| Yakima Valley Memorial Physicians | |
|
2811 Tieton Drive Yakima WA 98902 | |
| (509) 575-8825 | |
| (509) 577-5056 |
| Full Name | Yakima Valley Memorial Physicians |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2811 Tieton Drive, Yakima, Washington |
| Authorized Official Name and Position | Kelly Williams (MANAGER, PROVIDER DATA & ENROLLMENT) |
| Authorized Official Contact | 2534598009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Valley Memorial Physicians Po Box 9787 Yakima WA 98909 Ph: (509) 574-3353 | Yakima Valley Memorial Physicians 2811 Tieton Drive Yakima WA 98902 Ph: (509) 575-8825 |
| NPI Number | 1306933940 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 1557391596 |
|---|---|
| Medicare Enrollment ID | O20050818000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306933940 | NPI | - | NPPES |
| 0025654 | Other | WA | LABOR AND INDUSTRIES |
| 7128648 | Medicaid | WA | |
| 25654 | Other | WA | LABOR AND INDUSTRIES # |
| Provider Name | James P Zingerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124049291 PECOS PAC ID: 3274447370 Enrollment ID: I20031113000431 |
| Provider Name | Tomas A Hernandez Mejia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306825021 PECOS PAC ID: 5193638823 Enrollment ID: I20031215000517 |
| Provider Name | Tekchand Tanwani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891717864 PECOS PAC ID: 2769389337 Enrollment ID: I20031216000901 |
| Provider Name | Daniel E Nadig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154343135 PECOS PAC ID: 7113824780 Enrollment ID: I20031216000911 |
| Provider Name | Palmer P Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760569701 PECOS PAC ID: 6709783897 Enrollment ID: I20031217000213 |
| Provider Name | Gabriel Lascar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518988419 PECOS PAC ID: 6305744244 Enrollment ID: I20031230000159 |
| Provider Name | Juliet A Capp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609881085 PECOS PAC ID: 6901799436 Enrollment ID: I20040206000544 |
| Provider Name | Wayne S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568479400 PECOS PAC ID: 7214820794 Enrollment ID: I20040206000854 |
| Provider Name | Michael Sean Mullin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619985728 PECOS PAC ID: 0244123727 Enrollment ID: I20040206000894 |
| Provider Name | Mark B Lewin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689764573 PECOS PAC ID: 7113815887 Enrollment ID: I20040305000548 |
| Provider Name | Mitchell D Cahn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164461331 PECOS PAC ID: 0648162966 Enrollment ID: I20040329001769 |
| Provider Name | Steven C Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336117530 PECOS PAC ID: 3577555051 Enrollment ID: I20040402000609 |
| Provider Name | Craig W Edgar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043393127 PECOS PAC ID: 8820086325 Enrollment ID: I20040504000468 |
| Provider Name | Stephen Murray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427011394 PECOS PAC ID: 1456340801 Enrollment ID: I20040510001591 |
| Provider Name | Debra A Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740289883 PECOS PAC ID: 8325037690 Enrollment ID: I20040511000945 |
| Provider Name | John Hwang |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1861468464 PECOS PAC ID: 2769389139 Enrollment ID: I20040513000314 |
| Provider Name | Cheri D Marbett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427103654 PECOS PAC ID: 7416947726 Enrollment ID: I20040517001247 |
| Provider Name | Mark S Berman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215080379 PECOS PAC ID: 7012908528 Enrollment ID: I20040524000002 |
| Provider Name | Sarah M Harding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578572053 PECOS PAC ID: 5698754836 Enrollment ID: I20040720000423 |
| Provider Name | Todd Titus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730198144 PECOS PAC ID: 6305825563 Enrollment ID: I20040720000546 |
| Provider Name | Paul E Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023027521 PECOS PAC ID: 8426038266 Enrollment ID: I20040722000811 |
| Provider Name | Joan K Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629151659 PECOS PAC ID: 2466422720 Enrollment ID: I20040727000022 |
| Provider Name | Ralph Thomas Mclaughlin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477606556 PECOS PAC ID: 0143290338 Enrollment ID: I20040727000349 |
| Provider Name | Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417042730 PECOS PAC ID: 1951371632 Enrollment ID: I20040729000786 |
| Provider Name | Roanne R E Selinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003895012 PECOS PAC ID: 2062483035 Enrollment ID: I20040803001371 |
| Provider Name | Karen L Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629085642 PECOS PAC ID: 0143291625 Enrollment ID: I20040805001574 |
| Provider Name | Kristin I Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336162577 PECOS PAC ID: 6305818220 Enrollment ID: I20040811000537 |
| Provider Name | Borislav T Kirov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144314295 PECOS PAC ID: 5092780411 Enrollment ID: I20040830000668 |
| Provider Name | Anatole Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477606549 PECOS PAC ID: 5799753331 Enrollment ID: I20040921000812 |
| Provider Name | William Brueggemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285716217 PECOS PAC ID: 6709862725 Enrollment ID: I20041110001100 |
| Provider Name | Caroline M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861586182 PECOS PAC ID: 8820048689 Enrollment ID: I20050128000664 |
| Provider Name | Shereen K Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316968688 PECOS PAC ID: 9335190511 Enrollment ID: I20050204000310 |
| Provider Name | John W Roberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396858551 PECOS PAC ID: 2365494762 Enrollment ID: I20050214000797 |
| Provider Name | Neil L Barg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134213457 PECOS PAC ID: 0840244893 Enrollment ID: I20050311000575 |
| Provider Name | Jess W Bouma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073538062 PECOS PAC ID: 8224075163 Enrollment ID: I20050413000037 |
| Provider Name | Jacintha L Raj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942394275 PECOS PAC ID: 2668402827 Enrollment ID: I20050817000398 |
| Provider Name | Thomas L Eglin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437232410 PECOS PAC ID: 7517998339 Enrollment ID: I20050822001019 |
| Provider Name | Mark W Livingston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679656615 PECOS PAC ID: 4688605421 Enrollment ID: I20050822001211 |
| Provider Name | Robert B Padilla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972686921 PECOS PAC ID: 0941231799 Enrollment ID: I20050822001226 |
| Provider Name | Jamie E Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811071426 PECOS PAC ID: 1951297159 Enrollment ID: I20050822001353 |
| Provider Name | Truc Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255352829 PECOS PAC ID: 6507897600 Enrollment ID: I20050829000642 |
| Provider Name | Nathaniel A Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871588921 PECOS PAC ID: 9436182094 Enrollment ID: I20050914000492 |
| Provider Name | Jeffrey Stageberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194764266 PECOS PAC ID: 5294768800 Enrollment ID: I20050914000879 |
| Provider Name | Thomas C Kennedy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902872500 PECOS PAC ID: 1254238629 Enrollment ID: I20050930000331 |
| Provider Name | Todd B Orvald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881660694 PECOS PAC ID: 6507763075 Enrollment ID: I20050930000338 |
| Provider Name | Raymond P Snyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730155524 PECOS PAC ID: 8527093285 Enrollment ID: I20050930000423 |
| Provider Name | George S Liu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396711990 PECOS PAC ID: 1153311162 Enrollment ID: I20050930000461 |
| Provider Name | Tina T Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497782528 PECOS PAC ID: 3375560097 Enrollment ID: I20051101000301 |
| Provider Name | Loc T Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790704567 PECOS PAC ID: 4486672615 Enrollment ID: I20051107000558 |
| Provider Name | Carl S Olden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922022037 PECOS PAC ID: 1557381910 Enrollment ID: I20051130000275 |
| Provider Name | Suzanne M Ramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104905561 PECOS PAC ID: 8325069727 Enrollment ID: I20051213000768 |
| Provider Name | Silvia Labes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972531531 PECOS PAC ID: 9234153743 Enrollment ID: I20060124000400 |
| Provider Name | Seana Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497857015 PECOS PAC ID: 7416961594 Enrollment ID: I20060127000244 |
| Provider Name | Craig L Southwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689755787 PECOS PAC ID: 0143237784 Enrollment ID: I20060307000683 |
| Provider Name | Robert N Greene |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952350639 PECOS PAC ID: 4880681477 Enrollment ID: I20060406000359 |
| Provider Name | Nora B Kirschner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577597 PECOS PAC ID: 6002847035 Enrollment ID: I20060613000046 |
| Provider Name | Victor V Sharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255376612 PECOS PAC ID: 5698788875 Enrollment ID: I20060712000026 |
| Provider Name | Maqsood A Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629084454 PECOS PAC ID: 1254337116 Enrollment ID: I20061017000182 |
| Provider Name | Robert W Bordeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255353405 PECOS PAC ID: 8123024940 Enrollment ID: I20061018000173 |
| Provider Name | Anna T Dufault |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962448894 PECOS PAC ID: 0345247532 Enrollment ID: I20061101000083 |
| Provider Name | Margaret A Vernon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144202151 PECOS PAC ID: 5991706889 Enrollment ID: I20070119000129 |
| Provider Name | Robert C Milligan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689629271 PECOS PAC ID: 6507867074 Enrollment ID: I20070125000460 |
| Provider Name | Paul E Emmans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669493227 PECOS PAC ID: 9335241702 Enrollment ID: I20070305000154 |
| Provider Name | Anneliese J Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033248646 PECOS PAC ID: 5395842975 Enrollment ID: I20070515000632 |
| Provider Name | Chester S Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437293206 PECOS PAC ID: 6406956754 Enrollment ID: I20070716000395 |
| Provider Name | Gene Griffiths |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154439115 PECOS PAC ID: 1355322983 Enrollment ID: I20070725000417 |
| Provider Name | Christopher R Schmelzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700960549 PECOS PAC ID: 1658312095 Enrollment ID: I20070801000697 |
| Provider Name | Brian D Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760685861 PECOS PAC ID: 9830134360 Enrollment ID: I20070919000956 |
| Provider Name | Rick D Gross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619932704 PECOS PAC ID: 9335235456 Enrollment ID: I20071019000282 |
| Provider Name | Jeffrey J Whittall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104984707 PECOS PAC ID: 8325076649 Enrollment ID: I20071107000800 |
| Provider Name | Esther J Hunte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235118266 PECOS PAC ID: 4486657087 Enrollment ID: I20071208000188 |
| Provider Name | Imran Sharaf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194922666 PECOS PAC ID: 4587745492 Enrollment ID: I20080117000084 |
| Provider Name | Peter R Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417971532 PECOS PAC ID: 6901796259 Enrollment ID: I20080129000688 |
| Provider Name | Daniel M Kwon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780645606 PECOS PAC ID: 8123030228 Enrollment ID: I20080317000534 |
| Provider Name | Venkatachala Mohan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194704106 PECOS PAC ID: 9537252754 Enrollment ID: I20080407000037 |
| Provider Name | William D Rubin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477550796 PECOS PAC ID: 6800975194 Enrollment ID: I20080512000749 |
| Provider Name | Amanda Affleck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073773057 PECOS PAC ID: 4688747512 Enrollment ID: I20080724000758 |
| Provider Name | Kristy L Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093989907 PECOS PAC ID: 4486728243 Enrollment ID: I20080729000163 |
| Provider Name | Nathan M Segerson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841303534 PECOS PAC ID: 2860566049 Enrollment ID: I20080806000374 |
| Provider Name | Biju Kunhiraman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740221506 PECOS PAC ID: 4789624792 Enrollment ID: I20080826000259 |
| Provider Name | Debra L Jenkins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194999730 PECOS PAC ID: 3274609425 Enrollment ID: I20080911000588 |
| Provider Name | Ramon Anel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467547711 PECOS PAC ID: 2769377423 Enrollment ID: I20081009000781 |
| Provider Name | Jeffrey Alan Conwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518937978 PECOS PAC ID: 1052369261 Enrollment ID: I20081017000093 |
| Provider Name | Byron Gatlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972605293 PECOS PAC ID: 8820084049 Enrollment ID: I20081118000476 |
| Provider Name | Henry Y Kim |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1083740708 PECOS PAC ID: 1254437981 Enrollment ID: I20090210000601 |
| Provider Name | Sameh Salama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285700328 PECOS PAC ID: 0446307078 Enrollment ID: I20090416000270 |
| Provider Name | Scott B Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972714277 PECOS PAC ID: 9537211594 Enrollment ID: I20090722000366 |
| Provider Name | Jason Heffernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528107562 PECOS PAC ID: 7113071069 Enrollment ID: I20090812000492 |
| Provider Name | Christopher J Damman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730289554 PECOS PAC ID: 2769536127 Enrollment ID: I20090819000527 |
| Provider Name | Erik A Monick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033193206 PECOS PAC ID: 9830118488 Enrollment ID: I20090909000126 |
| Provider Name | Mindy Udell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578681185 PECOS PAC ID: 0143366260 Enrollment ID: I20091003000032 |
| Provider Name | Mario E Chenal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285737601 PECOS PAC ID: 1052459450 Enrollment ID: I20091104000631 |
| Provider Name | David A Lindgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861513426 PECOS PAC ID: 0840330551 Enrollment ID: I20091210000386 |
| Provider Name | David A Pommer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518981489 PECOS PAC ID: 9931249711 Enrollment ID: I20091230000103 |
| Provider Name | Paul A Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568486439 PECOS PAC ID: 9739229519 Enrollment ID: I20091230000124 |
| Provider Name | Nicola J Bocek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538180666 PECOS PAC ID: 9638077837 Enrollment ID: I20100105000713 |
| Provider Name | Jeffrey S Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083638001 PECOS PAC ID: 9436290996 Enrollment ID: I20100105000726 |
| Provider Name | Amanda G Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205857331 PECOS PAC ID: 7517008071 Enrollment ID: I20100105000737 |
| Provider Name | Lisa M Galbraith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528214020 PECOS PAC ID: 0840331351 Enrollment ID: I20100106000354 |
| Provider Name | Christopher K Catton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588685515 PECOS PAC ID: 7517009137 Enrollment ID: I20100120000656 |
| Provider Name | Robert M Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013931914 PECOS PAC ID: 9234271883 Enrollment ID: I20100121000046 |
| Provider Name | Ross W Bethel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255352415 PECOS PAC ID: 0345382578 Enrollment ID: I20100126000336 |
| Provider Name | Timothy E Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780608679 PECOS PAC ID: 9739074667 Enrollment ID: I20100301000721 |
| Provider Name | Tanda M Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093739997 PECOS PAC ID: 6406991413 Enrollment ID: I20100302000602 |
| Provider Name | Jared R Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730401886 PECOS PAC ID: 3072649821 Enrollment ID: I20100331000267 |
| Provider Name | Anita E Beck |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1558683524 PECOS PAC ID: 2668509548 Enrollment ID: I20100423000936 |
| Provider Name | Carol L Stuhley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225174584 PECOS PAC ID: 4082742838 Enrollment ID: I20100514000548 |
| Provider Name | David William Doornink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558385567 PECOS PAC ID: 4183521289 Enrollment ID: I20100608000062 |
| Provider Name | Robert Wohlman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265412019 PECOS PAC ID: 2668371063 Enrollment ID: I20100708000489 |
| Provider Name | Carl V Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801805361 PECOS PAC ID: 6002857679 Enrollment ID: I20100715000273 |
| Provider Name | Lisa J Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144304692 PECOS PAC ID: 6709918162 Enrollment ID: I20100720000899 |
| Provider Name | Jan M Stasiuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780693259 PECOS PAC ID: 2466493036 Enrollment ID: I20100727000278 |
| Provider Name | Amy J Crook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679582183 PECOS PAC ID: 6406897073 Enrollment ID: I20100727000370 |
| Provider Name | Hector R Felix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003825530 PECOS PAC ID: 2769423334 Enrollment ID: I20100817001559 |
| Provider Name | Mark Ombrellaro |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699793968 PECOS PAC ID: 1951290535 Enrollment ID: I20100902000118 |
| Provider Name | Leslie C Mclemore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912016247 PECOS PAC ID: 7517159320 Enrollment ID: I20101012001099 |
| Provider Name | Shie-pon Tzung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023096252 PECOS PAC ID: 0446343669 Enrollment ID: I20101202000604 |
| Provider Name | Thomas B Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245301894 PECOS PAC ID: 7810050002 Enrollment ID: I20101220001178 |
| Provider Name | Karen C Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811297401 PECOS PAC ID: 8729260195 Enrollment ID: I20110307000102 |
| Provider Name | Stephanie Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619108438 PECOS PAC ID: 0345378683 Enrollment ID: I20110317000416 |
| Provider Name | Bernard Johannes Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619957065 PECOS PAC ID: 3577746544 Enrollment ID: I20110329000447 |
| Provider Name | Ron Poplyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467463208 PECOS PAC ID: 4284655267 Enrollment ID: I20110413000752 |
| Provider Name | Patricia A Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821141912 PECOS PAC ID: 4183893829 Enrollment ID: I20110812000680 |
| Provider Name | Jamie L Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538323282 PECOS PAC ID: 0840460523 Enrollment ID: I20110907001425 |
| Provider Name | Rachel Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023245347 PECOS PAC ID: 5991991564 Enrollment ID: I20111220000869 |
| Provider Name | Phillip I Menashe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942347711 PECOS PAC ID: 4880622182 Enrollment ID: I20120118000689 |
| Provider Name | Kelvin K Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215115308 PECOS PAC ID: 8123918273 Enrollment ID: I20120301000916 |
| Provider Name | Drew Edward Baldwin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952415952 PECOS PAC ID: 0941374847 Enrollment ID: I20120312000396 |
| Provider Name | Stacy Lynn Mcintyre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235496407 PECOS PAC ID: 2264695469 Enrollment ID: I20120529000092 |
| Provider Name | Vu Le |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912047051 PECOS PAC ID: 2163585563 Enrollment ID: I20120621000248 |
| Provider Name | Kimberlee M Wurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285604298 PECOS PAC ID: 6002960671 Enrollment ID: I20120621000678 |
| Provider Name | Jesse P Cone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790948974 PECOS PAC ID: 3577616218 Enrollment ID: I20120719000076 |
| Provider Name | Jeffrey M Ventre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487815213 PECOS PAC ID: 4981850120 Enrollment ID: I20120803000541 |
| Provider Name | Tracy L Dubay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518223387 PECOS PAC ID: 2466608591 Enrollment ID: I20120806000670 |
| Provider Name | Akashdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194958405 PECOS PAC ID: 5799932158 Enrollment ID: I20120821000288 |
| Provider Name | Vladimir V Dzhashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063643542 PECOS PAC ID: 1456508126 Enrollment ID: I20120831000235 |
| Provider Name | Kevin L Marsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649316225 PECOS PAC ID: 2668629262 Enrollment ID: I20120905000223 |
| Provider Name | Blake T Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043561343 PECOS PAC ID: 8820248057 Enrollment ID: I20121025000158 |
| Provider Name | Dao Pham |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184792418 PECOS PAC ID: 9234284639 Enrollment ID: I20121107000547 |
| Provider Name | Fatima E Milfred |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073675930 PECOS PAC ID: 4880887660 Enrollment ID: I20130204000398 |
| Provider Name | Lisa A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578808465 PECOS PAC ID: 5496900060 Enrollment ID: I20130305000390 |
| Provider Name | George M Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730151366 PECOS PAC ID: 5597708347 Enrollment ID: I20130411000289 |
| Provider Name | Feliz D Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215278213 PECOS PAC ID: 7416193370 Enrollment ID: I20130419000044 |
| Provider Name | Ayodeji A Oduola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942530266 PECOS PAC ID: 6305009077 Enrollment ID: I20130426000095 |
| Provider Name | Matthew S Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134308638 PECOS PAC ID: 3779721725 Enrollment ID: I20130603000323 |
| Provider Name | Travis L Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447505250 PECOS PAC ID: 0648422212 Enrollment ID: I20130610000345 |
| Provider Name | Chatt Johnson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184605347 PECOS PAC ID: 5092816306 Enrollment ID: I20130709000396 |
| Provider Name | Matthew G Silva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790924728 PECOS PAC ID: 4981743986 Enrollment ID: I20130729000974 |
| Provider Name | Scott W Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013233626 PECOS PAC ID: 1850548710 Enrollment ID: I20130731000869 |
| Provider Name | Jonathan A Davenport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063730570 PECOS PAC ID: 1355583071 Enrollment ID: I20130808000963 |
| Provider Name | Shyler Lynn Demill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942499975 PECOS PAC ID: 0547416661 Enrollment ID: I20130819000723 |
| Provider Name | Michael Anchih Chang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588640361 PECOS PAC ID: 5597763409 Enrollment ID: I20130819000742 |
| Provider Name | Rachel V Hampton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588980429 PECOS PAC ID: 1153564745 Enrollment ID: I20130829000622 |
| Provider Name | Andriy M Viter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528371622 PECOS PAC ID: 8426292467 Enrollment ID: I20130913000267 |
| Provider Name | Bhawna Arya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679722359 PECOS PAC ID: 9436383742 Enrollment ID: I20130927000390 |
| Provider Name | Sujatha Buddhe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417222779 PECOS PAC ID: 9739332537 Enrollment ID: I20131010001092 |
| Provider Name | Kathleen E Tucholke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659529345 PECOS PAC ID: 0547338014 Enrollment ID: I20131106000607 |
| Provider Name | Krithika Ramachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457550295 PECOS PAC ID: 9335374867 Enrollment ID: I20131108000707 |
| Provider Name | Johnny Erkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467593533 PECOS PAC ID: 8426097981 Enrollment ID: I20131125001368 |
| Provider Name | Rosita Alyssa Chefetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982847158 PECOS PAC ID: 5991934069 Enrollment ID: I20140213000021 |
| Provider Name | Steven Michael Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700110194 PECOS PAC ID: 7618164492 Enrollment ID: I20140424001080 |
| Provider Name | Madhukar Kumar |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1811146152 PECOS PAC ID: 2264680735 Enrollment ID: I20140619001171 |
| Provider Name | Virginia Smith-dunwoody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629320874 PECOS PAC ID: 7719139476 Enrollment ID: I20140718001373 |
| Provider Name | John P Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265731988 PECOS PAC ID: 1456578020 Enrollment ID: I20140806001061 |
| Provider Name | Jonathan T Orwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093035149 PECOS PAC ID: 4789824467 Enrollment ID: I20140808000876 |
| Provider Name | Adrian Roy P Crisostomo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750638763 PECOS PAC ID: 7416174529 Enrollment ID: I20140813002979 |
| Provider Name | Sheala Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851702641 PECOS PAC ID: 0648497693 Enrollment ID: I20140814001526 |
| Provider Name | Joe Y Kim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750333233 PECOS PAC ID: 3476564592 Enrollment ID: I20140821000531 |
| Provider Name | Vanjul Agarwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669636320 PECOS PAC ID: 4688893118 Enrollment ID: I20140916001725 |
| Provider Name | Andrea N Valicoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578961769 PECOS PAC ID: 7113243130 Enrollment ID: I20150309002692 |
| Provider Name | Daniel R Lamberton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770961765 PECOS PAC ID: 8224359369 Enrollment ID: I20150602000757 |
| Provider Name | Jasper D Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043419906 PECOS PAC ID: 5092809558 Enrollment ID: I20150604002790 |
| Provider Name | Kelly Noyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558620013 PECOS PAC ID: 5698994374 Enrollment ID: I20150618002920 |
| Provider Name | Morgan R Rittenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558708552 PECOS PAC ID: 0143453779 Enrollment ID: I20150630002893 |
| Provider Name | Meng-yi Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861749863 PECOS PAC ID: 8628381779 Enrollment ID: I20150717001135 |
| Provider Name | Thomas Orwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992098529 PECOS PAC ID: 8123267705 Enrollment ID: I20150721001628 |
| Provider Name | Jeremy E Hutchins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154611689 PECOS PAC ID: 6608095443 Enrollment ID: I20150730013517 |
| Provider Name | Sara Wisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962886655 PECOS PAC ID: 0446566285 Enrollment ID: I20150825003668 |
| Provider Name | Timothy Parrish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902287501 PECOS PAC ID: 3476860032 Enrollment ID: I20150914002879 |
| Provider Name | Charles G Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033441456 PECOS PAC ID: 4688846371 Enrollment ID: I20150930000740 |
| Provider Name | Vivian C Orthmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487023776 PECOS PAC ID: 0244549186 Enrollment ID: I20151016000286 |
| Provider Name | Kevin Leach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033181805 PECOS PAC ID: 6507808805 Enrollment ID: I20151028002865 |
| Provider Name | Kathleen M Isbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538471743 PECOS PAC ID: 6709026131 Enrollment ID: I20151030000828 |
| Provider Name | Melissa Corinne Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447335963 PECOS PAC ID: 5496785974 Enrollment ID: I20151103001802 |
| Provider Name | Soma Ghosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629336169 PECOS PAC ID: 7113176470 Enrollment ID: I20151105001953 |
| Provider Name | Brandon Propper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033320213 PECOS PAC ID: 9931358868 Enrollment ID: I20160113001450 |
| Provider Name | Jennifer L Pontarolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255778239 PECOS PAC ID: 2365665163 Enrollment ID: I20160204000925 |
| Provider Name | Suraya Kawadry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336431667 PECOS PAC ID: 4284938358 Enrollment ID: I20160210001006 |
| Provider Name | Matthew A Schindler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457529281 PECOS PAC ID: 3870671548 Enrollment ID: I20160311002097 |
| Provider Name | Pushapdeep K Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699097279 PECOS PAC ID: 0244400109 Enrollment ID: I20160407000847 |
| Provider Name | Jennifer Montoure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225496144 PECOS PAC ID: 6800194283 Enrollment ID: I20160419000790 |
| Provider Name | Ardith L Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689850190 PECOS PAC ID: 2365571445 Enrollment ID: I20160510002320 |
| Provider Name | Anik Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497040703 PECOS PAC ID: 2062723034 Enrollment ID: I20160615002031 |
| Provider Name | Mohan Ashok Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093027088 PECOS PAC ID: 2769787902 Enrollment ID: I20160616001869 |
| Provider Name | Christopher Bryan Danaque Tan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275765810 PECOS PAC ID: 9133410095 Enrollment ID: I20160623001191 |
| Provider Name | Nithya Menon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306166004 PECOS PAC ID: 6709180110 Enrollment ID: I20160624000573 |
| Provider Name | Bismark R Fernandez Tavarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124375225 PECOS PAC ID: 4981995719 Enrollment ID: I20160624000831 |
| Provider Name | Jeffrey M Papazian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265879993 PECOS PAC ID: 7416182407 Enrollment ID: I20160712000946 |
| Provider Name | Peter G Asante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194067504 PECOS PAC ID: 3274851365 Enrollment ID: I20160718000690 |
| Provider Name | Carly Mikela Ingalls |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245506252 PECOS PAC ID: 8022335280 Enrollment ID: I20160808001468 |
| Provider Name | Hoi-wing Susanna Yim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013358134 PECOS PAC ID: 3678867801 Enrollment ID: I20160810001128 |
| Provider Name | Midhuna Mary Papazian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932547213 PECOS PAC ID: 6507091154 Enrollment ID: I20160905000002 |
| Provider Name | Sean A Snell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245564673 PECOS PAC ID: 0042353757 Enrollment ID: I20160930000964 |
| Provider Name | Shristi Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497043319 PECOS PAC ID: 1355569435 Enrollment ID: I20161024001034 |
| Provider Name | Katrina Mae Dipple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295755783 PECOS PAC ID: 7719023597 Enrollment ID: I20161027001935 |
| Provider Name | Sarah E Voline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801248778 PECOS PAC ID: 9537447479 Enrollment ID: I20161028000554 |
| Provider Name | Jessica S Pechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376090639 PECOS PAC ID: 4880974328 Enrollment ID: I20161129002228 |
| Provider Name | Siva K Mannem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073822235 PECOS PAC ID: 2769795152 Enrollment ID: I20161206002567 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255531661 PECOS PAC ID: 8921380015 Enrollment ID: I20170125001948 |
| Provider Name | Lindsey C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497167910 PECOS PAC ID: 3870876352 Enrollment ID: I20170207001794 |
| Provider Name | Tina Marie Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629515531 PECOS PAC ID: 1052695657 Enrollment ID: I20170227002033 |
| Provider Name | Robert Perry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508872540 PECOS PAC ID: 6002190261 Enrollment ID: I20170307001558 |
| Provider Name | Shaun Michael Gifford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558576918 PECOS PAC ID: 1951557065 Enrollment ID: I20170327001412 |
| Provider Name | John W Topping |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063406619 PECOS PAC ID: 8022916642 Enrollment ID: I20170328001589 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801087093 PECOS PAC ID: 1759537533 Enrollment ID: I20170329002337 |
| Provider Name | William Harris |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548440050 PECOS PAC ID: 7315117769 Enrollment ID: I20170417001574 |
| Provider Name | Karen Marie Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043757644 PECOS PAC ID: 6507142064 Enrollment ID: I20170418000034 |
| Provider Name | Michael F Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609950500 PECOS PAC ID: 1557363223 Enrollment ID: I20170427001156 |
| Provider Name | Alan L Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235304676 PECOS PAC ID: 9830240720 Enrollment ID: I20170517002187 |
| Provider Name | Kristin R Shnowske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053750430 PECOS PAC ID: 9234373341 Enrollment ID: I20170522000910 |
| Provider Name | Brett A Hayzen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790121242 PECOS PAC ID: 0840589537 Enrollment ID: I20170614002093 |
| Provider Name | Tejas Sanjeev Kirtane |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104118553 PECOS PAC ID: 6002185220 Enrollment ID: I20170703000813 |
| Provider Name | Petr Cigner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538509757 PECOS PAC ID: 7315216066 Enrollment ID: I20170712000672 |
| Provider Name | Anindita Chowdhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871805036 PECOS PAC ID: 1355651159 Enrollment ID: I20170712002839 |
| Provider Name | Eric M Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861806796 PECOS PAC ID: 0042507170 Enrollment ID: I20170713001651 |
| Provider Name | Kirangowda Pombarahalli Varadaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679981260 PECOS PAC ID: 3678879459 Enrollment ID: I20170714002536 |
| Provider Name | Paul M Guernsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235543836 PECOS PAC ID: 2365768579 Enrollment ID: I20170724001926 |
| Provider Name | Priscilla N Ekerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598956252 PECOS PAC ID: 0244501609 Enrollment ID: I20170802002949 |
| Provider Name | Katheryn J Lauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407910425 PECOS PAC ID: 6507950425 Enrollment ID: I20170809002131 |
| Provider Name | Tejbir S Malhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700228954 PECOS PAC ID: 7618274929 Enrollment ID: I20170818000558 |
| Provider Name | Cynthia L Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841710779 PECOS PAC ID: 2163794231 Enrollment ID: I20170824000926 |
| Provider Name | Brian M Scheele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831432012 PECOS PAC ID: 2769768647 Enrollment ID: I20170829003041 |
| Provider Name | Sidney Byron P Ceniza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992110019 PECOS PAC ID: 0143593962 Enrollment ID: I20170830001050 |
| Provider Name | Katheryn Hudon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821418815 PECOS PAC ID: 4183997703 Enrollment ID: I20170901002509 |
| Provider Name | Tisha K Fujii |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720092596 PECOS PAC ID: 4880675339 Enrollment ID: I20170911002968 |
| Provider Name | Bradley J Blakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891195889 PECOS PAC ID: 0547579872 Enrollment ID: I20171005000952 |
| Provider Name | James M Peczuh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285050054 PECOS PAC ID: 0648493460 Enrollment ID: I20171024000903 |
| Provider Name | Caolae Jenniemarie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866883 PECOS PAC ID: 1759657273 Enrollment ID: I20171026003329 |
| Provider Name | Blair Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114440161 PECOS PAC ID: 5698041150 Enrollment ID: I20171027001395 |
| Provider Name | Joel E Dulude |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770914376 PECOS PAC ID: 6002047461 Enrollment ID: I20171031000672 |
| Provider Name | Ian D Stoddard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417470311 PECOS PAC ID: 0648546036 Enrollment ID: I20171031000952 |
| Provider Name | Sri Obulareddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760779979 PECOS PAC ID: 7618262254 Enrollment ID: I20171201002954 |
| Provider Name | Lacey Rainne Haggerty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437678752 PECOS PAC ID: 4789943374 Enrollment ID: I20180104000617 |
| Provider Name | Hiroko Miura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639477466 PECOS PAC ID: 7113103086 Enrollment ID: I20180109002891 |
| Provider Name | Casey J Prather |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013299684 PECOS PAC ID: 7911218557 Enrollment ID: I20180123001539 |
| Provider Name | Valerie Spear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912410630 PECOS PAC ID: 5092075473 Enrollment ID: I20180202000798 |
| Provider Name | Lisa J Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144721911 PECOS PAC ID: 4486917101 Enrollment ID: I20180411001343 |
| Provider Name | Lucas Wescoat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760982631 PECOS PAC ID: 3678836046 Enrollment ID: I20180417002488 |
| Provider Name | Wendi Billa Skiba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235474719 PECOS PAC ID: 3678718574 Enrollment ID: I20180423002370 |
| Provider Name | Michael S Fenster |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720068471 PECOS PAC ID: 0648234617 Enrollment ID: I20180608002264 |
| Provider Name | Amber Nicole Wooten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447406285 PECOS PAC ID: 8820260714 Enrollment ID: I20180612002879 |
| Provider Name | Pornchai Leelasinjaroen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336403062 PECOS PAC ID: 4385933902 Enrollment ID: I20180628002972 |
| Provider Name | Jeffrey R. Bushman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821418906 PECOS PAC ID: 2163647744 Enrollment ID: I20180710003366 |
| Provider Name | Janna Ruthe Girardi |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1538320502 PECOS PAC ID: 0345491171 Enrollment ID: I20180720001269 |
| Provider Name | Frederik Korbinian Rebling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366785008 PECOS PAC ID: 5092005983 Enrollment ID: I20180727002170 |
| Provider Name | De-ann R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699114843 PECOS PAC ID: 0446541270 Enrollment ID: I20180810000180 |
| Provider Name | Akira Kobayashi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821483751 PECOS PAC ID: 4082922570 Enrollment ID: I20180907001365 |
| Provider Name | Kial L Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821485020 PECOS PAC ID: 9830407212 Enrollment ID: I20180918004040 |
| Provider Name | Casey Thomas Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336406792 PECOS PAC ID: 8527290410 Enrollment ID: I20181023002449 |
| Provider Name | Lorin A Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285077339 PECOS PAC ID: 6002138005 Enrollment ID: I20181107001378 |
| Provider Name | Jason M Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750545893 PECOS PAC ID: 6002138385 Enrollment ID: I20181128001365 |
| Provider Name | Sarah Elizabeth Hendrickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538589643 PECOS PAC ID: 4880912005 Enrollment ID: I20190111002331 |
| Provider Name | Andrea Lynn Destories |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114285962 PECOS PAC ID: 6204116718 Enrollment ID: I20190117001317 |
| Provider Name | Sonia Li Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164909206 PECOS PAC ID: 3779821137 Enrollment ID: I20190208002225 |
| Provider Name | Alexis R Beinlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093148009 PECOS PAC ID: 6507105632 Enrollment ID: I20190306002956 |
| Provider Name | Nathaniel B Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689148223 PECOS PAC ID: 6406196245 Enrollment ID: I20190314000814 |
| Provider Name | Dana Nicole Severson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811462229 PECOS PAC ID: 2961742739 Enrollment ID: I20190314002018 |
| Provider Name | Lea Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282063 PECOS PAC ID: 7012257538 Enrollment ID: I20190320001779 |
| Provider Name | Amy M Chaloux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922513662 PECOS PAC ID: 7416216031 Enrollment ID: I20190327001428 |
| Provider Name | Michael R Ise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952813297 PECOS PAC ID: 4284993858 Enrollment ID: I20190328002209 |
| Provider Name | Heath Aaron Cobb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730322405 PECOS PAC ID: 8224294632 Enrollment ID: I20190411002927 |
| Provider Name | John Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649677014 PECOS PAC ID: 0345504783 Enrollment ID: I20190412001353 |
| Provider Name | Maanasi Madan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658874 PECOS PAC ID: 7315007796 Enrollment ID: I20190502003047 |
| Provider Name | Karen Callahan Wakeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144683905 PECOS PAC ID: 1052694825 Enrollment ID: I20190625000081 |
| Provider Name | Alexander Colin Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871978734 PECOS PAC ID: 2163720319 Enrollment ID: I20190627002345 |
| Provider Name | Andrew Allan Davenport |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780099150 PECOS PAC ID: 0941507321 Enrollment ID: I20190710003295 |
| Provider Name | Clayton Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285048041 PECOS PAC ID: 4789809062 Enrollment ID: I20190712002358 |
| Provider Name | Zachary C. Diiulio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194187518 PECOS PAC ID: 5092008003 Enrollment ID: I20190718000997 |
| Provider Name | Niharika Chimalakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609238195 PECOS PAC ID: 4284960618 Enrollment ID: I20190723003365 |
| Provider Name | Irene M Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245687862 PECOS PAC ID: 1658661707 Enrollment ID: I20190730002312 |
| Provider Name | Mark Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598323859 PECOS PAC ID: 1254667959 Enrollment ID: I20190801000768 |
| Provider Name | Aaron Michael Shady |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114331972 PECOS PAC ID: 7810112109 Enrollment ID: I20190805001119 |
| Provider Name | Harmanjot Singh Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114374030 PECOS PAC ID: 8921335399 Enrollment ID: I20190807002813 |
| Provider Name | Kevin E Steel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578624979 PECOS PAC ID: 3678648110 Enrollment ID: I20190812003748 |
| Provider Name | Stephanie Kalila Raghubeer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134571185 PECOS PAC ID: 6507159241 Enrollment ID: I20190813000921 |
| Provider Name | Catherine J Koozer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609222884 PECOS PAC ID: 6800124645 Enrollment ID: I20190819000801 |
| Provider Name | Bonnie Catherine Crouthamel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437592573 PECOS PAC ID: 9133447642 Enrollment ID: I20190919000282 |
| Provider Name | Daniel A Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982066437 PECOS PAC ID: 0042503583 Enrollment ID: I20190926002611 |
| Provider Name | David M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805288 PECOS PAC ID: 4981935855 Enrollment ID: I20191007002382 |
| Provider Name | Enrique Zolezzi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558624296 PECOS PAC ID: 4981922150 Enrollment ID: I20191021001164 |
| Provider Name | Melissa L J Uhlman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528292018 PECOS PAC ID: 8921151531 Enrollment ID: I20191031001862 |
| Provider Name | Steven J Quinlan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164063467 PECOS PAC ID: 4284066010 Enrollment ID: I20191118001066 |
| Provider Name | Melissa A Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891292348 PECOS PAC ID: 3173956885 Enrollment ID: I20191211002099 |
| Provider Name | Daniel E Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212919 PECOS PAC ID: 8224265038 Enrollment ID: I20191227001307 |
| Provider Name | Nina Reiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114391786 PECOS PAC ID: 3779919105 Enrollment ID: I20200204000555 |
| Provider Name | Frances Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336531870 PECOS PAC ID: 0840629671 Enrollment ID: I20200331000286 |
| Provider Name | Terry J Tieman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700416062 PECOS PAC ID: 5991135717 Enrollment ID: I20200420000579 |
| Provider Name | Christian Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962887927 PECOS PAC ID: 3274808787 Enrollment ID: I20200422002904 |
| Provider Name | Mohammad N Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295778215 PECOS PAC ID: 3476538760 Enrollment ID: I20200504000404 |
| Provider Name | Matthew Dunham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891841490 PECOS PAC ID: 2163519216 Enrollment ID: I20200505000350 |
| Provider Name | Jimmy S Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609891795 PECOS PAC ID: 5395805386 Enrollment ID: I20200512003347 |
| Provider Name | Che-yu Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235428707 PECOS PAC ID: 6103050141 Enrollment ID: I20200512003454 |
| Provider Name | Tawnya Lee Munson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326670266 PECOS PAC ID: 1759705171 Enrollment ID: I20200717002828 |
| Provider Name | Navraj Singh Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467981043 PECOS PAC ID: 7618391970 Enrollment ID: I20200720001203 |
| Provider Name | Tiffany A Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144755919 PECOS PAC ID: 0547520041 Enrollment ID: I20200723001103 |
| Provider Name | Julia Faith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346874682 PECOS PAC ID: 5698190288 Enrollment ID: I20200729003046 |
| Provider Name | Supannee Rassameehiran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538500244 PECOS PAC ID: 8123326451 Enrollment ID: I20200803001165 |
| Provider Name | Eugene H Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831586981 PECOS PAC ID: 4688920044 Enrollment ID: I20200804003587 |
| Provider Name | Timothy Joseph Bowman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750906269 PECOS PAC ID: 2567887581 Enrollment ID: I20200806003329 |
| Provider Name | Rigoberto Zepeda-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306463450 PECOS PAC ID: 2365867132 Enrollment ID: I20200811000815 |
| Provider Name | Michael V Parmley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245674043 PECOS PAC ID: 3072740893 Enrollment ID: I20200812000316 |
| Provider Name | Ciaran G Cunningham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316352438 PECOS PAC ID: 5698070530 Enrollment ID: I20200812001770 |
| Provider Name | Sarah L Dill |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457794075 PECOS PAC ID: 9032352224 Enrollment ID: I20200824003180 |
| Provider Name | Anthony Liccini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225569551 PECOS PAC ID: 0749558823 Enrollment ID: I20200902002466 |
| Provider Name | Xiaoting Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710306840 PECOS PAC ID: 5395018261 Enrollment ID: I20200928002856 |
| Provider Name | Meeka Pradeep Gandhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982135216 PECOS PAC ID: 6305114315 Enrollment ID: I20201008001743 |
| Provider Name | Alex J Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326571373 PECOS PAC ID: 7810234143 Enrollment ID: I20201016001512 |
| Provider Name | Mandi Nicole Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467067207 PECOS PAC ID: 9133539646 Enrollment ID: I20201111001424 |
| Provider Name | Yakeba Allison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497103097 PECOS PAC ID: 1850684119 Enrollment ID: I20201124002143 |
| Provider Name | Jennifer Grace Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972109254 PECOS PAC ID: 2365854395 Enrollment ID: I20201216002693 |
| Provider Name | Louise Zhou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003075490 PECOS PAC ID: 4385812155 Enrollment ID: I20210105003354 |
| Provider Name | Paul Brangers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396341582 PECOS PAC ID: 9234543828 Enrollment ID: I20210121002168 |
| Provider Name | Carol C Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144491994 PECOS PAC ID: 2062582067 Enrollment ID: I20210210002024 |
| Provider Name | Angela Meloy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316539091 PECOS PAC ID: 0143635458 Enrollment ID: I20210218003068 |
| Provider Name | Chelsea Belle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093208878 PECOS PAC ID: 8224462205 Enrollment ID: I20210316001351 |
| Provider Name | Rhonda Sims |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043477649 PECOS PAC ID: 1658425301 Enrollment ID: I20210428002088 |
| Provider Name | Carlos Donayre |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134191752 PECOS PAC ID: 1254369390 Enrollment ID: I20210428002284 |
| Provider Name | Catherine Anne Morrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184954265 PECOS PAC ID: 9234351446 Enrollment ID: I20210514001361 |
| Provider Name | Saurabh Ranjan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598086506 PECOS PAC ID: 9931349586 Enrollment ID: I20210618001999 |
| Provider Name | Lucas Fayez Bazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316379803 PECOS PAC ID: 1254732712 Enrollment ID: I20210622002942 |
| Provider Name | Brynn Delano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265007991 PECOS PAC ID: 5698178663 Enrollment ID: I20210728002317 |
| Provider Name | Jorden J Gary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851968739 PECOS PAC ID: 6305249251 Enrollment ID: I20210729001804 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366934820 PECOS PAC ID: 6406105568 Enrollment ID: I20210730003227 |
| Provider Name | Carlos Eduardo Brazzarola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396192209 PECOS PAC ID: 8527394360 Enrollment ID: I20210805000002 |
| Provider Name | Alana Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679065171 PECOS PAC ID: 7618225731 Enrollment ID: I20210805001186 |
| Provider Name | Shirley Akehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942878046 PECOS PAC ID: 1456755958 Enrollment ID: I20210805001275 |
| Provider Name | Rajesh Samannan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518375302 PECOS PAC ID: 4688992407 Enrollment ID: I20210806002161 |
| Provider Name | Kimya-anhcina Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073596243 PECOS PAC ID: 0749265478 Enrollment ID: I20210809002796 |
| Provider Name | Timothy Richard Entzeroth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356912257 PECOS PAC ID: 2466856380 Enrollment ID: I20210813001189 |
| Provider Name | Krista Sirois |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265896575 PECOS PAC ID: 2264700202 Enrollment ID: I20210816003719 |
| Provider Name | Jihui Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316225113 PECOS PAC ID: 3577786110 Enrollment ID: I20210820001027 |
| Provider Name | Colton R Rishor-olney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588156343 PECOS PAC ID: 3870841877 Enrollment ID: I20210907001778 |
| Provider Name | Amy Nguyen Ford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609260264 PECOS PAC ID: 1456652841 Enrollment ID: I20210908002645 |
| Provider Name | Sally Ellen Peach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578066304 PECOS PAC ID: 1557617180 Enrollment ID: I20211004002914 |
| Provider Name | Irene H Zoesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568791036 PECOS PAC ID: 2264669688 Enrollment ID: I20211006000868 |
| Provider Name | Zachary Sean Brower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114590320 PECOS PAC ID: 2466850383 Enrollment ID: I20211007001102 |
| Provider Name | Andrew N Palassis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427479633 PECOS PAC ID: 4880823319 Enrollment ID: I20211109001191 |
| Provider Name | Evita Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194125732 PECOS PAC ID: 6002187895 Enrollment ID: I20211112002171 |
| Provider Name | Karen G Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821436072 PECOS PAC ID: 8921240706 Enrollment ID: I20211116002737 |
| Provider Name | Stephen B Lillard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285625749 PECOS PAC ID: 4284780529 Enrollment ID: I20211123002708 |
| Provider Name | Gyongyi Okechuku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215261623 PECOS PAC ID: 5092946004 Enrollment ID: I20211129001514 |
| Provider Name | Serena Ackerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881899755 PECOS PAC ID: 5597857276 Enrollment ID: I20211208003046 |
| Provider Name | Daniel Debee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639722770 PECOS PAC ID: 8426480823 Enrollment ID: I20211228000801 |
| Provider Name | William Byer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285921403 PECOS PAC ID: 3274702089 Enrollment ID: I20211228001813 |
| Provider Name | Kush Bhorania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982023180 PECOS PAC ID: 1951676956 Enrollment ID: I20220119003043 |
| Provider Name | Lester Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518118678 PECOS PAC ID: 6103074992 Enrollment ID: I20220216000237 |
| Provider Name | Janet Manalac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306106315 PECOS PAC ID: 0840596722 Enrollment ID: I20220216002620 |
| Provider Name | Benjie Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982912465 PECOS PAC ID: 2567626674 Enrollment ID: I20220217000713 |
| Provider Name | Mark Richards |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568487726 PECOS PAC ID: 7012911001 Enrollment ID: I20220217002360 |
| Provider Name | John Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265891295 PECOS PAC ID: 5395038319 Enrollment ID: I20220222000792 |
| Provider Name | Josephine Pineda Dela Cruz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437410099 PECOS PAC ID: 2769753474 Enrollment ID: I20220226000235 |
| Provider Name | Ashley Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881350379 PECOS PAC ID: 8325433196 Enrollment ID: I20220314000320 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20220318000828 |
| Provider Name | Sean B.e. Bernfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699208025 PECOS PAC ID: 7517210891 Enrollment ID: I20220322002733 |
| Provider Name | Teresa Olivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659700235 PECOS PAC ID: 9032505581 Enrollment ID: I20220408001501 |
| Provider Name | Paul Sierszulski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063902542 PECOS PAC ID: 4082000500 Enrollment ID: I20220411001538 |
| Provider Name | Morgan Ashleigh Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821403114 PECOS PAC ID: 4981081239 Enrollment ID: I20220506001965 |
| Provider Name | Francesca Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063929404 PECOS PAC ID: 1052645900 Enrollment ID: I20220622003081 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20220707000329 |
| Provider Name | Valerie Zabell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063142826 PECOS PAC ID: 2961883897 Enrollment ID: I20220722001912 |
| Provider Name | Emily Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376273912 PECOS PAC ID: 1254712193 Enrollment ID: I20220722002314 |
| Provider Name | Rosa Maria Blackstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376217315 PECOS PAC ID: 7416330469 Enrollment ID: I20220824000914 |
| Provider Name | Katherine Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235636648 PECOS PAC ID: 8123402120 Enrollment ID: I20220824003302 |
| Provider Name | Takor Arrey-mbi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740522127 PECOS PAC ID: 2062737950 Enrollment ID: I20220906001703 |
| Provider Name | Timothy D Rinden |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710419775 PECOS PAC ID: 2567733165 Enrollment ID: I20220915003181 |
| Provider Name | Jennifer Gerring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528509957 PECOS PAC ID: 1759610389 Enrollment ID: I20220920002182 |
| Provider Name | Noah Qualls |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336645241 PECOS PAC ID: 7012263445 Enrollment ID: I20220921002360 |
| Provider Name | Jessica Blumhagen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679937379 PECOS PAC ID: 3072879634 Enrollment ID: I20220927002459 |
| Provider Name | Dustin Stevenson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962610279 PECOS PAC ID: 3870741226 Enrollment ID: I20221004001725 |
| Provider Name | Maria Del Mar Lucio Paredes Aulestia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497278790 PECOS PAC ID: 2365865268 Enrollment ID: I20221013000675 |
| Provider Name | Farhan Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720548274 PECOS PAC ID: 6406263904 Enrollment ID: I20221018000389 |
| Provider Name | Jack Ip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306378864 PECOS PAC ID: 8022362318 Enrollment ID: I20221110000150 |
| Provider Name | Alexis Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386277127 PECOS PAC ID: 8921476458 Enrollment ID: I20221115000514 |
| Provider Name | Rachna Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144647264 PECOS PAC ID: 1153650643 Enrollment ID: I20221118002566 |
| Provider Name | Brittanie K-lyn Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548979164 PECOS PAC ID: 0446629638 Enrollment ID: I20221209002026 |
| Provider Name | John Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20221224000076 |
| Provider Name | Mwaffak Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154965622 PECOS PAC ID: 2567832728 Enrollment ID: I20230104000814 |
| Provider Name | Sahba Nadeem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992869937 PECOS PAC ID: 7517127772 Enrollment ID: I20230203001101 |
| Provider Name | Maria R Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871204917 PECOS PAC ID: 4789056854 Enrollment ID: I20230220000077 |
| Provider Name | Katherine Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013960707 PECOS PAC ID: 5496766206 Enrollment ID: I20230224001371 |
| Provider Name | Anastasia Tunstall Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497342943 PECOS PAC ID: 4688082332 Enrollment ID: I20230228000886 |
| Provider Name | Emily Kobayashi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447637210 PECOS PAC ID: 9931418316 Enrollment ID: I20230404000704 |
| Provider Name | Nicholas John Pacione |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740652791 PECOS PAC ID: 0941503510 Enrollment ID: I20230404002730 |
| Provider Name | Brandi B Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053022053 PECOS PAC ID: 5496120909 Enrollment ID: I20230417000124 |
| Provider Name | Mohammed A Osman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124403456 PECOS PAC ID: 5092004713 Enrollment ID: I20230428000486 |
| Provider Name | Jonathan William Schuenemeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295195246 PECOS PAC ID: 2365701349 Enrollment ID: I20230522003349 |
| Provider Name | Sarah Swank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972117315 PECOS PAC ID: 0648685149 Enrollment ID: I20230523002244 |
| Provider Name | Carlee Renee Gibbons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770074775 PECOS PAC ID: 6709242308 Enrollment ID: I20230524002933 |
| Provider Name | Karen Marie Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730726423 PECOS PAC ID: 3173983749 Enrollment ID: I20230713002766 |
| Provider Name | Jared A. Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720616592 PECOS PAC ID: 0446655435 Enrollment ID: I20230714003301 |
| Provider Name | Sonja Gonzalez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588258446 PECOS PAC ID: 2668874587 Enrollment ID: I20230727001401 |
| Provider Name | Cameron Justice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316576846 PECOS PAC ID: 4082032537 Enrollment ID: I20230727001527 |
| Provider Name | Chinenyenwa Mpamaugo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952937898 PECOS PAC ID: 1759703226 Enrollment ID: I20230804003305 |
| Provider Name | Nicholas Iung Kennedy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285058545 PECOS PAC ID: 8224300421 Enrollment ID: I20230810004505 |
| Provider Name | Daniel Jihyi Fong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598197840 PECOS PAC ID: 1951615715 Enrollment ID: I20230901003348 |
| Provider Name | Tyson Hickle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699193979 PECOS PAC ID: 0648586156 Enrollment ID: I20230905000282 |
| Provider Name | Rawan Shahin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841852803 PECOS PAC ID: 7911334107 Enrollment ID: I20230907003595 |
| Provider Name | Luke Redden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184282154 PECOS PAC ID: 0749516003 Enrollment ID: I20230907003941 |
| Provider Name | Alexandra Perkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689202400 PECOS PAC ID: 1153743018 Enrollment ID: I20230907004005 |
| Provider Name | James A Juriga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306044094 PECOS PAC ID: 8426145541 Enrollment ID: I20230921001792 |
| Provider Name | Thomas Gedulig |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1316367097 PECOS PAC ID: 4082996962 Enrollment ID: I20230926002252 |
| Provider Name | Ryley Hausken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376171488 PECOS PAC ID: 5294158788 Enrollment ID: I20230926003613 |
| Provider Name | Rachana Mandru |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063933778 PECOS PAC ID: 8022355635 Enrollment ID: I20231010002634 |
| Provider Name | Amanda Michelle Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134801301 PECOS PAC ID: 5294181533 Enrollment ID: I20231024000447 |
| Provider Name | Steven Bullard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235502030 PECOS PAC ID: 1052616521 Enrollment ID: I20231128000754 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20231222000978 |
| Provider Name | Sara Elizabeth Redmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922502111 PECOS PAC ID: 8921357955 Enrollment ID: I20240116003539 |
| Provider Name | Riad Abou Zahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699094466 PECOS PAC ID: 8820440662 Enrollment ID: I20240117004058 |
| Provider Name | Piper A Olmsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881222834 PECOS PAC ID: 9133571847 Enrollment ID: I20240118001657 |
| Provider Name | Nayely Denise N/a Garcia Raya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235912155 PECOS PAC ID: 4385096965 Enrollment ID: I20240118004314 |
| Provider Name | Brandon Boyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467926691 PECOS PAC ID: 8022351626 Enrollment ID: I20240124000981 |
| Provider Name | William Boland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295316420 PECOS PAC ID: 3072917962 Enrollment ID: I20240125000253 |
| Provider Name | Darlene Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20240209001148 |
| Provider Name | Mary Osbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043735657 PECOS PAC ID: 9931460086 Enrollment ID: I20240310000157 |
| Provider Name | Howard Fussell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467782193 PECOS PAC ID: 1951437045 Enrollment ID: I20240312003115 |
| Provider Name | Kaitlyn Elizabeth Knoebel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043087406 PECOS PAC ID: 8820434830 Enrollment ID: I20240313001564 |
| Provider Name | Taylor Kathleen Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124809017 PECOS PAC ID: 5890131502 Enrollment ID: I20240315001220 |
| Provider Name | Xiaoxin Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235904673 PECOS PAC ID: 5395182661 Enrollment ID: I20240321003404 |
| Provider Name | Nichole Adrianne Bosma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396516761 PECOS PAC ID: 2264871565 Enrollment ID: I20240419000930 |
| Provider Name | Nicholas Reiter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033643267 PECOS PAC ID: 7517380595 Enrollment ID: I20240430004259 |
| Provider Name | Paul A. Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598843682 PECOS PAC ID: 4880656149 Enrollment ID: I20240501003546 |
| Provider Name | Brian Cronin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679992382 PECOS PAC ID: 1456640754 Enrollment ID: I20240610001035 |
Generations Ob/ Gyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 230, Yakima, WA 98902 Phone: 509-248-3440 Fax: 509-249-4460 | |
Davis Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 S 6th Ave, Yakima, WA 98902 Phone: 509-494-6700 Fax: 509-573-6275 | |
Family Medicine Of Yakima Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N 40th Ave, Yakima, WA 98908 Phone: 509-966-9480 Fax: 509-966-3283 | |
Apple Valley Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 S. 38th Ave, Yakima, WA 98902 Phone: 509-965-1035 Fax: 509-225-2700 | |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
11th Avenue Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Yakima, WA 98902 Phone: 509-902-8585 Fax: 509-902-2030 | |
Inspire Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr Ste 350, Yakima, WA 98902 Phone: 509-573-3939 |