| Vidant Medical Group Llc | |
|
2100 Stantonsburg Rd Greenville NC 27834-2818 | |
| (252) 847-2181 | |
| (252) 847-2213 |
| Full Name | Vidant Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Stantonsburg Rd, Greenville, North Carolina |
| Authorized Official Name and Position | David S. Hughes (CFO) |
| Authorized Official Contact | 2528474582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidant Medical Group Llc Po Box 8423 Greenville NC 27835-8423 Ph: (252) 847-2181 | Vidant Medical Group Llc 2100 Stantonsburg Rd Greenville NC 27834-2818 Ph: (252) 847-2181 |
| NPI Number | 1477648731 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/03/2012 |
| Medicare PECOS PAC ID | 0345343893 |
|---|---|
| Medicare Enrollment ID | O20070321000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477648731 | NPI | - | NPPES |
| 5912190 | Medicaid | NC | |
| 018YM | Other | NC | BLUE CROSS BLUE SHIELD |
| 5906333 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Dwayne D Callwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023194479 PECOS PAC ID: 4789597709 Enrollment ID: I20031106000495 |
| Provider Name | Kenny C Nall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710961727 PECOS PAC ID: 4385548817 Enrollment ID: I20031125000638 |
| Provider Name | Beverly N Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801851506 PECOS PAC ID: 1052218229 Enrollment ID: I20031216000436 |
| Provider Name | Ruth Caynap Flynn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609877133 PECOS PAC ID: 3375441611 Enrollment ID: I20031223000819 |
| Provider Name | Shari Del Do |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215936281 PECOS PAC ID: 2961300959 Enrollment ID: I20031229000794 |
| Provider Name | Valerie Frances Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871602532 PECOS PAC ID: 7911806179 Enrollment ID: I20040107000229 |
| Provider Name | Daniel E Everhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265485437 PECOS PAC ID: 8729988381 Enrollment ID: I20040110000014 |
| Provider Name | Clyde L Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912904129 PECOS PAC ID: 0345153359 Enrollment ID: I20040114000233 |
| Provider Name | Dawn Quashie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790771582 PECOS PAC ID: 0648177592 Enrollment ID: I20040123000996 |
| Provider Name | Thomas G Kraemer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093707432 PECOS PAC ID: 1951294867 Enrollment ID: I20040204000979 |
| Provider Name | Reginald Graham Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272339 PECOS PAC ID: 9739072422 Enrollment ID: I20040205001055 |
| Provider Name | Jack Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598805483 PECOS PAC ID: 6002709672 Enrollment ID: I20040206000178 |
| Provider Name | Josiah W Duke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285628719 PECOS PAC ID: 7719871938 Enrollment ID: I20040210000274 |
| Provider Name | Yousef Mohammad Naji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023084886 PECOS PAC ID: 9638064173 Enrollment ID: I20040216000422 |
| Provider Name | Charles W Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518932763 PECOS PAC ID: 1153217708 Enrollment ID: I20040223000494 |
| Provider Name | Richard W Kreeger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396737649 PECOS PAC ID: 8628965712 Enrollment ID: I20040303000283 |
| Provider Name | Gregory Conway Risk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134269038 PECOS PAC ID: 1052208899 Enrollment ID: I20040304000448 |
| Provider Name | Carl Daniel Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346323375 PECOS PAC ID: 1355239823 Enrollment ID: I20040306000169 |
| Provider Name | Nancy Brous-distefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508821315 PECOS PAC ID: 6204828536 Enrollment ID: I20040330000719 |
| Provider Name | Albert L Wiley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639152325 PECOS PAC ID: 2264427665 Enrollment ID: I20040415001201 |
| Provider Name | Semaan Y El Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749333 PECOS PAC ID: 6002711280 Enrollment ID: I20040420001094 |
| Provider Name | Frances L Cooke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821034703 PECOS PAC ID: 4183611791 Enrollment ID: I20040427000541 |
| Provider Name | Kenneth E Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215030465 PECOS PAC ID: 1052300407 Enrollment ID: I20040510001636 |
| Provider Name | Charles E Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881636025 PECOS PAC ID: 1052300365 Enrollment ID: I20040511001180 |
| Provider Name | Stephan O Gerlach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144352543 PECOS PAC ID: 4385633544 Enrollment ID: I20040511001578 |
| Provider Name | Mark A Bernat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730147471 PECOS PAC ID: 1658361597 Enrollment ID: I20040513001033 |
| Provider Name | Luis E Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249853 PECOS PAC ID: 7214927631 Enrollment ID: I20040517000615 |
| Provider Name | Hershell E Cassell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013066026 PECOS PAC ID: 1355332495 Enrollment ID: I20040519000385 |
| Provider Name | John Alberto Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811949985 PECOS PAC ID: 8224029376 Enrollment ID: I20040519000423 |
| Provider Name | William J Leland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780664060 PECOS PAC ID: 6103807557 Enrollment ID: I20040601000384 |
| Provider Name | Gaddy M Lassiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700862083 PECOS PAC ID: 7214918135 Enrollment ID: I20040601001144 |
| Provider Name | Kerren H Elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528016664 PECOS PAC ID: 8628059060 Enrollment ID: I20040608001088 |
| Provider Name | John P. Gusdon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093874471 PECOS PAC ID: 6608850029 Enrollment ID: I20040615000232 |
| Provider Name | Nancy H Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346227139 PECOS PAC ID: 8729062856 Enrollment ID: I20040616000797 |
| Provider Name | William John Simons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790778801 PECOS PAC ID: 1153305149 Enrollment ID: I20040616001307 |
| Provider Name | Madhu Parmar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720189434 PECOS PAC ID: 4880679935 Enrollment ID: I20040622001213 |
| Provider Name | Chere M Gregory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164402236 PECOS PAC ID: 3577548189 Enrollment ID: I20040623001632 |
| Provider Name | Hassan Alhosaini |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1144200734 PECOS PAC ID: 6406831262 Enrollment ID: I20040624000173 |
| Provider Name | John P Goforth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992786404 PECOS PAC ID: 2769467547 Enrollment ID: I20040624000344 |
| Provider Name | Robert L Whitehurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770590010 PECOS PAC ID: 9335125079 Enrollment ID: I20040624001610 |
| Provider Name | Rony L Shammas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952382152 PECOS PAC ID: 3577549963 Enrollment ID: I20040626000061 |
| Provider Name | Hany C Ibrahim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790747434 PECOS PAC ID: 3173509585 Enrollment ID: I20040626000236 |
| Provider Name | Teresa W Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083678866 PECOS PAC ID: 7012993363 Enrollment ID: I20040628000121 |
| Provider Name | Joseph P Pestaner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053306332 PECOS PAC ID: 8123005501 Enrollment ID: I20040702000728 |
| Provider Name | Phillip Glenn Marks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720173420 PECOS PAC ID: 8426036310 Enrollment ID: I20040708000431 |
| Provider Name | Laurie Halsey Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215564851 PECOS PAC ID: 6103805940 Enrollment ID: I20040715001112 |
| Provider Name | Lori A Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730164344 PECOS PAC ID: 2961481197 Enrollment ID: I20040720000338 |
| Provider Name | John E Killgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326074410 PECOS PAC ID: 4486633633 Enrollment ID: I20040720000460 |
| Provider Name | Jamie Udwadia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255476636 PECOS PAC ID: 8123008547 Enrollment ID: I20040724000251 |
| Provider Name | Robert G Cooke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265414262 PECOS PAC ID: 0042280398 Enrollment ID: I20040726001433 |
| Provider Name | Daniel Christian Minior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427151737 PECOS PAC ID: 8123098597 Enrollment ID: I20040731000165 |
| Provider Name | Rustan J Van Wyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861474439 PECOS PAC ID: 5890766802 Enrollment ID: I20040811001332 |
| Provider Name | Michael H Lowry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578506507 PECOS PAC ID: 3476526013 Enrollment ID: I20040812001541 |
| Provider Name | Hazel Vanessa Duncan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922149632 PECOS PAC ID: 0547233538 Enrollment ID: I20040817001410 |
| Provider Name | Vincent K Cheek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205804986 PECOS PAC ID: 6406820521 Enrollment ID: I20040824001135 |
| Provider Name | Charles Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306819206 PECOS PAC ID: 6800861626 Enrollment ID: I20040826000490 |
| Provider Name | George A Melone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780659573 PECOS PAC ID: 6901871656 Enrollment ID: I20040827000124 |
| Provider Name | Suresh J Desilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356304869 PECOS PAC ID: 4385619972 Enrollment ID: I20040827000470 |
| Provider Name | Shannon A Tyler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316920432 PECOS PAC ID: 3476528555 Enrollment ID: I20040901000236 |
| Provider Name | Jeffery A Agan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700987542 PECOS PAC ID: 9830164748 Enrollment ID: I20040901001241 |
| Provider Name | Eddie S Cournoyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396842423 PECOS PAC ID: 8325014194 Enrollment ID: I20040903000130 |
| Provider Name | Charles B Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811930670 PECOS PAC ID: 6305812785 Enrollment ID: I20040907001364 |
| Provider Name | Thomas T Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932282761 PECOS PAC ID: 2668441825 Enrollment ID: I20040925000130 |
| Provider Name | Joel C Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972613321 PECOS PAC ID: 5799754644 Enrollment ID: I20040928000949 |
| Provider Name | Claude Gregory Diettrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689787640 PECOS PAC ID: 9739158593 Enrollment ID: I20040928001158 |
| Provider Name | Patrick John Morgante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881655371 PECOS PAC ID: 0941279715 Enrollment ID: I20040928001206 |
| Provider Name | David C Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275510588 PECOS PAC ID: 0648249383 Enrollment ID: I20040929000380 |
| Provider Name | Lowell Harley Gill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265533095 PECOS PAC ID: 7315916566 Enrollment ID: I20041002000148 |
| Provider Name | Lawrence N Larabee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700842291 PECOS PAC ID: 8224922752 Enrollment ID: I20041004000529 |
| Provider Name | Cuong Peter Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340014 PECOS PAC ID: 0143289199 Enrollment ID: I20041006000683 |
| Provider Name | Diane A Semer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245234004 PECOS PAC ID: 8527027465 Enrollment ID: I20041006001377 |
| Provider Name | Jan A Mansy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093782484 PECOS PAC ID: 5193785301 Enrollment ID: I20041012001546 |
| Provider Name | Murugananthan Pudunagar Subbiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740252469 PECOS PAC ID: 5395705230 Enrollment ID: I20041014000613 |
| Provider Name | Akaninyene Sunday Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952358061 PECOS PAC ID: 9537120381 Enrollment ID: I20041025000533 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20041026000777 |
| Provider Name | Martin Deal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285627786 PECOS PAC ID: 3577551019 Enrollment ID: I20041026000900 |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | Minnie L Sumerlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811168214 PECOS PAC ID: 8123081650 Enrollment ID: I20041105000716 |
| Provider Name | Mario Anthony Cerame |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821074907 PECOS PAC ID: 3072576222 Enrollment ID: I20041109000050 |
| Provider Name | Deanna M Boyette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831184365 PECOS PAC ID: 1658265855 Enrollment ID: I20041109000762 |
| Provider Name | Charles S Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437144094 PECOS PAC ID: 0345203493 Enrollment ID: I20041109000936 |
| Provider Name | Phillip G Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649228750 PECOS PAC ID: 2062475882 Enrollment ID: I20041111000545 |
| Provider Name | Angus Woodward Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417950825 PECOS PAC ID: 1153218540 Enrollment ID: I20041111001117 |
| Provider Name | Muhammad Rizwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033184254 PECOS PAC ID: 8527022508 Enrollment ID: I20041118000864 |
| Provider Name | Linda B Sheldon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679687107 PECOS PAC ID: 8325002231 Enrollment ID: I20041118001125 |
| Provider Name | Steven David Thies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104821669 PECOS PAC ID: 5991760738 Enrollment ID: I20041122000435 |
| Provider Name | John C Huffman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447244199 PECOS PAC ID: 7113982398 Enrollment ID: I20041130000297 |
| Provider Name | Reginald I Obi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841224490 PECOS PAC ID: 2769448414 Enrollment ID: I20041206000152 |
| Provider Name | Jayesh K Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831181080 PECOS PAC ID: 2365408572 Enrollment ID: I20041208000946 |
| Provider Name | Melinda J Battaile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831197094 PECOS PAC ID: 4981661758 Enrollment ID: I20041213001028 |
| Provider Name | Vaughn M Matacale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063471084 PECOS PAC ID: 6103883871 Enrollment ID: I20041214000769 |
| Provider Name | Edward P Bridgeford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023016193 PECOS PAC ID: 6002873700 Enrollment ID: I20041214000979 |
| Provider Name | Tonya S Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902995111 PECOS PAC ID: 2769449354 Enrollment ID: I20041215000512 |
| Provider Name | Pradeep S Arumugham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861495095 PECOS PAC ID: 3173580578 Enrollment ID: I20041217000133 |
| Provider Name | William L Rucker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326034513 PECOS PAC ID: 4183517808 Enrollment ID: I20041227000044 |
| Provider Name | Mark Edward Beamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053426346 PECOS PAC ID: 0244296358 Enrollment ID: I20041229000280 |
| Provider Name | Kevin P Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124097670 PECOS PAC ID: 5597721688 Enrollment ID: I20050103000332 |
| Provider Name | Charles Joseph Middleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437139748 PECOS PAC ID: 2961450101 Enrollment ID: I20050105000198 |
| Provider Name | Carroll Bracey Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134154511 PECOS PAC ID: 9739093402 Enrollment ID: I20050106000054 |
| Provider Name | Mark Stuart Worthen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619085115 PECOS PAC ID: 9436107430 Enrollment ID: I20050106000402 |
| Provider Name | Mark R Bowling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710914098 PECOS PAC ID: 0446208086 Enrollment ID: I20050110001023 |
| Provider Name | Ann T Sutton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992706006 PECOS PAC ID: 5597714253 Enrollment ID: I20050120000029 |
| Provider Name | Rupert W Jilcott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265417877 PECOS PAC ID: 1052361540 Enrollment ID: I20050122000088 |
| Provider Name | Keisha C Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336120864 PECOS PAC ID: 2163473521 Enrollment ID: I20050203000209 |
| Provider Name | Peter F Boehling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346319209 PECOS PAC ID: 5496706392 Enrollment ID: I20050218000187 |
| Provider Name | Gary H Heck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780670695 PECOS PAC ID: 5597737908 Enrollment ID: I20050218000737 |
| Provider Name | Shona S Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730162850 PECOS PAC ID: 9335192038 Enrollment ID: I20050222000834 |
| Provider Name | Michael W Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174515290 PECOS PAC ID: 1153376603 Enrollment ID: I20050317000134 |
| Provider Name | Rajasekhar Nekkanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568456366 PECOS PAC ID: 6800798778 Enrollment ID: I20050321000682 |
| Provider Name | Wendy Chandler Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538251053 PECOS PAC ID: 5890741094 Enrollment ID: I20050330000406 |
| Provider Name | Jeffrey Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013013556 PECOS PAC ID: 4587611389 Enrollment ID: I20050404001028 |
| Provider Name | Jeffrey K Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699758557 PECOS PAC ID: 0547217036 Enrollment ID: I20050406001017 |
| Provider Name | Richard P Holm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285605642 PECOS PAC ID: 2769420785 Enrollment ID: I20050420000954 |
| Provider Name | Michael A Beasley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477554830 PECOS PAC ID: 4183662000 Enrollment ID: I20050421000371 |
| Provider Name | Donald P Shackelford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174581284 PECOS PAC ID: 3375582539 Enrollment ID: I20050427000551 |
| Provider Name | Vicki C Mclawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306804414 PECOS PAC ID: 9830138700 Enrollment ID: I20050429000308 |
| Provider Name | James R Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366479370 PECOS PAC ID: 0941249817 Enrollment ID: I20050429000381 |
| Provider Name | David K Hutchinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598722829 PECOS PAC ID: 4981643772 Enrollment ID: I20050502000254 |
| Provider Name | Ahmad Jafar Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396761672 PECOS PAC ID: 1759320310 Enrollment ID: I20050503000509 |
| Provider Name | Elizabeth Jarman Crawley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528193547 PECOS PAC ID: 4385684604 Enrollment ID: I20050505001061 |
| Provider Name | Thomas J Beckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699781112 PECOS PAC ID: 4688626096 Enrollment ID: I20050511000146 |
| Provider Name | Teresa Wells Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932108099 PECOS PAC ID: 5698715308 Enrollment ID: I20050511000800 |
| Provider Name | Ann C Sumners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922180504 PECOS PAC ID: 5496797136 Enrollment ID: I20050524000307 |
| Provider Name | Misbah Ul-ahsan Qadir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013992635 PECOS PAC ID: 7810939006 Enrollment ID: I20050527000212 |
| Provider Name | Ikechukwu E Ibegbu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639154248 PECOS PAC ID: 6002858099 Enrollment ID: I20050601000077 |
| Provider Name | William R Berry |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043250590 PECOS PAC ID: 3779525654 Enrollment ID: I20050601000906 |
| Provider Name | Timothy Hartzog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053336321 PECOS PAC ID: 4082657143 Enrollment ID: I20050609000219 |
| Provider Name | Dyrek E Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053405746 PECOS PAC ID: 9234172370 Enrollment ID: I20050610000781 |
| Provider Name | Sujankumar K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285629790 PECOS PAC ID: 6103861554 Enrollment ID: I20050627000011 |
| Provider Name | Jennifer Walters Batts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780798124 PECOS PAC ID: 9638114903 Enrollment ID: I20050627001134 |
| Provider Name | David D Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508831892 PECOS PAC ID: 0941246185 Enrollment ID: I20050628001199 |
| Provider Name | Bora A Duruman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235163213 PECOS PAC ID: 4880630995 Enrollment ID: I20050629000428 |
| Provider Name | Paul Arp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669456968 PECOS PAC ID: 3274579743 Enrollment ID: I20050706000745 |
| Provider Name | Scott R Mcpherson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710927371 PECOS PAC ID: 7810961497 Enrollment ID: I20050712000998 |
| Provider Name | Clinton E Faulk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982688339 PECOS PAC ID: 9830125756 Enrollment ID: I20050712001080 |
| Provider Name | Roger G Lever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104849132 PECOS PAC ID: 7012906118 Enrollment ID: I20050716000015 |
| Provider Name | Debra Fell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326025610 PECOS PAC ID: 6305873654 Enrollment ID: I20050719000754 |
| Provider Name | Somasekhara R Balla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114098647 PECOS PAC ID: 6800823980 Enrollment ID: I20050720000512 |
| Provider Name | Bruce D Switzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073596391 PECOS PAC ID: 0941238810 Enrollment ID: I20050801001276 |
| Provider Name | Tara M Staton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649253360 PECOS PAC ID: 4981632676 Enrollment ID: I20050803000420 |
| Provider Name | Michael E Wegener |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174595524 PECOS PAC ID: 7810958907 Enrollment ID: I20050805000201 |
| Provider Name | Thomas Pulliam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205898103 PECOS PAC ID: 0244260982 Enrollment ID: I20050812000821 |
| Provider Name | Thomas Giebmanns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972656494 PECOS PAC ID: 7012946221 Enrollment ID: I20050812001021 |
| Provider Name | Michael K Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033102413 PECOS PAC ID: 2466482955 Enrollment ID: I20050815000618 |
| Provider Name | Tapan K Gayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013991488 PECOS PAC ID: 7214967439 Enrollment ID: I20050817000817 |
| Provider Name | Noel Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891780763 PECOS PAC ID: 7810927035 Enrollment ID: I20050817000851 |
| Provider Name | David L Fairbrother |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710961164 PECOS PAC ID: 7416987466 Enrollment ID: I20050818000822 |
| Provider Name | James R Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982790234 PECOS PAC ID: 8820029176 Enrollment ID: I20050825000979 |
| Provider Name | Michael Lawrence Holloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427054089 PECOS PAC ID: 6507849627 Enrollment ID: I20050831000952 |
| Provider Name | Gilberto Pabalan Navarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945385 PECOS PAC ID: 7315979077 Enrollment ID: I20050909000411 |
| Provider Name | Christopher L Ozimek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083607972 PECOS PAC ID: 0345273231 Enrollment ID: I20050912000968 |
| Provider Name | Janet M Gooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154457471 PECOS PAC ID: 4486634722 Enrollment ID: I20050916000320 |
| Provider Name | Daniel S Terryberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962497230 PECOS PAC ID: 4587694922 Enrollment ID: I20050916000894 |
| Provider Name | Francis E Buckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983453 PECOS PAC ID: 7517991722 Enrollment ID: I20050926001179 |
| Provider Name | Tae J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952385924 PECOS PAC ID: 2567453715 Enrollment ID: I20050926001190 |
| Provider Name | Sandeep K Tiwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669450458 PECOS PAC ID: 4688609423 Enrollment ID: I20050930000156 |
| Provider Name | Devainder Goli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528049517 PECOS PAC ID: 7012942709 Enrollment ID: I20050930000652 |
| Provider Name | Steven C Spruill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457336588 PECOS PAC ID: 3173558426 Enrollment ID: I20051005000708 |
| Provider Name | Daniel Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851338172 PECOS PAC ID: 6709811938 Enrollment ID: I20051012001000 |
| Provider Name | Georgia A Drumheller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568489110 PECOS PAC ID: 3870519689 Enrollment ID: I20051020000962 |
| Provider Name | Maqsood Ahmed Valliani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003894890 PECOS PAC ID: 1850317678 Enrollment ID: I20051020001055 |
| Provider Name | Susan A Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369951 PECOS PAC ID: 2365469822 Enrollment ID: I20051025000359 |
| Provider Name | Gregory M Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888227 PECOS PAC ID: 4183641533 Enrollment ID: I20051026000100 |
| Provider Name | Joseph Geradts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073519393 PECOS PAC ID: 4284651381 Enrollment ID: I20051027001167 |
| Provider Name | Melissa G Oneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366411209 PECOS PAC ID: 8426075425 Enrollment ID: I20051028000719 |
| Provider Name | Jeffrey Rogers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073598140 PECOS PAC ID: 9638114275 Enrollment ID: I20051101001052 |
| Provider Name | Jane L Swan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609866532 PECOS PAC ID: 5092733329 Enrollment ID: I20051105000310 |
| Provider Name | Elisabeth Stanger Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376622670 PECOS PAC ID: 9638197858 Enrollment ID: I20051107000531 |
| Provider Name | Linda K Roberson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912038209 PECOS PAC ID: 1658399738 Enrollment ID: I20051107001088 |
| Provider Name | Pamela A Lepera |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053304212 PECOS PAC ID: 7012936339 Enrollment ID: I20051116000448 |
| Provider Name | Anil George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154307684 PECOS PAC ID: 9830119635 Enrollment ID: I20051122000745 |
| Provider Name | Assadollah Movahed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497749683 PECOS PAC ID: 0547281610 Enrollment ID: I20051216000228 |
| Provider Name | Michael S Buebel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073501367 PECOS PAC ID: 1658393400 Enrollment ID: I20051221000585 |
| Provider Name | Michael John Capriola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992736615 PECOS PAC ID: 4486625167 Enrollment ID: I20060109000796 |
| Provider Name | Robert C Frere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669567095 PECOS PAC ID: 1951368067 Enrollment ID: I20060117001164 |
| Provider Name | Jon Dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114920162 PECOS PAC ID: 5395769236 Enrollment ID: I20060119000025 |
| Provider Name | Kenneth Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871556084 PECOS PAC ID: 9032123583 Enrollment ID: I20060203000428 |
| Provider Name | Rashid A Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952400343 PECOS PAC ID: 5799799110 Enrollment ID: I20060206000360 |
| Provider Name | Michael Mundy Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013912229 PECOS PAC ID: 4981619525 Enrollment ID: I20060217000398 |
| Provider Name | Laura Lee Helfman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730136755 PECOS PAC ID: 3577463140 Enrollment ID: I20060222000076 |
| Provider Name | Brian Bruce Blackburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568405520 PECOS PAC ID: 4183699085 Enrollment ID: I20060227000531 |
| Provider Name | John A Nesbitt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568406742 PECOS PAC ID: 1759372105 Enrollment ID: I20060315000275 |
| Provider Name | David S Donaldson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508867474 PECOS PAC ID: 2466460746 Enrollment ID: I20060328000568 |
| Provider Name | William J Weast |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093766180 PECOS PAC ID: 4082623871 Enrollment ID: I20060405000573 |
| Provider Name | Anne Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437190048 PECOS PAC ID: 9436175015 Enrollment ID: I20060420000624 |
| Provider Name | Jorge M Abdallah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255349361 PECOS PAC ID: 2567472053 Enrollment ID: I20060427000677 |
| Provider Name | Sherri L Hill-coidan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427007533 PECOS PAC ID: 7911917257 Enrollment ID: I20060501000565 |
| Provider Name | David Brian Garza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164466165 PECOS PAC ID: 8527074624 Enrollment ID: I20060502000631 |
| Provider Name | Peter B Wagner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598734196 PECOS PAC ID: 8325006521 Enrollment ID: I20060510000203 |
| Provider Name | Mariavittoria Pitzalis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134172554 PECOS PAC ID: 0446261804 Enrollment ID: I20060522000158 |
| Provider Name | John Gregory Player |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629077615 PECOS PAC ID: 4486638293 Enrollment ID: I20060602000148 |
| Provider Name | John Thomas Janousek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871533992 PECOS PAC ID: 4789574823 Enrollment ID: I20060609000221 |
| Provider Name | Susan Andracchi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205835915 PECOS PAC ID: 0143232108 Enrollment ID: I20060613000084 |
| Provider Name | Robert L Mclaurin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487694360 PECOS PAC ID: 3779595731 Enrollment ID: I20060613000104 |
| Provider Name | Tracey P Sherrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306891254 PECOS PAC ID: 3274546627 Enrollment ID: I20060801000263 |
| Provider Name | Timothy B Guin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740237965 PECOS PAC ID: 2668475641 Enrollment ID: I20060811000182 |
| Provider Name | Lara K Surles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285682989 PECOS PAC ID: 7315940327 Enrollment ID: I20060811000467 |
| Provider Name | Hugh M Reeves |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780639443 PECOS PAC ID: 4688678428 Enrollment ID: I20060908000243 |
| Provider Name | William E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396763959 PECOS PAC ID: 6507861713 Enrollment ID: I20060921000539 |
| Provider Name | Kimberly A Alford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538102496 PECOS PAC ID: 6901801935 Enrollment ID: I20060926000585 |
| Provider Name | Suzanne Lazorick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700845583 PECOS PAC ID: 3678578382 Enrollment ID: I20060930000022 |
| Provider Name | Tiffany B Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588607634 PECOS PAC ID: 1951306539 Enrollment ID: I20061004000069 |
| Provider Name | Feras Tanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538189360 PECOS PAC ID: 6709882137 Enrollment ID: I20061009000103 |
| Provider Name | Jody Tucker Sepich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336193234 PECOS PAC ID: 6507862547 Enrollment ID: I20061013000315 |
| Provider Name | David M Gacengeci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942269592 PECOS PAC ID: 8921004920 Enrollment ID: I20061016000168 |
| Provider Name | Marcy Stephens Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588682355 PECOS PAC ID: 3173529872 Enrollment ID: I20061019000223 |
| Provider Name | Benjamin M Winfree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639102742 PECOS PAC ID: 3476559188 Enrollment ID: I20061019000379 |
| Provider Name | James A Ketoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700801289 PECOS PAC ID: 2769488485 Enrollment ID: I20061019000441 |
| Provider Name | Francis Le |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134236508 PECOS PAC ID: 3476596925 Enrollment ID: I20061213000578 |
| Provider Name | Theodore Delbridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831161314 PECOS PAC ID: 9133128267 Enrollment ID: I20061218000554 |
| Provider Name | Brian Patrick Lowry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598855447 PECOS PAC ID: 1850391467 Enrollment ID: I20070104000516 |
| Provider Name | John J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366402406 PECOS PAC ID: 3476554502 Enrollment ID: I20070116000408 |
| Provider Name | Willoughby S Hundley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457328767 PECOS PAC ID: 6002817012 Enrollment ID: I20070117000520 |
| Provider Name | Charles Ofosu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982637062 PECOS PAC ID: 6002817061 Enrollment ID: I20070118000445 |
| Provider Name | Nathaniel Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346336914 PECOS PAC ID: 1355342254 Enrollment ID: I20070119000231 |
| Provider Name | Mohini Pandiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699848945 PECOS PAC ID: 9830190313 Enrollment ID: I20070125000505 |
| Provider Name | Brandyce Faulkner Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598867483 PECOS PAC ID: 9335140813 Enrollment ID: I20070125000559 |
| Provider Name | Paula A Beasley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417043183 PECOS PAC ID: 3870594161 Enrollment ID: I20070130000212 |
| Provider Name | Mark Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215037791 PECOS PAC ID: 0244232775 Enrollment ID: I20070212000564 |
| Provider Name | Judith Emery Coogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477565182 PECOS PAC ID: 5698878866 Enrollment ID: I20070307000663 |
| Provider Name | Rajinder Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609934876 PECOS PAC ID: 3870696990 Enrollment ID: I20070310000094 |
| Provider Name | Sharon D Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174544563 PECOS PAC ID: 5890899157 Enrollment ID: I20070327000477 |
| Provider Name | Karen Tucci-herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477648780 PECOS PAC ID: 6406950245 Enrollment ID: I20070403000567 |
| Provider Name | Charlotte Mills Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255345088 PECOS PAC ID: 5294839866 Enrollment ID: I20070409000617 |
| Provider Name | Kristie A Hertel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083770911 PECOS PAC ID: 0941305320 Enrollment ID: I20070412000559 |
| Provider Name | Jorge Martin Paulino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841397866 PECOS PAC ID: 9830295476 Enrollment ID: I20070427000561 |
| Provider Name | Victor T Freund |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891762399 PECOS PAC ID: 0749218840 Enrollment ID: I20070430000577 |
| Provider Name | Andrew W Simpson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760400055 PECOS PAC ID: 6406953405 Enrollment ID: I20070529000171 |
| Provider Name | John J Inzerillo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1164404422 PECOS PAC ID: 1153428016 Enrollment ID: I20070530000089 |
| Provider Name | Mark D Marilley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407852353 PECOS PAC ID: 9234031105 Enrollment ID: I20070606000085 |
| Provider Name | Richard M Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326097205 PECOS PAC ID: 8628176179 Enrollment ID: I20070606000335 |
| Provider Name | Cheryl Lynn Mcneil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073599155 PECOS PAC ID: 9931207925 Enrollment ID: I20070614000736 |
| Provider Name | Fredrick A Teixeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552669 PECOS PAC ID: 8224137948 Enrollment ID: I20070621000153 |
| Provider Name | Michael J Lobos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750340287 PECOS PAC ID: 3375642929 Enrollment ID: I20070621000506 |
| Provider Name | Michael B Crawford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093776502 PECOS PAC ID: 8729187372 Enrollment ID: I20070621000518 |
| Provider Name | Teresa Marie Garza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235198946 PECOS PAC ID: 2163521659 Enrollment ID: I20070625000357 |
| Provider Name | Catherine Roy Cabungcal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841234523 PECOS PAC ID: 5193720431 Enrollment ID: I20070630000103 |
| Provider Name | Gabor Varju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235342999 PECOS PAC ID: 9537260690 Enrollment ID: I20070719000792 |
| Provider Name | Maria Nicole Saffell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821127739 PECOS PAC ID: 0749381085 Enrollment ID: I20070731000093 |
| Provider Name | Larry Douglas Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235261827 PECOS PAC ID: 7810088945 Enrollment ID: I20070803000428 |
| Provider Name | Cora P Kearley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417176579 PECOS PAC ID: 3274624143 Enrollment ID: I20070807000230 |
| Provider Name | Michael C Lang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094271 PECOS PAC ID: 2961593504 Enrollment ID: I20070810000289 |
| Provider Name | Clinten L Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871707042 PECOS PAC ID: 2264523745 Enrollment ID: I20070813000670 |
| Provider Name | Heather G Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659421865 PECOS PAC ID: 0143251827 Enrollment ID: I20070814000418 |
| Provider Name | Teresa M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629287610 PECOS PAC ID: 4082706213 Enrollment ID: I20070817000403 |
| Provider Name | David J Dibble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710025341 PECOS PAC ID: 3173615267 Enrollment ID: I20070821000262 |
| Provider Name | Jessica K Hairston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346335965 PECOS PAC ID: 2163514258 Enrollment ID: I20070821000283 |
| Provider Name | Jonathan H Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114134780 PECOS PAC ID: 4981797446 Enrollment ID: I20070829000915 |
| Provider Name | Michael Joseph Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841369840 PECOS PAC ID: 3971564170 Enrollment ID: I20070910000534 |
| Provider Name | Veselin S Gizdarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326244658 PECOS PAC ID: 3678667227 Enrollment ID: I20070913000532 |
| Provider Name | Kalavathi Kolappa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891867115 PECOS PAC ID: 9638263205 Enrollment ID: I20070913000724 |
| Provider Name | Mohammad O Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043226574 PECOS PAC ID: 8022096767 Enrollment ID: I20070914000596 |
| Provider Name | Aman Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700091881 PECOS PAC ID: 9234223512 Enrollment ID: I20070917000800 |
| Provider Name | Jeffrey A Silver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346210127 PECOS PAC ID: 0143314278 Enrollment ID: I20070920000499 |
| Provider Name | Viswanathan Swaminathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376568550 PECOS PAC ID: 5294828109 Enrollment ID: I20070921000563 |
| Provider Name | Thomas John Paluch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104966951 PECOS PAC ID: 2365537867 Enrollment ID: I20070928000133 |
| Provider Name | Ogugua N Obi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477685360 PECOS PAC ID: 3870688278 Enrollment ID: I20071001000205 |
| Provider Name | Kishore Roy Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043433790 PECOS PAC ID: 1951497759 Enrollment ID: I20071009000818 |
| Provider Name | Anthony C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184605420 PECOS PAC ID: 9335235191 Enrollment ID: I20071010000339 |
| Provider Name | Tracey B Respess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548474463 PECOS PAC ID: 0547356966 Enrollment ID: I20071017000375 |
| Provider Name | Margaret A Scannell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205954310 PECOS PAC ID: 3577536796 Enrollment ID: I20071017000940 |
| Provider Name | Caroline Dorothea Ames |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699861096 PECOS PAC ID: 6507893278 Enrollment ID: I20071025000651 |
| Provider Name | Shailaja Akkaladevi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518062272 PECOS PAC ID: 2163444068 Enrollment ID: I20071029000497 |
| Provider Name | Ramesh Mutyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679507651 PECOS PAC ID: 4486741881 Enrollment ID: I20071101000342 |
| Provider Name | Emmanuel Emmanuel Zervos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154333284 PECOS PAC ID: 5092802405 Enrollment ID: I20071101000454 |
| Provider Name | Anita B Woolard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811193980 PECOS PAC ID: 2860580792 Enrollment ID: I20071110000141 |
| Provider Name | James M Egbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023089109 PECOS PAC ID: 1153419676 Enrollment ID: I20071116000605 |
| Provider Name | Amanze Olufemi Ugoji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487847273 PECOS PAC ID: 7214026772 Enrollment ID: I20071205000669 |
| Provider Name | Adam N Clark |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679571160 PECOS PAC ID: 5698712164 Enrollment ID: I20071207000318 |
| Provider Name | Surafeal Abraha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306930631 PECOS PAC ID: 6103848874 Enrollment ID: I20071210000564 |
| Provider Name | Catherine Rose Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467437582 PECOS PAC ID: 4981793189 Enrollment ID: I20071210000617 |
| Provider Name | Mohammad Abul Kalam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538131974 PECOS PAC ID: 4183714371 Enrollment ID: I20071211000784 |
| Provider Name | Pamela Megathlin Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910516 PECOS PAC ID: 8820987753 Enrollment ID: I20071213000848 |
| Provider Name | Thomson Cable Pancoast |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679532816 PECOS PAC ID: 3476447947 Enrollment ID: I20071214000537 |
| Provider Name | Richard Everit Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689626988 PECOS PAC ID: 7214941962 Enrollment ID: I20080107000771 |
| Provider Name | Thomas Ruffolo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902800766 PECOS PAC ID: 4587746078 Enrollment ID: I20080123000256 |
| Provider Name | Ghiath Almasri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851396857 PECOS PAC ID: 2062594187 Enrollment ID: I20080129000373 |
| Provider Name | Cynthia R Christiano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912905043 PECOS PAC ID: 5193808640 Enrollment ID: I20080207000305 |
| Provider Name | Gregory Jay Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184685778 PECOS PAC ID: 9830272228 Enrollment ID: I20080207000676 |
| Provider Name | Renee Goodison-ollivierre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164476420 PECOS PAC ID: 5496838203 Enrollment ID: I20080215000527 |
| Provider Name | William John Horan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801880687 PECOS PAC ID: 0648379255 Enrollment ID: I20080222000117 |
| Provider Name | Hans L Tillmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437335254 PECOS PAC ID: 8628153434 Enrollment ID: I20080304000394 |
| Provider Name | Kenneth M Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396706214 PECOS PAC ID: 7911082763 Enrollment ID: I20080304000758 |
| Provider Name | Khalil Taha Abulatifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467650366 PECOS PAC ID: 1153406574 Enrollment ID: I20080310000625 |
| Provider Name | Hyder Arastu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659377372 PECOS PAC ID: 6709961048 Enrollment ID: I20080311000120 |
| Provider Name | Ada F Williams-wooten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346210507 PECOS PAC ID: 8224113592 Enrollment ID: I20080311000392 |
| Provider Name | Walter H Schriefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639133986 PECOS PAC ID: 5092800144 Enrollment ID: I20080311000448 |
| Provider Name | John Moss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457424764 PECOS PAC ID: 1759352313 Enrollment ID: I20080311000719 |
| Provider Name | Kris Baker Cummings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326259425 PECOS PAC ID: 1153406004 Enrollment ID: I20080317000515 |
| Provider Name | Savanna M Cummings |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114114493 PECOS PAC ID: 8527144922 Enrollment ID: I20080326000283 |
| Provider Name | Gary Stephen Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619963121 PECOS PAC ID: 5496831810 Enrollment ID: I20080326000403 |
| Provider Name | Brandon M Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487757035 PECOS PAC ID: 4587741525 Enrollment ID: I20080401000809 |
| Provider Name | Jolene S Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871777896 PECOS PAC ID: 6406933480 Enrollment ID: I20080402000242 |
| Provider Name | Janak Kantilal Choksi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063444826 PECOS PAC ID: 2466427687 Enrollment ID: I20080408000218 |
| Provider Name | Maria V Neverova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770773921 PECOS PAC ID: 8022196112 Enrollment ID: I20080415000162 |
| Provider Name | Charles L Knupp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154313575 PECOS PAC ID: 1557449261 Enrollment ID: I20080422000302 |
| Provider Name | Zia Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457396632 PECOS PAC ID: 3678589769 Enrollment ID: I20080422000626 |
| Provider Name | Darla K Liles |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528051729 PECOS PAC ID: 1456439090 Enrollment ID: I20080422000647 |
| Provider Name | Terrence Murrell Mark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922151489 PECOS PAC ID: 9739267956 Enrollment ID: I20080428000662 |
| Provider Name | Wendy Nipple Griffin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992867113 PECOS PAC ID: 3971682188 Enrollment ID: I20080429000761 |
| Provider Name | Berniece Elizabeth Redmond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366441123 PECOS PAC ID: 3375622442 Enrollment ID: I20080501000259 |
| Provider Name | Joseph C Parker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710178470 PECOS PAC ID: 9931288420 Enrollment ID: I20080508000740 |
| Provider Name | Eric B Carlson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316941206 PECOS PAC ID: 1850460759 Enrollment ID: I20080519000377 |
| Provider Name | Ming Qi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821128125 PECOS PAC ID: 9436228137 Enrollment ID: I20080521000489 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20080602000469 |
| Provider Name | Glenn K Harvin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386733558 PECOS PAC ID: 0446321905 Enrollment ID: I20080611000661 |
| Provider Name | Reza E Ershadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730290495 PECOS PAC ID: 2961408364 Enrollment ID: I20080611000765 |
| Provider Name | Charles W Scarantino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891745352 PECOS PAC ID: 0941260467 Enrollment ID: I20080612000193 |
| Provider Name | Leroy George Hoffman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811925712 PECOS PAC ID: 4789605882 Enrollment ID: I20080612000210 |
| Provider Name | Joseph E Tripp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255390803 PECOS PAC ID: 3971674391 Enrollment ID: I20080612000409 |
| Provider Name | Mia Lekendra Peterson-spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811176357 PECOS PAC ID: 3072684828 Enrollment ID: I20080621000032 |
| Provider Name | Amina Husain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841494416 PECOS PAC ID: 8820160377 Enrollment ID: I20080628000131 |
| Provider Name | Brian R Cabarrus |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598807265 PECOS PAC ID: 1355413105 Enrollment ID: I20080710000536 |
| Provider Name | Scott A Kendrick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104042365 PECOS PAC ID: 8527169952 Enrollment ID: I20080710000747 |
| Provider Name | Peter C Mancusi Ungaro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568455871 PECOS PAC ID: 1557434669 Enrollment ID: I20080723000442 |
| Provider Name | Kenneth Ivan Hartz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477697621 PECOS PAC ID: 8921171828 Enrollment ID: I20080725000462 |
| Provider Name | Andre Dean Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932308384 PECOS PAC ID: 2264505080 Enrollment ID: I20080725000657 |
| Provider Name | Eddie Nelson Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992909543 PECOS PAC ID: 9234230624 Enrollment ID: I20080725000732 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Daniel P Brock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720252430 PECOS PAC ID: 6800960857 Enrollment ID: I20080808000448 |
| Provider Name | Amy Liverman Williford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962659201 PECOS PAC ID: 1759456296 Enrollment ID: I20080819000439 |
| Provider Name | Christina M Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144359670 PECOS PAC ID: 0244305605 Enrollment ID: I20080819000702 |
| Provider Name | Emad Fouad Massoud Malak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063693182 PECOS PAC ID: 8921173121 Enrollment ID: I20080822000531 |
| Provider Name | Karen K Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669636908 PECOS PAC ID: 9133294143 Enrollment ID: I20080826000219 |
| Provider Name | Renee M Banaszak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356408272 PECOS PAC ID: 8628144763 Enrollment ID: I20080913000196 |
| Provider Name | Thomas Calvin Dimartino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003809542 PECOS PAC ID: 2466529417 Enrollment ID: I20080917000624 |
| Provider Name | Linda M Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306839832 PECOS PAC ID: 1759458714 Enrollment ID: I20080917000696 |
| Provider Name | Russell J Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669488144 PECOS PAC ID: 6800964818 Enrollment ID: I20081003000552 |
| Provider Name | Vicente Jose Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578527636 PECOS PAC ID: 8820183965 Enrollment ID: I20081008000727 |
| Provider Name | Romain Athus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877677 PECOS PAC ID: 8123053808 Enrollment ID: I20081017000421 |
| Provider Name | Joseph Francis Zastrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831184282 PECOS PAC ID: 1254499379 Enrollment ID: I20081018000115 |
| Provider Name | Patrick Marshall Osborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588701866 PECOS PAC ID: 2961560602 Enrollment ID: I20081023000666 |
| Provider Name | Beatriz Eugenia Ramirez Perez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376734970 PECOS PAC ID: 3779642160 Enrollment ID: I20081029000771 |
| Provider Name | Amy Ludwick Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427204114 PECOS PAC ID: 1052470119 Enrollment ID: I20081104000249 |
| Provider Name | Anthony J Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942284310 PECOS PAC ID: 9638154966 Enrollment ID: I20081107000741 |
| Provider Name | Ryan W Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629193594 PECOS PAC ID: 7719046226 Enrollment ID: I20081112000334 |
| Provider Name | Keith A Tucci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194836973 PECOS PAC ID: 5890855399 Enrollment ID: I20081113000303 |
| Provider Name | Susan B Boutilier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558368936 PECOS PAC ID: 3274637269 Enrollment ID: I20081122000108 |
| Provider Name | Wafa Rawhi Badwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497954200 PECOS PAC ID: 7810058500 Enrollment ID: I20081213000182 |
| Provider Name | William Elliotte Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972758480 PECOS PAC ID: 4486716602 Enrollment ID: I20081223000298 |
| Provider Name | Satti F Bilal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841458387 PECOS PAC ID: 7911067780 Enrollment ID: I20090112000728 |
| Provider Name | Kenneth S Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619079571 PECOS PAC ID: 0840353082 Enrollment ID: I20090114000089 |
| Provider Name | Jermaine A Joefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164505400 PECOS PAC ID: 9133283583 Enrollment ID: I20090129000237 |
| Provider Name | Carla J Ahearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588854673 PECOS PAC ID: 5193889319 Enrollment ID: I20090202000539 |
| Provider Name | Donna E Fender |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912199894 PECOS PAC ID: 2365506482 Enrollment ID: I20090203000738 |
| Provider Name | Brett Darrell Akers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639162340 PECOS PAC ID: 4183795065 Enrollment ID: I20090206000406 |
| Provider Name | Tiffany C Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104063007 PECOS PAC ID: 1850457862 Enrollment ID: I20090226000611 |
| Provider Name | Crystal G Privette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639360290 PECOS PAC ID: 7012073380 Enrollment ID: I20090311000696 |
| Provider Name | Deborah Anne Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841482874 PECOS PAC ID: 6507923612 Enrollment ID: I20090317000273 |
| Provider Name | Amy Stevenson Mccunney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912055914 PECOS PAC ID: 0345397469 Enrollment ID: I20090407000402 |
| Provider Name | Victoria M Respess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284795 PECOS PAC ID: 5799832820 Enrollment ID: I20090407000496 |
| Provider Name | Ann R Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013020130 PECOS PAC ID: 5294882817 Enrollment ID: I20090416000222 |
| Provider Name | James O Carleo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364996 PECOS PAC ID: 2668375049 Enrollment ID: I20090416000400 |
| Provider Name | Philip Dean Bates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104860295 PECOS PAC ID: 6608840665 Enrollment ID: I20090420000386 |
| Provider Name | Gregory F Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669459764 PECOS PAC ID: 2062416803 Enrollment ID: I20090421000232 |
| Provider Name | Maryam Muhammad Pasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689695611 PECOS PAC ID: 3577537570 Enrollment ID: I20090423000816 |
| Provider Name | Sulochana Cherukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316079262 PECOS PAC ID: 0042301558 Enrollment ID: I20090428000263 |
| Provider Name | Qing Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336348093 PECOS PAC ID: 1153470646 Enrollment ID: I20090512000246 |
| Provider Name | Asra Jaffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841476157 PECOS PAC ID: 0749339133 Enrollment ID: I20090513000611 |
| Provider Name | Jennifer M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376784371 PECOS PAC ID: 2769531953 Enrollment ID: I20090518000615 |
| Provider Name | Stephen Thomas Gore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508807876 PECOS PAC ID: 1557308145 Enrollment ID: I20090527000382 |
| Provider Name | Tara Lynn Kiger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639280621 PECOS PAC ID: 4284650755 Enrollment ID: I20090527000546 |
| Provider Name | Jessica L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376781609 PECOS PAC ID: 3678622289 Enrollment ID: I20090601000043 |
| Provider Name | Abayomi Segun Adediran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063448231 PECOS PAC ID: 5294739900 Enrollment ID: I20090609000271 |
| Provider Name | David M Lingle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659309755 PECOS PAC ID: 8729138516 Enrollment ID: I20090617000348 |
| Provider Name | Raafat A Shabti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574010 PECOS PAC ID: 0547237158 Enrollment ID: I20090618000280 |
| Provider Name | Kimberly R Shearin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538319991 PECOS PAC ID: 7911058417 Enrollment ID: I20090623000542 |
| Provider Name | Robert A Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578564332 PECOS PAC ID: 0345391355 Enrollment ID: I20090702000659 |
| Provider Name | Christopher C Kornegay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609076140 PECOS PAC ID: 7719039437 Enrollment ID: I20090710000102 |
| Provider Name | Teddie W Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255566154 PECOS PAC ID: 9032261797 Enrollment ID: I20090710000439 |
| Provider Name | Sherif G Naguib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316905151 PECOS PAC ID: 6901959857 Enrollment ID: I20090724000708 |
| Provider Name | Robert Anthony Dietrich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871596932 PECOS PAC ID: 7416000369 Enrollment ID: I20090725000025 |
| Provider Name | Courtney Brooke Saunders |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336331875 PECOS PAC ID: 2365595113 Enrollment ID: I20090728000102 |
| Provider Name | Jamie L Fountain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826616 PECOS PAC ID: 1052464732 Enrollment ID: I20090728000439 |
| Provider Name | John Michael Cahill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063533875 PECOS PAC ID: 8628138716 Enrollment ID: I20090728000627 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649230483 PECOS PAC ID: 2264585751 Enrollment ID: I20090730000601 |
| Provider Name | William L Harris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427238831 PECOS PAC ID: 5890848246 Enrollment ID: I20090731000599 |
| Provider Name | Tochukwu N Agbata |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1588807127 PECOS PAC ID: 5799838868 Enrollment ID: I20090806000781 |
| Provider Name | Maureen Mcgowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780883363 PECOS PAC ID: 8022162023 Enrollment ID: I20090810000534 |
| Provider Name | Joseph P Pye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366594558 PECOS PAC ID: 4688728447 Enrollment ID: I20090813000688 |
| Provider Name | Vamshi Krishna Kolli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467657361 PECOS PAC ID: 9436203676 Enrollment ID: I20090821000440 |
| Provider Name | Conrad Quinton Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114161361 PECOS PAC ID: 6204980485 Enrollment ID: I20090822000118 |
| Provider Name | Mott P Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447237623 PECOS PAC ID: 5193807063 Enrollment ID: I20090826000545 |
| Provider Name | Howard Richard Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982717138 PECOS PAC ID: 9830155381 Enrollment ID: I20090826000705 |
| Provider Name | Jude O Ojie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376742015 PECOS PAC ID: 6103971163 Enrollment ID: I20090827000547 |
| Provider Name | Robert A Shaw |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912901653 PECOS PAC ID: 8921153800 Enrollment ID: I20090827000852 |
| Provider Name | Mahdi Sitouah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427276385 PECOS PAC ID: 7719032119 Enrollment ID: I20090909000334 |
| Provider Name | Shamsher Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943286 PECOS PAC ID: 9537217385 Enrollment ID: I20090914000424 |
| Provider Name | Shirley B Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043460173 PECOS PAC ID: 2365588357 Enrollment ID: I20091005000666 |
| Provider Name | Ononlunose Arhuidese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523131 PECOS PAC ID: 7517003551 Enrollment ID: I20091006000293 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20091006000645 |
| Provider Name | Jerry A Simpson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861484016 PECOS PAC ID: 9830235605 Enrollment ID: I20091008000066 |
| Provider Name | Sohail Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790933802 PECOS PAC ID: 6901974930 Enrollment ID: I20091013000738 |
| Provider Name | Rudo Gwanzura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316154685 PECOS PAC ID: 7911043476 Enrollment ID: I20091014000217 |
| Provider Name | Rukmini Menon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740443951 PECOS PAC ID: 2860539012 Enrollment ID: I20091021000384 |
| Provider Name | Benjamin D Eskra |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922000678 PECOS PAC ID: 0345280228 Enrollment ID: I20091029000594 |
| Provider Name | Christopher P Gregory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720248511 PECOS PAC ID: 2264579705 Enrollment ID: I20091102000381 |
| Provider Name | Megan M Conner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649407115 PECOS PAC ID: 0244378776 Enrollment ID: I20091103000620 |
| Provider Name | Kelly L Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336380112 PECOS PAC ID: 5496893943 Enrollment ID: I20091103000763 |
| Provider Name | Kellie Annette Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861725491 PECOS PAC ID: 5991843153 Enrollment ID: I20091109000046 |
| Provider Name | Hsiao L Lai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285841379 PECOS PAC ID: 3476691338 Enrollment ID: I20091112000650 |
| Provider Name | Mary K Printz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770616443 PECOS PAC ID: 8325186174 Enrollment ID: I20091116000244 |
| Provider Name | Prag Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801879911 PECOS PAC ID: 1456311380 Enrollment ID: I20091117000554 |
| Provider Name | Karen Buckley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225094659 PECOS PAC ID: 7719909308 Enrollment ID: I20091207000489 |
| Provider Name | David Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780688416 PECOS PAC ID: 5092608711 Enrollment ID: I20091214000310 |
| Provider Name | Karen D Coward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396715496 PECOS PAC ID: 5294815668 Enrollment ID: I20091216000126 |
| Provider Name | Joseph A Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402291 PECOS PAC ID: 1850431032 Enrollment ID: I20091218000454 |
| Provider Name | Kirk A Philpot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841294683 PECOS PAC ID: 7113067257 Enrollment ID: I20091221000413 |
| Provider Name | Mark J Petruzziello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336129535 PECOS PAC ID: 9739269101 Enrollment ID: I20091221000480 |
| Provider Name | Eduardo Sanmiguel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639176829 PECOS PAC ID: 7618065574 Enrollment ID: I20091223000432 |
| Provider Name | Masud Reza Quadir Baksh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992774202 PECOS PAC ID: 6901718048 Enrollment ID: I20091228000576 |
| Provider Name | Michael Sue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548245806 PECOS PAC ID: 0345381075 Enrollment ID: I20100104000312 |
| Provider Name | Brian O'neal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376754648 PECOS PAC ID: 8729129481 Enrollment ID: I20100104000524 |
| Provider Name | Robert B Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386614162 PECOS PAC ID: 8820178296 Enrollment ID: I20100105000206 |
| Provider Name | Shafqat H Ashai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386613735 PECOS PAC ID: 9133022833 Enrollment ID: I20100106000311 |
| Provider Name | Thomas P Mutton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760483689 PECOS PAC ID: 2466593975 Enrollment ID: I20100106000388 |
| Provider Name | David L Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871552810 PECOS PAC ID: 1153462692 Enrollment ID: I20100106000576 |
| Provider Name | Suzanne Woolard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922066281 PECOS PAC ID: 9234270687 Enrollment ID: I20100106000806 |
| Provider Name | Angela N Hutzenbuhler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245216266 PECOS PAC ID: 8426028622 Enrollment ID: I20100112000648 |
| Provider Name | Dwan Quennel Varner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538352711 PECOS PAC ID: 6709927635 Enrollment ID: I20100113000948 |
| Provider Name | Bartholomew J Resta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790727568 PECOS PAC ID: 4688601586 Enrollment ID: I20100123000255 |
| Provider Name | Shawnna L Patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205899820 PECOS PAC ID: 9638266646 Enrollment ID: I20100125000166 |
| Provider Name | Richard Chesson Taft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639136856 PECOS PAC ID: 7517009574 Enrollment ID: I20100128000921 |
| Provider Name | Indira D Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245484211 PECOS PAC ID: 6103969993 Enrollment ID: I20100202000400 |
| Provider Name | Sharona Y Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831117373 PECOS PAC ID: 4183767932 Enrollment ID: I20100202000958 |
| Provider Name | James Eugene Kendall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144205287 PECOS PAC ID: 8921141359 Enrollment ID: I20100206000089 |
| Provider Name | Sherry L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740513308 PECOS PAC ID: 4183767429 Enrollment ID: I20100208000780 |
| Provider Name | Teigha Jan Randolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811972425 PECOS PAC ID: 4082795927 Enrollment ID: I20100213000123 |
| Provider Name | Daniel P Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134113335 PECOS PAC ID: 8921142472 Enrollment ID: I20100222000330 |
| Provider Name | Thomas B Crabtree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871563817 PECOS PAC ID: 3072657311 Enrollment ID: I20100224000429 |
| Provider Name | Leonard D Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326041104 PECOS PAC ID: 8022911635 Enrollment ID: I20100225000522 |
| Provider Name | Mandy Fields Starbuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245564160 PECOS PAC ID: 4981749181 Enrollment ID: I20100226000203 |
| Provider Name | Janice E Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978616 PECOS PAC ID: 2365587524 Enrollment ID: I20100227000015 |
| Provider Name | Jawaid Ahsan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578618815 PECOS PAC ID: 9739265497 Enrollment ID: I20100302000959 |
| Provider Name | Angela B Mebane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043203797 PECOS PAC ID: 7315082963 Enrollment ID: I20100306000280 |
| Provider Name | John T Meredith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811980345 PECOS PAC ID: 0648315911 Enrollment ID: I20100311000315 |
| Provider Name | Timothy J Reeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235126111 PECOS PAC ID: 3779618855 Enrollment ID: I20100315000384 |
| Provider Name | Jennifer C Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962644377 PECOS PAC ID: 9830245935 Enrollment ID: I20100316000972 |
| Provider Name | Isabelle H Eustice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821021080 PECOS PAC ID: 1052446093 Enrollment ID: I20100316000995 |
| Provider Name | Timothy E Frei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851390280 PECOS PAC ID: 4183759335 Enrollment ID: I20100318000837 |
| Provider Name | Uma Akkineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043293558 PECOS PAC ID: 5799752960 Enrollment ID: I20100320000065 |
| Provider Name | Meagan A Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922330901 PECOS PAC ID: 5597890111 Enrollment ID: I20100320000082 |
| Provider Name | Frank M Parker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235124785 PECOS PAC ID: 2860527496 Enrollment ID: I20100320000213 |
| Provider Name | Teri V Askew-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427295310 PECOS PAC ID: 0648305284 Enrollment ID: I20100320000273 |
| Provider Name | Jamie H Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285957209 PECOS PAC ID: 0547395188 Enrollment ID: I20100320000282 |
| Provider Name | Harry James Deantonio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982605721 PECOS PAC ID: 2466587985 Enrollment ID: I20100322000906 |
| Provider Name | Richard S Zeri |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487637534 PECOS PAC ID: 7315073731 Enrollment ID: I20100324001121 |
| Provider Name | John Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609988393 PECOS PAC ID: 2264568591 Enrollment ID: I20100325001025 |
| Provider Name | Walter E Pofahl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952396814 PECOS PAC ID: 3577610120 Enrollment ID: I20100327000307 |
| Provider Name | Sherry Leigh Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760445431 PECOS PAC ID: 9032245014 Enrollment ID: I20100329001089 |
| Provider Name | John M Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700869401 PECOS PAC ID: 0042346983 Enrollment ID: I20100330000543 |
| Provider Name | David W Frazier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114076395 PECOS PAC ID: 1850427832 Enrollment ID: I20100331001064 |
| Provider Name | Montell Dupree Salary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699896712 PECOS PAC ID: 6800974130 Enrollment ID: I20100405000372 |
| Provider Name | Grace K Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790927416 PECOS PAC ID: 5991831588 Enrollment ID: I20100408000148 |
| Provider Name | Charlie J Sang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295726131 PECOS PAC ID: 1951437474 Enrollment ID: I20100409000037 |
| Provider Name | John Stafford Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932198090 PECOS PAC ID: 6800922386 Enrollment ID: I20100414000464 |
| Provider Name | Joseph R Haskett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669461729 PECOS PAC ID: 5991831471 Enrollment ID: I20100414000590 |
| Provider Name | Robert D Steed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366424731 PECOS PAC ID: 5395872717 Enrollment ID: I20100416000061 |
| Provider Name | John W Surles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841314457 PECOS PAC ID: 8426185745 Enrollment ID: I20100419000499 |
| Provider Name | Mark Philip Cheltenham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114027588 PECOS PAC ID: 9133121601 Enrollment ID: I20100420000797 |
| Provider Name | John D Rose |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083602767 PECOS PAC ID: 9133256068 Enrollment ID: I20100423000405 |
| Provider Name | Glen David Subin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801995485 PECOS PAC ID: 8022145986 Enrollment ID: I20100423000828 |
| Provider Name | Tonya Lanell Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457405482 PECOS PAC ID: 4789711417 Enrollment ID: I20100428000618 |
| Provider Name | Eric A Reyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235461419 PECOS PAC ID: 5395872022 Enrollment ID: I20100428000656 |
| Provider Name | Raymundo V Millan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053305425 PECOS PAC ID: 5193852853 Enrollment ID: I20100428000920 |
| Provider Name | Wendy W Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114137031 PECOS PAC ID: 7416084017 Enrollment ID: I20100429000546 |
| Provider Name | Johnny L Farrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891831038 PECOS PAC ID: 2365579984 Enrollment ID: I20100429000781 |
| Provider Name | Cynthia Powell Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548317233 PECOS PAC ID: 7911035274 Enrollment ID: I20100506000352 |
| Provider Name | Charlsie C Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609198761 PECOS PAC ID: 2668500620 Enrollment ID: I20100512000530 |
| Provider Name | Kenneth L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457336760 PECOS PAC ID: 0446331383 Enrollment ID: I20100512001012 |
| Provider Name | Carl L Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720063340 PECOS PAC ID: 4981785821 Enrollment ID: I20100514000398 |
| Provider Name | Brianna Grittin Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467644708 PECOS PAC ID: 1759419534 Enrollment ID: I20100514000876 |
| Provider Name | Daniel Patrick Dwyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467478230 PECOS PAC ID: 3375671076 Enrollment ID: I20100517000211 |
| Provider Name | Edwin P Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194700799 PECOS PAC ID: 6709967649 Enrollment ID: I20100519000164 |
| Provider Name | Michael Steven Heller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336141621 PECOS PAC ID: 0648262816 Enrollment ID: I20100519000763 |
| Provider Name | Sonya Joy Hurdle-leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164555835 PECOS PAC ID: 3678602182 Enrollment ID: I20100521000252 |
| Provider Name | Lakeisha M Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912236548 PECOS PAC ID: 9638208192 Enrollment ID: I20100521000882 |
| Provider Name | Rosiland D Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578782819 PECOS PAC ID: 7618006719 Enrollment ID: I20100528000182 |
| Provider Name | Ronald M Perkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255326526 PECOS PAC ID: 7012046048 Enrollment ID: I20100528000635 |
| Provider Name | Obie Ramsay |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952504789 PECOS PAC ID: 6608905658 Enrollment ID: I20100601000126 |
| Provider Name | Cyncere J Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285606400 PECOS PAC ID: 9436288495 Enrollment ID: I20100601000249 |
| Provider Name | Brian N Brodish |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104879691 PECOS PAC ID: 1355470162 Enrollment ID: I20100603000174 |
| Provider Name | Brooke B Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455235 PECOS PAC ID: 8123194313 Enrollment ID: I20100607000558 |
| Provider Name | Narayanachar C Sekaran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356412878 PECOS PAC ID: 0345370060 Enrollment ID: I20100607000604 |
| Provider Name | William L Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295836575 PECOS PAC ID: 5496730004 Enrollment ID: I20100608000541 |
| Provider Name | Barry D Bunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578689907 PECOS PAC ID: 6901936426 Enrollment ID: I20100610000207 |
| Provider Name | Laura W Carmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669708095 PECOS PAC ID: 3173653540 Enrollment ID: I20100610000857 |
| Provider Name | Peter Robins Watson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376528687 PECOS PAC ID: 1355422395 Enrollment ID: I20100615000366 |
| Provider Name | Sanjay Mehra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629136205 PECOS PAC ID: 1153352117 Enrollment ID: I20100623000867 |
| Provider Name | Rotimi A Iluyomade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043298615 PECOS PAC ID: 2466433966 Enrollment ID: I20100628000164 |
| Provider Name | Christopher C Hasty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730173246 PECOS PAC ID: 7214097567 Enrollment ID: I20100712000107 |
| Provider Name | David W Hannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114919792 PECOS PAC ID: 9638201296 Enrollment ID: I20100716000351 |
| Provider Name | Sylvester Odeke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265426787 PECOS PAC ID: 9436281839 Enrollment ID: I20100721000286 |
| Provider Name | Vincent L Hoellerich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942311881 PECOS PAC ID: 7810084951 Enrollment ID: I20100723000151 |
| Provider Name | Nadyah J John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699975102 PECOS PAC ID: 4587796677 Enrollment ID: I20100726000524 |
| Provider Name | Vijay Randive |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194824177 PECOS PAC ID: 1759414816 Enrollment ID: I20100727000528 |
| Provider Name | Craig H Steffee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548254527 PECOS PAC ID: 7911030929 Enrollment ID: I20100728000165 |
| Provider Name | Jonathan N Hamilton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609965508 PECOS PAC ID: 1557494572 Enrollment ID: I20100728000288 |
| Provider Name | Musharraf Navaid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821061755 PECOS PAC ID: 5092819888 Enrollment ID: I20100730000267 |
| Provider Name | Richard Preston Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356561385 PECOS PAC ID: 7416080957 Enrollment ID: I20100804000150 |
| Provider Name | Jessica L Triche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386847309 PECOS PAC ID: 8729111034 Enrollment ID: I20100805001085 |
| Provider Name | Kristel J Mclawhorn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447475900 PECOS PAC ID: 6103950324 Enrollment ID: I20100810000510 |
| Provider Name | Brett E Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306010806 PECOS PAC ID: 6608900790 Enrollment ID: I20100811000292 |
| Provider Name | Gretchen P Vick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568447167 PECOS PAC ID: 8921132945 Enrollment ID: I20100812000826 |
| Provider Name | David Wayne Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831174564 PECOS PAC ID: 7214961614 Enrollment ID: I20100813000939 |
| Provider Name | James F Barwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659571073 PECOS PAC ID: 5294869921 Enrollment ID: I20100817001372 |
| Provider Name | Randal E White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184629297 PECOS PAC ID: 3173647476 Enrollment ID: I20100823001076 |
| Provider Name | Shauna M Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386970325 PECOS PAC ID: 1355465618 Enrollment ID: I20100824000743 |
| Provider Name | Matthew J Karpenko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912118647 PECOS PAC ID: 3476614835 Enrollment ID: I20100828000031 |
| Provider Name | Leonardo Villarosa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174716351 PECOS PAC ID: 6204950819 Enrollment ID: I20100903000442 |
| Provider Name | Billie J Threlkeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821011420 PECOS PAC ID: 8729102140 Enrollment ID: I20100907000820 |
| Provider Name | Clinton E Massey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700831914 PECOS PAC ID: 1951445634 Enrollment ID: I20100908000432 |
| Provider Name | Steven Muscoreil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427008374 PECOS PAC ID: 7618092974 Enrollment ID: I20100910000455 |
| Provider Name | Marcel Ikwuoma Akuneme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336398387 PECOS PAC ID: 2466577556 Enrollment ID: I20100913000896 |
| Provider Name | Eric C Lindzen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770559304 PECOS PAC ID: 0143265785 Enrollment ID: I20100923000953 |
| Provider Name | Ikenna A Nwachukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093845059 PECOS PAC ID: 1052483278 Enrollment ID: I20100924000446 |
| Provider Name | Edward Boudreau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528014461 PECOS PAC ID: 9638073067 Enrollment ID: I20100924000892 |
| Provider Name | Jeffrey T Lineberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093919870 PECOS PAC ID: 0648396861 Enrollment ID: I20100924001131 |
| Provider Name | Kareem A Hamdy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205852803 PECOS PAC ID: 2062416084 Enrollment ID: I20100928000466 |
| Provider Name | Jan H Wong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1538265236 PECOS PAC ID: 6507820362 Enrollment ID: I20100928001147 |
| Provider Name | Spencer R Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366453185 PECOS PAC ID: 4284750167 Enrollment ID: I20100928001512 |
| Provider Name | Pierre S Selwane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508179656 PECOS PAC ID: 6507058963 Enrollment ID: I20101005000103 |
| Provider Name | Patricia Michelle Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871536581 PECOS PAC ID: 0648462697 Enrollment ID: I20101008000233 |
| Provider Name | Mary C Edmondson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902920754 PECOS PAC ID: 0648463125 Enrollment ID: I20101015000851 |
| Provider Name | Makram A Yassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510013 PECOS PAC ID: 0042403305 Enrollment ID: I20101019000583 |
| Provider Name | Lisa A Ulmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043317167 PECOS PAC ID: 8729271994 Enrollment ID: I20101020000393 |
| Provider Name | Kenneth K Steinweg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316929797 PECOS PAC ID: 2860686730 Enrollment ID: I20101104000698 |
| Provider Name | Awais Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164607669 PECOS PAC ID: 1951595289 Enrollment ID: I20101118001031 |
| Provider Name | Clayten Lee Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427368232 PECOS PAC ID: 8426244088 Enrollment ID: I20101122000308 |
| Provider Name | Angela Whitten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265462535 PECOS PAC ID: 0244282408 Enrollment ID: I20101122001061 |
| Provider Name | Obinna Ogbonnaya Ikwechegh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952582967 PECOS PAC ID: 0749476372 Enrollment ID: I20101122001184 |
| Provider Name | James B Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780614297 PECOS PAC ID: 7214922590 Enrollment ID: I20101203000218 |
| Provider Name | Alicia G Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184924698 PECOS PAC ID: 0547457350 Enrollment ID: I20101206001032 |
| Provider Name | Wilton Carlyle Gay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881653889 PECOS PAC ID: 7719955111 Enrollment ID: I20101207000441 |
| Provider Name | Cecil A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619287265 PECOS PAC ID: 7911194485 Enrollment ID: I20101209000472 |
| Provider Name | Amanda C Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841505054 PECOS PAC ID: 2466649942 Enrollment ID: I20101209000611 |
| Provider Name | Mary S. Kraemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336131762 PECOS PAC ID: 1951599091 Enrollment ID: I20101216000369 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350936 PECOS PAC ID: 7911195664 Enrollment ID: I20101221001094 |
| Provider Name | Joseph T Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164421558 PECOS PAC ID: 9537357298 Enrollment ID: I20101221001127 |
| Provider Name | Dana Sherrick Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891871141 PECOS PAC ID: 2062600612 Enrollment ID: I20101222001040 |
| Provider Name | Lisa Y Coltrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144212754 PECOS PAC ID: 8325237506 Enrollment ID: I20110104001305 |
| Provider Name | Courage Emokpae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033175401 PECOS PAC ID: 2466346697 Enrollment ID: I20110112000137 |
| Provider Name | Jason A Foltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528014339 PECOS PAC ID: 1456540160 Enrollment ID: I20110112000198 |
| Provider Name | Sandra Jordan Layden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619277357 PECOS PAC ID: 7719176395 Enrollment ID: I20110113000092 |
| Provider Name | Karen N Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295037299 PECOS PAC ID: 2961691589 Enrollment ID: I20110113000539 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20110119000379 |
| Provider Name | Rachel E Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164564126 PECOS PAC ID: 2860671906 Enrollment ID: I20110121000558 |
| Provider Name | Janet Ruth Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922300904 PECOS PAC ID: 4981883527 Enrollment ID: I20110127000879 |
| Provider Name | Neha N Doctor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982417 PECOS PAC ID: 5193904621 Enrollment ID: I20110128000799 |
| Provider Name | Karen Parrish Huey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275748584 PECOS PAC ID: 4486834728 Enrollment ID: I20110203000842 |
| Provider Name | Felicia R Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013212158 PECOS PAC ID: 9638359243 Enrollment ID: I20110214000497 |
| Provider Name | Morgen Frieden Obermeit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952604316 PECOS PAC ID: 3476735986 Enrollment ID: I20110304000198 |
| Provider Name | Liliane Ziherambere Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487853065 PECOS PAC ID: 1254513393 Enrollment ID: I20110310000108 |
| Provider Name | Kofi Adeleke Doonquah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740210426 PECOS PAC ID: 5890977805 Enrollment ID: I20110314000100 |
| Provider Name | Kenneth N Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851570444 PECOS PAC ID: 7618989708 Enrollment ID: I20110315000873 |
| Provider Name | Joseph Dodson Elbeery |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265697080 PECOS PAC ID: 7517149222 Enrollment ID: I20110316000446 |
| Provider Name | Sue Ann Fockler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447556691 PECOS PAC ID: 7214110188 Enrollment ID: I20110330000731 |
| Provider Name | Christian Finn Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730138066 PECOS PAC ID: 5092782219 Enrollment ID: I20110412000629 |
| Provider Name | Debby Crosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285824961 PECOS PAC ID: 1153404868 Enrollment ID: I20110413000911 |
| Provider Name | Brittany Mobley Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467751263 PECOS PAC ID: 5698959609 Enrollment ID: I20110414000752 |
| Provider Name | Amanda C Laughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093012239 PECOS PAC ID: 8325223183 Enrollment ID: I20110421000431 |
| Provider Name | David Mckenzie Kraebber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659372639 PECOS PAC ID: 7416022140 Enrollment ID: I20110428000340 |
| Provider Name | Tracy L Eskra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558368522 PECOS PAC ID: 3274620778 Enrollment ID: I20110505000645 |
| Provider Name | Renea S Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134431117 PECOS PAC ID: 9537344502 Enrollment ID: I20110506000615 |
| Provider Name | Ashley D Kent |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225105026 PECOS PAC ID: 4688633662 Enrollment ID: I20110509000578 |
| Provider Name | Abram T Seavers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154314391 PECOS PAC ID: 3678696986 Enrollment ID: I20110510000827 |
| Provider Name | Rinson A Weathers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265567762 PECOS PAC ID: 9234315003 Enrollment ID: I20110511000495 |
| Provider Name | Mark R Cervi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700846672 PECOS PAC ID: 0749466530 Enrollment ID: I20110511000802 |
| Provider Name | Marc Sabo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730193228 PECOS PAC ID: 1052301744 Enrollment ID: I20110519000700 |
| Provider Name | Wanda Lynn Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750328910 PECOS PAC ID: 4789862947 Enrollment ID: I20110617000330 |
| Provider Name | Ovidiu-gabriel Silasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619915691 PECOS PAC ID: 1557461258 Enrollment ID: I20110620000311 |
| Provider Name | Ryan C Lowther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699064717 PECOS PAC ID: 8325226947 Enrollment ID: I20110630000534 |
| Provider Name | Richard F Garri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770551293 PECOS PAC ID: 8921037987 Enrollment ID: I20110712000360 |
| Provider Name | Joshua P Denny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356636872 PECOS PAC ID: 1254509441 Enrollment ID: I20110713000607 |
| Provider Name | Maria Eugenia Picton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881751097 PECOS PAC ID: 8224134697 Enrollment ID: I20110719000608 |
| Provider Name | Gina Madriene Murray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952500936 PECOS PAC ID: 7719155548 Enrollment ID: I20110722000277 |
| Provider Name | Juan R Aviles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417283268 PECOS PAC ID: 3173791811 Enrollment ID: I20110722000432 |
| Provider Name | Johnna M Cowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580223 PECOS PAC ID: 5395913826 Enrollment ID: I20110727000437 |
| Provider Name | Robert Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871754812 PECOS PAC ID: 7618164765 Enrollment ID: I20110804000570 |
| Provider Name | Vijay Kumar Talreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851554067 PECOS PAC ID: 2466621073 Enrollment ID: I20110816000076 |
| Provider Name | Masud S Hashmi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003809633 PECOS PAC ID: 0244128353 Enrollment ID: I20110819000067 |
| Provider Name | Stacey E Applegate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104974526 PECOS PAC ID: 3779753165 Enrollment ID: I20110822000336 |
| Provider Name | Martine T Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801035779 PECOS PAC ID: 9032389218 Enrollment ID: I20110825000358 |
| Provider Name | Richard Blackburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801834767 PECOS PAC ID: 5597755926 Enrollment ID: I20110830000518 |
| Provider Name | John D Bream |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811124266 PECOS PAC ID: 4385814177 Enrollment ID: I20110906000270 |
| Provider Name | Bryan K Dunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972739811 PECOS PAC ID: 2769420579 Enrollment ID: I20110907000816 |
| Provider Name | Matthew Alan Collins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649392853 PECOS PAC ID: 9133399710 Enrollment ID: I20110909002642 |
| Provider Name | Gajendra Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720254428 PECOS PAC ID: 7416128764 Enrollment ID: I20110919000523 |
| Provider Name | Francis Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861482515 PECOS PAC ID: 7517867104 Enrollment ID: I20110930000354 |
| Provider Name | Karinn Chambers |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497915771 PECOS PAC ID: 5395917793 Enrollment ID: I20111006000705 |
| Provider Name | Darlene May Stibal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639114887 PECOS PAC ID: 5294850731 Enrollment ID: I20111015000044 |
| Provider Name | Heather H Jones |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346485687 PECOS PAC ID: 5890967905 Enrollment ID: I20111015000045 |
| Provider Name | Hilal Azzam Kanaan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609073220 PECOS PAC ID: 0345412235 Enrollment ID: I20111019000625 |
| Provider Name | Kerry L Hollowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235339730 PECOS PAC ID: 1951573799 Enrollment ID: I20111020000398 |
| Provider Name | Susan P Schriefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982668513 PECOS PAC ID: 8729251541 Enrollment ID: I20111024000008 |
| Provider Name | Brenda Smith Peacock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942287271 PECOS PAC ID: 4486639598 Enrollment ID: I20111025000503 |
| Provider Name | Shamusideen O Ogbulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144478736 PECOS PAC ID: 4688741812 Enrollment ID: I20111026000946 |
| Provider Name | Michael E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982986675 PECOS PAC ID: 9739353210 Enrollment ID: I20111118000128 |
| Provider Name | Fuad Rafique Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093734667 PECOS PAC ID: 2567455017 Enrollment ID: I20111118000540 |
| Provider Name | Kasturi Etukuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912117300 PECOS PAC ID: 3870688609 Enrollment ID: I20111123000221 |
| Provider Name | Chidebe Orakwalu Udeozo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316112105 PECOS PAC ID: 0345427282 Enrollment ID: I20111128000294 |
| Provider Name | Laura E Matarese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750665493 PECOS PAC ID: 8921272055 Enrollment ID: I20111129000464 |
| Provider Name | Felicia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508141854 PECOS PAC ID: 6002081585 Enrollment ID: I20111212000576 |
| Provider Name | Edward H Woo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760412043 PECOS PAC ID: 8123010402 Enrollment ID: I20111222000127 |
| Provider Name | Denise Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194739680 PECOS PAC ID: 0446351738 Enrollment ID: I20111228000221 |
| Provider Name | Edwin L Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285747204 PECOS PAC ID: 4486821311 Enrollment ID: I20120118000328 |
| Provider Name | Brent Ellmers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255329454 PECOS PAC ID: 2264452036 Enrollment ID: I20120127000800 |
| Provider Name | Jonathan Hargett Kornegay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730347485 PECOS PAC ID: 8628235751 Enrollment ID: I20120201000609 |
| Provider Name | Megan Mcmunigle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760751887 PECOS PAC ID: 2264699255 Enrollment ID: I20120202000361 |
| Provider Name | Chrystie L Stowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053680892 PECOS PAC ID: 0345407391 Enrollment ID: I20120203000065 |
| Provider Name | Joseph John Lopresti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578672226 PECOS PAC ID: 6608855234 Enrollment ID: I20120215000557 |
| Provider Name | Kiotta L Barnhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427332675 PECOS PAC ID: 0345408621 Enrollment ID: I20120215000581 |
| Provider Name | Nachida Hamidi-sitouah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215107156 PECOS PAC ID: 4183706898 Enrollment ID: I20120224000094 |
| Provider Name | Valerie Marie Buffaloe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285918516 PECOS PAC ID: 6204095151 Enrollment ID: I20120313000000 |
| Provider Name | Jennifer Casaletto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962449553 PECOS PAC ID: 7416051826 Enrollment ID: I20120323000617 |
| Provider Name | Richard Oneal Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692428 PECOS PAC ID: 7113187386 Enrollment ID: I20120326000412 |
| Provider Name | Emmanuel O Uloko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033492954 PECOS PAC ID: 2365602026 Enrollment ID: I20120404000696 |
| Provider Name | Thomas Owen Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922004498 PECOS PAC ID: 1759474307 Enrollment ID: I20120412000590 |
| Provider Name | Maureen A Tumolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891963286 PECOS PAC ID: 4385814235 Enrollment ID: I20120418000154 |
| Provider Name | Laureen C Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730460064 PECOS PAC ID: 2961664412 Enrollment ID: I20120430000732 |
| Provider Name | Ashley Idiaquez Kinnaird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699069997 PECOS PAC ID: 9436320496 Enrollment ID: I20120502000670 |
| Provider Name | Michael Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881670016 PECOS PAC ID: 3971408758 Enrollment ID: I20120507000760 |
| Provider Name | Neelima Kamineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639261456 PECOS PAC ID: 5496850968 Enrollment ID: I20120531000640 |
| Provider Name | Louisa A Ayafor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013165695 PECOS PAC ID: 8123283728 Enrollment ID: I20120705000392 |
| Provider Name | Emilie Pendley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720215981 PECOS PAC ID: 5698930030 Enrollment ID: I20120710000107 |
| Provider Name | Eslam Galal Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811155419 PECOS PAC ID: 0446317887 Enrollment ID: I20120727000512 |
| Provider Name | Regis G Hoppenot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033419056 PECOS PAC ID: 5991951923 Enrollment ID: I20120808000030 |
| Provider Name | Eyad Husam Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923025 PECOS PAC ID: 1557518917 Enrollment ID: I20120821000222 |
| Provider Name | Barbara Joan Connold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992072698 PECOS PAC ID: 8527215664 Enrollment ID: I20120824000747 |
| Provider Name | Vanesh Khetpal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093946832 PECOS PAC ID: 9234386384 Enrollment ID: I20120824000778 |
| Provider Name | Sarah C Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649534199 PECOS PAC ID: 8921255886 Enrollment ID: I20120828000551 |
| Provider Name | Stephen A Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750511937 PECOS PAC ID: 5193973667 Enrollment ID: I20120907000612 |
| Provider Name | Michael Thomas Hopkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063474526 PECOS PAC ID: 5597927459 Enrollment ID: I20120914000047 |
| Provider Name | Khalil Zahra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467483198 PECOS PAC ID: 0840288411 Enrollment ID: I20120918000008 |
| Provider Name | Susan M Whicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740457159 PECOS PAC ID: 2466600234 Enrollment ID: I20120920000044 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20120924000377 |
| Provider Name | Edward Rampersaud |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205003092 PECOS PAC ID: 8123151404 Enrollment ID: I20120924000823 |
| Provider Name | Nkechinyere Angela Obiefuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417103417 PECOS PAC ID: 0143368951 Enrollment ID: I20120925000622 |
| Provider Name | Avanti Vigg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649417353 PECOS PAC ID: 8527226042 Enrollment ID: I20120927000204 |
| Provider Name | Quaratulain Anwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710177548 PECOS PAC ID: 9830348366 Enrollment ID: I20120927000233 |
| Provider Name | Srinivas S Mikkilineni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558595108 PECOS PAC ID: 9133378540 Enrollment ID: I20120928000451 |
| Provider Name | Niti S Armistead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205852134 PECOS PAC ID: 4587554118 Enrollment ID: I20121004000557 |
| Provider Name | Louis M Radnothy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184709594 PECOS PAC ID: 5395841951 Enrollment ID: I20121005000371 |
| Provider Name | Dawn Belch Farmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710236534 PECOS PAC ID: 9032369350 Enrollment ID: I20121023000434 |
| Provider Name | Iskra Magick Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508802 PECOS PAC ID: 6406006733 Enrollment ID: I20121023000556 |
| Provider Name | Christopher Edward Mullins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538157789 PECOS PAC ID: 3072565340 Enrollment ID: I20121026000068 |
| Provider Name | John L Silvernail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356385462 PECOS PAC ID: 4981639515 Enrollment ID: I20121026000470 |
| Provider Name | Nasreen A Vohra |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134308158 PECOS PAC ID: 5092972943 Enrollment ID: I20121029000633 |
| Provider Name | Mary K Crouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124383062 PECOS PAC ID: 9133370950 Enrollment ID: I20121102000571 |
| Provider Name | Gohar Arslan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053351544 PECOS PAC ID: 1557307758 Enrollment ID: I20121113000262 |
| Provider Name | Veeraindar Goli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295819993 PECOS PAC ID: 2062408016 Enrollment ID: I20121115000594 |
| Provider Name | Heather J Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952601338 PECOS PAC ID: 0143489575 Enrollment ID: I20121116000299 |
| Provider Name | Kelly L Vanderhave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053375170 PECOS PAC ID: 3274538723 Enrollment ID: I20121214000443 |
| Provider Name | Anna G Faidas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780779116 PECOS PAC ID: 2466604541 Enrollment ID: I20121219000201 |
| Provider Name | Samuel Lev Moskowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932336161 PECOS PAC ID: 0749433407 Enrollment ID: I20130104000364 |
| Provider Name | Julane Chappell Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629328190 PECOS PAC ID: 9638322068 Enrollment ID: I20130114000370 |
| Provider Name | Melissa Sims Logan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164403887 PECOS PAC ID: 4880847110 Enrollment ID: I20130116000386 |
| Provider Name | Micheline S Tantchou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043481401 PECOS PAC ID: 4981756483 Enrollment ID: I20130129000439 |
| Provider Name | Patty Sue Ohrum-bergmueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639164957 PECOS PAC ID: 2961482062 Enrollment ID: I20130131000174 |
| Provider Name | Philip C Vandongen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982602157 PECOS PAC ID: 6103969811 Enrollment ID: I20130131000177 |
| Provider Name | Stephanie Mills Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063765345 PECOS PAC ID: 2668626375 Enrollment ID: I20130205000427 |
| Provider Name | David W Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942596481 PECOS PAC ID: 6002060431 Enrollment ID: I20130212000035 |
| Provider Name | Michael Knudsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750340527 PECOS PAC ID: 3476798943 Enrollment ID: I20130404000252 |
| Provider Name | Veronica D Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558600692 PECOS PAC ID: 4385880210 Enrollment ID: I20130423000057 |
| Provider Name | Christy W Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006975 PECOS PAC ID: 1153569454 Enrollment ID: I20130528000567 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20130529000985 |
| Provider Name | Cinthia D Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829277 PECOS PAC ID: 1658510383 Enrollment ID: I20130610000462 |
| Provider Name | Edwin Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861492134 PECOS PAC ID: 5092754226 Enrollment ID: I20130613000759 |
| Provider Name | Andrew Campbell Weil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417121716 PECOS PAC ID: 5597904508 Enrollment ID: I20130625000088 |
| Provider Name | Jeff P Vista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750339883 PECOS PAC ID: 3577456011 Enrollment ID: I20130626000328 |
| Provider Name | Haile Atkins Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780822882 PECOS PAC ID: 3678629938 Enrollment ID: I20130716000279 |
| Provider Name | Jil H Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437273257 PECOS PAC ID: 1759522394 Enrollment ID: I20130724000937 |
| Provider Name | Robert G Reiheld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659498871 PECOS PAC ID: 3870734148 Enrollment ID: I20130729000957 |
| Provider Name | Raj Bharat Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859716 PECOS PAC ID: 8729229943 Enrollment ID: I20130730000603 |
| Provider Name | Mallory C Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376980482 PECOS PAC ID: 3870735624 Enrollment ID: I20130807001016 |
| Provider Name | Kimberly R Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225265366 PECOS PAC ID: 9133384464 Enrollment ID: I20130819000461 |
| Provider Name | Dean J Yamaguchi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316016397 PECOS PAC ID: 2567608250 Enrollment ID: I20130826000252 |
| Provider Name | Arinze Okwudili Ikeme |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740444710 PECOS PAC ID: 3577703271 Enrollment ID: I20130831000013 |
| Provider Name | James Earl Stanton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932280724 PECOS PAC ID: 8628211877 Enrollment ID: I20130909000016 |
| Provider Name | Vipul Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416304 PECOS PAC ID: 0547452898 Enrollment ID: I20130910000530 |
| Provider Name | Brenna E Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750722823 PECOS PAC ID: 5698919728 Enrollment ID: I20130911000655 |
| Provider Name | Donneshia G Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265752273 PECOS PAC ID: 1254575160 Enrollment ID: I20130916000414 |
| Provider Name | Jomari S Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851390371 PECOS PAC ID: 8325282189 Enrollment ID: I20130917000304 |
| Provider Name | Mahvish Muzaffar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1720244734 PECOS PAC ID: 2668616459 Enrollment ID: I20130917000653 |
| Provider Name | Andrew W Ju |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235394081 PECOS PAC ID: 9638313158 Enrollment ID: I20130923000509 |
| Provider Name | Robert James Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154331148 PECOS PAC ID: 1052486297 Enrollment ID: I20130930000065 |
| Provider Name | Ravali Janagam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528388121 PECOS PAC ID: 6608000948 Enrollment ID: I20130930000067 |
| Provider Name | Nada A Fadul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912910423 PECOS PAC ID: 0244237329 Enrollment ID: I20131007000856 |
| Provider Name | Cecilia R Nashatizadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194754275 PECOS PAC ID: 8224262191 Enrollment ID: I20131008000997 |
| Provider Name | Ashley Flythe Deloatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841533379 PECOS PAC ID: 9638303415 Enrollment ID: I20131010000171 |
| Provider Name | Brian M Whitley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841495769 PECOS PAC ID: 0648404269 Enrollment ID: I20131014000967 |
| Provider Name | Dhruva Chawla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245430727 PECOS PAC ID: 5496989048 Enrollment ID: I20131014001785 |
| Provider Name | Bryan B Kitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063708287 PECOS PAC ID: 9335374677 Enrollment ID: I20131023000350 |
| Provider Name | Sunita Juliana Ferns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255591707 PECOS PAC ID: 6305093683 Enrollment ID: I20131025001499 |
| Provider Name | Jamande Amin Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003136383 PECOS PAC ID: 5799910733 Enrollment ID: I20131030000130 |
| Provider Name | Edem K Avoke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891006631 PECOS PAC ID: 5395970115 Enrollment ID: I20131104001111 |
| Provider Name | Hafiz M Sarwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326370222 PECOS PAC ID: 5294960829 Enrollment ID: I20131106001413 |
| Provider Name | Catherine Elizabeth Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043589401 PECOS PAC ID: 3476789686 Enrollment ID: I20131118001338 |
| Provider Name | Narasimha Gollol Raju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336344977 PECOS PAC ID: 3072669266 Enrollment ID: I20131120000874 |
| Provider Name | Hanumantha Rao Jogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144533027 PECOS PAC ID: 5496981359 Enrollment ID: I20131123000001 |
| Provider Name | Navneeth Rao Bongu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689811325 PECOS PAC ID: 5597801738 Enrollment ID: I20131202001665 |
| Provider Name | Amber Estelle Fort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467673269 PECOS PAC ID: 6002086964 Enrollment ID: I20131203001605 |
| Provider Name | Praveen R Chada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437349016 PECOS PAC ID: 1355510306 Enrollment ID: I20131209000313 |
| Provider Name | Marc Wesley Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811197825 PECOS PAC ID: 0941437313 Enrollment ID: I20131210000276 |
| Provider Name | Geniene Nicole Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568782845 PECOS PAC ID: 4284861527 Enrollment ID: I20131212001404 |
| Provider Name | Purushotham Gorrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124044771 PECOS PAC ID: 0547267981 Enrollment ID: I20131212001475 |
| Provider Name | Mircea George Cristescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992758700 PECOS PAC ID: 8527085422 Enrollment ID: I20131216000009 |
| Provider Name | Frank L Christopher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942273685 PECOS PAC ID: 9032346176 Enrollment ID: I20131216001281 |
| Provider Name | Charley C Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204585 PECOS PAC ID: 4688801699 Enrollment ID: I20131219001282 |
| Provider Name | Karen Kutchera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508826975 PECOS PAC ID: 2163431057 Enrollment ID: I20131220000924 |
| Provider Name | Lenwood P Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750348777 PECOS PAC ID: 4789605189 Enrollment ID: I20140106000925 |
| Provider Name | Gwyneth Moore Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891136974 PECOS PAC ID: 8527296177 Enrollment ID: I20140106001426 |
| Provider Name | Vengamamba Polu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982916342 PECOS PAC ID: 2264660547 Enrollment ID: I20140113000829 |
| Provider Name | Sanjay Singareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679548291 PECOS PAC ID: 3476573874 Enrollment ID: I20140113001195 |
| Provider Name | David Blackwell Jessup |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477502136 PECOS PAC ID: 0042207219 Enrollment ID: I20140114000868 |
| Provider Name | Jay Richard Solorio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588667513 PECOS PAC ID: 7416957311 Enrollment ID: I20140121000177 |
| Provider Name | Jennifer L Stahl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932420916 PECOS PAC ID: 2668601154 Enrollment ID: I20140203001146 |
| Provider Name | Cynthia R Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811897 PECOS PAC ID: 4486883790 Enrollment ID: I20140207001675 |
| Provider Name | Rachel E Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518397470 PECOS PAC ID: 8224267208 Enrollment ID: I20140218000010 |
| Provider Name | Cherrie C Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073774295 PECOS PAC ID: 4587794581 Enrollment ID: I20140218001890 |
| Provider Name | Saiyyed O Aziem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073662888 PECOS PAC ID: 2163569203 Enrollment ID: I20140318000500 |
| Provider Name | Constantin Bogdan Marcu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528013885 PECOS PAC ID: 5395754782 Enrollment ID: I20140318001937 |
| Provider Name | Israel Landa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255536165 PECOS PAC ID: 9436231750 Enrollment ID: I20140319002246 |
| Provider Name | Diab Sidahmed Omer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083891808 PECOS PAC ID: 9133292212 Enrollment ID: I20140327002333 |
| Provider Name | Leonard Alexander Stallings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102146 PECOS PAC ID: 1557592862 Enrollment ID: I20140331001718 |
| Provider Name | Brandon Michael Eppihimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851413751 PECOS PAC ID: 6103974829 Enrollment ID: I20140404000968 |
| Provider Name | Andrew L Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982034856 PECOS PAC ID: 3577795160 Enrollment ID: I20140414001282 |
| Provider Name | Benjamin P. Debelak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790808848 PECOS PAC ID: 1456543743 Enrollment ID: I20140416000211 |
| Provider Name | Mario Christianto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457611337 PECOS PAC ID: 5294968160 Enrollment ID: I20140429002084 |
| Provider Name | John Patrick Selph |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336383934 PECOS PAC ID: 9537382726 Enrollment ID: I20140515000318 |
| Provider Name | Elie Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324442 PECOS PAC ID: 0547336968 Enrollment ID: I20140519000647 |
| Provider Name | Ariel Hidalgo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821368648 PECOS PAC ID: 5092938035 Enrollment ID: I20140521000591 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20140602001825 |
| Provider Name | Cassandra K Bradby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093026767 PECOS PAC ID: 6002039401 Enrollment ID: I20140603000399 |
| Provider Name | Lee Anne Sorto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659719367 PECOS PAC ID: 2264672740 Enrollment ID: I20140613000950 |
| Provider Name | Kari Blankenhorn Kirian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699010504 PECOS PAC ID: 6103041652 Enrollment ID: I20140625002718 |
| Provider Name | Michael J Sylvia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215197330 PECOS PAC ID: 5294950564 Enrollment ID: I20140628000132 |
| Provider Name | James R Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700174950 PECOS PAC ID: 6507081668 Enrollment ID: I20140702002603 |
| Provider Name | Heather Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717573 PECOS PAC ID: 0345466231 Enrollment ID: I20140730000905 |
| Provider Name | Bryan C Bunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568787141 PECOS PAC ID: 0244473130 Enrollment ID: I20140804000858 |
| Provider Name | Bonnie S Corley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649259417 PECOS PAC ID: 2961446810 Enrollment ID: I20140806000938 |
| Provider Name | Karri Britton Wynne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477963627 PECOS PAC ID: 2668699968 Enrollment ID: I20140811000862 |
| Provider Name | Raymond Thomas Seiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033161864 PECOS PAC ID: 6103844519 Enrollment ID: I20140811001362 |
| Provider Name | Victoria Blair Carraway Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407269426 PECOS PAC ID: 3072730845 Enrollment ID: I20140819001551 |
| Provider Name | Russell Raymond Wilford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114213162 PECOS PAC ID: 5294953873 Enrollment ID: I20140822001421 |
| Provider Name | Camilo A Ortega Parra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780971853 PECOS PAC ID: 0446478655 Enrollment ID: I20140902000343 |
| Provider Name | Emily Walters Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639599038 PECOS PAC ID: 1658599618 Enrollment ID: I20140904001403 |
| Provider Name | Suchita Shirish Pancholi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144516386 PECOS PAC ID: 6406075217 Enrollment ID: I20140909002738 |
| Provider Name | Abby J Fuoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659435410 PECOS PAC ID: 0042319980 Enrollment ID: I20140911001745 |
| Provider Name | Ajai Shreevatsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760549240 PECOS PAC ID: 8426152927 Enrollment ID: I20140911001971 |
| Provider Name | Vivek Anand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639308901 PECOS PAC ID: 0446479935 Enrollment ID: I20140916000395 |
| Provider Name | Kimberly Michelle Rathbun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619263605 PECOS PAC ID: 9133348626 Enrollment ID: I20140916000544 |
| Provider Name | Ravi C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932496585 PECOS PAC ID: 1658590971 Enrollment ID: I20140919000281 |
| Provider Name | Merari Cruz Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972886380 PECOS PAC ID: 1658590666 Enrollment ID: I20140923002277 |
| Provider Name | Dell E Simmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124241542 PECOS PAC ID: 8921169236 Enrollment ID: I20141002001514 |
| Provider Name | Philip J Boyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639138761 PECOS PAC ID: 2062511843 Enrollment ID: I20141007002943 |
| Provider Name | John Wesley Earley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396031852 PECOS PAC ID: 8224259338 Enrollment ID: I20141014001746 |
| Provider Name | Srobona Tublu Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396845426 PECOS PAC ID: 1759500895 Enrollment ID: I20141016002729 |
| Provider Name | Sanam Baghshomali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922234830 PECOS PAC ID: 3870714645 Enrollment ID: I20141020001335 |
| Provider Name | Sachin Kunde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396904967 PECOS PAC ID: 3375712003 Enrollment ID: I20141022001438 |
| Provider Name | Farah S Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265711444 PECOS PAC ID: 0840411567 Enrollment ID: I20141022001559 |
| Provider Name | Janie L Orrington-myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215132907 PECOS PAC ID: 9335232065 Enrollment ID: I20141028002380 |
| Provider Name | Mark David Iannettoni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164404976 PECOS PAC ID: 5698768075 Enrollment ID: I20141028002383 |
| Provider Name | Robert J Dayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265471296 PECOS PAC ID: 5799680922 Enrollment ID: I20141029002385 |
| Provider Name | Joseph G Kotora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356423768 PECOS PAC ID: 1153579495 Enrollment ID: I20141104000725 |
| Provider Name | Eshwar Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447581335 PECOS PAC ID: 3678720331 Enrollment ID: I20141106000411 |
| Provider Name | Douglas Allen Fein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851317739 PECOS PAC ID: 3375538549 Enrollment ID: I20141107001610 |
| Provider Name | Stephanie K. Hawley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245523091 PECOS PAC ID: 9830322932 Enrollment ID: I20141111000688 |
| Provider Name | Donna Zekonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952621161 PECOS PAC ID: 4587886304 Enrollment ID: I20141112000139 |
| Provider Name | Ellen Ashley Dickens Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528468394 PECOS PAC ID: 7214159847 Enrollment ID: I20141113002197 |
| Provider Name | Jean Kelly Bish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235530973 PECOS PAC ID: 5698997088 Enrollment ID: I20141120000243 |
| Provider Name | Beata Jermakowicz-chuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215339213 PECOS PAC ID: 3476875428 Enrollment ID: I20141203000687 |
| Provider Name | Francis Michael Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760523369 PECOS PAC ID: 4880788132 Enrollment ID: I20141205000249 |
| Provider Name | Jaime S Argila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790041614 PECOS PAC ID: 1557683190 Enrollment ID: I20141209002066 |
| Provider Name | Chandra L Speight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487056784 PECOS PAC ID: 4981926318 Enrollment ID: I20141213000184 |
| Provider Name | Dieter Tetatah Wefuan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073834917 PECOS PAC ID: 5193048429 Enrollment ID: I20141217002533 |
| Provider Name | Amanda C Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300484 PECOS PAC ID: 0648593848 Enrollment ID: I20141218002575 |
| Provider Name | Benjamin Hocutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063817773 PECOS PAC ID: 4486977592 Enrollment ID: I20141222001422 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20150107000141 |
| Provider Name | Salomon Levy Miranda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164665055 PECOS PAC ID: 3375867740 Enrollment ID: I20150114000730 |
| Provider Name | Walter Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821040353 PECOS PAC ID: 0749274413 Enrollment ID: I20150122002645 |
| Provider Name | John Steven Carbone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578646378 PECOS PAC ID: 7416997531 Enrollment ID: I20150125000003 |
| Provider Name | James Douglas Harbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538193016 PECOS PAC ID: 6305803867 Enrollment ID: I20150125000005 |
| Provider Name | Robin Ipock Longest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265460448 PECOS PAC ID: 6608978366 Enrollment ID: I20150127000097 |
| Provider Name | Alfred Anthony Pirro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447263454 PECOS PAC ID: 1658475439 Enrollment ID: I20150127000133 |
| Provider Name | Saied Khosrowpour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275552440 PECOS PAC ID: 3971508466 Enrollment ID: I20150127000700 |
| Provider Name | Katrina G Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942626445 PECOS PAC ID: 2264756030 Enrollment ID: I20150127001057 |
| Provider Name | Michael Ritchie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689802480 PECOS PAC ID: 2365766144 Enrollment ID: I20150127001432 |
| Provider Name | Carlson Bryan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669871497 PECOS PAC ID: 4385968999 Enrollment ID: I20150129002527 |
| Provider Name | Daniel Allen Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417148974 PECOS PAC ID: 9537324819 Enrollment ID: I20150204002038 |
| Provider Name | Jenna W Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164827416 PECOS PAC ID: 5294050647 Enrollment ID: I20150206001350 |
| Provider Name | Kathryn Lofland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235536210 PECOS PAC ID: 7315262136 Enrollment ID: I20150218001912 |
| Provider Name | Sri Lakshmi Jasthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821230210 PECOS PAC ID: 4789637687 Enrollment ID: I20150219001799 |
| Provider Name | Richard C Couch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902983711 PECOS PAC ID: 3577503663 Enrollment ID: I20150305001525 |
| Provider Name | Ogochukwu Chizoba Adaku Okpala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407925324 PECOS PAC ID: 6800977828 Enrollment ID: I20150310002544 |
| Provider Name | Caddie Cowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740682160 PECOS PAC ID: 7810213816 Enrollment ID: I20150311000254 |
| Provider Name | Corissa E Peate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326436296 PECOS PAC ID: 2466778238 Enrollment ID: I20150313001807 |
| Provider Name | Walda Stacia Pinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700026127 PECOS PAC ID: 3577880376 Enrollment ID: I20150316000526 |
| Provider Name | Omar Mijael Villarroel Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457325334 PECOS PAC ID: 7719204403 Enrollment ID: I20150317001555 |
| Provider Name | Alicia Hiscox Parisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231349 PECOS PAC ID: 3274710470 Enrollment ID: I20150326002052 |
| Provider Name | Crystal Lynn Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235529926 PECOS PAC ID: 2860719028 Enrollment ID: I20150326002266 |
| Provider Name | Mila Berdecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549970 PECOS PAC ID: 4981684206 Enrollment ID: I20150330001138 |
| Provider Name | Ahmed Abubaker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134548407 PECOS PAC ID: 8022336676 Enrollment ID: I20150413000647 |
| Provider Name | Peter L Katz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679543458 PECOS PAC ID: 4385733948 Enrollment ID: I20150414001006 |
| Provider Name | Kalind Parashar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548435811 PECOS PAC ID: 9638304959 Enrollment ID: I20150420001278 |
| Provider Name | Elizabeth C Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881091072 PECOS PAC ID: 1254659386 Enrollment ID: I20150421001192 |
| Provider Name | Amanda R Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245632157 PECOS PAC ID: 0749509149 Enrollment ID: I20150506002814 |
| Provider Name | Carl Pavel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326067950 PECOS PAC ID: 9133359615 Enrollment ID: I20150522000060 |
| Provider Name | Bradford Bilicki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114142213 PECOS PAC ID: 8820161094 Enrollment ID: I20150528002040 |
| Provider Name | Thomas Ryan Gallaher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235450453 PECOS PAC ID: 7012155971 Enrollment ID: I20150529002402 |
| Provider Name | Harry Amoako Kissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518126267 PECOS PAC ID: 1254517501 Enrollment ID: I20150601002713 |
| Provider Name | James D Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295826881 PECOS PAC ID: 4284618166 Enrollment ID: I20150603003024 |
| Provider Name | Leonardo Morantes Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821317637 PECOS PAC ID: 2264757574 Enrollment ID: I20150610000308 |
| Provider Name | Arjun Mohan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568698728 PECOS PAC ID: 6002127206 Enrollment ID: I20150615001029 |
| Provider Name | Joseph John Ginski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033346390 PECOS PAC ID: 1153632351 Enrollment ID: I20150615001141 |
| Provider Name | Matthew J Chovaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821354796 PECOS PAC ID: 8921319005 Enrollment ID: I20150616001166 |
| Provider Name | Matthew Burruss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518194984 PECOS PAC ID: 5890007264 Enrollment ID: I20150629001471 |
| Provider Name | Jenni C Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427450519 PECOS PAC ID: 6103138102 Enrollment ID: I20150706000783 |
| Provider Name | Dobroslawa T Reschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639191992 PECOS PAC ID: 2860381407 Enrollment ID: I20150707002568 |
| Provider Name | Nicole Averett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326435983 PECOS PAC ID: 5092028027 Enrollment ID: I20150721000764 |
| Provider Name | Craig J Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467765958 PECOS PAC ID: 5092028985 Enrollment ID: I20150721002660 |
| Provider Name | Jose Luis Vega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558503458 PECOS PAC ID: 1850583790 Enrollment ID: I20150724010582 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20150807014005 |
| Provider Name | Courtney Evans Carrouth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144600164 PECOS PAC ID: 1759695414 Enrollment ID: I20150810000017 |
| Provider Name | Stacey H Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033476213 PECOS PAC ID: 6709191257 Enrollment ID: I20150813010066 |
| Provider Name | Frank Joseph Amico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497091904 PECOS PAC ID: 0941435812 Enrollment ID: I20150817001379 |
| Provider Name | Angela D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946067 PECOS PAC ID: 9931414059 Enrollment ID: I20150819007622 |
| Provider Name | George Reddy Kasarala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952565731 PECOS PAC ID: 8527215847 Enrollment ID: I20150901000305 |
| Provider Name | Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20150901000744 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20150904000332 |
| Provider Name | Annie Peaks Bonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861889214 PECOS PAC ID: 7012224983 Enrollment ID: I20150910000979 |
| Provider Name | Ryan Thomas Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063493880 PECOS PAC ID: 1456668615 Enrollment ID: I20150921001313 |
| Provider Name | Tammy Kincaid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750433207 PECOS PAC ID: 2769579838 Enrollment ID: I20150922000131 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578968574 PECOS PAC ID: 0941517924 Enrollment ID: I20150923003353 |
| Provider Name | Christina Marie Lipay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134418528 PECOS PAC ID: 8628386687 Enrollment ID: I20150924003203 |
| Provider Name | Weldon F Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982794665 PECOS PAC ID: 1759350663 Enrollment ID: I20150925000170 |
| Provider Name | Stephanie Dickens Dunlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689058265 PECOS PAC ID: 0042528879 Enrollment ID: I20150929000410 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20150929001773 |
| Provider Name | Adeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345929 PECOS PAC ID: 7911215348 Enrollment ID: I20151003000110 |
| Provider Name | Christine Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588762298 PECOS PAC ID: 3779576087 Enrollment ID: I20151005002704 |
| Provider Name | Renuka Kadali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324068 PECOS PAC ID: 4880902204 Enrollment ID: I20151006000070 |
| Provider Name | Adeleke Oni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265707590 PECOS PAC ID: 8921316290 Enrollment ID: I20151006002474 |
| Provider Name | Stevie N Carraro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396001269 PECOS PAC ID: 4183933237 Enrollment ID: I20151012002513 |
| Provider Name | Carnaghi V Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346568599 PECOS PAC ID: 2668781733 Enrollment ID: I20151013000742 |
| Provider Name | Neelakanta D Sukka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962756924 PECOS PAC ID: 4486963337 Enrollment ID: I20151016000491 |
| Provider Name | Som Nath Chalise |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255580361 PECOS PAC ID: 7911176631 Enrollment ID: I20151019001353 |
| Provider Name | Katherine Grace Kropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124401468 PECOS PAC ID: 3577872134 Enrollment ID: I20151021002108 |
| Provider Name | Charisse L Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661521 PECOS PAC ID: 1456660026 Enrollment ID: I20151021002277 |
| Provider Name | Michael Wj Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053759795 PECOS PAC ID: 5991014433 Enrollment ID: I20151022002014 |
| Provider Name | Hyeong J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417110784 PECOS PAC ID: 7911224134 Enrollment ID: I20151023002566 |
| Provider Name | Veeranna Maddipati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700033164 PECOS PAC ID: 0941519367 Enrollment ID: I20151024000245 |
| Provider Name | Monique L Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972719 PECOS PAC ID: 7719296144 Enrollment ID: I20151026000197 |
| Provider Name | Melissa D Donelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558343236 PECOS PAC ID: 5991755530 Enrollment ID: I20151026002862 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20151029001577 |
| Provider Name | Vontrelle L Roundtree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295092484 PECOS PAC ID: 1254641475 Enrollment ID: I20151030000225 |
| Provider Name | Badih Antonio Kabchi Jitani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588820674 PECOS PAC ID: 6204146483 Enrollment ID: I20151102000072 |
| Provider Name | Douglas C Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063444198 PECOS PAC ID: 6406166487 Enrollment ID: I20151103001390 |
| Provider Name | Tiona Kimisha Stephens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073878682 PECOS PAC ID: 2961712781 Enrollment ID: I20151106001805 |
| Provider Name | Oussama Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952692857 PECOS PAC ID: 2163732900 Enrollment ID: I20151107000185 |
| Provider Name | Ruby J Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477710473 PECOS PAC ID: 1759435704 Enrollment ID: I20151110001286 |
| Provider Name | Wesley G Saher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649476888 PECOS PAC ID: 0547326134 Enrollment ID: I20151111001658 |
| Provider Name | Muhammad N Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073889598 PECOS PAC ID: 1052621521 Enrollment ID: I20151112002477 |
| Provider Name | Courtney M Dulworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941546 PECOS PAC ID: 1850691031 Enrollment ID: I20151119000573 |
| Provider Name | Laura Whitfield Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265809990 PECOS PAC ID: 1850691049 Enrollment ID: I20151119000913 |
| Provider Name | Ricardo Cortez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154340958 PECOS PAC ID: 4385713544 Enrollment ID: I20151123001955 |
| Provider Name | Earic R Bonner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548526411 PECOS PAC ID: 4789984758 Enrollment ID: I20151123002005 |
| Provider Name | Greeshma Sheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891041802 PECOS PAC ID: 7911150347 Enrollment ID: I20151125001234 |
| Provider Name | Dan D Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912214347 PECOS PAC ID: 3274790746 Enrollment ID: I20151130002121 |
| Provider Name | Jerome Guanciale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851355366 PECOS PAC ID: 5395705438 Enrollment ID: I20151203002990 |
| Provider Name | Heike Hermine Arrowood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114184207 PECOS PAC ID: 1951521830 Enrollment ID: I20151203003412 |
| Provider Name | Katlyn Keech Peele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641093 PECOS PAC ID: 9436450764 Enrollment ID: I20151210001879 |
| Provider Name | Geetha Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811253867 PECOS PAC ID: 6204137870 Enrollment ID: I20151228000300 |
| Provider Name | Ibrahim Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407952963 PECOS PAC ID: 0244367431 Enrollment ID: I20151228001702 |
| Provider Name | Gerhardt J Winkel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184696593 PECOS PAC ID: 1658268487 Enrollment ID: I20151229001974 |
| Provider Name | Debra A Milliner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295015022 PECOS PAC ID: 9931370616 Enrollment ID: I20160104000170 |
| Provider Name | Deanna L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801291935 PECOS PAC ID: 3375855760 Enrollment ID: I20160115000424 |
| Provider Name | Ignacio L Gallardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407896913 PECOS PAC ID: 9638229271 Enrollment ID: I20160129000741 |
| Provider Name | Samuel Leibovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585164 PECOS PAC ID: 4183727753 Enrollment ID: I20160204001429 |
| Provider Name | Richard Ray Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332407 PECOS PAC ID: 9931107620 Enrollment ID: I20160204002311 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376574988 PECOS PAC ID: 4981682267 Enrollment ID: I20160209000950 |
| Provider Name | Robert Dustin Kiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699130492 PECOS PAC ID: 1254636715 Enrollment ID: I20160219001996 |
| Provider Name | Andrew Thomas Justice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902165038 PECOS PAC ID: 9335371772 Enrollment ID: I20160222002627 |
| Provider Name | Benita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056390 PECOS PAC ID: 4880990696 Enrollment ID: I20160303002523 |
| Provider Name | Carrie Amici Tingley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205201647 PECOS PAC ID: 6709182199 Enrollment ID: I20160310002053 |
| Provider Name | Manjula Rani Petchetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760658447 PECOS PAC ID: 0749584571 Enrollment ID: I20160311001467 |
| Provider Name | Johnna L Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497187439 PECOS PAC ID: 0840426359 Enrollment ID: I20160315000665 |
| Provider Name | Steffani M Letchworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841668720 PECOS PAC ID: 2365748498 Enrollment ID: I20160315002315 |
| Provider Name | Stephanie Swinson Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103842 PECOS PAC ID: 4486951969 Enrollment ID: I20160329000012 |
| Provider Name | Stephanie Leigh Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956058 PECOS PAC ID: 8325280068 Enrollment ID: I20160406000287 |
| Provider Name | Matthew Edward Gaffigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790925188 PECOS PAC ID: 7214174317 Enrollment ID: I20160419002681 |
| Provider Name | Marie-france Scherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194726802 PECOS PAC ID: 6608778733 Enrollment ID: I20160426000811 |
| Provider Name | Jothika N Manepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932124757 PECOS PAC ID: 5991833071 Enrollment ID: I20160429000778 |
| Provider Name | Cydney T Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831161025 PECOS PAC ID: 2264400894 Enrollment ID: I20160511002818 |
| Provider Name | Robert Oldt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316173925 PECOS PAC ID: 3779721998 Enrollment ID: I20160516000140 |
| Provider Name | Joseph M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155755 PECOS PAC ID: 3072749795 Enrollment ID: I20160531001779 |
| Provider Name | Heather Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786683 PECOS PAC ID: 1951605369 Enrollment ID: I20160603001280 |
| Provider Name | Jordan Mckenzie-solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003270042 PECOS PAC ID: 4385934082 Enrollment ID: I20160609000014 |
| Provider Name | Mohammed G Al-janabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760773725 PECOS PAC ID: 3678862273 Enrollment ID: I20160613001804 |
| Provider Name | Jennifer Sessom Umphlet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134521719 PECOS PAC ID: 1658662614 Enrollment ID: I20160622000764 |
| Provider Name | Thomas A Longo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154559904 PECOS PAC ID: 2163653262 Enrollment ID: I20160622002615 |
| Provider Name | Praveen Namireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851679237 PECOS PAC ID: 2860790185 Enrollment ID: I20160623000007 |
| Provider Name | Matthew L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871948679 PECOS PAC ID: 1850682618 Enrollment ID: I20160624002102 |
| Provider Name | Bryan Allen Ehlert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225296999 PECOS PAC ID: 7416248067 Enrollment ID: I20160629000700 |
| Provider Name | Katherine Lilley Odell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598119133 PECOS PAC ID: 6608168299 Enrollment ID: I20160629002272 |
| Provider Name | Paul Viktorovich Bobryshev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083980270 PECOS PAC ID: 5597065359 Enrollment ID: I20160630001374 |
| Provider Name | Pranay Kumar Reddy Loka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659627925 PECOS PAC ID: 4082906474 Enrollment ID: I20160705001386 |
| Provider Name | Paige Bottoms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194179473 PECOS PAC ID: 3971895384 Enrollment ID: I20160705002100 |
| Provider Name | Douglas A Schiller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871852624 PECOS PAC ID: 2062638562 Enrollment ID: I20160707000285 |
| Provider Name | Anjana Vinayak Harnoor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023196839 PECOS PAC ID: 5890685101 Enrollment ID: I20160707002595 |
| Provider Name | Phillip Michael Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851611834 PECOS PAC ID: 3375779101 Enrollment ID: I20160711000826 |
| Provider Name | Matthew Lee Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386883973 PECOS PAC ID: 5294981866 Enrollment ID: I20160712001739 |
| Provider Name | Nathan R Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487974176 PECOS PAC ID: 4183916927 Enrollment ID: I20160714001154 |
| Provider Name | Susan Lynne Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487658415 PECOS PAC ID: 3971497397 Enrollment ID: I20160718001184 |
| Provider Name | Kondal R Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20160718001619 |
| Provider Name | Tiffany F Poole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457601429 PECOS PAC ID: 2769775030 Enrollment ID: I20160725000670 |
| Provider Name | Jennifer Lynn Griswold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538366364 PECOS PAC ID: 8729303599 Enrollment ID: I20160725001391 |
| Provider Name | Melva Pinn-bingham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952505620 PECOS PAC ID: 1355505116 Enrollment ID: I20160801000298 |
| Provider Name | Pranjal Mann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770839474 PECOS PAC ID: 9638468275 Enrollment ID: I20160804001292 |
| Provider Name | Richard Myers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366685166 PECOS PAC ID: 9133374861 Enrollment ID: I20160818002212 |
| Provider Name | Evelyn Gabuya Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094045 PECOS PAC ID: 6002114626 Enrollment ID: I20160822001851 |
| Provider Name | Rajasekhar Reddy Mulyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922255868 PECOS PAC ID: 2567630163 Enrollment ID: I20160822002319 |
| Provider Name | Meridith M Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083052039 PECOS PAC ID: 1658660154 Enrollment ID: I20160825000951 |
| Provider Name | Connie M Dela'o |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760648703 PECOS PAC ID: 6901023241 Enrollment ID: I20160825001824 |
| Provider Name | Pradeep Ramachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528086295 PECOS PAC ID: 7113987264 Enrollment ID: I20160826001354 |
| Provider Name | Richard A Barker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972943140 PECOS PAC ID: 0143464800 Enrollment ID: I20160829000574 |
| Provider Name | George Abraham Khouri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609138866 PECOS PAC ID: 4587987268 Enrollment ID: I20160831000132 |
| Provider Name | Richard Dalyai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689818346 PECOS PAC ID: 3375844244 Enrollment ID: I20160831002873 |
| Provider Name | Nicole Denise Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316391378 PECOS PAC ID: 8224324181 Enrollment ID: I20160901002079 |
| Provider Name | Rachael T Springer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20160909000567 |
| Provider Name | Felix E Kuuseg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871732347 PECOS PAC ID: 6305997339 Enrollment ID: I20160914000692 |
| Provider Name | Jamette Renee Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255342226 PECOS PAC ID: 9739123647 Enrollment ID: I20160914001329 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20160920001128 |
| Provider Name | Mary Ellen Luchetti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679565964 PECOS PAC ID: 7012807670 Enrollment ID: I20160920001386 |
| Provider Name | Mariusz Bockowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577713 PECOS PAC ID: 5395032833 Enrollment ID: I20160927000790 |
| Provider Name | Kimberly N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114470028 PECOS PAC ID: 8022305572 Enrollment ID: I20160927001122 |
| Provider Name | Aixa Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801089941 PECOS PAC ID: 3476711912 Enrollment ID: I20160927002108 |
| Provider Name | Samantha K Brown Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073965349 PECOS PAC ID: 8820385065 Enrollment ID: I20161003000436 |
| Provider Name | Francis Sterling Penland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511225 PECOS PAC ID: 9931497187 Enrollment ID: I20161004001765 |
| Provider Name | Debra L Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639431810 PECOS PAC ID: 9638326036 Enrollment ID: I20161010000698 |
| Provider Name | Jennifer L Parker Cote |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1164710950 PECOS PAC ID: 0244550515 Enrollment ID: I20161011000290 |
| Provider Name | Nazra Nuhman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589098 PECOS PAC ID: 7810285590 Enrollment ID: I20161012001763 |
| Provider Name | Vikrant S Khamare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760820898 PECOS PAC ID: 1153611306 Enrollment ID: I20161013000508 |
| Provider Name | Frank Ancheta Quinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194270207 PECOS PAC ID: 4688962160 Enrollment ID: I20161017001058 |
| Provider Name | Shriti Masrani Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689801300 PECOS PAC ID: 1153550546 Enrollment ID: I20161018000094 |
| Provider Name | Hanuja Agnihotram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386086601 PECOS PAC ID: 8426346818 Enrollment ID: I20161018002233 |
| Provider Name | Gunjan Antaal Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578806725 PECOS PAC ID: 1557649647 Enrollment ID: I20161024002647 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20161025002365 |
| Provider Name | Tom Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174958698 PECOS PAC ID: 3476842311 Enrollment ID: I20161026000028 |
| Provider Name | Lakshmi Swamy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982994091 PECOS PAC ID: 7911227319 Enrollment ID: I20161026001006 |
| Provider Name | Michael W Cieslinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093135196 PECOS PAC ID: 0446549992 Enrollment ID: I20161028001620 |
| Provider Name | James Thelbert Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023087277 PECOS PAC ID: 1658376553 Enrollment ID: I20161101002239 |
| Provider Name | Samuel W Needleman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841267671 PECOS PAC ID: 1355236159 Enrollment ID: I20161103000967 |
| Provider Name | Corneliu N Stanciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902244957 PECOS PAC ID: 6103115746 Enrollment ID: I20161103001155 |
| Provider Name | Vijayashree Mokashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093157513 PECOS PAC ID: 4981846052 Enrollment ID: I20161104001434 |
| Provider Name | Christopher S Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306200282 PECOS PAC ID: 8527353861 Enrollment ID: I20161104001869 |
| Provider Name | Varun Kumar Chukka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194159293 PECOS PAC ID: 9537388061 Enrollment ID: I20161107001526 |
| Provider Name | Jessica Rodriguez Gillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275829475 PECOS PAC ID: 6305125584 Enrollment ID: I20161110001085 |
| Provider Name | Christine L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639627623 PECOS PAC ID: 0345529343 Enrollment ID: I20161115001892 |
| Provider Name | Aundrea L Oliver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942481353 PECOS PAC ID: 2769771286 Enrollment ID: I20161118001661 |
| Provider Name | Constantine G Marousis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437142668 PECOS PAC ID: 7315900479 Enrollment ID: I20161118001741 |
| Provider Name | Rachel M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346502382 PECOS PAC ID: 6103136965 Enrollment ID: I20161205000307 |
| Provider Name | Zeleke Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20161206001863 |
| Provider Name | Vinodh T Doss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20161214000605 |
| Provider Name | Anthony J Distasio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831195353 PECOS PAC ID: 5890735641 Enrollment ID: I20161222000325 |
| Provider Name | Jesse Hazel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972053973 PECOS PAC ID: 6002197282 Enrollment ID: I20161230000033 |
| Provider Name | Christina L Gordon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083642995 PECOS PAC ID: 1658375415 Enrollment ID: I20170105001383 |
| Provider Name | Gregory S Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760770333 PECOS PAC ID: 5092006288 Enrollment ID: I20170105001902 |
| Provider Name | Amanda Diane Marshburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362765 PECOS PAC ID: 5395027593 Enrollment ID: I20170124001197 |
| Provider Name | Hector Manuel Cabeza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790942688 PECOS PAC ID: 1456544774 Enrollment ID: I20170206001703 |
| Provider Name | Crystal Davenport Brabble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881137024 PECOS PAC ID: 5496038028 Enrollment ID: I20170206001983 |
| Provider Name | Claire A Morgan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942744230 PECOS PAC ID: 1355624990 Enrollment ID: I20170206002698 |
| Provider Name | Samuel G Durrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417395088 PECOS PAC ID: 2668762014 Enrollment ID: I20170207002326 |
| Provider Name | Geary D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336406180 PECOS PAC ID: 6103115704 Enrollment ID: I20170216002635 |
| Provider Name | Kimberly P Wetherington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186072 PECOS PAC ID: 2769766658 Enrollment ID: I20170221000183 |
| Provider Name | Anthony C Canino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396714036 PECOS PAC ID: 5597926238 Enrollment ID: I20170221002225 |
| Provider Name | Bronson Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558790576 PECOS PAC ID: 1951690502 Enrollment ID: I20170301001719 |
| Provider Name | Ellen Chalkey Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144431982 PECOS PAC ID: 2668616566 Enrollment ID: I20170308000254 |
| Provider Name | Jeanette Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790227296 PECOS PAC ID: 9931484672 Enrollment ID: I20170321001598 |
| Provider Name | Megan D Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535352 PECOS PAC ID: 6608151220 Enrollment ID: I20170322002632 |
| Provider Name | Kara A Regan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013183136 PECOS PAC ID: 9436382819 Enrollment ID: I20170323001946 |
| Provider Name | Nezbile F Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720074693 PECOS PAC ID: 1850489246 Enrollment ID: I20170323002092 |
| Provider Name | Brooktiete Asseres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063732055 PECOS PAC ID: 2668758665 Enrollment ID: I20170405001601 |
| Provider Name | David D Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033353743 PECOS PAC ID: 6002965894 Enrollment ID: I20170419001987 |
| Provider Name | Chelsea Rivenbark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679967830 PECOS PAC ID: 2466739354 Enrollment ID: I20170502000990 |
| Provider Name | Mark Dy-liacco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366488850 PECOS PAC ID: 5092613265 Enrollment ID: I20170508000013 |
| Provider Name | Lauren H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283024 PECOS PAC ID: 3274810858 Enrollment ID: I20170509000753 |
| Provider Name | Joseph W Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336587377 PECOS PAC ID: 9032408638 Enrollment ID: I20170510002540 |
| Provider Name | Catherine Lauren Dalyai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316233042 PECOS PAC ID: 0446414700 Enrollment ID: I20170511002625 |
| Provider Name | Manjunath Markandaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215101514 PECOS PAC ID: 5597948943 Enrollment ID: I20170515001038 |
| Provider Name | Haley A Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710247242 PECOS PAC ID: 6204128168 Enrollment ID: I20170517000459 |
| Provider Name | Brian J Sommer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912252511 PECOS PAC ID: 3375797863 Enrollment ID: I20170523000931 |
| Provider Name | Colin V Crickard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770562001 PECOS PAC ID: 0547454324 Enrollment ID: I20170530002376 |
| Provider Name | Shivas Gilotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969913 PECOS PAC ID: 7618274077 Enrollment ID: I20170605001598 |
| Provider Name | Laticia J Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114468303 PECOS PAC ID: 4880962216 Enrollment ID: I20170607003017 |
| Provider Name | Anne Marie Verlangieri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457761637 PECOS PAC ID: 9335438944 Enrollment ID: I20170613001330 |
| Provider Name | Sachin Logani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295997260 PECOS PAC ID: 5294054938 Enrollment ID: I20170613002547 |
| Provider Name | Catherine Sheila Jackson-evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598862690 PECOS PAC ID: 7911916721 Enrollment ID: I20170619001602 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144566712 PECOS PAC ID: 4880828391 Enrollment ID: I20170620000774 |
| Provider Name | Manisha Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265786115 PECOS PAC ID: 5395013155 Enrollment ID: I20170620001046 |
| Provider Name | Jodi Marie Calamito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801289087 PECOS PAC ID: 7315215886 Enrollment ID: I20170626001009 |
| Provider Name | Charlotte N Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868982 PECOS PAC ID: 3375812852 Enrollment ID: I20170627003189 |
| Provider Name | Krista M Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861810517 PECOS PAC ID: 0446472005 Enrollment ID: I20170710001403 |
| Provider Name | Saed Awadallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487092128 PECOS PAC ID: 1456641695 Enrollment ID: I20170711000246 |
| Provider Name | Jamie Segel Grubey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619263753 PECOS PAC ID: 9234378183 Enrollment ID: I20170713002294 |
| Provider Name | Ruben C Sloan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083093900 PECOS PAC ID: 5698064111 Enrollment ID: I20170713002405 |
| Provider Name | Benjamin Kessler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053361402 PECOS PAC ID: 7012802374 Enrollment ID: I20170717000323 |
| Provider Name | Ramesh R Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265840003 PECOS PAC ID: 2466722392 Enrollment ID: I20170725003135 |
| Provider Name | Cameron Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821525692 PECOS PAC ID: 0042580813 Enrollment ID: I20170727000309 |
| Provider Name | Kingsley Prakash Anand Pudota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942594924 PECOS PAC ID: 6103078993 Enrollment ID: I20170728003160 |
| Provider Name | Bryan A Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821436775 PECOS PAC ID: 9133418700 Enrollment ID: I20170728003316 |
| Provider Name | Melanie Houston Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194145359 PECOS PAC ID: 3072802172 Enrollment ID: I20170801000364 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20170803002494 |
| Provider Name | Tawfik A Zein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265775308 PECOS PAC ID: 8325273147 Enrollment ID: I20170803003678 |
| Provider Name | Hiromi Rosselli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174813489 PECOS PAC ID: 3274839048 Enrollment ID: I20170804001930 |
| Provider Name | Kaylan Srinivas Muppavarapu |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902048697 PECOS PAC ID: 9638478191 Enrollment ID: I20170807001364 |
| Provider Name | Lisa M. Guyton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952749327 PECOS PAC ID: 8921397290 Enrollment ID: I20170807001461 |
| Provider Name | Derek A Melby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033266473 PECOS PAC ID: 9638252760 Enrollment ID: I20170809003881 |
| Provider Name | Susan C Samuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851564363 PECOS PAC ID: 5092880195 Enrollment ID: I20170814000442 |
| Provider Name | Lasandra Denise Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356429674 PECOS PAC ID: 8426040882 Enrollment ID: I20170814000551 |
| Provider Name | Matthew W Wilson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922446871 PECOS PAC ID: 5395043657 Enrollment ID: I20170814001360 |
| Provider Name | Courtney P Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114447232 PECOS PAC ID: 7719259449 Enrollment ID: I20170816000034 |
| Provider Name | Nitika Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043631773 PECOS PAC ID: 9032417381 Enrollment ID: I20170816000372 |
| Provider Name | Alan Arauz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588920052 PECOS PAC ID: 2860634102 Enrollment ID: I20170818001362 |
| Provider Name | Jared Thomas Alberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295172286 PECOS PAC ID: 9537456629 Enrollment ID: I20170821001436 |
| Provider Name | Prashant R Mudireddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568669661 PECOS PAC ID: 6901998384 Enrollment ID: I20170821001582 |
| Provider Name | Lindsay Ray Roebuck-gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407376551 PECOS PAC ID: 8729350657 Enrollment ID: I20170828000502 |
| Provider Name | Colin P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357551 PECOS PAC ID: 5193016392 Enrollment ID: I20170828001715 |
| Provider Name | Dannaly Reyes Baerga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750623997 PECOS PAC ID: 9133491020 Enrollment ID: I20170828003228 |
| Provider Name | Shachar Laks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558563205 PECOS PAC ID: 2365595444 Enrollment ID: I20170830001900 |
| Provider Name | Shirley Carrenard-mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972860930 PECOS PAC ID: 8123312956 Enrollment ID: I20170830004008 |
| Provider Name | Kelly Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730527300 PECOS PAC ID: 8325337728 Enrollment ID: I20170905002614 |
| Provider Name | Michael Howard Mcgraw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629363551 PECOS PAC ID: 5395018410 Enrollment ID: I20170912000033 |
| Provider Name | David Black Leeser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568486397 PECOS PAC ID: 2961468467 Enrollment ID: I20170915002666 |
| Provider Name | William W Bridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629498712 PECOS PAC ID: 0840589388 Enrollment ID: I20170919001772 |
| Provider Name | Jason Evan Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376981407 PECOS PAC ID: 1850699158 Enrollment ID: I20170919003376 |
| Provider Name | Matthew K Rapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436716 PECOS PAC ID: 1456523729 Enrollment ID: I20170919003531 |
| Provider Name | Deanna L Lassegard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639558653 PECOS PAC ID: 4688963218 Enrollment ID: I20170921003322 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20170925002385 |
| Provider Name | Hannah Hubahib Florida |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033325345 PECOS PAC ID: 8123127891 Enrollment ID: I20170926000090 |
| Provider Name | George Sangah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164710877 PECOS PAC ID: 9638478696 Enrollment ID: I20170927002473 |
| Provider Name | Rula Musa Freiji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134343452 PECOS PAC ID: 0446293955 Enrollment ID: I20170927003362 |
| Provider Name | John H Barton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467407429 PECOS PAC ID: 8628166139 Enrollment ID: I20171002000560 |
| Provider Name | Brian Francis Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316357544 PECOS PAC ID: 6901195510 Enrollment ID: I20171002002173 |
| Provider Name | Jessica H. Mullins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790105120 PECOS PAC ID: 7517256183 Enrollment ID: I20171003005055 |
| Provider Name | Melissa A Rowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386089217 PECOS PAC ID: 0446483630 Enrollment ID: I20171004001044 |
| Provider Name | Mary Chamberlain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295091650 PECOS PAC ID: 5193033082 Enrollment ID: I20171005000702 |
| Provider Name | Lois J Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710417852 PECOS PAC ID: 2668747163 Enrollment ID: I20171010001192 |
| Provider Name | Aaron P Danison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750608527 PECOS PAC ID: 5991948242 Enrollment ID: I20171016000685 |
| Provider Name | Pooja J Apte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134564669 PECOS PAC ID: 3173759859 Enrollment ID: I20171023001372 |
| Provider Name | Lynn Cale Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740614049 PECOS PAC ID: 9032485834 Enrollment ID: I20171023002453 |
| Provider Name | Deborah Bunch Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407397573 PECOS PAC ID: 2567738248 Enrollment ID: I20171024003413 |
| Provider Name | Alan J Sacks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265407183 PECOS PAC ID: 9032190756 Enrollment ID: I20171026002019 |
| Provider Name | Faramarz Fred Hidaji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518956119 PECOS PAC ID: 1254225378 Enrollment ID: I20171031001808 |
| Provider Name | Paul Richard Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407266695 PECOS PAC ID: 9436458478 Enrollment ID: I20171031002726 |
| Provider Name | Katherine M Kaplan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316057482 PECOS PAC ID: 3870623010 Enrollment ID: I20171101001188 |
| Provider Name | Alana Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063938660 PECOS PAC ID: 4789950056 Enrollment ID: I20171101001270 |
| Provider Name | David B Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053790089 PECOS PAC ID: 1254622418 Enrollment ID: I20171101002580 |
| Provider Name | Tracy E Sambo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497094569 PECOS PAC ID: 3476852070 Enrollment ID: I20171101003587 |
| Provider Name | Vijay Chaudhary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134388051 PECOS PAC ID: 8022132182 Enrollment ID: I20171102001964 |
| Provider Name | Joshua Scott Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926964 PECOS PAC ID: 9436425113 Enrollment ID: I20171103000924 |
| Provider Name | Samuel K Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184044596 PECOS PAC ID: 2466742846 Enrollment ID: I20171104000006 |
| Provider Name | Betti Ressler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982817664 PECOS PAC ID: 2769748839 Enrollment ID: I20171106001000 |
| Provider Name | Lusana Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508284324 PECOS PAC ID: 0042576092 Enrollment ID: I20171108001937 |
| Provider Name | Brendan Keleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720408123 PECOS PAC ID: 3476842519 Enrollment ID: I20171108002845 |
| Provider Name | James Thompson Mcclain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528320918 PECOS PAC ID: 5597920025 Enrollment ID: I20171108003277 |
| Provider Name | Pravin P Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629488879 PECOS PAC ID: 7517268550 Enrollment ID: I20171109002699 |
| Provider Name | Sateesh Kotturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962899328 PECOS PAC ID: 3173889961 Enrollment ID: I20171110001698 |
| Provider Name | Ovie E Appresai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841514817 PECOS PAC ID: 3072789288 Enrollment ID: I20171114000415 |
| Provider Name | Patrick Louis Polonio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972908978 PECOS PAC ID: 6709170517 Enrollment ID: I20171127000159 |
| Provider Name | Deborah Sue Jenks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871550491 PECOS PAC ID: 5496042905 Enrollment ID: I20171205001330 |
| Provider Name | Joseph William Turek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114193224 PECOS PAC ID: 2365620648 Enrollment ID: I20171207002904 |
| Provider Name | Kaitlyn Carnwath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033629993 PECOS PAC ID: 2264790567 Enrollment ID: I20171214000761 |
| Provider Name | William Fitzgerald Kendall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619166535 PECOS PAC ID: 1052484250 Enrollment ID: I20171214000764 |
| Provider Name | Cameron S Sherrill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982015954 PECOS PAC ID: 4587980958 Enrollment ID: I20171214002170 |
| Provider Name | Meaghan N Whitaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255782223 PECOS PAC ID: 0840588745 Enrollment ID: I20171218001581 |
| Provider Name | Jennifer R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902316342 PECOS PAC ID: 0143588210 Enrollment ID: I20171219000210 |
| Provider Name | Richard Ryland Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568972503 PECOS PAC ID: 4284992389 Enrollment ID: I20171219001565 |
| Provider Name | Kathryn L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952376 PECOS PAC ID: 0840558623 Enrollment ID: I20171228000265 |
| Provider Name | Colleen A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861810251 PECOS PAC ID: 6406129311 Enrollment ID: I20180108001156 |
| Provider Name | Robert David Eden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558473298 PECOS PAC ID: 5991758781 Enrollment ID: I20180108001502 |
| Provider Name | Joseph J Schulz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790921484 PECOS PAC ID: 9537316641 Enrollment ID: I20180110000864 |
| Provider Name | Ahmad A Aboaziza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442944 PECOS PAC ID: 3173815966 Enrollment ID: I20180118002112 |
| Provider Name | William C Guenther |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386789618 PECOS PAC ID: 6608779236 Enrollment ID: I20180122000039 |
| Provider Name | Stephanie Mccallum Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053585638 PECOS PAC ID: 1759361983 Enrollment ID: I20180122001583 |
| Provider Name | Isami Sakai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184940918 PECOS PAC ID: 0749580173 Enrollment ID: I20180124002260 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Michelle M Peay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742871 PECOS PAC ID: 4486913159 Enrollment ID: I20180125003226 |
| Provider Name | Jessica Schmoyer Rispoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779504 PECOS PAC ID: 1557666997 Enrollment ID: I20180126002511 |
| Provider Name | Elisabeth Anacius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003109828 PECOS PAC ID: 7810155090 Enrollment ID: I20180129001731 |
| Provider Name | Lisa Marie Shapcott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144545674 PECOS PAC ID: 6103048624 Enrollment ID: I20180129001905 |
| Provider Name | Magali Blervaque Calfee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942646971 PECOS PAC ID: 4284912510 Enrollment ID: I20180131001548 |
| Provider Name | Jaime L Bellamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548420458 PECOS PAC ID: 1557504107 Enrollment ID: I20180202001100 |
| Provider Name | Jordan Spellman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770993917 PECOS PAC ID: 7719277003 Enrollment ID: I20180208000132 |
| Provider Name | Komal Parikh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861812141 PECOS PAC ID: 5193023778 Enrollment ID: I20180209002142 |
| Provider Name | Andrew Sheep |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013073089 PECOS PAC ID: 5193033595 Enrollment ID: I20180214002148 |
| Provider Name | Laqueita Quarzette Morning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237750 PECOS PAC ID: 5294095055 Enrollment ID: I20180216000602 |
| Provider Name | Deepti Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831353093 PECOS PAC ID: 5799948386 Enrollment ID: I20180222000921 |
| Provider Name | Avijeet Kumar Dut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912303785 PECOS PAC ID: 8628339850 Enrollment ID: I20180302000265 |
| Provider Name | Lang M Chhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538575667 PECOS PAC ID: 2668692237 Enrollment ID: I20180305001596 |
| Provider Name | Katlin Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20180307001183 |
| Provider Name | Chang O Son |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396016838 PECOS PAC ID: 0941424519 Enrollment ID: I20180307001691 |
| Provider Name | Robert N Reddix |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265494611 PECOS PAC ID: 7012902091 Enrollment ID: I20180307001887 |
| Provider Name | Christina L Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518387885 PECOS PAC ID: 5294026456 Enrollment ID: I20180312000701 |
| Provider Name | Alina J Kamath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689181570 PECOS PAC ID: 0648532556 Enrollment ID: I20180312002193 |
| Provider Name | Sherry S Shafer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558872754 PECOS PAC ID: 2860754710 Enrollment ID: I20180313001163 |
| Provider Name | William Edward Neway |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1114125663 PECOS PAC ID: 8527230135 Enrollment ID: I20180319000051 |
| Provider Name | Andres Scott Carden |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528172962 PECOS PAC ID: 6608138359 Enrollment ID: I20180319000138 |
| Provider Name | Erin E Tarquinio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831607415 PECOS PAC ID: 2466714043 Enrollment ID: I20180319001866 |
| Provider Name | Christina Camielle Bannow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269872 PECOS PAC ID: 8729340229 Enrollment ID: I20180321001649 |
| Provider Name | David Jonathan Friedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427054683 PECOS PAC ID: 6800795865 Enrollment ID: I20180402002037 |
| Provider Name | Michael Parrino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215900766 PECOS PAC ID: 0547317547 Enrollment ID: I20180403000462 |
| Provider Name | Douglas Tippin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013900281 PECOS PAC ID: 9436280948 Enrollment ID: I20180403000764 |
| Provider Name | Neal Jordan Baker |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1457662819 PECOS PAC ID: 0143512418 Enrollment ID: I20180404002468 |
| Provider Name | Christine Deforest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104052794 PECOS PAC ID: 7315200268 Enrollment ID: I20180406001106 |
| Provider Name | Nilima R Bhirud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801955232 PECOS PAC ID: 0345345468 Enrollment ID: I20180409002222 |
| Provider Name | Alyssa Sandquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225538523 PECOS PAC ID: 0446513295 Enrollment ID: I20180410001121 |
| Provider Name | Kristopher Richard Roach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215357470 PECOS PAC ID: 8022308253 Enrollment ID: I20180411002474 |
| Provider Name | James A Blair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881856110 PECOS PAC ID: 7416197603 Enrollment ID: I20180412000875 |
| Provider Name | Jason R Rocha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851542427 PECOS PAC ID: 2961682620 Enrollment ID: I20180412002670 |
| Provider Name | Amber Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124535596 PECOS PAC ID: 5496018905 Enrollment ID: I20180416002121 |
| Provider Name | Loralye I Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598264301 PECOS PAC ID: 3375806706 Enrollment ID: I20180417000708 |
| Provider Name | Chastity Takoma Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437283231 PECOS PAC ID: 5294923504 Enrollment ID: I20180418001458 |
| Provider Name | Rashad P Holloway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598185589 PECOS PAC ID: 8820388234 Enrollment ID: I20180423002737 |
| Provider Name | James D Heaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245551902 PECOS PAC ID: 4880973650 Enrollment ID: I20180424002952 |
| Provider Name | Abhyudaya Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356780092 PECOS PAC ID: 2466716568 Enrollment ID: I20180425001792 |
| Provider Name | Michael Sean Hooker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194724120 PECOS PAC ID: 3870503592 Enrollment ID: I20180501001372 |
| Provider Name | Laura Cardie Barbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477068575 PECOS PAC ID: 9234493172 Enrollment ID: I20180501001809 |
| Provider Name | Hema N Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780665893 PECOS PAC ID: 2062300502 Enrollment ID: I20180502001010 |
| Provider Name | Joshua Thomas Bautz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942643630 PECOS PAC ID: 3173825718 Enrollment ID: I20180508000667 |
| Provider Name | William Min |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841495710 PECOS PAC ID: 4284759010 Enrollment ID: I20180508000868 |
| Provider Name | Sivakumar Ardhanari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093944787 PECOS PAC ID: 2163656729 Enrollment ID: I20180515001017 |
| Provider Name | Blythe E Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033619549 PECOS PAC ID: 2668736893 Enrollment ID: I20180516000006 |
| Provider Name | Bennett W Yu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609922343 PECOS PAC ID: 8628060274 Enrollment ID: I20180524000573 |
| Provider Name | Noel Grace Badiola Jasinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235559238 PECOS PAC ID: 6406145549 Enrollment ID: I20180529000676 |
| Provider Name | Kenneth Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184891277 PECOS PAC ID: 6608015342 Enrollment ID: I20180530001773 |
| Provider Name | Patrick Dale Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720453954 PECOS PAC ID: 7416244702 Enrollment ID: I20180605001105 |
| Provider Name | Paul S Hogg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659379998 PECOS PAC ID: 5496836561 Enrollment ID: I20180605002841 |
| Provider Name | Jonathan Marshall Garber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780063875 PECOS PAC ID: 0345539342 Enrollment ID: I20180619000017 |
| Provider Name | Michelle Lingner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025245 PECOS PAC ID: 4183999584 Enrollment ID: I20180621000025 |
| Provider Name | Judith Tate Smithwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215425103 PECOS PAC ID: 0648525295 Enrollment ID: I20180621002750 |
| Provider Name | Dustin Cody Merva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780174276 PECOS PAC ID: 6406102771 Enrollment ID: I20180629001031 |
| Provider Name | Sanjeda Sultana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558627810 PECOS PAC ID: 0648573535 Enrollment ID: I20180629001036 |
| Provider Name | Amy R Gilleland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124384920 PECOS PAC ID: 4082904313 Enrollment ID: I20180629001731 |
| Provider Name | Babu Subramaniam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306808258 PECOS PAC ID: 8628165677 Enrollment ID: I20180709002359 |
| Provider Name | Mahmoud Al Masry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851694889 PECOS PAC ID: 8628295730 Enrollment ID: I20180716002621 |
| Provider Name | Eileen Edith Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339146 PECOS PAC ID: 1052464575 Enrollment ID: I20180717003413 |
| Provider Name | Paul Pipitone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093921264 PECOS PAC ID: 3476779190 Enrollment ID: I20180720000078 |
| Provider Name | Samuel Agnew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952374498 PECOS PAC ID: 0547151318 Enrollment ID: I20180724003443 |
| Provider Name | Kelly W Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174016828 PECOS PAC ID: 8325395916 Enrollment ID: I20180730000071 |
| Provider Name | Patricia Ann Convery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093973075 PECOS PAC ID: 2466609532 Enrollment ID: I20180807000805 |
| Provider Name | Meredith Morrow Hartsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700372620 PECOS PAC ID: 0749538544 Enrollment ID: I20180810001888 |
| Provider Name | Kevin James Brenzy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760821532 PECOS PAC ID: 8224387717 Enrollment ID: I20180816000839 |
| Provider Name | Anand Vijay Vakharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508205279 PECOS PAC ID: 2264723568 Enrollment ID: I20180820000167 |
| Provider Name | Michael John Beltran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851596092 PECOS PAC ID: 5698939148 Enrollment ID: I20180827000188 |
| Provider Name | Kenechukwu Obiokoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417204546 PECOS PAC ID: 3678792975 Enrollment ID: I20180827002275 |
| Provider Name | Bradley A Nine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053363127 PECOS PAC ID: 0749260982 Enrollment ID: I20180828000736 |
| Provider Name | John P Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104091 PECOS PAC ID: 9638468135 Enrollment ID: I20180829000604 |
| Provider Name | Jasmin T Jo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831487172 PECOS PAC ID: 7517195449 Enrollment ID: I20180830003489 |
| Provider Name | Lena Van Nimwegen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578941142 PECOS PAC ID: 9133419583 Enrollment ID: I20180906002280 |
| Provider Name | Jennifer Ficca Flinchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407334105 PECOS PAC ID: 4981954179 Enrollment ID: I20180910001898 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20180911002014 |
| Provider Name | Beverly J Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104114693 PECOS PAC ID: 6103096482 Enrollment ID: I20180915000088 |
| Provider Name | Adil Hassan Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285047027 PECOS PAC ID: 3274884903 Enrollment ID: I20180919003110 |
| Provider Name | Aaron Bullard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942788856 PECOS PAC ID: 2264784206 Enrollment ID: I20181002003760 |
| Provider Name | Andrew W King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588803 PECOS PAC ID: 4587953153 Enrollment ID: I20181004001887 |
| Provider Name | Beth A Ridgway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003968371 PECOS PAC ID: 4587972435 Enrollment ID: I20181008003530 |
| Provider Name | Judith Ann Garrett Dail |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912494758 PECOS PAC ID: 8224380878 Enrollment ID: I20181009001519 |
| Provider Name | Christopher John Karkut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922208453 PECOS PAC ID: 5092954966 Enrollment ID: I20181011002866 |
| Provider Name | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20181017000550 |
| Provider Name | Sunny Ramesh Darji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831578996 PECOS PAC ID: 0446549695 Enrollment ID: I20181019000532 |
| Provider Name | Robert Theiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699174680 PECOS PAC ID: 8426276395 Enrollment ID: I20181022001145 |
| Provider Name | Bruce Oliver Hough |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205887270 PECOS PAC ID: 6305859190 Enrollment ID: I20181023001135 |
| Provider Name | Elizabeth D Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938995 PECOS PAC ID: 1254684004 Enrollment ID: I20181025000950 |
| Provider Name | Brittany Hudson Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700372547 PECOS PAC ID: 3375896939 Enrollment ID: I20181029000952 |
| Provider Name | Jennifer Lauren Lindsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407294234 PECOS PAC ID: 9032429899 Enrollment ID: I20181029001314 |
| Provider Name | Jesse P Kasitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154754471 PECOS PAC ID: 0840599932 Enrollment ID: I20181029002782 |
| Provider Name | Subanandhini Subramaniam Parameshwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225418957 PECOS PAC ID: 4082967690 Enrollment ID: I20181030000132 |
| Provider Name | Ram Hanno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780003525 PECOS PAC ID: 5698065928 Enrollment ID: I20181030000624 |
| Provider Name | Parshotam Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538325642 PECOS PAC ID: 9739256777 Enrollment ID: I20181030001625 |
| Provider Name | Emmanuel Pafos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417246612 PECOS PAC ID: 6002106127 Enrollment ID: I20181030002666 |
| Provider Name | Tibor Becske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770598575 PECOS PAC ID: 7416918073 Enrollment ID: I20181030003178 |
| Provider Name | Harish C Devineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750797205 PECOS PAC ID: 0648552109 Enrollment ID: I20181030003308 |
| Provider Name | Donald Scott Trower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831607837 PECOS PAC ID: 4385997725 Enrollment ID: I20181031003222 |
| Provider Name | Michael John Cullura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962798249 PECOS PAC ID: 8426345794 Enrollment ID: I20181101002481 |
| Provider Name | Oluwaseun B Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316333040 PECOS PAC ID: 3173876489 Enrollment ID: I20181101002724 |
| Provider Name | Joseph Peter Scheschuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275961088 PECOS PAC ID: 8527311844 Enrollment ID: I20181101003270 |
| Provider Name | Davit Mrelashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760539555 PECOS PAC ID: 5496821209 Enrollment ID: I20181101003414 |
| Provider Name | Casey Bulow Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932686862 PECOS PAC ID: 9931452208 Enrollment ID: I20181102001796 |
| Provider Name | Deepti Ananthula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487848917 PECOS PAC ID: 6204016900 Enrollment ID: I20181105000427 |
| Provider Name | Darshan P Sarode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538576681 PECOS PAC ID: 8527311794 Enrollment ID: I20181106000513 |
| Provider Name | Sameer Mirza Baig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093129207 PECOS PAC ID: 9032489687 Enrollment ID: I20181112001894 |
| Provider Name | Steven Edward Marks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982682084 PECOS PAC ID: 8820192073 Enrollment ID: I20181113001048 |
| Provider Name | Andrew Camarata |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174693063 PECOS PAC ID: 0345506218 Enrollment ID: I20181114000247 |
| Provider Name | Meghan Lucy Clair Gamelin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902289499 PECOS PAC ID: 8820301682 Enrollment ID: I20181114001614 |
| Provider Name | Andrew M Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717215 PECOS PAC ID: 4688967318 Enrollment ID: I20181116001532 |
| Provider Name | Maighan A Seagrove-guffey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598170797 PECOS PAC ID: 7214243385 Enrollment ID: I20181116002722 |
| Provider Name | Mitra Sahebazamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780814392 PECOS PAC ID: 3476691353 Enrollment ID: I20181119000649 |
| Provider Name | Sunil Upadhaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356724553 PECOS PAC ID: 0648569376 Enrollment ID: I20181119003378 |
| Provider Name | Christine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275028169 PECOS PAC ID: 4284988791 Enrollment ID: I20181120002420 |
| Provider Name | Ikenna Ikechukwu Ihim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679955066 PECOS PAC ID: 9234483538 Enrollment ID: I20181126000385 |
| Provider Name | Karen Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962733584 PECOS PAC ID: 5597019802 Enrollment ID: I20181126000824 |
| Provider Name | Muhammad H Pathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326150301 PECOS PAC ID: 2567534282 Enrollment ID: I20181201000416 |
| Provider Name | Darren Douglas Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871068056 PECOS PAC ID: 4284978214 Enrollment ID: I20181203001794 |
| Provider Name | Madeline Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871076778 PECOS PAC ID: 5698019446 Enrollment ID: I20181204004018 |
| Provider Name | Elizabeth Pagoota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912480112 PECOS PAC ID: 0941544795 Enrollment ID: I20181205000072 |
| Provider Name | Vernon Eugene Mackie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780813147 PECOS PAC ID: 7618199175 Enrollment ID: I20181205003041 |
| Provider Name | Warqaa M Akram |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821358748 PECOS PAC ID: 6800169608 Enrollment ID: I20181207001079 |
| Provider Name | Anderson Wiley Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457826372 PECOS PAC ID: 4789928359 Enrollment ID: I20181208000210 |
| Provider Name | Briceida Guadalupe Osborne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942780622 PECOS PAC ID: 6507100062 Enrollment ID: I20181211000203 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20181211002221 |
| Provider Name | Robert J Stillwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068397 PECOS PAC ID: 9335483775 Enrollment ID: I20181211003810 |
| Provider Name | Abigail Hildegarde Buechner Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705060 PECOS PAC ID: 1850636275 Enrollment ID: I20181212003749 |
| Provider Name | Bryan T Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902167 PECOS PAC ID: 4385933894 Enrollment ID: I20181217002662 |
| Provider Name | Amy Melissa Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184199101 PECOS PAC ID: 9133464233 Enrollment ID: I20181218002268 |
| Provider Name | Christina Marie Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245620079 PECOS PAC ID: 6709183452 Enrollment ID: I20181218003264 |
| Provider Name | David Emil Bersinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154325728 PECOS PAC ID: 2769396456 Enrollment ID: I20181218004178 |
| Provider Name | Tristan B Mele |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568800431 PECOS PAC ID: 0941565691 Enrollment ID: I20181219000316 |
| Provider Name | Deebah Ashraf Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063891901 PECOS PAC ID: 9436440864 Enrollment ID: I20190104002274 |
| Provider Name | Shannon Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712101 PECOS PAC ID: 9133411101 Enrollment ID: I20190107000411 |
| Provider Name | Hannah Yetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306297106 PECOS PAC ID: 8527354349 Enrollment ID: I20190107000646 |
| Provider Name | Todd Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20190107003233 |
| Provider Name | Ramez Farah |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649253329 PECOS PAC ID: 3274423090 Enrollment ID: I20190113000013 |
| Provider Name | Radhamani Kannaiyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013390863 PECOS PAC ID: 0749597391 Enrollment ID: I20190113000044 |
| Provider Name | Andrea S Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222087 PECOS PAC ID: 8224374178 Enrollment ID: I20190114001766 |
| Provider Name | Ebenezer Ofori Appah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730525213 PECOS PAC ID: 4688955578 Enrollment ID: I20190115001515 |
| Provider Name | Diana Mihai Alexandru |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497945554 PECOS PAC ID: 4981874906 Enrollment ID: I20190116003672 |
| Provider Name | Jessica Lynn Bohannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253435 PECOS PAC ID: 7911243530 Enrollment ID: I20190117002786 |
| Provider Name | Annette Lape Breed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790799666 PECOS PAC ID: 1153314893 Enrollment ID: I20190123002880 |
| Provider Name | Eric Christian Hedberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447887 PECOS PAC ID: 4082806682 Enrollment ID: I20190124002323 |
| Provider Name | Pedro Isaac Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851335855 PECOS PAC ID: 6103724919 Enrollment ID: I20190129002938 |
| Provider Name | Ali Malek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255354478 PECOS PAC ID: 8820182504 Enrollment ID: I20190205002218 |
| Provider Name | Ronald J Ruszkowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245237296 PECOS PAC ID: 8820031743 Enrollment ID: I20190206000357 |
| Provider Name | Waquia Maultsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902325194 PECOS PAC ID: 9335487941 Enrollment ID: I20190206001605 |
| Provider Name | Rebecca Anne Snyder |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033383435 PECOS PAC ID: 1052629987 Enrollment ID: I20190208002244 |
| Provider Name | Brittani Katlin French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160184 PECOS PAC ID: 2466790845 Enrollment ID: I20190208002997 |
| Provider Name | Olivia Money Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083034417 PECOS PAC ID: 3375841240 Enrollment ID: I20190211000009 |
| Provider Name | Alexander A Parikh |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1174610208 PECOS PAC ID: 3274438627 Enrollment ID: I20190312001691 |
| Provider Name | Tafadzwa Precious Goto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154616209 PECOS PAC ID: 8628245180 Enrollment ID: I20190313000381 |
| Provider Name | Elizabeth Jordan Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664448 PECOS PAC ID: 2860732559 Enrollment ID: I20190315000822 |
| Provider Name | Cherrice Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649747163 PECOS PAC ID: 3577803238 Enrollment ID: I20190318000747 |
| Provider Name | Aaron Jennings Pemberton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740493493 PECOS PAC ID: 9335311562 Enrollment ID: I20190320001177 |
| Provider Name | Melanie Anne Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780149906 PECOS PAC ID: 7214277672 Enrollment ID: I20190321000412 |
| Provider Name | Erik Todd Grossgold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235201427 PECOS PAC ID: 7214168327 Enrollment ID: I20190325001862 |
| Provider Name | David Hak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942290341 PECOS PAC ID: 0547272619 Enrollment ID: I20190325002864 |
| Provider Name | Jessica M Haselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235694076 PECOS PAC ID: 9931449147 Enrollment ID: I20190326002917 |
| Provider Name | Alison L Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841759578 PECOS PAC ID: 3678814308 Enrollment ID: I20190408000616 |
| Provider Name | Lee Richard Morisy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548233430 PECOS PAC ID: 1153515820 Enrollment ID: I20190501003414 |
| Provider Name | Shannita Latish Applewhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543287 PECOS PAC ID: 1254674039 Enrollment ID: I20190517001627 |
| Provider Name | Richard Landrigan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295798619 PECOS PAC ID: 0446156921 Enrollment ID: I20190601000003 |
| Provider Name | Anwaar Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851683395 PECOS PAC ID: 9133390347 Enrollment ID: I20190611002910 |
| Provider Name | Latonia Clark-chalmers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477923936 PECOS PAC ID: 4789917162 Enrollment ID: I20190618001418 |
| Provider Name | Jared John Rejeski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760829428 PECOS PAC ID: 3870807514 Enrollment ID: I20190619002175 |
| Provider Name | Harsh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003070350 PECOS PAC ID: 1557586344 Enrollment ID: I20190620001713 |
| Provider Name | Shailesh Male |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770841132 PECOS PAC ID: 2466690417 Enrollment ID: I20190628001607 |
| Provider Name | Shehabaldin Alqalyoobi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245679141 PECOS PAC ID: 1153623145 Enrollment ID: I20190702003103 |
| Provider Name | Charnissa Nicole Batts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804739 PECOS PAC ID: 3678809225 Enrollment ID: I20190719002110 |
| Provider Name | Atrac A Kay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811188006 PECOS PAC ID: 4981849908 Enrollment ID: I20190722003564 |
| Provider Name | Natalee Genevieve Stone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659638740 PECOS PAC ID: 4284855941 Enrollment ID: I20190723001437 |
| Provider Name | Marissa Christine Krugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477073781 PECOS PAC ID: 3971839994 Enrollment ID: I20190730000926 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20190731002853 |
| Provider Name | Jonathan Robert Helms |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467687376 PECOS PAC ID: 0840504379 Enrollment ID: I20190801002821 |
| Provider Name | Kev'ann Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334847 PECOS PAC ID: 4981931458 Enrollment ID: I20190806002392 |
| Provider Name | Naga Purna Chand Meka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548491004 PECOS PAC ID: 4981847449 Enrollment ID: I20190807000004 |
| Provider Name | Douglas J Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114373966 PECOS PAC ID: 5890087654 Enrollment ID: I20190807003575 |
| Provider Name | Abhishek K Mishra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467700484 PECOS PAC ID: 6608189832 Enrollment ID: I20190808003012 |
| Provider Name | Kim Robert Geisinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194709568 PECOS PAC ID: 0749315786 Enrollment ID: I20190819004014 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20190822003989 |
| Provider Name | Marquita Morris Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407413040 PECOS PAC ID: 5092043307 Enrollment ID: I20190824000736 |
| Provider Name | Ryan M Jordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114362860 PECOS PAC ID: 0345483376 Enrollment ID: I20190827002271 |
| Provider Name | Kumaraswamy Guttalu Krishnamurthy Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427468784 PECOS PAC ID: 2062736028 Enrollment ID: I20190829000052 |
| Provider Name | Melissa Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578123774 PECOS PAC ID: 2668700592 Enrollment ID: I20190829003500 |
| Provider Name | Laurie Hulsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144285594 PECOS PAC ID: 9436130705 Enrollment ID: I20190905000440 |
| Provider Name | Desmond M Daley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609222330 PECOS PAC ID: 5395038236 Enrollment ID: I20190906002689 |
| Provider Name | Michael Robert Koerner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255779567 PECOS PAC ID: 7315171071 Enrollment ID: I20190909002417 |
| Provider Name | Anrew Villion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932594009 PECOS PAC ID: 3274862701 Enrollment ID: I20190910000276 |
| Provider Name | Matthew S Peach |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356769772 PECOS PAC ID: 5698004950 Enrollment ID: I20190911002548 |
| Provider Name | Anupkumar K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740691310 PECOS PAC ID: 7911293113 Enrollment ID: I20190912000647 |
| Provider Name | Shimika Rasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063861631 PECOS PAC ID: 5698005601 Enrollment ID: I20190917004359 |
| Provider Name | Gina Marie Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083266480 PECOS PAC ID: 0042540072 Enrollment ID: I20190918000787 |
| Provider Name | Victoria Mary Kerry Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396303202 PECOS PAC ID: 8224368204 Enrollment ID: I20190918002519 |
| Provider Name | Alysa Ann James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548610116 PECOS PAC ID: 5294020962 Enrollment ID: I20190925000210 |
| Provider Name | Diego Condes Diez Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802540 PECOS PAC ID: 7214267822 Enrollment ID: I20190925000526 |
| Provider Name | Jesse Jacobs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457779555 PECOS PAC ID: 9638471600 Enrollment ID: I20190926003459 |
| Provider Name | Tilak Sunil Kalaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427400209 PECOS PAC ID: 5395031447 Enrollment ID: I20190927001671 |
| Provider Name | Syed Saqib Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871945386 PECOS PAC ID: 6305126012 Enrollment ID: I20190930000247 |
| Provider Name | Ian Luke Bryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639525231 PECOS PAC ID: 9931491727 Enrollment ID: I20190930000739 |
| Provider Name | Jessica Diane Morris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255774170 PECOS PAC ID: 9335479575 Enrollment ID: I20191001001775 |
| Provider Name | Collins Mbugua Mbaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750732962 PECOS PAC ID: 6204175888 Enrollment ID: I20191003002451 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20191007000146 |
| Provider Name | Irfan Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871913046 PECOS PAC ID: 3971894155 Enrollment ID: I20191007002137 |
| Provider Name | Shaikh Fawwad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285180943 PECOS PAC ID: 7315278207 Enrollment ID: I20191007003464 |
| Provider Name | Owais Bhatti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770924631 PECOS PAC ID: 8325260045 Enrollment ID: I20191008000807 |
| Provider Name | Field Austin Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891143889 PECOS PAC ID: 3274826284 Enrollment ID: I20191009003288 |
| Provider Name | Lakshmi Durga Sriramulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629548672 PECOS PAC ID: 4082945738 Enrollment ID: I20191009003349 |
| Provider Name | John Thomas Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578857652 PECOS PAC ID: 6608189774 Enrollment ID: I20191014000022 |
| Provider Name | Khizr Azim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871948562 PECOS PAC ID: 6002148251 Enrollment ID: I20191022000145 |
| Provider Name | Philip Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407208341 PECOS PAC ID: 7810229879 Enrollment ID: I20191024003025 |
| Provider Name | Randa Soukieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871948570 PECOS PAC ID: 7719270156 Enrollment ID: I20191026000009 |
| Provider Name | Ryan J Fouche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730535303 PECOS PAC ID: 4688968019 Enrollment ID: I20191028001853 |
| Provider Name | Tambetta N Ojong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881041176 PECOS PAC ID: 5890027619 Enrollment ID: I20191029001081 |
| Provider Name | Nicole Ann Stoneback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720646227 PECOS PAC ID: 9133451966 Enrollment ID: I20191029001215 |
| Provider Name | Stephen Michael Overholser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265676654 PECOS PAC ID: 3476884362 Enrollment ID: I20191030000661 |
| Provider Name | Sneha Vellala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063876035 PECOS PAC ID: 1254663982 Enrollment ID: I20191030002259 |
| Provider Name | Dustin M Gertsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063868875 PECOS PAC ID: 1153614094 Enrollment ID: I20191030003571 |
| Provider Name | Sundip Somabhai Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487857025 PECOS PAC ID: 0648443408 Enrollment ID: I20191101000249 |
| Provider Name | Tawfikul Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033473293 PECOS PAC ID: 1052627098 Enrollment ID: I20191108000515 |
| Provider Name | Joshua Bradford Zack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881250835 PECOS PAC ID: 1557793759 Enrollment ID: I20191108000923 |
| Provider Name | Eleanor T Kipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720318868 PECOS PAC ID: 4880720390 Enrollment ID: I20191118002136 |
| Provider Name | Lindsay Anne Luschwitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760024319 PECOS PAC ID: 6709218282 Enrollment ID: I20191121002626 |
| Provider Name | Benessa Mitchell Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124679683 PECOS PAC ID: 8224460720 Enrollment ID: I20191122000003 |
| Provider Name | Ashley Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972153401 PECOS PAC ID: 2466885637 Enrollment ID: I20191202000291 |
| Provider Name | Jaclyn Havinga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730568379 PECOS PAC ID: 9830440387 Enrollment ID: I20191202001791 |
| Provider Name | John E Kehoe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669714309 PECOS PAC ID: 8729411798 Enrollment ID: I20191204002898 |
| Provider Name | Kathryn Elizabeth Giamarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477940 PECOS PAC ID: 2264865195 Enrollment ID: I20191209000543 |
| Provider Name | Jody Puckett Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183147 PECOS PAC ID: 4183057664 Enrollment ID: I20191216000323 |
| Provider Name | Nathaniel Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659728731 PECOS PAC ID: 8820382260 Enrollment ID: I20191216002697 |
| Provider Name | Stephanie Renee Avent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063053155 PECOS PAC ID: 4486088846 Enrollment ID: I20191218002185 |
| Provider Name | Angela Mae Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750775607 PECOS PAC ID: 5395179766 Enrollment ID: I20191218002645 |
| Provider Name | William Matthew Wooten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604341 PECOS PAC ID: 1052533072 Enrollment ID: I20191231000425 |
| Provider Name | Hossein Movahed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356637581 PECOS PAC ID: 2466741467 Enrollment ID: I20191231001618 |
| Provider Name | Terry Curtis Fultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285155531 PECOS PAC ID: 1456621739 Enrollment ID: I20200106001190 |
| Provider Name | Alexander P Berwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083092449 PECOS PAC ID: 5991097628 Enrollment ID: I20200108000605 |
| Provider Name | David Kiminda Ngugi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114938 PECOS PAC ID: 4486089083 Enrollment ID: I20200108001311 |
| Provider Name | Gunjal Garg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851520704 PECOS PAC ID: 1153477377 Enrollment ID: I20200113000007 |
| Provider Name | Philip D Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932172525 PECOS PAC ID: 2365432267 Enrollment ID: I20200114001456 |
| Provider Name | Anthony Neal Chatham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508212002 PECOS PAC ID: 8426341108 Enrollment ID: I20200115002441 |
| Provider Name | Diana Isabel Ortiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710119722 PECOS PAC ID: 0042434250 Enrollment ID: I20200116000004 |
| Provider Name | Viet-nhan Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902997646 PECOS PAC ID: 7315063153 Enrollment ID: I20200121000665 |
| Provider Name | Dana James Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946592 PECOS PAC ID: 8921433913 Enrollment ID: I20200122000583 |
| Provider Name | Matthew Wayne Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831518208 PECOS PAC ID: 4082906672 Enrollment ID: I20200126000043 |
| Provider Name | Lamar Marquis Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437568706 PECOS PAC ID: 7012214455 Enrollment ID: I20200128002268 |
| Provider Name | Jessica Clements Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408861 PECOS PAC ID: 3870929490 Enrollment ID: I20200130000786 |
| Provider Name | Ahmad Badr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124474713 PECOS PAC ID: 1355634205 Enrollment ID: I20200203000164 |
| Provider Name | Ryan Christopher Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144864885 PECOS PAC ID: 5496181869 Enrollment ID: I20200203001225 |
| Provider Name | Rebecca Lauren Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083252282 PECOS PAC ID: 8729414016 Enrollment ID: I20200205000433 |
| Provider Name | Muhammad Siddique Khurram |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720490667 PECOS PAC ID: 2466781240 Enrollment ID: I20200205002038 |
| Provider Name | Nicholas J Kuntz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104147362 PECOS PAC ID: 4587091178 Enrollment ID: I20200220000663 |
| Provider Name | Chandar R Abboy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20200304002870 |
| Provider Name | Thomas Francis Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073040218 PECOS PAC ID: 6305116799 Enrollment ID: I20200309000899 |
| Provider Name | John Hibbitts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053360271 PECOS PAC ID: 6305972795 Enrollment ID: I20200311002259 |
| Provider Name | Clifford Todd Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841276953 PECOS PAC ID: 9931272606 Enrollment ID: I20200313000878 |
| Provider Name | Kyudong Peter Uhm |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740222454 PECOS PAC ID: 9537217567 Enrollment ID: I20200316001637 |
| Provider Name | Katherine Dowdy Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619397718 PECOS PAC ID: 2668761073 Enrollment ID: I20200319001574 |
| Provider Name | Bonnie Neal Burnham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036493 PECOS PAC ID: 7911207626 Enrollment ID: I20200323002634 |
| Provider Name | Quinton Victor Cancel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083885644 PECOS PAC ID: 3173698131 Enrollment ID: I20200402000746 |
| Provider Name | Sowmya K Suryanarayanan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558327973 PECOS PAC ID: 1850325614 Enrollment ID: I20200406002217 |
| Provider Name | Mia Gonzales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598292674 PECOS PAC ID: 2567732951 Enrollment ID: I20200406003298 |
| Provider Name | Terresa Marie Bazelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477183853 PECOS PAC ID: 4789013178 Enrollment ID: I20200407000090 |
| Provider Name | Adam Michael Normile |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124506134 PECOS PAC ID: 5799035358 Enrollment ID: I20200407002522 |
| Provider Name | Rena Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386696391 PECOS PAC ID: 0143227694 Enrollment ID: I20200410000787 |
| Provider Name | Robert Allen Keeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751738 PECOS PAC ID: 2961831094 Enrollment ID: I20200410001012 |
| Provider Name | Sara Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554072 PECOS PAC ID: 1456629740 Enrollment ID: I20200414000544 |
| Provider Name | David A Feaker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316213747 PECOS PAC ID: 0648508796 Enrollment ID: I20200421000073 |
| Provider Name | William M Johnstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326433046 PECOS PAC ID: 1951695758 Enrollment ID: I20200422003390 |
| Provider Name | Liam Francis Delahanty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053651802 PECOS PAC ID: 3072943240 Enrollment ID: I20200501000563 |
| Provider Name | Alana Daiva Jasper-trotter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609230341 PECOS PAC ID: 8921379785 Enrollment ID: I20200505002520 |
| Provider Name | Jennifer Burke Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235445537 PECOS PAC ID: 5395986004 Enrollment ID: I20200506002779 |
| Provider Name | Amanda Conrad Pippin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659817211 PECOS PAC ID: 0143651927 Enrollment ID: I20200511003205 |
| Provider Name | Lisa Marie Genovese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730456369 PECOS PAC ID: 0244555001 Enrollment ID: I20200512000547 |
| Provider Name | Amanda Jean Pettibone-pond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790075596 PECOS PAC ID: 8628214293 Enrollment ID: I20200514002295 |
| Provider Name | Allison Umfress |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902250863 PECOS PAC ID: 2961795455 Enrollment ID: I20200516000367 |
| Provider Name | Renita Deloatch Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093369977 PECOS PAC ID: 8628409968 Enrollment ID: I20200520002558 |
| Provider Name | Juan Luis Guillen Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841695095 PECOS PAC ID: 7719259316 Enrollment ID: I20200526000868 |
| Provider Name | Kiyoshi Scissum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407383581 PECOS PAC ID: 3577833052 Enrollment ID: I20200527002725 |
| Provider Name | Paul Christopher Neuman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013915479 PECOS PAC ID: 6901856483 Enrollment ID: I20200528001992 |
| Provider Name | Cassandra Tashay Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154955680 PECOS PAC ID: 7517388507 Enrollment ID: I20200529000810 |
| Provider Name | Latina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669091187 PECOS PAC ID: 2769803774 Enrollment ID: I20200529001608 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20200529001968 |
| Provider Name | Philip I Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166197 PECOS PAC ID: 4880926476 Enrollment ID: I20200602000073 |
| Provider Name | Krysten Elizabeth Sherrod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578090858 PECOS PAC ID: 1355611773 Enrollment ID: I20200609002157 |
| Provider Name | Raquel M Ramirez Rovira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215567417 PECOS PAC ID: 5496176851 Enrollment ID: I20200610003522 |
| Provider Name | Abbie Goodman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336595917 PECOS PAC ID: 3072807874 Enrollment ID: I20200611001271 |
| Provider Name | William E Bylund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407162019 PECOS PAC ID: 9032357918 Enrollment ID: I20200618001821 |
| Provider Name | Jill Marie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932729316 PECOS PAC ID: 8123440955 Enrollment ID: I20200623003241 |
| Provider Name | Augustin Du Sablon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790212199 PECOS PAC ID: 7810261823 Enrollment ID: I20200626001619 |
| Provider Name | Ben Richard Goodgame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891911277 PECOS PAC ID: 0941331961 Enrollment ID: I20200629003690 |
| Provider Name | Anusha Boyanpally |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639554314 PECOS PAC ID: 2264869049 Enrollment ID: I20200710002029 |
| Provider Name | Kathleen Elizabeth Knudson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992062269 PECOS PAC ID: 2567885320 Enrollment ID: I20200713000866 |
| Provider Name | Vikram Singh Bhinder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528475688 PECOS PAC ID: 1557665916 Enrollment ID: I20200713002693 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20200715001178 |
| Provider Name | Emily Marie O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710368865 PECOS PAC ID: 7517275365 Enrollment ID: I20200722000711 |
| Provider Name | Tiffany Gail Byerly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922535012 PECOS PAC ID: 6800166158 Enrollment ID: I20200723001834 |
| Provider Name | Elizabeth Little Inscoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785134 PECOS PAC ID: 2860817236 Enrollment ID: I20200731002003 |
| Provider Name | Margaret R Clifton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619323474 PECOS PAC ID: 4284925512 Enrollment ID: I20200803001970 |
| Provider Name | Akshay Deotare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881148328 PECOS PAC ID: 5698062073 Enrollment ID: I20200803002709 |
| Provider Name | Collier Stephens Pace |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417240953 PECOS PAC ID: 5193965408 Enrollment ID: I20200804002270 |
| Provider Name | Imran Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275063471 PECOS PAC ID: 3274803531 Enrollment ID: I20200806002115 |
| Provider Name | Brittany N Speed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912427576 PECOS PAC ID: 1658642640 Enrollment ID: I20200806002436 |
| Provider Name | Crystal Marie Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073918330 PECOS PAC ID: 2466776281 Enrollment ID: I20200806002457 |
| Provider Name | Christopher Scott Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326571258 PECOS PAC ID: 1951631233 Enrollment ID: I20200806003744 |
| Provider Name | Ruhiyyih Kilgore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972959567 PECOS PAC ID: 7012201445 Enrollment ID: I20200814001435 |
| Provider Name | Alexis Eccleston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073043196 PECOS PAC ID: 8022388545 Enrollment ID: I20200819001249 |
| Provider Name | Samantha Thomas-nadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952838021 PECOS PAC ID: 9537439831 Enrollment ID: I20200824000443 |
| Provider Name | Matthew Scott Irwin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366693335 PECOS PAC ID: 9335457332 Enrollment ID: I20200824000573 |
| Provider Name | Zilfah Younus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538555099 PECOS PAC ID: 0648517052 Enrollment ID: I20200826003393 |
| Provider Name | Amal Elhaj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144647041 PECOS PAC ID: 4284984691 Enrollment ID: I20200827000232 |
| Provider Name | Channaiah Srikanth Mysore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881900652 PECOS PAC ID: 6709191752 Enrollment ID: I20200827001186 |
| Provider Name | Manoranjan Muthukanagaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750765244 PECOS PAC ID: 8820387343 Enrollment ID: I20200827001340 |
| Provider Name | Meredith Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295181865 PECOS PAC ID: 4486945714 Enrollment ID: I20200827002332 |
| Provider Name | Melissa Suzanne Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084410 PECOS PAC ID: 4486071099 Enrollment ID: I20200827002407 |
| Provider Name | Janki Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750737342 PECOS PAC ID: 6305139056 Enrollment ID: I20200827002684 |
| Provider Name | Latangela Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790162493 PECOS PAC ID: 4587979232 Enrollment ID: I20200827003504 |
| Provider Name | Pooja Srikanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023442126 PECOS PAC ID: 1557636487 Enrollment ID: I20200831001593 |
| Provider Name | Apoorva Vivek Saoji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417484890 PECOS PAC ID: 6608293089 Enrollment ID: I20200831002012 |
| Provider Name | Ian Williamson Staten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780030437 PECOS PAC ID: 1850683640 Enrollment ID: I20200901000798 |
| Provider Name | Amy Michelle Modlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144759069 PECOS PAC ID: 5698041259 Enrollment ID: I20200903001880 |
| Provider Name | Crystal Dianne Kellam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265084800 PECOS PAC ID: 2860810777 Enrollment ID: I20200909001927 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20200910000826 |
| Provider Name | Mark Wayne Kolasa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528079324 PECOS PAC ID: 9638193170 Enrollment ID: I20200914000700 |
| Provider Name | Christopher Evan Winstead-derlega |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053765305 PECOS PAC ID: 1658799218 Enrollment ID: I20200914001522 |
| Provider Name | Randi Elizabeth Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790397990 PECOS PAC ID: 4789002965 Enrollment ID: I20200921001580 |
| Provider Name | Rhett Donathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477050961 PECOS PAC ID: 7618223496 Enrollment ID: I20200923001896 |
| Provider Name | Felicia Nneoma Urum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769199 PECOS PAC ID: 8729359534 Enrollment ID: I20200929000561 |
| Provider Name | Ashna Pokhrel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205184231 PECOS PAC ID: 7719238476 Enrollment ID: I20200930003005 |
| Provider Name | Emmett Mosley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770783086 PECOS PAC ID: 5597737270 Enrollment ID: I20200930003157 |
| Provider Name | Fnu Parul Chandrika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417479593 PECOS PAC ID: 3577838010 Enrollment ID: I20201008001129 |
| Provider Name | Rachel Lea Pretko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093240764 PECOS PAC ID: 7113359241 Enrollment ID: I20201008001609 |
| Provider Name | Fariha Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689029209 PECOS PAC ID: 4082958376 Enrollment ID: I20201012000175 |
| Provider Name | Christopher Robert Dorothy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144282849 PECOS PAC ID: 9335117662 Enrollment ID: I20201012000555 |
| Provider Name | Kelley Cox Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801412176 PECOS PAC ID: 2668892654 Enrollment ID: I20201013001445 |
| Provider Name | Robert C Palmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043639800 PECOS PAC ID: 4981823770 Enrollment ID: I20201016000027 |
| Provider Name | Mark Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063688497 PECOS PAC ID: 4486827011 Enrollment ID: I20201021001020 |
| Provider Name | Ifad U Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831399542 PECOS PAC ID: 2062697048 Enrollment ID: I20201023001137 |
| Provider Name | Grainger Steele Lanneau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801983275 PECOS PAC ID: 5294778650 Enrollment ID: I20201023002089 |
| Provider Name | Arielle Hayden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558821793 PECOS PAC ID: 7618397993 Enrollment ID: I20201027000886 |
| Provider Name | Edward Marc Salkind |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518942747 PECOS PAC ID: 9335112440 Enrollment ID: I20201028001457 |
| Provider Name | Lauren Brooke Kostok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750903969 PECOS PAC ID: 3274943311 Enrollment ID: I20201102000685 |
| Provider Name | Michael C Windham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861697740 PECOS PAC ID: 2668668393 Enrollment ID: I20201110002803 |
| Provider Name | Logan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760004923 PECOS PAC ID: 6608287982 Enrollment ID: I20201117001149 |
| Provider Name | Ritu Modi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073920286 PECOS PAC ID: 1254742430 Enrollment ID: I20201118002679 |
| Provider Name | Katie Jo Maples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336682699 PECOS PAC ID: 3577845965 Enrollment ID: I20201125001888 |
| Provider Name | Priyanaina Reddy Kasula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659649770 PECOS PAC ID: 7517113491 Enrollment ID: I20201202001910 |
| Provider Name | Schuyler Geaslen Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891394557 PECOS PAC ID: 5597177915 Enrollment ID: I20201209000712 |
| Provider Name | Jamie Jones Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053913483 PECOS PAC ID: 9739591165 Enrollment ID: I20201209000918 |
| Provider Name | Samuel Grodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912394800 PECOS PAC ID: 4385957984 Enrollment ID: I20201214001067 |
| Provider Name | Heather Hardy Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376144121 PECOS PAC ID: 4880006626 Enrollment ID: I20201218001530 |
| Provider Name | Raymond William Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861003709 PECOS PAC ID: 6103238944 Enrollment ID: I20201218001757 |
| Provider Name | Mary Tayloe Gaskins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215539846 PECOS PAC ID: 5991117525 Enrollment ID: I20201223001258 |
| Provider Name | Kathryn Elizabeth Rand Booher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073074985 PECOS PAC ID: 6800209347 Enrollment ID: I20201230002034 |
| Provider Name | Lucia Angela Smith-martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467808964 PECOS PAC ID: 1254622566 Enrollment ID: I20210104001350 |
| Provider Name | John Robert Absher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417949751 PECOS PAC ID: 3779513809 Enrollment ID: I20210111000792 |
| Provider Name | Marshall Levon French |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447467980 PECOS PAC ID: 6002949708 Enrollment ID: I20210112001470 |
| Provider Name | Michael Drew Honaker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1700010394 PECOS PAC ID: 0749599736 Enrollment ID: I20210112002357 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20210115001849 |
| Provider Name | Erica Proffitt Barwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598361065 PECOS PAC ID: 7810301504 Enrollment ID: I20210120001462 |
| Provider Name | Caleb Frett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861099574 PECOS PAC ID: 9931513538 Enrollment ID: I20210121002800 |
| Provider Name | Brian Patrick Regan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366979874 PECOS PAC ID: 7618230855 Enrollment ID: I20210122001028 |
| Provider Name | Jeffrey Blake Asbury |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124048111 PECOS PAC ID: 2365433083 Enrollment ID: I20210210001572 |
| Provider Name | Christopher Loren Allam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598975641 PECOS PAC ID: 0143490631 Enrollment ID: I20210218002134 |
| Provider Name | Hannah M Masoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073047528 PECOS PAC ID: 7315215852 Enrollment ID: I20210305000300 |
| Provider Name | Kushagra Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831503887 PECOS PAC ID: 0345513750 Enrollment ID: I20210317002279 |
| Provider Name | Sean J Godfrey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437680238 PECOS PAC ID: 3678827748 Enrollment ID: I20210324000740 |
| Provider Name | Lisa Marie Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477146850 PECOS PAC ID: 5890102214 Enrollment ID: I20210401000530 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20210405001194 |
| Provider Name | Crystal Leigh Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073106258 PECOS PAC ID: 4981011152 Enrollment ID: I20210406001268 |
| Provider Name | Kurt Frauenpreis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093732182 PECOS PAC ID: 0345424917 Enrollment ID: I20210409000755 |
| Provider Name | Robin Fernandes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255747713 PECOS PAC ID: 4183992035 Enrollment ID: I20210423000386 |
| Provider Name | Farrukh Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003077900 PECOS PAC ID: 3577794023 Enrollment ID: I20210427000991 |
| Provider Name | Christie Merritt Sanders |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669015954 PECOS PAC ID: 7416365622 Enrollment ID: I20210427002375 |
| Provider Name | Poorvi King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972999126 PECOS PAC ID: 5395059323 Enrollment ID: I20210506000991 |
| Provider Name | Scott D Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033685847 PECOS PAC ID: 2466798004 Enrollment ID: I20210510000321 |
| Provider Name | Shoujun Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053707109 PECOS PAC ID: 5597060806 Enrollment ID: I20210514000688 |
| Provider Name | Andrew Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669979571 PECOS PAC ID: 4385992718 Enrollment ID: I20210518000354 |
| Provider Name | Dylan Lantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366023202 PECOS PAC ID: 3678972700 Enrollment ID: I20210524000021 |
| Provider Name | Quatina Lynch Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952987281 PECOS PAC ID: 7719386788 Enrollment ID: I20210524001798 |
| Provider Name | Jeremy Samuel Wilkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467959601 PECOS PAC ID: 5294082186 Enrollment ID: I20210526000531 |
| Provider Name | Brooke Crawford Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417540022 PECOS PAC ID: 8123427911 Enrollment ID: I20210527001447 |
| Provider Name | Crissy Turner Cone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255911509 PECOS PAC ID: 8325448590 Enrollment ID: I20210609001002 |
| Provider Name | James Decarlo Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104406131 PECOS PAC ID: 2466852637 Enrollment ID: I20210609001209 |
| Provider Name | Rodger Christy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477546828 PECOS PAC ID: 8123192200 Enrollment ID: I20210617000780 |
| Provider Name | Octavio Cosme-montalvo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255324000 PECOS PAC ID: 3173423852 Enrollment ID: I20210617002386 |
| Provider Name | Colin Adrian Meghoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871660597 PECOS PAC ID: 7416249610 Enrollment ID: I20210622002213 |
| Provider Name | Rima Mahendra Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182893 PECOS PAC ID: 8022419738 Enrollment ID: I20210701000192 |
| Provider Name | Jeffrey Daniel Hoffmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679837355 PECOS PAC ID: 1052713591 Enrollment ID: I20210707001445 |
| Provider Name | Dale Frederick Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891052288 PECOS PAC ID: 5991127359 Enrollment ID: I20210714002308 |
| Provider Name | Kunjan Danish Udani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598261398 PECOS PAC ID: 3072863356 Enrollment ID: I20210721000221 |
| Provider Name | Gurbaj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235593005 PECOS PAC ID: 4082968300 Enrollment ID: I20210721002872 |
| Provider Name | Franklin Chalmers Niblock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958736 PECOS PAC ID: 9830448273 Enrollment ID: I20210727000020 |
| Provider Name | Abigail Lee Mazingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205289303 PECOS PAC ID: 2466739172 Enrollment ID: I20210727003059 |
| Provider Name | Michelle Leigh Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841733532 PECOS PAC ID: 5395020689 Enrollment ID: I20210730003259 |
| Provider Name | Serena Louise Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043717432 PECOS PAC ID: 2163779018 Enrollment ID: I20210803000872 |
| Provider Name | Lissa C Sakata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902193410 PECOS PAC ID: 8123249810 Enrollment ID: I20210803001231 |
| Provider Name | Amanda Rodenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780253716 PECOS PAC ID: 6103220827 Enrollment ID: I20210803001531 |
| Provider Name | Rupendra Swarup |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568596641 PECOS PAC ID: 2264605690 Enrollment ID: I20210810000073 |
| Provider Name | Kent Regan Folsom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912944877 PECOS PAC ID: 3577692052 Enrollment ID: I20210810004090 |
| Provider Name | Ikenna Nweze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225264849 PECOS PAC ID: 6406195254 Enrollment ID: I20210811000039 |
| Provider Name | Hassan Mahdi Al-khalisy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053727503 PECOS PAC ID: 7416175336 Enrollment ID: I20210812000502 |
| Provider Name | Sadashivaiah Bhaskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417002098 PECOS PAC ID: 8224279013 Enrollment ID: I20210812003810 |
| Provider Name | Tiffany Monique Alexander |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851824288 PECOS PAC ID: 1456626217 Enrollment ID: I20210817002932 |
| Provider Name | Adepeju Adeola Bolaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790310274 PECOS PAC ID: 7517362346 Enrollment ID: I20210817003241 |
| Provider Name | Yan Ho Ronald Ronald Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584998 PECOS PAC ID: 3870840606 Enrollment ID: I20210818000051 |
| Provider Name | Gabriel Rene Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013445410 PECOS PAC ID: 9335544089 Enrollment ID: I20210819000052 |
| Provider Name | Cyrille Anne Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194340976 PECOS PAC ID: 4789089236 Enrollment ID: I20210820001200 |
| Provider Name | Gail Lee Zeisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558752188 PECOS PAC ID: 2961735527 Enrollment ID: I20210823002564 |
| Provider Name | Reena Nandita Tahilramani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235393737 PECOS PAC ID: 5698947042 Enrollment ID: I20210825000247 |
| Provider Name | Shawn Yeazell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518349463 PECOS PAC ID: 4587071329 Enrollment ID: I20210825000516 |
| Provider Name | Thomas J Painter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376834283 PECOS PAC ID: 0840436135 Enrollment ID: I20210825000542 |
| Provider Name | Aaron Matthew Wesley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710415476 PECOS PAC ID: 1557626769 Enrollment ID: I20210825001622 |
| Provider Name | Joylyn Daniel Yeazell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821445446 PECOS PAC ID: 0143566307 Enrollment ID: I20210826001121 |
| Provider Name | Ouassim Derbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962998765 PECOS PAC ID: 0840540357 Enrollment ID: I20210827000003 |
| Provider Name | Margaret Romine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518377589 PECOS PAC ID: 8527281740 Enrollment ID: I20210827001565 |
| Provider Name | Mona Taleb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023306875 PECOS PAC ID: 9436457371 Enrollment ID: I20210831000716 |
| Provider Name | Jared Michael Verga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487076287 PECOS PAC ID: 4486925138 Enrollment ID: I20210831002460 |
| Provider Name | Yohanis O'neill Castro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962825364 PECOS PAC ID: 8527316405 Enrollment ID: I20210831003824 |
| Provider Name | Kibwe Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013180876 PECOS PAC ID: 6103940663 Enrollment ID: I20210901003917 |
| Provider Name | William Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528044609 PECOS PAC ID: 6709914807 Enrollment ID: I20210902000407 |
| Provider Name | Rachel Renae Hooven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396313144 PECOS PAC ID: 9830595586 Enrollment ID: I20210907000787 |
| Provider Name | Tracey Elizabeth Beard Hansel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013183904 PECOS PAC ID: 9335395185 Enrollment ID: I20210907003603 |
| Provider Name | Ashton Elizabeth Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699345637 PECOS PAC ID: 6800292384 Enrollment ID: I20210908003423 |
| Provider Name | Mohammad Hammad Jaber Alhamaydeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760997530 PECOS PAC ID: 2567713654 Enrollment ID: I20210908003723 |
| Provider Name | Nurose Karim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720442338 PECOS PAC ID: 3971898610 Enrollment ID: I20210914000784 |
| Provider Name | John Luis Viechweg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790263150 PECOS PAC ID: 9335545482 Enrollment ID: I20210915000967 |
| Provider Name | Lori Lyn Giggey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932770773 PECOS PAC ID: 8325445471 Enrollment ID: I20210916001985 |
| Provider Name | Shoaib Altaf Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992171193 PECOS PAC ID: 2466742929 Enrollment ID: I20210920000619 |
| Provider Name | Kelsey Copeland Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316596406 PECOS PAC ID: 9931506813 Enrollment ID: I20210920001625 |
| Provider Name | Luke Charles Bates |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275023541 PECOS PAC ID: 4183973886 Enrollment ID: I20210920003206 |
| Provider Name | Matthew Ward Romine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245640218 PECOS PAC ID: 4981990777 Enrollment ID: I20210921000182 |
| Provider Name | James Bryant Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184062564 PECOS PAC ID: 9537301619 Enrollment ID: I20210922002284 |
| Provider Name | Cristen Rencsok Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275114571 PECOS PAC ID: 4486051158 Enrollment ID: I20210922002499 |
| Provider Name | Abdullah Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528400488 PECOS PAC ID: 1456574110 Enrollment ID: I20210928000326 |
| Provider Name | Manthan Dipak Makadia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396005773 PECOS PAC ID: 0143528315 Enrollment ID: I20211004000348 |
| Provider Name | Kimberly Rae Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780758953 PECOS PAC ID: 4587974035 Enrollment ID: I20211005000463 |
| Provider Name | Richa Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922776533 PECOS PAC ID: 8426456492 Enrollment ID: I20211005001689 |
| Provider Name | Stuart William Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942695739 PECOS PAC ID: 9537469549 Enrollment ID: I20211007000648 |
| Provider Name | Mark Stradley Dyson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639666480 PECOS PAC ID: 7911254826 Enrollment ID: I20211007003241 |
| Provider Name | Ashley Elizabeth Aaron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417246950 PECOS PAC ID: 1052719853 Enrollment ID: I20211008001137 |
| Provider Name | Susan Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801485925 PECOS PAC ID: 6103224852 Enrollment ID: I20211011000367 |
| Provider Name | Taiwen Chen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629062385 PECOS PAC ID: 9133193246 Enrollment ID: I20211014002575 |
| Provider Name | Lindsey Packard Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235711250 PECOS PAC ID: 4981002375 Enrollment ID: I20211015001777 |
| Provider Name | Kenneth John Moquin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124181755 PECOS PAC ID: 9638213176 Enrollment ID: I20211016000003 |
| Provider Name | Peter E Bippart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700844248 PECOS PAC ID: 6709850860 Enrollment ID: I20211018002789 |
| Provider Name | Ann Warmack Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649948308 PECOS PAC ID: 2961890298 Enrollment ID: I20211019002242 |
| Provider Name | Fnu Saba Mushtaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295221232 PECOS PAC ID: 1052709326 Enrollment ID: I20211020000081 |
| Provider Name | Tammy Teresa Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421510 PECOS PAC ID: 9638586274 Enrollment ID: I20211020000089 |
| Provider Name | Jaffer Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699218842 PECOS PAC ID: 5991089674 Enrollment ID: I20211025001757 |
| Provider Name | Amy Elizabeth Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891318036 PECOS PAC ID: 0042608085 Enrollment ID: I20211025002798 |
| Provider Name | Robert John Feczko |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942629753 PECOS PAC ID: 7719110527 Enrollment ID: I20211025002820 |
| Provider Name | Heather Evans Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295324861 PECOS PAC ID: 4486042231 Enrollment ID: I20211027001444 |
| Provider Name | Deepak Udupa Sekaran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922446962 PECOS PAC ID: 6002166980 Enrollment ID: I20211027002688 |
| Provider Name | Janiece Ann Caceres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568124386 PECOS PAC ID: 5698163483 Enrollment ID: I20211027003281 |
| Provider Name | Manny Subramania Iyer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417937913 PECOS PAC ID: 6507870227 Enrollment ID: I20211029000524 |
| Provider Name | Marie Louise Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568578524 PECOS PAC ID: 2769403377 Enrollment ID: I20211101002352 |
| Provider Name | Andrea Marie Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164842548 PECOS PAC ID: 3274755491 Enrollment ID: I20211109001410 |
| Provider Name | Letitia Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467978189 PECOS PAC ID: 5890050561 Enrollment ID: I20211115001672 |
| Provider Name | Shaheera Baig Chughtai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447798525 PECOS PAC ID: 0345510343 Enrollment ID: I20211115001980 |
| Provider Name | Mary-jane Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096032 PECOS PAC ID: 8123313871 Enrollment ID: I20211117000224 |
| Provider Name | Austin Christopher Nabet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891034393 PECOS PAC ID: 7315343209 Enrollment ID: I20211119000456 |
| Provider Name | Shaketa Dion Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588230007 PECOS PAC ID: 4183013683 Enrollment ID: I20211122001413 |
| Provider Name | Mallory Byrum Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152197 PECOS PAC ID: 6204225725 Enrollment ID: I20211122002236 |
| Provider Name | Edward J Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20211123000483 |
| Provider Name | Tyler Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912228404 PECOS PAC ID: 3274806591 Enrollment ID: I20211201001206 |
| Provider Name | Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164839890 PECOS PAC ID: 4789983040 Enrollment ID: I20211207000019 |
| Provider Name | Deirdra Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679120687 PECOS PAC ID: 5294167870 Enrollment ID: I20211214001459 |
| Provider Name | Manohar Reddy Chintu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841441912 PECOS PAC ID: 8224206297 Enrollment ID: I20211216000096 |
| Provider Name | Jerry William Mcroberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225183791 PECOS PAC ID: 0042303125 Enrollment ID: I20211216001933 |
| Provider Name | Rachael Marcelle Spisak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063897130 PECOS PAC ID: 7517269699 Enrollment ID: I20211220002159 |
| Provider Name | Marzena Szafran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891042735 PECOS PAC ID: 0042468829 Enrollment ID: I20211228002493 |
| Provider Name | Madge Elaine Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619954948 PECOS PAC ID: 3971523358 Enrollment ID: I20211229001671 |
| Provider Name | Amanda Sadowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060679 PECOS PAC ID: 2062790975 Enrollment ID: I20220105000886 |
| Provider Name | Abigail Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376084947 PECOS PAC ID: 1658643762 Enrollment ID: I20220106000228 |
| Provider Name | Ashley Keene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316518889 PECOS PAC ID: 2769874122 Enrollment ID: I20220114000017 |
| Provider Name | Natalie Kay Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144986506 PECOS PAC ID: 7911399217 Enrollment ID: I20220119000081 |
| Provider Name | Samantha Jean Filipovich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649854431 PECOS PAC ID: 2264824135 Enrollment ID: I20220126003028 |
| Provider Name | Chantel D Staton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306478821 PECOS PAC ID: 0547653214 Enrollment ID: I20220202001738 |
| Provider Name | Jordan Lee Narron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336800325 PECOS PAC ID: 3971996133 Enrollment ID: I20220210001648 |
| Provider Name | Hazem Ahmed Elariny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649203118 PECOS PAC ID: 8729045042 Enrollment ID: I20220215002552 |
| Provider Name | Anna Stanislawa Bereziewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952614257 PECOS PAC ID: 0042454035 Enrollment ID: I20220302002466 |
| Provider Name | Chloe Michelle Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407510563 PECOS PAC ID: 7315331626 Enrollment ID: I20220303000072 |
| Provider Name | Steven M Dandalides |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679558472 PECOS PAC ID: 5799733200 Enrollment ID: I20220307002213 |
| Provider Name | Abiola Aina Shitta-bey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073640199 PECOS PAC ID: 7810156304 Enrollment ID: I20220308002047 |
| Provider Name | Daniel Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144801747 PECOS PAC ID: 8426447384 Enrollment ID: I20220311000042 |
| Provider Name | Stuart Craig Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598417008 PECOS PAC ID: 6507251428 Enrollment ID: I20220311000620 |
| Provider Name | Shannon Simpson Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114038189 PECOS PAC ID: 6800829706 Enrollment ID: I20220311002260 |
| Provider Name | Kelly Madison Kittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578214045 PECOS PAC ID: 3173918034 Enrollment ID: I20220312000066 |
| Provider Name | Zeni Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174012637 PECOS PAC ID: 9335491349 Enrollment ID: I20220315002486 |
| Provider Name | Jennifer Ann Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124775747 PECOS PAC ID: 7719372200 Enrollment ID: I20220321000078 |
| Provider Name | Eamon O'reilly |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326097932 PECOS PAC ID: 5496977167 Enrollment ID: I20220324002698 |
| Provider Name | Shalina Stiles Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760133581 PECOS PAC ID: 0345635454 Enrollment ID: I20220327000020 |
| Provider Name | Pamela Langley Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902429053 PECOS PAC ID: 1153717277 Enrollment ID: I20220329002314 |
| Provider Name | Renee Bethea Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568432128 PECOS PAC ID: 4688615446 Enrollment ID: I20220406002805 |
| Provider Name | Monique Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457888422 PECOS PAC ID: 7911277330 Enrollment ID: I20220407002741 |
| Provider Name | Maria Isabel Almira Suarez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184800666 PECOS PAC ID: 6305080391 Enrollment ID: I20220411000346 |
| Provider Name | Megan Mitchell Rivera-o'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851856124 PECOS PAC ID: 7810238482 Enrollment ID: I20220412002869 |
| Provider Name | Jennifer Lynn Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407457211 PECOS PAC ID: 6002200243 Enrollment ID: I20220413000540 |
| Provider Name | Richard Anthony Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629502935 PECOS PAC ID: 6002180833 Enrollment ID: I20220413002787 |
| Provider Name | Erik David Brink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396942116 PECOS PAC ID: 1557674132 Enrollment ID: I20220418000356 |
| Provider Name | Ashley Lauren Feeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164179123 PECOS PAC ID: 6901293661 Enrollment ID: I20220427001127 |
| Provider Name | Ashley A Roper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073931945 PECOS PAC ID: 0648544528 Enrollment ID: I20220505000819 |
| Provider Name | Esam Salem Omeish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982766614 PECOS PAC ID: 4880675669 Enrollment ID: I20220506000486 |
| Provider Name | Olivia Jackson Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144978628 PECOS PAC ID: 7911384128 Enrollment ID: I20220509002010 |
| Provider Name | Chinonye Eriobu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154841294 PECOS PAC ID: 0840612297 Enrollment ID: I20220517001056 |
| Provider Name | Jeffrey Austin Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205398450 PECOS PAC ID: 8921485731 Enrollment ID: I20220517002304 |
| Provider Name | Ashley Nixon Venters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255087516 PECOS PAC ID: 3072991371 Enrollment ID: I20220526002948 |
| Provider Name | Danielle Jarman White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205576915 PECOS PAC ID: 4082092200 Enrollment ID: I20220531002263 |
| Provider Name | Adam Wali Hamidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215241377 PECOS PAC ID: 4587836689 Enrollment ID: I20220602000912 |
| Provider Name | Brainerd Ese Ewarien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089936 PECOS PAC ID: 6103172788 Enrollment ID: I20220606000087 |
| Provider Name | Sunil Badami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003269085 PECOS PAC ID: 0840587226 Enrollment ID: I20220616003136 |
| Provider Name | George Vaden Blackwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265403547 PECOS PAC ID: 7315015658 Enrollment ID: I20220620000061 |
| Provider Name | Andrew Douglas Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679093595 PECOS PAC ID: 6709157050 Enrollment ID: I20220621000877 |
| Provider Name | Sevara Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801459375 PECOS PAC ID: 3678808649 Enrollment ID: I20220621002546 |
| Provider Name | Lingling Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194210310 PECOS PAC ID: 5496091753 Enrollment ID: I20220623002523 |
| Provider Name | Patricia Brooke Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346550993 PECOS PAC ID: 1456731066 Enrollment ID: I20220629000352 |
| Provider Name | Jeremiah Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639533870 PECOS PAC ID: 0244524338 Enrollment ID: I20220705000427 |
| Provider Name | Adrienne Eby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922678804 PECOS PAC ID: 4789064627 Enrollment ID: I20220708002322 |
| Provider Name | Alyssa Lauren Ballestero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124761689 PECOS PAC ID: 6608257118 Enrollment ID: I20220714003338 |
| Provider Name | Josef Henry Kinderwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902369796 PECOS PAC ID: 4183951833 Enrollment ID: I20220719001555 |
| Provider Name | Ryan Rex Lagrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114526 PECOS PAC ID: 8628310208 Enrollment ID: I20220719002263 |
| Provider Name | Stephen Christopher Mullins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710030481 PECOS PAC ID: 6406942416 Enrollment ID: I20220722002713 |
| Provider Name | Arch Wooten Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548766744 PECOS PAC ID: 6002167426 Enrollment ID: I20220725000164 |
| Provider Name | Temitope Ayodeji Lawal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407376890 PECOS PAC ID: 9032591839 Enrollment ID: I20220726002300 |
| Provider Name | Anthony Benedict Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689287328 PECOS PAC ID: 1658790308 Enrollment ID: I20220802000875 |
| Provider Name | Luke Carter Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366702441 PECOS PAC ID: 1951567767 Enrollment ID: I20220802001169 |
| Provider Name | Anwar Abdul-hadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710291992 PECOS PAC ID: 1456623586 Enrollment ID: I20220802003073 |
| Provider Name | Ahmed Khalid Alomari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962718494 PECOS PAC ID: 2062712623 Enrollment ID: I20220803002080 |
| Provider Name | Benjamin Lloyd Byerly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013404433 PECOS PAC ID: 1850640095 Enrollment ID: I20220803003514 |
| Provider Name | John Cornelius O'donnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679922751 PECOS PAC ID: 2668898743 Enrollment ID: I20220804000073 |
| Provider Name | Anthony M Savo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053471250 PECOS PAC ID: 3476455577 Enrollment ID: I20220805000077 |
| Provider Name | David George Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528591484 PECOS PAC ID: 2163792573 Enrollment ID: I20220805001268 |
| Provider Name | Kelsey Einhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972256618 PECOS PAC ID: 9537541602 Enrollment ID: I20220805001689 |
| Provider Name | Vonzell Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861674921 PECOS PAC ID: 4082884333 Enrollment ID: I20220808000441 |
| Provider Name | Anna Mangum Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548837636 PECOS PAC ID: 7618359670 Enrollment ID: I20220808001508 |
| Provider Name | Kimberly Miskow Stepney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205403185 PECOS PAC ID: 9739561606 Enrollment ID: I20220809002863 |
| Provider Name | Shaivya Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821551052 PECOS PAC ID: 5193052868 Enrollment ID: I20220809003546 |
| Provider Name | Robin B Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871740324 PECOS PAC ID: 6709813330 Enrollment ID: I20220810001082 |
| Provider Name | Kalyan Reddy Malgireddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316467350 PECOS PAC ID: 1759655210 Enrollment ID: I20220810001906 |
| Provider Name | Christina Louise Paul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871026997 PECOS PAC ID: 3476936667 Enrollment ID: I20220822001147 |
| Provider Name | Elise Loraine Stephenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649632712 PECOS PAC ID: 3375926397 Enrollment ID: I20220823003534 |
| Provider Name | Jessica Hudson Yelverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811475981 PECOS PAC ID: 1355725375 Enrollment ID: I20220825000197 |
| Provider Name | William Foster Rawls |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588105761 PECOS PAC ID: 1850635277 Enrollment ID: I20220825003430 |
| Provider Name | Michael Gwynne Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275515652 PECOS PAC ID: 3678738168 Enrollment ID: I20220825003533 |
| Provider Name | Ann Gee Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205229697 PECOS PAC ID: 1951785815 Enrollment ID: I20220826002067 |
| Provider Name | Wasim Samara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275995177 PECOS PAC ID: 4587959853 Enrollment ID: I20220829000287 |
| Provider Name | Ankush Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913102 PECOS PAC ID: 6305947649 Enrollment ID: I20220829001147 |
| Provider Name | Muhammad Umer Tariq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124374939 PECOS PAC ID: 0345574455 Enrollment ID: I20220829002050 |
| Provider Name | Timothy Andrew Gates |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356555122 PECOS PAC ID: 3476716259 Enrollment ID: I20220829002137 |
| Provider Name | Marina Wafik Morcos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306400809 PECOS PAC ID: 4082949037 Enrollment ID: I20220830003281 |
| Provider Name | Hekuran Marevci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568924314 PECOS PAC ID: 6608101878 Enrollment ID: I20220830003783 |
| Provider Name | Melissa Joy Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427352491 PECOS PAC ID: 9537344387 Enrollment ID: I20220906002071 |
| Provider Name | Syed Sami Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083191142 PECOS PAC ID: 8820346067 Enrollment ID: I20220907000340 |
| Provider Name | Zachary Glenn Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134625718 PECOS PAC ID: 5597149799 Enrollment ID: I20220907003935 |
| Provider Name | Nicole Clark Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164161519 PECOS PAC ID: 9234514340 Enrollment ID: I20220909001644 |
| Provider Name | Nathan Henry Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578876819 PECOS PAC ID: 8729001177 Enrollment ID: I20220912001904 |
| Provider Name | Kaitlyn Jean Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996638 PECOS PAC ID: 8628453677 Enrollment ID: I20220913000103 |
| Provider Name | Melinda Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538808381 PECOS PAC ID: 5294110169 Enrollment ID: I20220913001320 |
| Provider Name | David Maish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215998968 PECOS PAC ID: 0143209395 Enrollment ID: I20220913003683 |
| Provider Name | Jennifer Erin Mihalik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275732067 PECOS PAC ID: 7719158260 Enrollment ID: I20220913004038 |
| Provider Name | Bernadette Marie Hightower-hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881604155 PECOS PAC ID: 1153486709 Enrollment ID: I20220914000152 |
| Provider Name | Prasanna Manjini Sengodan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538561006 PECOS PAC ID: 0143577098 Enrollment ID: I20220916002062 |
| Provider Name | Leisa Marie Deutsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023320017 PECOS PAC ID: 5597071159 Enrollment ID: I20220922000888 |
| Provider Name | Jonathan Daniel Bouchez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174968069 PECOS PAC ID: 7517350697 Enrollment ID: I20220922002957 |
| Provider Name | Joseph M Ferrara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942450002 PECOS PAC ID: 6901968114 Enrollment ID: I20220923002186 |
| Provider Name | Franklin Mikell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568805265 PECOS PAC ID: 9133361322 Enrollment ID: I20220926001383 |
| Provider Name | Kevin Andrew Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306290564 PECOS PAC ID: 9537453014 Enrollment ID: I20220926003351 |
| Provider Name | Jordan Alexandra Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154056083 PECOS PAC ID: 0648656561 Enrollment ID: I20220929003726 |
| Provider Name | Casey Green Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245962604 PECOS PAC ID: 3072999739 Enrollment ID: I20221003003011 |
| Provider Name | Swapnil Dilip Kachare |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366762643 PECOS PAC ID: 1355649872 Enrollment ID: I20221003003185 |
| Provider Name | Colleen Pisano Kennerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220533 PECOS PAC ID: 2961888524 Enrollment ID: I20221005000600 |
| Provider Name | Albert George Rossner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831823566 PECOS PAC ID: 2769868165 Enrollment ID: I20221010000682 |
| Provider Name | Yuefeng Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467700716 PECOS PAC ID: 9638451867 Enrollment ID: I20221012000496 |
| Provider Name | Gary Lee Badzinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821094327 PECOS PAC ID: 1759449663 Enrollment ID: I20221013000378 |
| Provider Name | Sabrina Renee Oleskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063131662 PECOS PAC ID: 5698141711 Enrollment ID: I20221014001147 |
| Provider Name | Marquita Shanta Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720713522 PECOS PAC ID: 2769858778 Enrollment ID: I20221017001216 |
| Provider Name | Zaineb Viqas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982264685 PECOS PAC ID: 7618343468 Enrollment ID: I20221019000409 |
| Provider Name | Lauren Patterson Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972803237 PECOS PAC ID: 0244606929 Enrollment ID: I20221020002463 |
| Provider Name | Jeswinder Kaur Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922661891 PECOS PAC ID: 3779814793 Enrollment ID: I20221025001590 |
| Provider Name | Susan Catherine Shelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952515603 PECOS PAC ID: 0547314478 Enrollment ID: I20221025003268 |
| Provider Name | Megan Elise Germscheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557360 PECOS PAC ID: 5193036002 Enrollment ID: I20221028000379 |
| Provider Name | Amanda Ward Isbell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114654530 PECOS PAC ID: 3971970203 Enrollment ID: I20221031000388 |
| Provider Name | Lauren E Mcdowell-jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801836424 PECOS PAC ID: 4587619705 Enrollment ID: I20221031002151 |
| Provider Name | Sukriti Kamboj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134475650 PECOS PAC ID: 5698088813 Enrollment ID: I20221104002277 |
| Provider Name | Meagan Elaine Lineberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363612 PECOS PAC ID: 0941677629 Enrollment ID: I20221109002165 |
| Provider Name | Lindsi Gabrielle Ahearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003530049 PECOS PAC ID: 6709254097 Enrollment ID: I20221117000589 |
| Provider Name | Joy Osasere Iguobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144667288 PECOS PAC ID: 4486896479 Enrollment ID: I20221121000071 |
| Provider Name | John Yancey Phelps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629130950 PECOS PAC ID: 0244375947 Enrollment ID: I20221122000698 |
| Provider Name | Lisa Anna Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952726739 PECOS PAC ID: 1052531563 Enrollment ID: I20221122003616 |
| Provider Name | Asif M Rehman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992813190 PECOS PAC ID: 9234112558 Enrollment ID: I20221207001500 |
| Provider Name | Nancy Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811922016 PECOS PAC ID: 1951359975 Enrollment ID: I20221213002990 |
| Provider Name | Amish Deepak Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629699582 PECOS PAC ID: 6103248497 Enrollment ID: I20221215000996 |
| Provider Name | Christopher Darrell Woolard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952038432 PECOS PAC ID: 8729458427 Enrollment ID: I20221221000060 |
| Provider Name | Brenn Mitchell Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396166427 PECOS PAC ID: 0244469773 Enrollment ID: I20230104000885 |
| Provider Name | Emily Elizabeth Rogewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881302180 PECOS PAC ID: 8820468044 Enrollment ID: I20230105000267 |
| Provider Name | Cheryl L Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023631199 PECOS PAC ID: 8426428384 Enrollment ID: I20230110002921 |
| Provider Name | Ann Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023141058 PECOS PAC ID: 4789901190 Enrollment ID: I20230111002573 |
| Provider Name | Anthony W Benderman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245372234 PECOS PAC ID: 1557731387 Enrollment ID: I20230111003095 |
| Provider Name | Samantha Dawn Peltola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457009839 PECOS PAC ID: 2062883796 Enrollment ID: I20230117002053 |
| Provider Name | Shannon Paton Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346751898 PECOS PAC ID: 7012388754 Enrollment ID: I20230117002237 |
| Provider Name | Lindsey Nelson Gieselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946440 PECOS PAC ID: 8022489640 Enrollment ID: I20230118002441 |
| Provider Name | Elizabeth Hayes Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013497312 PECOS PAC ID: 6800267394 Enrollment ID: I20230119002820 |
| Provider Name | Lindsay Lyons Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841931110 PECOS PAC ID: 7810368321 Enrollment ID: I20230120000308 |
| Provider Name | Brian Moonkyong Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669633137 PECOS PAC ID: 0547335671 Enrollment ID: I20230120000417 |
| Provider Name | Peter Formby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730476698 PECOS PAC ID: 6507102274 Enrollment ID: I20230123000883 |
| Provider Name | Gaboy Jupiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656715 PECOS PAC ID: 0648554758 Enrollment ID: I20230123001205 |
| Provider Name | Autumn Joy Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383077 PECOS PAC ID: 1456722867 Enrollment ID: I20230123002124 |
| Provider Name | Stephanie Dawn Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548886849 PECOS PAC ID: 4981075322 Enrollment ID: I20230124000312 |
| Provider Name | Alexander Gilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417932781 PECOS PAC ID: 8729253505 Enrollment ID: I20230124001905 |
| Provider Name | Akintunde Rasaq Akinleye |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881990505 PECOS PAC ID: 9032410865 Enrollment ID: I20230125000866 |
| Provider Name | Rhonda Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841348950 PECOS PAC ID: 6800015108 Enrollment ID: I20230125000974 |
| Provider Name | Morgan Such |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013552256 PECOS PAC ID: 5395116537 Enrollment ID: I20230125002614 |
| Provider Name | Pamela Meadors Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154472553 PECOS PAC ID: 0345611489 Enrollment ID: I20230127000271 |
| Provider Name | Dynita Haislip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174672455 PECOS PAC ID: 7012388184 Enrollment ID: I20230127001609 |
| Provider Name | Taylor Brocuglio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962177865 PECOS PAC ID: 2961896204 Enrollment ID: I20230202000361 |
| Provider Name | Mateusz Broszko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063853182 PECOS PAC ID: 8426347964 Enrollment ID: I20230206002148 |
| Provider Name | Eileen Pauline Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417668807 PECOS PAC ID: 8022480425 Enrollment ID: I20230213001390 |
| Provider Name | Jacqueline Davanzo Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899964 PECOS PAC ID: 2264804558 Enrollment ID: I20230215000553 |
| Provider Name | Michelle Christine Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043971757 PECOS PAC ID: 5799153060 Enrollment ID: I20230215001735 |
| Provider Name | Elizabeth Anne Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245437615 PECOS PAC ID: 3173995339 Enrollment ID: I20230216000771 |
| Provider Name | Corey Scott Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104455385 PECOS PAC ID: 2860813797 Enrollment ID: I20230308001265 |
| Provider Name | Caroline Jane Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881305829 PECOS PAC ID: 3173996295 Enrollment ID: I20230309003098 |
| Provider Name | Stephanie Marie Perg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922691427 PECOS PAC ID: 3678947702 Enrollment ID: I20230313001841 |
| Provider Name | Priscilla Webster Styons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174244339 PECOS PAC ID: 0446624357 Enrollment ID: I20230316000106 |
| Provider Name | Britney Alligood Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871299644 PECOS PAC ID: 7012381726 Enrollment ID: I20230321000634 |
| Provider Name | Jesse T Torbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497815054 PECOS PAC ID: 0143490805 Enrollment ID: I20230323002240 |
| Provider Name | Ray Joseph Martel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942780283 PECOS PAC ID: 7416293600 Enrollment ID: I20230328001073 |
| Provider Name | Kristin Ashley Hine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215293741 PECOS PAC ID: 4486075231 Enrollment ID: I20230330000542 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20230404001183 |
| Provider Name | John Thomas Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205222585 PECOS PAC ID: 9739564287 Enrollment ID: I20230406001073 |
| Provider Name | Elizabeth Ivey Blair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740207398 PECOS PAC ID: 8921473414 Enrollment ID: I20230414001897 |
| Provider Name | Tristin Reann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437857414 PECOS PAC ID: 3870958770 Enrollment ID: I20230428000371 |
| Provider Name | Richard Craig Stockwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063707792 PECOS PAC ID: 4688975238 Enrollment ID: I20230502002630 |
| Provider Name | Aaron Michael Perme |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861582678 PECOS PAC ID: 7618092412 Enrollment ID: I20230503000880 |
| Provider Name | Tiffany Gray Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467971325 PECOS PAC ID: 5092170613 Enrollment ID: I20230503001385 |
| Provider Name | Michelle Dowles Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841999364 PECOS PAC ID: 5597121707 Enrollment ID: I20230514000010 |
| Provider Name | Minji Kim |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1720424591 PECOS PAC ID: 8123244241 Enrollment ID: I20230514000013 |
| Provider Name | Jessica Brooke Eubanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912494907 PECOS PAC ID: 5294081089 Enrollment ID: I20230530000119 |
| Provider Name | Robin Lamb Bohanon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093420572 PECOS PAC ID: 3577920990 Enrollment ID: I20230530003188 |
| Provider Name | Brittany Elaine Tolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902501133 PECOS PAC ID: 9739340308 Enrollment ID: I20230602001390 |
| Provider Name | Ziad Georges Skaff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770601734 PECOS PAC ID: 4587853742 Enrollment ID: I20230602002660 |
| Provider Name | Gabrielle Gioia Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497374961 PECOS PAC ID: 9032590393 Enrollment ID: I20230607002481 |
| Provider Name | Michael Tobeh Kometa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700042231 PECOS PAC ID: 2769669472 Enrollment ID: I20230614004173 |
| Provider Name | Benjamin Patrick Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012876 PECOS PAC ID: 7911399670 Enrollment ID: I20230615000935 |
| Provider Name | Nicollette Arielle Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295354512 PECOS PAC ID: 9931521648 Enrollment ID: I20230620003451 |
| Provider Name | Muhammad Waleed Zeb |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1578095550 PECOS PAC ID: 8224308978 Enrollment ID: I20230622000439 |
| Provider Name | Jisoo Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154819878 PECOS PAC ID: 2769840529 Enrollment ID: I20230627000322 |
| Provider Name | Corey David Mcneilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316567191 PECOS PAC ID: 7719308931 Enrollment ID: I20230627000576 |
| Provider Name | Yuniesca Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417243536 PECOS PAC ID: 4284856261 Enrollment ID: I20230628003770 |
| Provider Name | Ahmed Ibrahim Elsayed Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639693674 PECOS PAC ID: 9234465170 Enrollment ID: I20230629003529 |
| Provider Name | Adeyemi Adedamola Taiwo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306361597 PECOS PAC ID: 0840564498 Enrollment ID: I20230629003933 |
| Provider Name | Alexandra Briggs Inyang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558998617 PECOS PAC ID: 7517326796 Enrollment ID: I20230706001648 |
| Provider Name | Demetrius Rizos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20230712000645 |
| Provider Name | Arslan Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114547577 PECOS PAC ID: 0244690063 Enrollment ID: I20230712001424 |
| Provider Name | Karim Abdalla Reda Fetouh Hebishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144707902 PECOS PAC ID: 4981956802 Enrollment ID: I20230713000938 |
| Provider Name | Samir Sadik Al-ghazawi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366903049 PECOS PAC ID: 2062748429 Enrollment ID: I20230717003763 |
| Provider Name | Mustafa Erdem Arslan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962988220 PECOS PAC ID: 2860737772 Enrollment ID: I20230724002600 |
| Provider Name | Jeffrey Paul Garrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336323740 PECOS PAC ID: 3577732676 Enrollment ID: I20230726001832 |
| Provider Name | Ann Ostrovsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598919276 PECOS PAC ID: 2961666235 Enrollment ID: I20230731002965 |
| Provider Name | Jesse Anne Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285311167 PECOS PAC ID: 8123489606 Enrollment ID: I20230731003613 |
| Provider Name | Carol A Hasenyager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861447146 PECOS PAC ID: 7214839869 Enrollment ID: I20230814002342 |
| Provider Name | Bridget Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265124192 PECOS PAC ID: 4981066453 Enrollment ID: I20230815003193 |
| Provider Name | John Nicholas Catanzaro |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003077140 PECOS PAC ID: 3678728052 Enrollment ID: I20230815003276 |
| Provider Name | Nusiebeh Redpath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679136063 PECOS PAC ID: 8628302957 Enrollment ID: I20230816002299 |
| Provider Name | Bryce Thomas Howe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275162224 PECOS PAC ID: 3375905680 Enrollment ID: I20230818001295 |
| Provider Name | Cisley Cassmirra Hines |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033639703 PECOS PAC ID: 9335411206 Enrollment ID: I20230821000619 |
| Provider Name | Eva Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710237516 PECOS PAC ID: 8123253929 Enrollment ID: I20230821001401 |
| Provider Name | Venkataditya Dugyala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790214443 PECOS PAC ID: 3274996319 Enrollment ID: I20230823000456 |
| Provider Name | Jonathan Jasiel Labbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659834042 PECOS PAC ID: 8820323025 Enrollment ID: I20230823002903 |
| Provider Name | Nathaniel John Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427547140 PECOS PAC ID: 5395139547 Enrollment ID: I20230824000429 |
| Provider Name | Karissa Angelene Dinnall Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457888612 PECOS PAC ID: 0547534422 Enrollment ID: I20230824002762 |
| Provider Name | Elizabeth Price Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114603537 PECOS PAC ID: 8628431533 Enrollment ID: I20230824003964 |
| Provider Name | Susan Loraine Smoots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902585318 PECOS PAC ID: 7416310339 Enrollment ID: I20230825000249 |
| Provider Name | Sterling Kramer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831625516 PECOS PAC ID: 7214319748 Enrollment ID: I20230828000460 |
| Provider Name | Joana Eleanor Colzani-cohen-deutsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972153146 PECOS PAC ID: 5496145740 Enrollment ID: I20230828003533 |
| Provider Name | Luke Allan Yeager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689111676 PECOS PAC ID: 0840548780 Enrollment ID: I20230829000776 |
| Provider Name | Milton Troche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114036431 PECOS PAC ID: 1254336480 Enrollment ID: I20230829003342 |
| Provider Name | Ashley L Marlowe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487670683 PECOS PAC ID: 4183525215 Enrollment ID: I20230830000986 |
| Provider Name | Jhalak Dholakia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902253446 PECOS PAC ID: 0446547459 Enrollment ID: I20230830003992 |
| Provider Name | Carlie Ann Powell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497437784 PECOS PAC ID: 8729441225 Enrollment ID: I20230831001244 |
| Provider Name | Mohamed Keheila |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437683703 PECOS PAC ID: 3870956212 Enrollment ID: I20230831003561 |
| Provider Name | Mirza Adam Beg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164085247 PECOS PAC ID: 6103153911 Enrollment ID: I20230901002858 |
| Provider Name | Christen Wilhelm Hoedt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306246012 PECOS PAC ID: 6204258650 Enrollment ID: I20230906003997 |
| Provider Name | Emily Jo Catalano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952833378 PECOS PAC ID: 5092087692 Enrollment ID: I20230912000089 |
| Provider Name | Jasmine Ciera Bryant Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104454339 PECOS PAC ID: 8628432051 Enrollment ID: I20230918002909 |
| Provider Name | James Bryan Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124704796 PECOS PAC ID: 9032573472 Enrollment ID: I20230918003865 |
| Provider Name | Haritha Ackula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346775293 PECOS PAC ID: 5496029803 Enrollment ID: I20230918004066 |
| Provider Name | Srikanth Popuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285257600 PECOS PAC ID: 8820452295 Enrollment ID: I20230919000746 |
| Provider Name | Christy Haddock Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700578630 PECOS PAC ID: 5193189561 Enrollment ID: I20230919000800 |
| Provider Name | Mohammad Zafar Khalilullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023637444 PECOS PAC ID: 3173944733 Enrollment ID: I20230919003092 |
| Provider Name | Alain Michael Pagaduan Abellada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649582685 PECOS PAC ID: 8628481116 Enrollment ID: I20230922002528 |
| Provider Name | Dominic James Catalano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639600224 PECOS PAC ID: 4688946726 Enrollment ID: I20230922002577 |
| Provider Name | Devanshi Kajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699384933 PECOS PAC ID: 8729407770 Enrollment ID: I20230925001126 |
| Provider Name | Kenneth Ray Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093492902 PECOS PAC ID: 6204280217 Enrollment ID: I20230925003325 |
| Provider Name | Cornelia Salley Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497433825 PECOS PAC ID: 4183078090 Enrollment ID: I20230926004431 |
| Provider Name | Michael Eli Firtha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104352384 PECOS PAC ID: 8325317787 Enrollment ID: I20230927002298 |
| Provider Name | Cameron Taft Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457989303 PECOS PAC ID: 0648691204 Enrollment ID: I20231003000753 |
| Provider Name | Sameer Ahmad Batoo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023266640 PECOS PAC ID: 9335363332 Enrollment ID: I20231004000094 |
| Provider Name | Sreelakshmi Chettoor Janardhanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972117786 PECOS PAC ID: 6507211455 Enrollment ID: I20231012000594 |
| Provider Name | Keith Kreitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336101591 PECOS PAC ID: 9931157971 Enrollment ID: I20231012003106 |
| Provider Name | Lindsay Allene Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215619317 PECOS PAC ID: 3173978004 Enrollment ID: I20231013000151 |
| Provider Name | Michael Blute |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376692194 PECOS PAC ID: 7618109679 Enrollment ID: I20231013003008 |
| Provider Name | Mohammed Afraz Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245843960 PECOS PAC ID: 3678981503 Enrollment ID: I20231016000181 |
| Provider Name | Dylan Hunter West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508333790 PECOS PAC ID: 8224376629 Enrollment ID: I20231016003625 |
| Provider Name | Timothy Michael Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740809763 PECOS PAC ID: 9739501537 Enrollment ID: I20231019000436 |
| Provider Name | Afe Danielle Nkese Alexis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215464565 PECOS PAC ID: 6709232259 Enrollment ID: I20231019003242 |
| Provider Name | Nicholas Charles Ruth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174020473 PECOS PAC ID: 1153672944 Enrollment ID: I20231023002233 |
| Provider Name | John Adam Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144000878 PECOS PAC ID: 7719333988 Enrollment ID: I20231024001996 |
| Provider Name | Gaurav Gangwar Mookerjee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710416946 PECOS PAC ID: 8820334493 Enrollment ID: I20231024004254 |
| Provider Name | Megan Danielle Evans Wardak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639557820 PECOS PAC ID: 2961716527 Enrollment ID: I20231026002282 |
| Provider Name | Sheriff Olufemi Shittu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093335945 PECOS PAC ID: 9537583927 Enrollment ID: I20231030000926 |
| Provider Name | Albert Delton Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831974930 PECOS PAC ID: 8426404310 Enrollment ID: I20231030001027 |
| Provider Name | Kristopher Mulraj Katira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326337064 PECOS PAC ID: 3678841608 Enrollment ID: I20231031001490 |
| Provider Name | Talat Hayat Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20231107002086 |
| Provider Name | Khilen Bhupendra Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386026144 PECOS PAC ID: 7911330147 Enrollment ID: I20231107004083 |
| Provider Name | Briana Rose Yanello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235912114 PECOS PAC ID: 9133576390 Enrollment ID: I20231109000129 |
| Provider Name | Alexis Tant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093590382 PECOS PAC ID: 5496102592 Enrollment ID: I20231110002495 |
| Provider Name | Matthew Black |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518313824 PECOS PAC ID: 7911297163 Enrollment ID: I20231127002527 |
| Provider Name | Panya Asabi Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124681507 PECOS PAC ID: 8921433533 Enrollment ID: I20231130002599 |
| Provider Name | Nicholas P Slattery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003494709 PECOS PAC ID: 9638570104 Enrollment ID: I20231201002789 |
| Provider Name | Vashti Wanda Ramphal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104441930 PECOS PAC ID: 3072961903 Enrollment ID: I20231201002879 |
| Provider Name | Ethan Mccoy Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124809090 PECOS PAC ID: 2769831569 Enrollment ID: I20231205002587 |
| Provider Name | Quinton Adam Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871173633 PECOS PAC ID: 6608276118 Enrollment ID: I20231218000761 |
| Provider Name | Kyle Alan Varoskovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255855300 PECOS PAC ID: 8123355245 Enrollment ID: I20231229000283 |
| Provider Name | Joshua Lesko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235520685 PECOS PAC ID: 9931595451 Enrollment ID: I20231229002462 |
| Provider Name | Adham Mohsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558774000 PECOS PAC ID: 8123397916 Enrollment ID: I20240109000038 |
| Provider Name | Karl Matthew Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689646663 PECOS PAC ID: 5193782381 Enrollment ID: I20240109001907 |
| Provider Name | Stephanie Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588291876 PECOS PAC ID: 6608235577 Enrollment ID: I20240116000340 |
| Provider Name | Jessica Fimpler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596249 PECOS PAC ID: 8022460088 Enrollment ID: I20240116002177 |
| Provider Name | Natalia M Jolliff |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902090335 PECOS PAC ID: 4587740469 Enrollment ID: I20240117002055 |
| Provider Name | Carlos Marroquin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326138553 PECOS PAC ID: 3173678224 Enrollment ID: I20240209001910 |
| Provider Name | Logan Stanmore Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124760236 PECOS PAC ID: 4981085180 Enrollment ID: I20240218000110 |
| Provider Name | Kristen M Dorsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639105042 PECOS PAC ID: 1658373469 Enrollment ID: I20240306001801 |
| Provider Name | Gerald Kristoffer Escareces Boy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932719671 PECOS PAC ID: 9335585736 Enrollment ID: I20240307002722 |
| Provider Name | Vanessa E Parada |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790164309 PECOS PAC ID: 9032420773 Enrollment ID: I20240308001446 |
| Provider Name | Fabrizio Rodrigues Assis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851975601 PECOS PAC ID: 9032519343 Enrollment ID: I20240311000627 |
| Provider Name | Jonathan Drew Hammack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326801697 PECOS PAC ID: 4183060270 Enrollment ID: I20240312000905 |
| Provider Name | William Charles Jordan Mauk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386216919 PECOS PAC ID: 8921475773 Enrollment ID: I20240314003550 |
| Provider Name | William Travis Blowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548022437 PECOS PAC ID: 6305283771 Enrollment ID: I20240320003378 |
| Provider Name | Atif Saleem Abbasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972958973 PECOS PAC ID: 2961734736 Enrollment ID: I20240321002482 |
| Provider Name | Megan Carlton Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316288830 PECOS PAC ID: 5991142879 Enrollment ID: I20240327002830 |
| Provider Name | Nida Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952744732 PECOS PAC ID: 2062710775 Enrollment ID: I20240403003332 |
| Provider Name | Deanna Lyn Robin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073177960 PECOS PAC ID: 1355771684 Enrollment ID: I20240409002526 |
| Provider Name | James Daniel Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669258711 PECOS PAC ID: 4385083377 Enrollment ID: I20240424000891 |
| Provider Name | Dylan Scott Weaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881273944 PECOS PAC ID: 7416358403 Enrollment ID: I20240426002142 |
| Provider Name | Rajat Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356541320 PECOS PAC ID: 8921276429 Enrollment ID: I20240507001248 |
| Provider Name | Elizabeth Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962087957 PECOS PAC ID: 8729484647 Enrollment ID: I20240508003917 |
| Provider Name | Michael Jeremy Savetsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255598819 PECOS PAC ID: 7113199829 Enrollment ID: I20240509001097 |
| Provider Name | Elaine Lamb Cudnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164629267 PECOS PAC ID: 9830286061 Enrollment ID: I20240515004512 |
| Provider Name | Alexandria Dominica Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356092316 PECOS PAC ID: 6507258449 Enrollment ID: I20240517002436 |
| Provider Name | Smit Rajput |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467063107 PECOS PAC ID: 4082031034 Enrollment ID: I20240523000138 |
| Provider Name | Casey Kee Hardison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902526163 PECOS PAC ID: 3779925607 Enrollment ID: I20240523002569 |
| Provider Name | Brooke Ange Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659057701 PECOS PAC ID: 0749622140 Enrollment ID: I20240530004117 |
| Provider Name | Jenna Marie Decker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255188140 PECOS PAC ID: 4789126012 Enrollment ID: I20240603000728 |
| Provider Name | Jim Jaralene Fuerte Porquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205417722 PECOS PAC ID: 8022418599 Enrollment ID: I20240612001101 |
| Provider Name | Eric Aodh O'reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366051922 PECOS PAC ID: 6608266317 Enrollment ID: I20240617000353 |
| Provider Name | David Patrick Meehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164004974 PECOS PAC ID: 5991109787 Enrollment ID: I20240618000723 |
| Provider Name | Thomas Ambrose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679524805 PECOS PAC ID: 9537051271 Enrollment ID: I20240621003218 |
| Provider Name | Aaron Bond |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104115385 PECOS PAC ID: 2365679594 Enrollment ID: I20240703002017 |
| Provider Name | Stephane Mulligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184762262 PECOS PAC ID: 5799812103 Enrollment ID: I20240709002480 |
| Provider Name | Zachary Dresch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801539937 PECOS PAC ID: 2961881750 Enrollment ID: I20240709003488 |
| Provider Name | Amardeep Saund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548821903 PECOS PAC ID: 3375879117 Enrollment ID: I20240710000019 |
| Provider Name | Jonathan Michael Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699417428 PECOS PAC ID: 2567843469 Enrollment ID: I20240710000432 |
| Provider Name | Leela Raju |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972705069 PECOS PAC ID: 4789721481 Enrollment ID: I20240722004042 |
| Provider Name | Kayla Look Loy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033799861 PECOS PAC ID: 6608277793 Enrollment ID: I20240723002253 |
| Provider Name | Sarah Lynn Thoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061675 PECOS PAC ID: 8123383775 Enrollment ID: I20240723002589 |
| Provider Name | Censon Lemuel Cabanas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154760114 PECOS PAC ID: 0143510743 Enrollment ID: I20240724003102 |
| Provider Name | Amanda Sue Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558985036 PECOS PAC ID: 4789006875 Enrollment ID: I20240725003083 |
| Provider Name | Sandra R Gomez Paz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316392434 PECOS PAC ID: 9739428566 Enrollment ID: I20240730003013 |
| Provider Name | Yamini Alla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689152738 PECOS PAC ID: 5597157149 Enrollment ID: I20240802000265 |
| Provider Name | Kamran Khan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225560816 PECOS PAC ID: 7618248253 Enrollment ID: I20240802000860 |
| Provider Name | Allison A Leonhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821835018 PECOS PAC ID: 2567909872 Enrollment ID: I20240805002301 |
| Provider Name | Emily Sparks Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245076132 PECOS PAC ID: 7618414921 Enrollment ID: I20240805002442 |
| Provider Name | Charitha Vadlamudi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528527579 PECOS PAC ID: 0345574125 Enrollment ID: I20240806002748 |
| Provider Name | Anthony Steven Arveschoug |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740770270 PECOS PAC ID: 5496010407 Enrollment ID: I20240806003403 |
| Provider Name | Emily Ann Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972199925 PECOS PAC ID: 7911308911 Enrollment ID: I20240807000315 |
| Provider Name | Shironda Francetta Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447092721 PECOS PAC ID: 6103363213 Enrollment ID: I20240807002640 |
| Provider Name | Melanie Dolores Gray Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104408657 PECOS PAC ID: 0042616534 Enrollment ID: I20240808000208 |
| Provider Name | Melissa Yen Yen Moey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700238920 PECOS PAC ID: 3779879465 Enrollment ID: I20240812003238 |
| Provider Name | Victoria Rose Lamonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952146938 PECOS PAC ID: 7214475888 Enrollment ID: I20240814000463 |
| Provider Name | Robert Dumas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740639848 PECOS PAC ID: 5890030647 Enrollment ID: I20240816001199 |
| Provider Name | Justin Drake |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467839530 PECOS PAC ID: 5395057046 Enrollment ID: I20240819004453 |
| Provider Name | Kyle Aaron Luke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841878212 PECOS PAC ID: 0547663320 Enrollment ID: I20240820000866 |
| Provider Name | Natalia Baran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992122147 PECOS PAC ID: 6608141593 Enrollment ID: I20240821004070 |
| Provider Name | Melissa Margaret Marsiglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871931576 PECOS PAC ID: 8022406156 Enrollment ID: I20240827002842 |
| Provider Name | Anum Sikandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376104463 PECOS PAC ID: 8527415421 Enrollment ID: I20240828002310 |
| Provider Name | Vrinda Vyas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467949305 PECOS PAC ID: 1850637752 Enrollment ID: I20240903000026 |
| Provider Name | Cirous Ali Sadeghi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881120285 PECOS PAC ID: 7214274638 Enrollment ID: I20240906001402 |
| Provider Name | Taylor Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023722030 PECOS PAC ID: 6204376775 Enrollment ID: I20240911000663 |
| Provider Name | Emil Dimitrov Missov |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730265760 PECOS PAC ID: 6901707645 Enrollment ID: I20240913003048 |
| Provider Name | Jung Hyun Ko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205398492 PECOS PAC ID: 2365982543 Enrollment ID: I20240914000293 |
| Provider Name | Lucas Benjamin Ohmes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053731042 PECOS PAC ID: 1759793920 Enrollment ID: I20240919001678 |
| Provider Name | Alexander Grey Tomberlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629651393 PECOS PAC ID: 4789087149 Enrollment ID: I20240930003731 |
| Provider Name | Charles Matthew Pesson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699778613 PECOS PAC ID: 1557258464 Enrollment ID: I20241002000912 |
| Provider Name | Zeel Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295315687 PECOS PAC ID: 4486055969 Enrollment ID: I20241007001839 |
| Provider Name | Penne Perry Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730514191 PECOS PAC ID: 7315173200 Enrollment ID: I20241008000505 |
| Provider Name | Rebecca Marie Spinaris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194285171 PECOS PAC ID: 5799015707 Enrollment ID: I20241009003806 |
| Provider Name | Dominic Campano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255823209 PECOS PAC ID: 3678822707 Enrollment ID: I20241010001818 |
| Provider Name | David Dubose Stewart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790366482 PECOS PAC ID: 2769883768 Enrollment ID: I20241016002301 |
| Provider Name | Satheesh Kumar Ramineni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275776551 PECOS PAC ID: 3779724380 Enrollment ID: I20241021004355 |
| Provider Name | Matthew Alan Colna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558713560 PECOS PAC ID: 7911280771 Enrollment ID: I20241022002906 |
| Provider Name | Matthew Miles Kanode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679327613 PECOS PAC ID: 0345773784 Enrollment ID: I20241024000597 |
| Provider Name | Anvesh Narimiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174009807 PECOS PAC ID: 3577813997 Enrollment ID: I20241028003925 |
| Provider Name | Ashton Dawn Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982434676 PECOS PAC ID: 6709319817 Enrollment ID: I20241029000479 |
| Provider Name | Joshua Wolf Peltz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053846758 PECOS PAC ID: 0244619187 Enrollment ID: I20241029000996 |
| Provider Name | Kathryn Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821836065 PECOS PAC ID: 3779016621 Enrollment ID: I20241030002303 |
| Provider Name | Katrina Freeman Sasine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700416385 PECOS PAC ID: 8426489626 Enrollment ID: I20241030002341 |
| Provider Name | Kimberly J Haddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922831916 PECOS PAC ID: 8325463235 Enrollment ID: I20241104000514 |
| Provider Name | Luisa Batine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477064384 PECOS PAC ID: 8224377908 Enrollment ID: I20241106001294 |
| Provider Name | Mahmood Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750968632 PECOS PAC ID: 6901206184 Enrollment ID: I20241108000682 |
| Provider Name | Christin Breanna Blanton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649837782 PECOS PAC ID: 6103226642 Enrollment ID: I20241108000952 |
| Provider Name | Matthew Albert Iandoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407419344 PECOS PAC ID: 6901228204 Enrollment ID: I20241112004329 |
| Provider Name | Carissa Mary Sedlacek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740923283 PECOS PAC ID: 3375924574 Enrollment ID: I20241115000497 |
| Provider Name | Kayla Zoe Odle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841863784 PECOS PAC ID: 8022543057 Enrollment ID: I20241127000792 |
| Provider Name | Danyiel Godette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740015908 PECOS PAC ID: 3072049568 Enrollment ID: I20241206002515 |
| Provider Name | Jarrett Elijah James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710507652 PECOS PAC ID: 0840614509 Enrollment ID: I20241209002600 |
| Provider Name | Gregory Joseph Myslinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710932983 PECOS PAC ID: 0042267080 Enrollment ID: I20241210000042 |
| Provider Name | Moulika Reddy Bandaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427629716 PECOS PAC ID: 5698201770 Enrollment ID: I20241212002403 |
Carolina Digestive Diseases, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 W H Smith Blvd, Greenville, NC 27834 Phone: 252-758-8181 Fax: 252-758-8182 | |
Gastroenterology East Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Hemby Lane, Greenville, NC 27834 Phone: 252-551-3000 | |
Vecu Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-8461 |