| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 020313086 | Arun, Vishrutha | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 1 | |
| 135516 | Callejo-Black, Alicia Lygia | 1083291934 | 5201121 | PBC HEADACHE MB | 0 |
| 025296146 | Cheng, Chloe Megumi | 1467202069 | 5201446 | PSYCH ADULT PRITZKER | 0 |
| 152378 | Chhoa, Davis | 1861242927 | 1090021 | 360 POSITIVE HEALTH | 1 |
| 152337 | Chockanathan, Udaysankar | 1316798325 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 152602 | Cordonnier, Stephanie Ann | 1588230809 | 2030022 | GI MZ | 0 |
| 11253 | Esserman, Laura J. | 1679537971 | 5311001 | ADULT INFUSION CNT MB3 | 1 |
| 025716689 | Finestone, Erin H | 1881477974 | 3010013 | REHAB PT FP MB | 1 |
| 027247592 | Fraimow-Wong, Leah | 1720528987 | 1090021 | 360 POSITIVE HEALTH | 1 |
| 152338 | Gaeta, Benjamin Canon | 1457106924 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 152442 | Gore, Sydney Lee | 1649020066 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 026824508 | Kim, Nayoon | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 0 | |
| 152340 | Nakamoto, Max Mitsuo | 1518717875 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 63827 | Okumura, Megumi J | 1356421879 | 2040009 | PED PRIMARY MZ | 0 |
| 76281 | Park, Meyeon | 1508041187 | 1100037 | NEPHROLOGY PARN | 1 |
| 029569373 | Sachidanandan, Ridhaa Fatima | 1457102154 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 025291980 | Shaaf, Emon | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 1 | |
| 157974 | Sharon, Brian Douglas | 1427823871 | 2040009 | PED PRIMARY MZ | 1 |
| 10007590 | Sod Ped Dent Parn 2, | 3202001 | SOD PED DENT PARN | 1 | |
| 152346 | Toader, Andrew Constantin | 1386495216 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 115566 | Wang, Ho-Hui | 1013336817 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 027593466 | Woods, Jeffrey Thomas | 1831949262 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 157938 | Wurtz, Lincoln Isaiah | 1245025931 | 1100057 | NEURO PARN | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 39029 | Nemer, Jacqueline A. | 1457309775 | 5201532 | URGENT CARE BAYFRONT | 1 |
| 112234 | Rassbach, Whitney Marshall | 1831352350 | 6600001 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES MOORPARK | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 141054 | Bazarko, Vivien Wentworth | 20207003 | IsPrimaryDep | 0 → 1 |
| 141054 | Bazarko, Vivien Wentworth | 20208001 | IsPrimaryDep | 1 → 0 |
| 34489 | Brakeman, Paul R | 20206025 | IsPrimaryDep | 0 → 1 |
| 34489 | Brakeman, Paul R | 5201041 | IsPrimaryDep | 1 → 0 |
| 025201716 | Craft, Katie S | 20206013 | IsPrimaryDep | 1 → 0 |
| 025201716 | Craft, Katie S | 3010036 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050006 | IsPrimaryDep | 1 → 0 |
| 159905 | Gadomski, Therese Elizabeth | 2050021 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 0 → 1 |
| 42805 | Handelsman, Sarah Cahn | 4900001 | IsPrimaryDep | 0 → 1 |
| 42805 | Handelsman, Sarah Cahn | 4900002 | IsPrimaryDep | 1 → 0 |
| 141372 | Lerman, Benjamin Joshua | 20206042 | IsPrimaryDep | 1 → 0 |
| 141372 | Lerman, Benjamin Joshua | 5201049 | IsPrimaryDep | 0 → 1 |
| 10000196 | Lvn1 Obgyn Mz, | 2050007 | IsPrimaryDep | 1 → 0 |
| 10000196 | Lvn1 Obgyn Mz, | 2050021 | IsPrimaryDep | 0 → 1 |
| 153532 | Nevsimal, Rachael | 5309020 | IsPrimaryDep | 1 → 0 |
| 153532 | Nevsimal, Rachael | 5309030 | IsPrimaryDep | 0 → 1 |
| 020284485 | Ravitz, Adrian B. | 5201119 | IsPrimaryDep | 0 → 1 |
| 020284485 | Ravitz, Adrian B. | 9010287 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201054 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201119 | IsPrimaryDep | 0 → 1 |
| 158084 | Shah, Akash | 5601098 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601112 | IsPrimaryDep | 0 → 1 |
| 028226793 | Simon, Amy | 20206018 | IsPrimaryDep | 0 → 1 |
| 028226793 | Simon, Amy | 20212026 | IsPrimaryDep | 1 → 0 |
| 162989 | Smith, Donald | 50100004 | IsPrimaryDep | 1 → 0 |
| 162989 | Smith, Donald | 50100013 | IsPrimaryDep | 0 → 1 |
| 75540 | Tai, Chau Yu | 20206031 | IsPrimaryDep | 1 → 0 |
| 75540 | Tai, Chau Yu | 20212013 | IsPrimaryDep | 0 → 1 |
| 147676 | Tamashiro, Carolina Yone | 20206046 | IsPrimaryDep | 1 → 0 |
| 147676 | Tamashiro, Carolina Yone | 5201042 | IsPrimaryDep | 0 → 1 |
| 56528 | Torres, Ana Marie | 1100149 | IsPrimaryDep | 0 → 1 |
| 56528 | Torres, Ana Marie | 1100151 | IsPrimaryDep | 1 → 0 |
| 153851 | Walsh, Nathan | 2060006 | IsPrimaryDep | 1 → 0 |
| 153851 | Walsh, Nathan | 5201525 | IsPrimaryDep | 0 → 1 |
| 105302 | Wolbers, Linda Lee | 50100048 | IsPrimaryDep | 0 → 1 |
| 105302 | Wolbers, Linda Lee | 5201527 | IsPrimaryDep | 1 → 0 |