| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1457078321 | PROACTIVE MSO, LLC | 124 ALLAWOOD CT | SIMPSONVILLE | SC | 296816207 | |||
| 1316609498 | JAMES | KAICY | CHRISTNER | 606 S 22ND ST | TERRE HAUTE | IN | 478032538 | |
| 1558822486 | OBANNON | ANDREW | 2424 CROSSING DR | EDMOND | OK | 730136959 |