MINUTES
North Carolina Medical Board
March 21-23, 2012
1203 Front Street
Raleigh, North Carolina
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March 21-23, 2012
General Session Minutes of the North Carolina Medical Board
Meeting held March 21-23, 2012.
The North Carolina Medical Board met March 21-23, 2012, at its office located at 1203 Front
Street, Raleigh, NC. Ralph C. Loomis, MD, President, called the meeting to order. Board
members in attendance were: Janice E. Huff, MD, Past President; William A. Walker, MD,
President-Elect; Thomas R. Hill, MD, Secretary/Treasurer; Ms. Pamela Blizzard; John B. Lewis,
Jr., LLB; Peggy R. Robinson, PA-C; Eleanor E. Greene, MD; Ms. Thelma Lennon; Paul S.
Camnitz, MD and Cheryl L. Walker, MD.
Presidential Remarks
Dr. Loomis commenced the meeting by reading from the State Government Ethics Act, “Ethics
awareness and conflict of interest reminder.” No conflicts were reported.
Minute Approval
Motion: A motion passed to approve the January 18, 2012 Board Meeting Minutes, the
February 13, 2012 Special Board Meeting Minutes, the February 16, 2012 Hearing Minutes and
the March 6, 2012 Emergency Board Meeting Minutes.
Announcements
1. Mr. Hari Gupta recognized Barbara Gartside on her five-year anniversary at the NCMB.
2. Ms. Jean Fisher-Brinkley introduced Michelle Yanik as our new employee in the Public
Affairs department.
3. David Henderson introduced Ms. Kathleen Haley and Dr. Bob Schaaf of the AIMAP
Assessment Team.
EXECUTIVE COMMITTEE REPORT
The Executive Committee of the North Carolina Medical Board was called to order at 1:30 p.m.,
Thursday March 22, 2012, at the offices of the Board. Members present were: Ralph C.
Loomis, MD, Chair; William A. Walker, MD, Thomas R. Hill, MD, Janice E. Huff, MD, and Peggy
Robinson, PA-C.
1) Financial Statements
a) Monthly Accounting January 2012 and December 2011
The Committee reviewed the January 2012 and December 2011 compiled financial
statements. January is the third month of fiscal year 2012.
Committee Recommendation: Accept the financial statements as reported.
Board Action: The Board accepted the Committee recommendation.
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March 21-23, 2012
b) Investment Account Statements
The Committee reviewed the February and January 2012 investment account
statements from Fifth Third Bank.
Committee Recommendation: Accept the investment account statements as reported.
Board Action: The Board accepted the Committee recommendation.
2) Old Business
a) Proposed Changes to the Corporation Rules
The Board previously approved amendments to the Medical Board’s Professional
Corporations Rules, 21 NCAC 32C .0102-0109, as part of the Board’s comprehensive
effort to update and improve all Board rules. The Committee discussed additional
changes to the Professional Corporation Rules as suggested by the Rules Review
Commission staff.
Committee Recommendation: Approve proposed rules (Appendix G) for filing with the
Rules Review Commission.
Board Action: The Board accepted the Committee recommendation.
b) Proposed Changes to the FSMB Bylaws
The Committee re-visited proposed changes to the FSMB Bylaws that were submitted
by NCMB resolution to the FSMB Bylaws Committee which would change the Associate
Members term from two to three years.
Committee Recommendation: Dr. Walker to represent the NCMB before the Reference
Committee at the FSMB meeting in April in support of the NCMB’s resolution.
Board Action: The Board accepted the Committee recommendation.
c) CPEP East Update
The Committee discussed efforts to establish a CPEP site in North Carolina.
Committee Recommendation: Defer to the full Board for discussion.
Board Action: The Board provided feedback to staff regarding the proper role of the
Board in establishing a CPEP site in North Carolina.
3) New Business
a) Proposed Changes to G.S. 90-13.2(b)
The Committee discussed proposed changes to G.S. 90-13.2(b) (below) which would
waive the annual registration fee, currently $25.00, for a retired limited volunteer license
(“RLVL”) and to make other stylistic changes.
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March 21-23, 2012
Committee Recommendation: Adopt the proposed changes to G.S. 90-13.2.
Board Action: The Board accepted the Committee recommendation.
§ 90-13.2. Registration every year with Board.
(a)
Every person licensed to practice medicine by the North Carolina Medical Board
shall register annually with the Board within 30 days of the person's birthday.
(b)
A person who registers with the Board shall report to the Board the person's name
and office and residence address and any other information required by the Board, and shall
pay an annual registration fee of one hundred seventy-five dollars ($175.00), except those who
have a limited training license pursuant to G.S. 90-12.01 to practice in a medical education and
training program approved by the Board for the purpose of education or training shall pay a
registration fee of one hundred twenty-five dollars ($125.00) and those who have a retired
limited volunteer license pursuant to G.S. 90-12.1(B) shall pay an annual registration fee of
twenty five dollars ($25.00) and those who have or a limited volunteer license pursuant to G.S.
90-12.1A shall pay no annual registration fee. However, licensees who have a limited training
license to practice for the purpose of education and training under pursuant to G.S. 90-12.01
shall not be required to pay more than one annual registration fee for each year of training.
b) Board Member Immunity / Insurance
The Committee discussed various examples of possible Board member liability and
whether Board Members would be protected by sovereign immunity and/or insurance
coverage.
Committee Recommendation: Accept as information.
Board Action: The Board accepted the Committee recommendation.
c) AIMAP-NC Update
The chair of the AIMAP-NC Assessment Team, Ms. Kathleen Haley, gave a preliminary
report to the Committee. The site visit was conducted March 13-15.
Committee Recommendation: Accept as information.
Board Action: The Board accepted the Committee recommendation.
POLICY COMMITTEE REPORT
Committee Members: Dr. Camnitz, Chair; Dr. Greene; Mrs. Blizzard and Judge Lewis
1. Old Business
a. Position Statement Review continued
i. Self- Treatment and Treatment of Family Members and Others with Whom
Significant Emotional Relationships Exist (APPENDIX A)
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March 21-23, 2012
Issue: In November 2009, the Board approved the Policy Committee’s recommendation
to review Position Statements at least once every four years. A review schedule has
been formulated for the Committee’s consideration.
3/2011 Committee Discussion: Mr. Brosius suggested that the Board may need to
establish some bright lines, because the current position statement leaves room for
some treatments that the Board may deem unethical depending on physician
interpretation. Dr. Loomis suggested that he preferred a hardline approach and would
recommend eliminating minor treatment of illness. He indicated that the Board’s interest
is for the patients to receive the best care. Dr. Greene agreed that eliminating treatment
of minor illness would remove any room for confusion, but also felt we should leave the
ability to treat during an emergency in the position statement. Dr. Camnitz indicated
that he did not like the vagueness of the position statement and would prefer it be more
specific regarding over-the-counter medications and prescription medications, possibly
indicating specific schedules that would be restricted. The Committee further discussed
chronic versus acute. It was also recommended that “physician” should be replaced with
“licensee” to be consistent with edits made in previous position statement reviews.
3/2011 Committee Recommendation: Table issue for the Legal Department to
incorporate the recommendations from the Committee discussion.
3/2011 Board Action: No Action necessary.
This Position Statement has now been assigned to a Task Force specifically analyzing
the issue and headed by Dr. Loomis.
5/2011 Committee Discussion: Dr. Loomis reported that the Task Force was scheduled
to meet in June 2011. Dr. Kirby stated that the AMA has a statement regarding
treatment of professional peers and suggested that something similar be included in our
position statement.
5/2011 Committee Recommendation: Table issue until Task Force report is presented to
the Committee. Dr. Kirby is to provide the AMA position prior to the Task Force meeting.
5/2011 Board Action: Accept Committee recommendation
7/2011 Committee Discussion: The Committee discussed the potential benefits of
revising the current position statement. Comments were received by Board members
and senior staff that were present. One comment that had been received numerous
times is that the licensees would like the terms of the position statement better defined.
The Committee agreed that prescribing narcotics to one’s self or family members is
never appropriate. It was suggested that adopting a rule prohibiting prescribing narcotics
to one’s self or family members might be a more efficient method for the Board to
enforce compliance. The Committee concurred. There was additional discussion that
identifying what constitutes a significant emotional relationship may be difficult.
7/2011 Committee Recommendation: Instruct Legal to begin drafting a rule to cover
prescribing narcotics to one’s self or family member. The Office of the Medical Director
is to provide definitions to help clarify the Board’s statement. The proposed changes will
be provided to the Committee and Task Force for review.
7/2011 Board Action: Accept Committee recommendation.
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9/2011 Committee Discussion: The Committee reviewed the proposed revised position
statement as well as the proposed rule changes for PAs, NPs and physicians. There
was also discussion regarding the large response we received from the Board licensee
population. There was discussion regarding the need to identify with whom an
emotional relationship may exist. It was felt that the revised position statement could be
modified to better reflect the position on the Board. Additionally the consensus of the
Committee was that the proposed rules changes were appropriate and should go
forward.
9/2011 Committee Recommendation: Dr. Camnitz will work with Mr. Brosius and Dr.
Kirby to revise the position statement and present it to the Committee at the November
Board meeting. Proceed with the rule-making process on the proposed rule change.
9/2012 Board Action: Accept Committee recommendation.
1/2012 Committee Discussion: The Committee reviewed the proposed revised position
statement. The changes discussed have been incorporated in the proposed position
statement. It was also reported that the proposed rules adopted by the Board in
September will be filed this month with an anticipated effective date of June/July 2012.
1/2012 Committee Recommendation: Tentatively approve proposed position statement
with changes so that it may be circulated to interested parties and Self –Treatment Task
Force for comments and suggestions.
01/2012 Board Action: Accept Committee Recommendation.
3/2012 Committee discussion: The Committee discussed additional proposed changes
to the current position statement. It was suggested that the position statement include
language regarding prohibiting licensees from prescribing controlled substances to
themselves or immediate family members. Language was also added suggesting that
medical records be provided to the patient’s primary care provider.
3/0212 Committee Recommendation: Approve proposed position statement including
language regarding proposed rule pertaining to controlled substances. The rule
language would be added after the rules are approved by the Rules Review
Commission.
3/2012 Board Action: Approve Committee recommendation.
1. Old Business:
a. Position Statement Review
ii. Availability of Physicians to Their Patients (APPENDIX B)
9/2011 Committee Discussion: The Committee reviewed the current position statement.
It was suggested that the term physician be replaced with licensee in order to be
consistent with past revisions to the Board’s position statements. Dr. Kirby pointed out
the need to relate this position statement to providers who are providing care through
telemedicine.
9/2011 Committee Recommendation: The staff is to provide a revised position
statement at the November Committee meeting.
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March 21-23, 2012
9/2011 Board Action: Accept Committee recommendation.
1/2012 Committee Discussion: The Committee reviewed the proposed revised position
statement. There was discussion regarding the requirement that instructions for
securing afterhours care be in writing.
1/2012 Committee Recommendation: Mr. Brosius will provide the Committee with a
revision of the position statement to address its concerns.
1/2012 Board Action: Accept Committee recommendation.
3/2012 Committee Discussion: The Committee discussed and modified changes to the
new proposed language. That language is now incorporated in the working draft of the
position statement. Dr. Kirby expressed concern regarding recognition of episodic care
pertaining to after-hours coverage. Ms. Whited asked for the Board to allow NCMS an
opportunity to comment on the position statement after Dr. Kirby’s suggestions are
included within the position statement.
3/2012 Committee Recommendation: Table until the Committee can address Dr. Kirby’s
concerns.
3/2012 Board Action: Approve Committee recommendation.
2. New Business:
a. Position Statement Review (APPENDIX C)
1/2010 Committee Recommendation: (Loomis/Camnitz) Adopt a 4 year review schedule
as presented. All reviews will be offered to the full Board for input. Additionally all
reviews will be documented and will be reported to the full Board, even if no changes are
made.
1/2010 Board Action: Adopt the recommendation of the Policy Committee.
2. New Business:
a. Position Statement Review
i. Sexual Exploitation of Patients (APPENDIX D)
3/2012 Committee discussion: The Committee discussed the language in the current
version of the position statement and suggested having Mr. Brosius simplify the
language in the position statement.
3/2012 Committee Recommendation: Table until May meeting.
3/2012 Board Action: Approve Committee recommendation.
2. New Business
b. Board inquiry (APPENDIX E)
3/2012 Committee discussion: There was discussion amongst the Committee members
and members of the staff who were present regarding the legal and ethical implications
of the inquiry.
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3/2012 Committee Recommendation: Mr. Brosius to research and provide the
Committee with a legal opinion at the May meeting.
3/2012 Board Action: Approve Committee recommendation.
2. New Business
c. Advertising and publicity Position Statement – suggested change
i. Minor revision suggested by Dr. Walker: "The Board expects the licensee to
identify the area of Board certification and the certifying Board in any
advertising." (APPENDIX F)
3/2012 Committee discussion: The Committee discussed a proposed change regarding
the advertisement of board certification and strengthening the language to require, rather
than suggest, that the identity of the specialty board be disclosed.
3/2012 Committee Recommendation: Approve the proposed changes.
3/2012 Board Action: Approve Committee recommendation.
CONTINUED COMPETENCE COMMITTEE REPORT
The Continued Competence Committee of the North Carolina Medical Board was called to order
at 1:00 p.m. March 21, 2012, at the office of the Medical Board. Members present were:
Thomas R. Hill, MD, Chair; Paul S. Camnitz, MD and Cheryl Walker-McGill, MD. Also present
were: David Henderson, Michael Sheppa, MD, Hari Gupta, Christina Apperson, Ms. Kathleen
Haley, Dr. Bob Schaaf, Nancy Hemphill and Maureen Bedell.
1.
Old Business
a. There was no old business discussed.
2.
New Business
a. Dr. Hill reviewed the FSMB Workgroups report ‘Define A Minimal Data Set’. A
discussion followed comparing the questions that the FSMB proposed to those that
the NCMB currently asks on its MD/DO renewal. Hari Gupta, Director of Operations,
explained that our MD/DO renewal questions are similar to most of the FSMB
questions. One of the FSMB questions is not asked: ‘how many weeks did you work
in the past year’.
Committee Recommendation: NCMB staff to contact FSMB and find out if the FSMB
questions were suggestions or if the FSMB wanted member Boards to use those
exact questions. NCMB staff would also contact SHEPS and see if making the FSMS
changes would cause any problems.
BOARD ACTION: To accept the Committee Recommendation.
b. Dr. Walker-McGill discussed with the committee the importance of finding out
what the patient population served is. Meaning what are the resources available vs
the population needs. Are physicians leaving areas that are in need? An in depth
discussion followed.
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Committee Recommendation: NCMB staff to contact the Institute of Medicine,
Community Care of NC and the NC Department of Health to find out who the
stakeholders are and what types of data they have each collected.
BOARD ACTION: To accept the Committee Recommendation.
LICENSE COMMITTEE REPORT
The License Committee of the North Carolina Medical Board was called to order at 1:00 p.m.,
March 21, 2012, at the office of the Medical Board. Members present were: William Walker,
MD, Chair, Pamela Blizzard and Eleanor Greene, MD. Also present was: Scott Kirby, MD,
Thom Mansfield, Patrick Balestrieri, Carren Mackiewicz, Jean Fisher-Brinkley, Joy Cooke,
Michelle Allen, Mary Rogers, Kathleen Haley, Robert Schaaf, MD and Amy Whited
Open Session
Old Business
None
New Business
1. Pending Applications Over One Year Old
Issue: Staff has been requested to report to the Committee every meeting the number of
pending applications that are more than 1 year old. Currently we have 29. Of those, 2 have
open investigations in other states and their NCMB application is on hold; 1 was denied at the
January meeting. Staff will review and mark the other 26 applications “expired” as time
permits.
Committee Recommendation:
Accept as information
Board Action: Accept as information.
2. PGT Requirement for Medical School Faculty Limited License (MSFL)
Issue: The majority of applicants for a MSFL license completed training and education or have
experience outside the US and Canada that is not approved by ACGME, CFPC, RCPSC, or
AOA as required by NCAC 32B .1502 (b)(7). Any experience, education or training not
approved by the forgoing organizations must be determined, by the Board, to be equivalent to
training approved by these organizations.
21 NCAC 32B .1502 APPLICATION FOR MEDICAL SCHOOL FACULTY LICENSE
(b) In order to obtain a Medical School Faculty License, an applicant shall:
(7)
submit proof of satisfactory completion of at least one year of GME
approved by ACGME, CFPA, RCPSC or AOA; or evidence of other
education, training or experience determined by the Board to be
equivalent.
Committee Recommendation:
In an effort to avoid unreasonable delays in processing
these applications it is recommended that the Chair of the License Committee be given the
authority to review and determine whether experience, education or training that is not approved
by ACGME, CFPC, RCPSC or AOA is equivalent to training that is approved by these
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organizations with input from staff/Medical Director. Should the Chair have concerns with
regard to making a determination, they can pass it on to the Board for a determination.
Dr. Kirby expressed concern with the medical education of Caribbean medical schools and the
number of graduates of these schools applying for a license.
Board Action: In an effort to avoid unreasonable delays in processing these applications it is
recommended that the Chair of the License Committee be given the authority to review and
determine whether experience, education or training that is not approved by ACGME, CFPC,
RCPSC or AOA is equivalent to training that is approved by these organizations with input from
staff/Medical Director. Should the Chair have concerns with regard to making a determination,
they can pass it on to the Board for a determination.
Dr. Kirby was instructed to create a formal report to present to the committee at the July 2012
meeting regarding possible additional requirements or exclusions for medical license regarding
medical schools training.
3. Withdrawals
Issue: Staff requests clarification that in all cases where the Board Action is “allow withdrawal”,
that the Board’s intent, in the event the applicant does not withdraw, the application will be
denied.
Committee Recommendation:
Make clear at the time of the license committee
recommendation that, if allowed to withdraw and does not, the application will be denied.
Board Action: Make clear at the time of the license committee recommendation that, if allowed
to withdraw and does not, the application will be denied.
4. Oral Interview Question #1
Issue: It was recommended that question #1 on the oral interview questions be amended by
adding the underlined text in the following: Have you ever had any difficulty with a medical
licensing board other than what brought you here today?
Committee Recommendation:
Leave question as is for the sake of brevity and clarity.
Board Action: Refer back to the license committee for further discussion.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
Twelve licensure cases were discussed. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.
A motion passed to return to open session.
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LICENSE INTERVIEW REPORT
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
Eleven licensure interviews were conducted. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.
A motion passed to return to open session.
ALLIED HEALTH COMMITTEE REPORT PA/EMS
The Allied Health Committee of the North Carolina Medical Board was called to order at 8:00
a.m., Wednesday, March 21, 2012 at the office of the Board.
Committee Members present were: William Walker, MD, Chair, Peggy Robinson PA-C, and
Cheryl Walker-McGill, MD. Also present were Marcus Jimison, Lori King, CPCS, Quanta
Williams, Jane Paige, Katharine Kovacs, PA, Nancy Hemphill, Don Pittman, Dr. Kanof, Dr. Tripp
Winslow, Dr. Brent Myers, Dr. Reed Caldwell, Ms. Regina Godette-Crawford, Mike Borden, Ms.
Kathleen Haley, Dr. Robert Schaaf and Don Metzger, PA.
Open Session NC Emergency Medical Services
1. Drugs that the NC Office of Emergency Medical Services is requesting to be added to the
NCMB approved list of medications for credentialed EMS personnel.
Issue: Dr. Tripp Winslow discussed the drugs that the NC office of Emergency Medical
Services is requesting to be added to the NCMB approved list of medications for credentialed
EMS personnel.
Committee Recommendation: Approve the NC Office of Emergency Medical Services
additional five medications to the NCMB approved list of medications for credentialed EMS
personnel: 1. Octreotide, 2. N-Acctylcysteine, 3. Phenylephrine, 4. Ketamine, 5. Propofol.
Board Action: Approve the NC Office of Emergency Medical Services additional five
medications to the NCMB approved list of medications for credentialed EMS personnel: 1.
Octreotide, 2. N-Acctylcysteine, 3. Phenylephrine, 4. Ketamine, 5. Propofol.
Open Session Physician Assistants
1. 2011 PA Compliance Review Summary Report
Issue: Don Pittman discussed the 2011 PA Compliance Review Summary Report.
Committee Recommendation: Don Pittman to work with Lori King to write an article for the
Forum regarding the results of the 2011 PA Compliance Program. Also recommend that this
article be added to the “Pulse”, the NCAPA Newsletter.
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March 21-23, 2012
Board Action: Don Pittman to work with Lori King to write an article for the Forum regarding the
results of the 2011 PA Compliance Program. Also recommend that this article be added to the
“Pulse”, the NCAPA Newsletter.
2. Physician Assistant Advisory Council (PAAC) 2012 Committee Members.
Issue: The North Carolina Medical Board’s Physician Assistant Advisory Council (PAAC)
advises and communicates with the Board on issues affecting PA practice and regulation in the
state. The PAAC does not have authority to license or discipline PAs, but it provides valuable
insights to the Board’s Allied Health Committee and to the full Board. The PAAC meets once a
year in July. The members of the PAAC are nominated by the Allied Health Committee and
appointed by vote of the full Board for terms of two years. They may be reappointed by Board
action. The PAAC’s members represent the leadership of the North Carolina Academy of
Physician Assistants, the PA Section of the North Carolina Medical Society and each PA
training program in North Carolina. They also include other PA and physician members chosen
for their particular expertise on issues facing the Board.
Committee Recommendation: Approve the following 2012 PAAC Committee Members:
William Walker, MD, Chair, Peggy Robinson, PA, Cheryl Walker-McGill, MD, Marc Katz, PA,
James Hill, PA, Robin Hunter-Buskey, PA, Douglas Hammer, MD, Julie Daniel-Yount, PA,
Carolyn Pugh, PA, Lisa Shock, PA, Ron Foster, PA, Mike Borden, Suzanne Reich, PA - Wake
Forest, Pat Dieter, PA – Duke, Christina Beard, PA- Methodist, Rosalind Becker, PA – Wingate,
Patrick Carter, PA – ECU, Thomas Colletti, PA – Campbell, Marcus Jimison - NCMB Staff, Lori
Ann King - NCMB Staff, Katharine Kovacs - NCMB Staff, Jane Paige - NCMB Staff.
Board Action: Approve the following 2012 PAAC Committee Members:
William Walker, MD, Chair, Peggy Robinson, PA, Cheryl Walker-McGill, MD, Marc Katz, PA,
James Hill, PA, Robin Hunter-Buskey, PA, Douglas Hammer, MD, Julie Daniel-Yount, PA,
Carolyn Pugh, PA, Lisa Shock, PA, Ron Foster, PA, Mike Borden, Suzanne Reich, PA - Wake
Forest, Pat Dieter, PA – Duke, Christina Beard, PA- Methodist, Rosalind Becker, PA – Wingate,
Patrick Carter, PA – ECU, Thomas Colletti, PA – Campbell, Marcus Jimison - NCMB Staff, Lori
Ann King - NCMB Staff, Katharine Kovacs - NCMB Staff, Jane Paige - NCMB Staff.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
One licensee application was reviewed. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.
A motion passed to return to open session.
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ALLIED HEALTH COMMITTEE REPORT AA/NP/CPP/LP/PT
The Allied Health Committee of the North Carolina Medical Board was called to order at 8:05
a.m., March 21, 2012 at the office of the North Carolina Medical Board. Members present were:
William Walker, MD, Chair; Peggy Robinson, PA-C; and Cheryl Walker-McGill, MD. Also
present were Marcus Jimison, Jane Paige, Lori King, Katharine Kovacs, Nancy Hemphill, and
Quanta Williams.
1. Open Session Anesthesiologist Assistants
a. No items for discussion
2.
Open Session Nurse Practitioners
a. No items for discussion
3.
Open Session Clinical Pharmacist Practitioners
a. No items for discussion
4.
Open Session Perfusionists
a. Open session portion of the minutes of the January PAC meeting.
i.
Summary: The open session minutes of the January PAC
meeting have been sent to the Committee members for review.
Staff Recommendation: Accept as information
Committee Recommendation: Accept as information
Board Action: Accept as information
b. Amendment to the Bylaws
i.
Summary: At the January PAC meeting, the Committee voted to
amend the bylaws to reflect the changes made to the Chair and
Vice Chair elections. Mr. Jimison had made this change to Article
IV, Section 2 of the bylaws.
Staff Recommendation: Accept PAC recommendation
PAC Recommendation: Amend the bylaws as presented
Committee Recommendation: Amend the bylaws as presented
Board Action: Amend the bylaws as presented
5. Open Session Polysomnographic Technologists
a. No items for discussion
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
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March 21-23, 2012
Four licensee applications were reviewed. A written report was presented for the Board’s
review. The Board adopted the Committee’s recommendation to approve the written report.
The specifics of this report are not included because these actions are not public
information.
A motion passed to return to open session.
MIDWIFERY COMMITTEE REPORT
The Midwifery Joint Committee (MJC) was called to order at 10:32 a.m., March 21, 2012 at the
office of the NC Board of Nursing. Members present were: Maureen Darcey, RN, CNM, Chair;
Elizabeth (Beth) Korb, RN, CNM; Bobby Lowery, NP (NCBON); Daniel C. Hudgins (NCBON);
Nancy Bruton-Maree, RN (NCBON); Peggy Robinson, PA-C (NCMB); William A. Walker, MD
(NCMB); and Cheryl Walker-McGill, MD (NCMB).Keith Nelson, MD and Frank Harrison, MD,
Ph.D. were absent. Also present were: Ralph Loomis, MD (NCMB); Donna Mooney (NCBON);
Eileen Kugler (NCBON); Jack Nichols (NCBON); Julie George (NCBON); David Henderson
(NCMB); David Kalbacker (NCBON); Marcus Jimison (NCMB); Linda Burhans (NCBON); Don
Pittman (NCMB); Brenda McDougal (NCBON); and Quanta Williams (NCMB).
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
One case was reviewed. A written report was presented for the Board’s review. The Board
adopted the Committee’s recommendation to approve the written report. The specifics of
this report are not included because these actions are not public information.
A motion passed to return to open session
REVIEW (MALPRACTICE) COMMITTEE REPORT
The Review Committee (Malpractice) of the North Carolina Medical Board was called to order at
3:00 p.m. on March 21, 2012 at the office of the Medical Board. Board Members present were:
Peggy Robinson, PA (Chair) and Pamela Blizzard. Staff present: Judie Clark, Scott Kirby, MD,
Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram and
Todd Brosius. Kathleen Haley and Dr. Robert Schaaf also attended.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Review (Malpractice) Committee reported on ten malpractice cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public.
A motion passed to return to open session.
14
March 21-23, 2012
REVIEW (COMPLAINT) COMMITTEE REPORT
The Review Committee (Complaints) of the North Carolina Medical Board was called to order at
3:00 p.m. on March 21, 2012 at the office of the Medical Board. Board Members present were:
Peggy Robinson, PA (Chair) and Pamela Blizzard. Staff present: Judie Clark, Scott Kirby, MD,
Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram and
Todd Brosius. Kathleen Haley and Dr. Robert Schaaf also attended.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Review (Complaint) Committee reported on thirty-one complaint cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public.
A motion passed to return to open session.
DISCIPLINARY (COMPLAINTS) COMMITTEE REPORT
The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board
was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board
Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD,
Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott
Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy
Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus
Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Disciplinary (Complaints) Committee reported on four complaint cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public.
A motion passed to return to open session.
DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT
The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board
was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board
Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD,
Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott
Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy
Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus
Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.
15
March 21-23, 2012
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Disciplinary (Malpractice) Committee reported on twenty-four cases. A written report
was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public information.
A motion passed to return to open session.
DISCIPLINARY (MEDICAL EXAMINER) COMMITTEE REPORT
The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board
was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board
Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD,
Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott
Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy
Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus
Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Disciplinary (Medical Examiner) Committee reported on two cases. A written report was
presented for the Board’s review. The Board adopted the Committee’s recommendation to
approve the written report. The specifics of this report are not included because these
actions are not public information.
A motion passed to return to open session.
INVESTIGATIVE INTERVIEW REPORT
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
Fifteen informal interviews were conducted. A written report was presented for the Board’s
review. The Board adopted the recommendations and approved the written report. The
specifics of this report are not included because these actions are not public information.
A motion passed to return to open session.
16
March 21-23, 2012
DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT
Board Members present: Dr. Hill (Chair), Dr. Camnitz, Dr. Huff and Dr. Greene.
Investigations: Curt Ellis (Director of Investigations), Dave Allen, Bob Ayala, Therese
Dembroski, Loy Ingold, David Hedgecock, Bruce Jarvis, Don Pittman, Jerry Weaver, Jenny
Olmstead, Sharon Denslow, Barbara Rodrigues
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Disciplinary (Investigative) Committee reported on thirty-three investigative cases. A
written report was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public information.
A motion passed to return to open session.
REVIEW (INVESTIGATIVE) COMMITTEE REPORT
The Investigative Review Committee of the North Carolina Medical Board was called to order at
3:00 p.m. Wednesday November 16, 2011, at the office of the Medical Board. Members
present were: Peggy Robinson, PA, (Chair) and Pamela Blizzard. Also present were: Jenny
Olmstead, Barbara Rodrigues, Sharon Squibb-Denslow , Therese Dembroski, David Allen, Lee
Allen, David Hedgecock, Don Pittman, Robert Ayala, Loy Ingold, Bruce Jarvis, Rick Sims, Jerry
Weaver Curtis Ellis, Marcus Jimison, Todd Brosius, Thom Mansfield, Brian Blankenship
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Review (Investigative) Committee reported on twenty-seven investigative cases. A
written report was presented for the Board’s review. The Board adopted the Committee’s
recommendation to approve the written report. The specifics of this report are not included
because these actions are not public information.
A motion passed to return to open session.
NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT
Present: Janice Huff MD; David Collins MD; Terrence Bogard MD; Robert Bilbro MD; Judge
John Lewis; William Walker MD; NCPHP Staff: Warren Pendergast MD; Joseph Jordan PhD;
Sid Kitchens, Mary Agnes Rawlings; Carsten Thuesen; Deborah Hill; Kim Lamando
Absent: Richard Puchinsky MD.
A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina
General Statutes to prevent the disclosure of information that is confidential pursuant to
Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not
17
March 21-23, 2012
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Board reviewed forty-two cases involving participants in the NC Physicians Health
Program. The Board adopted the committee’s recommendation to approve the written
report. The specifics of this report are not included as these actions are not public
information.
A motion passed to return to open session.
BEST PRACTICES COMMITTEE
The Best Practices Committee of the North Carolina Medical Board was called to order at 3:00
p.m. on Thursday, March 22, 2012, at the office of the Medical Board. Members present were:
Ms. Pamela Blizzard, Chair; Dr. Janice Huff and Ms. Thelma Lennon. Also present were: David
Henderson, Dr. Scott Kirby, Christina Apperson, Todd Brosius and Maureen Bedell.
1. Old Business
a. Update on “CPEP East”
Christina Apperson provided a summary of the CPEP East Overview and
Timeline. The group briefly discussed the Board’s role in CPEP East
introductions/discussions with North Carolina organizations.
b. Proposed speakers regarding telemedicine
Christina Apperson is to contact representatives of the Georgia Partnership for
Telehealth to speak at the May meeting.
2. New Business
a. The committee heard a report from David Henderson, Dr. Scott Kirby and Todd
Brosius concerning a meeting they attended recently concerning a proposed
telemedicine model. Involved groups include American Well, Blue Cross, UNC,
and Walgreens. The most recently proposed delivery model/study would include
a kiosk in a Walgreens store to be manned by a pharmacist. A patient would
have online access to a family practice physician via telemedicine link-up for a
limited number of conditions. Walgreens would fill any needed prescriptions.
MEDICAL SCHOOL EDUCATIONAL OUTREACH PROJECT
The Medical School Education Outreach Project group was called to order at 12:15 p.m. on
March 22, 2012 at the office of the Medical Board. Members present were: Peggy Robinson,
PA-C, Chair; Janice Huff, MD, and Pamela Blizzard. Also present were: Jean Fisher-Brinkley;
Nancy Hemphill; and Dena Konkel. There were no absences.
1. Old Business
a. We reviewed the discussion from our February 24 meeting/ conference call.
2. New Business
a. The Committee brainstormed ideas for the professionalism module.
1. Truthfulness/ candor: example: on license applications. Disclose misdemeanors;
ask your lawyer for advice about “expungements”; report academic probation.
18
March 21-23, 2012
2. Accountability/ respect for the Board. Timeliness, compliance with institutional
deadlines, such as keeping up with clinical requirements for CME on infections, etc.
Keep records of everywhere you’ve ever worked or lived, for future license
applications. Keep records of any criminal history.
3. Compassion, humanity. Studies show that students entering medical school and
new physicians entering residency have high levels of caring, but then lose that over
time. Compassion is an important aspect of patient care.
4. Communication: include statistics about poor communication being the base of
many complaints and professional liability payments.
5. Humility vs. arrogance/ team orientation/ don’t be a disruptive physician. Interact
with your patients and staff with respect.
6. Don’t have sex with patients or staff.
7. Self-reflection. This is part of MOL. Remember why you went to medical school.
Value wellness and strive for a balance between your work and personal life. Avoid
burnout.
8. Put the patient’s needs first. Use patient handoffs as example. Even with
restrictions on work hours for residents, patient care has priority over the clock, your
family life, etc. It is critical that the next set of providers has the information needed
to care for the patient.
9. Cross-cultural awareness. Avoid being disdainful of a patient’s lifestyle or beliefs.
Be careful when discussing “hot button” issues, like a child’s obesity (which may
conflict with a cultural norm or be perceived as insulting to the parent.) To become
more culturally sensitive, a physician could participate in community events, or take a
class in a language.
b. Action items:
1. Jean will contact Dr. Patrick Ober at Wake Forest University Medical School, to
learn whether this module will still be useful to his students; when it might be used in
their curriculum; and whether our module will duplicate or reinforce their current
message about professionalism.
2. Nancy will contact AHEConnect, to learn about: what they need from the Board
for curriculum development; their time requirements to develop the module; and their
ideas on integrating video interviews or other clips into the module.
3. Nancy or Jean will contact Dr. Gerancher to see whether physicians in her
residency program might also serve as a test case for the module.
4. Staff will develop a “meaty” outline in the next few weeks, and will distribute that
to committee members for their review.
19
March 21-23, 2012
ADJOURNMENT
This meeting was adjourned at 1:40 p.m. March 23, 2012.
_____________________________________________________
Thomas R. Hill, MD
Secretary/Treasurer
20
March 21-23, 2012
APPENDIX A
CURRENT POSITION STATEMENT:
Self-treatment and treatment of family members and others with whom significant
emotional relationships exist*
It is the position of the North Carolina Medical Board that, except for minor illnesses and
emergencies, physicians should not treat, medically or surgically, or prescribe for themselves,
their family members, or others with whom they have significant emotional relationships. The
Board strongly believes that such treatment and prescribing practices are inappropriate and
may result in less than optimal care being provided. A variety of factors, including personal
feelings and attitudes that will inevitably affect judgment, will compromise the objectivity of the
physician and make the delivery of sound medical care problematic in such situations, while real
patient autonomy and informed consent may be sacrificed.
When a minor illness or emergency requires self-treatment or treatment of a family member or
other person with whom the physician has a significant emotional relationship, the physician
must prepare and keep a proper written record of that treatment, including but not limited to
prescriptions written and the medical indications for them. Record keeping is too frequently
neglected when physicians manage such cases.
The Board expects physicians to delegate the medical and surgical care of themselves, their
families, and those with whom they have significant emotional relationships to one or more of
their colleagues in order to ensure appropriate and objective care is provided and to avoid
misunderstandings related to their prescribing practices.
*This position statement was formerly titled, "Treatment of and Prescribing for Family
Members."
(Adopted May 1991) (Amended May 1996; May 2000; March 2002; September 2005)
PROPOSED CHANGES
Self-treatment and treatment of family members
It is the Board’s position that it is not appropriate for licensees to write prescriptions for
controlled substances or to perform procedures on themselves or their family members. Rules
32B .1001, 32S .0212, and 32M .0109 prohibit licensees from prescribing controlled substances
(including all narcotics) to themselves or immediate family members. In addition, licensees
should not treat their own chronic conditions or those of their immediate family members or
others with whom the licensee has a significant emotional relationship. In such situations,
professional objectivity may be compromised, and the licensee’s personal feelings may unduly
influence his or her professional judgment, thereby interfering with care.
There are, however, certain limited situations in which it may be appropriate for licensees to
treat themselves, their family members, or others with whom the licensee has a significant
emotional relationship.
21
March 21-23, 2012
1. Emergency Conditions. In an emergency situation, when no other qualified licensee is
available, it is acceptable for licensees to treat themselves or their family members until
another licensee becomes available.
2. Urgent Situations. There may be instances when licensees or family members do not
have their prescribed medications or easy physician access. It may be appropriate for
licensees to call in provide short term prescriptions.
3. Acute Minor Illnesses within Clinical Competence. While licensees should not serve as
primary or regular care providers for themselves or their family members, there are
certain situations in which routine care may be acceptable. Examples would be
treatment of a simple urinary tract infection antibiotic-induced fungal infections or
prescribing ear drops for a family member with external otitis. It is the expectation of the
Board that licensees will not treat recurrent acute problems.
4. Over the Counter Medication. This position statement is not intended to prevent
licensees from suggesting over the counter medications or other non-prescriptive
modalities for themselves or family members, as a lay person might.
Licensees who act in accord with this position statement will be held to the same standard of
care applicable to licensees providing treatment for patients who are unrelated to them. Thus,
licensees should not treat problems beyond their expertise or training and should be sure to
maintain an appropriate medical record documenting any care that is given. It may also be
prudent to provide a copy of the medical record to the patient’s primary care provider.
Licensees who inappropriately treat themselves, their family members or others with whom they
have a significant emotional relationship should be aware that they may be subject to
disciplinary action by the Board.
COMMENTS RECEIVED:
Thanks for asking - looks like an improvement and fine as is.
--Nicholas E Stratas, MD
I think this is an improvement over previous Position Statement. It clarifies what a Physician
can do and not do. In the past many Physicians have been confused over whether or not they
could handle minor illnesses of their family members. I think there should be a record kept of
these treatments especially if prescriptions of controlled substances are involved.
--John Foust, MD
Changes represent practical improvement, but would recommend that a record be kept of Rx.
Best regards,
--Charles Duckett, MD
This revision is an improvement in that there are concrete examples of when it is acceptable for
a licensee to provide care or prescribe for self, family or loved ones. In keeping with the
statement at the close of the position statement pertaining to maintaining the same level of
quality care provided to all patients there should be a record keeping requirement and that such
a record should be forwarded to the primary care provider of the recipient of care. Best to all my
colleagues down there in Raleigh.
--Michael Norins, MD
This version is much better. I do think it would be useful to ask that physicians keep a personal
record of such instances, a record that can be reviewed, if indicated, by the Board on request.
--Walter Pories, MD
22
March 21-23, 2012
I actually like some parts of both---so, I recommend using the old statement in its entirety, and
inserting the paragraph about the specific examples of exceptions from the new statement after
paragraph #2, and using the last paragraph of the new statement by adding it after the last
paragraph of the old statement.
I wish everyone at the Board a Happy New Year!
--Wayne VonSeggen, MD
I feel the "Draft Position" is the best and most appropriate with one minor exception. I would not
include "minor urinary infections" as an example of a minor illness since these can be the first
sign of a major problem, especially in pediatrics. I appreciate being asked for my input.
--Bryant Galusha, MD
Much improved with concrete examples. As my esteemed colleagues, Walter and Buddy, as
well as my other colleague, Michael have described, it would be wise to maintain the record
keeping requirement. Best to all.
--Art McCulloch, MD
I agree this is a much clearer statement.
--Elizabeth Kanof, MD
Thanks for the opportunity to comment. We support the draft position statement on selftreatment and the three rule changes prohibiting the prescribing of controlled substances to
one's self or family members by MDs/DOs, NPs and PAs.
-- Michael R. Borden, CAE
Chief Executive Officer, NC Academy of Physician Assistants
While a tremendous improvement over the original proposed policy, this policy is now without
reason. It is appropriate for someone to diagnose and treat himself or a family member for an
acute event, with unknown or uncertain causation, but not prescribe or refill chronic medications
for himself/herself for chronic maintenance medications where the medical issue is well
documented. And acting as a “Lay person” in giving advice is something that a physician can
actually be claiming to be doing!!??
While potentially foolish, it seems ridiculous to me that an attorney can draw up his/her own
legal documents, but a physician has an ethical reason not to treat or prescribe for
himself/herself. This is not medical ethics. It is enforcement of medical stupidity. And the line
remains unclear based on the current policy.
--Jim Stackhouse, MD
The new NCMB policy seems pretty reasonable to me...so I can call in my own Flonase without
fear.
--Sandra M Brown, MD
I believe the new position paper is excellent. I thought all of the responses that were sent to me
are appropriate. I do think that maintaining appropriate medical records should be further
emphasized either by underlining or capitalizing the statement in the position paper. I really
think it is a good job.
--A. T. Pagter, Jr., MD
It seems to me that the first two sentences should be merged/edited to include "Self", "Family
Members", and "those with whom a significant emotional relationship exists" for all of those
23
March 21-23, 2012
restricted activities. When you read it like it is, it seems like you are parsing the difference.
Otherwise, the current edited version is OK.
--Wayne VonSeggen, PA-C
Dr. Herring submitted a revised version of the proposed Position Statement. It will be available
during the Policy Committee meeting.
--Stephen Herring, MD
24
March 21-23, 2012
APPENDIX B
CURRENT POSITION STATEMENT:
Availability of physicians to their patients
It is the position of the North Carolina Medical Board that once a physician-patient relationship
is created, it is the duty of the physician to provide care whenever it is needed or to assure that
proper physician backup is available to take care of the patient during or outside normal office
hours.
The physician must clearly communicate to the patient orally and provide instructions in writing
for securing after hours care if the physician is not generally available after hours or if the
physician discontinues after hours coverage.
(Adopted July 1993) (Amended May 1996, January 2001, October 2003, July 2006)
PROPOSED POSITION STATEMENT:
Availability of licensees physicians to their patients
It is the position of the North Carolina Medical Board that once a relationship between a
licensee and a patient physician-patient relationship is created, it is the duty of the licensee
physician to provide care whenever it is needed or to assure that proper physician backup by a
healthcare provider is available to take care of the patient during or outside normal office hours.
If the licensee is not going to be available after hours, the licensee must provide clear
instructions to the patient for securing after-hours care. It is the responsibility of the licensee to
ensure that the patient has sufficient information regarding how to secure after-hours care.
The physician must clearly communicate to the patient orally and provide instructions in writing
for securing after hours care if the physician is not generally available after hours or if the
physician discontinues after hours coverage.
It should be noted that these duties are applicable to a licensee whether the licensee is
practicing telemedicine or practicing medicine through traditional means.
(Adopted July 1993) (Amended May 1996, January 2001, October 2003, July 2006, _________)
25
March 21-23, 2012
APPENDIX C
Self- Treatment and
Treatment of Family
Members and Others With
Whom Significant
Emotional Relationships
Exist
Availability of Physicians to
Their Patients
Sexual Exploitation of
Patients
Care of the Patient
Undergoing Surgery or
Other Invasive Procedure
The Physician-Patient
Relationship
The Retired Physician
Physician Supervision of
Other Licensed Health
Care Practitioners
Medical Testimony
Advance Directives and
Patient Autonomy
End-of-Life Responsibilities
and Palliative Care
Drug Overdose Prevention
Policy for the Use of
Controlled Substances for
the Treatment of Pain
Medical Record
Documentation
Retention of Medical
Records
Capital Punishment
Departures from or
Closings of Medical
Professional Obligations
pertaining to
incompetence, impairment,
and unethical conduct of
healthcare providers
ADOPTED
SCHEDULED
FOR
REVIEW
May-91
Jul-11
Jul-93
May-91
LAST
REVISED/
REVIEWED/
ADOPTED
REVISED/
REVIEWED
REVISED/
REVIEWED
REVISED/
REVIEWED
Sep-05
Mar-02
May-00
May-96
Nov-11
Jul-06
Oct-03
Jan-01
May-96
Mar-12
Sep-06
Jan-01
Apr-96
Sep-91
Sep-06
Mar-01
Jul-95
Jan-97
Sep-06
Sep-06
Aug-03
Jul-07
Mar-08
Jul-07
Mar-08
Jul-93
Mar-08
May-96
Oct-99
Sep-08
Mar-08
Sep-08
May-07
Sep-96
Sep-08
Jul-05
May-94
May-09
May-96
May-98
Jan-07
May-09
Jul-09
Jan-00
Jul-09
Aug-03
Nov-98
Mar-10
Nov-98
REVISED/
REVIEWED
Mar-02
Jan-00
Jul-98
Unethical Agreements in
Complaint Settlements
What Are the Position
Statements of the Board
and To Whom Do They
Apply?
Telemedicine
Nov-93
Mar-10
May-96
Nov-99
May-10
May-10
May-10
Nov-99
Contact With Patients
Before Prescribing
Nov-99
Jul-10
Feb-01
May-91
Jul-10
Oct-02
Feb-01
Jan-01
May-96
Nov-93
Sep-10
Aug-03
Mar-02
Sep-97
May-96
Apr-04
Oct-87
Nov-99
Nov-10
Nov-10
Nov-10
Apr-04
Jan-05
Sep-05
Mar-96
Mar-01
Guidelines for Avoiding
Misunderstandings During
Physical Examinations
Access to Physician
Records
Medical SupervisorTrainee Relationship
The Treatment of Obesity
Advertising and Publicity
26
March 21-23, 2012
Medical, Nursing,
Pharmacy Boards: Joint
Statement on Pain
Management in End-of-Life
Care
HIV/HBV Infected Health
Care Workers
Writing of Prescriptions
Laser Surgery
Office-Based Procedures
Sale of Goods From
Physician Offices
Competence and Reentry
to the Active Practice of
Medicine
Prescribing Legend or
Controlled Substances for
Other Than Valid Medical
or Therapeutic Purposes,
with Particular Reference
to Substances or
Preparations with Anabolic
Properties
Referral Fees and Fee
Splitting
27
Oct-99
Jan-11
Oct-99
Nov-92
May-91
Jul-99
Sep-00
Jan-11
Mar-11
Mar-11
May-11
Jan-05
Mar-05
Jul-05
Jan-03
Mar-01
May-11
Mar-06
Jul-06
Jul-11
Jul-06
May-98
Sept-11
Nov-05
Jan-01
Nov-93
Jan-12
Jul-06
May-96
May-96
Jul-02
Aug-02
Mar-02
Mar-02
May-96
Jan-00
Jul-98
March 21-23, 2012
APPENDIX D
CURRENT POSITION STATEMENT:
Sexual exploitation of patients
It is the position of the North Carolina Medical Board that sexual exploitation of a patient is
unprofessional conduct and undermines the public trust in the medical profession. Sexual
exploitation encompasses a wide range of behaviors which have in common the intended
sexual gratification of the physician. These behaviors include sexual intercourse with a patient
(consensual or non-consensual ), touching genitalia with ungloved hands, sexually suggestive
comments, asking patients for a date, inappropriate exploration of the patients or physician’s
sexual phantasias, touching or exposing genitalia, breast, or other parts of the body in ways not
dictated by an appropriate and indicated physical examination, exchanging sexual favors for
services. Sexual exploitation is grounds for the suspension, revocation, or other action against a
physician’s license. This position statement is based upon the Federation of State Medical
Board’s guidelines regarding sexual boundaries.
Sexual misconduct by physicians and other health care practitioners is a form of behavior that
adversely affects the public welfare and harms patients individually and collectively. Physician
sexual misconduct exploits the physician-patient relationship, is a violation of the public trust,
and is often known to cause harm, both mentally and physically, to the patient.
Regardless of whether sexual misconduct is viewed as emanating from an underlying form of
impairment, it is unarguably a violation of the public’s trust.
As with other disciplinary actions taken by the Board, Board action against a medical licensee
for sexual exploitation of a patient is published by the Board, the nature of the offense being
clearly specified. It is also released to the news media, to state and federal government, and to
medical and professional organizations.
(Adopted May 1991) (Amended April 1996, January 2001, September 2006)
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March 21-23, 2012
APPENDIX E
REQUEST:
Mr. Brosius,
In response to our telephone conversation today and at the direction of the Chief of the Office of
EMS, I am submitting the following issue asking for an official ruling of the Medical Board. The
Board’s position will be shared with the state’s Emergency Medical Services and Specialty Care
Transport Program Medical Directors.
NC General Statute 143-514 places the practice standards for emergency medical personnel
under the authority of the NC Medical Board. Using these established standards, NC General
Statute 143-508 requires the NC Medical Care Commission to promulgate rules consistent with
the Medical Boards practice standards. These rules are 10A NCAC 13P. In order for a
credentialed paramedic to practice invasive skills, these rules require the paramedic to practice
under the license of the EMS System Medical Director. This Medical Director must be a
licensed physician in North Carolina. Having said this, a situation has presented itself to our
office that we are unable to address. The scenario is:
A physician is on duty in the emergency department of a hospital. A patient arrives that,
following assessment, is determined to have overdosed on an illegal narcotic. This physician
provides emergency care and the patient is stabilized. This physician serves the local EMS
System as their Medical Director. The patient is a paramedic that functions under the license of
this physician. The patient (paramedic) was not on duty when treated by the physician (their
Medical Director) in the Emergency Department.
The dilemma for the physician is twofold. One, he has established a physician / patient
relationship with this individual. Two, this individual is a paramedic that practices under his
medical license. Does the physician have an obligation to maintain the patient’s confidentiality,
or is the physician obligated to report the substance abuse matter to the paramedic’s state
credentialing agency? The physician, in his role as system medical director, thinks his
knowledge that a paramedic practicing under his license may be a potential risk to the public
and those patients under the paramedic’s pre-hospital care. However, ethically the physician
realizes the rights of this patient may override his ability to address this situation.
Although the EMS rules do allow the medical director the authority to suspend, pending due
process review, an individual from practicing under his license, if the medical director exercises
this authority he will be required to disclose his reason for suspension during the paramedic’s
due process hearing. Also, there is nothing in either the EMS laws or rules that mandate a
medical director disclose to the state EMS office his suspension of any person practicing under
his license.
Taking into account the his patient’s rights (the paramedic), the right of the public to be safe, the
rights of the paramedic’s patients, the physician’s liabilities as both caregiver and medical
director, etc., how would the Board advise a physician to handle such a situation?
I would like to express my appreciation to you and the Board in advance for assistance in
resolving this matter. If you have any questions or need clarification, please do not hesitate to
contact me at the office phone number listed below.
Donnie
Donnie S. Sides, Operations Manager
29
March 21-23, 2012
North Carolina Office of Emergency Medical Services
APPENDIX F
CURRENT POSITION STATEMENT:
Advertising and publicity*
It is the position of the North Carolina Medical Board that advertising or publicity that is
deceptive, false, or misleading constitutes unprofessional conduct under the Medical Practice
Act.*
The term “advertising” includes oral, written and other types of communication disseminated by
or at the direction of a licensee for the purpose of encouraging or soliciting the use of the
licensee’s services. At issue is whether a member of the general public would be confused or
deceived by the advertising in question. The following general principles are intended to assist
licensees in meeting the Board’s expectations: (1) advertisements should not contain false
claims or misrepresentations of fact, either expressly or by implication; (2) advertisements
should not omit material facts; and (3) licensees should be prepared to substantiate claims
made in advertisements.
Licensees should avoid advertising and publicity that creates unjustified medical expectations,
that are accompanied by deceptive claims, or that imply exclusive or unique skills or remedies.
Similarly, a statement that a licensee has cured or successfully treated a large number of
patients suffering a particular ailment is deceptive if it implies a certainty of results and/or
creates unjustified or misleading expectations. When using patient photographs, they should be
of the licensee’s own patients and demonstrate realistic outcomes. Likewise, when a change of
circumstances renders advertising inaccurate or misleading, the licensee is expected to make
reasonable efforts to correct the advertising within a reasonable time frame.
The advent of the Internet and the proliferation of websites purporting to “rate” healthcare
providers mean that licensees cannot always control information about themselves in the public
domain. However, a licensee is expected to exercise reasonable efforts to bring about the
correction or elimination of false or misleading information when he or she becomes aware of it.
Physicians Advertising Board Certification
The term “board certified” is publicly regarded as evidence of the skill and training of a physician
carrying this designation. Accordingly, in order to avoid misleading or deceptive advertising
concerning board certification, physicians are expected to meet the following guidelines.
No physician should advertise or otherwise hold himself or herself out to the public as being
“board certified” without proof of current certification by a specialty board approved by the (1)
American Board of Medical Specialties (ABMS); (2) the Bureau of Osteopathic Specialists of the
American Osteopathic Association (AOA-BOS); (3) the Royal College of Physicians and
Surgeons of Canada (RCPSC); or (4) a board that meets the following requirements:
i.
the organization requires satisfactory completion of a training program with training,
documentation and clinical requirements similar in scope and complexity to ACGME- or
AOA-approved programs, in the specialty or subspecialty field of medicine in which the
physician seeks certification. Solely experiential or on-the-job training is not sufficient;
ii.
the organization requires all physicians seeking certification to successfully pass a
written or oral examination or both, which tests the applicant’s knowledge and skill in the
30
March 21-23, 2012
specialty or subspecialty area of medicine. All examinations require a psychometric
evaluation for validation;
iii.
the organization requires diplomates to recertify every ten years or less, and the
recertification requires, at a minimum, passage of a written examination;
iv.
the organization prohibits all certification and recertification candidates from attempting
more than three times in three years to pass the examination;
v.
the organization has written by-laws and a code of ethics to guide the practice of its
members and an internal review and control process including budgetary practices to
ensure effective utilization of resources;
vi.
the organization has written proof of a determination by the Internal Revenue Service
that the certifying organization is tax-exempt under Section 501(c) of the Internal
Revenue Code; and
vii.
the organization has a permanent headquarters and staff sufficient to respond to
consumer and regulatory inquiries.
The Board expects aAny physician advertising or otherwise holding himself or herself out to the
public as “board certified” should to disclose in the advertisement the specialty board by which
the physician was certified. A physician is expected to maintain and provide to the Board upon
request evidence of current board certification. In the case of physicians who have been
certified by non-ABMS, non-AOA and non-RCPSC boards, the physician is expected to
maintain and provide to the Board upon request evidence that the certifying board meets the
criteria listed above.
The above limitations are only intended to apply to physicians who advertise or otherwise hold
themselves out to the public as being “board certified.” The above criteria are not applicable in
other instances, such as employment determinations, privileging or credentialing decisions,
membership on insurance panels, or setting reimbursement rates.
*Business letterheads, envelopes, cards, and similar materials are understood to be forms of
advertising and publicity for the purpose of this Position Statement.
(Adopted November 1999) (Amended March 2001) (Reviewed September 2005) (Amended November 2010)
31
March 21-23, 2012
APPENDIX G
21 NCAC 32C .0102 is amended, with changes, as published in 25:22 NCR page 2456 as
follows:
21 NCAC 32C .0102 NAME OF PROFESSIONAL CORPORATION
The following requirements must be met regarding the name of a professional corporation to
practice medicine:
(1)
The name shall not include any adjectives or other words not in accordance with
ethical customs of the medical profession. profession as defined by the American
Medical Association Code of Medical Ethics, and shall not be false, misleading,
deceptive or patently offensive.
(2)
The professional corporation may not be identical or [
an existing professional [
[
] so similar in name to
] corporation or professional limited liability
company as to be misleading.
(2)(3) The professional corporation may not use any name other than its corporate
name.
(4)
The professional corporation shall specify its corporate structure in the public
domain by the use of the designation “P.C.” or “P.A.” or “P.L.L.C.”
(3)(5) A shareholder may authorize the retention of his surname in the corporate name
after his retirement or inactivity because of age or disability, even though he may
have disposed of his stock. The estate of a deceased shareholder may authorize
the retention of the deceased shareholder's surname in the corporate name after
the shareholder's death.
(4)(6) If a living shareholder in a professional corporation whose surname appears in
the corporate name becomes a "disqualified person" as defined in the
Professional Corporation Act, the name of the professional corporation shall be
promptly changed to eliminate the name of the shareholder, and the shareholder
shall promptly dispose of his stock in the corporation.
History Note:
Authority G.S. 55B-5; 55B-7; 55B-12;
Eff. February 1, 1976;
Amended Eff. November 1, 2011; July 1, 1993; May 1, 1989.
32
March 21-23, 2012
21 NCAC 32C .0103 is amended, with changes, as published in 25:22 NCR pages 2456-2457
as follows:
21 NCAC 32C .0103 PREREQUISITES FOR INCORPORATION
(a) Before filing the articles of incorporation for a professional corporation with the Secretary of
State, the incorporators shall file with the Executive Director of the Board:
(1)
the properly executed original articles of incorporation;
(2)
an additional executed copy of the articles of incorporation;
(3)
a copy of the articles of incorporation;
(4)(2) a registration fee of fifty dollars ($50.00) set by Rule .0008 of this Section; in the
maximum allowable amount set forth in N.C.G.S. 55B-10;
(5)(3) a certificate (P.C. N.C.M.B.-P.C. Form 1) certified signed by all incorporators,
shareholders setting forth the names and addresses of each person who will be
employed by the corporation to practice medicine for the corporation, and stating
that all such persons employed by the corporation are duly licensed to practice
medicine in North Carolina, and representing that the business of the corporation
will be conducted in compliance with the Professional Corporation Act and the
rules in this Subchapter; and
(6)(4) a signed certificate (P.C.N.C.M.B.-P.C. Form 2) for the Executive Director or the
Director of Finance/Operations/Human Resources of the Board to sign certifying
that at least one of the incorporators and each of the persons named as original
shareholders is licensed to practice medicine in North Carolina. certifying that all
shareholders are licensed to practice medicine in North Carolina or are otherwise
qualified to own shares pursuant to N.C.G.S. 55B-6, 55B-14(c) or 55B-16.
(b) The Executive Director or Director of Finance/Operations/Human Resources Board shall
review the articles of incorporation for compliance with the laws relating to professional
corporations and with these Rules. the Rules in this Subchapter. If they comply, the Executive
Director or Director of Finance/Operations/Human Resources Board shall sign approve
N.C.M.B.-P.C. P.C. Form 2 and return the original articles of incorporation and the copy to the
incorporators for filing with the Secretary of State. The executed An official copy of the articles
of incorporation shall be retained in the office of the Board. If the articles of incorporation are
subsequently changed before they are filed with the Secretary of State, they shall be
re-submitted to the Board and shall not be filed with the Secretary of State until approved by the
Board.
33
March 21-23, 2012
History Note:
Authority G.S. 55B-4; 55B-10; 55B-12;
Eff. February 1, 1976;
Amended Eff. December 1, 2011; September 1, 1995; July 1, 1993; May 1, 1989; November 1,
1985.
21 NCAC 32C .0104 is amended, with changes, as published in 25:22 NCR page 2457 as
follows:
21 NCAC 32C .0104 CERTIFICATE OF REGISTRATION
A Certificate of Registration for a professional corporation shall remain effective until December
31 of each odd-numbered year.
A Certificate of Registration may be renewed biennially
annually thereafter for years in which licensees are required to register upon written application [
] to the Executive Director, Board, certifying the names and addresses of all licensed officers,
directors, shareholders and employees of the corporation and representing that the corporation
has complied with the rules in this Subchapter and the Professional Corporation Act. (N.C.M.B–
P.C. Form 4) The application shall be accompanied by a renewal [
] fee in the maximum
allowable amount set forth in NCGS 55B-10.
History Note:
Authority G.S. 55B-10; 55B-11;
Eff. February 1, 1976;
Amended Eff. December 1, 2011; September 1, 1995; May 1, 1989; November 1, 1985.
21 NCAC 32C .0105 is amended, with changes, as published in 25:22 NCR page 2457 as
follows:
21 NCAC 32C .0105 STOCK AND FINANCIAL MATTERS
The regulation and control of stocks in a professional corporation shall be as follows:
(1)
The chief executive officer of the corporation shall be a person duly licensed to
practice medicine in North Carolina.
(2)(a) The corporation may acquire and hold its own stock.
(3)(b) No person other than a licensee of the Board shall exercise any authority
whatsoever or influence over professional matters. the practice of medicine as
defined in Article 1 of Chapter 90.
(4)(c) Subject to the provisions of G.S. 55B-7, the corporation may make such
agreement with its shareholders or its shareholders may make such agreement
between themselves as they deem just for the acquisition of the shares of a
34
March 21-23, 2012
deceased or retiring shareholder or of a shareholder who becomes disqualified to
own shares under the Professional Corporation Act or under these Rules. the
Rules in this subchapter.
(5)(d) There shall be prominently displayed on the face of all certificates of stock in the
corporation a legend that any transfer of the shares of stock is subject to the
provisions of the Professional Corporation Act and the Rules of the Board.Failure
to display on the face of all professional corporation stock certificates a legend
that any stock transfers are subject to the provisions of the Professional
Corporations Act and the Rules of the Board shall be a violation of N.C.G.S. 9014(a).
(6)
All shareholders must be licensed to practice medicine in North Carolina.
Carolina or must otherwise be qualified to own shares pursuant to N.C.G.S. 55B6, 55B-14(c) or 55B-16.
(7)
Any interest in the corporation belonging to a deceased shareholder shall be
acquired by the corporation, or shall be acquired by one or more persons
licensed by the Board. Failure to comply with this requirement within one year
after the date of the death of a deceased shareholder shall be is grounds for the
suspension or revocation of the corporation's certificate of registration.
The
corporation shall report the death of a shareholder to the Board within 30 days.
days after its occurrence the death of any shareholder.
(8)
The corporation shall render medical services only by or through individuals
licensed by the Board.
(9)
The corporation shall not engage in any business other than rendering
professional medical services and related services.
History Note:
Authority G.S. 55B-6, 55B-7, 55B-8, 90-1.1(5), 90-2(a), 90-5.1(a)(3), 90-14(a)(6), 90-14(a)(8).
Eff. February 1, 1976;
Amended Eff. December 1, 2011; May 1, 1989; November 1, 1985.
21 NCAC 32C .0106 is amended, with changes, as published in 25:22 NCR pages 2457 – 2458
as follows:
21 NCAC 32C .0106 CHARTER AMENDMENTS AND STOCK TRANSFERS
The following general provisions shall apply to all professional corporations to practice
medicine:
35
March 21-23, 2012
(1)
An agent of the corporation shall ensure allAll changes to the articles of
incorporation of the corporation shall be are filed with the Board for approval
before being filed with the Secretary of State. An agent of the corporation shall
ensure aA copy of the changes filed with the Secretary of State shall be are
subsequently sent to the Board within 10 days after filing with the Secretary of
State.
(2)
The Executive Director or Director of Finance/Operations/Human Resources
Board shall issue the certificate (P.C. (N.C.M.B.-P.C. Form 5) required by G.S.
55B-6 when stock is transferred in the corporation. P.C. N.C.M.B.-P.C. Form 5
shall be permanently retained by the corporation.
The stock books of the
corporation shall be kept at the principal office of the corporation and shall be
subject to inspection by the Executive Director or his designee Board during
business hours.
History Note:
Authority G.S. 55B-6, 55B-7, 55B-8, 55B-12, 90-1.1(5), 90-2(a), 90-5.1(a)(3), 90-14(a)(6), 9014(a)(8).
Eff. February 1, 1976;
Amended Eff. December 1, 2011; September 1, 1995; July 1, 1993; May 1, 1989.
21 NCAC 32C .0107 is hereby repealed:
21 NCAC 32C .0107 DOCUMENTS
The following documents regarding professional corporations may be obtained from or are
issued by the Board:
(1)
Rules of the Board regarding Professional Corporations;
(2)
P.C. N.C.M.B.-P.C. Form 1 - Application for a Certificate of Registration for a
Professional Corporation for the Practice of Medicine;
(3)
P.C. N.C.M.B.-P.C. Form 2 - Certification of Shareholders;
(4)
P.C. N.C.M.B.-P.C. Form 3 - Certificate of Registration of a Professional
Corporation for the Practice of Medicine;
(5)
P.C. N.C.M.B.-P.C. Form 4 - Application for Biennial Renewal of Certificate of
Registration;
(6)
P.C. N.C.M.B.-P.C. Form 5 - Certificate Authorizing Transfer of Stock in
Professional Corporation Organized to Practice Medicine.
36
March 21-23, 2012
History Note:
Authority G.S. 150B-11;
Eff. February 1, 1976;
Repealed Eff. December 1, 2011; May 1, 1989.
21 NCAC 32C .0108 is amended, with changes, as published in 25:22 NCR page 2458 as
follows:
21 NCAC 32C .0108 FEES
The initial registration and renewal fees for a professional corporation is fifty dollars ($50.00).
The fee for renewal of a Certificate of Registration is twenty-five dollars ($25.00 shall be the
maximum allowable amount under N.C.G.S. 55B-10 and 55B-11.
History Note:
Authority G.S. 55B-10; 55B-11;
Eff. February 1, 1976;
Amended Eff. December 1, 2011; May 1, 1989.
21 NCAC 32C .0109 is adopted, with changes, as published in 25:22 NCR page 2458 as
follows:
21 NCAC 32C .0109 REGISTRATION OF FOREIGN PROFESSIONAL CORPORATION
(a) In addition to the foregoing, other rules in this Subsection, foreign professional corporations
applying for a certificate of authority to transact business must meet the following requirements:
(1)
provide proof that shareholders licensed in other states are currently licensed
and in good standing with their respective licensing boards;
(2)
at least one shareholder must be currently licensed and in good standing with the
Board; and
(3)
no person other than a licensee of the Board shall exercise any authority
whatsoever or influence over professional matters within the State. the practice
of medicine as defined by Article 1 of Chapter 90.
(b) For purposes of this Rule, “in good standing” means has not been disciplined by a licensing
Board and is not currently subject to pending disciplinary proceedings.
History Note:
Authority G.S. 55B-16(a)(4) G.S. 55B-16; 90-1.1(5); 90-2(a); 90-5.1(a)(3)
Eff.
37
March 21-23, 2012
APPENDIX H
PHYSICIANS PRESENTED AT THE
MARCH 2012 BOARD MEETING
Abajas, Yasmina Laura
Albers, Ashley Elizabeth
Albuquerque, Maria Luiza Coutinho
Alder, Brian Douglas
Alexa, Liliana
Allem, Jordan Price
Allem, Kavitta Baman
Allen, Joseph Edgar
Alley, Christopher Lee
Allori, Alexander Christopher
Amechi-Obigwe, Adanna Juliet
Ammon, Jerry Brandon
Amula, Venugopal
Anderson, Andy Lee
Ange, Jessica Royd
Asadi, Shahram Daniel
Atchley, William Doyle
Austin, Phillip Andrew
Aymes, Shannon Elizabeth
Barber, Michale Jill
Barnes, Edward Lee
Bartos, Corinna
Basile, Jeffrey Michael
Becher, Robert David
Beck, Timothy Scott
Belcher, Stephen Matthew
Bergin, Stephen Patrick
Bermudez, Dustin Miguel
Binder, Andrew Jay
Blasius, Kimberly Rae
Boateng, Yaw Ababio
Boro, Thomas James
Boschini, Fernando Jose
Boyle, Eric Joseph
Braddock, Demetrios Thomas
Bradley, Joel Fontaine
Brooks, Megan Elizabeth
Brown, Delores E
Burke, Julie Marie
38
Buscher, April LaVerne
Bush, Jeana Suzanne
Byrnes, Luke Joseph
Cabrera, Mark Anthony Castro
Cahill, Kevin Scott
Campbell, Emily Olmstead
Catalano, Christa Lynn
Chandler, Wells Michel
Chang, Li-Fen Lien
Chaudhary, Dipendra
Chaudhary, Prateek
Chaudhry, Haroon Waheed
Cheely, George Rayburn
Chen, Fan
Chen, Xinyu
Chijioke, Rochelle Chinyere
Chiles, Lauren Frances
Chiles, Melissa Cole
Chin, Brian Michael
Chobe, Rashmi J.
Choi, Philip Jaekyung
Chon, Andy Ki
Clark, Alicia Temple
Clark, Heather Marie Nettles
Clarke, Jeffrey Melson
Clover, Charles Rouse
Codiga, Michael A
Collins, Katie Porterfield
Collymore, Rebekah Hughey
Conley, Brian Alan
Cooper, Jack Marshall
Cordero, Christopher Eric
Courtwright, Andrew Miller
Cowherd, Stacy McLellan
Cressy, Elizabeth Delpit
Dalton, Antonia Plamenova
Dameron, William Edward
Daneshmand, Mani Ali
Danvers, Antoinette Annmarie
March 21-23, 2012
David, Clifford Baynes
Davis, David Richard
Davis, Drew Edward
Davis, Melissa Ann
De Jesus, Graceila Beatriz
Dean, Teresa Marie
DeClaire, Melody Joy
Deem, Brent Shawn
Dejhalla, Mana
Delverme Silva, Rosanna
DePalma, Laura Christine
Diefendorf, Laura Patricia
Dieter, Alexis Anne
Doll, Jacob Appel
Dore, Adam L
Dorton, David William
Drossner, David Mark
Duggal, Sonia
Eapen, Rose J.
Eberts, Paul Thomas
Ellis, Eboni Malkia
England, Elizabeth Ann
English, Gregory Richard
Enweluzo, Chijioke Uchenna William
Erb, Brian Charles
Estes, Thomas Lane
Fan, Yan Gao
Fananapazir, Ghaneh
Fedors, Nathan Holt
Fenderson, Jacquia Lameesha
Ferrell, David Ralph
FitzHarris, Joseph Bernard
Folgar, Francisco Andres
Fong, Philip Austin
Foo, Wen-Chi
Frank, Jorge Guillermo
Freely, Alison Brooke
French, John Wesley
French, Natalee Sheppe
Friedman, Heather Blythe
Gadiraju, Gautham Subhash
Gamboa, David Gabriel
Gardner, Sheila Fulton
Garg, Anu
Gerber, Walter LeRoy
39
Ghanem, Firas
Gibbs, Michael Alfred
Gonzalez, Rolando Luis
Gore, Sarah Marie
Gratian, Lauren Fritz
Gray, Jack Gibson
Greenfield, Dwynn Noel
Griffin, Melissa Erin
Hall, Rasheeda Kamial
Halvorson, Elizabeth Eby
Hanson, Kerstin Elise
Harrelson, Rick Alan
Harris, Robert Thomas
Hartman, Heidi Jon
Harvey, David Thomas
Hayes, Natalie Marilyn
Heffner, Steven Miller
Helms, Brock Hampton
Higginson, Daniel Smith
Hjerpe, Kent Stephen
Hobbs, Kumari Ananda
Holmes, Allen Jason
Horan, Jennifer Lynn
Hordes, Andrew Richard
Hsu, James Tien-Ti
Hunt, Meagan Renn
Induru, Raghava Reddy
Jaindl, Jeffrey Joseph
Joashi, Umesh Chandra
Jones, Darrell Edward
Jones, Frederic Gordon
Juco, Jonathan Wes
Jue, Christopher Tak-Ming
Kamal, Mohammad Ahmad
Kapoor, Vibhu
Kassahun, Zeleke Desse
Kauffman, Christopher Raymond
Kazienko, Brian Thomas
Keiler, Louis Charles
Khan, Ayesha Naazneen
Khan, Fakhar Javed
Kibe, Harrison
Kiemeney, Michael James
Kihneman, Jason Bradley
Kindel, Andrew Bird
March 21-23, 2012
King, Matthew Michael
Klug, Sara Jones
Knotts, Christopher Dale
Kochupura, Paul Varkey
Kovell, Judy
Kozlowski, Matthew Scott
Kramer, Benjamin Charles
Kreishman, Peter
Kuhns, Rebecca Adia
Kumar, Amy
Kunkel, Cooper David
Kuppinger, Jordan Gregory
Lack, William Dean
Ladd, Christopher Dean
Larson, Douglas Glen
Lazzaro, Bette
Lee, Janette Jaiwon
Levine, Ari Daniel
Lewis, Jason James
Lichtenberger, Frank John
Lin, Peter Charlie
Lobert, Philip Francis
Loftis, Richard McLester
Loken, Karla Fay
Longin, Heather Marie
Lopez, Steven Gerald
Lu, Kang
Luchetti, Mary Ellen Joan
Luyckx, Benoit Alexandre
Mackey, Aimee Marlena
Mannino, Angela Christine
Marcum, Kristin Kucera
Marcus, Inna
Markow, Justin Michael
Mastro, Timothy Dickey
Maultsby, Dwayne Alan
McCarthy, Paul Joseph
McCarthy, Timothy Andrew
McClung, Rachel Leanne
McDowell, Susan Williams
McGuire, Antonio Martrell
McPherson, John Joseph
McQuade, Jennifer Leigh
McWilliams, Andrew David
Meeneghan, Mathew Robert
40
Mehta, Nisha Harshad
Mehta, Parthiv Suresh
Mehurg, Shannon Michael
Melon, David Ethan
Meyer, Jay Jeffrey
Michel, Chenel
Miles, Christopher Michael
Miller, Aaron Matthew
Miller, Celeste Mynette
Miller, Lewis McCoy
Miller, Ram Ron
Mills, Kyle Charles
Milstein, Vladimir Anatol
Mizrachi, David
Mlynski, Nicole Marie
Modes, Katharina Barbara
Moe, Craig Edward
Moore, Kristi Michelle
Moran, Marica Liliana
Moranville, John Thomas
Morgan, Michael Louis
Mounce, Genevieve Patman
Musey, Paul Idun
Musty, Michael Owen
Myneni, Mamata Chaudary
Nandwani, Veena
Neff, Michael Shawn
Newberry, Travis Ryan
Nichols, Kyle Bradley
Niemeyer, David J
Okie, Frederick T
Okobi, Anthony Obiesie
Oliver, Joseph Andrew
O'Meara, Alia Marie Iqbal
Ong, Francis Beng
Paasch, Maria Barrett
Panyko, Stephen Philip
Pappas, Chris George
Pate, Ann Scott
Patel, Ankita
Patel, Babita
Patel, Kumar Ravjibhai
Patel, Nayan M
Patel, Nick Rohit
Patel, Sachit Arvind
March 21-23, 2012
Patrick, Caitlyn Molino
Patterson, Elena Olga
Paulson, Lorien Mary
Pav, Breckon Daniel
Peacock, Jeffrey Edward
Peacock, William Franklin
Pena, Loren Del Mar
Pepple, Kathryn Lynn
Persad, Rajendra
Peterson, Carole Jean
Peterson, Kristine Marie
Pham, Nam-Kha Nguyen
Piascik, Christine Adele
Pillai, Hema Radhakrishna
Po, Christopher Lucio
Pratts Emanuelli, Jose Javier
Punwani, Asmeeta Dayaldas
Putnam, Frank William
Rahman, Feraz Najmi
Rancour, Stephen Thomas
Ranjan, Tulika
Raval, Jay Suman
Ravulapati, Janakiram
Ray, Hollis Moye
Reddy, Kalpana Kesavarapu
Reis, James Robert
Retfalvi, Paul Mihaly
Richard, Thomas Joseph
Riddick, Gwendolyn Lavonne
Ridgeley, Jamison Rodger
Rivera, Nicolas Bravo
Robinson, Michael Lorne
Rodriguez, Kenneth David
Roomiany, Pahresah Lenore
Roque, Daniel Alberto
Roy, Lance Atlas
Ru, Kun
Russell, Christopher David
Sanders, Adrian Ivan
Saranga, Reshmi
Sauve, Kenneth Joseph
Schmelzer, Thomas Michael
Schneider, Eric William
Schnyder, Drew David
Schoenherr, Jay William
41
Scott, Lisa Choe
Scurlock, Corey Steven
Seal, Anna Catherine
Sergew, Amen
Sevilla, Deborah Weber
Shapcott, Lisa Marie
Shedd, Kelly Frye
Shields, Milton Bruce
Shumard, Kristina Michelle
Sikes, Charles Van
Sikorski, Theodore John
Silva, Jason Andrew
Silvonek, Steven Scott
Simonton, Kirsten Marie
Singh, Paramvir
Sinha, Tushar
Sivak, Joseph Aaron
Smalls, George Douglas
Smith, Angela Blotzer
Smith, Christopher Mitchell
Sonners, Adina
Squire, Michael Louis
Sreedharala, Vamsi Krishna
Staebler, Andreas Manfred
Stanley, Clay Alan
Stapleton, Philip Peter
Stiegler, Marjorie Podraza
Stine, Michael
Stryker, Louis Samuel
Summerville, Sarah Guo
Sutton, Thomas John
Swan, Megan Connors
Swanson, Erin Marie
Tabone, Lawrence Edward
Tadakamalla, Ashvin
Tappouni, Rafel F.Raphael
Teague, Daniel Joseph
Tedesco, Mark James
Tedstrom, Amanda May
Teed, Richard Russell
Tennant, Phillip Roy
Thomarios, Nickitas
Thomas, John Alexander
Ting, Andrew Yin Chu
Tlhabano, Letlhogonolo Benny
March 21-23, 2012
Todd Bell, Rebecca Wright
Troendle, Michelle Marie
Tucker, Joseph David
Turner, William Harrison
Vileisis, Rita Alfreda
Villarosa, Joan Pasos
Vora, Neeta Lakshmi
Wagner, Jaime Stephan
Wait, Scott Daniel
Walker, Edwin Owsley
Wang, Luoquan
Wang, Wenjing
Weathers, John Rouse
Webb, Leigh-Ann Jones
Weber, Sommany
Weintraub, Bernard Maurice
Wen, Joanne
West, Kelly Leigh
Whitener, George Burke
Whitham, Joshua Wesley
Wiegand, Samantha Lynn
Williams, Debra Sue
Williams, Ostranda Leviticus
Williams, Tearani Joyce
Wilson, Robert Edward
Wohlwend, John Richard
Wong, Guontung
Woodruff, Daniel Young
Xu, Ashley Barber
Yancey, Joel Benton
Yang, Lao Por
Yang, Qinghong
Ybarra-Salinas, Doris Ann
Yiu, Glenn Chung-Wing
Young, Emily Ruth
Younge, Noelle Elizabeth
Zackrisson, Jill Annemarie
Zaidi, Samina
Zamorano, Sergio Briand
Zappa, Michael Joseph
Zatakia, Jigna
Zhang, Yiqiu
Zhong, Yun
Zhu, Joanne Zhiwen
Zickler, Robert William
42
Zubelevitskiy, Konstantin
March 21-23, 2012
APPENDIX I
Nurse Practitioner & Clinical Pharmacist Practitioner Approvals Issued
As of March 2012
List of Initial Applicants
NAME
CONSEEN-BRADLEY,
DEBORAH
DREW, LEENA
GAINES, AMANDA
HO, NANCY
KLABNIK, NICOLE
PLANTAN, TAMMI
SCHNELL, GINGER
SIZEMORE KESLER, NANCY
SPARROW, JESSICA
WEEKS, CHRISTINE
BARKOE, TATIANA
CHATTEN, CARMEN
COUNTS, TAMIKA
HOLLAND, CHELSA
INKSTER, JESSICA
LIMA, TONI
MOON, JULIA
SMITH, SHEILA
STONER, JOANNA
THOMAS, TRACY
WILLIAMS, JILL
BARAN, ELIZABETH
CROOP, SARAH
FERGUSON, MANDY
HARRIS, JEWEL
HARTSOCK, NANCY
HUGGINS, DARLENA
OGUNWO, ADEWALE
SKIDMORE, ASHLEY
WOOD, TERESA
ZUCHOWSKI, TAMARA
ANEN, IJEOMA
BAUMEISTER, KATHRYN
BORDERS, JOSHUA
BRANTLEY, MARY
BROWN, BOBBI-LYN
PRIMARY SUPERVISOR
PRACTICE CITY
BUCHANAN, SONYA
ALEJANDRO, LUIS
EDWARDS, ANGELA
KORUDA, MARK
LOBDELL, KEVIN
HORST, JAMES
SHEPHERD, BILLIE
STOUDMIRE, JONATHAN
ELLISON, MAXLYN
GREENBERG, GARY
DUKOWICZ, ANDREW
SEITZ, KENT
OKWARA, BENEDICT
HAQUE, IMRAN
EDWARDS, ANGELA
HOWARD-MCNATT, MARISSA
REDMOND, BERNIECE
BARTEL, ALISON
YERRAMSETTY, PAVAN
MEYERS, STEPHEN
JOHNSON, LYNN
CLOWSE, MEGAN
PRICE, WAYNE
MYLES, SIDNEY
BUCHANAN, SONYA
HEAVNER, TERESA
SEWANYANA, STEVEN
UBA, DANIEL
ELBEERY, JOSEPH
ROSE, JOHN
HORST, JAMES
RUSSELL, MICHAEL
UGOCHUKWU, KINGSLEY
PHIFER, NANCY
KANDIL, HOSSAM
CHEN, ERIC
CHEROKEE
GREENSBORO
WINSTON SALEM
CHAPEL HILL
CHARLOTTE
RALEIGH
ASHEVILLE
CONCORD
RALEIGH
RALEIGH
ASHEVILLE
CHARLOTTE
MONROE
ASHEBORO
WINSTON-SALEM
WINSTON-SALEM
MOREHEAD CITY
WASHINGTON
RALEIGH
OAK RIDGE
GREENVILLE
DURHAM
CHAPEL HILL
HICKORY
CLEVELAND
MURPHY
CHARLOTTE
FAYETTEVILLE
GREENVILLE
GREENVILLE
RALEIGH
RALEIGH
ANGIER
BURLINGTON
GREENVILLE
WINSTON-SALEM
CAREY, ANNDREA
COLLETON, KIA
CULL, TINA
DAVIS, LAURA
DAVIS, WENDY
DAY, COURTNEY
FAULK, SHAWANA
GROSE, MALLORY
HABLITZ, LINDA
IDIAQUEZ, ASHLEY
KING, RONALD
MARKS, LAURA
MARTIN, CYNTHIA
MCHUGH, KATERINA
MOUNCE, AMANDA
MWANGI, ELIZAPHAN
NASPINSKY KINSER,
MICHAELENE
OLUP, JULIANNA
PENNEBAKER, ROBERT
PROKUP, NANCY
TOLIN, KIMBERLY
WADE, KENYA
WELLBORN, CORY
CORNETT, EDGAR
AUFFINGER, SUSAN
PATEL, YOGESH
JANIS, ERIC
MAYBEE, DAVID
AUSTIN, DEMETRIA
DESAI, VIREN
BOWTON, DAVID
AUSTIN, DEMETRIA
TAKAHASHI, ERIC
KANN, JOEL
TERRY, WILLIAM
NASH, DELINA
NORTEY, CYNTHIA
HUNSINGER, SUSAN
ALUKO, GBENGA
CHARLOTTE
WINSTON-SALEM
SALISBURY
RALEIGH
NEW BERN
GASTONIA
FAYETTEVILLE
WINSTON SALEM
GASTONIA
EDENTON
RALEIGH
PINEHURST
HIGH POINT
MATTHEWS
ADVANCE
CHARLOTTE
YORK, SALLY
COOK, JASON
FLEISHMAN, SAMUEL
MOORE, DANIEL
PATIL, POOJA
MORGAN, AMY
BOWLING, MARK
DURHAM
MARSHALL
FAYETTEVILLE
GREENVILLE
ST. LOUIS
CONCORD
CLAYTON
NP ADDITIONAL SUPERVISOR LIST
ALMOND, RACHEL
BEDNAR, TAMATHA
BENSON, INGA
BEVILACQUA, REBECCA
BOWERS, LESLY
BROWN, REBECCA
BUNTING, SHELLEY
CHARLES, ANNE
DAVIS, TERESA
DELLINGER, FLORENCE
EVANS, PATRICIA
FARRIS, KAREN
FIFIELD, DANA
GARDNER, BRAD
GILLIAM, KAREN
GRIFFIN, ALICE
HASTINGS, COURTNEY
HEARN, PENNY
HUSTON, ELIZABETH
JESSUP, ANN
PECK, JOANNE
TAYLOR, MELISSA
HOGSETTE, GERALD
HUFFORD, DAVID
ALLGOOD, SARA
RHYNE, JANELLE
STEINER, MICHAEL
POLIDORO, ANGELIQUE
YOUSSEF, HANY
BROOKS, REBECCA
KORNEGAY, CHRISTOPHER
HANSEN, TODD
KIRKPATRICK, JOHN
OWENSBY, CHARLTON
PARKS, JENNIFER
LOWRY, BARBARA
RHYNE, JANELLE
PEACOCK, IVAN
POLIDORO, ANGELIQUE
COREY, JOHN
SUPPLY
GREENSBORO
WINSTON SALEM
CHARLOTTE
CHARLOTTE
WILMINGTON
CHAPEL HILL
PLYMOUTH
STATESVILLE
BAKERSVILLE
KENANSVILLE
CHARLOTTE
DURHAM
GASTONIA
WINSTON SALEM
THOMASVILLE
WILMINGTON
ROCKY MOUNT
WILLIAMSTON
PITTSBORO
LAKE, ANNE
LARACH, MARY CAROLE
LEDFORD, CYNTHIA
LEWIS, KAREN
LINVILLE, KRISTI
MADDEN, REGINALD
MATTICE, MARK
MEHTA, SUSAN
MYERS, MEGAN
NILSON-TAYLOR, DIANA
PIERCE WILUSZ, SANDRA
PILOTE, CAROL
REIVES, VONDA
RICCI, LINDSEY
ROBNETT, JANET
RYAN, LISA
SABOL, VALERIE
SANDS, MARY
SCARBROUGH, MARY LYNN
SCOTT, WILLIAM
SEIGEL, ROBERT
STACY, CHERYL
STACY, CHERYL
STEVENS, DARLA
THOMPSON, JULIE
WAHAB, HOLLY
WALSON, STELLA
WHITLEY, AMBER
WRIGHT, KIMBERLY
ANDERSON, GREGORY
BEAN, ALLISON
BEVERLY HOWARD, LASHAWN
BROWN, JIL RAE
BROWNE, LAUREN
BRYAN, PRISCILLA
CARTER, ANGELA
CHABON, SUZANNE
CHAIRES, SARAH
CHAPMAN, CYNTHIA
CLAYSON, BARBARA
CLEMENTS, KIMBERLY
CRISP, PENELOPE
GALLAGHER, LESLIE
GOODMAN, KAREN
GORECKI, AMANDA
GREGORY JR, PAUL
JORGE, CARLOS
TAYLOR, MELISSA
SHEPHERD, BILLIE
HARRELSON, ANNA
BEITTEL, TIMOTHY
OTHMAN, ISLAM
SUMMERS, ERIK
KELLY, PATRICK
BROWN, STEPHANIE
BLIZZARD, DANIEL
DEMBSKI, JOHN
WILKINSON, JAMES
BELL, WILLIAM
MORTON, TERRENCE
LINS, MARK
BUIE, STEPHEN
RUSSELL, MICHAEL
MEADORS, MICHAEL
SHELL, PETER
KANN, JOEL
HORST, JAMES
DUANY JIMENEZ, VIRGINIA
MOFFET, CYNTHIA
IYENGAR, PHANIRAJ
SMITH, DOUGLAS
DODDS, JODI
SPELLS, LORI
BENN, DWIGHT
GATLIN, DEIDRA
FEINSON, THEODORE
SIMONDS, WICKHAM
WELCH, KENNETH
LEE, DAVID
BERNSTEIN, DANIEL
HORST, JAMES
HALL, ANDRE
KALSY, SAPNA
LARSON, JAMES
PEELE, LORI
GODWIN, CHARLES
REECE, NEIL
GEARY, RANDOLPH
MINTZER, MELANIE
ELLISON, ROBERT
STEIN, ELISA
SWEENEY, JOHN
CHARLOTTE
GREENSBORO
ASHEVILLE
ASHEVILLE
WILMINGTON
CARY
WINSTON-SALEM
CONCORD
LOUISBURG
BOLIVIA
MORGANTON
KITTY HAWK
ROBBINS
HUNTERSVILLE
SALISBURY
ASHEVILLE
RALEIGH
WINSTON SALEM
CHEROKEE
DURHAM
RALEIGH
NEWTON
NEWTON
CHARLOTTE
CHARLOTTE
CHARLOTTE
GREENSBORO
NORTH WILKESBORO
STANLEY
RALEIGH
DURHAM
WHITEVILLE
TARBORO
HUNTERSVILLE
GREENVILLE
FAYETTEVILLE
GREENSBORO
CHAPEL HILL
ROCKY MOUNT
NEW BERN
DENVER
WINSTON SALEM
ROCKY MOUNT
BOONE
DURHAM
WINSTON SALEM
HARRIS, STEPHANIE
HATCHETT, MARY
HEDRICK, DIANN
HENSLEY, CHAD
HOUSER, PAIGE
HUFFMAN, DIEDRA
HUGHES, JANET
HULME, ARUNA
JOHNSON, YOLANDA
JORDAN, KATHLEEN
JOYNER, MICHAEL
KEELER, JULIE
KILBY, MIRANDA
KILBY, MIRANDA
KITCHEN, CONSTANCE
LEWIS, KAREN
LINK, TAMARA
LOVINGS, TINA
MARTIN, DORINE
MAXWELL, MELISSA
MCDANIEL, CATHERINE
MILLS, MICHELLE
MULLET, STACY
NADEAU, RANDINE
NOLAN, TIMOTHY
PARKS, SANDRA
PATEL, SWATIBEN
PATERSON, TRACY
PATTERSON, JERRI
PERKINS, JUANITA
PLEMMONS, NANCY
ROBBINS, JOAN
RUCHO, SUSAN
SHEELER, CORY
SHELTON, BURTON
STARR, TAMARA
STEVENS, DARLA
TROTTER, KATHRYN
WALTERS, RICHARD
WILSON, LORETTA
ALLRED, JOLENA
BASDEN, LINDA
BAXLEY, SHARON
BURNS, KRISTEN
CARSTARPHEN, TRACY
CHILDERS, PATRICIA
ANDERSON, JAMES
MINTZER, MELANIE
GRIMES, JEFFERY
SINGH, SUNILJIT
JOSEPH, DAVID
PARDO, SANDRA
PANOWICZ, CYNTHIA
GEARY, RANDOLPH
EZEIGBO, WALTER
STEELMAN, SARA
CAHILL, JOHN
YOUNG, CYNTHIA
ALAM, MUHAMMAD
IQBAL, AAMIR
REVELL, JEREMY
HOLLAND, GEORGE
LEE, MELVIN
ALLGOOD, SARA
COWARD, HOLLY
GASKIN, STEVE
HOLLAND, GEORGE
COTTON, MICHAEL
MOLL, MATTHEW
ROBERTS, JOHN
WALLENIUS, STEVEN
NEWTON, EDWARD
IYENGAR, PHANIRAJ
SHARMA, SUNIL
GOOTMAN, AARON
DAVIS, AMELIA
KNOOP, JOHN
MOYA, FERNANDO
KERCHER, KENT
LYKINS, KIMBERLY
HOYLE, JOHN
LORD, CHRISTOPHER
RUDISILL, ELBERT
HWANG, EUN-SIL
OWENS, ROBERT
EDWARDS, ANGELA
HEBDA, WILLIAM
KEEN, SUSAN
BRIDGERS, STEPHEN
JORGE, CARLOS
RUCCI, JENNIFER
VELASQUEZ, INDIRA
HIGH POINT
CARY
MYRTLE BEACH
RUTHERFORTON
SHALOTTE
COLLETTSVILLE
RUTHERFORDTON
WINSTON SALEM
ADVANCE
CHARLOTTE
GREENVILLE
HOLLY SPRINGS
SHELBY
SHELBY
JACKSONVILLE
MORGANTON
HOLLY SPRINGS
GASTONIA
CHAPEL HILL
CONCORD
MORGANTON
NEWTON
CHARLOTTE
MILL SPRING
ASHEVILLE
GREENVILLE
CHARLOTTE
GREENVILLE
FAYETTEVILLE
DURHAM
CHARLOTTE
WILMINGTON
CHARLOTTE
ALBEMARLE
WINSTON SALEM
CHARLOTTE
HICKORY
DURHAM
HOOKERTON
WINSTON SALEM
KNIGHTDALE
GREENVILLE
CLARKTON
MOORESVILLE
WILMINGTON
SMITHFIELD
CLARK, KAREN
CUPP, BRENDA
DANIEL, LENI
EARLY, CARMALINDA
GRABANIA, PATRICIA
GREGORY, KENNETH
HALL, BARBARA
HWANG, JANE
IRVING, SHARON
JONES, PAULA
MANNLE, SARAH
MASSENGILL, ANNA
MICKEVICH, RACHEL
MOBLEY, LISA
MORRIS, DIANN
NORTON, CHRISTINE
OLIVA, ARCELI
PARKER, TAMRAH
PARRIS, CHRISTOPHER
PATTERSON, JERRI
PELLICCIARI, RITA
PREVATTE, DIANE
ROWLAND, AUDREY
SMITH, PAMELA
SPEECE, SHANNON
TRANSUE, KATHLEEN
VALDES-HURTADO, VIVIANNE
WADUD, MIR
WADUD, MIR
WEBB, PATSY
WHITE, RENE
WHITENER, ANTHA
WILLIAMS, TENEISHA
WILSON DEFELICE, JEANETTE
AGUILAR, LYNETTE
ALLEN-HELMS, ANGELA
BALL, BETH
BELL, JESSICA
BENTON, JENNIFER
BLEVINS, LISA
BORDENAVE, LYNDSEY
BOWEN, LEIGH ANNE
BRADY, AMY
BUNCH, AMANDA
COBB, KELLY
COBB, KELLY
DIORIO, CHRISTOPHER
GARUBA, ABDUL
GARIMELLA, RAMA
ANIEKWENSI, FRANCIS
KLEIN, GEORGE
HARRIS, CLYDE
VILLACORTE, LIZETTE
CLARK, MICHAEL
FOLUKE, ALFRED
BATTAGLINO, MICHAEL
SCHNEIDER, ALEXANDER
EXUM, KELVIN
SHULSTAD, ANDREW
WILLIAMS, AMELIANN
KAPLAN, DAVID
KOSTENKO, SUSAN
BUGAJ, GREGORY
WONG, JAN
SINGH, SUNILJIT
TAYLOR, JAMES
STELMACH, HANS
IBRAHIM, MOHAMED
SHUGOLL, RICHARD
GIBBS, CAROL
KLEIN, GEORGE
FOX, CHRISTOPHER
SNYDER, LAURIE
HANNAN, MOHAMMED
SALAHUDDIN, ABU
IBRAHIM, MOHAMED
FLOWE, KENNETH
RUCCI, JENNIFER
ESENSOY, TANER
WILLIAMS, JONATHAN
MURRAY, MICHAEL
MONTEZ, XIAOKUN
BRYAN, ANGELA
NOR, EUGENE
KING, LUNSFORD
PEARSON, MARILYN
MIKATI, MOHAMAD
WELLS, MATTHEW
BERNSTEIN, REBECCA
KLEIN, GEORGE
BROWN, RANDOLPH
CHARLTON, GLENN
HICKORY
MATTHEWS
CARY
WARRENTON
WASHINGTON
WILMINGTON
HICKORY
GREENSBORO
CHERRY POINT
RALEIGH
ASHEVILLE
DUNN
CHARLOTTE
CAMP LEJEUNE
CHARLOTTE
HENDERSONVILLE
WINSTON SALEM
GREENVILLE
RUTHERFORDTON
LAURINBURG
WILMINGTON
ROCKINGHAM
CHARLOTTE
WILMINGTON
GREENVILLE
LENIOR
DURHAM
FAYETTEVILLE
FAYETTEVILLE
ROCKINGHAM
GARNER
WILMINGTON
FAYETTEVILLE
BURLINGTON
LENOIR
MARION
MARION
MAXTON
SHALLOTTE
SMITHFIELD
DURHAM
FAYETTEVILLE
ASHEVILLE
GREENVILLE
BURLINGTON
ROXBORO
COOMBE, COURTNEY
COSTNER, ASHELEY
COX, PAMELA
DENNO, JANE
DEROUIN, ANNE
ENGLISH, KIM
EVERLY, CAROL
FOLAND, TRACY
GARDNER, BRAD
HANCOCK, JONATHAN
HANCOCK, JONATHAN
HARGRAVE, KENDRA
HERBST, MCKENZIE
HIGH, THOMAS
HILLER, CHRISTINE
HOFFMANN, ALYSSA
HOUSE, MARGARETANN
JANDEBEUR, RONALD
KALLWEIT, JUDITH
MASTRIDGE, BENJAMIN
MAYNARD, JEFFREY
MCELHENY, JESSICA
MCNEIL, PATRICE
MERCER, NITA
MERRITT, KAREN
NOEVERE, ERIC
OKEAGU, CHINYERE
OXENDINE, LESLIE
PADGETT, MATTHEW
PAPARAZO, SUSAN
PATEL, JIGNA
PELLICORE, KAREN
PENN, LASHANDA
PHILLIPS, JUDY LYNN
PITMAN, MATTHEW
PRATA, ELIZABETH
ROBINSON, CAROLINE
RODGERS, TERI
SCISM, ELIZABETH
SENEGAL, STEPHANNIE
SHOOK, CYNTHA
SPANGLE, ELIZABETH
STAUSS, JENNIFER
SUMMEROW, VALARIE
TABRON, TONIQUE
THOMAS, VICKY
KIMBALL, ROBERT
WEINSTEIN, ROBERT
KWIATKOWSKI, TIMOTHY
STANTON, ELIZABETH
MARTINEZ-BIANCHI, VIVIANA
TRIPP, HENRY
WESLEY, ROBERT
COOK, CHARLES
AUSTIN, DEMETRIA
ZERVOS, EMMANUEL
BRILLANT, PATRICK
HOENIG, HELEN
ALEJANDRO, LUIS
MCKINNEY, LESLIE
LODGE, ANDREW
BURKE-HAYNES, KAREN
ZIDAR, JAMES
BREGIER, CHARLES
BARRY, PAUL
GIBBS, CAROL
BERRY, DAVID
COX, CHRISTOPHER
PRICE, BILLY
WILLIAMS, JONATHAN
MOYA, FERNANDO
MEISEL, DEAN
MCDONALD-TOUSSAINT,
CAMILLE
NOR, EUGENE
REVELL, JEREMY
DAMBECK, ALLYN
SANDER, MARGIE
SEVERA, JEFFREY
EZEIGBO, WALTER
BRYAN, CHARLES
BRADSTREET, JENNIFER
REULAND, DANIEL
FAJARDO, AGAPITO
BARKENBUS, JOHN
ALEJANDRO, LUIS
NORTON, DEBORAH
DOSHI, RENU
HOOKER, JAMES
ANIKWUE, CHARLES
KOCH, DANIEL
GEIMER, PEGGY
HOLM, RICHARD
STATESVILLE
WILMINGTON
HUNTERSVILLE
SPINDALE
DURHAM
CHARLOTTE
RALEIGH
RALEIGH
GASTONIA
GREENVILLE
GREENVILLE
DURHAM
GREENSBORO
RALEIGH
DURHAM
RALEIGH
RALEIGH
MATTHEWS
GREENVILLE
DURHAM
HICKORY
DURHAM
CHARLOTTE
MOREHEAD CITY
WILMINGTON
WILMINGTON
WINSTON-SALEM
MAXTON
LELAND
GOLDSBORO
RALEIGH
COLERAIN
ADVANCE
ASHEVILLE
MOREHEAD CITY
CHAPEL HILL
CLINTON
CHARLOTTE
GREENSBORO
RALEIGH
CHARLOTTE
HIGH POINT
CHARLOTTE
CHARLOTTE
WILSON
ROANOKE RAPIDS
THOMAS, BRANDI
THOMPSON, VANESSA
VANVIEGEN, MARK
WATSON, LISA
WEAVER, ANDREW
WHITE, AVA
WILKINS, GRACE
ELSEY, RICHARD
WARREN, EDWARD
CROMER, JOHN
ARMSTRONG, SARAH
PILLAY, MIDESHA
SINGH, PAUL
COOK, PAUL
CLINICAL PHARMACIST PRACTITIONERS
ALVASTAD, KRISTIN LAURIE
DELK, BETHANY STRICKLAND
DELMONTE, MARCY TANIS
DOARES, WILLIAM HUMPHREY
LANDERS, ADAM DANIEL
POUNDERS, CRISTY LASHELLE
WINSTON SALEM
SPARTANBUR
MORRISVILLE
DURHAM
WILMINGTON
ROCKINGHAM
GREENVILLE
APPENDIX J
Anesthesiologist Assistant, Perfusionist & Provisional Perfusionist Licenses Issued
As of March 2012
Perfusionists:
Fernandez, Adam Luis
Lynn, Chris Edward
Messer, Victoria Marlene
Pagnanelli, Ryan Anthony
Zvolanek, Timothy Russell
Provisional Perfusionists:
Crane, Jessica Lynne
Sponable, Nancy Amoia
Anesthesiologist Assistants:
None
APPENDIX K
North Carolina Medical Board
PA Licenses Approved
March 2012
Initial PA Applicants Licensed
01/01/12 – 02/29/12
Name
Ambrisco, Heather Marie
Anderson, Elizabeth Mara
Armstrong, Jeremy Craig
Azel, Mark Alexander Menendez
Bartholomew, Kristin Leigh
Barton, Todd
Baur, Christina Therese
Beacham, Jayme Evvan
Berwell, Vanessa Marie
Bhojani, Mahendrakumar Harjivan
Black, Ashley Christine
Bohan, Cynthia Ann
Books, Rachelle
Bragg, Ashley Elizabeth Shearin
Brevard, Katherine McLean
Briggs, Cory Alan
Bronstein, Wanda
Brooks, Amanda Helen
Brown, Nancy
Clary, Melissa Lynn
Colleton, Margaret
Curley, Jacqueline Marie
Dankmyer, Lori Anne
Dixon, Joseph
Dorsey, Natalie Grace
Dunty, Cathryn Ann Patrice
Eaves, Audrey Denise
Elicson, Christina Sue
Fisher, Jason Andrew
Foley, Jessica Lynn
Francis, Jennifer Lynn
Galgano, Christopher
Gandhi, Payal Rajendra
Garry, Brian Thomas
Ginsburg, Justin Davis
Gold, Brandon
01/26/2012
02/07/2012
01/09/2012
02/20/2012
02/14/2012
02/20/2012
01/20/2012
01/13/2012
02/03/2012
02/03/2012
01/27/2012
01/05/2012
02/01/2012
02/03/2012
02/09/2012
01/30/2012
02/09/2012
02/29/2012
02/03/2012
01/30/2012
02/21/2012
01/30/2012
01/13/2012
01/12/2012
02/24/2012
01/09/2012
01/19/2012
01/30/2012
02/20/2012
01/12/2012
01/20/2012
02/06/2012
02/07/2012
02/08/2012
01/20/2012
01/20/2012
Goodhart, John Frederick
Gregware, Jena Lynn
Grilla, Laura Marie
Heritage, Rebecca Ann
Huang, Cheryl Theresa
Hughes, Michael William
Khorram, Nikta
Knoedler, Sarah Kathleen
Lafreniere, Kimberly Ann
Ledford, Stacie Elizabeth
Lee, Young Ah
Lehman, Danielle Renee
Lever, Adriana
Litty, Jared Paul
Logan, April La' Shonda
Lynch, Worley Shaun
Mack, Jimmie Lee
Marlowe, John Daley
Marshall, Katherine Elizabeth
Martis, Kate
Matthews, Leigh Currin
Maxey, Allen Hunter
Mayer, Martin Gregory
McKellar, Steve
McKinzie, Tracey Marie
Minnick, Leanne French
Muco, Ageta
Nace, Sarah Beth
Pepper, Anna Faison
Poliner-Johnson, Robyn Ann
Poole, Kristen Nichole
Port, Christopher Neil
Potts, Timothy Virgil
Ritter, Christina Marie
Robbins, Kathryn Darby
Sanchagrin, Jennifer Moore
Santana, Nelson Manuel
Schuman, Amanda Leigh
Sexton, Leslie C
Smith, Shelly Cooper
Sorensen, Allyson Eggertz
Stagner, Lindsay Yvonne
Stegall, Callie Griffin
Stellfox, Brianne Ruth
Stiebris, Linda Marie
Stott, Kylie
01/10/2012
01/10/2012
01/12/2012
02/29/2012
01/20/2012
02/24/2012
02/24/2012
02/20/2012
01/13/2012
01/13/2012
01/09/2012
02/28/2012
02/02/2012
01/05/2012
01/24/2012
02/03/2012
02/21/2012
02/10/2012
02/03/2012
01/09/2012
02/01/2012
01/30/2012
01/13/2012
02/09/2012
01/18/2012
02/03/2012
02/07/2012
02/08/2012
02/03/2012
01/18/2012
01/05/2012
02/22/2012
02/03/2012
01/23/2012
02/28/2012
01/20/2012
01/17/2012
02/03/2012
02/20/2012
02/06/2012
01/09/2012
01/13/2012
01/13/2012
02/21/2012
02/14/2012
01/11/2012
Strocko, Steven Michael
Tauck, Lauren Nicole
Treadwell, Bobby Joel
Vanhoy, Kellie Robinson
Warren, Katie Elizabeth
White, Nancy Ashley
Whitfield, Alexis
Wilson, Aubrey Lenore
Winn, Laura Elizabeth
Wolfe, Stephanie Justice
Wolff, Bradley Foreman
Wooten-Reed, Candace Renee
Yang, Pangnhia
Young, Chassidy Starr
Zeiler, Anne Marie
01/13/2012
02/03/2012
02/24/2012
01/30/2012
01/05/2012
02/24/2012
01/27/2012
01/09/2012
02/03/2012
01/13/2012
02/10/2012
01/31/2012
01/13/2012
01/30/2012
02/21/2012
PA-Cs Reactivations/Reinstatements/Re-Entries
Name
Bilger, Lindsey Leigh
Brabandt, Erin Ruth
Panwala, Naitik Dhansukh
Porter, Robert James
Reitz, Dawn Marie
Webb, Laura Lee
Westendorff, Rebecca Jones
01/24/2012
01/06/2012
01/12/2012
02/13/2012
02/15/2012
02/14/2012
02/01/2012
Additional Supervisor List –01/01/12 – 02/29/12
PA-Cs
Name
Abernethy, Erin
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Alfano, Brian
Allen, Leonard
Ambrisco, Heather
Ambroise, Marie-Jacques
Anzola, Carlos
Ardelean, Rhonda
Primary Supervisor
Goldman, Meidad
Deungwe Yonga, Emerencienne
Folarin, Olalekan
Pyles, Derek
Zinner, Tanya
Jacobs, Ronnie
Cicale, Michael
Li, Michael
Crotte, Fernando
Webster, Earl
Othman, Islam
Crigler, Norris
Hussain, Khwaja
Andrews, David
Gouzenne, Stacey
Practice City
Clyde
Durham
Durham
Durham
Chapel Hill
Durham
Durham
Durham
Durham
Durham
Raleigh
Asheville
Goldsboro
Charlotte
Charlotte
Astern, Laurie
Astern, Laurie
Astern, Laurie
Bailey, Adija
Baltzell, Jonathan
Barrow, Kern
Bartolozzi, John
Bay, Charles
Bay, Charles
Beacham, Jayme
Beall, David
Beaudry, John
Beeman, Sandra
Beitzel, Melissa
Benedict, Tatjana
Bentley, Lindsay
Bergmark, Lisa
Berwell, Vanessa
Biehl, Ethel
Bilger, Lindsey
Bills, Laura Beth
Black, Ashley
Black, Leah
Black, Tracy
Blake, John
Blocher-Steiner, Sarah
Blohm, Nicole
Boan, Kristy
Bolduc, Gary
Bone, Hans
Books, Rachelle
Boss, Edward
Boucherle, Amy
Bradshaw, Shanna
Bray, Jeffrey
Brenner, David
Brenner, David
Brenner, Michael
Brevard, Katherine
Brewer, Patricia
Briggs, Melvania
Briggs, Valeriya
Brigode, Marci
Brock, Andrea
Bronstein, Wanda
Bronstein, Wanda
Buchanan, Sonya
Moore, Daniel
Kaplan, David
Rose, Anelia
DeLay, Brian
Forstner, James
Koewler, Thomas
Baldwin, Rachel
Laughlin, Walter
Martin, Lewis
Daw, Jeffrey
Peterson, Andrew
Rudyk, Mary
Matlack, Robert
Ajmani, Ajay
Smith, James
LaMond, David
Keen, Susan
Firnhaber, Jonathon
Vaden, Tracela
Liles, Edmund
McBride, Robert
Lowry, Katie
Collins, Jonathan
Roberts, Joseph
Geraci, Anthony
Sewanyana, Steven
Barnes, Daniel
Brous, Nancy
Hart, Patricia
Webster, Leslie
Jenkins, Casey
Seitz, Kent
Pridgen, James
Michau, Kenneth
Stelmach, Hans
Adams, Robert
Richardson, William
Bezzek, Mark
Gagliano, Louis
Gacengeci, David
McDaniels, Christopher
Gibbs, Carol
Doheny, William
Becker, Kenneth
Gualtieri, Camillo
Nashville
Greenville
Nashville
Durham
Huntersville
Southport
Charlotte
Wilmington
Wilmington
Wilson
Cary
Durham
Wilmington
Fayetteville
Sanford
Raleigh
Hendersonville
Greenville
Greenville
Charlotte
Chapel Hill
Charlotte
Lumberton
Charlotte
Leland
Whiteville
Charlotte
Pinehurst
Goldsboro
Flat Rock
Charlotte
Raleigh
Winston Salem
Whiteville
Raleigh
Wilmington
Wilmington
Durham
Rutherfordton
Fayetteville
Raleigh
Raleigh
Wilmington
Mooresville
Chapel Hill
Raleigh
Bronstein, Wanda
Brookshire, Elizabeth
Brown, Loyce
Buff, Nina
Call, Dana
Callea, Renee
Candella, Sandi
Cardona, Danielle
Carter, James
Carter, James
Castro, Claudelina
Chandley, Eric
Chapman, Jennifer
Chazan, Jennifer
Chazan, Jennifer
Clabough, Phyllis
Clary, Melissa
Clifton, Stevan
Cohen, Keisha
Combs, Glen
Cook, Ashly
Cook, Jared
Cooper, Lana
Cooper, Michelle
Coppley, Arthur
Craig, Christopher
Craver, Amelia
Cross, Harry
Crowe, Daniel
Crowe, Daniel
Crowe, Daniel
Crowe, Daniel
Curley, Jacqueline
Curley, Jacqueline
Czuchra, Dennis
Dang, Kim Anh
Dapo, Evan
Darby, Lisa
Daun, Caline
DaVia, Nicole
Davidson, Kimberly
Davidson, Kimberly
Davidson, Kimberly
Davidson, Kimberly
Davidson, Kimberly
Davis, Diane
Fradin, Mark
Reed, John
Singh, Prashant
Kim, Ian
Smith, Stanton
Young, Cynthia
Bridges, Charles
Cooperberg, Charles
Martinez, Paul
Rodriguez, Luis
Bernstein, Daniel
Edwards, Bryan
Olson, Steven
Gilbert, Brett
Gilbert, Brett
Austen, Michael
Cornett, Edgar
Rucci, Jennifer
Gagliano, Louis
Ruperto, Cornelio
Gupta, Manoj
Miekley, Scott
Warden, Kendall
Seward, Daniel
Nifong, Ted
Lapkoff, James
Kommu, Chandrasekhar
Warden, Kendall
Bearss, David
Allison, Trevor
Brown, Lester
Farrington, Cecil
Nguyen, Thao
Nguyen, Tuong
Ward, Nina
Puthenveetil, John
Phillips, Danny
Brescia, Donald
Miekley, Scott
Inzerillo, John
Corrigan, Francis
Cusi, Antonio
Mikhail, Ashraf
Richardson, Wendell
Lacroix, Christopher
Martinez-Bianchi, Viviana
Chapel Hill
Lumberton
Greensboro
Shelby
N. Wilkesboro
Holly Springs
Charlotte
Durham
Wilson
Kenansville
Maiden
Cornelius
Durham
Raleigh
Durham
Salisbury
Charlotte
Wilmington
Fayetteville
Winston Salem
Smithfield
Fayetteville
Durham
Charlotte
Lexington
Winston Salem
Cary
Durham
Salisbury
Salisbury
Salisbury
Salisbury
Charlotte
Charlotte
Washington
Roanoke Rapids
Roxboro
Greenville
Fayetteville
Washington
Pinehurst
Fayetteville
Jacksonville
Kinston
Wallace
Durham
De Barros, Jean Marie
Degulis, Michelle
Del Rosario, Josephine
Despaigne, Policarpo
Dial, Michael
Donau, Charles
Dore, Mary
Duewer, Kelly
Duffie, Matthew
Dunty, Cathryn
Eaves, Audrey
Ebel, Sara
Eckert, Lynn
Elicson, Christina
Ensign, Todd
Epler, Pamela
Epps, Clyde
Faircloth, Cristie
Farringer, Angela
Farris, Susan
Felts, Dana
Finn, Timothy
Fish, Ashley
Fisher, Jason
Forsyth, Regina
Francis, Jennifer
Freuler, Aaron
Furlong, Thomas
Futh, Stephen
Galgano, Christopher
Galloway, Ayanna
Gandhi, Payal
Gardner, Katie
Garry, Brian
Gerstner, Laura
Gilbert, Tonya
Giordano, Joseph
Giordano, Michelle
Girskis, Jennifer
Gobien, Jacqueline
Gold, Brandon
Goss, Alexis
Gottsch, Elizabeth
Graham, Barry
Graham, Jennifer
Granda, Kaitlyn
Croland, David
Chotiner, Bradley
Hensley, Terry
Pridgen, James
Dauda, Mohamed
Fondinka, Godfrey
Kanelos, Dino
Farkas, Linda
Johnson, Michael
Daily, Celine
Movahed, Assadollah
Rowson, Jonathan
MacKenzie, Mary
Rudyk, Mary
Perry, Robert
Lee, Tae
Hosseini, Sid
Gibbs, Carol
Mahan, Dennis
Bryant, Dwayne
Taha, Sherif
Sharifuzzaman, Abu Asad
Miekley, Scott
Coles, Robert
Tokunboh, Julius
Vu, Khanh
Walther, Philip
Arastu, Hyder
Maybee, David
Flaherty, Stephen
Bernstein, Daniel
Powell, Bayard
Mendes, Robert
Kathard, Haresh
Mallon, William
Fleishman, Samuel
Iyengar, Phaniraj
Temple, John
Trigg, David
Forstner, James
West, Jesse
Foltz, Jason
Raab, Rachel
Stuart, Dennis
Ugah, Nwannadiya
Martinez-Bianchi, Viviana
Waxhaw
Salisbury
Kinston
Whiteville
Zebulon
Fayetteville
Charlotte
Raleigh
Charlotte
Wilmington
Greenville
Laurinburg
Cary
Wilmington
Emerald Isle
Greenville
Lumberton
Wilmington
Creedmoor
Washington
Greenville
Raleigh
Fayetteville
Morehead City
Charlotte
Henderson
Durham
Greenville
New Bern
Fayetteville
Charlotte
Winston Salem
Raleigh
Louisburg
Durham
Fayetteville
Charlotte
Charlotte
Sylva
Southport
Asheville
Greenville
Greenville
Lumberton
Pembroke
Durham
Green-Odlum, Anya
Gregware, Jena
Grilla, Laura
Hammonds, Lenita
Hanopole, Jennifer
Hardwick, Kimberly
Harkness, Gale
Harkness, Gale
Harper, Andrea
Haskin, Ashley
Haskin, Ashley
Hayes, Kathleen
Hayes, Kathleen
Headley, Lenea
Healey Osinski, Kathleen
Hellinger, Jennifer
Helm, James
Heninger, Ronald
Hennequin, Karla
Heritage, Rebecca
Herrmann, Becky
Herrmann, Becky
Herrmann, Becky
Hershberger, Shannon
Hesse, Candice
Hickman, William
Hill, Crystal
Hill, Erica
Holler, Teresa
Holly, Aaron
Holly, Aaron
Holman, Seth
Holmes, Alisha
House, Ashley
Huang, Cheryl
Icard, Terry
Incorvaia, Julia
Izaj, Julie
Jezsik, Janet
Johnson, Kwenda
Johnson, Sarah
Jones, Andrew
Jones, Angel
Kearney, Virginia
Kearney, Virginia
Kersey, Melanie
Bolognesi, Michael
Vesa, Allin
Getz, Stanley
Williams, Daniel
Strickland, James
Gagliardi, Michael
Phipps, Carl
Montgomery, Richard
Cusi, Antonio
Barnett, Ley
Gibbons, Gregory
Gihwala, Ramesh
Rucci, Jennifer
Cox, Christopher
Alligood, Diane
Feinson, Theodore
Welch, Kenneth
Barnett, Ted
Flowe, Kenneth
Teigland, Chris
Alexander, Annetta
Quinn, Marshall
Dambeck, Allyn
Stuart, Dennis
Kommu, Chandrasekhar
Harrell, Russell
Kumar, Arvind
Gupta, Manoj
Lare, Sandra
Wells, Matthew
Yenni, Lawrence
Amao, Enobong
Claudius, Pushp
Moran, Joseph
Koeleveld, Robin
Pabbu, Balaji
Watkins, William
Jacobs, James
Patel, Keyur
James-Nzambele, Shana
Krueger, Hilary
Meadors, Michael
Bluth, Kirk
Polsky, Saul
Bowen, Christina
Lee, Robert
Durham
Statesville
Charlotte
Ft Bragg
Burlington
Cary
Winston Salem
Winston Salem
Fayetteville
Fuquay-Varina
Cary
Gastonia
Wilmington
Durham
Greenville
Raleigh
Whiteville
Asheville
Greensboro
Charlotte
Wallace
Beaulaville
Faison
Lumberton
Holly Springs
Aberdeen
Fayetteville
Smithfield
Wilmington
Fayetteville
Raleigh
Cameron
Butner
Raleigh
Raleigh
Greenville
Gastonia
High Point
Durham
Gastonia
Hendersonville
Winston Salem
Stoneville
Elizabeth City
Kitty Hawk
Hickory
Kirk, John
Klaaren, Joshua
Knoedler, Sarah
Kopynec, Susan
Krape, Harvey
Kristufek, Karma
Kristufek, Karma
Kurtz, Harry
LaClaire, Christa
Lafreniere, Kimberly
Laizure, Clancy
Lamkin, Angela
Land, Phillip
Ledford, Stacie
Lee, Young
Lenze, Michele
Levan Elbel, Stephanie
Lever, Adriana
Lever, Adriana
Lewis, Yvonne
Lillie, Chris
Lillie, Chris
Litty, Jared
Loomis, Kari
Lyerly, Lauren
Lynch, Worley
Lyons, Jamie
Lyons, Kenneth
Mack, Jimmie
Maples, Amy
Marcum, Stacy
Marlowe, John
Marshall, Katherine
Martin, Charity
Mattingly, Daniel
Maxey, Allen
Mayer, Martin
McAllister, Nichole
McCutcheon, Leslie
McGowan, Rebecca
McGowan, Rebecca
McHatton, Timothy
McKeever, Carinne
McKinzie, Tracey
Mclaughlin, Bradley
McLaughlin, Gene
Krull, Ronald
Vickery, David
Smith, Scott
Griffin, Neil
Lewis, Edward
Barnett, Ley
Rodriguez, Luis
Bruce, Jon
Newton, Dale
Dunaway, Byron
Hooper, Jeffrey
Griffith, Todd
Nguyen, Mai Trang
Hammer, Douglas
Ahmed, Maqsood
Hochrein, James
McCaleb, Jane
Blank, Roy
Weems, Larry
Hall, Andre
Rosenthal, Amy
Stein, Jeannette
Miekley, Scott
Wheeless, Clifford
Meyer, Paul
Reynolds, Christopher
Barber, Christopher
Bachmann, Laura
Wells, Matthew
Hensley, Terry
Rommel, Victoria
Lancaster, David
Kelling, Douglas
Nifong, Ted
Green, Heidi
Groh, Mark
Willis, Charles
Maxwell, Keith
Hey, Lloyd
Bell, Joseph
Ellis, Laura
Corrigan, Francis
Mintzer, Melanie
Abrons, Seymore
Kiger, Tara
Faulkenberry, Bradford
Clinton
Asheville
Huntersville
Southern Pines
Bryson City
Fuquay Varina
Ahoskie
Cary
Greenville
Statesville
Jamestown
Charlotte
Greensboro
Raleigh
Goldsboro
Greensboro
Rich Square
Monroe
Huntersville
Fayetteville
Durham
Durham
Fayetteville
Raleigh
Lexington
Charlotte
Wilmington
Winston Salem
Fayetteville
Kinston
Wadesboro
Charlotte
Concord
Winston Salem
Raleigh
Asheville
Greensboro
Asheville
Raleigh
Asheville
Asheville
Pinehurst
Cary
Wilmington
New Bern
Laurinburg
McPherson, Darla
Mehta, Ravin
Messer, Alexzandria
Messer, Alexzandria
Metzger, Donald
Meyers, Samuel
Miller, Ryan
Mills, Tiffany
Minnick, Leanne
Mitchell-Barnes, Donna
Moretz, Katherine
Morgan, Heather
Morgan, Heather
Murfin, Melissa
Murray, Joanna
Nguyen, Hoa
Norris, Brandy
Norris, Brandy
Norris, Brandy
Ogunniyi, Sola
Ogunwale, Michelle
Otey, James
Paarz-Largay, Cathy
Pandiscia, Joseph
Panwala, Naitik
Patterson, Jimmy
Patterson, Richard
Pedacchio, Misty
Pepper, Anna
Pepper, Jeremy
Petersen, Scott
Pilkington, Cynthia
Pineiro, Miguel
Poston, Gary
Potts, Timothy
Powell, Marshelle
Powell-Boone, Karen
Prueter, Karen
Rabe, Erica
Ray, Meghann
Reed, Sarah
Reed, Sarah
Repnikova, Lilia
Reynolds, Della
Ricart, Martin
Riser, John
Udekwu, Pascal
Davis, Cara
Hayes, Daniel
Miekley, Scott
Reed, John
Potts, Kevin
Gentry, Marcus
Cheesborough, John
Young, Jordan
Brooks-Fernandez, Connie
Hart, Patricia
Balaravi, Bhavani
Locklear, Jimmy
Bronstein, David
Kelly, Robert
Luvis, Charmaine
Florian, Thomas
Morando, Donald
Ugah, Nwannadiya
Ahmed, Maqsood
Ogunwale, Ben
Hussain, Khwaja
Miller, Michael
Chappell, Jonathan
Vyas, Dhruv
Royer, Harrell
Haynie, Justin
Salvador, Saul
Doohan, Thomas
Wortman, James
Heil, Thomas
Antignano, Louis
Mele, Paul
Kiefer, Mark
Wentz, Elliott
Joyner, William
Gibbs, Carol
Sethi, Pramodkumar
Kommu, Chandrasekhar
Weigel, Mark
Blazer, Dan
White, Rebekah
Geary, Randolph
Wilkinson, Todd
Ghuneim, Nizar
Kinninger, Adam
Raleigh
Raleigh
Charlotte
Fayetteville
Lumberton
Wilmington
Asheboro
Sanford
Goldsboro
Fayetteville
Flat Rock
Cary
Cary
Burlington
Winston Salem
Gastonia
Pembroke
Pembroke
Pembroke
Goldsboro
Charlotte
Goldsboro
Durham
Raleigh
Eden
Mount Gilead
Charlotte
Southern Pines
Monroe
Wilmington
Charlotte
Wilson
Cary
Lincolnton
Greensboro
Wilmington
Wilmington
Greensboro
Garner
Huntersville
Durham
Durham
Winston Salem
Asheville
Charlotte
Nebo
Robbins, Kathryn
Robinson, Anthony
Rodgers, Carolyn
Ruffian, William
Ruoff, Teresita
Rutherford, Althea
Santana, Nelson
Schaefer, Elizabeth
Seatvet, Mark
Seely, Dennis
Shar, Gina
Sheaffer, Luanne
Sherrill, Jonathan
Shipman, Jerry
Shutak, Michael
Sikod, Sega
Skoski, Myron
Smart, Deana
Smith, Gregory
Smith, Gregory
Smith, Julian
Sorensen, Allyson
Sorensen, Allyson
Sours, Allen
Stadelman, Jolie
Stagner, Lindsay
Stanislaus, Bryan
Stegall, Callie
Stott, Kylie
Strocko, Steven
Sullivan, Ursula
Sweetapple, Katherine
Sykes, Larry
Tahey, James
Talbert, Karen
Taylor, Valerie
Thomas, Aaron
Thomas, Brenda
Timbrook-Dillow, Karen
Timbrook-Dillow, Karen
Timbrook-Dillow, Karen
Tolle, Mary
Tourville, Kristina
Toussaint, Ramona
Toussaint, Ramona
Trenner, James
Alsina, George
Hartye, James
Snyder, Benedict
Hensley, Terry
Gootman, Aaron
Olson, Steven
Polsky, Saul
Blumer, John
Schreiner, David
Dinwiddie, William
Toborg, Robert
Gallagher, Denise
Klanduch, Frank
Kolluru, Mangaraju
Brown, Howard
Buchanan, Cynthia
Terryberry, Daniel
Lue, Alvin
Kane, Richard
Mack, Barbara
Deol, Gurvinder
Snyder, Benedict
Patterson, Robert
Norbury, John
Galland, Mark
Knapp, Gregory
Kerner, Paul
Nanjagowder, Velukumar
Kreisman, Steven
Buchanan, Sonya
Brescia, Donald
Flick, Conrad
Fondinka, Godfrey
Lawal, Adeyemi
Pierre, Frantz
Townsend, Robert
Mendes, Robert
Polavaram, Vijaya
Andy, Camille
Alexander, Anne
Guerrini, James
Pollack, Gregory
Aldridge, Julian
Uba, Daniel
Morris, Deborah
Ng, Peter
Wilmington
Raleigh
Sanford
Kinston
Fayetteville
Durham
Elizabeth City
Charlotte
Winston Salem
Clyde
Winston Salem
Jacksonville
Charlotte
Selma
Jacksonville
Charlotte
Moyock
Winston Salem
Cary
Cary
Raleigh
Sanford
Sanford
Greenville
Raleigh
Greenville
Durham
Winston Salem
Charlotte
Jacksonville
Greenville
Raleigh
Fayetteville
Raleigh
Morganton
Raeford
Raleigh
Raleigh
Kernersville
Kernersville
Kernersville
Asheville
Durham
Fayetteville
Raeford
Raleigh
Trent, Margie
Vann, Ryan
Velazquez, Louis
Ventrilla, James
Verceles, Jon
Verceles, Jon
Vinson, Keri
Walls, Linda
Walnoha, Wade
Walter, Sharon
Warden, Stephen
Warden, Stephen
Warren, Edward
Warren, Katie
Wearmouth, William
Weathers, Paul
Weaver, Arlondra
Weinberger, Frankie
Welden, Erin
West, Jaclyn
Westendorff, Rebecca
Wheeler, Julia
White, Nancy
Whitfield, Alexis
Whitfield, Alexis
Whitney, Douglas
Whitney, Douglas
Wighton, Stephanie
Wilkins, Thomas
Wilkinson, Johnathan
Williams, Stephanie
Wilmoth, Jennifer
Wilmoth, Jennifer
Wilson, Aubrey
Winn, Laura
Wolfe, Stephanie
Womble, Mary Hamlin
Womble, Mary Hamlin
Wooten-Reed, Candace
Wynn, Sarah
Wypych, Kelly
Yang, Pangnhia
Yang, Pangnhia
Yang, Pangnhia
Yefremov, Vladimir
Young, Anthony
Velazquez, Gretchen
Tolbert, Franklin
Sewell, Kia
Bethel, Bradley
Yenni, Lawrence
Singh, Hardayal
Camnitz, Paul
Balaravi, Bhavani
L'Italien, Anita
Ryder-Cook, Allan
Rathnam, Punitha
Polsky, Saul
Arthur, Margaret
Kelling, Douglas
Bregier, Charles
Terryberry, Daniel
Mahan, Dennis
Harrelson, Anna
Georgitis, John
Harris, Glenn
Patel, Praful
Handa, Kushal
Li, Zhongyu
Forinash, Robert
Dawkins, Rosamuel
Mahan, Dennis
Pridgen, James
Rhodes, Nathan
Lam, Douglas
Shelton, Phyllis
Woofter, Aaron
Stinson, Charles
Meloy, Thomas
Reyes, Rodolfo
Gaskin, Steve
Campos, Kevin
Webster, Earl
Jacobs, Ronnie
Jones, Karen
Manousos, George
Bregier, Charles
Mead, Robert
Bowen, Samuel
Auton, Robert
Henrichs, Charles
Brown, Howard
High Point
Advance
Winton
Laurinburg
Raleigh
Raleigh
Greenville
Cary
Cary
Charlotte
Greenville
Elizabeth City
Clyde
Concord
Charlotte
Moyock
Creedmoor
Asheville
Fayetteville
Laurinburg
Wilmington
Monroe
Winston Salem
Shelby
Charlotte
Fayetteville
Fayetteville
Charlotte
Pinehurst
Asheville
Raleigh
Winston Salem
Winston Salem
Lillington
Concord
Greensboro
Durham
Durham
Charlotte
Charlotte
Charlotte
Hickory
Hickory
Hickory
Hendersonville
Jacksonville