| Wilmington Health Pllc | |
|
1202 Medical Center Dr Wilmington NC 28401-7307 | |
| (910) 341-3300 | |
| (910) 815-2882 |
| Full Name | Wilmington Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1202 Medical Center Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Chasity Chace (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 9103413384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Health Pllc 1202 Medical Center Dr Wilmington NC 28401-7307 Ph: (910) 341-3300 | Wilmington Health Pllc 1202 Medical Center Dr Wilmington NC 28401-7307 Ph: (910) 341-3300 |
| NPI Number | 1881632339 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 6103722509 |
|---|---|
| Medicare Enrollment ID | O20031208000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881632339 | NPI | - | NPPES |
| CC5031 | Other | NC | RAILROAD MEDICARE |
| 0294V | Other | NC | BCBS NC |
| 890294V | Medicaid | NC | |
| CC5032 | Other | NC | RAILROAD MEDICARE |
| CC5030 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 73991 (North Carolina) | Primary |
| Provider Name | Troy J Ehrhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003913021 PECOS PAC ID: 3476448994 Enrollment ID: I20040216000294 |
| Provider Name | Kira M Alatar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740274844 PECOS PAC ID: 0749171395 Enrollment ID: I20040323000680 |
| Provider Name | Caryn A Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508923368 PECOS PAC ID: 8628060894 Enrollment ID: I20040330001762 |
| Provider Name | Howard Dale Ruscetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730281924 PECOS PAC ID: 5193718641 Enrollment ID: I20040408000409 |
| Provider Name | John C Parker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457345928 PECOS PAC ID: 3072509025 Enrollment ID: I20040423000787 |
| Provider Name | Sharrona S Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891795134 PECOS PAC ID: 1153380621 Enrollment ID: I20041008001149 |
| Provider Name | Sandra L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275643686 PECOS PAC ID: 6103884101 Enrollment ID: I20041222000136 |
| Provider Name | Steven Gerald Folstad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558314575 PECOS PAC ID: 5698743227 Enrollment ID: I20050106000676 |
| Provider Name | Emily V Murtha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770637001 PECOS PAC ID: 1355399395 Enrollment ID: I20050106000752 |
| Provider Name | Kevin M O'neil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134153067 PECOS PAC ID: 9638127038 Enrollment ID: I20050111001112 |
| Provider Name | Yen Lin Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548361975 PECOS PAC ID: 3274582556 Enrollment ID: I20050113000312 |
| Provider Name | Edith L Saffo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235296013 PECOS PAC ID: 5698714970 Enrollment ID: I20050426001255 |
| Provider Name | Laura S Tanner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053400499 PECOS PAC ID: 5294774576 Enrollment ID: I20050426001300 |
| Provider Name | Matthew M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745750 PECOS PAC ID: 3173562469 Enrollment ID: I20050426001336 |
| Provider Name | Dean R Meisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982716502 PECOS PAC ID: 9830138668 Enrollment ID: I20050429000907 |
| Provider Name | Andrew H Bishop |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063423341 PECOS PAC ID: 7719927847 Enrollment ID: I20050509000734 |
| Provider Name | Jessica J Burkett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881709061 PECOS PAC ID: 1658313432 Enrollment ID: I20050523001203 |
| Provider Name | Jonathan S Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619066040 PECOS PAC ID: 7315989092 Enrollment ID: I20050523001281 |
| Provider Name | John P Pasquariello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790897262 PECOS PAC ID: 1951343631 Enrollment ID: I20050523001284 |
| Provider Name | Kristi B Simms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306948492 PECOS PAC ID: 8820032956 Enrollment ID: I20050620000134 |
| Provider Name | Michael Y Parker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346251394 PECOS PAC ID: 7012947773 Enrollment ID: I20050812000956 |
| Provider Name | Joshua I Vogel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104841121 PECOS PAC ID: 6709816879 Enrollment ID: I20050818000101 |
| Provider Name | Victoria Dawn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164633988 PECOS PAC ID: 4183646946 Enrollment ID: I20051221000662 |
| Provider Name | Mitchell D Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053339267 PECOS PAC ID: 0345263695 Enrollment ID: I20060112000483 |
| Provider Name | Sandip Jayant Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073510657 PECOS PAC ID: 5395756969 Enrollment ID: I20060510000365 |
| Provider Name | Matthew C Radack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508861998 PECOS PAC ID: 5193798411 Enrollment ID: I20070427000496 |
| Provider Name | Adam Braithwaite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740301019 PECOS PAC ID: 1759480270 Enrollment ID: I20070625000587 |
| Provider Name | Gregory J Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023224839 PECOS PAC ID: 6507957016 Enrollment ID: I20070811000144 |
| Provider Name | Michael J Mcwilliams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437361391 PECOS PAC ID: 0547354086 Enrollment ID: I20070914000469 |
| Provider Name | Connie H Hinnant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568487965 PECOS PAC ID: 6709975279 Enrollment ID: I20071205000728 |
| Provider Name | Rhonda Bloom Mough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349118 PECOS PAC ID: 8022079292 Enrollment ID: I20071212000152 |
| Provider Name | Rose S Southerland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790823334 PECOS PAC ID: 6608979919 Enrollment ID: I20080228000617 |
| Provider Name | Steven T Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932241155 PECOS PAC ID: 6608770177 Enrollment ID: I20080311000763 |
| Provider Name | Melissa A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164496956 PECOS PAC ID: 0840237830 Enrollment ID: I20080414000613 |
| Provider Name | Courtney Cummings Hodshon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689858532 PECOS PAC ID: 7315025590 Enrollment ID: I20080429000492 |
| Provider Name | David M Gagliardi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407029135 PECOS PAC ID: 5890874689 Enrollment ID: I20080505000804 |
| Provider Name | Aimee B Parker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881866556 PECOS PAC ID: 8820160138 Enrollment ID: I20080702000075 |
| Provider Name | Thomas Scott Dziedzic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073719746 PECOS PAC ID: 0840363214 Enrollment ID: I20080717000474 |
| Provider Name | Charles A Neuwirth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427262831 PECOS PAC ID: 4486727286 Enrollment ID: I20080725000548 |
| Provider Name | David Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952331340 PECOS PAC ID: 0446294193 Enrollment ID: I20080904000345 |
| Provider Name | Wendy C Tippette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912154410 PECOS PAC ID: 7911074208 Enrollment ID: I20080929000607 |
| Provider Name | Sejal S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427270032 PECOS PAC ID: 7012072150 Enrollment ID: I20090224000463 |
| Provider Name | Paul F Kamitsuka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235240714 PECOS PAC ID: 2567510431 Enrollment ID: I20090501000517 |
| Provider Name | Timothy W Pattison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366413130 PECOS PAC ID: 6103974639 Enrollment ID: I20090511000229 |
| Provider Name | Lisa K Hayward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528202504 PECOS PAC ID: 9638228745 Enrollment ID: I20090520000405 |
| Provider Name | Ann Elizabeth Surprenant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558479519 PECOS PAC ID: 9638166481 Enrollment ID: I20090609000422 |
| Provider Name | Nicole Proscia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629245113 PECOS PAC ID: 3173673043 Enrollment ID: I20090615000682 |
| Provider Name | Gregory C Zwack |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104857358 PECOS PAC ID: 0840198305 Enrollment ID: I20090917000565 |
| Provider Name | Kevin Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437264736 PECOS PAC ID: 8729124722 Enrollment ID: I20091005000767 |
| Provider Name | Tor M Ljung |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043356868 PECOS PAC ID: 0547355208 Enrollment ID: I20091008000637 |
| Provider Name | Rachel L Mclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376744813 PECOS PAC ID: 5597802389 Enrollment ID: I20091027000869 |
| Provider Name | David M Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033211248 PECOS PAC ID: 3971644766 Enrollment ID: I20091230000258 |
| Provider Name | Michael J Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568584183 PECOS PAC ID: 9436250040 Enrollment ID: I20100114000310 |
| Provider Name | Kevin D Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700897022 PECOS PAC ID: 7911049820 Enrollment ID: I20100114000718 |
| Provider Name | Brian R Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124129671 PECOS PAC ID: 9931241841 Enrollment ID: I20100114000799 |
| Provider Name | Susannah C Aylesworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952416208 PECOS PAC ID: 2365584737 Enrollment ID: I20100122000503 |
| Provider Name | Catherine A Daum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863476 PECOS PAC ID: 6709928138 Enrollment ID: I20100123000256 |
| Provider Name | Michelle F Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811008477 PECOS PAC ID: 7719029826 Enrollment ID: I20100127000340 |
| Provider Name | George M Sylvestri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902908866 PECOS PAC ID: 1759424500 Enrollment ID: I20100202000931 |
| Provider Name | Rachel K Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093045734 PECOS PAC ID: 6002959483 Enrollment ID: I20100208000176 |
| Provider Name | Anjanette T King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295953446 PECOS PAC ID: 2668516824 Enrollment ID: I20100225000708 |
| Provider Name | Michael S. Mcgarrity |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366436222 PECOS PAC ID: 3476635475 Enrollment ID: I20100511000209 |
| Provider Name | Bradley H Restel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396910097 PECOS PAC ID: 6406987395 Enrollment ID: I20100621000510 |
| Provider Name | Matthew J Janik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619150554 PECOS PAC ID: 8820140676 Enrollment ID: I20100730000233 |
| Provider Name | Matthew J Dzurik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285895169 PECOS PAC ID: 6608909494 Enrollment ID: I20100730000274 |
| Provider Name | Nicole S Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568519429 PECOS PAC ID: 0446383137 Enrollment ID: I20100802000534 |
| Provider Name | Matthew C Sincock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851550255 PECOS PAC ID: 6406980010 Enrollment ID: I20100818000837 |
| Provider Name | Douglas F Messina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104842012 PECOS PAC ID: 8628163375 Enrollment ID: I20100818000846 |
| Provider Name | Eric Noevere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558684035 PECOS PAC ID: 2264556554 Enrollment ID: I20100823000952 |
| Provider Name | Scott W Visser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376629113 PECOS PAC ID: 4082739784 Enrollment ID: I20101011001076 |
| Provider Name | Robert R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982780722 PECOS PAC ID: 7618092313 Enrollment ID: I20101011001091 |
| Provider Name | Jeremy P Holdsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538245378 PECOS PAC ID: 8527183227 Enrollment ID: I20101014000571 |
| Provider Name | Melinda Dubose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285845289 PECOS PAC ID: 0345434569 Enrollment ID: I20101102000606 |
| Provider Name | Ronald L George |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265657894 PECOS PAC ID: 6901951904 Enrollment ID: I20101210000433 |
| Provider Name | Lashawn Beverly-howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942462593 PECOS PAC ID: 6204901218 Enrollment ID: I20110112000164 |
| Provider Name | Pedrina Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477857746 PECOS PAC ID: 2062691207 Enrollment ID: I20110120000599 |
| Provider Name | David Mckenzie Kraebber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659372639 PECOS PAC ID: 7416022140 Enrollment ID: I20110428000340 |
| Provider Name | Ashley Forystek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730347659 PECOS PAC ID: 4981882701 Enrollment ID: I20110627000660 |
| Provider Name | Morgan Arvidson Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548347040 PECOS PAC ID: 5597936104 Enrollment ID: I20110912000254 |
| Provider Name | John Lauren Remington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629075189 PECOS PAC ID: 9830279090 Enrollment ID: I20110927000001 |
| Provider Name | Mark W Ragozzino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902803547 PECOS PAC ID: 2567542723 Enrollment ID: I20110928000001 |
| Provider Name | Stuart W Point |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447257084 PECOS PAC ID: 7911087176 Enrollment ID: I20111005000020 |
| Provider Name | Mesha M Chadwick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962664284 PECOS PAC ID: 2961674320 Enrollment ID: I20111006000285 |
| Provider Name | Lewis Patrick Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568469120 PECOS PAC ID: 2264450501 Enrollment ID: I20111010000127 |
| Provider Name | Joseph J Wehner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750388310 PECOS PAC ID: 0648350801 Enrollment ID: I20111014000057 |
| Provider Name | Fred A Scialabba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760489330 PECOS PAC ID: 1557441714 Enrollment ID: I20111018000010 |
| Provider Name | Catherine R Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225318272 PECOS PAC ID: 7113190802 Enrollment ID: I20111025000168 |
| Provider Name | Brian K Brodwater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912904582 PECOS PAC ID: 5092895250 Enrollment ID: I20111102000792 |
| Provider Name | Evan David Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982601563 PECOS PAC ID: 7810077070 Enrollment ID: I20111103000003 |
| Provider Name | Ha N Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578560041 PECOS PAC ID: 1456431618 Enrollment ID: I20111103000009 |
| Provider Name | Willard G Hession |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750388211 PECOS PAC ID: 6800976069 Enrollment ID: I20111103000014 |
| Provider Name | Larry Neal Beard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114924503 PECOS PAC ID: 2365522521 Enrollment ID: I20111103000021 |
| Provider Name | Andrew J Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295732691 PECOS PAC ID: 1355421512 Enrollment ID: I20111103000614 |
| Provider Name | Seth Braunstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427080720 PECOS PAC ID: 1759272347 Enrollment ID: I20111108000888 |
| Provider Name | James Appel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457357204 PECOS PAC ID: 6901956150 Enrollment ID: I20111109000327 |
| Provider Name | Steven T Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578560934 PECOS PAC ID: 0547340705 Enrollment ID: I20111202000555 |
| Provider Name | Linda R Sharenow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003134727 PECOS PAC ID: 6901093152 Enrollment ID: I20120403000020 |
| Provider Name | Rand R Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497029953 PECOS PAC ID: 4688837594 Enrollment ID: I20120511000355 |
| Provider Name | Sarah N Falk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932469319 PECOS PAC ID: 0840455945 Enrollment ID: I20120622000073 |
| Provider Name | Elizabeth Jane Buskirk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386791242 PECOS PAC ID: 5193878395 Enrollment ID: I20120627000843 |
| Provider Name | Alison Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669795936 PECOS PAC ID: 0941466932 Enrollment ID: I20120718000925 |
| Provider Name | Sandra Brannin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154392520 PECOS PAC ID: 7315086006 Enrollment ID: I20120719000397 |
| Provider Name | Arlene A Hallegado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982794012 PECOS PAC ID: 7012170004 Enrollment ID: I20120914000555 |
| Provider Name | Kathryn Jean Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205188869 PECOS PAC ID: 9638329899 Enrollment ID: I20121024000185 |
| Provider Name | Gina M Berthold |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477768182 PECOS PAC ID: 2365692381 Enrollment ID: I20121026000586 |
| Provider Name | Erin Ford Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659438364 PECOS PAC ID: 0345488656 Enrollment ID: I20130528000681 |
| Provider Name | Kristen B Chalk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598993677 PECOS PAC ID: 7517108327 Enrollment ID: I20130720000018 |
| Provider Name | Joshua R Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508185703 PECOS PAC ID: 8628219490 Enrollment ID: I20130722000442 |
| Provider Name | Holly C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326486176 PECOS PAC ID: 0648413799 Enrollment ID: I20130821000681 |
| Provider Name | Michael Favorito |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558669176 PECOS PAC ID: 2264680099 Enrollment ID: I20130826000507 |
| Provider Name | Noah R Archer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568576213 PECOS PAC ID: 8628211208 Enrollment ID: I20130829000464 |
| Provider Name | Jamie S Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932540051 PECOS PAC ID: 6002040755 Enrollment ID: I20131011000221 |
| Provider Name | Bridgette E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104130806 PECOS PAC ID: 3375739154 Enrollment ID: I20131017000716 |
| Provider Name | Danielle F Theberge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609216803 PECOS PAC ID: 8426284993 Enrollment ID: I20131112001081 |
| Provider Name | Joseph Andrew Orzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700840576 PECOS PAC ID: 0547241564 Enrollment ID: I20131217000985 |
| Provider Name | Daniel Barzana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720280845 PECOS PAC ID: 8022254689 Enrollment ID: I20140624000887 |
| Provider Name | Lauren F Gratian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609019090 PECOS PAC ID: 1456576891 Enrollment ID: I20140627000936 |
| Provider Name | Kendall Yokubaitis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720221054 PECOS PAC ID: 9830315100 Enrollment ID: I20140722001658 |
| Provider Name | Ryan Patrick Mcwey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457514200 PECOS PAC ID: 2466686894 Enrollment ID: I20140731000682 |
| Provider Name | Lauren P Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285925131 PECOS PAC ID: 3173758703 Enrollment ID: I20140826000213 |
| Provider Name | Bradford A Tyler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932172418 PECOS PAC ID: 0941226229 Enrollment ID: I20140930002376 |
| Provider Name | Megan Kinney Kaufman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740573625 PECOS PAC ID: 2062632607 Enrollment ID: I20141003000129 |
| Provider Name | Kelly A Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635376 PECOS PAC ID: 9830310549 Enrollment ID: I20141022001098 |
| Provider Name | Ryan C Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891089348 PECOS PAC ID: 1153643176 Enrollment ID: I20141202002299 |
| Provider Name | Jenna A Shemwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528319654 PECOS PAC ID: 0749430957 Enrollment ID: I20150207000305 |
| Provider Name | Joshua Bowman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477817179 PECOS PAC ID: 7113242496 Enrollment ID: I20150209000166 |
| Provider Name | Patrick W Tester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649263617 PECOS PAC ID: 6901079136 Enrollment ID: I20150224001671 |
| Provider Name | Margaret Harrington Mcelroy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538372842 PECOS PAC ID: 1153447933 Enrollment ID: I20150529002323 |
| Provider Name | Rebecca Maphis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104210558 PECOS PAC ID: 1658692801 Enrollment ID: I20150601000581 |
| Provider Name | Maria Luisa Stoute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568844595 PECOS PAC ID: 6901110782 Enrollment ID: I20150807013085 |
| Provider Name | Chad M Fortun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619119252 PECOS PAC ID: 5597982769 Enrollment ID: I20150903002600 |
| Provider Name | Amit K Datta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780942219 PECOS PAC ID: 5890936348 Enrollment ID: I20150910001543 |
| Provider Name | Gentry S Caton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1922235951 PECOS PAC ID: 6608098025 Enrollment ID: I20151020003022 |
| Provider Name | Marcel M Vargas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487697553 PECOS PAC ID: 9234313487 Enrollment ID: I20151209001544 |
| Provider Name | Mary Elizabeth Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073986360 PECOS PAC ID: 4981905171 Enrollment ID: I20151211001725 |
| Provider Name | Maria Pauline Mastoras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376916296 PECOS PAC ID: 1850692625 Enrollment ID: I20151221001390 |
| Provider Name | John Boddie Crudup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972828267 PECOS PAC ID: 9931337722 Enrollment ID: I20160523001677 |
| Provider Name | Anette Bodoky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134358682 PECOS PAC ID: 5597910646 Enrollment ID: I20160801002421 |
| Provider Name | Christopher Rowland Mckibbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386088607 PECOS PAC ID: 1153636865 Enrollment ID: I20160815002671 |
| Provider Name | Casey Glenn Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316385545 PECOS PAC ID: 5698909976 Enrollment ID: I20160817001700 |
| Provider Name | Michael Charles Romig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982917233 PECOS PAC ID: 4688969181 Enrollment ID: I20160823002037 |
| Provider Name | Claudius Damien Jarrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396921664 PECOS PAC ID: 7012185606 Enrollment ID: I20160830001180 |
| Provider Name | Anna Caitlin Paylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134654056 PECOS PAC ID: 1153698550 Enrollment ID: I20170606000198 |
| Provider Name | Aaron David Kline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013200203 PECOS PAC ID: 1951545482 Enrollment ID: I20170609000633 |
| Provider Name | Erica Ann Grosseibl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467984203 PECOS PAC ID: 0840569257 Enrollment ID: I20170628001455 |
| Provider Name | Kimberly Walters Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629477088 PECOS PAC ID: 9436471356 Enrollment ID: I20170705003067 |
| Provider Name | Jin Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689932485 PECOS PAC ID: 0244471605 Enrollment ID: I20170724000008 |
| Provider Name | Negin Misaghian-xanthos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154688026 PECOS PAC ID: 4284923293 Enrollment ID: I20170726003592 |
| Provider Name | Menaka Michele Nadar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659661841 PECOS PAC ID: 3779712385 Enrollment ID: I20170728002410 |
| Provider Name | Aaron Leshikar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518370105 PECOS PAC ID: 9234400326 Enrollment ID: I20170808002839 |
| Provider Name | Pamela Andler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649424284 PECOS PAC ID: 2860433729 Enrollment ID: I20170818000295 |
| Provider Name | Shaun Michael Deese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457618084 PECOS PAC ID: 4789905639 Enrollment ID: I20170829000177 |
| Provider Name | Benjamin A Cowan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699894824 PECOS PAC ID: 1153413265 Enrollment ID: I20170927001376 |
| Provider Name | Mary G Frederick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326045972 PECOS PAC ID: 3173898020 Enrollment ID: I20171003007802 |
| Provider Name | Michael C Marte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518058502 PECOS PAC ID: 1759536816 Enrollment ID: I20171018003691 |
| Provider Name | Jennifer Wootton Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134546278 PECOS PAC ID: 9638494990 Enrollment ID: I20171024000416 |
| Provider Name | Catherine C Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134645138 PECOS PAC ID: 2567738032 Enrollment ID: I20171027001651 |
| Provider Name | Lorena Dunbar Mauney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508376484 PECOS PAC ID: 5991062937 Enrollment ID: I20171130000848 |
| Provider Name | Christopher Ayodele Jarrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083720916 PECOS PAC ID: 4789686445 Enrollment ID: I20171222000159 |
| Provider Name | Robin B Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587589 PECOS PAC ID: 0042579781 Enrollment ID: I20180125002048 |
| Provider Name | Hector Ivan Sanchez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124446513 PECOS PAC ID: 7810113081 Enrollment ID: I20180411000817 |
| Provider Name | Johny Denis Ardeljan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265692073 PECOS PAC ID: 8628262813 Enrollment ID: I20180522001512 |
| Provider Name | Ross Stemmler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164816559 PECOS PAC ID: 8022310614 Enrollment ID: I20180629001130 |
| Provider Name | Lekeshia Williams Jarrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750376356 PECOS PAC ID: 6709819394 Enrollment ID: I20180702001868 |
| Provider Name | Raymond R Groller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326486374 PECOS PAC ID: 2668723495 Enrollment ID: I20180918002749 |
| Provider Name | Eric S Hansberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740676709 PECOS PAC ID: 9638483753 Enrollment ID: I20181010003705 |
| Provider Name | Christopher Handera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144632688 PECOS PAC ID: 3173825742 Enrollment ID: I20181018003339 |
| Provider Name | Madeline Chastain Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205316221 PECOS PAC ID: 5092068437 Enrollment ID: I20181031002824 |
| Provider Name | Oyakhire C Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063962710 PECOS PAC ID: 1355639865 Enrollment ID: I20181119001584 |
| Provider Name | Tegan M Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050718 PECOS PAC ID: 2860758166 Enrollment ID: I20181217000975 |
| Provider Name | Natasha Ray Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306327515 PECOS PAC ID: 6002153962 Enrollment ID: I20190130002020 |
| Provider Name | Rebecca Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063985117 PECOS PAC ID: 1254670375 Enrollment ID: I20190306002398 |
| Provider Name | Caroline Richards Smithson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681067 PECOS PAC ID: 4688914476 Enrollment ID: I20190313002430 |
| Provider Name | Alexis Carroll Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649519174 PECOS PAC ID: 7618116880 Enrollment ID: I20190424002580 |
| Provider Name | Christopher Aaron Hess |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356631162 PECOS PAC ID: 0143468991 Enrollment ID: I20190430002598 |
| Provider Name | Kristin Johnston Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861956104 PECOS PAC ID: 9931442936 Enrollment ID: I20190514003209 |
| Provider Name | Allison Clare Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985265 PECOS PAC ID: 1658637889 Enrollment ID: I20190516002255 |
| Provider Name | Tiffany Matoska Sills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255606364 PECOS PAC ID: 3678798949 Enrollment ID: I20190604000354 |
| Provider Name | Joshua Nicholas Ellerbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699261818 PECOS PAC ID: 1951635051 Enrollment ID: I20190624002214 |
| Provider Name | Bonnie W Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669931028 PECOS PAC ID: 7911231519 Enrollment ID: I20190702002133 |
| Provider Name | Deborah Sperling Hess |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497015648 PECOS PAC ID: 7012155872 Enrollment ID: I20190730000262 |
| Provider Name | Elizabeth A Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275195026 PECOS PAC ID: 7113256454 Enrollment ID: I20190911001648 |
| Provider Name | Adam R Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245645647 PECOS PAC ID: 1951697556 Enrollment ID: I20191008001615 |
| Provider Name | Jayme Bruce Stokes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851504336 PECOS PAC ID: 7214179431 Enrollment ID: I20191021001269 |
| Provider Name | Ashley N Fioranelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578035218 PECOS PAC ID: 6406196096 Enrollment ID: I20191216001149 |
| Provider Name | Steven Thomas Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134177751 PECOS PAC ID: 7719311869 Enrollment ID: I20191223001339 |
| Provider Name | Candice Elyse Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326540410 PECOS PAC ID: 5092079012 Enrollment ID: I20200210002449 |
| Provider Name | Kara B Marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755343 PECOS PAC ID: 7719274067 Enrollment ID: I20200225002053 |
| Provider Name | Dina Jane Sarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669435 PECOS PAC ID: 2567890387 Enrollment ID: I20200310000661 |
| Provider Name | Brandy Younginer Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538799861 PECOS PAC ID: 2769810589 Enrollment ID: I20200310000892 |
| Provider Name | Rajya Lakshmi Atluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871546796 PECOS PAC ID: 8325059637 Enrollment ID: I20200410000097 |
| Provider Name | Robert M Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841724366 PECOS PAC ID: 4789952227 Enrollment ID: I20200526002672 |
| Provider Name | Carin Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770710808 PECOS PAC ID: 2264754654 Enrollment ID: I20200608001160 |
| Provider Name | Clara Wortham Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598389462 PECOS PAC ID: 9032532965 Enrollment ID: I20200709003202 |
| Provider Name | Wendy Laura Atkinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518491927 PECOS PAC ID: 2961751995 Enrollment ID: I20200714002104 |
| Provider Name | Olga Lembersky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497119879 PECOS PAC ID: 6507154572 Enrollment ID: I20200811001243 |
| Provider Name | Evergreen Haverkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700495553 PECOS PAC ID: 7416368766 Enrollment ID: I20201118000816 |
| Provider Name | Darren Jack Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083613749 PECOS PAC ID: 6709974256 Enrollment ID: I20210107000848 |
| Provider Name | Jacob M Bright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114331964 PECOS PAC ID: 1456665306 Enrollment ID: I20210212001922 |
| Provider Name | Fahad Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831540186 PECOS PAC ID: 8527352749 Enrollment ID: I20210215000173 |
| Provider Name | Jacqueline B Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558959338 PECOS PAC ID: 3072920941 Enrollment ID: I20210322002092 |
| Provider Name | Malithi Jayasundara |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871849976 PECOS PAC ID: 8123349024 Enrollment ID: I20210415002853 |
| Provider Name | Craig Jennings Mccotter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730127994 PECOS PAC ID: 0547273443 Enrollment ID: I20210416000024 |
| Provider Name | Andrew Blake Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740626654 PECOS PAC ID: 1254552243 Enrollment ID: I20210510001536 |
| Provider Name | Joshua K Matrachisia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619363967 PECOS PAC ID: 3274843412 Enrollment ID: I20210524001536 |
| Provider Name | Robert Brooks Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083909246 PECOS PAC ID: 2860782810 Enrollment ID: I20210527000739 |
| Provider Name | Kaela Irene Pearce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831519552 PECOS PAC ID: 3476962689 Enrollment ID: I20210607003114 |
| Provider Name | Kimberly Rae Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679928840 PECOS PAC ID: 8022418664 Enrollment ID: I20210617003245 |
| Provider Name | Heather Jernigan Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629642558 PECOS PAC ID: 2062813272 Enrollment ID: I20210625000711 |
| Provider Name | Sarah B Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033641428 PECOS PAC ID: 9133406952 Enrollment ID: I20210716000811 |
| Provider Name | William M Brock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366946576 PECOS PAC ID: 7315340148 Enrollment ID: I20210730001033 |
| Provider Name | Elijah Engwall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386131639 PECOS PAC ID: 7618371600 Enrollment ID: I20210813000021 |
| Provider Name | Marcus Franklin Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871081745 PECOS PAC ID: 5092057471 Enrollment ID: I20210816000394 |
| Provider Name | Jodie Butler Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851984082 PECOS PAC ID: 7719384593 Enrollment ID: I20210921002192 |
| Provider Name | Christopher Thomas Stuart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508708 PECOS PAC ID: 5092113019 Enrollment ID: I20211006000248 |
| Provider Name | Brian Christopher Daily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427492503 PECOS PAC ID: 8224271630 Enrollment ID: I20211029001656 |
| Provider Name | Breanna Brousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578235453 PECOS PAC ID: 1951791300 Enrollment ID: I20211130000003 |
| Provider Name | Karen Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093856767 PECOS PAC ID: 7416912431 Enrollment ID: I20220112002862 |
| Provider Name | Elaine Marozsan Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700406642 PECOS PAC ID: 9234521733 Enrollment ID: I20220112003000 |
| Provider Name | Melissa Danielle Flynn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184280158 PECOS PAC ID: 3678965928 Enrollment ID: I20220118000832 |
| Provider Name | Lea Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063582658 PECOS PAC ID: 6901899483 Enrollment ID: I20220202002784 |
| Provider Name | Andrew James Adamson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033104682 PECOS PAC ID: 1254320005 Enrollment ID: I20220321001960 |
| Provider Name | Michele Mintz Populus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447908488 PECOS PAC ID: 3375930464 Enrollment ID: I20220419002621 |
| Provider Name | Abel Perales Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750935821 PECOS PAC ID: 3577893387 Enrollment ID: I20220604000062 |
| Provider Name | Aarika Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023582525 PECOS PAC ID: 4284961582 Enrollment ID: I20220611000099 |
| Provider Name | Wendie Blaire Gessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629724208 PECOS PAC ID: 3870972383 Enrollment ID: I20220613003169 |
| Provider Name | Mary Reich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225772908 PECOS PAC ID: 1658750948 Enrollment ID: I20220616000909 |
| Provider Name | Elizabeth Cotton Deans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154856599 PECOS PAC ID: 7113296625 Enrollment ID: I20220729001318 |
| Provider Name | Rebecca Skaret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578958153 PECOS PAC ID: 9739485020 Enrollment ID: I20220916002437 |
| Provider Name | John Boyle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104357706 PECOS PAC ID: 2668744582 Enrollment ID: I20220923002997 |
| Provider Name | William Shoemaker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740642925 PECOS PAC ID: 2062767254 Enrollment ID: I20220926000825 |
| Provider Name | Amanda Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720526379 PECOS PAC ID: 9133403736 Enrollment ID: I20220926001209 |
| Provider Name | Dawn Zbikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528793965 PECOS PAC ID: 4789060617 Enrollment ID: I20220929004017 |
| Provider Name | Tanya Marie Lancer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316528813 PECOS PAC ID: 5193101756 Enrollment ID: I20221005000452 |
| Provider Name | Sean Mccalmon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073044988 PECOS PAC ID: 7214351519 Enrollment ID: I20221012002982 |
| Provider Name | Hillary Kidd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174254742 PECOS PAC ID: 1658747845 Enrollment ID: I20221012003253 |
| Provider Name | Rebecca Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780351650 PECOS PAC ID: 9133596901 Enrollment ID: I20221108001070 |
| Provider Name | Tida Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619105517 PECOS PAC ID: 9537307327 Enrollment ID: I20221208000940 |
| Provider Name | Cassidy Connett Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992264626 PECOS PAC ID: 2668715806 Enrollment ID: I20221220000098 |
| Provider Name | Diana Marmolejos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467094821 PECOS PAC ID: 6204260979 Enrollment ID: I20230112001229 |
| Provider Name | Mary Grace Hopper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649775164 PECOS PAC ID: 0547518326 Enrollment ID: I20230125000977 |
| Provider Name | Abigail Galan-drye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053657320 PECOS PAC ID: 9638542269 Enrollment ID: I20230302000867 |
| Provider Name | Charlotte Lee Hough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497746093 PECOS PAC ID: 9830254127 Enrollment ID: I20230316002905 |
| Provider Name | Doris Jean Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174810279 PECOS PAC ID: 1153595889 Enrollment ID: I20230316002925 |
| Provider Name | Brian Adam Boyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952506313 PECOS PAC ID: 3971728817 Enrollment ID: I20230523000797 |
| Provider Name | Michael M Skaret |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427443290 PECOS PAC ID: 3274888029 Enrollment ID: I20230526001704 |
| Provider Name | Sean P Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073589859 PECOS PAC ID: 5294965992 Enrollment ID: I20230526002293 |
| Provider Name | Emily Paige Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285329037 PECOS PAC ID: 9335507292 Enrollment ID: I20230626000153 |
| Provider Name | Jessica Dory Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952860918 PECOS PAC ID: 0345579694 Enrollment ID: I20230628002903 |
| Provider Name | Kirsten Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753759 PECOS PAC ID: 8224427380 Enrollment ID: I20230629000410 |
| Provider Name | Hannah Frey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235834417 PECOS PAC ID: 6507225661 Enrollment ID: I20230707000529 |
| Provider Name | Jacob Anthony Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336839968 PECOS PAC ID: 3678932472 Enrollment ID: I20230711001373 |
| Provider Name | Peter Henry Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811438062 PECOS PAC ID: 5698105534 Enrollment ID: I20230804000392 |
| Provider Name | Catherine Nancy Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518651363 PECOS PAC ID: 3476914516 Enrollment ID: I20230804001882 |
| Provider Name | Ivey Emmert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922703917 PECOS PAC ID: 8022479005 Enrollment ID: I20230808000086 |
| Provider Name | Matthew Gregory Wrench |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043741978 PECOS PAC ID: 4688932494 Enrollment ID: I20230828001240 |
| Provider Name | Clay Douglas Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912494576 PECOS PAC ID: 8224372123 Enrollment ID: I20230831000740 |
| Provider Name | Lucas Benjamin Brogden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417585548 PECOS PAC ID: 7517380090 Enrollment ID: I20230906000148 |
| Provider Name | Jimmie Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972260552 PECOS PAC ID: 5890188478 Enrollment ID: I20230907001995 |
| Provider Name | Jordan Hauck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881157956 PECOS PAC ID: 8820423262 Enrollment ID: I20230915000254 |
| Provider Name | Neil Siekman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851364 PECOS PAC ID: 4688979040 Enrollment ID: I20231009000946 |
| Provider Name | Lakeesha Dawn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124803606 PECOS PAC ID: 0749635738 Enrollment ID: I20231011001675 |
| Provider Name | Shannon Marie Haenel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811124365 PECOS PAC ID: 9032373451 Enrollment ID: I20231201001860 |
| Provider Name | Cori Ann Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194098947 PECOS PAC ID: 9133387913 Enrollment ID: I20231212002598 |
| Provider Name | Hazem Abdel-hafeez Al-ashhab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669480505 PECOS PAC ID: 5092888701 Enrollment ID: I20240123002636 |
Southside Medical Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1925a Oleander Dr, Wilmington, NC 28403 Phone: 910-251-7715 Fax: 910-763-7845 | |
Southcare Minute Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Market St, Wilmington, NC 28401 Phone: 910-254-4065 Fax: 910-763-8258 | |
Act Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Judges Rd Ste 4e, Wilmington, NC 28405 Phone: 910-791-6767 Fax: 910-791-8490 | |
Rising Integrative Healthcare Of Wilmington, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Silva Terra Dr Ste 100, Wilmington, NC 28412 Phone: 910-530-3031 | |
Nhrmc Care Team (acute) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-662-9300 | |
Carolina Joint And Arthritis Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5725 Oleander Dr Ste E4, Wilmington, NC 28403 Phone: 910-769-7878 Fax: 910-769-8967 | |
Dawson Med Uregent Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Dawson St Ste 101, Wilmington, NC 28401 Phone: 910-387-3788 Fax: 833-941-2261 |