| Virginia Mason Medical Center | |
|
925 Seneca St Seattle WA 98101-2742 | |
| (206) 223-6600 | |
| Not Available |
| Full Name | Virginia Mason Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 925 Seneca St, Seattle, Washington |
| Authorized Official Name and Position | Monica Hilt (PRESIDENT, VMMC ADMINISTRATION) |
| Authorized Official Contact | 2063411208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Mason Medical Center Po Box 741515 Los Angeles CA 90074-1515 Ph: (206) 515-5811 | Virginia Mason Medical Center 925 Seneca St Seattle WA 98101-2742 Ph: (206) 223-6600 |
| NPI Number | 1801851258 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 9830002617 |
|---|---|
| Medicare Enrollment ID | O20031107000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801851258 | NPI | - | NPPES |
| 3315009 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H-010 (Washington) | Secondary |
| 282N00000X | General Acute Care Hospital | H-010 (Washington) | Primary |
| Provider Name | Alvin S Calderon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609985753 PECOS PAC ID: 9931013349 Enrollment ID: I20031118000988 |
| Provider Name | Neal R Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487688065 PECOS PAC ID: 4880593532 Enrollment ID: I20040102000172 |
| Provider Name | Lavonne R Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578530077 PECOS PAC ID: 1456251198 Enrollment ID: I20040109000993 |
| Provider Name | Otto S Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841302650 PECOS PAC ID: 0547161622 Enrollment ID: I20040120001027 |
| Provider Name | David M Robinson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629044284 PECOS PAC ID: 6800780404 Enrollment ID: I20040213000123 |
| Provider Name | David M Aboulafia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043269392 PECOS PAC ID: 6406740943 Enrollment ID: I20040213000425 |
| Provider Name | Jonathan B Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922035021 PECOS PAC ID: 2365337425 Enrollment ID: I20040217001139 |
| Provider Name | Kathy Risse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942393939 PECOS PAC ID: 4880589696 Enrollment ID: I20040219000939 |
| Provider Name | Thomas R Pritchett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326051095 PECOS PAC ID: 5991692667 Enrollment ID: I20040228000248 |
| Provider Name | Jan R Hemstad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962412379 PECOS PAC ID: 9335036987 Enrollment ID: I20040301000187 |
| Provider Name | Ksenija B Stefanovic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902995939 PECOS PAC ID: 4082501978 Enrollment ID: I20040304000164 |
| Provider Name | Theodore S Naiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871686139 PECOS PAC ID: 2567350176 Enrollment ID: I20040305000860 |
| Provider Name | Hsing-hsi James Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205922721 PECOS PAC ID: 4688564354 Enrollment ID: I20040317000341 |
| Provider Name | David M Kieras |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043239437 PECOS PAC ID: 1951291392 Enrollment ID: I20040318000695 |
| Provider Name | John C Lacambra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043312614 PECOS PAC ID: 4789574179 Enrollment ID: I20040324000178 |
| Provider Name | Matthias K Lee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1548372493 PECOS PAC ID: 6608767884 Enrollment ID: I20040324001564 |
| Provider Name | Michael F Tomberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730157199 PECOS PAC ID: 3779575683 Enrollment ID: I20040331001446 |
| Provider Name | Uma Malhotra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194805184 PECOS PAC ID: 0446242143 Enrollment ID: I20040401001140 |
| Provider Name | Tammira D Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528151883 PECOS PAC ID: 0547252173 Enrollment ID: I20040401001362 |
| Provider Name | Susan L Willard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912925025 PECOS PAC ID: 6103818794 Enrollment ID: I20040401001764 |
| Provider Name | Emily A April |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598733883 PECOS PAC ID: 5597758763 Enrollment ID: I20040405000735 |
| Provider Name | Donna L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649326570 PECOS PAC ID: 5496748667 Enrollment ID: I20040405000736 |
| Provider Name | Andrea Ference |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417954173 PECOS PAC ID: 8820081318 Enrollment ID: I20040408000722 |
| Provider Name | Jimy E Gillette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821108713 PECOS PAC ID: 1658365697 Enrollment ID: I20040413000010 |
| Provider Name | Steven A Hayashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285744318 PECOS PAC ID: 9032103759 Enrollment ID: I20040414000324 |
| Provider Name | Christopher L Fellows |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356314181 PECOS PAC ID: 0143214874 Enrollment ID: I20040414000394 |
| Provider Name | Alisse M Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558459255 PECOS PAC ID: 1355336868 Enrollment ID: I20040415000484 |
| Provider Name | Thomas W Malpass |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1851309942 PECOS PAC ID: 2466447552 Enrollment ID: I20040419000074 |
| Provider Name | Meta Chessin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598803421 PECOS PAC ID: 8628063674 Enrollment ID: I20040419000576 |
| Provider Name | Guobin Song |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114000601 PECOS PAC ID: 8426044991 Enrollment ID: I20040421000686 |
| Provider Name | Huong T Pham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285727545 PECOS PAC ID: 9638165038 Enrollment ID: I20040421001660 |
| Provider Name | Richard A Hsi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992815971 PECOS PAC ID: 4587650411 Enrollment ID: I20040423001414 |
| Provider Name | Paul A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396851614 PECOS PAC ID: 3971599788 Enrollment ID: I20040426000151 |
| Provider Name | Alexi J Phinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275626533 PECOS PAC ID: 1759378425 Enrollment ID: I20040427000169 |
| Provider Name | Charles A Bellia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124166046 PECOS PAC ID: 2365439957 Enrollment ID: I20040427000377 |
| Provider Name | Ann N Champoux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316977697 PECOS PAC ID: 8123015591 Enrollment ID: I20040428000139 |
| Provider Name | Carlos E Moravek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194876979 PECOS PAC ID: 0749277051 Enrollment ID: I20040429000038 |
| Provider Name | Renee L Spoelhof |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912058199 PECOS PAC ID: 2567451131 Enrollment ID: I20040510000150 |
| Provider Name | Maged S Khoory |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912932633 PECOS PAC ID: 9739178260 Enrollment ID: I20040510001399 |
| Provider Name | Gordon L Kritzer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518939420 PECOS PAC ID: 6103816012 Enrollment ID: I20040513000823 |
| Provider Name | Vincent J Picozzi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154334894 PECOS PAC ID: 6901896851 Enrollment ID: I20040513001116 |
| Provider Name | Christi A Van Deusen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477606002 PECOS PAC ID: 0244220085 Enrollment ID: I20040514000174 |
| Provider Name | Kerri M Hallgrimson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245362797 PECOS PAC ID: 9537159744 Enrollment ID: I20040518000311 |
| Provider Name | Ross P Hartling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316950413 PECOS PAC ID: 1153312178 Enrollment ID: I20040519001060 |
| Provider Name | Kathleen M Hargiss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972654168 PECOS PAC ID: 0840281523 Enrollment ID: I20040520001440 |
| Provider Name | Audrey Tran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952419491 PECOS PAC ID: 6507857067 Enrollment ID: I20040521001363 |
| Provider Name | Roberta L Mcmichael |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376696922 PECOS PAC ID: 8325039894 Enrollment ID: I20040522000077 |
| Provider Name | Michael Zammit |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841251188 PECOS PAC ID: 5496658213 Enrollment ID: I20040524000004 |
| Provider Name | Jill T Jesurum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194809806 PECOS PAC ID: 4981685393 Enrollment ID: I20040601000034 |
| Provider Name | Sergay N Agoff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457468852 PECOS PAC ID: 0547242653 Enrollment ID: I20040602001664 |
| Provider Name | Laurel I Beck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508074535 PECOS PAC ID: 9234111311 Enrollment ID: I20040603000538 |
| Provider Name | Edward K Rynearson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891841706 PECOS PAC ID: 9032191754 Enrollment ID: I20040604000811 |
| Provider Name | Anne M Mahoney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972652279 PECOS PAC ID: 6608851563 Enrollment ID: I20040623001111 |
| Provider Name | David J Belfie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922116466 PECOS PAC ID: 3870579089 Enrollment ID: I20040628001321 |
| Provider Name | Zohreh E Safai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114084654 PECOS PAC ID: 4486631744 Enrollment ID: I20040706000032 |
| Provider Name | Sarah J Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174628630 PECOS PAC ID: 6608853601 Enrollment ID: I20040707000373 |
| Provider Name | Christopher C Danenhower |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295799526 PECOS PAC ID: 8325026271 Enrollment ID: I20040708000822 |
| Provider Name | Edwin Y Rhim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275646424 PECOS PAC ID: 6800874215 Enrollment ID: I20040712001222 |
| Provider Name | Sandra M Lord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306921119 PECOS PAC ID: 0547249633 Enrollment ID: I20040714000110 |
| Provider Name | Peter Reist Eby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962588764 PECOS PAC ID: 1557340775 Enrollment ID: I20040720000213 |
| Provider Name | Kristie L Blade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033254842 PECOS PAC ID: 0547240764 Enrollment ID: I20040720001090 |
| Provider Name | Wendy E Becker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629116538 PECOS PAC ID: 7911987565 Enrollment ID: I20040723000182 |
| Provider Name | David T Yu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497836019 PECOS PAC ID: 3971573551 Enrollment ID: I20040729001583 |
| Provider Name | Lisa M Orup Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629112032 PECOS PAC ID: 2567433832 Enrollment ID: I20040802001355 |
| Provider Name | Kim L Amrine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053459792 PECOS PAC ID: 9436120219 Enrollment ID: I20040804001248 |
| Provider Name | Julie S Vath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508831595 PECOS PAC ID: 4789659343 Enrollment ID: I20040827000948 |
| Provider Name | Elizabeth S Gold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801851274 PECOS PAC ID: 5991765778 Enrollment ID: I20041015000460 |
| Provider Name | Sundance L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972696912 PECOS PAC ID: 0042271660 Enrollment ID: I20041026000659 |
| Provider Name | Christopher J Sargent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376625392 PECOS PAC ID: 2567424567 Enrollment ID: I20041102000382 |
| Provider Name | Elizabeth T Jernberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508977562 PECOS PAC ID: 6507829439 Enrollment ID: I20041110001182 |
| Provider Name | Shelly K Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710098785 PECOS PAC ID: 4385607241 Enrollment ID: I20041111000021 |
| Provider Name | Joseph M Eskridge |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982656310 PECOS PAC ID: 4183688682 Enrollment ID: I20041115000928 |
| Provider Name | Leland Teng |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033138730 PECOS PAC ID: 3072577378 Enrollment ID: I20041116001133 |
| Provider Name | Thomas C Gunby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144243668 PECOS PAC ID: 7618931924 Enrollment ID: I20041116001225 |
| Provider Name | Lynne P Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578679775 PECOS PAC ID: 8820053598 Enrollment ID: I20041122000737 |
| Provider Name | Wayne S Hwang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205808896 PECOS PAC ID: 8224093935 Enrollment ID: I20041122001059 |
| Provider Name | Lesley Althouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669402608 PECOS PAC ID: 6002871738 Enrollment ID: I20041122001183 |
| Provider Name | Steven H Kirtland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841392842 PECOS PAC ID: 3072578707 Enrollment ID: I20041122001205 |
| Provider Name | Paul M Kozlowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235231200 PECOS PAC ID: 7214992304 Enrollment ID: I20041130001159 |
| Provider Name | Mariko Kita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326061748 PECOS PAC ID: 0042276206 Enrollment ID: I20041209000025 |
| Provider Name | Richard M Furlong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457370777 PECOS PAC ID: 0446216634 Enrollment ID: I20041209000208 |
| Provider Name | Debra G Wechter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568579100 PECOS PAC ID: 4486612371 Enrollment ID: I20041223000041 |
| Provider Name | Ingrid F Gerbino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679683536 PECOS PAC ID: 0941268841 Enrollment ID: I20041223000135 |
| Provider Name | Jane S Dunham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831200682 PECOS PAC ID: 3870551724 Enrollment ID: I20041227000101 |
| Provider Name | Anthony J Gerbino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457461311 PECOS PAC ID: 8921056813 Enrollment ID: I20050107000046 |
| Provider Name | Tina A Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912083635 PECOS PAC ID: 1951359702 Enrollment ID: I20050107000591 |
| Provider Name | Monica C Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750321121 PECOS PAC ID: 0648229633 Enrollment ID: I20050117000508 |
| Provider Name | Ravi Moonka |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093809519 PECOS PAC ID: 9739130923 Enrollment ID: I20050204000362 |
| Provider Name | Patricia R Rantos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922030170 PECOS PAC ID: 4981655016 Enrollment ID: I20050207000532 |
| Provider Name | Carrie Ann A Horwitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477574325 PECOS PAC ID: 6305897349 Enrollment ID: I20050207000716 |
| Provider Name | John W Roberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396858551 PECOS PAC ID: 2365494762 Enrollment ID: I20050214000797 |
| Provider Name | Jane H Buckner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740399872 PECOS PAC ID: 7517918576 Enrollment ID: I20050215001089 |
| Provider Name | Donald E Low |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760538672 PECOS PAC ID: 9537111398 Enrollment ID: I20050221000291 |
| Provider Name | Elaine F Sachter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952414997 PECOS PAC ID: 1557313343 Enrollment ID: I20050221000543 |
| Provider Name | Ian Alexander Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588770655 PECOS PAC ID: 8820041197 Enrollment ID: I20050226000004 |
| Provider Name | Michael Gluck |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871516617 PECOS PAC ID: 8628021748 Enrollment ID: I20050301000138 |
| Provider Name | John Y Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669485447 PECOS PAC ID: 5597718635 Enrollment ID: I20050303000348 |
| Provider Name | Ival L Salyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427079557 PECOS PAC ID: 3971557935 Enrollment ID: I20050311000714 |
| Provider Name | Maria Del Pilar E Almy Simon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588771984 PECOS PAC ID: 6507813490 Enrollment ID: I20050404000088 |
| Provider Name | Anne E Tuttle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952327850 PECOS PAC ID: 9335186501 Enrollment ID: I20050411000308 |
| Provider Name | Oneil S Bains |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982712584 PECOS PAC ID: 3072553361 Enrollment ID: I20050505000806 |
| Provider Name | Elizabeth A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295707313 PECOS PAC ID: 3375584576 Enrollment ID: I20050518000562 |
| Provider Name | Thomas B Curtis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265466536 PECOS PAC ID: 6103867320 Enrollment ID: I20050518000769 |
| Provider Name | Laurel E Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639188071 PECOS PAC ID: 0840233268 Enrollment ID: I20050607000668 |
| Provider Name | Farrokh R Farrokhi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154371276 PECOS PAC ID: 2163467739 Enrollment ID: I20050623000660 |
| Provider Name | Joan S Woo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1154351716 PECOS PAC ID: 8628014388 Enrollment ID: I20050701000949 |
| Provider Name | Brianne M Scappini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396710257 PECOS PAC ID: 0547297442 Enrollment ID: I20050722000177 |
| Provider Name | John W Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558372755 PECOS PAC ID: 0749185593 Enrollment ID: I20050723000103 |
| Provider Name | Trang M Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154332955 PECOS PAC ID: 0547291759 Enrollment ID: I20050827000170 |
| Provider Name | Carrie A Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265408488 PECOS PAC ID: 6002848231 Enrollment ID: I20050908000346 |
| Provider Name | Melissa Elaine Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770545345 PECOS PAC ID: 7719910264 Enrollment ID: I20050914001277 |
| Provider Name | Jason F Eintracht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619086584 PECOS PAC ID: 4385677749 Enrollment ID: I20050915000645 |
| Provider Name | Daniel T Warren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407821564 PECOS PAC ID: 1951334317 Enrollment ID: I20050915000702 |
| Provider Name | Linda S Mihalov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730273244 PECOS PAC ID: 2668406430 Enrollment ID: I20050921000481 |
| Provider Name | Joshua B Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407941859 PECOS PAC ID: 6406871243 Enrollment ID: I20051011000152 |
| Provider Name | Stephanie M Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962468934 PECOS PAC ID: 9830114446 Enrollment ID: I20051012001241 |
| Provider Name | Justin H Stahl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972691905 PECOS PAC ID: 6103844485 Enrollment ID: I20051104000420 |
| Provider Name | Kathryn A Kovacs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366544348 PECOS PAC ID: 8123040169 Enrollment ID: I20051219000863 |
| Provider Name | Denise R Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851398739 PECOS PAC ID: 1355363565 Enrollment ID: I20051230000258 |
| Provider Name | Terence L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811048457 PECOS PAC ID: 3274548342 Enrollment ID: I20060209000722 |
| Provider Name | Chia-jen Kuan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114031655 PECOS PAC ID: 6709776271 Enrollment ID: I20060316000015 |
| Provider Name | Nanette G Robinson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750377446 PECOS PAC ID: 5597772434 Enrollment ID: I20060316000599 |
| Provider Name | Susan B Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629137823 PECOS PAC ID: 9638187115 Enrollment ID: I20060324000136 |
| Provider Name | David A Lewis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609920222 PECOS PAC ID: 6709895808 Enrollment ID: I20060418000735 |
| Provider Name | Mujun Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720032691 PECOS PAC ID: 0143230086 Enrollment ID: I20060421000533 |
| Provider Name | Kathleen L Horan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669414405 PECOS PAC ID: 6709899909 Enrollment ID: I20060710000150 |
| Provider Name | Joseph Grant F Rosales |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457300303 PECOS PAC ID: 7214930775 Enrollment ID: I20060823000139 |
| Provider Name | David L Coy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023046240 PECOS PAC ID: 0547264665 Enrollment ID: I20060901000406 |
| Provider Name | Russell K Dorer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588685812 PECOS PAC ID: 1456355577 Enrollment ID: I20060901000407 |
| Provider Name | Alexandra K Schmidek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952321705 PECOS PAC ID: 2365446481 Enrollment ID: I20060901000409 |
| Provider Name | Wendy C Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750304093 PECOS PAC ID: 6709880750 Enrollment ID: I20060905000277 |
| Provider Name | Parag A Gokhale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790706307 PECOS PAC ID: 3274537238 Enrollment ID: I20060905000366 |
| Provider Name | Robert L Hsiung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659392264 PECOS PAC ID: 7214933761 Enrollment ID: I20061006000128 |
| Provider Name | Daniel E Coates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730100074 PECOS PAC ID: 9537166566 Enrollment ID: I20061103000240 |
| Provider Name | Eileen K Bailey Budge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194822254 PECOS PAC ID: 9931152410 Enrollment ID: I20061108000250 |
| Provider Name | Semra Olgac |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578543419 PECOS PAC ID: 9739187337 Enrollment ID: I20061114000579 |
| Provider Name | Corrie L Takahashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134227903 PECOS PAC ID: 6709884307 Enrollment ID: I20061114000613 |
| Provider Name | John C Morrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780789594 PECOS PAC ID: 4082613625 Enrollment ID: I20061209000042 |
| Provider Name | Michael S Dudas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841291317 PECOS PAC ID: 0143220558 Enrollment ID: I20070109000492 |
| Provider Name | Matthew E Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336220946 PECOS PAC ID: 3577563980 Enrollment ID: I20070109000521 |
| Provider Name | Yoshiko Chomon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770657413 PECOS PAC ID: 0648271510 Enrollment ID: I20070119000014 |
| Provider Name | Richard A Jensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447313234 PECOS PAC ID: 7416958780 Enrollment ID: I20070130000126 |
| Provider Name | Carol M Radlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158845 PECOS PAC ID: 0345242921 Enrollment ID: I20070212000071 |
| Provider Name | Lee P Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528166394 PECOS PAC ID: 8224030812 Enrollment ID: I20070212000105 |
| Provider Name | Michael C Soung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508977026 PECOS PAC ID: 6507868890 Enrollment ID: I20070215000731 |
| Provider Name | Seth R Schwartz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457305401 PECOS PAC ID: 6103896147 Enrollment ID: I20070323000413 |
| Provider Name | Laura L Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982788782 PECOS PAC ID: 2961507587 Enrollment ID: I20070410000386 |
| Provider Name | Diana L Stone Poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942387550 PECOS PAC ID: 7113023565 Enrollment ID: I20070502000250 |
| Provider Name | Robert Edward Geise |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528065471 PECOS PAC ID: 0345212569 Enrollment ID: I20070514000376 |
| Provider Name | Elizabeth A Alley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093768111 PECOS PAC ID: 8325146731 Enrollment ID: I20070608000265 |
| Provider Name | Christian S Kuhr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962587774 PECOS PAC ID: 9335248780 Enrollment ID: I20070626000151 |
| Provider Name | Ryan P Pong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225172885 PECOS PAC ID: 2163522707 Enrollment ID: I20070711000384 |
| Provider Name | Jad D Swingle |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447463294 PECOS PAC ID: 7618078825 Enrollment ID: I20070718000322 |
| Provider Name | Pasala S Ravichandran |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1487669990 PECOS PAC ID: 8921067786 Enrollment ID: I20070718000689 |
| Provider Name | Wade Anthony Weigel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144304015 PECOS PAC ID: 6305947243 Enrollment ID: I20070723000568 |
| Provider Name | David B Auyong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316968217 PECOS PAC ID: 8921003146 Enrollment ID: I20070822000814 |
| Provider Name | Wyndam M Strodtbeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396879169 PECOS PAC ID: 7416049432 Enrollment ID: I20070822001125 |
| Provider Name | Andrew S Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063575587 PECOS PAC ID: 1456443308 Enrollment ID: I20070822001484 |
| Provider Name | Shayan Irani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821204488 PECOS PAC ID: 8426140377 Enrollment ID: I20070822001506 |
| Provider Name | Mei Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538277108 PECOS PAC ID: 8921190877 Enrollment ID: I20070822001549 |
| Provider Name | Danielle M Hautenne Dekay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306043849 PECOS PAC ID: 7911099692 Enrollment ID: I20070827000156 |
| Provider Name | Jennifer C Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770686644 PECOS PAC ID: 0345333837 Enrollment ID: I20070829000264 |
| Provider Name | Chia C Wang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306955166 PECOS PAC ID: 0042303182 Enrollment ID: I20070906000415 |
| Provider Name | Gautam R Velamoor |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578760880 PECOS PAC ID: 9436242476 Enrollment ID: I20070906000487 |
| Provider Name | Brandee L Grooms |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669481925 PECOS PAC ID: 8426153081 Enrollment ID: I20070906000821 |
| Provider Name | Mark Holmberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790763233 PECOS PAC ID: 8426072950 Enrollment ID: I20070907000191 |
| Provider Name | Minori Yoshioka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245374644 PECOS PAC ID: 9133213549 Enrollment ID: I20070917000191 |
| Provider Name | Lily Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912967274 PECOS PAC ID: 7810969532 Enrollment ID: I20070917000539 |
| Provider Name | Scott M Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275643447 PECOS PAC ID: 6305931155 Enrollment ID: I20071009000275 |
| Provider Name | Ellen E Frechette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720121759 PECOS PAC ID: 1951498781 Enrollment ID: I20071026000086 |
| Provider Name | Paul G Kassab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740287275 PECOS PAC ID: 9234191735 Enrollment ID: I20071026000124 |
| Provider Name | Eric J Heit |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487669362 PECOS PAC ID: 8921093030 Enrollment ID: I20071030000382 |
| Provider Name | Adel M Assaad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669509071 PECOS PAC ID: 6305867813 Enrollment ID: I20071218000278 |
| Provider Name | Susan M Sandblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396944013 PECOS PAC ID: 5799861217 Enrollment ID: I20080325000265 |
| Provider Name | Nancy Camp Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980424 PECOS PAC ID: 3072568757 Enrollment ID: I20080404000415 |
| Provider Name | Aneal S Gadgil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992747646 PECOS PAC ID: 0446206528 Enrollment ID: I20080425000429 |
| Provider Name | Rajiv K Sethi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720090608 PECOS PAC ID: 3971507955 Enrollment ID: I20080429000096 |
| Provider Name | Jennifer A Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417127093 PECOS PAC ID: 3173616695 Enrollment ID: I20080429000191 |
| Provider Name | Julianna T Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841308988 PECOS PAC ID: 4385618537 Enrollment ID: I20080529000365 |
| Provider Name | Monica Irene Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578631446 PECOS PAC ID: 9931201605 Enrollment ID: I20080603000725 |
| Provider Name | Stephen J Olivar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952349839 PECOS PAC ID: 4385714880 Enrollment ID: I20080609000904 |
| Provider Name | Allen Tang Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437341096 PECOS PAC ID: 0941373666 Enrollment ID: I20080714000467 |
| Provider Name | Rebecca L Partridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306933437 PECOS PAC ID: 3870513203 Enrollment ID: I20080718000303 |
| Provider Name | Randy Ray Graybeal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023041845 PECOS PAC ID: 2365466026 Enrollment ID: I20080722000542 |
| Provider Name | Lea A Mercado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356491781 PECOS PAC ID: 0648343426 Enrollment ID: I20080728000211 |
| Provider Name | Udo P Schmiedl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891737664 PECOS PAC ID: 7911088919 Enrollment ID: I20080728000214 |
| Provider Name | Katherine Adler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841418886 PECOS PAC ID: 5890891139 Enrollment ID: I20080728000246 |
| Provider Name | Amy L Stepan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356485932 PECOS PAC ID: 3779657341 Enrollment ID: I20080730000429 |
| Provider Name | Mark W Beiter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740323740 PECOS PAC ID: 4385718824 Enrollment ID: I20080801000262 |
| Provider Name | Peter J Verdin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912929944 PECOS PAC ID: 9436236668 Enrollment ID: I20080804000544 |
| Provider Name | Michael Sutters |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497737803 PECOS PAC ID: 9436224060 Enrollment ID: I20080818000158 |
| Provider Name | Michele M Dostal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972529030 PECOS PAC ID: 9830184373 Enrollment ID: I20080819000210 |
| Provider Name | Alvaro Lucioni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639344534 PECOS PAC ID: 7810063872 Enrollment ID: I20080828000077 |
| Provider Name | Zornitza S Stoilova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548360019 PECOS PAC ID: 0749356525 Enrollment ID: I20080902000144 |
| Provider Name | William G Callahan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396858718 PECOS PAC ID: 3577639863 Enrollment ID: I20080910000668 |
| Provider Name | James D Schlenker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811187628 PECOS PAC ID: 8820165855 Enrollment ID: I20080917000414 |
| Provider Name | Elizabeth M Borock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841283512 PECOS PAC ID: 3577630342 Enrollment ID: I20080919000246 |
| Provider Name | Dong T Vo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235273715 PECOS PAC ID: 4284701806 Enrollment ID: I20080924000339 |
| Provider Name | James D Lord |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780799759 PECOS PAC ID: 7719054238 Enrollment ID: I20080925000587 |
| Provider Name | Denise M Clark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528198389 PECOS PAC ID: 2264590884 Enrollment ID: I20081024000546 |
| Provider Name | Catherine S Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184827768 PECOS PAC ID: 8527127943 Enrollment ID: I20081030000120 |
| Provider Name | Ravi S Krishnan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023063716 PECOS PAC ID: 4880638972 Enrollment ID: I20081217000292 |
| Provider Name | Christopher S Baliga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154534170 PECOS PAC ID: 5890857080 Enrollment ID: I20081223000077 |
| Provider Name | Christine M Pineda Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417091075 PECOS PAC ID: 6002978079 Enrollment ID: I20081229000628 |
| Provider Name | Jaime I Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366505505 PECOS PAC ID: 9234237769 Enrollment ID: I20090105000457 |
| Provider Name | Anita Y Chan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982822128 PECOS PAC ID: 9739276056 Enrollment ID: I20090211000598 |
| Provider Name | Edward Kim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386752913 PECOS PAC ID: 0345288916 Enrollment ID: I20090212000708 |
| Provider Name | Chi Hyun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316966062 PECOS PAC ID: 1456408533 Enrollment ID: I20090406000630 |
| Provider Name | Martha Christine Moe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689827990 PECOS PAC ID: 7618025073 Enrollment ID: I20090423000563 |
| Provider Name | Martha A Carlstead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134374887 PECOS PAC ID: 4486702776 Enrollment ID: I20090424000127 |
| Provider Name | Felicia P Cummings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417066440 PECOS PAC ID: 9537217617 Enrollment ID: I20090429000184 |
| Provider Name | Mehran Fotoohi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1902915887 PECOS PAC ID: 8527116607 Enrollment ID: I20090429000198 |
| Provider Name | Linda M Fairchild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912923129 PECOS PAC ID: 5799833877 Enrollment ID: I20090429000206 |
| Provider Name | Richard M Hinke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205850112 PECOS PAC ID: 0840348934 Enrollment ID: I20090429000343 |
| Provider Name | Kenneth L Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982628384 PECOS PAC ID: 5294883393 Enrollment ID: I20090429000360 |
| Provider Name | Catherine J Potts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316966963 PECOS PAC ID: 0648348839 Enrollment ID: I20090429000394 |
| Provider Name | David H Robinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063525269 PECOS PAC ID: 9436207537 Enrollment ID: I20090429000400 |
| Provider Name | Paul L Sicuro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760597611 PECOS PAC ID: 1153479258 Enrollment ID: I20090429000412 |
| Provider Name | Yun Suhr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083720312 PECOS PAC ID: 2961550066 Enrollment ID: I20090429000420 |
| Provider Name | Nasima K Vira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871600403 PECOS PAC ID: 9133277239 Enrollment ID: I20090429000426 |
| Provider Name | Bruce A Nitsche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639274384 PECOS PAC ID: 1456400613 Enrollment ID: I20090518000345 |
| Provider Name | Heidi T Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235242447 PECOS PAC ID: 5991854051 Enrollment ID: I20090519000629 |
| Provider Name | Laura W Kates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154453710 PECOS PAC ID: 9537240320 Enrollment ID: I20090521000031 |
| Provider Name | Marc J Lacrampe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356357271 PECOS PAC ID: 0143379149 Enrollment ID: I20090521000622 |
| Provider Name | Lance C Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851310510 PECOS PAC ID: 4789733791 Enrollment ID: I20090521000629 |
| Provider Name | Michael A Gass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188925 PECOS PAC ID: 5597814509 Enrollment ID: I20090521000641 |
| Provider Name | Lolena J Sills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265682264 PECOS PAC ID: 1153471602 Enrollment ID: I20090604000314 |
| Provider Name | Margot A Schwartz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275689267 PECOS PAC ID: 1153471552 Enrollment ID: I20090605000148 |
| Provider Name | Andrew S Friedman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013936343 PECOS PAC ID: 3072663269 Enrollment ID: I20090610000002 |
| Provider Name | Jason P Norsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144248550 PECOS PAC ID: 2567512791 Enrollment ID: I20090610000360 |
| Provider Name | Lyudmila I Petruk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528154770 PECOS PAC ID: 4587662549 Enrollment ID: I20090617000646 |
| Provider Name | Leal C Ridgway |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356513634 PECOS PAC ID: 4981774981 Enrollment ID: I20090625000074 |
| Provider Name | James R Holm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225014988 PECOS PAC ID: 3072501444 Enrollment ID: I20090630000463 |
| Provider Name | Grace M Kalish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457463481 PECOS PAC ID: 1456402494 Enrollment ID: I20090702000075 |
| Provider Name | Steven M Ruhoy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609837566 PECOS PAC ID: 0840374328 Enrollment ID: I20090721000182 |
| Provider Name | Sara O Weiss |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407902083 PECOS PAC ID: 2163598814 Enrollment ID: I20090723000361 |
| Provider Name | Andrew Weiss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023155397 PECOS PAC ID: 1254322290 Enrollment ID: I20090723000372 |
| Provider Name | Anshita Thakkar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376730499 PECOS PAC ID: 4880747559 Enrollment ID: I20090728000316 |
| Provider Name | Jean-christophe A Leveque |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285756304 PECOS PAC ID: 4981757648 Enrollment ID: I20090729000231 |
| Provider Name | Lisa M Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083877559 PECOS PAC ID: 6103979729 Enrollment ID: I20090729000869 |
| Provider Name | Timothy Zisman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427213461 PECOS PAC ID: 8729131354 Enrollment ID: I20090729000978 |
| Provider Name | Kevin M Macdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831148600 PECOS PAC ID: 3870646045 Enrollment ID: I20090805000592 |
| Provider Name | Vivian V Stone |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649432535 PECOS PAC ID: 7911051750 Enrollment ID: I20090813000520 |
| Provider Name | Damon S Pierce |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912101742 PECOS PAC ID: 2567516008 Enrollment ID: I20090818000235 |
| Provider Name | Thomas M Landino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003805482 PECOS PAC ID: 5395842611 Enrollment ID: I20090901000533 |
| Provider Name | Alvin T Ngan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245448935 PECOS PAC ID: 7911053061 Enrollment ID: I20090915000622 |
| Provider Name | David C Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053455709 PECOS PAC ID: 6002962636 Enrollment ID: I20090923000030 |
| Provider Name | Alice J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023217734 PECOS PAC ID: 1052467586 Enrollment ID: I20090924000084 |
| Provider Name | Maria Vasilyadis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659565836 PECOS PAC ID: 7113094145 Enrollment ID: I20090930000351 |
| Provider Name | Jonathan J Clabeaux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235302696 PECOS PAC ID: 4587738117 Enrollment ID: I20090930000415 |
| Provider Name | Nkeiruka C Duze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629112024 PECOS PAC ID: 7517004815 Enrollment ID: I20091019000448 |
| Provider Name | Amy D Brockmeyer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891959862 PECOS PAC ID: 7810034949 Enrollment ID: I20091022000390 |
| Provider Name | Ulrike I Ochs |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023021854 PECOS PAC ID: 6709923774 Enrollment ID: I20091023000094 |
| Provider Name | Jessica T Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396937371 PECOS PAC ID: 2567525116 Enrollment ID: I20091027000839 |
| Provider Name | Janet J Chieh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619185592 PECOS PAC ID: 0547353849 Enrollment ID: I20091112000598 |
| Provider Name | Tracy P Eriksson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710912340 PECOS PAC ID: 0244378198 Enrollment ID: I20091112000604 |
| Provider Name | Joy B Bucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265514822 PECOS PAC ID: 7618018326 Enrollment ID: I20100104000152 |
| Provider Name | Teresa M Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235159484 PECOS PAC ID: 4587621438 Enrollment ID: I20100111000156 |
| Provider Name | Soumya Donohoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275510109 PECOS PAC ID: 0547256638 Enrollment ID: I20100122000293 |
| Provider Name | Christina M Quekett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689711442 PECOS PAC ID: 5496897647 Enrollment ID: I20100126000614 |
| Provider Name | Jill A Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134233604 PECOS PAC ID: 8921141573 Enrollment ID: I20100204000086 |
| Provider Name | Julie W Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801024245 PECOS PAC ID: 9234284100 Enrollment ID: I20100204000136 |
| Provider Name | Barry A Aaronson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952418345 PECOS PAC ID: 5092858332 Enrollment ID: I20100208000779 |
| Provider Name | Greg I Nakamoto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861585127 PECOS PAC ID: 5395880546 Enrollment ID: I20100226000725 |
| Provider Name | Rochelle L Winnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972656593 PECOS PAC ID: 5496890006 Enrollment ID: I20100308000410 |
| Provider Name | Deborah D Kobylk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679548655 PECOS PAC ID: 4880739325 Enrollment ID: I20100308000795 |
| Provider Name | Susan J Blancher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982677456 PECOS PAC ID: 2062557507 Enrollment ID: I20100308000801 |
| Provider Name | Timothy W Jacobs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518904200 PECOS PAC ID: 3971648437 Enrollment ID: I20100308001006 |
| Provider Name | Michael D Ingraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528082435 PECOS PAC ID: 0941335061 Enrollment ID: I20100315000744 |
| Provider Name | Michael E Morris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770592115 PECOS PAC ID: 5991830010 Enrollment ID: I20100315000792 |
| Provider Name | Paul D Coulter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417981903 PECOS PAC ID: 3971638917 Enrollment ID: I20100316000979 |
| Provider Name | Lila A Sueda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598871824 PECOS PAC ID: 8820123664 Enrollment ID: I20100317001135 |
| Provider Name | David B Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487763405 PECOS PAC ID: 2264567098 Enrollment ID: I20100318000897 |
| Provider Name | Thomas R Biehl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023084761 PECOS PAC ID: 5395870018 Enrollment ID: I20100319000854 |
| Provider Name | Jonathan R Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376562751 PECOS PAC ID: 2365577954 Enrollment ID: I20100322000484 |
| Provider Name | Jeffrey A Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508885997 PECOS PAC ID: 7012042591 Enrollment ID: I20100323000495 |
| Provider Name | Julia E Pollock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922103670 PECOS PAC ID: 8123154416 Enrollment ID: I20100325000630 |
| Provider Name | Loren J Vesselle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548319791 PECOS PAC ID: 6901932904 Enrollment ID: I20100330000035 |
| Provider Name | Denise M Lugo Camann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902992654 PECOS PAC ID: 7113054354 Enrollment ID: I20100420001049 |
| Provider Name | Arthur Man-lung Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184700932 PECOS PAC ID: 6901933076 Enrollment ID: I20100421000394 |
| Provider Name | Daniel J Hanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841300167 PECOS PAC ID: 4880721950 Enrollment ID: I20100421000424 |
| Provider Name | Mahmuda Tasneem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599658 PECOS PAC ID: 1557498631 Enrollment ID: I20100421000507 |
| Provider Name | Anita Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104891043 PECOS PAC ID: 7214064393 Enrollment ID: I20100421000615 |
| Provider Name | Lisa S Grayson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750358255 PECOS PAC ID: 0547397671 Enrollment ID: I20100422000196 |
| Provider Name | Janet M Dwight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427108844 PECOS PAC ID: 9436286432 Enrollment ID: I20100422001164 |
| Provider Name | Suseela V Narra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306939665 PECOS PAC ID: 7719014372 Enrollment ID: I20100430000042 |
| Provider Name | Christine H Richter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396896551 PECOS PAC ID: 5395873459 Enrollment ID: I20100511000334 |
| Provider Name | Shayna Beth Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992028062 PECOS PAC ID: 9234267311 Enrollment ID: I20100511000552 |
| Provider Name | Raymond S Joseph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013980846 PECOS PAC ID: 0446389100 Enrollment ID: I20100519000288 |
| Provider Name | Stephen W Bayles |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477661080 PECOS PAC ID: 0941339279 Enrollment ID: I20100525001056 |
| Provider Name | Lisa V Hamill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578655148 PECOS PAC ID: 3072642230 Enrollment ID: I20100526000423 |
| Provider Name | Michael Joseph Longo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508838467 PECOS PAC ID: 2062542673 Enrollment ID: I20100608000796 |
| Provider Name | Alan B Rothblatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598853285 PECOS PAC ID: 3476684036 Enrollment ID: I20100625000094 |
| Provider Name | Jillian E Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790827525 PECOS PAC ID: 3072658590 Enrollment ID: I20100715000063 |
| Provider Name | Lisa M Lindstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538211362 PECOS PAC ID: 2466584701 Enrollment ID: I20100721000802 |
| Provider Name | Amy E Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791103 PECOS PAC ID: 1052444627 Enrollment ID: I20100803000556 |
| Provider Name | David E Taibleson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396893517 PECOS PAC ID: 9234253196 Enrollment ID: I20100830000038 |
| Provider Name | Timothy J Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992893085 PECOS PAC ID: 3779607239 Enrollment ID: I20100907000106 |
| Provider Name | Philip W Royal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013020239 PECOS PAC ID: 1254456551 Enrollment ID: I20100909000934 |
| Provider Name | Puneet Kakkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356599054 PECOS PAC ID: 6002932316 Enrollment ID: I20100923001205 |
| Provider Name | Emily N Durban |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235442138 PECOS PAC ID: 0143346908 Enrollment ID: I20100929000853 |
| Provider Name | Neil A Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285808014 PECOS PAC ID: 6507059052 Enrollment ID: I20101018000338 |
| Provider Name | Heather M Wesner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972701993 PECOS PAC ID: 8729170410 Enrollment ID: I20101026001497 |
| Provider Name | Rebecca M Mckanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336132307 PECOS PAC ID: 7416913363 Enrollment ID: I20101029001242 |
| Provider Name | Vishal Chunilal Gala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710102827 PECOS PAC ID: 3971603754 Enrollment ID: I20101101000525 |
| Provider Name | Geoffrey R Deschenes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992999825 PECOS PAC ID: 0143414284 Enrollment ID: I20101102000933 |
| Provider Name | Alison W H Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871808360 PECOS PAC ID: 3971797994 Enrollment ID: I20101103000426 |
| Provider Name | Vamshi R Thandra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477756039 PECOS PAC ID: 1759576564 Enrollment ID: I20101105001009 |
| Provider Name | Ralph D Havens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982722534 PECOS PAC ID: 4082809397 Enrollment ID: I20101112000212 |
| Provider Name | Donald J Tesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669520888 PECOS PAC ID: 7315132446 Enrollment ID: I20101115000332 |
| Provider Name | Lars Patrick Kaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972789774 PECOS PAC ID: 8224224035 Enrollment ID: I20101118001237 |
| Provider Name | Thomas C Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275676298 PECOS PAC ID: 7911194923 Enrollment ID: I20101202001101 |
| Provider Name | Michal Hubka |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023152428 PECOS PAC ID: 7315134327 Enrollment ID: I20101202001167 |
| Provider Name | Hiroki Mitsuyama |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164488086 PECOS PAC ID: 5092727859 Enrollment ID: I20101208001300 |
| Provider Name | Carley A Maak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831393743 PECOS PAC ID: 3274720776 Enrollment ID: I20101209000938 |
| Provider Name | Jody B Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063733673 PECOS PAC ID: 9739376252 Enrollment ID: I20101209001197 |
| Provider Name | Dan C Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912900994 PECOS PAC ID: 7719956606 Enrollment ID: I20101214001121 |
| Provider Name | Donald G Guinee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427079128 PECOS PAC ID: 9638367402 Enrollment ID: I20101220001231 |
| Provider Name | Asma Siddique |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346446093 PECOS PAC ID: 1759570575 Enrollment ID: I20110110000876 |
| Provider Name | Molina M Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275727778 PECOS PAC ID: 1355530619 Enrollment ID: I20110118001094 |
| Provider Name | Susan M Rausch |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1326073768 PECOS PAC ID: 2264423672 Enrollment ID: I20110201000919 |
| Provider Name | Heather M Lesnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003057126 PECOS PAC ID: 7012068737 Enrollment ID: I20110202000778 |
| Provider Name | Gunjan M Dalal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871766147 PECOS PAC ID: 3678632528 Enrollment ID: I20110301001164 |
| Provider Name | Alvin P Aceron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639488562 PECOS PAC ID: 0446432439 Enrollment ID: I20110311000784 |
| Provider Name | Grete H Porteous |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649210295 PECOS PAC ID: 9133192578 Enrollment ID: I20110324000997 |
| Provider Name | William S Helton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649282922 PECOS PAC ID: 5991716938 Enrollment ID: I20110326000024 |
| Provider Name | Krista D Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952320731 PECOS PAC ID: 8426052036 Enrollment ID: I20110405000819 |
| Provider Name | Leslie A Pruitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245538024 PECOS PAC ID: 5395921332 Enrollment ID: I20110509000760 |
| Provider Name | Carmen R Mikacenic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578615241 PECOS PAC ID: 7618153339 Enrollment ID: I20110513000637 |
| Provider Name | Joseph W Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013182179 PECOS PAC ID: 0648456798 Enrollment ID: I20110525000521 |
| Provider Name | Payal Mitesh Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528222569 PECOS PAC ID: 9133307184 Enrollment ID: I20110622000647 |
| Provider Name | Sindhu R Srivatsal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497878490 PECOS PAC ID: 9537337332 Enrollment ID: I20110721000819 |
| Provider Name | Jared C Brandenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639377047 PECOS PAC ID: 2365610060 Enrollment ID: I20110725000481 |
| Provider Name | Stephen A Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003076332 PECOS PAC ID: 1052580164 Enrollment ID: I20110805000826 |
| Provider Name | Ryan P Beecher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689965816 PECOS PAC ID: 3274702782 Enrollment ID: I20110817000440 |
| Provider Name | Richard E Fagley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568471282 PECOS PAC ID: 9032117080 Enrollment ID: I20110817000949 |
| Provider Name | Terumi Kadin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093765778 PECOS PAC ID: 3173519519 Enrollment ID: I20110818000225 |
| Provider Name | Ming Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164614731 PECOS PAC ID: 3274697560 Enrollment ID: I20110926000468 |
| Provider Name | Mireille N Martineau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962685941 PECOS PAC ID: 7012086234 Enrollment ID: I20110927000245 |
| Provider Name | Matthew R Birnbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891998506 PECOS PAC ID: 8022289750 Enrollment ID: I20110929000000 |
| Provider Name | Skyler K Lindsley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396746657 PECOS PAC ID: 7911805940 Enrollment ID: I20110929000229 |
| Provider Name | Una J Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790957520 PECOS PAC ID: 6103972088 Enrollment ID: I20111003000009 |
| Provider Name | Ahmad Mahallati Shirazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043423775 PECOS PAC ID: 6406946441 Enrollment ID: I20111003000033 |
| Provider Name | Daniela C Stafie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861592321 PECOS PAC ID: 4688846223 Enrollment ID: I20111004000458 |
| Provider Name | Christine O Palermo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972763183 PECOS PAC ID: 5395917959 Enrollment ID: I20111004000720 |
| Provider Name | Robin J Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437319811 PECOS PAC ID: 0547432080 Enrollment ID: I20111005000924 |
| Provider Name | Rebecca L Wells |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407882418 PECOS PAC ID: 4486554227 Enrollment ID: I20111006000739 |
| Provider Name | Shih Li B Lin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912100371 PECOS PAC ID: 2365524311 Enrollment ID: I20111006000756 |
| Provider Name | Edward M Esparza |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427258797 PECOS PAC ID: 6608049309 Enrollment ID: I20111025000259 |
| Provider Name | Lauren A Crowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902062508 PECOS PAC ID: 8022283878 Enrollment ID: I20111207000211 |
| Provider Name | Anthony M Mark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043596679 PECOS PAC ID: 8426225111 Enrollment ID: I20120120000441 |
| Provider Name | Ryan D Cassaday |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508060583 PECOS PAC ID: 9436209681 Enrollment ID: I20120222000132 |
| Provider Name | Kelvin K Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215115308 PECOS PAC ID: 8123918273 Enrollment ID: I20120301000916 |
| Provider Name | Drew Edward Baldwin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952415952 PECOS PAC ID: 0941374847 Enrollment ID: I20120312000396 |
| Provider Name | Hina Sahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619192739 PECOS PAC ID: 5991805517 Enrollment ID: I20120314000773 |
| Provider Name | Madeline Borhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063440675 PECOS PAC ID: 8224007240 Enrollment ID: I20120319000091 |
| Provider Name | Jason R Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417228024 PECOS PAC ID: 8527228667 Enrollment ID: I20120327000406 |
| Provider Name | Esther E Durussel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902822554 PECOS PAC ID: 5193719805 Enrollment ID: I20120330000018 |
| Provider Name | Kathleen W Rosen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326202573 PECOS PAC ID: 0345402848 Enrollment ID: I20120430000237 |
| Provider Name | Jamie Angela Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386873552 PECOS PAC ID: 6406010578 Enrollment ID: I20120621000338 |
| Provider Name | Twiggy Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780826073 PECOS PAC ID: 3072769553 Enrollment ID: I20120816000414 |
| Provider Name | Catherine Small |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598082323 PECOS PAC ID: 4486779881 Enrollment ID: I20120820000317 |
| Provider Name | Dick G Hwang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407047558 PECOS PAC ID: 8820245251 Enrollment ID: I20120820001066 |
| Provider Name | Blake A Mann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629210059 PECOS PAC ID: 1850548058 Enrollment ID: I20120823000083 |
| Provider Name | Jonathan P Stoehr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548476872 PECOS PAC ID: 4587745583 Enrollment ID: I20120827000879 |
| Provider Name | Alhasan Juhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467410647 PECOS PAC ID: 9830134931 Enrollment ID: I20121005000533 |
| Provider Name | Grace Ann Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033185137 PECOS PAC ID: 4789744749 Enrollment ID: I20121018000201 |
| Provider Name | Donna L Ewanowich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295099380 PECOS PAC ID: 5193975431 Enrollment ID: I20121023000753 |
| Provider Name | Marisa Dahlman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144497728 PECOS PAC ID: 7113090952 Enrollment ID: I20121023000805 |
| Provider Name | Jennifer R Kohr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083726186 PECOS PAC ID: 9739366360 Enrollment ID: I20121023000817 |
| Provider Name | Deborah M Abrams |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902974835 PECOS PAC ID: 5991955064 Enrollment ID: I20121025000665 |
| Provider Name | Priya Kanwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952531295 PECOS PAC ID: 4688824428 Enrollment ID: I20121101000253 |
| Provider Name | Delia Viisoreanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033348602 PECOS PAC ID: 5991956575 Enrollment ID: I20121107000344 |
| Provider Name | Nicholas Y Moy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043443716 PECOS PAC ID: 8820286818 Enrollment ID: I20121119000254 |
| Provider Name | Kathryn M Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417250150 PECOS PAC ID: 6103007323 Enrollment ID: I20121126000149 |
| Provider Name | Duc A Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083856413 PECOS PAC ID: 5799937561 Enrollment ID: I20121203000022 |
| Provider Name | Sonia Kaur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639424567 PECOS PAC ID: 9133371263 Enrollment ID: I20121218000220 |
| Provider Name | Colin T Wong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487907994 PECOS PAC ID: 1254583271 Enrollment ID: I20121220000007 |
| Provider Name | Daniel C Vangen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558481713 PECOS PAC ID: 5799881249 Enrollment ID: I20130117000293 |
| Provider Name | Ashley Rohde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407105463 PECOS PAC ID: 0244483493 Enrollment ID: I20130121000228 |
| Provider Name | Fatima E Milfred |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073675930 PECOS PAC ID: 4880887660 Enrollment ID: I20130204000398 |
| Provider Name | Lauren M Athay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750550638 PECOS PAC ID: 9931255759 Enrollment ID: I20130206000234 |
| Provider Name | Alison D Hartvigson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013022060 PECOS PAC ID: 2668626953 Enrollment ID: I20130214000475 |
| Provider Name | Julie L Crantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184601379 PECOS PAC ID: 1850536871 Enrollment ID: I20130322000215 |
| Provider Name | Scott M Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356682280 PECOS PAC ID: 3274779459 Enrollment ID: I20130412000211 |
| Provider Name | Lacy A Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841360252 PECOS PAC ID: 7810909082 Enrollment ID: I20130513000298 |
| Provider Name | Terra R Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366795908 PECOS PAC ID: 4385882497 Enrollment ID: I20130531000427 |
| Provider Name | Matthew S Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134308638 PECOS PAC ID: 3779721725 Enrollment ID: I20130603000323 |
| Provider Name | Chih-chien Wei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457525776 PECOS PAC ID: 4880860923 Enrollment ID: I20130627000726 |
| Provider Name | Henry F Pelto |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659514909 PECOS PAC ID: 8224278544 Enrollment ID: I20130710000607 |
| Provider Name | Stanley C Yuan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811156532 PECOS PAC ID: 9032359252 Enrollment ID: I20130712000007 |
| Provider Name | Jennifer L Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003251273 PECOS PAC ID: 6305086489 Enrollment ID: I20130712000732 |
| Provider Name | Bryce W Meeker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033315130 PECOS PAC ID: 9638349988 Enrollment ID: I20130723000851 |
| Provider Name | Eugene J Lian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740387612 PECOS PAC ID: 0749373835 Enrollment ID: I20130725000208 |
| Provider Name | Ashley L Evers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861754228 PECOS PAC ID: 4880840545 Enrollment ID: I20130731000595 |
| Provider Name | Diane L Nathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689874877 PECOS PAC ID: 9830377977 Enrollment ID: I20130807000221 |
| Provider Name | Kavita P Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437473451 PECOS PAC ID: 9537305453 Enrollment ID: I20130814000734 |
| Provider Name | Jennifer D Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548609712 PECOS PAC ID: 7113161100 Enrollment ID: I20130912000515 |
| Provider Name | Bandana K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356661573 PECOS PAC ID: 3870737737 Enrollment ID: I20130913000561 |
| Provider Name | Samira Bahrainy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447446901 PECOS PAC ID: 4688818909 Enrollment ID: I20130926000169 |
| Provider Name | Norifumi Kamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883948 PECOS PAC ID: 3870753718 Enrollment ID: I20130930000382 |
| Provider Name | Nanda Venu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013135912 PECOS PAC ID: 2567657216 Enrollment ID: I20131003000068 |
| Provider Name | Heather L Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588966725 PECOS PAC ID: 7012156318 Enrollment ID: I20131022000480 |
| Provider Name | Jennifer Tome Higa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427378082 PECOS PAC ID: 5395970339 Enrollment ID: I20131030000256 |
| Provider Name | Suheir Khajuria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083933279 PECOS PAC ID: 8527294420 Enrollment ID: I20131125001084 |
| Provider Name | Erin J Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386083996 PECOS PAC ID: 9436385002 Enrollment ID: I20131204001487 |
| Provider Name | Andrew P Cashen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104265800 PECOS PAC ID: 6901033448 Enrollment ID: I20131209000853 |
| Provider Name | Meaghan W Omalley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508066002 PECOS PAC ID: 9032346499 Enrollment ID: I20131211000848 |
| Provider Name | Christine M Hintz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386729242 PECOS PAC ID: 6800023136 Enrollment ID: I20131212001130 |
| Provider Name | Heejung Park |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215010178 PECOS PAC ID: 7618045089 Enrollment ID: I20140320000023 |
| Provider Name | Vinay Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003105917 PECOS PAC ID: 3870724578 Enrollment ID: I20140321001521 |
| Provider Name | Liana Kretschmar Mccabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598896599 PECOS PAC ID: 4880774322 Enrollment ID: I20140324002078 |
| Provider Name | Virginia K Pollock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619007473 PECOS PAC ID: 6406929751 Enrollment ID: I20140410002075 |
| Provider Name | Pariksha Patwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598929184 PECOS PAC ID: 5698959484 Enrollment ID: I20140415002286 |
| Provider Name | Shingo Chihara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205020310 PECOS PAC ID: 5799956207 Enrollment ID: I20140417001141 |
| Provider Name | Ashley L Nordell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962833731 PECOS PAC ID: 0244463479 Enrollment ID: I20140423002263 |
| Provider Name | Sarah H Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952611642 PECOS PAC ID: 8325235823 Enrollment ID: I20140506001633 |
| Provider Name | Jessica A Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801147798 PECOS PAC ID: 6901041490 Enrollment ID: I20140520001764 |
| Provider Name | John Peter Biebelhausen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942509187 PECOS PAC ID: 4082849161 Enrollment ID: I20140701001847 |
| Provider Name | Hashim M Mehter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902009566 PECOS PAC ID: 8224161492 Enrollment ID: I20140707000541 |
| Provider Name | Eric P Brumwell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922086388 PECOS PAC ID: 9436330255 Enrollment ID: I20140728001744 |
| Provider Name | Lucas H Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053624502 PECOS PAC ID: 7214153170 Enrollment ID: I20140729002863 |
| Provider Name | Tricia C Ojanen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982927950 PECOS PAC ID: 9537295605 Enrollment ID: I20140812001618 |
| Provider Name | Helen W Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043502552 PECOS PAC ID: 5092951913 Enrollment ID: I20140905001498 |
| Provider Name | Erica F Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680695 PECOS PAC ID: 3779702683 Enrollment ID: I20140908001884 |
| Provider Name | Travis A Omura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952698243 PECOS PAC ID: 4688893332 Enrollment ID: I20140912000004 |
| Provider Name | Sara E May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714671 PECOS PAC ID: 1456597558 Enrollment ID: I20140923002702 |
| Provider Name | Cathryn Z Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548586134 PECOS PAC ID: 4385864917 Enrollment ID: I20141002002591 |
| Provider Name | Blaire E Burman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447400015 PECOS PAC ID: 9638390693 Enrollment ID: I20141016002249 |
| Provider Name | Daniel J Hammond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386044782 PECOS PAC ID: 2567683857 Enrollment ID: I20141030001634 |
| Provider Name | Ananth K Shenoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194017608 PECOS PAC ID: 0648417691 Enrollment ID: I20141031000461 |
| Provider Name | William O Hahn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164650347 PECOS PAC ID: 1355562521 Enrollment ID: I20141103000225 |
| Provider Name | Leizl F Sapico |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083897318 PECOS PAC ID: 3577785302 Enrollment ID: I20141112000644 |
| Provider Name | Kimberly Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952703886 PECOS PAC ID: 1456573930 Enrollment ID: I20141118001320 |
| Provider Name | Marta E Gorczyca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750669073 PECOS PAC ID: 9537482567 Enrollment ID: I20141226000479 |
| Provider Name | Melissa Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083032288 PECOS PAC ID: 9133442775 Enrollment ID: I20150106001783 |
| Provider Name | Ethan J Jordt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184026023 PECOS PAC ID: 1254655756 Enrollment ID: I20150109000756 |
| Provider Name | Megha V Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104110238 PECOS PAC ID: 0749504710 Enrollment ID: I20150122000083 |
| Provider Name | Brittany N Gallaher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285991489 PECOS PAC ID: 2769706571 Enrollment ID: I20150128000149 |
| Provider Name | Lisa D Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770972481 PECOS PAC ID: 8820313554 Enrollment ID: I20150220001107 |
| Provider Name | Alexander P Tornow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093859571 PECOS PAC ID: 4587841937 Enrollment ID: I20150305002253 |
| Provider Name | Emily C Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942609847 PECOS PAC ID: 0042537078 Enrollment ID: I20150331002020 |
| Provider Name | Ebou M Cham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780072462 PECOS PAC ID: 5092032045 Enrollment ID: I20150331002516 |
| Provider Name | Michael James Nuara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942498357 PECOS PAC ID: 9335214048 Enrollment ID: I20150414000971 |
| Provider Name | Daniel M Zeitler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154525012 PECOS PAC ID: 5294992285 Enrollment ID: I20150507002406 |
| Provider Name | Sandra Kay Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497149546 PECOS PAC ID: 8224358320 Enrollment ID: I20150513000364 |
| Provider Name | Courtney D Kraseski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285909408 PECOS PAC ID: 7214257997 Enrollment ID: I20150520001482 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20150529002621 |
| Provider Name | Dillon C Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20150608002280 |
| Provider Name | Jamie S Hui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649412057 PECOS PAC ID: 8820235948 Enrollment ID: I20150616000376 |
| Provider Name | Derek P Nathan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770630451 PECOS PAC ID: 2668784877 Enrollment ID: I20150701000007 |
| Provider Name | Brandon J Auerbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275895708 PECOS PAC ID: 6406000934 Enrollment ID: I20150702000021 |
| Provider Name | Connie June Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578723326 PECOS PAC ID: 0244486363 Enrollment ID: I20150706001926 |
| Provider Name | Milan D Mulye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720377922 PECOS PAC ID: 6002128865 Enrollment ID: I20150708000027 |
| Provider Name | Qing Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477741759 PECOS PAC ID: 6103080262 Enrollment ID: I20150708001740 |
| Provider Name | Julia Christine Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215376009 PECOS PAC ID: 5294978177 Enrollment ID: I20150716001856 |
| Provider Name | Helen A Bean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710115209 PECOS PAC ID: 7719102250 Enrollment ID: I20150721001711 |
| Provider Name | Alisha Emily-cutler Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065193 PECOS PAC ID: 9537480421 Enrollment ID: I20150722005299 |
| Provider Name | Jerry M Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356351688 PECOS PAC ID: 0941332985 Enrollment ID: I20150723009749 |
| Provider Name | Eric J Lindstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396794350 PECOS PAC ID: 1153364286 Enrollment ID: I20150727001418 |
| Provider Name | Alejandro J Candelario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467745331 PECOS PAC ID: 4385959428 Enrollment ID: I20150818005291 |
| Provider Name | Jeffrey Robert Pentek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124383583 PECOS PAC ID: 0749595668 Enrollment ID: I20150820011110 |
| Provider Name | Ream Y Adeeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760868855 PECOS PAC ID: 5395051825 Enrollment ID: I20150828002325 |
| Provider Name | Christine L Oryhan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467764126 PECOS PAC ID: 1557687084 Enrollment ID: I20150908002475 |
| Provider Name | Sarah Hermanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942697255 PECOS PAC ID: 3678880564 Enrollment ID: I20150909001537 |
| Provider Name | Su Yin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427252394 PECOS PAC ID: 2163572769 Enrollment ID: I20150910001029 |
| Provider Name | Helen Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952560179 PECOS PAC ID: 0446429500 Enrollment ID: I20150911001459 |
| Provider Name | Linda Mary Kampp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245275338 PECOS PAC ID: 8224042197 Enrollment ID: I20150911002296 |
| Provider Name | Kyle J Benner |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1023242708 PECOS PAC ID: 1658517891 Enrollment ID: I20150916000937 |
| Provider Name | Nicholas M Mark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023317757 PECOS PAC ID: 1759608144 Enrollment ID: I20151007000390 |
| Provider Name | Fabrizio Diana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043614605 PECOS PAC ID: 2466779889 Enrollment ID: I20151012001794 |
| Provider Name | Ivan I Olar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245617174 PECOS PAC ID: 5890004550 Enrollment ID: I20151020000496 |
| Provider Name | Holly Quindt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093197717 PECOS PAC ID: 5698084358 Enrollment ID: I20151020000583 |
| Provider Name | Monica M Waldie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639438195 PECOS PAC ID: 5092956334 Enrollment ID: I20151028002989 |
| Provider Name | Ella Sanman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751483 PECOS PAC ID: 3476863291 Enrollment ID: I20151106001998 |
| Provider Name | Soheila Hedayati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265667067 PECOS PAC ID: 1355495557 Enrollment ID: I20151210001165 |
| Provider Name | Jaimie M Bartuccio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851633531 PECOS PAC ID: 0941501753 Enrollment ID: I20151221002478 |
| Provider Name | Jing Su |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871985077 PECOS PAC ID: 7113229485 Enrollment ID: I20160104000477 |
| Provider Name | Sherry Lee Cavanagh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255536090 PECOS PAC ID: 4981821063 Enrollment ID: I20160104002409 |
| Provider Name | Adiba A Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992011845 PECOS PAC ID: 6406086370 Enrollment ID: I20160118000913 |
| Provider Name | Vijay Yanamadala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184986978 PECOS PAC ID: 5597918722 Enrollment ID: I20160121002016 |
| Provider Name | Laura A.s Quilter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528350220 PECOS PAC ID: 3678884848 Enrollment ID: I20160201002035 |
| Provider Name | Tracie Ann Wl Chong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902196264 PECOS PAC ID: 4082846811 Enrollment ID: I20160204000976 |
| Provider Name | Traci L Mcdermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437470010 PECOS PAC ID: 0042515785 Enrollment ID: I20160218000256 |
| Provider Name | Tania Tiburcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205126448 PECOS PAC ID: 3274839923 Enrollment ID: I20160307002622 |
| Provider Name | Trisha J Caton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750682928 PECOS PAC ID: 8224334982 Enrollment ID: I20160307002826 |
| Provider Name | Kelly Cornett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356789457 PECOS PAC ID: 5496051823 Enrollment ID: I20160311000569 |
| Provider Name | Matthew A Schindler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457529281 PECOS PAC ID: 3870671548 Enrollment ID: I20160311002097 |
| Provider Name | Adam M Gleason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366826216 PECOS PAC ID: 3870890130 Enrollment ID: I20160331001181 |
| Provider Name | Aerin K Sembhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330713 PECOS PAC ID: 5991946279 Enrollment ID: I20160408001593 |
| Provider Name | Leighanna D Kilgore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457663726 PECOS PAC ID: 6406090505 Enrollment ID: I20160421001659 |
| Provider Name | James C Prince |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356694244 PECOS PAC ID: 8820242118 Enrollment ID: I20160428002341 |
| Provider Name | Andrew James Hollister |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063739 PECOS PAC ID: 3072759075 Enrollment ID: I20160509002404 |
| Provider Name | William P Schmitt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134435787 PECOS PAC ID: 7618106188 Enrollment ID: I20160516000156 |
| Provider Name | Elizabeth Elena Karkoski-gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407200876 PECOS PAC ID: 8123318268 Enrollment ID: I20160602001028 |
| Provider Name | Rajesh Krishnamoorthi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336395474 PECOS PAC ID: 5698916864 Enrollment ID: I20160608000319 |
| Provider Name | John Paul E Flores |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558598110 PECOS PAC ID: 7618126624 Enrollment ID: I20160608001797 |
| Provider Name | Amanda J Trau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770927873 PECOS PAC ID: 6002107489 Enrollment ID: I20160614002666 |
| Provider Name | Alayne M Chapple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194957167 PECOS PAC ID: 6608913199 Enrollment ID: I20160616001300 |
| Provider Name | Marie L Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891760641 PECOS PAC ID: 4082675558 Enrollment ID: I20160616001714 |
| Provider Name | Maria Nieva Andrada Salazar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245423797 PECOS PAC ID: 2860648912 Enrollment ID: I20160620001911 |
| Provider Name | Iram Ahmad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730319484 PECOS PAC ID: 1658692397 Enrollment ID: I20160621000585 |
| Provider Name | Erin M Bauer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386917516 PECOS PAC ID: 9739334673 Enrollment ID: I20160621002503 |
| Provider Name | Jessica Rose Dougherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467719278 PECOS PAC ID: 1557593399 Enrollment ID: I20160623001571 |
| Provider Name | Amish J Dave |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013229772 PECOS PAC ID: 3577707645 Enrollment ID: I20160624001909 |
| Provider Name | Matthew K Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043451180 PECOS PAC ID: 2567644032 Enrollment ID: I20160627000420 |
| Provider Name | Emily Stevens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669798195 PECOS PAC ID: 8527384080 Enrollment ID: I20160628000272 |
| Provider Name | Reed W Simons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336343813 PECOS PAC ID: 9638201072 Enrollment ID: I20160628001490 |
| Provider Name | Wendy H Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174884613 PECOS PAC ID: 0749408342 Enrollment ID: I20160707001402 |
| Provider Name | Amy E Bredenberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982651030 PECOS PAC ID: 2466439773 Enrollment ID: I20160711001056 |
| Provider Name | Barton Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265825236 PECOS PAC ID: 2668773003 Enrollment ID: I20160712000378 |
| Provider Name | Amy L Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451358 PECOS PAC ID: 3779727086 Enrollment ID: I20160720002767 |
| Provider Name | Irina L Triska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604879 PECOS PAC ID: 3072754217 Enrollment ID: I20160726002717 |
| Provider Name | Kathy T Daotay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861843989 PECOS PAC ID: 6507159605 Enrollment ID: I20160727001235 |
| Provider Name | Antoinette E Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487921854 PECOS PAC ID: 7911160924 Enrollment ID: I20160729002094 |
| Provider Name | Helen Yuh Fang Chiu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710202247 PECOS PAC ID: 6901039866 Enrollment ID: I20160803002959 |
| Provider Name | Sathyaraj Murugappan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881037497 PECOS PAC ID: 0547555336 Enrollment ID: I20160817002959 |
| Provider Name | Vlad Simianu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689992273 PECOS PAC ID: 1759600828 Enrollment ID: I20160826001509 |
| Provider Name | Kaori Yoshida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699119925 PECOS PAC ID: 8022244003 Enrollment ID: I20160829002961 |
| Provider Name | Erika B Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437592490 PECOS PAC ID: 3779725759 Enrollment ID: I20160831001905 |
| Provider Name | Jeannie Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508108283 PECOS PAC ID: 2264728898 Enrollment ID: I20160908001457 |
| Provider Name | Patrick Ryan Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043682842 PECOS PAC ID: 8022308014 Enrollment ID: I20160908002216 |
| Provider Name | Ben M Lucas-roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811263882 PECOS PAC ID: 4789801630 Enrollment ID: I20160912002048 |
| Provider Name | Martha A Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043313554 PECOS PAC ID: 9638466535 Enrollment ID: I20160920002783 |
| Provider Name | Elizabeth R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427502392 PECOS PAC ID: 8729375597 Enrollment ID: I20160921002195 |
| Provider Name | Rubbiya A Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023336559 PECOS PAC ID: 9234378894 Enrollment ID: I20161025001615 |
| Provider Name | Pamela S Saha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144274143 PECOS PAC ID: 0345208286 Enrollment ID: I20161027002300 |
| Provider Name | Luke Arden Seaburg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366738841 PECOS PAC ID: 8325294960 Enrollment ID: I20161115000177 |
| Provider Name | Pauline Lao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208176 PECOS PAC ID: 6002195609 Enrollment ID: I20161123001282 |
| Provider Name | Sarah E Bain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467612390 PECOS PAC ID: 8224208012 Enrollment ID: I20161201000033 |
| Provider Name | Michael A Mercurio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316202005 PECOS PAC ID: 8921388109 Enrollment ID: I20161205001457 |
| Provider Name | Brandon R Peters-mathews |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295907566 PECOS PAC ID: 6709027923 Enrollment ID: I20161228001381 |
| Provider Name | Joseph A Koenig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568905651 PECOS PAC ID: 4789965641 Enrollment ID: I20170109000748 |
| Provider Name | Joyce H Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164976775 PECOS PAC ID: 9739467036 Enrollment ID: I20170123002097 |
| Provider Name | Pei-chia Liang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612091 PECOS PAC ID: 5294055018 Enrollment ID: I20170202001799 |
| Provider Name | Mathew Atkerson Nicholls |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336180413 PECOS PAC ID: 6507857513 Enrollment ID: I20170223002711 |
| Provider Name | Sabareesh Natarajan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912190083 PECOS PAC ID: 1658655386 Enrollment ID: I20170224001284 |
| Provider Name | Diane Elizabeth Sy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275080202 PECOS PAC ID: 8224312962 Enrollment ID: I20170224001622 |
| Provider Name | Asim Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912340563 PECOS PAC ID: 2163650516 Enrollment ID: I20170228002670 |
| Provider Name | Kathryn Hogan Gilchrist |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063959039 PECOS PAC ID: 1052695335 Enrollment ID: I20170306001096 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20170315001556 |
| Provider Name | Bethany Jean Brasier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235532854 PECOS PAC ID: 0840575734 Enrollment ID: I20170315001732 |
| Provider Name | Hong Ren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750716866 PECOS PAC ID: 9830417252 Enrollment ID: I20170403002198 |
| Provider Name | Brooks B Ohlson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386902005 PECOS PAC ID: 9830336882 Enrollment ID: I20170413001702 |
| Provider Name | Navroop K Nagra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720494347 PECOS PAC ID: 2860778024 Enrollment ID: I20170424002440 |
| Provider Name | Katherine Poole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831175504 PECOS PAC ID: 9032176284 Enrollment ID: I20170425002722 |
| Provider Name | Abby E Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659811859 PECOS PAC ID: 5092092049 Enrollment ID: I20170501001813 |
| Provider Name | Sumita S Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780867200 PECOS PAC ID: 0244517720 Enrollment ID: I20170510002457 |
| Provider Name | Kirsten E Gage |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467897520 PECOS PAC ID: 4981971959 Enrollment ID: I20170522002801 |
| Provider Name | Elena Michelle Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023351970 PECOS PAC ID: 0446527220 Enrollment ID: I20170526000773 |
| Provider Name | Ritu Piplani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669532941 PECOS PAC ID: 9133312770 Enrollment ID: I20170607002575 |
| Provider Name | Joanna K Law |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942560776 PECOS PAC ID: 5496905580 Enrollment ID: I20170613000844 |
| Provider Name | Perry D Mostov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831152198 PECOS PAC ID: 0840184016 Enrollment ID: I20170613002573 |
| Provider Name | Gregor M Dunham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801153150 PECOS PAC ID: 7012228885 Enrollment ID: I20170614002193 |
| Provider Name | Kevin Dennis Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235549080 PECOS PAC ID: 1658590427 Enrollment ID: I20170619001058 |
| Provider Name | Robert Wj Ryan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720366024 PECOS PAC ID: 7517107295 Enrollment ID: I20170620000563 |
| Provider Name | Geraldine Liao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376801100 PECOS PAC ID: 9133365224 Enrollment ID: I20170620002431 |
| Provider Name | Geoffrey Merritt Rutledge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083939623 PECOS PAC ID: 7618129669 Enrollment ID: I20170621000657 |
| Provider Name | Ashu Kanwar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558618223 PECOS PAC ID: 2365692308 Enrollment ID: I20170623002403 |
| Provider Name | Alison J Bliven |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124558994 PECOS PAC ID: 2860760394 Enrollment ID: I20170623002499 |
| Provider Name | Carly R Magnusson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841600525 PECOS PAC ID: 3577782119 Enrollment ID: I20170706002519 |
| Provider Name | Joshua Steven Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013456060 PECOS PAC ID: 0547539371 Enrollment ID: I20170710002191 |
| Provider Name | Lauren E Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791695 PECOS PAC ID: 9931328440 Enrollment ID: I20170712002193 |
| Provider Name | Sunil P Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437473477 PECOS PAC ID: 7618261504 Enrollment ID: I20170712003091 |
| Provider Name | Nicholas G Cowan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760626386 PECOS PAC ID: 7810121076 Enrollment ID: I20170714001490 |
| Provider Name | Sarah Ann Sprouse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144529678 PECOS PAC ID: 7315263027 Enrollment ID: I20170718002436 |
| Provider Name | Edward Francis Dropcho |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730527334 PECOS PAC ID: 8123260023 Enrollment ID: I20170719002439 |
| Provider Name | Ava Alamdari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649513623 PECOS PAC ID: 4486945698 Enrollment ID: I20170728002120 |
| Provider Name | Sheena Marie Hembrador |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194168237 PECOS PAC ID: 2567782485 Enrollment ID: I20170807001493 |
| Provider Name | Sara W Gerlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740408 PECOS PAC ID: 8325319452 Enrollment ID: I20170807003475 |
| Provider Name | Xuan Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104146638 PECOS PAC ID: 9133348022 Enrollment ID: I20170808001518 |
| Provider Name | Heidi Nicewarner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235428111 PECOS PAC ID: 9335368620 Enrollment ID: I20170821001981 |
| Provider Name | Martina R Randall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104244243 PECOS PAC ID: 1557651361 Enrollment ID: I20170828001096 |
| Provider Name | Ashok Venugopal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831518257 PECOS PAC ID: 1850664137 Enrollment ID: I20170907003582 |
| Provider Name | Elizabeth S Cochrane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023436060 PECOS PAC ID: 2365761533 Enrollment ID: I20170919000217 |
| Provider Name | Ashleigh V Leonard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689084493 PECOS PAC ID: 5890917132 Enrollment ID: I20170926003831 |
| Provider Name | Mariko W Harper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336448513 PECOS PAC ID: 8820363955 Enrollment ID: I20170928004307 |
| Provider Name | Jordan Drew Wendell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407370208 PECOS PAC ID: 6608141510 Enrollment ID: I20171003005857 |
| Provider Name | Hillary Charlotte Trainor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962926923 PECOS PAC ID: 2860767316 Enrollment ID: I20171009002892 |
| Provider Name | Elizabeth A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386670107 PECOS PAC ID: 3971577149 Enrollment ID: I20171010000423 |
| Provider Name | Robert A Yapundich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417996695 PECOS PAC ID: 4981643814 Enrollment ID: I20171010003196 |
| Provider Name | Broadus Atkins |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124022983 PECOS PAC ID: 4284619396 Enrollment ID: I20171011001834 |
| Provider Name | Madhankumar Kuppusamy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376069955 PECOS PAC ID: 6406121896 Enrollment ID: I20171011001845 |
| Provider Name | Sarah Elizabeth Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043756075 PECOS PAC ID: 7315221983 Enrollment ID: I20171013000129 |
| Provider Name | Kelsey W Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174989321 PECOS PAC ID: 9234416975 Enrollment ID: I20171031001694 |
| Provider Name | Amir Hossein Sabzpoushan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285890038 PECOS PAC ID: 9234294851 Enrollment ID: I20171101003111 |
| Provider Name | Allen J Wiemer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982127049 PECOS PAC ID: 6709142839 Enrollment ID: I20171107000224 |
| Provider Name | Lucas J Kawtoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053839829 PECOS PAC ID: 9133486038 Enrollment ID: I20171201000119 |
| Provider Name | Derrick L Soong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275946519 PECOS PAC ID: 7618235698 Enrollment ID: I20171220002787 |
| Provider Name | Emily A Speca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053822767 PECOS PAC ID: 3577821404 Enrollment ID: I20171221002019 |
| Provider Name | Arun Singh Chhabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398726 PECOS PAC ID: 6507150174 Enrollment ID: I20171221002224 |
| Provider Name | Heidi May Lyons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942714266 PECOS PAC ID: 2769740604 Enrollment ID: I20171221002504 |
| Provider Name | Ariana N Kenney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871017673 PECOS PAC ID: 2860750619 Enrollment ID: I20171227002206 |
| Provider Name | Sarah A Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902315682 PECOS PAC ID: 8921367285 Enrollment ID: I20180111001578 |
| Provider Name | Erica L Olin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306359575 PECOS PAC ID: 4082973144 Enrollment ID: I20180117001919 |
| Provider Name | Martha A Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723198 PECOS PAC ID: 8022378777 Enrollment ID: I20180129001244 |
| Provider Name | Amy L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300538 PECOS PAC ID: 1658631130 Enrollment ID: I20180131002636 |
| Provider Name | Katie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124533872 PECOS PAC ID: 6800156365 Enrollment ID: I20180201002996 |
| Provider Name | Pascale Akl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487831889 PECOS PAC ID: 4880866268 Enrollment ID: I20180207002694 |
| Provider Name | Danielle Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856464 PECOS PAC ID: 5799045878 Enrollment ID: I20180209001914 |
| Provider Name | Ram Narayan Kaveer Nandigam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881856078 PECOS PAC ID: 9335303569 Enrollment ID: I20180212000613 |
| Provider Name | Theresa L Bergholz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558869420 PECOS PAC ID: 0042570954 Enrollment ID: I20180213002647 |
| Provider Name | Jocelyn Ko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831478528 PECOS PAC ID: 7911129978 Enrollment ID: I20180215001909 |
| Provider Name | Caitlin M Schlosser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083122832 PECOS PAC ID: 1355601196 Enrollment ID: I20180215002822 |
| Provider Name | Emma R Burbank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457562621 PECOS PAC ID: 6800045824 Enrollment ID: I20180216001474 |
| Provider Name | Richard R Kronfol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922374313 PECOS PAC ID: 4183851033 Enrollment ID: I20180220001962 |
| Provider Name | Jennifer J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766880 PECOS PAC ID: 4082983580 Enrollment ID: I20180307002833 |
| Provider Name | Laura E Stoll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578887139 PECOS PAC ID: 8325363096 Enrollment ID: I20180316001270 |
| Provider Name | Faisal Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588004287 PECOS PAC ID: 3072884600 Enrollment ID: I20180320001704 |
| Provider Name | Jennifer A Fijor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194108654 PECOS PAC ID: 9032426770 Enrollment ID: I20180321001189 |
| Provider Name | Molly L Gassensmith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427438233 PECOS PAC ID: 8224390646 Enrollment ID: I20180323001224 |
| Provider Name | Jennifer Joy Anthonia Wishinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252326 PECOS PAC ID: 0345503330 Enrollment ID: I20180403002899 |
| Provider Name | Pamela J Yulo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992204325 PECOS PAC ID: 9739442633 Enrollment ID: I20180405001790 |
| Provider Name | Manasa K Y Parga |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821344896 PECOS PAC ID: 7214290535 Enrollment ID: I20180418001797 |
| Provider Name | Jordan M Pester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114432374 PECOS PAC ID: 6709149099 Enrollment ID: I20180419002219 |
| Provider Name | Cassandra Bunighruk Amouak-hale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538501549 PECOS PAC ID: 6608182050 Enrollment ID: I20180430000441 |
| Provider Name | Josann A Nichols |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407352966 PECOS PAC ID: 2769746734 Enrollment ID: I20180430001225 |
| Provider Name | Pierre E Blais |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609138452 PECOS PAC ID: 4082978374 Enrollment ID: I20180515000891 |
| Provider Name | Calvin Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720408206 PECOS PAC ID: 7911224043 Enrollment ID: I20180517001145 |
| Provider Name | Pauline R Escanilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356858922 PECOS PAC ID: 9133484355 Enrollment ID: I20180517001192 |
| Provider Name | Ye Hu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952729535 PECOS PAC ID: 3971868134 Enrollment ID: I20180517003060 |
| Provider Name | Christa M Parish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235653361 PECOS PAC ID: 7719242890 Enrollment ID: I20180518001080 |
| Provider Name | Caroline E Schildbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063939486 PECOS PAC ID: 9739454646 Enrollment ID: I20180522000687 |
| Provider Name | Christine E Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295720571 PECOS PAC ID: 8921015595 Enrollment ID: I20180530002354 |
| Provider Name | David S Liskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983031 PECOS PAC ID: 4789984493 Enrollment ID: I20180604002377 |
| Provider Name | Linda E Farn Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346583127 PECOS PAC ID: 6800108523 Enrollment ID: I20180606000384 |
| Provider Name | Andrew G Lim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467871806 PECOS PAC ID: 0840511275 Enrollment ID: I20180619003451 |
| Provider Name | Yunhee Im |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912261926 PECOS PAC ID: 2163742156 Enrollment ID: I20180619003475 |
| Provider Name | Jeffrey A Rouse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245640093 PECOS PAC ID: 4385863943 Enrollment ID: I20180626002992 |
| Provider Name | Joseph D Strunk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699193193 PECOS PAC ID: 1850603713 Enrollment ID: I20180628001261 |
| Provider Name | Kathleyn Brandstetter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215375621 PECOS PAC ID: 9931408168 Enrollment ID: I20180710001904 |
| Provider Name | Kelsey Anne Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376057380 PECOS PAC ID: 2365798089 Enrollment ID: I20180710002592 |
| Provider Name | Eliza Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275974669 PECOS PAC ID: 3476809096 Enrollment ID: I20180711002869 |
| Provider Name | Travis Lewis Pope Gerrard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346637808 PECOS PAC ID: 6608189790 Enrollment ID: I20180712001333 |
| Provider Name | Nathania C Cholico |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336680370 PECOS PAC ID: 6901179860 Enrollment ID: I20180716002833 |
| Provider Name | Hannah J Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366936130 PECOS PAC ID: 2466709530 Enrollment ID: I20180719003261 |
| Provider Name | Katherine R Behning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891009650 PECOS PAC ID: 3870781008 Enrollment ID: I20180720001145 |
| Provider Name | Noureldin Mohamed Abdelhamid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811275076 PECOS PAC ID: 1254651912 Enrollment ID: I20180723001760 |
| Provider Name | Abigail L Hilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710202809 PECOS PAC ID: 8325178924 Enrollment ID: I20180723001953 |
| Provider Name | Morgan Bonds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184937831 PECOS PAC ID: 3375846959 Enrollment ID: I20180724001416 |
| Provider Name | Jeanette Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407274749 PECOS PAC ID: 2961624531 Enrollment ID: I20180730003045 |
| Provider Name | Amulya R Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295114932 PECOS PAC ID: 5193034031 Enrollment ID: I20180801001766 |
| Provider Name | Sharon L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215032081 PECOS PAC ID: 0143291989 Enrollment ID: I20180802002442 |
| Provider Name | Jason Kenneth Frankel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750729976 PECOS PAC ID: 6103174446 Enrollment ID: I20180802003584 |
| Provider Name | Vanessa G Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20180810001529 |
| Provider Name | Christopher C Goiney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780950931 PECOS PAC ID: 6507177664 Enrollment ID: I20180815001554 |
| Provider Name | Kevin O R Means |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518352228 PECOS PAC ID: 9739490970 Enrollment ID: I20180817001385 |
| Provider Name | Pegah Safaeian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003158684 PECOS PAC ID: 1850520081 Enrollment ID: I20180820002866 |
| Provider Name | Janna N Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790132892 PECOS PAC ID: 5991054017 Enrollment ID: I20180823001412 |
| Provider Name | Joel S Peterman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831689710 PECOS PAC ID: 5092064055 Enrollment ID: I20180823003263 |
| Provider Name | Rachelle E Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245755297 PECOS PAC ID: 0345513644 Enrollment ID: I20180831002064 |
| Provider Name | Oliver E Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952814147 PECOS PAC ID: 7719237106 Enrollment ID: I20180905003241 |
| Provider Name | Terese V Mccoy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053459024 PECOS PAC ID: 1052662889 Enrollment ID: I20180918003028 |
| Provider Name | Elizabeth Louise Bolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528350253 PECOS PAC ID: 8628293297 Enrollment ID: I20180925001691 |
| Provider Name | Jordan D Becerril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770901720 PECOS PAC ID: 9436440765 Enrollment ID: I20181009003125 |
| Provider Name | Matthew E Bennett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043579600 PECOS PAC ID: 6002168580 Enrollment ID: I20181010003657 |
| Provider Name | Christine D Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568808806 PECOS PAC ID: 1355693870 Enrollment ID: I20181011001483 |
| Provider Name | Ted Hideki Yamamoto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689012015 PECOS PAC ID: 2466737960 Enrollment ID: I20181012002429 |
| Provider Name | Amy H Lyytinen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710266549 PECOS PAC ID: 6709139611 Enrollment ID: I20181023001844 |
| Provider Name | Mohan K Mallipeddi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952626624 PECOS PAC ID: 4082986989 Enrollment ID: I20181023002566 |
| Provider Name | Amrit Singh Lamba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457779514 PECOS PAC ID: 5496038374 Enrollment ID: I20181023003016 |
| Provider Name | Camille L Baldwin-bonney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588938401 PECOS PAC ID: 7719230473 Enrollment ID: I20181025001809 |
| Provider Name | Marnonette J Marallag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811308893 PECOS PAC ID: 9537431010 Enrollment ID: I20181105001033 |
| Provider Name | Alyssa Erickson-wayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689120271 PECOS PAC ID: 3779871637 Enrollment ID: I20181112000128 |
| Provider Name | Juliana M Olivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306327333 PECOS PAC ID: 3779837737 Enrollment ID: I20181112000930 |
| Provider Name | Kevin S Ikuta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265878797 PECOS PAC ID: 2264743848 Enrollment ID: I20181112001769 |
| Provider Name | Lauryn K Abel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215463377 PECOS PAC ID: 6709150485 Enrollment ID: I20181116000436 |
| Provider Name | Cristina A Pacheco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013497726 PECOS PAC ID: 0941554448 Enrollment ID: I20181120001747 |
| Provider Name | Timothy Donald Butterworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003325333 PECOS PAC ID: 1951664812 Enrollment ID: I20181210002637 |
| Provider Name | Danielle B Irigoin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922588284 PECOS PAC ID: 8628312188 Enrollment ID: I20181211000117 |
| Provider Name | Ali Sultan-qurraie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114156940 PECOS PAC ID: 4880811710 Enrollment ID: I20181211002046 |
| Provider Name | Kimberly S Esham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992026785 PECOS PAC ID: 1557501210 Enrollment ID: I20181220001821 |
| Provider Name | Jonathan Crandall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346591179 PECOS PAC ID: 3375862469 Enrollment ID: I20181221002116 |
| Provider Name | Lacy J Stephens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083198386 PECOS PAC ID: 9234474776 Enrollment ID: I20190102002524 |
| Provider Name | Bianca M Maggio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801363502 PECOS PAC ID: 2062758493 Enrollment ID: I20190107001334 |
| Provider Name | Gabrielle Worzella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054050 PECOS PAC ID: 4587807391 Enrollment ID: I20190111003056 |
| Provider Name | Karie Marie Carbone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831633734 PECOS PAC ID: 3375825276 Enrollment ID: I20190124003418 |
| Provider Name | Shannon M Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205310331 PECOS PAC ID: 9931446937 Enrollment ID: I20190129003351 |
| Provider Name | Kristin Marie Geddes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612433 PECOS PAC ID: 4385981182 Enrollment ID: I20190201001620 |
| Provider Name | Jessica L Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946739 PECOS PAC ID: 9537407226 Enrollment ID: I20190204002834 |
| Provider Name | Rachel Storz Parkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982174991 PECOS PAC ID: 5698013357 Enrollment ID: I20190205002673 |
| Provider Name | Heather J M Vasioutovitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720507171 PECOS PAC ID: 3274893870 Enrollment ID: I20190212002120 |
| Provider Name | Bonnie A Lash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235307737 PECOS PAC ID: 9133291537 Enrollment ID: I20190213000276 |
| Provider Name | Mary K Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659843456 PECOS PAC ID: 3072851120 Enrollment ID: I20190214001861 |
| Provider Name | Matheau Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20190225000896 |
| Provider Name | Catherine C H Miele |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104104603 PECOS PAC ID: 7113231887 Enrollment ID: I20190225001459 |
| Provider Name | Mark D Bomann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578592937 PECOS PAC ID: 6002009214 Enrollment ID: I20190307001021 |
| Provider Name | Chloe Rael Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578962528 PECOS PAC ID: 3971723404 Enrollment ID: I20190320000182 |
| Provider Name | Elizabeth Anne Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184193583 PECOS PAC ID: 2062752504 Enrollment ID: I20190320002422 |
| Provider Name | Kelsey Lynn Schieldge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801364609 PECOS PAC ID: 5890035265 Enrollment ID: I20190321000819 |
| Provider Name | Benjamin Tucker Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942695986 PECOS PAC ID: 1759692148 Enrollment ID: I20190326001088 |
| Provider Name | Elena L O Callahan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134687593 PECOS PAC ID: 5991045163 Enrollment ID: I20190326001168 |
| Provider Name | David John Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750792982 PECOS PAC ID: 2668712761 Enrollment ID: I20190328000678 |
| Provider Name | Hunaid Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578983581 PECOS PAC ID: 7719249564 Enrollment ID: I20190328001940 |
| Provider Name | Jeremy Conklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700830882 PECOS PAC ID: 7517109614 Enrollment ID: I20190328002037 |
| Provider Name | Jack E Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184180499 PECOS PAC ID: 2163763863 Enrollment ID: I20190405002140 |
| Provider Name | Venu M Nemani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265757710 PECOS PAC ID: 5698080307 Enrollment ID: I20190426001271 |
| Provider Name | Maanasi Madan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658874 PECOS PAC ID: 7315007796 Enrollment ID: I20190502003047 |
| Provider Name | Nicole Ann Bazzetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174008106 PECOS PAC ID: 7810230653 Enrollment ID: I20190520001910 |
| Provider Name | Mary Leilani Yoshiko Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306903273 PECOS PAC ID: 1254508401 Enrollment ID: I20190523002033 |
| Provider Name | Robert Joseph Moraca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164455432 PECOS PAC ID: 6204903396 Enrollment ID: I20190528002457 |
| Provider Name | Kristen L Carson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811387079 PECOS PAC ID: 1456678325 Enrollment ID: I20190612001867 |
| Provider Name | Jagpal Singh Klair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710327762 PECOS PAC ID: 0648597989 Enrollment ID: I20190614002234 |
| Provider Name | Robert Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639541196 PECOS PAC ID: 2466786736 Enrollment ID: I20190620003111 |
| Provider Name | Joanna S Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972161941 PECOS PAC ID: 9638405269 Enrollment ID: I20190719001367 |
| Provider Name | Kevin D Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922428952 PECOS PAC ID: 7618245432 Enrollment ID: I20190725003323 |
| Provider Name | E Eun Amy Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659613149 PECOS PAC ID: 7214163807 Enrollment ID: I20190805002379 |
| Provider Name | Aleksandra G Kardasheva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316340573 PECOS PAC ID: 0143514984 Enrollment ID: I20190805002743 |
| Provider Name | Nathan L Jung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003229055 PECOS PAC ID: 9739305673 Enrollment ID: I20190821001571 |
| Provider Name | Eshita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780083949 PECOS PAC ID: 7416236781 Enrollment ID: I20190830002433 |
| Provider Name | Katie L Krause |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881950772 PECOS PAC ID: 6002061801 Enrollment ID: I20190903003248 |
| Provider Name | Jack Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335850 PECOS PAC ID: 9739482860 Enrollment ID: I20190904002181 |
| Provider Name | Neil S Kalariya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588071146 PECOS PAC ID: 1850620618 Enrollment ID: I20190904002822 |
| Provider Name | Catherine A Moonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316454234 PECOS PAC ID: 0345503967 Enrollment ID: I20190905003387 |
| Provider Name | Arathi P Rao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346340205 PECOS PAC ID: 7416989066 Enrollment ID: I20190910003544 |
| Provider Name | Amy Zeifman Portacci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609238930 PECOS PAC ID: 2365735099 Enrollment ID: I20190911003334 |
| Provider Name | Julie A F Gibbons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548603772 PECOS PAC ID: 3375765829 Enrollment ID: I20190919002739 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20190923001351 |
| Provider Name | Sarah Chung |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861819294 PECOS PAC ID: 8123342896 Enrollment ID: I20190923002294 |
| Provider Name | Jonathan G Dehaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134535503 PECOS PAC ID: 9335430370 Enrollment ID: I20191002000701 |
| Provider Name | Stephen Kaplan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356784755 PECOS PAC ID: 7517109580 Enrollment ID: I20191004002943 |
| Provider Name | Nicole Zeoli Vivelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336408319 PECOS PAC ID: 2668625765 Enrollment ID: I20191014001886 |
| Provider Name | Kaidi Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326380577 PECOS PAC ID: 7719256205 Enrollment ID: I20191017000057 |
| Provider Name | Jonathan Douglas Hodax |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477813418 PECOS PAC ID: 0840411781 Enrollment ID: I20191023000178 |
| Provider Name | Jennifer A Kaplan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205135530 PECOS PAC ID: 8325279805 Enrollment ID: I20191023001052 |
| Provider Name | Christine Ann Zielke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912569161 PECOS PAC ID: 3678805645 Enrollment ID: I20191023002834 |
| Provider Name | Julie Johnson Roberts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376981282 PECOS PAC ID: 0749544245 Enrollment ID: I20191025000041 |
| Provider Name | Sara M Lobaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679937650 PECOS PAC ID: 1355632175 Enrollment ID: I20191029001240 |
| Provider Name | Thomas William Fuller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972865335 PECOS PAC ID: 5890041321 Enrollment ID: I20191029003339 |
| Provider Name | Andrew W Suen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851505408 PECOS PAC ID: 3779628052 Enrollment ID: I20191030001232 |
| Provider Name | Elise Nicole Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740642420 PECOS PAC ID: 5991095093 Enrollment ID: I20191031000103 |
| Provider Name | Kristen E Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922453265 PECOS PAC ID: 4789916172 Enrollment ID: I20191105000860 |
| Provider Name | Michelle Stephanie Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578925327 PECOS PAC ID: 6204129547 Enrollment ID: I20191108002376 |
| Provider Name | Christine Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164842381 PECOS PAC ID: 9234561333 Enrollment ID: I20191111002543 |
| Provider Name | Jared Michael Brazg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992048631 PECOS PAC ID: 4284920331 Enrollment ID: I20191112000937 |
| Provider Name | Curt Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508026675 PECOS PAC ID: 0042499444 Enrollment ID: I20191211000788 |
| Provider Name | Christopher Ryan Gault |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437412590 PECOS PAC ID: 5799051603 Enrollment ID: I20191211002430 |
| Provider Name | Swati Kataria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621986 PECOS PAC ID: 3476987801 Enrollment ID: I20191218000815 |
| Provider Name | Charmaine Lau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265878847 PECOS PAC ID: 1951530013 Enrollment ID: I20191219001573 |
| Provider Name | Ashwin Gopalan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902242605 PECOS PAC ID: 5698069110 Enrollment ID: I20191223000362 |
| Provider Name | Bethlehem Belachew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346450376 PECOS PAC ID: 8325170913 Enrollment ID: I20191223001185 |
| Provider Name | Beatrix Roemheld-hamm |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992882476 PECOS PAC ID: 3173530797 Enrollment ID: I20191231000770 |
| Provider Name | Ashton R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508330572 PECOS PAC ID: 1557796844 Enrollment ID: I20200114002947 |
| Provider Name | Hana Khan Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684428 PECOS PAC ID: 7113270455 Enrollment ID: I20200122002256 |
| Provider Name | Armen Choulakian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861694242 PECOS PAC ID: 1850561747 Enrollment ID: I20200128001478 |
| Provider Name | Michelle Xiao Ping Lin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497122204 PECOS PAC ID: 2769782655 Enrollment ID: I20200130003120 |
| Provider Name | David H Villarreal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861417552 PECOS PAC ID: 2466587357 Enrollment ID: I20200131002208 |
| Provider Name | Sidra Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944787 PECOS PAC ID: 0749616985 Enrollment ID: I20200205003120 |
| Provider Name | Asif Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386805059 PECOS PAC ID: 7416101068 Enrollment ID: I20200207002530 |
| Provider Name | Jamie Marie Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076440 PECOS PAC ID: 7113353111 Enrollment ID: I20200211002604 |
| Provider Name | Amanda S Freed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457797961 PECOS PAC ID: 7214216811 Enrollment ID: I20200214001043 |
| Provider Name | Alexandra M Roberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679130728 PECOS PAC ID: 9335576081 Enrollment ID: I20200219001758 |
| Provider Name | Grace Marie Ling |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598397929 PECOS PAC ID: 5799112017 Enrollment ID: I20200226002923 |
| Provider Name | Claire Manley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922630201 PECOS PAC ID: 1153758214 Enrollment ID: I20200302001335 |
| Provider Name | Cristina Palmer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457645772 PECOS PAC ID: 1658677315 Enrollment ID: I20200309002629 |
| Provider Name | Ashley W Judson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215563044 PECOS PAC ID: 5698103711 Enrollment ID: I20200323003024 |
| Provider Name | Michael W Roll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679960835 PECOS PAC ID: 6002123601 Enrollment ID: I20200330003941 |
| Provider Name | Norine A Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568662591 PECOS PAC ID: 5092808527 Enrollment ID: I20200417001609 |
| Provider Name | Avery Clare Warwick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720610561 PECOS PAC ID: 4082044508 Enrollment ID: I20200424001927 |
| Provider Name | Rafael C Wabl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467803700 PECOS PAC ID: 5698068054 Enrollment ID: I20200518002932 |
| Provider Name | Robert Paul Deconde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295155901 PECOS PAC ID: 8921315169 Enrollment ID: I20200526000552 |
| Provider Name | Vinay N Dewan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275828196 PECOS PAC ID: 0749594620 Enrollment ID: I20200527001551 |
| Provider Name | Robert Bai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477916948 PECOS PAC ID: 2860730538 Enrollment ID: I20200604002806 |
| Provider Name | Eric J Yuen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477917276 PECOS PAC ID: 8224328422 Enrollment ID: I20200615000373 |
| Provider Name | Lindy L Craft |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285028563 PECOS PAC ID: 3971818774 Enrollment ID: I20200615000566 |
| Provider Name | Hanwool R Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417338443 PECOS PAC ID: 4587995832 Enrollment ID: I20200615000973 |
| Provider Name | Amber Brittany Post |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801053053 PECOS PAC ID: 8921316670 Enrollment ID: I20200615001143 |
| Provider Name | Amanda Marie Barrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750844312 PECOS PAC ID: 2466874615 Enrollment ID: I20200617001989 |
| Provider Name | Sean Wo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225456445 PECOS PAC ID: 6709194756 Enrollment ID: I20200617002861 |
| Provider Name | Justin S Liberman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194083949 PECOS PAC ID: 6103062021 Enrollment ID: I20200618002951 |
| Provider Name | Michelle M Edgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346869823 PECOS PAC ID: 0547682445 Enrollment ID: I20200623001649 |
| Provider Name | Andrew B James |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124472352 PECOS PAC ID: 0345533345 Enrollment ID: I20200708001524 |
| Provider Name | Elizabeth Keiser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942696711 PECOS PAC ID: 0749603702 Enrollment ID: I20200709000345 |
| Provider Name | Ricky S Harika |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710206578 PECOS PAC ID: 8426363920 Enrollment ID: I20200710001814 |
| Provider Name | Crystal Bae |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447789573 PECOS PAC ID: 8224306147 Enrollment ID: I20200714000963 |
| Provider Name | Stephanie Lynne Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164884136 PECOS PAC ID: 7214235332 Enrollment ID: I20200717001883 |
| Provider Name | Mathini Sivakami Mohanachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528590767 PECOS PAC ID: 2365710449 Enrollment ID: I20200722000649 |
| Provider Name | Brendan T Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699122887 PECOS PAC ID: 6305133745 Enrollment ID: I20200722000939 |
| Provider Name | William Shieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174053672 PECOS PAC ID: 8022432129 Enrollment ID: I20200722002041 |
| Provider Name | Evan Charles Yount |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164958856 PECOS PAC ID: 4082982095 Enrollment ID: I20200723003199 |
| Provider Name | Christian James West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649896275 PECOS PAC ID: 7012332547 Enrollment ID: I20200731000204 |
| Provider Name | Philip Louie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780098509 PECOS PAC ID: 8224311188 Enrollment ID: I20200812001701 |
| Provider Name | Catherine S Tart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083145288 PECOS PAC ID: 0648602714 Enrollment ID: I20200813001354 |
| Provider Name | Allison M Barrie |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1194026690 PECOS PAC ID: 7113249293 Enrollment ID: I20200817003321 |
| Provider Name | Joel Miller Sternbach |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376838334 PECOS PAC ID: 3173812823 Enrollment ID: I20200818000248 |
| Provider Name | Margaret F Ragland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700128022 PECOS PAC ID: 1658678388 Enrollment ID: I20200818002062 |
| Provider Name | Victoria Black Horse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487186177 PECOS PAC ID: 4688942865 Enrollment ID: I20200818002625 |
| Provider Name | Teera L Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689107732 PECOS PAC ID: 4880964246 Enrollment ID: I20200826003286 |
| Provider Name | Anne R Cotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861922783 PECOS PAC ID: 2062783137 Enrollment ID: I20200828002721 |
| Provider Name | Natalie Helene Moriarty |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972910966 PECOS PAC ID: 5698044915 Enrollment ID: I20200902002816 |
| Provider Name | Soraya Chanyasubkit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053841973 PECOS PAC ID: 4284905373 Enrollment ID: I20200903003518 |
| Provider Name | Rana Aldaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174970776 PECOS PAC ID: 2668765017 Enrollment ID: I20200908002003 |
| Provider Name | Hai Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396270864 PECOS PAC ID: 4981958121 Enrollment ID: I20200916000968 |
| Provider Name | Ronelle Revilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528693181 PECOS PAC ID: 4587082664 Enrollment ID: I20200922002686 |
| Provider Name | Elyce Anne Opheim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601180 PECOS PAC ID: 8729356902 Enrollment ID: I20200923000112 |
| Provider Name | William Kevin New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023395795 PECOS PAC ID: 2567622608 Enrollment ID: I20200930002860 |
| Provider Name | Amy E Frick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558978346 PECOS PAC ID: 0648690537 Enrollment ID: I20201014002447 |
| Provider Name | Brittany A Frankel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235557919 PECOS PAC ID: 3476818295 Enrollment ID: I20201019001213 |
| Provider Name | Rhadika Souza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013361518 PECOS PAC ID: 7911292784 Enrollment ID: I20201023000814 |
| Provider Name | Blake I Wachi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912393786 PECOS PAC ID: 9032498431 Enrollment ID: I20201102001031 |
| Provider Name | Peter D Reiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669855409 PECOS PAC ID: 0749527133 Enrollment ID: I20201112000455 |
| Provider Name | David S Attaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144635764 PECOS PAC ID: 2860763075 Enrollment ID: I20201113001206 |
| Provider Name | Elizabeth Edacheril Poulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205304409 PECOS PAC ID: 7719225275 Enrollment ID: I20201113002076 |
| Provider Name | Matthew Sean Krabbendam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043819907 PECOS PAC ID: 0547671406 Enrollment ID: I20201124003042 |
| Provider Name | Lauren Marie Wancata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912294422 PECOS PAC ID: 6709192628 Enrollment ID: I20201130001223 |
| Provider Name | Zachary Charles Mattes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644432 PECOS PAC ID: 1254624398 Enrollment ID: I20201201002656 |
| Provider Name | Mary Margaret Lim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477816734 PECOS PAC ID: 5991074056 Enrollment ID: I20201201003202 |
| Provider Name | Gautam Naresh Mankaney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053677310 PECOS PAC ID: 8729361613 Enrollment ID: I20201210000458 |
| Provider Name | Kim-tien Quoc Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851918692 PECOS PAC ID: 9931511276 Enrollment ID: I20201210001807 |
| Provider Name | Natasha H Schwimmer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831719392 PECOS PAC ID: 9234541897 Enrollment ID: I20201224000199 |
| Provider Name | Aliza R Wolfe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790133874 PECOS PAC ID: 7517247240 Enrollment ID: I20210104000758 |
| Provider Name | Ji Seo Ru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720684921 PECOS PAC ID: 9335552470 Enrollment ID: I20210108000647 |
| Provider Name | John R Kneepkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992332233 PECOS PAC ID: 6901219831 Enrollment ID: I20210113001408 |
| Provider Name | Kember Leigh Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619502879 PECOS PAC ID: 3971916826 Enrollment ID: I20210113002472 |
| Provider Name | Natalie Lastra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699162826 PECOS PAC ID: 1456660406 Enrollment ID: I20210128001437 |
| Provider Name | Miracle Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326672676 PECOS PAC ID: 1951716737 Enrollment ID: I20210209002916 |
| Provider Name | Hayden T Cale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710332416 PECOS PAC ID: 1153687793 Enrollment ID: I20210210002634 |
| Provider Name | Patrick Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649868084 PECOS PAC ID: 4981019809 Enrollment ID: I20210226000194 |
| Provider Name | Lindsey Allison Strandberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356935290 PECOS PAC ID: 5597171215 Enrollment ID: I20210304000729 |
| Provider Name | Mark T Reeves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134232382 PECOS PAC ID: 4284671454 Enrollment ID: I20210309002817 |
| Provider Name | George P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710419288 PECOS PAC ID: 3779852603 Enrollment ID: I20210311002847 |
| Provider Name | Shira Tamar Stern |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013502327 PECOS PAC ID: 9739596560 Enrollment ID: I20210323002497 |
| Provider Name | Mohamed Hussein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639488166 PECOS PAC ID: 8527257096 Enrollment ID: I20210401001693 |
| Provider Name | Jennifer Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952818445 PECOS PAC ID: 5799045415 Enrollment ID: I20210409000399 |
| Provider Name | Mostafa Assadalla Sherazy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255644118 PECOS PAC ID: 0042446445 Enrollment ID: I20210416002037 |
| Provider Name | Yushi Wang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417546862 PECOS PAC ID: 0941619860 Enrollment ID: I20210505002757 |
| Provider Name | Allison Tzu Yu Kuo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740816768 PECOS PAC ID: 8921417296 Enrollment ID: I20210518000418 |
| Provider Name | Elham Rahmati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093827248 PECOS PAC ID: 8224274329 Enrollment ID: I20210524002793 |
| Provider Name | Sachin Shivaji Kumbhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033558143 PECOS PAC ID: 7113246752 Enrollment ID: I20210528000820 |
| Provider Name | Anna Joy Flaherty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578940433 PECOS PAC ID: 2365734167 Enrollment ID: I20210601000317 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20210602002398 |
| Provider Name | April D Asbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770812422 PECOS PAC ID: 5597890640 Enrollment ID: I20210608002180 |
| Provider Name | Anukrati Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104311091 PECOS PAC ID: 8628478955 Enrollment ID: I20210608002985 |
| Provider Name | Gilberto Valenzuela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174107890 PECOS PAC ID: 5799185922 Enrollment ID: I20210610000104 |
| Provider Name | Emily Elizabeth Lariviere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578023651 PECOS PAC ID: 1759781842 Enrollment ID: I20210610002740 |
| Provider Name | Craig S Samford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326337916 PECOS PAC ID: 3072829084 Enrollment ID: I20210615002883 |
| Provider Name | Jerry W Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477963734 PECOS PAC ID: 8921377326 Enrollment ID: I20210617002646 |
| Provider Name | Cheyenne R Enevold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487035713 PECOS PAC ID: 7012263312 Enrollment ID: I20210709000791 |
| Provider Name | Sara B Vasudeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952763955 PECOS PAC ID: 8325334279 Enrollment ID: I20210713001408 |
| Provider Name | Kellie Chiou |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144889312 PECOS PAC ID: 8022410869 Enrollment ID: I20210715002605 |
| Provider Name | Emilie Rose Durgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184295925 PECOS PAC ID: 5193127801 Enrollment ID: I20210716001331 |
| Provider Name | Philip J Bacani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538754858 PECOS PAC ID: 4789087008 Enrollment ID: I20210723003129 |
| Provider Name | Rahool Pankaj Dave |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174919633 PECOS PAC ID: 8628305067 Enrollment ID: I20210729002266 |
| Provider Name | Lucas Christopher Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851826598 PECOS PAC ID: 2668740572 Enrollment ID: I20210729002847 |
| Provider Name | Kelley Lorraine Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962074088 PECOS PAC ID: 3678976438 Enrollment ID: I20210730002095 |
| Provider Name | Carol Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932604360 PECOS PAC ID: 3173870631 Enrollment ID: I20210802001296 |
| Provider Name | Ryan Joseph Pittman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548844590 PECOS PAC ID: 9335543859 Enrollment ID: I20210805002379 |
| Provider Name | Katie L. Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679070874 PECOS PAC ID: 5395149660 Enrollment ID: I20210809002147 |
| Provider Name | Megan I Loring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205144755 PECOS PAC ID: 3678702842 Enrollment ID: I20210809003193 |
| Provider Name | Sara Reddim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619312618 PECOS PAC ID: 5092959684 Enrollment ID: I20210812000226 |
| Provider Name | Quynh P Le |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1588056568 PECOS PAC ID: 8729390281 Enrollment ID: I20210816002739 |
| Provider Name | Marko S Todorovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295116135 PECOS PAC ID: 8921312836 Enrollment ID: I20210817002181 |
| Provider Name | Thomas Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477916740 PECOS PAC ID: 3476845090 Enrollment ID: I20210818003113 |
| Provider Name | Shanley Besett Deal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811307879 PECOS PAC ID: 1355568452 Enrollment ID: I20210819000454 |
| Provider Name | Micah James Roland Mack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447745450 PECOS PAC ID: 3678978707 Enrollment ID: I20210826003285 |
| Provider Name | Craig Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104244854 PECOS PAC ID: 8022339290 Enrollment ID: I20210830001718 |
| Provider Name | Olivia M Bromley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083264873 PECOS PAC ID: 2163828047 Enrollment ID: I20210831003138 |
| Provider Name | Tara R Kerr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780181867 PECOS PAC ID: 5294083242 Enrollment ID: I20210913001571 |
| Provider Name | Angelo William Fatta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821654658 PECOS PAC ID: 2769816321 Enrollment ID: I20210920002760 |
| Provider Name | Alana Wade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710240106 PECOS PAC ID: 7214234129 Enrollment ID: I20210922000279 |
| Provider Name | Garrett Sever Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180372 PECOS PAC ID: 8022364140 Enrollment ID: I20210927002482 |
| Provider Name | Carmen E Dittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073019303 PECOS PAC ID: 8022363795 Enrollment ID: I20210929002034 |
| Provider Name | Julie W Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942797261 PECOS PAC ID: 4587912639 Enrollment ID: I20210929002702 |
| Provider Name | Vikram Anand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770929614 PECOS PAC ID: 3476852625 Enrollment ID: I20211014003344 |
| Provider Name | Heidi Lynn Kuttler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326718065 PECOS PAC ID: 0941698765 Enrollment ID: I20211028000690 |
| Provider Name | Chaitee K Sengupta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306098025 PECOS PAC ID: 8022406438 Enrollment ID: I20211103002088 |
| Provider Name | Stephanie E A Mazanek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053074021 PECOS PAC ID: 3375932767 Enrollment ID: I20211104002338 |
| Provider Name | Bailey Elizabeth Eley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720670110 PECOS PAC ID: 8820487234 Enrollment ID: I20211104002837 |
| Provider Name | Benjamin A Mclean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871024927 PECOS PAC ID: 2062745599 Enrollment ID: I20211108002637 |
| Provider Name | Vladimir Kostyurenko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710476155 PECOS PAC ID: 7416206537 Enrollment ID: I20211202002475 |
| Provider Name | Patrizia Vacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407425085 PECOS PAC ID: 5092105247 Enrollment ID: I20211202002711 |
| Provider Name | Holly L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568126514 PECOS PAC ID: 2264823772 Enrollment ID: I20211216002154 |
| Provider Name | Susan Calhoun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235517251 PECOS PAC ID: 4183932858 Enrollment ID: I20211228000150 |
| Provider Name | Monica S Yeung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154908135 PECOS PAC ID: 2466858311 Enrollment ID: I20220106002009 |
| Provider Name | Lauren Kline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205594819 PECOS PAC ID: 6709278492 Enrollment ID: I20220107001462 |
| Provider Name | Elizabeth Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073152831 PECOS PAC ID: 1052740669 Enrollment ID: I20220117000373 |
| Provider Name | Kim L Thamert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023776689 PECOS PAC ID: 6608268032 Enrollment ID: I20220117000581 |
| Provider Name | Stephen Coombs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326634981 PECOS PAC ID: 7810303708 Enrollment ID: I20220121001319 |
| Provider Name | Sarah Allen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073999140 PECOS PAC ID: 4789934118 Enrollment ID: I20220124001340 |
| Provider Name | Lauren Sawyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255083168 PECOS PAC ID: 0749672533 Enrollment ID: I20220128001835 |
| Provider Name | Amy E Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366075780 PECOS PAC ID: 2466845623 Enrollment ID: I20220210001445 |
| Provider Name | Ngoc Tran H Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447513767 PECOS PAC ID: 7911290564 Enrollment ID: I20220218001008 |
| Provider Name | Kathryn A Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659881001 PECOS PAC ID: 3375937949 Enrollment ID: I20220224000724 |
| Provider Name | Marie P Tobianski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114541786 PECOS PAC ID: 9931593290 Enrollment ID: I20220302001672 |
| Provider Name | Jamie Rae Cylinder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588220461 PECOS PAC ID: 9133514078 Enrollment ID: I20220311001134 |
| Provider Name | Courtney S Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972096907 PECOS PAC ID: 3678979291 Enrollment ID: I20220318000479 |
| Provider Name | Rachel A Lim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881349769 PECOS PAC ID: 9032504451 Enrollment ID: I20220322002767 |
| Provider Name | Laura Elizabeth Crumly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669128179 PECOS PAC ID: 1254727332 Enrollment ID: I20220330001320 |
| Provider Name | Srinidhi Jayadevappa Meera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073919627 PECOS PAC ID: 4981022647 Enrollment ID: I20220331002976 |
| Provider Name | Jenny N Hermes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114313608 PECOS PAC ID: 9335451483 Enrollment ID: I20220406001472 |
| Provider Name | Veeramaneni Ahalya Lakshmi Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992235527 PECOS PAC ID: 0345672416 Enrollment ID: I20220407000266 |
| Provider Name | Yousra Amor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285251066 PECOS PAC ID: 0941624068 Enrollment ID: I20220407002441 |
| Provider Name | Olivia S Boothby |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568993970 PECOS PAC ID: 6800161902 Enrollment ID: I20220426001995 |
| Provider Name | Danielle Christine Bemis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982900726 PECOS PAC ID: 4183001415 Enrollment ID: I20220506000844 |
| Provider Name | Grace Jye-an Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922323 PECOS PAC ID: 8224415559 Enrollment ID: I20220506001084 |
| Provider Name | Omar F Bayomy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437687423 PECOS PAC ID: 0244500254 Enrollment ID: I20220513001266 |
| Provider Name | Tina Daughtry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538735964 PECOS PAC ID: 3274938808 Enrollment ID: I20220522000049 |
| Provider Name | Aaron Christopher Daub |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194112516 PECOS PAC ID: 1658680855 Enrollment ID: I20220524001939 |
| Provider Name | Owen Alexander Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972063261 PECOS PAC ID: 1153654538 Enrollment ID: I20220602000922 |
| Provider Name | Carolyn Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336536036 PECOS PAC ID: 9931413564 Enrollment ID: I20220606001376 |
| Provider Name | Michelle A Gruttadauria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346745957 PECOS PAC ID: 9436537099 Enrollment ID: I20220609002895 |
| Provider Name | Azucena Gault |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487977724 PECOS PAC ID: 9234265356 Enrollment ID: I20220610001757 |
| Provider Name | Olga P Drogomiretskiy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326520099 PECOS PAC ID: 6507245651 Enrollment ID: I20220620001147 |
| Provider Name | Christine Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952838518 PECOS PAC ID: 8325427370 Enrollment ID: I20220621003292 |
| Provider Name | Angela Catherine Wanderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851034193 PECOS PAC ID: 5991185209 Enrollment ID: I20220705001264 |
| Provider Name | Taylor Daniel Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811311749 PECOS PAC ID: 7911387261 Enrollment ID: I20220705002788 |
| Provider Name | Angela Qu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720584667 PECOS PAC ID: 2365823952 Enrollment ID: I20220713002646 |
| Provider Name | Stephanie I Buendia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578026688 PECOS PAC ID: 6608100136 Enrollment ID: I20220713003538 |
| Provider Name | Mya Jade Sanchez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164169041 PECOS PAC ID: 1456732825 Enrollment ID: I20220715001519 |
| Provider Name | Tiffany Ann Morandi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518207315 PECOS PAC ID: 9335495571 Enrollment ID: I20220718003345 |
| Provider Name | Julia Karen Bensimon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700346889 PECOS PAC ID: 9739412776 Enrollment ID: I20220719001329 |
| Provider Name | Lily Ren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972234045 PECOS PAC ID: 4183005325 Enrollment ID: I20220719001408 |
| Provider Name | Edward Cuaresma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841653284 PECOS PAC ID: 5799166963 Enrollment ID: I20220719002450 |
| Provider Name | Matthew S Subramani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215323324 PECOS PAC ID: 1153676317 Enrollment ID: I20220719004009 |
| Provider Name | Nicholas H Bird |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1811092935 PECOS PAC ID: 5395708879 Enrollment ID: I20220720001111 |
| Provider Name | Josiah Nathan Perez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730512682 PECOS PAC ID: 9931477270 Enrollment ID: I20220722000195 |
| Provider Name | Susan S Xie |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134651383 PECOS PAC ID: 6608257696 Enrollment ID: I20220722000218 |
| Provider Name | Tracey Dianna Dabal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427580828 PECOS PAC ID: 9739466756 Enrollment ID: I20220722003030 |
| Provider Name | Muaaz Masood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962069922 PECOS PAC ID: 6103151105 Enrollment ID: I20220725000827 |
| Provider Name | Devon Lefever |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205299310 PECOS PAC ID: 7416242334 Enrollment ID: I20220725002260 |
| Provider Name | Bhavana Dabir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801188008 PECOS PAC ID: 7911220587 Enrollment ID: I20220726003242 |
| Provider Name | Jessica R Alleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255901484 PECOS PAC ID: 5193107506 Enrollment ID: I20220802001663 |
| Provider Name | Cecile G Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417418989 PECOS PAC ID: 4486987120 Enrollment ID: I20220802002093 |
| Provider Name | Margaret Shin Kim |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649632654 PECOS PAC ID: 2163715566 Enrollment ID: I20220803001277 |
| Provider Name | Peter M Kally |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730534801 PECOS PAC ID: 8921390238 Enrollment ID: I20220803002747 |
| Provider Name | Nicole M Bressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477286375 PECOS PAC ID: 3678955713 Enrollment ID: I20220805000606 |
| Provider Name | Tushar Murli Advani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881918415 PECOS PAC ID: 9739461484 Enrollment ID: I20220805002822 |
| Provider Name | Justin G Brandler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891174314 PECOS PAC ID: 7810202298 Enrollment ID: I20220808002814 |
| Provider Name | Yumi A. Sumida |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679714570 PECOS PAC ID: 8628450616 Enrollment ID: I20220808002907 |
| Provider Name | Alexander M Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992265045 PECOS PAC ID: 7315271442 Enrollment ID: I20220810003885 |
| Provider Name | Yu-chun Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472640 PECOS PAC ID: 4486998770 Enrollment ID: I20220813000535 |
| Provider Name | Jessica J Tzou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144725847 PECOS PAC ID: 4981930088 Enrollment ID: I20220815002924 |
| Provider Name | Edin Mehic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548824717 PECOS PAC ID: 2365825825 Enrollment ID: I20220816001012 |
| Provider Name | Alana Aylward |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790148187 PECOS PAC ID: 8426314089 Enrollment ID: I20220818002413 |
| Provider Name | Eric S Varley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629384789 PECOS PAC ID: 8325279086 Enrollment ID: I20220822001217 |
| Provider Name | Tiffany T Truong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760839112 PECOS PAC ID: 2062747595 Enrollment ID: I20220825000145 |
| Provider Name | Rachel Marie Penney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609507730 PECOS PAC ID: 8921482803 Enrollment ID: I20220825003229 |
| Provider Name | Mindy Antimie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619605185 PECOS PAC ID: 2769866508 Enrollment ID: I20220829001912 |
| Provider Name | Sarah M Doaty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215254818 PECOS PAC ID: 2668767211 Enrollment ID: I20220831004044 |
| Provider Name | Katharine Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679205603 PECOS PAC ID: 9234513755 Enrollment ID: I20220901002215 |
| Provider Name | Viet H Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801278916 PECOS PAC ID: 1850601055 Enrollment ID: I20220902001248 |
| Provider Name | John C Greenert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043625551 PECOS PAC ID: 9436451531 Enrollment ID: I20220907002594 |
| Provider Name | Kriti Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629537881 PECOS PAC ID: 1153705215 Enrollment ID: I20220908003037 |
| Provider Name | Terrance Marshall James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508069956 PECOS PAC ID: 0941393813 Enrollment ID: I20220909002908 |
| Provider Name | Dhaval P Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760800932 PECOS PAC ID: 2062727803 Enrollment ID: I20220915001291 |
| Provider Name | Adam O'connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588124622 PECOS PAC ID: 7214262963 Enrollment ID: I20220916001427 |
| Provider Name | Chelsea Barnett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942844931 PECOS PAC ID: 9234566167 Enrollment ID: I20220920002226 |
| Provider Name | Christopher Tam Do |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104271907 PECOS PAC ID: 2264775949 Enrollment ID: I20220922003522 |
| Provider Name | Leeann Jean Warren-huff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295299980 PECOS PAC ID: 7416284716 Enrollment ID: I20220928003261 |
| Provider Name | Oviea G Akpotaire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649632936 PECOS PAC ID: 0840525077 Enrollment ID: I20221007001374 |
| Provider Name | Linda Hsu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316351356 PECOS PAC ID: 6103111950 Enrollment ID: I20221013003673 |
| Provider Name | Jahaira Lizneth Pinto Aguila |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538889175 PECOS PAC ID: 6901272939 Enrollment ID: I20221017002285 |
| Provider Name | Clemence L Mendoza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043880057 PECOS PAC ID: 3577939412 Enrollment ID: I20221018003528 |
| Provider Name | Margaret E O'meara |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659096006 PECOS PAC ID: 1557738739 Enrollment ID: I20221031003121 |
| Provider Name | Thomas S Rogers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124445218 PECOS PAC ID: 1254634603 Enrollment ID: I20221107001910 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20221114001491 |
| Provider Name | Hyun Rae Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437504560 PECOS PAC ID: 3375888449 Enrollment ID: I20221118002612 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20221125000209 |
| Provider Name | Gessica R Wiltgen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245954551 PECOS PAC ID: 7214305861 Enrollment ID: I20221201002351 |
| Provider Name | Galen Pizzorno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881199370 PECOS PAC ID: 4981954229 Enrollment ID: I20221202002311 |
| Provider Name | Shannon Elizabeth Dalzell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497463558 PECOS PAC ID: 0840669479 Enrollment ID: I20221202002740 |
| Provider Name | Jonathan Chow |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275809261 PECOS PAC ID: 5395043566 Enrollment ID: I20221206003334 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20221207003154 |
| Provider Name | Amita S Buddhdev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649512237 PECOS PAC ID: 0547571416 Enrollment ID: I20221215002674 |
| Provider Name | Brenna R Emery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083099584 PECOS PAC ID: 6002142122 Enrollment ID: I20221221002884 |
| Provider Name | Chen Ye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225490261 PECOS PAC ID: 1951694058 Enrollment ID: I20221227002493 |
| Provider Name | Arely Nohemi Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871218826 PECOS PAC ID: 9537539077 Enrollment ID: I20221228001237 |
| Provider Name | Olivia Wren Hutchinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205376670 PECOS PAC ID: 5991175267 Enrollment ID: I20221230001993 |
| Provider Name | Jonathan Y Mou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679987457 PECOS PAC ID: 5698071660 Enrollment ID: I20230113000875 |
| Provider Name | Colin Husted |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508338351 PECOS PAC ID: 5496088361 Enrollment ID: I20230123000602 |
| Provider Name | Abigail R Lepage |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760068316 PECOS PAC ID: 6507237476 Enrollment ID: I20230201001061 |
| Provider Name | Kelly L Wolffe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699372912 PECOS PAC ID: 3476925140 Enrollment ID: I20230206001469 |
| Provider Name | Cathy Ruoran Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407984 PECOS PAC ID: 2264765965 Enrollment ID: I20230207001402 |
| Provider Name | Casey M Krebs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417311515 PECOS PAC ID: 0446591051 Enrollment ID: I20230215002430 |
| Provider Name | Sakshi Ojha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245945849 PECOS PAC ID: 9739551870 Enrollment ID: I20230217001689 |
| Provider Name | Andy D Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184187551 PECOS PAC ID: 9739551763 Enrollment ID: I20230220002593 |
| Provider Name | Traci Peters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497085864 PECOS PAC ID: 9739210212 Enrollment ID: I20230221001288 |
| Provider Name | Deylon Kirschling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639876337 PECOS PAC ID: 1557734571 Enrollment ID: I20230222001090 |
| Provider Name | Bhanu Prakash Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437314903 PECOS PAC ID: 7618045022 Enrollment ID: I20230224001273 |
| Provider Name | Ashley M Mackinen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083310833 PECOS PAC ID: 8123491982 Enrollment ID: I20230227002391 |
| Provider Name | Diane Friedhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144854126 PECOS PAC ID: 7618340282 Enrollment ID: I20230301001272 |
| Provider Name | Caelan Griggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366149833 PECOS PAC ID: 9335512912 Enrollment ID: I20230301001775 |
| Provider Name | Kunakorn Charmin Atchaneeyasakul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013335330 PECOS PAC ID: 9335470491 Enrollment ID: I20230302001891 |
| Provider Name | Christopher Allan Wojcik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639826209 PECOS PAC ID: 0648643148 Enrollment ID: I20230303000949 |
| Provider Name | Brooke Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912610858 PECOS PAC ID: 9133592314 Enrollment ID: I20230309000751 |
| Provider Name | Konstantin Karmazin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326493313 PECOS PAC ID: 7113264680 Enrollment ID: I20230316001483 |
| Provider Name | Emily Kathryn Tudorache |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407580939 PECOS PAC ID: 2860864873 Enrollment ID: I20230317001646 |
| Provider Name | Dustin Mark A Macolor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811314586 PECOS PAC ID: 5395012058 Enrollment ID: I20230327002759 |
| Provider Name | Paul Jacob Schwarz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184845323 PECOS PAC ID: 3870684988 Enrollment ID: I20230331001374 |
| Provider Name | Kelli J True |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790260545 PECOS PAC ID: 9133468416 Enrollment ID: I20230405000195 |
| Provider Name | Catherine D Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349845 PECOS PAC ID: 0547635245 Enrollment ID: I20230411002700 |
| Provider Name | Maria Christina Calderon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144922006 PECOS PAC ID: 6608231071 Enrollment ID: I20230509000409 |
| Provider Name | Alexander Evan Kettering |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548898828 PECOS PAC ID: 4587087903 Enrollment ID: I20230602002508 |
| Provider Name | Andrew Warren Trindle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013265628 PECOS PAC ID: 8820455975 Enrollment ID: I20230605001480 |
| Provider Name | Nihaal P Karnik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407384852 PECOS PAC ID: 5294072054 Enrollment ID: I20230606003351 |
| Provider Name | Shannon Satira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235769423 PECOS PAC ID: 5092137968 Enrollment ID: I20230607000451 |
| Provider Name | Parisa Rose Khalighi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215490446 PECOS PAC ID: 5395079545 Enrollment ID: I20230609001055 |
| Provider Name | Jennie Norton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881387629 PECOS PAC ID: 5597122275 Enrollment ID: I20230612002074 |
| Provider Name | Teresa Pilar Del Rio Montesinos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154979235 PECOS PAC ID: 5294192845 Enrollment ID: I20230613001684 |
| Provider Name | Tinisha R Ricks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255950671 PECOS PAC ID: 1153789607 Enrollment ID: I20230615002317 |
| Provider Name | Thomas M Eggert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750816468 PECOS PAC ID: 7618226259 Enrollment ID: I20230615003472 |
| Provider Name | Sofya Malashanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174150619 PECOS PAC ID: 5395166755 Enrollment ID: I20230620000174 |
| Provider Name | Sydney Picard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144913039 PECOS PAC ID: 9931568060 Enrollment ID: I20230706003803 |
| Provider Name | Arron Cole |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831695568 PECOS PAC ID: 7719224203 Enrollment ID: I20230707000848 |
| Provider Name | Jiheon Song |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710339882 PECOS PAC ID: 1153781992 Enrollment ID: I20230712002272 |
| Provider Name | Kevin W Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043744428 PECOS PAC ID: 5193096543 Enrollment ID: I20230712002430 |
| Provider Name | Prakash Thapaliya |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215145560 PECOS PAC ID: 4183799117 Enrollment ID: I20230712002553 |
| Provider Name | Robert Thomas Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548884174 PECOS PAC ID: 9739502782 Enrollment ID: I20230714001570 |
| Provider Name | Emma Gershun-half |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144905233 PECOS PAC ID: 9133589187 Enrollment ID: I20230721002237 |
| Provider Name | Monica Kimberly Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134757636 PECOS PAC ID: 5294159711 Enrollment ID: I20230727001148 |
| Provider Name | Srdjan Gajic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689036568 PECOS PAC ID: 5991182719 Enrollment ID: I20230727001281 |
| Provider Name | Clarke Latta Henry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750389029 PECOS PAC ID: 9638226301 Enrollment ID: I20230727002747 |
| Provider Name | Mitsutomi Ishiyama |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063823326 PECOS PAC ID: 4385956309 Enrollment ID: I20230803001784 |
| Provider Name | Maria Antonia Renee Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891322996 PECOS PAC ID: 3870916984 Enrollment ID: I20230804001202 |
| Provider Name | Jason L Choi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184005373 PECOS PAC ID: 6800190414 Enrollment ID: I20230807000654 |
| Provider Name | Jennifer Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186237 PECOS PAC ID: 2264700178 Enrollment ID: I20230807000976 |
| Provider Name | Christian Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700413804 PECOS PAC ID: 2163844648 Enrollment ID: I20230808004144 |
| Provider Name | Stephen Michael Peltier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861016602 PECOS PAC ID: 4880018365 Enrollment ID: I20230809003953 |
| Provider Name | Monica Lynn Wink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366054470 PECOS PAC ID: 0244692366 Enrollment ID: I20230821003519 |
| Provider Name | Khadij Assani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467089235 PECOS PAC ID: 5496173650 Enrollment ID: I20230822004088 |
| Provider Name | Samuel M Rosenfeld |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487189080 PECOS PAC ID: 6507134665 Enrollment ID: I20230828003584 |
| Provider Name | Liliana Jurado |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689357576 PECOS PAC ID: 3072976794 Enrollment ID: I20230829002238 |
| Provider Name | Matthew Allerton Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427551217 PECOS PAC ID: 1153721873 Enrollment ID: I20230901001250 |
| Provider Name | Jj H Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235523598 PECOS PAC ID: 8628367372 Enrollment ID: I20230905000890 |
| Provider Name | Kate Onorato Bedrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457883852 PECOS PAC ID: 8022472190 Enrollment ID: I20230908001237 |
| Provider Name | Alvise F Bernabei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20230908003269 |
| Provider Name | Ralph Donald Michel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124522982 PECOS PAC ID: 2860738259 Enrollment ID: I20230914000410 |
| Provider Name | Charlene Kallusch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538359179 PECOS PAC ID: 5890923601 Enrollment ID: I20230918000288 |
| Provider Name | Paul Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871376970 PECOS PAC ID: 5597129924 Enrollment ID: I20230918003250 |
| Provider Name | Christopher Jihoon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811514854 PECOS PAC ID: 7315391687 Enrollment ID: I20230921000279 |
| Provider Name | Kelly A Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740824564 PECOS PAC ID: 9931537263 Enrollment ID: I20230921001064 |
| Provider Name | Jennifer Waterhouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568923704 PECOS PAC ID: 3173866902 Enrollment ID: I20230922003252 |
| Provider Name | Rakesh Kumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164207312 PECOS PAC ID: 0446604391 Enrollment ID: I20230926001663 |
| Provider Name | Nora N Ekeanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154749844 PECOS PAC ID: 8628370467 Enrollment ID: I20230928001923 |
| Provider Name | Anna Kim T Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295480846 PECOS PAC ID: 9335525567 Enrollment ID: I20230928004064 |
| Provider Name | Michael Tzeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942829080 PECOS PAC ID: 8022430842 Enrollment ID: I20230929002714 |
| Provider Name | Priscilla Huang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114422656 PECOS PAC ID: 0345598983 Enrollment ID: I20230929003514 |
| Provider Name | Ifeoma Victoria Oriaku |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417319526 PECOS PAC ID: 6901131812 Enrollment ID: I20231004002565 |
| Provider Name | Marc Pagaduan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538515762 PECOS PAC ID: 6608159785 Enrollment ID: I20231009002188 |
| Provider Name | Luke C. Boardman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780362574 PECOS PAC ID: 1951756071 Enrollment ID: I20231010002210 |
| Provider Name | Leah Ann Jackson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952026908 PECOS PAC ID: 3072968841 Enrollment ID: I20231013002200 |
| Provider Name | Joe D Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952916272 PECOS PAC ID: 0547671901 Enrollment ID: I20231027002102 |
| Provider Name | Abby Fredrickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376063370 PECOS PAC ID: 0547685125 Enrollment ID: I20231114000445 |
| Provider Name | Madeleine Rene Salisbury |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467950808 PECOS PAC ID: 0446607360 Enrollment ID: I20231114000935 |
| Provider Name | Sherrie O Oladapo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134656408 PECOS PAC ID: 2365715091 Enrollment ID: I20231114003776 |
| Provider Name | Mehrdad M Farid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073637286 PECOS PAC ID: 1254416662 Enrollment ID: I20231117002780 |
| Provider Name | Natalie Jean Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417735531 PECOS PAC ID: 0042669152 Enrollment ID: I20231214003237 |
| Provider Name | Brady Glenn Christoph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659854784 PECOS PAC ID: 9234589995 Enrollment ID: I20231221002363 |
| Provider Name | Sarah Clark |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942628078 PECOS PAC ID: 9830318740 Enrollment ID: I20231229001737 |
| Provider Name | Brendan Jc O'malley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033550819 PECOS PAC ID: 6406158617 Enrollment ID: I20240106000844 |
| Provider Name | Candice Hardee Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790282036 PECOS PAC ID: 4789939737 Enrollment ID: I20240109001040 |
| Provider Name | Jerid Norbert Stevenot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417474990 PECOS PAC ID: 9537510086 Enrollment ID: I20240109001646 |
| Provider Name | Stewart M Long |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1588720007 PECOS PAC ID: 0244328896 Enrollment ID: I20240110005332 |
| Provider Name | Walter F Kerwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457397556 PECOS PAC ID: 7012916158 Enrollment ID: I20240113000217 |
| Provider Name | Westmoreland Melcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346014917 PECOS PAC ID: 3577915305 Enrollment ID: I20240117003609 |
| Provider Name | Abigail P Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003497512 PECOS PAC ID: 6608270145 Enrollment ID: I20240122003042 |
| Provider Name | Anita Pairitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851376230 PECOS PAC ID: 8325092703 Enrollment ID: I20240123001382 |
| Provider Name | Atul Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942392212 PECOS PAC ID: 4284530288 Enrollment ID: I20240123005032 |
| Provider Name | Maureen Caroline Lilly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124641527 PECOS PAC ID: 2062865207 Enrollment ID: I20240124002618 |
| Provider Name | Anastasia Powell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750152302 PECOS PAC ID: 8426401274 Enrollment ID: I20240127000747 |
| Provider Name | Hamid Reza Latifi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265485700 PECOS PAC ID: 8123922457 Enrollment ID: I20240131003587 |
| Provider Name | Aditya Gutta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114260924 PECOS PAC ID: 7012210552 Enrollment ID: I20240201004530 |
| Provider Name | Kathy Jeanette Castille Aliffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962470757 PECOS PAC ID: 3375566425 Enrollment ID: I20240212004109 |
| Provider Name | Cheryl A Collier-brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780676783 PECOS PAC ID: 3173520194 Enrollment ID: I20240216002074 |
| Provider Name | Barrett Haynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306543822 PECOS PAC ID: 5294179289 Enrollment ID: I20240217000716 |
| Provider Name | Richard Harrison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558130146 PECOS PAC ID: 0840634887 Enrollment ID: I20240219001529 |
| Provider Name | Jennifer Hodge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881005155 PECOS PAC ID: 6800012667 Enrollment ID: I20240227003072 |
| Provider Name | Nicole E Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588299671 PECOS PAC ID: 1759726474 Enrollment ID: I20240304001626 |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20240307002900 |
| Provider Name | Joel A Dunlap |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962479733 PECOS PAC ID: 4789768276 Enrollment ID: I20240313001885 |
| Provider Name | Daniel Soroff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104806314 PECOS PAC ID: 7810945847 Enrollment ID: I20240314000708 |
| Provider Name | Jorge Alchammas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679953996 PECOS PAC ID: 3971812777 Enrollment ID: I20240320004146 |
| Provider Name | Nathalie Paulette Farage |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699444661 PECOS PAC ID: 5799122750 Enrollment ID: I20240326002409 |
| Provider Name | Steven Sharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366890857 PECOS PAC ID: 9436443256 Enrollment ID: I20240328003687 |
| Provider Name | Angela Ekeresi Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114196995 PECOS PAC ID: 0547386054 Enrollment ID: I20240329001517 |
| Provider Name | Emily Huang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245885938 PECOS PAC ID: 6204274590 Enrollment ID: I20240405000503 |
| Provider Name | Cade Mars Dibble |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720514565 PECOS PAC ID: 5991143216 Enrollment ID: I20240405001879 |
| Provider Name | Astrid Bianca Herard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255598512 PECOS PAC ID: 0345435186 Enrollment ID: I20240405002865 |
| Provider Name | Nicole R Okada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679192017 PECOS PAC ID: 6204275456 Enrollment ID: I20240419002989 |
| Provider Name | Valerie R Birdsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033687983 PECOS PAC ID: 4880048388 Enrollment ID: I20240422000177 |
| Provider Name | Tara A Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578066320 PECOS PAC ID: 6103244041 Enrollment ID: I20240422001911 |
| Provider Name | Varsha Dante |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477172351 PECOS PAC ID: 9931549748 Enrollment ID: I20240426001910 |
| Provider Name | Ksenia Skorohodova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720510175 PECOS PAC ID: 6608144852 Enrollment ID: I20240523001332 |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Washington Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Dexter Ave N Ste 179, Seattle, WA 98109 Phone: 206-866-0076 Fax: 866-279-4704 | |
Rainier Beach Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Rainier Ave S, Seattle, WA 98118 Phone: 206-548-7600 Fax: 206-548-7601 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Virginia Mason Medical Center-gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Neighborcare Health At Denny International Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 Sw Kenyon St, Seattle, WA 98126 Phone: 206-923-2809 Fax: 206-923-2818 | |
Pacific Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 12th Ave S, Seattle, WA 98124 Phone: 206-621-4316 |