name | Yoon Ju Kim-butterfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760649560 PECOS PAC ID: 5890964027 Enrollment ID: I20201222001121 |
| Provider Name | Mohammed Fahd Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215369418 PECOS PAC ID: 8224341128 Enrollment ID: I20210126000326 |
| Provider Name | Sarah Eastman Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205369642 PECOS PAC ID: 8224443940 Enrollment ID: I20210210002176 |
| Provider Name | Paul Meriac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518311034 PECOS PAC ID: 1951671858 Enrollment ID: I20210408000602 |
| Provider Name | Nicole Patrone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417343179 PECOS PAC ID: 9830449701 Enrollment ID: I20210511002437 |
| Provider Name | Amanda Lynne Reno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669978623 PECOS PAC ID: 4486908514 Enrollment ID: I20210611001275 |
| Provider Name | Noah A. Zucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558865055 PECOS PAC ID: 3577996370 Enrollment ID: I20210729003413 |
| Provider Name | Kevin Mangum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609140847 PECOS PAC ID: 2961825641 Enrollment ID: I20210813003052 |
| Provider Name | Lyndsay Anne Wixom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306407820 PECOS PAC ID: 6103221080 Enrollment ID: I20210817000629 |
| Provider Name | Ariel Fillmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033616230 PECOS PAC ID: 0042645822 Enrollment ID: I20210909002189 |
| Provider Name | Jessica V Fullmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578199592 PECOS PAC ID: 4385041268 Enrollment ID: I20210920001677 |
| Provider Name | Mark Daniel Beebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225607328 PECOS PAC ID: 6709283609 Enrollment ID: I20210920002395 |
| Provider Name | Brooke Bunkall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944646 PECOS PAC ID: 5799182374 Enrollment ID: I20210923003586 |
| Provider Name | Logan Holman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821593393 PECOS PAC ID: 8921352071 Enrollment ID: I20211118000641 |
| Provider Name | Victoria Au |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339335 PECOS PAC ID: 4880084508 Enrollment ID: I20211210001686 |
| Provider Name | John T Berquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699268581 PECOS PAC ID: 1557617552 Enrollment ID: I20220104002625 |
| Provider Name | Krystle Dawn Lowrance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255927612 PECOS PAC ID: 8426442211 Enrollment ID: I20220221000870 |
| Provider Name | Hina Jhawer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730779984 PECOS PAC ID: 8022403948 Enrollment ID: I20220311000306 |
| Provider Name | Celia A Pena Heredia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568967974 PECOS PAC ID: 0840692513 Enrollment ID: I20220419001498 |
| Provider Name | Benjamin Mark Loren Drum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558868802 PECOS PAC ID: 8325471378 Enrollment ID: I20220421002088 |
| Provider Name | Jared B. Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194288233 PECOS PAC ID: 2567880263 Enrollment ID: I20220422000800 |
| Provider Name | Monique Rose Poisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477295640 PECOS PAC ID: 2567849631 Enrollment ID: I20220510002389 |
| Provider Name | Matthew Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295394161 PECOS PAC ID: 6406181189 Enrollment ID: I20220810000968 |
| Provider Name | Andrew Schmutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962964742 PECOS PAC ID: 9830572916 Enrollment ID: I20220823001681 |
| Provider Name | Scott Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598747735 PECOS PAC ID: 1254357395 Enrollment ID: I20220921000464 |
| Provider Name | Selim Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730538331 PECOS PAC ID: 2567759954 Enrollment ID: I20220927002498 |
| Provider Name | Emily Norma Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700454196 PECOS PAC ID: 3870979230 Enrollment ID: I20221007002807 |
| Provider Name | Lloyd D Petty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982050126 PECOS PAC ID: 4587958830 Enrollment ID: I20221012002549 |
| Provider Name | Sarah Elizabeth Mcmillin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899832 PECOS PAC ID: 3577939578 Enrollment ID: I20221017000853 |
| Provider Name | Jessica J. Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073076774 PECOS PAC ID: 2860810355 Enrollment ID: I20221110000705 |
| Provider Name | Bhagawat Acharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609444603 PECOS PAC ID: 5991172405 Enrollment ID: I20221111001393 |
| Provider Name | Alexis Lauren Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538736731 PECOS PAC ID: 7416325394 Enrollment ID: I20221128000587 |
| Provider Name | Julie Frenette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518190628 PECOS PAC ID: 0042598286 Enrollment ID: I20221209001854 |
| Provider Name | Whitney Corinne John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780308833 PECOS PAC ID: 9739559477 Enrollment ID: I20221221001946 |
| Provider Name | Minerva Esmeralda Martinez-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669040291 PECOS PAC ID: 5496125957 Enrollment ID: I20221228002008 |
| Provider Name | Marci Leigh Crispi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356761498 PECOS PAC ID: 8022326354 Enrollment ID: I20230118000196 |
| Provider Name | Michael Wild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225689748 PECOS PAC ID: 4385067925 Enrollment ID: I20230210000857 |
| Provider Name | Emily W. Miro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053949099 PECOS PAC ID: 1153727177 Enrollment ID: I20230614002675 |
| Provider Name | Steven A Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306307285 PECOS PAC ID: 3476889346 Enrollment ID: I20230614004017 |
| Provider Name | Richard H. Wolferz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467081752 PECOS PAC ID: 2769888718 Enrollment ID: I20230724002736 |
| Provider Name | German Laurence Ellsworth |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1538579099 PECOS PAC ID: 3173826880 Enrollment ID: I20230807002378 |
| Provider Name | Jandrely Lopez Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710514203 PECOS PAC ID: 3971965203 Enrollment ID: I20230817001943 |
| Provider Name | Katie S. Myrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659900132 PECOS PAC ID: 5597161380 Enrollment ID: I20230818001859 |
| Provider Name | Amanda M Berbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134500515 PECOS PAC ID: 0345558599 Enrollment ID: I20230925001295 |
| Provider Name | Daniel Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678547 PECOS PAC ID: 1456668904 Enrollment ID: I20230926000787 |
| Provider Name | Cecelia W. Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548823776 PECOS PAC ID: 8022436518 Enrollment ID: I20231002001779 |
| Provider Name | Brianna S Chessin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164985842 PECOS PAC ID: 9537587415 Enrollment ID: I20231002001876 |
| Provider Name | Katie Camille Tayon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612375 PECOS PAC ID: 8224486212 Enrollment ID: I20231201000694 |
| Provider Name | Chiara Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243481 PECOS PAC ID: 3577915784 Enrollment ID: I20240123002926 |
| Provider Name | Jaime Ricardo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750160362 PECOS PAC ID: 3870939481 Enrollment ID: I20240306000349 |
| Provider Name | Steven Craig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073512448 PECOS PAC ID: 4183526809 Enrollment ID: I20240306000704 |
| Provider Name | Asiya Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679984843 PECOS PAC ID: 0042583866 Enrollment ID: I20240527000286 |
| Provider Name | Aaron Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932637246 PECOS PAC ID: 0941579775 Enrollment ID: I20240527000486 |
| Provider Name | Jenna Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255912309 PECOS PAC ID: 4587106497 Enrollment ID: I20240606003472 |
| Provider Name | Mandi Sarita Vlam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396598975 PECOS PAC ID: 7113469776 Enrollment ID: I20240611001214 |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |