| Harmonycares Medical Group | |
|
500 Kirts Blvd Suite 200 Troy MI 48084-4134 | |
| (248) 824-6060 | |
| (248) 686-0772 |
| Full Name | Harmonycares Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Kirts Blvd, Troy, Michigan |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmonycares Medical Group Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 824-6600 | Harmonycares Medical Group 500 Kirts Blvd Suite 200 Troy MI 48084-4134 Ph: (248) 824-6060 |
| NPI Number | 1336153295 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 9234041948 |
|---|---|
| Medicare Enrollment ID | O20031103000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336153295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Erlinda B Delpilar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518902741 PECOS PAC ID: 6800708454 Enrollment ID: I20031205000419 |
| Provider Name | Umeika Makita Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851329338 PECOS PAC ID: 2668372582 Enrollment ID: I20040108001114 |
| Provider Name | Sarah Anne Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285666701 PECOS PAC ID: 1557261245 Enrollment ID: I20040109000715 |
| Provider Name | Michael N Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205824505 PECOS PAC ID: 3577466945 Enrollment ID: I20040202000168 |
| Provider Name | Jaime T Yambao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033167226 PECOS PAC ID: 2567355969 Enrollment ID: I20040207000088 |
| Provider Name | Jose Paez Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497706410 PECOS PAC ID: 5092607317 Enrollment ID: I20040329001774 |
| Provider Name | William K Nasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811947146 PECOS PAC ID: 6406849892 Enrollment ID: I20040402001382 |
| Provider Name | Richard J Keirn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801937644 PECOS PAC ID: 9234122383 Enrollment ID: I20040406000141 |
| Provider Name | Russell Diponio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003893330 PECOS PAC ID: 4981698750 Enrollment ID: I20040413001803 |
| Provider Name | Kenneth J Tobin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700962727 PECOS PAC ID: 3072507631 Enrollment ID: I20040414001363 |
| Provider Name | Minnie L Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760565584 PECOS PAC ID: 8527056332 Enrollment ID: I20040503000072 |
| Provider Name | Amgad L Nashed Awad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518917491 PECOS PAC ID: 2860483625 Enrollment ID: I20040520000529 |
| Provider Name | Cassandra E Wormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217437 PECOS PAC ID: 2365423167 Enrollment ID: I20040527000465 |
| Provider Name | Michael W Borgeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073614251 PECOS PAC ID: 4082690417 Enrollment ID: I20040626000387 |
| Provider Name | Daniel Thomas Carrel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831127158 PECOS PAC ID: 0345226783 Enrollment ID: I20040626000404 |
| Provider Name | Susan E Little Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366530941 PECOS PAC ID: 9931185931 Enrollment ID: I20040629001105 |
| Provider Name | Satish B Salvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275589509 PECOS PAC ID: 1951219989 Enrollment ID: I20040721000416 |
| Provider Name | Jeffrey M Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992769285 PECOS PAC ID: 5395719009 Enrollment ID: I20040819001177 |
| Provider Name | James Sterling Cabeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740275981 PECOS PAC ID: 5698737930 Enrollment ID: I20041101000149 |
| Provider Name | Annemarie Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631147 PECOS PAC ID: 4183691959 Enrollment ID: I20041129000223 |
| Provider Name | John Duhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821043613 PECOS PAC ID: 0840241683 Enrollment ID: I20050209000292 |
| Provider Name | Todd A Lockwitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861456071 PECOS PAC ID: 9335191907 Enrollment ID: I20050211000688 |
| Provider Name | George A Kodsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568449882 PECOS PAC ID: 7517905243 Enrollment ID: I20050421001445 |
| Provider Name | Mary A Cracium |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790750685 PECOS PAC ID: 0749223584 Enrollment ID: I20050602001131 |
| Provider Name | Debra J Gaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063501765 PECOS PAC ID: 6800830654 Enrollment ID: I20050614000138 |
| Provider Name | Dianne K Junior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003806688 PECOS PAC ID: 9335175363 Enrollment ID: I20050712000331 |
| Provider Name | Barid B Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841278744 PECOS PAC ID: 7315979499 Enrollment ID: I20050909000329 |
| Provider Name | Teresa R Farah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235158080 PECOS PAC ID: 3678598455 Enrollment ID: I20051011000487 |
| Provider Name | Christie Ann Schunemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013909001 PECOS PAC ID: 9436176559 Enrollment ID: I20051028000113 |
| Provider Name | Katrina Denise Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053399337 PECOS PAC ID: 2961423173 Enrollment ID: I20051215000641 |
| Provider Name | Jennifer A Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467538504 PECOS PAC ID: 9436165776 Enrollment ID: I20060224000019 |
| Provider Name | Sandria Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104817733 PECOS PAC ID: 2365401619 Enrollment ID: I20061110000022 |
| Provider Name | Sheila M Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891880712 PECOS PAC ID: 9537168463 Enrollment ID: I20061204000245 |
| Provider Name | Lynn Beatty Athens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164522785 PECOS PAC ID: 6901805795 Enrollment ID: I20061205000112 |
| Provider Name | Amy Oldejans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972687978 PECOS PAC ID: 4284633413 Enrollment ID: I20061215000242 |
| Provider Name | Tracey E Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710091376 PECOS PAC ID: 3274533930 Enrollment ID: I20070102000344 |
| Provider Name | Amanda M Huver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619960598 PECOS PAC ID: 1658371182 Enrollment ID: I20070108000362 |
| Provider Name | Shivakumar Reddy Deva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750427159 PECOS PAC ID: 1658474879 Enrollment ID: I20070308000409 |
| Provider Name | Clarisse M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932247889 PECOS PAC ID: 3173628468 Enrollment ID: I20070416000117 |
| Provider Name | Elizabeth Eden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841278645 PECOS PAC ID: 8527157346 Enrollment ID: I20071203000048 |
| Provider Name | Linda A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356330633 PECOS PAC ID: 2567551781 Enrollment ID: I20071211000172 |
| Provider Name | Ramin Rafie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558471326 PECOS PAC ID: 7416034004 Enrollment ID: I20080407000521 |
| Provider Name | Edgar A Pou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588794523 PECOS PAC ID: 1153492244 Enrollment ID: I20080617000617 |
| Provider Name | Rigel M Galera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023297967 PECOS PAC ID: 9133292188 Enrollment ID: I20080723000870 |
| Provider Name | Marianne Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053577163 PECOS PAC ID: 3870661374 Enrollment ID: I20081010000473 |
| Provider Name | Flura Salman Dawde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518171230 PECOS PAC ID: 7113086471 Enrollment ID: I20081101000109 |
| Provider Name | Leticia T Dantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265684047 PECOS PAC ID: 6709947971 Enrollment ID: I20081205000472 |
| Provider Name | Matthew Mcdonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730338393 PECOS PAC ID: 2567525579 Enrollment ID: I20090116000079 |
| Provider Name | Cheryl M Jusela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598950263 PECOS PAC ID: 8921163122 Enrollment ID: I20090224000070 |
| Provider Name | Holly Husted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750438214 PECOS PAC ID: 2668529256 Enrollment ID: I20090420000048 |
| Provider Name | Eunice Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114196748 PECOS PAC ID: 5698842888 Enrollment ID: I20090604000392 |
| Provider Name | Karen A Thornburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003938119 PECOS PAC ID: 3375697337 Enrollment ID: I20090811000328 |
| Provider Name | Orest J Sowirka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396720561 PECOS PAC ID: 8022164060 Enrollment ID: I20090916000711 |
| Provider Name | Barbara L Ciesliga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851525802 PECOS PAC ID: 8426104381 Enrollment ID: I20090917000159 |
| Provider Name | Mounir B Mikhaeil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134452501 PECOS PAC ID: 1153467410 Enrollment ID: I20090930000512 |
| Provider Name | Alison J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326255746 PECOS PAC ID: 8628114659 Enrollment ID: I20091006000267 |
| Provider Name | Dietmar J Grentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346269586 PECOS PAC ID: 6901942341 Enrollment ID: I20091015000164 |
| Provider Name | Kirk J Wojno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386620730 PECOS PAC ID: 3678534815 Enrollment ID: I20100106000365 |
| Provider Name | Marie E Mateo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558327023 PECOS PAC ID: 7416933619 Enrollment ID: I20100111000371 |
| Provider Name | Joseph Armovit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457308330 PECOS PAC ID: 9032251871 Enrollment ID: I20100116000357 |
| Provider Name | Michael H Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770790982 PECOS PAC ID: 6002958840 Enrollment ID: I20100116000381 |
| Provider Name | Jason Wulff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615777 PECOS PAC ID: 0244374858 Enrollment ID: I20100220000285 |
| Provider Name | Jim F Orosz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346337193 PECOS PAC ID: 9133264062 Enrollment ID: I20100303000804 |
| Provider Name | Mckenzy F Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154647782 PECOS PAC ID: 9537293436 Enrollment ID: I20100813000765 |
| Provider Name | Mark R Beard |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003070723 PECOS PAC ID: 2860517810 Enrollment ID: I20100914000535 |
| Provider Name | Samir Bateriwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073835476 PECOS PAC ID: 7618162652 Enrollment ID: I20101116000498 |
| Provider Name | Kelli A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821318981 PECOS PAC ID: 5890982086 Enrollment ID: I20101214000991 |
| Provider Name | Purvaj Mahendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730344029 PECOS PAC ID: 8820279474 Enrollment ID: I20110302000249 |
| Provider Name | Jennifer M Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801101159 PECOS PAC ID: 5597947721 Enrollment ID: I20110309000927 |
| Provider Name | Danielle M Bessesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306140819 PECOS PAC ID: 6002099736 Enrollment ID: I20110317000737 |
| Provider Name | Bruce R Hyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669628160 PECOS PAC ID: 9739362328 Enrollment ID: I20110318000617 |
| Provider Name | Michael A Amlog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215196225 PECOS PAC ID: 4688852809 Enrollment ID: I20110616000798 |
| Provider Name | Jeffery J Libra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619009826 PECOS PAC ID: 1355516360 Enrollment ID: I20111202000117 |
| Provider Name | Christine S Vesnaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538447453 PECOS PAC ID: 5294993606 Enrollment ID: I20120214000782 |
| Provider Name | Angela Ruby Yurk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538368006 PECOS PAC ID: 3779741996 Enrollment ID: I20120220000732 |
| Provider Name | Thomas P Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992887905 PECOS PAC ID: 2769641430 Enrollment ID: I20120315000651 |
| Provider Name | Prashanti Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952578056 PECOS PAC ID: 1254591761 Enrollment ID: I20120320000928 |
| Provider Name | Ronald Woodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629335948 PECOS PAC ID: 3476626177 Enrollment ID: I20120511000539 |
| Provider Name | Gary D Poelman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336261395 PECOS PAC ID: 7810151529 Enrollment ID: I20120608000504 |
| Provider Name | Melanie T Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326357013 PECOS PAC ID: 6204092901 Enrollment ID: I20120725000126 |
| Provider Name | Alexander Cusmano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164757514 PECOS PAC ID: 2062678618 Enrollment ID: I20120725000844 |
| Provider Name | Varinia Urday Gamalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033314869 PECOS PAC ID: 0749436806 Enrollment ID: I20120807000070 |
| Provider Name | Angel S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639425267 PECOS PAC ID: 7315190477 Enrollment ID: I20130123000547 |
| Provider Name | Wendy Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275894032 PECOS PAC ID: 0749434785 Enrollment ID: I20130129000260 |
| Provider Name | Melissa Mariutza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457607251 PECOS PAC ID: 9830344233 Enrollment ID: I20130311000497 |
| Provider Name | Kristina Marie Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962755058 PECOS PAC ID: 3476798455 Enrollment ID: I20130321000564 |
| Provider Name | Kimberly D Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388448 PECOS PAC ID: 4385881903 Enrollment ID: I20130518000073 |
| Provider Name | Miriam Veldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295965499 PECOS PAC ID: 9032360474 Enrollment ID: I20130930000229 |
| Provider Name | Cynthia D Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326489212 PECOS PAC ID: 6901031129 Enrollment ID: I20131024000753 |
| Provider Name | Jacklyn M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522267 PECOS PAC ID: 2466687462 Enrollment ID: I20131029001041 |
| Provider Name | Lindsey Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093028854 PECOS PAC ID: 8022244102 Enrollment ID: I20131119001934 |
| Provider Name | Mary E Kocenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104456 PECOS PAC ID: 3375773179 Enrollment ID: I20140221001493 |
| Provider Name | Almeta M Andary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987188 PECOS PAC ID: 6204066343 Enrollment ID: I20140311000980 |
| Provider Name | Christie Y Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780019265 PECOS PAC ID: 7517199409 Enrollment ID: I20140408000553 |
| Provider Name | Shelia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747311 PECOS PAC ID: 5294966479 Enrollment ID: I20140421000486 |
| Provider Name | Sheila S Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639593361 PECOS PAC ID: 7214150069 Enrollment ID: I20140522002195 |
| Provider Name | Erin L Rockwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235410762 PECOS PAC ID: 8921238619 Enrollment ID: I20140806000148 |
| Provider Name | Roslyn D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526363 PECOS PAC ID: 5395962104 Enrollment ID: I20140818002255 |
| Provider Name | Ramona K Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316009665 PECOS PAC ID: 5092722199 Enrollment ID: I20140930002714 |
| Provider Name | Topaz Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151993 PECOS PAC ID: 8628298932 Enrollment ID: I20141009001102 |
| Provider Name | Bridget Ann Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012308 PECOS PAC ID: 3779703889 Enrollment ID: I20141013000098 |
| Provider Name | Nancy L Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005884 PECOS PAC ID: 0648443069 Enrollment ID: I20141117000593 |
| Provider Name | Erin K Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505336 PECOS PAC ID: 5799007753 Enrollment ID: I20141201002232 |
| Provider Name | Marquetta Y Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629400270 PECOS PAC ID: 2365767159 Enrollment ID: I20150219002055 |
| Provider Name | Amanda L Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699013268 PECOS PAC ID: 8628396587 Enrollment ID: I20150406001881 |
| Provider Name | Nancy Byington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841689585 PECOS PAC ID: 3072831593 Enrollment ID: I20150414000925 |
| Provider Name | Joy V Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339989 PECOS PAC ID: 6406042126 Enrollment ID: I20150423002564 |
| Provider Name | Ashley Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427442243 PECOS PAC ID: 8022338904 Enrollment ID: I20150515001259 |
| Provider Name | Emily Eliza Pyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215322805 PECOS PAC ID: 4486974953 Enrollment ID: I20150522002097 |
| Provider Name | Andrea Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398827 PECOS PAC ID: 0042531295 Enrollment ID: I20150601000501 |
| Provider Name | Sukhpreet K Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336401124 PECOS PAC ID: 3678706645 Enrollment ID: I20150615000336 |
| Provider Name | Beth A Palmateer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417338914 PECOS PAC ID: 4486967148 Enrollment ID: I20150723008840 |
| Provider Name | Rajan Dewar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306952510 PECOS PAC ID: 6204831829 Enrollment ID: I20150821013552 |
| Provider Name | Jennifer L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141822 PECOS PAC ID: 9931415429 Enrollment ID: I20150828001201 |
| Provider Name | Justin M Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807933 PECOS PAC ID: 6901113240 Enrollment ID: I20150917002808 |
| Provider Name | Shawn M Gorkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801625 PECOS PAC ID: 2163730847 Enrollment ID: I20150929002692 |
| Provider Name | Adrienne F Nalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511080 PECOS PAC ID: 3375843618 Enrollment ID: I20151118001901 |
| Provider Name | Theresa M Player Rowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828356 PECOS PAC ID: 7810298148 Enrollment ID: I20151210001802 |
| Provider Name | Angela C Ricaurte-valle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750637583 PECOS PAC ID: 3072752922 Enrollment ID: I20160125001759 |
| Provider Name | Joseph V. Zarrillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295931699 PECOS PAC ID: 0345543138 Enrollment ID: I20160128001977 |
| Provider Name | Ivette M Zarrillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295931772 PECOS PAC ID: 0244534923 Enrollment ID: I20160201002824 |
| Provider Name | Mimoza Zaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786954 PECOS PAC ID: 1850697533 Enrollment ID: I20160307000480 |
| Provider Name | Stacy Meitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205297876 PECOS PAC ID: 0547567802 Enrollment ID: I20160331001023 |
| Provider Name | Erika B Prisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019653 PECOS PAC ID: 3577862523 Enrollment ID: I20160426002100 |
| Provider Name | Eunice Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356607881 PECOS PAC ID: 2264681204 Enrollment ID: I20160516002192 |
| Provider Name | Christinie A Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134582828 PECOS PAC ID: 2860782984 Enrollment ID: I20160602000292 |
| Provider Name | Sunita Pudasaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255532 PECOS PAC ID: 4284926452 Enrollment ID: I20160707002524 |
| Provider Name | Seth G Hauschild |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952747883 PECOS PAC ID: 8123349479 Enrollment ID: I20160721000101 |
| Provider Name | Kimberly Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258627 PECOS PAC ID: 7315231016 Enrollment ID: I20160803001005 |
| Provider Name | Julia Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561188 PECOS PAC ID: 2163717893 Enrollment ID: I20160819001779 |
| Provider Name | Christie M Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599509 PECOS PAC ID: 2961797063 Enrollment ID: I20160829002224 |
| Provider Name | John A Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659828663 PECOS PAC ID: 9032407978 Enrollment ID: I20161010001846 |
| Provider Name | Aleisha Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700233889 PECOS PAC ID: 4486932571 Enrollment ID: I20161025000059 |
| Provider Name | Dayna Buiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247779 PECOS PAC ID: 6507146768 Enrollment ID: I20161205000641 |
| Provider Name | Jean-luc Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457302747 PECOS PAC ID: 2466469127 Enrollment ID: I20170123000410 |
| Provider Name | Klajdi Ndini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239026 PECOS PAC ID: 7214210061 Enrollment ID: I20170202000052 |
| Provider Name | Juan Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351495 PECOS PAC ID: 3476837212 Enrollment ID: I20170223000453 |
| Provider Name | Dequindra Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417303355 PECOS PAC ID: 3173807419 Enrollment ID: I20170303001827 |
| Provider Name | Stacey L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548602162 PECOS PAC ID: 2668757667 Enrollment ID: I20170313002285 |
| Provider Name | Joji Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902341043 PECOS PAC ID: 9537444138 Enrollment ID: I20170322001532 |
| Provider Name | Shantae Monae Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406752 PECOS PAC ID: 3870878010 Enrollment ID: I20170330000760 |
| Provider Name | Philecia Benman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992241103 PECOS PAC ID: 5991081127 Enrollment ID: I20170424001298 |
| Provider Name | Kelsey Kurtenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376089086 PECOS PAC ID: 6406133693 Enrollment ID: I20170425001660 |
| Provider Name | Melissa M Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134674666 PECOS PAC ID: 6305123852 Enrollment ID: I20170510001302 |
| Provider Name | Antonya D Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954301 PECOS PAC ID: 5395062848 Enrollment ID: I20170615000880 |
| Provider Name | John P Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689082539 PECOS PAC ID: 1850669300 Enrollment ID: I20170626000120 |
| Provider Name | Laurene Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063954089 PECOS PAC ID: 5092084095 Enrollment ID: I20170707000411 |
| Provider Name | Michelle Gingrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356861801 PECOS PAC ID: 8527337419 Enrollment ID: I20170710000620 |
| Provider Name | William Lewis Dobie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265640049 PECOS PAC ID: 5395821433 Enrollment ID: I20170809001053 |
| Provider Name | Mary Katherine Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415474 PECOS PAC ID: 2365717378 Enrollment ID: I20171002000378 |
| Provider Name | Danielle Friar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336668854 PECOS PAC ID: 9830465913 Enrollment ID: I20171017001914 |
| Provider Name | Badawi Abdellatif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376740548 PECOS PAC ID: 3173899150 Enrollment ID: I20171018001918 |
| Provider Name | Stephanie Marie Bonora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891209391 PECOS PAC ID: 2466719422 Enrollment ID: I20171129001054 |
| Provider Name | Stephanie Kay Kertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326414160 PECOS PAC ID: 7911215363 Enrollment ID: I20171228000072 |
| Provider Name | Disha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659885408 PECOS PAC ID: 4587924964 Enrollment ID: I20180202001005 |
| Provider Name | Caroline Michelle Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084133 PECOS PAC ID: 2062772007 Enrollment ID: I20180212001882 |
| Provider Name | Ismael H Soto Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699787556 PECOS PAC ID: 8527082320 Enrollment ID: I20180309000029 |
| Provider Name | Angelique Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477876019 PECOS PAC ID: 2365704814 Enrollment ID: I20180320003272 |
| Provider Name | Santos Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518989714 PECOS PAC ID: 0648301911 Enrollment ID: I20180327000675 |
| Provider Name | Alexa Rae Stortz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083120497 PECOS PAC ID: 2860754066 Enrollment ID: I20180328002146 |
| Provider Name | Porcha Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508393711 PECOS PAC ID: 0345503157 Enrollment ID: I20180409002014 |
| Provider Name | Danielle Marie Sawdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730542564 PECOS PAC ID: 8325347222 Enrollment ID: I20180501000202 |
| Provider Name | Lu Ying Hei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285122713 PECOS PAC ID: 3971867581 Enrollment ID: I20180508001132 |
| Provider Name | Christine Boven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093205817 PECOS PAC ID: 7517222375 Enrollment ID: I20180525000995 |
| Provider Name | Nada Sareini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578069357 PECOS PAC ID: 4284654310 Enrollment ID: I20180604001174 |
| Provider Name | Lavonne L Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981292 PECOS PAC ID: 1951657592 Enrollment ID: I20180711003610 |
| Provider Name | Chia Hui Neilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447744727 PECOS PAC ID: 0941557896 Enrollment ID: I20180724000271 |
| Provider Name | Uzair A Munshey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841671146 PECOS PAC ID: 2264747427 Enrollment ID: I20180725001375 |
| Provider Name | Kristopher Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932588449 PECOS PAC ID: 0840593547 Enrollment ID: I20180803000556 |
| Provider Name | Shera C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598244246 PECOS PAC ID: 6709136039 Enrollment ID: I20180907001880 |
| Provider Name | Hana H Bazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061501 PECOS PAC ID: 9537411566 Enrollment ID: I20181002003195 |
| Provider Name | Gillian Margaret Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872279 PECOS PAC ID: 2860746807 Enrollment ID: I20181112000108 |
| Provider Name | Sherrilyn W Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457612343 PECOS PAC ID: 7618132887 Enrollment ID: I20181120003294 |
| Provider Name | Robert M Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740757418 PECOS PAC ID: 5597009365 Enrollment ID: I20181205001025 |
| Provider Name | Latanya Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396140372 PECOS PAC ID: 0143564658 Enrollment ID: I20181210001575 |
| Provider Name | Shannon M Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538630587 PECOS PAC ID: 0244577187 Enrollment ID: I20190130001318 |
| Provider Name | Debbie Alger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982113817 PECOS PAC ID: 1759629579 Enrollment ID: I20190220001813 |
| Provider Name | Stephen D Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700885498 PECOS PAC ID: 1850289307 Enrollment ID: I20190228001789 |
| Provider Name | Luzia Tuggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104123751 PECOS PAC ID: 4789869496 Enrollment ID: I20190308000136 |
| Provider Name | Shirley Marie Vicente-castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558835595 PECOS PAC ID: 2567702939 Enrollment ID: I20190321000609 |
| Provider Name | Theonna Monique Hindmon-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003381500 PECOS PAC ID: 3577805837 Enrollment ID: I20190507001254 |
| Provider Name | Danmar T Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104384106 PECOS PAC ID: 2062755721 Enrollment ID: I20190521000107 |
| Provider Name | Georgia Olga Pozios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013449859 PECOS PAC ID: 4486997863 Enrollment ID: I20190529000516 |
| Provider Name | Amy Nicole Meints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602434 PECOS PAC ID: 8325371404 Enrollment ID: I20190604002321 |
| Provider Name | James H Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497217822 PECOS PAC ID: 3577898204 Enrollment ID: I20190717001587 |
| Provider Name | Thomas Carlisle Rountree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679960777 PECOS PAC ID: 7618281007 Enrollment ID: I20190726000892 |
| Provider Name | Jennifer Datzko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568005569 PECOS PAC ID: 3870825326 Enrollment ID: I20191101001381 |
| Provider Name | Sarah Renee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528600061 PECOS PAC ID: 7113352535 Enrollment ID: I20200113002262 |
| Provider Name | Cadelia Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992272496 PECOS PAC ID: 6901231992 Enrollment ID: I20200122000694 |
| Provider Name | Nichole Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720584899 PECOS PAC ID: 5597190447 Enrollment ID: I20200122003168 |
| Provider Name | Amorena L Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952861874 PECOS PAC ID: 0840628590 Enrollment ID: I20200312000789 |
| Provider Name | Charli Marie Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477193134 PECOS PAC ID: 3375972441 Enrollment ID: I20200413000197 |
| Provider Name | Ladawn Denise Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482692 PECOS PAC ID: 0042640682 Enrollment ID: I20200422000126 |
| Provider Name | Mohamad Hamdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134652209 PECOS PAC ID: 1658792783 Enrollment ID: I20200602001152 |
| Provider Name | Ermira Dinkollari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592712 PECOS PAC ID: 4981023504 Enrollment ID: I20201001001223 |
| Provider Name | Rebecca Jo Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515586 PECOS PAC ID: 0345660221 Enrollment ID: I20201014002022 |
| Provider Name | Sena Yehya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825371 PECOS PAC ID: 2668882887 Enrollment ID: I20201029000640 |
| Provider Name | Kayla Marie Sterrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097321 PECOS PAC ID: 5799197588 Enrollment ID: I20201221001055 |
| Provider Name | Robert Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548870769 PECOS PAC ID: 2860805157 Enrollment ID: I20210105002617 |
| Provider Name | Hang Thanh Ruzycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730794330 PECOS PAC ID: 7810300654 Enrollment ID: I20210115000443 |
| Provider Name | Kerri Lynn Leich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013541499 PECOS PAC ID: 3274948690 Enrollment ID: I20210217002237 |
| Provider Name | Sarah Renee Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528681681 PECOS PAC ID: 5890102693 Enrollment ID: I20210323001277 |
| Provider Name | Amy M Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702810 PECOS PAC ID: 8123435245 Enrollment ID: I20210407001541 |
| Provider Name | Amanda Katherine Chmielewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831712025 PECOS PAC ID: 0648689752 Enrollment ID: I20210430001710 |
| Provider Name | Ligia Gabriela Martinescul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154897809 PECOS PAC ID: 0143639179 Enrollment ID: I20210504001968 |
| Provider Name | Ruxandra Maria Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909978 PECOS PAC ID: 5092115725 Enrollment ID: I20210616002663 |
| Provider Name | James Chege Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639758899 PECOS PAC ID: 0648672790 Enrollment ID: I20210712002634 |
| Provider Name | Kathryn Knight-lossing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285205419 PECOS PAC ID: 7719380997 Enrollment ID: I20210726002203 |
| Provider Name | Anilda Gjergji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821679200 PECOS PAC ID: 0345646857 Enrollment ID: I20210909000505 |
| Provider Name | Katarzyna Noelle Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701798 PECOS PAC ID: 9931505005 Enrollment ID: I20210915001688 |
| Provider Name | Dion Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619305406 PECOS PAC ID: 3173911021 Enrollment ID: I20211026000188 |
| Provider Name | Dana Hilden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750048179 PECOS PAC ID: 1254721186 Enrollment ID: I20211207001807 |
| Provider Name | Lindsey Woodbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619515053 PECOS PAC ID: 5991131583 Enrollment ID: I20211208001992 |
| Provider Name | Kacie Humiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616822 PECOS PAC ID: 0345631677 Enrollment ID: I20211222000137 |
| Provider Name | Soha Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083274542 PECOS PAC ID: 6305230020 Enrollment ID: I20220223000994 |
| Provider Name | Ayesha C Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538978 PECOS PAC ID: 4789078247 Enrollment ID: I20220225001290 |
| Provider Name | Carmen Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982156972 PECOS PAC ID: 3971998865 Enrollment ID: I20220310002154 |
| Provider Name | Crystal Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609549633 PECOS PAC ID: 9931595725 Enrollment ID: I20220404001665 |
| Provider Name | Wanda Theresa Bignotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225551716 PECOS PAC ID: 6901292648 Enrollment ID: I20220406002203 |
| Provider Name | Mary Minoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164167474 PECOS PAC ID: 9537547831 Enrollment ID: I20220526002874 |
| Provider Name | Ashley N Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738885 PECOS PAC ID: 9032597166 Enrollment ID: I20220602000447 |
| Provider Name | Heather Keillor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154067783 PECOS PAC ID: 8123409380 Enrollment ID: I20220719002080 |
| Provider Name | Jacquelyn Mary Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710611470 PECOS PAC ID: 2769866185 Enrollment ID: I20220903000162 |
| Provider Name | Brianna Schuelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266264 PECOS PAC ID: 9537594494 Enrollment ID: I20221031001181 |
| Provider Name | Holly Marie Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083366397 PECOS PAC ID: 6406224906 Enrollment ID: I20221114002792 |
| Provider Name | Amy Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043859564 PECOS PAC ID: 5890165385 Enrollment ID: I20221227001248 |
| Provider Name | Erika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296840 PECOS PAC ID: 4082085477 Enrollment ID: I20230123001140 |
| Provider Name | Jenifer Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336745504 PECOS PAC ID: 9739552696 Enrollment ID: I20230224001125 |
| Provider Name | Radhika Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184338535 PECOS PAC ID: 2365816063 Enrollment ID: I20230321000271 |
| Provider Name | Angela M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099566 PECOS PAC ID: 6305211863 Enrollment ID: I20230414000868 |
| Provider Name | Kimberly Elizabeth-torionna Lorick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748916 PECOS PAC ID: 5799150074 Enrollment ID: I20230419001518 |
| Provider Name | Michelle Ann Hyjek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366031056 PECOS PAC ID: 7810352390 Enrollment ID: I20230505001899 |
| Provider Name | Diane Amir Mansour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710589429 PECOS PAC ID: 0547625030 Enrollment ID: I20230505002368 |
| Provider Name | Zeinab Harb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450344 PECOS PAC ID: 1850757238 Enrollment ID: I20230510002765 |
| Provider Name | Michelle Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033835996 PECOS PAC ID: 5698131977 Enrollment ID: I20230510003215 |
| Provider Name | Samantha Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063826840 PECOS PAC ID: 7315168424 Enrollment ID: I20230523001546 |
| Provider Name | Mirna Jadan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396368643 PECOS PAC ID: 5294157137 Enrollment ID: I20230530000408 |
| Provider Name | Lata Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861600561 PECOS PAC ID: 3678666930 Enrollment ID: I20230601000288 |
| Provider Name | Tina Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205574118 PECOS PAC ID: 7517325061 Enrollment ID: I20230615002283 |
| Provider Name | Alexandra Michelle Dasuqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629709571 PECOS PAC ID: 7416324884 Enrollment ID: I20230628004004 |
| Provider Name | Shairee Shaileshkumar Dalwadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801528997 PECOS PAC ID: 1759740046 Enrollment ID: I20230705001360 |
| Provider Name | Jessica Anne Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681115 PECOS PAC ID: 9234598186 Enrollment ID: I20230710003238 |
| Provider Name | Starr Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427667690 PECOS PAC ID: 3971974668 Enrollment ID: I20230726002042 |
| Provider Name | Kimberley Deslippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124494232 PECOS PAC ID: 5799092755 Enrollment ID: I20230728002059 |
| Provider Name | Deidre Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962876 PECOS PAC ID: 7810358090 Enrollment ID: I20230803003777 |
| Provider Name | Sarah Benson Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812994 PECOS PAC ID: 4587025770 Enrollment ID: I20230803004079 |
| Provider Name | Lucille Ann Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942084371 PECOS PAC ID: 8022472166 Enrollment ID: I20230907004521 |
| Provider Name | Samantha Lograsso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157436 PECOS PAC ID: 6709240864 Enrollment ID: I20230908000969 |
| Provider Name | Samaria Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477207942 PECOS PAC ID: 0941655245 Enrollment ID: I20231005003315 |
| Provider Name | Jessica Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649043720 PECOS PAC ID: 4486001476 Enrollment ID: I20231113003198 |
| Provider Name | Camille Brazzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194286484 PECOS PAC ID: 0143554576 Enrollment ID: I20231128002673 |
| Provider Name | Gurjas Kaur Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739192 PECOS PAC ID: 9234580887 Enrollment ID: I20240108004047 |
| Provider Name | Vivian Ngum Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861129371 PECOS PAC ID: 5597207829 Enrollment ID: I20240603000807 |
Lithia Motors - Troy Mi Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 Maplelawn Dr, Troy, MI 48084 Phone: 615-468-3188 | |
Meahealth Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 W Big Beaver Rd, Suite 144, Troy, MI 48084 Phone: 248-637-7100 | |
Amy L Beeman Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44199 Dequindre Rd, Suite 518, Troy, MI 48085 Phone: 248-964-6090 | |
Curtis L. Hunt, M.d., Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2888 E Long Lake Rd, Suite 110, Troy, MI 48085 Phone: 248-680-8400 Fax: 248-680-9539 | |
Heartpointe, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Investment Dr Ste 200, Troy, MI 48098 Phone: 248-267-5050 Fax: 248-267-9076 | |
Vpa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Kirts Blvd, Troy, MI 48084 Phone: 248-824-6623 Fax: 855-618-6655 | |
Madison Home Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 363 W Big Beaver Rd, Suite 200, Troy, MI 48084 Phone: 248-619-9471 Fax: 248-619-9774 |