Other Provider Identifier Issuer 10
T HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH 1003
EM BCBS OF CT WELLMORE GRP/FACILITY 1003
BOARD CERTIFIED IN NEUROLOGY, AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
CIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
OPTUM BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
VA PREMIER HEALTH (EVMS HEALTH SERVICES)
PASSPORT & PASSPORT ADVANTAGE - HOUSE CALLS
MEDICARE PTAN - INDIVIDUAL, QUEENS (SILVERCREST)
PASSPORT ADVANTAGE- NORTON CMA- HURSTBOURNE
NEW YORK STATE WORKER'S COMPENSATION BOARD
BLUE CROSS BLUE SHIELD TRAD, TRUST, AND MEDICARE BLUE CROSS
FEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY, LLC
MEDICARE GROUP P-TAN --CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE
UBH UNITED BEHAVIORAL HEALTH-WELLMORE GRP/FACILITY
CLIA # 14D2054175 EXP 2-14-2015 CHICAGO RIDGE LOCATION
ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
ANTHEM INDIANA MEDICAID- KENTUCKY CHILDREN'S RADIOLOGISTS
GEORGIA PROFESSIONAL STANDARDS COMMISSION (CTFD EDUCATOR IN SCHOOL COUNSELING)
MANAGED HEALTH SERVICES- KENTUCKY CHILDREN'S RADIOLOGISTS
AETNA THRU OAKLAND PHYSICIANS NETWORK SERVICES
UBH/OXFORD FREEDOM/OXFORD LIBERTY WELLMORE GRP/FACILITY060669107
UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY
BLUE CROSS BLUE SHIELD (BROOKLYN OFFICE)
MEDICAID KY- NORTON COMMUNITY MEDICAL ASSOCIATES
REGENCE BLUE SHIELD ADVANCED OPEN IMAGING
OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
LABOR AND INDUSTRIES/WA UNION AVENUE OPEN
LABOR AND INDUSTRIES-UNION AVENUE OPEN MRI
ANTHEM INDIANA MEDICAID- CARDIOTHORACIC SURGERY OF LOUISVILLE
MEDICARE PART B FOR EYE ASSOCIATES OF LEAWOOD
BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
MEDICARE NHIC 31565 RANCHO PUEBLO STE 102 TEMECULA CA 92592
OXFORD HEALTH/FREEDOM-OPTUMHEATLH CARE SOLUTIONS, INC.
UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY
BCBS OF ALABAMA - TRINITY MEDICAL CENTER
AMERICAN HEALTHCARE ACADEMY (CPR AND AED CERTIFICATION)
BLUE PLUS (DATES OF SERVICE PRIOR TO JOINING AVERA)
PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
MANAGED HEALTH SERVICES- WOMEN'S SPECIALISTS
LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
HIGHMARK BLUE SHIELD (PREMIER BLUE & FPLIC)
AMERIHEALTH, KEYSTONE, INDEPENDENCE BLUE CROSS, PENNSYLVANIA BLUE CROSS
UBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
PASSPORT ADVANTAGE - SPECIALTY - FOUNDATION
CHILDREN'S FUNCTIONAL ASSESMENT RATING SCALE
BLUE CROSS & BLUE SHIELD OF RHODE ISLAND
FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
UNITED BEHAVIORAL HEALTH- WELLMORE GRP/FACILITY
MANAGED HEALTH SERVICES- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
AMERIHEALTH CARITAS, PA - YH OB TEACHING
SC MEDICAID GROUP ID FOR POOLER LOCATION
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
ARCADIAN HEALH PLAN FOR ARK COMMUNIT CARE
EQUITABLE LIFE & CASUALTY INSURANCE COMPANY
PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
MEDICAID KY- CARDIOTHORACIC SURGERY OF LOUISVILLE
HEALTHY INDIANA PLAN- NORTON LEATHERMAN SPINE CENTER
ANTHEM BCBS OF CT AWAKEN THE POWER THERAPY, LLC
GRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE
LEGACY PROVIDER IDENTIFIER (LPI) 200945500
RR MCARE FOR OUTPATIENT IMAGING SERVICES
BLUE CROSS BLUE SHIELD KC 8 DIGIT BILLING NUBER
GLC CERTIFICATION BY SPENCER INSTITUTE(GREEN LIVING)
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
HIGH POINTE HEALTHCARE CLINIC NPI FOR RURAL HEALTH BILLING
WELLMARK BCBS TRICARE - AVERA FLANDREAU HOSPITAL
THS PHYSICIAN PARTNERS, INC GROUP MEDICAID
ANTHEM BLUE CROSS BLUE SHIELD OF VIRGINIA
RR MEDICARE PTAN-COMMUNIT MEDICAL ASSOCIATES
PASSPORT ADVANTAGE- N. INPATIENT SPECIALISTS
ADVOCARE HADDONFIELD PEDIATRIC ASSOCIATION- CLIA
MINNESOTA BOARD OF MEDICAL PRACTICE PHYSICIAN ASST LICENSURE (EXP 06-30-2005)
HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
MD WISE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
OPTIMUM CHOICE,MAMSI, M.D. IPA (PRIMARY PHYSICIAN)
ANTHEM PROVIDER NUMBER - FAMILY MEDICINE
RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
MEDICARE ORIGINAL GROUP NUMBER BEFORE NPI
MEDICARE PART B FOR EYE ASSOCIATES OF OLATHE
SHEILA M. CARLEY, D.C. CHIROPRACTIC STATE LICENSE NUMBER
MEDICAID - FAYETTE COUNTY HEALTH DEPARTMENT
NEONATAL ADVANCED LIFE SUPPORT CERTIFICATION
BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK
DPH-PSYCHIATRIC OUTPATIENT CLINIC FOR ADULTS
LABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER