| Winchester Physician Associates | |
|
11 Shore Rd Winchester MA 01890-2855 | |
| (781) 729-1810 | |
| (781) 729-4577 |
| Full Name | Winchester Physician Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Shore Rd, Winchester, Massachusetts |
| Authorized Official Name and Position | Eileen Wills (BILLING MANAGER) |
| Authorized Official Contact | 7817567273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Physician Associates Po Box 760 Winchester MA 01890-4260 Ph: (781) 756-7273 | Winchester Physician Associates 11 Shore Rd Winchester MA 01890-2855 Ph: (781) 729-1810 |
| NPI Number | 1184606865 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 4486540994 |
|---|---|
| Medicare Enrollment ID | O20060215000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184606865 | NPI | - | NPPES |
| 9777229 | Medicaid | MA |
| Provider Name | Katherine Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093705907 PECOS PAC ID: 9830080761 Enrollment ID: I20040322000907 |
| Provider Name | Kevin Ban |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164522520 PECOS PAC ID: 3971495938 Enrollment ID: I20040325001469 |
| Provider Name | Kerry A Assarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457499923 PECOS PAC ID: 8426042151 Enrollment ID: I20040414000383 |
| Provider Name | Robert P Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821068305 PECOS PAC ID: 3870588361 Enrollment ID: I20040415000345 |
| Provider Name | Dennis Markovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083697486 PECOS PAC ID: 2567451883 Enrollment ID: I20040511000591 |
| Provider Name | Adam J Vernadakis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134188659 PECOS PAC ID: 4082605811 Enrollment ID: I20040520001063 |
| Provider Name | Tamara Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962415158 PECOS PAC ID: 7012908312 Enrollment ID: I20040524000823 |
| Provider Name | Armen H Arslanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932154838 PECOS PAC ID: 3870571201 Enrollment ID: I20040712000533 |
| Provider Name | Kimberly Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275590515 PECOS PAC ID: 4284604489 Enrollment ID: I20040727000381 |
| Provider Name | Dawn M Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174599104 PECOS PAC ID: 3779553615 Enrollment ID: I20040728001345 |
| Provider Name | Alison S Curcio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689668568 PECOS PAC ID: 7012989403 Enrollment ID: I20040806000796 |
| Provider Name | John K Durfee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528041969 PECOS PAC ID: 9032182563 Enrollment ID: I20040813000664 |
| Provider Name | Robert C. Herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922060631 PECOS PAC ID: 1850364134 Enrollment ID: I20040816000438 |
| Provider Name | Jose Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043259039 PECOS PAC ID: 5496728446 Enrollment ID: I20040817001151 |
| Provider Name | Teriggi J Ciccone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376554584 PECOS PAC ID: 3870560212 Enrollment ID: I20040914001174 |
| Provider Name | Jeffrey G Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760477046 PECOS PAC ID: 6901865542 Enrollment ID: I20041008000035 |
| Provider Name | Edward P Curcio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003800475 PECOS PAC ID: 3779544184 Enrollment ID: I20041020000034 |
| Provider Name | Patrick M Sabia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780744821 PECOS PAC ID: 9335101260 Enrollment ID: I20041102000689 |
| Provider Name | Brian L Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306873716 PECOS PAC ID: 6507828316 Enrollment ID: I20041103000031 |
| Provider Name | Marisa Kearney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952346710 PECOS PAC ID: 7618928094 Enrollment ID: I20050202000810 |
| Provider Name | Erin K Hegarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144266354 PECOS PAC ID: 7911952536 Enrollment ID: I20050316001009 |
| Provider Name | Joseph B Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902970627 PECOS PAC ID: 3870549843 Enrollment ID: I20050323000934 |
| Provider Name | Denis Lin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366437584 PECOS PAC ID: 2668376419 Enrollment ID: I20050328000498 |
| Provider Name | Peter N Tiffany |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780619700 PECOS PAC ID: 9931155223 Enrollment ID: I20050330000274 |
| Provider Name | Anthony M Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295871853 PECOS PAC ID: 6709833775 Enrollment ID: I20050401000130 |
| Provider Name | Linda Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316901531 PECOS PAC ID: 3274580162 Enrollment ID: I20050404000058 |
| Provider Name | Michael H Bresnahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255405973 PECOS PAC ID: 9537116272 Enrollment ID: I20050405000306 |
| Provider Name | Joel M Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924440 PECOS PAC ID: 5890732309 Enrollment ID: I20050414001223 |
| Provider Name | Marc A Pifko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134183320 PECOS PAC ID: 9234177577 Enrollment ID: I20050419000151 |
| Provider Name | Najmuddin S Patwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205890761 PECOS PAC ID: 0446299549 Enrollment ID: I20050428000210 |
| Provider Name | Donald T Amiralian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962447078 PECOS PAC ID: 7012956014 Enrollment ID: I20050428001003 |
| Provider Name | Chitra Y King |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952478307 PECOS PAC ID: 9335180090 Enrollment ID: I20050512000981 |
| Provider Name | Peter A Azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316935380 PECOS PAC ID: 1456331578 Enrollment ID: I20050601000871 |
| Provider Name | Matthew Axelrod |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932385002 PECOS PAC ID: 3375586316 Enrollment ID: I20050609000930 |
| Provider Name | Maureen Ann Sunnerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770547424 PECOS PAC ID: 5294770079 Enrollment ID: I20050622000743 |
| Provider Name | Shahrooz Hekmatpour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427075951 PECOS PAC ID: 2163468356 Enrollment ID: I20050628000794 |
| Provider Name | Traci L Alberti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992778815 PECOS PAC ID: 0244266849 Enrollment ID: I20050714000862 |
| Provider Name | Peter M Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568401560 PECOS PAC ID: 6507893534 Enrollment ID: I20050721000493 |
| Provider Name | Joseph Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518914274 PECOS PAC ID: 8123059268 Enrollment ID: I20050829000210 |
| Provider Name | Barbara H Bjornson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982715850 PECOS PAC ID: 5698709244 Enrollment ID: I20050922000700 |
| Provider Name | Mark A Mullins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154302933 PECOS PAC ID: 4284659046 Enrollment ID: I20051011000279 |
| Provider Name | Gloria E Korta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538275995 PECOS PAC ID: 1355384421 Enrollment ID: I20051022000236 |
| Provider Name | William L Breckwoldt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306814272 PECOS PAC ID: 8527085463 Enrollment ID: I20051029000068 |
| Provider Name | Heidi Henrickson-zohn |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538131057 PECOS PAC ID: 7113945031 Enrollment ID: I20051109000072 |
| Provider Name | Tan D Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194715185 PECOS PAC ID: 4880613249 Enrollment ID: I20051115000315 |
| Provider Name | Pinky Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417963182 PECOS PAC ID: 6800814500 Enrollment ID: I20051117000334 |
| Provider Name | Nayomi K Edirisinghe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477590115 PECOS PAC ID: 0042232639 Enrollment ID: I20051223000058 |
| Provider Name | Carmen I Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437207289 PECOS PAC ID: 6901820588 Enrollment ID: I20060123000308 |
| Provider Name | Martha E Mccarty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184688764 PECOS PAC ID: 9234144528 Enrollment ID: I20060207000958 |
| Provider Name | Dana I Zitkovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285685297 PECOS PAC ID: 1658334206 Enrollment ID: I20060228000665 |
| Provider Name | Steve G Massaquoi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811934813 PECOS PAC ID: 9436168143 Enrollment ID: I20060407000188 |
| Provider Name | Douglas D Tisdale |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316920416 PECOS PAC ID: 7113938549 Enrollment ID: I20060519000084 |
| Provider Name | Rose S Weld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295709582 PECOS PAC ID: 8325062110 Enrollment ID: I20060522000154 |
| Provider Name | Anna Zlotina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497762322 PECOS PAC ID: 9436152857 Enrollment ID: I20060824000142 |
| Provider Name | Saritha Bolla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033225990 PECOS PAC ID: 6507864394 Enrollment ID: I20061109000373 |
| Provider Name | Lifei Guo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275573297 PECOS PAC ID: 3870591365 Enrollment ID: I20061116000373 |
| Provider Name | Sukran Ergin-yanmaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184690711 PECOS PAC ID: 3870520844 Enrollment ID: I20061120000392 |
| Provider Name | Cecilia A Larson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366539934 PECOS PAC ID: 1850390337 Enrollment ID: I20061211000357 |
| Provider Name | Joseph P Ordonez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992799183 PECOS PAC ID: 6709885064 Enrollment ID: I20061214000072 |
| Provider Name | Erin P Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760541122 PECOS PAC ID: 1658371968 Enrollment ID: I20070111000188 |
| Provider Name | Kristen H Goodell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134329691 PECOS PAC ID: 4587755244 Enrollment ID: I20070809000394 |
| Provider Name | Daniel Finger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679672851 PECOS PAC ID: 9830281740 Enrollment ID: I20070823000470 |
| Provider Name | Heather T Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679591366 PECOS PAC ID: 9436153764 Enrollment ID: I20070824000594 |
| Provider Name | Clara N Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487851697 PECOS PAC ID: 1557455656 Enrollment ID: I20070920000248 |
| Provider Name | Lynn Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093924342 PECOS PAC ID: 6002902582 Enrollment ID: I20071013000084 |
| Provider Name | Maria L Sellitto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295911337 PECOS PAC ID: 3678657723 Enrollment ID: I20080227000642 |
| Provider Name | John W Dickason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932148020 PECOS PAC ID: 3779654371 Enrollment ID: I20080625000012 |
| Provider Name | Kelly Migliero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740402460 PECOS PAC ID: 0749353282 Enrollment ID: I20080717000107 |
| Provider Name | Yuhong Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076833 PECOS PAC ID: 7315012234 Enrollment ID: I20080812000490 |
| Provider Name | Stephen R Guay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871672162 PECOS PAC ID: 4789742461 Enrollment ID: I20081024000159 |
| Provider Name | Nada J Kerouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578531505 PECOS PAC ID: 9234292806 Enrollment ID: I20090107000580 |
| Provider Name | Marianne Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164671194 PECOS PAC ID: 8628131869 Enrollment ID: I20090114000034 |
| Provider Name | Keren Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154570372 PECOS PAC ID: 9436207750 Enrollment ID: I20090424000411 |
| Provider Name | Soumya Ganapathy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093811648 PECOS PAC ID: 6709778459 Enrollment ID: I20090429000236 |
| Provider Name | Judith A Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891921011 PECOS PAC ID: 5294886420 Enrollment ID: I20090630000310 |
| Provider Name | Mihaela C Templer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497712947 PECOS PAC ID: 8527030998 Enrollment ID: I20090709000466 |
| Provider Name | Shant Parseghian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366476731 PECOS PAC ID: 7315944485 Enrollment ID: I20090831000602 |
| Provider Name | Kristin C Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497724561 PECOS PAC ID: 1557407723 Enrollment ID: I20091002000069 |
| Provider Name | Michelle Rotter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972761633 PECOS PAC ID: 0941346837 Enrollment ID: I20091007000159 |
| Provider Name | Ani Tahmassian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316111313 PECOS PAC ID: 4688715345 Enrollment ID: I20100104000471 |
| Provider Name | Corinne M Prigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023331741 PECOS PAC ID: 7517095003 Enrollment ID: I20100504000142 |
| Provider Name | Sonal N Pandya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023059631 PECOS PAC ID: 7618987405 Enrollment ID: I20100506000663 |
| Provider Name | Le Grand G Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558564096 PECOS PAC ID: 9931232444 Enrollment ID: I20100804001002 |
| Provider Name | Andrew Escoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376507012 PECOS PAC ID: 0143353565 Enrollment ID: I20100804001238 |
| Provider Name | Laurie Gumuchian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215990999 PECOS PAC ID: 8628102704 Enrollment ID: I20100811000121 |
| Provider Name | David Alden Pangburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952365074 PECOS PAC ID: 6204960537 Enrollment ID: I20100823000220 |
| Provider Name | Andrew Lubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922217728 PECOS PAC ID: 1254455868 Enrollment ID: I20100903000381 |
| Provider Name | Catherine J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700108560 PECOS PAC ID: 7911021373 Enrollment ID: I20100908000193 |
| Provider Name | Jody Naimark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356305098 PECOS PAC ID: 2769458363 Enrollment ID: I20100910000681 |
| Provider Name | Jill Marie Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306800529 PECOS PAC ID: 6305962507 Enrollment ID: I20100924000956 |
| Provider Name | Joshua M Sheehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447425467 PECOS PAC ID: 0446443873 Enrollment ID: I20101019000156 |
| Provider Name | Catherine Celler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427240852 PECOS PAC ID: 1951594134 Enrollment ID: I20101020000622 |
| Provider Name | Marie T. Walsh Condon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033301486 PECOS PAC ID: 2062605199 Enrollment ID: I20101021001043 |
| Provider Name | Jayamala Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952562464 PECOS PAC ID: 4385839901 Enrollment ID: I20101109000906 |
| Provider Name | Kelley M Cornell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427017276 PECOS PAC ID: 4082809124 Enrollment ID: I20101115000432 |
| Provider Name | Kathleen M Sloper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205952082 PECOS PAC ID: 7719172865 Enrollment ID: I20101115000559 |
| Provider Name | Malini Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255328522 PECOS PAC ID: 8729267539 Enrollment ID: I20110126000427 |
| Provider Name | Ghary J Gappelberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487636304 PECOS PAC ID: 4183803554 Enrollment ID: I20110201000489 |
| Provider Name | Lillian S Moy-yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730162181 PECOS PAC ID: 7012197437 Enrollment ID: I20110202000134 |
| Provider Name | Caroline B Foote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730207325 PECOS PAC ID: 7719167659 Enrollment ID: I20110209000372 |
| Provider Name | Mithun S Nallari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902130891 PECOS PAC ID: 1557545738 Enrollment ID: I20110413000119 |
| Provider Name | Melissa Zorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295717114 PECOS PAC ID: 5496939522 Enrollment ID: I20110413000830 |
| Provider Name | Kristen M Ghergurovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386626125 PECOS PAC ID: 6103001821 Enrollment ID: I20110422000396 |
| Provider Name | Nicole Christine Burgett-yandow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366749673 PECOS PAC ID: 4284812413 Enrollment ID: I20110617000006 |
| Provider Name | Astrid Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295900983 PECOS PAC ID: 9931377041 Enrollment ID: I20110715000263 |
| Provider Name | Samuel C Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720235120 PECOS PAC ID: 5395914618 Enrollment ID: I20110803000038 |
| Provider Name | Caroline C Colozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144516840 PECOS PAC ID: 3173793387 Enrollment ID: I20110825000687 |
| Provider Name | Janet Gallant Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871799494 PECOS PAC ID: 4981875317 Enrollment ID: I20110915000510 |
| Provider Name | Srivalli Konduri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417187386 PECOS PAC ID: 6800063587 Enrollment ID: I20120120000296 |
| Provider Name | Jeanette M Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104108471 PECOS PAC ID: 9931366895 Enrollment ID: I20120203000351 |
| Provider Name | Christine Gulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083721120 PECOS PAC ID: 0648431395 Enrollment ID: I20120405000587 |
| Provider Name | Jessica A Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356617047 PECOS PAC ID: 1254596067 Enrollment ID: I20120629000024 |
| Provider Name | Joshua L Penn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811169394 PECOS PAC ID: 5890953731 Enrollment ID: I20120801000566 |
| Provider Name | Benjamin H Evenchik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821225558 PECOS PAC ID: 6406004852 Enrollment ID: I20120910000864 |
| Provider Name | Yuriy Andrusyshyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497988299 PECOS PAC ID: 8628228905 Enrollment ID: I20121022000806 |
| Provider Name | Srinivas Bodapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841465655 PECOS PAC ID: 5698820637 Enrollment ID: I20121108000395 |
| Provider Name | Melissa A Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013178094 PECOS PAC ID: 0840441028 Enrollment ID: I20121116000102 |
| Provider Name | Richard E Benetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174752448 PECOS PAC ID: 8022260900 Enrollment ID: I20121129000362 |
| Provider Name | Kristen Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407104060 PECOS PAC ID: 6406008697 Enrollment ID: I20121217000106 |
| Provider Name | Stella Kinyota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790913853 PECOS PAC ID: 9537313663 Enrollment ID: I20130125000197 |
| Provider Name | Juliette P Renzullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134369192 PECOS PAC ID: 4587809959 Enrollment ID: I20130408000223 |
| Provider Name | Laura Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659617579 PECOS PAC ID: 9335387471 Enrollment ID: I20130530000466 |
| Provider Name | Maren H Puder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306270707 PECOS PAC ID: 6002042298 Enrollment ID: I20131118000698 |
| Provider Name | Nicole M Pichette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629410949 PECOS PAC ID: 9739315417 Enrollment ID: I20131203000178 |
| Provider Name | Cynthia Miers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518648 PECOS PAC ID: 1850521568 Enrollment ID: I20140225001486 |
| Provider Name | Neeti Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184843559 PECOS PAC ID: 4880778406 Enrollment ID: I20140328001262 |
| Provider Name | Tammi J Magazzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821429945 PECOS PAC ID: 9537390695 Enrollment ID: I20140402002511 |
| Provider Name | Olivia K Straw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348665 PECOS PAC ID: 2961634142 Enrollment ID: I20140423000323 |
| Provider Name | Calvin A Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174728737 PECOS PAC ID: 5294993580 Enrollment ID: I20140605000269 |
| Provider Name | William C Faust |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730342320 PECOS PAC ID: 2860617396 Enrollment ID: I20140625002101 |
| Provider Name | Nicolette M Zitano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154743532 PECOS PAC ID: 3577788348 Enrollment ID: I20140710002288 |
| Provider Name | Michael B. Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821225988 PECOS PAC ID: 3476785379 Enrollment ID: I20140923001690 |
| Provider Name | Rochelle B Ettlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538550876 PECOS PAC ID: 7315265519 Enrollment ID: I20150420001848 |
| Provider Name | Brian T Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114193612 PECOS PAC ID: 2264619667 Enrollment ID: I20150708001089 |
| Provider Name | Christopher David Brook |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326369380 PECOS PAC ID: 9830321967 Enrollment ID: I20150812007470 |
| Provider Name | Jennifer C Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851651087 PECOS PAC ID: 4587887823 Enrollment ID: I20151014002202 |
| Provider Name | Chirin Al Dalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003166885 PECOS PAC ID: 9638489867 Enrollment ID: I20151030000651 |
| Provider Name | Kristin Hennessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851643969 PECOS PAC ID: 8123338001 Enrollment ID: I20151104002612 |
| Provider Name | Jessica Lea Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882199 PECOS PAC ID: 0547570483 Enrollment ID: I20151105001702 |
| Provider Name | Octavia N Devon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396976205 PECOS PAC ID: 9537391990 Enrollment ID: I20151110000463 |
| Provider Name | Yanina Barbalat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306160213 PECOS PAC ID: 0042436701 Enrollment ID: I20160114002181 |
| Provider Name | Jenny P Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245436781 PECOS PAC ID: 9133428907 Enrollment ID: I20160428001596 |
| Provider Name | Maurice Coughlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164710547 PECOS PAC ID: 5890085070 Enrollment ID: I20160531000954 |
| Provider Name | Jessica A Albrinck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164875639 PECOS PAC ID: 3678852597 Enrollment ID: I20161117000972 |
| Provider Name | Amelia Nadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912450966 PECOS PAC ID: 5698054260 Enrollment ID: I20161123000256 |
| Provider Name | Amy M Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326494782 PECOS PAC ID: 8628350907 Enrollment ID: I20170120002230 |
| Provider Name | Kristen Hagstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568825586 PECOS PAC ID: 4183907918 Enrollment ID: I20170201002287 |
| Provider Name | Catherine M Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114461696 PECOS PAC ID: 0042593493 Enrollment ID: I20170208001758 |
| Provider Name | Denise M Iacoviello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912379710 PECOS PAC ID: 4486939733 Enrollment ID: I20170329000015 |
| Provider Name | Andrew Christopher Wiechert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235455684 PECOS PAC ID: 2668630047 Enrollment ID: I20170728000131 |
| Provider Name | Andrew G. Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588823256 PECOS PAC ID: 8527219203 Enrollment ID: I20170802002361 |
| Provider Name | Laura Boulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407370216 PECOS PAC ID: 1850664293 Enrollment ID: I20170906001648 |
| Provider Name | Emily Samaha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811300353 PECOS PAC ID: 7517282502 Enrollment ID: I20170908000489 |
| Provider Name | Hilda A Rock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477971976 PECOS PAC ID: 8022313840 Enrollment ID: I20170913000582 |
| Provider Name | Tamarie Timoy Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893582 PECOS PAC ID: 1759689920 Enrollment ID: I20170914000127 |
| Provider Name | Matthew Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083163794 PECOS PAC ID: 6800152174 Enrollment ID: I20171102002997 |
| Provider Name | Suzanne Trimble King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849255 PECOS PAC ID: 4284991662 Enrollment ID: I20171121001110 |
| Provider Name | Marcelle Fallica Saurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003353012 PECOS PAC ID: 5799043766 Enrollment ID: I20171220002133 |
| Provider Name | Myra Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528506235 PECOS PAC ID: 4284994765 Enrollment ID: I20180131002721 |
| Provider Name | Angela L Jellison |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356661250 PECOS PAC ID: 6002042769 Enrollment ID: I20180213001110 |
| Provider Name | Chelsea Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558878165 PECOS PAC ID: 0840551446 Enrollment ID: I20180222001174 |
| Provider Name | Siddharth Sehgal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972769818 PECOS PAC ID: 9931364270 Enrollment ID: I20180425000278 |
| Provider Name | Sarah S Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780093757 PECOS PAC ID: 8729200928 Enrollment ID: I20180709000448 |
| Provider Name | Georgios Orthopoulos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174866024 PECOS PAC ID: 9133351059 Enrollment ID: I20180718003458 |
| Provider Name | Lauren Wood Tracy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508124405 PECOS PAC ID: 4981999257 Enrollment ID: I20180911000648 |
| Provider Name | Katrina S Good |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518048685 PECOS PAC ID: 3779664958 Enrollment ID: I20181109000301 |
| Provider Name | Victor Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003255951 PECOS PAC ID: 3274887880 Enrollment ID: I20181119001336 |
| Provider Name | Kimberly Lee Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821567801 PECOS PAC ID: 1658610589 Enrollment ID: I20190311001985 |
| Provider Name | Michael E Visker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952667685 PECOS PAC ID: 5193949915 Enrollment ID: I20190417000048 |
| Provider Name | Shauna C Culhane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407312655 PECOS PAC ID: 1456693449 Enrollment ID: I20190423000451 |
| Provider Name | Jacqueline Paolino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689086142 PECOS PAC ID: 3971892928 Enrollment ID: I20190607001201 |
| Provider Name | Haley Govoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679031959 PECOS PAC ID: 2466785910 Enrollment ID: I20190614001880 |
| Provider Name | Brian B Freniere |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508209768 PECOS PAC ID: 5698919231 Enrollment ID: I20190719000226 |
| Provider Name | Samantha Flecchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962055368 PECOS PAC ID: 8123356193 Enrollment ID: I20190829000186 |
| Provider Name | Kellie E Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013561570 PECOS PAC ID: 6204166259 Enrollment ID: I20190918001326 |
| Provider Name | Zachary Benjamin Koloff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770996175 PECOS PAC ID: 6901114255 Enrollment ID: I20191002001569 |
| Provider Name | Sara Ann Mayer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033438031 PECOS PAC ID: 3072732593 Enrollment ID: I20191030000408 |
| Provider Name | Dana Marcinkowski-desmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922454677 PECOS PAC ID: 3779874656 Enrollment ID: I20191115001127 |
| Provider Name | Ashley N Zaganjori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358451 PECOS PAC ID: 0648603043 Enrollment ID: I20191125001906 |
| Provider Name | Julie E Dricken |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477848703 PECOS PAC ID: 7618117409 Enrollment ID: I20200103001747 |
| Provider Name | Tyler Mcclintock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861819864 PECOS PAC ID: 7416178645 Enrollment ID: I20200311000994 |
| Provider Name | Heather L Benjamin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619046604 PECOS PAC ID: 0345413845 Enrollment ID: I20200416003144 |
| Provider Name | Tiffany M D'ortona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871112581 PECOS PAC ID: 1153743802 Enrollment ID: I20200625001003 |
| Provider Name | David B Kopelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407260144 PECOS PAC ID: 0840415931 Enrollment ID: I20200716003123 |
| Provider Name | Kelly Blanchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518591619 PECOS PAC ID: 2163847625 Enrollment ID: I20200731001058 |
| Provider Name | Nicholas Manice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588051080 PECOS PAC ID: 5991032468 Enrollment ID: I20200817000676 |
| Provider Name | Karla Nora Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699200022 PECOS PAC ID: 2264719111 Enrollment ID: I20200914002172 |
| Provider Name | Brad Oriel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760776124 PECOS PAC ID: 0941591184 Enrollment ID: I20200922001444 |
| Provider Name | Elizabeth Tadie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912543612 PECOS PAC ID: 1254742323 Enrollment ID: I20201120000508 |
| Provider Name | Shams Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639607963 PECOS PAC ID: 5294006169 Enrollment ID: I20201208001580 |
| Provider Name | Sabrina Brody-camp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740674167 PECOS PAC ID: 1759661200 Enrollment ID: I20210706003344 |
| Provider Name | Kristin Nicole Rubino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952034 PECOS PAC ID: 4688076755 Enrollment ID: I20210712003429 |
| Provider Name | Kate Jean Stanton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265964456 PECOS PAC ID: 5193099141 Enrollment ID: I20210714001494 |
| Provider Name | Sneha Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477043610 PECOS PAC ID: 1557766896 Enrollment ID: I20210824003020 |
| Provider Name | Jacob Ibrook Tower |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437538881 PECOS PAC ID: 5698087195 Enrollment ID: I20210929002213 |
| Provider Name | Chris Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477563088 PECOS PAC ID: 3779655832 Enrollment ID: I20210930002271 |
| Provider Name | Josue Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225528755 PECOS PAC ID: 9133518186 Enrollment ID: I20211111002565 |
| Provider Name | James Clarke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487040887 PECOS PAC ID: 6002208691 Enrollment ID: I20220111001052 |
| Provider Name | Katherine Vandenberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013440189 PECOS PAC ID: 1850662115 Enrollment ID: I20220608003038 |
| Provider Name | Daniel P Magliulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174050595 PECOS PAC ID: 3173895299 Enrollment ID: I20220615000030 |
| Provider Name | Austin Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821542671 PECOS PAC ID: 6507113156 Enrollment ID: I20220617001049 |
| Provider Name | Stanton Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003178765 PECOS PAC ID: 3375674310 Enrollment ID: I20220628003374 |
| Provider Name | Katelyn D Beemon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033627336 PECOS PAC ID: 0840535431 Enrollment ID: I20220629000762 |
| Provider Name | Maurice Hajjar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629572078 PECOS PAC ID: 3779827225 Enrollment ID: I20220630001152 |
| Provider Name | Anthony Romeo Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134741515 PECOS PAC ID: 0749660421 Enrollment ID: I20220712002591 |
| Provider Name | Stefan Balan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962504936 PECOS PAC ID: 8820126618 Enrollment ID: I20220808002389 |
| Provider Name | Arantxa Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831658079 PECOS PAC ID: 6002234044 Enrollment ID: I20220902001540 |
| Provider Name | Rebecca Wallach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578026316 PECOS PAC ID: 1658755707 Enrollment ID: I20220908002444 |
| Provider Name | Razaz Mageid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700314234 PECOS PAC ID: 2860762812 Enrollment ID: I20220927002657 |
| Provider Name | Robert Lloyd Ball |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699157941 PECOS PAC ID: 8527438704 Enrollment ID: I20230104001589 |
| Provider Name | Jiliane Sutherlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457014938 PECOS PAC ID: 7113398447 Enrollment ID: I20230125001485 |
| Provider Name | Ellie Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790893980 PECOS PAC ID: 8628103322 Enrollment ID: I20230214001806 |
| Provider Name | Amanda Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578269130 PECOS PAC ID: 9234502154 Enrollment ID: I20230223002345 |
| Provider Name | Destiny Evangeline Fillmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992479166 PECOS PAC ID: 5890176408 Enrollment ID: I20230316001167 |
| Provider Name | Andrew Servais |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194163485 PECOS PAC ID: 1254620115 Enrollment ID: I20230407001186 |
| Provider Name | Kelsey Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962110965 PECOS PAC ID: 2062877780 Enrollment ID: I20230503000585 |
| Provider Name | Tania Hassanzadeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114417714 PECOS PAC ID: 1456609056 Enrollment ID: I20230516000145 |
| Provider Name | Anthony John Hesketh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194044719 PECOS PAC ID: 4587911797 Enrollment ID: I20230620003206 |
| Provider Name | Dordaneh Sugano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154816866 PECOS PAC ID: 1759707482 Enrollment ID: I20230626001868 |
| Provider Name | Christine Virginia Nikas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336639558 PECOS PAC ID: 0446505259 Enrollment ID: I20230720003954 |
| Provider Name | Lynn Wiwanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639707748 PECOS PAC ID: 6103242623 Enrollment ID: I20230814003033 |
| Provider Name | Naomi Goldsmith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548641053 PECOS PAC ID: 5597070599 Enrollment ID: I20230912002555 |
| Provider Name | Courtney King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073291597 PECOS PAC ID: 0446604664 Enrollment ID: I20230921002808 |
| Provider Name | Shadi Khalil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174051601 PECOS PAC ID: 8820363104 Enrollment ID: I20231016002679 |
| Provider Name | Jenny L Mamtora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457974396 PECOS PAC ID: 8628424090 Enrollment ID: I20231023000995 |
| Provider Name | Emily Manfra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497535363 PECOS PAC ID: 2163878356 Enrollment ID: I20231024002981 |
| Provider Name | Marc Goldman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881811040 PECOS PAC ID: 5698821072 Enrollment ID: I20231102001511 |
| Provider Name | Fazaldin Moghul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881053577 PECOS PAC ID: 0446540033 Enrollment ID: I20231215002539 |
| Provider Name | Sana Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699205443 PECOS PAC ID: 2860819802 Enrollment ID: I20240424002640 |
| Provider Name | Taher Gulamhusein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154765477 PECOS PAC ID: 3779847637 Enrollment ID: I20240513002864 |
Winchester Hospital Inpatient Specialists Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-729-9000 Fax: 866-722-5233 | |
Winchester Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Main Street, Suite 1, Winchester, MA 01890 Phone: 781-729-1021 Fax: 781-729-7504 | |
Winchester Lahey Inpatient Specialists Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-729-9000 Fax: 866-722-5233 | |
Winchester Physician Associates, Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Highland Ave, Winchester, MA 01890 Phone: 781-756-7273 Fax: 781-721-0725 | |
Winchester Physician Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Main St, Winchester, MA 01890 Phone: 781-756-7273 Fax: 781-756-7274 | |
Daniel Friedlander Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Main St, Suite 209, Winchester, MA 01890 Phone: 781-756-0600 |