ytd data as of september 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via...

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MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE 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

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Page 1: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

Page 2: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

Page 3: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

Page 4: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

Page 5: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

Page 6: YTD Data As Of September 30, 2011 · 2011. 12. 18. · medicare providers that h ave been paid via t he ehr program for eligible providers ytd data as of september 30, 2011 report

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

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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

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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

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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

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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

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

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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

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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.

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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

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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

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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

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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

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

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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

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

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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

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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

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

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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

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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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MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM

Page 22 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

FOR ELIGIBLE PROVIDERS

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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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 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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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 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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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 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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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 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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ZIP 5 CD 4 CD NUM PHONE EXT

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

Northshore University Health

Systems

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Page 28 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

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

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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

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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

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

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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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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

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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

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

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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

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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

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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

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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

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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

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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 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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FOR ELIGIBLE PROVIDERS

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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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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 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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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 43 of 99

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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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 44 of 99

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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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 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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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 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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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

Suite 101Ste B Hypertension & Nephrology

Assoc

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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

Assoc

Suite 201

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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011

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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

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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

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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

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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

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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

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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

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

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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

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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

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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

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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

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.

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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

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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011

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ZIP 5 CD 4 CD NUM PHONE EXT

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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.

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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011

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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.

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ZIP 5 CD 4 CD NUM PHONE EXT

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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.

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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

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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

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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011

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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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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

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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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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

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Report Data As Of: 9-30-2011 YTD Data As Of September 30, 2011

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ZIP 5 CD 4 CD NUM PHONE EXT

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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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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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ZIP 5 CD 4 CD NUM PHONE EXT

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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

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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

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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

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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

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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

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

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River Falls Medical Clinic and Area

MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM

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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

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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

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2901 West Kinnickinnic River

MEDICARE PROVIDERS THAT HAVE BEEN PAID VIA THE EHR PROGRAM

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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

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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

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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