| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 131548 | Aljohani, Othman A. | 1659716512 | 20206007 | BCH OAK OPC CARDIOLOGY | 0 |
| 67013 | Anand, Payal | 1437294360 | 2040001 | AUDIOLOGY MZ | 0 |
| 026535963 | Asiedu, Anna-Lena | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 023746209 | Baheer, Sohaila | 6100003 | CC UCBEYE CONTACT LENS MH | 0 | |
| 163061 | Chahine, Lana Marie | 1962672238 | 5201415 | MOVEMENT WEILL | 1 |
| 029122645 | Chambers, Michele | 7105002 | HOME HEALTH SCHEDULING | 1 | |
| 028506020 | Chin, Stephanie Fei | 3202013 | SOD GEN DENT PARN FACULTY | 0 | |
| 10008574 | Cl1t - Ucbeye Emv, | 6101007 | CC UCBEYE CONTACT LENS EMV | 1 | |
| 10008575 | Cl2t - Ucbeye Emv, | 6101007 | CC UCBEYE CONTACT LENS EMV | 1 | |
| 023602782 | Cook, Jessica | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 125456 | Curnow, Andrew Cadenazzi | 1972063428 | 5201136 | ILD PARN | 1 |
| 10007447 | F7t - Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 105288 | Forsberg, Sarah Elizabeth | 1821317058 | 5201446 | PSYCH ADULT PRITZKER | 0 |
| 020040218 | Gardner, James Morgan | 1215293477 | 1100151 | LIVER TR PARN 7 | 1 |
| 021338603 | Ghumman, Asfand Yar | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 026094508 | Hong, Richard | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 022040943 | Inadomi, Julianne | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 164192 | Kamdar, Payal Praful | 1255228904 | 5201044 | PED GENETICS MB | 1 |
| 025155656 | Lee, Hyunji | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 104070 | Manayan, Karina Bagaslao | 1285939553 | 9010282 | CARD SANTA ROSA | 0 |
| 38889 | Moon-Grady, Anita J | 1437139060 | 9010285 | PED CARD EUREKA | 0 |
| 026509208 | Munoz, Sebastian | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 025246091 | Neely, Jessica Ann | 1235574211 | 5201042 | PED RHEUMATOLOGY MB | 0 |
| 116439 | Nguyen, Diana Kim | 1134411077 | 3208001 | SOD GEN DENT PRE-D CITYWIDE | 1 |
| 025250655 | Okine, Erica | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 162297 | Park, Deborah Yae-Jung | 1669116174 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 10008586 | Pc-A1t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008587 | Pc-A2t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008588 | Pc-A3t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008600 | Pc-B1t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008601 | Pc-B2t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008602 | Pc-B3t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008603 | Pc-B4t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008604 | Pc-B5t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008605 | Pc-B6t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008606 | Pc-B7t - Ucbeye Emv, | 6101002 | CC UCBEYE PRIMARY CARE EMV | 1 | |
| 10008429 | Peds1f, | 6100005 | CC UCBEYE PEDS MH | 1 | |
| 10006750 | Proctor Thursday Am, | 9010057 | PROCTOR GROUP | 1 | |
| 022704654 | Radwan, Mariam | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 164968 | Rashid, Sarem | 1467211227 | 5201044 | PED GENETICS MB | 1 |
| 10006744 | Rn1 Ortho Surg Onc, | 5201247 | ORTHO SURG ONC MB 6 | 1 | |
| 162766 | Rogerson, Daniella Melita | 1952051310 | 5201044 | PED GENETICS MB | 1 |
| 024795445 | Sarsangi, Nour | 6101002 | CC UCBEYE PRIMARY CARE EMV | 0 | |
| 55765 | Seger, Suzanne Marie | 1154650216 | 2050007 | OBGYN MZ 6 | 0 |
| 025544206 | Stevens, Holly | 5201509 | METABOLIC GENETICS MB | 1 | |
| 023152903 | Sunga, Erwin | 6101002 | CC UCBEYE PRIMARY CARE EMV | 0 | |
| 158760 | Tam, Lydia Tin-Wei | 1467193284 | 5201048 | PED HEM MB | 0 |
| 153088 | Tian, Helen Siqi | 1699353060 | 5201048 | PED HEM MB | 0 |
| 155372 | Trestler, Lauren Michelle | 1437562188 | 5201445 | PSYCH EMBED OB MB | 0 |
| 023701279 | Uy, Edward | 7105002 | HOME HEALTH SCHEDULING | 1 | |
| 021749031 | Yeh, Madelyn | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 024505687 | Zhang, Zi Yue | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 146604 | Zhao, Beiqun Mark | 1649652553 | 50103019 | COLORECTAL SURG POPC | 0 |
| 023293376 | Zhou, Cuiwen | 3202015 | SOD GEN DENT PRE-D CDC | 0 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 41695 | Auguste, Kurtis I. | 1942463682 | 5201059 | PBC NEUROSURGERY MB | 0 |
| 76637 | Bermudez Wagner, Karla Marbelia | 1114169810 | 5201498 | COMPLEX OBSTETRIC MED | 0 |
| 024856676 | Bosl, Brian | 20213001 | BCH OAK WC SPORTS MEDICINE | 0 | |
| 157218 | Chiang, Melissa Carolyn | 1609339159 | 1100005 | URGENT CARE PARN | 0 |
| 54302 | Cocalis, Mark Williams | 1700817913 | 5201051 | PED HEART MB | 0 |
| 153869 | Dietz, Connor | 1780417493 | 5201416 | MEMORY WEILL | 1 |
| 86767 | Ehrensaft, Diane | 1770782591 | 5201572 | PED GENDER MB | 1 |
| 146452 | Foley, Corinne | 1851096721 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 39918 | Friduss, Michael Eric | 1265519193 | 9010273 | OHNS GEN OTOL RWS | 1 |
| 157408 | Garcia-Curran, Megan Margaret | 1003443771 | 5201058 | PBC NEUROLOGY MB | 1 |
| 021768429 | Garriga, Meera | 1275228181 | 2050009 | WOMENS HEALTH MZ | 1 |
| 146739 | Ghaznavi, Cyrus | 1093417024 | 2110001 | GEN MED MZ 1545 1 | 1 |
| 145710 | Hua, Kiet Gia | 1518427855 | 5201416 | MEMORY WEILL | 1 |
| 027994573 | Jasti, Sowmya | 1144925447 | 20207003 | BCH OAK FQ CONTINUITY | 0 |
| 131634 | Kleinhenz, Alissa Lillian Wall | 1790313484 | 5201184 | NON MALIGNANT HEM PARN | 1 |
| 131741 | Kusari, Ayan | 1295295764 | 9010242 | DERM FAC CB WATER | 0 |
| 146470 | Lopez, Esmeralda | 1316642218 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 158293 | Meylor, Jennifer Michelle | 1811523939 | 5201074 | PBC EPILEPSY MB | 1 |
| 58517 | Miller, Jennifer Anne | 1104854355 | 20210001 | BCH OAK FQ CAST HIGH SCHOOL | 0 |
| 62443 | Mukhtar, Rita Adele | 1316113848 | 5201274 | BREAST SURG ONC MB 3 | 1 |
| 024457152 | Murphy, Jennifer Shields | 1639601446 | 5201397 | PED NEURO ONC MB | 0 |
| 10000437 | Nurse D Dermatology Uc/mz, | 9010242 | DERM FAC CB WATER | 1 | |
| 10002388 | Ohns Vsc Nurse Mz, | 2040014 | OHNS VOICE MZ POST | 1 | |
| 025751678 | Phinney, Lauren Bach | 1164000840 | 1100005 | URGENT CARE PARN | 0 |
| 1000707 | Prepare Oi Np 3, | 3010018 | PREPARE OI | 1 | |
| 152665 | Scarffe, Leslie | 1518727023 | 5201161 | MS WEILL | 1 |
| 146767 | Schormann, Sebastian Alexander | 1871296954 | 2110001 | GEN MED MZ 1545 1 | 1 |
| 150696 | Schwartz, Nicholas Urban | 1447879549 | 5201416 | MEMORY WEILL | 1 |
| 147073 | Silva-Rudberg, Jason Antonio | 1255034229 | 2110002 | GEN MED MZ 1545 2 | 1 |
| 41555 | Sun, Peter Peiyuan | 1972590354 | 5201059 | PBC NEUROSURGERY MB | 0 |
| 122392 | Temple, Sara Ringling | 1619487402 | 5309016 | REHAB PT FP LAKESHORE | 0 |
| 158280 | Winkler, Emma Suening | 1982399150 | 1100068 | RHEUM PARN | 1 |
| 140873 | Woodson, Ryan Ine | 1568104420 | 2050007 | OBGYN MZ 6 | 1 |
| 145491 | Yilmaz, Bahar Dikmen | 1972063683 | 5201068 | REPRO ENDO & INFERTILITY MB | 1 |
| 024640575 | Zakaria, Adam Naim | 1457001083 | 5201062 | PED DERM MB | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 79722 | Ali, Sabina Ahmed | 20206021 | IsPrimaryDep | 1 → 0 |
| 79722 | Ali, Sabina Ahmed | 20212005 | IsPrimaryDep | 0 → 1 |
| 025757626 | Avila, Rodrigo | 5503001 | IsPrimaryDep | 0 → 1 |
| 025757626 | Avila, Rodrigo | 5503002 | IsPrimaryDep | 1 → 0 |
| 027571801 | Baldock, Tasia | 7101002 | Title | HHA → |
| 10005975 | Bch Oak Opc 4th Floor Treatment Room, | 20206034 | IsPrimaryDep | 1 → 0 |
| 10005975 | Bch Oak Opc 4th Floor Treatment Room, | 20206036 | IsPrimaryDep | 0 → 1 |
| 85587 | Belapurkar, Sonali | 20206013 | IsPrimaryDep | 1 → 0 |
| 85587 | Belapurkar, Sonali | 20243003 | IsPrimaryDep | 0 → 1 |
| 92206 | Bernal, William Enrique | 5201042 | IsPrimaryDep | 1 → 0 |
| 92206 | Bernal, William Enrique | 5201102 | IsPrimaryDep | 0 → 1 |
| 43441 | Besio, David A. | 5201160 | IsPrimaryDep | 0 → 1 |
| 43441 | Besio, David A. | 5201393 | IsPrimaryDep | 1 → 0 |
| 97342 | Brown, Katherine Saxton | 2050006 | IsPrimaryDep | 1 → 0 |
| 97342 | Brown, Katherine Saxton | 5201482 | IsPrimaryDep | 0 → 1 |
| 42794 | Carlson, Jennifer Lynn | 5201459 | IsPrimaryDep | 1 → 0 |
| 42794 | Carlson, Jennifer Lynn | 9010252 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 1 → 0 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 0 → 1 |
| 136619 | Cengiz, Eda | 20206013 | IsPrimaryDep | 0 → 1 |
| 136619 | Cengiz, Eda | 3010036 | IsPrimaryDep | 1 → 0 |
| 40869 | Chang, Wileen | 2040001 | IsPrimaryDep | 0 → 1 |
| 40869 | Chang, Wileen | 5307001 | IsPrimaryDep | 1 → 0 |
| 145799 | Chau, Michael Ming-Wah | 20206028 | IsPrimaryDep | 1 → 0 |
| 145799 | Chau, Michael Ming-Wah | 5201053 | IsPrimaryDep | 0 → 1 |
| 025201716 | Craft, Katie S | 20206013 | IsPrimaryDep | 0 → 1 |
| 025201716 | Craft, Katie S | 3010036 | IsPrimaryDep | 1 → 0 |
| 42557 | Damon, Juliana Lee | 4900001 | IsPrimaryDep | 0 → 1 |
| 42557 | Damon, Juliana Lee | 4900002 | IsPrimaryDep | 1 → 0 |
| 114722 | Desai, Tina R | 5601004 | IsPrimaryDep | 1 → 0 |
| 114722 | Desai, Tina R | 5601035 | IsPrimaryDep | 0 → 1 |
| 139346 | Eggert, Lauren Elaine | 1100029 | IsPrimaryDep | 1 → 0 |
| 139346 | Eggert, Lauren Elaine | 9010363 | IsPrimaryDep | 0 → 1 |
| 60646 | Ekstrand, Bradley Cameron | 50102002 | IsPrimaryDep | 1 → 0 |
| 60646 | Ekstrand, Bradley Cameron | 9010184 | IsPrimaryDep | 0 → 1 |
| 141881 | El Chaki, Rim | 20206025 | IsPrimaryDep | 0 → 1 |
| 141881 | El Chaki, Rim | 9010224 | IsPrimaryDep | 1 → 0 |
| 159905 | Gadomski, Therese Elizabeth | 2050006 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050021 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 0 → 1 |
| 147966 | Garza, Eduardo | 4030002 | IsPrimaryDep | 0 → 1 |
| 147966 | Garza, Eduardo | 5201443 | IsPrimaryDep | 1 → 0 |
| 70498 | Goff, Jonathan R | 5601101 | Provider Name | Goff, Jonathan Robert → Goff, Jonathan R |
| 43337 | Goldstein, Tatiana | 6300001 | IsPrimaryDep | 1 → 0 |
| 43337 | Goldstein, Tatiana | 6300002 | IsPrimaryDep | 0 → 1 |
| 026129817 | Han, Young | 7105002 | Title | LVN → RN |
| 151938 | Harris, Olivia Mcvay | 2050006 | IsPrimaryDep | 0 → 1 |
| 151938 | Harris, Olivia Mcvay | 2050021 | IsPrimaryDep | 1 → 0 |
| 57588 | Hebshi, Leila D. | 2040019 | IsPrimaryDep | 1 → 0 |
| 57588 | Hebshi, Leila D. | 5201466 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 029478955 | Howe, Maura Anne | 5201040 | IsPrimaryDep | 1 → 0 |
| 029478955 | Howe, Maura Anne | 9010219 | IsPrimaryDep | 0 → 1 |
| 92860 | Indaram, Maanasa | 5201057 | IsPrimaryDep | 1 → 0 |
| 92860 | Indaram, Maanasa | 5201297 | IsPrimaryDep | 0 → 1 |
| 123193 | Jou-Zhang, Rosa Keng | 1100125 | IsPrimaryDep | 1 → 0 |
| 123193 | Jou-Zhang, Rosa Keng | 9010157 | IsPrimaryDep | 0 → 1 |
| 140359 | Kephart, Donald Towle | 20206028 | IsPrimaryDep | 1 → 0 |
| 140359 | Kephart, Donald Towle | 20212012 | IsPrimaryDep | 0 → 1 |
| 164401 | Khan, Samiya | 1100030 | IsPrimaryDep | 1 → 0 |
| 164401 | Khan, Samiya | 1100073 | IsPrimaryDep | 0 → 1 |
| 116197 | Koehler, Matthew M | 5601093 | IsPrimaryDep | 1 → 0 |
| 116197 | Koehler, Matthew M | 5601094 | IsPrimaryDep | 0 → 1 |
| 108435 | Krystal, Andrew Darrell | 5201446 | IsPrimaryDep | 0 → 1 |
| 108435 | Krystal, Andrew Darrell | 5201448 | IsPrimaryDep | 1 → 0 |
| 028181113 | L'heureux, Lauren | 5201002 | IsPrimaryDep | 1 → 0 |
| 028181113 | L'heureux, Lauren | 5201195 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 3010009 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 9010279 | IsPrimaryDep | 1 → 0 |
| 136413 | Lee, Jaimie | 2050006 | IsPrimaryDep | 1 → 0 |
| 136413 | Lee, Jaimie | 2050007 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 50102002 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 9010184 | IsPrimaryDep | 1 → 0 |
| 104111 | Lester, Jenna | 2030016 | IsPrimaryDep | 1 → 0 |
| 104111 | Lester, Jenna | 9010242 | IsPrimaryDep | 0 → 1 |
| 150057 | Liodakis, Rachel Suzanne | 2050009 | IsPrimaryDep | 0 → 1 |
| 150057 | Liodakis, Rachel Suzanne | 2050020 | IsPrimaryDep | 1 → 0 |
| 69394 | Ly, Ngoc P | 5201043 | IsPrimaryDep | 0 → 1 |
| 69394 | Ly, Ngoc P | 9010076 | IsPrimaryDep | 1 → 0 |
| 145565 | Madhavan, Anuradha | 2030022 | IsPrimaryDep | 1 → 0 |
| 145565 | Madhavan, Anuradha | 5201329 | IsPrimaryDep | 0 → 1 |
| 022848725 | Milstein, Joshua | 20242001 | NPI | → 1164161915 |
| 022848725 | Milstein, Joshua | 20242001 | Provider Name | Milstein, Joshua A → Milstein, Joshua |
| 022848725 | Milstein, Joshua | 20242001 | Provider Gender | → Male |
| 022848725 | Milstein, Joshua | 20242001 | Title | LMFT → MFT |
| 153532 | Nevsimal, Rachael | 5309020 | IsPrimaryDep | 0 → 1 |
| 153532 | Nevsimal, Rachael | 5309030 | IsPrimaryDep | 1 → 0 |
| 56213 | Norton, Mary E | 20205090 | IsPrimaryDep | 1 → 0 |
| 56213 | Norton, Mary E | 5201031 | IsPrimaryDep | 0 → 1 |
| 147006 | Osbourne, Appledene Samantha | 1100068 | IsPrimaryDep | 1 → 0 |
| 147006 | Osbourne, Appledene Samantha | 5201522 | IsPrimaryDep | 0 → 1 |
| 028400844 | Panton, Mikayla Nicole | 3050001 | Provider Name | Panton, Mikayla → Panton, Mikayla Nicole |
| 028400844 | Panton, Mikayla Nicole | 3050001 | Title | → PharmD |
| 92207 | Peyvandi, Shabnam | 4060011 | IsPrimaryDep | 1 → 0 |
| 92207 | Peyvandi, Shabnam | 5201051 | IsPrimaryDep | 0 → 1 |
| 021947965 | Porche, Clover Maureen | 20232001 | Provider Name | Porche, Clover → Porche, Clover Maureen |
| 021947965 | Porche, Clover Maureen | 20232001 | Title | → LCSW |
| 63472 | Portale, Anthony A. | 5201041 | IsPrimaryDep | 0 → 1 |
| 63472 | Portale, Anthony A. | 9010224 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201054 | IsPrimaryDep | 0 → 1 |
| 026545012 | Ray, Jordan | 5201119 | IsPrimaryDep | 1 → 0 |
| 023510050 | Rodriguez De Cain, Elba S | 20232001 | IsPrimaryDep | 1 → 0 |
| 023510050 | Rodriguez De Cain, Elba S | 20242001 | IsPrimaryDep | 0 → 1 |
| … and 32 more modifications | ||||