| Wake Forest Emergency Providers | |
|
557 Brookdale Dr Statesville NC 28677-4100 | |
| (336) 716-2255 | |
| Not Available |
| Full Name | Wake Forest Emergency Providers |
|---|---|
| Speciality | Clinic/Center |
| Location | 557 Brookdale Dr, Statesville, North Carolina |
| Authorized Official Name and Position | Chadwick D Miller (CHAIR OF EMERGENCY MEDICINE) |
| Authorized Official Contact | 3367134944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest Emergency Providers Medical Center Blvd Winston Salem NC 27157-0001 Ph: (336) 713-4944 | Wake Forest Emergency Providers 557 Brookdale Dr Statesville NC 28677-4100 Ph: (336) 716-2255 |
| NPI Number | 1396216735 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 7012819816 |
|---|---|
| Medicare Enrollment ID | O20190312003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396216735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Melissa Jeanne Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770519837 PECOS PAC ID: 7810895463 Enrollment ID: I20031222000179 |
| Provider Name | Todd D Pennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790738995 PECOS PAC ID: 1759282205 Enrollment ID: I20040116000824 |
| Provider Name | Jon R Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871558072 PECOS PAC ID: 7113820663 Enrollment ID: I20040130000885 |
| Provider Name | Penney Elaine Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831168855 PECOS PAC ID: 3173412095 Enrollment ID: I20040310001390 |
| Provider Name | David W Kaminski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831295583 PECOS PAC ID: 7113916701 Enrollment ID: I20040510000210 |
| Provider Name | Stephen E Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427004209 PECOS PAC ID: 5496736845 Enrollment ID: I20040601000368 |
| Provider Name | Melanie A Belfi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558401455 PECOS PAC ID: 7618865056 Enrollment ID: I20040702000318 |
| Provider Name | Robert D Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457307886 PECOS PAC ID: 6901884691 Enrollment ID: I20040709000493 |
| Provider Name | Scott Lewis Korn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346286697 PECOS PAC ID: 7315932944 Enrollment ID: I20040713001207 |
| Provider Name | Julie C Haviland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568557122 PECOS PAC ID: 6507762143 Enrollment ID: I20040723000230 |
| Provider Name | Paul F Malinda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134172851 PECOS PAC ID: 0547232548 Enrollment ID: I20040810001147 |
| Provider Name | Bret A Nicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831173244 PECOS PAC ID: 4385618917 Enrollment ID: I20040820000404 |
| Provider Name | Heidi Debot Aldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104869288 PECOS PAC ID: 7416922000 Enrollment ID: I20040827000446 |
| Provider Name | Jon A Giometti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568405041 PECOS PAC ID: 3274500871 Enrollment ID: I20040915000844 |
| Provider Name | William G Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952380263 PECOS PAC ID: 8628046752 Enrollment ID: I20040917000101 |
| Provider Name | Henry C Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922060193 PECOS PAC ID: 4486618865 Enrollment ID: I20041116000293 |
| Provider Name | Laurie K Toman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346201837 PECOS PAC ID: 8921062829 Enrollment ID: I20041118001062 |
| Provider Name | Heston C Lamar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023013869 PECOS PAC ID: 2264499888 Enrollment ID: I20041215000827 |
| Provider Name | Todd Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215983978 PECOS PAC ID: 4486602547 Enrollment ID: I20050106000023 |
| Provider Name | Brian Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730144536 PECOS PAC ID: 5092763706 Enrollment ID: I20050110000754 |
| Provider Name | Sam Jacubowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720043508 PECOS PAC ID: 3173571791 Enrollment ID: I20050110000854 |
| Provider Name | John Lane Molpus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578515763 PECOS PAC ID: 1557319191 Enrollment ID: I20050110001014 |
| Provider Name | Iva L Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962467167 PECOS PAC ID: 5496703035 Enrollment ID: I20050110001045 |
| Provider Name | Kevin E Steinl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447202635 PECOS PAC ID: 1759339393 Enrollment ID: I20050110001057 |
| Provider Name | Joseph Luke Zammit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811965726 PECOS PAC ID: 7012965668 Enrollment ID: I20050110001070 |
| Provider Name | Elliott L Wentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447366430 PECOS PAC ID: 4082662630 Enrollment ID: I20050110001088 |
| Provider Name | Anthony T Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609828987 PECOS PAC ID: 4789632332 Enrollment ID: I20050110001102 |
| Provider Name | Michael S Runyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831125533 PECOS PAC ID: 6305898891 Enrollment ID: I20050212000011 |
| Provider Name | Daniel Jeffrey Rashid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619993979 PECOS PAC ID: 7719941160 Enrollment ID: I20050719000287 |
| Provider Name | Matthew K Schwarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568424737 PECOS PAC ID: 2769419548 Enrollment ID: I20050722000837 |
| Provider Name | Seth C Hawkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285696450 PECOS PAC ID: 3072540855 Enrollment ID: I20050722000882 |
| Provider Name | Christopher J Pollina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770511123 PECOS PAC ID: 7214965102 Enrollment ID: I20050802000066 |
| Provider Name | Jonathan G Austin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154370807 PECOS PAC ID: 4688605884 Enrollment ID: I20050827000054 |
| Provider Name | Karen B Bentley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275670010 PECOS PAC ID: 7315970167 Enrollment ID: I20050913000919 |
| Provider Name | Robert E Driver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184795031 PECOS PAC ID: 3274434261 Enrollment ID: I20050926000357 |
| Provider Name | Jade Jye Sung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184708125 PECOS PAC ID: 4981623428 Enrollment ID: I20051115000133 |
| Provider Name | Casey M Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639113889 PECOS PAC ID: 0244243442 Enrollment ID: I20060710000164 |
| Provider Name | David A Pearson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437179108 PECOS PAC ID: 0941206163 Enrollment ID: I20061011000607 |
| Provider Name | David J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053429373 PECOS PAC ID: 7214935824 Enrollment ID: I20061115000071 |
| Provider Name | Scott W Zackowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265548259 PECOS PAC ID: 9032134283 Enrollment ID: I20070104000478 |
| Provider Name | Jonathan E Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982636510 PECOS PAC ID: 9032110176 Enrollment ID: I20070116000491 |
| Provider Name | Vrinda V Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174614259 PECOS PAC ID: 1456352491 Enrollment ID: I20070118000241 |
| Provider Name | Michael Y Ghim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083649289 PECOS PAC ID: 1951320159 Enrollment ID: I20070201000302 |
| Provider Name | Keith J Handler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285695635 PECOS PAC ID: 5698777258 Enrollment ID: I20070210000016 |
| Provider Name | David Glick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497854319 PECOS PAC ID: 3577570530 Enrollment ID: I20070307000188 |
| Provider Name | John Mcbryde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033143409 PECOS PAC ID: 5991808032 Enrollment ID: I20070312000123 |
| Provider Name | Charles Bryan Sheldon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114096039 PECOS PAC ID: 5294831830 Enrollment ID: I20070427000554 |
| Provider Name | James Abram Mcshane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396854519 PECOS PAC ID: 8224051511 Enrollment ID: I20070725000764 |
| Provider Name | Patrick G Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306854351 PECOS PAC ID: 2163420662 Enrollment ID: I20070730000928 |
| Provider Name | Otis D Speight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629151550 PECOS PAC ID: 5597653352 Enrollment ID: I20070801000263 |
| Provider Name | Nathan Roger Pickering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265647069 PECOS PAC ID: 6406948710 Enrollment ID: I20070816000316 |
| Provider Name | Emmett C Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730281650 PECOS PAC ID: 9931197043 Enrollment ID: I20070924000787 |
| Provider Name | Peter Carson Messick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053409854 PECOS PAC ID: 0749288504 Enrollment ID: I20071018000485 |
| Provider Name | Joseph B Dore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881615300 PECOS PAC ID: 2163510884 Enrollment ID: I20071114000176 |
| Provider Name | Terrence William Burt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053374330 PECOS PAC ID: 1658466792 Enrollment ID: I20080222000238 |
| Provider Name | Jon E Krupnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730142845 PECOS PAC ID: 4284729336 Enrollment ID: I20080315000078 |
| Provider Name | Brian Douglas Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548450778 PECOS PAC ID: 3476627134 Enrollment ID: I20080730000278 |
| Provider Name | Gregory L Geers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174795058 PECOS PAC ID: 2567536543 Enrollment ID: I20080808000692 |
| Provider Name | Anna Genevieve Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851575096 PECOS PAC ID: 4880752724 Enrollment ID: I20081022000367 |
| Provider Name | Bogdan M Irimies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851378806 PECOS PAC ID: 3072514579 Enrollment ID: I20081023000479 |
| Provider Name | Hope Miles Neese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588772891 PECOS PAC ID: 3072679885 Enrollment ID: I20090303000528 |
| Provider Name | Stacy Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194910299 PECOS PAC ID: 1850480005 Enrollment ID: I20090409000413 |
| Provider Name | Danielle S Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821040015 PECOS PAC ID: 0345397147 Enrollment ID: I20090414000451 |
| Provider Name | Jason Thomas Stombaugh |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1447484555 PECOS PAC ID: 2466502182 Enrollment ID: I20090617000701 |
| Provider Name | Kevin W Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114160520 PECOS PAC ID: 8325199854 Enrollment ID: I20090624000112 |
| Provider Name | James M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275659658 PECOS PAC ID: 6901957307 Enrollment ID: I20090624000754 |
| Provider Name | Jennifer L Stoeber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669694402 PECOS PAC ID: 4880748060 Enrollment ID: I20090822000189 |
| Provider Name | Ross J Kuhner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962686089 PECOS PAC ID: 6608920897 Enrollment ID: I20090822000205 |
| Provider Name | Lauren Kathryn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376786541 PECOS PAC ID: 0143374298 Enrollment ID: I20090825000036 |
| Provider Name | Kathleen Mcmanus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851589287 PECOS PAC ID: 6709944366 Enrollment ID: I20090831000676 |
| Provider Name | Mindy Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487674578 PECOS PAC ID: 5991850505 Enrollment ID: I20090903000465 |
| Provider Name | Kevin Campos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609057611 PECOS PAC ID: 0143366708 Enrollment ID: I20091013000160 |
| Provider Name | Donald W Wickline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790998300 PECOS PAC ID: 4587730858 Enrollment ID: I20091013000254 |
| Provider Name | Elma F Callis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093048522 PECOS PAC ID: 2860539897 Enrollment ID: I20091023000669 |
| Provider Name | Whitney M Plunkett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144403379 PECOS PAC ID: 0749328136 Enrollment ID: I20091104000547 |
| Provider Name | April Palumbo-rasch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578764866 PECOS PAC ID: 9537252861 Enrollment ID: I20091110000681 |
| Provider Name | John Bednar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902833775 PECOS PAC ID: 5597804765 Enrollment ID: I20091201000240 |
| Provider Name | Jamie N Deis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639266778 PECOS PAC ID: 3678679289 Enrollment ID: I20091201000545 |
| Provider Name | Timothy M Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760408967 PECOS PAC ID: 1153461413 Enrollment ID: I20091216000627 |
| Provider Name | Douglas A Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891717815 PECOS PAC ID: 5294633657 Enrollment ID: I20100129000199 |
| Provider Name | Martha Katherine Linker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801957949 PECOS PAC ID: 4183767684 Enrollment ID: I20100205000459 |
| Provider Name | Boyce David Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518920610 PECOS PAC ID: 8921193061 Enrollment ID: I20100301000873 |
| Provider Name | Chadwick D Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205810272 PECOS PAC ID: 3779628235 Enrollment ID: I20100308001022 |
| Provider Name | Meidad Baruch Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720278427 PECOS PAC ID: 6103992714 Enrollment ID: I20100518000313 |
| Provider Name | Yalonda Herndon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215154331 PECOS PAC ID: 3072645126 Enrollment ID: I20100726000101 |
| Provider Name | Jason P Stopyra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003891532 PECOS PAC ID: 4880727833 Enrollment ID: I20100728000766 |
| Provider Name | Rebecca L Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619150836 PECOS PAC ID: 3173647393 Enrollment ID: I20100825000299 |
| Provider Name | Shad M Baab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861564965 PECOS PAC ID: 3476625187 Enrollment ID: I20100924000611 |
| Provider Name | Randolph N Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093852097 PECOS PAC ID: 8628121274 Enrollment ID: I20101021000139 |
| Provider Name | Douglas A Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508814039 PECOS PAC ID: 8426245713 Enrollment ID: I20101213000886 |
| Provider Name | Christopher Kirt Kessler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821250697 PECOS PAC ID: 5890989768 Enrollment ID: I20110606000003 |
| Provider Name | Jonathan Douglas Jaffe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023289378 PECOS PAC ID: 0941487649 Enrollment ID: I20110607000005 |
| Provider Name | Matthew S Shepherd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205809084 PECOS PAC ID: 2062695323 Enrollment ID: I20110607000049 |
| Provider Name | Michael S Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922154533 PECOS PAC ID: 1658559760 Enrollment ID: I20110620000423 |
| Provider Name | Cari B Triplett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245510486 PECOS PAC ID: 0143491019 Enrollment ID: I20110926000607 |
| Provider Name | Kathleen Hosmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609095926 PECOS PAC ID: 7517027162 Enrollment ID: I20111212000899 |
| Provider Name | Brock Hampton Helms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780812511 PECOS PAC ID: 8325202062 Enrollment ID: I20120611000101 |
| Provider Name | Breckon Daniel Pav |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033431358 PECOS PAC ID: 7810151438 Enrollment ID: I20120612000311 |
| Provider Name | Douglas P Delo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376596973 PECOS PAC ID: 3577554765 Enrollment ID: I20120612000388 |
| Provider Name | Meagan R Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386806818 PECOS PAC ID: 1456515089 Enrollment ID: I20120612000429 |
| Provider Name | Stephen Thomas Rancour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013177021 PECOS PAC ID: 7214191790 Enrollment ID: I20120613000375 |
| Provider Name | Robert Peter Lockwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104082874 PECOS PAC ID: 2860658341 Enrollment ID: I20120727000396 |
| Provider Name | Micheal Saad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366600991 PECOS PAC ID: 6608032941 Enrollment ID: I20120731000760 |
| Provider Name | Andrew Chidester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487943718 PECOS PAC ID: 7012163330 Enrollment ID: I20120801000892 |
| Provider Name | Kelley C Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710113063 PECOS PAC ID: 7911153135 Enrollment ID: I20120803000264 |
| Provider Name | Chad A Ruechel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710149497 PECOS PAC ID: 2769638899 Enrollment ID: I20120806000637 |
| Provider Name | Christopher Scott Bewley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184683294 PECOS PAC ID: 3173792314 Enrollment ID: I20120821000482 |
| Provider Name | Justin M Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558590042 PECOS PAC ID: 1153578273 Enrollment ID: I20120824000495 |
| Provider Name | Stephen Walter Kohut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932336831 PECOS PAC ID: 4486819083 Enrollment ID: I20120912000161 |
| Provider Name | Richard W Hilliard |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710116959 PECOS PAC ID: 4082863170 Enrollment ID: I20121004000741 |
| Provider Name | Mark R Quale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700014016 PECOS PAC ID: 1658521539 Enrollment ID: I20121031000185 |
| Provider Name | David Yelverton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790936391 PECOS PAC ID: 3577747344 Enrollment ID: I20121221000369 |
| Provider Name | Eric S Zickerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578751319 PECOS PAC ID: 8527125376 Enrollment ID: I20130320000738 |
| Provider Name | Robert Luke Kinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104147867 PECOS PAC ID: 2668612532 Enrollment ID: I20130717000697 |
| Provider Name | Justin Boyette Joines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548581119 PECOS PAC ID: 2567605470 Enrollment ID: I20130826000022 |
| Provider Name | Ankit D Nanavati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285954685 PECOS PAC ID: 2860635158 Enrollment ID: I20130905000944 |
| Provider Name | Kevin A Paduchowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851685549 PECOS PAC ID: 5698919512 Enrollment ID: I20130916000576 |
| Provider Name | David Hsien Ta Yao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285939843 PECOS PAC ID: 5294969630 Enrollment ID: I20131017001757 |
| Provider Name | Allison B Webster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427375930 PECOS PAC ID: 9133355431 Enrollment ID: I20131114001668 |
| Provider Name | Mara Lauren Levitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932411949 PECOS PAC ID: 3678714979 Enrollment ID: I20131217000870 |
| Provider Name | Lindsey Malcolm Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818165 PECOS PAC ID: 3678700507 Enrollment ID: I20131220000455 |
| Provider Name | Regina W Baity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123667 PECOS PAC ID: 3779712179 Enrollment ID: I20140205001501 |
| Provider Name | Leonard Alexander Stallings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102146 PECOS PAC ID: 1557592862 Enrollment ID: I20140331001718 |
| Provider Name | Pierce P Hibma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669738068 PECOS PAC ID: 0042442154 Enrollment ID: I20140403001572 |
| Provider Name | Kristen N Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083909170 PECOS PAC ID: 2668605544 Enrollment ID: I20140429002359 |
| Provider Name | Karen O'neill Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639334469 PECOS PAC ID: 7810120482 Enrollment ID: I20140506001033 |
| Provider Name | Eliot H Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669662433 PECOS PAC ID: 2668569674 Enrollment ID: I20140709000986 |
| Provider Name | Cory R Forbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679865463 PECOS PAC ID: 1153549720 Enrollment ID: I20140822000862 |
| Provider Name | Megan A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194130419 PECOS PAC ID: 5991924615 Enrollment ID: I20140911001289 |
| Provider Name | Iltifat Husain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699060061 PECOS PAC ID: 8921227448 Enrollment ID: I20140916001435 |
| Provider Name | Phillip Andrew Stafford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174817290 PECOS PAC ID: 6709005051 Enrollment ID: I20140918000475 |
| Provider Name | Mark James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275509390 PECOS PAC ID: 4183611577 Enrollment ID: I20140929002821 |
| Provider Name | Joshua Michael Zavitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437479151 PECOS PAC ID: 5092950253 Enrollment ID: I20141001001542 |
| Provider Name | Irene Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326300617 PECOS PAC ID: 1254573751 Enrollment ID: I20141014000692 |
| Provider Name | Scott T Goldston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861782054 PECOS PAC ID: 3678794799 Enrollment ID: I20141014002237 |
| Provider Name | Stephanie L Trowbridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801187612 PECOS PAC ID: 5092933796 Enrollment ID: I20141022002767 |
| Provider Name | Bryan J Kopke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477878858 PECOS PAC ID: 1153557525 Enrollment ID: I20141023002276 |
| Provider Name | Courtney Horton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124319553 PECOS PAC ID: 1456591924 Enrollment ID: I20141031001230 |
| Provider Name | Sonali S Kopke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346551793 PECOS PAC ID: 9436398922 Enrollment ID: I20141106001301 |
| Provider Name | Robert J Felix |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447244074 PECOS PAC ID: 7719120815 Enrollment ID: I20141203001744 |
| Provider Name | Casey Daniel Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902168735 PECOS PAC ID: 3375866536 Enrollment ID: I20141220000078 |
| Provider Name | Geoffrey S Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083626105 PECOS PAC ID: 8123123320 Enrollment ID: I20150109002149 |
| Provider Name | Helene F Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982626214 PECOS PAC ID: 9638141658 Enrollment ID: I20150207000048 |
| Provider Name | Aaron M Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306283171 PECOS PAC ID: 1254657968 Enrollment ID: I20150223001714 |
| Provider Name | Jason D Mesner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639516792 PECOS PAC ID: 3971821729 Enrollment ID: I20150408000652 |
| Provider Name | Scott G Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578820171 PECOS PAC ID: 6800019977 Enrollment ID: I20150602002937 |
| Provider Name | Charles Caleb Hundley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679835367 PECOS PAC ID: 8628399524 Enrollment ID: I20150603003006 |
| Provider Name | Bryan P Beaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104183482 PECOS PAC ID: 8325359623 Enrollment ID: I20150612000342 |
| Provider Name | Graydon Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255699153 PECOS PAC ID: 0547572497 Enrollment ID: I20150706002480 |
| Provider Name | Jonathon B Bringolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215294483 PECOS PAC ID: 8729391784 Enrollment ID: I20150720002046 |
| Provider Name | David M Schaevitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528389772 PECOS PAC ID: 1759508047 Enrollment ID: I20150818005159 |
| Provider Name | Daniel P Floyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164867800 PECOS PAC ID: 6800117748 Enrollment ID: I20150910002048 |
| Provider Name | Idan Cudykier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831455229 PECOS PAC ID: 4880901685 Enrollment ID: I20150910002221 |
| Provider Name | Adeleke Oni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265707590 PECOS PAC ID: 8921316290 Enrollment ID: I20151006002474 |
| Provider Name | Jessica Maloney Drake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679872469 PECOS PAC ID: 2860700952 Enrollment ID: I20151009002179 |
| Provider Name | Mark A Smiley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275890477 PECOS PAC ID: 1052620812 Enrollment ID: I20151016001342 |
| Provider Name | Kimberly B Stover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740544345 PECOS PAC ID: 9335458900 Enrollment ID: I20151021002408 |
| Provider Name | Marcy Lynn Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154371235 PECOS PAC ID: 1759280043 Enrollment ID: I20151023002614 |
| Provider Name | Lauren C Knobeloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285070359 PECOS PAC ID: 3971742446 Enrollment ID: I20151208000833 |
| Provider Name | Elizabeth Ann Rees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093940413 PECOS PAC ID: 3274799754 Enrollment ID: I20151217002666 |
| Provider Name | Jennifer Rae Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073801676 PECOS PAC ID: 3971725623 Enrollment ID: I20151229002784 |
| Provider Name | John E Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931816 PECOS PAC ID: 9133419518 Enrollment ID: I20160620000862 |
| Provider Name | Jason Tate Barter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992145858 PECOS PAC ID: 7113160615 Enrollment ID: I20160629002066 |
| Provider Name | Erin E Schlossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760829758 PECOS PAC ID: 2961713540 Enrollment ID: I20160718000712 |
| Provider Name | Carolina Veronese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760802664 PECOS PAC ID: 0143444000 Enrollment ID: I20160719001348 |
| Provider Name | Mark A Gonzales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699038570 PECOS PAC ID: 1052626769 Enrollment ID: I20160725001836 |
| Provider Name | Rachel Morgan Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922442979 PECOS PAC ID: 4183926991 Enrollment ID: I20160802003139 |
| Provider Name | Courteney Mackuen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851652390 PECOS PAC ID: 1850685223 Enrollment ID: I20160808001498 |
| Provider Name | Joshua Noell Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194161182 PECOS PAC ID: 1850685975 Enrollment ID: I20160811001264 |
| Provider Name | Robert Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497013379 PECOS PAC ID: 8426342460 Enrollment ID: I20160812002332 |
| Provider Name | Sean Oliver Cavanaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003179151 PECOS PAC ID: 8527297035 Enrollment ID: I20160817003056 |
| Provider Name | Susannah Francis Sitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468188 PECOS PAC ID: 3971899808 Enrollment ID: I20160901001182 |
| Provider Name | Kenneth Elliott Tenpenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245469774 PECOS PAC ID: 4385768613 Enrollment ID: I20160914002604 |
| Provider Name | Angela Kay Robertson-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619421088 PECOS PAC ID: 9739477746 Enrollment ID: I20161006001675 |
| Provider Name | Daniel H Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710327671 PECOS PAC ID: 3971892803 Enrollment ID: I20161011002193 |
| Provider Name | Lori Lovett Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003269606 PECOS PAC ID: 2668760349 Enrollment ID: I20161012001689 |
| Provider Name | Kerri Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050888 PECOS PAC ID: 6103106265 Enrollment ID: I20161206002439 |
| Provider Name | Scott William Sutton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043578370 PECOS PAC ID: 4082995139 Enrollment ID: I20170103000956 |
| Provider Name | Christopher Ashby Macleod Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205254513 PECOS PAC ID: 3870896996 Enrollment ID: I20170222000650 |
| Provider Name | Peace Ibekwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760772453 PECOS PAC ID: 4486944022 Enrollment ID: I20170315001606 |
| Provider Name | Kristina Wing Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952846008 PECOS PAC ID: 6507141264 Enrollment ID: I20170320000881 |
| Provider Name | Pedro E Cardama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740600378 PECOS PAC ID: 9537480322 Enrollment ID: I20170328001493 |
| Provider Name | Nicholas Guy Demers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356557177 PECOS PAC ID: 5395877112 Enrollment ID: I20170502000707 |
| Provider Name | Keri L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609289529 PECOS PAC ID: 4183935166 Enrollment ID: I20170503002354 |
| Provider Name | Lauren Grace Demers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861654121 PECOS PAC ID: 0345407185 Enrollment ID: I20170504001553 |
| Provider Name | Mallory Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508793 PECOS PAC ID: 5890072383 Enrollment ID: I20170510002973 |
| Provider Name | Vijay S Nagpal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720473572 PECOS PAC ID: 7416266903 Enrollment ID: I20170706000963 |
| Provider Name | Jennifer Ann Beatty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588043905 PECOS PAC ID: 6608184544 Enrollment ID: I20170712003417 |
| Provider Name | Justin Kenneth Brooten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083024228 PECOS PAC ID: 3375855380 Enrollment ID: I20170717001365 |
| Provider Name | Patrick E Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770903262 PECOS PAC ID: 0840410692 Enrollment ID: I20170724001119 |
| Provider Name | Lucia Scott Derks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285976456 PECOS PAC ID: 8022251545 Enrollment ID: I20170801000590 |
| Provider Name | Joshua Gray Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073924163 PECOS PAC ID: 6103116637 Enrollment ID: I20170801000843 |
| Provider Name | Stephen Lee Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265842892 PECOS PAC ID: 0143443523 Enrollment ID: I20170801002184 |
| Provider Name | George E Ashby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215342506 PECOS PAC ID: 6901124627 Enrollment ID: I20170814003349 |
| Provider Name | Catherine Marie Waggy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453739 PECOS PAC ID: 8123390051 Enrollment ID: I20170828000781 |
| Provider Name | Joshua Lee Mowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528597739 PECOS PAC ID: 2860765617 Enrollment ID: I20170830002036 |
| Provider Name | Tyler Stanley Woodrum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124415955 PECOS PAC ID: 9032429253 Enrollment ID: I20170908002059 |
| Provider Name | Cameron Greer Isaacs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922367 PECOS PAC ID: 5890006159 Enrollment ID: I20170914001431 |
| Provider Name | Andrew C Seymore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467849034 PECOS PAC ID: 1557670239 Enrollment ID: I20171010002223 |
| Provider Name | Christopher John Tegeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801215447 PECOS PAC ID: 4082935374 Enrollment ID: I20171106000011 |
| Provider Name | Jennifer Cashion Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849107 PECOS PAC ID: 7315203114 Enrollment ID: I20171110001991 |
| Provider Name | Holly K Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003335860 PECOS PAC ID: 0840557997 Enrollment ID: I20171128003759 |
| Provider Name | Mayah Michelle Dozier-lineberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912774 PECOS PAC ID: 9931468998 Enrollment ID: I20180119001010 |
| Provider Name | Laura A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235666215 PECOS PAC ID: 2668732348 Enrollment ID: I20180130000046 |
| Provider Name | Mark Robinson Chandler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073952081 PECOS PAC ID: 9830339266 Enrollment ID: I20180213001979 |
| Provider Name | Lisa W Derrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922341411 PECOS PAC ID: 3274822234 Enrollment ID: I20180220000232 |
| Provider Name | Byron D Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952506669 PECOS PAC ID: 9234207184 Enrollment ID: I20180221001342 |
| Provider Name | Hannah Elizabeth Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619480738 PECOS PAC ID: 6901168913 Enrollment ID: I20180402000826 |
| Provider Name | James G Sowards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821050832 PECOS PAC ID: 4587656434 Enrollment ID: I20180404000799 |
| Provider Name | Tiffany D Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053556399 PECOS PAC ID: 6608161427 Enrollment ID: I20180405001571 |
| Provider Name | Brandon M Fetterolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679815195 PECOS PAC ID: 2769798966 Enrollment ID: I20180416000552 |
| Provider Name | Catherine Slagel Story |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831698638 PECOS PAC ID: 8123382934 Enrollment ID: I20180502002419 |
| Provider Name | Rachel P Giller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235554353 PECOS PAC ID: 3072895069 Enrollment ID: I20180601001263 |
| Provider Name | Timothy E Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972921765 PECOS PAC ID: 8123383452 Enrollment ID: I20180607000959 |
| Provider Name | Krystin L Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104212745 PECOS PAC ID: 8325316995 Enrollment ID: I20180612001164 |
| Provider Name | Frank Mu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952756694 PECOS PAC ID: 3779878889 Enrollment ID: I20180627002775 |
| Provider Name | John M Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280585 PECOS PAC ID: 0143515148 Enrollment ID: I20180628001714 |
| Provider Name | Sean Orourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184019275 PECOS PAC ID: 8729398359 Enrollment ID: I20180629001867 |
| Provider Name | Lia Catherine Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881030005 PECOS PAC ID: 8426346313 Enrollment ID: I20180709000525 |
| Provider Name | Kayla L Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396124483 PECOS PAC ID: 4486944766 Enrollment ID: I20180725001802 |
| Provider Name | Sebastian Daniel Siadecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134356652 PECOS PAC ID: 9335305184 Enrollment ID: I20180727001710 |
| Provider Name | Ryan James Reichert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013337146 PECOS PAC ID: 5799059671 Enrollment ID: I20180816002019 |
| Provider Name | Shannon N Mumma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063891166 PECOS PAC ID: 5193034858 Enrollment ID: I20180817000053 |
| Provider Name | Bridgette C Egan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235559055 PECOS PAC ID: 5496053894 Enrollment ID: I20180827000144 |
| Provider Name | Jennifer Kunkel Calder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326300344 PECOS PAC ID: 0143543975 Enrollment ID: I20180827000706 |
| Provider Name | Brian James Cohagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548641780 PECOS PAC ID: 5294028833 Enrollment ID: I20180828004086 |
| Provider Name | Ann Bronwyn Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295120715 PECOS PAC ID: 0547577017 Enrollment ID: I20181011002895 |
| Provider Name | Nathan C Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407210487 PECOS PAC ID: 5496040594 Enrollment ID: I20181204002114 |
| Provider Name | Nicole M Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003234857 PECOS PAC ID: 0042432601 Enrollment ID: I20190219002112 |
| Provider Name | Michael C Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352922 PECOS PAC ID: 1052497443 Enrollment ID: I20190226001218 |
| Provider Name | Grant D Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487697074 PECOS PAC ID: 7517963473 Enrollment ID: I20190226001467 |
| Provider Name | Leslie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245703065 PECOS PAC ID: 3375883440 Enrollment ID: I20190327002976 |
| Provider Name | Brittany Shuffler England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285100354 PECOS PAC ID: 0840533626 Enrollment ID: I20190517001851 |
| Provider Name | Jonathan T Jaffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982609 PECOS PAC ID: 3779874169 Enrollment ID: I20190523002822 |
| Provider Name | Kaila Renea Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395948 PECOS PAC ID: 3577806942 Enrollment ID: I20190528002719 |
| Provider Name | Christina A Zauner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972965754 PECOS PAC ID: 0648548412 Enrollment ID: I20190610002312 |
| Provider Name | Zachary Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174976195 PECOS PAC ID: 1557657152 Enrollment ID: I20190611001757 |
| Provider Name | Patrick Q Lam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073909446 PECOS PAC ID: 4183959711 Enrollment ID: I20190718000622 |
| Provider Name | Nicholas Paul Petit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174986517 PECOS PAC ID: 3274826581 Enrollment ID: I20190722003227 |
| Provider Name | Adam Scott Curatolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013361831 PECOS PAC ID: 7618260845 Enrollment ID: I20190724001527 |
| Provider Name | Michael Matthew Bero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811345242 PECOS PAC ID: 5597058867 Enrollment ID: I20190801003676 |
| Provider Name | Kimberly Ann Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568875227 PECOS PAC ID: 5698002103 Enrollment ID: I20190806004245 |
| Provider Name | Eric Charles Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336503242 PECOS PAC ID: 9032405709 Enrollment ID: I20190815003171 |
| Provider Name | Nathan Grant Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033563192 PECOS PAC ID: 6204125768 Enrollment ID: I20190910002023 |
| Provider Name | Kathleen R Richard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881951325 PECOS PAC ID: 9830349679 Enrollment ID: I20190911001483 |
| Provider Name | Hannah C Koaches-mahony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184017881 PECOS PAC ID: 4688987340 Enrollment ID: I20190917003004 |
| Provider Name | Devina Mohan Sundaresan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952729089 PECOS PAC ID: 1153623350 Enrollment ID: I20190919002287 |
| Provider Name | Andrew Scott Colson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073044541 PECOS PAC ID: 0143591859 Enrollment ID: I20190925000861 |
| Provider Name | Michael Edward Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306292768 PECOS PAC ID: 5395031173 Enrollment ID: I20190927000231 |
| Provider Name | Lindly Theroux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639559883 PECOS PAC ID: 2961711510 Enrollment ID: I20191002002929 |
| Provider Name | Evan Kaikoo Bradler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831548940 PECOS PAC ID: 6709178262 Enrollment ID: I20191018001391 |
| Provider Name | Trupti T R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023341427 PECOS PAC ID: 2769625292 Enrollment ID: I20191121000237 |
| Provider Name | Adam L Luckey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396191714 PECOS PAC ID: 6204122823 Enrollment ID: I20191123000175 |
| Provider Name | Rebekah Q Jewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376907287 PECOS PAC ID: 4981990629 Enrollment ID: I20200205000363 |
| Provider Name | Coltedra Sh'nee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336498732 PECOS PAC ID: 3274785324 Enrollment ID: I20200224002680 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306340062 PECOS PAC ID: 2668737172 Enrollment ID: I20200317002769 |
| Provider Name | Christopher Peluso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104261593 PECOS PAC ID: 8921302431 Enrollment ID: I20200527002128 |
| Provider Name | Deborah Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134589971 PECOS PAC ID: 1759676430 Enrollment ID: I20200601002434 |
| Provider Name | Owen D Ortmayer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710336920 PECOS PAC ID: 8123449949 Enrollment ID: I20200603002664 |
| Provider Name | Michael Clarke Pearson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962768747 PECOS PAC ID: 6204064785 Enrollment ID: I20200610001717 |
| Provider Name | Leah Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992237101 PECOS PAC ID: 7113297896 Enrollment ID: I20200615001699 |
| Provider Name | Jenna Santiago Wickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265880124 PECOS PAC ID: 3173816162 Enrollment ID: I20200615003319 |
| Provider Name | Mary Funke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063944718 PECOS PAC ID: 3779905948 Enrollment ID: I20200616001639 |
| Provider Name | Charles Jessup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790216042 PECOS PAC ID: 0648541102 Enrollment ID: I20200617001779 |
| Provider Name | Julia Prokesova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972036416 PECOS PAC ID: 2860762903 Enrollment ID: I20200624001923 |
| Provider Name | Richard Dykstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154852432 PECOS PAC ID: 9739452384 Enrollment ID: I20200626000330 |
| Provider Name | Elizabeth Catherine Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881217776 PECOS PAC ID: 6103249974 Enrollment ID: I20200713001254 |
| Provider Name | Phoebe Glazer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922539238 PECOS PAC ID: 3678844883 Enrollment ID: I20200713002154 |
| Provider Name | Cortlyn W Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992168314 PECOS PAC ID: 7517206097 Enrollment ID: I20200720001048 |
| Provider Name | Wun Augustin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174687834 PECOS PAC ID: 7012094808 Enrollment ID: I20200730003363 |
| Provider Name | Matthew Trifan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780125112 PECOS PAC ID: 6507143526 Enrollment ID: I20200827003840 |
| Provider Name | Dino Music |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881934255 PECOS PAC ID: 1153561279 Enrollment ID: I20200901003226 |
| Provider Name | Neel A Andharia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174055719 PECOS PAC ID: 5890032361 Enrollment ID: I20200911002074 |
| Provider Name | Rachelle Dykstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962935106 PECOS PAC ID: 5395017545 Enrollment ID: I20201210001565 |
| Provider Name | Taylor R Houk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255931655 PECOS PAC ID: 9335553114 Enrollment ID: I20210208000927 |
| Provider Name | Jennifer Kneezel Potter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669904561 PECOS PAC ID: 9537445481 Enrollment ID: I20210419002093 |
| Provider Name | Richard Rozier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174020895 PECOS PAC ID: 7810247111 Enrollment ID: I20210513001960 |
| Provider Name | Teresa Jones Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090161 PECOS PAC ID: 4587063508 Enrollment ID: I20210525001003 |
| Provider Name | Joseph Blackwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962907857 PECOS PAC ID: 1153678784 Enrollment ID: I20210604002707 |
| Provider Name | Dillon Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043703556 PECOS PAC ID: 0143570986 Enrollment ID: I20210615000742 |
| Provider Name | Erica Christine Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679007660 PECOS PAC ID: 5294083002 Enrollment ID: I20210615002653 |
| Provider Name | Vincent Schieffer Linberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033592654 PECOS PAC ID: 1456655968 Enrollment ID: I20210616002226 |
| Provider Name | Kristy Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316444243 PECOS PAC ID: 8729338132 Enrollment ID: I20210616002725 |
| Provider Name | Dylan Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871098558 PECOS PAC ID: 8921355736 Enrollment ID: I20210707000734 |
| Provider Name | Jenna Chantae Kerby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700381670 PECOS PAC ID: 2668722059 Enrollment ID: I20210721001379 |
| Provider Name | Madison Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386315158 PECOS PAC ID: 1557759396 Enrollment ID: I20211027000955 |
| Provider Name | Martina J Antony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578941167 PECOS PAC ID: 4385957406 Enrollment ID: I20211104000228 |
| Provider Name | Kelly Anne Franzese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312601 PECOS PAC ID: 6507257573 Enrollment ID: I20211230000144 |
| Provider Name | Christopher Ryder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184113169 PECOS PAC ID: 8628328911 Enrollment ID: I20220210000146 |
| Provider Name | Joshua Hong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871822726 PECOS PAC ID: 7719131275 Enrollment ID: I20220224002729 |
| Provider Name | Kristie Horton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285020149 PECOS PAC ID: 7315209475 Enrollment ID: I20220228000492 |
| Provider Name | Apram A Basra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376787606 PECOS PAC ID: 1355593765 Enrollment ID: I20220302002300 |
| Provider Name | Justyna Marcinow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447702345 PECOS PAC ID: 2567739352 Enrollment ID: I20220330000745 |
| Provider Name | Lori-anne Patricia Schillaci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124300801 PECOS PAC ID: 0840510186 Enrollment ID: I20220401000102 |
| Provider Name | Jonathan Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090957 PECOS PAC ID: 9133461478 Enrollment ID: I20220427001037 |
| Provider Name | Rachel Lynn Graves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437648714 PECOS PAC ID: 2163801416 Enrollment ID: I20220617000045 |
| Provider Name | Alexandra Dinello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639730161 PECOS PAC ID: 9931434164 Enrollment ID: I20220629001332 |
| Provider Name | Neha Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003376393 PECOS PAC ID: 1850627522 Enrollment ID: I20220701002284 |
| Provider Name | Kelly Mchugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649839523 PECOS PAC ID: 4183959422 Enrollment ID: I20220729000063 |
| Provider Name | Samuel Allen Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366901332 PECOS PAC ID: 7719214105 Enrollment ID: I20220805002804 |
| Provider Name | Ashley Lutrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942863782 PECOS PAC ID: 3971839234 Enrollment ID: I20220813000281 |
| Provider Name | Madison Bentley Kommor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306370804 PECOS PAC ID: 8426431164 Enrollment ID: I20220813000348 |
| Provider Name | James Fuller Lawsing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588127534 PECOS PAC ID: 0749516656 Enrollment ID: I20220815003069 |
| Provider Name | Natalie Ann Halapin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881049310 PECOS PAC ID: 4082909627 Enrollment ID: I20220816002616 |
| Provider Name | Ryan Alan Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235691577 PECOS PAC ID: 9032442389 Enrollment ID: I20220817002527 |
| Provider Name | Elise Lauren Milani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033571906 PECOS PAC ID: 7113226341 Enrollment ID: I20220824001524 |
| Provider Name | Michael J Hobensack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255892626 PECOS PAC ID: 2466786199 Enrollment ID: I20220901002263 |
| Provider Name | Alicia Paulette Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598226029 PECOS PAC ID: 8527395912 Enrollment ID: I20220919002465 |
| Provider Name | Travis Dean Corriher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043874605 PECOS PAC ID: 3870825029 Enrollment ID: I20220921002238 |
| Provider Name | Timberly Esther Booker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487837027 PECOS PAC ID: 3678610946 Enrollment ID: I20220922000491 |
| Provider Name | Jeremiah Daniel Gaddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760862114 PECOS PAC ID: 3971810417 Enrollment ID: I20220922002502 |
| Provider Name | Jennifer Michelle Tango |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588051288 PECOS PAC ID: 0840545489 Enrollment ID: I20220923003014 |
| Provider Name | Amanda N Horn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366946410 PECOS PAC ID: 8527316520 Enrollment ID: I20220926000107 |
| Provider Name | Jennifer C Pallansch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407351414 PECOS PAC ID: 0648527127 Enrollment ID: I20221003001243 |
| Provider Name | Drew Michael Rohm-ensing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548722275 PECOS PAC ID: 0941535223 Enrollment ID: I20221010000937 |
| Provider Name | Amber Marie Gombash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053874180 PECOS PAC ID: 5698000982 Enrollment ID: I20221011000930 |
| Provider Name | Kevin Thomas Mcconkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316434970 PECOS PAC ID: 3577810779 Enrollment ID: I20221020003061 |
| Provider Name | Chase Richard Countryman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639707789 PECOS PAC ID: 7012338676 Enrollment ID: I20221029000134 |
| Provider Name | Kaitlyn Dawn Hinshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144754508 PECOS PAC ID: 7315210747 Enrollment ID: I20221102003254 |
| Provider Name | Hannah Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831621812 PECOS PAC ID: 9335559152 Enrollment ID: I20221103001751 |
| Provider Name | Melissa A Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194255000 PECOS PAC ID: 4789006867 Enrollment ID: I20221109002175 |
| Provider Name | Jamison A Zink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215498753 PECOS PAC ID: 2163758731 Enrollment ID: I20221122002171 |
| Provider Name | Patrick James Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184086878 PECOS PAC ID: 4486924958 Enrollment ID: I20221206002714 |
| Provider Name | Courtney Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710547856 PECOS PAC ID: 2668842329 Enrollment ID: I20221221002824 |
| Provider Name | Kelsey Lena Craver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114487691 PECOS PAC ID: 3779811179 Enrollment ID: I20230103002069 |
| Provider Name | Kaitlyn E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346951209 PECOS PAC ID: 1052783172 Enrollment ID: I20230217000922 |
| Provider Name | James Truesdale Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477915882 PECOS PAC ID: 3870918774 Enrollment ID: I20230323001463 |
| Provider Name | Karna Raju Mangrola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598320673 PECOS PAC ID: 4284067075 Enrollment ID: I20230329000983 |
| Provider Name | Jordan Causey Seaback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093343717 PECOS PAC ID: 1052742194 Enrollment ID: I20230412002514 |
| Provider Name | Rebecca Lynn Spurling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619687449 PECOS PAC ID: 4284009861 Enrollment ID: I20230413000188 |
| Provider Name | Tina Louise Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548529050 PECOS PAC ID: 5991961500 Enrollment ID: I20230523003221 |
| Provider Name | Matthew John Hulsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497457287 PECOS PAC ID: 7618334129 Enrollment ID: I20230526001381 |
| Provider Name | Mitchell Ray Hooven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790311736 PECOS PAC ID: 2163852443 Enrollment ID: I20230628002352 |
| Provider Name | Victoria Christl Branham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750901153 PECOS PAC ID: 3072944347 Enrollment ID: I20230703000386 |
| Provider Name | Alex Avery Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144858036 PECOS PAC ID: 0749601631 Enrollment ID: I20230703001401 |
| Provider Name | Andrew Bestler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821626474 PECOS PAC ID: 7911338256 Enrollment ID: I20230705000742 |
| Provider Name | Miriam C Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427409903 PECOS PAC ID: 6103152483 Enrollment ID: I20230711001940 |
| Provider Name | Robert Clayton Paterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104452184 PECOS PAC ID: 6406216167 Enrollment ID: I20230713002097 |
| Provider Name | William Lawrence Scheving |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366901118 PECOS PAC ID: 7315354743 Enrollment ID: I20230717003368 |
| Provider Name | Stefanie Laine Musick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295358505 PECOS PAC ID: 7517385586 Enrollment ID: I20230719003186 |
| Provider Name | Christina Vitale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699279612 PECOS PAC ID: 5799038824 Enrollment ID: I20230817002741 |
| Provider Name | David Michael Crow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669907051 PECOS PAC ID: 1759659857 Enrollment ID: I20230818000399 |
| Provider Name | William Albert Dalkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023543386 PECOS PAC ID: 5496011561 Enrollment ID: I20230818000417 |
| Provider Name | Marie Anderson Wofford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225666852 PECOS PAC ID: 4981027372 Enrollment ID: I20230822003184 |
| Provider Name | Silas Sing Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841856010 PECOS PAC ID: 2062748320 Enrollment ID: I20230822003297 |
| Provider Name | Victoria Kirsten Kingsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598327546 PECOS PAC ID: 3870956519 Enrollment ID: I20230829002911 |
| Provider Name | William Z Poston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497370308 PECOS PAC ID: 7517345408 Enrollment ID: I20230831004571 |
| Provider Name | Matthew William Coco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306474689 PECOS PAC ID: 2567825771 Enrollment ID: I20230905003161 |
| Provider Name | Hayley Newsom Naasz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023646338 PECOS PAC ID: 7315391448 Enrollment ID: I20230922003699 |
| Provider Name | Corinne Elizabeth Horan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952643884 PECOS PAC ID: 5193958031 Enrollment ID: I20230926001759 |
| Provider Name | Amanda Helen Menze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669863320 PECOS PAC ID: 7810261278 Enrollment ID: I20231025000640 |
| Provider Name | Amy Diane Lowther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033737853 PECOS PAC ID: 1456700418 Enrollment ID: I20231215001596 |
| Provider Name | Rosalind Elizabeth Konikoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679064810 PECOS PAC ID: 8022484526 Enrollment ID: I20240301003538 |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Brookdale Dr, Statesville, NC 28677 Phone: 704-838-8249 Fax: 704-495-3057 | |
Nuvu Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Sullivan Rd, Statesville, NC 28677 Phone: 980-434-5426 | |
Sound Physicians Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 Fax: 704-838-7287 | |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484 | |
Statesville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Davie Ave, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159 | |
Novant Health Primary Care Fern Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2250 Fax: 704-978-2258 | |
Cuong Tan Doan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 800-409-2919 |