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13330 Usf Laurel Drive, 3rd Floor - Mdc90, Tampa, FL 33612-6601 | |
| (813) 974-8613 | |
| (813) 974-8614 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13330 Usf Laurel Drive, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992742324 | NPI | - | NPPES |
| Y911W | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Jorge E Marcet |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1447269337 PECOS PAC ID: 3678479698 Enrollment ID: I20031210000731 |
| Provider Name | Todd S Wills |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720099799 PECOS PAC ID: 8628975992 Enrollment ID: I20031215000883 |
| Provider Name | May R Arroyo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184602021 PECOS PAC ID: 7618879974 Enrollment ID: I20040126000766 |
| Provider Name | Richard F Lockey |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1942285614 PECOS PAC ID: 4981598117 Enrollment ID: I20040210000347 |
| Provider Name | Dennis K Ledford |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376528042 PECOS PAC ID: 4981598125 Enrollment ID: I20040210000397 |
| Provider Name | Shih S Liu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881613115 PECOS PAC ID: 1557258209 Enrollment ID: I20040228000092 |
| Provider Name | Jeannie B Stephenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851314595 PECOS PAC ID: 7911894167 Enrollment ID: I20040302000813 |
| Provider Name | Joel Fernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700829769 PECOS PAC ID: 3072508027 Enrollment ID: I20040419000579 |
| Provider Name | Charles M Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871502690 PECOS PAC ID: 1759362106 Enrollment ID: I20040601000378 |
| Provider Name | Kamal Massis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922081207 PECOS PAC ID: 0941284541 Enrollment ID: I20040614000168 |
| Provider Name | Mark C Glaum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073598744 PECOS PAC ID: 0941285910 Enrollment ID: I20040623000342 |
| Provider Name | Marisa Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225041163 PECOS PAC ID: 4385620624 Enrollment ID: I20040628000031 |
| Provider Name | Saundra L Stock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659485597 PECOS PAC ID: 9537147418 Enrollment ID: I20040708000325 |
| Provider Name | Scott Robert Riddell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376523464 PECOS PAC ID: 2567452519 Enrollment ID: I20040803001310 |
| Provider Name | Gary Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689754236 PECOS PAC ID: 5193797470 Enrollment ID: I20040807000242 |
| Provider Name | Howard L Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285656611 PECOS PAC ID: 8921999772 Enrollment ID: I20040818001051 |
| Provider Name | Marisa Couluris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043229743 PECOS PAC ID: 2961476585 Enrollment ID: I20040820000363 |
| Provider Name | Rafael E Carrion |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588695894 PECOS PAC ID: 7810962289 Enrollment ID: I20040830000341 |
| Provider Name | Wendy Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306956206 PECOS PAC ID: 9931194743 Enrollment ID: I20040918000113 |
| Provider Name | Bridget J. Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346567575 PECOS PAC ID: 3173582426 Enrollment ID: I20041004000698 |
| Provider Name | Selim R Benbadis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710902689 PECOS PAC ID: 4486613932 Enrollment ID: I20041008000911 |
| Provider Name | David A Picca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043279433 PECOS PAC ID: 1951361971 Enrollment ID: I20041014000325 |
| Provider Name | Mark S Greenberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205855533 PECOS PAC ID: 7012982218 Enrollment ID: I20041018001166 |
| Provider Name | Murray L Shames |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225040330 PECOS PAC ID: 1850355587 Enrollment ID: I20041112000867 |
| Provider Name | Miguel Higgino Del Toro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609835081 PECOS PAC ID: 4789662990 Enrollment ID: I20041222000617 |
| Provider Name | Jennifer L Bennett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063493922 PECOS PAC ID: 9133178130 Enrollment ID: I20050118000249 |
| Provider Name | Suketu K Shah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992741102 PECOS PAC ID: 6608825450 Enrollment ID: I20050120000295 |
| Provider Name | Charurut Somboonwit |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184612640 PECOS PAC ID: 0345295747 Enrollment ID: I20050318000335 |
| Provider Name | Arzu Ilercil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447295639 PECOS PAC ID: 8224075072 Enrollment ID: I20050413000244 |
| Provider Name | Bengt Herweg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104861319 PECOS PAC ID: 5092752816 Enrollment ID: I20050413000824 |
| Provider Name | John D Ramirez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649266222 PECOS PAC ID: 5193763217 Enrollment ID: I20050420000187 |
| Provider Name | Samuel A Shube |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902859457 PECOS PAC ID: 0941243711 Enrollment ID: I20050603000116 |
| Provider Name | Beata C Casanas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467408591 PECOS PAC ID: 2264476266 Enrollment ID: I20050610000303 |
| Provider Name | Adam J Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205822889 PECOS PAC ID: 1456395243 Enrollment ID: I20050613001009 |
| Provider Name | Basil S Cherpelis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124069398 PECOS PAC ID: 9234173311 Enrollment ID: I20050620000568 |
| Provider Name | Hugo J Narvarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538179726 PECOS PAC ID: 0143287961 Enrollment ID: I20050622001092 |
| Provider Name | Ajay Pancholy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144289539 PECOS PAC ID: 2062472384 Enrollment ID: I20050709000002 |
| Provider Name | Andrew G Knowles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174592273 PECOS PAC ID: 6204862568 Enrollment ID: I20050709000041 |
| Provider Name | Antoinette C Spoto Cannons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952312894 PECOS PAC ID: 4880620087 Enrollment ID: I20050711000319 |
| Provider Name | Curtis E Margo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063432987 PECOS PAC ID: 9931174141 Enrollment ID: I20050804000833 |
| Provider Name | Eman Ghazi Nakshabendi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821055955 PECOS PAC ID: 7113956699 Enrollment ID: I20050804000901 |
| Provider Name | Cuc Mai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932119294 PECOS PAC ID: 1254396708 Enrollment ID: I20050812000344 |
| Provider Name | Cristina L Dethloff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437121670 PECOS PAC ID: 7810928066 Enrollment ID: I20050826000591 |
| Provider Name | Siviero Agazzi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326058488 PECOS PAC ID: 8527099787 Enrollment ID: I20050826000699 |
| Provider Name | Rossitza Iakimova Chichkova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235148263 PECOS PAC ID: 5890727739 Enrollment ID: I20050902000584 |
| Provider Name | Lana L Soylu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235184862 PECOS PAC ID: 6800794660 Enrollment ID: I20050914001192 |
| Provider Name | Valerie M Panzarino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538179858 PECOS PAC ID: 9739170598 Enrollment ID: I20051018000960 |
| Provider Name | Maqsood Ahmed Siddique |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346201084 PECOS PAC ID: 6002836657 Enrollment ID: I20051129000314 |
| Provider Name | Stephen R Clum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861578478 PECOS PAC ID: 7517989080 Enrollment ID: I20051227000452 |
| Provider Name | Alyssa L Macca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346317047 PECOS PAC ID: 7517975873 Enrollment ID: I20060328000366 |
| Provider Name | Robert Andrew Zamore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588623979 PECOS PAC ID: 5496753816 Enrollment ID: I20061120000256 |
| Provider Name | David J Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881653269 PECOS PAC ID: 3274531694 Enrollment ID: I20061120000287 |
| Provider Name | Sheila A Connery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114984184 PECOS PAC ID: 8325047855 Enrollment ID: I20061212000064 |
| Provider Name | Douglas Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124087515 PECOS PAC ID: 6709881907 Enrollment ID: I20070112000018 |
| Provider Name | Bharatkumar U Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912966318 PECOS PAC ID: 0042107104 Enrollment ID: I20070112000020 |
| Provider Name | Gregg A Baran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104885573 PECOS PAC ID: 6103821301 Enrollment ID: I20070112000021 |
| Provider Name | Charles C Nofsinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023058211 PECOS PAC ID: 2163410168 Enrollment ID: I20070123000345 |
| Provider Name | Carina A Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013947654 PECOS PAC ID: 4981708732 Enrollment ID: I20070403000631 |
| Provider Name | Jean M Fils |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063570414 PECOS PAC ID: 4789694241 Enrollment ID: I20070419000102 |
| Provider Name | Michael A Campanelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710931662 PECOS PAC ID: 7113023615 Enrollment ID: I20070501000559 |
| Provider Name | Denise K Edwards |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548296569 PECOS PAC ID: 4789780636 Enrollment ID: I20070509000491 |
| Provider Name | Scott R Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225098205 PECOS PAC ID: 5294730495 Enrollment ID: I20070607000696 |
| Provider Name | Melinda Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659457620 PECOS PAC ID: 8527167295 Enrollment ID: I20070620000576 |
| Provider Name | Ana P Velez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063589695 PECOS PAC ID: 0749380830 Enrollment ID: I20070702000428 |
| Provider Name | Nathan Visweshwar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033214325 PECOS PAC ID: 5698743813 Enrollment ID: I20070709000277 |
| Provider Name | Marilin Francisca Espino-maya |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1659330033 PECOS PAC ID: 2567467764 Enrollment ID: I20070718000503 |
| Provider Name | Nury E Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134135080 PECOS PAC ID: 4183725047 Enrollment ID: I20070721000055 |
| Provider Name | Mohamad A Hussein |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700840436 PECOS PAC ID: 4880697762 Enrollment ID: I20070727000022 |
| Provider Name | Isis V Marrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578501862 PECOS PAC ID: 4587755376 Enrollment ID: I20070808000517 |
| Provider Name | Koushik R Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558481770 PECOS PAC ID: 6406940766 Enrollment ID: I20070917000629 |
| Provider Name | Laurence Shane Grundy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649239054 PECOS PAC ID: 0648275842 Enrollment ID: I20070924000357 |
| Provider Name | Jennifer D Cox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225068679 PECOS PAC ID: 7012001886 Enrollment ID: I20070924000745 |
| Provider Name | Jaspreet Kaur Pestana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1154402816 PECOS PAC ID: 8022103787 Enrollment ID: I20070926001117 |
| Provider Name | Erika Susan Abel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487855128 PECOS PAC ID: 5597851386 Enrollment ID: I20071009000736 |
| Provider Name | Elias Doumit |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356428577 PECOS PAC ID: 5395764161 Enrollment ID: I20071013000067 |
| Provider Name | Steven P Winesett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629043559 PECOS PAC ID: 6709804560 Enrollment ID: I20071127000774 |
| Provider Name | Rajendra P Kedar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336108729 PECOS PAC ID: 7810992013 Enrollment ID: I20071214000285 |
| Provider Name | Mark H Tabor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467465153 PECOS PAC ID: 5799781365 Enrollment ID: I20071217000612 |
| Provider Name | Veronica Mardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992927982 PECOS PAC ID: 6901986249 Enrollment ID: I20071228000058 |
| Provider Name | Hemant D Chheda |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1053370437 PECOS PAC ID: 0749285948 Enrollment ID: I20080107000212 |
| Provider Name | David J Ciesla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962454900 PECOS PAC ID: 4183682149 Enrollment ID: I20080124000200 |
| Provider Name | Connie K Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497474 PECOS PAC ID: 9133201486 Enrollment ID: I20080125000521 |
| Provider Name | Anita Magoon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992786057 PECOS PAC ID: 3476577917 Enrollment ID: I20080219000646 |
| Provider Name | Michael A Labbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407033475 PECOS PAC ID: 8022196039 Enrollment ID: I20080416000315 |
| Provider Name | Michael H Albrink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720090103 PECOS PAC ID: 8022187715 Enrollment ID: I20080521000333 |
| Provider Name | Jaclyn Rothberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306018155 PECOS PAC ID: 5496826265 Enrollment ID: I20080623000126 |
| Provider Name | Clifton L Gooch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316014467 PECOS PAC ID: 8729069224 Enrollment ID: I20080624000026 |
| Provider Name | Bruce R Zwiebel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679532063 PECOS PAC ID: 8527063726 Enrollment ID: I20080625000571 |
| Provider Name | Chakrapol Sriaroon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275728313 PECOS PAC ID: 2466526017 Enrollment ID: I20080731000253 |
| Provider Name | Ellen Verena Jorgensen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003826744 PECOS PAC ID: 2769557495 Enrollment ID: I20080814000712 |
| Provider Name | Matthew E Lazinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326080888 PECOS PAC ID: 2961560685 Enrollment ID: I20081024000462 |
| Provider Name | Michael R Schoenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073531463 PECOS PAC ID: 4284730755 Enrollment ID: I20081121000383 |
| Provider Name | James M Grichnik |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740363902 PECOS PAC ID: 4880755438 Enrollment ID: I20081202000229 |
| Provider Name | John Y Cha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861433518 PECOS PAC ID: 0840290714 Enrollment ID: I20081209000352 |
| Provider Name | Cashawna Schlossnagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255526422 PECOS PAC ID: 1951463835 Enrollment ID: I20081231000342 |
| Provider Name | Melissa C Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285820233 PECOS PAC ID: 7416011341 Enrollment ID: I20090121000591 |
| Provider Name | Katie J Lester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093804205 PECOS PAC ID: 5294899936 Enrollment ID: I20090126000281 |
| Provider Name | Yolanda C Leon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013161272 PECOS PAC ID: 8820152093 Enrollment ID: I20090203000286 |
| Provider Name | John D Mccormick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205894342 PECOS PAC ID: 0840354932 Enrollment ID: I20090204000644 |
| Provider Name | Francisco A Schwartz-fernandes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821244500 PECOS PAC ID: 2769547272 Enrollment ID: I20090217000601 |
| Provider Name | Devon Lynn Weist |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164647038 PECOS PAC ID: 3678639382 Enrollment ID: I20090304000717 |
| Provider Name | Hing Wah A Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780846436 PECOS PAC ID: 1658437991 Enrollment ID: I20090311000426 |
| Provider Name | Heather L Agazzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467592980 PECOS PAC ID: 4789731035 Enrollment ID: I20090402000594 |
| Provider Name | Harry R Vanloveren |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164441416 PECOS PAC ID: 6103713490 Enrollment ID: I20090403000177 |
| Provider Name | Dorothy I Shulman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700896636 PECOS PAC ID: 3072661982 Enrollment ID: I20090504000332 |
| Provider Name | Sharon M Dabrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417966136 PECOS PAC ID: 4587713607 Enrollment ID: I20090520000470 |
| Provider Name | Kalyani M Derasari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689835357 PECOS PAC ID: 5294884185 Enrollment ID: I20090526000246 |
| Provider Name | Craig Vecchiarelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457565095 PECOS PAC ID: 0840349551 Enrollment ID: I20090528000316 |
| Provider Name | Panida Sriaroon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891994208 PECOS PAC ID: 9537218284 Enrollment ID: I20090528000608 |
| Provider Name | Jennifer C Takagishi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285645143 PECOS PAC ID: 6800947599 Enrollment ID: I20090618000648 |
| Provider Name | David A Decker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548344633 PECOS PAC ID: 8820149347 Enrollment ID: I20090623000750 |
| Provider Name | Joy E Gaziano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235293416 PECOS PAC ID: 1254485139 Enrollment ID: I20090811000575 |
| Provider Name | Phan Q. Lindsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558536698 PECOS PAC ID: 1658427109 Enrollment ID: I20090924000235 |
| Provider Name | David J Hernandez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063564060 PECOS PAC ID: 4587701248 Enrollment ID: I20091028000836 |
| Provider Name | Megan Elizabeth Roller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659501518 PECOS PAC ID: 0345387973 Enrollment ID: I20091029000719 |
| Provider Name | Alfred T Frontera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972703171 PECOS PAC ID: 4880732148 Enrollment ID: I20091107000009 |
| Provider Name | Betty Horng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083857387 PECOS PAC ID: 9133268899 Enrollment ID: I20091209000484 |
| Provider Name | Deniz Dayicioglu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164674081 PECOS PAC ID: 2567503105 Enrollment ID: I20100105000474 |
| Provider Name | Charles B Slonim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407834450 PECOS PAC ID: 2860461654 Enrollment ID: I20100105000699 |
| Provider Name | David M Whitaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053590075 PECOS PAC ID: 8224170618 Enrollment ID: I20100122000736 |
| Provider Name | Todd R Kumm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104075043 PECOS PAC ID: 0941342000 Enrollment ID: I20100127000771 |
| Provider Name | Xavier E Prida |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780626465 PECOS PAC ID: 2163482746 Enrollment ID: I20100204000637 |
| Provider Name | Jingtao Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629301510 PECOS PAC ID: 1658414271 Enrollment ID: I20100204000647 |
| Provider Name | Michele M Laine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457328742 PECOS PAC ID: 2961545124 Enrollment ID: I20100210000395 |
| Provider Name | Christina M Heindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821323148 PECOS PAC ID: 0648314799 Enrollment ID: I20100212000657 |
| Provider Name | Sree L Degala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578740858 PECOS PAC ID: 2961546866 Enrollment ID: I20100216000380 |
| Provider Name | Luis A Maldonado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710997416 PECOS PAC ID: 3779627633 Enrollment ID: I20100216000980 |
| Provider Name | Charles W Brock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871516021 PECOS PAC ID: 3678617909 Enrollment ID: I20100224000367 |
| Provider Name | Daniel O Haight |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194713651 PECOS PAC ID: 8426952789 Enrollment ID: I20100301000395 |
| Provider Name | Douglas A Holt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952341083 PECOS PAC ID: 4789619453 Enrollment ID: I20100301000553 |
| Provider Name | Linda K Nakanishi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851367650 PECOS PAC ID: 3476698259 Enrollment ID: I20100304000231 |
| Provider Name | Deborah A Humphrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285644740 PECOS PAC ID: 6406991934 Enrollment ID: I20100308000696 |
| Provider Name | Robert A Hauser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558384743 PECOS PAC ID: 3971648395 Enrollment ID: I20100309000651 |
| Provider Name | Mitchell D Drucker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881617553 PECOS PAC ID: 9436294717 Enrollment ID: I20100311000435 |
| Provider Name | Naomi A Abel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831118413 PECOS PAC ID: 8426183690 Enrollment ID: I20100315000156 |
| Provider Name | Lewis F Glass |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699716787 PECOS PAC ID: 0648305623 Enrollment ID: I20100316000391 |
| Provider Name | Brad L Johnson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023020302 PECOS PAC ID: 5698800639 Enrollment ID: I20100316000989 |
| Provider Name | Donald A Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568481802 PECOS PAC ID: 1951205376 Enrollment ID: I20100317000806 |
| Provider Name | Patrick G Brady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518975788 PECOS PAC ID: 0749315513 Enrollment ID: I20100318000230 |
| Provider Name | Allan L Goldman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558371088 PECOS PAC ID: 7214062942 Enrollment ID: I20100318000950 |
| Provider Name | Jose A Montero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699715748 PECOS PAC ID: 1759416308 Enrollment ID: I20100322000159 |
| Provider Name | Susan Leibmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548374846 PECOS PAC ID: 9739214289 Enrollment ID: I20100323000193 |
| Provider Name | Kira K Zwygart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891724001 PECOS PAC ID: 5092840421 Enrollment ID: I20100324000076 |
| Provider Name | Adam B Lewin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689996134 PECOS PAC ID: 8527193952 Enrollment ID: I20100324000103 |
| Provider Name | Carl W Cruse |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568474997 PECOS PAC ID: 0648306076 Enrollment ID: I20100324001160 |
| Provider Name | Neil A Fenske |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649218207 PECOS PAC ID: 1052447026 Enrollment ID: I20100329000941 |
| Provider Name | Paul D Smith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891707915 PECOS PAC ID: 5496881302 Enrollment ID: I20100330001152 |
| Provider Name | William M Anderson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699783845 PECOS PAC ID: 5395871214 Enrollment ID: I20100330001277 |
| Provider Name | Alison R Calkins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144228222 PECOS PAC ID: 7517990344 Enrollment ID: I20100331000219 |
| Provider Name | John T Sinnott |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558305797 PECOS PAC ID: 9931235793 Enrollment ID: I20100331000412 |
| Provider Name | Eric E Coris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114955770 PECOS PAC ID: 9133255888 Enrollment ID: I20100405000137 |
| Provider Name | Catherine M Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174536395 PECOS PAC ID: 7012043664 Enrollment ID: I20100407000385 |
| Provider Name | Eduardo C Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235167214 PECOS PAC ID: 0345377503 Enrollment ID: I20100420000156 |
| Provider Name | Karen L Bruder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699788380 PECOS PAC ID: 9830226067 Enrollment ID: I20100420000959 |
| Provider Name | Katie A Webster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114250545 PECOS PAC ID: 1658408786 Enrollment ID: I20100422000175 |
| Provider Name | Lauri S Hochberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952314544 PECOS PAC ID: 3678520152 Enrollment ID: I20100428000842 |
| Provider Name | Tapan A Padhya |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740215318 PECOS PAC ID: 3971630674 Enrollment ID: I20100429000396 |
| Provider Name | Kestutis P Boyev |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730114380 PECOS PAC ID: 7618004219 Enrollment ID: I20100429000520 |
| Provider Name | Alfonso Campos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285641076 PECOS PAC ID: 5294765970 Enrollment ID: I20100505000144 |
| Provider Name | Thomas V Mccaffrey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639198245 PECOS PAC ID: 5294863437 Enrollment ID: I20100510000656 |
| Provider Name | Theresa A Zesiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265455315 PECOS PAC ID: 9537297346 Enrollment ID: I20100514000056 |
| Provider Name | Mudra K Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326058066 PECOS PAC ID: 4981733615 Enrollment ID: I20100518000848 |
| Provider Name | Robert M Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053322248 PECOS PAC ID: 1456480722 Enrollment ID: I20100525000357 |
| Provider Name | Patricia Ii Emmanuel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699784223 PECOS PAC ID: 0547399578 Enrollment ID: I20100528000542 |
| Provider Name | Maria A Gieron-korthals |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609885276 PECOS PAC ID: 6305975293 Enrollment ID: I20100602000954 |
| Provider Name | Judith D Ranells |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1285644278 PECOS PAC ID: 0547390015 Enrollment ID: I20100609000581 |
| Provider Name | Bryan A Bognar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066687 PECOS PAC ID: 6608906029 Enrollment ID: I20100611000259 |
| Provider Name | Richard L Oehler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033185962 PECOS PAC ID: 2264562321 Enrollment ID: I20100616000389 |
| Provider Name | Mandel R Sher |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1386603108 PECOS PAC ID: 0648300608 Enrollment ID: I20100617000664 |
| Provider Name | Rene Ann Chapados |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457393241 PECOS PAC ID: 2163553546 Enrollment ID: I20100629000323 |
| Provider Name | Jacques A Durr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720097546 PECOS PAC ID: 0648301796 Enrollment ID: I20100706000508 |
| Provider Name | Nisha Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063607216 PECOS PAC ID: 0042380107 Enrollment ID: I20100709000784 |
| Provider Name | Kevin E Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578574315 PECOS PAC ID: 7214069152 Enrollment ID: I20100713000321 |
| Provider Name | Ramon Lopez Del Valle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902816267 PECOS PAC ID: 2961554407 Enrollment ID: I20100713000566 |
| Provider Name | Amanda G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316051253 PECOS PAC ID: 2668505025 Enrollment ID: I20100805000320 |
| Provider Name | Brian D Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477748358 PECOS PAC ID: 3870627938 Enrollment ID: I20100811001119 |
| Provider Name | Bradley Scott Fletcher |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427099423 PECOS PAC ID: 8224162383 Enrollment ID: I20100811001124 |
| Provider Name | Sanders H Chae |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528186004 PECOS PAC ID: 8729158043 Enrollment ID: I20100818000875 |
| Provider Name | John C Feldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801985072 PECOS PAC ID: 6305960675 Enrollment ID: I20100824000844 |
| Provider Name | Candice F Mateja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629262738 PECOS PAC ID: 2466576319 Enrollment ID: I20100828000175 |
| Provider Name | Dany E Sayad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578531166 PECOS PAC ID: 8224161484 Enrollment ID: I20100909000422 |
| Provider Name | Karel Calero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194979245 PECOS PAC ID: 9739204108 Enrollment ID: I20100909000471 |
| Provider Name | Janice Y Maldonado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639199748 PECOS PAC ID: 8123143070 Enrollment ID: I20100915000539 |
| Provider Name | Tuan Hoang Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679503007 PECOS PAC ID: 6002838166 Enrollment ID: I20100918000300 |
| Provider Name | Sally Fathi Alrabaa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912071994 PECOS PAC ID: 1456317171 Enrollment ID: I20100928000371 |
| Provider Name | Gene Alan Balis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568484160 PECOS PAC ID: 4486846227 Enrollment ID: I20101018000035 |
| Provider Name | Henry Rodriguez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962434662 PECOS PAC ID: 2860467198 Enrollment ID: I20101028000755 |
| Provider Name | Amarilis Sanchez Valle |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1275841603 PECOS PAC ID: 5092900191 Enrollment ID: I20101115001229 |
| Provider Name | Julie A Nadkarni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750306114 PECOS PAC ID: 8123216140 Enrollment ID: I20101217000207 |
| Provider Name | Joann Gierbolini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942499074 PECOS PAC ID: 5991993313 Enrollment ID: I20101228001028 |
| Provider Name | Fadi A Matar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679512479 PECOS PAC ID: 4688707839 Enrollment ID: I20101230000175 |
| Provider Name | Brittany B Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932291218 PECOS PAC ID: 4981892106 Enrollment ID: I20110103000431 |
| Provider Name | Laura S Weathers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023029907 PECOS PAC ID: 8729269147 Enrollment ID: I20110217000917 |
| Provider Name | Darla Freeman-williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912208158 PECOS PAC ID: 7416139944 Enrollment ID: I20110304000515 |
| Provider Name | Carolyn Ford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063716819 PECOS PAC ID: 0345423620 Enrollment ID: I20110323000947 |
| Provider Name | Omar Rahman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912202755 PECOS PAC ID: 6305020322 Enrollment ID: I20110414000909 |
| Provider Name | Mark Alkire |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366449993 PECOS PAC ID: 1850576190 Enrollment ID: I20110429000568 |
| Provider Name | Donna H Osteen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265721617 PECOS PAC ID: 2961687041 Enrollment ID: I20110505000280 |
| Provider Name | William Scott Burgin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508891524 PECOS PAC ID: 8921124355 Enrollment ID: I20110609000754 |
| Provider Name | Dale F Bergamo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528039641 PECOS PAC ID: 1153391776 Enrollment ID: I20110614000260 |
| Provider Name | Andrew J Galligan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427221506 PECOS PAC ID: 0547447740 Enrollment ID: I20110615000194 |
| Provider Name | Jason Wayne Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811159452 PECOS PAC ID: 0648458745 Enrollment ID: I20110620000290 |
| Provider Name | Elisabeth A Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053640615 PECOS PAC ID: 7517145196 Enrollment ID: I20110630000135 |
| Provider Name | Erika L Holt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467759654 PECOS PAC ID: 4082892468 Enrollment ID: I20110707000586 |
| Provider Name | Ashley B Maru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942370580 PECOS PAC ID: 2264515030 Enrollment ID: I20110712000277 |
| Provider Name | Edgar Espana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679784763 PECOS PAC ID: 3870514912 Enrollment ID: I20110714000490 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20110726000172 |
| Provider Name | Kelli Gorajec |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245527738 PECOS PAC ID: 0244409449 Enrollment ID: I20110804000155 |
| Provider Name | Ulyee Choe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528252624 PECOS PAC ID: 7113196163 Enrollment ID: I20110808000534 |
| Provider Name | Theresa Herbert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215160783 PECOS PAC ID: 6608045448 Enrollment ID: I20110811000380 |
| Provider Name | Robert J Ledford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548422983 PECOS PAC ID: 2860661444 Enrollment ID: I20110816000828 |
| Provider Name | David R Wilson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063607174 PECOS PAC ID: 9436329679 Enrollment ID: I20110826000295 |
| Provider Name | Phong Q Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932398740 PECOS PAC ID: 0547430605 Enrollment ID: I20110826000559 |
| Provider Name | Rebecca E Ditwiler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548558760 PECOS PAC ID: 1153591284 Enrollment ID: I20110829000621 |
| Provider Name | Swetangi D Bhaleeya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629226782 PECOS PAC ID: 8527239573 Enrollment ID: I20110922000474 |
| Provider Name | Hera Stephens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740475193 PECOS PAC ID: 2961673884 Enrollment ID: I20110923000569 |
| Provider Name | David Z Rose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114174729 PECOS PAC ID: 0941472906 Enrollment ID: I20111017000651 |
| Provider Name | Vic Velanovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295898823 PECOS PAC ID: 4981748498 Enrollment ID: I20111018000660 |
| Provider Name | Daniel Fallon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144371287 PECOS PAC ID: 7214100874 Enrollment ID: I20111027000495 |
| Provider Name | Karen S Paltoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871642843 PECOS PAC ID: 4587706510 Enrollment ID: I20111103000629 |
| Provider Name | Elizabeth Frances Joven Remo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942301783 PECOS PAC ID: 4688849193 Enrollment ID: I20111212000890 |
| Provider Name | Raul Olivera |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982872057 PECOS PAC ID: 0143495507 Enrollment ID: I20111213000701 |
| Provider Name | Joseph Puccio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053353037 PECOS PAC ID: 5496736522 Enrollment ID: I20111213000887 |
| Provider Name | Natalie B Giarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710931282 PECOS PAC ID: 2466628540 Enrollment ID: I20111221000258 |
| Provider Name | Susan Welsh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861672206 PECOS PAC ID: 3274709571 Enrollment ID: I20120109000874 |
| Provider Name | Tabitha S Gennara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285915801 PECOS PAC ID: 7618144304 Enrollment ID: I20120120000433 |
| Provider Name | Andrea C Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376815233 PECOS PAC ID: 2961660931 Enrollment ID: I20120222000196 |
| Provider Name | Judette Louis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710007570 PECOS PAC ID: 9032219746 Enrollment ID: I20120320000124 |
| Provider Name | Colleen E Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265750996 PECOS PAC ID: 3870754096 Enrollment ID: I20120416000638 |
| Provider Name | Tracie Katherine Mudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598740805 PECOS PAC ID: 6103835749 Enrollment ID: I20120529000200 |
| Provider Name | Michael A Harrington |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558561217 PECOS PAC ID: 2668637430 Enrollment ID: I20120628000295 |
| Provider Name | Mary A Cain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487813283 PECOS PAC ID: 5294990065 Enrollment ID: I20120628000313 |
| Provider Name | Kellee L Oller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104050673 PECOS PAC ID: 5395900963 Enrollment ID: I20120705000161 |
| Provider Name | Kimberley N Cao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376738658 PECOS PAC ID: 3476718917 Enrollment ID: I20120706000317 |
| Provider Name | Justin L Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811186620 PECOS PAC ID: 7810152337 Enrollment ID: I20120709000531 |
| Provider Name | Rachel Beth Brownstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255355988 PECOS PAC ID: 4082870142 Enrollment ID: I20120718000593 |
| Provider Name | Jeffrey P Daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962676940 PECOS PAC ID: 0941466312 Enrollment ID: I20120730000660 |
| Provider Name | Jaime E Sanchez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114126919 PECOS PAC ID: 3678729894 Enrollment ID: I20120803000356 |
| Provider Name | Emad M Mikhail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508020207 PECOS PAC ID: 9537316815 Enrollment ID: I20120821000518 |
| Provider Name | Charles F Hunley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962653683 PECOS PAC ID: 5799973517 Enrollment ID: I20120921000686 |
| Provider Name | Mindy A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811137201 PECOS PAC ID: 1658521984 Enrollment ID: I20121023000588 |
| Provider Name | Aarti A Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114190212 PECOS PAC ID: 6507016433 Enrollment ID: I20121030000269 |
| Provider Name | Bernadette C Antonyrajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295997666 PECOS PAC ID: 8022298108 Enrollment ID: I20121112000642 |
| Provider Name | Aileen C Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841233434 PECOS PAC ID: 6507824471 Enrollment ID: I20121116000471 |
| Provider Name | Derrick S Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912169376 PECOS PAC ID: 8325299936 Enrollment ID: I20121205000232 |
| Provider Name | Fuying X Runyan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548326721 PECOS PAC ID: 1153482690 Enrollment ID: I20121218000296 |
| Provider Name | Mark Ballow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184660821 PECOS PAC ID: 3476447665 Enrollment ID: I20130102000207 |
| Provider Name | Erin L Ferroir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427284926 PECOS PAC ID: 8123272176 Enrollment ID: I20130129000350 |
| Provider Name | Joseph A Ashmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861767527 PECOS PAC ID: 5890932818 Enrollment ID: I20130513000098 |
| Provider Name | Anne L Champeaux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639159296 PECOS PAC ID: 1557509387 Enrollment ID: I20130605000782 |
| Provider Name | Jose Torres Gluck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215048517 PECOS PAC ID: 3870584188 Enrollment ID: I20130619000403 |
| Provider Name | Victoria A Sanchez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164701496 PECOS PAC ID: 3971742040 Enrollment ID: I20130620000677 |
| Provider Name | Acquinonette N Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962561084 PECOS PAC ID: 3173763455 Enrollment ID: I20130710000198 |
| Provider Name | Yih Chang C Lin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245404441 PECOS PAC ID: 8628234465 Enrollment ID: I20130712000040 |
| Provider Name | Anthony N Imudia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386851350 PECOS PAC ID: 5698932382 Enrollment ID: I20130715000635 |
| Provider Name | Elimarys Perez Colon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871729624 PECOS PAC ID: 9638319569 Enrollment ID: I20130717000190 |
| Provider Name | Lori D Grismore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255309191 PECOS PAC ID: 0648247163 Enrollment ID: I20130725000039 |
| Provider Name | Paul M Rodriguez-waitkus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376771444 PECOS PAC ID: 5496996704 Enrollment ID: I20130730000316 |
| Provider Name | Anh P Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902125339 PECOS PAC ID: 8123269172 Enrollment ID: I20130802000362 |
| Provider Name | Trushar Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457511925 PECOS PAC ID: 2466609722 Enrollment ID: I20130809000114 |
| Provider Name | Aimee Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871875591 PECOS PAC ID: 3173765492 Enrollment ID: I20130815000162 |
| Provider Name | Kartikeya Cherabuddi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295053239 PECOS PAC ID: 9335382555 Enrollment ID: I20130906000522 |
| Provider Name | Brandie N Silinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114258738 PECOS PAC ID: 1850526708 Enrollment ID: I20131030000947 |
| Provider Name | Jennifer Dulin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730352048 PECOS PAC ID: 0446418776 Enrollment ID: I20131105000670 |
| Provider Name | Jessica Brumley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083627707 PECOS PAC ID: 2961479969 Enrollment ID: I20131113000819 |
| Provider Name | Melinda Shiver Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851610299 PECOS PAC ID: 3072740539 Enrollment ID: I20131209001563 |
| Provider Name | Jingjing Ao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689870636 PECOS PAC ID: 8022109214 Enrollment ID: I20131211001086 |
| Provider Name | Tracy M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427487172 PECOS PAC ID: 2668600321 Enrollment ID: I20140102001218 |
| Provider Name | Nathan J Guerette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053749903 PECOS PAC ID: 7810125390 Enrollment ID: I20140107000901 |
| Provider Name | Jacqueline C Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417378332 PECOS PAC ID: 4981833704 Enrollment ID: I20140127001026 |
| Provider Name | Amy L Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437342219 PECOS PAC ID: 5597994277 Enrollment ID: I20140128001596 |
| Provider Name | Lori Lavelle Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679996748 PECOS PAC ID: 0143451450 Enrollment ID: I20140331001561 |
| Provider Name | Countiss Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770906620 PECOS PAC ID: 9133351349 Enrollment ID: I20140422000557 |
| Provider Name | Ryan M Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982864542 PECOS PAC ID: 1153544606 Enrollment ID: I20140602001000 |
| Provider Name | Joanna P Barris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083930655 PECOS PAC ID: 9032335641 Enrollment ID: I20140716002244 |
| Provider Name | Marcia K Johansson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528077070 PECOS PAC ID: 5799843462 Enrollment ID: I20140717002012 |
| Provider Name | James A Follett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780973933 PECOS PAC ID: 8123244068 Enrollment ID: I20140729002103 |
| Provider Name | Charles F Knapp |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023246527 PECOS PAC ID: 6709026495 Enrollment ID: I20140801001151 |
| Provider Name | Aurelia T Calero |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871721118 PECOS PAC ID: 8325266018 Enrollment ID: I20140821000513 |
| Provider Name | Eva Desrosiers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316996788 PECOS PAC ID: 4082641014 Enrollment ID: I20140822000391 |
| Provider Name | Nishit S Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053630764 PECOS PAC ID: 3274751862 Enrollment ID: I20140822001500 |
| Provider Name | Delbert Paul Remaley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396900148 PECOS PAC ID: 8729265913 Enrollment ID: I20140829000318 |
| Provider Name | Rene D Gomez Esquivel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295080794 PECOS PAC ID: 3678791662 Enrollment ID: I20140904002492 |
| Provider Name | Kimberly P Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437561594 PECOS PAC ID: 9537387535 Enrollment ID: I20140905000113 |
| Provider Name | Maxim V Mokin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124337290 PECOS PAC ID: 1759500648 Enrollment ID: I20140908001315 |
| Provider Name | Ricardo Restrepo-jaramillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295994952 PECOS PAC ID: 7618120122 Enrollment ID: I20140908002595 |
| Provider Name | Asa Z. Oxner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275826315 PECOS PAC ID: 7214156082 Enrollment ID: I20140910001758 |
| Provider Name | John William Jacobs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669631834 PECOS PAC ID: 5193963965 Enrollment ID: I20140917002208 |
| Provider Name | Andrew W. Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831489087 PECOS PAC ID: 9032338397 Enrollment ID: I20140918000889 |
| Provider Name | Claude Bassil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770714016 PECOS PAC ID: 7416176631 Enrollment ID: I20140919000599 |
| Provider Name | Anthony Paul Cannella |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861604027 PECOS PAC ID: 2365695111 Enrollment ID: I20140919000914 |
| Provider Name | Charles Lockwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730162884 PECOS PAC ID: 3476682980 Enrollment ID: I20140919001436 |
| Provider Name | Charles James Bailey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265619365 PECOS PAC ID: 3971722026 Enrollment ID: I20140922002864 |
| Provider Name | Natalya V Shneyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609077015 PECOS PAC ID: 9739211970 Enrollment ID: I20140924001231 |
| Provider Name | Jenna M Beasley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992063267 PECOS PAC ID: 1850534942 Enrollment ID: I20140925002100 |
| Provider Name | Thanh-xuan V Le |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184026957 PECOS PAC ID: 7719109289 Enrollment ID: I20141118000935 |
| Provider Name | Shannon Dale Callan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034173 PECOS PAC ID: 0749502979 Enrollment ID: I20141125001329 |
| Provider Name | Lisa R Moss |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962539528 PECOS PAC ID: 9133441181 Enrollment ID: I20141203000584 |
| Provider Name | Kelly M. Bolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417353665 PECOS PAC ID: 3375866148 Enrollment ID: I20141231000689 |
| Provider Name | Giselle M Ruano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619163318 PECOS PAC ID: 4688999840 Enrollment ID: I20150210000831 |
| Provider Name | Sunita P Bhandare |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144423195 PECOS PAC ID: 6901099480 Enrollment ID: I20150216000194 |
| Provider Name | Mattie Gallagher Ducoin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154500056 PECOS PAC ID: 8426201096 Enrollment ID: I20150226000942 |
| Provider Name | Patrick R Maciver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942528153 PECOS PAC ID: 1557519857 Enrollment ID: I20150302002402 |
| Provider Name | Loutfi Succari |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760766356 PECOS PAC ID: 5991927642 Enrollment ID: I20150303001513 |
| Provider Name | Linda D Fuschini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437433471 PECOS PAC ID: 6406176718 Enrollment ID: I20150527001776 |
| Provider Name | Douglas P Ivancsits |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437390390 PECOS PAC ID: 0042531543 Enrollment ID: I20150609002766 |
| Provider Name | Carol M Lilly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740290410 PECOS PAC ID: 2668784836 Enrollment ID: I20150630002051 |
| Provider Name | Martin A Giangreco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548535701 PECOS PAC ID: 2769795327 Enrollment ID: I20150724012374 |
| Provider Name | Jerrica R Farias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740674480 PECOS PAC ID: 6709190382 Enrollment ID: I20150728003931 |
| Provider Name | Glenn W Currier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194753012 PECOS PAC ID: 0446439772 Enrollment ID: I20150807013809 |
| Provider Name | Jennifer M Caputo Seidler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629344411 PECOS PAC ID: 0840505541 Enrollment ID: I20150810001954 |
| Provider Name | Gabor Peter Molnar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134428337 PECOS PAC ID: 4587979240 Enrollment ID: I20150811003699 |
| Provider Name | Alicia A Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578573283 PECOS PAC ID: 3173838745 Enrollment ID: I20150812007564 |
| Provider Name | Kiran Kondaveeti To |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497021893 PECOS PAC ID: 7618282120 Enrollment ID: I20150812008901 |
| Provider Name | Amanda L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467707059 PECOS PAC ID: 7810202074 Enrollment ID: I20150817002107 |
| Provider Name | Byron K Moran |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689973448 PECOS PAC ID: 2264747336 Enrollment ID: I20150818006073 |
| Provider Name | Nathan A Brinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851377071 PECOS PAC ID: 0244262509 Enrollment ID: I20150826000596 |
| Provider Name | Nicholas J Panetta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649402439 PECOS PAC ID: 6204142847 Enrollment ID: I20150827002548 |
| Provider Name | Frank W Ayestaran Cassani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366715799 PECOS PAC ID: 3274849815 Enrollment ID: I20150827002633 |
| Provider Name | Kate A Knupp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972893253 PECOS PAC ID: 2668788217 Enrollment ID: I20150827002868 |
| Provider Name | Sarah G Obican |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134379423 PECOS PAC ID: 3870780547 Enrollment ID: I20150909001811 |
| Provider Name | Rebecca L Hurst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104138049 PECOS PAC ID: 6103063391 Enrollment ID: I20150914002472 |
| Provider Name | Ryan Wagoner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952531204 PECOS PAC ID: 9931320223 Enrollment ID: I20150915001779 |
| Provider Name | Sunil Medidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427324607 PECOS PAC ID: 0143537639 Enrollment ID: I20150916000781 |
| Provider Name | Stacy M Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851775373 PECOS PAC ID: 6305153834 Enrollment ID: I20150916002032 |
| Provider Name | Alyssa J Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437494093 PECOS PAC ID: 0143537472 Enrollment ID: I20150917002569 |
| Provider Name | Thomas J Herron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013237007 PECOS PAC ID: 0547480113 Enrollment ID: I20150918002648 |
| Provider Name | Amanda A Wilson Morris |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1669768610 PECOS PAC ID: 9335456458 Enrollment ID: I20150922000472 |
| Provider Name | Ryan Floyd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437584851 PECOS PAC ID: 4082923974 Enrollment ID: I20151015000727 |
| Provider Name | Askin Uysal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568441210 PECOS PAC ID: 0749220796 Enrollment ID: I20151026000685 |
| Provider Name | Farnaz Tabatabaian |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265752919 PECOS PAC ID: 1456660620 Enrollment ID: I20151029001190 |
| Provider Name | Angela Eileen Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184001513 PECOS PAC ID: 5496065351 Enrollment ID: I20151104001655 |
| Provider Name | Pushpak Taunk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275794372 PECOS PAC ID: 9638301450 Enrollment ID: I20151106000534 |
| Provider Name | Stephanie A Watts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821418518 PECOS PAC ID: 7113237678 Enrollment ID: I20151112001819 |
| Provider Name | Ese Efemini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255406120 PECOS PAC ID: 0547441255 Enrollment ID: I20151112002632 |
| Provider Name | Mary P Pyfrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629398995 PECOS PAC ID: 3072813930 Enrollment ID: I20151124002902 |
| Provider Name | Benjamin A Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730129875 PECOS PAC ID: 0840590667 Enrollment ID: I20151201001631 |
| Provider Name | Elizabeth C Kendrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578997086 PECOS PAC ID: 6901030006 Enrollment ID: I20151203002692 |
| Provider Name | Kourtney L Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922470707 PECOS PAC ID: 3971803388 Enrollment ID: I20151207002191 |
| Provider Name | Mercy O Oigbokie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235500950 PECOS PAC ID: 2264733351 Enrollment ID: I20151215000226 |
| Provider Name | Kyle Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598139859 PECOS PAC ID: 7113228065 Enrollment ID: I20151217001472 |
| Provider Name | Vivian R Vega |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225261464 PECOS PAC ID: 8921311853 Enrollment ID: I20160112002112 |
| Provider Name | Kristy L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760856314 PECOS PAC ID: 5496058331 Enrollment ID: I20160126002729 |
| Provider Name | Laiheng Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548517816 PECOS PAC ID: 7517119548 Enrollment ID: I20160212001045 |
| Provider Name | Sagarika Nallu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255581070 PECOS PAC ID: 8527111434 Enrollment ID: I20160217000408 |
| Provider Name | Anne C Csere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841420775 PECOS PAC ID: 9638392962 Enrollment ID: I20160219000329 |
| Provider Name | Teresa Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497054175 PECOS PAC ID: 5193020311 Enrollment ID: I20160226000419 |
| Provider Name | Tara L Goossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528500 PECOS PAC ID: 7911229257 Enrollment ID: I20160311000802 |
| Provider Name | Allen Paul Chudzinski |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750526273 PECOS PAC ID: 8527253624 Enrollment ID: I20160316001469 |
| Provider Name | Heather Wynne-phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568827178 PECOS PAC ID: 6709183940 Enrollment ID: I20160401001248 |
| Provider Name | Hazina C Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931091 PECOS PAC ID: 0648578716 Enrollment ID: I20160406001796 |
| Provider Name | Cara C Babon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558593335 PECOS PAC ID: 4183922172 Enrollment ID: I20160407000053 |
| Provider Name | Gabrielle Kossaris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215305503 PECOS PAC ID: 5991003295 Enrollment ID: I20160420001541 |
| Provider Name | Jade A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255796140 PECOS PAC ID: 8921307588 Enrollment ID: I20160503001002 |
| Provider Name | Jolan E Walter |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467649525 PECOS PAC ID: 5092869834 Enrollment ID: I20160511001193 |
| Provider Name | Kristin E Spence |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366800195 PECOS PAC ID: 5890085534 Enrollment ID: I20160608000919 |
| Provider Name | Geoffrey Douglas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346456399 PECOS PAC ID: 0648494641 Enrollment ID: I20160627001487 |
| Provider Name | Deborah J Dewaay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508953480 PECOS PAC ID: 2860562048 Enrollment ID: I20160629000474 |
| Provider Name | Alejandro R Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285868943 PECOS PAC ID: 8426340365 Enrollment ID: I20160713000794 |
| Provider Name | Adam Edward Bennett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689949059 PECOS PAC ID: 8729223748 Enrollment ID: I20160721000889 |
| Provider Name | Thao T Ho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730235672 PECOS PAC ID: 2466670369 Enrollment ID: I20160803001374 |
| Provider Name | Brooke C Bavinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194045591 PECOS PAC ID: 6608015227 Enrollment ID: I20160805001872 |
| Provider Name | Gwendolyn K Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073708962 PECOS PAC ID: 5597059709 Enrollment ID: I20160811000578 |
| Provider Name | Erol Belli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063656254 PECOS PAC ID: 4981847639 Enrollment ID: I20160815001461 |
| Provider Name | Christopher B Griffith |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1437152832 PECOS PAC ID: 7810046430 Enrollment ID: I20160816000458 |
| Provider Name | Kapilkumar N Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356416531 PECOS PAC ID: 1456350057 Enrollment ID: I20160818001356 |
| Provider Name | Alexis N Cohen-oram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013207240 PECOS PAC ID: 6901114537 Enrollment ID: I20160823000477 |
| Provider Name | Jennifer R Casatelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073562401 PECOS PAC ID: 5092000554 Enrollment ID: I20160823000616 |
| Provider Name | Kristopher E Kaliebe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417940263 PECOS PAC ID: 9436174679 Enrollment ID: I20160824000783 |
| Provider Name | Puya Alikhani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598992505 PECOS PAC ID: 2769778752 Enrollment ID: I20160830002509 |
| Provider Name | Luis F Seguias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285604025 PECOS PAC ID: 7214093046 Enrollment ID: I20160907001071 |
| Provider Name | Roxanne S Samuels Lockett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700220571 PECOS PAC ID: 5092017202 Enrollment ID: I20160920001368 |
| Provider Name | Christina R Cardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952856007 PECOS PAC ID: 3779861653 Enrollment ID: I20161027001173 |
| Provider Name | Darlene Edillor Baysa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215389002 PECOS PAC ID: 1951689694 Enrollment ID: I20161031001569 |
| Provider Name | Megan E Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871943126 PECOS PAC ID: 6204114903 Enrollment ID: I20161101000911 |
| Provider Name | Robby Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659614451 PECOS PAC ID: 4284932146 Enrollment ID: I20161202000055 |
| Provider Name | Jason Lee Gursky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184175499 PECOS PAC ID: 6305126541 Enrollment ID: I20161206001092 |
| Provider Name | Mark Glenn Moseley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811078603 PECOS PAC ID: 8820083009 Enrollment ID: I20170130002508 |
| Provider Name | Marilyn A Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078992 PECOS PAC ID: 2860775467 Enrollment ID: I20170206001030 |
| Provider Name | Patricia O O'brien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912114968 PECOS PAC ID: 9032345673 Enrollment ID: I20170227002572 |
| Provider Name | Charlene Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477704567 PECOS PAC ID: 3678637824 Enrollment ID: I20170310001991 |
| Provider Name | David Weill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629104807 PECOS PAC ID: 9638155344 Enrollment ID: I20170323001947 |
| Provider Name | John Petrilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609213016 PECOS PAC ID: 1759668536 Enrollment ID: I20170503002759 |
| Provider Name | Jennifer L Wicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073511481 PECOS PAC ID: 7517858749 Enrollment ID: I20170510000767 |
| Provider Name | Megan M Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154860138 PECOS PAC ID: 7810264736 Enrollment ID: I20170525000699 |
| Provider Name | Jose Herazo-maya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164684353 PECOS PAC ID: 6002033685 Enrollment ID: I20170525002059 |
| Provider Name | Travis Cron Foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205128568 PECOS PAC ID: 3870743503 Enrollment ID: I20170623002079 |
| Provider Name | Richard Von Weisenberger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558711895 PECOS PAC ID: 5395014435 Enrollment ID: I20170706000918 |
| Provider Name | Kelly Elizabeth Fabrega-foster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275826802 PECOS PAC ID: 1850521667 Enrollment ID: I20170706002043 |
| Provider Name | Biljana Moratelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760917967 PECOS PAC ID: 1052680980 Enrollment ID: I20170707001718 |
| Provider Name | Swetha Renati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760757041 PECOS PAC ID: 5496999682 Enrollment ID: I20170718000658 |
| Provider Name | Amy E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720425663 PECOS PAC ID: 5395985089 Enrollment ID: I20170718003143 |
| Provider Name | Entidhar D Al Sawah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063754547 PECOS PAC ID: 0941570238 Enrollment ID: I20170719002143 |
| Provider Name | Rebecca M Plant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366860736 PECOS PAC ID: 3274803325 Enrollment ID: I20170721001265 |
| Provider Name | Ann M Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265468268 PECOS PAC ID: 8426238718 Enrollment ID: I20170807002926 |
| Provider Name | Matthew Mifsud |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285953679 PECOS PAC ID: 3971874793 Enrollment ID: I20170811001857 |
| Provider Name | K. Dean Arnaoutakis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699099507 PECOS PAC ID: 9234389990 Enrollment ID: I20170811002974 |
| Provider Name | Maryam Tahmasbi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073812608 PECOS PAC ID: 4284905068 Enrollment ID: I20170814000863 |
| Provider Name | Nirmal S Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003115478 PECOS PAC ID: 1254565435 Enrollment ID: I20170816002435 |
| Provider Name | Marijesmar Gonzalez Ball |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154649424 PECOS PAC ID: 2163651225 Enrollment ID: I20170912002051 |
| Provider Name | Priya Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891080701 PECOS PAC ID: 6103054002 Enrollment ID: I20170912002636 |
| Provider Name | Brenda Juan-guardela |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225322902 PECOS PAC ID: 1557643053 Enrollment ID: I20170913003871 |
| Provider Name | Rodney Andrew Friend |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1891789020 PECOS PAC ID: 9335372630 Enrollment ID: I20171002002289 |
| Provider Name | Deborah Knudson Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104016633 PECOS PAC ID: 3476733809 Enrollment ID: I20171003004681 |
| Provider Name | Leigh J Ruth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962778308 PECOS PAC ID: 1759680887 Enrollment ID: I20171004001313 |
| Provider Name | Nikesh Kapadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699194498 PECOS PAC ID: 6103191903 Enrollment ID: I20171004001862 |
| Provider Name | Kayley Pace Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985539 PECOS PAC ID: 9133494669 Enrollment ID: I20171009001834 |
| Provider Name | Cameron D Nereim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861811101 PECOS PAC ID: 8022383546 Enrollment ID: I20171010002216 |
| Provider Name | Janel N Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558887349 PECOS PAC ID: 9133495252 Enrollment ID: I20171017003550 |
| Provider Name | Jessica M Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174848378 PECOS PAC ID: 3870869738 Enrollment ID: I20171019002286 |
| Provider Name | Yarema Basil Bezchlibnyk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740644830 PECOS PAC ID: 8921390451 Enrollment ID: I20171024002900 |
| Provider Name | Karim H Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649680661 PECOS PAC ID: 7911290374 Enrollment ID: I20171025000657 |
| Provider Name | Arjun Parasher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962795781 PECOS PAC ID: 7517257231 Enrollment ID: I20171026002489 |
| Provider Name | Lauren E Bamesberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114441219 PECOS PAC ID: 4082980560 Enrollment ID: I20171027002360 |
| Provider Name | Bibhu D Mohanty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720246242 PECOS PAC ID: 7214245539 Enrollment ID: I20171102001900 |
| Provider Name | Mark C Witte |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477537348 PECOS PAC ID: 6608776547 Enrollment ID: I20171102003151 |
| Provider Name | Adham R Saad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154507754 PECOS PAC ID: 4486889045 Enrollment ID: I20171103000766 |
| Provider Name | Patrick T Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871971705 PECOS PAC ID: 3971898065 Enrollment ID: I20171113000657 |
| Provider Name | Jennifer Lee Yehl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801138128 PECOS PAC ID: 3476835489 Enrollment ID: I20171113001124 |
| Provider Name | Jared Troy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285933036 PECOS PAC ID: 4789940164 Enrollment ID: I20171117002865 |
| Provider Name | Lilia M Correa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316203110 PECOS PAC ID: 3577858299 Enrollment ID: I20171122002005 |
| Provider Name | Paul C Kuo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841374758 PECOS PAC ID: 4880731793 Enrollment ID: I20171130000869 |
| Provider Name | Lindsay B Kahn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932350543 PECOS PAC ID: 0648495499 Enrollment ID: I20171208002311 |
| Provider Name | Nathaniel Dole Maxfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245694967 PECOS PAC ID: 9133487309 Enrollment ID: I20171215001263 |
| Provider Name | Jaymie L Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025615 PECOS PAC ID: 3678832383 Enrollment ID: I20180125000575 |
| Provider Name | Juan Carlos Cardet |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003071713 PECOS PAC ID: 7911145768 Enrollment ID: I20180130000702 |
| Provider Name | Carlyn Rodriguez Nazario |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215216346 PECOS PAC ID: 9335409945 Enrollment ID: I20180130001667 |
| Provider Name | Kami Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477638252 PECOS PAC ID: 1052406659 Enrollment ID: I20180202000485 |
| Provider Name | Thomas V Mcdonald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336239169 PECOS PAC ID: 2668567264 Enrollment ID: I20180205001904 |
| Provider Name | Viswam Siva Nair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336336460 PECOS PAC ID: 7719047356 Enrollment ID: I20180206001680 |
| Provider Name | Eliana Piedrahita Llano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972864205 PECOS PAC ID: 2860638475 Enrollment ID: I20180220000216 |
| Provider Name | Liliya Mzhen Passman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811402068 PECOS PAC ID: 5597026278 Enrollment ID: I20180220001375 |
| Provider Name | Jennifer Kinneret Ron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285153718 PECOS PAC ID: 3072874791 Enrollment ID: I20180220003209 |
| Provider Name | Melanie Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275080566 PECOS PAC ID: 7012278021 Enrollment ID: I20180307001123 |
| Provider Name | Mary Alice Gallant-roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215240700 PECOS PAC ID: 1254693112 Enrollment ID: I20180313001974 |
| Provider Name | Christine Patricia Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750756789 PECOS PAC ID: 0143582288 Enrollment ID: I20180329001164 |
| Provider Name | Tiffaney Sharee Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497062376 PECOS PAC ID: 4385808385 Enrollment ID: I20180501000636 |
| Provider Name | Hye Jeong Robbibaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248498 PECOS PAC ID: 3476818436 Enrollment ID: I20180523001433 |
| Provider Name | Ramesh Somayajula Ayyala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356395404 PECOS PAC ID: 1951388453 Enrollment ID: I20180523001975 |
| Provider Name | Fareeha S Hussaini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033538640 PECOS PAC ID: 8123383098 Enrollment ID: I20180523002304 |
| Provider Name | Jacqueline Christine Higginbottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376955856 PECOS PAC ID: 6608131503 Enrollment ID: I20180524000553 |
| Provider Name | Jessie A Bexley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245738731 PECOS PAC ID: 0941565469 Enrollment ID: I20180601002379 |
| Provider Name | Wei-shen Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417257254 PECOS PAC ID: 5092060376 Enrollment ID: I20180611002313 |
| Provider Name | Jason S Prater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982961785 PECOS PAC ID: 9931343373 Enrollment ID: I20180615000829 |
| Provider Name | Gwen Blakely Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992978969 PECOS PAC ID: 9739211145 Enrollment ID: I20180618001178 |
| Provider Name | Kelly L Allegro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134552037 PECOS PAC ID: 1052548328 Enrollment ID: I20180627001952 |
| Provider Name | Marie E Labadie-degennaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053808790 PECOS PAC ID: 6507112935 Enrollment ID: I20180627002282 |
| Provider Name | Steven M Lorch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811286982 PECOS PAC ID: 7214223874 Enrollment ID: I20180703000775 |
| Provider Name | Hariharan Palayapalayam Ganapathi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154860526 PECOS PAC ID: 1658627534 Enrollment ID: I20180706001782 |
| Provider Name | Megan Daley Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770083073 PECOS PAC ID: 6507112026 Enrollment ID: I20180712002979 |
| Provider Name | Jose R Duncan Arosemena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871782748 PECOS PAC ID: 0648350868 Enrollment ID: I20180725000555 |
| Provider Name | Marla E Sevilla Alsina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396019238 PECOS PAC ID: 3678821022 Enrollment ID: I20180801003401 |
| Provider Name | Kevin Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255726089 PECOS PAC ID: 5799033791 Enrollment ID: I20180808001159 |
| Provider Name | Adam Katzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235523242 PECOS PAC ID: 6608124532 Enrollment ID: I20180808002650 |
| Provider Name | Michelle Antoinette Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902292477 PECOS PAC ID: 3072862770 Enrollment ID: I20180814000236 |
| Provider Name | Julia Toman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841632544 PECOS PAC ID: 7315259819 Enrollment ID: I20180815000953 |
| Provider Name | Joseph Stephen Marrazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104055722 PECOS PAC ID: 5799034849 Enrollment ID: I20180822002027 |
| Provider Name | Enola Renee Okonkwo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861888430 PECOS PAC ID: 7618245382 Enrollment ID: I20180829000342 |
| Provider Name | Amber N Pepper |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1013259407 PECOS PAC ID: 2769732379 Enrollment ID: I20180831001463 |
| Provider Name | Keyur Thakarshibhai Donda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770834772 PECOS PAC ID: 9436409414 Enrollment ID: I20180912003469 |
| Provider Name | Jennifer Pernas Boucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598151938 PECOS PAC ID: 8426322157 Enrollment ID: I20180920003371 |
| Provider Name | Nicole A Mulheron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720474950 PECOS PAC ID: 4688932296 Enrollment ID: I20180921001593 |
| Provider Name | Loryn Jennifer Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295155521 PECOS PAC ID: 4880945807 Enrollment ID: I20181001001759 |
| Provider Name | John M Kiel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619387099 PECOS PAC ID: 6103191218 Enrollment ID: I20181005001743 |
| Provider Name | Charles Leo Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245518489 PECOS PAC ID: 4385817535 Enrollment ID: I20181010001232 |
| Provider Name | Shanu Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558694216 PECOS PAC ID: 8729258058 Enrollment ID: I20181016003621 |
| Provider Name | Adrienne Bruccoleri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477727865 PECOS PAC ID: 6507155355 Enrollment ID: I20181019000173 |
| Provider Name | Jennifer Marie Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437546314 PECOS PAC ID: 4385997386 Enrollment ID: I20181022000423 |
| Provider Name | Bri Anne Mckeon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730441486 PECOS PAC ID: 1658697040 Enrollment ID: I20181029001241 |
| Provider Name | Noella Cypress West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861722316 PECOS PAC ID: 3971735168 Enrollment ID: I20181030003100 |
| Provider Name | Caitlin Maria Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093216459 PECOS PAC ID: 3274886650 Enrollment ID: I20181101001185 |
| Provider Name | Robert David Bennett |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376868935 PECOS PAC ID: 3173876323 Enrollment ID: I20181105003209 |
| Provider Name | Adam Gregory Collard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962720631 PECOS PAC ID: 5890048078 Enrollment ID: I20181106000998 |
| Provider Name | Reed Lloyd Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033606884 PECOS PAC ID: 1254685456 Enrollment ID: I20181106002150 |
| Provider Name | Elizabeth Dantzler Peek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700206885 PECOS PAC ID: 6305190554 Enrollment ID: I20181107001030 |
| Provider Name | Charles David Valenti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306223557 PECOS PAC ID: 0749594448 Enrollment ID: I20181107003453 |
| Provider Name | William Andrew Meriwether |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831519669 PECOS PAC ID: 9537413687 Enrollment ID: I20181108002288 |
| Provider Name | Kevin Robert Heinsimer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386082659 PECOS PAC ID: 5890938856 Enrollment ID: I20181112000646 |
| Provider Name | Jaimie L Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568856524 PECOS PAC ID: 3870847627 Enrollment ID: I20181113002976 |
| Provider Name | Angela M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720569395 PECOS PAC ID: 5294089975 Enrollment ID: I20181115001501 |
| Provider Name | Lauren Van Eldik Kuykendall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174899470 PECOS PAC ID: 5890039127 Enrollment ID: I20181127003044 |
| Provider Name | Jaclyn Spirtos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356739320 PECOS PAC ID: 6709120777 Enrollment ID: I20181201000075 |
| Provider Name | Michelle Latimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679056782 PECOS PAC ID: 7012251085 Enrollment ID: I20181201000223 |
| Provider Name | Jolene R Eid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225385255 PECOS PAC ID: 5294955027 Enrollment ID: I20181211000983 |
| Provider Name | Sarah Reams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016251 PECOS PAC ID: 9739424086 Enrollment ID: I20181214001990 |
| Provider Name | Kara Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144703638 PECOS PAC ID: 0547505612 Enrollment ID: I20181218000685 |
| Provider Name | Amanda Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649748880 PECOS PAC ID: 7719222769 Enrollment ID: I20181219000323 |
| Provider Name | Rachel Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457528648 PECOS PAC ID: 2264581149 Enrollment ID: I20190102002086 |
| Provider Name | Jennifer Deborah Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912475526 PECOS PAC ID: 3870839004 Enrollment ID: I20190109001870 |
| Provider Name | Byoung Kwon Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477054617 PECOS PAC ID: 6608114152 Enrollment ID: I20190208001149 |
| Provider Name | Kimberly Swann Brown Maynell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427383744 PECOS PAC ID: 6103164520 Enrollment ID: I20190211001319 |
| Provider Name | Shella Cesare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033528021 PECOS PAC ID: 5991043242 Enrollment ID: I20190211003018 |
| Provider Name | Amy L Gasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442553 PECOS PAC ID: 5890034292 Enrollment ID: I20190301001392 |
| Provider Name | Christopher Garnet Ducoin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801025648 PECOS PAC ID: 9739326984 Enrollment ID: I20190308000922 |
| Provider Name | Rebecca Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194223487 PECOS PAC ID: 1850631466 Enrollment ID: I20190319000100 |
| Provider Name | Debabrata Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942431135 PECOS PAC ID: 6103132477 Enrollment ID: I20190403000712 |
| Provider Name | Miriah Beth Denbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356542609 PECOS PAC ID: 7214107903 Enrollment ID: I20190409002097 |
| Provider Name | Amy Kelley Reinke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639637259 PECOS PAC ID: 1153662630 Enrollment ID: I20190410001269 |
| Provider Name | Victoria Lanci Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093273583 PECOS PAC ID: 3577804988 Enrollment ID: I20190412000852 |
| Provider Name | Stefanie Bond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356770812 PECOS PAC ID: 5890917090 Enrollment ID: I20190417001744 |
| Provider Name | Desiree M Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720564545 PECOS PAC ID: 1153663067 Enrollment ID: I20190424003145 |
| Provider Name | Daime Del Carmen Nieves Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922239037 PECOS PAC ID: 4082956792 Enrollment ID: I20190430000388 |
| Provider Name | Rosalinda Paje Tiongco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154392207 PECOS PAC ID: 6305188764 Enrollment ID: I20190506000045 |
| Provider Name | Julie Carlene Trinadel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881855518 PECOS PAC ID: 5092057463 Enrollment ID: I20190506000218 |
| Provider Name | Kelly Landicho Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467925834 PECOS PAC ID: 0143562520 Enrollment ID: I20190506000774 |
| Provider Name | Dawn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235445131 PECOS PAC ID: 7315289717 Enrollment ID: I20190506001230 |
| Provider Name | Camille Suzanne Thelin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235429408 PECOS PAC ID: 4082956347 Enrollment ID: I20190507001397 |
| Provider Name | Angelica Rivera-cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972867752 PECOS PAC ID: 3678860053 Enrollment ID: I20190513000298 |
| Provider Name | Lindsay Rebekah Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376009274 PECOS PAC ID: 4688917735 Enrollment ID: I20190514000354 |
| Provider Name | Paulette P Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609889724 PECOS PAC ID: 0345258653 Enrollment ID: I20190516000899 |
| Provider Name | Valerie Michelle Schiavo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205494671 PECOS PAC ID: 2961735477 Enrollment ID: I20190614000093 |
| Provider Name | Christopher J Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548605744 PECOS PAC ID: 5395040018 Enrollment ID: I20190625000945 |
| Provider Name | Ashley Rogers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669868477 PECOS PAC ID: 6800191651 Enrollment ID: I20190628000899 |
| Provider Name | Jonathan Elias Hilal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871851204 PECOS PAC ID: 1759631310 Enrollment ID: I20190715000437 |
| Provider Name | Grace Hyeiwon Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801214002 PECOS PAC ID: 7517292220 Enrollment ID: I20190717000622 |
| Provider Name | Raul E. Fernandez-crespo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124468632 PECOS PAC ID: 5799010492 Enrollment ID: I20190717003603 |
| Provider Name | Nidhi Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952668584 PECOS PAC ID: 4688971716 Enrollment ID: I20190718001066 |
| Provider Name | Patrick David Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922441351 PECOS PAC ID: 6507006178 Enrollment ID: I20190718001339 |
| Provider Name | Yevgeniya S Kushchayeva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356784185 PECOS PAC ID: 7810223393 Enrollment ID: I20190722000848 |
| Provider Name | Venus N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831758788 PECOS PAC ID: 4082940291 Enrollment ID: I20190725002760 |
| Provider Name | Stephen D Aradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518352996 PECOS PAC ID: 6204162910 Enrollment ID: I20190801001375 |
| Provider Name | Claudia Mily Espinosa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093840522 PECOS PAC ID: 2769514793 Enrollment ID: I20190801002965 |
| Provider Name | Colleen Rebekah Maier Mcintosh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972998102 PECOS PAC ID: 9931436623 Enrollment ID: I20190802001273 |
| Provider Name | Amy Marie Allspaw |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154380921 PECOS PAC ID: 6901897925 Enrollment ID: I20190802002195 |
| Provider Name | Kanita Beba Abadal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376962993 PECOS PAC ID: 9638395726 Enrollment ID: I20190808003647 |
| Provider Name | Allison Hales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841648326 PECOS PAC ID: 1456686856 Enrollment ID: I20190813003022 |
| Provider Name | Milind J Kothari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184682064 PECOS PAC ID: 6305030164 Enrollment ID: I20190815000700 |
| Provider Name | Ushtar Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588083596 PECOS PAC ID: 9032446885 Enrollment ID: I20190816000348 |
| Provider Name | Sarah Kimble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417310715 PECOS PAC ID: 2365716685 Enrollment ID: I20190819000458 |
| Provider Name | Gloria Elena Ossa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305819 PECOS PAC ID: 0547598534 Enrollment ID: I20190829001338 |
| Provider Name | Hannah Gospodinsky |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548820657 PECOS PAC ID: 5395072458 Enrollment ID: I20190918001045 |
| Provider Name | Mackenzie Garreth Brittain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497317440 PECOS PAC ID: 9739419508 Enrollment ID: I20190920000292 |
| Provider Name | Abbey Rose Liebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326694357 PECOS PAC ID: 5294065033 Enrollment ID: I20190923000421 |
| Provider Name | Gundars Janis Katlaps |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124063904 PECOS PAC ID: 1052364452 Enrollment ID: I20190923001585 |
| Provider Name | Kelly Ann Dewolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316439425 PECOS PAC ID: 1850621442 Enrollment ID: I20190925000108 |
| Provider Name | Paola Bergren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063982304 PECOS PAC ID: 3173854080 Enrollment ID: I20191008000496 |
| Provider Name | Ashley Brooke Austin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469412 PECOS PAC ID: 7810228525 Enrollment ID: I20191010002500 |
| Provider Name | Donald L Quimby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952797656 PECOS PAC ID: 1355653973 Enrollment ID: I20191016000420 |
| Provider Name | Stephanie Monica Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543883 PECOS PAC ID: 5991037186 Enrollment ID: I20191021001352 |
| Provider Name | Leyla Margarita Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821420753 PECOS PAC ID: 0941532972 Enrollment ID: I20191024001349 |
| Provider Name | Douglas Joseph Mcconnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659766442 PECOS PAC ID: 9931415999 Enrollment ID: I20191028000451 |
| Provider Name | Syeda Sumara Taranum Basith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104357995 PECOS PAC ID: 4082946702 Enrollment ID: I20191030002154 |
| Provider Name | Calli Keenan Fodor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205477072 PECOS PAC ID: 2860724200 Enrollment ID: I20191104002771 |
| Provider Name | Jaimie Payne Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447892633 PECOS PAC ID: 6709218035 Enrollment ID: I20191107000997 |
| Provider Name | Stephanie Lynn Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568020261 PECOS PAC ID: 2466884465 Enrollment ID: I20191113000670 |
| Provider Name | John Steven Jarstad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578672135 PECOS PAC ID: 2062309958 Enrollment ID: I20191202000987 |
| Provider Name | Erin Burgasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124487996 PECOS PAC ID: 3779917281 Enrollment ID: I20191216001961 |
| Provider Name | Richa Panara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295199917 PECOS PAC ID: 5991098535 Enrollment ID: I20191217002209 |
| Provider Name | Waldo R Guerrero |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295997435 PECOS PAC ID: 7517185796 Enrollment ID: I20191231000888 |
| Provider Name | Keith E Dombrowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548477490 PECOS PAC ID: 6406972652 Enrollment ID: I20200108003031 |
| Provider Name | Kaylee Kearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078422 PECOS PAC ID: 3173958584 Enrollment ID: I20200113002014 |
| Provider Name | Mohammed E Alomar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245507227 PECOS PAC ID: 0749568269 Enrollment ID: I20200116000862 |
| Provider Name | Andrew William Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689210932 PECOS PAC ID: 7719312875 Enrollment ID: I20200117000646 |
| Provider Name | Diego A Riveros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891227625 PECOS PAC ID: 0244665271 Enrollment ID: I20200121000214 |
| Provider Name | Christina Mary Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104168855 PECOS PAC ID: 8820423619 Enrollment ID: I20200124002309 |
| Provider Name | Marketa M Wills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023173051 PECOS PAC ID: 4082684667 Enrollment ID: I20200130000401 |
| Provider Name | Matthew R Lozier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134578370 PECOS PAC ID: 6901155878 Enrollment ID: I20200211000085 |
| Provider Name | Israel Christopher Ugalde |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1497103923 PECOS PAC ID: 5193152767 Enrollment ID: I20200219002946 |
| Provider Name | Mechele A Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395279 PECOS PAC ID: 0042647661 Enrollment ID: I20200221000248 |
| Provider Name | Michelle Michaels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386989390 PECOS PAC ID: 6709025711 Enrollment ID: I20200226000782 |
| Provider Name | Amber Michelle Gum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164052445 PECOS PAC ID: 7618305145 Enrollment ID: I20200317001308 |
| Provider Name | Ramak Roohipourmoallai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568095743 PECOS PAC ID: 1355779695 Enrollment ID: I20200319000994 |
| Provider Name | Mamdouh E Rayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134261845 PECOS PAC ID: 3274434543 Enrollment ID: I20200327002011 |
| Provider Name | Stephanie H. Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316336092 PECOS PAC ID: 8325358971 Enrollment ID: I20200331003639 |
| Provider Name | Andres Enrique Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376035188 PECOS PAC ID: 4587093760 Enrollment ID: I20200409001671 |
| Provider Name | Brandi R Haugabook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437779246 PECOS PAC ID: 4880024199 Enrollment ID: I20200428000377 |
| Provider Name | Julie Shaju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063998631 PECOS PAC ID: 6709217987 Enrollment ID: I20200504002814 |
| Provider Name | Marissa R Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437322294 PECOS PAC ID: 8527220839 Enrollment ID: I20200511001026 |
| Provider Name | Jasmine Nazirbage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700428968 PECOS PAC ID: 3779914353 Enrollment ID: I20200514002669 |
| Provider Name | Michael Allen Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720307481 PECOS PAC ID: 6406096429 Enrollment ID: I20200519001441 |
| Provider Name | Ancil James Abney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922493600 PECOS PAC ID: 9931464393 Enrollment ID: I20200603000209 |
| Provider Name | Erik Hayman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699041806 PECOS PAC ID: 3779880513 Enrollment ID: I20200605000538 |
| Provider Name | Claudia Lorena Gaviria Agudelo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548492895 PECOS PAC ID: 9234478439 Enrollment ID: I20200609001246 |
| Provider Name | Mark Isaac Armanious |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740600261 PECOS PAC ID: 0143642439 Enrollment ID: I20200615000809 |
| Provider Name | Marian Alice Lowther |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043834351 PECOS PAC ID: 5496177784 Enrollment ID: I20200615000950 |
| Provider Name | Hiram G Bezerra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528389442 PECOS PAC ID: 7911031224 Enrollment ID: I20200615003528 |
| Provider Name | Lucian Lozonschi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740388123 PECOS PAC ID: 6507862729 Enrollment ID: I20200618001086 |
| Provider Name | Anna Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861032294 PECOS PAC ID: 4183046089 Enrollment ID: I20200623001668 |
| Provider Name | Ju Hee Katzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013395649 PECOS PAC ID: 2062835408 Enrollment ID: I20200702000362 |
| Provider Name | Joseph Sujka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124434485 PECOS PAC ID: 8426278243 Enrollment ID: I20200706000572 |
| Provider Name | Racha Khalaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831501964 PECOS PAC ID: 8729348255 Enrollment ID: I20200706000825 |
| Provider Name | Ali Sanati-mehrizy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285977389 PECOS PAC ID: 1951724137 Enrollment ID: I20200707000332 |
| Provider Name | Alyssa Woodard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952763187 PECOS PAC ID: 6800219098 Enrollment ID: I20200707000581 |
| Provider Name | Sara Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811429301 PECOS PAC ID: 7719300938 Enrollment ID: I20200707001920 |
| Provider Name | Natalie Moreo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780067025 PECOS PAC ID: 5991128050 Enrollment ID: I20200708000204 |
| Provider Name | Jacqueline E Sherbuk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629480264 PECOS PAC ID: 6800116047 Enrollment ID: I20200708001181 |
| Provider Name | Anthony M. Bradshaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932593381 PECOS PAC ID: 2163845207 Enrollment ID: I20200708002827 |
| Provider Name | Sarah Kinsey Kossiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881221760 PECOS PAC ID: 3375966252 Enrollment ID: I20200710001111 |
| Provider Name | Alexander Maxwell Haas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760725881 PECOS PAC ID: 8921421819 Enrollment ID: I20200710001575 |
| Provider Name | Stephanie Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164046181 PECOS PAC ID: 3779907290 Enrollment ID: I20200716003096 |
| Provider Name | Christopher Donovan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770945982 PECOS PAC ID: 1254624331 Enrollment ID: I20200727002383 |
| Provider Name | Amanda Nicole Klawinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528676350 PECOS PAC ID: 6507280252 Enrollment ID: I20200728001594 |
| Provider Name | Saida Omarova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851652937 PECOS PAC ID: 0749411189 Enrollment ID: I20200810000831 |
| Provider Name | Jessica Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194168542 PECOS PAC ID: 5799928800 Enrollment ID: I20200814001000 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821483835 PECOS PAC ID: 4183040595 Enrollment ID: I20200817001308 |
| Provider Name | Jennifer C Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922532654 PECOS PAC ID: 1254618853 Enrollment ID: I20200826000426 |
| Provider Name | Lisa Sanders |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881162402 PECOS PAC ID: 9234556671 Enrollment ID: I20200831000567 |
| Provider Name | Katherine Langlais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689299687 PECOS PAC ID: 5799102943 Enrollment ID: I20200902001136 |
| Provider Name | Morgan Oktela |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528676236 PECOS PAC ID: 7911325907 Enrollment ID: I20200908001258 |
| Provider Name | Sandra M Farach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316262884 PECOS PAC ID: 2567880594 Enrollment ID: I20200908002267 |
| Provider Name | Anant Kharod |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952668097 PECOS PAC ID: 2567612989 Enrollment ID: I20200923001506 |
| Provider Name | Tanner Gregory Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699129510 PECOS PAC ID: 7113346511 Enrollment ID: I20201005001884 |
| Provider Name | Tanya R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336759943 PECOS PAC ID: 5890115042 Enrollment ID: I20201009000642 |
| Provider Name | Amber Mcclain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326309840 PECOS PAC ID: 1850536798 Enrollment ID: I20201009002305 |
| Provider Name | Michelle Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083040372 PECOS PAC ID: 8628207354 Enrollment ID: I20201015003178 |
| Provider Name | Ryan Mark Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144601907 PECOS PAC ID: 9335454628 Enrollment ID: I20201023000956 |
| Provider Name | Dae Hyun Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235650284 PECOS PAC ID: 9638589971 Enrollment ID: I20201028000229 |
| Provider Name | Kristina Chechotka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710220017 PECOS PAC ID: 7315250792 Enrollment ID: I20201103000769 |
| Provider Name | Mary Manzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345676 PECOS PAC ID: 8022428804 Enrollment ID: I20201105002266 |
| Provider Name | Michelle Robisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598232118 PECOS PAC ID: 9739424300 Enrollment ID: I20201110001265 |
| Provider Name | Ambika Eranki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659528123 PECOS PAC ID: 9537486337 Enrollment ID: I20201116003253 |
| Provider Name | Melissa Del Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902456965 PECOS PAC ID: 3779994587 Enrollment ID: I20201201000127 |
| Provider Name | Bayan Md Mesmar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306192976 PECOS PAC ID: 9830498880 Enrollment ID: I20201207001850 |
| Provider Name | Gaetane Michaud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730368986 PECOS PAC ID: 8628151511 Enrollment ID: I20201210000879 |
| Provider Name | Upma Suneja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295139699 PECOS PAC ID: 6608288238 Enrollment ID: I20201223001386 |
| Provider Name | Sally H Houston |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144230608 PECOS PAC ID: 9234435645 Enrollment ID: I20210114002275 |
| Provider Name | Endri Ceka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386177517 PECOS PAC ID: 1951644186 Enrollment ID: I20210122001847 |
| Provider Name | Candice L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467817486 PECOS PAC ID: 8426351537 Enrollment ID: I20210204002632 |
| Provider Name | Brittany Ann Kieslor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821349580 PECOS PAC ID: 1052726726 Enrollment ID: I20210211001031 |
| Provider Name | Rene Alcides Exposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012431 PECOS PAC ID: 2365857851 Enrollment ID: I20210216000042 |
| Provider Name | Hristina N Natcheva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184942286 PECOS PAC ID: 4284947219 Enrollment ID: I20210216002998 |
| Provider Name | Jacqueline Kay Larson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386996759 PECOS PAC ID: 6800146267 Enrollment ID: I20210225001457 |
| Provider Name | Brenden Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164022802 PECOS PAC ID: 3870909732 Enrollment ID: I20210302000205 |
| Provider Name | Beata Podgorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493733 PECOS PAC ID: 5597175968 Enrollment ID: I20210304000313 |
| Provider Name | Kalene C. Setrin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134781685 PECOS PAC ID: 5294062394 Enrollment ID: I20210317000119 |
| Provider Name | Jeet J Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558742411 PECOS PAC ID: 5193039238 Enrollment ID: I20210322001302 |
| Provider Name | Jamie Ott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649751108 PECOS PAC ID: 7911250766 Enrollment ID: I20210511000899 |
| Provider Name | Ashley Morgan Rehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902400187 PECOS PAC ID: 9133538416 Enrollment ID: I20210518000784 |
| Provider Name | Lakota Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699308809 PECOS PAC ID: 2961801451 Enrollment ID: I20210603002079 |
| Provider Name | Elizabeth Villalta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437530193 PECOS PAC ID: 2961790274 Enrollment ID: I20210603002185 |
| Provider Name | John R Ciotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992186985 PECOS PAC ID: 6709191497 Enrollment ID: I20210603002526 |
| Provider Name | Daniela C. Crousillat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518305085 PECOS PAC ID: 1557596160 Enrollment ID: I20210604000817 |
| Provider Name | Kristen Beatrice Joniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033791363 PECOS PAC ID: 7113327446 Enrollment ID: I20210608002801 |
| Provider Name | Jennifer Savoca Braverman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1407171002 PECOS PAC ID: 6305063868 Enrollment ID: I20210609001226 |
| Provider Name | William D Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790050979 PECOS PAC ID: 7517270606 Enrollment ID: I20210611000234 |
| Provider Name | Naveen Punchayil Narayanank |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871895664 PECOS PAC ID: 0941441968 Enrollment ID: I20210615002127 |
| Provider Name | Emily Lauren Glass |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093381436 PECOS PAC ID: 3476953274 Enrollment ID: I20210616001347 |
| Provider Name | Kunal Vakharia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124462700 PECOS PAC ID: 2365780939 Enrollment ID: I20210623004057 |
| Provider Name | Phuong Diep Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203915 PECOS PAC ID: 8921409244 Enrollment ID: I20210624000849 |
| Provider Name | Amy Beth Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871003665 PECOS PAC ID: 5193082675 Enrollment ID: I20210624001462 |
| Provider Name | Tanuja Kothinti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922484823 PECOS PAC ID: 4082961974 Enrollment ID: I20210702001908 |
| Provider Name | Abdul Mikati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275947285 PECOS PAC ID: 8022327022 Enrollment ID: I20210706000816 |
| Provider Name | Kristin Amanda Launikitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319178 PECOS PAC ID: 0941602593 Enrollment ID: I20210706001677 |
| Provider Name | Adam Jay Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275910275 PECOS PAC ID: 4587975602 Enrollment ID: I20210706002142 |
| Provider Name | Brandy M Hoyt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891290284 PECOS PAC ID: 7810399482 Enrollment ID: I20210706002542 |
| Provider Name | Melissa Hoperich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205419140 PECOS PAC ID: 5092117663 Enrollment ID: I20210706002568 |
| Provider Name | Lindsey Ryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982099479 PECOS PAC ID: 1355764317 Enrollment ID: I20210707000551 |
| Provider Name | Muhammad Raheel Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316365703 PECOS PAC ID: 2769772128 Enrollment ID: I20210707002798 |
| Provider Name | Chelsea Marie Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053816371 PECOS PAC ID: 6002218419 Enrollment ID: I20210707003914 |
| Provider Name | Jia Yi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811344112 PECOS PAC ID: 7416248075 Enrollment ID: I20210713000077 |
| Provider Name | Leetoria Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881924777 PECOS PAC ID: 0143622977 Enrollment ID: I20210715002038 |
| Provider Name | Laura James Nywening |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346502234 PECOS PAC ID: 8527359736 Enrollment ID: I20210719001823 |
| Provider Name | Yael Emilie Bensoussan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568071751 PECOS PAC ID: 4789001504 Enrollment ID: I20210726000725 |
| Provider Name | Melissa Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962865410 PECOS PAC ID: 4082903463 Enrollment ID: I20210728001125 |
| Provider Name | Kathleen Ann Wood Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669836383 PECOS PAC ID: 9133522121 Enrollment ID: I20210728002842 |
| Provider Name | Ann Lin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184165888 PECOS PAC ID: 6204239130 Enrollment ID: I20210729000977 |
| Provider Name | Kennon Saad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992374235 PECOS PAC ID: 7214331974 Enrollment ID: I20210803003012 |
| Provider Name | Palestine Yacoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679149116 PECOS PAC ID: 1456755081 Enrollment ID: I20210804002303 |
| Provider Name | Aditya Grover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679060032 PECOS PAC ID: 0749684900 Enrollment ID: I20210810001913 |
| Provider Name | Christopher Nickel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194111963 PECOS PAC ID: 1759704570 Enrollment ID: I20210810002669 |
| Provider Name | Salvatore Docimo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558691154 PECOS PAC ID: 3072827310 Enrollment ID: I20210817002387 |
| Provider Name | Oliver Elias Flouty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265790356 PECOS PAC ID: 3072755628 Enrollment ID: I20210819003661 |
| Provider Name | Shelby Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255979746 PECOS PAC ID: 5496183980 Enrollment ID: I20210825004054 |
| Provider Name | Jennifer Shiroky-kochavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487186862 PECOS PAC ID: 2163790619 Enrollment ID: I20210902001267 |
| Provider Name | Viviana Paz Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366946386 PECOS PAC ID: 5698103513 Enrollment ID: I20210903001207 |
| Provider Name | Erin J Alomar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730750282 PECOS PAC ID: 9931505658 Enrollment ID: I20210903002393 |
| Provider Name | Michael O'connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669148284 PECOS PAC ID: 0648676106 Enrollment ID: I20210908002421 |
| Provider Name | Keisha N Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164771531 PECOS PAC ID: 2466751748 Enrollment ID: I20210908003725 |
| Provider Name | Beatriz F Marin Ruiz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144602517 PECOS PAC ID: 9739423682 Enrollment ID: I20210909001083 |
| Provider Name | Marsadi Layne Parliament |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295409415 PECOS PAC ID: 8022414473 Enrollment ID: I20210909002522 |
| Provider Name | Michael Doing |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710579784 PECOS PAC ID: 4880090117 Enrollment ID: I20210910002003 |
| Provider Name | Kristin Joan Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538691746 PECOS PAC ID: 3173897790 Enrollment ID: I20210914003066 |
| Provider Name | Haley Calloway |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427626118 PECOS PAC ID: 5193121242 Enrollment ID: I20210915000869 |
| Provider Name | Ivan Rodriguez-flores |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396203956 PECOS PAC ID: 1153728266 Enrollment ID: I20210916000103 |
| Provider Name | Jessica Danielle Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134684665 PECOS PAC ID: 4385042571 Enrollment ID: I20211001000488 |
| Provider Name | Yonatan Breiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033450184 PECOS PAC ID: 2567860745 Enrollment ID: I20211004000900 |
| Provider Name | Mamta Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710923768 PECOS PAC ID: 9335154863 Enrollment ID: I20211005001782 |
| Provider Name | Aaron Afraim Desai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558758128 PECOS PAC ID: 6608170741 Enrollment ID: I20211006001864 |
| Provider Name | Penne Sims |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174298715 PECOS PAC ID: 9830587179 Enrollment ID: I20211019002436 |
| Provider Name | Siliva Rosario Salgado Nunez Del Prado |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194098905 PECOS PAC ID: 2860791811 Enrollment ID: I20211020001064 |
| Provider Name | Aylin Ozgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209272 PECOS PAC ID: 3971991175 Enrollment ID: I20211020001753 |
| Provider Name | Sharon Albers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386639938 PECOS PAC ID: 6608061494 Enrollment ID: I20211025001971 |
| Provider Name | Shakeira Pinedo Mones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376116988 PECOS PAC ID: 0244628881 Enrollment ID: I20211101000746 |
| Provider Name | Thuy-quynh J Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023549508 PECOS PAC ID: 0840567863 Enrollment ID: I20211105001040 |
| Provider Name | Reyah Pineda-ocasion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891465605 PECOS PAC ID: 6608265962 Enrollment ID: I20211109000058 |
| Provider Name | Adetomiwa A. Shokunbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356725790 PECOS PAC ID: 9830588441 Enrollment ID: I20211118003218 |
| Provider Name | Meghan Elizabeth Schmaltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568794022 PECOS PAC ID: 8820487499 Enrollment ID: I20211119002298 |
| Provider Name | Kristy Lovell Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922770940 PECOS PAC ID: 9234529629 Enrollment ID: I20211129000436 |
| Provider Name | Tia Marie Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033872767 PECOS PAC ID: 8628468048 Enrollment ID: I20211129001662 |
| Provider Name | Katie A Propst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609197888 PECOS PAC ID: 8123245289 Enrollment ID: I20211201001510 |
| Provider Name | Melissa A Festa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811409170 PECOS PAC ID: 1052668670 Enrollment ID: I20211208001869 |
| Provider Name | Willamina Folks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740873744 PECOS PAC ID: 4385034057 Enrollment ID: I20211213000750 |
| Provider Name | Gabriel Coimbra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265197289 PECOS PAC ID: 9335538990 Enrollment ID: I20211220000400 |
| Provider Name | Kimberly Michelle Mockel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043984610 PECOS PAC ID: 3577954908 Enrollment ID: I20211220001067 |
| Provider Name | Olivia C Daigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245901156 PECOS PAC ID: 6406247733 Enrollment ID: I20211221002887 |
| Provider Name | Cinthya Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922155 PECOS PAC ID: 6507258233 Enrollment ID: I20220110000820 |
| Provider Name | Paul A Shutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376200691 PECOS PAC ID: 5597157974 Enrollment ID: I20220114000912 |
| Provider Name | Lindsey Nicole Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789797 PECOS PAC ID: 9032501960 Enrollment ID: I20220126001289 |
| Provider Name | Paige E. Pepaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689326720 PECOS PAC ID: 6406249689 Enrollment ID: I20220210002772 |
| Provider Name | Allison R. Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710639885 PECOS PAC ID: 7315330503 Enrollment ID: I20220210002779 |
| Provider Name | Dennrik Abrahan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194143115 PECOS PAC ID: 5890065221 Enrollment ID: I20220211000264 |
| Provider Name | Raymond Rios-nieves |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700206497 PECOS PAC ID: 6800289018 Enrollment ID: I20220211000841 |
| Provider Name | Sean Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649864232 PECOS PAC ID: 8123411030 Enrollment ID: I20220216001926 |
| Provider Name | Heather Belle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356704670 PECOS PAC ID: 0840537312 Enrollment ID: I20220228001987 |
| Provider Name | Christa Marie Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477154896 PECOS PAC ID: 3476947730 Enrollment ID: I20220302001282 |
| Provider Name | Marilyn Gray Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417551268 PECOS PAC ID: 6103210174 Enrollment ID: I20220308002904 |
| Provider Name | Alice Schreiber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619565652 PECOS PAC ID: 5294120028 Enrollment ID: I20220315000396 |
| Provider Name | Sharon Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116986 PECOS PAC ID: 9739574385 Enrollment ID: I20220316004075 |
| Provider Name | Jacqueline Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578222832 PECOS PAC ID: 9638564172 Enrollment ID: I20220318000901 |
| Provider Name | Amol Purandare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508123852 PECOS PAC ID: 0244587004 Enrollment ID: I20220319000110 |
| Provider Name | Kathryn Nicole Hunnings |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174000277 PECOS PAC ID: 0042605545 Enrollment ID: I20220321000276 |
| Provider Name | Rima Jasinskiene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275010373 PECOS PAC ID: 6204162738 Enrollment ID: I20220325000597 |
| Provider Name | Cheryl Godcharles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750744017 PECOS PAC ID: 2769781251 Enrollment ID: I20220412001744 |
| Provider Name | Nicholas David Woloszyn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861147324 PECOS PAC ID: 0749676229 Enrollment ID: I20220421001405 |
| Provider Name | Zaida Liz Coronado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033493093 PECOS PAC ID: 4385031897 Enrollment ID: I20220503000400 |
| Provider Name | Kassi Lee Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871163170 PECOS PAC ID: 6507243573 Enrollment ID: I20220512000702 |
| Provider Name | Dawn A. Muci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932227386 PECOS PAC ID: 8820475841 Enrollment ID: I20220512002901 |
| Provider Name | Sisir Akkineni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487033486 PECOS PAC ID: 0941601280 Enrollment ID: I20220601000210 |
| Provider Name | Anjali Kaimal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356434989 PECOS PAC ID: 8921004771 Enrollment ID: I20220601001467 |
| Provider Name | Rhiannon Flass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295005833 PECOS PAC ID: 3072991173 Enrollment ID: I20220601002769 |
| Provider Name | Bailey Christine Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730763681 PECOS PAC ID: 5395142947 Enrollment ID: I20220602001537 |
| Provider Name | Carolyn Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063177012 PECOS PAC ID: 4880072842 Enrollment ID: I20220602001977 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649747759 PECOS PAC ID: 9234568924 Enrollment ID: I20220602002272 |
| Provider Name | Felicia Nicole Pastore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194208165 PECOS PAC ID: 4587042585 Enrollment ID: I20220603000209 |
| Provider Name | Samip C Vasaiwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326201773 PECOS PAC ID: 3971797887 Enrollment ID: I20220603001569 |
| Provider Name | Bo Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427402007 PECOS PAC ID: 8123315199 Enrollment ID: I20220607003230 |
| Provider Name | Gregory L Iannuzzi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073976395 PECOS PAC ID: 1850779331 Enrollment ID: I20220613001450 |
| Provider Name | Nino Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174265268 PECOS PAC ID: 4880073220 Enrollment ID: I20220615002268 |
| Provider Name | Natalie Nicole Mikkelson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679886543 PECOS PAC ID: 7719366970 Enrollment ID: I20220617000444 |
| Provider Name | Milad Behbahaninia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568874071 PECOS PAC ID: 2668731829 Enrollment ID: I20220617001191 |
| Provider Name | Christina Louise Croughan-kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326562703 PECOS PAC ID: 1557740677 Enrollment ID: I20220621001859 |
| Provider Name | Jessica Lassiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851030597 PECOS PAC ID: 6709265341 Enrollment ID: I20220628001376 |
| Provider Name | I-hweii A Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205955564 PECOS PAC ID: 4183779093 Enrollment ID: I20220630001865 |
| Provider Name | Emmanuel A Bassily |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417343245 PECOS PAC ID: 5294115564 Enrollment ID: I20220704000473 |
| Provider Name | Lauren Mctaggart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508394636 PECOS PAC ID: 4486034766 Enrollment ID: I20220705000347 |
| Provider Name | Nauman S Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710305495 PECOS PAC ID: 0648570598 Enrollment ID: I20220707002205 |
| Provider Name | Brooke Marie Alvarez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992434013 PECOS PAC ID: 8224418298 Enrollment ID: I20220707003993 |
| Provider Name | Caitlin Street Al-mutawa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477022077 PECOS PAC ID: 2769863976 Enrollment ID: I20220719003983 |
| Provider Name | Ryan Jeremy Hidalgo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598150153 PECOS PAC ID: 8426439548 Enrollment ID: I20220721000613 |
| Provider Name | Shreya Narayanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720441850 PECOS PAC ID: 2062893043 Enrollment ID: I20220721003738 |
| Provider Name | Ghadear Shukr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093178774 PECOS PAC ID: 1153614359 Enrollment ID: I20220722001162 |
| Provider Name | Samantha Douglas Baer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366891400 PECOS PAC ID: 7012204555 Enrollment ID: I20220722001196 |
| Provider Name | Daniel Martin O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700381381 PECOS PAC ID: 8921489725 Enrollment ID: I20220725001705 |
| Provider Name | Rajavi S Parikh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740677863 PECOS PAC ID: 5395059315 Enrollment ID: I20220727002894 |
| Provider Name | Allan M Welter-frost |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407260490 PECOS PAC ID: 9830317379 Enrollment ID: I20220728001794 |
| Provider Name | Haoming Pang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073967188 PECOS PAC ID: 3173905643 Enrollment ID: I20220729002362 |
| Provider Name | Stephannie Marie Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245842459 PECOS PAC ID: 1850788688 Enrollment ID: I20220804002169 |
| Provider Name | Abhay V Sharma |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518320381 PECOS PAC ID: 2062800055 Enrollment ID: I20220809001435 |
| Provider Name | Daniel Kodiyatu Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285096735 PECOS PAC ID: 3971985813 Enrollment ID: I20220809001710 |
| Provider Name | Christen Mcnew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437800273 PECOS PAC ID: 0143603043 Enrollment ID: I20220810000288 |
| Provider Name | Kyle A Wuthrich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184155616 PECOS PAC ID: 4587937735 Enrollment ID: I20220810003554 |
| Provider Name | Chantal Alejandra Angueyra Aristizabal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992157762 PECOS PAC ID: 5496138208 Enrollment ID: I20220811001507 |
| Provider Name | Monica Hajirawala |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598128191 PECOS PAC ID: 9830420439 Enrollment ID: I20220812000467 |
| Provider Name | Padmastuti Akella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467988873 PECOS PAC ID: 3678847274 Enrollment ID: I20220812001202 |
| Provider Name | Erica Elizabeth Elseed Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083078158 PECOS PAC ID: 5092198697 Enrollment ID: I20220815001962 |
| Provider Name | Travis William Dailey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629462734 PECOS PAC ID: 6709269319 Enrollment ID: I20220815002479 |
| Provider Name | Yassmeen Abdel-aty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821444761 PECOS PAC ID: 9931493640 Enrollment ID: I20220815002778 |
| Provider Name | Jamie Leigh Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932830080 PECOS PAC ID: 9638552128 Enrollment ID: I20220816002379 |
| Provider Name | Alberto Anthony Goizueta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760864045 PECOS PAC ID: 6305130360 Enrollment ID: I20220816003939 |
| Provider Name | Ronaldo Anternor Sevilla Berrios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235406356 PECOS PAC ID: 7416104633 Enrollment ID: I20220824003176 |
| Provider Name | Alyssa Danielle Kimble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952863581 PECOS PAC ID: 2860876323 Enrollment ID: I20220901000035 |
| Provider Name | Karyn Gerstle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164959342 PECOS PAC ID: 9335418961 Enrollment ID: I20220901000724 |
| Provider Name | Davide Marco Croci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699392738 PECOS PAC ID: 1052795416 Enrollment ID: I20220902000608 |
| Provider Name | Priya Verma Sequeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578025987 PECOS PAC ID: 8820472293 Enrollment ID: I20220902001524 |
| Provider Name | Karthic Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640222 PECOS PAC ID: 9739450461 Enrollment ID: I20220907001732 |
| Provider Name | Bailey Delong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932850963 PECOS PAC ID: 5092199174 Enrollment ID: I20220909000090 |
| Provider Name | Andreas E Balasis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912558214 PECOS PAC ID: 9234563834 Enrollment ID: I20220917000593 |
| Provider Name | Jason-paul Sanjay Maragh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831759950 PECOS PAC ID: 5799184289 Enrollment ID: I20220921001940 |
| Provider Name | Laura Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356684971 PECOS PAC ID: 9133487085 Enrollment ID: I20220921002966 |
| Provider Name | Nicole Mccann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720583552 PECOS PAC ID: 1759613219 Enrollment ID: I20220921003259 |
| Provider Name | Khaled Srour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851847123 PECOS PAC ID: 2961790332 Enrollment ID: I20220921003606 |
| Provider Name | Patoula G Panagos-billiris Md |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013168525 PECOS PAC ID: 4880813989 Enrollment ID: I20220922001327 |
| Provider Name | Molly K Childers |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639594633 PECOS PAC ID: 7810268745 Enrollment ID: I20221010000536 |
| Provider Name | Rohma R Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669033163 PECOS PAC ID: 9032447867 Enrollment ID: I20221011000716 |
| Provider Name | Heather Renzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154786440 PECOS PAC ID: 8729384888 Enrollment ID: I20221013000931 |
| Provider Name | Ram J Bishnoi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780963835 PECOS PAC ID: 3577858430 Enrollment ID: I20221017000469 |
| Provider Name | Sara Hartnett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548689169 PECOS PAC ID: 9537535414 Enrollment ID: I20221018000902 |
| Provider Name | Victor Enrique Coba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477761104 PECOS PAC ID: 2365528874 Enrollment ID: I20221018002773 |
| Provider Name | Ren Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255082970 PECOS PAC ID: 2668849696 Enrollment ID: I20221104000759 |
| Provider Name | Megan Urbano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942979802 PECOS PAC ID: 4880084862 Enrollment ID: I20221104001763 |
| Provider Name | Ross Everett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780039743 PECOS PAC ID: 7911257993 Enrollment ID: I20221104002070 |
| Provider Name | Leah Barnett Staines |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043747769 PECOS PAC ID: 7416324017 Enrollment ID: I20221111000611 |
| Provider Name | Erin Leigh Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457081150 PECOS PAC ID: 1658748199 Enrollment ID: I20221112000243 |
| Provider Name | Cindy S Shavor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699138073 PECOS PAC ID: 0446524060 Enrollment ID: I20221116000045 |
| Provider Name | Brett Walter Russi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891290185 PECOS PAC ID: 7517335979 Enrollment ID: I20221116002255 |
| Provider Name | Shone O Almeida |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225303563 PECOS PAC ID: 4587955406 Enrollment ID: I20221128002450 |
| Provider Name | Lisbeth Y Garcia Arguello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467981381 PECOS PAC ID: 0648537209 Enrollment ID: I20221129002692 |
| Provider Name | Steven Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437816436 PECOS PAC ID: 9830568229 Enrollment ID: I20221207000039 |
| Provider Name | Marianna Broz Gisoldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881170454 PECOS PAC ID: 9234508425 Enrollment ID: I20221209002141 |
| Provider Name | Jose J Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144304262 PECOS PAC ID: 2668501263 Enrollment ID: I20221228002056 |
| Provider Name | Kathryn Kass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720514854 PECOS PAC ID: 6901173178 Enrollment ID: I20230104000734 |
| Provider Name | Elizabeth Denise Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871162917 PECOS PAC ID: 9638549868 Enrollment ID: I20230105000834 |
| Provider Name | Ruth B Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013059393 PECOS PAC ID: 0244559573 Enrollment ID: I20230111001515 |
| Provider Name | Jeffery Thomas Lichtenhan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336249754 PECOS PAC ID: 1052781838 Enrollment ID: I20230112001834 |
| Provider Name | Alemayehu Degefu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750014460 PECOS PAC ID: 5890166359 Enrollment ID: I20230119001266 |
| Provider Name | Charity Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720791197 PECOS PAC ID: 4880065317 Enrollment ID: I20230120001366 |
| Provider Name | Shivan Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760895015 PECOS PAC ID: 7719258714 Enrollment ID: I20230124000032 |
| Provider Name | Jennifer Theresa Larsson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861813123 PECOS PAC ID: 3173994381 Enrollment ID: I20230126002257 |
| Provider Name | Fatme Coba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760070 PECOS PAC ID: 6204097397 Enrollment ID: I20230203000519 |
| Provider Name | Tara Alexandra Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437743317 PECOS PAC ID: 9537531231 Enrollment ID: I20230206002463 |
| Provider Name | Jeanne Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447860622 PECOS PAC ID: 5799199550 Enrollment ID: I20230207002081 |
| Provider Name | Michelle A. Yavelow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720786585 PECOS PAC ID: 3678946043 Enrollment ID: I20230306001637 |
| Provider Name | Marie Sepulveda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780804278 PECOS PAC ID: 3173996550 Enrollment ID: I20230306001873 |
| Provider Name | Erin Colleen Yamamoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073001368 PECOS PAC ID: 3072986306 Enrollment ID: I20230307000780 |
| Provider Name | Brijesh Bharat Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902171168 PECOS PAC ID: 0749537207 Enrollment ID: I20230308000183 |
| Provider Name | Danyelle Kula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467122473 PECOS PAC ID: 3173996394 Enrollment ID: I20230308001639 |
| Provider Name | Melissa Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538337423 PECOS PAC ID: 4284792292 Enrollment ID: I20230323000854 |
| Provider Name | Nicole Babulal-francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720691710 PECOS PAC ID: 6002280591 Enrollment ID: I20230323003256 |
| Provider Name | William Blair Hudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235626573 PECOS PAC ID: 5193190361 Enrollment ID: I20230401000102 |
| Provider Name | Ahmed Salem Shawkat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922259118 PECOS PAC ID: 4284803552 Enrollment ID: I20230413002233 |
| Provider Name | Jacqueline Marie Pizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356048334 PECOS PAC ID: 9436524972 Enrollment ID: I20230413002920 |
| Provider Name | Terri Persinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598420622 PECOS PAC ID: 3971978453 Enrollment ID: I20230414001626 |
| Provider Name | Michael Ioan Bulzan Bright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619404415 PECOS PAC ID: 9739457904 Enrollment ID: I20230420000418 |
| Provider Name | Jorge Agi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912602541 PECOS PAC ID: 3971968173 Enrollment ID: I20230421001853 |
| Provider Name | Ariane J Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568166874 PECOS PAC ID: 9739544842 Enrollment ID: I20230425000873 |
| Provider Name | Nadia Dorvil Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407550197 PECOS PAC ID: 5496110322 Enrollment ID: I20230428001534 |
| Provider Name | Patrick Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922482322 PECOS PAC ID: 1153638770 Enrollment ID: I20230516003770 |
| Provider Name | Maria Sofia Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912609900 PECOS PAC ID: 6103282116 Enrollment ID: I20230517002627 |
| Provider Name | Alireza Baradaran Rafii |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114511722 PECOS PAC ID: 1951767896 Enrollment ID: I20230518000657 |
| Provider Name | Ornella Bricoune |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780189845 PECOS PAC ID: 5698131209 Enrollment ID: I20230523002347 |
| Provider Name | Michelle Stephanie Rosario |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467847640 PECOS PAC ID: 6002144383 Enrollment ID: I20230526000745 |
| Provider Name | Victoria Despina Pitenis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306545280 PECOS PAC ID: 0749647162 Enrollment ID: I20230530003216 |
| Provider Name | Brielle Weinstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205298577 PECOS PAC ID: 2466833850 Enrollment ID: I20230531002095 |
| Provider Name | Brianna Bielski Valdes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114328 PECOS PAC ID: 5597099416 Enrollment ID: I20230531003263 |
| Provider Name | Kathryn Scheidt-stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679277644 PECOS PAC ID: 0941667133 Enrollment ID: I20230602001066 |
| Provider Name | Axel W Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417444852 PECOS PAC ID: 0244697472 Enrollment ID: I20230605000234 |
| Provider Name | Nermine Mounas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639448 PECOS PAC ID: 6002273976 Enrollment ID: I20230608000082 |
| Provider Name | Josef F Doenges |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760453039 PECOS PAC ID: 6901990217 Enrollment ID: I20230612002009 |
| Provider Name | Janae Mercedes Mattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467153429 PECOS PAC ID: 3072970755 Enrollment ID: I20230612002330 |
| Provider Name | Emily J Arentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346936630 PECOS PAC ID: 7012375504 Enrollment ID: I20230614004250 |
| Provider Name | Samuel Slone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801328844 PECOS PAC ID: 4183082514 Enrollment ID: I20230616001817 |
| Provider Name | Eduardo Javier Rodriguez Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265944193 PECOS PAC ID: 2668830928 Enrollment ID: I20230617000311 |
| Provider Name | Scott Manski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518320399 PECOS PAC ID: 0042505075 Enrollment ID: I20230627000903 |
| Provider Name | Anna Radisic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545862 PECOS PAC ID: 5890153597 Enrollment ID: I20230627002257 |
| Provider Name | Christine Lopez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689201162 PECOS PAC ID: 2365864626 Enrollment ID: I20230628004521 |
| Provider Name | Anthony Michael Kendle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275995789 PECOS PAC ID: 5799144267 Enrollment ID: I20230630000404 |
| Provider Name | Carolyn A Degon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249579 PECOS PAC ID: 4385003870 Enrollment ID: I20230630001377 |
| Provider Name | Ramon Luis Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730893611 PECOS PAC ID: 5193184653 Enrollment ID: I20230701000346 |
| Provider Name | Abigail Hunter Padgett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730708744 PECOS PAC ID: 7810356292 Enrollment ID: I20230703000722 |
| Provider Name | Catherine Nadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447763719 PECOS PAC ID: 1254790603 Enrollment ID: I20230704000209 |
| Provider Name | Colleen Sansoucie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821463886 PECOS PAC ID: 9638472350 Enrollment ID: I20230705001164 |
| Provider Name | Analsy Pargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639638901 PECOS PAC ID: 7012243728 Enrollment ID: I20230705003586 |
| Provider Name | Jason Cummings |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508399965 PECOS PAC ID: 8820367972 Enrollment ID: I20230706003273 |
| Provider Name | Robert Edward Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598458804 PECOS PAC ID: 8022477173 Enrollment ID: I20230707000296 |
| Provider Name | Adiac Espinosa Hernandez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730542200 PECOS PAC ID: 6305182650 Enrollment ID: I20230707000787 |
| Provider Name | Ivy Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598384646 PECOS PAC ID: 0143689935 Enrollment ID: I20230711004608 |
| Provider Name | Sherry Ralston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720002116 PECOS PAC ID: 2961413802 Enrollment ID: I20230713001727 |
| Provider Name | Michael George Daniel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407195621 PECOS PAC ID: 4385935345 Enrollment ID: I20230715000120 |
| Provider Name | Suzannah Louise Boyle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275218232 PECOS PAC ID: 1052771581 Enrollment ID: I20230717000298 |
| Provider Name | Adrian Kohut |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629578257 PECOS PAC ID: 3779816152 Enrollment ID: I20230718000340 |
| Provider Name | Renita Artrice Green |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902596539 PECOS PAC ID: 2163882374 Enrollment ID: I20230720000264 |
| Provider Name | Soo Kwon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790771657 PECOS PAC ID: 8123093614 Enrollment ID: I20230720001873 |
| Provider Name | Weronika Dmochowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497447338 PECOS PAC ID: 4789045931 Enrollment ID: I20230803002586 |
| Provider Name | Jameson Ye Kuang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548722762 PECOS PAC ID: 6709247976 Enrollment ID: I20230803003433 |
| Provider Name | Katiana Garagozlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245728039 PECOS PAC ID: 6305207424 Enrollment ID: I20230804001289 |
| Provider Name | Paul Cavallaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255710166 PECOS PAC ID: 2769797562 Enrollment ID: I20230805000149 |
| Provider Name | Diana Maria Encalada Soto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508217977 PECOS PAC ID: 9830591775 Enrollment ID: I20230808000396 |
| Provider Name | Cristina Marie Del Valle-avila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669971784 PECOS PAC ID: 0042672792 Enrollment ID: I20230814000944 |
| Provider Name | Vanica Monae Guignard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417511957 PECOS PAC ID: 3274866264 Enrollment ID: I20230817000665 |
| Provider Name | Nicholas G Fatolitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659055309 PECOS PAC ID: 4880056118 Enrollment ID: I20230817001945 |
| Provider Name | Joette L Giovinco |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1356351860 PECOS PAC ID: 7911002118 Enrollment ID: I20230818001783 |
| Provider Name | Francesca Dimou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649579889 PECOS PAC ID: 9436406725 Enrollment ID: I20230822003944 |
| Provider Name | Lindsey Lee Kummerer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245916097 PECOS PAC ID: 1153784202 Enrollment ID: I20230823001033 |
| Provider Name | Hunter Reese Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750061297 PECOS PAC ID: 6800259979 Enrollment ID: I20230823001938 |
| Provider Name | Lauren Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639862154 PECOS PAC ID: 9931562857 Enrollment ID: I20230824004315 |
| Provider Name | Christie Anne Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134846942 PECOS PAC ID: 0648633438 Enrollment ID: I20230825003545 |
| Provider Name | Mary Cathleen Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164155123 PECOS PAC ID: 8820451388 Enrollment ID: I20230830003688 |
| Provider Name | Hannah Finnigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386124832 PECOS PAC ID: 3870956337 Enrollment ID: I20230830003979 |
| Provider Name | Suzanne Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770923732 PECOS PAC ID: 0941526958 Enrollment ID: I20230831000821 |
| Provider Name | David Robert Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134902067 PECOS PAC ID: 1951764331 Enrollment ID: I20230901000277 |
| Provider Name | Charlotte Rebecca Purcell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598448045 PECOS PAC ID: 5991168247 Enrollment ID: I20230905000188 |
| Provider Name | Kristen Zemina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730611740 PECOS PAC ID: 6709282098 Enrollment ID: I20230906000178 |
| Provider Name | Begum Aydogan Mathyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427518497 PECOS PAC ID: 4688038805 Enrollment ID: I20230906003675 |
| Provider Name | Monica Polcz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891182937 PECOS PAC ID: 4486957206 Enrollment ID: I20230914004003 |
| Provider Name | Kristina Kelley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285777565 PECOS PAC ID: 5698129898 Enrollment ID: I20230921002084 |
| Provider Name | Hansa N Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437273844 PECOS PAC ID: 3375522360 Enrollment ID: I20230927002387 |
| Provider Name | Naima Stennett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861933202 PECOS PAC ID: 8921452632 Enrollment ID: I20230929000495 |
| Provider Name | Jean Bismuth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639330053 PECOS PAC ID: 9234205410 Enrollment ID: I20230929001012 |
| Provider Name | Kelsey Ann Renke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497437362 PECOS PAC ID: 2163876566 Enrollment ID: I20231003001720 |
| Provider Name | Michael Thadeus Mario Pignanelli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881479186 PECOS PAC ID: 4688029481 Enrollment ID: I20231014000086 |
| Provider Name | James Zachary Porterfield |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508131640 PECOS PAC ID: 9638433428 Enrollment ID: I20231017003938 |
| Provider Name | Lauren Poiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285415190 PECOS PAC ID: 3375999303 Enrollment ID: I20231027001970 |
| Provider Name | Sydney Lauzier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548040090 PECOS PAC ID: 0042666935 Enrollment ID: I20231030000591 |
| Provider Name | Tina Michelle Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033817945 PECOS PAC ID: 9335595115 Enrollment ID: I20231031001339 |
| Provider Name | Wendy N Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760696488 PECOS PAC ID: 2264529429 Enrollment ID: I20231107004096 |
| Provider Name | Mark Weston Eberbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316435530 PECOS PAC ID: 9133576135 Enrollment ID: I20231113003581 |
| Provider Name | Lakieta Edwards Glass |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053739813 PECOS PAC ID: 7719100304 Enrollment ID: I20231207000010 |
| Provider Name | Charles A Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083970446 PECOS PAC ID: 3577840925 Enrollment ID: I20231218002644 |
| Provider Name | Katelyn Estelle Kulas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790246122 PECOS PAC ID: 4486004041 Enrollment ID: I20231221002906 |
| Provider Name | Riley R Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558138461 PECOS PAC ID: 8729438395 Enrollment ID: I20231221003059 |
| Provider Name | Ishna Poojary-hohman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245542653 PECOS PAC ID: 5698922284 Enrollment ID: I20240108005913 |
| Provider Name | Tammy Fried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912037284 PECOS PAC ID: 6103999800 Enrollment ID: I20240109000710 |
| Provider Name | Jon Robitschek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487666525 PECOS PAC ID: 7012231830 Enrollment ID: I20240115000018 |
| Provider Name | Deonna Marie Gonzalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639822752 PECOS PAC ID: 8527411487 Enrollment ID: I20240126001141 |
| Provider Name | Simone M Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588010953 PECOS PAC ID: 8325426158 Enrollment ID: I20240213000093 |
| Provider Name | Dorey E Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821851254 PECOS PAC ID: 8224472386 Enrollment ID: I20240216000072 |
| Provider Name | Ethan Michael Nowell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609337369 PECOS PAC ID: 6103260138 Enrollment ID: I20240219001148 |
| Provider Name | Nicole Marie Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578325718 PECOS PAC ID: 9739523655 Enrollment ID: I20240220001003 |
| Provider Name | Navarre Meadows Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275308942 PECOS PAC ID: 6103260849 Enrollment ID: I20240221001181 |
| Provider Name | Mena Isnassuos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124438981 PECOS PAC ID: 9537577069 Enrollment ID: I20240229002772 |
| Provider Name | Jennifer Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285491027 PECOS PAC ID: 2466898762 Enrollment ID: I20240308002224 |
| Provider Name | Silpa Thaivalappil |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497280168 PECOS PAC ID: 0345510053 Enrollment ID: I20240326000790 |
| Provider Name | Radouane Laktib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255196945 PECOS PAC ID: 1355789165 Enrollment ID: I20240328004072 |
| Provider Name | Joshua P Senter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497215081 PECOS PAC ID: 0648618009 Enrollment ID: I20240403004249 |
| Provider Name | Mary Katherine Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760241418 PECOS PAC ID: 2466891999 Enrollment ID: I20240417001936 |
| Provider Name | Tonya Michelle Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073745444 PECOS PAC ID: 8729380829 Enrollment ID: I20240418003855 |
| Provider Name | Gabriel Andres Flores Milan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750764106 PECOS PAC ID: 4789024308 Enrollment ID: I20240430002718 |
| Provider Name | John M Cassel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700348323 PECOS PAC ID: 7113368457 Enrollment ID: I20240516003988 |
| Provider Name | Megan Elisabeth Stockamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093275109 PECOS PAC ID: 1355783499 Enrollment ID: I20240521003708 |
| Provider Name | Courtney Nicole Mascoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861999088 PECOS PAC ID: 0143653741 Enrollment ID: I20240527000046 |
| Provider Name | Michael R Halstead |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922427749 PECOS PAC ID: 8820211089 Enrollment ID: I20240530004237 |
| Provider Name | Nicole Fioretti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689334641 PECOS PAC ID: 1951843267 Enrollment ID: I20240602000098 |
| Provider Name | Jacques Mather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740456201 PECOS PAC ID: 5092014068 Enrollment ID: I20240605000603 |
| Provider Name | Pratikshya Thapa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144882184 PECOS PAC ID: 8628510633 Enrollment ID: I20240605003724 |
| Provider Name | Carson Renee Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912557992 PECOS PAC ID: 6608318563 Enrollment ID: I20240606001686 |
| Provider Name | Thomas Alexander Weppelmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427686781 PECOS PAC ID: 8628510377 Enrollment ID: I20240610000729 |
| Provider Name | Charles F Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578068334 PECOS PAC ID: 4284962127 Enrollment ID: I20240613001211 |
| Provider Name | Bari Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194583724 PECOS PAC ID: 6507309929 Enrollment ID: I20240613002845 |
| Provider Name | Kaitlyn C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871050492 PECOS PAC ID: 1254673213 Enrollment ID: I20240614003488 |
| Provider Name | Alexandra Sarau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568953552 PECOS PAC ID: 3870840788 Enrollment ID: I20240614003688 |
| Provider Name | David J Voce |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477972875 PECOS PAC ID: 5799088324 Enrollment ID: I20240617002545 |
| Provider Name | Sai Ramakrishna Velamuri Venkata |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962631341 PECOS PAC ID: 3577857754 Enrollment ID: I20240620002332 |
| Provider Name | Ajay Bhandari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407387160 PECOS PAC ID: 8325581127 Enrollment ID: I20240621000698 |
| Provider Name | Hannah H Guan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063973907 PECOS PAC ID: 8022340710 Enrollment ID: I20240626004388 |
| Provider Name | Aurora M Kareh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659802577 PECOS PAC ID: 6103195763 Enrollment ID: I20240628001809 |
| Provider Name | Jad Mroue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275988792 PECOS PAC ID: 7810234176 Enrollment ID: I20240702000142 |
| Provider Name | Ashley Marie Perry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013546936 PECOS PAC ID: 8628512522 Enrollment ID: I20240702004330 |
| Provider Name | Chantell Ana Melgarejo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407437437 PECOS PAC ID: 6002269339 Enrollment ID: I20240702004445 |
| Provider Name | Tasnia Mahmud Osmani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952861882 PECOS PAC ID: 8022552835 Enrollment ID: I20240703003849 |
| Provider Name | Ramzy Daoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932785417 PECOS PAC ID: 4688119209 Enrollment ID: I20240708003284 |
| Provider Name | Taylor Kolb Tragesser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639757297 PECOS PAC ID: 5294270849 Enrollment ID: I20240708004204 |
| Provider Name | Jasmin Diana Shahrestani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649852674 PECOS PAC ID: 0446795009 Enrollment ID: I20240709000266 |
| Provider Name | Julia De Lima Farah Agi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316781685 PECOS PAC ID: 3678018132 Enrollment ID: I20240709004180 |
| Provider Name | Amir Faramarzi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497488118 PECOS PAC ID: 1355886771 Enrollment ID: I20240710002084 |
| Provider Name | Ayla N Senay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891290771 PECOS PAC ID: 3870840267 Enrollment ID: I20240710003696 |
| Provider Name | John Ryan Dahl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811574734 PECOS PAC ID: 4688077035 Enrollment ID: I20240711001508 |
| Provider Name | Jorge Felix Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508442443 PECOS PAC ID: 2769927011 Enrollment ID: I20240711001719 |
| Provider Name | Eileen Celeste Glocer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194286088 PECOS PAC ID: 3375088511 Enrollment ID: I20240712000837 |
| Provider Name | Alice Mcdonald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346703410 PECOS PAC ID: 1951846021 Enrollment ID: I20240712002198 |
| Provider Name | Christopher D Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437545662 PECOS PAC ID: 0345561296 Enrollment ID: I20240715003832 |
| Provider Name | Morgan Zegers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023578333 PECOS PAC ID: 6204266760 Enrollment ID: I20240716002414 |
| Provider Name | Dylan Lahiff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740742493 PECOS PAC ID: 2466998950 Enrollment ID: I20240719003035 |
| Provider Name | Denise Ferhat Feradov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063944882 PECOS PAC ID: 8527504802 Enrollment ID: I20240723001797 |
| Provider Name | Christa Niccole Whitten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578215703 PECOS PAC ID: 3173069499 Enrollment ID: I20240723003528 |
| Provider Name | Jewel Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346773892 PECOS PAC ID: 1951706100 Enrollment ID: I20240724000939 |
| Provider Name | Jon C Douglas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922071083 PECOS PAC ID: 9638103880 Enrollment ID: I20240725001694 |
| Provider Name | Kaitlin Shinn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639691470 PECOS PAC ID: 9234551714 Enrollment ID: I20240805003579 |
| Provider Name | Cari Eckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780212530 PECOS PAC ID: 2163969338 Enrollment ID: I20240806000830 |
| Provider Name | Carol Marie Fraley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437612645 PECOS PAC ID: 7214263359 Enrollment ID: I20240806001960 |
| Provider Name | Joshua Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477133148 PECOS PAC ID: 9931505179 Enrollment ID: I20240806004757 |
| Provider Name | Luke Casals |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114506656 PECOS PAC ID: 0244777340 Enrollment ID: I20240807002012 |
| Provider Name | Wendy A Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508044967 PECOS PAC ID: 9032302476 Enrollment ID: I20240808000354 |
| Provider Name | Lakshmi Venkata Naga Atkuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558397950 PECOS PAC ID: 9537132626 Enrollment ID: I20240820001464 |
| Provider Name | Savannah Nicole Green |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740010776 PECOS PAC ID: 1355889320 Enrollment ID: I20240821003574 |
| Provider Name | Tara Mokhtari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477083814 PECOS PAC ID: 7719234731 Enrollment ID: I20240821005124 |
| Provider Name | Gabriel Michael Daniels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689137978 PECOS PAC ID: 7315275831 Enrollment ID: I20240822003509 |
| Provider Name | Akram Audi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265841092 PECOS PAC ID: 9335475102 Enrollment ID: I20240831000401 |
| Provider Name | Sashi K Inkollu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235368606 PECOS PAC ID: 8628207123 Enrollment ID: I20240902000202 |
| Provider Name | Paola Y Zayas Borges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326571613 PECOS PAC ID: 8820407331 Enrollment ID: I20240903004304 |
| Provider Name | Amelia Duran Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152884 PECOS PAC ID: 3870801863 Enrollment ID: I20240906003080 |
| Provider Name | Hannah Taylor Short |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053997825 PECOS PAC ID: 7810398328 Enrollment ID: I20240910000046 |
| Provider Name | Natasa Pejcic |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790284206 PECOS PAC ID: 0042751067 Enrollment ID: I20240918001379 |
| Provider Name | Rebecca Ann Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740429687 PECOS PAC ID: 8022175959 Enrollment ID: I20240919004294 |
| Provider Name | Zainulabdeen Al Jaafar Al Rstum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548662174 PECOS PAC ID: 2961805254 Enrollment ID: I20240920000578 |
| Provider Name | Olessy Estephanny Danz Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134897226 PECOS PAC ID: 1052702685 Enrollment ID: I20240920003562 |
| Provider Name | Sarah Burbank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093273302 PECOS PAC ID: 7113320664 Enrollment ID: I20240924002129 |
| Provider Name | Chiamaka Ilonzo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750729406 PECOS PAC ID: 8123386786 Enrollment ID: I20240925001267 |
| Provider Name | Madhura G Navada |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326531112 PECOS PAC ID: 2668725425 Enrollment ID: I20240925003945 |
| Provider Name | Houriya Ayoubieh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417210170 PECOS PAC ID: 5395053292 Enrollment ID: I20241002002214 |
| Provider Name | Akshaya Kannan Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265060461 PECOS PAC ID: 2769885375 Enrollment ID: I20241008003143 |
| Provider Name | Lea Jones Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757718 PECOS PAC ID: 3072892306 Enrollment ID: I20241015002738 |
| Provider Name | Cheryl E Tibbitts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942649736 PECOS PAC ID: 2466688809 Enrollment ID: I20241016001557 |
| Provider Name | Donald Grundy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396571535 PECOS PAC ID: 6204369630 Enrollment ID: I20241024000038 |
| Provider Name | Brian Fuller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427540178 PECOS PAC ID: 1658626049 Enrollment ID: I20241029004542 |
| Provider Name | Tiffany Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245967389 PECOS PAC ID: 5193258929 Enrollment ID: I20241031001702 |
| Provider Name | Melitza Pizarro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255006318 PECOS PAC ID: 4385177070 Enrollment ID: I20241104000167 |
| Provider Name | Steven Lee Coppolecchia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184033920 PECOS PAC ID: 5698995447 Enrollment ID: I20241105000004 |
| Provider Name | Benjamin C Renne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023437837 PECOS PAC ID: 3779702493 Enrollment ID: I20241115000043 |
| Provider Name | Fae Lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558547331 PECOS PAC ID: 0648356428 Enrollment ID: I20241120004567 |
| Provider Name | Irene S Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740224237 PECOS PAC ID: 6709312713 Enrollment ID: I20241212003874 |
| Provider Name | Emily Frances Frierson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942704903 PECOS PAC ID: 0143756130 Enrollment ID: I20241213002694 |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 917770, Orlando, FL 32891-0001 Ph: () - | 13330 Usf Laurel Drive, 3rd Floor - Mdc90, Tampa, FL 33612-6601 Ph: (813) 974-8613 |
Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916 | |
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11812 N 56th St, Tampa, FL 33617 Phone: 813-857-7800 Fax: 813-988-5837 | |
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200 | |
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815 | |
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Sophia Prassas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 | |
Jamie Birmingham, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979 |