| Washington University | |
|
1 Childrens Pl Saint Louis MO 63110-1002 | |
| (314) 286-1264 | |
| (314) 286-1258 |
| Full Name | Washington University |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Childrens Pl, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (SR DIRECTOR, MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University 660 South Euclid Avenue Campus Box 8515 Saint Louis MO 63105-2171 Ph: (314) 273-0770 | Washington University 1 Childrens Pl Saint Louis MO 63110-1002 Ph: (314) 286-1264 |
| NPI Number | 1194765685 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20040607000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194765685 | NPI | - | NPPES |
| 673341 | Other | MO | AETNA HMO GROUP |
| 92215224 | Other | IL | BLUE SHIELD |
| 3775 | Other | MO | GHP MASTER VENDOR |
| 4DP71 | Other | MO | BLUE SHIELD |
| 552927600 | Other | MO | MEDICAID PHARMACY |
| 552927600 | Medicaid | MO | |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| 75-02999 | Other | MO | UHC GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Shalini Shenoy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538185756 PECOS PAC ID: 9133102692 Enrollment ID: I20040608000308 |
| Provider Name | David B Wilson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942228440 PECOS PAC ID: 4981687449 Enrollment ID: I20040608000340 |
| Provider Name | David A Rudnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467479915 PECOS PAC ID: 3678558079 Enrollment ID: I20040621000952 |
| Provider Name | Gregory A Storch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417986258 PECOS PAC ID: 6305810383 Enrollment ID: I20040825000108 |
| Provider Name | Joshua Bennett Rubin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235157959 PECOS PAC ID: 2264407063 Enrollment ID: I20040826000329 |
| Provider Name | Douglas S Fitzwater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619967106 PECOS PAC ID: 2365349768 Enrollment ID: I20040915000253 |
| Provider Name | Dorothy Katherine Grange |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1801812128 PECOS PAC ID: 6901875376 Enrollment ID: I20041001000450 |
| Provider Name | Gautam Kumar Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245258920 PECOS PAC ID: 0749249100 Enrollment ID: I20041011000186 |
| Provider Name | Kim Prevallet Hamlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932127651 PECOS PAC ID: 4385606425 Enrollment ID: I20041101000317 |
| Provider Name | Akshaya Jitendra Vachharajani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164448395 PECOS PAC ID: 5698730075 Enrollment ID: I20041124000602 |
| Provider Name | Colleen Maire Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194743815 PECOS PAC ID: 2769447002 Enrollment ID: I20041129000143 |
| Provider Name | James S Kemp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164432829 PECOS PAC ID: 3476503285 Enrollment ID: I20050129000114 |
| Provider Name | Jennifer Gries Duncan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386662005 PECOS PAC ID: 3476511841 Enrollment ID: I20050217000047 |
| Provider Name | Diliane M Pelikan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508811787 PECOS PAC ID: 3870546682 Enrollment ID: I20050222000032 |
| Provider Name | Rachel C Orscheln |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396763017 PECOS PAC ID: 4789634833 Enrollment ID: I20050401000005 |
| Provider Name | Brenda M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497732986 PECOS PAC ID: 1355387655 Enrollment ID: I20050707000774 |
| Provider Name | Lila C Kertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497771638 PECOS PAC ID: 8921023243 Enrollment ID: I20051005001269 |
| Provider Name | Terianne Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316964810 PECOS PAC ID: 2466478078 Enrollment ID: I20051021000591 |
| Provider Name | Jose Alfredo Pineda Soto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326065954 PECOS PAC ID: 2163457276 Enrollment ID: I20051024000039 |
| Provider Name | Laura P Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699718692 PECOS PAC ID: 1456379635 Enrollment ID: I20051107000086 |
| Provider Name | Joseph D Gunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982621488 PECOS PAC ID: 5698793313 Enrollment ID: I20051110000455 |
| Provider Name | Christine Michelle Hrach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669498960 PECOS PAC ID: 2668490384 Enrollment ID: I20051110000487 |
| Provider Name | Sarah K Garwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417974049 PECOS PAC ID: 5193743821 Enrollment ID: I20051110000504 |
| Provider Name | Ramzi Toufic Nicolas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023090875 PECOS PAC ID: 3678516507 Enrollment ID: I20051110000573 |
| Provider Name | Amanda R Emke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841216140 PECOS PAC ID: 3870515380 Enrollment ID: I20051228000021 |
| Provider Name | Albert Faro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144247776 PECOS PAC ID: 0749202190 Enrollment ID: I20060104000001 |
| Provider Name | Justin Ogbevoen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487612370 PECOS PAC ID: 3476575101 Enrollment ID: I20060111000078 |
| Provider Name | Ericka Hayes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962420497 PECOS PAC ID: 8921015884 Enrollment ID: I20060317000102 |
| Provider Name | Ellen Eunhae Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891709440 PECOS PAC ID: 5092714329 Enrollment ID: I20061213000481 |
| Provider Name | Nancy Elizabeth Fuegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174569636 PECOS PAC ID: 9335140565 Enrollment ID: I20070130000655 |
| Provider Name | Katherine Lea Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467409797 PECOS PAC ID: 0648377929 Enrollment ID: I20070522000028 |
| Provider Name | Jason G Newland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750398582 PECOS PAC ID: 3577563972 Enrollment ID: I20070628000261 |
| Provider Name | Katherine Rivera Spoljaric |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215056882 PECOS PAC ID: 2567554926 Enrollment ID: I20070815000698 |
| Provider Name | Stephanie A Fritz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992913842 PECOS PAC ID: 6800988262 Enrollment ID: I20070815000729 |
| Provider Name | Yumirle Padron Turmelle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720115439 PECOS PAC ID: 9234221607 Enrollment ID: I20070815000767 |
| Provider Name | Avihu Z Gazit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114134186 PECOS PAC ID: 6507958279 Enrollment ID: I20070827000110 |
| Provider Name | Jonathan Currie Chiles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265651467 PECOS PAC ID: 8426141045 Enrollment ID: I20070912000296 |
| Provider Name | Jenna M Putzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093918831 PECOS PAC ID: 7113012469 Enrollment ID: I20071005000135 |
| Provider Name | Lisa V Suffian |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578510509 PECOS PAC ID: 9739150343 Enrollment ID: I20071005000245 |
| Provider Name | Reema H Syed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588872758 PECOS PAC ID: 7315033685 Enrollment ID: I20071017000890 |
| Provider Name | Rakesh Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093734576 PECOS PAC ID: 0446278683 Enrollment ID: I20071023000090 |
| Provider Name | Tasnim A Najaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164428389 PECOS PAC ID: 6103912191 Enrollment ID: I20071023000103 |
| Provider Name | Kristi L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316130933 PECOS PAC ID: 3375630080 Enrollment ID: I20071027000026 |
| Provider Name | Stefanee Lynann Keth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912195868 PECOS PAC ID: 8224125331 Enrollment ID: I20071106000189 |
| Provider Name | Elizabeth Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821015454 PECOS PAC ID: 9638266760 Enrollment ID: I20071106000309 |
| Provider Name | Bess A Marshall |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164440681 PECOS PAC ID: 7012005200 Enrollment ID: I20071126000190 |
| Provider Name | Michael P Turmelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194743625 PECOS PAC ID: 5092803288 Enrollment ID: I20071126000213 |
| Provider Name | Ronald Mark Grady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821036716 PECOS PAC ID: 2365449105 Enrollment ID: I20071214000093 |
| Provider Name | Robert M. Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992723449 PECOS PAC ID: 1254421738 Enrollment ID: I20071220000508 |
| Provider Name | Cathy L Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730128943 PECOS PAC ID: 8628158474 Enrollment ID: I20080105000045 |
| Provider Name | Ana Maria Arbelaez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740206069 PECOS PAC ID: 7315028198 Enrollment ID: I20080117000739 |
| Provider Name | William L Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669476495 PECOS PAC ID: 7810079191 Enrollment ID: I20080124000659 |
| Provider Name | Jessie Ann Reding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487831822 PECOS PAC ID: 7618055856 Enrollment ID: I20080429000164 |
| Provider Name | Bobi J Toebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104949684 PECOS PAC ID: 6709965379 Enrollment ID: I20080507000428 |
| Provider Name | Barbara B Warner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487723573 PECOS PAC ID: 0446329692 Enrollment ID: I20080514000671 |
| Provider Name | Debra Marie Spoljaric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346268083 PECOS PAC ID: 2365511839 Enrollment ID: I20080523000313 |
| Provider Name | Kristine G Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265458582 PECOS PAC ID: 0446322986 Enrollment ID: I20080628000045 |
| Provider Name | Caroline K Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205875036 PECOS PAC ID: 3173564770 Enrollment ID: I20080628000054 |
| Provider Name | Kimberly S Quayle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598781817 PECOS PAC ID: 0446322820 Enrollment ID: I20080630000220 |
| Provider Name | Jennifer A Wambach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649445008 PECOS PAC ID: 5698738052 Enrollment ID: I20080716000468 |
| Provider Name | Todd Eliott Druley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912170853 PECOS PAC ID: 2668545153 Enrollment ID: I20080716000532 |
| Provider Name | Gian M Musarra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396912424 PECOS PAC ID: 9537232970 Enrollment ID: I20080718000284 |
| Provider Name | Caroline C Horner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598783060 PECOS PAC ID: 0446323273 Enrollment ID: I20080725000750 |
| Provider Name | Shobha Bhaskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831198951 PECOS PAC ID: 4880767615 Enrollment ID: I20080725000760 |
| Provider Name | Dana E Ankney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134318751 PECOS PAC ID: 5193899730 Enrollment ID: I20080731000143 |
| Provider Name | Heidi L Sandige |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982805065 PECOS PAC ID: 1355415720 Enrollment ID: I20080801000565 |
| Provider Name | Dee Hodge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376561837 PECOS PAC ID: 6406920883 Enrollment ID: I20080801000682 |
| Provider Name | Charles E Canter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063453504 PECOS PAC ID: 3678570421 Enrollment ID: I20080807000145 |
| Provider Name | Sharon C Morley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144495508 PECOS PAC ID: 6305911835 Enrollment ID: I20080819000320 |
| Provider Name | Alexander Weymann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154596500 PECOS PAC ID: 7810062049 Enrollment ID: I20080821000523 |
| Provider Name | George Frederick Van Hare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790707735 PECOS PAC ID: 1254427487 Enrollment ID: I20080904000423 |
| Provider Name | Andrew J White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548287089 PECOS PAC ID: 7618043761 Enrollment ID: I20080915000091 |
| Provider Name | Leonard B Bacharier |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588680722 PECOS PAC ID: 5698841740 Enrollment ID: I20080915000105 |
| Provider Name | Nikoleta S Kolovos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720004948 PECOS PAC ID: 5395812325 Enrollment ID: I20080917000393 |
| Provider Name | Michele M Estabrook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174633572 PECOS PAC ID: 5294752812 Enrollment ID: I20080919000593 |
| Provider Name | Audrey R Odom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215949276 PECOS PAC ID: 9830267509 Enrollment ID: I20081008000052 |
| Provider Name | Matthew I Goldsmith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144248626 PECOS PAC ID: 3072673086 Enrollment ID: I20081120000754 |
| Provider Name | Anthony R French |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528084746 PECOS PAC ID: 2860553948 Enrollment ID: I20081208000454 |
| Provider Name | Phillip I Tarr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528086048 PECOS PAC ID: 3678634482 Enrollment ID: I20081211000132 |
| Provider Name | Paul William Hruz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427074731 PECOS PAC ID: 7113089731 Enrollment ID: I20081216000341 |
| Provider Name | Stuart Charles Sweet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851319354 PECOS PAC ID: 5092878934 Enrollment ID: I20090120000410 |
| Provider Name | Dawn C Helfrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427271634 PECOS PAC ID: 6305901349 Enrollment ID: I20090209000047 |
| Provider Name | Michele E Kemp |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104828771 PECOS PAC ID: 1759447568 Enrollment ID: I20090303000501 |
| Provider Name | Jennifer K. Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831360205 PECOS PAC ID: 3971669649 Enrollment ID: I20090304000421 |
| Provider Name | Scott Saunders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861418097 PECOS PAC ID: 5395801070 Enrollment ID: I20090304000560 |
| Provider Name | Suzanne Jaudes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790922623 PECOS PAC ID: 4880750462 Enrollment ID: I20090305000653 |
| Provider Name | Sandra M Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427076900 PECOS PAC ID: 0840356168 Enrollment ID: I20090311000302 |
| Provider Name | Donna R Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407977887 PECOS PAC ID: 4880742436 Enrollment ID: I20090508000228 |
| Provider Name | William A Mcmanus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477579605 PECOS PAC ID: 2062561327 Enrollment ID: I20090518000195 |
| Provider Name | Clayton B Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588682397 PECOS PAC ID: 3375692759 Enrollment ID: I20090610000536 |
| Provider Name | Carrie M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326482 PECOS PAC ID: 4587716790 Enrollment ID: I20090720000315 |
| Provider Name | Steve M Liao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598930950 PECOS PAC ID: 4385798248 Enrollment ID: I20090812000600 |
| Provider Name | Jeffrey J Bednarski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376718726 PECOS PAC ID: 6709930662 Enrollment ID: I20090812000645 |
| Provider Name | Monica L Hente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013996313 PECOS PAC ID: 3577617448 Enrollment ID: I20090812000698 |
| Provider Name | Beth Ann Kozel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225203672 PECOS PAC ID: 3375697915 Enrollment ID: I20090818000122 |
| Provider Name | Jennifer N. A. Silva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376718734 PECOS PAC ID: 9739235672 Enrollment ID: I20090918000182 |
| Provider Name | Abby L Kushnir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326216615 PECOS PAC ID: 9830245398 Enrollment ID: I20090924000351 |
| Provider Name | Marcia C Willing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457347577 PECOS PAC ID: 2466599014 Enrollment ID: I20091030000127 |
| Provider Name | Marwan S Shinawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912087354 PECOS PAC ID: 5496708588 Enrollment ID: I20091110000334 |
| Provider Name | Danielle S Koonce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304977 PECOS PAC ID: 6002958337 Enrollment ID: I20100125000182 |
| Provider Name | Celeste C Brancato |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316112766 PECOS PAC ID: 1759423718 Enrollment ID: I20100128000855 |
| Provider Name | Keith A Hruska |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336167030 PECOS PAC ID: 7719014026 Enrollment ID: I20100419000356 |
| Provider Name | Marian C Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427292267 PECOS PAC ID: 8729116108 Enrollment ID: I20100505000388 |
| Provider Name | David T Balzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134147572 PECOS PAC ID: 9133258148 Enrollment ID: I20100601000781 |
| Provider Name | Joan Catherine Downey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982620209 PECOS PAC ID: 6103955018 Enrollment ID: I20100602000105 |
| Provider Name | Joan Lee Rosenbaum |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053339549 PECOS PAC ID: 3274662184 Enrollment ID: I20100602000126 |
| Provider Name | Yasmeen Naheed Daud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073539292 PECOS PAC ID: 1254460173 Enrollment ID: I20100602000168 |
| Provider Name | William Rives |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003832312 PECOS PAC ID: 1850420779 Enrollment ID: I20100602000219 |
| Provider Name | Mary K Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295958270 PECOS PAC ID: 9638208564 Enrollment ID: I20100602000268 |
| Provider Name | David A Hunstad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932127362 PECOS PAC ID: 9436288362 Enrollment ID: I20100602000289 |
| Provider Name | Alexis M Elward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972529287 PECOS PAC ID: 6901936780 Enrollment ID: I20100607000072 |
| Provider Name | Ray S Davis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821037334 PECOS PAC ID: 2567433170 Enrollment ID: I20100607000091 |
| Provider Name | Neil Harris White |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558388017 PECOS PAC ID: 2466582986 Enrollment ID: I20100610000190 |
| Provider Name | Kathryn Lynn Plax |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215950233 PECOS PAC ID: 0143350660 Enrollment ID: I20100610000241 |
| Provider Name | Dana J Aronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639781 PECOS PAC ID: 2961532197 Enrollment ID: I20100614000621 |
| Provider Name | Caroline Elizabeth Mohrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013241686 PECOS PAC ID: 2567593395 Enrollment ID: I20100623000336 |
| Provider Name | Mark J Manary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285652743 PECOS PAC ID: 8921139031 Enrollment ID: I20100706000092 |
| Provider Name | Susan Green Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396763876 PECOS PAC ID: 3274664388 Enrollment ID: I20100706000115 |
| Provider Name | Mythili Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609892918 PECOS PAC ID: 2365573482 Enrollment ID: I20100706000128 |
| Provider Name | Francis Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457382962 PECOS PAC ID: 4486783388 Enrollment ID: I20100706000417 |
| Provider Name | Amit M Mathur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437177078 PECOS PAC ID: 5294866349 Enrollment ID: I20100706000500 |
| Provider Name | Allison A King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205854635 PECOS PAC ID: 8820129851 Enrollment ID: I20100708000180 |
| Provider Name | Anna Lijowska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508884149 PECOS PAC ID: 2163553199 Enrollment ID: I20100708000227 |
| Provider Name | Catherine J Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720236284 PECOS PAC ID: 9638201353 Enrollment ID: I20100715000862 |
| Provider Name | Rachel E Shakofsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952570152 PECOS PAC ID: 4082746581 Enrollment ID: I20100720000132 |
| Provider Name | Leena Lata Stemler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063686335 PECOS PAC ID: 3577695089 Enrollment ID: I20100720000199 |
| Provider Name | Arpita Vyas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982806436 PECOS PAC ID: 7618009135 Enrollment ID: I20100720000350 |
| Provider Name | Sarah J Mermelstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962689398 PECOS PAC ID: 3779615208 Enrollment ID: I20100720000402 |
| Provider Name | Ferdinand L Coste |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942475397 PECOS PAC ID: 0648302174 Enrollment ID: I20100720000456 |
| Provider Name | Shannon L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356670574 PECOS PAC ID: 4880726991 Enrollment ID: I20100723000929 |
| Provider Name | Michael R Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881612695 PECOS PAC ID: 0547392672 Enrollment ID: I20100724000168 |
| Provider Name | Elizabeth C Utterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205942976 PECOS PAC ID: 0547393126 Enrollment ID: I20100803000643 |
| Provider Name | Adrienne Atzemis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083697668 PECOS PAC ID: 0941382923 Enrollment ID: I20100804000845 |
| Provider Name | Megan Anne Cooper |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245405604 PECOS PAC ID: 4587797089 Enrollment ID: I20100804000886 |
| Provider Name | Jodi E Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679549067 PECOS PAC ID: 1759414055 Enrollment ID: I20100807000036 |
| Provider Name | Cassandra Michelle Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386736106 PECOS PAC ID: 8224066808 Enrollment ID: I20100818000853 |
| Provider Name | Frederick S Huang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215029038 PECOS PAC ID: 5799770863 Enrollment ID: I20100824001074 |
| Provider Name | Melissa Anne Sicard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780910083 PECOS PAC ID: 9537283775 Enrollment ID: I20100825000569 |
| Provider Name | Tammy M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659492544 PECOS PAC ID: 5991829145 Enrollment ID: I20100825000699 |
| Provider Name | Mark C Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497796957 PECOS PAC ID: 9931106770 Enrollment ID: I20100827000314 |
| Provider Name | Alysa Gail Ellis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528237633 PECOS PAC ID: 6406970169 Enrollment ID: I20100901000693 |
| Provider Name | Kelly L Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306863857 PECOS PAC ID: 8820113210 Enrollment ID: I20100908000685 |
| Provider Name | Lisa M Moscoso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831117316 PECOS PAC ID: 4688799083 Enrollment ID: I20100908000789 |
| Provider Name | Gary S Gottesman |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1447269444 PECOS PAC ID: 6901921261 Enrollment ID: I20100910000442 |
| Provider Name | Jacqueline L Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760517247 PECOS PAC ID: 1557486305 Enrollment ID: I20100916000492 |
| Provider Name | Robert James Hayashi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386662062 PECOS PAC ID: 7517083744 Enrollment ID: I20100924001345 |
| Provider Name | Kira M Geile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366767568 PECOS PAC ID: 4688790751 Enrollment ID: I20100927000164 |
| Provider Name | Alison J Whelan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487670709 PECOS PAC ID: 5294851176 Enrollment ID: I20100928001500 |
| Provider Name | Purvi P Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477571289 PECOS PAC ID: 3173715315 Enrollment ID: I20101007000093 |
| Provider Name | Peter H Michelson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053385880 PECOS PAC ID: 5294737383 Enrollment ID: I20101007001299 |
| Provider Name | Mary E Hartman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932295177 PECOS PAC ID: 4789686916 Enrollment ID: I20101011000740 |
| Provider Name | Kathleen M Berchelmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376565416 PECOS PAC ID: 2860684693 Enrollment ID: I20101012000145 |
| Provider Name | Michael Shoykhet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992906135 PECOS PAC ID: 5799970364 Enrollment ID: I20101109000290 |
| Provider Name | Andrea M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639341654 PECOS PAC ID: 1153516786 Enrollment ID: I20101109001107 |
| Provider Name | David Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922205558 PECOS PAC ID: 8921295114 Enrollment ID: I20101214000944 |
| Provider Name | Angela M Sharkey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578504015 PECOS PAC ID: 1658378492 Enrollment ID: I20101215001134 |
| Provider Name | Carolyn Anne Delaney Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649298076 PECOS PAC ID: 7315121795 Enrollment ID: I20110408000421 |
| Provider Name | Monalisa Mullick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821189887 PECOS PAC ID: 9739255258 Enrollment ID: I20110705000129 |
| Provider Name | Katherine M Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639348808 PECOS PAC ID: 3274701826 Enrollment ID: I20110726000321 |
| Provider Name | John Chao-chun Lin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629042379 PECOS PAC ID: 8325216971 Enrollment ID: I20110726000361 |
| Provider Name | Thomas Keefe Davis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124287420 PECOS PAC ID: 8527236181 Enrollment ID: I20110726000449 |
| Provider Name | Laura G Schuettpelz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346419975 PECOS PAC ID: 1850569419 Enrollment ID: I20110726000497 |
| Provider Name | Leanne M Depalma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689838138 PECOS PAC ID: 7113195785 Enrollment ID: I20110726000521 |
| Provider Name | Tara Neumayr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346212610 PECOS PAC ID: 5698748754 Enrollment ID: I20110728000575 |
| Provider Name | Sarah A Stanage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770749038 PECOS PAC ID: 6709054117 Enrollment ID: I20110728000623 |
| Provider Name | Charles Michael Samson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194932301 PECOS PAC ID: 2163575895 Enrollment ID: I20110801000715 |
| Provider Name | Philip C Spinella |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205805678 PECOS PAC ID: 2365465275 Enrollment ID: I20110801000801 |
| Provider Name | Kevin Wayne Baszis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366628349 PECOS PAC ID: 0143499491 Enrollment ID: I20110803000392 |
| Provider Name | Kevin T Barton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346428281 PECOS PAC ID: 2466621719 Enrollment ID: I20110803000436 |
| Provider Name | Mujahida Baram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407018336 PECOS PAC ID: 9234308123 Enrollment ID: I20110810000469 |
| Provider Name | Matthew D Lunneen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508157926 PECOS PAC ID: 6204006711 Enrollment ID: I20110818000812 |
| Provider Name | Monica Hulbert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447272679 PECOS PAC ID: 6709981251 Enrollment ID: I20110823000905 |
| Provider Name | Jennifer Corrine Wessman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790801892 PECOS PAC ID: 9335294453 Enrollment ID: I20111020000627 |
| Provider Name | Shabana Shahanavaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811229107 PECOS PAC ID: 1254503014 Enrollment ID: I20111020000658 |
| Provider Name | Jagruti S Anadkat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023288420 PECOS PAC ID: 3870766538 Enrollment ID: I20111026000088 |
| Provider Name | Shannon J Swiney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649557893 PECOS PAC ID: 9830356476 Enrollment ID: I20120209000027 |
| Provider Name | Ginny Lynn Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932487907 PECOS PAC ID: 5597925131 Enrollment ID: I20120320000202 |
| Provider Name | Casey Elizabeth Lofquest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916409 PECOS PAC ID: 2961664446 Enrollment ID: I20120430000016 |
| Provider Name | Shawana Star Branch-rowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689762742 PECOS PAC ID: 5698930543 Enrollment ID: I20120627000720 |
| Provider Name | Aimee M Baumann Dudenhoeffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407019300 PECOS PAC ID: 8628224532 Enrollment ID: I20120808000952 |
| Provider Name | Vikas R Dharnidharka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619915246 PECOS PAC ID: 8022132166 Enrollment ID: I20120808000967 |
| Provider Name | Kathleen E Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609040443 PECOS PAC ID: 2264688654 Enrollment ID: I20120820000550 |
| Provider Name | Kelsey A Sisti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669601480 PECOS PAC ID: 9234387309 Enrollment ID: I20120914000038 |
| Provider Name | Timothy J Casper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548403181 PECOS PAC ID: 2466600309 Enrollment ID: I20120918000456 |
| Provider Name | Sirine Baltagi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891976486 PECOS PAC ID: 0547410698 Enrollment ID: I20121025000423 |
| Provider Name | Stuart Howard Friess |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437184819 PECOS PAC ID: 9537262183 Enrollment ID: I20121103000093 |
| Provider Name | David Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528003787 PECOS PAC ID: 5496657975 Enrollment ID: I20121105000020 |
| Provider Name | Inna Treskov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528261146 PECOS PAC ID: 2769634062 Enrollment ID: I20121213000274 |
| Provider Name | John F Gleeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437356771 PECOS PAC ID: 7012160914 Enrollment ID: I20121228000364 |
| Provider Name | Janis M Stoll |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932389111 PECOS PAC ID: 2365697463 Enrollment ID: I20130220000536 |
| Provider Name | Alison S Towerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336491109 PECOS PAC ID: 5294980322 Enrollment ID: I20130221000222 |
| Provider Name | Katie F Gettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265706014 PECOS PAC ID: 3072768134 Enrollment ID: I20130222000071 |
| Provider Name | Fahd Aqeeb Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841432796 PECOS PAC ID: 0648415893 Enrollment ID: I20130318000479 |
| Provider Name | Hoanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1982649133 PECOS PAC ID: 5092714196 Enrollment ID: I20130417000230 |
| Provider Name | Laura Evelyn Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679885339 PECOS PAC ID: 5294978995 Enrollment ID: I20130828000461 |
| Provider Name | Jennifer Eryn Sprague |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477739472 PECOS PAC ID: 9830332493 Enrollment ID: I20130829000303 |
| Provider Name | Georgeann Keh-teng Groh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679728497 PECOS PAC ID: 9537302161 Enrollment ID: I20130830000217 |
| Provider Name | Indi Trehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003081456 PECOS PAC ID: 9032353073 Enrollment ID: I20130913000186 |
| Provider Name | Jamie Lynn Kondis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881870913 PECOS PAC ID: 9638313356 Enrollment ID: I20130919000645 |
| Provider Name | Mohamed Abdelbaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508021361 PECOS PAC ID: 7618111964 Enrollment ID: I20130926000509 |
| Provider Name | Shafkat Anwar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417114141 PECOS PAC ID: 1052479631 Enrollment ID: I20131010001010 |
| Provider Name | Shannon M Joerger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538338215 PECOS PAC ID: 7810121621 Enrollment ID: I20131010001104 |
| Provider Name | Jeffrey Alan Magee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013041664 PECOS PAC ID: 0345434759 Enrollment ID: I20131014000430 |
| Provider Name | Jessica N Costalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457672982 PECOS PAC ID: 7810125283 Enrollment ID: I20140109000678 |
| Provider Name | Jessica Pittman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275647711 PECOS PAC ID: 4385805639 Enrollment ID: I20140221000829 |
| Provider Name | Kevin Sullivan Obryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972817807 PECOS PAC ID: 7416189535 Enrollment ID: I20140403001794 |
| Provider Name | Kelly M Schober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437186996 PECOS PAC ID: 2567694631 Enrollment ID: I20140404000611 |
| Provider Name | Kathleen P Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053434001 PECOS PAC ID: 8426280728 Enrollment ID: I20140421001934 |
| Provider Name | Amjad Horani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568785855 PECOS PAC ID: 9537391784 Enrollment ID: I20140422001849 |
| Provider Name | Angela M Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861619041 PECOS PAC ID: 5496988248 Enrollment ID: I20140430002306 |
| Provider Name | Angela M Lapoint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225151830 PECOS PAC ID: 6103059548 Enrollment ID: I20140508002196 |
| Provider Name | Jennifer A Stann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649393547 PECOS PAC ID: 4789807702 Enrollment ID: I20140520002618 |
| Provider Name | Tara Conway Copper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417261967 PECOS PAC ID: 4880817568 Enrollment ID: I20140527001986 |
| Provider Name | Jane Alyce Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497034722 PECOS PAC ID: 9234355454 Enrollment ID: I20140724001296 |
| Provider Name | Zachary A Vesoulis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902035199 PECOS PAC ID: 3072739291 Enrollment ID: I20140724001518 |
| Provider Name | Melanie Erin Fields |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255595658 PECOS PAC ID: 0143447045 Enrollment ID: I20140818001323 |
| Provider Name | Joshua A Blatter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316109168 PECOS PAC ID: 5698992592 Enrollment ID: I20140818001360 |
| Provider Name | Brian Jesse Debosch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578710638 PECOS PAC ID: 1052539368 Enrollment ID: I20140828001357 |
| Provider Name | Samuel F Julian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841476975 PECOS PAC ID: 9436377611 Enrollment ID: I20140829001707 |
| Provider Name | Kara E Hennelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528261344 PECOS PAC ID: 8224183231 Enrollment ID: I20141013001474 |
| Provider Name | Suzanne Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972575025 PECOS PAC ID: 0345298741 Enrollment ID: I20150120001220 |
| Provider Name | Dustin M Baldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255628616 PECOS PAC ID: 0648594515 Enrollment ID: I20150123001953 |
| Provider Name | Patrick J Reich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114214574 PECOS PAC ID: 7416271317 Enrollment ID: I20150126000426 |
| Provider Name | Erin Marie Hall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740577105 PECOS PAC ID: 8527382449 Enrollment ID: I20150126001017 |
| Provider Name | Ashley S Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063819878 PECOS PAC ID: 7315261138 Enrollment ID: I20150126001601 |
| Provider Name | Noor Riaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073769733 PECOS PAC ID: 6800066895 Enrollment ID: I20150227002082 |
| Provider Name | Priya N Bhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659428522 PECOS PAC ID: 1254587421 Enrollment ID: I20150302000614 |
| Provider Name | Taryn G Sandheinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962809913 PECOS PAC ID: 0547587230 Enrollment ID: I20150317001527 |
| Provider Name | Moshood Karimu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730462771 PECOS PAC ID: 8527231562 Enrollment ID: I20150319001973 |
| Provider Name | Kenneth E Remy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235345042 PECOS PAC ID: 5092971267 Enrollment ID: I20150504000764 |
| Provider Name | Caroline Martz Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093005605 PECOS PAC ID: 0648590380 Enrollment ID: I20150521000427 |
| Provider Name | Ayelet Rosen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194041624 PECOS PAC ID: 1254652092 Enrollment ID: I20150605000685 |
| Provider Name | Chesney Dawn Castleberry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801055843 PECOS PAC ID: 6800031295 Enrollment ID: I20150617002974 |
| Provider Name | Julie Hargraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396181236 PECOS PAC ID: 9335451707 Enrollment ID: I20150716002324 |
| Provider Name | Cheryl Ross-cammock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689615015 PECOS PAC ID: 4981658002 Enrollment ID: I20150723007431 |
| Provider Name | Philip M Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720309016 PECOS PAC ID: 0345482303 Enrollment ID: I20150723007635 |
| Provider Name | Andrea M Coverstone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962637371 PECOS PAC ID: 6608189337 Enrollment ID: I20150723007969 |
| Provider Name | Kathleen A Sisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801108766 PECOS PAC ID: 5597078220 Enrollment ID: I20150723008012 |
| Provider Name | Carmen M Halabi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316176704 PECOS PAC ID: 8921311689 Enrollment ID: I20150723008852 |
| Provider Name | Maleewan Kitcharoensakkul |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609031558 PECOS PAC ID: 0446488449 Enrollment ID: I20150724009857 |
| Provider Name | Alok K Kothari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407143217 PECOS PAC ID: 7618280314 Enrollment ID: I20150724009964 |
| Provider Name | Ahmed Sm Said |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043522923 PECOS PAC ID: 9537472139 Enrollment ID: I20150724010306 |
| Provider Name | Andrea Rivera- Sepulveda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750693719 PECOS PAC ID: 4587977186 Enrollment ID: I20150724010501 |
| Provider Name | Christina K A Hickey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528296324 PECOS PAC ID: 5496068090 Enrollment ID: I20150724010508 |
| Provider Name | Snehal Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326363573 PECOS PAC ID: 1254568256 Enrollment ID: I20150724010653 |
| Provider Name | Marissa S Cantu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871869933 PECOS PAC ID: 5890009385 Enrollment ID: I20150803000683 |
| Provider Name | Emily F Fishman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407098262 PECOS PAC ID: 1850605544 Enrollment ID: I20150810001149 |
| Provider Name | Andrea Granados |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073830204 PECOS PAC ID: 7517081805 Enrollment ID: I20150813012051 |
| Provider Name | Donelle M Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861710048 PECOS PAC ID: 6901113356 Enrollment ID: I20150916003006 |
| Provider Name | Sandeep Arya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366780603 PECOS PAC ID: 4082922133 Enrollment ID: I20151009000553 |
| Provider Name | Jaya Goswami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326324609 PECOS PAC ID: 1052611829 Enrollment ID: I20151201000030 |
| Provider Name | Katherine E Milhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223647 PECOS PAC ID: 1456654078 Enrollment ID: I20160114001966 |
| Provider Name | David S Sonderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295099638 PECOS PAC ID: 4486958063 Enrollment ID: I20160202000222 |
| Provider Name | Rachel C Ashworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699030379 PECOS PAC ID: 0749584324 Enrollment ID: I20160202000235 |
| Provider Name | Erin E Casey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154685303 PECOS PAC ID: 6002110681 Enrollment ID: I20160202000294 |
| Provider Name | Ashley E Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982078200 PECOS PAC ID: 2365746948 Enrollment ID: I20160202000321 |
| Provider Name | Brandelynn Markley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245601244 PECOS PAC ID: 4587968185 Enrollment ID: I20160202000918 |
| Provider Name | Leslie R Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700252723 PECOS PAC ID: 9032413604 Enrollment ID: I20160203000232 |
| Provider Name | Mayte Ideliz Figueroa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609986199 PECOS PAC ID: 3870496615 Enrollment ID: I20160307002288 |
| Provider Name | Amy L Clark |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427285774 PECOS PAC ID: 1052617669 Enrollment ID: I20160308002079 |
| Provider Name | Jennifer Michelle Heeley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710116207 PECOS PAC ID: 2567782758 Enrollment ID: I20160406001562 |
| Provider Name | Barbara Cohlan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063484616 PECOS PAC ID: 4789638016 Enrollment ID: I20160426000836 |
| Provider Name | Gary A Silverman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578539300 PECOS PAC ID: 5597733972 Enrollment ID: I20160518000381 |
| Provider Name | Rema Ann Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598125650 PECOS PAC ID: 6507158532 Enrollment ID: I20160712000345 |
| Provider Name | Andrew Stephen Cluster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245542869 PECOS PAC ID: 0749574382 Enrollment ID: I20160804002067 |
| Provider Name | Bryanne N Colvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780996561 PECOS PAC ID: 9638463169 Enrollment ID: I20160805002402 |
| Provider Name | Jennifer Anne Horst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205032893 PECOS PAC ID: 1153615521 Enrollment ID: I20160808001320 |
| Provider Name | Valerie J Gribben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881952729 PECOS PAC ID: 8628397650 Enrollment ID: I20160808001376 |
| Provider Name | Ashley L Steed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740443837 PECOS PAC ID: 5193019578 Enrollment ID: I20160808001625 |
| Provider Name | Elizabeth S Messer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205276698 PECOS PAC ID: 3274827654 Enrollment ID: I20160808001642 |
| Provider Name | Kathryn B Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508179383 PECOS PAC ID: 4880988260 Enrollment ID: I20160808001740 |
| Provider Name | Toby A Rockefeller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265662241 PECOS PAC ID: 2668766049 Enrollment ID: I20160808001847 |
| Provider Name | Jay R Malone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093940751 PECOS PAC ID: 8426204041 Enrollment ID: I20160808002420 |
| Provider Name | Shawn D Oconnor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215240585 PECOS PAC ID: 4789978180 Enrollment ID: I20160808002476 |
| Provider Name | Shamik B Trivedi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528295623 PECOS PAC ID: 9133413545 Enrollment ID: I20160808002533 |
| Provider Name | Pravesh Sangwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144630930 PECOS PAC ID: 7911291190 Enrollment ID: I20160810002661 |
| Provider Name | Sonya Kirmani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861712358 PECOS PAC ID: 4385886811 Enrollment ID: I20160811000096 |
| Provider Name | Jeffrey R Stokes |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649221953 PECOS PAC ID: 4183640733 Enrollment ID: I20160811000109 |
| Provider Name | Aarti S Dalal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164624060 PECOS PAC ID: 9931396876 Enrollment ID: I20160811000136 |
| Provider Name | Christian J Nunez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831532332 PECOS PAC ID: 1254573637 Enrollment ID: I20160811001348 |
| Provider Name | Aadil K Kakajiwala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558677203 PECOS PAC ID: 1658665716 Enrollment ID: I20160811002335 |
| Provider Name | Irene M Rathjen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447629464 PECOS PAC ID: 3678867553 Enrollment ID: I20160816001545 |
| Provider Name | Megan S Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790047298 PECOS PAC ID: 2466765961 Enrollment ID: I20160818001974 |
| Provider Name | Stephen Issac Stone |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407172802 PECOS PAC ID: 4486949187 Enrollment ID: I20160819000917 |
| Provider Name | David A Rosen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144532607 PECOS PAC ID: 5597050187 Enrollment ID: I20160822001311 |
| Provider Name | Ritu L Zei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316381270 PECOS PAC ID: 6002118437 Enrollment ID: I20160923001309 |
| Provider Name | Misty Lynn Good |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760683601 PECOS PAC ID: 9739365016 Enrollment ID: I20161024001005 |
| Provider Name | Bryan A Sisk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073953667 PECOS PAC ID: 2668750811 Enrollment ID: I20161024001085 |
| Provider Name | Colleen D Edge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215379987 PECOS PAC ID: 6800174053 Enrollment ID: I20161024001269 |
| Provider Name | Amanda M Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518399617 PECOS PAC ID: 5698053726 Enrollment ID: I20161025001486 |
| Provider Name | Jody Np Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173585 PECOS PAC ID: 2860770211 Enrollment ID: I20161107000132 |
| Provider Name | Peggy A Rasp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306253562 PECOS PAC ID: 2163703620 Enrollment ID: I20161222000056 |
| Provider Name | Juliane Bubeck Wardenburg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245303064 PECOS PAC ID: 0941398465 Enrollment ID: I20170110000895 |
| Provider Name | David H Perlmutter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568437721 PECOS PAC ID: 6901798826 Enrollment ID: I20170116000000 |
| Provider Name | Regina A Clemens |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366676801 PECOS PAC ID: 8426361031 Enrollment ID: I20170116000003 |
| Provider Name | Nikkole A Danis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891231080 PECOS PAC ID: 0042593790 Enrollment ID: I20170203001440 |
| Provider Name | Tracy L Ivy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710111331 PECOS PAC ID: 6406157064 Enrollment ID: I20170203001463 |
| Provider Name | Mark E. Lowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033187968 PECOS PAC ID: 0345137709 Enrollment ID: I20170421001151 |
| Provider Name | Justin R Buland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235391822 PECOS PAC ID: 9739306432 Enrollment ID: I20170510000920 |
| Provider Name | Shakila Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144458126 PECOS PAC ID: 2567730302 Enrollment ID: I20170620000129 |
| Provider Name | Christina G Kwong |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326302902 PECOS PAC ID: 2062780836 Enrollment ID: I20170620001286 |
| Provider Name | Nathalie El Ters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295022739 PECOS PAC ID: 7719256239 Enrollment ID: I20170627000393 |
| Provider Name | Cecelia Calhoun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447545652 PECOS PAC ID: 0648409078 Enrollment ID: I20170627001276 |
| Provider Name | Michelle L Hagene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790190999 PECOS PAC ID: 3274802509 Enrollment ID: I20170630000061 |
| Provider Name | Colleen C Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912294000 PECOS PAC ID: 7113296468 Enrollment ID: I20170630000573 |
| Provider Name | Lauren Rogowski Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427463801 PECOS PAC ID: 4284903535 Enrollment ID: I20170630000676 |
| Provider Name | Susan May Wiltrakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578978474 PECOS PAC ID: 0042589095 Enrollment ID: I20170706001789 |
| Provider Name | Stephanie Cabler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972918175 PECOS PAC ID: 4284903238 Enrollment ID: I20170706001960 |
| Provider Name | Sara K Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508106410 PECOS PAC ID: 1355610320 Enrollment ID: I20170706002420 |
| Provider Name | Andrew B Janowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578884961 PECOS PAC ID: 8820367832 Enrollment ID: I20170707000685 |
| Provider Name | Kelly F Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636000 PECOS PAC ID: 9931478872 Enrollment ID: I20170707002230 |
| Provider Name | George M Hoganson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699180729 PECOS PAC ID: 7810267481 Enrollment ID: I20170714002192 |
| Provider Name | Madhavi Singhal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639584899 PECOS PAC ID: 2668742149 Enrollment ID: I20170717000149 |
| Provider Name | Daniell N Alfano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285933549 PECOS PAC ID: 4082984570 Enrollment ID: I20170717000313 |
| Provider Name | Oloruntosin Adepeju I Adeyanju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568738177 PECOS PAC ID: 0244540854 Enrollment ID: I20170717000884 |
| Provider Name | Sima Thakkar Bhatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487965679 PECOS PAC ID: 6608002878 Enrollment ID: I20170717002672 |
| Provider Name | Brooke I Polk |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235490400 PECOS PAC ID: 8628370947 Enrollment ID: I20170718001720 |
| Provider Name | Megan M Field |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740694306 PECOS PAC ID: 3971727470 Enrollment ID: I20170718001993 |
| Provider Name | Mark N Woolley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023351509 PECOS PAC ID: 5799087037 Enrollment ID: I20170718002128 |
| Provider Name | Anjali Patel Anders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619288594 PECOS PAC ID: 3870727951 Enrollment ID: I20170719001136 |
| Provider Name | Michael D Thompson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972879088 PECOS PAC ID: 6800167818 Enrollment ID: I20170810000280 |
| Provider Name | Amelia G Bray-aschenbrenner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417376898 PECOS PAC ID: 0446553192 Enrollment ID: I20170810000461 |
| Provider Name | Jonathan E Mullin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265751317 PECOS PAC ID: 1456502939 Enrollment ID: I20170810000561 |
| Provider Name | Arushi Manga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649566753 PECOS PAC ID: 5698046522 Enrollment ID: I20170810001295 |
| Provider Name | Margaret Lozovatsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518123389 PECOS PAC ID: 6406992890 Enrollment ID: I20170811002283 |
| Provider Name | Christopher Bradley Lewis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881913499 PECOS PAC ID: 5294007068 Enrollment ID: I20170815001691 |
| Provider Name | Kayla R Mcmahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922529171 PECOS PAC ID: 3476825159 Enrollment ID: I20170815002720 |
| Provider Name | Tamara D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154869220 PECOS PAC ID: 0042582389 Enrollment ID: I20170821002155 |
| Provider Name | Carol I. Kunz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891224978 PECOS PAC ID: 4789956749 Enrollment ID: I20170825001418 |
| Provider Name | Namrata N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841636867 PECOS PAC ID: 7810261450 Enrollment ID: I20170921000744 |
| Provider Name | Allison Elaine Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033560933 PECOS PAC ID: 0244506129 Enrollment ID: I20171019003273 |
| Provider Name | Katherine M Kiely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961482 PECOS PAC ID: 0042586950 Enrollment ID: I20171020001597 |
| Provider Name | Janet N Scheel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184656217 PECOS PAC ID: 4789714262 Enrollment ID: I20171020001710 |
| Provider Name | Jesse A Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811316276 PECOS PAC ID: 5698077139 Enrollment ID: I20171129000283 |
| Provider Name | Amy E Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053822254 PECOS PAC ID: 6103183025 Enrollment ID: I20171201001159 |
| Provider Name | Lindsay D Clukies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417244617 PECOS PAC ID: 0446517379 Enrollment ID: I20171201001801 |
| Provider Name | Amber M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669927539 PECOS PAC ID: 9032477583 Enrollment ID: I20171211002176 |
| Provider Name | Sharon D Vermont |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578614095 PECOS PAC ID: 7416273990 Enrollment ID: I20180102002864 |
| Provider Name | Shawn R Reathaford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669572343 PECOS PAC ID: 4385664804 Enrollment ID: I20180111000066 |
| Provider Name | Claire E Seper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942712278 PECOS PAC ID: 1254690514 Enrollment ID: I20180111001149 |
| Provider Name | Tracy A Purseglove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295826717 PECOS PAC ID: 8921388943 Enrollment ID: I20180308001246 |
| Provider Name | Nicole C Deptula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639519861 PECOS PAC ID: 1153623699 Enrollment ID: I20180521002723 |
| Provider Name | Kelleigh E Briden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164777223 PECOS PAC ID: 8921363698 Enrollment ID: I20180530000475 |
| Provider Name | Andrea Regina Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790273571 PECOS PAC ID: 7618232265 Enrollment ID: I20180531001248 |
| Provider Name | Andrew Michael Misfeldt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083926125 PECOS PAC ID: 0547525909 Enrollment ID: I20180606000351 |
| Provider Name | Allison L Chalupa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780066068 PECOS PAC ID: 9638434970 Enrollment ID: I20180607001140 |
| Provider Name | Cori Lynn Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255712816 PECOS PAC ID: 7517212319 Enrollment ID: I20180619003418 |
| Provider Name | Laura K Hulteen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043691272 PECOS PAC ID: 1951657345 Enrollment ID: I20180627000395 |
| Provider Name | Jorge Luis Granadillo De Luque |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1952717902 PECOS PAC ID: 0941556336 Enrollment ID: I20180627000438 |
| Provider Name | Anthony W Orvedahl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710241880 PECOS PAC ID: 9739435124 Enrollment ID: I20180627000546 |
| Provider Name | Sakil S Kulkarni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275896599 PECOS PAC ID: 1355697418 Enrollment ID: I20180702002788 |
| Provider Name | Ashlyn B Turner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649535089 PECOS PAC ID: 7012263098 Enrollment ID: I20180705000767 |
| Provider Name | Duha N Al-zubeidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962698639 PECOS PAC ID: 9830445816 Enrollment ID: I20180705000778 |
| Provider Name | Rachel Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497135057 PECOS PAC ID: 0749536613 Enrollment ID: I20180706001434 |
| Provider Name | Heidi M Griffiths |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164798088 PECOS PAC ID: 3072869940 Enrollment ID: I20180706001563 |
| Provider Name | Erin E Orf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073995593 PECOS PAC ID: 5991051583 Enrollment ID: I20180712001479 |
| Provider Name | Nora Kabil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861836496 PECOS PAC ID: 5799031399 Enrollment ID: I20180712001598 |
| Provider Name | Miriam Bathia Steinham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750762985 PECOS PAC ID: 1254688781 Enrollment ID: I20180716001089 |
| Provider Name | Yasasvi Vasili |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326433731 PECOS PAC ID: 9234486762 Enrollment ID: I20180716001164 |
| Provider Name | Kim H Liss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316235575 PECOS PAC ID: 8224385752 Enrollment ID: I20180716001195 |
| Provider Name | Sarah N Bram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497140164 PECOS PAC ID: 5597012021 Enrollment ID: I20180716001207 |
| Provider Name | Erik R Hoefgen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659636009 PECOS PAC ID: 1557660768 Enrollment ID: I20180716001212 |
| Provider Name | Aecha M Ybarra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578979670 PECOS PAC ID: 7012264559 Enrollment ID: I20180716001335 |
| Provider Name | Mary E Fournier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841251303 PECOS PAC ID: 1759517881 Enrollment ID: I20180716001797 |
| Provider Name | Hayley A Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831455161 PECOS PAC ID: 4880992007 Enrollment ID: I20180716002761 |
| Provider Name | Linda X Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912391558 PECOS PAC ID: 3870840184 Enrollment ID: I20180718001083 |
| Provider Name | Amanda Kopydlowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457732620 PECOS PAC ID: 4082918743 Enrollment ID: I20180723002284 |
| Provider Name | Aureen Baksh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902286537 PECOS PAC ID: 1355606930 Enrollment ID: I20180731000035 |
| Provider Name | Jamie Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780175299 PECOS PAC ID: 9335497692 Enrollment ID: I20180802000254 |
| Provider Name | Cadence A Kuklinski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1942567698 PECOS PAC ID: 4981952207 Enrollment ID: I20180802002862 |
| Provider Name | Allison R Palisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790262772 PECOS PAC ID: 8527317890 Enrollment ID: I20180820001900 |
| Provider Name | Patricia Irene Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780888644 PECOS PAC ID: 3476603903 Enrollment ID: I20180904002526 |
| Provider Name | Danielle Marie Kenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366920118 PECOS PAC ID: 0547510927 Enrollment ID: I20180905002752 |
| Provider Name | Katie Lynn Mowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609142959 PECOS PAC ID: 3274883608 Enrollment ID: I20180906000966 |
| Provider Name | Daniel R Morra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093704942 PECOS PAC ID: 0345590543 Enrollment ID: I20180910002349 |
| Provider Name | Viraine S Weerasooriya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093733990 PECOS PAC ID: 7214121888 Enrollment ID: I20180910002591 |
| Provider Name | Gillian C Pet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639478969 PECOS PAC ID: 2668780255 Enrollment ID: I20180924000307 |
| Provider Name | Rose Marie Eslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518440379 PECOS PAC ID: 7113270281 Enrollment ID: I20181019001991 |
| Provider Name | Louise C Malburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841678042 PECOS PAC ID: 7416200324 Enrollment ID: I20181023001873 |
| Provider Name | Eve R Colson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730163577 PECOS PAC ID: 3779611405 Enrollment ID: I20181114000413 |
| Provider Name | Katherine M Varrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710453527 PECOS PAC ID: 1153675533 Enrollment ID: I20181121002662 |
| Provider Name | Colleen E Seematter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467518167 PECOS PAC ID: 4183511785 Enrollment ID: I20181204002763 |
| Provider Name | Alexis A Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164827242 PECOS PAC ID: 6800132689 Enrollment ID: I20190116000319 |
| Provider Name | Manjusha Abraham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508126699 PECOS PAC ID: 2163770579 Enrollment ID: I20190204002255 |
| Provider Name | Elizabeth H Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104398726 PECOS PAC ID: 0042558447 Enrollment ID: I20190211000744 |
| Provider Name | Kayleigh Ann Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275876716 PECOS PAC ID: 2961740741 Enrollment ID: I20190221000724 |
| Provider Name | Mary Elizabeth Bernardin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104266493 PECOS PAC ID: 6507105335 Enrollment ID: I20190222000329 |
| Provider Name | Mandy Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184829137 PECOS PAC ID: 2668632308 Enrollment ID: I20190226001078 |
| Provider Name | Laura Jean White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487128468 PECOS PAC ID: 8123368412 Enrollment ID: I20190325000273 |
| Provider Name | Deepa Hasmukhlal Chand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356306823 PECOS PAC ID: 8022927565 Enrollment ID: I20190409003123 |
| Provider Name | Kathryn A Spectorsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942627823 PECOS PAC ID: 3375845605 Enrollment ID: I20190611000456 |
| Provider Name | Charlita Shernee' Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417425844 PECOS PAC ID: 1254664899 Enrollment ID: I20190613000160 |
| Provider Name | Patrick E Sloan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558701045 PECOS PAC ID: 4385977982 Enrollment ID: I20190613002696 |
| Provider Name | Luke Timothy Viehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598115727 PECOS PAC ID: 1759615826 Enrollment ID: I20190624001081 |
| Provider Name | Halana Victoria Whitehead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508208646 PECOS PAC ID: 6800120726 Enrollment ID: I20190627000240 |
| Provider Name | Daniel Nathan Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669812053 PECOS PAC ID: 6002140803 Enrollment ID: I20190627003317 |
| Provider Name | Margaret Ashley Ferris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669812905 PECOS PAC ID: 5991039596 Enrollment ID: I20190702002248 |
| Provider Name | John Taylor Putman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477903607 PECOS PAC ID: 7618201112 Enrollment ID: I20190702002280 |
| Provider Name | Elizabeth Anne Bozaan Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225489305 PECOS PAC ID: 4082948534 Enrollment ID: I20190703000416 |
| Provider Name | Justine Sarah Cummins Oman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871046953 PECOS PAC ID: 3577898055 Enrollment ID: I20190708000452 |
| Provider Name | Nicole Marie Brossier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588004162 PECOS PAC ID: 9537494919 Enrollment ID: I20190708000601 |
| Provider Name | Kentaro Yomogida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386907574 PECOS PAC ID: 9931330263 Enrollment ID: I20190709000275 |
| Provider Name | William Brinson Orr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699115006 PECOS PAC ID: 3779818141 Enrollment ID: I20190709000504 |
| Provider Name | Kaitlin G Kenney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811382583 PECOS PAC ID: 0941558506 Enrollment ID: I20190710000911 |
| Provider Name | Danielle R. Keebaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013368844 PECOS PAC ID: 5698000453 Enrollment ID: I20190716002271 |
| Provider Name | Deepa Mokshagundam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821330465 PECOS PAC ID: 3779818539 Enrollment ID: I20190716002296 |
| Provider Name | Tara Billings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205249398 PECOS PAC ID: 0244595593 Enrollment ID: I20190716003296 |
| Provider Name | Abby Margaret Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588864003 PECOS PAC ID: 8325264153 Enrollment ID: I20190716003544 |
| Provider Name | Eileen Anna Ciccia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497013767 PECOS PAC ID: 1759683279 Enrollment ID: I20190717000368 |
| Provider Name | Alexa Michelle Altman Doss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073964722 PECOS PAC ID: 7719213305 Enrollment ID: I20190718003276 |
| Provider Name | Alexandra Clare Lahart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649610064 PECOS PAC ID: 9133455769 Enrollment ID: I20190719001551 |
| Provider Name | Dana Marie Decuffa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245684661 PECOS PAC ID: 4082940655 Enrollment ID: I20190722000044 |
| Provider Name | Alina Mercedes Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861719338 PECOS PAC ID: 4284956954 Enrollment ID: I20190722000288 |
| Provider Name | Manish Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841557899 PECOS PAC ID: 3678809126 Enrollment ID: I20190723000110 |
| Provider Name | Amy Elizabeth Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487917951 PECOS PAC ID: 7113273210 Enrollment ID: I20190725000982 |
| Provider Name | Andrea Nicole Drussa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467426 PECOS PAC ID: 2769718931 Enrollment ID: I20190725001428 |
| Provider Name | Brian Ross Stotter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649619453 PECOS PAC ID: 3577852888 Enrollment ID: I20190725001979 |
| Provider Name | Dzmitry Matsiukevich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063790269 PECOS PAC ID: 0244466266 Enrollment ID: I20190729001322 |
| Provider Name | Lior Vardi Vizel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881056497 PECOS PAC ID: 2860737095 Enrollment ID: I20190808001686 |
| Provider Name | Katelyn P Smelser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221215 PECOS PAC ID: 2668775099 Enrollment ID: I20190819002896 |
| Provider Name | Stephen Jefrey Nageotte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568870434 PECOS PAC ID: 8224366109 Enrollment ID: I20190830000858 |
| Provider Name | Bryce Lauren Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532462 PECOS PAC ID: 4981820685 Enrollment ID: I20190917002406 |
| Provider Name | Sasha Alloyse Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659785145 PECOS PAC ID: 7315227550 Enrollment ID: I20190918002549 |
| Provider Name | Amanda Reider Kolmar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932441219 PECOS PAC ID: 5092045542 Enrollment ID: I20190925002518 |
| Provider Name | Surbhi Saini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205083409 PECOS PAC ID: 5496042517 Enrollment ID: I20191008001632 |
| Provider Name | Megan Anne Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811546120 PECOS PAC ID: 9739410937 Enrollment ID: I20191018000629 |
| Provider Name | Sarah Elizabeth John |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881951259 PECOS PAC ID: 6507167541 Enrollment ID: I20191025000911 |
| Provider Name | Michelle Renee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679521520 PECOS PAC ID: 7719985654 Enrollment ID: I20191106001222 |
| Provider Name | Julie Rachel Dorfman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841686789 PECOS PAC ID: 4183920788 Enrollment ID: I20191216001750 |
| Provider Name | Beverly Sobchak Brozanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558333575 PECOS PAC ID: 1557445541 Enrollment ID: I20191231001125 |
| Provider Name | Kimberly Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002743 PECOS PAC ID: 1557797685 Enrollment ID: I20200207001158 |
| Provider Name | Tammy S Cook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568765808 PECOS PAC ID: 3678902475 Enrollment ID: I20200330003152 |
| Provider Name | Clay William Yaklin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740522937 PECOS PAC ID: 1254633571 Enrollment ID: I20200401000848 |
| Provider Name | Jorge Andres Dipaola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740277409 PECOS PAC ID: 4981749892 Enrollment ID: I20200402002809 |
| Provider Name | Sarah Marie Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570013 PECOS PAC ID: 4789013038 Enrollment ID: I20200407003313 |
| Provider Name | Steven K Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356754451 PECOS PAC ID: 7416259874 Enrollment ID: I20200605002309 |
| Provider Name | Alycia Elizabeth Burley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558990598 PECOS PAC ID: 7517388184 Enrollment ID: I20200608000686 |
| Provider Name | Lakshmi Ravali Gokanapudy Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851710677 PECOS PAC ID: 6103248539 Enrollment ID: I20200612000126 |
| Provider Name | Sheila Razdan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073033007 PECOS PAC ID: 0941622245 Enrollment ID: I20200615001492 |
| Provider Name | Carly Schuetz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942627377 PECOS PAC ID: 6507288651 Enrollment ID: I20200619000120 |
| Provider Name | Marie Lynn Batty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710407010 PECOS PAC ID: 0143642082 Enrollment ID: I20200622002147 |
| Provider Name | Kyle Pearson Mcnerney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740695188 PECOS PAC ID: 4385066224 Enrollment ID: I20200622002385 |
| Provider Name | Omar Elsayed-ali |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174064596 PECOS PAC ID: 1355763202 Enrollment ID: I20200622002594 |
| Provider Name | Timothy A Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457871006 PECOS PAC ID: 0941622823 Enrollment ID: I20200623001172 |
| Provider Name | Stefani Stevanija Tica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598285165 PECOS PAC ID: 3476975301 Enrollment ID: I20200623002939 |
| Provider Name | Sherea Monica Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790105682 PECOS PAC ID: 9436451812 Enrollment ID: I20200624003225 |
| Provider Name | Katherine Abell King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780064378 PECOS PAC ID: 5496177966 Enrollment ID: I20200630000813 |
| Provider Name | Anchal Sethi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205367612 PECOS PAC ID: 2567731557 Enrollment ID: I20200701003527 |
| Provider Name | Sophia Eugenia Agapova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306377635 PECOS PAC ID: 3870861842 Enrollment ID: I20200702001435 |
| Provider Name | Neel Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518371079 PECOS PAC ID: 6709209067 Enrollment ID: I20200706002303 |
| Provider Name | Jared Ruben Levin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518386614 PECOS PAC ID: 5294158341 Enrollment ID: I20200708000108 |
| Provider Name | Edon Jacob Rabinowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811263825 PECOS PAC ID: 6305269309 Enrollment ID: I20200709001584 |
| Provider Name | Emily Marie Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549203 PECOS PAC ID: 1557784436 Enrollment ID: I20200710001098 |
| Provider Name | Katelyn Curran Leestma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684378 PECOS PAC ID: 4183048747 Enrollment ID: I20200716000738 |
| Provider Name | Timothy R. Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972958726 PECOS PAC ID: 6901196971 Enrollment ID: I20200723002046 |
| Provider Name | Lauren Waldholtz Gregory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801316732 PECOS PAC ID: 7911321641 Enrollment ID: I20200728000605 |
| Provider Name | Frances Naa Lamiley Annan-fohtung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912427956 PECOS PAC ID: 3870918188 Enrollment ID: I20200804001717 |
| Provider Name | Melissa Marie Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922219567 PECOS PAC ID: 5799962866 Enrollment ID: I20200804002867 |
| Provider Name | Christopher Alan Sumski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639412778 PECOS PAC ID: 7810215720 Enrollment ID: I20200811000604 |
| Provider Name | David F Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730422569 PECOS PAC ID: 8921300260 Enrollment ID: I20200817001966 |
| Provider Name | Justin William Robison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124461272 PECOS PAC ID: 0547484925 Enrollment ID: I20200825001299 |
| Provider Name | William Johansen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073975132 PECOS PAC ID: 9032536420 Enrollment ID: I20200831002185 |
| Provider Name | Raja Sekhar Dandamudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386170181 PECOS PAC ID: 9931526217 Enrollment ID: I20200901002007 |
| Provider Name | Milarys Hernandez-martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174999890 PECOS PAC ID: 6204253438 Enrollment ID: I20200902000574 |
| Provider Name | Margaret S Shatara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245679430 PECOS PAC ID: 8820388085 Enrollment ID: I20200908000451 |
| Provider Name | Carol M Kao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912273988 PECOS PAC ID: 6709133341 Enrollment ID: I20200908000568 |
| Provider Name | Catherine Frances Gooch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295180867 PECOS PAC ID: 1153618111 Enrollment ID: I20200909000337 |
| Provider Name | Crystal Gravatte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619219367 PECOS PAC ID: 7113216813 Enrollment ID: I20200909002328 |
| Provider Name | Meryl Kersten Perlman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790767846 PECOS PAC ID: 7618947235 Enrollment ID: I20200909002592 |
| Provider Name | Sheila Frances Waslawski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558881045 PECOS PAC ID: 9436429966 Enrollment ID: I20200914000680 |
| Provider Name | Mary Jane Broge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295066769 PECOS PAC ID: 6901226059 Enrollment ID: I20201012002198 |
| Provider Name | Stephanie Ann Berdy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235578600 PECOS PAC ID: 0941592729 Enrollment ID: I20201014002979 |
| Provider Name | Blaire Elizabeth Kulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548645781 PECOS PAC ID: 3971913286 Enrollment ID: I20201027002462 |
| Provider Name | Jamie Lynn Backowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675227 PECOS PAC ID: 3678983814 Enrollment ID: I20201029001504 |
| Provider Name | Ronald C Rubenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144237025 PECOS PAC ID: 3476600305 Enrollment ID: I20201204001529 |
| Provider Name | Monty Mazer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851731913 PECOS PAC ID: 5294147799 Enrollment ID: I20201207001320 |
| Provider Name | Catherine Gabrielle Favignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073100566 PECOS PAC ID: 9830503317 Enrollment ID: I20210125000310 |
| Provider Name | Lori Lion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982845483 PECOS PAC ID: 6800174038 Enrollment ID: I20210402000529 |
| Provider Name | Meisha Graham Colletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831365691 PECOS PAC ID: 9830364090 Enrollment ID: I20210503000964 |
| Provider Name | Camille Nell Skaer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326623497 PECOS PAC ID: 3577972637 Enrollment ID: I20210503001232 |
| Provider Name | Joseph Daniel Finney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447602966 PECOS PAC ID: 2062821077 Enrollment ID: I20210504000927 |
| Provider Name | Christina Elizabeth Zanaboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669836151 PECOS PAC ID: 2769775956 Enrollment ID: I20210504001982 |
| Provider Name | Natalie Anne Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730719634 PECOS PAC ID: 4880093665 Enrollment ID: I20210527001286 |
| Provider Name | Regina Elizabeth Seier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467027920 PECOS PAC ID: 9335549393 Enrollment ID: I20210611002088 |
| Provider Name | Kirsten Tara Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843660 PECOS PAC ID: 1254733306 Enrollment ID: I20210712002375 |
| Provider Name | Peter Larossa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255759700 PECOS PAC ID: 4284907072 Enrollment ID: I20210729001844 |
| Provider Name | Rene Martin Roy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669899878 PECOS PAC ID: 1052608924 Enrollment ID: I20210802001921 |
| Provider Name | Daphne Wang Branham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295116374 PECOS PAC ID: 5193060101 Enrollment ID: I20210802002061 |
| Provider Name | Kathleen Ann Harold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629457163 PECOS PAC ID: 5193029510 Enrollment ID: I20210802002086 |
| Provider Name | Erica Schmitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174904502 PECOS PAC ID: 7911301957 Enrollment ID: I20210812001364 |
| Provider Name | Drew Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912389271 PECOS PAC ID: 4587068523 Enrollment ID: I20210812001664 |
| Provider Name | Rebecca Roelofs Hartog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417375791 PECOS PAC ID: 9436378254 Enrollment ID: I20210817000998 |
| Provider Name | Caroline Kellagher Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013402924 PECOS PAC ID: 0345645024 Enrollment ID: I20210818001319 |
| Provider Name | Austin James Ostermeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174919575 PECOS PAC ID: 3173870664 Enrollment ID: I20210818001571 |
| Provider Name | Megan Elizabeth Philibert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467947655 PECOS PAC ID: 0446655195 Enrollment ID: I20210819000295 |
| Provider Name | Jacquelynn Victoria Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710431432 PECOS PAC ID: 6901186162 Enrollment ID: I20210820001958 |
| Provider Name | Allie A. Grither |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023498672 PECOS PAC ID: 4587069059 Enrollment ID: I20210820002249 |
| Provider Name | Katarina Semkiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205253341 PECOS PAC ID: 7719281815 Enrollment ID: I20210831001077 |
| Provider Name | Katie Knoedelseder Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740579325 PECOS PAC ID: 0648527978 Enrollment ID: I20210831001696 |
| Provider Name | Courtney Rj Kaar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871024760 PECOS PAC ID: 0547538449 Enrollment ID: I20210901001329 |
| Provider Name | Puja Jairaj Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710376454 PECOS PAC ID: 1153677448 Enrollment ID: I20210901001398 |
| Provider Name | Erin Margaret Hickey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194189217 PECOS PAC ID: 9931435872 Enrollment ID: I20210901002957 |
| Provider Name | Tracy Marrs Conner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487092987 PECOS PAC ID: 9537424536 Enrollment ID: I20210901003069 |
| Provider Name | John Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568704930 PECOS PAC ID: 2567764897 Enrollment ID: I20210910000675 |
| Provider Name | Joseph Daniel Daesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407491319 PECOS PAC ID: 6406252535 Enrollment ID: I20210915000259 |
| Provider Name | Lauren Virginia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265102990 PECOS PAC ID: 4981001344 Enrollment ID: I20210928000811 |
| Provider Name | Erin Caitlin Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881269793 PECOS PAC ID: 5193122471 Enrollment ID: I20210929002309 |
| Provider Name | Julia Therese Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831570779 PECOS PAC ID: 6305243528 Enrollment ID: I20210930000580 |
| Provider Name | Sutira Piyajessadakul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203721 PECOS PAC ID: 7517364789 Enrollment ID: I20210930002675 |
| Provider Name | Karine Amirikian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306227525 PECOS PAC ID: 9234433913 Enrollment ID: I20211015002290 |
| Provider Name | Keisha Marie White Makinde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386175206 PECOS PAC ID: 8022432384 Enrollment ID: I20211020002637 |
| Provider Name | Allek Lee Scheele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881089266 PECOS PAC ID: 3274839691 Enrollment ID: I20211102000382 |
| Provider Name | Amber R. Stallard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578701546 PECOS PAC ID: 1658635768 Enrollment ID: I20211113000077 |
| Provider Name | Lauren Buxbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861888372 PECOS PAC ID: 8224427828 Enrollment ID: I20211122000721 |
| Provider Name | Navpreet Rawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518398 PECOS PAC ID: 8123450871 Enrollment ID: I20211202000764 |
| Provider Name | Tanya Marie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669962908 PECOS PAC ID: 2163812249 Enrollment ID: I20211203000982 |
| Provider Name | Tracy A Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780858019 PECOS PAC ID: 1153712641 Enrollment ID: I20211216001278 |
| Provider Name | Angela Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558612382 PECOS PAC ID: 3476869116 Enrollment ID: I20211220000431 |
| Provider Name | Martine Saint-cyr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295135051 PECOS PAC ID: 5496005241 Enrollment ID: I20211220000948 |
| Provider Name | Ram Kevin Rohatgi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528400785 PECOS PAC ID: 5991948531 Enrollment ID: I20211227000994 |
| Provider Name | Talisha J Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537820 PECOS PAC ID: 0941574370 Enrollment ID: I20211230000296 |
| Provider Name | Sara Susan Procknow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033569918 PECOS PAC ID: 8022400753 Enrollment ID: I20220110000537 |
| Provider Name | Theresa Mary Timm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316467335 PECOS PAC ID: 5193117828 Enrollment ID: I20220110000650 |
| Provider Name | Courtney Marie Hibbs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417481375 PECOS PAC ID: 5193098671 Enrollment ID: I20220114000475 |
| Provider Name | Kyle Marie Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356967897 PECOS PAC ID: 7810389632 Enrollment ID: I20220127001792 |
| Provider Name | Lauren Elizabeth Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649846510 PECOS PAC ID: 1557753324 Enrollment ID: I20220128000871 |
| Provider Name | Michelle Ann Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285697912 PECOS PAC ID: 6204749781 Enrollment ID: I20220208000917 |
| Provider Name | Miranda Lyn Edmunds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861987521 PECOS PAC ID: 0345633400 Enrollment ID: I20220214000382 |
| Provider Name | Emily Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144974809 PECOS PAC ID: 6103210638 Enrollment ID: I20220228001333 |
| Provider Name | Margaret Fuchs Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407508807 PECOS PAC ID: 5193110195 Enrollment ID: I20220309001616 |
| Provider Name | Samantha Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219624 PECOS PAC ID: 2860887759 Enrollment ID: I20220310002251 |
| Provider Name | Brooke Nicole Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487139515 PECOS PAC ID: 1052665932 Enrollment ID: I20220310002274 |
| Provider Name | Mohannad Mannaa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861423576 PECOS PAC ID: 6204811334 Enrollment ID: I20220419002854 |
| Provider Name | Michael Papacostas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194010777 PECOS PAC ID: 0446496046 Enrollment ID: I20220614002006 |
| Provider Name | Sarah Elizabeth Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699229633 PECOS PAC ID: 3577942192 Enrollment ID: I20220628000743 |
| Provider Name | Suong Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992155113 PECOS PAC ID: 1052791050 Enrollment ID: I20220708000527 |
| Provider Name | Diana M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295187987 PECOS PAC ID: 2961795836 Enrollment ID: I20220722001073 |
| Provider Name | Dani Kathleen Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104563188 PECOS PAC ID: 5890176762 Enrollment ID: I20220724000037 |
| Provider Name | Amanda Kay Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689318875 PECOS PAC ID: 8426430372 Enrollment ID: I20220809002168 |
| Provider Name | Mary Kate Eversgerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477292084 PECOS PAC ID: 2769865096 Enrollment ID: I20220818001293 |
| Provider Name | Cori Anne Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477290799 PECOS PAC ID: 5890179683 Enrollment ID: I20220828000026 |
| Provider Name | Sandra Ann Turpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952033052 PECOS PAC ID: 1355726464 Enrollment ID: I20220909001503 |
| Provider Name | Andrew Charles Glatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053496463 PECOS PAC ID: 4587666730 Enrollment ID: I20220915000564 |
| Provider Name | Sydnie Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659043776 PECOS PAC ID: 6507254968 Enrollment ID: I20220927002850 |
| Provider Name | Amy R Bohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326426560 PECOS PAC ID: 8820464852 Enrollment ID: I20221017002235 |
| Provider Name | Christina Anh Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487309571 PECOS PAC ID: 4880061415 Enrollment ID: I20221110000915 |
| Provider Name | Rachael Anne Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669032991 PECOS PAC ID: 5395112866 Enrollment ID: I20221114001172 |
| Provider Name | Anne Marie Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851885859 PECOS PAC ID: 0143699017 Enrollment ID: I20221215002213 |
| Provider Name | Michelle Pintea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003340456 PECOS PAC ID: 1355612698 Enrollment ID: I20221216000960 |
| Provider Name | Carlee Patricia Lenehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689179848 PECOS PAC ID: 9537405311 Enrollment ID: I20221216001112 |
| Provider Name | James Robert Rudloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922530773 PECOS PAC ID: 4880010032 Enrollment ID: I20221220002254 |
| Provider Name | Erica Danielle Bonura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114381779 PECOS PAC ID: 8224320304 Enrollment ID: I20230113001973 |
| Provider Name | Marjorie Ann Farrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740743947 PECOS PAC ID: 0648649392 Enrollment ID: I20230113002300 |
| Provider Name | Tarin M Bigley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912357989 PECOS PAC ID: 5395116156 Enrollment ID: I20230114000175 |
| Provider Name | William Frederick Mccomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730749110 PECOS PAC ID: 0547630261 Enrollment ID: I20230123000956 |
| Provider Name | Megan Elizabeth Marolt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821558891 PECOS PAC ID: 4789919259 Enrollment ID: I20230123002326 |
| Provider Name | Melissa Michelle Mavers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427349265 PECOS PAC ID: 3375811706 Enrollment ID: I20230123002550 |
| Provider Name | Mary Claire Mcglynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609428556 PECOS PAC ID: 3173994597 Enrollment ID: I20230123002674 |
| Provider Name | Thomas Manfred Pfeiffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922492990 PECOS PAC ID: 4587035928 Enrollment ID: I20230124000455 |
| Provider Name | Leslie Abigail Fogel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972953115 PECOS PAC ID: 8921479361 Enrollment ID: I20230124000518 |
| Provider Name | Maria Laura Duque Lasio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821479957 PECOS PAC ID: 9537495114 Enrollment ID: I20230124001710 |
| Provider Name | Abigail Marion Kissel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508181066 PECOS PAC ID: 4789826520 Enrollment ID: I20230124001827 |
| Provider Name | Daniel Mark Mammel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265882401 PECOS PAC ID: 4486024197 Enrollment ID: I20230124002020 |
| Provider Name | Daisuke Kobayashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346425048 PECOS PAC ID: 8426290503 Enrollment ID: I20230124002028 |
| Provider Name | Allison Ruth Schuh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871957407 PECOS PAC ID: 2769774603 Enrollment ID: I20230124002256 |
| Provider Name | Ashley Davidson Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205298981 PECOS PAC ID: 3779954052 Enrollment ID: I20230124002981 |
| Provider Name | David Louis Bloom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598129850 PECOS PAC ID: 0446596092 Enrollment ID: I20230125000082 |
| Provider Name | Michael Alan Kramer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245693878 PECOS PAC ID: 5799078986 Enrollment ID: I20230125001012 |
| Provider Name | Christina Michelle Fahey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477118552 PECOS PAC ID: 2466785126 Enrollment ID: I20230125003012 |
| Provider Name | Adedotun Olutoyin Adewale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457742546 PECOS PAC ID: 5092062653 Enrollment ID: I20230126000672 |
| Provider Name | Maha Bano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811555618 PECOS PAC ID: 7214262112 Enrollment ID: I20230126000886 |
| Provider Name | Yuri Fedorovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710544408 PECOS PAC ID: 2961737788 Enrollment ID: I20230126001647 |
| Provider Name | Chatondra Lin Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366094096 PECOS PAC ID: 8325419419 Enrollment ID: I20230127002396 |
| Provider Name | Ellen Marie Cody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336502319 PECOS PAC ID: 7618262478 Enrollment ID: I20230202000735 |
| Provider Name | Aayush Khanal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326490566 PECOS PAC ID: 0749573905 Enrollment ID: I20230202001193 |
| Provider Name | Kaye Elizabeth Brathwaite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922488865 PECOS PAC ID: 6406145622 Enrollment ID: I20230203000469 |
| Provider Name | Mallory Brooke Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093133886 PECOS PAC ID: 5395029961 Enrollment ID: I20230204000251 |
| Provider Name | Lila Sarah Wahidi Nolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831541895 PECOS PAC ID: 6204120017 Enrollment ID: I20230208000923 |
| Provider Name | Brian Davis Reinholz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932769296 PECOS PAC ID: 5597135210 Enrollment ID: I20230213000112 |
| Provider Name | Katelyn Biros |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407471220 PECOS PAC ID: 6901284322 Enrollment ID: I20230330001040 |
| Provider Name | Jade Leanna Caldwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285107821 PECOS PAC ID: 9638544489 Enrollment ID: I20230407001516 |
| Provider Name | Kimberly Anne Sutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730539982 PECOS PAC ID: 0840660510 Enrollment ID: I20230427001592 |
| Provider Name | Korre Leigh Fairman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801283205 PECOS PAC ID: 4486998077 Enrollment ID: I20230427002393 |
| Provider Name | Rachael Elissa Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457747032 PECOS PAC ID: 9032411392 Enrollment ID: I20230429000031 |
| Provider Name | Anthony Gerard Pompa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366804643 PECOS PAC ID: 5496124653 Enrollment ID: I20230612001393 |
| Provider Name | David Michael Vermette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902254915 PECOS PAC ID: 2769776442 Enrollment ID: I20230714003614 |
| Provider Name | Stephanie Ruth Richelle Diggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174044739 PECOS PAC ID: 1254791759 Enrollment ID: I20230715000362 |
| Provider Name | Laura Albert Duckworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518487503 PECOS PAC ID: 2062872567 Enrollment ID: I20230715000409 |
| Provider Name | Katherine Anne Burgener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619408135 PECOS PAC ID: 5698135192 Enrollment ID: I20230715000441 |
| Provider Name | Ellen Merrick Schill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952821050 PECOS PAC ID: 6406216902 Enrollment ID: I20230715000475 |
| Provider Name | Irem Eldem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710409669 PECOS PAC ID: 9234400730 Enrollment ID: I20230715000601 |
| Provider Name | Samuel Reynaldo Cortez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255872479 PECOS PAC ID: 0446522908 Enrollment ID: I20230718003137 |
| Provider Name | Danielle Serena Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821615634 PECOS PAC ID: 1153781448 Enrollment ID: I20230718003545 |
| Provider Name | Jessica Michelle Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609307313 PECOS PAC ID: 6305206624 Enrollment ID: I20230719000145 |
| Provider Name | Brittany Nicole Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780201855 PECOS PAC ID: 3072973304 Enrollment ID: I20230719000348 |
| Provider Name | Caroline Grace Nugent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790303493 PECOS PAC ID: 7416317631 Enrollment ID: I20230720000376 |
| Provider Name | Kathryn Grace Medcalf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366067597 PECOS PAC ID: 2365802402 Enrollment ID: I20230720001583 |
| Provider Name | Dominic B Zanaboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154770931 PECOS PAC ID: 4688059538 Enrollment ID: I20230720003905 |
| Provider Name | Evan E. Facer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851753677 PECOS PAC ID: 4789977455 Enrollment ID: I20230721003116 |
| Provider Name | Rebekah Browning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104356807 PECOS PAC ID: 4587933171 Enrollment ID: I20230724000141 |
| Provider Name | Deepika Polineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043332265 PECOS PAC ID: 1759566730 Enrollment ID: I20230724001082 |
| Provider Name | Kimberly Lashun Massey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659683803 PECOS PAC ID: 4284926759 Enrollment ID: I20230731003425 |
| Provider Name | Kristina Kay Zalud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679191183 PECOS PAC ID: 9436510575 Enrollment ID: I20230804002035 |
| Provider Name | Kathleen Elizabeth Mahoney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417278664 PECOS PAC ID: 8921234501 Enrollment ID: I20230808003206 |
| Provider Name | Dean Thomas Odegard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518527043 PECOS PAC ID: 4688036189 Enrollment ID: I20230815004244 |
| Provider Name | Amanda Leigh Guzikowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154950566 PECOS PAC ID: 3274995527 Enrollment ID: I20230817002845 |
| Provider Name | Julia Ann Ciurria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821519497 PECOS PAC ID: 6103162904 Enrollment ID: I20230823002805 |
| Provider Name | Lauren Anne Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285250555 PECOS PAC ID: 0143683466 Enrollment ID: I20230901002727 |
| Provider Name | Meredith Denise Arra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659998409 PECOS PAC ID: 7618330911 Enrollment ID: I20230905001929 |
| Provider Name | Alicia Mcdonnell Kamsheh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396195103 PECOS PAC ID: 2264895465 Enrollment ID: I20230905002477 |
| Provider Name | Bradley W Ornstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679759617 PECOS PAC ID: 0143515353 Enrollment ID: I20230920000373 |
| Provider Name | Bhushan Katira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932876620 PECOS PAC ID: 8224482070 Enrollment ID: I20230927001796 |
| Provider Name | Alexandra Fallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427440577 PECOS PAC ID: 4688948748 Enrollment ID: I20231002000811 |
| Provider Name | Tara Anne Fiala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316658677 PECOS PAC ID: 1850746116 Enrollment ID: I20231006002066 |
| Provider Name | Sarah Henkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417390667 PECOS PAC ID: 5698049708 Enrollment ID: I20231010000645 |
| Provider Name | Kristine K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801137732 PECOS PAC ID: 8325450109 Enrollment ID: I20231010003436 |
| Provider Name | Elizabeth Mary Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952098758 PECOS PAC ID: 0244685246 Enrollment ID: I20231011002361 |
| Provider Name | Lamya S Mubayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686415 PECOS PAC ID: 2860619459 Enrollment ID: I20231025002820 |
| Provider Name | Christy Jo Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164111217 PECOS PAC ID: 6002261518 Enrollment ID: I20231027003367 |
| Provider Name | Lindsay Ann Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740971050 PECOS PAC ID: 8224485602 Enrollment ID: I20231107000271 |
| Provider Name | Melissa C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942990247 PECOS PAC ID: 1456708882 Enrollment ID: I20231107002361 |
| Provider Name | Andrea L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669128278 PECOS PAC ID: 6103273438 Enrollment ID: I20231108002430 |
| Provider Name | Elizabeth Suzanne Eliopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043969454 PECOS PAC ID: 3274914411 Enrollment ID: I20231113001300 |
| Provider Name | Melissa Anne Shenep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952834244 PECOS PAC ID: 9931591559 Enrollment ID: I20231121000422 |
| Provider Name | Kacie Rae Adcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134791270 PECOS PAC ID: 9830547306 Enrollment ID: I20231121002918 |
| Provider Name | Amy Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023725587 PECOS PAC ID: 6800265828 Enrollment ID: I20231127002524 |
| Provider Name | Ayse Bahar Budan Caliskan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215402011 PECOS PAC ID: 1153771803 Enrollment ID: I20231221001854 |
| Provider Name | Susan R Hohlt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255751129 PECOS PAC ID: 7214153568 Enrollment ID: I20240104000209 |
| Provider Name | Marilyn Kaye Tanner-blasiar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902428022 PECOS PAC ID: 4486092525 Enrollment ID: I20240409001104 |
| Provider Name | Jordan Elizabeth Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346015849 PECOS PAC ID: 6507206083 Enrollment ID: I20240501001160 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |