| Wheeling Hospital Inc | |
|
1 Medical Park Wheeling WV 26003-6379 | |
| (304) 243-3000 | |
| Not Available |
| Full Name | Wheeling Hospital Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Medical Park, Wheeling, West Virginia |
| Authorized Official Name and Position | Douglass Harrison (PRESIDENT & CEO) |
| Authorized Official Contact | 3042433000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003-6379 Ph: (304) 243-3000 | Wheeling Hospital Inc 1 Medical Park Wheeling WV 26003-6379 Ph: (304) 243-3000 |
| NPI Number | 1548923923 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 5799689493 |
|---|---|
| Medicare Enrollment ID | O20031124000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548923923 | NPI | - | NPPES |
| Provider Name | James L Comerci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376537191 PECOS PAC ID: 9335051572 Enrollment ID: I20031106000349 |
| Provider Name | Holly Ann Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558451880 PECOS PAC ID: 2567368467 Enrollment ID: I20031211000000 |
| Provider Name | Amanda J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962430223 PECOS PAC ID: 7719979160 Enrollment ID: I20040402001080 |
| Provider Name | Dominic Joseph Cottrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558340174 PECOS PAC ID: 1254325525 Enrollment ID: I20040409000509 |
| Provider Name | Brian Edward Bower |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558341453 PECOS PAC ID: 8527054584 Enrollment ID: I20040423000877 |
| Provider Name | Terrence Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794731 PECOS PAC ID: 9739179649 Enrollment ID: I20040513000831 |
| Provider Name | Timothy H Knierim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861493306 PECOS PAC ID: 4587645098 Enrollment ID: I20040528000810 |
| Provider Name | Janet L Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710077045 PECOS PAC ID: 7911981568 Enrollment ID: I20040614000539 |
| Provider Name | Janel C Trovato-vass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346246766 PECOS PAC ID: 0446234785 Enrollment ID: I20040615001138 |
| Provider Name | Ganga Prabhakar |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1023109444 PECOS PAC ID: 6709860943 Enrollment ID: I20040615001894 |
| Provider Name | Janice L Biscan Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619085719 PECOS PAC ID: 1951387612 Enrollment ID: I20040624001714 |
| Provider Name | Joseph H Goodwin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043216260 PECOS PAC ID: 6608847462 Enrollment ID: I20040804001052 |
| Provider Name | Scott Leroy Nestor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053414185 PECOS PAC ID: 2961476684 Enrollment ID: I20040819001229 |
| Provider Name | Mark J Polak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265512255 PECOS PAC ID: 7214902444 Enrollment ID: I20040831000692 |
| Provider Name | Walter N Taubenslag |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699766923 PECOS PAC ID: 9537138672 Enrollment ID: I20040927000515 |
| Provider Name | Sharmilarani Harikrishnan Nanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881718492 PECOS PAC ID: 2961461199 Enrollment ID: I20041005000241 |
| Provider Name | Rajai T Khoury |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699825158 PECOS PAC ID: 9830002815 Enrollment ID: I20041013001338 |
| Provider Name | David A Mosman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033110572 PECOS PAC ID: 7113981416 Enrollment ID: I20041116001089 |
| Provider Name | Connie Balcar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558393645 PECOS PAC ID: 9133173909 Enrollment ID: I20050304000602 |
| Provider Name | Terri L Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659396919 PECOS PAC ID: 3577503549 Enrollment ID: I20050509001093 |
| Provider Name | Charles Clark Milton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063507473 PECOS PAC ID: 8224071865 Enrollment ID: I20050606000435 |
| Provider Name | Joshua T Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316087216 PECOS PAC ID: 6709820079 Enrollment ID: I20050616001180 |
| Provider Name | Michael J Cross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861576787 PECOS PAC ID: 7618914466 Enrollment ID: I20050627000000 |
| Provider Name | Larry Alan Rhodes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093781809 PECOS PAC ID: 5991734709 Enrollment ID: I20050811000238 |
| Provider Name | Lakshmikumar Pillai |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316045966 PECOS PAC ID: 5092747550 Enrollment ID: I20050906000375 |
| Provider Name | Howard L Shackelford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750431094 PECOS PAC ID: 2163455874 Enrollment ID: I20050926000040 |
| Provider Name | Jondavid Pollock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831167048 PECOS PAC ID: 2365467677 Enrollment ID: I20051005001220 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20051017000946 |
| Provider Name | Kevin L Kimmins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376687764 PECOS PAC ID: 3173543675 Enrollment ID: I20051129000784 |
| Provider Name | Devender K Batra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407928096 PECOS PAC ID: 8729985387 Enrollment ID: I20051130000925 |
| Provider Name | Shashi R Urval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285687764 PECOS PAC ID: 2860406006 Enrollment ID: I20060126000925 |
| Provider Name | Karen Yocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962432468 PECOS PAC ID: 5890701783 Enrollment ID: I20060302000016 |
| Provider Name | Mary A Clarke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588604722 PECOS PAC ID: 1254391923 Enrollment ID: I20060405000410 |
| Provider Name | Richard Alan Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083603336 PECOS PAC ID: 5193759611 Enrollment ID: I20060504001012 |
| Provider Name | Pamela Zimmerman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235221151 PECOS PAC ID: 6103822929 Enrollment ID: I20061018000193 |
| Provider Name | Carl D Burkland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255382180 PECOS PAC ID: 6002850138 Enrollment ID: I20070220000470 |
| Provider Name | Brett Kirk Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215924048 PECOS PAC ID: 3274553763 Enrollment ID: I20070305000096 |
| Provider Name | Richard A Aprea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497719629 PECOS PAC ID: 3779555339 Enrollment ID: I20070306000312 |
| Provider Name | Russell E Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740304740 PECOS PAC ID: 8123122439 Enrollment ID: I20070327000126 |
| Provider Name | Joan M Blasinsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467432153 PECOS PAC ID: 4789579087 Enrollment ID: I20070417000025 |
| Provider Name | Bradley A Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598980682 PECOS PAC ID: 4082711379 Enrollment ID: I20070522000127 |
| Provider Name | Mariann Kubic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982740494 PECOS PAC ID: 0042317349 Enrollment ID: I20070522000173 |
| Provider Name | John J Pasquarella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568534626 PECOS PAC ID: 4880665082 Enrollment ID: I20070601000039 |
| Provider Name | Raina J Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558307223 PECOS PAC ID: 3274539879 Enrollment ID: I20070702000447 |
| Provider Name | Michelle L Wolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457540973 PECOS PAC ID: 2567550411 Enrollment ID: I20071112000097 |
| Provider Name | Andrew C Allison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285619445 PECOS PAC ID: 9133019169 Enrollment ID: I20071115000230 |
| Provider Name | Joseph F Simonette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750338711 PECOS PAC ID: 9830088152 Enrollment ID: I20080110000675 |
| Provider Name | Edward R Marks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256664 PECOS PAC ID: 4789765975 Enrollment ID: I20080114000472 |
| Provider Name | Angelo N Georges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821094038 PECOS PAC ID: 3375575723 Enrollment ID: I20080213000208 |
| Provider Name | Bobbie J Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467648717 PECOS PAC ID: 9436233160 Enrollment ID: I20080220000049 |
| Provider Name | James R Shope |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306831177 PECOS PAC ID: 6002991148 Enrollment ID: I20080312000777 |
| Provider Name | Shawn G Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558379123 PECOS PAC ID: 9032298898 Enrollment ID: I20080505000535 |
| Provider Name | Chad D Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467657940 PECOS PAC ID: 4082793583 Enrollment ID: I20080509000000 |
| Provider Name | Leanne K Straub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083889349 PECOS PAC ID: 1456420439 Enrollment ID: I20080516000151 |
| Provider Name | Aaron Lee Scaife |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093929374 PECOS PAC ID: 9739253766 Enrollment ID: I20080808000229 |
| Provider Name | Barry Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003033317 PECOS PAC ID: 2365519345 Enrollment ID: I20080917000004 |
| Provider Name | Richard E Ryncarz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205813946 PECOS PAC ID: 4688741192 Enrollment ID: I20080925000405 |
| Provider Name | Harry D Hosler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275629701 PECOS PAC ID: 4789686684 Enrollment ID: I20080929000003 |
| Provider Name | Renee M Brongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306092432 PECOS PAC ID: 0042375230 Enrollment ID: I20090223000601 |
| Provider Name | Laura R Blosser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689669392 PECOS PAC ID: 2264589902 Enrollment ID: I20090415000039 |
| Provider Name | Christopher Randolph Oneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508011792 PECOS PAC ID: 2567519994 Enrollment ID: I20090421000765 |
| Provider Name | Chandra S Swamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407947302 PECOS PAC ID: 9133277387 Enrollment ID: I20090428000445 |
| Provider Name | Preethi V Murty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437109576 PECOS PAC ID: 7517959380 Enrollment ID: I20090603000000 |
| Provider Name | Tiffany E Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386725703 PECOS PAC ID: 8729009899 Enrollment ID: I20090611000772 |
| Provider Name | Jason Scott Newton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932294246 PECOS PAC ID: 0547311771 Enrollment ID: I20090630000330 |
| Provider Name | Brandace Lynne Golden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215136429 PECOS PAC ID: 9234225939 Enrollment ID: I20090710000268 |
| Provider Name | Cheryl P Entress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346241874 PECOS PAC ID: 5395886766 Enrollment ID: I20100107000198 |
| Provider Name | Stephen Ray Timms |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922009380 PECOS PAC ID: 6709806888 Enrollment ID: I20100120000468 |
| Provider Name | Patricia L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091456 PECOS PAC ID: 7113069352 Enrollment ID: I20100126000486 |
| Provider Name | Leah J Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878717 PECOS PAC ID: 2860536372 Enrollment ID: I20100222000863 |
| Provider Name | William Bailer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427045285 PECOS PAC ID: 2163566522 Enrollment ID: I20100223000501 |
| Provider Name | Edward Adamovich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083717110 PECOS PAC ID: 9133263320 Enrollment ID: I20100225000976 |
| Provider Name | Michael N Yousef |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780787812 PECOS PAC ID: 2163557521 Enrollment ID: I20100324000665 |
| Provider Name | Vincent C Stonebraker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326140443 PECOS PAC ID: 8022000207 Enrollment ID: I20100505000051 |
| Provider Name | Kim S Wiley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780735464 PECOS PAC ID: 3173508611 Enrollment ID: I20100524000241 |
| Provider Name | Busaina L Khalil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326141458 PECOS PAC ID: 3971632167 Enrollment ID: I20100526000818 |
| Provider Name | Charles Alan Tracy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518953116 PECOS PAC ID: 0143292672 Enrollment ID: I20100729000977 |
| Provider Name | Julie S Bunner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013913011 PECOS PAC ID: 1456485622 Enrollment ID: I20100810001151 |
| Provider Name | Brandon S Lichtman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881870194 PECOS PAC ID: 7618161704 Enrollment ID: I20101102001567 |
| Provider Name | Angela R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538479191 PECOS PAC ID: 8729273776 Enrollment ID: I20101116000604 |
| Provider Name | Lisa Caroline Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366488702 PECOS PAC ID: 7315966199 Enrollment ID: I20101129000556 |
| Provider Name | Brenda Adamovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679784003 PECOS PAC ID: 7416145255 Enrollment ID: I20101221000808 |
| Provider Name | Thomas Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407028707 PECOS PAC ID: 0648469676 Enrollment ID: I20110106000690 |
| Provider Name | Ashok R Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730216193 PECOS PAC ID: 0042345738 Enrollment ID: I20110125000092 |
| Provider Name | Ramana M Murty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114923778 PECOS PAC ID: 2769382977 Enrollment ID: I20110125000583 |
| Provider Name | Thomas G Wack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497803878 PECOS PAC ID: 0840344214 Enrollment ID: I20110203000612 |
| Provider Name | Kenneth T Patress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013245406 PECOS PAC ID: 2668500976 Enrollment ID: I20110208000250 |
| Provider Name | Danny Fijalkowski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831148097 PECOS PAC ID: 6901804665 Enrollment ID: I20110215000709 |
| Provider Name | Angela Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679574420 PECOS PAC ID: 7012198419 Enrollment ID: I20110217000735 |
| Provider Name | William Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780687558 PECOS PAC ID: 1850346248 Enrollment ID: I20110303001006 |
| Provider Name | Marianne C Bonomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184915548 PECOS PAC ID: 3779760384 Enrollment ID: I20110608000408 |
| Provider Name | Stacey L Brown-brocklehurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427233634 PECOS PAC ID: 8729258975 Enrollment ID: I20110826000405 |
| Provider Name | William Wade Brocklehurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073762399 PECOS PAC ID: 3274683032 Enrollment ID: I20110829000012 |
| Provider Name | Matthew W Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093976011 PECOS PAC ID: 8921270828 Enrollment ID: I20111019000721 |
| Provider Name | Pushpa Nambi Joseph |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629171699 PECOS PAC ID: 5799714044 Enrollment ID: I20111028000376 |
| Provider Name | Walid G Gharib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063655264 PECOS PAC ID: 3274707898 Enrollment ID: I20111117000064 |
| Provider Name | Maheshwar R Musunuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255317004 PECOS PAC ID: 0244366250 Enrollment ID: I20111121000518 |
| Provider Name | John F Mcfadden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952304917 PECOS PAC ID: 9436323755 Enrollment ID: I20111123000479 |
| Provider Name | Kenneth Charles Nanners |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871629444 PECOS PAC ID: 1951436641 Enrollment ID: I20111126000004 |
| Provider Name | Kyle T Kutrovac |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306019658 PECOS PAC ID: 3173701885 Enrollment ID: I20111207000907 |
| Provider Name | John E Dudich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699801357 PECOS PAC ID: 9133254824 Enrollment ID: I20111215000006 |
| Provider Name | Frank E Gaudio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659339380 PECOS PAC ID: 5890854004 Enrollment ID: I20111230000000 |
| Provider Name | Taylor N Sargent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538443031 PECOS PAC ID: 1355518218 Enrollment ID: I20120117000341 |
| Provider Name | Rohit Agrawal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255380465 PECOS PAC ID: 3173656733 Enrollment ID: I20120118000886 |
| Provider Name | Amanda P Wakim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245536408 PECOS PAC ID: 6800063413 Enrollment ID: I20120123000820 |
| Provider Name | Daniel Wayne Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700977592 PECOS PAC ID: 9931366275 Enrollment ID: I20120130000185 |
| Provider Name | Peter Z Bala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518963503 PECOS PAC ID: 1951399906 Enrollment ID: I20120201000621 |
| Provider Name | David Nally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538261193 PECOS PAC ID: 2264557651 Enrollment ID: I20120206000017 |
| Provider Name | Keith A Poole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487609558 PECOS PAC ID: 0244413094 Enrollment ID: I20120213000121 |
| Provider Name | Barbara A Renzella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417989583 PECOS PAC ID: 8224219613 Enrollment ID: I20120229000482 |
| Provider Name | Debra L Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548530892 PECOS PAC ID: 5496913964 Enrollment ID: I20120301000221 |
| Provider Name | John Tellers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881634889 PECOS PAC ID: 7416117494 Enrollment ID: I20120328001035 |
| Provider Name | Jennifer L Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669646097 PECOS PAC ID: 3375691686 Enrollment ID: I20120430000227 |
| Provider Name | Frances A Smaltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295880771 PECOS PAC ID: 6002078490 Enrollment ID: I20120501000459 |
| Provider Name | Alexander Chi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366604217 PECOS PAC ID: 6002957826 Enrollment ID: I20120621000729 |
| Provider Name | Domenique E Riggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093083479 PECOS PAC ID: 8527224492 Enrollment ID: I20120720000185 |
| Provider Name | Laura E Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831350859 PECOS PAC ID: 2961668223 Enrollment ID: I20120801000122 |
| Provider Name | Ross A Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548549660 PECOS PAC ID: 4284880667 Enrollment ID: I20120820000396 |
| Provider Name | Rosemarie E Hardin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982880522 PECOS PAC ID: 3971782327 Enrollment ID: I20120907000021 |
| Provider Name | Ghassan Richard Ghorayeb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962690958 PECOS PAC ID: 1153454467 Enrollment ID: I20120912000189 |
| Provider Name | Scott Allen Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497842371 PECOS PAC ID: 9436050085 Enrollment ID: I20121120000416 |
| Provider Name | Daniel Booth Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811190176 PECOS PAC ID: 8820143977 Enrollment ID: I20121127000614 |
| Provider Name | Kevin Matthew Richey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346545902 PECOS PAC ID: 9032391883 Enrollment ID: I20121203000047 |
| Provider Name | Michael Wayne Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679826192 PECOS PAC ID: 1254583594 Enrollment ID: I20121212000349 |
| Provider Name | Adam D Tune |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376794842 PECOS PAC ID: 9234314519 Enrollment ID: I20130103000104 |
| Provider Name | Kayla S Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689928228 PECOS PAC ID: 5193978534 Enrollment ID: I20130114000460 |
| Provider Name | Kamakshya P Patra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558519413 PECOS PAC ID: 3678740701 Enrollment ID: I20130327000430 |
| Provider Name | Caroline L Beckwith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942549829 PECOS PAC ID: 4880832203 Enrollment ID: I20130524000268 |
| Provider Name | Autumn S Kiefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932303450 PECOS PAC ID: 9133295009 Enrollment ID: I20130530000630 |
| Provider Name | Patricia Torbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538402789 PECOS PAC ID: 3870630718 Enrollment ID: I20130723000993 |
| Provider Name | Christopher W Mercer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811218779 PECOS PAC ID: 2567606734 Enrollment ID: I20130910000769 |
| Provider Name | Leonard White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003072810 PECOS PAC ID: 4688849409 Enrollment ID: I20130916000479 |
| Provider Name | Deepak Hooda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033316070 PECOS PAC ID: 0547494627 Enrollment ID: I20131002000600 |
| Provider Name | Hassan Barazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972777217 PECOS PAC ID: 4486825080 Enrollment ID: I20131011000176 |
| Provider Name | Mohammad Kawsara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154636405 PECOS PAC ID: 8820240617 Enrollment ID: I20131014001523 |
| Provider Name | Shveta Hooda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104251594 PECOS PAC ID: 3678708955 Enrollment ID: I20131022000611 |
| Provider Name | Hugo Calvin Carducci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885244 PECOS PAC ID: 4486877172 Enrollment ID: I20140528000072 |
| Provider Name | Milind Sumant Awale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528355070 PECOS PAC ID: 0648497230 Enrollment ID: I20140805001556 |
| Provider Name | Pamela A Corder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699199778 PECOS PAC ID: 3870710742 Enrollment ID: I20140818000598 |
| Provider Name | Tiffany Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356780910 PECOS PAC ID: 9436376118 Enrollment ID: I20140917001000 |
| Provider Name | Katarzyna Anna Przyszlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033498175 PECOS PAC ID: 3678713815 Enrollment ID: I20141002001380 |
| Provider Name | Angeline M Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295142636 PECOS PAC ID: 5698995892 Enrollment ID: I20141010001745 |
| Provider Name | Gail S Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477581973 PECOS PAC ID: 0749174399 Enrollment ID: I20141118000616 |
| Provider Name | Silvia Myndresku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942602396 PECOS PAC ID: 7911229992 Enrollment ID: I20141202000521 |
| Provider Name | Giridhar Santebennur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407976939 PECOS PAC ID: 7911070503 Enrollment ID: I20141212000326 |
| Provider Name | Tracy Y Bober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962822189 PECOS PAC ID: 2466776836 Enrollment ID: I20150114000727 |
| Provider Name | Kathleen M Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629372651 PECOS PAC ID: 8325364623 Enrollment ID: I20150304001162 |
| Provider Name | Jeffrey Michael Abbott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962601062 PECOS PAC ID: 2769555192 Enrollment ID: I20150317000849 |
| Provider Name | Lee Pyles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174542062 PECOS PAC ID: 8224075882 Enrollment ID: I20150318001643 |
| Provider Name | Lila J Graulty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801290911 PECOS PAC ID: 7911225883 Enrollment ID: I20150406002231 |
| Provider Name | Lisa Marie Costello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356634927 PECOS PAC ID: 8921328865 Enrollment ID: I20150518000897 |
| Provider Name | Judeana A Gramlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831485770 PECOS PAC ID: 7810160348 Enrollment ID: I20150706000295 |
| Provider Name | Robert E Buckner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588646624 PECOS PAC ID: 8123042157 Enrollment ID: I20150715001813 |
| Provider Name | Jamie L Seszko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053709774 PECOS PAC ID: 3971823147 Enrollment ID: I20150817001435 |
| Provider Name | Sathyanarayana M Machani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912206020 PECOS PAC ID: 5294976205 Enrollment ID: I20150824002099 |
| Provider Name | Faraz S Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609133834 PECOS PAC ID: 5395051734 Enrollment ID: I20150901000392 |
| Provider Name | Leo Richard Brancazio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720161961 PECOS PAC ID: 7113069329 Enrollment ID: I20150928000104 |
| Provider Name | David N Hefferan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588076194 PECOS PAC ID: 3375760390 Enrollment ID: I20151123002698 |
| Provider Name | Irina Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144619909 PECOS PAC ID: 5294054821 Enrollment ID: I20151217002777 |
| Provider Name | Colby M Mcilvaine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578934592 PECOS PAC ID: 9830491935 Enrollment ID: I20160106002093 |
| Provider Name | James C Chuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679830137 PECOS PAC ID: 6406158476 Enrollment ID: I20160107001815 |
| Provider Name | Shayna M Pettini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174906044 PECOS PAC ID: 0042513350 Enrollment ID: I20160120002212 |
| Provider Name | Kirsten Marie Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124492103 PECOS PAC ID: 0749582443 Enrollment ID: I20160129001456 |
| Provider Name | Lisa Marie Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174819809 PECOS PAC ID: 7810165669 Enrollment ID: I20160224002140 |
| Provider Name | Richard C Houck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285050708 PECOS PAC ID: 3577462266 Enrollment ID: I20160224002445 |
| Provider Name | Deanna Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548558208 PECOS PAC ID: 9638344575 Enrollment ID: I20160408001653 |
| Provider Name | Claude Murat Pluviose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255671202 PECOS PAC ID: 1951609387 Enrollment ID: I20160418001818 |
| Provider Name | Molly E. Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003247412 PECOS PAC ID: 1951600964 Enrollment ID: I20160426001001 |
| Provider Name | Mary Theresa Hammond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558462275 PECOS PAC ID: 3476791690 Enrollment ID: I20160502002085 |
| Provider Name | Suzanne M Figurski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861858003 PECOS PAC ID: 4789973678 Enrollment ID: I20160517000229 |
| Provider Name | Mark Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992025084 PECOS PAC ID: 5294038477 Enrollment ID: I20160601002056 |
| Provider Name | Bradley Thuro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992949358 PECOS PAC ID: 9032358031 Enrollment ID: I20160630000212 |
| Provider Name | Vinay Badhwar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467426718 PECOS PAC ID: 6002951001 Enrollment ID: I20160726001132 |
| Provider Name | Lawrence Ming Wei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669448734 PECOS PAC ID: 3971799347 Enrollment ID: I20160802001534 |
| Provider Name | Donna M Rauch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134578255 PECOS PAC ID: 2668767963 Enrollment ID: I20160825001981 |
| Provider Name | Brianne N Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336556802 PECOS PAC ID: 1951696020 Enrollment ID: I20160829001237 |
| Provider Name | Melissa Ann Yauger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245301753 PECOS PAC ID: 5890747257 Enrollment ID: I20160829001792 |
| Provider Name | Scott Findley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407113905 PECOS PAC ID: 2466769310 Enrollment ID: I20160922001896 |
| Provider Name | Andrzej Janusz Przyszlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285989947 PECOS PAC ID: 8123252152 Enrollment ID: I20161005002847 |
| Provider Name | Shane Dragan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982024048 PECOS PAC ID: 8628370293 Enrollment ID: I20161010001656 |
| Provider Name | Carlos Valladares |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770696817 PECOS PAC ID: 5698661809 Enrollment ID: I20161013002600 |
| Provider Name | Margaret Jane Marashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649626268 PECOS PAC ID: 5698054989 Enrollment ID: I20161109000217 |
| Provider Name | Amy N Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427505668 PECOS PAC ID: 3577842301 Enrollment ID: I20161117001827 |
| Provider Name | Cynthia Gayle Stockdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548206899 PECOS PAC ID: 0143327999 Enrollment ID: I20161209000064 |
| Provider Name | Heather Artman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801249024 PECOS PAC ID: 5496035404 Enrollment ID: I20161209000171 |
| Provider Name | Marquis Demniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144749 PECOS PAC ID: 8820378839 Enrollment ID: I20161209000247 |
| Provider Name | Melissa Sumney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790874279 PECOS PAC ID: 0345247201 Enrollment ID: I20161209000280 |
| Provider Name | Nicole Catherine Fekete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063886620 PECOS PAC ID: 8022314772 Enrollment ID: I20161212001651 |
| Provider Name | Corinna Marshall Emmerth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134679277 PECOS PAC ID: 2860772589 Enrollment ID: I20161214001902 |
| Provider Name | Crystal Dawn Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281351 PECOS PAC ID: 5496054066 Enrollment ID: I20161214001965 |
| Provider Name | Crystal R Pietranton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922451459 PECOS PAC ID: 1951682103 Enrollment ID: I20161229001208 |
| Provider Name | Bryan D Raybuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205833258 PECOS PAC ID: 5395640601 Enrollment ID: I20170124001546 |
| Provider Name | Jenna M Jafrate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407392152 PECOS PAC ID: 7618250796 Enrollment ID: I20170227000994 |
| Provider Name | Nicole Grishkevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326582602 PECOS PAC ID: 4486938792 Enrollment ID: I20170306002057 |
| Provider Name | Robert G Looby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942390794 PECOS PAC ID: 0749261873 Enrollment ID: I20170310001511 |
| Provider Name | George Sokos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922277235 PECOS PAC ID: 4183797871 Enrollment ID: I20170322001536 |
| Provider Name | Samantha Minc |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508048372 PECOS PAC ID: 8628208337 Enrollment ID: I20170427001330 |
| Provider Name | David Michael Campsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467417048 PECOS PAC ID: 7214820406 Enrollment ID: I20170807000051 |
| Provider Name | Michelle K Helal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144536327 PECOS PAC ID: 1759570344 Enrollment ID: I20170808002933 |
| Provider Name | Sashi Inkollu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235368606 PECOS PAC ID: 8628207123 Enrollment ID: I20170828002282 |
| Provider Name | Kelly Cummings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750601019 PECOS PAC ID: 9335388164 Enrollment ID: I20170901003002 |
| Provider Name | Marco Caccamo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1164696530 PECOS PAC ID: 3173701372 Enrollment ID: I20170915000759 |
| Provider Name | William S Przybysz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386064723 PECOS PAC ID: 3678791092 Enrollment ID: I20170918003490 |
| Provider Name | Natalia V Zavodchikov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538456082 PECOS PAC ID: 5991920852 Enrollment ID: I20171020002103 |
| Provider Name | Christopher Bianco |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285877688 PECOS PAC ID: 4183877814 Enrollment ID: I20171108002323 |
| Provider Name | Amit Kaura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689861650 PECOS PAC ID: 8921150640 Enrollment ID: I20171202000132 |
| Provider Name | Charity L May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316457476 PECOS PAC ID: 2668730300 Enrollment ID: I20171229001127 |
| Provider Name | Shelby Marie Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346752466 PECOS PAC ID: 0345508032 Enrollment ID: I20180102001008 |
| Provider Name | Brandy R Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235673781 PECOS PAC ID: 4183985757 Enrollment ID: I20180221002840 |
| Provider Name | Thomas Uihlein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144296724 PECOS PAC ID: 2769384742 Enrollment ID: I20180223001348 |
| Provider Name | Kristen Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841599016 PECOS PAC ID: 4880996560 Enrollment ID: I20180226001034 |
| Provider Name | Edmond Alan Vernon Roberts |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1316367626 PECOS PAC ID: 9739307158 Enrollment ID: I20180321000529 |
| Provider Name | Joseph Andrew Farelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740566504 PECOS PAC ID: 0749443786 Enrollment ID: I20180418002657 |
| Provider Name | Russell Libiore Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191224 PECOS PAC ID: 6608898945 Enrollment ID: I20180521002669 |
| Provider Name | James Christopher Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598930711 PECOS PAC ID: 7113169194 Enrollment ID: I20180612000440 |
| Provider Name | Mary K Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215443692 PECOS PAC ID: 1355605312 Enrollment ID: I20180619000546 |
| Provider Name | Kimberly Simko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790799468 PECOS PAC ID: 5092702605 Enrollment ID: I20180822002518 |
| Provider Name | Michael Vernon Horner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821483256 PECOS PAC ID: 5799088399 Enrollment ID: I20180823002928 |
| Provider Name | David M Paxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578940649 PECOS PAC ID: 1254647597 Enrollment ID: I20180827001754 |
| Provider Name | Paul Hohman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194105023 PECOS PAC ID: 2365743408 Enrollment ID: I20181003003592 |
| Provider Name | Nita Ray Chaudhuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184984015 PECOS PAC ID: 1052616802 Enrollment ID: I20181212000467 |
| Provider Name | Rami M Ausi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851508691 PECOS PAC ID: 0941492771 Enrollment ID: I20181227002260 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20190125002802 |
| Provider Name | Benjamin L Lasure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679922686 PECOS PAC ID: 5698069813 Enrollment ID: I20190213000020 |
| Provider Name | Jennifer Nadine Sallinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992079511 PECOS PAC ID: 0345401543 Enrollment ID: I20190213000148 |
| Provider Name | Matthew William Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891266524 PECOS PAC ID: 6204174352 Enrollment ID: I20190214002087 |
| Provider Name | Noelle Brossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558824854 PECOS PAC ID: 4486988268 Enrollment ID: I20190627002398 |
| Provider Name | Leslie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414737 PECOS PAC ID: 8729315593 Enrollment ID: I20190816001521 |
| Provider Name | Danielle Marie Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598173411 PECOS PAC ID: 4486958519 Enrollment ID: I20190820003215 |
| Provider Name | Sherrie Lynn Miara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811949050 PECOS PAC ID: 3678537065 Enrollment ID: I20190822000631 |
| Provider Name | Sage Michael Cutri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700438967 PECOS PAC ID: 8224367099 Enrollment ID: I20190904003191 |
| Provider Name | Michael E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952750465 PECOS PAC ID: 2264727817 Enrollment ID: I20190909003290 |
| Provider Name | Ryan Stephen Mcguire |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225442650 PECOS PAC ID: 1759610017 Enrollment ID: I20190911002656 |
| Provider Name | Brijesh Dineshchandra Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760743728 PECOS PAC ID: 4688961600 Enrollment ID: I20190917002979 |
| Provider Name | Seyfi Alper Toker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528616562 PECOS PAC ID: 1759612237 Enrollment ID: I20191015000467 |
| Provider Name | David Carl Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649327925 PECOS PAC ID: 6305837014 Enrollment ID: I20191107000236 |
| Provider Name | Michael L Martino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679598361 PECOS PAC ID: 2567494289 Enrollment ID: I20191111002531 |
| Provider Name | David J Patton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548224637 PECOS PAC ID: 9032409321 Enrollment ID: I20191121001251 |
| Provider Name | Tiffany Morgan Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043788011 PECOS PAC ID: 7517399959 Enrollment ID: I20191122002173 |
| Provider Name | Chelsey Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376185017 PECOS PAC ID: 4082047766 Enrollment ID: I20191211000852 |
| Provider Name | John Foster Ruberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699265280 PECOS PAC ID: 6305270901 Enrollment ID: I20200107000113 |
| Provider Name | Jason J Lamb |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215913538 PECOS PAC ID: 9537258405 Enrollment ID: I20200107003035 |
| Provider Name | Ramesh Daggubati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083600522 PECOS PAC ID: 1759300759 Enrollment ID: I20200114001080 |
| Provider Name | Cassandra Ranay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568641835 PECOS PAC ID: 1052498102 Enrollment ID: I20200129001319 |
| Provider Name | Amy Eileen Spurrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598249393 PECOS PAC ID: 5294161832 Enrollment ID: I20200130001408 |
| Provider Name | Debra Zeroski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696889 PECOS PAC ID: 3274969175 Enrollment ID: I20200213001477 |
| Provider Name | Edwin Richard Rozario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780004093 PECOS PAC ID: 1355569773 Enrollment ID: I20200306002100 |
| Provider Name | Angela Hennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013567395 PECOS PAC ID: 9537598545 Enrollment ID: I20200326000987 |
| Provider Name | Haygen Ekaterina Mowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053824177 PECOS PAC ID: 7315205598 Enrollment ID: I20200401002206 |
| Provider Name | Deborah Ann Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871903112 PECOS PAC ID: 4587093851 Enrollment ID: I20200408000057 |
| Provider Name | Ellis John Salloum |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871540088 PECOS PAC ID: 4486616810 Enrollment ID: I20200409003698 |
| Provider Name | Amy Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306470216 PECOS PAC ID: 9638509219 Enrollment ID: I20200422001905 |
| Provider Name | Dean Wickel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811991763 PECOS PAC ID: 6406832583 Enrollment ID: I20200428001742 |
| Provider Name | Jacquelyn M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306476254 PECOS PAC ID: 0648600882 Enrollment ID: I20200430001570 |
| Provider Name | Amanda Lynn Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173492 PECOS PAC ID: 2769768365 Enrollment ID: I20200506002292 |
| Provider Name | Jasmine M Roberts |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760809800 PECOS PAC ID: 3375851108 Enrollment ID: I20200527003387 |
| Provider Name | Joseph J Colella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760482269 PECOS PAC ID: 2668573775 Enrollment ID: I20200528003146 |
| Provider Name | Caitlin Kowcheck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578917696 PECOS PAC ID: 3678863800 Enrollment ID: I20200610000014 |
| Provider Name | Katelyn M Materkoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174029318 PECOS PAC ID: 2860756780 Enrollment ID: I20200623002292 |
| Provider Name | Gurveen Kaur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124432208 PECOS PAC ID: 1557628526 Enrollment ID: I20200626000819 |
| Provider Name | Alicia Diane Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417465113 PECOS PAC ID: 9335499144 Enrollment ID: I20200629001437 |
| Provider Name | Robert Herron |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538402938 PECOS PAC ID: 4385997410 Enrollment ID: I20200722002490 |
| Provider Name | Stanley Guertal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770019739 PECOS PAC ID: 8921350042 Enrollment ID: I20200811003663 |
| Provider Name | Iliana Hurtado Rendon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548423676 PECOS PAC ID: 5294907101 Enrollment ID: I20200824000521 |
| Provider Name | Victor Kopyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390203 PECOS PAC ID: 7113081357 Enrollment ID: I20200824001098 |
| Provider Name | Payam Fallahi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457516544 PECOS PAC ID: 7315070646 Enrollment ID: I20200824002252 |
| Provider Name | Manhal M Tannous |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417064825 PECOS PAC ID: 9638149834 Enrollment ID: I20200909001009 |
| Provider Name | Vivek Verma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780926022 PECOS PAC ID: 8527308618 Enrollment ID: I20200910001981 |
| Provider Name | Katherine Kochenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174595631 PECOS PAC ID: 3870677826 Enrollment ID: I20200915002432 |
| Provider Name | Mandy N Hatfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276496 PECOS PAC ID: 9638471386 Enrollment ID: I20200917001022 |
| Provider Name | Nathan P Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013352541 PECOS PAC ID: 8527488915 Enrollment ID: I20201023003093 |
| Provider Name | Brittney Vargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871119081 PECOS PAC ID: 9436560968 Enrollment ID: I20201204000571 |
| Provider Name | James Boulden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548524275 PECOS PAC ID: 1850512765 Enrollment ID: I20210122000832 |
| Provider Name | Anthony D Lasica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326111063 PECOS PAC ID: 5193725570 Enrollment ID: I20210127002496 |
| Provider Name | Kelsey Anne Nicholes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326636978 PECOS PAC ID: 3375959729 Enrollment ID: I20210309002405 |
| Provider Name | Claire Elizabeth Caruso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588249429 PECOS PAC ID: 8527476829 Enrollment ID: I20210427001318 |
| Provider Name | Anthony Marshall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154594232 PECOS PAC ID: 7214192269 Enrollment ID: I20210429000177 |
| Provider Name | Bhavana Bhatnagar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154598498 PECOS PAC ID: 5799919338 Enrollment ID: I20210519003064 |
| Provider Name | Kevin Douglas Felpel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417377615 PECOS PAC ID: 5597085456 Enrollment ID: I20210608000106 |
| Provider Name | Victor A Arcega |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316309487 PECOS PAC ID: 2769710227 Enrollment ID: I20210716000926 |
| Provider Name | Mark Hofbauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841280682 PECOS PAC ID: 0840222907 Enrollment ID: I20210830000375 |
| Provider Name | Affan Haleem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235577099 PECOS PAC ID: 1456613777 Enrollment ID: I20210831003440 |
| Provider Name | Stephanie C Marchesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103224 PECOS PAC ID: 0840623344 Enrollment ID: I20210909002232 |
| Provider Name | Joseph Schmidhofer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134509110 PECOS PAC ID: 3274849070 Enrollment ID: I20210915002804 |
| Provider Name | Bianca Loverde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700171444 PECOS PAC ID: 7911207261 Enrollment ID: I20210920001717 |
| Provider Name | Sushant B Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639360779 PECOS PAC ID: 9234292319 Enrollment ID: I20210922002820 |
| Provider Name | Sandeep Kathju |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700887767 PECOS PAC ID: 8224173182 Enrollment ID: I20210927002972 |
| Provider Name | Joseph Parkhurst |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205879772 PECOS PAC ID: 5890779292 Enrollment ID: I20211007002905 |
| Provider Name | Vipin D Villgran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013262690 PECOS PAC ID: 9335454891 Enrollment ID: I20211102001890 |
| Provider Name | Gretchen Layne Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083848097 PECOS PAC ID: 5092947515 Enrollment ID: I20211111001916 |
| Provider Name | Loren Kaiser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336550748 PECOS PAC ID: 1052613650 Enrollment ID: I20220217000588 |
| Provider Name | Claire E Paxton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144609561 PECOS PAC ID: 4587970645 Enrollment ID: I20220221000441 |
| Provider Name | Mark Behnam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992995591 PECOS PAC ID: 7416133020 Enrollment ID: I20220329002861 |
| Provider Name | Michelle J Semins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578609277 PECOS PAC ID: 0648454561 Enrollment ID: I20220401001409 |
| Provider Name | Jill K Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245421023 PECOS PAC ID: 2769653286 Enrollment ID: I20220412001715 |
| Provider Name | Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235626284 PECOS PAC ID: 6103160080 Enrollment ID: I20220414000168 |
| Provider Name | Lauren Ashley Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538514070 PECOS PAC ID: 4981090115 Enrollment ID: I20220414002471 |
| Provider Name | Tracy R Lanoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164183182 PECOS PAC ID: 5395132971 Enrollment ID: I20220428002783 |
| Provider Name | Shelby L Georgetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396402004 PECOS PAC ID: 7911390612 Enrollment ID: I20220505000735 |
| Provider Name | Brian P Vaske |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841448321 PECOS PAC ID: 0143417527 Enrollment ID: I20220526002896 |
| Provider Name | Valerie Sue Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821755760 PECOS PAC ID: 8921486242 Enrollment ID: I20220527000600 |
| Provider Name | Dina M Cooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790001238 PECOS PAC ID: 2466830724 Enrollment ID: I20220528000074 |
| Provider Name | Judith L Sarver |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225246374 PECOS PAC ID: 4688052640 Enrollment ID: I20220602002273 |
| Provider Name | Katlin R Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457923963 PECOS PAC ID: 3173912748 Enrollment ID: I20220608003001 |
| Provider Name | Sheila M Archer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740285253 PECOS PAC ID: 3678952785 Enrollment ID: I20220621001242 |
| Provider Name | Jane Darras Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780275032 PECOS PAC ID: 7113306150 Enrollment ID: I20220621003035 |
| Provider Name | Amr Ewida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720435613 PECOS PAC ID: 2769729375 Enrollment ID: I20220627001308 |
| Provider Name | Kelsay B Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609441674 PECOS PAC ID: 3971997792 Enrollment ID: I20220712004110 |
| Provider Name | Coty J Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821699885 PECOS PAC ID: 2264810308 Enrollment ID: I20220715000221 |
| Provider Name | Jordan L. Corso |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881275394 PECOS PAC ID: 4587045968 Enrollment ID: I20220715002305 |
| Provider Name | Renee H Fuller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700167327 PECOS PAC ID: 6103208467 Enrollment ID: I20220803000311 |
| Provider Name | Chandana Kamireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548602402 PECOS PAC ID: 2860784667 Enrollment ID: I20220808003043 |
| Provider Name | Daniel L Gillespie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023355328 PECOS PAC ID: 8224410139 Enrollment ID: I20220809000326 |
| Provider Name | Natallie Lynn Mccardle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073846507 PECOS PAC ID: 8426431156 Enrollment ID: I20220812003168 |
| Provider Name | Kristi M Bolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710380555 PECOS PAC ID: 5799179297 Enrollment ID: I20220818003824 |
| Provider Name | Bianca K Chun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649534470 PECOS PAC ID: 5890928550 Enrollment ID: I20220820000012 |
| Provider Name | Aimee Kathleen Kefauver |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447915871 PECOS PAC ID: 3577947217 Enrollment ID: I20220830003240 |
| Provider Name | Kristen A Mccabe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659429371 PECOS PAC ID: 8921486994 Enrollment ID: I20220919002724 |
| Provider Name | Maurice K Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073505681 PECOS PAC ID: 0446147888 Enrollment ID: I20220927000510 |
| Provider Name | Crystal Dawn L Bradshaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780047969 PECOS PAC ID: 7719213107 Enrollment ID: I20220928002329 |
| Provider Name | Samian N Sulaiman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972851335 PECOS PAC ID: 8921223157 Enrollment ID: I20221025002867 |
| Provider Name | William Wagner Rose |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619995271 PECOS PAC ID: 4183891542 Enrollment ID: I20221103001730 |
| Provider Name | Megan R Dunaway |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396068813 PECOS PAC ID: 8921475856 Enrollment ID: I20221107002545 |
| Provider Name | Lisa Denardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669816674 PECOS PAC ID: 8820382245 Enrollment ID: I20221115001921 |
| Provider Name | Brooke M Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457077414 PECOS PAC ID: 8224406145 Enrollment ID: I20221128001947 |
| Provider Name | Stacy A Blake |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528210549 PECOS PAC ID: 6305215237 Enrollment ID: I20221215000305 |
| Provider Name | Chelsea Ebbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366151797 PECOS PAC ID: 2860861713 Enrollment ID: I20221215001139 |
| Provider Name | Beth A Mysliwiec-andlinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386193449 PECOS PAC ID: 3678943388 Enrollment ID: I20221221000744 |
| Provider Name | Emmanuel Dayao Paragas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962123976 PECOS PAC ID: 5395115943 Enrollment ID: I20221223000828 |
| Provider Name | Steven Kagan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508804303 PECOS PAC ID: 7113822990 Enrollment ID: I20221230000484 |
| Provider Name | David Clump |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881868628 PECOS PAC ID: 9931346780 Enrollment ID: I20230118000123 |
| Provider Name | Rebecca Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932577269 PECOS PAC ID: 1759691207 Enrollment ID: I20230213000704 |
| Provider Name | Kelly Marie Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093438434 PECOS PAC ID: 5092188300 Enrollment ID: I20230308001022 |
| Provider Name | Aleksandra Provident |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356051007 PECOS PAC ID: 9335513456 Enrollment ID: I20230313001174 |
| Provider Name | Sushanth Sreenivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053846295 PECOS PAC ID: 8325468978 Enrollment ID: I20230327001907 |
| Provider Name | Patrick Raymond Burns |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255332417 PECOS PAC ID: 3971595869 Enrollment ID: I20230407001423 |
| Provider Name | Lisa Ann Jancel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184610156 PECOS PAC ID: 7416848940 Enrollment ID: I20230411002175 |
| Provider Name | Emily J Groves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952740565 PECOS PAC ID: 9830332113 Enrollment ID: I20230512000348 |
| Provider Name | Sara Mckesson Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730263351 PECOS PAC ID: 2264898261 Enrollment ID: I20230517002276 |
| Provider Name | Candace Ashley Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659997641 PECOS PAC ID: 9638535537 Enrollment ID: I20230518003580 |
| Provider Name | Morgan Stalder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124648415 PECOS PAC ID: 0941621981 Enrollment ID: I20230522002188 |
| Provider Name | Julianne Rockey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326702887 PECOS PAC ID: 4688030257 Enrollment ID: I20230524001344 |
| Provider Name | Sydney Lee Moffett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265122667 PECOS PAC ID: 6800253253 Enrollment ID: I20230531001418 |
| Provider Name | Tuncay Taskesen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245619741 PECOS PAC ID: 5890042352 Enrollment ID: I20230605001504 |
| Provider Name | Mahmoud Abdelwahab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932550175 PECOS PAC ID: 7810276011 Enrollment ID: I20230612000618 |
| Provider Name | Nicholas Cooper Overton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725803 PECOS PAC ID: 9830557446 Enrollment ID: I20230614000556 |
| Provider Name | Andrew Johnson Olinde |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548370414 PECOS PAC ID: 6204736192 Enrollment ID: I20230703001828 |
| Provider Name | Matthew Cunningham-hill |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275997348 PECOS PAC ID: 8123311743 Enrollment ID: I20230711002215 |
| Provider Name | Sriya Babu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497384697 PECOS PAC ID: 5092172742 Enrollment ID: I20230713000185 |
| Provider Name | Ivan Tarkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992810493 PECOS PAC ID: 8628009149 Enrollment ID: I20230808000604 |
| Provider Name | Samantha Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912469743 PECOS PAC ID: 4385977008 Enrollment ID: I20230810001834 |
| Provider Name | Joseph Del Zotto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447887963 PECOS PAC ID: 0648694661 Enrollment ID: I20230823003263 |
| Provider Name | Cara Ann Lyle |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891114328 PECOS PAC ID: 2668774225 Enrollment ID: I20230912002876 |
| Provider Name | Robert Wallace Williams Biederman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912907734 PECOS PAC ID: 4284728189 Enrollment ID: I20230922003739 |
| Provider Name | Brittany Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482668 PECOS PAC ID: 9234467903 Enrollment ID: I20230925002740 |
| Provider Name | Ronald Angelo Sismondo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124463807 PECOS PAC ID: 9436490588 Enrollment ID: I20231019002245 |
| Provider Name | Rida Laeeq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508244930 PECOS PAC ID: 6103177522 Enrollment ID: I20231025000418 |
| Provider Name | M.lee Haselkorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417119009 PECOS PAC ID: 9335383504 Enrollment ID: I20231129002069 |
| Provider Name | Rami Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396066569 PECOS PAC ID: 4385991751 Enrollment ID: I20231220002296 |
| Provider Name | Richard Redlinger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376704619 PECOS PAC ID: 1456571496 Enrollment ID: I20231221004053 |
| Provider Name | Caitlin Woods |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649991688 PECOS PAC ID: 2769832906 Enrollment ID: I20231229001332 |
| Provider Name | Gina Marie Holmes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306462460 PECOS PAC ID: 6507219524 Enrollment ID: I20240125004586 |
| Provider Name | Anthony Michael Del Zotto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780211292 PECOS PAC ID: 2567886773 Enrollment ID: I20240129000051 |
| Provider Name | Misty N. Kildow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962168518 PECOS PAC ID: 3375996085 Enrollment ID: I20240130001090 |
| Provider Name | Rawan Kassar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013362359 PECOS PAC ID: 9739466350 Enrollment ID: I20240208001564 |
| Provider Name | Christine R Kukor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770547242 PECOS PAC ID: 2668894312 Enrollment ID: I20240214003216 |
| Provider Name | Omar Mohammed Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639433907 PECOS PAC ID: 8224334990 Enrollment ID: I20240227002700 |
| Provider Name | Waleed Raheem Abood Abood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083065148 PECOS PAC ID: 8921391624 Enrollment ID: I20240301000501 |
| Provider Name | James M Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20240308000856 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20240315000775 |
| Provider Name | Matthew S Markert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073951539 PECOS PAC ID: 4981902699 Enrollment ID: I20240321003377 |
| Provider Name | Brian Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851358329 PECOS PAC ID: 9032245477 Enrollment ID: I20240331000004 |
| Provider Name | Rachel Buettner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821871393 PECOS PAC ID: 4183062672 Enrollment ID: I20240403000841 |
| Provider Name | Muhammad Bhatti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922448653 PECOS PAC ID: 1456575430 Enrollment ID: I20240409001022 |
| Provider Name | Mushtaq Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20240410001947 |
| Provider Name | Jessica Lynn Kerr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528796877 PECOS PAC ID: 0840638706 Enrollment ID: I20240410004115 |
| Provider Name | Macie Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952927006 PECOS PAC ID: 0547644304 Enrollment ID: I20240420000005 |
| Provider Name | Wayne Patrick Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932413325 PECOS PAC ID: 0042443293 Enrollment ID: I20240513000265 |
| Provider Name | Amanda Yriberri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972146066 PECOS PAC ID: 6204260888 Enrollment ID: I20240514000985 |
| Provider Name | Stephanie Enner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093247421 PECOS PAC ID: 5294072815 Enrollment ID: I20240529004227 |
| Provider Name | Aaron Lozzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316593387 PECOS PAC ID: 3779815154 Enrollment ID: I20240530000128 |
Thomas J Schmitt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1817 Warwood Ave, Wheeling, WV 26003 Phone: 304-277-4405 Fax: 304-277-4406 | |
Marilyn W. Horacek, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 Chapline St, Suite 208, Wheeling, WV 26003 Phone: 304-217-3130 Fax: 304-217-3134 | |
Hospitalist Medicine Physicians Of Ohio County , Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Eoff St, Wheeling, WV 26003 Phone: 330-493-4443 Fax: 330-493-8677 | |
Oakwood Clinic Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Fairmont Pike Rt88, Wheeling, WV 26003 Phone: 304-242-3550 Fax: 304-242-5810 | |
Marilyn W. Horacek, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Eoff St, Suite 604, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073 | |
East Ohio Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Eoff St, Wheeling, WV 26003 Phone: 304-234-0123 | |
Timothy J. Wilson, D.o, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 National Rd, Wheeling, WV 26003 Phone: 304-242-1032 |