ytd data as of september 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via...
TRANSCRIPT
MEDICARE PROVIDERS THAT H AVE BEEN PAID VIA T HE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
YTD Data As Of September 30, 2011
Report Data As Of: 9-30-2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
ELIGIBLE PROVIDERS
Bender, Thomas Alabama Mobile 6701 Airport Blvd Suite D232 36608 6705 (251) 631-3570
Blythe, William Alabama Opelika 1965 1st Ave 36801 5403 (334) 705-0012
BOACKLE, CHARLES Alabama Birmingham 513 Brookwood Blvd SUITE 50 35209 6862 (205) 877-2761
Braun, Randell Alabama Daphne 1913 US Highway 98 36526 4371 (251) 626-5065
Brouillette, John Alabama Birmingham 817 Princeton Ave SW Suite 210 35211 1348 (205) 788-7572
Burrus, Jason Alabama Alabaster 1010 1st St N Ste 200 Physician Center 35007 8609 (205) 663-1780
Carter, Rhonda Alabama Columbiana 22266 Highway 25 35051 8618 (205) 669-3138
Chakrabarty, Amit Alabama Huntsville 185 Whitesport Dr SW Suite 6 35801 6486 (256) 650-0306
Childs, William Alabama Samson 98 E Morris St 36477 1229 (334) 898-2728
Ciulla, Anthony Alabama Columbiana 22266 Highway 25 35051 8618 (205) 669-3138
Counce, Diane Alabama Alabaster 1022 1st Street North Suite 400B 35007 8728 (205) 621-4799
COZART, DAVID Alabama Muscle Shoals 203 W AVALON AVE Suite 340 35661 2855 (256) 314-6947
Frederickson, Robert Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Frey, James Alabama Birmingham 100 Pilot Medical Dr Suite 285 35235 3411 (205) 856-1901
Galishoff, Mitchel Alabama Valley 21 Medical Park 36854 3665 (334) 756-4156
GAYLE, FRANCENE Alabama Huntsville 4820 University Dr NW SUITE 35 35816 1867 (256) 721-9444
Gazzini, Larry Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Giammanco, Natalie Alabama Birmingham 1301 Center Point Pkwy suite #12 35215 6169 (205) 854-6633
Giles, Harold Alabama Birmingham 817 Princeton Ave SW Ste 210 35211 (205) 226-5911
Glaze, Jeffrey Alabama Birmingham 817 Princeton Ave SW Ste 210 35211 (205) 226-5911
HAMES, MICHAEL Alabama Florence 2487 Mall Rd 35630 2809 (256) 760-8485
hayes, donald Alabama Birmingham 2116 Chapel Hill Rd 35216 5106 (205) 822-8038
Ivker, Joshua Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Jackson, Jerry Alabama Birmingham 817 Princeton Ave SW Suite 210 35211 (205) 226-5911
Khan, Zakir Alabama Oneonta 101 Lemley Dr Suite A 35121 2100 (205) 625-3561
Kimbrell, David Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Leong, Tammy Alabama Birmingham 2700 10th Ave S POB 2 Ste 207 35205 1200 (205) 930-2060 122
Littles, Marcia Alabama Mobile 6701 Airport Blvd Suite D100 36608 6705 (251) 633-3662
McPhillips, Glenn Alabama Selma 6 Office Park Cir 36701 6506 (334) 872-5636
McPhillips, Tomeko Alabama Selma 6 Office Park Cir 36701 6506 (334) 872-5636
Mills, Patrick Alabama Alabaster 1010 1st St N Ste 200 Physician Center 35007 8609 (205) 663-1780
Przekwas, Agata Alabama Birmingham 817 Princeton Ave SW Suite 210 35211 1333 (205) 226-5911
Rahim, Fazal Alabama TALLADEGA 200 EAST BATTLE STREET 35160 3102 (205) 715-5910
Real, Timothy Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Riser, Margaret Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Riser, Thomas Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Page 1 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Schultz, Todd Alabama Birmingham 513 Brookwood Blvd Suite 50 35209 6862 (205) 877-2761
Smith, Jason Alabama Birmingham 2700 10th Ave S POB 2 Ste 207 35205 1200 (205) 930-2060 122
Stiles, Warren Alabama Opelika 1965 1st Ave 36801 5403 (334) 705-0012
Tharpe, David Alabama Birmingham 817 Princeton Ave SW Ste 210 35211 1348 (205) 226-5911
Westerman, Jan Alabama Jasper 1280 Summitt 35501 102 (205) 387-7555
Whatley, Wesley Alabama Opelika 1965 First Ave 36801 (334) 705-0012
Wilbanks, John Alabama Alabaster 1010 1st St N Ste 200 Physician Center 35007 8609 (205) 663-1780
Wilson, Aiesha Alabama Birmingham 1301 Center Point Pkwy suite 12 35215 6169 (205) 854-6633
Lanza, Mario Alaska Anchorage 3841 Piper Street Ste T3-162 99508 (907) 258-1258
Allred, Dee Arizona Scottsdale 20401 N 73rd St Suite 105 85255 4146 (480) 505-3484
AWAR, MAHER Arizona Yuma 2051 W 25th St Suite A 85364 6912 (928) 317-1119
BALDWIN, HILLEL Arizona Tucson 6567 E Carondelet Dr Ste 305 85710 2156 (520) 881-8400 7521
BENENATI, DIANA Arizona Tucson 6567 E Carondelet Dr Ste 305 85710 2156 (520) 881-8400 7521
Brodsky, Adam Arizona Phoenix 1331 N 7th St Ste 375 85006 2754 (602) 307-0070
BROWN, MARK Arizona Sun City 10503 W Thunderbird Blvd Ste 262 85351 3048 (623) 933-8289
Bryniarski, Elizabeth Arizona Tucson 6567 E Carondelet Dr Suite 305 85710 6152 (520) 881-8400 7521
Chick, Russell Arizona Phoenix 2222 E Highland Ave Suite 203 85016 4876 (602) 277-1558
De Ocampo, Jose Arizona Scottsdale 10290 N 92nd St Suite 300 85258 4522 (480) 718-9241
Doerr, Todd Arizona Scottsdale 20401 N 73rd St Suite 255 85255 4107 (480) 353-0446
Grossman, Alan Arizona Phoenix 1331 N 7th St Suite 375 85006 2754 (602) 307-0070
Harrison, Nedra Arizona Scottsdale 10210 N 92nd St # 205 85258 4524 (480) 551-2528 221
Hawkins, James Arizona Phoenix 9305 W Thomas Rd 555 85037 3328 (623) 742-9975
Hinchman, Glenn Arizona Scottsdale 10679 N Frank Lloyd Wright Blvd Ste #101 85259 2658 (480) 314-5365
Jenkins, Roger Arizona Prescott 172 E Merritt St Ste C 86301 2027 (928) 717-0077
JOHNSON, MICHAEL Arizona Sun City 10503 W Thunderbird Blvd Ste 262 85351 3048 (623) 933-8289
Laufer, Nathan Arizona Phoenix 1331 N 7th St Ste 375 85006 2707 (602) 307-0070
Levin, Bruce Arizona Sun City 10503 W Thunderbird Blvd Suite 109 85351 3022 (623) 977-9100
LUJAN, WILLIAM Arizona Tucson 6567 E Carondelet Dr Ste 305 85710 2156 (520) 881-8400 7521
MAXWELL, THOMAS Arizona Sun City 10503 W Thunderbird Blvd Ste 262 85351 3048 (623) 933-8289
MUTHU, GERALD Arizona Casa Grande 1667 E Monument Plaza Cir 85122 5600 (520) 876-0478
Nelson, Cory Arizona Scottsdale 20401 N 73rd St Suite 255 85255 4107 (480) 353-0446
Pershad, Ashish Arizona Phoenix 1331 N 7th St Ste 375 85006 2754 (602) 307-0070
PIETTE, RANDALL Arizona Sun City 10503 W Thunderbird Blvd Ste 262 85351 3048 (623) 933-8289
ROSALES, MARK Arizona Flagstaff 421 N Humphreys St 86001 4531 (928) 774-9325
Sarmiento, Paul Arizona Scottsdale 20401 N 73 RD Street Suite 105 85255 4146 (480) 505-3484
Segal, Robert Arizona Scottsdale 20401 N 73RD Street Suite 105 85255 4146 (480) 505-3484
SIEGEL, DAVID Arizona Tucson 6567 E Carondelet Dr Ste 305 85710 2156 (520) 881-8400 7521
Smith, Kenneth Arizona Glendale 6040 N 43rd Ave Suite1 85301 5488 (623) 931-2221
Page 2 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Steinke, Brian Arizona Phoenix 9305 W Thomas Rd Ste 555 85037 3328 (623) 742-9975
Wamboldt, Alan Arizona Mesa 7525 E Broadway Rd Suite 3 85208 2002 (480) 832-2097
Werber, Bruce Arizona Scottsdale 10900 N. Scottsdale Road Suite 604 85254 5252 (480) 928-2111 2
Werrell, Bradley Arizona Globe 5990 S Hospital Dr 85501 9462 (928) 425-8151
WILSON, MATTHEW Arizona Tucson 6567 E Carondelet Dr Ste 305 85710 2156 (520) 881-8400
Wyatt, Angela Arizona Flagstaff 1501 S Yale St Ste 152 86001 7337 (928) 779-6923
Yu, Antonio Arizona Surprise 13945 West Grand Ave Suite 102 85374 2437 (623) 556-2252
Al-Hallak, Ammar Arkansas Jonesboro 201 E Oak Ave 72401 (870) 935-6729
Al-Hindi, Ahmad Arkansas Jonesboro 201 E Oak Ave 72401 4163 (870) 935-6729
Angel, Jeffery Arkansas Batesville 501 Virginia Dr Suite C 72501 7331 (870) 793-2371
Arroyo, Maximiliano Arkansas Jonesboro 201 E Oak Ave 72401 4163 (870) 935-6729
Awar, Ziad Arkansas Jonesboro 201 E Oak Ave. 72401 (870) 935-6729
Bailey, William Arkansas Jonesboro 201 E Oak Ave. 72401 (870) 935-6729
Dodge, Benjamin Arkansas Conway 550Club Lane Suite 1 72034 3681 (501) 329-1510 119
GHORMLEY, JONATHAN Arkansas CONWAY 550 CLUB LANE SUITE 1 72034 3681 (501) 329-1510 119
Gilliam, Francis Arkansas Jonesboro 201 E Oak Ave 72401 4163 (870) 935-6729
Hashmi, Salman Arkansas Maumelle 501 Millwood Cir., Suite E 72113 0 (501) 803-9900
Havdala, Jack Arkansas Jonesboro 201 E Oak Ave 72401 (870) 935-6729
Hill, Roger Arkansas Jonesboro 201 E Oak Ave. 72401 (870) 935-6729
Lochala, Richard Arkansas Mena 1102 Crestwood Cir 71953 5513 (479) 394-7301 223
McCarron, Robert Arkansas Conway 550 Club Lane Suite 1 72034 3681 (501) 329-1510 119
McKee, John Arkansas Jonesboro 201 E Oak Ave 72401 (870) 935-6729
Miller, Joseph Arkansas Fort Smith 7303 Rogers Ave Suite 100 72903 4106 (479) 452-0882
Oxner, Troy Arkansas Hot Springs 2605 Albert Pike Rd 71913 4514 (501) 767-1144
PARISH, BARTON Arkansas Hot Springs 2605 Albert Pike 71913 4514 (501) 767-0075
ROBERTS, THOMAS Arkansas CONWAY 550 club lane suite1 72034 3681 (501) 329-1510 119
Schrader, Daniel Arkansas El Dorado 704 W Grove St Suite 7 71730 4469 (870) 864-6700
Smith, Harry Arkansas Conway 550 Club Lane Suite 1 72034 3681 (501) 329-1510 119
Stacey, David Arkansas Fayetteville 161 W Van Asche Dr Suite 102 72703 4974 (479) 571-3100
Stecker, Elton Arkansas Hot Springs 2605 Albert Pike Rd 71913 4514 (501) 767-1144
Stevenson, Daniel Arkansas Jonesboro 201 E Oak Ave. 72401 (870) 935-6729
Stoyioglou, Athanasios Arkansas Jonesboro 201 E. Oak Ave. 72401 (870) 935-6729
Swicegood, John Arkansas Fort Smith 7303 Rogers Ave Suite 100 72903 4106 (479) 452-0882
Tedder, Barry Arkansas Jonesboro 201 E Oak Ave. 72401 (870) 935-6729
Tsuda, Sue Arkansas Conway 2605 College Ave 72034 6133 (501) 327-2995 110
Zafarullah, Haris Arkansas Jonesboro 201 E Oak Ave 72401 (870) 935-6729
Al Qaisi, Yakdan California Bakersfield 820 34th St Suite 201A 93301 2283 (661) 363-6800
Alan, Thomas California Davis 2660 W Covell Blvd Suite A 95616 5645 (530) 747-3000
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 3 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Aldoori, Sarwa California Bakersfield 820 34th Street Suite 201 93301 5734 (661) 363-6800
alexiewicz, jadwiga California San Diego 7910 Frost St 220 92123 2771 (858) 499-1900
Ali, Nesib California San Bernardino 1700 N Waterman Ave 92404 5105 (909) 883-8611
Al-Mufti, Haseeb California San Francisco 660 4TH ST UNIT 349 94107 1618 (510) 604-6012
ALONSO, DAVID California Chico 85 Declaration Dr, Suite 110 Suite 110 95973 (530) 520-8977
Amsterdam, Ezra California Sacramento 4860 Y St Suite 2820 95817 2307 (916) 724-3764
antebi, alon California Lancaster 44105 15th St W Ste 201 93534 4088 (661) 726-5005
Applebaum, Jeffrey California Folsom 251 Turnpike Drive 95630 8098 (916) 985-9300
Arnott, Tyron California Citrus Heights 7551 Madison Ave 95610 7449 (916) 904-3000
ASLMAND, PEDRAM California Long Beach 2840 Long Beach Blvd # 205 90806 1516 (562) 426-0376
Averill, William California Torrance 3400 Lomita Blvd Suite 603 90505 4909 (310) 326-5142
Avila-Kirwan, Guadalupe California Auburn 3111 Professional Dr 95603 2456 (530) 885-5610
BAIN, MICHAEL California Newport Beach 400 Newport Center Dr Suite 609 92660 7695 (949) 720-0270
Baquero, VIctor California Folsom 251 Turn Pike Dr 95630 8098 (916) 985-9300
Baranski, Joel California San Diego 4060 4th Ave Ste 220 92103 2120 (619) 299-2350
Becker, Steven California Los Alamitos 5122 Katella Ave Ste 210 90720 6836 (562) 598-0600
Bedoya, Luis California Chula Vista 340 4th Ave Ste 4 91910 3813 (619) 427-1144
Belo, Diogo California Chula Vista 340 4th Ave Ste 4 91910 4414 (619) 427-1144
Benjamin, David California Freedom 160 Green Valley Rd Suite 203 95019 3160 (831) 728-4227
Berenji, Ramin California San Diego 7920 Frost St ste 300 92123 2736 (858) 499-1900
Berkson, Richard California Long Beach 1868 Pacific Ave 90806 6113 (562) 595-4718
Bettencourt, Joseph California Templeton 225 Posada Ln Suite E 93465 4058 (805) 434-2240
Bhardwaj, Manick California Bakersfield 4817 Centennial Plaza Way Suite A 93312 (661) 387-6700
BHASKAR, SHYAM California Visalia 231 W Noble Ave 93277 2631 (559) 635-7100
Bhatia, Sundeep California Sherman Oaks 4940 Van Nuys Blvd Suite 200 91403 1700 (818) 528-1260
Bias, John California Elk Grove 8110 Laguna Blvd 95758 7904 (916) 683-3955
Bidair, Mohamed California San Diego 5555 Reservoir Drive #203 92120 (619) 229-2626
Bisla, Harinder California Roseville 151 N Sunrise Ave #613 95661 2924 (916) 789-8620
Boiskin, Mark California LA Jolla 9834 Genesee Ave Ste 312 92037 1223 (858) 558-8150
Brady, William California Auburn 3111 Professional Drive 95603 (530) 885-5618
brahce, joel California Auburn 3200 Bell Rd 95603 9244 (530) 888-7616
Buckle, Frank California Los Angeles 1245 Wilshire Blvd Suite 511 90017 4810 (213) 977-1246
Burton, Ronald California San Bernardino 1700 North Waterman Avenue 92404 5105 (909) 883-8611
Camposagrado, Amanda California Folsom 271 Turn Pike Dr 95630 8098 (916) 985-9200
Chang, Andrew California Grass Valley 300 Sierra College Dr Ste.105 95945 5082 (530) 273-3377 206
Chang, Jason California Sacramento 2825 J St Ste 300 95816 4300 (916) 734-7777
Chaudhary, Vinita California Lakewood 3650 East South Street Suite 210 90712 (562) 630-0910
Chen, Hsiao- Fen California San Gabriel 140 W Valley Blvd Suite 220 91776 3760 (626) 307-0797
Page 4 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Chung, Kenneth California San Diego 4060 4th Ave Ste 220 92103 2120 (619) 299-2350
Claydon, Christopher California Grass Valley 150 Catherine Ln Suite B 95945 5719 (530) 271-2100
Clothier, Jennifer California Auburn 3200 Bell Road 95603 (530) 888-7616
Comer, Robert California Long Beach 2880 Atlantic Ave Suite 170 90806 1714 (562) 595-7784
Daglish, Thomas California Visalia 311 W Noble Ave 93277 2669 (559) 625-9200
Davis, Pamela California Northridge 18406 Roscoe Blvd 91325 4107 (818) 885-5480 3148
De Mayo, Frank California Tracy 1450 Bessie Ave 95376 3417 (209) 835-4888 123
Dinnel, Michael California Vista 986 Vista Village Dr 92084 6064 (760) 758-5751
Do, LanAnh California Los Angeles 11500 West Olympic Blvd Suite 630 90064 1538 (310) 393-1550
Do, Luan California LA Mesa 8851 Center Dr Suite 505 91942 3017 (619) 461-3880
Doan, Vien California Riverside 4343 Market St Suite D 92501 3517 (951) 784-7406
DURU, LILIAN California Rancho Cordova 11000 Olson Dr 95670 5653 (916) 635-4120
Elsaadi, Magdi California San Bernardino 1700 North Waterman Avenue 92404 5105 (909) 883-8611
Emad, Behzad California Los Angeles 5757 Wilshire Blvd Suite 660 90036 5810 (323) 932-9880
Enloe-Whitaker, Suzanne California San Bernardino 1700 North Waterman Ave 92404 5105 (909) 883-8611
Estes, Stephen California San Bernardino 1700 North Waterman Ave 92404 5105 (909) 883-8611
Etemadi, Alireza California Laguna Hills 24881 Alicia Pkwy Unit N 92653 4617 (949) 581-2002
Fadda, George California La Mesa 8851 Center Dr Ste 505 91942 3048 (619) 461-3880
Farrell, Melanie California LA Jolla 9834 Genesee Ave Suite 312 92037 1223 (858) 558-7852
Fefer, Loren California Rocklin 550 W Ranch View Dr Ste 2005 95765 5391 (916) 295-5700
Felix, Allen California Riverside 4343 Market St Suite C 92501 3500 (951) 248-0485
FERNANDEZ, RODRIGO California Chula Vista 480 Fourth Avenue 516 91910 (619) 476-9054
Finazzo, John California Palm Desert 73950 Alessandro Dr Suite 4 92260 3637 (760) 773-0762
Florea, Andrew California Redlands 255 Terracina Blvd Ste. 205-C 92373 4870 (909) 335-3000
Foliente, Roy California Grass Valley 300 Sierra College Dr Ste.105 95945 5082 (530) 273-3377
Foxe, James California Visalia 1860 S Central St Suite D 93277 4496 (559) 738-8584
Freedman, Douglas California Santa Monica 2001 Santa Monica Blvd #1160W 90404 2120 (310) 828-2042
Gallo, Costantino California San Jose 173 N Morrison Ave Suite C 95126 2712 (408) 293-1992
Ganta, SanyasI California Hemet 850 E Latham Ave Ste 201 92543 4391 (951) 925-6657
Garcia, Jorge California Sacramento 4860 Y Street Suite B0100 & B0400 95817 2307 (916) 734-2737
Gavrilyuk, Igor California San Diego 4060 Fourth Ave Suite 100 92103 (619) 718-9444
GEE, ESMOND California Redlands 245 Terracina Blvd Ste 211B 92373 4878 (909) 307-0900
Gharib, Darius California Encino 16133 Ventura Blvd 350 91436 2403 (818) 501-5201
Gill, Baljinder California Roseville 151 N Sunrise Ave #613 95661 (916) 789-8620
Gocke, Karna California Rancho Cordova 11000 Olson Dr 95670 5653 (916) 635-4120
GODIL, ASLAM California Grass Valley 300 Sierra College Dr Ste 105 95945 5084 (530) 273-3377 206
gomez garcia, marco California Glendale 1510 S Central Ave suite 340 91204 2500 (818) 240-4031
Goodlerner, Susan California Torrance 23451 Madison St Bldg 7 #330 90505 4763 (310) 375-9994
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 5 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Gould, George California Auburn 3200 Bell Rd 95603 9244 (530) 888-7616
GUTIERREZ, JORGE California Palm Springs 1100 N Palm Canyon Dr Suite 105 92262 4418 (760) 320-3383
Ha, Vince California San Diego 7920 Frost St ste 300 92123 2736 (858) 499-1900
Hall, Allen California Elk Grove 8110 Laguna Blvd 95758 7904 (916) 683-3955
Ham, Johnnie California Pismo Beach 575 Price St Suite 313 93449 2553 (805) 440-3284
Hattan, Michael California Newport Beach 355 Placentia Ave Suite 302 92663 3304 (949) 650-1900
Hellwig, Thomas California San Bernardino 1700 N Waterman Ave 92404 5115 (909) 883-8611
Henein, Sherif California Thousand Oaks 2230 Lynn Rd Ste 230 91360 1901 (805) 373-5864
Herbold, Kyle California Stockton 4553 Quail Lakes Dr 95207 (209) 951-1133
Hewitt, John California Bakersfield 1701 26th St 93301 2803 (661) 327-2208
HILL, KEVIN California Grass Valley 300 Sierra College Drive Ste105 95945 (530) 273-3377 206
Hirsch, Calvin California Sacramento 4150 V St Suite 2400 95817 1460 (916) 734-7005 8156
Ho, Lisa California Sacramento 2825 J St Suite 300 95816 4300 (916) 734-7777
Hooper, Michael California Auburn 3200 Bell Rd 95603 9244 (530) 888-7616
Hosoume, John California Sacramento 2825 J St suite 300 95816 4300 (916) 734-7777
Hovsepian, Paul California Alhambra 103 N Garfield Ave Suite F 91801 3555 (626) 282-2100
Hrach, Barbara California Santa Barbara 1824 State St 93101 2420 (805) 898-0500
Hundal, Apeet California Auburn 3111 Professional Dr 95603 2456 (530) 885-5618
Hussain, Shahid California San Diego 7920 Frost St ste 300 92123 2736 (858) 499-1900
Ibarra, Rodolfo California Long Beach 911 E San Antonio Dr Suite 1 90807 2204 (562) 423-0436
Ishihara, Kent California Sacramento 4150 V Street, Suite G400 UC Davis Medical Center 95817 (916) 734-3730
Jakobsen, Lars California Auburn 3111 Professional Dr 95603 2456 (530) 885-5618
jewell, benjamin California Napa 935 Trancas St STE 1C 94558 2932 (707) 252-4872
Jex, Craig California Bakersfield 4000 Stockdale Hwy Ste C 93309 (661) 832-3600
Jordan, Aaron California San Bernardino 1700 North Waterman Avenue 92404 5105 (909) 883-8611
Juriansz, Gordon California Santa Rosa 500 Doyle Park Dr Suite 304 95405 4558 (707) 545-1700
Kades, Wagdy California Los Angeles 201 S Alvarado St Suite #626 90057 2320 (213) 484-5397
Kailath, Elizabeth California Fair Oaks 6614 Mercy Court 95628 (916) 536-1136
Kalra, Tejinder California Newport Beach 520 Superior Ave Suite 295 92663 3627 (949) 645-1967
Katz, Roger California Los Angeles 11500 W Olympic Blvd suite 630 90064 1524 (310) 393-1550
Katzman, Brad California Ontario 728 N Euclid Ave 91762 (909) 984-5614 24
Kim, Kenneth California Walnut Creek 450 N Wiget Ln 94598 2408 (925) 691-9806
Knoepfler, Anca California Davis 2260 West Covell 95616 (530) 747-3000
Knorr, Philip California Freedom 160 Green Valley Rd Suite 203 95019 3160 (831) 728-4227
Kuhlman, Christopher California Northridge 18406 Roscoe Blvd 91325 4107 (818) 885-5480 3148
Kurtz, Lyle California West Hollywood 8733 Beverly Blvd Suite 410 90048 1827 (310) 855-1551
Label, Lorne California Thousand Oaks 2100 Lynn Rd Ste 230 91360 (805) 497-4500
LAJVARDI, ROBERT California La Mesa 7339 El Cajon Blvd STE # E 91941 3435 (619) 460-7775
Page 6 of 99
Northridge Family Practice
Medical Group
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Leavy, Benjamin California Elk Grove 8110 Laguna Blvd 95758 7904 (916) 683-3955
Lee, David California Elk Grove 8110 Laguna Blvd 95758 7904 (916) 683-3955
Lee, Wendy California Rancho Cordova 11000 Olson Dr Suite 100 95670 5653 (916) 635-4120
Lin, Eric California Torrance 3220 Sepulveda Blvd Suite 200 90505 8161 (310) 325-8588
Lin, Huey California Sacramento 4860 Y St ACC 1600 95817 2307 (916) 734-3630
Lin, Jason California San Bernardino 1700 N Waterman Ave 92404 5105 (909) 883-8611
Loomba, Navdeep California Apple Valley 18077 Highway 18 Suite A Global Pain Care 92307 2197 (760) 242-6565
Louie, Stanley California Selma 2511 Logan St 93662 3012 (559) 896-2624
Lowenbraun, Norman California San Jose 173 N Morrison Ave Suite C 95126 2712 (408) 293-1992
lozada-pastorio, elizabeth California Chula Vista 340 Fourth Avenue Suite 4 91910 (619) 427-1144
Lugliani, Roberto California Long Beach 1045 Atlantic Ave Suite 902 90813 3408 (562) 437-0996
Luke, John California Rancho Cordova 11000 Olson Dr Ste 100 95670 5605 (916) 635-4120
Lund, Guy California San Diego 7910 Frost Street Suite 220 92123 (858) 637-4700
Lund, Tamara California Sonora 6 S Forest Rd 95370 4802 (209) 536-9182
MacDonald, Scott California Sacramento 2825 J St Suite 300 95816 4300 (916) 734-7777
Magsino, Rodolfo California Covina 21304 E Arrow Hwy 91724 1442 (626) 915-2055
Maletz, Willard California Long Beach 3939 Atlantic Ave Suite 205 90807 3536 (562) 989-6457
Mangoba, Luther California Riverside 6377 Riverside Ave Suite B-101 92506 3124 (951) 686-0004
Masih, Ajay California Lancaster 44105 15th Street West Suite 201 93534 (661) 726-5005
Masongsong, Armand California Santa Clarita 21700 Golden Triangle Rd # 105 91350 2935 (661) 259-9800
massihi, allen California Glendale 311 N Verdugo Rd 91206 3944 (818) 409-9912
Matalon, Eran California Santa Rosa 500 Doyle Park Dr Suite 304 95405 4558 (707) 545-1700
Maxwell, Kevin California Auburn 3200 Bell Rd 95603 9244 (530) 888-7616
McCloud, Michael California Sacramento 4150 V St PSSB Suite 2400 95817 1460 (916) 734-7005
Meyer, Jill California Oceanside 3998 Vista Way Suite 204 92056 (619) 621-5580
Michel, Franz California Newbury Park 2239 Michael Dr 91320 3340 (805) 499-2676
Miles, Peter California Citrus Heights 7551 Madison Ave 95610 7449 (916) 904-3000
Miller, Lucy California La Mesa 8851 Center Drive Ste 505 91942 (858) 461-3880
Mitchell, Maya California Sacramento 4860 Y St 95817 2307 (916) 734-2737
Moadab, Anoosh California Fresno 6115 N 1st St Ste 101 93710 5450 (559) 436-1213
Modi, Tushar California Modesto 413 E Orangeburg Ave Suite A 95350 5315 (209) 529-9600
Montanaro, Christopher California Grass Valley 565 Brunswick Rd Suite #1 95945 9529 (530) 274-7174
Moriwaki, Mark California Sacramento 4150 V St Suite G400 95817 1460 (916) 734-3730
Mortara, Laurie California Long Beach 2880 Atlantic Ave Suite 170 90806 1714 (562) 595-7164
Mott, Robert California McKinleyville 1735 Central Ave 95519 3601 (707) 839-4347
Namazy, David California San Diego 7910 Frost St Ste 220 92123 2771 (858) 499-1900
nani, stephanie California Grass Valley 303 S School St 95945 6626 (530) 271-5711
Nasser, Thomas California Lancaster 44105 15th Street West Suite 201 93534 4936 (661) 726-5005
Page 7 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
NELSEN, MIHOKO California Pasadena 630 S Raymond Ave Suite 340 91105 3278 (626) 792-8154
Neskovic, Spasoje California Glendale 633 N Central Ave #209 91203 (818) 244-4114
Newell, Kathryn California Sacramento 4860 Y St Suite 0101 95817 2307 (916) 734-2717
Ngo, Dean California Westminster 15606 Brookhurst Street Suite B 92683 (714) 531-0000
Nguyen, Hung California Garden Grove 12762 Annette Cir 92840 6103 (714) 296-6264
Nguyen, Tan California Sacramento 2400 Del Paso Rd #145 95834 9627 (916) 928-3940
Nishio, Denyse California Sacramento 2825 J St 95816 4300 (916) 734-7777
Ocampo, Consuelo California Temecula 29645 Rancho California Rd Ste 138 92591 (951) 695-7228
Oh, Andrew California Citrus Heights 7551 Madison Ave 95610 (916) 904-3000
Park, Eun-Jung California Monterey 910 Major Sherman Ln Suite 310 93940 4642 (831) 647-3192
Parsons, Timothy California Campbell 1331 Camden Ave 95008 6701 (408) 666-4075
Patel, Bijal California San Diego 7920 Frost St Ste 300 92123 2736 (858) 499-1900
Pawar, Sanyukta California Rocklin 550 W Ranch View Dr Suite 2005 95765 5396 (916) 295-5700
Peterson, Scott California Santa Rosa 500 Doyle Park Dr Suite 304 95405 4558 (707) 545-1700
Pettis, Robert California Laguna Beach 31862 S. Coast Highway Suite 302 92651 6772 (949) 715-0500
Prescott, Pamela California Sacramento 4150 V St Suite G400 95817 1460 (916) 734-3730
Quilici, Philippe California Burbank 201 S Buena Vista St Suite 425 91505 4569 (818) 848-8311
Rafi, Asif California Los Angeles 11500 West Olympic Blvd Suite 630 90064 1538 (310) 393-1550
redmond, gregory California Sacramento 2825 J St Ste 300 95816 4300 (916) 734-7777
Riggle, Paul California Davis 2660 W Covell Blvd Suite C 95616 5645 (530) 747-3000
Rizvi, Syed California Upland 685 N 13th Ave SUIT 11 91786 4916 (909) 946-0844
Roberts, Heather California Los Angeles 11600 Wilshire Blvd #408 90025 1733 (310) 477-4727
Rogers, Lee California Sherman Oaks 3894 Sherview Drive 91403 5035 (818) 804-8637
Rupley, Kathryne California Fresno 6115 N 1st St Ste 101 93710 5450 (559) 436-1213
SADIQ, SADEEQ California Imperial Beach 600 Palm Ave Suite 108A 91932 1200 (619) 423-0100
Saini, Manu California Citrus Heights 7551 Madison Ave 95610 7449 (916) 904-3000
Sarkisian, Armine California Glendale 800 S Central Ave SUITE 304 91204 4370 (818) 507-0006
Seites, Paul California Elk Grove 8110 Laguna Blvd 95758 7904 (916) 683-3950
Shah, Shashi California Upland 600 N Mountain Ave Suite#D100 91786 4359 (909) 946-2828
Shariati Varnosfaderani, Narges California Auburn 3111 Professional Dr 95603 2456 (530) 885-5618
Shieh, Marshall California Bakersfield 4000 Stockdale Hwy ste C 93309 2059 (661) 832-3600
Shirai, Mie California Long Beach 304 Cherry Ave 90802 3848 (562) 433-0478
Sidhu, Kuldeep California Tracy 1450 Bessie Ave 95376 3417 (209) 835-4888 123
sigal, felix California Los Angeles 3875 Wilshire Blvd # 307 90010 3205 (213) 365-0793
Sinaie, Moshe California Bakersfield 4000 Stockdale Hwy Suite C 93309 2059 (661) 832-3600
Singer, David California Long Beach 411 E 10th St Suite 105 90813 4445 (562) 435-5353
Smith, Lloyd California Sacramento 4860 Y St Ob/Gyn, Suite 2500 95817 2307 (916) 734-6946
Soltero, Ricardo California Chula Vista 3404th Ave Ste 4 91910 4414 (619) 427-1144
Page 8 of 99
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Sowerby, Timothy California Greenbrae 1350 S Eliseo Dr Ste 130 94904 (415) 925-6900
stauber, gerson California Rancho Cordova 11000 Olson Dr 95670 5653 (916) 635-4120
Steer, Dylan California La Jolla 9834 Genesee Ave Ste 312 92037 1219 (858) 558-8150
Strong, Howard California Fremont 39233 Liberty St 94538 1501 (510) 795-8186
Sutter, Charles California Roseville 2261 Douglas Blvd 95661 3831 (916) 783-7109
Tamarappoo, Balaji California West Hollywood 8700 Beverly Blvd Cedars Sinai Medical Center, 90048 1804 (216) 636-7434
Tan, Michael California Alhambra 1200 S Atlantic Blvd Suite #128 91803 2408 (626) 308-3981
Tay, David California Fremont 39233 Liberty St 94538 1501 (510) 795-8186
Taylor, Vanessa California Chino Hills 5827 Pine Ave. Building 12 Unit A Chino Hills Podiatry Group, Inc 91709 (909) 287-0677
Thiagarajan, Ramu California PORTERVILLE 382 NORTH PEARSON DRIVE 93257 3368 (559) 783-0100
Thomas, Theodore California San Diego 4060 4th Ave Ste 220 92103 2120 (619) 299-2350
Thompson, John California El Cajon 1625 E Main St Ste 201 92021 5211 (619) 593-1212
Trehan, Yogesh California Brentwood 100 Cortona Way Suite 140 94513 2287 (925) 516-4488
Vardanian, Svetlana California Roseville 2261 Douglas Blvd 95661 3831 (916) 783-7109
Varner, Albert California Greenbrae 1350 S Eliseo Dr Ste 130 94904 (415) 925-6900
Vaughan, Patrick California Morro Bay 685 Morro Ave Suite C 93442 2266 (805) 772-7313
Videen, John California Chula Vista 752 Medical Center Ct Suite 210 91911 6658 (619) 421-3361
Wagner, Paul California San Diego 4060 4th Ave Suite 100 92103 2116 (619) 718-9444
Wallach, Stacey California Sacramento 4860 Y St Ob/Gyn, Suite 2500, ACC 95817 2307 (916) 734-6900
Walsh, Lance California Rancho Mirage 39000 Bob Hope Dr W-209 92270 3221 (760) 346-7191
Wernick, Gary California San Bernandino 1700 North Waterman Avenue 92404 5051 (909) 883-8611
White, Richard California Sacramento 4860 Y Street, Suite 0100 95817 (916) 734-7005
Williams, Kimberly California Folsom 271 Turn Pike Dr 95630 8098 (916) 985-9300
Witana, Sarath California Moreno Valley 24060 Fir Ave Suite A 92553 2895 (951) 243-6460
Wolpaw, Eleanore California Sacramento 2825 J St Suite 300 95816 4300 (916) 734-7777
Wong, Joe California Dana Point 24672 San Juan Ave Suite 104 92629 2845 (949) 218-5959
Woo, Linda California Sacramento 2825 J St Ste#300 95816 4300 (916) 734-7777
Yang, Therese California Santee 10201 Mission Gorge Rd Suite H 92071 3026 (619) 596-4963
Yourchek, Walter California Stockton 4553 Quail Lakes Dr 95207 (209) 951-1133
ZAIDI, SYED California Sacramento 2825 J St Suite # 300 95816 4300 (916) 734-7777
Zavahir, Zainul California Elk Grove 8110 Laguna blvd Elk Grove 95758 (916) 683-3955
Zhuo, Philip California Monterey Park 210 N Garfield Ave Ste 312 91754 1746 (626) 288-2266
Bender, John Colorado Fort Collins 4674 Snow Mesa Dr Suite 140 80528 8615 (970) 482-0213
Bergen, Michael Colorado Thornton 9451 Huron St. 80260 (303) 232-0602
Bisarya, Sameer Colorado Denver 950 E Harvard Ave Suite 240 80210 7006 (303) 871-0977
Cagan, Laird Colorado Longmont 2030 W Mountain View Avenue Suite 400 80501 3178 (303) 776-1532
Campbell, John Colorado Castle Rock 4386 Trail Boss Dr Suite A 80104 7512 (303) 688-8666
Clang, Daniel Colorado Greeley 6801 W 20th St Suite 101 80634 (970) 378-8000
Page 9 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 10 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Colgan, Ann Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
Cooney, William Colorado Longmont 1551 Professional Ln Unit 200 80501 6964 (303) 772-1600
DAVALOS, JORGE Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Dulaney, Kimberly Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
FitzGibbons, Robert Colorado Longmont 1551 Professional Ln Ste 200 80501 6972 (303) 772-1600
Folan, Richard Colorado Colorado Springs 1699 Medical Center Pt 80907 5700 (719) 632-7101
Garber, Stacey Colorado Greeley 2420 W 16th St 80634 6004 (970) 356-2520
GERLACH, MATTHEW Colorado Longmont 1551 Professional Lane Suite 200 80501 (720) 494-3221
Glass, James Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Gleser, Robert Colorado Denver 4700 E Iliff Ave 80222 6025 (303) 584-8900 208
Greenberg, David Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Guillory, Gerard Colorado Aurora 830 Potomac Circle Suite 150 80011 6795 (303) 343-3121
Harris, Nita Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Haskins, Robert Colorado Greeley 6801 W 20th St Suite 101 80634 (970) 378-8000
Heble, Theresa Colorado Littleton 7780 S Broadway Suite 150 80122 2648 (303) 795-5980
Iwata, Samuel Colorado Colorado Springs 1699 Medical Center Pt 80907 5700 (719) 632-7101
Janowski, Lawrence Colorado Broomfield 6363 W 120th Avenue Suite 302 80020 (303) 625-2225
Kantor, Robert Colorado Thornton 9451 Huron St. 80260 (303) 232-0602
Kay, Charles Colorado Littleton 6179 S Balsam Way Suite 110 80123 3091 (303) 948-1570
Kennedy, Christopher Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
Kennedy, James Colorado Winter Park 78878 US Highway 40 P O Box 1312 80482 1312 (970) 722-0300
Kim, Chris Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Koldenhoven, Gregg Colorado Longmont 1551 Professional Ln Suite 200 80501 6962 (303) 772-1600
Leonard, Curtis Colorado Longmont 1551 Professional Ln Ste 200 80501 6972 (303) 772-1600
Linsky, Russell Colorado Colorado Springs 1400 East Boulder Suite 700 Pikes Peak Cardiology 80909 (719) 635-7172
Loar, Michael Colorado Littleton 7780 S Broadway Suite #150 80122 2648 (303) 795-5980
Lowther, Kelly Colorado Fort Collins 4674 Snow Mesa Dr Ste 140 80528 8615 (970) 482-0213
Magnuson, Douglas Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
Martinez, Matthew Colorado Greeley 6801 W 20th St Suite 101 80634 (970) 378-8000
Mattox, Amy Colorado Greeley 2420 W 16th St 80634 6004 (970) 353-7668
MCLAUGHLIN, JOHN Colorado Aurora 1421 S Potomac St STE 200 80012 4535 (303) 360-7407
Mcmaster, Susan Colorado Colorado Springs 1705 Arbor Way 80905 2128 (719) 471-6512
Meister, Thomas Colorado Colorado Springs 1699 Medical Center Pt 80907 5700 (719) 632-7101
Nimptsz-Kosek, Iwona Colorado Colorado Springs 1910 Vindicator Dr Suite 105 80919 3623 (719) 260-8630
Nwizu, Chima Colorado Greeley 6801 W 20th St Suite 101 80634 9637 (970) 378-8000
Olsovsky, Mary Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Orozco-Peterson, Marilu Colorado Ft Collins 811 E Elizabeth St 80524 3844 (970) 224-1596
Palmer, Madelyn Colorado Littleton 6179 S Balsam Way Suite 110 80123 3091 (303) 948-1570
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 11 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Pater, Timothy Colorado Longmont 1551 Professional Ln Ste 200 80501 6972 (303) 772-1600
Peters, Wayne Colorado Denver 4700 E Iliff Ave 80222 6025 (303) 584-8900
Pflieger, Daniel Colorado Greeley 2520 W 16 St 80634 (970) 356-2520
Poole, Mary Colorado Longmont 2030 W Mountain View Avenue Suite 400 80501 3178 (303) 776-1532
Ripley, Lori Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
Rodriguez, Juan Colorado Fort Collins 4674 Snow Mesa Dr Ste 140 80528 8615 (970) 482-0213
Rosenbaum, David Colorado Colorado Springs 1400 E Boulder St Suite 700 80909 5533 (719) 635-7172
Schwappach, John Colorado Englewood 499 E Hampden Ave Suite 140 80113 2780 (303) 789-3000
singer, steven Colorado Littleton 6179 S Balsam Way ste 110 80123 3091 (303) 948-1570
Smith, Samuel Colorado Longmont 1551 Professional Ln Ste 200 80501 6972 (303) 772-1600
Stangl, Jason Colorado Colorado Springs 1699 Medical Center Pt 80907 5700 (719) 632-7101
Waugh, Kyle Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
Weixelman, Janice Colorado Red Feather Lakes 172 Main Street 80545 (970) 881-2885
Wilson, Donald Colorado Greeley 2520 W 16 St 80634 (970) 356-2520
Young, Mark Colorado Greeley 2520 W 16th St 80634 (970) 356-2520
ZHU, YAN Colorado Westminster 12207 Pecos Street Suite 500 80234 3520 (303) 427-0432
Zucker, Charles Colorado Greeley 6801 W 20th St Suite 101 80634 (970) 378-8000
Baldwin, Michael Connecticut Essex 10 Wildwood Medical Ctr 6426 1154 (860) 767-0145
Byeff, Peter Connecticut Southington 55 Meriden Ave Ste 1A 6489 3238 (860) 621-9316
damico, joseph Connecticut Stamford 90 Morgan St Suite 207 6905 5466 (203) 325-4087
Fitton, Robert Connecticut Brookfield 246 Federal Road Unit C 31 6804 (203) 740-5111
Glass, Charles Connecticut Guilford 96A Broad St 6437 2635 (203) 453-3621
HAAS, ANDREW Connecticut Stamford 90 Morgan St Suite 207 6905 5466 (203) 325-4087
Hornbake, E Connecticut Essex 10 Wildwood Medical Ctr 6426 1154 (860) 767-0145
hughes, peter Connecticut Stamford 90 Morgan St 6905 5466 (203) 325-4087 102
Kellner, Daniel Connecticut Hamden 9 Washington Ave 6518 (203) 288-4663
Lu, Emmy Connecticut Stamford 90 Morgan St 6905 5466 (203) 325-4087
Lu, Peter Connecticut Stamford 90 Morgan St 6905 5466 (203) 325-4087 102
Peters-Gee, Jill Connecticut Farmington 499 Farmington Avenue Suite 220 6032 (860) 678-7300
Regan, Adine Connecticut Farmington 499 Farmington Avenue Ste 220 6032 (860) 678-7300
Schmidt, w Connecticut Stamford 90 Morgan St 6905 5466 (203) 325-4087
Silver, Marc Connecticut Stamford 90 Morgan St 6905 5466 (203) 325-4087
Sivkin, Miriam Connecticut Milford 247 Broad St 6460 3267 (203) 783-0543
smith, robert Connecticut Bridgeport 3715 Main St suite 306 6606 3618 (203) 373-1775
spagnola, alan Connecticut Essex 10 Wildwood Medical Ctr 6426 1154 (860) 767-0145
Tripodi, Joseph Connecticut Middlebury 687 Straits Tpke Suite 2A 6762 2846 (203) 598-0235 5
Wagner, Brian Connecticut East Granby 133 Hartford Ave 6026 9519 (860) 653-4708
Wichman, Kenneth Connecticut Manchester 117 E Center St 6040 5203 (860) 649-3338
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Page 12 of 99
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Abbrescia, Vincent Delaware Dover 200 Banning Street Suite 340 19904 (302) 734-1414
Abrams, Jerome Delaware Dover 1342 S Governors Ave 19904 4804 (302) 734-7796
Altschuler, Robert Delaware Wilmington 1806 N Van Buren Street Suite 200 19802 3851 (302) 652-3771 106
Barnes, Cedric Delaware Milford 119 Neurology Way 19963 5368 (302) 424-3900
Bradley, Michael Delaware Dover 1342 S Governors Ave 19904 4804 (302) 734-7796
Brownstein, Adam Delaware Milford 310 Mullet Run 19963 5371 (302) 424-0600
Campo, Darrin Delaware Middletown 102 Sleepy Hollow Dr Suite 200 19709 8894 (302) 376-8899
Cates, Haynes Delaware Wilmington 1205 Delaware Ave 19806 (302) 652-5946
cramer, jeffrey Delaware Wilmington 2700 Silverside Rd Suite #2 19810 3719 (302) 478-8421
Curci, Anthony Delaware Wilmington 1320 Philadelphia Pike 19809 1818 (302) 798-0666
diehl, kristine Delaware Wilmington 2700 Silverside Rd Suite #2 19810 3719 (302) 478-8421
Edmondson, G. Delaware Milford 310 Mullet Run 19963 5371 (302) 424-0600
Edmondson, Loretta Delaware Milford 310 Mullet Run 19963 5371 (302) 424-0600
Gbemudu, Yvette Delaware Wilmington 1100 S Broom St 19805 4585 (302) 656-5416
Glowacki, P. Delaware Newark 2600 Glasgow Ave Suite 124 19702 4777 (302) 836-4200
Goodman, Katy Delaware Wilmington 1100 S Broom St 19805 4585 (302) 656-5416
Goodman, Ronald Delaware Wilmington 1320 Philadelphia Pike 19809 1818 (302) 798-0666
Groll, Jerome Delaware Lewes 34445 King Street Row 19958 4787 (302) 645-2833 114
Hammer, Scott Delaware Milford 119 Neurology Way 19963 5368 (302) 424-3900
Hawkins, Mary Delaware Milford 310 Mullet Run 19963 5371 (302) 424-0600
Hawtof, Jeffrey Delaware Millsboro 26744 John J Williams Hwy Oak Orchard Prof Suite #3 19966 4645 (302) 947-9767 209
Helou, Beshara Delaware Georgetown Suite 101 19947 1725 (302) 856-3737
Jacobson, Matthew Delaware Newark Building B, Suite 89 19713 (302) 738-5500
Jani, Uday Delaware Milton 28312 Lewes Georgetown Hwy 19968 3115 (302) 684-0990
Kim, Philip Delaware Newark 4701 Ogletown Stanton Rd Suite 2131 19713 2055 (302) 266-7800
Krasner, David Delaware Wilmington 1100 S Broom St 19805 4585 (302) 656-5416
Lehman, Thomas Delaware Wilmington 1205 Delaware Avenue 19806 (302) 656-8083
Palandjian, Robert Delaware Wilmington 1320 Philadelphia Pike 19809 1818 (302) 798-0666
Patel, Ashok Delaware Dover 1055 S Bradford Street 19904 (302) 674-1818
Patel, Sanjeev Delaware Dover 200 Banning St Suite 340 19904 3485 (302) 734-1414
Patel, Sharad Delaware Dover 1342 S Governors Ave 19904 4804 (302) 734-7796
Rippert, Judith Delaware Dover 200 Banning St Suite 340 19904 3485 (302) 734-1414
Rubacky, Joseph Delaware Dover 1342 S Governors Ave 19904 4804 (302) 734-7796
Sehgal, Manu Delaware Milford 515 S Dupont Blvd 19963 (302) 422-6778
Sobel, Edward Delaware Wilmington 1100 S Broom St 19805 4585 (302) 656-5416
Stolar, Irena Delaware Newark 320 Christiana Medical Center 19702 1653 (302) 453-0500
Sufit, Susan Delaware Milford 310 Mullet Run 19963 5371 (302) 424-0600
Tulloch, Matthew Delaware Millsboro 26744 John J Williams Hwy Oak Orchard Prof Suites #3 19966 4645 (302) 947-9767 209
20930 DuPont BlvdTotal Care
Center, Omega Dr.
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 13 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Underhill, Erik Delaware Wilmington 1806 N Van Buren Street Suite 200 19802 3851 (302) 652-3771
Adler, Jay Florida Plantation 7390 NW 5th St Ste 5 33317 (954) 792-2220
Agamasu, Jacob Florida Lake Mary 1355 S International Parkway Ste 1491 32746 1694 (407) 804-9616
Agostinelli, Joseph Florida Fort Walton Beach 1034 Mar Walt Dr Ste 100 32547 6645 (850) 315-9213
Almeida, Zoyla Florida Coconut Creek 4855 W Hillsboro Blvd Suite B-13 33073 4356 (954) 420-9182
Amgott, Theodore Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
AMONTREE, JAMES Florida PORT CHARLOTTE 22655 Bayshore Rd STE 130 33980 2018 (941) 764-6664
Anderson, Kyle Florida Malabar 730 Malabar Rd 32950 3140 (321) 409-6800 3737
Anglin, Mickel Florida Riverview 13045 Summerfield Square Dr 33578 7402 (813) 672-1385
Ansara, Robert Florida Pompano Beach 2001 N. Federal Hwy., Suite 301 33062 (954) 942-2922
arad, ronnie Florida Aventura 20601 E Dixie Hwy 410 33180 1540 (305) 933-9440
Arai, Ronen Florida Coral Springs 3001 Coral Hills Dr Suite 250 33065 4172 (954) 721-5400
Arboleda, Victor Florida Clearwater 525 S Hercules Ave Ste 102 33764 6313 (727) 442-6068
Areces, Marianela Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7434
Arsov, Milimir Florida Kissimmee 908 W Magnolia St 34741 4117 (407) 933-0900
Avallone, Stephen Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7430
Babcock, Elizabeth Florida Gainesville 100 SW 75th St Suite 103 32607 5779 (352) 332-2990
Baney, Richard Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Barile, Anthony Florida Melbourne 205 E Nasa Blvd Suite 200 32901 1950 (321) 676-6322 3737
Barnes, Elena Florida Melbourne 205 E Nasa Blvd Suite 200 32901 1950 (321) 676-6322 3737
Baskin, Robert Florida Plant City 507 W. Alexander St. 33563 7136 (813) 754-3504 229
Beers, Thomas Florida Gainesville 6400 W Newberry Rd Ste 302 32605 (352) 331-8902 132
Benezra, Victor Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 729-6166
Bhambri, Rajiv Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Bhardwaj, Gabu Florida Gainesville 6400 W Newberry Rd Suite 302 32605 (352) 331-8902
Bhatnagar, Vinod Florida Venice 1101 Tamiami Trl S Ste 208 34285 4133 (941) 488-0124
Bishko, Nicole Florida Pinellas Park 8130 66th St Suite 1 33781 2111 (727) 544-8300
Bisset, Robert Florida Indian Harbour Beach 2040 Hwy A1A 32937 3566 (321) 777-0090
Bitar, Jay Florida Lake Mary 1355 S International Parkway Ste 1481 32746 1694 (407) 804-9199
Blake, Cassann Florida Weston 2950 Cleveland Blvd. 33331 (216) 636-7434
BLISSENBACH, ELYSSA Florida Jacksonville 2065 Herschel St 32204 3817 (904) 387-4050
Bloch, Jonathan Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Block, Bradley Florida OVIEDO 2441 WEST STATE ROAD 426 SUITE 2011 32765 4515 (407) 678-6888
BOEHME, RICHARD Florida Jacksonville Beach 1361 13th Ave S STE-170A 32250 3233 (904) 249-4456
BORLAND, RAYMOND Florida WEST PALM BEACH 1411 N FLAGLER DR SUITE 5300 33401 3415 (561) 833-5594
Boucher, Danielle Florida Viera 7125 Murrell Road 32940 7999 (321) 242-8790 3737
Brogan, Terri-Ann Florida Merritt Island 1395 N Courtenay Pkwy Suite 107 32953 4400 (321) 453-1955
BROWN, RUSKIN Florida WEST PALM BEACH 1411 N FLAGLER DR SUITE 5300 33401 3415 (561) 833-5594
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 14 of 99
Butler, David Florida Lantana 1280 W Lantana Rd Suite 1 33462 1543 (561) 582-3383
Cabral, Jose Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7434
capraro, frances Florida Satellite Beach 1231 S Patrick Dr 32937 3956 (321) 622-5432
Caraballo-Burgos, Darwin Florida Ormond Beach 77 W Granada Blvd 32174 (386) 677-0453 1107
Carpenter, David Florida Ormond Beach 77 W Granada Blvd 32174 6302 (386) 677-0453 310
Carter, Timothy Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Chacko, John Florida Ocala 1752 SW 1st Ave 34471 8170 (352) 622-7222
Chaitoff, Kevin Florida West Palm Beach 1500 N Dixie Hwy Ste 103 33401 2715 (561) 833-8893
Chamoun, Anna Florida Indialantic 1220 N Highway A1A Suite 147 32903 2848 (321) 984-1333
Chandra, Sumesh Florida Tampa 3000 E Fletcher Ave Suite 350 33613 4656 (813) 977-5557
Chan-Pong, Kaseng Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
chin-lenn, mark Florida Hollywood 4060 Sheridan St Suite A 33021 3559 (954) 322-7166
Chithriki, Babu Florida Jacksonville 3 Shircliff Way Suite 521 32204 4777 (904) 387-9577
CID, JESUS Florida Miami 711 NW 23rd Ave SUITE 301 33125 3298 (305) 643-4797
Ciocon, Jerry Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7407
COHEN, HARVEY Florida DELRAY BEACH 5258 LINTON BLVD SUITE 202 33484 (561) 499-8227
Condo, Allen Florida Malabar 730 Malabar Rd 32950 3140 (321) 409-6800 3737
Condon, James Florida New Port Richey 7645 Wimpole Dr 34655 4815 (727) 376-7389
Contino, Patrick Florida Lakewood Ranch 8340 Lakewood Ranch Blvd Suite 350 34202 5180 (941) 907-0588
Cooney, John Florida West Palm Beach 1500 N Dixie Hwy Ste 103 33401 2712 (561) 833-8893
Coppola, Anthony Florida Longwood 515 W State Road 434 Suite 110A 32750 4981 (407) 260-6000 302
Costello, Sandy Florida Lantana 1280 W Lantana Rd Suite 1 33462 1543 (561) 582-3383
Crane, Lydia Florida Indialantic 1220 N Highway A1A Suite 147 32903 2848 (321) 984-1333
Creed, Kevin Florida Saint Petersburg 3160 5th Ave. N 135 33713 7630 (727) 327-2600
Dahan, Chaker Florida Altamonte Springs 616 East Altamonte Springs 201 32701 (407) 265-6797
Dalili, Curtis Florida Vero Beach 1715 37th Pl 2nd Floor 32960 4502 (772) 794-2222
Dandapani, Bhuvaneswari Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Dao, Uyen Florida Summerfield 17820 SE 109th Ave #102 34491 (352) 347-3338
Das, Dines Florida Kissimmee 901 E Oak St Ste A 34744 5837 (407) 846-1044
Davis, Gwyneth Florida Plant City 507 W Alexander St 33563 7136 (813) 754-3504 229
DeSilva, Ginige Florida St Petersburg 5100 Seminole Blvd 33708 3354 (727) 319-4535
Deutsch, Edward Florida Coral Springs 3001 Coral Hills Dr Suite 250 33065 4172 (954) 721-5400
Dillon, Mark Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Doty, Erin Florida Jacksonville 7807 Baymeadows Rd E Ste 401 32256 9668 (904) 730-3689
Downs, Sara Florida Pinellas Park 8130 66th St Suite 1 33781 2111 (727) 470-1665
Echeverri, Diego Florida Lauderdale Lakes 2951 NW 49th Ave. Suite #101 33313 (954) 739-2511 1470
Effren, Steven Florida Summerfield 17820 SE 102 Ave #102 34491 (352) 347-3338
Eichenbaum, Annette Florida St Petersburg 3160 5th Ave N Suite 135 33713 7630 (727) 327-2600
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 15 of 99
Eidelman, Franklin Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7407
EISNER, TODD Florida Boca Raton 951 NW 13th St SUITE 2E 33486 2337 (561) 368-3455
Espinosa, Juan Florida Miami 20820 W Dixie Hwy 33180 1147 (305) 935-3344
Farid, Mehrdad Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7376
Farrington, Charles Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Fazekas, Edward Florida Lakeland 2939 S Florida Ave 33803 4046 (863) 687-3404
Feiss, Joel Florida Plantation 201 NW 82nd Ave Ste 202 33324 1854 (954) 474-3262
Fields, Thomas Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500
FISHMAN, ROBERT Florida Boca Raton 951 NW 13th St SUITE 2E 33486 2337 (561) 368-3455
Fix, Lara Florida Stuart 931 SE Ocean Blvd SUITE A 34994 2425 (772) 288-6300
Folkens, Eric Florida Bradenton 9908 E State Road 64 34212 5303 (941) 747-8600
FORMAN, SETH Florida Tampa 3622 Madaca Lane 33618 2057 (813) 960-2400
Freeman, Olga Florida Fort Myers 13641 Metropolis Ave Ste 101 33912 4433 (239) 225-7261
Friedman, David Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7376
Fusco, Mark Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Ganio, Carl Florida Vero Beach 611 17th St 32960 5518 (772) 770-9127
Gates, E Jason Florida Fort Lauderdale 6405 N Federal Hwy suite 402 33308 1412 (954) 771-8888
GATSON, KENNETH Florida Eustis 2303 S Bay St 32726 6360 (352) 357-1027
Gaynair, Karen Florida Lauderdale Lakes 4900 W Oakland Park Blvd Suite 202 33313 7500 (954) 730-7993
Gilbert, Peter Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Giles, Olen Florida Longwood 515 W State Road 434 Suite 110A 32750 4981 (407) 260-6000 302
Gilling, Lucia Florida Tampa 3000 E Fletcher Ave Suite 350 33613 4656 (813) 977-5557
Gilot, Margaret Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7434
Gold, Scott Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
GOLDBERG, MURRAY Florida WEST PALM BEACH 1411 N FLAGLER DR SUITE 5300 33401 3415 (561) 833-5594
Goldsmith, Alan Florida Daytona Beach 695 N Clyde Morris Blvd 32114 (386) 258-8722
Goldstein, Marney Florida Plantation 201 NW 82nd Ave SUITE 202 33324 7808 (954) 474-3262
GRABLIN, PATRICK Florida Bradenton 530 5th St E 34208 2002 (941) 744-9200
Graff, Kenneth Florida Melbourne 1130 S Hickory St 32901 1973 (321) 725-4500 3737
Grecul, Leonard Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
GREEN, HOWARD Florida Jacksonville Beach 1127 16th Ave S 32250 3213 (904) 247-7778
Guadiz, Patrick Florida Labelle 920 Cowboy Way 33935 (863) 675-2148
Gurri, Joseph Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500
Gutowski, Gregg Florida Plant City 507 W Alexander St 33563 7136 (813) 754-3504 229
Hacker, Steven Florida Delray Beach 230 George Bush Blvd 33444 4035 (561) 276-3111
Hagloch, Jay Florida Indialantic 1220 N Highway A1A Suite 147 32903 2848 (321) 984-1333 3737
Hanson, Lenita Florida Venice 389 Commercial Ct Suite A 34292 (941) 484-1200
HARRIS, HAROLD Florida Cape Coral 2721 Del Prado Blvd S Suite 200 33904 5781 (239) 772-3636 112
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 16 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Havkin, Boris Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Hempel, Karl Florida Tallahassee 1511 Surgeons Dr 32308 4632 (850) 701-0621
HENDERSON, LORETTA Florida Kissimmee 1543 Aldersgate Dr 34746 6545 (866) 365-3668
Hensel, Kurt Florida Melbourne 205 E Nasa Blvd 32901 1950 (321) 725-4500 3737
Hershorin, Laura Florida Lakewood Ranch 8340 Lakewood Ranch Blvd Suite 350 34202 5180 (941) 907-0588
Hoppe, Leigh Florida Fort Pierce 1304 N Lawnwood Circle 34950 (772) 489-6636
Hosey, Damani Florida Malabar 730 Malabar Rd 32950 3140 (321) 409-6800 3737
Isenman, Eric Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Isenman, Martin Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Jimenez, Rafael Florida Kissimmee 302 W Bass St 34741 5001 (407) 518-7999
Johnson, Seth Florida Altamonte Springs 411 Maitland Ave suite 1002 32701 5448 (321) 207-0002
KALIRAO, PARAMJIT Florida Lauderdale Lakes 2951 NW 49th Ave Suite 101 33313 1600 (954) 739-2511 1470
Karas, Steven Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Karim, Abdul Florida Rockledge 389 Commerce Pkwy 32955 4202 (321) 806-3949
Kaufman, David Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7430
Keisch, Martin Florida Miami 1400 NW 12th Ave Suite 104 33136 (305) 545-6685
Keith, William Florida Cape Coral 2721 Del Prado Blvd S Suite 200 33904 5781 (239) 772-3636 112
Kellogg, Lori Florida Fort Walton Beach 1034 Mar Walt Dr Suite 100 32547 6645 (850) 315-9213
Khan, Tarannum Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7376
King, Terry Florida Naples 6101 Pine Ridge Rd 34119 3900 (216) 636-7434
Klein, Marc Florida Boca Raton 7050 W Palmetto Park Rd Suite #18 33433 3426 (561) 447-7571
Klopukh, Boris Florida Aventura 21110 Biscayne Blvd Suite 106 33180 (305) 534-4747
Kongsiri, Alexandria Florida St Petersburg 5253 Central Avenue 33710 4704 (727) 388-6982
Kornick, Craig Florida Jacksonville 7207 Golden Wings Road 32244 (904) 389-1010
Korte, Brian Florida Plant City 507 W Alexander St 33563 7136 (813) 754-3504 229
Koshy, Arun Florida Melbourne 7125 Murrell Rd 32940 7999 (321) 242-8790 3737
Koshy, Gita Florida Melbourne 7125 Murrell Rd 32940 7999 (321) 242-8790 3737
Kramarich, Stephen Florida Jacksonville 7207 Golden Wings Road 32244 (904) 389-1010
Kriete, Rhodes Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Kumar, Sasi Florida Rockledge 389 commerce Parkway 32955 3144 (321) 806-3949
LABRADOR, CARLOS Florida St Petersburg 65 65th St S 33707 1338 (727) 381-8006
LANES, GERARDO Florida Plantation 140 SW 84th Ave SUITE C 33324 2736 (954) 476-9350
laramee, christine Florida Clearwater 1100 S. Fort Harrison Avenue 33756 (727) 442-3126
Levin, Stephen Florida Wesley Chapel 26827 Foggy Creek Rd Ste 104 33544 6768 (813) 973-3535
Lin, Anthony Florida Longwood 515 W State Road 434 Suite 110A 32750 4981 (407) 260-6000 302
Littlejohn, Joe Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Lomax Homier, Juliette Florida Fort Pierce 1304 N Lawnwood Cir 34950 (772) 489-6636
Loquias, Jesus Erwin Florida Weston 2950 Cleveland Blvd. 33331 (216) 636-7434
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 17 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Luciani, Diane Florida Merritt Island 1395 N Courtenay Pkwy Suite 107 32953 4400 (321) 455-1955
Luckman, Gary Florida Plantation 201 NW 82nd Ave Suite 202 33324 1854 (954) 474-3262
Lullove, Eric Florida Boca Raton 7301 W Palmetto Park Rd Suite 201-C 33433 3456 (561) 989-9780
Lyons, Glynnis Florida Stuart 1050 SE Monterey Rd Suite 201 34994 4512 (772) 283-2086
Macey, Theodore Florida Fort Walton Beach 1034 Mar Walt Dr Ste 100 32547 6645 (850) 863-2153
MacWilliams, Grisel Florida Hialeah 810 E 39th Pl 33013 2863 (305) 691-7018
MAKIMAA, BRADLEY Florida Key West 2505 Flagler Ave 33040 3934 (305) 294-5553
Maloney, Vance Florida Winter Park 650 N Wymore Rd Suite 103 32789 2859 (407) 647-7187
Marshall, William Florida Fort Walton Beach 1034 Mar Walt Dr Ste 100 32547 6645 (850) 315-9213
Martin, Edouard Florida Lauderdale Lakes 2951 NW 49th Ave. Suite #101 33313 (954) 739-2511 1470
Marzano, Peter Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500
McClure, Joseph Florida Melbourne 1130 S Hickory St 32901 1946 (321) 725-4500
McDonald, Cynthia Florida Fort Lauderdale 6405 N Federal Hwy Suite 405 33308 1412 (954) 771-5900
McDonald, Terence Florida Fort Lauderdale 6405 N Federal Hwy Suite 405 33308 1412 (954) 771-5900
McDougall, Jeffrey Florida Melbourne 7125 Murrell Rd 32940 7999 (321) 242-8790 3737
MENDHI, MOHAMMED Florida Orange Park 847 Park Ave 32073 4117 (904) 264-4541
Mills, Barry Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Mishelevich, Ludmila Florida Okeechobee 1004 N Parrott Ave 34972 2110 (863) 763-6496
Mohan, Vineeth Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7376
Morse, William Florida Tallahassee 1803 Miccosukee Commons Dr 32308 5433 (850) 878-2222
Nadolny, Richard Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Naik, Rajankumar Florida Clearwater 1100 S Fort Harrison Ave 33756 3908 (727) 442-3126
Naman, Sahasra Florida NEW PORT RICHEY 5509 GRAND BLVD SUITE 300 34652 3836 (727) 232-0644
NAVADIA, SANJAY Florida Brooksville 11373 Cortez Blvd #206 34613 5414 (352) 596-3032
Neel, James Florida Melbourne 1130 S Hickory St 32901 1946 (321) 725-4500
NEELY, KENNETH Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4505 3737
NEVAREZ-CARRILLO, EDUARDO Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Newcombe, Malinda Florida Indian Harbour Beach 2040 Highway A1A 32937 3566 (321) 777-0090 3737
Ojha, Ashish Florida Malabar 730 Malabar Rd 32950 3140 (321) 409-6800 3737
OJHA, PAMELA Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
OLIVA, FRANCISCO Florida Coral Gables 801 Monterey St #203 33134 2537 (305) 648-3680
Orvieto, Craig Florida Spring Hill 10441 Quality Dr Suite 307 34609 9656 (352) 684-8637
Otheguy, Juan Florida Trinity 2035 Little Rd 34655 4421 (727) 375-5520
Paez, Julio Florida Clermont 845 Oakley Seaver Dr 34711 1968 (352) 394-0833
Pallegar M D P L, Somashekar Florida Bradenton 1811 Bayshore Gardens Pkwy 34207 4706
Palmer, Dean Florida Miramar 1951 SW 172 Ave Suite 417 33029 (954) 499-2505
Panchal, Jayanti Florida Ocala 2654 SW 32ND PL 100 34471 7847 (352) 854-7444
PARGHI, ANJAN Florida Orange Park 847 Park Ave 32073 4117 (904) 264-4541
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 18 of 99
Patel, Jashbhai Florida Malabar 730 Malabar Road 32950 3140 (321) 409-6800 3737
Patel, Minesh Florida Lake City 404 NW Hall Of Fame Dr 32055 4833 (386) 754-3627
Patel, Pinkal Florida Oviedo 808 Executive Dr 32765 7699 (407) 366-7455
Patel, Ronak Florida Jacksonville 7207 Golden Wings Rd Suite 100 32244 3313 (904) 389-1010 209
Peller, Craig Florida Tamarac 7351 W Oakland Park Blvd Ste 103 33319 7107 (954) 746-2012
Peterson, Ann Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 254-4900
Pierini Orozco, Monica Florida Malabar 730 Malabar Road 32950 3140 (321) 409-6800
Pillai, Srinivasan Florida Orlando 882 S Kirkman RD Suite 108A 32811 (407) 298-4045
Pinski, Sergio Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7434
Pipek, Ruben Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Poelstra, Kornelis Florida Fort Walton Beach 1034 Mar Walt Dr Suite 310 32547 6645 (850) 315-9213
Polanco, Enrique Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Rabinowitz, Richard Florida Trinity 2035 Little Rd 34655 4421 (727) 375-5520
Rahaman, Sultan Florida Longwood 225 N Ronald Reagan Blvd Suite 101 32750 4129 (407) 767-8006
Railey, Dean Florida Sunrise 8399 W Oakland Park Blvd Suite C 33351 7307 (954) 747-1161
Ramirez, Jose Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7434
Rao, Priyadarshini Florida Pinellas Park 8130 66th St North Suite 1 33781 2111 (727) 544-8300
Rassam, Amer Florida Tallahassee 1653 Mahan Center Blvd 32308 5454 (850) 219-8000
Regenbaum, Sheldon Florida West Palm Beach 1500 N Dixie Hwy Ste 103 33401 2715 (561) 833-8893
Reiskind, Marc Florida Saint Petersburg 3160 5th Ave N Suite 135 33713 7630 (727) 327-2600
RICHMOND, GARY Florida Fort Lauderdale 315 SE 14th St 33316 1929 (954) 524-2250 209
RICHTER, PAUL Florida Tampa 7926 W Hillsborough Ave SUITE G 33615 4600 (813) 886-9180
Rodriguez, Wayne Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Ronaldson, James Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Ropos, Trumane Florida Fort Lauderdale 6405 N Federal Hwy #103 33308 4609 (954) 358-1325
Rosen, Matthew Florida Oviedo 1000 W Broadway St Suite 102 32765 9260 (407) 359-8580
Rosenbloom, Mark Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Ross, Sheldon Florida Sunrise 10109 W Oakland Park Blvd 33351 6917 (954) 748-9444
Rossi, Catherine Florida Viera 7125 Murrell Rd 32940 7999 (321) 242-8790 3737
Ruberte, Mario Florida Viera 7125 Murrell Rd 32940 7999 (321) 242-8790
Rubin, Joshua Florida Boca Raton 2300 Glades Rd Suite 201E 33431 7386 (561) 208-2121
Rubino, Mark Florida Naples 201 8th St S Suite 202 34102 6107 (239) 261-6876
RUIZ, JOSE Florida Melbourne 1324 Valentine St 32901 3128 (321) 725-3200 3737
Ruiz, Ruddy Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Saeed Malik, Muhammad Florida Clearwater 1100 S Fort Harrison Ave 33756 3908 (727) 447-5454
Saff, Deborah Florida Delray Beach 230 George Bush Blvd 33444 4035 (561) 276-3111
SALAZAR, JORGE Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Salazar, L Florida Boca Raton 9970 Central Park Blvd N Ste 101 33428 2231 (561) 488-2700
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 19 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
SALOMON, PETER Florida Boca Raton 951 NW 13th St SUITE 2E 33486 2337 (561) 368-3455
Salvant, Alix Florida Miami 8700 N Kendall Dr Suite 204 33176 2206 (305) 595-5350
SANDLER, DMITRY Florida Homestead 975 Baptist Way Suite 101 33033 7600 (305) 246-4774
SANG, NELSON Florida Viera 7125 Murrell Rd 32940 7999 (321) 242-8790
SANTIAGO, JOSE Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Sarkar, Chitto Florida Port St Lucie 7830 S Federal Hwy 34952 2322 (772) 871-9025
SCHECHTMANN, NORBERTO Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Scheiber, Elizabeth Florida Boca Raton 7050 W Palmetto Park Rd #18 33433 3426 (561) 447-7571
SCHEIN, ANDREA Florida Miami Beach 4302 Alton Rd SUITE 940 33140 2891 (305) 672-4848
Scheinbart, Lee Florida Melbourne 1130 Hickory St 32901 1946 (321) 725-4500
Schmidt, Andrew Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Schneider, Jeffrey Florida Coral Springs 3001 Coral Hills Dr Suite 250 33065 4172 (954) 721-5400
SEELMAN, ROBERT Florida Melbourne 1130 S Hickory St 32901 1973 (321) 725-4500 3737
Seirafi, Peter Florida Sebastian 14430 US Highway 1 Suite 102 32958 3289 (772) 589-2009
Shapiro, Michael Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4505 3737
Shoemaker, James Florida Ormond Beach 77 W. Granada Blvd. 32174 (386) 677-0453 1107
Sider, Darby Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7430
silver, david Florida Coral Springs 3100 Coral Hills Dr 33065 4137 (954) 755-7991
Silvera, Robert Florida Palatka 800 Zeagler Dr Ste. 610 32177 3883 (386) 325-8525
Silverstein, Freya Florida Loxahatchee 13005 State Road 80 33470 9206 (561) 798-4600
Smith, Matthew Florida St Petersburg 530 Tyrone Blvd N 33710 7125 (727) 823-3022
SOFF, MATTHEW Florida Plantation 201 NW 82nd Ave Ste 202 33324 1854 (954) 474-3262
Spears, Mark Florida Viera 7125 Murrell Road 32940 7999 (321) 242-8790 3737
SPIES, CLAUS Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
SPIES, JANE Florida Viera 7125 Murrell Rd 32940 7999 (321) 242-8790
Springer, Deanna Florida Ormond Beach 1425 Hand Ave Ste E 32174 8256 (386) 672-4939
Sprock, Marja Florida Rockledge 1009 Harvin Way Suite 110 32955 3282 (321) 806-3929
Spuza Milord, Michelle Florida St Petersburg 5100 Seminole Blvd 33708 (727) 319-4535
Sriramineni, Govind Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Stager, William Florida West Palm Beach 311 Golf Rd Suite 1100 33407 5501 (561) 832-1894
Steele, Ian Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Steinberg, Paul Florida Ocala 38 SE 16th Ave 34471 2521 (352) 351-0220
Stephenson, Janice Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7407
Sternthal, Michael Florida Coral Springs 3001 Coral Hills Dr Suite 250 33065 4172 (954) 721-5400
STEWART, CHARLES Florida Indialantic 1220 N Highway A1A Suite 147 32903 2848 (321) 984-1333 3737
STUBBE, HERMANN Florida Weston 1825 N Corporate Lakes Blvd 33326 3211 (216) 636-7376
SULLIVAN, DANIEL Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 674-9094 3737
SUNTER, WILLIAM Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 20 of 99
Swain, Thomas Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
SZABO, JOZSEF Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Tamayo, Andres Florida Miami 7357 West Flagler St 33144 (305) 265-4456
Taylor, Denise Florida Melbourne 1223 Gateway Drive 32901 (321) 725-4500 3737
Teh, Winnie Florida Melbourne 205 E Nasa Blvd Suite 200 32901 1950 (321) 676-6322
Tenholder, Mark Florida Fort Walton Beach 1034 Mar Walt Dr Ste 100 32547 6645 (850) 315-9213
Thackeray, Jason Florida Fort Walton Beach 1034 Mar Walt Dr Suite 100 32547 6645 (850) 315-9213
Thomas, Bruce Florida Melbourne 205 E Nasa Blvd 32901 1950 (321) 725-4500 3737
THOMPSON, WILLIAM Florida Orange Park 847 Park Ave 32073 4117 (904) 264-4541
Tourgeman, Kenneth Florida Lauderdale Lakes 2951 NW 49th Ave Suite #101 33313 1600 (954) 739-2511 1470
TROPE, BRADLEY Florida Cape Coral 2721 Del Prado Blvd S Suite 200 33904 5781 (239) 772-3636 112
Uddin, Mairaj Florida Clearwater 1100 S Fort Harrison Ave 33756 3908 (727) 442-3126
VANDIEPEN, PATRICIA Florida Ormond Beach 279 S Yonge St 32174 6257 (386) 673-2133 230
Vicari, Ralph Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Villasuso, Eloy Florida Weston 2950 Cleveland Clinic Blvd 33331 3609 (216) 636-7820
VINARSKY, SIMON Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
Wacks, Israel Florida Jupiter 1002 S Old Dixie Hwy suite 204 33458 7202 (561) 743-2450
Wacksman, Richard Florida New Port Richey 5509 Grand Blvd Suite 300 34652 3836 (727) 232-0644
Wagner, Gisela Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500 3737
WAHL, WILLIAM Florida Melbourne 1223 Gateway Dr 32901 2607 (321) 725-4500
Warburton, John Florida Fort Walton Beach 1034 Mar Walt Dr Ste 100 32547 6645 (850) 315-9213
Weldon, David Florida Malabar 730 Malabar Rd 32950 3140 (321) 409-6800 3737
Werd, Matthew Florida Lakeland 2939 S Florida Ave 33803 4046 (863) 687-3404
White, Brandon Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500 3737
Williams, Gregory Florida Tallahassee 1803 Miccosukee Commons Dr 32308 5433 (850) 386-8899
Windom, Hugh Florida Sarasota 4040 Sawyer Rd 34233 1272 (941) 927-4888
Woodward, Carlos Florida Melbourne 200 E Hibiscus Blvd 32901 3156 (321) 733-1112
Yaqoob, Khalid Florida Longwood 450 W State Road 434 STE 301 32750 5187 (407) 767-8200
Yucht, Steven Florida Gainesville 2445 SW 76th St SUITE 110 32608 350 (352) 872-5111
Zabinski, Andrew Florida Melbourne 1223 Gateway Drive 32901 2607 (321) 725-4500
ZABINSKI, PETER Florida Melbourne 1405 Pine St 32901 3118 (321) 729-6135 3737
Allen, Robert Georgia Atlanta 105 Collier Rd NW Suite 3040 30309 1710 (404) 355-9243
Asghar, Nasir Georgia Holly Springs 684 Sixes Rd. Suite 250 30115 (678) 494-9669
Ash, Douglas Georgia Commerce 415 Pottery Factory Dr Ste B 30529 6682 (706) 336-0074
Bond, Toby Georgia Athens 2470 Daniells Bridge Rd Bldg 200 Ste 221 30606 (706) 548-9655
CERAVOLO, JOSEPH Georgia Columbus 1240 Brookstone Centre Parkway 31904 2988 (706) 323-8127
Cook, Jonathan Georgia Athens 1010 Prince Ave Suite 182 30606 5811 (706) 353-7747
Dixon, Michael Georgia Kennesaw 425 Ernest W Barrett Pkwy NW Ste 4070 30144 4991 (770) 422-0280
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Page 21 of 99
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Dolan, Cynthia Georgia Lawrenceville 771 Old Norcross Rd Suite 260 30046 4386 (770) 962-5040
Epps, Willie Georgia Savannah 130 Tibet Ave Suite 204 31406 9028 (912) 358-0231
FIELD, DAVID Georgia Canton 200 Medical Ln 30114 2421 (770) 479-1494
Filip, Donald Georgia Atlanta 105 Collier Rd NW Suite 3040 30309 1710 (404) 355-9243
Fixelle, Alan Georgia Atlanta 5669 Peachtree-Dunwoody Road Suite 270 30342 (404) 255-1000
Freedman, Steven Georgia Lawrenceville 771 Old Norcross Rd Suite 260 30046 4386 (770) 962-5040
Futch, Jefferson Georgia Valdosta 2410 N Oak St 31602 2533 (229) 293-8337
Giang, Thuy Georgia Sandersville 1240 Highway 15 N 31082 (478) 552-1086
Gladney, Sara Georgia Atlanta 105 Collier Rd NW Suite 3040 30309 1710 (404) 355-9243
Gregory, Jimmy Georgia Decatur 3546 Covington Hwy suite c 30032 1823 (404) 284-7744
GROLEMUND, GARY Georgia Brunswick 10 Professional Dr 31520 3774 (912) 264-6150
Groves, Joshua Georgia Macon 6501 Peake Rd Suite 1000 31210 8042 (478) 254-6608
Hirsh, Eugene Georgia Atlanta 5669 Peachtree Dunwoody Rd NE Suite 270 30342 1786 (404) 255-1000 101
Hodges, Wayne Georgia Savannah 100 Blue Fin Cir Suite 7 31410 2462 (912) 897-6832
Jonas, William Georgia Atlanta 105 Collier Rd NW Suite 3040 30309 1710 (404) 355-9243
JONES, SUSAN Georgia Eatonton 952 Lake Oconee Pkwy 31024 5801 (706) 485-0880
Jordan, Barry Georgia Evans 465 N Belair Road Suite 1B 30809 3188 (706) 868-3100
KARISNY, THOMAS Georgia Blairsville 202 Hospital Road 30512 3134 (706) 745-2158
LEE, LYNN Georgia Valdosta 410 Connell Rd 31602 1407 (229) 244-4720
MANGRU, JAGINDRA Georgia Cumming 960 Sanders Road Suite 700 30041 (770) 887-5159
Master, Moiz Georgia Jasper 12 Sammy McGhee Blvd Suite 101 30143 7711 (706) 253-3344
Nathanson, Avery Georgia Decatur 2665 N Decatur Rd Ste 230 30033 6149 (404) 499-0533
Newton, Milledge Georgia Valdosta 410 Connell Rd 31602 1407 (229) 244-4720
Orig, Maria Georgia Carrollton 157 Clinic Ave Ste 203 30117 (770) 832-0429
Pollock, Mark Georgia Decatur 2665 N Decatur Rd Ste 230 30033 6149 (404) 499-0533
Pore', Girish Georgia Atlanta 5669 Peachtree Dunwoody Rd NE Suite 270 30342 1786 (404) 255-1000
Quinn, Bryan Georgia Carrollton 157 Clinic Ave Suit 203 30117 4454 (770) 832-0429 6
Serrao, Sanjay Georgia Jasper 12 Sammy McGhee Blvd Ste 101 30143 7711 (706) 253-3344
Sims, Marcus Georgia Atlanta 999 Peachtree Street Suite 850 30309 4453 (404) 874-1788
SINGHAL, SUNIT Georgia Norcross 5075 Peachtree Pkwy SUITE 106 30092 6508 (770) 582-1300
SMITH, LARRY Georgia Valdosta 410 Connell Rd 31602 1407 (229) 244-4720
Staton, George Georgia Valdosta 410 Connell Road 31602 (229) 244-4720
TOCA, FORREST Georgia Atlanta 999 Peachtree St NE Suite 850 30309 3915 (404) 874-1788
YADAV, ANIL Georgia Jasper 51 Gordon Rd SUITE 201 30143 1017 (706) 692-9768 27
Yannucci, Jennifer Georgia Savannah 225 Candler Dr. Suite 201 31405 (912) 692-2000
ZOOBERG, CARL Georgia Hartwell 125 W Gibson St 30643 1848 (706) 856-6983
Berman, Eve Hawaii Makawao 3681 Baldwin Ave H 101 96768 (808) 573-1677
McEwan, David Hawaii Honolulu 1100 Ward Ave. Suite 700 96814 (808) 544-2625
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POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
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Stewart, James Idaho Boise 7733 W Emerald St 83704 9020 (208) 376-3220
Ables, Mark Illinois Evanston 1007 Church St Suite 100 60201 3624 (847) 475-4555
Abrams, Lisa Illinois Deerfield 190 Waukegan Rd Ste B 60015 5655 (847) 945-4575
Adess, Matthew Illinois Highland Park 757 Park Ave W 60035 2556 (847) 480-3800
Afshari, Zahra Illinois Glenview 2100 Pfingsten Rd 60026 1301 (847) 657-5875
Aguilar, Francisco Illinois Hinsdale 11 Salt Creek Ln 60521 2990 (630) 789-3422
ALEXANDER, JAY Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Alexander, John Illinois Evanston 1000 Central St Suite 800 60201 1777 (847) 570-2868
Alleva, Joseph Illinois Glenview 2100 Pfingsten Road NorthShore University/Glenbrook 60025 (847) 657-5677
Alonso, Alexander Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 (309) 676-8123
ARONOVITZ, AMY Illinois Skokie 9977 Woods Dr 60077 1718 (847) 663-8540
Bajaj, Shailesh Illinois Glenview 2100 Pfingsten Rd Rm B-230 60025 (847) 657-1900
Bajgrowicz, Walt Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8420
Baker, Catherine Illinois Lemont 15505 127th St 60439 4433 (630) 257-2265
Baker, Marshall Illinois Evanston 1000 Central Suite 800 60201 1777 (847) 570-2271
Bank, Bruce Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Barion, Ana Thereza Illinois Glenview 2100 Pfingsten Rd 60026 1301 (847) 657-5875
Barr, Lawrence Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
barrera, ermilo Illinois Glenview 2100 Pfingsten Rd glenbrook hospital 60026 1301 (847) 657-1933
Bednard, Mark Illinois Riverside 3722 S Harlem Suite 101 60546 (708) 783-6500
Bellam, Shashi Illinois Evanston 2650 Ridge Ave Room 5301 60201 1718 (847) 570-2713
Bello, John Illinois Chicago 7447 W Talcott Ave Suite 406 60631 3715 (773) 775-9755
Benjamin, Aaron Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8540
BERGER, RONALD Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Berliant, Sharon Illinois Skokie 9555 Gross Point Rd 60076 1356 (847) 679-3411 1223
Berne, Ronald Illinois Chicago 1733 N Harlem Ave 60707 (773) 237-6666
BERNSTEIN, LAWRENCE Illinois Evanston 1000 Central St SUITE 800 - NEUROLOGY 60201 1777 (847) 570-2570
Bhojwani, Arun Illinois Evanston 909 Davis St Suite 200 60201 3645 (847) 866-3700
Bianchi, Laura Illinois Evanston 1000 Central St Suite 615 60201 1777 (847) 657-1900
Bicknese, Donna Illinois Glenview 2550 Waukegan Rd Suite 100 60025 (847) 901-6904
Bicos, Angela Illinois Evanston 1000 Central St Suite 640 60201 1777 (847) 570-1410
Bland, Andrew Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Blatt, Stephen Illinois Chicago 7447 W Talcott Ave Suite 406 60631 3715 (773) 775-9755
Block, Romy Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8540
BLOMEIER, HERMAN Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8540
Blumen, Edward Illinois Evanston 909 Davis St Suite 200 60201 3645 (847) 866-3700
Blustein, William Illinois Des Plaines 9301 Golf Rd suite 302 60016 1667 (847) 296-8151
Bogacz, Kathleen Illinois Wilmette 1921 Lake Ave Ste B 60091 1480 (847) 853-9100
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Page 23 of 99
Borkar, Monica Illinois Glenview 2100 Pfingsten Rd Suite B230 60026 1301 (847) 657-1900
Botros, Sylvia Illinois Evanston 1000 Central St Suite 730 60201 1777 (847) 570-2750
Brady, Roseann Illinois North Barrington 110 S Wynstone Park Dr Suite 101 60010 6979 (224) 848-4256
Brockstein, Bruce Illinois Evanston 2650 Ridge Ave Division of Hematology-Oncology 60201 1718 (847) 570-2515
Brottman, Michael Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Brown, James Illinois Elmhurst 1200 S York Rd Ste 3160 60126 5628 (630) 279-7930
Brown, Jonathan Illinois Deerfield 190 Waukegan Rd Ste B Deerfield South 60015 5655 (847) 945-4575
Bruha, Robert Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Bufalino, Vincent Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Bundra, Stephen Illinois Wilmette 1921 Lake Ave Ste B 60091 1480 (847) 853-9100
Burseth, Eric Illinois Hoffman Estates 1555 Barrington Rd DOB 3 Suite 3200 60169 1019 (847) 882-8448
Cahill, John Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
CAMPBELL, DAVID Illinois Bannockburn 2151 Waukegan Rd 60015 1885 (847) 444-5300
caprini, joseph Illinois skokie 9977 woods drive 60077 (847) 663-8050
Carell, Edgar Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Casey, Cash Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Castle, James Illinois Highland Park 757 Park Ave West Suite 2850 60035 (847) 570-2570
Chamberlin, Jack Illinois Elk Grove Village Wimmer Building 60007 3372 (847) 981-3680
Chan, Hoyee Illinois Buffalo Grove 650 West Lake Cook Road 60089 6740 (847) 520-9424
Chao, Jasmine Illinois Glenview 1308 Waukegan Rd Suite 202 60025 3070 (847) 657-8588
CHENG, GENE Illinois Peoria 5401 N Knoxville Ave SUITE 414 61614 5098 (309) 629-9516
Chernaik, Stephen Illinois Evanston 2650 Ridge Ave Room 5301 60201 1718 (847) 570-2841
Cherny, Yuri Illinois Buffalo Grove 650 W. Lake Cook Rd 60089 2082 (847) 520-9424
Chizhik, Irena Illinois Skokie 9555 Gross Point Rd 60076 1356 (847) 679-3411
Chon, Chris Illinois Skokie 9700 Kenton Ave Suite 202 60076 1259 (847) 933-3555 1
Chough, Steven Illinois Winfield 25 N Winfield Rd 60190 1222 (630) 510-9244
Christopoulos, Regan Illinois Gurnee Deerpath Physicians Group 731 S Illinois Route 21 60031 3813 (847) 566-3337
Cienkus, Scott Illinois Glenview 1435 Waukegan Rd 60025 2120 (847) 832-6500
Clark, Patricia Illinois Joliet 1300 Copperfield Ave Suite 3060 60432 2004 (815) 724-0932
Clark, Stanley Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
CLOSE, TROY Illinois Glenview 2050 Pfingsten Rd. Suite 280 60026 (847) 657-1860
Cohen, Greg Illinois Chicago 676 N Saint Clair St Suite 1525 60611 2927 (312) 695-4452
Colegrove, Peter Illinois Evanston 1000 Central St Suite 720 60201 1777 (847) 475-8600
Costanzo, Maria Rosa Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Couri, Brian Illinois Elmhurst 1200 S York Rd, Suite 3160 60126 5626 (630) 279-7930
Culmer, Cara Illinois Skokie 9977 Woods Dr 1st Floor 60077 1057 (847) 663-8351
Dachman, Carey Illinois Schaumburg 455 S Roselle Rd Ste 104 60193 2971 (847) 352-5511
Dafer, Rima Illinois Glenview 2100 Pfingsten Rd 60026 (847) 657-5875
Medical Group
800 Biesterfield Rd Ste G01
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Page 24 of 99
DALVI, ARIF Illinois Burr Ridge 180 Harvester Dr Ste 110 60527 6686 (773) 834-4064
David, Jacqueline Illinois Evanston 909 Davis St Suite 200 60201 3645 (847) 866-3700
Davis, Ann Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Davis, Gary Illinois Evanston 1000 Central St Suite 640 60201 1777 (847) 570-1410
Dayhoff, Clyde Illinois Herscher 692 N Maple St 60941 (815) 426-2020
DELEO, CAESAR Illinois Skokie 9669 N Kenton Suite 601 60076 (847) 444-5300
DeLorenzo, Anthony Illinois Willowbrook 6847 Kingery Hwy 60527 5114 (630) 655-9555
DENHAM, ERVIN Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-4120
DESAI, TINA Illinois Evanston 1000 Central St. Suite 800 60201 1777 (847) 570-2503
Discher, Thomas Illinois Winfield 25 N Winfield Rd North Entrance 60190 (630) 510-9244
DOBRIN, SOFIA Illinois Highland Park 757 Park Ave West Suite 2850 60035 (847) 570-2570
Doherty, Laurel Illinois Glenview 2550 Waukegan Rd Suite 100 60025 1777 (847) 729-2541
Doppenberg, Egon Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-1425
Dowling, Michael Illinois Evanston 1000 Central St 640 60201 1777 (847) 570-1345
Drevlow, Barbara Illinois Glenview 2400 Chestnut Ave Suite A 60026 8321 (847) 657-3530
Drexler, Mark Illinois Glenview 2550 Compass Rd Suite A-B 60026 8031 (847) 904-7800
Dreyer, Paul Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Duerinck, Mark Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Dunlap, Bradley Illinois Evanston 1000 Central Street Suite 880 60201 (847) 570-2825
Ebihara, John Illinois Evanston 909 Davis St Suite 200 60201 3645 (847) 866-3700
Ehrenpreis, Eli Illinois Arlington Heights 1538 N Arlington Heights Road 60004 (847) 253-6464
Eisenstein, Steven Illinois Northbrook 1885 Shermer Rd 60062 5317 (847) 272-4600
Eller, Theodore Illinois Evanston 2650 Ridge Avenue 60201 (847) 570-1400
Ellison, Michael Illinois Glenview 1435 Waukegan Rd 60025 2120 (847) 832-6500
Elterman, Sofiya Illinois Buffalo Grove 650 W Lake Cook rd 60089 2082 (847) 520-9424
Elton, Eric Illinois Evanston 2650 Ridge Ave Div. of Gastroenterology Rm G221 60201 1718 (847) 657-1900
Emini, Diana Illinois Lemont 14236 McCarthy Rd 60439 4611 (630) 863-7517
Ewing, Shannon Illinois Skokie 9977 Woods Dr 3rd Floor 60077 1057 (847) 663-8060
Farhat, Hamad Illinois Evanston 2650 Ridge Avenue #233 60201 (847) 570-1456
Feinberg, Aron Illinois Glenview 2550 Waukegan Rd 60025 (847) 729-2541
Feldman, Joseph Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-2066
Feldman, Ted Illinois Evanston 2650 Ridge Ave Evanston Hospital rm 1210 60201 1718 (847) 570-1206
Fenner, Patrick Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Fennewald, Pamela Illinois Gurnee 731 S Illinois Route 21 Suite 130 60031 3813 (847) 566-3337
Fisher, Westby Illinois Glenview 2050 Pfingsten Rd Suite 360 60026 1324 (847) 657-1819
Follman, Duane Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Freedman, Lee Illinois Highland Park 806 Central Suite 103 60035 (847) 433-4409
Freier, Paul Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Suite 100Department of Phys Med Suite
2204
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Page 25 of 99
FREILICH, ROBERT Illinois Highland Park 806 Central Ave Suite 103 60035 5613 (847) 433-4409
Frydman, Alan Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (847) 998-4100
fultz, john Illinois Chicago 1945 W Wilson Ave Suite 5115 60640 5258 (773) 275-6349
Furiasse, John Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Gamagami, Reza Illinois Joliet 1300 Copperfield Ave Suite 3060 60432 2004 (815) 724-0932
Gami, Apoor Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Ganesan, Dhanalakshmi Illinois Elmwood Park 7239 W Grand Ave 60707 2054 (708) 456-7071
Garcia-Beach, Sylvia Illinois Frankfort 10289 W Lincoln Hwy 60423 1279 (815) 464-9655
garrity, thomas Illinois Chicago 7447 W Talcott Ave suite 316 60631 3745 (773) 467-1285
Gibbs, George Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
GILBERT, JONATHAN Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Gimelfarb, Alla Illinois Glenview 2100 Pfingsten Road Kellogg Cancer Center 60026 1301 (847) 657-5826
Golbus, Glenn Illinois Hoffman Estates 1555 Barrington Rd Bldg 3 Suite 3200 60194 1018 (847) 882-8448
Goldberg, Michael Illinois Evanston 2650 Ridge Ave Div. of Gastroenterology Rm G208 60201 1718 (847) 657-1900
Goldberg, Roger Illinois Evanston 1000 Central St Suite 730 60201 1777 (847) 570-2750
Goldstein, Cathy Illinois Evanston 757 Park Ave West Suite 2850 60035 (847) 570-2570
Gonzalez, Alfredo Illinois Glenview 2050 Pfingsten Rd Suite 360 60026 1324 (847) 657-1819
Goodwin, Mark Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Gordon, Gary Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311
Gordon, Kenneth Illinois Skokie 9933 Woods Dr 2nd Floor 60077 1057 (847) 663-8060
Gorelik, Elaine Illinois Glenview 2050 Pfingsten Rd # 360 60201 1718 (312) 403-0703
Grad, Gary Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Gries, William Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Grinblatt, David Illinois Evanston 2650 Ridge Ave Div. of Hematology-Oncology 60201 1718 (847) 570-2515
Grinblatt, Jeffrey Illinois Skokie 9669 Kenton Ave Suite 203 60076 1266 (847) 677-0212
Grobelny, Walter Illinois Winnetka 700 Oak St Suite 200 60093 2566 (847) 446-1066
Grober, James Illinois Evanston 1000 Central St Suite 800 60201 1777 (847) 570-2503
GROOTHUIS, DENNIS Illinois Evanston 2650 Ridge Ave NEUROLOGY BURCH 309 60201 1718 (847) 570-2570
Grunenwald, Paul Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Gupta, Navyash Illinois Skokie 9977 Woods Dr Suite 355 60077 1057 (847) 663-8050
Gutmann, Norman Illinois Skokie 9977 Woods Dr 1st Floor 60077 1057 (847) 663-8350
Hale, David Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Halihan, Craig Illinois Elgin 1750 N Randall Rd Suite 160 60123 7900 (847) 468-1994
Hartmann, Joseph Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Harvan, Paula Illinois Evanston 909 Davis St Suite 200 60201 3645 (847) 866-3700
Haugen, Reshma Illinois Skokie 9933 Woods Dr 2nd floor 60077 1057 (847) 663-8060
Heiferman, Kenneth Illinois Skokie 9669 Kenton Ave Suite 500 60076 1266 (847) 933-3700
Hensing, Thomas Illinois Evanston 2650 Ridge Ave Div. of Hematology-Oncology 60201 1718 (847) 570-2515
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Page 26 of 99
HENTATI, AFIF Illinois Evanston 2650 Ridge Ave NEUROLOGY BURCH 309 60201 1718 (847) 570-2570
Herz, Joshua Illinois Glenview 2050 Pfingsten Rd Suite 280 & 220 60026 1324 (847) 657-1860
Hines, Jerome Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Ho, Louisa Illinois Evanston 2650 Ridge Avenue Rm 3213 60201 1777 (847) 570-2512
HOMER, DANIEL Illinois Evanston 2650 Ridge Ave NEUROLOGY BURCH 309 60201 1718 (847) 570-2570
Horinek, Anthony Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Horowitz, Kenneth Illinois Lake Forest NorthShore University HealthSystem 810 S. Waukegan Rd. 60045 (847) 615-9355
Howard, Michael Illinois Northbrook 501 Skokie Blvd 60062 (847) 504-2300
Howington, John Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2868
Hudgins, Thomas Illinois Glenview 2150 Pfingsten Rd Suite 3000 60026 1361 (847) 657-5677
Hughes, Timothy Illinois Chicago 7447 W Talcott Suite 316 60631 3714 (312) 467-1285
Hurley, Daniel Illinois Skokie 9669 Kenton Suite 505 60076 1266 (847) 933-3700
Hurteau, Jean Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2639
Husain, Sarwar Illinois Chicago 7447 W Talcott Ave Suite 415 60631 3745 (773) 763-3808
Hwang, David Illinois Evanston 1000 Central St Suite 640 60201 1777 (847) 570-1410
Jacobs, Megan Illinois Skokie 9977 Woods Dr 1st Floor 60077 1057 (847) 663-8540
James, Gordon Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Johnson, Sarah Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3590
Johnston, William Illinois Evanston 1000 Central St Suite 720 60201 1777 (847) 475-8600
Junge, Sharon Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (907) 518-0174
Kall, John Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Kaminer, Lynne Illinois Evanston 2650 Ridge Ave Div. of Hematology-Oncology 60201 1718 (847) 570-2112
Kanter, Steven Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Karahalios, Dean Illinois Skokie 9669 Kenton Suite 500 60076 1266 (847) 933-3700
Karaikovic, Eldin Illinois Evanston 1000 Central St Suite 880 60201 1777 (847) 570-2825
Kashow, Iyad Illinois Aurora 710 Shoreline Dr Suite 102 60504 6192 (630) 692-1280 112
Kawasaki, Raymond Illinois Hoffman Estates 1555 Barrington Rd Bldg 3 Suite 3200 60194 1018 (847) 882-8448
Kay, Gary Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Keeler, Thomas Illinois Evanston 1000 Central St Suite 720 60201 1777 (847) 475-8600
Keimig, Emily Illinois Skokie 9933 Woods Drive Second Floor 60077 (847) 663-8060
Kelly, Eileen Illinois Glenview 2050 Pfingsten Rd Suite 360 60026 1324 (847) 657-1819
Kentor, Paul Illinois Evanston 636 Church St 60201 4508 (847) 864-0810
Kerwin, Peter Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Ketel, Beverley Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Khan, Mohammed Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
KHOSLA, NEENOO Illinois Chicago 680 N Lake Shore Dr SUITE 1000 60611 4546 (312) 695-9797
KIM, KUBINNE Illinois Skokie 9933 Woods Dr 60077 1057 (847) 663-8034
Kim, Michelle Illinois Lemont 14236 McCarthy Road 60439 (630) 863-7517
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Page 27 of 99
Kinn, James Illinois Winfield 25 North Winfield Road North Entrance 60190 (630) 510-9244
Kirschner, Carolyn Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2639
Knight, Rebecca Illinois Peoria 5401 N. Knoxville Suite 104 61614 2861 (309) 692-0123
Knudtson, David Illinois Glenview 2550 Waukegan Rd Suite 100 60025 1777 (847) 729-2541
Kogan, Jose Illinois Skokie 9977 Woods Dr 1st Floor 60077 1057 (847) 663-8350
Kogan, Nephtali Illinois Hoffman Estates 1555 Barrington Rd Suite 4250 60169 1019 (847) 781-8600
Kovachevich, Martin Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (847) 998-4100
Krauss, Daniel Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Kunchithapatham, Selvakumar Illinois Hinsdale 11 Salt Creek Ln 60521 2990 (630) 789-3422
Kuppy, Theresa Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (847) 998-4100
LaFollette, Suzanne Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
LAGA, STEPHEN Illinois Melrose Park 1111 Superior St SUITE 405 60160 4138 (630) 408-2977
Lambert, Karen Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Lampert, Mark Illinois Skokie 9977 Woods Dr 3rd Floor 60077 1057 (847) 663-8410
Lang, Herbert Illinois Skokie 9977 Woods Dr 1st Floor 60077 1057 (847) 663-8350
Larkin, Timothy Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
LAVIE, ELI Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Lawrence, Andrew Illinois Hinsdale 11 Salt Creek Ln 60521 2990 (630) 789-3422
Layfer, Lawrence Illinois skokie 9700 kenton Suite 404 60076 (847) 677-0215
Leibach, Steven Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Leifheit, Joel Illinois Peru 920 West St Suite 111 61354 (815) 223-4273
Lerner, David Illinois Glenview 2550 Waukegan Rd Suite 100 60025 1777 (847) 729-2541
Levin, Steven Illinois Evanston 1000 Central St Suite 880 60201 1777 (847) 570-2825
LeVine, Steven Illinois Skokie 9555 Gross Point Rd 60076 1356 (847) 679-3411
Levisay, Justin Illinois Skokie 9977 Woods Dr 3rd floor 60077 (847) 663-8410
Levy, Ross Illinois Skokie 9933 Woods Drive 2nd Floor 60077 (847) 663-8062
Lewis, Gregory Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Lichtenstein, Mitchell Illinois Skokie 9700 Kenton Ave Suite #302 60076 1259 (847) 674-2097
Lockwood, Melissa Illinois Bloomington 10 Heartland Dr Suite B 61704 7741 (309) 661-9975
Lulla, Sanjeev Illinois Glenview 1435 Waukegan Rd 60025 2120 (847) 832-6500
MACEJKO, AMANDA Illinois Chicago 680 N Lake Shore Dr SUITE 1000 60611 4546 (312) 695-9797
Macsai, Marian Illinois Glenview 2050 Pfingsten Rd Suite 280 & 220 60026 1324 (847) 657-1860
Malik, Aarti Illinois Evanston 1000 Central Street Suite 800 60201 1777 (847) 570-2503
Mandzij, Roman Illinois Winnetka 525 Winnetka Ave. 60093 (847) 501-4060
Marek, Joseph Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Mark, Angela Illinois Evanston 1000 Central St. Suite 615 60201 1777 (847) 570-2570
Marmor, David Illinois Skokie 9977 Woods Drive 3rd floor 60677 (847) 663-8410
Marogil, Jeffrey Illinois Glenview 2050 Pfingsten Rd 60026 (847) 657-1761
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POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
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Marsh, Robert Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2515
MARTIN, LYNN Illinois Glenview 2550 Waukegan Rd SUITE 100 60025 1777 (847) 729-2541
Mason, James Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Masood, Omer Illinois Skokie 9700 Kenton Suite K-302 60076 (847) 674-2087
MAYER, THOMAS Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
mcguire, michael Illinois Skokie 9711 Skokie Blvd suite h 60077 1384 (847) 676-2400
McKeever, Louis Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
McMahon, James Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
McMAHON, JOHN Illinois Evanston 2650 Ridge Ave NEUROLOGY BURCH 309 60201 1718 (847) 570-2570
McNaughton, Scott Illinois St Charles 2560 Foxfield Rd Ste 160 60174 1478 (630) 513-8734
Mehlis, Stephanie Illinois Skokie 9933 Woods Dr 2nd Floor - Dermatology 60077 1057 (847) 663-8060
Merkel, Douglas Illinois Evanston 2650 Ridge Ave Div. of Hematology-Oncology 60201 1718 (847) 570-2515
merrell, ryan Illinois Evanston 2650 Ridge Avenue Kellogg Cancer Center 60201 1777 (847) 570-1808
Meyers, Steven Illinois Skokie 9669 Kenton Ave Suite 405 60076 1266 (847) 677-2980
Michelotti, Maria Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (847) 998-4100
Mkrdichian, Edward Illinois Skokie 9669 Kenton Suite 500 60076 1266 (847) 933-3700
mokarry, victor Illinois Chicago 7447 W Talcott Ave suite 316 60631 3714 (773) 467-1285
Moo-Young, Tricia Illinois Evanston 2650 Ridge Ave Walgreen 60201 1718 (847) 570-1700
Morcos, Omar Illinois Skokie 9977 Woods Drive Suite 355 60077 (847) 663-8050
Muldoon, Joseph Illinois Evanston 2650 Ridge Ave Burch 103 60201 1718 (847) 570-1470
Mullen, George Illinois Elk Grove Village 800 Biesterfield Rd # Suiteg01 Wimmer Building 60007 3361 (847) 981-3680
MUNSON, RICHARD Illinois Evanston 2650 Ridge Ave NEUROLOGY BURCH 309 60201 1718 (847) 570-2570
Murray-Law, Teresa Illinois Highland Park 757 Park Ave W Kellogg Cancer Center 60035 2400 (847) 480-3800
Najman, David Illinois Skokie 9977 Woods Dr 3rd floor 60077 1057 (847) 663-8410
Nash, Kevin Illinois Evanston 2650 Ridge Ave Room 2216 60201 1718 (847) 570-2512
Natkin, Jory Illinois Glenview 2050 Pfingsten Rd Suite 330 60026 1324 (847) 998-4100
Nazari, Jose Illinois Evanston 2650 Ridge Ave Cardiology Division, Burch 300 60201 1718 (847) 570-2640
Nazarian, Arthur Illinois Hoffman Estates 1555 Barrington Rd Bldg 3 Suite 3200 60194 1018 (847) 882-8448
Nega, Todd Illinois Highland Park 757 Park Avenue West Suite 2850 60035 (847) 657-5959
Nora, Matthew Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Norman, Douglas Illinois Skokie 9669 Kenton Ave Suite #204 60076 1266 (847) 982-1095
Novak, Gary Illinois Wilmette 1921 Lake Ave Ste B 60091 1480 (847) 853-9100
Novakovic, Kristian Illinois Highland Park 757 Park Avenue West Suite 3870 60035 (847) 676-2400
Obel, Jennifer Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2112
Ochwat, Gary Illinois Elgin 1750 N Randall Rd Suite 160 60123 7900 (847) 468-1994
OCONNOR, TIMOTHY Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Olsson, Phillip Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Onibokun, Adebukola Illinois Skokie 9669 Kenton Suite 500 60076 1266 (847) 933-3700
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 29 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Ortiz, Robinson Illinois Rolling Meadows 3701 Algonquin Rd Ste 900 60008 3127 (847) 577-0620
O'Toole, Michael Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
PANDIT, BELA Illinois Evergreen Park 3830 W 95th St Ste 104 60805 2004 (708) 423-3668
Park, Sangtae Illinois Skokie 9711 N. Skokie Blvd Suite H 60037 (847) 676-2400
Patel, Devang Illinois Naperville 923 Mortonsberry Dr 60540 364 (872) 222-7365
Patel, Jagdish Illinois Sycamore 2530 Hauser Ross Drive Suite 100 60178 3147 (815) 748-7076
Patel, Smita Illinois Glenview 2100 Pfingsten Rd 60026 1301 (847) 657-5875
Pearlman, Steven Illinois Chicago 7447 W Talcott Ave Suite 415 60631 3745 (773) 763-3808 323
Peddinghaus, Wolf Illinois Skokie 9701 Knox Ave Suite 102 60076 1256 (847) 677-1112
Perkowski, Zbigniew Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Pfalzgraf, Frederick Illinois Herrin 408 Lincoln Drive Suite A 62948 3601 (618) 993-1408
Pflederer, Benjamin Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Pflederer, Timothy Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Phan, Binh An Illinois Glenview 2050 Pfingsten Road, Suite 360 60026 (847) 657-1819
Pickard, Laura Illinois Chicago 7325 W Irving Park Rd 60634 3547 (773) 625-2211
Pieri, Italo Illinois Chicago 7447 W Talcott Ave Suite 409-415 60631 3745 (773) 763-3808 323
PINELESS, GARY Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Plofsky, Matthew Illinois Highland Park 757 Park Ave West Suite 2800 60035 4374 (847) 926-6500
Plotnick, Bennett Illinois Skokie 9700 Kenton Ave #302 60076 1259 (847) 674-2097
Pop, Andrei Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Premkumar, Ashvini Illinois Glenview 2100 Pfingsten Rd Suite 3000 60026 (847) 657-5875
PRETE, CAROLE Illinois Evanston 1007 Church St SUITE 100 60201 3624 (847) 475-4555
Priess, Amy Illinois Skokie 9933 Woods Dr 2nd Floor 60077 1057 (847) 633-8060
Priest, Edwin Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Prinz, Richard Illinois Chicago 1725 W Harrison St Suite 818 60612 3841 (312) 942-6511
Purdy, Lisa Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8540
Pyka, Manfred Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Quirke, Patrick Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Rahangdale, Shilpa Illinois Evanston 2650 Ridge Ave. Rm 5304 60201 (847) 570-2714
Ramanathan, Anand Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Randall, David Illinois Glenview 2100 Pfingsten Rd Suite 3000 60026 1301 (847) 657-5875
Rapacz, Raymond Illinois Hinsdale 11 Salt Creek Ln 60521 8601 (630) 789-3422
Rapoport, Arkady Illinois Skokie 9669 Kenton Ave Suite 206 60076 1266 (847) 676-1333
Rauh, Robert Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Raviv, Joseph Illinois Northbrook 501 Skokie Blvd 60062 (847) 504-3300
raviv, stacy Illinois evanston 2650 Ridge Ave 60201 (847) 570-2714
Ray, Daniel Illinois Evanston 2650 Ridge Ave Department of Medicine Rm 5306 60201 1718 (847) 570-2713
Reddy, Venoodhar Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 30 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Reisel, Herbert Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
REVIS, JOHN Illinois Glenview 1435 Waukegan Rd 60025 2120 (847) 832-6500
Ro, Alex Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-2250
Rodriguez, Gustavo Illinois Evanston 2650 Ridge Ave Kellogg Cancer Center 60201 1718 (847) 570-2639
Rosborough, David Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Rosenberg, Michael Illinois Barrington 27750 W Highway 22 Suite 240 60010 2379 (847) 829-1600
Rosseau, Gail Illinois Skokie 9669 Kenton Suite 505 60076 (847) 933-3700
Rowley, Stephen Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
rubin, susan Illinois Glenview 2100 Pfingsten Rd Suite 3000 60026 1301 (847) 657-5875
Sabaliauskas, Gaile Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Sader, Samer Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
SALAZAR, LUIS Illinois Third Lake 18931 W Washington St SUITE 100 60030 1162 (847) 548-2200
Saleem, Moeen Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Salinger, Michael Illinois Evanston 2650 Ridge Ave Cardiology Walgreen's 3rd floor 60201 1718 (847) 570-2250
Salti, Hani Illinois Vernon Hills 225 N Milwaukee Ave 60061 4304 (847) 941-7970
Sanborn, Timothy Illinois Evanston 2650 Ridge Ave. Walgreen Building, Third Floor 60201 (847) 570-2250
Sand, Peter Illinois Evanston 1000 Central St Suite 730 60201 1777 (847) 570-2750
Sauri, Daniel Illinois Elk Grove Village 800 Biesterfield Rd Ste G01 Wimmer Building 60007 3372 (847) 981-3680
Schindler, Nancy Illinois Skokie 9977 Woods Dr 3rd Floor 60077 1057 (847) 663-8050
Semel, Jeffery Illinois Evanston 1000 Central St. Suite 800 60201 1777 (847) 570-2503
Semenov, Irene Illinois Glenview 2150 Pfingsten Rd Suite 3000 60026 1314 (847) 657-5875
Sethi, Pawan Illinois Chicago 7447 W Talcott Ave Suite 415 60631 3745 (773) 763-3808 321
Shade, Ronald Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
SHAH, DARSHAN Illinois Highland Park 757 Park Ave West Suite 2850 60035 (847) 570-2570
Shah, Dhiren Illinois Glenview 2100 Pfingsten Rd Suire B-230 60026 1301 (847) 657-1900
Shah, Neha Illinois Glenview 2400 Chestnut Avenue Suite A 60026 8321 (847) 657-3530
Shapiro, Mary Illinois Glenview 1435 Waukegan Rd 60025 (847) 832-6500
SHERIDAN, PHILIP Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-2714
Sheth, Veeral Illinois Glenview 2050 Pfingsten Road Suite 280 60026 (847) 657-1860
shevelev, taiya Illinois Wheeling 201 E Strong St suite 9 60090 2979 (847) 419-1900
Shevrin, Daniel Illinois Evanston 2650 Ridge Ave Div. of Hematology-Oncology 60201 1718 (847) 570-2515
Shinners, Michael Illinois Northbrook 501 Skokie Blvd 60062 (847) 504-3300
Shipley, Pauline Illinois Skokie 9977 Woods Dr 60077 1057 (847) 663-8540
Shortal, Brian Illinois Bannockburn 2151 Waukegan Rd Suite 100 60015 1885 (847) 444-5328
Silverman, Irwin Illinois Evanston 1713 Central St 60201 (847) 869-1499
Simon, Norman Illinois Evanston 2650 Ridge Ave Division of Nephrology Rm 3213 60201 1718 (847) 570-2512
Sinno, Mohamed Illinois Downers Grove 3825 Highland Ave Tower 2 Suite 400 60515 1552 (630) 719-4799
Sisco, Mark Illinois Northbrook 501 Skokie Blvd 60062 2802 (847) 504-2300
Cardiology Division Walgreens Bld
3rd floor
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 31 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Skaluba, Stanislaw Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
SMART, STEVEN Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-2000 2250
Smith, Kevin Illinois Moline 550 30th Ave Suite #4 61265 5975 (309) 762-7919
Smolevitz, Edwin Illinois Lincolnwood 6810 N McCormick Blvd 60712 2709 (847) 674-6900
Snebold, Mackie Illinois Johnsburg 3920 N Johnsburg Rd 60051 6320 (815) 344-0088
Soo, David Illinois Gurnee 15 Tower Court Suite 300 60031 3380 (847) 599-8899
Sowray, Paul Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Sparrow, Robert Illinois Peoria 200 E Pennsylvania Ave Suite 212 61603 3089 (309) 676-8123
Spiess, Susannah Illinois Glenview 2100 Pfingsten Rd Suite B230 60026 1301 (847) 657-1900
Spitz, James Illinois Glenview 2601 Compass Rd #115 60026 (847) 901-5263
Sprague, Stuart Illinois Evanston 2650 Ridge Ave Division of Nephrology Rm 3213 60201 1718 (847) 570-2512
SRINIVASAN, KAVITHA Illinois Glenview 1435 Waukegan Rd 60025 2120 (847) 832-6500
Stadlan, Noam Illinois Skokie 9669 Kenton Suite 500 60076 1266 (847) 933-3700
Stagl, Richard Illinois Evanston 1713 Central St 60201 (847) 869-1499
Stanley, Robert Illinois Skokie 9701 N Knox Ave. Suite 102 60076 (847) 676-1112
STEIN, RHONDA Illinois Evanston 909 Davis St SUITE 200 60201 3645 (847) 866-3700
Stephan, William Illinois Naperville 801 S Washington St 4th Floor 60540 7430 (630) 527-2730
Stern, Darryl Illinois Skokie 9669 Kenton Ave Ste 203 60076 1266 (847) 677-0212
STERN, MARK Illinois Highland Park 767 Park Avenue West Suite 340 60035 (847) 444-5300
Straus, Joshua Illinois Evanston 909 Davis St STE 160 60201 3664 (847) 425-6400
Sullivan, Daniel Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Sun, Bob Illinois Evanston 1000 Central St Suite 800 60201 1777 (847) 570-2503
Sundar, Balakrishna Illinois Chicago 2400 N. Ashland Ave second floor 60614 (773) 868-1800
taber, jesse Illinois Evanston 2650 Ridge Ave evanston hospital, Burch 309 60201 1718 (847) 570-2570
Tajuddin, Alkarim Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
TALAMONTI, MARK Illinois Evanston 2650 Ridge Ave Evanston Hospital 60201 1718 (847) 570-2800
Tassler, Stephen Illinois Northbrook 1885 Shermer Rd 60062 5317 (847) 272-4600
Thakkar, Sanjay Illinois Yorkville 88 West Countryside Parkway 60560 (630) 882-6441
Thorsen, Charles Illinois Evanston 909 Davis St 60201 3664 (847) 866-3700
Tomasik, Scott Illinois Hoffman Estates 1555 Barrington Rd Suite 4250 60169 1019 (847) 781-8600
TOMEZSKO, JANET Illinois Evanston 1000 Central Street SUITE 730 60202 (847) 570-2750
Tonkovic, Russ Illinois Hoffman Estates 1555 Barrington Rd DOB 3 Suite 3200 60169 1019 (847) 882-8448
Tureff, Steven Illinois Des Plaines 9301 Golf Rd Suite 302 60016 1667 (847) 296-8151
VanRoekel, Vivian Illinois St Charles 2560 Foxfield Rd Ste 160 60174 1478 (630) 513-8734
Velicu, Simona Illinois Maywood 2160 S 1st Ave 60153 3328 (216) 636-7407
VERNOF, HOWARD Illinois Evanston 1007 Church St SUITE 100 60201 3624 (847) 475-4555
Villoch, Christine Illinois Skokie 9669 N Kenton Ave Suite #505 60076 (847) 933-3700
VLAHOS, NICHOLAS Illinois Evanston 1000 Central St SUITE 640 60201 1777 (847) 570-1410
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 32 of 99
Vukas, Daniel Illinois Chicago 7447 W Talcott Ave SUITE 316 60631 3745 (773) 467-1285
Wadas, Marie Illinois Elmhurst 429 N York Rd 60126 2003 (630) 782-4050
Wade, Elaine Illinois Glenview 2100 Pfingsten Rd Kellogg Cancer Center 60026 1301 (847) 657-5826
Wallis, Diane Illinois Downers Grove 3825 Highland Ave Suite 400 60515 1552 (630) 719-4799
Wang, Charles Illinois Skokie 9669 Kenton Suite 405 60076 (847) 933-3700
Warner, Jeremy Illinois Northbrook 501 Skokie Blvd 60062 (847) 504-2321
Weinstein, Jordan Illinois Downers Grove 3825 Highland Ave Suite 400 60515 1552 (630) 719-4799
Weller, Herschel Illinois Glenview 2050 Pfingsten Rd Ste. 330 60026 1324 (847) 998-4100
WICKS, JAMES Illinois Bannockburn 2151 Waukegan Rd SUITE 100 60015 1885 (847) 444-5300
Winchester, David Illinois Evanston 1000 Central St Suite 800 60201 1777 (847) 570-2807
winchester, david Illinois Evanston 2650 Ridge Ave evanston hospital 60201 1718 (847) 570-2800
Wind, Robin Illinois Winnetka 525 Winnetka Ave 60093 4050 (847) 446-1112
Winslow, Christopher Illinois Evanston 2650 Ridge Ave Room 5301 60201 1718 (847) 570-2714
Wolfman, Steven Illinois Des Plaines 9301 Golf Rd Suite 302 60016 1667 (847) 296-8151
Yao, Katharine Illinois Evanston 2650 Ridge Ave 60201 1718 (847) 570-1327
Yen, Eugene Illinois Evanston 2650 Ridge Avenue Suite G221 60201 (847) 570-3890
Yorulmazoglu, Erol Illinois Elk Grove Village 800 Biesterfield Rd Suite 210 60007 3311 (847) 437-3312
Zaacks, Laura Illinois Glenview 2400 Chestnut Ave Suite A 60026 8321 (847) 657-3530
Zallik, Ned Illinois Skokie 9701 Knox Suite 102 60076 (847) 676-1112
Zunamon, Alan Illinois Evanston 1713 Central St 60201 (847) 869-1499
Ali, Syed Indiana Boonville 1301 Millis Ave 47601 2329 (812) 897-4458
Ascioti, Anthony Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7760
Ashton, Steven Indiana Warsaw 2280 Provident Ct Suite C 46580 3284 (574) 269-6700
Burkhart, James Indiana Richmond 1911 CHESTER BLVD 47374 0 (765) 939-7711 127
CHAUHAN, VINOD Indiana South Bend 621 Memorial Dr Ste 502 46601 1063 (574) 234-9001
Chitwood, Richard Indiana Indianapolis 8433 Harcourt Road Suite 100 46260 2190 (317) 583-7600
Cooke, Jeffrey Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7702
Cousins, Elliot Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7702
de la Cruz, Maria Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Embry, Candace Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Estill, George Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Feldman, Aaron Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Finkelmeier, William Indiana Carmel 13450 N Meridian St Suite 160 46032 1484 (317) 582-7676
Freeman, Richard Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
FULKERT, KARL Indiana Indianapolis 7430 N Shadeland Ave SUITE 290 46250 2036 (317) 841-7990
Haendiges, Michelle Indiana Kokomo 2030 W Boulevard 46902 6079 (765) 459-8000
Hanan, Scott Indiana Indpls 10590 N Meridian Street Suite 105 46290 1028 (317) 583-7800
Heimansohn, David Indiana Indianapolis 10590 N Meridian Street Suite 105 46290 1028 (317) 583-7800
NorthShore
System
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 33 of 99
HIGDON, CHESTER Indiana Evansville 3700 Bellemeade Ave Ste 204 47714 126 (812) 479-4080
Hoff, Bryan Indiana Bloomington 2907 McIntyre Dr 47403 4209 (812) 332-8765
Hussain, Sajjad Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Irwin, Randy Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Jain, Arun Indiana Crawfordsville 1901 Lafayette Rd Suite 100 47933 1098 (765) 361-8586 0
joshi, cyrus Indiana Clarksville 207 E Lewis and Clark Pkwy 47129 1711 (812) 981-7900
KATSAROPOULOS, JOHN Indiana South Bend 621 Memorial Dr Ste 502 46601 1063 (574) 234-9001
Kilberg, Scott Indiana Indianapolis 7430 N Shadeland Ave SUITE 290 46250 2070 (317) 841-7990
Kobayashi, John Indiana South Bend 621 Memorial Dr Suite 502 46601 1063 (574) 234-9001
Koelsch, Michael Indiana Muncie 2525 W University Ave Suite 502 47303 3421 (765) 286-5595
Kolla, Srinivas Indiana Lafayette 1116 North 16th Street Suite B 47904 2119 (765) 428-2590
Kovachevich, Robert Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
LeGrand, Daniel Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Logue, Brian Indiana Bloomington 2907 McIntyre Dr 47403 4209 (812) 332-8765
Lyell, Reggie Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Marcotte, Christine Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
Marcotte, Gary Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
Marcotte, Sandra Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
Marcotte, Trevor Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
Masden, Timothy Indiana New Salisbury 8010 Oak Park Rd NE 47161 8401 (812) 366-3147
Moainie, Sina Indiana Indianapolis 8433 Harcourt Road Suite 100 46260 2190 (317) 583-7600
Morton, Andrew Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Natarajan, Kannan Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
NELSON, RONALD Indiana South Bend 621 Memorial Dr Ste 502 46601 1063 (574) 234-9001
Parnell, Kelley Indiana Richmond 1911 Chester Blvd 47374 0 (765) 939-7711
Pelino, Donald Indiana Dyer 15900 W 101st Ave 46311 (219) 365-6333
Ratliff, Wesley Indiana Bloomington 550 S Landmark Ave 47403 3239 (812) 331-3400
Reinoehl, John Indiana Corydon 313 Federal Dr NW Suite 200 47112 3070 (812) 738-4155
Robison, Robert Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2193 (317) 583-7600
Salerno, Christopher Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Schier, John Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Schulman, Scott Indiana Indianapolis 7430 N Shadeland Ave Suite 290 46250 2070 (317) 841-7990
Shafique, Shoaib Indiana Lafayette 1116 N. 16th Street Suite B 47904 2119 (765) 428-2590
Sheridan, Kevin Indiana Indianapolis 8433 Harcourt Road Suite 100 46260 2190 (317) 583-7600
Smith, Eric Indiana Bloomington 2907 McIntyre Dr 47403 4209 (812) 332-8765
Sullivan, David Indiana Westfield 16411 Southpark Dr. Suite B 46074 (317) 896-6655
Szabo, Szabolcs Indiana South Bend 621 Memorial Dr Suite #502 46601 1063 (574) 234-9001
Walker, Gregory Indiana Bloomington 2907 McIntyre Dr 47403 4209 (812) 332-8765
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 34 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Walton, Rebecca Indiana New Salisbury 8010 Oak Park Rd NE 47161 8401 (812) 366-3147
Walts, Peter Indiana Indianapolis 8433 Harcourt Rd Suite 100 46260 2190 (317) 583-7600
Albrecht, Julie Iowa Des Moines 1301 Penn Ave Ste 115 50316 2365 (515) 263-2474
Anderson, Kenneth Iowa Chariton 1200 N 7th St 50049 1210 (641) 774-8103
Cohen, Greg Iowa Chariton 1200 N 7th St 50049 1210 (641) 774-8103
Coker, Clarine Iowa Council Bluffs 201 Ridge St Suite 201 51503 4643 (712) 322-5899
FRIDINGER, BRUCE Iowa Ottumwa 520 N Sheridan Ave 52501 4228 (641) 683-7901
Harmon, Kimberly Iowa Ames 215 N Duff Ave 50010 6637 (515) 233-0943
Hoch, Douglas Iowa Chariton 1200 N 7th St 50049 1210 (641) 774-8103
Holsinger, James Iowa Keokuk 1603 Morgan St Suite 3 52632 3433 (319) 524-4300
Hothan-Zielinski, Beth Iowa Mt Pleasant 407 S White St STE102 52641 2262 (319) 385-6550 6457
Hurst, Glenn Iowa Council Bluffs 201 Ridge Street, Ste. 201 68198 3075 (402) 614-0530
Kay, Jennifer Iowa Council Bluffs 201 Ridge St Suite 201 51503 4643 (712) 322-5899
Licandro, Jim Iowa Bettendorf 1967 Spruce Hills Dr 52722 2624 (563) 441-0117
Marar, Isam Iowa Council Bluffs 1701 West Boadway 51501 (712) 256-5600
McCance, Chad Iowa Atlantic 1501 E 10th St 50022 611 (712) 243-7535
Rabadi-Marar, Diana Iowa Council Bluffs 1701 West Broadway 51501 (712) 256-5600
Sheppard, Kevin Iowa Council Bluffs 1701 West Broadway 51534 (712) 256-5600
SOLOMON, STEPHEN Iowa Waterloo 44 Brookeridge Dr 50701 5214 (319) 234-2644
woodson, erika Iowa Iowa City 200 Hawkins Dr department of otolaryngology 52242 1009 (216) 636-7434
Brodine, Christopher Kansas Topeka 2010 SW 10th Ave 66604 1406 (785) 354-7608
Brull, Jennifer Kansas Plainville 1210 N Washington, Suite B PO Box 5 67663 (785) 434-2622
Chang, Caroline Kansas Prairie Village 9009 Roe Ave 66207 2202 (913) 385-9009
Crabtree, Yvette Kansas Mission 5555 W 58th St 66202 2722 (913) 432-2080
Davis, Karol Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Devine, John Kansas Manhattan 1133 College Ave G100 66502 2770 (785) 537-8710 216
DeWitt, Peter Kansas McPherson 1101 N Main St 67460 (620) 241-4477
Ekengren, Hugh Kansas Wichita 855 N Hillside St 67214 4913 (316) 685-1381
Ely, Andrea Kansas Shawnee Mission 8800 W 75th St Suite 300 66204 4001 (913) 722-4240
Evangelidis, Apostolos Kansas Manhattan 1133 College Ave Bldg G 66502 2770 (785) 537-8710 216
Haideri, Hussain Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Hall, Suelyn Kansas Manhattan 1133 College Ave G100 66502 2770 (785) 537-8710 216
Harstine, Lillian Kansas Wichita 3223 N Webb Rd S#3 67226 (316) 609-3030
Hart, John Kansas Wichita 855 N Hillside St 67214 4913 (316) 685-1381
Hartwell, Kimberly Kansas Wichita 855 N Hillside St 67214 4913 (316) 685-1381
Kaine, Louise Kansas Shawnee Mission 8800 W 75th St Ste 300 66204 4001 (913) 722-4240
Knoll, Tonya Kansas Hays 1106 E 27th St Suite 2 67601 2154 (785) 625-5500
Logan, James Kansas Wichita 855 N Hillside St 67214 4913 (316) 685-1381
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 35 of 99
McCalla, Ryan Kansas Topeka 2010 SW 10th Ave 66604 1406 (785) 354-7608
Oxler, John Kansas Shawnee Mission 8800 W 75th St Sute 300 66204 4001 (913) 722-4240
Penner, Steven Kansas Wichita 855 N Hillside St 67214 4913 (316) 685-1381
Postma, George Kansas Mission 5555 W 58th St 66202 2722 (913) 432-2080
Powers, George Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Ragland, Charles Kansas Shawnee Mission 8800 W 75th St Ste 300 66204 4001 (913) 722-4240
Schwegler, Raymond Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Snodell, Thomas Kansas Mission 5555 W 58th St 66202 2722 (913) 432-2080
Taylor, William Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Tran, Michael Kansas Manhattan 4805 Vue Du Lac Pl Ste 205 66503 8689 (785) 539-4205
Truong, Thomas Kansas Newton 800 Medical Center Dr suite 210 67114 7810 (316) 283-4330
Vesali, Michael Kansas Wichita 818 N Emporia St Ste 308 67214 3727 (316) 264-7707
Walters, William Kansas Kansas City 2040 Hutton Rd Suite 102 66109 4566 (913) 299-3700
Weaver, Benjamin Kansas Wichita 2081 N Webb Rd 67206 (316) 269-3338
ADAMS, HEIKO Kentucky Shelbyville 1701 Midland Trl 40065 1711 (502) 633-3338
Applegate, Keith Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
BEGAY, RAY Kentucky Leitchfield 508 William Thomason Byway 42754 1489 (270) 259-0352
Chatham, Rebecca Kentucky Danville 640 E Lexington Ave 40422 1719 (859) 236-1250
Culbertson, Robert Kentucky Georgetown 1138 Lexington Rd Ste 290 40324 9672 (502) 863-0721
Dubocq, David Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Eichenberger, Rhonda Kentucky Louisville 110 N Hubbards Ln 40207 3903 (502) 899-9771
Foxx, William Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Gerhardstein, Joseph Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Gottschalk, Ginny Kentucky Danville 640 E Lexington Ave 40422 1719 (859) 236-1250
Green, Jeffrey Kentucky Paris 22 Clinic Dr 40361 (859) 987-0074
Greene, Brennan Kentucky Louisville 1536 Story Ave The Eye Care Institute Building 40206 1738 (502) 589-0500
Gupta, Pragya Kentucky Edgewood 162 Barnwood Dr 41017 2501 (859) 331-4159
Hayslip, Diana Kentucky Lexington 1775 Alysheba Way Suite 201 40509 9023 (859) 977-2123
Henkel, Mary Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Hord, Jacob Kentucky Shelbyville 1701 Midland Trl 40065 1711 (502) 633-3338
Jackson, Herschel Kentucky Murray 300 S 8th St Suite 107# 42071 2400 (270) 753-9240
Jaggers, Mark Kentucky Louisville 1536 Story Ave 40206 1738 (502) 589-1500
Johnson, Wesley Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Katz, Linda Kentucky Nicholasville 100 John Sutherland Dr Ste 3 40356 2424 (859) 881-1400
Krestik, Paul Kentucky London 1105 West Fifth Street #3 40741 (606) 862-9900
Lyon, Benjamin Kentucky Georgetown 1138 Lexington Rd Ste 290 40324 9672 (502) 863-0721
Mackey, Benjamin Kentucky Corbin 281 North Commonwealth Ave. 40701 (606) 528-1143
MARSHALL, MICHAEL Kentucky Leitchfield 904 Wallace Ave 42754 1418 (270) 259-9470
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 36 of 99
Martin, Anthony Kentucky Georgetown 1138 Lexington Rd Suite 290 40324 9672 (502) 863-0721
Martin, Robert Kentucky Georgetown 1138 Lexington Rd Suite 290 40324 9672 (502) 863-0721
Meyer, John Kentucky Louisville 1536 Story Ave The Eye Care Institute Building 40206 1738 (502) 589-1500
Moore, Nathan Kentucky Paris 22 Clinic Drive 40361 (859) 987-0074
Murphy, Sean Kentucky Louisville 1536 Story Ave The Eye Care Institute Building 40206 1738 (502) 589-1500
Nigam, Kusum Kentucky Louisville 4402 Churchman Ave Suite 410 40215 3102 (502) 367-6322
Overstreet, David Kentucky Danville 478 Whirlaway Dr ste 100 40422 9037 (859) 236-6613 103
PATEL, VIPUL Kentucky Louisville 1915 Bishop Ln 40218 1901 (502) 459-3338
Perez, Oscar Kentucky Paris 22 Clinic Drive 40361 (859) 987-0074
Reesor, John Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Rogers, Leo Kentucky Lexington 1775 Alysheba Way Ste 201 40509 2279 (859) 977-2123
Schaffer, Benjamin Kentucky Louisville 1915 Bishop Ln 40218 1901 (502) 459-3338
SIMS, SCOTT Kentucky Bowling Green 720 E 2nd Ave SUITE #301 42101 1778 (270) 843-5114
ULFE, GERARDO Kentucky Louisville 317B Guthrie Grn 40202 1813 (502) 585-3668
Vo, Bich-Thuy Kentucky Lexington 1401 Harrodsburg Rd Ste B295 40504 1764 (859) 276-5349
Wieting, Christopher Kentucky Lexington 1401 Harrodsburg Rd Ste B295 40504 1764 (859) 276-5349
Young, Chester Kentucky Paris 22 Clinic Dr 40361 (859) 987-0074
Barron, Scott Louisiana Monroe 1162 Oliver Road Suite 7 71201 (318) 325-7007
Belgodere-Bonilla, Jorge Louisiana Lafayette 310A Youngsville Hwy 70508 4524 (337) 837-3615
Bolger, Joseph Louisiana Minden 101 Office Park Drive 71055 (318) 377-7118
Chava, Kiran Louisiana Destrehan 105 Plantation Rd 70047 3049 (985) 764-3051
Gammage, Coy Louisiana Monroe 1162 Oliver Road Suite 7 71201 (318) 325-7007
Ghanta, Guru Louisiana Leesville 1015 W Fertitta Blvd 71446 4646 (337) 239-4130
Haydel, Sarah Louisiana Houma 578 Valhi Blvd 70360 5974 (985) 223-3871
Levi, Tania Louisiana Covington 1980 N Hwy 190 70433 (985) 809-6195
Louapre, Rene Louisiana New Orleans 2633 Napoleon Ave Suite 400 70115 6357 (504) 897-3305
Lubbos, Hanna Louisiana Leesville 201 W Arkansas St 71446 4752 (337) 239-7227
Lyles, William Louisiana Alexandria 301 4th St Ste 1A 71301 8423 (318) 473-8188 2008
Saikali, Jocelyne Louisiana Leesville 201 W Arkansas St 71446 4752 (337) 239-7227
SANUSI, ABAYOMI Louisiana Houma 325 Liberty St 70360 (985) 879-3600
Weinberger, Benjamin Louisiana Monroe 1162 Oliver Road Suite 7 71201 (318) 325-7007
Abraham, Philip Maine Sanford 25A June St Suite 111 4073 2642 (207) 324-5968
Allen, Kimberly Maine Brewer 29 Dirigo Drive 4412 1600 (207) 942-2015 101
Delorie, Christopher Maine York 519 US Route 1 Unit 9 3909 (207) 363-4114
Flaherty, James Maine Scarborough 23 Spring St Suite B 4074 7701 (207) 730-7335
James, Christie Maine Farmington 225 Main St 4938 1910 (207) 778-6999
Merrill, David Maine Scarborough 69 US Route 1 6 Nonesuch Rd 4074 9374 (207) 883-8100
Mulcahy, Patrick Maine Kennebunk 69 York St., Suite 4 4043 (207) 985-3079
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 37 of 99
Sawyer, Jeffrey Maine Brewer 29 Dirigo Drive 4412 1600 (207) 942-2015 101
Ward, Kathryn Maine Brewer 29 Dirigo Drive 4412 1600 (207) 942-2015 101
BARBER, MITCHELL Maryland Laurel 7350 Van Dusen Rd SUITE 310 20707 5264 (301) 490-2216
Beck, Holly Maryland Beltsville 10720 Baltimore Ave 20705 2138 (301) 937-5666
Benjamin, Akil Maryland Westminster 826 Washington Rd #112 21157 (443) 605-0500
Brieloff, Peter Maryland Cumberland 805 E Oldtown Rd SUITE B 21502 4033 (301) 722-6166 103
CARLOS, MICHAEL Maryland Laurel 7350 Van Dusen Rd B 40 20707 5263 (240) 456-4772
COHEN, MINDI Maryland Rockville 15825 Shady Grove Rd SUITE 140 20850 4008 (301) 869-9776
De Muth, Brian Maryland Elkton 111 W High St Suite 209 21921 5529 (410) 620-6300
Deiboldt, David Maryland Beltsville 10720 Baltimore Ave 20705 2138 (301) 937-5666
Desai, Pankaj Maryland Owings Mills 90 Painters Mill Rd Ste 205 21117 3614 (410) 356-1575
Dobin, Andrew Maryland Bowie 4175 N Hanson Ct 203A 20716 3179 (301) 464-9660
Doman, David Maryland Wheaton 12012 Veirs Mill Rd 20906 4513 (301) 942-3550
Drakes, George Maryland Oxon Hill 6188 Oxon Hill Rd Suite 100 20745 3113 (301) 567-2100
El-Sherif, Tarek Maryland Laurel 7350 Van Dusen Road Suite B40 20707 (240) 456-4772
Farrell, Christopher Maryland Bethesda 6430 Rockledge Drive Suite 510 20817 0 (301) 515-0900
Galitzer, Samuel Maryland Potomac 8 Charen Court 20854 (301) 219-2326
Gardiner, James Maryland Germantown 19847 Century Blvd Suite 205 20874 0 (301) 515-0900
Ghorbani, Ali Maryland Takoma Park 7610 Carroll Ave SUITE 480 20912 6384 (301) 270-4360
Goldberg, Howard Maryland Wheaton 12012 Veirs Mill Rd 20906 4513 (301) 942-3550
Golding, Martin Maryland Wheaton 12012 Veirs Mill Rd 20906 4513 (301) 942-3550
Hegazi, Amr Maryland Frederick 46B Thomas Johnson Dr Suite 200 21702 4300 (301) 695-6777
Hendricks, Carolyn Maryland Bethesda 6410 Rockledge Dr Suite 506 20817 1809 (301) 897-1503
Hoeck, Jeffery Maryland Bowie 4175 N Hanson Ct 20716 3179 (301) 464-9660
Hollywood, Jennifer Maryland Easton 538 Cynwood Drive Ste 2 21601 (410) 763-8999
Jari, Rajesh Maryland Westminster 826 washington Rd Suite 210 and 112 21157 5780 (443) 605-0500
Kairouz, Sebastien Maryland Frederick 46 B Thomas Johnson Dr suite 200 21702 4000 (301) 695-6777
KO, CHRISTOPHER Maryland Rockville 1201 Seven Locks Road Suite 111 20854 2957 (301) 762-5020
KORNBLUTH, IRA Maryland Westminster 826 Washington Rd Suite 210 and 112 21157 5750 (443) 605-0500
KRONFLI, SAEED Maryland Takoma Park 7610 Carroll Ave SUITE 480 20912 6384 (301) 270-4360
Lazris, Andrew Maryland Columbia 6334 Cedar Ln Ste 103 21044 3898 (410) 531-2355
Levy, Mark Maryland Rockville 1201 Seven Locks Rd Ste 202 20854 2956 (301) 762-4636
Malinsky, Svetlana Maryland Berwyn Heights 6201 Greenbelt Rd Suite U12 20740 2354 (301) 474-1933
marks, steven Maryland Havre De Grace 456 Alliance St 21078 3559 (410) 939-3933
Marshall, Angela Maryland Silver Spring 2101 Medical Park Dr Suite 300E 20902 4053 (301) 754-2222
Oh, Yun Maryland Frederick 46B Thomas Johnson Dr 21702 5104 (301) 695-6777
PADDER, FEROZ Maryland Laurel 7350 Van Dusen Rd B 40 20707 5263 (240) 456-4772
Raffo, Christopher Maryland Germantown 19847 Century Blvd Suite 205 20874 0 (301) 515-0900
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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ZIP 5 CD 4 CD NUM PHONE EXT
Page 38 of 99
Reid, Thomas Maryland Baltimore 5601 Loch Raven Boulevard RMB 103 21239 2905 (443) 444-3991
Schultheiss, Howard Maryland Bel Air 437 S Main St 21014 3919 (410) 836-0131
Shockley, Tristan Maryland oxon hill 6188 oxon hill rd suite 100 20745 (301) 856-5860
Tidball, John Maryland California 23415 Three Notch Rd Suite 2054 Wildewood Center 20619 4017 (301) 737-7833
zirvi, khalid Maryland Laurel 7350 Van Dusen Rd Suite B40 20707 5263 (240) 456-4772
Alfano, Bart Massachusetts Framingham 655 Concord St 1702 6020 (508) 875-3926
Anchor, Jessica Massachusetts Agawam 230 Main St 1001 1838 (413) 789-6800
Andre, Paulo Massachusetts Framingham 463 Worcester Rd 1701 5356 (508) 879-5081
Arcand, Paul Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Arcoleo, James Massachusetts Greenfield 164 High St 1301 2613 (413) 774-2222
Armstrong, Kelly Massachusetts Springfield 305 Bicentennial Hwy 1118 1962 (413) 733-4101
Aronson, Scott Massachusetts Stoughton 909 Sumner St 2072 3396 (781) 344-1440
Auletta, Raymond Massachusetts West Springfield 271 Park Street 1089 (413) 785-1153
Avradopoulos, Konstantino Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Ayub, Zahra Massachusetts Framingham 463 Worcester Road Neurological Services P.C. 1701 (508) 879-6016 1
Balcom, William Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Batbouta, John Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
BELCASTRO, WILLIAM Massachusetts Springfield 299 Carew St SUITE 322 1104 2301 (413) 737-2371
Bessette, Robert Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Bhatnagar, Nitin Massachusetts Greenfield 164 High St 1301 2613 (413) 774-2222
BIELAWSKI, MARTIN Massachusetts Framingham 463 Worcester Rd SUITE 101 1701 5356 (508) 879-0888
Bishop, David Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Black, Robert Massachusetts Worcestor 630 Plantation St 1605 (508) 852-0600
Borowsky, Claude Massachusetts West Springfield 271 Park Street 1089 (413) 785-1153
Bregoli, Arthur Massachusetts Braintree 400 Washington St 2184 4729 (781) 849-7330
Burstein, Alan Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Candal, Eugenio Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Carswell, Brett Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Celentano, Mary Massachusetts Springfield 305 Bicentennial Hwy 1118 1962 (413) 733-4101
Chadbourne, David Massachusetts Springfield 100 Wason Ave Suite 240 1107 1114 (413) 746-4800
Cody, Irene Massachusetts Agawam 230 Main St 1001 1838 (413) 789-6800
Cohen, Joseph Massachusetts Worcester 630 Plantation St 1605 2038 (508) 425-5880
Cooper, Scott Massachusetts West Springfield 271Park Street 1089 1820 (413) 785-1153
Cournoyer, Russell Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Daines, Bradley Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
D'ALTON, JOSEPH Massachusetts Framingham 463 Worcester Rd SUITE 101 1701 5356 (508) 820-0469
Desantis, Franco Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Disciullo, Anthony Massachusetts WATERTOWN ONE ARSENAL MARKETPLACE 2472 5018 (617) 354-5452
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 39 of 99
Dobecki, Glenn Massachusetts South Weymouth 571 Main St 2190 1843 (781) 335-5791
Donhowe, Steven Massachusetts Worcester 123 Summer Street 1608 (508) 368-3150
Elkadry, Eman Massachusetts Watertown One Arsenal Marketplace 2472 5018 (617) 354-5452
Farb, Perry Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Farmer, Mary Jo Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Fehr, Martha Massachusetts Worcester 630 Plantation St 1605 1312 (508) 852-0600
Fillipon, Nicholas Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
FRANK, JAMES Massachusetts Chicopee 444 Montgomery St 1020 1997 (413) 594-3111
Freed, Michael Massachusetts Norwood 800 Washington Street Linden Building, First Floor 2062 6615 (781) 769-4640 124
Fridman, Ludmila Massachusetts Framingham 463 Worcester Rd Suite 101 Neurological Services P.C 1701 (508) 872-0360
Friedberg, Marc Massachusetts Norwood 800 Washington Street Linden Building - First Floor 2062 6615 (781) 769-4640
Gartman, Thomas Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
GERCHBERG, ROLF Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Goldman, Yaron Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Guevara, Pablo Massachusetts Cambridge 300 Mount Auburn St Suite 305 2138 5600 (617) 354-1002
Gulleth, Yusuf Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Gurewich, Victor Massachusetts Cambridge 300 Mount Auburn St 305 2138 5600 (617) 661-0567
HAINES, JAMES Massachusetts Springfield 299 Carew St SUITE 322 1104 2301 (413) 737-2371
Haller, Spencer Massachusetts Wilbraham 70 Post Office Park 1095 1290 (413) 598-7770
Halprin, Elizabeth Massachusetts Boston 1 Joslin Pl 2215 5306 (617) 732-2695
Hamdy, Osama Massachusetts Boston 1 Joslin Pl 2215 5306 (617) 732-2400
Hanaway, Katherine Massachusetts Watertown One Arsenal Marketplace 2472 5018 (617) 354-5452
Haney-Tilton, Jo-Ann Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Hannan, Joseph Massachusetts Worcester 123 Summer St 1608 1216 (508) 368-3130
Harizi, Robert Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Herzlinger Botein, Susan Massachusetts Boston Joslin Diabetes Center 1 Joslin Place 2215 5306 (617) 309-2400
Hill, Donald Massachusetts Dracut 91 mill st suite 6 1826 (978) 957-4750
Hirschkorn, Mark Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Hosey, John Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Hota, Lekha Massachusetts Watertown One Arsenal Marketplace 2472 5018 (617) 354-5452
Hryniewich, Mark Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Hsu, William Massachusetts Boston 1 Joslin Pl 2215 5306 (617) 309-2400
Jackson, Alan Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Josephs, Leon Massachusetts Worcester 123 Summer Street 1608 (508) 368-3190
Kassis, Mark Massachusetts Westfield 395 Southampton Rd 1085 1324 (413) 533-2900
Keilson, Gary Massachusetts Worcester 630 Plantation St 1605 1312 (508) 852-0600
kelemen, robert Massachusetts waltham 20 hope avenue suite 102 2453 (781) 899-9622
Kelfer, Michael Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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ZIP 5 CD 4 CD NUM PHONE EXT
Page 40 of 99
Kim, David Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Kirkpatrick, Joseph Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Krasner, Jay Massachusetts Sudbury 111 Boston Post Rd Suite 107 1776 (978) 443-8010
Kuftinec, Daneil Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Kumar, Deepti Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Kwa, Sew-Leong Massachusetts Framingham 115 Lincoln St 1702 6358 (508) 383-1525
Laidlaw, Douglas Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Le, Trung Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Louie, Jane Massachusetts Framingham 463 Worcester Rd Suite 101 1701 5356 (508) 879-1911
Mahanor, Elizabeth Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Martin, Kevin Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Martin, Suzanne Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Martone, Catharine Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
McRae, Simon Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Mick, Charles Andrew Massachusetts West Springfield 271 Park Street 1089 (413) 785-1153
Mitzner, Lyle Massachusetts Boston 1 Joslin Pl The Joslin Clinic 2215 5306 (617) 732-2476
Montague, Shahnaz Massachusetts Framingham 3 Franklin Commons 1702 6619 (508) 872-9151
Moore, David Massachusetts Framingham 1094 Worcester Rd 1702 5255 (508) 879-2550
Mujalli, Samir Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Mullins, Thomas Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Munoz, Myria Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Najjar, John Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Noroian, Gary Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Paasch, Ronald Massachusetts West Springfield 271 Park St 1089 3311 (413) 785-1153
Pacifico, Luigi Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Papper, Michael Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Patel, Mahesh Massachusetts Beverly 75 Herrick St Suite 105 1915 5900 (978) 927-6556
Pezzella, Stephen Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Piel, Alfred Massachusetts Springfield 305 Bicentennial Hwy 1118 1962 (413) 733-4101
Platt, John Massachusetts Auburn 35 Millbury St 1501 (508) 852-0600
Pollitt, Robert Massachusetts Auburn 250 Hampton St 1501 2584 (508) 753-2060
Potter, Michael Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Ramsaran, Eddison Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Rankin, John Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 789-8010
Rapose, Alwyn Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Reed, John Massachusetts Worcester 6 1605 (508) 852-0600
Rivera, Anthony Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Rosenblatt, Peter Massachusetts Watertown One Arsenal Marketplace 2472 5018 (617) 354-5452
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Page 41 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Rosiello, Richard Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Samuels, Steven Massachusetts Chicopee 444 Montgomery St 1020 1997 (413) 594-3111
SCHAFFER, BRADLEY Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Schrank, Mark Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Schumacher, James Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Schuster, Erin Massachusetts West Springfield 271 Park St 1089 3311 (413) 785-1153
Sehic, Elmir Massachusetts Dennis 501 Main Street 2638 (508) 385-4800
Shah, Aparna Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Shah, Neeta Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Shaikh, Habib Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Shain, Anne Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Sharma, Sandeep Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Sheth, Nirav Massachusetts Holyoke 8 Isabella St 1040 2229 (413) 534-1800
Singh, Harveen Massachusetts Framingham 463 Worcester Rd Suite 104 1701 5356 (508) 270-6334
Sommer, David Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Sousa, Carl Massachusetts Medway 74 Main Street 2053 (508) 533-2140
Stanton, Robert Massachusetts Boston 1 Joslin Pl 2215 5306 (617) 732-2477
Steigman, Daniel Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Stoker, Mark Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Sutaria, Dhiren Massachusetts stoneham 3 Woodland rd ste 213 2180 1711 (781) 662-7990
Szumowski, Andrew Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Taylor, Jonathan Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Thau, Warren Massachusetts Springfield 305 Bicentennial Hwy 1118 1962 (413) 733-4101
Warren, Ronald Massachusetts Norwood 800 Washington Street Linden Building, First Floor 2062 6615 (781) 769-4640 124
Weiswasser, Daniel Massachusetts Agawam 230 Main St 1001 1838 (413) 789-8010
Weston, Charles Massachusetts Agawam 230 Main St 1001 1838 (413) 789-8010
Williams, Alice Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Williams, Gregory Massachusetts Worcester 630 Plantation St 1605 (508) 852-0600
Winston, Eileen Massachusetts Framingham 61 Lincoln St Suite 203 1702 8264 (508) 879-7734
Woods, Michael Massachusetts West Springfield 271 Park Street Pioneer Spine & Sports 1089 (413) 785-1153
Yu, Zhongmo Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Yuil, Gabriel Massachusetts Lawrence 37 Cedar St 1841 3501 (978) 682-3233
Zaslavsky, Lina Massachusetts Framingham 463 Worcester Rd SUITE 101 1701 5356 (508) 620-9350
Zimmerman, John Massachusetts Chicopee 444 Montgomery St 1020 1969 (413) 594-3111
Alavalapati, Rama Michigan Warren 11900 Twelve Mile Road Suite 200 48093 (586) 558-9033
Anton, Salwan Michigan Livonia 37799 Professional Center Dr Suite 105 48154 1153 (734) 464-3251 221
Aqeel, Ahmed Michigan Kalamazoo 521 E Michigan Ave Suite 201 49007 3889 (269) 349-6759
Atallah, Steve Michigan Dearborn Heights 8550 N Silvery Ln Suite 200 48127 4510 (313) 561-2990
Renal Section, Joslin Diabetes
Center
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Page 42 of 99
Autrey, Bret Michigan Ludington 7 N Atkinson Dr Suite 112 49431 1953 (231) 843-3717
Barber, Mark Michigan Interlochen 1975 Stirling Dr 49643 9264 (231) 275-7965
Barkway, Laurie Michigan Tecumseh 6869 Occidental Hwy PO BOX 130 49286 (517) 423-6803
Beal, Christopher Michigan Saint Johns 110 W Higham St 48879 1559 (989) 224-0646
Belen, Jack Michigan Commerce Township 1 William Carls Dr 48382 2201 (248) 937-3395
Bhatt, Aash Michigan Kalamazoo 521 E Michigan Ave Suite 201 49007 3889 (269) 349-6759
BRUNO, JOSEPH Michigan Kalamazoo 6010 Gull Rd 49048 9452 (269) 385-4671 22
Carlson, Robert Michigan Hastings 1375 W Green St Suite 1 49058 1718 (269) 945-7497
Castillo, Jane Michigan Bridgeport 6614 Dixie Hwy 48722 9623 (989) 583-0145
Cornfield, Alan Michigan Royal Oak 1026 S Washington Ave 48067 3218 (248) 541-4311
DALAL, SANJAY Michigan Kalamazoo 521 E Michigan Ave SUITE 201 49007 3889 (269) 349-6759
DeAngelis, Christopher Michigan Woodhaven 25000 Hall Rd Ste 1 48183 5112 (734) 676-3373
Dedicatoria, Rodames Michigan Saginaw 3424 Davenport Ave 48602 3365 (989) 790-0100
Dedicatoria, Virginia Michigan Saginaw 3424 Davenport Ave 48602 3365 (989) 790-0100
Deyoung, Roger Michigan Muskegon 561 Seminole Rd 49444 3719 (231) 733-1111
ELKUS, ROBIN Michigan Clarkston 5701 BOW POINTE DR STE 365 48346 2981 (248) 922-9283
Gadowski, Raymond Michigan Livonia 37799 Professional Center Dr Suite 105 48154 1153 (734) 464-3251 221
Garber, Matthew Michigan Hastings 1375 W Green St Suite 49058 1718 (269) 945-7497
Gibson, James Michigan Waterford 5784 Highland Rd 48327 1876 (248) 673-6667
Griffiths, Glenn Michigan Benzonia 6227 Frankfort Hwy 49616 (231) 882-9661
Grodman, Robert Michigan Livonia 37799 Professional Center Dr Suite 105 48154 1153 (734) 464-3251 221
Guettler, Joseph Michigan Bingham Farms 24255 W 13 Mile Rd Suite 100 48025 4320 (248) 988-8085
HAASE, KRIS Michigan WATERFORD 7116 HIGHLAND RD 48327 1503 (248) 666-8807
Haverbush, Thomas Michigan Alma 315 E Warwick Dr Suite A 48801 1083 (989) 463-6092
Jain, Jitender Michigan Roseville 25959 Kelly Rd Ste A 48066 4991 (586) 774-9010
Jarema, Beverly Michigan Saginaw 5481 Colony Dr N 48638 7189 (989) 249-6779
JOHNSON, AMOS Michigan Southfield 26206 W 12 Mile Rd SUITE #200 48034 1754 (248) 827-4322
Jupin, Michelle Michigan Ferndale 641 W 9 Mile Rd 48220 1779 (248) 548-7363
Lefkowitz, Harvey Michigan Ferndale 641 W 9 Mile Rd Ste A 48220 1779 (248) 548-7363
Mahoney, Gerard Michigan Frankfort 826 Forest Ave 49635 (231) 352-5285
Manohar, Prerana Michigan Grand Rapids 5043 Cascade Rd SE 49546 3724 (616) 719-5939
Manring, Peter Michigan Kalamazoo 521 E Michigan Ave Suite 201 49007 3889 (269) 226-2656
marcarian, gregory Michigan Dearborn Heights 8550 N Silvery Ln ste. b200 48127 4510 (313) 563-2288
Marcarian, heront Michigan Dearborn Heights 8550 N Silvery Ln 48127 4510 (313) 563-2288
marcarian, matthew Michigan Dearborn Heights 8550 N Silvery Ln suite b200 48127 4510 (313) 563-2288
Marshick, Jeff Michigan ROCHESTER HILLS 441 S LIVERNOIS STE 180 48307 2217 (248) 652-2708
MAXWELL, DANIEL Michigan Clarkston 5701 BOW POINTE DR STE 365 48346 2981 (248) 922-9283
Mouli, Padmaja Michigan Adrian 755 High St 49221 1442 (517) 265-2175
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Mukherjee, Ranajit Michigan Dearborn 22260 Garrison St 48124 2208 (313) 562-9128
Nielsen, Richard Michigan Benzonia 6227 Frankfort Hwy 49616 9654 (231) 882-9661
OConnor, Mary Michigan ROCHESTER HILLS 441 S LIVERNOIS STE 180 48307 (248) 652-2708
OO, THAN Michigan Kalamazoo 521 E Michigan Ave SUITE 201 49007 3889 (269) 349-6759
Page, Mathew Michigan Jackson 2797 Spring Arbor Rd Suite A 49203 3605 (517) 784-0900
Park, Joon Michigan Kalamazoo 521 E Michigan Ave Suite 201 49007 3889 (269) 226-2656
Patel, Veera Michigan Three Rivers 1021 Hill St Suite 100 49093 2745 (269) 273-8511
Perry, Brian Michigan Saginaw 2551 McLeod Dr S 48604 2827 (989) 799-8620
Piper, Travis Michigan Muskegon 561 Seminole Rd 49444 3719 (231) 733-1111
QURESHI, AHSAN Michigan Kalamazoo 521 E Michigan Ave SUITE 201 49007 3889 (269) 349-6759
Reagle, Robert Michigan Rochester Hills 441 S Livernois Rd Suite 180 48307 2584 (248) 652-2708
Ryckman, George Michigan Benzonia 6227 Frankfort Hwy 49616 9654 (231) 882-9661
Sandhu, Pritpal Michigan Trenton 3851 West Rd Suite 2 48183 2350 (734) 675-5100
Scharf, Keith Michigan Saginaw 2551 McLeod Dr S 48604 2827 (989) 799-8620
Shelle, Dennis Michigan Tecumseh 6869 Occidental Hwy PO BOX 130 49286 (517) 423-6803
Sherman, Ronald Michigan Rochester Hills 441 S Livernois Ste 180 48307 (218) 652-2708
Sidhu, Prince Michigan Kalamazoo 521 E Michigan Ave SUITE 201 49007 3889 (269) 349-6759
SIMECEK, SCOTT Michigan Clarkston 5701 BOW POINTE DR STE 365 48346 2981 (248) 922-9283
ST LAURENT, ELIEZER Michigan Farmington 23607 Farmington Rd 48336 3109 (248) 474-5215
Stevens, Tommy Michigan Burton 2298 S Center Rd 48519 1166 (810) 742-2544
Turner, Geoffrey Michigan Benzonia 6227 Frankfort Hwy 49616 9654 (231) 882-9661
Uzansky, Mark Michigan Livonia 14555 LeVan Rd Suite 206 48154 5083 (734) 953-0990
VanderLaan, Ronald Michigan Grand Rapids 1900 Wealthy St SE Suite 380 49506 2969 (616) 717-5141
Wasfie, Tarik Michigan Flint 1127 Villa Linde Ct 48532 3410 (810) 720-2710
WRIGHT, HOWARD Michigan Dearborn 3133 S Telegraph Rd 48124 3472 (313) 565-6566
Cheesebro, John Minnesota Plymouth 2805 Campus Dr Ste 225 55441 2678 (763) 383-8808
DesForge, Andrea Minnesota Saint Cloud 1200 6th Ave N 56303 2735 (320) 252-5131
Dupont, Stefan Minnesota Rochester 200 1st St SW 55905 1 (216) 636-7430
Ecker, Phillip Minnesota Plymouth 2805 Campus Dr Suite 255 55441 2676 (612) 486-4200
Neitzke, Timothy Minnesota Perham 340 Fox St PO Box 18 56573 (218) 346-3310
Schwochau, Gary Minnesota St Paul 360 Sherman St. Suite 250 55102 (651) 772-6251
Walz, Cara Minnesota St Paul 360 Sherman St Suite 250 55102 (651) 772-6251
Warden, David Minnesota St Paul 360 Sherman Street Suite 250 55102 2594 (651) 772-6251
Bethala, Yashashree Mississippi Biloxi 147 Reynoir Street Suite 101 39530 (228) 374-2051
Cheney, Bennett Mississippi Biloxi 147 Reynoir Street Suite 101 39530 (228) 374-2051
Colville, Amber Mississippi Ocean Springs 11 Doctors Dr 39564 5709 (228) 875-0806 3011
Daily, Patrick Mississippi Jackson 1421 N State St Suite 403 39202 1658 (601) 353-9900
Goldstein, Lawrence Mississippi Jackson 501 Marshall St Ste 400 39202 (601) 354-0869
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Jones, Virginia Mississippi Jackson 501 Marshall St Ste 400 39202 (601) 354-0869
KUMAR, VINAY Mississippi Laurel 216 S 13th Ave 39440 4226 (601) 426-2008
Miller, George Mississippi Grenada 1300 Sunset Dr Ste R 38901 4084 (662) 226-7540
Mills, Regina Mississippi Biloxi 147 Reynoir Street Suite 101 39530 (228) 374-2051
Missak, Mary Mississippi Southaven 7680 Airways Blvd 38671 5304 (662) 349-1999
Motakhaveri, Gholam Mississippi Biloxi 147 Reynoir Street Suite 101 39530 (228) 374-2051
Riddell, Mal Mississippi Grenada 1300 Sunset Dr Suite B 38901 4086 (662) 226-6430
Roberts, James Mississippi Brookhaven 439 N Jackson St Ste D 39601 2912 (601) 833-2222
Smith, David Mississippi Summit 7900 Highway 570 39666 7563 (601) 684-7771
Stokley, Charles Mississippi Waynesboro 940 Matthew Drive Suite 2 39367 (601) 671-8555
Striegel, William Mississippi Ocean Springs 11 Doctors Dr 39564 5709 (228) 875-0806 3011
Tynes, Marshall Mississippi Waynesboro 940 Matthew Drive Suite 2 39367 (601) 671-8555
Wainwright, Marion Mississippi Biloxi 147 Reynoir St Ste 101 39530 (228) 374-2051
Wassef, Magdi Mississippi Southaven 7680 Airways Blvd 38671 5304 (662) 349-1999
Wells, Forrest Mississippi Ocean Springs 4509 Gibson Rd 39564 6026 (228) 872-3993
Wiley, Thomas Mississippi Jackson 501 Marshall St Ste 400 39202 (601) 354-0869
Wooley, John Mississippi Jackson 501 Marshall Street Suite 400 39202 (601) 354-0869
Barnes, Bryan Missouri Joplin 1002 Mc Intosh Cir Ste 6 64804 3642 (417) 781-0250
Boberg, Jeffrey Missouri Bridgeton 12255 De Paul Dr Ste 100 63044 2510 (314) 739-7100
Brawner, James Missouri Branson 545 Branson Landing Blvd Ste 410 65616 (417) 335-3636
De Santis, Pascual Missouri Saint Louis 4921 Parkview Pl 63110 1032 (216) 636-7376
Eichmann, Milton Missouri Poplar Bluff 2530 Lucy Lee Pkwy Ste 1 63901 2436 (573) 686-7575
Johnson, Mark Missouri West Plains 1566 Imperial Center 65775 1818 (417) 256-6536
KEVORKIAN, RAFI Missouri Saint Louis 522 N. NEW BALLAS ROAD SUITE317 63141 (636) 634-5865
lu, mei Missouri Saint Louis 3635 Vista Ave 63110 2539 (216) 636-7430
Mertensmeyer, Erich Missouri Osage Beach 5780 Highway 54 Suite 113 65065 3046 (573) 348-2775
Mundhenke, Dean Missouri Independence 4911 S Arrowhead Dr Suite 101 64055 7005 (816) 373-3006
Osdyke, Robert Missouri Ballwin 15421 Clayton Rd Suite G1 63011 3161 (636) 207-0444
Stapleton, Angela Missouri Kansas City 9784 N Ash Ave 64157 9742 (816) 781-4244
Trimble, Christopher Missouri Kansas City 9784 N Ash Ave 64157 9742 (816) 781-4244
Walker, James Missouri Kansas City 9784 N Ash Ave 64157 9742 (816) 781-4244
WILLIAMS, JAMES Missouri Chesterfield 232 South Woods Mill Road Ste 400 East 63017 3417 (314) 205-6503
Zevallos, Julia Missouri FESTUS 1400 HWY 61 STE 230 63028 (636) 931-6090
Hanson, Peter Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
Heetderks, David Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
Hunter, Mason Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
Iverson, Boyd Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
Michelotti, John Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
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Page 45 of 99
Weinert, Allen Montana Helena 2442 Winne Ave Ste 1 59601 4915 (406) 457-4100
Goldsmith, Jon Nebraska Omaha 1411 N 72nd St Suite 1 68114 1900 (402) 933-8540
Little, Jonathan Nebraska Bellevue 1313 Harlan Dr. 68005 (402) 291-3123
Naegele, Robert Nebraska Papillion 555 Fortune Dr 68046 3421 (402) 502-3600
Novotny, Nila Nebraska Columbus 4508 38th St Suite #152 68601 1668 (402) 563-4500
Weeks, William Nebraska Omaha 8258 Hascall St Suite 100 68124 3248 (402) 391-3010 113
Woodruff, Mark Nebraska Omaha 8258 Hascall St Suite 100 68124 3248 (402) 391-3010 113
Ang-Ermocilla, Beatriz Nevada Las Vegas 3121 South Maryland Parkway Suite 101 89109 (702) 320-3627
Antuna, Fulgencio Nevada Henderson 100 N Green Valley Pkwy Suite 220 89074 6391 (702) 944-3627
Charniga, Teresa Nevada Las Vegas 3121 S Maryland Pkwy Ste 101 89109 2307 (702) 320-3627
Chen, Victor Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
DiPalma, Joseph Nevada Las Vegas 3121 S Maryland Pkwy Ste 101 89109 2307 (702) 320-3627
Gao, Hong Nevada Carson City 1385 Vista Ln 89703 4643 (775) 884-4567
GONG, RODNEY Nevada Las Vegas 2016 Spring Rose St 89134 6640 (702) 838-4000
Gray, John Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
Harper, Phillip Nevada Carson City 1385 Vista Ln 89703 4643 (775) 884-4567
Harrison, Clark Nevada Reno 880 Ryland St 89502 1603 (775) 329-4600 4547
JAIN, RANJIT Nevada Las Vegas 700 Shadow Ln 430 89106 4126 (702) 384-0500
Kamler, Jan Nevada Reno 880 Ryland St 89502 1603 (775) 329-4600 4526
Kaufman, Joseph Nevada Las Vegas 3121 South Maryland Parkway Suite 101 89109 2307 (702) 320-3627
Kaveh, Sassan Nevada Las Vegas 3150 N Tenaya Way Suite #690 89128 443 (702) 233-6661
Kubal, Vipul Nevada Las Vegas 3121 S Maryland Pkwy Suite 101 89109 2307 (702) 320-3627
Lieberstein, Loth Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
Lynch, Christopher Nevada Carson City 1385 Vista Ln 89703 4643 (775) 884-4567
Matteoni, Christi Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
McAfee, John Nevada Carson City 1385 Vista Ln 89703 4643 (775) 884-4567 4526
McBeath, Jo Nevada Las Vegas 3121 S Maryland Pkwy Ste 216 89109 (702) 320-3852
Mike, Sheldon Nevada Henderson 100 N Green Valley Pkwy Ste 220 89074 6391 (702) 944-3627
Molin, Clifford Nevada Las Vegas 2481 Professional Ct Suite 190 89128 478 (702) 382-1599
Nachiondo, James Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
Nason, Daniel Nevada Reno 880 Ryland St 89502 1603 (775) 329-4600 4526
Osgard, Eric Nevada Reno 880 Ryland St 89502 1603 (775) 329-4600
Pasternak, Andrew Nevada Reno 10467 Double R Blvd 89521 8905 (775) 853-9394
Pezanoski, Jonathan Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
Prince, Patricia Nevada Las Vegas 3150 N Tenaya Way Ste 600 89128 (702) 869-9200
Reddy, Atigadda Nevada Reno 10619 Professional Cir 89521 5831 (775) 852-4848
Sande, Craig Nevada Reno 880 Ryland St 89502 1603 (775) 329-4600 4526
Solinger, Michael Nevada Carson City 1385 Vista Ln 89703 4643 (775) 388-4456 4526
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Page 46 of 99
SPARKUHL, ALEXANDER Nevada Las Vegas 700 Shadow Ln 430 89106 4126 (702) 384-0500
Viner, Mark Nevada Sparks 145 Isidor Ct Suite A 89441 6304 (775) 772-6015
Westling, Chester Nevada Las Vegas 3121 South Maryland Parkway Suite 101 89109 2307 (702) 320-3627
Alvarez, Consuelo New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Botsford, Daniel New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Chase, Elizabeth New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Chopra, Manish New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
cunniff, joseph New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Dalton, Edward New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Elgert, Stephen New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
EMMICK, GUS New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Fenton, Randall New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Ferlan, Mark New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Fier, Carl New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Garstka, Alan New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
GOLDMAN, SAMUEL New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Gottfredsen, Lea New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Hickle, Patrick New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Igari, Yuki New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Jablonka, Marcio New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Kasiyan, Vasyl New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Kehas, David New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Lammers, Keith New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Lavery, Robert New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Mack, Jonathan New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Mellish, Todd New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Mitsopoulos, Spiros New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Newcott, Edward New Hampshire Concord 102 Pleasant St 3301 3831 (603) 228-3008
Pasha, Muhammad New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
piscopo, mark New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Ponn, Teresa New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Poremba, John New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Sartori, Jennifer New Hampshire Portsmouth 14 Manchester Sq Ste 250 3801 8001 (603) 431-6070
SCHWARTZ, STEVEN New Hampshire Manchester 1070 Holt Ave SUITE 2200 3109 5603 (603) 663-5766
Shahin, Khalil New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Simon, Peggy New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
sole, mary-lee New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Tedesco, Richard New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
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Page 47 of 99
Thies, Robert New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
WISE, JENNIFER New Hampshire Manchester 1070 Holt Ave SUITE 2200 3109 5603 (603) 663-5766
Zhu, Tong New Hampshire Manchester 1070 Holt Ave Suite 2200 3109 5603 (603) 663-5766
Allegra, Donald New Jersey Hillsborough 105 Raider Blvd 8844 (908) 281-0221
Arbes, Spiros New Jersey Eatontown 6 Industrial Way West 7724 (732) 460-1200
Ashinsky, Douglas New Jersey Warren 31 Mountain Blvd Bldg J 7059 5646 (908) 685-2505
Balsama, Louis New Jersey Sewell 338 Hurffville Crosskeys Rd 8080 9202 (856) 589-0600
BASKIES, ARNOLD New Jersey Willingboro 1000 Salem Rd Suite A 8046 2852 (609) 877-1737
Bass, Alan New Jersey Manalapan 98 Craig Rd Suite 102 7726 8787 (732) 866-4411
Bellifemine, Morris New Jersey Union City 409 39th St 7087 (201) 867-5760
Berg, David New Jersey Cherry Hill 2201 Chapel Ave West, Suite #100 Surgical Specialists of NJ 8002 (856) 665-2017
Bhalla, Rohit New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
Blakeslee, Christopher New Jersey Jackson 100 W Veterans Hwy Suite 11 8527 3435 (732) 833-6888
BOYNTON, CHRISTOPHER New Jersey Lumberton 668 Main St STE 4 8048 5016 (609) 267-7050
BUTLER, CHARLES New Jersey Voorhees 502 Centennial Blvd Suite 7 8043 9544 (856) 596-7440
CAGGIA, JOSEPHINE New Jersey Roselle Park 744 Galloping Hill Rd 7204 1700 (908) 241-0044
Cantor, William New Jersey Emerson 452 Old Hook Rd 7630 1381 (201) 666-3900
Cohen, Howard New Jersey East Windsor 569 Abbington Dr 8520 5800 (609) 448-7465
COHEN, LARRY New Jersey Cherry Hill 2201 Chapel Ave W SUITE 100 8002 2048 (856) 374-1400
Cruz, Dionisio New Jersey Brick 150 Brick Blvd Suite A 8723 7125 (732) 451-0063 303
Curreri, Peter New Jersey Merchantville 124 Lexington Ave 8109 2031 (856) 663-1121
Daud-Ahmad, Sameera New Jersey Emerson 452 Old Hook Rd 2nd Floor 7630 1381 (201) 666-3900
Dave, Dhiren New Jersey Somerville 72 West End Avenue 8876 (908) 927-0300
Deitch, Steven New Jersey Red Bank 130 Maple Avenue Suite 3B 7701 (732) 747-2111
Dewaters, Alison New Jersey Howell 4645 Hwy 9 7731 3324 (732) 905-1110
DOMBROWSKI, MARK New Jersey Emerson 452 Old Hook Rd 7630 1381 (201) 666-3900 204
Dounis, Harry New Jersey Brick 150 Brick Blvd Suite A 8723 7182 (732) 451-0063
dribbon, steven New Jersey Highland Park 503 Raritan Ave 8904 2901 (732) 572-0020
Empaynado, Edwin New Jersey Voorhees 502 Centennial Blvd Suite 5 8043 9544 (856) 429-8030
Fischer, Joel New Jersey Somerville 72 W End Ave 8876 1824 (908) 927-0300
Fisher, Frederick New Jersey Voorhees 502 Centennial Blvd Suite 7 8043 9544 (856) 596-7440
Fost, Arthur New Jersey Verona 197 Bloomfield Ave 7044 2702 (973) 857-0330
Fost, David New Jersey Verona 197 Bloomfield Ave 7044 2702 (973) 857-0330
Garcia, Maria New Jersey Metuchen 561 Middlesex Ave 8840 1829 (732) 549-9363
GARDINE, ROBERT New Jersey Voorhees 502 Centennial Blvd Suite 5 8043 9544 (856) 429-8030
GLAUBIGER, CAROL New Jersey Emerson 452 Old Hook Rd 7630 1381 (201) 666-3900 204
GOLD, EDWARD New Jersey Emerson 452 Old Hook Rd Second floor 7630 1381 (201) 666-3900
GOLDSTEIN, ADAM New Jersey Voorhees 502 Centennial Blvd Suite 7 8043 9544 (856) 596-7440
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GOLDSTEIN, DAVID New Jersey Emerson 452 Old Hook Rd 7630 1381 (201) 666-3900 204
Goler, Scott New Jersey Lodi 1 S Main St Ste 4 7644 2235 (973) 779-7400
GRABIAK, THOMAS New Jersey Voorhees 502 Centennial Blvd Suite 7 8043 9544 (856) 596-7440
GREENBAUM, DAVID New Jersey Willingboro 1000 Salem Rd SUITE A 8046 2852 (609) 877-1737
Guiliana, John New Jersey Hackettstown 488 Schooleys Mountain Rd Hastings Commons 1B 7840 4001 (908) 852-0229
Gujral, Varun New Jersey Edison 2163 Oak Tree Rd Edison 8820 1001 (732) 662-3050
Haber, Glenn New Jersey Englewood 140 Grand Ave 7631 6581 (201) 569-0212
HAGER, JEFFREY New Jersey Manahawkin 1100 Route 72 W 8050 2468 (609) 978-0778
Haratz, Alan New Jersey Eatontown 6 Industrial Way West 7724 (732) 460-1200
Harmon, Keith New Jersey Somerville 72 W End Ave 8876 1824 (908) 927-0300
Haspel, Marc New Jersey Clifton 1100 Clifton Ave 7013 3631 (973) 777-4650
Herman, David New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
Hirsh, Ellen New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
hoinkis, odessa New Jersey Oradell 680 Kinderkamack Rd suite 205 7649 1600 (201) 262-0608
HOLADAY, WILLIAM New Jersey Willingboro 1000 Salem Rd Suite A 8046 2852 (609) 877-1737
HUGHES, CHARLES New Jersey Lumberton 668 Main St STE 4 8048 5016 (609) 267-7050
Huq, Muhammed New Jersey Brick 150 Brick Blvd Suite A 8723 7125 (732) 451-0063 303
Ibrahim, Ehab New Jersey Hackensack 52 1st St 7601 2044 (201) 342-0066
Imbesi, John New Jersey Glen Ridge 123 Highland Ave Suite 103 7028 (973) 429-8800
IRWIN, EYTAN New Jersey Voorhees 502 Centennial Blvd Suite 5 8043 9544 (856) 429-8030
Jacowitz, Joel New Jersey Emerson 452 Old Hook Rd 7630 1381 (201) 666-3900 204
Jasani, Anita New Jersey Metuchen 561 Middlesex Ave 8840 1829 (732) 549-9363
Kenny, Raymond New Jersey Glen Ridge 123 Highland Ave Suite 103 7028 1527 (973) 429-8800
Kothari, Grace New Jersey Somerset 1323 Highway 27 8873 (732) 828-1561
Krohn, Douglas New Jersey Piscataway 24 Stelton Rd Suite A 8854 2638 (732) 424-0440
Kupferberg, Stephen New Jersey Toms River 500 Lakehurst Rd 8755 8021 (732) 914-2233
Kurnik, Brenda New Jersey Marlton 769 E Route 70 Building C-125 8053 2341 (856) 988-8064
Langley, Jasen New Jersey Howell 4645 Hwy 9 North 7731 3354 (732) 905-1110
Leichter, Richard New Jersey Red Bank 130 Maple Ave Suite 3B Courts of Red Bank 7701 1734 (732) 747-2111
Levinson, Franklin New Jersey North Bergen 9234 Kennedy Blvd 7047 5312 (201) 868-2400
LEVY, STEVEN New Jersey Oradell 297 Kinderkamack Rd 7649 1538 (201) 261-7407
Lipper, Jeffrey New Jersey Manahawkin 1364 Route 72 W 8050 2485 (609) 597-3416
Lowry, Steven New Jersey Williamstown 220 East Pine Street 8094 1137 (856) 629-7436
Masud, Avais New Jersey Brick 150 Brick Blvd Suite A 8723 (732) 451-0063 303
McAnespey, Donna New Jersey Marlton 73 N Maple Ave Suite A 8053 1782 (856) 810-0444
Mcmanus, Edward New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
MEER, SHAHID New Jersey Trenton 1601 Whitehorse Mercerville Rd SUITE 4 8619 (609) 890-1050
MIDDLETON, JOHN New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
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Page 49 of 99
Mike, Joseph New Jersey Woodbury 17 W Red Bank Ave Suite 203 8096 1630 (856) 848-8242
MILLER, ERIC New Jersey Lumberton 668 Main St STE 4 8048 5016 (609) 267-7050
MORANDI, MICHELE New Jersey ROSELLE PARK 744 GALLOPNG HILL ROAD 7204 4837 (908) 241-0044
MUKALIAN, GREGORY New Jersey Lumberton 1561 Route 38 Suite 6 8048 2939 (609) 784-6373
Mulford, Gregory New Jersey Morristown 95 Mount Kemble Ave Thebaud Building, Fourth Floor 7960 5155 (973) 267-2293 115
Mullen, Barry New Jersey Hackettstown 488 Schooleys Mountain Rd Hastings Commons 1B 7840 4001 (908) 852-0229
Nahass, Ronald New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
NEFF, MARC New Jersey Cherry Hill 2201 Chapel Ave W SUITE 100 8002 2048 (856) 374-1400
Nesheiwat, Fawaz New Jersey Hackettstown 488 Schooleys Mountain Rd Hastings Commons 1B 7840 4001 (908) 852-0229
Nivera, Noel New Jersey Eatontown 6 Industrial Way West 7724 (732) 460-1200
Oliveros, Kelly New Jersey Livingston 349 East Northfield Road 7039 (973) 992-9214
PANARIELLO, ANTHONY New Jersey Jersey City 203 Palisade Ave 7306 1112 (201) 653-5722
PATEL, PULIN New Jersey Edison 1740 Oak Tree Rd 8820 2847 (732) 494-1445
patricelli, john New Jersey Salem 1 Pointers Auburn Rd 8079 4311 (856) 935-2424
Pecoraro, Michael New Jersey Brick 450 Jack Martin Blvd 8724 7733 (732) 206-1000
PENROD, CAREY New Jersey Manahawkin 1100 Route 72 W Suite 201 8050 2468 (609) 978-0778
PILLA, TIMOTHY New Jersey Woodbury 17 W Red Bank Ave Suite 203 8096 1630 (856) 848-8242
Pisciotta, Anthony New Jersey Morristown 95 Mount Kemble Ave Thebaud Building, Fourth Floor 7960 5155 (973) 267-2293
Pusterla, Thomas New Jersey Chester 245 Main St Suite 112 7930 2569 (908) 879-2818
Ramaswamy, Kumaraswamy New Jersey Watchung 210 Mountain Blvd 7069 (908) 757-1000
Ramos, Fausto New Jersey Perth Amboy 609 Amboy Ave 8861 2577 (732) 442-6444
Rana, Nareshkumar New Jersey Bloomfield 733 Bloomfield Ave 7003 2545 (973) 743-7707
Rao, Rajesh New Jersey Morristown 95 Mount Kemble Ave Thebaud Building, Fourth Floor 7960 5155 (973) 267-2293 115
ROSNER, STEVEN New Jersey Emerson 452 Old Hook Rd second floor 7630 1381 (201) 666-3900 204
Rossy, William New Jersey Metuchen 561 Middlesex Ave 8840 1829 (732) 549-9363
ROUGH, WILLIAM New Jersey Lumberton 668 Main St STE 4 8048 5016 (609) 267-7050
SANTOS-MIRANDA, CHONA New Jersey Egg Harbor City 204 Philadelphia Ave 8215 (609) 965-5700
Sasso, Michael New Jersey Sewell 338 Hurffville Crosskeys Rd 8080 9202 (856) 589-0600
Scalia, Joseph New Jersey Raritan 901 US HWY 202 8869 (908) 253-6640
Schulhafer, Karen New Jersey Linden 35 Gesner St 7036 4041 (908) 925-1444
Segal, Robert New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 1528 (908) 281-0221
SHAH, KETAN New Jersey North Bergen 9234 Kennedy Blvd 7047 5312 (201) 868-2400
SIEMONS, GARY New Jersey Voorhees 502 Centennial Blvd Suite 5 8043 9544 (856) 429-8030
SIGNORILE, JOSEPH New Jersey Jackson 12 Fox Hollow Dr 8527 4765 (908) 755-4200
Sinensky, Gary New Jersey Newark 24 Merchant St 7105 2847 (973) 344-4787
Singal, Dinesh New Jersey Somerset 1543 Route 27 Suite 14 8873 (732) 846-7000
Skerker, Robert New Jersey Morristown 95 Mount Kemble Ave Thebaud Building, Fourth Floor 7960 5155 (973) 267-2293
SOLOMON, ROBERT New Jersey Roselle Park 744 Galloping Hill Rd 7204 1700 (908) 241-0044
Assoc
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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Page 50 of 99
Sparano, Anthony New Jersey Wall 3350 Hwy 138 Bldg 1 Suite 118 7719 (732) 280-3223
Spatz, Charles New Jersey Red Bank 564 Hwy 35 7701 5066 (732) 212-8637
Strauss, Ira New Jersey Brick 150 Brick Blvd suite A 8723 4848 (732) 451-0063
Szczurek, Linda New Jersey Cherry Hill 2201 Chapel Ave W Ste 100 8002 2048 (856) 665-2017
Tekriwal, Mahesh New Jersey Manahawkin 1364 Route 72 W 8050 2485 (609) 597-3416
THEALL, BRUCE New Jersey East Orange 310 Central Ave SUITE 301 7018 2835 (973) 673-3668
Thomsen, Stephen New Jersey Union City 510 31st Street Basement 7087 3907 (201) 866-3322
Van Houten-Sauter, Lee New Jersey Williamstown 220 Pine Street 8094 1137 (856) 629-7436
Warkala, Robert New Jersey Sewell 445 Hurffville Crosskeys Rd 8080 2337 (856) 582-6082
Wasser, Samuel New Jersey Willingboro 1000 Salem Rd Suite A 8046 2852 (609) 877-1737
Weinstein, Mark New Jersey Verona 197 Bloomfield Ave 7044 2702 (973) 857-0330
Wendolowski, Joseph New Jersey Red Bank 130 Maple Ave Courts of Red Bank Ste 3B 7701 (732) 747-2111
Wilkin, Daniel New Jersey Oradell 680 Kinderkamack Rd. Suite 205 7649 1600 (201) 262-0608
Williams, Berestrand New Jersey West New York 6701 Bergenline Avenue 7093 (201) 758-9100
Williams, Stephen New Jersey Hillsborough 105 Raider Blvd Suite 101 8844 (908) 281-0221
WINTER, HOWARD New Jersey Voorhees 502 Centennial Blvd Suite 7 8043 9544 (856) 596-7440
Wisniewski, Cheryl New Jersey Woodbury Heights 722 Mantua Pike Suite 8 8097 1141 (856) 384-1333
Yalamanchi, Geeta New Jersey Middlesex 530 Union Ave Suite #2 8846 1934 (732) 667-3288
ZUCKER, IRA New Jersey Emerson 452 Old Hook Rd Second floor 7630 1381 (201) 666-3900
Finch, Kathy New Mexico Albuquerque 5341 Wyoming Blvd NE Ste A 87109 3164 (505) 244-0640
ABESS, GERARD New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
ADETONA, ADETUTU New York Troy 315 2nd Ave 12182 3237 (518) 235-8035
Ahmed, Owais New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
Anderson, Dana New York North Collins 10744 Main Street 14111 0 (716) 337-3010
Apelbaum, Jack New York Brooklyn 2083 East 65th St Entrance on Avenue U 11234 5913 (718) 531-5800
ARCHER, CASSANDRA New York Auburn 37 W Garden St Suite 201 13021 2662 (315) 255-0947
ARMENIA, DAVID New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
ARORA, DARSHAN New York Troy 2231 Burdett Ave SUITE 270 12180 2447 (518) 274-5660
Balon, Walter New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1155
Banks-Lindner, Karen New York Norwich 45-47 Hale Street 13815 1325 (607) 336-1749
Barash, Anne New York Syracuse 181 Intrepid Lane 13205 (315) 492-9398
Barbaro, Thomas New York New Hyde Park 706 Jericho Tpke 11040 4513 (516) 326-7979
Bariletti, Valerio New York Suffern 156 rout 59 unit b2 10901 6511 (845) 357-8660
Bashir, Iqbal New York Queensbury 6 Hearts Way 12804 (518) 792-1233
Bell, James New York Penn Yan 1930 Pre Emption Rd 14527 9641 (315) 536-0086
Bello, Robert New York Bellmore 2307C Bellmore Avenue 11710 5651 (516) 308-4500
Berkowitz-Berliner, Jill New York Mount Kisco 359 E Main St Suite 2D 10549 3028 (914) 666-7367
Berliner, Richard New York Mount Kisco 359 E Main St Suite 2D 10549 3028 (914) 666-7367
B6
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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Page 51 of 99
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Bernstein, Ira New York Bardonia 175 Route 304 10954 (845) 215-9800
Berrios, Ramon New York Marcellus 1/2 Orange St 13108 (315) 673-1529
Blatt, Neil New York Bayside 2383 Bell Blvd 11360 (718) 423-3535
Block, Bruce New York Kew Gardens 8002 Kew Gardens Rd Ste C1 11415 3600 (718) 896-4555
BODKIN, JOHN New York Williamsville 1150 Youngs Rd SUITE 104 14221 8053 (716) 636-7979
BOGNER, THOMAS New York Williamsville 1150 Youngs Rd SUITE 104 14221 8053 (716) 636-7979
Bowling, Bruce New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3698 (607) 754-3863
Boyle, Sean New York Weedsport 2523 State Route 31 West 13166 3202 (315) 834-6541
Brass, Corstiaan New York Cheektowaga 2355 Union Rd 14227 2234 (715) 857-8603
brautigam, donald New York Westfield 138 E Main St PO Box 10 14787 10 (716) 326-4678 236
Brodey, Mitchell New York Syracuse 4900 Broad Rd POB Ste 4K 13215 2265 (315) 492-5784
BUFF, CHRISTOPHER New York Ballston Lake 112 Charlton Rd 12019 2547 (518) 399-7723
Burns, Jill New York Monticello 64 Jefferson Street Suite 2 12701 1148 (845) 791-6400
Burns, Patrick New York Huntington 210 East Main St 11743 (631) 757-9500
Cambareri, Joseph New York Liverpool 4820 W Taft Rd Ste 215 13088 2800 (315) 413-0004
Campbell, Charles New York Binghamton 161 Riverside Dr Ste 205 13905 (607) 798-7100
CAMPION, NICHOLAS New York Jamaica 17809 Hillside Ave 11432 4624 (718) 657-4445
Caparaso, Darren New York Orchard Park 3345 Southwestern Blvd 14127 1506 (716) 656-4807
Carlberg, Jeffrey New York Skaneateles 783 Franklin St 13152 9313 (315) 685-8988
Carlberg, Marybeth New York Skaneateles 783 Franklin St 13152 9313 (315) 685-8988
Casper, Theodore New York Bronx 1250 Waters Pl Suite 506 10461 2720 (718) 892-1200
Castiglia, Thomas New York Pawling 198 Route 22 The Atrium Building, Suite7 12564 3241 (845) 855-3610
Cellino, Michael New York Orchard Park 3345 Southwestern Blvd 14127 1506 (716) 656-4803
Changlai, Brian New York Syracuse 4900 Broad Rd POB N Ste 2S 13215 (315) 492-5791
Charles, John New York Syracuse 4631 Onondaga Blvd 13219 3301 (315) 487-4844
Charles, Richard New York Buffalo 85 High St 14203 1149 (716) 857-8641
Chatrath, Kapil New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1163
Chu, Alan New York Geneva 200 North St Ste 201 FLH Medical, P.C. 14456 1561 (315) 787-5400
Chung, Yun Hee New York Flushing 142 18 38 Ave #1B 11354 5550 (718) 461-7700
Ciccarello, Gerald New York Wantagh 2098 Wantagh Ave 11793 3914 (516) 781-5225
COLEMAN, KENNETH New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Colin, Michael New York New York 923 5th Ave 10021 2649 (212) 535-3222
Collins, Richard New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1018
Connolly, Steven New York Camillus 436 Hinsdale Rd 13031 1648 (315) 488-0996
Conroy, Elizabeth New York Williamsville 325 Essjay Rd. 14221 8214 (716) 631-3839
Constantouris, Gus New York Commack 69 Veterans Memorial Hwy Suite #1 11725 3452 (631) 462-2033
COPPENS, THOMAS New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Corigliano, Joseph New York Williamsville 325 Essjay Rd 14221 8243 (716) 630-1017
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COSPITO, PETER New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Cruickshank, David New York Southampton 117 Hampton Road 11968 5051 (631) 287-8600
cummings, walter New York Amsterdam 119 Holland Circle Dr 12010 7550 (518) 843-4522 117
CUNNINGHAM, DAVID New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Curran, Richard New York Buffalo 2121 Main St 14214 2693 (716) 832-8063
Daly, Dennis New York Camillus 5700 W Genesee St 13031 3200 (315) 487-1573
Dannenberg, Michael New York Huntington 177 Main Street 11743 6951 (631) 421-4188
Davidoff, Samuel New York Forest Hills 10816 72nd Ave 2 floor 11375 5350 (718) 261-0900
De Witt, Eleanor New York Penn Yan 418 N Main St 14527 1070 (315) 531-2944
DellaCorte, Michael New York Maspeth 5901 69th St 11378 2946 (718) 639-3338
Dennis, Lester New York Brooklyn 102 Norman Ave 11222 2934 (718) 389-4404
DeSantis, Kimberly New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3646 (607) 754-3863
Diamond, Peter New York Amsterdam 119 Holland Circle Dr 12010 7550 (518) 843-4522 117
DiMenna, John New York Binghamton 161 Riverside Dr Ste 205 13905 (607) 798-7100
Droege, Robert New York Amsterdam 119 Holland Circle Dr 12010 7550 (518) 843-4522 117
DWORKIN, PAUL New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 269
dzenis, peteris New York Flushing 5510 Main St 11355 5050 (718) 463-9220
Edinger, James New York Tully 5-7 State St 13159 3218 (315) 696-4635
eggleston, Gary New York Westfield 138 E Main St 14787 1121 (716) 326-4678 236
EMBLIDGE, CRAIG New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Eppolito, John New York Cato 2949 State Route 370 13033 9794 (315) 626-2117
Erickson, Robert New York Orchard Park 3671 Southwestern Blvd St 213 14127 (716) 662-7008
Eswarathasan, Sathiyapama New York Levittown 2870 Hempstead Tpke Ste 103 11756 1341 (516) 735-4545
EVANS, ROBERT New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Fallon, Brian New York Bellmore 2307C Bellmore Avenue 11710 5651 (516) 308-4500
Farhi, Eli New York Buffalo 85 High St 14203 1149 (716) 857-8611
Farrell, Richard New York Saratoga Springs 15 Maple Dell Suite One 12866 2951 (518) 583-7400 315
Ferro, John New York West Nyack 2 Crosfield Avenue Suite 202 10994 2226 (845) 353-4344
FILION, PAUL New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Fishman, Charles New York Bronx 1250 Waters Pl Suite 506 10461 2720 (718) 892-1200
Flugman, Scott New York Huntington 177 Main Street 11743 (631) 421-4188
folick, stuart New York Astoria 3012 36th St 11103 4705 (718) 956-1100
Forlano, William New York Amsterdam 119 Holland Circle Dr 12010 7550 (518) 843-4522 117
Freeman, Gary New York Liverpool 4820 W Taft Rd Ste 215 13088 2800 (315) 413-0004
Fuhrman, S New York Delmar 363 Delaware Ave 12054 1903 (518) 439-9911
Garcia, Juan New York Glens Falls 102 Park St SUITE 202 12801 4449 (518) 793-0475
Garrow, Andrew New York Brooklyn 800 Poly Pl Medical Service (111) 11209 7104 (216) 636-7376
GAZZARA, PAUL New York Staten Island 3589 Hylan Blvd 10308 3513 (718) 966-3700
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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Page 53 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Gehring, Lazarus New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3646 (607) 754-3863
Glowacki, Michael New York Skaneateles 3922 Fennell St 13152 9316 (315) 685-0908
Golden, Marianna New York West Nyack 2 Crosfield Ave 10994 2226 (845) 353-4344 17
Goldstein, Kenneth New York Amherst 3980 Sheridan Drive Suite 308 14226 (716) 839-3930
GOLDSTEIN, LESLIE New York Troy 2231 Burdett Ave SUITE 270 12180 2447 (518) 274-5660
Gordon, Lawrence New York Goshen 30 Matthews Street 10924 2406 (845) 294-0661
gorman, timothy New York Westfield 138 E Main St 14787 1121 (716) 326-4678 236
Gupta, Alok New York Williamsville 9 Limestone Dr 14221 7051 (716) 631-2517
HALBIG, ROBERT New York Ballston Lake 112 Charlton Rd 12019 2547 (518) 399-7723
Halsdorfer, Andrew New York Williamsville 325 Essjay Rd 14221 8243 (716) 630-1017
Harris, Jonathan New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3698 (607) 754-3863
Harris, Ronald New York Johnson City 30 Harrison St Suite 100 13790 2161 (607) 763-6850
HENDRICKS, ORVILLE New York Cheektowaga 20 Losson Rd Ste 105 14227 2379 (716) 558-7727
Hickey, John New York Levittown 2870 Hempstead Tpke Ste 103 11756 1341 (516) 735-4545
Hiester, Karen New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3698 (607) 754-3863
HIRSH, FREDRIC New York Williamsville 1150 Youngs Rd SUITE 104 14221 8053 (716) 636-7979
Hoffman, Pamela New York Katonah 200 Katonah Ave 10536 2175 (914) 232-8880
Hogan, Robert New York Queensbury 6 Hearts Way 12804 (518) 792-1233
Holler, James New York Endwell 415 Hooper Road Endwell Family Physicians LLP 13760 3698 (607) 754-3863
HOLMES, MICHAEL New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Hopkins, Jamie New York Bay Shore 24 Brentwood Rd 11706 8011 (631) 666-8100
Hua, Shuman New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1037
Hyman, Jeffrey New York Brooklyn 8012 3rd Ave 11209 3802 (718) 745-5600
Inzerillo, James New York Geneva 821 Pre Emption Rd Suite 201 14456 2061 (315) 787-5322
Jacob, Jesu New York Hicksville 81 N Broadway 11801 2920 (516) 933-4350
Jamal, Nasiruddin New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
Jobes, Gregory New York Orchard Park 3345 Southwestern Blvd. 14127 1506 (716) 995-1021
Johnson, Andrea New York Jamestown 17 Sherman St Suite 2100 14701 7080 (716) 483-6700
Johnson, Janet New York Tully 5-7 State St 13159 3218 (315) 696-4635
JORDAN, MARK New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Joseph, MArk New York Brooklyn 1509 Rockaway Pkwy 11236 (718) 927-0027
JOY, ROBERT New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 269
Judkins, David New York Queensbury 6 Hearts Way 12804 (518) 792-1233
Kansas Devine, Maria New York Troy 200 Northern Dr 12182 1821 (518) 237-7363 26
Katz, Alan New York Flushing 40-20 Main Street, 4th FL 11354 5519 (347) 532-2888 2914
Kaufmann, Mark New York New York 21 E 90th St 10128 654 (212) 427-4000
Kayalar, Atilla New York Queensbury 6 Hearts Way 12804 5925 (518) 792-1233
Keenen, Gail New York Skaneateles 3922 Fennell St 13152 9316 (315) 685-0908
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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ZIP 5 CD 4 CD NUM PHONE EXT
Page 54 of 99
Kim, Mark New York Orchard Park 3345 Southwestern Blvd 14127 1506 (716) 656-4804
Kirtane, Yashodhara New York Rockaway Park 114-12 Beach Channel Dr Suite 7 11694 1514 (718) 318-6021
kitchen, timothy New York Westfield 138 E Main St 14787 1121 (716) 326-4678 236
Klein, Peter New York Port Jefferson Station 6 Medical Dr Suite D 11776 1594 (631) 928-7922 1
Korzenko, Adam New York PORT JEFFERSON STA 6 Medical Dr Suite D 11776 (631) 928-7922
KOZINN, MARC New York Williamsville 19 Limestone Dr Suite 11 14221 7091 (716) 635-7600
Krahn, Wolf-Dieter New York Jamestown 17 Sherman St Suite 2100 14701 7080 (716) 483-6700
Kurnath, Joseph New York Rochester 30 Hagen Dr Suite 310 14625 2658 (585) 641-0400 109
Kuruvilla, Philip New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1291
LaClair, Thomas New York Camillus 436 Hinsdale Rd 13031 1648 (315) 488-0996
lashbrook, lorie New York Westfield 138 E Main St PO Box 10 14787 10 (716) 326-4678 236
Lastarria, Emilio New York Geneva 158 North St 14456 1647 (315) 719-0066
Lawless, James New York Camillus 436 Hinsdale Rd 13031 1648 (315) 488-0996
Layden, John New York Queensbury 6 Hearts Way 12804 (518) 792-1233
Lee, Chang New York Flushing 38-05 Bowne St. 11354 (718) 762-4400
Levy, Davidd New York Auburn 37 W Garden St Ste 102 13021 2662 (315) 282-0525
LEWIS, SHAUNA New York Brooklyn 540 E 43rd St 11203 5716 (917) 608-8013
LINDENBERG, BARRY New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Lipsky, Theresa New York Syracuse 4652 Nixon Park Dr 13215 9700 (315) 492-3403
Liu-Chen, Xinyue New York Buffalo 85 High St 14203 1149 (716) 857-8767
Livingston, Michael New York Bellmore 2307C Bellmore Avenue 11710 5651 (516) 308-4500
London, Marc New York West Nyack 2 Crosfield Ave Ste 202 10994 2219 (845) 353-4344 35
Lopez, Andre New York Williamsville 325 Essjay Rd 14221 8243 (716) 630-1465
LOVE, ROBERT New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
MacAdam, Heather New York Aurora 18 Wells Road 13026 (315) 364-3388
MANOR, DENIS New York Schenectady 2546 Balltown Rd SUITE203 12309 1079 (518) 377-8198 260
MARCHISELLA, JOSEPH New York Staten Island 3589 Hylan Blvd 10308 3513 (718) 966-3700
MCSWAIN, MARK New York Auburn 37 W. Garden St Suite 201 13021 3223 (315) 255-0947
Minaert, Walter New York Watertown 21017 State Route 12F 13601 1078 (315) 782-1990
Miner, R. New York Rochester 30 Hagen Dr Suite 310 14625 2658 (585) 641-0400 123
Miqdadi, Jehad New York Buffalo 85 High St 14203 1149 (716) 857-8662
Mohapatra, Chitta New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
Mohrer, Jonathan New York Forest Hills 11406 Queens Blvd Suite A-8 11375 7001 (718) 575-9787
MonToni, Mario New York Yonkers 655 Yonkers Ave 10704 2695 (914) 476-2562
moore, donald New York Brooklyn 41 Eastern Pkwy Suite 1B 11238 5934 (718) 622-2042
Moorthi, David New York Rochester 1882 Winton Road South Ste 6 14618 5645 (585) 271-1620 2
Morelli, Charles New York Mamaroneck 910 E Boston Post Rd 10543 4109 (914) 835-6604
Munro, Scott New York Queensbury 6 Hearts Way 12804 (518) 792-1233
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Nevins, Brooke New York Bronxville 130 Pondfield Rd Suite 1 10708 4002 (914) 337-1212
nguyen, chau New York Huntington 177 Main St Suite 105 11743 6917 (631) 421-4188
NOLAN, JOHN New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
NORMAN, ALLYN New York Williamsville 1825 Maple Rd SUITE LLB 14221 2723 (716) 204-4532
Notaro, John New York Orchard Park 3345 Southwestern Blvd 14127 1506 (716) 656-4806
O Brien, Matthew New York Buffalo 85 High St 14203 1149 (716) 857-8616
Obedian, Richard New York Hicksville 81 North Broadway 11801 (516) 933-4350
OBER, DAVID New York West Nyack 2 Crosfield Ave , Suite 202 10994 2219 (845) 353-4344
ORTIZ, VIOLA New York Staten Island 3589 Hylan Blvd 10308 3513 (718) 966-3700
Page, David New York Camillus 436 Hinsdale Rd 13031 1648 (315) 488-0996
PARISI, PATRICK New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Park, Hoon New York Wappingers Falls 1772 South Rd 12590 1361 (845) 298-6060
PARKES, ROBERT New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198
Passet, Charles New York Forest Hills 6357 108th St 11375 1607 (718) 896-6369
Pastore, Paolo New York Cicero 6253 US Route 31 13039 (315) 698-0290
Patel, Mital New York Bellmore 2307C Bellmore Avenue 11710 5651 (516) 308-4500
PAWLOWSKI, DAVID New York Williamsville 1150 Youngs Rd Suite 104 14221 8053 (716) 636-7979
PETERSON, CHARLES New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
PETRACCA, ANTHONY New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409
PEZZULO, JOHN New York Ballston Lake 112 Charlton Rd 12019 2547 (518) 399-7723
Pfau, Kristen New York Skaneateles 3922 Fennell St 13152 9316 (315) 685-0908
Pilly, Vikas New York West Seneca 1026 Union Rd 14224 3445 (716) 712-1000
Pisik, Mark New York Syracuse 4631 Onondaga Blvd 13219 3301 (315) 487-4844
Pita-Acevedo, Dora New York Geneva 200 North St Suite 102 14456 1561 (315) 787-5400
Polachek, Robert New York Syracuse 4652 Nixon Park Dr 13215 9700 (315) 492-3403
Politi, Anthony New York Peru 3384 State Route 22 12972 5305 (518) 643-8008
Powers, Catherine New York Jamestown 17 Sherman St Suite 2100 14701 7080 (716) 483-6700
Purizhansky, Polina New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1014
Pusatier, Michael New York Williamsville 295 Essjay Rd 14221 8216 (716) 877-3007
Ragusa, Anthony New York Rochester 1401 Stone Rd Ste 201 14615 1537 (585) 865-1110
Ramachandran, Melanie New York Syracuse 1101 Erie Blvd E Ste 210 13210 1144 (315) 471-4911
Ramaswami, Ravi New York Saugerties 854 Route 212 12477 4619 (845) 246-2804
Readling, Joseph New York Johnson City 30 Harrison St Suite 100 13790 2161 (607) 763-6850
REEVES, ROBERT New York Glens Falls 3 Irongate Center 12801 3471 (518) 793-4409 427
Rehman, Afzal New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
RICKER, KERRY New York Ballston Lake 112 Charlton Rd 12019 2547 (518) 399-7723
Ristoff, Kime New York Camillus 5700 W Genesee St 13031 3200 (315) 487-1573
rizzo, vito New York Bay Shore 24 Brentwood Road 11706 (631) 666-8100
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Rodes, Alfredo New York West Seneca 1026 Union Rd 14224 3449 (716) 712-1000
Roglieri, Joseph New York Troy 2231 Burdett Ave Suite 270 12180 2447 (518) 274-5660
Rokhsar, Cameron New York Garden City 901 Stewart Ave Suite 240 11530 (516) 512-7616
Rosen, Barry New York Oakland Gardens 5847 Francis Lewis Blvd Ste 11 11364 1601 (718) 225-2424
Rosenberg, Jeffrey New York Geneva 200 North St Ste 102 FLH Medical, P.C. 14456 1561 (315) 787-5400
Rowley, Patrick New York Queensbury 6 Hearts Way 12804 (518) 792-1233
RUND, INGRID New York Amsterdam 425 Guy Park Ave SUITE 301 12010 1043 (518) 842-7088
Ryan, Timothy New York Seneca Falls 1991 Balsley Rd 13148 9714 (315) 539-9229
Ryder, Richard New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
SAJAN, CHERIAN New York Hicksville 81 N Broadway 11801 2920 (516) 933-4350
Sangani, Geeta New York Syracuse 191 Intrepid Ln 13205 2548 (315) 469-3373
Schoeneck, Henry New York Camillus 5700 W Genesee St 13031 3200 (315) 487-1573
Schwartz, Lauren New York Great Neck 290 Community Drive 11021 (516) 504-7586
Scialdone, Vincent New York Camillus 5700 W Genesee St 13031 3200 (315) 487-1573
Sconzo, Frank New York East Patchogue 286 Sills Rd Suite 5 11772 8810 (631) 654-3100
Shaikh, Jawad New York New Hartford 1 Oxford Rd 13413 2651 (315) 724-9874
SHARMA, NISHA New York Irving 12657 Seneca Rd 14081 9707 (716) 934-4400
Sharma, Vishal New York Irving 12657 Seneca Rd 14081 9707 (716) 951-7283
Sheth, Arun New York Binghamton 169 Riverside Dr 13905 4246 (607) 798-5307
SHIK, MIKHAIL New York Syracuse 4900 Broad Rd POB N Ste 2S 13215 (315) 492-5791
Shpak, Mikhail New York Brooklyn 2064 Cropsey Ave Suite 1G 11214 6253 (718) 975-8765
Simon, David New York Syracuse 4900 Broad Rd POB Ste 4K 13215 2265 (315) 492-5784
Singh, Sandeep New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1275
Sinha, Ravi New York Buffalo 85 High St 14203 1149 (716) 857-8770
Sisselman, Stephen New York Massapequa 100 Veterans Blvd Suite 2 11758 4944 (516) 308-4040
SNIDER, ADAM New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Stamato, Nicholas New York Johnson City 30 Harrison St Ste 250 13790 2143 (607) 770-8600
Swiantek, Philip New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1050
Sy, Claude New York West Seneca 1026 Union Rd 14224 3449 (716) 712-1000
Symons, Nicole New York Williamsville 325 Essjay Rd 14221 8243 (716) 630-1465
Sze-Tu, Duncan New York Endwell 415 Hooper Rd Endwell Family Physicians LLP 13760 3698 (607) 754-3863
Talev, John New York Camillus 5700 W Genesee St 13031 3200 (315) 487-1573
Thomas, Kevin New York Camillus 5700 W Genesee St Ste 124 13031 3200 (315) 472-8841
Torre, Joseph New York Buffalo 85 High St 14203 1149 (716) 857-8620
Traverse, Paul New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
TROCK, DANIEL New York Williamsville 1150 Youngs Rd SUITE 104 14221 8053 (716) 636-7979
Tumminello, Calogero New York Middle Village 7817 Metropolitan Ave 11379 2928 (718) 497-1399
Ureta, Laura New York Orchard Park 3345 Southwestern Blvd 14127 1506 (716) 656-4899
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 57 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
VACCA, WILLIAM New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Varavenkataraman, Raghupathy New York West Seneca 1026 Union Rd 14224 (716) 712-1000
Varma, Haridas New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
VASSOLAS, GEORGE New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
VERMA, ANIL New York Syracuse 1816 Erie Blvd E 13210 1230 (315) 214-0390 0
Vincens, James New York Johnson City 30 Harrison St Ste 250 13790 (607) 770-8600
Visco, Jeffrey New York Amherst 4955 N Bailey Ave 14226 1206 (716) 857-8751
Vittengl, Morgan New York Ballston Spa 2554 Rte 9 12020 (518) 899-5002
Waffner, Eric New York Williamsville 325 Essjay Rd 14221 8214 (716) 630-1072
Walters, John New York Binghamton 161 Riverside Dr Ste 205 13905 (607) 798-7100
wardeh, ghassan New York Geneva 821 Pre Emption Rd Ste 201 14456 2061 (315) 787-5322
WEBBER, RICHARD New York Plattsburgh 16 Degrandpre Way SUITE 300 12901 6451 (518) 561-8256
Weber, John New York Glen Cove 70 Glen St Suite 380 11542 2855 (516) 759-2424
Wehr, Matthew New York Westfield 138 E Main St 14787 1121 (716) 326-4678
Weinman, Stephen New York Highland 222 Route 299 12528 2524 (845) 691-3627
Weinstein, Jeffrey New York Monticello 64 Jefferson St Suite 2 12701 1148 (845) 791-6400
Weis, George New York Amsterdam 119 Holland Circle Dr 12010 7550 (518) 843-4522 117
WEITZ, STEVEN New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Wen, Hong Yu New York Williamsville 295 Essjay Rd 14221 8216 (716) 630-1182
West, Gerald New York Goshen 30 Matthews Street 10924 (845) 294-0661
White, Thomas New York Buffalo 85 High St 14203 1149 (716) 857-8623
WIESE, FREDERICK New York Schenectady 2546 Balltown Rd SUITE 203 12309 1079 (518) 377-8198 260
Wike, Jeffrey New York Elbridge 5566 Jordan Rd 13060 9617 (315) 689-1833
Wild, Daniel New York Williamsville 425 Essjay Rd 14221 5782 (716) 631-3041
Wild, James New York North Collins 10744 Main St 14111 0 (716) 337-3010
Williams, robert New York Buffalo 518 Abbott Rd 14220 1745 (716) 630-1188
Willig, Jeffrey New York Syosset 4 Burke Ln 11791 3931 (516) 921-1155
Wirth, Philipp New York Waterloo 369 E Main St 13165 1654 (315) 539-4025
Woo, Peak New York New York 300 Central Park West 1H 10024 (212) 580-1004
Yu, Melissa New York West Nyack 2 Crosfield Ave Ste 202 10994 2226 (845) 353-4344
Zafaranloo, John New York Staten Island 235 Dongan Hills Ave STE 2A 10305 1224 (718) 351-7650
Zeitlin, Adam New York Flushing 71-61 159TH STREET 11365 (718) 380-3809
Abrons, Seymore North Carolina Wilmington 1911 S 17th St Ste 130-A 28401 6662 (910) 790-7840
Adams, James North Carolina Leland 1003 Olde Waterford Way Suite 1-C 28451 (910) 338-0588
Adekanmbi, Adebola North Carolina Concord 271 Executive Park Dr 28025 1895 (704) 721-4232
Apolinario, Arthur North Carolina Clinton 403 Fairview St 28328 2311 (910) 592-6011
ATKINS, JOHN North Carolina Laurinburg 601 Lauchwood Dr 28352 5510 (910) 276-7727
Bauman, Ted North Carolina Clinton 403 Fairview St 28328 2311 (910) 592-0808
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 58 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Bernstein, Joshua North Carolina Arden 600 Julian Ln Suite 630 28704 7813 (828) 651-0121
Bliss, Laura North Carolina Mebane 132 Millstead Dr 27302 7165 (919) 563-4444
BRYSON, PAUL North Carolina Chapel Hill 101 Manning Dr RM 1107G W WING 27514 4220 (216) 636-7376
Caberwal, Daljit North Carolina Asheboro 283 White Oak St 27203 5431 (336) 625-3997
Cooperberg, Charles North Carolina Durham 4419 Ben Franklin Blvd 27704 2147 (919) 477-3005
COSGROVE, CHRISTOPHER North Carolina Wilmington 4114 Shipyard Blvd 28403 6155 (910) 332-0701 1001
Eagle, David North Carolina Mooresville 170 medical park road Suite 101 28117 (704) 799-3946
EARLY, JAMES North Carolina Asheville 946 Tunnel Rd 28805 2025 (828) 298-7981
Ellis, Milton North Carolina Boone 895 State Farm Rd Suite 301 28607 (828) 355-9083
Fraser, David North Carolina Jacksonville 1126B Kellum Loop Rd 28546 3304 (910) 577-0177
Gawecki, Tomasz North Carolina Durham 4419 Ben Franklin Blvd 27704 2147 (919) 477-3005
Handschumacher, Jeffrey North Carolina Rocky Mount 10573 E Nc Highway 97 27803 9208 (252) 985-3937
Hanspal, Prithvi Pal North Carolina Asheboro 283 White Oak St 27203 5431 (336) 625-3997
Huneycutt, BouaSy North Carolina Arden 600 Julian Ln Suite 630 28704 7813 (828) 651-0121
Ibegbu, Ikechukwu North Carolina Jacksonville 2593 Henderson Dr 28546 5253 (910) 577-3636
Kafer, Jeffrey North Carolina Roxboro 783 Doctors Court 27573 (336) 598-6000
Kathresal, Amarnath North Carolina Durham 4419 Ben Franklin Blvd 27704 2147 (919) 477-3005
Keeling, John North Carolina Reidsville 601 S Main St 27320 5019 (336) 342-6116
KELLY, CATHERINE North Carolina Fayetteville 413 Owen Dr Suite 201 28304 3411 (910) 323-9111
Kirby, David North Carolina Morehead City 4251 Arendell St Ste B 28557 2871 (252) 808-3100
Krumdieck, Richard North Carolina Mooresville 170 medical park road Ste 101 28117 8524 (704) 799-3946
Kuo, Timothy North Carolina Mooresville 170 medical park road Suite 101 28117 (704) 799-3946
LEONARD, ANDRE North Carolina Wilmington 4114 Shipyard Blvd 28403 6155 (910) 332-0701 1001
Long, Stephen North Carolina Roxboro 783 Doctors Ct 27573 4575 (336) 598-6000
Long, Thomas North Carolina Roxboro 783 Doctors Ct 27573 (336) 598-6000
Long, Thomas North Carolina Roxboro 783 Doctors Ct 27573 (336) 598-6000
Matheis, Patricia North Carolina Wake Forest 2824 Rogers Rd Suite 101 27587 3895 (919) 488-0355
MERRICK, HOMER North Carolina Morehead City 3715 Guardian Ave 28557 4323 (252) 222-5790
MOORE, JEFFREY North Carolina Morehead City 4251-B Arendell St 28557 2805 (252) 808-3100
Morayati, Shamil North Carolina Burlington 2921 Crouse Ln 27215 8833 (336) 585-1212 204
Murphy, Leslie North Carolina Pinehurst 80 Aviemore Ct Suite B 28374 9732 (910) 215-0892
Newton, John North Carolina Clinton 403 Fairview St 28328 2311 (910) 590-0615
Palmer, Gilbert North Carolina Clinton 403 Fairview St 28328 2311 (910) 590-0603
Patel, Swetang North Carolina Jacksonville 2587 Henderson Dr 28546 5253 (910) 938-3200
Resnik, Robert North Carolina Cary 930 SE Cary Parkway Suite 200 27518 (919) 859-2566
Rouse, John North Carolina Clinton 403 Fairview St 28328 2311 (910) 590-0601
Rybicka-Kozlowska, Elzbieta North Carolina Durham 4419 Ben Franklin Blvd 27704 2147 (919) 477-3005
SEWELL, CONSTANCE North Carolina Asheville 946 Tunnel Rd 28805 2025 (828) 298-7981
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 59 of 99
Shah, Dipen North Carolina Cary 600 New Waverly Pl suite 205 27518 7404 (919) 468-6820
Shaikewitz, Samuel North Carolina Durham 4419 Ben Franklin Blvd 27704 2147 (919) 477-3005
Sholar, Pam North Carolina Statesville 365 Brookdale Dr 28677 (704) 872-3630
Smith, John North Carolina Clinton 403 Fairview St 28328 2311 (910) 590-0609
Watts, Lawrence North Carolina Clinton 403 Fairview St 28328 2311 (910) 590-0611
Yang, Ken North Carolina Clinton 403 Fairview St 28328 2311 (910) 592-0803
Abelson, Tom Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Adhami, Talal Ohio Cleveland 9500 Euclid Ave A30 44195 1 (216) 636-7407
Agnew, Scott Ohio Youngstown 901 Trailwood Dr 44512 5008 (330) 726-3000
Ahmad, Muzaffar Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Alam, Daniel Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Alcasid, Susan Ohio Fairfield 945 Deis Drive 45014 (513) 858-2666
Aljaroudi, Wael Ohio Cleveland 9500 Euclid Ave DESK J1-5 44195 1 (216) 636-7376
Alraies, M. Chadi Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Andresen, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Angerman, Dale Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Annamraju, Ananth Ohio Springfield 1164 E Home Rd 45503 2726 (937) 342-9260
Anthony, John Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
Atassi, Mohamed Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
Aucejo, Federico Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Auron-Gomez, Moises Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Avery, Robin Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Bailey, Shawn Ohio Columbus 2975 Donnylane Blvd 43235 3228 (614) 336-8380
bal, baljit Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
balis, george Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Ball, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Baringer, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Barnett, Gene Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Barsoum, Wael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Bauer, George Ohio Fairfield 2960 Mack Rd ste. 107 45014 5373 (513) 860-4771
Bautista, Jan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Benninger, Michael Ohio Cleveland Cleveland Clinic 9500 Euclid Avenue, A-71 44195 1 (216) 636-7409
Berber, Eren Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Bernard, Steven Ohio Cleveland 2500 Metrohealth Dr MHMC-Surgert/Plastic 44109 1900 (216) 636-7433
Bertsch, John Ohio Willoughby Hills 34500 Chardon Road Suite 6 44094 (440) 386-4200
Bindra, Sanjit Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7439
BLACK, MICHAEL Ohio Poland 6615 CLINGAN ROAD SUITE A 44514 4202 (330) 757-7211
Bodman, Myron Ohio Fairview Park 21245 Lorain Rd Suite 115 44126 2146 (440) 356-1989
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 60 of 99
Bohn, Timothy Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Borst, Kevin Ohio Lakewood 14601 Detroit Ave Ste 540 44107 4251 (216) 636-7430
borukh, elena Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Bourn, Michael Ohio Columbus 3600 Olentangy River Rd C2-C3 43214 3437 (614) 459-0350
braver, yvonne Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Brethauer, Stacy Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
buccola, janet Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7378
BURG, SCOTT Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
BURKEY, BRIAN Ohio Cleveland A-71 Head and Neck Institute 9500 Euclid Avenue 44195 1 (216) 636-7376
Cabrera Muffly, Cristina Ohio Cleveland 9500 Euclid Ave # A-71 44195 1 (216) 636-7434
CALAWAY, CHRIS Ohio Barberton 31 Conservatory Dr 44203 4281 (330) 745-4404
Campbell, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Canfield, Christina Ohio Wakeman 44889 9301 (440) 839-2226
Capulong, Edwin Ohio Cleveland 9500 Euclid Avenue - S70 44195 1 (216) 636-7407
Carey, William Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Centa, Joseph Ohio Norwalk 34 Executive Dr 44857 2480 (419) 668-6655
Chahal, Prabhleen Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7378
Chand, Bipan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Chang, Jason Ohio Findlay 1909 S Main St 45840 1208 (419) 427-2604
Chen, Yong Ohio Cleveland 9501 Euclid Avenue 44195 (216) 636-7376
CHIUNDA, STELLA Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7378
Cicenia, Joseph Ohio Cleveland 9500 Euclid Ave A90 44195 1 (216) 636-7376
Cirino, Anthony Ohio Brunswick 3898 Center Rd 44212 6603 (330) 273-5588
Cook, Matthew Ohio Grove City 3636 Broadway 43123 2202 (614) 871-3234
Cooper, Cathy Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Costin, John Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Craciun, Atanase Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Crankshaw, John Ohio Urbana 900 Scioto St 43078 2251 (937) 652-1834
Cuculic, Linda Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Culley, Carl Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Dasarathy, Srinivasan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Daum, Wayne Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Davis, Alan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Dayem, Michael Ohio Garfield Heights 12000 McCracken Rd # 210 44125 2964 (216) 663-1203
Dellaportas, Sandra Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Desai, Milind Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Desai, Rajul Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Devans, Richard Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7407
24 Hyde StCleveland Clinic Center For Spine
Health
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Page 61 of 99
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Devatha, Ashok Ohio New Carlisle 432 N Main St 45344 1427 (937) 846-4000
Dietz, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Dietz, Jill Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
DISA-SMITH, JANE Ohio Beachwood 4110 Warrensville Center Rd SUITE 102 44122 7024 (216) 636-7434
Djohan, Risal Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Donley, Brian Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Dorosti, Khosrow Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Drake, Richard Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Druzina, Irene Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Duran, Arthur Ohio Poland 6615 Clingan Rd Suite C 44514 2196 (330) 757-7888 17
Dushin, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Ekeh, Akpofure Ohio Dayton 5100 Springfield Street 45431 1264 (937) 208-2552
Ellis, Stephen Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Eltomey, Atef Ohio Cleveland 18099 Lorain Ave Suite 425 44111 5610 (216) 636-7407
Elzawawy, Hossam Ohio Cleveland 9500 Euclid Avenue# A50 44195 (216) 636-7434
Eppig, Michael Ohio Cleveland 2500 Metrohealth Dr MHMC-Orthopaedics 44109 1900 (216) 636-7407
Epstein, Howard Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Espinosa, Eric Ohio Springfield 1164 E Home Rd Suite J 45503 (937) 342-9260
EVAN, MICHAEL Ohio Poland 6615 CLINGAN ROAD SUITE A 44514 4202 (330) 757-7211
Evans, Peter Ohio Cleveland 9500 Euclid Ave A40 Cleveland Clinic Foundation 44195 (216) 636-7376
Factora, Ronan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Faiman, Matthew Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Fanning, Alicia Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Ferguson, Harold Ohio Eaton 450B Washington Jackson Rd Suite 102 45320 7600
Fine, Edward Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Fontanarosa, Mary Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Forsythe, William Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Franco, Irving Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Fraser, Thomas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Freyle, Hanna Ohio Cleveland 9501 Euclid Avenue 44195 (216) 636-7407
Fritz, Michael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Froimson, Mark Ian Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Fuentes, Freddie Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Fuller, Keith Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Gajewski, Timothy Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7378
Galbraith, John Ohio Mount Gilead 6519 HWY 42 43338 (419) 362-6033
Gannon, Patricia Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Garcia, Rafael Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7376
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 62 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Garren-Hudson, Kimberly Ohio South Russell 5192 Chillicothe Rd Suite 101 44022 4196 (440) 338-3366
Gebel, James Ohio Lakewood 14519 Detroit Ave 44107 4316 (216) 636-7407
Gianetti, JOHN Ohio Youngstown 20 Ohltown Rd 44515 2331 (330) 797-9705
Gill, Inderjit Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Gillinov, A Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
GOLDBERG, LAURA Ohio Cleveland 9501 Euclid Ave 44195 (216) 636-7433
Goldfarb, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Gomes, Marcello Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Gong, Michael Ohio Columbus 456 W 10th Ave 43210 1240 (216) 636-7407
Goraya, Shazia Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Gordon, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Grabenstetter, Neil Ohio Valley City 6605 Center Rd 44280 9748 (216) 636-7820
Granieri, Janice Ohio Cleveland 9500 Euclid Ave 44195 1 (800) 223-2273
Grimm, Richard Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Grundfest-Broniatowski, Sharon Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Gugliotti, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Gutierrez, James Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Guttman, Richard Ohio Wooster 721 E Milltown Rd 44691 1255 (216) 636-7430
Haber, Georges-Pascal Ohio Cleveland 9500 Euclid Ave /A100 Cleveland Clinic - Urology 44195 (216) 636-7376
HALL, AMI Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7376
Hamdan, Firas Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Hamilton, Aaron Ohio Cleveland 9500 Euclid Ave S70 44195 1 (216) 636-7409
Hannan, Scott Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Harhay, Jeffrey Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Haselhuhn, Gregory Ohio Toledo 2000 Regency Ct Suite 200 43623 3090 (419) 725-1900
Hauser, David Ohio Toledo 4888 Whiteford Road 43623 2810 (419) 885-5563
Hayden, Stephen Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Hekman, James Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7407
Hendrickson, Mark Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Heresi, Gustavo Ohio Cleveland 9500 Euclid Ave A 90 44195 1 (216) 636-7434
Heyka, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Hirsch, Steven Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Holden, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Holland, Joel Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Hope, Grant Ohio Bucyrus 140 Hill Street 44820 (419) 562-2676
HORWITZ, LEONARD Ohio Cleveland 9500 Euclid Ave R35 44195 1 (216) 636-7409
Hubbard, Carlos Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7409
Hughes, John Ohio Norwalk 24 Executive Dr. 44857 (419) 663-8808
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Page 63 of 99
Hui, Ferdinand Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7430
Hussain, Muhammad Ohio Cleveland 9500 Euclid Ave S-80, Cleveland Clinic 44195 1 (216) 636-7407
Iheme, Uche Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7376
Inkster, Michelle Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Isakov, Raymond Ohio Cleveland 9500 Euclid Ave A60 44195 1 (216) 636-7407
Itani, Abdul Ohio Willoughby 2785 Som Center Rd 44094 9139 (216) 636-7430 202
Jaeger, Frederick Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Jang, Sunguk Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Jawa, Prem Ohio Cleveland 9500 Euclid Ave/Q10-1 44195 (216) 636-7434
Jewell, John Ohio Cleveland 9500 Euclid 44195 1 (216) 636-7407
Johnson, Todd Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Jones, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Joyce, Michael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Juhasz, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
justice, stephen Ohio Sidney 1205 Fairington Dr 45365 8144 (937) 492-8431
Kalahasti, Priya Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Kale, Neelima Ohio Chagrin Falls 5192 Chillicothe Rd Suite 101 44022 4196 (440) 338-3366
Kandpal, Saurabh Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7433
Kanj, Mohamed Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
Kanterman, Leonard Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Kaouk, Jihad Ohio Cleveland 9500 Euclid Ave 44195 1 (800) 223-2273
Kapadia, Samir Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Kassir, Mohamad Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Katz, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Kelleher, Ann Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Khan, Mumtaz Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7409
Khatri, Lakshmi Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Kim, Soo Hyun Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376 81764
Kirchner, Loren Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Knapp, Joseph Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Knechtges, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Knothe, Ulf Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
koc, omer Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Kollman, Robin Ohio Dover 400 Medical Park Dr Suite 201 44622 3207 (330) 343-7709
kominsky, alan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Kontak, Jeffery Ohio Wadsworth 323 High St 44281 1869 (216) 636-7378
Kosmorsky, Gregory Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Koval, Christine Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Glickman Urological & Kidney
Institute
Wadsworth Rittman Area Family
Practice
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Page 64 of 99
Kowalski, Timothy Ohio Willoughby 4212 State Route 306 #110 44094 9258 (440) 953-9135
Krasuski, Richard Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Krishnaney, Ajit Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Kroh, Matthew Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Kwon, Deborah Ohio Cleveland 9500 Euclid Ave # F15 44195 1 (216) 636-7378
Landes, Robert Ohio Piqua 9159 N Cty Rd 25 A 45356 (937) 773-8221
Lechner, Roseanna Ohio Cleveland 2500 Metrohealth Dr MHMC-Surgery/Neurosurgery 44109 1900 (216) 636-7407
lee, joung Ohio Cleveland 9500 Euclid Ave Cleveland Clinic, R20 44195 1 (216) 636-7407
Lesnoski, Paul Ohio Youngstown 901 Trailwood Dr 44512 5008 (330) 726-3000
Levin, Kerry Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Levy, David Ohio Cleveland 11100 Euclid Avenue 44106 (216) 636-7376
Lincoff, Abraham Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Lipton, Mark Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Long, Donald Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Lorenz, Gretchen Ohio Piqua 9159 N County Rd 25A 45356 (937) 773-8221
Luciano, Mark Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Machado, Andre Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Machuzak, Michael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Macy, Joel Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Macy, Kevin Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Maier, Michael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Manda, Sudhir Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7378
Marakas, John Ohio Youngstown 901 Trailwood Dr 44512 5008 (330) 726-3000
Mardovin, Vlada Ohio Springfield 1164 E Home Rd 45503 2726 (937) 342-9260
Marks, Neal Ohio Rocky River 2880 Plymouth Avenue 44116 (440) 333-5888
Marsh, Lisa Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Marwick, Thomas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Marx-Armile, Theresa Ohio Poland 6615 Clingan Road Suite C 44514 (330) 757-7888 2159
Maschke, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Masci, Paul Ohio Wooster 721 E Milltown Rd 44691 1255 (216) 636-7434
Masin, Richard Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7433
Mason, David Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Mastracci, Tara Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Mawhorter, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Mayock, Robert Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
McDonough, Joan Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Menon, Venugopal Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Messinger-Rapport, Barbara Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Vascular Surgery S40, Cleveland
Clinic Foundation
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 65 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Metz, Joseph Ohio Urbana 900 Scioto St 43078 2251 (937) 652-1834 114
Miller, Charles Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Miranda, Cyndee Ohio Cleveland 9500 Euclid Ave # Deskg-21 44195 1 (216) 636-7434
Model, Alla Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
MOORE, JAMES Ohio Dover 603 Monroe St 44622 2046 (330) 364-8889
Moore, Michael Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Morris, William Ohio Granville 110 North Galway Drive 43023 (740) 587-4300
Moskowitz, Shaye Ohio Cleveland 9500 Euclid Ave Cleveland Clinic Foundation/S-80 44195 1 (216) 636-7376
Mossad, Sherif Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Mroz, Thomas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Muir, Peter Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Murphy, James Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Murthy, Sudish Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Muschler, George Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Naguib, Hossam Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
NAIR, RAVI Ohio Cleveland 11100 Euclid Ave 44106 1716 (216) 636-7407
Naples, Sandy Ohio Poland 6615 Clingan Rd Suite C 44514 2159 (330) 757-7888
Navaneethan, Sankar Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
Neiswander, Michael Ohio Perrysburg 702 Commerce dr Suite 160 43551 5272 (419) 874-7939
Ng, Pamela Ohio Independence 5001 Rockside Rd Dermatology IN40 44131 2172 (216) 636-7433
Nicolacakis, Kathrin Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7409
Nielsen, Craig Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Obi, Betty Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
O'BRIEN, MICHAEL Ohio Poland 6615 CLINGAN ROAD SUITE A 44514 4202 (330) 707-1425
Olson, Dan Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Pantelakis, James Ohio Poland 6615 Clingan Rd Suite#A 44514 2196 (330) 729-9910
Parsi, Mansour Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Passarello, Walter Ohio Poland 6615 Clingan Rd Suite C 44514 2159 (330) 757-7888 17
Patel, Mital Ohio Cleveland 9500 Euclid Avenue , S70 44195 1 (216) 636-7434
Patrick, Robert Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Penn, Marc Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Pichurko, Bohdan Ohio Cleveland 9500 Euclid Avenue 44095 (216) 636-7433
Pierce, Gregory Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Plana Gomez, Juan Ohio Cleveland 9500 Euclid Ave DeskJ 1-5 44195 1 (216) 636-7433
Podl, Tod Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Polsley, J Steven Ohio Urbana 900 Scioto St 43078 2251 (937) 652-1834 114
Porter, Victoria Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Posk, Lori Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Cleveland Clinic
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 66 of 99
Prabhakaran, Anbazhagan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Quarles, Ruth Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Quintini, Cristiano Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
rabovsky, michael Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Ramsey, Jennifer Ohio Cleveland 9500 Euclid Ave A-90 44195 1 (216) 636-7409
Randolph, John Ohio Urbana 900 Scioto St 43078 2251 (937) 652-1834 114
rasmussen, peter alan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Raymond, Russell Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Reddy, Anita Ohio Cleveland 9501 Euclid Avenue 44195 (216) 636-7434
Remzi, Berna Ohio Cleveland 9500 Euclid Ave, Mail code: A61 44195 2 (216) 636-7409
Resch, Jeffrey Ohio Youngstown 20 Ohltown Rd 44515 2331 (330) 797-9705
Resnik, Julius Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
Reyes, Eleia Joyce Ohio Fairfield 945 Deis Dr 45014 8130 (513) 858-2666
Ricchetti, Eric Ohio Cleveland 9500 Euclid Ave A40 44195 1 (216) 636-7409
Rice, Sheila Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
rice, thomas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Roberto, Janet Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Roberto, Mark Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Robinson, Cheryl Ohio Dayton 1 Elizabeth Place Suite 115 45417 (937) 723-2875
Rodriguez, Luis Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Roelle, Melissa Ohio Dayton 5100 Springfield Street 45431 1264 (937) 208-2552
Roesel, Gwen Ohio Cincinnati 4460 Red Bank Rd Suite 124 45227 2172 (513) 271-2862
Rood, Mark Ohio South Russell 5192 Chillicothe Rd Suite 101 44022 4196 (440) 338-3366
Rostom, Mourad Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Rostom, Sohair Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Rowland, Joy Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Rubino, Nino Ohio Poland 6615 Clingan Road Suite C 44514 (330) 757-7888 17
Sabik, Ellen Mayer Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7434
Sabik, Joseph Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Salay, Elizabeth Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
Samuel, Samuel Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Sanaka, Madhusudhan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Sasidhar, Madhu Ohio Cleveland 9500 Euclid Ave Respiratory Institute: Desk A-90 44195 1 (216) 636-7433
Saxe, Jonathan Ohio Dayton 5100 Springfield St Suite 5253 45431 1264 (937) 208-2552
Scarcella, Joseph Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7409
Schaeffer, Jill Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Schaffer, Jonathan Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Schall, Perry Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7433
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Department Of Dermatology
Cleveland Clinic
Cleveland Clinic Foundation 9500
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 67 of 99
Scharpf, Joseph Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Schauer, Philip Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Schlenk, Richard Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Schmitt, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Selim, Suzan Ohio Youngstown 901 Trailwood Dr 44512 5008 (330) 726-3000
Sell, Jerry Ohio Rockford 506 S Main St 45882 9228 (419) 363-3008
Seo, Monica Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Sferra, James Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7409
Shanmugam, Makilzhan Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Shay, Steven Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Shewbridge, Richard Ohio Medina 4087 Medina Rd Suite 400 44256 5946 (216) 636-7430
Shin, Joyce Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7820
Shishehbor, Mehdi Ohio Elyria 125 E Broad St Suite 305 44035 6400 (216) 636-7378
Shrestha, Rabin Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Sidhu, Ramandeep Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7409
Simpfendorfer, Conrad Ohio Cleveland 9500 Euclid Ave 44195 1 (800) 223-2273
Smedira, Nicholas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
So, Norman Ohio Cleveland 9500 Euclid Ave S51 44195 1 (216) 636-7430
Soltesz, Edward Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Southworth, Elizabeth Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Sprouse, Robert Ohio Lancaster 1800 Granville Pike 43130 1043 (740) 687-1265
Srinivas, Titte Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7407
Stearns, Kim Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7378
Stewart, David Ohio Beavercreek 3351 Dayton Xenia Rd 45432 2763 (937) 429-0266
Stocchi, Luca Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Stojic, Andrey Ohio Lakewood 14519 Detroit Avenue 44107 (216) 636-7407
STONE, REBECCA Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
Strong, Scott Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Sullivan, Daniel Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
Sultan, Ghayyath Ohio Cleveland 2351 E 22nd St 44115 3111 (216) 636-7378
Suri, Sanjeev Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Sutter, John Ohio Springfield 3250 Middle Urbana Rd 45502 9285 (937) 399-7777 331
Swain, Steven Ohio Austintown 1450 S Canfield Niles Rd 44515 4083 (330) 799-8752
Sweeney, Daniel Ohio Cleveland 9500 Euclid Ave 44195 (216) 636-7430
Syed, Quratulain Ohio Cleveland Euclid Ave RC25 44195 1 (216) 636-7434
Sziraky, Patrick Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7376
Takacs, Steven Ohio Newbury 10780 Kinsman Rd PO Box 537 44065 9792 (440) 564-5656 101
Talampas, Liza Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 68 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
TAN, ANNIE Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7434
Temes, R. Thomas Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Thomas, James Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7409
Thomas, Santhosh Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Tonelli, Adriano Ohio Cleveland 9500 Euclid Ave # A-90 44195 1 (216) 636-7409
Tsai, John Ohio Canton 4466 Fulton Dr NW 44718 2864 (330) 489-1386
Tuzcu, Emin Murat Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Unnithan, Jaya Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
van Duin, David Ohio Cleveland Cleveland Clinic Foundation 9500 Euclid Ave 44195 1 (216) 636-7820
VanFossen, Barbara Ohio Lancaster 1334 Sheridan Dr Suite 4 43130 3956 (740) 687-9345
Vasavada, Sandip Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Vassil, Andrew Ohio Cleveland 9500 Euclid Ave Radiation Oncology, T28 44195 1 (216) 636-7434
Velasquez, Victor Ohio Wooster 1740 Cleveland Rd 44691 2204 (216) 636-7378
Velez, Maria Giselle Ohio Cleveland Euclid Ave M2-Annex 44195 1 (216) 636-7433
Velez, Vicente Jose Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Vermont, Carmen Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Vogelbaum, Michael Ohio Cleveland Cleveland Clinic Foundation 9500 Euclid Avenue / ND40 44195 1 (216) 636-7407
Walsh, R Matthew Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7430
Ware, Rebecca Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Weber, Luke Ohio Cleveland A 30 44195 1 (216) 636-7407
Weil, Robert Ohio Cleveland 9500 Euclid Avenue 44195 1 (216) 636-7433
Whitlow, Patrick Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7376
Wilkoff, Bruce Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7378
Winters, Jennifer Ohio Hamilton 855 Eaton Ave 45013 4603 (513) 892-9222
Wirebaugh, Jeffrey Ohio Perrysburg 702 Commerce Dr Ste 160 43551 5271 (419) 872-7600
Witt, David Ohio Toledo 4888 Whiteford Road 43623 2810 (419) 885-5563
Wood, Benjamin Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Wu, Charles Ohio Cleveland 9500 Euclid Ave 44195 1 (800) 223-2273
Wu, Nancy Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7433
Youssef, Sameh Ohio Cortland 2600 State Route 5 44410 9393 (330) 372-8800
Zarif, Linda Ohio Milan 11 West Front Street 44846 (567) 401-6207
Zayat, Joseph Ohio Cleveland 9500 Euclid Avenue 44195 (216) 636-7820
Zuccaro, Gregory Ohio Cleveland 9500 Euclid Ave 44195 1 (216) 636-7407
Aly, Khalid Oklahoma Pryor 562 S Elliott St 74361 6411 (918) 825-3389
Barnes, Daniel Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Belardo, John Oklahoma Oklahoma City 11308 N Pennsylvania Ave 73120 (405) 755-7700
Bogardus, Carl Oklahoma Oklahoma City 825 NE 10th St OUPB 1430 73104 5417 (405) 271-3577
Boyles, Robert Oklahoma Cleveland 100 North Hickerson Dr. 74020 4003 (918) 358-1600
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
9500 Euclid AveBrain Tumor Institute; Cleveland
Clinic
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 69 of 99
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Brookover, Wesley Oklahoma Tulsa 6585 S Yale Ave Ste 640 74136 8319 (918) 728-3344
BRUCE, ROBERT Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Burleson, James Oklahoma Sapulpa 550 West 121st Street South 74066 8677 (918) 291-5200
CARRICO, JEREMY Oklahoma TULSA 10901 E 48th Street S 74146 (918) 749-8765
Cheek, Bennie Oklahoma Muldrow 710 E Shawntel Smith Blvd Suite B 74948 (918) 427-3294
Coles, Donald Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Confer, David Oklahoma Tulsa 6585 S Yale Ave Ste 640 74136 8319 (918) 728-3344
Confer, Stephen Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
COOK, WILLIAM Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Davis, Cole Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Donat, Paul Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Esparza, Natalie Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
FORREST, JOHN Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Galles, Jeffrey Oklahoma Owasso 10512 N 110th East Ave 74055 6636 (918) 376-8900
Gancarczyk, Kevin Oklahoma Tulsa 10901 E 48th Street S 74146 5349 (918) 749-8765
Haralson, Harold Oklahoma Noble 408 N Main St POB 519 73068 9574 (405) 872-3885
HARPER, DAVID Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
JOHNSON, MARY Oklahoma Claremore 1218 N Florence Ave 74017 3109 (918) 341-6821
Kelley, Michelle Oklahoma Catoosa 2400 B North Hwy 66 74015 3074 (918) 266-4433
Laverty, Russell Oklahoma Midwest City 2008 S. Post Road 73130 (405) 732-2277
Little, Jesse Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
LITWILLER, SCOTT Oklahoma Tulsa 10901 E 48th Street S 74146 7216 (918) 749-8765
Masood, Tariq Oklahoma Tulsa 1245 S Utica Ave 74104 4200 (918) 382-2566
MILLER, JACK Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
MILSTEN, MARC Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Pappas, Nicholas Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Powell, Curtis Oklahoma Tulsa 10901 E. 48th Street. S. 74146 5830 (918) 749-8765
Pritchard, Charles Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
PURSER, JANE Oklahoma Tulsa 9311 S Mingo Rd 74133 5702 (918) 307-1613
Shuart, Jeffrey Oklahoma Blackwell 1009 W Ferguson Ave 74631 5602 (580) 363-0052
Stafford, Andrea Oklahoma Tulsa 1245 S Utica Ave 74104 4214 (918) 382-2566
Stansill, Jason Oklahoma Tulsa 1245 S. Utica Avenue 74104 4214 (918) 382-2570
Stearman, Laura Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Thomason, Danny Oklahoma Jenks 701 E Main St 74037 4316 (918) 298-2264
Voss-Alvarez, Barbara Oklahoma Oklahoma City 11000 Hefner Pointe Dr 73120 5039 (405) 749-9655
Walcher, Ronald Oklahoma Tonkawa 600 E. Grand 74653 3545 (580) 628-2557
WILKIN, MICHAEL Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Williams, Terence Oklahoma Sand Springs 20 E 34th St 74063 4001 (918) 245-9675
Page 70 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Winslow, Clinton Oklahoma Oklahoma City 4300 S Shields Blvd 73129 2864 (405) 632-6681
WRIGHT, ANDREW Oklahoma Tulsa 10901 E 48th Street S 74146 5830 (918) 749-8765
Arabshahi, Hamid Oregon Salem 1475 Commercial St SE 97302 4307 (503) 932-0885
Bliven, Matthew Oregon McMinnville 254 NE Norton Ln 97128 8470 (503) 472-6161
Bradbury, Mark Oregon Klamath Falls 2604 Clover St 97601 1132 (541) 274-2888
Chiu, Andrew Oregon Portland 120 NW 14th Ave Suite 300 97209 2601 (503) 299-9906
CORNELL, FLOYD Oregon Clackamas 10001 SE Sunnyside Rd SUITE 100 97015 5746 (503) 652-0600
Gilberts, Thomas Oregon Hillsboro 527 SE Baseline Suite G 97123 4147 (503) 941-9129
Jacobson, Kirk Oregon Eugene 1488 Oak St 97401 4043 (541) 431-0000
Jacobson, Kraig Oregon Eugene 1488 Oak St 97401 4043 (541) 683-1577 124
Jinnah, Shehzad Oregon Eugene 1488 Oak Street 97401 4043 (541) 431-9500
Kallgren, Mark Oregon Portland 120 NW 14th Ave Suite 300 97209 2601 (503) 299-9906
Kaufman, Annick-Marie Oregon Ashland 1801 Hwy 99 N, Ste 2 97520 (541) 488-4464
Marier, Daniel Oregon Pendleton 1100 Southgate Suite #2 97801 3974 (541) 276-1911
Mastrangelo, Michael Oregon Bend 2450 NE Mary Rose Pl Suite 210 97701 7132 (541) 383-2200
Park, Jay Oregon Eugene 360 S Garden Way Ste 230 97401 8187 (541) 868-0646
Pearson, Dennis Oregon Lebanon 90 Market St Ste 20 97355 2396 (541) 451-1144
Rosenblum, Stuart Oregon Portland 120 NW 14th Ave Suite 300 97209 2601 (503) 299-9906
Schmidt, Kenneth Oregon McMinnville 254 NE Norton Ln 97128 8470 (503) 472-6161
Sitz, W. Oregon Pendleton 1100 Southgate 97801 3974 (541) 276-1911
Snavely, Nicholas Oregon Portland 3303 S.W. Bond Avenue, CH 16D 97239 (503) 494-1375
STEWART, BERT Oregon Ashland 1801 Highway 99 N 97520 9152 (541) 488-4464
Thornton, Craig Oregon McMinnville 254 NE Norton Ln 97128 8470 (503) 472-6161
Adam, Suzanne Pennsylvania Reading 3909 Perkiomen Ave 19606 2718 (610) 779-4786
Adamo, Frank Pennsylvania Folsom 550 Macdade Blvd 19033 2318 (610) 534-7990
Adams, Tamara Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Ahlbrandt, Duane Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
AKHTAR, RIFFAT Pennsylvania Pottsville 106 So Claude a. Lord Boulevard 17901 3637 (570) 622-4209 146
Amster, Melanie Pennsylvania Philadelphia 1216 Arch St Suite 3B 19107 2835 (215) 563-1199 211
Andreozzi, Robert Pennsylvania Lebanon 845 Norman Dr 17042 7445 (717) 273-8091
Anoia, Elizabeth Pennsylvania Abington 1235 Old York Rd suite 210 19001 3800 (215) 517-1100
ARBUCKLE, MICHAEL Pennsylvania HONEY BROOK 471 PEQUEA AVE PO BOX 460 19344 460 (610) 273-2429
Austin, Barry Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 202 15243 1800 (412) 572-6122
Backenstoes, Jeffrey Pennsylvania Palmyra 101 West Cherry Street Suite 1 17078 2300 (717) 838-0900
Baer, Harry Pennsylvania Philadelphia 8815 Germantown Ave Suite 21 19118 2722 (215) 242-3516
Baranowski, Ursula Pennsylvania Bethel Park 1000 Higbee Dr Suite 104 15102 4200 (412) 833-6176 22
BATRA, ERICH Pennsylvania Lebanon 101 Fairview Cir 17042 9581 (717) 279-7303
BEALS, NORMAN Pennsylvania SENECA One Park Way 16346 802 (814) 676-5444
Suite #2Oregon Health & Science
University Department of Derm
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 71 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Becker, Ian Pennsylvania HONEY BROOK 471 PEQUEA AVE PO BOX 460 19344 460 (610) 273-2429
Behnke, Andrew Pennsylvania Carlisle 49 Brookwood Ave 17013 9126 (717) 258-1462
Bobby, John Pennsylvania Bethel Park 2000 Oxford Dr Suite 100 15102 1827 (412) 831-1522
Bobrowski, Daniel Pennsylvania Pottsville 48 Tunnel Rd Suite 205 17901 3875 (570) 622-1400
Boone, Edgar Pennsylvania Herminie 401 Church St 15637 1457 (724) 446-5571
Braun, Maximilian Pennsylvania Harrisburg 825 Sir Thomas Ct Suite B 17109 4839 (717) 652-8670
Brescia, Francis Pennsylvania Dauphin 722 Allegheny Street Suite 3 17018 (717) 921-2361
Brien, James Pennsylvania Philadelphia 8814 Germantown Pike Suite 21 19118 (215) 242-3516
Brooks, John Pennsylvania Clarion 180 Greenville Ave 16214 1645 (814) 226-7651
Brooks, Timothy Pennsylvania Clarion 180 Greenville Ave 16214 1645 (814) 226-7651
Brophy, Dow Pennsylvania Carlisle 1921 Spring Rd 17013 1157 (717) 243-5444
Brundage, Randall Pennsylvania Peckville 320 Keystone Ave 18452 2230 (570) 489-0871
CARROLL, ELIZABETH Pennsylvania HONEY BROOK 471 PEQUEA AVE PO BOX 460 19344 460 (610) 273-2429
Chalikonda, Sricharan Pennsylvania McKeesport 500 Hospital Way 15132 2004 (216) 636-7430
CHANG, MONA Pennsylvania Middleburg 7 Dock Hill Road 17842 (570) 326-4118
Charles, Douglas Pennsylvania Valley View 105 W Main St 17983 9423 (570) 682-8026
Charles, Robert Pennsylvania Abington 1235 Old York Rd Suite 210 19001 (215) 517-1100
Chiesa, Nicolette Pennsylvania Bridgeville 1168 Washington Pike 15017 2828 (412) 257-2050
CHLEBOWSKI, JAMES Pennsylvania Selinsgrove 21 Susquehanna Valley Mall Dr 17870 8409 (570) 374-7852
CHO, DANNY Pennsylvania Lewisburg 131 Jpm Rd 17837 9309 (570) 523-6115
Chopra, Monica Pennsylvania Bethel Park 1000 Higbee Dr Suite 104 15102 4200 (412) 833-6176 22
Christiansen, Leif Pennsylvania Reading 2234 Perkiomen Ave 19606 1830 (610) 370-2511
Chun, Benjamin Pennsylvania Pittsburgh 3471 5th Ave ste 102 15213 3215 (412) 681-8505
Civitarese, Frank Pennsylvania Carnegie 2375 Greentree Rd 15106 4203 (412) 276-1560
COMPANION, RODNEY Pennsylvania SHAMOKIN DAM 3057 N SUSQUEHANNA TRAIL 17876 (570) 743-1112
Cook, Richard Pennsylvania Uniontown 104 McClellandtown Rd 15401 5527 (724) 438-1808
Cook, Richard Pennsylvania Uniontown 104 McClellandtown Rd 15401 5527 (724) 438-1808
Cutler, Larry Pennsylvania Abington 1235 Old York Rd Ste 210 19001 (215) 517-1100
Dashottar, Nupur Pennsylvania Jefferson Hills 1200 Brooks Ln Suite 290 15025 3747 (412) 729-1500
del terzo, michael Pennsylvania Lancaster 2106 Harrisburg Pike suite 200 17601 2644 (717) 393-1771
DEMPSEY, EDWARD Pennsylvania HERNDON RTE 225 RR 1 BOX 1658 17830 (570) 758-3511
Derstine, Nathan Pennsylvania Greencastle 50 Eastern Ave Ste. 135 17225 1100 (717) 597-3151
DEYARMIN, BRIAN Pennsylvania Bethel Park 1000 Higbee Dr Suite 104 15102 4200 (412) 833-6176 122
Deysher, David Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Doshi, Bhavank Pennsylvania Pittsburgh 2100 Jane St 15203 2065 (412) 381-1949
Egan, Richard Pennsylvania Pittsburgh 300 Fleet St Suite 100 15220 2903 (412) 920-0400
ELWAY, AMBER Pennsylvania Mc Kees Rocks 27 Heckel Rd Suite 107 15136 1616 (412) 331-6503
Engle, David Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
Suite 201
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Page 72 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
esposito, Mary Ann Pennsylvania Wyomissing 1030 Reed Ave Suite 114 19610 2039 (610) 378-5566
Fassero, Daniel Pennsylvania Lewisburg 137 Jpm Road 17837 (570) 523-3937
Feinberg, Stanford Pennsylvania Wyomissing 1030 Reed Ave Suite 114 19610 2039 (610) 378-1971
FELL, BRADLEY Pennsylvania SENECA ONE PARK WAY 16346 802 (814) 676-5444
Fellin, Eugene Pennsylvania Fleetwood 805 N Richmond St 19522 1058 (610) 944-0464
FERGUSON-AVERY, SALLY Pennsylvania Shamokin Dam 3057 N Susquehanna Trl 17876 9114 (570) 743-1112
Finn, Jeffrey Pennsylvania Harrisburg 825 Sir Thomas Ct Ste B 17109 4839 (717) 652-8670
Fiore, Jay Pennsylvania State College 1850 East Park Ave Suite 304 16803 1078 (814) 234-1002
Fisher, Neil Pennsylvania Pottsville 48 Tunnel Rd Suite 205 17901 3875 (570) 622-1400
Fitzpatrick, Michael Pennsylvania Greencastle 50 Eastern Avenue Suite 135 17225 1100 (717) 597-3151
Flores-Paras, Nora Pennsylvania New Castle 3413 Wilmington Rd 16105 3209 (724) 656-9005
Folk, Mark Pennsylvania Schaefferstown Rt 501 Box N 17088 (717) 949-2777
Foster, Ian Pennsylvania Shawnee-on-Delaware Buttermilk Falls Road 18356 244 (570) 421-3900
FOX, CRAIG Pennsylvania Washington 2 Wilson Ave 15301 3335 (724) 228-4550
frankel, arthur Pennsylvania Abington 1245 Highland Ave 19001 3714 (215) 886-1020
Freda, Anthony Pennsylvania Peckville 320 Keystone Ave 18452 2230 (570) 489-0871
Friedrich, Roland Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
Furlong, Natalie Pennsylvania Bethel Park 1000 Higbee Dr Suite 104 15102 4200 (412) 833-6176 55
Gallagher, Francis Pennsylvania Lebanon 755 Norman Drive 17042 7497 (717) 273-6706
Geist, Gerald Pennsylvania Selinsgrove 980 N Susquehanna Trl 17870 7766 (570) 374-8559
Geltzer, David Pennsylvania Philadelphia 7318 Frankford Ave 19136 3827 (215) 332-2200
GENNAULA, CHARLES Pennsylvania Belle Vernon 100 Peasant Village Ln SUITE 100 15012 4333 (724) 929-7800
Gergis, Samy Pennsylvania Lebanon 101 Fairview Cir 17042 9581 (717) 279-7303
Goldman, Joshua Pennsylvania Pittsburgh 300 Fleet St Suite 100 15220 2903 (412) 920-0400
Gorski, Stanley Pennsylvania Pine Grove 8 Oak Grove Rd Suite 1 17963 1226 (570) 345-3321
Graves, Lynda Pennsylvania Minersville 210 Sunbury St 17954 1346 (570) 544-9123
GRAY, D Pennsylvania Lewisburg 131 Jpm Rd 17837 9309 (570) 523-6115
Greco, Robert Pennsylvania Pottsville 48 Tunnel Rd Suite 204 17901 3875 (570) 622-0200
Gutierrez, Ernesto Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
HAFIZ, TARIQ Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Hagg, Michael Pennsylvania Wynnewood 19096 3450 (610) 649-6420
Haggard, Robert Pennsylvania Fredericksburg 120 S. Tan Street Suite 1 17026 9 (717) 865-6644
Hamm, Bethann Pennsylvania Clarion 180 Greenville Ave 16214 1645 (814) 226-7651
Hartley, Paul Pennsylvania Uniontown 202 Jacob Murphy Ln Suite 201 15401 2686 (724) 437-1109
Hartzell, Scott Pennsylvania Lewisburg 137 Jpm Rd 17837 9313 (570) 523-3937
HASHIN, KIMBERLY Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Haueisen, Norman Pennsylvania Harrisburg 825 Sir Thomas Ct Suite B 17109 4839 (717) 652-8670
Hayes, Anne Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
361 Lankenau Medical Building
East100 E Lancaster AveFredericksburg Community Health
Center, P.C.
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Page 73 of 99
Heeter, David Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
HEFFNER, GEORGE Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Heimer, Jeffrey Pennsylvania State College 1850 E Park Ave Suite 304 16803 6706 (814) 234-1002
Hensel, Jerry Pennsylvania Lewisburg 137 Jpm Rd 17837 9313 (570) 523-3937
HERRINGTON, PAMELA Pennsylvania Middleburg 7 Dock Hill Road 17842 (570) 326-4118
Hippert, Robert Pennsylvania Fleetwood 805 N Richmond St 19522 1031 (610) 944-0464
Hirshberg, Steven Pennsylvania Abington 1235 Old York Rd Suite 210 19001 (215) 517-1100
hong, robert Pennsylvania Lancaster 2106 Harrisburg Pike suite 200 17601 2644 (717) 393-1771
Horner, Damian Pennsylvania Warren 143 Pleasant Dr 16365 3371 (814) 726-3310
Hornickle, David Pennsylvania Oley 346 Main St 19547 8712 (610) 987-9870
Hoyt, David Pennsylvania Mercer 400 W Butler St 16137 1031 (724) 662-4990
Hozakowska, Ewa Pennsylvania Pittsburgh 300 Fleet St Suite 100 15220 2903 (412) 920-0400
Hudzinski, Martin Pennsylvania Greencastle 50 Eastern Ave Ste. 135 17225 1100 (717) 597-3151
Hughes, Jason Pennsylvania Bethel Park 5841 Library Rd 15102 (412) 831-1515
Jindal, Rohit Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
Joffy, Sergei Pennsylvania Lebanon 755 Norman Drive 17042 7497 (717) 273-6706
Jones, Edward Pennsylvania Philadelphia 2 Penn Blvd Suite 112 19144 1416 (215) 991-9440
Joseph, Raymond Pennsylvania Wilkes Barre 1130 Highway 315 18702 6952 (570) 823-8896
Josloff, Robert Pennsylvania Abington 1245 Highland Ave Ste 600 price medical office building 19001 3714 (215) 887-3990
jubelirer, robert Pennsylvania Abington 1245 Highland Ave suite 600 19001 3714 (215) 887-3990
Kang, Joseph Pennsylvania Reading 131 N 5th St 19601 3415 (610) 375-8507
Kantor, Thomas Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Kapp, Anton Pennsylvania Huntingdon Valley 2301 Huntingdon Pike, Ste 201 19006 (215) 947-4105
Kase, Edwin Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Katzen, Nicholas Pennsylvania Lebanon 755 Norman Drive 17042 7497 (717) 273-6706
Kolff, Jeffrey Pennsylvania Abington 1245 Highland Ave Ste 600 19001 (215) 887-3990
Komer, Louis Pennsylvania Bethel Park 2414 Lytle Rd Suite 300 15102 2736 (412) 835-8090
Kuhns, David Pennsylvania Montoursville 1500 Broad St 17754 8300 (570) 368-2801
Kurban, Ramsay Pennsylvania Lebanon 845 Norman Dr 17042 7445 (717) 273-8091
Labuda, Joseph Pennsylvania Uniontown 104 McClellandtown Rd 15401 5527 (724) 438-1808
Lanchoney, Thomas Pennsylvania Bryn Mawr 245 Bryn Mawr Ave 19010 (610) 525-2515
Lee, Najin Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Leibensperger, Stephen Pennsylvania Mc Kees Rocks 27 Heckel Rd Suite 107 15136 1616 (412) 331-6503
LENAHEN, PATRICK Pennsylvania Philadelphia 5735 Ridge Ave SUITE 206 19128 1745 (215) 482-1141
Lepone, Kenneth Pennsylvania Lebanon 101 Fairview Cir 17042 9581 (717) 279-7303
Lilienthal, David Pennsylvania Clairton 575 Coal Valley Rd Suite 374 15025 3730 (412) 469-7744
Long, Richard Pennsylvania Belle Vernon 1645 Rostraver Rd 15012 9655 (724) 929-2640
Loose, George Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 74 of 99
MALIK, MAQSOOD Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Mally, Ashith Pennsylvania Mc Murray 5000 Waterdam Plaza Dr Suite 120 15317 5412 (724) 941-8877
Margut, Shelby Pennsylvania Fredericksburg 120 S. Tan St., Suite 1 17026 (717) 865-6644
Maro, Nicholas Pennsylvania Scranton 1001 Wheeler Ave 18510 1471 (570) 839-7005
Massimini, Elizabeth Pennsylvania Media 1008 N Providence Rd 19063 2101 (610) 892-8090
Mateer, Daniel Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
Mathew, Thomas Pennsylvania Erie 3738 W 12th St 16505 3502 (814) 838-1101
McCann, James Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
McElhaugh, William Pennsylvania Philadelphia 2 Penn Blvd Suite 112 19144 1416 (215) 991-9440
McFarland, Donald Pennsylvania Bridgeville 1168 Washington Pike 15017 2828 (412) 257-2050
MCGONIGAL, MICHAEL Pennsylvania Bethel Park 1000 Higbee Dr SUITE 104 15102 4200 (412) 833-6176 122
MCKNIGHT, STACIE Pennsylvania Mc Kees Rocks 27 Heckel Rd Suite 107 15136 1616 (412) 331-6506
McNutt, Kathy Pennsylvania HARRISVILLE 321 EAST MERCER STREET 16038 (724) 735-4241
Mela, Anthony Pennsylvania Philadelphia 2901 S 19th St 19145 4741 (215) 467-4930
Mercado, Max Pennsylvania Philadelphia Suite 203 19111 (215) 289-4434
Miller, Myron Pennsylvania Fredericksburg 120 S. Tan St., Suite 1 17026 9 (717) 865-6644
MILLER-SCHAEFFER, CAROL Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Minora, Thomas Pennsylvania Scranton 2232 Pittston Ave 18505 3238 (570) 969-6327
Mohammed, Ronnie Pennsylvania Lebanon 755 Norman Drive 17042 7497 (717) 273-6706
Mohan, Francis Pennsylvania Pine Grove 8 Oak Grove Rd Suite 1 17963 1226 (570) 345-3321
Mohtasebi, Yasaman Pennsylvania Belle Vernon 515 Broad Ave 15012 1405 (724) 929-2640
Momin, Malik Pennsylvania Harrisburg 825 Sir Thomas Ct Suite B 17109 4839 (717) 652-8670
Moore, Michael Pennsylvania Dunmore 1000 Meade Street 18512 3195 (570) 961-8000
MUNIR, MUHAMMAD Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Nadella, Venkateswara Pennsylvania Bradford 6 North Center Street 16701 (814) 368-7000
NARULA, AMRIT Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Newman, Eric Pennsylvania Reading 3909 Perkiomen Ave 19606 2718 (610) 779-4786
Newman, Seth Pennsylvania Abington 1245 Highland Ave Suite 600 19001 3714 (215) 887-3990
Nielsen, Robert Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
NIX, COLLIER Pennsylvania Montoursville 1500 Broad St 17754 8300 (570) 368-2801
Nussbaum, Michael Pennsylvania Abington 1208 Highland Ave 19001 3706 (215) 887-3565
Offerman, Joop Pennsylvania Pittsburgh 6740 Reynolds St 15206 (412) 361-4960
OLSON, CHRISTOPHER Pennsylvania Shamokin Dam 3057 N Susquehanna Trail 17876 (570) 743-1112
Ooi, Heo-Jeng Pennsylvania Pittsburgh 3471 5th Ave Suite 102 15213 3215 (412) 681-8505
ORREN, G Pennsylvania Lewisburg 137 Jpm Rd 17837 9313 (570) 523-3937
Palchick, Bryce Pennsylvania Pittsburgh 140 Curry Hollow Rd suite 2 15236 4604 (412) 650-5623
Patel, Subodh Pennsylvania Uniontown 205 Easy St Suite 106 15401 3128 (724) 438-1300 3
Pesacreta, Matthew Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
Center, P.C.
7500 Central AveFredericksburg Community Health
Center, P.C.
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 75 of 99
Peterman, Ambrose Pennsylvania Pottstown 545 East High Street 19464 5677 (610) 327-1785
Peters, Robert Pennsylvania Pottsville 48 Tunnel Rd Suite 104 17901 3875 (570) 622-5555
Portz, Matthew Pennsylvania Jefferson Hills 1200 Brooks Ln Suite 290 15025 3747 (412) 729-1500
Purighalla, Raman Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 202 15243 1800 (412) 572-6122
Purighalla, Uma Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 202 15243 1800 (412) 572-6122
RAO, YASHODA Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
REDKA, JAMES Pennsylvania Middleburg 7 Dock Hill Road 17842 (570) 326-4118
Rehder, Karen Pennsylvania Pittsburgh 580 S Aiken Ave Suite 500 15232 1531 (412) 688-3653
Reich, Jeffrey Pennsylvania Huntingdon Valley 2301 Huntingdon Pike Suite 201 19006 6130 (215) 947-4105
Reid, Bryan Pennsylvania Carlisle 1921 Spring Rd 17013 1157 (717) 243-5444
Rictor, Kenneth Pennsylvania Scotland 3730 Scotland Road Po Box 398 17254 398 (717) 267-3606
Robison, Walter Pennsylvania Mc Murray 5000 Waterdam Plaza Dr Suite 120 15317 5412 (724) 941-8877
Rodgers, John Pennsylvania Huntingdon Valley 2301 Huntingdon Pike Suite 201 19006 6130 (215) 947-4105
rommel, francis Pennsylvania Lancaster 2106 Harrisburg Pike suite 200 17601 2644 (717) 393-1771
Rothschild, John Pennsylvania Wilkes Barre 1130 Highway 315 18702 6952 (570) 823-8896
Ruht, Barry Pennsylvania Allentown 1605 N Cedar Crest Blvd Suite 608 18104 2351 (610) 821-4950
Rupp, Joseph Pennsylvania Everett 202 Memorial Dr Suite 3 15537 7057 (814) 623-6191
russinko, paul Pennsylvania Lancaster 2106 Harrisburg Pike suite 200 17601 2644 (717) 393-1771
Samaha, A. Pennsylvania Abington 1235 Old York Road Suite 210 19001 (215) 517-1100
Sams, Kevin Pennsylvania Beaver Falls 6832 Big Beaver Blvd. 15010 1803 (724) 843-7010
Sauer, Gary Pennsylvania Mc Kees Rocks 27 Heckel Rd Suite 107 15136 1616 (412) 331-6503
Schachter, Lee Pennsylvania Abington 1235 Old York Rd 19001 3800 (215) 517-1100
Schnall, Robert Pennsylvania Wynnewood 100 E Lancaster Ave 19096 3450 (610) 649-6420
Schuman, Linda Pennsylvania Jefferson Hills Suite 290 15025 3730 (712) 729-1500
Sears, Carol Pennsylvania Fredericksburg 120 S. Tan Street Suite 1 17026 9 (717) 865-6644
Sellers, Robert Pennsylvania Fleetwood 805 N Richmond St 19522 1058 (610) 944-0464
SHAH, SYED Pennsylvania Pottsville 106 S Claude A Lord Blvd 17901 3637 (570) 622-4209 146
Sharma, Neelum Pennsylvania Jefferson Hills 1200 Brooks Ln Suite 290 15025 3747 (412) 729-1500
Shay, Steven Pennsylvania Schaefferstown RT 501 North 17088 (717) 949-2777
Shi, Guoxiang Pennsylvania York 2690 Southfield DR 17403 (717) 741-1414
Shibutani, Yasushi Pennsylvania Abington 1235 Old York Rd Ste 210 19001 (215) 517-1100
Singh, Dilbagh Pennsylvania Bradford 6 North Center Street 16701 (814) 368-7000
Sipes, Duane Pennsylvania Greencastle 50 Eastern Ave Ste 135 17225 1100 (717) 597-3151
Sloane, Bruce Pennsylvania Philadelphia 1216 Arch St Suite 3B 19107 2835 (215) 563-1199
Slusser, Stephen Pennsylvania Pottsville 48 Tunnel Rd Suite 104 17901 3875 (570) 622-5555
Smith, Brent Pennsylvania Annville 475 N Weaber St 17003 1104 (717) 867-4671
Smith, Edward Pennsylvania Grove City 420 Hillcrest Ave 16127 1708 (724) 458-4950
Snyder, John Pennsylvania Betnel-Park 5841 Library Rd 15102 (412) 831-1515
Suite 210
East
1200 Brooks LaneFredericksburg Community Health
Center, P.C.
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 76 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Soiferman, Erik Pennsylvania Wynnewood 823 Primrose Lane 19096 (484) 944-1551
Spasic, Alexander Pennsylvania Carlisle 419 Village Dr SUITE 6 17015 6943 (717) 258-0099
Speranza, David Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
Sprando, Christopher Pennsylvania Grove City 420 Hillcrest Ave 16127 1708 (724) 458-4950
Spurlock, John Pennsylvania Bethlehem 433 E Broad St Unit 1 18018 6336 (610) 868-5780
Srour, James Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
Swinker, Margaret Pennsylvania Brownsville 111 Thornton Rd Suite A 15417 9607 (724) 785-5656
Sysak, Joshua Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
Szydlowski, Thaddeus Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Teredesai, Pradip Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
Teribury, Frederick Pennsylvania Sayre 114 Desmond Street 18840 2002 (570) 882-7401
Thomas, Kevin Pennsylvania Grove City 675 N Broad Street Ext Suite 4 16127 5805 (724) 458-8754
Thornton, Joseph Pennsylvania Greencastle 50 Eastern Ave Ste. 135 17225 1100 (717) 597-3151
Trostle, David Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Tu, Benjamin Pennsylvania Bethel Park 1000 Higbee Dr Suite 104 15102 4200 (412) 833-6176 22
Tuchinda, Jalit Pennsylvania Mc Kees Rocks 596 Pine Hollow Road 15136 1661 (412) 771-6003
Uberti, Anthony Pennsylvania New Wilmington 565 W Neshannock Ave 16142 1012 (724) 946-8979
Uchino, Ken Pennsylvania Pittsburgh 3471 5th Ave Suite 810 LKB 15213 3215 (216) 636-7430
Urban, Richard Pennsylvania Bethel Park 2414 Lytle Rd Suite 300 15102 2736 (412) 835-8090
Villarreal, Carlos Pennsylvania Pottsville 48 Tunnel Rd Suite 205 17901 3875 (570) 622-1400
Walmer, Lynnwood Pennsylvania Lewisburg 137 Jpm Road 17837 (570) 523-3937
Wang, Pin Pennsylvania York 2690 Southfield Dr 17403 4510 (717) 741-1414
Watson, Thomas Pennsylvania Pine Grove Suite 1 17963 1226 (570) 345-3321
Weaner, Pamela Pennsylvania Fredericksburg 120 S. Tan St. Suite 1 17026 9 (717) 865-6644
Weber, Joseph Pennsylvania Ashland 604 Centre St 17921 1332 (570) 875-4400
West, Cynthia Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
WESTON, JOHN Pennsylvania Lewisburg 131 Jpm Rd 17837 9309 (570) 523-6115
Williams, Kevin Pennsylvania Peckville 320 Keystone Ave 18452 2242 (570) 489-0871
Wolfert, Allen Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
Woodard, Christopher Pennsylvania Lancaster 2106 Harrisburg Pike Suite 200 17601 2644 (717) 393-1771
Xie, Qizhi Pennsylvania Pittsburgh 1050 Bower Hill Rd Suite 204 15243 1800 (412) 572-6129
Yaros, John Pennsylvania Pittsburgh 363 Vanadium Rd Suite 202 15243 1497 (412) 279-9900
Young, Steven Pennsylvania Wilkes Barre 1130 Highway 315 18702 6952 (570) 823-8896
ZAKI, GEORGETT Pennsylvania Lebanon 755 Norman Dr 17042 7497 (717) 273-6706
Blasini, Aida Puerto Rico San Juan 1503 Calle Prof Augusto Rodriguez 1st Floor 909 2275 (787) 726-5037
BANSAL, RAJNISH Rhode Island Smithfield 41 Sanderson Rd Suite 201 2917 2602 (401) 949-0300
Blundin, Michael Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
Brex, Charles Rhode Island East Providence 450 Veterans Memorial Pkwy Bldg 4 2914 5300 (401) 435-3400
8 Oak Grove RdFredericksburg Community Health
Center, P.C.
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 77 of 99
BRIN, STEVEN Rhode Island Providence 78 Baker St 2905 4417 (401) 751-2400
BURNS, SUZANNE Rhode Island East Providence 900 Warren Ave Suite 400 2914 1430 (401) 331-1221
CAMPBELL, JOSEPH Rhode Island Cranston 75 Sockanosset Cross Road Suite 100 2920 5558 (401) 946-6200
CARNEVALE, ROBERT Rhode Island Providence 1075 Smith St 2908 2700 (401) 421-4400
CICCHELLI, ROBERT Rhode Island Middletown 850 Aquidneck Ave 2842 7244 (401) 846-0055
Clement, Jeffrey Rhode Island Providence 1076 N Main St 2904 5760 (401) 861-7711 127
Coia, David Rhode Island Smithfield 41 Sanderson Rd Suite 201 2917 2602 (401) 949-0300
CORCORAN, J RUSSELL Rhode Island Wakefield 70 Kenyon Ave Suite 215 2879 4239 (401) 783-0084
Cottiero, Richard Rhode Island Providence 1076 N Main St 2904 5760 (401) 861-7711 127
CUNNINGHAM, DAVID Rhode Island Middletown 850 Aquidneck Ave 2842 7244 (401) 846-0055
Cushing-Brescia, Anne Rhode Island Lincoln 6 Blackstone Valley Pl Suite 701 2865 1179 (401) 333-3111
EARP, RALPH Rhode Island Newport 50 Memorial Blvd Aquidneck Medical Associates 2840 3587 (401) 847-2290 132
EJNES, YUL Rhode Island Cranston 75 Sockanosset Cross Rd Suite 100 2920 5558 (401) 946-6200
EMGUSHOV, RINCHEN-TZO Rhode Island Providence 78 Baker St 2905 4417 (401) 781-2400
Estrada, Elkin Rhode Island Providence 1076 N Main St 2904 5760 (401) 861-7711 127
FERRI, FRED Rhode Island Johnston 1539 Atwood Ave Suite 101 2919 3262 (401) 272-3410
FRIED, DAVID Rhode Island East Greenwich 1351 S County Trl Suite 115 2818 5079 (401) 884-0333
GAINES, JOHN Rhode Island Smithfield 41 Sanderson Rd Suite 201 2917 2602 (404) 949-0300
GILMAN, RONALD Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
GOLDFARB, AMY Rhode Island Providence 78 Baker Street 2905 4417 (401) 781-2400
GORELICK, DAVID Rhode Island Newport 50 Memorial Blvd Aquidneck Medical Associates, Inc 2840 3587 (401) 847-2290 211
Granja, Carlos Rhode Island Providence 1076 North Main St 2904 (401) 861-7711
GREENIER, VANESSA Rhode Island Smithfield 41 Sanderson Rd Suite 201 2917 2602 (401) 949-0300
Gutierrez, Francisco Rhode Island Middletown 850 Aquidneck Ave 2842 7244 (401) 846-0055
JOHNSON, SHELLY Rhode Island Wakefield 70 Kenyon Ave Suite 215 2879 4239 (401) 783-0084
Jones, Elaine Rhode Island Bristol 814 Metacom Ave 2809 5160 (401) 396-5200
KARCZMAR, PETER Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
KEMPNER, STEVEN Rhode Island East Providence 900 Warren Ave Suite 400 2914 1430 (401) 331-1221
KUPCHAN, AUDREY Rhode Island East Providence 900 Warren Ave Suite 400 2914 1430 (401) 331-1221
KUROSE, G ALAN Rhode Island East Providence 450 Veterans Memorial Pkwy Building 4 2914 5300 (401) 435-3400
LOMBARDI, ANTHONY Rhode Island Cranston 75 Sockanosset Cross Rd Suite 100 2920 5558 (401) 946-6200
Lombardi, Anthony Rhode Island Warwick 21 College Hill Rd 1st Floor 2886 2771 (401) 828-6800
MEREN, TESFAYE Rhode Island East Providence 900 Warren Ave Suite 400 2914 1430 (401) 331-1221
MILLERICK, THOMAS Rhode Island East Greenwich 1351 S County Trl Suite115 2818 5079 (401) 884-0333
MYERS, JAMES Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
ngomba, jasper Rhode Island Newport 50 Memorial Blvd 2840 (401) 847-2290 278
Osorio, Luis Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
PARAMESWARAN, JAYANTHI Rhode Island Newport 50 Memorial Blvd 2840 3587 (401) 847-2290 217
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Page 78 of 99
POMERANTZ, MICHAEL Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
PRESSMAN, MITCHELL Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
RYTER, RICHARD Rhode Island Smithfield 41 Sanderson Rd Suite 201 2917 2602 (401) 949-0300
SANDERS, HAROLD Rhode Island Newport 50 Memorial Blvd Aquidneck Medical Associates Inc 2840 3587 (401) 847-2290 205
SAVORETTI, FRANK Rhode Island Johnston 1539 Atwood Ave Suite 101 2919 3262 (401) 272-3410
SCHOENFELD, LARRY Rhode Island East Providence 900 Warren Ave Suite 400 2914 1430 (401) 331-1221
SHERMAN, CHARLES Rhode Island East Providence 450 Veterans Memorial Pkwy Building 6 2914 5300 (401) 435-5533
STEVENSON, KAREN Rhode Island Cranston 75 Sockanosset Cross Road Suite 100 2920 5558 (401) 946-6200
TERLATO, JOSEPH Rhode Island Providence 1075 Smith St 2908 2700 (401) 421-4400
VICCIONE, TODD Rhode Island East Greenwich 1351 S County Trl Suite 115 2818 5079 (401) 884-0333
WINTERS, JEFFRY Rhode Island Cranston 75 Sockanosset Cross Road Suite 100 2920 5558 (401) 946-6200
Yess, James Rhode Island East Providence 450 Veterans Memorial Pkwy Building 4 2914 5300 (401) 435-3400
Yoburn, David Rhode Island Providence 1076 N Main St 2904 5760 (401) 861-7711 127
Absher, John South Carolina Greenville 155 Halton Rd Ste B 29607 3507 (864) 286-8222
Blau, Jill South Carolina Beaufort 3 Celadon Dr Suite A 29907 2695 (843) 379-9913
Blubaugh, Michael South Carolina Walterboro 461 Spruce St 29488 2766 (843) 549-4335
Dille, Brice South Carolina Spartanburg 479 Heywood Avenue 29307 1726 (864) 583-6381
Grunsky, Mitchell South Carolina Sumter 325 Broad St Suite 100 29150 4152 (803) 773-5227 276
Haas, Robert South Carolina Spartanburg 479 Heywood Ave 29307 1726 (864) 583-6381
Holmes, Michael South Carolina Spartanburg 479 Heywood Ave 29307 1726 (864) 583-6381
Kumar, Sanjay South Carolina Walterboro 461 Spruce St 29488 2766 (843) 549-4335
Leonard, Jason South Carolina Sumter 325 Broad St Ste100 29150 4167 (803) 773-5227 246
Lowder, Clayton South Carolina Sumter 325 Broad St Suite 100 29150 4152 (803) 773-5227 254
Lucas, Thomas South Carolina Sumter 325 Broad St Suite 100 29150 4167 (803) 773-5227 254
Mahr, Christopher South Carolina Sumter 220 Broad St 29150 4102 (803) 773-5227
Meyers, Edward South Carolina Sumter 3440 Declaration Blvd 29154 8139 (803) 905-3278
Nicholson, David South Carolina Spartanburg 479 Heywood Ave 29307 1726 (864) 583-6381
Pares, Gonzalo South Carolina Spartanburg 243 E Blackstock Rd Ste 6 29301 2653 (864) 574-8979
Patel, Shilpesh South Carolina Rock Hill 223 S Herlong Ave Suite 110 29732 1670 (803) 980-7400
Quattlebaum, Brian South Carolina N Charleston 283 Dorchester Manor Blvd 29420 8108 (843) 552-8000
Stewart, Ike South Carolina Sumter 220 Broad St 29150 4102 (803) 773-5227
Whaley, David South Carolina Sumter 325 Broad St Suite 100 29150 4152 (803) 773-5227 233
Bolson, Rajshri South Dakota Rapid City 7220 S Highway 16 57702 8708 (605) 341-1414
Evans, Jason South Dakota Madison 732 S Washington Ave 57042 3519 (605) 256-0336
Lang, David South Dakota Rapid City 7220 S Highway 16 57702 8708 (605) 341-1414
Schleusener, Rand South Dakota Rapid City 7220 S Highway 16 57702 8708 (605) 341-1414
Baggott, Nicole Tennessee Nashville 3443 Dickerson Pike Suite 460 37207 2519 (615) 865-4996
beaty, kenneth Tennessee livingston 403 university street 38570 1 (931) 403-5939
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Page 79 of 99
Beckner, David Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 0 (423) 230-6900
Berry, John Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Bertuso, John Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Blackwell, Gerald Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Blake, John Tennessee Knoxville 4306 Asheville Hwy 37914 3601 (865) 522-2168
Boeck, Karin Tennessee Kimball 24 Mountain View Drive Suite A 37347 (423) 942-9171
Borsch, Mark Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 0 (423) 230-6900
Bulle, Thomas Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Burress, Jonathan Tennessee Bristol 1 Medical Park Blvd 37620 0 (423) 230-6900
Close, David Tennessee Chattanooga 961 Spring Creek Rd 37412 3909 (423) 892-2221
CROSS, ANDREW Tennessee Bristol 1 Medical Park Blvd Suite 458-W 37620 7430 (423) 844-4975
Currin, Samuel Tennessee Chattanooga 725 Glenwood Dr Ste E780 37404 1177
Dang, Gerald Tennessee Memphis 995 S Yates Rd Ste. 1 38119 882 (901) 527-7100
Daniel, Anton Tennessee Newport 235 Murray Dr 37821 3631 (423) 623-0601
Day, Mardon Tennessee Nashville 2400 Patterson St Suite 123 37203 1562 (615) 327-2200
Day, Richelle Tennessee Nashville 2400 Patterson St Suite 123 37203 1562 (615) 327-2200
Dickens, Mario Tennessee Chattanooga 6116 Shallowford Rd Ste 118 37421 7201 (423) 710-1224
Dilworth, James Tennessee Chattanooga 725 Glenwood Dr Ste E780 37404 1177 (423) 697-0072
Donato, Robert Tennessee Memphis 995 S Yates Rd Suite 1 38119 882 (901) 527-7100
Donovan, Daniel Tennessee Cookeville 105 Cherry Ave 38501 2521 (931) 528-5811
Gall, Stanley Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Greenfield, D Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
HENSON, PAUL Tennessee Chattanooga 725 Glenwood Dr SUITE E780 37404 1163 (423) 697-0072
Hixson, Clair Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Holden, Anthony Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Istfan, Pierre Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 0 (423) 230-6900
Jackson, Becky Tennessee Knoxville 9625 Kroger Park Dr 400 37922 5880 (865) 539-2411
Jackson, Brian Tennessee Columbia 1215 Hatcher Ln 38401 3531 (931) 380-0353
JACKSON, STEPHEN Tennessee Cleveland 400 Berywood Trl NW SUITE B 37312 5287 (423) 472-3201
Jestus, Joseph Tennessee Cookeville 145 W 4th St Suite 201 38501 2447 (931) 372-7716
Johnson, Harold Tennessee Newport 235 Murray Dr 37821 3631 (423) 623-0601
Jones, Gregory Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Kennedy, Christopher Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 0 (423) 230-6900
Kramer, Robert Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Ladley, Herbert Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Lohrey, Charlotte Tennessee Nashville 300 20th Ave N Suite 602 37203 2131 (615) 320-3999
Lubas, Janet Tennessee Jefferson City 1413 Russell Ave 37760 2562 (865) 475-1177
Mayhew, Marc Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Suite 458WChattanooga Family Practice
Assoicates PC
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 80 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
MCINTIRE, EDWARD Tennessee Cleveland 400 Berywood Trl NW SUITE B 37312 5287 (423) 472-3201
Merrill, James Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Messerschmidt, William Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 (423) 439-7201
Metzger, D. Tennessee Kingsport 2050 Meadowview Pkwy 37660 7332 (423) 230-5000
Meyers, Cary Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
O'Roark, Daniel Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Orr, Charles Tennessee Clarksville 1492 Madison St 37040 3860 (931) 648-0544
Rao, Arun Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Rodriguez-Cruz, Leonardo Tennessee Cookeville 145 W 4th St Suite 201 38501 2447 (931) 372-7716
Saha, Pabitra Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
SASLAWSKY, MARK Tennessee Memphis 995 S Yates Rd STE. 1 38119 882 (901) 527-7100
Schussler, Michael Tennessee Clarksville 1762 Memorial Drive 37043 4562 (931) 552-3338
Simpson, Daniel Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
Stanton, John Tennessee Clarksville 980 Professional Park Dr SUITE A 37040 5251 (931) 905-1001
Starkweather, Keith Tennessee Clarksville 980 Professional Park Dr. Suite A 37040 5251 (931) 905-1001
Steely, William Tennessee Dyersburg 575 Mall Blvd Suite L2 38024 1661 (731) 285-3338
SUH, YONG Tennessee Lebanon 100 PHYSICIANS WAY STE 210 37090 8108 (615) 453-5440
THACKER, CHRISTOPHER Tennessee Cleveland 400 Berywood Trl NW SUITE B 37312 5287 (423) 472-3201
TRIVEDI, ATUL Tennessee Bristol 1 Medical Park Blvd #458W 37620 (423) 230-6900
Turner, Harrison Tennessee Kingsport 2050 Meadowview Parkway 37660 7332 (423) 230-5000
VINCENT, SIMI Tennessee Clarksville 298 Clear Sky Ct Suite D 37043 5685 (931) 551-9950
Watson, Phillip Tennessee Knoxville 4306 Asheville Hwy 37914 3601 (865) 522-2168
Wells, Wayne Tennessee Lebanon 1420 W Baddour Pkwy Suite 130 37087 1510 (615) 443-0730
WHITTAKER, MICHELE Tennessee Nashville 2400 Patterson St SUITE 123 37203 1562 (615) 327-2200
Williams, Freddie Tennessee Kingsport 2050 Meadowview Pkwy 37660 7332 (423) 230-5000
williams, marcus Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 (423) 230-6900
Young, William Tennessee Chattanooga 725 Glenwood Drive Suite E 780 37404 (423) 697-9972
Zaidi, Sarfraz Tennessee Bristol 1 Medical Park Blvd Suite 458W 37620 0 (423) 230-6900
ABALIHI, CAROL Texas El Paso 1700 N Oregon St Suite 710 79902 3584 (915) 225-4470
Adams, Ronnie Texas Houston 1740 West 27th Street Suite 321 77008 (713) 802-9694
Ahmed, Fayyaz Texas Richmond 1517 Thompson Road 77649 (281) 344-1715
Alagugurusamy, Sankar Texas Houston 6410 Fannin Street Suite 225 77030 (713) 799-8300
Ales, Gregory Texas San Antonio 9150 Huebner Rd., Ste 160 78240 1545 (210) 579-0709
ALLEN, GWENDOLYN Texas Brownwood 1604 14th St 76801 5314 (325) 646-5296
Alprin, Clifford Texas San Antonio 3338 Oakwell Ct Suite 107 78218 3019 (210) 822-3646
Alward, Ian Texas Austin 2555 Western Trails Blvd Suite 101 78745 1574 (512) 892-6600
Amir, Mohammad Texas Richardson 2821 E President G Bush H Suite 301 75082 0 (972) 437-9210
Ankoma-Sey, Victor Texas Houston 6410 Fannin Street Suite 225 77030 3002 (713) 799-8300
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
Page 81 of 99
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Apisarnthanarax, Narin Texas Webster 450 Medical Center Blvd Ste 309 77598 4230 (281) 332-9681
Arroyo-Diaz, Richard Texas Port Lavaca 1200 North Virginia 77979 (361) 553-6567
Babbar, Harsh Texas Cedar Park 1464 E. Whitestone Blvd. Suite 601 78613 (512) 986-7765
Bakhtari, Ladan Texas Plano 5941 Dallas Pkwy 75093 9001 (972) 758-4455
Bakshi, Sahil Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Bauer, Steven Texas San Antonio 20642 Stone Oak Pkwy Suite 108 78258 7362 (210) 492-0505
Beaver, Richard Texas Richmond 1517 Thompson Road 77469 (281) 344-1715
Biggs, William Texas Amarillo 1215 S Coulter St Ste 400 79106 1758 (806) 358-8331
BORCHERS, CELESTE Texas San Antonio 3610 Broadway St Suite 3 78209 6557 (210) 445-0300
Brackin, Jack Texas Rockport 1209 Highway 35 N Suite A 78382 3117 (361) 729-9811 10
Breeze, Scott Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Bremer, Malcolm Texas Humble 18955 N Memorial Dr Ste 550 77338 4269 (281) 446-6464
Brent, Byron Texas Austin 11111 Research Blvd Ste 170 78759 5280 (512) 338-5222
brown, bertron Texas Beaumont 3030 North St 77702 1433 (409) 835-2900
BUNNELL, DON Texas Port Lavaca 1200 North Virginia 77979 (361) 553-6567
BURLESON, DALE Texas Dallas 11551 FOREST CENTRAL DR STE. 133 75243 3915 (972) 661-3575
Burnette, Candice Texas RICHMOND 1517 THOMPSON RD 77469 4932 (281) 344-1715
Burns, Thomas Texas Austin 5656 Bee Caves Rd Suite K-200 78746 5280 (512) 329-6644 203
Calo, Luis Texas Harlingen 802 S Loop 499 Suite 4 78550 2519 (956) 230-1823
Caplan, Richard Texas Houston 6560 Fannin St Suite 1008 77030 2761 (713) 795-8585
Carlyle, Trenton Texas Richmond 1517 Thompson Road 77469 (281) 344-1715 1302
Casper, Denise Texas Bridgeport 808 Woodrow Wilson Ray Cir 76426 2061 (940) 683-2297 320
Castleberry, Kim Texas Plano 5900 Coit Rd 75023 5959 (972) 985-1412
Chadwick, Daniel Texas Crowley 901 FM 1187 E 76036 4358 (817) 568-2023
Chan, Pachie Texas Conroe 19073 Interstate 45 S Suite 115 77385 8743 (936) 271-2227
Cherpack, Frank Texas Austin 8701 Shoal Creek Blvd Ste 102 78757 6864 (512) 343-8834
Cochrum, Brett Texas Fort Worth 6210 John Ryan Dr Ste 109A 76132 4113 (817) 294-4959
Copeland, Jon Texas Bridgeport 808 Woodrow Wilson Ray Cir 76426 2061 (940) 683-2297 310
Corkran, Tina Texas Houston 13231 Champion Forest Dr Suite 230 77069 2600 (281) 866-7080
Covington, Benjamin Texas Dumas 201 S Bliss Suite 1 79029 3811 (806) 935-3366
CRAIG, SUSAN Texas Beaumont 740 Hospital Dr Suite 110 77701 4664 (409) 835-2300
Crawford, Matthew Texas West Lake Hills 5656 Bee Cave Rd Ste K200 78746 5280 (512) 329-6644 203
CRIM, RANDALL Texas Dallas 11551 Forest Central Dr. SUITE 133 75243 3915 (972) 759-2040
Curran, Kevin Texas Troup 20058 FM 15 75789 432 (903) 574-1645
Dawson, Mark Texas Austin 4534 Westgate Blvd Ste 108 78745 (512) 892-7076 205
Dennis, Wesley Texas Arlington 7416 S Cooper St Suite 150 76001 7025 (817) 962-0381
Desai, Ashesh Texas Conroe 100 Medical Center Blvd Suite 224 77304 (936) 242-6957
Do, Nam Texas Amarillo 1215 S Coulter St Suite #301 79106 1758 (806) 355-9741
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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Page 82 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Doubrava, Russell Texas Decatur 2014 Ben Merritt Dr Suite A 76234 3850 (940) 627-0088
DOWNS, JOHN Texas Dallas 11551 FOREST CENTRAL DR STE. 133 75243 4218 (214) 363-6123
Duchicela, Jorge Texas Weimar 402 Youens Dr 78962 3680 (979) 725-8545
DUFFY, FREDERICK Texas Dallas 7777 Forest Ln Ste C504 75230 6844 (972) 566-3939
Dulak, Catherine Texas Corpus Christi 5920 Saratoga Blvd Suite 440 78414 4103 (361) 985-6111
Egwim, Chukwuma Texas Houston 6410 Fannin Street Suite 225 77030 3002 (713) 799-8300
EICHELSDORFER, STEPHEN Texas Kingwood 8 N Main St STE P 77339 3748 (281) 361-7400
Escalante-Glorsky, Susana Texas Houston 6620 Main St Ste 1510 77030 2332 (713) 795-4444
Etminan, Mohammad Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Evangelista, Anthony Texas Arlington 3025 Matlock Rd 76015 2902 (817) 784-0222
Fisher, Jeffrey Texas Mansfield 1811 Highway 287 N Ste 150 76063 7595 (817) 473-3979
Fleener, Erin Texas Bryan 2215 E Villa Maria Rd Suite 110 77802 2548 (979) 776-2000
FREDERICK, JOHN Texas Austin 4534 Westgate Blvd SUITE 108 78745 1485 (512) 892-7076
Geyer, Darren Texas Austin 4543 Westgate Blvd Suite 108 78745 1409 (512) 892-7076
Glenn, David Texas Lufkin 1111 W Frank Ave Suite 100 75904 3303 (936) 639-2244 131
Gogineni, Sireesha Texas Kyle Plum Creek Center 4100 Everett, Suite 210 78640 6112 (512) 268-8126
Gonzalez, Luis Texas Harlingen 1821 Sesame Drive Suite#8 78550 (956) 425-6500
Greco, Anthony Texas Mount Pleasant 108 West Pleasant St 75455 5322 (903) 577-8878
Gregorcyk, Sharon Texas DALLAS 11551 FOREST CENTRAL DR STE. 133 75243 3915 (972) 661-3575
Gupta, Sandeep Texas Dallas 8220 Walnut Hill Ln Suite 101 75231 4405 (214) 369-1901
Guzel, Volkan Texas Richmond 1517 Thompson Road 77469 (281) 344-1715
HANNA, GEORGE Texas Bay City 104 7th Street 77414 4853 (979) 323-7000
Hartfiel, Arlynn Texas Seguin 519 N King St #103 78155 4866 (830) 372-1980
Henderson, Judson Texas Crosby 14700 Fm 2100 Rd Suite A 77532 9161 (281) 328-2568
Hildreth, David Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Hill, Gordon Texas San Antonio 3338 Oakwell Court Suite 107 78218 3019 (210) 822-3646
HINOJOSA, ARMANDO Texas Laredo 1710 E Saunders St Suite B385 78041 5443 (956) 722-5800
Hollowell, John Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
HOWARD, LILLIAN Texas Houston 11700 Fm 1960 Rd W 77065 3514 (281) 890-6446
Huang, Wentian Texas Garland 2825 Belt Line Rd Suite 103 75044 (972) 530-5550
Huber, Michael Texas Lufkin 1111 W Frank Ave Suite 100 75904 3303 (936) 639-2244 131
Huebner, Gene Texas Sugar Land 16651 Southwest Fwy suite 200 77479 (713) 774-5131
HURLEY, JEFFERSON Texas DALLAS 11551 FOREST CENTRAL DR SUITE 133 75243 3915 (972) 759-2040
Ighani-Hosseinabad, Farshid Texas Arlington 3025 Matlock Rd 76015 2902 (817) 784-0222
Ivey, Matthew Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Jacob, Tony Texas Lockhart 1001 W San Antonio St 78644 2421 (512) 398-7600
Janecki, Andrzej Texas Katy 1331 W Grand Parkway N Suite 350 77493 2711 (281) 395-8688
Jayne, Christopher Texas Houston 6400 Fannin St Suite 2300 77030 1521 (713) 366-7817
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
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Page 83 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Jenkins, Terry Texas Bryan 2215 E Villa Maria Rd #110 77802 2548 (979) 776-2000
Juno, Russell Texas La Grange 1720 Von Minden 78945 2419 (979) 968-2700
JUNO, SHANNON Texas LA Grange 1720 Von Minden Rd 78945 2419 (979) 968-2700
Kapu, Gopichand Texas Anson 215 N Ave J 79501 (325) 823-3296
Keister, Alan Texas Amarillo 1215 S Coulter St Suite #301 79106 1758 (806) 355-9741
Keller, Shane Texas Pflugerville 1615 Grand Avenue Parkway 112 78660 (512) 252-1505
Kennedy, Patrick Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Kent, Michael Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Konasiewicz, Stefan Texas Corpus Christi 1227 3rd St 78404 2313 (361) 883-4323 310
Krause, Frederick Texas Floresville 495 10th St suite 104 78114 3162 (830) 393-0235
Laurence, Charles Texas Lockhart 1301 South Medina 78644 (512) 398-3464
Liang, Jeffrey Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Lowney, Jennifer Texas DALLAS 11551 FOREST CENTRAL DR STE. 133 75243 3915 (817) 865-6200
MACALUSO, ANTHONY Texas Dallas 11551 Forest Central Ln STE. 133 75243 3915 (972) 661-3575
Macias, Melissa Texas Corpus Christi 1227 3rd St 78404 2313 (361) 883-4323
MALUF, CHRISTIAN Texas McAllen 1400 E Ridge Rd STE 5 78503 1535 (956) 971-9950
Mangla, Vivek Texas Lufkin 1105 W Frank Ave 110 75904 3303 (936) 639-0988
MARCHAND, GREG Texas Austin 4534 Westgate Blvd SUITE 108 78745 1485 (512) 892-7076
Marsh, Peter Texas Kaufman 874 Ed Hall Dr Suite 106 75142 1861 (972) 932-2142
Marx, Randall Texas San Antonio 400 Concord Plaza Drive Suite 300 78216 6991 (210) 441-9825
Mays, Matthew Texas Richmond 1517 Thompson Road 77469 (281) 344-1715
mccluskey, marilyn Texas Austin 11111 Research Blvd ste 170 78759 5264 (512) 338-5222
McKenzie, Marcus Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
MCMORRIES, KIM Texas Nacogdoches 4710 NE Stallings Dr 75965 1615 (936) 560-2666
Mereau, Trinity Texas Austin 900 East 30th Street Suite 311 78705 3378 (512) 474-6666
Meriano, Frank Texas Houston 6560 Fannin St Suite 1008 77030 2761 (713) 795-0464
Mickelson, Morris Texas Lufkin 1111 W Frank Ave Suite 100 75904 3303 (936) 639-2244 105
Miller, Waenard Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Mina, Maged Texas San Antonio 18626 Hardy Oak Blvd Ste 230 78258 4210 (210) 402-6561
Mirabal, Sebastian Texas Flower Mound 1025 Long Prairie Rd SUITE 100 75022 4242 (972) 874-2407
Moore, Doyle Texas West Lake Hills 5656 Bee Cave Rd Ste K200 78746 5280 (512) 329-6644 203
Morales, Philip Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Moran, Sean Texas Lufkin 1111 W Frank Ave Suite 100 75904 3303 (936) 639-2244 131
Motamedi, Ali Texas Richmond 1517 Thompson Road 77469 (281) 344-1715
Movva, Prasad Texas Harlingen 922 E Tyler Ave 78550 7134 (956) 440-7000
Naik, Shantanu Texas Cedar Park 1464 E. Whitestone Blvd. Suite 601 78613 (512) 986-7765
Nair, Radhakrishnan Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
NARENDRAN, KUMARAPILLAI Texas Lubbock 3712 22nd St 79410 1312 (806) 795-5561
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 84 of 99
Nguyen, Dang Texas Houston 6620 Main St Ste 1510 77030 (713) 795-4444
Nguyen, Tuan Texas Haltom City 4045 E Belknap St Suite 12 76111 6638 (817) 759-2315
Nicholson, Thomas Texas Lubbock 3612 23rd Street 79410 1326 (806) 793-8787
NIKAM, SRINIVAS Texas Sugar Land 16659 Southwest Fwy Ste 361 77479 2379 (281) 265-7567
ODOM, FLOYD Texas Dallas 11551 FOREST CENTRAL DR STE. 133 75243 3915 (214) 739-5758
Ortega, Olga Texas Weimar 402 Youens Dr 78962 3680 (979) 725-8545
Ortiz, Dennis Texas Colleyville 4218 Gateway Dr Suite 100 76034 (817) 283-1860
Ostrinsky, Yevgeniy Texas Cleburne 203 Walls Dr Suite 100 76033 7022 (817) 760-0234
PARMA, FRANK Texas Victoria 2700 Citizens Plz SUITE 202 77901 5754 (361) 574-1563
Patel, Sanjaykumar Texas The Woodlands 17198 St. Luke's Way, Suite 450 77384 8020 (936) 230-5006
Pease, Howard Texas El Paso 101 Rim Rd 79902 3507 (915) 532-4542
Philip, Tina Texas Pflugerville 1615 Grand Avenue Pkwy Suite 112 78660 2059 (512) 252-1505
Plata, Carlos Texas Amarillo 1215 S Coulter St Suite 401 79106 1758 (806) 356-2280
Potluri, Srinivasa Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1588
Prewitt, David Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Raijman, Isaac Texas Houston 6620 Main St Ste 1510 77030 2332 (713) 795-4444
Ravindran, Dyanesh Bapu Texas Nacogdoches 1225 N Mound St 75961 4028 (936) 559-5330
Rawitscher, David Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Ray, David Texas Bridgeport 808 Woodrow Wilson Ray Cir 76426 2061 (940) 683-2297 301
ray, linda Texas Beaumont 3030 North St 77702 1433 (409) 835-2900 5
Reynolds, Rex Texas Lubbock 3612 23rd St 79410 1326 (806) 793-8787
Rivera, Jose Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1588
Rivers, Thomas Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Roach, Robert Texas Crosby 14700 Fm 2100 Rd Suite A 77532 9161 (281) 328-2568
RODRIGUEZ, RAFAEL Texas Mesquite 3228 Interstate 30 Suite 200 75149 7413 (972) 216-5400
Salazar, Juan Texas McAllen 801 E Nolana Ste #2 78504 (956) 687-1177
SALINAS, BRENDA Texas Mission 2521 E Griffin Pkwy STE A 78572 3312 (956) 583-0300
Samaan, Sarah Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Sandercock, David Texas San Antonio 3338 Oakwell Court Suite 107 78218 3019 (210) 822-3646
Santiago, Josefa Texas Lufkin 202 So Bynum 75904 (936) 632-9277 224
Saralaya, Shilpa Texas Amarillo 1215 S Coulter St suite 403 79106 1758 (806) 677-2001
Schultz, Rita Texas Austin 4534 Wwstgate Blvd 108 78745 1485 (512) 892-7076
Schwartz, David Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1555
Schwarz, Peter Texas Houston 6560 Fannin St Suite 1008 77030 2761 (713) 795-8282
SHAH, VISHAL Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Shalek, Marc Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1588
Sheedy, Matthew Texas Kingwood 8 N Main St STE P 77339 3748 (281) 361-7400
Shepherd, Tim Texas Lewisville 500 N Valley Pkwy Ste 101 75067 3552 (972) 420-8777
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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Page 85 of 99
Shetty, Rajesh Texas Kyle Plum Creek Center 4100 Everett, Suite 210 78640 6112 (512) 268-8126
SHU, TUNG Texas Houston 6400 Fannin St Suite 2300 77030 (713) 366-7817
SIMMANG, CLIFFORD Texas Dallas 11551 Forest Central Dr. 75243 3915 (972) 661-3575
Simon, James Texas Fort Sam Houston 3851 Roger Brooke Dr 78234 (216) 636-7409
sklaver, neal Texas Dallas 5461 La Sierra Dr 75231 4107 (214) 692-8541
Slawin, Kevin Texas Houston 6400 Fannin St Suite 2300 77030 1521 (713) 366-7817
Small, Henry Texas Richmond 1517 Thompson Rd 77469 4932 (281) 344-1715
Smith, George Texas West 500 Meadow Dr 76691 1017 (254) 826-5372
Soubra, Said Texas Cedar Park 1464 E. Whitestone Blvd. Suite 601 78613 (512) 986-7765
Spann, Scott Texas Austin 5656 Bee Caves Rd Suite K-200 78746 5280 (512) 329-6644 203
SPENCER, KEVIN Texas Austin 4534 Westgate Blvd SUITE 108 78745 1485 (512) 892-7076 205
Spuhler, Wanda Texas Friendswood 2401 W Parkwood Ave Ste B 77546 8944 (281) 648-4900
STADLER, RONNEY Texas Dallas 11551 Forest Central Dr. SUITE 133 75243 3915 (972) 759-2040
Sued, Jaime Texas Laredo 7614 Rocio Dr 78041 17 (956) 795-8393
Suh, Davey Texas Flower Mound 2281 Olympia Drive Suite 200 75028 (972) 899-2170
Tamerisa, Radha Texas Katy 1331 W Grand Parkway N Suite 350 77493 2711 (281) 395-8688
Tello, Wael Texas Lubbock 2204 Ithaca Ave Ste C 79410 1300 (806) 771-5864
Tiblier, Eric Texas Austin 901 W 38th St Suite 400 78705 1162 (512) 206-2988
toups, dwight Texas Beaumont 3030 North St suite 420 77702 1433 (409) 835-2900 6
Tran, Stanley Texas Plano 5900 Coit Rd 75023 5959 (972) 985-1412
Tripathy, Kumud Texas Bryan 2215 E Villa Maria Rd #110 77802 2548 (979) 776-2000
Tsao, Jerry Texas Houston 7850 Parkwood Circle Dr A-6 77036 6759 (713) 772-8885
Urquidez, Jose Texas Austin 11851 Jollyville Rd Ste 103 78759 2350 (512) 249-5583
Ursone, Richard Texas San Antonio 400 Concord Plaza Drive Suite 300 78216 6991 (210) 804-5416
VALADEZ, JAVIER Texas Dallas 1922 W 10th St 75208 5732 (214) 942-3113
VOSBERG, JAMES Texas San Antonio 5282 Medical Dr Ste 610 78229 5384 (210) 615-8003
Walthall, Walter Texas San Antonio 3338 Oakwell Court Suite 107 78218 3019 (210) 822-3646
Wang, Jimin Texas Houston 9888 Bellaire Blvd Suite 122 77036 3429 (713) 272-6442
Wasserman, Matthew Texas Richmond 1517 Thompson Road 77469 (281) 344-1715
WEARY, ANDREW Texas Austin 4534 W Gate Blvd SUITE 108 78745 1485 (512) 892-7076 227
Webb, John Texas Beaumont 5220 Eastex Fwy 77708 5320 (409) 924-8600 109
WEIDMANN, ERIC Texas Austin 2555 Western Trails Blvd Ste 101 78745 1574 (512) 892-6600
Woodbury, Christian Texas San Antonio 400 Concord Plaza Dr Suite 300 78216 6991 (210) 804-5400
Woolbert, Samuel Texas Plano 6601 Preston Rd 75024 2502 (469) 326-3400 1588
Xu, Xudong Texas Houston 9160 Bellaire Blvd Suite E 77036 (713) 995-8886
Youens, Robert Texas Weimar 402 Youens Dr 78962 3680 (979) 725-8545
zoys, timothy Texas Dallas 7777 Forest Ln Ste C502 75230 6843 (972) 566-8999
Adelman, Scott Utah Sandy 10011 S Centennial Pkwy Ste 150 84070 4139 (801) 676-7627
STE. 133Brooke Army Medical Center -
MCHE-QD
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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
BEARD, LYNN Utah Brigham City 984 Medical Dr Ste 1 84302 4712 (435) 723-5248
CLARK, FRANCIS Utah West Jordan 3584 W 9000 S SUITE 301 84088 5711 (801) 255-8633
Giovanniello, Michael Utah Sandy 10011 S Centennial Pkwy Ste 500 84070 (801) 676-7627
Lowe, Michael Utah Salt Lake City 144 S 700 E 84102 1109 (801) 532-1822
Taylor, Ryan Utah Heber City 150 North Main Street Suite 202 84032 (435) 671-4726
Te, Joseph Utah St George 162 E 300 S 84770 3653 (435) 628-9298
Andersson-Swayze, Jean Vermont Middlebury 44 Collins Drive Middlebury Family Health 5753 (802) 388-1500
Doherty Fuller, Eileen Vermont Middlebury 44 Collins Dr Suite 201 5753 8528 (802) 388-1500 3
Hogenkamp, Peter Vermont Rutland 10 Commons St 5701 4651 (802) 747-3359
KLITZNER, DAYLE Vermont Middlebury 44 Collins Dr Suite 201 5753 8528 (802) 388-1500 3
Larson, Linn Vermont Middlebury 44 Collins Dr Suite 201 Middlebury Family Health 5753 (802) 388-1500
Abramova, Liana Virginia Centreville 13880 Braddock Rd Suite 301 20121 9998 (703) 222-2773
Acker, Christopher Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Algeier, Rhonda Virginia Charlotte Court House 560 George Washington Hwy PO Box 410 23923 (434) 542-5522 2
Amin, Mitesh Virginia Colonial Heights 2801 Boulevard Suite D 23834 2323 (804) 520-1764
Artz, Ronald Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2336 (804) 764-1253
ASAO-RAGOSTA, KIYOKO Virginia Charlottesville 3025 Berkmar Dr 22901 1456 (434) 973-1831
Ashrafi, Abbas Virginia Richmond 4620 S Laburnum Ave 23231 2424 (804) 652-2200
Baer, Anna Virginia Charlottesville 650 Peter Jefferson Pkwy Suite 100 22911 8844 (434) 293-4072
Barot, Amrutlal Virginia Chesapeake 637 Kingsborough Sq Suite E 23320 (757) 410-2804
Barot, Ikshvanku Virginia Chesapeake 637 Kingsboro Sq Suite E 23320 (757) 410-2804
BAROT, NISHIDH Virginia Chesapeake 637 Kingsborough Sq Suite E 23320 4944 (757) 410-2804
Barr, Mark Virginia Richmond 9600 Patterson Ave 23229 6053 (804) 741-6200
Bautista, Eliseo Virginia Richmond 5855 Bremo Rd Suite 506 23226 1926 (804) 285-3225 518
Becker, Sherri Virginia Hampton 2200 Executive Dr Suite A 23666 2582 (757) 827-0009
Bedichek, Ellen Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Behm, Carolyn Virginia Charlottesville 650 Peter Jefferson Pkwy Ste 100 22911 8844 (434) 293-4072
Berman, Harold Virginia Alexandria 4660 Kenmore Ave Suite 500 22304 1306 (703) 370-0073
Bhattacharyya, Biswa Virginia Virginia Beach 1232 Perimeter Pkwy Suite 101 23454 5689 (757) 425-8590
Bienert, Susan Virginia Alexandria 6160 Fuller Ct 22310 2540 (703) 922-5577
BOSHER, LINWOOD Virginia Richmond 417 Libbie Ave 23226 2615 (804) 288-1953
Brady, John Virginia Newport News 10222 Warwick Blvd 23601 4029 (757) 223-0124
Brengel, George Virginia Richmond 9220 Forest Hill Ave Suite 1-A 23235 6800 (804) 560-8838
Bucher, Bruce Virginia Tappahannock 721 Charlotte St. 22560 547 (804) 443-5378
Byrd, Jessica Virginia Winchester 2913 Valley Ave 22601 2631 (540) 678-0792
Canady, Robert Virginia Fredericksburg 101 Park Hill Dr 22401 3357 (540) 371-3010
Carlson, Michael Virginia Ashland 635 N Washington Hwy 23005 1317 (804) 798-9208
Carmody, Brennan Virginia Richmond 5855 Bremo Rd Suite 506 23226 1930 (804) 285-3225 548
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
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Page 87 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Caruso, Anthony Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
CHRISTIAN-TAYLOR, ALISON Virginia Chesapeake 3253 Taylor Rd Suite 200 23321 2403 (757) 686-5673
Chung, Jun Virginia Suffolk 5838 Harbour View Blvd Suite 270 23435 (757) 541-1050
Cisek, James Virginia Richmond 9600 Patterson Ave 23229 6053 (804) 741-6200
Condro, Peter Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Cook, Gregory Virginia Mechanicsville 8220 Meadowbridge Rd Suite 308 23116 2336 (804) 764-7686
Cox, Larry Virginia Abingdon 616 Campus Drive Suite 300 24210 0 (276) 739-0067
Dennis, Tiffani Virginia Richmond 7229 Forest Ave Suite 112 23226 3765 (804) 673-1253
Densmore, Jeanne Virginia Charlottesville 1562 Insurance Ln 22911 7229 (434) 293-5548
Dintiman, Brenda Virginia Fairfax 3700 Joseph Siewick Dr Suite 403 22033 1744 (703) 648-2488
Dodd, Jeffrey Virginia Powhatan 3454 Anderson Hwy 23139 5801 (804) 794-5880
Doloresco, Mark Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
Doull, Gregory Virginia Charlottesville 1011 East Jefferson Street Suite 202 22902 5354 (434) 977-7950
Eapen, AnneRose Virginia Reston 1860 Town Center Drive Suite 255 20190 5899 (703) 707-0607
Eley, Kerry Virginia Blackstone 213 North Main Street Blackstone Family Practice Center 23824 2600 (434) 292-7261
Fischer, Joshua Virginia Charlottesville 650 Peter Jefferson Pkwy Suite 100 22911 8844 (434) 293-4072
Fischer, Renee Virginia Charlottesville 1011 East Jefferson Street Suite 202 22902 5354 (434) 977-7950
FORREST, ELIZABETH Virginia Chesapeake 4020 Raintree Rd SUITE B 23321 3749 (757) 686-5673
Fortune, Thomas Virginia Fredericksburg 101 Park Hill Drive 22401 (540) 371-3010
FOSTER, BRIAN Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2336 (804) 764-1253
Fredericks, Michael Virginia South Boston 2045 Hamilton Blvd 24592 2141 (434) 572-6565
Freedman, William Virginia Charlottesville 650 Peter Jefferson Parkway Suite 100 22911 (434) 293-4072
Friend, Christopher Virginia Charlottesville 650 Peter Jefferson Pkwy Ste 100 22911 8844 (434) 293-4072
Gerber, Boris Virginia Charlottesville 3025 Berkmar Dr Suite 1 22901 1456 (434) 973-1831
Gertner, Randy Virginia Fredericksburg 101 Park Hill Dr 22401 (540) 371-3010
Gilkey, John Virginia Lynchburg 2728 Old Forest Road 24501 2435 (434) 385-7818
Giusti, Massimo Virginia Richmond 7001 Forest Ave Suite 200 23230 1726 (804) 288-3123
Glenn, Daran Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Glynn, Francesca Virginia Midlothian 13700 St Francis Blvd Suite 510 23114 3222 (804) 423-8470
Godette, George Virginia Staunton 108 Mactanly Pl 24401 2373 (540) 885-1281
Gupta, Ambrish Virginia Arlington 611 S Carlin Springs Rd Ste 504 22204 1088 (703) 998-6666
Habib, Aysha Virginia Glen Allen 5207 Hickory Park Dr Suite A 23059 2624 (804) 612-2980
Hanley, R. Virginia Ashland 635 N Washington Hwy 23005 1317 (804) 798-9208
HAYES, CHRISTOPHER Virginia Richmond 7001 Forest Ave 2500 23230 1726 (804) 282-7857
Hersh, Christopher Virginia Norfolk 6160 Kempsville Cir Suite 102A 23502 3933 (757) 461-8300
HINNANT, LEE Virginia Virginia Beach 828 Healthy Way Suite 220 23462 (757) 305-1797
HIRSCH, ARI Virginia Richmond 671 Hioaks Road, Ste. B 23225 (804) 272-5814
Hoffmier, Thomas Virginia Newport News 12720 McManus Blvd Ste 201 23602 4486 (757) 875-5332
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
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MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
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Page 88 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
HORN, SCOTT Virginia Norfolk Rehabilitation 5665 Lowery Road 23502 (757) 422-2966
Hughes, David Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
HUNTE, NOEL Virginia Chesapeake 4020 Raintree Rd Suite B 23321 3749 (757) 686-5673
Hyder, Haroon Virginia Richmond 9600 Patterson Ave 23229 6053 (804) 741-6200
Jackson, Paul Virginia Midlothian 13540 Hull Street Rd 23112 2107 (804) 739-6142
Jellenek, Gregory Virginia Ft. Eustis Bldg. 1527 23604 1618 (757) 887-3627
Johnson, Douglas Virginia Mechanicsville 8220 Meadowbridge Rd Suite 308 23116 2336 (804) 764-7686
Johnson-Threat, Yvette Virginia Richmond 1510 N 28th St Suite 308 23223 5311 (804) 644-1665
Jones, Sidney Virginia Richmond 7001 Forest Ave Ste. 2500 23230 1726 (804) 282-7857
Jordan-Sayles, Cheryl Virginia Richmond 4620 S Laburnum Ave 23231 2424 (804) 652-2200
Joseph, Sharon Virginia Powhatan 3452 Anderson Hwy Suite D 23139 5845 (804) 285-6050
Kapoor, Shailendra Virginia Aylett 7864 Richmond Tappahannock Hwy 23009 3056 (804) 746-1677
Karim, Khalid Virginia Richmond 5855 Bremo Rd Suite 102 23226 1930 (804) 673-2814
KELLOGG, LAURA Virginia Suffolk 5818 Harbour View Blvd Suite B 2 23435 3315 (757) 446-5955
Kelly, David Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2336 (804) 764-1253
Ketchersid, Marie Virginia South Boston 2232 Wilborn Ave 24592 1662 (434) 517-6180
Khan, Shakil Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
Kohli, Ravinder Virginia Colonial Heights 89 Sherwood Dr 23834 1447 (804) 526-3010
Kumar, Anita Virginia Virginia Beach 828 Healthy Way Suite 220 23462 (757) 305-1797
Laplace, Lea Virginia Norfolk 426 E Freemason St 23510 (757) 623-6072
Laplace, Peter Virginia Norfolk 426 E Freemason St 23510 (757) 623-6072
LEADBEATER, JEANNINE Virginia Suffolk 5818 Harbour View Blvd Suite B 2 23435 3315 (757) 673-5890
Lebow, Kenneth Virginia Virginia Beach 345 Edwin Dr 23462 4522 (757) 497-5555
Lee, Jason Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2336 (804) 764-1253
Maniu, Calin Virginia Suffolk 5838 Harbour View Blvd Suite 270 23435 2663 (757) 541-1050
McKitty, Simone Virginia Alexandria 4660 Kenmore Ave Ste 500 22304 1300 (703) 370-0073
McLeod, David Virginia Richmond 9220 Forest Hill Ave Suite 1-A 23235 6800 (804) 560-8838
Miller, Jacob Virginia Norfolk 100 Kingsley Ln Suite 100 23505 4604 (757) 889-4280
Mirshahi, Iraj Virginia Richmond 5855 Bremo Rd Suite 102 23226 1926 (804) 673-2814
Moffatt, Thomas Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 272-5814
Moore, William Virginia Richmond 4620 S Laburnum Ave 23231 2424 (804) 652-2200
MORRIS, RANDALL Virginia Glen Allen 10150 Staples Mill Rd Suite E 23060 3452 (804) 755-7581
Naseer, Nauman Virginia Newport News 12720 McManus Blvd Suite 201 23602 (757) 875-5332
Nelson, Charles Virginia Richmond 7001 Forest Ave Suite 200 23230 1726 (804) 288-3123
Ngo, Matthew Virginia Richmond 7001 Forest Ave Suite 200 23230 1726 (804) 288-3123
Nguyen, Duong Virginia Charlottesville 650 Peter Jefferson Pkwy Ste 100 22911 8844 (434) 293-4072
NICHOLS, ALLEN Virginia Newport News 12720 McManus Blvd SUITE 201 23602 4414 (757) 875-5332
Nicholson, Joynita Virginia Glen Allen 10571 Telegraph Rd Suite 208 23059 4652 (804) 266-7611
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Noller, William Virginia Richmond 4620 S Laburnum Ave 23231 2424 (804) 652-2200
Nugaram, Rekha Virginia Colonial Heights 3660 Boulevard Suite G 23834 1345 (804) 526-5566
Officer, Thomas Virginia Fredericksburg 101 Park Hill Dr 22401 3357 (540) 371-3010
Ozurumba, Onyeije Virginia Chester 11601 Iron Bridge Rd Suite 117 23831 1466 (804) 717-5300
Painter, Jack Virginia Martinsville 26 Broad St 24112 2802 (276) 632-4200
PAYNE, MATTHEW Virginia Richmond 9600 Patterson Ave 23229 6053 (804) 741-6200
Peppiatt, Harry Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Pettit, William Virginia Alexandria 6160 Fuller Ct 22310 2540 (703) 922-5577
Port, John Virginia Midlothian 13700 St Francis Blvd Suite 510 23114 3222 (804) 423-8470
Prahash, Arun Virginia Charlottesville 650 Peter Jefferson Pkwy Ste 100 22911 8844 (434) 293-4072
Read, Stephen Virginia Glen Allen 10571 Telegraph Rd Suite 210 23059 4652 (804) 266-7611
Ricciardi, Laura Virginia Charlottesville 3025 Berkmar Dr SUITE 1 22901 1456 (434) 973-1831
Robertson, Charlene Virginia Norfolk 426 E Freemason St 23510 (757) 623-6072
Rogers, Alfred Virginia Midlothian 13700 St Francis Blvd Suite 510 23114 3222 (804) 423-5470
Roman, Renato Virginia Danville 1040 Main St 24541 1816 (434) 792-1433 316
Rose, Andrew Virginia Chester 11601 Iron Bridge Rd Suite 117 23831 1466 (804) 717-5300
Rosenberg, Marc Virginia Suffolk 5838 Harbour View Blvd Suite 270 23435 2663 (757) 541-1050
Rosenberg, Mark Virginia Aylett 7864 Richmond Tappahannock Hwy 23009 3056 (804) 746-1677
ROSTAMI, MARYAM Virginia Carrollton 13609 Carrollton Blvd Suite 11 23314 3214 (757) 238-8751
Sabharwal, Vipal Virginia Richmond 7001 Forest Ave Suite 200 23230 1726 (804) 288-3123
Salsano, Alessio Virginia Virginia Beach 828 Healthy Way Suite 220 23462 7960 (757) 305-1797
Sawyer, Robbie Virginia Big Stone Gap 516 Powell Avenue 24219 2346 (276) 523-2424
Schutrumpf, Andrew Virginia Richmond 7001 Forest Ave Suite 2500 23230 1726 (804) 282-7857
SHAHIN, HASSAN Virginia Woodbridge 2280 Opitz Blvd Suite 210 22191 (703) 583-1334
Shah-Pandya, Sonia Virginia Midlothian 13700 St Francis Blvd Suite 510 23114 3222 (804) 423-8470
Sherrod, John Virginia Midlothian 13540 Hull Street Rd 23112 2107 (804) 739-6142
Sisson, Robert Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
Skillen, Edward Virginia Suffolk 5838 Harbour View Blvd Suite 270 23435 2663 (757) 541-1050
Smith, Jennifer Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2339 (804) 764-1253
Snider, Ian Virginia Norfolk 885 Kempsville Rd Suite 320 23502 3800 (757) 955-2828
Spear, Robert Virginia Norfolk 5665 Lowery Road Suite 100 23502 (757) 422-2966
Spence, Steven Virginia Blackstone 213 North Main Street 23824 2600 (434) 292-7261
TADROS, REEM Virginia Fairfax 3700 Joseph Siewick Dr SUITE 403 22033 1744 (703) 648-2488
Tannous, George Virginia Virginia Beach 828 Healthy Way Suite 220 23462 7958 (757) 305-1797
Tompkins, Matthew Virginia Lynchburg 2728 Old Forest Road 24501 2435 (434) 385-7818
Tozzi, Michael Virginia South Hill 416 Bracey Ln 23970 1631 (434) 447-4736
Tripathi, Shreyank Virginia Richmond 671 Hioaks Rd Suite B 23225 (804) 323-6903
Villar-Gosalvez, Carlos Virginia Blackstone 213 N Main St 23824 1425 (434) 292-7261
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
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Page 90 of 99
Warner, Mark Virginia Richmond 7001 Forest Ave Suite 200 23230 1726 (804) 288-3123
Wein, Barry Virginia Richmond 9600 Patterson Ave 23229 6053 (804) 741-6200
White, Kelley Virginia Richmond 7229 Forest Ave Suite 212 23226 (804) 282-7857
Williams, Timothy Virginia Charlottesville 650 Peter Jefferson Pkwy 22911 8844 (434) 293-4072
Wilson-Smith, Karen Virginia Suffolk 2897 Bridge Rd 23435 1799 (757) 484-7248
Wohler, Brett Virginia Alexandria 6160 Fuller Ct 22310 2540 (703) 922-5577
Xenakis, Mark Virginia Midlothian 13700 St Francis Blvd Suite 600 23114 3222 (804) 794-6400
YOUNG, CHRISTINE Virginia Ashland 635 N Washington Hwy 23005 1317 (804) 798-9208
Young, Thomas Virginia Mechanicsville 8220 Meadowbridge Rd Suite 203 23116 2336 (804) 764-1253
Zakaib, John Virginia Charlottesville 650 Peter Jefferson Pkwy Ste 100 22911 8844 (434) 293-4072
Abson, Paul Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5460 3700
Adams, Jeffery Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5441
Ahmad, Tanvir Washington Yakima 611 N 39th Ave 98902 6348 (509) 249-1288
Al Ghanim, Hamed Washington Everett 1818 121st St SE 98208 5985 (425) 357-3305
Albrecht, Frederick Washington Bremerton 2771 Hemlock Street Suite 201 98310 (360) 377-7634
Andrews, Don Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Bailey, Robert Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5422
Banjanin, Milan Washington Bellingham 3130 Ellis St 98225 1904 (360) 734-4404
BATES, JAMES Washington Port Orchard 450 S Kitsap Blvd BLDG. 1, SUITE 250 98366 3773 (360) 782-3000
Bauer, Jacob Washington Olympia 304 West Bay Dr. NW Suite 301 98506 (360) 413-8760
Beard, Christopher Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7495
BERNEY, Timothy Washington Aberdeen 1211 Skyview Dr 98520 1099 (360) 532-3808
Bhandari, Anuja Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5435
Bikhazi, Paul Washington Everett 3927 Rucker 98201 (425) 339-5441
black, elizabeth Washington Clarkston 1271 Highland Avenue Suite B 99403 2844 (509) 751-5500
Blackwell, Jeffrey Washington Everett 1818 121st St SE 98208 5985 (425) 357-3304
Bommarito, James Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Bryant, Carrie Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Buono, Grace Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Carlson, Mark Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6004
Chang, Kevin Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5435
Chen, SanHwan Washington Everett 4004 Colby Ave 98201 6203 (425) 339-5417
CHEN, YEN-HUANG Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5443
Clay, Kevin Washington Stanwood 7205 265th St NW 98292 6221 (360) 629-1504
Codsi, Michael Washington Everett 3927 Rucker Ave 98201 4833 (425) 258-3903
Colombo, Mark Washington Stanwood 7205 265th St NW 98292 6221 (360) 629-1504
Contreras, Ruben Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5456
Cooke, Jana Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5410
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Ste 100Nansemond Suffolk Family
Practice
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 91 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR POVIDER
ZIP 5 CD
POVIDER ZIP
4 CD
PROVIDER PHONE
NUM
PROVIDER
PHONE EXT
Cox, George Washington Everett 3927 Rucker Ave 98201 4833 (425) 259-0966
Criddle, Keith Washington Auburn 202 N Division St Ste.405, Plaza 2 98001 4939 (253) 939-3604
Daniel, John Washington Puyallup 801 E Main Street 98372 3365 (253) 845-4934
Das, Anirban Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6004
Dash, Harold Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Deakins, Jacob Washington Spokane 220 E Rowan Ave Ste 300 99207 1202 (509) 489-3554 109
Deimus, Fa Abigal Washington Everett 3726 Colby Ave 98201 4911 (425) 259-0966
delacruz, Eileen Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6004
Dickey, David Washington Everett 1818 121st St SE 98208 5985 (425) 357-3301
Dilworth, John Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Dreyer, Sheryl Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6001
Eady, Karen Washington Bremerton 2771 Hemlock St Suite 201 98310 2689 (360) 377-7634
ELKAYAM, DAVID Washington Bellingham 3015 Squalicum Pkwy Suite #180 98225 1945 (360) 733-5733
Evanoff, George Washington Bremerton 2771 Hemlock St Suite 201 98310 2689 (360) 377-7634
Finn, Shelly Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5420
Fritchen, Cathy Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5445
Gabourel, Linda Washington Everett 4004 Colby Ave 98201 6203 (425) 259-0966
Gala, Shaila Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5445
Gierke, Eric Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5408
Goodman, John Washington Everett 1330 Rockefeller Ave Ste 120 98201 1676 (425) 339-5422
Goodman, Justin Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5421
Gordon, Gavin Washington Everett 3927 Rucker Ave 98201 (425) 339-5422
Graves, Timothy Washington Everett 1330 Rockefeller Ave 98201 1684 (425) 339-5442
Green, Ronald Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Gunderson, Todd Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Hallgarth, Brian Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5447
Harp, Karin Washington Everett 4004 Colby Ave 98201 6203 (425) 339-5417
Hathaway, Tanya Washington Everett 4004 Colby Ave 98201 6203 (425) 339-5417
HAVERS, COURTENAY Washington Silverdale 9398 Ridgetop Blvd NW 98383 8505 (360) 782-3200
Hecker, Lonny Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5421
Heisen, Martin Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Hempel, Christopher Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5443 2527
Holden, Curtis Washington Yakima 502 N 40th Ave Ste 1 98908 4319 (509) 965-0625
Hosoda, Emitis Washington Enumclaw 1427 Jefferson Ave Suite # 102 98022 3649 (360) 802-0803
HUGHES, KATHLEEN Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7497
Hughes, Michael Washington Bellingham 3130 Ellis St 98225 1904 (360) 734-4404
Huiras, Michael Washington Auburn 202 N Division St Ste. 405, Plaza 2 98001 4939 (253) 939-3604
Ihle, Loren Washington Snohomish 401 2nd St 98290 3008 (360) 563-8600
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 92 of 99
Jacobson, Robert Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Jalali, Amir Washington Everett 1330 Rockefeller Ave 98201 1684 (425) 339-5476
Jog, Shilpa Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5420
Kalichman, William Washington Richland 560 Gage Blvd Suite 101 99352 9531 (509) 628-2843
KANG, SEAYONG Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Kanthawatana, Sukanya Washington Olympia 703 Lilly Road NE Suite 103 98506 (360) 413-8265
Kim, James Washington Everett 1818 121st St SE 98208 5985 (425) 357-3304
KING, JANET Washington Everett 3927 Rucker 98201 (425) 339-5421
Koscinska, Maria Washington Vancouver 100 E 33rd St Ste 206 98663 2776 (360) 695-1334 216
Kuhns, Robert Washington Yakima 611 N 39th Ave 98902 (509) 249-1288
Laghaeian, Sean Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5407
Lahtinen, Duncan Washington Spokane 220 E Rowan St Suite 300 99207 (509) 489-3554 109
Lank, John Washington Lake Stevens 8910 Vernon Rd 98258 2400 (425) 335-0966
LEE, HSING Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5407
Lee, James Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Lee, Suk Bo Washington Everett 1330 Rockefeller Ave Ste 310 98201 1677 (423) 339-5476
LEHMANN, PETER Washington Poulsbo 19245 7th Ave NE 98370 7504 (360) 782-3500
Lellelid, Nancy Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5408
Lichtenstein, Howard Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Liu, DongMei Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5408
Lockett, Cindy Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5422
Lui, Kin Washington Everett 1818 121st St SE 98208 5985 (425) 357-3301
Lund, Jessica Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5407
Lusk, James Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7497
Lyzanchuk, John Washington Yakima 611 N 39th Ave 98902 6348 (509) 249-1288
Ma, Chieh Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5420
Magnus, Toshiko Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Major, Daniel Washington Everett 3901 Hoyt 98201 (425) 339-5408
Martin, David Washington Clarkston 1119 Highland Ave suite 3 99403 2836 (509) 751-9981
Martonick, Michael Washington Stanwood 7205 265th St NW 98292 6221 (360) 629-1501
May, Gregory Washington Aberdeen 1211 Skyview Dr 98520 1099 (360) 532-3808
McBride, Paul Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
McClincy, Michael Washington Snohomish 401 2nd St 98290 3008 (360) 563-8600
McDonald, Jennifer Washington Vancouver 100 E 33rd St Ste 206 98663 2776 (360) 695-1334 216
McGill, Charles Washington Centralia 208 Centralia College Blvd 98531 4007 (360) 736-0771
McKnight, Robert Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6001
Millie, Michael Washington Everett 1330 Rockefeller Ave 98201 1684 (425) 339-5442
Mulumudi, Mahesh Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 93 of 99
nguyen, son Washington Seattle 7101 Martin Luther King Jr Way S #217 98118 3594 (206) 722-7786
Nguyen, Thuc Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5445
Niemeyer, Agnieszka Washington Sequim 558 North 5th Ave 98382 3079 (360) 681-6900
Nosal, Jane Washington Everett 4004 Colby Ave 98201 6203 (425) 259-0966
Oaks, Gary Washington Yakima 502 North 40th Ave., Suite 1 98908 4319 (509) 965-0625
O'Connor, Timothy Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
O'Kinsella, Stacey Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7495
Olson, Bradley Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5422
Olson, Jolanta Washington Vancouver 100 E 33rd St Ste 206 98663 2776 (360) 695-1334 216
OSAMA, FAUZIA Washington Yakima 611 N 39th Ave 98902 6348 (509) 249-1288
Palmer, Robert Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5421
Pascual, Frederick Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5410
Pascual, Thao Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5413
Patterson, Brian Washington Bellingham 3130 Ellis St 98225 1904 (360) 734-4404
Pfaff, David Washington Vancouver 100 E 33rd St Ste 206 98663 2776 (360) 695-1334 216
Piper, Paul Washington Spokane 220 E Rowan St Ste 300 99207 (509) 489-3554 109
Poirier, Steven Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7495
Price, Christopher Washington Everett 3901 Hoyt Ave 98201 4918 (425) 258-3903
Raemont, Lizabeth Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5435
Rajvanshi, Pankaj Washington Everett 3927 Rucker 98201 (425) 339-5421
Rehse, Dagmar Washington Everett 3927 Rucker Ave 98201 4833 (425) 259-0966
REICHLEY, STEPHEN Washington Poulsbo 19245 7th Ave NE 98370 7504 (360) 782-3500
Rich, David Washington Auburn 202 N Division St Ste. 405, Plaza 2 98001 4939 (253) 939-3604
Richert, Shauna Washington Olympia 304 West Bay Dr. NW Suite 301 98502 (360) 413-8760
RICO, ALEXANDER Washington Silverdale 9399 Ridgetop Blvd NW Suite A 98383 (360) 337-2015
Rohrenbach, Michael Washington Mukilteo 4410 106th St SW 98275 4700 (425) 493-6004
RUBENSTEIN, ROBERT Washington Bremerton 2512 Wheaton Way 98310 3399 (360) 782-3700
Rulyak, Stephen Washington Everett The Everett Clinic 3927 Rucker 98201 4918 (425) 339-5421
Saini, Mandeep Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Salazar, Miriam Washington Snohomish 401 2nd St 98290 3008 (360) 563-8600
Savage, Emily Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5420
Scarr, Robert Washington Mill Creek 15418 Main St Suite 200 98012 9030 (425) 225-8000
Schaaf, Scott Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5447
Sekijima, John Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5421
Sharf, Roger Washington Bellingham 3130 Ellis St 98225 1904 (360) 734-4404
Sheedy, Meredith Washington Everett 4004 Colby Ave 98201 6203 (425) 339-5417
Sheridan, Frank Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Shoroff, Srilatha Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
Page 94 of 99
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Shull, Brian Washington Mill Creek 15418 Main St Unit 200 98012 9032 (425) 225-8004
Skalley, Thomas Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5447
Skirm, Elizabeth Washington Mukilteo 4410 106th St SW 98275 4700 (425) 388-6001
Slack, Shawn Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Smith, David Washington Everett 4004 Colby Ave 98201 6203 (425) 339-5417
Soriano, Perry Washington Everett 1330 Rockefeller Ave 98201 1684 (425) 339-5442
Sperry, Robert Washington Bellingham 3130 Ellis St 98225 1904 (360) 734-4404
Su, Cynthia Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5470
Sutcliffe, Peter Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5411
Sype, John Washington Everett 3901 Hoyt Ave 98201 4918 (425) 258-3903
Taber, Roger Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Tai, Oliver Washington Everett 3901 Hoyt Ave Founders Building 98201 4918 (425) 339-5413
Tamber, Michael Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Tarique, Ahmed Washington Yakima 611 N 39th Ave 98902 6348 (509) 249-1288
Taylor, Grant Washington Stanwood 7205 265th St NW 98292 6221 (360) 629-1500
Terry, Richard Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Thiel, Brent Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5447
TODD, ANDREW Washington Everett 3927 Rucker Ave 98201 4833 (425) 259-0966
TRACY, PATRICK Washington Poulsbo 19245 7th Ave NE 98370 7504 (360) 782-3500
Tronvig, William Washington Aberdeen 1220 Basich Blvd Suite #C 98520 1034 (360) 533-7388
Truong, Hoang Washington Everett 3927 Rucker Ave 98201 4833 (425) 339-5422
TRUONG, OANH Washington Silverdale 9398 Ridgetop Blvd NW 98383 8505 (360) 782-3200
Tufail, Fawad Washington Yakima 611 N 39th Ave 98902 6348 (509) 249-1288
Vankireddy, Haritha Washington Lake Stevens 8910 Vernon Rd 98258 2400 (425) 397-1704
Vasil, George Washington Lake Stevens 8910 Vernon Rd 98258 2400 (425) 335-0966
Venema, Jaymes Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Wang, Johanna Washington Marysville 4420 76th St NE 98270 3726 (360) 651-7491
Ward, Joshua Washington Everett 1330 Rockefeller Ave Ste 310 The Everett Clinic 98201 (425) 339-5476
Warden, Kara Washington Everett 3901 Hoyt 98201 4918 (425) 339-5408
Warner, Charles Washington Auburn 202 N Division St Ste. 405, Plaza 2 98001 4939 (253) 939-3604
Whalen, Raymond Washington Everett 3901 Hoyt Ave 98201 4918 (425) 258-3903
Whitehead, John Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5435
WIGGINS, GEORGE Washington Bremerton 2512 Wheaton Way 98310 3399 (360) 782-3700
Williams, Paul Washington Centralia 208 Centralia College Blvd 98531 4007 (360) 736-0771
Wong, Alan Washington Everett 3901 Hoyt Ave 98201 4918 (425) 259-0966
Yoon, Jeong Washington Everett 3901 Hoyt Ave 98201 4918 (425) 339-5460
Atassi, Sammar West Virginia Montgomery 401 6th Ave Suite #102 25136 2116 (304) 442-8381
Atkins, Robert West Virginia Madison 467 Main St SUITE 200 25130 2200 (304) 369-5170
River Falls Medical Clinic and Area
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 95 of 99
Berry, D Duane West Virginia South Charleston 5220 Maccorkle Ave SW 25309 1010 (304) 720-6735
Danhires, Bryan West Virginia Clarksburg 300 Buckhannon Pike 26301 (304) 623-1991
King, Devin West Virginia Hurricane 1204 Hospital Dr 25526 8708 (304) 757-8700
Neri, Florencio West Virginia Princeton 702 Stafford Dr 24740 2406 (304) 425-0085
Snyder, John West Virginia Madison 467 Main St SUITE 200 25130 2200 (304) 369-5170
Stollings, Ron West Virginia Madison 467 Main St STE 200 25130 2200 (304) 369-5170
Al-Saghir, Rula Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Asija, Priya Wisconsin Grafton 215 Washington St 53024 1700 (262) 375-3700
Attanasio, Daniel Wisconsin Grafton 215 Washington St 53024 1700 (262) 375-3700
Bahr, Jeffrey Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Bandealy, Malik Wisconsin Kenosha 10400 75th St 53142 7884 (262) 942-9644
BASILE, RICHARD Wisconsin New Berlin 14555 W National Ave SUITE 170 53151 4494 (262) 827-3636
Bjork, John Wisconsin Milwaukee 2901 W. KK River Pkwy. Suite 414 53215 3660 (414) 649-3750
Bomzer, Charles Wisconsin Glendale 4655 N Port Washington Rd Suite 200 53212 1076 (414) 906-4400
Bostwick, Mark Wisconsin Port Washington 1777 W Grand Avenue 53074 (262) 284-3456
Boyd, Bruce Wisconsin Germantown N112W17975 Mequon Rd 53022 2425 (262) 532-7600
Boyle, Austin Wisconsin Milwaukee 1575 N Rivercenter Dr Suite 160 53212 3965 (414) 274-7220
Brody, Patrick Wisconsin Menomonee Falls N84 W16889 Menomonee Avenue 53051 (262) 251-7500
Brooks, Andrew Wisconsin Mequon 12203 Corporate Pkwy 53092 3388 (262) 387-8200
Bruno, Kristine Wisconsin Milwaukee 3003 W Good Hope Rd 53209 (414) 352-3100
Buck, Gregory Wisconsin Wauwatosa 3289 N Mayfair Rd 53222 3203 (414) 771-7900
Bullis, Paul Wisconsin Hartford 1640 E Sumner St 53027 (262) 670-4000
Butler, Pamela Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Carballo, Fernando Wisconsin Milwaukee 2901 W. KK River Pkwy. Suite 414 53215 3660 (414) 649-3750
Chan, Cesar Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Chelmowski, Mark Wisconsin Milwaukee 3003 W Good Hope Road 53209 (414) 352-3100
Cheng, Chih Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Clayton, Matthew Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Dahlberg, Peter Wisconsin River Falls 1687 E Division Street Hospital 54022 (715) 425-6701 1125
Dangvu, Huong Wisconsin Milwaukee 3003 W Good Hope Road 53209 (414) 352-3100
Dean, Larry Wisconsin Milwaukee 3003 W Good Hope Road 53209 (414) 352-3100
DeGear, David Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 246-6911
DESIDERO, STEPHEN Wisconsin New Berlin 14555 W National Ave SUITE 170 53151 4494 (262) 827-3636
Dietzler, Joseph Wisconsin New Richmond 551 Hospital Road New Richmond Clinic 54017 (715) 243-6935
Druffner, Mark Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6800
Dykstra, Mark Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Ebinger, William Wisconsin Grafton 215 Washington St 53024 (262) 375-3700
Etminani Amoli, Atoosa Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 96 of 99
Fahey, John Wisconsin Brookfield 13850 W Capitol Dr 53005 2422 (262) 790-1118
Fenske, Scott Wisconsin New Berlin 14555 W National Ave Suite 170 53151 4494 (262) 827-3636
Field, Brenton Wisconsin Mequon 12203 Corporate Pkwy 53092 3388 (262) 387-8200
Fitzsimmons, Mark Wisconsin Port Washington 1475 W Grand Ave 53074 (262) 268-5100
Gaenslen, Eric Wisconsin Grafton 975 Port Washington Road Suite 110 53024 9201 (262) 387-8300
Goblirsch, Gregory Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Godiwalla, Shirley Wisconsin WAUWATOSA 10625 W North Avenue Suite 201 53226 2315 (414) 727-1117
Graboyes, Joseph Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Grekin, David Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Grunke, Richard Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Gundamraj, Yoganand Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Gundelly, Ashwini Wisconsin Port Washington 1777 W Grand Ave 53074 2077 (262) 284-3456
Gupta, Nilesh Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Haider, Syed Wisconsin Burlington 116 N Dodge St Suite 8 53105 1963 (262) 767-2600
Halloran, Daniel Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 (262) 251-7500
Hanson, Bruce Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Harbecke, Richard Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Harrold, Stephen Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Hecht, Anthony Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Helmen, Kevin Wisconsin Hudson 403 Stageline Rd 54016 7848 (715) 531-6954
Heyrman, Daniel Wisconsin Menomonee Falls N 84 W16889 Menomonee Ave 53051 (262) 251-7500
Heyrman, Thomas Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Hoolboom, Beatrice Wisconsin Grafton 215 W Washington Street 53024 (262) 375-3700
Ippel, Paul Wisconsin Chippewa Falls 2449 County Highway I 54729 4410 (715) 723-9138
Jacobson, Kirk Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Jain, Rajeev Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Jenks, David Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Jensen, Kenneth Wisconsin Port Washington 1777 W Grand Ave 53074 2077 (262) 284-3456
JEWETT, BRYAN Wisconsin Hartford 1640 E Sumner St 53027 2684 (262) 670-4000
Johnson, Robert Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Kappes, Steven Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Kapur, Sunil Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Katt, Jeffrey Wisconsin Milwaukee 3003 W Good Hope Road 53209 (414) 352-3100
Keller, Daniel Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Khanna, Raman Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Kistler, Lane Wisconsin Milwaukee 2901 W. KK River Pkwy. Suite 414 53215 3660 (414) 649-3750
Kluiber, Rudolph Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Konkel, John Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
2901 West Kinnickinnic River
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 97 of 99
Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011
Kornhauser, David Wisconsin Hubertus 3055 Hubertus Road 53033 (262) 628-9000
Krco, Michael Wisconsin Grafton 215 Washington St 53024 1700 (262) 375-3700
Ladwig, Daniel Wisconsin Milwaukee 2801 W Kinnickinnic River Pkwy Suite 345 53215 3669 (414) 649-7900
Landisch, James Wisconsin Wauwatosa 3289 N Mayfair Rd 53222 (414) 771-7900
Larsen, Jeff Wisconsin River Falls 1687 E Division St 54022 (715) 425-6701
Lea, Robert Wisconsin Chippewa Falls 2449 County Highway I 54729 4410 (715) 723-9138
LeFeber, William Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Lesko, Gary Wisconsin Milwaukee 7878 N 76th Street 53223 (414) 354-6434
Levin, Michael Wisconsin Mequon 12203 Corporate Pkwy 53092 3388 (262) 387-8200
Lijewski, Kerith Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Lim, Arnold Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Lobeck, Lorri Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Loo, Franklin Wisconsin Milwaukee 2901 W Kk River Pkwy Suite 414 53215 3677 (414) 649-3750
Maas, Eric Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Malloy, Thomas Wisconsin Milwaukee 2901 W. KK River Pkwy. Suite 414 53215 3660 (414) 649-3750
Marowski, Christopher Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Matthaeus, William Wisconsin Milwaukee 1055 N Mayfair Rd 53226 3436 (414) 479-8683
Maul, John Wisconsin Glendale 4655 N Port Washington Rd Suite 200 53212 1004 (414) 906-4400
Mayer, Vicki Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Mazumdar, Shaibal Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
McCann, Francis Wisconsin Menomonee Falls N84W16889 Menomonee Avenue 53051 (262) 251-7500
McGinnis, Paul Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Medini, Allen Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Melby, Michael Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Melby, Neal Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Micke-Kopetsky, Jennifer Wisconsin Mequon 6425 W Mequon Rd 53092 1855 (262) 242-0051
Miller, Greg Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Miller, Paul Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Mitchanis, Mary Wisconsin Milwaukee 3003 W Good Hope Rd 53209 (414) 352-3100
Mullane, Michael Wisconsin Racine 1151 Warwick Way 53406 5661 (262) 886-7360
Naum, Efstathios Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Nazareth, Norine Wisconsin Mequon 12203 Corporate Pkwy 53092 3388 (262) 387-8200
Nelson, Michael Wisconsin Milwaukee 7878 N 76th St 53223 (414) 354-6434
Ness, Beverly Wisconsin New Berlin 12901 W National Ave 53151 4063 (262) 782-7770
Oesterling, Kurt Wisconsin Wauwatosa 1055 N Mayfair Rd 53226 3436 (414) 479-8695
Olsen, Marc Wisconsin Whitefish Bay 325 E Silver Spring Dr 53217 5222 (414) 247-4800
Olson, David Wisconsin New Richmond 551 Hospital Rd 54017 1449 (715) 243-6935
Parent, Gerard Wisconsin Milwaukee Parkway Suite 200 53215 (414) 649-3790
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
Page 98 of 99
Pavlovitz, Gwenn Wisconsin Grafton 975 Port Washington Road Suite 320 53024 9201 (262) 387-8100
Peliska, Jean Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Phillips, Kenneth Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Prewitt, Zane Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Qamar, Rubina Wisconsin Milwaukee 2801 W Kk River Pkwy Suite 930 53215 3669 (414) 384-5111
Quddus, Jawaid Wisconsin Kenosha 6123 Green Bay Road Suite 120 53142 2927 (262) 764-4390
Querimit, Alberto Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Rench-Rebella, Tiffany Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Salaymeh, Basil Wisconsin Milwaukee 7878 N 76th St 53223 3914 (414) 354-6434
Sanchez, Federico Wisconsin Waukesha N14W23833 Stone Ridge Dr Suite 200 53188 1157 (262) 513-2033
Schmitz, Gerard Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Schmitz, Stephen Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Severson, Kristin Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Shah, Kanak Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Sharma, Sameer Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Shastri, Bhavin Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Siddalingaiah, Vasanth Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
SIENKIEWICZ, PAUL Wisconsin Milwaukee 2801 W. Kinnickinnic River Parkway Suite 345 53215 3693 (414) 649-7900
Smith, Edward Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Stanley, Jerrel Wisconsin Germantown N112 W 17975 Mequon Road 53022 (262) 532-7600
Steinmetz, Steven Wisconsin Chippewa Falls 2449 County Highway I 54729 4410 (715) 723-9138
Steinmetz, Timothy Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Stewart, Gary Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Stoy, Robert Wisconsin Hudson 403 Stageline Rd 54016 (715) 531-6954
Sura, Patrick Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Tanty, Daniel Wisconsin Brookfield 13850 W Capitol Drive 53005 (262) 790-1118
Tashjian, Christopher Wisconsin River Falls 1687 E Division St 54022 (715) 426-3760
Taylor, Robert Wisconsin Milwaukee 2801 W Kk River Pkwy Suite 930 53215 3669 (414) 384-5111
Tesch, Bonnie Wisconsin Wauwatosa 3289 N Mayfair Rd 53222 3203 (414) 771-7900
Thompson, Daniel Wisconsin Wauwatosa 3289 N Mayfair Road 53222 (414) 771-7900
Topp, Jeremy Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (252) 251-7500
Tschopp, Michele Wisconsin Wauwatosa 3289 N Mayfair Road 53222 (414) 771-7900
VanSteen, Scott Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Warrier, Anil Wisconsin Menomonee Falls N84W16889 Menomonee Ave 53051 2810 (262) 251-7500
Weisman, Paul Wisconsin Milwaukee 3003 W Good Hope Rd 53209 2042 (414) 352-3100
Weistrop, Leonard Wisconsin Milwaukee 3003 W Good Hope Road 53209 (414) 352-3100
Wilhelm, David Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
Wiske, Daniel Wisconsin Milwaukee 2801 W Kinnickinnic River Pkwy Suite 345 53215 3669 (414) 649-7900
MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM
FOR ELIGIBLE PROVIDERS
POVIDER POVIDER ZIP PROVIDER PHONE PROVIDER PROVIDER NAME PROVIDER STATE PROVIDER CITY PROVIDER LINE 1 ADDR PROVIDER LINE 2 ADDR
ZIP 5 CD 4 CD NUM PHONE EXT
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Zimmerman, Daniel Wisconsin River Falls 1687 E Division St 54022 1571 (715) 425-6701
More, Michael Wyoming Cheyenne 2029 Bluegrass Cir Ste 200 82009 7368 (307) 778-7666
TOTAL: 3,724