Other Provider Identifier Issuer 6
WEST PORTSMOUTH FAMILY HEALTH CENTER NPI #
PARTNERS PHYSICIAN GROUP MEDICAID GROUP NUMBER
CAREFIRST OF MARYLAND - RENDERING NUMBER
HIGHMARK BS (TRADITIONAL INDEMNITY PARTICIPATING)
INDIVIDUAL NPI AS A DOCTOR OF OPTOMETRY FOR DR. VLADA NAKHLIS
CIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
HEALTH NET FEDERAL SERVICES - TRICARE/CHAMPUS
DEA CONTROLLED SUBSTANCE CHEMICAL REGISTRATION CERTIFICATE
MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT
MUHAMMAD YASSER JABRI, M.D. INDIVIDUAL NPI #
AKRON GENERAL MEDICAL CENTER/ IMCA MEDICARE GROUP #
BCBS OF KC MO GROUP 01674018 SMMC EMERGENCY PHYSICIANS
JULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012
ANTHEM BCBS OF CT -WELLMORE,INC GROUP/FACILITY CONTRACT
MEDICARE PROVIDER GROUP # FOR KS (OUTSIDE KANSAS CITY LIMITS)
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
RAILROAD MEDICARE LINKED TO GROUP CH7618
ANTHEM PIN - URGENT CARE UNDER TIN 35-2030653
MICHIGAN BLUE CROSS BLUE SHIELD DME PROVIDER
EASTERN SUSSEX PHYSICIAN ORGANIZATION, P.A. (ESPO)
AKRON GENERAL MEDICAL CENTER MEDICARE GROUP #
PTAN (PHARMACY MEDICARE PROVIDER NUMBER)
MULTI-PLAN -AWAKEN THE POWER THERAPY, LLC
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
SANTA CRUZ COUNTY CA MEDICARE GROUP PTAN#
MEDICAID INNOVATIVE IMAGING ASSOCIATES GROUP #
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
HINSDALE LOCATION ID INDIANA MEDICAID LEGACY PTAN # 200871680D
PCB CERTIFIED ALCOHOL AND DRUG COUNSELOR
WFNJ-SAI GROUP PROVIDER ID- INDEP CLINIC NARCOTIC & DRUG ABUSE TX
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
PASSPORT ADVANTAGE- KENTUCKY CHILDREN'S RADIOLOGISTS
AKRON GENERAL MEDICAL CENTER MEDICARE GROUP # (IMCA)
HIGH IMPACT TRAINING AND COUNSELING, INC. (CAMS-II CERTIFICATION)
MEDICARE LEGACY PROVIDER NUMBER FOR INDIVIDUAL NPI
ANTHEM PIN NUMBER FOR ARNETT CLINIC, LLC
MEDICARE PTAN (LINKED TO NE PLASTIC & RECONSTRUCTIVE SURGERY)
BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
AMERICAN SPECIALTY HEALTH NETWORK- CIGNA & KAISER
CASE ASSESSMENT, DEVELOPMENT, AND ADMINISTRATION
MEDICARE PIN FOR LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES
LODI COMMUNITY HOSPITAL MEDICAID GROUP #
BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
GROUP TAX ID FOR BILING-NORTH BEND MEDICAL CENTER INC
GROUP NPI - GRAND LAKE FAMILY PRACTICE & PEDIATRICS
AMERICAN BOARD OF ORTHOTICS,PROSTHETICS AND PEDORTHICS, INC
AMERICAN BOARD OF INTERNAL MEDICINE (ABIM)
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC. - TIN
RADIATION MACHINE DEPT OF PUBLIC HEALTH, CALIF.
MEDICARE KY FOR NORTON'S HOSPITAL EFF DATE 11-16-08
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
HUMANA- NORTON COMMUNITY MEDICAL ASSOCIATES
BEHAVIORAL HEALTH CLINIC-OMH OPERATING CERTIFICATE
NATIONAL ASSOCIATION OF ALCOHOL & DRUG ABUSE COUNSELORS
UNITED HEALTHCARE (UNITED BEHAVIORAL HEALTH)
PTAN-TACOMA RADIOLOGICAL ASSOCIATES, KING CO
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
BCBS KCMO CUSHING HOSPITAL PHYSICIAN SERVICES GROUP 43113013
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
GOUP: LIGHTHOUSE HEALTHCARE NANCI PARISH LLC
NATIONAL REGISTER OF HEALTH PROVIDERS IN PSYCHOLOGY
MEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC
ADVANCED PRACTICE REGISTERED NURSE LICENSE
PROFESSIONAL LICENSE CONTROLLED SUBSTANCE LICENSE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC. - SNF
ANTHEM INDIANA MEDICAID- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE
CITY OF SAN LUIS OBISPO BUSINESS LICENSE
MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST
PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
NURSE PRACTITIONER FURNISHING NUMBER CERTIFICATE
MEDICARE PART B FOR EYE ASSOCIATES OF OLATHE
SECOND NPI NUMBER FOR MEDICARE GROUP # I23000A
ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
NATIONAL CERTIFIED COUNSELOR/NCC EXPIRES 11/30/2019
FORENSIC COUNSELOR CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR
CLIA CERTIFICATE OF WAIVER FOR MIDLANDS FOOT CLINIC LOCATION
CURRY GENERAL HOSPITAL'S MEDICARE PART B
GRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE
FLORIDA MEDICAID THERAPEUTIC FOSTER CARE
RAILROAD MEDICARE-CITRUS HEIGHTS, MACK RD
MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - BCBS DC GROUP
DISREGARD MEDICARE PIN U1311Y; ENDED 9/30/2014
CAQH - COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
WEST VIRGINIA EYE CONSULTANTS -GROUP MEDICARE NUMBER
BLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
CAPITOL BLUE CROSS AND KEYSTONE CENTRAL - FORKS
BCBS BLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
RAILROAD MEDICARE ID-ROPER PRIOR TO 5/1/09
MEDICARE PART A: G-3375 S. SAGINAW ST., BURTON, MI 48529
CARE FIRST BLUE CROSS BLUE SHIELD OF DELAWARE
BLUE CROSS / BLUE SHIELD @ COUNSELING AFFILIATES OF NE
GROUP MEDICARE NORTH BEND MEDICAL CENTER
FIRST HEALTH AND COVENTRY NATIONAL NETWORK
ANTHEM INDIANA MEDICAID- NORTON INPATIENT SPECIALISTS
WEST VIRGINIA MEDICAID FOR NPI GROUP # 1255586855
LABOR AND INDUSTRIES CRIME VICTIMS-UNION AVENUE OPEN MRI
INDEPENDENCE BLUE CROSS (PERSONAL CHOICE, KHPE, FEDERAL, AMERIHEALTH)
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA
BCBS - DEBORAH NELSON - BROOKLEY LOCATION
TERI G ADV. REGISTERED NURSE PRACTITIONER
HIGHMARK BLUE SHIELD/TRAD. INDEMINITY PLAN PREMIER BLUE SHIELD PPO
NORTH BEND MEDICAL CENTER GROUP MEDICARE
LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
EASTERN CAROLINA PHYSICIANS GROUP MEDICAID FOR BEULAVILLE
UNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
GROUP MEDICAID NORTH BEND MEDICAL CENTER
MEDICARE PART B - MASS IMMUNIZATIONS ROSTER BILLER
UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
NORTH BASIN MEDICAL WILBUR CLINIC MEDICAID RURAL HEALTH CORE PROVIDER #
MEDICAID PRIMARY CARE GROUP NUMBER EKAHC
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHOTICS INC.
SEXUAL ASSAULT FORENSIC EXAMINER TRAINING
MEDICARE COLUMBUS DIAGNOSTIC CENTER GROUP NUMBER
ACUTE CARE SURGERY SERVICE MEDICAID GROUP #
BLUE CROSS BLUE SHIELD OF ALABAMA / ANNISTON OFFICE
MEDICARE PTAN-IP REHAB BEDS AT TCRMC-NEENAH
GROUP MEMBER: AKINNIYI B. ODUTOLA; NPI 1588629240
BCBS OF MICHIGAN FOR OCCUPATIONAL THERAPY
FEDERAL DEA (CONTROLLED SUBSTANCE REGISTRATION)
SPECIALITY: CLINICAL SOCIAL WORKER, PARTICIPATING PROVIDER
EMPLOYEE MEDICARE UPIN TO LINK HER TO DR LINDSEY
JOHN HOPKINS/PRIORITY PARTNERS, UNIFORMED SERVICES FAMILY HEALTH/EMPLOYER HEALTH
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC TIN
TRANSIT REHABILITATION CENTERS OF CHICAGO
AMERIHEALTH CARITAS, PA - WMG - MATERNAL FETAL MED.
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS (NCCPA)
SUPERVISING PHYSICIAN OR LICENSE- DR. RICHARD JANY
MEDICARE PTAN - RIDEOUT MEMORIAL HOSPITAL
COMMUNITY CHOICE OF MICHIGAN/CARE SOURCE
ACUTE CARE SURGERY SERVICE AT AKRON GENERAL MEDICAID #
LICENSED CLINICAL SOCIAL WORK STATE OF NORTH CAROLINA
PASSPORT- NORTON LEATHERMAN SPINE CENTER
CIGNA GOVERNMENT SERVIES MEDICARE PART B DME
ANTHEM INDIANA MEDICAID- CARDIOTHORACIC SURGERY OF LOUISVILLE
BCBS - MEDICARE ADVANTAGE (BLUEADVANTAGE)
MEDICAID GROUP NUMBER FOR RURAL HEALTH CLINIC
MEDICARE NORTHERN CALIFORNIA MAMMOGRAPHY PTAN
MEDICARE B PTAN FOR LBN: OLATHE COMMUNITY CLINIC
MEDICAID RURAL HEALTH CARE PROVIDER NUMBER
COUNTY OF LOS ANGELES-UCLA MEDICAL CENTER
PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
SIHO- NORTON COMMUNITY MEDICAL ASSOCIATES
MEDICARE NUMBER FOR CLINTON MEMORIAL LOCATION.
STATE OF COLORADO DURABLE MEDICAL EQUIPMENT SUPPLIER LICENCE
BOARD CERTIFICATION- DISASTER CRISIS OUTREACH&REFERRAL PROF. (PA CERT. BOARD)
FEDERAL BLUE CROSS (FOR 165 WHITESPORT DR, HUNTSVILLE,AL)
UNIVERSITY OF CHICAGO MEDICAL CENTER NPI
SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN#
GROUP NPI - WALDORF FAMILY MEDICAL CENTER
FIRST HEALTH NETWORK/COVENTRY HEALTH/SOUTHERN HEALTH
NPI # FOR KATARZYNA JAKUBOWSKA-SADOWSKA, MD SOLE PROPRIETOR, 1578656641
COGNITIVE TRAINING SPECIALIST THROUGH UNIQUE LOGIC & TECHNOLOGY, INC
UNITED HEALTH CARE IDENTIFICATION NUMBER
OPTRUM HEALTH AKA UNITED BEHAVIORAL HEALTH
GROUP NPI, NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
MEDICAID IN- NORTON INPATIENT SPECIALISTS
INDIVIDUAL PTAN #/ ELLIS & COLLINS COUNTY
TRICARE- CHILDREN'S ORTHOPAEDICS OF LOUISVILLE
ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
AMERIGROUP TENNCARE AND AMERIVANTAGE MCR REPLACEMENT
RAILROAD MEDICARE PTAN - DAVID L CAMPBELL, MD
ANTHEM INDIANA MEDICAID- LUIS M. VELASCO, MD & ASSOCIATES
MEDICARE PROVIDER NUMBER FAIRMOUNT WALK-IN MEDICAL CLINIC
MEDICARE NUMBER URBAN BEHAVIORAL ASSOCIATES
GROUP OR EMPLOYER PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
CARDIOVASCULAR & INTERVENTIONAL ASSOCIATES TYPE 2 NPI #
HEALTHY CT- AWAKEN THE POWER THERAPY, LLC
PARTNERS PHYSICIAN GROUP TYPE 2 NPI # - URGENT CARES
US DEPT OF LABOR-2001 CALIFORNIA, CHICAGO LOCATION
NEW YORK- PRESBYTERIAN COMMUNITY HEALTH PLAN
DEPT REG & LIC - RESPIRATORY CARE PRACTITIONER
RAILROAD MEDICARE ATTACHED TO GRP DQ3034
MEDICARE - COMMUNITY RADIOLOGY ASSOCIATES
ADVOCARE MOORESTOWN FAMILY PRACTICE- CLIA
IOWA DEPT OF PUBLIC HEALTH MEDICAL LICENSE
MEDICARE PROVIDER ID W/ AGENCY GROUP SUFFIX
SC MEDICAID GROUP ID FOR URGENTONE IN POOLER
LIBERTY/OXFORD FREEDOM PLANS/UBH WELLMORE GRP/FACILITY
ANTHEM INDIANA MEDICAID- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
SOUTH CAROLINA MEDICAL LICENSE PERMANENT
PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
AZ STATE MEDICAL LICENSE: JULIE MORRISON, DO
INDIVIDUAL NATIONAL PROVIDER IDENTIFIER (NPI)
OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
UNITED HEALTHCARE- OPTUM HEALTHCARE SOLUTIONS, INC.
TEXAS MEDICAL BOARD, PHYSICIAN FULL PERMIT
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
NPI OF SANDHYA KORIPALLI CHIRANJEEVI, RPT
EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR KINSTON
CLINIC PTAN (MC) - ACCLERATED HAND SOLUTIONS, LLC EFFECTIVE 07/01/2016
FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
DEA - TAZEWELL IN SHAPE WEIGHT LOSS CLINIC
WAIVER/OPIOID DETOX CLINIC, U.S.A. TX: SUBOXONE DEA # XR5543485
OPTUM BEHAVIORAL HEALTH-UBH WELLMORE FACILITY/GRP
DEPARTMENT OF PUBLIC HEALTH , FOOD AND DRUG BRANCH
MEDICAID (TIE BREAKER TAXONOMY 207Q00000X)
PPO PLUS - ARKANSAS MANAGED CARE NETWORK
BLUECROSS AND BLUE SHIELD-MOTOR VEHICLE ID
RAILROAD MEDICARE- NORTON LOUISVILLE PRIMARY CARE
LA MEDICARE ID NUMBER-CHRISTUS ST PATRICK PHYSICAN GROUP PROVIDER ID#
PASSPORT- NORTON LOUISVILLE PRIMARY CARE CENTER
CAPITAL BLUE CROSS - WMG - WS SURG, AND REHAB HOSP-PATHOLOGY
AKRON GENERAL TYPE 2 NPI # (FOR MEDICAID MEDICARE)
SHEILA M. CARLEY, D.C. BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
AETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
BLUE CROSS BLUE SHIELD OF KANSAS CITY INDIVIDUAL NUMBER
HUMANA - COMMERCIAL PLANS ONLY -PPO, POS, HMO-
GROUP-NORTH BEND MEDICAL CENTER TAX ID FOR BILLING
LOCATION NPI FOR HEA WEST DOVER LOCATION
EXPERT WITNESS: FORENSIC ANALYSIS, STATE OF PENNSYLVANIA DEPARTMENT PROSECUTION
COMPUTED TOMOGRAPHY ASSOCIATES, RR MEDICARE
UBH/OPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
STATE OF ALABAMA MEDICAID PARTICIPANT NUMBER - CALHOUN COUNTY
RHODE ISLAND CONTROLLED SUBSTANCE REGISTRATION
VISALIA EYE CENTER MEDICAL GROUP (MEDICARE #)
DEPT OF DEVELOPMENTAL DISABILITIES - FACILITY NUMBER
HALPERN OPTHAMOLOGY ASSO GROUP MEDICARE ID
ANTHEM BEHAVIORAL HEALTH (GHENT FAMILY MEDICINE)
BLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER
NPI # - HSC- DR APPLEBY SCHOOL BASED HEALTH CENTERS - NORWALK HIGH SCHOOL
UNITED HEALTHCARE OFTHE MIDATLANTIC (MAMSI)