NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Alabama
Alabama
Alabama
Alexander City
Birmingham
Dothan
Pediatric Associates of Alexander City
1962 Cherokee Road
Alexander City, AL 35010
(256) 234-5021
The Kirklin Clinic
2000 6th Ave South
Birmingham, AL 35233
(205) 801-8322
Dothan Pediatric Clinic
126 Clinic Drive
Dothan, AL 36303
(334) 793-1881
Pediatrics
Internal
Medicine
Pediatrics
Tyler, Eric Owen,
Anniston
Anniston Pediatric, Inc.
1001 Leighton Avenue
Anniston, AL 36207
(256) 237-1618
Cohen, Stuart J,
Garver, Patricia L,
Geer, Michael James,
Vigil, Jennifer,
Williams, James E,
Pediatrics
Calera
Doggett, Lewis,
BHC Chelsea
206 Highway 304
Calera, AL 35040
(205) 668-0626
Vullaganti, Ramarao,
Purohit Pediatric Clinic LLC
516 Quintard Ave
Anniston, AL 36201
(256) 741-9799
Family
Practice
Pediatrics
Nolen, Thomas N.,
Branch, Andrea,
Wilson, Breezy,
Purohit, Naresh,
Centreville
Ray, Gary M,
Cahaba Medical Care
195 Hospital Drive
Centreville, AL 35042
(205) 926-2992
Wallis, Vicki Jo,
Auburn
Pediatric Associates of Auburn
411B Opelika Road
Auburn, AL 36830
(334) 821-4766
Adolescent and Young Adult
Medicine
Freeman, Richard M.,
Pediatrics
Stubblefield, Andrew W.,
Birmingham
Carraway Internal Medicine Associates
PC
1201 11th Avenue South Suite 305,
Suite 305
Birmingham, AL 35205
(205) 939-4939
Internal
Medicine
Carraway-Handley, Beverly L,
Family
Practice
Barron, Jr., William Rodney,
Benak, Robert Joseph,
Brown, Kenneth Carlton,
Freeman, Michelle Susce,
Johnson-Wirt, Aimee,
Leland, John Paul,
McKinley, Joanna Andrews,
Ramsey, Michael Jeffrey,
Scott, Jr., Aubrey Lee,
Strassburg, Mark Frederick,
Tamburin, Jeffrey Michael,
Internal Medicine Associates of Dotha
P.A.
210 Westside Dr.
Dothan, AL 36303
(334) 793-5074
Internal
Medicine
Bedsole, Russell L.,
Fincher, Robert J.,
Jackson, Ivan D.,
Waits, John Bryan,
Reid, Calvin L.,
Citronelle
Soppet, Charles M.,
Providence Family Physicians Citronelle
19140 South 3rd Street
Citronelle, AL 36522
(251) 866-0086
Spedale, Anthony R.,
Family
Practice
Van Derwood, John Gayle,
Gardendale
Baptist Health Center Gardendale
758 South Main Street
Gardendale, AL 35071
Family
Practice
Gray, Sharon D.,
Internal
Medicine
Kennebrew, Terry V.,
Jimenez, Karen L,
Graysville
Dothan
Graysville Medical Group
1451 South Main Street
Graysville, AL 35073
(205) 674-9406
Dothan Pediatric Clinic
126 Clinic Drive
Dothan, AL 36303
(334) 793-1881
Page 1 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Alabama
Alabama
Alabama
Graysville
Huntsville
Huntsville
Graysville Medical Group
1451 South Main Street
Graysville, AL 35073
(205) 674-9406
Huntsville Pediatric Associates
1963 Memorial Parkway, Suite 5
Huntsville, AL 35801
(256) 265-2464
The Valley Foundation
301 Governors Drive
Huntsville, AL 35801
(256) 539-7757
Family
Practice
Pediatrics
Obstetrics &
Gynecology
Keith, W Andrew,
General
Practice
Milko, Thomas,
Headland
Niel C. Rasmussen, MD, PC DBA
Headland Family Medicine
204 Holman Drive
Headland, AL 36345
(334) 693-3336
Family
Practice
Rasmussen, Niel Christian,
Hoover
BHC Hoover Family Healthcare
5295 Preserve Parkway, Suite 210
Hoover, AL 35244
(205) 682-6077
Family
Practice
Bullock, Gary Morgan,
Gilstrap, Jody Edward,
BHC Hoover Internal Medicine
Associates
5295 Preserve Parkway, Suite 240
Hoover, AL 35244
(205) 682-9124
Ellis, Kevin S.,
Gunter, Kate D.,
Klemm, Michael E.,
Patz, Brian D.,
Stewart, Timothy A.,
The Valley Foundation
301 Governors Drive
Huntsville, AL 35801
(256) 539-7757
Emergency
Medicine
Shah, Sheila R,
Family
Practice
Behringer, Melissa Blair,
Chesebro, Marcia Jane,
Crestani, Mary Margaret,
Daniell, Marsha Drake,
Lundy, Nancy B,
Maycock, Tiffani N,
Samlowski, Ralph C,
Takacs, Amy Marie,
Pediatrics
Abston, Pippa Coulter,
Battle, Steffane Miles,
Grostick, Laura Alan,
Knight, Patrice A,
Salazar, Maria L,
Kellyton
Pediatric Associates of Alexander City
200 Highway 280
Kellyton, AL 35089
(256) 234-5021
Pediatrics
Tauro, Arnold J,
Mobile
LivingWell Health Center w/
HealthSpring ΓÇô Mobile
610 Providence Park Drive, East
Mobile, AL 36695
(251) 243-9300
Sarrels, Morgan Scott,
Family
Practice
Satcher, Laura Ann,
Phillips, David Michael,
Geriatric Medicine/Internal
Medicine
Internal
Medicine
Al-tureihi, Farrah Ibrahim jafar,
Dill, Stephen Reeves,
Internal
Medicine
Internal
Medicine
Kahalley, Stephen Anthony,
Miller, Frank Denton,
Centor, Robert M,
Traffanstedt, F Darlene Harrison,
Corman, Lourdes Carlotta,
Huntsville
Fahey, David A,
Huntsville Pediatric Associates
1963 Memorial Parkway, Suite 5
Huntsville, AL 35801
(256) 265-2464
Mcconnell, Victoria J,
Montgomery, Melanie L,
Yedla, Parekha G,
Family
Practice
Obstetrics &
Gynecology
Cochran, Rebecca S.,
Acuff, Rachel Elizabeth,
Light, James R,
MacRae, David Haskins,
Pate, David Nathan,
Sternberg, Melville Jay,
Webster, Kathleen Joy,
Wing, Stacey Woodall,
Providence Family Physicians-Airport
6901 Airport Blvd.
Mobile, AL 36608
(251) 693-5070
Family
Practice
Page 2 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Alabama
Alabama
Alaska
Mobile
Piedmont
Anchorage
Providence Family Physicians-Airport
6901 Airport Blvd.
Mobile, AL 36608
(251) 693-5070
Dorothy Nelder, M.D.
210 Rome Avenue
Piedmont, AL 36272
(256) 447-1375
Southcentral Foundation Primary Car
4320 Diplomacy Drive, Suite 2630
Anchorage, AK 99508
(907) 729-3340
Family
Practice
Family
Practice
Family Medicine, Hospice and Palliative
Care
Johnson, Eric Charles,
Nelder, Dorothy Karen,
Andre, Katharine A,
Internal
Medicine
Troy
Ko, Patricia A,
Southern Health Associates, LLC
801 S. Franklin Drive, PO Box 1185
Troy, AL 36081
(334) 566-9800
Family
Practice
Family
Practice
Ko, Harry S,
Joiner, Sarah E.,
Providence Health Care Services
6701 Airport Blvd., Suite A 101
Mobile, AL 36608
(251) 633-8880
Internal
Medicine
Alexander, Carrie O'neal,
Ang, Romsel,
Chernick, Susan Elizabeth,
Coats, Peter Chestnutt,
Curtiss, Rebecca Von sprecken,
Delmas, John Francis,
Douglas, Allison Beull,
Israel, Robert Willis,
Kessler, Thomas A.,
Koffler, Warren E.,
Lambert, Marla M.,
Pate, David Nathan,
Prestridge, Jr., Milton D.,
Pybass, Phillip Ashley,
Rosa, Lenore Landers,
Walker, James L.,
Oxford
Pearlstein, Todd B.,
Tuscaloosa
Tuskaloosa Internal Medicine, LLC
1100 Ruby Tyler Parkway
Tuscaloosa, AL 35404
Internal
Medicine
Clawson, Elizabeth A,
Corbett, Verlyn L,
Lohse, Shanda,
Montesano, Peter J,
Pickett, Tamara E,
General
Practice
Hately, Mari C,
Linfield, Jana L,
Fulgham, Scott R.,
Olnes, Laurie E,
Jones, Leonard W.,
Robinson, Dean L,
Miller, George P.,
Saltonstall, William L,
Summerford, John P.,
Stockhouse, Bruce C,
Vaughn, Ross B.,
Internal
Medicine
Warren, John S.,
Alaska
Anchorage
Providence Health & Services /
Providence Family Medicine Center
1201 E 36th Avenue
Anchorage, AK 99508
(907) 561-4500
Hickel, Jack E,
Nurse
Practitioner
Kantor, Linda L,
Torrance, Naomi,
Pathology, Anatomic &
Clinical
Purohit Pediatric Clinic of Oxford
641 Snow Street
Oxford, AL 36203
(256) 831-2601
Family
Practice
Norris Jr, Kenneth J,
Johnston, Harold Lewis,
Myers, Michelle R,
Musser, Anne Elizabeth,
Ratzlaff, Michale D,
Pediatrics
Samaan, Michael J,
Schamber, Pamela C,
Branch, Andrea,
Schwartz, John H.,
Spencer, Scott S,
Purohit, Naresh,
Thomas, Kimberly Beth,
Wallis, Vicki Jo,
Physician
Assistant
Piedmont
Campbell, Christopher J,
Pediatrics
Ott, Laurie A,
Page 3 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Alaska
Arizona
Arizona
Anchorage
Gilbert
Mesa
Southcentral Foundation Primary Care
4320 Diplomacy Drive, Suite 2630
Anchorage, AK 99508
(907) 729-3340
Gilbert Center for Family Medicine,
LLC
81 W Guadalupe Road, Suite 111
Gilbert, AZ 85233
(480) 539-8680
Atrinea Health
1982 W. Main Street
Mesa, AZ 85201
(505) 338-3851
Physician
Assistant
Thompson, Jasen R,
Social Worker,
Clinical
Family
Practice
Callison, Mary L.,
Kesara, Vivek,
Browner, William S,
Schlotterback, Mark,
Arizona
Wolfe, Jeanne M.,
Chandler
Nurse
Practitioner
Maricopa Integrated Health System Chandler Family Health Center
811 S. Hamilton St.
Chandler, AZ 85225
(480) 344-6100
Family
Practice
Donesa-zuzak, Kathryn,
Internal
Medicine
Skinner, Shannon,
Vutien, Roselyne,
Physician
Assistant
Acacia Internal Medicine Specialists
19636 North 27th Avenue, Suite 202
Phoenix, AZ 85027
(623) 869-5000
Young, Anthony,
Ostrom, Tara M,
Physician
Assistant
Rink, Marie Sluka,
Sethi, Neerja,
JCL Dearing Family Medicine
19841 N. 27th Ave, Suite 101
Phoenix, AZ 85027
(602) 942-6939
Glendale
Arrowhead Health Centers
16222 N 59th Avenue #A-100
Glendale, AZ 85306
(623) 334-4000
Family
Practice
Fereidouni, Sam Saman,
El Mirage
Knowles, Patrick M,
Roy, Mason John,
Phoenix
Internal
Medicine
Johnston, Janice G,
Family
Practice
Kanter, Bruce Emmett,
Neal, Connie,
Kappes, Jessica Ann,
Maricopa Integrated Health System- El
Mirage Family Health Center
12428 W. Thunderbird Rd
El Mirage, AZ 85335
(623) 344-6500
Internal
Medicine
Mahadevan, Arvind,
Guadalupe
Maricopa Integrated Health System Guadalupe Family Health Center
5825 E. Calle Guadalupe Rd
Guadalupe, AZ 85283
(480) 344-6000
Sink, Danielle,
Family
Practice
Dearing, James J.,
Meleth, Jason Joseph,
St. Joseph's Hospital & Medical Cente
Family Medicine Clinic
2927 N. 7th Ave, Window 3
Phoenix, AZ 85013
(602) 406-3834
Family
Practice
Garcia, Robert M,
Pena, Sara,
Steinberg, Paul R,
Veres, Sharry K,
Watanabe, Takenori,
Family
Practice
Nurse
Practitioner
Smarik, Christina Marie,
Zaragoza-lao, Emily J,
Mesa
Tucson
Atrinea Health
1982 W. Main Street
Mesa, AZ 85201
(505) 338-3851
Carondelet Medical Group
6567 E. Carondelet Dr., Suite 555
Tucson, AZ 85710
(520) 885-3588
Internal
Medicine
Family
Practice
Stanca, Alina,
Physician
Assistant
Lijoi, Katherine,
Gilbert
Woods-grimm, Serena Dawn,
Page 4 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Arizona
Arizona
Arizona
Tucson
Tucson
Tucson
Carondelet Medical Group
6567 E. Carondelet Dr., Suite 555
Tucson, AZ 85710
(520) 885-3588
El Rio Community Health Center Northwest Clinic
320 W. Prince Rd.
Tucson, AZ 85705
(520) 670-3766
El Rio Community Health Center Southeast Clinic
6950 E. Golf Links Rd
Tucson, AZ 85730
(520) 670-3766
Family
Practice
Pediatrics
Family
Practice
Bessette, Mark S.,
Moher, Christian J,
Morris, Dustin G,
Nicoletti, Rosanna R.,
Schwager, Edward J,
Wristen, Moira E,
Desert Star Family Health
5300 E Erickson Dr., Suite 108
Tucson, AZ 85712
(520) 721-5330
Family
Practice
Adler, Kenneth G,
Brysacz, Thomas L,
Moynihan, Michael W,
El Rio Community Health Center Congress Pediatrics Clinic
839 W. Congress Street
Tucson, AZ 85745
Gaoriye, Gabrieel,
Perez, Felipe,
Timmons, Tammy,
Internal
Medicine
Cai, Zhe,
Pediatrics
Hemzawi, Ziad,
Kurtzman, Tracey,
Markowitz, Michael,
Nisbet, Fanny,
Sadalla, Alissa,
Zimmerman, Mary,
El Rio Community Health Center Robert Gomez Clinic
839 W. Congress Street
Tucson, AZ 85745
Pediatrics
Family
Practice
Adams, Cecilia,
Williams, Linda,
Arthur, Andrew,
Internal
Medicine
Faddoul, Diala,
Pacheco, Pedro,
El Rio Community Health Center - El
Pueblo Clinic
101 W. Irvington
Tucson, AZ 85706
(520) 670-3766
Family
Practice
Brosanders, Melissa,
Dixon, Christopher,
Mockbee, Joy,
Tonnies, Alicia,
Pediatrics
Ochoa-Buck, Julissa,
Aggarwal, Mridula,
Finley, Nicola,
Jansky, Milan,
Kisso, Bassel,
Rein, Jeffrey,
Wilson, Scott,
El Rio Community Health Center Southeast Clinic
6950 E. Golf Links Rd
Tucson, AZ 85730
(520) 670-3766
Family
Practice
Ahearn, Denise,
Nusbaum, Tammy,
El Rio Community Health Center Southwest Clinic
1510 W. Commerce Court
Tucson, AZ 85745
(520) 670-3766
Internal
Medicine
Chowdhury-Jackson, Zeenat,
Dasari, Rama,
Soltani, Lisa,
Pediatrics
Modak, Rajiv,
Samoy, Sarah,
Strempel, Patricia,
El Rio Community Health CenterPascua Clinic
7490 S. Camino de Oeste
Tucson, AZ 85757
(520) 670-3766
Family
Practice
Renteria, Adalberto,
Saguaro Physicians, LLC: Office of
Kathleen Iveson, M.D.
1200 N el Dorado Place, Suite F670
Tucson, AZ 85715
(520) 324-2517
Internal
Medicine
Iveson, Kathleen Adele,
Saguaro Physicians, LLC: Office of
Wesley Vaughn, M.D.
1200 N. El Dorado Place, F-460
Tucson, AZ 85715-4648
(520) 324-2517
May, Stephanie,
Internal
Medicine
Pediatrics
Vaughn, Wesley,
Page 5 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Arizona
Arkansas
Arkansas
Tucson
Bella Vista
Hazen
Saguaro Physicians, LLC: Office of
William L. Abraham, M.D.
105 S. Houghton Rd., Suite 101
Tucson, AZ 85748
(520) 324-2517
Bella Vista Medical Center
600 S Memorial Drive
Bella Vista, AR 72714-1847
(417) 820-3516
ARcare - 40
24 East Front Street, P.O. Box 731
Hazen, AR 72064
(870) 255-3696
Family
Practice
Family
Practice
Lee, Mark S,
Raghavan, Senthil K,
Internal
Medicine
Jonesboro
Arkansas
Augusta
Sammer, Michael D,
ARcare - 10
623 North 9th Street, P.O. Box 497
Augusta, AR 72006-0497
(870) 347-2534
Brinkley
Internal
Medicine
Abraham, William L.,
Family
Practice
Daniel, Amy M,
Nurse
Practitioner
Briscoe, Katina,
Bald Knob
ARcare - 16
178 Hwy 167 North, P.O. Box 456
Bald Knob, AR 72010
(501) 724-6207
Family
Practice
ARcare - 70
615 North Main Street
Brinkley, AR 72021
(870) 734-1150
Hooks, Paula,
Long, Jennifer,
Manatt, Courtney B,
Kensett
Surgery
ARcare - 80
606 Wilbur D Mills North
Kensett, AR 72082
(501) 742-5697
Athota, Prasad J,
Carlisle
ARcare - 17
821 East Park St., Hwy 70, P.O. Box 24
Carlisle, AR 72024
(870) 552-7303
Nurse
Practitioner
Edattukaren, Varghese,
ARcare - 35
1175 Vine Street
Batesville, AR 72501
(870) 793-4600
Nurse
Practitioner
Kerr, Robin,
Obstetrics &
Gynecology
Allen, Henry William West,
Nurse
Practitioner
Family
Practice
Batesville
Internal
Medicine
Nurse
Practitioner
Vest, Carl E,
Taylor, Nikki Michelle,
ARcare - 22
2816 Fox Meadow Lane
Jonesboro, AR 72404
(870) 336-1675
Merritt, Edward J,
Physician
Assistant
McClelland, Mendy,
Cotton Plant
Family
Practice
Killough, Larry R,
Moore, Jesse Daniel,
Nurse
Practitioner
Oakes, Janet M,
Lake City
ARcare - 65
1009 Hwy 18
Lake City, AR 72437-9622
(870) 237-9928
ARcare - 20
125 Oak Street
Cotton Plant, AR 72036
Nurse
Practitioner
Nurse
Practitioner
Little Rock
Sanders, Martha,
Reynolds, Tara P,
Hazen
Bella Vista
ARcare - 40
24 East Front Street, P.O. Box 731
Hazen, AR 72064
(870) 255-3696
McCoy, Victoria,
Dept. of Family & Preventive - Family
Medical Center
521 Jack Stephens Drive
Little Rock, AR 72205
(501) 686-6560
Page 6 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Arkansas
California
California
Little Rock
Cupertino
Fountain Valley
Dept. of Family & Preventive - Family
Medical Center
521 Jack Stephens Drive
Little Rock, AR 72205
(501) 686-6560
Sheldon A. Zitman, MD/B. Sofia Jalilie,
MD
20555 Prospect Road
Cupertino, CA 95014
(408) 996-9339
Edinger Medical Group
9900 Talbert Ave, Suite 204
Fountain Valley, CA 92708
(714) 965-2553
Family
Practice
Family
Practice
Howard, Jamie,
Jalilie, B. Sofia,
Hudson, C. Philip,
Zitman, Sheldon A.,
Knight, Daniel A.,
Internal
Medicine
Nelsen, David A.,
Prajapti, Sarita,
Sports
Medicine
Rodriguez, Jorge O.,
Wynne
Kar, Aradhana,
El Monte
AltaMed Health Services - El Monte
10418 East Valley Blvd.
El Monte, CA 91731
Internal
Medicine
Mcconnaughey, Douglas,
Middlebrooks, Jack K,
Seymour, Lauri B,
Nurse
Practitioner
Wergles, Susan E,
Pediatrics
Brouwer, Valery,
Chacon, Shelley,
Family
Practice
Nguyen, Lam L,
Barrera, Raul,
Tran, Mai khanh,
Carpio, Felix,
Willis, Burton,
Nurse
Practitioner
Casillas, Gustavo,
Glendale
Liao, Kevin,
Purnell, Denise,
Rico, Cristian,
Family Medicine Center
801 South Chevy Chase Drive #230
Glendale, CA 91205
(818) 500-5594
ARcare - 60
611 East Julia St.
Wynne, AR 72396
(870) 238-0377
California
Bakersfield
Gem Care
4550 California Ave.
Bakersfield, CA 93309
(562) 787-1403
Internal
Medicine
Memon, Parvez Razzaque,
Coronado
Patrick R Yassini, MD Inc
230 Prospect Place, Suite 340-D
Coronado, CA 92118
(619) 522-4005
Family
Practice
Yassini, Patrick,
Cupertino
Nurse
Practitioner
Vargas, Traci Renee,
Pediatrics
Moy, Jaime,
Fountain Valley
Edinger Medical Group
9900 Talbert Ave, Suite 204
Fountain Valley, CA 92708
(714) 965-2553
Family
Practice
Yu, Betty Chow,
Internal
Medicine
Arnold, Stanley W,
Boone, Matthew C,
Don, Karen M,
Fogarty, Tamara M,
Pellman, Harry,
Family
Practice
Bassuk, Pablo Javier,
Cunningham, Janet A,
Howard, Julie Ann,
Khanoyan, Sirvard,
Miller, Katrina Demaris,
Yu, Jack N,
Loma Linda
Loma Linda University Family Medic
Group, Inc.
25455 Barton Road, Suite 206 A
Loma Linda, CA 92354
(909) 558-6600
Emergency
Medicine
Schlaerth, Katherine R. D.,
Grodin, Elaine Gail,
Family
Practice
Hembree, Cambria Marie,
Choudhary, Suneeta,
Page 7 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
California
California
California
Loma Linda
Orange
Sacramento
Loma Linda University Family Medical
Group, Inc.
25455 Barton Road, Suite 206 A
Loma Linda, CA 92354
(909) 558-6600
St. Joseph Heritage Medical Group Chapman-Orange Site
2501 E. Chapman Avenue, Suite 303
Orange, CA 92869
(714) 628-3103
Cares Clinic
1500 21st Street
Sacramento, CA 95814
(916) 914-6281
Family
Practice
Family
Practice
Deppe, Linda B,
Joe, Steven H.,
Hagglov, Calvin G.,
Kreng, Virany Margaret,
Internal
Medicine
Haynes-Lee, Joan E.,
Long, Dennis Robert,
Flynn, Neil Munro,
Jih, William W.,
Rabinowitz, Samuel Chain,
Maniar, Archana,
Labib, Wessam K.,
Smith, Glenn Scott,
San Diego
Lin, Rubin C.,
Tuvera, Fernando Penera,
Liu, Yi,
Internal
Medicine
TRICARE OUTPATIENTCLAIREMONT, Primary Care Clinic
TOC Clairemont, 8808 Balboa Ave
San Diego, CA 92123
(619) 645-0160
Mohr, Gina M. J.,
Osborn, Jamie S.,
Reeves, Michelle E.,
Simon, Lauren M.,
Testerman, John K.,
Long Beach
Long Beach Internal Medical Group,
Inc.
2650 Elm Ave., Suite 309
Long Beach, CA 90806
(562) 595-8549
Internal
Medicine
Bitter, Ronald A,
Hryniewicki, Stephen W,
Kaneshige, Peter,
Phu, Danny T,
Worcester, Howard Lester,
Orange
St. Joseph Heritage Medical Group Chapman-Orange Site
2501 E. Chapman Avenue, Suite 303
Orange, CA 92869
(714) 628-3103
Family
Practice
Awad, Nicole Hiba,
Constantine, Paul A.,
Gilbert, Michael W.,
Cho, Laura Meeree,
Neilan, Robert Lowry,
Infectious
Disease
Troia-cancio, Paolo Vincenzo,
Pediatrics
Internal
Medicine
Bennett, Marc William,
Tseng, Justina J.,
Riverside
Nurse
Practitioner
Riverside Family Physicians, A
Professional Medical Corporation
4310 Orange Street
Riverside, CA 92501
(951) 781-6335
Family
Practice
Mahdi, Tarek Zaki,
Riverside Family Physicians, APMC
4244 Riverwalk Parkway, Suite #150
Riverside, CA 92505
(951) 781-6335
Family
Practice
Mai, Vicky Ninh,
Ricks, George T.,
Smith, Marion Lawrence,
Pediatrics
Soltani, Maryam Samadi,
Sacramento
Cares Clinic
1500 21st Street
Sacramento, CA 95814
(916) 914-6281
Plourd, Donna Michelle,
Santa Ana
St. Joseph Heritage Medical Group Santa Ana Site
2212 E. 4th Street
Santa Ana, CA 92705
(714) 628-3103
Family
Practice
Andersen, Athena Elizabeth,
Bindra, Gurpreet Kaur,
Madrid, Philip Edgar,
Martinez, Fernando Galvan,
Pediatrics
Althoen, Sinda Woods,
Bartlett, Connie P.,
Kellogg, Leonard Frank,
Osburn, Stephen Eric,
Rosin, Melissa Joy,
Winkelman, John Lawrence,
Tustin
Ing, Arlene Susabda,
Page 8 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
California
Colorado
Colorado
Tustin
Aurora
Broomfield
St. Joseph Heritage Medical Group Tustin Site
1095 Irvine Boulevard
Tustin, CA 92780
(714) 628-3103
Metro Community Provider Network PSHC
700 Potomac St., Suite A, Suite A
Aurora, CO 80011-6845
(303) 761-1977
New West Physicians - Broomfield
Family Practice
11550 N. Sheridan Blvd
Broomfield, CO 80020
(303) 469-6000
Family
Practice
Family
Practice
Family
Practice
Ballentine, Renee H.,
Martin, Barry,
Richardson, Leanne,
Cho, Stanley W.,
Boulder
Yeash, James,
Sodaro, David Leigh,
Clinica Family Health Services People's
2525 13th Street
Boulder, CO 80304
(303) 665-3036
Canon City
Internal
Medicine
Lekawa, Sajee Deepike,
Motta, Kimberly Lyn,
St. Thomas More Physician Group
St. Thomas More Hospital, 1338 Phay
Ave
Canon City, CO 81212
(719) 285-2450
Pediatrics
Family
Practice
Frankel, Robert Bruson,
Ambrose, Christa E.,
Family
Practice
Genser, Paul Anthony,
Bond, Brea A.,
Hill, Brian,
Morley, James Peter,
Dixit, Anjoli M.,
Shamis, Mason Sidney,
Colorado
Drury, Michelle L.,
Castle Rock
Arvada
Dryden, Kevin J.,
New West Physicians - Arvada Family
Practice
7950 Kipling, #101
Arvada, CO 80005
(303) 425-4680
Obstetrics &
Gynecology
Castle Rock Pediatrics
1001 S Perry St. #101B
Castle Rock, CO 80104
(303) 688-2228
Family
Practice
Dorotik, Nicole,
Glasscock, David,
Jeffers, Thomas,
Maybach, Alexander Karl-wilhelm,
New West Physicians -Arvada Internal
Medicine
9950 West 80th Ave., STE 23
Arvada, CO 80005
(303) 425-1018
Internal
Medicine
Freedman, Johanna,
Walter, Jonathan,
Aurora
O'Dea, Bessie M.,
Strates, Elene M.,
Pediatrics
Dawson, Peter M.,
Spruce Street Internal Medicine
2575 Spruce Street
Boulder, CO 80302
(303) 449-3594
Internal
Medicine
Browne, Hillary L.,
Ling, Sheila Lt,
Broomfield
New West Physicians - Broomfield
Family Practice
11550 N. Sheridan Blvd
Broomfield, CO 80020
(303) 469-6000
Family
Practice
Bishop, Richard,
Coomes, Melissa R,
Obstetrics &
Gynecology
Peters, Kelly Ann,
Pediatrics
Thieme, Rita E,
Physician
Assistant
Adrid, Eric,
Colorado Springs
Colorado Springs Health Partners,
PC - Briargate
2405 Research Pky
Colorado Springs, CO 80920
Internal
Medicine
Day, Wendy,
Demuth, Patrick J,
Golden, Gordon R,
Noble, Michael J,
Schneider, Dennis,
Schultz, Kari,
Page 9 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Colorado Springs
Colorado Springs
Denver
Colorado Springs Health Partners,
PC - Briargate
2405 Research Pky
Colorado Springs, CO 80920
Colorado Springs Health Partners, PC West
2020 W Colorado Ave Suites 100 201
Colorado Springs, CO 80904
Clinica Family Health Services - Pecos
1701 W. 72nd Avenue, 3rd Floor
Denver, CO 80221
(303) 665-3036
Internal
Medicine
Family
Practice
Family
Practice
Shaffer, Sabine,
Brady, Julie M,
Quarles, Leto,
Tanabe, Robert M,
Malabre, William A,
Russell, Amy H.,
Colorado Springs Health Partners, PC East
6340 Barnes Road
Colorado Springs, CO 80922
Colorado Springs Senior Medicine
3225 International Circle, Suite 102
Colorado Springs, CO 80910
(719) 475-5065
Somerset, Maria T.,
Family
Practice
Geriatric Medicine/Internal
Medicine
Nevarez, Max A,
Kulp, Jeffrey T,
Pennington, Philip A,
Craig
Tewes, L Bradford,
Moffat Family Clinic
600 Russell Street
Craig, CO 81625
(970) 824-3252
Internal
Medicine
Duncan, Albert,
Robison, Kendra D,
Solano, Royce,
Colorado Springs Health Partners, PC Southwest
2610 Tenderfoot Hill St.
Colorado Springs, CO 80906
Family
Practice
Ballard, Phillip W,
Evans, Richard O,
Hemsworth, Michael,
Thomas, Richard,
Internal
Medicine
Baldauf, Caryn D,
Bell, John J,
Brodie, Steven K,
Mcconnaughy, Richard A,
Colorado Springs Health Partners, PC West
2020 W Colorado Ave Suites 100 201
Colorado Springs, CO 80904
Family
Practice
Crowe, Catherine,
Kipe, Larry W.,
Nurse
Practitioner
Coughlan, Claire M.,
Obstetrics &
Gynecology
Lomonaco McLean, Jennifer A.,
Truitt, Sarah T.,
Pediatrics
Siegel Friefeld, Carol D.,
Denver Health - Bernard Gibson
Eastside Family Health Center
Unit 36 Eastside Clinic, 501 28th Stree
Denver, CO 80205
(303) 436-4716
Roberts, Gregory L.,
Family
Practice
Denver
Krotchko, John F,
Apex Family Medicine
300 S Jackson st #100
Denver, CO 80209
(303) 321-0222
Internal
Medicine
Family
Practice
Mohr, Michael J.,
Scott, Mia Louise,
Clinica Family Health Services - Pecos
1701 W. 72nd Avenue, 3rd Floor
Denver, CO 80221
(303) 665-3036
Family
Practice
Bezdek Benage, Kimberly K.,
Bezdek Benage, Kimberly K.,
Family
Practice
Chen, Carolyn S.,
Adler, Jay L,
Pflieger, Matthew A.,
Navsky, Carol D.,
Hanratty, Rebecca L,
Hoch, Allan,
Joseph, Nicole M,
Quinzanos alonso, Itziar,
Sutton, Scott T,
Young, Lisa Marin sommers,
Pediatrics
Braun, Patricia A,
Edwards, William H,
Love-osborne, Kathryn A,
Melnicoe, Lora H,
Physician
Assistant
Johnson, Sherry L,
Welken, Elizabeth Jean,
Page 10 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Denver
Denver
Denver
Denver Health - La Casa/Quigg Newton
Family Health Center
Unit 33, 4545 Navajo Street
Denver, CO 80211
(720) 956-2672
Denver Health - Montbello Family
Health Center
Unit 39, 12600 East Albrook Drive
Denver, CO 80239
(720) 956-2044
Denver Health - Sam Sandos Westside
Family Health Center
Unit 32, 1100 Federal Blvd
Denver, CO 80204
(303) 436-4266
Family
Practice
Nurse
Practitioner
Midwifery
Askenazi, Morris M,
Hansen, Linda J,
Gehred, John Michael,
Pediatrics
Loomis, Lucy W,
Federico, Steven G,
Russum, Michael E,
O'leary, Sonja C,
Schiavoni, Andrew Joseph,
Denver Health - Park Hill Family
Health Center
Unit 45, 4995 East 33rd Avenue
Denver, CO 80207
(303) 602-3735
Brown, William W,
Family
Practice
Pediatrics
Serrano, Luz Marcela,
Occupational
Medicine
Johns, Martha Beth,
Denver Health - Lowry Family Health
Center
Unit 26 Lowry Clinic, 1001 Yosemite
Street, Suite 100
Denver, CO 80230
(720) 956-2044
Anderson, Katherine P,
Bock, George W,
Fedde, Karen,
Gehred, John Michael,
Family
Practice
Martinez, Rebecca L,
Benavidez, Michael J,
Nurse
Practitioner
Kornfeld, Richard,
Miller, Katherine M,
Torok, Bradley A.,
Internal
Medicine
Pines, Irina M,
Nurse
Practitioner
Brownlee, Sara M,
Denver Health - Montbello Family
Health Center
Unit 39, 12600 East Albrook Drive
Denver, CO 80239
(720) 956-2044
Family
Practice
Underwood, Frankie L,
Denver Health - Sam Sandos Westside
Family Health Center
Unit 32, 1100 Federal Blvd
Denver, CO 80204
(303) 436-4266
Flores, Margarita,
Lackey, Joy Lynne,
Loebel, Kathy,
Obstetrics &
Gynecology
Hyer, Jennifer,
Miranda-seijo, Pedro,
Witzeman, Kathryn A,
Henderson, Megan,
Jimenez, Luz Maria,
Leve, Meegan Elise,
O'connor, Mary E,
Tomcho, Margaret,
Varnell, Heather,
Vogler, Stephen D,
Warnecke, Kindra Lynn,
Physician
Assistant
Conrad, Ryan,
Edick, Tara J,
Hoyman, Sandra Gayle,
Internal
Medicine
Le-mackenzie, Trang T,
Adams, Jennifer E,
Psychology,
Clinical
Appel, Alicia L,
Estacio, Raymond O,
Lieber, Kathryn,
Padilla, Ricardo,
Rozwadowski, Jeanne M,
Steele, Andrew W,
Maxwell pflieger, Janelle,
Tsai, Adam Gilden,
Penny, Lara,
Midwifery
Nurse
Practitioner
Burke, Christine E,
Connor, Pauline Frances,
Fischer, Henry H,
Denver Health - Wellington E. Webb
Center for Primary Care
Pavillion G Unit 40, Wellington E
Webb Center for Primary Care, 301
6th avenue
Denver, CO 80204
(303) 602-8311
Family
Practice
Alfonsi, Grace A,
Dealleaume, Lauren,
Page 11 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Denver
Denver
Denver
Denver Health - Wellington E. Webb
Center for Primary Care
Pavillion G Unit 40, Wellington E
Webb Center for Primary Care, 301
6th avenue
Denver, CO 80204
(303) 602-8311
Denver Health - Westwood Family
Health Center
Unit 35, 4320 West Alaska
Denver, CO 80219
(720) 956-2921
New West Physicians- Cherry Creek
Internal Medicine
425 S Cherry Street, Suite 510
Denver, CO 80246
(303) 388-4076
Family
Practice
Internal
Medicine
Cook, Kurt,
McCallum, Douglas,
Koch-laking, Amber,
Thomas, Michelle,
Lee, Jay H,
Rose Family Medicine
4545 E 9th Ave., Suite 010
Denver, CO 80220
(303) 584-7918
Family
Practice
Gutierrez, Greg P,
Keeley, Robert D,
Kortsch, Daniel U,
Mang, Michelle C,
Nill, Andrew E.,
Shlay, Judith C.,
Internal
Medicine
Batal, Holly A,
Ginosar, David M,
Hurley, Laura P,
Kolpak, Steven J,
Long, Jeremy A,
Mehler, Philip Sydney,
Pines, Irina M,
Venci, Julie A,
Yasui, Robin K,
Zirakzadeh, Ali,
Nurse
Practitioner
Knierim, Shanna,
Pediatrics
Anderson, Mark E,
Auster, Alison B,
Hambidge, Simon J,
Lande, Michele A,
Lie, Ariadne Guinevere,
Melinkovich, Paul,
Vostrejs, Mary,
Physician
Assistant
Solano, Janine T,
Surgery
Physician
Assistant
Levine, Anna Michelle,
New West Physicians - Bear Valley
Family Practice
7550 W. Yale Ave., Bldg. B #100
Denver, CO 80227
(303) 935-4689
Family
Practice
Blitz, Scott,
Doyle, Robert Victor,
Panozzo, John,
New West Physicians - Lakewood
Internal Medicine
165 S Union Blvd, suite 800
Denver, CO 80228
(303) 988-2680
Internal
Medicine
Arthur, James,
Augustitus, V Karen,
Baumgartner, Werner,
Hedberg, John,
New West Physicians - North Denver
Internal Medicine
4301 Lowell Blvd.
Denver, CO 80211
(303) 455-3661
Family
Practice
Family
Practice
Bacak, Brian S.,
Hartman, Chandra C,
Hill, John C.,
Illige, Martha,
Poddar, Sourav,
Smith, Peter C.,
Stern, Jacqueline,
University Family Medicine - AF
Williams
3055 Roslyn Street, Suite 100
Denver, CO 80238
(720) 848-9000
Family
Practice
Bross, Michael H,
Burke, Daniel J,
Cain, Jeffrey,
Conry, Colleen M,
Deffenbacher, Brandy Reed,
Gaspar, David L.,
Kelly, Barbara F.,
Khodaee, Morteza,
Langner, Shannon,
Leclair, Caroline J,
Carlson, Christopher,
Madigosky, Wendy S.,
Shpall, Zachary,
Meeuwsen, Annamarie Neumann,
Montgomery, Linda Curchin,
Nowels, David,
Johnson, Janan E,
Page 12 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Denver
Evans
Fort Collins
University Family Medicine - AF
Williams
3055 Roslyn Street, Suite 100
Denver, CO 80238
(720) 848-9000
Sunrise Community Health - Monfort
Family Clinic
2930 11th Ave
Evans, CO 80550
(970) 350-4606
DeYoung Family Medicine
1024 Centre Ave Bldg E, Ste 100 A
Fort Collins, CO 80526
Physician
Assistant
Family
Practice
DeYoung, Douglas B,
Przekwas, Julie Anne,
Caragol, Jennifer Anne,
Englewood
Finnoff, Gregory,
Provident Adult & Senior Health
799 E Hampden Ave, Suite 300
Englewood, CO 80113
(303) 493-5270
Powell, Patricia Kay,
Family
Practice
Gipson Jr., Bernard F.,
Higgins, Kerry T.,
Jolly, Richard W.,
General
Practice
Trevino, Julia Bernadine,
Internal
Medicine
Pediatrics
Abbey, David M.,
Kaplan, Kenneth Harris,
Homburg, Robert C.,
Physician
Assistant
Stafford, Neil K.,
Dickey, Thomas Lee,
Johnson, Herbert Elton,
Wray, Jason Richard,
Evergreen
Internal
Medicine
New West Physicians - Evergreen
Internal Medicine
30940 Stage Coach Blvd, 270 E
Evergreen, CO 80439
(303) 674-6062
Buttrick, Theodore R.,
Greos, Jean Marie,
Koftan, Charles E.,
Internal
Medicine
McGowan, James M.,
Cohen, Kenneth,
Swietarski, Robert,
McLean, Anne,
Estes Park
Fort Carson
Timberline Medical, LLC
131 Stanley Ave, Suite 202
Estes Park, CO 80517
(970) 586-2343
EVANS ACH-FT. CARSON
1650 Cochran Circle, Bldg 7300,
ATTN: C, Internal Medicine Clinic
Fort Carson, CO 80913
(719) 524-7512
Family
Practice
Fonken, Paul W,
Murphy, Sean P,
Norris, Erika Jane,
Woolman, Bruce Alan,
Evans
Internal Medicine Clinic of Fort
Collins, PC
1100 Poudre River Drive
Fort Collins, CO 80524
(970) 224-9508
Volk, John W,
Blanchard, Thomas J.,
Burdakin, Jr., John H.,
Family
Practice
Internal
Medicine
Markusfeld, Jack M,
Physician
Assistant
Poudre Valley Hospital
Family Medicine Center, 1025 Pennoc
Place
Fort Collins, CO 80524
(970) 495-8800
Family
Practice
Bailey, Austin G,
Bermingham, Roger P,
Birnbaum, Bernard J,
Glazner, J Cherie,
Hoenig, Mark,
Marchant, David R,
Sullivan, Donna L,
Webber, Pamela,
Wozniak, Janell R,
Fountain
Colorado Springs Health Partners, PC
_ Fountain
5115 Fontaine Blvd
Fountain, CO 80817
Family
Practice
Johnson, Thomas G,
Brewer, Karl William,
Miller, Richard A,
Hughes, Linnea C,
Veselka, Deanne L,
Fort Collins
Golden
Page 13 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Golden
Grand Junction
Greeley
New West Physicians - Applewood
Internal Medicine
2801 Youngfield, Suite 120
Golden, CO 80401
(720) 898-9427
Primary Care Partners, PC - Western
Colorado Physician's Group
1120 Wellington Avenue
Grand Junction, CO 81501
(970) 241-6011
North Colorado Family Medicine
1600 23rd Avenue
Greeley, CO 80634
(970) 346-2735
Internal
Medicine
Family
Practice
Helms, Melissa Ann,
Madrid, Glen M.,
Kelly, Karen,
Mashburn, Rebecca L.,
New West Physicians - Denver West
Family Practice
1707 Cole Boulevard, Suite 250
Golden, CO 80401
(303) 233-8295
Omura, Greg K.,
Family
Practice
Castro, Ernest Ross,
Forward, Douglas Paul,
Page, Patrick W.,
Steel, Marshall T.,
St. Mary's Family Medicine Center &
Residency
2698 Patterson Road
Grand Junction, CO 81506
(970) 244-2864
Neighbor, Joan M.,
Family
Practice
Rydberg, Eric,
Davis, Amy,
Internal
Medicine
Dickerson, Keith,
Dilorenzo, Gregory J,
New West Physicians - Golden Central
Family Practice
1823 Ford Street
Golden, CO 80401
(303) 279-7844
Family
Practice
Gale, John,
Suire, Kyle M,
New West Physicians - Golden View
1030 Johnson Road, #200
Golden, CO 80401
(303) 278-4600
Family
Practice
Atkins, Julia,
Brumbaugh, Patricia,
Digioia, Sabrina Lorraine,
Dorman, Caroline,
Keel, Shannon Kathleen,
Morisseau, Monique,
Price, Richard James,
Reynoso, Lance,
Roller, Jennifer A,
Simmons, Paul D,
Straw, Sherman D.,
Whiteford, Elvera R.,
Whiteside, John W,
Greeley
North Colorado Family Medicine
1600 23rd Avenue
Greeley, CO 80634
(970) 346-2735
Family
Practice
Ogden, Samuel C,
Rommereim-madden, Daphne Kae,
Smith, David B,
Sunrise Community Health - Monfort
Childrens Clinic
100 N. 11th Avenue
Greeley, CO 80631
(970) 352-8898
Pediatrics
Filipowska, Iwona R,
Kakakhel, Masroor,
Physician
Assistant
Staniar, Devin Leah,
Greenwood Village
DTC Family Health
8200 E. Belleview Ave., #100E
Greenwood Village, CO 80111
(303) 771-3939
Family
Practice
Dudley, Timothy Eugene,
Gilchrist, Lindy Sue,
Joffe, Lynn Susan,
Highlands Ranch
New West Physicians - Highlands
Ranch Family Practice
200 W. County Line Road, #130
Highlands Ranch, CO 80129
(303) 791-0418
Family
Practice
Beezley, Brian P,
Pattridge, Mark,
Family
Practice
Richardson, Harold,
Coonrod, Rita Aline,
Schipper, Leslie A,
Grand Junction
Dallow, Kurt T,
Junction
Rupel, Ray T,
Fahrenholtz, Herbert Daniel,
Jeffers, Wayne S,
Page 14 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Junction
Lakewood
Littleton
Primary Care Partners - Family
Physician of Western Colorado (FPWC)
3150 N. 12th Street
Junction, CO 81502
(970) 254-2381
Lakewood Family Medicine
1555 S. Wadsworth Blvd
Lakewood, CO 80232
(303) 985-1597
Altitude Family & Internal Medicine
13402 W Coal Mine Ave, Suite 230
Littleton, CO 80127
(303) 730-2167
Family
Practice
Family
Practice
Hermann, Joseph F,
Hansen, Douglas,
Lipson, Yvonne,
Quigley, Jill Andrea,
Metro Community Provider Network Jeffco
8500 W. Colfax Ave.
Lakewood, CO 80215-4011
(303) 761-1977
Physician
Assistant
Family
Practice
Bratteli, Amy O.,
Bratteli, John S.,
Campbell, Joshua R.,
Dirks, David W.,
Flanagan, John P.,
Hilty, Jill S.,
Madsen, Mark C.,
Mohler, Andrew M.,
Mohler, Phillip J.,
Pierce, Kathryn E.,
Pramenko, Michael J.,
Quackenbush, James L.,
Pediatrics
Sigdestad, Karin Ann,
Physician Health Partners - Belmar
Family Medicine
325 S. Teller Street, Suite 250, Suite 250
Lakewood, CO 80226
(303) 232-8383
Sayers, Susan M.,
Family
Practice
Seppi, Britta,
Hofeditz, Tracy Scott,
Shrago, Stephanie L.,
Lamar
Sturges, Paul H.,
High Plains Community Health Center
201 Kendall Drive
Lamar, CO 81052
(719) 336-0261
Sullivan, Daniel P.,
Weaver, Christopher S.,
Lafayette
Clinica Family Health Services Lafayette
200 W. South Boulder Road
Lafayette, CO 80026
(303) 665-3036
Family
Practice
Family
Practice
Hudson, Wayne Ross,
Internal
Medicine
Gibans, Loranne J,
Midwifery
Boysen, Eric C.,
Chesnut, Cheryl Lynn,
Funk, Karen A.,
Nurse
Practitioner
Johnson, Jennifer M.,
Keenan, Christopher J.,
Shepherd, Carolyn M.,
Shepherd, John C.,
Lakewood
Adrid, Eric,
Jon J. Cram
6179 South Balsam Way, Suite 210
Littleton, CO 80123
(303) 347-2000
Family
Practice
Cram, Jon J,
New West Physicians - Arapahoe
Internal Medicine
8199 SouthPark Lane #100
Littleton, CO 80120
(303) 730-3332
Internal
Medicine
Baker, Dawn Marie Jimenez,
Gidday, Lisa K,
Ladika, Joseph,
Lee, Charles,
New West Physicians - Lakeview
Family Medicine
6169 S. Balsam Way, #220
Littleton, CO 80123
(303) 963-0566
Family
Practice
Sunde, Paul Marcus,
Valenziano, Richard J,
Shy, Mary E.,
Lone Tree
Physician
Assistant
Michael Douglas Mignoli, MD
9218 Kimmer Drive, Suite 106
Lone Tree, CO 80124
(303) 768-0900
Hillman, Meagan L,
Littleton
Internal
Medicine
Mignoli, Michael D.,
Page 15 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Colorado
Lone Tree
Loveland
Pueblo
New West Physicians - Park Ridge
Family Medicine
9695 S. Yosemite Street, #324
Lone Tree, CO 80124
(303) 706-9054
Sunrise Community Health - Loveland
Community Health Center
450 N. Cleveland Ave.
Loveland, CO 80537
(970) 669-4855
Southern Colorado Family Medicine
902 Lakeview Ave.
Pueblo, CO 81004
(719) 557-5799
Family
Practice
Family
Practice
Baker, Elizabeth A,
Egan, Catherine J,
Coleman, Mary E,
Mockler, James Neil,
Jeffers, Julie Erin,
Physician
Assistant
Perea, Mark Anthony,
Physician Health Partners - Lone Tree
Family Practice, PC
10103 Ridgegate Parkway, Suite G-23
Lone Tree, CO 80124
(303) 225-0025
Family
Practice
Linares, Ann Christine,
Longmont
Mark W. Hinman, MD, LLC
1350 Tulip Street
Longmont, CO 80501
(303) 776-6872
Family
Practice
Hinman, Mark Wallace,
Louisville
Coal Creek Family Medicine
1044 S 88th Street, Suite 200
Louisville, CO 80027
(303) 666-7119
Family
Practice
Dean, Jessica K,
Tehrani, Barbara Ann,
Williamson, Wayne,
Monument
Colorado Springs Health Partners, PC Monument
1770 Deer Creek Road
Monument, CO 80132
Family
Practice
Brewner, Eric A,
Voth, John W,
Pueblo
Centura Family Care Center
916 Indiana Ave, Suite #120
Pueblo, CO 81004
(719) 562-1122
Family
Practice
Low, Kern,
Low, Kern,
Milligan, Steven L,
Family
Practice
Dickerman, Joel L,
Low, Kern,
Low, Kern,
Milligan, Steven L,
Milligan, Steven L,
Murbach, Candace R.,
Murillo herrera, Sergio,
Murillo herrera, Sergio,
Raye, Charles Harry,
Stein, Laura A,
Stein, Laura A,
Strange, Lynn M,
Internal
Medicine
Salvatore, Shirley Uhl,
Rockrimmon
Colorado Springs Health Partners, PC
Rockrimmon
6025 Delmonico Drive
Rockrimmon, CO 80919
Family
Practice
Silveira, Linda,
Thornton
Clinica Family Health Services Thornton
8990 N. Washington Street
Thornton, CO 80229
(303) 665-3036
Boehm, Kevin Scott,
Milligan, Steven L,
Lavigne, Marcie,
Murillo herrera, Sergio,
Talamantes, Lisa H,
Murillo herrera, Sergio,
Flatiron Internal Medicine
90 Health Park Drive, Suite 350
Louisville, CO 80027
(303) 666-7560
Stein, Laura A,
Family
Practice
Stein, Laura A,
Blair, Jennifer,
Southern Colorado Family Medicine
902 Lakeview Ave.
Pueblo, CO 81004
(719) 557-5799
Hansen, Anne Ks,
Internal
Medicine
Mondrow, Erik M,
Loveland
Family
Practice
Messer, Joshua B.,
Obstetrics &
Gynecology
Kepner, Colleen S.,
Walsenburg
Page 16 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Colorado
Colorado
Connecticut
Walsenburg
Westminster
Berlin
Spanish Peaks Regional Health Center
23500 US Highway 160
Walsenburg, CO 81089
(719) 738-5135
Westminster Inc.
8601 Turnpike Drive, Suite 200
Westminster, CO 80031
(303) 428-7449
Berlin Pediatric Associates
742 Worthington Ridge
Berlin, CT 06037
(860) 829-7337
Family
Practice
Family
Practice
Pediatrics
Moll, Lori S,
Saffer, Tracy,
Moll, Michael A,
Smith, Robin Lynne,
Westminister
Woodland Park
Physician Health Partners - Westmed
Family Healthcare
12201 Pecos Street, #500
Westminister, CO 80234
(303) 457-4497
Colorado Springs Health Partners, PC Woodland Park
41 N. Highway 67
Woodland Park, CO 80863
Family
Practice
Family
Practice
Lopreiato, Matteo Joseph,
Bloomfield
ProHealth Physicians, Inc. Bloomfield Internists
6 Northwestern Drive, Suite 201
Bloomfield, CT 06002
(860) 242-6297
Internal
Medicine
Cox-Chapman, James W,
Chen, Casie,
Keating, Herbert J,
Cavanagh, Michael K.,
Hoffman, Randall G,
Shastri, Munish K,
Etienne, Clifton,
Uusinarkaus, Kari,
Kirk, Jude J.,
Connecticut
ProHealth Physicians, Inc. - Children
Medical Group Bloomfield
6 Northwestern Drive
Bloomfield, CT 06002
(860) 242-8830
Westminster
St. Anthony North Family Medicine
Residency
8510 Bryant Street, Suite #210
Westminster, CO 80031
(303) 430-6027
Family
Practice
Eliassen, Megan W,
Groff, Elizabeth M,
Hartman, Monica H.,
Jendry, Ronald Joseph,
Kondrad, Elin,
Ludemann, Matt R,
Avon
Hartford Medical Group - Avon
100 Simsbury Road, Suite 203
Avon, CT 06001-3793
(860) 284-5111
Family
Practice
Wrzesinski, Tamara J,
Dainiak, Sarah G,
Kim, Chi H,
Quintero, Sandra M,
Williams, Terence Dale,
Soda, Kenneth M,
ProHealth Physicians, Inc. Rothenberg
8-D Canal Court
Avon, CT 06001
(860) 674-9825
Hammond, Robert Scott,
Rubin, Viviann M,
Internal
Medicine
Miller, John Lee,
Family
Practice
Luxemburg, Maury,
Weinerman, Harry C,
Physician
Assistant
Westminster Inc.
8601 Turnpike Drive, Suite 200
Westminster, CO 80031
(303) 428-7449
Brown, David L,
Erman, Spencer G,
Maeder, Gregory S.,
Thron-weber, Penelope Helen,
Pediatrics
Family
Practice
Rothenberg, Robert A,
Berlin
SFHCP-Collins Medical Associates 2,
P.C.
421 Cottage Grove Road, Suite A
Bloomfield, CT 06002
(860) 242-3933
Internal
Medicine
Ramirez, Gilberto E.,
Bristol
Community Health Center - Bristol
59 North Main Street
Bristol, CT 06010
(860) 585-5000
Family
Practice
Rausche, Melanie,
Page 17 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Bristol
Bristol
Cheshire
ProHealth Physicians, Inc. - Adler
621 Terryville Avenue
Bristol, CT 06011
(860) 583-0053
ProHealth Physicians, Inc. - The
Family Medical Group
25 Collins Road
Bristol, CT 06010
(860) 589-8882
MidState Medical Group - Women's
Primary Care Specialists
1781 Highland Ave, Suite 106
Cheshire, CT 06410
(203) 271-2120
Family
Practice
Internal
Medicine
Selinger, Andrew H,
Cardon, Erin Kathleen,
Brookfield
O'Regan, Eileen Elizabeth,
Brookfield Family Medicine
60 Old New Milford Road
Brookfield, CT 06804
(203) 775-6365
ProHealth Physicians, Inc. - Cheshire
Family Medicine
335 Highland Avenue
Cheshire, CT 06410
(203) 271-3063
Internal
Medicine
Adler, Jack H,
Varma, Surendran Raja,
ProHealth Physicians, Inc. - Behjet
202 Queen Street
Bristol, CT 06010
(860) 583-1605
Internal
Medicine
Behjet, Nadeem S,
Family
Practice
ProHealth Physicians, Inc. - Bristol
Pediatric Center
160 Wolcott Street
Bristol, CT 06010
(860) 589-8872
Amara, Matthew D.,
Pediatrics
Modwel, Kumkum S.,
Brownstein, William J,
Moulton, Martha J.,
Knox, A.E. Hertzler,
Pellegrino, Kenneth J.,
Ward, Thomas G,
ProHealth Physicians, Inc. Scappaticci, Licata & Guerriere
625 Clark Avenue
Bristol, CT 06010
(860) 583-7700
Auerbach, Julia W.,
Farrell, Matthew M.,
Mascia, Robert A.,
Ivette E. Diaz, MD, LLC
304 Federal Rd, Suite 201
Brookfield, CT 06804
(203) 740-2593
Internal
Medicine
Internal
Medicine
Diaz, Ivette E.,
Guerriere, Richard P,
Day Kimball Healthcare-Brooklyn
Family Medical Associates
63 Canterbury Road
Brooklyn, CT 06234
(860) 779-0539
Licata, Charles J,
Scappaticci, Antonio,
ProHealth Physicians, Inc. - The
Family Medical Group
25 Collins Road
Bristol, CT 06010
(860) 589-8882
Family
Practice
Bailey, Lea,
Goldberg, Jeffrey R,
Liftman, Michael,
Rosen, Jonathan,
Brooklyn
Family
Practice
Family
Practice
Balfour, Sarah E.,
Balfour, Sarah E.,
Olsen, Michael M,
Viereg, Kathleen A,
Williams, Richard G,
ProHealth Physicians, Inc. - Pediatric
& Adolescent Medicine Cheshire
288 Highland Avenue
Cheshire, CT 06410
(203) 271-3610
Pediatrics
Tsuei, Vivian P,
Clinton
Community Health Center - Clinton
114 East Main Street
Clinton, CT 06413
(860) 664-0787
Family
Practice
Barrow, Alvin,
Westbrook, Troy,
Gutierrez, Andrea M,
Colchester
Cheshire
ProHealth Physicians, Inc. - Sparrow
Commons Family Practice
119 Broadway Street
Colchester, CT 06415
(860) 537-9901
MidState Medical Group - Women's
Primary Care Specialists
1781 Highland Ave, Suite 106
Cheshire, CT 06410
(203) 271-2120
Family
Practice
Laporte, J. Carey,
Page 18 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Danbury
Danielson
East Hartford
Community Health Center - Danbury
8 Delay St.
Danbury, CT 06810
(203) 797-8330
Day Kimball Healthcare-Danielson
Medical Associates
45 Green Hollow Road
Danielson, CT 06239
(860) 774-1255
Hartford Medical Group - East
Hartford
265 Ellington Road
East Hartford, CT 06108-1158
(860) 569-8800
Family
Practice
Family
Practice
Davis, Marguerite Mary,
Shieh, William S,
Purcell, Anthony John,
Internal
Medicine
Family
Practice
Gellrich, Gabriella,
Nurse
Practitioner
Wagner, monte,
Raiford, Philip Rufus,
Connecticut Institute For Communities,
Inc.
7 Old Sherman Turnpike, Suite 212
Danbury, CT 06810
(203) 743-9760
Wilterdink, David Martin,
Internal
Medicine
Delli Carpini, Frank,
Magavi, Nirmalamma S,
Magavi, Shivyogi V,
Hematology/Oncology
Slater, Dennis,
East Granby
SFHCP- East Granby Family Practice
13 Church Road
East Granby, CT 06026
(860) 653-4526
Mauks, Anne E.,
Family
Practice
Mauks, Kathleen S.,
Dieterich, Steven R,
Nurse
Practitioner
Ewald, Edward M,
Wetzel, Margaret,
Pediatrics
Koepke, Uwe C.,
Physician
Assistant
Mauks-koepke, Emilie F,
Danbury Hospital Seifert & Ford
Community Health Center
70 Main Street
Danbury, CT 06810-7832
(203) 791-5042
Freedman, Elizabeth S,
Howlett, David R,
Hughes, Sandra M,
Reiher, Anne M,
East Hampton
Middlesex Hospital Family Practice
Group - East Hampton
42 East High Street
East Hampton, CT 06424
(860) 358-3500
Family
Practice
Internal
Medicine
Kramer, Adriel,
Delaney, William M,
Shields, Gregory,
Danielson
Day Kimball Healthcare-Danielson
Medical Associates
45 Green Hollow Road
Danielson, CT 06239
(860) 774-1255
Family
Practice
ProHealth Physicians, Inc. - Chatham
Family Practice
205 East High Street
East Hampton, CT 06424
(860) 267-2593
Heller, Cynthia B,
Stein, Jeffrey E,
Nurse
Practitioner
Larue, Tracie,
Physician
Assistant
Hall, Alison M,
SFHCP - Prime Health Care-East
Hartford Internal Med
Gateway Square, 893 Main Street,
Suite 202
East Hartford, CT 06108
(860) 714-5467
Internal
Medicine
Kimmel, Ronald,
SFHCP ΓÇô The Family Medicine
Center @ East Hartford
893 Main Street, Suite 101
East Hartford, CT 06108
(860) 528-2138
Family
Practice
Acevedo, Yadira E.,
Feller, Andrew L.,
Kamens, Cathy Ann,
Zagieboylo, Roy,
Internal
Medicine
Singh, Kamal,
East Lyme
Family
Practice
Zack, Cathy J,
Page 19 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
East Lyme
Enfield
Glastonbury
Charter Oak Walk In Medical Center
PC
324 Flanders Rd
East Lyme, CT 06333
(860) 739-6953
Pioneer Valley Pediatrics
115 Elm Street
Enfield, CT 06082
(860) 745-3336
Hartford Medical Group - Glastonbur
676 Hebron Avenue
Glastonbury, CT 06033-2410
(860) 696-2250
Pediatrics
Internal
Medicine
Family
Practice
Beason, William L,
Welsch, Robert J,
General
Practice
Albrecht, Richard C,
Enfield
Hoberman, Dena A,
Segool, Richard Alan,
ProHealth Physicians, Inc. - Calnen
7 Elm Street, Suite 304
Enfield, CT 06082
(860) 253-7236
Pediatrics
Calnen, Gerald,
Community Health Center - Enfield
5 North Main Stree
Enfield, CT 06082
(860) 253-9024
SFHCP-Collins Medical Associates 2,
P.C.
139 Hazard Avenue
Enfield, CT 06082
Family
Practice
Internal
Medicine
Suozzi, Theresa,
Daw, Manjaree,
Enfield Medical Associates (Springfield
Medical Associates, Inc.)
701 Enfield Street, Suite 140
Enfield, CT 06082
(860) 741-6058
Internal
Medicine
Burton, Jay Scott,
Hession, Melissa A.,
Essex
Essex Internal Medicine
10 Wildwood Medical Center
Essex, CT 06426
(860) 767-0145
Family
Practice
Baldwin, Michael David,
O'neill, Darren Stephen,
Internal
Medicine
Powers, Robin E.,
Hornbake, Earl Rodney,
Ro, Howard D.,
Spagnola, Alan Michael,
Hartford Medical Group - Enfield
100 Hazard Ave, Suite 101
Enfield, CT 06082-5447
(860) 741-3069
Family
Practice
Lindberg, Nancy H,
Internal
Medicine
Mckell, Bernadette S,
Physician
Assistant
Wright, Harold S,
Farmington
ProHealth Physicians, Inc. - ProHealth
Physicians of Farmington
21 South Road, Suite 110
Farmington, CT 06032
(860) 284-4945
Family
Practice
Fojtik, Dorothy,
Internal
Medicine
Balazs, Denes Vilmos,
Czarnecki, Gregory R.,
Riddle, Cara Damiano,
ProHealth Physicians, Inc. - Grimaldi
622 Hebron Ave, Suite 101
Glastonbury, CT 06033
(860) 659-3110
Family
Practice
Grimaldi, Stephen N,
ProHealth Physicians, Inc. - Henry &
Adamenko
320 Western Boulevard, Suite 102
Glastonbury, CT 06033
(860) 633-9235
Pediatrics
Adamenko, Robert S.,
Henry, William B,
Post, Leah G,
Psychiatric
Nurse
Kirwin, Kathleen Mary,
ProHealth Physicians, Inc. - Inchalik
2130 Main Street
Glastonbury, CT 06033
(860) 659-4414
Pediatrics
Inchalik, Kenneth R,
ProHealth Physicians, Inc. - Mintell
320 Western Blvd, Suite 104
Glastonbury, CT 06033
(860) 633-6832
Internal
Medicine
Mintell, David,
ProHealth Physicians, Inc. - ProHealt
Physicians of Glastonbury
320 Western Blvd, Suite 104
Glastonbury, CT 06033
(860) 633-1008
Dauphinais, Karl,
Page 20 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Glastonbury
Glastonbury
Hamden
ProHealth Physicians, Inc. - ProHealth
Physicians of Glastonbury
320 Western Blvd, Suite 104
Glastonbury, CT 06033
(860) 633-1008
ProHealth Physicians, Inc. - Vella &
Graniero
969 Hebron Avenue
Glastonbury, CT 06033
(860) 633-1131
ProHealth Physicians, Inc. - ProHealt
Physicians of Hamden
2560 Dixwell Avenue, #2-B
Hamden, CT 06514
(203) 230-2546
Family
Practice
Internal
Medicine
Family
Practice
Banerjee, Arjun,
Vella, Paul M,
Gupta, Bhawna,
Internal
Medicine
Groton
Internal
Medicine
Papernik, Morris,
ProHealth Physicians, Inc. - Salm &
Herlands
55 Nye Road
Glastonbury, CT 06033
(860) 633-2487
Internal
Medicine
Herlands, Stuart E,
Salm, David,
Nurse
Practitioner
Scarlett, Arlene,
ProHealth Physicians, Inc. - Somerset
Family Health Care, Internal Medicine
379 Naubuc Avenue
Glastonbury, CT 06033
(860) 652-3320
Community Health Center - Groton
333 Long Hill Road
Groton, CT 06340
(860) 446-8858
Family
Practice
Kucharchik, Thomas,
Guilford
ProHealth Physicians, Inc. - Guilford
Family Practice
1591 Boston Post Road, Suite 100
Guilford, CT 06437
(203) 453-9911
Family
Practice
Curdo, Christopher S,
Hurlburt, Nancy,
Kopp, Jeffrey A,
Internal
Medicine
Kyrcz, Robert W,
Kasaraneni, Devika R,
Youngling, Anne E,
Klaus, Melissa Mae,
Hamden
Lieu, Steven,
Edward Rippel, M.D., Quinnipiac
Internal Medicine, P.C.
2440 Whitney Avenue
Hamden, CT 06518
(203) 287-7500
ProHealth Physicians, Inc. - Somerset
Family Health Care, Pediatrics
379 Naubuc Avenue
Glastonbury, CT 06033
(860) 652-3325
Mascia, Anthony,
Pediatrics
Internal
Medicine
Craig, Steven L,
Rippel, Edward G.,
Freilich, Cecille,
ProHealth Physicians, Inc. - ProHealth
Physicians of Hamden
2560 Dixwell Avenue, #2-B
Hamden, CT 06514
(203) 230-2546
Hong, Joy E,
Kozar, Christina A,
Pool, Sharon K,
Family
Practice
Braverman, Tamar Ranon,
Ranani, Dana,
Hartford
ProHealth Physicians, Inc. Anyatonwu
85 Seymour Street, Suite 1009
Hartford, CT 06106
(860) 728-6674
Internal
Medicine
Anyatonwu, Samuel K,
ProHealth Physicians, Inc. - Collins
19 Woodland Street, Suite 42
Hartford, CT 06105
(860) 247-1036
Family
Practice
Collins, Kevin Lamont,
ProHealth Physicians, Inc. - Woznica
673 Maple Avenue
Hartford, CT 06134
(860) 525-1904
Internal
Medicine
Woznica, Zbigniew,
SFHCP - Saint Francis Medical Group
Inc.-Knoll
1000 Asylum Avenue, Suite 1004
Hartford, CT 06105
Internal
Medicine
Knoll, Rolf,
SFHCP- Collins Medical Associates, 2
P.C. - Belsky
675 Tower Avenue, Ste. 401
Hartford, CT 06105
Page 21 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Hartford
Hartford
Kensington
SFHCP- Collins Medical Associates, 2,
P.C. - Belsky
675 Tower Avenue, Ste. 401
Hartford, CT 06105
SFHCP-Saint Francis Medical Group,
Inc The Gengras Medical Clinic
1000 Asylum Avenue
Hartford, CT 06105
Family
Practice
Internal
Medicine
ProHealth Physicians, Inc. - Solano
Medical
211 New Britain Road, Suite 105
Kensington, CT 06037
(860) 224-9879
Belsky, Mark,
Martin, Ralph,
Internal
Medicine
Harrison-Atlas, Richard,
Ramanan, Sundaram,
Solano, Elizabeth,
Wiskowski, Susan,
Tiru, Mihaela,
SFHCP- The Family Medicine Center
@ Asylum Hill, Inc.
99 Woodland Street
Hartford, CT 06105
(860) 714-4212
SFHCP-The Burgdorf Medical Clinic
131 Coventry Street
Hartford, CT 06002
Physician
Assistant
Family
Practice
Advani, Kavita,
Agresta, Thomas P.,
Blumenfeld, Hugh,
Cementina, Alan M.,
Cushman, Robert A.,
Gold, Robin B.,
Guerrera, Mary P.,
Henderson, David D.,
Kim, Edmund A,
Mansilla-rivera, Kenia,
Orientale, Eugene,
Internal
Medicine
Heiman, Diana L.,
SFHCP-Prime Healthcare, P.C.
353-357 Franklin Avenue
Hartford, CT 06114
Internal
Medicine
Buccheri, Santo,
SFHCP-Saint Francis Medical Group,
Inc The Gengras Medical Clinic
1000 Asylum Avenue
Hartford, CT 06105
Internal
Medicine
Diez-Morales, Luis,
Jha, Adarsh,
Krishnaswamy, Jayapriya,
Internal
Medicine
Flitcraft, Anne H,
Goldman, Kathryn Rosenthal,
Robbins, Tina,
Litchfield
ProHealth Physicians, Inc. - Litchfield
Internal Medicine, Litchfield
340 Bantam Road
Litchfield, CT 06759
(860) 567-9493
Gould, Bruce E.,
Internal
Medicine
Nestler, Ellen Olarsch,
Nguyen, Ethan T,
Vomeigen, Keith,
Ryan, Terrence,
Pediatrics
Staub, Charles L.H.,
Alerte, Anton,
Manchester
Joyce, Patricia,
Hartford Medical Group - Mancheste
256 North Main Street
Manchester, CT 06042-2004
(860) 696-2300
O'Brien, Grael,
Terranova, Jody,
Higganum
ProHealth Physicians, Inc. - Higganum
Family Medical Group
415 Killingworth Road
Higganum, CT 06441
(860) 345-8535
Family
Practice
Family
Practice
Osley, Robert P,
Wolpaw, David,
Internal
Medicine
Goldberg, Frank E,
Amleto, Mario,
Guanco, Basilio M,
Buckley, Timothy J,
Harding, Richard,
Kalinowski, Michael,
Underwood, Michael J,
Schroth, Linda H,
ProHealth Physicians, Inc. - Guardino
945 Main Street, Suite 308
Manchester, CT 06040
(860) 646-1900
Kensington
ProHealth Physicians, Inc. - Solano
Medical
211 New Britain Road, Suite 105
Kensington, CT 06037
(860) 224-9879
Internal
Medicine
Guardino, Joseph J,
Page 22 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Manchester
Marlborough
Meriden
ProHealth Physicians, Inc. - Han
515 West Middle Turnpike
Manchester, CT 06040
(860) 533-4176
ProHealth Physicians, Inc. Marlborough Family Practice Center
14 Jones Hollow Road
Marlborough, CT 06447
(860) 295-8217
MidState Medical Group - Primary
Care Specialists - Meriden
61 Pomeroy Avenue
Meriden, CT 06450
(203) 694-5340
Family
Practice
Internal
Medicine
ProHealth Physicians, Inc. - Kuru
515 West Middle Turnpike
Manchester, CT 06040
(860) 533-4176
Buchek, Susan,
Helmeczi, Ildiko,
Harris, Donald T,
Ionita, Marina Ruxandra,
Ouellette, James A,
Internal
Medicine
ProHealth Physicians, Inc. - Pediatric
Associates of Marlborough
5 Hebron Road
Marlborough, CT 06447
(860) 295-9592
ProHealth Physicians, Inc. - Kahn
35 Pleasant Street, Suite 1-B
Meriden, CT 06450
(203) 235-7415
Family
Practice
Han, Minh A,
Kuru, Ranjit,
ProHealth Physicians, Inc. - Nair
515 West Middle Turnpike
Manchester, CT 06040
(860) 533-4176
Internal
Medicine
Nair, Anil,
Tuttle, Mark D,
Pediatrics
Kumar, Gubbanna V,
Streim, Carrie S,
Meriden
ProHealth Physicians, Inc. - Nieto
153 Main Street
Manchester, CT 06040
(860) 646-2721
Community Health Center - Meriden
134 State Street
Meriden, CT 06450
(203) 237-2229
Geriatric Medicine/Family
Practice
Family
Practice
Nieto, Ramon A,
Bravo, Teresa,
ProHealth Physicians, Inc. - Tardif &
Ettinger
515 West Middle Turnpike
Manchester, CT 06040
(860) 533-4176
Channamsetty, Veena,
Internal
Medicine
Wilensky, Daniel,
Ettinger, Jeffrey L,
Tardif, Daniel R,
General
Practice
Marlborough
Haddad, Marwan,
ProHealth Physicians, Inc. Marlborough Family Practice Center
14 Jones Hollow Road
Marlborough, CT 06447
(860) 295-8217
Nurse
Practitioner
Family
Practice
Bentley, Christopher W,
Olayiwola, Nwando,
Patel, Dipak,
Rivera Godreau, Ivelisse,
Wynn, Daisy,
Internal
Medicine
Kahn, Benjamin,
ProHealth Physicians, Inc. - Kaplan
816 Broad Street, Suite 29
Meriden, CT 06450
(203) 238-1125
Internal
Medicine
Feld, Tatiana K,
Kaplan, Jay,
ProHealth Physicians, Inc. - Meriden
Family Practice
816 Broad Street, Suite 24
Meriden, CT 06450
(203) 634-0086
Family
Practice
Brumberger, Bruce J,
Faustin, Alex,
Phillips-Cole, Barbara,
Schwarz, Alan,
Nurse
Practitioner
Wisniewski, Amy,
Butler, Danielle,
ProHealth Physicians, Inc. - Meriden
Pediatric Associates
816 Broad Street, Building 1, Suite 16
Meriden, CT 06450
(203) 238-1256
Kirby, Jacqueline,
Pediatrics
Wilson, Laura,
Pediatrics
Lelko, Susan E,
Middletown
Page 23 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Middletown
Middletown
New Britain
Community Health Center Middletown
635 Main Street
Middletown, CT 06457
(860) 347-6971
ProHealth Physicians, Inc. - Middlesex
Family Physicians
400 Saybrook Road, Suite 205
Middletown, CT 06457
(860) 346-7738
Community Health Center - New
Britain
One Washington Square
New Britain, CT 06051
(860) 224-3642
Family
Practice
Family
Practice
Family
Practice
Huddleston, Matthew,
Eichengreen, Roy P,
Mohammadu, Fusaini,
Lecce, Carl,
Good, Michael D,
Pediatrics
Rosener, Stephanie,
Hirsch, Rubin W,
Dudley, Robert,
Rosener, Stephanie,
Novak, Daniel B,
Farb, Alan,
Weischedel, Anne-Katrin,
ProHealth Physicians, Inc. - Middlesex
Pediatric Associates
400 Saybrook Road, Suite 206
Middletown, CT 06457
(860) 344-0333
ProHealth Physicians, Inc. - TrouernTrend
40 Hart Street, Building D
New Britain, CT 06052
(860) 223-5396
Pediatrics
Pediatrics
Alonso, Lisa C,
Trouern-Trend, John B,
Boucher, Correne L,
New Haven
Cue, Diane,
Yale Health
55 Lock Street
New Haven, CT 06511
(203) 432-6157
Nurse
Practitioner
Eddinger, Ann,
Obstetrics &
Gynecology
Ozbek, Aysegul,
Ozbek, Aysegul,
Middlesex Hospital Family Practice
Group - Middletown
90 South Main Street, First Floor
Middletown, CT 06457
(860) 344-6300
Klein, Michael A,
Tillinghast, David,
Douglass, Alan,
ProHealth Physicians, Inc. - Pediatric
& Adolescent Medical Group
540 Saybrook Road, Suite 100
Middletown, CT 06457
(860) 347-6683
Kazakoff, Michael,
Pediatrics
Rosener, Stephanie E.,
Jubelirer, Brad A,
Rosener, Stephanie E.,
Lawrence, Christopher C,
Sinusas, Keith,
Northrop, Elizabeth Jane,
Stehney, Michael,
Roman, Tina,
Obstetrics &
Gynecology
Whitaker, Allison H,
Family
Practice
Ozbek, Aysegul,
Ozbek, Aysegul,
Pediatrics
O'Callahan, Cliff,
ProHealth Physicians, Inc. - Middlesex
Family Physicians
400 Saybrook Road, Suite 205
Middletown, CT 06457
(860) 346-7738
Family
Practice
New Britain
Community Health Center - New
Britain
One Washington Square
New Britain, CT 06051
(860) 224-3642
Family
Practice
Borgonos, Ovanes,
Hassan, Syed,
Mathulla, Cible,
Gastroenterology
Genecin, Paul,
Internal
Medicine
Holland-Toftness, Cynthia J,
Pediatrics
DeSanto, Christopher M,
Steeter, Gordon Chase,
Physician
Assistant
Dzujna, Helen,
New London
Community Health Center - New
London
One Shaw's Cove
New London, CT 06320
(860) 224-3642
Family
Practice
Doerwaldt, Hartmut,
New Milford
Page 24 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
New Milford
North Grosvenordale
Norwalk
New Milford Medical Group
11 Old Park Lane
New Milford, CT 06776-2507
(860) 355-1149
Day Kimball Healthcare-Pediatric
Center-Thompson
415 Riverside Drive
North Grosvenordale, CT 06255
Soundview Medical Associates
761 Main Avenue, Suite 201
Norwalk, CT 06851-1080
(203) 299-0154
Family
Practice
Pediatrics
Matsen, Krista E,
Internal
Medicine
Beck, Jonathan D,
Norwalk
Varadarajan rukmani, Vidhya,
Internal
Medicine
Community Health Center - Norwalk
49 Day Street
Norwalk, CT 06854
(203) 854-9292
Yasner, Robert S,
Family
Practice
Norwich
Kamm, Harold J.,
Konik, Doreen,
Leonardi, Christian,
Tyler, Jeffrey C.,
Newington
ProHealth Physicians, Inc. - Newington
Pediatrics
505 Willard Avenue, Building 2, Suite C
Newington, CT 06111
(860) 666-5601
Weir, Lori,
Soundview Medical Associates
761 Main Avenue, Suite 201
Norwalk, CT 06851-1080
(203) 299-0154
Endocrinology, Diabetes &
Metabolism
Rheumatology
Beger, Erik,
West Side Medical Center
606 West Main Street
Norwich, CT 06360
(860) 889-1400
Family
Practice
Hernandez, William H,
Schussheim, Debra,
Internal
Medicine
Siegel, Glenn Michael,
Viswanathan, Kartik K,
Isaac, Shiji A.,
Family
Practice
Plainfield
Macgilpin, Douglas,
Bookas, Timothy,
Pickett, Laura J,
Lipira, Eugene M,
Siraco, John,
Svogun, John A,
Veale, Christopher J,
Gastroenterology
Internal
Medicine
Adelmann, Charles J,
Jann, Mae,
Pediatrics
Baumer, Amy L,
Harvey, Richard C,
Niantic
Drs Thompson, Cooper, Goldberg &
Donka
22 W. Main St
Niantic, CT 06360-2340
(860) 739-4431
Riback, Harvey L,
Internal
Medicine
Chi, Tao-nan,
Day Kimball Healthcare-Adult
Primary Care
12 Lathrop Road
Plainfield, CT 06374
Kroll, Sherry Lee,
Nixon, Leilani L,
Day Kimball Healthcare-Pediatric
Center-Plainfield
31 Dow Road
Plainfield, CT 06374
Internal
Medicine
Cochran, Charles P,
Cooper, Bruce,
Kelly, Paul R,
Pediatrics
Donka, Abel A,
Kumar, Sujatha B,
Moes, Robert,
Goldberg, Robert Paul,
Papaharis, Basil J,
Powell, Suzanne M,
Thompson, David Duvall,
Sammarco, Frank S,
Plainville
North Grosvenordale
Schwartz, Michael B.,
Day Kimball Healthcare-Pediatric
Center-Thompson
415 Riverside Drive
North Grosvenordale, CT 06255
Sotsky, Mindy J,
ProHealth Physicians, Inc. - Zebrows
120 West Main Street
Plainville, CT 06062
(860) 747-0411
Sparks, Maura L,
Stern, Edra Lea,
Page 25 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Plainville
Putnam
South Windsor
ProHealth Physicians, Inc. - Zebrowski
120 West Main Street
Plainville, CT 06062
(860) 747-0411
ProHealth Physicians, Inc. - Putnam
Medical Associates
330 Pomfret Street
Putnam, CT 06260
(860) 928-2736
ProHealth Physicians, Inc. - Sobelman
Pediatrics
828 Sullivan Avenue
South Windsor, CT 06074
(860) 644-3417
Family
Practice
Pediatrics
Austin, Nancy,
ProHealth Physicians, Inc. - Sutay &
Stewart
15 Morgan Farms Drive
South Windsor, CT 06074-1372
(860) 644-5458
Internal
Medicine
Baran, Kevin Matthew,
Zebrowski, Stephen,
Portland
Middlesex Hospital Family Practice
Group - Portland
595 Main Street
Portland, CT 06480
(860) 358-7100
Catsam, Arthur,
Cooper, Timothy E,
Howe, Jeffrey,
Rocky Hill
McArthur, Karen,
ProHealth Physicians, Inc. - Children's
Medical Group Rocky Hill
1086 Elm Street
Rocky Hill, CT 06067
(860) 529-6124
Weis, Otto,
Pediatrics
Putnam
Wilion, Felicia,
Day Kimball Healthcare-Pediatric
Center-Putnam
320 Pomfret Street
Putnam, CT 06260
SFHCP - Collins Medical Associates 2,
PC
506 Cromwell Ave.
Rocky Hill, CT 06067
(860) 529-1287
Family
Practice
Nurse
Practitioner
Jakubisin-konicki, Annette,
Pediatrics
Cerrone, Marc B,
Pradhan, Gunjan,
Smith, Richard D,
Day Kimball Healthcare-Pomfret
Street Family Medical Associates
235 Pomfret Street
Putnam, CT 06260
(860) 928-0493
Family
Practice
Baik, Rania,
Wreschner, Charles L,
Internal
Medicine
Mendelsohn, Jacques,
Villanueva, Elmo,
South Windsor
ProHealth Physicians, Inc. - London
1330 Sullivan Avenue
South Windsor, CT 06074
(860) 644-3421
Internal
Medicine
London, Raymond G,
ProHealth Physicians, Inc. - Sacheti
1728 Ellington Road
South Windsor, CT 06074
(860) 644-1533
Nurse
Practitioner
Pediatrics
St jean, Karen,
Sacheti, Bhavna,
Sacheti, Vandana,
Sobelman, Steven J.,
Pediatrics
Stewart, Kurt R,
Sutay, Jay B,
South Woodstock
Day Kimball Healthcare-Woodstock
Medical Associates
168 Route 171
South Woodstock, CT 06267
(860) 928-1397
Internal
Medicine
Chieffalo, Anthony,
Dickinson, Gail Louise,
Klare, Ronald Wilder,
Southbury
Primary Care of Southbury
22 Old Waterbury Road,, Suite 108
Southbury, CT 06488
(203) 262-4200
Family
Practice
Carr, Robert J.,
Hoenicke, David A.,
Poznanska, Agata,
Internal
Medicine
Ott, Casey K.,
Southington
Midstate Medical Group - Primary
Care Specialists - Southington
98 Main Street, Third Floor
Southington, CT 06489
(860) 621-6704
Page 26 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
Southington
Torrington
Wallingford
Midstate Medical Group - Primary
Care Specialists - Southington
98 Main Street, Third Floor
Southington, CT 06489
(860) 621-6704
ProHealth Physicians, Inc. - Litchfield
Internal Medicine, Torrington
52 Peck Road, Suite A
Torrington, CT 06790
(860) 489-6899
ProHealth Physicians, Inc. Wallingford Family Practice
950 Yale Avenue
Wallingford, CT 06492
(203) 265-9600
Family
Practice
Internal
Medicine
Family
Practice
Osnaga, Alina I,
Bryant, Stephen E,
Gero, Michele L,
ProHealth Physicians, Inc. - Babiarz
360 North Main Street
Southington, CT 06489
(860) 621-1024
Oh, Jong Gil,
Ross-Russell, David A,
Yoelson, Stephen,
Unsworth, Stacy T,
Nurse
Practitioner
Valentin, Carlos R,
Internal
Medicine
Babiarz, Joseph A,
Stamford
Community Health Center - Stamford
141 Franklin Street
Stamford, CT 06901
(203) 969-0802
Family
Practice
Ayubcha, Soussan,
Lorilla, Ivy,
Internal Medicine of Stamford, PC
David M Radin, MD, 27 Oak Street
Stamford, CT 06905
(203) 359-4888
Internal
Medicine
Radin, David M,
Tolland
ProHealth Physicians, Inc. - Tolland
Internal Medicine
384-K Merrow Road
Tolland, CT 06084
(860) 871-8851
Internal
Medicine
Bayona, Gerald M,
Torrington
ProHealth Physicians, Inc. - Litchfield
Internal Medicine, Torrington
52 Peck Road, Suite A
Torrington, CT 06790
(860) 489-6899
Hamilton, Selma L.,
Watertown
ProHealth Physicians, Inc. - Torrington
333 Kennedy Drive, Suite L-201
Torrington, CT 06790
(860) 489-3449
Town and Country Pediatrics and
Family Medicine, PC
380 Main Street
Watertown, CT 06795
(860) 274-8891
Family
Practice
Family
Practice
Chiu, Judy,
Lustig, Jacqueline O,
Rosenberg, Clifford B,
Pediatrics
Vernon
Bartfeld, Ephraim P,
ProHealth Physicians, Inc. - Vernon
Family Medicine
554 Talcottville Road
Vernon, CT 06066
(860) 875-6700
Weatogue
Family
Practice
Schifferdecker, John,
Wallingford
ProHealth Physicians, Inc. - Pediatric
& Adolescent Medicine Wallingford
1062 Barnes Road
Wallingford, CT 06492
(203) 294-6328
Pediatrics
Alonso, Luis,
Keanna, Craig Michael,
Pouliot, Marie Helene,
Vassell-Klaus, Kerline,
ProHealth Physicians, Inc. Wallingford Family Practice
950 Yale Avenue
Wallingford, CT 06492
(203) 265-9600
ProHealth Physicians, Inc. - Simsbury
Pediatrics
225 Hopmeadow Street
Weatogue, CT 06089
(860) 658-0465
Pediatrics
Johnston, Janice J,
Ladenheim, Sydney,
Pericat, Elizabeth T,
Sabo, Mark Andrew,
West Hartford
Hartford Medical Group - Bishops
Corner West Hartford
336 North Main Street
West Hartford, CT 06117-2510
(860) 232-4891
Family
Practice
Weiss, Linda J,
Internal
Medicine
Migliorato, Marcie A,
Page 27 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Connecticut
Connecticut
Connecticut
West Hartford
West Hartford
Wethersfield
Hartford Medical Group - Bishops
Corner West Hartford
336 North Main Street
West Hartford, CT 06117-2510
(860) 232-4891
SFHCP - Collins Medical Associates 2,
P.C
41 North Main Street, Suite 300
West Hartford, CT 06107
(860) 313-0448
ProHealth Physicians, Inc. - Mullaney
Truex & Schachter
1260 Silas Deane Highway, Suite 103
Wethersfield, CT 06109
(860) 257-4814
Internal
Medicine
Internal
Medicine
Internal
Medicine
Schmetterling, Jack A,
Papandrea, John,
Mullaney, John F,
Physician
Assistant
Polatnick, Mark J.,
Schachter, Andrew B,
Tan, Sharon S.,
Truex, Richard,
Phillips, Jessica,
SFHCP - West Hartford Internal
Medicine LLC
1007 Farmington Avenue, Suite 9
West Hartford, CT 06107
(860) 586-7825
Willimantic
Hartford Medical Group - South Main
West Hartford
445 South Main Street
West Hartford, CT 06110-1646
(860) 561-7111
Internal
Medicine
Gurtman, Frances B,
Keightley, Deborah A,
Sereny, Peter,
Stone, Susan Michelle,
Sports
Medicine
Brown, Jeffrey R,
ProHealth Physicians, Inc. - Elmwood
Medical Group
97 South Street, Suite 101
West Hartford, CT 06110
(860) 953-5151
Internal
Medicine
Ardolino, Sally Ann,
Venkatachalam, Varalakshmi,
Wethersfield
Hartford Medical Group - Wethersfield
1025 Silas Deane Highway
Wethersfield, CT 06109-4229
(860) 696-2400
Internal
Medicine
Oliveri, Janice Ann,
Spada, Michael Paul,
Stahl, Kent I,
ProHealth Physicians, Inc. - El-Hache
140 Mansfield Avenue
Willimantic, CT 06226
(860) 423-1400
Internal
Medicine
El-Hachem, Roger,
Windsor
Hartford Medical Group - Windsor
1060 Day Hill Road
Windsor, CT 06095-5705
(860) 683-2690
Family
Practice
Bissell, Kristin F,
Luger, Steven W,
Vitale, Marie Pauroso,
Family
Practice
Weinreb, Steven L,
Internal
Medicine
Pediatrics
Gigstad, Joan E,
West, Paul B,
Eror, Ellyssa L,
Schuck, Elizabeth,
Internal
Medicine
Physician
Assistant
Winsted
Dolinsky, Paul A,
Keckley, Diane B,
ProHealth Physicians, Inc. - ProHealth
Physicians of West Hartford
631 South Quaker Lane
West Hartford, CT 06110
(860) 233-7161
ProHealth Physicians, Inc. - Banack
Smith-Slatas
1331 Silas Deane Highway
Wethersfield, CT 06109
(860) 529-9933
Internal
Medicine
Pediatrics
Genser, Stuart S,
ProHealth Physicians, Inc. - Lomibao
115 Spencer Street
Winsted, CT 06098
(860) 738-5814
Internal
Medicine
Lomibao, Amor C,
Delaware
Banack, Sherry,
Smith-Slatas, Candra,
Wilmington
Jimenez, Michael,
Page 28 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Delaware
District Of Columbia
District Of Columbia
Wilmington
Washington
Washington
Family Medicine Center at Foulk Road
1401 Foulk Rd, Suite 100B
Wilmington, DE 19803
(302) 477-3300
Children's National Medical Center Children's Health Center @ Adams
Morgan
Dorchester House, 1630 Euclid Street,
NW
Washington, DC 20009
Children's National Medical Center Children's Health Center @ Sheikh
Zayed Campus
111 Michigan Ave NW
Washington, DC 20010
(202) 476-5491
Pediatrics
Castro, Rosella A,
Pediatric
Orthopedic
Cora-Bramble, Denice E,
Coleman, Nailah,
Pourrat, Monica Del carmen,
Pediatrics
Quion, Nathalie B,
Beers, Lee A,
Children's National Medical Center Children's Health Center @ Good
Hope Road
2501 Good Hope Road SE
Washington, DC 20020-3011
(202) 476-5491
Fratantoni, Karen Ruth,
Emergency
Medicine
Moon, Rachel Y,
Family
Practice
Bercaw, David M,
Kavanaugh, Erin,
Maxwell, Lisa C,
Rosenthal, Michael P,
Savoy, Margot L,
Simpson, David A,
Family Medicine Center at Wilmington
Annex
Wilmington Annex, 1400 Washington
Street, 3rd Floor
Wilmington, DE 19801
(302) 477-3300
Family
Practice
Bittner-Fagan, Heather,
Dassel, Jeffrey W.R.,
Waitz, Margot L,
Sports
Medicine
Reed, Tony S,
District Of Columbia
Washington
Children's National Medical Center Adolescent Health Center @ Sheikh
Zayed Campus
111 Michigan Avenue NW
Washington, DC 20010
(202) 476-5491
Hancock, Yolandra,
Pediatrics
Bellard, Jr., Alsan,
Horn, Ivor B,
Sriram, Sanjeev Kumar,
Tyler-Beynum, Khandra,
Children's National Medical Center Children's Health Center @ Martin
Luther King, Jr. Avenue
3029 Martin Luther King, Jr. Avenue
SE
Washington, DC 20032
(202) 476-5491
Pediatrics
Kind, Terry R,
Lichtenstein, Cara,
Fu, Linda Y,
Hollo, Ruth Ellen,
Lowe, John A,
Mirza, Nazrat,
Tender, Jennifer A,
Vaidya, Susma,
Weissman, Mark I,
Wolf, Muriel D,
Children's National Medical Center Children's Health Center @ THEARC
1901 Mississippi Avenue, SE
Washington, DC 20020
Pediatrics
Lewis-Ragland, Yolanda Anita,
White, Marcee C,
MedStar Health Physicians -MedStar
Physician Partners @ 19th Street
1145 19th Street, NW, Suite 700
Washington, DC 20036-371
(202) 223-5333
Adolescent and Young Adult
Medicine
Long, Sahira,
Internal
Medicine
D'Angelo, Lawrence J.,
Rhodes, Hope,
Roche, Nada,
Stone, Theresa A,
Pediatric Emergency
Medicine
Children's National Medical Center Children's Health Center @ Shaw
2220 11th Street, NW
Washington, DC 20001
(202) 476-5491
Rosman, Brooke,
Pediatrics
Silber, Tomas J,
Woodward, Kathy,
Dudley, Clarissa M,
Saunders, Victoria,
MedStar Physician
Partners/Washington Hospital Center
106 Irving Street, NW, Suite 4200 Nor
Washington, DC 20010-297
(202) 877-2200
Internal
Medicine
Birmingham, Fitzgerald,
Page 29 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
District Of Columbia
Florida
Florida
Washington
Belle Glade
Bunnell
MedStar Physician
Partners/Washington Hospital Center
106 Irving Street, NW, Suite 4200 North
Washington, DC 20010-297
(202) 877-2200
Metcare Belle Glade
349 NW 16th Street, Suite 104
Belle Glade, FL 33430
(561) 996-1990
Metcare of Bunnell
279 East Moody Blvd, Suite 104
Bunnell, FL 32110
(386) 586-7005
Internal
Medicine
Family
Practice
Abbas, Rahat,
Francis, Katherine Schaffer,
Mendez, Antonio,
Callahan
Belleview
University of Florida and Shands
Jacksonville - Callahan Family Practic
Center
450077 State Road 200, Suite 12
Callahan, FL 32011
(904) 633-0560
Internal
Medicine
Dibble, Robert T,
Harris, Gerard H,
King, Francisco C,
Lee, Andrew J,
MedStar Physician
Partners/Washington Primary Care
Physicians
660 Pennsylvania Ave., SE, Suite 100
Washington, DC 20003-435
(202) 546-4505
The Family Doctors of Belleview Belleview
5051 SE 110th Street
Belleview, FL 34420
(352) 245-9157
Family
Practice
Hildner, Joseph Carl,
Internal
Medicine
Steed, James David,
Basch, Peter,
Whinnen, Daniel William,
Brooks, Rodney,
Pediatrics
Davis, Robin,
Fischer, Stephen Edward,
Waterman, Daniel,
Bloomingdale
Florida
Bloomingdale Primary Care Center
406 West Bloomingdale Ave
Bloomingdale, FL 33511
(813) 653-1880
Altamonte Springs
Family Physicians Group - Altamonte
Springs
360 Douglas Avenue
Altamonte Springs, FL 32714
(407) 788-8200
Family
Practice
Farmer, Gerald E.,
Internal
Medicine
Mohandas, Usha K.,
Apopka
Family Physicians of Apopka
1501 West Highway 441
Apopka, FL 32712
(407) 884-2952
Family
Practice
Bedros, Medhat G,
Belle Glade
Internal
Medicine
Jose, Jolly,
Pittman, Carol Ann,
Boca Raton
Metcare Boca
2900 North Military Trail, Suite 201
Boca Raton, FL 33431
(561) 241-0025
Internal
Medicine
Bendeck, Elias,
Taubman, Randall,
Bunnell
Metcare of Bunnell
279 East Moody Blvd, Suite 104
Bunnell, FL 32110
(386) 586-7005
Family
Practice
Day, Charles Michael,
Kecskemeti-kovacs, Timea Alexandra,
Solomon, William Curtis,
Casselberry
Family Physicians of Casselberry
946 East Semoran Blvd.
Casselberry, FL 32707
(407) 831-3141
Internal
Medicine
Ahmed, Khurshid,
Clearwater
JSA Healthcare Corporation Clearwater Primary Care Center
2465 McMullen Booth Rd.
Clearwater, FL 33759
(727) 725-5224
Internal
Medicine
Kamal, Anupam,
Morton Plant Mease Primary Care Countryside I
3251 McMullen Booth Rd., Suite 104
Clearwater, FL 33761
(724) 799-0415
Internal
Medicine
Carls, J H,
Jacobs, Stephen H.,
Page 30 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Clearwater
Clearwater
Clearwater
Morton Plant Mease Primary Care Countryside II
3251 McMullen Booth Road, Suite 103
Clearwater, FL 33761
(727) 725-1003
Morton Plant Mease Primary Care,
Inc. - Enterprise II
2461 Enterprise Road, Suite C
Clearwater, FL 33763
(727) 725-5060
Morton Plant Mease Primary Care,
Inc. - Turley Family Health Center
807 N. Myrtle Avenue
Clearwater, FL 33755
(727) 467-2400
Family
Practice
Internal
Medicine
Family
Practice
Swoager, James,
Held, Jeffrey Alan,
Lawrence, Elizabeth Ann,
Morton Plant Mease Primary Care,
Inc. - Bellair Internal Medicine
1016 Ponce de Leon Blvd
Clearwater, FL 33756
(727) 586-6200
Tripodis, Stanton P,
Lewis, Paul A.,
Morton Plant Mease Primary Care,
Inc. - Jeffords Internal Medicine
1007 Jeffords Street,, Suite 101
Clearwater, FL 33756
(727) 442-5123
Reyes, Manuel A.,
Internal
Medicine
Smitherman, Mark,
Morton Plant Mease Primary Care,
Inc. - Countryside III
3251 McMullen-Booth Road, Suite 103
Clearwater, FL 33761
(727) 799-6385
Internal
Medicine
Peditto, Kathleen Louise,
Morton Plant Mease Primary Care,
Inc. - Druid Road Internal Medicine/
Family Practice
612 Druid Road East, Suite B
Clearwater, FL 33756
(727) 443-1122
Family
Practice
Nosek, Daniel Anthony,
Internal
Medicine
Fox, John G,
Whiting, Mark Alan,
Morton Plant Mease Primary Care,
Inc. - Enterprise I
2461 Enterprise Rd., Ste C
Clearwater, FL 33763
(727) 799-6265
Internal
Medicine
Bernstein, David A.,
Schaffer, Benjamin C.,
Internal
Medicine
Feingold, Howard,
Kiriazis, Chrisoula,
Ramirez-Ortega, Xiomara,
Morton Plant Mease Primary Care,
Inc. - Lakeview Internal Medicine
516 Lakeview Rd., Bldg.4
Clearwater, FL 33756
(727) 461-7908
Internal
Medicine
Miller, Todd,
Wanger, Michael,
Morton Plant Mease Primary Care,
Inc. - Landmark Primary Care
2531 Landmark Drive, Suite 103
Clearwater, FL 33761
(727) 796-4396
Sourbeer, Jeffrey J.,
General
Practice
Greengold, Julian B.,
Clermont
Family Physicians Group of Clermont
1735 B East Highway 50
Clermont, FL 34711
(352) 241-0549
Family
Practice
Yedwab oliver, Beth,
Cocoa Beach
Health First Physicians - Chau
105 S. Banana River Blvd
Cocoa Beach, FL 32931
Family
Practice
Chau, Anh N,
Health First Physicians - Sabol/Walls
699 W. Cocoa Beach Cswy, Suite #506
Cocoa Beach, FL 32931
Internal
Medicine
Internal
Medicine
Rommel, Michael,
Sabol, Dusan,
Santana, Jose Ramon,
Walls, Brian Bolivar,
Morton Plant Mease Primary Care,
Inc. - Turley Family Health Center
807 N. Myrtle Avenue
Clearwater, FL 33755
(727) 467-2400
Health First Physicians - Wilson
699 W. Cocoa Beach Cswy, Suite #403
Cocoa Beach, FL 32931
(321) 868-8348
Family
Practice
Bryan, Sean T,
Farrar, Ted A,
Internal
Medicine
Wilson, Darin Keith,
Daytona Beach
Page 31 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Daytona Beach
Dunedin
Jacksonville
Metcare of Daytona
405 Clyde Morris Blvd
Daytona Beach, FL 32114
(386) 257-1626
Morton Plant Mease Primary Care,
Inc. - Mease Medical Arts III
646 Virginia St, Suite 601
Dunedin, FL 34698
(727) 734-9494
Baptist Primary Care-Bennett
4131 University BLVD South
Jacksonville, FL 32216
(904) 396-9911
Family
Practice
Lucas, Kenneth J,
Dunedin
Morton Plant Mease Primary Care Mease Medical Arts II
646 Virginia Street, Suite 204
Dunedin, FL 34698
(727) 736-3212
Internal
Medicine
Bracamonte, Percy,
Fort Lauderdale
Linda A. Groene, M.D., P.A.
6405 N. Federal Hwy, Suite 102
Fort Lauderdale, FL 33308
(954) 772-0062
Family
Practice
Waldron, Anne H,
Baptist Primary Care-Orange Park
Peds Argyle
6353 Argyle Forect Blvd, Suite 4
Jacksonville, FL 32244
(904) 908-0200
Pediatrics
Dellinger, Charles T,
Internal
Medicine
Internal
Medicine
Borecky, Derrick,
Groene, Linda A.,
Franco, Daniel,
Gainesville
Morton Plant Mease Primary Care,
Inc. - Dunedin Primary Care
180 Patricia Ave
Dunedin, FL 34698
(727) 733-4193
Alliance Pediatrics, PA
4627 NW 53rd Avenue
Gainesville, FL 32653-4857
(352) 335-8888
Family
Practice
Mas, Olga M,
Charles, Ana,
Massias, Michelle D.,
Grover, Pamela,
Sarantos, Katheryn E,
Mathew, Dani,
Holiday
Morton Plant Mease Primary Care,
Inc. - Mease Medical Arts IA
646 Virginia Street, 7th Floor
Dunedin, FL 34698
(727) 736-2730
Morton Plant Mease Primary Care Holiday Family Care
1812 U.S. 19 North
Holiday, FL 34691
(727) 939-2410
Internal
Medicine
Family
Practice
Desouza, Melanie A,
Nickel, Jodi,
Pediatric Infectious
Disease
Miller, Cynthia E,
Phelps, Lisa,
Alvarez, Ana Mabel,
Morton Plant Mease Primary Care,
Inc. - Mease Medical Arts III
646 Virginia St, Suite 601
Dunedin, FL 34698
(727) 734-9494
Stamoolis, Christina E.,
Mahmoudi, Saniyyah Itani,
Homestead
Maraqa, Nizar Fuad,
CAC - Florida Medical Centers Homestead
650 North Homestead Blvd.
Homestead, FL 33030
(786) 243-5900
Rathore, Mobeen Hasan,
Family
Practice
Karakossian, Vartan,
Internal
Medicine
Pediatrics
Gehret, Richard G,
Sauer, Shiree,
Spearman, Dan R,
Woolwine, Rhonda L,
Rainbow Center/UF CARES University of Florida Jacksonville
653-1 West 8th Street, LRC 3rd Floor
Jacksonville, FL 32209
(904) 244-3051
Infectious
Disease
Ramirez, Luis U.,
Internal
Medicine
Ravi, Malleswari S,
Nurse
Practitioner
Fulton, Carol Marie,
Pediatrics
Miller, Michael,
Mirza, Ayesha,
Family
Practice
Santana-Porben, Idalmis,
Page 32 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Jacksonville
Jacksonville
Jacksonville
University of Florida and Shands
Jacksonville - Anchor Plaza Family
Medicine and Pediatric Center
5460 Blanding Boulevard, Suite 3
Jacksonville, FL 32244
(904) 633-0610
University of Florida and Shands
Jacksonville - College Park Primary
Care
1697 Kings Road
Jacksonville, FL 32209
(904) 633-0440
University of Florida and Shands
Jacksonville - Murray Hill Family
Practice
5205 Normandy Boulevard, #3
Jacksonville, FL 32205
(904) 633-0440
Family
Practice
Family
Practice
Family
Practice
Anand, Subashini,
Registre, Louis J.,
Gajda, Anna,
Internal
Medicine
University of Florida and Shands
Jacksonville - Commonwealth Family
Practice & Pediatric Center
761 North Edgewood Avenue
Jacksonville, FL 32254
(904) 633-0440
University of Florida and Shands
Jacksonville - San Jose Family Practic
Center
5614 San Jose Boulevard
Jacksonville, FL 32207
(904) 633-0475
Family
Practice
Family
Practice
Perez-Bosque, Monique D.,
Ober, Vincent Hilles,
Stewart, Eric B.,
University of Florida and Shands
Jacksonville - Shands Jacksonville
Internal Medicine
655 West 8th Street
Jacksonville, FL 32209
(904) 383-1003
Grewal, Reetu,
Pediatrics
Chua-ravago, Leslie Surara,
University of Florida and Shands
Jacksonville - Augustine Oaks Family
Medicine Center
11481 Old St. Augusine Road, #101
Jacksonville, FL 32258
(904) 633-0210
Family
Practice
Brieva, Jairo Alvarez,
University of Florida and Shands
Jacksonville - Baymeadows Family
Practice & Pediatric Center
8274 Bayberry Road
Jacksonville, FL 32256
(904) 633-0800
Geriatric Medicine/Family
Practice
University of Florida and Shands
Jacksonville - Dunn Avenue Family
Practice Center
2377 Dunn Avenue
Jacksonville, FL 32218
(904) 633-0700
Family
Practice
Haddad, Charles Joseph,
Hadzic, Amra,
Peterson, Kevin William,
Infectious
Disease
Alexandraki, Irene,
Internal
Medicine
Edwards, Linda Robertson,
University of Florida and Shands
Jacksonville - Eastside Family Practice
and Pediatric Center
1155 East 21st Street
Jacksonville, FL 32209
(904) 633-0440
House, Jeffrey Guy,
University of Florida and Shands
Jacksonville - Brentwood Family
Practice
3465 Village Center Drive
Jacksonville, FL 32209
(904) 633-0440
Family
Practice
Sottile, Eliza Marie,
Family
Practice
University of Florida and Shands
Jacksonville - Murray Hill Family
Practice
5205 Normandy Boulevard, #3
Jacksonville, FL 32205
(904) 633-0440
Array, Samir Yamil,
Pediatrics
Arango, Carlos Antonio,
Array, Victoria Carolina,
Pratt, Ebony N.,
Jaminal, Mar A.,
Pediatrics
McCatty, Sonyini A.,
Kuo, Hsiao-yen,
Masri, Ghania,
Palacio, Carlos,
Phillips, James Milton,
University of Florida and Shands
Jacksonville - Soutel Family Practice
5045 Soutel Drive, #12
Jacksonville, FL 32208
(904) 633-0440
Family
Practice
Lee, Kenyatta Y.,
Page 33 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Jacksonville
Jacksonville
Jacksonville
University of Florida and Shands
Jacksonville - UF Kernan Square
Family Medicine Center
12620 Beach Boulevard, Suite 8
Jacksonville, FL 32246
(904) 633-0585
University of Florida and Shands
Jacksonville - University of Florida
Internal Medicine at Emerson Medical
Plaza
4555 Emerson Street, Suite 200
Jacksonville, FL 32207
(904) 383-1003
University of Florida and Shands
Jacksonville - University of Florida
Monument Landing Family Medicine
Center
2485 Monument Road
Jacksonville, FL 32225
(904) 383-1026
Internal
Medicine
Family
Practice
Masri, Ghania,
Rosada, Miguel A,
University of Florida and Shands
Jacksonville - University of Florida
Community Health Center
655 West 8th Street, 4th Floor, ACC
Bldg
Jacksonville, FL 32209
(904) 383-1002
Phillips, James Milton,
University of Florida and Shands
Jacksonville - University of Florida
New Berlin Family Medicine Center
3122 New Berlin Road
Jacksonville, FL 32226
(904) 633-0340
Family
Practice
Infectious
Disease
Dimmitt, Steven Gregory,
Alexandraki, Irene,
Haddad-lacle, Judella Edwina,
Internal
Medicine
Family
Practice
Chaves, Clare Ines,
Clarke, Mark Anthony,
Hussain, Mahrukh,
Salman, Farah Malik,
Warterberg, David Ira,
University of Florida and Shands
Jacksonville - University of Florida
Family Medicine Center at Lem Turner
1255 Lila Avenue
Jacksonville, FL 32208
(904) 383-1001
Family
Practice
Funderburk, Marcia Wayne,
Lavina, Joel Soria,
Manning-dimmitt, Linda Lea,
Oosterman, Stephan Ernest,
Reeder, Harold Barton,
University of Florida and Shands
Jacksonville - University of Florida
Internal Medicine at Emerson Medical
Plaza
4555 Emerson Street, Suite 200
Jacksonville, FL 32207
(904) 383-1003
University of Florida and Shands
Jacksonville - University of Florida
Internal Medicine at Faculty Clinic
653 West 8th Street
Jacksonville, FL 32209
(904) 383-1003
Edwards, Linda Robertson,
House, Jeffrey Guy,
Kuo, Hsiao-yen,
Masri, Ghania,
Phillips, James Milton,
Sottile, Eliza Marie,
University of Florida and Shands
Jacksonville - University of Florida
Merrill Road Family Medicine Center
7645 Merrill Road, Suite 301
Jacksonville, FL 32277
(904) 633-0285
Family
Practice
Elramady, Dalia,
Internal
Medicine
Hoffmann, Susan Lee,
Physician
Assistant
Diana, Michael Raymond,
Family
Practice
Scuderi, Christopher B,
Physician
Assistant
Foley, Tim E,
University of Florida and Shands
Jacksonville - University of Florida
Normandy Family Practice Center
8093 Normandy Boulevard
Jacksonville, FL 32221
(904) 633-0640
Family
Practice
Corpus, Lorenzo Mil,
Jupiter
Metcare Jupiter
345 Jupiter Lakes Blvd., Suite 202
Jupiter, FL 33458
(561) 238-0928
Internal
Medicine
Zeda, David,
Kissimmee
Family Physicians Group - Kissimmee
327 West Oak Street
Kissimmee, FL 34741
(407) 483-2000
Internal
Medicine
Family
Practice
Kuo, Hsiao-yen,
Caro, Israel I,
Page 34 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Kissimmee
Largo
Largo
Family Physicians Group - Kissimmee
327 West Oak Street
Kissimmee, FL 34741
(407) 483-2000
Morton Plant Mease Primary Care Bardmoor Internal Medicine
8787 Bryan Dairy Road, Suite 230
Largo, FL 33777
(727) 394-5601
Morton Plant Mease Primary Care,
Inc. - Bardmoor IV
8787 Bryan Dairy Road, Suite 275
Largo, FL 33777
(727) 394-5560
Internal
Medicine
Family
Practice
Jorgenson, Michele A.,
Hout, Charisse J,
Jorgenson, Michele A.,
Kuhn, Allen R,
Gomez, Hernan A.,
Paganini, Cynthia A.,
Family Physicians Group - Poinciana
1050 Cypress Parkway
Kissimmee, FL 34759
(407) 483-1000
Paganini, Cynthia A.,
Morton Plant Mease Primary Care,
Inc. - Indian Rocks
12046 Indian Rocks Rd., Unit 103
Largo, FL 33774
(727) 596-9490
Family
Practice
Rosario, Jessicca,
Internal
Medicine
Family
Practice
Morton Plant Mease Primary Care Bardmoor V
8787 Bryan Dairy Road, Suite 320
Largo, FL 33777
Family
Practice
Internal
Medicine
Carlson, Beth L,
Patel, Deepa S.,
Francis, David James,
Morton Plant Mease Primary Care,
Inc. - Bardmoor Family Practice
8839 Bryan Dairy Rd., Ste. 200
Largo, FL 33777
(727) 391-6296
Morton Plant Mease Primary Care,
Inc. - Seminole Family Care
12955 Seminole Blvd., Suite 100
Largo, FL 33778
(727) 559-8748
Family
Practice
Family
Practice
Mickey, Jaimie L.,
Braddy-Roberts, Julie Vaden,
Portocarrero, Miguel,
Salansky, Jennifer,
Stephens, Amber Rae,
Quinones, Lismarie,
Skinner, Tara L.,
Leesburg
Lady Lake
The Family Doctors of Belleview Villages
8575 NE 138th Lane, Suite 201
Lady Lake, FL 32159
Morton Plant Mease Primary Care,
Inc. - Bardmoor Internal Medicine &
Pediatrics
8787 Bryan Dairy Rd., Ste. 275
Largo, FL 33777
(727) 394-5650
Family Physicians Group of Leesburg
801 East Dixie Ave, Suite 101
Leesburg, FL 34748
(352) 326-4031
Family
Practice
Internal
Medicine
Thomas, Jolly,
Pead, Christopher Scott,
Mikus II, Paul M.,
Largo
Pediatrics
Munoz-delgado, Mayra Noemi,
Internal
Medicine
Rodriguez, Rodolfo,
Family Physicians Group of BVL
2576 Boggy Creek Rd
Kissimmee, FL 34744
(407) 348-8338
Internal
Medicine
Morton Plant Mease Primary Care Bardmoor Internal Medicine
8787 Bryan Dairy Road, Suite 230
Largo, FL 33777
(727) 394-5601
Internal
Medicine
Fogarty, Julie B.,
Arline, Laura E.,
Becklin, Brent,
Morton Plant Mease Primary Care,
Inc. - Bardmoor IV
8787 Bryan Dairy Road, Suite 275
Largo, FL 33777
(727) 394-5560
Family
Practice
Longwood
Family Physicians Group Of Longwoo
500 East State Road 434
Longwood, FL 32750
(407) 834-4849
Family
Practice
Byrd, Bill,
Loxahatchee
Fogarty, Julie B.,
Page 35 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Loxahatchee
Miami
NEW PORT RICHEY
Metcare Wellington
12953 Palms West Drive, Suite 102
Loxahatchee, FL 33470
(561) 793-1713
HCN Borinquen Health Care Center Main
3601 Federal Highway
Miami, FL 33137
Internal
Medicine
Nurse
Practitioner
Morton Plant Mease Primary Care,
Inc. - Easthaven Family Care
8600 Easthaven Court
New Port Richey, FL 34655
(727) 847-6292
Pandey, Ravi,
Vega, Jennifer,
Family
Practice
Melbourne
Pediatrics
Mercer, Connie K.,
Health First Physicians - Viera
8725 N Wickham Rd, Suite #302
Melbourne, FL 32940
Burgos, Gloria E,
Rankin, Payton S,
Family
Practice
Severino, Loida Mercedes,
Laird, Timothy Patrick,
Internal
Medicine
King, Melody O,
Merritt Island
Health First Physicians - MI HPlex
255 Borman Dr, Second Floor
Merritt Island, FL 32953
Family
Practice
Fadigan, Skyhawk,
Vijayvargiya, Prema,
Internal
Medicine
Trevino, David Arnold,
Miami
Delgado, Livia America,
Fuentes, Ileana,
Silencieux-cineas, Marie Gema,
NEW PORT RICHEY
Morton Plant Mease Primary Care Oak View Family Care
2044 Trinity Oaks Blvd., Suite 125
NEW PORT RICHEY, FL 34655
(727) 372-2501
Family
Practice
Ferreira, Robert J.,
Nagy, Jonathan P.,
Vieira, Leonardo M.,
Morton Plant Mease Primary Care Trinity Family Medicine
2044 Trinity Oaks Blvd., Suite 130
New Port Richey, FL 34655
(727) 375-0601
HCN Borinquen Health Care Center Main
3601 Federal Highway
Miami, FL 33137
Family
Practice
General
Practice
Noll, Rachel,
Archer, Harry,
Internal
Medicine
Coronado, Elsy M,
Dufreny, Alphonse Giloux,
Gracia, Deborah,
Nurse
Practitioner
Figueredo, Raiza,
Crall, Eric,
Marx, Jennifer,
Morton Plant Mease Primary Care,
Inc. - River Crossing Family Care
8601 Easthaven Court
New Port Richey, FL 34655
(727) 372-0096
Family
Practice
Morton Plant Mease Primary Care,
Inc. - North Bay Medical Arts I
6633 Forest Avenue, Suite 105
New Port Richey, FL 34653
(727) 845-4300
Internal
Medicine
Alpizar, Sady,
Fink, Andrew,
Morton Plant Mease Primary Care,
Inc. - North Bay Medical Arts II
6633 Forest Avenue, Suite 203
New Port Richey, FL 34653
(727) 815-7205
Internal
Medicine
Besch, Kurt T.,
Garcia, Marcos F,
Morton Plant Mease Primary Care,
Inc. - Walker Family Care
4619 Little Road
New Port Richey, FL 34655
(727) 372-9918
Family
Practice
Bruneau, Matthew L,
Mattison, Richard W,
North Miami Beach
Bernd Wollschlaeger,MD PA
16899 NE 15th Avenue
North Miami Beach, FL 33162
(305) 940-8717
Lastra, Frank A.,
Family
Practice
Riquetti, Peter Andrew,
Wollschlaeger, Bernd Arthur,
Oldsmar
Page 36 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Oldsmar
Orlando
Orlando
Morton Plant Mease Primary Care,
Inc. - Oldsmar Family Medicine
120 Pine Avenue North
Oldsmar, FL 34677
(813) 814-9504
Family Physicians Group - Semoran
2285 South Semoran Blvd
Orlando, FL 32822
(407) 282-8200
Family Physicians Group of Rosemont
4300-407 Clarcona Ocoee Rd
Orlando, FL 32810
(407) 292-0292
Internal
Medicine
Family
Practice
McCommon, Dennis,
Young-henley, Tonya T,
Rosado-Martinez, Maggie,
Family Physicians Group of West
Colonial
6336 West Colonial Dr
Orlando, FL 32818
(407) 219-5200
Family
Practice
Falla, Juan Francisco,
Fong, Amy Shih-mei,
Fox II, Danny M.,
Vicencio, Ronald Pobre,
Orange Park
Baptist Primary Care - Orange Park
Pediatrics Smith Street
2140 Smith St
Orange Park, FL 32072
(904) 269-2140
Pediatrics
Dellinger, Charles T,
Gehret, Richard G,
Sauer, Shiree,
Family Physicians Group of Conway
3333 S. Conway Road
Orlando, FL 32812
(407) 281-1000
Family
Practice
Anzola, Rodrigo,
Badola, Ritu,
Vyas, Nayana I,
Family Physicians Group of Edgewood
2861 South Delaney Ave, Ste A
Orlando, FL 32806
(407) 859-2882
Spearman, Dan R,
Internal
Medicine
Woolwine, Rhonda L,
Kumar, Sonali Sanjeev,
University of Florida and Shands
Jacksonville - Family Medicine &
Pediatric Center at Plantation Oaks
4215 Plantation Oaks Boulevard
Orange Park, FL 32065
(904) 633-0820
Family Physicians Group of Hoffner
5200 Hoffner Road
Orlando, FL 32812
(407) 856-1900
Pediatrics
Munipalli, Bala Sita,
Orlando
Family Physicians Group of Metro
West
6320 Old Winter Garden Rd
Orlando, FL 32835
(407) 290-0555
Internal
Medicine
Akula, Malathi Laima,
Campo, Lawrence J,
Family Physicians Group - Semoran
2285 South Semoran Blvd
Orlando, FL 32822
(407) 282-8200
Family
Practice
Pileta, Lourdes,
Family Physicians of Lake Underhill
10829 Dylan Loren Circle
Orlando, FL 32825
(407) 273-7373
Family
Practice
Santana, Reinaldo,
Ormond Beach
Metcare Ormond Beach
1200 West Granada Blvd., Suite 5
Ormond Beach, FL 32174
(386) 615-8122
Family
Practice
Internal
Medicine
Johnson, Kenneth,
Altino, Anthony,
Oviedo
Rodriguez, Sarah,
Family Physicians Group of Hunter's
Creek
14075 S. Town Loop Blvd
Orlando, FL 32837
(407) 438-5858
Family Physicians of Oviedo
1000 West Broadway Street, Ste 102B
Oviedo, FL 32765
(407) 365-9000
Family
Practice
Family
Practice
Urdaneta, Javier,
Joseph, Mary V,
Health First Physicians - Bayside
3425 Bayside Lakes Blvd, Unit 108
Palm Bay, FL 32909
Internal
Medicine
Sepulveda, Asdrubal De jesus,
Obstetrics &
Gynecology
Palm Bay
Family
Practice
Arias, Erich,
Nieves, Nelson Antonio,
Page 37 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Palm Bay
Palm Harbor
Port Orange
Health First Physicians - David S.
Norris, MD
1421 Malabar Road, Suite 210
Palm Bay, FL 32907
(321) 868-8312
Morton Plant Mease Primary Care,
Inc. - Palm Harbor West Medical
Center
2939 Alternate 19
Palm Harbor, FL 34683
(727) 785-2298
Metcare Port Orange
1211 Dunlawton Avenue
Port Orange, FL 32127
(386) 675-4410
Internal
Medicine
Norris, David S.,
Health First Physicians Slanac/Malhotra
820 Palm Bay Rd NE, Suite #110
Palm Bay, FL 32905
Internal
Medicine
Malhotra, Kiron,
Slanac, Violet,
Health First Physicians - Town Center
1071 Port Malabar Blvd NE, Suite #109
Palm Bay, FL 32905
Internal
Medicine
Krishnamurthy, Rajasri P,
Ratajczak-Dambek, Renata Maria,
Palm Harbor
Morton Plant Mease Primary Care Ridgemoor Commons
4962 Ridgemoor Blvd.
Palm Harbor, FL 34685
(727) 789-1762
Internal
Medicine
Evans, Kimberley,
Mattia, Camille R.,
Morton Plant Mease Primary Care,
Inc. - Palm Harbor Family Care/
Internal Medicine
30522 US 19 North, Suite 119
Palm Harbor, FL 34684
(727) 786-5058
Family
Practice
Ullo, Thomas J,
Internal
Medicine
Perruci, Valeria R,
Soudijn, Peter N.,
Family
Practice
Jenkins, Julia C,
Santos, Louise Oyco,
Morton Plant Mease Primary Care,
Inc. - Woodlands Park
4140 Woodlands Parkway, Ste. B
Palm Harbor, FL 34685
(727) 773-1013
Family
Practice
Anderson, Julie,
Shepard Orr, Elizabeth Brooke,
Ronald C. Fernandez, M.D.
31922 US Highway 19N
Palm Harbor, FL 34684
(727) 787-7520
Family
Practice
Internal
Medicine
Chudasama, Pradyumansinh,
Vasile, Dragos,
Port Richey
Gulf Coast Medical Center
11528 US 19
Port Richey, FL 34668
(727) 868-2151
Family
Practice
Capone, Edward A.,
Internal
Medicine
Strobbe, Michael S,
Gulf Coast Medical Center II
9238 US 19
Port Richey, FL 34668
(727) 849-8491
Fernandez, Ronald Charles,
Family
Practice
Pensacola
Plummer, Ritchie R,
NBHC NATTC PENSACOLA Primary Care Clinic
760 East Ave, Bldg 3911
Pensacola, FL 32508-5140
(850) 505-6029
Strobbe, Steven M,
Family
Practice
Luckie, Uriel Ross,
Plantation
Metcare Plantation
301 NW 84th Avenue, Suite 101
Plantation, FL 33324
(954) 581-1900
Internal
Medicine
Bonner, Gail,
Nickelson, Kim,
Port Orange
Internal
Medicine
Strobbe, Amy M,
JSA Healthcare Corporation - Port
Richey Primary Care Center
10435 U.S. Highway 19
Port Richey, FL 34668-3133
(727) 869-7755
Family
Practice
Dario, Dennis R.,
Morton Plant Mease Primary Care,
Inc. - Regency Family Care
8535 Regency Park Blvd
Port Richey, FL 34668
(727) 815-3312
Family
Practice
Launder, Melissa N.,
Page 38 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
Port Richey
St Petersburg
St Petersburg
Morton Plant Mease Primary Care,
Inc. - Regency Family Care
8535 Regency Park Blvd
Port Richey, FL 34668
(727) 815-3312
St. Anthony's Primary Care - Baywalk
116 1st St. N
St Petersburg, FL 33701
(727) 895-5210
St. Anthony's Primary Care - Main
Campus
560 Jackson Street North, Suite 302
St Petersburg, FL 33705
(727) 895-9640
Family
Practice
Pazmino-Vera, Mildred,
Safety Harbor
Morton Plant Mease Primary Care,
Inc. - Mease Countryside
1840 Mease Drive, Suite 110
Safety Harbor, FL 34695
(727) 712-0980
Family
Practice
Gross, John A.,
Physician
Assistant
Internal
Medicine
Casanova, Adriana M.,
Schell, Gina Christine,
Rivenburgh, Dennis,
St. Petersburg
St. Anthony's Primary Care - Carillon
III
900 Carillon Parkway, Suite 304
St Petersburg, FL 33716
(727) 561-0912
JSA Medical Group - Kern Family
Practice
5838 9th Avenue North
St. Petersburg, FL 33710
(727) 347-8132
Thomas, Bindu,
Family
Practice
General
Practice
Zeien II, Timothy,
Thompson, Frank A.,
Kern, John E.,
Seffner
Pediatrics
Seffner Primary Care Center
770 W. Dr. M. L. King Blvd
Seffner, FL 33584
(813) 654-7005
Melchert, Paul,
Morton Plant Mease Primary Care,
Inc. - Park Street Family Care
5405 Park Street
St. Petersburg, FL 33709
(727) 547-8425
Internal
Medicine
Internal
Medicine
St. Anthony's Primary Care - Fifth Ave
Medicine
1201 5th Ave North, Suite 408
St Petersburg, FL 33705
Family
Practice
Soler, Jose Luis,
Internal
Medicine
Smyrna Beach
Saberi, Ali,
Nguyen, Phuong,
Metcare New Smyrna
1722 SR 44
Smyrna Beach, FL 32168
(386) 468-3241
St. Anthony's Primary Care - Fourth
Street Family Care
7005 4th St., N, Suite 1
St Petersburg, FL 33702
(727) 521-1524
Internal
Medicine
General
Practice
Tanner, James Wesley,
Internal
Medicine
Flasterstein, Frank,
St Petersburg
St. Anthony's Primary Care - 38th Ave
Family Care
3745 33rd Street North
St Petersburg, FL 33713
Family
Practice
Pudur, Archana,
Family
Practice
Hinkle, Kristin L.,
St. Anthony's Primary Care - Jackson
Street
560 Jackson Street, Suite 301
St Petersburg, FL 33705
Family
Practice
Robison, Thomas John,
St. Anthony's Primary Care - Main
Campus
560 Jackson Street North, Suite 302
St Petersburg, FL 33705
(727) 895-9640
Moss, Trinette Desdemona,
Cabiac, Annette R,
St. Anthony's Primary Care - Allenda
3085 Dr. Martin Luther King Jr., St. N
St. Petersburg, FL 33704
(727) 822-3238
Family
Practice
Bishop, Jerry W,
Crist, Charles J,
St. Anthony's Primary Care - Carillon
900 Carillon Parkway #303
St. Petersburg, FL 33716
Family
Practice
Johnrose-brown, Anne-marie Cathy,
Page 39 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Florida
Florida
Florida
St. Petersburg
The Villages
Yulee
St. Anthony's Primary Care - Tyrone
1700 66th Street North, Suite 403
St. Petersburg, FL 33710
Family Physicians Group of Lake
Sumter
910 Old Camp Rd, Suite 192,194
The Villages, FL 32162
(352) 751-5514
University of Florida and Shands
Jacksonville - Yulee Family Practice
Center
851042 US Highway 17
Yulee, FL 32097
Family
Practice
Family
Practice
Purohit, Nilkhanth B,
Price, James William,
Family Physicians Group of Mulberry
8485 SE 165 Mulberyy Lane
The Villages, FL 32162
(352) 753-1727
Reid, Robert Paul,
Family
Practice
Diaz, Maria Carmina,
Sun City Center
Sun City Primary Care Center
733 Cortaro Drive
Sun City Center, FL 33573
(813) 634-2500
Family
Practice
Brar, Gurinder K.,
Tampa
Family Physicians Group of West
Tampa
4710 Habana Avenue Suite 107
Tampa, FL 33614
(813) 870-3767
Internal
Medicine
Figueroa- Nieves, Tomas,
Morton Plant Mease Primary Care,
Inc. - Hampton Lakes
12780 Race Track Road, Suite 205
TAMPA, FL 33626
(813) 814-2534
Family
Practice
Brown, Joedrecka,
Tarpon Springs
Morton Plant Mease Primary Care,
Inc. - Tarpon Springs Internal Medicine
1919 N. Pinellas Avenue
Tarpon Springs, FL 34689
(727) 942-8702
Internal
Medicine
Internal
Medicine
Martinez-Cruz, Bayoan D,
Family Physicians Group of The
Villages
1400 US HWY 441 North #930
The Villages, FL 32159
(352) 750-2108
Internal
Medicine
Apostol, Jesus M,
Winter Haven
Family Physicians Group of Winter
Haven
2090 Havendale Blvd.
Winter Haven, FL 33881
(863) 297-5801
Family
Practice
Arbolaez, Fidel,
Winter Park
Family Physicians Group of Winter
Park
255 North Lakemont Avenue Suite 100,
Ste 101
Winter Park, FL 32792
(407) 647-6070
Ellis, Yael Y.,
Family
Practice
Kleinbart, Jennifer M,
Mashkouri, Morteza,
The Villages
Yulee
Wright, Anna Mary,
Georgia
Alpharetta
North Atlanta Primary Care-Alpharet
3400 C Old Milton Pkwy, Ste 270
Alpharetta, GA 30005
(770) 442-1911
Family
Practice
Bat, Thomas E.,
Hall, David L.,
Moraczewski, Terence L.,
Shack, Richard D,
Syrop, Tama Lynn,
Tobin, Leah C.,
Athens
Clarke-Oconee Family Practice LLC
1010 Prince Ave Ste 182
Athens, GA 30606
(706) 353-7747
Family
Practice
Cook, Jonathan Mitchell,
Atlanta
GHS - North Fulton Health Center
7741 Roswell Rd.
Atlanta, GA 30350
(404) 612-2273
Family
Practice
Hoos, Ann Elizabeth,
Pediatrics
Silvera-Schwartz, Aixa I,
Sumner, Deborah B,
Augusta
Page 40 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Georgia
Georgia
Georgia
Augusta
Augusta
Cumming
Center for Primary Care, P.C.
1701 Magnolia Way, Suite 101
Augusta, GA 30909
(706) 902-6600
Georgia Health Sciences University Department of Family Medicine
1120 15th St.
Augusta, GA 30912
(706) 721-4588
Lanier Adult Medicine
106 Pilgrim Village Drive, Suite 400
Cumming, GA 30040
(678) 455-0030
Family
Practice
Barefield, Tracy R.,
Clark, Robert M.,
Colvin, Randall K.,
Deshpande, Priya S.,
Fischer, Paul M.,
Franklin, Robert C.,
Frederick, Robyn L.,
Hendrich, Julia E.,
Hooper, Joseph A.,
Jester, David M.,
Kennedy, Denise S.,
Kennedy, Phillip S.,
Krueger, Jodi L.,
Lambert, Jerry A.,
Livingston, Richard W.,
McKenzie, Timothy W.,
Pollard, Leslie J.,
Rassekh, Riaz,
Scott, Edwin H.,
Singhal, Meenu G.,
Suykerbuyk, Robert A.,
Talley, Rebecca A.,
Tomeo, Jay A.,
Georgia Health Sciences University Department of Family Medicine
1120 15th St.
Augusta, GA 30912
(706) 721-4588
Family
Practice
Hobbs, Joseph,
Johnson, Diana,
LeClair, Bruce M.,
Mammen, Annamma T.,
Nixon, George A.,
Panchel, Pina,
Parrish, Ramon,
Pelletier, Allen,
Phillips, William G.,
Rojas-Roldan, Ledy,
Wilkins, Thad J.,
Young, Sara E.,
Brooklet
Internal
Medicine
Karnstedt, Laena M,
North Atlanta Primary Care-Cummin
1100 Northside Forsyth Dr, Ste 240
Cumming, GA 30041
Family
Practice
Cheaves, Deborah Lynn,
Easley, Raymond E.,
Jenkins, Michelle Renee,
Robertson, Katina,
Duluth
St. Joseph Medical Group
4855 River Green Parkway, Suite 700
Duluth, GA 30096
(770) 622-4231
Bohler Family Practice PC
128 North Parker Avenue
Brooklet, GA 30415
(912) 842-2101
Family
Practice
Family
Practice
East Point
Bohlke, William Scott,
Cairo
Cairo Medical Care, LLC
1178 5th Street, SE
Cairo, GA 39828
(229) 377-2002
Boyle, Susan H,
Mizrahi, Nelly,
Morehouse School of Medicine
Department of Family Medicine
1513 E. Cleveland Avenue, Building 50
East Point, GA 30344
(404) 756-1233
Family
Practice
Family
Practice
Babalola, Dolapo,
Lynch, Jonathan P,
Harper, Darren J.,
Family
Practice
Lynch, S kendra Thomaston,
Heiman, Harry J.,
Register, Jr., Garland A,
Herbert-carter, Janice,
Coffin, Janis S.,
Cumming
Kelsey-harris, Riba,
Dahl-Smith, Julie L.,
Lanier Adult Medicine
106 Pilgrim Village Drive, Suite 400
Cumming, GA 30040
(678) 455-0030
Meng, Yuan-xiang,
Internal
Medicine
Powell, Lawrence Donald,
DuBose, Jacqueline,
Forney, Paul D.,
Foster, James A.,
Greer, Steven A.,
Bell-carter, Denise Marie,
Omole, Folashade,
Plummer, Valens,
Rust, George,
Page 41 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Georgia
Georgia
Georgia
East Point
Fort Gordon
Rome
Morehouse School of Medicine
Department of Family Medicine
1513 E. Cleveland Avenue, Building 500
East Point, GA 30344
(404) 756-1233
EISENHOWER AMC-FT. GORDON
Family Medicine Medical Home, 300
Hospital Road, EISENHOWER AMCFT. GORDON
Fort Gordon, GA 30905
(706) 787-9355
Floyd Family Medicine Residency
304 Shorter Avenue, Suite 201
Rome, GA 30165
(706) 509-3359
Family
Practice
Pediatrics
Sow, Charles,
Lewis, Mary,
Strayhorn, Gregory,
Sports
Medicine
Strothers, Harry,
Taylor, Beverly Deaderick,
Turner, Eddie,
Obstetrics &
Gynecology
Booker, Karla Lorraine,
Pediatric HematologyOncology
Adamkiewicz, Thomas Vincent,
Pediatrics
Fowlkes-Callins, Jennifer,
Fort Benning
Martin Army Medical Home - Primary
Care
Martin Army Community Hospital,
7950 Martin Loop
Fort Benning, GA 31905-5637
(706) 604-4827
Family
Practice
Torrance, Andrew William,
Gainesville
Miller, John Mark,
Thomas, Melvin H.,
Harbin Clinic Internal Medicine
550 Redmond Road
Rome, GA 30165
(706) 233-8593
Dalley, Gary M,
Jackson, James D,
Internal
Medicine
Rich, Christina H,
Rios, Antonio,
Tirado, Jr., Edwin B,
Umana, Idopise E.,
Oakwood
Family
Practice
Clay, Emily Carlson,
Gibbs, Marti R.,
Fort Gordon
Range, John Neel,
EISENHOWER AMC-FT. GORDON
Family Medicine Medical Home, 300
Hospital Road, EISENHOWER AMCFT. GORDON
Fort Gordon, GA 30905
(706) 787-9355
Reisman, Andrew B.,
Kriegel, David Lynn,
Don Diego, Frank R,
Family
Practice
Speech
Pathology
Family
Practice
Desmond, John J,
Villalon-Gomez, Jose Manuel,
Zagorski, Kim Joseph,
Raju, Sundari A.,
Crawley, Denise A,
Northeast Georgia Physicians Group
601 S. Enota Drive, Suite P
Gainesville, GA 30501
(770) 219-8412
The Longstreet Clinic, P.C. - Oakwood
Family Practice
4222 Fairbanks Drive
Oakwood, GA 30566
(770) 534-6053
Martin, Earl Thomas,
Family
Practice
Rome
Floyd Family Medicine Residency
304 Shorter Avenue, Suite 201
Rome, GA 30165
(706) 509-3359
Family
Practice
Cornforth, Matthew Thomas,
Internal
Medicine
Jester, Mark A,
Internal
Medicine
Singh, Amar Kumar,
Singh, Poonam,
Valley Health Care
909 North 5th Avenue
Rome, GA 30165
(706) 295-5150
Family
Practice
White, Anne Louise,
Savannah
Memorial Health University Medical
Center
1107 East 66th St
Savannah, GA 31404
(912) 350-3785
Family
Practice
Buckley, Regina Letrice,
Dhanji, Sarfaraz Shiraz,
Gleit, Cindy,
Pallay, Robert Milton,
Rives, Peter,
Statesboro
Page 42 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Georgia
Georgia
Hawaii
Statesboro
Thomson
Aiea
Family Health Care Center
23702 US Hwy 80 E
Statesboro, GA 30461
(912) 489-4090
Family Care Group of Thomson
315 Fluker Street
Thomson, GA 30824
(706) 595-1090
Family
Practice
Internal
Medicine
Hawai'i Pacific Health Straub Pearlridge
98-151 Pali Momi Street
Aiea, HI 96701
(808) 483-6400
Davis, Angela Marie,
Sheppard, James Christopher,
Riley, Thaddeus H,
McDuffie Medical Associates, PC
505 Mt Pleasant Rd, PO Box 900
Thomson, GA 30824
(706) 595-1461
Suwanee
North Atlanta Primary Care-Johns
Creek
4235 Johns Creek Parkway, Ste A
Suwanee, GA 30024
Family
Practice
Lim, Fred T,
Pandya, Tanya Oberoi,
Internal
Medicine
Family
Practice
Land, Susan H,
Haack, Dennis J.,
Fincher, Jacqueline W,
Lemley, Robert K,
North Atlanta Primary CareWoodstock
250 Parkbrooke Place, Ste 300
Woodstock, GA 30189
Poole, Jeremy W,
Reams, III, Calvin J,
Thomson, Timothy O,
General
Practice
Sanders, Charles Richard,
Nurse
Practitioner
Voyles, Bonny,
Thomson
Family Care Group of Thomson
315 Fluker Street
Thomson, GA 30824
(706) 595-1090
Family
Practice
Wiley, Daryl Carson,
Hawai'i Pacific Health Kaua'i Medica
Center - Ele'ele Clinic
4382 Waialao
Ele'ele, HI 96766
(808) 335-0499
Internal
Medicine
Thomasville
Geer, Amy Elizabeth,
Ele'ele
Family
Practice
Woodstock
Family
Practice
Wu, Daniel W.,
Lemley, James L,
Reingold, David M,
Thomasville Family Medicine Center
951 South Broad Street
Thomasville, GA 31792
(229) 228-4130
Internal
Medicine
Family
Practice
Williams, Charles D,
Internal
Medicine
Scott, Marvetta A.,
Krebs, Clara T.,
Penner, Steven J.,
Williamson, Thomas B.,
Honolulu
Hawai'i Pacific Health Straub - Hawa
Kai
Koko Marina Shopping Center, 7192
Kalanianaole Hwy
Honolulu, HI 96825-184
(808) 396-6321
Family
Practice
Yee, Eric K.s.,
Hawaii
Internal
Medicine
Aiea
Kwan, Yvonne Yee-wan,
Hawai'i Pacific Health Straub Pearlridge
98-151 Pali Momi Street
Aiea, HI 96701
(808) 483-6400
Nakamura, Travis Hideki,
Family
Practice
Relles, Natalie Leinani,
Internal
Medicine
Kurosawa, Michael N.,
Lencinas, Claudio L,
Nguyen, Marisa A.,
Nordyke, Thomas J.,
Price, Monica M.,
Hawai'i Pacific Health Straub - Main
Clinic and Hospital King Street
888 S King St
Honolulu, HI 96813-300
(808) 522-4000
Internal
Medicine
Arnold, Stephen D.,
Chekuri, Asha R,
Chen, Janny Huei,
Page 43 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Hawaii
Hawaii
Hawaii
Honolulu
Kaneohe
Lana'i City
Hawai'i Pacific Health Straub - Main
Clinic and Hospital King Street
888 S King St
Honolulu, HI 96813-300
(808) 522-4000
Hawai'i Pacific Health Straub Kaneohe
46-056 Kamehameha Highway, Suite
221
Kaneohe, HI 96744
(808) 233-6200
Hawai'i Pacific Health Straub - Lana'
628 7th St
Lana'i City, HI 96763
Internal
Medicine
China, Todd James,
Fu, Rebekah,
Kozak, Kathleen R.,
Loui, Bennett Y.c.,
Mickey, John V.,
Family
Practice
Mickels, Ellen K.,
General
Practice
Kubo, Todd T.,
Nekomoto, Jeffrey Sadato,
Internal
Medicine
Omori, Sean H.,
Chang, Melvin K.,
Rayner, Enid Lynn,
Jose, Erma F.,
Williams, Katherine Ann,
Lee, Mark C.,
Zerez, Charles R.,
Mitsunaga, Dave A.,
Kailua
Kapaa
Acute Care Medical Services
660 Kailua Road
Kailua, HI 96734
(808) 234-9884
Hawai'i Pacific Health Kaua'i Medical
Center - Kapaa Clinic
4-1105 Kuhio Highway, Suite A1
Kapaa, HI 96746
(808) 822-3431
Family
Practice
Sussman, Robert Benjamin,
Family
Practice
Family
Practice
Le, Mary N. d.,
Lihue
Aloha Medical Center
4484 Pahee Street
Lihue, HI 96766
(808) 246-3800
Family
Practice
Lanson, Edward S.,
Internal
Medicine
Flora, Constante J.,
Nurse
Practitioner
Wright, Ellen F,
Hawai'i Pacific Health Kaua'i Medica
Center - Internal Medicine Lihue
3-3420 Kuhio Highway, Ste B
Lihue, HI 96766
(808) 245-1540
Family
Practice
Hawai'i Pacific Health Straub - Kailua
602 Kailua Road # 200
Kailua, HI 96734
Goodale, Richard M.,
Internal
Medicine
Oglivie, Patrick D.,
Family
Practice
Trpkovski, Tony,
Internal
Medicine
Aoki, John E.,
Hawai'i Pacific Health Kaua'i Medical
Center - Koloa Clinic
5371 Koloa Rd
Kaua'i, HI 96756
(808) 742-1621
Muana, Owen V.,
Family
Practice
Hawai'i Pacific Health Straub - Milila
95-1249 Meheula Pkwy # 187
Mililani, HI 96789-179
(808) 625-6444
Christensen, Susan Margaret,
Concepcion, Lehualani Kealohi,
Glenn, Dale M.,
Taba, Marti Y.,
Internal
Medicine
Kaua'i
Murray, Joseph M.,
Brady, Stephen,
Lana'i City
Kaneohe
Hawai'i Pacific Health Straub - Lana'i
628 7th St
Lana'i City, HI 96763
Family
Practice
Janikowski, John Edward,
Scheppers, Dennis R.,
Pixler, Mary G.,
Splittstoesser, Lisa S,
Mililani
Family
Practice
Kauhane, Aaron D.,
Kwan, Siuling Y.,
Internal
Medicine
Page 44 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Hawaii
Illinois
Illinois
Mililani
Addison
Belvidere
Hawai'i Pacific Health Straub - Mililani
95-1249 Meheula Pkwy # 187
Mililani, HI 96789-179
(808) 625-6444
Elmhurst Clinic - Addison
303 West Lake Street, Suite 202
Addison, IL 60101
(630) 832-0000
Internal
Medicine
Family
Practice
SwedishAmerican Medical Group Belvidere
1700 Henry Luckow Lane
Belvidere, IL 61008
(815) 544-8030
Baliad, Val B.,
Singla, Vineet,
Dang, Andrew W.y.,
Aurora
Matsukawa, Robin Izumi,
Dreyer Medical Clinic
1870 W. Galena Blvd
Aurora, IL 60506
(630) 906-5211
Idaho
Aberdeen
Health West Inc- Aberdeen Clinic
330 N. Main
Aberdeen, ID 83210-0419
(208) 397-4126
Family
Practice
Horrocks, Mark,
Pocatello
Health West Inc. - Pocatello Clinic
845 West Center St, Suite 200
Pocatello, ID 83204-4237
(208) 232-6260
Family
Practice
Family
Practice
Cosgrove Counts, Kristen M,
Ho, Vivien T,
Internal
Medicine
Dave, Shilpa S.,
Rush-Copley Family Medicine CenterRush-Copley Family Medicine
Residency Program
2020 Ogden Avenue, Ste.330
Aurora, IL 60504
(630) 978-4850
Hill, Richard Cutler,
Family
Practice
Rodriguez, Yolanda,
Choi, Natalie J.,
Physician
Assistant
Fann, Brenda K.,
Bieniasz, Paul,
Bartlett
Reynolds, Kerry Robert,
Dupage Medical Group Bartlett Family
Practice
1124 Sterns Road
Bartlett, IL 60103
(630) 213-7788
Illinois
Addison
Dupage Medical Group Salt Creek
Family Practice
303 West Lake Street, Suite 105
Addison, IL 60101
(630) 628-8889
Lasher, Maria,
Family
Practice
Chirila, Monica S,
Family
Practice
Rojas, Raymond,
Anderson, Craig S,
Drugas, Gina E,
Internal
Medicine
Sherman, Judith A,
Espinosa, Edwin V,
Wojcik, Corinna L,
Belvidere
Rondeau, Lisa,
Family
Practice
Simmons, Mary,
Bloomingdale
Dupage Medical Group Stratford
Internal Medicine
30 Stratford Drive, Suite 110
Bloomingdale, IL 60108
(630) 893-2210
Internal
Medicine
Hurst, Robert J,
Maida, Gerald A,
Patel, Sonal G,
Rossi, Waheeda S,
Slonek, Ronald A,
Elmhurst Clinic - Bloomingdale
471 West Army Trail Road, Suite 102
Bloomingdale, IL 60108
(630) 671-8020
Pediatrics
Hoffman, Michael T.,
Zeitler, Kirsten E.,
Byron
SwedishAmerican Medical Group Byron Clinic
220 W. Blackhawk
Byron, IL 61010
(815) 234-2611
Family
Practice
Rogers, Emily,
Carbondale
SIU Family & Community Medicine
Residency - Carbondale
305 W. Jackson, Suite 200
Carbondale, IL 62901
(618) 536-6621
Family
Practice
Page 45 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Carbondale
Chicago
Chicago
SIU Family & Community Medicine
Residency - Carbondale
305 W. Jackson, Suite 200
Carbondale, IL 62901
(618) 536-6621
Advocate Medical Group - Sykes
2345 S. King Dr.
Chicago, IL 60616
(312) 842-7117
La Rabida Children's Hospital-Medic
home for Chidlren with Special Health
Care Needs
La Rabida Children's Hospital, 6501
South Promontory Drive
Chicago, IL 60649
(773) 363-6700
Family
Practice
Moore-Connelley, Marci L,
Family
Practice
Brookenthal, Heidi Sharon,
Naing, Kyaw T.,
Internal
Medicine
Scott, Quincy O.,
Ema, Linus,
Smaga, Sharon A.,
Ha, Juhyun,
Carol Stream
Honasoge, Ananth,
Dupage Medical Group Mona Kea
Family Practice
393 Schmale Road
Carol Stream, IL 60188
(630) 665-6500
Lasi-siddiqi, Shehla,
Family
Practice
Sayef, Nanzeen,
Glas, Beverly C,
Pace, John B,
Chicago
Advocate Medical Group - Beverly
9831 S. Western Ave.
Chicago, IL 60643
(847) 795-3969
Pamintuan, Rodolfo,
Pokharna, Mandakini,
Ruestow, Paul,
Senseng, Daniel Mendoza,
Wolf, Steven,
Yashina, Valeria,
Yisak, Solomon,
Pediatrics
Farnsworth, David,
Pediatrics
Roy, Ruby,
Rush Health - West Loop University
Medicine, LTD
1725 W Harrison, Suite 010
Chicago, IL 60612
(312) 942-6013
Internal
Medicine
Bailey, Michele Lynne,
Bryan, Nancy Elizabeth,
Kelly, Frank C,
Mace, Laco Lane,
Rush Health - Associates In Internal
Medicine
1725 W. Harrison Street, Suite 263
Chicago, IL 60612
(312) 942-6700
Miller, Paul,
Internal
Medicine
Palmer, Shari,
Ansell, David A,
Behal, Rajneesh,
Aboughannam, Necholas,
La Rabida Children's Hospital-Medical
home for Chidlren with Special Health
Care Needs
La Rabida Children's Hospital, 6501
South Promontory Drive
Chicago, IL 60649
(773) 363-6700
Byas, Robia,
Neonatology
Family
Practice
Bell, Evelyn Michele,
Hampton, Tony Anthony,
Internal
Medicine
Gormley, Nanette,
Manaparambil, Sheela,
Hobaugh, Michael R,
Mykoniatis, Gabrielle Eileen,
Pediatric Infectious
Disease
Natanawan, Emerito,
Bishku, Dilek A,
Omerovic, Azra,
Chernoff, Edith Jacobson,
Sreerama, Shantala,
Fritz, Nancy Elaine,
Advocate Medical Group - Sykes
2345 S. King Dr.
Chicago, IL 60616
(312) 842-7117
Qamar, Izhar U,
Pediatrics
Jaudes, Paula K,
Diethelm, Jessica Marie,
Strauss, Pamela D,
Rush Health - Lifetime Medical
Associates
1645 W. Jackson Blvd, Suite 215
Chicago, IL 60612
(312) 942-8000
Family
Practice
Mehrotra, Surabhi,
General
Practice
Nam, Teresa K,
Pripstein, Jeremy B,
Internal
Medicine
Parks, Clarence A,
Page 46 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Chicago
Chicago
Decatur
Rush Health - Rush Pediatric Primary
Care
1645 W. Jackson, Suite 200
Chicago, IL 60612
(312) 942-2200
Rush Health - Rush University
Physicians at Lincoln Park
2835 N Sheffield Avenue, Suite 104
Chicago, IL 60657
(773) 472-3704
Decatur Memorial Hospital Medical
Group
102 W. Kenwood Av., Ste. 130
Decatur, IL 62526
(217) 876-6350
Pediatrics
Family
Practice
Family
Practice
Pitlosh, Max John,
Mccormack, Anthony T,
Internal
Medicine
Decatur Memorial Hospital Medical
Group-North Monroe Family Medicin
#1
North Monroe Family Medicine #1,
2220 N Monroe Ave Suite 104
Decatur, IL 62526
(217) 876-6330
Drazba, Carrie Lyn,
Felten, Daniel Eric,
Hanrahan, Austin Edward,
Kewalramani, Anita Lall,
Leonard, Sherald R,
Levin, Gerald S,
Levy, Uma S,
Lowell, Gina S.,
Lui, Karen J,
Martin, Molly A,
Scotellaro, Margaret A,
Sholiton, Sharon E,
Slade, Renee F,
Voigt, Bridget L,
Volin, Beth A,
Rush Health - Rush Senior Care Group
1725 W. Harrison Street, Suite 955
Chicago, IL 60612
(312) 942-7030
Geriatric Medicine/Family
Practice
Forys, Olivia C,
Walsh, Patricia A,
Rush University Family Physicians
1700 W. Van Buren, Suite 470
Chicago, IL 60612
(312) 942-0400
Family
Practice
Augustin, Joel J,
Brown, Maria I,
Kring, Gina L,
Rothschild, Steven K,
Ryan, Norman S,
Salas, Miguel A,
Southeast Center - Advocate Medical
Group
2301 E. 93rd St.
Chicago, IL 60617
Bednarczyk, Magdalena,
Family
Practice
Dong, Xinqi,
Echols-simpson, Alexandria,
Geriatric Medicine/Internal
Medicine
Jones, Forrest,
Gorbien, Martin J,
Leiding, Michael J.,
Nelson, Senora,
Taylor, Karen Elizabeth,
Olson, Jack C,
Internal
Medicine
Perry, Anthony J,
Currie, Laverne,
Rush Health - Rush University
Physicians at Lincoln Park
2835 N Sheffield Avenue, Suite 104
Chicago, IL 60657
(773) 472-3704
Family
Practice
Bowser, Robert L,
Moaddab, Golbarg,
Osman, Ishrat,
Decatur
Decatur Memorial Hospital Medical
Group
102 W. Kenwood Av., Ste. 130
Decatur, IL 62526
(217) 876-6350
Family
Practice
Konda, Sudhakar Reddy,
Decatur Memorial Hospital Medical
Group-North Monroe Family Medicin
#2
North Monroe Family Medicine #2,
2220 North Monroe Ave Suite 104
Decatur, IL 62526
(217) 876-6330
Family
Practice
Pabalate, Roberto Garcia,
Decatur Memorial Hospital Medical
Group-West Hay Medical Center
West Hay Medical Center, 304 W Hay
St Suite 312
Decatur, IL 62526
(217) 876-5600
Internal
Medicine
Baumberger, David W,
Nurse
Practitioner
Coventry, Mary Helen,
SIU Family & Community Medicine
Residency - Decatur
250 West Kenwood Ave.
Decatur, IL 62526
(217) 872-0854
Family
Practice
Arguelles, Cesar S.,
Page 47 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Decatur
Elmhurst
Forsyth
SIU Family & Community Medicine
Residency - Decatur
250 West Kenwood Ave.
Decatur, IL 62526
(217) 872-0854
Elmhurst Clinic - Center for Health
1200 South York Road, 2nd Floor
Elmhurst, IL 60126
(630) 941-2600
Decatur Memorial Hospital Medical
Group Forsyth North
241 W Weaver Rd., Suite 145D
Forsyth, IL 62535
(217) 876-5250
Family
Practice
Bradley, John G,
Ellington, Charles R,
Junker, Jessie Ann,
Scott, Mark,
Downers Grove
Dupage Medical Group - Downers
Grove Internal Medicine
3743 Highland Avenue, Suite 1001
Downers Grove, IL 60515
(630) 435-9888
Internal
Medicine
Cheung, Joanne Sooin,
Cordero, Weiser E,
Ip, Gigi,
Krouse, Richard A,
Labotka, David,
McPartlin, Richard F,
Pentony, Eileen D,
Pitrak, James G,
Schmitz, Steven M,
Elgin
V Susarla MD SC
860 Summit Street
Elgin, IL 60120
(847) 741-0026
Internal
Medicine
Kaliski, Joseph S.,
Nosek, Michael T.,
Van Reken, Philip,
Pediatrics
Andersen, Robert S.,
Gracey, Therese M.,
Lopatka, Julie M.,
Matusiak, David M.,
Family
Practice
Newcome, Kristin K,
Decatur Memorial Hospital Medical
Group Forsyth West
241 W Weaver Road, Suite 145A
Forsyth, IL 62535
Family
Practice
Yocks, Brian C,
Senese, Marianne,
Nurse
Practitioner
Uribe, Victoria,
Shelton, Megan A.,
Elmhurst Clinic - Schiller
172 Schiller Street
Elmhurst, IL 60126
(630) 993-9686
Family
Practice
Benages, John A.,
Gillespie
Macoupin Family Practice Centers,
LLP - Gillespie
715 West Broadway St.
Gillespie, IL 62033
(217) 839-4491
Boskov, Tanja,
Family
Practice
Littman, Jonathan W.,
Poirot, Chris Philip,
Pae, Nathaniel,
Weber, Bruce Frank,
Spiewak, Matthew,
Glen Ellyn
Internal
Medicine
Dupage Medical Group Glen Ellyn
Internal Medicine
430 Pennsylvania Avenue, Suite 310
Glen Ellyn, IL 60137
(630) 790-1792
Damergis, John A.,
Malloy, Mary Ann,
Pantano, Maelen M.,
Family
Practice
Pillai, Anita P.,
Family
Practice
Forsyth
Kumar, Ashok,
Susarla, Savitha,
Decatur Memorial Hospital
240 W Weaver Road Ste 145B
Forsyth, IL 62535
(217) 876-5220
Internal
Medicine
Family
Practice
Duvel, Adelbert C,
Internal
Medicine
Susarla, Viswanatham,
Elmhurst
Elmhurst Clinic - Center for Health
1200 South York Road, 2nd Floor
Elmhurst, IL 60126
(630) 941-2600
Miller, Timothy A,
Briney, Jr., Walter F,
Delew, Jonathan C.,
Houlihan, Jean M,
Kungl, Mary Eileen,
Marshall, Thomas E.,
Page 48 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Glen Ellyn
Lombard
Naperville
Dupage Medical Group Glen Ellyn
Internal Medicine
430 Pennsylvania Avenue, Suite 310
Glen Ellyn, IL 60137
(630) 790-1792
Dupage Medical Group Lombard
Internal Medicine
1801 South Highland Avenue, Suite 130
Lombard, IL 60148
(630) 627-4722
Dupage Medical Group - RollingRidge
Family Practice/Internal Medicine
2940 Rolling Ridge Road, Suite 300
Naperville, IL 60564
(630) 646-5800
Internal
Medicine
Internal
Medicine
Family
Practice
Regan, Kevin W,
Andreoni, II, Julia C,
Pulluru, Soujanya R,
Tolani, Sonya R,
Bhagwakar, Ojash T,
Rusthoven, Donald M,
Tomaszewski, Jeffrey D,
Dungan, David D,
Wolfe, Caroline M,
Jentel, Jacques J,
Internal
Medicine
Hinsdale
Kicsak, Kathleen M,
Dupage Medical Group - Hinsdale
Internal Medicine
908 N. Elm, Suite 301
Hinsdale, IL 60521
(630) 323-3540
Meyer, Paul M,
Internal
Medicine
Smith, Elizabeth M,
Arand, Walter A,
Carbone, Robert A,
Gallagher, Thomas J,
Griffin, Jason D,
Hashimoto, Amy,
Koliopoulos, Elias J,
Sievertsen, Grant D,
Momoyama, Yoko,
Nikoleit, James R,
Schwartzers, Debra L,
Elmhurst Clinic - Lombard
130 South Main Street
Lombard, IL 60148
(630) 652-4200
Family
Practice
Cespedes, Carlos M.,
Cespedes, David B.,
Virant, Jennifer T,
Internal
Medicine
Litchfield
Kandel, Ninel,
Litchfield Family Practice Center
1285 Franciscan Dr
Litchfield, IL 62056
(217) 324-6127
Vukomanovic, Emela,
Family
Practice
Ishmael, Timothy L,
Johnson, Phillip W,
Wujek, Daniel A,
Lombard
Dupage Medical Group Lombard
Internal Medicine
1801 South Highland Avenue, Suite 130
Lombard, IL 60148
(630) 627-4722
Pediatrics
Conroy, Michelle N.,
Marengo
SwedishAmerican Medical Group Marengo Clinic
204 E Prairie Street
Marengo, IL 60152
(815) 568-3300
Family
Practice
Dy, Jason C,
Dupage Medical Group Hobson Famil
Practice
1220 Hobson Road, Suite 204
Naperville, IL 60540
(630) 416-7766
Family
Practice
Bennett, Kimberly H,
Connolly, Mary C,
Grobe, Glenn N,
Weithman, Donatus F,
Winkler, Beth M,
Internal
Medicine
Lee, John K.,
Dupage Medical Group Martin Ave
Internal Medicine
10 West Marting Avenue, Suite 240
Naperville, IL 60540
(630) 355-6200
Internal
Medicine
Collins, James J,
Dupage Medical Group Midwest
Internal Medicine
1020 East Ogden Avenue, Suite 115
Naperville, IL 60563
(630) 717-8707
Lopez, Cassandra,
Internal
Medicine
Naperville
Franklin, Malcolm Bernard,
Geannopoulos, Audrey H,
King, Robert F,
O'leary, Brian M,
Page 49 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Naperville
Naperville
Park Ridge
Dupage Medical Group Midwest
Internal Medicine
1020 East Ogden Avenue, Suite 115
Naperville, IL 60563
(630) 717-8707
Dupage Medical Group Washington
Internal Medicine
640 South Washington, Suite 268
Naperville, IL 60540
(630) 961-2710
Advocate Medical Group - Nesset
Family Medicine
1775 Ballard Rd.
Park Ridge, IL 60068
(847) 795-3969
Internal
Medicine
Internal
Medicine
Family
Practice
Shah-rhodes, Sonal R,
Hashmi, Naira D,
Chicoine, Brian Allen,
Vercelli, Kenneth,
Hashmi-Basha, Maleeha N,
Efstathiou, Anastasia,
Dupage Medical Group Spalding
Family Practice
100 Spalding Drive, SUITE 400
Naperville, IL 60540
(630) 717-2646
Oak Park
Goldman, Stuart Lewis,
Elmhurst Clinic - Oak Park
1100 Lake Street, Suite 230
Oak Park, IL 60301
(708) 524-1420
Gravdal, Judith Ann,
Family
Practice
Dorsey-Johnson, Karla C,
Fitzgerald, Michael E,
Kay, Stephanie,
Lazar, Aaron J,
Mistry, Marilyn S,
Dupage Medical Group Spalding
Internal Medicine
100 Spalding Drive, Suite 408
Naperville, IL 60540
(630) 717-2630
Internal
Medicine
Carpenter, Robert G,
Hong, Jerome J,
Kim, Susan S,
Lee, Alicia K,
Michl, Edward G,
Trevino, Gregory M,
Dupage Medical Group Three Farms
Family Practice
DUPAGE MEDICAL GROUP THREE
FARMS FAMILY PRACTICE, 1948
THREE FARMS AVENUE
NAPERVILLE, IL 60540
(630) 527-1818
Family
Practice
Gaonkar, Tushar R,
Family
Practice
Gutman, Inna,
Hoeper, Eric Nathaniel,
Kirschner, Greg Kenneth,
Ninan, Reji,
Hutton, Mary C.,
O'Meara, Robin Susan,
Kyle, Michael L.,
Perlow, Bruce Allen,
Liu, Ingrid Y.,
Perlow, Tamar,
Oblong
Vormittag, Kara Ann,
Crawford Memorial Hospital Rural
Health - Oblong
104 North Garfield
Oblong, IL 62449-1426
(618) 592-3119
Peoria
Family
Practice
OSF Medical Group-Peoria - Route 91
Intermal Medicine
8600 N. State Route 91, Suite 130
Peoria, IL 61615
(309) 683-5050
Sharma, John A.,
Emergency
Medicine
Palestine
Agarwal, Naresh Kumar,
Crawford Memorial Hospital Rural
Health - Palestine
209 E Grand Prairie
Palestine, IL 62451-1254
(618) 586-2153
Internal
Medicine
Nurse
Practitioner
Adams, James K.,
Hippler, Stephen E.,
Mulcahey, Kathryn A.,
Salazar, Vivian W.,
Burbank, Patricia Jean,
Plainfield
Park Ridge
Dupage Medical Group Plainfield
Internal Medicine
24020 W. Riverwalk Court, Suite 102
Plainfield, IL 60544
(815) 676-2575
Advocate Medical Group - Nesset
Family Medicine
1775 Ballard Rd.
Park Ridge, IL 60068
(847) 795-3969
Love, Scott W,
Family
Practice
Martin, Alicia A,
Briner, William,
Internal
Medicine
Franklin, Malcolm B,
Shah-Rhodes, Sonal R,
Page 50 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Quincy
Quincy
Robinson
Quincy Family Practice
612 North 11th Street
Quincy, IL 62301-2662
(217) 224-9484
Quincy Medical Group-Quincy
1025 Maine
Quincy, IL 62301
(217) 222-6550
Family
Practice
Internal
Medicine
Crawford Memorial Hospital Rural
Health - Robinson
1101 North Allen Street
Robinson, IL 62454-1168
(618) 544-3500
Friye, Pamela Phillips,
Kim, Louis Y,
Kim, May,
Leimbach, Kurt L,
Kruse, Jerry E,
Patel, Pravinchandra C,
Mackrides, Paula S,
Scott, John K,
Miller, Thomas H,
Nephrology
Ott, Timothy Titus,
Phillips, Debra M,
Stanton, Ranae,
Evans, Dan H,
Ghanekar, Hrishikesh,
White, Donna L,
Nurse
Practitioner
Physician
Assistant
Campbell, Becky,
Miller, Erica Marie,
Oakley, Theresa H,
Surgery,
Orthopedic
Grigsby, Susan,
Maxeiner, Angelia,
Ourth-finlay, Joni,
Peterson, Jane,
Daniels, James M,
Stumpf, Elizabeth J,
Quincy Medical Group-Quincy
1025 Maine
Quincy, IL 62301
(217) 222-6550
Pediatrics
Emergency
Medicine
Reyburn, Stephanie A,
Family
Practice
Go, Dennis E.,
Minnick, Larry C,
Schlepphorst, Richard F,
Noble, Richard K,
Real, Lance David,
Reyburn, Adam M,
Internal
Medicine
Andrews, Gregory R,
Nurse
Practitioner
Hudson, Robin L,
Rockford
SwedishAmerican Medical Group- Fiv
Points Clinic
2404 Charles Street
Rockford, IL 61108
(815) 391-7919
Family
Practice
Ironside, Mary jo,
Ross, Joseph E,
SwedishAmerican Medical GroupValley Clinic
6824 Newburg Road
Rockford, IL 61108
(815) 391-7160
Everson, Ralph W,
Nassery, Manoocher,
Crawford Memorial Hospital Rural
Health - Robinson
1101 North Allen Street
Robinson, IL 62454-1168
(618) 544-3500
Love, Kreg,
Williams, Janssen Jacob,
Pulmonary
Disease
Altman, Dana B,
Eling, Michael J.,
Kastner, Gregory Paul,
Family
Practice
Robinson
Davis, Larry J.,
Becker, Vickie,
Torre-hilotin, Temotea,
Allen, Tawny L.,
Batra, Divya,
Internal
Medicine
Family
Practice
Atienza-tennison, Eleanor Umali,
Tennison, Gary A,
General
Practice
Phillippe, Michael Gene,
SwedishAmerican Medical GroupWoodside Clinic
3775 N. Mulford Road
Rockford, IL 61114
Pediatrics
Hall, Kendra M,
Springfield
SIU Center for Family Medicine
520 N. 4th Street
Springfield, IL 62702
(217) 757-8137
Family
Practice
Aldridge, Tracy A,
Barnhart, Amber J,
Page 51 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Illinois
Illinois
Illinois
Springfield
West Frankfort
Wheaton
SIU Center for Family Medicine
520 N. 4th Street
Springfield, IL 62702
(217) 757-8137
West Frankfort Family Medicine
2553 Ken Gray Blvd
West Frankfort, IL 62896-4174
(618) 932-3937
Family
Practice
Family
Practice
Dupage Medical Group Wheaton
Internal Medicine
1800 North Main Street
Wheaton, IL 60187
(630) 510-6900
Brenham, Careyana M,
Humphrey, Jon O,
Dynda, Michal,
Malone, Sara,
Ewart, Robert M,
Shelton, Socorro J,
Gleason, Christopher L,
Tippy, Penelope K,
Graham, David Buoy,
Westmont
Lopp, Lauri F,
Dupage Medical Group - Westmont
Family Practice
801 N. Cass Ave., Suite 300, SUITE 300
Westmont, IL 60559
(630) 963-4570
Mirocha, Nichole,
Thomas, Cynthia G,
Nurse
Practitioner
Ledbetter, Cynthia A,
Physician
Assistant
Albertini, Brad C,
Sims, Zachary,
Special Proficiency in Osteopathic
Manipulative Medicine
Lausen, Harald,
Sullivan
Decatur Memorial Hospital Medical
Group - Sullivan Medical Center
1220 W. Jackson Street
Sullivan, IL 61951
(217) 728-2042
Family
Practice
Allega, Rohn S,
Family
Practice
Bicek, Paul D,
Hung, Stephen C,
Janowitz, Robert A,
Internal
Medicine
Bhatt, Shamir,
Kalache, Zeina,
Wheaton
Dupage Medical Group Wheaton
Family Practice
1800 North Main Street
Wheaton, IL 60187
(630) 510-6900
Family
Practice
Isoniemi, Mark K,
Internal
Medicine
Herzing, Rita J,
Pierson, Stephen L,
Scruggs, James W,
Personalized Physicians Group
7 Blanchard Circle, Suite 106
Wheaton, IL 60189
(630) 580-7600
Family
Practice
Born, John,
Internal
Medicine
Kolbaba, Scott,
Wood Dale
Elmhurst Clinic - Wood Dale
236C East Irving Park Road
Wood Dale, IL 60191
(630) 860-1622
Family
Practice
Boyd, Laura B.,
Woodridge
Dupage Medical Group Woodridge
Family Practice
7409 Woodridge Drive, Suite A
Woodridge, IL 60517
(630) 241-1000
Kemp, Robert W,
Family
Practice
Nelson, Mark P,
Costabile, Dominic,
Nelson, Sara L,
Fernandez, Anthony M,
Rikert, Dejan,
Nelson, Glenn E,
Su, Lenora J,
Towers, Joseph D,
Youngs, Shawn M,
Indiana
Pediatrics
General
Practice
Avon
Carlson, Scott,
Patel, Sapan M,
Washington
OSF Medical Group-Peoria Washington Pediatrics
10 Saint Claire Ct.
Washington, IL 61571
Internal
Medicine
Alonso, Lynessa A,
Shallat, Shelly,
Page 52 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Indiana
Indiana
Indiana
Avon
Indianapolis
Indianapolis
IU Medical Group-Primary CareClarian West (Avon)
1115 N. Ronald Reagan Parkway, Suite
141
Avon, IN 46123-7085
(317) 278-3200
IU Medical Group - Primary Care - IU
Hospital
550 N University Blvd, UH3005
Indianapolis, IN 46202-5149
(317) 274-2167
IU Medical Group Primary Care Epler Parke
5550 S East Street, Suite 1
Indianapolis, IN 46227
(317) 780-4080
Oncology,
Medical
Internal
Medicine
Raghavendra, Meghana,
Fitzgerald, John F,
IU Medical Group - Primary Care _
Glendale
2625 E 62nd St, Suite 2010
Indianapolis, IN 46220
(317) 251-6121
Goshorn, Robyn K,
Family
Practice
Wilson, Jane E,
Family
Practice
Fryman, David Lawrence,
Mckeag, Douglas B,
Murray, Tracy P,
Internal
Medicine
Ihlendorf, Jeffrey Richard,
MCcormick, Meredith L,
Richeson, Coby T,
Fishers
Sloan-Brown, Leeandrea,
Internal
Medicine
IU Medical - Group Primary Care Saxony
13100 136th Street, Suite 3400
Fishers, IN 46031
(317) 678-3800
Bruns, Mark D,
Internal
Medicine
Hill, Steven D,
Juthani, Sunil J,
Indianapolis
IU Medical Group - Primary Care - IU
Hospital
550 N University Blvd, UH3005
Indianapolis, IN 46202-5149
(317) 274-2167
Family
Practice
Fagan, Daniel J,
Bysani, Nanda,
Harris, Terri L.,
Marshall, Thomas R,
Kelley, Patrick E.,
Pediatrics
Robb, Alicyn D.,
Rose, Susan P.,
IU Medical Group - Riley MSA 1
702 barnhill Drive, #1300
Indianapolis, IN 46202-5128
(317) 274-2801
Stotsky, Gail,
Pediatrics
Liu, Gilbert,
Rushton, Jerry L.,
Szczepaniak, Dorota A.,
IU Medical Group Primary Care Epler Parke
5550 S East Street, Suite 1
Indianapolis, IN 46227
(317) 780-4080
Neumann, Steven J,
Emergency
Medicine
Solotkin, David,
Takesue, Blaine Y,
Solotkin, David,
Internal
Medicine
Oncology,
Medical
IU Medical Group-Primary Care Eagle Highlands
Methodist Medical Plaza II, 6820
Parkdale Place, Suite 100
Indianapolis, IN 46254
(317) 297-7773
Pediatrics
Rocillo, Gina,
Leon, Brian R,
Vik, Wynter K,
Internal
Medicine
Treadwell, Patricia A.,
Kiray, Gregory C,
Porter, David H,
Kiray, Susan G,
Nommensen, Michael J.,
Internal
Medicine
Pediatrics
Bowles, Rachael S,
Wishard Health Services/Eskenazi
Medical Group - Forest Manor
3840 N. Sherman Drive
Indianapolis, IN 46226
(317) 541-3400
Family
Practice
Fan, Ellen,
Rhyant, Broderick J,
Shreder, Vera A,
Internal
Medicine
Durr-stein, Vada,
Mamlin, Burke W,
Nurse
Practitioner
Jefferis, Jeanette P,
Pediatrics
Cates-Lonberger, Patrice Marie,
Page 53 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Indiana
Indiana
Indiana
Indianapolis
Indianapolis
Indianapolis
Wishard Health Services/Eskenazi
Medical Group - Forest Manor
3840 N. Sherman Drive
Indianapolis, IN 46226
(317) 541-3400
Wishard Health Services/Eskenazi
Medical Group - Center of Senior
Health
1001 W. 10th Street, Regenstrief Health
Center, 4th Floor
Indianapolis, IN 46202
Wishard Health Services/Eskenazi
Medical Group - North Arlington
2505 N. Arlington Avenue
Indianapolis, IN 46218-331
Pediatrics
Goebel, Laurie A,
Geriatric Medicine/Internal
Medicine
Lynn-Hiller, Dana,
James, Todd Christopher,
Shew, Marcia L,
Westmoreland, Glenda R,
Treadwell, Patricia A,
Internal
Medicine
Vanreken, David E,
Internal
Medicine
Ciccarelli, Mary,
Djuricich, Alexander M,
Mckenna, Sarah J,
Nace, Jeffrey J,
Reed, Cynthia K,
Nazir, Arif,
Pediatrics
Wishard Health Services/Eskenazi
Medical Group - Cottage Corner
1434 S Shelby Street
Indianapolis, IN 46203
(317) 655-3200
Cobbs, Elizabeth,
Davidson, Sarah,
Internal
Medicine
Pediatric
Rheumatology
Lapitz, Alvaro,
Battiwalla, Meher M,
Klausmeier, Thomas L,
Litzelman, Debra K,
Lonberger, Azarias Shamus,
Pediatrics
Robles, Maria Parker spector,
Tiritilli, Mark E,
Carroll, Aaron,
Schwartz, Peter H,
Vasquez, Nora Linda,
Downs, Stephen M,
Simonaitis, Linas,
Neonatal-Perinatal
Medicine
Fox, Dianna L,
Wishard Health Services/Eskenazi
Medical Group - Adult Medicine
1002 Wishard Blvd., 4th Floor
Indianapolis, IN 46202
(317) 692-2323
Internal
Medicine
Solotkin, David,
Solotkin, David,
Steinmetz, Christopher A,
Wishard Health Services/Eskenazi
Medical Group - Blackburn
2700 Dr. Martin Luther King Dr.
Indianapolis, IN 46208
(317) 931-4300
Family
Practice
Rinderknecht, Seth David,
Internal
Medicine
Misumi, Cynthia O,
Pediatrics
Bradshaw, Patricia,
Conway, Lamenta S,
Wishard Health Services/Eskenazi
Medical Group - Grassy Creek
9443 East 38th Street
Indianapolis, IN 46236
(317) 890-2100
Internal
Medicine
Brady, Timothy B,
Kuonen, Elizabeth Ann,
Wehr, Audrey Michelle,
Wishard Health Services/Eskenazi
Medical Group - House Calls
1001 W. 10th Street, OPW-M200
Indianapolis, IN 46202
Kunzer, John,
Geriatric Medicine/Internal
Medicine
Means, Ira K,
Beck, Robin,
Wishard Health Services/Eskenazi
Medical Group - PCC 2 Pediatrics
1002 Wishard Blvd., 2nd Floor
Indianapolis, IN 46202
Gonzalez, Robert,
Gray, Frances L,
Phipps, Erin J,
Pryor, Karl D,
Stelzner, Sarah M,
Wishard Health Services/Eskenazi
Medical Group - Primary Care-Pecar
6940 N. Michigan Road, Suite 140
Indianapolis, IN 46268
(317) 266-2901
Family
Practice
Lobo, Daniela,
Schwen, Sarah A,
Internal
Medicine
Klotz, Kenneth Edward,
Marquez salazar, Karla Erika,
Pediatrics
Bair, Rita,
Page 54 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Indiana
Indiana
Iowa
Indianapolis
Mooresville
Ames
Wishard Health Services/Eskenazi
Medical Group - Primary Care-Pecar
6940 N. Michigan Road, Suite 140
Indianapolis, IN 46268
(317) 266-2901
IU Medical Group - Primary Care Mooresville
820 Samuel Moore Parkway, Suite A
Mooresville, IN 46158-1794
(317) 483-5000
McFarland Clinic PC - Family
Medicine North
3815 Stange Road
Ames, IA 50010-3014
Pediatrics
Internal
Medicine
Haut, Dawn P,
Reinoso, Deanna R,
Wishard Health Services/Eskenazi
Medical Group - Westside
2732 W Michigan Street
Indianapolis, IN 46222-3750
(317) 554-4600
Family
Practice
Fortin-Erazo, Saura,
Nurse
Practitioner
Rippey, Rhonda Ellen,
Bohney, James P.,
Des Moines
Rawlings, Michael A,
Broadlawns Medical Center
1801 Hickman Road
Des Moines, IA 50314-1597
(515) 282-3217
Weber, Katharina M,
Noblesville
American Health Network
18077 River Avenue, Suite 104
Noblesville, IN 46062
(317) 674-0208
Family
Practice
Atzen, Angelia Renee,
Family
Practice
Danley, Dana L.,
Hendrickson, Holly M,
Hernandez Mondragon, Ruben Hernan,
Beaver, Walter,
Matson, Christopher R,
Nace, Nicole Mercer,
Iowa
Saad, Salman,
Routledge, Betty A,
Ames
Severidt, Larry,
Internal
Medicine
McFarland Clinic PC - Family
Medicine East
1018 Duff Avenue
Ames, IA 50010-3014
(515) 663-8621
Soldat, Lisa,
Family
Practice
Internal
Medicine
Bird, Michael Robert,
Thondapu, Vanaja,
Carlyle, David Adam,
Dubuque
Erbes, Gary Max,
Medical Associates Clinic - East
Campus
1000 Langwothy
Dubuque, IA 52001
(563) 584-3430
Agarwal, Neeta Bhavalkar,
Mackie, Palmer J,
Pediatrics
Helphinstine, Jill V,
Wishard Health Services/Eskenazi
Medical Group - Women's Center of
Excellence
1002 Wishard Blvd, Rm 1002
Indianapolis, IN 46202
(317) 630-6523
Family
Practice
Fogel, Janine M,
Internal
Medicine
Harris, Lisa E,
Rohr-kirchgraber, Theresa Marie,
Grandgenett, Ryan L,
Physician
Assistant
Zellweger, Jessica F,
McFarland Clinic PC - Family
Medicine North
3815 Stange Road
Ames, IA 50010-3014
Galioto, Nicholas,
Stubblefield, Joshua,
Walter, Dennis,
Workman, Douglas,
Emergency
Medicine
Sullivan, Brian Edward,
Family
Practice
Zerr, Ann D,
Family
Practice
Mooresville
Baughman, Matthew James,
Stille, Christopher M,
Jordison, Bradley J,
Internal
Medicine
Skinner, Donald Leigh,
Nurse
Practitioner
Nachtman, Chadwick James,
Abele, Jonathan Bruce,
Cihak, Debbie A,
Page 55 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Iowa
Iowa
Kansas
Dubuque
Dubuque
Kansas City
Medical Associates Clinic - East
Campus
1000 Langwothy
Dubuque, IA 52001
(563) 584-3430
Medical Associates Clinic, P.C.,
Internal Medicine - West Campus
1500 Associates Drive
Dubuque, IA 52002
(563) 584-4113
Childrens Mercy West
4313 State Avenue, 816 701 5279
Kansas City, KS 66102
(816) 701-5279
Internal
Medicine
Pediatrics
Adolescent Medicine and
Pediatric
Reyerson, Donald H,
Schuman, Stephen Jose,
Sioux City
Pediatrics
Siouxland Community Health Center
PO Box 5410
Sioux City, IA 51102
(712) 202-1010
Brewer, Lorraine A,
Janes, Mark K,
Schmid, Douglas A,
Schreiber, Thomas James,
Sinsky, Christine A,
Sinsky, Thomas Anthony,
Pediatrics
Bonner, Bethann,
Hanson, Julie F,
Olk, Douglas G.,
Emergency
Medicine
Swanson, Thor D,
Family
Practice
Medical Associates Clinic, P.C.,
Internal Medicine - West Campus
1500 Associates Drive
Dubuque, IA 52002
(563) 584-4113
Gordon, Steven F,
Family
Practice
Freiburger, Jared J,
Internal
Medicine
Daoud, Diana S,
Hattan, Gary R,
Taylor, Jonathan B,
Craemer, Chris,
Walz, Kristi D,
Mahon, John J,
Internal
Medicine
Nauer, Paula L,
Tudor, Maria Dana,
Runde, Mark P,
Guthmiller, Cynthia A,
Obstetrics &
Gynecology
Jacobs, Christopher L,
Pick, Ann M,
Wilson, Mary Michelle,
Wurth, Rachel,
O'Donnell, Erika R,
Physician
Assistant
Tinsman, Peter W,
Earleywine, Molly Lynn,
Ophthalmology
Faldmo, David N,
Fitch, Diane K.,
Pediatrics
Hubbard, James R,
Mullen, Kevin M,
Encompass Medical Group - Lenexa
Office
8550 Marshall Drive
Lenexa, KS 66214
(913) 495-2046
Armstrong, Melodie,
Chilton, Elizabeth W,
Brock, James E,
Lenexa
Prince, Danielle Davida,
Ries, Andrea L,
Neal, Laura,
Riojas, Lisa A,
Family
Practice
Nurse
Practitioner
Mehta, Trupti S,
Haley, Michelle,
Heaton, Julia S,
Moore, Mark,
Berger, Joseph P,
Ellzey, Jennifer Diane,
Guerdet, Randy,
Internal
Medicine
Fitzmaurice, Kevin J,
Gruenebaum, Michael,
Iyer, Lila,
Pediatrics
Khurana, Satish K,
Shawnee Mission Primary Care Lenexa
8700 Bourgade, Suite 2
Lenexa, KS 66219
(913) 789-3928
Family
Practice
Hendricks, William John,
Ruble, Rebecca A,
Krause, Lori K,
Internal
Medicine
Wilkinson, Clifford W,
Schultz, Jennifer L.,
Kansas
Olathe
Page 56 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Kansas
Kansas
Kentucky
Olathe
Spring Hill
Crestview Hills
Olathe Family Practice
18695 W 151 St
Olathe, KS 66062-2738
(913) 782-3322
Spring Hill Family Medicine
22450 S. Harrison St., Ste. 100
Spring Hill, KS 66083
(913) 592-2720
SEP-Crestview Hills Pediatrics
230 Thomas More Pkwy.
Crestview Hills, KY 41017
(859) 341-3383
Family
Practice
Family
Practice
Pediatrics
Feehan, John M,
Widman, Jerad E,
Overland Park
Troy
Kansas City Internal Medicine Menorah
12140 Nall, Suite 100
Overland Park, KS 66209
(913) 451-8500
Heartland Clinics- Gaul Family Practice
207 Main PO Box 547
Troy, KS 66087
(785) 985-2211
Internal
Medicine
Brown, Jennifer L,
Jacobs, Jonathan T.,
Jantz, G Keith,
Judy, Bernard O,
Shawnee
KU MedWest Family Practice
7405 Renner Blvd
Shawnee, KS 66217
(913) 588-8400
Family
Practice
Gaul, Bradley Jay,
Kentucky
Butler
SEP-Pendleton
79 Country Club Drive
Butler, KY 41006
(859) 654-2283
Family
Practice
Janning, Jeffrey Thomas,
Weghorn, Lesley Marie,
Dry Ridge
SEP-Dry Ridge
19 South Main Street, P.O. Box 266
Dry Ridge, KY 41035
(859) 823-5441
Family
Practice
Ashcraft, Troy Kenneth,
Koo, Gregory Thomas,
Utter, Sandra J,
Florence
SEP-Florence Ewing
7766 Ewing Boulevard Suite L
Florence, KY 41042
(859) 371-1153
Schafer, Michael G,
Family
Practice
Family
Practice
Internal
Medicine
Bishop, Stacey E,
Fraire Almaguer, Brenda A.,
Schack, Brian W,
Kirby, Jamie Ellen,
Covington
Sullivan, Phyllis L.,
SEP-Covington
1500 James Simpson Way, Suite 201
Covington, KY 41011
(859) 655-4111
Vinh, Anh H,
Shawnee Mission Primary CareShawnee Crossings
6815 Hilltop Road
Shawnee, KS 66226
(913) 422-2020
Family
Practice
Johnson, Clifford Dean,
Rettinger, Steven D,
Tran, Van T.,
Winters, Chad,
Internal
Medicine
Martin, Philip Eugene,
Family
Practice
Burns, Patrick Thomas,
Jarkani, Ashok P,
Sander, Mark D,
Santos, Ria Asistin,
Velaquez, Elizabeth Fischer,
Physician
Assistant
Ravencraft, James E,
SEP-Florence Turfway
7370 Turfway Road Suite 100, Suite 10
Florence, KY 41042
(859) 212-4700
Keller, Tim Burke,
Family
Practice
Philippe, Marc Todd,
Reutman, William E,
Rutterer, Daniel Edward,
Schneider, James,
Crestview Hills
Vonderbrink, Joseph P,
SEP-Crestview Hills Pediatrics
230 Thomas More Pkwy.
Crestview Hills, KY 41017
(859) 341-3383
Internal
Medicine
Dorsch, Curtis,
Goderwis, Douglas,
Page 57 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Kentucky
Kentucky
Louisiana
Independence
Williamstown
Bastrop
SEP-Nicholson
1974 Walton Nicholson Road
Independence, KY 41051
(859) 356-6800
Summit Medical Group - St. Elizabeth
Physicians - Williamstown
300 Barnes Road
Williamstown, KY 41097
(859) 824-8400
Affinity Health Group, LLC - Noble
Medical Office
355 West Hickory
Bastrop, LA 71220
(318) 281-4450
Family
Practice
Family
Practice
Burke, Brennan Christopher,
Noble, Jack Cole,
Threlkeld, William F.,
Batchelor
Willoby, Michelle L,
Innis Community Health Center
6450 Louisana Highway 1
Batchelor, LA 70715
(225) 492-3775
Family
Practice
Catanzaro, Lori A,
Isaacs, Edward,
Sanders, Craig David,
Louisville
Charasika Open Access Healthcare,
P.S.C.
4010 Dupont Circle, Ste. 309, Suite 308
Louisville, KY 40207
(502) 896-8041
Family
Practice
Charasika, James D,
Union
SEP-Union Mt. Zion
1808 Mt. Zion Road
Union, KY 41091
(859) 301-7210
Family
Practice
Gallus, Corey,
Morgan, Kathie E,
Internal
Medicine
Fitz, Robert Mark,
Walton
SEP-Walton
13260 Service Road
Walton, KY 41094
(859) 485-4116
Family
Practice
Gooch, Linda F,
Shupe, Nancy,
Tayce, Anne T,
Louisiana
Abbeville
Iberia Comprehensive Community
Health Center, Inc.-Abbeville
Community Health Center
800 Charity Street
Abbeville, LA 70510
(337) 893-3443
Family
Practice
Family
Practice
Seferovic, Admir,
Williams, Leon D.,
Baton Rouge
Ramsey, Keith Gregory,
Capitol City Family Health Center
3140 Florida street
Baton Rouge, LA 70806
(225) 650-2000
Abita Springs
Anesthesiology
Marshall, Marilyn Dianne,
Ochsner Health Center- Abita Springs
22070 Hwy 59
Abita Springs, LA 70420
(985) 892-0879
Family
Practice
Stewart, Luther,
Family
Practice
Langie, Jacqueline,
Palmisano, Vernon K,
Internal
Medicine
Avondale
Campbell, Jr., Walter Lee,
Avondale- Jefferson Community HCC
4028 US Highway 90
Avondale, LA 70094
(504) 436-2223
Nurse
Practitioner
Webber, Joseph,
Pandit, Bharathi,
Our Lady of the Lake Franciscan Clin
7777 Hennessy Blvd., Suite 1009
Baton Rouge, LA 70808
(225) 765-5853
Obstetrics &
Gynecology
Family
Practice
General
Practice
Curole, David N.,
Davis, Tiffany Lyn,
Internal
Medicine
Wolfson, Neil,
Martin, Joseph E,
Bastrop
Internal
Medicine
Williamstown
Nguyen, Nhung Kim,
Bogalusa
Page 58 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Louisiana
Louisiana
Louisiana
Bogalusa
Clinton
Ferriday
LSU Bogalusa Medical Center Family
Medicine Clinic
420 Ave. F
Bogalusa, LA 70427
(985) 730-6715
RKM Primary Care
11990 Jackson Street
Clinton, LA 70722
(225) 683-5292
Concordia Community Health Center
1810 E E Wallace Blvd STE 6
Ferriday, LA 71334
(318) 757-6969
Family
Practice
Obstetrics &
Gynecology
Attuso, Marie M,
Kemmerly, Kenneth Wright,
Counts, Melody L,
Gilliam
General
Practice
David Raines Community Health
Center - Gilliam
12763 Lay Street
Gilliam, LA 71029
(318) 296-4287
Family
Practice
Crooks, William Pryor,
LSU Bogalusa Medical Center
Pediatric Clinic
712 Willis Ave.
Bogalusa, LA 70427
Gilliam, Darie S,
Pediatric Emergency
Medicine
Nurse
Practitioner
Mangat, Raghubir Kaur,
Baker, Judy,
Pediatrics
Dart, William, Jr. D,
Beatty, Katherine Knighten,
Randall, Zelma C,
LSU-Bogalusa Medical Center Thomas
Clinic
433 Plaza Street
Bogalusa, LA 70427
(985) 727-2416
Nurse,
Registered
Family
Practice
Cain, Elizabeth M.,
Thomas, Jerry A.,
Bossier City
David Raines Community Health
Center - Bossier
1514 Doctors Drive
Bossier City, LA 71111
(318) 549-2500
Hunt, Ginger A,
Covington
Northlake Medicine and Wellness
1980 N. Hwy 190
Covington, LA 70403
(985) 809-6195
Internal
Medicine
Levi, Tania A,
Levi, Tania A,
Delhi
Family
Practice
Henderson, George C,
Nurse
Practitioner
Miller, Angela C,
Hammond
North Oaks Pediatric Clinic Kidmed
North
15695 Professional Plaza
Hammond, LA 70403
(985) 542-2599
Pediatrics
Donner, Jr, Francis,
Tran, Jean G.,
Haynesville
Delhi Rural Health Clinic
508 Broadway Street
Delhi, LA 71232
(318) 878-3737
David Raines Community Health
Center- Haynesville
1953 East Main Street
Haynesville, LA 71038
(318) 624-1995
Daniels, Larry Clyde,
Family
Practice
Family
Practice
Koduru, Suneetha,
Enriquez, Jose R.,
Henderson, George C,
Nurse
Practitioner
Le, Dung N.,
Nurse
Practitioner
Family
Practice
Anne, Pratibha,
Parker, Mary Charlene,
Mcdonald, Kenneth E.,
Pediatrics
Internal
Medicine
Grados, Flor,
Albritton, Corey G.,
Su, Hester,
Grandon, Paul W.,
Psychiatry
Wagnon, Cynthia S.,
Williamson, Larrie Ann,
Ferriday
Jackson, Louella M,
Houma
Chabert Medical Center
1978 Industrial Boulevard
Houma, LA 70363
(985) 873-1263
Page 59 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Louisiana
Louisiana
Louisiana
Houma
Lafayette
Marrero
Chabert Medical Center
1978 Industrial Boulevard
Houma, LA 70363
(985) 873-1263
University Medical Center Pediatric
Clinic
2390 West Congress Street
Lafayette, LA 70506
(337) 261-6169
Marrero Clinic - Jefferson Communit
HCC
1855 Ames Boulevard
Marrero, LA 70072
(504) 371-8958
Neonatal-Perinatal
Medicine
Internal
Medicine
Sharma, Sarita,
Price, Genelle S.,
Pediatric
Cardiology
Merryville
Family
Practice
Johnson, Therryll L.,
Marmande, William A.,
Internal
Medicine
Daberkow, Dayton William,
Delord, Terry J.,
Eschete, Mary L.,
Ferguson, Thomas G.,
Marts, Ronald C.,
O'Bryan, Gerald K.,
Simmons, Rhonesia,
Nephrology
Gupta, Shaminder M.,
Pediatrics
Brooke, Richard L.,
Dupont, Adela P.,
Lao, Jimmy O.,
Perez, Carlos C.,
Independence
Multipractice Clinic, Inc
281 West 4th Street, P.O. Box 130
Independence, LA 70443
(985) 878-1006
Internal
Medicine
Dalal, Geeta N,
Lake Charles
W.O. Moss Regional Medical Center
Primary Care Clinic
1000 Walters Street
Lake Charles, LA 70607
(337) 475-8196
Infectious
Disease
Choucino, Carlos Manuel,
Internal
Medicine
Lie, Albert (Ping Kok),
Pediatrics
Mcmillan, John Errol,
Minden
David Raines Community Health
Center - Minden
128 Homer Road
Minden, LA 71055
(318) 377-1545
Family
Practice
Livonia
Anne, Pratibha,
Livonia Community Health Center
3041 Fordoche Road
Livonia, LA 70755
(225) 637-3535
Koduru, Suneetha,
Family
Practice
Parkman, Allison,
Keshelava, George Tengiz,
Lafayette
Breaux, Jeryl,
St. Clare's Medical Home
501 West St. Mary Blvd., Suite 100
Lafayette, LA 70506
(337) 289-4222
Marrero
Russell, Lawrence I.,
General
Practice
Drez, Susan Elizabeth,
Internal
Medicine
Cardiovascular
Disease
Iberia Comprehensive Community
Health Center, Inc.-Merryville
Community Health Center
567 Walker Street
Merryville, LA 70653
(337) 825-1728
Marrero Clinic - Jefferson Community
HCC
1855 Ames Boulevard
Marrero, LA 70072
(504) 371-8958
General
Practice
Warrier, Jaya S.,
Nurse
Practitioner
Jackson, Louella M,
Miller, Angela C,
Monroe
Affinity Health Group, L.L.C - The
Medical Office
112 St. John Street
Monroe, LA 71201
(318) 361-0900
Emergency
Medicine
Blackmon, Charles Douglas,
Family
Practice
Jones, Patrick Gary,
Melton, Stuart L,
Raulerson, Robert M,
Page 60 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Louisiana
Louisiana
Louisiana
Monroe
Monroe
New Orleans
Affinity Health Group, L.L.C. Yarbrough Medical Office
3400 Medical Park Drive, Suite B
Monroe, LA 71202
(318) 387-6803
Primary Health Services Center-SD Hill
850 South Second Street
Monroe, LA 71202
(318) 651-0041
NO/AIDS Task Force
2601 Tulane Avenue, Suite 500
New Orleans, LA 70119
(504) 821-2601
Family
Practice
Internal
Medicine
Suddala, Satheesh,
Murphy, Mary Josephine,
New Iberia
Ruth U Fertel Tulane Community
Health Center
711 North Broad Street
New Orleans, LA 70119
(504) 988-3000
Family
Practice
Yarbrough, David A,
Nurse
Practitioner
Stephens, Matilda Elliott,
Affinity Health Group, LLC Pediatrics Plus
3401 Magnolia Cove
Monroe, LA 71203
(318) 325-6311
Nurse
Practitioner
Iberia Comprehensive Community
Health Center, Inc.-Iberia
Comprehensive Community Health
Center
806 Jefferson Terrace
New Iberia, LA 70560
(337) 365-4945
Family
Practice
Marshall, Marilyn Dianne,
Carr, Vivian S.,
Ramsey, Keith Gregory,
Pediatrics
Whitney, Keyna Juri,
Dyess, Bonita H,
General
Practice
Zukowski, Nancy,
Affinity Health Group, LLC - Smith
Medical Office
3510 Magnolia Cove
Monroe, LA 71202
(318) 329-2927
Internal
Medicine
Smith, Richard Douglas,
Franciscan Clinic
920 Oliver Road, Suite 1600A
Monroe, LA 71201
(318) 966-2008
Internal
Medicine
George, Mattew K,
Primary Health Services Center
2913 DeSiard Street
Monroe, LA 71201
(318) 651-9914
Nurse
Practitioner
Clark, Rebecca S.,
Mcmillan, John Errol,
Internal
Medicine
Jackson, Victor,
New Orleans
EXCELth Family Health Center Gentilly
2050 Caton St.
New Orleans, LA 70122
(504) 620-9868
Internal
Medicine
Ogbuefi, Chioma Ebele,
New Orleans East Community Health
Center
4262 Alcee Fortier Blvd., Suite D
New Orleans, LA 70129
(504) 255-8665
Internal
Medicine
Christopher, Caroline V.,
Joplin, Christopher Andrew,
Price, Eboni G.,
Simoneaux, Michele Lee,
Skelding, Philip,
Opelousas
SWLPHC
8762 Hwy 182
Opelousas, LA 70570
(337) 942-2005
Emergency
Medicine
Elliott, Leone F.,
Psychiatry
Bowers, Charles Houma dixon,
Plaquemine
Pediatric Associates
59325 River West Drive, Suite D
Plaquemine, LA 70764
(225) 687-3055
Pediatrics
Elkins, Kathryn C.,
Port Allen
Nguyen, Tuan B.,
WBR Primary Care
751 Court Street
Port Allen, LA 70767
(225) 683-5292
Internal
Medicine
Internal
Medicine
Winfrey, Keith L.,
McKnight, George T,
Family
Practice
Page 61 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Louisiana
Louisiana
Louisiana
Port Allen
Sicily Island
Vivian
WBR Primary Care
751 Court Street
Port Allen, LA 70767
(225) 683-5292
Wisner Medical Cener
126 Watson Street
Sicily Island, LA 71378
(318) 724-7008
Nurse
Practitioner
Pediatrics
North Caddo Medical Center Medical
And Surgical Clinic
1003 South Spruce St
Vivian, LA 71082
(318) 375-3239
Johnson, Meredith V,
River Ridge
River Ridge Clinic - Jefferson
Community HCC
11312 Jefferson Highway
River Ridge, LA 70123
(504) 463-3002
Internal
Medicine
Dumas, Jeremy G.,
Shreveport
David Raines Community Health
Centers - Shreveport
1625 David Raines Road
Shreveport, LA 71107
(318) 425-2252
Smith, Roger A.,
Slidell
Ochsner Health Center - Slidell
Ochsner Health Center -Slidell, 2750 E.
Gause Blvd.
Slidell, LA 70461
(985) 639-3777
Family
Practice
Baez, Raymond,
Bryan, Thornton Embry,
Taylor, Robert W,
Family
Practice
May, Walker,
Taylor, Stephen Glenn,
Winnfield
Winn Community Health Center
100 South Magnolia St.
Winnfield, LA 71483
(318) 648-0375
Internal
Medicine
Shelton, Mark V.,
Tebbe, James T,
Nurse
Practitioner
Internal
Medicine
Howard (Duckworth), April F.,
Lefran, Jose Antonio,
Physician
Assistant
Family
Practice
Pulmonary
Disease
Acosta, Bryant A.,
Anne, Pratibha,
Candal, Francisco J,
Henderson, George C,
St. Joseph
Nurse
Practitioner
Tensas Community Health Center
1115 Levee Road, PO Box 46
St. Joseph, LA 71366
(318) 766-1967
Farmer, Betty Jones,
Miller, Angela C,
Pediatrics
Grados Valderrama, Flor,
Suh, Hester,
Sicily Island
Sicily Island Medical Center
307 Chisum Street
Sicily Island, LA 71368
(318) 389-5727
Urology
Trunzler, Basil G,
Wisner Medical Cener
126 Watson Street
Sicily Island, LA 71378
(318) 724-7008
Pediatrics
Winnsboro
Winnsboro Medical Clinic
3326 Front Street, Suite B
Winnsboro, LA 71295
(318) 435-7333
Family
Practice
General
Practice
Reed, Charles E,
Neumann, Thomas A.,
Nurse
Practitioner
Nurse
Practitioner
Hensley, Rhonda D,
Dykes, Ryan Slade,
Vivian
North Caddo Medical Center Medical
And Surgical Clinic
1003 South Spruce St
Vivian, LA 71082
(318) 375-3239
Family
Practice
Chance, Jody Dale,
Haynes, John Harlan,
Maine
Auburn
CMMG - Family Health Care
Associates
190 Stetson Road
Auburn, ME 04210
(207) 784-7388
Family
Practice
Burns, Charles H.,
Elias, Peter B. H.,
Page 62 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Auburn
Auburn
Bangor
CMMG - Family Health Care
Associates
190 Stetson Road
Auburn, ME 04210
(207) 784-7388
St. Mary's Regional Medical Center Second Street Family Practice
60 Second Street
Auburn, ME 04210
(207) 783-3333
EMMC - Center for Family Medicine
895 Union Street, Suite 12
Bangor, ME 04401
(207) 973-8700
Family
Practice
Family
Practice
Rifkin, Michael R.,
Learson, Deborah A.,
Skelton, Sarah K.,
Learson, Deborah A.,
Tardif, Raymond J.,
Sonti, Smita,
CMMG - Minot Avenue Family
Medicine
789 Minot Avenue
Auburn, ME 04210
(207) 795-8475
Nurse
Practitioner
Family
Practice
Pece, Carolyn Kase,
Stone, Raymond H.,
Donahue, Patricia,
Augusta
Maine Dartmouth Family Residency
Practices/Family Medicine Institute
15 East Chestnut St.
Augusta, ME 04330
(207) 626-1561
St. Mary's Regional Medical Center Auburn Medical Associates
15 Gracelawn Road
Auburn, ME 04210
(207) 330-3950
Family
Practice
Family
Practice
Pritham, Robin M.,
Raczek, James A.,
Redding, Katherine E.,
Sharp, Eric H.,
Steele, Erik N,
Thom, Kristen I.,
EMMC - Husson Family Medicine
302 Husson Avenue, Suite 2
Bangor, ME 04401
(207) 941-2373
Family
Practice
Bourgoin, Kathryn E.,
Michaud, Vincent E.,
Gershman, Karen,
Miller, Kevin G.,
Jokonya, Chiedza G,
Walker, Dale C.,
Internal
Medicine
Lutrzykowski, Christopher J,
Nurse
Practitioner
Johannesson, Inga S.,
Schneid, James,
Margolskee, Howard,
St. Pierre, Susan,
St. Mary's Regional Medical Center L/A Internal Medicine
3 Willow Run
Auburn, ME 04210
Woytowicz, John,
Internal
Medicine
Brodsky, Kenneth,
Hatfield, Gary,
Raczynski, Paul,
St. Mary's Regional Medical Center Second Street Family Practice
60 Second Street
Auburn, ME 04210
(207) 783-3333
Moss, Barbara A,
Gause, Phoebe P,
Zurbach, Nancy L,
EMMC - Husson Internal Medicine
302 Husson Avenue, Suite 1
Bangor, ME 04401
(207) 947-6141
Geriatric Medicine/Family
Practice
Internal
Medicine
Seymour, Cheryl,
Bragg, Franklin E.,
Internal
Medicine
Currie, Allan D.,
Onion, Dan K,
Bangor
EMMC - Center for Family Medicine
895 Union Street, Suite 12
Bangor, ME 04401
(207) 973-8700
Ronco, Paul G.,
Sabbagh, Iyad,
Nurse
Practitioner
Kingsbury, Julie S.,
Family
Practice
Family
Practice
EMMC - Husson Pediatrics
302 Husson Avenue, Suite 3
Bangor, ME 04401
(207) 941-1155
Buckberg, Miriam S.,
Bloom-Foster, Jessica L.,
Pediatrics
Buckberg, Miriam S.,
Brown, Eric R.,
Barrett, Amy E.,
Page 63 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Bangor
Bangor
Biddeford
EMMC - Husson Pediatrics
302 Husson Avenue, Suite 3
Bangor, ME 04401
(207) 941-1155
Penobscot Community Health Center
1012 Union Street, Suite 5
Bangor, ME 04401
(207) 945-5247
Pediatrics
Family
Practice
SMMC PrimeCare Physicians Internal Medicine
30 West Cole Road
Biddeford, ME 04005
(207) 282-3349
Burch, Melissa W.,
Clough, Scott J.,
Holmberg, Jr., Robert E.,
Rieley, Margaret,
Ross, Michael Aaron,
Sabbagh, Colette M.,
Martin's Point Health Care - Bangor
700 Mt Hope Avenue, Suite 650
Bangor, ME 04401
(207) 945-5048
Family
Practice
Stone, Rowlinda A,
Vereault, Barbara D.,
Penobscot Pediatrics
1048 Union Street, Suite 5
Bangor, ME 04401
(207) 945-0147
Pediatrics
Benanti, Sandra R.,
Carmack, Adrienne W.,
Lever, Thomas F.,
Milliken, John F.,
Internal
Medicine
Albaum, Michael N.,
Cutone, Jennifer A.,
Cutone, Steven R,
Doane, Stephen H.,
Handanos, Christine M.,
Handanos, Nicholas G.,
Laprise, Paul M.,
Wilson, Nathan E.,
Blue Hill
Blue Hill Family Medicine
65 Water Street, P.O. Box 823
Blue Hill, ME 04614
(207) 374-2311
Burger, Charles S.,
Prokopova, Katarina L.,
Frederick, Elizabeth H,
Souweine, Kristen L.,
Kovanko, Alexander P.,
Belfast
Kovanko, Alexander P.,
Seaport Family Practice
41 Wright Street
Belfast, ME 04915
(207) 338-6900
Family
Practice
Family
Practice
Lesko, Lisa A.,
Internal
Medicine
Hallbert, David Mason,
Penobscot Community Health Care Summer Street Clinic
34 Summer Street
Bangor, ME 04401
(207) 992-2636
Family
Practice
Buck, Lisa A.,
Nurse
Practitioner
Ulrich, David,
Penobscot Community Health Center
1012 Union Street, Suite 5
Bangor, ME 04401
(207) 945-5247
Family
Practice
Buck, Christopher,
Holland, Ann L.,
Kramer, Christine L.,
Kuhn, Carol,
Loxterkamp, David A.,
Belgrade
Belgrade Regional Health Center
4 Clement Way
Belgrade, ME 04917
(207) 495-3323
Family
Practice
Madden, Amy K.,
Biddeford
SMMC PrimeCare Physicians Internal Medicine
30 West Cole Road
Biddeford, ME 04005
(207) 282-3349
Bugbee, Thomas G.,
Hines, Richard G.,
Newkirk, Arthur,
Norris, Merideth C.,
Walden, Stacey L.,
Internal
Medicine
Zentz, Elizabeth L.,
Brewer
Brewer Health Center, PA
401 South Main Street
Brewer, ME 04412
(207) 989-5588
Family
Practice
Ross, Gary M.,
Brewer Medical Center - PCHC
735 Wilson Street
Brewer, ME 04412
(207) 945-5247
Patten, John L.,
Page 64 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Brewer
Bridgton
Caribou
Brewer Medical Center - PCHC
735 Wilson Street
Brewer, ME 04412
(207) 945-5247
Bridgton Hospital Medical Group North Bridgton Family Practice
14 Wyonegonic Road
Bridgton, ME 04009
(207) 647-9021
TAMC Caribou Health Center
118 Bennett Drive, Suite 130
Caribou, ME 04736
(207) 498-3476
Family
Practice
Sornberger, Kris S.,
EMMC - Family Medicine of Brewer
234 State Street
Brewer, ME 04412
(207) 989-0550
Family
Practice
Gott, Daniel C.,
Johnston, Pauline K.,
Family
Practice
Smith, Craig M.,
Smith, Jennifer L.,
Brunswick
Martin's Point Health Care, Inc.Brunswick
6 Farley Road
Brunswick, ME 04011
(207) 725-8079
Sturrock, William A.,
Family
Practice
Nurse
Practitioner
Johnstone, John,
Hatch-Clein, Annette M.,
Bridgton
Bridgton Hospital Medical Group Bridgton Internal Medicine
25 Hospital Drive, Suite 2
Bridgton, ME 04009
(207) 647-2311
Internal
Medicine
Lindsley, Eric,
Nakamura, Roy,
Sharkey, Heather,
Sharkey, Heather,
Taylor, Paul E,
Pediatrics
Seder, Norman,
Bucksport
Internal
Medicine
Bedi, Puneet N,
Castine
Blue Hill Memorial Hospital - Castine
Community Heath Services
102 Court St.
Castine, ME 04421
(207) 374-3961
Family
Practice
Olivari, Marjorie A.,
Dixfield
Elsemore Dixfield Family Medicine
146 Weld Street
Dixfield, ME 04224
(207) 369-1165
Family
Practice
Callender, G Sean,
Marden, Rick A,
Fairfield
Blue Hill Memorial Hospital Bucksport Family Medicine
58 Main St
Bucksport, ME 04416
(207) 374-3961
Maine Dartmouth Family Medicine
Residency Practices/Four Seasons
Family Practice
4 Sheridan Drive, Suite 2
Fairfield, ME 04937
(207) 861-5000
Family
Practice
Family
Practice
Calcott, Karen,
Calkins, Stephanie G,
Owens, Christina,
Hatanpa, Deborah Ann,
Feero, W Gregory,
Bridgton Hospital Medical Group Bridgton Pediatrics
Bridgton Pediatrics, 25 Hospital Drive,
Suite
Bridgton, ME 04009
(207) 647-4232
Nurse
Practitioner
Fein, Richard A,
Carty, Deanna L,
Dater, Suzanne,
Kleinert, Lisa,
Laband, Paul,
Roy, Henry,
Nurse
Practitioner
Pediatrics
Chan, Allison,
Ryan, Lisa,
Saunders, Wenda,
Byard, Elizabeth Diane,
Caribou
TAMC Caribou Health Center
118 Bennett Drive, Suite 130
Caribou, ME 04736
(207) 498-3476
Internal
Medicine
Sutherland, Mark E.,
Maine Dartmouth Family Residency
Practices/Maine Dartmouth Family
Practice
4 Sheridan Drive, Suite 1
Fairfield, ME 04937
(207) 861-5000
Family
Practice
Page 65 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Fairfield
Gray
Lewiston
Maine Dartmouth Family Residency
Practices/Maine Dartmouth Family
Practice
4 Sheridan Drive, Suite 1
Fairfield, ME 04937
(207) 861-5000
CMMG - Gray Family Health Center
116 Shaker Road
Gray, ME 04039
(207) 657-3308
Central Maine Family Practice
12 High Street, Suite 302
Lewiston, ME 04240
(207) 795-5750
Family
Practice
Family
Practice
Hilary, Manju,
Carey, Sean P.,
Van Mourik, Frederick A.,
Gushue, Trisha A.,
Greenville
Stadnicki, Michael R.,
Northwoods Healthcare
364 Pritham Avenue
Greenville, ME 04441
(207) 695-5220
Thorp, Lydia A.,
Family
Practice
Alto, William A,
Clark, Michael A.,
Colt, Henry F,
Pisculli, Jenny T,
Rice, Andrew C,
Pediatrics
Beressi, Anne H,
Family
Practice
Farmington
Peck, Darin M.,
Wilson Stream Family Practice
672 Wilton Road
Farmington, ME 04938
(207) 778-9531
Kennebunk
Family
Practice
Bien, Stephen J.,
Fuson, Jeffrey W.,
Fryeburg
Fryeburg Family Medicine
253 Bridgton Road
Fryeburg, ME 04037
(207) 935-3383
Family
Practice
Gerchman, Eric M.,
SMMC PrimeCare Physicians ΓÇô
Kennebunk Family Practice
4 Shape Drive
Kennebunk, ME 04043
(207) 467-8988
Family
Practice
Wyman, Peggy D.,
CMMG - Central Maine Internal
Medicine
12 High Street, Suite 400
Lewiston, ME 04240
(207) 795-5700
Internal
Medicine
Cloutier, Lise M.,
Ferguson, Eugene J.,
Gupta, Neera,
Joseph, James G.,
Latkovich, Katarina Z.,
DelPrete, Elisabeth M.,
Lee, William M.,
Nugent, Diane M.,
Pyenta, Jennifer S.,
Parent, Charles M.,
Ross, Pamela E.,
Sullivan, Christine E.,
CMMG - Central Maine Family
Medicine Residency
76 High St, Suite 100
Lewiston, ME 04240
(207) 795-2800
Vaughan, Jr, Robert T.,
Wolfson, Joseph L.,
Leeds
DFD Russell Medical Center - Leeds
180 Church Hill Road
Leeds, ME 04263
(207) 524-4001
Family
Practice
Kenney, Bruce W.,
Wilson, Julie,
Family
Practice
Gray
Barus, Maxwell,
CMMG - Gray Family Health Center
116 Shaker Road
Gray, ME 04039
(207) 657-3308
Lewiston
Royer, Gene M.,
Slayton, Eric,
Nurse
Practitioner
Family
Practice
Central Maine Family Practice
12 High Street, Suite 302
Lewiston, ME 04240
(207) 795-5750
Carden, Geoffrey H.,
Claxton, Jr., Edmund V.,
Lovett, Erica D.,
Picker, Bethany J.,
Rivard, Gary S.,
General Practice Dental
Woolever, Donald Raj,
Family
Practice
Page 66 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Lewiston
Lewiston
Lisbon
CMMG - Central Maine Pediatrics
12 High St, Suite 301
Lewiston, ME 04240
(207) 295-5730
St. Mary's Regional Medical Center Campus Avenue Family Practice
99 Campus Ave, Suite 301
Lewiston, ME 04240
(207) 777-4440
CMMG - Lisbon Family Practice
2 Bisbee Street
Lisbon, ME 04250
(207) 353-6721
Pediatric
Cardiology
Hamilton, Wade T.,
Pediatrics
Baker, David R.,
Hemingway, Diane R.,
Jacobs, Stephen B.,
Marsh, Richard J.,
Scholer, Aaron,
Tomasi, Torah A.,
Pediatric Associates of Lewiston, P.A.
33 Mollison Way
Lewiston, ME 04240
(207) 333-3113
Pediatrics
Glass, George,
Glass, Linda,
Loo, Ray Mun,
St. Mary's Regional Medical Center B Street Health Center
57 Birch Street
Lewiston, ME 04240
(207) 513-3850
Family
Practice
Bergeron, Michael,
Burtis, Matija M.,
Michaud, Jeff,
St. Mary's Regional Medical Center Lewiston Medical Associates
106 Campus Avenue
Lewiston, ME 04240
(207) 755-3383
Cardiovascular
Disease
Baker, Lawrence D.,
Internal
Medicine
Halawa, Ahmad,
Kennedy, Betty,
St. Mary's Regional Medical Center Sabattus Street Internal Medicine
963 Sabattus Street
Lewiston, ME 04240
(207) 755-3222
Family
Practice
Family
Practice
Beeckel, Peter,
Panozzo, Shashi,
Internal
Medicine
Nurse
Practitioner
Skeik, Nedaa,
Toner, Tracey,
St. Mary's Regional Medical Center Dr. Richard Kappelman
100 Campus Ave, Suite 203
Lewiston, ME 04240
(207) 777-4100
Internal
Medicine
Kappelmann, Richard,
St. Mary's Regional Medical Center St. Mary's Medical Associates
99 Campus Ave Ste 201
Lewiston, ME 04240
(207) 777-8810
Internal
Medicine
Brown, Anne,
Brown, Jeff,
Gordon, Seth,
Family
Practice
Bianconi, Gregory F.,
Cogle, Denise M.,
Fairchild, Stephen A.,
Lisbon Falls
St. Mary's Regional Medical Center Lisbon Falls Family Health Center
583 Lisbon Road
Lisbon Falls, ME 04252
(207) 353-8830
Family
Practice
Carter, Phillip,
Mars Hill
Mars Hill Health Center
106 Maine Street
Mars Hill, ME 04758
(207) 435-6611
Family
Practice
Olugbemi, Ayodele T,
Mechanic Falls
CMMG - Mechanic Falls Family
Practice Center
22 Pleasant Street
Mechanic Falls, ME 04256
(207) 345-9729
Family
Practice
Bosma, Thomas J.,
Short, Christopher,
Monmouth
DFD Russell Medical Center Monmouth
11 Academy Road
Monmouth, ME 04259
(207) 524-4001
Isaac, Michael J.,
Family
Practice
Singh, Satya,
Yindra, John,
Lisbon
Page 67 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
N. Vassalboro
Newport
Orono
Mid-Maine Internal Medicine
905 Main Street, 905 Main Street
N. Vassalboro, ME 04962-0247
(207) 873-6173
Sebasticook Valley Health Family
Care - Newport
8 Main Street
Newport, ME 04953
(207) 368-4292
EMMC - Orono Family Medicine
84 Kelly Road
Orono, ME 04473
(207) 866-0550
Internal
Medicine
Burke, John E.,
Smith, Clifton D.,
Naples
Bridgton Hospital Medical Group Naples Family Practice
410 Roosevelt Trail
Naples, ME 04055
(207) 693-6106
Family
Practice
Harpell, Maureen,
Wright, Erinn H.,
Newcastle
Lifespan Family Healthcare, LLC
80 River Road
Newcastle, ME 04553
(207) 563-3366
Family
Practice
Clark, Michael H.,
Newport
Newport Family Practice, PA
26 Main Street, Suite 2
Newport, ME 04953
(207) 368-5747
Internal
Medicine
Badeen, Steven J,
North Anson
New Horizons Health Care - North
Anson
167 Main Street
North Anson, ME 04958
(207) 635-2330
Family
Practice
Garofalo, John,
Oakland
Inland Family Care
74 Water Street
Oakland, ME 04963
(207) 465-7342
Family
Practice
Glover, Henry,
Schwingel, Laurel,
Old Town
Helen Hunt Health Center
242 Brunswick Street
Old Town, ME 04468
(207) 945-5247
Family
Practice
Comstock, Kevyn L.,
Comstock, Kevyn L.,
Evans, Heather A.,
Fagles, Nina E.,
Grimes, Lora,
Hawkins, Robert S.,
Hawkins, Robert S.,
Kallen, Dianne,
Kallen, Dianne,
Rampe, Glenn S.,
Rampe, Glenn S.,
Rawcliffe, David J.,
Rawcliffe, David J.,
Stewart, Sarah E.,
Stewart, Sarah E.,
Pittsfield
Sebasticook Valley Health Family
Care - Pittsfield
470 Somerset Avenue
Pittsfield, ME 04967
(207) 487-5154
Family
Practice
Family
Practice
Arceo, Reynaldo A,
Cheff, Susan,
Cianchette, Emily B,
Elliott, Patricia A.,
Robertson, Cynthia Ria,
Kallen, Dianne E,
Kallen, Dianne E,
Internal
Medicine
Armatis, Carol M.,
Ritter, Christopher,
Margolskee, Howard R,
Charity, Jennifer A.,
Orono
Sebasticook Valley Health Family
Care - Newport
8 Main Street
Newport, ME 04953
(207) 368-4292
EMMC - Orono Family Medicine
84 Kelly Road
Orono, ME 04473
(207) 866-0550
Nurse
Practitioner
Family
Practice
Baker, John C.,
Sitterly, Karl F.,
Internal
Medicine
Arceo, Reynaldo A,
Millett, Jeffrey Michael,
Poland
Family
Practice
Page 68 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Poland
Portland
Portland
CMMG - Community Health Center
364 Maine Street
Poland, ME 04274
(207) 998-2100
InterMed - Marginal Way Internal
Medicine
84 Marginal Way
Portland, ME 04102
(207) 774-5816
Martin's Point Health Care (Portland)
331 Veranda Street
Portland, ME 04104
(207) 828-2402
Family
Practice
Little, Dana W.,
Raby, Nathan C,
St. Mary's Regional Medical Center
Poland Family Practice
1230 Main Street
Poland, ME 04274
(207) 998-4483
Family
Practice
Internal
Medicine
Claffey, Thomas F.,
Dobieski, Steven T.,
Emery, Peter W.,
Erickson, John E.,
Ervin, William C.,
Fraser, Robert J.,
Fuchs-Ertman, Debra,
Family
Practice
Connolly, Patrick,
Gagne, Tim,
Harper, James,
Hine, Jennifer,
Montegut, Alain,
Pachta, Janet,
Schirmer, William,
Smith, Douglas,
Gordon, Peter T.,
Internal
Medicine
Portland
Higgins, LeighAnn Ann,
Couper, Douglas,
Family Medicine Center - Portland
272 Congress Street
Portland, ME 04101
(207) 874-2466
King, Sarah R,
Shepp, Margaret,
Ku-ruth, Phyllidia,
Pediatrics
Loiselle, Daniel L.,
MacDonald, Kimberly,
Schwemm, Heather N.,
Vogt, John,
Smith, Robert P,
Presque Isle
Belisle, Charles M.,
Stogsdill, Patricia B.,
Bouchard, Mark P.,
Subak-Krah, Sarah E,
Cyr, Peggy R.,
Trowbridge, Nina S,
Fort Fairfield Health Center
140 Academy Street
Presque Isle, ME 04769
(207) 768-4000
Holt, Christina T.,
Valenti, August John,
Rothenberg, Debra A.,
Zeitlin, James H.,
Skelton, Ann K.,
InterMed - Pediatrics
84 Marginal Way, Suite 1000
Portland, ME 04102
(207) 774-4092
Family
Practice
InterMed - Marginal Way Internal
Medicine
84 Marginal Way
Portland, ME 04102
(207) 774-5816
Internal
Medicine
Barr, Douglas R.,
Baum, Timothy C.,
Botler, Joel L.,
Caldwell, Katherine R,
Carnes, Timothy Dewitt,
Cathcart, Charles J.,
Cathcart, Wendy S.,
Cekleniak, Julie A,
Pediatrics
Bennett, Christine A,
Foster, James C,
Lynch, David W,
Ritger, Paul D,
Martin's Point Health Care (Portland)
331 Veranda Street
Portland, ME 04104
(207) 828-2402
Family
Practice
Family
Practice
Fowler, Daniel,
TAMC Family Practice and Internal
Medicine
23 North St, Suite 4
Presque Isle, ME 04769
(207) 764-3142
Family
Practice
Alexander, Bruce D.,
Sweeney, Lance C,
Internal
Medicine
Sattar, Beena,
Sood, Mridula,
Belcher, Matthew,
Chappelle, Cathra,
Page 69 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maine
Presque Isle
Skowhegan
Topsham
TAMC Women's Health Center
140 Academy St Suite 6, Ste 6
Presque Isle, ME 04769
(207) 769-6636
New Horizons Health Care - Madison
344 Lakewood Road
Skowhegan, ME 04976
(207) 474-2994
CMMG - Topsham Family Practice
4 Horton Way, Suite 101
Topsham, ME 04086
(202) 798-6200
Family
Practice
Family
Practice
Family
Practice
Olugbemi, Ayodele T,
Paradis, Loraine,
Dechenes, Cynthia J.,
Midwifery
So. Portland
Salko, David L,
Richard, Lucy C,
Intermed - Foden Road Family Practice
100 Foden Road West, Suite 100
So. Portland, ME 04106
(207) 874-1488
Turner
Rumford
River Valley Internal Medicine
431 Franklin Street
Rumford, ME 04276
(207) 364-7831
Family
Practice
DFD Russell Medical Center - Turner
7 South Main St.
Turner, ME 04282
(207) 524-4001
Buehner, Morgen M,
Family
Practice
Gates, Christine L,
Huntress, Laurie Ann,
Aniel, Albert,
Murray Pulsifer, Kristy,
Unity
DeLuca, Thomas J.,
Pelletier, Tara Kay,
Ledesma, Jacob A.,
Staton, Megan A,
Swift River Family Medicine
430 Franklin Street
Rumford, ME 04276
(207) 369-0146
Southwest Harbor
New Horizons Health Care - Unity
80 Main Street
Unity, ME 04988
(207) 948-2100
Internal
Medicine
Family
Practice
Community Health Center
16 Community Lane
Southwest Harbor, ME 04679
(207) 244-5630
Kreckel, Dieter,
Family
Practice
Kroger, John,
Heniser, Michael,
Saco
Kuffler, Julian P.,
SMMC PrimeCare Physicians
AssociatesΓÇô Saco Family Practice
13 Industrial Park Road, Suite 2
Saco, ME 04072
(207) 283-8802
Stonington
Family
Practice
Blue Hill Memorial Hospital - Island
Family Medicine
354 Airport Road
Stonington, ME 04681
(207) 374-3961
Family
Practice
Ducker, Gavin,
Kriegel, Charles,
Nurse
Practitioner
Mora, Jennifer,
Waterville
Inland Family Care
16 Concourse West
Waterville, ME 04901
(207) 873-1036
Family
Practice
Carpentier, Dominique,
Family
Practice
Collins, Gregory A.,
Huff, Robin N.,
Douglas, James W,
Kim, Donna C.,
Irwin kapsha, Elysia,
Keniston-Dubocq, Linda,
Kowash, Philip M.,
Zelnick, Charles J,
Sejour, Jodine,
Mahoney, Jill D,
Topsham
Papura, William A.,
CMMG - Topsham Family Practice
4 Horton Way, Suite 101
Topsham, ME 04086
(202) 798-6200
Internal
Medicine
Potyk, Alan W.,
Raleigh, Mary S.,
Rolerson, Mark H.,
Bonney, John Kent,
Knausenberger, Roland H,
Optometry
Dwelley, Tara Cl,
Page 70 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maine
Maine
Maryland
Waterville
Winthrop
Annapolis
Inland Hospital - Inland Medical
Associates
174 Kennedy Memorial Drive
Waterville, ME 04901
(207) 861-7180
MGHA -Winthrop Pediatric and
Adolescent Medicine
149 Maine Street, Suite 1A
Winthrop, ME 04364
(207) 242-0605
Annapolis Internal Medicine
116 Defense Highway, Suite 400
Annapolis, MD 21401
(410) 897-9841
Internal
Medicine
Pediatrics
Naaz, Uzma,
Pillai, Ansi,
Waterville Family Practice
13 Railroad Square
Waterville, ME 04901
(207) 873-1181
Family
Practice
Childs, Susan J.,
Lovitz, Jeffrey M.,
Phelps, Julie J.,
Westbrook
Westbrook Internal Medicine
1 Harnois Avenue
Westbrook, ME 04092
(207) 662-1340
Internal
Medicine
Engel, Richard,
Hayes, Stephen,
Medd, Donald J.,
Sturges, Robert,
Westbrook Pediatrics
1 Harnois Pediatrics
Westbrook, ME 04092
(207) 662-0735
Pediatrics
Brewster, Thomas G.,
Girard, John M.,
Ho, Jane S.,
Youth, Brian P.,
Winthrop
MGHA -Winthrop Pediatric and
Adolescent Medicine
149 Maine Street, Suite 1A
Winthrop, ME 04364
(207) 242-0605
Pediatrics
Endocrinology
Mansfield, Carol,
Smadja-Gordon, Michele R.,
Walsh, Lara,
Internal
Medicine
Winthrop Family Medicine
149 Main Street, Suite 2A
Winthrop, ME 04364
(207) 624-3800
Family
Practice
De Wolfe, Peter,
McConnell, Jennifer,
Ostrander, James,
Silver, Kirk E,
Yarmouth
InterMed - Yarmouth Pediatrics
259 Main Street
Yarmouth, ME 04096
(207) 846-9602
Abraham, Titus C.,
Freedman, Michael,
Friend, Joseph N.,
Goldstein, Howard D.,
Groszkowski, Kevin Michael,
Hamilton, Stephen Clarke,
Milne-Krohn, Courtney Alexandra,
Annapolis Primary Care
2002 Medical Parkway, Suite 670
Annapolis, MD 21401
(443) 481-1150
Family
Practice
Canan, Patrick Joseph,
Pediatrics
Czapp, Patricia A.,
Blaisdell, Laura L,
Eden, Robert S.,
Peterson, Jeffrey,
McGlone, Andrew Patrick,
InterMed Yarmouth Family Practice
259 Main St.
Yarmouth, ME 04096
(207) 846-8586
Family
Practice
Aiken, Douglas C,
Sahinci, Semra,
Potomac Physicians, P.A. - Annapolis
Health Center
2629 Riva Road, Suite 112
Annapolis, MD 21401
(410) 266-1000
Haller, James C.,
Family
Practice
Johnson, Wesley D.,
Adamo, Charles P.,
Martin, Stephen S.,
Amudipe, Olubukola Tokunbo,
Patch, J. Scott,
Mcgibbon, Karen E,
Pierce, Daniel C.,
Internal
Medicine
Maryland
Annapolis
Annapolis Internal Medicine
116 Defense Highway, Suite 400
Annapolis, MD 21401
(410) 897-9841
Hudson, Vicki L.,
Randall, Joseph C,
Pediatrics
Elsamanoudi, Salwa,
Pickering, Olufunke S,
Page 71 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Annapolis
Baltimore
Baltimore
Ulmer Family Medicine
2000 Medical Parkway, Suite 605
Annapolis, MD 21401
(410) 266-5667
Jai Medical Center - Hollis Seunarine,
M.D., P.A. - Monument Street
1235 East Monument Street
Baltimore, MD 21202
(410) 327-5100
Johns Hopkins Community Physicians
at Wyman Park, Internal Medicine
Department
3100 Wyman Park Drive
Baltimore, MD 21211
(410) 338-3421
Family
Practice
Ulmer, Emily,
Arnold
Internal
Medicine
Scott, Nathan,
Bay Crossing Family Medicine
269 Peninsula Farm Rd, Ste F
Arnold, MD 21012
(410) 518-9808
Jai Medical Center - Hollis Seunarine,
M.D., P.A. - Park Heights
4340 Park Heights Avenue
Baltimore, MD 21215
(410) 542-8130
Family
Practice
Pediatrics
Seidel, Ramona Gwen,
Baltimore
Eutaw Medical Center - Hollis
Seunarine, M.D., P.A.
2425 Eutaw Place
Baltimore, MD 21217
(410) 728-6900
Ophthalmology
Chiang, Peter,
Family Health Centers of Baltimore Cherry Hill
631 Cherry Hill Road
Baltimore, MD 21225
(410) 354-2000
Family
Practice
Kane, Erika N,
Shaull, Melissa Anne,
Internal
Medicine
Higgs-shipman, Francine,
Siddiqi, Nahid F,
Pediatrics
Abbott, Bernard R,
Jai Medical Center - Hollis Seunarine,
M.D., P.A. - Monument Street
1235 East Monument Street
Baltimore, MD 21202
(410) 327-5100
Internal
Medicine
Lwin, Hninzi-thet,
Johns Hopkins Community Physicians
at Canton Crossing
1501 South Clinton Street
Baltimore, MD 21225
(410) 338-3412
Internal
Medicine
Connors, Robert L.,
Connors, Robert L.,
Schrock, Susan H.,
Schrock, Susan H.,
Pediatrics
Cordero-Parrish, Catherine A.,
Cordero-Parrish, Catherine A.,
Crocetti, Michael,
Johns Hopkins Community Physicians
at Wyman Park, Internal Medicine
Department
3100 Wyman Park Drive
Baltimore, MD 21211
(410) 338-3421
Internal
Medicine
Anjaria, Jayant R,
Anjaria, Jayant R,
Internal
Medicine
Freedman, Amy,
Hairston, Sandra W.,
Hairston, Sandra W.,
Mcguire, Maura J,
Mross, Kerrian,
Patel, Kashiben G.,
Patel, Kashiben G.,
Purcell, Shanta A,
Purcell, Shanta A,
Maryland Family Care/Overlea
Personal Physicians
7602 Belair Road
Baltimore, MD 21236
(410) 663-8100
Family
Practice
Martin, Michael D.,
Internal
Medicine
Doyle, Timothy G.,
Ferro, Fernando J.,
Kowalewski, Marion C.,
Lieman, Ari M.,
Lowe, George E.,
Peffall, Shawn M.,
Zang, Michael D.,
MedStar Health Physicians - Adult
Medicine Specialists @ Falls Road
3730 Falls Road
Baltimore, MD 21211
Brown, Melva J.,
Internal
Medicine
Brown, Melva J.,
Fay, Betsy A.,
Eisenberg, David L.,
Hennawi, George,
Eisenberg, David L.,
Tawil, Camille,
Freedman, Amy,
Page 72 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Baltimore
Baltimore
Baltimore
MedStar Health Physicians - MedStar
Physician Partners @ Metropolitan
Medical Asso..
Russell Morgan Bldg., 3rd floor, 5601
Loch Raven Blvd
Baltimore, MD 21239-290
(443) 444-5600
MedStar Health Physicians-Franklin
Square Hospital Center@Family
Health Center
Medical Arts Building, Suite 205, 9105
Franklin Square Drive
Baltimore, MD 21237
MedStar Physician Partners/North
Parkville Health Center
9512 Harford Road, Suite 201
Baltimore, MD 21234-312
(410) 882-0600
Family
Practice
Yamcek-Meleka, Yvette,
Goodell, Maryellen R,
Physician
Assistant
Internal
Medicine
Pediatrics
Frujinoiu, Anca-Magdalena,
Gordon, Lauren A,
Khan, Mohammed N,
King, Joyce E,
Miller, Edward,
Niehoff, John M,
Mirza, Anisa,
Perkins, Karen Elizabeth,
Naiman, David,
Richie, Emily L,
Rajakumar, Susila,
Thakur, Netra M,
Sperling, Carl,
Uduhiri, Kelechi A,
Family
Practice
Tripuraneni, Sireesh,
Weiner, Jay S,
Kalazny, Barbara,
Internal
Medicine
Internal
Medicine
Rixey, Sallie,
Lotlikar, Jeffery,
MedStar Physician Partners/Medical
Center of Dundalk
1576 Merritt Boulevard, Suite 14
Baltimore, MD 21222-211
(410) 650-2000
Walsh, Richard,
Family
Practice
Pediatrics
Krupitzer, Thomas R.,
Chipchin, Judith,
Internal
Medicine
Potomac Physicians, P.A. - Security
Health Center
4 West Rolling Crossroads, Suite 100
Baltimore, MD 21228
(410) 869-0100
MedStar Health Physicians - MedStar
Physician Partners @ Middle River
Family Practice
107 Beacon Road
Baltimore, MD 21220-350
(410) 686-9019
Family
Practice
Brown, Danielle L,
Clowers, Allen F,
MedStar Health Physicians - MedStar
Physician Partners @ Rotunda
Pediatrics
711 West 40th Street, Suite 429
Baltimore, MD 21211
Pediatrics
Oung, Irene,
Wilson-colbert, Elaine V.,
MedStar Health Physicians-Franklin
Square Hospital Center@Family
Health Center
Medical Arts Building, Suite 205, 9105
Franklin Square Drive
Baltimore, MD 21237
Desai, Ujwala V,
MedStar Physician Partners/North
Parkville Health Center
9512 Harford Road, Suite 201
Baltimore, MD 21234-312
(410) 882-0600
Internal
Medicine
Lipchin, Judith,
MedStar Physician Partners/Wilkens
Medical Center
4660 Wilkens Ave., Suite 100
Baltimore, MD 21229-489
(410) 247-0782
Nurse
Practitioner
Jones, Jane C.,
Chander, Cheruvari S,
Family
Practice
Baldwin, Joy Angela,
Thakor, Ruchira,
Kamal, Shalini,
Internal
Medicine
Weiner, George,
Brockington, Mcneal,
Family
Practice
Nurse
Practitioner
Onejeme, Chinwuba C.,
Cardona, Michelle,
Streat, Karen,
Deza, Florence V,
Pediatrics
Dwyer, Michael X,
Currin, Julie C,
Robinson, Ramona L.,
Trent-Mims, Karen,
Pediatrics
Fuentes, Gloria,
Page 73 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Baltimore
Baltimore
Belcamp
Potomac Physicians, P.A. - Security
Health Center
4 West Rolling Crossroads, Suite 100
Baltimore, MD 21228
(410) 869-0100
University of Maryland Pediatrics at
the Harbor
3 East Lee Street
Baltimore, MD 21202
Johns Hopkins Community Physicians
at Water's Edge
103 Bata Boulevard
Belcamp, MD 21017
(410) 338-3412
Pediatrics
Feigelman, Susan,
Surichamorn, Patcharin,
Finkelstein, Laura H,
Seton Medical Group
1120 North Rolling Road
Baltimore, MD 21228
(410) 744-8811
Pediatrics
Gladstein, Jack,
Jacobs, Howard,
Jacobs, Pamela J,
Family
Practice
Canter, Karen L.,
Canter, Karen L.,
Pondek, Steven T.,
Pondek, Steven T.,
Internal
Medicine
Johns, Stephanie Lynn,
Ceasar, Nana O.,
Kempthorne, Valda J,
Cook, IV, Joseph W.,
Kim, John S,
Internal
Medicine
Durst, George,
Lewin, Linda,
Birnbaum, Bernhard,
Ghiorzi, Thomas J.,
Parrott, Maureen A,
Feeser, Scott A.,
Levickas, Gregory T.,
UniversityCare at Edmondson Village
4538 Edmondson Avenue, Suite 8-N-125
Baltimore, MD 21229
(410) 328-2273
Feeser, Scott A.,
Family
Practice
Brown, Vera B.,
Dixon, Etosha D,
Cooper, Marilyn Moshay,
Esege, Ivara Alistair,
Cooper, Marilyn Moshay,
Evans, Joyce,
Fripp, Natelaine Emmanuelle,
Physician
Assistant
Siegel, Neil Matthew,
Monks, Warren Scott,
Wilson, Marc Everton,
Berlin
Williams, Kenneth H.,
University of Maryland Department of
Family and Community Medicine
29 S. Paca St.
Baltimore, MD 21201
(410) 328-2627
Family
Practice
Barnet, Beth,
Colgan, Richard,
Cothran, Valerie,
Davis, Stephanie Lynn,
Feinstein, Sharon Elyse,
Ferentz, Kevin,
Ntiri, Shana O,
Rooks, Yvette Louise,
Rose, Vivienne,
Stewart, David L,
Warrington, Verlyn,
Williams, Mozella,
University of Maryland Pediatrics at
the Harbor
3 East Lee Street
Baltimore, MD 21202
Keane, Virginia A,
Belair
Potomac Physicians, P. A. - Belair
Health Center
104 Plumtree Road, Suite 115
Belair, MD 21014
(410) 248-2650
Yang, Howard C.,
Yang, Howard C.,
Ghosal, Somajita,
Pediatrics
Brown, Vera B.,
Berlin Primary Care
10344 Old Ocean City Blvd, Ste B
Berlin, MD 21811
(410) 728-2905
Family
Practice
Internal
Medicine
Conran, Deborah Lynn,
Acevedo-Vila, Jorge J.,
MedStar Physician Partners/ Bethesda
6410 rockledge Drive, Suite 401
Bethesda, MD 20871-184
(301) 897-5001
Peters, Maria Jerogea,
Shaughnessy, Craig M.,
Pediatrics
Bethesda
Mabrouk, Fadia,
Internal
Medicine
Pediatrics
Tyler, Beverly Ann,
Garg, Anjali,
El-Kamary, Samer,
Belcamp
Horwitz, Deborah,
Page 74 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Bowie
Cumberland
Elkton
Dobin and Hoeck Internal Medicine
4175 North Hanson Court, Ste 203A
Bowie, MD 20716
(301) 464-9660
Children's Medical Group
500 Greene Street
Cumberland, MD 21502
(301) 724-7616
Union Primary Care
111 W. High Street, #318
Elkton, MD 21921
(410) 392-2808
Internal
Medicine
Pediatrics
Family
Practice
Dobin, Andrew Scott,
Hoeck, Jeffery T,
Primary Pediatrics - Bowie
17001 Science Drive, Suite 116
Bowie, MD 20715
Hurtt, Debra B,
Lazusky, Heather M,
Levitas, Michael A,
Nuber, Susan M,
Williams, Rodney A,
Pediatrics
Davidsonville
Brown, Stephen F.,
the Pediatric Group - Davidsonville
2772 Rutland Road
Davidsonville, MD 21035
(443) 607-1033
Lu, Mei-Lin,
Werner, Ann S.,
Camp Springs
MedStar Physician Partners/ Camp
Springs
5801 Allentown Road, Suite 510
Camp Springs, MD 20746-459
(301) 899-0020
Nurse
Practitioner
Danielson, Susan,
Lanciano, Kathryn A.,
Mickler, Alexandra,
Internal
Medicine
Pediatrics
Coronel, Emerson L.,
O'croinin, Proinnsias,
Isaacs, David T.,
Dunkirk
Wosu, Uchechi N,
CIMG Dunkirk
10845 Town Center Blvd, Suite 204
Dunkirk, MD 20754
(410) 535-2000
Crofton
the Pediatric Group - Crofton
2225-E Defense Highway
Crofton, MD 21114
(410) 721-2273
Graw, Jr., Robert G.,
Internal
Medicine
Pediatrics
Gallatin, David R,
Aliabadi, Farhad,
Gallatin, David R,
Davis, Craytonia L.,
Judge, Charles A.,
Gage, Deborah Marie,
Judge, Charles A.,
Gilliard, Jackie L.,
Lowenthal, Jonathan D.,
Cumberland
Lowenthal, Jonathan D.,
Children's Medical Group
500 Greene Street
Cumberland, MD 21502
(301) 724-7616
Mendonca, Nayantara,
Pediatrics
Dawson, Robert J,
Mendonca, Nayantara,
Akinkunmi, Lanre Tajudeen,
Breslow, Lisa,
Breslow, Steven J,
Ma, Jose,
Teal, Cydney,
Finksburg
Family Medical Associates-Finksburg
2970 Dede Road, Suite 4
Finksburg, MD 21048
(410) 861-8960
Family
Practice
Wilson, Victoria V,
Physician
Assistant
Hicks, Beth A,
Frederick
Parkview Medical Group - Rosehill
1564 Opossumtown Pike, B5-11
Frederick, MD 21702
(301) 663-3137
Family
Practice
Asuncion, Melissa M,
Costello, Michael W,
Le, Kimanh T,
Lowery, Jason Eric,
Nguyen, Dung-thu,
Potomac Physicians , PA - Frederick
Health Center
110 Baughmans Lane, Second floor
Frederick, MD 21702
(301) 846-0300
Moody, Glynis A,
Internal
Medicine
Moody, Glynis A,
Brinkley, Susan Barnett,
Weigel, John H.,
Tesfalidet, Azeb,
Weigel, John H.,
Pediatrics
Haworth, Byron A,
Page 75 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Frederick
Hagerstown
Hollywood
Potomac Physicians , PA - Frederick
Health Center
110 Baughmans Lane, Second floor
Frederick, MD 21702
(301) 846-0300
Johns Hopkins Community
Physicians - Hagerstown
12916 Conamar Dr., Suite 204
Hagerstown, MD 21742
(410) 338-3504
Shah Associates, MD, LLC - PJBean
Building
24035 Three Notch Road
Hollywood, MD 20636
(301) 373-7900
Pediatrics
Family
Practice
Pediatrics
Hsu, Pauline,
Rodriguez, Pedro,
Germantown
Family HealthCare
20528 Boland Farm Road,, Suite 104
Germantown, MD 20876
(301) 972-0400
Family
Practice
Howard, Monica J.,
Blash, Steven J,
Janus, Jennifer Cox,
Mace, Kelly Marie,
Sharma, Sarita,
Shranatan, Larry,
Internal
Medicine
Theodoru, Redu M,
Fahmi, Fahmi,
Lafeer, Mohamed,
Hunt Valley
GBMC Primary Care at Hunt Valley
9 Shilling Road
Hunt Valley, MD 21031
(410) 771-9220
Family
Practice
Brown, John R,
Sadikman, Jesse C.,
Nurse
Practitioner
Skurla, Martha C.,
Haupt, Richard,
Wollman-Rosenwald, Megan,
Hancock
Internal
Medicine
Glen Dale
Hahn And Nelson Family Medicine
131 N. Pennsylvania Ave
Hancock, MD 21750
(301) 678-7007
Lamos, Mark A,
Family
Practice
Jones, Deborah H,
Natural Family Wellness
12200 Annapolis Rd, Suite #115
Glen Dale, MD 20769
(301) 805-7084
Family
Practice
Hahn, Matthew Abner,
Allen, Vanessa Maria,
Nelson, Marilyn MK,
Glenarden
Hollywood
Gerald Family Care - Glenarden
7940 Johnson Ave
Glenarden, MD 20706
Shah Associates, MD, LLC - PJBean
Building
24035 Three Notch Road
Hollywood, MD 20636
(301) 373-7900
Family
Practice
Gerald, Melvin D,
Gerald, Melvin D,
Marshall, Eric Cornelius,
Family
Practice
Gupta, Archana,
Williams, Edwin Saxton,
Internal
Medicine
Hagerstown
Federle, David,
Johns Hopkins Community
Physicians - Hagerstown
12916 Conamar Dr., Suite 204
Hagerstown, MD 21742
(410) 338-3504
Gill, Rajbinder,
Family
Practice
Pediatrics
Jhaveri, Bhasker,
Sajja, Chandra,
Siddiqui, Shahid,
Motter-Mast, Robin M,
Olaru, Andreea,
Nurse
Practitioner
Kaczor, Julie Leslie,
Laurel
MedPeds
7350 Van Dusen Rd, Suite #130
Laurel, MD 20707
(301) 498-8880
Family
Practice
Jalali, Reema,
Johnson Weaver, Joi,
Plunkett - Reid, Karen,
Internal
Medicine
Duncan, Angela,
Eaton, Seth R.,
Rosenstock, Jill,
Potomac Physicians, P. A. - Laurel
Health Center
8871 Gorman Road, Suite 300
Laurel, MD 20723
(301) 498-3150
Page 76 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Laurel
Millersville
North Beach
Potomac Physicians, P. A. - Laurel
Health Center
8871 Gorman Road, Suite 300
Laurel, MD 20723
(301) 498-3150
UniversityCare-Shipley's Choice
8601 Veterans Highway, Suite 111
Millersville, MD 21108
(410) 729-4609
Calvert Primary Care - Twin Beaches
83924 Chesapeake Avenue
North Beach, MD 20714
(410) 257-7279
Family
Practice
Nurse
Practitioner
Cook, Roger Harvey,
Pitman, Lacy Twining,
Mcloughlin, Kathleen Elizabeth,
Oakland
Internal
Medicine
Mountain Laurel Medical Center
1027 Memorial Drive
Oakland, MD 21550
(301) 533-3300
Family
Practice
Madonna, Susan,
Internal
Medicine
Mcclain, Timothy P,
Siva, Prema,
Warren, William A,
Primary Pediatrics - Laurel
9811 Mallard Drive, Suite 109
Laurel, MD 20708
(301) 776-8000
Pediatrics
Anlage, Valorie L.,
Bland, Louis H.,
Gadsby, Angela L.,
Lutherville
Green Spring Internal Medicine, LLC
2360 W Joppa Road, Suite 210
Lutherville, MD 21093
(410) 583-2890
Internal
Medicine
Dahlman, Holly Ryerson,
Middleton, Rebecca Joann,
Mitchellville
MedStar Physician Partners Mitchellville
12158 Central Ave.
Mitchellville, MD 20721
(301) 430-2750
Family
Practice
Internal
Medicine
Friend-Lantz, Rachel,
DuBoyce, William,
Mt. Airy
Parkview Medical Group - Mt. Airy
1502 S.Main Street, Suite 202
Mt. Airy, MD 21771
(301) 829-9570
Family
Practice
Acol, Jose C,
Griffin, Gail T,
Nurse
Practitioner
Thaker, Nilay Bhasker,
Luebehusen, Amy Marie,
Parkview Medical Group - Myersville
3000D Ventrie Court
Myersville, MD 21773
(301) 293-2549
Manchester
Family Medical Associates- Manchester
4175-A Hanover Pike
Manchester, MD 21102
(410) 239-2662
Family
Practice
Eyer, Michael Gale,
Miller, Wendy Leigh,
Millersville
Myersville
Family
Practice
Lopez-Warren, Yvette Lopez,
North Beach
Calvert Primary Care - Twin Beaches
83924 Chesapeake Avenue
North Beach, MD 20714
(410) 257-7279
Nurse
Practitioner
Richter, Donald Ray,
Nurse
Practitioner
Ocean City
Townsend Medical Center
1001 Philadelphia Avenue
Ocean City, MD 21811
(410) 289-6241
Family
Practice
Donmoyer, Lorren Michael,
Waters, Stephen F,
Owings Milles
MedStar Health Physicians - MedStar
Physician Partners @ Owings Mills
23 Crossroads Drive Suite 325,
Owings Milles, MD 21117
Internal
Medicine
Okoye, Mercy E.,
Perry Hall
MedStar Physician Partners/Honeygo
Center
5009 Honeygo Center Drive, Suite 216
Perry Hall, MD 21128-981
(410) 256-5858
Internal
Medicine
Cool, Jeffrey A,
Kats, Inna,
Page 77 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Perry Hall
Prince Frederick
Severna Park
MedStar Physician Partners/Honeygo
Center
5009 Honeygo Center Drive, Suite 216
Perry Hall, MD 21128-981
(410) 256-5858
Shah Associates, MD, LLC - Calvert
Site
130 Hospital Road, St 300
Prince Frederick, MD 20678
the Pediatric Group - Severna Park
692-A Ritchie Highway
Severna Park, MD 21146
(410) 721-2273
Internal
Medicine
Nurse
Practitioner
Internal
Medicine
Munshi, Anwar,
Forsyth, Carol D.,
Speight, Lisa,
Shah, Dhiren,
Pediatrics
Prince Frederick
Reisterstown
Gibson, Robert G.,
Calvert Primary Care - Calvert
Convenient Care
130 Hospital Road, Suite 201
Prince Frederick, MD 20678
(410) 535-5660
Family Medical AssociatesReisterstown
113 Westminster Road, Suite 101
Reisterstown, MD 21136
(410) 517-2840
Silver Spring
Family
Practice
Family
Practice
Bruney, Francisca Claudia,
Wilson, Victoria V,
Nurse
Practitioner
Rising Sun
Pitman, Lacy Twining,
CIMG Prince Frederick
110 Hospital Road, Suite 310
Prince Frederick, MD 20678
(410) 535-2005
Internal
Medicine
Gallatin, David R,
Gallatin, David R,
Judge, Charles A.,
Judge, Charles A.,
Lowenthal, Jonathan D.,
Lowenthal, Jonathan D.,
Mendonca, Nayantara,
(Joseph K. Weidner, Jr. MD L.L.C.
dba) Stone Run Family Medicine
101 Colonial Way, Suite A
Rising Sun, MD 21911
(410) 658-6696
Family
Practice
Steiner, Stefanie Margit,
Weidner, Joseph Kern,
Rockville
Johns Hopkins Community Physicians Montgomery County
14955 Shady Grove Road
Rockville, MD 20850
(410) 338-3504
Comprehensive Women's Health
2101 Medical Park Drive, #300E
Silver Spring, MD 20902
(301) 754-2222
Internal
Medicine
Marshall, Angela Michelle,
MedStar Physician Partners - Silver
Spring
10301 Georgia Avenue, Medical Park
West, Suite 301
Silver Spring, MD 20902-5020
Internal
Medicine
Bisk, Penny L.,
Dhar, Anjana M.,
Saavedra, Martha S.,
Primary Pediatrics - Silver Spring
2415 Musgrove Road, Suite 207
Silver Spring, MD 20904
Pediatrics
Abhyank, Sewapna,
Anderson, Inas M.,
Mendonca, Nayantara,
Family
Practice
Moody, Glynis A,
Jafri, Ayesha,
Solomons
Moody, Glynis A,
Joel, Malini K,
Weigel, John H.,
Jordan shaffer, Caitlin Stetson,
Weigel, John H.,
Okuwobi, Obafemi,
Shah Associates, MD, LLC - Calvert
Site
130 Hospital Road, St 300
Prince Frederick, MD 20678
Internal
Medicine
Calvert Primary Care - Solomons
14090 H.G. Trueman Road, Suite 2100
Solomons, MD 20688
(410) 394-3712
Gnatt, Michael,
Linares, Veronica L,
Nguyen, My-Huong,
Family
Practice
Villar, Kenneth S,
Internal
Medicine
Mehta, Urvi M,
Internal
Medicine
Guduri, Vijaya,
Reitman, Lori L,
Kodali, Leena R.,
Page 78 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Maryland
Maryland
Maryland
Solomons
Waldorf
Westminster
CIMG Solomons
14090 H.G. Trueman Road,, Suite 2500
Solomons, MD 20688
(410) 535-2005
Cambridge Pediatrics, LLC
3500 Old Washington Road, Suite 101
Waldorf, MD 20602-3205
(301) 645-1133
Johnston Family Medicine
444 WMC Drive, Suite 114
Westminster, MD 21158
(410) 751-6684
Infectious
Disease
Pediatrics
Family
Practice
Pomilla, Paul V,
Patient First - Waldorf
2855 Crain Highway
Waldorf, MD 20601
(240) 427-1926
Johnston, Kimberly A,
Family
Practice
Brady, Simone H,
Internal
Medicine
Angov, Nadia,
Barth, III, Joseph John,
Berg, Eric,
Berg, Eric,
Thurmont
WellSpan Medical Group - Thurmont
Family Medicine
Thurmont Professional Center, 48
Water Street
Thurmont, MD 21788
Smith, Nicole,
Chapman, Corry,
Gross, Dhimitri,
Jackson, Frank R.,
Lam, Phi,
Mcdonald, Asia Tshane,
Moghadam, Faranak E.,
Nurse
Practitioner
Baugher, Vicky,
Martin, Amy Arbaugh,
Orlando-hart, Renee J,
Massachusetts
Acton
Acton Medical Associates, PC
321 Main Street
Acton, MA 01720
(978) 263-1425
Family
Practice
Stoner, Melissa,
Cooper, Brad J,
Tastet, Heidi,
Nair, Smitha,
Wilson, Paul Michael,
Timonium
Internal
Medicine
DeMartino, Peter J.,
Childress, III, Lorenzo,
Eliezer, Caren B.,
Dave, Harish,
Girolamo, Allessandro A.,
Shah Associates, MD, LLC - Waldorf
Site
12070 Old Line Center, suite 100
Waldorf, MD 20602
(301) 705-7870
Gorman, Ingrid L.,
Internal
Medicine
Paparello, Scott P.,
Castrence, Arnel C,
Steger, Elliot F.,
Davison, Robert Langdon,
Talland, Claudia S.,
Haft, Howard Mark,
Pediatrics
Smith, Meindert,
Cohen, Mark W.,
Westminster
Cooper, Christopher P.,
Johnston Family Medicine
444 WMC Drive, Suite 114
Westminster, MD 21158
(410) 751-6684
Davis Werner, Margaret D.,
Family
Practice
Rubinstein, Jessica R.,
Potomac Physicians, P. A. - Timonium
Medical Center
16 Greenmeadow Drive, Suite G105
Timonium, MD 21093
(410) 561-5773
Family
Practice
Raucher, Leonard,
Waldorf
Cambridge Pediatrics, LLC
3500 Old Washington Road, Suite 101
Waldorf, MD 20602-3205
(301) 645-1133
Nurse
Practitioner
Landrum-tsu, Cynthia,
Pediatrics
Abney, Dianna E,
Campbell, Cynthia Heather,
Farooqui, Sayeed,
Shah, Minaxi N,
Suri, Rohit,
Internal
Medicine
Aggarwal, Sapna,
Churchill, Amy S.,
Knights, Edwin B.,
Kovacs, Deborah B.,
Oh, Kathryn K.,
Rodman, Mariellen T.,
Iannini, Alexandra L.,
Jakimczyk, John J.,
Simon, Deborah E.,
Page 79 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Acton
Attleboro
Attleboro
Acton Medical Associates, PC
321 Main Street
Acton, MA 01720
(978) 263-1425
Sturdy Memorial Associates - Attleboro
Medical Associates - 19
19 Sturdy Street
Attleboro, MA 02703
(508) 236-8370
Sturdy Memorial Associates - Sturdy
Pediatric Associates
303 North Main Street
Attleboro, MA 02703
(508) 222-3960
Internal
Medicine
Pediatrics
Pediatrics
Travassos, Michelle L.,
Amherst
Katherine Atkinson MD, PC
29D Cottage Street
Amherst, MA 01002
(413) 549-8400
Family
Practice
Atkinson, Katherine J,
Baecher, Paul S,
Valley Medical Group - Amherst
31 Hall Drive
Amherst, MA 01002
(413) 256-8561
Endocrinology
Chipkin, Stuart R.,
Family
Practice
Jackson, Rebecca,
Johnson, Peter B.,
Loew, Matthew Justin,
Siddall-bensson, Jean M.,
Sturdy Memorial Associates - Attleboro
Medical Associates - 28
28 Sturdy Street
Attleboro, MA 02703
(508) 236-8360
Internal
Medicine
Barrera, Noellemarie,
Bensson, Steven A,
Tucker, Glenn Alan,
Sturdy Memorial Associates - Emory
Medical Associates
159 Pleasant Street
Attleboro, MA 02703
(508) 226-0213
Midler, Ross S.,
Internal
Medicine
Schiller, Harvey Jon,
Watson, Erik N.,
Weeber, III, Charles H.,
Furcolo, Tina L.,
Sturdy Memorial Associates - Pleasant
Street Pediatrics
159 Pleasant Street
Attleboro, MA 02703
(508) 223-2474
Proctor, Lauren T.,
Pediatrics
Scott, Tatiana N.,
Berard, Dennis J.,
Podiatry
Thomson, Jennifer K.,
Erskine, John B.,
Sturdy Memorial Associates - South
Avenue Pediatrics
28 South Avenue
Attleboro, MA 02703
(508) 226-2290
Internal
Medicine
Attleboro
Sturdy Memorial Associates - Attleboro
Medical Associates - 19
19 Sturdy Street
Attleboro, MA 02703
(508) 236-8370
Pediatrics
Dunetz, Danielle,
Germain, Bradford S,
Guillette, Raymond A.,
Latif, Shazia,
Marino, Kathryn,
Auburn
Reliant Medical Group - Auburn
Internal Medicine
35 Millbury Street
Auburn, MA 01501
Family
Practice
Ali, Syed Shujaat,
Internal
Medicine
Gaines, William M,
Guilbert, Daniel B,
Gurwitz, Jerry H,
Murthy, P Ramana,
Osorio, Natalie G,
Platt, John C,
Rogerson, Oksana,
Belchertown
Baystate Medical Practices - Quabbin
Adult Medicine Belchertown
95 Sargent Street, Rt. 9
Belchertown, MA 01007
(413) 323-7212
Internal
Medicine
Beauzile, Ronald,
Garg, Anuja,
Lysse, Mario,
Boston
Entwistle, Raymond,
Internal
Medicine
Gottesman, Cheryl S.,
Page 80 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Boston
Boston
Braintree
Harvard Vanguard Medical
Associates - Faulkner
1153 Centre Street
Boston, MA 02130-3446
(617) 559-8383
Harvard Vanguard Medical
Associates - Post Office Square
147 Milk Street
Boston, MA 02169-4330
(617) 559-8386
Harvard Vanguard Medical
Associates - Braintree
111 Grossman Drive
Braintree, MA 02184-4998
(781) 849-1000
Internal
Medicine
Endocrinology, Diabetes &
Metabolism
Internal
Medicine
Copello, Maria V.,
Herman, Talia N.,
Bhatia, Lini S.,
Lauretti, Linda A.,
Internal
Medicine
Heyworth, Leonie,
Mccord, Laura L.,
Nekhlyudov, Larissa G.,
Harvard Vanguard Medical
Associates - Kenmore
133 Brookline Avenue
Boston, MA 02215-3904
(617) 421-1000
Internal
Medicine
Diamond, Eric N.,
Georgia Estrera, Chloeanne,
Hunt, Helen M.,
Kaufman, Julie,
Krieger, David B,
Leong, Deborah Wonwah,
Ramchandani, Shirly Hashumal,
Baumwoll, Robert E,
Uhlmann, Angelique T.,
Camac-weiser, Joyce M,
Yoffe, Patty M.,
Campion, Francis X.,
Senior Health, Massachusetts General
Hospital
165 Cambridge Street, 502
Boston, MA 02114
(617) 726-4607
Carbonara, Pascale,
Cohen, Calvin J.,
Foxworthy, Donald M.,
Garland, James L,
Koplan, Kate E.,
Lee, Jae Yong,
Pennoyer, Hildred B.,
Racine, Susan M.,
Roseto, James P.,
Seetharaman, Kavita,
Geriatric Medicine/Family
Practice
Wong, Monera B.,
Geriatric Medicine/Internal
Medicine
Holmes, George W.,
Isihara, Hikaru,
Kelly, Sara F.,
Qureshi, Mahmooda,
Radden, Nancy F.,
Reel, Ross C.,
Reis, Paula J.,
Romano, Elisa L.,
Sawitz, Eric H.,
Shkuratov, Svetlana,
Thomas, Holly M.,
Brewster
Theodor Herwig MD, PC
1 Independence Way
Brewster, MA 02631
(508) 896-0050
Family
Practice
Herwig, Theodor Thomas,
Bauman, Joel Scott,
Burlington
Hesse, Katherine A.,
Harvard Vanguard Medical
Associates - Burlington
20 Wall Street
Burlington, MA 01803-4758
(617) 559-8377
Sequist, Thomas D.,
Internal
Medicine
Spar, Ellen,
Hamann, Claus,
Sridhar, Shanthy,
Minaker, Kenneth Lloyd,
Tapp, Sheila E.,
Braintree
Tharayil, Mary,
Harvard Vanguard Medical
Associates - Braintree
111 Grossman Drive
Braintree, MA 02184-4998
(781) 849-1000
Ohanian, Irina Gabriela,
Family
Practice
Wong, Edward R.,
Tramposch, Helen D,
Weiser, Gary A.,
Zuckerman, Carol J.,
General
Practice
Internal
Medicine
Dandamudi, Saroja,
Cambridge
Odegaard, Mary E.,
Page 81 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Cambridge
Concord
Dorchester
Harvard Vanguard Medical
Associates - Cambridge
1611 Cambridge Street
Cambridge, MA 02138-4397
(617) 661-5500
Harvard Vanguard Medical
Associates - Concord
242 Baker Avenue
Concord, MA 01742-2188
(617) 559-8386
Bowdoin Street Health Center
230 Bowdoin Street
Dorchester, MA 02122
(617) 754-0098
Internal
Medicine
Internal
Medicine
Atkind, Robert G,
Gomez, Monica,
Brush, Alan D.,
Jain, Sandeep,
Canty, Leann R.,
Jiang, Lei,
Internal
Medicine
Johnson, Mary E,
Kramer, Melvyn W.,
Alves, Jean J,
Khan, Bushra,
Kwon, Ronald C.,
Bidwell, Harvey W,
Lennox, Sara L.,
Lopez, Anthony P.,
Ingelfinger, Joseph A,
Mathews, Rashika S.,
Peters, Barbara T.,
Leddy, Giovanna M.,
Moawad elnaa, Mahmoud Ahmed,
Roomi, Noor A.,
Pediatrics
Selim, Alfredo J.,
Schwab, Leslie E.,
Bonacci, Anthony F,
Zorn, Joseph B.,
Tilles, Dan S.,
Delgado, Hernan M,
Chelmsford
Tong, Ya tze,
Harvard Vanguard Medical
Associates - Chelmsford
228 Billerica Road
Chelmsford, MA 01824-3680
(978) 250-6000
Zifcak, Sarah B.,
Harbor Health Services Inc. - GeigerGibson Community Health Center
250 Mt. Vernon Street
Dorchester, MA 02125
(617) 288-1140
Internal
Medicine
Dedham
Dedham Medical Associates - Dedham
One Lyons Street
Dedham, MA 02026
(781) 329-1400
Family
Practice
Anderson, Barbara L,
Phan, An K,
Family
Practice
Kumar, Meenakshi B.,
Cardiovascular
Disease
Nowak, Elizabeth,
Lee, Daniel C-s,
Nurse
Practitioner
Konkle, Rebecca L.,
Internal
Medicine
Fraser, Dawn Anu,
Lee, Wen Yee,
Barr, Connie S,
Meda, Mythily,
Blom, David G,
Montaperto, Patricia A.,
Chatterjee, Nobita,
Morgenstern, Steven A,
Forman, Jonathan S.,
Nemkov, Melvin,
Gopinath, Sreelekha,
Samardzic, Danka,
Johnston, Jehane C,
Satyam, Venkata G.,
Kirstein, Randy J,
Sivasankar, Lakshmi,
Miller, Michael S,
Family
Practice
Wei, Christina L,
Querner, Michael J,
Chunduru, Padmavathy P.,
Concord
Tarnell, Elizabeth B,
Schiermer, Donald C.,
Tarnell, Laurie A,
Tsai, Elly C.,
Wu, Regina,
Internal
Medicine
DaSilva, Karen C.,
Drake, Milton A.,
Gupta, Raj R.,
Dorchester
Rosenfield, Patti,
Pediatrics
Gustafson, Paul,
Harbor Health Services Inc. - Neponse
Health Center
398 Neponset Avenue
Dorchester, MA 02122
(617) 282-3200
Page 82 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Dorchester
Easthampton
Foxboro
Harbor Health Services Inc. - Neponset
Health Center
398 Neponset Avenue
Dorchester, MA 02122
(617) 282-3200
Valley Medical Group - Easthampton
238 Northampton Street
Easthampton, MA 01027
(413) 529-9300
Sturdy Memorial Associates - Foxboro
Center for Women's & Family Health
18 Washington Street
Foxboro, MA 02035
(508) 698-0044
Internal
Medicine
Baer, Phyllis B,
Family
Practice
Feinland, Jerald,
Lopez del Castillo, Kharmen,
Nurse
Practitioner
Perry, Ylfa Y.,
Branson, Edward H.,
Internal
Medicine
Dellheim, Miriam,
Desir, Charmaine Hyacinth,
Foley, Allison R.,
Lay, Sarah,
Lipson, Sonia,
Morgan, Ann Marie,
Slack, David M.,
Fitchburg
Reliant Medical Group - Fitchburg
Family Practice
370 Lunenburg Street
Fitchburg, MA 01420
Family
Practice
Hemmingsen, Karin Janet,
Wulf Silver, Rachel,
Framingham
Southboro Medical of Framingham
761 Worcester Road
Framingham, MA 01504-5224
Family
Practice
Buchanan, Stephen S,
Martin, Meredith Ann,
Oesterle, Allison G.,
Family
Practice
Internal
Medicine
Roberts, John R.,
Parker, William J,
Bolkhovsky, Alla,
Schroder, Lauren A.,
Rollo, Mark J,
Chen, Linyun,
Schuster, Pamela M.,
Snioch, Agnieszka B,
Cooper, Michael A.,
Pediatrics
Florence
Correia, Christian A,
Hoch, Robert A.,
Valley Medical Group-Florence
Northampton Health Center, 70 Main
Street
Florence, MA 01062
(413) 586-8400
Nurnberger, Matthias M,
Morris, Dianne,
Nutt, Ann T.,
Duxbury
Ulrike Kohler MD
95 Tremont Street, Suite 10
Duxbury, MA 02332
(781) 934-0060
Family
Practice
Esrick, Steven B.,
Greenfield
Baystate Medical Practices - Franklin
Adult Medicine
48 Sanderson Street
Greenfield, MA 01301
(413) 794-4232
Kaufman, David M.,
Family
Practice
Kilip, Shersten,
Rourke, Sara A,
Kohler, Ulrike B,
Simkin, Henry Eric,
East Longmeadow
Thaler, Paul Steven,
Internal
Medicine
Baystate Medical Practices - East
Longmeadow Adult Medicine
294 North Main St, 2nd Floor
East Longmeadow, MA 01028
(413) 794-3002
Psychiatry, Child &
Adolescent
Internal
Medicine
Internal
Medicine
Barnett, Scott M.,
Dash, Cary M,
Shoushtari, Niloufar,
Odulio, Rosette Perseveranda O,
Randhawa, Sanjeevan,
Kriebel, Jr., George W.,
Thomas, Deepu Alex,
McCarthy-Lenz, Justine S.,
Baystate Medical Practices - Greenfiel
Pediatrics - Greenfield
48 Sanderson Street
Greenfield, MA 01301
Foxboro
Sturdy Memorial Associates - Foxboro
Center for Women's & Family Health
18 Washington Street
Foxboro, MA 02035
(508) 698-0044
Pediatrics
Copeland, Herbert W,
Page 83 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Greenfield
Hyannis
Lawrence
Baystate Medical Practices - Greenfield
Pediatrics - Greenfield
48 Sanderson Street
Greenfield, MA 01301
Harbor Health Services Inc. - Mid
Upper Cape Community Health Center
30 Elm Avenue
Hyannis, MA 02601
(508) 778-0300
GLFHC - Haverhill Street
34 Haverhill Street
Lawrence, MA 01841-2884
(978) 686-0090
Pediatrics
Fernandez, Bert,
Roberts, Hugh D,
Sola-gomez, Orlando J,
Family
Practice
Pena, Kathy M.,
Family
Practice
Gravel, Joseph W,
Meyers, James A,
Internal
Medicine
Roberts, Blair Cooke,
Parnes, Mindy M.,
General
Practice
Nurse
Practitioner
Bolduc, Philip Joseph,
Family
Practice
Crabtree, Marjorie M.,
Obstetrics &
Gynecology
Biggie, Jessica M.,
Mathews, Tina,
Gump, Marguerite C.,
Tucker, Patricia Louise,
Iverson, Patricia A.,
Pediatrics
Surgery, General
Vascular
Palmer, Jeffrey P.,
Lacy, Steven J.,
Gordon, Jonathan K,
Potee, Ruth A.,
Kingston
GLFHC - South
73D Winthrop Avenue
Lawrence, MA 01843-1556
(978) 686-3017
Valley Medical Group - Greenfield
329 Conway Street
Greenfield, MA 01301
(413) 774-6301
Internal
Medicine
Carlan, Paul D.,
Futrell, Tara D.,
Rheumatology
Brown, Richard A.,
Holden
Reliant Medical Group - Holden
Family Practice
27 Shrewsbury Street
Holden, MA 01520
Family
Practice
Alexander, Rani,
Ali, Asjad Mahmood,
Benjevin, Elizabeth M,
Mathur, Monika,
Smith, Stephen J,
Hyannis
Harbor Health Services Inc. - Mid
Upper Cape Community Health Center
30 Elm Avenue
Hyannis, MA 02601
(508) 778-0300
South Shore Medical Center - Kingston
5 Tarklin Road
Kingston, MA 02364
(781) 261-4783
Internal
Medicine
Rottman, Joey,
Family
Practice
Krueger, John Paul,
Castiglione, Thomas F,
Krueger, John Paul,
Castiglione, Thomas F,
Spires, Ann B,
Linscott, Mara K,
Psychiatry
Linscott, Mara K,
Geller, Jeffrey S,
Metzger, Jonathan P,
GLFHC - West
700 Essex Street
Lawrence, MA 01841-4398
(978) 689-2400
Metzger, Jonathan P,
Murphy, Sarah G,
Murphy, Sarah G,
Lawrence
GLFHC - Haverhill Street
34 Haverhill Street
Lawrence, MA 01841-2884
(978) 686-0090
Family
Practice
Glatz, Richard M.,
Leominster
Fennell, Elton G.,
Reliant Medical Group - Leominster
Family Practice
165 Mill Street
Leominster, MA 01453
(978) 466-3208
Family
Practice
Family
Practice
DeGuzman, Dorothy,
Langman, Anna,
Emergency
Medicine
Page 84 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Leominster
Medford
Millbury
Reliant Medical Group - Leominster
Family Practice
165 Mill Street
Leominster, MA 01453
(978) 466-3208
Harvard Vanguard Medical
Associates - Medford
26 City Hall
Medford, MA 02155
(617) 559-8386
Reliant Medical Group - Millbury
Internal Medicine
94 Elm Street
Millbury, MA 01527
Family
Practice
Internal
Medicine
Parker, William J,
D'Ambrosio, Giovanni A.,
Dilley, S patricia,
Schneeweis, John R,
Feiss, Paul J.,
Jain, Preeti,
Veno, Daniel A,
Geary, Amanda K.,
Naravane, Seema,
Reliant Medical Group - Leominster
Internal Medicine
165 Mill Street
Leominster, MA 01453
Hirsowitz, Geoffrey S.,
Milton
Lopez, Richard J.,
Family
Practice
Nagpaul, Chander M.,
William E Cobb, MD
100 Highalnd Street, Suite 209
Milton, MA 02186
(617) 698-8184
Farb, Perry G,
Perla, Rachel A.,
Internal
Medicine
Plovnick, Herbert S.,
Cobb, William E,
Schilling, Thad F.,
North Attleboro
Virmani, Anjini,
Sturdy Memorial Associates - North
Attleboro Medical Center
170 Draper Avenue
North Attleboro, MA 02760
(508) 695-9421
Hryniewich, Mark,
Munoz, Myria,
Longmeadow
Pioneer Valley Pediatrics
123 Dwight Road
Longmeadow, MA 01106
(413) 567-1031
McFadden, Caroline A.,
Paskal, Steven W.,
Warner, Cheryl K.,
Zaimoglu, Candan,
Pediatrics
Almasri, Wedad,
Internal
Medicine
Cavanaugh, Robert J,
Endocrinology
Furth, Thomas W.,
Family
Practice
Pediatrics
Pert, James C.,
Benitez, Jose Luis,
Camera, Karen,
Schwaner, Janet L.,
Bowie, Lisa D.,
Ginsburg, Sally H,
Urology
Kajencki, S. Paul,
Tapper, Judith E,
Ku, James C.,
Rana, Ahmad M,
Tredeau, Richard J,
Milford
Young, Mark R.,
Yunis, Joseph E,
Reliant Medical Group - Milford
Internal Medicine
176 West Street
Milford, MA 01757
Northampton
Medford
Harvard Vanguard Medical
Associates - Medford
26 City Hall
Medford, MA 02155
(617) 559-8386
Gastroenterology
Kemp, James Alan,
Michaelson, Ira P.,
Internal
Medicine
Cacciola, James G.,
Internal
Medicine
Bhat, Abdul R,
Baystate Medical Practices - Pioneer
Valley Family Medicine
118 Conz Street
Northampton, MA 01060
(413) 387-4100
Sanjay, Brinda,
Family
Practice
Trotter, Wayne D,
Duncan, Joyce E.,
Millbury
Garretson, Adam D.,
Reliant Medical Group - Millbury
Internal Medicine
94 Elm Street
Millbury, MA 01527
Katz, David E.,
Silverman, Stephanie D.,
Yoss, Marci S.,
Page 85 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Northampton
Norwood
Plainville
Baystate Medical Practices - Pioneer
Valley Family Medicine
118 Conz Street
Northampton, MA 01060
(413) 387-4100
Dedham Medical Associates - Norwood
325 River Ridge Drive
Norwood, MA 02620
(781) 329-1400
Sturdy Memorial Associates - Plainvil
Family Practice
74 Taunton Street
Plainville, MA 02762
(508) 695-2020
Internal
Medicine
Lederman, Harvey M.,
Norton
Sturdy Memorial Associates - Norton
Medical Center
14 Taunton Avenue
Norton, MA 02766
(508) 285-9500
Family
Practice
Mallick, Rajani K,
Zullo, Mark C.,
Norwell
South Shore Medical Center - Norwell
75 Washington Street
Norwell, MA 02061
(781) 878-5200
Family
Practice
Corkins, Scott P.,
Miner, Teri L.,
O'Connell, Sarah J.,
Ryan, Benjamin C.,
Shtern, Marina,
Internal
Medicine
Internal
Medicine
Anderson, Sung K,
Birnbaum, Neil S,
Brody, Jill S,
Kim, Marilyn S,
Perman, Scott R,
Wahid, Naila,
Osterville
Mark Collins, MD
10 Osterville-West Barnstable Road
Osterville, MA 02655
Internal
Medicine
Collins, Mark,
Peabody
Harvard Vanguard Medical
Associates - Peabody Lynnfield
2 Essex Center Drive
Peabody, MA 01960
(978) 977-4000
Internal
Medicine
Austin, Leonard N.,
Family
Practice
Oakley, Bernard E.,
Phillips, Bruce A.,
Pleasants, Peter L.,
Plymouth
Raafat Attia Hanna MD, PC
110 Long Pond Road, Suite 110
Plymouth, MA 02360
(508) 747-0041
Internal
Medicine
Attia-hanna, Raafat I,
Sergio M.Camargo, MD
100 Long Pond Road, Suite 205
Plymouth, MA 02360
Internal
Medicine
Camargo, Sergio,
Quincy
Eric Cohen, MD
67 Coddington Street
Quincy, MA 02169
Boyd, William F.,
Internal
Medicine
Brown, James F.,
Cohen, Eric R,
Caldwell, Karen Elizabeth,
Granite Medical Group
500 Congress Street
Quincy, MA 02169
(617) 471-0033
Barbosa, Anna A.,
Cunningham, Mary E.,
Gordon, Pamela G.,
Enneguess, Jeanne M.,
Halle, David A.,
Francis, Amy,
Mellors, Jr., Robert C.,
Gates, Sarah C.,
Cardiovascular
Disease
Mudgett, Michele K.,
Haley, Eileen C.,
Berman, Neil J,
Nuciforo, Sara J.,
Kontamwar, Mridul,
Noonan, Robert H,
Smith, Gregory J.,
Mazzoni, Cynthia L.,
Turner, John L.,
Odiet, Jeff A.,
Internal
Medicine
Norwood
O'Neil-Callahan, Kristin M.,
Berrick, Alan,
Raizin, Mark D.,
Black, Richard,
Saltzman, Stephen J.,
Cullinane, Cynthia,
Shmase, Frederic S,
Drew, Nancy,
Page 86 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Quincy
Rehoboth
S Boston
Granite Medical Group
500 Congress Street
Quincy, MA 02169
(617) 471-0033
Sturdy Memorial Associates - Rehoboth
Seekonk Medical Center
538 Winthrop Street
Rehoboth, MA 02769
(508) 336-9200
South Boston Community Heatlh
Center
409 W Broadway
S Boston, MA 02127
(617) 464-7545
Family
Practice
Internal
Medicine
Kambe, Arbetta M.,
Cattel, Pamela,
Internal
Medicine
Kalish, Richard,
Internal
Medicine
Einstein, Kenneth,
Farah, Walid S,
Goldin, Dennis,
Hoernle, Nils R,
Khan, Saima S,
Pressberg, Robert,
Salzman, Robert,
Schwartz, Charles,
Sheff, Daniel,
Sipzener, Robert,
Spinelli, Guy,
Weinberg, Robert M,
Harvard Vanguard Medical
Associates - Quincy
Presidents Place -- South Tower, 1250
Hancock Street
Quincy, MA 02169-4330
(617) 774-0600
Critical Care
Medicine
Lawrence, Sheila M.,
Internal
Medicine
Douglas, Megan P.,
Revere
CHA Revere Family Health Center
454 Broadway
Revere, MA 02151
(781) 485-8220
Family
Practice
Frank, Steven,
Marshall, Alison,
Schuch, Thomas J,
Carman, Laura,
Jorgensen, Andrew C,
Karalakulasingam, Christanthe Jasmine,
Littlefield, Megan B,
Roll, David M,
Stout, Somava S,
Pediatrics
South Boston Community Heatlh
Center
409 W Broadway
S Boston, MA 02127
(617) 464-7545
Family
Practice
Daley, Megan,
Internal
Medicine
Mani, Obli Chetty maragatha,
Sturdy Memorial Associates - Rehoboth
Seekonk Medical Center
538 Winthrop Street
Rehoboth, MA 02769
(508) 336-9200
Nurse
Practitioner
Fitzgerald, Virginia,
S Boston
Rehoboth
Saxena, Sheel,
Hsiao, Leal,
Lin, Chien H.,
Tsang, So-Fai,
Reinhold, Lars E,
Pediatrics
Finger, Lenna F,
Moss, Martha E.,
Mehssen, Mohamed Azzam,
Engelbart, Bonnie L,
Kuang, Qiao Ting,
Matfis, Steven B.,
Lin, Suru,
Family
Practice
Bakshi, Munish Rai,
Chiakpo, Evelyne N,
Goldman, Laura N,
Hines, Thomas C,
Kaligian, Aram V,
Miselis, Heather H,
Thakrar, Nisha,
Sandwich
Ramon Espinosa MD, PC
90 Route 6-A, Bldg. #5 Sextant Hill
Sandwich, MA 02563
(508) 833-1569
Internal
Medicine
Espinosa, Ramon,
Somerville
CHA Union Square Family Health
337 Somerville Ave.
Somerville, MA 02143
(617) 665-3370
Family
Practice
Burns, Jonathan E.,
Cohen, Bonnie F.,
Demasi, Monica H.,
Hall, Lara E.,
Meisinger, Kristen K.,
Sabia, Patrick M.,
Shah, Neha M.,
Page 87 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Somerville
Southboro
Springfield
CHA Union Square Family Health
337 Somerville Ave.
Somerville, MA 02143
(617) 665-3370
Southboro Medical Group
24 Newton Street
Southboro, MA 01772-1215
(508) 460-3033
Baystate Brightwood Health Center
380 Plainfield Street
Springfield, MA 01107
Family
Practice
Family
Practice
Siegel, Rachel,
Harris, Tammy C.,
Guhn, Audrey S,
Subbarao, Susheela L.,
Internal
Medicine
Lincoln, Thomas A,
Wheeler, Rachel,
Harvard Vanguard Medical
Associates - Somerville
40 Holland Street
Somerville, MA 02144-2705
(617) 629-6000
Internal
Medicine
Atlassi, Hassna,
Bean, Matthew John,
Buckman, Kimberly Renee,
Chau, Frank,
Crowe, Daniel,
Internal
Medicine
Goldfield, Norbert I,
Rivera-rivera, Hilda,
Scavron, Jeffrey H,
Vongoeler, Dorothea S,
Pediatrics
London, Naomi D,
Angel, Andrew R.,
Jandl, Robert C.,
Baystate General Pediatrics
3300 Main Street, Suite 4A
Springfield, MA 01105
Berger, Rachel J.,
Mahr, Melissa Robbins,
Pediatrics
Hobbs, Eleanor T.,
Mirzabegian, Armineh,
Branch, Hilary,
Liu, James C.,
Rodberg, Nadia,
Gerstle, Robert S.,
Matei, Manuela C.,
Spencer
Levine, Gary F.,
Padro, Silvina B,
Reliant Medical Group - Spencer
407 Main Street
Spencer, MA 01562
O'reilly, John R.,
Slavsky, Tatiana,
South Hadley
Baystate Medical Practices - South
Hadley Adult Medicine
470 Granby Road, Suite 1
South Hadley, MA 01075
(413) 533-2926
Family
Practice
Bartley, Mary M.,
Internal
Medicine
Abare, Nathan J.,
Howe, James E,
Internal
Medicine
Batbouta, John C,
Bou-harb, Talal J,
Fillipon, Nicholas G,
Sama, Ralph J,
Springfield
Baystate Brightwood Health Center
380 Plainfield Street
Springfield, MA 01107
Fay, Andrew K.,
Family
Practice
Krulewitz, Arthur H.,
Gerstle, Katherine S,
Southboro
Goncero, Grace Dorotan,
Southboro Medical Group
24 Newton Street
Southboro, MA 01772-1215
(508) 460-3033
Kassis, Peter B,
Family
Practice
Dorfman, Justin Nathaniel,
Wittcopp, Chrystal Ann,
Baystate Medical Practices - Northern
Edge Adult Medicine
3455 Main Street, Suite 6
Springfield, MA 01107
(413) 794-8777
Internal
Medicine
Bhatt, Ritika,
Boss, Eugene F.,
Cossin, Jeffrey R.,
Iyer, Smitha S.,
Salazar, Rodrigo G.,
Springfield Medical Associates
2150 Main Street
Springfield, MA 01107
(413) 739-5676
Nathan, Martha A,
Family
Practice
Plasencia, Veronica,
Cheung, Sheri D.,
Torres-muniz, Noraymar,
Moskovitz, Andrew G.,
Internal
Medicine
Internal
Medicine
Page 88 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
Springfield
Ware
Wellesley
Springfield Medical Associates
2150 Main Street
Springfield, MA 01107
(413) 739-5676
Baystate Medical Practices - Quabbin
Pediatrics
83 South Street, Suite 112
Ware, MA 01082
Internal
Medicine
Pediatrics
Harvard Vanguard Medical
Associates - Wellesley
230 Worcester Street
Wellesley, MA 02481-5491
(781) 431-5400
Cameron, Sandra D.,
Siege, Scott A,
Cook, Victoria L.,
Tokarz, Jeannette M,
Wychowski, Adam G.,
Watertown
Valley Medical Associates
3640 Main St., Suite 207
Springfield, MA 01107
(413) 739-0669
Emergency
Medicine
D'alessandro, Michael,
Internal
Medicine
Glading-Dilorenzo, Lise Ann,
Pediatrics
Cennerazzo, Albert J,
Turners Falls
Connecticut River Internists,LLP
8 Burnham Street
Turners Falls, MA 01376
(413) 774-3751
Internal
Medicine
Blacksin, Adam Scott,
Gavryck, Wayne A,
Klein, Laurence H,
Nagpal, Kirti,
Harvard Vanguard Medical
Associates - Watertown
485 Arsenal Street
Watertown, MA 02472-5091
(617) 972-5400
Brogan, Mary Jean,
Burd, Carol A.,
Gorenburg, Ida P.,
Hill, Rebecca J.,
Ingard, John U.,
Bail, Richard N.,
Klaus, Katrina E.,
Bauer, Mark R.,
Krohn, David I.,
Galgano, Richard C.,
Rubin, David B,
Kim, Joo Y.,
Tracy, Charles A.,
Meltzer, Jack N,
Vishniavsky, Nahum,
Mundhe, Ranjana R.,
Wahi, Madhu A.,
Shokri, Jahansouz,
Wilkinson, Joanne M.,
St-Goar, Anne F,
Wagner, Audrey Susan,
Webster
Reliant Medical Group - Webster
Internal Medicine
344Thompson Road
Webster, MA 01570
Ware
Levenson, Dmitry,
Baystate Medical Practices - Quabbin
Adult Medicine - Ware
83 South Street, Suite 8
Ware, MA 01082
Mandala, Madhavi Reddy,
Internal
Medicine
Harvard Vanguard Medical
Associates - Wellesley
230 Worcester Street
Wellesley, MA 02481-5491
(781) 431-5400
Pediatrics
Britton, Peter C.,
Kim, Mun R.,
Viadero, Joseph J,
Baystate Medical Practices - Quabbin
Pediatrics
83 South Street, Suite 112
Ware, MA 01082
Barker, Mary K.,
Internal
Medicine
Internal
Medicine
Gul, Muhammad Atif,
Internal
Medicine
Tarantan, Mark,
Wellesley
West Suburban Internists, PC
65 Walnut Street, Suite 619
Wellesley, MA 02481
(781) 237-3395
Internal
Medicine
Hall, Burt Whitney,
Zara, Ana cynthia P.,
West Roxbury
Harvard Vanguard Medical
Associates - West Roxbury
291 Independence Drive
West Roxbury, MA 02467
(617) 325-2800
Internal
Medicine
Braun, Edith E.,
Dupuis, Elizabeth A,
Faldetta, Thomas J.,
Internal
Medicine
Fontaine, Nicolette C,
Angiolillo, Dea F.,
Greenspan, Harold Z.,
Page 89 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Massachusetts
Massachusetts
West Roxbury
Weymouth
Wilbraham
Harvard Vanguard Medical
Associates - West Roxbury
291 Independence Drive
West Roxbury, MA 02467
(617) 325-2800
South Shore Medical Center
90 Libbey Parkway
Weymouth, MA 02189
(781) 682-5900
Riverbend Medical Group - Wilbraha
70 Post Office Park
Wilbraham, MA 01095
(413) 794-3877
Family
Practice
Internal
Medicine
Padala, Lakshmi Naravana,
Banker, Brian J.,
Internal
Medicine
Pediatrics
Internal
Medicine
Hallett, Ann M.,
Mckinney, Renee M,
Minkina, Nataly,
Sherritt, Karen M.,
Shuster, Matthew M.,
West Springfield
Baystate Medical Practices - West Side
Adult Medicine
46 Daggett Drive
West Springfield, MA 01089
(413) 794-9110
Internal
Medicine
Buencamino-Francisco, Maria Clarinda
A.,
Chiang, David,
Nalband, Edward W.,
Vedensky, Veronica,
Whately
Baystate Medical Practices - Greenfield
Pediatrics - Deerfield
424 State Road
Whately, MA 01093
Pediatrics
Alli, Glenn F.,
Checchi, Adele G,
Lao, Eric T.,
Whatley
Popkin, David E.,
Baystate Medical Practices - Deerfield
Adult Medicine
424 State Road
Whatley, MA 01093
(413) 665-8517
Solon, Michael H.,
Westboro
Reliant Medical Group - Westboro
FP/IM
106 East Main Street
Westboro, MA 01581
Family
Practice
Mark, Seamus,
Internal
Medicine
Sadagopan, Andal,
Samant, Ninad N,
Weymouth
South Shore Medical Center
90 Libbey Parkway
Weymouth, MA 02189
(781) 682-5900
Family
Practice
Kapoor-Mohimen, Bonu,
Nowosielski, Laura,
Family
Practice
Haller, Spencer L.,
Worcester
Reliant Medical Group - May Street
Internal Medicine
191 May Street
Worcester, MA 01602
Internal
Medicine
Georgian, Frederick P,
Holla, Prashantha Devidas,
Honig, Robert M,
Morris, Evelyn L,
Schrank, Mark L,
Shukla, Manjul,
Reliant Medical Group - NLA
425 North Lake Ave
Worcester, MA 01605
Internal
Medicine
Csudae, Rajitha R,
Smith, Robert D,
Javlekar, Shubhada D,
Wilbraham
Kronlund, Kenneth H,
Baystate Medical Practices - Wibraham
Adult Medicine
2377 Boston Road, Suite 200
Wilbraham, MA 01095
(413) 596-5550
O'Grady, Kathleen M,
Internal
Medicine
Dorantes, Jennifer L.,
Parulkar, Smita B,
Sachdev, Malvika,
Reliant Medical Group - Plantation St
Internal Medicine
630 Plantation Street
Worcester, MA 01605
Duffelmeyer, Michelle E.,
Family
Practice
Kannel, Craig E.,
Kadirvelu, Sudarshan,
Lynaugh, Sarah K.,
Internal
Medicine
Peluso, Jr., John F.,
Bergman, Wendy J,
Bessette, Laura J,
Page 90 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Massachusetts
Michigan
Michigan
Worcester
Allendale
Burton
Reliant Medical Group - Plantation St
Internal Medicine
630 Plantation Street
Worcester, MA 01605
Spectrum Health Medical Group
Campustowne Family Medicine
4868-2 Lake Michigan Dr
Allendale, MI 49401
(616) 391-7747
Integrated Group Practice - Fremont
Halboth, MD
1096 S Belsay Rd, Ste. F
Burton, MI 48509
(810) 424-2219
Burday, Michael D,
Family
Practice
Family
Practice
Garber, Lawrence D,
Gianturco, Michelle,
Halboth, Fremont,
Gopalswamy, Sabitha R,
Hayes, Kevin J,
Kelleher, Michael H,
Oostema, Angela R,
Sidhu, Amanjot,
Blissfield
Subbarao, Dilipkumar B,
ProMedica Physician Group - Ella M.
Noel, DO
Blissfield Health Center, P.O. Box 146
Blissfield, MI 49228
(517) 486-2411
Integrated Group Practice - Jagdish
Shah, MD
4001 Wallis Strasse, Ste. B
Burton, MI 48509
(810) 424-2219
Internal
Medicine
Michigan
Adrian
ProMedica Physician Group - DeMots,
Rhames & Brady
Grace Christman Medical Building,
777 Kimole Lane, Suite 230
Adrian, MI 49221
(517) 263-5655
Family
Practice
Brady, Tracy Danelle,
Demots, William J,
Rhames, Jody C,
ProMedica Physician Group - Tatiana
Masyk, MD
901 Kimole Lane, Suite A-4
Adrian, MI 49221
(517) 263-6140
Emergency
Medicine
Masyk, Tatiana,
Albion
Allegiance Family Medicine-Albion
27931 C. Drive North
Albion, MI 49224
Family
Practice
Makulski, Miranda Rhonda,
Allendale
Internal
Medicine
Noel, Ella M,
Bloomfield Hills
Mark E. Florek, M.D., F.A.C.P and
Bruce K. Miller, M.D.
42557 Woodward Avenue, Suite 210
Bloomfield Hills, MI 48304
(248) 253-1608
Internal
Medicine
Shah, Jagdish K,
Integrated Group Practice- Abdul
Razzak, MD
1513 S. Center Rd.
Burton, MI 48509
(810) 744-0660
Internal
Medicine
Abdulrazzak, Abdulkader,
Internal
Medicine
Integrated Group Practice- Ariel
Ponce, DO
G-4075 S. Center Rd.
Burton, MI 48519
Florek, Mark Edward,
Pediatrics
Miller, Bruce Kenneth,
Ponce, Ariel,
Brooklyn
Integrated Group Practice- Cheri Mys
Curtis, DO
1096 S. Belsay Rd., Suite E
Burton, MI 48509
(810) 742-4218
Allegiance Famiy Medicine-Brooklyn
153 Wamplers Lake Rd
Brooklyn, MI 49230
(517) 592-1963
General
Practice
Bloomer, Roger Earl,
Raymond Cole, DO, PC - Jackson
Physicians Alliance
107 Chicago Street
Brooklyn, MI 49230
(315) 635-9802
Family
Practice
Internal
Medicine
Mys-curtis, Cheri,
Integrated Group Practice- George
Tumaneng, MD
1096 S. Belsay Rd., Suite C
Burton, MI 48509
Family
Practice
Tumaneng, George A,
Cole, Raymond E.,
Burton
Page 91 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Burton
Cadillac
Cedar Springs
Integrated Group Practice- Gerald
Fulton, MD, Paul Karr Jr., MD
1096 S. Belsay Rd., Suite A
Burton, MI 48509
Cadillac Family Physicians
8950 Professional Drive
Cadillac, MI 49601
(231) 775-2493
Family
Practice
Family
Practice
Metropolitan Enterprise - Metro
Health Cedar Springs
14211 White Creek Road
Cedar Springs, MI 49319
(616) 252-6300
Fulton, Gerald A,
Conrad, Alan J,
Karr, Jr., Paul H,
LeBaron, Tania M.,
Integrated Group Practice- James
Lum, DO
1096 S. Belsay Rd. Suite D
Burton, MI 48509
Sanburn, Christiane M.,
Family
Practice
Caledonia
Lum, James,
Integrated Group Practice- Mohamad
Nadar, MD, Kristin Nikolakeas, DO
1513 S. Center Rd.
Burton, MI 48509
(810) 742-5700
Family
Practice
Nadar, Mohamad,
Nikolakesas, Kristin,
Byron Center
Advantage Health Physicians Southwest Family Medicine Campus
2373 64th Street, Suite 1300
Byron Center, MI 49315
(616) 913-1350
Smith, Thomas G.,
Whelan, James R.,
Advantage Physician Health Network Caledonia Family Medicine
10047 Crossroad Ct.
Caledonia, MI 49316
(616) 685-8850
Family
Practice
Finkbeiner, Channing E,
Joslin, Jeffery,
Mecano, Liton S,
Metropolitan Enterprise - Metro
Health Caledonia
8941 North Rogers Court, SE
Caledonia, MI 49316
(616) 252-5300
Family
Practice
Family
Practice
Johnson, Aryn,
Chamberlain, Jeffery Lee,
Colegrove, Neil,
Internal
Medicine
Delapp, Stephen,
Wiltrakis, Michael R.,
Hulst, Lynda,
Pediatrics
Pediatrics
Bouch, Laura S.,
Foster, Thomas B,
Cedar Springs
Cadillac
Metropolitan Enterprise - Metro
Health Cedar Springs
14211 White Creek Road
Cedar Springs, MI 49319
(616) 252-6300
Cadillac Family Physicians
8950 Professional Drive
Cadillac, MI 49601
(231) 775-2493
Family
Practice
Woodworth, John C.,
Family
Practice
Elsing, Erica L.,
Internal
Medicine
Goebel, Peter G.,
Clarkston
Integrated Group Practice - Daniel
Bielak, DO
5900 Waldon Rd.
Clarkston, MI 48436
(810) 424-2219
Family
Practice
Bielak, Daniel M,
Integrated Group Practice- Shawn
Conner, MD
5900 Waldon Rd
Clarkston, MI 48346
Family
Practice
Conner, Shawn K,
Clio
Integrated Group Practice - Jonathon
Arbogast, MD
4154 W Vienna Rd
Clio, MI 48420
(810) 424-2219
Family
Practice
Arbogast, Jonathan A,
Integrated Group Practice - Nadiene
Haynes, MD
4154 W Vienna Rd
Clio, MI 48420
(810) 424-2219
Family
Practice
Haynes, Nadiene E,
Family
Practice
Bargwell, Steven,
Page 92 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Clio
Davison
Dearborn
Integrated Group Practice- Pauline
Aquino, MD
4154 W. Vienna Rd.
Clio, MI 48420
(810) 686-2212
Integrated Group Practice- Davison
Family Practice- Thomas Bossi, DO,
Christie Samuels, MD, James Walter,
MD
8020 Davison Rd.
Davison, MI 48423
(810) 653-4145
Midwest Medical Center
5050 Schaefer Road
Dearborn, MI 48126
(313) 581-2600
Family
Practice
Catrambone, Renee L.,
Family
Practice
Aquino, Pauline C,
Coopersville
Coopersville Family Medicine
701 W Randall
Coopersville, MI 49404
(616) 974-4860
Family
Practice
Bossi, Thomas L,
Samuels, Christie L,
Internal
Medicine
Walter, James D,
Gluck, Kendal,
Integrated Group PracticeMohammed Saleem , MD
1260 N. Irish Rd., Suite C
Davison, MI 48423
Davison
Pediatrics
be Integrated Group Practice-Salawa
Ahmed, MD
1510 S State Rd., Ste. A
Davison, MI 48423
(810) 424-2219
Saleem, Mohammed A,
Gadbois, Gregory,
Internal
Medicine
Ahmed, Salwa S.,
Integrated Group Practice - Jennifer
Klock, DO
8020 Davison Rd
Davison, MI 48423
(810) 424-2219
Family
Practice
Klock, Jennifer L,
Integrated Group Practice- Bill Hukill,
II, DO
8477 Davison Rd.
Davison, MI 48423
(810) 653-5933
Integrated Group Practice- Rommel
Aquino, MD
1510 S State Rd., Ste A
Davison, MI 48423
(810) 424-2219
Family
Practice
Aquino, Rommel,
Dearborn
Midwest Medical Center
5050 Schaefer Road
Dearborn, MI 48126
(313) 581-2600
Emergency
Medicine
Pediatrics
Barnett, Marjorie,
East Grand Rapids
Spectrum Health Medical Group
Gaslight Family Medicine
2249 Wealthy Street SE, Suite 110
East Grand Rapids, MI 49506
Family
Practice
Armstrong, Erica L,
Griemsman, Stacie L,
Phillips, Brian V,
Phillips, Susan M,
Fenton
Integrated Group Practice - James
Garfield, DO
17100 Silver Pkwy, Ste. D
Fenton, MI 48430
(810) 424-2219
General
Practice
Garfield, James,
Flint
Integrated Group Practice - Prasad
Kommareddi, MD
3709 E Court
Flint, MI 48506
(810) 424-2219
Orr, Robert C,
Internal
Medicine
Family
Practice
Kommareddi, Prasad,
Faraj, Daoud A.,
Internal
Medicine
Internal
Medicine
Hukill, Bill E,
Godoy, Carlos A,
Omran, Amal Moustafa,
Shapiro, Jack,
Integrated Group Practice- Craig
Dolven, DO
3441 Lapeer Rd.
Flint, MI 48503
(810) 742-2060
General
Practice
Dolven, Craig A,
Pediatrics
Banister, Suhail M,
Page 93 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Flint
Flint
Flint
Integrated Group Practice- Douglas
Benton, DO, Regis Benton Jr., DO
G-6092 Fenton Rd.
Flint, MI 48507
(810) 239-4697
Integrated Group Practice- Larry
Kage, DO
1311 Linden Rd. Suite C
Flint, MI 48532
Integrated Group Practice- The
Children's Office- Duane Allyn, DO,
Paul Chrenka, MD, Cynthia Horning,
MD, Kienan Murphy, DO, Sarah
Sanchez, MD, Joseph Simmert, DO
2184 S. Ballenger Hwy
Flint, MI 48503
(810) 232-5627
Family
Practice
Benton, Regis A,
General
Practice
Benton, Douglas J,
Integrated Group Practice- Harvey
Ring, DO
G-5377 Corunna Rd
Flint, MI 48532
Family
Practice
Ring, Harvey V,
Integrated Group Practice- Inderjit
Bhatti, MD
G-3380 Beecher Rd.-Suite B
Flint, MI 48532
Internal
Medicine
Bhatti, Inderjit S,
Integrated Group Practice- Kavitha
Baddam, MD, Dale Hanson, MD,
Teresa Sherman, MD
1515 W. Atherton Rd., PO Box 7427
Flint, MI 48507
Family
Practice
Kage, Larry E,
Integrated Group Practice- Linda
Norrell, MD
1515 W. Atherton Rd.
Flint, MI 48507
Pediatrics
Family
Practice
Horning, Cynthia R,
Norrell, Linda D,
Sanchez, Sarah R,
Integrated Group Practice- Michael
Young, DO
G-3535 Beecher Rd., Suite A
Flint, MI 48532
Family
Practice
Young, Michael W,
Integrated Group Practice- Mohamed
Al-Jabban, MD, Neimat Ahmed, MD
5232 Richfield Rd.
Flint, MI 48506
Internal
Medicine
Al-jabban, Mohamad,
Allyn, Duane R,
Chrenka, Paul,
Murphy, Kienan F,
Simmert, Joseph B,
Integrated Group Practice-Charles
Ellsworth, DO
3037 Flushing Rd.
Flint, MI 48504
Family
Practice
Ellsworth, Charles P.,
Flushing
Integrated Group Practice- John
Commet, DO
1434 Flushing Rd.
Flushing, MI 48433
Integrated Group Practice- Parmanand
Khandelwal, MD
G-4007 W. Court St., Suite C
Flint, MI 48532
Family
Practice
Hanson, Dale A,
Internal
Medicine
Sherman, Teresa K,
Khandelwal, Parmanand,
Pine Medical Group
230 W. Oak Street
Fremont, MI 49412
Integrated Group Practice- Kelvin
Callaway, MD
G-3380 Beecher Rd. Suite C
Flint, MI 48532
Integrated Group Practice- Ronald
Coriasso, DO, Bhagwan Sayal, MD ,
Dirk Snyder, MD
Integrated Group Practice- Ronald
Coriasso, DO, Bhagwan Sayal, MD
Flint, MI 48507
(810) 424-2219
Family
Practice
Baddam, Kavitha,
Internal
Medicine
Callaway, Kelvin,
Integrated Group Practice- Larry
Kage, DO
1311 Linden Rd. Suite C
Flint, MI 48532
Commet, John Matthew,
Fremont
Family
Practice
Bont, Timothy M.,
Boss, Richard S.,
Ceton, Randall J.,
DeWeerd, Carol L.,
Family
Practice
DeWeerd, Michael J.,
Coriasso, Ronald,
Hudson, Christopher J.,
Sayal, Bhagwan D,
Lenz, Michelle L.,
Snyder, Dirk W,
Minasian, Michael S.,
Renaud, Paul T,
Page 94 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Fremont
Grand Blanc
Grand Blanc
Pine Medical Group
230 W. Oak Street
Fremont, MI 49412
Integrated Group Practice - Brenda
Fortunate, DO Renee Krusniak, DO
2462 Hill Rd, Ste. 1
Grand Blanc, MI 48439
(810) 424-2219
Integrated Group Practice - Susan
Longe, MD
2462 Hill Rd, Ste. 2
Grand Blanc, MI 48439
(810) 424-2219
Family
Practice
Family
Practice
Fortunate, Brenda R,
Longe, Susan H,
Krusniak, Renee M,
Integrated Group Practice- Ayman
Tadros, MD, Mark Trudell, MD
2070 E. Hill Rd.
Grand Blanc, MI 48439
Family
Practice
Rose, Erica R.,
Welsh, Stephen L.,
Obstetrics &
Gynecology
Michele, Tami J.,
Patenge, James W.,
Pediatrics
Norris, Julie A.,
Welsh, Elizabeth J.,
Surgery
Johnson, Douglas A.,
McAlister, Jennifer M.,
Vanderkooi, Theodore J.,
Surgery,
Hand/Orthopedic
Hood, Brian S.,
Goodrich
Integrated Group Practice- Mark
Clark, MD, Valerie Duerr, MD
7477 State Rd.
Goodrich, MI 48438
Family
Practice
Clark, Mark,
Duerr, Valerie J,
Grand Blanc
Integrated Group Practice - Ashish
Sarin, MD
8447 Holly Rd, Ste. D
Grand Blanc, MI 48439
(810) 424-2219
Family
Practice
Sarin, Ashish,
Integrated Group Practice - Brenda
Fortunate, DO Renee Krusniak, DO
2462 Hill Rd, Ste. 1
Grand Blanc, MI 48439
(810) 424-2219
Integrated Group Practice - Dhiraj
Bedi, DO
2462 Hill Rd, Ste. 3
Grand Blanc, MI 48439
(810) 424-2219
Family
Practice
Family
Practice
Tadros, Ayman E,
Bedi, Dhiraj,
Trudell, Mark G,
Integrated Group Practice - Grand
Blanc Family Medicine
8423 N Holly Rd, Ste. A
Grand Blanc, MI 48439
(810) 424-2219
Integrated Group Practice- Delia
Ebuen-Mercado, MD
8447 Holly Rd. Suite E
Grand Blanc, MI 48439
Family
Practice
Kia, Manisha,
Shull, Joseph R,
Youngs, Kevin W,
Integrated Group Practice - Nancy
Kursik, MD
8483 Holly Rd
Grand Blanc, MI 48439
(810) 424-2219
Family
Practice
Kursik, Nancy J,
Integrated Group Practice - Patrick
Chang, MD
10785 S Saginaw St, Bldg E, Ste D
Grand Blanc, MI 48439
(810) 424-2219
Family
Practice
Chang, Patrick,
Surgery
Family
Practice
Ebuen-mercado, Delia R,
Integrated Group Practice- Jay
Sharma, MD
8447 Holly Rd.
Grand Blanc, MI 48439
Family
Practice
Tandon-sharma, Jaishree,
Integrated Group Practice- Kunadi
Reddy, MD, Uday Kunadi, MD
414 Perry Rd.
Grand Blanc, MI 48439
(810) 694-8423
Family
Practice
Kunadi, Uday R,
Internal
Medicine
Reddy, Kunadi S,
Integrated Group Practice- Sean Gilin
MD, Dennis Pank, MD, James Walker
II, MD
8483 Holly Rd.
Grand Blanc, MI 48439
Page 95 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Grand Blanc
Grand Rapids
Grand Rapids
Integrated Group Practice- Sean Gilin,
MD, Dennis Pank, MD, James Walker
II, MD
8483 Holly Rd.
Grand Blanc, MI 48439
Advantage Health Physician Network Downtown Office
150 Jefferson Se
Grand Rapids, MI 49503
(616) 685-8450
Family
Practice
Family
Practice
Advantage Health Physician Network
Northwest Family Medicine
933 3 Mile Road NW, Suite 210, Suite
210
Grand Rapids, MI 49544
(616) 685-8150
Gilin, Sean E,
Beltran, Rhoda,
Pank, Dennis J,
Blair, David E,
Grand Haven
Joseph, Mark,
Grand Haven Family Medicine
1445 Sheldon, Ste. 201
Grand Haven, MI 49417
(616) 846-1860
Mejeur, Rhonda,
Family
Practice
Steen, Stacyann,
Crissman, Molly P,
Martin, Bruce W,
Mehra, Ruchira,
Ottenbaker, David T,
Powers, Daniel B,
Grand Haven Internal Medicine
1445 Sheldon, Suite 200
Grand Haven, MI 49417
(616) 846-1860
Internal
Medicine
Meyer, David,
Quiroz, Ernest,
Advantage Health Physician Network
East Beltline Office Family Practice
and Pediatrics
1471 East Beltline NE Suite 201, Suite
201
Grand Rapids, MI 49525
(616) 685-8621
Family
Practice
Buckler, Brian A,
Bultje, Jill,
Hilts, Thomas,
Silvernale, Troy Dewain,
Alguire, Thomas F.,
Travis, Marc,
McAree, John A.,
Internal
Medicine
Ortiz, Joseph Daniel,
L Michael Sterenberg DO
600 Park Avenue
Grand Haven, MI 49417
(616) 847-8700
General
Practice
Sterenberg, Lee Michael,
Grand Rapids
Advantage Health Physician Network Downtown Office
150 Jefferson Se
Grand Rapids, MI 49503
(616) 685-8450
Family
Practice
Family
Practice
Elsen, Paul,
Kliphuis, Sally,
Nguyen, An,
Reyelts, Fredric,
Rolinski, Jill Marjorie,
Family Medicine Specialists, PC
721 Three Mile Rd. NW, Suite 200
Grand Rapids, MI 49544
(616) 647-3770
Family
Practice
Schuler, Cynthia L,
Thompson, Bethanie,
Vanwingen, Jeffrey Joseph,
Wright, Terrence Patrick,
Grand Valley Medical Specialists, PLC
1900 Wealthy Street SE, Suite 150
Grand Rapids, MI 49506
(616) 988-0774
Family
Practice
Bultje, Michael J.,
Saleh, Mohammad,
Hamersma, John W.,
Scanlon, Susan Marie,
Internal
Medicine
Advantage Health Physician Network
Northeast Family Medicine
5171 Plainfield Avenue NE
Grand Rapids, MI 49525
(616) 685-8350
Family
Practice
Baer, II, William H.,
Drumm, Daniel R.,
Humphries, Gary N.,
Ice, Melanie S.,
Kinsey Callaway, Lisa J.,
Baty, Philip,
Kuhl, Peter A.,
Daum, Laurie,
Langerak, Bruce A.,
Durfee, Gerald G,
Maurer, John R.,
Smith, Lisa,
McGrath, David M.,
Tay, Eugene,
Rasikas, Kyle A.,
Wiarda, Alanna Joy,
Woo, Jeffrey A.,
Page 96 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Grand Rapids
Grand Rapids
Grand Rapids
GVHP Family Health Center Beckwith
2680 Leonard NE
Grand Rapids, MI 49525
(616) 949-2410
Michigan Medical P.C. - Grand Rapids
Family Medicine
3322 E. Beltline Ct. NE
Grand Rapids, MI 49525
(616) 364-7015
Spectrum Health Medical Group Internal Medicine
4069 Lake Drive SE, Suite 117
Grand Rapids, MI 49546
(616) 726-8700
Family
Practice
Family
Practice
Internal
Medicine
Kerby, James Thomas,
Dyke, Saleh F.,
Chebes, Andrzej M.,
Wallace, Daniel Leland,
Krol, Kara L.,
Chebes, Andrzej M.,
Metropolitan Enterprise - Metro
Health Allendale
1925 Breton Road, Ste 202, Attn: Elyse
Palmer
Grand Rapids, MI 49506
(616) 252-4646
Patel, Tarulata P.,
Giovannucci, Sam J.,
Weirich, Angela R.,
Giovannucci, Sam J.,
General
Practice
Oleszkowicz, Marian E.,
Family
Practice
Saint Mary's Health Care Peter M.
Wege Center Family Medicine
Suite 4000/4200 - Family Medicine, 300
Lafayette Se
Grand Rapids, MI 49503
(616) 685-6922
Boyd, Matthew P.,
Metropolitan Enterprise - Metro
Health Cascade
4300 Cascade Road
Grand Rapids, MI 49546
(616) 252-1500
Family
Practice
Maskill, John D.,
Family
Practice
Ashmead, Steven,
Ayashi, Maha,
Clegg, Bradley J.,
Cavacece, John,
Kern, Kristi S.,
Talmo, Janet,
Kornoelje, Edwin J.,
Thomas, Jean,
Stults, Melissa A.,
Vanschagen, John,
Metropolitan Enterprise - Metro
Health Comstock Park
4200 North Division, NE
Grand Rapids, MI 49321
Saint Mary's Health Care Peter M.
Wege Center Internal Medicine
300 Lafayette SE, Suite 3000
Grand Rapids, MI 49503
(616) 685-6919
Family
Practice
Wabeke, Janice K.,
General
Practice
Brenner, Kristopher L.,
Michigan Medical P.C. - Grand Rapids
Family Medicine
3322 E. Beltline Ct. NE
Grand Rapids, MI 49525
(616) 364-7015
Family
Practice
Barnes, Christopher R.,
Geriatric Medicine/Family
Practice
Passinault, James P,
Internal
Medicine
Oleszkowicz, Marian E.,
Osborne, Theresa A.,
Osborne, Theresa A.,
Riley, Robert Andrew,
Yavich, Yelena,
Spectrum Health Medical Group
Alpine Internal Medicine and Pediatri
2332 Alpine Avenue NW
Grand Rapids, MI 49544
(616) 392-6255
Internal
Medicine
Jarve, Robert K,
Lee, Gerald R,
Spectrum Health Medical Group
Kalamazoo Internal Medicine
665 Seward Avenue NW, Suite 520
Grand Rapids, MI 49504
(616) 486-6701
Internal
Medicine
Beversluis, Marcus G,
Brink, Thomas W,
Geissler, James A,
McCormick, Kevin J,
Heilman, Jody,
Stout, Micheal T,
Hull, Bryan,
Spectrum Health Medical Group Sout
Pavilion Internal Medicine
80 68th Street SE, Suite 201
Grand Rapids, MI 49548
(616) 391-8356
Khan, Nasir,
Spoolstra, Mark,
Internal
Medicine
Page 97 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Grand Rapids
Grandville
Grass Lake
Spectrum Health Medical Group South
Pavilion Internal Medicine
80 68th Street SE, Suite 201
Grand Rapids, MI 49548
(616) 391-8356
Advantage Health Physician Network
Rivertown Family Medicine
3380 44th St SW
Grandville, MI 49418
(616) 685-8250
Allegiance Famiy Medicine-Grass Lak
12369 E. Michigan Ave
Grass Lake, MI 49240
(517) 522-6408
Internal
Medicine
Family
Practice
Valeeswaran, Chandini,
Duemler, Scott,
Spectrum Health Medical Group
Sparta Family Medicine
2111 12 Mile Road
Grand Rapids, MI 49345
(616) 391-8476
Frunza, Ana A,
Family
Practice
Sheuly, Jobeda,
Armstrong, Mark W.,
Kitts, Barry A.,
Ranta, James P.,
Siefert, Sharon L.,
VanderLinde, Marie W.,
Zook, Brenda S.,
Spectrum Health Medical Group
Summit Park Internal Medicine and
Pediatrics
3271 Clear Vista Court NE
Grand Rapids, MI 49525
(616) 391-7801
Internal
Medicine
Macholan, Thomas,
Martzke, Gary,
Merritt, Mona,
Spectrum Health Medical Group
Rivertown Internal Medicine and
Pediatrics
3185 Macatawa Drive, Suite A
Grandville, MI 49418
(616) 391-4510
Spectrum Health Medical Group West
Pavilion Family Medicine
6105 Wilson Avenue SW, Suite 203
Grandville, MI 49418
(616) 486-5291
Hart Family Medical Center
611 East Main Street
Hart, MI 49420
(231) 873-5675
Lang, Robert D,
Spectrum Health Medical Group West
Pavilion Internal Medicine
6105 Wilson Avenue SW, Suite 202
Grandville, MI 49418
(616) 486-5291
Applegate, James,
Little Traverse Primary Care
8881 M-119
Harbor Springs, MI 49740
(231) 347-0505
Hart
Foe, Lawrence G,
Family
Practice
Harbor Springs
Wielhouwer, Eric J,
Heslip, John E,
Advantage Health Physician Network
Rivertown Family Medicine
3380 44th St SW
Grandville, MI 49418
(616) 685-8250
Dinverno, Joel Benjamin,
DeCarli, Kaylynn,
Fabian, Allison J,
Grandville
Pediatrics
Schipper, Benjamin R,
Henderson, Philip E.,
Macedo, Stephen J,
Jackson Physicians Alliance - Sacred
Heart Pediatrics
11755 E Michigan Avenue
Grass Lake, MI 49240
(315) 635-9802
Family
Practice
Fawcett, Kenneth J,
Pediatrics
Moore, Matthew Gresser,
Internal
Medicine
Family
Practice
Mackinder, Robert C,
Family
Practice
Internal
Medicine
Bilisko, Thomas V,
Heyboer, David R,
Grass Lake
Allegiance Famiy Medicine-Grass Lake
12369 E. Michigan Ave
Grass Lake, MI 49240
(517) 522-6408
Family
Practice
Strbich, Constance,
Wagner, Paul A,
General
Practice
Ochs, Rudy C,
Hastings
Family Tree Medical Associates
1375 W. Green Street
Hastings, MI 49058
(269) 945-7497
Family
Practice
Carlson, R. Troy,
Garber, Matthew R.,
Holland
Page 98 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Holland
Holland
Holland
Holland Pediatric Associates
926 South Washington Avenue,
Building C
Holland, MI 49423
(616) 393-0166
Lakeshore Health Partners - Pediatrics
and Internal Medicine/Pediatrics
3235 North Wellness Drive, Building A,
Suite 120A
Holland, MI 49424
(616) 399-0902
South Washington Family Medicine
904 S. Washington Avenue, Suite 210
Holland, MI 49423
(616) 796-2880
Pediatrics
Davis, Kathryn M,
Dykema, Paul,
Green, Eric R,
Vandermeer, Diane Devoll,
Holland South Internal Medicine
890 S. Washington, Suite 130
Holland, MI 49423
(616) 396-1907
Internal
Medicine
Eding, Tara L.,
Fink, Christopher D.,
Fuentes, Maricarmen,
Oostendorp, John W.,
Rajani, Samir A.,
Scott, John R.,
Lakeshore Health Partners - Internal
Medicine
3235 Wellness Drive, Building A, Suite
120B
Holland, MI 49424
(616) 399-9522
Internal
Medicine
Pediatrics
Locke, Karen,
Macfield, Masuma Farhan haq,
Rutkoski, Timothy,
Lakeshore Internal Medicine and
Pediatric Assoc.
437 N. 120th Ave
Holland, MI 49424
(616) 738-0737
Internal
Medicine
Drozdowski, Brian,
Family
Practice
Broekhuizen, Jamie,
Dykstra, Russell L.,
Foulds, Karen L.,
Stid, Mark A.,
Vance, Peter J.,
Hollard
Mark N. Folkening MD, PC
3299 N. Wellness Drive Suite150
Hollard, MI 49424
(616) 786-0185
Miller, Tricia R,
Family
Practice
Schrotenboer, Gregory A,
Folkening, Mark N,
Lakewood Family Medicine, PLC
382 N. 120th Avenue
Holland, MI 49424
(616) 796-3424
Hudsonville
Family
Practice
Berent, Martin,
DeCook, Cecilia,
Gustafson, Eric,
Hulst, Patrick,
Metropolitan Enterprise - Metro
Health Hudsonville
3912 32nd Ave
Hudsonville, MI 49426
(616) 252-8622
Family
Practice
Van Noord, Steven C.,
Zeeland Community Hospital Doing
Business As Georgetown Physicians
3152 Port Sheldon, Suite C
Hudsonville, MI 49426
(616) 669-9238
Conlon, Timothy,
Johnson, Charlotte,
Howell, Christopher,
Kroeze, Jon,
Mathur, Sanjeev,
Lindberg, Kurt,
Mauger, Stephen J,
Meinhart-Hoekman, Hillechien,
Family
Practice
Murphy, Tyler,
Peter, Beth,
Byars, Michael,
Walko, Shanon,
Smith, Timothy,
Dykstra, John T,
Young, David,
Vander Vliet, William,
Sterk, Kabet J,
Lakeshore Health Partners - Pediatrics
and Internal Medicine/Pediatrics
3235 North Wellness Drive, Building A,
Suite 120A
Holland, MI 49424
(616) 399-0902
South Washington Family Medicine
904 S. Washington Avenue, Suite 210
Holland, MI 49423
(616) 796-2880
Verkaik, Steven,
Family
Practice
Raj, Joash A,
Pediatrics
Pediatrics
Lirio, Ruel,
Jackson
Bonzelaar, William B.,
Golin, Daniel,
Page 99 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Jackson
Jackson
Jackson
Allegiance Family Medicine - Summit
Woods
2585 Spring Arbor Road
Jackson, MI 49203
(517) 784-0032
Allegiance Famiy Medicine-Cascade
Ridge
3333 Spring Arbor Rd Ste 100
Jackson, MI 49203
(517) 817-7648
Jackson Physicians Alliance - Lorna
Pinson, MD, PLLC
744 W. Michigan, Suite 101
Jackson, MI 49201
Family
Practice
Family
Practice
Bivens, William Bradley,
Ferguson, Margo Kimberlee,
Nurse
Practitioner
Imdad Butt, MD, PC - Jackson
Physicians Alliance
2575 Spring Arbor Road
Jackson, MI 49203
(315) 635-9802
Davies, Amy,
Allegiance Family Medicine - Townsend
400 Hinckley Blvd., Ste. 100
Jackson, MI 49203
(517) 784-0141
Family
Practice
Bigelow, Bruce S,
Foust, Michael,
Freese-Beal, Kimberly S,
Lake, Jon M,
General
Practice
Butt, Imdad Hussain,
Jackson Physicians Alliance - Aaron
VanWagnen, MD
1310 Greenwood Avenue
Jackson, MI 49203
Internal
Medicine
Allegiance Family Medicine-Internal
Medicine Jackson
900 E. Michigan Ave. Ste 106
Jackson, MI 49201
(517) 787-9009
Vanwagnen, Aaron Michael,
Internal
Medicine
Family
Practice
Barbour, Bruce Stephen,
Munro, Joshua D,
Nurse
Practitioner
Jackson Physicians Alliance Greenwood Pediatric Clinic
720 W Franklin, #1
Jackson, MI 49201
(315) 635-9802
Raby, Sandra Kay,
Allegiance Family Medicine-North
Street
1401 W. North St
Jackson, MI 49202
(517) 782-2555
Jackson Physicians Alliance - David
Munro, MD, PC
500 Lansing Avenue
Jackson, MI 49201
Pediatrics
Humayun, Naseer,
Adamczyk, Brian Arthur,
Jackson Physicians Alliance - Jackson
Pediatric Associates
2100 Fourth Street
Jackson, MI 49203
Burgess, Michael W,
Pediatrics
Allegiance Famiy Medicine-Cascade
Ridge
3333 Spring Arbor Rd Ste 100
Jackson, MI 49203
(517) 817-7648
Vanschoick, Timothy Scott,
Family
Practice
Vanwagnen, Lenae E,
Williams, Jessica,
Preventive
Medicine
Pinson, Lorna G,
Jackson Physicians Alliance - Lynn
Van Wagnen, MD, PC
1310 Greenwood Ave
Jackson, MI 49203
Internal
Medicine
Vanwagnen, Lynn Clark,
Jackson Physicians Alliance - Riversid
Pediatrics
760 W. Franklin
Jackson, MI 49201
(315) 635-9802
Pediatrics
Ellis, Jolene,
Kilian, Sandra,
Jackson Physicians Alliance Springcrest Family Physicians, PC
2424 Spring Arbor Road
Jackson, MI 49203
(315) 635-9802
Family
Practice
Heilborn, Paul D,
Million, Lisa K,
Jackson Physicians Alliance-David
Halsey, MD
1310 Greenwood Avenue
Jackson, MI 49203
(517) 787-2232
Internal
Medicine
Halsey, David Lee,
Mid Michigan Health Centers Jackson Physicians Alliance
214 N. West Avenue
Jackson, MI 49201-1903
(315) 635-9802
General
Practice
Rosenberg, Matt Toren,
Page 100 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Jackson
Kentwood
Mason
Trimas Family Care, PLLC - Jackson
Physicians Alliance
3165 County Farm Road
Jackson, MI 49201
(315) 635-9802
Spectrum Health Medical Group
Family Medicine - Kentwood
4600 Breton Road South East
Kentwood, MI 49508
(616) 919-9705
Allegiance Family Medicine-Mason
810 Hogsback Rd Ste A
Mason, MI 48854
(517) 244-0434
Family
Practice
Family
Practice
Trimas, Eric T,
Bruins, George S.,
Jenison
Walsh, Thomas J.,
Nurse
Practitioner
Advantage Health Physicians - Jenison
Family Medicine
7782 20th Avenue
Jenison, MI 49428
(616) 913-8701
Lambertville
Carl, Dana L,
Promedica Physician Group - Bedford
Medical Arts
3175 Smith Road, P.O. Box 590
Lambertville, MI 48144
(734) 856-5494
Physician
Assistant
Family
Practice
Andersen, Amy Renee,
Family
Practice
Jary, Mark Lee,
Reames, David R.,
Ritsema, Peter Scott,
True, Roger A.,
Vannoord, Janine,
Leslie
Vanwienen, Gregory,
Allegiance Famiy Medicine-Leslie
130 N. Sherman
Leslie, MI 49251
(517) 589-5071
Metropolitan Enterprise - Metro
Health Jenison
7686 Georgetown Center Drive
Jenison, MI 49428
(616) 252-8600
Family
Practice
Breitweiser, Karl O.,
Family
Practice
Coombs, Raechel Elizabeth,
Deweerd, Jeffrey Scott,
Family
Practice
Iza, Wanda B,
Klott, Vida Hb,
Michigan Center
Allegiance Family Medicine-Michigan
Center
4304 Page Ave Ste 200
Michigan Center, MI 49254
(517) 817-7582
Family
Practice
Shaikh, Rubina,
Middleville
Douglas J. Smendik, MD
490 Edward
Middleville, MI 49333
(269) 795-4434
Family
Practice
Dillman, Diana L.,
Physician
Assistant
Sackett, Gary,
Brandt, Roberta Wright,
Millington
Kentwood
Linden
Advantage Health Physician Network
Southeast Family Medicine
2080 44th St Se
Kentwood, MI 49508
(616) 685-8100
Integrated Group Practice - Linden
Family Medical
6379 Silver Lake Rd
Linden, MI 48451
(810) 424-2219
Integrated Group Practice - Sridhar
Rao, MD
9030 State Rd
Millington, MI 48746
(810) 424-2219
Family
Practice
Family
Practice
Bishop, Michael Conrad,
Edgar, William B,
Morenci
Dillbeck, Rachel,
King, Gary R,
Harro, Daniel,
Perry, Mona,
Krieger, Jonathan,
Mason
ProMedica Physician Group - William
Gray MD
811 Coomer Street
Morenci, MI 49256
Polizzi, Joseph,
Scott, Helen,
Smendik, Douglas J,
Family
Practice
Rao, Sridhar A,
Internal
Medicine
Page 101 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Morenci
Muskegon
Muskegon
ProMedica Physician Group - William
Gray MD
811 Coomer Street
Morenci, MI 49256
Harborwood Family Medicine
1675 Leahy Street, Suite 301
Muskegon, MI 49442
(231) 728-5000
Internal
Medicine
Family
Practice
Mercy Health Partners - Lakes Family
Medicine
6207 Harvey Street, Suite A
Muskegon, MI 49444
(231) 799-2515
Gray, William J,
Merz, Glenn E.,
Mt. Morris
Rexford, Todd W.,
Integrated Group Practice - Allan
Ebert, DO
G-7057 N Clio Rd
Mt. Morris, MI 48458
(810) 424-2219
Varnado, Byron L.,
Family
Practice
Ebert, Allan M,
Integrated Group Practice - Jeffrey
Arnold, DO
4485 E Mt. Morris Road
Mt. Morris, MI 48458
(810) 424-2219
Family
Practice
Arnold, Jeffrey B,
Integrated Group Practice- Mark
Schaaf, DO
4485 E. Mt. Morris Rd.
Mt. Morris, MI 48458
Family
Practice
Schaaf, Mark,
Muskegon
Harborwood at the Lakes
6401 Prairie Street, Suite 1600
Muskegon, MI 49444
(231) 727-7920
Vermaire, Robert P.,
Mercy Health Partners - Kinney &
Parrett Family Practice
1325 Mercy Dr. Suite 1
Muskegon, MI 49444
(231) 672-2483
Family
Practice
Campbell, Don E.,
Grace, James R.,
Novakosky, Marcela A.,
Ye, Ken,
Mercy Health Partners - Adult
Medicine Specialists
6401 Prairie Street, Suite 2800
Muskegon, MI 49444
(231) 724-7848
Norton Family Practice
3535 Park Street, Suite 110
Muskegon, MI 49442
(231) 733-3155
Internal
Medicine
Farrell, Daniel A,
Larson, Erlund J,
Mercy Health Partners - Harbour
Pointe Medical Associates
3587 Henry Street, Suite 200
Muskegon, MI 49441
(231) 672-6700
Family
Practice
Kaye, Thomas R.,
Pline, Kyle S.,
Hatt, Edward A.,
Internal
Medicine
Parrett, Diane,
Crandle, Jeffrey A.,
Internal
Medicine
Mercy Westshore Internal Medicine
1150 E. Sherman Blvd, Suite 1100
Muskegon, MI 49444
(231) 672-2203
Taylor, Paul,
Parra, Irma P.,
VanWinkle, David A.,
Klanke, Michelle Carol,
Kinney, Jason,
Family
Practice
Dukes, William H.,
Family
Practice
Mercy Health Partners - Lakes Family
Medicine
6207 Harvey Street, Suite A
Muskegon, MI 49444
(231) 799-2515
Family
Practice
Family
Practice
Addison, Scott,
Booth, David,
Deitrick, David,
Goltz, Gretchen,
Heeres, Dale,
Marti, Erin,
Nadeau, David,
Rop, Eric,
Twesten-O'Toole, James,
West View Family Medicine
6401 Prairie, Suite 2600
Muskegon, MI 49444
(231) 724-7830
Family
Practice
Vanittersum, Koryn M,
West, Mary C,
Hildwein, Antoinette Marie,
Page 102 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Muskegon
North Muskegon
Ortonville
Westshore Family Medicine
1223 Mercy Drive
Muskegon, MI 49444
(231) 672-3177
Harbour View Family Medicine
1909 Ruddiman Drive
North Muskegon, MI 49445
(231) 744-9360
Integrated Group Practice- Antonio
DeLeon, MD, Stephanie Estrellas, MD
1221 Ortonville Rd.
Ortonville, MI 48462
Family
Practice
Family
Practice
Family
Practice
Banka, Michael,
Franklyn, Noelle K.,
Estrellas, Stephanie D,
Brown, Kristen K.,
Kiley, Kevin M.,
Otolaryngology
Burdo, Brian S.,
Mercy Health Partners - Bear Creek
Health Center
1877 North Getty Street
North Muskegon, MI 49445
(231) 728-5052
Keller, Kathy G.,
Schmidt, Elaine M.,
Uptigrove, Chad K.,
Young, Katherine L.,
Muskegon Hts.
Hackley Community Care Center
2700 Baker Street, Third Floor
Muskegon Hts., MI 49444
(231) 737-1335
Family
Practice
Family
Practice
Davidson, Diana,
Saenz, Adelia,
Kerby, James Thomas,
Internal
Medicine
Elliott, Craig M.,
Lescay, Hernan,
Olson, Katrina,
Koestner, Danielle,
Novi
Kohn, Wayne,
William F. Murray, MD, P.C.
39500 W Ten Mile, Suite 101
Novi, MI 48375
(248) 476-9250
Das, Vierenda,
Hultman, Jennifer,
N. Muskegon
Mercy Health Partners - Northshore
Family Practice
1915 Holton Rd.
N. Muskegon, MI 49445
(231) 672-3413
Geriatric Medicine/Family
Practice
Murray, William F.,
Onsted
Allegiance Family Medicine-Onsted
8958 W. M50
Onsted, MI 49265
(517) 467-4424
Family
Practice
Family
Practice
Anderson, Shelley A.,
Vansickle, Melissa S,
Blanchard, Saundra,
Physician
Assistant
Izokaitis, Anthony V.,
Roelandt, Darrell S.,
North Muskegon
GVHP Family Health Center Rockford
590 10 Mile NE
Rockford, MI 49341
LeRoux, Howard,
Holman, Harland,
Internal
Medicine
Rockford
Family
Practice
Hall, Julia,
Kuiper, Mark,
Deleon, Antonio R,
Barancin, Lisa K,
Ortonville
Metropolitan Enterprise - Metro
Health Rockford
4685 Belding Road
Rockford, MI 49341
(616) 252-3100
Family
Practice
Cunningham, Daniel B.,
Dew, John S.,
Pediatrics
Johnson, Susan P.,
Spectrum Health Medical Group
Rockford Family Medicine
570 E. Division
Rockford, MI 49341
(616) 863-3156
Family
Practice
DeFrang, Aaron J,
Demock, Kristi L,
Spring Arbor
Allegiance Family Medicine-Spring
Arbor
7845 Spring Arbor Rd
Spring Arbor, MI 49283
(517) 750-3038
Family
Practice
Page 103 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Michigan
Michigan
Spring Arbor
Walker
Wyoming
Allegiance Family Medicine-Spring
Arbor
7845 Spring Arbor Rd
Spring Arbor, MI 49283
(517) 750-3038
Advantage Health Physician Network Walker Standale Office
1175 Wilson Ave NW
Walker, MI 49534-349
(616) 685-8650
HealthPark Medical Specialists
2093 Health Drive, Suite 302
Wyoming, MI 49519
(616) 284-5210
Family
Practice
Family
Practice
Dadivas, Cecile Catalan,
Ahrens, William,
Spring Lake
Duhn, John,
Lakeshore Family Care
601 W Savidge Street
Spring Lake, MI 49456
(231) 672-3133
Halverson, Jaime,
Family
Practice
Haight, Paul A,
Mcbride, Kevin,
McCully, Michael C.,
Papes, Anna,
Quinn, Erin,
Wolfe, Adam,
Rheumatology
Witherell, Gerald,
GVHP Family Health Center - Walker
650 3 Mile NW
Walker, MI 49544
Kval, Timothy E,
Family
Practice
Stempky, Gregory,
Wallace, Daniel Leland,
Traverse City
Wayland
West Front Primary Care
3537 West Front Street, Suite E
Traverse City, MI 49684
(231) 935-8980
Metropolitan Enterprise - Metro
Health Wayland
893 East Superior Street
Wayland, MI 49348
(269) 792-6263
Family
Practice
Internal
Medicine
Key, Jolene,
Metropolitan Enterprise - Metro
Health Southwest East
2215 44th Street, SW, Suite 201 A
Wyoming, MI 49519
(616) 252-8300
Family
Practice
Belsito, Frank E.,
Stevens, Jeffrey M.,
Metropolitan Enterprise - Metro
Health Southwest IM
2215 44th Street SW, Suite 100
Wyoming, MI 49519
(616) 252-8300
Goodwin, Bradley P,
Family
Practice
Smith, William L,
Bessert, Linda M.,
Songer, Anessa Leigh,
Fenton, Charles R.,
Internal
Medicine
Ward, Paul J,
Internal
Medicine
Albrecht, David J.,
Young, Kari L.,
General
Practice
Fraser, Tobin J,
March, Nathan E,
Radiology
Weber, Kevin P,
Walker
Selfe, Robert W.,
Wyoming
HealthPark Medical Specialists
2093 Health Drive, Suite 302
Wyoming, MI 49519
(616) 284-5210
Internal
Medicine
Metropolitan Enterprise - Metro
Health Southwest Peds
2215 44th Street SW, Suite 201 B
Wyoming, MI 49519
(616) 252-8300
Neonatal-Perinatal
Medicine
Salhadar, Alaa E.,
Metropolitan Enterprise - Metro
Health Southwest West
2215 44th Street SW, Suite 200
Wyoming, MI 49519
(616) 252-8300
Advantage Health Physician Network Walker Standale Office
1175 Wilson Ave NW
Walker, MI 49534-349
(616) 685-8650
Blair, Matthew,
Family
Practice
Furlong, Kevin,
Family
Practice
Gleffe, Robert,
Bethune, Craig H.,
Cory, Jennifer,
de Longpre, David,
Friend, Chad,
Page 104 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Michigan
Minnesota
Minnesota
Wyoming
Brooklyn Center
Elk River
Metropolitan Enterprise - Metro
Health Southwest West
2215 44th Street SW, Suite 200
Wyoming, MI 49519
(616) 252-8300
HealthPartners Medical Group Brooklyn Center Clinic
6845 Lee Ave N.
Brooklyn Center, MN 55429
(763) 503-4400
HealthPartners RiverWay Clinics - E
River Clinic
560 3rd St NW
Elk River, MN 55330
(763) 587-4800
Family
Practice
Family
Practice
Family
Practice
Owens, Lance M.,
Ahmed, Nasra M,
Leesman, Craig J,
Pell, Mary R.,
Droullard, Robert C,
Pediatrics
General
Practice
Mastin, Keith B,
Rabe, William H,
Nutritionist
Lino Lakes
Holten, Paul F,
Kloehn, David B,
HealthPartners North Suburban
Family Physicians - Lino Lakes Clinic
576 Apollo Dr.
Lino Lakes, MN 55014
(651) 784-1611
Preventive
Medicine
Family
Practice
Family
Practice
Jahnsen, Yelena K,
Perry, Danielle R,
Coon Rapids
Zimmerman, Julie G,
Myers, Jason P,
HealthPartners Medical Group - Coon
Rapids Clinic
11475 Robinson Dr NW
Coon Rapids, MN 55433
(952) 883-7178
Maplewood
Johnson, Scott A.,
Zeeland
Lakeshore Health Partners - Family
Medicine
8300 Westpark Way
Zeeland, MI 49464
(616) 772-7314
Myers, Jason P,
Internal
Medicine
Everhart, Joshua Michael,
Zeeland Community Hospital Doing
Business As Zeeland Physicians
8333 Felch St, Suite 200
Zeeland, MI 49464
(616) 748-2850
Family
Practice
Forsman, Kenneth,
Herd, Colin C,
McBee, Samantha A,
VanDyke, Rebecca Sutherland,
Waalkes, Annica,
Waalkes, Philip M,
Pediatrics
Lund, Kelli Rae,
Worpel, Charlotte Jean,
Minnesota
Brooklyn Center
Pediatrics
du Rivage, Stephen Kent,
Family
Practice
HealthPartners Medical Group Maplewood Clinic
2165 White Bear Ave., North
Maplewood, MN 55109
(952) 883-7178
Koldoba, Galina L,
Family
Practice
Nelson, Bryan A,
Ardeleanu, Ovidiu G,
Norquist, Nathan R,
Ferrario, Linda K,
Oramalu, Francis C,
Rethwill, Michael A,
Rider, Vivian R,
Ricke, Lori A,
Rolfe, Phillip B,
Internal
Medicine
Shen, Maoxing,
Elk River
HealthPartners RiverWay Clinics - Elk
River Clinic
560 3rd St NW
Elk River, MN 55330
(763) 587-4800
Family
Practice
Clifford, Michael E,
Erickson, Charles Burton,
Bloomberg, Paul,
Chaffee, Jaclyn F,
Curry, Endea J,
Pediatrics
Hasegawa, Duane K,
Preventive
Medicine
Thomas, Andrew J,
Minneapolis
Gu, Kefeng (Kevin),
Page 105 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Minnesota
Minnesota
Mississippi
Minneapolis
Saint Paul
Tupelo
HealthPartners Medical Group Riverside Clinic
2220 Riverside Ave., South
Minneapolis, MN 55454
(612) 371-1600
HealthPartners Medical Group Midway Clinic/Center for International
Health
451 N Dunlap St
Saint Paul, MN 55104
(651) 999-4700
NMMC - FMRC
1665 South Green Street
Tupelo, MS 38804
(662) 377-6237
Family
Practice
Gustafson, Gayl L,
Haefemeyer, James W,
Von Sternberg, Thomas L,
Internal
Medicine
Kim, Young Dae,
Raikar, Sharmishtha H,
Uddin, Meskath (Max),
Pediatrics
Donald, William Brooks,
Johnson, Debra D,
Preventive
Medicine
Jhocson, Antonio L,
Family
Practice
Hughes, Karen,
Mitchell, John R.,
HealthPartners Medical Group - St.
Paul Clinic
205 S. Wabasha St.
Saint Paul, MN 55107
(952) 883-7178
O'Dell, Michael,
Family
Practice
Advance
Mahmood, Shehbana,
Tomes, Michelle E,
Trehus, Eric T,
Perrine, Terry Ray,
Smith, Jr., Dennis,
Missouri
Cross Trail Medical Center
106 N. Oak Street
Advance, MO 63730
(573) 722-3034
Yasin, Asima X,
General
Practice
Orey, Vivian,
Internal
Medicine
Green, Darryl A.,
Preventive
Medicine
Cornetto, Roger J,
Liebo, Rhoda V,
Conroy, Mary M,
Saint Paul
HealthPartners Medical Group Midway Clinic/Center for International
Health
451 N Dunlap St
Saint Paul, MN 55104
(651) 999-4700
Family
Practice
Koch, Robert N,
Pediatrics
Ganeshan, Vathsala,
Maxwell, Jason R,
Nordin, James D,
Dubois, John Joseph,
Soumekh, Flora,
Moore, Kristi A,
Preventive
Medicine
Fenton
Johnson, Bruce M,
Mississippi
Internal
Medicine
Southaven
Flagstad, Brian M,
Jama, Sadia A,
Perelman, Mikhail,
Settgast, Ann M,
Walker, Patricia F,
Pediatrics
Rathmann, Kimberly K,
West, Leann M,
Patients First Health Care - Eureka
20 The Legends Parkway
Eureka, MO 63025
Internal
Medicine
Afgarshe, Mohamud D,
Cardenas, Kimberely K,
Eureka
Southaven Internal Medicine
7680 Airways Boulevard
Southaven, MS 38671
(662) 349-1999
Internal
Medicine
Herbert, Lily,
Missak, Mary S,
Wassef, Magdi S,
Tupelo
Mercy Clinic Pediatrics- Smizer Mill
1203 Smizer Mill Road, Suite 108
Fenton, MO 63026
(636) 717-1340
Pediatrics
McBride, Megan,
Rezabek, George,
Thierauf, Stephen,
Gerald
Mercy Clinic Family Medicine- Gerald
739 West Springfield Road
Gerald, MO 63037
(573) 764-4362
Family
Practice
Page 106 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
Gerald
Independence
Kansas City
Mercy Clinic Family Medicine- Gerald
739 West Springfield Road
Gerald, MO 63037
(573) 764-4362
Encompass Medical Group Independence Office
4811 S Arrowhead Drive
Independence, MO 64055
(816) 356-5000
Clay Platte Family Medicine Clinic
5501 NW 62nd Terrace, Suite 100
Kansas City, MO 64151
(816) 842-4440
Family
Practice
Scheer, Jennifer L.,
Gladstone
Encompass Medical Group - Northland
Office
101 NW Englewood Road
Gladstone, MO 64118
(816) 453-1818
Family
Practice
Harlan, Christopher George,
Koehn, Everett E,
Shivathirthan, Shreya,
Internal
Medicine
Buren, Anthony W,
Laningham, Susan Lou,
Hamilton
Northwest Health Services-Hamilton
Medical Clinic
One Cross Street
Hamilton, MO 64644-0248
(816) 583-2713
Family
Practice
Irby, William V,
Family
Practice
Raina, Nasrin,
Shaikh, Ghazal A,
Internal
Medicine
Nguyen, Khanh,
Pourakbar, Mohammed K,
Wortham, Edward A,
Jefferson City
Community Health Center of Central
Missouri
3400 W Truman Blvd
Jefferson City, MO 65109
(573) 632-2777
Family
Practice
Friedebach, Katherine A.,
Pediatrics
Flanagan, Nancy,
Kansas City
Barry Pointe Family Care
9151 NE 81st Terrace, Suite 105
Kansas City, MO 64158
(816) 994-8787
Jain, Arihant,
Family
Practice
Hermann
Brose, Amy Elaine,
Patients First Health Care - Hermann
2066 Village Lane
Hermann, MO 65041
Granberg, Dana Hutchison,
Family
Practice
Davis, Thomas E,
Independence
Encompass Medical Group Independence Office
4811 S Arrowhead Drive
Independence, MO 64055
(816) 356-5000
Family
Practice
Joslin, Paul M.,
Kuennen, Scott H.,
Ortiz, Richard,
Internal
Medicine
Chapman, Thomas C.,
McDonald, James H.,
Encompass Medical Group - Hickman
Hills Clinic
11201 Colorado Avenue
Kansas City, MO 64137
(816) 763-5200
Family
Practice
Buie, Steven E,
Franey, Michelle R,
Kricsfeld, David Jeffrey,
Mallot, Cora A,
Messmore, Virginia Paula,
Regas, Stephen L,
Richardson, Sequita L,
Smolen, Melanie L,
Encompass Medical Group - Troost
Office
6724 Troost, Suite 400
Kansas City, MO 64131
(816) 276-6200
Hern, Katie Elizabeth,
Family
Practice
Kelley, III, Thomas Dennis,
Marshall, Teresa P,
Clay Platte Family Medicine Clinic
5501 NW 62nd Terrace, Suite 100
Kansas City, MO 64151
(816) 842-4440
Internal
Medicine
Family
Practice
Day, James G.,
Delaney, Adrian J.,
Morohunfola, Kehinde A,
Encompass Medical Group - Wornall
Office
373 W 101st Terrace
Kansas City, MO 64114
(816) 942-8200
Granger, Nathan D.,
Page 107 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
Kansas City
Kansas City
Kansas City
Encompass Medical Group - Wornall
Office
373 W 101st Terrace
Kansas City, MO 64114
(816) 942-8200
Hospital Hill Medical Pavilion
2301 Charlotte
Kansas City, MO 64108
(816) 404-3855
Priority Care Pediatrics, LLC
9405 North Oak Trafficway
Kansas City, MO 64155
(816) 412-2900
Family
Practice
Pediatrics
Family
Practice
Simanovsky, Michael D,
Internal
Medicine
Allen, Thomas P,
Glass, Cynthia J,
Gruenebaum, Steven A,
Mahmoud, Lirio U,
Goppert-Trinity Family Care
6650 Troost Ave, Suite 301
Kansas City, MO 64131
(816) 995-3088
Butler, Kenneth Lawrence,
Olomiye, Oluwamodupe Melinda,
Internal
Medicine
Smith, Shadrach J,
Kansas City Internal Medicine Research
6420 Prospect, Suite T101
Kansas City, MO 64132
(816) 363-4100
Internal
Medicine
Guertin, Julie Gail,
Jones, Bonnie Lynn,
Nguyen, Lily anh Thuy,
KansasCity
Cabot Westside Health Center
2121 Summit Street
KansasCity, MO 64108
(816) 471-0900
Family
Practice
Little, Timothy J,
Arvan, Andrea A,
Nurse
Practitioner
Hoeper, Jr., Sam D,
Kennedy, Eileen F,
Arabindoo, Kavitha K,
Maliszewski, James A,
Ornelas-rios, Yvonne,
Frost, Jennifer,
Szeto, J Simon,
Pediatrics
Kelley, Jennifer,
Williams, II, Gerald F,
Herrera, Rafaela,
Lepinski, Sandra L,
Kansas City Internal Medicine - St.
Joseph
1010 Carondelet, Suitte 224 A
Kansas City, MO 64114
(816) 943-0706
Kennett
Family
Practice
Ommen, Shari L,
Parvin, Gazala,
Philgreen, Donald E,
Rues, Lawrence,
Salanski, Stephen,
Sly, Anne,
Stark, Warren Carlton,
Suenram, Mark,
Suppes, Terry D,
Teferra, Samuel,
Tieman, Jennifer C.,
Welsh, Jon,
Wood, Julie,
Hospital Hill Medical Pavilion
2301 Charlotte
Kansas City, MO 64108
(816) 404-3855
Family
Practice
Internal
Medicine
Southeast Missouri Health NetworkOtto Bean Medical Center
509 South Bypass
Kennett, MO 63857
(573) 717-1332
Baker, Eric K,
Family
Practice
Crabtree, Stephanie Brooke,
Laiolo, Betina,
Humphreys, Kristin Elizabeth,
King City
Wendland, Robert J,
Northwest Health Services-King City
Clinic
305 Rhode Island, P.O Box 278
King City, MO 64463-0278
Whitaker, Theodore M.,
Wilt, David A,
Priority Care Pediatrics, LLC
9405 North Oak Trafficway
Kansas City, MO 64155
(816) 412-2900
Pediatrics
Beardman, Alejandra Mariana,
Cattaneo, Raymond Anthony,
Grimes, Robert Alan,
Nurse
Practitioner
Pankau, Debra,
Lees Summit
Kansas City Internal Medicine Murray Road
506 NW Murray Road
Lees Summit, MO 64081
(816) 524-4400
Page 108 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
Lees Summit
Marthasville
Pacific
Kansas City Internal Medicine Murray Road
506 NW Murray Road
Lees Summit, MO 64081
(816) 524-4400
Patients First Health Care- Marthasville
200 N. Hwy 47
Marthasville, MO 63357
(636) 231-3638
Patients First Health Care - Pacific
307 Noonan Drive
Pacific, MO 63069
Internal
Medicine
Buss, Mary,
Gannavaram, Srilatha Konduri,
Gendel, Jonathan,
Hemaya, Amir,
Steinbrecher, Janis M,
Lee's Summit
Encompass Medical Group - Lees
Summit Office
1741 NE Douglas Road, Suite 200
Lee's Summit, MO 64086
(916) 246-0200
Family
Practice
Boyd, Gregory W,
Bruner, Christina Lee,
Tarvin, Randy J,
Internal
Medicine
Muro, Washington S,
Manchester
Mercy Clinic Internal MedicineDesPeres
2200 Barrett Station Road
Manchester, MO 63021
(314) 821-1313
Internal
Medicine
Hand, Jason A.,
Helton, J. Gavin,
Hilgeman, Joseph T,
Panasci, Thomas J,
Marble Hill
Cross Trails Medical Center
109 Highway 51 North
Marble Hill, MO 63764
General
Practice
Doyle, Edward J,
Family
Practice
Family
Practice
Rickmeyer, Mark D,
Long, Timothy P,
Schmidt, Craig J,
Mound City
Platte City
Northwest Health Services-Mound City
Clinic
1303 State Street
Mound City, MO 64470-114
(660) 442-5464
Heartland Clinic - Platte City
2703 Running Horse Rd
Platte City, MO 64079
(816) 858-7050
Family
Practice
Espejo, Maria Magnolia Soriano,
Fernandez, Eduardo W,
New Haven
Patients First Health Care - New Haven
9513 Hwy 100
New Haven, MO 63068
Family
Practice
Davis, Thomas E,
Owensville
Patients First Health Care - Owensville
440 N. Hwy 19
Owensville, MO 65066
Family
Practice
King, Trevor P,
Ozark
St. John's Clinic - Ozark
1106 W. Jackson
Ozark, MO 65721
(417) 581-3548
Family
Practice
Family
Practice
Riggs, Ann O,
Voran, David Avery,
Pediatrics
Lowry, David A,
Sedalia
Regional Health Care Clinic, dba Katy
Trail Community Health- Sedalia
821 Westwood Drive
Sedalia, MO 65301-2102
(660) 826-1571
Family
Practice
Giles, Cheryl K,
Hamric, Randal Lee,
Sikeston
Southeast Missouri Health NetworkSikeston Family Clinic
200 Southland
Sikeston, MO 63801
(573) 472-1770
Nurse
Practitioner
Bradley, William,
Benedict, Holly J.,
Surgery,
Thoracic
Brand, John C,
Domjan, Daniel,
Gordin, Audrey L.,
Springfield
Williams, Rick W.,
Family Medical Care Center
1423 N. Jefferson Ave., Suite B 100
Springfield, MO 65802
(417) 269-8817
Pacific
Page 109 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
Springfield
Springfield
St. Joseph
Family Medical Care Center
1423 N. Jefferson Ave., Suite B 100
Springfield, MO 65802
(417) 269-8817
St. John's Clinic, Family Medicine SGC, Ste 140
3231 S National, Suite 140
Springfield, MO 65807
(417) 890-4136
Heartland Clinics - Heartland Clinic
Comprehensive Family Care
5210 North Belt Highway
St. Joseph, MO 64506
(816) 271-1330
General
Practice
Family
Practice
Carey, Larry J,
Dominguez, Juan C,
St Joseph
Kempton, Ronald Scott,
Buckles Family Health Care
220 South Woodbine Rd
St Joseph, MO 64506
(816) 676-1300
Shams, Ameer Z,
Emergency
Medicine
Paulson, John D.,
Family
Practice
Carron, Danielle N.,
Crymes, Cameron A.,
Fisher, Mary Jo J.,
Foster, Kristin A.,
Fursa, Timothy A.,
Family
Practice
Graves, Susan E.,
Buckles, Randy Scott,
Griffin, Kyle W.,
St Louis
Hahn, Shelby R.,
Mercy Clinic Internal MedicineCrestwood
10024 Watson Road
St Louis, MO 63126
(314) 919-2500
Harper, Jason M.,
Kelly, W. Shannon,
Roark, Lisa D.,
Shaw, Luke P.R.,
Turner, Davin G,
Wiederholt, Sarah Renee,
Nurse
Practitioner
Israel, Paula M,
Heartland Clinics - Heartland Interna
Medicine Consultants
5514 Corporate Drive Suite 120
St. Joseph, MO 64507
(816) 271-7169
Internal
Medicine
Holda, Thomas R.,
Spruill, J-Pia K.,
Internal
Medicine
Van Bibber, Jessica A.,
Hiner, Rose Lee,
Nurse
Practitioner
Van Bibber, Jessica A.,
Huynh, Justin,
Stevenson, Kerri,
Wolfe, Eric C.,
Zalewski, John F.,
General
Practice
St. Clair
Heartland Clinics - Internal Medicine
Associates
3715 Beck Road
St. Joseph, MO 64506
(816) 271-4935
Halverson, Larry W.,
Obstetrics &
Gynecology
Bell, Laird A.,
St. John's Clinic, Family Medicine SGC, Ste 140
3231 S National, Suite 140
Springfield, MO 65807
(417) 890-4136
Family
Practice
Alumno, Martin R,
Middleton, Rachelene,
Tarsney, Sean P,
General
Practice
Patients First Health Care- St. Clair
1001 Cardwell Street
St. Clair, MO 63077
(636) 231-3638
Internal
Medicine
Family
Practice
Berkowitz, Ellis R.,
Brockman, Kirk Edward,
Rivas-Gotz, Federico L.,
Smith, Patrick Raymond,
Sprague, Gita G,
St. Joseph
Heartland Clinics - Heartland Clinic
Comprehensive Family Care
5210 North Belt Highway
St. Joseph, MO 64506
(816) 271-1330
Heartland Clinics- Heartland Pediatri
and Adult Care
105 Far West Drive
St. Joseph, MO 64506
(816) 271-8110
Family
Practice
Family
Practice
Ridens-Dale, Corinne M,
Brewer, Alan W.,
Internal
Medicine
Page 110 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
St. Joseph
St. Joseph
St. Joseph
Heartland Clinics- Heartland Pediatric
and Adult Care
105 Far West Drive
St. Joseph, MO 64506
(816) 271-8110
Heartland Clinics- Specialists of
Internal Medicine
901 Heartland Road, Suite 3800
St. Joseph, MO 64506
(816) 671-4800
Northwest Health Services-Savannah
Medical Clinic
803 Highway 71 West
St. Joseph, MO 64506
(816) 324-3121
Internal
Medicine
Internal
Medicine
Family
Practice
Brownfield, Cynthia Marie,
Eksinar, Sukru,
Villahermosa, Juanito L,
Nurse
Practitioner
Islam, Sumbul,
Nurse
Practitioner
Gilbertson, Sandra,
Vorderstrasse, Tiffany,
Kammerer, Edward Paul,
Rippe, William F,
Pediatrics
Nurse
Practitioner
Bartulica, Nikola Karlo,
Chatfield, Charles E,
Heartland Clinics- Lakeside Pediatrics
902 North Riverside Road Suite 100
St. Joseph, MO 64507
(816) 271-1350
Howard, Christine Dawn,
Nurse
Practitioner
Arnold, Sarah Elizabeth,
Kapp, Dana L,
Pediatrics
Cebulko, Michelle Y,
Murphy, Timothy P,
Veligati, Narayan L,
Williams, Amanda Dawn,
Heartland Clinics- Primary Care
Associates
1314-C North 36th Street
St. Joseph, MO 64506
(816) 271-4022
Family
Practice
Alderson, Thomas W,
Heartland Clinics- Specialists of
Internal Medicine
901 Heartland Road, Suite 3800
St. Joseph, MO 64506
(816) 671-4800
Internal
Medicine
Abbas, Marghoob,
Northwest Health Services- North End
Health Center
1515 St. Joseph Avenue
St. Joseph, MO 64505
(816) 233-3338
Family
Practice
Sandberg, Chris B,
Zaman, Aref,
Nurse
Practitioner
Davis, Kathleen M,
Northwest Health Services-Family
Medicine Associates
2303 Village Drive
St. Joseph, MO 64506
(816) 232-6818
Family
Practice
Williams, Rhea J,
Northwest Health Services-South Side
Health Center
5001 Lake Avenue
St. Joseph, MO 64504
(816) 238-7788
Family
Practice
Cianciolo, Matthew,
Watkins, Cristyn,
Nurse
Practitioner
Stroud, Michael H,
St. Louis
Mercy Clinic Family Medicine- Olive
Mason
12680 Olive Blvd., Suite 300
St. Louis, MO 63141
(314) 251-8888
Family
Practice
Cole, Sarah Z.,
Danis, III, Peter G.,
Hoekzema, Grant S.,
Seth, Raman,
Lord, Jr., James L.,
Nurse
Practitioner
Mertens, Marsha K.,
Kimble, Vickie J,
Northwest Health Services-Savannah
Medical Clinic
803 Highway 71 West
St. Joseph, MO 64506
(816) 324-3121
Agarwal, Vikas,
Family
Practice
Clark, Robert C,
Opena, Jayne lora Lagutan,
Minchow-Proffitt, Sandra K.,
Phruttitum, Serin,
Mercy Clinic Family Medicine- OliveMason
12680 Olive Blvd., Suite 100
St. Louis, MO 63141
(314) 251-8900
Internal
Medicine
Merbaum, Marc O.,
Page 111 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Missouri
Missouri
St. Louis
Union
Washington
Mercy Clinic Pediatrics- Sunset Hills
9701 Landmark Parkway Drive, Suite
111
St. Louis, MO 63127
(314) 849-3885
Patients First Health Care - Union
97 St. Andrews Dr
Union, MO 63084
(636) 583-2946
Patients First Health Care Washington
901 Patients First Drive
Washington, MO 63090
(636) 231-3638
Pediatrics
Internal
Medicine
Atteberry, Robert K.,
Kluesner, Gretchen Elizabeth,
Ganninger, Maria V.,
Thanawalla, Shaukat A,
Mueth, Steven R.,
Pediatrics
Seematter, Colleen,
Hammer, Elizabeth P,
Mercy Clinic Pediatrics ΓÇôOld Tesson
12348 Old Tesson Road, Suite 160
St. Louis, MO 63128
(314) 467-3800
Warrenton
Pediatrics
Daly-Wilson, Tracey,
Hunt, Michael G.,
Regen, Amanda,
Rohatgi, Sandeep,
Sakmar, Douglas,
Paul Stein, M.D.
555 North New Ballas Road,, Suite 110
St. Louis, MO 63141
(314) 872-8470
Internal
Medicine
Stein, Paul M.,
Union
Mercy Clinic Family Medicine- Union
1935 Prairie Dell Road, Suite 400
Union, MO 63084
(636) 583-2508
Patients First Health Care - Warrenton
605 E. Booneslick, Ste B
Warrenton, MO 63383
(636) 456-6103
Family
Practice
Colter, Kim D,
Guss, David P,
Holzem, Craig S,
Ratcliff, Keith M,
Turner, James D,
Weidle, Kristin Ann marie,
Internal
Medicine
Family
Practice
Ayers, Bryce A,
Grimes, James Robert,
Halsted, Robert W,
Washington
Halsted, Teresa M,
Mercy Clinic Family MedicineWashington Suite 104
851 East 5th Street, Suite 140
Washington, MO 63090
(636) 239-6808
Family
Practice
Kunkel, Robert R,
Mercy Clinic Family MedicineWashington Suite 208
851 E. Fifth Street, Suite 208
Washington, MO 63090
(636) 390-9090
Dumontier, Gary,
Ostrom, Kyle Fritz,
Rau, Michael E,
Seeck, Sarah Jean,
Smith, Kenneth B,
Pediatrics
Warren, Timothy James,
Wentzville
Crider Health Center
1032 Crosswinds Court
Wentzville, MO 63385
(636) 332-8305
Family
Practice
Family
Practice
Stearnes Rosas, Jennifer Joy,
Anderson, Blake,
Adams, Christopher Franklin,
Stone, Michael,
Burkheart, Amanda,
Vanbibber, Jessica Renee,
Nurse
Practitioner
Patients First Health Care - Union
97 St. Andrews Dr
Union, MO 63084
(636) 583-2946
Vanbibber, Jessica Renee,
Family
Practice
Family
Practice
Borgmann, Jamie Marie,
Internal
Medicine
Patients First Health Care Washington
901 Patients First Drive
Washington, MO 63090
(636) 231-3638
Family
Practice
Hankins-Farber, Rebecca,
Obstetrics &
Gynecology
Handler, Michael R,
Pediatrics
Krewet, Peter,
Wildwood
Bain, Kelly J,
Page 112 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Missouri
Montana
Montana
Wildwood
Cut Bank
Livingston
Mercy Clinic Family MedicineWildwood
16555 Manchester Road, Suite 100
Wildwood, MO 63040
(636) 458-0646
Glacier Community Health Center
519 E. Main St.,
Cut Bank, MT 59427
(406) 873-5670
Community Health Partners Livingston
126 South Main St
Livingston, MT 59047-2624
(406) 222-1111
Family
Practice
Burns, Lisa C.,
Hull, Susan R.,
Richardson, Michael,
Weick, Raymond M.,
Montana
Bozeman
Bozeman Deaconess - Family Medicine
and Pediatrics
935 Highland Blvd Suite 1100
Bozeman, MT 59715
(406) 587-5123
General
Practice
Patterson, John S,
Pediatrics
Family
Practice
Fultz, Marvin Clark,
Helena
St Peters Medical Group- North
Montana Clinic
3150 North Montana Ave
Helena, MT 59602
(406) 495-6601
Meyers, Christina Michel,
Nurse
Practitioner
Pessl, Liese,
Cut Bank
Glacier Community Health Center
519 E. Main St.,
Cut Bank, MT 59427
(406) 873-5670
Family
Practice
Physician
Assistant
Missoula
Krainacker, David A,
Grant Creek Family Practice
3075 N Reserve St., Suite Q
Missoula, MT 59808
(406) 327-1850
Wessel, Katy,
St. Peters Medical Group
2550 Broadway
Helena, MT 59601
(406) 457-4180
Bailey, Jessica Ann elliott,
Family
Practice
Lange, Stefanie Katherine,
Dodge, Jenifer Patricia,
Hodgson, Mark G,
Eisel, Justin Clayton,
Family
Practice
Hintze, Rebecca,
Family
Practice
Emergency
Medicine
Schulein, Mark,
Family
Practice
Blake, Michael Joseph,
Community Health Partners - Bozeman
214 E Mendenhall
Bozeman, MT 59715-3638
(406) 585-1360
Emergency
Medicine
Brunsdon, Jennifer Lee,
Burkholder, James Neuen,
Marti, Michelle M,
Family
Practice
Cycholl, Brandon,
Davis, Carla Elaine,
Lindley, Jeffrey Karl,
Stenger, Robert J,
Lechner, David William,
Nurse
Practitioner
Nowak, Diane P,
Granger, Jamie,
Geriatric Medicine/Family
Practice
Physician
Assistant
Batey, William Mark,
Castillo, Roger E,
Wampler, Todd Brian,
West Yellowstone
Internal
Medicine
Community Health Partners - West
Yellowstone
11 South Electric
West Yellowstone, MT 59758-1101
(406) 646-9441
Kellogg, Kathleen,
Skillman, Donald Roland,
Nurse
Practitioner
Roope, Beverly Colleen,
Livingston
Emergency
Medicine
Eisel, Justin Clayton,
Nebraska
Crete
Atherton, Marsha Lynn,
Page 113 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Nebraska
Nebraska
Nebraska
Crete
Omaha
Omaha
Crete Area Medical Center Physician
Clinic
2910 Betten Drive
Crete, NE 68333
(402) 826-6538
Midwest Regional Health Services,
LLC - Clarkson West
2727 S 144th Street
Omaha, NE 68144
(402) 778-5490
OneWorld Community Health Center
G
4920 South 30th Street, Ste. 103
Omaha, NE 68107
(402) 502-8843
Emergency
Medicine
Physician
Assistant
Physician
Assistant
Hesser, Jason K.,
Scholting, Patty J.,
Bangert, Vicki Lee,
Miller, Troy,
Midwest Regional Health Services,
LLC - Downtown
4242 Farnam Street, Suite 150
Omaha, NE 68131
(402) 552-6744
Huber, Kristen A,
Family
Practice
University of Nebraska Medical Cente
Physicians Midtown Clinic
139 S. 40th St
Omaha, NE 68131
(402) 559-6789
Family
Practice
Ebke, Russel J.,
Hesser, Kate E.,
Omaha
Levy, Bethany Jean,
Singh, Sarah,
Swierczek, Misty Dawn,
Alegent Health Clinic-Eagle Run
14450 Eagle Run Drive, Suite 104
Omaha, NE 68116
(402) 343-4521
Byrd, Phyllis J.,
Darst, Donald J.,
Family
Practice
Internal
Medicine
Physician
Assistant
Bessmer, Joel R,
Connolly, Christopher J,
Hanson, Robert A.,
Eirinberg, Lewis W,
OneWorld Community Health Center G
4920 South 30th Street, Ste. 103
Omaha, NE 68107
(402) 502-8843
Moseman, Lynnette A,
Physician
Assistant
Bertucci, Rebecca J,
Internal
Medicine
Canaris, Gay J,
Fedderson, Julie L,
Jansen, Mary G,
Johnson, Michelle F,
Neumeister, J Scott,
Runge, Rebecca Anne,
Brewer, Michaelyn Marie,
Family
Practice
Gass, Janeen,
Dethlefs, Henry John,
Tape, Thomas G,
Psychiatry
Dworak, Alex,
Taylor, Regan Marie,
Andersen, Mark D,
Faber, Donna Lynne,
Thierfelder, Jean L,
Hennessy, Therese A,
Vasey, Andrew,
Machuca, Francisco,
Vokoun, Chad W,
Margalit, Ruth Naomi,
Nurse, Registered
Anesthetist
Midwest Regional Health Services,
LLC - Clarkson West
2727 S 144th Street
Omaha, NE 68144
(402) 778-5490
Emergency
Medicine
Blad, Kenneth L.,
Family
Practice
Bisenius, Marjorie S.,
Lancaster, Rebecca M.,
Moshman, Gordon S.,
Physician
Assistant
Mcvea, Kristine Lyn,
Sagrero, Katie Marie,
Samindla, Deepthi,
Nurse
Practitioner
Buschkemper, Elizabeth H,
Jorgensen, Leah S,
Poyner, Eloise Cowling,
Pediatrics
Vargas, Monica Maria,
Shiffermiller, Jason F,
Bonnema, Rachel,
Pediatrics
Parker, Jennifer R,
Valley
Methodist Physicians Clinic - Valley
625 S. Pine St.
Valley, NE 68064
(402) 359-2277
Family
Practice
Page 114 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Nebraska
Nevada
Nevada
Valley
Henderson
Las Vegas
Methodist Physicians Clinic - Valley
625 S. Pine St.
Valley, NE 68064
(402) 359-2277
Healthcare Partners Medical Group Whitney Ranch
600 North Whitney Ranch Drive #B-6
Henderson, NV 89014
(702) 547-0088
Healthcare Partners Medical Group Centennial Hills
6850 North Durango Drive #208
Las Vegas, NV 89149
(702) 952-0999
Family
Practice
Internal
Medicine
Liu, Jasper Estein,
Mangahas, Mylene C,
Ritchey, Robert K,
Healthcare Partners Medical Group Central Valley
4275 South Burnham Street #365
Las Vegas, NV 89119
(702) 731-1105
Family
Practice
Macdonald, Cheryl R,
Mahloch, Mark L,
Mccarville, Patrick J,
Nevada
Carson City
Aspen Family Medical
2874 N. Carson Street #127
Carson City, NV 89706
(775) 882-1300
Southwest Medical Associates - Siena
2825 Siena Heights Drive
Henderson, NV 89052
(702) 617-1227
Family
Practice
Metcalf, James J.,
Family
Practice
Internal
Medicine
Lyons, Colleen Caralyn,
Houston, Patrice,
Nurse
Practitioner
Singson, Concepcion Reyes,
Pugsley, Brenda A,
Henderson
Healthcare Partners Medical Group Henderson
129 West Lake Mead #10
Henderson, NV 89015
(702) 565-1007
Internal
Medicine
Her, Michael Jungho,
Tanenggee, Frederick Jones,
Healthcare Partners Medical Group Siena
2843 Saint Rose Parkway #110
Henderson, NV 89052
(702) 616-7049
Internal
Medicine
Lao, Maria,
Healthcare Partners Medical Group Whitney Ranch
600 North Whitney Ranch Drive #B-6
Henderson, NV 89014
(702) 547-0088
Family
Practice
Pediatrics
Chowdhry, Ishtiaq Ahmad,
Las Vegas
Healthcare Partners Medical Group Buffalo
1700 North Buffalo
Las Vegas, NV 89128
(702) 233-8855
Family
Practice
Hong, Teresa Ong,
Sholeff, Gregory T,
Healthcare Partners Medical Group Burnham
4275 South Burnham Street #220
Las Vegas, NV 89119
(702) 369-0088
Family
Practice
Burris, Wendell G,
Healthcare Partners Medical Group Centennial Hills
6850 North Durango Drive #208
Las Vegas, NV 89149
(702) 952-0999
Family
Practice
Ruppert, Ronald C,
Healthcare Partners Medical Group Civic Center
2365 Reynolds Avenue #211
Las Vegas, NV 89119
(702) 399-1287
Family
Practice
Vicuna, Joselo Atienza,
Internal
Medicine
Uche, Chukwudum,
Healthcare Partners Medical Group Desert Springs
4275 South Burnham Street #270
Las Vegas, NV 89119
(702) 946-5399
Internal
Medicine
Bruce, Afi Y,
Krstic, Marija,
Healthcare Partners Medical Group Flamingo
4275 South Burnham Street #105
Las Vegas, NV 89119
(702) 734-6363
Family
Practice
Mirkil, Vincent Jerome,
Villaflor, Florence M,
Page 115 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Nevada
Nevada
Nevada
Las Vegas
Las Vegas
Las Vegas
Healthcare Partners Medical Group Green Valley
9077 South Pecos Road #3800
Las Vegas, NV 89074
(702) 947-1940
Healthcare Partners Medical Group Summerlin
2035 Village Center Circle #111
Las Vegas, NV 89134
(702) 228-7117
Southwest Medical Associates Montecito
7061 Grand Montecito Parkway
Las Vegas, NV 89149
(702) 750-3800
Internal
Medicine
Internal
Medicine
Family
Practice
Hong, Patrick Sychay,
Stocking, Barbara J,
Bauzon, Samuel Remulla,
Wakefield, Tracy J,
Healthcare Partners Medical Group Tenaya
2851 North Tenaya Way #103
Las Vegas, NV 89128
(702) 240-0088
Miedico, Tania Morales,
Healthcare Partners Medical Group North Rainbow
1000 South Rainbow Blvd
Las Vegas, NV 89145
(702) 259-0088
Geriatric Medicine/Internal
Medicine
Dani, Roopa Prashant,
Internal
Medicine
Adekunle, Foluke Adeyinka,
Healthcare Partners Medical Group Parkway
100 North Green Valley Parkway #240
Las Vegas, NV 89074
(702) 938-0088
Family
Practice
Wedlow, Camille E,
Internal
Medicine
Bonuel, Nida E,
Healthcare Partners Medical Group Spring Valley
5320 South Rainbow Blvd #150
Las Vegas, NV 89118
(702) 944-7105
Family
Practice
Harries, Karyn,
Healthcare Partners Medical Group Summerlin
2035 Village Center Circle #111
Las Vegas, NV 89134
(702) 228-7117
Internal
Medicine
Internal
Medicine
Vancise, Simi S,
Healthcare Partners Medical Group Valley
400 Shadow Lane
Las Vegas, NV 89106
(702) 382-7760
Internal
Medicine
Batugal, Oscar Aquino,
Jacobs & Modaber Primary Care
2870 S. Maryland Pkwy, Suite 300
Las Vegas, NV 89109
(702) 735-0619
Family
Practice
Ng, Jeffrey,
Internal
Medicine
Addis, Laura D,
Jacobs, Leslie Caryl,
Jacobs, Loring Bradford,
Jacobs, Parvin Modaber,
Jayachandran, Archana,
Muro, Victor M,
Shoemaker, William R,
Southwest Medical Associates Montecito
7061 Grand Montecito Parkway
Las Vegas, NV 89149
(702) 750-3800
Internal
Medicine
Nguyen, Tim Tuan huy,
Pediatrics
Henderson, Anita Mishra,
Southwest Medical Associates - Nellis
650 North Nellis Blvd
Las Vegas, NV 89110
(702) 459-7424
Pediatrics
Banfro, Caroline Seena,
Reyta, Virginia,
Southwest Medical Associates - North
Tenaya
2704 North Tenaya Way
Las Vegas, NV 89128
(702) 243-8500
Internal
Medicine
Khan, Susan,
Reddy, Venumbaka C,
Von Hartleben, Kurt Matthew,
Southwest Medical Associates - South
Eastern
4475 South Eastern Avenue
Las Vegas, NV 89119
(702) 737-1880
Internal
Medicine
Caimol, Joseph S,
Clavecilla, Pio D,
Jia, Ran,
Obstetrics &
Gynecology
King, Richard N,
Schwartzer, Marlene,
Page 116 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Nevada
New Hampshire
New Hampshire
Las Vegas
Bedford
Berlin
Southwest Medical Associates - West
Charleston
2316 West Charleston Blvd
Las Vegas, NV 89102
(702) 877-8600
Dartmouth-Hitchcock Bedford Primary
Care
25 South River Road
Bedford, NH 03110
(603) 695-2572
Coos County Family Health Services Pleasant
133 Pleasant St
Berlin, NH 03570
(603) 752-2040
Family
Practice
Family
Practice
Family
Practice
Clark, Edward Francis,
Cozzi, Kevin J.,
Bourbeau, Josee Lucie,
Martin, Matthew Lane,
Morbey, Paul,
Lake, Christopher,
Southwest Medical Associates - West
Flamingo
6330 West Flamingo Road
Las Vegas, NV 89103
(702) 876-4449
Urban, Michelle A,
Sullivan, Mitchell,
Internal
Medicine
Nurse
Practitioner
Braun, Mary,
Charest, Jeanne D,
Lundy, Geoffrey,
Chevarie, Janet,
Mosher, Jodee,
Shute, Patricia,
Elliot Family Medicine at Bedford
Commons
25 South River Road
Bedford, NH 03110
(603) 626-4392
Charlestown
Family
Practice
Karamanides, Anastasia,
Reno
Renown Medical Group - South
Meadows
10085 Double R. Blvd #120
Reno, NV 89521
(775) 982-8176
Family
Practice
Springfield Medical Care Systems Charlestown Family Medicine
125 Main Street
Charlestown, NH 03603
(603) 826-5711
Bennett, Lydia B,
Family
Practice
Burns, Emily A.,
Caloras, Daniel,
Miyagawa, Dean K.,
Fitzgerald, James F,
Concord
Renown Medical Group (Ryland)
975 Ryland Street
Reno, NV 89502
(775) 982-5000
Rosenbaum, Daniel J,
Concord Hospital Family Health
Center-Concord
250 Pleasant Street
Concord, NH 03301
(603) 227-7000
Internal
Medicine
Family
Practice
Kiser, Michele J.,
Kiser, Michele J.,
Internal
Medicine
Berlin
Coos County Family Health Services Page Hill
59 Page Hill Road
Berlin, NH 03570
(603) 752-2900
Family
Practice
Family
Practice
Bannister, J. Bryan,
Dreffer, Douglas,
Krishnamani, Keerthy,
Dreffer, Douglas,
Sundstrom, Steven M.,
Shute, Keith,
Fayre, Gail,
Sundstrom, Steven M.,
Internal
Medicine
Geffken, Dominic,
Watson, John M,
Surgery, General
Vascular
Watson, John M,
New Hampshire
Perry, Debra,
Harker, Phenton,
King, Cynthia,
Nurse
Practitioner
Madan, Michael,
Eaton, Raina C,
Orzano, A. John,
Yerdon-McLeod, Angela,
Bedford
Page 117 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Hampshire
New Hampshire
New Hampshire
Concord
Concord
Contoocook
Concord Hospital Medical Group Community Medical Associates
60 Commercial Street, Suite 401
Concord, NH 03301
(603) 228-7555
Concord Hospital Medical Group Internal Medicine
248 Pleasant Street, Suite 2800
Concord, NH 03301
(603) 224-4003
Concord Hospital Medical Group Family Tree Health Center - Hopkinto
19 Farrington Corner Road
Contoocook, NH 03229
(603) 228-7575
Internal
Medicine
Internal
Medicine
Family
Practice
Biernat, Lukasz,
Antinerella, Nicole M.,
Lawrence, Stephen,
Ziesmer, Valerie,
Ciak, Carl S.,
Mcleod, Michael M,
Concord Hospital Medical Group Concord Family Medicine
18 Foundry Street, Suite 201
Concord, NH 03301
(603) 228-0071
Clark, Paul R.,
Milligan, Francis J.,
Vanderlinde, Tanja,
Derry
Concord Hospital Medical Group Pleasant Street Family Medicine
280 Pleasant Street
Concord, NH 03301
(603) 226-3400
Derry Medical Center
6 Tsienneto Road, Suite 100
Derry, NH 03038
(603) 537-1300
Family
Practice
Clardy, Elizabeth A.,
Hayes, Francis A,
Family
Practice
Kremzner, Boguslawa,
Betchart, Frank A,
Martel, Amy L.,
Clancy, Patricia E,
Nelson, Richard M,
Fox, Katharine T,
Oshman, Lauren,
Kiefner, Robert,
Pollak, Eric F,
Shugol, Margarita,
Sobelson, Gary S,
Dartmouth-Hitchcock Concord
Pediatrics
253 Pleasant Street
Concord, NH 03301
(603) 226-2200
Concord Hospital Medical Group Family Care of Concord
248 Pleasant Street, Suite 2600
Concord, NH 03301
(603) 753-4302
Family
Practice
Brooks, Theodore T,
Daley, John P,
Egenolf, Cristi M,
Hand, Christine M,
Kilroy, Jonathan D,
Krasnof, Rebecca Erickson,
Liu, Shu Wei,
Low, Scott J,
Lynch, Gregory M,
Mackinnon, Diane,
General
Practice
Mercuro, Elisa J,
Hallowell, Christian,
Murai, Sarah E.,
Angelo, Wendy,
Pediatrics
Northcutt, Albert C,
Giglio, Barry L,
Brunelle, Ashley A.,
Rork, Dennis G,
Sawyer, Mathew,
Carney, Mark D.,
Welter, John F,
Concord Hospital Medical Group Family Tree Health Care - Concord
81 Hall Street
Concord, NH 03301
Lafortune-Greenberg, Tessa J.,
Wheeler, John H,
Oliveria, Theresa M.,
Gorham
Family
Practice
Smith, Elizabeth R.,
Durand, Lynn A,
VanVranken, Nancy J.,
Concord Hospital Medical Group Internal Medicine
248 Pleasant Street, Suite 2800
Concord, NH 03301
(603) 224-4003
Contoocook
Family
Practice
Shulman, Eric A.,
Storo, William R.,
Coos County Family Health Services Gorham
2 Broadway Street
Gorham, NH 03581
(603) 466-2741
Family
Practice
Kernan, Donald,
Lang, Kenneth Charles,
Page 118 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Hampshire
New Hampshire
New Hampshire
Gorham
Lebanon
Lebanon
Coos County Family Health Services Gorham
2 Broadway Street
Gorham, NH 03581
(603) 466-2741
Dartmouth-Hitchcock Lebanon
Pediatrics
Medical Center Drive
Lebanon, NH 03756
(603) 650-5000
Dartmouth-Hitchcock Medical Center
Lebanon
1 Medical Center Drive
Lebanon, NH 03756
(603) 650-6943
Family
Practice
Pediatrics
Internal
Medicine
Mcdowell, John,
Temme, Thomas,
Tracy, Sherrill,
Nurse
Practitioner
Mclane, Alice,
Hillsboro
Bernstein, Henry (Hank) H.,
Chapman, Steven H.,
Fall, Leslie H.,
Gifford, Kimberly A.,
Jenkins, Pamela C.,
Kittredge, Diane,
McClure, Auden C.,
Concord Hospital Medical Group Concord Hospital Family Health
Center-Hillsboro-Deering
15 Antrim Rd
Hillsboro, NH 03244
(603) 464-3434
Olson, Ardis L.,
Family
Practice
Yukica, Rebecca L.,
Brehio, Teri L.,
Dartmouth-Hitchcock Medical Center
Lebanon
1 Medical Center Drive
Lebanon, NH 03756
(603) 650-6943
Dreffer, Douglas,
Dreffer, Douglas,
Thesing, Gregory J.,
Keene
Dartmouth-Hitchcock Keene Pediatrics
590 Court Street
Keene, NH 03431
(603) 354-5454
Poret, Todd M.,
Sargent, James D.,
Wenger, Jodi K.,
Whalen, Bonny L.,
Yukica, Rebecca L.,
Geriatric Medicine/Family
Practice
Batsis, John A,
Furmanski, Lisa A,
Herndon, M. Brooke,
Hort, Shoshana J,
Kieffer, Kelly A,
Krasnoff, Margo J,
L'Heureux, Michelle M,
Medora, Christine R,
Palac, Diane M,
Pastel, Lisa C,
Pinto-Powell, Roshini C,
Ross, Jonathan M,
Schwartz, Lynn S,
Wolfe, Elizabeth K,
Littleton
Ammonoosuc Community Health
Services-Littleton
25 Mount Eustis Road
Littleton, NH 03561
(603) 444-8223
Family
Practice
Geriatric Medicine/Internal
Medicine
Lawson, Phil,
Pediatrics
Bynum, Julie P. W.,
Campbell, Patricia I.,
Dolkart, Kenneth M,
Internal
Medicine
Fisher, Kathleen M.,
Hansen, Deborah R.,
Internal
Medicine
Payton, Jessica,
Beaver, Cathleen R,
Rubin, Geraldine,
Bibeau, Carole E,
Silverstein, Marni A.,
Brackett, Charles D,
Lebanon
Brokaw, Frances C,
Dartmouth-Hitchcock Lebanon
Pediatrics
Medical Center Drive
Lebanon, NH 03756
(603) 650-5000
Brooks, W. Blair,
Tarrabain, Mohammed,
Mourad, Ibrahim,
Lyme
Dartmouth-Hitchcock General Intern
Medicine Lyme
204 Dartmouth College Highway
Lyme, NH 03768
(603) 650-1070
Dacey, Linda B,
Internal
Medicine
Eisenberg, Ellen H,
Bradley, Elizabeth,
Fleming, Elaine L,
Cimpean, Delia,
Friedman, Harley P,
Mather, Cheri,
Page 119 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Hampshire
New Hampshire
New Hampshire
Manchester
Nashua
Newmarket
Dartmouth-Hitchcock Manchester
Adult Primary Care
100 Hitchcock Way
Manchester, NH 03104
Dartmouth Hitchcock - Nashua
Pediatrics
591 West Hollis Street, A
Nashua, NH 03060
(603) 577-4400
Lamprey Health Care - Newmarket
Health Center
207 South Main Street
Newmarket, NH 03857
(603) 659-2494
Pediatrics
Braga, Christopher C,
Internal
Medicine
Olnick, Carol,
Gunturu, Kristen,
Shannon, Karen,
Pediatric
Surgery
General
Practice
Levine, Gilbert,
Binczewski, Brian,
Pediatrics
Internal
Medicine
Cappetta, Charles T.,
Frumkin, Michell,
Internal
Medicine
Jones, Jennifer T,
Kopp, Stacey,
Kodali, Srilatha,
Marks, Heather,
Sznycer, Liliane,
Penacook
Nguyen, Phat,
Taub, Abner,
Poliyedath, Anupama,
Youssef, Denise,
Song, Lijun,
New London
Ullah, Sana,
Life Long Care of New London, PLLC
276 Newport Road
New London, NH 03257
(603) 526-4144
Family
Practice
Upadrasta, Vijaya,
Dartmouth-Hitchcock Manchester
Pediatrics
100 Hitchcock Way
Manchester, NH 03104
(603) 695-2750
Family
Practice
Kidder, Kathleen M.,
Internal
Medicine
Rossignol, Monique,
Plotnik, Lisa Michele,
Nurse
Practitioner
Pediatrics
Lyon, Sean,
Hollister, John R.,
Newmarket
Mandel, Michele F.,
Lamprey Health Care - Newmarket
Health Center
207 South Main Street
Newmarket, NH 03857
(603) 659-2494
Nordgren, Robert,
Olson, Elizabeth H.,
Paris, Steven,
Rosenwasser, Christine K.,
Oxnard, Sarah C,
Pelham
Pelham Healthcare Associates
49 Atwood Road, Suite #1, P.O. Box 43
Pelham, NH 03076
(603) 635-2802
Concord Hospital Medical Group Penacook Family Physicians
1 Merrimack Street
Penacook, NH 03301
(603) 753-4302
Family
Practice
Gabrielli, Robert D,
Kropp, Eric,
Niegisch, Carol,
Smith, W Kent,
Spencer, Michelle T,
Plaistow
Core Physicians LLC
Plaistow Health, 24 Plaistow Road, Un
2
Plaistow, NH 03865
(978) 382-4972
Family
Practice
Litsch, Sarah,
Schneebaum, Ron,
Family
Practice
Mullaney, Steven,
Schuman, Andrew,
Friedrichs, Paul,
Pernyeszi, Jr., Gabor,
Shessler, Erik,
Osadsky, Rastislav,
Plymouth
Spiro, Amanda,
Obstetrics &
Gynecology
Spivak, Paul S.,
Wiegand, Margaret,
Nashua
Pruna, Sirona,
Mid-State Health Center
101 Boulder Point Drive, Suite 1
Plymouth, NH 03264
(603) 536-4000
Pediatrics
Page 120 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Hampshire
New Hampshire
New Jersey
Plymouth
Warner
Branchburg
Mid-State Health Center
101 Boulder Point Drive, Suite 1
Plymouth, NH 03264
(603) 536-4000
Concord Hospital Medical Group Family Tree Health Care - Warner
2 East Main Street, Unit #2
Warner, NH 03278
Dein Shapiro, M.D.
3461 Route 22
Branchburg, NJ 08876
(908) 526-4499
Family
Practice
Family
Practice
Family
Practice
Arsenault, Diane L.,
Klinger, Angela,
Shapiro, Dein,
Diederich, Gary,
Maitland, Lauri Ann,
Lloyd, John,
Sutton, Shawn I.,
Rosen, Alan E.,
West Franklin
Ruby Halper - Erkkila
48 Robbins Rd.
Branchburg, NJ 08876
(908) 526-8300
Internal
Medicine
Westside Healthcare
125 South Main St.
West Franklin, NH 03235
(603) 934-9017
Fagan, David,
Kelsey, Frederick S.,
Purimetla, Venkata,
Family
Practice
Nurse
Practitioner
Friend, Paul K,
Fader, Kimberly,
Joslin, Sonia,
Lessard, Amberlee,
Pediatrics
White, Kelley J.,
Portsmouth
Martin's Point Health Care, Inc.Portsmouth
161 Corporate Drive
Portsmouth, NH 03801
(603) 430-5041
Family
Practice
Lutz, Stephen,
Remillong, Elizabeth,
Hanrahan, Melissa B.,
New Jersey
Barrington
Runnemede Family Practice
208 White Horse Pike, Suite 3
Barrington, NJ 08007
(856) 796-9204
Internal
Medicine
Ocean County Family Care - Brick
2125 Route 88 East
Brick, NJ 08724
(732) 892-4548
Internal
Medicine
Rothberg, Michael S.,
Our Family Practice
1899 Route 88
Brick, NJ 08724
(732) 810-8177
Bayonne
Cascarina, Michael,
United Medical, PC- Bayonne
19 East 27th Street
Bayonne, NJ 07002
(201) 339-6111
Eapen, Prema,
Suncook
Neopane, Padam K.,
Concord Hospital Medical Group Family Physicians of Pembroke
121 Pembroke Street
Suncook, NH 03275
(603) 485-8441
Internal
Medicine
Niegisch, Robert W,
Brick
Family
Practice
Stark, John Cowan,
Lowne, Joseph,
Halper-Erkkila, Ruby Ann,
Draganescu, Mirela,
Family
Practice
Family
Practice
Family
Practice
Hoffman, Mark A.,
Neno, Rosa M.,
Salomon, Pierre R.,
Branchburg
Tesoriero, Laura,
Browns Mills
Browns Mills Medical Services
212 Trenton Road, 2nd floor
Browns Mills, NJ 08015
(856) 796-9204
Family
Practice
Uriguen-Ashby, Samantha,
Burlington
Burlington Family Medical Center
666 Madison Avenue
Burlington, NJ 08016
(856) 796-9204
Stidwill, Robert J,
Page 121 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Burlington
Cherry Hill
Clinton
Burlington Family Medical Center
666 Madison Avenue
Burlington, NJ 08016
(856) 796-9204
Cherry Hill Family Care
951 Haddonfield-Berlin Road
Cherry Hill, NJ 08034
(856) 796-9204
Family
Practice
Family
Practice
Hunterdon Medical Center Hunterdon Pediatric Associates Clinto
1738 Route 31 North, Suite 201
Clinton, NJ 08809
(908) 735-3960
Luke, Ciby Babukunju,
Barr, Larry A.,
Coraggio, Michael J,
Markunas, Stanley A,
Parchuri, Hima Bindu,
Roche, Kevin B,
Family Practice of Burlington
1900 Burlington - Mount Holly Road,
Suite 2C
Burlington, NJ 08016
(856) 796-9204
Cinnaminson
Hunterdon Medical Center - Riverfiel
Family Health Center Clinton
1783 Route 31 North, Suite 203
Clinton, NJ 08809-2014
(908) 735-4645
Family
Practice
Patel, Manish A,
Cedar Knolls
The Medical Institute of New Jersey
11 Saddle Road
Cedar Knolls, NJ 07927
(973) 267-2122
Family
Practice
Gellerstein, Alan S,
Gibbions, Jr., James,
Triboro Family Physicians
1104 Route 130, Suite K
Cinnaminson, NJ 08077
(856) 796-9204
Family
Practice
Gettings, Matthew James,
General
Practice
Pediatrics
Family
Practice
Karpinski-failla, Susan,
Klein, Martin E,
Paul-Yee, Sabine,
Switenko, Zenon Michael,
Vandenburg, James J,
Clifton
MorningStar Family Health Center
54 OLD HWY 22
Clinton, NJ 08809
(908) 735-9344
New Jersey Physicians, LLC - Allwood
925 Allwood Road
Clifton, NJ 07012
(973) 777-7911
Family
Practice
Gopin, Joan,
Internal
Medicine
Greenbaum, Herbert,
DeBell, David A.,
Novak, Eva Cesnek,
Monka, Ira P.,
Graber, David J.,
Chatham
Lintz, Robert M.,
Chatham Family Practice Associates
492 Main Street
Chatham, NJ 07928
(908) 522-5700
Obrien, Joseph P.,
The Doctor Is In, PA at Clinton
59 Old Route 22
Clinton, NJ 08809
(908) 730-6363
Family
Practice
United Medical, PC-Clifton
300 Parker Avenue
Clifton, NJ 07011
(973) 546-6844
Baker, Janice E.,
Family
Practice
Gruber, Amy D.,
Muccino, Gary P.,
Holland, Elbridge T.,
Clinton
Tribuna, Joseph,
Hunterdon Medical Center Hunterdon Pediatric Associates Clinton
1738 Route 31 North, Suite 201
Clinton, NJ 08809
(908) 735-3960
Cherry Hill
Cherry Hill Family Care
951 Haddonfield-Berlin Road
Cherry Hill, NJ 08034
(856) 796-9204
Pediatrics
Golden-Tevald, Jean Marie,
Family
Practice
Klein, Randy S,
Cranford
Cranford Family Practice
123 N. Union Avenue, Suite 204
Cranford, NJ 07016
(908) 272-7990
Family
Practice
Eidus, Robert,
Eidus, Robert,
Edison
Braff, Ricky A,
Page 122 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Edison
Emerson
FLEMINGTON
JFK Medical Center
65 James Streeet
Edison, NJ 08820
(732) 321-7493
Old Hook Medical Associates, LLC
452 Old Hook Rd
Emerson, NJ 07630
(201) 666-3900
Family
Practice
Family
Practice
Hunterdon Family Practice &
Obstetrics
1100 Wescott Dr., Suite 101
Flemington, NJ 08822-4600
(908) 806-8222
Chae, Sung,
Dombrowski, Mark,
Metz, Deborah L,
Gastroenterology
Metz, John P.,
Milne, Charlene E.,
Nadkarni, Swati Girish,
Odell, Kimberly,
Patel, Dipen K,
Picciano, Anne,
Wilks, Michelle,
Winter, Robin O.,
Emerson
Bergen Gastroenterology- Emerson
466 Old Hook Road Suite 1
Emerson, NJ 07630
Family
Practice
Goldstein, David,
Zucker, Ira I,
Internal
Medicine
Gold, Edward J,
Lecusay, Dario A,
Ko, Christopher J,
Ray, Meredith H,
Levine, Lester,
Hunterdon Medical Center Hunterdon Family Medicine
190 Highway 31, Suite 500
Flemington, NJ 08822-5763
(908) 788-6161
Farmingdale
Farmingdale Family Practice Associates
43 Main Street
Farmingdale, NJ 07727
(732) 938-6471
Internal
Medicine
Angello, Philip J,
Griggs, Allen R,
Lan, Vivian E,
Motiwala, Neeta,
Randall, Jennifer,
Tempesta, Sabrina L,
Old Hook Medical Associates, LLC
452 Old Hook Rd
Emerson, NJ 07630
(201) 666-3900
Cardiovascular
Disease
Jacowitz,, Joel D,
Endocrinology, Diabetes &
Metabolism
Daud, Sameera,
Hunterdon Medical Center Cornerstone Family Practice
1 Wescott Drive, Suite 101
Flemington, NJ 08822-4655
(908) 788-8220
Family
Practice
Family
Practice
Flanzman, Susan,
Plunkett, Lisa,
Glaubiger, Carol,
McConnell, Julie Wilma,
Briker, Alan J,
Family
Practice
Schauer, Joseph W.,
FLEMINGTON
Adult and Adolescent Medical
Associates
4 WALTER FORAN BLVD, SUITE 101
FLEMINGTON, NJ 08822
(908) 782-3204
Internal
Medicine
Novy, Donald Stuart,
Hunterdon Family Practice &
Obstetrics
1100 Wescott Dr., Suite 101
Flemington, NJ 08822-4600
(908) 806-8222
Family
Practice
Family
Practice
Mehta, Anand,
Hunterdon Medical Center Hunterdon Pediatric Associates
Reading Ridge
8 Reading Road
Flemington, NJ 08822-2081
(908) 788-6070
Pediatrics
Clarin, Mitchell I,
Krupinski, Donna J,
Prosswimmer, Geralyn M,
Hunterdon Medical Center Hunterdon Pediatric Associates Sandh
6 Sandhill Road, Suite 202
Flemington, NJ 08822-4946
(908) 782-6700
Pediatrics
Douvris, John S,
Fellmeth, Wayne G,
Lewis, Mary Kendra,
Kroon, Jody L,
Mattei, Cruz A.,
Rushton, Alan R,
Pauch-mcnamara, Dorothy A,
Page 123 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
FLEMINGTON
Freehold
Hackensack
The Doctor Is In, PA at Flemington
149 M Hwy 31
Flemington, NJ 08822
(908) 782-7700
Family Practice of Central Jersey Medical Arts
901 West Main Street, Suite 106
Freehold, NJ 07728
Center for Healthy Senior Living
5 Summit Ave, Suite 204
Hackensack, NJ 07601
(201) 336-8685
Family
Practice
Family
Practice
Internal
Medicine
Messina, Charles I,
Faistl, Kenneth W.,
Mansour, Loris N,
Forked River
Feingold, Marc,
Hammonton
Dennis Novak, MD PA
1001 Lacey Road, P.O. Box 780
Forked River, NJ 08731
(609) 693-8900
Garwood
PMG - Internal Medicine at Garwood
400 Center Street
Garwood, NJ 07027
(908) 789-0118
Atlanticare Family Medicine Hammonton
120 South White Horse Pike
Hammonton, NJ 08037
(609) 407-2225
Novak, Dennis E.,
Internal
Medicine
Family
Practice
Freehold
Calcara, Epifanio,
DeTata, Gerald C.,
CentraState Family Medicine
Residency Practice
1001 West Main Street, Suite B
Freehold, NJ 07728
(732) 294-2540
Talavera, Joyce R.,
Family
Practice
Family
Practice
Green Brook
Medemerge
1005 No Washington Ave.
Green Brook, NJ 08812
(732) 968-1552
Stephen A. Nurkiewicz, MD
858 South White Horse Pike, B-2
Hammonton, NJ 08037
(609) 561-2345
Family
Practice
Nurkiewicz, Stephen A.,
Alday, Geronima,
Family
Practice
Bader, Christopher,
Carrieri, David A,
Ciminelli, Maria,
Hammoud, Marwan,
Dermer, Alicia,
Pilla, John D.,
Mellor, Lisa,
Popeck, Paul J,
Raymond, Joshua,
Sgambelluri, Carol E,
Shenker, Bennett,
Family
Practice
Internal
Medicine
Mitev, Iliya D,
Ahmed, Syed Fahim,
Polizzi, David R,
Chen, Robert,
Geronimo, Maria socorro Ambulo,
Hasbrouck Heights
Obstetrics &
Gynecology
Sharon, Yoran,
Geriatric Medicine/Family
Practice
Cipriano, Joseph,
Hackensack
Zehnder, Amy,
Center for Healthy Senior Living
5 Summit Ave, Suite 204
Hackensack, NJ 07601
(201) 336-8685
Sports
Medicine
Geriatric Medicine/Internal
Medicine
Weintraub, Steve,
Parulekar, Manisha Santosh,
Cipriano, Rebecca,
Pacana, Susan,
Sarkar, Arunima,
Hampton
Hunterdon Medical Center - Highland
Family Health Center
61 Frontage Road
Hampton, NJ 08827-4001
(908) 735-2594
Heights Medical Associates
288 Boulevard
Hasbrouck Heights, NJ 07604
(201) 288-6781
Family
Practice
Bellavia, Thomas S.,
Internal
Medicine
Renner, Carl J.,
Hillsborough
Tank, Lisa Kaushal,
Page 124 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Hillsborough
Jackson
Lakewood
Richard Corson MD LLC
313 Courtyard Drive
Hillsborough, NJ 08844
(908) 722-9962
CentraState Family Healthcare at
Bartley Corner
161 Bartley Rd.
Jackson, NJ 08527
(732) 363-6140
Ocean County Internal Medicine &
Associates, P.C.
1352 River Avenue
Lakewood, NJ 08701
(732) 370-5100
Family
Practice
Internal
Medicine
Alday, Geronima,
Lempel, Allen J.,
Your Doctors Care
71 Route 206
Hillsborough, NJ 08844-4142
(908) 685-1887
Raymond, Joshua,
Ogun, David J.,
Shenker, Bennett,
Sokol, Norton M.,
Geriatric Medicine/Family
Practice
Lambertville
Family
Practice
Chen, Robert,
Family
Practice
Corson, Richard Lawrence,
Shaffrey, Thomas,
Dunn, Davonnie Marie,
Landesman, Glen S,
Smith, Joseph A,
Weinstein, Joseph R,
Hopewell
Hunterdon Medical Center - Hopewell
Family Practice
84 East Broad Street
Hopewell, NJ 08525-1895
(609) 466-1101
Family
Practice
Bock, David Andrew,
Holdcraft, Suzanne,
Iselin
Avenel Iselin Medical Group
400 Gill Lane
Iselin, NJ 08830
(732) 404-1591
Family
Practice
Mayer, Marc,
Mayer, Mitchell M.,
Perilstein, Neil J.,
Riggi, Joseph,
Internal
Medicine
Ghabras, Magda,
Jackson
Ocean County Family Care - Jackson
2290 W. County Line Road
Jackson, NJ 08527
(732) 364-3881
Internal
Medicine
Hunterdon Medical Center - Phillips
Barber Family Health Center
72 Alexander Road
Lambertville, NJ 08530-2200
(609) 397-3535
Family
Practice
Barter, Cindy,
Kulczycki, Alex,
Eichman, Margaret J,
Jersey City
Koorie, Elizabeth L.,
Hudson Primary Care Professionals
709 Newark Ave
Jersey City, NJ 07306
(201) 239-9200
Kroth, Patricia,
Family
Practice
Meyer, Monica A,
Schmitt, David J,
Shlimbaum, Terry E,
Waters, John S,
Fritz, John A,
Wiedemer, Joseph P,
Lakewood
Lebanon
Ocean County Family Care - Lakewood
400 New Hampshire Avenue
Lakewood, NJ 08701
(732) 901-6400
Annandale Family Practice, LLC
56 Payne Road, Suite 21
Lebanon, NJ 08833
(908) 806-8222
Internal
Medicine
Family
Practice
DeDona, Anna,
Sacchieri, Theresa Ann,
Ocean County Internal Medicine &
Associates, P.C.
1352 River Avenue
Lakewood, NJ 08701
(732) 370-5100
Little Egg Harbor
Internal
Medicine
Cohen, Jonathan I,
Gordon, Barry M.,
APG - Little Egg Harbor
459 Route 9 South
Little Egg Harbor, NJ 08087
(609) 296-4014
Family
Practice
Keiner, Lisa R,
Whiting, Philip,
Green, Tamar B.,
Page 125 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Little Egg Harbor Twp.
Lyndhurst
Marmora
Family Medicine Center
279 Mathistown Road
Little Egg Harbor Twp., NJ 08087
(609) 296-1101
United Medical P.C.-Lyndhurst
612 Rutherford Avenue
Lyndhurst, NJ 07071
(201) 460-0063
Family
Practice
Internal
Medicine
AtlantiCare - Marmora Family
Medicine
210 S. Shore Road, Suite 201
Marmora, NJ 08223
(609) 407-2225
Glenn, William B.,
Kim, A. DongHyun,
Kenny, John J.,
Lee, SungWon,
Mastro, Caroline B.,
Park, Byong K.,
Medenilla, Rosenio P.,
Manasquan
Raguso-Failla, Michael J.,
Sea Girt Medical Associates, P.C.
235 Route 71
Manasquan, NJ 08736
(732) 223-4300
Tracy, Toby W.,
Lumberton
Virtua -Family Medicine CenterLumberton
1636 Route 38 and Eayrestown Road
Lumberton, NJ 08048
(609) 261-7035
Family
Practice
Family
Practice
Von suskil, Kurt Eugene,
Internal
Medicine
Almeida, Frank G,
Daniel, Beena M.,
Kossev, Viliana D,
Ibay, Annamarie,
Kuzmick, Peter John,
Naticchia, Jennifer,
Marlton
Smith, Kindra Renee,
Eves Medical Practice
1 Eves Drive, Suite 109
Marlton, NJ 08053
(856) 796-9204
Toporowski, Beverly C,
Lyndhurst
First Care Medical Group
750 Valley Brook Avenue
Lyndhurst, NJ 07071
(201) 896-0900
Family
Practice
Corrigan, Lynn,
General
Practice
Vellas, Elaine,
Internal
Medicine
Ambrosio, George,
Lipsitch, Carol,
United Medical P.C.-Lyndhurst
612 Rutherford Avenue
Lyndhurst, NJ 07071
(201) 460-0063
Family
Practice
Lichtman, Lisa B,
Family
Practice
Hutchison, Melissa M.,
Martinsville
Martinsville Family Practice, PA
1973 Washington Valley RD
Martinsville, NJ 08836
(732) 560-9225
Family
Practice
Frisoli, Anthony,
Labbadia, Francesco,
Price, Kelly,
Medford
Virtua -Internal Medicine-Medford
103 Old Marlton Pike, Suite 111
Medford, NJ 08055
(609) 953-7111
Family
Practice
Roesly, Melissa,
Zarroli, Hannah,
Internal
Medicine
Glass, James M.,
Virtua -Family Medicine-Marlton
534 Lippincott Drive
Marlton, NJ 08053
(856) 985-7373
Scuderi, Steven,
Family
Practice
Middletown
Casey, Daniel,
Levinson, Elizabeth,
Mccormick, Ryan,
Miller, Scott,
Marmora
Nurse
Practitioner
Smolsky, Elizabeth Ann,
Family Practice of Middletown, a
division of Integrated Medicine Allian
140 Tindall Road
Middletown, NJ 07748
(732) 671-0860
Family
Practice
Chapman, James M.,
Giacona, Caryn M.,
Thompson, Roger M.,
Page 126 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Milford
New Brunswick
Newark
Hunterdon Medical Center - Delaware
Valley Family Health Center
200 Frenchtown Road
Milford, NJ 08848-1329
(908) 995-2251
Medical Associates of New Brunswick
8 Aver Court, Suites C & D
New Brunswick, NJ 08816
(732) 254-2216
Adult Health Center
166 Lyons Ave
Newark, NJ 07112
(973) 926-7245
Internal
Medicine
Internal
Medicine
Tucci, Mauro A.,
Ayub, Muhammed Gauhar,
Robert Wood Johnson Family Medicine
at Monument Square
317 George Street, 1st Floor
New Brunswick, NJ 08901
(732) 235-7828
Cohen, Ellen,
Family
Practice
Sicat, Jon F,
Kayal, William Jesse,
Kroth, Patricia,
Acevedo, Rhina Aracely,
Lucco, Julianne,
Afran, Joyce,
Murry, Robert Lester,
Clark, Elizabeth C,
Turenne-kolpan, Laurie,
Heath, Cathryn,
Millburn
Howarth, David,
PASE Healthcare, PC
225 Millburn Avenue, Suite 303
Millburn, NJ 07041
(973) 912-7273
Laumbach, Sonia C. g.,
Family
Practice
Bauman, Susan M,
Bryhn, Lisa K.e.,
Curry, Debra Wohl,
Hewens, Jeremy C,
Jardim, Carla,
Internal
Medicine
Levine, Jeffrey,
Lin, Wei ru karen,
Mcgarry, Barbara jo,
Morton, Kinshasa,
Koduah, Doris Afreh,
Liao, Theresa,
Pediatrics
Beth Prime Care
166 Lyons Ave
Newark, NJ 07112
(973) 926-7300
Internal
Medicine
Crews, Asa,
Rice, Fabian Dein,
Srivastava, Sushama,
Forest Hill Family Health Associates,
A.
465 Mt. Prospect Avenue
Newark, NJ 07104
(973) 483-3640
Pinho, Paulo Bandeira,
Roemheld-hamm, Beatrix,
Montville
Swee, David,
Changebridge Medical Associates, PA
170 Changebridge Road, C3
Montville, NJ 07045
(973) 575-5540
Tallia, Alfred,
Family
Practice
Wu, Justine,
Almodovar, Astrid T,
Sports
Medicine
Family
Practice
Womack, Jason Peter,
Geriatric Health Center
156 Lyons Ave
Newark, NJ 07112
Iannetta, Frank,
Pallay, Arnold I,
Neshanic Station
Pleasant Run Family Physicians
925 U.S. Highway 202
Neshanic Station, NJ 08853
(908) 788-9468
Family
Practice
Barr, James E.,
Rigatti, Damian F.,
Ryan, William D.,
New Providence
PMG - New Providence Pediatrics
180 South St., Suite 204
New Providence, NJ 07974
(908) 771-9824
Pediatrics
Cuddihy, Kathleen M.,
Newark
Adult Health Center
166 Lyons Ave
Newark, NJ 07112
(973) 926-7245
Internal
Medicine
Umakanthan, Suganthini,
Physician
Assistant
Matos, Annamarie,
Ironbound Medical Assoc. LLC
239 Lafayette Street
Newark, NJ 07105
(973) 690-5555
Internal
Medicine
Abdullah, Muhammad,
Page 127 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Newark
Paramus
Passaic
Rhomur Medical Services
297 16th Avenue
Newark, NJ 07103
(973) 374-3020
Bergen Gastroenterology -Paramus
1 West Ridgewood Ave Suite 301
Paramus, NJ 07652
(201) 445-1660
New Jersey Physicians, LLC - Gregor
200 Gregory Avenue
Passaic, NJ 07055
(973) 473-2597
Internal
Medicine
Internal
Medicine
Internal
Medicine
Chomsky, Steve Allen,
Griggs, Allen R,
Foxall, Ian S.,
Francis, Thomas Paul,
Lan, Vivian E,
Porras, Cornelio J.,
Northvale
Motiwala, Neeta,
Schactman, Brian H.,
FirstMed Family Healthcare LLC
244 Livingston Street
Northvale, NJ 07647
(201) 768-1200
Randall, Jennifer,
New Jersey Physicians's, LLC Broadway
540 Broadway
Passaic, NJ 07055
(973) 472-2100
Family
Practice
Patel, Vishal V,
Ocean City
Tempesta, Sabrina L,
Forest Healthcare Associates, P.C.
277 Forest Avenue, Suite 200
Paramus, NJ 07652
(201) 986-1881
Internal
Medicine
Cardiovascular
Disease
Charlap, Shlomo,
Gastroenterology
AtlantiCare - Ocean City Family
Medicine
201 West Avenue
Ocean City, NJ 08226
(609) 407-2225
Anshelevich, Irina,
Menacker, Morey,
Internal
Medicine
Family
Practice
Winer, Steven A.,
Jawetz, Harold L.,
Yousaf, Javed M.,
Pennington
Chew, Jason M,
Park Ridge
Old Bridge
Center For Family Medicine
69 County Road 516
Old Bridge, NJ 08857
(732) 254-1515
Bergen Gastroenterology-Grand
Avenue
236 Grand Avenue
Park Ridge, NJ 07656
(201) 967-8221
Hunterdon Medical Center - Hopewel
Family Practice Pennington
84 Route 31 North, Suite 103
Pennington, NJ 08534-3605
(609) 730-1771
Family
Practice
Family
Practice
Nevins, John J.,
McConnell, Julie Wilma,
Pennsauken
Uray, Maria,
Internal
Medicine
Lourdes Pediatric Associates
2475 McClellan Ave, Suite B201
Pennsauken, NJ 08109
(856) 796-9204
Paramus
Bergen Gastroenterology -Paramus
1 West Ridgewood Ave Suite 301
Paramus, NJ 07652
(201) 445-1660
Kavaler, Robert V.,
Kushner, Evan G.,
Griggs, Allen R,
Tempesta, Sabrina L,
Passaic
Desai, Veena,
New Jersey Physicians, LLC - Gregory
200 Gregory Avenue
Passaic, NJ 07055
(973) 473-2597
McConnell, Julie Wilma,
Gastroenterology
Internal
Medicine
Rubin, Larry I.,
Family
Practice
Baum, Howard B.,
Family
Practice
Bretan, Amy Faith,
Allergy &
Immunology
Glasofer, Eric,
Pediatrics
Chong, Penny M,
Coss, Wanda I,
Fendrick, Gerald M,
Phillipsburg
Page 128 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Phillipsburg
Red Bank
Saddle Brook
Coventry Family Practice
755 Memorial Pkwy, Suite 300
Phillipsburg, NJ 08865
(908) 454-5161
Chapel Hill Family Medicine- a division
of Integrated Medicine Alliance
370 Highway 35
Red Bank, NJ 07701
(732) 758-0048
Wiener & Pagano, P.A.
299 Market St., Suite 110
Saddle Brook, NJ 07663
(201) 368-1717
Family
Practice
Buch, Raymond S,
Decker, Eugene M,
Mcginley, Thomas,
Siciliano, Mary,
The Doctor Is In, PA at Phillipsburg
1205 US Route 22
Phillipsburg, NJ 08865
(908) 213-2211
Family
Practice
Ortiz Evans, Ileana,
Village Medical Center
207 Strykers Road
Phillipsburg, NJ 08865
(908) 859-6568
Family
Practice
Bautista, Lucien S,
Delmonico, Gerard J.,
Kropf, Laura D,
Lombardi, Frank T,
Family
Practice
Haddad, Ahmad John,
Schneebaum, Katherine,
Triola, Victoria,
Red Bank Medical
Roosels/Krisza/Marza
27 Pinckney Road
Red Bank, NJ 07701
(732) 747-4600
Marza, Lizett,
Roosels, Marianne,
Riverton
Riverton Family Practice
605 Main street, Suite 104
Riverton, NJ 08077
(856) 796-9204
Family
Practice
Burke, Margaret Linda,
Dixon-Murriell, Charmane,
Rutherford
New Jersey Physicians, LLC Rutherford
128 Union Avenue
Rutherford, NJ 07070
(201) 939-8834
Jordan-scalia, Lisa J,
Internal
Medicine
Ocasio, Maria E.,
Chava, Padma,
Scalia, Joseph F,
Isralowitz, David L.,
Internal
Medicine
Wooton, Robert P.,
Russo, Steven,
Partners in Freedom LLC
2130 Hwy 35 Bldg C., Suite 324
Sea Girt, NJ 08750
(792) 974-8005
Family
Practice
Internal
Medicine
Hotchkin, Karen L,
George, Sarah S,
Sea Girt
Krisza, Mary Lynn,
Nurse
Practitioner
Family
Practice
Wiener, Michael I,
Rittberg, Shannon B.,
Laws-mobilio, Susan Wendi,
Raritan Family Healthcare
901 US HWA 202 N, Upper Floor
Raritan, NJ 08869
(908) 253-6640
Pagano, Francesco P,
Internal
Medicine
Internal
Medicine
Raritan
Family
Practice
Saddle Brook
Deluca, Anthony C.,
Vitali, John,
Somerville
Betty Sanchez-Catanese, MD LLC
315 East Main Street
Somerville, NJ 08876
(908) 722-3442
Internal
Medicine
Sanchez-Catanese, Betty,
Hunterdon Medical Center Branchburg Family Health Center
2143 South Branch Road
Somerville, NJ 08876-3929
(908) 369-8871
Family
Practice
Giangrante, Matthew E,
Hamilton, Kathryn Diane,
Somerset Family Practice
110 Rehill Avenue
Somerville, NJ 08876
(908) 685-2584
Family
Practice
Bucek, John,
Gora, Jill,
Page 129 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Somerville
Tom River
Verona
Somerset Family Practice
110 Rehill Avenue
Somerville, NJ 08876
(908) 685-2584
Ocean County Family Care - Tom River
9 Mule Road
Tom River, NJ 08755
(732) 797-1535
Town Medical Associates, P.A.
271 Grove Avenue
Verona, NJ 07044
(973) 239-8805
Family
Practice
Internal
Medicine
Family
Practice
Guyton, Margaret,
Vida, Jay,
Lacara, Dena L,
Lundholm, Joanne Katherine,
Toms River
Mazzella, Carmine A,
Micek-galinat, Laura A,
Water Street Physicians, LLC.
300 W. Water Street
Toms River, NJ 08753
(732) 349-3241
McCarrick, Thomas P,
Spector, Elisabeth,
Wu, Frances,
South River
Girgis Family Medicine
171 Main st ste 4
South River, NJ 08882
(732) 254-9494
Family
Practice
Girgis, Linda,
Girgis, Moris,
Springfield
PMG - Internal Medicine at Springfield
11 Cleveland Place
Springfield, NJ 07081
(973) 378-8778
Internal
Medicine
Cantor, Susan J.,
Profeta, Susan B.,
Reder, Lorie J.,
Summit
Overlook Family Practice Associates
33 Overlook Road, Suite L01
Summit, NJ 07901
(908) 522-5700
Family
Practice
Kaye, Susan Tama,
Tom River
Ocean County Family Care - Tom River
9 Mule Road
Tom River, NJ 08755
(732) 797-1535
Family
Practice
Hinkle, Bradford R.,
Pino, John A.,
Ventnor City
APG - Ventnor Internal Medicine
7313 Ventnor Avenue
Ventnor City, NJ 08406
(609) 441-2199
Internal
Medicine
Rosenthal, Leslie S.,
Verona
Mountainside Family Practice
Associates
799 Bloomfield Ave
Verona, NJ 07044
(973) 259-3570
Family
Practice
Deitz, Ruth E.,
Miller, Jr., George Walter,
Schlam, Everett,
Pediatrics
Saba, Ragheda,
Town Medical Associates, P.A.
271 Grove Avenue
Verona, NJ 07044
(973) 239-8805
Family
Practice
Cirello, Richard,
Murray, Richard S,
Voorhees
Holly Oak Internal Medicine
2301 Evesham Road, Suite 505
Voorhees, NJ 08043
(856) 796-9204
Internal
Medicine
Josephson, Tina M,
Virtua- Tatem-Brown Family Practice
Center and Residency Program
2225 Evesham Road, Suite 101
Voorhees, NJ 08043
(856) 795-4330
Family
Practice
Dimapilis, Annabelle B,
DiRenzo, Robert Michael,
Maffei, Mario Stephen,
O'Hare, Kendal Eggers,
Post, Robert Edward,
Warren
PMG - Internal Medicine at Warren
8 Mountain Blvd., Suite A
Warren, NJ 07059
(908) 561-8600
Internal
Medicine
Bobella, Stephen K.,
Brodkin, Lisa,
Clemente, Joseph A.,
Ferrante, Maurice A.,
Fine, Alan I.,
Stoch, Sharon R.,
Gorman, Robert T,
Page 130 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Jersey
New Jersey
New Jersey
Warren
Westfield
Whitehouse Station
PMG - Thomas H. Kloos, MD Internal
Medicine
8 Mountain Blvd., Suite C
Warren, NJ 07059
(908) 698-4784
PMG - Pediatrics at Westfield
592 B Springfield Avenue
Westfield, NJ 07090
(908) 654-8877
Hunterdon Medical Center Hunterdon Pediatric Associates
Whitehouse
537 Route 22E
Whitehouse Station, NJ 08889
(908) 823-1100
Internal
Medicine
Kloos, Thomas H.,
Washington
Hunterdon Medical Center - Riverfield
Family Health Center Washington
140 Boulevard
Washington, NJ 07882-1761
(908) 689-3200
Family
Practice
Pediatrics
Bernstein, Stacy A.,
Percy, John O.,
Shapren, Kristen M.,
PMG - Westfield Family Practice 2
592 Springfield Avenue
Westfield, NJ 07090
(908) 301-0888
Family
Practice
Henry-Dindial, Nicole A.,
Kolpan, Brett,
Reedy, Jamie L.,
Samaddar, Soumen,
PMG- Westfield Family Practice 1
563 Westfield Avenue
Westfield, NJ 07090
(908) 232-5858
Washington,
Warren Hills Family Practice
315 Route 31 South
Washington,, NJ 07882
(908) 835-3022
Family
Practice
Family
Practice
Leistikow, Kathleen H.,
Tabachnick, John F.,
Gilly, Frank J,
Wagner, Claudia A.,
Goodwin, James E,
Westmont
Jaques, James P,
Haddonfield Internal Medicine
216 Haddon Avenue, Suite 100
Westmont, NJ 08108
(856) 854-6600
Paterno, Jeanette Diane,
Yevdokimova, Oksana,
Nurse
Practitioner
Hawley, Kelly C,
West Orange
Internal Medicine Faculty Practice
101 Old Short Hills Roads
West Orange, NJ 07052
(973) 322-6256
Internal
Medicine
Carlino, Anthony,
Houng, Mindy S.,
Parikh, Ashish D.,
Sapru, Sunil,
Family
Practice
Manalis, Helen,
Internal
Medicine
Joynes, Robert J.,
Mclintock, Glenn R,
Whitehouse Station
Hunterdon Medical Center Hunterdon Pediatric Associates
Whitehouse
537 Route 22E
Whitehouse Station, NJ 08889
(908) 823-1100
Pediatrics
Pediatrics
Bouffard, Margaret M,
Scott, Peter J,
Willingboro
Willingboro Town Center Family
Practice
200 Campbell Drive, Suite 102
Willingboro, NJ 08046
(856) 796-9204
Family
Practice
Plasner, Samantha M.,
Salkind, Gary David,
Weinar, Marvin,
Woodbridge
Woodbridge Medical Associates, P.A.
1000 Route 9, Suite 302
Woodbridge, NJ 07095
(732) 634-0036
Internal
Medicine
Friedman, Louis A.,
Maza, Lauren M.,
O'Donnell, Mary T.,
New Mexico
Albuquerque
Corazon Family Health PC Albuquerque Family Health
4824 McMahon Blvd NW, #115
Albuquerque, NM 87114
(505) 792-2815
Family
Practice
VanArsdale-Imani, Yvonne D,
Presbyterian Medical Group (PMG) Atrisco
3901 Atrisco, NW
Albuquerque, NM 87120
Family
Practice
Page 131 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Mexico
New Mexico
New Mexico
Albuquerque
Albuquerque
Albuquerque
Presbyterian Medical Group (PMG) Atrisco
3901 Atrisco, NW
Albuquerque, NM 87120
Presbyterian Medical Group (PMG) Kaseman POB
8300 Constituition Avenue, Building D
Albuquerque, NM 87110
Presbyterian Medical Group (PMG) San Mateo
401 San Mateo Blvd., NE
Albuquerque, NM 87108
Family
Practice
Nurse
Practitioner
Family
Practice
George-Lucero, Dayana,
Conlon, Deborah M.,
Guttman, John L,
Higi, Marcus T,
Guttmann, Louvida J,
Vigil, Ronald D,
Papafrangos, Elaine D,
Internal
Medicine
Welker, Tina Y,
Presbyterian Medical Group (PMG) Montgomery
8800 Montgomery Blvd., NE
Albuquerque, NM 87111
(505) 823-8727
Nurse
Practitioner
Family
Practice
Lujan-Pino, Christine,
Held, Allison,
Gladwell, Jacqueline M,
Woodall, Rosemary Jane,
Romero, Jimmy L,
Rothfeld, Thomas O,
Presbyterian Medical Group (PMG) Kaseman POB
8300 Constituition Avenue, Building D
Albuquerque, NM 87110
Salleh, Judith Salaam,
Szymanski, Debra A,
Stuart, John R,
Presbyterian Medical Group (PMG) Wyoming
5550 Wyoming Blvd. NE
Albuquerque, NM 87109
Probasco, James Michael,
Rivera, Patrick,
Internal
Medicine
Emergency
Medicine
Shah, Syed N,
Mcilwain, Christopher J,
Shalini, Kothandapany S,
Family
Practice
Bloom, James Curtis,
Chan, Benjamin Q,
Presbyterian Medical Group (PMG) Northside
5901 Harper Dr. NE
Albuquerque, NM 87109
Evans, S Karen,
Family
Practice
Gallant, Dion E,
Charlie, Jimmie R,
Gomez, Jamie C,
Herfter, Ernesto,
Jones, Anne C,
Tuchler, Robin J,
Liljestrand, John E,
Pediatrics
Mcelrath, Patricia A,
Cvijanovich, Alexandra J,
Internal
Medicine
Garcia, Monique P,
Kennicott, Karen L,
Fisher, Travis W,
Mena Gutierrez, Alejandra Maria,
Montano, Carmen E,
Pediatrics
Family
Practice
Allen, Kevin J,
Eisberg, George L,
Giudice, Vivian B,
Loetscher, Sara,
Miera, Christopher R,
Silverhart, Julie A,
Vigil, Anthony R,
Presbyterian Medical Group (PMG)
Isleta
3436 Isleta Blvd, SW
Albuquerque, NM 87105
(505) 823-8727
Luna, Alice M,
Family
Practice
Tapia-Sauerman, Maria A,
Campos, Naomi M,
Wensink, Mariska A,
Cherukuri, Leena,
Physician
Assistant
Gallegos-Macias, Angela,
Schultz, Russell C,
Scrase, David R,
Jarmul, Deborah B,
Comunas, Francis J,
Jameson, Philip A,
Kwan Wong, Luz W,
Moller, Ralph L,
Todd, Richard J,
General
Practice
Barnes, Galen P,
Page 132 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Mexico
New Mexico
New Mexico
Albuquerque
Albuquerque
Albuquerque
Presbyterian Medical Group (PMG)
Isleta
3436 Isleta Blvd, SW
Albuquerque, NM 87105
(505) 823-8727
UNMHSC-Primary Care- Pediatric
Clinic (Faculty)
2211 Lomas NE (3ACC)
Albuquerque, NM 87131
(505) 272-8635
UNMHSC-Primary Care-Family
Health (UNM)
1209 University Blvd NE
Albuquerque, NM 87102
(505) 272-8635
Internal
Medicine
Pediatrics
Emergency
Medicine
Benton, Charles F,
Pediatrics
Archuleta, Manuel C.,
Chavez, Rhonda R,
Lamon, Edward,
Napoleone, Robin M,
UNMHSC Primary Care-Young
Children's Health Center
306 A San Pablo SE
Albuquerque, NM 87108
(505) 272-8635
Sebesta, Emilie A,
Todd, Chandler F,
Veitenheimer, Nicole J,
Vigil, Teresa A,
UNMHSC-Primary Care-Family
Health (Northeast Heights)
7801 Academy Blvd. NE
Albuquerque, NM 87109
(505) 272-8635
Family
Practice
Lemon, Mary E,
Pathology
North, Charles Q,
Stelzner, Alex Burton,
Rhyne, Robert L,
Pediatrics
General
Practice
Aceves, Javier,
Aguirre, Joseph,
Broyles, Julie,
UNMHSC-Primary Care- Pediatric
Clinic (Faculty)
2211 Lomas NE (3ACC)
Albuquerque, NM 87131
(505) 272-8635
Internal
Medicine
Pediatrics
UNMHSC-Primary Care-Family
Health (Southeast Heights)
8200 Central Avenue SE
Albuquerque, NM 87108
(505) 272-8635
Anderson, Teresa T,
Behnken, Annalisa P,
Bluefeather, Sara,
Brandt, Peggy Sue,
Adolphe, Allen B,
Comerci, George D,
Fancovic, Edward R,
Cordova de Ortega, Loretta M,
Family
Practice
Duran, Anna L,
Leiderman, Joshua D.,
Fisk, James K,
Phillips, Jennifer K,
Hoffman, Benjamin D,
Rohan-Minjares, Felisha C,
Hsi, Andrew,
UNMHSC-Primary Care-Family
Health (UNM)
1209 University Blvd NE
Albuquerque, NM 87102
(505) 272-8635
Knott, Randall O,
Mares, Janelle R.,
Pratt-Chavez, Heather A.,
Reynolds, Meredith E,
Saavedra, Melissa A.,
Emergency
Medicine
Dominguez, David C,
Family
Practice
Camarata, Christopher James,
Saavedra, Laura K,
Smoker, Linda A,
Solan, Brian G,
Stulberg, Daniel Leeny,
Internal
Medicine
Archambault, Mara R.,
Arndell, Cynthia L,
Bigney, Jessica B,
Fotieo, Dana R,
Gonzales, David V,
Voss, Carolyn,
Wilson, Bronwyn E,
Obstetrics &
Gynecology
Palley, Toby B,
UNMHSC-Primary Care-Family
Health (Westside)
4808 McMahon Blvd NW
Albuquerque, NM 87114
(505) 272-8635
Internal
Medicine
Arora, Madhu,
Pediatrics
Duong, Truc-Ha Luu,
Nelson, Holly C.,
Whisler, Sandra L,
UNMHSC-Primary Care-Family
Practice Clinic
2400 Tucker NE
Albuquerque, NM 87131
(505) 272-8635
Page 133 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Mexico
New Mexico
New Mexico
Albuquerque
Albuquerque
Artesia
UNMHSC-Primary Care-Family
Practice Clinic
2400 Tucker NE
Albuquerque, NM 87131
(505) 272-8635
UNMHSC-Primary Care-Pediatric
Clinic (Resident)
1127 University Blvd. NE
Albuquerque, NM 87131
(505) 272-8635
BCA Medical Associates - Artesia Site
612 North 13th, Suite H
Artesia, NM 88210
(575) 746-8880
Family
Practice
Pediatrics
Bachofer, Sally N,
UNMHSC-Primary Care-Senior Health
Clinic
101 Medical Arts Avenue, NE
Albuquerque, NM 87108
(505) 272-8635
Bardack, Michelle Ann,
Benton, Antoinette R.,
Heffron, Warren A,
Leeman, Lawrence M,
Anaya, Theresa M,
Leggott, John A,
Geriatric Medicine/Family
Practice
McGrew, Christopher A,
McCabe, Melvina,
McGrew, Martha,
Internal
Medicine
Umland, Berthold E,
Wagner, Lana K,
Williams, Byrch,
Williams, Robert L,
Wilterding, James M.,
UNMHSC-Primary Care-General
Medicine Clinic
2211 Lomas Blvd. NE
Albuquerque, NM 87131
(505) 272-8635
Internal
Medicine
Jernigan, Jennifer R.,
UNMHSC-Primary Care-Medicine
Faculty Clinic
2211 Lomas Blvd. NE
Albuquerque, NM 87131
Herman, Carla J,
Neale, Devon A,
Nephrology
Romero, Linda J,
UNMHSC-Primary Care-Truman
Street Clinic
625 Truman Street NE
Albuquerque, NM 87110
(505) 272-8635
Infectious
Disease
Haney, Fatma,
Kowals, Daniel W,
Macias, Margarita Reloza,
Tan, Gim H,
Whitlock, Rachel M.,
Belen
Presbyterian Medical Group (PMG) Belen
609 S. Christopher Rd
Belen, NM 87002
Family
Practice
Madden, Richard F,
Internal
Medicine
Moore, Richard A,
Nurse
Practitioner
Sinclair, Cheryl A,
Trinity Family Medicine, P.C.
701 Arizona Street, Suite A
Clovis, NM 88101
(575) 742-3033
Mertz, Gregory J,
Williams, Steven B,
Internal
Medicine
Artesia
Pediatrics
Garcia, Abelardo,
Internal
Medicine
Kapsner, Patricia,
UNMHSC-Primary Care-Pediatric
Clinic (Resident)
1127 University Blvd. NE
Albuquerque, NM 87131
(505) 272-8635
Elliott, Beverley Ann,
Clovis
Thomas, Elaine,
Simson, John Mitchell,
Carson, Karen Lynne,
Iandiorio, Michelle J,
Endocrinology, Diabetes &
Metabolism
Hashimoto, Frederick,
Pediatrics
Thornton, Karla A,
Physician
Assistant
Otero, Charles D,
Estancia
BCA Medical Associates - Artesia Site
612 North 13th, Suite H
Artesia, NM 88210
(575) 746-8880
Presbyterian Medical Services
Esperanza Family Health Center
903 C 5th Street
Estancia, NM 87016
General
Practice
Family
Practice
Liakos, William George,
Stogner, Linda Marie,
Pediatrics
Farmington
Page 134 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Mexico
New Mexico
New Mexico
Farmington
Rio Rancho
Rio Rancho
Presbyterian Medical Services
Farmington Community Health Center
1001-D West Broadway
Farmington, NM 87401-5638
(505) 327-4796
ABQ Health Partners
1721 Rio Rancho Blvd SE
Rio Rancho, NM 87125
(505) 896-8600
Presbyterian Medical Services Rio
Rancho Family Health Center
184 Unser Boulevard NE
Rio Rancho, NM 87124
(505) 896-0928
Family
Practice
Marren, Thomas F,
Nurse
Practitioner
Brooker, Nancy I,
Fournier, Julie Ann,
Pediatrics
Gutierrez-barela, Kristina,
Kasemsap, Pawitta,
Presbyterian Medical Group (PMG) Rio Rancho High Resort
4005 High Resort Blvd
Rio Rancho, NM 87124
Pediatrics
Family
Practice
Diedrich, Richard Grenville,
Borgeson, William A,
Osei fordjour, Ruth,
Fontana, Santana M,
Grants
Hannagan, Michele,
Presbyterian Medical Services Western
New Mexico Medical Group-Grants
1217 Bonita Street
Grants, NM 87020
(505) 287-2958
Lopez Colberg, Isabel,
Family
Practice
Voorhees, James Dayton,
Lopez Colberg, Isabel,
Reagan, Terrance D,
Trost, Louis F,
Family Medicine, Hospice and Palliative
Care
Gibson, Lance Ross,
Roswell
BCA Medical Associates
813 North Washington
Roswell, NM 88201
(575) 622-2606
General
Practice
Liakos, Jr., William G.,
Pediatrics
Carson, Karen L.,
Elliott, Beverley A.,
Garcia, Abelardo,
Haney, Fatma,
Kowals, Daniel W.,
Piernot, Ellen E,
Internal
Medicine
Macias, Mergarita R.,
Los Lunas
Chartrand, Michael C,
Whitlock, Rachel M.,
Presbyterian Medical Group (PMG) Los Lunas
200 Emilio Lopez Rd
Los Lunas, NM 87031
Galvez, Rosa M,
Santa Fe
Gardner, Robert A,
Santa Fe Medical Group - Corazon
Family Health
3600 Rodeo Ln Suite-A2
Santa Fe, NM 87507
(505) 629-4400
Family
Practice
Halpern, Neal B,
Nemariam, Frie E,
Quan, Hung D,
Bello, Damian R,
Rodriguez, Edmee,
Mullis, Sharon Marie,
Pediatrics
Sanchez, Mark Roque,
Bruce, James S,
Rio Rancho
Crago, Sylvia S,
ABQ Health Partners
1721 Rio Rancho Blvd SE
Rio Rancho, NM 87125
(505) 896-8600
Inigo, Carmen Paulina,
Jochems, Gregory E,
Keller, Eric J,
Internal
Medicine
Ruiz, Phillip Adrian,
Santa Fe Medical Group - Santa Fe
Family Health Center
2801 Rodeo Rd Suite B13
Santa Fe, NM 87507
(505) 474-0120
Maben, Kevin C,
Family
Practice
Walsh, Karen E,
Briggs, Philip D,
Garcia, Jodie Lynne,
Zipp, Linda R,
Ropp, Andrew,
Myers, Lori,
Registered Nurse - First
Assistant
Stengel, Zachary J,
Nurse
Practitioner
Pediatrics
Good, John M,
Ember-Bartulomei, Marlene,
Page 135 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New Mexico
New York
New York
Santa Fe
Albany
Alexandria Bay
Women's Health Services
901 West Alameda, Suite 25
Santa Fe, NM 87501
(505) 988-8869
Braverman-Panza Medical Group
1375 Washington Ave, Suite 202
Albany, NY 12206
(518) 482-5176
River Hospital
4 Fuller St
Alexandria Bay, NY 13607-1316
(315) 482-2511
Family
Practice
Internal
Medicine
Family
Practice
Craig, Julie,
Braverman-Panza, Jill,
Huizenga, Aaron Dale,
Pierce, Jennifer,
Community Care Physicians, P.C.Albany Family Practice Group
2 Clara Barton Drive, Suite 201
Albany, NY 12208-3472
(518) 207-2273
Razzaq, Mahreen Abdul,
Internal
Medicine
Bickley, Lynn S.,
Nurse
Practitioner
Landau, Naomi,
Wickman, Cristy H,
Socorro
Presbyterian Medical Services Socorro
Community Health Center
1300 Enterprise Road
Socorro, NM 87801
(575) 835-4444
Family
Practice
Bodensteiner, Sally,
Taos
Taos Clinic for Children and Youth
123 Cruz Alta Road
Taos, NM 87571
(575) 758-8651
General
Practice
Villarreal, Sylvia Fernandez,
Pediatrics
Family
Practice
Kilby, Kimberly Ann,
Hudson River HealthCare, Inc. Amenia
3360 Route 343, P.O. Box 108
Amenia, NY 12501-5619
(845) 373-9006
Mack, Brigid,
Family
Practice
Rutter, Ann Elizabeth,
Straus, Lisa A.,
Stetzer, Lee Michael,
Internal
Medicine
Nurse
Practitioner
Clark, Catherine N.,
Whitney M. Young, Jr. Health
Services - Albany Health Center
920 Lark Drive
Albany, NY 12207-1300
(518) 465-4771
Pediatrics
Pride-Boone, Janice,
Albion
Eileen K. Kosieracki, D.O., P.C.
3916 Long Bridge Road
Albion, NY 14411-931
(585) 589-6247
Sewell, Jeffery William,
Family
Practice
New York
Kosieracki, Eileen Katherine,
Albany
Amenia
Braverman-Panza Medical Group
1375 Washington Ave, Suite 202
Albany, NY 12206
(518) 482-5176
Lake Plains Medical PLLC/General
Physician SUB 1 PLLC
243 South Main Street
Albion, NY 14411-1658
(585) 798-3345
Family
Practice
Internal
Medicine
Dalzell, Melissa J,
Chamarthy, Srinivasu,
Internal
Medicine
Madejski, Thomas J,
Tocco, Amy M.,
Nurse
Practitioner
Tantri, Rachel,
Amherst
Amherst Medical Associates
6000 North Bailey Avenue, Suite 1 D
Amherst, NY 14226-5102
(716) 834-4266
Family
Practice
Stone, Steven,
Walter, Lonny,
Internal
Medicine
Hartman, David,
Pietak, Kathylynn,
Sheriff, Fuad,
Lifetime Health Medical Group Amherst Health Center
1185 Sweet Home Road
Amherst, NY 14226-1018
(716) 689-0040
Family
Practice
Cruz, Jesenia,
Alexandria Bay
Page 136 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Amherst
Amherst
Arverne
Lifetime Health Medical Group Amherst Health Center
1185 Sweet Home Road
Amherst, NY 14226-1018
(716) 689-0040
WNY Medical PC - Harlem
4979 Harlem Road, Suite 1
Amherst, NY 14226-2547
(716) 923-4380
Joseph P. Addabbo Family Health
Center. Inc. - ARVERNE SITE
6200 Beach Channel Drive
Arverne, NY 11692-1409
(718) 945-7150
Family
Practice
Jordan, Michael R.,
General
Practice
Benjamin, Linda Lazarus,
Kodial, Sukhwinder S.,
Internal
Medicine
Mafi, Esfandiar,
Bauers, John,
Wands, Ann M.,
Sadiq, Riffat,
Internal
Medicine
Arcade
Vienne, Richard P.,
Pediatrics
Bartels, Matthew F.,
Sweet Home Family Medicine
1416 Sweet Home Road, Suite 12
Amherst, NY 14228-2784
(716) 636-7800
Family
Practice
Usen, Joshua Michael,
UB|MD Internal Medicine
3980 Sheridan Dr, Dent Tower, 6th
Floor
Amherst, NY 14226-1727
(716) 961-9900
Family
Practice
Mcmichael, Bonnie A,
Internal
Medicine
Dale L Deahn MD PC
401 Main Street
Arcade, NY 14009
(585) 492-5088
Family
Practice
Deahn, Dale L,
Nurse
Practitioner
Infectious
Disease
Kim, Jeongwon,
Internal
Medicine
Chan, Alfonso Yu,
Go, Eddie,
Obstetrics &
Gynecology
Rahman, Monzila Hassen,
Astoria
Astoria Pediatric Center
29-22 30th Ave
Astoria, NY 11102-2565
(718) 545-2500
Pediatrics
Baker, Karen M,
Frousios, Costas A,
Physician
Assistant
Pediatric Plus
31-87 Steinway Street, Suite 6, Suite 6
Astoria, NY 11103-3952
(718) 626-4881
Jarnot, Angela M,
Kirsch, Stephanie Ann,
Armonk
Westchester Health Associates Cohen/Armonk
16 Orchard Drive
Armonk, NY 10504-1437
(914) 273-3404
Pediatrics
Gupta, Indranil,
Quality NP Family Health
2928 Ditmars Blvd
Astoria, NY 11105-2731
(718) 545-1620
Khan, Nasir Mahmood,
Internal
Medicine
Nurse
Practitioner
Mcdaniel, Timothy,
Contacessa, Frank,
Mesquita, Alma,
Milling, David,
Arverne
Reed, Pamela,
Joseph P. Addabbo Family Health
Center. Inc. - ARVERNE SITE
6200 Beach Channel Drive
Arverne, NY 11692-1409
(718) 945-7150
Queens Long Island Medical Group,
P.C.-Astoria Medical Group
31-75 23rd St.
Astoria, NY 11106-4134
Rich, Ellen,
Pulmonary
Disease
Ahuja, Karuna,
WNY Medical PC - Harlem
4979 Harlem Road, Suite 1
Amherst, NY 14226-2547
(716) 923-4380
Internal
Medicine
Family
Practice
Batra, Kamal,
Chen, Chin-song,
Sabharwal, Chanchal D,
Infectious
Disease
Trojic, Rebecca,
Bose, Shishir K.,
Page 137 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Astoria
Ballston Lake
Bayshore
Queens Long Island Medical Group,
P.C.-Astoria Medical Group
31-75 23rd St.
Astoria, NY 11106-4134
Scotia Glenville Family Medicine
112 Charlton Road
Ballston Lake, NY 12019-2547
(518) 399-7723
RBK Pediatrics
20 A South Saxon Avenue
Bayshore, NY 11706-8503
(631) 666-1300
Pediatrics
Pediatrics
Harnett-robinson, Roy E,
Physician
Assistant
Matos-rivera, Irma M,
O'brien, Michael Francis,
Baldwinsville
Barneveld
Family Practice Associates of DrydenCayuga Area Physicians Alliance
15 E. Genesee Street
Baldwinsville, NY 13027
(315) 635-9802
Faxton-St. Luke's
Healthcare/Adirondack Community
Physicians - Barneveld Mills Medical
Office
7980 State Route 12
Barneveld, NY 13309-3531
(315) 624-8440
Family
Practice
Niziol, Michael Stanley,
Gannett Health Services - Cayuga Area
Physicians Alliance
15 E. Genesee Street
Baldwinsville, NY 13027
(607) 274-4527
Family
Practice
De Jesus, Michael,
Elwell, Bruce,
Batavia
Haltiwanger, Kimberly,
Kaplan, Allen Michael,
Kaplan, Allen Michael,
Mathew-Cheriyan, Jasilin,
Mathew-Cheriyan, Jasilin,
Reilly, James P,
Rogu, George,
Rogu, George,
Rogu, Nicholas,
Ryzova, Yekaterina,
Simon, Nina,
Simon, Nina,
Bayside
Hall, Alexandra,
Pembroke Family Medicine - Batavia
229 Summit Street, Suite 10
Batavia, NY 14020-1645
(585) 815-1323
Family
Practice
Family
Practice
Children's Medical Group ado Allied
Pediatrics of New York, PLLC Bayside
26-11 Corporal Kennedy St.
Bayside, NY 11360-2452
(718) 224-6000
Gole, Thomas F.,
Fernaays, Matthew M.,
Pediatrics
Rubineau, Angela Joan,
Obear, Mary E.,
Capilupi, Thomas,
Wentzel, David,
Bay Shore
Cohen, Joseph Brian,
Internal
Medicine
Brightwaters Internal Medicine, PLLC
200 Howells Road
Bay Shore, NY 11706-5351
(631) 665-5074
Fell, Brad E.,
Emergency
Medicine
Koppel, Edward,
Miller, Susan,
Radomski, Linda,
Internal
Medicine
Pediatrics
Siegelheim, Mark R.,
Hughes, Stephen J.,
Bayshore
Progressive Medicine of Ithaca, PC Cayuga Area Physicians Alliance
15 E. Genesee Street
Baldwinsville, NY 13027
(315) 635-9802
RBK Pediatrics
20 A South Saxon Avenue
Bayshore, NY 11706-8503
(631) 666-1300
Family
Practice
Pediatrics
Bellovin, IV, Neil M.,
Weston, John,
Bellovin, IV, Neil M.,
Ballston Lake
Haltiwanger, Kimberly,
Hogan, Timothy,
Kahan, Joel L.,
Millington-Capilupi, Deborah J.,
Beaver Falls
Lewis County General Hospital Beaver River Family Health Center
9559 Main St, PO Box 180
Beaver Falls, NY 13305-0180
Family
Practice
Birk, Thomas Peter,
Tuttle-Malone, Shirley,
Binghamton
Page 138 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Binghamton
Bowmansville
Bronx
Family Practice - Upper Front Street Binghamton - Our Lady of Lourdes
Memorial Hospital, Inc.
1130 Upper Front Street
Binghamton, NY 13903
Lancaster-Depew Pediatrics
5330 Genesee St
Bowmansville, NY 14026-1035
(716) 684-6140
Anil Gupta, MD, PC
1624 Crosby Avenue
Bronx, NY 10461-5201
(718) 822-0676
Pediatrics
Pediatrics
Family
Practice
Bezbatchenko, Mark D.,
Gupta, Anil,
Hiester, Erik Douglas,
Davis, Elizabeth,
Our Lady of Lourdes Memorial
Hospital, Inc. - Primary Care
Associates - Robinson Street
276-280 Robinson Street
Binghamton, NY 13904
Rabice, Michael,
AW Medical PC
1624 University Ave.
Bronx, NY 10453-6948
(718) 294-4008
Family
Practice
Zavilyansky, Sergey,
Terranova, Michael D.,
Brentwood
Sarita Dorschug, D.O., P.C.
652 Suffolk Avenue, Suite 208
Brentwood, NY 11717-4305
(631) 231-3535
Our Lady of Lourdes Memorial
Hospital, Inc. - Riverside Medical
161 Riverside Drive, Suite 306
Binghamton, NY 13905
Family
Practice
Internal
Medicine
Jay A. Zaslow, M.D., PLLC
155 E. Main St., Suite 106
Brewster, NY 10509-152
(845) 279-6999
Ahmed, Shoaib,
UHS - Primary Care Clinton Street
142 Clinton Street
Binghamton, NY 13905
(607) 762-2660
Family
Practice
Roche, Timothy S,
UHS- Pediatrics Binghamton
10-42 Mitchell Avenue
Binghamton, NY 13903
(607) 762-2468
Nurse
Practitioner
Stalter, Stacey A,
UHS -Primary Care Binghamton
33 Mitchell Avenue
Binghamton, NY 13903
(607) 762-3281
Internal
Medicine
Zhao, Meng,
Bowmansville
Dorschug, Sarita K.,
Brewster
Internal
Medicine
Hildalgo, Maria D,
Best Care Ever Med Group, PC
3010 Grand Concourse
Bronx, NY 10458-1334
(718) 220-2433
General
Practice
Goris, Jose A,
Goris, Jose A,
Family
Practice
Boston Road Pediatrics, PC
1262 Boston Road Suite 1
Bronx, NY 10456-3602
(718) 617-2500
Zaslow, Jay Abram,
Pediatrics
Mount Kisco Medical Group - Patterson
2050 Route 22
Brewster, NY 10509-5949
(914) 242-1493
Internal
Medicine
Herrera, Nilo E.,
Briarcliff Manor
Mount Kisco Medical Group Briarcliff Manor
537 N. State Road
Briarcliff Manor, NY 10510-1573
(914) 242-1493
Internal
Medicine
Van Der Hoeven, Annette,
Bronx
Cornielle, Jorge Luis,
Mochizuki, Miki E.,
Briggs Family Pediatrics
2844 Briggs Avenue
Bronx, NY 10458-3302
(718) 220-6272
Pediatrics
Compres, Desla,
Lazala, Carmen,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare
A.C.N. Clinics
1650 Grand Concourse
Bronx, NY 10457-7606
(718) 960Infectious
Disease
Cindrich, Richard Bryan,
Henry, Michael W.,
Page 139 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Bronx
Bronx
Bronx
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare
A.C.N. Clinics
1650 Grand Concourse
Bronx, NY 10457-7606
(718) 960-
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare at
POE
2432 Grand Concourse
Bronx, NY 10458-5204
(718) 817-7900
Bronx Lebanon and Martin Luther
King Health Centers - MLK Franklin
Clinics
1265 Franklin Ave
Bronx, NY 10456-3501
(718) 503-7700
Infectious
Disease
Internal
Medicine
Pediatrics
Kanter, Timothy Joseph,
Naqvi, Zeenat,
Telzak, Edward Elliot,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare at
Third Avenue
2737-41 3rd Avenue
Bronx, NY 10451-5801
(718) 838-1016
Internal
Medicine
Chan, Tricia,
Dapkins, Isaac P,
Salako, Abayomi Oluwaremilekun,
Sohail, Meera,
Nurse
Practitioner
Carnevale, Caroline,
Pediatrics
Ariganjoye, Rafiu Olagboyega,
Bhate, Priyadarshini Anil,
Hagmann, Stefan,
Purswani, Murli Udharam,
Wittenberg, Ian Saul,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare at
Ogden
1067 Ogden Avenue (165thStreet)
Bronx, NY 10452-4601
(718) 466-3255
Family
Practice
Maskey, Sachin,
Yalla, Rajyalakshmi,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare at
POE
2432 Grand Concourse
Bronx, NY 10458-5204
(718) 817-7900
Internal
Medicine
Cruz, Yvonne,
Mclean, Barbara Ann,
Adolescent Medicine and
Pediatric
Lewis, Cynthia,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare
Fulton Family Medical Center
1276 Fulton Avenue
Bronx, NY 10456-3402
(718) 901-8236
Family
Practice
Benyaminova, Irina,
Milanova, Stanya Z,
Pediatrics
Lopez, Jose,
Bronx Lebanon and Martin Luther
King Health Centers - BronxCare
Tiffany
853 Tiffany Street (Southern Blvd)
Bronx, NY 10459-4503
(718) 378-4764
Pediatrics
Luna, Betty,
Bronx Lebanon and Martin Luther
King Health Centers - MLK Franklin
Clinics
1265 Franklin Ave
Bronx, NY 10456-3501
(718) 503-7700
Internal
Medicine
Aggarwal, Neena,
Sunku, Sarika,
CCN General Medicine PLLC
1262 Boston Road
Bronx, NY 10456-3602
(718) 569-7929
Internal
Medicine
Calderon, Cecilia Griselda,
Children of Zion Pediatrics, P.C.
225A East 149th Street
Bronx, NY 10451-5525
(718) 665-3387
Pediatrics
Apoeso, Taiye O.,
Community Healthcare Network Bronx Health Center
975 Westchester Avenue
Bronx, NY 10459-3204
(718) 320-4466
Nurse
Practitioner
Dubois, Elizabeth M.,
Dubois, Elizabeth M.,
Concourse Village Primary Care PLL
769 Concourse Village West
Bronx, NY 10451-3137
(718) 402-4021
Internal
Medicine
Macenat, Jean Robert,
Dr. Baldevbhai V. Patel M.D. Pediatri
1715 University Avenue
Bronx, NY 10453-6961
(718) 294-0700
Pediatrics
Patel, Baldevbhai V,
Durojaiye, Ojeponle A,
Pediatrics
Page 140 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Bronx
Bronx
Bronx
Help PSI Bronx
1543-1545 Inwood Avenue
Bronx, NY 10452-2001
(718) 681-8700
K. S. Prakask P.C.
2358 Crotona Ave
Bronx, NY 10458-8571
(718) 733-2600
Montefiore - Comprehensive Family
Care Center
1621 Eastchester Road
Bronx, NY 10461-2604
Nurse
Practitioner
Family
Practice
Pediatrics
Fernandez, Beverly A.,
Singiri, Archana,
IFH - Mt. Hope Family Practice
130 West Tremont Avenue
Bronx, NY 10453-5436
(718) 583-9000
Pediatrics
Montefiore - MAP8
3400 Bainbridge Avenue
Bronx, NY 10467-2404
(718) 920-8888
Family
Practice
Cortijo, Amaryllis R.,
Molina-Ortiz, Elizabeth I.,
IFH - Parkchester Family Practice
1597 Unionport Road
Bronx, NY 10462-7911
(718) 822-1818
Nurse
Practitioner
Brown, Collette,
IFH - Walton Family Practice
1894 Walton Avenue
Bronx, NY 10453-6018
(718) 583-3060
Family
Practice
Gabler, Andrew S.,
Jerome Medical Office, PC
2386 Jerome Ave
Bronx, NY 10468-6400
(718) 220-1771
Family
Practice
Martinez, Virginia,
Internal
Medicine
Gonzalez, Fausto A,
Ramirez, Julio A,
K. S. Prakask P.C.
2358 Crotona Ave
Bronx, NY 10458-8571
(718) 733-2600
Family
Practice
Kancherla, Prakash Surya,
Lincoln Medical and Mental Health
Center, Ambulatory Care Pavilion
234 East 149th Street
Bronx, NY 10451-5504
(718) 579-6399
Internal
Medicine
Esquivel, Jorge Isaac,
Hennessey, Karen L.,
Thermidor-Daoud, Majorie,
Luisa Perez MD
3054 Godwin Terrace, Suite A
Bronx, NY 10463-5312
(347) 587-4020
Internal
Medicine
Perez, Luisa A.,
Melchor T. Domingo MD PC
2062 Morris Avenue
Bronx, NY 10453-3538
(718) 367-9030
Pediatrics
Domingo, Melchor T.,
Montefiore - Bronx East
2300 Westchester Avenue
Bronx, NY 10462-5072
(718) 829-1900
Internal
Medicine
Lee, Jeffrey Jung,
Montefiore - Castle Hill Family Practice
2175 Westchester Ave
Bronx, NY 10462-4734
Family
Practice
Smith, Claudine A,
Tan, Jade Marie,
Internal
Medicine
Fried, Robert E,
Montefiore - Marble Hill
5525 Broadway
Bronx, NY 10463-5202
(718) 884-0279
Family
Practice
Galleno-Aponte, Maya,
Montefiore - Riverdale
3510 Johnson Avenue
Bronx, NY 10463-1603
(718) 601-8205
Internal
Medicine
Nelligan, Maureen,
Sykes, Gerard F,
Montefiore - West Farms Family
Practice
1055 East Tremont Avenue
Bronx, NY 10460-2306
(718) 842-8040
Family
Practice
Munshi, Shibani,
Nurse
Practitioner
O'connor, Eileen M,
Montefiore - Williamsbridge Family
Practice
3448 Boston Road
Bronx, NY 10469-2512
(718) 547-6111
Family
Practice
Page 141 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Bronx
Bronx
Bronx
Montefiore - Williamsbridge Family
Practice
3448 Boston Road
Bronx, NY 10469-2512
(718) 547-6111
Morrisania Diagnostic and Treatment
Center, Internal Medicine
1225 Gerard Avenue
Bronx, NY 10452-8001
(718) 960-2768
Family
Practice
Pediatrics
NYC HHC - North Bronx Healthcare
Network (Jacobi Medical Center and
North Central Bronx Hospital)
1400 Pelham Parkway S
Bronx, NY 10461-1138
(718) 918-8141
Johnston-briggs, Belinda,
Villar, Ryna,
Montefiore Family Health Center
360 East 193rd Street
Bronx, NY 10458-4710
(718) 933-2400
Family
Practice
Hartman, Scott,
Morris Heights Health Center Burnside
85 West Burnside Avenue
Bronx, NY 10453-4015
(718) 716-4400
Internal
Medicine
Amenechi-Enahoro, Susan,
Pediatric
Endocrinology
Poduval, Aruna Divakaran,
Physician
Assistant
Nwosu, Julius,
Morrisania Diagnostic and Treatment
Center, Internal Medicine
1225 Gerard Avenue
Bronx, NY 10452-8001
(718) 960-2768
Internal
Medicine
Adeyemo, Adenike Aderonke,
Sanchez, Angela,
Vizcaino-Reyes, Belkia,
Nurse
Practitioner
Easy, Coleen Rosemarie,
Physician
Assistant
Mendoza, Maria A,
Deak, Lehel Frank,
Pediatric Allergy &
Immunology
NYC HHC - North Bronx Healthcare
Network - Gunhill Family Health
Center
1012 E. Gun Hill Road
Bronx, NY 10469-3720
Nurse
Practitioner
Flesher, James,
Pediatrics
Malonzo, Mario S,
NYC HHC - North Bronx Healthcare
Network - North Central Bronx
Hospital - Primary Care Services
3424 Kossuth Avenue
Bronx, NY 10467-2410
Infectious
Disease
Wang, Wen,
Internal
Medicine
Uytiepo, Emilio T,
NYC HHC - North Bronx Healthcare
Network (Jacobi Medical Center and
North Central Bronx Hospital)
1400 Pelham Parkway S
Bronx, NY 10461-1138
(718) 918-8141
Wiznia, Andrew A,
Pediatric
Nephrology
Burks, Joseph A,
Pediatrics
Phang, Christopher A,
Volpe, Linda S,
NYC HHC Segundo Ruiz Belvis
Diagnostic and Treatment Center
545 East 142nd Street
Bronx, NY 10454-2110
(718) 579-1774
Nephrology
Shah, Kirti Chandulal,
Pediatrics
Khanam, Lutfa,
Santana, Rita,
Ola Pediatrics
3054 Godwin Terrace Suite C
Bronx, NY 10463-5314
(718) 548-4040
Pediatrics
Matos Olivero, Ana Rita,
Mora-Mclaughlin, Fernando Sebastian,
Adolescent and Young Adult
Medicine
Nurse
Practitioner
Fried, Clare D,
Optimum Family Medicine PC
675 Nereid Ave
Bronx, NY 10470-1514
(718) 655-7777
Levi, Linda,
Internal
Medicine
Family
Practice
Hoffman, Julie,
Adeyanju, Olufunmilayo O,
Mofunanya, Constance N.,
Pediatrics
Arshad, Ghazala,
Love, Matthew D,
Sidlow, Robert,
Fornaris, Hortensia Maria,
Page 142 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Bronx
Bronx
Bronx
Park South Medical
1545 Unionport Road
Bronx, NY 10462-7714
(718) 892-2201
Rodlfo Guzman MD
860 Grand Concourse #1K
Bronx, NY 10033
(718) 585-5060
Internal
Medicine
Endocrinology
Union Community Health Center2021 Grand Concourse
2021 Grand Concourse
Bronx, NY 10453-4304
(718) 901-9570
Ezratty, Monte,
Guzman, Rodolfo,
Harris, John,
Ruben U. Carvajal MDPC
2271 Grand Avenue
Bronx, NY 10468-6905
(718) 733-2621
Parkchester Medical Services of N.Y.,
P.C.
1211 White Plains Road
Bronx, NY 10455-4900
(718) 828-6610
Internal
Medicine
Simons, Stephan B,
Perry Avenue Family Medical Center
3071 Perry Avenue
Bronx, NY 10467
(718) 231-6700
Family
Practice
Internal
Medicine
Carvajal, Ruben U,
St. Barnabas Hospital Ambulatory
Care Center
4487 Third Avenue
Bronx, NY 10457-1526
(718) 960-9454
Internal
Medicine
Belliard Estevez, Christian Arturo,
Tokar, Svetlana,
Smina, Cristina Irina,
Infectious
Disease
The New York Children's Hospital of
Montefiore Medical Center
853 Longwood Avenue
Bronx, NY 10459-4036
(718) 588-4460
Drepaul, Loris,
Internal
Medicine
Ahuja, Kishore,
Pediatrics
Ahuja, Rita K.,
Project Samaritan Health Services,
Inc. - Starhill Clinic
1600 Macombs Road
Bronx, NY 10452-2016
(718) 466-8800
Internal
Medicine
Farooqui, Syeda Saleha,
Riverdale Family Practice
3050 Corlear Ave., Suite 201
Bronx, NY 10463-3897
(718) 543-2700
Family
Practice
Franzetti, Carl J.,
Nurse
Practitioner
Quinones, Wendy V.,
Tiga Pediatrics
3510 BainBridge Avenue #S5, SUITE S5
Bronx, NY 10467-1419
(347) 204-9351
Pediatrics
Oruwariye, Tosan N.,
Tracy Towers Medical P.C.
1560 Grand Concourse, SUITE 102
Bronx, NY 10457-8402
(718) 490-1590
Internal
Medicine
Patel, Chaula Paresh,
Internal
Medicine
Erroa, Manuel D,
Union Community Health Center-188
Street
260 East 188th Street
Bronx, NY 10458-5302
(718) 618-8236
Internal
Medicine
Carrero, Braulio,
Union Community Health CenterFordham Plaza
470 East Fordham Road
Bronx, NY 10458-5108
(718) 960-3805
Family
Practice
Eng, Nelson,
Wong, Chui fan,
Urban Health Plan - Bella Vista Healt
Center
890 Hunts Point Avenue
Bronx, NY 10474-5402
(718) 589-2141
Nurse
Practitioner
Minami, Ayumi,
Urban Health Plan - El Nuevo San
Juan Health Center
1065 Southern Boulevard
Bronx, NY 10459-2417
(718) 589-2440
Adolescent Medicine and
Pediatric
Bitterman, Jacalyn,
Family
Practice
Ruiz, Angel,
Theogene, Fernand,
Internal
Medicine
Page 143 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Bronx
Brooklyn
Brooklyn
Urban Health Plan - El Nuevo San
Juan Health Center
1065 Southern Boulevard
Bronx, NY 10459-2417
(718) 589-2440
Broadway Family Health Center, Inc.
1238 Broadway
Brooklyn, NY 11221-2906
(718) 443-2428
Brookdale Family Care Center Pennsylvania
1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
(718) 240-8633
Internal
Medicine
Cordero-Ferrer, Yamitza,
DeLeon, Samuel A.,
Nurse
Practitioner
Masson, Ella,
Miranda, Jeannette,
Murray, Christine,
Penrose, Sarah,
Veena Chadda M.D.
2202 Grand Concourse
Bronx, NY 10457-2000
(718) 365-6260
Pediatrics
Chadda, Veena,
VIP Community Services
1910 Arthur
Bronx, NY 10457-6305
(718) 583-5150
Infectious
Disease
Family
Practice
Bejarano, Elkin F,
Coulanges, Kina,
Brookdale Family Care Center Eastern Parkway
1873 Eastern Parkway
Brooklyn, NY 11233-3214
(718) 240-8705
Brooklyn Plaza Medical Center, Inc.
650 Fulton Street 2nd Floor
Brooklyn, NY 11217-1517
Pediatrics
English, Cary,
Arca, Marilyn,
Brownsville Community Development
Corporation - BMS @ Genesis
360 Snediker Avenue
Brooklyn, NY 11207-4552
(646) 459-9400
Valdez, Mila,
Brookdale Family Care Center Flatbush
1095 Flatbush Ave
Brooklyn, NY 11226-6141
(718) 240-8801
Family
Practice
Ignacio, Adelfino,
Brookdale Family Care Center - Linden
2554 Linden Blvd
Brooklyn, NY 11208-4914
(718) 240-8612
Hassani, Morad,
Family
Practice
Brooklyn
Rahman, Sultana Yasmin,
Bedford Medical Family Health Center
100 Ross Street
Brooklyn, NY 11211-7672
(718) 387-7628
Brookdale Family Care Center - New
Lots
465 New Lots Ave
Brooklyn, NY 11207-6414
(718) 240-8917
Critical Care
Medicine
Kerstein, Moshe,
Pediatrics
Ruzohorsky, Peter,
Schulman, Gerald,
Podiatry
Solomon, Jeffrey D,
Broadway Family Health Center, Inc.
1238 Broadway
Brooklyn, NY 11221-2906
(718) 443-2428
Pediatrics
Internal
Medicine
Family
Practice
Family
Practice
Robertson, Virginia Elizabeth,
Brownsville Community Development
Corporation - Brownsville MultiService Family Health Center
592 Rockaway Avenue
Brooklyn, NY 11212-553
(718) 345-5000
Internal
Medicine
Jean-jerome, Kernilde Fm,
Pediatrics
Aponte, Adam,
Bushwick Family Residence
1675 Broadway
Brooklyn, NY 11207-1495
(347) 294-2393
Pediatrics
Syed, Fouzia,
Purcell, Sherril L,
Pediatrics
Carmen Co MD PC
650 5th Avenue
Brooklyn, NY 11215-8050
(718) 788-0088
Hannan, Mohammad,
Brookdale Family Care Center Pennsylvania
1110 Pennsylvania Ave
Brooklyn, NY 11207-9003
(718) 240-8633
Internal
Medicine
Co, Carmen G,
Pediatrics
Page 144 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Brooklyn
Brooklyn
Community Healthcare Network - Dr.
Betty Shabazz Health Center
999 Blake Avenue
Brooklyn, NY 11208-3535
(718) 277-8303
Deepak Amin, MD
749 Nostrand Avenue
Brooklyn, NY 11216-4211
(718) 735-6700
Eigth Avenue Medical Office
775 57th Street
Brooklyn, NY 11220-3505
(718) 439-6163
Family
Practice
Internal
Medicine
Patel, Rushita H.,
Hsuih, Terence,
Internal
Medicine
Eli Rosen MD PC-Eastern Pkwy office
864 Eastern Parkway
Brooklyn, NY 11213-3502
(718) 735-6002
Nurse
Practitioner
Jenkins, Monique,
Coney Island Hospital Adult Primary
Care
2601 Ocean Parkway
Brooklyn, NY 11235-7745
(718) 616-4877
Internal
Medicine
Brathwaite, Evan Anthony,
Chua gan, Segundina,
Conway, Richard,
Glatzer, Clifford,
Kharash, Galina,
Nissenbaum, Andrea,
Tal, Avraham,
Pediatrics
Chowdhury, Maksud A.,
Chowdhury, Maksud A.,
Feng, Hongshu,
Ghaly, Emad A.,
Pintiliano, Jennifer L.,
Ratken, Frank,
Watman, Jerry,
Cross County Medical, P.C.
1262 Ocean Parkway
Brooklyn, NY 11230-5102
(718) 859-5843
Cardiovascular
Disease
Eisenstein, Howard,
Amin, Deepak Kantilal,
Dr. David Treatman
416 37th Street
Brooklyn, NY 11232-2510
(718) 965-2423
Family
Practice
Treatman, David,
Dr. Emil Baccash
20 8th Avenue
Brooklyn, NY 11217-3766
(718) 622-7000
Internal
Medicine
Baccash, Emil George,
Dr. Joseph A. Caruana Medical PC
7318 13th Avenue
Brooklyn, NY 11228-2011
(718) 630-1404
Family
Practice
Caruana, Joseph A,
Levine, Howard J,
Eli Rosen MD PC-Kingston Ave office
358 Kingston Avenue
Brooklyn, NY 11213-4332
(718) 778-7272
Cardiovascular
Disease
Tawil, Joseph B.,
Everwell Medical PC
839 58th Street, 2nd Floor
Brooklyn, NY 11220-3679
(718) 686-6889
Internal
Medicine
Hu, Andy K,
Ezra Medical Center
1312 38th Street
Brooklyn, NY 11218-3612
(718) 686-7600
Dr. Rudrama Duggirala
90-45 Pitkin Ave
Brooklyn, NY 11417-2706
(917) 304-7025
Internal
Medicine
Family
Practice
Family Health Care Plaza
834 Coney Usland Ave
Brooklyn, NY 11218-5310
(718) 859-5171
Duggirala, Rudrama D.,
Internal
Medicine
EG Greenpoint Pediatrics LLC
252 Driggs Avenue
Brooklyn, NY 11222-4681
(718) 349-0671
Charnoff, Judah,
Pediatrics
Zanger, Daniel,
Pediatrics
Gawlik, Ewa M.,
Lowe, Steven,
Teitelbaum, Jeffrey L.,
Pediatrics
Khan, Ferdousi A,
Family Medicine Center
121 DeKalb Avenue
Brooklyn, NY 11201-5425
(718) 250-8621
Page 145 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Brooklyn
Brooklyn
Family Medicine Center
121 DeKalb Avenue
Brooklyn, NY 11201-5425
(718) 250-8621
Jasty & Manvar MDs PC- Bay Parkway
6414 Bay Parkway
Brooklyn, NY 11204-3929
(718) 783-7001
Kings Highway Best Medical PC
1421 Carroll St 1st Fl
Brooklyn, NY 11213-4449
(917) 873-7466
Family
Practice
Internal
Medicine
Family
Practice
Dantchenko, Victoria,
Abayev, Zurab T.,
Tseyko, Olga,
Geriatric Medicine/Family
Practice
Jasty & Manvar MDs PC-Flatlands
Avenue
9413 Flatlands Avenue
Brooklyn, NY 11236-3726
(718) 783-7001
Lucien D Mocombe MD PC
3016 Glenwood Road
Brooklyn, NY 11210-2642
(718) 859-2525
Kondamudi, Vasantha,
Internal
Medicine
Corzo, Pedro,
Gates Pediatrics
1532 Gates Avenue
Brooklyn, NY 11237-5773
(718) 476-2501
Pediatrics
Soto, Maria B.,
Heritage Integrated Health Services
34 Plaza Street, Suite 104
Brooklyn, NY 11238-5047
(718) 230-5885
Internal
Medicine
Orafidiya, Adebola O.,
ICL Health Care Choices
6209 16th Avenue
Brooklyn, NY 11204-2702
(212) 385-3030
Internal
Medicine
Levy, Asya,
Levy, Asya,
Jack I. Apelbaum, MD, PLLC
2083 East 65th Street
Brooklyn, NY 11234-5913
(718) 531-5800
Cardiovascular
Disease
Manvar, Buddhadev N.,
Jasty& Manvar MDs PC- Willoughby
Street
240 Willoughby Street, Suite 10 F
Brooklyn, NY 11201-5428
(718) 783-7001
Internal
Medicine
Jasty, Babu N.,
Jeffrey L. Teitelbaum MD PC
913 Avenue L
Brooklyn, NY 11230-4707
(718) 859-8391
Internal
Medicine
Internal
Medicine
Mocombe, Lucien Denis,
Lutheran Family Health Centers Brooklyn Chinese Family Health Cent
812 54th Street
Brooklyn, NY 11220-3251
(718) 210-1031
Family
Practice
Zhao, Qiuqu,
Internal
Medicine
Lee, Paul,
Pediatrics
Meng, Gang,
Psychiatry
Teitelbaum, Jeffry L,
Wong, Ying Lan,
Joseph Gelbfish
2500 Avenue I
Brooklyn, NY 11210-2830
(718) 951-0100
Lutheran Family Health Centers Caribbean American Family Health
Center
3414 Church Street
Brooklyn, NY 11203-2714
(718) 940-4633
Cardiovascular
Disease
Gelbfish, Joseph S.,
Family
Practice
Internal
Medicine
Kindercare Pediatrics
44 Lee Avenue, 3rd Floor
Brooklyn, NY 11211-7216
(718) 302-5437
Apelbaum, Jack I,
Pediatrics
Aguilh-Figaro, Toycina E.,
Jasty & Manvar MDs PC- Bay Parkway
6414 Bay Parkway
Brooklyn, NY 11204-3929
(718) 783-7001
Begun, Jay R,
Lutheran Family Health Centers Family Physician Family Health Cente
5616 6th Avenue
Brooklyn, NY 11220-3419
(718) 630-6837
Dick, Jeffrey Marc,
Cotos Mejia, David,
Louis, Joseph A.,
Pediatrics
Page 146 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Brooklyn
Brooklyn
Lutheran Family Health Centers Family Physician Family Health Center
5616 6th Avenue
Brooklyn, NY 11220-3419
(718) 630-6837
Lutheran Family Health Centers Shore Road Family Health Center
9000 Shore Road
Brooklyn, NY 11209-5449
(718) 630-6827
Lutheran Family Health Centers Sunset Park Family Health Center
150 55th Street, Station 20
Brooklyn, NY 11220-2559
(718) 630-7208
Family
Practice
Family
Practice
Internal
Medicine
Freyre, Orlando,
Rodriguez, Ariel,
Alcantara, Teodorico,
Grady, Laura J,
Nurse
Practitioner
Pagano, William,
Freitas, Rachel,
Maimonides - Newkirk Family Health
Center
1401 Newkirk Avenue
Brooklyn, NY 11226-6521
(718) 283-7427
Hernandez, Juana E,
Lyon, Claudia,
Pye, Yar,
Teng, Rui,
Teng, Rui,
Yang, Nancy,
Lutheran Family Health Centers - Park
Ridge Family Health Center
6317 4th Avenue
Brooklyn, NY 11220-4922
(718) 630-6837
Family
Practice
Kennedy, Mary Jo,
Kennedy, Mary Jo,
Sastre, Jorge,
Internal
Medicine
Perlova, Marina,
Pediatrics
Islam, Noor A,
Lutheran Family Health Centers - Park
Slope Family Health Center
220 13th Street
Brooklyn, NY 11215-4802
(718) 823-5980
Family
Practice
Morales-Diaz, Mirza E,
Pediatrics
Calagos, Majesusa C,
Calagos, Majesusa C,
Korin, Daniel E,
Modeste, Karen A,
Lutheran Family Health Centers Special Care and Immunology Services
514 49th Street
Brooklyn, NY 11220-2010
(718) 437-5290
Internal
Medicine
Pizarro-Venegas, Marcelo,
Lutheran Family Health Centers Sunset Park Family Health
5610 2nd Avenue
Brooklyn, NY 11220-3559
(718) 630-7117
Nurse
Practitioner
DeStefano, Patricia,
Pediatrics
Chen, Yaw Lim,
Jayakrishnan, Uma,
Lee, Quilly,
Lee, Quilly,
Mayer, Allen,
Roche, Marie-Lourdes,
Villanueva, Norma,
Yazigi, Samal,
Lutheran Family Health Centers Sunset Park Family Health Center
150 55th Street, Station 20
Brooklyn, NY 11220-2559
(718) 630-7208
Endocrinology, Diabetes &
Metabolism
Wagley, Bhupendra,
Family
Practice
Kundu, Subhendu,
Maimonides - Adult Primary Care
1250 57th Street
Brooklyn, NY 11219-4537
(718) 283-7427
Internal
Medicine
Ringel, Neal,
Maimonides Medical Center Pediatric
Primary Care
1301 57th Street
Brooklyn, NY 11219-2916
(718) 283-3626
Pediatrics
Cruvant, David,
Mayers, Gabrielle Hope,
Moalem, Karen Anne,
Odusi, Olatubosun,
Sundaresh, Mamatha,
Mario J. Manna, D.O.
7318 13th Ave.
Brooklyn, NY 11229-2011
(718) 630-1404
Family
Practice
Manna, Mario J,
Leff, John,
Internal
Medicine
Page 147 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Brooklyn
Brooklyn
Mordechai Beityakov, MD
1455 East 24th Street
Brooklyn, NY 11210-5144
(718) 645-3952
NYC HHC Central Brooklyn Family
Health Network - East New York
Diagnostic & Treatment Center Primary Care Services
2094 Pitkin Ave., 1063577831
Brooklyn, NY 11207-3509
(718) 240-0400
NYC HHC Woodhull Medical Center
Cumberland Diagnostic and Treatmen
Center
100 North Portland Avenue
Brooklyn, NY 11205-2005
(718) 260-7898
Pediatrics
Beityakov, Mordechai,
Neera Ahuja MD PC
830 Marcy Avenue
Brooklyn, NY 11216-1524
(718) 230-0350
Internal
Medicine
Pediatrics
NYC HHC Woodhull Medical Center Woodhull Medical Center Primary
Care Services
760 Broadway, Room 2B321
Brooklyn, NY 11206-5317
(718) 963-8000
Ahuja, Neera,
New Star Medical PC
6805 Fort Hamilton Parkway
Brooklyn, NY 11219-5856
(718) 836-8886
Family
Practice
Teng, Rui Er,
Teng, Rui Er,
NYC HHC - Central Brooklyn Family
Health Network - Kings County
Hospital Center, Adult Primary Care
Clinic Provilders
451 Clarkson Avenue, E Building, 7th
Floor
Brooklyn, NY 11203-2057
(718) 245-3422
Rahman, Maqsoodur,
Simon, Herold,
Geriatric Medicine/Internal
Medicine
Ghanaat, Farhad,
Infectious
Disease
Internal
Medicine
Young, Clifford Urias,
Pediatrics
Boakye, Cynthia,
Pierre-Louis, Magalie,
NYC HHC Woodhull Medical Center
Woodhull - Bushwick Communicare
335 Central Avenue
Brooklyn, NY 11221-4501
(718) 573-4853
Nurse
Practitioner
Marshall, Janet,
Pediatrics
Wagh, Usha Mathur,
Dubuche, Carole,
Internal
Medicine
NYC HHC Woodhull Medical Center
Woodhull -Williamsburg Community
Health Center
279 Graham Avenue
Brooklyn, NY 11206-4901
(718) 963-7821
Levy, Eduard,
Levy, Eduard,
Nurse
Practitioner
Marshall, Janet,
Emergency
Medicine
Bhutani, Satish K,
Pediatrics
Sitafalwalla, Amir S.,
Kohli, Rattanjit S.,
Augustin, Lubin C.,
Kohli, Rattanjit S.,
Pediatric Infectious
Disease
NYC HHC Woodhull Medical Center Cumberland - Williamsburg Child
Health Clinic
279 Graham Avenue
Brooklyn, NY 11211-4901
(718) 387-2211
Internal
Medicine
Gesner, Matthew,
Pediatrics
Pediatrics
Prosper, Magally,
Internal
Medicine
Saxena, Yogendra K,
Prosper, Magally,
Berlin, Arnold I,
NYC HHC Woodhull Medical Center Cumberland Diagnostic and Treatment
Center
100 North Portland Avenue
Brooklyn, NY 11205-2005
(718) 260-7898
Mayer, Amir,
Internal
Medicine
Kolla, Madhavi,
Price, Marlene,
Apolaya, Pamela E.,
ODA Primary Health Care Center, In
14-16 Heyward Street
Brooklyn, NY 11249-7823
(718) 260-4600
Pediatrics
Maybody, Shideh,
Sitt, Jimmy R,
Page 148 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Brooklyn
Brooklyn
One Hanson Place Pediatrics, PC
1 Hanson Place, Suite 708
Brooklyn, NY 11243-2907
(718) 783-5437
Preferred Health Partners - Brooklyn
Heights Center
195 Montague Street, 2nd Floor
Brooklyn, NY 11201-3628
(718) 422-8000
Rutledge Pediatrics
167 Rutledge Street
Brooklyn, NY 11211-8006
(516) 972-8319
Pediatrics
Mazza, Michael Anthony,
Vinas, Sonia Miliza,
Orris MD PLLC
1192 Broadway
Brooklyn, NY 11221-3019
(718) 963-2364
Internal
Medicine
Orris, Maxine,
Patel Medical Center
220A St. Nicholas Avenue
Brooklyn, NY 11237-4807
(718) 821-9262
Internal
Medicine
Patel, Himanshu,
PMP Pediatrics Associates PLLC
2378 Ralph Avenue
Brooklyn, NY 11234-5515
(718) 531-6660
Pediatrics
Drukman, Liliya,
Drukman, Liliya,
Gabinskaya, Tatyana,
Gabinskaya, Tatyana,
Preferred Health Partners - Bay Ridge
Center
740 W. 64th Street
Brooklyn, NY 11220-4714
(718) 439-2115
Internal
Medicine
Klein, David,
Preferred Health Partners - Brooklyn
Heights Center
195 Montague Street, 2nd Floor
Brooklyn, NY 11201-3628
(718) 422-8000
Family
Practice
Pediatrics
Pediatric
Endocrinology
Phillips, Danielle Marie,
Goldstein, Steven J.,
Preferred Health Partners - Empire
Center
546 Eastern Parkway
Brooklyn, NY 11225-1604
(718) 604-4800
Pediatrics
Family
Practice
Smith, Alford A,
Preferred Health Partners - Flatbush
Center
1000 Church Avenue
Brooklyn, NY 11218-2710
(718) 826-4000
Internal
Medicine
Anthony, Antoinette,
Preferred Health Partners Lindenwood Center
2832 Linen Boulevard
Brooklyn, NY 11208-5132
(718) 240-2000
Internal
Medicine
Ezeagbor, Anthony Nnamdi,
Quality Health Center Inc.
432 Bedford Ave
Brooklyn, NY 11249-6588
(718) 387-2408
Family
Practice
Yu, Kyi Win,
Rattanjit S. Kohli Physician PC
443 Linden Blvd
Brooklyn, NY 11203-2821
(718) 282-6333
Internal
Medicine
Rosman, Howard J.,
SL Quality Care Diagnostic and
Treatment Center, Inc. - Midwood
1220 Avenue P
Brooklyn, NY 11229-1009
(718) 376-1004
Internal
Medicine
Levit, Susan,
Muster, Sima,
Obstetrics &
Gynecology
Berger, Joseph,
The Brookdale Family Care
Center@Bristol
1380 Linden Boulevard
Brooklyn, NY 11212-3198
(718) 240-5651
Pediatrics
Coulanges, Kina,
Universal Medical Service, LLC
4506 8th Avenue
Brooklyn, NY 11220-1516
(718) 972-1233
Internal
Medicine
Hu, Xiaoxi,
Williamsburg Family Health Center
99 Division Ave.
Brooklyn, NY 11211
(718) 599-6200
Family
Practice
Adler, Dana Spivak,
St louis, Emmanuel,
Kohli, Rattanjit S,
Kohli, Rattanjit S,
Lee, Fong Leo,
Page 149 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Brooklyn
Buffalo
Buffalo
Yelena Vayntrub Medical PC
387 Eastern Parkway
Brooklyn, NY 11216-4145
(718) 757-7447
Buffalo Medical Group - Seton Building
2121 Main Street
Buffalo, NY 14214-2693
(716) 630-1026
Elmwood Health Center
2128 Elmwood Ave
Buffalo, NY 14207
(716) 566-5051
Internal
Medicine
Internal
Medicine
Internal
Medicine
Vayntrub, Yelena,
Curran, Richard R.,
Blymire, Jr., William Warren,
Brookville
Buffalo Pediatric Associates, LLP
217 Linwood Avenue
Buffalo, NY 14209-2027
(716) 884-4665
Zambron, Mark Richard,
Advantage Care Diagnostic &
Treatment Center, Inc.
189 Wheatly Road
Brookville, NY 11545-2641
(516) 686-4400
Internal
Medicine
Bates, Julie,
Kenney, Ann Marie,
Buffalo
Pediatrics
Kaplan, Robert Edward,
London, Pamela Vida,
Community Health Centre of Buffalo
34 Benwood Avenue
Buffalo, NY 14215-3021
(716) 304-1052
Allentown Pediatric and Adolescent
Medicine
505 Delaware Ave
Buffalo, NY 14202-1309
(716) 332-4472
Family
Practice
Pediatrics
Dao, Tinh Trung,
Ehlenfield, Daryl Roy,
Pediatrics
Raiken, Deborah,
Cameron, Melinda Sue,
Buffalo Medical Group - 85 High
85 High Street
Buffalo, NY 14203-1149
(716) 630-1026
Endocrinology, Diabetes &
Metabolism
Sinha, Ravi N.,
Family
Practice
Liu-Chen, Xinyue,
General
Practice
Dagher, Christiane H,
Internal
Medicine
Physician
Assistant
Ralbovsky, Michael Peter,
Pediatrics
Aronica, Michael Joseph,
Evergreen Health Services
206 S. Elmwood Avenue
Buffalo, NY 14201-2396
(716) 847-0212
Nurse
Practitioner
Rein, Jason,
Jefferson Family Medicine
1315 Jefferson Avenue
Buffalo, NY 14208-2102
(716) 332-3797
Family
Practice
Figueroa, Jeanette L.,
Fox, Chester H.,
Delaware Pediatric Assoc
2550 Delaware Ave
Buffalo, NY 14216-172
(716) 884-0230
Patel, Vindobhai R.,
Pediatrics
Ellis, Nitza F,
Hogan, Harriette F,
Lana, Steven J,
Menchini, John P,
Internal
Medicine
Schenk, Thomas E,
White, Thomas G.,
Marmion, Susan M,
Wiewiorski, Michael J,
O'Brien, Matthew J.,
Charles, Richard E.,
Nurse
Practitioner
Elmwood Health Center
2128 Elmwood Ave
Buffalo, NY 14207
(716) 566-5051
Rosenthal, Thomas C.,
Yale, Sandra D.,
Jericho Road Family Practice
184 Barton Street
Buffalo, NY 14213-1573
(716) 348-3016
Family
Practice
Glick, Myron Lynn,
Nurse
Practitioner
Quinn, Heather A,
Internal
Medicine
Page 150 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Buffalo
Buffalo
Buffalo
Jericho Road Family Practice at
Resurrection Health Center
1609 Genesee Street
Buffalo, NY 14211-1616
(716) 892-2775
Northwest Buffalo Community Health
Care Center
Mattina Site, 300 Niagara Street
Buffalo, NY 14201-2135
(716) 875-2904
UB|MD Internal Medicine & Pediatric
300 Linwood Ave
Buffalo, NY 14209-180
(716) 961-9400
Family
Practice
Internal
Medicine
Glick, Myron Lynn,
Kucera, Jon C,
Lifetime Health Medical Group William E. Mosher Health Center
899 Main Street
Buffalo, NY 14203-9998
(716) 878-2700
Kucera, Jon C.,
Family
Practice
Zitzka, Wendy E,
Szimonisz, Susan M,
Szimonisz, Susan M.,
Midwifery
Baez, Maritza Yvette,
Nurse
Practitioner
Cornell, Deborah B.,
Gutierrez, Karen L,
Eberl, Margaret M.,
Kirst, Patricia E,
Internal
Medicine
Kirst, Patricia E,
Bose, Reena,
Reddy, Bhaskara V.,
Pediatrics
Fretz, Stephanie H.,
McCoy, Wayman C.,
Northtowns Medical Group, PC
1783 Colvin Boulevard
Buffalo, NY 14223-1107
(716) 874-2150
Internal
Medicine
Langan, Marsha Burns kay,
Loefke, Melinda,
Thomas, Bridget A,
Thomas, Bridget A,
Werner, Wendy,
Obstetrics &
Gynecology
Frech, Michele,
Hellriegel, John Curtis,
Pediatrics
Ferguson, Gail H,
Internal
Medicine
Sulaiman, Rosalind Nolan,
Urban Family Practice, PC
564 Niagara Street
Buffalo, NY 14201-1108
(716) 882-0366
Family
Practice
Vazquez, Raul,
WNY Medical PC - Cazenovia
154 Cazenovia Street
Buffalo, NY 14210-2436
(716) 822-2028
Family
Practice
Packianathan, Emmanuel,
Internal
Medicine
Sadiq, Riffat,
Caledonia
University of Rochester Medical Cente
Primary Care Network / Caledonia
Medical Center
3350 Brown Road
Caledonia, NY 14423
(585) 538-6250
Gullickson, II, Donald E,
Ferguson, Gail H,
Family
Practice
Stehlik, Edward A,
Jackson, Kimberly L,
Reidy, Jill O,
Northwest Buffalo Community Health
Care Center
Mattina Site, 300 Niagara Street
Buffalo, NY 14201-2135
(716) 875-2904
Jackson, Kimberly L,
Cambria Heights
Sinha, Indrani,
Queens Long Island Medical Group
P.C.-Cambria Heights Medical Office
206-20 Linden Blvd.
Cambria Heights, NY 11411-1524
Adolescent
Medicine
UB|MD Internal Medicine & Pediatrics
300 Linwood Ave
Buffalo, NY 14209-180
(716) 961-9400
Internal
Medicine
Condino, Dalinda Ann,
Internal
Medicine
Family
Practice
Abeles, Jennifer,
Hobbs-green, Roxanne,
Blymire, William Warren,
Hong, Tae-soon Q,
Flores, Tessa F,
Patel, Suresh M,
Grimm, Kathleen T.,
Camillus
Gomez, Ellis E,
Griswold, Kim S,
Chinnappala, Swaroopa Sangamesh,
Page 151 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Camillus
Castleton
Cheektowaga
Summerwood Pediatrics - West Office
5700 W. Genesee Street
Camillus, NY 13031-3200
(315) 635-9802
Community Care Physicians, P.C. Schodack Medical Office
81 Miller Road, Suite 800, Suite 800
Castleton, NY 12033-4043
(518) 477-2167
Genesee-Transit Pediatrics, LLP
2865 Genesee Street
Cheektowaga, NY 14225-3140
(716) 895-2590
Pediatrics
Somekh, Sharon,
Somekh, Sharon,
Canajoharie
Bassett Healthcare Network Canajoharie Health Center
56 Montgomery Street
Canajoharie, NY 13317-1212
(518) 673-5555
Family
Practice
Riley, Kenneth D,
Carthage
Carthage Area Hospital - Carthage
Family Health Center
117 N Mechanic St
Carthage, NY 13619-1353
(315) 493-1000
Family
Practice
Shah, Neel,
Pediatrics
Internal
Medicine
Barry, Kelli Ann,
Leonidas, Leonard A,
Pediatrics
Gildersleeve, Rebecca Ann,
Hetrick-Platte, Tera N,
Champlain
North Country Medical Group
481 State Route 11
Champlain, NY 12919
(518) 298-2621
Family
Practice
Racine, Maurice A,
Cheektowaga
AspireWNY
7 Community Drive
Cheektowaga, NY 14225-2523
(716) 505-5630
El ghissassi, Mostafa,
Family
Practice
Ramazanoglu, Fatih,
Abiola, Adebukola O,
Cassadaga
Cleveland Hill Medical Group
539 Cleveland Drive
Cheektowaga, NY 14225-1080
(716) 837-7130
Medicor Associates of Chautauqua Lee Medical Group
33 N Main St
Cassadaga, NY 14718-9600
(716) 595-3001
Family
Practice
Lee, Tat sum,
Internal
Medicine
Artim, Thomas Stephen,
Becker, Steven Brian,
Mathai, Annie,
Nurse
Practitioner
Castleton
Whistler, Mary Patricia,
Community Care Physicians, P.C. Schodack Medical Office
81 Miller Road, Suite 800, Suite 800
Castleton, NY 12033-4043
(518) 477-2167
Genesee-Transit Pediatrics, LLP
2865 Genesee Street
Cheektowaga, NY 14225-3140
(716) 895-2590
Pediatrics
Dzik, Darlene Ann,
Pediatrics
Dzik, John,
Palma, Alessandra M,
Sickels, Eric George,
Yates, Ferdinand Domenic,
Parkview Primary Care Physicians
20 Losson Road, Suite 105
Cheektowaga, NY 14227-2379
(716) 558-7727
Family
Practice
Kavcic, John,
General
Practice
Hendricks, Orville,
Internal
Medicine
Bastible, Deirdre,
Cervi, Joseph,
Chestertown
HHHN-Chester Horicon Health Cente
6223 State Route 9
Chestertown, NY 12817-0747
(518) 494-2761
Internal
Medicine
Bachman, Paul,
Cicero
FamilyCare Medical Group - Cicero
Office
6253 US Route 31
Cicero, NY 13039-8714
(315) 698-0290
Family
Practice
Pastore, Paolo S.,
Clayton
Samaritan Medical Center - Clayton
Family Health Center
909 Strawberry Lane
Clayton, NY 13624-1409
Page 152 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Clayton
Cobleskill
Cooperstown
Samaritan Medical Center - Clayton
Family Health Center
909 Strawberry Lane
Clayton, NY 13624-1409
Bassett Healthcare Network Cobleskill Health Center
121 Legion Drive
Cobleskill, NY 12043-5111
(518) 234-2555
Bassett Healthcare Network - Pediatr
Clinic
1 Atwell Road
Cooperstown, NY 13326-1394
(607) 547-3070
Pediatrics
Grybowski, Stephen,
Internal
Medicine
Jepma, John W,
Sellers, Joseph R,
Rush, Jack D,
Strasser, Stephen P,
Clifton Park
Pediatrics
Community Care Physicians, P.C. Community Care Family Medicine
5 Southside Drive, Suite 204
Clifton Park, NY 12065-3870
(518) 371-9355
Gomez-Dicesare, Caroline M,
Family
Practice
Commack
Cannon, Douglas H,
Gadomski, Anne Marie,
Heavner, Philip A,
Wassel, William Charles,
Bassett Healthcare Network - Prime
Care Clinic
1 Atwell Road
Cooperstown, NY 13326-1394
(607) 547-3300
Nurse
Practitioner
Commack Pediatrics a division of
Allied Pediatrics of New York, PLLC
154 Commack Road, Suite 100
Commack, NY 11725-3457
(631) 499-8282
Horn, Elizabeth C.,
Pediatrics
Williams, Brian D,
Four Seasons Pediatrics, LLC
532 Moe Road
Clifton Park, NY 12065-3822
Catalano, Lorraine E,
Internal
Medicine
Pediatrics
McCaffrey, Sarah L.,
Clyde
Finger Lakes Health - Clyde Family
Health Center
4 West Genesee Street
Clyde, NY 14433-1126
Ezer, Gay Elana,
Johnston, Jean E,
Svitek, Scott E,
Reichman Brown & Kaplan MD, PC
646 Commack
Commack, NY 11725-5412
(631) 499-4114
Family
Practice
Beechy, Carol K,
Dalton, James T,
Davies-Wait, Brenda J,
Delong, Douglas M,
Dier, John G,
Howard, Peter J,
Pediatrics
Kaplan, Fred M,
Bellovin, Neil,
Lacava, James E,
Bellovin, Neil,
McKay, Erin,
Heit, Debbie L.,
Haltiwanger, Kimberly,
Tirrell, Paul C,
Cobleskill
Haltiwanger, Kimberly,
Copenhagen
Bassett Healthcare Network Cobleskill Health Center
121 Legion Drive
Cobleskill, NY 12043-5111
(518) 234-2555
Kaplan, Allen Michael,
Lewis County General Hospital - Dr
Shambo
9732 New York 12
Copenhagen, NY 13626-2906
Family
Practice
Reilly, James P,
Family
Practice
Rogu, George,
Shambo, Roger Brian,
Bitran, Joyce V,
Rogu, George,
Corfu
Wright, Darah,
Rogu, Nicholas,
Internal
Medicine
Ryzova, Yekaterina,
Pembroke Family Medicine - Pembrok
860 Main Rd
Corfu, NY 14036-9753
(585) 599-6446
Family
Practice
Korn, Jr., Roy J,
Novak, John S,
Kaplan, Allen Michael,
Mathew-Cheriyan, Jasilin,
Mathew-Cheriyan, Jasilin,
Simon, Nina,
Simon, Nina,
Cooperstown
Page 153 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Corfu
Cuba
Depew
Pembroke Family Medicine - Pembroke
860 Main Rd
Corfu, NY 14036-9753
(585) 599-6446
Southern Tier Community Health
Center - Cuba site
132 W. Main Street
Cuba, NY 14727-1317
(716) 375-7500
Genesee-Transit Pediatrics, LLP
4899 Transit Road
Depew, NY 14043-477
(716) 558-5437
Family
Practice
Fernaays, Matthew M,
Obear, Mary Edith,
Corona
Sunrise Medical PC
40-39 Junction Blvd
Corona, NY 11368-2121
(718) 397-8866
Internal
Medicine
Martinez, Sergio A,
Urban Health Plan - Plaza del Sol
Health Center
37-16 108th St
Corona, NY 11368-2025
(718) 651-4000
Nurse
Practitioner
Trossello, Catherine R.,
Cortland
Cortland Medical Associates
1259 Fisher Avenue
Cortland, NY 13045
(607) 756-4600
Family
Practice
Family
Practice
Kotmire, Sushama,
Delanson
Bassett Healthcare Network - Delanson
Health Center
One Cooley Heights
Delanson, NY 12053-2442
(518) 895-2000
Family
Practice
Kozak, Cyril,
Internal
Medicine
Burton, Joyce B,
Delhi
Bassett Healthcare Network - Delhi
Health Center
Flint Office Building
Delhi, NY 13753-7407
(607) 746-0550
Family
Practice
Nguyen, Michael,
Delmar
Johnson, Cindy,
Community Care Physicians, P.C. The Office of Dr Marino Baselice
199 Delaware Avenue
Delmar, NY 12051-1229
(518) 439-6306
Internal
Medicine
Family
Practice
Hayes, Patrick J.,
Shin, Joong Eun,
Cuba
Depew
Southern Tier Community Health
Center - Cuba site
132 W. Main Street
Cuba, NY 14727-1317
(716) 375-7500
Genesee-Transit Pediatrics, LLP
4899 Transit Road
Depew, NY 14043-477
(716) 558-5437
Biondi, Nicholas C.,
diGiovanna, Anthony J.,
Family
Practice
Pediatrics
Dzik, Darlene Ann,
Dzik, John,
Pediatrics
Palma, Alessandra M,
Sickels, Eric George,
Yates, Ferdinand Domenic,
Lancaster Medical
4893 Transit Road
Depew, NY 14043-4776
(716) 608-7040
Family
Practice
Kuehnling, William Robert,
Internal
Medicine
Cleary, Kevin G,
WNY Medical PC - French
1310 French Road
Depew, NY 14043-4870
(716) 668-2592
Internal
Medicine
Carlson, Richard A,
DERBY
General Physician, PC Amy DamianiDERBY
7020 ERIE ROAD
DERBY, NY 14047
(716) 562-7064
Internal
Medicine
Damiani, Amy,
Mcternan, Thomas,
WNY Medical PC - Derby
6970 Erie Road
Derby, NY 14047-9591
(716) 947-9147
Family
Practice
Siepel, Timothy Vincent,
Internal
Medicine
Sadiq, Riffat,
Page 154 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Dover Plains
Dunkirk
East Hampton
Hudson River HealthCare, Inc - Dover
Plains
3147 Route 22
Dover Plains, NY 12522-5924
(845) 877-4793
Medicor Associates of Chautauqua Medicor Associates of Dunkirk
504 Central Ave
Dunkirk, NY 14048-2515
(716) 366-9008
East End Pediatrics
200 Pantigo Place, Suite E
East Hampton, NY 11937-5921
(631) 324-8030
Family
Practice
Gastroenterology
Timell, Anna M.,
Alam, Hyder,
Dryden
Internal
Medicine
Cayuga Area Physicians Alliance Dryden Family Medicine
5 Evergreen Street
Dryden, NY 13053-0008
(607) 844-8181
Family
Practice
Klepack, William A,
Silcoff, Howard,
Internal
Medicine
Gordon, Cindy,
Dundee
Cramer, Elizabeth,
Ayuyao, Nilo F,
Henson, Ruth De guzman,
East Amherst
Tonawanda Pediatrics - East Amherst
6477 Transit Road
East Amherst, NY 14051-1427
(716) 691-4311
Pediatrics
Gennuso-Piwko, Jennifer,
Kanaley, Justin,
East Aurora
Finger Lakes Health - Dundee Family
Health Center
50 Millard Street
Dundee, NY 14837-9400
East Aurora Family Practice
112 Olean, Ste. 220
East Aurora, NY 14052-2540
(716) 805-1072
Family
Practice
Family
Practice
Daoud, Magda,
Cotton, Shawn E.,
Dunkirk
DeGaetano, Danielle A.,
Amy Damiani MD - Dunkirk NY
609 Central Avenue
Dunkirk, NY 14048
(716) 363-6960
Lawton, David A.,
Family
Practice
Sodhi, Vikram,
Internal
Medicine
McMahon, Kevin C.,
John P. Ward D.O.
7531 Seneca Street
East Aurora, NY 14052-9407
(716) 652-5309
Family
Practice
Ward, John Patrick,
Damiani, Amy,
East Hampton
Mcternan, Thomas,
East End Pediatrics
200 Pantigo Place, Suite E
East Hampton, NY 11937-5921
(631) 324-8030
Medicor Associates of Chautauqua Medicor Associates of Dunkirk
504 Central Ave
Dunkirk, NY 14048-2515
(716) 366-9008
Social Worker,
Clinical
Social Worker,
Clinical
East Rockaway
East Rockaway Pediatrics ado Allied
Pediatrics of New York, PLLC
58 Main Street
East Rockaway, NY 11747-1929
(516) 599-7353
Pediatrics
Dellorusso, Giusseppe,
Hahami, Zivi,
Korn, Sheila,
Staiman, Keith M,
East Syracuse
CNY Family Care, LLP
4939 Brittonfield Parkway
East Syracuse, NY 13057-9208
(315) 463-7316
Family
Practice
Steves, Robert,
Edwards
EJ Noble Hospital - Edwards Health
Center
8 Church Street
Edwards, NY 13635-3198
Physician
Assistant
Gamel, Sarah,
Elbridge
FamilyCare Medical Group - Elbridge
Office
5566 Jordan Road
Elbridge, NY 13060-9617
(315) 685-1833
Family
Practice
Kroeger, Karin G.,
Soderberg, Peer A.,
Elizabethtown
Page 155 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Elizabethtown
Elmhurst
Elmhurst
Elizabethtown Community Hospital Elizabethtown Community Health
Center
66 Park St
Elizabethtown, NY 12932
(518) 873-3113
9317 Medical Office PC
40-08 Forley Street
Elmhurst, NY 11373-1427
(718) 446-0270
Khin Aung Medical PC
87-08 Justic Avenue, C3
Elmhurst, NY 11373-4590
(718) 672-3693
Pediatrics
Internal
Medicine
Internal
Medicine
Demuro, Rob Luke,
Ellenville
IFH - Family Practice Center of
Ellenville
50 Shop Rite Boulevard
Ellenville, NY 12428-5632
(845) 647-4500
Internal
Medicine
Bhitiyakul, Saharat,
Sperling, Walter L.,
Project Samaritan Health Services,
Inc. - Ellenville
751 Briggs Highway
Ellenville, NY 12428-5501
(845) 647-2000
Family
Practice
Beninati, Catherine,
Perea, Annette,
Perea, Annette,
Advanced Pediatrics, PC
94-36 59th Avenue
Elmhurst, NY 11373-5151
(718) 271-2600
Pediatrics
Internal
Medicine
Sabogal, Gonzalo,
Ast, Denise,
Candida Catucci MD PC
40-10 Forley Street
Elmhurst, NY 11373-1427
(718) 565-6565
Chang, Ching-hung,
Internal
Medicine
Edgar Flores-Castillo, MD PC
4053 75th Street
Elmhurst, NY 11373-1011
(718) 426-6270
Internal
Medicine
Pediatrics
Gais, Dawn A.,
Gandhi, Jyoti R. MD
84-25 Elmhurst Ave.
Elmhurst, NY 11373-3324
(718) 457-0500
Pediatrics
Toueg, Sam,
Yoo, Chang,
Buffalo Medical Group - Elma
2741 Transit Road
Elma, NY 14059-9634
(716) 630-1026
Sosa, Alain A,
Tejwani, Shivkumar,
Dr. Paul Mantia
83-10 Queens Blvd
Elmhurst, NY 11373-4245
(718) 651-2002
Mantia, Paul J,
Sosa, Alain A,
Reich, Lawrence M.,
Veeraswamy, Pramila,
Elma
Internal
Medicine
Huang, Huajun,
Catucci, Candida,
Model, Lawrence Marc,
9317 Medical Office PC
40-08 Forley Street
Elmhurst, NY 11373-1427
(718) 446-0270
NYC HHC Elmhurst Hospital Center
Medical Primary Care
79-01 Broadway
Elmhurst, NY 11373-1329
(718) 334-4000
Lao, Wilfredo S,
Internal
Medicine
Elmhurst
Aung, Khin,
Flores-Castillo, Edgar A,
Pediatrics
Gandhi, Jyoti R,
Khin Aung Medical PC
87-08 Justic Avenue, C3
Elmhurst, NY 11373-4590
(718) 672-3693
Pediatric Emergency
Medicine
Lim, Lucy T.,
Pediatrics
Atanassova-Lineva, Daniela K,
Atanassova-Lineva, Daniela K,
Gill, Alice,
Golbraykh, Mya,
Gonzalez, Pilar,
Hsu, Mei Hwa,
Polanco, Larissa,
Preposi, Cesar,
Preposi, Cesar,
Queens Long Island Medical Group
P.C.-Elmhurst Medical Office
86-15 Queens Blvd
Elmhurst, NY 11373-4427
Family
Practice
Yee, Walter,
Internal
Medicine
Page 156 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Elmhurst
Endicott
Evans Mills
Queens Long Island Medical Group
P.C.-Elmhurst Medical Office
86-15 Queens Blvd
Elmhurst, NY 11373-4427
UHS - Primary Care Endicott
1302 E. Main Street
Endicott, NY 13760
(607) 754-2323
Samaritan Medical Center - LeRay
Family Health Center
26908 Independence Way, Suite 101
Evans Mills, NY 13637
Internal
Medicine
Family
Practice
Family
Practice
Chaglassian, Mary D,
Leonti, Vincent Joseph,
Brown, Jamey Ann,
Lapinel, Sergie P,
Rudd, Benjamin David,
Lee, Hwasun,
Nurse
Practitioner
Rybak, Jurij,
Bambara, Julie,
Sheelawanti, Sheela,
Ponticiello, Jacqueline,
Sychikov, Lubov,
Endwell
Queens Long Island Medical Group
P.C.-Elmhurst Pediatric Medical Office
88-06 55TH Avenue
Elmhurst, NY 11373-4437
Endwell Family Physicians
415 Hooper Rd
Endwell, NY 13760-3646
(607) 754-3863
Joseph P. Addabbo Family Health
Center, Inc. - Far Rockaway Site
1288 Central Avenue
Far Rockawawy, NY 11691-3909
(718) 945-7150
Pediatrics
Family
Practice
Barberis, Carl L,
Fitzgerald, Michael P.,
Lau, Nina,
Miranda, Louella M,
Elmont
Nu-Health-Elmont Family Health
Center
161 Hempstead Tpk
Elmont, NY 11003-1432
(516) 571-8200
Family
Practice
Apollon, Monique Rachelle,
Endicott
Our Lady of Lourdes Memorial
Hospital, Inc. - Primary Care
Associates - East Main Street
415 East Main Street
Endicott, NY 13760
Far Rockawawy
Obstetrics &
Gynecology
Jacinto-Francisco, Gertrudes,
Ulep, Rosita Razo,
Bowling, Bruce T,
Far Rockaway
Desantis, Kimberly M,
Queens Long Island Medical Group
P.C.-Rockaway Medical Office
29-15 Far Rockaway Blvd.
Far Rockaway, NY 11691-1941
Gasparis, Demetrios,
Harris, Jonathan A,
Holler, James C,
Patel, Rekha S,
Internal
Medicine
Patel, Suchet R,
Deyhimpanah, Reza,
Perry, John S,
Nurse, Sandra,
Sze-tu, Duncan,
Pediatrics
Tunick, Michael,
Woodburn-hourie, Karen,
UHS - Primary Care Endwell
800 Hooper Road
Endwell, NY 13790
(607) 757-0444
Fayetteville
Internal
Medicine
Osborne, Thomas,
St. Joseph's Medical, PC - Northeast
4101 Medical Center Drive
Fayetteville, NY 13066-6600
(315) 657-7878
Family
Practice
Family
Practice
Nurse
Practitioner
Dibble, William J,
Hoda, Tahirul,
Skiadas, Melissa,
UHS - Primary Care Endicott
1302 E. Main Street
Endicott, NY 13760
(607) 754-2323
Evans Mills
Imtiaz A. Mallick MD
798 Route 9
Fishkill, NY 12524-1393
(845) 896-2204
Family
Practice
Samaritan Medical Center - LeRay
Family Health Center
26908 Independence Way, Suite 101
Evans Mills, NY 13637
Fishkill
Internal
Medicine
Mallick, Imtiaz A.,
Page 157 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Fishkill
Flushing
Flushing
Mid Hudson Medical Group, PC Fishkill
600 Westage Business Center Drive
Fishkill, NY 12524-2281
(845) 231-5504
Flushing Hospital Medical Center
Ambulatory Care Center
4500 Parsons Blvd.
Flushing, NY 11355-2199
(718) 670-5960
Queens-Long Island Medical Group Flushing North Medical Office
140-15 Sandford Avenue
Flushing, NY 11355-2557
(516) 941-4082
Internal
Medicine
Internal
Medicine
Family
Practice
Tillmon, Bernadette R.,
Klein, Sherman Mark,
Parikh, Suneel V,
Floral Park
Paik, Woong Ki,
Park Pediatrics a division of Allied
Pediatrics of New York, PLLC
271 Jericho Turnpike
Floral Park, NY 11001
(516) 354-7575
Pediatrics
Internal
Medicine
Pediatrics
Cascio-Leva, Melissa D,
Hiza, Ashley,
Hong Jia Medical PC
13329 41 Road, Suite 2D
Flushing, NY 11355-3695
(718) 886-0131
Dellorusso, Ana M,
Family
Practice
Friedman, Daniel L,
Hong, Jia,
Friedman, Eugene B,
Kanghan Medical Services, P.C.
38-34 Parson Blvd., Suite #1A
Flushing, NY 11354-5840
(718) 762-3240
Kaye, Arthur S,
Morris, Elliot,
Flushing
Charles B. Wang Community Health
Center, Inc. -Flushing
136-26 37th Ave. 2nd Floor
Flushing, NY 11354-4143
Family
Practice
Hwang, Lina S,
Kang, Byung C.,
Li, Jim,
Queens Long Island Medical Group
P.C.-Flushing South Medical Office
59-25 Kissena Blvd
Flushing, NY 11355-2557
Internal
Medicine
Internal
Medicine
Chiao, Marie T.,
Qureshi, Roshan,
Obstetrics &
Gynecology
Shteynman, Alla,
Family
Practice
Wong, Helen S,
Pediatrics
Jung, Josephine Oi-Chun,
Mao, Amy,
Dioamo Pediatrics ado Allied Pediatrics
of New York, PLLC
25-16 169th Street
Flushing, NY 11358-1114
(718) 428-5800
Pediatrics
Amodio, Stefano,
Torres, Francisco,
Pediatrics
Bhaskar, Mahesh,
Queens-Long Island Medical Group Flushing North Medical Office
140-15 Sandford Avenue
Flushing, NY 11355-2557
(516) 941-4082
Family
Practice
Forde, Sandra L,
Leung, Liana H,
Qureshi, Roshan,
Shteynman, Alla,
Torres, Francisco,
Pediatrics
Bhaskar, Mahesh,
Reejsinghani, Rosie,
Xiaoxia Zhang MD PC
39-07 Prince Street, Ste 6H
Flushing, NY 11354-5308
(718) 886-8718
Family
Practice
Zhang, Xiaoxia,
Yeahson Bruinings MD Family Practi
PLLC
163-28 Northern Blvd, Suite 2F
Flushing, NY 11358-2645
(718) 360-5768
Family
Practice
Bruinings, Yeahseon C,
Forest Hills
Jonathan W. Mohrer MD PC
11406 Queens Blvd, Suite A-8
Forest Hills, NY 11375-7001
(718) 575-9787
Internal
Medicine
Mohrer, Jonathan W,
NY Medical & Health P.C.
70-64 Yellowstone Blvd, Suite 1
Forest Hills, NY 11375-3563
(718) 897-0900
Internal
Medicine
Page 158 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Forest Hills
Freeport
Geneva
NY Medical & Health P.C.
70-64 Yellowstone Blvd, Suite 1
Forest Hills, NY 11375-3563
(718) 897-0900
Jacqueline Delmont, M.D., P.C.
55 N. Main Street
Freeport, NY 11520-2243
(516) 377-8014
Internal
Medicine
Internal
Medicine
FLCMH - Geneva Community Health
Center
601 B Washington St.
Geneva, NY 14456-2119
(315) 781-8448
Sandler, Bella,
Delmont, Jacqueline,
Queens Long Island Medical Group
P.C.-Forest Hills Medical Office
96-10 Metropolitan Ave
Forest Hills, NY 11375-6625
South Ocean Care, LLC
101 SO. Bergen Place
Freeport, NY 11520-3528
(516) 623-3600
Family
Practice
Family
Practice
Thomas, Nicole,
Hawthorne, Horace A,
Internal
Medicine
Gansevoort
Dhandayutham, Karur S.,
Staniloiu, Maria,
Pediatrics
Gocs, Diane M,
Quijano, Emelyn C,
Franklin Square
Primary Health Care Plus Doagnostic
and Treatment Facility
1209 Hempstead Turnpike
Franklin Square, NY 11010-1537
(516) 352-8300
Community Care Physicians, P.C. Community Care Pediatrics Saratoga
5 Mountain Ledge Dr., Suite 1
Gansevoort, NY 12831-1856
(518) 584-0355
Pediatrics
Almond, Megan E.,
Jordgensen, Stephanie E.,
Garden City
Family
Practice
Garden City Pediatrics ado Allied
Pediatrics of New York, PLLC
1101 Stewart Avenue, Suite 306
Garden City, NY 11530-4808
(516) 222-0893
Salerno, Mildred,
Pediatrics
Pediatrics
Bisacco, John Francis,
Labranche, Ottie,
Cohen, Claire O,
Fredonia
Pagnotta, Laura A,
Medicor Associates of Fredonia
12 Center St Suite 1
Fredonia, NY 14063-1769
(716) 679-2233
Sartori, Richard L,
Wolodzko, Yvonne A,
Internal
Medicine
Eagleson, Elizabeth,
Shelly, Robert,
FLH Medical, PC - Internal Medicine
Geneva
200 North Street, Suite 102
Geneva, NY 14456
Internal
Medicine
Pita-acevedo, Dora,
Glens Falls
HHHN-Health Center on Broad Stree
100 Broad Street
Glens Falls, NY 12801-4349
(518) 792-2223
Family
Practice
Beaty, Robert,
North, James,
Portuese, Thomas,
Pediatrics
Flatau, Irene,
Goshen
Crystal Run Healthcare Goshen
7 Hatfield Lane
Goshen, NY 10941-6757
(845) 703-6999
Internal
Medicine
Viray, Alvin Ko.,
Bartholomew, Anthony Orlando,
Pediatric Associates of Long Island ado
Allied Pediatrics of New York, PLLC
1101 Stewart Avenue, Ste. 306
Garden City, NY 11530-4808
(516) 746-2299
Bishop, G Jay,
Pediatrics
Facer, Jeffery Todd,
Battista, Anthony J.,
Family
Practice
Landis, Andrew James,
Cooper, Seymour M.,
Figueroa, Jeannette T.,
Freeport
Geneva
Gouverneur
Internal
Medicine
Hudson River HealthCare, Inc. Goshen
888 Pulaski Highway
Goshen, NY 10924-6034
(845) 657-2298
Page 159 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Gouverneur
Great Neck
Hamburg
Dr. Yusef Hazimeh
77 West Barney Street
Gouverneur, NY 13642-1040
(315) 535-9309
North Shore University Hospital Division of General Internal Medicine
865 Northern Blvd., Suite 102
Great Neck, NY 11021-5310
(516) 622-5001
Lakeshore Primary Care Associates
4855 Camp Road, Ste. 100
Hamburg, NY 14075
(716) 646-1084
Internal
Medicine
Hazimeh, Yusef M,
Grand Island
Tonawanda Pediatrics - Island
Pediatrics
2271 Grand Island Boulevard
Grand Island, NY 14072-1819
(716) 775-3400
Nurse
Practitioner
Dann, Maureen A.,
Pediatrics
Internal
Medicine
Leong, Pauline,
Monks, Christine Ann,
Morley, Jeanne K.,
Stokes, Mark G.,
Zolli, Janet R.,
Roland Nassim, MD
1000 Northern Blvd., Suite 375
Great Neck, NY 11021-5312
(516) 773-3942
Mascia, Christopher C.,
Internal
Medicine
Great Neck
Nassim, Roland,
MD's 4 Kids Medical ado Allied
Pediatrics of New York, PLLC
935 Northern Blvd., Suite 300
Great Neck, NY 11021-5328
(516) 466-5437
Greenvale
Family
Practice
Kane, Michael P,
Robillard, Kristin M,
Sullivan, Maria E,
Tucker, Sherri L,
Internal
Medicine
Forehand, Lisa G,
Obstetrics &
Gynecology
Zuccala, Scott J,
Pediatrics
Cook, Sarah A,
Lifetime Health Medical Group Hamburg Health Center
151 Elmview Avenue
Hamburg, NY 14718-3762
(716) 648-3040
Pediatrics
Neighborhood Pediatrics ado Allied
Pediatrics of New York, PLLC
87 Glen Cove Road
Greenvale, NY 11548-1037
(516) 759-1131
Gerba, William Michael,
Pediatrics
Golding, Douglas,
Inguagiato, Peter J.,
Cavanaugh, Lisa A,
Kolbert, Mary K.,
Mirkin, Gary M.,
Groton
Rubel, Karen A.,
Peter Clark, MD
220 W. South Street
Groton, NY 13073
(607) 727-4462
Steven P. Herman, M.D.
5893 Camp Road Suite 4
Hamburg, NY 14075-4470
(716) 649-7722
Russ, Heidi R.,
North Shore University Hospital Division of General Internal Medicine
865 Northern Blvd., Suite 102
Great Neck, NY 11021-5310
(516) 622-5001
Internal
Medicine
Balwan, Khousidai Sandy,
Cacace, Frank,
Carter, Lawrence D.,
Ehrlich, Jason C.,
Gottridge, JoAnne,
Family
Practice
Clark, Peter David,
Hamburg
Donald W. Robinson, MD
3969 Legion Drive
Hamburg, NY 14075-3709
(716) 649-6687
Family
Practice
Robinson, Donald W,
Family
Practice
Family
Practice
Herman, Steven Peter,
WNY Medical PC - Hamburg
229 Main Street
Hamburg, NY 14075-4915
(716) 649-1342
Family
Practice
Goodwin, Eric H,
Internal
Medicine
Hirsch, Susan C.,
Sadiq, Riffat,
Lee, Grace J,
Hamilton
Page 160 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Hamilton
Hempstead
Herkimer
Bassett Healthcare Network - Hamilton
Health Center
160 Broad Street
Hamilton, NY 13346-9575
(315) 825-3111
Nu-Health-Hempstead Family Health
Center
135 Main St
Hempstead, NY 11550-2414
(516) 572-1300
Bassett Healthcare Network - Herkim
Health Center
321 East Albany Street
Herkimer, NY 13350-2016
(315) 867-2700
Family
Practice
Family
Practice
Internal
Medicine
Buschatzke, Richard M,
Horn, Kelly C.,
Tangel, Colette T,
Hancock
Internal
Medicine
Faxton-St. Luke's Healthcare,
Adirondack Community Physicians Mohawk
201 E. State Street
Herkimer, NY 13350-2370
(315) 574-2300
Our Lady of Lourdes Memorial
Hospital, Inc. - Family Practice - East
Main Street - Hancock
39 East Main Street
Hancock, NY 13783
Hussaini, Naseem A.,
Obstetrics &
Gynecology
Behar, Marc S.,
Family
Practice
Pediatrics
Family
Practice
Berg, Richard,
Lombardy, Diane Elaine,
Aranda, Christine,
Queens Long Island Medical Group
P.C.-Hempstead Medical Office
226 Clinton Street
Hempstead, NY 11550-2614
Ficano, Jeffrey,
Harrison
Scarsdale Medical Group-Harrison Site
1
550 Mamaroneck Avenue, Suite 101
Harrison, NY 10528-4523
(914) 630-5477
Family
Practice
Internal
Medicine
Parker, William,
Hicksville
Internal
Medicine
Ira B. Toback, MD ado Allied
Pediatrics of New York, PLLC
400 S. Oyster Bay Road
Hicksville, NY 11801-3500
(516) 931-8688
David, Monica,
Pediatrics
Schoen, Malcolm S,
Panish, Mark B,
Mehrotra, Deepti,
Scarsdale Medical Group-Harrison Site
2
600 Mamaroneck Avenue, Suite 200
Harrison, NY 10528-4523
(914) 630-5477
Sharma, Manjoo,
Toback, Ira B,
Pediatrics
Queens Long Island Medical Group
P.C.-Hicksville Medical Office
350 South Broadway
Hicksville, NY 11801-5006
Internal
Medicine
Herkimer
Endocrinology
Parris, Marcia,
Pascal, Sandra,
Bloomgarden, David,
Gastroenterology
Adler, Bradley K,
Cappucci, Roger V,
Croen, Kenneth D,
Felberg, Claudia M,
Madad, Saiyeda,
Sokol, Scott K.,
Bassett Healthcare Network - Herkimer
Health Center
321 East Albany Street
Herkimer, NY 13350-2016
(315) 867-2700
Reinitz, Elizabeth,
Family
Practice
Yuen, Jeannette L,
Islam, Fatema T,
Hempstead
Internal
Medicine
Joseph, Ashly,
Kramer, Frank V,
Internal
Medicine
Anand, Chandni K.,
Greenberg, Ronald,
Massand, Seema,
Pottanat, Marie T,
Reisman, Thomas,
Zelener, Marina,
Pediatrics
Balachandar, Viswanath,
Cheruvanky, Thulasi,
Page 161 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Hicksville
Howard Beach
Islandia
Queens Long Island Medical Group
P.C.-Hicksville Medical Office
350 South Broadway
Hicksville, NY 11801-5006
Medisys Family Care Center - Howard
Beach
156-10 Crossbay Blvd.
Howard Beach, NY 11414
(718) 323-3589
Islandia Northside Primary d/b/a
Healthworks
3001 Expressway Drive North, Suite
200C
Islandia, NY 11749-5301
(631) 435-4358
Pediatrics
Trecartin, Susan E,
Hollis
Medisys Family Care Center (Hollis
Tudor)
200-16 Hollis Ave
Hollis, NY 11423-1712
(718) 736-8204
Family
Practice
Clarke, Fred,
Hopewell Junction
Community Primary Care
45 Foster Road
Hopewell Junction, NY 12533-6153
(845) 226-4590
Internal
Medicine
Sinha, Rabi R.,
Mid Hudson Medical Group, PC Hopewell Junction Office
10 Cranberry Drive
Hopewell Junction, NY 12533-5367
(845) 231-5504
Internal
Medicine
Marino, Lawrence John,
Pediatrics
Numann, Sousan,
Huntington
Island Medicine
210 East Main Street
Huntington, NY 11743-2979
(631) 757-9500
Family
Practice
Burns, Patrick B.,
Hyde Park
IFH - Family Practice Center of Hyde
Park
11 Crum Elbow Road
Hyde Park, NY 12538-2851
(845) 229-1020
Family
Practice
Internal
Medicine
Folan, John F.,
Kao, Wei K.,
Ithaca
Cayuga Area Physicians Alliance Cayuga Medical Associates, P.C.
8 Brentwood Drive, Suite B
Ithaca, NY 14850
(607) 266-7500
Internal
Medicine
Cotton, Elisabeth M,
Margie, Walter Edward,
Mead, John-paul Daniel,
Cayuga Area Physicians Alliance Family Medicine Associates of Ithaca
8 Brentwood Avenue
Ithaca, NY 14850-5429
(607) 277-4341
Jellett, Carol,
Family
Practice
Landanno, Clement R,
Internal
Medicine
Baker, Wallace,
Page, Dorothy Eve,
Breiman, Robert J,
Weisel, Thomas,
Schiskie, Melissa A.,
Darlow, Lloyd A,
Houghton
Internal
Medicine
Midura, Alan T,
Southern Tier Community Health
Center - Houghton Site
9864 Luckey Drive
Houghton, NY 14744-8706
(716) 375-7500
Nurse
Practitioner
Thornton, Sharon E,
Howard Beach
Medisys Family Care Center - Howard
Beach
156-10 Crossbay Blvd.
Howard Beach, NY 11414
(718) 323-3589
Isabell, Lee J.,
Teubl, William P.,
Island Park
Beach Pediatrics ado Allied Pediatrics
of New York, PLLC
312 Long Beach Road
Island Park, NY 11558-1510
(516) 945-3032
Shallish, Neil Frederick,
Vonfelten, Elizabeth,
Ziegler, Sharon L,
Cayuga Area Physicians Alliance Muhammad Wattoo, MD
2359 North Triphammer Road
Ithaca, NY 14850-105
(607) 257-3452
Pediatrics
Internal
Medicine
Jaffe, Rina,
Wattoo, Muhammad Ahmad,
Jonisch, Elise Marcia,
Shinder, Lauren,
Page 162 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Ithaca
Jackson Heights
Jamaica
Cayuga Family Medicine, PC
302 West Seneca Street
Ithaca, NY 14850-4130
(607) 697-0360
General Medical Services of Queens,
P.C.
37-47 77th Street
Jackson Heights, NY 11372-6629
(718) 803-7300
Jamaica Hospital Medical Center - AC
8900 Van Wyck Expressway
Jamaica, NY 11418
(718) 206-7049
Family
Practice
Howson, Mary F,
Northeast Pediatrics and Adolescent
Medicine - Cayuga Area Physicians
Alliance
10 Graham Road, West
Ithaca, NY 14850
(315) 635-9802
Pediatric
Endocrinology
Woo, Melissa Lee Mei,
Pediatric Infectious
Disease
Snedeker, Jeffrey D,
Pediatrics
Bradshaw, John A,
Internal
Medicine
Pimentel, Ramon R,
RRG Medical Practice, PC
90-01A Roosevelt Ave
Jackson Heights, NY 11372-7938
(718) 505-0030
Internal
Medicine
Rodriguez, Rafael,
The New York Hospital Medical Center
of Queens - Jackson Heights Family
Health Center
73-15 Northern Blvd.
Jackson Heights, NY 11372-1144
(718) 424-2788
Bradshaw, Suzanne Marie,
Family
Practice
Desilva, Audrey H,
Henriguez, Edmee,
Timothy Cardina, MD-Cayuga Area
Physicians Alliance
821 Cliff Street
Ithaca, NY 14850-2017
(315) 635-9802
Jamaica
Internal
Medicine
Community Healthcare Network Queens Health Center
97-04 Stuphin Blvd.
Jamaica, NY 11435-4721
(718) 657-7088
Cardina, Timothy M,
Family
Practice
Jackson Heights
Tavares, Rosa Anabela,
Cuidado Medico Geriatrico of Queens,
P.C.
37-44 75 Street
Jackson Heights, NY 11372-6444
(718) 672-6232
Ernst F. Jean MD PC
87-59 171st Street
Jamaica, NY 11432-4554
(718) 523-2200
Internal
Medicine
Martinez de Pimentel, Nadia A,
General Medical Services of Queens,
P.C.
37-47 77th Street
Jackson Heights, NY 11372-6629
(718) 803-7300
Internal
Medicine
General
Practice
Jean, Ernst F,
Jamaica Hospital Medical Center - ACC
8900 Van Wyck Expressway
Jamaica, NY 11418
(718) 206-7049
Internal
Medicine
Galibov, Vyacheslav,
Nephrology
Falk, Bryan M,
Pediatrics
Featherstone, Melvin,
Fokas, Anastasia,
Punsalan, Imelda,
Joseph P. Addabbo Family Health
Center, Inc. - GUY R. BREWER SITE
118-11 Guy R. Brewer Boulevard
Jamaica, NY 11434-2101
(718) 945-7150
Obstetrics &
Gynecology
Khatri, Sarita,
Mondesir-Harewood, Carlene,
Udon-Rice, Izuka,
Joseph P. Addabbo Family Health
Center, Inc. - JAMAICA SITE
114-39 Sutphin Boulevard
Jamaica, NY 11434-1022
(718) 945-7150
Family
Practice
Madhurapantula, Madhavi,
Internal
Medicine
Holalkere, Rajagopal,
Nurse
Practitioner
Ahern, Barbara,
Obstetrics &
Gynecology
Brown, Elaine Patricia,
NYC HHC Queens Hospital Center Primary Care Services
82-68 164th ST
Jamaica, NY 11432-1121
(646) 458-382
Infectious
Disease
Restrepo, Erfidia,
Page 163 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Jamaica
Jamaica
Jamaica
NYC HHC Queens Hospital Center Primary Care Services
82-68 164th ST
Jamaica, NY 11432-1121
(646) 458-382
Project Samaritan Health Services,
Inc. - Damian Clinic
137-50 Jamaica Ave
Jamaica, NY 11435-3610
(718) 298-5100
TJH Medical Services, PC
134-20 Jamaica Avenue 1st Floor
Jamaica, NY 11418-2832
(718) 206-6782
Internal
Medicine
Obstetrics &
Gynecology
Awwal, Sabina,
Proctor, Vernon Eugene,
Cardinal, Lucien John,
Queens Long Island Medical Group
P.C.-Jamaica Estates Medical Office
180-05 Hillside Avenue
Jamaica, NY 11432-4727
Goytia, Elliott J.,
Khan, Nazmul H,
Misra, Sameer K,
Qureshi, Saira,
Family
Practice
Pediatrics
Deratus, Karl G,
Balaoura, Kathrin,
General
Practice
Zam, Paul E,
NYC HHC Queens Hospital CenterParsons Communicare Medical Center
90- 37 Parsons Blvd
Jamaica, NY 11432-6032
(717) 334-6440
Chasky, Dean Cole,
Internal
Medicine
Ahmed, Najma A.,
Bharara, Meenakshi,
Pediatrics
Patel-pannullo, Julie,
Goldberg, Jody F,
Percy, Marie S,
Mahdy-Gewaily, Olaft H,
Rayzman, Maya,
NYC HHC Queens Hospital CenterSouth Queens Multi- Service Center
114-02 Guy Brewer Blvd
Jamaica, NY 11434-1234
(718) 883-6699
Pediatrics
Chacko, Lissiamma,
Rodrigues, Roy J,
Sheppard, Beverly A,
Pediatrics
Wang, Linda,
Liverpool, Louise Anne,
Smart Medical Care, PC
8746 168 St.
Jamaica, NY 11432-0130
(718) 526-6660
Singer, Andrew Noble,
Project Samaritan Health Services,
Inc. - Damian Clinic
137-50 Jamaica Ave
Jamaica, NY 11435-3610
(718) 298-5100
Family
Practice
Pediatrics
Chowdhury, Aym M,
Chowdhury, Aym M,
Internal
Medicine
Delman, Moisey,
Pathak, Naveen,
Jamestown
Family Health Medical ServicesDunham
42 Dunham Ave
Jamestown, NY 14701-2514
(716) 665-7007
Family
Practice
Persia, Albert,
Riedesel, Jeremy,
Selioutski, Alexander,
Preventive
Medicine
Berke, Robert,
Family Health Medical Services-Prath
320 Prather Ave, Suite 100
Jamestown, NY 14701-6820
(716) 338-9797
Family
Practice
Persia, Albert,
Riedesel, Jeremy,
Selioutski, Alexander Z,
Preventive
Medicine
Berke, Robert,
Jamestown Pediatric Associates
816 Fairmount Avenue
Jamestown, NY 14701-2519
(716) 664-2589
TJH Medical Services, PC
134-20 Jamaica Avenue 1st Floor
Jamaica, NY 11418-2832
(718) 206-6782
Pediatrics
Geriatric Medicine/Internal
Medicine
Mincarelli, Barbara A,
Pulido, Leonidas B,
Triantafillou, Nicholas,
Doshi, Kaushik J,
Rowan, Carrie L,
Begum, Kaniz Fatema,
Internal
Medicine
Campion, Virginia B,
Dunham, Lynn M,
Przygodzki, Jerzy,
Page 164 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Jamestown
Jericho
Keene
Jamestown Pediatric Associates
816 Fairmount Avenue
Jamestown, NY 14701-2519
(716) 664-2589
Monica Melamedoff, MD ado Allied
Pediatrics of New York, PLLC
380 N. Broadway, Suite 12
Jericho, NY 11753-2109
(516) 931-1776
Adirondack Medical Center - Mounta
Health Center
2841 NYS
Keene, NY 12942
(518) 576-9771
Pediatrics
General
Practice
Pediatrics
Toms, Billy R,
Jamestown Primary Care
17 Sherman St, Suite 2100
Jamestown, NY 14701
(716) 665-8184
Family
Practice
Collins, Patrick Stephen,
Johnson, Andrea M,
Krahn, Wolf-Dieter,
Mueller, Diane L,
Powers, Catherine Elaine,
Internal
Medicine
Mueller, Rudolph James,
Nurse
Practitioner
Daniels, Debra B,
Physician
Assistant
Massa, Chelsey,
The Resource Center
890 E. Second
Jamestown, NY 14701-2528
(716) 661-4700
Family
Practice
Munir, Adnan,
Melamedoff, Monica M,
Snow, Amorita,
Tellechea, Natasha A,
Johnson City
UHS Primary Care - Johnson City
Family Care Center
40 Arch Street
Johnson City, NY 13790-2102
(607) 763-5334
Family
Practice
Bujak, Hannah,
UHS- Primary Care Main St
507 Main Street
Johnson City, NY 13790
(607) 763-8008
Internal
Medicine
Gill, Roy,
Jewell, James R,
Kingston
IFH - Family Practice Center of
Kingston
1 Family Practice Drive
Kingston, NY 12401-6449
(845) 338-6400
Family
Practice
Ali, Syed,
Josefski, Mark A.,
Roth, Robert M.,
Woodley, Walter E.,
Mid Hudson Medical Group PC
Kingston Pediatric Site
140 Pine Street Professional Park, Sui
210
Kingston, NY 12401-0000
(845) 331-4484
Modrak, Maryanne E,
Nurse
Practitioner
Rivera - Padilla, Hiram,
Owitz, Mathew Scott,
Nurse
Practitioner
Kirkwood
Florini, Marita,
Katonah
Putnam, Thomas Alan,
Mount Kisco Medical Group - Katonah
111 Bedford Road
Katonah, NY 10536-2115
(914) 242-1493
Internal
Medicine
Internal
Medicine
Karimi, Mumtaz,
Wein, Michael S.,
Jericho
Keene
Monica Melamedoff, MD ado Allied
Pediatrics of New York, PLLC
380 N. Broadway, Suite 12
Jericho, NY 11753-2109
(516) 931-1776
Adirondack Medical Center - Mountain
Health Center
2841 NYS
Keene, NY 12942
(518) 576-9771
General
Practice
Hyson, Christopher P,
UHS - Primary Care Circle
5 Mile Point Plaza
Kirkwood, NY 13795
(607) 775-1771
Family
Practice
Consolazio, Anthony,
Lafayette
Lafayette Health Center
2561 Route 11
Lafayette, NY 13084-3352
(315) 677-3186
Nurse
Practitioner
Kane, Gail,
Lake Placid
Page 165 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Lake Placid
Lake Success
Levittown
Adirondack Medical Center - Lake
Placid Health Center
29 Church St
Lake Placid, NY 12946
(518) 523-8306
Queens Long Island Medical Group
P.C.-Lake Success Medical Office
1991 Marcus Avenue
Lake Success, NY 11042-2057
ProKids ado Allied Pediatrics of New
York, PLLC
636 Wantagh Avenue
Levittown, NY 11756
(516) 945-3032
Family
Practice
Bartos, Elizabeth,
Siddiqui, Majeed,
Family
Practice
Barasch, Daphna-raquel,
Capon, Daphne O.,
Internal
Medicine
Drucker, Susan D.,
General
Practice
Loona, Reena,
Mccahill, Woods,
Ramsaroop, Nanda D,
Nurse
Practitioner
Pediatrics
Levitz, Mary,
Dr. Josh Schwartzberg
29 Church Road
Lake Placid, NY 12946-1805
(518) 963-4007
Family
Practice
Schwartzberg, Josh,
Lake Ronkonkoma
Queens Long Island Medical Group
P.C.-Ronkonkoma Medical Office
640 Hawkins Avenue
Lake Ronkonkoma, NY 11779-2324
Family
Practice
Tako, Modesta M,
Vinayagasundaram, Bhanumathy,
Internal
Medicine
Chadha, Manish,
Chawla, Opkar S,
Kochar, Jasjit S,
Lee, Michael,
Pediatrics
Guram, Mohinder K,
Winkler, Ian M,
Lake Success
Queens Long Island Medical Group
P.C.-Lake Success Medical Office
1991 Marcus Avenue
Lake Success, NY 11042-2057
Pediatrics
Perdik, Peter,
Higgins, Kenneth J,
Lakeville
University of Rochester Medical Center
Primary Care Network / Genesee
Valley Family Medicine - Lakeville
3509 Thomas Drive, Suite #4
Lakeville, NY 14480
(585) 346-3660
Family
Practice
Emerson, Drew T,
Latham
Community Care Physicians, P.C. Latham Internal Medicine
Capital Region Health Park, 711 Troy
Schenectady Road, Suite104
Latham, NY 12110-2454
(518) 783-3110
Internal
Medicine
Divakara, Murthy Gowdara,
Community Care Physicians, P.C. Latham Medical Group
713 Troy Schenectady Road, Suite 224
Latham, NY 12110-2490
(518) 785-5881
Family
Practice
Locke, Elizabeth Anne,
Locke, Elizabeth Anne,
Levittown
Geller, Adina Beth,
Kahn, Ronald Allan,
Miner, Daniel Wayne,
Lewiston
Niagara Family Medicine Associates,
P.C.
720 Cayuga Street
Lewiston, NY 14092-1721
(716) 754-8083
Family
Practice
Andres, Jerome C,
Little Falls
Bassett Healthcare Network - Little
Falls Health Center
140 Burwell Street
Little Falls, NY 13365-1725
(315) 823-4546
Family
Practice
Adamson, Dale B,
Grace, Amy,
Liverpool
Summerwood Pediatrics - North Offic
4811 Buckley Road
Liverpool, NY 13088-3676
(315) 635-9802
Pediatrics
Somekh, Sharon,
Somekh, Sharon,
Livingston
Mid Hudson Medical Group, PC Livingston Site
2400 Route 9
Livingston, NY 12534-0000
(518) 537-4900
Page 166 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Livingston
Long Island City
Lowville
Mid Hudson Medical Group, PC Livingston Site
2400 Route 9
Livingston, NY 12534-0000
(518) 537-4900
Community Healthcare Network
(CHN) - Long Island City Health Center
36-11 21st Street
Long Island City, NY 11106-4505
(718) 482-7772
Lowville Medical Associates, LLP
7785 North State Street, Suite 140
Lowville, NY 13367-1229
(315) 376-5188
Family
Practice
Internal
Medicine
Jaeger, Jean Ann,
Winston, Ginger J,
Lockport
Nurse
Practitioner
Eaton Medicine, PC
6000 Brockton Dr., Suite 106
Lockport, NY 14094
(716) 433-6936
Family
Practice
Eaton, Molly,
Suresh Sofat
64 Davison Court
Lockport, NY 14094-5370
(716) 634-1890
Internal
Medicine
Sofat, Suresh,
Long Island City
Community Healthcare Network
(CHN) - Long Island City Health Center
36-11 21st Street
Long Island City, NY 11106-4505
(718) 482-7772
Internal
Medicine
Apolaya, Pamela E.,
Demopoulos, Byron P,
Demopoulos, Byron P,
Hahn, Erica K.,
Pediatrics
Amin, Prina P,
Charnow, Noemi A.,
Jaiswal, Arti C.,
Jaiswal, Arti C.,
Rolston, Sandra,
The Floating Hospital
PO Box 8397
Long Island City, NY 11101-8397
(718) 784-2240
Family
Practice
Alexander, Janelle,
Alexander, Janelle,
Sethna, Mark,
Sethna, Mark,
Lowville
Drs. Root and Williams
7785 North State Street
Lowville, NY 13367-1229
(315) 376-5287
Phillips-Ceasar, Erica G.,
Family
Practice
Ramis, Carmen M,
Root, Daniel Timothy,
Ramis, Carmen M,
Williams, Catherine Louise,
Roach, Keith W,
Lewis County General Hospital - Dr
Stillman
7785 North State Street
Lowville, NY 13367-1229
Roach, Keith W,
Sirotin, Nicole Ashley,
Sirotin, Nicole Ashley,
Wenderoth, Suzanne,
Family
Practice
Wenderoth, Suzanne,
Stillman, Elwin L,
Winston, Ginger J,
Internal
Medicine
Lyndaker, Steven L,
Pediatrics
Feilmeier, Mary Lou,
Palmer, Shereen E,
Manoj R. Vora, M.D.
7785 North State Street
Lowville, NY 13367-1229
(315) 376-5128
Internal
Medicine
Vora, Manoj R,
Meny, Howard T. M.D. PC
7785 North State Street
Lowville, NY 13367-1229
(315) 376-5480
Family
Practice
Kwicklis, Monica J,
Meny, Howard T,
Lyons Falls
Lewis County General Hospital - Sout
Lewis Family Health Center
3927 State Rte 12, PO Box 247
Lyons Falls, NY 13368-0247
Family
Practice
Pisaniello, Daniel P.,
Malone
Alice Hyde Medical Center
16 Third Street
Malone, NY 12953
(518) 481-2824
Internal
Medicine
Richards, Craig W,
Anjni Bhagat, MD
5 Clay Street
Malone, NY 12953-1905
(518) 483-0705
Page 167 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Malone
Mayville
Middleburgh
Anjni Bhagat, MD
5 Clay Street
Malone, NY 12953-1905
(518) 483-0705
Family Health Medical ServicesMayville
95 E. Chautauqua Street, PO Box 168
Mayville, NY 14757-1017
(716) 753-7107
Bassett Healthcare Network Middleburgh Health Center
109 Baker Avenue
Middleburgh, NY 12122-0637
(518) 827-7730
Preventive
Medicine
Family
Practice
Berke, Robert,
Harrison, Aaron I,
Medford
Middletown
Medford Northside Primary d/b/a
Healthworks
1743 North Ocean Avenue
Medford, NY 11763-2649
(631) 758-3100
Crystal Run Healthcare, LLP 155
Crystal Run Road Middletown
155 Crystal Run Road
Middletown, NY 10941-4028
(845) 703-6999
Family
Practice
Family
Practice
Ryder, Michael,
Sulangi-Lorenc, Sheryl,
Internal
Medicine
Internal
Medicine
Dacosta, Robin Sue,
Gonzalez-Klayman, Noemi,
Medina
Crystal Run Healthcare, LLP 300
Crystal Run Road Middletown
300 Crystal Run Road
Middletown, NY 10941-4013
(845) 703-6999
Internal
Medicine
Bhagat, Anjni,
Benardot Pediatrics
58 Elm Street
Malone, NY 12953
(518) 483-5800
Pediatrics
Benardot, Emile,
Gerald Cahill, MD
23 Fourth Street, Suite 1
Malone, NY 12953
(518) 483-8990
Family
Practice
Cahill, Gerald W,
Myrna Sanchez, MD
183 Park Street
Malone, NY 12953
(518) 483-0482
Internal
Medicine
Sanchez, Myrna A,
North Country Health Care
24 Fourth Street
Malone, NY 12953
(518) 481-6044
Family
Practice
Lake Plains Medical PLLC/General
Physician Sub 1 PLLC
100 Ohio Street
Medina, NY 14103-1191
(585) 798-3345
Pediatrics
Internal
Medicine
Remenar, Lin-Lin Y,
Chamarthy, Srinivasu,
Vladimir Zelenko, MD PC
745 Route 17M, #770
Monroe, NY 10950-2660
(845) 782-0000
Madejski, Thomas J,
Middle Village
Monroe
Medved, Vladimir,
Renato Yu MD FAAP P.C.
75-06 Eliot Ave, #1
Middle Village, NY 11379-1207
(718) 898-1515
Mayville
Pediatrics
Monticello
Family Health Medical ServicesMayville
95 E. Chautauqua Street, PO Box 168
Mayville, NY 14757-1017
(716) 753-7107
Yu, Robert,
Hudson River HealthCare, Inc. Monticello
23 Lakewood Avenue
Monticello, NY 12701-2021
(845) 794-2010
Medved, Marina,
Family
Practice
Persia, Albert,
Middleburgh
Bassett Healthcare Network Middleburgh Health Center
109 Baker Avenue
Middleburgh, NY 12122-0637
(518) 827-7730
Riedesel, Jeremy,
Family
Practice
Selioutski, Alexander,
Bennett, Peter H,
Family
Practice
Zelenko, Vladimir,
Family
Practice
McIntyre, Sophia L.,
Page 168 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Monticello
New Hartford
New York
The Discovery Health Center
606 Old Route 17
Monticello, NY 12701-7013
(845) 707-8530
Faxton-St. Luke's
Healthcare/Adirondack Community
Physicians - Washington Mills Medical
Office
3946 Oneida Street
New Hartford, NY 13413-9702
(315) 624-8300
139 Medical Facility, PC
3418 Broadway, 2nd floor
New York, NY 10031-7408
(212) 283-2099
Pediatrics
Gill, Amarjit S,
Olasin, Regina Flynn,
Moravia
Family Health Network of CNY, Inc. Moravia Health Center
97 Main Street
Moravia, NY 13118
(315) 497-9066
Nurse
Practitioner
Stormann, Nita,
Mount Kisco
Mount Kisco Medical Group - Main
Campus
90 & 110 South Bedford Road
Mount Kisco, NY 10549-3412
(914) 242-1493
Internal
Medicine
Gross, Jeffrey D.,
Mount Vernon
Mount Vernon Neighborhood Health
Center
107 West Fourth Street
Mount Vernon, NY 10550
(914) 699-7200
Infectious
Disease
Berger, Barbara,
Nanuet
Clarkstown Pediatrics - Nanuet
35 Smith Street
Nanuet, NY 10954-2914
(845) 623-7100
Family
Practice
Haque, Muhammad Misbah,
Pediatrics
Internal
Medicine
Haque, Muhammad Mazharul,
Brownstein, Lance,
Cavallaro, Diane,
New Paltz
IFH - Family Practice of New Paltz
279 Main St
New Paltz, NY 12561-1624
(213) 633-0800
Family
Practice
Balutowski, Marek,
Gastroenterology
Bleski, John Andrew,
Internal
Medicine
Sprague, Davis,
Physician
Assistant
Bakey, William,
New Rochelle
Pediatric Associates of Southern
Westchester
145 Huguenot Street, Suite 200
New Rochelle, NY 10801-5252
(914) 235-1400
Pediatrics
Meisler, Susan,
Pediatrics
Hamburgh, Monica E,
139 Medical Facility, PC
3418 Broadway, 2nd floor
New York, NY 10031-7408
(212) 283-2099
New Hartford
Burney, Naghma,
Hall, William,
New York
Hudson, Harriet P.,
Internal
Medicine
Internal
Medicine
A.T. Adebayo, MD PC
40 West 135th Street, Suite 1D
New York, NY 10037-2530
(212) 281-6403
Internal
Medicine
Adebayo, Adegboyega T,
Academy Medical Care PC
571 Academy Street
New York, NY 10034-4550
(212) 567-0550
Internal
Medicine
Acosta, Dalsia J,
Tallaj, Ramon Modesto,
Arthur Dove
85 West 118TH Street
New York, NY 10026-1903
(212) 876-8655
Internal
Medicine
Dove, Arthur R.,
Dove, Arthur R.,
Asian and Pacif Islander Coalition on
HIV/AIDS, Inc. APICHA
400 Broadway
New York, NY 10013-3519
(212) 334-6029
Internal
Medicine
Murayama, Robert,
Betances Health Center
280 Henry Street
New York, NY 10002-4816
(212) 227-8401
Page 169 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
Betances Health Center
280 Henry Street
New York, NY 10002-4816
(212) 227-8401
Charles B. Wang Community Health
Center, Inc. - Canal
268 Canal Street
New York, NY 10013-3599
(212) 379-6988
Community Health Project, Inc. DBA
Callen-Lorde Community Health
Center
356 W. 18th Street
New York, NY 10011-4401
(212) 271-7230
Family
Practice
Li, Brian,
Internal
Medicine
Internal
Medicine
Cheung, Barbara,
Kwok, Phyllis Mei-Hui,
Cellario, Maria,
Lee, Catherine,
Forouzesh, Avisheh,
Wu, Duchu,
Midwifery
Nurse
Practitioner
Turner, Leslie,
Nurse
Practitioner
Rubel, Laurie,
Bienvenido Fajardo, MD PC
2-12 Sickles Street
New York, NY 10040-1809
(212) 942-0808
Internal
Medicine
Fajardo, Bienvenido,
Brian Sumner M.D.
4 E. 88th St
New York, NY 10128-0509
(212) 570-9731
Internal
Medicine
Sze, Keen Fan Rebecca,
Charles B. Wang Community Health
Center, Inc. -Walker
125 Walker Street
New York, NY 10013-3599
(212) 226-8866
Pediatrics
Huang, Sherry Shao Fen,
Zhu, Sha,
Citicare, Inc.
154 West 127th Street
New York, NY 10027-3739
(212) 749-3507
General
Practice
Family
Practice
Braun, James F,
Community Healthcare Network Downtown Health Center
150 Essex Street
New York, NY 10002-2301
(212) 477-1120
Internal
Medicine
Acety, Gloria,
Community Healthcare Network Helen B. Atkinson Health Center
81 West 115th Street
New York, NY 10026-3138
(212) 426-0088
Pediatrics
Serrano, Ileana M.,
Covenant House NY
460 W 41st Street
New York, NY 10036-6898
(212) 613-0315
Pediatrics
Bhatti, Mohammad Bashir,
Heslop, Pauline,
Sumner, Brian M,
Pediatrics
Bukhman MD PC
208 East 116th Street
New York, NY 10029-1451
(917) 593-1101
Bencosme, Ursulina,
David A. Gomez
395 Fort Washington Ave, #6
New York, NY 10033-6741
(212) 928-1400
Family
Practice
Bukhman, Leonid,
Charles B. Wang Community Health
Center, Inc. - Canal
268 Canal Street
New York, NY 10013-3599
(212) 379-6988
Family
Practice
Yeung, Tsz-Yin,
City Care Family Practice PC
160 East 32nd Street, Suite 102
New York, NY 10016-6004
(212) 545-1888
Family
Practice
Chung, Bruce K.,
Community Health Project, Inc. DBA
Callen-Lorde Community Health
Center
356 W. 18th Street
New York, NY 10011-4401
(212) 271-7230
Internal
Medicine
Gomez, David Adolfo,
Decoo Medical
330 Wadsworth Avenue #1A
New York, NY 10040-4133
(646) 662-1034
Pediatrics
Decoo, Ydelfonso A.,
Family
Practice
Page 170 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
Diagnostic and Treatment Center
Upper Room AIDS Ministry ADHC
123-125 West 124th Street
New York, NY 10027-4920
(212) 531-1300
Empire State Medical Associates, P.C.
501 Main Street
New York, NY 10044-0190
(212) 832-2310
Heights Physician Medical Care, PC
616 W. 184th St.
New York, NY 10033-3908
(212) 927-5200
Internal
Medicine
Pediatrics
Resnick, Jack A.,
Heritage Healthcare
1727 Amsterdam Ave 4th Flr
New York, NY 10031-4611
(212) 862-0054
Family
Practice
Tolbert-Walker, Derrick,
Downtown Renal Medicine, P.C.
41 Elizabeth St, Suite 302
New York, NY 10013-4637
(212) 334-8108
Internal
Medicine
Nguyen, Dang D,
Dr. Juan Alba
29 WADSWORTH AVENUE, SUITE
#1B
New York, NY 10033-4823
(212) 928-1366
Family
Practice
Alba, Juan A.,
East Harlem Council for Human
Services Inc. - Boriken Neighborhood
Health Center
2253 3rd Avenue, 3rd Floor, 3rd Floor
New York, NY 10035-2206
(212) 289-6650
Pediatrics
Rao, Katikaneni,
Rao, Katikaneni,
Vazquez Aran, Annette,
Vazquez Aran, Annette,
East Side Primary Medical Care, P.C.
229 East 79th Street
New York, NY 10075-0866
(212) 737-2000
Internal
Medicine
Klein, Daniel P.,
Empire State Medical Associates, P.C.
501 Main Street
New York, NY 10044-0190
(212) 832-2310
First Step Pediatrics, P.C.
3421 Broadway, (Corner 139th)
New York, NY 10031-6885
(212) 283-6100
Castanos, Dilla M.,
Pediatrics
Nurse
Practitioner
Molina, Maria M,
Knibbs, Melida S,
Molina, Maria M,
Lok, Laura A,
Frank Babb, MD
870 St. Nicholas Ave #A8
New York, NY 10032-5215
(212) 926-6900
Hispaniola Medical Care, P.C.
19 Hamilton Place
New York, NY 10031
(212) 234-0800
Internal
Medicine
Internal
Medicine
Babb, Frank C,
Rosario, Francisco,
Grupo Medico Dominicano
629 West 185th Street
New York, NY 10033
(212) 928-3900
Housing Works - Cylar House Health
Center
743 East 9th Street, 2nd Floor
New York, NY 10009-5335
(212) 677-7999
Internal
Medicine
Hidalgo, Gregorio,
Valdivia, Martha Maria,
General
Practice
Weinstein, Jonathan,
Harlem Medical Associates
75 East 116th Street
New York, NY 10029-1150
(212) 828-7700
Housing Works - West Village Health
Center
320 West 13th Street, 4th Floor, 4th
Floor
New York, NY 10014-1200
(212) 645-8111
Internal
Medicine
Internal
Medicine
Issah, Abdul-Haki,
Poitevien, Vaty M,
Health Unlimited
40 Montgomery Street
New York, NY 10002-6514
(212) 233-5033
IFH - Amsterdam Family Health Cent
690 Amsterdam Avenue
New York, NY 10025-6901
(212) 865-4104
Family
Practice
Family
Practice
Charlotten, Kevin A,
Lurio, Joseph M.,
Zarkadas, Konstantinos,
Internal
Medicine
Page 171 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
IFH - Family Health Center at North
General
1879 Madison Ave
New York, NY 10035-2709
(212) 423-4500
Manhattan's Physician Group Flatiron District Office
21 East 22nd Street
New York, NY 10010
(212) 582-7117
Manhattan's Physician Group - Upper
East Side Office
215 East 95th Street
New York, NY 10128-4077
(212) 582-7117
Family
Practice
Family
Practice
Pediatrics
Kang, Elaine You mi,
Nain Ganatra, Anjna,
Internal
Medicine
Nguyen, James,
Manhattan's Physician Group - Upper
Manhattan Office
1865 Amsterdam Avenue at 152nd
Street
New York, NY 10031-1716
(212) 582-7117
Madhava, Valsa,
IFH - Phillips Family Practice
16 East 16th Street, 1st
New York, NY 10003-3105
(212) 206-5200
Family
Practice
Geer, Kamini,
MacNaughton, Honor,
Mumford, James M.,
Teets, Raymond,
Geriatric Medicine/Family
Practice
McCormick, Elizabeth T.,
McCormick, Elizabeth T.,
IFH - Sidney Hillman Family Practice
16 East 16th Street, 3rd Floor
New York, NY 10003-3105
(212) 924-7744
Family
Practice
Kang, Elaine,
Vidal, Angela,
Jose A Goris MD PC
435 Fort Washington Ave,, Suite 1C
New York, NY 10033-3506
(212) 923-1919
General
Practice
Tomback, Julie,
Internal
Medicine
Morgan, Julie Mason,
Manhattan's Physician Group - Lincoln
Square Office
154 West 71st Street
New York, NY 10023-4005
(212) 582-7117
Family
Practice
Granas, Andrew,
Miller, Alisha,
Manhattan's Physician Group Midtown
590 Fifth Avenue
New York, NY 10036-4702
(212) 582-7117
Spang, Rigmor Elizabeth,
Internal
Medicine
Itzkovitz, Ina,
Ramnarine, Jotir,
Pediatrics
Motiram, Savitri,
Manhattan's Physician Group Washington Heights Office
4337 Broadway
New York, NY 10033-2411
(212) 568-6300
Family
Practice
Khanderia, Vikrant,
Cardiovascular
Disease
Internal
Medicine
Egelman, Alan,
Pinkhasova, Tamara,
Manhattan's Physician Group - Upper
East Side Office
215 East 95th Street
New York, NY 10128-4077
(212) 582-7117
Zeitlin, Joseph,
Family
Practice
Kennedy, Mary jo,
Kennedy, Mary jo,
Goris, Jose A,
Internal
Medicine
Goris, Jose A,
Coleman, Mark M,
Manhattan's Physician Group Flatiron District Office
21 East 22nd Street
New York, NY 10010
(212) 582-7117
Mathew, Joel Jacob,
Rios, Carlos,
Rios, Carlos,
Medical Associates of Manhattan, P.C
121 East 60th Street
New York, NY 10022-1117
(212) 230-1133
Cardiovascular
Disease
Woldenberg, David H.,
Gastroenterology
Grant, Dov Z.,
Herman, Lawrence L.,
Medinova Physicians PLLC - Bronx
423 East 138th Street, Suite 201
New York, NY 10454-3014
Pediatrics
Page 172 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
Medinova Physicians PLLC - Bronx
423 East 138th Street, Suite 201
New York, NY 10454-3014
Mount Sinai Hospital - Faculty Practice
Associates Primary Care Associates
17 East 102nd Street, 4th Floor
New York, NY 10029-5204
(212) 241-6500
Mount Sinai Hospital - Visiting Doctor
Program
1 Gustave L. Levy Place, Box # 1216
New York, NY 10029
(212) 241-4141
Internal
Medicine
Geriatric Medicine/Family
Practice
Vega, Aida C,
Mccormick, Elizabeth T,
Mount Sinai Hospital - Jack Martin
Clinic
17 East 102nd Street, 3rd Floor
New York, NY 10087-7759
(212) 241-6500
Mccormick, Elizabeth T,
Family
Practice
Ravi, Venkata Ramana,
Melissa M Chan MD PLLC
70-72 Bowery, #505
New York, NY 10013-4607
(212) 343-2536
Internal
Medicine
Chan, Melissa,
Michael Correa MD P.C.
1302 Amsterdam Avenue
New York, NY 10027-4244
(212) 665-8012
Infectious
Disease
Fierer, Daniel S,
Forsyth, Beverly A.,
Internal
Medicine
Gaisa, Michael M.,
Correa, Michael,
Klein, Robert S.,
Mount Sinai Hospital - Adolescent
Health Center
312 East 94th Street
New York, NY 10087-7759
(212) 241-6500
Posada, Roberto,
Pediatric Emergency
Medicine
Borrego, Fernando J,
Steever, John B.,
Krauskopf, Katherine Anne,
Pediatrics
Sigel, Keith Magnus,
Nucci, Anne,
Sigel, Keith Magnus,
Mount Sinai Hospital - Faculty Practice
Associates Primary Care Associates
17 East 102nd Street, 4th Floor
New York, NY 10029-5204
(212) 241-6500
Pediatrics
Internal
Medicine
Kent, Jennifer A.,
Mensah, Doreen A.,
Nissim, Julie A.,
Patel, Vinisha J,
Rios, Carlos,
Huprikar, Shirish S.,
Wallach, Frances R.,
Internal
Medicine
Krauskopf, Katherine Anne,
Shust, Gail F.,
Mount Sinai Hospital - Med/Peds
1468 Madison Avenue, 4th floor
New York, NY 10087-7689
(212) 241-6500
Internal
Medicine
DeLaet, David E.,
Truglio, Joseph,
Pediatrics
Waite, Eva A,
Geriatric Medicine/Internal
Medicine
Hernandez, Cameron R,
Internal
Medicine
Hernandez, Cameron R,
Mack, Jessica Phylis,
Meah, Yasmin S,
Sheinfeld, Joanna B,
New York Presbyterian Hospital/Weil
Cornell Medical Center - Helmsley
Medical Tower Pediatrics Ambulatory
Care
505 E 70th Street, Helmsley Tower, 5t
Floor
New York, NY 10021-4872
(212) 746-3331
Adolescent Medicine and
Pediatric
Ipp, Lisa S,
Internal
Medicine
Abramson, Erika,
Maternal & Fetal
Medicine
Chasen, Stephen T,
Gelber, Shari Ellen,
Obstetrics &
Gynecology
Asfaw, Tirsit Shiferaw,
Gupta, Divya,
Holcomb, Kevin M,
Post, Robert C,
Rios, Carlos,
Prasad, Lona,
Stern, David T,
Taubel, Debra A,
Stern, David T,
Pediatrics
Page 173 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
New York Presbyterian Hospital/Weill
Cornell Medical Center - Helmsley
Medical Tower Pediatrics Ambulatory
Care
505 E 70th Street, Helmsley Tower, 5th
Floor
New York, NY 10021-4872
(212) 746-3331
New York Presbyterian Hospital/Weill
Cornell Medical Center - Helmsley
Medical Tower Women's Health
Services
505 E 70th Street, Helmsley Tower, 5th
Floor
New York, NY 10021-4872
(212) 746-3331
New York Presbyterian Hospital/Weil
Cornell Medical Center - Weill Corne
Internal Medicine Associates
505 E 70th Street, Helmsley Tower, 4t
Floor
New York, NY 10021-4872
(212) 746-3331
Pediatrics
Obstetrics &
Gynecology
Bostwick, Susan B,
Chang, Jane,
Dipace, Jennifer I,
Frank, Maura D,
Gorman, Allison G,
Green, Cori M,
Jaiswal, Arti C,
Jaiswal, Arti C,
Jirasevijinda, Thanakor,
Ono, Jenine G.,
Osorio, Snezana N,
Wilson-taylor, Melanie,
New York Presbyterian Hospital/Weill
Cornell Medical Center - Helmsley
Medical Tower Women's Health
Services
505 E 70th Street, Helmsley Tower, 5th
Floor
New York, NY 10021-4872
(212) 746-3331
Adolescent Medicine and
Pediatric
Ipp, Lisa S.,
Internal
Medicine
Abramson, Erika,
Maternal & Fetal
Medicine
Chasen, Stephen T,
Gelber, Shari Ellen,
Obstetrics &
Gynecology
Asfaw, Tirsit Shiferaw,
Gupta, Divya,
Holcomb, Kevin M,
Post, Robert C,
Prasad, Lona,
Taubel, Debra A,
Pediatrics
Bostwick, Susan B,
Chang, Jane,
Dipace, Jennifer,
Frank, Maura D,
Gorman, Allison G,
Green, Cori Meredith,
Jaiswal, Arti C.,
Jaiswal, Arti C.,
Jirasevijinda, Thanakorn,
Ono, Jennie G.,
Osorio, Snezana N.,
Wilson-taylor, Melanie,
New York Presbyterian Hospital/Weill
Cornell Medical Center - Weill Cornell
Internal Medicine Associates
505 E 70th Street, Helmsley Tower, 4th
Floor
New York, NY 10021-4872
(212) 746-3331
General
Practice
Santini, Diana L,
Internal
Medicine
Acinapura, Lauren,
Bishop, Tara Fernando,
Boutin-Foster, Carla,
Carrillo, Juan Emilio Emilio,
Charney, Pamela,
Cheriff, Adam David,
Chin, Harold,
Internal
Medicine
Cole, Curtis L,
Demopoulos, Byron P,
Demopoulos, Byron P,
Fein, Oliver T,
Ganz, Fran A.,
Gossey, John Travis,
Hall-Ross, Sandra,
Harris, Christina,
Hollenberg, James P,
Hupert, Nathaniel,
Kang, Yoon,
Logio, Lia S,
Martinez, Johanna,
Mele, Joseph P,
Meyer, Bailey Robert,
Morales, Susanna R,
Mushlin, Alvin I,
Pelzman, Fred N,
Press, Matthew J,
Roach, Keith W,
Roach, Keith W,
Savillo, Robert L,
Sirotin, Nicole Ashley,
Sirotin, Nicole Ashley,
Storey-johnson, Carol L,
Tung, Judy,
Weinstein, Luise L,
Wenderoth, Suzanne,
Wenderoth, Suzanne,
Winston, Ginger J,
Winston, Ginger J,
Nurse
Practitioner
Page 174 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
New York Presbyterian Hospital/Weill
Cornell Medical Center - Weill Cornell
Internal Medicine Associates
505 E 70th Street, Helmsley Tower, 4th
Floor
New York, NY 10021-4872
(212) 746-3331
New York Presbyterian Hospital/Weill
Cornell Medical Center - Wright
Center on Aging
1484 First Avensue, (78th Street)
New York, NY 10075-2304
(212) 746-3331
New York-Presbyterian
Hospital/Columbia University Medica
Center - Associates in Internal
Medicine (AIM) Practice
622 West 168th Street
New York, NY 10032-3720
(212) 305-7896
Nurse
Practitioner
Ang, Vivien Jean T,
HERBST, KENNETH,
Lubansky, Stasi A,
Geriatric Medicine/Internal
Medicine
Raman, Bharathi O,
Reid, Manney C,
Siegler, Eugenia L,
Internal
Medicine
Lerner, Barron H.,
Liebowitz, Richard,
Luchsinger, Jose A.,
NIKOLOVA, MILENA,
Internal
Medicine
Wei, Esther,
Adelman, Ronald D,
Shea, Steven J.,
New York Presbyterian Hospital/Weill
Cornell Medical Center - Weill Cornell
Internal Medicine Associates at Wright
1484 First Avenue, (78th Street), 2nd
Floor
New York, NY 10075-2304
(212) 746-3331
Delcarmen, Tessa marie Lopez,
Shea, Steven J.,
Lofaso, Veronica,
Taylor, Delphine S.,
Ouchida, Karin-elizabeth Michelle,
Rheumatology
Internal
Medicine
Acinapura, Lauren A,
Ganz, Fran A.,
Press, Matthew J,
Sirotin, Nicole Ashley,
Sirotin, Nicole Ashley,
Wenderoth, Suzanne,
Wenderoth, Suzanne,
Nurse
Practitioner
HERBST, KENNETH,
NIKOLOVA, MILENA,
Santos, Ryan,
New York Presbyterian Hospital/Weill
Cornell Medical Center - Wright
Center on Aging
1484 First Avensue, (78th Street)
New York, NY 10075-2304
(212) 746-3331
Geriatric Medicine/Internal
Medicine
Finkelstein, Emily S,
Lachs, Mark S,
Mehta, Sonal S,
Moran, Andrew E.,
Raik, Barrie L,
Ramsaroop, Sharda D,
Nurse
Practitioner
Mole, Deirdre A,
New York Primary Care Medicine PC
639 West 185th Street
New York, NY 10033-3102
(212) 568-6156
Family
Practice
Chabla, Juan,
New York-Presbyterian
Hospital/Columbia University Medical
Center - Associates in Internal
Medicine (AIM) Practice
622 West 168th Street
New York, NY 10032-3720
(212) 305-7896
Internal
Medicine
Barr, Robert G.,
Barr, Robert G.,
Chang, Nancy M.,
Fiebach, Nicholas H.,
Gowda, Deepthiman K.,
Wiesendanger, Margrit,
New York-Presbyterian
Hospital/Columbia University Medica
Center - Audubon Practice
21 Audubon Avenue
New York, NY 10032-4655
(212) 305-7896
Pediatrics
Hofstetter, Annika M.,
Kostacos, Connie H.,
Krause, Margaret C.,
Niketakis-Wujciak, Valerie J.,
Pfeffer, Betsy S.,
Soren, Karen,
Stockwell, Melissa Scharf,
Thomas, Omolara A.,
Timko, Nikki L.,
Williams, Laurence L.,
New York-Presbyterian
Hospital/Columbia University Medica
Center - Broadway Practice
4781-83 Broadway
New York, NY 10034-4915
(212) 305-7896
Jones, Deborah P.,
Emergency
Medicine
Kahn, Nancy F.,
Garcia, Johanny M.,
Page 175 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
New York-Presbyterian
Hospital/Columbia University Medical
Center - Broadway Practice
4781-83 Broadway
New York, NY 10034-4915
(212) 305-7896
New York-Presbyterian
Hospital/Columbia University Medical
Center - Rangel Practice
534 West 135th Street
New York, NY 10031-8644
(212) 305-7896
NYC HHC - Metropolitan Hospital
Center
1901 First Avenue
New York, NY 10029-7404
(212) 423-6262
Internal
Medicine
Internal
Medicine
Altman, Monica,
Pavon, Alex R.,
Pediatrics
Pediatrics
Infectious
Disease
Beutler, Heidi E.,
Berger-Jenkins, Evelyn,
Kadeishvili, Khatuna,
Lane-Bradley, Mariellen M.,
Cunningham, Hetty,
Lenox, Theodore,
Rausch, John C.,
Winkfield-Royster, Tawana K.,
Robbins-Milne, Laura E.,
New York-Presbyterian
Hospital/Columbia University Medical
Center - Washington Heights Family
Health Center
575 West 181st Street, 575 181st Street
Clinic 2nd Flr
New York, NY 10033-5002
(212) 305-7896
Internal
Medicine
New York-Presbyterian
Hospital/Columbia University Medical
Center - Farrell Family Medicine
Practice
610 West 158th Street
New York, NY 10032-7104
(212) 305-7896
Family
Practice
Bermon, Nancy A.,
Dempster, Joanne S.,
Fink, Mary J.,
Irani, Dinaz,
Jani, Beena H.,
Paladine, Heather L.,
Richman, Marion E.,
Softness, Anita M.,
Swica, Yael,
Younge, Richard G.,
Nurse
Practitioner
Hall, Elizabeth K.,
New York-Presbyterian
Hospital/Columbia University Medical
Center - Rangel Practice
534 West 135th Street
New York, NY 10031-8644
(212) 305-7896
Internal
Medicine
Gaines, Henry D.,
General
Practice
Lam, Lily,
Ariyibi, Oluyemisi Omotola,
Caithamer, Tamara M,
Gonzalez, Guadalupe,
Osvath, Judit,
Obstetrics &
Gynecology
Internal
Medicine
Broussard, Andre,
Fleck, Elaine M.,
Pediatric Infectious
Disease
Getaneh, Asqual,
Pediatrics
Caddle, Steven I.,
Bamji, Mahrukh,
Pathak, Indu,
Catallozzi, Marian,
Pediatric
Rheumatology
Gissen, Melanie,
Inamdar, Sarla,
Matiz, Luz A.,
Pediatrics
McCord, Mary M.,
Cumps, Evelyne,
Meyer, Dodi D.,
Diaz, Rita,
Saslaw, Minna M.,
Frank, Judith,
Sirota, Dana R.,
Gucalp, Canan,
North Manhattan Pediatrics
2311 Adam Clayton Powell Jr. Blvd.,
Ground Flr.
New York, NY 10030-2663
(212) 234-1112
Henriquez, Roger,
Pediatrics
Cariaso, Jerome Abellana,
NYC HHC - Metropolitan Hospital
Center
1901 First Avenue
New York, NY 10029-7404
(212) 423-6262
Mack, Jason,
NYC HHC - Bellevue Hospital Center
Primary Care Services
462 1st Avenue
New York, NY 10016-9196
(212) 562-7691
Family
Practice
Rolita, Lydia,
Page 176 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
NYC HHC - Bellevue Hospital Center Primary Care Services
462 1st Avenue
New York, NY 10016-9196
(212) 562-7691
NYC HHC - Harlem Hospital Center
Ambulatory Care Services
506 Lenox Avenue
New York, NY 10037-1802
(212) 939-8167
NYC HHC Renaissance Healthcare
Network - Lenox Health Center
115 West 116th Street
New York, NY 10026-2676
(212) 961-5740
Geriatric Medicine/Internal
Medicine
Family
Practice
Pediatrics
Manheimer, Eric,
Zafar, Naureen,
Internal
Medicine
Infectious
Disease
Kyanko, Kelly A,
Serlin, Michael H.,
Moazen, Laleh,
Zeana, Cosmina B,
NYU Langone Medical Center / Facul
Group Practice
530 First Avenue, Suite 7B
New York, NY 10016-6402
(212) 263-0433
Truncali, Andrea,
Internal
Medicine
Pediatrics
Dreyer, Benard,
Graves, Rhonda,
Palusci, Vincent,
Rheumatology
Bryan, Craigh K,
Kim, Michael I.,
Thiagarajah, Yogasaundari,
Pediatrics
Nweze, Ngozi C,
Qayyum, Basit,
Silvera, Marguerite A,
NYC HHC - Gouverneur Healthcare
Services
227 Madison Street
New York, NY 10002-7537
(212) 238-7685
NYC HHC Gouverneur Healthcare
Services - Roberto Clemente Family
Guidance Center
540 East 13th Street
New York, NY 10009-3519
(212) 387-7400
Internal
Medicine
Goodrich, James T.,
Lee, Hung-Sam,
Shi, Shelley Xiaoping,
Song, Min,
Xu, Min,
Pediatrics
Ly, Kelly Kim,
Santiago, Felix E.,
NYC HHC - Harlem Hospital Center
Ambulatory Care Services
506 Lenox Avenue
New York, NY 10037-1802
(212) 939-8167
Endocrinology, Diabetes &
Metabolism
Cobbs, Ronald K.,
Family
Practice
Family
Practice
Matos, Ana Lee,
NYC HHC Renaissance Health Care
Network - Sydenham Health Center
264 West 118th Street
New York, NY 10026-1620
(212) 932-6500
Williams-Wilson, Tumika,
Family
Practice
Pate, Denise,
Szerencsy, Adam C,
Szerencsy, Adam C,
Internal
Medicine
Emert, Roger Ira,
Kalik, Lisa Joan,
Pediatrics 2000
600 W. 150th St., Apt. 4
New York, NY 10031-2428
(212) 694-2000
Pediatrics
Korin, Daniel E,
Pediatrics 2000 III PLLC
135 Haven Avenue
New York, NY 10032-1131
(212) 923-5500
Pediatrics
Aponte Rodriguez, Jose Tomas,
Dove, Arthur Renner,
Premier Healthcare Diagnostic and
Treatment Center - Main
460 W 34th St., 9th Floor
New York, NY 10001-2320
(212) 273-6378
White, Handel G.A.,
Gastroenterology
Internal
Medicine
Dove, Arthur Renner,
Pediatrics
Wilson, Tumika K.P.,
NYC HHC Renaissance Healthcare
Network - Lenox Health Center
115 West 116th Street
New York, NY 10026-2676
(212) 961-5740
Garcia, Arlene,
Project Renewal, Inc. - Fort
Washington
651 West 168th Street
New York, NY 10032-3704
(212) 543-4507
Page 177 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
Project Renewal, Inc. - Fort
Washington
651 West 168th Street
New York, NY 10032-3704
(212) 543-4507
St. Luke's Roosevelt Hospital Center,
Center for Comprehensive Care - St.
Luke's Division
1111 Amsterdam Avenue, Stuyvesant
7Fl
New York, NY 10025
(212) 523-6050
The ChildrenΓÇÖs Aid Society
Milbank Medical Group
14-32 West 118th Street
New York, NY 10026-1998
(212) 369-8339
Internal
Medicine
Glicksman, Roslynn S,
Project Renewal, Inc. - MedVan
8 East 3rd Street (satellite)
New York, NY 10017-3301
(212) 529-4781
Family
Practice
Infectious
Disease
Ferris, David Craig,
Ferris, David Craig,
Internal
Medicine
Pediatrics
Nishawala, Amish N,
The Mount Sinai Hospital - Internal
Medicine Associates
17 E 102nd Street, 7th Floor
New York, NY 10029-5204
(212) 824-7539
Fefer, Jose Jacobo,
Internal
Medicine
Zoubtsova, Minzalia,
Gandhi, Vani,
Adler, Rhodes S,
Project Renewal, Inc. - Third Street
8 East 3rd Street
New York, NY 10003-8908
(212) 529-4781
Suh, Jin,
Asgary, Ramin,
Pediatrics
Bernstein, Richard Howard,
Arpadi, Stephen,
Bickell, Nina A,
St. Luke's Roosevelt Hospital Center,
Center for Comprehensive Care - West
17th Street Clinic
230 West 17th Street, 6th Floor
New York, NY 10011-5325
(212) 523-6050
Blohm, Ana T,
Family
Practice
Brownlow, Nathaniel,
Ramon A. Moquete MD PC Heights
Medical Office
248 Audubon Ave. Ste 1
New York, NY 10033-6301
(212) 568-6972
Internal
Medicine
Moquete, Ramon A,
St. Luke's Roosevelt Hospital Center,
Center for Comprehensive Care Roosevelt Division
1000 Tenth Avenue, Rm 1G-133
New York, NY 10019
(212) 523-6050
Internal
Medicine
Gonzalez, Efrain,
Paredes, Josephine,
Psevdos, Jr., George,
Tsveniashvilli, Lia,
Family
Practice
Douglas, Orin Albert,
Infectious
Disease
Briones, Alan S,
Chang, Dennis T.,
Dayal, Anju S.,
Dayal, Anju S.,
DeCherrie, Linda V,
Dunn, Andrew S,
Edelman, Laurie B,
Federman, Alex D,
Demidont, Adrian C,
Helenius, Ira M,
Demidont, Adrian C,
Helenius, Ira M,
Internal
Medicine
Horowitz, Carol R,
Bailey, Lloyd,
Dalton, Patrick F,
Salinas, Jean-louis,
Salinas, Jean-louis,
Stages Pediatrics, P.C.
128 Fort Washington Avenue, Suite IJ
New York, NY 10032-4735
(212) 923-5050
Jervis, Ramiro,
Kannry, Joseph L,
Korenstein, Deborah R,
Krauskopf, Katherine Anne,
Krauskopf, Katherine Anne,
Lin, Jenny J.,
Manini, Corinna C,
Markoff, Brian A.,
Pediatrics
Mazurkiewicz, Rebecca A.,
Gamundi-Joaquin, Rosa E,
Mensah, Doreen A.,
Pena, Clotide D,
Muller, David,
Nissim, Julie A,
Page 178 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
The Mount Sinai Hospital - Internal
Medicine Associates
17 E 102nd Street, 7th Floor
New York, NY 10029-5204
(212) 824-7539
The Mount Sinai Hospital- Greenwich
Village
275 7th Avenue, 12th Floor
New York, NY 10001-6708
(212) 604-1701
Twilight Medical
64 Nagle Avenue
New York, NY 10040-1406
(212) 544-8800
Internal
Medicine
Infectious
Disease
Peccoralo, Lauren A.,
Johnson, Livette,
Ponieman, Diego A.,
Internal
Medicine
Reyna, Maria A,
Ripp, Jonathan A,
Russo, Stefani,
Sigel, Keith Magnus,
Sigel, Keith Magnus,
Smith, Kristofer L,
Soriano, Theresa A,
Johnston, Barbara E,
Klein, Oscar,
Lugo, Luz A,
Rapaport, Steven Isaiah,
Siegal, Frederick P,
Turett, Glenn S,
Family
Practice
Gianoukakis, Nicholas,
Union Health Center
275 Seventh Avenue, 4th Floor
New York, NY 10001-6757
(212) 812-3562
Family
Practice
An, Huanlin,
Dyksterhouse, Robert Max,
Internal
Medicine
Stulman, James K,
The Mount Sinai Hospital- Pediatrics
1468 Madison Avenue, 4th floor
New York, NY 10087-7689
(212) 241-6500
Thomas, David C. C.,
Pediatrics
Vasiliadis, Athanasia S,
Boguski-Filgueira, Lisa F.,
Wajnberg, Ania,
Brody, Erica L.,
Yamada, Erika,
Edwards, Sharon,
Zhang, Meng,
Forman, Joel A.,
The Mount Sinai Hospital- Geriatrics
1440 Madison Avenue
New York, NY 10029-6508
(212) 241-6500
Gault, Allison T.,
Internal
Medicine
Gribetz, Irwin,
Chitu, Carmen,
Ho, Wing Wah,
Vidya Valada Internal Medicine P.C.
800 A 5th Ave, Suite 301
New York, NY 10065-7215
(212) 755-0037
Stern, David T,
Stern, David T,
Geriatric Medicine/Family
Practice
Kirkham, Elizabeth Ann,
Rosen, Carolyn M.,
Meier, Diane Eve,
Vangeepuram, Nita,
Geriatric Medicine/Internal
Medicine
Zylbert, Susan L.,
Chai, Emily J,
Hernandez, Cameron R,
Internal
Medicine
Trinity Medical Group
104 Vermilyea Ave Suite B1
New York, NY 10034-3209
(212) 544-8854
Pediatrics
Chang, Christine,
Ayanruoh, Steve T,
Goldberg, Gabrielle R,
Twilight Medical
64 Nagle Avenue
New York, NY 10040-1406
(212) 544-8800
Hernandez, Cameron R,
Kelley, Amy Steves,
Lim, Betty B.,
Sherman, Frederick T,
Family
Practice
Chen, Abigail R,
Tewari, Shalini,
University Medical Practice
Associates - 1090-4 - (Affiliated with
Continuum Health Partners)
1090 Amsterdam Avenue, Floor 4, 4TH
FLOOR
New York, NY 10025-1737
(212) 315-0144
Internal
Medicine
Valada, Vidya,
Village Diagnostic & Treatment Cente
121A West 20th street
New York, NY 10014-3600
(212) 337-9290
Internal
Medicine
Hitzeman, Lawrence G.,
Salinas, Jean-Louis,
Salinas, Jean-Louis,
Sanjana, Veeraf M.,
Page 179 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
New York
New York
New York
Village Diagnostic & Treatment Center
121A West 20th street
New York, NY 10014-3600
(212) 337-9290
Weill Cornell Medical Associates - East
Pediatrics
211 East 80th Street
New York, NY 10075-0531
(646) 962-7300
William F. Ryan Community Health
Network - Ryan - NENA Community
Health Center
279 East 3rd Street
New York, NY 10009-7813
(212) 477-8513
Nurse
Practitioner
Pediatrics
Moberg, Kenneth Allen,
Schwabe, Audrey Olivera,
Paek, Changhee,
Weill Cornell Medical Associates West Adult
12 West 72nd Street
New York, NY 10023-4163
(646) 962-7800
Samuels, Michelle K.,
Washington Heights Pediatrics- 149th
Street
600 W. 149th Street
New York, NY 10031-3211
(212) 923-8452
Pediatrics
Checo, Yuderqui,
Washington Heights PediatricsBroadway
4260 Broadway
New York, NY 10033-3726
(212) 923-8451
Pediatrics
Barbery, Maria-Pilar,
Weill Cornell Medical Associates - East
Adult
211 East 80th Street
New York, NY 10075-0531
(646) 962-7300
Internal
Medicine
Altman, Monica,
Baker, Jason C.,
Fenyves, Paul Jason,
LaScalea, Keith A.,
Lash-Dardia, Meredith F.,
Stracher, Adam R.,
Weill Cornell Medical Associates - East
Pediatrics
211 East 80th Street
New York, NY 10075-0531
(646) 962-7300
Lyman, Andrea,
Internal
Medicine
Langdon, Christina T,
Internal
Medicine
Pediatrics
Baskin, Cindy H.,
William F. Ryan Community Health
Network - Ryan/Chelsea-Clinton
Community Health Center
645 10th Avenue
New York, NY 10036-2904
(212) 484-5800
Hoffman, Margaret L.,
Kraft, Ronald B.,
Painter, Lucy N.,
Weill Cornell Medical Associates West Pediatrics
12 West 72nd Street
New York, NY 10023-4163
(646) 962-7800
Internal
Medicine
Rosenberg, Eric Adam,
Pediatrics
Chu, May Kaitlyn,
Hiltebeitel, Carolyn B.,
Svensson, Mia H.,
William F. Ryan Community Health
Center
110 West 97th Street,
New York, NY 10025-6450
(212) 316-7906
Internal
Medicine
Metroka, Craig E,
Nurse
Practitioner
Gniadek, Sarah J,
Pediatrics
Pediatrics
Gandhi, Gargi G.,
Gidwani, Sonia,
Ogen-wolgemuth, Eric,
Ramos-Ramirez, Bertha,
Rowe, Chloe E.,
General
Practice
Tiyyagura, Sripriya,
Internal
Medicine
Gotlin, Andrew D.,
Obstetrics &
Gynecology
Wahl, Eric M.,
Zoe Liu Medical Office PC
39 East Broadway Suite 307, Suite 307
New York, NY 10002-6804
(212) 766-8168
Internal
Medicine
Liu, Zoe zhechun,
Nephrology
Zhou, Eric Yuanchun,
Newburgh
The Greater Hudson Valley Family
Health Center
147 Lake Street, The Kaplan Family
Pavilion
Newburgh, NY 12550-5263
(845) 563-8000
Internal
Medicine
Castro, Jonathan Manuel perez,
Wolf, Janice L.,
Page 180 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Newburgh
No Babylon
North Collins
The Greater Hudson Valley Family
Health Center
147 Lake Street, The Kaplan Family
Pavilion
Newburgh, NY 12550-5263
(845) 563-8000
Queens Long Island Medical Group
P.C.-Babylon Medical Office
300 Bay Shore Road
No Babylon, NY 11703-2823
Tri-County Family Medicine
Associates, PC
10744 Main Street
North Collins, NY 14111
(716) 337-3010
Pediatrics
Krotz, William C,
Family
Practice
Bernstein, Alan Barry,
Mazid, Mohammad N,
Anderson, Dana P,
Niagara Falls
Internal
Medicine
Wild, James E,
Goswamy, Ichcha,
Kaleida Health - Geriatric Center of
WNY
445 Tremont St
North Tonawanda, NY 14120-0750
(716) 690-2410
Niagara Family Medicine Associates,
P.C.
7300 Porter Road
Niagara Falls, NY 14304-5716
(716) 298-5862
Family
Practice
Rao, Jhansi L,
Schmelzer, Barbara D,
North Tonawanda
Family
Practice
Pediatrics
Dyster, John G,
Thallur, Seetha D,
Internal
Medicine
Dyster, Melvin B,
North Babylon
Garbarino, Kenneth,
Komin, Maria J,
Dr. Anthony Cipolla
1350 Deer Park Avenue
North Babylon, NY 11703
(631) 422-3200
Norwich
Reubens, Harold V,
Singh, Ashok,
Singh, Sonjoy,
Zorich, Daniel W,
Ronald J. Clarke, D.O.
6950 Williams Road
Niagara Falls, NY 14304-3025
(716) 297-1027
Mcinerney-lopez, Regina Imelda,
Internal
Medicine
Cipolla, Anthony,
Family
Practice
Jason Hitner, MD - Allied Pediatrics of
New York, PLLC
754 Deer Park Avenue
North Babylon, NY 11703-4307
(516) 945-3032
Clarke, Ronald J,
Pediatrics
TMO Medical
4515 Military Road
Niagara Falls, NY 14305-1335
(716) 236-7880
Hitner, Jason B,
Internal
Medicine
Jason Hitner, MD ado Allied Pediatrics
of New York, PLLC
925 Deer Park Avenue
North Babylon, NY 11703-3808
(631) 661-1200
Orszulak, Todd M,
Pediatrics
No Babylon
Hitner, Jason B.,
Queens Long Island Medical Group
P.C.-Babylon Medical Office
300 Bay Shore Road
No Babylon, NY 11703-2823
North Collins
Family
Practice
Kamineni, Bharathi,
Tri-County Family Medicine
Associates, PC
10744 Main Street
North Collins, NY 14111
(716) 337-3010
Bassett Healthcare Network - Norwich
Health Center
55 Calvary Drive
Norwich, NY 13815-1032
(607) 336-6362
Family
Practice
Cohen, Scott A,
Greggo, Jennifer,
Holmes, Grace D,
Holmes, Thomas R,
Ticknor, Arthur Sterling,
UHS CMH - Internal Medicine
179 North Broad Street
Norwich, NY 13815-1019
(607) 337-4040
Nurse
Practitioner
Saber, Kendall,
NYC
Polina Liss MD PLLC
305 Second Ave, Suite 4
NYC, NY 10003-2746
(212) 375-0005
Internal
Medicine
Page 181 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
NYC
Olean
Orchard Park
Polina Liss MD PLLC
305 Second Ave, Suite 4
NYC, NY 10003-2746
(212) 375-0005
Olean Medical Group, LLP
535 Main Street
Olean, NY 14760-1500
(716) 376-2247
Buffalo Medical Group - Orchard Par
3345 Southwestern Blvd.
Orchard Park, NY 14127-1506
(716) 630-1026
Internal
Medicine
Internal
Medicine
Family
Practice
Liss, Polina,
Michotek, Michael Joseph,
Caparaso, Darren M.,
Oakfield
Oehman, Donna,
O'Keeffe, David A.,
Alan J. Barcomb, MD
41 Main Street
Oakfield, NY 14125
(585) 948-8077
Pediatrics
Internal
Medicine
Family
Practice
Barcomb, Alan James,
Oceanside
South Nassau Family Medicine
196 Merrick Road
Oceanside, NY 11572-1420
(516) 255-8415
Family
Practice
Hanna, Emad S.,
Ippolito, Scott,
Porter, Russell,
Roethel, Linda,
Sandowski, Samuel,
Sokolsky, Lawrence,
Olean
Munir A Salmi M.D.
2223 W. State Street, Suite 114
Olean, NY 14760-1938
(716) 372-8660
Internal
Medicine
Salimi, Munir Ahmed,
Olean Medical Group, LLP
535 Main Street
Olean, NY 14760-1500
(716) 376-2247
Family
Practice
Thangathurai, Josephine,
Internal
Medicine
Stoica, Ana Maria,
Southern Tier Community Health
Center - Olean Site
500 Main Street
Olean, NY 14760-1514
(716) 375-7500
Family
Practice
Anderson, Galvin D,
Roosa, Christina Patricia,
Zimmermann, Annmarie,
Oneonta
Bassett Healthcare Network - Oneonta
125 Main Street
Oneonta, NY 13820-2531
(607) 433-1790
Internal
Medicine
Landry, Gerald A,
Levenstein, Michael,
Palumbo, Deanna,
Walker, James W,
Pediatrics
Blasco, Elizabeth,
Brane, Monica,
Mooney, Lisa Koehl,
Orchard Park
Bonnie Sunday M.D.
3065 Southwestern Blvd., Suite 100
Orchard Park, NY 14127
(716) 675-7443
Family
Practice
Sunday, Bonnie,
Cellino, Michael R.,
Jobes, Gregory A.,
Kim, Mark Y.,
Notaro, John C.,
Carrow Street Pediatrics
24 Carrow Street
Orchard Park, NY 14127-2604
(716) 662-3443
Pediatrics
Kita, Joseph T.,
Reimer, Tara Lyn,
Wegman, Theresa Marie,
Weiss, Steven Daniel,
Jennifer & Robert Erickson, DO
3671 Southwestern Blvd., Suite 213
Orchard Park, NY 14127
(716) 662-7008
Family
Practice
Erickson, Jennifer N,
Erickson, Robert J,
O'Connor Medical Group
3075 Southwestern Blvd.
Orchard Park, NY 14127-1236
(716) 712-0490
Internal
Medicine
Oconnor, Gale,
Oconnor, Terence,
Orchard Park Family Practice, PC
3680 Eggert Road
Orchard Park, NY 14127-1963
(716) 209-6000
Family
Practice
Page 182 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Orchard Park
Orchard Park
Ozone Park
Orchard Park Family Practice, PC
3680 Eggert Road
Orchard Park, NY 14127-1963
(716) 209-6000
Southwestern Medical Associates
3671 Southwestern Blvd, Suite 101
Orchard Park, NY 14127
(716) 972-0279
Family
Practice
Internal
Medicine
Medisys Family Care Center - Ozone
Park
91-20 Atlantic Avenue
Ozone Park, NY 11417
(718) 641-8207
Burke, Amy J.,
Whalen, Guy Michael,
Caldera, Aura,
Degrave, Thomas E.,
Pediatrics
Panama
Degrave, Thomas E.,
Goodman, Gail,
Miller, Deborah F.,
Western New York Pediatric
Associates, LLP
5800 Big Tree Road
Orchard Park, NY 14127-4116
(716) 662-7337
Family Health Medical ServicesPanama
1 West Main Street
Panama, NY 14767-9709
(716) 782-2685
Ruh, Jennifer M.,
Ruh, Richard R.,
Orchard Park Pediatrics
3725 N. Buffalo Road, Suite A
Orchard Park, NY 14127-185
(716) 662-2300
Pediatrics
Bowman, Lori A,
Conley, Danielle M,
Dyson-budzinski, Kathleen Marie,
Schreck, Frank T.,
Quaker Medical Associates
3560 North Buffalo Road
Orchard Park, NY 14127-1934
(716) 662-8510
Internal
Medicine
Carr, Anna Marie,
Poppenberg, Kristin Elizabeth,
Wandass, Joseph Henry,
Wymer, Dana Lynn,
Pediatrics
Deberny, David Robert,
Mezzadri, Francis Charles,
Southwestern Medical Associates
3671 Southwestern Blvd, Suite 101
Orchard Park, NY 14127
(716) 972-0279
Pediatrics
Cooley-Guth, Carol M.,
Lauria, Gerald A.,
Mattimore, Colleen A.,
Miller, Jennifer E.,
Schamann, Mary E.,
Szumigala, Maxine E.,
Ossining
Open Door Family Medical Center Ossining
165 Main Street
Ossining, NY 10562-4702
(914) 941-1263
Family
Practice
Meyer, Patricia J.,
Rovito, Lucy V.,
Owego
Family Practice - Owego - Our Lady of
Lourdes Memorial Hospital, Inc.
500 5th Avenue
Owego, NY 13827
Urology
Wilson, Heidi Renee,
Pediatrics
Family
Practice
Persia, Albert,
Riedesel, Jeremy,
Selioutski, Alexander Z,
Preventive
Medicine
Berke, Robert,
Peekskill
Hudson River HealthCare, Inc. Peekskill
1037 Main Street
Peekskill, NY 10566-2913
(914) 734-8800
Internal
Medicine
Velez-Phillips, Madeline,
Pediatrics
Brescia, Andrea M.,
Sanchez, Angela,
Penfield
University of Rochester Medical Cente
Primary Care Network / Penfield
Family Medicine
Penfield Crossings Medical Center,
2212 Penfiled Road, Suite 100
Penfield, NY 14526
(585) 598-8505
Wnek, Amy Lynn,
UHS - Primary Care Owego
502 Fifth Avenue
Owego, NY 13827
(607) 687-0350
Family
Practice
Family
Practice
Momot, Christopher D,
Vakante-jankovic, Diana,
Kwiatkowski, David E,
Williams, David D,
Page 183 of 362
Endocrinology, Diabetes &
Metabolism
Family
Practice
Renner, Debra,
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Penfield
Peru
Plainville
University of Rochester Medical Center
Primary Care Network / Penfield
Family Medicine
Penfield Crossings Medical Center,
2212 Penfiled Road, Suite 100
Penfield, NY 14526
(585) 598-8505
Adirondack Medical Practice
3384 Route 22
Peru, NY 12972
(518) 643-8008
Pediatric Health Associates a Division
of Allied Pediatrics of New York, PLL
100 Manetto Hill, Suite 302
Plainville, NY 11747
(516) 931-7337
Family
Practice
Williams, David D,
Internal
Medicine
Weiss, Jerome A,
Penn Yan
FLH Medical, PC - Keuka Health Care
418 North Main Street
Penn Yan, NY 14527
(315) 531-2944
Internal
Medicine
De witt, Eleanor Hinds,
FLH Medical, PC - Pre-Emption
Family Medicine
1930 Pre-Emption Road
Penn Yan, NY 14527
(315) 536-0086
Family
Practice
Anderson, Robert,
Perry
Letchworth Family Medicine, P.C.
3 Handley Street
Perry, NY 14530-1219
(585) 237-3227
Family
Practice
Physician
Assistant
Pediatrics
Ahern, Elizabeth Rose,
Chalson, Margaret,
Hinson, Robin Marie,
Fierstein, Kerry,
Peru Family Health Center
9 Elm St
Peru, NY 12972
(518) 643-7038
Goldstein, Brian,
Family
Practice
Keschner, Lori,
Lippman, Nancy,
Read, Rosemarie,
Samuel, Stewart,
Smith, David W,
Plattsburgh
Pine Plains
Adirondack Primary Care
210 Cornelia Street, Suite 404
Plattsburgh, NY 12901
(518) 562-7337
Hudson River HealthCare, Inc. - Pine
Plains
11 Pilch Street, P.O. Box 527
Pine Plains, NY 12567-5657
(518) 398-1100
Internal
Medicine
Walker, David A.,
Plainview
Children's Medical Group ado Allied
Pediatrics of New York, PLLC Plainview
1171 Old Country Road
Plainview, NY 11803-5035
(516) 931-4343
Pediatrics
Capilupi, Thomas,
Cohen, Joseph Brian,
Fell, Brad E.,
Logan, Rodney D,
Hogan, Timothy,
Zerbe, Daniel L,
Kahan, Joel L.,
Peru
Millington-Capilupi, Deborah J.,
Adirondack Medical Practice
3384 Route 22
Peru, NY 12972
(518) 643-8008
Plainville
Internal
Medicine
Pediatric Health Associates a Division
of Allied Pediatrics of New York, PLLC
100 Manetto Hill, Suite 302
Plainville, NY 11747
(516) 931-7337
Politi, Anthony Francis,
Pediatrics
Internal
Medicine
Wolczynski, Zbigniew,
CVPH Health Care Center
206 Cornelia Street, Suite 201
Plattsburgh, NY 12901
(518) 562-7989
Family
Practice
Gilchrist, Wendy A,
Heintz, Steven G,
Internal
Medicine
Brena, Anne E,
Frost, Richard B,
CVPH-Great North Woods Medical
23 Hammond Lane
Plattsburgh, NY 12901
(518) 562-7989
Family
Practice
De lucas, James L,
Internal
Medicine
Guile, Alison J.,
Page 184 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Plattsburgh
Poughkeepsie
Pulaski
Kristin Ambler, MD
128 Boynton Ave
Plattsburgh, NY 12901
(518) 324-3399
Frank C. Pedevillano, D.O.
21 Springside Ave
Poughkeepsie, NY 12603-1837
(845) 454-0244
Internal
Medicine
Family
Practice
Northern Oswego County Health
Services, Inc.
61 Delano Street
Pulaski, NY 13142-1400
(315) 298-6569
Ambler, Kristin,
Pedevillano, Frank C.,
Lake City Primary Care
16 Degrandpre Way, Suite 300
Plattsburgh, NY 12901
(518) 561-5300
Hudson River HealthCare, Inc. Atrium
1 Webster Avenue, Suite 202
Poughkeepsie, NY 12601-1362
(845) 483-5700
Family
Practice
Desmangles, Gilbert,
Orkin, Tracy S,
Plattsburgh Pediatrics
151 Bridge St
Plattsburgh, NY 12901
(518) 561-1860
Nurse
Practitioner
Passino, Martha Kathleen,
Stephen Guy Hausrath, MD
210 Cornelia Street, Suite 202
Plattsburgh, NY 12901
(518) 563-4253
Internal
Medicine
Hausrath, Stephen Guy,
William Pelton, MD
210 Cornelia Street, Suite 305
Plattsburgh, NY 12901
(518) 561-1122
Internal
Medicine
Family
Practice
Labrenz, Bryon E.,
General
Practice
Purchase
WESTMED Medical Group - 3020
Westchester Avenue
3020 Westchester Ave, 2nd Floor
Purchase, NY 10577-2579
(914) 831-4100
Internal
Medicine
Feuer, Barry H,
Levat, Jay M,
Poughkeepsie Medical Group
375 Hooker Ave
Poughkeepsie, NY 12603
(845) 454-5000
Pelebecky, George W,
Internal
Medicine
Hoffman, Daniel P,
Nephrology
Yang, Shu R.,
Thomas S. Robinson MD
21 Springside Avenue
Poughkeepsie, NY 12603-1837
(845) 485-2720
Sharma, Nitya,
Queens
Amazing Medical Service P.C
110-16 Sutphin Blvd., 1st Floor
Queens, NY 11435-5716
(718) 526-7600
Internal
Medicine
Dairo, Oluwatoyosi E.,
Better Care, Inc
25-92 Steinway Street
Queens, NY 11103-3767
(718) 721-6100
Family
Practice
Pediatrics
Robinson, Thomas S.,
Mohammed, Magdy Ibrahim,
Pulaski
Port Ewen
Northern Oswego County Health
Services, Inc.
61 Delano Street
Pulaski, NY 13142-1400
(315) 298-6569
Family
Practice
Kim, Charles C,
Ramsey, Kelly S,
Pelton, William N,
IFH - Family Practice Center of Port
Ewen
213 Broadway
Port Ewen, NY 12466-5015
(845) 331-2355
Family
Practice
Family
Practice
Carguello, Patrick J,
Anderson, John,
Chapman, Jay W,
Poughkeepsie
Chapman, Patricia L,
CrossCounty Medical Care, PC
2038-11 Braddock Avenue
Queens, NY 11426-1147
(516) 641-0600
Internal
Medicine
Belotte, Marie A.,
Dalai Medical Care
136-20 38th Avenue, Suite 6C
Queens, NY 11354-4232
(718) 886-8299
Page 185 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Queens
Queens
Queens
Dalai Medical Care
136-20 38th Avenue, Suite 6C
Queens, NY 11354-4232
(718) 886-8299
Kew Gardens Hills Pediatrics
141-49 70 Road
Queens, NY 11367-1936
(718) 268-5282
Wenjing Tao Medical Care PC
136-20 38th Avenue
Queens, NY 11355-3666
(718) 886-8807
Family
Practice
General
Practice
Pediatrics
Zhou, Dalai,
Green-Mayer, Kimberly,
Dharamjit Kumar, MD
103-14 Lefferts Blvd.
Queens, NY 11419-2012
(718) 843-2244
Pediatric
Endocrinology
Internal
Medicine
Kumar, Dharamjit,
Doctors of Northport Primary Medical
Care P.C.
94-06 59th Ave
Queens, NY 11373-5151
(718) 699-9737
Internal
Medicine
Leva, Ginny,
Leva, Paul R.,
Greenpoint Pediatric PC
47-10 Greenpoint Avenue
Queens, NY 11104-1710
(718) 389-2500
Goldstein, Steven J.,
Pediatrics
Hoch, Lori R.,
Levine, Jack M.,
Mayer Ballas, M.D. P.C.
11045 Queens Boulevard, Suite 114
Queens, NY 11375-5519
(718) 520-0001
Cardiovascular
Disease
Ballas, Mayer,
National Pediatric PC
102-11 Roosevelt Avenue
Queens, NY 11368-2331
(718) 898-5200
Pediatrics
Florimon de la rosa, Hector Bienvenido,
Pediatrics
Reynoso, Elsa Sofia,
Florimon De La Rosa, Hector Bienvenido,
Q-Care Affordable Medical Care,
PLLC
41-50 78th St., Apt. 102
Queens, NY 11373-1901
(718) 570-6565
International Pediatrics Plus
93-20A Roosevelt Avenue
Queens, NY 11372-7911
(718) 334-6700
Pediatrics
Golamco, Florence P,
Physician
Assistant
Collado, Damaris,
Jackson Heights Latin Medical Group
P.C.
93-15 Roosevelt Avenue
Queens, NY 11372-7927
(718) 308-7847
Family
Practice
Philippe, Camille,
Family
Practice
Charlotten, Kevin Alexander,
Nurse
Practitioner
Ma, Amy X.,
Sudhanshu Narendra, MD
103-14 Lefferts Blvd.
Queens, NY 11419-2012
(718) 843-2244
Pediatrics
Narendra, Sudhanshu,
Tao, Wenjing,
Queensbury
HHHN-Queensbury Family Health
14 Manor Drive
Queensbury, NY 12804-1906
(518) 798-6400
Family
Practice
Borgos, William,
Stratton, Jennifer,
Ravena
CapitalCare Family Practice Ravena
2524 Route 9\W
Ravena, NY 12143-2804
(518) 756-7390
Family
Practice
Caulfield, Patrick F,
Red Hook
Mid Hudson Medical Group, PC - Re
Hook Family Practice
50 Old Farm Road
Red Hook, NY 12571-0000
(845) 758-5821
Family
Practice
Heymann, Karl Michael,
Rego Park
Daniela Atanassova Lineva MD,
Pediatrics, PC
63-95 Austin St
Rego Park, NY 11374-3051
(718) 268-9100
Pediatrics
Attanassova Lineva, Daniela,
Attanassova Lineva, Daniela,
Meyerovich Medical & Diagnostic PC
98-11 Queens Blvd, # 1E
Rego Park, NY 11374-3309
(718) 830-0400
Page 186 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Rego Park
Richmond Hill
Rochdale
Meyerovich Medical & Diagnostic PC
98-11 Queens Blvd, # 1E
Rego Park, NY 11374-3309
(718) 830-0400
Queens Long Island Medical Group
P.C.-Richmond Hill Medical Office
125-06 101st Avenue
Richmond Hill, NY 11419-1412
Queens Long Island Medical Group
P.C.-Rochdale Medical Office
169-59 137th Avenue
Rochdale, NY 11434-4517
Internal
Medicine
Family
Practice
Internal
Medicine
Meyerovich, Naum S.,
Shah, Sapna,
Andrews, Charlene A.,
Michael L. Richter M.D.
92-15 63rd Drive
Rego Park, NY 11374-3739
(718) 897-6223
Internal
Medicine
Pierre-shoulton, Yardly,
Internal
Medicine
Contovasilis, John W,
Richter, Michael L,
Queens Star Medical
63-118 Woodhaven Blvd.
Rego Park, NY 11374-4841
(718) 416-0303
Internal
Medicine
Chadda, Jitendra S,
Chung, Howard,
Szandrowski, Denise S,
Vogiatzis, Nicholas,
Pediatrics
Greenfield, Elizabeth A,
Mclaughlin, Reginald D,
Ridgewood
Levy, Eduard,
Dr. Tatyana's Pediatric PC
64-15 Fresh Pond Road
Ridgewood, NY 11385-3330
(718) 381-9500
Levy, Eduard,
Pediatrics
Richmond Hill
Ledovsky, Tatyana,
E-Z Medical Care
112-16 Jamaica Ave
Richmond Hill, NY 11418-2451
(718) 849-3340
Riverhead
Levy, Asya,
Levy, Asya,
Family
Practice
Sami, Shazia A,
Medisys Richmond Hill Family
Medicine Center
133-03 Jamaica Avenue
Richmond Hill, NY 11418-2618
(718) 657-7093
Family
Practice
Roth, Alan Robert,
Sports
Medicine
Cruz, Philip M,
Peconic Pediatrics ado Allied Pediatrics
of New York, PLLC
54 Commerce Drive, Ste.2
Riverhead, NY 11901-4454
(631) 722-8880
General
Practice
Shaer, Jennifer L,
Pediatrics
Lao, Rogelio S,
Meah, Fatema P,
Rochdale
Queens Long Island Medical Group
P.C.-Rochdale Medical Office
169-59 137th Avenue
Rochdale, NY 11434-4517
Shnaydman, Faina,
Wu, Patrick K,
Pediatrics
Laboard, Barbara A,
Rodrigues, Maria L,
Rochester
Anthony Jordan Health Center
82 Holland Street
Rochester, NY 14605-2131
(585) 423-5875
Family
Practice
Kennedy, Richard G.,
Internal
Medicine
Atalla, Nashat,
Physician
Assistant
Chapman, Roger,
Good, Camille,
Brown Square Health Center
322 Lake Ave
Rochester, NY 14608-1017
(585) 254-6480
Family
Practice
Dent, Richard Scott,
Donohue, Laurie,
Fogarty, Colleen,
Zinkand, Heidi,
Geriatric Medicine/Family
Practice
Kuchma, Roksolana,
Internal
Medicine
Nurse
Practitioner
Alerte, Serge G.,
Lee, Susan S,
Page 187 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Rochester
Rochester
Rochester
Brown Square Health Center
322 Lake Ave
Rochester, NY 14608-1017
(585) 254-6480
Lifetime Health Medical Group Artemis Health Center
2561 Lac De Ville Blvd., Suite 202
Rochester, NY 14618-5645
(585) 244-7330
Pediatric Group of the University of
Rochester
601 Elmwood Ave, Box 632
Rochester, NY 14642-0002
(585) 275-6034
Internal
Medicine
Pediatrics
Physician
Assistant
Ragin, Terri,
Highland Family Medicine
777 S. Clinton Avenue
Rochester, NY 14620-1448
(585) 279-4846
Ahlman, Diane E.,
Family
Practice
Lifetime Health Medical Group - Chili
Pediatrics
849 Paul Road, Suite 110
Rochester, NY 14624-4426
(585) 889-0740
Campbell, Tom L,
Devine, Mathew J,
Epstein, Ronald M,
Holub, David Craig,
Mendoza, Michael Dale,
Pierce, Deb,
Vantol, Lois J,
Watkins, Ingrid K,
Sports
Medicine
Mirabelli, Mark H,
Internal Medicine Faculty/Resident
Practice
601 Elmwood Ave., Box 696
Rochester, NY 14642-0002
(585) 275-5681
Internal
Medicine
Berliant, Marc Norman,
Clark, Nancy S.,
Grable, John,
Internal Medicine Group
General Medicine Division, 601
Elmwood Ave,, Box 320
Rochester, NY 14642-0001
(585) 275-7424
Internal
Medicine
Berliant, Marc Norman,
Clark, Nancy S,
Grable, John C.,
Baratta, Brenda B.,
Newman, Valerie J.,
Woluchem, Miltonia M.,
Pediatrics
Henoch, Monica J.,
Lifetime Health Medical Group - Cole
Medical Office
1880-8 Ridge Road East
Rochester, NY 14622-2450
(585) 467-4290
Family
Practice
Houpt, Darren C,
Korni, Roopa M,
Lifetime Health Medical Group Marion B. Folsom Health Center
1850 Brighton-Henrietta Townline Road
Rochester, NY 14623-2532
(585) 424-6210
Psychology,
Clinical
McKee, Michael M.,
Pediatric Group of the University of
Rochester
601 Elmwood Ave, Box 632
Rochester, NY 14642-0002
(585) 275-6034
Adolescent
Medicine
Kodjo, Cheryl,
Aronzon, Denise B,
Aronzon, Denise B,
Brown, Kelly A,
Halterman, Jill S,
Herendeen, Neil E,
Hoilette, Leesha Kerene,
Jee, Sandra H,
Kaczorowski, Jeffrey M,
Mcconnochie, Kenneth M,
Nazarian, Lawrence F,
Rand, Cynthia M,
Ronis, Sarah D,
Schaffer, Stanley J,
Sherman, Andrew,
Szilagyi, Moira,
Szilagyi, Peter,
Ridgeview Internal Medicine Group
1850 E. Ridge Rd.
Rochester, NY 14622-2475
(585) 342-3870
Internal
Medicine
DiPoala, Joseph A.,
Unity Health System - Unity Family
Medicine at Chili Center
3173 Chili Avenue, Suite 400
Rochester, NY 14624-5400
(585) 889-0750
Family
Practice
Bank, John T.,
Novak, Sue Ann E.,
Pum, William D,
Stratton-Smith, Scott A.,
Neonatology
Cook, Stephen R,
Lambert, David R.,
Page 188 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Rochester
Rochester
Rochester
Unity Health System - Unity Family
Medicine at Country Village
1100 Long Pond Road, Suite 250
Rochester, NY 14626-1177
(585) 368-4350
Unity Health System - Unity Internal
Medicine at Canal Ponds
103 Canal Landing Boulevard, Building
C
Rochester, NY 14626-5108
(585) 254-2594
University of Rochester Medical Cente
Primary Care Network / Clinton
Medical Associates
2400 S. Clinton Ave., Bldg G-2
Rochester, NY 14618
(585) 341-7697
Internal
Medicine
Internal
Medicine
Christidas, Elias P.,
Cox, III, John F,
Unity Health System - Unity Internal
Medicine at Cornerstone
2300 Buffalo Road, Bldg. 800
Rochester, NY 14624-1360
(585) 368-6370
Ferrantino, Andrea N,
Family
Practice
Baxter, Margaret,
Herrmann, Cheryl,
Unity Health System - Unity Family
Medicine at Orchard Street
158 Orchard Street
Rochester, NY 14611-1361
(585) 368-4500
Internal
Medicine
Reed, Kellie L.,
Unity Health System - Unity Family
Medicine at Parkway
500 Island Cottage Road
Rochester, NY 14612-2308
(585) 368-6000
Family
Practice
Ma, Marian,
Unity Health System - Unity Family
Medicine at St. Bernard's
2260 Lake Avenue, Suite 1000
Rochester, NY 14612-5758
(585) 254-1850
Family
Practice
Holley, Sheryl R.,
Janmuhammad, Shazia,
Nazar, Michael D.,
Unity Health System - Unity Family
Medicine at St. Mary's
89 Genesee Street
Rochester, NY 14611-3201
(585) 368-3031
Family
Practice
Brown, Matthew J.,
Donahue, Kathleen M.,
Internal
Medicine
Bollineni, Sunitha,
Gupta, Bharat B.,
Singla, Vikas,
Unity Health System - Unity Internal
Medicine at Park Ridge
1561 Long Pond Road, Suite 202
Rochester, NY 14626-4117
(585) 723-7778
Internal
Medicine
Borbas, Judith K.,
Jonnala, Srinivas,
Pastor, Thomas J.,
Salipante, Joseph S.,
Unity Health System - Unity Pediatrics
819 West Main Street
Rochester, NY 14611-2334
(585) 235-0360
Pediatrics
Liano, Douglas J.,
Liu, Vicky C.,
University of Rochester Medical Center
Primary Care Network / Clinton
Crossings Internal Medicine
2400 South Clinton Avenue, Building H
Suite 110
Rochester, NY 14618
(585) 341-7143
Internal
Medicine
Swanger, Carlos Maria,
Gupta, Mala R,
University of Rochester Medical Cente
Primary Care Network / Cornhill
Internal Medicine
777 South Clinton Avenue, Suite 200
Rochester, NY 14450
(585) 279-4680
Internal
Medicine
Singh, Rajendra P,
University of Rochester Medical Cente
Primary Care Network / Culver
Medical Group
913 Culver Road
Rochester, NY 14609
(585) 654-5432
Internal
Medicine
Bingemann, Todd L,
Caiola, Enrico,
Fortuna, Robert J,
Pulcino, Tiffany Lynn,
Pediatrics
Nead, Karen G,
University of Rochester Medical Cente
Primary Care Network / East Ridge
Family Medicine
809 East Ridge Road
Rochester, NY 14621
(585) 341-3658
Family
Practice
Howe, Paul Q,
Internal
Medicine
Berkowitz, Sharon G,
Lavender, Marc Sean,
Page 189 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Rochester
Rochester
Roosevelt
University of Rochester Medical Center
Primary Care Network / Greece
Medical Associates
2300 West Ridge Road, 3rd Floor
Rochester, NY 14626
(585) 723-3330
University of Rochester Medical Center
Primary Care Network / Twelve
Corners Internal Medicine
2030 Monroe Avenue, Building F
Rochester, NY 14618
(585) 244-7783
Nu-Health-Roosevelt/Freeport Family
Health Center
380 Nassau Road
Roosevelt, NY 11575-1343
(516) 571-8600
Pediatrics
Internal
Medicine
Deiss, Katharine D,
University of Rochester Medical Center
Primary Care Network / Olsan Medical
Group
2400 South Clinton Avenue, Bldg H,
Suite 230
Rochester, NY 14626
(585) 341-7207
Internal
Medicine
D'Angelo, Christopher,
Abbott, Richard E,
Obstetrics &
Gynecology
Stein, Phillip G,
Mullokandov, Snezhana,
University of Rochester Medical Center
Primary Care Network /Calkins Creek
Family Medicine
200 Red Creek Drive, Suite 100
Rochester, NY 14623-5261
(585) 334-0130
Pediatrics
Family
Practice
Hamilton, David L,
Cicilline, Michelle Susan,
Witmer, Thomas W,
Internal
Medicine
Internal
Medicine
Shamaskin, Ann R,
Shamaskin, Ann R,
Terwilliger, Megan M,
University of Rochester Medical Center
Primary Care Network / Rochester
Internal Medicine Associates
400 White Spruce Blvd., Suite 400 A
Rochester, NY 14623
(585) 427-9950
Internal
Medicine
Bergin, Margaret M,
Kringstein, Dina P,
Labanowski, Mary C,
Garcia, Emilio,
Budd, James L,
Gasparino, Joseph,
University of Rochester Medical Center
Primary Care Network / Pulsifer
Medical Associates
2400 South Clinton Avenue, Bldg H,
Suite 210
Rochester, NY 14618-2690
(581) 341-7299
Family
Practice
Vargas-Chen, Nubia Stella,
Rosedale
MS Family Medicine Health Care, P.C
241-08 149th Avenue
Rosedale, NY 11422-2022
(718) 949-0146
Family
Practice
Reed, Michele C.,
Denney-Koelsch, Erin,
Walker, Suzanne,
Woodward Health Center
480 Genesee St.
Rochester, NY 14611-3634
(585) 672-1765
Walker, Suzanne,
Family
Practice
Russell
Fiscella, Kevin A,
Vanheukelum, Bradley A,
Yosha, Amanat M,
Nurse
Practitioner
Snow-holmes, Karen A.,
Pediatrics
Hoilette, Leesha Kerene,
Physician
Assistant
Martin, Jessica Lynne,
Roosevelt
Nu-Health-Roosevelt/Freeport Family
Health Center
380 Nassau Road
Roosevelt, NY 11575-1343
(516) 571-8600
Pediatrics
Dickson, Tere H,
EJ Noble Hospital - Russell Health
Center
9 Pestle St. Road
Russell, NY 13684-0000
Physician
Assistant
Gamel, Sarah,
Rye
WESTMED Medical Group - 1 Theall
Road
1 Theall Rd
Rye, NY 10580-1404
(914) 848-8700
Internal
Medicine
Ceccarelli, Silvio J,
DiCosmo, Bruno,
Doyle, James J,
Martimucci, William A.,
Page 190 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Rye
Scarsdale
Schoharie
WESTMED Medical Group - 1 Theall
Road
1 Theall Rd
Rye, NY 10580-1404
(914) 848-8700
WESTMED Medical Group - 495
Central Park Avenue
495 Central Park Ave
Scarsdale, NY 10583-1038
(914) 722-6200
Bassett Healthcare Network Schoharie Health Center
111 Barton Hill Road
Schoharie, NY 12157-4806
(518) 295-8521
Internal
Medicine
Internal
Medicine
Family
Practice
Rothbart, Gary E,
Kubersky, Steven M,
Luz, Joseph M,
Sherling, Bruce E.,
Morel, Richard,
Schroon Lake
Pediatrics
Schenectady
Blanco, Christina C.,
Ellis Family Health Center
624 McClellan St., Suite 101
Schenectady, NY 12308
(518) 347-5286
HHHN-Schroon Lake Health Center
24 Fairfield Avenue
Schroon Lake, NY 12870-0292
(518) 532-7120
Coven, Barbara Jane,
Macbeth, Laura Christine,
Sessa, Vito R,
Chiropractic
Saranac Lake
Adirondack Internal Medicine &
Pediatrics, PC - Saranac Lake
2249 State Route 86, Suite 3
Saranac Lake, NY 12983
(518) 891-3845
Family
Practice
Wright, Megan Patricia,
Scarsdale
Scarsdale Medical Group-Heathcote
Site
259 Heathcote Road
Scarsdale, NY 10583-4409
(914) 630-5477
Geriatric Medicine/Internal
Medicine
Bachman, Paul,
Welch, Michael C.,
Sherburne
Family
Practice
Bassett Healthcare Network Sherburne Health Center
20 Chapel Street
Sherburne, NY 13460-9753
(607) 674-9557
Afejuku, Neema,
Internal
Medicine
Saha, Manish,
Ellis Family Practice Associates
1201 Nott Street, Medical Arts
Building, Suite 307
Schenectady, NY 12308-2530
(518) 243-3334
Family
Practice
Lopez, Pablo M.,
Internal
Medicine
Hometown Health Centers
1044 State Street
Schenectady, NY 12307-1508
(518) 370-1441
Fialk, Mark A,
Nephrology
Noteroglu, Emre H,
Internal
Medicine
Goldberg, David M,
Family
Practice
Haswell, David P,
Steward, Gary D,
Valencia, Mauricio,
Sherman
Westfield Family Physicians, PC Sherman location
115 East Main Street, PO Box 570
Sherman, NY 14781-9701
(716) 761-6144
Family
Practice
Kitchen, Timothy M,
Shortsville
Lipman, Marvin M,
Shahata, Hani Laoiz,
Pechman, Paul,
Pediatrics
Raizes, Gary S,
Broderick, Bethany A,
WESTMED Medical Group - 495
Central Park Avenue
495 Central Park Ave
Scarsdale, NY 10583-1038
(914) 722-6200
Schoharie
Bassett Healthcare Network Schoharie Health Center
111 Barton Hill Road
Schoharie, NY 12157-4806
(518) 295-8521
Thompson Health Family Practice Shortsville
15 Canandaigua Street
Shortsville, NY 14548-9763
(585) 289-3560
Family
Practice
Sillick, Craig Daniel,
Shrub Oak
Page 191 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Shrub Oak
Smithtown
Spencerport
Westchester Health Associates Mahopac/Uppal
691 Old Route 6
Shrub Oak, NY 10588-2101
(914) 245-2270
Smithtown Pediatric Group ado Allied
Pediatrics of New York, PLLC
260 Middle Country Road, Suite 107
Smithtown, NY 11787-2923
(631) 979-9590
Unity Health System - Unity Family
Medicine at Spencerport
377 South Union Street, Suite 100
Spencerport, NY 14559-1735
(585) 352-8999
Internal
Medicine
Pediatrics
Family
Practice
Uppal, Rajneesh,
Silver Creek
Medicor Associates of ChautauquaBarnes Primary Care
113 Main St
Silver Creek, NY 14136-1452
(716) 934-4518
Internal
Medicine
Barnes, Steven Edmund,
Pediatrics
Roth, Carl,
Sleepy Hollow
Open Door Family Medical Center Sleepy Hollow
80 Beekman Avenue
Sleepy Hollow, NY 10591-2503
(914) 631-4141
Family
Practice
Meyer, Patricia,
Rovito, Lucy V.,
Slingerlands
CapitalCare Family Medicine
Slingerlands
1240 New Scotland, Suite 203
Slingerlands, NY 12159
(518) 439-2460
Family
Practice
Aitken, Geri L,
Smithtown
Smithtown Pediatric Group ado Allied
Pediatrics of New York, PLLC
260 Middle Country Road, Suite 107
Smithtown, NY 11787-2923
(631) 979-9590
Pediatrics
Bernstein, Harvey E,
Inkeles, Sharon L,
Martinez, Paul A,
Parles, James G,
Parles, Stephen T,
Valmassoi, Janice,
Wecker, Nora E,
Sodus
FLCMH - Sodus Community Health
Center
6692 Middle Road, Suite 2100
Sodus, NY 14551-9602
(315) 483-1199
Internal
Medicine
Eagleson, Elizabeth,
Shelly, Robert,
Nurse
Practitioner
Conolly, Melanie R.,
Feltner, Elizabeth J.,
McGrath, Patrick J.,
Spring Valley
Refuah Health Center
728 North Main Street
Spring Valley, NY 10977-8916
(845) 354-9305
Family
Practice
Katz, Tamir B,
Weltin, Johannes D,
Internal
Medicine
Katz, Doron Z,
Schwartz, Jerrold F,
Pediatrics
Epstein, Nina,
Ross, Jenny,
Springfield Gardens
South Glens Falls
NYC HHC Queens Hospital CenterSpringfield Medical Center
134-64 Springfield Blvd.
Springfield Gardens, NY 11413-1449
(718) 334-6801
HHHN-Moreau Family Health
1448 Route 9
South Glens Falls, NY 12803-1285
(518) 761-6961
Family
Practice
Pediatrics
Copper, Donna Elise,
Adams, Michael,
Springville
Pediatrics
General Physician PC - Concord
210 E. Main Street
Springville, NY 14141
(716) 592-3600
Flatau, Irene,
Spencerport
Unity Health System - Unity Family
Medicine at Spencerport
377 South Union Street, Suite 100
Spencerport, NY 14559-1735
(585) 352-8999
Family
Practice
Family
Practice
Berger, Andrew J,
Hudzinski, Lori D,
Internal
Medicine
Baram, Lena D,
Page 192 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Springville
Staten Island
Staten Island
General Physician PC - Concord
210 E. Main Street
Springville, NY 14141
(716) 592-3600
Dr. Salvatore Volpe (Oakwood Medical
Solutions)
2760 Amboy Road
Staten Island, NY 10304-2141
(718) 351-2222
Vijaya L. Chandrakant MD PC
1468-B Richmond Avenue
Staten Island, NY 10314-1550
(718) 982-8922
Internal
Medicine
Dale, Priscilla K,
Wnuk, William Joseph,
Internal
Medicine
Volpe, Salvatore S.,
Pediatrics
Chandrakant, Vijaya L.,
Sunnyside
Island Internists
420 Lyndale Ave.
Staten Island, NY 10312-6131
(718) 967-1700
Carla Lucatel, MD
39-45 Queens Blvd
Sunnyside, NY 11104-3305
(718) 482-6814
Geriatric Medicine/Internal
Medicine
Pediatrics
Family
Practice
Malisova, Larisa,
Syracuse
Damineni, Sailaja,
Internal
Medicine
Internal
Medicine
Seminara, Donna P,
Family Medicine Medical Service
Group, LLP
475 Irving Avenue, Suite 200
Syracuse, NY 13210-1528
(315) 464-7003
St. Albans
Medisys Family Care - St. Albans
111-20 Merrick Boulevard
St. Albans, NY 11433-4016
(718) 206-9888
Perkins, Arlene,
Stamford
Bassett Healthcare Network Stamford
28650 state highway 23
Stamford, NY 12167-1712
(607) 652-2537
Family
Practice
Nelson, Yvonne Sue,
State Island
South Shore Physicians, P.C.
3589 Hylan Boulevard
State Island, NY 10308-3513
(718) 966-3700
Internal
Medicine
Nika Medicals
55 Midland Avenue
Staten Island, NY 10306-2427
(917) 647-7821
Internal
Medicine
Romashova, Veronika,
Staten Island Physician Practice
4771 Hylan Blvd
Staten Island, NY 10312-6315
(718) 948-8200
Family
Practice
Makarovskaya, Marina,
Internal
Medicine
Banerji, Deba,
Lucatel, Carla A,
Family
Practice
Bailey, R Eugene,
FamilyCare Medical Group - CGH
Office
4900 Broad Road, POB Ste 4K
Syracuse, NY 13215-2265
(315) 492-5784
Internal
Medicine
Brodey, Mitchell V.,
FamilyCare Medical Group Compassionate Family Medicine
311 Green Street
Syracuse, NY 13203-2911
(315) 425-1431
Gazzara, Paul C.,
Berman, Bruce Lee,
Marchisella, Joseph,
Kaplinsky, Diana,
Family
Practice
Ortiz, Viola,
Kelleher, Maureen M,
Triana, Ted J,
Staten Island
Kogos, Alexander,
Pediatrics
Dr. Salvatore Volpe (Oakwood Medical
Solutions)
2760 Amboy Road
Staten Island, NY 10304-2141
(718) 351-2222
Krishnan, Sharila,
Quinones-guzman, Maribel,
Internal
Medicine
Velez, Wilfredo U.,
Lozah, Mamdouh,
Patel, Jitenrda R,
Patil, Rajashree S,
FamilyCare Medical Group - Sangani
Office
191 Intrepid Lane
Syracuse, NY 13205-2548
(315) 469-3373
Zhang, Jing,
Page 193 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Syracuse
Thornwood
Troy
FamilyCare Medical Group - Sangani
Office
191 Intrepid Lane
Syracuse, NY 13205-2548
(315) 469-3373
Westchester Health Associates Internal Medicine for Women
645 Marble Avenue
Thornwood, NY 10594-1062
(914) 763-1600
Community Care Physicians, P.C. Capital Healthcare Associates
2001 Fifth Avenue, 2nd Floor
Troy, NY 12180-3340
(518) 274-9126
Internal
Medicine
Internal
Medicine
Internal
Medicine
Sangani, Geeta,
Andersen, Margaret,
Thompson, Dean Alan,
Syracuse Community Health Center,
Inc.
819 South Salina Street
Syracuse, NY 13202-3527
(315) 476-7921
Tonawanda
Trumansburg
Sheridan Medical Group
1491 Sheridan Drive
Tonawanda, NY 14217
(716) 332-4476
Cayuga Area Physicians Alliance Trumansburg Family Health Center
4435 Seneca Road
Trumansburg, NY 14886-920
(607) 387-5707
Internal
Medicine
Augustin, Yola,
Chionuma, Henry N,
Obstetrics &
Gynecology
Howard, Myles,
Scott, Kenroy,
Radiology
Smith, Roy A,
Syracuse Community Health Center,
Inc. - South
1701 South Ave.
Syracuse, NY 13207-2004
(315) 234-8336
Family
Practice
Elliott, Fredrick Michael,
Internal
Medicine
Carlson, Jr., Richard A.,
Jain, Rajiv K.,
UB Family Medicine
2465 Sheridan Drive
Tonawanda, NY 14150-9407
(716) 835-9800
Family
Practice
Symons, Andrew B,
Wilkins, Diana G,
Family
Practice
Zionts, Michael E,
Burgun, Chanele M,
Physician
Assistant
Syracuse Community Health Center,
Inc. - West
603 Oswego Street
Syracuse, NY 13204-3127
(315) 424-0800
Pediatrics
La rosa, Niurka,
Thornwood
Westchester Health Associates Internal Medicine for Women
645 Marble Avenue
Thornwood, NY 10594-1062
(914) 763-1600
Internal
Medicine
Larson, Aimee S.,
Troy
Brunswick Family Practice
785 Hoosick Road
Troy, NY 12180
(518) 279-4065
Family
Practice
Aram, James Peter,
Community Care Physicians, P.C. Capital Healthcare Associates
2001 Fifth Avenue, 2nd Floor
Troy, NY 12180-3340
(518) 274-9126
Family
Practice
Blegen, Michelle Paliani,
Geriatric Medicine/Family
Practice
Lessinger, Eric,
Tupper Lake
Adirondack Internal Medicine &
Pediatrics, PC - Tupper Lake
7 Stetson Road
Tupper Lake, NY 12986
(518) 359-7002
Family
Practice
Wright, Megan Patricia,
Unadilla
Bassett Healthcare Network - Unadilla
16 Clifton Street
Unadilla, NY 13849-3361
(607) 369-2271
Family
Practice
Keo, Naron I,
Uniondale
Emmanuel St Louis, MD
905 Uniondale Avenue
Uniondale, NY 11553-3235
(516) 489-3681
Family
Practice
St. Louis, Emmanuel,
Utica
Page 194 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Utica
Valley Stream
Warrensburg
Faxton-St. Luke's
Healthcare/Adirondack Community
Physicians - New Hartford Medical
Office
4301 Middlesettlement Road
Utica, NY 13413-5317
(315) 624-5710
Valley Stream Pediatrics ado Allied
Pediatrics of New York, PLLC
167 East Merrick Road
Valley Stream, NY 11580-5925
(516) 825-3030
HHHN-Warrensburg Health Center
3767 Main Street
Warrensburg, NY 12885-1890
(518) 623-2844
Family
Practice
Pediatrics
Family
Practice
Berman, Lori S,
Carney, Nancy,
Lashley, Marc S,
Internal
Medicine
Clark, D Christopher,
Vestal
Krause, William F.,
Our Lady of Lourdes Memorial
Hospital, Inc. - Vestal Medical
Associates
1020 Vestal Parkway East
Vestal, NY 13850
Faxton-St. Luke's
Healthcare/Adirondack Community
Physicians - North Utica Medical Office
35 Riverside Drive
Utica, NY 13502-2320
(315) 624-8400
Internal
Medicine
Bachman, Paul,
Waterloo
Finger Lakes Health - Seneca Family
Health Center
367A East Main Street
Waterloo, NY 13165-1693
Family
Practice
Jamil, Shabana,
Family
Practice
W. Amherst
Olszowska, Agata Katarzyna,
Patil, Mangala,
Tonawanda Medical Group
2800 sweethome rd suite 6
W. Amherst, NY 14228-1300
(716) 691-1300
Zgleszewski, Edward Joseph,
Valley Stream
Queens Long Island Medical Group
P.C.-Valley Stream Medical Office
260 W Sunrise Highway
Valley Stream, NY 11581-1011
Internal
Medicine
FLH Medical, PC - Internal Medicine
Waterloo
369 East Main Street
Waterloo, NY 13165
Abialmouna, Jihad Hassan,
Family
Practice
Walden
Reese, Andrew,
Hudson River HealthCare, Inc. Walden
75 Orange Avenue
Walden, NY 12586-1816
(845) 778-2700
Watertown
Kaul, Vanita S,
Family
Practice
Internal
Medicine
Kolotinskaya, Irina,
Dhanyamraju, Sumitra,
Mitchell, Scott H,
Sarkissian, Edmond,
Wappingers Falls
Rhode, Frank,
Siddiqui, Qaiser,
Hudson Valley Primary Care
1323 Route 9, Suite 203
Wappingers Falls, NY 12590-4977
(845) 298-7022
Podiatry
Family
Practice
Johnson, Charmaine S,
Geriatric Medicine/Internal
Medicine
Lam, Binh,
Internal
Medicine
Pediatrics
Bichotte-ligonde, Sophia,
Isenberg, Howard W,
Valley Stream Pediatrics ado Allied
Pediatrics of New York, PLLC
167 East Merrick Road
Valley Stream, NY 11580-5925
(516) 825-3030
Pediatrics
Internal Medicine of NNY
53-59 Public Square, Suite 201
Watertown, NY 13601-267
(315) 782-0056
White, Jason F.,
Foster, Mark,
North Country Children's Clinic
Primary Care Clinic
238 Arsenal Street
Watertown, NY 13601-2504
(315) 782-6400
Warrensburg
Pediatrics
Internal
Medicine
Basit, Farhana,
Phillips, Harold Miller,
Page 195 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Watertown
Waterville
West Amherst
North Country Family Medicine, PLLC
161 Clinton Street, Suite 111
Watertown, NY 13601-3622
(315) 788-4880
Faxton-St. Luke's Healthcare,
Adirondack Community Physicians Waterville Medical Office
358 Madison Street
Waterville, NY 13480-1116
(315) 841-4973
Tonawanda Pediatrics - West Amhers
3950 East Robinson Road
West Amherst, NY 14228-2044
(716) 691-3400
Family
Practice
Emerton, Jon A,
Samaritan Medical Center - Plaza
Family Heath Center
1575 Washington Street
Watertown, NY 13601-9371
Family
Practice
Maharjan, Bina,
Saxena, Parul,
Tyler, Ryan E,
Wetterhahn, Joseph,
Family
Practice
Webster
Segal, Barbara,
University of Rochester Medical Center
Primary Care Network / Webster
Family Medicine
1672 Empire Blvd., Suite 100
Webster, NY 14580
(585) 787-0720
Szalkowski, Thomas J.,
Family
Practice
Duah, Marylene,
Highgate Medical Group
3950 East Robinson Road, Suite 207
West Amherst, NY 14228-2044
(716) 564-0318
West Amherst
Family
Practice
Bogner, Thomas B,
Kellogg, Jr., Collins F,
Doldan, Michael T.,
Lapointe, Julie M.,
Pawlowski, David Anthony,
VanDeWall, Laverne R.,
Tonawanda Pediatrics - West Amherst
3950 East Robinson Road
West Amherst, NY 14228-2044
(716) 691-3400
Nurse
Practitioner
Kolton, Kathryn A,
Lepine, Ann M,
Servage, Bonnie L,
Spicer, Nancy J,
Waterville
Faxton-St. Luke's Healthcare,
Adirondack Community Physicians Waterville Medical Office
358 Madison Street
Waterville, NY 13480-1116
(315) 841-4973
Manka-Black, Michele,
McDonald, Deanna,
Herbert, Basya V.,
Internal
Medicine
Lopat-Winter, Mary Beth,
Walsh, Michael,
Infectious
Disease
Watertown Internists, PC
53-59 Public Square, #301
Watertown, NY 13601-2674
(315) 782-2141
Pediatrics
Nurse
Practitioner
Anderson, Inger,
Braun, Karen,
Pietrzyk, Mary Ann,
Smith, Barbara A.,
Pediatrics
West Nyack
Rockland Pulmonary and Medical
Associates
2 Crosfield Ave, Suite 318
West Nyack, NY 10994
(845) 353-5600
Internal
Medicine
Shah, Parag Jitendra,
West Seneca
Dr. David Novelli
290 Center Road
West Seneca, NY 14224-1945
(716) 677-4178
General
Practice
Novelli, David J,
Dr. David S. Clifford
290 Center Road
West Seneca, NY 14224-1945
(716) 677-4159
Family
Practice
Clifford, David S,
Lifetime Health Medical Group - Wes
Seneca Health Center
120 Gardenville Parkway
West Seneca, NY 14224-1324
(716) 668-3600
Bonnevie, Danielle,
Family
Practice
Braun, Amy,
Penta, Pramila,
Family
Practice
Heimerl, Michael J.,
Internal
Medicine
Petrie, David,
Leonard, Dolores,
Hurvitz, Evelyn,
Bousader-Armstrong, Nathalie N.,
Page 196 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
West Seneca
Westbury
White Plains
Lifetime Health Medical Group - West
Seneca Health Center
120 Gardenville Parkway
West Seneca, NY 14224-1324
(716) 668-3600
Nu-Health-New Cassel/Westbury
Family Health Center
682 Union Blvd
Westbury, NY 11590-3552
(571) 516-9500
WESTMED Medical Group - 210
Westchester Avenue
210 Westchester Ave
White Plains, NY 10604-2901
(914) 682-0700
Internal
Medicine
Family
Practice
Internal
Medicine
Sood, Ritu,
Celestin, Marie B,
Moshman, Eliot P,
Tarrazona-Yu, Pamela A.,
Pediatrics
Newman, Barney,
Pediatrics
Jinna, Rajender R,
Saltzman, Lori,
Perry, Mark F.,
Westfield
Sanchez-Levi, Ruth M,
Steinacher, Robyn S.,
Westfield Family Physicians
138 East Main Street, P.O. Box 10
Westfield, NY 14787-0010
(716) 326-4678
Seligman-Haas, Susan B,
Martin A. Casey, M.D.
290 Center Road
West Seneca, NY 14224-1945
(716) 675-7693
Family
Practice
Family
Practice
Thompson, Carolyn H,
Pediatrics
Proskin, Wendy Aleda,
Scheinthal, Deborah M.,
Brautigam, Donald F.,
Stevens, Mitchell Alvin,
Casey, Martin A,
Eggleston, Gary E.,
Southgate Medical Group, LLP
1026 Union Road
West Seneca, NY 14224-3445
(716) 712-1000
Gorman, Timothy A.,
WESTMED Medical Group - 33 Davis
Avenue
33 Davis Ave
White Plains, NY 10605-1015
(914) 831-2900
Lashbrook, Lorie A.,
Westport
Elizabethtown Community Hospital Westport Health Center
6097 NYS Route 9N
Westport, NY 12993
(518) 962-2313
Gastroenterology
DiPirro, Joseph C.,
Family
Practice
Alter, Sheldon,
Gunther, David E.,
Caputo, Pasqualino,
Hoffman, Lisa B.,
White Plains
Rodes, Alfredo M.,
WESTMED Medical Group - 210
Westchester Avenue
210 Westchester Ave
White Plains, NY 10604-2901
(914) 682-0700
Family
Practice
Murak, Daniel J.,
Internal
Medicine
Sy, Claude G.,
Varavenkataraman, Ragupathy,
Villacorta, Rodolfo L.,
West Winfield
Bassett Healthcare Network - West
Winfield Health Center
544 East Main Street
West Winfield, NY 13491-2912
(315) 822-6348
Family
Practice
Friend, Todd M,
Internal
Medicine
Comninellis, Aris,
Family
Practice
Kaplan, Morrie,
Pearce, Aimee C,
Kraftowitz, Lawrence S,
Westbury
Meixler, Steven M,
Fink, Steven M,
Internal
Medicine
Feingold, Martin Lawrence,
Pretto, Zorayda,
Rie, Jonathan T.,
Whitesboro
Faxton-St. Luke's
Healthcare/Adirondack Community
Physicians - Whitesboro Medical Offic
37 Main Street
Whitesboro, NY 13492-1034
(315) 624-8800
Family
Practice
Frederick, James E,
Ryan, Jr., William,
Teng, Jianye,
Williamsvile
Page 197 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Williamsvile
Williamsville
Williamsville
Buffalo Pediatric Associates, LLP
1360 North Forest Road, Suite 101
Williamsvile, NY 14221-1299
Buffalo Medical Group - 325 Essjay
325 Essjay Drive
Williamsville, NY 14221-8243
(716) 630-1026
Limestone Primary Care Physicians
18 Limestone Dr. Suite 5
Williamsville, NY 14226-8602
(716) 632-1400
Family
Practice
Family
Practice
Fisher, Chandra M,
Scrivani, Stephen Philip,
Halsdorfer, Andrew W,
Sinatra, Lawrence Thomas,
Lopez, Andre L,
Internal
Medicine
Pediatrics
Baron-stone, Judith L,
Nemeth, Lawrence J,
Vergos, Katherine A,
Williamsville
Amherst Pediatric Associates
25 Hopkins Road
Williamsville, NY 14221-4641
(716) 632-8050
Pediatrics
Cozza, Thomas F,
Francemone, Charles J,
Le, Nga T,
Maggioli, Albert J,
Montgomery, Maureen E,
Vaughan, Russell S,
Buffalo Medical Group - 295 Essjay
295 Essjay Road
Williamsville, NY 14221-8216
(716) 630-1026
Family
Practice
Cimato, Dominic A.,
Purizhansky, Polina,
Pusatier, Michael F.,
Internal
Medicine
Balon, Walter A.,
Chatrath, Kapil,
Collins, Richard L.,
Hua, Shuman,
Snow, Irene S.,
Wen, Hongyu,
Buffalo Medical Group - 325 Essjay
325 Essjay Drive
Williamsville, NY 14221-8243
(716) 630-1026
Family
Practice
Corigliano, Joseph,
Symons, Nicole L,
Internal
Medicine
Waffner, Eric J,
Dr. Allyn M. Norman, D.O.
1825 Maple RD., Suite: Lower B
Williamsville, NY 14221-2723
(716) 204-4532
Internal
Medicine
Norman, Allyn Michael,
Shafik, Ihab M,
Maple Med-Peds
1835 Maple Road
Williamsville, NY 14221-2780
(716) 634-5410
Family
Practice
Thierman, Eric J,
General
Practice
Family Care Physician, P.C.
61 Maple Road
Williamsville, NY 14221
(716) 565-1234
Aquino, Nicholas James,
Family
Practice
Hrab, Dawn Patricia,
Palumbo, Vito D,
Roche, Bertrand P,
Wisnoski, Jennifer A,
Internal
Medicine
Leone, John A,
Internal
Medicine
Heyden, Timothy Michael,
Pediatrics
Hartrich, William Michael,
Primary Care of Western New York,
LLP
30 NORTH UNION RD.
WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Highgate Medical Group
1150 Youngs Road, Suite # 104
Williamsville, NY 14221-8024
(716) 636-7979
Family
Practice
Family
Practice
Lane, Darla M,
Bodkin, John J,
Hirsh, Fredric M,
Luzi, Lori,
Trock, Daniel,
Felstead, R. Keith,
Harbison, Andrew J,
Martinke, David M,
Tota- Thurn, Catherine,
Vastola, Cary,
Suburban Pediatric P.C
8643 Sheridan Drive
Williamsville, NY 14221-6315
(716) 565-9030
Pediatrics
Page 198 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
New York
New York
Williamsville
Wilmington
Woodside
Suburban Pediatric P.C
8643 Sheridan Drive
Williamsville, NY 14221-6315
(716) 565-9030
Elizabethtown Community Hospital High Peaks Health Center
7 Community Circle
Wilmington, NY 12997
(518) 946-1111
Woodside Medical Practice, P.C.
65-06 Roosevelt Ave
Woodside, NY 11377-2928
(718) 606-2682
Pediatrics
Laudico, Robert R,
Marfurt, Jean ann M,
Mcnally, G Lawrence,
Pepe, Marjorie R,
Wolf, Judi L,
UB Family Medicine of Amherst
850 Hopkins Road
Williamsville, NY 14221-1729
(716) 688-9641
Family
Practice
Berger, Roseanne,
Kowalski, Peter,
Luzckiewicz, Debra,
Morelli, Daniel,
Newberger, David,
Schenk, Gregory,
Thomas, David,
Williamsville Pediatric Center
2733 Wehrle Drive, Suite 100
Williamsville, NY 14221-7348
(716) 631-3510
Pediatrics
Family
Practice
Dimarco, Tracie L,
Windsor
UHS - Primary Care Windsor
5 College Avenue
Windsor, NY 13865
(607) 655-1230
Hudson River HealthCare, Inc. Valentine Lane
503 South Broadway, Suite 210
Yonkers, NY 10706-6202
(914) 965-9771
Woodbury
Queens Long Island Medical Group
P.C-Woodbury Medical Office
225 Froehlich Farm Blvd.
Woodbury, NY 11797-2922
Internal
Medicine
Vaddigiri, Venkatesh,
Woodside
Bhavana R. Japi Phyisian PC
47-14 48th Ave
Woodside, NY 11377-6550
(718) 235-1811
Japi, Bhavana R,
Roetzer, Gloria,
Taraboletti, Lynn,
Roosevelt Pediatrics / Caesar Preposi
MD PC
6820 Roosevelt Ave
Woodside, NY 11377-2926
(718) 478-0505
Wang, Raphael,
Pediatrics
Willsboro
Preposi, Caesar C,
Smith House Health Care Center
39 Farell Rd
Willsboro, NY 12996
(518) 963-4275
Preposi, Caesar C,
Demuro, Rob Luke,
Hudson River HealthCare, Inc. - Park
Care
2 Park Avenue
Yonkers, NY 10703-3402
(914) 964-7862
Moukala-Cadet, Anne-Marie Laure,
Kessler, Marie,
Internal
Medicine
Yonkers
Pediatrics
Internal
Medicine
Sokolofsky, Denise,
Rodriguez, Rafael,
Family
Practice
Daniels, Rebecca,
Roland, Jayson,
Internal
Medicine
Woodside Medical Practice, P.C.
65-06 Roosevelt Ave
Woodside, NY 11377-2928
(718) 606-2682
Internal
Medicine
Louis-Paul, Rodolphe,
Family
Practice
Miller, Daniel,
WESTMED Medical Group - 1254
Central Park Avenue
1254 Central Park Ave
Yonkers, NY 10704-1059
(914) 831-6840
Internal
Medicine
Campanella, Jerry,
Dennet, Ronald B,
WESTMED Medical Group - 1915-25
Central Park Avenue
1915-25 Central Park Ave
Yonkers, NY 10710-2949
(914) 831-4160
Internal
Medicine
Schiller, Branford C,
Yorktown Heights
Mount Kisco Medical Group - Mahop
48 Route 6 & Mahopac Avenue
Yorktown Heights, NY 10598-6349
(914) 242-1493
Internal
Medicine
Page 199 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
New York
North Carolina
North Carolina
Yorktown Heights
Apex
Arden
Mount Kisco Medical Group - Mahopac
48 Route 6 & Mahopac Avenue
Yorktown Heights, NY 10598-6349
(914) 242-1493
Peak Family Medicine, PA
1011 Pemberton Hill Rd., Ste. 101
Apex, NC 27502
(919) 367-9355
Vista Family Health
2585 Hendersonville Road
Arden, NC 28704
(828) 687-8647
Internal
Medicine
Family
Practice
Family
Practice
Grimshaw, Robert S.,
Azeem, Samreen W.,
Hill, Laura White,
Koo, Jimmy,
Blackwell, Samuel D.,
Runkle, Andrew William,
Westchester Health Associates D'agnese
2050 Saw Mill RIver Road, 2nd Floor
Yorktown Heights, NY 10536-4108
(914) 245-4330
Archdale
Speers, Karl Richard,
Cornerstone Health Care - Cornerstone
Family Practice-Archdale
10188 North Main Street
Archdale, NC 27263
(336) 802-2070
Asheboro
Internal
Medicine
Corner Stone Health Care - Deep Rive
Health and Wellness
138 Dublin Square Road, Suite C
Asheboro, NC 27203
(336) 625-3333
Dagnese, Gerard,
Family
Practice
North Carolina
Escajeda, Richard Timothy,
Family
Practice
Advance
Arden
Thomas, Millard Brady,
Cornerstone Health Care, PA Advance Pediatrics
114 Kinderton Boulevard
Advance, NC 27006
(336) 998-9742
Asheville Medicine & Pediatrics
600 Julian Lane, Suite 630
Arden, NC 28704
(828) 651-0121
Cornerstone Health Care - Carolina
Primary Medicine
327 Rock Crusher Road
Asheboro, NC 27203
(336) 636-5546
Pediatrics
Internal
Medicine
Ewing, Whitney Merrill,
Morehouse, Winifred V,
Gross, Kathy Lynn,
Pediatrics
Hunsinger, Susan Yurgel,
Bernstein, Joshua E,
Myracle, John H,
Huneycutt, Bouasy L,
Physician
Assistant
The Family Health Centers - Arden
Family Health Center
2161 Hendersonville Road
Arden, NC 28704
(828) 684-9229
Murphy, Kristen M.,
Novant Medical Group / Medical
Associates of Davie Hillsdale
121 Medical Drive
Advance, NC 27006
(336) 998-9060
Family
Practice
Hirata, Takashi,
Apex
Peak Family Medicine, PA
1011 Pemberton Hill Rd., Ste. 101
Apex, NC 27502
(919) 367-9355
Family
Practice
Stephens, Michael D.,
Thomas, Megan R.,
Vista Family Health
2585 Hendersonville Road
Arden, NC 28704
(828) 687-8647
Family
Practice
Internal
Medicine
Grisso, Greg Alan,
Family and Community Medicine of
Asheboro, P.A.
350 North Cox Street, Suite #20
Asheboro, NC 27203
(336) 672-3200
Family
Practice
Whyte, Thomas M.,
Asheville
ABC Pediatrics of Asheville
64 Peachtree Road, Suite 100
Asheville, NC 28803
(828) 277-3000
Pediatrics
Chu, Peter T,
Dephouse, Derek H,
Errico, Robert A,
Fields, Robert William,
Love, Douglas Scott,
Gillis, Stephanie Elaine,
Mustoe, Margaret Hope,
Page 200 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Asheville
Asheville
Belmont
ABC Pediatrics of Asheville
64 Peachtree Road, Suite 100
Asheville, NC 28803
(828) 277-3000
Vickery Family Medicine
15 Yorkshire Street, Suite 201
Asheville, NC 28803
South Point Family Practice - Belmon
1220 Spruce Street
Belmont, NC 28012
Pediatrics
Family
Practice
Family
Practice
Paschall, John Spruill,
Vickery, David A,
Chin, Tanya Elizabeth,
Biltmore Family Medicine
One Saint Dunstans Rd, Suite 100
Asheville, NC 28803
West Buncombe Family Medicine
91 Mt. Carmel Rd.
Asheville, NC 28806
(828) 253-3717
Dyksterhouse, Andrew J,
Family
Practice
Anderson, Joseph Robert,
Family
Practice
Locklear, David,
Mccartney, Michael S.,
Rinehart, David A.,
Starr, Eric William,
Le Hew, Karen,
Stephens, Caroline D.,
Parker, Justin Christopher,
Wysong, Brian Edward,
Byers, William L,
Rogers, David York,
Beulaville
Carolina Internal Medicine Associates,
PA
390 South French Broad Avenue
Asheville, NC 28801-452
(828) 258-0397
WNC Hypertension & Wellness Center
200 Charlotte Street
Asheville, NC 28801
(919) 233-5958
Eastern Carolina Physicians, PABeulaville
152 Crossover Road
Beulaville, NC 28518
(910) 298-4688
Physician
Assistant
Internal
Medicine
Lemauviel, Laurie,
Physician
Assistant
Hopper, Heather Crummey,
Family Care of Fairview
136 Charlotte Highway
Asheville, NC 28803
(828) 296-0880
Family
Practice
Internal
Medicine
Caldwell, Ronald Renord,
Internal
Medicine
Belmont
Heck, Gary Herschel,
CaroMont Pediatric Partners - Belmont
209 Park Street, Suite 500
Belmont, NC 28012-5209
John, John Kunnuthara,
Nurse
Practitioner
Spargo, Sherry J,
Spargo, Sherry J,
Pediatrics
Bradley, Diana Faison,
Brugman, Richard Derek,
Physician
Assistant
Brugman, Richard Derek,
Mcintyre, Jr., Frederick Lindsey,
MAHEC Family Medicine Residency
Program's Family Health Center
118 W.T. Weaver Boulevard
Asheville, NC 28804
(828) 771-3436
Bumgarner, Elizabeth J.,
Bumgarner, Elizabeth J.,
Owensby, Susan Bignall,
Owensby, Susan Bignall,
Physician
Assistant
Bladenboro
Bladen Medical Associates-Bladenbor
106 4th Street
Bladenboro, NC 28320
(910) 863-3138
Family
Practice
Udeozo, Chidebe,
Boone
Blue Ridge Pediatric & Adolescent
Medicine, Inc
579 Greenway Road, Suite 200
Boone, NC 28607-4809
(828) 262-0100
Pediatrics
Adams, Gregory Lynn,
Family
Practice
Wright, Jeffrey Steven,
Lonas, John Robert,
Wright, Jeffrey Steven,
Monroe, Lanny Lee,
Frayne, Daniel J.,
South Point Family Practice - Belmont
1220 Spruce Street
Belmont, NC 28012
St Clair, Wesley Scott,
Zimmerman, Clinton Ballard,
Page 201 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Boone
Candler
Cary
Primedical Healthcare, PA
240 Highway 105 Extension, Suite 100
Boone, NC 28607-429
(828) 264-7311
The Family Health Centers - Hominy
Valley Family Health Center
1219 Smoky Park Highway
Candler, NC 28715
(828) 667-2526
Cary Adult Medicine
930 SE Cary Parkway Suite 200
Cary, NC 27518
(919) 859-4751
Family
Practice
Placentra, Nicholas Joseph,
Brevard
Brevard Family Practice at
Transylvania Regional Hospital
260 Hospital Drive
Brevard, NC 28712
(828) 885-5732
Family
Practice
Dressel, Laura E.,
Minnich, Kendal B.,
Canton
Family
Practice
Haywood Pediatric & Adolescent
Medicine Group, PA - Canton
125 Park Street
Canton, NC 28716
(828) 648-1711
Brown, Rachel,
Pediatrics
Sawyer, Emily Rogers,
Hammel, Steven D.,
Shea, Timothy,
McLelland, Karin R.,
Physician
Assistant
Stransky, Trew J.,
Saldutti, Steven,
Hendersonville Pediatrics - Brevard
Office
157 Medical Park Drive
Brevard, NC 28712
(828) 884-3440
Pediatrics
Farash, Ann Elizabeth,
Myers, Versa Troutman,
Stombaugh, Lauretta G,
Wells, Ora J,
Physician
Assistant
Buell, Ronald Wayne,
Butner
NC Pediatric Associates - Creedmoor
317 Central Ave.
Butner, NC 27509
(919) 528-7337
Wall, Stephen Jay,
Resnik, Robert John,
Cary Family Healthcare, PA
101 S. W. Cary Parkway, Suite 290
Cary, NC 27511
(919) 467-5678
Family
Practice
Archinal, Ginette Anne,
Gagliardi, Michael D.,
Marshall, Sheila F.,
Cary Healthcare Associates, PA
222 Ashville
Cary, NC 27518
(919) 233-6000
Webb-wood, Sarah,
Family
Practice
Cary
Gilmore, Yougin N.,
Alexander N. Newman, MD
204 Ashville Avenue, Suite 60
Cary, NC 27518
(919) 581-3934
Family
Practice
Newman, Alexander N.,
Carolina Family Practice and Sports
Medicine (Cary)
3700 NW Cary Parkway, Suite 110
Cary, NC 27513-8446
(919) 238-2000
Family
Practice
Bloom, O Josh,
Blount, James G,
Clarey, Kristen,
Pediatrics
Gavankar, Sandeep S,
Sessions, Fadrienne H,
Cary Adult Medicine
930 SE Cary Parkway Suite 200
Cary, NC 27518
(919) 859-4751
Candler
Internal
Medicine
Mazen, Hamad,
Young, Cynthia,
Cary Internal Medicine
103 Baines Court, Suite 200
Cary, NC 27511
(919) 467-6125
Internal
Medicine
Juneja, Vijay K.,
Parikh-Desai, Amrita S.,
Patel, Prashant K.,
Cary Medical Group
530 New Waverly Place, Suite 200
Cary, NC 27518
(919) 859-5955
Family
Practice
Singh, Harmeet Chatrath,
Internal
Medicine
Bilbro, Scott Carter,
Crittenden, Susan Lawrence,
Page 202 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Cary
Cary
Cary
Cary Medical Group
530 New Waverly Place, Suite 200
Cary, NC 27518
(919) 859-5955
Raleigh Durham Medical Group Cornerstone Pediatric and Adolescent
Medicine
97 Cornerstone Dr
Cary, NC 27519
Western Wake Medical Associates,
PLLC
530 New Waverly Place, Ste. 101
Cary, NC 27518
(919) 233-3959
Pediatrics
Internal
Medicine
Schroder, Derek Quentin,
Gelber, Richard S,
Internal
Medicine
Shoffner, Sylvia Piqueras,
Nayal, Vandana,
Jordan, Joan T.,
Van Cleeff, Martin,
Parmar, Shefali Vaibhav,
Meredith, Frances T.,
Generations Family Practice. PA
110 Preston Executive Drive, Ste 108
Cary, NC 27513
(919) 852-3999
Rutledge, William J,
Cerro Gordo
Todd, Karen A,
Wilson, Brett L,
G&G Healthcare, P.C.
7490 Andrew jackson highway
Cerro Gordo, NC 28430-0250
(910) 654-2050
Physician
Assistant
Family
Practice
Steen, Sherill L,
Pressley, Darlene,
Schmidt and Catchings Family Practice
600 New Waverly Place, Suite 205
Cary, NC 27518
(919) 468-6820
Pressley, Kevin Ray,
Family
Practice
Mintzer, Melanie,
Internal Medicine & Pediatrics
224 High House Road, Suite 100
Cary, NC 27513
(919) 380-7531
Internal
Medicine
Capps, Michael T.,
Outlaw, David T.,
Womble, James C.,
James W. Jacobs, MD
1110 SE Cary Parkway, Suite 201
Cary, NC 27518
(919) 859-9954
Wedegaertner, Mary R,
Family
Practice
Shah, Dipen R.,
Triangle Pediatric Center
101 SW Cary Parkway, Suite 270
Cary, NC 27511
(919) 467-5543
Chadbourn
West Columbus Family Practice
110 North Brown St, PO Box 325
Chadbourn, NC 28431
(910) 654-1701
Nurse
Practitioner
Beaver, John D.,
Chapel Hill
Jacobs, James William,
Capps, Mary Elizabeth,
Chapel Hill Pediatrics and Adolesents
PA, Chapel Hill Office
205 Sage Rd, Suite 100
Chapel Hill, NC 27514
(919) 942-4173
Jacobs, James William,
Chao, Irene S.T.,
Pediatrics
Jeffers, Mann, and Artman Pediatrics,
PA - Cary
530 New Waverly Place, Suite 115
Cary, NC 27518
(919) 852-0177
Horowitz, David A,
Braithwaite, Mary Fox,
Salter, Teresa P,
Hosford, Sandra B.,
Waverly Primary Care
600 New Waverly Place, Suite 203
Cary, NC 27518
Johnson, Charles David,
Internal
Medicine
Pediatrics
Pediatrics
Adams, William C,
Baer, Samantha D,
Lail, Jennifer L.,
Merritt, Kathy A.,
Artman, Michael Scott,
Family
Practice
Morton, Christopher W.,
Helton, Mary Beth Ogle,
Foster, Jr., Charlie H,
Salter, Kathleen E.,
Lehrich, Tuyet-Dung Christine,
Richard, Daniel C,
Singleton, Jennifer W.,
Regan, Erin Colleen,
Zhang, Jing Jean,
Page 203 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Chapel Hill
Chapel Hill
Chapel Hill
Duke Primary Care - Timberlyne
Family Medical
110 Timberhill Place, 77 Vilcom Circle,
Suite 200
Chapel Hill, NC 27514
(919) 942-8500
UNC Department of Family Medicine
590 Manning Drive
Chapel Hill, NC 27599
(919) 966-3711
UNC Internal Medicine Clinic
Ambulatory Care Center, Mason Farm
Road, Third Floor
Chapel Hill, NC 27514
(919) 966-2276
Family
Practice
Aylward, Gillian A.,
Huin, Alexandre W,
Klein, David A.,
Family
Practice
Denniston, Clark Rohwer,
Donahue, Katrina Erika P.,
Fedoriw, Kelly Bossenbroek,
Goldstein, Adam Oliver,
Gourlay, Margaret Lee,
Adolescent and Young Adult
Medicine
Sheridan, Stacey L,
Clinical GeneticsM.D.
Evans, James P,
Gwynne, Mark D,
Internal
Medicine
Helton, Margaret Rose,
Aleman, Marco A,
Hobbs, Keia Kishelle,
Cary, Timothy S,
Khandelwal, Christine Mazzola,
Cene, Crystal,
Koonce, Thomas Fredrick,
Colford, Cristin,
Monaco, Julie A,
Dewalt, Darren A,
Mounsey, Anne Leathes,
Henley, Nancy Sue,
Hamrick, Harvey J.,
Newton, Warren Polk,
Jonas, Daniel,
Family
Practice
Page, Cristen Parker,
Keyserling, Thomas C,
Pathman, Don E,
Lewis, Carmen L,
Rayala, Brian Zaguirre,
Miller, Thomas M,
Reddy, Vinay Chintala,
Moore, Carlton R,
Slatkoff, Susan Faith,
Pignone, Michael P,
Sonis, Jeffrey Hal,
Reuland, Daniel S,
Spencer, Donald Charles,
Shaheen, Amy W,
Cross, Alan W.,
Stafford, Harry Cozene,
Ophthalmology
Pediatrics
Viera, Anthony Joseph,
Brown, Wallace D.,
Weir, Sam S,
Byerley, Julie S.,
Zolotor, Adam Jason,
Perrin, Eliana,
Nurse
Practitioner
Luyando, Yvonne,
Stetson, Margaret A.,
UNC Child and Adolescent General
Clinic
101 Manning Drive
Chapel Hill, NC 27514
(919) 218-1113
Adolescent and Young Adult
Medicine
Berkoff, Molly C.,
Internal
Medicine
Coyne-Beasley, Tamera,
Pediatric Emergency
Medicine
Randolph, Gregory D.,
Seashore, Carl J.,
UNC Department of Family Medicine
590 Manning Drive
Chapel Hill, NC 27599
(919) 966-3711
Family
Practice
Collins, Deborah,
Daaleman, Tim Paul,
Sigmon, Evaron R,
Tedder, Janice Lee,
Surgery
Jackson, Leron C,
UNC Internal Medicine Clinic
Ambulatory Care Center, Mason Farm
Road, Third Floor
Chapel Hill, NC 27514
(919) 966-2276
Bryan, James A,
Pediatrics
Chelminski, Paul R,
Chardbourn
Chadbourn Family Practice Center, P
104 E Seventh Avenue
Chardbourn, NC 28431
(910) 654-3143
Family
Practice
Eskander, Essam S,
Charlotte
Daugird, Allen Joe,
Page 204 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Charlotte
Charlotte
CaroMont Family Medicine - Steele
Creek
11010 S. Tryon Street - Suite 108
Charlotte, NC 28273
CHS - Carolinas Weight Management
and Wellness Center
2608 E. 7th Street
Charlotte, NC 28204
(704) 355-9484
CHS - Charlotte Medical Clinic - MCP
1001 Blythe Blvd., Suite 500
Charlotte, NC 28203
(704) 381-8840
Family
Practice
Kliesch, John,
CHS - Pediatric Associates
3030 Randolph Road,, Suite 102
Charlotte, NC 28211
(704) 512-4475
Pediatrics
Givens, Linda Moore,
Internal
Medicine
Cleek, John Brooks,
CHS - Charlotte Medical Clinic Arboretum
3025 Springbank Lane, Suite 100
Charlotte, NC 28226
(704) 542-2543
Henry, Christopher Sterling,
Internal
Medicine
Jackson, Meghan Genelle,
Kendall, Michael W.,
CHS - Carmel Family Physicians
10000 Park Cedar Drive
Charlotte, NC 28210
(704) 542-6577
Kendall, Michael W.,
Family
Practice
McIver, John C.,
Almquist, Robert E.,
Toppin, Jean M.,
Anderson, James,
Toppin, Jean M.,
Davis, Harriet N.,
CHS - Charlotte Medical Clinic - MCP
1001 Blythe Blvd., Suite 500
Charlotte, NC 28203
(704) 381-8840
Hull, Lauren,
Kaiser, Jessica N.,
Kelley, R. Griffin,
Lingo, Stephen T.,
Lingo, Stephen T.,
McIver, John C.,
Lewin, Marc R.,
Internal
Medicine
Sappenfield, Daniel M.,
Bono, Erika L,
Sharma, Isha Puri,
Bono, Erika L,
Walthall, Jr., J. Byron,
Brewer, Robyn,
Wrinkle, Geoffrey T.,
Friedland, Michael B.,
CHS - Carolinas Weight Management
and Wellness Center
2608 E. 7th Street
Charlotte, NC 28204
(704) 355-9484
Friedland, Michael B.,
Family
Practice
Hudson, Albert D.,
Tomcho, John J.,
Tomcho, John J.,
Ganguli, Chandana,
Ganguli, Chandana,
Hudson, Albert D.,
Justis, Peter S.,
Justis, Peter S.,
Kirk, Benjamin A.,
Internal
Medicine
Kirk, Benjamin A.,
Cleek, John Brooks,
Robinson, Douglas B.,
Internal
Medicine
Robinson, Douglas B.,
Scullock, Michell Denise,
Shapiro, Marvin B.,
Shapiro, Marvin B.,
Underwood, Gregory A.,
Underwood, Gregory A.,
CHS - Cotswold Family Medicine
309 S. Sharon Amity Road,, Suite 100
Charlotte, NC 28211
(704) 446-2360
Family
Practice
Bonner, Steven Paul,
Jain, Kamla Terese,
Svecharnik, Marina,
Wynn, Richard Thomas,
CHS - Elizabeth Family Medicine
2001 Vail Avenue
Charlotte, NC 28207
(704) 304-7000
Family
Practice
Brown, Rhett L.r.,
Dulin, Michael F,
Hall, Mary N,
Kennedy, Darin Neal,
Mcpherson, Vanessa L,
Menscer, Darlyne,
Price, David E,
Searson, Stacey S,
Waxman, Dael M,
White, Patricia S,
Zink, Irene M,
Internal
Medicine
Raymond, Lawrence W,
Page 205 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Charlotte
Charlotte
CHS - Elizabeth Family Medicine
2001 Vail Avenue
Charlotte, NC 28207
(704) 304-7000
CHS- Cabarrus Family MedicineProsperity Crossing
5436 Prosperity Church Road, Suite
2200
Charlotte, NC 28269
(704) 863-9893
CHS- Charlotte Pediatric Clinic- Steel
Creek
13640 Steelecroft Parkway, Suite 210
Charlotte, NC 28278
(704) 512-6100
Sports
Medicine
Jones, Robert L,
CHS - Mecklenburg Medical GroupSteele Creek
13640 Steelecroft Parkway, Suite 320
Charlotte, NC 28273
(704) 302-8900
Internal
Medicine
Brancato, Jason A,
Kirkland, Kenesha A.,
CHS - North Charlotte Medical
Specialists- University
101 WT Harris Blvd.,, Suite 5002
Charlotte, NC 28262
(704) 863-9700
Internal
Medicine
Burke, Jennifer Willis,
Getter, Marisa J,
Mitlehner, Richard J,
Moll, Matthew Todd,
CHS - South Charlotte Primary Care
7030 Pineville Matthews Road
Charlotte, NC 28226
(704) 752-7000
Internal
Medicine
Fleishman, Lawrence M,
Mabry, David B,
Mcphee, Sherryl,
White, Mack W,
Pediatrics
Anderson, Jack D,
Coppage honeycutt, Patricia,
Glass, Larry T,
Trivette, Dayna,
Family
Practice
Adkins, Samuel B.,
Giggs, Mia,
Hudson, Tonya M.,
CHS- Charlotte Pediatric ClinicMorrocroft
4501 Cameron Valley Parkway,, Suite
100
Charlotte, NC 28211
(704) 367-7400
Pediatrics
Smoak, Charles,
CHS East Charlotte Family Physician
5801 Executive Center Drive, Suite 10
Charlotte, NC 28212
(704) 863-1550
Family
Practice
Daniels-Mitchell, Karen E.,
Almquist, Perry F,
CHS Mecklenburg Medical Group Ballantyne
15110 John J Delaney Dr, Suite 200
Charlotte, NC 28203
(704) 302-8100
Baker, Marty A,
Cardiology
Bryant, Jr., William F.,
Miller, Richard F,
Golembe, Barry L,
Dermatology
Pediatrics
Moran, Amanda L,
Patt, Rhonda Pennington,
Richter, Stephanie R,
Schmelzer, Anna T,
Shaffner, Susan C,
Shulstad, Andrew R,
Smith, II, Henry L.,
CHS- Charlotte Pediatric ClinicPineville
10348 Park Road,, Suite 300
Charlotte, NC 28210
(704) 512-5060
Pediatrics
Alderman, James F,
Spell, Arthur B,
Temple, Ana- Maria M,
CHS- Charlotte Pediatric Clinic- Steele
Creek
13640 Steelecroft Parkway, Suite 210
Charlotte, NC 28278
(704) 512-6100
Jewell, Martie L,
Internal
Medicine
Bendezu, Luis A.,
Hanger, Barry J,
Kersten, Brian P.,
Mawji, Zubina,
Rafferty, Maureen,
Sokany, Nancy M.,
Weidner, Gregory R.,
Wilson, Michelle J.,
CHS Mecklenburg Medical Group Brunswick
1900 Brunswick Avenue
Charlotte, NC 28207
(704) 358-4400
Internal
Medicine
Framm, David J.,
Pediatrics
Nguyen, NGOC - DIEP,
Page 206 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Charlotte
Charlotte
CHS Mecklenburg Medical Group Morehead
1025 Morehead Medical Drive, Suite
200
Charlotte, NC 28204
(704) 302-8000
CHS Mecklenburg Medical Group South Park
4525 Cameron Valley Parkway, Ste
3100
Charlotte, NC 28211
(704) 302-9300
CHS Mecklenburg Medical Group Uptown
200 S. College Street, Suite 500
Charlotte, NC 28202
(704) 302-8800
Internal
Medicine
Endocrinology
Haggstrom, Daniel Ernest,
Brantley, David A,
Harrell, Jane Stubbs,
Clay, Kimberly Denise,
Stowe, Mary Wassell,
Hematology/Oncology
CHS Mecklenburg Medical Group Museum
3030 Randolph Road, Suite 200
Charlotte, NC 28211
(704) 302-8200
Internal
Medicine
Alexander, James Chester,
Benedum, John L.,
Bowen, Robert C,
Herbert, Allison C,
Lackey, Victoria D.,
Nurse
Practitioner
Robinson, Wanda S.,
Nazemzadeh, Reza,
Internal
Medicine
Internal
Medicine
Ayers, Lorri A,
Amin, Ketan B.,
Belgrave, Enrico O,
Cappleman, William F.,
Dean, Elizabeth A.,
Collins, Gregory V.,
Fortner, Molly R,
Craven, Murray Baxter,
Greene, Ralph L,
Layton, Dennis S.,
Kheireddine, Glencora,
Tucker, W. Stuart,
Kwon, Lanna S,
Villier, James A.,
Rolband, Gary C.,
CHS Riverbend Family Practice Mountain Island Lake
9908 Couloak Drive, Ste 202
Charlotte, NC 28216
(704) 587-2400
Russ, Donald J.,
Shelton, G. Ryan,
CHS Mecklenburg Medical Group Pineville
10650 Park Road, Suite 420
Charlotte, NC 28210
(704) 302-8700
Shoemake, Joshua K.,
Hematology
Peck, Jason A,
Internal
Medicine
Brooks, Olga Yevseyevna,
Callahan, Catherine Brittain,
Ferree, Charles E.,
Landis, Eric Tyler,
LaRue, James Caldwell,
McGrath, Andrea M.,
Teague, Carmen I.,
CHS Randolph Internal Medicine
330 Billingsley Road, Suite 100
Charlotte, NC 28211
(704) 367-8415
Mitchell, Angela R,
Burgess, Earle,
Internal
Medicine
Weidner, Julianne F.,
Wight, Alice Cole,
Neurology
CHS Mecklenburg Medical Group Uptown
200 S. College Street, Suite 500
Charlotte, NC 28202
(704) 302-8800
Internal
Medicine
Family
Practice
Ellison, Aaron Gregory,
Watts, Teressa Mckoy,
CHS- South Lake Pediatrics- Mountai
Island Lake
9908 Couloak Drive, Suite 103
Charlotte, NC 28216
(704) 801-2025
Pediatrics
Coyler- Bushey, Jennifer L,
Barnard, Anne E.,
Semple, Roxanne D,
Carim, Marianne,
CHS University Internal Medicine
1525 W.T. Harris Blvd
Charlotte, NC 28288
(704) 590-6770
Constantine, Jeffrey C.,
Dair, Marvin P,
Pierce, Caroline C.,
Rich, Charles Boyce,
Internal
Medicine
Page 207 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Charlotte
Charlotte
CHS University Internal Medicine
1525 W.T. Harris Blvd
Charlotte, NC 28288
(704) 590-6770
CMC Myers Park Pediatrics
1350 S. Kings Drive
Charlotte, NC 28207
(704) 446-1422
Internal
Medicine
Pediatrics
Novant Health/Randolph Pediatric
Associates, Charlotte
2711 Randolph Road, Suite 501
Charlotte, NC 28207
(704) 384-8600
Peterson, David M.,
CMC Biddle Point Family Practice
1801 Rozzelles Ferry Road
Charlotte, NC 28208
(704) 446-9987
Family
Practice
Clark, Talaya B.,
Cole, Alisahah Janell,
Grant, Heather M.,
Hendrix, Nneka A,
Neuspiel, Daniel R,
Ramkumar, Usha J,
Scannell, Kasey Wymer,
Physician
Assistant
Enand, Chanda Sahni,
Llaneza, Keiran Walsh,
CMC NorthPark Family Practice
251 Eastway Drive
Charlotte, NC 28213
(704) 446-9991
Hill-Erskine, Cynthia R.,
Family
Practice
Lewis, Jerona Alysse,
Banks, Rachel Renee,
Mohanan, Sveta,
DeSantis, Andrea Mary,
Saxe, Jessica S.,
Henson, Gala Cureton,
Usadi, Moshe M,
James-rodriguez, Felice Anais,
CMC Faculty Physician Network ΓÇô
Teen Health Connection
3541 Randolph Road
Charlotte, NC 28211
(704) 381-3886
Pinckney, Jr., Joseph Delacy,
Pediatrics
Matkins, Preeti P.,
Qureshi, Nosheen T,
Eastover Pediatrics
517 S. Sharon Amity Road
Charlotte, NC 28211
(704) 384-1406
Pediatrics
Chai, Janie Yun,
Ghebremedhin, Aster,
Wagoner, David,
Novant Medical Group - Blakeney
Family Physicians Steelecroft
13557 Steelcroft Parkway, Suite 1200
Charlotte, NC 28278-7545
(704) 316-2080
Family
Practice
Culp, Bruce,
Gilchrist, Steven L,
Novant Medical Group - Carolina
Family Physicians
7110 Lawyers Road
Charlotte, NC 28218
(704) 537-0020
Family
Practice
Gross, Pushpa L,
Patel, Hiten,
Novant Medical Group - Cotswold
Medical Clinic
200 Greenwich Road
Charlotte, NC 28211
(704) 384-8680
Matkins, Preeti P.,
Infectious
Disease
Mehta, Shivani Patel,
Clegg, Herbert,
CMC Myers Park Internal Medicine
1350 S. Kings Drive
Charlotte, NC 28207
(704) 446-1242
Pediatrics
Family
Practice
Felkner, Mary,
Anderson, Keith Alan,
Giftos, Peter,
Hoben, Michael S,
Knox, Mary,
Ibe, Elena G.,
Koonce, Elizabeth,
Mueller, Joseph Cole,
Cheng, Iris S,
Lye, James S,
Taylor, Lori M.,
Dreyer, Samantha C.,
Martin, Edward,
Woolen, Thomas Hayes,
Foster, Michelle L,
Roddey, Jr., Oliver,
Gettys, Edna Katherine,
Ryan, Amy,
Jacobs, Lane K,
Swetenburg, Raymond,
Novant Medical Group - Crown Point
Family Physicians
9101 Monroe Road, Suite 155
Charlotte, NC 28270
(704) 384-1260
Internal
Medicine
Kaur, Suneet,
Saha, Animita C.,
Page 208 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Charlotte
Charlotte
Novant Medical Group - Crown Point
Family Physicians
9101 Monroe Road, Suite 155
Charlotte, NC 28270
(704) 384-1260
Novant Medical Group - Presbyterian
Internal Medicine Clinic
1918 Randolph Road, Suite 350
Charlotte, NC 28207
(704) 384-1750
Novant Medical Group / Medical Plaz
Family Physicians
8401 Medical Plaza Drive, Suite 300
Charlotte, NC 28262
(704) 344-2170
Family
Practice
Family
Practice
Family
Practice
Crawford, John T.,
Glenn, Stephanie Morrow,
Abaqueta, Alvin,
Hester, M. Mark,
Internal
Medicine
Clontz, Ted,
Hondros, Dimitrios P.,
Hutchings, Jeffrey Charles,
McMillan, Marshall P,
Wise, Jaime Christine,
Novant Medical Group - Elizabeth
Pediatrics
2630 East 7th Street, Suite 101
Charlotte, NC 28204
Pediatrics
Ankrah, Shelia Deloise,
Ball, Joy K,
Eichenbrenner, Timothy,
Holladay, Glenn,
Pridemore, Laura,
Novant Medical Group - First
Charlotte Physicians Epi Center
210 East Trade St., Suite D-230
Charlotte, NC 28202
(704) 384-7085
Internal
Medicine
Adcock, Jimmie W.,
Albright, Harold Dowe,
Campbell, Faye Sherwood,
Hamid, Mary Kim,
Johnson, Walter W.,
Moore, Elizabeth A,
Pardee, Angela,
Shoaf, Edwin H.,
Swaim, Iveta S,
Novant Medical Group - Presbyterian
Medical Plaza Pediatrics
8401 Medical Plaza Drive, Suite 220
Charlotte, NC 28262-870
(704) 384-1570
Pediatrics
Cofie, Abelard Kpkpo,
Little, Charles Andrew,
Osako, Phaenarete H,
Novant Medical Group - Prosperity
Family Physicians
8310 University Executive Park Drive,
Suite 550
Charlotte, NC 28262
(704) 384-1225
Bullock, William R.,
Family
Practice
Carter, Coleman D,
Barnabei, Robert Anthony,
Edwards, Jonathan,
Clements, Thad,
Kapadia, Sheena,
Novant Medical Group - Randolph
Pediatrics at Pineville
10508 Park Road, Suite 100
Charlotte, NC 28210-8526
(704) 384-1440
Resto-flores, Wilma,
Novant Medical Group - Presbyterian
Internal Medicine Clinic
1918 Randolph Road, Suite 350
Charlotte, NC 28207
(704) 384-1750
Family
Practice
Pediatrics
Comisky, William,
Queen, Deborah,
Long, William,
Tucker, Walter R,
Novant Medical Group/Lakeside
Family Physicians - Highland Creek
10220 Prosperity Park Drive Suite
300, Suite 300
Charlotte, NC 28269
(704) 382-1425
Family
Practice
Devine, Brian D,
Goodman, Sarah E,
Novant Medical Group/Lakeside
Family Physicians - Mt Island Lake
10816 Blackdog Lane, Suite 160
Charlotte, NC 28214
(704) 316-3970
Family
Practice
Floberg, Dane R,
Malta, Katherine M,
Novant Medical Group/South Park
Family Physicians
6324 Fairview Rd, Suite 201
Charlotte, NC 28210-327
(704) 384-0588
Family
Practice
Mack, Peter Bowman,
Schaffer, James William,
Teigland, Lillian M.,
Novant Medical Group-Blakeney
Family Physicians and Imaging Cente
5815 Blakeney Park Dr., Suite 200,
Suite 200
Charlotte, NC 28277-5712
(704) 316-5080
Zimmer, Mary,
Page 209 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Charlotte
Clayton
Concord
Novant Medical Group-Blakeney
Family Physicians and Imaging Center
5815 Blakeney Park Dr., Suite 200,
Suite 200
Charlotte, NC 28277-5712
(704) 316-5080
Family Wellness Clinic
2076 NC Highway 42 W, Suite 230
Clayton, NC 27520
CHS Cabarrus Family Medicine, PA Concord
270 Copperfield Blvd., Suite 102
Concord, NC 28025
(704) 721-2069
Family
Practice
Betancourt, Victoria K.,
Missick, Benjamin J,
Mueller, Andrew T.,
University Family Physicians
10810 Mallard Creek Road
Charlotte, NC 28262-9771
(704) 510-8000
Family
Practice
Barkley, II, Karl L.,
Bartee-Allen, Sylvia A.,
Cardwell, Jeffrey G.,
Desena, Curtis W,
Hughes, Bruce W.,
Karwowski, Charity Lynn,
Knox, Mary Faison Green,
Miller, Stuart O.,
Schaeper, Mark M.,
Cherryville
CaroMont Family Medicine Cherryville
120 S. Mountain Street
Cherryville, NC 28021
(704) 445-0422
Family
Practice
Vaidya-tank, Bhavna,
Family
Practice
Nurse
Practitioner
Bright, Dellyse M.,
Mooring, Shannon,
Delaney, Paul A.,
Jeffers, Mann, and Artman Pediatrics,
PA - Clayton
555 Medical Park Place, Suite 208
Clayton, NC 27520
(919) 359-3500
Hoffman, Jeffrey D.,
Pediatrics
Robinson, Mark D.,
Clark, Juliana Jackson,
Rung, Rebecca,
Degele, Bridget McNamara,
Langdon, Lori Moore,
Melton, Jameelah Ayesha,
Clemmons
Novant Medical Group - Twin City
Pediatrics Clemmons
2554 Lewisville Clemmons Road, Suite
308
Clemmons, NC 27012
Pediatrics
Hoyle, Margarete J,
Clyde
Haywood Pediatric & Adolescent
Medicine Group, PA - Clyde
15 Facility Drive
Clyde, NC 28721
(828) 452-2211
Jones, Carla D.,
Nymberg, III, Jerome H.,
Richards, Tess,
CHS Cabarrus Family Medicine, PA Poplar Tent
5641 Poplar Tent Road
Concord, NC 28027
(704) 782-1955
Family
Practice
Cody, David Mark,
Pope, Allison C.,
Tignor, David C.,
Weston, David Chadwick,
CMC Northeast Adult Primary Care Ardsley Internal Medicine
1085 NorthEast Gateway Court NE,
Suite 200
Concord, NC 28025-2412
(704) 403-8650
Family
Practice
Pediatrics
Internal
Medicine
Young, Richard C.,
Hammel, Steven D.,
Bastadjian, Sylvie,
China Grove
McLelland, Karin R.,
Bastadjian, Sylvie,
Novant Medical Group - Rowan Family
Physicians South
307 East Thom Street
China Grove, NC 28023
(704) 855-8338
Stransky, Trew J.,
Braun, Mark Edward,
Wall, Stephen J.,
Braun, Mark Edward,
Webb-wood, Sarah,
Cicci, Leigh W,
Concord
Cicci, Leigh W,
Family
Practice
CHS Cabarrus Family Medicine, PA Concord
270 Copperfield Blvd., Suite 102
Concord, NC 28025
(704) 721-2069
Keipper, Vincent L,
Bowen, Meredith Davis,
Diloreto, David Daniel,
Keipper, Vincent L,
Mangieri, Deanna Ashley,
Mangieri, Deanna Ashley,
Page 210 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Concord
Concord
Concord
CMC Northeast Adult Primary Care Ardsley Internal Medicine
1085 NorthEast Gateway Court NE,
Suite 200
Concord, NC 28025-2412
(704) 403-8650
CMC Northeast Adult Primary Care NorthEast Internal and Integrative
Medicine
301 Medical Park Drive, Suite 201
Concord, NC 28025
(704) 403-7050
CMC-NorthEast Pediatric Primary
Care - Cabarrus Pediatrics
66 Lake Concord Road
Concord, NC 28025-3057
(704) 403-7720
Internal
Medicine
Internal
Medicine
Surratt, Robert W,
Bongaard, Bridget S,
Surratt, Robert W,
Bongaard, Bridget S,
Thompson, Kerri-Ann R,
CMC Northeast Adult Primary Care Weddington Internal Medicine
3020 Weddington Rd
Concord, NC 28027-815
(704) 403-7700
CMC-NorthEast Pediatric Primary
Care - Piedmont Pediatrics
1085 Northeast Gateway Court NE,
Suite 290
Concord, NC 28025-2412
(704) 403-4650
Internal
Medicine
Pediatrics
Thompson, Kerri-Ann R,
CMC Northeast Adult Primary Care Carolina Internal Medicine
200 Medical Park Drive, Suite 300
Concord, NC 28025
(704) 403-3658
Internal
Medicine
Cain, Brian K,
Cain, Brian K,
Foust, Kim M,
Condrey, Staci F,
Foust, Kim M,
Condrey, Staci F,
Gupta, Aradhana P.,
Roycroft, Robert D,
Gupta, Aradhana P.,
Roycroft, Robert D,
McMurry, David W.,
CMC Northeast Adult Primary
CareConcord Internal Medicine
200 Medical Park Drive, Suite 550
Concord, NC 28025
(704) 403-1307
McMurry, David W.,
Rackoff, Geoffrey D.,
Rackoff, Geoffrey D.,
Wheless, James E,
Wheless, James E,
CMC Northeast Adult Primary Care Edison Square Family Medicine
10030 Edison Square Drive, Suite 100
Concord, NC 28027-825
(704) 403-7830
Family
Practice
Dy, Marc,
Dy, Marc,
CMC Northeast Adult Primary Care NorthEast Internal and Integrative
Medicine
301 Medical Park Drive, Suite 201
Concord, NC 28025
(704) 403-7050
Internal
Medicine
Internal
Medicine
Gismondi-Eagan, Carmella,
Gismondi-Eagan, Carmella,
Kelling, Jr., Douglas G,
Kelling, Jr., Douglas G,
Monroe, III, George C,
Monroe, III, George C,
Pediatrics
Mock, Laura J,
O'brien, Stephen J,
Peterson, Porter Kelling,
Belden, Leona M,
Clancy larimer, Marisa Colleen,
Gaines, Tara G,
Levin, Hal W,
Statis, Jennifer Lopez,
Novant Medical Group - Lakeside
Primary Care - Afton
5325 Vining Street, NW, Suite 101
Concord, NC 28027-294
(704) 316-1040
Internal
Medicine
Griffin, Keith E,
Vuong, Trang,
Woolwine, Amy H,
Novant Medical Group - Lakeside
Primary Care - Speedway
7752 Gateway Lane, Suite 100
Concord, NC 28027
(704) 316-4950
CMC-NorthEast Pediatric Primary
Care - Cabarrus Pediatrics
66 Lake Concord Road
Concord, NC 28025-3057
(704) 403-7720
Family
Practice
Pediatrics
Novant Medical Group - Winecoff
Family Practice
304 Winecoff School Road
Concord, NC 28027
(336) 231-2521
Benbow, John M,
Douglass, David P,
Larrabee, Laura J,
Trombley, Michael J,
Trufant, Scott K.,
Trufant, Scott K.,
Page 211 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Concord
Cornelius
Davidson
Novant Medical Group - Winecoff
Family Practice
304 Winecoff School Road
Concord, NC 28027
(336) 231-2521
Novant Medical Group / Lakeside
Family Physicians - Jetton
19485 Old Jetton Road, Suite 100
Cornelius, NC 28031
(704) 384-1775
CHS Davidson Clinic
705 Griffith Street, Suite 100
Davidson, NC 28036
(704) 892-7905
Family
Practice
Family
Practice
Perry, Jennifer Suzette,
Capps Jr., Richard H,
Van ravesteyn, Jan A,
Cook, David M.,
Univeristy Medical Associates
(Concord)
2308 Kannapolis Highway
Concord, NC 28027
(704) 795-0044
Lindquist, Lee B.,
Internal
Medicine
Creedmoor
Revis, Sheley R,
Conover
Crown Health Care, PA - Conover
Family Practice
305 FIrst Street East
Conover, NC 28613
(828) 464-3821
Family
Practice
Coffey, III, David G,
Kahill, Ailisa Hipp,
Long, William,
Vierling, Brian S,
Graystone Family Healthcare
3511 GRAYSTONE PLACE
CONOVER, NC 28613
(828) 326-9355
Family
Practice
Gold, Steven A.,
Laney Jr., Thomas F.,
Cornelius
Novant Medical Group / Lakeside
Family Physicians - Jetton
19485 Old Jetton Road, Suite 100
Cornelius, NC 28031
(704) 384-1775
Family
Practice
Alexanian, Amy L,
Thomas, Michael B.,
Wolff, Christian G,
Zagar, Christopher A,
Duke Primary Care - Butner
Creedmoor Family Medicine
2527 Lyon Station Road
Creedmoor, NC 27522
(919) 528-1535
Family
Practice
Berstler, Yvonne E,
Bostelman, Catherina,
Family
Practice
Price, Gregory M.,
Pediatrics
Mange, Stephen K.,
Pittoni-Condon, Ann E.,
Tarte, Nancy B.,
CMC Northeast Adult Primary Care Ardsley Internal Medicine-Renaissanc
2101 Shiloh Church Road, Suite 201
Davidson, NC 28036
(704) 439-3730
Internal
Medicine
Paniagua, Tiziana,
Paniagua, Tiziana,
Smith, Lori Danielle,
Smith, Lori Danielle,
Stall, Tamra,
CMC-NorthEast Pediatric Primary
Care - Suburban Pediatrics - Davidson
2101 Shiloh Church Rd, Suite 101
Davidson, NC 28036-7603
(704) 439-3700
Dallas
Pediatrics
Hoffmeier, Craig,
Smith, Allen T,
Ranjit Weerakoon Internal Medicine
701 West Trade Street
Dallas, NC 28034
Internal
Medicine
Weerakoon, Ranjit,
Davidson
CHS Davidson Clinic
705 Griffith Street, Suite 100
Davidson, NC 28036
(704) 892-7905
Garrison, Mary Pressly,
Lods, Stephen C,
Selden, Kymberly F,
Sherrill, Stephanie B,
Davidson Family Medicine
104 Knox Court, Suite 100, P.O. Box
4329
Davidson, NC 28036
(704) 892-5454
Family
Practice
Family
Practice
White, Craig J.,
Beamon, Ronnie T.,
General
Practice
Ellison, Raycinia K,
Carlson, Sarah P.,
Figueroa, Robert L.,
Denver
Jeffcoat, Carolyn Hess,
Page 212 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Denver
Durham
Durham
CHS- East Lincoln Primary Care
1585 Forney Creek Parkway, Suite 2100
Denver, NC 28037
(704) 489-0365
Duke Family Medicine
2100 Erwin Rd
Durham, NC 27710
(919) 684-9764
Duke Primary Care - Pickett Road
3024 Pickett Road
Durham, NC 27705
(919) 668-4478
Family
Practice
Family
Practice
Internal
Medicine
Biondi, Daniel T.,
Martinez-Bianchi, Viviana Sandra,
Joy, Scott V.,
Novant Medical Group - Lakeside
Family Physicians - Denver
7482 Waterside Crossing, Suite 202
Denver, NC 28037
(704) 316-4930
Duke Primary Care - Durham Medical
Center
4220 N. Roxboro Road
Durham, NC 27704
(919) 471-1518
Lee, Sabina M.,
Family
Practice
Internal
Medicine
Waite, Kathleen,
Ryan, John J,
Aderoju, Elizabeth,
Stoffel, Elisabeth A,
Blackford, Susan P.,
Dublin
Kiss, Andrea T,
Bladen Medical Associates-Dublin
16 3rd Street
Dublin, NC 28332
(910) 862-3528
Ramsey, Colleen P.,
Duke Primary Care - Sutton Station
Internal Medicine
5832 Fayetteville Road, Suite 113
Durham, NC 27702
(919) 544-6644
Nurse
Practitioner
Clark, Cynthia Anne,
Durham
Chapel Hill Pediatrics and Adolescents,
Durham Office
249 East NC Highway 54, Highway 54
Durham, NC 27713
(919) 942-4173
Pediatrics
Cooley, Mary Huber,
Cooley, Mary Huber,
Dunk, Andrea Monroe,
Dunk, Andrea Monroe,
Oleniacz, Joseph Paul,
Shipley, Michael B.,
Toher,Jr., Raymond J,
Phelps, Anne F.,
Rookwood, Jacqueline Louise,
Rubin, Sharon Suson,
Wolf, Brian E,
Internal
Medicine
Duke Primary Care - Family Medical
Associates of Durham
1901 Hillandale Road, Sutie B
Durham, NC 27705
(919) 383-5437
Cooner, Edward W,
Family
Practice
Montgomery Chatterjee, Ranee,
Gard, Allison K.,
Meyers, Tracy Elizabeth,
O'Donnell, Timothy Andrew,
Shaner, Brian William,
Duke Primary Care - Metropolitan
Durham Medical Group
1901 Hillandale Road Suite F, Suite F
Durham, NC 27705
(919) 383-1854
Oleniacz, Joseph Paul,
Internal
Medicine
Woodrum, Robert Scot,
Coleman, Arnett,
Woodrum, Robert Scot,
Hart-Brothers, Elaine M,
Duke Family Medicine
2100 Erwin Rd
Durham, NC 27710
(919) 684-9764
Duke Primary Care - Pickett Road
3024 Pickett Road
Durham, NC 27705
(919) 668-4478
Family
Practice
Internal
Medicine
Halbrooks, Ronald F.,
Meredith, Michael W.,
Metz, Louise Dysart,
Paterson, Robert W.,
Shivadas, Anita,
Shivadas, Anita,
Uthe, William F.,
Verka, Lisena G.,
Duke Primary Care - Triangle Family
Practice
6020 Fayetteville Road
Durham, NC 27713
(919) 572-2000
Family
Practice
Hawkins, Hilary N,
Kavanaugh, Patrick E.,
Mathias, Matthew D.,
Nadler, Elisabeth B.,
Pisharody, Anita M,
Sabapathi, Anuradha,
Page 213 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Durham
Durham
Elizabethtown
Duke Primary Care - Triangle Family
Practice
6020 Fayetteville Road
Durham, NC 27713
(919) 572-2000
Lakewood Pediatrics and Family
Medicine
4003 N. Roxboro Street
Durham, NC 27704
(919) 220-3333
Bladen Medical AssociatesElizabethtown
300A East McKay Street
Elizabethtown, NC 28337
(910) 862-5500
Family
Practice
Family
Practice
Family
Practice
Sotolongo, Carlos,
Wenzlik, Adam Clark,
Rich, Robert L,
Durham Internal Medicine Associates
4205 Ben Franklin Blvd.
Durham, NC 27704
(919) 477-6900
Internal
Medicine
Internal
Medicine
Partridge, James A.,
Graham-hoskins, Pearly Berlette,
Shah, Poorvi J.,
Kim, Jong W,
Nurse
Practitioner
Lessane, Beverly Joyce,
Internal
Medicine
Bright, David K.,
Brown, James Trig,
Fleming, Ron D,
Fowler, Walter E.,
Mitas, Allison Marie,
Pediatrics
Massenburg, Althea Hunte,
Gifford, Cameron Douglas,
Physician
Assistant
Isbey, Susan F.,
Boggs, Kimberly Renee,
Linfors, Eugene William,
SW Durham Family Medicine
3612 Shannon Road, Suite 105
Durham, NC 27707
(919) 419-0242
McCrary, Marion M.,
Miller, Carlton D.,
Prasad, Alka,
Pediatrics
Buenaseda, Jose Ornum,
Senthe, Nileshwa Shanmuganathan,
Phillips Internal Medicine
507 Doctor's Drive
Elizabethtown, NC 28337
(910) 862-3212
Internal
Medicine
Phillips, Bruce Alton,
Elkin
Singletary, Jr., William Vance,
Family
Practice
Whelan, John W,
Marum, Tiffany,
Winslow, Bristol Rouse,
O'Rourke, Krystol J.,
Durham Internal Medicine Associates
at Southpoint
5107 Southpark Drive, Suite 104
Durham, NC 27713-8400
(919) 477-6900
University Pediatrics at Highgate
5322 Highgate Drive, Suite 144
Durham, NC 27713
(919) 806-3335
Pediatrics
Pediatrics
Ellerbe
Internal
Medicine
Clowse, Martin C.,
Imperial Center Family Medicine
4309 Emperor Blvd., Ste. 125
Durham, NC 27703
(919) 941-0158
Family
Practice
Jacokes, Dennis N.,
Torrey, Richard K.,
Kirsch, Susan,
Kwee, David,
Pickens, Edward,
Zimmerman, Sarah,
Elizabethtown
Bladen Medical AssociatesElizabethtown
300A East McKay Street
Elizabethtown, NC 28337
(910) 862-5500
Family
Practice
Kids Count Pediatrics, PLLC
1919 North Bridge Street Suite 101
Elkin, NC 28621
(336) 835-7337
Classen, Adrienne Charles,
Helleby, Leticia Estela,
Montgomery County Primary Care
Corp - FH FCC - Ellerbe
112 East Ballard Street
Ellerbe, NC 28338-9730
(910) 652-2663
Family
Practice
Kopynec, Bohdan William,
Physician
Assistant
Thomas, Julie Meredith,
Fair Bluff
Page 214 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Fair Bluff
Gastonia
Gastonia
Fair Bluff Family Practice
1112 Main Street
Fair Bluff, NC 28439
(910) 649-7571
CaroMont Family Medicine - South
Gaston
3050 Riverwood Parkway, Suite B
Gastonia, NC 28056
(704) 865-1749
CaroMont Pediatric Partners - Gaston
705 Summit Crossing PL
Gastonia, NC 28054
Family
Practice
Driggers, Mildred James,
Family
Practice
Gerald, Melvin D,
Gerald, Melvin D,
Fayetteville
Family Medicine Center of Southern
Regional Area Health Education Center
1601 Owen Drive
Fayetteville, NC 28304
(910) 678-7220
Family
Practice
Brown, Aaron D.,
Hansen, Todd S.,
Jordan, Kimberly E,
CaroMont Family Medicine - Gastonia
2711 Xray Drive
Gastonia, NC 28054
Family
Practice
Patel, Manu Hira,
Carr, Sandra M,
Vacalis, Steve Eleftheris,
Hall, John E,
CaroMont Family Medicine-Belmont
2240 RoseMount Road
Gastonia, NC 28054
(704) 672-5329
Ladapo, Jumoke M,
Mergy, James A,
Salzberg, Lenard D,
Garner
Garner Internal Medicine
200 Health Park Drive, Suite 100
Garner, NC 27529
(919) 773-1223
Internal
Medicine
Breiner, Jeffrey Hugh,
Mayer, Karen Elizabeth,
Turner, Steven Howard,
Gastonia
Adult Primary and Palliative Medicine
1040 X-Ray Drive Suite B
Gastonia, NC 28054
Internal
Medicine
Bell, George C,
CaroMont Family Medicine - South
Gaston
3050 Riverwood Parkway, Suite B
Gastonia, NC 28056
(704) 865-1749
Family
Practice
Family
Practice
Pantea, Cristian E.,
Petruska, Jay Jay,
Nurse
Practitioner
Watts, Ann marie Trippel,
CaroMont Integrative Family Medicine
2555 Court Drive - Suite 460
Gastonia, NC 28054
Family
Practice
Novitt, Cecilia A,
CaroMont Internal Medicine
1867 Remount Road, Suite D
Gastonia, NC 28054
(704) 854-8799
Internal
Medicine
Aiken, Warwick,
Bathula, Sailatha,
Folks, Jacqueline D.,
Gore, Shawnya A.,
Valedon, Francisco A.,
Nurse
Practitioner
Pediatrics
Davis, Ellen Satterwhite,
Milroy, Gregory Todd,
Sabogal, Mauricio,
Singleton, Shaunese Derae,
Gaston Family Medicine
3845 S. New Hope Road
Gastonia, NC 28054
Family
Practice
Burgess, Kenneth David,
Gaston Medical Associates PA
2664 Court Drive, Suite A
Gastonia, NC 28054-1449
(704) 861-9030
Internal
Medicine
Ajao, Olufolarin Akanfe,
Nurse
Practitioner
Safrit, Debra Jackson,
Piedmont Adult and Pediatric Medicin
640 Summit Crossing Place, Suite 204
Gastonia, NC 28054
(704) 865-0626
Internal
Medicine
Hoffman, Catherine Ann,
Owusu-addo, Yaw Adjei,
Scheitler, John Lawrence,
Williams, Johnathan Deleon,
Goldsboro
Goldsboro Pediatrics, PA - Goldsboro
Pediatrics
2706 Medical Office Place
Goldsboro, NC 27534
(919) 734-4736
General
Practice
Page 215 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Goldsboro
Greensboro
Greenville
Goldsboro Pediatrics, PA - Goldsboro
Pediatrics
2706 Medical Office Place
Goldsboro, NC 27534
(919) 734-4736
Internal Medicine Center - Moses Cone
Health System
1200 North Elm Street
Greensboro, NC 27401
(336) 832-8062
East Carolina University Department
of Family Medicine
600 Moye Blvd.
Greenville, NC 27858
(252) 744-4615
General
Practice
Internal
Medicine
Emergency
Medicine
Bean, Cory,
Golding, Elizabeth Lloyd,
Keen, Susan,
Pediatrics
Joines, Jerry Dale,
Boyd, Erika Schosser,
Klima, Lawrence David,
Family
Practice
Cook, Marilue M,
Rogers, Charles Stewart,
Hoover, Jennifer Jarrett,
Woodyear, Wynne E,
Hoover, Michael S,
Moses Cone Family Practice
1125 N Church Street
Greensboro, NC 27401
(336) 832-7861
Horton, Teague,
Howell, Amy Wood,
Tayloe, Jr, David Thomas,
Granite Falls
Family
Practice
Crown Health Care, PA - Granite Falls
Primary Care Clinicans
One Trade Street
Granite Falls, NC 28630
(828) 396-3136
Breen, James O,
Family
Practice
Jordan, Sarah T,
Guttler, Sanford,
Kerr, Kirsten,
Greensboro
Cornerstone Health Care, PA - Lucas
Pediatrics
1416 Yanceyville Street
Greensboro, NC 27405
(336) 510-5510
Pediatrics
Eubanks, Amy H.,
Lucas, Kathleen E,
Orugunta, Raveendra Babu,
Sladek-lawson, Rosemarie,
Internal Medicine Center - Moses Cone
Health System
1200 North Elm Street
Greensboro, NC 27401
(336) 832-8062
Internal
Medicine
Butcher, Elizabeth Anne,
Chambliss, Marshall L,
Hale, Wayne Andrew,
Hensel, William Arthur,
Mcdiarmid, Todd Durant,
Neal, Sara Lynn,
Obstetrics &
Gynecology
Bray, Emily,
Buckman, Francis,
Cao, Qing,
Daugherty, Janice,
Edwards, Justin,
Firnhaber, Jonathon,
Johnson, Ashton Fox,
Knapp, Greg,
Larsen, Lars,
Lee, Tae,
Levine, Gary,
Newman, Robert,
Patton, Dean,
Rawl, Richard,
Schmidt, Susan,
Steinweg, Kenneth K,
Pratt, Tanya Suzanne,
Ugoji, Amanze,
Novant Medical Group - New Garden
Medical Associates
1941 New Garden Road
Greensboro, NC 27410-255
(336) 288-8857
Watson, Ricky L,
Family
Practice
Dewey, Elizabeth R,
Shick, Kathryn Anne,
Greenville
East Carolina University Department
of Family Medicine
600 Moye Blvd.
Greenville, NC 27858
(252) 744-4615
Emergency
Medicine
Obstetrics &
Gynecology
Butler, Dorothy,
Greene County Healthcare, Inc-JDBM
261 Belvoir Highway
Greenville, NC 27834
(252) 695-6352
Family
Practice
Kahwagi, Maya,
Harrisburg
CHS Cabarrus Family Medicine Harrisburg
4315 Physicians Blvd., Ste. 101
Harrisburg, NC 28075
(704) 455-6521
Page 216 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Harrisburg
Harrisburg
Hendersonville
CHS Cabarrus Family Medicine Harrisburg
4315 Physicians Blvd., Ste. 101
Harrisburg, NC 28075
(704) 455-6521
CMC-NorthEast Pediatric Primary
Care - Rocky River Pediatrics
5427 Highway 49 South
Harrisburg, NC 28075-7408
(704) 455-5565
Hendersonville Pediatrics PAHendersonville Office
600 Beverly Hanks Centre
Hendersonville, NC 28792
(828) 693-3296
Family
Practice
Pediatrics
Pediatrics
Nuse, Patricia Lyn,
Wilson, Carol,
Samuel, Colleen R,
Hickory
Soucie, Carol J,
Crown Health Care, PA - Generations
Family Medicine and Aesthetics
212 29th Avenue NE, Suite 2
Hickory, NC 28601
(828) 485-2762
Beal-Landis, Esther Rebecca,
Ha, Victor L. K.,
Martin, Stacey L. W.,
Pollack, Ronald A.,
Walker, Katherine M.,
CHS Harrisburg Family Physicians
12170 University City Boulevard
Harrisburg, NC 28075
(704) 455-9388
Family
Practice
Henderson
Duke Primary Care - Henderson
Family Medicine
480 Ruin Creek Road
Henderson, NC 27536
(252) 492-3152
Family
Practice
Family
Practice
Caporossi, Lisa M,
Chambers, Dana LeAnn,
Faircloth, Jr., Jackie Rex,
Mills, John Franklin,
McMillan, Jennifer L.,
Schmit, Kristine Marie,
Pittman, Susan R.,
Wiggs-Grimes, Aretha,
Crown Health Care, PA - Medical Art
Clinic
24 Second Ave. NE
Hickory, NC 28601
(828) 328-2231
Suggs, Theodore F.,
Nurse
Practitioner
Family
Practice
Brinker, Celia S,
Burton, Michael,
Hendersonville
De La Garza, Carlos,
Hendersonville Family Health
Center/Family Practice Residency
Program
709 N. Justice Street, Suite B
Hendersonville, NC 28791
Glenn, Robert,
Family
Practice
Crown Health Care, PA - Springs Roa
Family Practice
2359 Springs Road
Hickory, NC 28601
(828) 256-9853
White, Gloria J.,
Woosley, Kirk Lyle,
Internal
Medicine
Goodwin, Bonnie,
CMC Northeast Adult Primary Care Ardsley Internal Medicine Harrisburg
5424 Highway 49 South, 5427 Hwy 49
South
Harrisburg, NC 28075
(704) 454-7360
Hall-Wilson, Hope Diane,
Crane, Steven D.,
Internal
Medicine
Jones, Geoffrey L.,
Blanks, Esther L.,
Hendersonville Pediatrics PAHendersonville Office
600 Beverly Hanks Centre
Hendersonville, NC 28792
(828) 693-3296
Blanks, Esther L.,
Gaines, Ashley P.,
Gaines, Ashley P.,
CMC-NorthEast Pediatric Primary
Care - Rocky River Pediatrics
5427 Highway 49 South
Harrisburg, NC 28075-7408
(704) 455-5565
Pediatrics
Shaker, Hayam K.,
Pediatrics
Goodwin, Linda S,
Moss, Derek W,
Leonard, Baxter,
Polster, Scott,
Tridico, Trina Insook,
Family
Practice
Faltermayer, William C,
Nelson, John Doug,
Viewmont Internal Medicine
1375 4th Street Dr NW
Hickory, NC 28601
(828) 322-1213
Smith, Anne B,
Internal
Medicine
Volk, James Victor,
Hirsch, Michael M,
Page 217 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
High Point
High Point
High Point
Cornerstone Health Care - Cornerstone
Internal Medicine at Premier
4515 Premier Drive, Suite204
High Point, NC 27265
(336) 802-2075
Cornerstone Health Care - Emerywood
Medical Specialties
810 Lindsay Street
High Point, NC 27262
(336) 802-2060
Cornerstone Health Care-Cornerstone
Pediatrics at Westchester
1814 Westchester Drive, Suite 203
High Point, NC 27262
(336) 802-2100
Internal
Medicine
Internal
Medicine
Pediatrics
Cabeza, Yuri,
Burns, Kevin L.,
Smith, Lafayette Lyle,
Gallemore, Warren G.,
Stone, Grady M,
Pollock, Nelson E.,
Velazquez, Gretchen Yazmine,
Cornerstone Health Care - High Point
Family Practice
905 Phillips Ave
High Point, NC 27262
(336) 802-2040
Woods, Samuel T,
Cornerstone Health Care - Cornerstone
Internal Medicine Westchester
1814 Westchester Drive, Suite 301
High Point, NC 27262
(336) 802-2025
Internal
Medicine
Family
Practice
Haimes, David M.,
Mahaffey, Danielle L.,
Orr, Richard Lowman,
Mcfadden, John C.,
Rostand, Robert Alton,
Rice, Kathleen Mary,
Terrell, Grace Emerson,
Weaver, John W.,
Tonuzi, Racquel Marie,
Cornerstone Health Care - Piedmont
Centre Family and Sports Medicine
4515 Premier Drive, Suite 201
High Point, NC 27265
(336) 802-2040
Ziolkowska, Aldona,
Cornerstone Health Care - Cornerstone
Premier Care
4515 Premier Drive, Suite 402
High Point, NC 27265
(336) 802-2210
Family
Practice
Ellis, Gregory Carl,
Poston, Mary Allison,
Ravenel, Samuel Dubose,
Hillsborough
Duke Primary Care - Hillsborough
Family Medicine
405 Meadowland Drive
Hillsborough, NC 27278
(919) 732-8131
Family
Practice
Crummett, Daniel,
Orendorff, Rebecca L,
Page, Coin T.,
Ringel, Sarah,
Satter, Jane,
Shapley-quinn, Todd,
Family
Practice
Hillsborough Pediatric and Adolescen
Medicine, PLLC
1000 Corporate Drive, Suite 401
Hillsborough, NC 27278
(919) 245-3344
Aguiar, Rafaela M.,
Pediatrics
Kelly, Samuel S.,
Clepper-Faith, Melissa R.,
Orange Family Medical Group
210 S Cameron Street
Hillsborough, NC 27278
Hawks, Aldene Nelson,
Tipton, John S,
Cornerstone Health Care - Deep River
Family Medicine
4515 Premier Drive, Suite 308
High Point, NC 27265
(336) 802-2050
Cornerstone Health Care-Cornerstone
Pediatrics at Premier
4515 Premier Drive, Suite 203
High Point, NC 27265
(336) 802-2200
Family
Practice
Internal
Medicine
Kalish, Michael J.,
Tarter, David M,
Cornerstone Health Care - Emerywood
Medical Specialties
810 Lindsay Street
High Point, NC 27262
(336) 802-2060
Pediatrics
Nurse
Practitioner
Anderson, James Cochran,
Raymond, Dawn E,
Dial, Tasha,
Holly Ridge
Family
Practice
Axelbank, Arthur,
Bowen, Laura M,
Klein, Jonathan Edan,
Page 218 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Holly Ridge
Huntersville
Huntersville
North Whiteville Urgent Care &
Family Practice, PA
308 US Hwy 17 North
Holly Ridge, NC 28445
(910) 264-2334
CHS Mecklenburg Medical GroupNorthcross
16455 Statesville Rd, Ste 200
Huntersville, NC 28078
(704) 302-8600
Novant Medical Group/Lakeside
Family Physicians - Northpoint
16525 Holly Crest Lane, Suite 150
Huntersville, NC 28078-4911
(704) 384-1725
Internal
Medicine
Internal
Medicine
Family
Practice
Pridgen, James Henry,
Gibson, John McNeill,
Barringer, Loveleen,
Holly Springs
Pryor, Evelyn B,
Berger, Jeffrey A.,
Carolina Family Practice and Sports
Medicine (Holly Springs)
190 Rosewood Centre Drive, Suite 100
Holly Springs, NC 27540
(919) 238-2000
Tagle, Laura Koeppel,
Jenike, Thomas E.,
CHS- South Lake PediatricsHuntersville
16455 Statesville Road, Suite 104
Huntersville, NC 28078
(704) 801-3097
Phillips, Shari S.,
Family
Practice
Hart, William Michael,
Stevens, James R,
Huntersville
CHS - North Charlotte Medical
Specialists- Huntersville
16455 Statesville Road,, Suite 360
Huntersville, NC 28078
(704) 801-3300
Internal
Medicine
Batchelor, Thomas A,
Bohrer Brown, Carly B,
Day, Temple V,
English, Martin E,
CHS - Northcross Family Physicians
9726 Sam Furr Road
Huntersville, NC 28078
(704) 801-3310
Pediatrics
Brody, Michelle E,
Burcal, John H,
Clemons, Justina M,
Ficenec, Michael C,
Lawsin, Stella R,
Mukkamala, Sasirekha,
Scott, Deborah A,
Novant Medical Group / Huntersville
Pediatric and Internal Medicine
17220 Northcross Drive, Suite 110
Huntersville, NC 28078
(704) 384-8720
Internal
Medicine
Hooten, Josephine H,
Jayne, Beth Ann,
Webb, Thomas Stephen,
Family
Practice
Pediatrics
Hodges, Timothy W.,
Ferdinands, Lillian S,
Layman, Holly Marie,
Flannery, William K.,
CHS Mecklenburg Medical GroupNorthcross
16455 Statesville Rd, Ste 200
Huntersville, NC 28078
(704) 302-8600
Novant Medical Group/Lakeside
Family Physicians - Northpoint
16525 Holly Crest Lane, Suite 150
Huntersville, NC 28078-4911
(704) 384-1725
Hematology/Oncology
Family
Practice
Higgs, Vetta B,
Baker, Brian D.,
Barrocas, Joseph,
Sherrill, Thomas M.,
Novant Medical Group/Lakeside
Family Physicians - Rosedale
14330 Oakhill Park Lane, Suite 200
Huntersville, NC 28078
(704) 316-1265
Family
Practice
Alexanian, Aram,
Garcia, Joseph A,
LiCause, Gina G.,
Meyer, Barbara E,
University Medical Associates
(Huntersville)
10030 Gilead Road, Suite 200
Huntersville, NC 28078
(704) 316-5600
Internal
Medicine
Archer, Beth A,
Carpenter, Kent D,
McCune, Scott A.,
Jamestown
Cornerstone Healthcare - Cornerstone
Internal Medicine at Jamestown
604 West Main Street
Jamestown, NC 27282
(336) 802-2015
Internal
Medicine
Jobe, Daniel Brian,
Kannapolis
Page 219 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Kannapolis
Kannapolis
Kings Mountain
CHS Cabarrus Family Medicine, PA Kannapolis
4949 Professional Park Drive, Suite 101
Kannapolis, NC 28081
(704) 938-6521
CMC-NorthEast Pediatric Primary
Care - Suburban Pediatrics
3396 Cloverleaf Parkway
Kannapolis, NC 28083-6992
(704) 403-7740
CaroMont Family Medicine-Kings
Mountain
214 N. Cleveland Avenue
Kings Mountain, NC 28086
(704) 730-1228
Family
Practice
Pediatrics
Family
Practice
Ha, Anupama Singh,
Levy, Robert M,
Shepherd, James H.,
Steinbacher, Erika A.,
Trantham, Erin J.,
CMC Northeast Adult Primary Care Kannapolis Internal Medicine
559 Jackson Park Road, 559 Jackson
Park Road
Kannapolis, NC 28083
(704) 932-1155
Desai, Tanvi Naresh,
Greenlee, Cynthia Renee,
Guerriero, Gregory P,
Houston, Shelley A.,
Morgann, Robert G.,
Stewart, LaClaire W.,
Kernersville
Internal
Medicine
Cornerstone Health Care, PA Cornerstone Pediatrics Associates of
Kernersville
861 Old Winston Road, Suite 103
Kernersville, NC 27284
(336) 802-2300
Bianchi, Kerry R.,
Pediatrics
Bianchi, Kerry R.,
Smith, Leslie Rierson,
Jain, Prachee,
Physician
Assistant
Jain, Prachee,
Morris, Brigid A.,
Morris, Brigid A.,
Moser, Robert G.,
Moser, Robert G.,
Phillip, Wayne B.,
Darty, Shelly Warren,
Novant Medical Group - Forsyth
Internal Medicine Kernersville
445 Pineview Drive, Suite 240, Suite 240
Kernersville, NC 27284
(336) 993-2128
Phillip, Wayne B.,
Internal
Medicine
Thomas, Harold D,
Nnadi, Victoria O,
Thomas, Harold D,
Novant Medical Group/Kernersville
Family Practice
291 Broad Street
Kernersville, NC 27284
(336) 933-8181
CMC-NorthEast Pediatric Primary
Care - Cabarrus Pediatrics - Kannapolis
Kannapolis Medical Mall, 543 Jackson
Park Rd
Kannapolis, NC 28083-3657
(704) 403-7720
Family
Practice
Pediatrics
Boals, Aaron M,
Mah, Hans S,
Brown, Aleatha A,
CMC-NorthEast Pediatric Primary
Care - Suburban Pediatrics
3396 Cloverleaf Parkway
Kannapolis, NC 28083-6992
(704) 403-7740
Radiontchenko, Alexei,
Record, Charles L,
Ryter-Brown, Sherry M,
Kings Mountain
Wilson, Lisa M.,
Physician
Assistant
Williams, Kevin R.,
Kinston
Eastern Carolina Physicians, PAKinston
744 Airport Road
Kinston, NC 28504
(252) 523-0026
Internal
Medicine
Heck, Gary Herschel,
John, John Kunnuthara,
Knightdale
Duke Primary Care - Knightdale
162 Legacy Oaks Drive
Knightdale, NC 27545
(919) 232-5205
Family
Practice
Boyd, Tammy Lamonica,
Hebda, William B,
Tanner, John P,
WFPA, PLLC Knightdale Pediatric
Office
4019 Village Park Drive
Knightdale, NC 27545
Pediatrics
Brandes, Barbara A,
Richardson, Luann F,
Woods, Kristi E,
LaGrange
Goldsboro Pediatrics, PA - LaGrange
Pediatrics
114 E Railroad St
LaGrange, NC 28551
(252) 566-5999
Page 220 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
LaGrange
Lewisville
Linville
Goldsboro Pediatrics, PA - LaGrange
Pediatrics
114 E Railroad St
LaGrange, NC 28551
(252) 566-5999
Family Medical Associates of
Lewisville/Novant Medical Group
1225 Lewisville-Clemmons Rd
Lewisville, NC 27023
(336) 712-0700
Charles E. Baker MD PA
436 Hospital Drive, Suite 230
Linville, NC 28646
(828) 737-7711
Pediatrics
Family
Practice
Ponzi, Joseph William,
Laurinburg
Scots Pine Clinic, PLLC
515 Lauchwood Drive
Laurinburg, NC 28352
(910) 276-1775
Emergency
Medicine
Hanmer, Clark B.,
The Purcell Clinic
418 South King Street
Laurinburg, NC 28352
(910) 276-7570
Pediatrics
Byrd, Jeffrey Keith,
Gallub, Jennifer L,
Howard, Tharon Currin,
Mabry, Fredrick H,
O'donnell, Michael Patrick,
Leland
Carolinas Coastal Health, PC
1003 Olde Waterford Way, Ste 1-C
Leland, NC 28451
(910) 338-0588
Family
Practice
Adams, James W.,
Lewisville
Family Medical Associates of
Lewisville/Novant Medical Group
1225 Lewisville-Clemmons Rd
Lewisville, NC 27023
(336) 712-0700
Family
Practice
Beal, Alicia Pauley,
Lis, Kimberly Jean,
Williams, W. Cameron,
Lillington
Family
Practice
Baker, Charles Edwin,
Yale, Jerry David,
Locust
Lillington Family Medical Center
7 East Duncan St.
Lillington, NC 27546
(910) 893-2641
CHS Cabarrus Family MedicineLocust
103 Stanley Parkway Drive, Suite A
Locust, NC 28097
(704) 786-6521
Family
Practice
Family
Practice
Briggs, John L,
Lucas, Steven E.,
Lincolnton
Trzebiatowski, Margaret I.,
CHS - Lincoln Family Practice
614 Center Drive
Lincolnton, NC 28092
(704) 735-7413
Novant Medical Group/Lakeside
Primary Care - Locust
236 Market Street, Suite 110
Locust, NC 28097-943
(704) 384-9590
Family
Practice
Reid, Jr., Robert L.,
Schwanz, Joan I.,
Schwanz, Joan I.,
Senft, Daniel S.,
Senft, Daniel S.,
Tran, Raymond,
CHS - Lakemont Family Medicine
612 Center Drive
Lincolnton, NC 28092
(704) 732-3266
Family
Practice
Benton, Cammy Renae,
Benton, Cammy Renae,
Sykes, Paul Wilson,
Sykes, Paul Wilson,
Linville
Family
Practice
Vargas, Ricardo,
Matthews
CHS- Charlotte Pediatric ClinicMatthews
332 Sam Newell Road, Suite 1500
Matthews, NC 28105
(704) 512-6820
Pediatrics
Cleveland, Jeffrey A,
Prosser, Jodie,
Wiese, Rachel L,
CHS Matthews Primary Care
2407 Plantation Drive, Suite 102
Matthews, NC 28105
(704) 512-4560
Family
Practice
Mody, Sachin S.,
Hess, Terry D.,
Lee, David Ethan,
Page 221 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Matthews
Matthews
Midland
CHS Mecklenburg Medical Group Matthews
332 Sam Newell Road, Suite 2000
Matthews, NC 28105
(704) 302-8500
Novant Medical Group / First
Charlotte Physicians Matthews
1401 Matthews Township Parkway,
Suite 200
Matthews, NC 28105
(704) 384-6901
CMC Northeast Adult Primary Care Midland Family Medicine
12925 Hwy 601 South, Suite 300
Midland, NC 28107
(704) 888-3702
Internal
Medicine
Bradford, Edward A.,
Copsis, Peter N.,
Johnson, Andrea D,
Kishan, Arfana,
Knish, Edward J.,
Mehta, Tejal V.,
Smith, Michael W.,
Thomas, Sasha C,
Wilds, Caroline,
Matthews Internal Medicine PLLC
101 E Matthews Street, Suite 200
Matthews, NC 28105
(704) 246-3936
Internal
Medicine
Busse, Gregory F,
Sangmuah, Eliza N,
Sangmuah, Eugene B.,
Novant Medical Group - Matthews
Children's Clinic
1401 Matthews Township Parkway,
Suite 100
Matthews, NC 28105-540
(704) 384-1080
Pediatrics
Blanton, Charles M,
Craig, Michael,
Crosby, Betty,
Ezzo, Stephen,
Goss, Laurie O,
Musgrave, Elizabeth Mcelreath,
Parish, Michele M,
Spies, Robert Scott,
Thomas, Walter,
Young, Pamela,
Internal
Medicine
Beverly-Rudisel, Nettie Yvette,
Burgess, Jr., William C.,
Karriker, Charlotte K,
Malone, David P.,
Martin, Michael J.,
Musa, Gregory D.,
Owens, Susan L.,
Nurse
Practitioner
White, Sara R,
McAdenville
CaroMont Family MedicineLowell/McAdenville
105 Elm Street, PO box 490
McAdenville, NC 28101
(704) 824-5323
Family
Practice
Gehle, Randall D.,
Marquand, Wesley L.,
Mebane
Family
Practice
Cloud, Edith Elaine,
Cloud, Edith Elaine,
Kelley, T. Maxwell,
Kelley, T. Maxwell,
Mint Hill
CHS Charlotte Medical Clinic - Mint
Hill
10545 Blair Road, Suite 2100
Mint Hill, NC 28227
(704) 863-9500
Internal
Medicine
Richardson, Michael S.,
Richardson, Michael S.,
Simon, Stephanie Y,
Simon, Stephanie Y,
Mocksville
Novant Medical Group / Medical
Associates of Davie
485 Valley Road
Mocksville, NC 27028
(336) 761-8000
Duke Primary Care - Mebane
100 E. Dogwood Drive
Mebane, NC 27302
(919) 563-8400
Family
Practice
Family
Practice
Renfroe, William O,
Aldridge, Barbara D,
Grandis, Heidi,
Olmedo, Mario Ernesto,
Midland
CMC Northeast Adult Primary Care Midland Family Medicine
12925 Hwy 601 South, Suite 300
Midland, NC 28107
(704) 888-3702
Edwards, Joel L.,
Nguyen, Phuong M.,
Shugart, Christine M,
Mooresville
Novant Medical Group / Lakeside
Family Physicians-Mooresville
130 Plantation Ridge Drive, Ste. 100
Mooresville, NC 28117
(704) 316-1635
Family
Practice
Bundy, Robert F,
Elkins, Stephanie B,
Page 222 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Mooresville
Mount Airy
Mt. Olive
Novant Medical Group / Lakeside
Family Physicians-Mooresville
130 Plantation Ridge Drive, Ste. 100
Mooresville, NC 28117
(704) 316-1635
Novant Medical Group / Medical
Associates of Surry
865 Westlake Drive
Mount Airy, NC 27030
(336) 719-6100
Goldsboro Pediatrics, PA - Mt. Olive
Pediatrics
327 Hwy 55 West
Mt. Olive, NC 28365
(919) 658-9123
Family
Practice
Psychiatry
Pediatrics
Parrish, Thomas Earl,
Nickens, Larry C,
Mount Holly
Yeh, Siegfried Chang rong,
CHS Riverbend Family Practice
215 S. Main Street
Mount Holly, NC 28120
(704) 827-3413
Mt. Pleasant
Mather, Bruce S.,
Panuski, Rebecca M,
Morrisville
Avance Care, P.A.
6402 McCrimmon Pkwy, Suite 100
Morrisville, NC 27560
(919) 655-1000
Family
Practice
Adeyina, Feyisayo Adenike,
Vaikunth, Aparna B,
Duke Primary Care - Morrisville
10950 Chapel Hill Road
Morrisville, NC 27560
(919) 327-1630
Family
Practice
Barnes-Durity, Monica,
Rayala, Christopher Z,
Sen, Ananya B,
Nurse
Practitioner
Sugg, John Brinkley,
Mount Airy
Family
Practice
Beatty, Lee A.,
Haney, John Thomas,
Toosi, Soraya,
Mt. Airy
Northwest Medical Partners
280 N. Pointe Blvd.
Mt. Airy, NC 27030-2267
(336) 719-6001
Family
Practice
Gardner, Donald Nelson,
Kim, Huyi jin,
Minton, Challie A,
Nurse
Practitioner
Sanders, Shannon Leigh,
Mt. Holly
Novant Medical Group / Medical
Associates of Surry
865 Westlake Drive
Mount Airy, NC 27030
(336) 719-6100
South Point Family Practice - Mt. Holly
112 Woodlawn Avenue
Mt. Holly, NC 28120
(704) 827-3575
Family
Practice
Physician
Assistant
Dodd, Mark A.,
Bradshaw, John Martin,
Hooks, William B.,
Mt. Olive
Pediatrics
Goldsboro Pediatrics, PA - Mt. Olive
Pediatrics
327 Hwy 55 West
Mt. Olive, NC 28365
(919) 658-9123
Thoppil, Cecil K,
Pediatrics
Jackson, Joseph A.,
Kerley, Roger K.,
Seidler, Jay Richard,
CHS Cabarrus Family Medicine, PA Mt. Pleasant
8560 Cook Street
Mt. Pleasant, NC 28124
(704) 436-6521
Family
Practice
Andersen, Susan R.,
Dobson, Lolo Allen,
Kelly, Darren B.,
Pons, Lara J.,
Rhodes, Charles W.,
Sexton, Cheryl D.,
Nags Head
Surf Pediatrics PC
100 East Dune Street
Nags Head, NC 27959
(252) 449-5200
Pediatrics
Lige, Christian Thor,
Physician
Assistant
Flock, Kellie E.,
New Bern
Coastal Childrens Clinic
703 Newman Road
New Bern, NC 28562
(252) 633-2900
Pediatrics
Barden, Graham A.,
Copeland, Benjamin J.,
Crawford, Charles Marston,
Gunsten, Gregory G.,
Kafer, Lisa M.,
Page 223 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
New Bern
Oxford
PITTSBORO
Coastal Childrens Clinic
703 Newman Road
New Bern, NC 28562
(252) 633-2900
Duke Primary Care - Oxford Family
Physicians
101-A Professional Park Drive
Oxford, NC 27565
(919) 693-3972
Community Family Medicine Pittsboro
75 OLD GRAHAM RD.
PITTSBORO, NC 27312
(919) 542-2731
Family
Practice
Family
Practice
Anderson, John B,
Butler, Erik Smith,
Craft, Patrick Phelps,
Holt, James B,
Ivery, Latonja M.,
Sajeevan, Sujatha,
Koinis, Thomas F.,
Princeton
Monical, Cheryl J.,
Goldsboro Pediatrics, PA - Princeton
Pediatrics
104 Commercial Dr
Princeton, NC 27569
(919) 936-3164
Pediatrics
Skladan, LeeAnn B.,
Warren, Calvin G.,
Newton
Newton Family Physicians, PA
767 West 1st Street
Newton, NC 28658-4238
(828) 465-3928
Family
Practice
Forshey, Alan Gray,
Lopina, Bartholomew Joseph,
Granville Family Medicine
103 Professional Park A
Oxford, NC 27565
(919) 693-7108
Pediatrics
Peltzer, David Eric,
Family
Practice
Sherfey, Shannon H.,
Mahan, Dennis Michael,
Ziemer, Carey,
Story, Alan Wade,
Stock, Andrew Edward,
Raeford
North Wilkesboro
Novant Medical Group / Medical
Associates of Wilkes
1919 West Park Drive
North Wilkesboro, NC 28659
(336) 651-2980
Granville Medical Center dba
Granville Internal Medicine &
Geriatrics
1032 College Street
Oxford, NC 27565-2507
(919) 693-6541
Karen L. Smith, MD, PA
929 West Prospect Avenue
Raeford, NC 28376
(910) 904-1695
Family
Practice
Counselor,
Professional
Derick, Jeffrey M.,
Anderson, Beverly L.,
Swofford, Joel H.,
Internal
Medicine
Wilson, Lauralee,
General
Practice
Chavis, L. Francine,
Ertischek, Stephen D,
Griffin, Christopher P,
Family
Practice
Smith, Karen L.,
Montgomery County Primary Care
Corp - FH FCC - Raeford
313 Teal Drive
Raeford, NC 28376-2599
(910) 904-2350
Hefner, Kenny D.,
Patel, Vikesh,
Family
Practice
Internal
Medicine
Pinehurst
Lowry, Garnett Marcus,
Pinehurst Family Care Center, PA
10 Aviemore Dr
Pinehurst, NC 28374
(910) 215-5555
Raleigh
Family
Practice
Family
Practice
Jameson, John W,
Brundle, Scott H,
Lam, Douglas E,
Blue Ridge Pediatrics, LLP
3124 Blue Ridge Road, Suite 102
Raleigh, NC 27612
(919) 782-0021
Jewell, James E.,
Oxford
Duke Primary Care - Oxford Family
Physicians
101-A Professional Park Drive
Oxford, NC 27565
(919) 693-3972
Family
Practice
Manzo, Matthew T,
PITTSBORO
Alliance Family Practice
4505 Fair Meadows Lane, Suite 101
Raleigh, NC 27607
Page 224 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Raleigh
Raleigh
Raleigh
Blue Ridge Pediatrics, LLP
3124 Blue Ridge Road, Suite 102
Raleigh, NC 27612
(919) 782-0021
Duke Primary Care - Brier Creek
10211 Aim Street
Raleigh, NC 27617
(919) 484-8345
Pediatrics
Family
Practice
Duke Primary Care - North Hills
Internal Medicine
3320 Wake Forest Road
Raleigh, NC 27609
(919) 855-8911
Allen, Louis D,
D'Avanzo, Nicholas J,
Deepa, Vijay,
DeFlora, Ellen,
Parekh, Komal H,
Parekh, Komal H,
Parekh, Komal,
Parekh, Komal,
Capital Family Medicine
3320 Executive Drive, Ste. 214
Raleigh, NC 27609
(919) 878-8596
Family
Practice
Forsyth, Richard J.,
Henderson, Paul M.,
Capital Family Physicians, PA
2417 Atrium Drive, Suite 201
Raleigh, NC 27607
(919) 232-0020
Family
Practice
Bell, Andre E,
Pineo, Caleb Evans,
Internal
Medicine
Glover, Anne K,
Duke Primary Care - Creedmoor Road
7200 Creedmoor Road
Raleigh, NC 27613
(919) 327-1650
Internal
Medicine
O'connell, Patrick Austin,
Schecodnic, Heidi L,
Schneider, Richard J.,
Nurse
Practitioner
Delbuono, Catherine M.,
Duke Primary Care - Harps Mill
7021 Harps Mill Road, Suite 100
Raleigh, NC 27615
(919) 846-2125
Bommareddi, Anu,
Internal
Medicine
Burkard, John L.,
Griffiths, William Owen,
Griffith, Corinne,
Jenkins, Sharrah Ericka,
Carolina Family Practice and Sports
Medicine (Raleigh)
8300 Health Park, Suite 107
Raleigh, NC 27615-4731
Seo, Esther E,
Family
Practice
Becker, David Lowell,
Foreman, Brett H,
Robertson, Noelle Celine,
Duke Primary Care - Brier Creek
10211 Aim Street
Raleigh, NC 27617
(919) 484-8345
Shroff, Rushad Darius,
Physician
Assistant
Neal, Amanda,
Duke Primary Care - North Hills
Internal Medicine
3320 Wake Forest Road
Raleigh, NC 27609
(919) 855-8911
Internal
Medicine
Internal
Medicine
Thakkar, Madhvi M,
E. Brooks Wilkins Family Medicine, P
3100 Duraleigh Road, Suite 200
Raleigh, NC 27612
(919) 571-6465
Family
Practice
Patel, Jaimita V.,
Wilkins, Ezra Brooks,
Wilkins, Ezra Brooks,
Internal
Medicine
Block, Mitchell Howard,
Family Medical Assoicates of Raleigh,
PA
3500 Bush Street, Suite 103
Raleigh, NC 27609
(919) 875-8150
Family
Practice
Drabick, Andrew J.,
Flick, Conrad Lloyd,
Moore, III, Stephen I.,
Internal Medicine Associates of
Raleigh, PA
3850 Ed Drive, Suite 100
Raleigh, NC 27612
(919) 788-9588
Internal
Medicine
Ibach, A. Leigh,
James, Michael,
Liebowitz, Steven M.,
Lue, Jr., John F.,
Starkenburg, Robert J.,
Marucheck, John Thomas,
Noble, Richard Claiborne,
Page 225 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Raleigh
Raleigh
Raleigh
Jeffers, Mann, and Artman Pediatrics,
PA - Raleigh
2406 Blue Ridge Road, Suite 100
Raleigh, NC 27607
(919) 786-5001
Pediatric Partners, PA
5816 Creedmoor Road, Suite 104
Raleigh, NC 27612
(919) 787-9555
Raleigh Children and Adolescents
Medicine, PC
2800 Blue Ridge Road, Suite 401
Raleigh, NC 27607
(919) 781-7490
Pediatrics
Nurse
Practitioner
Alexander, Maria Premilla,
Gura, Georgette Fernanda,
Sena, Thomas J.,
Herriott, Victoria Margaret,
Pediatrics
Jeffers, Robert Gordon,
Brenneman, Terry R.,
Mann, Larry Douglas,
Walker, Melanie Paul,
Overcash, Harold Payne,
Piedmont Medical Associates, PA
3400 Executive Drive, Suite 205
Raleigh, NC 27609
(919) 878-0900
Raleigh Childrens and Adolescent
Medicine
10208 Cerny St, Suite 100
Raleigh, NC 27617
(919) 781-7490
Metro Internal Medicine, P.A
3320 Executive Drive, Suite 222
Raleigh, NC 27609
(919) 877-1100
Internal
Medicine
Family
Practice
Britt, Joan D.,
Holt, Kenneth A.,
Carr II, Josiah M.,
Neuse Valley Internal Medicine
701 Exposition Place, Suite 218
Raleigh, NC 27615-3359
(919) 791-2900
Raleigh Adult Medicine
3100 Blue Ridge Road, Suite 210
Raleigh, NC 27612
(919) 781-7500
Internal
Medicine
Internal
Medicine
Anderson, Troy Fletcher,
James, Selina L,
O'Rourke, James Ralph,
Jones, Mary E,
Rose, Grace Willett,
Myatt, Jennifer H,
North Raleigh Pediatric Group
7205 Stonehenge Drive
Raleigh, NC 27613
(919) 848-2229
Nasr, Viviane,
Pediatrics
Coleman, Stephen Ray,
Dubal, Nirali M,
Flannelly, Christiana,
Frerichs, R E.,
McMillan, Michele,
Wilson, Christopher,
Pediatric Partners, PA
5816 Creedmoor Road, Suite 104
Raleigh, NC 27612
(919) 787-9555
Nurse
Practitioner
Pediatrics
Pediatrics
Fletcher, Jamila Ife Abeni Forte,
Raleigh Family Practice
4414 Lake Boone Trail, Suite 502
Raleigh, NC 27607
(919) 875-0539
Family
Practice
Bean, Gary O.,
Burkhead, Margaret Kelly,
Hamrick, Alger V.,
Raleigh Medical Group
3521 Haworth Drive
Raleigh, NC 27609
(919) 341-3618
Gastroenterology
Rees, Michael S,
Jacobs, William R,
Rekuc, Gregory M,
Hematology
Raleigh Children and Adolescents
Medicine, PC
2800 Blue Ridge Road, Suite 401
Raleigh, NC 27607
(919) 781-7490
Pediatrics
Carr, Marjorie B.,
Fletcher, Jamila F.,
Gessner, Richard R.,
Harris, James T.,
Lehan, Leigh S.,
Dunlap, William M,
Internal
Medicine
Edmundson, Warner Lee Wells,
Fischer, Benjamin Peter,
Goldman, Brian H,
Harris, Tina Griffin,
Lang, III, John Albert,
Rubino, John,
Short, Douglas Brian,
Meares, Jr., Ben M.,
Monroe, Rasheeda T.,
Owrey, Sarah E.,
Page 226 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Raleigh
Raleigh
Rockingham
Richard D. Adelman, MD
7320 Six Forks Rd., Ste 260
Raleigh, NC 27615
(919) 846-9292
Wake Internal Medicine Consultants,
Inc.
10880 Durant Road,, Suite 100
Raleigh, NC 27614
(919) 781-7500
Montgomery County Primary Care
Corp - FH FCC - Richmond Family
Medicine
921 South Long Drive, Suite 101
Rockingham, NC 28379-4874
(910) 417-3850
Family
Practice
Adelman, Richard D,
Robert M. Horton Family Practice
3124 Blue Ridge Road, #101
Raleigh, NC 27612
(919) 782-2333
Family
Practice
Horton, Robert M.,
Wake Internal Medicine Consultants
3100 Blue Ridge Rd., Suite 300
Raleigh, NC 27612
(919) 781-7500
Gastroenterology
Herschelman, Marc A.,
Internal
Medicine
Bhat, Bhavna,
Campbell, Donald B.,
Carlson, Curtis Bradley,
Crater, Christina H.,
Dougherty, Kevin E.,
Flescher, Jonathan,
Gillespie, Michael J.,
Harper, Wayne L.,
Israel, Rodger D.,
Jariwala, Arvind N.,
Levin, Stuart J.,
Mollin, Daniel J.,
Rico, Anthony L.,
Tyson, Treva W.,
Wake Internal Medicine Consultants,
Inc.
10880 Durant Road,, Suite 100
Raleigh, NC 27614
(919) 781-7500
Internal
Medicine
Hughes, Sarah P.,
McDaniels, Christopher N.,
Meier, John J.,
Pediatrics
Gutekunst, Heather R.,
Wakefield Medical Clinic
10831 Forest Pines Drive, Ste 104
Raleigh, NC 27614
(919) 488-8066
Family
Practice
Wagner, Scott David,
White Oak Pediatrics, PA
4414 Lake Boone Trail, Suite 103
Raleigh, NC 27607
(919) 787-0266
Pediatrics
Anderson, Donna G,
Daumen, Judith R,
Kelly, Laura H,
Munt, Robert L,
William Lee Family Medicine, PA
4201 Lake Boone Trail, Suite 102
Raleigh, NC 27607
(919) 896-8383
Family
Practice
Lee, Jr., William D.,
Rockingham
Masoud Ahdieh MD, PA
711 S. Long Drive
Rockingham, NC 28379-4315
(910) 997-7180
Pediatrics
Ahdieh, Masoud,
Nurse
Practitioner
Martin, Amanda H,
Millen, Steven Dale,
Physician
Assistant
Collins, Steven B,
Montgomery County Primary Care
Corp.-FH FCC- Carolina Family
Medicine
104 Physicians Park Drive
Rockingham, NC 28379-5204
(910) 895-1989
Physician
Assistant
Kern, Jeffery Justin,
Rocky Mount
Rocky Mount Family Medical Center,
PA
804 English Rd, Suite 100, Suite 100
Rocky Mount, NC 27804
(252) 443-3133
Family
Practice
Abel, Mark S,
Hart, Jennifer M,
Mcfadden, Jeffrey Alan,
Michal, Richard G,
Parker, John Ashley,
Physician
Assistant
Geissler, Sarah E,
Lucas, John M,
Mcleod, Julian E,
Migdon, Steven,
Perry, Rachel L,
Roxboro
Internal
Medicine
Page 227 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Roxboro
Sanford
Snow Hill
Roxboro Family Medicine &
Immediate Care, PC
3762 Durham Road, Suite B
Roxboro, NC 27574
(336) 322-1701
Community Family Medicine
2412 Wilkins Dr
Sanford, NC 27330
(919) 776-6000
Greene County Health Care, Inc.-Snow
Hill
7 Professional Drive
Snow Hill, NC 28580
(252) 747-8162
Family
Practice
Bolden, Taineisha Cellel,
Godard, Michael J,
Obstetrics &
Gynecology
Granger, Eugene Ronald,
Salisbury
Novant Medical Group / Rowan Family
Physicians
650 Julian Road
Salisbury, NC 28147
(704) 637-3373
Family
Practice
Barrier, Ronnie Jay,
Connelly, Jason Robert,
Kribbs, John B,
Myers, Kim Morgan,
Ott, Benjamin Thomas,
South, Bethany July,
Sanford
Brick City Primary Care
125 Chatham Street
Sanford, NC 27330
(919) 775-1115
Family
Practice
Tyler, Michael J.,
Nurse
Practitioner
Julich, Cynthia,
Strayhorn, Christine,
Shelby
CaroMont Family Medicine - Shelby
520 N. Dekalb Street
Shelby, NC 28150
(704) 484-8001
Family
Practice
Smith, Mackenzie Marie,
Internal
Medicine
Osta, Elie,
Greene County Healthcare, Inc-KBR
205 Martin Luther King Jr Parkway
Snow Hill, NC 28580
(252) 747-4199
Emergency
Medicine
Family
Practice
Saltz, jr., James Edwin,
Denning, Christopher Marshal,
Obstetrics & Gynecology - CA
PCP
Denning, Christopher Marshal,
Imhoff, Anna Lorraine,
Jones, Mary Mckeel,
Pediatrics
Jones, Mary Mckeel,
Moreno, Carmen Lucia,
Lachance, Lynda M,
Southern Pines
Lachance, Lynda M,
Premier Pediatrics, PA
135 Turner St
Southern Pines, NC 28387-7054
(910) 246-2229
SCCN-15
711 N. Dekalb Street
Shelby, NC 28150
(704) 482-1482
Internal
Medicine
Aldinger, Kyle Anthony,
Pediatrics
Ramgoolam, Andres,
Roberson, Jill R.,
Coalson, Barry Edward,
Sandhills Pediatrics, Inc.
195 West Illinois Avenue
Southern Pines, NC 28374
(910) 692-2444
Davis, Daniel Edwin,
Pediatrics
Lloyd, Larry Phillip,
Melton-Smith, Renee Brontae,
Boals, Joseph Calloway,
Community Family Medicine
2412 Wilkins Dr
Sanford, NC 27330
(919) 776-6000
Rabindran, Evelyn Angelina,
Carlton, Wendi M.,
Ribadeneyra, Michael G.,
Diasio, Christoph Robert,
Rheumatology
Locklear, Sarah Ransom,
Family
Practice
Garrett, Dana L,
Physician
Assistant
Emergency
Medicine
Wilson, Robert,
Besson, Gideon,
Caunt, Calvin Leslie,
Mason, Nora Catherine,
Ferrell, P Brent,
Snow Hill
Sherrington, Brian Thomas,
Stewart, William Lee,
Stanley
Page 228 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Stanley
Thomasville
Vale
CaroMont Family Medicine- Stanley
700 North Main Street
Stanley, NC 28164
(704) 263-8945
Cornerstone Health Care - Piedmont
Internal Medicine
711 National Highway, Suite 500
Thomasville, NC 27360
(336) 474-1995
CHS - West Lincoln Family Medicine
4429 W. Hwy 27
Vale, NC 28168
(704) 748-2245
Family
Practice
Emerson, Russell I.,
Larsen, Per L.,
Mccants, Deidra Dayoka,
Physician
Assistant
Sikes, Michael Randolph,
South Point Family Practice - Stanley
159 E. Dallas Raod
Stanley, NC 28164
(704) 263-0300
Family
Practice
Reed, Derek M.,
Starr, Eric William,
Stovall
Granville Health System dba Stovall
Medical Center
100 Durham Street
Stovall, NC 27565-0022
(919) 690-8880
Family
Practice
Mahan, Dennis Michael,
Summerfield
Cornerstone Family Practice at
Summerfield
4431 USHighway 220N
Summerfield, NC 27358
(336) 643-7711
Family
Practice
Burnett, Brent Alan,
Moreira, Fernanda,
Stallings, Sheila Clark,
Wilson, Fred Henry,
Obstetrics &
Gynecology
Kaplan, Kristen,
Thomasville
Internal
Medicine
Furr, Sara M.,
Mckinney, John J.,
Cornerstone Health Care-Thomasville
Family Practice
201 West Holly Hill Road
Thomasville, NC 27360
(336) 475-9164
Family
Practice
Dellinger, Robert Cedric,
Futrell, Thomas Milton,
Gentry, Daniel Earl,
Trinity
Cornerstone Health Care - Cornerstone
Family Practice at Trinity
6329 Unity Street, Suite I
Trinity, NC 27360
(336) 802-2270
Family
Practice
Jacobucci, Nicola Joseph,
Troy
FirstHealth Family Care Center - Troy
522 Allen St., Suite 101
Troy, NC 27371
(910) 571-5545
Family
Practice
Eller, Chrystal Faye,
Mid Carolina Family Medicine
PO Box 726, 1038 Albemarle Road
Troy, NC 27371
(910) 572-1785
Family
Practice
Glass, Jason Lee,
Glass, Jason Lee,
Wake Forest
Duke Primary Care - Wake Forest
Family Physicians
11635 Northpark Drive, Suite 200
Wake Forest, NC 27587
(919) 570-6060
Family
Practice
Battle, Jamila R.,
Troiano, Jason,
Wilson, Larry,
Jeffers, Mann, and Artman Pediatrics
PA - Wake Forest
110 Capcom Avenue, Suite 110
Wake Forest, NC 27587
(919) 453-5363
Pediatrics
Covington, Suzanne Steele,
Loibissio, Joseph Charles,
Village Family Care (Wake Forest)
3213 Rogers Road
Wake Forest, NC 27587-3805
(919) 562-2225
Family
Practice
Cefalu, Joseph A.,
Konopka, Scott E.,
Rounds, J. Carson,
Weber, Thomas N.,
Family
Practice
Wake Forest Pediatric Associates
1655 Wake Drive, Suite 101
Wake Forest, NC 27587
(919) 556-4779
Vang, Touber,
Pediatrics
Vale
Brandes, Barbara A,
Davis, Kimberly,
Ercolino, Peter,
Page 229 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Wake Forest
West End
Whiteville
Wake Forest Pediatric Associates
1655 Wake Drive, Suite 101
Wake Forest, NC 27587
(919) 556-4779
Montgomery County Primary Care
Corp - FH FCC - Seven Lakes
1035-C Seven Lakes Drive
West End, NC 27376-9081
(910) 673-0045
Peggy Sue Barnhill, MD
116 Memory Plaza
Whiteville, NC 28472
Physician
Assistant
Barnhill, Peggy S,
Pediatrics
Jain-Rodriguez, Anitha Kamla,
Richardson, Luann F,
Ulrich, Beth Anne,
Weinstein, Naomi,
Walstonburg
Greene County Healthcare, Inc-WMC
205 Main Street
Walstonburg, NC 27888
(252) 753-3771
Physician
Assistant
Mizell, Rachel Kathryn marie,
Waxhaw
Novant Medical Group - Waxhaw
Family Physicians & Sports Medicine
3614 Providence road, Suite 200, Suite
200
Waxhaw, NC 28173
(704) 384-8604
Family
Practice
Evans, Lilian Q,
Matthews, Daniel Alan,
Whiteville
Carolinas Health Care System
500 Jefferson Street
Whiteville, NC 28472
(910) 653-7000
Berry, Richard Garth,
Columbus County Health Dept
304 Jefferson Street, PO Box 810
Whiteville, NC 28472-0810
(910) 641-3914
Southeast Primary Care
619 Jefferson Street
Whiteville, NC 28472
(910) 642-0331
Nurse
Practitioner
Family
Practice
Brown, Rebecca Hinnant,
Perdue, Christy T,
Columbus Internal Medicine
800 Jefferson Street, Suite 113
Whiteville, NC 28472
(910) 642-3356
Internal
Medicine
Fernz, Miriam Minu,
Warren, Eric Thomas,
Columbus Pediatrics & Adolescent
Care PA
800 Jefferson Street, Suite 116
Whiteville, NC 28472-3702
(910) 642-2642
Branton, Tara Lorraine,
Branton, Tara Lorraine,
Ladd-Snively, Susan E.,
Ladd-Snively, Susan E.,
Sharma, Anuj,
Sharma, Anuj,
West End
Verrett, Charlotte Inez,
Ragsdale, Kimberly Renee,
Martin III, William G.,
Family
Practice
Family
Practice
Internal
Medicine
Guthmann, Howard M,
CHS - Weddington Family Medicine
1928 Highway 84
Weddington, NC 28104
(704) 841-2175
Signet Healthcare, Inc
109 N. JK Powell Blvd, PO Box 1527
Whiteville, NC 28472
(910) 640-7070
Family
Practice
Internal
Medicine
Weddington
Family
Practice
Hodgson, John David,
Martin, David A,
Whiteville Cardio-Pulmonary PC
329 Jefferson Street
Whiteville, NC 28472
(910) 642-4711
Family
Practice
Farias, Shobha,
Wilkins, III, John,
Whiteville Medical Associates
823 Jefferson St, PO Box 1528
Whiteville, NC 28472
(910) 642-6121
Physician
Assistant
Family
Practice
Shanks, Amalie Beth,
Thigpen, Fronis Ray,
Peggy Sue Barnhill, MD
116 Memory Plaza
Whiteville, NC 28472
Traylor, Henry W,
Pediatrics
Matthews, Coy Randolph,
Family
Practice
Pediatrics
Waldman, Richard M,
Wilmington
Page 230 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Wilmington
Wilmington
Winston Salem
New Hanover Community Health
Center
925 N. 4th Street
Wilmington, NC 28401
(910) 343-0270
New Hanover Medical Group - Ogden
7420 Market Street
Wilmington, NC 28411
Cornerstone Health Care - Brookview
Hills Internal Medicine
3333 Brookview Hills Blvd, Suite 207
Winston Salem, NC 27103
(336) 765-5250
Family
Practice
Dickerson, Janice F,
Baijnath, Nalini Shrimattie,
New Hanover Medical Group - Central
1960 S. 16th Street
Wilmington, NC 28401
(910) -
Family
Practice
Messier, Amy E,
Pierson, Margaret Wooten,
Pierson, Noah Ross,
Internal
Medicine
Family
Practice
Manolukas, Peter,
Almond, Charles M,
New Hanover Regional Medical Center
Coastal Family Medicine Center, 2523
Delaney Avenue
Wilmington, NC 28403
(910) 330-3602
Bridger, Dewey H,
Carter, Deborah S,
Internal
Medicine
Messier, Matthew R,
Internal
Medicine
Klein, Steven Russell,
Smith, William T.,
Physician
Assistant
Klein, Patricia Mills,
Valente, Louis Rocco,
Forsyth Internal Medicine
1381 Westgate Center Drive
Winston Salem, NC 27103
(336) 718-0100
Internal
Medicine
Eakins, Joey William,
Family
Practice
Day, James W.,
Herring, Charles B,
Downs, Heather L,
Day, Jennifer Beth,
Kornegay, Jeffrey Todd,
Meyer, Jr., Albert A,
Eberle, Robert A.,
Lewis, Clifford T,
Winston - Salem
Galbreath, John W.,
Downtown Health Plaza
1200 MLK Drive
Winston - Salem, NC 27101
(336) 713-9800
Garrison, Michael S.,
New Hanover Medical Group - Myrtle
Grove
5145 S. College Road
Wilmington, NC 28412
Family
Practice
Pediatrics
Daniel, Christian P,
Albertini, Laurie A,
Musselwhite, III, Neill H,
Cohen, Gail Michelle,
Player, John Gregory,
Goodpasture, Meggan Lee,
Internal
Medicine
Krowchuk, Daniel Peter,
Gregory, Dixon Elijah,
Parks, Lenore Yvonne,
Karras, Dean H,
Sagerman, Paul James,
Martin, Shona Ferrier,
Winston Salem
Warhaftig, Jeffrey L,
Cornerstone Health Care - Brookview
Hills Internal Medicine
3333 Brookview Hills Blvd, Suite 207
Winston Salem, NC 27103
(336) 765-5250
New Hanover Medical Group - Ogden
7420 Market Street
Wilmington, NC 28411
Family
Practice
Boldizar, John D,
Broadbent, Bryan Jh,
Krowchuk, Daniel Peter,
Internal
Medicine
Collins, David Dutrow,
Marx, Richard S,
Nadler, Jaclyn Sheri,
Ragonesi, Peter B,
Wigand bolling, Gwendolyn,
Winston-East Pediatrics
2295 E. 14th Street Suite 100
Winston Salem, NC 27105
(336) 713-8865
Pediatrics
Dockery-Howard, Pamela Sharee,
Fleming, Charlene McCain,
Gordon, Karyn Bayinah,
Physician
Assistant
Dillard, Wilbert Clark,
Winston-Salem
Ardmore Family Practice
2805 Lyndhurst Avenue
Winston-Salem, NC 27103-4109
(336) 659-0076
Page 231 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Winston-Salem
Winston-Salem
Winston-Salem
Ardmore Family Practice
2805 Lyndhurst Avenue
Winston-Salem, NC 27103-4109
(336) 659-0076
Downtown Health Plaza Adult
Medicine Clinic
1200 Martin Luther King Drive
Winston-Salem, NC 27101
(336) 713-9602
Novant Medical Group - Friedberg
Family Medicine
5010 Peters Creek Parkway
Winston-Salem, NC 27127
(336) 788-4664
Internal
Medicine
Family
Practice
Feiereisel, Kirsten B,
Morgan, G Lon,
Lichstein, Peter R,
Novant Medical Group - Gateway
Family Practice
390 Salem Avenue
Winston-Salem, NC 27101-586
(336) 721-2375
Family
Practice
Rosen, Robert Dean,
Sapp, Amy Caroline,
Cornerstone Health Care - Total
Family Care
3333 Brookview Hills Blvd, Suite 107
Winston-Salem, NC 27103
(336) 760-8380
Family
Practice
Hilton, Suzanne Elizabeth,
Lischke, Aimee S,
Cornerstone Health Care, PA - Ford,
Simpson, Lively & Rice Pediatrics
2909 Maplewood Avenue
Winston-Salem, NC 27103
(336) 794-3380
Family
Practice
Rice, Kathleen Mary,
Pediatrics
Armentrout, Mary E.,
Cannon, Karen S.,
Erickson, Carrie,
Ford, Robert V.,
Kooy-smith, Gwyn E,
Silkstone, Margaret L.,
Simpson, Martha K.,
Stewart, William P,
Yoder, Amy Beisswanger,
Downtown Health Plaza Adult
Medicine Clinic
1200 Martin Luther King Drive
Winston-Salem, NC 27101
(336) 713-9602
Miller, David P,
Pedley, Carolyn R,
Velez, Ramon,
Wofford, James L,
Maplewood Family at the Village
5110 Robinhood Village Drive
Winston-Salem, NC 27106
(336) 277-7000
Family
Practice
Davis, Vu D.,
Fink, James T.,
Peral, Lindsay S,
Novant Medical Group - Forsyth
Pediatrics Westgate
1351 Westgate Center Drive
Winston-Salem, NC 27103-293
Pediatrics
Adams, Melanie,
Alden, Margaret Stokes,
Erickson, Lia Simpson,
Gardner, James D.,
Griffith, Mary M.,
Hadley, Mary,
Paynter, Robert M,
Robinson, Ellen R.,
Hollar, Larry A,
Howell, Leigh Ellis,
Lee, Holly W.,
Novant Medical Group - Robinhood
Pediatrics and Adolescent Medicine
Center
Robinhood Medical Plaza, Building 20
Winston-Salem, NC 27106
Pediatrics
Anderson, David Scott,
Bell, Alfred Dudley,
Clifford, Barbara Ann,
Krowchuk, Daniel Peter,
Krowchuk, Daniel Peter,
Latta, Harold Frank,
Pinder, Julie M,
Rainey, David Y,
Novant Medical Group - Twin City
Pediatrics
2821 Maplewood Avenue
Winston-Salem, NC 27103-413
Rogers, James Michael,
Family
Practice
Williams, Robert L.,
Brammer, Jennifer A,
Denizard-Thompson, Nancy M,
Novant Medical Group - Friedberg
Family Medicine
5010 Peters Creek Parkway
Winston-Salem, NC 27127
(336) 788-4664
Internal
Medicine
Family
Practice
General
Practice
Family
Practice
Pediatrics
Ajizian, Vanessa K,
Harper, Katherine Meadows,
Kribbs, Leticia M,
Satterwhite, III, William H.,
Taha, Samina Habib,
Page 232 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
North Carolina
North Carolina
North Carolina
Winston-Salem
Winston-Salem
Winston-Salem
Novant Medical Group - Twin City
Pediatrics
2821 Maplewood Avenue
Winston-Salem, NC 27103-413
Novant Medical Group / Salem Family
Practice
105 Vest Mill Circle
Winston-Salem, NC 27103
(336) 718-7800
Wake Forest Baptist Health Family
Physicians
Medical Center Blvd
Winston-Salem, NC 27157
(336) 716-2833
Family
Practice
Physician
Assistant
Thomas, John B.R.,
Shull, Catherine Neal,
Worf, Richard C.,
Wake Forest university - Peace Haven
Family Medicine
Medical Center Blvd, Piedmont
Buidling, Dept. Family Medicine
Winston-Salem, NC 27157
(336) 716-9015
Pediatrics
Warner, Benjamin Welton,
Novant Medical Group / Maplewood
Family Practice
100 Robinhood Medical Plaza
Winston-Salem, NC 27106
(336) 718-0800
Family
Practice
Bissette, Stephen G.,
Cannon, Thomas B.,
Jones, Jr., Champ M.,
Kelly, Robert G.,
Moyer, Frank R.,
Pressly, Cressent Hudson,
Stugart, Rick H.,
Van Zandt, Keith B.,
Novant Medical Group / North Point
Medical Associates
1995 Bethabara Road
Winston-Salem, NC 27106
(336) 718-4043
Wake Forest Baptist Health Family
Physicians
Medical Center Blvd
Winston-Salem, NC 27157
(336) 716-2833
Family
Practice
Adler, Michael Langly,
Andrews, Mark Douglas,
Andrews, Mark Douglas,
Cartwright, Sarah Lieber,
Family
Practice
Andrews, Mark Douglas,
Andrews, Mark Douglas,
Farland, Sandra Bryant,
Stewart, Alicia Walters,
Celestino, Frank Samuel,
Westgate Pediatrics
3746 Vest Mill Road
Winston-Salem, NC 27103
(336) 774-0710
Coates, Michael Lee,
Pediatrics
Jackson, Jr., David Stone,
Bates, Shayne,
Case, Kimberly Anne,
Cassidy-vu, Lisa Anne,
Knudson, Mark Paul,
Heinrich, Marcela,
Family
Practice
Latham-Sadler, Brenda Arlene,
Kreiter, Shelley,
Lendle, Donald L.,
Lord, Richard William,
Weinshilboum, Rebecca,
Internal
Medicine
Namak, Shahla Y,
Yadkinville
Rosenbaum, Daryl A,
Dalton, Timothy J.,
Spangler, John G,
Madden, Christopher A,
Strickland, Carmen G,
Novant Medical Group / Salem Family
Practice
105 Vest Mill Circle
Winston-Salem, NC 27103
(336) 718-7800
Yadkin Valley Community Physicians
624 W. Main Street, PO Box 68
Yadkinville, NC 27055
(336) 679-6758
Thornton, Heath Crumpler,
Family
Practice
Internal
Medicine
Braswell, Sherill D.,
Barham, Ann Hiott,
Christakos, Christopher N.,
Physician
Assistant
Ohio
Curtis, Laura Gail,
Beachwood
Davis, John F.,
Howell, Travis Worth,
General
Practice
Clinch, Charles Randall,
Family
Practice
Long, Thomas Smither,
McGrath, James Stuart,
General
Practice
Ziglar, Jerry Thomas,
Marion, Gail S,
Roach, III, John G.,
Page 233 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Beachwood
Brunswick
Cincinnati
Cleveland Clinic Beachwood Family
Health and Surgery Center,
Departments of Internal Medicine and
Family Medicine
26900 Cedar Road
Beachwood, OH 44122
(216) 839-3000
Cleveland Clinic Brunswick Family
Health Center, Departments of Internal
Medicine and Family Medicine
3574 Center Road
Brunswick, OH 44212
(330) 225-8886
Dr. Jeffrey L. Craig and Dr. John R.
Schroder
3805 Edwards Road, Suite 130
Cincinnati, OH 45209
(513) 564-3960
Family
Practice
Goodman, Kenneth,
Lipold, Laura,
Podl, Tod,
Powell, Brenda,
Rabovsky, Michael,
Varghai, Nayyer,
Internal
Medicine
Internal
Medicine
Aldoori, Dhia,
Salay, Elizabeth M.,
Chagrin Falls
Cleveland Clinic Chagrin Falls Family
Health Center, Departments of Internal
Medicine and Family Medicine
551 East Washington Street
Chagrin Falls, OH 44022
(440) 893-9393
Bal, Baljit,
Family
Practice
Borukh, Elena,
Hamler, Scott,
Feinleib, Steven,
Juliano, Erin,
Goraya, Shazia,
Young, Christopher,
Beavercreek
Yunus, Samina,
Daniel L. Whitmer, MD
2510 Commons Blvd, Suite 275
Beavercreek, OH 45431
(937) 431-3700
Internal
Medicine
Family
Practice
South Russell Family Practice, Inc.
5192 Chillicothe Road, Suite 101
Chagrin Falls, OH 44022
(440) 338-3366
Whitmer, Daniel L,
Brunswick
Poptic, Jennifer,
Group Health Associates - Anderson
7810 Five Mile Rd
Cincinnati, OH 45230
(513) 246-7000
Family
Practice
Breslin, Kevin J,
Handleton, Michael R,
Kleinfelder, James,
Internal
Medicine
Abbott, Susan,
Brune, Marybeth,
Nicholas, Sharon,
Rechtin, Robert,
Long, Donald,
Group Health Associates - Kenwood
8245 Northcreek Dr
Cincinnati, OH 45236
(513) 246-7000
Family
Practice
Miller, Timothy,
Schroder, John R,
Vrishabhendra, Leela,
Family
Practice
Meacham, Mark,
Craig, Jeffrey,
Chen, Yong,
Cleveland Clinic Brunswick Family
Health Center, Departments of Internal
Medicine and Family Medicine
3574 Center Road
Brunswick, OH 44212
(330) 225-8886
Cain, Robert,
Internal
Medicine
Internal
Medicine
Frias, Mayra,
Garren-Hudson, Kimberly Ann,
Hamad, Joseph,
Kale, Neelima Jayavant,
Hellmann, Robert,
Rood, Mark N.,
Marklay, Jennifer M,
Cincinnati
Mccoy, Malinda M,
Charles Eger, MD and Theodore S.
Marty III, MD
1507 Springfield Pike
Cincinnati, OH 45215
(513) 821-6500
Pembaur, Berthold,
Group Health Associates - Western
Hills
2001 Anderson Ferry Rd
Cincinnati, OH 45238
(513) 246-7000
Tulisiak, Thomas,
Internal
Medicine
Williams, Marc,
Eger, Charles H,
Internal
Medicine
Marty, Theodore S,
Fieler, Lisha,
Page 234 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Cincinnati
Cincinnati
Cincinnati
Group Health Associates - Western
Hills
2001 Anderson Ferry Rd
Cincinnati, OH 45238
(513) 246-7000
Group Health Associates - Springdale
55 Progress Place
Cincinnati, OH 45246
(513) 346-5000
My Doctor, LLC
9050 Montgomery Road, Suite B
Cincinnati, OH 45242
(513) 631-6963
Internal
Medicine
Internal
Medicine
Lafranconi, Paula J.,
Magenheim, Douglas A.,
Neirouz, Yvette,
Queen City Medical Group
463 Ohio Park, #300
Cincinnati, OH 45255
(513) 528-5600
Internal
Medicine
Mueller, Thomas,
Reuss, Raymond,
Seltzer, Kimberly,
Sharma, Yogesh,
Group Health Associates - Clifton
2915 Clifton Ave.
Cincinnati, OH 45220
(513) 246-7000
Family
Practice
Smith, Ronald,
Wallace, Christine,
Lincoln Heights Health Center
1401 Steffen Ave
Cincinnati, OH 45215
(513) 483-3091
Family
Practice
Internal
Medicine
Collins, Francis M.,
Dolensky, Diane J.,
Feghali, Georges M.,
Krebs, Heidi,
Kourie, Michel A.,
Internal
Medicine
Macavei, Sorina M.,
Niemeyer, Lee E,
Pullen-James, Shayla,
Lenchitz, Bernard,
Internal
Medicine
Weatherington, Mary A,
Queen City Physicians-Madeira
7825 Laurel Avenue
Cincinnati, OH 45243-2608
(513) 561-4811
Itzkowitz, Maralyn,
Firestone, Melvin,
Nurse
Practitioner
Froschauer, William,
Colella, Christine L,
Jadeed, Katheryn Ellen,
Lisa Larkin M.D. & Associates
4460 Red Bank Expressway, Suite 100
Cincinnati, OH 45227
(513) 271-5111
Lustig, David,
Miller, E Huxley,
Smith, Robert C,
Youkilis, Abbie,
Group Health Associates - Finneytown
9070 Winton Rd
Cincinnati, OH 45231
(513) 246-7000
Internal
Medicine
Budke, Kevin,
Spaedy, Melanie,
Group Health Associates - Springdale
55 Progress Place
Cincinnati, OH 45246
(513) 346-5000
Internal
Medicine
Kallenberg, Richard B.,
Massoud, Paul J.,
Family
Practice
Dressler, Robert E,
Internal
Medicine
Internal
Medicine
Kholodenko, Yana,
Joliat, Lisa,
Queen City Physicians-Western Hills
Internal Medicine
6350 Glenway Avenue #400, Suite 400
Cincinnati, OH 45211-6396
(513) 481-3400
Larkin, Lisa C,
Miller, Kim L,
Stegman, Susan,
Wright, Maria Beth,
Mt Healthy Family Practice
8146 Hamilton Avenue
Cincinnati, OH 45231
(513) 483-3080
Family
Practice
Weinberg, Nolan L,
Internal
Medicine
Alexander, Marc A,
Aurand, Theresa A,
Carrigan, Terrence J,
Shetty, M.V. V,
Enriquez, Jessica C,
Shetty, Roshni,
Nurse
Practitioner
Tante-Takougang, Prudence,
Johnsen, Debra A,
Page 235 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Cincinnati
Cincinnati
Cincinnati
Queen City Physicians-Western Ridge
Internal Medicine
6949 Good Samaritan Drive, Suite 210
Cincinnati, OH 45247
(513) 931-2400
TriHealth Physician Practices LLC Blue Ash Family Physicians
4422 Carver Woods Drive, Suite 100
Cincinnati, OH 45242
(513) 792-4700
TriHealth Physician Practices LLC R.N. Shenai MD, Inc
10196 Springfield Pike
Cincinnati, OH 45215
(513) 771-0800
Internal
Medicine
Family
Practice
Family
Practice
Dammel, Richard M,
Fiehrer, Kevin D,
Saraf, Smita Anil,
Gall, Ronald M,
Stretcher, Denise M,
Shenai, Usha R,
LaHue, Dale J.,
TriHealth Physician Practices LLC Madeira Family Practice
7829 Laurel Avenue
Cincinnati, OH 45243
(513) 561-6266
TriHealth Physician Practices LLC Robles & Moreira Internal Medicine
Associates
10495 Montgomery Road, Suite 15
Cincinnati, OH 45242
(513) 936-8900
Palermo, Gerald A,
Rose, Geoffrey A.,
The Christ Hospital Medical Associates
2123 Auburn Avenue, Suite 334
Cincinnati, OH 45219
(513) 585-1500
Internal
Medicine
Costello, Benjamin Thomas,
Jennings, Michael Robert,
Redington, Jr., Thomas J.,
Schrand, Mark Edward,
The Family Medical Group, LLC
6331 Glenway Avenue, 6331 Glenway
Avenue
Cincinnati, OH 45211
(513) 389-1400
Family
Practice
Bort, Thaddeus M.,
Braun, Margaret C.,
DeMarco, David J.,
Donnelly, Walker E.,
Hazen, Joseph P.,
Heile, Michael K.,
Heuker, Sonja A.,
Kohls, Regina A.,
McCarren, Timothy J.,
Family
Practice
Beiter, Patrick A,
Messer, Jennifer A,
Moore, Douglas L,
Sheridan, Katherine Elizabeth,
Weiskittel, David G,
TriHealth Physician Practices LLC Montgomery Family Medicine
11029 Montgomery Road
Cincinnati, OH 45249
(513) 891-2211
Family
Practice
Grimm, Thomas W,
Kindt, Sarah M,
Merling, Jeffrey W,
Moody, Douglas C,
Vonderbrink, Richard H,
TriHealth Physician Practices LLC Physician Associates of Good
Samaritan Hospital, Northwest
1253 Kemper Meadow Drive, #250
Cincinnati, OH 45240
(513) 741-7200
Mechley, Amy R.,
Internal
Medicine
Overbeck-Zisko, Terri L.,
Ambe, Aparna P,
Philip, Joyce M,
Internal
Medicine
Moreira, Nora E.,
Robles, Rosa M,
TriHealth Physician Practices LLC Western Family Physicians
3425 North Bend Road
Cincinnati, OH 45239-7660
(513) 853-4900
Emergency
Medicine
Hunstad, Stephanie A,
Family
Practice
Eby, Robert S.,
Lazaron, Lisbeth M,
Neal, Amy,
Ruschulte, Amy R.,
Internal
Medicine
Goldfarb, Richard S,
TriHealth Physician Practices, LLC Physician Associates of Good
Samaritan Hospital - Delhi
425 Farrell Ct.
Cincinnati, OH 45233
(513) 451-6871
Internal
Medicine
Huschart, Joseph,
Khodadad, Rhazi,
Page 236 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Cincinnati
Cincinnati
Cleveland
TriHealth Physician Practices, LLC Physician Associates of Good
Samaritan Hospital - Delhi
425 Farrell Ct.
Cincinnati, OH 45233
(513) 451-6871
UC Health Primary Care (Montgomery)
9275 Montgomery Road
Cincinnati, OH 45242
(513) 936-4510
Cleveland Clinic Main Campus,
Department of Internal Medicine
9500 Euclid Ave, G10
Cleveland, OH 44195
(216) 444-5665
Internal
Medicine
Massa, Scott J.,
Metzger, Raymond,
Rojas, Antoino A.,
TriHealth Physician Practices, LLC White Oak Family Practice
7631 Cheviot Rd
Cincinnati, OH 45247
(513) 923-1886
Internal
Medicine
Finlay, Robert Dawson,
Johnson, Kay Ann,
Walker, Nita,
Winton Hills Medical & Health Center
Inc.
5275 Winneste Avenue
Cincinnati, OH 45232
(513) 242-1033
General
Practice
Family
Practice
Brown, Edward R,
Brown, Kelly A.,
Internal
Medicine
Green, Thomas E.,
Mouch, David E,
Reilly, Eugene W.,
Robinson, Alaba,
Cleveland
TriHealth Q dba Queen City Physicians
2753 Erie Avenue
Cincinnati, OH 45208
(513) 246-8030
Cleveland Clinic Main Campus,
Department of Internal Medicine
9500 Euclid Ave, G10
Cleveland, OH 44195
(216) 444-5665
Family
Practice
Internal
Medicine
Manahan, Jill C.,
Achilleos, Andreas N.,
Internal
Medicine
Bronson, David,
Cleves, G. Stephen,
Krause, Julie A.,
UC Health Internal Medicine Resident
Clinic
234 Goodman Street
Cincinnati, OH 45219-2316
(513) 584-6229
Browning, Kara,
Internal
Medicine
Nielsen, Craig,
Shivadas, Anita,
Shivadas, Anita,
Sikon, Andrea,
Teng, Kathryn,
Radiation
Oncology
Mehta, Neil,
Cuyahoga Physician Network/Srinivas
Merugu, MD
2351 E. 22nd Street, Suite 130
Cleveland, OH 44115
(216) 658-8410
Internal
Medicine
Merugu, Srinivas R,
Division of Comprehensive Care, Dept
of Pediatrics
2500 MetroHealth Drive, Room G 439
Cleveland, OH 44109
(216) 778-5198
Developmental Behavioral
Pediatrics
Dietz, Irene Cihon,
Coe, Bonita,
Internal
Medicine
Cusumano, Philip,
Noritz, Garey Heath,
Fowler, Adele,
Hayden, Stephen,
Nurse
Practitioner
Hull, Alan,
Forster, Ann Louise,
Isaacson, J. Harry,
MetroHealth Lee-Harvard Health
Center
4071 Lee Road, Suite 260
Cleveland, OH 44128
Internal
Medicine
Jain, Anil,
Riegler, Sandra L,
Jin, Xian Wen,
UC Health Primary Care (Montgomery)
9275 Montgomery Road
Cincinnati, OH 45242
(513) 936-4510
Jolly, Stacey E.,
Kothari, Shakuntala,
Family
Practice
Lefferts, Geoffrey,
Antenucci, Christina M,
Manne, Mahesh B.,
Beachy, Nathan R,
Mayer, Mark,
Beachy, Rochele M,
Page 237 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Cleveland
Cleveland
Cleveland
MetroHealth Lee-Harvard Health
Center
4071 Lee Road, Suite 260
Cleveland, OH 44128
MetroHealth System - Buckeye Health
Center
2816 East 116th St
Cleveland, OH 44120
Family
Practice
Internal
Medicine
MetroHealth System - MetroHealth
Medical Center, Main Campus Intern
Medicine Dept
2500 MetroHealth Drive
Cleveland, OH 44109
Bell, Erron L,
Cox, Diethra,
Internal
Medicine
Kea, Karen E,
Bolen, Shari Danielle,
Pediatrics
Platt houston, Candis N,
MetroHealth System - Asia Town
Health Center
2999 Payne Ave., Suite 216
Cleveland, OH 44114
Family
Practice
Liu, Sheng,
MetroHealth System - Broadway
Health Center
6835 Broadway Ave
Cleveland, OH 44105
Family
Practice
Bruner, Julia E,
El-Khoury, Gaby S,
Redahan, Anita P,
Ryan, Martin J,
Walker, E. Harry,
Pediatrics
Brand, Lisa R,
Fitzgerald, Elaine E,
Glazer, Gwen K,
Orraca-Tetteh, Sophia,
MetroHealth System - J. Glen Smith
Health Center
11100 St Clair Ave
Cleveland, OH 44108
Internal
Medicine
Gregory, Jolee H,
Pediatrics
Daprano, Joseph K,
Internal
Medicine
Eisen, Matthew,
Falck-Ytter, Corinna D,
Gelles, Ellen J,
Haddad, Maryanne,
Jones, David C,
Lindheim, Nora J,
McCreery, Laurie S,
Ricanati, Steven,
Rosenberg, Jeffrey S,
Spinelli, Linda M,
MetroHealth System - Thomas F.
McCafferty Health Center
4242 Lorain Ave
Cleveland, OH 44113
Family
Practice
Cicek, Wendy Therese,
Friess, Eric G,
MetroHealth System - MetroHealth
Medical Center, Main Campus Family
Medicine Dept
2500 MetroHealth Drive
Cleveland, OH 44109
Gillespie, Christopher,
Family
Practice
Nurse
Practitioner
Adebambo, Ifeolorunbide,
Stredney, Carrie R,
Alexander, Christine A,
Pediatrics
Family
Practice
Dasarathy, Jaividhya,
Ekstein, Laurie,
Forde, Wayne A,
Kiefer, Harry K,
Leu, Melanie Lynne,
Krofina, Mark E,
Singh, Anita,
Raddock, Michael Louis,
Internal
Medicine
Senthilkumar, Hemalatha,
Frisof, Kenneth B,
Labastille, Joseph Y,
Lowenthal, Rebecca,
Zack, Amy Morrison,
MetroHealth System - Brooklyn Health
Center
5208 Memphis Ave
Cleveland, OH 44144
Finizia, Anthony J,
Kuentz, David M,
Pediatrics
Bashour, Samar Haddad,
MetroHealth System - MetroHealth
Medical Center, Main Campus Internal
Medicine Dept
2500 MetroHealth Drive
Cleveland, OH 44109
Misak, James E,
Tolentino, Rumilia Caroline Cruz,
Van Auken, Douglas P,
MetroHealth System - West Park
Health Center
3838 West 150th St
Cleveland, OH 44111
Family
Practice
Shank, Daniel J.,
Internal
Medicine
Page 238 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Cleveland
Columbus
Columbus
MetroHealth System - West Park
Health Center
3838 West 150th St
Cleveland, OH 44111
Central Ohio Medicine
4030 West Henderson Road
Columbus, OH 43220
(614) 442-7550
Internal
Medicine
Internal
Medicine
Columbus Neighborhood Health
Center, Inc. - East Central Health
Center, Inc.
1180 East Main Street
Columbus, OH 43205
(614) 645-5535
Behmer, Mary Ellen,
Varveris, Maria Y,
Galvin, Jeffrey Owen,
Sieben, Louise A,
Child Care Consultants, Inc - North
Office
5957 Cleveland Avenue, Suite A
Columbus, OH 43231
(614) 523-1666
Pediatrics
Pediatrics
Fragassi, Philip A,
Bass, Steven M,
Neighborhood Family Practice
3569 Ridge Road
Cleveland, OH 44102
(216) 281-8945
Bauer, Stephen R,
Family
Practice
Hamilton, Dana L,
Conway, Katharine,
Child Care Consultants, Inc - West
Office
111 Inah Avenue
Columbus, OH 43228
(614) 878-6415
Ginley, Thomas D,
Greco, Peter J,
Elguero, Carlos Lucien,
Reichsman, Ann B,
Wise, Anne S,
Nurse
Practitioner
Dobbs, Brandi Nicole,
Ebbitt, Amy,
Parkanzky, Natalia,
Columbus
Central Ohio Medicine
4030 West Henderson Road
Columbus, OH 43220
(614) 442-7550
Internal
Medicine
Barnes, Sean Benjamin,
Gordon, Amanda E,
Horn, Lisa G,
Hundley, Julie B,
Jipa, Mihai,
Moffa, John K,
Steginsky, Alan D,
Stone, Robert L,
Cannon, Patricia A,
Dillinger, Dawn C,
White, Matthew M,
Pediatrics
Bass, Steven M,
Bauer, Stephen R,
Cannon, Patricia A,
Dillinger, Dawn C,
Hamilton, Dana L,
White, Matthew M,
Columbus Neighborhood Health
Center, Inc. - East Central Health
Center, Inc.
1180 East Main Street
Columbus, OH 43205
(614) 645-5535
Family
Practice
Stewart, Suellywn,
Internal
Medicine
Laroque, Barbara,
Nurse
Practitioner
Nurse
Practitioner
Chou, Shui-chu,
Columbus Neighborhood Health
Center, Inc. - John Maloney Health
Center Inc.
3781 South High Street
Columbus, OH 43207
(614) 645-3163
Family
Practice
Fleming, Kelly,
Nurse
Practitioner
King, Catherine L,
Columbus Neighborhood Health
Center, Inc. - Northeast Health Center
Inc.
3433 Agler Road, Suite 2800
Columbus, OH 43219
(614) 645-1600
Nurse
Practitioner
Wimberly, Lisa,
Columbus Neighborhood Health
Center, Inc. - St. Stephen's Health
Center Inc.
1500 East 17th Ave
Columbus, OH 43219
(614) 645-2700
Family
Practice
Childs, Adam M,
Nurse
Practitioner
Kritikos, Niki,
Columbus Neighborhood Health
Center, Inc. - Westside Health Center
Inc.
2300 West Broad Street
Columbus, OH 43204
(614) 645-2300
Page 239 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Columbus
Columbus
Columbus
Columbus Neighborhood Health
Center, Inc. - Westside Health Center
Inc.
2300 West Broad Street
Columbus, OH 43204
(614) 645-2300
Nationwide Children's Hospital Linden Primary Care Center
1390 Cleveland Avenue
Columbus, OH 43211
(614) 355-9300
Nationwide Children's Hospital Northland Primary Care Center
4560 Morse Centre Road
Columbus, OH 43229
(614) 355-9400
Pediatric Infectious
Disease
Pediatrics
Internal
Medicine
Ghosh, Anindita,
Pediatrics
Ortiz, Anahi M.,
Lower Lights Christian Health Center
1251 West Braod Street
Columbus, OH 43222
(614) 272-5443
Family
Practice
Rerko, Lindsay,
Vallangeon, Dana S,
Nurse
Practitioner
Black, Sharon S,
Nationwide Children's Hospital Eastland Primary Care Center
4434 Crossroads Center
Columbus, OH 43232
(614) 355-9600
Pediatrics
Castrop, Julie Anne,
Haase, Jennifer A,
Jones, Angela Vachon,
Kelly, Sara M,
Nationwide Children's Hospital Hilltop Primary Care Center
2857 W. Broad St
Columbus, OH 43204
(614) 355-9900
Pediatrics
Copenheaver, Duane R,
Goleman, Martha Jane,
Kollar, Maureen P,
Kollar, Maureen P,
Snyder, Dane A,
Seese, Robert Thomas,
Pediatrics
Amponsah, Akua,
Kopechek, Jack A,
Nationwide Children's Hospital - Main
Campus Primary Care Red
555 S. 18th Street
Columbus, OH 43205
(614) 722-5750
Pediatrics
Caldwell, Nicole Van steyn,
Hersey, Stephen J,
Nationwide Children's Hospital - Main
Campus Primary Care Yellow
555 South 18th Street
Columbus, OH 43205
(614) 722-5750
Family
Practice
Meyer, Melissa A,
Pediatrics
Pippin, Cheryl Dawn,
Smiley, William M,
Urs, Jagadisharaje Karthikere,
Nationwide Children's Hospital - Near
East Primary Care Center
1125 East Main Street
Columbus, OH 43205
(614) 355-9200
Anderson, Wendy Kathleen,
Ghosh, Tanushree,
Gupta, Uma,
Rosenfeld, Rachel Ann,
Ugbana, Obiaghanwa S,
Nationwide Children's Hospital Olentangy Primary Care Center
1275 Olentangy River Road
Columbus, OH 43212
(614) 355-9500
Pediatrics
Jostpille, Ranee Marie,
Rakowsky, Alexander Theophil,
Sangvai, Shilpa Gangadhar,
Nationwide Children's Hospital - Sout
High Primary Care Center
1392 South High St.
Columbus, OH 43207
(614) 355-9000
Internal
Medicine
Bates, Kimberly,
Curren, Camilla,
Curren, Camilla,
Pediatrics
Bates, Kimberly,
Chun, Linda E,
Holliday, Scott Ashton,
Pediatrics
Sports Medicine/Internal
Medicine
Groner, Judith A,
Rodenberg, Richard Edward,
Kuzma, Mary kay,
Nationwide Children's Hospital Westside Primary Care Center
441 Industrial Mile Road
Columbus, OH 43228
(614) 355-9700
Mclaughlin, Douglas James,
Nationwide Children's Hospital Northland Primary Care Center
4560 Morse Centre Road
Columbus, OH 43229
(614) 355-9400
Pediatrics
Bester, Stefanie R,
Page 240 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Columbus
Columbus
Columbus
Nationwide Children's Hospital Westside Primary Care Center
441 Industrial Mile Road
Columbus, OH 43228
(614) 355-9700
OSU Family Practice Services - Family
Practice East
1492 E. Broad Street, Suite 1302
Columbus, OH 43205
(614) 257-3560
OSU General Internal Medicine Grandview
1609 Northwest Blvd.
Columbus, OH 43212
(614) 293-7980
Pediatrics
Family
Practice
Internal
Medicine
Mcdougle, Leon,
Bates, Kimberly,
Tucker, Angela U,
Lehman, Kristina Marie,
OSU Family Practice Services - Family
Practice Upper Arlington
1615 Fishinger Road
Columbus, OH 43221
(614) 293-7417
Pediatrics
Family
Practice
Pediatric Associates, Inc. - Whitehall
1021 Country Club Road, Suite A
Columbus, OH 43214
(614) 501-7337
Cacioppo, Carrie E.,
Castaneda, Milagro Patricia,
Cotton, William Herbert,
Revis, Sarah,
Northwest Family Physicians
3311 Tremont Road, Suite 101
Columbus, OH 43221
(614) 457-4806
Family
Practice
Blosser, T Laurence,
Dusseau, Joseph,
Mccamey, Kendra Lee,
Mcconaghy, John R,
Bates, Kimberly,
Brill, Seuli,
Koesters, Stephen C.,
Pediatrics
Dusseau, Paul D,
General
Practice
Long, Rick L,
Oppenheim-knudsen, Eunice,
Boyle, Sandra Lee,
Rowland, Timothy E,
OSU General Internal Medicine
2050 Kenny Road, Suite 2335 Morehouse Pavilion
Columbus, OH 43221
(614) 293-2049
Croft, Ann Marie,
Waterfield, Catherine A,
Wilt, Roger D,
Winzenread, John W,
OSU Family Practice Services - Family
Practice Bethel
1727 Bethel Road
Columbus, OH 43220
(614) 293-2334
Internal
Medicine
Aldiab, Muna,
Conners, Kristin,
Blake, Kathleen Degroft,
Lee, Robert Thomas,
Waynar, Marin Beth,
Richard C. Brandes MD Inc/dba
Villiage Family Medicine
1299 Olentangy River Road, Ste B
Columbus, OH 43212
(614) 940-4679
Curren, Camilla,
Family
Practice
Curren, Camilla,
Blumberg, Lara,
Draeger, Steven Charles,
Gnanasekaran, Gowrishankar,
Greiwe, Cathy A,
Family
Practice
Grever, Gail M.,
Lange, Tishana R,
Jasti, Indira,
Turner, Katherine,
Jonaus, Sarah A,
Weinstock, Elizabeth A,
Lamb, James F,
Riverside Pediatrics Associates
4885 Olentangy River Rd
Columbus, OH 43214
(614) 267-7878
Emergency
Medicine
Padamadan, Hosi,
Shanker, Kirti,
OSU Family Practice Services - Family
Practice East
1492 E. Broad Street, Suite 1302
Columbus, OH 43205
(614) 257-3560
Family
Practice
Kakabadze, Shalva V,
Macerollo, Allison Avery,
Langan, Michael S.,
Li, Guibin,
Murden, Robert A,
Tayal, Neeraj Harl,
Allergy &
Immunology
Weed, Harrison G,
Forsythe, Robert C,
Pediatrics
Barrett, Gregory A,
Page 241 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Columbus
Defiance
Dublin
Riverside Pediatrics Associates
4885 Olentangy River Rd
Columbus, OH 43214
(614) 267-7878
ProMedica Physician Group - Defiance
Internal Medicine
1250 Ralston Ave., Suite 202
Defiance, OH 43512
(419) 784-2776
OSU General Internal Medicine Stoneridge
3900 Stoneridge Lane, Suite B
Dublin, OH 43017
(614) 293-0080
Internal
Medicine
Internal
Medicine
Arshad, Amer,
Grandominico, Jodi,
Obri, Samer S,
Kloda, Piotr,
ProMedica Physician Group Rosemary Karen Reiter, MD
1250 Ralston Ave., Suite 204
Defiance, OH 43512
(419) 782-8332
Kreger, Cynthia G.,
Pediatrics
Boudinot, Wanda C,
Dickerson, Kevin M.,
Sterling, Donna L,
White, Jennifer R,
Williams, Gwynette M,
The OSU Rardin Family Practice
Center
2231 N High Street
Columbus, OH 43201
(614) 293-3681
Family
Practice
Nabeel, Ismail,
Vaughan, Geoffrey C,
River's Edge Pediatrics, Inc.
100 N. High Street, Suite A
Dublin, OH 43017
(614) 889-7772
Family
Practice
Reiter, Rosemary K,
Buoni, William,
Pediatric Associates, Inc. - Lewis Center
7420 Gooding Blvd., Suite 100
Delaware, OH 43015
(740) 657-8000
Dairo, Omolara Y,
Pediatrics
MMA - Fairfield Family Medicine
741 Wessel Drive
Fairfield, OH 45014
(513) 829-2618
Casey, Anthony Michael,
Cronau, Holly R,
Fahey, Patrick J,
Mack, Donald Owen,
Miser, William Fredrick,
Mueller, Kathe,
Oza, Rupal S,
Delaware
Krueck, Katherine Jane,
Toth, John,
Dublin
Pediatrics
Mahoney, Michele V,
Sotos, John P,
Fairfield
Hand In Hand Pediatrics, Inc. - Dublin
6051 Memorial Dr.
Dublin, OH 43017
(614) 799-6044
Family
Practice
ProMedica Physician Group - Defiance
Family Physicians
1250 Ralston Avenue, Suite 104
Defiance, OH 43512
(419) 785-3280
Pediatrics
Meier, Christopher J.,
Crickard, Elizabeth Ann,
MMA Internists of Fairfield
5150 Sandy Lane
Fairfield, OH 45014
(513) 645-1125
Family
Practice
Kollar, Maureen P,
Rizer, Milisa K,
Welker, Mary jo P,
Defiance
Besaw, Beth A.,
Mills, Shelly Kay,
Winner, David E.,
ProMedica Physician Group - Defiance
Internal Medicine
1250 Ralston Ave., Suite 202
Defiance, OH 43512
(419) 784-2776
Eilerman, Kimberly A,
Kollar, Maureen P,
Morran, Stacy L,
OSU General Internal Medicine Stoneridge
3900 Stoneridge Lane, Suite B
Dublin, OH 43017
(614) 293-0080
Internal
Medicine
Burgin, Michael A.,
Caligiuri, Jeanne L,
Koehl, Rebecca S.,
Mauntel, William J.,
Family
Practice
Armstrong, Diane L,
Internal
Medicine
Behler, Anthony F,
Hoffman, Lisa M,
Roper, Emmett C,
Nurse
Practitioner
Page 242 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Fairfield
Gahanna
Huber Heights
MMA Internists of Fairfield
5150 Sandy Lane
Fairfield, OH 45014
(513) 645-1125
OSU Family Practice Services - Family
Practice Gahanna
920 N Hamilton Road
Gahanna, OH 43230
(614) 293-2614
Providence Medical Group - Suburba
Family Practice - Assoc.
8701 Old Troy Pike, Suite 50
Huber Heights, OH 45424
(937) 233-1184
Family
Practice
Family
Practice
Petri, Benita M,
Bennett, Barbara A,
Wexler, Randell K,
Independence
Wood, Joel Christopher,
Cleveland Clinic Independence Family
Health Center, Departments of Intern
Medicine and Family Medicine
5001 Rockside Road, Crown Centre II
Independence, OH 44131
(216) 986-4000
Nurse
Practitioner
Stone, Ann,
Fostoria
ProMedica Physician Group - Drs
Badik and Badik
455 West Fourth Street Suite 100
Fostoria, OH 44830
Family
Practice
Badik, Jill K,
Badik, Michael D,
ProMedica Physician Group - Fostoria
Family Medicine
501 Van Buren Street, Suite 202
Fostoria, OH 44830
(419) 436-1035
Family
Practice
Byatt, James S.,
ProMedica Physician Group Graystone Family Practice
506 Van Buren Street
Fostoria, OH 44830
(419) 436-1226
Hilliard
American Health Network - Hilliard
3823 Trueman Court
Hilliard, OH 43026
(614) 876-9558
Family
Practice
Bloch, Daniel Joe,
Internal
Medicine
Zulliger, Laurel A,
Batur, Pelin,
Pediatric Associates, Inc. - Hilliard
3720 Ridge Mill Drive
Hilliard, OH 43026
(614) 529-0771
Dellaportas, Sandra,
Pediatrics
Giragos, Jumana Camille,
Lamonte, Robert Charles,
Rayo, Barbara Brooks,
Reis, Robert Drake,
Harvey, Roy E,
Wagner, Diana Theresa,
Gahanna
Hillsboro
OSU Family Practice Services - Family
Practice Gahanna
920 N Hamilton Road
Gahanna, OH 43230
(614) 293-2614
Zile Family Health Care Inc.
1402 North High Street
Hillsboro, OH 45333
(937) 393-4899
Family
Practice
Zile, Ronnie A,
Clark, Aaron,
Huber Heights
Conroy, Maria Riza,
Providence Medical Group - Suburban
Family Practice - Assoc.
8701 Old Troy Pike, Suite 50
Huber Heights, OH 45424
(937) 233-1184
Jones, Edna Marie,
Manfresca, Charles J,
Mason, Janet Rae,
Edwards, Tanya,
Schroer, Eric Christian,
Family
Practice
Family
Practice
Family
Practice
Deyling, Cynthia,
Kelleher, Ann,
Rogen, Bruce I.,
Russ, Jocelyn,
Schall, Perry,
Sobecks, Nancy,
Velagapalli, Spoorthi,
Zuber, Jeanne,
Lakewood
Cleveland Clinic Lakewood Family
Health Center
16215 Detroit Avenue
Lakewood, OH 44107
(216) 521-4400
Internal
Medicine
Bautista, Jan,
Colacarro, Robert,
Culley, Carl,
Lebanon
Ndife, Anita Nwamaka,
Page 243 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Lebanon
Loveland
Marysville
TriHealth Physician Practices LLC Deerfield Family Practice
100 Arrow Springs Blvd, Suite 2800
Lebanon, OH 45036
(513) 282-7300
TriHealth Physician Practices LLC Loveland Family Medicine
411 W Loveland Avenue, #102
Loveland, OH 45140
(513) 683-3020
Marysville Primary Care
1044 Columbus Avenue
Marysville, OH 43040
(937) 644-1441
Family
Practice
Family
Practice
Caceres, Mauricio H,
Esmaili, Neama,
Sieben, Candice M,
Noory, Mahboob,
TriHealth Physician Practices, LLC Bethesda Group Practice - Arrow
Springs
100 Arrow Springs Blvd., Ste. 2700
Lebanon, OH 45036
(513) 282-7911
Maineville
Maineville Family Physicians
67 Nunner Rd.
Maineville, OH 45039
(513) 677-0734
Applegate, Mary S,
Internal
Medicine
Family
Practice
Forrest, Marissa P,
Armitage, Jeffrey N.,
Schoettinger, Ted J,
Grendel, Steven H.,
Stanforth, Shelley A,
Karas, Bill,
Marion
Scharf, Michael,
Turchin, Natalie,
Lewis Center
Smith Clinic Pediatrics
1040 Delaware Ave
Marion, OH 43302
(740) 383-7940
OSU Family Practice Services - Family
Practice Lewis
6515 Pullman Dr., Suite 2200
Lewis Center, OH 43035
(614) 688-7169
Pediatrics
Family
Practice
Applegate, II, David T,
Sorg, Laura L,
Internal
Medicine
Mustillo, Peter John,
Nurse
Practitioner
Sabo, Julie A,
Pediatrics
Krueger, Justin K,
Mason
Group Health Associates - Mason
6010 Mason-Montgomery Rd
Mason, OH 45040
(513) 246-7000
Friedley, Walter Jonathan,
Internal
Medicine
Janchar, Leonard J,
Hayner, Jay,
Lee, Steven,
Hendrixson, Michael,
Family
Practice
Rheumatology
Saini, Anita,
Alexander, Michael James,
Shekhawat, Rashmi,
Mostov, Perry D,
Marysville
Internal
Medicine
Hand In Hand Pediatrics, Inc. Marysville
114 Scott Farms Blvd.
Marysville, OH 43040
(937) 642-0535
Gordish, Deborah A,
Taj-schaal, Nazhat,
Louisville
Louisville Medical Center Physicians,
Inc.
1909 Williamsburg Way
Louisville, OH 44641
(330) 875-3366
Internal
Medicine
Pediatrics
Crickard, Elizabeth Ann,
Eilerman, Kimberly A,
Kollar, Maureen P,
Kollar, Maureen P,
Maumee
ProMedica Physician Group Arrowhead Family Physicians
660 Beaver Creek Circle Suite 110
Maumee, OH 43537
Family
Practice
Cox, Thomas,
Dregansky, Glenn V,
Ewry, James A,
Ostrowski, Emily,
Roth, Matt D,
Metamora
Morran, Stacy L,
Pansino, Terrence L.,
Prosser, Elizabeth A.,
Page 244 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Metamora
Orient
Pickerington
ProMedica Physician Group Metamora Family Practice
1990 County Road U
Metamora, OH 43540
Pickaway Health Services
9085 Southern Street, Suite A
Orient, OH 43123
(614) 877-4652
Pediatric Associates, Inc. - Pickeringto
1310 Hill Road North
Pickerington, OH 43147
(314) 864-3222
Family
Practice
Internal
Medicine
Pediatrics
Evanoff, John C,
Mcmahon, David Earl,
Milford
Perrysburg
TriHealth Physician Practices LLC Bethesda Group Practice, Milford
5861 Cinema Drive
Milford, OH 45150
(513) 248-8800
ProMedica Physician Group - River
Road Family Physicians
1601 Brigham Drive, Suite 250
Perrysburg, OH 43551
(419) 872-7745
Family
Practice
Family
Practice
Sheth, Sheela E,
Badik, Bryan J.,
Internal
Medicine
Bialecki-haase, Dee ann,
Grischy, Robert C,
Simon, Mathew J,
Tumbusch, Theresa M,
Oregon
Oregon Clinic
3841 Navarre Avenue
Oregon, OH 43616
(419) 691-8132
Internal
Medicine
Jenkins, Catherine Masterson,
Long, William Walter,
Stevens, Nicholas Steve,
Tyson, H Scott,
Solon
Cleveland Clinic Solon Family Health
Center, Departments of Internal
Medicine and Family Medicine
29800 Bainbridge Road
Solon, OH 44139
(440) 519-6800
Evans, Jason,
Family
Practice
Matousek, Michelle L.,
Cobb, Kendalle,
Meier, John,
DeSantis, Lisa,
Schwartz, Richard,
Jebbia, Josie,
Pickerington
Kratche, Richard,
Mount Carmel Pickerington Family
Practice
641 Hill Rd N, Suite A
Pickerington, OH 43147-9346
(614) 833-0880
Neides, Daniel,
Internal
Medicine
Balasubramanian, Vijayalakshmi,
Braver, Yvonne,
Bommana, Venu Gopala Reddy,
Family
Practice
Chaudhary, Riaz N,
Benedict, Stephanie L,
Cooper, Cathy,
Darr, Mahmood R,
Kageorge, David,
Fuller, Keith,
Mahajan, Kewal K,
Koch, Stephen,
Lipton, Mark,
Rathore, Ranvir Singh,
Silver, Jennifer A,
Rich, Todd,
ProMedica Physician Group - Bay Park
Family Practice
2751 Bay Park Drive, 2751 Bay Park
Drive, Suite 303
Oregon, OH 43616
(419) 690-7686
Winchell, Joseph,
Sullivan, Daniel,
Pediatric Associates, Inc. - Pickerington
1310 Hill Road North
Pickerington, OH 43147
(314) 864-3222
South Bloomfield
Family
Practice
Pediatrics
Helping Hands Pediatric
5030 N Walnut Street
South Bloomfield, OH 43103
(740) 983-0015
Barnes-mullett, Carrie Jean,
Pediatrics
Gill, Kaleem U.,
Burns, Shari Lyn,
Iskra, Linda A,
Yuan, Joses K h,
Deibel, Amy Elizabeth,
Moore, Angela Marie,
Orient
Dunlea, Julie Rubino,
Strongsville
Chandra Prakash, Aparna,
Heitzman, Megan,
Page 245 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Strongsville
Sylvania
Toledo
Cleveland Clinic Strongsville Family
Health and Surgery Center,
Departments of Internal Medicine and
Family Medicine
16761 SouthPark Center
Strongsville, OH 44136
(440) 878-2500
ProMedica Physician Group - Harroun
Road Family Physicians
5308 Harroun Road Suite 170
Sylvania, OH 43560
ProMedica Physician Group - Family
Practice of Toledo
3740 W. Sylvania Avenue Suite 100
Toledo, OH 43623
Internal
Medicine
Family
Practice
Durkin, Margaret,
Vogel, Donald,
Toledo
ProMedica Physician Group - Port
Sylvania Family Physicians
7140 Port Sylvania Drive Suite 300,
7140 Port Sylvania Drive, Ste. 300
Toledo, OH 43617
(419) 843-8100
Family
Practice
Davis, Nicholas,
Devans, Richard,
Hopkins, Kevin,
Kaesgen, Anne,
Reddy, Suresh,
Sheridan, Catherine,
Smolak, Michael,
Internal
Medicine
ProMedica Physician Group - Alexis
Medical Center
4640 W. Alexis Road
Toledo, OH 43623
(419) 843-8150
Internal
Medicine
Grossman, David L,
Hacker, Timothy B,
Hopple, Craig T,
Al-Marrawi, Mohammed,
Ilo, Eugenia,
Dejak, Irene,
Wenzke, Robert E,
Harhay, Jeffrey,
ProMedica Physician Group - Dr.
Dorrie Schmitt
3909 Woodley Suite 100
Toledo, OH 43606
Jewell, John,
Khatri, Lakshmi,
Miller, Joshua,
MetroHealth System - Strongsville
Health Center
16000 Pearl Road
Strongsville, OH 44136
Family
Practice
Mansour, David J,
Internal
Medicine
Perzy, Holly B,
Sadlon, Stephanie J,
Pediatrics
Allshouse, Lisa C,
Sylvania
Internal
Medicine
Louth-schmitt, Dorrie J,
ProMedica Physician Group - Drs.
Cantor and Freeman
2865 Reynolds Road Suite 260
Toledo, OH 43615
Internal
Medicine
Cantor, Cathy Lynn,
ProMedica Physician Group - Family
Practice of Toledo
3740 W. Sylvania Avenue Suite 100
Toledo, OH 43623
Family
Practice
ProMedica Physician Group - Harroun
Road Family Physicians
5308 Harroun Road Suite 170
Sylvania, OH 43560
Barnes, David P,
Family
Practice
Guntsch, Deborah,
Josh, Sanjiv K,
Emch, Kelly,
Facey, William,
Mallory, David,
Family
Practice
Bodine, Kristen,
Darah, George N,
Francis, Todd P,
Luce, Kathleen,
Wright, Lori C,
ProMedica Physician Group - Sylvani
Adult and Pediatric Medicine
7140 Port Sylvania Drive Suite 420
Toledo, OH 43617
Internal
Medicine
Rae, Robert Sean,
Pediatrics
Machanda, Katie E,
ProMedica Physician Group - West
Central Medical Group
3909 Woodley Road Suite 600, 3909
Woodley Rd., Suite 600
Toledo, OH 43606
(419) 291-6760
Internal
Medicine
Scheer, David K.,
Sundheimer, Alan B,
ProMedica Physician Group - Westga
Medical Group
3909 Woodley Road Suite 500, 3909
Woodley Rd., Suite 500
Toledo, OH 43606
(419) 291-2670
Family
Practice
Page 246 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Ohio
Toledo
West Chester
Westlake
ProMedica Physician Group - Westgate
Medical Group
3909 Woodley Road Suite 500, 3909
Woodley Rd., Suite 500
Toledo, OH 43606
(419) 291-2670
Alliance Primary Care - West Chester
5900 West Chester Road, Suite G
West Chester, OH 45069
(513) 585-5100
Cleveland Clinic Westlake Family
Health Center, Departments of Intern
Medicine and Family Medicine
30033 Clemens Road
Westlake, OH 44145
(440) 899-5555
Family
Practice
Federman, Susan M,
North, James L,
Przynosch, Stephen L,
Stadler, Nancy,
Watkins, Traci N,
Family
Practice
Bhargava, Lena,
Lichter, Timothy Joseph,
TriHealth Physicians Practices - West
Chester
7665 Monarch Ct., #101
West Chester, OH 45069
(513) 777-8300
Family
Practice
Allan, Daniel,
Conway, Jessica,
Fababe, Kelly,
Komitau, Jason,
Marsh, Lisa,
ProMedica Physician Group Wildwood Family Practice
2865 N. Reynolds Road Suite 130
Toledo, OH 43615
Family
Practice
Bundy, Kevin M,
Internal
Medicine
Family
Practice
Internal
Medicine
Bohn, Timothy,
Kruse, Roger John,
Drohan, Edward P.,
ProMedica Physician Group - Woodley
Park Internal Medicine
3909 Woodley Rd., Ste 300, 3909
Woodley Road, Suite 300
Toledo, OH 43606
(419) 291-6720
Drummond, Arnold E.,
Internal
Medicine
Harris-martorana, Melissa Marie,
Hoffman, Elizabeth A.,
McAlear, Thomas G.,
Reiner, Louis M.,
Washington Court House
ABC Pediatrics of Ohio
1510 Columbus Ave, Suite 310
Washington Court House, OH 43160
(740) 335-0886
Pediatrics
Fitton, Lenora A,
Bernardon, Michael D,
University Family Physicians University Pointe
7700 Univeristy Court, Suite 1000
West Chester, OH 45069
(513) 475-8264
Family
Practice
Sweeney, Daniel,
Gannon, Patricia,
Garcia, Rafael,
Gutierrez, James,
Herbert, Eileen,
Knapp, Joseph,
Neri-Nixon, Maria S. L.,
Rice, Sheila,
Southworth, Elizabeth,
Singh, Manoj Kumar,
Tan, Annie R,
Westerville
Wu, Nancy,
River's Edge Pediatrics, Inc.
444 N. Cleveland Avenue, Suite 210
Westerville, OH 43082
(614) 889-7772
Whitehall
Pediatrics
Mahoney, Michele V,
Sotos, John P,
Westlake
Alliance Primary Care - West Chester
5900 West Chester Road, Suite G
West Chester, OH 45069
(513) 585-5100
Cleveland Clinic Westlake Family
Health Center, Departments of Internal
Medicine and Family Medicine
30033 Clemens Road
Westlake, OH 44145
(440) 899-5555
Family
Practice
Family
Practice
West Chester
Pressler, Richard,
Nationwide Children's Hospital Whitehall Primary Care Center
561 South Yearling Road
Whitehall, OH 43213
(614) 355-9800
Pediatrics
Alkhoury, Razan,
Fine Rosenstein, Patricia Leight,
Jackson, Aurelia J,
Oyortey, Michele Armande,
Willoughby Hills
Page 247 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Ohio
Ohio
Oregon
Willoughby Hills
Wooster
Beaverton
Cleveland Clinic Willoughby Hills
Family Health Center, Departments of
Internal Medicine and Family Medicine
2570 SOM Center Road
Willoughby Hills, OH 44094
(440) 943-2500
Cleveland Clinic - Wooster Family
Health Center
1740 Cleveland Road
Wooster, OH 44691
(330) 287-4500
Pacific Medical Group - Beaverton
4510 SW Hall Blvd
Beaverton, OR 97005
(503) 644-1171
Family
Practice
Hackett, Michael,
Hickner, John,
Internal
Medicine
Cornette, Victoria,
Druzina, Irene,
Engel-Kominsky, Suzanne,
Fuentes, Freddie,
Gifford, Susan A.,
Greenwald, Rose,
Hanna, Lisa,
Hughes, Lawrence,
Juhasz, Robert,
Kostraba, Andrew,
McDonough, Joan,
Mossad, Dalia,
Porter, Victoria,
Solivas-Maluyao, Jennifer,
Sumego, Marianne,
Wooster
Cleveland Clinic - Wooster Family
Health Center
1740 Cleveland Road
Wooster, OH 44691
(330) 287-4500
Family
Practice
Angerman, Dale C,
Internal
Medicine
Reynolds, David B,
Schaeffer, Jill A,
Talampas, Liza,
Velasquez, Victor H,
Worthington
OSU Family Practice Services - Family
Practice Worthington
445 E. Granville Road
Worthington, OH 43085
(614) 293-2850
Family
Practice
Frazier, Alice Andrews,
Siddiqi, Bushra N,
Tuttle, Elizabeth S,
Oklahoma
Duncan
Duncan Medical Associates
2515 West Elk
Duncan, OK 73533
(580) 252-6080
Family
Practice
Elderbrock, Mark D,
Kontak, Jeffery Randall,
Internal
Medicine
Kirchner, Loren Michael,
Dhingra, Anshu,
Gilligan, John F,
Hawthorne, Wendy,
Silverman, Burton L,
Canby
Davies Clinic
345 N Grant Street
Canby, OR 97013-9701
(503) 266-2066
Family
Practice
Bridgeman, DeOna Lynn,
Davies, Richard Carl,
Nurse
Practitioner
Anders, Joanna,
Pacific Medical Group - Canby
1185 Elm St
Canby, OR 97013
(503) 723-4661
Family
Practice
Kadwell, Lynn A,
Herndon, Christopher M,
Internal
Medicine
Jones, Jeffrey C,
Hughson, Daniel L,
Seymour, Elizabeth,
Zenoniani, Marc A,
Obstetrics &
Gynecology
Nurse
Practitioner
Elfrink, Stacie Herndon,
Blust, Dianne Eileen,
Oregon
Lake Oswego
Beaverton
Pediatric Associates of the NW, PCLake Oswego
4103 SW Mercantile Drive
Lake Oswego, OR 97035
(503) 636-4508
Cebul, III, Frank,
Donaldson, Paul Streiner,
Family
Practice
Pacific Medical Group - Beaverton
4510 SW Hall Blvd
Beaverton, OR 97005
(503) 644-1171
Family
Practice
Pediatrics
Carr, Elizabeth A,
Chaffin, Albert,
Page 248 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Oregon
Oregon
Oregon
Lake Oswego
Portland
Portland
Pediatric Associates of the NW, PCLake Oswego
4103 SW Mercantile Drive
Lake Oswego, OR 97035
(503) 636-4508
Fanno Creek Clinic
2400 SW Vermont
Portland, OR 97219
(503) 452-0915
Portland Family Practice
541 NE 20th Ave
Portland, OR 97232
(503) 233-6940
Pediatrics
Internal
Medicine
Family
Practice
Dahl, Laura L,
Mcharris, Louise,
Graves, Rachel Sinex,
Rosenbloom, Jay S.,
Myers, Gloria Jean,
Kasten, Thomas Lloyd,
Schunk, Jack P,
Valerio, Donald A,
Mccartney, Lyndsey,
Oregon City
Pacific Medical Group - North Portland
6445 N Greeley Ave
Portland, OR 97217
(503) 285-6607
Pulliam, Kerry Abbot,
Pacific Medical Group - Oregon City
1001 Molalla Avenue, Suite 100
Oregon City, OR 97045
(503) 723-4646
Family
Practice
Family
Practice
Roberts, Lauren Whipple,
Shaff-chin, Cynthia,
Uphoff, Eugene,
White, Charles Thayer,
Chan, Simon K,
Wilson, Elisa Anne,
Todd, Debra L,
Green, Clare A,
Internal
Medicine
Stevens, Eugene A,
Nurse
Practitioner
Edwards, George M,
Nurse
Practitioner
Li, Kai,
Cody, Leslie,
Nurse
Practitioner
Pediatric Associates of the NW Portland
2525 NW Lovejoy, Suite 200
Portland, OR 97210
(503) 227-0671
Scheibe-Mirek, Tanya,
Portland
Fanno Creek Clinic
2400 SW Vermont
Portland, OR 97219
(503) 452-0915
Family
Practice
Nurse
Practitioner
Siebold, Jennifer J,
Pediatrics
Birk, Bruce J,
Folk, Cathleen A,
Bluhm, James S,
Internal
Medicine
Buerk, Pilar H,
Bentz, Charles Joseph,
Gopal, Yasodha R,
Chawla, Renu,
Porter, David W,
Choong, Meei Y,
Schunk, Jack P,
Coodley, Gregg O,
Portland Family Practice
541 NE 20th Ave
Portland, OR 97232
(503) 233-6940
Creitz, Bonnie J,
Demetrion, George B,
Dronkowski, Carl William,
Evans-smith, Mari kay,
Faber, Holly Ilena,
Family
Practice
Gragnola, Thomas G,
Callahan, Kerry Ben,
Levitte, Marc G,
Michels, Joel Aaron,
Pfeiffer, Heather Mary,
Sunset Medical Practice Group
12400 NW Cornell Rd, Suite 100
Portland, OR 97229
(503) 626-0939
Family
Practice
Barry, Harold Bruce,
Doshi, Heena Satish,
Geddes, Gary Ross,
Krisciunas, Vic,
Williams, Patrick Scott,
The Children's Clinic, PC
9555 SW Barnes Road #301
Portland, OR 97225
(503) 297-3371
Nurse
Practitioner
Wade, Dodi L,
Pediatrics
Alexander, Hugh E,
Devore, Joanne Greg,
Gillespie, Robert J,
Han, Iris J,
Lacey, Rebecca,
Page 249 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Oregon
Oregon
Pennsylvania
Portland
Tualatin
Abington
The Children's Clinic, PC
9555 SW Barnes Road #301
Portland, OR 97225
(503) 297-3371
The Childrens Clinic
19260 SW 65th, Suite 340
Tualatin, OR 97062
(503) 691-9777
Pediatrics
Pediatrics
Abington General Internal Medicine
Levy Medical Plaza, 1235 Old York
Road, Suite G-10
Abington, PA 19001
(215) 481-6161
Nichols, William D,
Armsby, David H,
Pereira, Natasha,
Cannon, Sara J,
Pettersen, Teri L,
Craft, Robert M,
Purnell, Susanne H,
Fienne yeager, Julie A,
Reynolds, Lisa A,
Gleason, Daniel L,
Thompson, Catherine W,
Kilty, John Edmund,
Nurse
Practitioner
Tomkoria, Smita,
Luck, Cameron D,
Mcgrath, Patricia,
Tigard
Murphy, Laura Keatley,
Pacific Medical Group - Tigard
13200 SW Pacific Highway
Tigard, OR 97223
(503) 598-2001
Smart, Kari Lyn,
Abington Pediatric Associates
1047 Old York Road
Abington, PA 19001
(215) 884-8021
Family
Practice
Smith, Christine Wessels,
Unrau, Audrey C,
Wallis, Kristin L,
Pennsylvania
Berney, Joyce M,
Abington
Berney, Joyce M,
Abington Adult Medicine
Suite 302, 1245 Highland Avenue
Abington, PA 19001
(215) 481-1723
Clack, Susan M,
Clack, Susan M,
Graham, Daniel L,
Internal
Medicine
Lee, Melissa,
Musho, Michael A,
Niemoller, Ulrich Marcus,
Pediatrics
Chanoine, Pierre Patrick,
Chanoine, Pierre Patrick,
Fellheimer, Susan,
Fellheimer, Susan,
Greenberg, Adena,
Greenberg, Adena,
Internal
Medicine
Hutton, Lisa J,
Graham, Daniel L,
Hortsch, Michael P,
Boigon, Margot,
Parnes, Curt I,
Hortsch, Michael P,
Eisenstaedt, Richard,
Parnes, Curt I,
Newberry, Stephen G,
Hofmann, Mary T,
Sivitz, Michael C,
Newberry, Stephen G,
Peff, Ann,
Sivitz, Michael C,
Rember, Katrenka R,
Ramirez, Rachel Leah,
Stefurak, Maria,
Rember, Katrenka R,
Rosenzweig, Andrew B,
Stefurak, Maria,
Wills, David,
Schneider, Doron,
Wills, David,
Smith, David Gary,
Young, Robert C,
Nurse
Practitioner
Abington Plaza Medical Associates
1235 Old York Road, Levy Medical
Plaza, Suite 113
Abington, PA 19001
(215) 481-6180
Young, Robert C,
Nurse
Practitioner
Nash, Coral A,
Tualatin
Graham, Donna,
Abington General Internal Medicine
Levy Medical Plaza, 1235 Old York
Road, Suite G-10
Abington, PA 19001
(215) 481-6161
Internal
Medicine
Hutton, Lisa J,
Internal
Medicine
Da veiga, Edward C,
Gorbos-Spina, Michelle,
Jalil, Lilian L,
Jilani, Aysha A,
Page 250 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Abington
Allentown
Allentown
Abington Plaza Medical Associates
1235 Old York Road, Levy Medical
Plaza, Suite 113
Abington, PA 19001
(215) 481-6180
Lehigh Family Medicine Associates
1251 S. Cedar Crest Blvd., Ste. 102A
Allentown, PA 18103
(610) 402-3940
LVPG Internal Medicine of the Lehigh
Valley
1230 S. Cedar Crest Blvd., Ste. 201
Allentown, PA 18103
(610) 402-8950
Internal
Medicine
Mahoney, James,
Mcallister, Joseph,
Shah, Ankur G,
Zakrzewski, Kevin,
Nurse
Practitioner
Cross, Deborah,
Isett, Karin A,
Lapa, Kelly Ann,
Abington Primary Care Medicine
1400 Old York Road, Suite A
Abington, PA 19001
(215) 576-1776
Internal
Medicine
Cowan, Steven I,
Cozen, Bennett H,
Gable, Sundee L,
Children's Health Centers of VNA
Community Services, Inc
1421 Highland Avenue
Abington, PA 19001
(215) 572-7880
Nurse
Practitioner
Family
Practice
Liu, Henry T.,
Zienkiewicz, Joseph J.,
Lehigh Valley Family Health Center
1730 Chew Street
Allentown, PA 18104
(610) 969-3500
Family
Practice
Binning, Holly L.,
Dostal, Julie A.,
Jain, Sweety,
Mathieu, Jeffrey S.,
Mathieu, Susan S.,
Miller, William L.,
Stello, Brian,
Stoll, Malaika S.,
LVPG - General Internal Medicine
1210 S. Cedar Crest Blvd., STE 3600
Allentown, PA 18103
(610) 402-1150
Kovacs, Robert,
Lakata, Thomas,
Mahajan, Monika,
Winas, Matthew,
Altoona
Altoona Family Physicians
501 Howard Ave. Ste. F2
Altoona, PA 16601
(814) 889-2020
Family
Practice
Beckstead, Donald M,
Karuppiah, Sabesan,
Mclellan, Fiona J,
Morrow, Arthur William,
Rice, Patrick D,
Ruhl, Terry S,
Costello, Brian J.,
Sweeney, Kathleen E,
Dehoff, J. Howard,
Internal
Medicine
Gertner, Eric,
Morgan, Patricia,
Karess, Gina,
Pediatrics
Kender, Mark,
Stock, Rita C,
Mishriki, Yehia,
Allentown
Shalaby, Marc,
Lehigh Family Medicine Associates
1251 S. Cedar Crest Blvd., Ste. 102A
Allentown, PA 18103
(610) 402-3940
Smith, Stacey,
Keane, Anna B.,
Kochuba, Jonathan,
Siems, Laura J,
Jahanbin, Bahar,
Dilks, Michelle K.,
Candio, Joseph,
Internal
Medicine
Gresko, Susan B.,
Family
Practice
Internal
Medicine
LVPG Internal Medicine of the Lehigh
Valley
1230 S. Cedar Crest Blvd., Ste. 201
Allentown, PA 18103
(610) 402-8950
Internal
Medicine
Good, Jennifer L,
Ambler
Ambler Medical Associates
500 Willow Avenue
Ambler, PA 19002
(215) 646-9220
Family
Practice
Beale, Eileen P.,
Decker, Steven E,
Fidler, Susan,
Romanzo, George M.,
Internal
Medicine
Page 251 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Ambler
Aspers
Berwick
Ambler Medical Associates
500 Willow Avenue
Ambler, PA 19002
(215) 646-9220
WellSpan Medical Group - Biglerville
Family Medicine
2060 Carlisle Road
Aspers, PA 17304
(717) 339-2585
Geisinger Medical Group - Berwick
2200 West Front Street
Berwick, PA 18603
(570) 759-1228
Internal
Medicine
Mcginley, Mary R.,
Urbanski, Timothy E,
Ambler Pediatrics
602 S. Bethlehem Pike
Ambler, PA 19002
(215) 643-7771
Pediatrics
Serota, Fredric T.,
Horsham Family Practice
Horsham Family Practice, 1116
Horsham Road, Suite 10
Ambler, PA 19002
(215) 643-8500
Family
Practice
Wydan, Anthony G,
Aspers
Wellspan Medical Group - Adams
Cumberland Family Medicine
2060 Carlisle Road
Aspers, PA 17304
(717) 339-2585
Nurse
Practitioner
Gourley, Danielle,
Barto
Pottstown Medical Specialists, Inc.
(PMSI) - Bally Medical Group
1315 Route 100
Barto, PA 19504
(610) 367-4375
Family
Practice
Harrison, Keith W,
Maydonovitch, Daniel J,
Schank, Dennis J,
Bellefonte
Geisinger Medical Group - Bellefonte
819 East Bishop Street
Bellefonte, PA 16823
(814) 353-3505
Family
Practice
Diagnostic Laboratory
Immunology/Allergy & Immunology
Freely, Alison B.,
Family
Practice
Ashton, Michael Robert,
Internal
Medicine
Lewis, Stephen A.,
Bethlehem
St. Luke's Family Medicine Residency
2830 Easton Avenue
Bethlehem, PA 18017
(610) 954-3550
Family
Practice
Bordelon, Paula C,
Ghetu, Maria,
Krafczyk, Michael,
Lam, Nguyet-cam,
Langan, Robert C,
Burke, P. Brian,
Mcgarey, Martha Elizabeth,
Oesterling, Brett R.,
Birdsboro
Family
Practice
Rozick, Mark S.,
Mcbeth, Jr., Orville Glenn,
Bernville
Family Medicine Associates of
Birdsboro
321 Furnace Street, Suite 100
Birdsboro, PA 19508
Nolt, Jeffrey Scott,
Wampler, David Lee,
Nurse
Practitioner
Bernville Family Practice Center
7173 Bernville Road
Bernville, PA 19506
(610) 488-6291
Family
Practice
Buczewski, Mark,
Family
Practice
Coates, John,
WellSpan Medical Group - Biglerville
Family Medicine
2060 Carlisle Road
Aspers, PA 17304
(717) 339-2585
Mann-Harbonic, Barbara L,
Internal
Medicine
Family
Practice
Fichthorn, Ross H,
Azemar, Beverly Lynne,
Pennings, Laura Snyder,
Nurse
Practitioner
Stewart, Thomas A.,
Physician
Assistant
Berwick
Napolitano, Michael,
Bloomsburg
Geisinger Medical Group - Bloomsbur
Reichart Road
2407 Reichart Road
Bloomsburg, PA 17815
(570) 784-8303
Page 252 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Bloomsburg
Blue Bell
Brodheadsville
Geisinger Medical Group - Bloomsburg
Reichart Road
2407 Reichart Road
Bloomsburg, PA 17815
(570) 784-8303
LMG Family Practice - Blue Bell
1379 Skippack Pike
Blue Bell, PA 19422
(610) 272-9400
LVPG - Pleasant Valley Family Practi
12 Kevin Lane
Brodheadsville, PA 18322
(570) 992-7620
Family
Practice
Family
Practice
Kliger, Morris,
Burke, Jonathan J.,
Boyertown
Thomas-Gobalakrishna, Diasy,
Pottstown Medical Specialists, Inc.
(PMSI) - Boyertown Medical Associates
23 North Walnut Street
Boyertown, PA 19512
(610) 367-9654
Brogue
Manning, Amanda R.,
Family
Practice
Family
Practice
Sengupta, Tapash Kumar,
Bingener, Kenneth C,
Brango, Carl William,
Weader, Joseph Alvin,
Petruso, Kimberly A,
Broomall
Blue Bell
The Reading Hospital Medical group at
Boyertown
146 South Reading Avenue
Boyertown, PA 19605
(610) 369-7121
CHOP Care Network-Broomall
2000 Sproul Road, Suite 206
Broomall, PA 19008
(610) 284-0200
Family
Practice
Campbell, Ernest W.,
Christian, Dean Arthur,
Luxardo, Karl O.,
Marancenbaum, Heather,
Pediatrics
Everett, Amy Vanessa,
Blue Bell Family Practice
653 Skippack Pike, Suite 130
Blue Bell, PA 19422
(215) 643-0707
Family
Practice
Blumenthal, Andrew R,
Mcfadden, Dominic,
Tiernan, Julia C,
Broad Axe Family Medicine of
Fornance Physician Services, Inc.
721 Skippack Pike, Suite 3
Blue Bell, PA 19422
(215) 793-0600
Family
Practice
Luetke, Nicole K.,
Peet, David C.,
Wasserman, Charles M.,
Yutzler-overton, Heidi J.,
LMG Family Practice - Blue Bell
1379 Skippack Pike
Blue Bell, PA 19422
(610) 272-9400
Family
Practice
WellSpan Medical Group - Chancefor
Family Medicine
10 Muddy Creek Forks Road
Brogue, PA 17309
Pediatrics
Kaplan, Richard,
Foley, F. L.,
Miller, Susan,
Pande, Chhavi,
Rubin, Tigerlily lee,
Bridgeville
Main Line HealthCare - Bryn Mawr
Family Practice
1991 Sproul Road, Suite 300
Broomall, PA 19008
(610) 325-1390
Preferred Primary Care Physicians Division 20, Washington Pike
1168 Washington Pike
Bridgeville, PA 15017
(412) 257-2050
Internal
Medicine
Family
Practice
Chiu, Priscilla P,
Chiesa, Nicolette E.,
Fuhr, Wendy E,
McFarland, Donald E.,
Greco, Joseph A,
Brodheadsville
Rubin, Seth Ryan,
LVPG - Pleasant Valley Family Practice
12 Kevin Lane
Brodheadsville, PA 18322
(570) 992-7620
Internal
Medicine
Family
Practice
Buckingham Family Medicine
4897 York Road, P.O. Box 278
Buckingham, PA 18912
(215) 794-7471
Family
Practice
Blasi, Steven R.,
Kish, Charles,
Block, Christine K.,
Ballard, Ian M,
Buckingham
Page 253 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Buckingham
Canonsburg
Carnegie
Buckingham Family Medicine
4897 York Road, P.O. Box 278
Buckingham, PA 18912
(215) 794-7471
Washington Hospital Family Medicine Canonsburg Family Medicine
67 East Pike Street
Canonsburg, PA 15317
(724) 745-4100
Preferred Primary Care Physicians Division 5
102 Broadway Avenue
Carnegie, PA 15106
(412) 279-0320
Family
Practice
Internal
Medicine
Goss, Lisa A,
Bader, William,
Martina, Peter A,
Catawissa
Romesburg, Kristen A,
Geisinger Medical Group - Catawissa
353 Main Street
Catawissa, PA 17820
(570) 808-5953
Family
Practice
DiPietro, David E.,
Godek, Brent W.,
Latta, Priscilla W.,
Marino, Louis C.,
Spiro, Paul D.,
Camp Hill
PSHMG Camp Hill
3025 Market Street, Entrance B
Camp Hill, PA 17011-4518
(717) 691-1212
Family
Practice
Bogdan, Ann M,
Gawlas, Michael Raymond,
Greiner, Vernne W,
Oser, Sean Michael,
Oser, Tamara Kay,
Sempeles, Kathleen L,
Internal
Medicine
Warehime, Sarah,
Nurse
Practitioner
Slomiany, Walter P,
Speicher, Monica L,
Carbondale
Geisinger Medical Group - Carbondale
Peds
42 N. Scott Street
Carbondale, PA 18407
(570) 282-6660
Pediatrics
Lena, Marie S.,
Physicians Health Alliance-Carbondale
150 Brooklyn St
Carbondale, PA 18407
(570) 282-7646
Family
Practice
Hopkins, Jamie A,
Internal
Medicine
Moro, Frank M,
Grigoryan-Sainz, Zhanna E,
Carlisle
Canonsburg
Dunham USAHC
450 Gibner Road Suite # 1, Carlisle
Barracks
Carlisle, PA 17013-5086
(717) 245-3326
Corkery, Heise, Dainesi, Trapanotto West Penn Allegheny Health System
1000 Waterdam Plaza Drive, Suite 200
Canonsburg, PA 15317
(724) 941-7144
Internal
Medicine
Corkery, Thomas Bryan,
Dainesi, Edward G,
Heise, Michael J,
Trapanotto, Vincent J,
Family
Practice
Bailey, Bruce O,
Physician
Assistant
Ware, Karen Lea,
Carnegie
Family
Practice
Sheehe, Dennis M.,
Cecil
Washington Hospital Family Medicine
Cecil Family Medicine
3415 Millers Run Road
Cecil, PA 15321
(724) 873-7414
Family
Practice
Duncan, Sarah Carolyn,
Eisley, Matthew J,
Sherwood, Mylaina L,
Center Valley
ABC Family Pediatricians
3800 Sierra Circle
Center Valley, PA 18034
(484) 664-2090
Pediatrics
Fugazzotto, Pasquale Joseph,
Jibilian, Amy Armen,
Long, Elmer Charles,
Chalfont
CHOP Care Network High Point
1700 Horizon Drive
Chalfont, PA 18914
(215) 822-7700
Pediatrics
Gershenson, Stephen,
Gershenson, Stephen,
Page 254 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Chalfont
Clarks Summit
Coatesville
CHOP Care Network High Point
1700 Horizon Drive
Chalfont, PA 18914
(215) 822-7700
Dr. Kondash, Dr. Robertson, Dr.
Kareha
790 Northern Blvd., Suite K
Clarks Summit, PA 18411
(570) 586-4141
Gateway Medical Associates - Gatewa
Colonial Family Practice
217 Reeceville Road, Suite A
Coatesville, PA 19320
(610) 269-9448
Family
Practice
Family
Practice
Kondash, Michael L,
Boucher, Brian R,
Robertson, Lisa E,
Burgess, Geoffrey M,
Physicians Health Alliance-Clarks
Summit
407 North State St
Clarks Summit, PA 18411
(570) 586-1134
Nicholas, Angela Marie,
LMG Family Practice - Chalfont
1500 Horizon Drive, Suite 102
Chalfont, PA 18914
(215) 712-2500
Family
Practice
Family
Practice
Nurse
Practitioner
Beck, Jonathan,
Montgomery, Jeffrey Michael,
Champlin, Martha J.,
Portner, Jeffrey,
Internal
Medicine
Gateway Medical Associates - Gatewa
Internal Medicine at Brandywine
217 Reeceville Rd, Suite C
Coatesville, PA 19320
(610) 384-5110
Pediatrics
Macdonald, Sarah,
O'shea Crocker, Kathleen,
Rosenblum, Frances,
Santos, Richard,
Chester Springs
Eagle Family Medicine Center
134 Pottstown Pike
Chester Springs, PA 19425
(610) 458-8881
Family
Practice
Orr, Daniel G.,
Gateway Village Family Health
222 Byers Road
Chester Springs, PA 19425
(610) 321-0200
Family
Practice
Holgado, Ian Dennis,
Khalifa, John N,
Internal
Medicine
Kohli, Susan Marie,
Clarks Summit
Dr. Kondash, Dr. Robertson, Dr.
Kareha
790 Northern Blvd., Suite K
Clarks Summit, PA 18411
(570) 586-4141
Family
Practice
Gordon, Michael H,
Clymer
Clymer Family Medicine
349 Franklin Street
Clymer, PA 15728
(724) 254-4314
Family
Practice
Bassler, Arwen E,
Drozdiak, Russell,
Vaglia, Amanda,
Coatesville
CHOP Care Network-Coatesville
495 Highlands Blvd. Suite 100
Coatesville, PA 19320
Nikas, Marianne R,
Uhler, Gene F,
Vadher, Alpa,
Internal
Medicine
Bamezai, Vitasta,
Goldblum, Kenneth D,
Codorus
WellSpan Medical Group - Jefferson
Family Medicine
65 Baltimore Street, P.O. Box 277
Codorus, PA 17311
Family
Practice
Lekawa, Thaddeus,
Stein, Thomas,
Pediatrics
Collegeville
Burns, Sandra,
PMA Medical Specialists- Perkiomen
Valley Family Practice
78 Second Avenue
Collegeville, PA 19426
(610) 409-9999
Magee, Joan,
Spivack, Jordan,
Tilton, Bruce,
Gateway Medical Associates - Gateway
Colonial Family Practice
217 Reeceville Road, Suite A
Coatesville, PA 19320
(610) 269-9448
Family
Practice
Fiorillo, Timothy J.,
Schurtz, Rannette C.,
Kareha, Louis M,
Page 255 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Collegeville
Columbia
Crum Lynne
Pottstown Medical Specialists, Inc.
(PMSI) - Collegeville Family Practice
555 Second Avenue
Collegeville, PA 19426
(610) 454-9727
Lancaster General Medical Group Twin Rose Family Medicine- Columbia
306 North Seventh Street
Columbia, PA 17512
(717) 684-9106
Family
Practice
Family
Practice
Crozer-Keystone Health Network Crozer Medical Associates - Crum
Lynne
Ridley Professional Building, 1553
Chester Pike, Suite 201
Crum Lynne, PA 19022
(610) 499-7180
Bingaman, Beth A,
Kistler, Heidi,
Doghramji, Paul P,
Martenson, Trevor Brett,
Wiswe, Birgit M,
Riley, Timothy Daniel,
Trappe Family Practice of Fornance
Physician Services, Inc.
1 Iron Bridge Drive, Suite 150
Collegeville, PA 19426
(610) 489-9374
Young, Brian,
Family
Practice
Keim, Jon A.,
Odonnell, Matthew,
Tiburcio, Clara C.,
General
Practice
Hennessey, Kathryn R.,
Physician
Assistant
Field, Kelly,
Kline, Jennifer P,
Conshohocken
Conshohocken Family Practice
612 Fayette Street Second Floor,
Second Floor
Conshohocken, PA 19428
(610) 828-8500
Family
Practice
Trappe Pediatric Care of Fornance
Physician Services, Inc.
1 Iron Bridge Drive, Suite 100
Collegeville, PA 19426
(610) 489-5782
Franklin, Rodney D.,
Nurse
Practitioner
Covington Twp
Bedell, Gail,
DesMarais, Jill,
Pediatrics
Brogan, Donald R.,
Finch, Eric M,
Mahmud, Mariam Rahman,
Kusmirek, Joanna S,
Rubin, Janis W.,
Woodbury, Deborah,
Family
Practice
Warrington, Peter R.,
Internal
Medicine
Capalongo, Dina F.,
Rana, Ashish V.,
Scoles, Karen S.,
Zirker, William S.,
Dallas
Geisinger Medical Group - Dallas
40 Dallas Shopping Center, Rt 309
Dallas, PA 18612
(570) 675-2000
Family
Practice
Kovalick, Michael A.,
Dallastown
WellSpan Medical Group - Dallastown
Family Medicine
755 S Pleasant Ave
Dallastown, PA 17313
Physicians Health Alliance-Moscow
260 Daleville Hwy, Ste 103
Covington Twp, PA 18444
(570) 842-7746
Family
Practice
Family
Practice
Heiland, Angela Harty,
Dewarren, Eric C,
Eckert, Daniel Stephen,
Glinski, Diane,
Lackey, Robert Boyd morrison,
Mcgann, Thomas Ross,
Vitelli, Shannon L.,
Internal
Medicine
Columbia
Felins, Raymond J,
Schwartzkopf, Paul B,
Lancaster General Medical Group Twin Rose Family Medicine- Columbia
306 North Seventh Street
Columbia, PA 17512
(717) 684-9106
Crum Lynne
Sharmin, Mokarroma,
Crozer-Keystone Health Network Crozer Medical Associates - Crum
Lynne
Ridley Professional Building, 1553
Chester Pike, Suite 201
Crum Lynne, PA 19022
(610) 499-7180
Turosinski, Richard John,
Family
Practice
Modi, Mihir Govind,
Physician
Assistant
Lamison, Jr., William Walter,
Danville
Page 256 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Danville
Darby
Doylestown
Geisinger Medical Group - Knapper
100 N.Academy Avenue
Danville, PA 17822
(570) 271-7907
Consultants in Medical Oncology &
Hematology, PC - Darby
Medical Science Building, Ground
floor, 1500 Lansdowne Avenue
Darby, PA 19023
(610) 534-9190
Central Bucks Family Practice
252 West Swamp Road, Suite #41
Doylestown, PA 18901
(215) 348-1706
Family
Practice
Billas, Anthony,
Bogner, Edward W.,
Gibson, Keith,
Guilfoose, Mark Alan,
Haupt, Darlene L.,
Tobin, Richard S.,
Neonatology
Grauso-Eby, Nancy L.,
Pediatric
Rheumatology
Hahn, Thomas Francis,
Pediatrics
Bruno, Pat J.,
Oncology,
Medical
Ennis, Peter D,
Dover
WellSpan Medical Group - Dover
Internal Medicine
4020 Carlisle Rd.
Dover, PA 17315
Family
Practice
Lewcun, Robert G.,
Robin, Sarah E.,
Robin, Sarah E.,
Smith, David A.,
Smith, David A.,
Tafflin, Dennis H.,
Tafflin, Dennis H.,
Family
Practice
Treiman, Philip R.,
Skibicki, Christy Renee,
Treiman, Philip R.,
Internal
Medicine
Wright, Deborah S.,
Gandionco, John Rizzari,
CHOP Care Network-Central Bucks
708 Shady Retreat Road, Suite 3-4
Doylestown, PA 18901
Nallapati, Rajesh Kumar,
Wright, Deborah S.,
Maksimak, Janis Felice,
Nurse
Practitioner
Rudloff, Loretta Marion,
Pollack, Russell Alan,
Barba, William,
Downingtown
Harrington, Pamela,
Gateway Medical Associates - Gateway
Family Practice Downingtown
101 Manor Avenue
Downingtown, PA 19335
(610) 269-7656
Nicholas, Michael,
Geisinger Medical Group- General
Internal Medicine
100 N. Academy Ave.
Danville, PA 17822
(570) 271-6164
Geriatric Medicine/Family
Practice
Cover, Kenneth L.,
Family
Practice
Internal
Medicine
Barr, Charles J,
Darer, Jonathan David,
Rolston, David Dalip Kumar,
Darby
Consultants in Medical Oncology &
Hematology, PC - Darby
Medical Science Building, Ground
floor, 1500 Lansdowne Avenue
Darby, PA 19023
(610) 534-9190
Hematology/Oncology
Mikhail, Michael M,
Nguyen, Bao-dan Tran,
Pediatrics
Schonfeld, Margery,
Spitalny, Sarah,
Doylestown and Warrington Family
Practice
14B Memorial Drive
Doylestown, PA 18901
(215) 348-4914
Norris, Monica L,
Family
Practice
Doylestown
Winneg, Karen,
Central Bucks Family Practice
252 West Swamp Road, Suite #41
Doylestown, PA 18901
(215) 348-1706
Zoller, Mary,
Drexel Hill
Family
Practice
CHOP Care Network-Drexel Hill
2100 Keystone Avenue, Suite 404
Drexel Hill, PA 19026
(610) 284-0200
Laphen, Jeffrey T.,
Pediatrics
Laphen, Jeffrey T.,
Bove, Mary Elizabeth,
Lewcun, Robert G.,
Pollack, David,
Page 257 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Drexel Hill
Drexel Hill
Drexel Hill
CHOP Care Network-Drexel Hill
2100 Keystone Avenue, Suite 404
Drexel Hill, PA 19026
(610) 284-0200
Crozer-Keystone Health Network Drexel Hill Medical Associates
Drexeline Professional Building, 5030
State Road, Suite 2-400
Drexel Hill, PA 19026
(610) 394-1350
Crozer-Keystone Health Network State Road Medical Associates
Drexeline Professional Building, 5030
State Road, Suite 2-500
Drexel Hill, PA 19026
(610) 394-1380
Internal
Medicine
Internal
Medicine
Friedrich, Brian G,
Colombo, Jr., John,
Rastogi, Neeti,
Kosa, Namir B.,
Crozer-Keystone Health Network Kenis
3909 State Road
Drexel Hill, PA 19026
(610) 449-3330
Szabo, Patricia,
Pediatrics
Sammaritano, Renee,
Teachey, Rochelle,
Consultants In Medical Oncology &
Hematology, PC - Drexel Hill
2100 Keystone Avenue, Suite 502 MOB
Drexel Hill, PA 19026
(610) 622-3818
Hematology/Oncology
Sprandio, John D,
Oncology,
Medical
Denshaw-Burke, Mary T,
Jenab-Wolcott, Jenia,
Shore, Stephen A,
Thirumaran, Rajesh P,
Crozer-Keystone Health Network Birardi & McGee
DCMH Health Pavilion, 3030 Garrett
Road
Drexel Hill, PA 19026
(610) 622-7933
Family
Practice
Birardi, Teresa,
Crozer-Keystone Health Network Busillo
DCMH Health Pavilion, 3030 Garrett
Road
Drexel Hill, PA 19026
(610) 622-7933
Internal
Medicine
Busillo, Nicholas,
Crozer-Keystone Health Network Drexel Hill Medical Associates
Drexeline Professional Building, 5030
State Road, Suite 2-400
Drexel Hill, PA 19026
(610) 394-1350
Internal
Medicine
Family
Practice
Kenis, Lisa,
Crozer-Keystone Health Network Kropp
3909 State Road
Drexel Hill, PA 19026
(610) 853-2544
Yeung, Sin Kei,
Dunmore
Physicians Health Alliance-Ash St
501 Ash St
Dunmore, PA 18509
(570) 344-2244
Internal
Medicine
Dzielak, Edward,
Galella, Yvonne,
Greco, Joseph P,
Family
Practice
Philbin, Joseph F,
Kropp, Dennis W.,
Speicher, Julie M,
Crozer-Keystone Health Network Ortley
Drexeline Professional Building, 5030
State Road, Suite 2-400
Drexel Hill, PA 19026
(610) 394-1390
East Berlin
Family
Practice
Ortley, Glen,
Crozer-Keystone Health Network - Ott
Drexeline Professional Building, 5030
State Road, Suite 2-400
Drexel Hill, PA 19026
(610) 394-1365
Family
Practice
Ott, Anita,
WellSpan Medical Group - East Berlin
Family Medicine
105 Fourth St. PO Box 727
East Berlin, PA 17316
Family
Practice
Heilman, Catherine Booth,
Henry, Mark Richard,
Hoffacker, Wynne Ann,
Nelson, Edward Arnold,
Walther, Bruce,
East Norriton
Norriton Family Medicine of Fornanc
Physician Services, Inc.
342 W. Germantown Pike, Suite 200
East Norriton, PA 19403
(610) 279-1500
Family
Practice
Altomonte, Joseph,
Page 258 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
East Norriton
Elkins Park
Erie
Norriton Family Medicine of Fornance
Physician Services, Inc.
342 W. Germantown Pike, Suite 200
East Norriton, PA 19403
(610) 279-1500
Cheltenham Internal Medicine
Suite 104, 7848 Old York road
Elkins Park, PA 19027
(215) 635-6270
Saint Vincent Family Medicine
2314 Sassafrass Street, Suite 200
Erie, PA 16502
(814) 452-5904
Internal
Medicine
Family
Practice
Balint, Steven,
Chidester, Amy Dawn,
Elkins Park Medical Associates
Elkins Park Medical Associates, 8302
Old York Road, Briarhouse
Elkins Park, PA 19027
(215) 885-8550
Clark, Caitlin S,
Internal
Medicine
Pelkowski, Timothy D,
Family
Practice
Grzybowski, Joan M.,
Morrison, Jeanette M,
Volokhonsky, Helen,
Internal
Medicine
Carlin, Bernard H,
Edgemont
Newtown Edgemont Family Practice
5048 West Chester Pike
Edgemont, PA 19028
Family
Practice
Carroll, William L,
Wood, Madeline S,
Elizabethtown
PSHMG - Elizabethtown
1 Continental Drive
Elizabethtown, PA 17022
(717) 361-0666
Family
Practice
Craig, Sally L.,
Wren, Andrew,
Elkins Park
Ekizian, Stephanie,
Silko, Gary John,
Silverstein, Daniel,
Candib, Dorothy,
Wanner, Jeffrey L,
Sports
Medicine
Elverson
The Family Medical Center at the
Heritage
11 S. Pine Street
Elverson, PA 19520
(610) 286-9000
Family
Practice
Eck, Gordon R.,
The Reading Hospital Medical Group
at Morgantown
315 Darby Square
Elverson, PA 19520
(610) 898-5240
Family
Practice
Internal
Medicine
Mikelonis, Robert J,
Geriatric Medicine/Internal
Medicine
Family
Practice
Cheltenham Internal Medicine
Suite 104, 7848 Old York road
Elkins Park, PA 19027
(215) 635-6270
Gebhardt, Bruce Cushman,
Manin, Bradley,
Albert Einstein Healthcare Network Elkins Park Family/IM
401 E. Township Line Road, Suite B
Elkins Park, PA 19027
(215) 663-0246
Shore, Matthew,
Clark, Christopher C,
Mckrell, Jonathan D,
Saint Vincent Internal Medicine Hillside
145 West 23 Street, Ste.101
Erie, PA 16502
(814) 452-7875
Internal
Medicine
Mingey, John Richard,
Etters
WellSpan Medical Group - Valley
Green Family Medicine
1790 Old Trail Road
Etters, PA 17319
Huyett, Rebecca,
Family
Practice
Lavin, Erin,
Develin, Edward Dunham,
Ephrata
Edla, Surender Reddy,
Lincoln Family Medicine
1635 West Main Street
Ephrata, PA 17522
(717) 738-0660
Nurse
Practitioner
Family
Practice
Hershey, Curtis L.,
All Star Pediatrics
702 Gordon Drive
Exton, PA 19341
(610) 363-1330
Kelly, James M.,
Pediatrics
Hager, Christopher L.,
Miller, Jennifer Lewis,
Exton
Page 259 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Exton
Flourtown
Forty Fort
All Star Pediatrics
702 Gordon Drive
Exton, PA 19341
(610) 363-1330
CHOP Care Network-Flourtown
1811 Bethelehem Pike, Suite A106
Flourtown, PA 19031
Pediatrics
Geisinger Medical Group - Forty Fort
Peds
190 Wells Street, Suite 122
Forty Fort, PA 18704
(570) 718-4141
Bonita, Catherine Hyun,
Chambers, Aaron Andrew,
Limmer, Kathryn,
Duncheskie, Robert C.,
Mullin corcoran, Sharon,
Dyer, Bradley J.,
Tomaine, Scott,
Italia, Kathryn E,
Fogelsville
Melnychuk, Jennifer O.,
Fogelsville Family Medicine
8031 Main Street, PO Box 668
Fogelsville, PA 18051
(610) 336-4676
Fairfield
WellSpan Medical Group - Fairfield
Family Medicine
4910A Fairfield Rd
Fairfield, PA 17320
Family
Practice
Farkas, Andrew A,
Moore, David Sadler,
Feasterville
Feasterville Family Health Care
Feasterville Family Health Care, 1665
Bustleton Pike
Feasterville, PA 19053
(215) 355-9770
Pediatrics
Family
Practice
Stanton, Elizabeth Lee,
Fort Washington
Family Practice Associates of Upper
Dublin
1244 Fort Washington Avenue, Suite E2
Fort Washington, PA 19034
(215) 646-1686
Pediatrics
Coroniti, Lisa J.,
InterMountain Medical Group - Dr.
James W. Galasso III
1169 Wyoming Avenue
Forty Fort, PA 18704
(570) 283-3301
Family
Practice
Galasso, III, James William,
Fountainville
Peace Valley Internal Medicine, P.C.
5039 Swamp Road, Suite 401, PO Box
417
Fountainville, PA 18923
(215) 230-8380
Family
Practice
McEwan, Jack R.,
Family
Practice
Internal
Medicine
Devinney, Colleen Ann,
Abramowitz, Alan I,
Kuklinski, Louise Helen,
Purcell, Susan M,
Pak-lee, Susan,
Liu, Cassandra Jinn,
Shaw, Diana S,
Peniston, John,
Mulligan, Margaret Ann,
Frackville
Rosenberg, Steven M,
Snyder, Julia Alexandra,
Feasterville Family Practice, LLP
523 Bustleton Pike
Feasterville, PA 19053
(215) 355-7900
Soltner, Gregory Thomas,
Geisinger Medical Group - Frackville
PO Box 506, 701 W. Oak Street
Frackville, PA 17931
(570) 874-4100
Family
Practice
Family
Practice
Mcdonald, John Z,
Sabalaske, Thomas E,
Flourtown
CHOP Care Network-Flourtown
1811 Bethelehem Pike, Suite A106
Flourtown, PA 19031
Turk, Adam Theodore,
Nurse
Practitioner
Purcell, Alison,
Forty Fort
Geisinger Medical Group - Forty Fort
Peds
190 Wells Street, Suite 122
Forty Fort, PA 18704
(570) 718-4141
Pediatrics
Internal
Medicine
Belser, Nancy,
Carlos, Fernando S.,
Family
Practice
Graf, Thomas R.,
Langon, James P.,
Lewis, Ivor Fenton,
Furlong
Broderman Internal Medicine
2325 Heritage Center Drive, Suite 116
Furlong, PA 18925
(215) 794-2462
Page 260 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Furlong
Glen Mills
Glenolden
Broderman Internal Medicine
2325 Heritage Center Drive, Suite 116
Furlong, PA 18925
(215) 794-2462
CHOP Care Network-Chadds Ford
1766 Wilmington Pike
Glen Mills, PA 19342
Internal
Medicine
Crozer-Keystone Health Network Folcroft Family Practice
39 S. Chester Pike, Second Floor
Glenolden, PA 19036
(610) 586-2122
Gallatig, Kathleen Marie,
Broderman, Susan J,
Pediatrics
Kutz, Bethany,
Family
Practice
WellSpan Medical Group - Adams
County Internal Medicine
450 South Washington Street
Gettysburg, PA 17325
Crozer-Keystone Health Network Brinton Lake Family Medicine
Crozer Medical Plaza at Brinton Lake,
300 Evergreen Drive, Suite 310
Glen Mills, PA 19342
(610) 579-3555
Internal
Medicine
Family
Practice
Nawaz, Abroo T,
Arredondo, Matthew,
Wellspan Medical Group - Gettysburg
Adult Medicine
37 N. Fifth Street
Gettysburg, PA 17325
(717) 339-2424
Arredondo, Matthew,
Internal
Medicine
Mousaw, Christie,
Brownstein, Elliot,
Mousaw, Christie,
Internal
Medicine
Crozer-Keystone Health Network DiMarco & Krafchick
Crozer Medical Plaza at Brinton Lake,
300 Evergreen Drive, Suite 330
Glen Mills, PA 19342
(610) 579-3444
Glenside Medical Associates
115 East Glenside Avenue, Suite 7
Glenside, PA 19038
(215) 572-8944
Gettysburg
Acharya, Shubha R.,
Grey, Marijka A.,
Physician
Assistant
Cannon, Rebecca J.,
WellSpan Medical Group - Herrs Ridge
Family Medicine
820 Chambersburg Rd
Gettysburg, PA 17325
Family
Practice
Farkas, Andrew A,
Kratz, Leo E,
Nurse
Practitioner
Savinese, Jr., Stanley J.,
Family
Practice
DiMarco, Anthony,
Krafchick, Michael,
Crozer-Keystone Health Network Family Physicians @ The Pavilion
145 Brinton Lake Rd., 1st Floor
Glen Mills, PA 19342
(610) 459-1619
Family
Practice
Broyles, Melissa,
Garverick, Neal,
Delfin, Donna,
Glen Mills
Feinberg, Joshua,
CHOP Care Network-Chadds Ford
1766 Wilmington Pike
Glen Mills, PA 19342
Klingen, Donald,
Pediatrics
Brewer, Una,
Dreyer, Michael,
Green, Holly,
Ziegler, Elizabeth,
Glenside
Glenside Internal Medicine
115 East Glenside Avenue, Suite 9
Glenside, PA 19038
(215) 885-0300
Family
Practice
Silver, Carlton I,
Grove City
Family Healthcare Partners - Grove
City
420 Hillcrest Avenue
Grove City, PA 16127
(724) 458-4950
Family
Practice
Smith, Edward G.,
Sprando, Christopher,
Family Healthcare Partners - Pine
Medical
Pine Medical Center, 675 North Broad
Street Ext
Grove City, PA 16127
(724) 458-5872
Wisser, Michael,
Family
Practice
Glenolden
Thomas, Kevin A.,
Pediatrics
Hefner, David W.,
Hamburg
Page 261 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Hamburg
Harrisburg
Hatboro
Hamburg Family Practice
700 Hawk Ridge Road
Hamburg, PA 19526
(610) 439-7508
PSHMG - Front Street
1711 North Front Street
Harrisburg, PA 17102
(717) 232-4553
Hatboro Medical Associates
345 N York Rd, PO Box 606
Hatboro, PA 19040
(215) 675-1516
Family
Practice
Family
Practice
Cardiovascular
Disease
Blauser, Robert,
Poole, Kevin J.,
Polin, Nancy J.m.,
Clymer, David,
Pediatrics
Henning, Michelle,
Kantner, Anne C.,
Family
Practice
Martin, Cynthia D.,
PSHMG - Nyes Road I
121 Nyes Rd., Suite A
Harrisburg, PA 17112
(717) 657-4040
Odorizzi, Rebecca,
Srinivasan, Raji,
Northern Berks Family Medicine
31 Industrial Drive
Hamburg, PA 19526
(610) 562-9020
Family
Practice
Family
Practice
Ashbaugh, Stephanie J,
Bird, William M.,
Keiter, Karel A.,
Chaudhry, Sana M.,
Miller, William H.,
D'Ancona, Sara,
Richard, David C.,
Kindt, Jason H.,
PSHMG Nyes Road II
121 Nyes Road, Suite F
Harrisburg, PA 17112-3248
(717) 214-6545
Hanover Township
InterMountain Medical Group - Dr.
John Menio
133 Oxford street
Hanover Township, PA 18706
(570) 208-4035
Family
Practice
Menio, John N,
Harrisburg
Family Care of Lower Paxton
P.O. Box 8700 409 S. Second St.
Harrisburg, PA 17105
(717) 231-8923
Family
Practice
Family
Practice
Albertson, Brian Keith,
Felix, Todd Matthew,
Heathcote, Marybeth,
Michel, Frederick J.,
Harrisville
Family Healthcare Partners Harrisville
321 East Mercer Street
Harrisville, PA 16038
(724) 735-4241
Bui, Tuong Nguyen,
Family
Practice
DeArmitt, Don Alan,
Mcafee, Ronald D.,
DeArmitt, John Y.,
Surgery
Saacks, Dennis Lewis,
Hoyt, Bernard S.,
PSHMG - Front Street
1711 North Front Street
Harrisburg, PA 17102
(717) 232-4553
Hatboro
Cohen, Harris B,
Judd, James D,
Miller, Thomas J,
O'brien, Lauren Lynne,
Rosen, Rachel E,
Haverford
CHOP Care Network-Haverford
600 Haverford Road, Suite 100
Haverford, PA 19041
Pediatrics
Allen, Amy,
Giombetti, Carl,
Long, Kathleen,
Magargee, Susan,
Mattone-volpe, Francesca,
Offit, Bonnie,
Swarup, Zarana R.,
Woehling, Joanne,
Hazle Twp
Geisinger Medical Group - Hazleton
Peds
426 Airport Road, 6 Beltways Commo
Hazle Twp, PA 18202
(570) 501-7512
Pediatrics
Bianco, Graciela C.,
Hazleton
Geisinger Medical Group - Hazleton
126 Airport Road
Hazleton, PA 18202
(570) 808-5953
Family
Practice
Jacobs, Bruce Eliott,
Page 262 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Hazleton
Hershey
Holland
Geisinger Medical Group - Hazleton
126 Airport Road
Hazleton, PA 18202
(570) 808-5953
Internal Medicine Associates, West
Campus
500 University Drive, Suite 200 HS98
Hershey, PA 17033-2360
(717) 531-4221
Albert Einstein Healthcare Network Holland Pediatrics
295 Buck Road, Suite 106
Holland, PA 18966
(215) 753-4225
Internal
Medicine
Pediatrics
Family
Practice
Sparich, Salvatore Peter,
Internal
Medicine
Mccall-hosenfeld, Jennifer Susan,
Moser, Eileen Marie,
Todd, Rhonda S.,
Osevala, Nicole Marie,
Hershey
Sciamanna, Christopher N,
Internal Medicine Associates, East
Campus
35 Hope Drive Suite 104
Hershey, PA 17033-2086
(717) 531-5160
Weitekamp, Michael R,
Internal
Medicine
Ballentine, Noel H,
Bollard, Edward R,
Physician
Assistant
Jacobs, Kimberley W,
PSHMG Fishburn Road
845 Fishburn Road
Hershey, PA 17033-2015
(717) 531-8181
Barkan, Craig Adam,
Coyte, Thomas,
Dever, Lynn,
Feldstein, Brad,
Ferrara, Lynn,
Mufti, Sadia,
Naval-Blyden, Pamela,
Travor, Scott,
Huntingdon
Lawndale Internal Medicine
793 Huntingdon Pike
Huntingdon, PA 19006
(215) 780-2000
Caputo, Gregory M,
Emergency
Medicine
Chuang, Cynthia H,
Leong, Shou ling,
Goldstein, Jennifer P,
Family
Practice
Affatato-Bradley, Lisa,
Adelman, Alan M,
Reinprecht, James T,
Chambers, Linda L,
Singer, Fred,
Fredrick, N Benjamin,
Huntingdon Valley
Gingrich, Dennis L,
Rockledge Medical Associates
801 A. Huntingdon Pike
Huntingdon Valley, PA 19006
(215) 379-3200
Hess, Stacy Lyn,
Jones, Lawrence H,
Miller, Debra Q,
Physician
Assistant
Weaver, Anne S,
Heim, Roger A,
Internal Medicine Associates, West
Campus
500 University Drive, Suite 200 HS98
Hershey, PA 17033-2360
(717) 531-4221
Herman, James M,
Gastroenterology
Jeffries, Graham H,
Internal
Medicine
Bomberger, Shana,
Green, Michael J,
Haidet, Paul matthew,
Masters, Philip A,
Masters, Rebecca B,
Lewis, Peter R,
Internal
Medicine
Feldman, Robert A,
Malone, Michael Andrew,
Family
Practice
Pujalte, George Guntur abanes,
Koehler, William,
Robles, Edwin L,
Jamison
Schlegel, Daniel J,
Abington Pediatric Associates - Jamiso
2370 Jamison Suite A-8
Jamison, PA 18929
(215) 491-5100
Wallen, Beth,
Weida, Thomas J,
Midwifery
Curci, Katherine M,
Nurse
Practitioner
Pediatrics
Chanoine, Pierre Patrick,
Chanoine, Pierre Patrick,
Whary, Joanne,
Fellheimer, Susan,
Holland
Fellheimer, Susan,
Page 263 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Jamison
Jeanette
Jenkintown
Abington Pediatric Associates - Jamison
2370 Jamison Suite A-8
Jamison, PA 18929
(215) 491-5100
Western PA Family Medicine Associates
2057 State Route 130
Jeanette, PA 15644
(724) 527-5001
Pediatric Care Group
261 Old York Road, Suite 620
Jenkintown, PA 19046
(215) 885-8700
Pediatrics
Family
Practice
Pediatrics
Greenberg, Adena,
Greenberg, Adena,
Hutton, Lisa J,
Hutton, Lisa J,
Parnes, Curt I,
Parnes, Curt I,
Sivitz, Michael C,
Sivitz, Michael C,
Central Bucks Family Practice Jamison
2370 York Rd, #F1
Jamison, PA 18929
(215) 343-5444
Family
Practice
Laphen, Jeffrey Thomas,
Laphen, Jeffrey Thomas,
Lewcun, Robert George,
Lewcun, Robert George,
Robin, Sarah E.,
Robin, Sarah E.,
Smith, David Alan,
Smith, David Alan,
Tafflin, Dennis Harvey,
Tafflin, Dennis Harvey,
Treiman, Philip,
Treiman, Philip,
Wright, Deborah Sue,
Wright, Deborah Sue,
Jeanette
Wong, Kevin Michael,
Jenkintown
Abington Family Medicine
500 Old York Road, Suite 108
Jenkintown, PA 19046
(215) 481-2725
Family
Practice
Clark, Mathew M,
Carrier-Kinsley, Marie,
Mahoney, Maria M,
Mundell, Marylee,
Jenkintown,
Internal Medicine Associates of
Abington
500 Old York Road, Suite 203
Jenkintown,, PA 19046
(215) 481-4268
Clouse, Amy Lynn,
Family
Practice
Fenstemacher, Pamela,
Grossman, Jay S,
Russell, John J,
Grossman, Sheila S,
Skolnik, Neil S,
Internal
Medicine
Albert Einstein Healthcare Network Jenkintown Pediatrics
201 Old York Road, Suite 202
Jenkintown, PA 19046
(267) 763-1060
Pediatrics
Kovats, Eniko,
Marc Kress, M.D. & Assoc.
610 Old York Road, Jenkins North
Court, Suite 70
Jenkintown, PA 19046
(215) 887-3100
Family
Practice
Botero, Andres,
Ecker, Michelle,
Lintgen, Arthur B,
O'connell, Bryan Daniel,
Rigotti, Joseph A,
Seraj, Samina,
Shackelford, Jason Michael,
Song, Ruiping,
Spencer, Steven,
Sweigard, Keith W,
Trichtinger, Martin D,
Kress, Marc M,
Zhou, Zhihong,
Oyejide, Kaya J,
Nurse
Practitioner
Internal
Medicine
Braverman, Barbara,
Western PA Family Medicine Associates
2057 State Route 130
Jeanette, PA 15644
(724) 527-5001
Meller, Susan,
Naimoli, Betty E,
Physician
Assistant
Jermyn
Family
Practice
Pediatric Care Group
261 Old York Road, Suite 620
Jenkintown, PA 19046
(215) 885-8700
Bakshi, Viharika Kiran,
Mathos, Julia T,
Wetzel, Jennifer T,
The Wright Center for Primary Care
Midvalley Practice
5 S Washington Avenue
Jermyn, PA 18433
(570) 383-9934
Internal
Medicine
Page 264 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Jermyn
Kennett Square
Kingston
The Wright Center for Primary Care Midvalley Practice
5 S Washington Avenue
Jermyn, PA 18433
(570) 383-9934
CHOP Care Network-Kennett Square
891 East Baltimore Pike
Kennett Square, PA 19348
Geisinger Medical Group - Kingston
499 Wyoming Avenue
Kingston, PA 18704
(570) 283-2161
Internal
Medicine
Pediatrics
Gonzalez, Elaine,
Karcsh, Henry,
Novak, Gregg J.,
Kaul, Venita,
Sheth, Jignesh Yasmin,
King of Prussia
Thomas, Linda J,
Family Practice Associates of King of
Prussia of Fornance
625 Clark Avenue, Suite 13
King of Prussia, PA 19406-1438
(610) 265-8566
Nurse
Practitioner
Greer, Nancy,
Pediatrics
Maidana-Moreno, Maria-Beatrice,
Family
Practice
Johnstown
Camp, Anthony M,
Conemaugh Health Systems
1086 Franklin St
Johnstown, PA 15905
(814) 534-9000
Darby, Janine Massa,
Family
Practice
Casey, Lisa M.,
Gore, Alvin I,
Johnston, Lynn C,
George, Ann D,
Smith, Michelle A,
King of Prussia Family Medicine of
Fornance Physician Services
The Merion Building, 700 S. Henderson
Road, Suite 306
King of Prussia, PA 19406
(610) 265-0726
Family
Practice
Chollak, Joseph P.,
Kordek, Michael E.,
Kosek, Gunnar Francis,
Kovalick, Kimberly Ann M.,
Wyoming Valley Family Medicine
Residency Program
2 Sharpe St.
Kingston, PA 18704-3715
(570) 552-8900
Family
Practice
Gross, Gretta A,
Litchman, Maureen M,
Shanbaky, Isis,
Spring, Deborah A,
Kulpmont
Geisinger Medical Group - Kulpmont
1 Nevada Drive
Kulpmont, PA 17834
(570) 373-1250
Koeller, Royal,
Family
Practice
Shah, Suryakant,
Edde, Peter B.,
Family
Practice
Spencer, Jeanne,
Panaro, Rudolph J.,
Hood, Thomas J.,
Kenhorst
Richardson, Kimberly A,
Nye, Jill E.,
Kenhorst Family Medical Center
600 High Boulevard
Kenhorst, PA 19607
(610) 603-0183
Internal
Medicine
Romanic, Bruce Mark,
Family
Practice
Kane, Brian R,
Lopez, Florita Cordero,
Ecker, Andrew M.,
King of Prussia Medicine
860 First Avenue, Suite 4B
King of Prussia, PA 19422
(610) 265-1251
Migliarino, Luciano,
Internal
Medicine
Tumelty, Daniel S,
Becker, Frederic Scott,
Nurse
Practitioner
Becker, Irwin,
Hanna, Ezzat A,
Till, Ann Gallagher,
Kennett Square
Kingston
Cognetti, Melissa Reimel,
Roth, Raymond David,
Tomedi, John R.,
Kutztown
Kutztown Family Practice
15050 Kutztown Road
Kutztown, PA 19530
(610) 683-7393
Family
Practice
Kunsman, Natalie M,
Lancaster
Page 265 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Lancaster
Lancaster
Lansdale
Eden Park Pediatric Associates
1725A Oregon Pike
Lancaster, PA 17601
(717) 569-8518
Roseville Pediatrics, LGMG
160 North Pointe Blvd., Suite 110
Lancaster, PA 17601
(717) 569-6481
LMG Family Practice - Lansdale
1019 S. Broad Street
Lansdale, PA 19446
(215) 361-5090
Nurse
Practitioner
Pediatrics
Family
Practice
Evans, Ashley Anne,
Pediatrics
Cook-moine, Colleen Lee,
Hipple, Judith Holt,
Knox-lee, Margaret Mary,
Valuch, Jill Elaine,
Lancaster General Hospital Downtown Family Medicine
555 North Duke Street, P.O. Box 3555
Lancaster, PA 17604-3555
(717) 544-1880
Family
Practice
Cohen, Donna,
Hoshauer, Cathy J,
Kernen, Lisa Marie martz,
Krak, Ronald V,
Reilly, Anne K,
Sanchez, Kimberly W,
Shamimi-noori, Sara Koohdary,
Tifft, Stephen W,
Zehr, Bonnie M,
Langhorne
Newtown Medical Group
1703 Langhorne-Newtown Road, Suite 1
Langhorne, PA 19047
(215) 968-3655
Gates, Thomas,
Family
Practice
Hermansen, Christian,
Kulka, Matthew Robert,
Olin, Stephen,
Kuttler kelly, Suzanne,
Rast, Mark,
Lansdale
Ratcliffe, Stephen,
Wood, John C.,
Zervanos, Nikitas,
Nurse
Practitioner
Boll, Laura,
Roseville Pediatrics, LGMG
160 North Pointe Blvd., Suite 110
Lancaster, PA 17601
(717) 569-6481
Green and Seidner Family Practice
Associates
826 N Broad Street
Lansdale, PA 19446
(215) 855-1054
Family
Practice
Green, Barry P,
Kennedy, Susan H,
Knudsen, Sandra J,
Lee, William M,
Nadwodny, Linda A,
Lebanon
Good Samaritan Family Practice Cent
4th & Willow Street, Second Floor
Lebanon, PA 17042
(717) 270-2345
Family
Practice
Lane, Aaron Brice,
Lovett, William J,
Mcgeary, James E.,
Scherr, Roberta,
Sheffield, John C,
Levittown
New Falls Medical Center
2 Qunicy Drive
Levittown, PA 19057
(215) 943-1200
Family
Practice
Kane, Jill R.,
Kane, John T.,
Kane, Megan C.,
Lewisburg
Geisinger Medical Group - Lewisburg
250 Reitz Boulevard
Lewisburg, PA 17837
(570) 523-0056
Nurse
Practitioner
Rosenfeld, Jack C,
Family
Practice
Grady, Betsy E.,
Seidner, Michael R,
Arisumi, Susan K.,
Lawrence I Miller DO PC
2031 North Broad Street, Suite 121
Lansdale, PA 19446
(215) 412-4910
Internal
Medicine
Pediatrics
Ammons, Jennifer S,
Bowen, Sara D.,
Gross, Frances C,
Chappen, Margaret Eileen,
Speake, Mark Robert,
Hanna, Christine M,
Family
Practice
Still, Margaret M.,
Haught, W. Michael,
Miller, Lawrence Ian,
Lewistown
Page 266 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Lewistown
Lititz
Mahanoy City
Geisinger Medical Group - Lewistown
21 Geisinger Lane
Lewistown, PA 17044
(717) 242-4200
Lancaster General Medical Group Lititz Family Medicine
562 West Second Avenue
Lititz, PA 17543
(717) 626-2167
Geisinger Medical Group - Mahanoy
City
31 South Main Street
Mahanoy City, PA 17948
(570) 773-3042
Nurse
Practitioner
Family
Practice
Terenchin, Shirley B,
Kane, Francis J.,
Littlestown
Manchester
WellSpan Medical Group - Littlestown
Family Medicine
300 West King Street, Ste C
Littlestown, PA 17340
WellSpan Medical Group - Wheatlyn
Family Medicine
212 Rosedale Dr
Manchester, PA 17345
Galvin, Sharon Halbedl,
Family
Practice
Family
Practice
Rajasekharaiah, Anitha,
George, Christopher J,
Bamford, Jennifer Brennan,
Szulawski, Ireneusz,
Nurse
Practitioner
Bojja, Lavanya,
Family
Practice
Bardella, Betty Jean,
Manganaro, Kimberly Joan,
Nungesser, Raymond Francis,
Zetterberg, Frans T.,
Internal
Medicine
Antony, Oana M.,
Pediatric
Nephrology
Clark, Jennifer Maue,
Dedeoglu, Ismail Ozhan,
Lock Haven
Pediatrics
Geisinger Medical Group - Lock Haven
955 Bellefonte Avenue
Lock Haven, PA 17745
(570) 748-7714
Romeo, Joseph,
Limerick
PMA Medical Specialists- Limerick
410 W. Linfield-Trappe Road, Suite 100
Limerick, PA 19468
(610) 495-2300
Internal
Medicine
Freehafer, John F.,
Real, Mark B.,
Stepansky, David W.,
Lititz
Lancaster General Medical Group Lititz Family Medicine
562 West Second Avenue
Lititz, PA 17543
(717) 626-2167
Family
Practice
Gabinskiy, Boris,
Internal
Medicine
Ackley, Charles V.,
Lower Gwynedd
Family Medicine, Geriatrics and
Wellness
714 North Bethlehem Pike, Suite 101
Lower Gwynedd, PA 19002
(215) 540-4411
Family
Practice
Mambu, Joseph F.,
Family
Practice
Internal
Medicine
Andersen, Thomas W,
Marcus, Hillary N.,
Russo, Marc S,
Mahanoy City
Sailer, Dale W,
Scibal, Gary J,
Karri, Lavanya,
Pater, David Russel,
St John, Kevin Brian,
Nurse
Practitioner
Hofmeister, Barbara Ann,
Maple Glen
Horsham Medical Associates
701 Limekiln Pike, Suite 3 & 4
Maple Glen, PA 19002
(215) 646-0642
Family
Practice
Jacobson, Kenneth L,
Internal
Medicine
Channick, Steven A,
Marcus Hook
Crozer-Keystone Health Network Family Care Associates
1000 Market Street
Marcus Hook, PA 19061
(610) 485-2578
Family
Practice
Munshower, John,
McKees Rocks
Superdock, David T,
Page 267 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
McKees Rocks
McMurray
Media
Pine Hollow Medical Associates
Robinson Medical Center, 133 Church
Hill Road, Suite 2
McKees Rocks, PA 15136
(412) 722-1021
Primary Care South
3402 Washington RD, Suite 301
McMurray, PA 15317
(724) 941-2018
Crozer-Keystone Health Network Family Physicians @ Middletown
Center for Family Health, 176 S. New
Middletown Road
Media, PA 19063
(610) 627-3690
Family
Practice
Bubenheim, Daniel M,
Starenchak, Scott M,
Family
Practice
Murphy, Colleen,
Media
Burgo, Alfred J,
CHOP Care Network-Media
176 S. New Middletown Road, Suite 202
Media, PA 19063
(610) 284-0200
Palmieri, Danny,
Pediatrics
Robert F. Yellenik M.D.
27 Heckel Road, Suite 112
McKees Rocks, PA 15136
(412) 777-4380
Kleiman, David,
Internal
Medicine
Family
Practice
Yellenik M.D., Robert F,
McKeesport
Latterman Family Health Center UPMC
2347 Fifth Avenue
McKeesport, PA 15132
(412) 673-4567
Family
Practice
Conti, Tracey D,
Demian, Essam,
Johns, Martin G,
Markle, William H,
Mcgonigle, Cathleen S,
Crozer-Keystone Health Network Crozer Medical Associates - Media
200 E. State Street, Suite 224
Media, PA 19063
(610) 499-7180
Geriatric Medicine/Family
Practice
PennCare Internal Medicine Assoc of
De co
605 W State St, 2nd floor
Media, PA 19063
(610) 565-8600
Internal
Medicine
Eberly, David E,
Fink, Albert H,
Meyer, Carl A,
Nonack, Peter B,
Soffer, Daniel E,
Wertheimer, Marc J,
Internal
Medicine
Mercer
Fosnocht, Kevin,
Kahn, Deborah,
Lainoff, David,
Williams, Susan,
Crozer-Keystone Health Network Family Physicians @ Media
Media Medical Plaza, 200 E. State
Street, Suite 106
Media, PA 19063
Family
Practice
McMurray
Gavis, Jan,
Preferred Primary Care Physicians,
Inc. - Division 3, Waterdam Plaza
5000 Waterdam Plaza Road, Suite 120
McMurray, PA 15317
(724) 941-8877
Prime, Michael F,
Colodny, Stephanie L.,
Chandler, Khariyyan Mack,
Srulevich, Michael E.,
Shenouda, Emeil M.,
Internal
Medicine
Family
Practice
Crozer-Keystone Health Network Family Physicians @ Middletown
Center for Family Health, 176 S. New
Middletown Road
Media, PA 19063
(610) 627-3690
Mally, Ashith,
Family
Practice
Robison, Walter J.,
Broyles, David,
Family Healthcare Partners - Mercer
400 West Butler Street
Mercer, PA 16137
(724) 662-4990
Family
Practice
Hoyt, David G.,
Mertztown
The Reading Hospital Medical Group
at Mertztown
506 Woodside Avenue
Mertztown, PA 19539
(610) 682-2137
Family
Practice
McGee, Janet Lorraine,
Middletown
PSHMG Middletown
3100 Schoolhouse Road
Middletown, PA 17057-354
(717) 948-5180
Family
Practice
Page 268 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Middletown
Milton
Montoursville
PSHMG Middletown
3100 Schoolhouse Road
Middletown, PA 17057-354
(717) 948-5180
Geisinger Medical Group - Milton
155 South Arch Street
Milton, PA 17847
(570) 742-2655
Geisinger Medical Group - Lycoming
780 Broad Street
Montoursville, PA 17754
(570) 368-2870
Family
Practice
Family
Practice
Family
Practice
Baase, Carol A,
Rohrer, George Redsecker,
Eshleman, Jere R.,
Crimmel, Ellen M,
Thein, Win,
Michael, Sharon Rosalia,
Curry, Gwendolyn W,
Internal
Medicine
Pediatrics
Curry, Willliam J,
Nasir, Munima,
Nurse
Practitioner
Fedor, Michael John,
Mifflin
Geisinger Medical Group - Juniata
56 Jam House Road
Mifflin, PA 17058
(717) 436-8986
Family
Practice
Cox, Laurie Ann,
Fuoco, John J.,
Millville
Geisinger Medical Group - Millville
515 Jerseytown Road
Millville, PA 17846
(570) 458-5597
Family
Practice
Bang, Sam S.,
DuBartell, Michael Lawrence,
Milmont Park
Crozer-Keystone Health Network Milmont Park Family Practice
500 MacDade Blvd.
Milmont Park, PA 19033
(610) 619-7300
Family
Practice
Hermann, Robert F,
Hermann, Robert F,
Sacharok, Cynthia A,
Milton
Chow, Danquing,
Mohnton
The Reading Hospital Medical Group
at Gateway
1020 Grings Hill Road
Mohnton, PA 19540
(610) 898-5030
Beall, Sandra Cheryl,
Moosic
Geisinger Medical Group - Moosic
4004 Birney Avenue
Moosic, PA 18507
(570) 344-4711
Family
Practice
Family
Practice
Wessel, Andrea,
Kleiman, Louis M,
Internal
Medicine
Minnich, Ryan J,
Reimels, Brian M,
Internal
Medicine
Bonner, Mary J.,
Jain, Bina,
Kastenbaum, Michael,
Leisawitz, Elliott G,
Monroeville
Forbes Family Practice
2566 Haymaker Road
Monroeville, PA 15146
(412) 858-2764
Family
Practice
Pingul-Ravano, Rowena,
Sturm, Charles Fredrick,
Wolfe, Steven R,
Chiumento, Nicholas Patrick,
Morton
Crozer-Keystone Health Network Conroy & Associates
61 S Morton Avenue, Suite 6
Morton, PA 19070
(610) 328-4460
Family
Practice
Conroy, Sean,
Shor-Conroy, Robyn,
TeKolste, Keala R.,
Mount Pocono
Geisinger Medical Group - Mount
Pocono
21 Commerce Court
Mount Pocono, PA 18344
(570) 839-3633
Yao, Michael Joseph,
Family
Practice
Montoursville
Bigatel, Levelle D,
Geisinger Medical Group - Lycoming
780 Broad Street
Montoursville, PA 17754
(570) 368-2870
Brown, Timothy Michael,
Kozma, Matthew R.,
Internal
Medicine
Page 269 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Mount Pocono
Myerstown
New Freedom
Geisinger Medical Group - Mount
Pocono
21 Commerce Court
Mount Pocono, PA 18344
(570) 839-3633
ELCO Family Health Center
6 Perri Avenue
Myerstown, PA 17067
(717) 270-2345
WellSpan Medical Group - Spring
Valley Family Medicine
13515 Wolfe Road
New Freedom, PA 17349
Family
Practice
Family
Practice
Kovarikova, Daria,
Burney, Amara Zubair,
Yoder, John Byard,
Cutti, Eric Moore,
Nanticoke
Prince, Douglas H,
Geisinger Medical Group - Nanticoke
Peds
6 W. Green Street
Nanticoke, PA 18634
(570) 735-0385
Schlosser, Michelle Lorraine,
Internal
Medicine
Yusko, Christopher,
Pediatrics
Hardy, Allyson C.,
Kawamura, Akiko,
Mountainhome
Geisinger Medical Group Mountainhome
PO BOX 607, Route 390
Mountainhome, PA 18342
(570) 595-7535
Pediatrics
Grabowski, Marie Agatha,
Natrona Heights
Skinner, Elizabeth Anne,
Taylor, Brian J,
Nurse
Practitioner
Pollack, Russell Alan,
New Kensington
Allegheny Valley Internal
Medicine/WPAHS
1719 Union Avenue
Natrona Heights, PA 15065
(724) 226-2128
University of Pittsburgh Health Plan UPMC of St. Margaret New
Kensington Family Health Center-C69
301 Eleventh Steet, Suite C
New Kensington, PA 15068
(724) 334-3640
Geisinger Medical Group Mountaintop
12 Kirby Avenue
Mountaintop, PA 18707
(570) 808-5953
Family
Practice
Family
Practice
Guhanand, Nithya,
Han, Jonathan K.,
Internal
Medicine
New Oxford
Family
Practice
Defrances, Dominick A,
Family
Practice
Bolock, Sylvia Maria,
Patel, Darshan B.,
Mountaintop
Aquilina, Anthony D.,
Radziewicz, Mark M.,
Tomczyk, Kenneth H.,
Geisinger Medical Group Mountaintop Peds
10 1/2 South Mountain Blvd.
Mountaintop, PA 18707
(570) 474-5072
Pediatrics
Samonte, Alexies Osorio,
Myerstown
ELCO Family Health Center
6 Perri Avenue
Myerstown, PA 17067
(717) 270-2345
Hanzlik, Heather M,
Wang, Xiaohong,
New Britain
Chalfont Family Practice
65 E. Butler Avenue, Suite 201
New Britain, PA 18901
(215) 822-3113
Family
Practice
Bagnick, Joseph Francis,
Dacier, Christine Marie,
Danzis, Jeffrey J,
Lieberman, Bruce Lawrence,
Shaeffer, Joseph Martin,
New Freedom
WellSpan Medical Group - Cross Key
Internal Medicine
2900 Carlisle Pike
New Oxford, PA 17350
Family
Practice
Dalton, Tatiana Alycia,
Internal
Medicine
Rubenstein, Morton Jerome,
Newtown
CHOP Care Network-Newtown
6 Penns Trail, Suite 105
Newtown, PA 18940
Pediatrics
Brister, Randy,
Kardos, Julie,
Sasson, Robert,
Page 270 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Newtown
Nicholson
Olyphant
CHOP Care Network-Newtown
6 Penns Trail, Suite 105
Newtown, PA 18940
Geisinger Medical Group - Nicholson
PO BOX K Route 11 Lackawanna Trail
Nicholson, PA 18446
(570) 942-6124
Physicians Health Alliance - Olyphant
109 Terrace Drive
Olyphant, PA 18447
(570) 383-0236
Family
Practice
Internal
Medicine
Russell, Gary D.,
Lukose, Ludy,
Russell, Susan R.,
Mulloth, Rajan,
Norristown
Oreland
Montgomery Family Practice Center
1330 Powell Street, Suite 409
Norristown, PA 19401
(610) 277-0964
Upper Dublin Internal Medicine
200 Pennsylvania Avenue
Oreland, PA 19075
(215) 887-7422
Margiotti & Kroll Pediatrics- Newtown
2861 S. Eagle Road
Newtown, PA 18940
(215) 968-5800
Family
Practice
Internal
Medicine
Andino, J. Federico,
Litman, Stephen E,
Evans, Susanna G.,
Orwigsburg
Nurse
Practitioner
Lowery, Teresa,
Geisinger Medical Group - Orwigsbur
200 Pinebrook Place, Suite 5
Orwigsburg, PA 17961
(570) 366-1557
Pediatrics
Walder, Mary ellen,
Family Practice Center of Newtown
638 Newtown Yardley Road, Suite 2E
Newtown, PA 18940
(215) 968-1616
Family
Practice
Saracino, Barbara M,
Spratt-turner, Catherine R,
Mcgowan, Theresa Mary,
Pediatrics
Margiotti, Gerard Anthony,
Nadel, Bonnie G,
Newtown Square
Consultants in Medical Oncology &
Hematology, PC - Newtown Square
The Bryn Mawr Hospital Health
Center, Cancer Center Ground Floor,
3855 West Chester Pike
Newtown Square, PA 19073
(610) 356-1888
Rose, Gina L,
Santillano, Eugene,
Srinivasan, Mahalakshmi,
Norristown Family Physicians of
Fornance Physician Services, Inc.
1437 DeKalb Pike, Suite 201
Norristown, PA 19401
(610) 272-5341
Family
Practice
Calamia, Joseph A,
Drumm, Christopher,
Oncology
Melnick, Kevin R,
Rovito, Marc A,
Old Forge
Prime Health Network - 6003
4667 West Chester Pike, Suite D1
Newtown Square, PA 19073
(610) 356-7870
Physicians Health Alliance - Old Forge
315 S. Main Avenue, 415 South Main St
Old Forge, PA 18518
(570) 457-8364
Family
Practice
Family
Practice
DeMario, Maria C,
Charabati, Jihad,
Papa, Michelle E,
Montgomery, Dana Marie,
Nicholson
Sallavanti, Armondo R.,
Olyphant
Family
Practice
Darhun, Benjamin P.,
Kozlowski, Anita Erine,
Lord, Kenneth J.,
Terlingo, Marlene,
Pediatrics
Tenney, Barbara Lea,
Yarczower, Bret S.,
Palmyra
PSHMG - Palmyra
941 Park Drive
Palmyra, PA 17078
(717) 838-6305
Family
Practice
Graves, Nancy S.,
Gross, Shanin R.,
Henning, George F.,
Messmer, John J.,
Silvis, Matthew L.,
Paoli
Page 271 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Paoli
Philadelphia
Philadelphia
CHOP Care Network-Paoli
250 W. Lancaster Avenue, Suite 340
Paoli, PA 19301
Albert Einstein Healthcare Network Colgate Pediatrics
6129 Colgate Street
Philadelphia, PA 19111
(215) 725-2105
Albert Einstein Healthcare Network Germantown Prof Family/IM
5753 Wayne Avenue
Philadelphia, PA 19144
(215) 848-8800
Pediatrics
Family
Practice
Pediatrics
Gelman, Kennethd,
Hariharan, Lakshmi,
Labik, Jeanna A.,
Rosato, Anne,
Schetman, Anna,
Strassman, Ira,
Phila
Elefant Galante PC
9501 Roosevelt Blvd
Phila, PA 19114
(215) 673-7070
Internal
Medicine
Galante, Lisa,
Wolf, Steven U,
Philadelphia
Albert Einstein Healthcare Network Aramingo Family
3300 Aramingo Avenue
Philadelphia, PA 19134
(215) 634-5110
Family
Practice
Brown, Nancy,
Internal
Medicine
Oxenberg, Gary,
Albert Einstein Healthcare Network Center One Family
9880 Bustleton Avenue, Suite 301
Philadelphia, PA 19115
(215) 827-1552
Family
Practice
Fontanilla, Arnold Glen,
Schachter, Bonnie,
Spector, Harvey M.,
Angell, Karen P,
Selbst, Alison,
Sterner, Todd M,
Albert Einstein Healthcare Network Front & Olney IM
101 East Olney Avenue, Suite C5
Philadelphia, PA 19120
(215) 927-1937
Internal
Medicine
Hoellein, Kenneth,
Polan, Erik,
Albert Einstein Healthcare Network Germantown Family/IM
625 E. Wister Street, MOB - 2 Penn
Blvd., Suite 110
Philadelphia, PA 19144
(215) 843-8272
Family
Practice
Generette, Pasha,
Internal
Medicine
Hannaway, Barbara Ann,
Love, Carol,
Internal
Medicine
Sargeant, Delwyn,
Albert Einstein Healthcare Network Germantown-5519 IM
5519 Germantown Avenue
Philadelphia, PA 19144
(215) 438-2055
Internal
Medicine
Baugh, Wilfreta Gourdine,
Albert Einstein Healthcare Network Mayfair Family
7131-39 Frankford Avenue
Philadelphia, PA 19135
(215) 332-4164
Family
Practice
Carabello, Rita,
Lubin, Thomas Ira,
Costantino, Michele Linne,
Scaven, Christopher,
Albert Einstein Healthcare Network Germantown IM
7500 Germantown Avenue, Elders Hall,
Suite 101
Philadelphia, PA 19119
(215) 248-0112
Voddi, Swetha D,
Internal
Medicine
Mirow, Yuan,
Albert Einstein Healthcare Network Morton Street Family
6302 Morton Street
Philadelphia, PA 19144
(215) 843-8578
Family
Practice
Marks, Barry L,
Albert Einstein Healthcare Network Germantown Pediatrics
625 E. Wister Street, MOB - 2 Penn
Blvd., Suite 111
Philadelphia, PA 19144
(215) 381-1160
Albert Einstein Healthcare Network NE Family Medicine
335 E. Wyoming Avenue
Philadelphia, PA 19120
(215) 455-0113
Pediatrics
Family
Practice
Booker, Felicia M,
Blender, Burton,
Page 272 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Philadelphia
Philadelphia
Philadelphia
Albert Einstein Healthcare Network NE Family Medicine
335 E. Wyoming Avenue
Philadelphia, PA 19120
(215) 455-0113
Albert Einstein Healthcare Network Roxborough Pediatrics
6001 Ridge Avenue
Philadelphia, PA 19128
(215) 487-2260
Andorra Pediatrics
8945 Ridge Ave St 5
Philadelphia, PA 19128
(215) 483-8558
Family
Practice
Pediatrics
Tadley, Gerald,
Albert Einstein Healthcare Network Wadsworth Family/IM
1602-04 Wadsworth Avenue
Philadelphia, PA 19150
(215) 753-9438
Albert Einstein Healthcare Network Pennypack Pediatrics
8556 Bustleton Avenue
Philadelphia, PA 19152
(215) 338-4949
Casher, Danielle,
Pediatrics
Cozza, Joann C.,
Selig, Daniel Scott,
Selig, Robert Mark,
Aria Health Physician Services Centra
Square Medical Center
2451 Grant Avenue, Suite 1B
Philadelphia, PA 19114
(215) 671-8900
Pediatrics
Family
Practice
Roberts, Leigh,
Helm, Denina,
Family
Practice
Roy, Dipanwita,
Internal
Medicine
Palat, Herman W.,
Qureshi, Azra,
Internal
Medicine
Tatar, Emiliano,
Albert Einstein Healthcare Network Powell Family
6013 Green Street
Philadelphia, PA 19144
(215) 438-1030
Family
Practice
Albert Einstein Healthcare Network Wadsworth Pediatrics
1602-04 Wadsworth Avenue
Philadelphia, PA 19150
(215) 753-9438
Pediatrics
Lee Powell, Roberta F,
Levin, Stephen,
Powell, Jr., Thomas F,
Albert Einstein Healthcare Network Wynne-Baker Pediatrics
5753 Wayne Avenue
Philadelphia, PA 19144
(215) 848-8800
Albert Einstein Healthcare Network Rising Sun Pediatrics
7201 Rising Sun Avenue
Philadelphia, PA 19111
(215) 722-8105
Pediatrics
Pediatrics
Wynne-Baker, Denise,
Whitman, Randal,
Albert Einstein Healthcare Network York House South IM
5325 Old York Road, Suite 15
Philadelphia, PA 19141
(215) 924-1234
Albert Einstein Healthcare Network Roxborough IM
6001 Ridge Avenue
Philadelphia, PA 19128
(215) 487-2260
Internal
Medicine
Internal
Medicine
Gonzalez-prado, Angeles,
Goldwein, Marlene,
Lipkin, David E,
Manin, Beth,
Andorra Pediatrics
8945 Ridge Ave St 5
Philadelphia, PA 19128
(215) 483-8558
Albert Einstein Healthcare Network Roxborough Pediatrics
6001 Ridge Avenue
Philadelphia, PA 19128
(215) 487-2260
Pediatrics
Abbruzzi, Anthony Joseph,
Care Network South Philadelphia
1930 South Broad Street, 2nd Floor
Philadelphia, PA 19147-1947
(215) 590-4132
Pediatrics
Behin-Aein, Taraneh,
Dang, Khoi Cong,
Gessman, Laura Michelle,
Grundmeier, Robert,
Malet'a, Viviana,
Marein-Efron, Gabriela,
Nasto, Kristen,
Novick, Dorothy,
Ortolano, Susan,
Rosales, Noel,
Smoger Rios, Danah,
Tierney, Anna-Marie,
Center City Pediatrics
1740 South Street, Suite 301
Philadelphia, PA 19146
(215) 735-5600
Pediatrics
Berger, Eric D.,
Madani, Reza,
Page 273 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Philadelphia
Philadelphia
Philadelphia
Center City Pediatrics
1740 South Street, Suite 301
Philadelphia, PA 19146
(215) 735-5600
CHOP Care Network-Cobbs Creek
225 Cobbs Creek Parkway
Philadelphia, PA 19139
CHOP Care Network-University City
3819-33 Chestnut Street Suite 120
Philadelphia, PA 19104
Pediatrics
Pediatrics
Pediatrics
Patel, Rakhee,
Eubanks, Chenia,
Somekh, Sharon,
Reich, Alice,
Fabio, Mary,
Somekh, Sharon,
Sutherland, Sharon,
Ferran, Claudia,
Warren, Cynthia Collier,
Wilson, Michele,
Fiks, Alexander,
Chestnut Hill Family Practice
8815 Germantown Avenue, 5th floor
Philadelphia, PA 19118
(215) 248-8035
CHOP Care Network-Market Street
3550 Market St. 5th Floor
Philadelphia, PA 19104
Gajary, Zia,
Family
Practice
Biggs, Lisa,
Breish, Russell S.,
Cohen, Jodi,
Hunter, Anne,
Defelice, Peggy,
Karnik, Arati,
Elliott, Elizabeth,
Mahaniah, Wakengo,
Everly, Eileen,
Pendley, Valerie,
Guevara, James P,
Surgery,
Orthopedic
Haecker, Trude,
Mckenna, Marc W.,
Renedo, Dina E,
CHOP Care Network - Chestnut Hill
7700 Germantown Ave
Philadelphia, PA 19118
(215) 247-1172
Sammaritano, Donna,
Pediatrics
Youssef, Mariam E,
Fitzpatrick, Denise,
Gewirtzman, Steven,
Ingersoll, Wendy,
Kline, Mary J.,
Magee, John G.,
White, Deborah A.,
CHOP Care Network-Cobbs Creek
225 Cobbs Creek Parkway
Philadelphia, PA 19139
Pediatrics
Aveta, Jacquelyn,
Desrochers, Colette,
Joslin, Jenny,
Katz, Miriam,
Minto, Natalie,
Pediatrics
Owusu-antwi, Jacqueline,
Voulalas, Debra,
Wall, James Joseph,
CHOP Care Network-Roxborough
5003 Umbria Street
Philadelphia, PA 19128
Hausman, Cheryl L.,
Huang, Elena E,
Master, Christina L,
Rezet, Beth,
Winston, Flaura,
CHOP General Pediatrics Faculty
Practice
3550 Market Street, 4th Floor
Philadelphia, PA 19104
(215) 590-2998
Pediatrics
Banner, David W,
Gawthrop, Sarah M,
Herrell, Kristine A,
Hogan, Annique Kozak,
Ludwig, Stephen,
Olivieri, Suzanne P,
Rubin, David M,
Rutstein, Richard M,
Pediatrics
Siegel, Alyssa Harrison,
Dacosta, Anna-maria,
Zsolway, Kathleen M,
Joshi, Asmita,
Drexel Family Medicine AssociatesManayunk
10 Shurs Lane, Suite 203
Philadelphia, PA 19127
(215) 482-4744
Klock, Barbara,
Rolnick, Barbara,
Watson, Annette,
CHOP Care Network-University City
3819-33 Chestnut Street Suite 120
Philadelphia, PA 19104
Family
Practice
Pediatrics
Gadegbeku, Annette,
Bryant-stephens, Tyra,
Hamilton, Jennifer,
Campbell, Carla,
Hlavac, Julieanne,
Draper, Kari,
Hong, Eugene S,
Berkson, David A,
Mui, Mariko,
Page 274 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Philadelphia
Philadelphia
Philadelphia
Drexel Family Medicine AssociatesManayunk
10 Shurs Lane, Suite 203
Philadelphia, PA 19127
(215) 482-4744
Holland Medical Associates
10160 Bustleton Avenue, Suite A
Philadelphia, PA 19116
(215) 464-2248
Matthew C. Frankel, MD, FACP
135 South 19th St
Philadelphia, PA 19103-4912
(215) 564-6500
Internal
Medicine
Internal
Medicine
Ponamgi, Vinita A.,
Frankel, Matthew Charles,
Rosenbaum, Carl A.,
Mt. Airy Family Practice
760 Carpenter Lane
Philadelphia, PA 19119
(215) 848-6880
Family
Practice
Simmons, Barry Brent,
Yeh, Julie Ann,
Internal
Medicine
Maulitz, Russell Charles,
Zinn, Steven L,
Sports
Medicine
Jefferson Internal Medicine Associates
833 Chestnut Street, Suite 701
Philadelphia, PA 19107
(215) 955-6180
Internal
Medicine
Family
Practice
Clarke, Deborah A,
Axelrod, David J.,
Good, Linda W.,
Sandella, Bradley James,
Knight, Barbara S.,
Leath, Susan J.,
Frankford Avenue Family Practice
8846 Frankford Avenue
Philadelphia, PA 18966
(215) 332-8221
Kyrillos, Janine V.,
Lewis, David W.,
Lee, Albert,
Lyon, Thomas F.,
Morrissette-Ney, Erin Louise,
Ninth Street Internal Medicine Assoc.
LTD
211 South Ninth Street, Suite 401
Philadelphia, PA 19107
(215) 440-8681
Family
Practice
Rattner, Susan L.,
Reddy, Arthi Chenna,
Franzi, Joseph J,
Shenai, Shaila Marie,
Miller, Paul H,
Shpigel, Aleksandr,
Stein, Franklin M,
Spandorfer, John M.,
Wohl, Allan M,
Yin, Dongfang Diana,
Greenhouse Internists, PC
345 E. Mt. Airy Avenue
Philadelphia, PA 19119
(215) 242-5000
Ziring, Barry S.,
Internal
Medicine
Rehabilitation
Medicine
Barmach, Kenneth R,
Internal
Medicine
Mary Howard Health Center
125 S. 9th Street
Philadelphia, PA 19107
(215) 592-4500
Chandrasekaran, Shivanandh,
Fabens, Elizabeth L.,
Peterson, Daniel J.,
Schiffman, Melissa G.,
Wolf, Erica,
Schreiber, Adam Louis,
Nurse
Practitioner
Goldring, Carol,
Holland Medical Associates
10160 Bustleton Avenue, Suite A
Philadelphia, PA 19116
(215) 464-2248
Greco, M. Magdalene,
Internal
Medicine
Matthew C. Frankel, MD, FACP
135 South 19th St
Philadelphia, PA 19103-4912
(215) 564-6500
Liaw, Phillip,
Mullen, Mark J.,
McGlaughlin, Dorothea,
Otte, Carol,
Ward, Fran,
Family
Practice
Oppenheim, Laura,
Cohn, Lillian E.,
Crimm, Allan C.,
Font, Zuleika C.,
Gefen, Marisa,
Major, David A.,
Smith, Arthur E.,
Penn Center for Primary Care
Penn Presbyterian Medical Center,
39th and Market St, Medical Arts
Building Suite 102
Philadelphia, PA 19104
(215) 662-9990
Infectious
Disease
Gluckman, Stephen J,
Page 275 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Philadelphia
Philadelphia
Philadelphia
Penn Center for Primary Care
Penn Presbyterian Medical Center,
39th and Market St, Medical Arts
Building Suite 102
Philadelphia, PA 19104
(215) 662-9990
Penn Family Care - St. Leonard's Court
3819 Chestnut Street, Suite 205
Philadelphia, PA 19104
(215) 662-8777
PennCare Internal Medicine Associate
3701 Market St, 7th floor
Philadelphia, PA 19104
(215) 615-3951
Family
Practice
Internal
Medicine
Mcfillin-petrongolo, Terri,
Jaeger, Jeffery R.,
Nicholson, James A,
Lautenbach, Gillian L.,
Reed, Elaine,
Nierman, Eliot H.,
Teel, Joseph Ryan,
Nurse
Practitioner
Internal
Medicine
Barden maja, Aba,
Canada, Robin Elizabeth,
Cato, Robert,
Ende, Jack,
Kosseim, Laura M,
Lee, Anita C,
Rusk, Matthew,
Penn Family Care - Mutch Building
51 N. 39th Street, Penn Presbyterian
Medical Center, Andrew Mutch
Building 7th Floor
Philadelphia, PA 19104
(215) 662-8949
PennCare Edward S. Cooper Internal
Medicine Practice
3701 Market Street, Suite 640
Philadelphia, PA 19104
(215) 615-3951
Internal
Medicine
Sellin, Amanda J.,
PHMC Health Connection
1035 West Berks Street
Philadelphia, PA 19122
(215) 756-6690
Armstrong, Katrina,
Nurse
Practitioner
Christensen, Kristin,
Boczar, Kathleen,
Desai, Nirali Subhash,
Brian, Donna B.,
Ferguson, Monica O.,
Hewson, Patricia Moul,
Jan, Sophia,
Kelly, Megan P.,
Bogner, Hillary R,
Kogan, Jennifer Renee,
LaJoie, Joan,
Bowman, Marjorie A,
Malhotra, Jr., Meera Laxmi,
Mahoney, Kathleen R.,
Cronholm, Peter F,
Mignott, Harold L.,
Pron, Ann L.,
Erickson, Lee Kim,
Strom, Brian L.,
Walker, Karen E.,
Johnson, Margaret Elizabeth,
Szalda, Dava,
Wimmer, Deborah,
Kapur, Rahul,
Tomescu, Oana,
Margo, Katherine L,
Weiner, Mark,
Martin, Laura Margaret,
Wright, Charmaine Smith,
Rising Sun Health Center
500 Adams Avenue
Philadelphia, PA 19120
Neill, Richard A,
Wynne, Craig Scott,
Nguyen, Giang T,
PennCare Internal Medicine Associates
3701 Market St, 7th floor
Philadelphia, PA 19104
(215) 615-3951
Family
Practice
Nicklin, David,
Penn Family Care - St. Leonard's Court
3819 Chestnut Street, Suite 205
Philadelphia, PA 19104
(215) 662-8777
Family
Practice
Internal
Medicine
Bowles, Karen E.,
Brigidi-Frasch, Antonette,
Nurse
Practitioner
Feldman, Hope,
Mariam, Salahou,
Markin-Plank, Lorraine,
Rittenhouse Internal Medicine
1632 Pine Street
Philadelphia, PA 19103
(215) 670-5843
Bennett, Ian M,
Chou, Carol,
Internal
Medicine
Demarco, Mario P,
Guerra, Carmen E.,
Bellows Rowbotham, Jillan,
Duvall, Monica,
Horowitz, David A.,
Saltzman, Leslie A.,
Mao, Jun J,
Hu, Michelle F.,
Page 276 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Philadelphia
Philadelphia
Phoenixville
Thomas Jefferson University
833 Chestnut Street, Suite 301
Philadelphia, PA 19107
(215) 955-5878
Thomas Jefferson University
833 Chestnut Street, Suite 301
Philadelphia, PA 19107
(215) 955-5878
PMA Medical Specialists- Phoenixville
826 Main Street,, Suite 100
Phoenixville, PA 19460
(610) 633-8484
Family
Practice
Family
Practice
Family
Practice
Altshuler, Marc J,
Salzman, Brooke E.,
Rothenberger, Rodger,
Arenson, Christine A,
Scott, Kevin Charles,
Arenson, Christine A.,
Sifri, Randa D,
Internal
Medicine
Barash, Joshua,
Snyderman, Danielle Amy,
Brisbon, Nancy E,
Swartz, Kristine,
Buchanan, Edward M,
Swartz, Kristine,
Chambers, Christopher V,
Trayes, Kathryn Pool,
Cheng, Cynthia,
Valko, George P,
Close, Jeremy David,
Weinstein, Lara C,
Collins, Lauren G,
Wender, Richard C,
DeSimone, Kristin L,
Winn, Robert,
Deu, Rajwinder Singh,
Witt, Deborah K,
Diaz, Victor A,
Zawora, Michele Q,
Internal
Medicine
duBreuil, Anne L.,
General
Practice
Childs, Marion C,
Goodman, Andrew W,
Hackman, Anne Nason,
Hackman, Anne Nason,
Haines, Christopher A,
Harwood, Marc I,
Hersh, Lauren Rachel,
Hersh, Lauren Rachel,
Hillson, Christina,
Hsieh, Christine,
Jerpbak, Christine M,
Studdiford, James S,
Physical Medicine &
Rehabilitation
Guthrie, Morton R.,
Phillipsburg
Geisinger Medical Group - Moshannon
Valley
210 Medical Center Drive
Phillipsburg, PA 16866
(814) 342-8020
Markham, Fred W,
Family
Practice
McManus, R. Patrick,
Pilgram, Philip Alan,
Mills, Geoffrey David,
Geriatric Medicine/Family
Practice
Novielli, Karen D,
Parks, Susan M,
Parks, Susan M.,
Perkel, Robert L,
Plumb, James D,
Pravs, Daila Melita,
Rabinowitz, Howard K,
Westrick, Diann Marie,
Internal
Medicine
Kollman, Kevin James,
Pediatrics
Brech, Kilian H.,
Brown, Mark S.,
DiBlasio, Jacqueline,
Eisner, Joel W.,
Naegle, Matthew B.,
Nguyen, Hang,
Pottstown Medical Specialists, Inc.
(PMSI) - Marion C. Childs, M.D.
500 Gay Street
Phoenixville, PA 19460
(610) 935-7500
Pittsburgh
Bernacki Family Practice & Wellness
Center
521 Greenfield Avenue
Pittsburgh, PA 15207
(412) 422-6500
Family
Practice
Bernacki, Bernard J.,
Bonner, Brian K,
East End Community Health Center
7227 Hamilton Ave
Pittsburgh, PA 15206
(412) 404-4004
Family
Practice
Hawkins, Andrew,
Lapp, Daniel P,
Reddy, Lakshmi,
Schlar, Lisa,
Schlar, Lisa,
Sawardekar, Satish Murari,
Salzman, Brooke E,
Page 277 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Pittsburgh
Pittsburgh
Pittsburgh
East Liberty Family Health Care Center
7171 Churchland Street
Pittsburgh, PA 15206
(412) 361-8284
Gleason Medical Associates (GMA) University of Pittsburgh Medical
Center (UPMC)
1789 S. Braddock Avenue, Suite 510
Pittsburgh, PA 15218
(412) 244-8760
Preferred Primary Care Physicians-D
2 - Bower Hill
1050 Bower Hill Road, Suite 202
Pittsburgh, PA 15220
(412) 531-2902
Family
Practice
Balestrino, Diane,
Blandino, David A,
Blandino, David A,
Cooke, Krista Lynn,
Tran, Minhduc P,
Internal
Medicine
Boyle, Eileen Marie,
Williams, Lynne Louise,
Nurse
Practitioner
Tatman, Elizabeth Mae,
East Liberty Family Health Care
Center Inc
6023 Harvard Street
Pittsburgh, PA 15206-3053
(412) 661-2802
Family
Practice
Hall, David George,
Irvin, Frances Elizabeth,
Kliber, Allison Anna,
Lemarquand, Wendy Jane,
Shepherd, Ruby,
Wahrenberger, Jack Todd,
Wahrenberger, Jack Todd,
Zimmerman, Richard K,
Internal
Medicine
Boyle, Eileen Marie,
Gleason Medical Associates (GMA) University of Pittsburgh Medical
Center (UPMC)
1789 S. Braddock Avenue, Suite 510
Pittsburgh, PA 15218
(412) 244-8760
Internal
Medicine
Internal
Medicine
Negrini, Bryan P,
Greentree Medical Associates
651 Holiday Drive, Foster Plaza
Building # 5
Pittsburgh, PA 15220
(412) 922-8490
Family
Practice
Basi, Manpreet,
Dunaevsky, Victoria,
Matasy, Victoria L.,
Internal
Medicine
Internal
Medicine
Austin, Barry,
Purighalla, Raman S.,
Purighalla, Uma,
Shadyside Family Health Center
5215 Centre Avenue
Pittsburgh, PA 15232
(412) 454-6182
Family
Practice
Blandino, David A,
Blandino, David A,
Coutinho, Barry V,
Finkelstein, Alan Lewis,
Dombrowski, Marianne,
Gallik, Gregory Joseph,
Preiss, Jennifer Ellen,
Knox, Mark Alan,
Pediatrics
Kolb, Norman Randall,
Massella, Elizabeth W,
Schlar, Lisa Pearl,
Hazelwood Family Health Center
4918 Second Ave
Pittsburgh, PA 15207
(412) 422-9520
Schlar, Lisa Pearl,
Family
Practice
Skinker, Benjamin M,
Stiefel, Lori A,
Takedai, Teiichi,
Weaver-agostoni, Jacqueline S,
Dirks, Susan,
Pediatrics
North Side Christian Health Center North Side
816 Middle Street
Pittsburgh, PA 15212
(412) 482-6827
Simasek, Madeline,
Family
Practice
Miller, Laura Leigh,
Wahrenberger, Jack Todd,
Squirrel Hill Health Center
200 JHF Drive
Pittsburgh, PA 15217
(412) 904-5285
Family
Practice
Gilboa, Deborah Ruth,
Wahrenberger, Jack Todd,
Internal
Medicine
Pediatrics
Fox, Andrea Rose,
Craddock, Shallon Tore,
Deantonis, Kathleen Owens,
Gleason, james A,
Page 278 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Pittsburgh
Pittsburgh
Pittsburgh
University of Pittsburgh Health Plan UPMC St. Margaret Bloomfield ,
Garfield-0876
5475 Penn Avenue
Pittsburgh, PA 15206
(412) 361-7562
University of Pittsburgh Physicians,
General Internal Medicine
MUH 9 South 200 Lothrop Street,
W933 MUH, Attn: Joanne Riley
Pittsburgh, PA 15213
(412) 692-4821
UPMC Shadyside Senior Care Institut
5200 Centre Avenue, Suite 405
Pittsburgh, PA 15232
(412) 623-2700
Family
Practice
Internal
Medicine
McGaffey, Ann L.,
Mancoll, Rebecca,
Middleton, Jennifer L.,
McNeil, Melissa,
Rao, Goutham,
Painter, Thomas D,
University of Pittsburgh Medical
Center HIV/AIDS Program
Suite 510 Keystone Bldg., 3520 Fifth
Ave.
Pittsburgh, PA 15213
(412) 383-1044
Spagnoletti, Carla L.,
Infectious
Disease
Ho, Ken Sujin,
Macatangay, Bernard jonas Calingasan,
Mcmahon, Deborah K,
Riddler, Sharon A,
Sheridan, Kathleen,
Veldkamp, Peter J,
Vergis, Emanuel N,
University of Pittsburgh Physicians,
General Internal Medicine
MUH 9 South 200 Lothrop Street,
W933 MUH, Attn: Joanne Riley
Pittsburgh, PA 15213
(412) 692-4821
Internal
Medicine
Bigi, Lori M.,
Bui, Thuy D.,
Bump, Greg M.,
Buranosky, Raquel Antoinette,
Fischer, Gary S.,
Gonzaga, Alda Marie R.,
Granieri, Rosanne,
Hasley, Peggy B.,
Jasti, Harish,
Kapoor, Wishwa N.,
Kroboth, Frank J.,
Unligil, Peral,
UPMC
3471 Fifth Ave, Suite 500
Pittsburgh, PA 15213
(412) 692-2364
Geriatric Medicine/Internal
Medicine
Palmer, Robert M.,
Internal
Medicine
Internal
Medicine
Ahuja, Namita,
Gennari, Amelia S,
Hassan, Shuja,
UPMC Solano & Kokales Internal
Medicine Associates
Suite 100A-University Center, 120
Lytton Avenue
Pittsburgh, PA 15213
(412) 647-4545
Geriatric Medicine/Internal
Medicine
Coyle, Patricia G.,
Internal
Medicine
Billeh, Rana,
Burns, Emily S,
Nace, David A,
Fiorillo, Anthony B,
Rodriguez, Eric G,
Kokales, John G.,
Rossi, Michelle Ida,
Lipinski, Joseph L.,
Towers, Adele Lubus,
March, Vicki,
Visoiu, Adrian,
Solano, Francis X.,
UPMC Downtown
Heinz 57 Center, 339 Sixth Avenue, 5th
Floor
Pittsburgh, PA 15222
(412) 560-8762
UPMC-St. Margaret Family Health
Center
Lawrenceville Family Health Center,
3937 Butler Street
Pittsburgh, PA 15201
(412) 454-6182
Internal
Medicine
Duca, Mark A.,
Ellis, Lawrence D.,
Reasbeck, Jeffrey L.,
Tabas, Debra H.,
Yates, Anthony P.,
UPMC Shadyside Senior Care Institute
5200 Centre Avenue, Suite 405
Pittsburgh, PA 15232
(412) 623-2700
Internal
Medicine
Family
Practice
Friedlander, Mary Pat,
Moyer, Karen M.,
Sauereisen, Sandra C.,
Pittston
Geisinger Medical Group - Pittston
57 North Main Street
Pittston, PA 18640
(570) 654-0880
Family
Practice
Page 279 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Pittston
Port Matilda
Pottstown
Geisinger Medical Group - Pittston
57 North Main Street
Pittston, PA 18640
(570) 654-0880
Geisinger Medical Group - Gray's
Woods
132 Abigail Lane
Port Matilda, PA 16870
(814) 272-7200
Pottstown Medical Specialists, Inc.
(PMSI) - Division of Internal Medicine
1561 Medical Drive
Pottstown, PA 19464
(484) 945-0405
Pediatrics
Family
Practice
Family
Practice
Spagnolini, Luigi,
Coggins, David Allen,
Plumsteadville
Cook, Jeffrey M.,
Plumsteadville Family Practice
5612 Easton Rd, Box 866
Plumsteadville, PA 18949
(215) 766-8844
Gill, Shaheen M.,
Family
Practice
Blore jr, James P.,
Pottstown
PMA Medical Specialists - Pottstown
13 Armand Hammer Blvd, Suite 100
Pottstown, PA 19494
(610) 323-3100
Blore, Scott M,
Internal
Medicine
Ferrara, Joseph D.,
Lumley, Jeffery,
Mckenna, Elizabeth A.,
Raman, Manjula Kandaa,
Plymouth Meeting
Saunders, Richard M.,
Plymouth Meeting Family Medicine of
Fornance Physician Services, Inc.
4070 Butler Pike, Suite 200
Plymouth Meeting, PA 19462
(610) 825-5741
PMA Medical Specialists- Suburbia
Square
66 Glocker Way
Pottstown, PA 19465
(610) 819-6601
Family
Practice
Family
Practice
Fischer, Mark B.,
DiCicco, Eric,
Mccarthy, Jennifer M.,
Pottstown Medical Specialists, Inc.
(PMSI) - Brookside Family Practice
1555 Medical Drive
Pottstown, PA 19464
(610) 326-6787
Melnick, Scott A.,
Topakas, Deborah A,
Port Matilda
Geisinger Medical Group - Gray's
Woods
132 Abigail Lane
Port Matilda, PA 16870
(814) 272-7200
Family
Practice
Family
Practice
Internal
Medicine
Blackstone, Peter E.,
Heisman-Rifkin, Nicole J.,
Pottsville
Geisinger Medical Group - Pottsville
529 Terry Reiley Way
Pottsville, PA 17901
(570) 624-4444
Family
Practice
Kuczmarski, Michael Benjamin,
Pediatrics
Beausang, Thomas Robert,
Gianfagna, William J.,
Godorov, Diane Frances,
Godorov, Diane Frances,
Kane, Patricia B.,
Prospect Park
Crozer-Keystone Health Network Prospect Park
1401 Lincoln Avenue
Prospect Park, PA 19076
(610) 532-4306
Fleischer, Sharon J,
Internal
Medicine
Fleischer, Sharon J,
Stewart, Michael J.,
Giamo, Gregory S,
Reading
Giamo, Gregory S,
Callahan, Mary F.,
Goldberg, Alan H,
Prince, Edward Raymond,
Goldberg, Alan H,
Taylor, William Fitzhugh,
Stein, Hermine,
Pediatrics
Stein, Hermine,
Brink, Lela W.,
Geissen, Cornelius Marvin,
Jeffrey Hassel, MD
640 Walnut Street
Reading, PA 19601
(610) 376-0353
Internal
Medicine
Hassel, Jeffrey L,
Cessna, Kelly A.,
Page 280 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Reading
Reading
Ridley Park
Laureldale Family Medicine
3212 Kutztown Road
Reading, PA 19605-2661
(610) 929-3380
The Reading Hospital Medical Group Exeter Family Practice
3703 Perkiomen Avenue
Reading, PA 19606
(610) 779-5600
Crozer-Keystone Health Network Darnall
The Jones Medical Office Building, On
Bartol Avenue, Suite 103
Ridley Park, PA 19078
(610) 521-3022
Family
Practice
Baney, IV, Philip John,
Rachshtut, Ilana,
Santoro, William,
Nurse
Practitioner
Family
Practice
Bastidas, Erin,
Chelius, Alan B,
Eckert, Robert R.,
Osman, Ziad,
Wessner, Samantha,
Red Lion
Reading Crest Medical Associates
3200 Reading Crest Avenue
Reading, PA 19605
(610) 921-9363
WellSpan Medical Group - Gotham
Internal Medicine
3065 Windsor Rd
Red Lion, PA 17356
Internal
Medicine
Endocrinology, Diabetes &
Metabolism
Brackbill, Robert M,
Patel, Alpa Pravinbhai,
Wirth, Timothy M,
Internal
Medicine
Nurse
Practitioner
Chodroff, Charles H,
Internal
Medicine
Darnall, Jeffrey T.,
Crozer-Keystone Health Network Fanning/Traverso
8 Morton Avenue, Suite 303
Ridley Park, PA 19078
(610) 595-6850
Family
Practice
Fanning, Jr., John M.,
Traverso, John,
Crozer-Keystone Health Network Taylor Primary Care
Taylor Hospital Medical Building, 8
Morton Avenue, Suite 103
Ridley Park, PA 19078
(610) 957-1770
Hall, Lois Hartman,
Krieger, Steven M,
Shirish Parikh, MD
1800 Hampden Blvd.
Reading, PA 19604
(610) 376-4033
Owen, Cynthia Mae,
Internal
Medicine
Rogers, Edward Quigley,
Zibelman, Mark,
Nurse
Practitioner
Royersford
Internal
Medicine
Rudisill, Jean Elaine,
Parikh, Shirish Nanalal,
Southeastern Berks Internal Medicine
4885 DeMoss Road, Suite 200
Reading, PA 19606
(610) 779-8013
Internal
Medicine
Ridley Park
Consultants in Medical Oncology &
Hematology, PC - Ridley Park
Medical Science Building One, Suite
305, 8 Morton Avenue
Ridley Park, PA 19078
(610) 595-0494
Hematology
Heisey, John Claymon,
High, Bertrand John,
Roush, Jr., Robert K,
Levine, Alan Paul,
Crozer-Keystone Health Network Darnall
The Jones Medical Office Building, One
Bartol Avenue, Suite 103
Ridley Park, PA 19078
(610) 521-3022
The Reading Hospital Medical Group Exeter Family Practice
3703 Perkiomen Avenue
Reading, PA 19606
(610) 779-5600
Family
Practice
Internal
Medicine
Pottstown Medical Specialists, Inc.
(PMSI) - Springford Family Practice
307 South Lewis Road
Royersford, PA 19468
(610) 792-1063
Family
Practice
Brosius, Wade A,
Wilson, Paul J,
Schwenksville
PMA Medical SpecialistsSchwenksville Family Practice
102 Memorial Road
Schwenksville, PA 19473
(610) 287-8129
Family
Practice
Ginsberg, Burton H.,
Keiser, Alan L.,
Page 281 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Schwenksville
Scranton
Shavertown
PMA Medical SpecialistsSchwenksville Family Practice
102 Memorial Road
Schwenksville, PA 19473
(610) 287-8129
Physicians Health Alliance - ScrantonWyoming Ave.
1360 Wyoming Avenue
Scranton, PA 18509
(570) 558-8660
InterMountain Medical Group Shavertown Office
176 North Main Street
Shavertown, PA 18708
(570) 675-0900
Family
Practice
Internal
Medicine
Family
Practice
Yang, York Chiang,
Erickson, Janet Elizabeth,
Boonin, Alan,
Scranton
PrimeMed
2232 Pittston Ave
Scranton, PA 18505
(570) 969-6327
Nothstein, Gary,
Geisinger Medical Group - Lake
Scranton
125 Scranton Pocono Highway
Scranton, PA 18505
(570) 342-8500
Cardiovascular
Disease
Stella, Joseph E.,
Family
Practice
Martin, Richard Alan,
Internal
Medicine
Minora, Thomas L,
Wright Center for Primary Care Scranton
640 Madison Avenue
Scranton, PA 18510
(570) 357-7731
McKenna, James Joseph,
Internal
Medicine
Internal
Medicine
Guzek, John R.,
Fox, Michael Jonathon,
Rogan, Michael John,
Horizon Medical Corporation - Dr.
Sean McCall
3 W. Olive St., Suite 201
Scranton, PA 18508
(570) 969-9575
Internal
Medicine
McCall, Sean P,
Michael Montella, M.D.
743 South Main Avenue
Scranton, PA 18504
(570) 969-0693
Internal
Medicine
Montella, Michael K,
Physicians Health Alliance - ScrantonWyoming Ave.
1360 Wyoming Avenue
Scranton, PA 18509
(570) 558-8660
Internal
Medicine
Selinsgrove
Geisinger Medical Group - Selinsgrove
201 Roosevelt Avenue
Selinsgrove, PA 17870
(570) 374-0151
Family
Practice
Kemberling, J. Gary,
Servano, Pedro O.,
Internal
Medicine
Kobylinski, Maria Susan,
Zola, James Albert,
Sellersville
Bruce Richman DO
817 Lawn Avenue, Ste 1
Sellersville, PA 18960
(215) 257-1736
Family
Practice
Richman, Bruce David,
Shavertown
Patel, Krishnakant A,
Puffenberger, Mark W,
Internal
Medicine
Carey, John L,
Kilduff, Patrick,
Nurse
Practitioner
Carey, Cheryl M.,
Mcglynn, Frances,
Silverdale
Kim Kuhar DO, PC
164 Main Street, P.O. Box 420
Silverdale, PA 18962
(215) 258-1289
Family
Practice
Oswald, Niccole M.,
Internal
Medicine
Kuhar, Kim P,
Slirppery Rock
Family Healthcare Partners - Slippery
Rock
202 Spruce Drive
Slirppery Rock, PA 16057
(724) 794-4999
Pediatrics
Gerlach, Kevin P.,
Souderton
CHOP Care Network-Indian Valley
3456 Bethlehem Pike, Floor 2
Souderton, PA 18964
Pediatrics
Ahuja, Saranbir singh,
Page 282 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Souderton
Springfield
State College
CHOP Care Network-Indian Valley
3456 Bethlehem Pike, Floor 2
Souderton, PA 18964
Crozer-Keystone Health Network Center for Family Health - Springfield
1260 E. Woodland Avenue
Springfield, PA 19064
(610) 690-4490
Geisinger Medical Group - Scenery
Park
200 Scenery Drive
State College, PA 16801
(814) 231-4565
Filograna, Kathleen,
Family
Practice
Family
Practice
Hofmann, Melissa,
Donohue-Henry, Christine Marie,
Blaisure, Beverly Carter,
Lane, Barbara,
Everts, Leslie E.,
Devan, Victoria Joy,
Santos, Arrene,
Keel, Shannon K.,
Maxin, Charles William,
Whelihan, Kristen M.,
Longo-Malloy, Deborah,
Piatt, John Elias,
Richard Byrnes, D.O. Family Practice
650 East Broad Street
Souderton, PA 18964
(215) 723-8972
Morchen, Sarah,
Internal
Medicine
Family
Practice
Webner, David,
Pediatrics
Altman, Risa,
Warning, William,
Warrington, Peter R.,
Byrnes, Richard D,
Sports
Medicine
Southampton
Collina, Steven,
Dr. Jerry M. Roth
501 Street Rd, suite 101
Southampton, PA 18966
(215) 357-5780
Internal
Medicine
Crozer-Keystone Health Network Park
Healthplex Pavillion I, 196 West Sproul
Road, Suite 207
Springfield, PA 19064
(610) 328-2100
Roth, Jerry M,
Family
Practice
Springfield
Park, Kimberlee,
CHOP Care Network-Springfield
196 W. Sproul Road, Suite 205
Springfield, PA 19064
Springhouse
Pediatrics
Arem, Marcia,
Callaghan, Anne,
Galasso, Jennifer Hosp,
Hepburn, Michelle A.,
Lee, Jonathan,
Trotzky, Margret,
Crozer-Keystone Health Network Center for Family Health - Springfield
1260 E. Woodland Avenue
Springfield, PA 19064
(610) 690-4490
Family
Practice
Borgia, Victoria,
Medical Center @ Gwynedd
909 Sumneytown Pike, Suite 205
Springhouse, PA 19477
(215) 643-2403
Family
Practice
Wolfert, Irwin H,
Springhouse Internal Medicine
909 Sumneytown Pike, Suite 205
Springhouse, PA 19477
(215) 643-2119
Internal
Medicine
Mainali, Sapana,
Sulman, Scott A.,
Oncology,
Medical
Patel, Manisha Nilesh,
Sleep
Medicine
King, A. Reauelle,
Penn State Hershey Medical GroupColonnade
30 Colonnade Way
State College, PA 16803
(814) 272-4445
Family
Practice
Qiu, Juan jan,
Nurse
Practitioner
Yohn, Sheilah K,
Penn State Hershey Medical GroupPark Ave
1850 East Park Ave., Suite 312
State College, PA 16803
(814) 235-2480
Family
Practice
Adams, Jonathan D,
Flanagan, Michael P,
Campbell, Jennie,
Majeroni, Barbara A,
Mass, Larry D,
Ridenour, Ryan R,
State College
Singh, Madhavi,
Stowe
Page 283 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Stowe
Temple
Upland
Stowe Family Practice
555 Glasgow Street
Stowe, PA 19464
(484) 945-0770
Muhlenberg Medical Associates
4201 Kutztown Road
Temple, PA 19560
Internal
Medicine
Crozer Pediatric Physicians
Crozer-Chester Medical Center, 30
Medical Center Blvd., POB 1, Suite 20
Upland, PA 19013
(610) 619-7410
Jacobson, Martin Aaron,
Pediatrics
Henwood, Carol Lynn,
Reyner, Peter Cooper,
Bradley-Dodds, Kelly,
Strasburg
Zapata, William Anthony,
Farias, Maria F,
Strasburg Family Medicine
1135 Hampden Drive
Strasburg, PA 17579
(717) 687-0313
Trevose
Schnepp, Erin E.,
Family
Practice
Family
Practice
Beidler, Leanne K.,
Brenton, Nancy M.,
Heckman, Celeste D.,
Lupold, Christopher P.,
Putney, Christopher J.,
Sunbury
Geisinger Medical Group - Sunbury
385 State Street
Sunbury, PA 17801
(570) 286-6773
Internal
Medicine
Hepner, Thomas Arthur,
Swarthmore
Crozer-Keystone Health Network Springfield Primary Care
700 South Chester Road, Suite A
Swarthmore, PA 19081
(610) 328-5455
Internal
Medicine
Trinkley, David,
Tarentum
Associates in Internal Medicine
320 Third Ave
Tarentum, PA 15084
(724) 224-0700
Internal
Medicine
Meals, Margaret Elizabeth,
Temple
Margiotti & Kroll Pediatrics - Trevose
4829 Street Road
Trevose, PA 19053
(215) 364-5800
Pediatrics
Kauffman, Kerry R,
Kroll, Barry Scott,
Tunkhannock
Edward G. Zurad, M.D.P.C.
5950 SR 6, 3rd Floor
Tunkhannock, PA 18657
(570) 836-9074
Family
Practice
Zurad, Edward G,
Geisinger Medical Group Tunkhannock
110 Trieble Road, Suite 1
Tunkhannock, PA 18657
(570) 996-2700
Family
Practice
Crozer-Keystone Health Network Crozer Internal Medicine
Crozer-Chester Medical Center, 30
Medical Center Boulevard, POB I,
Suite 300
Upland, PA 19013
(610) 619-8500
Internal
Medicine
Howland, Vera,
Jenkins, Dorothy,
Crozer-Keystone Health Network Internal Medicine Associates
Crozer-Chester Medical Center, One
Medical Center Blvd., ACP, Suite 532
Upland, PA 19013
(610) 447-6788
Internal
Medicine
Cohen, Matthew F,
Horvitz-Rist, Nancy,
Kong, Pei Ann,
Rinker, Barry,
Gardner, John Carl,
Zweben, Alan,
Goodrich, Brenda T.,
Verona
Masci, Robert G.,
Renaissance Family Practice
5769 Saltsburg Road
Verona, PA 15147
(412) 793-8870
Sayre, Rodger Clarke,
Uniontown
WPAHS - PHC
25 Highland Park Drive, Suite 203
Uniontown, PA 15401
(724) 438-6311
Internal
Medicine
Saradar, Riad,
Upland
Family
Practice
Kevish, Barbara S.,
Warminster
Abington Bucks Internal Medicine
225 Newtown Road
Warminster, PA 18974
(215) 441-6789
Page 284 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Warminster
Warrington
West Chester
Abington Bucks Internal Medicine
225 Newtown Road
Warminster, PA 18974
(215) 441-6789
Hartsville Medical Practice
1380 Easton Road
Warrington, PA 18976
(215) 491-5063
Chester County Primary Care
1646 West Chester Pike, Suite 21
West Chester, PA 19382
(610) 696-0338
Internal
Medicine
Family
Practice
Internal
Medicine
Chalfin, Robert J,
Bertucci, Maria J,
Bowen, Anne C,
Goodman, Matthew,
Hermann, Robert F,
Johnson, Lisa B,
Shirazi, Mahshid,
Hermann, Robert F,
Bi-County Medical Associates
225 Newtown Rd.
Warminster, PA 18974
(215) 441-6500
Nurse
Practitioner
CHOP Care Network-North Hills
795 E. Marshall Street, Suite 301-307
West Chester, PA 19380
Mcneeley, Elizabeth,
Pediatrics
Bay, Kimberly,
Gannon, Kelly,
Kressly Pediatrics, PC
1432 Easton Road, Suite 4E
Warrington, PA 18976
(215) 343-5520
Notte, Rachel K,
Pediatrics
Perlson, Jeffrey Hugh,
David, Karen White,
Gastroenterology
Kressly, Susan J,
Family
Practice
Wenzel, Carl Thomas,
Brecher and Knapp
Suite 219, 205 Newtown Road
Warminster, PA 18974
(215) 672-4726
Internal
Medicine
Brecher, Jeffrey,
Knapp, Michael A,
Warrington
BuxMont Medical Associates, P.C.
847 Easton Road, Suite 2500
Warrington, PA 18976
(215) 918-5555
Family
Practice
Mandel, Richard S,
Ryan, Carolyn Gretchen,
Toltzis, Melanie Hope,
Wills, Roselyn Aguila,
Internal
Medicine
Mandel, Elisa Beth,
Margiotti & Kroll Pediatrics Warrington
1432 Easton Road, Suite 5A
Warrington, PA 18976
(215) 491-5800
Bonanni-metkus, Loretta,
Pennington, Neil,
Schwartz, Lori,
Wallace, Wendy,
CHOP Care Network-West Chester
440 E. Marshall Street, 3rd Fl. N, Suit
300
West Chester, PA 19380
Pediatrics
Curley, Carol,
Pediatrics
Fendrick, Jeffrey,
Sonsini, Gregg A,
Krishnan, Shanti,
Washington
Lawton, L. gregory,
Washington Hospital Family Medicine
95 Leonard Avenue Bldg. 2, Suite 300
Washington, PA 15301
(724) 223-3100
Oehler, Sharon,
Family
Practice
Minteer, Jeffrey F.,
Phillips, T. Grant,
Slomiany, Walter P,
Stantspainter, Matthew Seth,
Vore, Kim Keller,
West Chester
Chester County Primary Care
1646 West Chester Pike, Suite 21
West Chester, PA 19382
(610) 696-0338
Internal
Medicine
Rissmiller, Richard,
Gateway Medical Associates - Myers
Squire & Limpert
1240 Wrights Lane
West Chester, PA 19380
(610) 431-1210
Family
Practice
Hornick, John Fred,
Limpert, George H.,
Myers, III, Boyd C,
Squire, Karen M,
Nurse
Practitioner
Snyder, Anita,
Villarini, Suzanne White,
Page 285 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
West Chester
West Reading
West Reading
Gateway Medical Associates - Internal
Medicine of West Chester
520 Maple Ave, Suite 4
West Chester, PA 19380
(610) 430-8200
All About Children Pediatric Partners,
PC
655 Walnut Street
West Reading, PA 19611
(610) 372-9222
Wyomissing Pediatric Associates
301 South 7th Avenue, Suite 3170
West Reading, PA 19611
(610) 374-4491
Internal
Medicine
Pediatrics
Atlas, Douglas L,
Hutchinson, III, Harry J,
Stretton, Jean B,
Sunoo, Jane,
Thornton, Dawn M,
West Grove
CHOP Care Network-West Grove
390 Vineyard Way, Hood Bldg 500,
Suite 501
West Grove, PA 19390
Pediatrics
Barkasy, Linda,
Drop, Deborah Bross,
Lowe, Cheryl,
Mcdonald, Jennifer,
Scheid, Vicky,
West Pittston
InterMountain Medical Group - Dr.
Ernest Gelb
16 Luzerne Avenue, Suite I
West Pittston, PA 18643
(570) 654-6714
Family
Practice
Gelb, Ernest R.,
West Reading
All About Children Pediatric Partners,
PC
655 Walnut Street
West Reading, PA 19611
(610) 372-9222
Poblete, Katrina Papa,
Schlesinger, Diana Marilyn,
Tiwari, Rishita,
Pediatrics
Schadder, Cynthia Ann,
Ulmer, Lorie Radecki,
Wilkes Barre
Berks General Medical Group
606 Museum Road
West Reading, PA 19611
(610) 375-7229
InterMountain Medical Group - Dr.
Joseph Anistranski
665 Carey Avenue
Wilkes Barre, PA 18706
(570) 826-5038
Internal
Medicine
Family
Practice
Silverman, Edward James,
Anistranski, Joseph Anthony,
Family Health Care Center
Doctor's Office Building, 301 South
Seventh Avenue, Suite 200
West Reading, PA 19611
(610) 988-8860
Nurse
Practitioner
Family
Practice
Baxter, Donald Michael,
Brigandi, Mary Kay,
Doshi, Nipa R.,
Radosh, Lee J.,
Raff, Tom C.,
Weida, Jane,
RPS Internal Medicine
301 S. Seventh Avenue
West Reading, PA 19611
(610) 988-8480
Internal
Medicine
Alweis, Richard L.,
Majmudar, Neha R.,
Scheirer, Jorge J.,
Bradford, Marnetta,
InterMountain Medical Group - Fami
Physicians
500 Scott Street
Wilkes Barre, PA 18702
(570) 824-1700
Family
Practice
Julius, Ernest,
Internal
Medicine
Grasso, Michael J,
Patel, Kamlesh R,
Nurse
Practitioner
Robatin, Michael F,
Physician
Assistant
Lynn, Monica,
Wilkes-Barre
Chugh, Ranjini,
Wyomissing Pediatric Associates
301 South 7th Avenue, Suite 3170
West Reading, PA 19611
(610) 374-4491
Geisinger Medical Group - Kistler
175 South Wilkes-Barre Boulevard
Wilkes-Barre, PA 18702
(570) 829-2621
Godorov, Diane Frances,
Pediatrics
Godorov, Diane Frances,
Family
Practice
Disalvo-tuckman, Maria,
Kimball, Christina Eve Jensen,
Pachuski-Zipp, Janna,
Pediatrics
Brod, Jennifer S.,
Evans, Stephen,
Page 286 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Wilkes-Barre
Williamsburg
Willow Grove
Geisinger Medical Group - Kistler
175 South Wilkes-Barre Boulevard
Wilkes-Barre, PA 18702
(570) 829-2621
Williamsburg Family Practice
306 Plum St
Williamsburg, PA 16693
(814) 832-3405
North Willow Grove Family Medicine
2701 Blair Mill Road, Suite 20
Willow Grove, PA 19090
(215) 672-7070
Family
Practice
Family
Practice
Family
Practice
Fisher, D. Michael,
Rice, Patrick D,
Foxhall, James S.,
Huntington, Richard A.,
Ruhl, Terry S,
Gross, Maurice D.,
Roth, Mary Elizabeth Anne,
Siems, Laura J,
Rodriguez, Anthony R.,
Werner, Susan A.,
Internal
Medicine
Salinas, Cynthia L.,
Good, Jennifer L,
Willow Grove Internal Medicine
2729 Blair Mill Road, Ste B
Willow Grove, PA 19090
(215) 481-7108
Internal
Medicine
Varma, Sreelatha Chintalalpati,
Williamsport
Pediatrics
Southside Family Medicine
699 Hastinngs Street
Williamsport, PA 17702
(570) 327-1335
Jamal, Chaklader N.,
Lawrence, Gary,
Geisinger Medical Group - South
Wilkes-Barre
166 Hanover Street, Suite 203
Wilkes-Barre, PA 18702
(570) 825-8780
Family
Practice
Baldys, James Steven,
Chittalia, Aliasgar Z.,
Williamsport Family Medicine
699 Rural Avenue
Williamsport, PA 17701
(570) 321-3156
Internal Medicine, Hospice and Palliative
Care
Family
Practice
Maloney, Gerald Vincent,
Heilmann, Timothy M.,
Geisinger Medical Group - South
Wilkes-Barre Peds
8 Church Street, 4th Floor
Wilkes-Barre, PA 18702
(570) 970-6788
Keenan, Jr., William Francis,
Internal
Medicine
Pediatrics
Ryan, Jamian M.,
Williamsburg
Williamsburg Family Practice
306 Plum St
Williamsburg, PA 16693
(814) 832-3405
Family
Practice
Beckstead, Donald M,
Karuppiah, Sabesan,
Mclellan, Fiona J,
Morrow, Arthur William,
Schifferli, Janice Lynn,
Verzella, Jeffrey Nicholas,
Willow Grove
Family Practice of Willow Grove
221 Davisville Road
Willow Grove, PA 19090
(215) 659-3220
Family
Practice
Orr, Jennifer,
Wiedemann, Anne,
North Willow Grove Family Medicine
2701 Blair Mill Road, Suite 20
Willow Grove, PA 19090
(215) 672-7070
Family
Practice
Sands, Seth C.,
Internal
Medicine
Tobkin, Mary A,
Voye, Thomas E,
Womelsdorf
Conrad Weiser Medical Group
1137 West Penn Avenue
Womelsdorf, PA 19567
(610) 589-2555
Family
Practice
Bigos, Edward T,
Dietrich, Scott A,
Wrightsville
Lancaster General Medical Group Twin Rose Family MedicineWrightsville
6415 Lincoln Highway
Wrightsville, PA 17368-9697
(717) 252-1200
Family
Practice
Brighter, Jennifer,
Daniels, Bret,
Hussar, Eric,
Schucker, Scott,
Shah, Shefali,
Stultz, Esther Edith,
Wyncote
Page 287 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
Wyncote
Wyomissing
Yardley
Abington Cedarbrook Internal
Medicine
8460 Limekiln Pike, Building 1 Annex
Wyncote, PA 19095
(215) 884-0959
Internal Medicine Associates of West
Reading
301 South Seventh Ave., Suite 210
Wyomissing, PA 19610
(610) 898-1820
Lower Bucks Pediatrics, P.C.
1690 Big Oak Road, Suite 311
Yardley, PA 19067
(215) 493-1750
Internal
Medicine
Internal
Medicine
Keller, Larry,
Aynardi, Jay Marc,
Wyncote Family Medicine
8101 Washington Lane, Suite 101
Wyncote, PA 19095-1625
(215) 886-0440
Smith, Christopher M,
Family
Practice
Matthews, Warren Bruce,
Shorten, Suzanne,
Weiss, Kenneth,
Nurse
Practitioner
Steele, Jennifer,
Wyoming
Geisinger Medical Group - Wyoming
389 Wyoming Ave.
Wyoming, PA 18644
(570) 693-3600
Family
Practice
Bloom Jr., Frederick J.,
Internal
Medicine
Modares, Fariba,
Wyomissing
Steffy, David F,
Vanden-Bosch, John T,
TRHMG - Berkshire Heights
950A N. Wyomissing Blvd.
Wyomissing, PA 19610
(610) 375-7222
Internal
Medicine
Chacko, Vinod,
Erlikh, Tatyana,
Heffernan, John M.,
Herb, Ronald K.,
Joshi, Manuja,
Nat, Hridayesh Singh,
Rohrbach, Anne M,
Wagner, Charles A,
Winans, Lewis E,
Zimmerman, Debra A,
Wyomissing Family Medical Associates
560 Van Reed Road, Suite 102
Wyomissing, PA 19610
(610) 898-5280
Berkshire Family Medicine
1350 Broadcasting Blvd., Suite 201
Wyomissing, PA 19610
(610) 685-9600
Family
Practice
Family
Practice
Keller, Cory,
Kohl, Thomas D,
Internal Medicine Associates of West
Reading
301 South Seventh Ave., Suite 210
Wyomissing, PA 19610
(610) 898-1820
Pediatrics
Catalano-Amoia, Andrea,
Fish, Michelle Leigh,
Gardner, Judith Ann,
Kassutto, Susan,
Patel, Jasmine K,
Sloane, Dena Cheryl,
Stavalone, Jill K.,
Weinberg, Auren Steve,
Penn Medicine Bucks County
777 Township Line Road, Suite 200
Yardley, PA 19067
(215) 860-0775
Family
Practice
Dougherty, Charles O,
Howell, John T,
Kiernan, Kelly,
Sullivan, Andrew L,
Wilson, Lance B,
Internal
Medicine
Estrin, Jason Todd,
Goldberg, Harvey,
Kravatz, Alan,
Polsani, Srilatha,
Thlick, Ai-en Chu,
Lee, Jennie Sook,
Physician
Assistant
Travers, John Joseph,
Madden, Deborah,
Optometry
York
Vu, Son,
Family First Health
116 S George St
York, PA 17401
(717) 801-4820
Yardley
Lower Bucks Pediatrics, P.C.
1690 Big Oak Road, Suite 311
Yardley, PA 19067
(215) 493-1750
Pediatrics
Aiello, Kathleen Kuykendall,
Family
Practice
Go, Asceline So,
Pediatrics
Page 288 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Pennsylvania
Pennsylvania
York
York
York
Family First Health
116 S George St
York, PA 17401
(717) 801-4820
WellSpan Medical Group - Pine Grove
Adult Medicine
300 Pine Grove Commons, Pine Grove
Rd
York, PA 17403
WellSpan Medical Group - York
Hospital Community Health Center
605 S. George St.-Suite 200
York, PA 17401
Pediatrics
Chacko, Sheebu V,
WellSpan Medical Group - Brockie
Internal Medicine
924 Colonial Avenue
York, PA 17403
(717) 845-8623
Internal
Medicine
Deshmukh, Vrushali U.,
Jones, Karen E.,
Manning, Cathy J.,
Yoo, Heui G.,
WellSpan Medical Group - East York
Family Medicine
1010 Plymouth Rd
York, PA 17402
Family
Practice
Filer, Wanda D,
Konchar, William Carl,
Seydel, Teresa Jane,
Warner, Carleen Talbot,
WellSpan Medical Group - Hayshire
Family Medicine
2775 N. George St
York, PA 17406
Family
Practice
Bell, Debra Ann,
Catterall, Mark F,
Dalton, Tatiana Alycia,
Kellett, Marie Lynn,
Nagib, Nancy Dia,
Salter, Ridgley Paul,
Nurse
Practitioner
Leathery, Sandra Jean,
Ranck, Melani Anne,
Nurse
Practitioner
Gross, Jennifer L,
WellSpan Medical Group - St Charles
Internal Medicine
296 St. Charles Way
York, PA 17403
Nurse
Practitioner
Raines, Amy Holbert,
Ranck, Melani Anne,
Vanarsdale, Jannis Jean,
Pediatrics
Contractor, Almira Abbas,
Internal
Medicine
Physician
Assistant
Rubi, Jorge Ulises,
Andrews, Holly A,
Sanstead, John Kenneth,
WellSpan Medical Group - Yorktown
Family Medicine
1575 Bannister St.-Suite 1
York, PA 17404
WellSpan Medical Group - Stony
Brook Family Medicine
4222 Lincoln Highway
York, PA 17406
Family
Practice
Family
Practice
Joseph, Giselle,
Bice, Douglas Edward,
Mcmillan, Deborah Marie,
Doherty, John Christopher,
Ramage, Ann Louise,
Gordon, Becky J,
Mccabe, Jennifer Ward,
Nurse
Practitioner
Scarpelli, David J,
Miller, Linda Anliot,
Wilson, David George,
Vanarsdale, Jannis Jean,
Wilson, Michael A,
WellSpan Medical Group - York
Hospital Community Health Center
605 S. George St.-Suite 200
York, PA 17401
Family
Practice
Aggarwal, Preyanka,
Echterling, Christopher Kent,
Lee, Noelle Elizabeth,
Shapiro, Tiffany B,
Nurse
Practitioner
Bohanan, Robin,
Dalal, Anjana,
Dewees, Lisa L.r.,
Nagy, Judith Ann,
WellSpan Medicine Group - Apple Hi
Internal Medicine
25 Monument Rd, Ste 140
York, PA 17402
(717) 741-8003
Internal
Medicine
Baker, Richard H,
Del Tredici, Sonya K,
McKeague, Mark A,
Pargament, Robert l,
Pasumarthy, Lakshmi S,
Pollak, Brian M,
WellSpan Medicine Group - Thomas
Hart Family Medicine
York Hospital, 1001 S George Street
York, PA 17405
(717) 851-2047
Page 289 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Pennsylvania
Rhode Island
Rhode Island
York
Bristol
Cranston
WellSpan Medicine Group - Thomas
Hart Family Medicine
York Hospital, 1001 S George Street
York, PA 17405
(717) 851-2047
Medical Associates of Rhode Island, Inc.
1180 Hope Street
Bristol, RI 02809
(401) 253-8900
Coastal Medical-Garden City
75 Sockanosset Crossroads
Cranston, RI 02920
(401) 946-6200
Internal
Medicine
Internal
Medicine
Fischer, Bruce E.,
Ejnes, Yul,
Hamilton, Geoffrey R.,
Lombardi, Anthony,
Harrop, Pamela A.,
Stevenson, Karen,
Mohlman, Leslie C.,
Winters, Jeffry,
Orban, Zsolt,
Richard K. Ohnmacht, M.D., LTD
994 Reservoir Avenue
Cranston, RI 02910
(401) 946-7097
Family
Practice
Bushwick, Bruce M,
Delp, Andrew T,
Fawcett, Robert S,
Goedecker, Mark,
Gordon, Zubrod J,
Lijoi, Andre F,
Matthews, John T,
Robert, Stacey,
Sloan, Richard W,
Nurse
Practitioner
Conrad, David A,
White Rose Family Practice
80 Wyntre Brooke Drive
York, PA 17403
(717) 741-9462
Family
Practice
Brusse, Dawn M.,
Perrone, Howard F.,
Ross, James A.,
Torf, Alane B.,
Pediatrics
Filardo, Debra K.,
Central Falls
Blackstone Valley Community Health
Care- Central Falls
9 Chestnut Street
Central Falls, RI 02863
(401) 729-0080
Family
Practice
Foster, America,
Carpenter, Cathy P.,
Internal
Medicine
Kepner, Diane M.,
Mirabal, Ernesto A,
Physician
Assistant
Pediatrics
Hudish, Maria .,
Pandelidis, Juliann,
Richard-Pears, Joanne E.,
Rhode Island
Bristol
Howland, Peter,
Charlestown
Stuart Demirs, MD
Box 910, 4099 Old Post Road
Charlestown, RI 02813
(401) 364-0770
Medical Associates of Rhode Island, Inc.
1180 Hope Street
Bristol, RI 02809
(401) 253-8900
Family
Practice
Internal
Medicine
Coastal Medical-Garden City
75 Sockanosset Crossroads
Cranston, RI 02920
(401) 946-6200
Banner, Kathryn Koncsol,
Constantino, Cassandra Xavier,
Demirs, Stuart V,
Cranston
Pediatrics
Ohnmacht, Richard K.,
Ohnmacht, Richard K.,
RIPCPC-c/o Michael J. Hayden, DO
712 Oaklawn Avenue, Suite 5
Cranston, RI 02920
(401) 942-2320
Family
Practice
Hayden, Michael Joseph,
RIPCPC-c/o Woodridge Medical
Associates
351 Budlong Road
Cranston, RI 02920
(401) 943-1860
Internal
Medicine
Braun, Mark E,
Hollmann, Peter Amberg,
Panneerselvam, Usha,
University Medical Group Primary
Care Division @ Pontiac Avenue
1500 Pontiac Ave.
Cranston, RI 02920-4486
(401) 944-4300
Family
Practice
Kerzer, David G,
Salisbury, Matthew Trowbridge,
Somasundar, Sukanya,
Dennison, Allen M.,
Page 290 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
Rhode Island
Rhode Island
Cranston
East Greenwich
East Providence
University Medical Group Primary
Care Division @ Pontiac Avenue
1500 Pontiac Ave.
Cranston, RI 02920-4486
(401) 944-4300
Coastal Medical-East Greenwich
1351 South County Trail
East Greenwich, RI 02818
(401) 884-0333
Coastal Medical - PIMS
450 Veterans Memorial Parkway
East Providence, RI 02914
(401) 435-5533
Internal
Medicine
Internal
Medicine
Fried, David,
Myers, James,
Millerick, Thomas,
Osorio, Luis,
Viccione, Todd,
Pomerantz, Michael,
Drs Brennan, Cronin, DelSesto
2358 South County Trail
East Greenwich, RI 02818
(401) 886-6000
Pressman, Mitchell,
Internal
Medicine
Botelho, Dennis D,
Maxim, Raymond B.,
Cumberland
RIPCPC-c/o Mihaela Iovanel, Inc.
175 Nate Whipple Highway
Cumberland, RI 02864
(401) 658-0511
Internal
Medicine
Iovanel, Mihaela,
East Greenwhich
South County Hospital Family Medicine
3461 South County Trail, Ste 103
East Greenwhich, RI 02818
(401) 471-4760
Family
Practice
Internal
Medicine
Brennan, Herbert J.,
Cronin III, Charles L.,
East Greenwich Family Practice
925 Main Street
East Greenwich, RI 02818
(401) 884-5333
Family
Practice
Pulmonary
Disease
Blundin, Michael,
Karczmar, Peter,
Sherman, Charles,
Coastal Medical - Waterman Pediatric
900 Warren Avenue
East Providence, RI 02914
(401) 421-6481
Pediatrics
Bliss, Cynthia,
Finigan, John,
Kagan, Samuel,
Gaines, Barbara,
Henseler, Laura J.,
Lamendola, Chad E.,
Kriz, Peter,
Smigel, Karen Rosalie,
Slattery, John G.,
Lange, Elizabeth,
South County Internal Medicine
3461 South County Trail, Suite 103
East Greenwhich, RI 02879
(401) 789-0283
RIPCPC-University Family Medicine,
Inc.
1351 S. County Trail, Suite 301
East Greenwich, RI 02818
(401) 654-4000
McGookin, Ed,
Internal
Medicine
Barratt, Paul F,
Family
Practice
Damle, Nitin S,
Ashley, David W,
D'souza, Rikhi J,
Blackmer, Karen,
Horrigan, Letitia Ann,
Hight, Ellen B,
O'mara, Timothy J,
Manzo, Pierre R,
Pouliot, Monique L.,
East Providence
Sun, Gloria Y.,
Coastal Medical - PIMS
450 Veterans Memorial Parkway
East Providence, RI 02914
(401) 435-5533
East Greenwich
Coastal Medical-East Greenwich
1351 South County Trail
East Greenwich, RI 02818
(401) 884-0333
Internal
Medicine
Gilman, Ronald,
Shaw, Judith,
Coastal Medical-Brex and Kurose
450 Veterens Memorial Parkway
East Providence, RI 02914
(401) 435-3400
Internal
Medicine
Brex, C. John,
Kurose, G. Alan,
Coastal Medical-Warren Ave
900 Warren Ave, Suite 400
East Providence, RI 02914
(401) 331-1221
Internal
Medicine
Bansal, Priya,
Dorros, Carol,
Kupchan, Audrey,
Page 291 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
Rhode Island
Rhode Island
East Providence
Johnston
Lincoln
Coastal Medical-Warren Ave
900 Warren Ave, Suite 400
East Providence, RI 02914
(401) 331-1221
RIPCPC-Atmed Primary Care, Inc
1526 Atwood Ave
Johnston, RI 02919
(401) 654-4000
Internal
Medicine
Family
Practice
RIPCPC-Lincoln Pediatric Associates
Inc.
6 Blackstone Valley Place, Suite 306 B
Lincoln, RI 02865
(401) 654-4000
Meren, Tesfaye,
Austin, Jason K.,
Hines, Thomas Patrick,
Morton, Kathleen,
Internal
Medicine
Madras, Karen Elissa,
Schoenfeld, Larry,
RIPCPC-c/o Gilbert Teixeira, DO
1018 Waterman Avenue
East Providence, RI 02914
(401) 434-2704
Internal
Medicine
Ayvazyan, Herman,
Scott, Stephen Michael,
Lincoln
Anchor Medical Associates - Lincoln
Internal Medicine
One Commerce Street, Adult Medicine
Lincoln, RI 02865
(401) 793-8500
Pediatrics
Maranzano, Elizabeth Anne,
Sowa, Marta S,
Teixeira, Richard Lionel,
Middletown
Coastal Medical-Newport
850 Aquidneck Ave
Middletown, RI 02842
(401) 846-0055
RIPCPC-c/o Herman Ayvazyan, MD
450 Veterans Memorial Parkway,
Building 12
East Providence, RI 02914
(401) 434-6464
Family
Practice
Internal
Medicine
Appenfeller, Rex W,
Gutierrez, Francisco,
Cohen, Robert H,
RIPCPC-c/o Valley Primary Care, Inc
294 Valley Road
Middletown, RI 02842
(401) 847-7772
Amalfitano, Frank John,
Greenville
RIPCPC-Gary G. King D.O.
600 Putnam Pike
Greenville, RI 02828
(401) 654-4000
Family
Practice
King, Gary G,
Johnston
Ocean State Medical LLC
1539 Atwood Ave
Johnston, RI 02919
(401) 272-3410
Internal
Medicine
Ferri, Frederico,
Raney, Jennifer J,
Internal
Medicine
Henderson, Kathleen M,
Anchor Medical Associates - Lincoln
Pediatrics
One Commerce Street, Pediatrics
Lincoln, RI 02865
(401) 793-8484
Pediatrics
Beraha, Nathan B,
Cummings, Michael L,
Gillen, Malini C.,
Pakula, Susan L,
Westrick, Judith Blazar,
Coastal Medical-Lincoln
6 Blackstone Valley Place, Suite 701
Lincoln, RI 02865
(401) 333-3111
Savoretti, Albert,
Internal
Medicine
Savoretti, Frank,
Cushing-Brescia, Anne,
RIPCPC-Atmed Primary Care, Inc
1526 Atwood Ave
Johnston, RI 02919
(401) 654-4000
Internal
Medicine
Cicchielli, Robert,
Cunningham, David F.,
Family
Practice
Del Guercio, Paul Vincent,
General
Practice
Del Guercio, Marianne F,
Narragansett
Kristine Cunniff, D.O.
350 Kingstown Rd, Suite 101
Narragansett, RI 02879
(401) 782-0700
Internal
Medicine
Cunniff, Kristine A.,
Office of Drs. Maguire, Kostrzewa, an
Gonzalez
360 Kingstown Road, Suite 200
Narragansett, RI 02882
(401) 783-6940
Page 292 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
Rhode Island
Rhode Island
Narragansett
Pawtucket
Pawtucket
Office of Drs. Maguire, Kostrzewa, and
Gonzalez
360 Kingstown Road, Suite 200
Narragansett, RI 02882
(401) 783-6940
Blackstone Valley Community Health
Care- Pawtucket Medical
42 Park Place
Pawtucket, RI 02860
(401) 729-0080
RIPCPC- c/o Family Medicine
Specialists, Inc.
174 Armistice Blvd
Pawtucket, RI 02860
(401) 723-7578
Family
Practice
Pediatrics
Family
Practice
Degood, Catherine Ann,
Gonzalez, Michael Jb,
Kostrzewa, Dariusz,
Maguire, Stephen,
Newport
Aquidneck Medical Associates, Inc. Newport Office
50 Memorial Blvd.
Newport, RI 02840
(401) 847-2290
Internal
Medicine
Fuentes, Karla P,
Sharma, Kunjbala,
Department of Family Medicine at
Brown University and Memorial
Hospital of RI
111 Brewster St
Pawtucket, RI 02860
(401) 729-2237
Family
Practice
Internal
Medicine
Iftikhar, Sadia,
Wen, Jiaying,
Anthony, David,
RIPCPC-c/o Coppola Medical
Associates, LTD
174 Armistice Blvd
Pawtucket, RI 02860
(401) 725-3520
Borkan, Jeffrey M,
Carbonello, Christine A,
Gorelick, David S.,
Chandran, Rabin,
Parameswaran, Jayanthi,
Damico, Karen E,
Ullman, Martha A.,
Delaporta, Sara E,
Pediatrics
Duarte, Kristina Marie,
Ettefagh, Keivan,
Eaton, Charles B.,
Salm, Jennifer M.,
George, Paul,
Sanders, Harold A.,
Goldberg, Arnold,
North Smithfiled
Magee, Susanna R,
RIPCPC-NRI Medical Services
63 Eddie Dowling Highway, Suite 4
North Smithfiled, RI 02896
(401) 654-4000
Mccleary, Katherine D,
Nothnagle, Melissa,
Rachu, Gregory,
Rubeor, Amity,
Schulman, Risa,
Hussain, Syed Iftikhar,
Taylor, Julie S.,
Pawtucket
Tryforos, Margaret,
Blackstone Valley Community Health
Care- Pawtucket Medical
42 Park Place
Pawtucket, RI 02860
(401) 729-0080
General
Practice
Internal
Medicine
Dodd, Kimberly A,
Hookway, Bruce,
RIPCPC- Northeast Internal Medicine
INC.
126 Prospect Street, Suite 103
Pawtucket, RI 02860
(401) 654-4000
Anandarajah, Gowri,
Earp, Ralph T.,
Internal
Medicine
Carter, David P,
Le, Quang P,
Internal
Medicine
Internal
Medicine
Coppola, Joyce,
University Internal Medicine, Inc.
407 East Avenue, Suite 120
Pawtucket, RI 02860
(401) 725-4700
Internal
Medicine
Eller, Peter,
Herbert, Christine V.,
Marcoux, David A.,
Meila, Felicia,
Yerneni, Madhavi N.,
Portsmouth
Aquidneck Medical Associates, Inc. Portsmouth Office
77 Turnpike Avenue
Portsmouth, RI 02871
(410) 683-2290
Pediatrics
Dierolf, Christina C.,
Lenard, Edward W.,
Providence
Page 293 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
Rhode Island
Rhode Island
Providence
Providence
Smithfield
Anchor Medical Associates - Providence
One Hoppin Street, Coro Building, 3rd
floor
Providence, RI 02903
(401) 793-8400
St Joseph Health Services
21 Peace Street
Providence, RI 02907
(401) 456-4054
RIPCPC-c/o Doctors Corsi and Fraiol
28 Cedar Swamp Road
Smithfield, RI 02917
(401) 232-3688
Pediatrics
Family
Practice
Internal
Medicine
Dorris, Heidi J,
Goddard, Joan C,
Mason, William T,
Mathieu, Robert S,
Siedlecki, Diane R,
Troise, Caroline A,
Coastal Medical - Elmhurst
1075 Smith Street
Providence, RI 02908
(401) 421-4400
Trivett, Robert Bowen,
University Medical Group Primary
Care Division @ Maude
50 Maude Street
Providence, RI 02908
(401) 456-5300
Internal
Medicine
Chammas-Aoun, Nadia,
Kaba, Chadi,
Kaba, Chadi,
McCormack, Elise,
Internal
Medicine
Shah, Parul D,
Carnevale, Robert,
Women & Infants Hospital Center for
Women's Primary Care
101 Dudley Street
Providence, RI 02905
(401) 274-1122
Terlato, Joseph,
Coastal Medical-Providence Edgewood
78 Baker Street
Providence, RI 02905
(401) 781-2400
Internal
Medicine
Shah, Parul D,
Internal
Medicine
Bodkin, Sheenagh,
Fraioli, Frank,
Internal
Medicine
Corsi, John Michael,
Wakefield
Coastal Medical - Narragansett Bay
Pediatrics
70 Kenyon Avenue
Wakefield, RI 02879
(401) 789-5924
Pediatrics
Corcoran, Celeste,
Lane, Courtney,
Maltz, Robert,
McGee-Coghlin, Barbara,
Murray, Mary,
Ziegler, Joy,
Coastal Medical-Wakefield
70 Kenyon Ave
Wakefield, RI 02879
(401) 783-0084
Brin, Steven,
Clark bilodeau, Courtney,
Emgushov, Rinchen-Tzo,
Tong, Iris L,
Internal
Medicine
Goldfarb, Amy,
Vanpoznak, Marisa,
Johnson, Shelly,
Sayeed, Syeda,
Rumford
St Joseph Health Services
21 Peace Street
Providence, RI 02907
(401) 456-4054
RIPCPC-c/o Daniel Hochberger MD
Inc.
400 Pawtucket Avenue
Rumford, RI 02916
(401) 431-6224
Thundermist Health Center - South
County Family Medicine
1 River Street
Wakefield, RI 02879
(401) 783-0523
Family
Practice
Lyster, Mary,
Internal
Medicine
Chong, Chyi Chyi,
Pediatrics
Hammo, Abdel-hai,
Internal
Medicine
Hochberger, Daniel,
Smithfield
RIPCPC-c/o Doctors Corsi and Fraioli
28 Cedar Swamp Road
Smithfield, RI 02917
(401) 232-3688
Family
Practice
Roth, Steven E.,
Nurse
Practitioner
Buchanan, Anne M.,
Warren
Kao, Patricia P,
Page 294 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
Rhode Island
Rhode Island
Warren
Warwick
Warwick
RIPCPC-c/o Metacom Medical
Associates, Inc.
639 Metacom Avenue
Warren, RI 02885
(401) 245-1500
Coastal Medical - Bald Hill Pediatrics
315 Commonwealth Avene
Warwick, RI 02886
(401) 615-2299
RIPCPC-J. Chaffey D.O., I. Paolucci
M.D.
215 Toll Gate Rd
Warwick, RI 02886
(401) 654-4000
Internal
Medicine
Amalfitano, Frank John,
Marcaccio, Paul Thomas,
Zibrida, Joseph Thomas,
Warren Family Practice Associates, Inc.
851 Main Street
Warren, RI 02885
(401) 247-1000
Family
Practice
Leibowitz, David E.,
Wajahat, Neelofar,
Warwick
Anchor Medical Associates - Warwick
400 Bald Hill Road, Suite 520
Warwick, RI 02886
(401) 793-8520
Internal
Medicine
Ellison, Robert G,
Grumbach, Nicholas M,
Hardy, George E,
Johnston, Leon Mctyeire,
Associates in Primary Medicine, INC
857 Post Road
Warwick, RI 02888
(401) 467-3115
Family
Practice
Kerzer, Martin J,
Steinmetz, Gregory,
Internal
Medicine
Grande, Karen Diane,
Coastal Medical - Bald Hill Pediatrics
315 Commonwealth Avene
Warwick, RI 02886
(401) 615-2299
Pediatrics
Pediatrics
Brown, Gail,
Castree, Katherine,
Clyne, Ailis,
Lengyel, Carole,
MIntz, Howard,
Coastal Medical Group - Toll Gate
Pediatrics, Inc.
176 Toll Gate Road, Suite 101
Warwick, RI 02886
(401) 737-9271
Internal
Medicine
Chaffey, John Allen,
Paolucci, Iwona,
RIPCPC-Pilgrim Park Medical
Associates, Ltd.
1243 Post Road
Warwick, RI 02886
(401) 654-4000
Family
Practice
Pediatrics
Grande, Joseph Anthony,
Ammar, Maha,
Nurse
Practitioner
Hicks, Allyson D.,
Hunt, David,
Mennillo, Roger,
Zarlengo, Raymond,
Primary Medical Group of Warwick
215 Toll Gate Road, Suite 104
Warwick, RI 02886
(401) 736-4570
Family
Practice
Farnum, Elisabeth K,
Manyan, Jessica Conlon,
Roberts, Debra L.,
RIPCPC- Dr. Usha Stokoe
200 Toll Gate Road, Suite 204
Warwick, RI 02888
(401) 654-4000
Family
Practice
Stokoe, Usha,
RIPCPC-c/o Petteruti Family Practice
250 Centerville Road, Building E
Warwick, RI 02886
(401) 921-5934
Family
Practice
Lowney, Joanne,
RIPCPC-West Bay Primary Care
176 Tollgate Road
Warwick, RI 02886
(401) 654-4000
Internal
Medicine
Verma, Sunil Paul,
West Warwick
Thundermist Health Center - West
Warwick Family Medicine
1219 Main Street
West Warwick, RI 02893
(401) 615-2800
Family
Practice
Machata, John,
Rodriguez, Faridah T.,
Internal
Medicine
Leviss, Jonathan,
Nurse
Practitioner
Andalaro, Mary,
Woonsocket
Petteruti, Stephen,
Page 295 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Rhode Island
South Carolina
South Carolina
Woonsocket
Anderson
Charleston
RIPCPC-Blackstone Valley Medicine
191 Social Street
Woonsocket, RI 02895
(401) 654-4000
AnMed Health Family Medicine
Residency Program
2000 East Greenville Street, Suite 3600
Anderson, SC 29621
(864) 224-8100
Medical University of South Carolina
Dept of Family Medicine
295 Calhoun Street
Charleston, SC 29425
(843) 792-3451
Family
Practice
Family
Practice
Miranda, Susan E,
Diaz, Vanessa A.,
Sanders, Caroline H,
Freedy, John R.,
Woodall, Hunter E,
Frithsen, Ivar,
Young, Natawadee P,
Gibson, Maria V.,
Internal
Medicine
Glaser, Anthony N,
Internal
Medicine
Yearwood, Greigstone Montgomery,
RIPCPC-Rhode Island Medicine, Inc.
20 Cumberland Hill Road
Woonsocket, RI 02895
(401) 654-4000
Internal
Medicine
Ahmad, Irfan,
Ramirez, Basilia C,
Thundermist Health Center Woonsocket Pediatric
450 Clinton Street
Woonsocket, RI 02895
(401) 767-4100
Nurse
Practitioner
Butler, Christine,
Pediatrics
Bourassa, David M,
Korneeva, Marina,
Nelken, Beata F,
South Carolina
Anderson
AnMed Health Family Medicine
Residency Program
2000 East Greenville Street, Suite 3600
Anderson, SC 29621
(864) 224-8100
Family
Practice
Abercrombie, Stoney A,
Clemow, Christopher B,
Clemow, Diana D,
Cline, Matthew K,
Counts, Scott S,
Davis, Amanda Sloan,
Grimsley, William Ross,
Mcelwee, Jr., Joseph M,
Bradford, Nathan F,
Cook, Anne G,
Osburn, George H,
Bonneau
Palmetto Primary Care Physicians Bonneau Office
1401 Main Street
Bonneau, SC 29431
(843) 825-3404
Family
Practice
Rodgers, David P.,
Charleston
Hugh D Durrence, MD, PC
418 Folly Rd, Suite A
Charleston, SC 29412
(843) 795-5362
Family
Practice
Durrence, Hugh Dowdy,
Medical University of South Carolina
Dept of Family Medicine
295 Calhoun Street
Charleston, SC 29425
(843) 792-3451
Family
Practice
Benich, Joseph John,
Brock, Clive D.,
Carek, Peter J.,
Chessman, Alexander W.,
Detar, D. Todd,
Gonsalves, Wanda,
Hainer, Barry L.,
Hebbar, Airody K.,
Hueston, William J.,
King, Dana E.,
Mallin, Robert,
Matheson, Eric,
Michael, Fred A.,
Orstein, Steve M.,
Player, Marty S.,
Rodden, Ann M.,
Thiedke, Carolyn C.,
Internal
Medicine
Garr, David R.,
Medical University of South Carolina
University Internal Medicine
135 Rutledge Ave, 1241s Rutledge
Tower
Charleston, SC 29425
(843) 876-0930
General
Practice
Keith, Brad Albert,
Internal
Medicine
Brownfield, Elisha L,
Brzezinski, Walter A,
Cave, Courtney Bealer,
Fox, Donald L,
Lichtenstein, Leonard S,
Page 296 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
South Carolina
South Carolina
South Carolina
Charleston
Chesnee
Daniel Island
Medical University of South Carolina
University Internal Medicine
135 Rutledge Ave, 1241s Rutledge
Tower
Charleston, SC 29425
(843) 876-0930
Chesnee Center for Family Medicine
230 S. Alabama Ave.
Chesnee, SC 29323
(864) 461-4951
Palmetto Primary Care Physicians Daniel Island Office
900 Island Park Drive, Suite 101
Daniel Island, SC 29492
(843) 856-6402
Internal
Medicine
Wiley, Maria Kathleen,
Wong, Jeffrey G,
Palmetto Primary Care Physicians Appian Office
5325 Appian Way
Charleston, SC 29420
(843) 522-0400
Family
Practice
Warren, Petra K,
Columbia
Palmetto Health Family Medicine
Center
3209 Colonial Drive
Columbia, SC 29203
(803) 434-6113
Family
Practice
Family
Practice
Davis, Lucy G.,
Spicer, Leigh M.,
Florence
McLeod Family Medicine Center
144 North Ravenel Street
Florence, SC 29506
(843) 777-2566
Family
Practice
Baxley, Elizabeth G.,
Family
Practice
Edwards, Matthew J.,
Brown, Rachel Setzler,
Conner, Walter E.,
Redwine, Sr., John M.,
Carter, Jr., Charles J.,
Cunningham, Kievers L.,
Palmetto Primary Care Physicians Trident Office
9313 Medical Plaza Drive, Suite 202
Charleston, SC 29406
(843) 572-1200
Crutcher, Samuel John,
MacDonald, Allan R.,
Greenhouse, David L.,
Fort Mill
Hall, Jeffrey W.,
Family
Practice
Hernandez, Johan,
CHS - Rock Hill Pediatric AssociatesFort Mill
704 Gold Hill Road,, Suite 207
Fort Mill, SC 29715
(803) 802-5900
Arnau, Thomas B.,
Keisler, David L.,
Bolt, Thomas R.,
Lucas, Jamee H.,
Dewhirst, Brian D.,
Milas, Monica N.,
Thompson, P. H. Gordon,
Platt, Tan J.,
Vandegrift, Tara N.,
Stacy, Jason J.,
Palmetto Primary Care Physicians Trolley
201 Oakbrook Lane, Suite 202, Suite
202
Charleston, SC 29485
(843) 851-2000
Witherspoon, Patricia W.,
Internal
Medicine
Preventive
Medicine
Bolster, D Eric,
Mann, Joshua R.,
Grossman, Colby H,
Daniel Island
Otruba, Michael S,
Palmetto Primary Care Physicians Daniel Island Office
900 Island Park Drive, Suite 101
Daniel Island, SC 29492
(843) 856-6402
Chesnee
Hall, Rachel,
Keisler, Brian D.,
Ylanan, Ramon C.,
Geriatric Medicine/Internal
Medicine
Lamar, Charles Scott,
Nurse
Practitioner
Orehek, Bridgette Ashley,
Pediatrics
Cook, Dexter Lee,
Lindsay, Nikita Williams,
Mccaskill, Quimby E,
Tonkowicz, Patricia Ann,
CHS - Shiland Family Medicine- Fort
Mill
704 Gold Hill Road, Suite 107
Fort Mill, SC 29715
(803) 835-0420
Family
Practice
Pope, Brian O,
Pope, Brian O,
Truesdale, Dorenda Gregg,
Truesdale, Dorenda Gregg,
Ward, Joyce Carolyn,
Page 297 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
South Carolina
South Carolina
South Carolina
Goose Creek
Greenville
Lake Wylie
Palmetto Primary Care Physicians Crowfield Office
7 S. Alliance Drive, Suite 201
Goose Creek, SC 29445
(843) 553-4383
Premier Family Medicine
304 Ashby Park Lane
Greenville, SC 29607
(864) 286-9050
CaroMont Family Medicine - Lake
Wylie
1200 Village Harbor Drive
Lake Wylie, SC 29710
(803) 631-2858
Family
Practice
Sutterlin, III, John D.,
Palmetto Primary Care Physicians Goose Creek Office
105-A Springhall Drive, 105-A
Springhall Dr.
Goose Creek, SC 29445
(843) 574-0060
Family
Practice
Viduya, Sherry J.,
Palmetto Primary Care Physicians Springhall
110-A Springhall Dr., 110-A Springhall
Dr.
Goose Creek, SC 29445
(843) 266-2520
Family
Practice
Cecil, Lindsey Caston,
Edwards, Tonya Deneen,
Nurse
Practitioner
Benson, Kathryn Kelly,
Hanahan
Palmetto Primary Care Physicians Hanahan Office
1254 Yeamans Hall Road
Hanahan, SC 29418
(843) 554-8312
Family
Practice
Bechtel, Mark A.,
Mcshea, Joseph B,
Nurse
Practitioner
Pritchett, Pamela Jean,
Lancaster
Mackey Family Practice
1025 West Meeting Street
Lancaster, SC 29720
(803) 285-7414
Family
Practice
Family
Practice
Caton, Kirt A.,
Culp, Steve M.,
Indian Land
Sharp, Frank,
CHS - Barnett Family Practice Carolina Lakes
7666 Charlotte Highway, Suite 120,
Suite 120
Indian Land, SC 29707
(803) 283-2011
Shealy, Keith D.,
Center for Family Medicine
877 W. Faris Road
Greenville, SC 29605
(864) 455-9022
Family
Practice
Family
Practice
Harris, Tami Jean,
Palmetto Primary Care Physicians Moncks Corner Office
Palmetto Primary Care PhysiciansMoncks Corner, 115 Executive Parkw
Moncks Corner, SC 29461
(843) 761-2815
Family
Practice
Campbell, Patricia A,
Tucker, William Martin,
Greenville
Hanlin, Robert B,
Macdonald, Allan Robertson,
Mattox, Lisa,
Stone, Terrell Lee,
Swartz, Jeffery D,
Premier Family Medicine
304 Ashby Park Lane
Greenville, SC 29607
(864) 286-9050
Family
Practice
Brannon, Heather,
Furse, James A,
Furse, James A,
Harris, Tami Jean,
Hillman, Jason Paul,
Morris, William Arthur,
Morris, William Arthur,
CHS- Mecklenburg Medical GroupCarolina Lakes
7666 Charlotte Highway, Suite 200
Indian Land, SC 29707
(704) 302-9600
Internal
Medicine
Kimmerle, Gregory R.,
Lake Wylie
Internal
Medicine
Daily, Linda C.,
Moncks Corner
Family
Practice
Floyd, Meredith D.,
Hogue, Caisson Timber,
Pediatrics
Jones, Edward Johnson,
North Charleston
Palmetto Primary Care Physicians After Hours Clinic/Extended Care
2550 Elm Center Road
North Charleston, SC 29406
(843) 820-3337
Family
Practice
Page 298 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
South Carolina
South Carolina
South Carolina
North Charleston
Spartanburg
Summerville
Palmetto Primary Care Physicians After Hours Clinic/Extended Care
2550 Elm Center Road
North Charleston, SC 29406
(843) 820-3337
Westside Internal Medicine
3020 Reidville Rd,Suite B
Spartanburg, SC 29301
(864) 576-5764
Palmetto Primary Care Physicians Pine Street Office
300 West 4th North Street
Summerville, SC 29483
(843) 873-0202
Family
Practice
Hulvey, John T.,
Thomas, Stephen M.,
Thomas, Stephen M.,
Rock Hill
CHS - Rock Hill Pediatric Associates
1601 Ebenezer Road
Rock Hill, SC 29732
(803) 328-6281
Pediatrics
Alexander, Robert Mcauley,
Edwards, Martha Mcgavic,
Goodbar, Robert Clemans,
Osterberg, Hattina Denise,
Start, Susan Jo,
Spartanburg
Center for Family Medicine
853 North Church Street, Suite 510
Spartanburg, SC 29303
(864) 560-1558
Family
Practice
Bouknight, Patricia Jean,
Internal
Medicine
Patel, Pranay R,
St. Stephens
Palmetto Primary Care Physicians - St.
Stephens Office
104 Funk Avenue
St. Stephens, SC 29479
(843) 567-3206
Family
Practice
Schumann, Jr., Samuel O.,
Summerville
Palmetto Primary Care Physicians Gum Street Office
412 N. Gum Street
Summerville, SC 29483
(843) 873-1720
General
Practice
Katz, Barry S.,
Palmetto Primary Care Physicians Laurel Office
507 N. Laurel Street
Summerville, SC 29483
(843) 875-0600
Boyle, Ginger Blatchford,
Pathology,
Forensic
Godenick, Mark Todd,
Montoya, Sara B.,
Houston, Robert Eric,
Palmetto Primary Care Physicians Oakbrook Office
87 Springview Lane, 87 Springview
Lane
Summerville, SC 29485
(843) 875-0400
Januchowski, Ronald Peter,
Simon, Ifekan-shango,
Skylyn Medical Associates, PA
1776 Skylyn Drive
Spartanburg, SC 29307
(864) 577-9970
Family
Practice
Slater, Vincent C,
Ware, Larry,
Family
Practice
Engelman, Jr., Otis E.,
Giove, Edward J.,
Tabor, Marcella A.,
Weathers, Marcella A.,
Family
Practice
Keller, Brian K.,
Palmetto Primary Care Physicians Summerville Office
213 West 4th North Street
Summerville, SC 29483
(843) 873-0681
Family
Practice
Castellone, David L.,
Dawson, Claudius S.,
Palmetto Primary Care Physicians West 8th Office
213 West 8th N. Street
Summerville, SC 29483
(843) 871-9440
Family
Practice
Black, Amy G.,
Deberry, Skye N.,
Tennessee
Alcoa
Summit Medical Group, PLLC - Jame
D. Proffitt, MD
201 Corporate Place
Alcoa, TN 37701
(865) 984-6823
Internal
Medicine
Proffitt, James D.,
Bristol
ETSU Family Physicians of Bristol
208 Medical Park blvd
Bristol, TN 37620
(423) 990-3014
Family
Practice
Clarity, Gregory E,
Conner, Patricia J,
Culp, John S,
Page 299 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Bristol
Elizabethton
Gallatin
ETSU Family Physicians of Bristol
208 Medical Park blvd
Bristol, TN 37620
(423) 990-3014
Medical Care PLLC - Elizabethton
1900 West Elk Avenue
Elizabethton, TN 37643
(423) 929-2584
Family
Practice
Pediatrics
LivingWell Health Center w/
HealthSpring ΓÇô Gallatin
179 Hancock Street, Suite 402
Gallatin, TN 37066
(615) 592-5943
Moore, Jason B.,
Townsend, Thomas E,
Clinton
Summit Medical Group, PLLC Summit Medical Group of Clinton
121 Frank L Diggs Drive
Clinton, TN 37716
(865) 584-4747
Family
Practice
Tharp, Melody Camille,
Crossville
Plateau Pediatrics
3234 Miller Avenue
Crossville, TN 38555
(931) 707-8700
Nurse
Practitioner
Hassler, Kristel L,
Gallaher, Richard Grant,
Surgery
Bowie, Richard R,
Mountain States Medical Group Family Medicine, Elizabethton
1497 W. Elk Avenue, Suite 21
Elizabethton, TN 37643
(423) 543-5600
Family
Practice
Asbury, Justin E,
Asbury, Victoria,
Emergency
Medicine
Cox, Joe David,
Germantown
Jones, Williams R.,
McCauley, David R.,
Sain, Paul D.,
Internal
Medicine
Ralston, Jr., Joseph Fred,
Pediatrics
Askins, Andrea C.,
Gallatin
May, Scott E,
General
Practice
Fayetteville Medical Associates
207 Elk Avenue South
Fayetteville, TN 37334
(931) 438-3425
Family
Practice
Obstetrics &
Gynecology
Stuart, Brian James,
Mazurek, David Gregory,
Spears, William K.,
Hopland, Kenneth M,
McDaniel, Robert E,
Fayetteville
Filka, Marianne E,
Dekic-djordjevic, Zvjezdana,
MacConnell, Clayton M,
King, Alton Sidney,
Jackson, Linda M.,
Medical Care PLLC - Elizabethton
1900 West Elk Avenue
Elizabethton, TN 37643
(423) 929-2584
Lau, Henry Stacy,
Shipley, James M,
Berman, Robert J,
Elizabethton
Hooper, Halden Wayne,
Internal
Medicine
Family
Practice
Reed, Christine,
Dill, Andrew Brendan,
Pack, Sheryl D,
Pediatrics
Berman, Suzanne K,
Family
Practice
LivingWell Health Center w/
HealthSpring ΓÇô Gallatin
179 Hancock Street, Suite 402
Gallatin, TN 37066
(615) 592-5943
Family
Practice
UT Medical Group, Inc. Dept. of
Medicine
UTMG Dept of Medicine, 7945 Wolf
River Blvd, #120
Germantown, TN 38138
(901) 347-8122
Internal
Medicine
Hayes, Burton L,
Thompson, Natascha Stone,
Womack, Catherine C,
Greeneville
Summit Medical Group, PLLC Greeneville Internal Medicine
Laughlin Medical Building #3, 1404
Tusculum Blvd, Suite 3100
Greeneville, TN 37745
(423) 638-4114
Internal
Medicine
Austin, Jr., Joseph W,
Austin, Maynard W.,
Beckner III, Thomas F,
Scott, William Joseph,
Page 300 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Greeneville
Hermitage
Jefferson City
Summit Medical Group, PLLC Greenville Family Practice Associates
314 Tusculum Blvd., Suite 2100
Greeneville, TN 37745
(423) 683-1188
Summit Medical Group, PLLC Summit Medical Associates
5653 Frist Blvd., Suite 630
Hermitage, TN 37076
(615) 391-3971
Summit Medical Group, PLLCTennessee Valley Primary Care
120 Hospital Drive, Suite 30
Jefferson City, TN 37760
(865) 584-4747
Family
Practice
Internal
Medicine
Pediatrics
Hartsell, Michael H,
Baucom, William E,
Woods, Sonja B.,
DiNella, Thomas J,
Summit Medical Group, PLLC - Philip
Thwing, MD
400 Y Street
Greeneville, TN 37743
(423) 639-0707
Elrod, James T,
Family
Practice
Jacksboro
Thwing, Philip Tolleson,
Summit Medical Group, PLLC Summit Family Medicine Greeneville
Laughlin Medical Building #3, 1404
Tusculum Blvd, Suite 2300
Greeneville, TN 37745
(423) 639-2161
Family
Practice
Oakley, Jaime Gabriel,
Summit Medical Group, PLLC Tusculum Family Physicians
1404 Tusculum Blvd, Ste 3000
Greeneville, TN 37745
(423) 783-7965
Mckean, William G,
Scott, Brian M,
Witherspoon, Christi A,
Summit Medical Group, PLLC - C.
Aubrey Isham, Jr., MD
163 Perkins Lane
Jacksboro, TN 37757
(423) 562-1181
Internal
Medicine
Isham, Jr., Charles Aubrey,
Jefferson City
Summit Medical Group, PLLCTennessee Valley Primary Care
120 Hospital Drive, Suite 30
Jefferson City, TN 37760
(865) 584-4747
Patton, Lance S,
Patton, Lance S,
Johnson City
Etsu Dept. of Family Medicine Johnso
City Tn
917 West Walnut St.
Johnson City, TN 37601
(423) 439-6487
Family
Practice
Avonda, Thomas R,
Garrett, William Allan,
Gerayli, Fereshteh,
Woodside, Jack R,
Medical Care PLLC - Johnson City
401 East Main Street
Johnson City, TN 37601
(423) 929-2584
Family
Practice
Hopland, Jeffrey A,
Partain, Cynthia P,
Family
Practice
Thompson, Anne S,
Family
Practice
Allum, Kenneth M,
Internal
Medicine
Nickle, Carla Annette,
Byrd, Leann M,
Nickle, Kenneth,
Manley, Emmett S,
Hampton
Internal
Medicine
Medical Care PLLC - Hampton
437 Highway 321
Hampton, TN 37658
(423) 929-2584
Family
Practice
Hopland, Arnold O,
Hermitage
Carter, Richard B,
Carter, Richard B,
Cooley, Melissa Ann,
Kirby, John Austin,
Kirby, John Austin,
Caravello, Peter M,
Draper, Dianne C,
Pediatrics
Kumar, P Lucy,
Mountain States Medical Group Family Medicine, Johnson City
1021 W. Oakland Avenue, Suite 301
Johnson City, TN 37604
(423) 952-8000
Ramsey, William W,
Family
Practice
Ramsey, William W,
Austin, Ashley Lauren,
Worley, Clyde W,
Broyles, Lisa S,
Worley, Clyde W,
Lewis, Jonathan A.,
Page 301 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Johnson City
Johnson City
Kingsport
Mountain States Medical Group Family Medicine, Johnson City
1021 W. Oakland Avenue, Suite 301
Johnson City, TN 37604
(423) 952-8000
State of Franklin Healthcare
Associates - MOB 1
301 Med Tech Parkway
Johnson City, TN 37604-2364
(423) 794-5500
East Tennessee State University
201 Cassel Dr
Kingsport, TN 37660
(423) 245-9640
Family
Practice
Internal
Medicine
Logan, Cynthia A,
Proffitt, Amy Lynn,
Smith, Nicholas Brett,
Rolen, Richard L,
State of Franklin Healthcare
Associates - MOB 1
301 Med Tech Parkway
Johnson City, TN 37604-2364
(423) 794-5500
Sweet, Kevin D,
Family
Practice
Bischoff, Paul A,
Barbarito, Nancy G.,
Bertotti, Marian L,
Blackmore, Ronald L,
Merrifield, Angela,
Robins, Guy W,
Stoots, Connie,
Swink, Rebekah,
Way, Brian K,
Internal
Medicine
Brown, Paul E,
Cary, Matthew G,
Cook, Keith R,
Dossett, Burgin,
Dykes, James T,
Forbush, Frank A,
Freemon, David N,
Gibson, Mary jane,
Grosserode, Michael J,
Hansen, James W,
Hatjioannou, Jason T,
Hemphill, Christopher B,
Hoover, Randy W,
Monderer, Rachel,
Moulton, David,
Williams, Mark A.,
Pediatrics
Adams, Joseph Anthony,
Bowling, Gretchen,
Bullman, Michelle Sue,
Donovan, Mark L,
Farmer, Margaret F,
Gage, Jodi,
Gill, Thomas W,
Ledes, Chirstopher R,
Lowery, April Dawn,
Pearson, James M,
Family
Practice
Blackwelder, Reid B,
Bockhorst, Peter R,
D'aprile-lubrano, Joann W.,
Fox, Beth Anne,
Harris, Erin Elizabeth,
Rose, Douglas J.,
Holston Medical Group - Medical Plaz
105 West Stone Drive, STE 3A
Kingsport, TN 37660
(423) 392-6200
Family
Practice
Hager, Shelton Phillip,
Morawski, Emily Jane,
Oberdick, Wendy Tipton,
Shafer, Brian David,
Stirman, Edward Monty,
Prudhomme, Bryan,
Internal
Medicine
Taylor, Tedford,
Bestermann, William Henry,
Wireman, Jill,
White, Judith Louise,
State of Franklin Healthcare
Associates - MOB 2
303 Med Tech Parkway
Johnson City, TN 37604-2364
(423) 794-5500
Mountain States Medical Group Family Medicine/Internal Medicine,
Kingsport
2202 N. John B. Dennis Highway, Suit
204
Kingsport, TN 37660
(423) 229-7777
Family
Practice
Colyar, Lee Allan,
Gordon, Elizabeth,
Hutchins, Christina R,
Manginelli, Stephanie C,
Mcdavid, Richard K,
Family
Practice
Mcqueen, Kelly G,
Mcqueen, Kelly G,
Rajoo, Shari K,
Mclaughlin, Marion D,
Internal
Medicine
Nave, Ellen Lang,
Licup, Nerissa L,
Kingsport
Knoxville
Nerren, Bryan K,
Pearson, Michael Zachary,
Page 302 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Knoxville
Knoxville
Knoxville
Summit Medical Group, PLLC Concord Medical Center
10215 Kingston Pike, Suite 100
Knoxville, TN 37922
(865) 691-0733
Summit Medical Group, PLLC Farragut Family Practice
11201 Westpoint Drive, Suite 102
Knoxville, TN 37934
(865) 675-1953
Summit Medical Group, PLLC Hardin Valley Internal Medicine
10252 Hardin Valley Road
Knoxville, TN 37932
(865) 692-1220
Internal
Medicine
Family
Practice
Internal
Medicine
Clark, Charles N.,
Buchanan, J. Kevin,
Carroll, John D,
Jackson, Rebecca T.,
England, W. David,
Mardini, Antoin H,
Russell, Gerald T,
Nowell, Walker E.,
Summit Medical Group, PLLC Fountain City Family Physicians
103 Midlake Drive
Knoxville, TN 37918
(865) 687-1973
Summit Medical Group, PLLC - Karn
Medical Group
7715 Oake Ridge Highway
Knoxville, TN 37931
(865) 694-0376
Pierce, J. Mark,
Russell, Carabeth W.,
Summit Medical Group, PLLC - Deane
Hill
7211 Wellington Drive, Suite 201 Upper
Level
Knoxville, TN 37919
(865) 584-5762
Family
Practice
Anderson, Thomas I.,
Bellingrath, Leonard F.,
Bushore, John T,
Carlson, J. Michael,
Otis, Michael V.,
Rylands, J. Craig,
Toney, Lee E,
Wood, Armand C.,
Summit Medical Group, PLLC - Dr.
Ashok Bhandari
1819 Clinch Avenue, Suite 213
Knoxville, TN 37916
(865) 549-4900
Internal
Medicine
Bhandari, Ashok,
Summit Medical Group, PLLC - Dr.
William Burkhart
939 Emerald Avenue, Suite 810
Knoxville, TN 37917
(865) 633-9400
Family
Practice
Clark, Jack C,
Drinnen, Jeffrey W.,
Haskins, Thomas G,
Masters, Steven B.,
Meyer, Angela M.,
Mosrie, Brian T.,
Rosine, Amy Rebecca,
Summit Medical Group, PLLC - Halls
Family Physicians
4117 East Emory Road
Knoxville, TN 37938
(865) 584-4747
Family
Practice
Bilbrey, Brett S,
Cloud, Mark W,
Family
Practice
Hetrick, Thomas H.,
Summit Medical Group, PLLC Kenneth Reese, MD
200 Blount Avenue, Ste. 303, Baptist
Professional Bldg.
Knoxville, TN 37920
(865) 577-9247
Internal
Medicine
Reese, Kenneth C.,
Summit Medical Group, PLLC Medical Associates
9333 Parkwest Boulevard
Knoxville, TN 37923
(865) 531-4600
Family
Practice
McKenzie, Jerome F,
Stallings, Ted R.,
Hurst, Fred S,
Internal
Medicine
Huskey, Larry,
Chaudhuri, Udit,
Manning, Rickey D,
Good, Edward M.,
Stevens, Jeffrey L,
Kirby, James T.,
Sturgeon, II, Rodney E.,
Montgomery, Robert N,
Internal
Medicine
Robinson lll, William B.,
Hurst, James Wilson,
Sherrill, S. Beth,
Smith, Louis A.,
Family
Practice
Burkhart, William L.,
Page 303 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Knoxville
Knoxville
Knoxville
Summit Medical Group, PLLC Norwood Family Medicine
1208 Merchants Road
Knoxville, TN 37912
(865) 688-2522
Summit Medical Group, PLLC Summit Medical Group at Fort Sanders
1819 Clinch Ave, Suite 114
Knoxville, TN 37916
(865) 584-4747
Summit Medical Group, PLLCMichael Passarello
501 20th Street, Ste 404
Knoxville, TN 37916
(865) 584-4747
Family
Practice
Internal
Medicine
Internal
Medicine
Chambers, R. Todd,
Ferguson, James V,
Passarello, Michael J,
Peters, Todd M.,
Morton, Anthony W.,
Passarello, Michael J,
Pritcher, Gerald M.,
Passarello, Michael J.,
Wakefield, Paul H.,
Passarello, Michael J.,
West, Michael H.,
Rivers, Jr., James B.,
Summit Medical Group, PLLC Parkside Internal Medicine
10810 Parkside Drive, Ste. 103
Knoxville, TN 37934
(865) 218-6677
Rose, Richard C,
Summit Medical Group, PLLCStrawberry Plains
7541 Crosswood Boulevard, Ste 1
Knoxville, TN 37924
(865) 584-4747
Internal
Medicine
Summit Medical Group, PLLC Summit Medical Group at Northshore
1924 Pinnacle Pointe Way, Ste. 100
Knoxville, TN 37912
(865) 584-5762
Hill, Michael W.,
Family
Practice
McHargue, Donna D.,
Dee, Jr., Jonathan Daniel,
Summit Medical Group, PLLC Summit Medical Group at Farragut
11808 Kingston Pike, Suite160
Knoxville, TN 37934
(865) 966-3940
Summit Medical Group, PLLC Summit Medical Group at Parkwest
9303 Parkwest Blvd., Suite 100
Knoxville, TN 37923
(865) 690-6451
Family
Practice
Family
Practice
Hart, Tadhg M.,
Morehead, Lance,
Internal
Medicine
Thomas, Gary L.,
Collier, Michael Shawn,
Gray, Nathan A,
Littlefield, Thomas R.,
Summit Medical Group, PLLC Summit Medical Group at Fort Sanders
1819 Clinch Ave, Suite 114
Knoxville, TN 37916
(865) 584-4747
Family
Practice
Baker, Kelly L,
Johnson, W. Reeves,
Summit Medical Group, PLLC Tennessee Center for Internal Medicine
200 Ft. Sanders West Blvd, Ste. 304
Knoxville, TN 37922
(865) 531-8848
Internal
Medicine
Bhandari, Punam S,
Family
Practice
Parker, Donald W,
Parker, Donald W,
Internal
Medicine
Cox, Christopher R,
Cox, Christopher R,
Lafollette
Summit Medical Group, PLLC Summit Medical Group at LaFollete
919 East Central Avenue, STE 202
Lafollette, TN 37909
(865) 584-4747
Family
Practice
Burdeaux, Richard R,
Lenoir City
Summit Medical Group, PLLC - Fort
Loudon Family Medical Center
1018 Highway 321 North
Lenoir City, TN 37771
(865) 986-4450
Hawkins, Jimmy L,
Family
Practice
Mathes, Catherine L.,
Morse, James A.,
Mitchell, Michael E,
Morton, Randall T.,
Ramos, Antonio L,
Walter, Gail-Marie,
Maryville
Internal
Medicine
Cooper, John F,
Page 304 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Tennessee
Maryville
Murfreesboro
Powell
Summit Medical Group, PLLC - David
A. Cox, MD
2022 Chilhowee Medical Park
Maryville, TN 37804
(865) 982-0170
Family Practice Partners
515 East Bell Street
Murfreesboro, TN 37130
(615) 890-9191
Summit Medical Group, PLLC Internal Medicine Associates of Emory
Road
7557 Dannaher Way, Building B, Ste
225
Powell, TN 37849
(865) 546-9751
Internal
Medicine
Cox, David A.,
Summit Medical Group, PLLC - Kim
H. Cline, MD
111 Station Drive
Maryville, TN 37804
(865) 982-7101
Internal
Medicine
Cline, Kim H.,
Summit Medical Group, PLLC - M.
Scott Gardner, DO
603 Smithview Drive
Maryville, TN 37803
(865) 983-0082
Family
Practice
Gardner, M. Scott,
Memphis
UT Medical Group at Harbor of Health
718 Harbor Bend Road
Memphis, TN 38103
(901) 522-1555
Family
Practice
Nelson, Susan C.F.,
Internal
Medicine
Sullivan, Meghan D.J.,
Millington
NBHC NSA MID-SOUTH - Primary
Care Clinic
5722 Integrity Dr, Bldg S-771
Millington, TN 38054-5021
(850) 505-6029
Family
Practice
Edgerly, Donald William,
Murfreesboro
Family
Practice
Andrews, Susan Toy,
Rickard, Randall C.,
Internal
Medicine
Oak Ridge
Allan, J. Davis,
Summit Medical Group, PLLC Summit Medical Group of Oak Ridge
801 Oak Ridge Turnpike
Oak Ridge, TN 37830
(865) 483-3172
Alley, Robert C.,
Family
Practice
Durbin, David C.,
Bridgeman, Pamela A.,
Griffin, II, James C.,
Casey, Robert R.,
Leahy, Michael Douglas,
Taylor, Susan J.,
Lorino, Stephen P.,
Internal
Medicine
Mancebo, Gerald L.,
Giles, James W.,
Hayes, Wesley L.,
Henderson, Michael A.,
Powell
Summit Medical Group, PLLC Emory Family Practice
201 East Emory Rd., P.O. Box 635
Powell, TN 37849
(865) 938-3627
Family
Practice
Barton, Ronald P.,
Chism, Kathy N,
Dean, R. Wesley,
Flaming, Brad A,
Thornton IV, Nicholas P,
Summit Medical Group, PLLC Internal Medicine Associates of Emory
Road
7557 Dannaher Way, Building B, Ste
225
Powell, TN 37849
(865) 546-9751
Internal
Medicine
Bentley, Amy E.,
Brakebill, Larry C.,
Brandon, Miriam,
Gibbs, Cassandra F.,
Ochoa, Peter J.,
Taylor, N. Lynne,
Vannoy, John F.,
Wooten, B. David,
Summit Medical Group, PLLC - Juliu
S. von Clef, MD
2125 Emory Road, P.O. Box 867
Powell, TN 37849
(865) 938-5922
Family
Practice
Vonclef, III, Julius S,
Summit Medical Group, PLLC - Mark
W. Johnson, MD
2125 Emory Road
Powell, TN 37849
(865) 938-7517
Family
Practice
Johnson, Mark W.,
Summit Medical Group, PLLC Robert R. Fehr, MD
2125 Emory Road, P.O. Box 605
Powell, TN 37849
(865) 938-5911
Page 305 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Tennessee
Tennessee
Texas
Powell
Seymour
Arlington
Summit Medical Group, PLLC Robert R. Fehr, MD
2125 Emory Road, P.O. Box 605
Powell, TN 37849
(865) 938-5911
Summit Medical Group, PLLC Seymour Family Physicians
11657 Chapman Hwy
Seymour, TN 37865
(865) 577-4836
Medical Clinic of North Texas, P.A. Arlington South (AS)
811 W. I-20, Suite 120
Arlington, TX 76017
(817) 468-3393
Family
Practice
Family
Practice
Internal
Medicine
Fehr, Robert R.,
Moore, Robert S.,
Barker, Thomas E,
Rockwood
Payne, Wesley K.,
Brock, Steven D,
Summit Medical Group, PLLC Angela Meadows, MD
450 S. Chamberlain, Ste. 300
Rockwood, TN 37854
(865) 354-7799
Sweetwater
Hunter, David S,
Summit Medical Group, PLLC William L. Harvey, MD
602 South Main Street
Sweetwater, TN 37874
(865) 584-4747
Martin, John R,
Internal
Medicine
Smitherman, Robert K,
Medical Clinic of North Texas, P.A. South Arlington Pediatrics (SAP)
811 W. I-20, Suite 214
Arlington, TX 76017
(817) 557-5437
Meadows, Angela E,
Family
Practice
Sevierville
Harvey, William L,
Summit Medical Group, PLLC Charles H. Bozeman, II, MD
641 Middle Creek Road
Sevierville, TN 37862
(865) 428-0583
Texas
Fikkert, Chimene W,
Addison
Gibson-Hull, Stacey L,
THPG- Addison Family Medicine
Associates
15303 Dallas Parkway, Suite 180
Addison, TX 75001
(972) 980-5050
Meyer, Matthew G,
Family
Practice
Bozeman, II, Charles H.,
Summit Medical Group, PLLC Middle Creek Family Practice
675 Middle Creek Road
Sevierville, TN 37862
(865) 453-2029
Family
Practice
Burke, Curtis L,
Gust, Amy Lynn,
Tolley, Vincent B,
Summit Medical Group, PLLC Wheatley, MD and Fry, MD
1124 Fox Meadows Blvd., Ste. 3
Sevierville, TN 37862
(865) 428-0312
Family
Practice
Fry, William J.,
Internal
Medicine
Wheatley, Hubert C.,
Family
Practice
Mittal, Shashi,
Aledo
Texas Health Physicians Group -Aledo
Family Medicine
317 FM 1187 North
Aledo, TX 76008
(817) 441-7181
Family
Practice
Kretzschmar, Shaun H,
Arlington
Medical Clinic of North Texas, P.A. Arlington Internal Medicine (AIM)
809 W. Randol Mill Road
Arlington, TX 76012
(817) 460-0257
Internal
Medicine
Buschow, Robert A,
Pediatrics
Athens
Trinity Clinic - Athens
1505 Hwy 19 S
Athens, TX 75751
(903) 675-1725
Family
Practice
Bass, James,
Internal
Medicine
Helf, Steven J.,
Pediatrics
Shaw, J. Elaine,
Austin
Lone Star Circle of Care - Ben White
Health Clinic
1221 W. Ben White Blvd., Ste. B200
Austin, TX 78704
(877) 800-5722
Family
Practice
Bribiesca, Gerardo Sergio,
Gildersleeve, Roger W.,
Page 306 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Austin
Beaumont
Bedford
Lone Star Circle of Care - Ben White
Health Clinic
1221 W. Ben White Blvd., Ste. B200
Austin, TX 78704
(877) 800-5722
SETMA I (Southeast Texas Medical
Associates, L.L.P.)
2929 Calder, Suite 100
Beaumont, TX 77702
(409) 833-9797
Texas Health Physicians Group - Mid
Cities Family Care
3024 State Hwy 121
Bedford, TX 76021
(817) 494-5000
Internal
Medicine
Family
Practice
Family
Practice
Eapen, Prakash,
Murphy, Vincent P,
Heldridge, Tod C,
Folarin, Hope,
Internal
Medicine
Jutras, Michael A,
Nurse
Practitioner
Aziz, Muhammad T.,
Bane, Ginger,
Thomas, Michael Paul,
Hartline, Meredith Patton,
SETMA II
3570 College
Beaumont, TX 77702
(409) 654-6819
Physician
Assistant
Bettes, Jeanette L.,
Baytown
Harris County Hospital District Baytown Health Center
1602 Garth Road
Baytown, TX 77520
(281) 837-2737
Family
Practice
Terry, James R,
Belton
Lone Star Circle of Care - Sparta Roa
Pediatric Clinic
155 Sparta Road
Belton, TX 76513
(877) 800-5722
Leifeste, Alan E.,
Nurse
Practitioner
General
Practice
Travis, Joy Nan,
Holly, James L.,
Family
Practice
Internal
Medicine
Olutimehin, Babaijide O.,
Anwar, Syed I.,
Roman, Rocio L.,
Qureshi, Absar,
Suarez, Martha C.,
Pediatrics
Beaumont
Colbert, Bobbie H.,
Mark A. Wilson Clinic SETMA West
2010 Dowlen
Beaumont, TX 77706
(409) 833-9797
Bedford
Family
Practice
Mansen, Joseph,
Medical Clinic of North Texas, P.A. Family Physicians of the Mid-Cities
1615 Hospital Parkway, Suite 103
Bedford, TX 76022
Pediatrics
Davis, Tinku,
Canton
Trinity Clinic - Canton
18780 I-20 Service Road
Canton, TX 75103
(903) 567-4841
Family
Practice
Nixon, Kenneth W,
Nixon, Kevin A,
Carrollton
Curry, Marissa Banatwala,
Family
Practice
Deiparine, Caesar,
Bindner, Stephen R,
Halbert, Dean,
Pavey, Scott A,
Medical Clinic of North Texas, P.A. Carrollton Family Medicine (CFM)
4360 North Josey Lane
Carrollton, TX 75010-4602
(972) 242-0185
Satterwhite, Kelli Bouvais,
Internal
Medicine
Family
Practice
Harrell, Melinda D,
Maust, Joel R,
Olivo, Julie L,
Medical Clinic of North Texas, P.A. Carrollton Internal MED/PEDS (CMP)
4333 North Josey Lane, Plaza II, Suite
202
Carrollton, TX 75010
Vardiman, John,
SETMA I (Southeast Texas Medical
Associates, L.L.P.)
2929 Calder, Suite 100
Beaumont, TX 77702
(409) 833-9797
Walker, Joel W,
Page 307 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Carrollton
Cedar Park
Colleyville
Medical Clinic of North Texas, P.A. Carrollton Internal MED/PEDS (CMP)
4333 North Josey Lane, Plaza II, Suite
202
Carrollton, TX 75010
Lone Star Circle of Care-Dell
Children's-Circle of Care Pediatrics at
Whitestone
1730 E. Whitestone Blvd., Suite 101
Cedar Park, TX 78628
(512) 686-0207
Baylor - HealthTexas Provider
Network - Colleyville Family Medicine
5408 Colleyville Blvd
Colleyville, TX 76034
General
Practice
Physician
Assistant
Hayes, Lorrie B.,
Lam, Van,
Ringo, Rhiannon L,
Internal
Medicine
Chandler
Chiniwala, Rupal,
Medical Clinic of North Texas, P.A. Carrollton Internal Medicine (CIM)
3730 North Josey Lane,, Suite 111
Carrollton, TX 75007
Internal
Medicine
Teng, Li R,
Trinity Clinic - Chandler
803 Hwy 31 E
Chandler, TX 75758
(903) 849-5756
Family
Practice
Internal
Medicine
Coppell
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Coppell
878 South Denton Tap Road
Coppell, TX 75019
Family
Practice
Kapil, Kamna,
Cherry, Thomas I,
Corpus Christi
Cleburne
Health by Design- Valero Corpus
Christi Wellness Center
1147 Cantwell
Corpus Christi, TX 78407
(361) 289-3111
Medical Clinic of North Texas, P.A. Trinity - (TRN)
4323 North Josey Lane, Plaza I, Suite
200
Carrollton, TX 75010
Medical Clinic of North Texas, P.A. Cleburne Nolan River - (CNR)
808 N Nolan River Rd
Cleburne, TX 76033
(817) 641-2650
Internal
Medicine
Family
Practice
Teng, Jay,
Becerra, Oscar D,
Cross Roads
Cedar Hill
Internal
Medicine
Medical Clinic of North Texas, P.A. Cross Timbers - (CT)
3201 Hwy. 380, Suite 101
Cross Roads, TX 76227
(940) 365-9389
Methodist Family Health Center - West
Cedar Hill
326 Cooper Street
Cedar Hill, TX 75104
(972) 291-7863
Family
Practice
Baker, Karen Kay,
Marshall, Michael Scott,
Vaughan, David B.,
Cedar Park
Bates, Edward E,
Dalley, Albert S,
Wallace, Brent H,
Colleyville
Allen, Marsha M,
Family
Practice
Baylor - HealthTexas Provider
Network - Colleyville Family Medicine
5408 Colleyville Blvd
Colleyville, TX 76034
Auvenshine, Michael S,
Family
Practice
Dallas
Lone Star Circle of Care-Dell
Children's-Circle of Care Pediatrics at
Whitestone
1730 E. Whitestone Blvd., Suite 101
Cedar Park, TX 78628
(512) 686-0207
Bell, Dennis M.,
Pediatrics
Internal
Medicine
West, Deborah Parsons,
Family
Practice
Bush, Tyronne A,
Ensey, Jane F.,
Justice, Marilyn K.,
Walter, Margaret H,
Pediatrics
Baker, Jeremy S,
Baylor - HealthTexas Provider
Network - Baylor Senior Health
Center - Geriatrics Center
4004 Worth Street, Suite 100
Dallas, TX 75246
Geriatric Medicine/Internal
Medicine
Sennour, Youcef,
Thompson, Joyce Mai,
Page 308 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Dallas
Dallas
Dallas
Baylor - HealthTexas Provider
Network - Baylor Senior Health
Center - Geriatrics Center
4004 Worth Street, Suite 100
Dallas, TX 75246
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Worth Street
4001 Worth Street
Dallas, TX 75246
Baylor - HealthTexas Provider
Network - Family Medical Center at
Baylor
3600 Gaston Avenue, Barnett #1109
Dallas, TX 75246
Internal
Medicine
Internal
Medicine
Family
Practice
Numajiri, Akira Stuart,
Krishnan, Ruth Nisha,
Evans, Rachael Carolee,
Baylor - HealthTexas Provider
Network - Signature Medicine
411 North Washington Avenue, Suite
3000
Dallas, TX 75246
Baylor - HealthTexas Provider
Network - Christ's Family Clinic
9409 Preston Road
Dallas, TX 75205
Reed, Melanie Lane,
Internal
Medicine
Winter, Jr., Fred David,
Internal
Medicine
Robertson, Kiran Sehdev,
Sokol, Matthew Peter,
Baylor - HealthTexas Provider
Network - MedProvider
3434 Swiss Avenue, Suite 107
Dallas, TX 75204
Internal
Medicine
Baylor - HealthTexas Provider
Network - Baylor Family Health Center
at Cityview
5701 Bryant Irvin Road
Dallas, TX 76132
Baylor - HealthTexas Provider
Network - Dallas Diagnostic
Association - Park Cities
9101 North Central Expressway, Suite
300
Dallas, TX 75231
Family
Practice
Family
Practice
Brooks, John Craven,
Irvine-Moore, LaPonna R,
Islahi, Nazish Seed,
Christensen, William Thomas,
Woodland, Caroline Elizabeth,
Walker, Brent W,
Chung, Paul,
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Uptown
4161 McKinney Avenue, Suite 300
Dallas, TX 75204
Internal
Medicine
Collier, Trenton Randall,
Ho, Michelle May,
Edwards, Jennifer L,
Philips, Kay L.,
Elovitz, Reuben J.,
Family
Practice
Sokal, Paul Jonathan,
Hickl, Andrew Gerard,
Tilleros, Elisabeth Anne,
Highbaugh, David Michael,
Gamarnik, Shari Carolyn,
Baylor - HealthTexas Provider
Network - Diabetes Health & Wellness
Institute Family Health Center
4500 Spring Avenue
Dallas, TX 75210
Hughes, Christopher A,
Graves, Julia Carol,
Kong, Jun Ho,
Veerasamy, Anitha,
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Worth Street
4001 Worth Street
Dallas, TX 75246
Family
Practice
Berry, Christopher E.,
Kane, Erin P,
Wang, Scott,
Family
Practice
Lester, Folashade F,
Aggarwal, Raymon Kumar,
Allison, Jr., Robert Bryan,
Armstrong, William Mark,
Brodsky, Greta Vance,
Dimmitt, Dean C.,
Johnston, Michael Thomas,
Kassanoff, Ruby Elizabeth,
Madeley, Paul Ewing,
Muncy, Paul A,
Neal, Troy Michael,
Baylor - HealthTexas Provider
Network - Family Medical Center at
Baylor
3600 Gaston Avenue, Barnett #1109
Dallas, TX 75246
Sibley, Alison Hedeen,
Family
Practice
Thompson, Robert D,
Bleakney, Dana Allison,
Weber, Denise Samantha,
Simon, Fay E.,
Smith, Jr., Randlow,
Smith, Jr., Weldon Lloyd,
Valachovic, Michael Scott,
Page 309 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Dallas
Dallas
Dallas
Baylor - HealthTexas Provider
Network - MedProvider
3434 Swiss Avenue, Suite 107
Dallas, TX 75204
Parkland COPC - East Dallas Health
Center
3320 Live Oak
Dallas, TX 75204
(214) 266-1000
Southwest Family Medicine Associates
8877 Harry Hines Boulevard
Dallas, TX 75235
(214) 393-2940
Internal
Medicine
Wilder, Cynthia Kay,
Family
Practice
Wiley, Cherese Marie,
Raja, Manisha,
Wilkerson, Jennifer Lynn,
Shama, Zareena,
Medical Clinic of North Texas, P.A. Farmers Branch Pediatrics - (FBP)
9 Medical Parkway, Plaza 4, Suite 302
Dallas, TX 75234
(972) 247-1133
General
Practice
Pediatrics
Clifford, Susan G,
Medical Clinic of North Texas, P.A. North Dallas Internal Medicine - (ND)
7515 Greenville Avenue, Suite 600
Dallas, TX 75231
Internal
Medicine
Johnston, Mark A,
Sanders, John P,
Parkland COPC - Bluitt Flowers
Health Center
303 E Overton Road
Dallas, TX 75216
(214) 266-4200
Gong, Wei,
Parkland COPC - EPO Health Center
7920 Elmbrook, Suite 120
Dallas, TX 75247
(214) 590-2800
Family
Practice
Family
Practice
Dharma, Chrisette M.,
UT Southwestern General Internal
Medicine
5303 Harry Hines Boulevard
Dallas, TX 75390-9124
(214) 645-8600
General
Practice
Lai, Wen S,
Geriatric Medicine/Family
Practice
Gupta, Roopali,
Falola, Elizabeth O.,
Rhodes, Ramona,
Parkland COPC - Geriatrics Health
Center
4811 Harry Hins Blvd.
Dallas, TX 75235
(214) 590-8369
Internal
Medicine
Internal
Medicine
Auerbach, David Maxwell,
Balis, David Scott,
Brancaccio, Anne Marie,
Croft, Carol Lynn,
Viciosos, Belinda,
Favour, Susan Elizabeth,
Viciosos, Belinda,
Goldsteen, Robert Adam,
Parkland COPC - Oak West Health
Center
4201 Brook Spring Drive
Dallas, TX 75224
(214) 266-1450
Guth, Eve Susanne,
Pediatrics
Lampe, Kristen H,
Kim, Chong W,
Dharani, Murad,
Leach, Steven L,
Nasir, Muhammad A,
Mendizabal, Susanna B.,
Liu, Yinghui,
Safari, Nasrin,
Parkland COPC - Southeast Health
Center
9202 Elam Road
Dallas, TX 75217
(214) 266-1600
McCord, Mary,
Pediatrics
Raja, Harikrishna,
Gomez, Martin,
Reed, William Gary,
Emergency
Medicine
Alhazim, Dina,
Internal
Medicine
Parkland COPC - deHaro Saldivar
Health Center
1400 N Westmoreland Road
Dallas, TX 75211
(214) 266-0500
Emergency
Medicine
Alhazim, Dina,
Halm, Ethan,
Howell-Stampley, Temple Sharita,
Jones, Robert Ellwood,
Moran, Brett Andrew,
Orlino, Angela Mae,
Peterson, Dolores M,
Roche, Vivyenne Marie-louise,
Rosen, Robert Kenneth,
Rubin, Craig Douglas,
Page 310 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Dallas
Denton
Flower Mound
UT Southwestern General Internal
Medicine
5303 Harry Hines Boulevard
Dallas, TX 75390-9124
(214) 645-8600
Medical Clinic of North Texas, P.A.Denton Internal Medicine (DIM)
2900 N. I-35, Suite 110
Denton, TX 76201
(940) 387-9400
Medical Clinic of North Texas, P.A. Flower Mound Internal Medicine (FM)
3101 Churchill Drive, Suite 310
Flower Mound, TX 75022-2716
Internal
Medicine
Internal
Medicine
Internal
Medicine
Sam, Colleen,
Harris, Timothy L,
Bucan-Kurepa, Jelena,
Shah, Amit Arvind,
Jafry, Raza A,
Fort Worth
Steen, Eric,
Emory
Trapp, Erika F,
Trinity Clinic - Emory
886 E Lennon, Suite 105
Emory, TX 75440
(903) 473-3036
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Fort Worth
900 West Magnolia, Suite 201
Fort Worth, TX 76104
Vicioso, Belinda A.,
Vicioso, Belinda A.,
Pediatrics
Turer, Christy,
Family
Practice
Denton
Rodgers, Jerry W,
Medical Clinic of North Texas, P.A. Denton North - (DN)
2609 Scripture
Denton, TX 76201
(940) 484-4424
Flint
Family
Practice
Talbot, Scott E,
Medical Clinic of North Texas, P.A. Denton Family Medicine (DEN)
3323 Colorado Blvd., Suite 101
Denton, TX 76210
(940) 387-8888
Family
Practice
Barton, Courtney K,
Morrill, Audrey C,
Strittmatter, Marla A,
Medical Clinic of North Texas, P.A. Denton North Pediatrics (DNP)
2609 Scripture St
Denton, TX 76201
(940) 565-1601
Pediatrics
Adams, Amy J,
Jones, Carrie L,
Trinity Clinic - Lake Palestine
20208 Hwy 155 S
Flint, TX 75762
(903) 825-6222
Family
Practice
Eli, Alan M,
Flower Mound
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Flower Mound
1110 Parker Square
Flower Mound, TX 75028
Family
Practice
Balarbar, Melinda Bautista,
Santiago, Joseph Patrick,
Family
Practice
Ampelas, Michael Charles,
Greer, Daria Katherine,
Jordan, David Curtis,
Kneten, Craig Charles,
Murphy, Jr., James Aaron,
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Southwest Fort Worth
5701 Bryant Irvin Road, Suite 301
Fort Worth, TX 76132
Family
Practice
Cappel, III, Joseph W.,
Eden, Kimberly T,
Baylor - HealthTexas Provider
Network - Internal Medicine Associate
of Southwest Fort Worth
5801 Oak Bend Trail, Suite 200
Fort Worth, TX 76132
Simon, Kathryn Mary,
Internal
Medicine
Villalon, Jr., Raul,
Garcia, Paul J,
Medical Clinic of North Texas, P.A. Flower Mound Internal Medicine (FM)
3101 Churchill Drive, Suite 310
Flower Mound, TX 75022-2716
Massey, Michael Dennis,
Family
Practice
Phipps, Lowell F,
Dr. Peter McDougall, MD
6100 Harris Pkwy, Suite 290
Fort Worth, TX 76132
(817) 633-6050
Family
Practice
McDougall, Peter G.,
Page 311 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Fort Worth
Forth Woth
Ft. Worth
Medical Clinic of North Texas, P.A. Harris Southwest - (HS)
6100 Harris Parkway, Suite 345
Fort Worth, TX 76132
(817) 346-5960
Texas Health Physicians Group - HFGreen Oaks Clinic
6825 Green Oaks Rd
Forth Woth, TX 76116
(817) 737-7000
Medical Clinic of North Texas, P.A. Fort Worth Clinic - (FWC)
909 9th Ave., Suite 300
Ft. Worth, TX 76104
(817) 336-7191
Internal
Medicine
Family
Practice
Internal
Medicine
Guthrie, William S,
Cowan, Todd Kreig,
Childers, James S,
Mewis, Beth A,
Speaker, Jennifer Lynn,
Laughton, Pierre E,
Penny, Richard E,
Physician
Assistant
Garland
Readinger, James C,
Smith, Steven L,
Medical Clinic of North Texas, P.A. Hogan Center - (HC)
800 Fifth Avenue, Suite 300, Suite 300
Fort Worth, TX 76104
(817) 334-1400
Internal
Medicine
Eldridge, James K,
Eppstein, Roger S,
Godbey, Teresa E,
Hutcheson, Richard M,
Johnson, Steven E,
Lester, Lynn A,
Fisher, David,
Huckaby, Bonnie S.,
Payberah, Paul,
Frisco
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Frisco
2840 Legacy Drive, Bldg # 4, Suite 400
Frisco, TX 75034
Family
Practice
Cudjoe, Stephanie Lee-blanche,
Jenkins, Warren Blake,
Kasmiersky, Valerie Kay,
Meehlhause, Mark Gary,
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Garland
601 Clara Barton Blvd., Suite 340
Garland, TX 75042
Family
Practice
Graves, Reese Cabot,
Kerr, Jeffrey D.,
Nair, Rajasree J,
Tingle, Leslie Earle,
Baylor - HealthTexas Provider
Network - Baylor Senior Health
Center - Garland
800 North Shiloh Road
Garland, TX 75042
Ngo, Edward K,
Geriatric Medicine/Internal
Medicine
Zomnir, Jennifer M.,
Vengalil, Marina Tomy,
Medical Clinic of North Texas / Frisco
Family Medicine
2595 Dallas Parkway, Suite 405
Frisco, TX 75034
Internal
Medicine
Family
Practice
Family
Practice
Richwine, Randall T,
Culver, Jennifer L,
Texas Health Physicians Group- HFFossil Creek Clinic
7630 N. Beach St., Suite 140
Fort Worth, TX 76137
(817) 479-0840
Internal
Medicine
Baylor - HealthTexas Provider
Network - Family Medical Center of
Garland
601 Clara Blvd., Suite 200
Garland, TX 75042
Machos, Robert J,
Nelson, Edward R,
Texas Health Physicians Group Family Centered Medical Group
4421 Oak Park Lane, Suite 102
Fort Worth, TX 76109
(817) 732-2878
Family
Practice
Kuenstler, Kevin Andrew,
Vermette, Kenneth Norman,
Forth Woth
Gonzalez, Virginia Y,
Ft. Worth
Medical Clinic of North Texas, P.A. Fort Worth Clinic - (FWC)
909 9th Ave., Suite 300
Ft. Worth, TX 76104
(817) 336-7191
Majeed, Hashim Abdul,
Nguyen, Anthony Kiem,
Family
Practice
Adcock, Jeffry F,
Chandler, Becky L,
Conselman, Nicole S,
Day, April M,
Fisch, Jason P,
Levy, Alfred E,
Page 312 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Garland
Garland
Grand Prairie
Baylor - HealthTexas Provider
Network - Family Medical Center of
Garland
601 Clara Blvd., Suite 200
Garland, TX 75042
Parkland COPC - Garland Health
Center
802 Hopkins
Garland, TX 75040
(214) 266-0700
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Lake Ridge
4927 Lake Ridge Parkway, Suite 100
Grand Prairie, TX 75052
Family
Practice
Internal
Medicine
Internal
Medicine
Mccollum, Ronald J,
Khan, Yasmin,
West, Penny C.,
Mlcak, Mark S,
Pediatrics
Grand Praririe
Wiprud, John M,
Naqvi, Fauzia M,
Baylor - HealthTexas Provider
Network - Pediatric and Adolescent
Associates of Garland
601 Clara Barton Blvd, Suite 250
Garland, TX 75042
Persaud, Donna I,
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Riverside
2740 North Highway 360, Suite 100
Grand Praririe, TX 75050
Pediatrics
Abel, Shawn M,
Bassel, Paul S,
Georgetown
Lone Star Circle of Care - Family
Medicine at Lake Aire Medical Center
2423 William Drive
Georgetown, TX 78628
(512) 686-0207
Family
Practice
Botone, Zachary Q.,
Cunningham, Mara Lynn,
Kotas, Robert Andrew,
Family
Practice
Harvey, Ruth Terrell,
Roderick roseberry, Rosemary H,
Dent, Marenda Dawn,
Katzen, Kenneth Lee,
Rosen, Myron Henry,
Fiedler, Benjamin Paul,
Katzen, Kevin Dean,
Sison limsenben, Johanna S,
Internal
Medicine
Nivens, Jamie Arthur,
Hudgins, John,
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Grapevine
2020 West Highway 114, Suite 200
Grapevine, TX 76051
Baylor - HealthTexas Provider
Network ΓÇô Family Medical Center
at North Garland
5345 North George Bush Freeway
Garland, TX 75040
(972) 495-5888
Family
Practice
Wickramasinghe, Ashton,
Nurse
Practitioner
Benson, Susan,
Grapevine
Brubaker, Angela Faith,
Family
Practice
Andersen, Robert Layne,
Hedges, Amanda,
Cunningham, Kelly Eilleen,
Beshires, Eric D.,
MacDonald, Kristin,
Jamal, Saira,
Bragg, David Wayne,
Pediatrics
Clark, Chris Alan,
Day, Berica,
Internal
Medicine
Fullerton, Clifford T.,
Li-Pelaez, Joanne Raquel,
McMillin, Kimberly J.,
Grand Prairie
Sadler, Jane Susan,
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Lake Ridge
4927 Lake Ridge Parkway, Suite 100
Grand Prairie, TX 75052
Shumate, Jr., Bill G.,
Parkland COPC - Garland Health
Center
802 Hopkins
Garland, TX 75040
(214) 266-0700
Internal
Medicine
Family
Practice
Bazaldua, Carlos,
Burnett, II, Glenn Edward,
Davidson, Nettie Nichole,
Texas Health Physicians Group Hogan Medical for Your Family
1280 South Main Street, Suite 100
Grapevine, TX 76051
(817) 310-0898
Hernandez, Omar,
Family
Practice
Mehta, Annu P,
Hogan, Chad A,
Hawkins
Page 313 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Hawkins
Houston
Houston
Trinity Clinic - Hawkins
5321 FM 14
Hawkins, TX 75765
(903) 769-2990
Baylor College of Medicine - Baylor
Family Medicine
6620 Main Street, Suite 1250
Houston, TX 77030
(713) 798-7700
Harris County Hospital District Settegast Health Center
9105 North Wayside
Houston, TX 77028
(713) 636-7192
Family
Practice
Family
Practice
DeLeon-Scaglia, Berta Cecilia,
Damsake, Paul Richard,
Gillis, Latricia Trena,
Dholakia, Sonal,
Horsfield, Matthew Scott,
Kosuri, Murali,
Lumicao, Tomas Guiab,
Neal, Emily King,
Rogers, John Charles,
Nguyen, Phuc Xuan,
Family
Practice
Spann, Stephen Jimmie,
Pabbisetty, Swarajyal Lakshmi,
Steinbauer, Jeffrey Robert,
Winter, Ronald S.,
Acker, Wesley Glenn,
Whitney, Simon Newcomb,
Bellinger, Richard Kenneth,
Foote, Lindsey L,
Physician
Assistant
Internal
Medicine
Lensch, David B.,
Love, Elissa Lynne,
Miller, Jennifer M,
Meaders, Kristen Marie,
Muns, James G,
Rivera-Hayes, Elisa,
Smithers, Victoria E,
Valdez, Isabel,
Nurse
Practitioner
Adams, Julie P.,
Heath
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Rockwall
6435 South FM 549, Suite 201
Heath, TX 75032
Stark, Jr., Robert N,
Henderson
Trinity Clinic - Henderson #1
500 N Marshall
Henderson, TX 75652
(903) 657-1653
Family
Practice
Featherston, William,
Hay, Meredith A.,
Perricone, Charles,
Houston
Baylor College of Medicine - General
Internal Medicine
6620 Main Street, Suite 1225
Houston, TX 77030
(713) 798-2500
Internal
Medicine
Chen, Wen-Wen Sharon,
Terrill, Louise Ann Bednar,
Harris County Hospital District - A.C
Taylor Health Clinic
13940 Bonham Street
Houston, TX 77015
(713) 330-8904
Pediatrics
Callis, Tamara R.,
Harris County Hospital District - Acre
Home Health Center
818 Ringold Street
Houston, TX 77088
(281) 260-3340
Muthuswamy, Bhuvana K,
Family
Practice
Nelson, Elizabeth,
Bayona, Jose,
Polec, Sherry Wang,
Butcher, Larry Ray,
Remmers, Paul Steve,
Carroll, Kelley Walk,
Rosenbaum, Ralph Steve,
Lee, Yates P.,
Baylor College of Medicine - Baylor
Family Medicine
6620 Main Street, Suite 1250
Houston, TX 77030
(713) 798-7700
Baylor College of Medicine - Houston
Service Workers Clinic
2000 Crawford Street, Suite 730
Houston, TX 77002
(281) 822-4401
Mitra, Shrabanee,
Family
Practice
Family
Practice
Pediatrics
Arredondo, Odette,
Linares, Adriana Catalina,
Parikh, Mihir Jagdish,
Richmond, Teriya M.,
Russell, Matasha Levette,
Ramanthan, Supriya,
Brown, Anthony Edward,
Corboy, Jane Ellen,
Page 314 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Houston
Houston
Houston
Harris County Hospital District Aldine Health Center
4755 Aldine Mail Route
Houston, TX 77039
(281) 985-7620
Harris County Hospital District Gulfgate Health Center
7550 Office City Drive
Houston, TX 77012
(713) 495-3731
Harris County Hospital District Martin Luther King Health Center
3550 Swingle
Houston, TX 77047
(713) 873-4737
Family
Practice
Family
Practice
Rheumatology
Balla, Justin Dominique,
Atkinson, Jonnae,
Colon-Rivera, Nelda Luz,
Ghosh, Lisa C.,
Grair, Diana,
Croock, Alan David,
Kaseb, Enas,
Holleman, Marsha Cline,
Lawrene, Sharlene J.,
Latifi, Haleema Tasneem,
Lopez Godoy, Francisco G.,
Patel, Minal M.,
Mallela, Vijaya L.,
Zhang, Mei,
Harris County Hospital District Northwest Health Center
1100 West 34th Street
Houston, TX 77018
(713) 867-7830
Nambiar, Anakha R.,
Internal
Medicine
Family
Practice
Gotschall, Ann,
Danek, Lisa Catherine Karam,
Masciangelo, Thomas Nicholas,
Davis, Lisa Renee,
Nguyen, Huyen Thi Bich,
McCormack, Owen Eugene,
Pediatrics
Pham, Khoa Van,
Gray, Karen J.,
Warwick, Eric etw@bcm.edu,
Myers, Delbert Dennis,
Harris County Hospital District People's Healh Center
6630 De Moss Street
Houston, TX 77074
(713) 272-5585
Pham, Cuong Van Phu,
Harris County Hospital District - Casa
De Amigos Health Center
1615 North Main Street
Houston, TX 77009
(713) 236-7185
Family
Practice
Blicharski, Diana B.,
Imperial, Valerie,
Lateef, Misbha S.,
McColloster, Patrick J.,
Quadri, Yasmeen,
Steele, Kenya,
Pediatrics
Buchanan, Katherine B.,
Torres, Roberta W.,
Warren, Marcia,
Harris County Hospital District - El
Franco Lee Health Center
8901 Boone Road
Houston, TX 77099
(281) 454-0519
Internal
Medicine
Singh, Punita,
Torio, Fredrick Uy,
Torio, Rulour,
Pediatrics
Dharia, Ami Desai,
Harris County Hospital District Martin Luther King Health Center
3550 Swingle
Houston, TX 77047
(713) 873-4737
Family
Practice
Akbar, Salma,
Antoine-Taylor, Mercella Patricia,
Ledlie, William Boyer,
Reed, Brian Christopher,
Willis, Samuel Eric,
Geriatric Medicine/Internal
Medicine
Emergency
Medicine
Olear, Margaret Z.,
Family
Practice
Aggarwal, Anjali,
Atwal, Diana Tej,
Buchanan, Jason Nicholas,
Khoury, Soledad Adrogue,
Kim, Karen J.,
Hariharan, Radhika Ramesh,
Lee, Eric T.,
Internal
Medicine
Nulia, Ricardo Ernesto,
Lacour-Chestnut, Frene,
Geriatric Medicine/Internal
Medicine
Lyn-Cook, Richard,
Ali, Afroze,
Manning, Shelley D.,
Internal
Medicine
Wendt, Elaine Anne,
Rheumatology
Afzalpurkar, Rekha,
Luu, Phong The,
Page 315 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Houston
Houston
Houston
Harris County Hospital District People's Healh Center
6630 De Moss Street
Houston, TX 77074
(713) 272-5585
Kelsey-Seybold Clinic West
1111 Augusta Drive
Houston, TX 77057
(713) 442-0000
UT - Family Medicine Associates
6410 Fannin Street, Suite 170
Houston, TX 77030
(832) 325-6503
Pediatrics
Family
Practice
Internal
Medicine
Penmetsa, Santhi,
Pediatric
Endocrinology
Mortazavi-Zarrabi, Maryam,
Pediatrics
Cheng, Le-beng C.,
Khan, Saira,
Harris County Hospital District Thomas Street Health Center
2015 Thomas Street
Houston, TX 77009
(713) 873-4000
Infectious
Disease
Giordano, Thomas,
Jaffe, Penny,
Internal
Medicine
Barnett, Ben J,
Krucke, Gus W,
Serpa-Avarez, Jose Augusto,
Kelsey-Seybold Clinic - Main Campus
2727 West Holcombe
Houston, TX 77025
(713) 442-0000
Family
Practice
Botsford, Lindsay K.,
McAlvey, Merlene,
LivingWell Health Center w/
HealthSpring ΓÇô Houston
1315 St. Joseph Parkway, Suite 1400
Houston, TX 77002
(281) 727-3400
Family
Practice
Adeyinka, Olasunkanmin,
Altman, Michael A,
Fowler, Grant C,
Montalvo chen, Rolf O,
Moreno, Carlos A,
Reddy, Bal,
Garcia, Juan P,
Rianon, Nahid Jamal,
McMorris, Cylde,
Vasudevan, Deepa A,
Internal
Medicine
Humble
Aldinger, Keith A,
Braden, Albert H,
Holmes, Terence S,
Rana, Sanila,
Wills, Patrick W,
Harris County Hospital District - E.A.
Squatty Lyons Health Center
1712 First Street, M-20
Humble, TX 77338
(281) 913-1611
Family
Practice
Northwest Diagnostic Clinic
1140 Cypress Station Dr, Suite 105
Houston, TX 77090
(832) 232-5618
Amina, Shazia,
Family
Practice
Soumahoro, Zainab Hamza,
Nguyen, Giang Le,
Sidhu, Trepanjeet Kaur,
Bal, Hardeep,
General
Practice
Youngblood, Todd J,
Srinivasmurthy, Nagaraja,
Internal
Medicine
Couch, William H,
Fillman, Stephen D,
Kelsey - Seybold Clinic - Humble
8484 Will Clayton Parkway
Humble, TX 77338
(713) 442-0000
Krause, James M,
Family
Practice
Mcneill, Dave E,
Meredith, Sara N.,
Kelsey-Seybold Clinic West
1111 Augusta Drive
Houston, TX 77057
(713) 442-0000
Strickland, Donald W,
Hutto
Sun-Wright, Amie Mao,
Internal
Medicine
Perez-masuelli, Carmen M,
Dell ChildrenΓÇÖs - Circle of Care
Pediatrics at Hutto
123 Ed Schmidt Blvd., Suite 140
Hutto, TX 78634
(877) 800-5722
dela Cruz, Roberto B.,
Elliott, Tricia C,
Rheumatology
Wilson, Leslie E,
Klein, Mervyn,
Pediatrics
Pediatrics
Butler, Kathleen Victoria,
Page 316 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Irving
Irving
Irving
Baylor - HealthTexas Provider
Network - Irving Interfaith Clinic
1711 West Irving Blvd, Suite 115
Irving, TX 75061
Baylor - HealthTexas Provider
Network - North Texas Health Care
Associates - Internal Medicine at
Irving/Coppell
400 West IH 635, Suite 200
Irving, TX 75063
Parkland COPC - Irving
1800 N. Britain Road
Irving, TX 75061
(214) 266-3000
Family
Practice
Dela cruz, Roberto Baylon,
Baylor - HealthTexas Provider
Network - Internal Medicine Associates
of Irving
2021 North MacArthur Blvd., Suite 520
Irving, TX 75061
Internal
Medicine
Abraham, Suma,
Austin, Jeffrey Scott,
Chappell, Tenesha Richole,
Israel, Jr., Robert Warren,
Young, Jr., John David,
Internal
Medicine
Liu, Chun-Tsai,
Wasson, Bryan Lee,
Jacksonville
Medical Clinic of North Texas, P.A. Las Colinas (LC)
6750 N. MacArthur, Suite 350
Irving, TX 75039
(972) 556-1616
Trinity Clinic - Jacksonville
2026 S Jackson
Jacksonville, TX 75766
(903) 586-5678
Family
Practice
So, Ashley U,
Proctor, Matthew Todd,
Internal
Medicine
Weaver, Austin A,
Internal
Medicine
Medical Clinic of North Texas, P.A. MacArthur - (MAC)
6750 North MacArthur Blvd., Bldg. 2,
Suite 150
Irving, TX 75039
(972) 373-0303
Baylor - HealthTexas Provider
Network - North Texas Health Care
Associates - Family Medicine
400 West IH 635, Suite 210
Irving, TX 75063
Carson, Billy D,
Milawski, William,
Demarie, Bryan K,
Browning, Pritha Chitkara,
Family
Practice
Cox, Ralph F,
Baylor - HealthTexas Provider
Network - Irving Coppell Internal
Medicine
400 West IH- 635, Suite 220
Irving, TX 75063
Bashour, Jennifer Min-wen yin,
Family
Practice
Weaver, Craig C,
Hays, Lowell B,
Internal
Medicine
Johnston, Richard C,
Ragland, Jane,
Matthews, Edwin C,
Verhelle, Kendra R,
General
Practice
Vierkant, Matthew A,
Keller
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Keller
601 South Main Street, Suite 200
Keller, TX 76248
McColm, Vincent N,
Family
Practice
Family
Practice
Internal
Medicine
Liu, Kevin,
Cluff, Douglas Millet,
Conoley, Megan J,
Patel, Manish Prahlad,
Havemann, James Frederick,
Rathkamp, Quynh K,
Wander, Jason Fox,
Smith, Trisha Elizebeth,
Pediatrics
Baylor - HealthTexas Provider
Network - North Texas Health Care
Associates - Internal Medicine at
Irving/Coppell
400 West IH 635, Suite 200
Irving, TX 75063
Copeland, Stephanie M,
North Hills Family Medicine - Keller
300 North Rufe Snow Drive
Keller, TX 76248
(817) 431-3800
Internal
Medicine
Jones, Bradley Scott,
Meyer, Carissa S,
Viktorin, Gina M,
Parkland COPC - Irving
1800 N. Britain Road
Irving, TX 75061
(214) 266-3000
Family
Practice
Fuller, Gregory Michael,
Henderson, Pamela M,
Kurz, Michael Wayne,
Page 317 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Keller
Lindale
Mesquite
North Hills Family Medicine - Keller
300 North Rufe Snow Drive
Keller, TX 76248
(817) 431-3800
Trinity Clinic - Lindale
3203 S Main
Lindale, TX 75771
(903) 266-4000
Family
Practice
Family
Practice
Baylor - HealthTexas Provider
Network - Baylor Family Health Cent
at Mesquite
1650 Republic Parkway, Suite 100
Mesquite, TX 75150
Swegler, Erica W,
Bell, Russell S.,
Texas Health Physicians Group- HFHeritage Trace Clinic
3529 Heritage Trace Parkway, Suite 137
Keller, TX 76248
(817) 741-7570
Brooks, Melita L,
Family
Practice
Chacon, Francisco,
Duncan, Tommy Brent,
Physician
Assistant
Garcia, Irasema,
Weaver, Jeremy Blake,
Kilgore
Trinity Clinic - Kilgore
1718 S Henderson
Kilgore, TX 75662
(903) 983-2110
Family
Practice
Fowler, Roger N,
Internal
Medicine
Cynar, Robert G.,
Frye, Laura L,
Garrett, Gary D.,
Meyrat, Eva M,
Mansfield
Miller, Lance J,
Medical Clinic of North Texas, P.A. Mansfield - (MP)
2800 E. Broad, Suite 204
Mansfield, TX 76063
(628) 518-1035
Peterson, Valerie A,
Pediatrics
Phan, Linda K,
Wallace, Erin E,
Texas Health Physicians Group Mansfield Family Clinic
501 East Broad Street
Mansfield, TX 76063-1709
(817) 473-6750
Family
Practice
Langley, Clark,
Ray, Gerald L,
Miller, Mark D,
Wolf, Gary D,
Repasky, James E.,
McKinney
Lake Worth
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
McKinney
2730 Virginia Parkway, Suite 200
McKinney, TX 75071
Family
Practice
Cannaday, Jerry,
Duplechain, Holly Katrina,
Brockway, Jason K,
Medical Clinic of North Texas, P.A. Lake Worth - (LW)
3914 Telephone Road
Lake Worth, TX 76135
(817) 238-0109
Family
Practice
Family
Practice
Tucker, Sharon E.,
Baylor - HealthTexas Provider
Network - Baylor Senior Health
Center - Mesquite
1650 Republic Parkway, Suite 150
Mesquite, TX 75150
Geriatric Medicine/Internal
Medicine
Kotamarti, Aparna Rao,
Internal
Medicine
Edwards, Lewis Todd,
Farnum, Laura Marjorie,
Midlothian
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Midlothian
1441 South Midlothian Parkway, Suite
100
Midlothian, TX 76065
Family
Practice
Coleman, Chad Edward,
Moreland, Matthew C,
Bass, Heather A,
Yeh, Karen P,
Dabelic, Rachael K,
Green, Matthew Nelson,
Lindale
Young, Brett D.,
Internal
Medicine
Trinity Clinic - Lindale
3203 S Main
Lindale, TX 75771
(903) 266-4000
Mesquite
Astbury, Jeffrey Albert,
Nordstrom, Leigh Furr,
Mineola
Page 318 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Mineola
Plano
Plano
Trinity Clinic - Mineola
1302 N Pacific
Mineola, TX 75773
(903) 569-5383
Baylor - HealthTexas Provider
Network - Dallas Diagnostic
Association - Plano
4708 Alliance Blvd., Suite 550 Baylor
Medical Plaza 1
Plano, TX 75093
Medical Clinic of North Texas, P.A. West Plano (WP)
4001 W. 15th Street, Suite 245
Plano, TX 75093
(972) 596-5222
Family
Practice
Internal
Medicine
Cargill, Calvin L,
Internal
Medicine
Gully, Kyle L,
Chapman, James B,
North Richland Hills
Chen, Richard C.,
North Hills Family Medicine
4351 Booth Calloway Road, Suite 101
North Richland Hills, TX 76180
(817) 431-3800
Duong, Trung Cong,
Family
Practice
Krisik, Linda S,
Gabriel, John D,
Long, Carl Thomas,
Internal
Medicine
Lambert, Joseph O,
Mcafee, Mildred A.,
Shore, Kenneth A,
Pasadena
Melton, Jack Forrest,
Torres, Louis A,
Harris County Hospital District Strawberry Health Center
927 East Shaw
Pasadena, TX 77506
(713) 636-7192
Mitlyng, James Allan,
THPG - AIM for Wellness
2100 Hedgcoxe Drive, Suite 100
Plano, TX 75025
Family
Practice
Sample, Joseph Herman,
Clark, Dana,
Dutta, Puja M,
Okoh, Jennifer,
Shetty, Shubha,
Truong, Hong,
Internal
Medicine
Porter, Thomas,
Plano
Baylor - HealthTexas Provider
Network - Dallas Diagnostic
Association - Plano
4708 Alliance Blvd., Suite 550 Baylor
Medical Plaza 1
Plano, TX 75093
Geriatric Medicine/Family
Practice
Haq, Mahenaaz,
Studley, Jill Louise,
Godsey, Kenneth Basil,
Hill, Francis Gordon,
Kuo, Christina Jean,
Molen, Kyle Derrick,
Namburi, Swati,
Ramirez, Kenda L,
Samsula, Aaron Lee,
Harris, Carolyn A,
Tran, Khang N,
Wittenberg, John F,
North Plano Internal Medicine
5501 Independence Parkway, Suite 11
Suite 110
Plano, TX 75023
(972) 596-1747
Family
Practice
Minigutti, Andrew P,
Stack, Peter Steven,
Internal
Medicine
Stewart, Carlyle Anderson,
Anthony, Paul,
Waldo, Rick Talley,
Berg, Stephanie M,
Zimmer, Jennifer Knaak,
THPG- Inova Family Physicians
2100 Hedgcoxe Drive, Suite 120
Plano, TX 75025
(972) 769-8443
Medical Clinic of North Texas, P.A. Legacy Plano - (LY)
6501 Legacy Drive, Mailstop 96
Plano, TX 75024
(972) 431-2345
Family
Practice
Dejecacion, Jodie P,
Medical Clinic of North Texas, P.A. West Plano (WP)
4001 W. 15th Street, Suite 245
Plano, TX 75093
(972) 596-5222
Internal
Medicine
Graham, Robert L,
Family
Practice
Hinton, III, James H,
Kumar, Ansuya S,
Yeagley, Susanne Carol,
Village Health Partners
5425 W. Spring Creek Pkwy., Suite 20
Plano, TX 75024
(972) 599-6600
Family
Practice
Albracht, Jamison M.,
Page 319 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Plano
Richardson
Round Rock
Village Health Partners
5425 W. Spring Creek Pkwy., Suite 200
Plano, TX 75024
(972) 599-6600
Baylor - HealthTexas Provider
Network - Baylor Family Health Center
at Richardson
2520 North Central Expressway, Suite
100
Richardson, TX 75080
Lone Star Circle of Care - Round Roc
Health Clinic
2120 North Mays, Suite 430
Round Rock, TX 78664
(877) 800-5722
Ampaiwala, Madhavi,
Family
Practice
Pankratz, Natacha Rheem,
Crow, Christopher C.,
Bhat, Shubha P,
Pankratz, Natacha Rheem,
Garduno, Jr., Abel,
Bindra, Amby Jeet,
Turner, Tiffany John'nie,
Gothard, Sander J.,
Bradford, Katrina Marie,
Saginaw
Moon, III, John,
Halbrook, Linda Shelton,
Timm, Elaine C.,
Sharp, Carey B,
Weyenberg, Matthew G.,
Round Rock
Medical Clinic of North Texas, P.A. Saginaw Family Medicine - (SAG)
833 Towne Court
Saginaw, TX 76179-1280
Port Arthur
Lone Star Circle of Care - Family
Medicine at Texas A&M Health Science
3950 N. A.W. Grimes Blvd.
Round Rock, TX 78665
(877) 800-5722
Family
Practice
Health by Design- Valero Port Arthur
Wellness Center
1801 S Gulfway
Port Arthur, TX 77640
(409) 985-1819
Family
Practice
Family
Practice
McLemore, Christine Marie,
Bowling, Robert Lee,
Moeller, Erica,
Quitman
Internal
Medicine
Trinity Clinic - Quitman
117 N Winnsboro
Quitman, TX 75783
(903) 763-5402
Family
Practice
Dopson, James D,
Hicks, Norman P,
Red Oak
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Red Oak
301 East Ovilla Road, Suite 100
Red Oak, TX 75154
Family
Practice
Hollub, Alexander Joseph,
Thomison, II, James Lee,
Pediatrics
Family
Practice
Godfrey, Mark A,
Jones, Christiana N,
San Antonio
CHRISTUS Santa Rosa Family Health
Center
333 N. Santa Rosa St., 4th Floor
San Antonio, TX 78207
(210) 704-4140
Dasgupta, Nilanjana,
Family
Practice
Nurse
Practitioner
Ballesteros, Maria D,
Culpepper, Carrie A.,
Haynes, Susan Camille,
Zaitchik, Jesse R.,
Pediatrics
Bhatti, Meenu Singh,
Marroquin, Jaclyn Teresa,
Pautler, Denise Lea,
Shah, Amy Hasmukh,
Lone Star Circle of Care - Round Rock
Health Clinic
2120 North Mays, Suite 430
Round Rock, TX 78664
(877) 800-5722
Internal
Medicine
Pediatrics
Nordstrom, Jason Roy,
Bacares, Edgar,
Criscuolo higgins, Christine D,
Escobar, Veronica,
Gonzalez, Annika Marie,
Karrh, Larry R,
Martin, James C,
Norris, Simone L,
Ortiz, David Dionisio,
Patteson, Pat Keith,
Summers, Ashley Victoria,
Thames, Todd A,
Nurse,
Registered
Gill, Esmeralda,
Seguin
Bacares, Edgar,
Richardson
Page 320 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Seguin
Sugar Land
Temple
Cornerstone Pediatrics, PA
1339 E. Court Street, Suite 210
Seguin, TX 78155
(830) 433-4009
Memorial Family Medicine Residency/
Physicians at Sugar Creek
14023 Southwest Freeway
Sugar Land, TX 77478
(281) 325-4100
Lone Star Circle of Care - Lone Star
Circle of Care at Santa Fe
600 S. 25th Street
Temple, TX 76504
(512) 686-0207
Family
Practice
Family
Practice
Cazares, James,
Hong, May,
Chang, Terence M,
Nurse
Practitioner
Pediatrics
Stephens, Robert P.,
Southlake
Baylor - HealthTexas Provider
Network - Southlake Family Medicine
731 East Southlake Blvd., Suite 100
Southlake, TX 76092
Family
Practice
Kindrick, Stephen Dwayne,
Morrison, Steven M,
Ries, Penelope A,
Rumalla, Smita Kasat,
Stroud, Joyce L,
General
Practice
O'brien-su, Eileen M.,
Internal
Medicine
Coate, Dallas E,
Crouch, Michael Avery,
Do, Victoria Tu,
Duarte, Maria Carmen,
Tyler
Howard III, Percy,
Trinity Clinic - Childrens
305 West Rusk
Tyler, TX 75701
(954) 592-7304
Moquist, Dale C,
Pediatrics
Moscoso, Wilson,
Castle, Krystal Leigh,
Wang, Samuel C,
Hawkins, Mary Katherine,
Obstetrics &
Gynecology
Pitts, Paul W.,
Fiesinger, Troy T,
Gossard, Geraldine C,
Locus, Paul A,
Sulphur Springs
Steeger, Jennifer A.,
Trinity Clinic - Douglas
520 E Douglas
Tyler, TX 75702
(903) 593-1721
Hatcher, Stacey L,
Trinity Clinic - Sulphur Springs
113 Airport Road, Suite 1301
Sulphur Springs, TX 75482
(903) 439-3285
Lieving, Loree J,
Pediatrics
Allen, Barbara L,
Schorn, Keith A,
Conner, Todd S.,
Cushman, Kenneth D.,
Sugar Land
Taylor
Esfandiari, Neda,
Kelsey - Seybold Clinic Ft. Bend
11555 University Boulevard
Sugar Land, TX 77478
(713) 442-0000
Lone Star Circle of Care - LSCC
Health Center at Taylor
305a Mallard Lane
Taylor, TX 76574
(512) 686-0207
Hickman, Willet J.,
Family
Practice
Scroggins, John W,
Fonte, Hiyas Dungo,
Harder, Gerald J,
Internal
Medicine
Stasicha, Thomas,
Memorial Family Medicine Residency/
Physicians at Sugar Creek
14023 Southwest Freeway
Sugar Land, TX 77478
(281) 325-4100
Family
Practice
Bauer, David W,
Ghaffar, Anila,
Temple
Lone Star Circle of Care - Lone Star
Circle of Care at Santa Fe
600 S. 25th Street
Temple, TX 76504
(512) 686-0207
Family
Practice
Hosch, Amy J.,
Hwang, Julia D,
Mullins, Ryan D,
Smith, Sally L,
Wadle, Roy B,
Wilson, Oscar R,
Zeorlin, Anne M,
Internal
Medicine
Anderson, Richard A,
Beaird, David H,
Page 321 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Texas
Texas
Texas
Tyler
Waxahachie
Willow Park
Trinity Clinic - Douglas
520 E Douglas
Tyler, TX 75702
(903) 593-1721
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Waxahachie
505 North Highway 77, Suite 200
Waxahachie, TX 75165
Texas Health Physicians Group Medical Associates at Willow Park
132 El Chico Trail
Willow Park, TX 76087
(817) 441-9252
Family
Practice
Family
Practice
Linguist, David Lane,
Stine, Matthew Gorman,
Southerland, Natalia J,
Winnsboro
Keuer, Steven P,
Internal
Medicine
Olsen, Lloyd M,
Bousquet, John Alphonse,
Ridenour, Lee H,
Brady, Yolanda Cowley,
Trinity Clinic - Winnsboro
719 W Coke Rd
Winnsboro, TX 75494
(903) 342-3760
Stanford, James N,
Joslin, Eddie Ray,
Stovall, James G.,
Ledbetter, Thomas Glenn,
Internal
Medicine
Bryant, Kimberley B,
Cardinalli-Stein, Andria,
Coltman, Douglas C.,
Trinity Clinic - Manhatton
3802 Manhatton
Tyler, TX 75701
(903) 509-8888
Family
Practice
Knarr, Donald R,
Powell, Patti Gilbert,
Weatherford
MedPeds Medical Clinic
2111 Ft Worth Highway
Weatherford, TX 76086
(817) 596-3700
Family
Practice
Wilson, Jennifer M,
Internal
Medicine
Petty, Jared B.,
Wylie
Baylor - HealthTexas Provider
Network - Baylor Family Medicine at
Wylie
600 Cooper Drive, Suite 100
Wylie, TX 75098
Lively, James A,
General
Practice
Lowery, Bryan M,
Khan, Nusrat Ali,
Smith, Eric R,
Weslaco
Trinity Clinic - Pediatrics (Turtle
Creek)
706 Turtle Creek
Tyler, TX 75701
(903) 595-3942
Weslaco Medical Clinic
906 S. Bridge
Weslaco, TX 78596-7129
(956) 447-8600
Pediatrics
Internal
Medicine
Utah
Penalo, Pedro J,
Park City
Barret, Mark M.,
Calvert, Jennifer L.,
Everett, Harold U.,
Hargrove, Thomas A.,
Osteen, David C.,
Rogers, J. Rick,
Starr, Amy M.,
Wick, Melanie P.,
Waxahachie
Baylor - HealthTexas Provider
Network - Baylor Family Medical
Center at Waxahachie
505 North Highway 77, Suite 200
Waxahachie, TX 75165
Whitehouse
Trinity Clinic - Whitehouse
601 N Hwy 110, Bay O
Whitehouse, TX 75791
(903) 839-2585
Family
Practice
Caudill, Travis M.,
Mercer< Jr., John Wesley,
Patterson, Tena P,
Kim E. Scott, M.D
1790 Sun Peak Dr., Suite A101
Park City, UT 84098
(435) 645-0800
Family
Practice
Family
Practice
VanLeuven, Sandra,
Gerdes, Melissa S,
Internal
Medicine
Hurley, Janet L.,
Mullins, Amy L,
Willow Park
Scott, Kim Ellen,
Vermont
Alburg
Page 322 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Alburg
Barton
Bennington
Northern Tier Center for Health Alburg Health Center
8 Industrial Park Road
Alburg, VT 05440
(802) 796-4414
Barton Clinic
488 Elm Street
Barton, VT 05822
(802) 525-3539
Mt. Anthony Primary Care
655 Main Street
Bennington, VT 05201
(802) 447-2343
Nurse
Practitioner
Family
Practice
Pelletier, Rachael R,
King, J. Gregory,
Bellows Falls
Berlin
Springfield Medical Care Systems Rockingham Medical Group
1 Hospital Court
Bellows Falls, VT 05156-1489
(802) 463-9000
Central Vermont Medical Center,
Medical Groups - Central Vermont
Primary Care
246 Granger Rd, Suite 2
Berlin, VT 05602
General
Practice
Family
Practice
Family
Practice
Clay, Gary A,
Brock, Joseph,
Curchin, Thomas,
Internal
Medicine
Internal
Medicine
Leppman, John A,
Robinson, Robert,
Pediatrics
Central Vermont Medical Center,
Medical Groups - MountainView
Medical
Central Vermont Physicians Building
B, 195 Hospital Loop, Suite 3
Berlin, VT 05602
(802) 225-5400
Physician
Assistant
Walker, Martha,
Barre
Central Vermont Medical Center,
Medical Groups - Associates in Family
Health
82 East View Lane, Suite 3
Barre, VT 05641
(802) 371-4844
Patti, Lucy,
Starr, Bram,
Central Vermont Medical Center,
Medical Groups - Barre Internal
Medicine
225 South Main Street
Barre, VT 05641
(802) 479-3302
Internal
Medicine
Carr, Priscilla W,
Felsted, Laura Allen,
Gleiner, J. Arthur,
Gifford Health Center at Berlin
82 East View Lane
Barre, VT 05641-5713
(802) 229-2325
Hall, Eliot R,
Physician
Assistant
Houghton, Jody P,
Bennington
Eric S. Seyferth, MD
140 Hospital Drive, Suite 310
Bennington, VT 05201-5018
(802) 442-7855
Internal
Medicine
Seyferth, Eric S,
Gaidys, William G,
Green Mountain Pediatrics, PC
901 Main Street, Suite 1
Bennington, VT 05201
(802) 442-6057
Jewett, Elizabeth H.,
Pediatrics
Barton
Orton, Judy Kay,
Pediatrics
Barton Clinic
488 Elm Street
Barton, VT 05822
(802) 525-3539
Family
Practice
Bourgeois, David,
Mt. Anthony Primary Care
655 Main Street
Bennington, VT 05201
(802) 447-2343
Internal
Medicine
Belanger, Nicole J,
Dale, Peter A,
Hart, Marilyn J,
Fletcher Allen Health Care - Berlin
Family Health
130 Fisher Road, suite 3-1
Berlin, VT 05602
(802) 225-7000
Family
Practice
Burdick, Timothy E,
Jensen, Kristopher L,
Kowalski, Lise S,
Stafford, Dale D,
Williams, Stuart E,
Family
Practice
Nurse
Practitioner
Dranginis, Therese E,
Puglisi, Maria K,
Page 323 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Berlin
Bomoseen
Brattleboro
Fletcher Allen Health Care - Berlin
Family Health
130 Fisher Road, suite 3-1
Berlin, VT 05602
(802) 225-7000
Community Health Centers of the
Rutland Region-Castleton Family
Health Center
275 Route 30N
Bomoseen, VT 05732
(802) 468-5641
Brattleboro Primary Care
21 Belmont Ave.
Brattleboro, VT 05301
(802) 258-3905
Physician
Assistant
Davidson, Robert R,
Bethel
Bethel Health Center
1823 VT Rte. 107
Bethel, VT 05032
(802) 234-9913
Family
Practice
Cantlin, Terry W.,
Seymour, Mark G.,
Nurse
Practitioner
Internal
Medicine
Mehl-madrona, Lewis E,
Berryhill, Bradley A,
Internal
Medicine
Pediatrics
Bauzo, Luis A,
Bradford
Upper Valley Pediatrics
331 Upper Plain
Bradford, VT 05033
(802) 222-4722
Nurse
Practitioner
Estrada, Katherine,
Brown, Sheri A,
Farrell, Susan Ann,
Physician
Assistant
Foote, Nancy Ryan,
Gerdes, Tammy Michelle,
Bomoseen
Community Health Centers of the
Rutland Region-Castleton Family
Health Center
275 Route 30N
Bomoseen, VT 05732
(802) 468-5641
Family
Practice
Diercksen, Hans Peter,
Foster, Julie A,
Jordan, James Lewis,
Kornbluth, Stephen S,
Pediatrics
Seaver, Brianna L.,
Pediatrics
Felix, Robert L,
Haydock, Anne H,
Richards, Elizabeth Martin,
Windham Family Practice
21 Belmont Ave., Suite 2
Brattleboro, VT 05301
(802) 275-3609
Yukica, Rebecca Leigh,
Foote, Peter,
Yukica, Rebecca Leigh,
Bristol
Brandon
Bristol Internal Medicine
6 Park Place
Bristol, VT 05443-1229
(802) 453-7422
Community Health Centers of the
Rutland Region-Brandon Medical
Center
420 Grove St.
Brandon, VT 05733
(802) 247-6305
Family
Practice
Fjeld, George C,
Rosmus, Stephen M,
Dick, John F,
General
Practice
Brattleboro
Stall, Jeffrey R.,
Nurse
Practitioner
Family
Practice
Internal
Medicine
Infectious
Disease
Damasco, Remeline C,
Harris, Mark Steven,
Mueller, Mark A,
Ellwood, Judith,
Family
Practice
Brattleboro Primary Care
21 Belmont Ave.
Brattleboro, VT 05301
(802) 258-3905
Family
Practice
Nurse
Practitioner
Lewis, Patricia,
Burlington
ChristopherJ. Hebert, PC
28 South Williams Street
Burlington, VT 05401-3486
(802) 864-0677
Internal
Medicine
Hebert, Christopher J,
Community Health Centers of
Burlington, Inc.
617 Riverside Avenue
Burlington, VT 05401
(802) 864-6309
Page 324 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Burlington
Burlington
Chester
Community Health Centers of
Burlington, Inc.
617 Riverside Avenue
Burlington, VT 05401
(802) 864-6309
Hagan,Rinehart &Connolly
Pediatricians
410 Shelburne Road
Burlington, VT 05401
(802) 860-1928
Springfield Medical Care Systems Chester Family Medicine
Route 11 Main Street
Chester, VT 05143
(802) 875-2546
Emergency
Medicine
Nurse
Practitioner
Family
Practice
Adams, David Scott,
Lisak, Maryann,
Schwartz, Robert J,
Family
Practice
Pediatrics
Schwartz, Robert J,
Hagan, Joseph Francis,
Colchester
Rinehart, Jill Stuart,
Fletcher Allen Health Care - Colcheste
Family Practice
883 Blakely Road
Colchester, VT 05446
(802) 847-2055
Wen, Audrey C.,
Internal
Medicine
Saal, Andrew,
Physician
Assistant
Russell, Margaret,
Urology
Inker, Rachel H,
Dr. Eugene F. Moore
28 South Williams Street
Burlington, VT 05401
(802) 864-7080
Internal
Medicine
Moore, Eugene F,
Fletcher Allen Health Care - Given
Burlington Health Care Center
1 South Prospect Street
Burlington, VT 05401
(802) 847-4531
Internal
Medicine
Berger, Claudia,
Timber Lane Pediatrics - North
1127 North Avenue, PO Box 3057
Burlington, VT 05408
Pediatrics
Aronzon, Denise B,
Family
Practice
Aronzon, Denise B,
Burdick, Kristin Oberg,
Perron, Michelle Leigh,
Fraser, Candace L,
Veit, Alicia Jean,
Jacobs, Alicia A,
Vermont Internal Medicine
1205 North Ave.
Burlington, VT 05408
(802) 860-3934
Kehoe, Stephanie S,
Internal
Medicine
Ramsay, Allan M,
Brandes, Melissa K,
Landry, Francis J,
Nurse
Practitioner
Wright, John M,
Hunt, Joanne E,
Chelsea
Physician
Assistant
Chelsea Health Center
356 VT Rte. 110
Chelsea, VT 05038
(802) 685-4400
Koutras, Anya S,
Peterson, Thomas C,
Sproul, Marga S,
Thompson, Deborah J,
Concord
Littenberg, Benjamin,
Family
Practice
Luria, Scott,
Sargent, Brian,
Concord Health Center
U.S. Route 2, P.O. Box 355
Concord, VT 05824
(802) 695-2512
Miller, John H,
General
Practice
Counselor,
Professional
Kiess, Robert C,
Ready, Mary O,
Physician
Assistant
Ready, Mary O,
Sobel, Halle G,
Nurse
Practitioner
Strong, Starr M,
Family
Practice
Chester
Berrian, Sarah M.,
Clough, Jaina,
Pasanen, Mark Eliot,
Pinckney, Richard G,
Mikula, Gabrielle Helen,
Niquette, Tracey,
Nurse
Practitioner
Page 325 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Concord
Enosburg Falls
Island Pond
Concord Health Center
U.S. Route 2, P.O. Box 355
Concord, VT 05824
(802) 695-2512
Cold Hollow Family Practice
84 Water Tower Road, Suite 1
Enosburg Falls, VT 05450-6097
(802) 933-6664
Nurse
Practitioner
Nurse
Practitioner
Northern Counties Health Care,
Inc./Island Pond Health Center
82 Maple Street
Island Pond, VT 05846-0425
(802) 748-4540
Taney, Susan G.,
Mcmorrow, Lynn Bennett,
Danville
Essex Junction
Danville Health Center
26 Cedar Lane, P.O. Box 185
Danville, VT 05828
(802) 748-9405
Fletcher Allen Health Care - Given
Essex Health Care Center
87 Main Street
Essex Junction, VT 05452
(802) 847-8354
Family
Practice
Fine, Sharon D.,
Fine, Sharon D.,
Internal
Medicine
Tanner, Timothy H.,
Tanner, Timothy H.,
Nurse
Practitioner
Family
Practice
Haddock, Diane,
Internal
Medicine
Bertsch, Tania Fernandez,
King, Patricia,
Levine, Mark,
Maclean, Charles D,
Hess, Mariel K.,
O'brien, Roberta Pauline,
Physician
Assistant
Physician
Assistant
Langmaid, Jeniane R,
Bushweller, Sarah H,
Enosburg
Hardwick
Northern Tier Center for Health Enosburg Health Center
44 Center Street (moving to: 382 Main
Street 03/2012)
Enosburg, VT 05450
(802) 933-5831
Northern Counties Health Care,
Inc./Hardwick Area Health Center
4 Slapp Hill
Hardwick, VT 05843-0535
(802) 478-4540
Nurse
Practitioner
Towle, Karen,
Family
Practice
Internal
Medicine
Primeau, Robert E,
Ludlow
Springfield Medical Care Systems Ludlow Health Center
1 Elm Street
Ludlow, VT 05156-1301
(802) 228-8867
Family
Practice
Beehler, II, Cecil C,
Nurse
Practitioner
Brown, Patricia L,
Physician
Assistant
Sacripante, Justin Henry,
Williams, Forrest E,
Lyndonville
Corner Medical
195 Industrial Parkway, P.O. Box 83
Lyndonville, VT 05851
(802) 748-7590
Family
Practice
Dobbertin, Joyce M.,
Gresser, Susan L.,
Hebert, Albert G.,
Lichtenstein, Mark D,
Scott, John G.,
Morgan, Sarah E,
Simon, Miriam I.,
Physician
Assistant
Sher, Peter M,
Thompson, III, Lloyd L,
Fowler, James D,
Internal
Medicine
General
Practice
Buckley, Brendan N,
Broderick, Thomas F.,
Nurse
Practitioner
Internal
Medicine
Calderwood, Maria T,
Erisman, Susan P.,
Island Pond
Manchester
Enosburg Falls
Cold Hollow Family Practice
84 Water Tower Road, Suite 1
Enosburg Falls, VT 05450-6097
(802) 933-6664
Nurse
Practitioner
Page 326 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Manchester
Middlebury
Milton
Southwestern Vermont Medical Center
(SVMC) - Northshire Medical Center
5957 Main Street, Rte 7A North
Manchester, VT 05255
(802) 464-5311
Middlebury Family Health
44 Collins Drive, Suite 201
Middlebury, VT 05753
(802) 388-1500
Milton Family Practice
28 Centre Drive
Milton, VT 05468
(802) 847-4322
Family
Practice
Family
Practice
Doherty-Fuller, Eileen,
Ferguson, John C.,
Klitzner, Dayle,
Gibson, Melissa G.,
Larson, Linn,
Hageman, Kimberly A.,
Middlebury Pediatric and Adolescent
Medicine
1330 Exchange Street
Middlebury, VT 05753
(802) 388-7959
King, John G.,
Pediatric Infectious
Disease
Montpelier
Family
Practice
Jager, Natacha I,
Samuelson, Joshua C,
Schwartz, Robert M,
Schwartz, Robert M,
Manchester Center
Keith Michl MD Internal Medicine
7252 Main St, PO Box 1431
Manchester Center, VT 05255
(802) 362-9031
Internal
Medicine
Luginbuhl, Lynn M,
Pediatrics
Michl, Keith W.,
Earle, Jr., Morris,
Middlebury
Mills, Pauline,
Addison Family Medicine
82 Catamount Park
Middlebury, VT 05753-1292
(802) 388-7185
Seaton, Michael David,
Family
Practice
Porter Internal Medicine
116 Porter Drive
Middlebury, VT 05753
(802) 388-8805
Bazel, Sepinoud,
Internal
Medicine
Graham, Michael Steven,
Armstrong, Bradford,
Rouse, Jessica Alice,
Hodde, Naomi Moskowitz,
Zimmermann, Maja,
Nurse
Practitioner
Nurse
Practitioner
Parker, Alison,
Physician
Assistant
Beauregard, Thomas E,
Wilkinson, Laura,
Rainbow Pediatrics
44 Collins Drive, Suite 202
Middlebury, VT 05753-8502
(802) 388-1338
Little, David N.,
Rodgers, Kevin A.,
Schneider, Elizabeth,
Central Vermont Medical Center,
Medical Groups - Montpelier
Integrative Family Health
156 Main Street
Montpelier, VT 05602
(802) 223-4738
Family
Practice
Carlson, Rima Beth,
Eckhaus, Jeremiah M,
Laffal, Paul D,
Morrisville
Morrisville Family Health Center
607 Washington hwy
Morrisville, VT 05661
(802) 888-5639
Cardiology
Coddaire, David,
Family
Practice
Bruno, Kimberly,
Nurse
Practitioner
Kiely, Philip,
Radiology
Smith, Scott D,
Young, Lauren Elizabeth,
Newport
Pediatrics
Community Medical Associates
186 Medical Village Drive, Suite 2
Newport, VT 05855
(802) 334-3210
Middlebury Family Health
44 Collins Drive, Suite 201
Middlebury, VT 05753
(802) 388-1500
Family
Practice
Kiernan, Tawnya B.,
Mayer, Jack Lawrence,
Mcintosh, Kate Helen,
Milton
Roy, David,
Internal
Medicine
Andersson-swayze, Jean,
Page 327 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Newport
Northfield
Randolph
Community Medical Associates
186 Medical Village Drive, Suite 2
Newport, VT 05855
(802) 334-3210
Central Vermont Medical Center,
Medical Groups - Green Mountain
Family Practice
63 Crescent Avenue
Northfield, VT 05663
(802) 485-4161
Gifford Primary Care
44 South Main St
Randolph, VT 05060
(802) 728-7000
Internal
Medicine
Harris, Peter,
Provato, Frank Leonard,
Rickman, Christopher E,
Trembley, Robert A,
Nurse
Practitioner
Carr, Rory O,
Hartman, Elizabeth H,
Physician
Assistant
Calobrisi, Vivian M,
Family Practice of Newport
186 Medical Village Dr., Suite One
Newport, VT 05855
(802) 334-3210
Family
Practice
Crowley, Kevin D,
Davies, Sarah Lynn,
Sullivan, Craig D,
Orleans
Orleans Family Medicine
30 East Street
Orleans, VT 05860
(802) 754-2220
Family
Practice
Bourgeois, David,
General
Practice
Pattison, David G,
Infectious
Disease
Currie, James Byron,
Internal
Medicine
Fowler, Milton G.,
O'Brien, Megan L,
Dennis, Susan V,
Nurse
Practitioner
Goulding, Jonna C,
Nurse
Practitioner
Arban, William J,
Lippmann, John A,
Coxon, Marcus H,
Nurse
Practitioner
Aldrich, Christie Judd,
Holcomb, James,
Borie, Kenneth G,
Garrigan, Megan,
Family
Practice
Disanto, Rachel Beth,
Family
Practice
Pelletier, Rachael R,
Physician
Assistant
Heaney, Patrick,
Plainfield
Pediatrics
Dinicola, Louis A.,
Pelletier, Joseph C,
Physician
Assistant
Kearney, Patrick Cornelius,
Richford
The Health Center
157 Towne Avenue, P. O. Box 320
Plainfield, VT 05667
(802) 454-8336
Northern Tier Center for Health Richford Health Center
44 Main Street, Suite 200
Richford, VT 05476
(802) 255-5565
Family
Practice
Family
Practice
Nurse,
Registered
Bisson, Linda,
Lavallee, Erick Jp,
Crose, Ruth,
Fort, Cynthia L,
Nurse
Practitioner
Pediatrics
Internal
Medicine
Bannach, Alexandra,
Matthew, John,
Moseley, Thomas A.E.,
Randolph
Northfield
Gifford Primary Care
44 South Main St
Randolph, VT 05060
(802) 728-7000
Chasse, Linda,
Newport Pediatrics and Adolescent
Medicine
121 Medical Dr
Newport, VT 05855
(802) 334-5929
Purdell, Jenna,
Physician
Assistant
Bisson, Rosaire W,
Rochester
Page 328 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
Rochester
So. Burlington
St Albans
Rochester Health Center
235 South Main St.
Rochester, VT 05767
(802) 767-3704
Timber Lane Pediatrics - South
51 Timber Lane
So. Burlington, VT 05403
(802) 864-0521
Mara Vijups, M.D., P.C.
10 Crest Road
St Albans, VT 05478
(802) 524-6333
Internal
Medicine
Physician
Assistant
Family
Practice
Jewett, Mark D.,
Billings Margulius, Katharine,
Vijups, Mara V,
Rutland
South Burlington
Community Health Centers of the
Rutland Region-Common's Street
Health Center
4 Commons Street
Rutland, VT 05701
(802) 773-1321
Fletcher Allen Health Care - South
Burlington Family Practice
1775 Williston Road
South Burlington, VT 05403
(802) 847-8500
St. Albans Primary Care
9 Crest Road
St Albans, VT 05478
(802) 527-0753
Family
Practice
Kingsbauer, Matthew B,
Community Health Centers of the
Rutland Region-Rutland Community
Health Center
215 Stratton Rd.
Rutland, VT 05701
(802) 773-3386
Family
Practice
Family
Practice
Bolduc, Allyson M,
Burke, Karen H,
Calkins, Whitney,
Lisle, David,
Luebbers, Robert A,
Mccray, Laura Wright,
Sirois, Micheal R,
Slimovitch, Caroline L,
Baker, Richard Carelton,
Ward, Norman S,
Hill, Linda J,
Physician
Assistant
Messier, Mark Norman,
Internal
Medicine
Lovko, T Ray,
Physician
Assistant
Thornton, Patty Anne,
So. Burlington
Timber Lane Pediatrics - South
51 Timber Lane
So. Burlington, VT 05403
(802) 864-0521
Pediatrics
Fiorenza, Monica Claire,
Pelkey, Anne M,
GoodHealth, PC
368 Dorset Street, Suite 1
South Burlington, VT 05403
(802) 860-1441
Family
Practice
Pitcher, Mark Andrew,
Internal
Medicine
Baad, Stephen,
Gunther, Peter Guy Stapleton,
St Albans
Quayle, Sara Avery,
Mara Vijups, M.D., P.C.
10 Crest Road
St Albans, VT 05478
(802) 524-6333
Physician
Assistant
Family
Practice
Hunt, Elizabeth Ann,
Kennedy, Barbara Castle,
Family
Practice
Manchester, Stewart,
Nielsen, Terri Thomas,
Sadkin, Toby Renee,
St Johnsbury
St. Johnsbury Pediatrics
97 Sherman Dr
St Johnsbury, VT 05819
(802) 748-5131
General
Practice
Bixby, Debra J,
Nurse
Practitioner
Manns, Kathleen,
Pediatrics
Kantrowitz, Joshua David,
Patno, Karyn Marie,
Price, Mark John,
Stasny, Elaine V,
St. Albans
Northern Tier Center for Health - St.
Albans Heatlh Center
48 Lower Newton Road
St. Albans, VT 05478
(802) 524-4554
Internal
Medicine
Pedersen, Pamela Carol,
Physician
Assistant
Bondesen, Autumn,
Page 329 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Vermont
St. Johnsbury
Swanton
Waterbury
Caledonia Internal Medicine
185 Sherman Avenue, Suite 2
St. Johnsbury, VT 05819
(802) 748-5174
Northern Tier Center for Health Swanton Health Center
45 Church Street
Swanton, VT 05488
(802) 868-2454
Central Vermont Medical Center,
Medical Groups - Waterbury Medical
Associates
130 South Main St
Waterbury, VT 05676
(802) 244-7874
Internal
Medicine
Lee, Claudia E,
Meierdiercks, Frank J,
Ziobrowski, Thomas F,
Physician
Assistant
Robinson, Elaine L,
St. Johnsbury Family Health Center
185 Sherman Drive, Suite 1
St. Johnsbury, VT 05819
(802) 748-5041
Family
Practice
Physician
Assistant
Wells, Roy Franklin,
Vergennes
Little City Family Practice
10 North Street
Vergennes, VT 05491
(802) 877-3466
Cove, William,
Community Health Centers of the
Rutland Region-Mettowee Valley
Family Health Center
278 Route 149
West Pawlet, VT 05775
(802) 645-0580
Bicknell, Timothy D,
Holmes, Lewis B,
General
Practice
Stowe
Internal
Medicine
Adams, Rebecca H.,
Kraus, Dana C.,
Brodzinski, Carey J.,
Payne, Christine,
Gelbstein, Jennifer,
Towle, Mattie Elizabeth,
Besch, Cathleen W.,
Burgoyne, Richard,
Family
Practice
Ajamie, John M.,
Nurse
Practitioner
Family
Practice
Bicknell, Donald S,
Nurse
Practitioner
Bland, Christin,
West Pawlet
Family
Practice
Beckler, Carl E,
Kilpatrick, Brian N,
Williston
Stowe Family Practice
1878 Mountain Road
Stowe, VT 05672
(802) 253-4601
Physician
Assistant
Family
Practice
Central Vermont Medical Center,
Medical Groups - Mad River Family
Practice
859 Old County Road
Waitsfield, VT 05673
(802) 496-3838
Internal
Medicine
General
Practice
Wilmington
Bisbee, David,
Keith, Patrick,
Marvin, Katherine,
Volansky, Melissa,
Swanton
Northern Tier Center for Health Swanton Health Center
45 Church Street
Swanton, VT 05488
(802) 868-2454
Internal
Medicine
Zelazo, Robert,
Collette, Maria Lee,
Waitsfield
Cook, Francis W,
Waterbury
Central Vermont Medical Center,
Medical Groups - Waterbury Medical
Associates
130 South Main St
Waterbury, VT 05676
(802) 244-7874
Given Williston Primary Care Practic
353 Blair Park Road
Williston, VT 05495
(802) 847-7147
Klikunas, Marvin,
Miller, Lucy,
Plante, Dennis,
Southwestern Vermont Medical Cente
(SVMC) - Deerfield Valley Campus
30 Route 100 South
Wilmington, VT 05363
(802) 464-5311
Family
Practice
Kurak, Kim E,
Park, Peter C,
Tarnas, Robert H,
Page 330 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Vermont
Vermont
Virginia
Wilmington
Woodstock
Ashburn
Southwestern Vermont Medical Center
(SVMC) - Deerfield Valley Campus
30 Route 100 South
Wilmington, VT 05363
(802) 464-5311
Ottauquechee Health Center
32 Pleasant St.
Woodstock, VT 05091
(802) 457-3030
Fairfax Family Practice - Broadland
Family Practice
20905 Professional Plaza, Suite 330
Ashburn, VA 20147
(703) 726-0003
Internal
Medicine
Masley, Barbara M,
Windsor
Mt. Ascutney Hospital and Health
Center
289 County Rd.
Windsor, VT 05089
(802) 674-7224
Internal
Medicine
Smith, Steven Bradbury,
Pediatrics
Kilcullen, Michael John,
Virginia
Alexandria
Family
Practice
Cohn, Jeffrey A.,
Wilder, Jennifer S.,
Aylett
Bon Secours Medical Group Aylett
Medical Center
Aylett Medical Center, 7864
Richmond_Tappahannock Highway
Aylett, VA 23009
(804) 746-1677
White, Richard B,
Northern Virginia Family Practice
Associates
4401 Ford Avenue, Suite 250
Alexandria, VA 22302
(703) 647-4970
Internal
Medicine
Family
Practice
Conger, Beach,
Cornwell, Stephen L.,
Rosenberg, Mark Jacob,
Devine, Katherine,
Gardner, Jr., Charles W.,
Blacksburg
Galanes, Sari Katriina,
Lewry-Beauvais, Natasha W.,
Sachs, Marlene H,
Tokarz, John P.,
Scott, Deborah Jl,
Arlington
Carilion Clinic - Blacksburg North
Main
1420 North Main Street
Blacksburg, VA 24060
(540) 951-8380
Family
Practice
Spencer, H. Todd,
Nurse
Practitioner
Williams, Leesa L,
General Internal Medicine Group
3833 N. Fairfax Drive, Suite 200
Arlington, VA 22203
(703) 525-8863
Family
Practice
Kapoor, Shailendra,
Family
Practice
Freeman, Jeremy H.,
Wilson, Linda J,
Internal
Medicine
Pediatrics
DeBass, Brickte,
Brambleton
Bender, Mary P,
Jolly, Jenora H.,
Brack, Virginia C,
Lin, Kenneth J.,
Clattenburg, Richard N,
Major, Mary J.,
Colwell, Anne Stacie,
Min, Ellie H.,
Geagan, Kathleen A,
Rubin, Arthur A.,
Fairfax Family Practice Centers, PC Broadland Family Practice at
Brambleton
22895 Brambleton Plaza, Suite 200
Brambleton, VA 20148
(703) 772-2312
Winooski
Zweig, Louis K.,
Winooski Family Health
32B Malletts Bay Ave
Winooski, VT 05404
(802) 655-4422
Zweig, Louis K.,
Family
Practice
Goering, Ann,
Knott, Anne Minor,
Ashburn
Fairfax Family Practice - Broadland
Family Practice
20905 Professional Plaza, Suite 330
Ashburn, VA 20147
(703) 726-0003
Stockburger, Robert W.,
Family
Practice
Renard, Mary R,
Rodriguez, Kelly M,
Bristol
eMDee Clinica
14270 Lee Highway
Bristol, VA 24202
(276) 669-1666
Page 331 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Virginia
Virginia
Bristol
Chesapeake
Fairfax
eMDee Clinica
14270 Lee Highway
Bristol, VA 24202
(276) 669-1666
Bon Secours Western Branch Family
Practice
3253 Taylor, Suite 200
Chesapeake, VA 23321
(757) 686-5673
Fairfax Family Practice Centers, PC Fairfax Family Practice
3650 Joseph Siewick Drive
Fairfax, VA 22033
(703) 391-2020
Family
Practice
Family
Practice
Christian-taylor, Alison N,
Bazemore, Andrew W.,
Chester
Blecher, Lee I.,
Bon Secours Ironbridge Family Practice
11601 Ironbridge Road, Suite 117
Chester, VA 23831
(804) 717-5300
Burroughs, Susan H.,
Family
Practice
Harman, MD, Debra Lynn,
Harman, MD, Debra Lynn,
Chantilly
Fairfax Family Practice Centers PC South Riding Family Medicine
4080 Layfayette Center Drive, Suite 170
Chantilly, VA 20151
(703) 766-5040
Family
Practice
Family
Practice
Ehrlich, Thomas P.,
Hermes, Marjorie A.,
Ho, Garry W.,
Howard, Thomas,
Ozurumba, Onyeije Wil,
Jones, Samuel M.,
Hwang, Irving J,
Rose, Andrew L.,
Krist, Alexander H.,
Phillips, John K,
Nurse
Practitioner
Liaw, Winston,
Charlottesville
University Medical Associates (UMA
Clinic)
1222 Jefferson Park Avenue, 3rd Floor,
University of Virginia Health System
Charlottesville, VA 22903
(434) 924-9387
Internal
Medicine
Clayton, Melissa N.,
Kuna, Christie Marie,
Christiansburg
Carilion Clinic - Internal Medicine
Radford
2900 Lamb Circle, Suite 250
Christiansburg, VA 24073
(540) 639-9071
McCormally, Terence,
Merkel, Victoria L.,
Phillips, Robert L.,
Sughrue, Maura J.,
Wallis, Denise,
Woessner, Sarah,
Goodman, Matthew J.,
Internal
Medicine
Fairfax Pediatric Associates, PC
3650 Joseph Siewick Dr, Suite 101
Fairfax, VA 22033
(703) 391-0900
Heald, Evan B.,
Conatser, Michael K,
Pediatrics
Helenius, Ira M,
Paras, Norberto E.,
Barmada-mazid, Serene,
Helenius, Ira M,
Tauro, Allen P,
Byrnes, Laura E.,
Leiner, John G,
Daleville
Chung, Sandy L.,
Nadkarni, Mohan M,
Carilion Clinic - Daleville
48 Wesley Road
Daleville, VA 24083
(540) 992-4100
Dakin, Pemmaraju Saleena,
Becker, Daniel M.,
Plews-Ogan, Margaret L.,
Reynolds, Pamela P.,
Schectman, Joel M,
Dubinsky, Diane E.,
Murphy, Bernadette M.,
Ohriner, William D.,
Schorling, John B.,
Family
Practice
Scott, Evelyn S.,
Ernst, Benjamin D.,
Falls Church
Voss, John D,
Jones, Daniel R.,
Wolf, Andrew Michael David,
Polk, Elizabeth L.,
Chesapeake
Stidham, Gregory A.,
InovaCares (Inova Health System)
6400 Arlington Blvd, Suite 200
Falls Church, VA 22042
(703) 531-3110
Fairfax
Tsai, John T,
Pediatric Emergency
Medicine
Page 332 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Virginia
Virginia
Falls Church
Herndon
Manassas
InovaCares (Inova Health System)
6400 Arlington Blvd, Suite 200
Falls Church, VA 22042
(703) 531-3110
Fairfax Family Practice Centers PC Herndon Family Medicine
555 Herndon Parkway, Suite 100
Herndon, VA 20170
(703) 834-1473
Fairfax Family Practice Centers PC Prince William Family Medicine
8100 Ashton Ave, Suite 101
Manassas, VA 20109
(703) 257-8090
Family
Practice
Family
Practice
Cooper, Jason A,
Aronhime, Michelle D,
Emdadi, Trissana Lee,
Gill, Aman,
Horner, Cynthia P,
KC, Lilly,
Leavens, Deborah I,
Pare, John L,
Plescia, Marc G,
Mechanicsville
Ragland, Janice E,
Bon Secours Memorial Medical Cente
8220 Meadowbridge Road, Suite 203
Mechanicsville, VA 23116
(804) 281-0264
Pediatric Emergency
Medicine
Gregory, Emily Flora,
Pediatrics
Brito, Albert V,
Duall, Carolina,
Gainesville
Fairfax Family Practice Centers PC Prince William Family Medicine at
Gainesville
8078 Crescent Park Drive, Suite 20
Gainesville, VA 20155
(703) 753-4999
Family
Practice
Peacock, Phillip,
Lifetime Family Medicine
14535 John Marshall Hwy, Suite 105
Gainesville, VA 20155
(703) 754-0425
Family
Practice
Rentz, Anita G,
Silverstein, Michael A,
Weaver, Kevin M,
Lorton
Fairfax Family Practice Centers PC Lorton Station Family Medicine
8988 Lorton station Blvd, Suite 201
Lorton, VA 22079
(703) 339-7550
Family
Practice
Infectious
Disease
Artz, Ronald P.,
Internal
Medicine
Foster, Brian J.,
Kaur, Navleen,
Kelly, David L.,
Lee, Christine H.,
Lee, Jason P.,
Bruce, Julia Anne,
Lee, David W.,
Smith, Jennifer G.,
Shupe, Theresa B,
Manassas
Glen Allen
Bull Run Family Practice - Manassas
8640 Sudley Rd.
Manassas, VA 20110
Nurse
Practitioner
Bon Secours Medical Group Brook
Run Family Physcians
Brook Run Family Physicians, 10571
Telegraph Road, Suite 210
Glen Allen, VA 23059
(804) 266-7611
Family
Practice
Family
Practice
Chambers, Joseph F,
Derosa, Gary A,
Feldmann, Spencer G,
Cook, Andrew D,
Horton, Camille,
Nicholson, Joynita R.,
Latimer, Robert A w,
Read, Stephen G.,
Parker, Frederick W,
Herndon
Perez, Michael D,
Fairfax Family Practice Centers PC Herndon Family Medicine
555 Herndon Parkway, Suite 100
Herndon, VA 20170
(703) 834-1473
Ratchford, Frank X,
Ross, Scott A,
Garrett, Shannon C.,
Narrows
Carilion Clinic - Narrows
2829 Virginia Avenue
Narrows, VA 24124
(540) 726-7900
Family
Practice
Boone, John A,
Newport News
Sentara Medical Group-Sentara
Internal Medicine Physicians-Port
Warwick
11803 Jefferson Av, Ste 140
Newport News, VA 23606
(757) 594-1803
Page 333 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Virginia
Virginia
Newport News
Norfolk
Portsmouth
Sentara Medical Group-Sentara
Internal Medicine Physicians-Port
Warwick
11803 Jefferson Av, Ste 140
Newport News, VA 23606
(757) 594-1803
Sentara Internal Medicine PhysiciansNorfolk Diagnostic Center
850 Kempsville Road, Suite 200 A
Norfolk, VA 23502
(757) 261-0001
Portsmouth Family Medicine
600 Crawford St., Ste. 300
Portsmouth, VA 23704
(757) 606-1136
Internal
Medicine
Brooks, Bonnie J,
Remchuk, Deborah M,
Ross, Glenn S,
Norfolk
Bon Secours Medical Group Amelia
Medical Associates
Amelia Medical Associates, 855
Kempsville Road, Suite 320
Norfolk, VA 23502
(757) 955-2828
Family
Practice
Donato, Alpa Patel,
Simpson, Michael Ross,
Snider, Ian Phillip,
Internal
Medicine
Guzman-lee, Jo-jo anne,
Ghent Family Medicine
825 Fairfax Ave
Norfolk, VA 23507-1914
(757) 446-5951
Family
Practice
Internal
Medicine
Bademian, Robert L,
Choi, H Steven,
Dickinson, Daniel J,
Hodge, Edwin B,
Kahatapitiya, Ravindra C,
Keys-frezzell, Dana J,
Roberts, Joanna L,
Tuanquin-gonzalez, Leilanie C,
Pearisburg
Carilion Clinic - Giles County
1611 Wenonah Avenue
Pearisburg, VA 24134
(540) 921-3636
Family
Practice
Devereaux, Robert F.,
Lough, Andrea Rhea,
Melton, Russell W,
Walker, Kenneth J,
Geriatric Medicine/Family
Practice
McMahon, Michael A,
Portsmouth
Eng, Benjamin P.,
NMC Portsmouth Pediatric Clinic Little Creek
620 John Paul Jones Circle
Portsmouth, VA 23708
(757) 953-8152
Grant, Jr., Thomas R.,
Pediatrics
Howard-Scott, Martha,
Bermisa, Rosario Salgado,
Humadi, Sahira A.,
Rathke, Charles Ernest,
Matson, Christine C.,
Portsmouth Family Medicine
600 Crawford St., Ste. 300
Portsmouth, VA 23704
(757) 606-1136
Bluestein, Daniel A.,
Burgart, Jennifer Elder,
Catalan-Aquino, Maria Ellen,
Mohan, Ravinder,
Rubino, Mary C.,
Family
Practice
Baumgarten, Margaret Y,
Bikowski, Richard Michael,
Brittman, Standley L,
Britton, Bruce S,
Donnelly, Anne L,
Dooley, Erin K,
Georges, Rebekah L,
Jones, Tamice R,
Ringler, Robert L,
Smith, Eddie L,
Radford
Carilion Clinic - Radford
701 Randolph Street, Suite 110
Radford, VA 24141
(540) 731-3200
Family
Practice
Kelly, Daniel R,
Kincaid, Scott A,
Reston
Fairfax Family Practice Centers PC Town Center Family Medicine
12110 Sunset Hills Road,, LL20
Reston, VA 20190
(703) 834-1473
Family
Practice
Bowers, Michael G,
Dolcich, Augustine A,
Gannon, Elizabeth H,
Garvert, Terry A,
Harding, Andrew J,
Tran, Nathan,
Richmond
Family
Practice
Page 334 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Virginia
Virginia
Richmond
Roanoke
Roanoke
Bon Secours Medical Group Primary
Health Care Associates
Primary Health Care Associates, 1510
North 28th Street, Suite 308
Richmond, VA 23223
(804) 329-8510
Carilion Clinic - Brambleton
3707 Brambelton Avenue
Roanoke, VA 24018
(540) 725-7800
Carilion Clinic Children's HospitalPediatric Clinic Jefferson Plaza
1030 S. Jefferson St, Suite 106
Roanoke, VA 24016
(540) 985-8230
Family
Practice
Family
Practice
Pediatrics
Arthur, Christy L.,
Desai, Varsha,
Billups, Matthew B.,
Henchel, Kelly D,
Brady, Donald I.,
Jaworski, Hanna,
Patten, Robert C.,
Lakhdir, Farahaba,
Green, Harold T,
Smith, Donald G.,
Permashwar, Vydia,
Pham, Thanh-ha T,
Carilion Clinic - Colonial Avenue
3369 Colonial Avenue
Roanoke, VA 24018
(540) 772-0555
South Riding
Johnson-Threat, Yvette C.,
Internal
Medicine
Sinnatamby, Diane S,
Bon Secours West End Internal
Medicine
7001 Forest Avenue
Richmond, VA 23230
(804) 282-7857
Internal
Medicine
Dennis, Tiffani,
Disler, Robin S,
Hayes, Christopher Patrick,
Jones, III, Sidney Rivers,
Schutrumpf, Andrew C,
White, Kelley E,
Dominion Medical Associates, Inc.
1510 N. 28th Street
Richmond, VA 23223
(804) 225-7176
Family
Practice
Covington, Damian L,
Dickerson, Tasha Brooks,
Internal
Medicine
Jackson, Richard Allen,
Roanoke
Carilion Clinic - Brambleton
3707 Brambelton Avenue
Roanoke, VA 24018
(540) 725-7800
Family
Practice
Family
Practice
Bull Run Family Practice - South
Riding
25055 Riding Plaza, Suite 220
South Riding, VA 20152
Dickens, Brian A.,
Family
Practice
Kellam, Stephen J.,
Patel, Trupti,
Morgan, Stephen A.,
Springfield
Whitney, William P.,
Inova Juniper Program
8001 Forbes Place, Suite 200
Springfield, VA 22191
(703) 321-2666
Carilion Clinic - North Roanoke
6415 Peters Creek Road
Roanoke, VA 24019
(540) 265-5500
Family
Practice
Infectious
Disease
Wheeler, David A.,
Amick, Robert L.,
Troutville
Harris, William K.,
Carilion Clinic - Blue Ridge
37 Laymantown Road
Troutville, VA 24175
(540) 977-1436
Nottingham, Clifford A.,
Osuorah, Vivien I.,
Palmerton, Todd S.,
Stavola, Anthony R.,
Family
Practice
Carilion Clinic Children's HospitalPediatric Associates Botetourt
89 Summers Way
Roanoke, VA 24019
(540) 992-1251
Burri, Sarat C.,
Pediatrics
Vienna
Kraft, Colleen A,
Fairfax Family Practice Centers, PC Vienna Family Medicine
115 Park Street SE
Vienna, VA 22108-0
(703) 955-9100
Kryder, Amy C,
Moore, John,
Linick, Kelli L.,
Overstreet, Ronald B.,
Rea, Catherine G.,
Page 335 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Virginia
Virginia
Vienna
Virginia Beach
Virginia Beach
Fairfax Family Practice Centers, PC Vienna Family Medicine
115 Park Street SE
Vienna, VA 22108-0
(703) 955-9100
Sentara Medical Group-Sentara Family
Medicine Physicians & Urgent Care
Physicians-Chimney Hill
3745 Holland Rd
Virginia Beach, VA 23452
(757) 962-8720
Sentara Medical Group-Sentara
Pediatric Physicians-Linkhorn
933 First Colonial Rd Ste 112
Virginia Beach, VA 23454
(757) 226-7300
Family
Practice
Huang, Jeffrey D.,
Jenkins, James P.,
Reynolds, Louise D.,
Tandeciarz, Sandra I.,
Internal
Medicine
Lee, Kenneth H.,
Yi, Su C.,
Vinton
Carilion Family Medicine - Parkway
Physicians
415 South Pollard Street
Vinton, VA 24179
(540) 983-6700
Family
Practice
Beirne, Timothy M,
Ivey, Henry R,
Miller, Richard G,
Rhea, Randall R,
Taliaferro, John P,
Watts, Earl M,
Virginia Beach
Sentara Medical Group-Sentara Family
Medicine Physicians & Urgent Care
Physicians - Town Center
816 Independence Blvd Ste 100
Virginia Beach, VA 23455
(757) 363-6800
Family
Practice
Callahan, Robert D,
Charles, Michael G,
Jones, Benita W,
Tisdale, Bradford W,
Pediatrics
Springer, Marianne G,
Strasnick, Victoria S,
Sentara Virginia Beach Family Practi
1024 First Colonial Road
Virginia Beach, VA 23454
(757) 321-4077
Sentara Medical Group-Sentara Family
Medicine Physicians & Urgent Care
Physicians-Providence Rd
5320 Providence Rd Ste 101 & 301
Virginia Beach, VA 23464
(757) 413-7600
Family
Practice
Family
Practice
Dowdy, Robert L.,
Gonzales, Norman M,
Hufford, Dennis L.,
Javier, Francis V,
Jefferson, Lisa Eleanor,
Law, Katherine P,
Rose, Meredith B,
Sullivan, Karen,
Sentara Medical Group-Sentara Family
Medicine Physicians-Nimmo
1380 Tuscany Dr
Virginia Beach, VA 23456
(757) 301-9200
Family
Practice
Pearman, Steven D,
Robichaud, Marie k R,
Alper, Jason B.,
Chai, Shirley S.,
Croteau, Louis J.,
Hardt, Anthony B.,
Kubicki, Ted M.,
Williamsburg
Sentara Medical Group-Sentara Fami
Medicine Physicians-New Town
4374 New Town Av, Ste 200
Williamsburg, VA 23188
(757) 220-2795
Family
Practice
Biernacki, Gregory J.,
Boquist, Christopher G.,
Massengill, Christopher L,
Sentara Medical Group-Sentara Fami
Medicine Physicians-Williamsburg
400 Sentara Cir, Ste, 450
Williamsburg, VA 23188
(757) 345-4600
Davies, Nicola J,
Sentara Medical Group-Sentara
Pediatric Physicians-Linkhorn
933 First Colonial Rd Ste 112
Virginia Beach, VA 23454
(757) 226-7300
Lipton, Eric C,
Pediatrics
Rauchwarg, Glenn T,
Woods, David W,
Choi, Hyeon D,
Tucker, Jane L,
Cotton, Jacqueline S,
Willliamsburg
Family
Practice
Britt, Charlene M,
Family
Practice
Fitzpatrick, Michael D.,
Hoag, Thomas B,
Holland, Deborah Ellen,
Page 336 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Virginia
Washington
Washington
Willliamsburg
Bellevue
Coeur d'Alene
Sentara Medical Group-Sentara
Internal Medicine Physicians-New
Town
4374 New Town Av, Ste 102
Willliamsburg, VA 23188
(757) 259-6770
UW Medicine Factoria Clinic
13231 SE 36th Street, Suite 110
Bellevue, WA 98006
(425) 957-9000
Group Health Cooperative Lidgerwood Medical Center
6002 North Lidgerwood
Coeur d'Alene, WA 99208
(509) 482-4402
Internal
Medicine
Majdic, James P,
Walter, Philip S,
Woodbridge
Family
Practice
Pediatrics
Glynn-Thami, Maura E.,
Gupta, Nalini,
Hei, Thomas K.,
Edmonds
Hwang, Lucy,
Edmonds Family Medicine
7315 212th ST. SW ste 101, Suite 207
Edmonds, WA 98026
(425) 775-9474
McGough, Peter M.,
Bull Run Family Practice - Woodbridge
12701 Marblestone Drive, Suite 130
Woodbridge, VA 22192
Piehl, Janet Howard,
Yung, Pamela M.,
Family
Practice
Family
Practice
Internal
Medicine
Bagnulo, Paul,
Flagg, Lynne,
Choudhury, Neetilekha,
Washington
Nurse
Practitioner
Bettis, Robert B.,
Creaser, Jennifer Collette,
Blakeney, Ginger,
Burien
Borg, Sandra,
Group Health Cooperative - Burien
Medical Center
140 SW 146th Street
Burien, WA 98166-1992
(206) 901-2400
Carey, Ross G.,
Bellevue
Group Health Cooperative - Bellevue
Medical Center
11511 NE 10th Street
Bellevue, WA 98004
(425) 502-3850
Internal
Medicine
Park, Esther,
Pediatrics
Wiseman, Merrell Thames,
Group Health Cooperative - Factoria
Medical Center
13451 SE 36th Street
Bellevue, WA 98006-1454
(425) 562-1316
Family
Practice
Platzner, Anne B.,
Family
Practice
Bennett, Martha,
Carter, Stephen,
Hanson, Mark,
Hollister, Rachel,
Horiuchi, Myra,
Kintner, Mary Jo,
Lindell, Ashley C.,
Moe, Donald G.,
Wong, Jason Huei-Chiang,
Petrin, Joseph G.,
General
Practice
Proudfoot, Martin,
Philp, Sarah B,
Clarkston
Pliskowski, Teresa,
Martin Family Practice
1119 Highland Ave, Suite 3, Suite 3
Clarkston, WA 99403
(509) 751-9981
Internal
Medicine
Family
Practice
Marshall, Ronald,
Martin, David B,
UW Medicine Factoria Clinic
13231 SE 36th Street, Suite 110
Bellevue, WA 98006
(425) 957-9000
Coeur d'Alene
Bergman, James J.,
Begert, Ann,
Quistgaard, Susanne,
Sargent, Christopher,
Sim, Jae,
Taibleson, David,
Tesch, Donald,
Thurman, Andrew,
Tolberg, Mary Ellen,
Weakly, Daniel,
West, Shawn Harperdick,
Everett
Page 337 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Washington
Washington
Washington
Everett
Fort Lewis
Issaquah
Group Health Cooperative - Everett
Medical Center
2930 Maple Street
Everett, WA 98201-4261
(425) 261-1500
OKUBO FAM PRACT CLIN-FT
LEWIS (Madigan) Family Medicine
Clinic
Bldg 11582, 17th and C Street
Fort Lewis, WA 98433
(253) 967-2879
UW Medicine Issaquah Clinic
1455 11th Avenue NW
Issaquah, WA 98027
(425) 391-3900
Family
Practice
Erskine, Evangeline V.,
Federal Way
Group Health Cooperative - Federal
Way Medical Center
301 South 320th Street
Federal Way, WA 98003-5294
(253) 874-7088
Family
Practice
Fioretti, Lynn,
Ft Lewis
MADIGAN AMC-FT. LEWIS
9040 Fitzsimmons Dr
Ft Lewis, WA 98431
(253) 968-2078
Physician
Assistant
Vierra, Michelle Lynne,
Kent
UW Medicine Kent/Des Moines Clinic
23213 Pacific Highway South
Kent, WA 98032
(206) 870-8880
Family
Practice
Family
Practice
Family
Practice
Warrick, Delilah Koizumi,
Christoferson, Holly,
Ho, Thinh X,
Internal
Medicine
Rivera, Deardra,
Mealer, Daren Roger,
Pacific Medical Centers - Federal Way
33501 First Way South
Federal Way, WA 98003
(253) 214-1920
Nurse
Practitioner
Family
Practice
MADIGAN AMC-FT. LEWIS,
Pediatric Clinic
9040 Fitzsimmons Dr
Ft Lewis, WA 98431
(253) 968-0370
Hart, Sabrina,
Miller, Rosalie,
UW Medicine Federal Way Clinic
32018 23rd Avenue South
Federal Way, WA 98003
(253) 839-3030
Family
Practice
Chaffee, John R.,
Dini, Robert Michael,
Yoo, Eunjoo,
Geriatric Medicine/Family
Practice
Gerber, Jaime Blank,
Internal
Medicine
Jung, Hyosoon,
Parham, Zaleh,
Emergency
Medicine
Despreaux, Michele A.,
Dy, Edward Sy,
Lauinger, J. Michael,
Pediatrics
Blessing, Matthew Scott,
Kirkland
Pacific Medical Centers - Totem Lake
12910 Totem Lake Blvd. NE, Suite 100
Kirkland, WA 98034
(425) 814-5000
Smith, Kathleen M,
Family
Practice
Issaquah
Chen, Shirley,
UW Medicine Issaquah Clinic
1455 11th Avenue NW
Issaquah, WA 98027
(425) 391-3900
Cho, Anthony,
Family
Practice
Anderson, Sandra J.,
Diddee, Seema,
Read-Williams, Patricia G.,
Fang, Victoria B.,
Tanner, Korina Ann,
Fort Lewis
Internal
Medicine
Radlo, Carol,
Internal
Medicine
Edwards, Erin K.,
Hansen, Eric,
Lund, James A.,
Pearson, Kathryn A.,
Swenson, Dana A.,
Lynnwood
Cao, Yunyu,
Mandell, Randy B.,
Page 338 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Washington
Washington
Washington
Lynnwood
Olympia
Othello
Group Health Cooperative - Lynnwood
Medical Center
20200 54th Avenue W
Lynnwood, WA 98036-6389
(425) 672-6400
Group Health Cooperative - Olympia
Medical Center
700 Lilly Road NE
Olympia, WA 98506-5196
(360) 923-7000
Columbia Basin Health Association Othello Family Clinic
140 E. Main
Othello, WA 99344
(509) 488-5256
Family
Practice
Midwifery
Family
Practice
Murphy, Lisa Carolyn,
Providence St. Peter Family Medicine
525 Lilly Road NE, Mailstop PBP09
Olympia, WA 98506
(360) 493-4001
Richter, Andrew,
Pacific Medical Centers - Lynnwood
19401 40th Ave. West, #100
Lynnwood, WA 98036
(425) 744-7153
Family
Practice
Busch, Naomi,
Cantor, Jeffrey B.,
Halm, Timothy J.,
Ton, Nha Ke,
Internal
Medicine
Freeman, Ruth A.,
Hibbert, Karen E.,
Maple Valley
MultiCare Maple Valley Family
Practice
23846 SE Kent-Kangley Road, Suite E11
Maple Valley, WA 98038
(425) 413-1310
Family
Practice
Cline, David A,
Olympia
Group Health Cooperative - Olympia
Medical Center
700 Lilly Road NE
Olympia, WA 98506-5196
(360) 923-7000
Audiology
Williams, Jennifer K.,
Family
Practice
Sparks, Angela J.,
Midwifery
Thomas, Brandy,
Family
Practice
Dightman, Lowell Richard,
Haughton, Kevin Mark,
Johnson, Lisa Ann,
Miller, Margaret Laurel,
Ang, Michelle Chua,
Dinglasan, Catherine,
Elali, Bashar,
Hofheins, David,
Obstetrics &
Gynecology
Miu, Hung,
Pediatrics
Aduan, Ellen M,
O'Sullivan, Gabrielle Anne,
Physician
Assistant
Plaeger-Brockway, Mariel L.,
Lehr, Preston J,
Ronning, Sonja Angeline Kirsti,
Port Orchard
Sawyer, Devin Richard,
Group Health Cooperative - Port
Orchard Medical Center
1400 Pottery Avenue
Port Orchard, WA 98366-3768
(360) 895-5000
Nurse
Practitioner
Bodle-Shingu, Rebecca Marie,
Perkins, Jeannette Delrene,
Waller, Glenda J.,
Pediatrics
Johnson, Kelvie Ann,
Othello
Columbia Basin Health Association 14th Avenue Medical Center
475 N. 14th Avenue
Othello, WA 99344
(509) 488-5256
Family
Practice
Bunch, Randel S,
Pediatrics
Fahy, Edward R.,
Poulsbo
Group Health Cooperative - Poulsbo
Medical Center
19379 7th Avenue NE
Poulsbo, WA 98370
(360) 394-1000
Family
Practice
Chin, Jean Y.,
Puyallup
Obstetrics &
Gynecology
Group Health Cooperative - Puyallup
Medical Center
611 31st Avenue SW
Puyallup, WA 98373
(253) 445-7100
Small, Monique A,
Pediatrics
Bunch, Richard P,
Schuler, Christopher,
Delgado, Daniel,
Renton
Page 339 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Washington
Washington
Washington
Renton
Seattle
Seattle
Group Health Cooperative - Renton
Medical Center
275 Bronson Way NE
Renton, WA 98056-4099
(425) 235-2800
Group Health Cooperative - Family
Health Center at Capitol Hill
125 16th Avenue E
Seattle, WA 98112-5260
(206) 326-3530
International Community Health
Services - International District
720 8th Ave S
Seattle, WA 98104
(206) 788-3798
Family
Practice
Family
Practice
Family
Practice
Julian, Carey,
Seelig, Michelle Dawn,
Yee, Christopher K,
Pacific Medical Centers - Renton
601 South Carr Road, Suite 100
Renton, WA 98055
(425) 223-7000
Silver, Noah U,
Nurse
Practitioner
Family
Practice
Bowles, Richard,
Hawley, Tina M.,
Maddox, Sonja P.,
Monponbanua, Aileen H.,
Tkachev, Arkadiy,
Internal
Medicine
Liu, Eric,
Nakabayashi, Kemi,
Platas, Angelina A.,
Reddy, Shailaja N. M.,
Seattle
Group Health Cooperative - Downtown
Seattle Medical Center
1420 5th Avenue, Suite 375
Seattle, WA 98101
(206) 223-2611
Group Health Cooperative - Northgate
Medical Center
9800 4th Avenue NE
Seattle, WA 98115-2158
(206) 302-1200
Family
Practice
Globerman, Stacy L.,
International Community Health
Services - Holly Park
3815 S Othello St
Seattle, WA 98118
(206) 788-9650
Family
Practice
Shimasaki, Cynthia Eng,
Song, Yuezhen,
Physician
Assistant
Duong, Honghue T.,
Pacific Medical Centers - Beacon Hill
1200 12th Avenue South
Seattle, WA 98144
(206) 326-2400
Family
Practice
Gilmore, Ari,
Lackermann, Ellen,
Nguyen, Aikhue Thi,
McCarthy, Elizabeth R.,
Pham, Uyenvy Vu,
Rose, Caroline,
Roach, Chinda,
Ruddy, Ginger,
Wang, Grace,
Waterman, Sara,
Weitensteiner, Beth,
Internal
Medicine
Nurse
Practitioner
Allen, Victoria E.,
Huynh, DoQuyen,
Ludwig, William R.,
Family
Practice
Physician
Assistant
Oswald, Lisa,
Mayer, Charles J.,
Duong, Honghue T.,
Group Health Cooperative - Family
Health Center at Capitol Hill
125 16th Avenue E
Seattle, WA 98112-5260
(206) 326-3530
International Community Health
Services - International District
720 8th Ave S
Seattle, WA 98104
(206) 788-3798
Family
Practice
Family
Practice
Baggett, Molly K.,
Chun, Alan J,
Bays, Holly D.,
Hirayama, Kimo C,
Gaaserud, Annelise,
Snapp, Nancy Joy,
Hoock, Jennifer L.,
Tan, Lynne Abigail,
Terasaki, Rodney,
Wang, Karen,
Nurse
Practitioner
Babcock, Marty R.,
Pacific Medical Centers - First Hill
1101 Madison Street, Suite 301
Seattle, WA 98104
(206) 505-1101
Internal
Medicine
Becke, Julia,
Page 340 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Washington
Washington
Washington
Seattle
Seattle
Silverdale
Pacific Medical Centers - First Hill
1101 Madison Street, Suite 301
Seattle, WA 98104
(206) 505-1101
UW Medicine Belltown Clinic
2505 2nd Avenue, Suite 200
Seattle, WA 98121
(206) 443-0400
Internal
Medicine
Internal
Medicine
Group Health Cooperative - Silverdal
Medical Center
10452 Silverdale Way NW
Silverdale, WA 98383-9460
(360) 307-7300
Cufley, Davonna R.,
Camitta, David Robert,
Rongitsch, Jessica,
Ferrucci, Cynthia G.,
Smith, Christopher H.,
Hummel, Philip Jeffrey,
True, David D.,
Lord, Sandra M.,
Pacific Medical Centers - Northgate
10416 5th Ave. NE
Seattle, WA 98125
(206) 517-6000
Physician
Assistant
Family
Practice
Palalay, Karen C.,
Wilson, Linda Michelle,
Shoreline
Wilcox, Cynthia L.,
UW Medicine Shoreline Clinic
1355 N 205th St
Shoreline, WA 98133
(206) 542-5656
General
Practice
Family
Practice
Ware, Elisabeth P.,
Atkins, Tamara Zina Anne,
Internal
Medicine
Bagan, Seth Charles,
Bressie, Matthew,
Lewis, Patricia,
Clowry, Margaret,
Dym, Andrew M.,
Fong, Walter,
Ways, Martha,
Nurse
Practitioner
Jaffy, Matthew B.,
Jenkins, Claire Southern,
O'Kane, Elizabeth (Betsy) Bauer,
Patni, Yaquta Mustafa,
Geriatric Medicine/Internal
Medicine
Family
Practice
Crandell, Blain A.,
Siddaiah, Vanathi,
Spokane
Group Health Cooperative - Riverfron
Medical Center
322 W. North River Drive
Spokane, WA 99201
(509) 324-6464
Family
Practice
Margraf, Robert Alan,
Reisman, Edward A.,
Schreoter, Rosemary E.,
Woodinville
UW Medicine Woodinville Clinic
17638 140th Avenue NE
Woodinville, WA 98072
(425) 485-4100
Family
Practice
Burner, Tim G.,
Debelak, Danielle B.,
Emmons, Stephen W.,
Phillips, Thomas E.,
Holland, Lisa Marie,
Internal
Medicine
Kramer, Sarah S.,
Pediatrics
Arand, Gloria,
Roskam, Sarah,
Eusebio, Emmanuel,
Nurse
Practitioner
Wolber, Teresa A.,
UW Medicine Belltown Clinic
2505 2nd Avenue, Suite 200
Seattle, WA 98121
(206) 443-0400
Family
Practice
Chao, Janna Briscoe,
Heinen, Corinne Sue,
Wall, Eric M.,
Pamp, Chris Earle,
Vasavada, Zubin,
Internal
Medicine
Munshi, Prachi R.,
Pediatrics
Physician
Assistant
Folkemer, Marion Lois Keel,
Rhodes, Tim C.,
Silverdale
Yakima
Group Health Cooperative - Silverdale
Medical Center
10452 Silverdale Way NW
Silverdale, WA 98383-9460
(360) 307-7300
Yakima Neighborhood Health
Services - Main Site
PO Box 2605, 12 S 8th St
Yakima, WA 98907-260
Page 341 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Washington
West Virginia
West Virginia
Yakima
Clay
Glenville
Yakima Neighborhood Health
Services - Main Site
PO Box 2605, 12 S 8th St
Yakima, WA 98907-260
Primary Care Systems
122 Center Street
Clay, WV 25043
(304) 587-7301
Internal
Medicine
Family
Practice
Minnie Hamilton Health System
Glenville Office
809 Mineral Rd, Suite 1
Glenville, WV 26351
(304) 462-7322
Sabry, Fady Fayez,
Klaes, Jane M.,
Midwifery
Nurse
Practitioner
Dennis, Susan C,
Family
Practice
Grant, Catherine E,
Watson, David Alan,
Nurse
Practitioner
Dobbins, Victoria M.,
Pediatrics
Fairmont
Morales, Autumn Beth,
Chet, LumOr,
Monongahela Valley Assoc. of Health
Centers, Inc.
1322 Locust Avenue
Fairmont, WV 26554
(304) 366-0700
Grantsville
Gray, Jody,
Pediatrics
Khalsa, Gagan,
West Virginia
Charleston
FamilyCare HealthCenter - Patrick
Street
116 Hills Plaza
Charleston, WV 25312
(304) 720-4466
Family
Practice
Family
Practice
Madduru, Lakshmi,
Oduntan, Omobola,
Paliwal, Himanshu Harihar,
Schroering, Michael S,
Internal
Medicine
Minnie Hamilton Health System
186 Hospital Drive
Grantsville, WV 26147
(304) 354-9244
Family
Practice
Grant, Catherine E,
Steger, Michael Warren,
General Practice Dental
Gilbert, Lynn C,
Patel, Pravin I,
Internal
Medicine
Pediatrics
Balasubramony, Suresh,
Franz, Agnes Marie,
Smith, Chadwick Ray,
Ahmed, Nazia,
Hiltz, Deborah J,
Pediatrics
Nurse
Practitioner
Manuel, Mervin Punzalan,
Morales, Autumn Beth,
Fayetteville
Harpers Ferry
New River Health Association - North
Fayette Clinic
221 West Maple Avenue
Fayetteville, WV 25840
(304) 574-3960
WVU Department of Family Medicine
Eastern Division-Harpers Ferry Fami
Medicine
171 Taylor Street
Harpers Ferry, WV 25425
(304) 535-6343
Boggess, Darrell Kevin,
Internal
Medicine
Marino, Laure J.,
Pediatrics
Barracco, Kim,
FamilyCare HealthCenter - SFEC
1701 5th Avenue
Charleston, WV 25312
(304) 414-4499
Family
Practice
Family
Practice
Sayre, Anita R.,
Family
Practice
Biola, Johanna,
Dressler, William C.,
General
Practice
Montalto, Norman J.,
Thomas, Curtis Hampton,
Jacques, Charles H.m.,
Clay
Physician
Assistant
Jones, Kristin,
Nemati, Kimberly Jean,
Cucuzzella, Mark T,
Lorenzetti, Rosemarie C,
Nau, Konrad C,
Page 342 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
West Virginia
West Virginia
West Virginia
Harpers Ferry
Lookout
Mill Creek
WVU Department of Family Medicine
Eastern Division-Harpers Ferry Family
Medicine
171 Taylor Street
Harpers Ferry, WV 25425
(304) 535-6343
New River Health Association - Lisa
Elliott Center
75 Spy Rock Loop Road
Lookout, WV 25868
(304) 574-2076
Valley Health Care, Inc.
PO Box 247, US Routes 219 & 250
Mill Creek, WV 26280
(304) 335-2050
Family
Practice
Rajah, Suganthi,
Tracy, Lloyd,
Pediatrics
Moerschel, Sarah K,
Smith, Eleanor A,
Kingwood
Schwarzenberg & Schwarzenberg MDs
110 North Price Street
Kingwood, WV 26537
(304) 329-3500
Family
Practice
Schwarzenberg, Michael R,
Lewisburg
Robert C. Byrd Clinic
400 North Jefferson Street
Lewisburg, WV 24901
(304) 645-3220
Family
Practice
Physician
Assistant
Fairchild, Patsy Jean,
Madison
FamilyCare HealthCenter - Madison
515 Main Street
Madison, WV 25130
(304) 369-0393
Family
Practice
Chatlin, Ron,
Internal
Medicine
Frazer, Jason Allen,
Martinsburg
Shenandoah Valley Medical System, Inc
99 Tavern Road
Martinsburg, WV 25401
(304) 596-2610
Family
Practice
DeLanoy, Anne E.,
Didden, David G.,
Boisvert, Craig S,
Maciunas, Kristina A.,
Boxwell, George F,
Yellott, Chesley W.,
Cornelius, Jennifer Lynn,
Internal
Medicine
Garlitz, John Mark,
Johnson, Rachel L.,
Nazar, Andrea M,
Pence, Lorenzo L,
Richmond, Michael D,
Steele, Thomas F,
Swarm, Gail M,
Wahl, Jeanne Marie,
Internal
Medicine
Ryan, Patrick Thomas,
Pediatrics
Martin, Kathleen J,
Jones, Dawn B.,
Mallott, Stephen J.,
Owunna, Anthony U.,
Reidy, Terrence J.,
Struthers, Courtney H.,
Family
Practice
Frame, Stephanie L.,
Princeton
Bluestone Health Association
3997 Beckley Road
Princeton, WV 24740
Family
Practice
Billips, Ronald W.,
Bird, William C.,
Clarkson, Mark A.,
Nurse
Practitioner
Hall, jessica D.,
Rainelle
Rainelle Medical Center Inc.
645 Kanawha Avenue
Rainelle, WV 25962
(304) 483-6188
Family
Practice
Butcher, Pamela S,
Clark, Heidi Marie,
Pediatrics
Lally, Patricia E,
Ranson
WVU Department of Family Medicine
Eastern Division - University Medical
& Surgical Assoc.
205 East 5th Avenue
Ranson, WV 25438
(304) 725-6343
Pediatrics
Family
Practice
Gundavda, Hemant P.,
Wang, Ye,
Mier, Richard J.,
WVU Department of Family Medicine
Eastern Division - WVU Women's
Health and Maternity Center
204 East 4th Avenue
Ranson, WV 25438
(304) 725-2038
Mill Creek
Page 343 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
West Virginia
West Virginia
West Virginia
Ranson
Scott Depot
Wheeling
WVU Department of Family Medicine
Eastern Division - WVU Women's
Health and Maternity Center
204 East 4th Avenue
Ranson, WV 25438
(304) 725-2038
FamilyCare HealthCenter-Teays Valley
301-6 Great Teays Blvd.
Scott Depot, WV 25560
(301) 757-6999
Wheeling Health Right, Inc
61 29th Street
Wheeling, WV 26003
(304) 233-9323
General
Practice
Physician
Assistant
Smythe, Gai,
Walker, Margaret,
Pediatrics
Wisconsin
Ferguson, Angela,
Algoma
Sophia
Bellin Medical Group - Family Medica
Center Algoma
1510 Fremont Street
Algoma, WI 54201
(920) 445-7276
Family
Practice
Baltierra, David A,
Bentley, Shannon K,
Oglesby, Angela D,
Scarbro
New River Health Association Scarbro Clinic
908 Scarbro Road, P.O. Box 337
Scarbro, WV 25917
(304) 469-2905
New River Health Association - Gulf
Family Practice
410 West Main Street
Sophia, WV 25921
(304) 683-4304
Family
Practice
Family
Practice
Golden, Joseph Ivan,
Doyle, Daniel Barry,
Nurse
Practitioner
Freeman, Chara C.,
Stewart, Samuel W.,
Physician
Assistant
Almond, Alayna K.,
New River Health Association Whipple Clinic
57 Sutphin Lane
Scarbro, WV 25917
(304) 469-4996
Family
Practice
Anderson, Robert J.,
Physician
Assistant
Schmidt, Tina M.,
Flis, Lori J.,
Appleton
Weirton
Affinity Medical Group - Children's
Health Center Pediatrics
1506 S. Oneida St.
Appleton, WI 54915
(920) 730-4950
Family Medical Care Community
Health Center
3136 West Street
Weirton, WV 26062
(304) 797-7733
Family
Practice
Nurse
Practitioner
Lewis, Pamela R,
Aman, Tamra F.,
Pediatrics
Family
Practice
Fournier, Kelli L.,
Bayer, Edward D,
Boyce, Daniel L.,
Wheeling
Birn, Christoffer K,
Doctors Urgent Care, Inc.
24 Homestead Ave
Wheeling, WV 26003
(304) 232-1020
Boulos, Mona S,
Internal
Medicine
Mirza, Abdul Majid,
Scott Depot
FamilyCare HealthCenter-Teays Valley
301-6 Great Teays Blvd.
Scott Depot, WV 25560
(301) 757-6999
Family
Practice
Heyrman, Kurt A,
Marquis, Stephen J,
Nordstrom, Mary E,
Kelly, Lawrendce C.,
Rusin, Wayne J,
Midcap, Douglas W.,
Affinity Medical Group - Madison
Internal Medicine
1501 S. Madison St.
Appleton, WI 54915
(920) 730-4414
Family
Practice
General
Practice
Jenkins, Mary Buffington,
Wood, Victor A.,
General
Practice
Campbell, Sarah C,
Internal
Medicine
Page 344 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Appleton
Arcadia
Brillion
Affinity Medical Group - Madison
Internal Medicine
1501 S. Madison St.
Appleton, WI 54915
(920) 730-4414
Marshfield Clinic - Arcadia Center
945 S Dettloff Drive
Arcadia, WI 54612-1895
(608) 323-1500
Bellin Medical Group - Family Medica
Center Brillion
964 W. Ryan Street, Suite B
Brillion, WI 54110
(920) 756-2055
Internal
Medicine
Constantinescu, Daniela C,
Haine, James E,
Joseph, Shanthi A,
Lee, Teresa H,
Rangbulla, Aditya Kumar,
Nurse
Practitioner
Boe, Kathy Ann,
Athens
Marshfield Clinic - Athens Center
729 Pine Street
Athens, WI 54411
(715) 387-5511
Yacoub, Hayan Lessinger,
Family
Practice
Nurse
Practitioner
Staubs, Charles R.,
Ray, Vicki C,
Augusta
Affinity Medical Group - Richmond
Family Medicine
3329 N. Richmond St.
Appleton, WI 54911
(920) 380-2715
Augusta Family Medicine Clinic
207 West Lincoln Street
Augusta, WI 54722
(715) 286-2270
Family
Practice
Family
Practice
Cayley, William E,
Adler-Fischer, Karen R,
Gideonsen, Mark,
Grant, Douglas H,
Bloomer
Johnson, Richard A,
Marshfield Clinic - Bloomer Center
1711 York Street
Bloomer, WI 54724
(715) 568-6220
Patel, Darshana G,
Schelble, Thomas C,
Schroeder, Norman J,
General
Practice
Bautista-Santos, Maria Editha M,
Family
Practice
Stringer, Elena A,
Family
Practice
Sipple, Christopher,
Physician
Assistant
Pautz, Holly L.,
Brookfield
Froedtert and the Medical College of
Wisconsin, Primary Care, Springdale
Health Clinic
21700 Intertech Drive
Brookfield, WI 53045
(262) 532-8300
Internal
Medicine
Cada, Michael,
Edlebeck, Anna B,
Obermyer, Mark,
Sawasky, Kathleen B,
Woodard, Andrea Leigh,
Froedtert and the Medical College of
Wisconsin, Primary Care, Sunnyslope
Primary Care Clinic
1350 Sunnyslope Rd
Brookfield, WI 53005
(414) 805-9600
Family
Practice
Internal
Medicine
Dinusson, Jacquelyn F,
Noble, N Carter,
Pediatrics, Hospice and Palliative
Care
Frohling, Sandra,
Meyer, Christina T,
Brillion
Norman, Sharniecia,
Affinity Medical Group - Brillion
Family Medicine
708 W. Ryan St.
Brillion, WI 54110
(920) 756-5900
Internal
Medicine
Nurse
Practitioner
Shankar, Stuti,
Reszczynski, Mary A.,
Burlington
Homburg, Nancy J,
Physical
Therapy
Krueger, Michael A,
Arcadia
Marshfield Clinic - Arcadia Center
945 S Dettloff Drive
Arcadia, WI 54612-1895
(608) 323-1500
Hill, Joanne L,
Eapen, Sunu S.,
Schaper, Aysha L,
Vanderkooy, Kris Rudy,
Page 345 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Burlington
Cedar Grove
Chippewa Falls
Aurora Medical Group - Aurora
Burlington Clinic
248 McHenry Street
Burlington, WI 53105
(262) 767-8264
Aurora Medical Group - Aurora
Health Center - Cedar Grove
313 South Main Street
Cedar Grove, WI 53013
(920) 668-8502
Marshfield Clinic - Chippewa Center
2655 Cty Hwy I
Chippewa Falls, WI 54729
(715) 723-2287
Family
Practice
Family
Practice
Baur, Martin C,
Demaster, Brian J,
Billingsley, Sandra L,
Nurse
Practitioner
Ellingstad, Richard A,
Krismer, George J,
Lisak, Alicja D,
Smith, Melanie A.,
Taylor, David L.,
Webber, Paul R.,
White, Samuel Crawford,
Geriatric Medicine/Family
Practice
Twardy, Jolanta M.,
Internal
Medicine
Soerens, Allison E,
Chetek
Marshfield Clinic - Chetek Center
806 2nd St.
Chetek, WI 54728
(715) 924-2000
Family
Practice
Hinde, Lisa A,
McKeown, Susan E,
Family
Practice
Pediatrics
Tipler, Gene A,
DeLaCruz, Ralando Y,
Graciosa, Joseph D,
Internal
Medicine
Cadott
Ali, Zulfiqar,
Marshfield Clinic - Cadott Center
305 S Highway 27
Cadott, WI 54727
(715) 387-5511
Nurse
Practitioner
Family
Practice
Chippewa Falls
Valerio, Anna Francesca L,
Cedar Grove
Nurse
Practitioner
Maraia, Taura,
Pediatrics
Balmadrid, Dulce Vida A,
Barkley, Sharon M,
Barkley, William J,
Forster, Jeremy S,
Affinity CMC - Chilton Family
Medicine
618 Memorial Drive
Chilton, WI 53014
(920) 849-3800
Joseph, Amrish R,
Bieging, James K,
Nurse
Practitioner
Schmidt, Randall Williams,
Bleser, Victoria M,
Internal
Medicine
Bieging, Deborah T,
Chilton
Nurse
Practitioner
Maniquiz, Reynaldo C,
Marquardt, Jeffrey M,
Rein, Arthur K.,
Zaremba, Katarzyna I.,
Family
Practice
Day, Heather,
Schabach, Lisa Kaye,
Wirt, Marcia L,
Zander, Margaret A,
Marshfield Clinic - Lake Hallie Center
12961 27th Ave.
Chippewa Falls, WI 54729
(715) 738-3700
Family
Practice
Sandager, Thomas D,
Shepich, Jeffrey,
Sperlingas, Stacey J,
Internal
Medicine
Harrison, Leslie P,
Physician
Assistant
Nguyen, Chau T,
Clintonville
Marshfield Clinic - Chippewa Center
2655 Cty Hwy I
Chippewa Falls, WI 54729
(715) 723-2287
Affinity Medical Group - Clintonville
Family Medicine
61 N. Anne St.
Clintonville, WI 54929
(920) 823-8700
Family
Practice
Nurse
Practitioner
Carlson, Stephen,
Page 346 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Clintonville
Cumberland
Denmark
Affinity Medical Group - Clintonville
Family Medicine
61 N. Anne St.
Clintonville, WI 54929
(920) 823-8700
Marshfield Clinic - Cumberland Center
1200 State Hwy 48
Cumberland, WI 54829
(715) 387-5511
Bellin Medical Group - Family Medica
Center Wrightstown
555 Quality Ct.
Denmark, WI 54208
(920) 445-7276
Nurse
Practitioner
Snowden, Angela B,
Physician
Assistant
Birling, Brooke,
Colby
Marshfield Clinic - Colby-Abbotsford
Center
111 Dehne Drive
Colby, WI 54421
(715) 223-2331
Nurse
Practitioner
Hines, Christine A,
Rieper, Jayne L,
De Pere
Aurora Medical Group -Aurora Health
Center - De Pere
1881 Chicago Street
De Pere, WI 54115
(920) 403-8000
Family
Practice
Colassacco, Lawrence E,
Family
Practice
Gray, John D,
Hoerneman, Tanya Kausch,
Internal
Medicine
Writz, Paul L,
Internal
Medicine
Andres-Palines, Jesusa S,
Bachhuber, Raymond G,
Family
Practice
Wozney, Bradley,
Dousman
Aurora Medical Group - Wilkinson
Clinic Dousman
370 Venture Drive
Dousman, WI 53118
(262) 965-6910
Nurse
Practitioner
Millman, Carol J,
Eagle River
Marshfield Clinic - Eagle River Cente
500 Commerce Loop
Eagle River, WI 54521
(715) 387-5511
Nitke, Jason M,
Family
Practice
Pediatrics
Hrdina, Diane E,
Andhole, Indira P,
East DePere
Krieg, George,
Hoyer, Jennifer L,
Viergutz, Milton J,
Roup, Ronald E,
Cornell
Delafield
Marshfield Clinic - Cornell Center
600 Woodside Drive
Cornell, WI 54732
(715) 387-5511
Aurora Medical Group - Wilkinson
Delafield Clinic
2808 Heritage Drive
Delafield, WI 53018
(262) 646-1440
Bellin Medical Group - Family Medica
Center DePere East
555 Redbird Circle
East DePere, WI 54115
(920) 338-6870
Wehman-Tubbs, Kelli R,
Physician
Assistant
Family
Practice
Dickson, Erik,
Fernandez, Marifel Mitzi F,
Physician
Assistant
Schauer, Bradley Bovee,
Cumberland
Marshfield Clinic - Cumberland Center
1200 State Hwy 48
Cumberland, WI 54829
(715) 387-5511
Family
Practice
Brueckert, Kurt E,
Vacek, Steven J,
Denmark
Bellin Medical Group - Family Medical
Center Wrightstown
555 Quality Ct.
Denmark, WI 54208
(920) 445-7276
Family
Practice
Family
Practice
Novotny, Steven,
Internal
Medicine
Biernat, Bozena,
Nurse
Practitioner
Pravechek, Jennifer L.,
Bellin Medical Group ΓÇô Family
Medical Center DePere East Pediatric
555 Redbird Circle
East DePere, WI 54115
(920) 338-6820
Pediatrics
Page 347 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
East DePere
Eau Claire
Fond du Lac
Bellin Medical Group ΓÇô Family
Medical Center DePere East Pediatrics
555 Redbird Circle
East DePere, WI 54115
(920) 338-6820
Marshfield Clinic - Oakwood Center
3501 Golf Road
Eau Claire, WI 54701
(715) 858-4200
Aurora Medical Group - Aurora
Health Center - Fond Du Lac
210 Wisconsin American Drive, Hwy.
23 East
Fond du Lac, WI 54935
(920) 907-7000
Pediatrics
Internal
Medicine
Camilli, Karen,
Soomar, Nasima R,
Family
Practice
Gallistel, Laura,
Nurse
Practitioner
Jessen, Kevin A,
Kuester, Lisa,
Internal
Medicine
Hoyman, Sherri,
Kellner, Joseph W.,
Theado, Matthew,
Eau Claire
Marshfield Clinic - Eau Claire Center
2116 Craig Rd.
Eau Claire, WI 54701
(715) 858-4949
Family
Practice
Sarumi, Oludayo O,
Vandezande, Victoria Lynn,
Internal
Medicine
Babaria, Dharmesh,
Gonzaga, Michael,
Hidalgo, Martha A,
Kyle, Julia,
Rahman, Seema,
Sueldo, Efrain,
Pediatrics
Husain, Naghma,
Javaid, Bushra K,
Prince, Susan,
Pediatrics
Wiedbusch, Robert,
Physician
Assistant
Moore, Brenda K,
UW Health Eau Claire Family Medicine
617 W Clairemont Ave
Eau Claire, WI 54701
(715) 839-5175
Family
Practice
Breen, Dennis P,
Eddy, Jennifer J,
Hamblin, Joan E,
Mcclaflin, Richard R,
Raehl, Deborah A,
Elk Mound
Marshfield Clinic - Elk Mound Center
112 Independence Drive
Elk Mound, WI 54739
(715) 879-1210
Marshfield Clinic - Oakwood Center
3501 Golf Road
Eau Claire, WI 54701
(715) 858-4200
Family
Practice
Family
Practice
Aurora Medical Group - Aurora
Health Center - Fond Du Lac
210 Wisconsin American Drive, Hwy.
23 East
Fond du Lac, WI 54935
(920) 907-7000
Halkova, Tatsiana,
Hillerud, Andrea C,
Jacoby, Philip E,
Joles, Thomas I,
Parsley, Jennifer Lynn,
Fond du Lac
Liu, Lily H,
Family
Practice
Lofgren, David J,
Betten, Karen L,
Litman, Gabriel,
Sergi, Michael,
Steiner, John D,
Nurse
Practitioner
Ahrens, Linda,
Kostac, Greta M,
Stephany, Joanne M,
Pediatrics
Emmer-Sheldon, Amy S,
Freund, Marian E,
Steward, Donald C,
Franklin
Aurora St. Luke's Health Center Franklin #116
9200 W Loomis, #116
Franklin, WI 53132-9665
(414) 529-9232
Family
Practice
Pierce, Sarah E,
Internal
Medicine
Wozniewicz, Dorota B.,
Green Bay
Aurora BayCare Health Center
2253 W. Mason Street, # 200
Green Bay, WI 54303
(920) 327-7300
Family
Practice
Kiser, John P.,
Internal
Medicine
Page 348 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Green Bay
Green Bay
Green Bay
Aurora BayCare Health Center
2253 W. Mason Street, # 200
Green Bay, WI 54303
(920) 327-7300
Aurora Medical Group - Aurora
BayCare Orthopedic & Sports
Medicine Center - Pediatrics
1160 Kepler Dr
Green Bay, WI 54308
(910) 288-5500
Bellin Medical Group - Family Medica
Center Ashwaubenon
1630 Commanche Avenue
Green Bay, WI 54313
(920) 430-4700
Internal
Medicine
Greene, Richard C,
Kaul, Pankaj,
Minca, Violeta,
Sze, David B,
Nurse
Practitioner
Steward, Kathleen G,
Pediatrics
Alexander, Andrew K,
Zahn, Scott G,
Aurora Medical Group - Willows
1565 Allouez Avenue
Green Bay, WI 54311
(920) 468-2400
Family
Practice
Barnes, Suzanne H,
Nurse
Practitioner
Robertson, Mary E,
Pediatrics
Beno, Donald J,
Kathuria, Sabeena,
Pacurar, Ines C,
Aurora Medical Group - Aurora
Health Center - Suamico
2890 Lineville Rd
Green Bay, WI 54313
(910) 662-2100
Family
Practice
Stevens, Robert J,
Stevens, Robert J,
Vaishnav, Dhwani A,
Fagre, Timothy A,
Nurse
Practitioner
Goolsby, P. Lane,
Devalk-Holl, Cathy,
Stevens, Robert J.,
Bellin Medical Group - Family Medical
& Wellness Center Bellevue
3263 Eaton Road
Green Bay, WI 54301
(920) 433-6700
Stevens, Robert J.,
Aurora Medical Group - ABMC - 1st
Floor Physician Office Building
2845 Greenbrier Road, 1st Floor
Green Bay, WI 54308
(920) 288-8100
Endocrinology
Family
Practice
Bedi, Sabeeha,
Boyd, Thomas,
Casis, Ferdinand,
Halsey, Steven,
Internal
Medicine
McHenry, Michael,
Mihailescu, Gabriel,
Nitke, Leah A,
Aurora Medical Group - Aurora
BayCare Orthopedic & Sports
Medicine Center - Pediatrics
1160 Kepler Dr
Green Bay, WI 54308
(910) 288-5500
Singh, Sabrina W.,
Nurse
Practitioner
McHenry, Jean M.,
Bellin Medical Group - Family Medical
Center Ashwaubenon
1630 Commanche Avenue
Green Bay, WI 54313
(920) 430-4700
Family
Practice
Daniel, Lemkuil C.,
Ebben, James,
Gast, James,
Jerzak, James,
Mead, Robert C.,
Phillips, Maureen,
Reynders, William,
Schacht, Michelle,
Wurth, Jason,
Rheumatology
Russell, Elizabeth,
Bellin Medical Group - Family Medica
Center Clinica Hispana
704 S. Webster Avenue, Suite 100
Green Bay, WI 54301
(920) 433-3410
Family
Practice
Riquelme, Jean,
Bellin Medical Group - Family Medica
Center Howard
2714 Riverview Drive
Green Bay, WI 54313
(920) 445-7276
Family
Practice
Ditchen, Izabela,
Fuglestad, Loren,
Internal
Medicine
Hartig, Donald,
Nurse
Practitioner
Freis, Cathy J.,
Page 349 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Green Bay
Greenfield
Hayward
Bellin Medical Group - Family Medical
Center Siegler St.
124 Siegler Street
Green Bay, WI 54303
(920) 497-7771
Froedtert and the Medical College of
Wisconsin, Primary Care, Greenfield
Highlands Primary Care Clinic
4455 S. 108th Street
Greenfield, WI 53228
Marshfield Clinic - Hayward Center
10212 N Greenwood Lane
Hayward, WI 54843
(715) 634-6520
Family
Practice
Family
Practice
Karbon, Staci,
Lo presti, Leigh S,
Internal
Medicine
Lo presti, Leigh S,
Bongiorno, Edward,
Shah, Aparna S.,
Nurse
Practitioner
Internal
Medicine
Zollar, Tracey L.,
Shankar, Stuti,
Pediatrics
Greenville
Danowit, Jane,
Affinity Medical Group - Greenville
Family Medicine
W6981 Parkview Dr.
Greenville, WI 54942
(920) 882-2400
Lane, Karen,
Bellin Medical Group - Family Medical
Center Webster Ave.
725 S. Webster Avenue
Green Bay, WI 54301
(920) 433-3456
Family
Practice
Luther, Anshu,
Prevea Health, East Mason Health
Center, Internal Medicine Department
3021 Voyager Drive
Green Bay, WI 54311
(920) 436-1366
Internal
Medicine
Pritchard, Paul M,
Ripp, Daniel J,
Schmitz, Paul J,
Greenfield
Froedtert and the Medical College of
Wisconsin, Primary Care, Greenfield
Highlands Primary Care Clinic
4455 S. 108th Street
Greenfield, WI 53228
Family Medicine, Hospice and Palliative
Care
O'Quinn, Kirsten L.,
Family
Practice
Lathrop Capaul, Kari L,
Price, Robin T,
Schroeder, Wendy L,
Greenwood
Marshfield Clinic - Greenwood Center
102 West Cannery Street
Greenwood, WI 54437
(715) 267-6600
Family
Practice
Zdor-North, Deborah,
Physician
Assistant
Brown, Scott A,
Hales Corners
Aurora Medical Group -Aurora Health
Center - Hales Corners
5250 S 108th Street
Hales Corners, WI 53130
(414) 525-2400
Gaglianello, Sarah M,
Family
Practice
Family
Practice
Hill, Tristram C,
Nurse
Practitioner
Fitch, Geri L,
Van Vonderen, Mary L.,
Jackson
Froedert Health Medical Group
Jackson Clinic
W225 N16711 Cedar Park Court
Jackson, WI 53037
(262) 677-1101
Emergency
Medicine
Rutsch, Christina Marie,
Family
Practice
Cameron, Carey M,
Cornelius, Peter L,
Gill, Lawrence A,
Guthrie, Anthony S,
Witek, Diane M,
Kaukauna
Affinity Medical Home - Kaukauna
2601 FieldCrest Drive
Kaukauna, WI 54130
(920) 462-6100
Family
Practice
Brady, Nicole A,
Smith, Daniel R,
Nurse
Practitioner
Dewitt, Jamie Leigh,
Aurora Medical Group- Aurora Healt
Center - Kaukauna
2700 Crooks Avenue
Kaukauna, WI 54130
(920) 766-3200
Family
Practice
Cherkasky, Alan H,
Schimke, Andrea,
Page 350 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Kenosha
Kewaunee
La Crosse
Aurora Health Center Kenosha 22nd
Avenue
7540 22nd Avenue
Kenosha, WI 53143
(262) 656-7800
Bellin Medical Group - Family Medical
Center Kewaunee
575 Fourth Street
Kewaunee, WI 54216
(920) 388-4640
Gundersen Lutheran Pediatrics
1900 South Avenue, FBO-004
La Crosse, WI 54601
(608) 775-2507
Family
Practice
Family
Practice
Capelli, A. John,
Zenner, Thomas,
Paukner, Joseph L.,
Physician
Assistant
Aurora Medical Group - Aurora
Health Center - Kenosha
10400 75th Street
Kenosha, WI 53142
(262) 948-6839
Family
Practice
Agaiby, John M,
Antoo, Alby K,
Capelli, Paul V,
Rizzo, Michael J,
Rizzo, Vincent M,
Rocco, Gregory N.,
Internal
Medicine
David, Diana A.,
Feldy, Scott R,
Kayeum, Nina,
Kupriyenko, Lidiya,
Rashid, Ikram U,
Nurse
Practitioner
Mikolas, Sandra L,
Pediatrics
Johnson, Steven J.,
Klevan, Judy L.,
Kleven, Jennifer E.,
Manson, Steven R.,
Fuss, Mark A.,
Naik, Rajiv M.,
Kiel
Stiers, Gary R.,
Affinity Medical Group - Kiel Family
Medicine
632 Fremont St.
Kiel, WI 53042
(920) 894-3322
Weber, Lori S.,
Family
Practice
Hetzner, Michael H,
Aurora Medical Group - Aurora
Sheboygan Clinic - Kiel
1001 Service Road
Kiel, WI 53042
(920) 894-2636
Ladysmith
Marshfield Clinic - Ladysmith Center
906 College Ave West
Ladysmith, WI 54848
(715) 387-5511
Family
Practice
Cosiquien, Joannabelle So,
Cosiquien, Reginald Sy,
Nogler, Robert A,
Placencia, Cecilia,
Family
Practice
Ziemer, John L,
Deubler, David J.,
Geriatric Medicine/Internal
Medicine
La Crosse
Gundersen Lutheran Pediatrics
1900 South Avenue, FBO-004
La Crosse, WI 54601
(608) 775-2507
Pediatrics
Nurse
Practitioner
Bryan, Jennifer M,
Balder-Schroeder, Mary B.,
Gerlach, Diane M,
Johnson, Kay C.,
Rocco, Sheri S,
Litscher-Lee, Kristine M.,
Shah, Soniya G,
Ott, Ellen M.,
Kewaunee
Rude, Karen A.,
Bellin Medical Group - Family Medical
Center Kewaunee
575 Fourth Street
Kewaunee, WI 54216
(920) 388-4640
Sackman, Emily A.,
Pediatrics
Budzak-Garza, Ann E.,
Charipar, Ron M,
Internal
Medicine
Farooq, Nouman,
Roberts, Mark R,
Nurse
Practitioner
Cernohous, Elizabeth Henderson,
Pediatrics
Allen, Rebecca J,
Physician
Assistant
Greske, Amy M.,
Krupa, Carol,
Lake Geneva
Gerhard, David G.,
Hansen, Elizabeth R.,
Page 351 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Lake Geneva
Madison
Madison
Aurora Health Center - Lake Geneva
146 E. Geneva Square
Lake Geneva, WI 53147
(262) 249-5000
Dean Clinic - East Family Medicine
1821 S. Stoughton Rd
Madison, WI 53716
(608) 260-6000
Family
Practice
Family
Practice
Dean Clinic - Fish Hatchery Family
Medicine
1313 Fish Hatchery Rd
Madison, WI 53715
(608) 252-8000
Gerber, Greg J,
Eimermann, Heidi M,
Peterson, Stephen P.,
Groff, Amy L,
Rosol, Laura M,
Hackman, Sarah A,
Schneider, Garth R.,
Hahn, David L,
Internal
Medicine
Hansen, Mark A,
Alabarca, Nestor C,
Bhushan, Shashi,
Vivero, Manuel L,
Little Chute
Affinity Medical Group - Little Chute
Family Medicine
200 Patriot Dr.
Little Chute, WI 54140
(920) 687-2800
Family
Practice
Beutler, Karen W,
Meyer, Jack R,
Scott, Brian K,
Vir, Meena P,
Physician
Assistant
Harnish, Peter R,
McKenna, Virginia C,
Shearer, David R,
Turner, Stuart P,
Optometry
Schueller, Kathryn E,
Dean Clinic - East Internal Medicine
1821 S. Stoughton Rd
Madison, WI 53716
(608) 260-6000
Sports
Medicine
Gronski, David J,
Dean Clinic - Fish Hatchery Internal
Medicine
1313 Fish Hatchery Rd
Madison, WI 53713
(608) 252-8000
Internal
Medicine
Daley, Amy E,
Daugherty, Donald A,
Heidel, Randy S,
Kostelyna, Orest,
Lu, Katherine S,
Ozers, Lawrence J,
Patro, Pragyan,
Internal
Medicine
Rabson, Laurel D,
Alt, Robert L,
Aurora Medical Group - Aurora
Manitowoc Clinic South
4100 Dewey Street
Manitowoc, WI 54220
(920) 686-5717
Bain, Philip A,
Boyle, Robert W,
Dimaggio, Marjorie A,
Dolan, Luke A,
Manitowoc
Kordiyak, Peter J,
Knotts, Mary H,
Family
Practice
Perock, Brieanna M,
Musa, Albert J,
Chiu, Michal,
Luxemburg
Pogorelova, Mariya O,
Bellin Medical Group - Family Medical
Center Luxemburg
140 B School Creek Trail
Luxemburg, WI 54217
(920) 845-1370
Utrie, Gina A,
Internal
Medicine
Family
Practice
Kurowski, Kurt,
Dean Clinic - Fish Hatchery Family
Medicine
1313 Fish Hatchery Rd
Madison, WI 53715
(608) 252-8000
Family
Practice
Nurse
Practitioner
Hermus, Russell J,
Rentmeester, Cheryl A.,
Nettum, James C.,
Madison
Shah, Meetful V,
Keil, Jeffrey M,
Teehan, Tresa A,
Nurse
Practitioner
Zimmermann, Rhonda M,
Pediatrics
Baumgardt, M Anne,
Aurora Medical Group - Aurora
Manitowoc North Clinic
601 Reed Avenue, P. O. Box 1270
Manitowoc, WI 54221
(920) 682-8841
Page 352 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Manitowoc
Marinette
Marshfield
Aurora Medical Group - Aurora
Manitowoc North Clinic
601 Reed Avenue, P. O. Box 1270
Manitowoc, WI 54221
(920) 682-8841
Aurora Medical Group-Aurora Health
Center - Marinette
4061 Old Peshtigo Road
Marinette, WI 54143
(715) 732-8000
Marshfield Clinic - Marshfield Center
1000 N Oak Ave
Marshfield, WI 54449
(715) 387-5511
Internal
Medicine
Family
Practice
DeBruyn, Donald J.,
Bensi, Debora Elena,
Maatman, Timothy J,
Nguyen, Steven T,
Theobald, Richard W,
Nephrology
Pediatrics
Harms, Amy J.,
Marinette
Aurora Medical Group - Aurora
Health Center - Marinette Menominee
Pediatrics
1510 University Drive
Marinette, WI 54143
(715) 735-3998
Nurse
Practitioner
Mainhardt, Marianne H,
Pediatrics
Kellner, Kenneth J,
Marshfield
Marshfield Clinic - Marshfield Center
1000 N Oak Ave
Marshfield, WI 54449
(715) 387-5511
Family
Practice
Andersen, Niels C,
Andersen, Victoria E,
Espada, Ramon A,
Caselton, Stephen C,
Internal
Medicine
Ramli, Nor Hasiah,
Aswani, Vijay Hotchand,
Aurora Medical Group -Aurora Health
Center Marinette Menominee
3130 Shore Drive
Marinette, WI 54143
(715) 735-7421
Bassi, Tarun,
Family
Practice
Earnhart, Todd D,
Restrepo, Diego,
Internal
Medicine
Abu Muhanna, Amjed Yousef,
Arora, Mayank,
Daroach, Gian C,
Ramaiah, Shobha,
Nurse
Practitioner
Slater, Tracy L f,
Cody, Lee B,
Daly-oneill, Linda,
Devadas, Grace C,
Greenburg, Marian L,
Gui, Gaojun,
Guzowski, Frank S,
Habash-Bseiso, Dana,
Haleem, Muhammad S,
Hoynacke, Renee Ann,
Hussain, Asif,
Jansen, Matthew,
Koehler, Roderick D,
Kubica, Ewa,
Manickam, Panneer S,
Mbakwe, O Helen,
Internal
Medicine
Parimanath, Sherine,
Praxel, Theodore A,
Przybylinski, John,
Rahim, Eram,
Remeika, Lori J,
Singh, Raj V,
Singh, Rama,
Sullivan, Michael P,
Thorne, Wayne E,
Van Oudenhoven, Gary P,
Yale, Eileen Scott,
Yanke, William E,
Nurse
Practitioner
Esker, Jennifer,
Graper, Pamela K,
Hackett, Laurel A,
Hamus, Carol M,
Karl, Mary,
Sternitzky, Jill,
Woolworth, Virginia M,
Wright, Suzanne,
Pediatrics
Devries, Edna O,
Herbst, Amy,
Hilbelink, Elizabeth,
Meyer, James A,
Pulvermacher, Keith W.,
Stewart, Alice D.,
Sullivan, Bradley J,
Thappeta, Sushma,
Trinh, Thu-thao,
Viegut, Victoria L,
Physician
Assistant
Moldysz, Urszula,
Page 353 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Marshfield
Mercer
Milwaukee
Marshfield Clinic - Marshfield Center
1000 N Oak Ave
Marshfield, WI 54449
(715) 387-5511
Marshfield Clinic - Mercer Center
5110 Us Hwy 51
Mercer, WI 54547
(715) 387-5511
AIDS Resource Center of Wisconsin
820 North Plankinton Avenue
Milwaukee, WI 53203
(414) 225-1547
Physician
Assistant
Family
Practice
Infectious
Disease
Meyer, Sharon,
Olson, Nils A,
Hogan, Christine Marie,
Menasha
Nurse
Practitioner
Aurora Advanced Healthcare - Mayfa
West Clinic
1055 N. Mayfair Road
Milwaukee, WI 53226
(414) 479-2300
Affinity Medical Group - Airport
Family Medicine
878 Airport Rd.
Menasha, WI 54952
(920) 727-5982
Family
Practice
Bastasic, Jeffrey M,
Bronsberg, Margaret A,
Merrill
Marshfield Clinic - Merrill Center
1205 O'day Street
Merrill, WI 54452
(715) 387-5511
Family
Practice
Eskarous, Nady I,
Nolan, Sara J.,
Heifner, Gary Mark,
Family
Practice
Pitre, Cheryl-lynn M,
Crapster-Pregont, Barbara B,
Robertson, Felicia D.,
Sousek, Reid A,
Crapster-Pregont, Mark,
Shaffer, William,
Nurse
Practitioner
Gill, Gregory,
Teschan, Rudolf R.,
Krohn-Gill, Kathryn A,
Physician
Assistant
Vande Hey, Sarah A,
Menomonee Falls
Froedtert and the Medical College of
Wisconsin, Primary Care, Community
Memorial Medical Commons
W129 N7055 Northfield Drive
Menomonee Falls, WI 53051
Internal
Medicine
Moore, Jeffrey L,
Thompson, Paul A,
Gastroenterology
Evans, Donald L,
Internal
Medicine
Akay, Aylin,
Ozman, Bridget,
Sherwood, Nancy H,
Aurora Medical Group - Aurora
Health Center - Edgerton
6901 W. Edgerton Avenue
Milwaukee, WI 53220
(414) 421-8400
Family
Practice
Botros, Nazih,
Bhosekar, Chitra Sadasiwan,
Nurse
Practitioner
Durst, Meghan Grace,
Nikolai, Amy E.,
Mccoy, Mary J,
Schatzman, Michael J.,
Weix-Klippel, Kathleen,
Mikhaeel, Hany G.,
Pediatrics
Physician
Assistant
Stickels, Susan F.,
Barkimer, Brett A,
Bartel, Shawn David,
Menomonie
Marshfield Clinic - Menomonie Center
3603 Schneider Rd
Menomonie, WI 54751
(715) 387-5511
Family
Practice
Parkhurst, Brandon,
Botsford, Krista,
Milwaukee
AIDS Resource Center of Wisconsin
820 North Plankinton Avenue
Milwaukee, WI 53203
(414) 225-1547
Infectious
Disease
Fangman, John J,
Khan, Mir W,
Zaki, Maggie K.,
Internal
Medicine
Mohammed, Farooq,
Aurora Medical Group - Aurora St.
Luke's Internal Medicine Suite 135
2801 W. Kinnickinnic River Parkway,
#135
Milwaukee, WI 53215
(414) 385-8600
Mercer
Page 354 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Milwaukee
Milwaukee
Milwaukee
Aurora Medical Group - Aurora St.
Luke's Internal Medicine Suite 135
2801 W. Kinnickinnic River Parkway,
#135
Milwaukee, WI 53215
(414) 385-8600
Aurora UW - Internal Medicine
1020 N.12th Street, 2nd Floor
Milwaukee, WI 53233-1308
(414) 219-7136
Aurora UW Medical Group - Aurora
Center for Senior Health and Longevi
1020 N. 12 St., 3rd Floor
Milwaukee, WI 53233
(414) 219-7300
Internal
Medicine
Caine, Marc Randall,
Gupta, Madhu N.,
Nordin, Daniel J,
Pyasta, Roman T,
Aurora Medical Group -Aurora Health
Center River Center
1575 N River Center Drive
Milwaukee, WI 53212
(414) 283-8444
Family
Practice
Dauer, Andrew Joseph,
DeBoe, Jr., Frederick M.,
Sethi, Amanpreet,
Aurora Medical Group West Allis
Physician Office Tower
2424 S. 90th Street, # 310
Milwaukee, WI 53227
(414) 328-8630
Internal
Medicine
Caceres, Anthony E.,
Gennis, Mark A.,
Leybishkis, Biana,
Reid, Kern A.,
Usatinsky, Julia,
Nurse
Practitioner
McFarland, Debora A,
Pomerantz, Gigi,
Aurora UW - St. Luke's Family Practice
2801 W. Kinnickinnic River Pkwy.,
Suite 250
Milwaukee, WI 53215
(414) 649-6732
Family
Practice
Baumgardner, Dennis J,
Bidwell, Jacob L.,
Brill, John R.,
Robinson, Mark W.,
Internal
Medicine
Wallace, Brian K.,
Dawson, Michael J.,
Nurse
Practitioner
Lillie, Douglas W,
Pentala, Jolanta,
Aurora Sinai Family Care Center
1020 N 12th Street
Milwaukee, WI 53233
(414) 219-7136
Family
Practice
Litza, Janice A.,
Siddiqi, Aamir,
Sullivan Vedder, Lisa A.,
Aurora UW - Internal Medicine
1020 N.12th Street, 2nd Floor
Milwaukee, WI 53233-1308
(414) 219-7136
Schultz, Rebecca A,
Sundberg, Glenda S,
Pediatric Critical
Care
Bhatia, Rambha,
Aurora UW Medical Group - Aurora
Center for Senior Health and Longevity
1020 N. 12 St., 3rd Floor
Milwaukee, WI 53233
(414) 219-7300
Family
Practice
Hydari, Rakhshi,
Geriatric Medicine/Family
Practice
Demircioglu, Reyhan,
Geriatric Medicine/Family
Practice
Singh, Kanwardeep,
Geriatric Medicine/Internal
Medicine
Danto-Nocton, Ellen S,
Soryal, Soryal Ayoub,
Nurse
Practitioner
Simon, Susan K,
Columbia St Marys Family Medicine
Residency
1121 East North Avenue
Milwaukee, WI 53211
(414) 267-6531
Family
Practice
Brotzman, Gregory L,
Gehl, Suzanne,
Geiger, William J,
Griffiths, Jennifer B,
Johnson, David P,
Lyon, Robert K,
Manor, Betsy L,
Sanders, James D,
Seidl, John J,
Froedtert and the Medical College of
Wisconsin, Primary Care Sargeant
Internal Medicine Clinic
840 N. 87th Street
Milwaukee, WI 53226
(414) 805-5540
Internal
Medicine
Asghar, Huma A,
Fickel, Karen,
Gillis, Rick D,
Gilson, Ian,
Green, Sandra,
Hanley, Kathryn,
Page 355 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Milwaukee
Milwaukee
Minocqua
Froedtert and the Medical College of
Wisconsin, Primary Care Sargeant
Internal Medicine Clinic
840 N. 87th Street
Milwaukee, WI 53226
(414) 805-5540
St. Joseph Family Medicine Center,
Dept. of Family & Community
Medicine Medical College of WI
2400 W. Village Avenue
Milwaukee, WI 53209
Marshfield Clinic - Minocqua Center
9601 Townline Rd
Minocqua, WI 54548
(715) 387-5511
Internal
Medicine
Family
Practice
Izard, Kevin,
Kleczka, Laura M,
Klehm, David,
Luy, Neil K,
Slawson, James G.,
Maguire, Ann M,
Minocqua
Norton, Andrew J,
Marshfield Clinic - Minocqua Center
9601 Townline Rd
Minocqua, WI 54548
(715) 387-5511
Tobin, Benjamin,
General Internal Medicine - Specialty
Clinics Building
9200 W. Wisconsin Avenue
Milwaukee, WI 53226
(414) 805-6850
Internal
Medicine
Gilligan, Mary ann,
Hariharan, Jaishree,
Krippendorf, Robert,
Family
Practice
Drewry, Anne,
Janak, Steve W,
Physician
Assistant
Scholten, Sara Walker,
Mosinee
Marshfield Clinic - Mosinee Center
390 Orbiting Drive
Mosinee, WI 54455
(715) 387-5511
Family
Practice
Dillon, David P,
Grim, Gerald W,
Nash, Richard G,
Sheff, Jerome R,
Knautz, Michael H.,
Physician
Assistant
Lonsdorf, Charles A,
Joswick, David L,
Tummala, Sailaja,
Neenah
Geriatric Medicine/Internal
Medicine
Muntz, Martin D,
Internal
Medicine
Affinity Medical Group - Deerwood
Children's Health
740 Deerwood Ave.
Neenah, WI 54956
(920) 751-9600
Nattinger, Ann,
Drewry, Matthew M,
Pediatrics
Neuner, Joan M,
Goral, Tomasz,
Gentile, Kevin E.,
Pruitt, Eugene M,
Mroz, J Barbara,
Howe-Kasper, Patricia M,
Travis, Natasha A,
Nemcek, John G,
Kasper, William J,
Ziebert, Monica M,
Seale, Linda,
Marsho, Tim Daniel,
St. Joseph Family Medicine Center,
Dept. of Family & Community
Medicine Medical College of WI
2400 W. Village Avenue
Milwaukee, WI 53209
Nurse
Practitioner
Roloff, Peter A,
Family
Practice
Gudel, Joanna,
Damitz, Beth A.,
Uy, Jenalin,
Gottschlich, Laura,
Hekman, Jill,
Physician
Assistant
Helm, Robin L.,
Gauthier, Amy M,
Family
Practice
Hill, Janice M.,
Reichel, Sheila S,
Ashta, Raman,
Lamb, Geoffrey,
Mackinney, Theodore G,
Mitchell, Julie L,
Fossen, Richard F,
Mansfield, Diane M,
Pediatrics
Jain, Sanjeev R,
Affinity Medical Group - Neenah
Primary Care
411 Lincoln St.
Neenah, WI 54956
(920) 727-5810
Emergency
Medicine
Burns, James R,
Cruz, Stephen T,
Page 356 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Neenah
New London
Oshkosh
Affinity Medical Group - Neenah
Primary Care
411 Lincoln St.
Neenah, WI 54956
(920) 727-5810
Affinity Medical Group - New London
Family Medicine
1420 Algoma St.
New London, WI 54961
(920) 982-8300
Affinity Medical Group - Jackson /
Parkway Internal Medicine
2725 Jackson St.
Oshkosh, WI 54901
(920) 223-7500
Internal
Medicine
Family
Practice
Family
Practice
Raj, Radhika P,
Schlais, Dale L,
Larson, Karl C,
Talbot, Todd J,
Internal
Medicine
Internal
Medicine
Weber, Marie T,
Andrasko, Kevin P,
Nurse
Practitioner
Radford, Curtis D,
Wilson, Edwin E,
Nurse
Practitioner
Sara, Hartman M,
Treder, Paul F,
Neenha
Aurora Health Center - Neenah
1136 Westowne Drive
Neenha, WI 54956
(920) 720-8200
Family
Practice
Goldshlack, Brian L,
Internal
Medicine
Jadin-Cardelli, Roxanne L,
Nurse
Practitioner
Levine, Jane E,
New Franken
Aurora Medical Group - Aurora
Health Center - Bay Settlement Clinic
4070 Equestrian Road
New Franken, WI 54229-9649
(920) 866-6100
Family
Practice
Kroll, Mark R,
Quidzinski, Erich J,
Warpinski, Luke T,
Nurse
Practitioner
Jeskewitz, Holly C,
Klein, Kevin K,
North Fond du Lac
Aurora Medical Group - Aurora
Health Center - North Fond du Lac
700 Park Ridge Ln.
North Fond du Lac, WI 54937
(920) 926-7800
Family
Practice
Sheehan, Julie A,
Nurse
Practitioner
Swanson, Lars V,
Nurse
Practitioner
Casey, Nancy S,
Affinity Medical Group - Jackson
Family Medicine
2725 Jackson St.
Oshkosh, WI 54901
(920) 223-7500
Family
Practice
Rocke, Christopher E,
Guse, Sarah J,
Nurse
Practitioner
Oconto Falls
Zernzach, Sandra K,
Bellin Medical Group - Family Medical
Center Oconto Falls
833 S. Main Street
Oconto Falls, WI 54301
(920) 846-3092
Affinity Medical Group - Koeller
Family Medicine
1855 S. Koeller St.
Oshkosh, WI 54902
(920) 223-7461
Family
Practice
Family
Practice
Heyka, James,
Bollweg, Cari Ann,
Internal
Medicine
Affinity Medical Group - Oakwood
Family Medicine
2700 W. Ninth Ave.
Oshkosh, WI 54904
(920) 223-2700
Wittman, William,
Physician
Assistant
BeFay, Tracey W.,
Family
Practice
Oshkosh
Catania, Cindy B,
Vandenhouten, Terri L,
New London
Page 357 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Oshkosh
Oshkosh
Oshkosh
Affinity Medical Group - Oakwood
Internal Medicine
2700 W. Ninth Ave.
Oshkosh, WI 54904
(920) 223-2650
Aurora Medical Group - Oshkosh West
Clinic
855 N Westhaven Drive
Oshkosh, WI 54901
(920) 303-8700
Aurora Medical Group Oshkosh
Doctor's Court Clinic
414 Doctor's Court
Oshkosh, WI 54901
(920) 303-5100
Nephrology
Family
Practice
Family
Practice
Zornosa, Francisco,
House, Pamela T.,
Duwell, Eric,
Affinity Medical Group - Oshkosh
Pediatrics
1855 S. Koeller St.
Oshkosh, WI 54902
(920) 223-7200
Knier, Michael Steven,
Osseo
Lee, Phyllis,
Marshfield Clinic - Osseo Center
13029 9th Street
Osseo, WI 54758
(715) 387-5511
Infectious
Disease
Zernzack, Lance E,
Maassen, Stephen James,
Weber, John R. S.,
Family
Practice
Szabo, Susan M,
Internal
Medicine
Pediatrics
Alzoubi, Ammar,
Budiasih, Santi,
Blaha, Steven C.,
Nurse
Practitioner
Gardner, Jeremy G,
Schroeder, Rebekah R,
Feeney-Schroeder, Linda R,
Hofman, Sam,
Nurse
Practitioner
Paddock Lake
Laufer, Christopher J,
Strand, Barbara J,
Affinity Medical Group-Koeller
Internal Medicine
1855 S. Koeller St
Oshkosh, WI 54902
(920) 223-7100
Emergency
Medicine
Bonell, Jamie G,
Hurlbut, Susan,
Miller, Mary Jo,
Netzer, Pamela A,
Family
Practice
Fischer, Matthew P,
Hussain, Rubina Sajid,
Radiology
General
Practice
Morales Valdes Brost, Patricia,
Internal
Medicine
Aurora Medical Group - Oshkosh West
Pediatric Clinic
855 N Westhaven Drive, Suite 310
Oshkosh, WI 53122
(920) 303-8700
Nurse
Practitioner
Kolell, Sara,
Aurora Medical Group - Oshkosh West
Clinic
855 N Westhaven Drive
Oshkosh, WI 54901
(920) 303-8700
Family
Practice
Carlson, Jon K,
Duffy, Michael A,
Green, Kevin R.,
Aurora Medical Group- Aurora Healt
Center - Paddock Lake
25320 75th Street
Paddock Lake, WI 53168
(262) 843-2336
Psychiatry
Schaffer, Sandra K.,
Kraemer, Matthew N,
Gerlinger, Bruce,
Family
Practice
Carroll, Joel,
Park Falls
Marshfield Clinic - Park Falls Center
50 Sherry Ave
Park Falls, WI 54552
(715) 387-5511
Thur, Jean Ruth,
Family
Practice
Nurse
Practitioner
Danial, Louay O,
Hilgenberg, Andrea J.,
Lindgren, Timothy,
Pediatrics
Internal
Medicine
Johnson, Scott B.,
Chauhan, Amit,
Ly, Vee,
Nurse
Practitioner
Zapolsky, Valerie,
Adleman, Sharon M.,
Page 358 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Park Falls
Plymouth
Radisson
Marshfield Clinic - Park Falls Center
50 Sherry Ave
Park Falls, WI 54552
(715) 387-5511
Aurora Health Center - Plymouth
2600 Kiley Way
Plymouth, WI 53073
(920) 449-7000
Marshfield Clinic - Radisson Center
3661 N. Highland Dr.
Radisson, WI 54867
(715) 945-2800
Nurse
Practitioner
Family
Practice
Nurse
Practitioner
Anderson, Richard A.,
Peschke, Scott R.,
Bratvold, Lisa M,
Snyder, Tracey E,
Poullette, George T.,
Rice Lake
Physician
Assistant
Sharon, Mark W.,
Marshfield Clinic - Rice Lake Center
1700 West Stout Street
Rice Lake, WI 54868-5000
(715) 236-8100
Henderson, Katy,
Peshtigo
Aurora Medical Group - Peshtigo Clinic
603 French Street
Peshtigo, WI 54157-1207
(715) 732-8000
Internal
Medicine
Post, Michael J.,
Nurse
Practitioner
Brown, Christy Ann,
Phillips
Marshfield Clinic - Phillips Center
104 Trinity Drive
Phillips, WI 54555
(715) 339-2101
Family
Practice
Smith, David R.,
Internal
Medicine
Kapur, Chanda,
Racine
Aurora Health Center - Racine
8348 Washington Avenue
Racine, WI 53406
(262) 884-4000
Family
Practice
Brown, Robert W,
Manne, Sridevi,
Welsh, Brady T,
Nurse
Practitioner
Boerger, Jennifer L,
Ward, Susan H,
Pediatrics
Anderson, Lee A,
Kumar, Pradeep G,
Geiger, Tracy M,
Aurora Medical Group - Aurora
Health Center - Caledonia
5333 Douglas Avenue
Racine, WI 53402
(262) 752-2100
Houkom, Everin C,
Nurse
Practitioner
Bushman, Britt E,
Plymouth
Family
Practice
Aurora Health Center - Plymouth
2600 Kiley Way
Plymouth, WI 53073
(920) 449-7000
Vemareddy, Sarada,
Family
Practice
Pagano, Mary E,
Gavin, Andrea M.,
Murthy, Dharmesh,
Zablotney, David C,
Internal
Medicine
Radisson
Family
Practice
Carlson, Lawrence D,
Cragg, Michael M,
Erickson, Daniel,
Henningsen, David J,
Holthaus, Stephen T,
Hoyer, Jean E,
Lundquist, Thomas W,
Mcclelland, Janice M,
Mink, Lisa A,
Muminovic, Amy J,
Narins, Voldemars,
Nymo, Mark T,
Ocwieja, Mary A,
Osterbauer, Joseph J,
Pebler, Richard F,
Peters, James M,
Smith, William A,
Internal
Medicine
Bekkum, Bradley P,
Eastwold, Conrad E,
Olson, John L,
Nurse
Practitioner
D'angelo, Andrea,
Pediatrics
Langreck, Laura Ann,
Selezneva, Irina,
Page 359 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Rice Lake
Sheboygan
Stratford
Marshfield Clinic - Rice Lake Center
1700 West Stout Street
Rice Lake, WI 54868-5000
(715) 236-8100
Aurora Medical Group - Aurora
Sheboygan Clinic
2414 Kohler Memorial Drive
Sheboygan, WI 53081
(920) 457-4461
Marshfield Clinic - Stratford Center
101 Wisconsin Ave
Stratford, WI 54484
(715) 221-8790
Physician
Assistant
Tomesh, Sarah,
Ripon
Affinity Medical Group - Ripon Family
Medicine & Pediatrics
635 W. Oshkosh St.
Ripon, WI 54971
(920) 745-6900
Family
Practice
Cholewa, Ryszard,
O'Rourke, Katherine Anne,
Sakrison, Christal R,
Pediatrics
Lyke, Jeanne M,
Physician
Assistant
Stanton, John R,
Seymour
Bellin Medical Group - Family Medical
Center Seymour
405 Commercial Street
Seymour, WI 54165
(920) 833-2318
Internal
Medicine
Hancock, Curtis W,
Family
Practice
Shulman, Karen Ann,
Nedoba, Petra,
Internal
Medicine
Quinones, Nikolo C,
Krueger, Kori K,
Schmitt, Bryan T.,
Nurse
Practitioner
Schmitt, Jill I.,
Westcott, Stephen C,
Aurora Medical Group - Aurora
Sheboygan Clinic - Howards Grove
620 S. Wisconsin Drive
Sheboygan, WI 53083
(920) 565-4595
Family
Practice
Best, Catherine M.,
Remington, Robert J.,
Aurora Medical Group - Sheboygan
Pediatric Clinic
2414 Kohler Memorial Drive
Sheboygan, WI 53081
(920) 457-4461
Pediatrics
Baur, Frank M.,
Krueger, Heather A,
Sturgeon Bay
Aurora Health Center - Aurora Health
Center - Sturgeon Bay
1910 Alabama Street
Sturgeon Bay, WI 54235
(920) 746-7200
Family
Practice
Anclam, Keith R,
Conger, David G.,
Internal
Medicine
Bhatia, Ashwani,
Twin Lakes
Aurora Medical Group - Aurora
Health Center - Twin Lakes
700 N. Lake Avenue, #102
Twin Lakes, WI 53181
(262) 877-2124
Family
Practice
Britton, Jeffrey W.,
Miaskowski, Tomasz,
Opel, Elise H.,
Sheboygan
Pizer, Steven J.,
Family
Practice
Aurora Medical Group - Aurora
Sheboygan Clinic
2414 Kohler Memorial Drive
Sheboygan, WI 53081
(920) 457-4461
Sarchet, Christina L.,
Karls, Charlene M,
Wake, Kristine M.,
Kucera, Charles J,
Sheboygan Falls
Internal
Medicine
Family
Practice
Beiersdorf, Rieck W.,
Crawford, William C,
Howard, Walter T.,
Aurora Medical Group - Aurora
Health Center - Sheboygan Falls
1146 Plankview Green Blvd.
Sheboygan Falls, WI 53085
(920) 467-2424
Northup, Cynthia Peska,
Family
Practice
Wenberg, Robert D.,
Lynds, Jeffrey C,
Rejman-Peterson, Michelle L.,
Cassidy, Kristin K.,
Two Rivers
Aurora Two Rivers Clinic
2219 Garfield Street
Two Rivers, WI 54241
(920) 793-2281
Family
Practice
Page 360 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Two Rivers
Walworth
Waukesha
Aurora Two Rivers Clinic
2219 Garfield Street
Two Rivers, WI 54241
(920) 793-2281
Aurora Medical Group - Aurora
Health Center - Walworth
525 Kenosha Street
Walworth, WI 53184
(262) 275-2101
Froedtert and the Medical College of
Wisconsin, Primary Care, Westbrook
Health Center
2315 E. Moreland Blvd
Waukesha, WI 53186
(262) 532-5700
Family
Practice
Hester-Diaz, Julia D.,
Martin-Foster, Cheryl A.,
Roman, Ekaterina,
Smith, Glenn A.,
Internal
Medicine
Carroll, Andrea J.,
Diaz, Alfredo,
LaLiberte, Brian,
Thayer, Cedric V.,
Pediatrics
Imp, Janet A.,
Union Grove
Aurora Health Center - Union Grove
4320 67th Dr
Union Grove, WI 53182
(262) 878-1211
Family
Practice
Demers, Gerald A,
Wales
Aurora Medical Group -Aurora
Wilkinson Medical Clinic - Wales
144 E Summit Avenue, Suite 100
Wales, WI 53149
(262) 968-6160
Family
Practice
Reiners, Thomas K,
Walworth
Family
Practice
Lowell, Janis A,
Mughal, Nabeela,
Waterford
Aurora Medical Group - Waterford
Clinic
818 Forrest Lane
Waterford, WI 53185
(262) 514-3700
Family
Practice
Internal
Medicine
Kalt, Melissa A,
Zikos, Aggeliki,
Waukesha Family Practice Center
210 NW Barstow Street, Suite #201
Waukesha, WI 53188
(262) 548-6903
Family
Practice
Fay, David L.,
Decker, Jennifer J.,
Ginn, Patrick H.,
Internal
Medicine
Krasovich, Susanne M.,
Srivastava, Alok K.,
Pediatrics
Bauer, Aaron J,
Rofalikos-Welka, Nancy M,
Waukesha
Aurora Medical Group - Aurora
Health Center - Waukesha
W231 N1440 Corporate Ct.
Waukesha, WI 53186
(262) 896-6000
Family
Practice
Gharia, Anjoo M,
Krismer, Patrick G.,
Sehring, Gregory G,
Varghese, Reny,
Mazzone, Michael F.,
Schellhase, Kenneth G.,
Witt, Anna M.,
Waunakee
Dean Clinic - Waunakee
202 S. Century Ave
Waunakee, WI 53597
(608) 849-4315
Allergy &
Immunology
Rosen, Melvin H,
Family
Practice
Ranum, William H,
Thompson, Trent D,
Wausau
Marshfield Clinic - Stettin Center
3605 Stewart Ave
Wausau, WI 54401
(715) 847-0800
Aurora Medical Group - Aurora
Health Center - Walworth
525 Kenosha Street
Walworth, WI 53184
(262) 275-2101
Froedtert and the Medical College of
Wisconsin, Primary Care, Westbrook
Health Center
2315 E. Moreland Blvd
Waukesha, WI 53186
(262) 532-5700
Family
Practice
Internal
Medicine
Jacobson, Dale G,
Cvengros, Amy D,
Oswald, Jeffrey S,
Dhariwal, Mohan S,
Penniman, Eric R,
Family
Practice
Baker, Vicky A,
Melms, William F,
Page 361 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Wisconsin
Wausau
Wauwatosa
West Bend
Marshfield Clinic - Stettin Center
3605 Stewart Ave
Wausau, WI 54401
(715) 847-0800
Froedtert and the Medical College of
Wisconsin, Primary Care, Plank Road
Clinic
1155 N. Mayfair Road
Wauwatosa, WI 53226
(414) 456-5990
Aurora Advanced Healthcare - West
Bend
205 Valley Avenue
West Bend, WI 53095
(262) 338-1123
Family
Practice
Veldhuizen, Leon P,
Whitaker, Kristin J,
Nurse
Practitioner
Sorenson, Cynthia,
Marshfield Clinic - Wausau Center
2727 Plaza Drive
Wausau, WI 54401
(715) 847-3450
Family
Practice
Patterson, Katherine P,
Roush, Stephen C,
Waldman, Arthur,
Yang, Kou Kevin,
Internal
Medicine
Laynes, Grace V,
Putlur, Pradeep,
Richetto, Mark A,
Schaller, Ivan B,
Pediatrics
Luthra, Madhu V,
Shepherd, Lori L,
Physician
Assistant
Buchman, Angela,
Wauwatosa
Aurora Wiselives Clinic
8320 W Bluemound Rd, #125
Wauwatosa, WI 53213
(414) 302-3800
Family
Practice
Ahmed, Syed M,
Bedinghaus, Joan M,
Bondow, Steven,
Bower, Douglas J,
Sajdak, Daniel E,
Shad, Umar,
Diehr, Sabina,
Jahnke, Renee R,
Lillich, David W,
Karama, Yousuf,
Internal
Medicine
Mian, Muhammad Z,
Farrell, Michael H,
Trivedi, Rajesh M.,
Hartmann, Kathryn Ann,
Nurse
Practitioner
Jones, Sumi D,
Carlton, Paula K,
Lodes, Mark W,
Kirkegaard, Laura C M,
Perelman, Ana,
Schladweiler, Tammy L,
Sobczak, Christopher P,
Pediatrics
Vander Zanden, Charlene,
Beerends, Jerold J,
Pediatrics
Reichel, Colleen J,
Baker-Franckowiak, Angela L,
Seefeld, Lisa K,
West Allis
West DePere
Froedtert and the Medical College of
Wisconsin, Primary Care, Lincoln
Avenue Clinic
11211 W. Lincoln Avenue
West Allis, WI 53227
Bellin Medical Group - Family Medica
Center DePere West
1800 Lawrence Drive
West DePere, WI 54115
(920) 983-3220
Family
Practice
Family
Practice
Saghir, Farha,
Lasecki, Cynthia,
Internal
Medicine
Leiva, Jose Miguel,
Luy, Eric U,
Bailey, Laurie A.,
West Bend
Tonelli, Danielle G.,
George, Jennifer S.,
Internal
Medicine
Milott, Joan L,
Reynolds, Kristin H.,
Chikkala, Deepak,
David, Alan K,
Family
Practice
Maes, Paul M,
Family
Practice
Pryba, David E,
Leong, Gary,
Lutz, Jessica,
Meyer, Michael,
Weston
Marshfield Clinic - Weston Center
3501 Cranberry Blvd
Weston, WI 54476
(715) 393-1050
Page 362 of 362
NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)
Wisconsin
Wisconsin
Weston
Winneconne
Marshfield Clinic - Weston Center
3501 Cranberry Blvd
Weston, WI 54476
(715) 393-1050
Affinity Medical Group - Winneconne
Family Medicine
916 E. Main St.
Winneconne, WI 54986
(920) 582-1100
Family
Practice
Abraham, Jeanette M.,
Le Noir, Jeanette M,
Malfese, David C,
Hematology
Kabir islam, Lopa S,
Internal
Medicine
Isaacson, Bart J,
Macalalad, J F Herbert R,
Rajesh, Chindanoor V,
Varma, Anshu,
Pediatrics
Hessel, Melissa L,
Lamont, Jeffrey H,
Puent, Jodi J.,
Schumann, Ellen M,
Whitewater
Whitewater Family Practice
1305 N. Main Street
Whitewater, WI 53190
(262) 473-4548
Family
Practice
Besch, Nathaniel Stuart,
Family
Practice
Cayde Leslie, Mayumi L.,
Nurse
Practitioner
Dahlke, Lynn K,
Wisconsin Rapids
Marshfield Clinic - Wisconsin Rapids
Center
220 24th St South
Wisconsin Rapids, WI 54494
(715) 387-5511
Family
Practice
Ahmad, Khadijah B,
Arias, Joseph J,
Pakalns, Ruta M,
Wittenberg
Marshfield Clinic - Wittenberg Center
201 Liberty Drive
Wittenberg, WI 54499
(715) 253-2119
Family
Practice
Young, James J.,
Nurse
Practitioner
Mckay, Roslyn Dee,
Kidd, Kenneth R,
Wedl, Roberta Jo,
Nurse
Practitioner
Carney, Laura B,
Winneconne
Affinity Medical Group - Winneconne
Family Medicine
916 E. Main St.
Winneconne, WI 54986
(920) 582-1100
Family
Practice
Page 363 of 362