| Wooster Clinic, Llc | |
|
1740 Cleveland Rd Wooster OH 44691-2204 | |
| (330) 287-4500 | |
| Not Available |
| Full Name | Wooster Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1740 Cleveland Rd, Wooster, Ohio |
| Authorized Official Name and Position | Timothy L. Longville (CHIEF ACCT. OFFICER AND CONTROLLER) |
| Authorized Official Contact | 2166367416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wooster Clinic, Llc 1740 Cleveland Rd Wooster OH 44691-2204 Ph: (330) 287-4500 | Wooster Clinic, Llc 1740 Cleveland Rd Wooster OH 44691-2204 Ph: (330) 287-4500 |
| NPI Number | 1033135009 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/30/2022 |
| Medicare PECOS PAC ID | 6800708124 |
|---|---|
| Medicare Enrollment ID | O20031211000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033135009 | NPI | - | NPPES |
| 000000168661 | Other | OH | ANTHEM |
| 2070593 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Melanie R Chellman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316900202 PECOS PAC ID: 0648184465 Enrollment ID: I20031117000411 |
| Provider Name | Timothy E Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548288756 PECOS PAC ID: 0648184481 Enrollment ID: I20031117000525 |
| Provider Name | Ana E Bennett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538124235 PECOS PAC ID: 7618871435 Enrollment ID: I20031124000288 |
| Provider Name | Alice S Rim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134183940 PECOS PAC ID: 9830094523 Enrollment ID: I20031205000007 |
| Provider Name | Bhupendra P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205891579 PECOS PAC ID: 3274438841 Enrollment ID: I20031205000441 |
| Provider Name | Thomas P Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386665719 PECOS PAC ID: 4385540152 Enrollment ID: I20031211000433 |
| Provider Name | J Bradley Burns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922020445 PECOS PAC ID: 5597661397 Enrollment ID: I20031211000586 |
| Provider Name | Doksu Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811951114 PECOS PAC ID: 3072419886 Enrollment ID: I20031211000630 |
| Provider Name | Joshua M Polster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821054735 PECOS PAC ID: 0941108575 Enrollment ID: I20031222000027 |
| Provider Name | Wendy M Shaw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609831940 PECOS PAC ID: 6800795410 Enrollment ID: I20040102000527 |
| Provider Name | Jeffrey A Hershey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740260413 PECOS PAC ID: 3779496542 Enrollment ID: I20040107000280 |
| Provider Name | Jean P Schils |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245295039 PECOS PAC ID: 2769381813 Enrollment ID: I20040107000738 |
| Provider Name | Michael T Modic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285698290 PECOS PAC ID: 3274445499 Enrollment ID: I20040108000018 |
| Provider Name | Adam Patrick Keating |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649238031 PECOS PAC ID: 9234038258 Enrollment ID: I20040108000058 |
| Provider Name | Paul M Ruggieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720043797 PECOS PAC ID: 6800795899 Enrollment ID: I20040108000425 |
| Provider Name | Todd W Stultz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477510600 PECOS PAC ID: 7719887512 Enrollment ID: I20040109000239 |
| Provider Name | Moulay A Meziane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871557363 PECOS PAC ID: 0941103295 Enrollment ID: I20040202000660 |
| Provider Name | Brian R Herts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588627483 PECOS PAC ID: 6406749621 Enrollment ID: I20040203000496 |
| Provider Name | Stephen F Hatem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568426013 PECOS PAC ID: 0648163881 Enrollment ID: I20040203000581 |
| Provider Name | Keith L Kruithoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093825317 PECOS PAC ID: 9931092616 Enrollment ID: I20040205000986 |
| Provider Name | Susan M Hong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114918422 PECOS PAC ID: 0941194229 Enrollment ID: I20040209000797 |
| Provider Name | Michael A Geisinger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457314247 PECOS PAC ID: 8426941816 Enrollment ID: I20040210000839 |
| Provider Name | Charles M Omalley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861590044 PECOS PAC ID: 6305730425 Enrollment ID: I20040210000913 |
| Provider Name | Gregory P Borkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649233628 PECOS PAC ID: 3971497496 Enrollment ID: I20040213000261 |
| Provider Name | Paul Schoenhagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235194051 PECOS PAC ID: 8820982317 Enrollment ID: I20040216000096 |
| Provider Name | Stuart Charles Morrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508820812 PECOS PAC ID: 1153216643 Enrollment ID: I20040216000120 |
| Provider Name | Ruffin J Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821053893 PECOS PAC ID: 9234023656 Enrollment ID: I20040216000157 |
| Provider Name | Eunice Kim Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184688442 PECOS PAC ID: 6901791425 Enrollment ID: I20040216000297 |
| Provider Name | Erick M Remer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356305387 PECOS PAC ID: 8325932734 Enrollment ID: I20040216000384 |
| Provider Name | Hakan Ilaslan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427011675 PECOS PAC ID: 0446145999 Enrollment ID: I20040216000484 |
| Provider Name | Joseph Veniero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588629562 PECOS PAC ID: 7214822782 Enrollment ID: I20040216000588 |
| Provider Name | Bradford James Richmond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629032438 PECOS PAC ID: 0547154965 Enrollment ID: I20040216000628 |
| Provider Name | Paul Grooff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902844467 PECOS PAC ID: 9638063068 Enrollment ID: I20040216000658 |
| Provider Name | Benedict Y Kim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295726438 PECOS PAC ID: 8426943523 Enrollment ID: I20040218000226 |
| Provider Name | Paul W Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174507446 PECOS PAC ID: 9931094984 Enrollment ID: I20040218000557 |
| Provider Name | Frank J Ricaurte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043274889 PECOS PAC ID: 3476449026 Enrollment ID: I20040223000466 |
| Provider Name | Shetal N Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700841095 PECOS PAC ID: 1052207438 Enrollment ID: I20040224000030 |
| Provider Name | Pauline Kwok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700841954 PECOS PAC ID: 0244126639 Enrollment ID: I20040224000108 |
| Provider Name | Thomas J Masaryk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912961087 PECOS PAC ID: 5395639785 Enrollment ID: I20040227000543 |
| Provider Name | Abraham Levitin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770547846 PECOS PAC ID: 7214824457 Enrollment ID: I20040302000712 |
| Provider Name | Elizabeth A Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093724403 PECOS PAC ID: 5799685988 Enrollment ID: I20040323000418 |
| Provider Name | Bin Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003866575 PECOS PAC ID: 5698667939 Enrollment ID: I20040330000068 |
| Provider Name | Douglas Eugene Joseph |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1730275850 PECOS PAC ID: 2062304348 Enrollment ID: I20040330000301 |
| Provider Name | Jonathan Ryan Tanner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417972555 PECOS PAC ID: 7416942164 Enrollment ID: I20040420000931 |
| Provider Name | Terri L Brooks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528167624 PECOS PAC ID: 3072500552 Enrollment ID: I20040427001142 |
| Provider Name | Marisol Nunez-hoyo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134294663 PECOS PAC ID: 9931196417 Enrollment ID: I20040427001171 |
| Provider Name | Ryo Eun-choi Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205885191 PECOS PAC ID: 8123015658 Enrollment ID: I20040427001498 |
| Provider Name | Melissa B Frankel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457377285 PECOS PAC ID: 1557359015 Enrollment ID: I20040504000229 |
| Provider Name | Patrick Vaccaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316916521 PECOS PAC ID: 3476537051 Enrollment ID: I20040614000756 |
| Provider Name | Darby Elizabeth Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780647511 PECOS PAC ID: 8426034695 Enrollment ID: I20040628001061 |
| Provider Name | Thomas Daniel Callahan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023004520 PECOS PAC ID: 0547246423 Enrollment ID: I20040629001727 |
| Provider Name | Dennis V Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083670350 PECOS PAC ID: 1153308895 Enrollment ID: I20040701000446 |
| Provider Name | Sean Patrick Lyden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962508416 PECOS PAC ID: 5991782310 Enrollment ID: I20040702001001 |
| Provider Name | John Mccormac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235131996 PECOS PAC ID: 6406833672 Enrollment ID: I20040706000825 |
| Provider Name | Khaled Meloud Sleik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033221056 PECOS PAC ID: 9234117722 Enrollment ID: I20040712000219 |
| Provider Name | Susan M Bowling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841255858 PECOS PAC ID: 1850379116 Enrollment ID: I20040712001637 |
| Provider Name | Cheryl Anthony Hubbard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760446975 PECOS PAC ID: 6507845286 Enrollment ID: I20040715001479 |
| Provider Name | Vincent C Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659335107 PECOS PAC ID: 3678553765 Enrollment ID: I20040720001682 |
| Provider Name | Moira Gioitta-tucker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306897939 PECOS PAC ID: 7113907031 Enrollment ID: I20040721001708 |
| Provider Name | Lisa Marie Yerian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336190545 PECOS PAC ID: 1456321074 Enrollment ID: I20040729001149 |
| Provider Name | Melissa T Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457458010 PECOS PAC ID: 9638141716 Enrollment ID: I20040810000066 |
| Provider Name | Manuel Decastro Cerqueira |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1356304232 PECOS PAC ID: 6507839214 Enrollment ID: I20040827000114 |
| Provider Name | Anne Elizabeth Sierk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891755641 PECOS PAC ID: 8820995970 Enrollment ID: I20040829000005 |
| Provider Name | Ashok Ramalingam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184605255 PECOS PAC ID: 0941276752 Enrollment ID: I20040902001267 |
| Provider Name | Andrew M Scharf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912940016 PECOS PAC ID: 5991774341 Enrollment ID: I20041001000280 |
| Provider Name | Melissa L Lemon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326004672 PECOS PAC ID: 9537128731 Enrollment ID: I20041004001129 |
| Provider Name | Brent E Golias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083670392 PECOS PAC ID: 0840259040 Enrollment ID: I20041004001166 |
| Provider Name | David A Burke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720042955 PECOS PAC ID: 2062471022 Enrollment ID: I20041005001247 |
| Provider Name | William J Lago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439232 PECOS PAC ID: 3274593215 Enrollment ID: I20041014000543 |
| Provider Name | Jeff Chapa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730160037 PECOS PAC ID: 9739169004 Enrollment ID: I20041014001156 |
| Provider Name | Joseph A Mendiola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851390116 PECOS PAC ID: 5395706980 Enrollment ID: I20041026001213 |
| Provider Name | Qarab Hasnain Syed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386624112 PECOS PAC ID: 8022071034 Enrollment ID: I20041110000975 |
| Provider Name | Paul C Shin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1164425807 PECOS PAC ID: 6608830989 Enrollment ID: I20041117000236 |
| Provider Name | Michael D Rubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295899565 PECOS PAC ID: 5496710352 Enrollment ID: I20041119001053 |
| Provider Name | Godfrey Gaisie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902839442 PECOS PAC ID: 3072400415 Enrollment ID: I20041119001066 |
| Provider Name | Brian A Aronson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215928064 PECOS PAC ID: 1355313057 Enrollment ID: I20041123000009 |
| Provider Name | John B Saks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275598005 PECOS PAC ID: 3577528736 Enrollment ID: I20041130000123 |
| Provider Name | Robin L Anselm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083624886 PECOS PAC ID: 4789640145 Enrollment ID: I20041207000879 |
| Provider Name | Eileen Michelle Hsich |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477563849 PECOS PAC ID: 7911963293 Enrollment ID: I20041208000579 |
| Provider Name | Omar Lababede |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447213558 PECOS PAC ID: 5193782589 Enrollment ID: I20041217000018 |
| Provider Name | Carl R Martino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942310941 PECOS PAC ID: 6103884838 Enrollment ID: I20041228001005 |
| Provider Name | Daesung Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750468526 PECOS PAC ID: 1850357062 Enrollment ID: I20050110000004 |
| Provider Name | Henry F Blair |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202860 PECOS PAC ID: 9537111521 Enrollment ID: I20050217000889 |
| Provider Name | E Rene Rodriguez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588621080 PECOS PAC ID: 5698728715 Enrollment ID: I20050301000153 |
| Provider Name | Rafik M Khalil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023110277 PECOS PAC ID: 5597718460 Enrollment ID: I20050302001116 |
| Provider Name | Douglas Foltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407953938 PECOS PAC ID: 6204882111 Enrollment ID: I20050323001307 |
| Provider Name | Janine Rochelle Martyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144284308 PECOS PAC ID: 1759338692 Enrollment ID: I20050404000489 |
| Provider Name | Suneeti Sapatnekar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043545718 PECOS PAC ID: 5799732293 Enrollment ID: I20050406001040 |
| Provider Name | Jeffrey J Kornick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568572527 PECOS PAC ID: 0840194833 Enrollment ID: I20050406001063 |
| Provider Name | Joe M Holcomb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861456360 PECOS PAC ID: 9830136118 Enrollment ID: I20050408000860 |
| Provider Name | Dale K Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780668376 PECOS PAC ID: 2567409279 Enrollment ID: I20050414000306 |
| Provider Name | Ronald J Lorig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285698035 PECOS PAC ID: 5991742348 Enrollment ID: I20050418000016 |
| Provider Name | William J Polinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104897990 PECOS PAC ID: 4981642634 Enrollment ID: I20050421001613 |
| Provider Name | David Paul Hedrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326087073 PECOS PAC ID: 3173561750 Enrollment ID: I20050422001252 |
| Provider Name | Aida Safar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033192463 PECOS PAC ID: 4385683291 Enrollment ID: I20050429000664 |
| Provider Name | Paul Anthony Masci |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366408627 PECOS PAC ID: 7911948161 Enrollment ID: I20050518000190 |
| Provider Name | Susan Elizabeth Porter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508824053 PECOS PAC ID: 2961443049 Enrollment ID: I20050518001284 |
| Provider Name | Indu T Agarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912969718 PECOS PAC ID: 5092758433 Enrollment ID: I20050607000070 |
| Provider Name | Thomas John Dresing |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770513640 PECOS PAC ID: 0345284782 Enrollment ID: I20050616000004 |
| Provider Name | Wael Adib Jaber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437244910 PECOS PAC ID: 1658316062 Enrollment ID: I20050627000552 |
| Provider Name | Bradley Layne Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013900117 PECOS PAC ID: 1355387804 Enrollment ID: I20050706000566 |
| Provider Name | Rebecca Lynn Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629034707 PECOS PAC ID: 4082640149 Enrollment ID: I20050711000725 |
| Provider Name | Michael Yang Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437189768 PECOS PAC ID: 5890722292 Enrollment ID: I20050718000527 |
| Provider Name | Mark A Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245294487 PECOS PAC ID: 0143257527 Enrollment ID: I20050719000138 |
| Provider Name | Mimi Khin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013973239 PECOS PAC ID: 6901834753 Enrollment ID: I20050802000651 |
| Provider Name | Nadeem D Parkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235121013 PECOS PAC ID: 2365491016 Enrollment ID: I20050803000066 |
| Provider Name | Deborah J Chessar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982669966 PECOS PAC ID: 6507895190 Enrollment ID: I20050804000111 |
| Provider Name | Catherine R Yamat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023073368 PECOS PAC ID: 6608805239 Enrollment ID: I20050804000458 |
| Provider Name | Roderick A Yamat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952365751 PECOS PAC ID: 8224067855 Enrollment ID: I20050804000473 |
| Provider Name | Suzanne M Terpak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376632380 PECOS PAC ID: 8426087974 Enrollment ID: I20050805000198 |
| Provider Name | Ajay Bhargava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134232721 PECOS PAC ID: 9436189099 Enrollment ID: I20050815000387 |
| Provider Name | Milind Yagnesh Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669572152 PECOS PAC ID: 2860423134 Enrollment ID: I20050826000024 |
| Provider Name | Vidyasagar Kalahasti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538256318 PECOS PAC ID: 8325079601 Enrollment ID: I20050826000066 |
| Provider Name | Anthony Mastroianni |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265517403 PECOS PAC ID: 7719910702 Enrollment ID: I20050912000017 |
| Provider Name | Todd Emch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699739821 PECOS PAC ID: 6305870262 Enrollment ID: I20050921000319 |
| Provider Name | Beth M Llewellyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528023124 PECOS PAC ID: 7911931175 Enrollment ID: I20050927000241 |
| Provider Name | Maan A Fares |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639277478 PECOS PAC ID: 8022043959 Enrollment ID: I20050929000529 |
| Provider Name | Christine Noga Booth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174588537 PECOS PAC ID: 8527098821 Enrollment ID: I20051004000015 |
| Provider Name | Patrick Joseph O Keefe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356305189 PECOS PAC ID: 0840217378 Enrollment ID: I20051025000043 |
| Provider Name | Venugopal Menon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255431367 PECOS PAC ID: 3274559638 Enrollment ID: I20051031000196 |
| Provider Name | Carmela Deluta Tan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467419085 PECOS PAC ID: 9133146764 Enrollment ID: I20051102000033 |
| Provider Name | Laurance Grossman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942230347 PECOS PAC ID: 8729043690 Enrollment ID: I20051109000635 |
| Provider Name | Mitchel Lee Fromm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881604817 PECOS PAC ID: 1153388269 Enrollment ID: I20051206000129 |
| Provider Name | Paresh Arora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447252036 PECOS PAC ID: 5799670097 Enrollment ID: I20051209000158 |
| Provider Name | Abdelaziz Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699769307 PECOS PAC ID: 3779501101 Enrollment ID: I20051212000144 |
| Provider Name | Raul Alejandro Schwartzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306821152 PECOS PAC ID: 8022039155 Enrollment ID: I20051216000017 |
| Provider Name | Theresa A Lash-ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097379 PECOS PAC ID: 9537175146 Enrollment ID: I20060306000360 |
| Provider Name | Drew Karam Abramovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851335822 PECOS PAC ID: 5597774679 Enrollment ID: I20060418000546 |
| Provider Name | Heather C Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609985258 PECOS PAC ID: 6002857018 Enrollment ID: I20060420000008 |
| Provider Name | George E Anton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417919465 PECOS PAC ID: 1355353384 Enrollment ID: I20060612000228 |
| Provider Name | Michael E Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982655908 PECOS PAC ID: 9133131709 Enrollment ID: I20060622000347 |
| Provider Name | Wilma Fowler Bergfeld |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013972207 PECOS PAC ID: 5698748564 Enrollment ID: I20060628000040 |
| Provider Name | Thomas G Olbrych |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538151089 PECOS PAC ID: 7517941214 Enrollment ID: I20060628000371 |
| Provider Name | Jennifer A Brainard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215992763 PECOS PAC ID: 6002828316 Enrollment ID: I20060630000234 |
| Provider Name | Jonathan Louis Myles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316904204 PECOS PAC ID: 5395757660 Enrollment ID: I20060705000128 |
| Provider Name | Mina K Chung |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750326716 PECOS PAC ID: 3971516196 Enrollment ID: I20060711000001 |
| Provider Name | Jay Phillip Ciezki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841254588 PECOS PAC ID: 0143233361 Enrollment ID: I20060711000013 |
| Provider Name | Gregory Martin Videtic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114982196 PECOS PAC ID: 8224041454 Enrollment ID: I20060711000102 |
| Provider Name | James Robert Cook |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881650042 PECOS PAC ID: 1759394901 Enrollment ID: I20060711000243 |
| Provider Name | Anthony Rizzo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245294248 PECOS PAC ID: 8426061532 Enrollment ID: I20060712000364 |
| Provider Name | Carol F Farver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962468140 PECOS PAC ID: 6305859117 Enrollment ID: I20060721000121 |
| Provider Name | John R Goldblum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275591869 PECOS PAC ID: 1254344948 Enrollment ID: I20060725000251 |
| Provider Name | Linda Mae Graham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114982188 PECOS PAC ID: 5092728626 Enrollment ID: I20060726000097 |
| Provider Name | Michael Wayne Freels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700878527 PECOS PAC ID: 1153350343 Enrollment ID: I20060803000509 |
| Provider Name | Walter Henry Henricks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740247931 PECOS PAC ID: 7911900014 Enrollment ID: I20060810000066 |
| Provider Name | Samuel Tay Chao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386658656 PECOS PAC ID: 7810991809 Enrollment ID: I20060906000062 |
| Provider Name | Naveen Subhas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225067143 PECOS PAC ID: 4789617341 Enrollment ID: I20060911000000 |
| Provider Name | Alfonso P Rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619996238 PECOS PAC ID: 2062314297 Enrollment ID: I20060914000154 |
| Provider Name | Lisa M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306856679 PECOS PAC ID: 2860497047 Enrollment ID: I20060921000313 |
| Provider Name | Ellen Sun-joo Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821104191 PECOS PAC ID: 0648275735 Enrollment ID: I20060925000011 |
| Provider Name | John H Suh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528025764 PECOS PAC ID: 9638174766 Enrollment ID: I20060925000334 |
| Provider Name | Karl Stephen Theil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316998420 PECOS PAC ID: 6204731680 Enrollment ID: I20060927000079 |
| Provider Name | Natalia Eidlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508889452 PECOS PAC ID: 5698770295 Enrollment ID: I20061003000172 |
| Provider Name | Luis L Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548353840 PECOS PAC ID: 8426053000 Enrollment ID: I20061004000049 |
| Provider Name | Melissa Peck Piliang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487750444 PECOS PAC ID: 0547266892 Enrollment ID: I20061011000004 |
| Provider Name | Betty Obi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235221862 PECOS PAC ID: 4789680935 Enrollment ID: I20061011000043 |
| Provider Name | Maran Thamilarasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851492755 PECOS PAC ID: 1557367679 Enrollment ID: I20061013000063 |
| Provider Name | Scott Daniel Flamm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265422604 PECOS PAC ID: 9830195551 Enrollment ID: I20061019000466 |
| Provider Name | Susan Batke Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679675920 PECOS PAC ID: 5294731923 Enrollment ID: I20061019000469 |
| Provider Name | Brian P Griffin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538252085 PECOS PAC ID: 6305843012 Enrollment ID: I20061023000013 |
| Provider Name | Richard A Grimm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033204623 PECOS PAC ID: 7113924820 Enrollment ID: I20061023000026 |
| Provider Name | Allan L Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548357387 PECOS PAC ID: 3678570223 Enrollment ID: I20061025000115 |
| Provider Name | Margaret S Kranyak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033214663 PECOS PAC ID: 5890792360 Enrollment ID: I20061025000382 |
| Provider Name | Namita Gandhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043221344 PECOS PAC ID: 6709883549 Enrollment ID: I20061108000592 |
| Provider Name | Sankaran Shrikanthan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447296371 PECOS PAC ID: 7113925751 Enrollment ID: I20061115000271 |
| Provider Name | Randy V Larrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518982537 PECOS PAC ID: 9739187873 Enrollment ID: I20061127000393 |
| Provider Name | Darryl Rosario Rini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558386748 PECOS PAC ID: 0648278788 Enrollment ID: I20061127000395 |
| Provider Name | Robin Lee Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659444511 PECOS PAC ID: 8325047228 Enrollment ID: I20061204000010 |
| Provider Name | Dorothea A Markakis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437113115 PECOS PAC ID: 0749289411 Enrollment ID: I20061206000235 |
| Provider Name | David Owen Martin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205893120 PECOS PAC ID: 3779582457 Enrollment ID: I20061206000298 |
| Provider Name | Steve R Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902970957 PECOS PAC ID: 4284633256 Enrollment ID: I20061220000577 |
| Provider Name | Andrea V Arrossi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538221692 PECOS PAC ID: 5294735106 Enrollment ID: I20061227000180 |
| Provider Name | Carl Winalski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477538437 PECOS PAC ID: 2466496500 Enrollment ID: I20061227000181 |
| Provider Name | Andres Gabriel Chiesa-vottero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811071095 PECOS PAC ID: 8921008830 Enrollment ID: I20061227000182 |
| Provider Name | Marvin Natowicz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780731687 PECOS PAC ID: 4486654977 Enrollment ID: I20070108000014 |
| Provider Name | Richard A Prayson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396801627 PECOS PAC ID: 5890795389 Enrollment ID: I20070108000041 |
| Provider Name | Kelly S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083772610 PECOS PAC ID: 6204837222 Enrollment ID: I20070118000023 |
| Provider Name | Aaron Philip Hoschar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104922061 PECOS PAC ID: 2365443512 Enrollment ID: I20070131000035 |
| Provider Name | Linda Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871594507 PECOS PAC ID: 6204824212 Enrollment ID: I20070205000476 |
| Provider Name | Sheila Ann Cain |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700841897 PECOS PAC ID: 1658373428 Enrollment ID: I20070207000331 |
| Provider Name | Brian Paul Rubin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255498333 PECOS PAC ID: 4486656063 Enrollment ID: I20070212000016 |
| Provider Name | Mohamed Hani Kanj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891878062 PECOS PAC ID: 4880797968 Enrollment ID: I20070309000316 |
| Provider Name | Parvez Masood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043284987 PECOS PAC ID: 0345278495 Enrollment ID: I20070323000184 |
| Provider Name | Mark Daniel Elderbrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538254495 PECOS PAC ID: 3274637152 Enrollment ID: I20070403000003 |
| Provider Name | Leighanne Kramer Hustak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306940457 PECOS PAC ID: 8527163450 Enrollment ID: I20070420000238 |
| Provider Name | Claudiu Vasile Cotta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639383565 PECOS PAC ID: 4486751534 Enrollment ID: I20070524000176 |
| Provider Name | Stephen E Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124009931 PECOS PAC ID: 2769486281 Enrollment ID: I20070531000084 |
| Provider Name | Aju Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659473817 PECOS PAC ID: 3476652488 Enrollment ID: I20070615000290 |
| Provider Name | Jon B Trecek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861694788 PECOS PAC ID: 4082713672 Enrollment ID: I20070622000080 |
| Provider Name | Thomas E Herbener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811912983 PECOS PAC ID: 4284734393 Enrollment ID: I20070702000521 |
| Provider Name | William J Novak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124224837 PECOS PAC ID: 9830299452 Enrollment ID: I20070712000065 |
| Provider Name | Jeffrey J Spreitzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245295682 PECOS PAC ID: 5991804841 Enrollment ID: I20070719000047 |
| Provider Name | Steven Douglas Billings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447217658 PECOS PAC ID: 8820189541 Enrollment ID: I20070810000055 |
| Provider Name | J Jordi Rowe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932155546 PECOS PAC ID: 4789696899 Enrollment ID: I20070810000152 |
| Provider Name | Suzanne Bakdash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487844890 PECOS PAC ID: 4981796661 Enrollment ID: I20070827000187 |
| Provider Name | Kamal Soddi Riad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023125937 PECOS PAC ID: 2466544986 Enrollment ID: I20070828000656 |
| Provider Name | Laura B Shepardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750588828 PECOS PAC ID: 0749372217 Enrollment ID: I20070829000004 |
| Provider Name | Amanda Leigh Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508063538 PECOS PAC ID: 1759474844 Enrollment ID: I20070905000721 |
| Provider Name | David W Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174580732 PECOS PAC ID: 9638069651 Enrollment ID: I20070911000500 |
| Provider Name | Nancy W Fong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851324370 PECOS PAC ID: 4082707807 Enrollment ID: I20070921000346 |
| Provider Name | George R Ainge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225014814 PECOS PAC ID: 6507756525 Enrollment ID: I20070928000369 |
| Provider Name | Zahra Karimloo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740485077 PECOS PAC ID: 6608962469 Enrollment ID: I20071010000336 |
| Provider Name | Gillian M Culbertson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578766754 PECOS PAC ID: 4082624572 Enrollment ID: I20071015000071 |
| Provider Name | Lisa Marie Young |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720275092 PECOS PAC ID: 4385730886 Enrollment ID: I20071015000149 |
| Provider Name | Ajay Bhardwaj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376568105 PECOS PAC ID: 2163314758 Enrollment ID: I20071019000359 |
| Provider Name | Claus S Simpfendorfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164610671 PECOS PAC ID: 9133216732 Enrollment ID: I20071030000026 |
| Provider Name | Jan V Levitan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528044922 PECOS PAC ID: 7214828870 Enrollment ID: I20071227000230 |
| Provider Name | Brock Gretter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033275862 PECOS PAC ID: 8527150598 Enrollment ID: I20071231000089 |
| Provider Name | Scott William Cleary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376721027 PECOS PAC ID: 6002992880 Enrollment ID: I20080319000192 |
| Provider Name | Maureen E Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053599027 PECOS PAC ID: 6709963119 Enrollment ID: I20080409000783 |
| Provider Name | Erin Jane Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649288309 PECOS PAC ID: 8729085998 Enrollment ID: I20080418000358 |
| Provider Name | Dianne C Cioce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295909380 PECOS PAC ID: 0345310413 Enrollment ID: I20080602000006 |
| Provider Name | Rahul Dilip Tendulkar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558546432 PECOS PAC ID: 0648342170 Enrollment ID: I20080627000542 |
| Provider Name | Javier Alfredo Alvarez-tostado |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811164585 PECOS PAC ID: 6204909336 Enrollment ID: I20080722000543 |
| Provider Name | Katherine A Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396948501 PECOS PAC ID: 8325111321 Enrollment ID: I20080724000343 |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386734101 PECOS PAC ID: 2567536220 Enrollment ID: I20080730000285 |
| Provider Name | Gary Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912060120 PECOS PAC ID: 9133229313 Enrollment ID: I20080807000242 |
| Provider Name | Sangithan J Moodley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386697472 PECOS PAC ID: 3870668783 Enrollment ID: I20080812000373 |
| Provider Name | Mark Joseph Niebauer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548210727 PECOS PAC ID: 4486721214 Enrollment ID: I20080922000038 |
| Provider Name | Kevin J Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427261791 PECOS PAC ID: 7012084775 Enrollment ID: I20080922000416 |
| Provider Name | Darlene M Holden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336315571 PECOS PAC ID: 0042387730 Enrollment ID: I20080923000001 |
| Provider Name | Christopher Peter Coppa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124222872 PECOS PAC ID: 4981703063 Enrollment ID: I20080925000410 |
| Provider Name | Michael A Bolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033230271 PECOS PAC ID: 0941393938 Enrollment ID: I20081107000029 |
| Provider Name | Subha Ghosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205897774 PECOS PAC ID: 1759302300 Enrollment ID: I20081125000764 |
| Provider Name | Gordon Mclennan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922041946 PECOS PAC ID: 5991766925 Enrollment ID: I20090116000037 |
| Provider Name | Karmon Leigh James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669677118 PECOS PAC ID: 5991860694 Enrollment ID: I20090212000392 |
| Provider Name | Thomas M Picklow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598772709 PECOS PAC ID: 6709829310 Enrollment ID: I20090218000425 |
| Provider Name | Jaime M Polt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609037886 PECOS PAC ID: 3779649470 Enrollment ID: I20090304000702 |
| Provider Name | Nicholas Farinacci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245479443 PECOS PAC ID: 2466519855 Enrollment ID: I20090331000023 |
| Provider Name | Tina B Ruchalski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821261223 PECOS PAC ID: 3072662519 Enrollment ID: I20090513000017 |
| Provider Name | Maureen T Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568677136 PECOS PAC ID: 3274682067 Enrollment ID: I20090528000016 |
| Provider Name | Thomas P Plesec |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255598025 PECOS PAC ID: 9234289562 Enrollment ID: I20090609000128 |
| Provider Name | Matthew A Kaminski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821268954 PECOS PAC ID: 1355491051 Enrollment ID: I20090617000488 |
| Provider Name | Jeffrey A Burkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487634127 PECOS PAC ID: 0446301923 Enrollment ID: I20090623000368 |
| Provider Name | Daniel S Lockwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851567564 PECOS PAC ID: 0143371906 Enrollment ID: I20090708000200 |
| Provider Name | Deborah J Chute |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659589620 PECOS PAC ID: 2961553730 Enrollment ID: I20090708000211 |
| Provider Name | Monica C Koplas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548436132 PECOS PAC ID: 2163574997 Enrollment ID: I20090709000043 |
| Provider Name | Aqeel Chowdhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962669754 PECOS PAC ID: 7416009246 Enrollment ID: I20090709000057 |
| Provider Name | Venkatesh Kambhampati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154546661 PECOS PAC ID: 0042362873 Enrollment ID: I20090709000069 |
| Provider Name | David S Bosler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497811772 PECOS PAC ID: 3072613488 Enrollment ID: I20090710000317 |
| Provider Name | John S Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306055777 PECOS PAC ID: 5799837332 Enrollment ID: I20090714000024 |
| Provider Name | Leonard A Kahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679500938 PECOS PAC ID: 0042263527 Enrollment ID: I20090729000107 |
| Provider Name | Michael O Christian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770515348 PECOS PAC ID: 3678526159 Enrollment ID: I20090820000518 |
| Provider Name | Francisco A Paras |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528258258 PECOS PAC ID: 8426103599 Enrollment ID: I20090826000454 |
| Provider Name | Kevin Stephans |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295904431 PECOS PAC ID: 6103971122 Enrollment ID: I20090827000106 |
| Provider Name | Amanjit S Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245313105 PECOS PAC ID: 5092605378 Enrollment ID: I20090928000790 |
| Provider Name | Daniela S Allende |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942467774 PECOS PAC ID: 0143368142 Enrollment ID: I20091112000067 |
| Provider Name | Victor H Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497802458 PECOS PAC ID: 8022158369 Enrollment ID: I20091218000003 |
| Provider Name | Sue A Ellwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720044621 PECOS PAC ID: 5496897936 Enrollment ID: I20100122000119 |
| Provider Name | Heesun J Rogers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144422585 PECOS PAC ID: 7315092731 Enrollment ID: I20100126000015 |
| Provider Name | Deborah H Kwon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881868834 PECOS PAC ID: 5799828240 Enrollment ID: I20100205000053 |
| Provider Name | Debra J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699731919 PECOS PAC ID: 8527101740 Enrollment ID: I20100209000812 |
| Provider Name | Laura Rabinowitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831102532 PECOS PAC ID: 2961546965 Enrollment ID: I20100215000149 |
| Provider Name | Mark J Melaragno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558441535 PECOS PAC ID: 8022152024 Enrollment ID: I20100215000180 |
| Provider Name | Sebouh Setrakian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386724474 PECOS PAC ID: 6103960109 Enrollment ID: I20100215000190 |
| Provider Name | Melissa L Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720310139 PECOS PAC ID: 9931234085 Enrollment ID: I20100316000060 |
| Provider Name | Michael L Amalfitano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104827211 PECOS PAC ID: 7618002361 Enrollment ID: I20100319000130 |
| Provider Name | Gregory Heins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366443657 PECOS PAC ID: 8527193945 Enrollment ID: I20100323000985 |
| Provider Name | Liza D Talampas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447391214 PECOS PAC ID: 3072649110 Enrollment ID: I20100329000622 |
| Provider Name | Tonya Lynn Fulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801070941 PECOS PAC ID: 8426186883 Enrollment ID: I20100506000174 |
| Provider Name | Rebecca E Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225063928 PECOS PAC ID: 5193752533 Enrollment ID: I20100614000417 |
| Provider Name | Andrew Dean Vassil |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235308347 PECOS PAC ID: 3173654993 Enrollment ID: I20100623000251 |
| Provider Name | Kun-lin Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982845079 PECOS PAC ID: 8426189283 Enrollment ID: I20100623000676 |
| Provider Name | David S Majdalany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255534079 PECOS PAC ID: 7810097961 Enrollment ID: I20100713000030 |
| Provider Name | Jennifer Godwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063603892 PECOS PAC ID: 0345373494 Enrollment ID: I20100727000454 |
| Provider Name | Rahul Renapurkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417121484 PECOS PAC ID: 0749313179 Enrollment ID: I20100805000092 |
| Provider Name | Ruchi Yadav |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033377759 PECOS PAC ID: 6800929001 Enrollment ID: I20100809000010 |
| Provider Name | Rosalinn Santa Cruz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891900114 PECOS PAC ID: 2163556929 Enrollment ID: I20100816000254 |
| Provider Name | Bohdan M Pichurko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538169651 PECOS PAC ID: 1759405632 Enrollment ID: I20100830000360 |
| Provider Name | Zoran B Popovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588897169 PECOS PAC ID: 7012031859 Enrollment ID: I20100831000085 |
| Provider Name | Richard Theodore Guttman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144286139 PECOS PAC ID: 1658495155 Enrollment ID: I20100907000527 |
| Provider Name | Eric D Speakman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093771172 PECOS PAC ID: 2567588809 Enrollment ID: I20100924000020 |
| Provider Name | Angela T Powell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457318784 PECOS PAC ID: 6800912148 Enrollment ID: I20100924000065 |
| Provider Name | Carlos Hubbard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194942565 PECOS PAC ID: 9436246329 Enrollment ID: I20100927000353 |
| Provider Name | Myra Kay Feldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194968487 PECOS PAC ID: 0648320309 Enrollment ID: I20100929000054 |
| Provider Name | Stacy Marie Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518275445 PECOS PAC ID: 8123214293 Enrollment ID: I20101201000644 |
| Provider Name | Elizabeth Errington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548561749 PECOS PAC ID: 9739376369 Enrollment ID: I20101208001345 |
| Provider Name | Megan E Askins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366743304 PECOS PAC ID: 7315126919 Enrollment ID: I20110128000338 |
| Provider Name | Troy Blagrave |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447465844 PECOS PAC ID: 7810028909 Enrollment ID: I20110216000706 |
| Provider Name | Edmunds Zigurds Reineks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124218029 PECOS PAC ID: 9032390869 Enrollment ID: I20110225000713 |
| Provider Name | Erin Sennett Murphy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780853564 PECOS PAC ID: 2860674843 Enrollment ID: I20110311000725 |
| Provider Name | Ihab Haddadin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306854534 PECOS PAC ID: 3375726730 Enrollment ID: I20110322000647 |
| Provider Name | James S Littman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629167259 PECOS PAC ID: 5193786317 Enrollment ID: I20110407000544 |
| Provider Name | Sotero Elias Peralta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295933448 PECOS PAC ID: 0042496143 Enrollment ID: I20110525000011 |
| Provider Name | Paulette L Turk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346563723 PECOS PAC ID: 1052443595 Enrollment ID: I20110613000734 |
| Provider Name | Michael C Forney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679730857 PECOS PAC ID: 0547448177 Enrollment ID: I20110629000442 |
| Provider Name | Moiz T Vohra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801001037 PECOS PAC ID: 3072663368 Enrollment ID: I20110629000495 |
| Provider Name | Samuel Ruskin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043432495 PECOS PAC ID: 6901074152 Enrollment ID: I20110714000471 |
| Provider Name | Mark A Richards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104031483 PECOS PAC ID: 8224224746 Enrollment ID: I20110725000172 |
| Provider Name | Shlomo A Koyfman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578732517 PECOS PAC ID: 6608044052 Enrollment ID: I20110729000483 |
| Provider Name | Ihsan Irfan Mamoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407022940 PECOS PAC ID: 1850560426 Enrollment ID: I20110816000702 |
| Provider Name | Peter F Aziz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861516502 PECOS PAC ID: 4183894488 Enrollment ID: I20110824000184 |
| Provider Name | Karunakaravel Karuppasamy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508096850 PECOS PAC ID: 1759551005 Enrollment ID: I20110824000780 |
| Provider Name | Jagan Devarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578730594 PECOS PAC ID: 2668642877 Enrollment ID: I20110825000636 |
| Provider Name | Laurie A Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629363163 PECOS PAC ID: 0840460770 Enrollment ID: I20110831000554 |
| Provider Name | Emily M Janitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841405248 PECOS PAC ID: 0042480709 Enrollment ID: I20110907001237 |
| Provider Name | Daniel P Peabody |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336105048 PECOS PAC ID: 7416128442 Enrollment ID: I20110922000256 |
| Provider Name | Michael R Paradise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649286469 PECOS PAC ID: 6709869308 Enrollment ID: I20110930000266 |
| Provider Name | Anthony P Tizzano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740337492 PECOS PAC ID: 9032241435 Enrollment ID: I20111015000066 |
| Provider Name | Tarik Elsheikh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194812594 PECOS PAC ID: 6406740711 Enrollment ID: I20111019000147 |
| Provider Name | Bradley A Pierce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134329667 PECOS PAC ID: 1759554264 Enrollment ID: I20111028000194 |
| Provider Name | Lapman Lun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578529749 PECOS PAC ID: 8628242351 Enrollment ID: I20111115000678 |
| Provider Name | Jennifer S Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679809925 PECOS PAC ID: 4688848328 Enrollment ID: I20111115000757 |
| Provider Name | Anne M Chicorelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922339308 PECOS PAC ID: 5092980060 Enrollment ID: I20111203000049 |
| Provider Name | Gene A Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679539845 PECOS PAC ID: 4688840671 Enrollment ID: I20111221000490 |
| Provider Name | William Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811997679 PECOS PAC ID: 7618144973 Enrollment ID: I20120127000272 |
| Provider Name | Christopher Przybycin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073730248 PECOS PAC ID: 1951495084 Enrollment ID: I20120402000155 |
| Provider Name | Lindy Paradise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215155890 PECOS PAC ID: 8426029190 Enrollment ID: I20120417000405 |
| Provider Name | Lauren S Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720252604 PECOS PAC ID: 1850569930 Enrollment ID: I20120620000459 |
| Provider Name | Elizabeth Russ |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942415260 PECOS PAC ID: 3375713910 Enrollment ID: I20120621000501 |
| Provider Name | Gregory L Harkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396933222 PECOS PAC ID: 1658536503 Enrollment ID: I20120627000760 |
| Provider Name | Joseph T Azok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174747042 PECOS PAC ID: 7618153693 Enrollment ID: I20120703000639 |
| Provider Name | James E Lapinski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730346875 PECOS PAC ID: 5092970673 Enrollment ID: I20120705000195 |
| Provider Name | Rekha N Mody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821208398 PECOS PAC ID: 9133398720 Enrollment ID: I20120706000313 |
| Provider Name | Nicholas B Marcanthony |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194998302 PECOS PAC ID: 4981860137 Enrollment ID: I20120717000113 |
| Provider Name | Ilyssa O Gordon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144583204 PECOS PAC ID: 2466618574 Enrollment ID: I20120718000058 |
| Provider Name | Peter Wk Eyler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669529558 PECOS PAC ID: 6800074782 Enrollment ID: I20120723000794 |
| Provider Name | Deidre R Neyhart Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205127743 PECOS PAC ID: 8729244306 Enrollment ID: I20120726000055 |
| Provider Name | Sami M Fakir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538130265 PECOS PAC ID: 6608893573 Enrollment ID: I20120727000637 |
| Provider Name | Ari Wiesen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780851444 PECOS PAC ID: 1153593421 Enrollment ID: I20120806000127 |
| Provider Name | Davendra Pratap Singh Sohal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083877914 PECOS PAC ID: 9234385246 Enrollment ID: I20120807000754 |
| Provider Name | Volodymyr Statsevych |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295900611 PECOS PAC ID: 2264688159 Enrollment ID: I20120808000729 |
| Provider Name | Daniel M Roesel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427257716 PECOS PAC ID: 5496901381 Enrollment ID: I20120808000785 |
| Provider Name | Kathleen D Boyle |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285821744 PECOS PAC ID: 1355597972 Enrollment ID: I20120813000782 |
| Provider Name | Mary E Margocs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942538863 PECOS PAC ID: 1355598244 Enrollment ID: I20120828000845 |
| Provider Name | Sarah Louise Lott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821249178 PECOS PAC ID: 1456543198 Enrollment ID: I20120830000706 |
| Provider Name | Jordan L Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710115993 PECOS PAC ID: 9032367545 Enrollment ID: I20120906000906 |
| Provider Name | Jesse K Mckenney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881784379 PECOS PAC ID: 9537050406 Enrollment ID: I20120918000293 |
| Provider Name | Jacalyn A Brace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467645051 PECOS PAC ID: 3072602960 Enrollment ID: I20120928000124 |
| Provider Name | David W Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619167269 PECOS PAC ID: 6507939105 Enrollment ID: I20121003000813 |
| Provider Name | Raja Shaheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622367 PECOS PAC ID: 5991771750 Enrollment ID: I20121005000632 |
| Provider Name | Carrie E Kreuer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275748865 PECOS PAC ID: 3971752957 Enrollment ID: I20121008000295 |
| Provider Name | Gamaliel Rodriguez Herrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396727491 PECOS PAC ID: 0941277081 Enrollment ID: I20121008000306 |
| Provider Name | Manoj G Massand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235182106 PECOS PAC ID: 4284678426 Enrollment ID: I20121008000341 |
| Provider Name | Dewanda L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651721 PECOS PAC ID: 0749430031 Enrollment ID: I20121023000067 |
| Provider Name | Caroline A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235484270 PECOS PAC ID: 1951551142 Enrollment ID: I20121024000624 |
| Provider Name | David P Dalzell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881608271 PECOS PAC ID: 0547253338 Enrollment ID: I20121107000456 |
| Provider Name | Richelle R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144589318 PECOS PAC ID: 9133371792 Enrollment ID: I20121205000057 |
| Provider Name | Aimee M Larouere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861744658 PECOS PAC ID: 6406008762 Enrollment ID: I20121212000564 |
| Provider Name | Charles Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275722977 PECOS PAC ID: 6002946399 Enrollment ID: I20130221000467 |
| Provider Name | Thomas L Vesy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578563359 PECOS PAC ID: 8022263607 Enrollment ID: I20130305000404 |
| Provider Name | Barry Mcnulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912907767 PECOS PAC ID: 3476642695 Enrollment ID: I20130322000220 |
| Provider Name | Robin R Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629312392 PECOS PAC ID: 0244476588 Enrollment ID: I20130411000433 |
| Provider Name | Kelly L Mordock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851639710 PECOS PAC ID: 6204073216 Enrollment ID: I20130511000071 |
| Provider Name | Chirag Sudhir Shah |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144429614 PECOS PAC ID: 6204082639 Enrollment ID: I20130516000703 |
| Provider Name | Himabindu Mikkilineni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780837526 PECOS PAC ID: 6901043561 Enrollment ID: I20130520000292 |
| Provider Name | Sheen Cherian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821367574 PECOS PAC ID: 7517105026 Enrollment ID: I20130522000549 |
| Provider Name | Olaronke Oshilaja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740438795 PECOS PAC ID: 4183864697 Enrollment ID: I20130705000224 |
| Provider Name | Dustin Thompson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871807214 PECOS PAC ID: 1759521651 Enrollment ID: I20130716000824 |
| Provider Name | Daniel J Gorman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639360928 PECOS PAC ID: 0840431748 Enrollment ID: I20130718000277 |
| Provider Name | Patrick H Collier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235411190 PECOS PAC ID: 0648411389 Enrollment ID: I20130723000807 |
| Provider Name | Amy H Mckenney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972693463 PECOS PAC ID: 0547249492 Enrollment ID: I20130724000399 |
| Provider Name | Brooke Lampl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790993707 PECOS PAC ID: 6507930401 Enrollment ID: I20130724000955 |
| Provider Name | Megan O Nakashima |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790983393 PECOS PAC ID: 1759522196 Enrollment ID: I20130726000337 |
| Provider Name | Lanea M M Keller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477714541 PECOS PAC ID: 6406097807 Enrollment ID: I20130727000207 |
| Provider Name | Sanjay M Mukhopadhyay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174538987 PECOS PAC ID: 2961406004 Enrollment ID: I20130729001033 |
| Provider Name | William G Finn |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1548609373 PECOS PAC ID: 8123260163 Enrollment ID: I20130805000186 |
| Provider Name | Rony Sayegh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518000116 PECOS PAC ID: 5092986844 Enrollment ID: I20130805000905 |
| Provider Name | Andrei S Purysko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508099094 PECOS PAC ID: 0840432688 Enrollment ID: I20130807000916 |
| Provider Name | Kimberly S Monteith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699955302 PECOS PAC ID: 2567603053 Enrollment ID: I20130826000642 |
| Provider Name | Jason K Lempel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760640536 PECOS PAC ID: 7113173592 Enrollment ID: I20130828000140 |
| Provider Name | Dominique B Caovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245437623 PECOS PAC ID: 0941466718 Enrollment ID: I20130828000228 |
| Provider Name | Sudha R Amarnath |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932366267 PECOS PAC ID: 4688818305 Enrollment ID: I20130919000601 |
| Provider Name | Allison L Pullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003242546 PECOS PAC ID: 4789818899 Enrollment ID: I20131003000241 |
| Provider Name | Lindsey A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386086346 PECOS PAC ID: 8729212667 Enrollment ID: I20131009001154 |
| Provider Name | Jillian S Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144669144 PECOS PAC ID: 6507090198 Enrollment ID: I20131015000884 |
| Provider Name | Julie A Callow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497183289 PECOS PAC ID: 8022243088 Enrollment ID: I20131028001910 |
| Provider Name | Sarah L Ondrejka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346415684 PECOS PAC ID: 3173758836 Enrollment ID: I20131105000902 |
| Provider Name | Melissa A Seifried |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376856583 PECOS PAC ID: 2062647563 Enrollment ID: I20131107001529 |
| Provider Name | Melissa L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697683 PECOS PAC ID: 7012142524 Enrollment ID: I20131108000180 |
| Provider Name | Alison J Dusz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790111227 PECOS PAC ID: 9638305162 Enrollment ID: I20131111001573 |
| Provider Name | Chitra C Ganta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528373321 PECOS PAC ID: 6608002977 Enrollment ID: I20131114000583 |
| Provider Name | John David Wylie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457561912 PECOS PAC ID: 0648439760 Enrollment ID: I20131203001063 |
| Provider Name | Michael Cruise |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922201722 PECOS PAC ID: 8022262310 Enrollment ID: I20140114001080 |
| Provider Name | Judith Nelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720068356 PECOS PAC ID: 5799814687 Enrollment ID: I20140121000301 |
| Provider Name | Jeanine Rae Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356776975 PECOS PAC ID: 8820227259 Enrollment ID: I20140206000702 |
| Provider Name | Melinda J Harpster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538436407 PECOS PAC ID: 4082844360 Enrollment ID: I20140306000969 |
| Provider Name | Andegoni M Sandalakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457776544 PECOS PAC ID: 9436380607 Enrollment ID: I20140401001890 |
| Provider Name | Rukmini R Komarlu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023323532 PECOS PAC ID: 7911183405 Enrollment ID: I20140428001079 |
| Provider Name | Gayathri Sreedher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184938748 PECOS PAC ID: 2163609769 Enrollment ID: I20140515001312 |
| Provider Name | Kathryn S Dyhdalo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225271257 PECOS PAC ID: 5597989301 Enrollment ID: I20140618001189 |
| Provider Name | Leal C Herlitz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952572141 PECOS PAC ID: 8729147970 Enrollment ID: I20140715001377 |
| Provider Name | Christopher B Bursley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588941710 PECOS PAC ID: 6204053804 Enrollment ID: I20140805001905 |
| Provider Name | Allison K Person |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588839039 PECOS PAC ID: 4789801291 Enrollment ID: I20140806002681 |
| Provider Name | Ajit Goenka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578844379 PECOS PAC ID: 4688891989 Enrollment ID: I20140811001159 |
| Provider Name | Ravi Guttikonda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609028109 PECOS PAC ID: 0547487720 Enrollment ID: I20140812001177 |
| Provider Name | Kenneth A Mayuga |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366617862 PECOS PAC ID: 6002033081 Enrollment ID: I20140814002639 |
| Provider Name | Courtney B Gravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467766261 PECOS PAC ID: 8729205653 Enrollment ID: I20140815001806 |
| Provider Name | Laura H Dean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912174954 PECOS PAC ID: 7911124771 Enrollment ID: I20140819001031 |
| Provider Name | Pratibha Pr Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205095957 PECOS PAC ID: 4789802513 Enrollment ID: I20140820001031 |
| Provider Name | Naz Mariam Hershberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811943 PECOS PAC ID: 0749409217 Enrollment ID: I20140915002642 |
| Provider Name | Denise L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003215427 PECOS PAC ID: 9931328143 Enrollment ID: I20140922001173 |
| Provider Name | Michelle L Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447669601 PECOS PAC ID: 2668692955 Enrollment ID: I20141009000248 |
| Provider Name | Amy L Zitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013317809 PECOS PAC ID: 2062633860 Enrollment ID: I20141020002689 |
| Provider Name | John H Strong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740353549 PECOS PAC ID: 6406092014 Enrollment ID: I20141030000625 |
| Provider Name | Robert S Mayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417356221 PECOS PAC ID: 7517189780 Enrollment ID: I20141104001611 |
| Provider Name | Michael R Aquino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467616391 PECOS PAC ID: 5395967327 Enrollment ID: I20141106002238 |
| Provider Name | Kristin Ricci |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710150297 PECOS PAC ID: 7618199530 Enrollment ID: I20141110001174 |
| Provider Name | Sarah Grabowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336386945 PECOS PAC ID: 7517189103 Enrollment ID: I20141114002251 |
| Provider Name | Samantha L Brigotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558761692 PECOS PAC ID: 2860614187 Enrollment ID: I20141120001658 |
| Provider Name | Erika E Doxtader |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023255064 PECOS PAC ID: 2264582766 Enrollment ID: I20141216002568 |
| Provider Name | Monique N Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689076762 PECOS PAC ID: 5496079444 Enrollment ID: I20150121002076 |
| Provider Name | Jessica Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689071748 PECOS PAC ID: 8921325358 Enrollment ID: I20150324002397 |
| Provider Name | Tim Ivan Moomaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386035954 PECOS PAC ID: 6103144597 Enrollment ID: I20150415000918 |
| Provider Name | Jason Latif Lane |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972815058 PECOS PAC ID: 8022337062 Enrollment ID: I20150424001429 |
| Provider Name | Michael M Ghobrial |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669727582 PECOS PAC ID: 2466772454 Enrollment ID: I20150514001197 |
| Provider Name | Ram K.r. Gurajala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841545233 PECOS PAC ID: 1557682630 Enrollment ID: I20150601002049 |
| Provider Name | Bradley Gans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700011582 PECOS PAC ID: 5799926333 Enrollment ID: I20150617003090 |
| Provider Name | Norman H Kumins |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841266756 PECOS PAC ID: 6406741008 Enrollment ID: I20150715002211 |
| Provider Name | Matthew Robertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588825434 PECOS PAC ID: 0042523136 Enrollment ID: I20150717002721 |
| Provider Name | Sarah C Stock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558504555 PECOS PAC ID: 0345554507 Enrollment ID: I20150731015192 |
| Provider Name | Xiaoyi Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154644383 PECOS PAC ID: 8123332046 Enrollment ID: I20150805007120 |
| Provider Name | Andrew Mahoney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841428018 PECOS PAC ID: 9133433998 Enrollment ID: I20150806012422 |
| Provider Name | Christine L Jellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790126688 PECOS PAC ID: 9335454461 Enrollment ID: I20150818004726 |
| Provider Name | Peter Sou Cheng Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164571048 PECOS PAC ID: 5991896995 Enrollment ID: I20150819009520 |
| Provider Name | Scott Andrew Robertson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902195977 PECOS PAC ID: 2264683853 Enrollment ID: I20150827001078 |
| Provider Name | Nicole A Krivos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780068296 PECOS PAC ID: 4789991662 Enrollment ID: I20150910001199 |
| Provider Name | Sana Hasan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003071416 PECOS PAC ID: 9436374311 Enrollment ID: I20150916001211 |
| Provider Name | Daniel S Kassavin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144428103 PECOS PAC ID: 5395971162 Enrollment ID: I20150925000399 |
| Provider Name | Gabrielle A Yeaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669645396 PECOS PAC ID: 8729141247 Enrollment ID: I20150928000150 |
| Provider Name | Jennifer S Ko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073836193 PECOS PAC ID: 4688982556 Enrollment ID: I20150928000741 |
| Provider Name | Chelsea J Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477939783 PECOS PAC ID: 0143530733 Enrollment ID: I20151111001456 |
| Provider Name | Jaclyn M Peddle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679909303 PECOS PAC ID: 2860620242 Enrollment ID: I20160202002407 |
| Provider Name | Diana I Linder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609292580 PECOS PAC ID: 0244534659 Enrollment ID: I20160205000154 |
| Provider Name | Brittany N Baloun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709547 PECOS PAC ID: 5698070217 Enrollment ID: I20160219000699 |
| Provider Name | Jorge E Corso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235314329 PECOS PAC ID: 3375684855 Enrollment ID: I20160601002411 |
| Provider Name | Julie A Ritner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770606790 PECOS PAC ID: 1951402726 Enrollment ID: I20160719000974 |
| Provider Name | Tatiana N Buhtoiarova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447542006 PECOS PAC ID: 5698068369 Enrollment ID: I20160719001374 |
| Provider Name | Fangbai Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790074524 PECOS PAC ID: 3476846601 Enrollment ID: I20160726002617 |
| Provider Name | Daniel D Rhoads |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386033561 PECOS PAC ID: 9234422197 Enrollment ID: I20160729001285 |
| Provider Name | Jonathan K Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790003994 PECOS PAC ID: 8729220371 Enrollment ID: I20160803002123 |
| Provider Name | Neil Mciver Woody |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891085809 PECOS PAC ID: 3779884390 Enrollment ID: I20160803002347 |
| Provider Name | Kenneth A Friedman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922358068 PECOS PAC ID: 6709003841 Enrollment ID: I20160803003097 |
| Provider Name | Matthew Coleman Rainey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154463990 PECOS PAC ID: 1456592948 Enrollment ID: I20160809002597 |
| Provider Name | Serge Charbel Harb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841502267 PECOS PAC ID: 2163732454 Enrollment ID: I20160810002445 |
| Provider Name | Christopher Karakasis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538321880 PECOS PAC ID: 9739403346 Enrollment ID: I20160811000295 |
| Provider Name | Tracey R Mehlman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245499938 PECOS PAC ID: 2466674494 Enrollment ID: I20160816000866 |
| Provider Name | Jennifer P Montgomery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013145283 PECOS PAC ID: 4880813518 Enrollment ID: I20160824000807 |
| Provider Name | Ayman Hussein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326202433 PECOS PAC ID: 8921394594 Enrollment ID: I20160907002668 |
| Provider Name | Michael A Weller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154616183 PECOS PAC ID: 8426350885 Enrollment ID: I20160914002847 |
| Provider Name | Gloria Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326302597 PECOS PAC ID: 6002103009 Enrollment ID: I20160919001939 |
| Provider Name | Mouin Abdallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063498780 PECOS PAC ID: 0345286357 Enrollment ID: I20160923001885 |
| Provider Name | Sean S Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235593054 PECOS PAC ID: 0840588711 Enrollment ID: I20161007001606 |
| Provider Name | Akeesha A Shah |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013231588 PECOS PAC ID: 8527295872 Enrollment ID: I20161010002272 |
| Provider Name | Scott E Kilpatrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356317846 PECOS PAC ID: 4284738725 Enrollment ID: I20161012002498 |
| Provider Name | Jonathan Peter King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218785 PECOS PAC ID: 7214225895 Enrollment ID: I20161013002661 |
| Provider Name | Jacob G Scott |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679734370 PECOS PAC ID: 8527372481 Enrollment ID: I20161019001019 |
| Provider Name | Erica C Savage |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215253273 PECOS PAC ID: 1456594472 Enrollment ID: I20161026003182 |
| Provider Name | Kathy J Praisler-wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894214 PECOS PAC ID: 1759669617 Enrollment ID: I20161027000432 |
| Provider Name | Shankar Ganapathy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588646574 PECOS PAC ID: 3870688062 Enrollment ID: I20161027000780 |
| Provider Name | Maria Luisa C Policarpio Nicolas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245253368 PECOS PAC ID: 1052317336 Enrollment ID: I20161027002521 |
| Provider Name | Chete M Eze Nliam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396967485 PECOS PAC ID: 8527106590 Enrollment ID: I20161103001695 |
| Provider Name | Carrie A Schwemley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154778843 PECOS PAC ID: 7618255183 Enrollment ID: I20161103001932 |
| Provider Name | Ekaterina A Kholyavka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487109724 PECOS PAC ID: 0749569861 Enrollment ID: I20161114000876 |
| Provider Name | Joycelin F Canavan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366852824 PECOS PAC ID: 4385860196 Enrollment ID: I20161209002086 |
| Provider Name | Rebekah L Stutzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216335 PECOS PAC ID: 2264713882 Enrollment ID: I20161219002569 |
| Provider Name | Erinn P Downs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184899189 PECOS PAC ID: 8224109756 Enrollment ID: I20170105000859 |
| Provider Name | Mark A Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780650309 PECOS PAC ID: 5092613554 Enrollment ID: I20170109001676 |
| Provider Name | Paul C Cremer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053516583 PECOS PAC ID: 6406988963 Enrollment ID: I20170201002122 |
| Provider Name | Niki Virginia Smiley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437698743 PECOS PAC ID: 0749566933 Enrollment ID: I20170425001377 |
| Provider Name | Samantha S Range |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982136487 PECOS PAC ID: 7810274396 Enrollment ID: I20170510002342 |
| Provider Name | Jesse J Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396286506 PECOS PAC ID: 0042587230 Enrollment ID: I20170518000354 |
| Provider Name | Ivan James Stojanov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205275153 PECOS PAC ID: 7517234131 Enrollment ID: I20170601000977 |
| Provider Name | Mohamed Khayata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609294602 PECOS PAC ID: 5294058418 Enrollment ID: I20170606001393 |
| Provider Name | Nariman A Halabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871722942 PECOS PAC ID: 3173747623 Enrollment ID: I20170614002195 |
| Provider Name | Kristin Erin Kavanagh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1477832079 PECOS PAC ID: 2163714346 Enrollment ID: I20170620000302 |
| Provider Name | Jenny Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609164722 PECOS PAC ID: 3678842846 Enrollment ID: I20170630001695 |
| Provider Name | Jessica M Costa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003251935 PECOS PAC ID: 5698044717 Enrollment ID: I20170705003436 |
| Provider Name | Roy Miler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992071161 PECOS PAC ID: 3678842796 Enrollment ID: I20170705003509 |
| Provider Name | Douglas Nachand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639435985 PECOS PAC ID: 1052612207 Enrollment ID: I20170725000277 |
| Provider Name | Kavita M Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649558248 PECOS PAC ID: 6002115607 Enrollment ID: I20170727003010 |
| Provider Name | Ariana L Fiorita |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891215992 PECOS PAC ID: 3678844859 Enrollment ID: I20170807001267 |
| Provider Name | Cynthia J Mason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912235086 PECOS PAC ID: 9234400045 Enrollment ID: I20170811001362 |
| Provider Name | Camila P Purysko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164863791 PECOS PAC ID: 7113299579 Enrollment ID: I20170818002177 |
| Provider Name | Jaclyn G Oliver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043662927 PECOS PAC ID: 9830482785 Enrollment ID: I20170825001238 |
| Provider Name | Fatima T Hamadeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548569296 PECOS PAC ID: 8527331396 Enrollment ID: I20170830002817 |
| Provider Name | John D Reith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316974009 PECOS PAC ID: 7719010586 Enrollment ID: I20170914002736 |
| Provider Name | Allan Chiunda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508123985 PECOS PAC ID: 0648410233 Enrollment ID: I20170914003229 |
| Provider Name | Amy N Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821512054 PECOS PAC ID: 6103190574 Enrollment ID: I20170922003153 |
| Provider Name | Melissa M Rutti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821526922 PECOS PAC ID: 8123393857 Enrollment ID: I20171005003611 |
| Provider Name | Julie A Podlogar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619496486 PECOS PAC ID: 9931474368 Enrollment ID: I20171010003247 |
| Provider Name | Renee L Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720502719 PECOS PAC ID: 9032485461 Enrollment ID: I20171030001805 |
| Provider Name | Emily J Kopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659882157 PECOS PAC ID: 4082970603 Enrollment ID: I20171114001757 |
| Provider Name | Joseph R Gainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407365828 PECOS PAC ID: 1951668540 Enrollment ID: I20171207000662 |
| Provider Name | Thomas Jeffrey Foraker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992237630 PECOS PAC ID: 0446519433 Enrollment ID: I20180119002435 |
| Provider Name | Christy L Haagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124342597 PECOS PAC ID: 5597944827 Enrollment ID: I20180126002026 |
| Provider Name | Pamela S Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841693116 PECOS PAC ID: 9739449307 Enrollment ID: I20180131001399 |
| Provider Name | Jesse T Schwanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730693375 PECOS PAC ID: 4789946443 Enrollment ID: I20180319000619 |
| Provider Name | Robert M Amory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013910116 PECOS PAC ID: 8426017435 Enrollment ID: I20180321001967 |
| Provider Name | Kaleigh N Benz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407362742 PECOS PAC ID: 9133481641 Enrollment ID: I20180321002004 |
| Provider Name | Andrea M Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740724509 PECOS PAC ID: 1153685060 Enrollment ID: I20180501000721 |
| Provider Name | Fouzeyah A H Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114319068 PECOS PAC ID: 7012272198 Enrollment ID: I20180518001457 |
| Provider Name | Faysal F Altahawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356607949 PECOS PAC ID: 1658640214 Enrollment ID: I20180521002602 |
| Provider Name | Sunpreet Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609165042 PECOS PAC ID: 9133438591 Enrollment ID: I20180614002777 |
| Provider Name | Bo Xu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568812519 PECOS PAC ID: 8820343387 Enrollment ID: I20180625001537 |
| Provider Name | Nathan Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184114787 PECOS PAC ID: 3577819812 Enrollment ID: I20180628003281 |
| Provider Name | Po-hao Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386907244 PECOS PAC ID: 5294004370 Enrollment ID: I20180702002908 |
| Provider Name | Eric Chatal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015085 PECOS PAC ID: 5799031670 Enrollment ID: I20180706002029 |
| Provider Name | Katryana Hanley-knutson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760829584 PECOS PAC ID: 0840511754 Enrollment ID: I20180710001555 |
| Provider Name | Ehsan Hussain Balagamwala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710229117 PECOS PAC ID: 9537461850 Enrollment ID: I20180718003366 |
| Provider Name | Matthew J Poturalski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821364399 PECOS PAC ID: 3678862547 Enrollment ID: I20180724000301 |
| Provider Name | Jane K Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649614058 PECOS PAC ID: 8325274145 Enrollment ID: I20180724002178 |
| Provider Name | Zareema Mangaru |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457794026 PECOS PAC ID: 2860749686 Enrollment ID: I20180724003245 |
| Provider Name | David Mihal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538412812 PECOS PAC ID: 3971745027 Enrollment ID: I20180731003553 |
| Provider Name | Daniel Roberts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598182966 PECOS PAC ID: 3274802251 Enrollment ID: I20180821001962 |
| Provider Name | Kelly R Effner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811483092 PECOS PAC ID: 2961751151 Enrollment ID: I20180821003647 |
| Provider Name | Amy Suzanne Joehlin-price |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407112824 PECOS PAC ID: 7315186319 Enrollment ID: I20180828002174 |
| Provider Name | Pooja Renjen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891844700 PECOS PAC ID: 9830215003 Enrollment ID: I20180829002221 |
| Provider Name | Jamie L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356848659 PECOS PAC ID: 5496005712 Enrollment ID: I20180907001529 |
| Provider Name | Paresh Mahajan |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1205864766 PECOS PAC ID: 9032240726 Enrollment ID: I20180918004121 |
| Provider Name | Amanda J Jogerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431018 PECOS PAC ID: 9436400199 Enrollment ID: I20180919004193 |
| Provider Name | Nishi Jani Rajguru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821577669 PECOS PAC ID: 6406107721 Enrollment ID: I20180926001987 |
| Provider Name | Sara E Wiswell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194142265 PECOS PAC ID: 6103148952 Enrollment ID: I20181003001614 |
| Provider Name | Lisa M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942784814 PECOS PAC ID: 5799038840 Enrollment ID: I20181019001081 |
| Provider Name | David Swope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831431253 PECOS PAC ID: 4082967104 Enrollment ID: I20181101002632 |
| Provider Name | Andrew Christopher Schreiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477896744 PECOS PAC ID: 1850527730 Enrollment ID: I20181204001385 |
| Provider Name | Elizabeth Mae Azzato |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609161306 PECOS PAC ID: 3173867090 Enrollment ID: I20181204002531 |
| Provider Name | Albair William Guirguis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649658410 PECOS PAC ID: 6608141718 Enrollment ID: I20181205003285 |
| Provider Name | Rosa Ann Cleaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508377 PECOS PAC ID: 8527304252 Enrollment ID: I20190116002656 |
| Provider Name | Jessie Lenora Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013401173 PECOS PAC ID: 4981950961 Enrollment ID: I20190125002841 |
| Provider Name | Shaoxiong Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457670408 PECOS PAC ID: 6103043419 Enrollment ID: I20190208002999 |
| Provider Name | Katherine L Stell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406533 PECOS PAC ID: 9234478793 Enrollment ID: I20190227001092 |
| Provider Name | Xuefeng Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992144935 PECOS PAC ID: 3779726740 Enrollment ID: I20190329001438 |
| Provider Name | Douglas J Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639436900 PECOS PAC ID: 8921303074 Enrollment ID: I20190530002500 |
| Provider Name | Christopher Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679877278 PECOS PAC ID: 9537476858 Enrollment ID: I20190605003291 |
| Provider Name | Clinton E Davidson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255651642 PECOS PAC ID: 7719299312 Enrollment ID: I20190621000970 |
| Provider Name | Sameer Devchandbhai Gadani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013110477 PECOS PAC ID: 4789746280 Enrollment ID: I20190624000053 |
| Provider Name | Amar C Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528407467 PECOS PAC ID: 2961766191 Enrollment ID: I20190626001079 |
| Provider Name | Nicole Renee Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252187 PECOS PAC ID: 2062746811 Enrollment ID: I20190627001424 |
| Provider Name | Abed Al-hamid Ghandour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518373034 PECOS PAC ID: 7214226018 Enrollment ID: I20190716001697 |
| Provider Name | Ingrid Jingnan Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316266349 PECOS PAC ID: 8820377740 Enrollment ID: I20190717000425 |
| Provider Name | Carolina S Carcano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538562277 PECOS PAC ID: 4880959212 Enrollment ID: I20190719000151 |
| Provider Name | Marko Golusin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295178838 PECOS PAC ID: 5597015289 Enrollment ID: I20190719001616 |
| Provider Name | D Alexander Paratore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942643002 PECOS PAC ID: 5395035067 Enrollment ID: I20190725002350 |
| Provider Name | Hossam K Ahmed Saad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952446486 PECOS PAC ID: 2466793989 Enrollment ID: I20190725003290 |
| Provider Name | Furquan Baqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891109450 PECOS PAC ID: 3476889452 Enrollment ID: I20190729003129 |
| Provider Name | Sasan Partovi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093159006 PECOS PAC ID: 1850694530 Enrollment ID: I20190731002754 |
| Provider Name | Scott Mark Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841557279 PECOS PAC ID: 5193962975 Enrollment ID: I20190805001428 |
| Provider Name | Avi Beck |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073778320 PECOS PAC ID: 0648455691 Enrollment ID: I20190808003726 |
| Provider Name | Clifton G Fulmer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558756965 PECOS PAC ID: 7214264514 Enrollment ID: I20190808003737 |
| Provider Name | Collin Hull |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487064945 PECOS PAC ID: 2062755119 Enrollment ID: I20190812001532 |
| Provider Name | Deborah De Anne Brahee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528126109 PECOS PAC ID: 9335476480 Enrollment ID: I20190812002895 |
| Provider Name | Emmanuel Obusez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467712125 PECOS PAC ID: 1355628934 Enrollment ID: I20190814003413 |
| Provider Name | Yasmin Mekhail |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912340878 PECOS PAC ID: 7113276338 Enrollment ID: I20190814004076 |
| Provider Name | Stephanie Broome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346801768 PECOS PAC ID: 1850629551 Enrollment ID: I20190819004079 |
| Provider Name | Mobeen Rahman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912342874 PECOS PAC ID: 2264760156 Enrollment ID: I20190830001636 |
| Provider Name | Jessica Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548814692 PECOS PAC ID: 3678803632 Enrollment ID: I20190918001672 |
| Provider Name | Daniel Anthony Blaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881786879 PECOS PAC ID: 3971833658 Enrollment ID: I20190923002343 |
| Provider Name | Corey Austin Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174185250 PECOS PAC ID: 4981934510 Enrollment ID: I20190925001656 |
| Provider Name | Brendan Marshall Mccleary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518200518 PECOS PAC ID: 9335371996 Enrollment ID: I20191022002552 |
| Provider Name | Justin Michael Ream |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336392810 PECOS PAC ID: 2466677984 Enrollment ID: I20191024003046 |
| Provider Name | Jawad Khalaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982825 PECOS PAC ID: 8022441047 Enrollment ID: I20191205001817 |
| Provider Name | Ashley Szegedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265076665 PECOS PAC ID: 1153758313 Enrollment ID: I20200227001898 |
| Provider Name | Jeffrey Scott Pendlebury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811481732 PECOS PAC ID: 2567890064 Enrollment ID: I20200316002542 |
| Provider Name | Courtney L Plotts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366081028 PECOS PAC ID: 2264860766 Enrollment ID: I20200316002706 |
| Provider Name | Megan A Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931653 PECOS PAC ID: 5698105872 Enrollment ID: I20200501000702 |
| Provider Name | Genevieve Crane |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982833257 PECOS PAC ID: 7416108279 Enrollment ID: I20200522002406 |
| Provider Name | Bryan J Bonder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063705150 PECOS PAC ID: 7416267612 Enrollment ID: I20200529002887 |
| Provider Name | Sean Gallagher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891180329 PECOS PAC ID: 5890009716 Enrollment ID: I20200601001572 |
| Provider Name | Wadad Sami Mneimneh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053611293 PECOS PAC ID: 7214156520 Enrollment ID: I20200609001736 |
| Provider Name | Sean Williamson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386805489 PECOS PAC ID: 9537303219 Enrollment ID: I20200609002100 |
| Provider Name | Alexandria N Drouhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841810884 PECOS PAC ID: 8820410285 Enrollment ID: I20200612001725 |
| Provider Name | Xiangrong He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255697470 PECOS PAC ID: 7315293016 Enrollment ID: I20200615002025 |
| Provider Name | Stephanie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387231 PECOS PAC ID: 5597187682 Enrollment ID: I20200618000864 |
| Provider Name | Maxime Freire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396918017 PECOS PAC ID: 9234323916 Enrollment ID: I20200619001689 |
| Provider Name | Jonathan M Youngner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770878654 PECOS PAC ID: 9739461559 Enrollment ID: I20200623002657 |
| Provider Name | Aamer Chughtai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215017199 PECOS PAC ID: 0547218604 Enrollment ID: I20200702002357 |
| Provider Name | Shaomin Hu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255719985 PECOS PAC ID: 2163761099 Enrollment ID: I20200723001507 |
| Provider Name | Chintan Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962745695 PECOS PAC ID: 0840507398 Enrollment ID: I20200724000823 |
| Provider Name | Kelsey E Mchugh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881013449 PECOS PAC ID: 4587089164 Enrollment ID: I20200729002761 |
| Provider Name | Mckenna Van Rafelghem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336766195 PECOS PAC ID: 5991120016 Enrollment ID: I20200806003088 |
| Provider Name | Renuka Malenie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457730483 PECOS PAC ID: 1850680844 Enrollment ID: I20200811003654 |
| Provider Name | Shira Ronen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740664358 PECOS PAC ID: 0345667135 Enrollment ID: I20200825001286 |
| Provider Name | Ryan Ward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326466640 PECOS PAC ID: 0042436099 Enrollment ID: I20200825002376 |
| Provider Name | Matthew Paul Kiczek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467794446 PECOS PAC ID: 8123257557 Enrollment ID: I20200825003003 |
| Provider Name | Raza Hoda |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972982890 PECOS PAC ID: 5092022343 Enrollment ID: I20200825003019 |
| Provider Name | Mohamed Imad Abdien El Hag |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407147168 PECOS PAC ID: 2163726308 Enrollment ID: I20200826002285 |
| Provider Name | Shiby Paul |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669869350 PECOS PAC ID: 9335566405 Enrollment ID: I20200903001983 |
| Provider Name | Patrick Mcintire |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164801312 PECOS PAC ID: 2961820923 Enrollment ID: I20200908003182 |
| Provider Name | Vincent Cracolici |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932589009 PECOS PAC ID: 8123320900 Enrollment ID: I20200908003453 |
| Provider Name | Serine Baydoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700133105 PECOS PAC ID: 0143462226 Enrollment ID: I20200911002504 |
| Provider Name | Tayesha Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417573098 PECOS PAC ID: 9335568245 Enrollment ID: I20200925002362 |
| Provider Name | Andrea Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588290456 PECOS PAC ID: 8426477266 Enrollment ID: I20200929001312 |
| Provider Name | Maeve Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396088407 PECOS PAC ID: 9335418383 Enrollment ID: I20201012001669 |
| Provider Name | Josephine Kam Tai Dermawan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699137000 PECOS PAC ID: 1254639669 Enrollment ID: I20201019003142 |
| Provider Name | Karen Fritchie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063625275 PECOS PAC ID: 3870632391 Enrollment ID: I20201229000168 |
| Provider Name | Ashley Tannhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386265379 PECOS PAC ID: 9739592072 Enrollment ID: I20210106001566 |
| Provider Name | Karuna Garg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366603672 PECOS PAC ID: 3476628132 Enrollment ID: I20210115000425 |
| Provider Name | Jonathon David Kent Weber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538541164 PECOS PAC ID: 8325347065 Enrollment ID: I20210120003165 |
| Provider Name | Sherri Flax |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962598854 PECOS PAC ID: 6103891718 Enrollment ID: I20210122001591 |
| Provider Name | Joy Anna Older |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493022 PECOS PAC ID: 0840604211 Enrollment ID: I20210126001162 |
| Provider Name | Erin Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477008092 PECOS PAC ID: 3476841891 Enrollment ID: I20210205001215 |
| Provider Name | Kristen Dahlhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407444896 PECOS PAC ID: 2769897024 Enrollment ID: I20210218001175 |
| Provider Name | Alexandra J Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467058842 PECOS PAC ID: 2961818588 Enrollment ID: I20210305002064 |
| Provider Name | Jodi Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891384855 PECOS PAC ID: 6709292774 Enrollment ID: I20210317001799 |
| Provider Name | Elnora Spradling |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194040493 PECOS PAC ID: 3870808850 Enrollment ID: I20210324001472 |
| Provider Name | Danielle L Knoble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639773658 PECOS PAC ID: 6002223294 Enrollment ID: I20210406002098 |
| Provider Name | Kristen Leah Smylie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073718383 PECOS PAC ID: 6608275573 Enrollment ID: I20210525003424 |
| Provider Name | Ian Harrold |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710348602 PECOS PAC ID: 9436439064 Enrollment ID: I20210601002026 |
| Provider Name | Gloria Lewis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710132444 PECOS PAC ID: 1850678434 Enrollment ID: I20210617002580 |
| Provider Name | Natalie Banet |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245490119 PECOS PAC ID: 5991953812 Enrollment ID: I20210709002180 |
| Provider Name | Ziad Peerwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780841551 PECOS PAC ID: 2365575925 Enrollment ID: I20210715004192 |
| Provider Name | Cara R Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265025936 PECOS PAC ID: 8921400664 Enrollment ID: I20210716002011 |
| Provider Name | Hannah K Barnard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962898858 PECOS PAC ID: 6608180807 Enrollment ID: I20210716002304 |
| Provider Name | Shauna Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093169591 PECOS PAC ID: 6608168125 Enrollment ID: I20210719002276 |
| Provider Name | Alain G Rizk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851852040 PECOS PAC ID: 8921335613 Enrollment ID: I20210805003187 |
| Provider Name | Alison Krywanczyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912325788 PECOS PAC ID: 4385945443 Enrollment ID: I20210806002414 |
| Provider Name | Melisa Dottore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912579061 PECOS PAC ID: 3375948219 Enrollment ID: I20210816003007 |
| Provider Name | Emilia Calvaresi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942735238 PECOS PAC ID: 0648675447 Enrollment ID: I20210817001679 |
| Provider Name | Shweta Bhavsar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487130308 PECOS PAC ID: 8628473444 Enrollment ID: I20210817002710 |
| Provider Name | Praveen Pendyala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427402023 PECOS PAC ID: 9335544477 Enrollment ID: I20210826003626 |
| Provider Name | Jacob Sweeney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225483209 PECOS PAC ID: 4486991494 Enrollment ID: I20210831002185 |
| Provider Name | Kristen Tomaszewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144601659 PECOS PAC ID: 1456668714 Enrollment ID: I20210902001088 |
| Provider Name | Nathan Frantz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922412949 PECOS PAC ID: 4688070386 Enrollment ID: I20210903001762 |
| Provider Name | Hans Michell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124415211 PECOS PAC ID: 2567779747 Enrollment ID: I20210908000597 |
| Provider Name | Andrew Crabbe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992151880 PECOS PAC ID: 4385931187 Enrollment ID: I20210910002657 |
| Provider Name | Justin J Guan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578945432 PECOS PAC ID: 3476866856 Enrollment ID: I20210913000579 |
| Provider Name | Jessica Larae O'neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083284699 PECOS PAC ID: 2860899069 Enrollment ID: I20210929003503 |
| Provider Name | Tabitha M Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063090256 PECOS PAC ID: 6901203181 Enrollment ID: I20210930003074 |
| Provider Name | Morayma Reyes Gil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356389449 PECOS PAC ID: 3476565276 Enrollment ID: I20211006002525 |
| Provider Name | Jose M Llerena-riquelme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811940380 PECOS PAC ID: 3577541713 Enrollment ID: I20211028002995 |
| Provider Name | Dominique K James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538799325 PECOS PAC ID: 5991195331 Enrollment ID: I20211129002592 |
| Provider Name | Alyson Zurawick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215605266 PECOS PAC ID: 7719378751 Enrollment ID: I20211229001223 |
| Provider Name | Muhammad Alkaphoury |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508234667 PECOS PAC ID: 7012201544 Enrollment ID: I20220107000274 |
| Provider Name | Rebecca M Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699869420 PECOS PAC ID: 0547341257 Enrollment ID: I20220128001924 |
| Provider Name | Patrick A O'malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740861244 PECOS PAC ID: 1951794072 Enrollment ID: I20220211001336 |
| Provider Name | Alexa Lee Lamorgese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316606403 PECOS PAC ID: 4981090966 Enrollment ID: I20220330001867 |
| Provider Name | Venus Ann Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841886090 PECOS PAC ID: 8224424965 Enrollment ID: I20220406001966 |
| Provider Name | Andrew Sciallis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497945216 PECOS PAC ID: 9436217486 Enrollment ID: I20220427002545 |
| Provider Name | Nicholas Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104359132 PECOS PAC ID: 7810259322 Enrollment ID: I20220609001598 |
| Provider Name | Juan Xing |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942529326 PECOS PAC ID: 3870712599 Enrollment ID: I20220618000114 |
| Provider Name | Nadia Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801008271 PECOS PAC ID: 4284868456 Enrollment ID: I20220705002397 |
| Provider Name | Brian Arun Xavier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467984054 PECOS PAC ID: 3577835552 Enrollment ID: I20220706002987 |
| Provider Name | Reza Alaghehbandan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265177646 PECOS PAC ID: 7810377900 Enrollment ID: I20220707000786 |
| Provider Name | Samer Albahra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699118992 PECOS PAC ID: 8527467018 Enrollment ID: I20220726002770 |
| Provider Name | Jacob A Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003247982 PECOS PAC ID: 2860874088 Enrollment ID: I20220804003189 |
| Provider Name | Anna Owczarczyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821518499 PECOS PAC ID: 6507138450 Enrollment ID: I20220808001843 |
| Provider Name | David Sweet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124476213 PECOS PAC ID: 2860761665 Enrollment ID: I20220810002331 |
| Provider Name | Sara A Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992169601 PECOS PAC ID: 3577857622 Enrollment ID: I20220811003353 |
| Provider Name | Jeffrey W Arnovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740336239 PECOS PAC ID: 5496941684 Enrollment ID: I20220823003973 |
| Provider Name | Erna Forgo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538640974 PECOS PAC ID: 4688057623 Enrollment ID: I20220824000472 |
| Provider Name | Sherin Hashem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164900866 PECOS PAC ID: 2668856584 Enrollment ID: I20220826000300 |
| Provider Name | Sarah S Elsoukkary |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407389315 PECOS PAC ID: 7315284338 Enrollment ID: I20220827000452 |
| Provider Name | Nichole Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932584281 PECOS PAC ID: 3476973009 Enrollment ID: I20220829000442 |
| Provider Name | Marie Ilse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871921676 PECOS PAC ID: 4587892211 Enrollment ID: I20220914003819 |
| Provider Name | Kailin Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932631710 PECOS PAC ID: 5193098689 Enrollment ID: I20221019001500 |
| Provider Name | Michelle Moh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790027092 PECOS PAC ID: 7911262829 Enrollment ID: I20221103001376 |
| Provider Name | Hannah Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568995108 PECOS PAC ID: 9537537550 Enrollment ID: I20221123001513 |
| Provider Name | Ashwin Akki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740620798 PECOS PAC ID: 9436452232 Enrollment ID: I20221215002440 |
| Provider Name | Hanan Farghaly |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821288861 PECOS PAC ID: 6507927472 Enrollment ID: I20230109001415 |
| Provider Name | Michael Bergen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407116718 PECOS PAC ID: 0941568604 Enrollment ID: I20230130002115 |
| Provider Name | Susan Sroka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124737895 PECOS PAC ID: 0749652758 Enrollment ID: I20230220002039 |
| Provider Name | Mnahi Nayef M Binsaeedan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013489491 PECOS PAC ID: 6507104858 Enrollment ID: I20230228002179 |
| Provider Name | Emily Ann Haury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134825722 PECOS PAC ID: 8325411978 Enrollment ID: I20230301000459 |
| Provider Name | Jonathan Slack |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487226387 PECOS PAC ID: 1658759436 Enrollment ID: I20230406002168 |
| Provider Name | Lythe Albakri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912403890 PECOS PAC ID: 7315298940 Enrollment ID: I20230606002104 |
| Provider Name | Jonathan Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013413632 PECOS PAC ID: 3870856958 Enrollment ID: I20230606002128 |
| Provider Name | Conor Masterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316442205 PECOS PAC ID: 7416312228 Enrollment ID: I20230606002147 |
| Provider Name | Jeffrey James Maclean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760976955 PECOS PAC ID: 1254706013 Enrollment ID: I20230606002172 |
| Provider Name | Daniel Kevin Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952805657 PECOS PAC ID: 9739434333 Enrollment ID: I20230606003069 |
| Provider Name | Alicia M Ferguson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861980815 PECOS PAC ID: 6204187792 Enrollment ID: I20230606003228 |
| Provider Name | Kaushik Chagarlamudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851895916 PECOS PAC ID: 2264789106 Enrollment ID: I20230606003330 |
| Provider Name | Caitlin C Ilkanich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134623234 PECOS PAC ID: 5698022614 Enrollment ID: I20230607001519 |
| Provider Name | Adam R Wetzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639667934 PECOS PAC ID: 8123366804 Enrollment ID: I20230609002528 |
| Provider Name | Colin Michael Cottrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356805873 PECOS PAC ID: 6800254681 Enrollment ID: I20230627001366 |
| Provider Name | Cassandra Parrott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346680014 PECOS PAC ID: 9739448937 Enrollment ID: I20230628003309 |
| Provider Name | Zaher Otrock |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477995306 PECOS PAC ID: 5799055117 Enrollment ID: I20230629002023 |
| Provider Name | Linnan Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417385402 PECOS PAC ID: 6002242054 Enrollment ID: I20230713001744 |
| Provider Name | Kaitlyn Dragalin Wieditz Ooms |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245769678 PECOS PAC ID: 4880054063 Enrollment ID: I20230719003209 |
| Provider Name | Javed Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992742373 PECOS PAC ID: 3274502042 Enrollment ID: I20230720003130 |
| Provider Name | James Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891228078 PECOS PAC ID: 0143577494 Enrollment ID: I20230724002381 |
| Provider Name | Kelly Alexandra Bowers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831682970 PECOS PAC ID: 8921469818 Enrollment ID: I20230725000905 |
| Provider Name | Jinwhan Cha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215475132 PECOS PAC ID: 5496142283 Enrollment ID: I20230726002856 |
| Provider Name | Benjamin Leonard Fortson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063945756 PECOS PAC ID: 8820486772 Enrollment ID: I20230731000893 |
| Provider Name | Gokhan Kuyumcu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043745466 PECOS PAC ID: 7214289784 Enrollment ID: I20230801001131 |
| Provider Name | Rand Abou Shaar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942720776 PECOS PAC ID: 5092087379 Enrollment ID: I20230908000752 |
| Provider Name | Snigdha Reddy Bendaram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194201897 PECOS PAC ID: 3173987724 Enrollment ID: I20230914002356 |
| Provider Name | Marc Seligson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497244172 PECOS PAC ID: 9739434937 Enrollment ID: I20230926004361 |
| Provider Name | Rema Chaari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801922679 PECOS PAC ID: 0648445981 Enrollment ID: I20231005001938 |
| Provider Name | Christiane Hakim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346213295 PECOS PAC ID: 1153219803 Enrollment ID: I20231005002293 |
| Provider Name | Yuan Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972008241 PECOS PAC ID: 3072869023 Enrollment ID: I20231009001535 |
| Provider Name | Rohan Thakkar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114377389 PECOS PAC ID: 0143508150 Enrollment ID: I20231010004039 |
| Provider Name | Robert Soslow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184604449 PECOS PAC ID: 9234310541 Enrollment ID: I20231011000289 |
| Provider Name | Jamal Carter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164712113 PECOS PAC ID: 3577714278 Enrollment ID: I20231012001145 |
| Provider Name | Gregor Krings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831359348 PECOS PAC ID: 8224276480 Enrollment ID: I20231013002514 |
| Provider Name | Christina Dookhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518305309 PECOS PAC ID: 6800126434 Enrollment ID: I20231013002520 |
| Provider Name | Raveen Kaur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881971786 PECOS PAC ID: 9638456676 Enrollment ID: I20231018002562 |
| Provider Name | Chia-sui Kao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467771410 PECOS PAC ID: 0446474175 Enrollment ID: I20231019000444 |
| Provider Name | Abdel Kader Tahari |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1922269422 PECOS PAC ID: 4587011903 Enrollment ID: I20231107001746 |
| Provider Name | Marc Halushka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114976750 PECOS PAC ID: 3476528688 Enrollment ID: I20231108002590 |
| Provider Name | Murad Abusamra |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1598308892 PECOS PAC ID: 4082025069 Enrollment ID: I20231121002841 |
| Provider Name | Mckena Thoennes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548983513 PECOS PAC ID: 7517343825 Enrollment ID: I20231215000630 |
| Provider Name | Xiaochen Liu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023543097 PECOS PAC ID: 1052680915 Enrollment ID: I20240215002050 |
| Provider Name | Phoenix Bell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235668641 PECOS PAC ID: 0648683300 Enrollment ID: I20240305002297 |
| Provider Name | Amanda L Corniello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396188629 PECOS PAC ID: 8325289085 Enrollment ID: I20240322000706 |
| Provider Name | Matthew Del Giudice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740446582 PECOS PAC ID: 2567604176 Enrollment ID: I20240404003128 |
| Provider Name | Alexander Fenwick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265815070 PECOS PAC ID: 6800182486 Enrollment ID: I20240411003309 |
| Provider Name | Manohar Kuruva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104267525 PECOS PAC ID: 6103142740 Enrollment ID: I20240415001457 |
Family 1st Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-345-8410 Fax: 330-345-8458 | |
Paul Nielsen Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Milltown Rd, Suite 105, Wooster, OH 44691 Phone: 330-345-8060 Fax: 330-345-5983 | |
Wooster Family Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-601-0999 | |
My Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beall Ave, Wooster, OH 44691 Phone: 330-264-0247 Fax: 330-264-0463 | |
Buckeye Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3477 Commerce Parkway, Suite A, Wooster, OH 44691 Phone: 330-601-0999 Fax: 330-601-0935 | |
Wayne Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 East Milltown Road, Suite 101, Wooster, OH 44691 Phone: 330-262-1700 Fax: 330-345-8980 |