| Vincentian Physician Services Llc | |
|
810 Saint Vincent's Drive 3rd Floor; Physician Development Dept Birmingham AL 35205-1601 | |
| (205) 930-2346 | |
| (205) 930-2158 |
| Full Name | Vincentian Physician Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Saint Vincent's Drive, Birmingham, Alabama |
| Authorized Official Name and Position | Brandon Williams (CFO) |
| Authorized Official Contact | 2058383766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincentian Physician Services Llc 1130 22nd St S Ste 1000 Birmingham AL 35205-2881 Ph: (205) 930-2346 | Vincentian Physician Services Llc 810 Saint Vincent's Drive 3rd Floor; Physician Development Dept Birmingham AL 35205-1601 Ph: (205) 930-2346 |
| NPI Number | 1851698310 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 07/09/2021 |
| Medicare PECOS PAC ID | 1557548161 |
|---|---|
| Medicare Enrollment ID | O20110608000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851698310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael L Aikens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427014844 PECOS PAC ID: 7719882422 Enrollment ID: I20031205000129 |
| Provider Name | Fazal Rahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811097462 PECOS PAC ID: 1557263720 Enrollment ID: I20040127000443 |
| Provider Name | Sanjiv Chatterji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528053147 PECOS PAC ID: 7517860059 Enrollment ID: I20040130000798 |
| Provider Name | Julie E Orender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043386063 PECOS PAC ID: 1153224621 Enrollment ID: I20040130000971 |
| Provider Name | Rama Nadella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124072145 PECOS PAC ID: 9133014889 Enrollment ID: I20040220000294 |
| Provider Name | Gerald C Dey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922020502 PECOS PAC ID: 4789573924 Enrollment ID: I20040315000342 |
| Provider Name | Frank James Malensek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739500 PECOS PAC ID: 3274424148 Enrollment ID: I20040322000548 |
| Provider Name | Connie M Swillie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003927831 PECOS PAC ID: 7315939162 Enrollment ID: I20040401000078 |
| Provider Name | Kristopher F Lay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447227830 PECOS PAC ID: 8325029069 Enrollment ID: I20040527000844 |
| Provider Name | Victor E Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003994948 PECOS PAC ID: 6204811375 Enrollment ID: I20040622001393 |
| Provider Name | Amanda C Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336195494 PECOS PAC ID: 7517926512 Enrollment ID: I20041006000257 |
| Provider Name | Jason K Gentry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346399631 PECOS PAC ID: 6709847551 Enrollment ID: I20041025000571 |
| Provider Name | Donna B Fico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750339057 PECOS PAC ID: 5799741724 Enrollment ID: I20041201001138 |
| Provider Name | Yocunda D Clayton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912940453 PECOS PAC ID: 4385602648 Enrollment ID: I20050103000813 |
| Provider Name | Melanie B Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679542096 PECOS PAC ID: 1052361391 Enrollment ID: I20050125000662 |
| Provider Name | Sommer Z Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336115088 PECOS PAC ID: 8820041486 Enrollment ID: I20050224000101 |
| Provider Name | Edward W Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578657359 PECOS PAC ID: 2769439033 Enrollment ID: I20050407001260 |
| Provider Name | Ronald S Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376519256 PECOS PAC ID: 6709829674 Enrollment ID: I20050602000538 |
| Provider Name | Tomeka Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619921509 PECOS PAC ID: 4688617004 Enrollment ID: I20050607000661 |
| Provider Name | Joseph H Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043256878 PECOS PAC ID: 6800830480 Enrollment ID: I20050614001308 |
| Provider Name | Christopher Scott Randolph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669455606 PECOS PAC ID: 4880637255 Enrollment ID: I20050615000953 |
| Provider Name | Jennifer J Fagen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750332235 PECOS PAC ID: 6002852001 Enrollment ID: I20050629001144 |
| Provider Name | Melissa M Toner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154374841 PECOS PAC ID: 3072530948 Enrollment ID: I20051031000400 |
| Provider Name | Nolan L Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154376416 PECOS PAC ID: 5991722860 Enrollment ID: I20051031000435 |
| Provider Name | John C Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316992670 PECOS PAC ID: 9537186408 Enrollment ID: I20051031000503 |
| Provider Name | Joanna L Siegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831163724 PECOS PAC ID: 6204854409 Enrollment ID: I20051107000227 |
| Provider Name | Peter D Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215911490 PECOS PAC ID: 4587682372 Enrollment ID: I20051110000209 |
| Provider Name | Margaret D Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669486767 PECOS PAC ID: 3173538774 Enrollment ID: I20060220000176 |
| Provider Name | Robert Michael Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790892602 PECOS PAC ID: 6800805516 Enrollment ID: I20060412000339 |
| Provider Name | Raymond James Browne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194705178 PECOS PAC ID: 9638188170 Enrollment ID: I20060501000417 |
| Provider Name | Ibrahim R Hanna |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174569859 PECOS PAC ID: 7517970783 Enrollment ID: I20060711000402 |
| Provider Name | Munish K Goyal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902845829 PECOS PAC ID: 8729081591 Enrollment ID: I20060816000420 |
| Provider Name | Alison L Daggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548284193 PECOS PAC ID: 1254229149 Enrollment ID: I20061219000204 |
| Provider Name | William G Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245346774 PECOS PAC ID: 9931100062 Enrollment ID: I20070116000405 |
| Provider Name | Christopher A Monty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558375667 PECOS PAC ID: 4486656170 Enrollment ID: I20070208000659 |
| Provider Name | Shanon R Jernigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225139959 PECOS PAC ID: 1850495607 Enrollment ID: I20070403000670 |
| Provider Name | Bryan L Pruitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548375702 PECOS PAC ID: 0143311340 Enrollment ID: I20070802000185 |
| Provider Name | Melissa Bess Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114931284 PECOS PAC ID: 7315039385 Enrollment ID: I20070822000732 |
| Provider Name | Robert D Slaughter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003835612 PECOS PAC ID: 6406940469 Enrollment ID: I20070920000856 |
| Provider Name | Carrie B Huner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780899211 PECOS PAC ID: 1557450491 Enrollment ID: I20071130000178 |
| Provider Name | Sharon P Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184674574 PECOS PAC ID: 5092730184 Enrollment ID: I20080226000725 |
| Provider Name | Michael G Connolly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669423554 PECOS PAC ID: 5991782716 Enrollment ID: I20080418000016 |
| Provider Name | Maria Rosario Abano Cumagun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043256829 PECOS PAC ID: 6800974171 Enrollment ID: I20080428000274 |
| Provider Name | Mark L Vaporean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003812140 PECOS PAC ID: 6204820855 Enrollment ID: I20080521000139 |
| Provider Name | Hernando D Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265604227 PECOS PAC ID: 7719057025 Enrollment ID: I20080529000324 |
| Provider Name | Lori D Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710949912 PECOS PAC ID: 1951473404 Enrollment ID: I20080628000106 |
| Provider Name | Hosakote Madhvachar Nagaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578510087 PECOS PAC ID: 9133112626 Enrollment ID: I20080904000222 |
| Provider Name | Nikki L Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699939553 PECOS PAC ID: 1153497425 Enrollment ID: I20080910000510 |
| Provider Name | Amita R Hazariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548472442 PECOS PAC ID: 0547310948 Enrollment ID: I20090605000125 |
| Provider Name | David E Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740227925 PECOS PAC ID: 5890707780 Enrollment ID: I20090611000693 |
| Provider Name | Carla N Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194786830 PECOS PAC ID: 8921152497 Enrollment ID: I20090818000429 |
| Provider Name | Lawrence I Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063424935 PECOS PAC ID: 0446305304 Enrollment ID: I20090831000072 |
| Provider Name | Yi Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891907515 PECOS PAC ID: 5698817716 Enrollment ID: I20100127000449 |
| Provider Name | Kimberley G Edge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376723908 PECOS PAC ID: 0345383964 Enrollment ID: I20100204000681 |
| Provider Name | Herbert P Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598763161 PECOS PAC ID: 2062555188 Enrollment ID: I20100211000191 |
| Provider Name | Thomas A Vines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083634281 PECOS PAC ID: 0345257457 Enrollment ID: I20100423000853 |
| Provider Name | Maria L Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962422162 PECOS PAC ID: 9931237351 Enrollment ID: I20100505000866 |
| Provider Name | Richard E May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168269 PECOS PAC ID: 7810924735 Enrollment ID: I20100610000534 |
| Provider Name | Michael Clark Holway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548306681 PECOS PAC ID: 8628982089 Enrollment ID: I20100615000606 |
| Provider Name | Iris Yolanda Navarro-millan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770737967 PECOS PAC ID: 5991836892 Enrollment ID: I20100621000607 |
| Provider Name | Jonathan Moore |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1598841322 PECOS PAC ID: 8426180233 Enrollment ID: I20100714000589 |
| Provider Name | Michael Keith Wilensky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801851142 PECOS PAC ID: 2466545652 Enrollment ID: I20100720000459 |
| Provider Name | Thomas H Cawthon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659337574 PECOS PAC ID: 9830282011 Enrollment ID: I20100720000467 |
| Provider Name | Alain Bouchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659336790 PECOS PAC ID: 8921191107 Enrollment ID: I20100727000000 |
| Provider Name | Zachary M Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063512242 PECOS PAC ID: 2769516236 Enrollment ID: I20100819000266 |
| Provider Name | Deryck A Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679515159 PECOS PAC ID: 9830213651 Enrollment ID: I20100901000028 |
| Provider Name | John Michael Cantrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609020866 PECOS PAC ID: 3678697190 Enrollment ID: I20100903000665 |
| Provider Name | Lora J. Pound |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154421709 PECOS PAC ID: 9830214790 Enrollment ID: I20100915000693 |
| Provider Name | Jack L. Zaremba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104918309 PECOS PAC ID: 2163547043 Enrollment ID: I20100915000885 |
| Provider Name | Ryan C Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114056652 PECOS PAC ID: 3971796236 Enrollment ID: I20101019000570 |
| Provider Name | Dahlia H Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609849033 PECOS PAC ID: 3971520263 Enrollment ID: I20101021000565 |
| Provider Name | Abilash R Balmuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912107541 PECOS PAC ID: 0042405649 Enrollment ID: I20101109000707 |
| Provider Name | Mustafa Mohiuddin Akif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773024 PECOS PAC ID: 2163591397 Enrollment ID: I20101117000516 |
| Provider Name | Carrie Jane Folse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891738902 PECOS PAC ID: 3072526466 Enrollment ID: I20101122000771 |
| Provider Name | Melissa G Schroeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689860520 PECOS PAC ID: 9537355003 Enrollment ID: I20101123000321 |
| Provider Name | William Lee Lenahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487643748 PECOS PAC ID: 0143417683 Enrollment ID: I20101209000184 |
| Provider Name | Sherri Bennett Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225131311 PECOS PAC ID: 9335336809 Enrollment ID: I20101209000630 |
| Provider Name | Brenda Carter Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558370619 PECOS PAC ID: 5193865566 Enrollment ID: I20110113000036 |
| Provider Name | Jamie E Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114177375 PECOS PAC ID: 1951581206 Enrollment ID: I20110203000963 |
| Provider Name | Angelica D White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063636215 PECOS PAC ID: 6406921402 Enrollment ID: I20110225000227 |
| Provider Name | Craig Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720874 PECOS PAC ID: 4082896410 Enrollment ID: I20110307000740 |
| Provider Name | William P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698387 PECOS PAC ID: 0648454330 Enrollment ID: I20110406000828 |
| Provider Name | Michael Manes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764039 PECOS PAC ID: 7719074483 Enrollment ID: I20110418000837 |
| Provider Name | Jessica Voss Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295024305 PECOS PAC ID: 8224213285 Enrollment ID: I20110506000390 |
| Provider Name | Stephen R Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740412063 PECOS PAC ID: 0244416949 Enrollment ID: I20110513000403 |
| Provider Name | Hiboombe Haamankuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780970665 PECOS PAC ID: 2961670229 Enrollment ID: I20110713000139 |
| Provider Name | Adetunji Adaraloye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457589350 PECOS PAC ID: 9537338934 Enrollment ID: I20110801000370 |
| Provider Name | Tracy C Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245498989 PECOS PAC ID: 9739358870 Enrollment ID: I20110808000300 |
| Provider Name | Bela Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255593901 PECOS PAC ID: 3779752589 Enrollment ID: I20110812000226 |
| Provider Name | Colleen E Tobe-donohue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154571313 PECOS PAC ID: 7719158989 Enrollment ID: I20110920000049 |
| Provider Name | Mark Ticola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942404504 PECOS PAC ID: 1951498401 Enrollment ID: I20111024000633 |
| Provider Name | James P Colvard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225312432 PECOS PAC ID: 5597939744 Enrollment ID: I20111128000251 |
| Provider Name | Frank M Skidmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760585061 PECOS PAC ID: 5890769194 Enrollment ID: I20111222000598 |
| Provider Name | Cleon L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285952408 PECOS PAC ID: 0547428211 Enrollment ID: I20120227000509 |
| Provider Name | Janelle Marie Townes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801076500 PECOS PAC ID: 8426194705 Enrollment ID: I20120731000835 |
| Provider Name | Rudy H Taarea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336121862 PECOS PAC ID: 2860640695 Enrollment ID: I20120919000528 |
| Provider Name | John Carlos Brockington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200777 PECOS PAC ID: 8022104272 Enrollment ID: I20121102000231 |
| Provider Name | Kyle J Rudemiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306136692 PECOS PAC ID: 7517118102 Enrollment ID: I20121107000480 |
| Provider Name | Susan Hutcheson Salley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619214988 PECOS PAC ID: 3678727849 Enrollment ID: I20130218000211 |
| Provider Name | Wendy Rebecca Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396763769 PECOS PAC ID: 1557516408 Enrollment ID: I20130227000242 |
| Provider Name | Karl T Schroeder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003097114 PECOS PAC ID: 9133367279 Enrollment ID: I20130627000457 |
| Provider Name | Gretchen Nicole Mccreless |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225265275 PECOS PAC ID: 5597901728 Enrollment ID: I20130627000475 |
| Provider Name | Peter S Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922325273 PECOS PAC ID: 0244477990 Enrollment ID: I20130729000461 |
| Provider Name | Brian D Flanagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154524247 PECOS PAC ID: 3375789175 Enrollment ID: I20130730000803 |
| Provider Name | Benjamin R Plaisance |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992905897 PECOS PAC ID: 6103067152 Enrollment ID: I20130802000395 |
| Provider Name | Jiger C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295046951 PECOS PAC ID: 5890937122 Enrollment ID: I20130815000310 |
| Provider Name | Brandi K Carbonie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710233184 PECOS PAC ID: 3375786544 Enrollment ID: I20130909000238 |
| Provider Name | Sharon M Bush-coaxum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265674196 PECOS PAC ID: 7517191125 Enrollment ID: I20131015001534 |
| Provider Name | Adrienne Lochamy Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396171658 PECOS PAC ID: 4183859960 Enrollment ID: I20131102000075 |
| Provider Name | Kim R Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811122138 PECOS PAC ID: 3375783459 Enrollment ID: I20140128000442 |
| Provider Name | Jordan Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972915437 PECOS PAC ID: 9436377025 Enrollment ID: I20140822001550 |
| Provider Name | Dustin L Millican |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396090445 PECOS PAC ID: 9032358296 Enrollment ID: I20140904001632 |
| Provider Name | Jeremy M Hatchett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568752996 PECOS PAC ID: 5496992232 Enrollment ID: I20140922002070 |
| Provider Name | Edina E Von Rottenthaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770632341 PECOS PAC ID: 2163561895 Enrollment ID: I20141010002226 |
| Provider Name | Twyla N Norsworthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669491957 PECOS PAC ID: 4880660380 Enrollment ID: I20141205001196 |
| Provider Name | Julie T Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750632774 PECOS PAC ID: 1557500626 Enrollment ID: I20141230001816 |
| Provider Name | Jose M Rodriguez-barrantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952656001 PECOS PAC ID: 7416107123 Enrollment ID: I20141231001390 |
| Provider Name | Viplove Senadhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174785562 PECOS PAC ID: 2163661646 Enrollment ID: I20150113002129 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20150424000501 |
| Provider Name | Amanda Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640321 PECOS PAC ID: 4082933908 Enrollment ID: I20150427002169 |
| Provider Name | Kimberly Beasley Cornelison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154715662 PECOS PAC ID: 6800107749 Enrollment ID: I20150619000338 |
| Provider Name | Stephen J Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055758 PECOS PAC ID: 9638316466 Enrollment ID: I20150706001162 |
| Provider Name | Candace L Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841359221 PECOS PAC ID: 6800806225 Enrollment ID: I20150707000967 |
| Provider Name | Teri M Lord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659357945 PECOS PAC ID: 3678758729 Enrollment ID: I20150709000448 |
| Provider Name | Nathan D Gundacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952690133 PECOS PAC ID: 9537476072 Enrollment ID: I20150916002526 |
| Provider Name | Steven M Grieper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508830761 PECOS PAC ID: 8022001114 Enrollment ID: I20151005002030 |
| Provider Name | Haley Gentry Jost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144605866 PECOS PAC ID: 6406165513 Enrollment ID: I20151012000887 |
| Provider Name | Marie Charlene Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780827071 PECOS PAC ID: 5496911059 Enrollment ID: I20151113001491 |
| Provider Name | Ruo P. Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407119019 PECOS PAC ID: 7012217326 Enrollment ID: I20151118001007 |
| Provider Name | Traci Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127831 PECOS PAC ID: 3476853516 Enrollment ID: I20151123000627 |
| Provider Name | Courtney Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821352089 PECOS PAC ID: 3476864067 Enrollment ID: I20151215002212 |
| Provider Name | James Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637122 PECOS PAC ID: 7315170842 Enrollment ID: I20151231000097 |
| Provider Name | Nina R Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538461033 PECOS PAC ID: 9931387636 Enrollment ID: I20160108002543 |
| Provider Name | Ashley Galbraith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004382 PECOS PAC ID: 1850695800 Enrollment ID: I20160211001063 |
| Provider Name | Seneca Hastings Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972953081 PECOS PAC ID: 6608169198 Enrollment ID: I20160720002820 |
| Provider Name | Theresa Wadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093754947 PECOS PAC ID: 0547553752 Enrollment ID: I20160726001999 |
| Provider Name | Carie Nicole Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639521339 PECOS PAC ID: 1254625981 Enrollment ID: I20160803001874 |
| Provider Name | Jason Lee Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031367 PECOS PAC ID: 1658594452 Enrollment ID: I20160812001314 |
| Provider Name | Latoya Carstarphen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790134369 PECOS PAC ID: 0941596837 Enrollment ID: I20160831002717 |
| Provider Name | Peter L Buzas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770592875 PECOS PAC ID: 5890766927 Enrollment ID: I20160907001668 |
| Provider Name | Joseph W Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497167118 PECOS PAC ID: 8820218944 Enrollment ID: I20160916001273 |
| Provider Name | John Falatko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001240 PECOS PAC ID: 6709017098 Enrollment ID: I20160921002189 |
| Provider Name | Jolie S Wildinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368887 PECOS PAC ID: 5395032189 Enrollment ID: I20160922000061 |
| Provider Name | Carleigh N Fryrear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817177 PECOS PAC ID: 5698909893 Enrollment ID: I20161011001926 |
| Provider Name | Sirisha Chada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184061699 PECOS PAC ID: 8325271851 Enrollment ID: I20161012001521 |
| Provider Name | Shanda Thomas Shrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579853 PECOS PAC ID: 8325336787 Enrollment ID: I20161018001509 |
| Provider Name | Lynette Yvonne Zills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114028107 PECOS PAC ID: 5092735522 Enrollment ID: I20161115001464 |
| Provider Name | Andrew David Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891052924 PECOS PAC ID: 2860642899 Enrollment ID: I20161227000871 |
| Provider Name | Antonia E Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376574673 PECOS PAC ID: 0042263204 Enrollment ID: I20170120001698 |
| Provider Name | Vnss Sailaja Radha R Varanasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871925909 PECOS PAC ID: 9931420221 Enrollment ID: I20170207001248 |
| Provider Name | Andrea Thomas Donalexis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982951687 PECOS PAC ID: 3072763978 Enrollment ID: I20170227000745 |
| Provider Name | Etagbo Oqua Eta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487974630 PECOS PAC ID: 9931343241 Enrollment ID: I20170308001133 |
| Provider Name | Brian Thomas Perrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512957 PECOS PAC ID: 6507004520 Enrollment ID: I20170530001690 |
| Provider Name | Lisa A Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720515117 PECOS PAC ID: 8022387620 Enrollment ID: I20170712002929 |
| Provider Name | Rene Thomas Schexnaildre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831518943 PECOS PAC ID: 3375843048 Enrollment ID: I20170724001503 |
| Provider Name | Jared Michael Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164659389 PECOS PAC ID: 0345487419 Enrollment ID: I20170815002776 |
| Provider Name | Frank James Malensek |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598739500 PECOS PAC ID: 3274424148 Enrollment ID: I20170911000521 |
| Provider Name | Keely Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912305269 PECOS PAC ID: 6800193046 Enrollment ID: I20170922000120 |
| Provider Name | Parineeta S Rao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053726356 PECOS PAC ID: 1759502545 Enrollment ID: I20171128003053 |
| Provider Name | Tyler Sechrist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609287598 PECOS PAC ID: 2264657030 Enrollment ID: I20171202000326 |
| Provider Name | Andrew Wootson Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418401 PECOS PAC ID: 6002031630 Enrollment ID: I20180104000633 |
| Provider Name | Carli Michelle Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245741677 PECOS PAC ID: 2163781055 Enrollment ID: I20180123001330 |
| Provider Name | Theodore T Tsaltas |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1679594881 PECOS PAC ID: 9234281882 Enrollment ID: I20180712001622 |
| Provider Name | Joann Lynn Csakany |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851300420 PECOS PAC ID: 0749463776 Enrollment ID: I20180807003556 |
| Provider Name | Christy Carol Greenhalgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598171274 PECOS PAC ID: 7911124839 Enrollment ID: I20180913001522 |
| Provider Name | Sarah Palecek Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861815029 PECOS PAC ID: 5890919054 Enrollment ID: I20180925003346 |
| Provider Name | James Lee Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699205385 PECOS PAC ID: 3173876083 Enrollment ID: I20181023001792 |
| Provider Name | Andrea Suzane Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003140971 PECOS PAC ID: 1254570708 Enrollment ID: I20181205002035 |
| Provider Name | Grace A Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285158170 PECOS PAC ID: 3678817491 Enrollment ID: I20181205002918 |
| Provider Name | Shawntavia Latrice Powe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968760 PECOS PAC ID: 8527304237 Enrollment ID: I20190116001795 |
| Provider Name | Abby Ozment Goolsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407328123 PECOS PAC ID: 6103166780 Enrollment ID: I20190318002103 |
| Provider Name | Katie Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556509 PECOS PAC ID: 0941540595 Enrollment ID: I20190319002022 |
| Provider Name | Marshall Neil White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215904644 PECOS PAC ID: 7911070867 Enrollment ID: I20190412000889 |
| Provider Name | Sabrina D Nuckols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942235593 PECOS PAC ID: 3375879695 Enrollment ID: I20190724003246 |
| Provider Name | Joshua Thomas Gautney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346602752 PECOS PAC ID: 5395078240 Enrollment ID: I20190826001484 |
| Provider Name | Jordan L. Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804697 PECOS PAC ID: 8325378201 Enrollment ID: I20190918002898 |
| Provider Name | Hansel Noffsinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801802863 PECOS PAC ID: 6305900077 Enrollment ID: I20191018002595 |
| Provider Name | John Reaves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265452379 PECOS PAC ID: 6709843089 Enrollment ID: I20191107003332 |
| Provider Name | Paul W Ward |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952644825 PECOS PAC ID: 6002044583 Enrollment ID: I20191205000765 |
| Provider Name | Sara G Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337408 PECOS PAC ID: 1153754924 Enrollment ID: I20191209002327 |
| Provider Name | Amanda H Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043852866 PECOS PAC ID: 7517392095 Enrollment ID: I20200109001762 |
| Provider Name | Leslie Anne Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417265893 PECOS PAC ID: 3678908712 Enrollment ID: I20200116003104 |
| Provider Name | Barry Rayburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083647200 PECOS PAC ID: 8426185653 Enrollment ID: I20200203000496 |
| Provider Name | Teresa Kate Leslie Boitano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801250303 PECOS PAC ID: 3173819745 Enrollment ID: I20200331001994 |
| Provider Name | Tina Dhillon-ashley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518998814 PECOS PAC ID: 4880668359 Enrollment ID: I20200415001960 |
| Provider Name | Noelle C Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578190617 PECOS PAC ID: 0446680722 Enrollment ID: I20200429001436 |
| Provider Name | William Marc Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770581456 PECOS PAC ID: 7416920038 Enrollment ID: I20200506003112 |
| Provider Name | Kimberly Danielle Abdelkader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609262062 PECOS PAC ID: 3678823887 Enrollment ID: I20200831000848 |
| Provider Name | Asim Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559059 PECOS PAC ID: 3779856133 Enrollment ID: I20200908002858 |
| Provider Name | Jeremy Dornier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043751365 PECOS PAC ID: 6305115940 Enrollment ID: I20200918001650 |
| Provider Name | Morgan Hyde Steading |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013511203 PECOS PAC ID: 0648682047 Enrollment ID: I20201208002783 |
| Provider Name | Kenneth Brian Mccay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427651132 PECOS PAC ID: 4880006618 Enrollment ID: I20201218001030 |
| Provider Name | Michelle Blackburn Kalousek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503127 PECOS PAC ID: 5597179101 Enrollment ID: I20210121003149 |
| Provider Name | Mohammed Alsakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417243296 PECOS PAC ID: 3274771241 Enrollment ID: I20210217002036 |
| Provider Name | Julianne M Bruce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932631835 PECOS PAC ID: 8123434065 Enrollment ID: I20210301002243 |
| Provider Name | Christopher Degroat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528471091 PECOS PAC ID: 9133448046 Enrollment ID: I20210422001939 |
| Provider Name | Nolan Penn Bauldree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427642594 PECOS PAC ID: 1052710431 Enrollment ID: I20210604002461 |
| Provider Name | Hassan Alkhawam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912324328 PECOS PAC ID: 8123393253 Enrollment ID: I20210708002140 |
| Provider Name | Katie Snider Novitski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861871683 PECOS PAC ID: 7012311467 Enrollment ID: I20210806000323 |
| Provider Name | Yasmine Latrice Cargill Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134625452 PECOS PAC ID: 9234534991 Enrollment ID: I20210819000434 |
| Provider Name | Allison Sullivan Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473527 PECOS PAC ID: 5193069300 Enrollment ID: I20210826000094 |
| Provider Name | Ashlie Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124633102 PECOS PAC ID: 6709283427 Enrollment ID: I20210923000823 |
| Provider Name | Brady Christopher Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740800556 PECOS PAC ID: 9234527300 Enrollment ID: I20211021001738 |
| Provider Name | Raef Madanieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831471499 PECOS PAC ID: 4486971355 Enrollment ID: I20220214001843 |
| Provider Name | Mary Evelyn Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194497974 PECOS PAC ID: 3971980780 Enrollment ID: I20220517002566 |
| Provider Name | Hamid Kargbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821231788 PECOS PAC ID: 3971731613 Enrollment ID: I20220711000076 |
| Provider Name | Gregg Willis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336171511 PECOS PAC ID: 6305897166 Enrollment ID: I20220721000253 |
| Provider Name | Ashley Gail Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215661939 PECOS PAC ID: 0345622528 Enrollment ID: I20220804001418 |
| Provider Name | Baran Aksut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063770048 PECOS PAC ID: 1153684600 Enrollment ID: I20220808003095 |
| Provider Name | Tofey Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104480425 PECOS PAC ID: 7315270493 Enrollment ID: I20220822000487 |
| Provider Name | Jacob Cameron Sivils |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154989119 PECOS PAC ID: 4385077429 Enrollment ID: I20220831003568 |
| Provider Name | Jeffrey Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285287714 PECOS PAC ID: 1355727884 Enrollment ID: I20221006000102 |
| Provider Name | Saier Akers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699334888 PECOS PAC ID: 5294062477 Enrollment ID: I20221011000145 |
| Provider Name | Abby Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306440433 PECOS PAC ID: 8820462690 Enrollment ID: I20230317000251 |
| Provider Name | Melanie Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205589785 PECOS PAC ID: 4385000496 Enrollment ID: I20230516001417 |
| Provider Name | Allessa A Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669792776 PECOS PAC ID: 7719125046 Enrollment ID: I20230518000171 |
| Provider Name | Erika Pankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851962120 PECOS PAC ID: 8729476668 Enrollment ID: I20230621001620 |
| Provider Name | Kaitlyn Dinkins |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871055871 PECOS PAC ID: 7113269200 Enrollment ID: I20230824003390 |
| Provider Name | Steven Richard Debiase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184252355 PECOS PAC ID: 1951762814 Enrollment ID: I20230919002493 |
| Provider Name | Nikhil Suresh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104810027 PECOS PAC ID: 4688574304 Enrollment ID: I20230922001537 |
| Provider Name | Jatinder Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760772925 PECOS PAC ID: 1850538695 Enrollment ID: I20231017002713 |
| Provider Name | Nizar Charafeddine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912090317 PECOS PAC ID: 3870503188 Enrollment ID: I20231212003023 |
| Provider Name | Kimberley Farmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326008400 PECOS PAC ID: 9830182096 Enrollment ID: I20231228003308 |
| Provider Name | Manmeet Sandhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639355910 PECOS PAC ID: 6608056858 Enrollment ID: I20240124003496 |
| Provider Name | Amrit Kaur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164771416 PECOS PAC ID: 1951617927 Enrollment ID: I20240228003803 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20240229000562 |
| Provider Name | Sabina Zawadzka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396109021 PECOS PAC ID: 8820382864 Enrollment ID: I20240301000619 |
| Provider Name | Maura C. Porto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396006516 PECOS PAC ID: 6608175989 Enrollment ID: I20240301000680 |
| Provider Name | Sowmya Nanjappa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942565403 PECOS PAC ID: 4981825379 Enrollment ID: I20240301002227 |
| Provider Name | Julia Zefirova |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20240305001462 |
| Provider Name | Dyan Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467077917 PECOS PAC ID: 1355743071 Enrollment ID: I20240306001084 |
| Provider Name | Kathleen Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962896159 PECOS PAC ID: 0547589996 Enrollment ID: I20240312002758 |
| Provider Name | Booth Wainscoat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699707141 PECOS PAC ID: 7012912165 Enrollment ID: I20240319003396 |
| Provider Name | Seema Arun Mehta Steinke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346493053 PECOS PAC ID: 3870815020 Enrollment ID: I20240320003351 |
Lifestyle Management Of Birmingham, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Old Montgomery Hwy, Suite 100, Birmingham, AL 35209 Phone: 205-949-1900 Fax: 205-949-1919 | |
Protective Life Bhs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us 280, Birmingham, AL 35223 Phone: 205-268-3265 | |
Inverness Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 Valleydale Rd, Birmingham, AL 35242 Phone: 205-980-8099 Fax: 205-980-2606 | |
Hoover Alt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd, Birmingham, AL 35244 Phone: 205-936-2203 | |
Birmingham Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 13th Ave S, 200, Birmingham, AL 35205 Phone: 205-918-7120 | |
Tom Tartt Brown, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Ste 225, Birmingham, AL 35205 Phone: 205-933-5808 Fax: 205-930-2119 | |
Taylor Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Ridgeway Dr, Birmingham, AL 35209 Phone: 205-447-0703 |