HealthSpan Medicare Advantage Directory

Transcription

HealthSpan Medicare Advantage Directory
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Allergy & Immunology
Vielhaber
Marta
M.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
216‐524‐7377
Nowak
Michael
M.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cuyahoga
216‐524‐7377
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Clinical Nurse Specialist
Behavioral Health: Clinical Nurse Specialist
Behavioral Health: Clinical Nurse Specialist
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatry
Elgudin
Larissa
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐265‐6800 216‐297‐2386
Elgudin
Larissa
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
Cuyahoga
216‐265‐6800 216‐265‐6801
Moussavand Samareh MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐265‐6800 216‐297‐2386
Moussavand Samareh MD
HealthSpan Physicians LLC
12301 Snow Road
Cuyahoga
216‐265‐6800 216‐265‐6801
DeBalzo
Linda
M.
CNS
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐265‐6800 216‐297‐2386
DeBalzo
Linda
M.
CNS
HealthSpan Physicians LLC
Cuyahoga
216‐265‐6800 216‐265‐6801
Nicholson
Lois
L.
CNS
Cuyahoga
216‐265‐6800 216‐265‐6801
Baker‐Alden
Constance
Cuyahoga
216‐265‐6800 216‐265‐6801
Flowers
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Cuyahoga
Bariatric Surgery
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377 216‐265‐6801
Cuyahoga
216‐265‐6800 216‐297‐2386
Cuyahoga
216‐265‐6800 216‐297‐2386
Cuyahoga
216‐524‐7377 216‐297‐2386
Cuyahoga
216‐524‐7377 216‐297‐2386
Cuyahoga
216‐265‐6800 216‐265‐6801
Cuyahoga
216‐265‐6800 216‐265‐6801
Cuyahoga
216‐265‐6800 216‐297‐2386
Cuyahoga
216‐265‐6800 216‐265‐6801
Cuyahoga
216‐265‐6800 216‐265‐6801
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cleveland Heights
Parma
OH
OH
OH
OH
12301 Snow Road
Cleveland Heights
Parma
OH
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
J.
LISW HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Kayla
N.
LISW HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Gutow
Eliot
W.
LISW HealthSpan Physicians LLC
10 Severance Circle
OH
Kopelowitz
Gail
LISW HealthSpan Physicians LLC
10 Severance Circle
Mackel
Sharon
W.
LISW HealthSpan Physicians LLC
10 Severance Circle
OH
Malave
Siobhan
D.
LISW HealthSpan Physicians LLC
10 Severance Circle
Sanchez‐Benitez
Dario
LISW HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Cleveland Heights
Cleveland Heights
Cleveland Heights
Parma
Mathew
Shila
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Behavioral Health: Psychiatry
Moussavand Samareh MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Behavioral Health: Psychiatry
Moussavand Samareh MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
OH
Behavioral Health: Psychology
LaPlace
Arthur
C.
PhD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cardiology
Ashwath
Mahi
L.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cardiology
Das
Manisha
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cardiology
Kruithoff
Keith
L.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cardiology
Kruithoff
Keith
L.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
J.
OH
OH
OH
OH
OH
Fax
Page 1 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Cardiology
Miller
Paul
E.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Cardiology
Syed
Qarab
H.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Cardiology
Syed
Qarab
H.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377
Dermatology
Assaf
Richard
R.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Dermatology
Assaf
Richard
R.
MD
HealthSpan Physicians LLC
Cuyahoga
216‐524‐7377
Dermatology
Daoud
Shaza
MD
Cuyahoga
216‐524‐7377
Endocrinology
Briskin
Toby
J.
Cuyahoga
216‐524‐7377
Endocrinology
Briskin
Toby
Cuyahoga
216‐524‐7377
Endocrinology
Patel
Cuyahoga
216‐524‐7377
ENT
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Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377 Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
OH
OH
12301 Snow Road
Cleveland Heights
Parma
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
J.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Cleveland Heights
Bedford
OH
Rahul
A.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Onyia
Joseph
N.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
ENT
Stegmoyer
Robert
J.
MD
HealthSpan Physicians LLC
10 Severance Circle
Family Medicine
Dardir
Noha
S.
MD
HealthSpan Physicians LLC
17406 Royalton Road
Cleveland Heights
Cleveland Heights
Strongsville Family Medicine
Jones
Alicia
M.
DO
HealthSpan Physicians LLC
10 Severance Circle
Family Medicine
Pankow
Nikolaus
W.
MD
HealthSpan Physicians LLC
10 Severance Circle
Family Medicine
Watkins
Danielle
M.
DO
HealthSpan Physicians LLC
17406 Royalton Road
Gastroenterology
Lane
Gerri
B.
MD
HealthSpan Physicians LLC
10 Severance Circle
Gastroenterology
Novak
David
J.
MD
HealthSpan Physicians LLC
Gastroenterology
Zhang
Howard
H.
MD
General Surgery
Carneval
Mary
K.
General Surgery
Carneval
Mary
General Surgery
Hauer
General Surgery
Cleveland Heights
Cleveland Heights
Strongsville
OH
OH
OH
OH
OH
OH
OH
12301 Snow Road
Cleveland Heights
Parma
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
DO
HealthSpan Physicians LLC
10 Severance Circle
OH
K.
DO
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
James
L.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Nowak
Michael
M.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
General Surgery
Sarmiento
Ramon
S.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Hematology/Oncology
Kaur
Hanspreet
MD
HealthSpan Physicians LLC
10 Severance Circle
Cleveland Heights
OH
OH
OH
Fax
Page 2 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Hematology/Oncology
Kaur
Hanspreet
Hematology/Oncology
Verma
Ravi
Hematology/Oncology
Wang
Infectious Disease
MI
Cred
Group Name
Address
City
State
Zip
County
Phone MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
R.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Yiping
L.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Mariappuram
Valsa
J.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Internal Medicine
Adams
Ronald
A.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Internal Medicine
Armstrong
Delilah
F.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Internal Medicine
Binstock
Martine
W.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Cleveland Heights
Cleveland Heights
Cleveland Heights
Cleveland Heights
Bedford
OH
Cuyahoga
216‐524‐7377
Internal Medicine
D'Souza
Carol
A.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Grieser
Kathleen
S.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Henry
Lilia
M.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Mariappuram
Valsa
J.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Internal Medicine
Murphy
Pamala
J.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Cleveland Heights
Cleveland Heights
Bedford
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Narra Ammaji MD
HealthSpan Physicians LLC
20575 Center Ridge Road, #500
Rocky River
OH
Cuyahoga
216‐524‐7377 Internal Medicine
Nayak
Hemanta
K.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Nwaokafor
Felix
C.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Obi
Gabriel
N.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Bedford
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Sankar
Roopa
D.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Schiaffino
Maria
A.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Strickland
Jameelah
D.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Internal Medicine
Tinio
Joaquin
F.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Cleveland Heights
Cleveland Heights
Bedford
Cuyahoga
216‐524‐7377
Internal Medicine
Turakhia
Ashwin
K.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Internal Medicine
Internal Medicine/Pediatrics
Wang
Alfes
Jianhua
John
C.
MD
MD
HealthSpan Physicians LLC
HealthSpan Physicians LLC
19999 Rockside Road
20575 Center Ridge Road, #500
Bedford
Rocky River
OH
OH
Cuyahoga
Cuyahoga
216‐524‐7377
216‐524‐7377
Interventional Radiology
Wehbe
Charles
R.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Nephrology
Ashai
Nuzhat
I.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
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Cuyahoga
216‐524‐7377
OH
OH
OH
OH
OH
OH
Fax
Page 3 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Nephrology
Kahn
Daniel
R.
DO
HealthSpan Physicians LLC
10 Severance Circle
OH
216‐524‐7377
Samra
Manpreet
K.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Nephrology
Shad
Fariha
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Neurology
Ewing‐Wilson
Deborah
L.
DO
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Neurology
Madalin
Karla
J.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Neurology
Madalin
Karla
J.
MD
HealthSpan Physicians LLC
12301 Snow Road
OH
Cuyahoga
216‐524‐7377
Ob/Gyn
Escobedo
Joel
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Ob/Gyn
Flynn
Cynthia
K.
MD
HealthSpan Physicians LLC
10 Severance Circle OH
Cuyahoga
216‐524‐7377
Ob/Gyn
Flynn
Cynthia
K.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377
Ob/Gyn
Kamda
Joel
D.T.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Ob/Gyn
Prinz
Deborah
M.
MD
HealthSpan Physicians LLC
Cuyahoga
216‐524‐7377
Ob/Gyn
Rauser
Laura
MD
Cuyahoga
216‐524‐7377
Ob/Gyn
Shuffer
Phillip
M.
Cuyahoga
216‐524‐7377
Occupational Medicine
Kirschman
Jeffrey
Cuyahoga
216‐524‐7377
Ophthalmology
Bohl
Cuyahoga
216‐524‐7377
Ophthalmology
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Cuyahoga
Nephrology
Cleveland Heights
Cleveland Heights
Cleveland Heights
Cleveland Heights
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
Cuyahoga
216‐524‐7377
OH
OH
OH
OH
OH
OH
12301 Snow Road
Cleveland Heights
Parma
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
C.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
Jennifer
R.
MD
HealthSpan Physicians LLC
10 Severance Circle
Gillespie
Beth
H.
MD
HealthSpan Physicians LLC
10 Severance Circle
Ophthalmology
Goyal
Supriya
MD
HealthSpan Physicians LLC
12301 Snow Road
Ophthalmology
Shands
Philip
R.
MD
HealthSpan Physicians LLC
10 Severance Circle
Ophthalmology
Stewart
Ralph
E.
MD
HealthSpan Physicians LLC
Ophthalmology
Thornton
Ivey
L.
MD
Ophthalmology
Varley
Michael
P.
Ophthalmology
Varley
Michael
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Varley
Varley
Cleveland Heights
Cleveland Heights
Parma
OH
OH
OH
OH
OH
OH
12301 Snow Road
Cleveland Heights
Parma
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
P.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
Michael
P.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Michael
P.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
OH
OH
OH
Fax
Page 4 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Orthopedic Surgery
Beverley
Laurel
A.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
216‐524‐7377
Beverley
Laurel
A.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Cheng
Stephen
L.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Doyle
Lorraine
K.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Rapuri
Venkat
R.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Rapuri
Venkat
R.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
OH
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Sabogal
Jaime
M.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Orthopedic Surgery
Wood
John
H.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Pediatrics
Cook
Lydia
A.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Pediatrics
Cook
Lydia
A.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377
Pediatrics
Fedak
Michael
J.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Pediatrics
Lawrence
H.
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Pediatrics
Mathew
Raichal
Steve MD
n
T.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Pediatrics
Nikonchik
Andrea
S.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
OH
Cuyahoga
216‐524‐7377
Pediatrics
Vibhakar
Nilla
S.
MD
HealthSpan Physicians LLC
19999 Rockside Road
Bedford
OH
Cuyahoga
216‐524‐7377
Pediatrics
Wertman
J.
HealthSpan Physicians LLC
17406 Royalton Road
Strongsville
OH
Cuyahoga
216‐524‐7377
Pediatrics
Woods
Natalie
Mich MD
ael
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Podiatry
Hardy
Mark
A.
DPM
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Podiatry
Matalavage
Anthony
A.
DPM
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Cleveland Heights
Parma
Cuyahoga
216‐524‐7377
Podiatry
Schmieder
Frederick
G.
DPM
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Pulmonology
Smith
Andre
L.
MD
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
Cuyahoga
216‐524‐7377
Rheumatology
Hong
Raymond
S.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
Cuyahoga
216‐524‐7377
Rheumatology
Hong
Raymond
S.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cleveland Heights
Parma
OH
Cuyahoga
216‐524‐7377
Rheumatology
Hong
Raymond
S.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
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1002
44130‐
1002
44118‐
1533
44118‐
1533
44130‐
1002
44130‐
1002
44130‐
1002
44118‐
1533
44130‐
1002
44146‐
2074
44136‐
5151
44118‐
1533
44118‐
1533
44130‐
1002
44130‐
1002
44130‐
1002
44118‐
1533
44130‐
1002
44310‐
1812
Cuyahoga
Orthopedic Surgery
Cleveland Heights
Parma
Cuyahoga
330‐633‐8400 330‐630‐4282
OH
OH
OH
OH
Fax
Page 5 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Rheumatology
Rajan
Rallis
M.
MD
HealthSpan Physicians LLC
10 Severance Circle
OH
216‐524‐7377
Altman
Andrew
L.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Urology
Chehade
Nabil
C.
MD
HealthSpan Physicians LLC
12301 Snow Road
Cuyahoga
216‐524‐7377
Urology
Fitzgerald
Kim
S.
MD
HealthSpan Physicians LLC
10 Severance Circle
Cuyahoga
216‐524‐7377
Urology
Jaeger
Irina
MD
HealthSpan Physicians LLC
Cuyahoga
216‐524‐7377
Urology
Love
Allan
MD
Cuyahoga
216‐524‐7377
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatry
Moussavand Samareh MD
Lake
216‐265‐6800 440‐953‐4654
Kopelowitz
Gail
Lake
216‐265‐6800 440‐953‐4654
Malave
Siobhan
Lake
216‐524‐7377 440‐953‐4654
Moussavand Samareh Lake
216‐265‐6800 440‐953‐4654
Cardiology
Miller
Paul
Lake
216‐524‐7377 Cardiology
Syed
Lake
216‐524‐7377
Endocrinology
44118‐
1533
44118‐
1533
44130‐
1002
44118‐
1533
44130‐
1002
44130‐
1002
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44077‐
9406
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44077‐
9406
44077‐
9406
44094‐
4203
Cuyahoga
Urology
Cleveland Heights
Cleveland Heights
Parma
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
Lake
216‐524‐7377
OH
OH
OH
12301 Snow Road
Cleveland Heights
Parma
HealthSpan Physicians LLC
12301 Snow Road
Parma
OH
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
LISW HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
LISW HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
E.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Qarab
H.
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
Briskin
Toby
J.
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
Family Medicine
Posner
Gary
A.
MD
HealthSpan Physicians LLC
7536 Fredle Drive
Concord
OH
Infectious Disease
Urban
Monica
M.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Internal Medicine
Joseph
Dawn
R.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Internal Medicine
Purisima
Mary Grace
V.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Internal Medicine
Quaderi
Mahboob
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Internal Medicine
Roth
Mark
A.
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
Internal Medicine
Strickland
Jameelah
D.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Internal Medicine
Urban
Monica
M.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Ob/Gyn
Flynn
Cynthia
K.
MD
HealthSpan Physicians LLC
7536 Fredle Drive
Concord
OH
Ob/Gyn
Shuffer
Phillip
M.
MD
HealthSpan Physicians LLC
7536 Fredle Drive
Concord
OH
Ophthalmology
Lane
James
S.
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
S.
D.
OH
Fax
Page 6 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Ophthalmology
Varley
Michael
P.
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
Lake
216‐524‐7377
Ophthalmology: Vitreoretinal Specialist
Podiatry
Varley
Michael
P.
MD
HealthSpan Physicians LLC
5105 SOM Center Road
Willoughby
OH
Lake
216‐524‐7377
Salamone
John
DPM
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Lake
216‐524‐7377
Urology
Fitzgerald
Kim
MD
HealthSpan Physicians LLC
5105 Som Center Road
Willoughby
OH
Lake
216‐524‐7377 Behavioral Health: Psychiatry
Saravanan
Balaji
MD
Mercy Health Physicians Lorain LLC
3700 Kolbe Road
Lorain
OH
Lorain
440‐960‐4000 440‐960‐0264
Cardiology
Ahmed
Ismail
S.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Ahmed
Ismail
S.
MD
Mercy Health Physicians Lorain LLC
1480 Center Road, Suite A
Avon
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Ahmed
Ismail
S.
MD
Mercy Health Physicians Lorain LLC
319 W. Lorain Street
Oberlin
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Ahmed
Ismail
S.
MD
Mercy Health Physicians Lorain LLC
6115 Emerald Street
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Eid
Wasam
J.
DO
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
North Ridgeville
Elyria
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Hampole
Chetan
V.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
Lorain
440‐336‐2239 440‐365‐1366
Cardiology
Hampole
Chetan
V.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #203
Lorain
OH
Lorain
440‐366‐2239 440‐365‐1366
Cardiology
Hampole
Chetan
V.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #227
Lorain
OH
Lorain
440‐960‐3304 440‐960‐3482
Cardiology
Salka
Mohamad
G.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #223
Lorain
OH
Lorain
440‐366‐2239 440‐365‐1366
Endocrinology
Jeet
Anant
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #227
Lorain
OH
Lorain
440‐960‐3304 440‐960‐4733
Family Medicine
Barker
Bradley
D.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
Lorain
440‐365‐2600 440‐366‐5543
Family Medicine
Butrey
Charles
M.
MD
Mercy Health Physicians Lorain LLC
1480 Center Road, Suite A
Avon
OH
Lorain
440‐937‐4600 440‐937‐4605
Family Medicine
Calabrese
Jennifer
A.
MD
Mercy Health Physicians Lorain LLC
101 Cooper Foster Park Road
Amherst
OH
Lorain
440‐988‐3705 440‐998‐7433
Family Medicine
Carbone
Kenneth
J.
DO
Mercy Health Physicians Lorain LLC
1480 Center Road, Suite A
Avon
OH
Lorain
440‐937‐4600 440‐937‐4605
Family Medicine
Carissimi
Ronald
C.
MD
Mercy Health Physicians Lorain LLC
101 Cooper Foster Park Road
Amherst
OH
Lorain
440‐988‐3705 440‐998‐7433
Family Medicine
Carroccio
James
DO
Mercy Health Physicians Lorain LLC
6115 Emerald Street
OH
Lorain
440‐327‐7372 440‐327‐0629
Family Medicine
Carson
Dennis
E.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
North Ridgeville
Elyria
Lorain
440‐365‐2600 440‐366‐5543
Family Medicine
Carson
Dennis
E.
MD
Mercy Health Physicians Lorain LLC
319 W. Lorain Street
Oberlin
OH
Lorain
440‐775‐1881 440‐774‐5707
Family Medicine
Cramer
Jack
W.
DO
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
44094‐
4203
44094‐
4203
44094‐
4203
44094‐
4203
44053‐
1611
44035‐
6306
44011‐
1239
44074‐
1027
44039‐
2047
44035‐
6306
44035‐
6306
44053‐
1652
44053‐
1601
44053‐
1652
44053‐
1601
44035‐
6306
44011‐
1239
44001‐
1001
44011‐
1239
44001‐
1001
44039‐
2047
44035‐
6306
44074‐
1027
44035‐
6306
Lorain
440‐365‐2600 440‐366‐5543
S.
OH
Fax
Page 7 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Family Medicine
DuFour
Martin
Family Medicine
Escolas
John
Family Medicine
Goldsmith
Family Medicine
MI
Cred
Group Name
Address
City
State
Zip
County
Phone MD
Mercy Health Physicians Lorain LLC
319 W. Lorain Street
Oberlin
OH
Lorain
440‐775‐1881 440‐774‐5707
W.
DO
Mercy Health Physicians Lorain LLC
1480 Center Road, Suite A
Avon
OH
Lorain
440‐937‐4600 440‐937‐4605
Shannon
L.
DO
Mercy Allen Rural Health Clinic
105 Opportunity Way
Lagrange
OH
Lorain
440‐222‐4160 440‐355‐4213
Hiti
Frank
M.
MD
Mercy Health Physicians Lorain LLC
6115 Emerald Street
OH
Lorain
440‐327‐7372 440‐327‐0629
Family Medicine
Hussain
Saadia
MD
Mercy Allen Rural Health Clinic
508 Dickson Street, #2
North Ridgeville
Wellington
Lorain
440‐647‐2225 440‐647‐5110
Family Medicine
Jurek
Ilona
E.
MD
Mercy Health Physicians Lorain LLC
578 N. Leavitt Road
Amherst
OH
Lorain
440‐988‐5226 440‐988‐5645
Family Medicine
Ksenich
Nicholas
J.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
Lorain
440‐365‐2600 440‐366‐5543
Family Medicine
Pedro
Abraham
O.
MD
Mercy Health Physicians Lorain LLC
1120 E. Broad Street
Elyria
OH
Lorain
440‐365‐2600 440‐366‐5543
Family Medicine
Potoczak
Douglas
J.
MD
Mercy Health Physicians Lorain LLC
6115 Emerald Street
OH
Lorain
440‐327‐7372 440‐327‐0629
Family Medicine
Wagner
Timothy
J.
DO
Mercy Health Physicians Lorain LLC
101 Cooper Foster Park Road
North Ridgeville
Amherst
Lorain
440‐988‐6705 440‐998‐7433
Family Medicine
White
Richard
B.
MD
Mercy Health Physicians Lorain LLC
101 Cooper Foster Park Road
Amherst
OH
Lorain
440‐988‐3705 440‐998‐7433
Gastroenterology
Jarmoszuk
Nicholas
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #019
Lorain
OH
Lorain
440‐282‐1360 440‐282‐3562
Gastroenterology
Jarmoszuk
Nicholas
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #206
Lorain
OH
Lorain
440‐282‐1360 440‐282‐3562
General Surgery
Andrasko
James
J.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #203
Lorain
OH
Lorain
440‐960‐4522 440‐960‐4523
General Surgery
Paige
Beverly
J.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #203
Lorain
OH
Lorain
440‐960‐4522 440‐960‐4523
General Surgery
Warren
Robert
C.
MD
Mercy Health Physicians Lorain LLC
5077 Waterford Drive, #305
OH
Lorain
440‐934‐7979 440‐934‐6969
Infectious Disease
Abbud
Rita
MD
Mercy Health Physicians Lorain LLC
221 W. 21st Street, #1
Sheffield Village
Lorain
Lorain
440‐233‐0138 440‐233‐1051
Infectious Disease
Murry
Paul
J.
MD
Mercy Health Physicians Lorain LLC
221 W. 21st Street, #1
Lorain
OH
Lorain
440‐233‐0138 440‐233‐1051
Infectious Disease
Sheth
Niyati
P.
DO
Mercy Health Physicians Lorain LLC
221 W. 21st Street, #1
Lorain
OH
Lorain
440‐233‐0138 440‐233‐1051
Internal Medicine
Cozmin
Lavinia
MD
Mercy Health Physicians Lorain LLC
3290 Cooper Foster Park Road
Lorain
OH
Lorain
440‐960‐3949 440‐960‐3911
Internal Medicine
Cozmin
Lavinia
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #227
Lorain
OH
Lorain
440‐960‐3304 440‐960‐4733
Internal Medicine
Mendoza
Jose
E.
MD
Mercy Health Physicians Lorain LLC
1480 Center Road, Suite A
Avon
OH
Lorain
440‐937‐4600 440‐934‐0069
Internal Medicine
Internal Medicine
Pileski
Saeed
Cassandra
Musab
M.
U.
MD
MD
HealthSpan Physicians LLC
Mercy Health Physicians Lorain LLC
36711 American Way
221 W. 21st Street, #1
Avon
Lorain
OH
OH
Lorain
Lorain
216‐524‐7377
440‐233‐0138 440‐233‐1051
Internal Medicine
Saeed
Musab
U.
MD
Mercy Health Physicians Lorain LLC
578 N. Leavitt Road
Amherst
OH
44074‐
1027
44011‐
1239
44050‐
9018
44039‐
2047
44090‐
1300
44001‐
1131
44035‐
6306
44035‐
6306
44039‐
2047
44001‐
1001
44001‐
1001
44053‐
1652
44053‐
1652
44053‐
1652
44053‐
1652
44035‐
0705
44052‐
4754
44052‐
4754
44052‐
4754
44053‐
3605
44053‐
1601
44011‐
1239
44011‐
44052‐
4754
44001‐
1131
Lorain
440‐988‐5226 440‐988‐5645
OH
OH
OH
Fax
Page 8 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Internal Medicine
Stevens
Robert
L.
DO
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #227
Lorain
OH
Lorain
440‐960‐3304 440‐960‐4733
Internal Medicine/Pediatrics
Ob/Gyn
Alfes
Farrow
John
Tracy
C.
A.
MD
MD
HealthSpan Physicians LLC
Mercy Health Physicians Lorain LLC
36711 American Way
5054 Waterford Place Drive
OH
OH
Lorain
Lorain
216‐524‐7377
440‐934‐8344 440‐934‐8345
Ob/Gyn
Kovach
Corie
L.
MD
Mercy Health Physicians Lorain LLC
5054 Waterford Place Drive
Lorain
440‐934‐8344 440‐934‐8345
Ob/Gyn
Lencoski
Heidi
D.
MD
Mercy Health Physicians Lorain LLC
5054 Waterford Place Drive
Lorain
440‐934‐8344 440‐934‐8345
Occupational Medicine
Anthony
James
M.
MD
Mercy Regional Medical Center
1200 Industrial Parkway
Avon
Sheffield Village
Sheffield Village
Sheffield Village
Avon
Lorain
440‐934‐2644 440‐233‐1028
Occupational Medicine
Anthony
James
M.
MD
Mercy Regional Medical Center
1800 Livingston Avenue, #200
Lorain
OH
Lorain
440‐233‐1068 440‐233‐1028 Occupational Medicine
Anthony
James
M.
MD
Mercy Regional Medical Center
491 North Abbe Road
Elyria
OH
Lorain
440‐233‐1068 440‐233‐1028
Pediatrics
Akbar
Khalid
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #209
Lorain
OH
Lorain
440‐960‐3237 440‐960‐3238
Pediatrics
Jungschaffer
Helmut
J.
MD
Mercy Health Physicians Lorain LLC
319 W. Lorain Street
Oberlin
OH
Lorain
440‐775‐1881 440‐774‐5707
Pediatrics
Ortega‐Close
Alba
J.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #209
Lorain
OH
Lorain
440‐960‐3237 440‐960‐3238
Physical Medicine & Rehabilitation
Thoracic Surgery
Scullin
Heather
R.
DO
Mercy Health Physicians Lorain LLC
3700 Kolbe Road
Lorain
OH
Lorain
440‐960‐3470 440‐960‐4678
El‐Dalati
Haysam
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #227
Lorain
OH
Lorain
440‐960‐3304 440‐960‐3482
Urology
Dinchman
Kurt
H.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #203
Lorain
OH
Lorain
440‐960‐4522 440‐960‐4523
Urology
Haas
Christopher
A.
MD
Mercy Health Physicians Lorain LLC
3600 Kolbe Road, #203
Lorain
OH
Lorain
440‐960‐4522 440‐960‐4523
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
44053‐
1601
44011‐
44035‐
1497
44035‐
1497
44035‐
1497
44011‐
1108
44052‐
3782
44035‐
3761
44053‐
1652
44074‐
1027
44053‐
1652
44053‐
1611
44053‐
1601
44053‐
1652
44053‐
1652
44310‐
1812
44310‐
1812
44310‐
1812
44333‐
1781
44333‐
44310‐
1812
44087‐
1973
44333‐
1781
44310‐
1812
44333‐
1781
Summit
216‐265‐6800 330‐630‐4282
Summit
216‐265‐6800 330‐630‐4282
Summit
216‐265‐6800 330‐630‐4282
Summit
330‐633‐8400 330‐664‐5003
Summit
Summit
330‐633‐8400 330‐664‐5003
330‐633‐8400 330‐630‐4282
Summit
216‐524‐7377
Summit
330‐633‐8400 330‐664‐5003
Summit
330‐633‐8400 330‐630‐4282
Summit
330‐633‐8400 330‐664‐5003
Larissa
OH
OH
OH
Behavioral Health: Child & Elgudin
Adolescent Psychiatry
Behavioral Health: Clinical Nurse Nicholson
Specialist
Behavioral Health: Psychology
LaPlace
Lois
L.
CNS
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Arthur
C.
PhD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Family Medicine
Armao
Joseph
C.
MD
HealthSpan Physicians LLC
4055 Embassy Parkway, #110
Fairlawn
OH
Family Medicine
Family Medicine
Friedman
Glover
Amy Jo
Melvin
R.
E.
MD
MD
HealthSpan Physicians LLC
HealthSpan Physicians LLC
4055 Embassy Parkway, #110
1260 Independence Avenue
Fairlawn
Akron
OH
OH
Family Medicine
Koczan
Katherine
A.
DO
HealthSpan Physicians LLC
8920 Canyon Falls Blvd.
Twinsburg
OH
Family Medicine
Mark
Myra
J.
MD
HealthSpan Physicians LLC
4055 Embassy Parkway, #110
Fairlawn
OH
General Surgery
Lichtenberger
Erik
J.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Geriatric Medicine
Armao
Joseph
C.
MD
HealthSpan Physicians LLC
4055 Embassy Parkway, #110
Fairlawn
OH
Fax
Page 9 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Internal Medicine
Shah
Dipti
B.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Neurology
Madalin
Karla
J.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Ophthalmology
Bohl
Jennifer
R.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Ophthalmology
Varley
Michael
P.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Ophthalmology: Vitreoretinal Specialist
Pediatrics
Varley
Michael
P.
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Lawrence
H.
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Podiatry
Landers
Patrick
Steve MD
n
A.
DPM
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Urology
Jaeger
Irina
MD
HealthSpan Physicians LLC
1260 Independence Avenue
Akron
OH
Summit
330‐633‐8400 330‐630‐4282
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiology
Cardiology
Arruda
Osman
Arruda
Denadai Benatti
Mauricio
Mohammed
Mauricio
Rodolfo Jose
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Geneva
Ashtabula
Geneva
Conneaut
OH
OH
OH
OH
Ashtabula
Ashtabula
Ashtabula
Ashtabula
216‐844‐3800
216‐844‐3800 440‐563‐5217
216‐844‐3800
440‐593‐0101 440‐593‐0225
Cardiology
Denadai Benatti
Rodolfo Jose
MD
University Hospitals Medical Practices
Geneva
OH
44041 Ashtabula
440‐415‐0125 440‐415‐0252
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Critical Care
Farah
Greene
Greene
Hoit
Josephson
Osman
Wolf
Baron
Michel
Lloyd
Lloyd
Brian
Richard
Mohammed
William
John
G
H
H
D
A
N
M
C
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
870 W. Main Street
2131 Lake Avenue, #5
870 W. Main Street
158 W. Main Street ‐ Harrington Heart & Vascular Institute
870 W. Main Street ‐ Harrington Heart & Vascular Institute
870 W. Main Street
158 W. Main Street
870 W. Main Street
870 W. Main Street
870 W. Main Street
2131 Lake Avenue, #5
870 W. Main Street
890 W. Main Street, #201
44310‐
1812
44310‐
1812
44310‐
1812
44310‐
1812
44310‐
1812
44310‐
1812
44310‐
1812
44310‐
1812
44041
44004
44041
44030
Geneva
Conneaut
Geneva
Geneva
Geneva
Ashtabula
Geneva
Geneva
OH
OH
OH
OH
OH
OH
OH
OH
44041
44030
44041
44041
44041
44004
44041
44041
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
440‐415‐0187
216‐844‐1780
216‐844‐1780
216‐844‐1780
216‐844‐1780
440‐563‐5217
216‐844‐8954
440‐415‐0394
ENT
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
General Surgery
General Surgery
General Surgery
General Surgery
Hematology/Oncology
Infectious Disease
Hunyadi, Jr.
Gutierrez
Howe
Keller
Mcneeley
Weber
Bryant
Bryant
Goel
Goel
Stern
Ogunlesi
Steve
Tamara
Evan
Julie
Sean
Marren
Benjamin
Benjamin
Amitabh
Amitabh
Jason
Olusegun
L
C
C
M
J
J
J
P
P
A
A.
MD
MD
MD
MD
MD
DO
MD
MD
MD
MD
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Axelix Health Consulting, Inc.
2131 Lake Avenue, #1
315 E. Main Street
38 Dorset Road
1184 Lake Avenue
1184 Lake Avenue
1184 Lake Avenue
2131 Lake Avenue
235A Parrish Road
2131 Lake Avenue
890 W. Main Street, #201
890 West Main Street
2422 Lake Avenue
Ashtabula
Orwell
Jefferson
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Conneaut
Ashtabula
Geneva
Geneva
Ashtabula
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
440‐998‐0011
440‐437‐6222
440‐576‐4455
440‐964‐3733
440‐964‐3733
440‐964‐3733
440‐599‐7640
440‐599‐7640
440‐415‐0115
440‐466‐1141
440‐460‐1616
440‐867‐4800
440‐998‐0095
440‐437‐1022
440‐576‐6820
440‐964‐7069
440‐964‐7069
440‐964‐7069
440‐593‐6108
440‐593‐6108
440‐415‐0390
440‐415‐0252
440‐995‐1908
866‐406‐9470
Infectious Disease
Ogunlesi
Olusegun
A.
MD
Axelix Health Consulting, Inc.
890 W. Main Street
Geneva
OH
Ashtabula
440‐867‐4800 866‐406‐9470
Internal Medicine
Borruso
Courtney
D
DO
University Hospitals Medical Practices
2131 Lake Avenue, #4
Ashtabula
OH
44004
44076
44047
44004
44004
44004
44004
44030
44004
44041
44041
44004‐
4985
44041‐
1236
44004
Ashtabula
440‐964‐3733 440‐964‐7069
S
N
S
Fax
Page 10 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Nephrology
Neurology
Ob/Gyn
Drublionis
Sundaramoorthy
Tchelidze
Tchelidze
Menon
Tomcik
Ahuja
Raimantas
Abirammy
Tea
Tea
Aiyappan
Colleen
Samir
Ob/Gyn
Ahuja
Ob/Gyn
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
890 W. Main Street, #103
167F W. Main Road
3330 S. Main Street
890 W. Main Street, #103
890 W. Main Street, #202
870 W. Main Street
158 W. Main Street
Geneva
Conneaut
Rock Creek
Geneva
Geneva
Geneva
Conneaut
OH
OH
OH
OH
OH
OH
OH
44041
44030
44084
44041
44041
44041
44030
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
440‐466‐4641
440‐599‐7466
440‐563‐9338
440‐466‐4641
440‐285‐6950
216‐844‐3192
440‐593‐1131
440‐466‐1871
440‐593‐6498
440‐563‐5217
440‐466‐1871
440‐285‐6985
Samir
MD
University Hospitals Medical Practices
2709 Lake Avenue
Ashtabula
OH
44004 Ashtabula
440‐205‐5870 440‐205‐5881
Ahuja
Samir
MD
University Hospitals Medical Practices
890 W. Main Street, #102
Geneva
OH
44041 Ashtabula
440‐205‐5870 440‐205‐5881
Ob/Gyn
Woo
Chong
K
MD
University Hospitals Medical Practices
2210 S. Ridge Road, Suite E
Ashtabula
OH
44004 Ashtabula
440‐998‐1329 440‐992‐2623
Occupational Medicine
Ophthalmology
Ophthalmology
Orthopedic Surgery
Orthopedic Surgery
Pain Management
Pain Management
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pulmonology
Urology
Cardiology
Cardiology
Family Medicine
Family Medicine
Dobosiewicz
Belkin
Belkin
Leland
Retino
Desai
Desai
Fleck
Fleck
Kondru
Kondru
Baron
Ponsky
Patel
Shanmugam
Inman
Shivers
Stephen
Julie
Julie
J Martin
Michael
Arpan
Arpan
Douglas
Douglas
Nafisa
Nafisa
John
Lee
Dilip
Makilzhan
Matthew
R. M.
T
K
K
MD
MD
MD
MD
DO
DO
DO
MD
MD
MD
MD
MD
MD
MD
MD
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Mercy Professional Care Corporation
SPI Cardiology One Carrollton
Mercy Professional Care Corporation
Mercy Professional Care Corporation
2131 Lake Avenue, #5
870 W. Main Street
895 S. Broadway Street
890 W. Main Street, #202
890 W. Main Street, #202
158 W. Main Street
890 West Main Street
167D W. Main Road
2131 Lake Avenue, #3
167D W. Main Road
2131 Lake Avenue, #3
890 W. Main Street, #201
870 W. Main Street
125 Canton Road
125 North Canton Road
125 Canton Road, NW, Suite A
1000 W. State Street
Ashtabula
Geneva
Geneva
Geneva
Geneva
Conneaut
Geneva
Conneaut
Ashtabula
Conneaut
Ashtabula
Geneva
Geneva
Carrollton
Carrollton
Carrollton
Salem
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44004
44041
44041
44041
44041
44030
44041
44030
44030
44030
44004
44041
44041
44615
44615
44615
44460
440‐415‐0280
216‐844‐3601
216‐844‐3601
440‐974‐4242
440‐415‐0272
440‐593‐0203
440‐593‐0203
440‐593‐5014
440‐964‐8387
440‐593‐5014
440‐964‐8387
440‐415‐0187
440‐466‐1411
330‐627‐7641
330‐489‐1386
330‐627‐8163
330‐337‐9156
Allergy & Immunology
Allergy & Immunology
Friedlander
Hostoffer
Samuel
Robert
L
W.
MD
DO
University Hospitals Medical Practices
Allergy Immunology Associates, Inc.
34055 Solon Road, #104
1611 S. Green Road, #231
Solon
South Euclid
OH
OH
Allergy & Immunology
Knauer
Kent
A
MD
University Hospitals Medical Practices
3909 Orange Place, #2300
Orange Village OH
44139 Cuyahoga
44121‐ Cuyahoga
4123
44122 Cuyahoga
Allergy & Immunology
Allergy & Immunology
Knauer
Panuto
Kent
John
A
A.
MD
MD
University Hospitals Medical Practices
ENT and Allergy Health Services, Inc.
960 Clague Road, #3260
15299 E. Bagley Road, #300
Allergy & Immunology
Panuto
John
A.
MD
ENT and Allergy Health Services, Inc.
25761 Lorain Road, 3rd Floor
OH
Westlake
Middleburg OH
Heights
North Olmsted OH
Allergy & Immunology
Rambasek
Todd
E.
MD
ENT and Allergy Health Services, Inc.
14701 Detroit Road, #730
Lakewood
Allergy & Immunology
Rambasek
Todd
E.
MD
ENT and Allergy Health Services, Inc.
15299 E. Bagley Road, #300
Allergy & Immunology
Rambasek
Todd
E.
MD
ENT and Allergy Health Services, Inc.
25761 Lorain Road, 3rd Floor
Middleburg OH
Heights
North Olmsted OH
A
A
B
A
C
C
B
B
C
E
C.
OH
44145
44130‐
4823
44070‐
3369
44107‐
4182
44130‐
4823
44070‐
3369
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Ashtabula
Carroll
Carroll
Carroll
Columbiana
440‐205‐5881
440‐415‐0252
440‐946‐1544
440‐946‐1544
440‐974‐4244
440‐415‐0252
216‐201‐5247
216‐201‐5247
440‐593‐6037
440‐964‐2742
440‐593‐6037
440‐964‐2742
440‐415‐0394
216‐844‐1900
330‐627‐5796
330‐526‐0069
330‐627‐0197
330‐337‐9195
440‐248‐1630 440‐914‐7870
216‐381‐3333 216‐381‐3002
216‐896‐1850 216‐896‐1851
Cuyahoga
Cuyahoga
440‐250‐5353 440‐250‐2071
440‐234‐5150 440‐234‐9138
Cuyahoga
440‐779‐1112 440‐779‐0247
Cuyahoga
216‐221‐4900 216‐221‐4960
Cuyahoga
440‐234‐5150 440‐887‐7613
Cuyahoga
440‐779‐1112 440‐779‐0247
Page 11 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Allergy & Immunology
Sher
Theodore
H.
MD
Allergy Immunology Associates, Inc.
1611 S. Green Road, #231
South Euclid
OH
Allergy & Immunology
Tcheurekdjian
Haig
MD
Allergy Immunology Associates, Inc.
1611 S. Green Road, #231
South Euclid
OH
Allergy & Immunology
Zacharias
Dawn
M
MD
University Hospitals Medical Practices
7856 Brookside Drive
Olmsted Falls OH
44121‐ Cuyahoga
4123
44121‐ Cuyahoga
4123
44138 Cuyahoga
440‐250‐5353 440‐250‐2032
Allergy & Immunology
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Zacharias
Adamo
Dawn
John
M
J
MD
CNS
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
960 Clague Road, #3260
10524 Euclid Avenue, 1st Floor
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
440‐250‐5353 440‐250‐2032
216‐844‐3881 216‐844‐5833
Adamo
John
J
CNS
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐3881 216‐844‐5833
Amunategui
Luis
F
PhD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Mayfield Village
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Amunategui
Luis
F
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Bedosky
Joseph
C
PhD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Bedosky
Joseph
C
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Bedosky
Joseph
C
PhD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Solon
OH
44139 Cuyahoga
216‐844‐3881 216‐844‐5883
Bedosky
Joseph
C
PhD
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Caringi
Vincent
F
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Mayfield Village
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐1703
Caringi
Vincent
F
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #1850
Westlake
OH
44145 Cuyahoga
216‐844‐1700 216‐844‐1703
Davis
Maryellen
S
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Gabriel
Mary
T
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Gabriel
Mary
T
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Hall Mennes
Mary
C
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Hertzer
John
L
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Hertzer
John
L
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Hertzer
John
L
MD
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Lytle
Sarah
M
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #200
Mayfield Village
Beachwood
OH
44122 Cuyahoga
216‐844‐3881 216‐844‐5883
Lytle
Sarah
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Lytle
Sarah
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Lytle
Sarah
M
MD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Solon
OH
44139 Cuyahoga
216‐844‐3881 216‐844‐5883
216‐381‐3333 216‐381‐3002
216‐381‐3333 216‐381‐3002
Page 12 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatry
Lytle
Sarah
M
MD
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44124 Cuyahoga
216‐844‐3881 216‐844‐5883
Mcnamara
Nora
K
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Stansbrey
Robert
J
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Tien
Karen
J
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881
Zaraa
Solomon
G
DO
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Zaraa
Solomon
G
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Zaraa
Solomon
G
DO
University Hospitals Medical Group, Inc.
3733 Park East Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐3881 216‐844‐5883
Clark
Anna
Lisa
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
2001 Crocker Road
Westlake
OH
Cuyahoga
440‐327‐1800 440‐327‐1533
Lindsey
Karryl
J.
2490 Lee Blvd., #307
216‐320‐0440 216‐320‐0422
Peggy
S.
25111 Country Club Blvd., #290
Cleveland OH
Heights
North Olmsted OH
Cuyahoga
McKnight
LISW Cornerstone Marriage and Family Counseling, LLC
LISW Psychological & Behavioral Consultants
Cuyahoga
440‐614‐2520 440‐614‐2526
Plott
Lauren
A.
LISW Psychological & Behavioral Consultants
25111 Country Club Blvd., #290
North Olmsted OH
Cuyahoga
440‐614‐2520 440‐614‐2526
Smith
David
C.
20525 Center Ridge Road, #365
Rocky River
OH
Cuyahoga
216‐456‐5510 216‐712‐6313
Treisch‐Chirdon
Valerie
J.
LISW Behavioral Health Services of Greater Cleveland
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
20525 Center Ridge Road, #612
Rocky River
OH
Cuyahoga
440‐327‐1800 440‐327‐1533
Agle
David
P
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 8th Floor
Cleveland
OH
44145‐
6966
44118‐
1271
44070‐
5330
44070‐
5330
44116‐
3424
44116‐
3424
44106
Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Alamir
Samer
MD
Alamir Health, Inc.
28871 Center Ridge Road, #101
Westlake
OH
Behavioral Health: Psychiatry
Amin
Jaina
I
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
Behavioral Health: Psychiatry
Appleby
Brian
S
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #200
Behavioral Health: Psychiatry
Appleby
Brian
S
MD
University Hospitals Medical Group, Inc.
Behavioral Health: Psychiatry
Appleby
Brian
S
MD
Behavioral Health: Psychiatry
Barrett
Jera
A
Behavioral Health: Psychiatry
Barrett
Jera
Behavioral Health: Psychiatry
Barrett
Behavioral Health: Psychiatry
Behavioral Health: Psychiatry
OH
44145‐ Cuyahoga
5271
44106 Cuyahoga
440‐250‐2130 440‐250‐2140
216‐844‐3880 216‐844‐5883
Beachwood
OH
44122 Cuyahoga
216‐285‐5115 216‐201‐5376
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3192 216‐844‐5066
University Hospitals Medical Group, Inc.
3619 Park East Blvd., #109
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐5833
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
A
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Jera
A
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 3rd Floor #3148
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Barrett
Jera
A
MD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Richmond Heights
Solon
OH
44139 Cuyahoga
216‐844‐2400 216‐844‐1703
Berila
Rose Anne
M
CNS
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3951 216‐844‐4489
Page 13 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Behavioral Health: Psychiatry
Brandstetter
Jennifer
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Brandstetter
Jennifer
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Calabrese
Joseph
R
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Carlisle
Michael
C
DO
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 440‐285‐6247
Behavioral Health: Psychiatry
Carlisle
Michael
C
DO
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 440‐285‐6247
Behavioral Health: Psychiatry
Carlisle
Michael
C
DO
University Hospitals Medical Group, Inc.
44 Blaine Avenue
Richmond Heights
Bedford
OH
44146 Cuyahoga
216‐844‐2400 440‐285‐6247
Behavioral Health: Psychiatry
Cerny
Cathleen
A
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 8th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Clegg
Kathleen
A
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 8th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Delos Rey
Christina
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 8th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Delos Rey
Christina
M
MD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Solon
OH
44139 Cuyahoga
216‐844‐3881 216‐844‐5883
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
12200 Fairhill Road
Cleveland
OH
44120 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
14900 Private Drive
Cleveland
OH
44112 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
2181 Ambleside Road
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
3619 Park East Blvd.
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Dines
Philipp
L
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Fisher, III
John
R
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Gao
Keming
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Gao
Keming
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Goldenberg
Neal
E
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 3rd Floor #3148
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Goldenberg
Neal
E
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Hahn
David
Y
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Hahn
David
Y
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
440‐585‐7070 216‐286‐6341
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
OH
44106 Cuyahoga
216‐844‐2400
Richmond Heights
Cleveland
County
Phone Fax
Page 14 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
440‐585‐7070 216‐286‐6341
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Richmond Heights
Solon
OH
44139 Cuyahoga
216‐844‐3881 216‐844‐5883
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Practices
44143 Cuyahoga
216‐844‐2400 216‐285‐6247
Hunt
Andrew
W
MD
University Hospitals Medical Group, Inc.
Richmond Heights
Cleveland
OH
Behavioral Health: Psychiatry
27100 Chardon Road, 3rd Floor ‐
Psych Unit
10524 Euclid Avenue
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Hunt
Andrew
W
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐5883
Behavioral Health: Psychiatry
Jarm
Suzanne
M
CNS
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐2877
Behavioral Health: Psychiatry
Jarm
Suzanne
M
CNS
University Hospitals Medical Group, Inc.
11400 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐2877
Behavioral Health: Psychiatry
Jarm
Suzanne
M
CNS
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kilbane III
Edward
J.
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Mayfield Village
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kilbane III
Edward
J.
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kilbane III
Edward
J.
MD
University Hospitals Medical Group, Inc.
18697 Bagley Road
OH
44130 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kilbane III
Edward
J.
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kimmel
Susan
E
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Middleburg Heights
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Korobkova
Irina
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3880 216‐844‐1703
Behavioral Health: Psychiatry
Korobkova
Irina
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road, #150
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Kotz
Margaret
M
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 3rd Floor
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Lackamp
Jeanne
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychiatry
Locala
Joseph
A
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 13th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Locala
Joseph
A
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Locala
Joseph
A
MD
University Hospitals Medical Group, Inc.
14900 Private Drive ‐ Nursing Home
1611 S. Green Road, #204
South Euclid
OH
44121 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Locala
Joseph
A
MD
University Hospitals Medical Group, Inc.
2181 Ambleside Road
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Mavissakalian
Matig
R
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Mcvoy
Molly
K
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Behavioral Health: Psychiatry
Munir
Farah
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Page 15 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Behavioral Health: Psychiatry
Nagle‐Yang
Sarah
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Nagle‐Yang
Sarah
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Polster
Daniel
MD
Southwest General Medical Group, Inc.
18051 Jefferson Park Road, #106
OH
Ramirez
Luis
F
MD
University Hospitals Medical Group, Inc.
12200 Fairhill Road
OH
44130‐ Cuyahoga
3460
44120 Cuyahoga
440‐816‐5790 440‐816‐5806
Behavioral Health: Psychiatry
Middleburg Heights
Cleveland
Behavioral Health: Psychiatry
Ramirez
Luis
F
MD
University Hospitals Medical Group, Inc.
14900 Private Drive
Cleveland
OH
44112 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Ramirez
Luis
F
MD
University Hospitals Medical Group, Inc.
2181 Ambleside Road
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Ramirez
Luis
F
MD
University Hospitals Medical Group, Inc.
3619 Park East Blvd.
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Ramirez
Luis
F
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Romero
Michelle
E
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 13th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Romero
Michelle
E
DO
University Hospitals Medical Group, Inc.
29099 Health Campus Drive, #390 Westlake
OH
44145 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Ronis
Robert
J
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 13th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychiatry
Royak
Boris
MD
Psychological & Behavioral Consultants
25111 Country Club Blvd., #290
North Olmsted OH
440‐614‐2520 440‐614‐2526
Behavioral Health: Psychiatry
Ruedrich
Stephen
L
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44070‐ Cuyahoga
5330
44106 Cuyahoga
Behavioral Health: Psychiatry
Ruedrich
Stephen
L
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
Behavioral Health: Psychiatry
Ruedrich
Stephen
L
MD
Behavioral Health: Psychiatry
Runnels
Patrick
S
Behavioral Health: Psychiatry
Sajatovic
Martha
Behavioral Health: Psychiatry
Schinagle
Behavioral Health: Psychiatry
216‐844‐2400 216‐844‐5833
216‐844‐2400 216‐844‐5883
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐5883
University Hospitals Medical Group, Inc.
Richmond Heights
29099 Health Campus Drive, #390 Westlake
OH
44145 Cuyahoga
216‐844‐2400 216‐844‐5883
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
N
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Martha
S
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2865 216‐844‐1703
Schinagle
Martha
S
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Schlachet
Rebecca
R
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 3rd Floor #3148
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Schlachet
Rebecca
R
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Schlachet
Rebecca
R
DO
University Hospitals Medical Group, Inc.
14900 Private Drive
Cleveland
OH
44112 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Schlachet
Rebecca
R
DO
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Shrestha
Rajeet
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Mayfield Village
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Page 16 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Behavioral Health: Psychiatry
Shrestha
Rajeet
Behavioral Health: Psychiatry
Stagno
Susan
Behavioral Health: Psychiatry
Svala
Behavioral Health: Psychiatry
MI
Cred
Group Name
Address
City
State
Zip
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
440‐844‐5861 216‐844‐1703
J
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 8th Floor
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Kathleen
M
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 3rd Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Svala
Kathleen
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Svala
Kathleen
M
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Testa
Megan
E
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Testa
Megan
E
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Testa
Megan
E
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road, 3rd Floor
OH
44143 Cuyahoga
216‐844‐5861 216‐844‐1703
Behavioral Health: Psychiatry
Wills
Cheryl
D
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Richmond Heights
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychiatry
Wills
Cheryl
D
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 1st Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5883
Behavioral Health: Psychiatry
Wills
Cheryl
D
MD
University Hospitals Medical Group, Inc.
34055 Solon Road, #204
Solon
OH
44139 Cuyahoga
216‐844‐3881 216‐844‐5883
Behavioral Health: Psychology
Bertschler
John
J.
PhD
Northcoast Conflict Solutions
8040 Corporate Circle, #4
OH
Bothe
Denise
A.
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
OH
44133‐ Cuyahoga
1283
44106 Cuyahoga
216‐236‐6200 216‐236‐6202
Behavioral Health: Psychology
North Royalton
Cleveland
Behavioral Health: Psychology
Bothe
Denise
A.
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐7601
Behavioral Health: Psychology
Bothe
Denise
A.
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐7601
Behavioral Health: Psychology
Bothe
Denise
A.
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue
Mayfield Heights
Mentor
OH
44060 Cuyahoga
216‐844‐7700 216‐844‐7601
Behavioral Health: Psychology
Bowen
Susan
R.
PHD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, #3150
Cleve
OH
44106 Cuyahoga
216‐844‐7700
Behavioral Health: Psychology
Bowen
Susan
R.
PHD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7700 216‐201‐5188
Behavioral Health: Psychology
Brandon
Catherine
M.
PsyD
Kenneth A. DeLuca, PhD & Associates, Inc.
2001 Crocker Road
Mayfield Heights
Westlake
OH
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Clark
Marie
A.
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44145‐ Cuyahoga
6966
44106 Cuyahoga
216‐844‐7700 216‐201‐5188
Behavioral Health: Psychology
Conklin
Danette
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐1730
Behavioral Health: Psychology
Friedman
Lois
C
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐1361 216‐844‐1703
Behavioral Health: Psychology
Friedman
Lois
C
PhD
University Hospitals Medical Group, Inc.
29099 Health Campus Drive, #390 Westlake
OH
44145 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychology
Friedman
Lois
C
PhD
University Hospitals Medical Group, Inc.
960 Clague Road, #1200
OH
44145 Cuyahoga
216‐844‐1700
Westlake
County
Phone Fax
216‐844‐7700 216‐844‐7601
Page 17 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Behavioral Health: Psychology
Hampl
Steven
P
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Behavioral Health: Psychology
Holan
Jane
E.
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐8966
Behavioral Health: Psychology
Holan
Jane
E.
MD
University Hospitals Medical Group, Inc.
11400 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐8966
Behavioral Health: Psychology
Holan
Jane
E.
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐8966
Behavioral Health: Psychology
Holan
Jane
E.
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐8966
Behavioral Health: Psychology
Janata
Jeffrey
W
PhD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychology
Janata
Jeffrey
W
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychology
Janata
Jeffrey
W
PhD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4100
Orange Village OH
44122 Cuyahoga
216‐831‐8311 216‐844‐1703
Behavioral Health: Psychology
Janata
Jeffrey
W
PhD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐7700
Behavioral Health: Psychology
Kelley
Gary
B.
PhD
Multimodal Therapy Institute, Inc.
33595 Bainbridge Road, #102
Solon
OH
440‐349‐5445 440‐349‐4779
Behavioral Health: Psychology
Kralovic
Shanna
K.
DO
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44139‐ Cuyahoga
2981
44106 Cuyahoga
Behavioral Health: Psychology
Kralovic
Shanna
K.
DO
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3230 216‐844‐7601
Behavioral Health: Psychology
Kralovic
Shanna
K.
DO
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐3230 216‐844‐7601
Behavioral Health: Psychology
Levin
Jennifer
B
PhD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychology
Levin
Jennifer
B
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychology
Levin
Jennifer
B
PhD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐2400
Behavioral Health: Psychology
Liebenthal
David
M
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3881 216‐844‐5833
Behavioral Health: Psychology
Minnillo
Paul
R
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐2400
Behavioral Health: Psychology
Minnillo
Paul
R
PhD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4100
Orange Village OH
44122 Cuyahoga
216‐831‐8311
Behavioral Health: Psychology
Minnillo
Paul
R
PhD
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychology
Poreh
Amir
M
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 7th Floor
Mayfield Village
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5883
Behavioral Health: Psychology
Poreh
Amir
M
PhD
University Hospitals Medical Group, Inc.
730 SOM Center Road, #320
OH
44143 Cuyahoga
216‐844‐2400 216‐844‐1703
Behavioral Health: Psychology
Roizen
Nancy
J.
MD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Mayfield Village
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐286‐6341
Behavioral Health: Psychology
Roizen
Nancy
J.
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700
216‐844‐3230 216‐844‐7601
Page 18 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Behavioral Health: Psychology
Roizen
Nancy
J.
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐7700 216‐286‐6341
Behavioral Health: Psychology
Roizen
Nancy
J.
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐286‐6341
Behavioral Health: Psychology
Shirley
Edwin
R
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, 12th Floor
Cleveland
OH
44106 Cuyahoga
216‐844‐2400 216‐844‐5833
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Arruda
Mackall
Osman
Sparano
Mauricio
Judith
Mohammed
Dina
S
A
N
M.
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Beachwood
Beachwood
Beachwood
Cleveland
OH
OH
OH
OH
44122
44122
44122
44106
216‐844‐3800
216‐844‐8500
216‐844‐8500
440‐743‐8500
Cardiac Electrophysiology
Sparano
Dina
M.
MD
University Hospitals Medical Practices
Westlake
OH
44145 Cuyahoga
440‐899‐2423 440‐899‐2738
Cardiac Electrophysiology
Sparano
Dina
M.
MD
University Hospitals Medical Practices
Westlake
OH
44145 Cuyahoga
440‐899‐2423 440‐899‐2738
Cardiac Electrophysiology
Cardiology
Waldo
Al‐Mubarak
Albert
Nadim
L
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Beachwood
Westlake
OH
OH
44122 Cuyahoga
44145 Cuyahoga
216‐844‐3800 216‐844‐7196
440‐835‐8922 440‐835‐4788
Cardiology
Al‐Mubarak
Nadim
MD
University Hospitals Medical Practices
Westlake
OH
44145 Cuyahoga
440‐331‐4652 440‐250‐5355
Cardiology
Cardiology
Anarado
Arruda
Perry
O.
Maria (Janine) C.
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Beachwood
Cleveland
OH
OH
44122 Cuyahoga
44106 Cuyahoga
216‐844‐3800 216‐593‐1301
216‐844‐3800 216‐844‐5478
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Arruda
Attizzani
Bezerra
Carman
Coletta
Mauricio
Guilherme
Hiram
Teresa
John
S
F.
G
L
E
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Beachwood
Cleveland
Cleveland
Westlake
Westlake
OH
OH
OH
OH
OH
44122
44106
44106
44145
44145
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
440‐899‐2423
Cardiology
Coletta
John
E
MD
University Hospitals Medical Practices
Westlake
OH
44145 Cuyahoga
440‐899‐2423 440‐899‐2738
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Costa
Cunningham
Cunningham
Effron
Effron
El Amm
El Amm
Marco
Michael
Michael
Barry
Barry
Chantal
Chantal
A
J
J
A
A
A
A
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
3999 Richmond Road
3999 Richmond Road
11100 Euclid Avenue, Mather #1800
29101 Health Campus Drive, Bldg. 2, #320
960 Clague Road, #2300 ‐
Harrington Heart & Vascular Institute
3999 Richmond Road
29101 Health Campus Drive, #200, Bldg. 2
960 Clague Road, #2300 ‐
Harrington Heart & Vascular Institute
3999 Richmond Road
11100 Euclid Avenue, Mather #1800
3999 Richmond Road
11100 Euclid Avenue
11100 Euclid Avenue
960 Clague Road
29101 Health Campus Drive, #320, Bldg. 2
960 Clague Road, #2300 ‐
Harrington Heart & Vascular Institute
3999 Richmond Road
3999 Richmond Road
960 Clague Road
1611 S. Green Road
18599 Lakeshore Blvd., #108
11100 Euclid Avenue
3909 Orange Place, #3300
Beachwood
Beachwood Westlake
South Euclid
Euclid
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
44122
44122
44145
44121
44119
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐983‐3202
216‐383‐5372
216‐383‐5372
216‐844‐1780
216‐844‐8954
216‐844‐8954
216‐844‐8954
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
El Amm
Farah
Farah
Ginwalla
Ginwalla
Chantal
Michel
Michel
Mahazarin
Mahazarin
A
G
G
B
B
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2300
1611 S. Green Road
44 Blaine Avenue
11100 Euclid Avenue
3909 Orange Place, #3300
Westlake
South Euclid
Bedford
Cleveland
Orange Village
OH
OH
OH
OH
OH
44145
44121
44146
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐8954
216‐844‐1780
Cardiology
Ginwalla
Mahazarin
B
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2300
Westlake
OH
44145 Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐8954
216‐844‐1442
216‐563‐5217
440‐201‐6348
216‐844‐8954
216‐844‐8954
216‐844‐8954
216‐844‐8954
440‐899‐2738
216‐844‐8954
216‐844‐8954
216‐844‐3800 216‐844‐8954
Page 19 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
Cardiology
Cardiology
Cardiology
Cardiology
Greene
Halle III
Hoit
Hoit
Lloyd
Austin
Brian
Brian
H
A
D
D
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
1611 S. Green Road
1611 S. Green Road
27100 Chardon Road
Cardiology
Hulyalkar
Atul
R
MD
University Hospitals Medical Practices
Cardiology
Hulyalkar
Atul
R
MD
University Hospitals Medical Practices
Cardiology
Iyer
Indiresha
R
MD
University Hospitals Medical Practices
Cardiology
Iyer
Indiresha
R
MD
University Hospitals Medical Practices
Cardiology
Jain
Mukesh
K
MD
Cardiology
Cardiology
Cardiology
Jain
Jenkins
Lane
Mukesh
Trevor
James
K
L
Cardiology
Cardiology
Cardiology
Longenecker
Longenecker
Longenecker
Christopher
Christopher
Christopher
Cardiology
Cardiology
Longenecker
Lyons
Cardiology
Cardiology
State
Zip
County
Phone Fax
Beachwood South Euclid
South Euclid
Richmond Heights
29101 Health Campus Drive, #200, Westlake
Bldg. 2
960 Clague Road, #2300 ‐
Westlake
Harrington Heart & Vascular Institute
27100 Chardon Road ‐ Harrington Richmond Heart & Vascular Institute
Heights
OH
OH
OH
OH
44122
44121
44121
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐8954
216‐844‐1780
216‐844‐1780
216‐844‐8954
OH
44145 Cuyahoga
440‐250‐1806 440‐835‐4788
OH
44145 Cuyahoga
440‐250‐1806 440‐835‐4788
OH
44143 Cuyahoga
440‐735‐3655 440‐735‐3527
OH
44146 Cuyahoga
440‐735‐3655 440‐735‐3527
University Hospitals Medical Group, Inc.
44 Blaine Avenue ‐ Harrington Heart & Vascular Institute
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐3800 216‐368‐0556
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
James Lane, MD, Inc.
960 Clague Road, #2300
11100 Euclid Avenue
5 Severance Circle, #705
216‐844‐3800 216‐368‐0556
216‐844‐3800 216‐844‐8954
216‐381‐1311
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place, #3300
OH
OH
OH
44145
44106
44118‐
1590
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
T
T
T
Westlake
Cleveland
Cleveland Heights
Cleveland
Cleveland
Orange Village
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3800 216‐844‐8954
216‐844‐7892 216‐844‐8954
216‐844‐3800 216‐844‐8954
Christopher
Sean
T
V
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Westlake
Westlake
OH
OH
44145 Cuyahoga
44145 Cuyahoga
216‐844‐3800 216‐844‐8954
440‐899‐2423 440‐899‐2738
Lyons
Lyons
Sean
Sean
V
V
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road, #2300
29101 Health Campus Drive, #320, Bldg. 2
5323 Meadow Lane CT, Suite B
7125 Old Oak Blvd., #A314
OH
OH
44035 Cuyahoga
44130 Cuyahoga
440‐899‐2423 440‐899‐2738
440‐899‐2423 440‐899‐2738
Cardiology
Lyons
Sean
V
MD
University Hospitals Medical Practices
OH
44145 Cuyahoga
440‐899‐2423 440‐899‐2738
Cardiology
Cardiology
Cardiology
Mackall
Madan Mohan
Manyam
Judith
Sri
Harish
A
K
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Beachwood
Beachwood
Cleveland
OH
OH
OH
44122 Cuyahoga
44124 Cuyahoga
44106 Cuyahoga
216‐844‐8500 216‐844‐1442
216‐844‐3800 216‐844‐8954
216‐844‐3800 216‐844‐8954
Cardiology
Cardiology
Manyam
Manyam
Harish
Harish
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2300 ‐
Harrington Heart & Vascular Institute
3999 Richmond Road
3999 Richmond Road
11100 Euclid Avenue, Mather #1800
18559 Lakeshore Blvd., #108
27100 Chardon Road
Elyria
Middleburg Heights
Westlake
44119 Cuyahoga
44143 Cuyahoga
216‐844‐3800 216‐844‐8954
216‐844‐3800 216‐844‐8954
Cardiology
Manyam
Harish
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3300
Euclid
OH
Richmond OH
Heights
Orange Village OH
44122 Cuyahoga
216‐844‐3800 216‐844‐8954
Cardiology
Cardiology
Manyam
Naso
Harish
Arabi
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
27100 Chardon Road
44124 Cuyahoga
44143 Cuyahoga
216‐844‐3800 216‐844‐8954
216‐844‐3800 216‐844‐1780
Cardiology
Naso
Arabi
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3300
Beachwood
OH
Richmond OH
Heights
Orange Village OH
44122 Cuyahoga
216‐844‐3800 216‐844‐1780
Cardiology
Oliveira
Guilherme
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1800
Cleveland
44106 Cuyahoga
216‐844‐3800 216‐844‐8318
H
City
Bedford
OH
OH
OH
OH
Page 20 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Cardiology
Cardiology
Cardiology
Osman
Proweller
Proweller
Mohammed
Aaron
Aaron
N
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
3909 Orange Place, #3300
Beachwood
OH
Cleveland
OH
Orange Village OH
44122 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐8500 216‐563‐5217
216‐844‐3800 216‐844‐1780
216‐844‐3800 216‐844‐1780
Cardiology
Cardiology
Cardiology
Rosenthal
Rosenthal
Sahadevan
Noah
Noah
Jayakumar
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
18599 Lakeshore Blvd., #108
3999 Richmond Road
3909 Orange Place
Euclid
OH
Beachwood
OH
Orange Village OH
44119 Cuyahoga
44122 Cuyahoga
44122 Cuyahoga
216‐844‐3800 440‐585‐6269
216‐844‐8500 216‐585‐6269
216‐844‐3800 216‐844‐7116
Cardiology
Cardiology
Cardiology
Simon
Simon
Sparano
Daniel
Daniel
Dina
I
I
M.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
South Euclid
Beachwood
Cleveland
OH
OH
OH
44121 Cuyahoga
44122 Cuyahoga
44106 Cuyahoga
216‐844‐3800 216‐844‐1780
216‐844‐3800 216‐983‐3202
216‐844‐3800 440‐899‐2738
Cardiology
Cardiology
Cardiology
Cardiology
Sparano
Sparano
Waldo
Williams
Dina
Dina
Albert
Barbara
M.
M.
L
A
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
1611 S. Green Road
3999 Richmond Road
11100 Euclid Avenue, Mather #1800
3999 Richmond Road
960 Clague Road, #2300
3999 Richmond Road
3909 Orange Place, #2300
Beachwood
Westlake
Beachwood
Orange Village
OH
OH
OH
OH
44122
44145
44122
44122
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐378‐4144
Cardiology
Wilson
Thomas
S
MD
University Hospitals Medical Group, Inc.
18599 Lakeshore Blvd., #108
Euclid
OH
44119 Cuyahoga
216‐844‐3800 216‐844‐1780
Cardiology
Wilson
Thomas
S
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
Richmond Heights
OH
44143 Cuyahoga
216‐844‐3800 216‐844‐1780
Cardiology
Wilson
Thomas
S
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐3800 216‐844‐1780
Cardiology
Cardiology
Wilson
Wilson
Thomas
Thomas
S
S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
44 Blaine Avenue
960 Clague Road
Bedford
Westlake
OH
OH
44146 Cuyahoga
44145 Cuyahoga
216‐844‐3800
216‐844‐3800 216‐844‐1780
Cardiology
Cardiology
Cardiology
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Wolf
Wolf
Zidar
Deo
Galantowicz
Lee
William
William
David
Salil
Mark
Jai
M
M
A
V
E.
H.
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
3999 Richmond Road
44 Blaine Avenue
3999 Richmond Road
11100 Euclid Avenue
11100 Euclid Avenue
6681 Ridge Road, #410
Beachwood
Bedford
Beachwood
Cleveland
Cleveland
Parma
OH
OH
OH
OH
OH
OH
44122
44146
44122
44106
44106
44129
216‐844‐3800
216‐844‐3800
216‐844‐8500
216‐844‐4004
216‐844‐5770
216‐844‐4004
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
440‐899‐2738
440‐899‐2738
216‐844‐7196
216‐201‐5333
216‐844‐8954
216‐844‐8954
216‐844‐8954
216‐844‐4745
216‐844‐7597
216‐844‐2898
Page 21 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Cardiothoracic Surgery
Lee
Jai
H.
MD
University Hospitals Medical Practices
7215 Old Oak Blvd., Suite A410
OH
44130 Cuyahoga
216‐844‐4004 216‐844‐2898
Cardiothoracic Surgery
Linden
Philip
A
MD
University Hospitals Medical Group, Inc.
7215 Old Oak Blvd., #A140
OH
44130 Cuyahoga
216‐844‐5770
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Linden
Markowitz
Markowitz
Philip
Alan
Alan
A
H
H
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2480
11100 Euclid Avenue
7215 Old Oak Blvd.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44130 Cuyahoga
216‐844‐5770 216‐844‐7597
216‐844‐5770 216‐844‐7597
216‐844‐5770 216‐844‐7597
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Clinical Genetics
Clinical Genetics
Mcconnell
Medalion
Park
Park
Perry
Robke
Robke
Sareyyupoglu
Towe
Towe
Bedoyan
Bedoyan
Patrick
Benjamin
Soon
Soon
Yaron
Jason
Jason
Basar
Christopher
Christopher
Jirair
Jirair
I.
W.
W.
K
K
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
3999 Richmond Road
11100 Euclid Avenue
11100 Euclid Avenue
960 Clague Road, #2470
11100 Euclid Avenue
11100 Euclid Avenue
7007 Powers Blvd.
11100 Euclid Avenue, #1500
3909 Orange Place, #4600
Middleburg Heights
Middleburg Heights
Westlake
Cleveland
Middleburg Heights
Cleveland
Cleveland
Cleveland
Beachwood
Cleveland
Cleveland
Westlake
Cleveland
Cleveland
Parma
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44106
44106
44106
44122
44106
44106
44145
44106
44106
44129
44106
44122
216‐844‐5770
216‐844‐4988
216‐844‐4004
216‐844‐5770
216‐844‐3923
216‐844‐5770
216‐844‐5770
216‐844‐4004
216‐844‐5770
216‐844‐5770
216‐844‐3936
216‐844‐3941
Clinical Genetics
Bedoyan
Jirair
K
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #200
OH
44124 Cuyahoga
216‐844‐3936 216‐844‐7497
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Bedoyan
Corteville
Corteville
Corteville
Corteville
Jirair
Jane
Jane
Jane
Jane
K
E
E
E
E
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
1000 Auburn Drive, #320
11100 Euclid Avenue, #1200
2055 Crocker Road, #206B
3909 Orange Place, #1100
OH
OH
OH
OH
OH
44145
44122
44106
44145
44122
216‐844‐3936
216‐844‐7881
216‐844‐3941
440‐808‐5108
216‐844‐3941
Clinical Genetics
Clinical Genetics
Clinical Genetics
Debrosse
Debrosse
Debrosse
Suzanne
Suzanne
Suzanne
D
D
D
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road, #204
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44121 Cuyahoga
44124 Cuyahoga
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
440‐646‐8055 440‐646‐8033
Clinical Genetics
Clinical Genetics
Clinical Genetics
Debrosse
Konczal
Konczal
Suzanne
Laura
Laura
D
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
440‐250‐2800 440‐250‐2801
216‐844‐3936 216‐844‐7407
216‐844‐3936 216‐286‐6341
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Clinical Genetics
Konczal
Lazebnik
Lazebnik
Lazebnik
Lazebnik
Mccandless
Mccandless
Laura
Noam
Noam
Noam
Noam
Shawn
Shawn
L
N
N
N
N
E
E
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
1000 Auburn Drive, #320
11100 Euclid Avenue
2055 Crocker Road, #206B
960 Clague Road, #1300
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
OH
44145
44122
44106
44145
44145
44106
44124
216‐250‐2800
216‐844‐7881
216‐844‐3941
440‐808‐5108
216‐844‐3941
216‐844‐3936
216‐844‐3936
Clinical Genetics
Clinical Genetics
Clinical Genetics
Mccandless
Mitchell
Mitchell
Shawn
Anna
Anna
E
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
11100 Euclid Avenue
3909 Orange Place, #4600
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
J
J
M
M
Mayfield Heights
Westlake
Beachwood
Cleveland
Westlake
Orange Village
Cleveland
South Euclid
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Beachwood
Cleveland
Westlake
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Orange Village
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐7597
216‐844‐5004
216‐844‐1202
216‐844‐7597
216‐844‐7597
216‐844‐7597
216‐844‐7597
216‐844‐1202
216‐844‐7597
216‐844‐7597
216‐844‐7497
216‐844‐7497
216‐844‐7497
216‐201‐5388
216‐844‐7590
440‐808‐5109
216‐844‐7590
440‐250‐2801
216‐844‐7181
216‐844‐7590
440‐808‐5109
216‐844‐3348
216‐844‐7497
216‐844‐7497
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
Page 22 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Clinical Genetics
Mitchell
Anna
L
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐3936 216‐844‐7497
Clinical Genetics
Clinical Genetics
Parikh
Parikh
Aditi
Aditi
S
S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
Clinical Genetics
Clinical Genetics
Clinical Genetics
Parikh
Zhang
Zhang
Aditi
Lilei
Lilei
S
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
11100 Euclid Avenue, #1500
3909 Orange Place, #4600
Mayfield Heights
Cleveland
Mayfield Heights
Westlake
Cleveland
Orange Village
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
Clinical Genetics
Clinical Genetics
Clinical Genetics
Zhang
Zinn
Zinn
Lilei
Arthur
Arthur
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
216‐844‐3936 216‐844‐7497
Colon & Rectal Surgery
Senagore
Anthony
J.
MD
University Hospitals Medical Practices
6681 Ridge Road, #410
Westlake
Cleveland
Mayfield Heights
Parma
OH
44129 Cuyahoga
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Stein
Stein
Stein
Stein
Stein
Trunzo
Sharon
Sharon
Sharon
Sharon
Sharon
Joseph
L
L
L
L
L
A
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Cleveland
Westlake
Lyndhurst
Beachwood
Westlake
Westlake
OH
OH
OH
OH
OH
OH
44106
44145
44124
44122
44145
44145
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Colon & Rectal Surgery
Trunzo
Joseph
A
MD
University Hospitals Medical Practices
11100 Euclid Avenue
29000 Center Ridge Road
29001 Cedar Road, #202
3999 Richmond Road
960 Clague Road, #2480
29099 Health Campus Drive, #340, Bldg. 3
7215 Old Oak Blvd., #A314
440‐743‐8115 440‐‐201‐
6333
216‐844‐7874
216‐844‐7874
216‐844‐7874 216‐844‐5957
216‐844‐7874 216‐844‐5957
216‐844‐7874
440‐827‐5755 440‐827‐5344
OH
44130 Cuyahoga
440‐827‐5755 440‐827‐5344
Colon & Rectal Surgery
Trunzo
Joseph
A
MD
University Hospitals Medical Practices
OH
44145 Cuyahoga
440‐827‐5755 440‐827‐5344
Critical Care
Altaqi
Basel
MD
Ohio Chest Physicians, Ltd.
960 Clague Road, #2100A ‐
Digestive Health Institute
2322 East 22nd Street, #306
Middleburg Heights
Westlake
Cleveland
OH
Cuyahoga
216‐363‐2673 216‐363‐3321
Critical Care
Altaqi
Basel
MD
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #105
Parma
OH
Cuyahoga
440‐842‐8400
Critical Care
Altaqi
Basel
MD
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #106
Parma
OH
Cuyahoga
440‐886‐2509 440‐886‐2547 Critical Care
Bindra
Akhil
MD
26110 Emery Road, #300
Cuyahoga
216‐292‐5750 216‐292‐5601
Critical Care
Castro
Jonathan
T.A.
MD
Cuyahoga
216‐292‐5750 216‐292‐5601
Critical Care
Folz
Rodney
J.
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Group, Inc.
OH
44115‐
3100
44129‐
5463
44129‐
5463
44128‐
5788
44128‐
5788
44106
Cuyahoga
216‐844‐8500 216‐844‐8708
Critical Care
Critical Care
Hoffer
Hoffer
Seth
Seth
A
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44106 Cuyahoga
44143 Cuyahoga
216‐844‐2724 216‐844‐5442
216‐844‐3004 216‐844‐3014
Critical Care
Critical Care
Hoffer
Iltchev
Seth
Daniel
A
MD
MD
OH
OH
Cuyahoga
Cuyahoga
216‐844‐2724 216‐844‐5442
216‐363‐2673 216‐363‐3321
Critical Care
Iltchev
Daniel
Cuyahoga
440‐842‐8400
Critical Care
Critical Care
Jacono
Kazakov
Frank
Jordan
44146
44115‐
3100
44129‐
5463
44106
44106
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
216‐844‐8500 216‐844‐2187
J
A
OH
University Hospitals Medical Group, Inc.
Ohio Chest Physicians, Ltd.
Warrensville Heights
26110 Emery Road, #300
Warrensville Heights
11100 Euclid Avenue, Bolwell 6th Cleveland
Floor
11100 Euclid Avenue
Cleveland
27100 Chardon Road
Richmond Heights
44 Blaine Avenue
Bedford
2322 East 22nd Street, #306
Cleveland
MD
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #105
Parma
OH
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
Cleveland
Cleveland
OH
OH
OH
County
Phone Fax
Page 23 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Critical Care
Lo
Kar‐Ming
Critical Care
Critical Care
Critical Care
Critical Care
Montenegro
Nochomovitz
Petrozzi
Rosenberg
Hugo
Michael
Mariana
David
D
L
C
M
Critical Care
Rosenberg
David
Critical Care
Critical Care
Critical Care
Schilz
Silver
Sopko
Critical Care
Critical Care
MD
26110 Emery Road, #300
216‐292‐5750 216‐292‐5601
OH
OH
OH
OH
44128‐
5788
44106
44106
44106
44122
Cuyahoga
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
1000 Auburn Drive, #110
Warrensville Heights
Cleveland
Cleveland
Cleveland
Beachwood
OH
MD
MD
MD
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3201
216‐844‐3201
216‐844‐3201
216‐285‐5050
M
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
Mayfield Heights
OH
44124 Cuyahoga
440‐646‐2200 216‐896‐1851
Robert
Richard
Joseph
N
F
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Ohio Chest Physicians, Ltd.
11100 Euclid Avenue
11100 Euclid Avenue
6707 Powers Blvd., #105
Cleveland
Cleveland
Parma
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
216‐844‐3201 216‐844‐2187
440‐842‐8400
Strohl
Taylor
Kingman
Timothy
P
N
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
11100 Euclid Avenue
Cleveland
29099 Health Campus Drive, #240, Westlake
Bldg. 3
OH
OH
44106
44106
44129‐
5463
44106
44145
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
440‐835‐2700 440‐835‐4975
Critical Care
Teba
Catalina
V.
MD
University Hospitals Medical Group, Inc.
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐2187
Critical Care
Van Lunteren
Erik
N
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Bolwell 6th Cleveland
Floor
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3201 216‐844‐2187
Critical Care
Zandinejad
Keivan
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐8708
Dermatology
Dermatology
Bahner
Baron
Jennifer
Elma
D
D
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
4065 Center Road, #214
3909 Orange Place, #4200
Brunswick
OH
Orange Village OH
44212 Cuyahoga
44122 Cuyahoga
216‐844‐8200 216‐201‐5213
216‐844‐8200
Dermatology
Dermatology
Bordeaux
Bordeaux
Jeremy
Jeremy
S
S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #4200
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐8200 216‐844‐8993
216‐844‐8200 216‐844‐8993
Dermatology
Dermatology
Bordeaux
Burg
Jeremy
Carol
S
G.
MD
MD
University Hospitals Medical Group, Inc.
North Coast Dermatology Associates, Inc.
950 Clague Road, #104, Bldg. B
6701 Rockside Road, #330
Westlake
OH
Independence OH
Cuyahoga
Cuyahoga
216‐844‐8200 216‐844‐8993
216‐524‐4009 216‐524‐7933
Dermatology
Cevasco
Nathaniel
C.
MD
Dermatology Partners, Inc.
9075 Town Center Drive
Cuyahoga
440‐526‐4570 440‐526‐4149
Dermatology
Dermatology
Cooper
Durden
Kevin
Faith
D
M.
MD
MD
University Hospitals Medical Group, Inc.
Western Reserve Dermatology, Inc.
11100 Euclid Avenue
3690 Orange Place, #300
Broadview Heights
Cleveland
Beachwood
OH
OH
Cuyahoga
Cuyahoga
216‐844‐8200 216‐844‐8993
216‐378‐1880 216‐378‐9130
Dermatology
Garcia‐Zuazaga
Jorge
A.
MD
32875 Solon Road, #200
Solon
OH
Cuyahoga
440‐349‐7546 440‐349‐3100
Dermatology
Gerstenblith
Meg
R
MD
Apex Dermatology and Skin Surgery Center LLC
University Hospitals Medical Group, Inc.
3909 Orange Place, #4200
Orange Village OH
44145
44131‐
2316
44147‐
4044
44106
44122‐
4465
44139‐
2806
44122
Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Dermatology
Gerstenblith
Gilliam
Meg
Anita
R
C
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #104B
11100 Euclid Avenue, Wearn 319
Westlake
Cleveland
44145 Cuyahoga
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
216‐844‐8200 216‐844‐8993
OH
OH
OH
Fax
216‐844‐2187
216‐844‐2187
216‐844‐2187
216‐285‐4060
Page 24 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
Dermatology
Honda
Kord
M
MD
University Hospitals Medical Group, Inc.
Dermatology
Honda
Kord
M
MD
Dermatology
Dermatology
Honda
Konheim
Kord
Ari
M
L
Dermatology
Konheim
Ari
Dermatology
Konheim
Dermatology
City
State
Zip
County
Phone Fax
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Wearn 319
Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #104
Westlake
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
216‐844‐8200 216‐514‐8290
L
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4200
Orange Village OH
44122 Cuyahoga
216‐844‐8200 216‐514‐8290
Ari
L
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4300
Orange Village OH
44122 Cuyahoga
216‐844‐8200 216‐514‐8290
Korman
Neil
J
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Korman
Neil
J
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Wearn 319
Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Korman
Neil
J
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4200
Orange Village OH
44122 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Lu
Kurt
Q
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4200
Orange Village OH
44122 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Dermatology
Dermatology
Lu
Mancuso
Mann
Kurt
Michael
Margaret
Q
G
W
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
950 Clague Road, #104
Westlake
34055 Solon Road, #108
Solon
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
OH
OH
44145 Cuyahoga
44139 Cuyahoga
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
440‐248‐2955 440‐248‐5717
216‐844‐8200 440‐250‐2022
Dermatology
Dermatology
Dermatology
Mann
Mann
Moore
Margaret
Margaret
Brian
W
W
W.
MD
MD
MD
11100 Euclid Avenue, Rbc 1200
950 Clague Road
32875 Solon Road, #200
Cleveland
Westlake
Solon
OH
OH
OH
216‐844‐5437 440‐250‐2022
216‐844‐8200 440‐250‐2022
440‐349‐7546 440‐349‐3100
Nedorost
Susan
T
MD
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
44106
44145
44139‐
2806
44106
Cuyahoga
Cuyahoga
Cuyahoga
Dermatology
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Apex Dermatology and Skin Surgery Center LLC
University Hospitals Medical Group, Inc.
Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Dermatology
Dermatology
Dermatology
Dermatology
Nedorost
Popkin
Popkin
Tanphaichitr
Tuttle
Susan
Daniel
Daniel
Artthapol
Marie
T
L
L
S
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #104, Bldg. B
11100 Euclid Avenue
950 Clague Road, #104, Bldg. B
950 Clague Road, #104
11100 Euclid Avenue, Mather 1800
Westlake
Cleveland
Westlake
Westlake
Cleveland
OH
OH
OH
OH
OH
44145
44106
44145
44145
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8200
216‐844‐8200
216‐844‐8200
216‐844‐8200
216‐844‐3800
Dermatology
Tuttle
Marie
S
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4200
Orange Village OH
44122 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatology
Willen
Marlene
D.
MD
North Coast Dermatology Associates, Inc.
6701 Rockside Road, #330
Independence OH
216‐524‐4009 216‐524‐7933
Dermatology: Mohs Surgery
Garcia‐Zuazaga
Jorge
A.
MD
32875 Solon Road, #200
Solon
OH
440‐349‐7546 440‐349‐3100
Dermatopathology
Gilliam
Anita
C
MD
Apex Dermatology and Skin Surgery Center LLC
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Wearn 319
Cleveland
OH
44131‐ Cuyahoga
2316
44139‐ Cuyahoga
2806
44106 Cuyahoga
Dermatopathology
Honda
Kord
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Bolwell 3100 Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatopathology
Honda
Kord
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Wearn 319
Cleveland
OH
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
Dermatopathology
Developmental Pediatrics
Honda
Barry
Kord
Christine
M
T
MD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #104
11100 Euclid Avenue
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐8200 216‐844‐8993
216‐844‐7700 216‐844‐7601
216‐844‐3962
440‐250‐2022
440‐250‐2022
216‐844‐8993
216‐844‐8200 216‐844‐8993
Page 25 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Barry
Bothe
Bothe
Bothe
Christine
Denise
Denise
Denise
T
A.
A.
A.
PhD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
10524 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7601
216‐844‐7601
216‐844‐7601
216‐844‐7601
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Bothe
Bowen
Bowen
Denise
Susan
Susan
A.
R.
R.
MD
PHD
PHD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
9000 Mentor Avenue
10524 Euclid Avenue, #3150
5850 Landerbrook Drive, #220
OH
OH
OH
44060 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐7601
216‐844‐7700
216‐844‐7700 216‐201‐5188
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Cain Spannagel
Clark
Hall, III
Hall, III
Hall, III
Sarah
Marie
Howard
Howard
Howard
A
A.
R
R
R
PhD
MD
PhD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
10524 Euclid Avenue, #3150
10524 Euclid Avenue
10524 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44106
44106
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐201‐5188
216‐201‐5188
216‐201‐5188
216‐844‐7601
216‐201‐5188
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Hall, III
Hazen
Hazen
Hazen
Howard
Rebecca
Rebecca
Rebecca
R
A
A
A
PhD
PhD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #104
10524 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐201‐5188
216‐844‐7601
216‐844‐7601
216‐844‐7601
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Hazen
Holan
Holan
Holan
Rebecca
Jane
Jane
Jane
A
E.
E.
E.
PhD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
11400 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7601
216‐844‐8966
216‐844‐8966
216‐844‐8966
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Holan
Ievers‐Landis
Ievers‐Landis
Ievers‐Landis
Ievers‐Landis
Jane
Carolyn
Carolyn
Carolyn
Carolyn
E.
E
E
E
E
MD
PhD
PhD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
18181 Pearl Road
29000 Center Ridge Road
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44145
44106
44136
44145
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐8966
216‐844‐7601
216‐844‐7601
216‐844‐7601
216‐844‐7601
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Ievers‐Landis
Knapp
Kralovic
Kralovic
Kralovic
Roizen
Roizen
Roizen
Carolyn
Julie
Shanna
Shanna
Shanna
Nancy
Nancy
Nancy
E
A
K.
K.
K.
J.
J.
J.
PhD
PhD
DO
DO
DO
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
10524 Euclid Avenue
10524 Euclid Avenue
11100 Euclid Avenue
960 Clague Road
10524 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
OH
OH
44145
44106
44106
44106
44145
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐3230
216‐844‐3230
216‐844‐3230
216‐844‐3230
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7601
216‐201‐5188
216‐844‐7601
216‐844‐7601
216‐844‐7601
216‐286‐6341
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Roizen
Rork
Rork
Nancy
Kristine
Kristine
J.
E
E
MD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
10524 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7700 216‐286‐6341
216‐844‐3230 216‐201‐5188
440‐646‐8055 440‐646‐8033
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Tangen
Tangen
Tangen
Rachel
Rachel
Rachel
B
B
B
PhD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700 216‐201‐5188
Developmental Pediatrics
Taylor
H Gerry
G
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Westlake
Cleveland
Cleveland
Mayfield Heights
Mentor
Cleve
Mayfield Heights
Cleveland
Cleveland
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Strongsville
Westlake
Mayfield Heights
Westlake
Cleveland
Cleveland
Cleveland
Westlake
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Cleveland
Cleveland
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐7700
216‐286‐6341
Page 26 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Developmental Pediatrics
Developmental Pediatrics
Taylor
Taylor
H Gerry
H Gerry
G
G
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5570
216‐844‐7700 216‐201‐5188
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
ENT
ENT
ENT
ENT
Arafah
Baha
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3144 216‐844‐3120
Arafah
Baha
M
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐3144 216‐844‐3120
Arafah
Baha
M
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐3144 216‐844‐3120
Burgun
Stephen
J
MD
University Hospitals Medical Practices
18599 Lakeshore Blvd., #200
Euclid
OH
44119 Cuyahoga
440‐285‐3621 440‐285‐3625
Faiman
Gregg
H
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
OH
44124 Cuyahoga
440‐646‐2200 440‐646‐2209
Genuth
Saul
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3144 216‐844‐3120
Hadam
Valerie
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
Ismail‐Beigi
Faramarz
N
MD
Peckham
Roger
S
OH
44124 Cuyahoga
440‐646‐2200 440‐646‐2209
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3144 216‐844‐3120
MD
University Hospitals Medical Practices
29101 Health Campus Drive, #295 Westlake
OH
44145 Cuyahoga
440‐808‐5950 440‐250‐0363
Razavi Nematollahi Laleh
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1600
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐3120
Razavi Nematollahi Laleh
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3100
Orange Village OH
44122 Cuyahoga
216‐844‐8500 216‐844‐3120
Sayyed Kassem
Laure
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐3120
Sayyed Kassem
Laure
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐8500 216‐844‐3120
Schnall
Adrian
MD
University Hospitals Medical Practices
1611 S. Green Road, #065
South Euclid
OH
44121 Cuyahoga
216‐291‐4300 216‐691‐3524
Shulemovich
Korina
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐3313
Shulemovich
Korina
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐8500 216‐844‐3120
Abbass
Abbass
Arnold
Arnold
Fadi
Hassan
James
James
A
E
E
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
34055 Solon Road, #214
34055 Solon Road, #214
11100 Euclid Avenue
3909 Orange Place, #4600
Solon
Solon
Cleveland
Orange Village
OH
OH
OH
OH
44139
44139
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐232‐6789
440‐232‐6789
216‐844‐6000
216‐844‐6000
440‐786‐1321
440‐786‐1321
216‐844‐5727
216‐844‐5727
ENT
ENT
ENT
ENT
Arnold
Baskin
Baskin
Baskin
James
Jonathan
Jonathan
Jonathan
E
Z
Z
Z
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
27101 Chardon Road
OH
OH
OH
OH
44145
44106
44121
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐5727
216‐844‐5727
216‐844‐5727
216‐844‐5727
ENT
Baskin
Jonathan
Z
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Westlake
Cleveland
South Euclid
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐6000 216‐844‐5727
ENT
Baskin
Jonathan
Z
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐6000 216‐844‐5727
M
Page 27 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Zip
County
Phone ENT
Binder
Jeffrey
E.
DO
ENT and Allergy Health Services, Inc.
25761 Lorain Road, 3rd Floor
North Olmsted OH
Cuyahoga
440‐779‐1112 440‐779‐0247
OH
OH
OH
OH
OH
OH
OH
44070‐
3369
44106
44122
44106
44145
44106
44121
44122
ENT
ENT
ENT
ENT
ENT
ENT
ENT
Fowler
Fowler
Greenbaum
Greenbaum
Lavertu
Lavertu
Lavertu
Nicole
Nicole
Evan
Evan
Pierre
Pierre
Pierre
M
M
S
S
N
N
N
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3999 Richmond Road
11100 Euclid Avenue
960 Clague Road, #2460
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Cleveland
Beachwood
Cleveland
Westlake
Cleveland
South Euclid
Orange Village
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐3061
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐201‐5157
216‐201‐5157
216‐201‐5157
216‐201‐5157
216‐844‐5727
216‐844‐5727
216‐844‐5727
ENT
ENT
ENT
ENT
Lavertu
Maronian
Maronian
Maronian
Pierre
Nicole
Nicole
Nicole
N
C
C
C
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place, #4100
Westlake
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44145
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐5727
216‐844‐6121
216‐844‐6121
216‐844‐6121
ENT
ENT
ENT
ENT
Maronian
Megerian
Megerian
Megerian
Nicole
Cliff
Cliff
Cliff
C
A
A
A
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place, #4600
Westlake
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44145
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6121
216‐844‐5727
216‐844‐5727
216‐844‐5727
ENT
ENT
Megerian
Mehle
Cliff
Mark
A
E.
MD
MD
University Hospitals Medical Group, Inc.
ENT and Allergy Health Services, Inc.
960 Clague Road
15299 E. Bagley Road, #300
216‐844‐6000 216‐844‐5727
440‐234‐5150 440‐234‐9138
ENT and Allergy Health Services, Inc.
25761 Lorain Road, 3rd Floor
Cuyahoga
440‐779‐1112 440‐779‐0247
D
MD
University Hospitals Medical Group, Inc.
Cuyahoga
216‐844‐6000 216‐844‐5727
Todd
Todd
D
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Bolwell #3300A
1611 S. Green Road, #237
3909 Orange Place, #4600
44145
44130‐
4823
44070‐
3369
44106
Cuyahoga
Cuyahoga
MD
Westlake
OH
Middleburg OH
Heights
North Olmsted OH
ENT
Mehle
Mark
E.
ENT
Otteson
Todd
ENT
ENT
Otteson
Otteson
South Euclid OH
Orange Village OH
44121 Cuyahoga
44122 Cuyahoga
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
ENT
Otteson
Todd
D
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4600
Orange Village OH
44122 Cuyahoga
216‐844‐6000 216‐844‐5727
ENT
ENT
Ponsky
Ponsky
Diana
Diana
C
C
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
27100 Chardon Road
OH
OH
44106 Cuyahoga
44143 Cuyahoga
216‐844‐6000 216‐844‐7497
216‐844‐3936 216‐844‐6000
ENT
ENT
ENT
ENT
ENT
Ponsky
Ponsky
Reisman
Reisman
Reisman
Diana
Diana
A. Tony
A. Tony
A. Tony
C
C
T
T
T
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
29014 Cedar Road
3999 Richmond Road
11100 Euclid Avenue
1611 S. Green Road
27100 Chardon Road
OH
OH
OH
OH
OH
44122
44122
44106
44122
44143
216‐844‐5436
216‐844‐3061
216‐844‐6000
216‐844‐6000
216‐844‐6000
ENT
ENT
Reisman
Reisman
A. Tony
A. Tony
T
T
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
29017 Cedar Road
3909 Orange Place
Cleveland
Richmond Heights
Beachwood
Beachwood
Cleveland
South Euclid
Richmond Heights
Lyndhurst
Orange Village
OH
OH
44124 Cuyahoga
44122 Cuyahoga
216‐844‐6000 216‐844‐1334
216‐844‐6000 216‐844‐1334
ENT
ENT
ENT
ENT
Reisman
Rezaee
Rezaee
Rezaee
A. Tony
Rod
Rod
Rod
T
P
P
P
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Westlake
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44145
44106
44121
44122
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
Cleveland
State
OH
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Fax
216‐844‐5727
216‐844‐1334
216‐844‐1334
216‐844‐1334
216‐844‐1334
216‐844‐5727
216‐844‐5727
216‐844‐5727
Page 28 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
ENT
ENT
Rodriguez
Rodriguez
Kenneth
Kenneth
D
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Cleveland
Cleveland
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
ENT
Rodriguez
Kenneth
D
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐6000 216‐844‐5727
ENT
Rodriguez
Kenneth
D
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue, Bolwell #3300A
11100 Euclid Avenue, Seidman Hallway A
3909 Orange Place, #4600
Orange Village OH
44122 Cuyahoga
216‐844‐6000 216‐844‐5727
ENT
ENT
ENT
Rodriguez
Semaan
Semaan
Kenneth
Maroun
Maroun
D
T
T
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2460
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
ENT
Semaan
Maroun
T
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4600
Westlake
Cleveland
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐6000 216‐844‐5727
ENT
ENT
ENT
ENT
ENT
ENT
ENT
Semaan
Weidenbecher
Weidenbecher
Weidenbecher
Zender
Zender
Zender
Maroun
Mark
Mark
Mark
Chad
Chad
Chad
T
S
S
S
A
A
A
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2460
11100 Euclid Avenue, #3300B
3909 Orange Place, #4100
3999 Richmond Road
11100 Euclid Avenue
1611 S. Green Road, #237
3909 Orange Place, #4600
Westlake
Cleveland
Beachwood
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
OH
44145
44106
44122
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐6000
216‐844‐5727
216‐201‐5157
216‐201‐5157
216‐201‐5157
216‐844‐5727
216‐844‐5727
216‐844‐5727
ENT
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Zender
Acheson
Below
Bennett
Blankfield
Chao
Chirdon
Cohen
Cohen
Craft
Cruz‐Knight
Cruz‐Knight
Degolia
Degolia
Frank
Frank
Grusenmeyer
Hackman
Harris‐Haywood
Holtzmeier
Howard
Jemmy‐Nouafo
Chad
Louise
Richard
Angela
Robert
Jason
Timothy
Nicholas
Nicholas
Edward
Wanda
Wanda
Peter
Peter
Scott
Scott
Michael
Angela
Sonja
Brant
Alexandria
Armelle
A
S
A
M.
P
N
B
B.
B.
A
E
E
A
A
H
H
J
B
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
960 Clague Road, #2460
11100 Euclid Avenue
25651 Detroit Road, #304
11100 Euclid Avenue
201 Front Street, #101
11100 Euclid Avenue
18181 Pearl Road, Suite A104
11100 Euclid Avenue
3619 Park East Street, #109
6150 Emerald Street
11100 Euclid Avenue
1611 S. Green Road
11100 Euclid Avenue
7201 Wade Park Avenue
11100 Euclid Avenue
1611 S. Green Road
960 Clague Road, #2100
11100 Euclid Avenue
11100 Euclid Avenue
25651 Detroit Road, #304
11100 Euclid Avenue
3909 Orange Place, #2000
Westlake
Cleveland
Westlake
Cleveland
Berea
Cleveland
Strongsville
Cleveland
Beachwood
N. Ridgeville
Cleveland
South Euclid
Cleveland
Cleveland
Cleveland
South Euclid
Westlake
Cleveland
Cleveland
Westlake
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44145
44106
44145
44106
44017
44106
44136
44106
44122
44039
44106
44121
44106
44106
44106
44121
44145
44106
44106
44145
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6000
216‐844‐3944
440‐808‐8620
216‐844‐3944
440‐243‐7299
216‐844‐3944
440‐238‐7676
216‐844‐3944
216‐844‐3944
440‐327‐2680
216‐844‐3944
216‐844‐3944
216‐844‐3944
216‐844‐3944
216‐844‐3944
216‐844‐3944
440‐250‐5370
216‐844‐3944
216‐844‐3944
440‐808‐8620
216‐844‐3944
216‐896‐1844
216‐844‐5727
216‐844‐8974
216‐899‐4372
216‐844‐8974
440‐243‐0651
216‐844‐8974
440‐816‐5998
216‐844‐8974
216‐844‐8974
216‐201‐6342
216‐844‐8974
216‐844‐8974
216‐844‐8974
S
D
Y
MD
MD
DO
MD
MD
MD
DO
MD
MD
DO
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
MD
MD
Family Medicine
Jesse
Michael
L
DO
University Hospitals Medical Practices
7856 Brookside Drive
Olmsted Falls OH
44138 Cuyahoga
440‐235‐3711 440‐235‐3786
Family Medicine
Family Medicine
Jones
Jones
Gail
Gail
E.
E.
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road, #063
Cleveland
South Euclid
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3944 216‐844‐8974
216‐844‐3944 216‐844‐8974
OH
OH
County
Phone Fax
216‐844‐8974
440‐250‐2018
216‐844‐8974
216‐844‐8974
440‐899‐4372
216‐844‐8974
216‐201‐6061
Page 29 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Family Medicine
Kang
Manjot
K.
MD
University Hospitals Medical Practices
14100 Cedar Road, #320
OH
44118 Cuyahoga
216‐291‐5454 216‐291‐5456
Family Medicine
Family Medicine
Katz
Kellner
Cheryl
Patricia
L
J
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
18599 Lakeshore Blvd., #400
14100 Cedar Road, #320
OH
OH
44119 Cuyahoga
44121 Cuyahoga
216‐383‐5303 216‐383‐5309
216‐291‐5454 216‐844‐7601
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Lancaster
Lee
Li
Loyke
Loyke
Pamela
Ga Geong
Li
Christopher
Christopher
L
J
J
DO
MD
MD
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
38 Dorset Road
11100 Euclid Avenue
11100 Euclid Avenue
1440 Rockside Road, #202
303 E. Royalton Road, #202
OH
OH
OH
OH
OH
44047
44106
44106
44134
44147
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐576‐4455
216‐844‐3944
216‐844‐3944
216‐749‐5877
440‐743‐8130
440‐576‐6820
216‐844‐8974
216‐844‐8974
216‐749‐7808
440‐743‐8131
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Maier
Maier
Mark
Marsh
Mielke
Montgomery
Morikawa
Odukoya
Raymond
Saridakis
Saridakis
Vanessa
Vanessa
Matthew
Sybil
Heather
Lynda
Masahiro
Olusegun
Alexa
George
George
F
F
M
K
C
G
N
A
R
P
P
MD
MD
MD
MD
DO
MD
MD
MD
MD
DO
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
1611 S. Green Road
50 Blaine Avenue, #2200
11100 Euclid Avenue
18181 Pearl Road, Suite A104
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
50 Blaine Avenue, #2200
1440 Rockside Road, #202
303 E. Royalton Road, #202
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44106
44121
44146
44106
44136
44106
44106
44106
44146
44134
44147
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3944
216‐844‐3944
440‐232‐5400
216‐844‐3944
440‐238‐7676
216‐844‐3944
216‐844‐3944
216‐844‐3944
440‐232‐5400
216‐749‐5877
440‐743‐8130
216‐844‐8974
216‐844‐8974
440‐232‐0084
216‐844‐8974
440‐816‐5998
216‐844‐8974
216‐844‐8974
216‐844‐8974
440‐232‐0084
216‐749‐7808
440‐743‐8131
Family Medicine
Family Medicine
Saridakis
Saridakis
Manuel
Manuel
P
P
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
1440 Rockside Road, #202
303 E. Royalton Road, #202
OH
OH
44134 Cuyahoga
44147 Cuyahoga
216‐749‐5877 216‐749‐7808
440‐743‐8130 440‐743‐8131
Family Medicine
Family Medicine
Saridakis
Saridakis
Michael
Michael
E
E
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
1440 Rockside Road, #202
303 E. Royalton Road, #202
OH
OH
44134 Cuyahoga
44147 Cuyahoga
216‐749‐5877 216‐749‐7808
440‐743‐8130 440‐743‐8131
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Shank
Smith
Solymos
Song
Stecyk
Daniel
Charles
Kornelia
Grace
Orest
J
K
C
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
18599 Lakeshore Blvd., #400
11100 Euclid Avenue
960 Clague Road, #2100
50 Blaine Avenue, #2200
303 E. Royalton Road, #101
OH
OH
OH
OH
OH
44119
44106
44145
44146
44147
216‐383‐5303
216‐844‐3944
440‐250‐5370
440‐232‐5400
440‐743‐4740
Family Medicine
Tangen
Christopher
L
DO
University Hospitals Medical Practices
27100 Chardon Road, #120
OH
44143 Cuyahoga
440‐585‐7146 440‐585‐6340
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Tangen
Tardio
Thomas
Thomas
Todorov
Troy
Troy
Tumbush
Waters
Whitehouse
Christopher
Jerry
Agnes
John
Irina
Nicole
Nicole
John
Judith
Robert
L
C
P
M
C
C
A
K
J
DO
MD
MD
MD
MD
MD
MD
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
50 Blaine Avenue, #2200
563 W. Bagley Road
960 Clague Road, #2100
25651 Detroit Road, #304
11100 Euclid Avenue
563 W. Bagley Road
853 W. Bagley Road
15976 E. High Street
18181 Pearl Road, Suite A104
27155 Chardon Road, #205
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44146
44017
44145
44145
44106
44017
44017
44062
44136
44143
440‐232‐9280
440‐234‐0502
440‐250‐5370
440‐808‐8620
216‐844‐3944
440‐234‐0502
440‐234‐0502
440‐632‐0408
440‐238‐7676
440‐944‐4070
Family Medicine
Wolf
John
J.
MD
University Hospitals Medical Practices
25651 Detroit Road, #304
University Heights
Euclid
University Heights
Jefferson
Cleveland
Cleveland
Parma
Broadview Heights
Cleveland
South Euclid
Bedford
Cleveland
Strongsville
Cleveland
Cleveland
Cleveland
Bedford
Parma
Broadview Heights
Parma
Broadview Heights
Parma
Broadview Heights
Euclid
Cleveland
Westlake
Bedford
Broadview Heights
Richmond Heights
Bedford
Berea
Westlake
Westlake
Cleveland
Berea
Berea
Middlefield
Strongsville
Richmond Heights
Westlake
OH
44145 Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐383‐5309
216‐844‐8974
440‐250‐2071
440‐232‐0084
440‐743‐4741
440‐585‐7041
440‐234‐0590
440‐250‐2071
440‐899‐4372
216‐844‐8974
440‐234‐0590
440‐234‐0590
440‐632‐0601
440‐816‐5998
440‐944‐9162
440‐808‐8620 440‐899‐4372
Page 30 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Family Medicine
Wurst
Jennifer
L.
MD
University Hospitals Medical Practices
303 E. Royalton Road, #101
OH
44147 Cuyahoga
440‐743‐4740 440‐743‐4741
Family Medicine
Family Medicine
Forensic Psychiatry
Forensic Psychiatry
Forensic Psychiatry
Forensic Psychiatry
Gastroenterology
Gastroenterology
Gastroenterology
Zelis
Zelis
Cerny
Wills
Wills
Wills
Cameron
Chak
Chak
Brian
Cynthia
Cathleen
Cheryl
Cheryl
Cheryl
Robert
Amitabh
Amitabh
D
B
A
D
D
D
B
N
N
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
18181 Pearl Road, Suite A104
18181 Pearl Road, Suite A104
10524 Euclid Avenue, 8th Floor
1000 Auburn Drive
10524 Euclid Avenue, 1st Floor
34055 Solon Road, #204
1611 S. Green Road, #260
11100 Euclid Avenue
3909 Orange Place, #3100
Broadview Heights
Strongsville
Strongsville
Cleveland
Beachwood
Cleveland
Solon
South Euclid
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
44136
44136
44106
44122
44106
44139
44121
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐238‐7676
440‐238‐7676
216‐844‐2400
216‐844‐2400
216‐844‐3881
216‐844‐3881
216‐291‐5787
216‐844‐7344
216‐844‐7344
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Chak
Cohen
Cohen
Cominelli
Cominelli
Amitabh
Stanley
Stanley
Fabio
Fabio
N
M
M
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
960 Clague Road, #2100A
11100 Euclid Avenue
3909 Orange Place, #3100
Beachwood
Cleveland
Westlake
Cleveland
Orange Village
OH
OH
OH
OH
OH
44124
44106
44145
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500 216‐983‐0347
216‐844‐8500 216‐844‐7480
216‐844‐8500 216‐844‐7480
216‐844‐8500
216‐844‐8500
Gastroenterology
Gastroenterology
Cooper
Cooper
Gregory
Gregory
S
S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #3100
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7344 216‐844‐7371
216‐844‐7344 216‐844‐7371
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Cooper
Cooper
Cummings
Cummings
Dave
Gregory
Gregory
Linda
Linda
Maneesh
S
S
C
C
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
960 Clague Road, #2470
11100 Euclid Avenue
3999 Richmond Road
11100 Euclid Avenue, Bolwell #6
Beachwood
Westlake
Cleveland
Beachwood
Cleveland
44122
44145
44106
44122
44106
216‐844‐8500
216‐844‐7344
216‐844‐8500
216‐844‐8500
216‐844‐8500
Gastroenterology
Dave
Maneesh
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3200
Orange Village OH
44122 Cuyahoga
216‐844‐8500 216‐844‐8011
Gastroenterology
Gastroenterology
Gastroenterology
Dumot
Falck‐Ytter
Falck‐Ytter
John
Yngve
Yngve
A
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
3909 Orange Place, #3100
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐8500
216‐844‐7344 216‐844‐7371
216‐844‐7344 216‐844‐7371
Gastroenterology
Gastroenterology
Faulx
Faulx
Ashley
Ashley
L
L
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #3100
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7344 216‐844‐7371
216‐844‐7344 216‐844‐7371
Gastroenterology
Frankel
Michael
H.
MD
3700 Park East Drive, #100
Beachwood
216‐593‐7700 216‐593‐7190
Gholam
Gholam
Gholam
Pierre
Pierre
Pierre
M
M
M
MD
MD
MD
11100 Euclid Avenue
29001 Cedar Road, #202
3909 Orange Place
Cleveland
OH
Lyndhurst
OH
Orange Village OH
44122‐
4339
44106
44124
44122
Cuyahoga
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology Associates of Cleveland, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7344 216‐844‐7371
440‐461‐7999
216‐844‐7344 216‐844‐7371
Gastroenterology
Gastroenterology
Gastroenterology
Gholam
Gholam
Glessing
Pierre
Pierre
Brooke
M
M
R.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
960 Clague Road, #2300
3909 Orange Place, #3200
Beachwood
OH
Westlake
OH
Orange Village OH
44122 Cuyahoga
44145 Cuyahoga
44122 Cuyahoga
216‐844‐8500 216‐844‐7480
216‐844‐8500 216‐844‐7480
216‐844‐8500 216‐201‐5424
Gastroenterology
Gastroenterology
Gastroenterology
Greer
Isenberg
Isenberg
Katarina
Gerard
Gerard
B
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
29001 Cedar Road, #202
Cleveland
Cleveland
Lyndhurst
44106 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐2172 216‐844‐7371
216‐844‐7344 216‐844‐7371
440‐461‐7999
OH
OH
OH
OH
OH
OH
OH
OH
OH
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
440‐816‐5998
440‐816‐5998
216‐844‐1703
216‐844‐5883
216‐844‐5883
216‐297‐2118
216‐844‐7371
216‐844‐7371
216‐983‐0347
216‐844‐7371
216‐983‐0347
216‐844‐8011
Page 31 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Gastroenterology
Isenberg
Gerard
A
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3100
Orange Village OH
44122 Cuyahoga
216‐844‐7344 216‐844‐7371
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Isenberg
Katz
Katz
Katz
Gerard
Jeffry
Jeffry
Jeffry
A
A
A
A
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
29001 Cedar Road, #202
3909 Orange Place, #3100
Beachwood
Cleveland
Lyndhurst
Orange Village
OH
OH
OH
OH
44122
44106
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500 216‐983‐0347
216‐844‐7344 216‐844‐7371
440‐461‐7999
216‐844‐7344 216‐844‐7371
Gastroenterology
Gastroenterology
Gastroenterology
Katz
Koehler
Lissauer
Jeffry
Michael
Jack
A
K
S.
MD
MD
MD
3999 Richmond Road
1611 S. Green Road, #160
3700 Park East Drive, #100
Beachwood
South Euclid
Beachwood
OH
OH
OH
216‐844‐8500 216‐844‐7480
216‐691‐3600 216‐291‐1827
216‐593‐7700 216‐593‐7190
Mansour
Mansour
Nadia
Nadia
K
K
MD
MD
1611 S. Green Road, #160
27100 Chardon Road, #150
OH
OH
Cuyahoga
Cuyahoga
440‐708‐1555 440‐708‐1515
440‐708‐1555 440‐708‐1515
Gastroenterology
Muthunayagam
Newton
MD
North Shore Gastroenterology, Inc.
850 Columbia Road, #200
South Euclid
Richmond Heights
Westlake
44122
44121
44122‐
4339
44121
44143
Cuyahoga
Cuyahoga
Cuyahoga
Gastroenterology
Gastroenterology
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Gastroenterology Associates of Cleveland, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
440‐808‐1212 440‐808‐0321
Gastroenterology
Gastroenterology
Post
Post
Anthony
Anthony
B
B
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #3100
Cleveland
OH
Orange Village OH
44145‐ Cuyahoga
7215
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7344 216‐844‐7371
216‐844‐7344 216‐844‐7371
Gastroenterology
Rozman, Jr
Raymond
W
MD
University Hospitals Medical Practices
1611 S. Green Road, #160
South Euclid
OH
44121 Cuyahoga
216‐691‐0900 216‐291‐1827
Gastroenterology
Rozman, Jr
Raymond
W
MD
University Hospitals Medical Practices
8185 E. Washington Street, #2
Chagrin Falls
OH
44023 Cuyahoga
216‐691‐0900 216‐691‐3524
Gastroenterology
Gastroenterology
Gastroenterology
Shapiro
Shapiro
Shapiro
Eric
Eric
Eric
J
J
J
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #160
34055 Solon Road, #204
3909 Orange Place, #2500
South Euclid OH
Solon
OH
Orange Village OH
44121 Cuyahoga
44139 Cuyahoga
44122 Cuyahoga
216‐691‐0900 216‐691‐3524
440‐708‐1555 440‐708‐1515
440‐708‐1555 440‐708‐1515
Gastroenterology
Straub
Robert
F.
MD
North Shore Gastroenterology, Inc.
7225 Old Oak Blvd., Suite B310
440‐808‐1212 440‐ 808‐0321 Straub
Robert
F.
MD
North Shore Gastroenterology, Inc.
850 Columbia Road, #200
OH
Cuyahoga
440‐808‐1212 440‐ 808‐0321 Gastroenterology
Gastroenterology
Gastroenterology
Thomas
Thomas
Tully
Sapna
Sapna
John
V
V
O.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
North Shore Gastroenterology, Inc.
11100 Euclid Avenue
29017 Cedar Road
850 Columbia Road, #200
Cleveland
Lyndhurst
Westlake
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7344 216‐844‐7371
216‐844‐8500 216‐201‐5408
440‐808‐1212 440‐808‐0321
Gastroenterology
Gastroenterology
Gastroenterology
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Veloso Galon‐
Venkat
Wong
Abbas
Abbas
Ammori
Andrews
Barksdale
Barksdale
Hazel
Deepak
Richard
Mujjahid
Mujjahid
John
David
Edward
Edward
G
B
A
M
M
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue, #2100
960 Clague Road, #2100
960 Clague Road
11100 Euclid Avenue
3999 Richmond Road
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500
216‐844‐8500
216‐844‐7344
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐3015
216‐844‐3015
216‐844‐7874
General Surgery
General Surgery
Barksdale
Borison
Edward
Daniel
M
I.
MD
MD
University Hospitals Medical Group, Inc.
Cleveland Surgical Associates
960 Clague Road
6770 Mayfield Road, #320
General Surgery
Bosio
Raul
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Westlake
Cleveland
Cleveland
Cleveland
Westlake
Westlake
Cleveland
Beachwood
Mayfield Heights
Westlake
Mayfield Heights
Cleveland
44130‐
3333
44145‐
7215
44106
44124
44145‐
7215
44145
44106
44106
44106
44145
44145
44106
44122
44124
Cuyahoga
Gastroenterology
Middleburg Heights
Westlake
C
State
OH
OH
OH
OH
OH
Zip
County
44145 Cuyahoga
44124‐ Cuyahoga
2299
44106 Cuyahoga
Phone Fax
216‐844‐7480
216‐844‐7371
216‐844‐1385
216‐844‐1385
216‐844‐2888
216‐844‐8687
216‐844‐8687
216‐844‐8687
216‐844‐3015 216‐844‐8687
440‐684‐0000 440‐684‐0049
216‐844‐7874 216‐844‐1385
Page 32 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
General Surgery
Bosio
Raul
M
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3200
Orange Village OH
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Bosio
Champagne
Champagne
Champagne
Champagne
Clancy
Delaney
Delaney
Raul
Bradley
Bradley
Bradley
Bradley
Keith
Conor
Conor
M
J
J
J
J
D
P
P
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
29000 Center Ridge Road
29001 Cedar Road, #203
960 Clague Road, #2470
11100 Euclid Avenue
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
OH
OH
OH
OH
OH
44122
44106
44145
44124
44145
44106
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
General Surgery
General Surgery
Delaney
Delaney
Conor
Conor
P
P
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
29001 Cedar Road, #203
3909 Orange Place, #1100
Beachwood
Cleveland
Westlake
Lyndhurst
Westlake
Cleveland
Cleveland
Richmond Heights
Lyndhurst
Orange Village
OH
OH
44124 Cuyahoga
44122 Cuyahoga
216‐844‐7874
216‐844‐7874
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Dietz
Dietz
Dingeldein
Dingeldein
Dingeldein
Jill
Jill
Michael
Michael
Michael
R
R
W
W
W
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #4400
11100 Euclid Avenue
3999 Richmond Road
5850 Landerbrook Drive, #220
OH
OH
OH
OH
OH
44106
44122
44106
44122
44124
216‐844‐7874
216‐844‐7874
216‐844‐3015
216‐844‐7874
216‐844‐7874
General Surgery
General Surgery
Dingeldein
Dubchuk
Michael
Vladimir
W
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
OH
OH
44060 Cuyahoga
44130 Cuyahoga
216‐844‐7874 216‐844‐1385
440‐816‐5500 440‐816‐5514
General Surgery
General Surgery
General Surgery
Dubchuk
Elliott
Freyvogel
Vladimir
Heidi
Mary
L
E
MD
MD
DO
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44145 Cuyahoga
440‐816‐5500 440‐816‐5514
216‐844‐7874 216‐844‐5398
844‐505‐3760 440‐827‐5727
General Surgery
General Surgery
Freyvogel
Graham
Mary
Cathy
E
L
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
44145 Cuyahoga
44145 Cuyahoga
844‐505‐3760 440‐827‐5727
440‐816‐5500 440‐816‐5514
General Surgery
Graham
Cathy
L
MD
University Hospitals Medical Practices
OH
44130 Cuyahoga
440‐816‐5500 440‐816‐5514
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Graham
Hardacre
Hardacre
Hardacre
Hardacre
Cathy
Jeffrey
Jeffrey
Jeffrey
Jeffrey
L
M M M M MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Cleveland
Beachwood
Cleveland
Beachwood
Mayfield Heights
9000 Mentor Avenue, #100
Mentor
7215 Old Oak Blvd., #A314
Middleburg Heights
960 Clague Road, #3260
Westlake
11100 Euclid Avenue
Cleveland
29000 Center Ridge Road ‐ Breast Westlake
Center
960 Clague Road, #1100
Westlake
29101 Center Ridge Road ‐
Westlake
Women's Health Center
7215 Old Oak Blvd., #A314
Middleburg Heights
960 Clague Road, #A314
Westlake
11100 Euclid Avenue, #2100
Cleveland
1611 S. Green Road, #107
South Euclid
29001 Cedar Road, #203
Lyndhurst
3909 Orange Place, #3200 Orange Village
OH
OH
OH
OH
OH
44145
44106
44121
44124
44122
440‐250‐2070 440‐250‐2849
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874 216‐983‐7230
General Surgery
Hardacre
Jeffrey
M MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4300
Orange Village OH
44122 Cuyahoga
216‐844‐7874
General Surgery
General Surgery
General Surgery
General Surgery
Hardacre
Hardacre
Ho
Jasper
Jeffrey
Jeffrey
Vanessa
John
M M P.
J
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
3999 Richmond Road
960 Clague Road
11100 Euclid Avenue
27100 Chardon Road, #150
OH
OH
OH
OH
44122
44145
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874 216‐983‐7230
216‐844‐7874
216‐844‐7874 216‐844‐2888
440‐347‐9975 440‐347‐0930
General Surgery
Jasper
John
J
MD
University Hospitals Medical Practices
3909 Orange Place, #2300
Beachwood
Westlake
Cleveland
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐831‐8255 216‐831‐8228
General Surgery
General Surgery
Khaitan
Khaitan
Leena
Leena
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
Cleveland
South Euclid
OH
OH
44106 Cuyahoga
44121 Cuyahoga
216‐844‐7874
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐983‐7230
216‐844‐1385
216‐844‐1385
216‐844‐1385
216‐844‐1385
216‐844‐1385
216‐844‐8687
216‐844‐5398
216‐844‐8687
Page 33 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Khaitan
Khaitan
Kim
Kim
Kim
Kim
Kim
General Surgery
General Surgery
General Surgery
Leena
Leena
Anne
Anne
Julian
Julian
Julian
C
C
A
A
A
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
29001 Cedar Road
960 Clague Road, #2100A
11100 Euclid Avenue, RBC 1200
3999 Richmond Road
11100 Euclid Avenue
29001 Cedar Road, #203
3909 Orange Place, #4400
Lyndhurst
Westlake
Cleveland
Beachwood
Cleveland
Lyndhurst
Orange Village
OH
OH
OH
OH
OH
OH
OH
44124
44145
44106
44122
44106
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
440‐844‐7874 216‐983‐7230
216‐844‐3051 216‐844‐7597
216‐844‐3015 216‐844‐8687
216‐844‐7874
216‐844‐7874
216‐844‐7874
Marks
Marks
Marks
Jeffrey
Jeffrey
Jeffrey
M
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
29001 Cedar Road, #203
3909 Orange Place, #3200
Cleveland
OH
Lyndhurst
OH
Orange Village OH
44106 Cuyahoga
44124 Cuyahoga
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
General Surgery
Marks
Jeffrey
M
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4300
Orange Village OH
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
General Surgery
Nelson
Dvora
MD
Nelson Vein and Surgical Services, LLC
30915 Lorain Road
North Olmsted OH
Cuyahoga
440‐617‐6061 440‐617‐6065
General Surgery
General Surgery
General Surgery
Novitsky
Novitsky
Novitsky
Yuri
Yuri
Yuri
W
W
W
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road, #260
3909 Orange Place, #3200
Cleveland
OH
South Euclid OH
Orange Village OH
44070‐
4722
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7210 216‐844‐2888
216‐844‐7210 216‐844‐2888
216‐844‐7874 216‐844‐2888
General Surgery
Novitsky
Yuri
W
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4300
Orange Village OH
44122 Cuyahoga
216‐844‐7210 216‐844‐2888
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Novitsky
Onders
Onders
Onders
Onders
Yuri
Raymond
Raymond
Raymond
Raymond
W
P
P
P
P
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
11100 Euclid Avenue
1611 S. Green Road
29001 Cedar Road, #203
3909 Orange Place, #4300
Westlake
Cleveland
South Euclid
Lyndhurst
Orange Village
44145
44106
44121
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐250‐5301 216‐844‐2888
216‐844‐7874
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
216‐844‐7874
General Surgery
Parks
Jeffrey
C.
MD
Cleveland Surgical Associates
6770 Mayfield Road, #320
Parks
Jeffrey
C
MD
University Hospitals Medical Practices
3909 Orange Place, #2300
44124‐ Cuyahoga
2299
44122 Cuyahoga
440‐684‐0000 440‐684‐0049
General Surgery
Mayfield OH
Heights
Orange Village OH
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Parks
Parks
Persons
Persons
Persons
Persons
Jeffrey
Jeffrey
Marjie
Marjie
Marjie
Marjie
C
C
L
L
L
L
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
50 Blaine Avenue, #2300
88 Center Road, #110
11100 Euclid Avenue
1611 S. Green Road
29001 Cedar Road, #203
3909 Orange Place, #4300
Bedford
Bedford
Cleveland
South Euclid
Lyndhurst
Orange Village
OH
OH
OH
OH
OH
OH
44146
44146
44106
44121
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐831‐8255
216‐831‐8255
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐831‐8228
216‐831‐8228
216‐844‐1385
216‐844‐1385
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Prabhu
Prabhu
Prabhu
Reynolds Jr.
Reynolds Jr.
Reynolds Jr.
Reynolds Jr.
Ajita
Ajita
Ajita
Harry
Harry
Harry
Harry
S
S
S
L
L
L
L
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #2100
34055 Solon Road, #204
3999 Richmond Road
11100 Euclid Avenue
1611 S. Green Road
29001 Cedar Road, #203
3909 Orange Place
Cleveland
Solon
Beachwood
Cleveland
South Euclid
Lyndhurst
Orange Village
OH
OH
OH
OH
OH
OH
OH
44106
44139
44122
44106
44121
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐1385
216‐844‐1385
216‐844‐5398
216‐844‐1385
216‐844‐1385
General Surgery
Rock
Lisa
M
MD
University Hospitals Medical Practices
27100 Chardon Road, #100
Richmond Heights
OH
44143 Cuyahoga
440‐347‐9975
OH
OH
OH
OH
OH
Fax
216‐831‐8255 216‐831‐8228
Page 34 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
General Surgery
Rock
Lisa
M
MD
University Hospitals Medical Practices
3909 Orange Place, #2300
Orange Village OH
44122 Cuyahoga
216‐831‐8255 216‐831‐8228
General Surgery
General Surgery
General Surgery
General Surgery
Sanchez
Shenk
Shenk
Shenk
Edmund
Robert
Robert
Robert
Q
R
R
R
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
29001 Cedar Road, #203
3909 Orange Place
Cleveland
Cleveland
Lyndhurst
Orange Village
44106
44106
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7484
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
General Surgery
General Surgery
General Surgery
Siegel
Siegel
Siegel
Christopher
Christopher
Christopher
T
T
T
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
29001 Cedar Road, #203
3909 Orange Place, #4300
Cleveland
OH
Lyndhurst
OH
Orange Village OH
44106 Cuyahoga
44124 Cuyahoga
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
216‐844‐7874
216‐844‐7874
General Surgery
General Surgery
Siegel
Stefanek
Christopher
Gladys
T
G
MD
CNS
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
Beachwood
Cleveland
OH
OH
44122 Cuyahoga
44106 Cuyahoga
216‐844‐7874 216‐844‐5398
216‐844‐7874
General Surgery
Stefanek
Gladys
G
CNS
University Hospitals Medical Group, Inc.
29001 Cedar Road, #203
Lyndhurst
OH
44124 Cuyahoga
216‐844‐7874
General Surgery
Stefanek
Gladys
G
CNS
University Hospitals Medical Group, Inc.
3909 Orange Place, #4400
Orange Village OH
44122 Cuyahoga
216‐844‐7874
General Surgery
Stefanek
Gladys
G
CNS
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
Westlake
OH
44145 Cuyahoga
216‐844‐7874
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Stein
Stein
Stein
Stein
Stein
Trillis
Sharon
Sharon
Sharon
Sharon
Sharon
Floyd
L
L
L
L
L
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
11100 Euclid Avenue
29000 Center Ridge Road
29001 Cedar Road, #202
3999 Richmond Road
960 Clague Road, #2480
29099 Health Campus Drive, #225
Cleveland
Westlake
Lyndhurst
Beachwood
Westlake
Westlake
OH
OH
OH
OH
OH
OH
44106
44145
44124
44122
44145
44145
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
216‐844‐7874
216‐844‐7874 216‐844‐5957
216‐844‐7874 216‐844‐5957
216‐844‐7874
440‐835‐6116 440‐899‐4279
General Surgery
Trillis
Floyd
MD
University Hospitals Medical Practices
29160 Center Ridge Road, Suite S
Westlake
OH
44145 Cuyahoga
440‐812‐5300 440‐827‐5397
General Surgery
General Surgery
General Surgery
Ungvarsky
Ungvarsky
Vecchione
Richard
Richard
Donna
F
F
S
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Parma
Parma
Westlake
OH
OH
OH
44129 Cuyahoga
44129 Cuyahoga
44145 Cuyahoga
440‐886‐1247 440‐886‐5763
440‐743‐2900 440‐743‐2901
440‐816‐5500 440‐816‐5514
General Surgery
Vecchione
Donna
S
MD
University Hospitals Medical Practices
6707 Powers Blvd., #100
6707 Powers Blvd., #303
29101 Health Campus Drive, #295, Bldg. 2
7215 Old Oak Blvd., #A314
OH
44130 Cuyahoga
440‐816‐5500 440‐816‐5514
General Surgery
Vecchione
Donna
S
MD
University Hospitals Medical Practices
730 SOM Center Road, #230
Middleburg Heights
Mayfield Village
OH
44143 Cuyahoga
440‐816‐5500 440‐816‐5514
OH
OH
OH
OH
Zip
County
Phone Fax
Page 35 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
General Surgery
General Surgery
General Surgery
Wilhelm
Wilhelm
Wilhelm
Scott
Scott
Scott
M
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
29001 Cedar Road, #203
3909 Orange Place, #3200
Cleveland
OH
Lyndhurst
OH
Orange Village OH
44106 Cuyahoga
44124 Cuyahoga
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
216‐844‐7874 216‐844‐1385
General Surgery
Wilhelm
Scott
M
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4300
Orange Village OH
44122 Cuyahoga
216‐844‐7874 216‐844‐1385
General Surgery
General Surgery: Hand Surgery
Wilhelm
Soltanian
Scott
Hooman
M
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7874 216‐844‐1385
216‐844‐4780
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
OH
44143 Cuyahoga
440‐449‐7999
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
29001 Cedar Road, #202
Richmond Heights
Lyndhurst
OH
44124 Cuyahoga
216‐844‐4780
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
29017 Cedar Road
Lyndhurst
OH
44124 Cuyahoga
440‐461‐7999
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
3999 Richmond Road
Beachwood
OH
44122 Cuyahoga
216‐844‐3061
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2470
Westlake
OH
44145 Cuyahoga
440‐250‐5301 440‐461‐4713
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Balina
Degolia
Degolia
Gnanasekaran
Cynthia
K.
Peter
A
Peter
A
Gowrishankar
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
14900 Private Drive
11100 Euclid Avenue
7201 Wade Park Avenue
11100 Euclid Avenue
Cleveland
Cleveland
Cleveland
Cleveland
OH
OH
OH
OH
44106
44106
44106
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐851‐8200 216‐851‐1634
216‐844‐3944 216‐844‐8974
216‐844‐3944
216‐844‐6300 216‐983‐4712
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Khatibi
Kirkova
Kirkova
Koniaris
Parisa
Yordanka
Yordanka
Christine
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3619 Park East Drive
11100 Euclid Avenue
3619 Park East Blvd., #109
11100 Euclid Avenue, Hanna House
Beachwood
Cleveland
Beachwood
Cleveland
OH
OH
OH
OH
44122
44106
44122
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6300
216‐844‐8500
216‐844‐8500
216‐844‐6300
216‐464‐6403
216‐844‐7254
216‐844‐7254
216‐844‐1363
Geriatric Medicine
Geriatric Medicine
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Hematology/Oncology
Hematology/Oncology
Lee
Odukoya
Nagel
Nagel
Waggoner
Waggoner
Waggoner
Zanotti
Zanotti
Baar
Baar
Taryn
Olusegun
Christa
Christa
Steven
Steven
Steven
Kristine
Kristine
Joseph
Joseph
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3619 Park East Street, #109
11100 Euclid Avenue
11100 Euclid Avenue
3999 Richmond Road
1000 Auburn Drive, #300
11100 Euclid Avenue
960 Clague Road, #2410
11100 Euclid Avenue
960 Clague Road
1611 S. Green Road
3909 Orange Place
Beachwood
Cleveland
Cleveland
Beachwood
Beachwood
Cleveland
Westlake
Cleveland
Westlake
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44122
44106
44106
44122
44122
44106
44145
44106
44145
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐6300
216‐844‐3944
216‐844‐3954
216‐844‐3941
216‐844‐7881
216‐844‐3954
216‐844‐3954
216‐844‐3954
216‐844‐3954
216‐368‐7967
216‐844‐3951
216‐983‐4712
216‐844‐8974
216‐844‐7631
216‐844‐3348
216‐983‐1450
216‐844‐7631
216‐844‐7631
216‐844‐7631
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Baar
Berger
Berger
Joseph
Nathan
Nathan
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1611 S. Green Road
3909 Orange Place
Westlake
OH
South Euclid OH
Orange Village OH
44145 Cuyahoga
44121 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐368‐3244
Hematology/Oncology
Hematology/Oncology
Berger
Bergman
Nathan
Mark
A
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Faculty Practice, Inc.
960 Clague Road
11100 Euclid Avenue
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 440‐205‐5792
Hematology/Oncology
Bergman
Mark
D
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐368‐7967 216‐368‐1166
Y.
Y.
S.
Y
A
I
I
E
E
E
M
M
State
Zip
County
Phone Fax
216‐368‐1166
216‐844‐5759
Page 36 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Hematology/Oncology
Bhatt
Mukesh
C
MD
University Hospitals Medical Practices
440‐816‐6051 440‐816‐6065
Bokar
Bokar
Joseph
Joseph
A
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Middleburg OH
Heights
South Euclid OH
Orange Village OH
44130 Cuyahoga
Hematology/Oncology
Hematology/Oncology
18697 Bagley Road ‐ Seidman Cancer Center
1611 S. Green Road
3909 Orange Place
44121 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐844‐5759
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Bokar
Caimi
Caimi
Joseph
Paolo
Paolo
A
F
F
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
3909 Orange Place, #1100
Westlake
OH
Cleveland
OH
Orange Village OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951
216‐844‐3951
Hematology/Oncology
Caimi
Paolo
F
MD
University Hospitals Medical Group, Inc.
5885 Landerbrook Drive, #100
OH
44124 Cuyahoga
216‐844‐3951
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Caimi
Chang
Chang
Paolo
Richard
Richard
F
Y
Y
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
OH
44145 Cuyahoga
44145 Cuyahoga
44145 Cuyahoga
216‐844‐3951
440‐617‐4700 440‐617‐4692
440‐617‐4700 440‐617‐4692
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Cooney
Cooney
Cooney
Cooney
Cooper
Cooper
Matthew
Matthew
Matthew
Matthew
Brenda
Brenda
M
M
M
M
W
W
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1200
25200 Center Ridge Road, #2100
29325 Health Campus Drive, #1 ‐
Siedman Cancer Center
11100 Euclid Avenue
1611 S. Green Road
29325 Health Campus Drive, #1
960 Clague Road
1611 S. Green Road
5885 Landerbrook Drive
Mayfield Heights
Westlake
Westlake
Westlake
OH
OH
OH
OH
OH
OH
44106
44121
44145
44145
44121
44124
216‐368‐7967
216‐691‐0200
216‐844‐3951
216‐368‐7967
216‐368‐7967
216‐844‐3951
Hematology/Oncology
Hematology/Oncology
Cooper
Cowan
Brenda
Dale
W
H.
MD
MD
University Hospitals Medical Group, Inc.
Southwest Urology, Inc.
960 Clague Road
6900 Pearl Road, Second Floor
OH
OH
Cowan
Dale
H
MD
University Hospitals Medical Practices
OH
Hematology/Oncology
Hematology/Oncology
De Lima
Dickman
Marcos
Elliot
J
R
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
6525 Powers Blvd. ‐ Seidman Cancer Center
11100 Euclid Avenue
5885 Landerbrook Drive, #100
44145 Cuyahoga
44130‐ Cuyahoga
3639
44129 Cuyahoga
216‐368‐7967 216‐368‐1166
440‐845‐0900 440‐842‐9911
Hematology/Oncology
Cleveland
South Euclid
Westlake
Westlake
South Euclid
Mayfield Heights
Westlake
Middleburg Heights
Parma
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Distelhorst
Distelhorst
Dowlati
Dowlati
Eads
Eads
Clark
Clark
Afshin
Afshin
Jennifer
Jennifer
W
W
N
N
R
R
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Hematology/Oncology
Espinosa
Maria
T
MD
Hematology/Oncology
Hematology/Oncology
Feng
Feng
Yan
Yan
Hematology/Oncology
Friedman
Judah
Hematology/Oncology
Hematology/Oncology
Gerson
Gerson
Stanton
Stanton
Hematology/Oncology
Hematology/Oncology
Gerson
Gibbons
Stanton
Joseph
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐368‐1166
216‐691‐1408
216‐844‐1256
216‐368‐1166
216‐368‐1166
216‐844‐1256
440‐743‐4749 440‐743‐4716
OH
OH
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3951 216‐844‐1256
440‐460‐1616 440‐995‐1906
1611 S. Green Road
960 Clague Road, #1200
1611 S. Green Road
960 Clague Road, #1200
11100 Euclid Avenue
3909 Orange Place, #1100
Cleveland
Mayfield Heights
South Euclid
Westlake
South Euclid
Westlake
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
44121
44145
44121
44145
44106
44122
216‐368‐7967
216‐368‐7967
216‐368‐7967
216‐368‐7967
216‐844‐8500
216‐844‐8500
University Hospitals Faculty Practice, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3951 440‐205‐5792
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #1100
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3951 216‐844‐1721
216‐844‐3951 216‐844‐1721
MD
University Hospitals Medical Practices
5885 Landerbrook Drive, #100
OH
44124 Cuyahoga
866‐920‐4089 440‐995‐1908
L
L
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road
5885 Landerbrook Drive
OH
OH
44121 Cuyahoga
44124 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐844‐4975
L
N
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1611 S. Green Road
Mayfield Heights
South Euclid
Mayfield Heights
Westlake
South Euclid
OH
OH
44145 Cuyahoga
44121 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐368‐7967 216‐368‐1166
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐368‐1166
216‐368‐1166
216‐368‐1166
216‐368‐1166
216‐844‐8216
216‐844‐8216
Page 37 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Gibbons
Gibson
Gibson
Joseph
Michael
Michael
N
K
K
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
3909 Orange Place, #1100
Westlake
OH
Cleveland
OH
Orange Village OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐844‐5759
216‐844‐3951 216‐844‐5759
Hematology/Oncology
Goebel
Teresa
E
DO
University Hospitals Medical Practices
Parma
OH
44129 Cuyahoga
440‐743‐4748 440‐743‐4715
Hematology/Oncology
Harris
Lyndsay
N
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐8494 216‐844‐5759
Hematology/Oncology
Hematology/Oncology
Harris
Hoimes
Lyndsay
Christopher
N
J
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Beachwood
Cleveland
OH
OH
44122 Cuyahoga
44106 Cuyahoga
216‐844‐8494 216‐844‐5759
216‐386‐7967 216‐368‐1166
Hematology/Oncology
Hoimes
Christopher
J
DO
University Hospitals Medical Group, Inc.
Westlake
OH
44145 Cuyahoga
216‐386‐7967 216‐368‐1166
Hematology/Oncology
Huang
Xuan
MD
University Hospitals Medical Practices
6525 Powers Blvd. ‐ Seidman Cancer Center
11100 Euclid Avenue ‐ Mather Pavilion Breen Breast Center
3909 Orange Place, #1100
11100 Euclid Avenue ‐ Seidman Cancer Center
960 Clague Road ‐ Seidman Cancer Center
5885 Landerbrook Drive, #110
OH
44124 Cuyahoga
440‐460‐1616 440‐955‐1908
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Koon
Krishnamurthi
Krishnamurthi
Henry
Smitha
Smitha
B
S
S
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1611 S. Green Road
3909 Orange Place
Mayfield Heights
Westlake
South Euclid
Orange Village
OH
OH
OH
44145 Cuyahoga
44121 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐844‐1721
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Krishnamurthi
Lazarus
Lazarus
Levitan
Levitan
Little
Mahajan
Smitha
Hillard
Hillard
Nathan
Nathan
Jane
Neeraj
S
M
M
N
N
A
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Westlake
South Euclid
Westlake
South Euclid
Westlake
Cleveland
Westlake
OH
OH
OH
OH
OH
OH
OH
44145
44121
44145
44121
44145
44106
44145
216‐368‐7967
216‐368‐7967
216‐368‐7967
216‐368‐7967
216‐368‐7967
216‐844‐8494
440‐617‐4700
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Markowitz
Markowitz
Markowitz
Sanford
Sanford
Sanford
D
D
D
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1611 S. Green Road
960 Clague Road
1611 S. Green Road
960 Clague Road
11100 Euclid Avenue
29325 Health Campus Drive, #1 ‐
Siedman Cancer Center
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
OH
Cleveland
South Euclid OH
Orange Village OH
44106 Cuyahoga
44121 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐368‐8928
216‐844‐3951 216‐368‐8928
Hematology/Oncology
Hematology/Oncology
Markowitz
Mendpara
Sanford
Suresh
D
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
44145 Cuyahoga
44130 Cuyahoga
216‐844‐3951 216‐368‐8928
440‐816‐6051 440‐816‐6065
Nayak
Saltzman
Lalitha
Joel
V
N
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Faculty Practice, Inc.
Westlake
Middleburg Heights
Cleveland
Cleveland
OH
OH
Hematology/Oncology
Hematology/Oncology
960 Clague Road
18697 Bagley Road ‐ Seidman Cancer Center
11100 Euclid Avenue
11100 Euclid Avenue
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐3951 216‐368‐1176
216‐844‐3951 440‐205‐5792
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Schmaier
Schmaier
Schmaier
Alvin
Alvin
Alvin
H
H
H
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Cleveland
OH
South Euclid OH
Orange Village OH
44106 Cuyahoga
44121 Cuyahoga
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
216‐844‐3951 216‐844‐5449
216‐844‐3951 216‐844‐5449
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Schmaier
Sharma
Silverman
Silverman
Stern
Alvin
Neelesh
Paula
Paula
Jason
H
N
N
A
MD
MD
MD
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
960 Clague Road
5885 Landerbrook Drive, #100
OH
OH
OH
OH
OH
44145
44106
44121
44145
44124
216‐844‐3951
216‐844‐3951
216‐368‐7967
216‐368‐7967
440‐460‐1616
Hematology/Oncology
Hematology/Oncology
Teston
Teston
Lois
Lois
J
J
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
Westlake
Cleveland
South Euclid
Westlake
Mayfield Heights
Cleveland
South Euclid
OH
OH
44106 Cuyahoga
44121 Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐368‐1166
216‐368‐1166
216‐368‐1166
216‐368‐1166
216‐368‐1166
216‐844‐1721
440‐617‐4692
216‐844‐5449
216‐844‐1721
216‐368‐1166
216‐368‐1166
440‐995‐1908
216‐368‐7967 216‐368‐1166
216‐368‐7967 216‐368‐1166
Page 38 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Hematology/Oncology
Teston
Lois
J
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐368‐7967 216‐368‐1166
Hematology/Oncology
Hematology/Oncology
Teston
Van Heeckeren
Lois
Willem
J
J
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Faculty Practice, Inc.
960 Clague Road, #1200
11100 Euclid Avenue
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐368‐7967 216‐368‐1166
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Hematology/Oncology
Vinayak
Vinayak
Shaveta
Shaveta
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #4400
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3951 216‐844‐5759
216‐844‐3951 216‐844‐5759
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Warren
Warren
William
Armitage
Armitage
Bobak
Bobak
Bobak
Gregory
Gregory
Basem
Keith
Keith
David
David
David
P
P
M
B
B
A
A
A
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
2061 Cornell Road
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place
South Euclid
Westlake
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Orange Village
44121
44145
44106
44106
44106
44106
44106
44122
216‐844‐3951
216‐368‐7967
216‐844‐3951
216‐844‐1988
216‐844‐1988
216‐844‐1988
216‐844‐1988
216‐844‐1988
Infectious Disease
Infectious Disease
Infectious Disease
Boom
Boom
Boom
Willem
Willem
Willem
H
H
H
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Fulton
Fulton
Fulton
Scott
Scott
Scott
A
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place, #3100
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Gripshover
Gripshover
Gripshover
Barbara
Barbara
Barbara
M
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place, #3100
OH
Cleveland
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Hirsch
Hirsch
Hirsch
Christina
Christina
Christina
S
S
S
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place, #3100
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Jakubowycz
Jakubowycz
Jakubowycz
Marta
Marta
Marta
N
N
N
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
27100 Chardon Road
OH
OH
OH
44106 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Jakubowycz
Marta
N
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #3100
Cleveland
Cleveland
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Johnson
Johnson
Johnson
John
John
John
L
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place, #3100
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Lederman
Lederman
Lederman
Lemonovich
Lemonovich
Michael
Michael
Michael
Tracy
Tracy
M
M
M
L
L
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road
2061 Cornell Road 960 Clague Road
11100 Euclid Avenue
3909 Orange Place, #3100
South Euclid
Cleveland
Westlake
Cleveland
Orange Village
44121
44106
44145
44106
44122
216‐368‐7967
216‐844‐8500
216‐368‐7967
216‐844‐1988
216‐844‐1988
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Zip
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
440‐816‐6053
216‐368‐1166
216‐844‐1256
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐368‐1166
216‐844‐5523
216‐368‐1166
216‐844‐1632
216‐844‐1632
Page 39 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Infectious Disease
Infectious Disease
Infectious Disease
Lisgaris
Lisgaris
Lisgaris
Michelle
Michelle
Michelle
V
V
V
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
3909 Orange Place
Cleveland
OH
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Ray
Ray
Ray
Amy
Amy
Amy
J
J
J
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
27100 Chardon Road
OH
OH
OH
44106 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
216‐844‐1988 216‐844‐1632
Infectious Disease
Ray
Amy
J
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Cleveland
Cleveland
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐1988 216‐844‐1632
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Rodriguez
Rodriguez
Salata
Salata
Salata
Benigno
Benigno
Robert
Robert
Robert
A
A
A
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
11100 Euclid Avenue
2061 Cornell Road
27100 Chardon Road
OH
OH
OH
OH
OH
44106
44106
44106
44106
44143
216‐844‐1988
216‐844‐1988
216‐844‐1988
216‐844‐1988
216‐844‐1988
Infectious Disease
Infectious Disease
Infectious Disease
Subauste
Subauste
Tomas
Carlos
Carlos
Myreen
S
S
E
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2061 Cornell Road
27100 Chardon Road
OH
OH
OH
44106 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐8500
216‐844‐8500 216‐844‐2034
440‐585‐6500
Infectious Disease
Tsigrelis
Constantine
MD
University Hospitals Medical Group, Inc.
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐1632
Internal Medicine
Internal Medicine
Al‐Abousi
Ayers
May
Katherine
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue, Mather #1600
6789 Ridge Road, #105
14200 Ridge Road
Cleveland
Cleveland
Cleveland
Cleveland
Richmond Heights
Cleveland
Cleveland
Richmond Heights
Cleveland
OH
OH
44129 Cuyahoga
44133 Cuyahoga
440‐842‐4500 440‐842‐4303
440‐582‐9600 440‐582‐5492
Internal Medicine
Azar
Nabil
MD
University Hospitals Medical Practices
730 Som Center Road, #190
OH
44143 Cuyahoga
440‐646‐9955 440‐646‐9929
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Azem
Baaklini
Bak
Bejanishvili
Beller
Bhatt
Bhatt
Haitham
Samia
Ewa
Tamara
Nancy
Jyoti
Jyoti
M
C
B
Y
O
J
J
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
88 Center Road, #130
960 Clague Road, #3201
1611 S. Green Road, #260
50 Blaine Avenue, #2100
9000 Mentor Avenue, #105
18599 Lakeshore Blvd., #400
27100 Chardon Road, #150
OH
OH
OH
OH
OH
OH
OH
44146
44145
44121
44146
44060
44119
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐232‐4455
440‐250‐2070
216‐297‐2059
440‐735‐2800
440‐974‐4404
216‐383‐5303
440‐347‐9929
440‐232‐3147
440‐250‐2071
216‐382‐9345
440‐786‐2723
440‐974‐4164
216‐383‐5309
440‐347‐0930
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Buchinsky
Chapnick
Cirino
Cirino
Cirino
Cogan
Coviello
Dejoseph
Dohar
Roy
Rebekah
Robert
Robert
Robert
David
James Debra
Robert
M
M
A
A
A
P
M
A
M
MD
MD
MD
MD
MD
MD
MD
MD
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #110
18599 Lakeshore Blvd., #400
11100 Euclid Avenue
1611 S. Green Road, #260
34055 Solon Road, #212
18599 Lakeshore Blvd., #400
1611 S. Green Road, #160
1611 S. Green Road, #065
7255 Old Oak Blvd., #209
OH
OH
OH
OH
OH
OH
OH
OH
OH
44122
44119
44106
44121
44139
44119
44121
44121
44130
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐285‐5050
216‐383‐5303
216‐844‐8500
216‐381‐9383
440‐914‐7220
216‐383‐5303
216‐691‐3510
216‐291‐9171
440‐816‐2777
216‐285‐4060
216‐383‐5309
Internal Medicine
Eapen
Sara
S
MD
University Hospitals Medical Practices
27155 Chardon Road, #205
OH
44143 Cuyahoga
440‐944‐4070 440‐944‐9162
Internal Medicine
Ebersbacher
Donald
J
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
Parma
North Royalton
Mayfield Village
Bedford
Westlake
South Euclid
Bedford
Mentor
Euclid
Richmond Heights
Beachwood
Euclid
Cleveland
South Euclid
Solon
Euclid
South Euclid
South Euclid
Middleburg Heights
Richmond Heights
Mayfield Heights
OH
44124 Cuyahoga
440‐646‐2200 440‐646‐2209
H
E
State
Zip
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐844‐1632
216‐382‐9345
440‐914‐7221
216‐383‐5309
216‐297‐3077
216‐291‐1827
440‐816‐5437
Page 40 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Internal Medicine
Internal Medicine
Eckstein
Eckstein
Margaret
Michael
A
B
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
18599 Lakeshore Blvd., #400
3909 Orange Place, #2400
Euclid
OH
Orange Village OH
44119 Cuyahoga
44122 Cuyahoga
216‐383‐5303 216‐383‐5309
216‐464‐1115 216‐464‐2930
Internal Medicine
Erokwu
Evelyn
C
MD
University Hospitals Medical Practices
5 Severance Circle, #514
44118 Cuyahoga
216‐382‐6310 216‐382‐1813
Internal Medicine
Internal Medicine
Eyre
Feudo
John
Scott
C
C
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road, #3201
3909 Orange Place, #2400
Cleveland OH
Heights
Westlake
OH
Orange Village OH
44145 Cuyahoga
44122 Cuyahoga
440‐250‐2070 440‐250‐2071
216‐464‐1115 216‐464‐2930
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Finkelstein
Fleksher
Friedman
Gallagher
Gigliotti
Gorjanc
Denise
Daniel
Darci
Timothy
Philip
Mary
L
H
J
L
M
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #160
23250 Mercantile Road
23250 Mercantile Road
6707 Powers Blvd., #201
6789 Ridge Road, #105
6900 Pearl Road, #100
OH
OH
OH
OH
OH
OH
44121
44122
44122
44129
44129
44130
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐382‐9935
216‐464‐7878
216‐464‐7878
440‐743‐2050
440‐842‐4500
440‐292‐1000
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Gross‐Sawicka
Haddad
Harwell
Headen
Ewa
Ghassan
Carla
David
M
F
N
J
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
960 Clague Road, #3201
88 Center Road, #130
11100 Euclid Avenue
3909 Orange Place, #2400
South Euclid
Beachwood
Beachwood
Parma
Parma
Middleburg Heights
Westlake
Bedford
Cleveland
Orange Village
OH
OH
OH
OH
44145
44146
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐250‐2070 440‐250‐2032
440‐232‐4455 440‐232‐3147
216‐844‐8500
216‐464‐1115 216‐464‐2930
Internal Medicine
Internal Medicine
Internal Medicine
Hirsh
Junglas
Kaushal
Alan
Philip
Nina
M
D
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #110
1611 S. Green Road, #160
7255 Old Oak Blvd., Suite C209
OH
OH
OH
44122 Cuyahoga
44121 Cuyahoga
44130 Cuyahoga
216‐514‐8602 216‐285‐4044
216‐691‐3500 216‐691‐3501
440‐816‐2777 440‐816‐5437
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
King
Kirpekar
Klarfeld
Kosoglov
Thomas
Sona
Jonathan
Anthony
J
S
E
T
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #260
960 Clague Road, #3201
23250 Mercantile Road
730 Som Center Road, #310
OH
OH
OH
OH
44121
44145
44122
44143
216‐382‐5214
440‐250‐2070
216‐464‐7878
440‐684‐1769
Internal Medicine
Kumar
Praveer
MD
University Hospitals Medical Practices
5 Severance Circle, #514
OH
44118 Cuyahoga
216‐291‐4886 216‐291‐0674
Internal Medicine
Kumar
Praveer
MD
University Hospitals Medical Practices
730 Som Center Road, #230
OH
44124 Cuyahoga
440‐461‐6477 440‐461‐1017
Internal Medicine
Internal Medicine
Internal Medicine
Lantz‐Degeorge
Leizman
Leizman
Crystal
Debra
Debra
R
S
S
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road, #260
11100 Euclid Avenue
3909 Orange Place
Beachwood
South Euclid
Middleburg Heights
South Euclid
Westlake
Beachwood
Mayfield Village
Cleveland Heights
Mayfield Village
South Euclid
Cleveland
Orange Village
OH
OH
OH
44121 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐382‐5214 216‐382‐9345
216‐844‐8500 216‐844‐3860
216‐896‐1774 216‐844‐3860
Internal Medicine
Levine
Seth
D
DO
University Hospitals Medical Practices
12000 McCracken Road, #550
OH
44125 Cuyahoga
216‐663‐8686 216‐663‐2153
Internal Medicine
Internal Medicine
Lu
Mahlay
Ghai
Taras
C
N
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
50 Blaine Avenue, #2100
14200 Ridge Road
OH
OH
44146 Cuyahoga
44133 Cuyahoga
440‐735‐2800 440‐786‐2723
440‐582‐5492
Internal Medicine
Internal Medicine
Massien
Mistry
Scott
Darshan
L
B
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #110
7255 Old Oak Blvd., #209
OH
OH
44122 Cuyahoga
44130 Cuyahoga
216‐285‐5050 216‐285‐4060
440‐816‐2777 440‐816‐5437
Internal Medicine
Moini
Babak
R.
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
OH
44124 Cuyahoga
440‐646‐2200 440‐646‐2209
Internal Medicine
Morgan
Janet
D
MD
University Hospitals Medical Practices
1611 S. Green Road, #160
OH
44121 Cuyahoga
216‐381‐5600 216‐297‐3062
Garfield Heights
Bedford
North Royalton
Beachwood
Middleburg Heights
Mayfield Heights
South Euclid
State
Zip
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐297‐3077
216‐464‐7879
216‐464‐7879
440‐743‐2051
440‐842‐4303
440‐292‐1001
216‐382‐9345
440‐250‐2071
216‐464‐7898
440‐684‐1780
Page 41 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Internal Medicine
Hadley
S
MD
University Hospitals Medical Practices
1611 S. Green Road, #260
South Euclid
OH
44121 Cuyahoga
216‐381‐4103 216‐291‐2353
Internal Medicine
Morgenstern‐
Clarren
Moyal
Yoram
MD
University Hospitals Medical Practices
730 Som Center Road, #230
OH
44143 Cuyahoga
440‐461‐6477 440‐461‐1017
Internal Medicine
Munjapara
Valji
D
MD
University Hospitals Medical Practices
7255 Old Oak Blvd., #209
OH
44130 Cuyahoga
440‐816‐2777 440‐816‐5437
Internal Medicine
Nekl
Kenneth
E
MD
University Hospitals Medical Practices
14200 Ridge Road
OH
44133 Cuyahoga
440‐582‐9600 440‐582‐5492
Internal Medicine
Papirova
Irina
I
MD
University Hospitals Medical Practices
730 Som Center Road, #230
OH
44143 Cuyahoga
440‐461‐6477 440‐461‐1017
Internal Medicine
Park
Hoon
MD
University Hospitals Medical Practices
730 Som Center Road, #190
OH
44143 Cuyahoga
440‐646‐9955 440‐646‐9929
Internal Medicine
Internal Medicine
Parker‐Deuley
Parmar
Paula
Rajvinder
J
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
34005 Solon Road, #104
3909 Orange Place, #2400
Mayfield Village
Middleburg Heights
North Royalton
Mayfield Village
Mayfield Village
Solon
Orange Village
OH
OH
44139 Cuyahoga
44122 Cuyahoga
440‐349‐1100 440‐349‐1112
216‐464‐1115 216‐464‐2930
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Pavluk
Pavluk
Penciu
Petroff
Charles
Charles
Florin
Roman
H
H
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
20575 Center Ridge Road, #500
960 Clague Road, #3201
1440 Rockside Road, #202
730 Som Center Road, #230
OH
OH
OH
OH
44146
44145
44134
44143
440‐250‐2070
440‐250‐2070
216‐749‐5877
440‐461‐6477
Internal Medicine
Internal Medicine
Pillai
Pizarro
Latha
James
R
T
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
50 Blaine Avenue, #2100
5850 Landerbrook Road, #100
OH
OH
44146 Cuyahoga
44124 Cuyahoga
440‐735‐2800 440‐786‐2723
440‐646‐2200 440‐626‐2209
Internal Medicine
Internal Medicine
Pizarro
Quedding‐Pizzaro
James
Ma Amelita
T
C
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #4
34055 Solon Road, #204
Rocky River
Westlake
Parma
Mayfield Village
Bedford
Mayfield Heights
Chagrin Falls
Solon
OH
OH
44023 Cuyahoga
44139 Cuyahoga
440‐708‐1530 440‐708‐1531
440‐349‐1100 440‐349‐8160
Internal Medicine
Internal Medicine
Reznick
Rozman, Jr
Stephanie
Raymond
C.
W
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #160
1611 S. Green Road, #160
South Euclid
South Euclid
OH
OH
44122 Cuyahoga
44121 Cuyahoga
216‐381‐2555 216‐297‐3077
216‐691‐0900 216‐291‐1827
Internal Medicine
Rozman, Jr
Raymond
W
MD
University Hospitals Medical Practices
8185 E. Washington Street, #2
Chagrin Falls
OH
44023 Cuyahoga
216‐691‐0900 216‐691‐3524
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Rudolph
Saleh
Schaffer
Schnall
Sreekumar
Stephen
Ali
Suzanne
Adrian
Beena
A
J.
N
M
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #260
6707 Powers Blvd., #201
50 Blaine Avenue, #2100
1611 S. Green Road, #065
14200 Ridge Road
OH
OH
OH
OH
OH
44121
44129
44146
44121
44133
216‐381‐1367
440‐743‐2050
440‐735‐2800
216‐291‐4300
440‐582‐9600
Internal Medicine
Internal Medicine
Internal Medicine
Sreekumar
Sreekumar
Stanescu
Beena
Beena
Gabriel
L
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
18181 Pearl Road, Suite A208
4065 Center Road, #210
27155 Chardon Road, #300
OH
OH
OH
44136 Cuyahoga
44212 Cuyahoga
44143 Cuyahoga
440‐816‐4990 440816‐4996
330‐220‐8411 330‐220‐9315
440‐585‐1200 440‐585‐1406
Internal Medicine
Stanescu
Roxana
M
MD
University Hospitals Medical Practices
27155 Chardon Road, #205
OH
44143 Cuyahoga
440‐944‐4070 440‐944‐9162
Internal Medicine
Stanescu
Roxana
M
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #105
OH
44124 Cuyahoga
440‐720‐3260 440‐7203259
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Stein
Steiner, II
Stern
Stern
Richard
William
Denise
Denise
E
W
I
I
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
3909 Orange Place, #2400
1611 S. Green Road, #260
3812 Center Road, #106
6909 Royalton Road, #101
South Euclid
Parma
Bedford
South Euclid
North Royalton
Strongsville
Brunswick
Richmond Heights
Richmond Heights
Mayfield Heights
Beachwood
South Euclid
Brunswick
Brecksville
OH
OH
OH
OH
44122
44121
44212
44141
440‐464‐1115
216‐382‐2036
330‐220‐8411
440‐838‐8222
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
440‐331‐4063
440‐250‐2071
216‐749‐7808
440‐461‐1017
216‐291‐9740
440‐743‐2051
440‐786‐2723
216‐691‐3524
440‐582‐5492
440‐464‐2930
216‐297‐2117
330‐220‐9315
440‐582‐5492
Page 42 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Internal Medicine
Topalsky
Vojislav
G
MD
University Hospitals Medical Practices
12000 Mccracken Road, #550
OH
44125 Cuyahoga
216‐663‐8686 216‐663‐2153
Internal Medicine
Internal Medicine
Internal Medicine
Tyler
Vatev
Vilinsky
Melanie
Virginia
Felix
D
R
D
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road
960 Clague Road, #3201
5850 Landerbrook Drive, #105
OH
OH
OH
44121 Cuyahoga
44145 Cuyahoga
44124 Cuyahoga
216‐297‐3070 216‐297‐3156
440‐250‐2070 440‐250‐2071
440‐720‐3260 440‐446‐1044
Internal Medicine
Villabona
Claudia
P
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
OH
44124 Cuyahoga
440‐646‐2200
Internal Medicine
Internal Medicine
Whitney
Wiggers
Erika
Alan
A
B
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
13170 Ravenna Road, #112
14200 Ridge Road
OH
OH
44024 Cuyahoga
44133 Cuyahoga
440‐286‐9588
440‐582‐9600 440‐582‐5492
Internal Medicine
Internal Medicine
Internal Medicine
Wiggers
Wolovitz
Yasinow
Alan
Brian
Eric
B
M
M
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road, #2300
1611 S. Green Road, #160
3909 Orange Place, #2400
Garfield Heights
South Euclid
Westlake
Mayfield Heights
Mayfield Heights
Chardon
North Royalton
Westlake
South Euclid
Orange Village
OH
OH
OH
44145 Cuyahoga
44121 Cuyahoga
44122 Cuyahoga
440‐250‐2060 440‐250‐2061
216‐297‐2909 216‐297‐2910
216‐464‐1115 216‐464‐2930
Internal Medicine
Interventional Cardiology
Medical Oncology
Medical Oncology
Medical Oncology
Medical Oncology
Medical Oncology
Neonatology
Neonatology
Neonatology
Zapotocky
Parikh
Bergman
Getty
Getty
Getty
Owusu
Baley
Bhola
Bhola
Lisa
Sahil
Mark
Patrick
Patrick
Patrick
Cynthia
Jill
Monika
Monika
C.
A
D
J
J
J
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
563 W. Bagley Road, 2nd Floor
11100 Euclid Avenue
11100 Euclid Avenue
1000 Auburn Drive
11100 Euclid Avenue
1611 S. Green Road
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive, #220
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44017
44106
44106
44122
44106
44121
44145
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐234‐0502
216‐844‐3800
216‐368‐7967
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐368‐7967
216‐844‐7700
216‐844‐7700
216‐844‐7700
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
Fanaroff
Hibbs
Martin
Nock
Raffay
Stork
Walsh
Wilson‐Costello
Wilson‐Costello
Jonathan
Anna Maria
Richard
Mary
Thomas
Eileen
Michele
Deanne
Deanne
M
J
L
M
K
C
E
E
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive, #220
OH
OH
OH
OH
OH
OH
OH
OH
OH
44106
44106
44106
44106
44106
44106
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Neonatology
Neonatology
Yalcinkaya
Yalcinkaya
Gulgun
Gulgun
F
F
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
5850 Landerbrook Drive, #220
Nephrology
Nephrology
Augustine
Azem
Joshua
Jamal
J
M.
MD
MD
University Hospitals Medical Group, Inc.
Jamal Azem MD
Nephrology
Nephrology
Nephrology
Nephrology
Dhingra
Dobre
Hricik
Hricik
Jagmeet
Mirela
Donald
Donald
S
A
E
E
MD
MD
MD
MD
Nephrology
Nephrology
Huml
Knauss
Anne
Thomas
M
C
MD
MD
E
County
Phone Fax
OH
OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7700 216‐844‐5570
216‐844‐7700
11100 Euclid Avenue
88 Center Road, #130
Berea
Cleveland
Cleveland
Beachwood
Cleveland
South Euclid
Westlake
Cleveland
Cleveland
Mayfield Heights
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Mayfield Heights
Cleveland
Mayfield Heights
Cleveland
Bedford
440‐234‐0590
OH
OH
Cuyahoga
Cuyahoga
216‐844‐3133 216‐844‐5204
440‐269‐8020 440‐269‐1646
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road, #160
11100 Euclid Avenue
11100 Euclid Avenue
3909 Orange Place, #3100
South Euclid
Cleveland
Cleveland
Orange Village
OH
OH
OH
OH
44106
44146‐
2708
44121
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐297‐2073
216‐844‐8500
216‐844‐3133
216‐844‐3133
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
Cleveland
Cleveland
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐368‐1166
216‐844‐5366
216‐844‐1122
216‐368‐1166
216‐844‐3380
216‐844‐3380
216‐844‐3380
216‐844‐3380
216‐844‐5570
216‐844‐5570
216‐844‐3380
216‐844‐5570
216‐844‐5570
216‐844‐5570
216‐297‐3062
216‐844‐1530
216‐844‐5204
216‐844‐5204
216‐844‐8500 216‐844‐3167
216‐844‐3133 216‐844‐5204
Page 43 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Zip
County
Phone Nephrology
Ligon
C.
MD
Comprehensive Kidney Care, Inc.
26110 Emery Road, #300
Nephrology
Ligon
C.
MD
Comprehensive Kidney Care, Inc.
9050 N. Church Drive
Warrensville OH
Heights
Parma Heights OH
Nephrology
Nephrology
Nephrology
Naff
Negrea
Negrea
Antonio Ramon
Antonio Ramon
George
Lavinia
Lavinia
Cuyahoga
440‐292‐0226 440‐292‐0225
Cuyahoga
440‐292‐0226 440‐292‐0225
Cleveland
OH
Cleveland
OH
Orange Village OH
44128‐
5788
44130‐
4701
44106
44106
44122
B
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
3909 Orange Place, #3100
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3133 216‐844‐5204
216‐844‐3133 216‐844‐5204
216‐844‐3133 216‐844‐5204
Nephrology
Nephrology
Padiyar
Padiyar
Aparna
Aparna
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
3909 Orange Place, #3100
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3133 216‐844‐5204
216‐844‐3133 216‐844‐5204
Nephrology
Rashidi
Arash
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Mather #1600
3909 Orange Place, #3100
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐5204
Nephrology
Rashidi
Arash
MD
University Hospitals Medical Group, Inc.
Orange Village OH
44122 Cuyahoga
216‐844‐8500 216‐844‐5204
Nephrology
Saha
Sharmeela
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Mather #1600
11201 Shaker Blvd., #130
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐6749
Nephrology
Sandhu
Satnam
S.
MD
Renal Medicine Inc
Cleveland
OH
Cuyahoga
216‐368‐7499 216‐368‐7499
Cuyahoga
216‐491‐7205 216‐491‐7206
Cuyahoga
Cuyahoga
216‐844‐8500 216‐844‐3167
440‐292‐0226 440‐292‐0225
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #200
Warrensville Heights
Cleveland
Warrensville Heights
Beachwood
OH
University Hospitals Medical Group, Inc.
Comprehensive Kidney Care, Inc.
4200 Warrensville Center Road, #210
11100 Euclid Avenue, #1500
26110 Emery Road, #300
OH
44104‐
3833
44122‐
7000
44106
44128‐
5788
44122
Nephrology
Sandhu
Satnam
S.
MD
Renal Medicine Inc
Nephrology
Nephrology
Sarabu
Venkat
Nagaraju
Vasuki
N.
MD
MD
Neurology
Aminai‐Mashhadi
Shahram
Cuyahoga
216‐285‐5115 216‐201‐5376
Neurology
Aminai‐Mashhadi
Shahram
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3192 216‐844‐5066
Neurology
Aminai‐Mashhadi
Shahram
MD
University Hospitals Medical Group, Inc.
1611 S. Green Road
South Euclid
OH
44121 Cuyahoga
216‐844‐3192 216‐844‐5066
Neurology
Aminai‐Mashhadi
Shahram
MD
University Hospitals Medical Group, Inc.
3999 Richmond Road
Beachwood
OH
44122 Cuyahoga
216‐593‐5500 216‐201‐5376
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Andrefsky
Appleby
Appleby
Appleby
Ashraf
Ashraf
John
Brian
Brian
Brian
Fareeha
Fareeha
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
6115 Powers Blvd., #203
1000 Auburn Drive, #200
11100 Euclid Avenue
3619 Park East Blvd., #109
1000 Auburn Drive, #200
11100 Euclid Avenue, Bolwell 5080
Parma
Beachwood
Cleveland
Beachwood
Beachwood
Cleveland
OH
OH
OH
OH
OH
OH
44129
44122
44106
44122
44122
44106
440‐743‐8120
216‐285‐5115
216‐844‐3192
216‐844‐2400
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Ashraf
Buczek
Buczek
Fareeha
Marek
Marek
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
44122 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐3192 216‐844‐5066
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Buczek
Buczek
Daroff
Degeorgia
Devereaux
Devereaux
Marek
Marek
Robert
Michael
Michael
Michael
A
A
B
A
W
W
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
44 Blaine Avenue
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
1000 Auburn Drive, #200
11100 Euclid Avenue
Beachwood
Cleveland
Richmond Heights
Bedford
Westlake
Cleveland
Cleveland
Beachwood
Cleveland
OH
OH
OH
OH
OH
OH
44146
44145
44106
44106
44122
44106
216‐844‐3192
216‐844‐3192
216‐844‐3192
216‐844‐3192
216‐285‐5115 216‐201‐5376
216‐844‐3192
C
S
S
S
State
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Fax
440‐743‐8121
216‐201‐5376
216‐844‐5066
216‐844‐5833
216‐844‐5066
216‐844‐5066
Page 44 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Neurology
Neurology
Devereaux
Devereaux
Michael
Michael
W
W
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road
27100 Chardon Road
44121 Cuyahoga
44143 Cuyahoga
216‐844‐3192
216‐844‐3192
Neurology
Devereaux
Michael
W
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
South Euclid OH
Richmond OH
Heights
Orange Village OH
44122 Cuyahoga
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Dupont
Eccher
Eccher
Eccher
Furlan
Furlan
Furlan
Stefan
Matthew
Matthew
Matthew
Anthony
Anthony
Anthony
A
A
A
A
J
J
J
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #200
1000 Auburn Drive, #200
11100 Euclid Avenue, #5080
1611 S. Green Road, #300
1000 Auburn Drive, #200
11100 Euclid Avenue
3909 Orange Place
Beachwood
Beachwood
Cleveland
South Euclid
Beachwood
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
44122
44122
44106
44121
44122
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐285‐5131
216‐844‐3192
216‐844‐3192
216‐844‐3192
216‐285‐5115
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Furlan
Grossman
Grossman
Grossman
Anthony
Gerald
Gerald
Gerald
J
E
E
E
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
1000 Auburn Drive, #200
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
OH
44122
44122
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐593‐5500 216‐201‐5376
216‐285‐5115 216‐201‐5376
216‐844‐3192
216‐844‐3192
Neurology
Grossman
Gerald
E
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Beachwood
Beachwood
Cleveland
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Grossman
Grossman
Gunzler
Gunzler
Gunzler
Gunzler
Katirji
Katirji
Katirji
Katirji
Gerald
Gerald
Steven
Steven
Steven
Steven
Bashar
Bashar
Bashar
Bashar
E
E
A
A
A
A
B
B
B
B
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
44 Blaine Avenue
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road
3619 Park East Blvd.
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Beachwood
Bedford
Beachwood
Cleveland
South Euclid
Beachwood
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44122
44146
44122
44106
44121
44122
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐593‐5500
216‐844‐3192
216‐285‐5115
216‐844‐3192
216‐844‐3192
216‐844‐2400
216‐285‐5115
216‐844‐3192
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Katirji
Kilbane
Kilbane
Kilbane
Lerner
Lerner
Lerner
Lerner
Bashar
Camilla
Camilla
Camilla
Alan
Alan
Alan
Alan
B
W.
W.
W.
J
J
J
J
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
44 Blaine Avenue
11100 Euclid Avenue
1611 S. Green Road, #204
960 Clague Road, #3120
11100 Euclid Avenue
12200 Fairhill Road
1611 S. Green Road
27100 Chardon Road
OH
OH
OH
OH
OH
OH
OH
OH
44146
44106
44121
44145
44106
44120
44121
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3192
216‐844‐3192 216‐844‐5066
216‐844‐3192 216‐844‐5066
216‐844‐3192 216‐844‐5066
216‐844‐3192
216‐844‐6400
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Lerner
Lerner
Lhatoo
Lhatoo
Lhatoo
Alan
Alan
Samden
Samden
Samden
J
J
D
D
D
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3619 Park East Blvd.
3999 Richmond Road
1000 Auburn Drive, #200
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
OH
OH
44122
44122
44122
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐2400
216‐844‐3192
216‐285‐5115
216‐844‐5772
216‐844‐3192
Neurology
Neurology
Neurology
Lhatoo
Lhatoo
Luders
Samden
Samden
Hans
D
D
O
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
44 Blaine Avenue
11100 Euclid Avenue
Bedford
Cleveland
South Euclid
Westlake
Cleveland
Cleveland
South Euclid
Richmond Heights
Beachwood
Beachwood
Beachwood
Cleveland
Richmond Heights
Beachwood
Bedford
Cleveland
OH
OH
OH
44122 Cuyahoga
44146 Cuyahoga
44106 Cuyahoga
216‐201‐5276
216‐844‐5066
216‐844‐5066
216‐297‐3147
216‐201‐5376
216‐201‐5376
216‐201‐5376
216‐844‐5833
216‐201‐5376
216‐844‐5833
216‐844‐5066
216‐201‐5376
216‐844‐1548
216‐593‐5500 216‐201‐5376
216‐844‐3192
216‐844‐3192
Page 45 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Neurology
Neurology
Neurology
Miller
Miller
Miller
Daniel
Daniel
Daniel
W
W
W
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
27100 Chardon Road
OH
OH
OH
44106 Cuyahoga
44121 Cuyahoga
44143 Cuyahoga
216‐844‐3192 216‐844‐7497
216‐844‐3192 216‐844‐7497
216‐844‐3192 216‐844‐7497
Neurology
Miller
Daniel
W
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Cleveland
South Euclid
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐3192 216‐844‐7497
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Miller
Miller
Miller
Preston
Preston
Preston
Daniel
Daniel
Daniel
David
David
David
W
W
W
C
C
C
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
44 Blaine Avenue
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
27100 Chardon Road
OH
OH
OH
OH
OH
OH
44122
44146
44145
44106
44121
44143
216‐593‐5500 216‐201‐5376
216‐844‐3192 216‐844‐7497
216‐844‐3192 216‐844‐7497
216‐844‐3192
216‐844‐3192
216‐844‐3192
Neurology
Preston
David
C
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Beachwood
Bedford
Westlake
Cleveland
South Euclid
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Preston
Ramos Estebanez
Ramos Estebanez
Robinson
Robinson
David
Ciro
Ciro
Jenice
Jenice
C
A
A
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
44 Blaine Avenue
11100 Euclid Avenue
3999 Richmond Road
1000 Auburn Drive, #200
11100 Euclid Avenue, Bolwell 5080
Bedford
Cleveland
Beachwood
Beachwood
Cleveland
OH
OH
OH
OH
OH
44143
44106
44122
44122
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3192
216‐844‐3192
216‐844‐3192
216‐844‐3192
216‐844‐3192
Neurology
Neurology
Neurology
Neurology
Neurology
Robinson
Robinson
Rogers
Rogers
Rogers
Jenice
Jenice
Lisa
Lisa
Lisa
A
A
R
R
R
MD
MD
DO
DO
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road, #300
960 Clague Road, #3120
1000 Auburn Drive, #200
11100 Euclid Avenue
3909 Orange Place
South Euclid
Westlake
Beachwood
Cleveland
Orange Village
OH
OH
OH
OH
OH
44121
44145
44122
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3192 216‐297‐3147
440‐250‐5303 440‐250‐5304
216‐285‐5115 216‐201‐5376
216‐844‐3192
216‐844‐3192
Neurology
Rogers
Lisa
R
DO
University Hospitals Medical Group, Inc.
5885 Landerbrook Drive, #100
OH
44124 Cuyahoga
216‐844‐3192 216‐844‐4785
Neurology
Neurology
Neurology
Neurology
Neurology
Serra
Shapiro
Shapiro
Shapiro
Shapiro
Alessandro
Barbara
Barbara
Barbara
Barbara
E
E
E
E
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road, #300
27100 Chardon Road
OH
OH
OH
OH
OH
44106
44122
44106
44121
44143
216‐844‐3192
216‐285‐5115
216‐844‐3192
216‐844‐1923
216‐844‐1923
Neurology
Shapiro
Barbara
E
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Mayfield Heights
Cleveland
Beachwood
Cleveland
South Euclid
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐1923 216‐297‐3147
Neurology
Neurology
Neurology
Neurology
Neurology
Shapiro
Shapiro
Sila
Sila
Sila
Barbara
Barbara
Cathy
Cathy
Cathy
E
E
A
A
A
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
3999 Richmond Road
44 Blaine Avenue
1000 Auburn Drive, #200
11100 Euclid Avenue
3909 Orange Place
Beachwood
Bedford
Beachwood
Cleveland
Orange Village
OH
OH
OH
OH
OH
44122
44146
44122
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐593‐5500 216‐201‐5376
216‐844‐1923 216‐297‐3147
216‐285‐5115 216‐201‐5376
216‐844‐2724
216‐844‐2724
Neurology
Neurology
Sundararajan
Syed
Sophia
Tanvir
U
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Cleveland
Westlake
OH
OH
44106 Cuyahoga
44145 Cuyahoga
216‐844‐3192
440‐827‐5061 440‐250‐0467
Neurology
Neurology
Neurology
Tomcik
Tomcik
Tomcik
Colleen
Colleen
Colleen
B
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
29101 Health Campus Drive, #475, Bldg. 2
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road
Beachwood
Cleveland
South Euclid
OH
OH
OH
44122 Cuyahoga
44106 Cuyahoga
44121 Cuyahoga
216‐285‐5115 216‐201‐5376
216‐844‐3192
216‐844‐3192
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐4785
216‐844‐5066
216‐844‐5066
216‐844‐4785
216‐844‐5066
216‐201‐5376
216‐297‐3147
216‐297‐3147
Page 46 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Neurology
Tomcik
Colleen
B
MD
University Hospitals Medical Group, Inc.
27100 Chardon Road
Neurology
Tomcik
Colleen
B
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Richmond OH
Heights
Orange Village OH
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neuromuscular Medicine
Tomcik
Walker
Walter
Walter
Westbrook
Westbrook
Westbrook
Winer
Xiong
Rowane
Colleen
Mark
Benjamin
Benjamin
Edward
Edward
Edward
Norton
Wei
Michael
B
F
L
L
L
L
L
A
P
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
44 Blaine Avenue
11100 Euclid Avenue
11100 Euclid Avenue
960 Clague Road, #3120
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road
18599 Lakeshore Blvd., #500
11100 Euclid Avenue
27100 Chardon Road, #150
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Bailey
Bailey
Bailey
Bailey
Bailey
Fastenau
Fastenau
Fastenau
Christopher
Christopher
Christopher
Christopher
Christopher
Philip
Philip
Philip
M
M
M
M
M
S
S
S
PhD
PhD
PhD
PhD
PhD
PhD
PhD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuropsychology
Neuroradiology
Fastenau
Griggins
Griggins
Griggins
Ogrocki
Ogrocki
Ogrocki
Bambakidis
Philip
Cynthia
Cynthia
Cynthia
Paula
Paula
Paula
Nicholas
S
C
C
C
K
K
K
C
PhD
PhD
PhD
PhD
PhD
PhD
PhD
MD
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Bambakidis
Bambakidis
Bambakidis
Bambakidis
Fulop
Fulop
Nicholas
Nicholas
Nicholas
Nicholas
Steven
Steven
C
C
C
C
C
C
Neurosurgery
Goel
Neurosurgery
Neurosurgery
Neurosurgery
Zip
County
Phone 44143 Cuyahoga
216‐844‐3192
44122 Cuyahoga
216‐844‐3192
Fax
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44143
44106
44106
44145
44122
44106
44121
44119
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3192
216‐844‐3192
216‐844‐3192
440‐250‐5303
216‐285‐5115
216‐844‐3192
216‐844‐3192
216‐383‐7850
216‐844‐3192
440‐585‐4821
1000 Auburn Drive, #200
10524 Euclid Avenue, 7th Floor
11100 Euclid Avenue
3999 Richmond Road
960 Clague Road, #3120
10524 Euclid Avenue, 7th Floor
11100 Euclid Avenue
3909 Orange Place, #2000
Bedford
Cleveland
Cleveland
Westlake
Beachwood
Cleveland
South Euclid
Euclid
Cleveland
Richmond Heights
Beachwood
Cleveland
Cleveland
Beachwood
Westlake
Cleveland
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
44122
44106
44106
44122
44145
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐285‐5115
216‐983‐1152
216‐844‐3192
216‐593‐5500
440‐250‐5303
216‐844‐3414
216‐844‐8500
216‐844‐8500
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #3120
1000 Auburn Drive, #200
11100 Euclid Avenue
2181 Ambleside Road
1000 Auburn Drive
12200 Fairhill Road
3619 Park East Blvd.
11100 Euclid Avenue
Westlake
Beachwood
Cleveland
Cleveland
Beachwood
Cleveland
Beachwood
Cleveland
OH
OH
OH
OH
OH
OH
OH
OH
44145
44122
44106
44106
44122
44120
44122
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500
216‐285‐5115
216‐844‐3192
216‐844‐3192
216‐285‐5115
216‐844‐6400
216‐844‐2400
216‐844‐3004
216‐844‐5296
216‐201‐5376
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #200
11100 Euclid Avenue
1611 S. Green Road, #300
960 Clague Road, #310
6115 Powers Blvd., #301
7255 Old Oak Blvd., #C305
OH
OH
OH
OH
OH
OH
44122
44106
44121
44145
44129
44130
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐285‐5115
216‐844‐3004
216‐844‐3004
216‐844‐3004
440‐743‐4870
440‐818‐2860
216‐201‐5376
216‐844‐1548
216‐844‐1548
216‐844‐1548
440‐743‐4872
440‐816‐4166
Rishi
MD
University Hospitals Medical Practices
OH
44145 Cuyahoga
440‐250‐9133 440‐250‐0306
Goel
Rishi
MD
University Hospitals Medical Practices
OH
44130 Cuyahoga
440‐816‐2860 440‐816‐4166
Hart
Hart
David
David
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Beachwood
Cleveland
South Euclid
Westlake
Parma
Middleburg Heights
29099 Health Campus Drive, #475, Westlake
Bldg. 2
7255 Old Oak Blvd., #C305
Middleburg Heights
1000 Auburn Drive, #200
Beachwood
11100 Euclid Avenue
Cleveland
OH
OH
44122 Cuyahoga
44106 Cuyahoga
216‐285‐5115 216‐201‐5376
216‐844‐3004
J
J
440‐250‐5304
216‐201‐5376
216‐383‐7988
216‐844‐4785
440‐585‐6141
216‐201‐5376
216‐844‐1548
216‐201‐5376
440‐250‐5304
216‐844‐5296
216‐844‐5296
216‐201‐5376
216‐844‐5833
216‐844‐1548
Page 47 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Neurosurgery
Hart
David
J
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
Neurosurgery
Neurosurgery
Neurosurgery
Hart
Hoffer
Hoffer
David
Seth
Seth
J
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
27100 Chardon Road
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Hoffer
Lechner
Miller
Miller
Seth
Roseanna
Jonathan
Jonathan
A
M
P
P
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Neurosurgery
Neurosurgery
Neurosurgery
Miller
Rhiew
Rhiew
Jonathan
Richard
Richard
P
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Neurosurgery
Ob/Gyn
Selman
Selman
Sloan
Sweet
Sweet
Tomei
Armstrong
Warren
Warren
Andrew
Jennifer
Jennifer
Krystal
Amy
R
R
E
A
A
L
J
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Ob/Gyn
Ashby
Karen
L
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Ob/Gyn
Ashby
Karen
L
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Ob/Gyn
Austinson
Katherine
A
CNM University Hospitals Medical Group, Inc.
Ob/Gyn
Austinson
Katherine
A
Ob/Gyn
Bazella
Corinne
Ob/Gyn
Bazella
Ob/Gyn
Zip
County
Phone Fax
44122 Cuyahoga
216‐844‐3004
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐3004
216‐844‐2724 216‐844‐5442
216‐844‐3004 216‐844‐3014
OH
OH
OH
OH
44146
44122
44106
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐2724 216‐844‐5442
216‐285‐5115 216‐201‐5316
216‐844‐3004 216‐844‐1548
216‐844‐3004
OH
OH
OH
44146 Cuyahoga
44129 Cuyahoga
44130 Cuyahoga
216‐844‐3004
440‐743‐4870 440‐743‐4872
440‐816‐2860 440‐816‐4166
OH
OH
OH
OH
OH
OH
OH
44122
44106
44106
44122
44122
44106
44106
216‐285‐5115
216‐844‐3004
216‐844‐3004
216‐285‐5115
216‐844‐3004
216‐844‐2724
216‐844‐3941
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3797
OH
44124 Cuyahoga
216‐844‐3941 216‐844‐3797
11100 Euclid Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
CNM University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Westlake
OH
44145 Cuyahoga
216‐844‐5925 216‐983‐0242
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Corinne
A
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Billow
Megan
R
DO
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐285‐5039 216‐201‐5385
Ob/Gyn
Billow
Megan
R
DO
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Billow
Megan
R
DO
University Hospitals Medical Group, Inc.
27155 Chardon Road, #101
OH
44143 Cuyahoga
440‐944‐3121 440‐944‐1521
Ob/Gyn
Byler
Jamie
M
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #100
Richmond Heights
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Ob/Gyn
Byler
Jamie
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
Byler
Jamie
M
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
Mayfield Heights
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Westlake
Cleveland
Richmond Heights
44 Blaine Avenue
Bedford
1000 Auburn Drive, #200
Beachwood
11100 Euclid Avenue
Cleveland
27100 Chardon Road
Richmond Heights
44 Blaine Avenue
Bedford
6115 Powers Blvd., #301
Parma
7255 Old Oak Blvd., #C305
Middleburg Heights
1000 Auburn Drive, #200
Beachwood
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue
Cleveland
1000 Auburn Drive, #200
Beachwood
3999 Richmond Road
Beachwood
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue ‐ MacDonald Cleveland
Women's Hospital, #1200
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐201‐5376
216‐844‐3014
440‐449‐1555
216‐201‐5376
216‐201‐5376
216‐844‐1548
216‐844‐3796
Page 48 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ob/Gyn
Chapman
Mark
S
MD
University Hospitals Medical Practices
1000 Auburn Drive, #340
Beachwood
OH
44122 Cuyahoga
216‐381‐2223 216‐285‐4131
Ob/Gyn
Chapman
Mark
S
MD
University Hospitals Medical Practices
1611 S. Green Road, #216
South Euclid
OH
44121 Cuyahoga
216‐381‐2223 216‐381‐5975
Ob/Gyn
Coleman
Amy
L
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Cooper
Andrea
R
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Cooper
Andrea
R
CNM University Hospitals Medical Group, Inc.
27155 Chardon Road, #101
OH
44143 Cuyahoga
Ob/Gyn
Corteville
Jane
E
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #320
Richmond Heights
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 2216‐983‐
0242
216‐844‐7881 216‐201‐5388
Ob/Gyn
Corteville
Jane
E
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1200
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐7590
Ob/Gyn
Corteville
Jane
E
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Ob/Gyn
Corteville
Jane
E
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #1100
Orange Village OH
44122 Cuyahoga
216‐844‐3941 216‐844‐7590
Ob/Gyn
Cossler
Nancy
J
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
440‐974‐4184
Ob/Gyn
Cunanan
Celina
D
CNM University Hospitals Medical Group, Inc.
1000 Auburn Drive, #100
Beachwood
OH
44122 Cuyahoga
216‐844‐7403 216‐201‐5251
Ob/Gyn
Cunanan
Celina
D
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Cunanan
Celina
D
CNM University Hospitals Medical Group, Inc.
27155 Chardon Road
OH
44143 Cuyahoga
216‐844‐3941
Ob/Gyn
Cunanan
Celina
D
CNM University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250
Ob/Gyn
Doolos
Ashley
N
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Richmond Heights
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Doolos
Ashley
N
CNM University Hospitals Medical Group, Inc.
8819 Quincy Avenue
Cleveland
OH
44106 Cuyahoga
216‐721‐2177 216‐844‐8619
Ob/Gyn
Doolos
Ashley
N
CNM University Hospitals Medical Group, Inc.
960 Clague Road, #2420
Westlake
OH
44145 Cuyahoga
216‐844‐3941 216‐844‐7631
Ob/Gyn
Duchon
Method
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐7590
Ob/Gyn
Ehrenberg Buchner Stacey
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 216‐983‐1450
Ob/Gyn
Ehrenberg Buchner Stacey
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue ‐ MacDonald Cleveland
Women's Hospital, #1200
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
Ehrenberg Buchner Stacey
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Ob/Gyn
Gangestad
Angelina
K
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3796
Ob/Gyn
Gangestad
Angelina
K
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Ob/Gyn
Gangestad
Angelina
K
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Page 49 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Ob/Gyn
Gecsi
Kimberly
S
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
Ob/Gyn
Gecsi
Kimberly
S
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Westlake
Ob/Gyn
George
Stephany
A
MD
University Hospitals Medical Practices
6115 Powers Blvd., #306
Ob/Gyn
Gerace
Gretchen
V
MD
University Hospitals Medical Practices
Ob/Gyn
Gerace
Gretchen
V
MD
Ob/Gyn
Greenfield
Marjorie
L
Ob/Gyn
Greenfield
Marjorie
Ob/Gyn
Hackney
Ob/Gyn
County
Phone Fax
44106 Cuyahoga
26‐844‐3941
216‐844‐3348
OH
44145 Cuyahoga
216‐844‐3941
Parma
OH
44129 Cuyahoga
440‐743‐4780 440‐743‐4781
1000 Auburn Drive, #340
Beachwood
OH
44122 Cuyahoga
216‐381‐2223 216‐285‐4131
University Hospitals Medical Practices
1611 S. Green Road, #216
South Euclid
OH
44122 Cuyahoga
216‐381‐2223 216‐381‐5975
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐1514 216‐844‐3796
L
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250
David
N
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Mayfield Heights
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1200
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Ob/Gyn
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
18697 Bagley Road, #184
OH
44130 Cuyahoga
216‐844‐3954 216‐844‐3348
Ob/Gyn
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Middleburg Heights
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Ob/Gyn
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐3941 216‐844‐7590
Ob/Gyn
Hermann‐Pelagalli Kristine
A
MD
University Hospitals Medical Practices
1000 W. Wallings Road, Suite C
OH
44147 Cuyahoga
440‐717‐2000 440‐717‐2001
Ob/Gyn
Hudock
Paul
A
MD
University Hospitals Medical Practices
6681 Ridge Road, #411
Broadview Heights
Parma
OH
44129 Cuyahoga
440‐877‐9140 440‐887‐9137
Ob/Gyn
Janicki
Thomas
I
MD
University Hospitals Medical Practices
1000 Auburn Drive, #340
Beachwood
OH
44122 Cuyahoga
216‐381‐2223 216‐285‐4131
Ob/Gyn
Janicki
Thomas
I
MD
University Hospitals Medical Practices
1611 S. Green Road, #216
South Euclid
OH
44121 Cuyahoga
216‐381‐2223 216‐381‐5975
Ob/Gyn
Kay
Rachel
CNM University Hospitals Medical Group, Inc.
1000 Auburn Drive, #100
Beachwood
OH
44122 Cuyahoga
216‐844‐7403 216‐201‐5251
Ob/Gyn
Kay
Rachel
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Kay
Rachel
CNM University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250
Ob/Gyn
Kingsberg
Sheryl
A
PhD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #310
Mayfield Heights
Beachwood
OH
44122 Cuyahoga
216‐983‐1450 216‐201‐5388
Ob/Gyn
Kingsberg
Sheryl
A
PhD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐5078 216‐844‐3718
Ob/Gyn
Kingsberg
Sheryl
A
PhD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
Mayfield Heights
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Ob/Gyn
Konkoly
Ann Marie
A
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Page 50 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Konkoly
Ann Marie
A
Ob/Gyn
Konkoly
Ann Marie
A
Ob/Gyn
Kuo
Kelly
Ob/Gyn
Lappen
Justin
Ob/Gyn
Lappen
Ob/Gyn
Group Name
Address
City
State
Zip
County
Phone Fax
CNM University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
216‐844‐3941 216‐720‐3241
CNM University Hospitals Medical Group, Inc.
8819 Quincy Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐721‐2177 216‐844‐8619
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
R
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, MacDonal Women's Hospital, #1200
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Justin
R
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
216‐844‐3941
Lappen
Justin
R
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Ob/Gyn
Larkins‐Pettigrew
Margaret
D
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
Larkins‐Pettigrew
Margaret
D
MD
University Hospitals Medical Group, Inc.
27155 Chardon Road, #101
OH
44143 Cuyahoga
216‐844‐3941
Ob/Gyn
Larkins‐Pettigrew
Margaret
D
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
216‐844‐3941
Ob/Gyn
Larkins‐Pettigrew
Margaret
D
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Richmond Heights
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Ob/Gyn
Lasch
Susan
J
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3718
Ob/Gyn
Lasch
Susan
J
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Ob/Gyn
Leslie
Emily
H
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Levitan‐Gerson
Deborah
A
MD
University Hospitals Medical Practices
3909 Orange Place, #4500
Orange Village OH
44122 Cuyahoga
216‐896‐1740 216‐896‐1738
Ob/Gyn
Levitan‐Gerson
Deborah
A
MD
University Hospitals Medical Practices
6909 Royalton Road, #101
Brecksville
OH
44141 Cuyahoga
440‐838‐8222 440‐808‐9234
Ob/Gyn
Macgregor‐Banak
Lauren
M
CNM University Hospitals Medical Group, Inc.
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Macgregor‐Banak
Lauren
M
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue ‐ MacDonald Cleveland
Women's Hospital
11100 Euclid Avenue, #1200
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Ob/Gyn
Mahajan
Sangeeta
T
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Ob/Gyn
Mahajan
Sangeeta
T
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250 216‐844‐8619
Ob/Gyn
Mahajan
Sangeeta
T
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941 216‐844‐8619
Ob/Gyn
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 216‐983‐1450
Ob/Gyn
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, MacDonal Women's Hospital, #1200
2055 Crocker Road, #206
Westlake
OH
44145 Cuyahoga
440‐808‐6108 440‐808‐6109
Ob/Gyn
Margles
Ellen
S
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
Page 51 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Margles
Ellen
S
Ob/Gyn
Melton
Tia
Ob/Gyn
Melton
Ob/Gyn
Group Name
Address
City
State
Zip
CNM University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44121 Cuyahoga
440‐720‐350
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Tia
M
MD
University Hospitals Medical Group, Inc.
27155 Chardon Road
OH
44143 Cuyahoga
440‐944‐3121
Melton
Tia
M
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Ob/Gyn
Nagel
Christa
I
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Richmond Heights
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3954 216‐844‐7631
Ob/Gyn
Nagel
Christa
I
MD
University Hospitals Medical Group, Inc.
3999 Richmond Road
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
Nakayama
John
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3954 216‐844‐7631
Ob/Gyn
Nakayama
John
M
MD
University Hospitals Medical Group, Inc.
3909 Orange Place, #4600
Orange Village OH
44122 Cuyahoga
216‐844‐3941 216‐844‐7631
Ob/Gyn
Rezaee
Roya
L
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3718
Ob/Gyn
Rezaee
Roya
L
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐3941
Ob/Gyn
Rezaee
Roya
L
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Ob/Gyn
Rossi
Brooke
V
MD
University Hospitals Medical Practices
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐285‐5028 216‐201‐5385
Ob/Gyn
Rossi
Brooke
V
MD
University Hospitals Medical Practices
11100 Euclid Avenue, #5017
Cleveland
OH
44106 Cuyahoga
216‐286‐6551 216‐286‐6552
Ob/Gyn
Rossi
Brooke
V
MD
University Hospitals Medical Practices
2055 Crocker Road #206
Westlake
OH
44145 Cuyahoga
440‐808‐5100 440‐808‐5103
Ob/Gyn
Rzepka
Daniel
MD
University Hospitals Medical Practices
27100 Chardon Road, #250
OH
44143 Cuyahoga
440‐516‐8701 440‐735‐0894
Ob/Gyn
Rzepka
Daniel
MD
University Hospitals Medical Practices
44 Blaine Avenue, Suite B100
Richmond Heights
Bedford
OH
44146 Cuyahoga
440‐735‐0891 440‐735‐0894
Ob/Gyn
Shaker
Maria
E
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Ob/Gyn
Shaker
Maria
E
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2420
Westlake
OH
44145 Cuyahoga
216‐844‐3941 216‐844‐7631
Ob/Gyn
Shawi
Joseph
I
MD
University Hospitals Medical Practices
27100 Chardon Road, #250
OH
44143 Cuyahoga
440‐516‐8701 440‐735‐0894
Ob/Gyn
Shawi
Joseph
I
MD
University Hospitals Medical Practices
44 Blaine Avenue, Suite B100
Richmond Heights
Bedford
OH
44146 Cuyahoga
440‐735‐0891 440‐735‐0894
Ob/Gyn
Snelson
Marc
E
MD
University Hospitals Medical Practices
27100 Chardon Road, #250
OH
44143 Cuyahoga
440‐516‐8701 440‐735‐0894
Ob/Gyn
Snelson
Marc
E
MD
University Hospitals Medical Practices
44 Blaine Avenue, Suite B100
Richmond Heights
Bedford
OH
44146 Cuyahoga
440‐735‐0891 440‐735‐0894
Ob/Gyn
Stephenson
Janette
M
MD
University Hospitals Medical Practices
3909 Orange Place, #4500
Orange Village OH
44122 Cuyahoga
216‐896‐1740 216‐896‐1738
Ob/Gyn
Stephenson
Janette
M
MD
University Hospitals Medical Practices
6909 Royalton Road, #101
Brecksville
44141 Cuyahoga
440‐838‐1371 440‐808‐9234
OH
County
Phone Fax
Page 52 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Stroud
Leslie
A
Ob/Gyn
Stroud
Leslie
Ob/Gyn
Stroud
Ob/Gyn
Group Name
Address
City
State
Zip
County
Phone Fax
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐5167
A
CNM University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Leslie
A
CNM University Hospitals Medical Group, Inc.
960 Clague Road Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #320
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Ob/Gyn
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐7590
Ob/Gyn
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
18697 Bagley Road, #184
OH
44130 Cuyahoga
216‐844‐3954 216‐844‐3348
Ob/Gyn
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Middleburg Heights
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Ob/Gyn
Varyani
Sandhia
N
MD
University Hospitals Medical Practices
1000 Auburn Drive, #340
Beachwood
OH
44122 Cuyahoga
216‐285‐4130 216‐285‐4131
Ob/Gyn
Waggoner
Steven
E
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Ob/Gyn
Waggoner
Steven
E
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3954 216‐844‐7631
Ob/Gyn
Waggoner
Steven
E
MD
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
Westlake
OH
44145 Cuyahoga
216‐844‐3954 216‐844‐7631
Ob/Gyn
Wieczorek
Martin
F
MD
University Hospitals Medical Group, Inc.
27155 Chardon Road
OH
44143 Cuyahoga
440‐944‐3121
Ob/Gyn
Winkfield Hughes
Mistie
A.
CNM University Hospitals Medical Group, Inc.
1000 Auburn Drive, #100
Richmond Heights
Beachwood
OH
44122 Cuyahoga
216‐844‐7403 216‐201‐5251
Ob/Gyn
Winkfield Hughes
Mistie
A.
CNM University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941
Ob/Gyn
Winkfield Hughes
Mistie
A.
CNM University Hospitals Medical Group, Inc.
27155 Chardon Road
OH
44143 Cuyahoga
216‐844‐3941
Ob/Gyn
Wolfe
Honor
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1200
Richmond Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Ob/Gyn
Wolfe
Honor
M
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Ob/Gyn
Zanotti
Kristine
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3954 216‐844‐7631
Ob/Gyn
Zanotti
Kristine
M
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐3954
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
David
Laura
J
MD
University Hospitals Medical Practices
1000 Auburn Drive, #340
Beachwood
OH
44122 Cuyahoga
216‐381‐2223 216‐285‐4131
David
Laura
J
MD
University Hospitals Medical Practices
1611 S. Green Road, #216
South Euclid
OH
44121 Cuyahoga
216‐381‐2223 216‐844‐2005
Duchon
Method
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐7590
Ehrenberg Buchner Stacey
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 216‐983‐1450
Ehrenberg Buchner Stacey
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue ‐ MacDonald Cleveland
Women's Hospital, #1200
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
Page 53 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ehrenberg Buchner Stacey
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1200
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
18697 Bagley Road, #184
OH
44130 Cuyahoga
216‐844‐3954 216‐844‐3348
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Middleburg Heights
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Hackney
David
N
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐3941 216‐844‐7590
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐844‐3941 216‐983‐1450
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐3348
March
Melissa
I
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, MacDonal Women's Hospital, #1200
2055 Crocker Road, #206
Westlake
OH
44145 Cuyahoga
440‐808‐6108 440‐808‐6109
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #320
Beachwood
OH
44122 Cuyahoga
216‐844‐7881 216‐983‐1450
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐7590
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
18697 Bagley Road, #184
OH
44130 Cuyahoga
216‐844‐3954 216‐844‐3348
Vanburen George
A
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Middleburg Heights
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Wolfe
Honor
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #1200
Cleveland
OH
44106 Cuyahoga
216‐844‐3941 216‐844‐8619
Wolfe
Honor
M
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206B
Westlake
OH
44145 Cuyahoga
440‐808‐5108 440‐808‐5109
Goldfarb
James
M
MD
University Hospitals Medical Practices
1000 Auburn Drive, #310
Beachwood
OH
44122 Cuyahoga
216‐286‐6551 216‐286‐6552
Goldfarb
James
M
MD
University Hospitals Medical Practices
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐286‐6551 216‐286‐6552
Liu
James
H
MD
University Hospitals Medical Group, Inc.
1000 Auburn Drive
Beachwood
OH
44122 Cuyahoga
216‐285‐5028 216‐201‐5388
Liu
James
H
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐1514 216‐844‐3348
Liu
James
H
MD
University Hospitals Medical Group, Inc.
2055 Crocker Road, #206A
Westlake
OH
44145 Cuyahoga
440‐808‐5100 440‐808‐5109
Liu
James
H
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #300
OH
44124 Cuyahoga
440‐720‐3250 440‐720‐3241
Liu
James
H
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐3941
Rossi
Brooke
V
MD
University Hospitals Medical Practices
1000 Auburn Drive, #300
Beachwood
OH
44122 Cuyahoga
216‐285‐5028 216‐201‐5385
Rossi
Brooke
V
MD
University Hospitals Medical Practices
11100 Euclid Avenue, #5017
Cleveland
OH
44106 Cuyahoga
216‐286‐6551 216‐286‐6552
Page 54 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Ob/Gyn: Reproductive Endocrinology/Infertility
Occupational Medicine
Occupational Medicine
Occupational Medicine
Rossi
Brooke
V
MD
University Hospitals Medical Practices
2055 Crocker Road, #206
Westlake
OH
44145 Cuyahoga
440‐808‐5100 440‐808‐5103
Mulloy
Rosenberg
Rosenberg
Karen
David
David
B
M
M
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
1000 Auburn Drive, #110
5850 Landerbrook Drive, #100
OH
OH
OH
44106 Cuyahoga
44122 Cuyahoga
44124 Cuyahoga
216‐844‐3944 216‐844‐8974
216‐285‐5050 216‐285‐4060
440‐646‐2200 216‐896‐1851
Ophthalmology
Ophthalmology
Ophthalmology
Ahmad
Ahmad
Ahmad
Baseer
Baseer
Baseer
U
U
U
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #3200
3999 Richmond Road
5850 Landerbrook Drive, #306
OH
OH
OH
44106 Cuyahoga
44122 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐844‐7232
216‐844‐3601 216‐844‐7117
216‐844‐3601 440‐449‐9994
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ahmad
Bardenstein
Bardenstein
Bardenstein
Bardenstein
Baseer
David
David
David
David
U
S
S
S
S
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #B102
11100 Euclid Avenue
1611 S. Green Road
2351 E. 22nd Street
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44145
44106
44121
44115
44124
216‐844‐3601
216‐844‐3601
216‐844‐3601
216‐844‐3601
216‐844‐3601
Ophthalmology
Ophthalmology
Ophthalmology
Bardenstein
Belkin
Belkin
David
Julie
Julie
S
K
K
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
216‐844‐3601 216‐844‐7117
216‐844‐3601 440‐946‐1544
216‐844‐3601 440‐946‐1544
Ophthalmology
Belkin
Julie
K
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐3601 440‐946‐1544
Ophthalmology
Ophthalmology
Ophthalmology
Burney
Burney
Burney
Edward
Edward
Edward
N
N
N
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44121 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐844‐4803
216‐844‐3601 216‐844‐4803
216‐844‐3601 216‐844‐4803
Ophthalmology
Ophthalmology
Burney
Chi
Edward
Thomas
N
SK
MD
MD
University Hospitals Medical Group, Inc.
Ohio Eye Care Consultants, LLC
950 Clague Road
22715 Fairview Center
Cleveland
Beachwood
Mayfield Heights
Cleveland
Beachwood
Mayfield Heights
Westlake
Cleveland
South Euclid
Cleveland
Mayfield Heights
Westlake
Cleveland
Richmond Heights
Mayfield Heights
Cleveland
South Euclid
Mayfield Heights
Westlake
Fairview Park
OH
OH
Cuyahoga
Cuyahoga
216‐844‐3601 216‐844‐4803
440‐777‐8400 440‐777‐6801
Ophthalmology
Ophthalmology
Chi
Chi
Thomas
Thomas
S
S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
44145
44126‐
3608
44106
44124
Cuyahoga
Cuyahoga
216‐844‐3601 330‐725‐0445
216‐844‐3601 330‐725‐0445
Ophthalmology
Ophthalmology
Ophthalmology
Chi
Collins
Collins
Thomas
Atif
Atif
S
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road
11100 Euclid Avenue, #3200
5850 Landerbrook Drive, #306
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 330‐725‐0445
216‐844‐3601 216‐844‐7232
216‐844‐3601 440‐449‐9994
Ophthalmology
Ophthalmology
Ophthalmology
Collins
Grigorian
Grigorian
Atif
Adriana
Adriana
B
P
P
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, Bldg. B
11100 Euclid Avenue
6001 Landerhaven Drive, Suite B
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐201‐5278
216‐844‐3601 216‐844‐7117
440‐684‐1374 440‐684‐1580
Ophthalmology
Ophthalmology
Ophthalmology
Grigorian
Grigorian
Grigorian
Adriana
Florin
Florin
P
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, Bldg. B
11100 Euclid Avenue
5850 Landerbrook Drive, #240
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐844‐7117
216‐844‐3601 216‐844‐7117
216‐844‐3601 216‐844‐7117
Ophthalmology
Grigorian
Florin
MD
University Hospitals Medical Group, Inc.
6001 Landerhaven Drive, Suite B
OH
44124 Cuyahoga
440‐684‐1374 440‐684‐1580
Ophthalmology
Ophthalmology
Ophthalmology
Grigorian
Gupta
Gupta
Florin
Pankaj
Pankaj
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, Bldg. B
11100 Euclid Avenue
29017 Cedar Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐844‐7117
216‐844‐3601 216‐844‐7117
216‐844‐3601 216‐844‐7117
C
C
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Mayfield Heights
Westlake
Cleveland
Lyndhurst
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐201‐5278
216‐844‐7117
216‐844‐7117
216‐844‐7117
216‐844‐7117
Page 55 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Ophthalmology
Gupta
Pankaj
C
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #306
OH
44124 Cuyahoga
440‐442‐9008 216‐844‐7117
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Gupta
Kapadia
Lass
Lass
Lass
Lass
Pankaj
Manasvee
Jonathan
Jonathan
Jonathan
Jonathan
C
S.
H
H
H
H
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
7001 S. Edgerton Road
11100 Euclid Avenue
11100 Euclid Avenue
1611 S. Green Road
2500 Metrohealth Drive
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
44141
44106
44106
44121
44109
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
330‐922‐0828
216‐844‐3601
216‐844‐3601
216‐844‐3601
216‐844‐3601
216‐844‐3601
Ophthalmology
Ophthalmology
Lass
Lavery
Jonathan
Mary Ann
H
MD
MD
University Hospitals Medical Group, Inc.
Westlake Eye Center Inc
950 Clague Road
27059 Center Ridge Road
Mayfield Heights
Brecksville
Cleveland
Cleveland
South Euclid
Cleveland
Mayfield Heights
Westlake
Westlake
OH
OH
Cuyahoga
Cuyahoga
216‐844‐3601 216‐983‐0544
(440)871‐8933 (440)899‐9462
Ophthalmology
Levine
Mark
MD
Ophthalmic Consultants & Surgeons
1611 S. Green Road, #306A
Cleveland
OH
Cuyahoga
216‐291‐9770 216‐291‐0550
Ophthalmology
Mayer
Daniel
J.
MD
Daniel J. Mayer, M.D., Inc.
18000 Jefferson Park
OH
Cuyahoga
440‐816‐1870 440‐816‐1885
Ophthalmology
Ophthalmology
Ophthalmology
Orge
Orge
Orge
Faruk
Faruk
Faruk
H
H
H
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
2351 E. 22nd Street
5850 Landerbrook Drive, #240
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3601 440‐684‐1580
216‐844‐3601 216‐844‐7117
216‐844‐3601 440‐684‐1580
Ophthalmology
Orge
Faruk
H
MD
University Hospitals Medical Group, Inc.
6001 Landerhaven Drive, Suite B
OH
44124 Cuyahoga
440‐684‐1374 440‐684‐1580
Ophthalmology
Ophthalmology
Orge
Pao
Faruk
Kristina
H
Y.
MD
MD
University Hospitals Medical Group, Inc.
Medical Eye Associates, Inc.
950 Clague Road
7003 Pearl Road
OH
OH
216‐844‐3601 440‐684‐1580
440‐888‐2333 440‐888‐2335
Pugh
Pugh
Rao
David
David
Llewelyn
B
B
J.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Retina Associates of Cleveland, Inc.
11100 Euclid Avenue
18599 Lakeshore Blvd., #301
15299 E. Bagley Road, #200
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3601 216‐383‐5933
216‐383‐5900 216‐383‐5933
440‐663‐0022 440‐663‐0032
Ophthalmology
Ophthalmology
Rhee
Rhee
Douglas
Douglas
J
J
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, #3200
5850 Landerbrook Drive, #306
OH
OH
44145
44130‐
4941
44106
44119
44130‐
4823
44106
44124
Cuyahoga
Cuyahoga
Ophthalmology
Ophthalmology
Ophthalmology
Cuyahoga
Cuyahoga
216‐844‐3601 216‐983‐0544
216‐844‐3601 216‐983‐0544
Ophthalmology
Ophthalmology
Ophthalmology
Rhee
Sayegh
Sayegh
Douglas
Rony
Rony
J
R
R
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road, #102
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐983‐0544
216‐844‐3601 216‐844‐7232
216‐844‐3601 440‐449‐9994
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Sayegh
Subauste
Subauste
Webb
Webb
Rony
Carlos
Carlos
Douglas
Douglas
R
S
S
P
P
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road
11100 Euclid Avenue
2061 Cornell Road
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44145
44106
44106
44106
44124
216‐844‐3601
216‐844‐8500
216‐844‐8500
216‐844‐3601
216‐844‐3601
Ophthalmology
Ophthalmology
Ophthalmology
Webb
Zhang
Zhang
Douglas
Amy
Amy
P
D
D
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
950 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive, #306
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 440‐442‐9088
216‐844‐3601 216‐844‐7232
216‐844‐3601 216‐844‐7232
Ophthalmology
Oral Surgery
Zhang
Karfes
Amy
Frank
D
J.
MD
DDS
University Hospitals Medical Group, Inc.
Frank J. Karfes, DDS
950 Clague Road, #B102
850 Euclid Avenue, #500
Middleburg Heights
Cleveland
Cleveland
Mayfield Heights
Mayfield Heights
Westlake
Middleburg Heights
Cleveland
Euclid
Middleburg Heights
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
44145
44145‐
4064
44121‐
4192
44130‐
3440
44106
44115
44124
OH
OH
44145 Cuyahoga
44114‐ Cuyahoga
3304
216‐844‐3601 216‐844‐7232
216‐621‐8448 216‐621‐8934
OH
OH
OH
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐7117
216‐983‐0544
216‐983‐0544
216‐983‐0544
216‐983‐0544
216‐983‐0544
440‐201‐5278
216‐844‐2034
440‐442‐9088
440‐442‐9088
Page 56 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Ahn
Ahn
Ahn
Ahn
Nicholas
Nicholas
Nicholas
Nicholas
U
U
U
U
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐5366
216‐844‐1735
216‐844‐1735
216‐844‐1735
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Ahn
Anderson
Anderson
Anderson
Nicholas
James
James
James
U
R
R
R
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1000 Auburn Drive, #210
11100 Euclid Avenue
3909 Orange Place
Westlake
Beachwood
Cleveland
Orange Village
OH
OH
OH
OH
44145
44122
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200 216‐844‐1735
216‐844‐7200 216‐844‐5970
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Anderson
Corn
James
Robert
R
C
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
960 Clague Road
27100 Chardon Road, #100P
44145 Cuyahoga
44143 Cuyahoga
216‐844‐7200
440‐646‐9636 440‐995‐3816
Orthopedic Surgery
Corn
Robert
C
MD
University Hospitals Medical Practices
3909 Orange Place, #2500
Westlake
OH
Richmond OH
Heights
Orange Village OH
44122 Cuyahoga
440‐646‐9636 440‐995‐3816
Orthopedic Surgery
Corn
Robert
C
MD
University Hospitals Medical Practices
5885 Landerbrook Drive, #150
OH
44124 Cuyahoga
440‐646‐9636 440‐995‐3816
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Cupp
Cupp
Cupp
Cupp
Cupp
Dwyer
Eubanks
Eubanks
Eubanks
Eubanks
Sean
Sean
Sean
Sean
Sean
Mark
Jason
Jason
Jason
Jason
A
A
A
A
A
W
D
D
D
D
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Road, #210
11100 Euclid Avenue
1611 S. Green Road, #027
3999 Richmond Road
960 Clague Road, #3110
11100 Euclid Avenue
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
27100 Chardon Road
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44122
44106
44121
44122
44145
44106
44122
44106
44121
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Eubanks
Jason
D
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Mayfield Heights
Beachwood
Cleveland
South Euclid
Beachwood
Westlake
Cleveland
Beachwood Cleveland
South Euclid
Richmond Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐7200
Orthopedic Surgery
Feighan
John
E
MD
University Hospitals Medical Practices
12000 McCracken Road, #251
OH
44125 Cuyahoga
216‐587‐5050 216‐587‐2388
Orthopedic Surgery
Feighan
John
E
MD
University Hospitals Medical Practices
5885 Landerbrook Drive, #150
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Fitzgerald
Fitzgerald
Furey
Furey
Furey
Furey
Steven
Steven
Christopher
Christopher
Christopher
Christopher
J
J
G
G
G
G
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Furey
Getty
Getty
Getty
Gillespie
Gillespie
Gillespie
Gillespie
Christopher
Patrick
Patrick
Patrick
Robert
Robert
Robert
Robert
G
J
J
J
J
J
J
J
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
OH
44124 Cuyahoga
216‐587‐5050 216‐587‐2388
1000 Auburn Drive, #210
3999 Richmond Road
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Garfield Heights
Mayfield Heights
Beachwood
Beachwood
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
44122
44122
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐5970
216‐844‐5970
216‐844‐5366
216‐844‐1122
3999 Richmond Road
1000 Auburn Drive
11100 Euclid Avenue
1611 S. Green Road
1000 Auburn Drive
11100 Euclid Avenue
1611 S. Green Road, #027
960 Clague Road, #3110
Beachwood
Beachwood
Cleveland
South Euclid
Beachwood
Cleveland
South Euclid
Westlake
OH
OH
OH
OH
OH
OH
OH
OH
44122
44122
44106
44121
44122
44106
44121
44145
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3951
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216844‐5970
216‐844‐5366
216‐844‐1122
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
Page 57 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Gilmore
Gilmore
Gilmore
Allison
Allison
Allison
N
N
N
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
3909 Orange Place
Beachwood
OH
Cleveland
OH
Orange Village OH
44122 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐7200 216‐844‐1122
216‐844‐7200 216‐844‐1122
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Gobezie
Gobezie
Reuben
Reuben
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #210
5850 Landerbrook Drive, #210
OH
OH
44122 Cuyahoga
44124 Cuyahoga
440‐646‐9636 440‐995‐3816
440‐646‐9636 440‐995‐3816
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Gobezie
Goodfellow
Goodfellow
Goodfellow
Goodfellow
Reuben
Donald
Donald
Donald
Donald
B
B
B
B
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #3260
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Beachwood
Mayfield Heights
Westlake
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
44145
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐646‐9636 440‐995‐3816
216‐844‐7200 216‐291‐3984
216‐844‐7200 216‐844‐1122
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Gordon
Gordon
Gordon
Gordon
Hardesty
Hardesty
Hardesty
Hardesty
Kraay
Kraay
Kraay
Kraay
Krebs
Zachary
Zachary
Zachary
Zachary
Christina
Christina
Christina
Christina
Matthew
Matthew
Matthew
Matthew
John
L
L
L
L
K
K
K
K
J
J
J
J
K.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Center for Orthopedics, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road, #027
960 Clague Road, #3110
1000 Auburn Drive
1611 S. Green Road
3999 Richmond Road
960 Clague Road, #3110
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
960 Clague Road
2211 Crocker Road, #130
Beachwood
Cleveland
South Euclid
Westlake
Beachwood
South Euclid
Beachwood Westlake
Beachwood
Cleveland
South Euclid
Westlake
Westlake
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
440‐329‐2800
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Lacey
Lacey
Lacey
Lacey
Stephen
Stephen
Stephen
Stephen
H
H
H
H
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44122
44106
44121
44145
44122
44121
44122
44145
44122
44106
44121
44145
44145‐
7603
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200 216‐291‐3984
216‐844‐7200 216‐844‐1122
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Lacey
Liu
Liu
Liu
Marcus
Marcus
Marcus
Miskovsky
Miskovsky
Miskovsky
Miskovsky
Stephen
Raymond
Raymond
Raymond
Randall
Randall
Randall
Shana
Shana
Shana
Shana
H
W
W
W
E
E
E
N
N
N
N
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1000 Auburn Drive, #210
11100 Euclid Avenue
960 Clague Road, #3110
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Westlake
Beachwood
Cleveland
Westlake
Beachwood
Cleveland
South Euclid
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44145
44122
44106
44145
44122
44106
44121
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Miskovsky
Petersilge
Petersilge
Shana
William
William
N
J
J
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road
1000 Auburn Drive, #210
5885 Landerbrook Drive, #150
Westlake
Beachwood
Mayfield Heights
OH
OH
OH
44145 Cuyahoga
44122 Cuyahoga
44124 Cuyahoga
216‐844‐5970
216‐844‐1122
216‐844‐5970
216‐844‐5970
216‐844‐1122
216‐844‐1122
216‐844‐1122
216‐844‐1122
216‐844‐5366
216‐844‐1122
440‐329‐2810
216‐844‐1122
216‐844‐5970
216‐844‐1122
216‐844‐5970
216‐844‐7200
216‐844‐5596 216‐844‐5522
440‐646‐9636 440‐995‐3816
Page 58 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Orthopedic Surgery
Retino
Michael
A
DO
University Hospitals Medical Practices
27100 Chardon Road, #150
OH
44143 Cuyahoga
440‐974‐4242 440‐974‐4244
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Salata
Salata
Salata
Salata
Michael
Michael
Michael
Michael
J
J
J
J
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road, #027
3909 Orange Place, #3200
Richmond Heights
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200 216‐844‐5970
216‐844‐7200
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Salata
Shaffer
Shaffer
Shaffer
Shaffer
Michael
John
John
John
John
J
W
W
W
W
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #3110
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
Westlake
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
44145
44122
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200 216‐844‐5970
216‐844‐7200 216‐844‐5970
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Shroyer
Jeffrey
B
MD
University Hospitals Medical Practices
12000 McCracken Road, #251
OH
44125 Cuyahoga
216‐587‐5050 216‐587‐2388
Orthopedic Surgery
Orthopedic Surgery
Shroyer
Shroyer
Jeffrey
Jeffrey
B
B
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
34055 Solon Road, #204
5885 Landerbrook Drive, #150
OH
OH
44139 Cuyahoga
44124 Cuyahoga
216‐587‐5050 216‐587‐2388
216‐587‐5050 216‐587‐2388
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Son‐Hing
Son‐Hing
Son‐Hing
Son‐Hing
Jochen
Jochen
Jochen
Jochen
P
P
P
P
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place, #3200
Garfield Heights
Solon
Mayfield Heights
Beachwood
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
44122
44106
44121
44122
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Son‐Hing
Thompson
Jochen
George
P
H
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1000 Auburn Drive, #210
Westlake Beachwood
OH
OH
44145 Cuyahoga
44122 Cuyahoga
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Thompson
Thompson
Thompson
Victoroff
Victoroff
Victoroff
George
George
George
Brian
Brian
Brian
H
H
H
N
N
N
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
960 Clague Road
1000 Auburn Drive, #210
11100 Euclid Avenue
3909 Orange Place
Cleveland
South Euclid
Westlake
Beachwood
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
44106
44121
44145
44122
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200 216‐844‐5970
216‐844‐7200 216‐8/44‐
1122
216‐844‐7200 216‐844‐1122
216‐844‐7200
216‐844‐7200
216‐844‐7200 216‐844‐5970
216‐844‐7200 216‐844‐1122
216‐844‐7200
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Victoroff
Voos
Voos
Voos
Voos
Voos
Wera
Wera
Wera
Brian
James
James
James
James
James
Glenn
Glenn
Glenn
N
E
E
E
E
E
D
D
D
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
1000 Auburn Road
11100 Euclid Avenue
1611 S. Green Road, #027
3999 Richmond Road
960 Clague Road, #3110
11100 Euclid Avenue
1611 S. Green Road, #027
3909 Orange Place
Westlake
Beachwood
Cleveland
South Euclid
Beachwood
Westlake
Cleveland
South Euclid
Orange Village
OH
OH
OH
OH
OH
OH
OH
OH
OH
44145
44122
44106
44121
44122
44145
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
Orthopedic Surgery
Zimmer
Scott
M
MD
University Hospitals Medical Practices
5885 Landerbrook Drive, #150
OH
44124 Cuyahoga
440‐285‐5004 440‐285‐0805
Orthopedic Surgery: Hand Surgery
Pain Management
Pain Management
Krebs
John
K.
MD
Center for Orthopedics, Inc.
2211 Crocker Road, #130
Mayfield Heights
Westlake
OH
440‐329‐2800 440‐329‐2810
Hayek
Hayek
Salim
Salim
M
M
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #200
11100 Euclid Avenue
Beachwood
Cleveland
OH
OH
44145‐ Cuyahoga
7603
44122 Cuyahoga
44106 Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐1122
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐8445970
216‐844‐3771 216‐844‐2660
216‐844‐3771
Page 59 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Pain Management
Pain Management
Pain Management
Hayek
Hayek
Hayek
Salim
Salim
Salim
M
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1611 S. Green Road
29017 Cedar Road
3909 Orange Place
South Euclid OH
Beachwood
OH
Orange Village OH
Pain Management
Pain Management
Pain Management
Hayek
Hayek
Kabbara
Salim
Salim
Abdallah
M
M
I
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
3999 Richmond Road
Beachwood 960 Clague Road, #2480
Westlake
29000 Center Ridge Road, 1st Floor Westlake
Pain Management
Kabbara
Abdallah
I
MD
University Hospitals Medical Practices
Pain Management
Pain Management
Pain Management
Khalil
Khalil
Khalil
Al‐Amin
Al‐Amin
Al‐Amin
A
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
29101 Health Campus Drive, #424, Bldg. 2
11100 Euclid Avenue 1611 S. Green Road
27100 Chardon Road
Pain Management
Pain Management
Khalil
Khalil
Al‐Amin
Al‐Amin
A
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pain Management
Pain Management
Khalil
Kodsy
Al‐Amin
Maher
A
S.
MD
MD
Pain Management
Lawrence
Melinda
M.
Pain Management
Malak
Pain Management
Zip
County
Phone Fax
44121 Cuyahoga
44122 Cuyahoga
44122 Cuyahoga
216‐844‐3771
440‐460‐8000 440‐460‐1759
440‐460‐8000 440‐460‐1759
OH
OH
OH
44122 Cuyahoga
44145 Cuyahoga
44145 Cuyahoga
216‐844‐3771 216‐983‐2088
216‐844‐3771
440‐827‐5058 440‐827‐5478
Westlake
OH
44145 Cuyahoga
440‐827‐5058 440‐827‐5478
OH
OH
OH
44106 Cuyahoga
44121 Cuyahoga
44143 Cuyahoga
216‐844‐3771
216‐844‐7330
216‐844‐7330
29017 Cedar Road
3909 Orange Place
Cleveland
South Euclid
Richmond Heights
Beachwood
Orange Village
OH
OH
44122 Cuyahoga
44122 Cuyahoga
440‐460‐8000 440‐460‐1759
216‐844‐7330
University Hospitals Medical Group, Inc.
Comprehensive Pain Care Center, Inc.
960 Clague Road, #2470
902 Westpoint Parkway, #330
Westlake
Westlake
OH
OH
216‐844‐3771
440‐899‐8622 440‐899‐9733
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Suite B270
Cleveland
OH
44145 Cuyahoga
44145‐ Cuyahoga
1568
44106 Cuyahoga
Osama
MD
Comprehensive Pain Care Center, Inc.
2211 Crocker Road Westlake
OH
Cuyahoga
440‐989‐2066 440‐989‐1153
Malak
Osama
MD
Comprehensive Pain Care Center, Inc.
902 Westpoint Parkway, #330
Westlake
OH
Cuyahoga
440‐899‐8622 440‐899‐9733
Pain Management
Pain Management
Pain Management
Mcintyre
Mcintyre
Moufawad
Patrick
Patrick
Sami
J
J
E
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1000 Auburn Drive, #200
960 Clague Road, #2470
27100 Chardon Road, #150
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3771 216‐844‐2660
216‐844‐3771 216‐844‐2660
440‐833‐0915 440‐347‐0930
Pain Management
Pain Management
Pain Management
Pain Medicine
Moufawad
Moufawad
Moufawad
Kalin
Sami
Sami
Sami
Andrew
E
E
E
W.
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Pinnacle Pain & Spine Consultants
440‐786‐9885 440‐735‐5153
440‐786‐9885 440‐735‐5153
440‐786‐9885 440‐735‐5153
440‐385‐0344
Shah
Bharat
C.
MD
Comprehensive Pain Care Center, Inc.
Cuyahoga
440‐899‐8622 440‐899‐9733
Pain Medicine
Yonan
Sameh
R.
MD
Comprehensive Pain Care Center, Inc.
902 Westpoint Parkway, #330
Westlake
OH
Cuyahoga
440‐989‐2066 440‐989‐1153
Pediatric Allergy & Immunology Kerns
Leigh
A
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44139
44146
44146
44129‐
5471
44145‐
1568
44145‐
1568
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Pain Medicine
Beachwood
Westlake
Richmond Heights
34055 Solon Road, #204
Solon
88 Center Road, #110
Bedford
88 Center Road, #110
Bedford
6115 Powers Blvd., #201, Building Parma
4
902 Westpoint Parkway, #330
Westlake
44145‐
7602
44145‐
1568
44122
44145
44143
Cuyahoga
216‐844‐7700 216‐844‐3380
Pediatric Allergy & Immunology Kerns
Leigh
A
MD
University Hospitals Medical Group, Inc.
18181 Pearl Road
Strongsville
OH
44136 Cuyahoga
216‐844‐7700 216‐286‐6341
Pediatric Allergy & Immunology Kerns
Leigh
A
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐7700 216‐286‐6341
Pediatric Allergy & Immunology Kerns
Leigh
A
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐286‐6341
Pediatric Allergy & Immunology Silver
Eli
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐983‐3017
OH
OH
OH
OH
OH
OH
OH
OH
216‐844‐3771 216‐844‐3741
Page 60 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
OH
County
Phone Fax
44124 Cuyahoga
216‐844‐770
216‐983‐3017
OH
44145 Cuyahoga
216‐844‐7700 216‐983‐3017
Pediatric Allergy & Immunology Silver
Eli
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Pediatric Allergy & Immunology Silver
Eli
MD
University Hospitals Medical Group, Inc.
960 Clague Road
Mayfield Heights
Westlake
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #220
Medina
OH
44256 Cuyahoga
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
6115 Powers Blvd., #201
Mayfield Heights
Parma
OH
44129 Cuyahoga
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #212
Mentor
OH
44060 Cuyahoga
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Ashwath
Ashwath
Ashwath
Ravi
Ravi
Ravi
C
C
C
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
18181 Pearl Road, #A204
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44136 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Pediatric Cardiology
Ashwath
Hill
Ravi
James
C
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
5850 Landerbrook Drive, #220
OH
OH
44145 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Hill
Shivapour
Shivapour
James
Jill
Jill
A
K
K
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive, #220
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Shivapour
Shivapour
Snyder
Snyder
Jill
Jill
Christopher
Christopher
K
K
S
S
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
960 Clague Road, #2470
11100 Euclid Avenue
5850 Landerbrook Drive, #220
OH
OH
OH
OH
44145
44145
44106
44124
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Snyder
Strainic
Strainic
Christopher
James
James
S
P
P
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5478
216‐844‐7700 216‐844‐3528
216‐844‐7700 216‐844‐3528
Pediatric Cardiology
Pediatric Critical Care
Pediatric Critical Care
Pediatric Critical Care
Pediatric Critical Care
Pediatric Critical Care
Pediatric Critical Care
Pediatric Critical Care
Pediatric Endocrinology
Strainic
Anderson
Dasenbrook
Lidsky
Mason
Speicher
Stormorken
Toltzis
Glick
James
Michael
Elliott
Karen
Katherine
Richard
Anne
Philip
Abigail
P
R
C
B
E
H
G
H
B
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive, #220
OH
OH
OH
OH
OH
OH
OH
OH
OH
44145
44106
44106
44106
44106
44106
44106
44106
44122
216‐844‐7700
216‐844‐7700
216‐844‐8500
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Glick
Gubitosi‐Klug
Gubitosi‐Klug
Abigail
Rose
Rose
B
A
A
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8900
216‐844‐7700 216‐844‐8900
216‐844‐7700 216‐844‐8900
Pediatric Endocrinology
Hoyen
Claudia
M
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
Strongsville
Mayfield Heights
Westlake
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐8362
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐5478
216‐844‐5478
216‐844‐5478
216‐844‐5478
216‐844‐3528
216‐844‐5122
216‐844‐5122
216‐844‐5570
216‐844‐5122
216‐844‐5570
Page 61 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatric Endocrinology
Hoyen
Claudia
M
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐8362
Pediatric Endocrinology
Kaminski
Beth
A
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7700
Pediatric Endocrinology
Pediatric Endocrinology
Kaminski
Macleish
Beth
Sarah
A
A
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
5850 Landerbrook Drive
OH
OH
44145 Cuyahoga
44124 Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐8900
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Macleish
Narasimhan
Narasimhan
Sarah
Sumana
Sumana
A
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8900
216‐844‐7700
216‐844‐7700
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Narasimhan
Splawski
Splawski
Sumana
Judy
Judy
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Splawski
Uli
Uli
Uli
Judy
Naveen
Naveen
Naveen
B
K
K
K
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
18181 Pearl Road
3909 Orange Place
Mayfield Heights
Mayfield Heights
Westlake
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Strongsville
Orange Village
OH
OH
OH
OH
44145
44106
44136
44122
216‐844‐7700
216‐844‐7700 216‐844‐5570
216‐844‐7700
216‐844‐7700 216‐844‐8900
Pediatric Endocrinology
Uli
Naveen
K
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
OH
44124 Cuyahoga
216‐844‐7700
Pediatric Endocrinology
Pediatric Endocrinology
Uli
Viswanathan
Naveen
Anuradha
K
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐8900
Pediatric Endocrinology
Pediatric Endocrinology
Viswanathan
Viswanathan
Anuradha
Anuradha
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44139 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8900
216‐844‐7700 216‐844‐8900
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Viswanathan
Zimmerman
Zimmerman
Anuradha
Teresa
Teresa
N
N
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8900
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Endocrinology
Pediatric ENT
Zimmerman
Otteson
Teresa
Todd
N
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7700 216‐844‐8900
216‐844‐6000 216‐844‐5727
Pediatric ENT
Pediatric ENT
Pediatric ENT
Otteson
Shah
Shah
Todd
Jay
Jay
D
R
R
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44121 Cuyahoga
44106 Cuyahoga
44106 Cuyahoga
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
216‐844‐6000 216‐844‐5727
Pediatric ENT
Pediatric Gastroenterology
Pediatric Gastroenterology
Shah
Aktay
Aktay
Jay
Atiye
Atiye
R
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
440‐250‐2040 440‐250‐2041
216‐844‐7700 216‐844‐8397
216‐844‐7700 216‐844‐8397
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Aktay
Baez‐Socorro
Baez‐Socorro
Atiye
Virginia
Virginia
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8397
216‐844‐7700 216‐844‐8750
216‐844‐7700 216‐844‐8750
Pediatric Gastroenterology
Pediatric Gastroenterology
Khalili
Moses
Ali
Jonathan
S
D
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐7700 216‐844‐8750
216‐844‐7700 216‐844‐8750
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue, Deforia Lane Cleveland
#1200
34055 Solon Road, #200
Solon
5850 Landerbrook Drive, #220
Mayfield Heights
960 Clague Road, #1600
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue, Bolwell Cleveland
#3300A
1611 S. Green Road, #237
South Euclid
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue, Bolwell Cleveland
3300A
960 Clague Road, #2460
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive, #220
Mayfield Heights
11100 Euclid Avenue Cleveland
11100 Euclid Avenue
Cleveland
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
Page 62 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Pediatric Gastroenterology
Moses
Jonathan
D
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐8750
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Moses
Moses
Moses
Rothstein
Rothstein
Jonathan
Jonathan
Jonathan
Fred
Fred
D
D
D
C
C
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
6115 Powers Blvd., #201
960 Clague Road, #1600
960 Clague Road, #2470
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44129
44145
44145
44106
44124
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Gastroenterology
Sferra
Thomas
J
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐8750
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Sferra
Splawski
Splawski
Thomas
Judy
Judy
J
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8750
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Gastroenterology
Pediatric General Surgery
Pediatric General Surgery
Pediatric General Surgery
Splawski
Andrews
Barksdale
Barksdale
Judy
David
Edward
Edward
B
A
M
M
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
3999 Richmond Road
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44106
44122
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐3015 216‐844‐8687
216‐844‐3015 216‐844‐8687
216‐844‐7874 216‐844‐8687
Pediatric General Surgery
Pediatric General Surgery
Barksdale
Boulanger
Edward
Scott
M
C
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
3909 Orange Place
Mayfield Heights
Parma
Westlake
Westlake
Cleveland
Mayfield Heights
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Beachwood
Mayfield Heights
Westlake
Orange Village
OH
OH
44145 Cuyahoga
44122 Cuyahoga
216‐844‐3015 216‐844‐8687
216‐844‐7874
Pediatric General Surgery
Boulanger
Scott
C
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
OH
44124 Cuyahoga
216‐844‐7874
Pediatric General Surgery
Pediatric General Surgery
Pediatric General Surgery
Pediatric General Surgery
Boulanger
Dingeldein
Dingeldein
Dingeldein
Scott
Michael
Michael
Michael
C
W
W
W
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
11100 Euclid Avenue
3999 Richmond Road
5850 Landerbrook Drive, #220
OH
OH
OH
OH
44145
44106
44122
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3015
216‐844‐3015
216‐844‐7874
216‐844‐7874
216‐844‐8687
216‐844‐8687
216‐844‐5398
216‐844‐8687
Pediatric General Surgery
Pediatric General Surgery
Pediatric General Surgery
Pediatric Hematology/Oncology
Dingeldein
Kim
Kim
Ahuja
Michael
Anne
Anne
Sanjay
W
C
C
P
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #100
11100 Euclid Avenue, RBC 1200
3999 Richmond Road
1000 Auburn Drive, #300
Mayfield Heights
Westlake
Cleveland
Beachwood
Mayfield Heights
Mentor
Cleveland
Beachwood
Beachwood
OH
OH
OH
OH
44060
44106
44122
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
216‐844‐3051
216‐844‐3015
216‐844‐7700
216‐844‐1385
216‐844‐7597
216‐844‐8687
216‐844‐5431
Pediatric Hematology/Oncology Ahuja
Sanjay
P
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Pediatric Hematology/Oncology Bhaskaran
Smita
MD
University Hospitals Medical Group, Inc.
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Pediatric Hematology/Oncology Huang
Alex
Y
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue, Rainbow Fowler 8
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Pediatric Hematology/Oncology Letterio
John
J
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Pediatric Hematology/Oncology Matloub
Yousif
H
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3345 216‐844‐5431
Pediatric Hematology/Oncology Norris
Robin
E
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Pediatric Hematology/Oncology Pateva
Irina
B
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐5431
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐8750
216‐844‐8750
216‐844‐8750
216‐844‐5570
Page 63 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatric Hematology/Oncology Stearns
Duncan
S
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3345 216‐368‐0741
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Infectious Disease
Dent
Desai
Desai
Dirajlal‐Fargo
Esper
Esper
Arlene
Ankita
Ankita
Sahera
Frank
Frank
E
P
P
P
P
MD
MD
MD
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
6115 Powers Blvd., #201
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
44106
44106
44129
44106
44106
44124
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Infectious Disease
Esper
Hoyen
Hoyen
Frank
Claudia
Claudia
P
M
M
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44145 Cuyahoga
216‐844‐7700 216‐844‐8362
216‐844‐7700 216‐844‐8362
216‐844‐7700 216‐844‐8362
Pediatric Infectious Disease
Pediatric Infectious Disease
Leonard
Leonard
Ethan
Ethan
G
G
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8362
216‐844‐7700 216‐844‐8362
Pediatric Infectious Disease
Pediatric Infectious Disease
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Mccomsey
Mccomsey
Cunningham III
Cunningham III
Cunningham III
Cunningham III
Cunningham III
Grace
Grace
Robert
Robert
Robert
Robert
Robert
A
A
J
J
J
J
J
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
OH
OH
OH
OH
44106
44106
44106
44106
44106
44139
44124
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Cunningham III
Springel
Springel
Robert
Tamar
Tamar
J
Y
Y
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐8977
216‐844‐7700 216‐844‐8977
216‐844‐7700 216‐844‐8977
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Pediatric Nephrology
Springel
Springel
Vogt
Vogt
Tamar
Tamar
Beth
Beth
Y
Y
A
A
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
OH
44129
44145
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700 216‐844‐8977
216‐844‐7700 216‐844‐8977
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Nephrology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Vogt
Bass
Bass
Bass
Beth
Nancy
Nancy
Nancy
A
E
E
E
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
OH
44145
44106
44136
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐8966
216‐844‐7700 216‐844‐8966
216‐844‐7700 216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Bass
Bass
Gilmore
Goldstein
Nancy
Nancy
Edward
Jessica
E
E
C
H
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Cleveland
Cleveland
Parma
Cleveland
Cleveland
Mayfield Heights
960 Clague Road, #1600
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
11100 Euclid Avenue
Cleveland
2061 Cornell Road
Cleveland
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue, #1200
Cleveland
11100 Euclid Avenue, #669
Cleveland
34055 Solon Road, #200
Solon
5850 Landerbrook Drive, #220
Mayfield Heights
Westlake
960 Clague Road, #1600
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive, #220
Mayfield Heights
6115 Powers Blvd., #201
Parma
960 Clague Road, #1600
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
18181 Pearl Road
Strongsville
5850 Landerbrook Drive
Mayfield Heights
6115 Powers Blvd., #201
Parma
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue, Deforia Lane Cleveland
OH
OH
OH
OH
44129
44145
44106
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐7700
216‐844‐7700
Pediatric Neurology
Pediatric Neurology
Goldstein
Goldstein
Jessica
Jessica
H
H
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
34055 Solon Road, #201
6115 Powers Blvd., #201
OH
OH
44139 Cuyahoga
44129 Cuyahoga
Solon
Parma
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐8362
216‐844‐8362
216‐844‐8362
216‐844‐8362
216‐844‐8362
216‐844‐8362
216‐844‐5570
216‐844‐8362
216‐844‐8977
216‐844‐8977
216‐844‐8977
216‐844‐8977
216‐844‐8977
216‐844‐8966
216‐844‐8966
216‐844‐8966
216‐844‐8699
216‐844‐7700 216‐844‐8699
216‐844‐7700 216‐844‐8699
Page 64 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatric Neurology
Kidder
Brenda
M
CNS
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐8966
Pediatric Neurology
Kidder
Brenda
M
CNS
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Mayfield Heights
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐8966
Pediatric Neurology
Kidder
Brenda
M
CNS
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐8966
Pediatric Neurology
Maxwell
Kathleen
T
CNS
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700
Pediatric Neurology
Maxwell
Kathleen
T
CNS
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Mayfield Heights
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Park
Park
Park
Rukin Gold Rukin Gold Jun
Jun
Jun
Deborah
Deborah
T
T
T
R
R
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
6115 Powers Blvd., #201
960 Clague Road, #1600
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44106
44129
44145
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐201‐5338
216‐201‐5338
216‐201‐5338
216‐844‐8966
216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Rukin Gold Scher
Scher
Scher
Scher
Deborah
Mark
Mark
Mark
Mark
R
S
S
S
S
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
18181 Pearl Road
29000 Center Ridge Road
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44145
44106
44136
44145
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐8500
216‐844‐7700
216‐844‐8966
216‐844‐5570
216‐844‐8966
216‐844‐8966
216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Scher
Shahid
Shahid
Shahid
Mark
Asim
Asim
Asim
S
M
M
M
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
29000 Center Ridge Road
5850 Landerbrook Drive, #220
OH
OH
OH
OH
44145
44106
44145
44106
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐3691
216‐844‐8500
216‐844‐3691
216‐844‐8966
216‐844‐8966
216‐844‐8966
216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Shahid
Wiznitzer
Wiznitzer
Wiznitzer
Asim
Max
Max
Max
M
N
N
N
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
18181 Pearl Road
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44106
44136
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3691
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐8966
216‐844‐5570
216‐844‐8966
216‐844‐8966
Pediatric Neurology
Pediatric Ophthalmology
Wiznitzer
Grigorian
Max
Florin
N
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
Cleveland
Parma
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Strongsville
Westlake
Mayfield Heights
Westlake
Cleveland
Westlake
Mayfield Heights
Westlake
Cleveland
Strongsville
Mayfield Heights
Westlake
Cleveland
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7700 216‐844‐8966
216‐844‐3601 216‐844‐7117
Page 65 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Pediatric Ophthalmology
Grigorian
Pediatric Ophthalmology
MI
Cred
Group Name
Address
Florin
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #240
Grigorian
Florin
MD
University Hospitals Medical Group, Inc.
Pediatric Ophthalmology
Pediatric Ophthalmology
Pediatric Ophthalmology
Pediatric Ophthalmology
Grigorian
Orge
Orge
Orge
Florin
Faruk
Faruk
Faruk
H
H
H
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Ophthalmology
Orge
Faruk
H
MD
University Hospitals Medical Group, Inc.
Pediatric Ophthalmology
Pediatric Ophthalmology
Pediatric Ophthalmology
Orge
Shafran
Shafran
Faruk
Tamar
Tamar
H
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Ophthalmology
Pediatric Pulmonology
Pediatric Pulmonology
Shafran
Chmiel
Chmiel
Tamar
James
James
B
F
F
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Chmiel
Craven
Craven
James
Daniel
Daniel
F
I
I
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Craven
Dasenbrook
Davis
Dimarino
Dimarino
Daniel
Elliott
Pamela
Amy
Amy
I
C
B
M
M
MD
MD
MD
DO
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Dimarino
Gaston
Hart
Hart
Amy
Benjamin
Meeghan
Meeghan
M
M
A
A
DO
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Hart
Konstan
Konstan
Meeghan
Michael
Michael
A
W
W
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Konstan
McBennett
Michael
Kimberly
W
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
McBennett
Milgram
Milgram
Kimberly
Laura
Laura
A
H
H
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Milgram
Myers
Myers
Laura
Ross
Ross
H
E
E
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
City
Mayfield Heights
6001 Landerhaven Drive, Suite B
Mayfield Heights
950 Clague Road, Bldg. B
Westlake
11100 Euclid Avenue
Cleveland
2351 E. 22nd Street
Cleveland
5850 Landerbrook Drive, #240
Mayfield Heights
6001 Landerhaven Drive, Suite B
Mayfield Heights
950 Clague Road
Westlake
11100 Euclid Avenue, #1200
Cleveland
6001 Landerhaven Drive, Suite B
Mayfield Heights
950 Clague Road, #102, Bldg. B
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive, #220
Mayfield Heights
960 Clague Road, #1600
Westlake
34055 Solon Road, #200
Solon
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue, MacDonald Cleveland
#1000
960 Clague Road, #1600
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive
Mayfield Heights
960 Clague Road
Westlake
11100 Euclid Avenue
Cleveland
5850 Landerbrook Drive, #220
Mayfield Heights
State
Zip
County
OH
44124 Cuyahoga
216‐844‐3601 216‐844‐7117
OH
44124 Cuyahoga
440‐684‐1374 440‐684‐1580
OH
OH
OH
OH
44145
44106
44115
44124
216‐844‐3601
216‐844‐3601
216‐844‐3601
216‐844‐3601
OH
44124 Cuyahoga
440‐684‐1374 440‐684‐1580
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 440‐684‐1580
216‐844‐3601 440‐684‐1580
216‐844‐3601 440‐684‐1580
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐3601 216‐844‐7117
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
OH
OH
OH
OH
OH
44145
44106
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐3528
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐5916
216‐844‐5478
216‐844‐5916
216‐844‐5916
216‐844‐5916
OH
OH
OH
OH
44145
44139
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐5916
216‐844‐5916
216‐844‐5916
216‐844‐5916
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐5916
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5916
216‐844‐7700 216‐844‐3267
216‐844‐7700 216‐844‐3267
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐7117
440‐684‐1580
216‐844‐7117
440‐684‐1580
Page 66 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Myers
Rosen
Rosen
Ross
Carol
Carol
E
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1600
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐3267
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Rosen
Ross
Ross
Carol
Kristie
Kristie
L
R
R
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
Pediatric Pulmonology
Pediatric Pulmonology
Ross
Spoonhower
Kristie
Kimberly
R
A
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
5850 Landerbrook Drive, #220
OH
OH
44145 Cuyahoga
44124 Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐5916
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Stern
Strausbaugh
Strausbaugh
Robert
Steven
Steven
C
D
D
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44106 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐5570
216‐844‐7700 216‐844‐5570
216‐844‐7700
Pediatric Pulmonology
Pediatric Pulmonology
Strausbaugh
Thomas
Steven
Ryan
D
G.
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
44145 Cuyahoga
44106 Cuyahoga
216‐844‐7700
216‐844‐7700 216‐844‐5916
Pediatric Pulmonology
Thomas
Ryan
G.
MD
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue, MacDonal Women's Hospital, #1000
5850 Landerbrook Drive, #220
Westlake
Cleveland
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Westlake
Mayfield Heights
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐5916
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Brooks
Brooks
Brooks
Elizabeth
Elizabeth
Elizabeth
B
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
34055 Solon Road, #200
5850 Landerbrook Drive
OH
OH
OH
44106 Cuyahoga
44139 Cuyahoga
44124 Cuyahoga
216‐844‐7700 216‐844‐7587
216‐844‐7700 216‐844‐7587
216‐844‐7700 216‐844‐7587
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Brooks
Gurion
Gurion
Kerns
Kerns
Kerns
Elizabeth
Reut
Reut
Leigh
Leigh
Leigh
B
MD
DO
DO
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
34055 Solon Road, #200
6115 Powers Blvd., #201
11100 Euclid Avenue
18181 Pearl Road
5850 Landerbrook Drive
OH
OH
OH
OH
OH
OH
44145
44139
44129
44106
44136
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7587
216‐844‐7587
216‐844‐7587
216‐844‐3380
216‐286‐6341
216‐286‐6341
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Pediatric Rheumatology
Kerns
Robinson
Silver
Silver
Leigh
Angela
Eli
Eli
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
34055 Solon Road, #200
11100 Euclid Avenue
5850 Landerbrook Drive
OH
OH
OH
OH
44145
44139
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐770
216‐286‐6341
216‐844‐7587
216‐983‐3017
216‐983‐3017
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Silver
Briskin
Briskin
Briskin
Briskin
Eli
Susannah
Susannah
Susannah
Susannah
M
M
M
M
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
34055 Solon Road, #200
5850 Landerbrook Drive
OH
OH
OH
OH
OH
44145
44106
44121
44139
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐983‐3017
216‐844‐8444
216‐844‐8444
216‐844‐8444
216‐844‐8444
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Solomon
Solomon
Solomon
Solomon
Solomon
Weiss Kelly
Weiss Kelly
Mary
Mary
Mary
Mary
Mary
Amanda
Amanda
L
L
L
L
L
K
K
DO
DO
DO
DO
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1000 Auburn Drive, #210
11100 Euclid Avenue
1611 S. Green Road, #027
34055 Solon Road, #200
960 Clague Road, #2470
11100 Euclid Avenue
1611 S. Green Road
OH
OH
OH
OH
OH
OH
OH
44122
44106
44121
44139
44145
44106
44121
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7700
216‐844‐8260
216‐844‐7700
216‐844‐7700
216‐844‐3595
216‐844‐3595
216‐844‐3595
216‐844‐8444
216‐844‐8444
216‐844‐8444
216‐844‐8444
216‐844‐8444
216‐844‐8444
216‐844‐8444
A
A
A
A
B
Mayfield Heights
Cleveland
Solon
Mayfield Heights
Westlake
Solon
Parma
Cleveland
Strongsville
Mayfield Heights
Westlake
Solon
Cleveland
Mayfield Heights
Westlake
Cleveland
South Euclid
Solon
Mayfield Heights
Beachwood
Cleveland
South Euclid
Solon
Westlake
Cleveland
South Euclid
County
Phone Fax
Page 67 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatric Sports Medicine
Weiss Kelly
Weiss Kelly
Weiss Kelly
Amanda
Amanda
Amanda
K
K
K
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
18181 Pearl Road
34055 Solon Road, #200
5850 Landerbrook Drive
OH
OH
OH
44136 Cuyahoga
44139 Cuyahoga
44124 Cuyahoga
216‐844‐3595 216‐844‐8444
216‐844‐7700 216‐844‐8444
216‐844‐3595 216‐844‐8444
Pediatric Sports Medicine
Pediatric Urology
Pediatric Urology
Pediatric Urology
Pediatric Urology
Weiss Kelly
Ross
Ross
Ross
Ross
Amanda
Jonathan
Jonathan
Jonathan
Jonathan
K
H
H
H
H
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
18101 Lorain Avenue
6780 Mayfield Road
OH
OH
OH
OH
OH
44145
44106
44121
44111
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3595 216‐844‐8444
216‐844‐5661 216‐844‐5661
216‐844‐5661 216‐844‐5661
216‐476‐7000
440‐312‐4500
Pediatric Urology
Pediatrics
Pediatrics
Ross
Arora
Arora
Jonathan
Catherine
Catherine
H
D
D
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road
2001 Crocker Road, #600
20455 Lorain Road, #302
Strongsville
Solon
Mayfield Heights
Westlake
Cleveland
South Euclid
Cleveland
Mayfield Heights
Westlake
Westlake
Fairview Park
OH
OH
OH
44145 Cuyahoga
44145 Cuyahoga
44126 Cuyahoga
216‐844‐5661 216‐844‐5661
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Pediatrics
Benish
Benish
Janet
Janet
L
L
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
44139 Cuyahoga
44122 Cuyahoga
440‐349‐4714 440‐349‐2729
216‐991‐4180 216‐991‐7329
Bhardwaj
Anita
MD
University Hospitals Medical Practices
OH
44125 Cuyahoga
216‐475‐8844 216‐475‐3816
Pediatrics
Bhardwaj
Anita
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Bhardwaj
Bhardwaj
Anita
Anita
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Boutry
Bowen
Mireille
Susan
N
R.
MD
PHD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
10524 Euclid Avenue, #3150
Solon
Shaker Heights
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Cleveland
Cleve
OH
OH
Pediatrics
34055 Solon Road, #100
3461 Warrensville Center Road, #105
13201 Granger Road, #2
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐3971 216‐844‐8444
216‐844‐7700
Pediatrics
Bowen
Susan
R.
PHD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #220
Mayfield Heights
OH
44124 Cuyahoga
216‐844‐7700 216‐201‐5188
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Brewer
Brindza
Brindza
Burgin
Burgin
Carpenter
Carpenter
Joann
Deborah
Deborah
Diane
Diane
Elizabeth
Elizabeth
L
C
C
R
R
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
44129
44119
44146
44119
44146
44139
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐845‐1500
216‐383‐7800
440‐735‐2525
216‐383‐7800
440‐735‐2525
440‐349‐4714
216‐991‐4180
440‐845‐9227
216‐383‐5376
440‐786‐2729
216‐383‐5376
440‐786‐2729
440‐349‐2729
216‐991‐7329
Carruozzo
Carruthers
Caserta
Catanzaro
Catanzaro
Michele
Amy
Laura
Peter
Peter
B
A
M
M
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
OH
OH
OH
44129
44145
44106
44139
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐845‐1500
440‐808‐9228
216‐844‐3971
440‐349‐4714
216‐991‐4180
440‐845‐9227
440‐808‐9234
216‐844‐8444
440‐349‐2729
216‐991‐7329
Pediatrics
Pediatrics
Chandurkar
Cherullo
Alaknanda
Lisa
S
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Parma
Euclid
Bedford
Euclid
Bedford
Solon
Shaker Heights
Parma
Westlake
Cleveland
Solon
Shaker Heights
Westlake
Garfield Heights
OH
OH
OH
OH
OH
OH
OH
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
6707 Powers Blvd., #203
18599 Lakeshore Blvd., #100
22750 Rockside Road, #302
18599 Lakeshore Blvd., #100
22750 Rockside Road, #302
34055 Solon Road, #100
3461 Warrenville Center Road, #105
6707 Powers Blvd., #203
960 Clague Road, #1850
11100 Euclid Avenue
34055 Solon Road, #100
3461 Warrensville Center Road, #105
960 Clague Road, #1850
13201 Granger Road, #2
OH
OH
44145 Cuyahoga
44125 Cuyahoga
440‐808‐9228 440‐808‐9234
216‐475‐8844 330‐405‐9147
Page 68 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatrics
Cherullo
Lisa
M
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Cherullo
Cherullo
Lisa
Lisa
M
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Chu
Coliadis
Gloria
Jennifer
S
M
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
11100 Euclid Avenue
13201 Granger Road, #2
OH
OH
44106 Cuyahoga
44125 Cuyahoga
216‐844‐7700 216‐844‐8444
216‐475‐8844 330‐405‐9147
Pediatrics
Coliadis
Jennifer
M
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Coliadis
Coliadis
Jennifer
Jennifer
M
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Pediatrics
Columbro
Coyne
Coyne
Marcia
Cathleen
Cathleen
L
A
A
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
960 Clague Road, #1850
2001 Crocker Road, #600
20455 Lorain Road, #302
Mayfield Heights
Chagrin Falls
Broadview Heights
Cleveland
Garfield Heights
Mayfield Heights
Bainbridge
Broadview Heights
Westlake
Westlake
Fairview Park
OH
OH
OH
44145 Cuyahoga
44145 Cuyahoga
44126 Cuyahoga
440‐808‐9228 440‐808‐9234
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Dell
Depaolo Carlin
Dickert‐Leonard Dickert‐Leonard Michael
Kristina
Lyn Hollis
Lyn Hollis
S
L
MD
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
OH
OH
44106
44129
44139
44122
216‐844‐3971
440‐842‐1121
440‐349‐4714
216‐991‐4180
Pediatrics
Eapen
Sara
S
MD
University Hospitals Medical Practices
11100 Euclid Avenue
6681 Ridge Road, #205
34055 Solon Road, #100
3461 Warrensville Center Road, #105
27155 Chardon Road, #205
OH
44143 Cuyahoga
440‐944‐4070 440‐944‐9162
Pediatrics
Feighan
Elizabeth
B
MD
University Hospitals Medical Practices
13201 Granger Road, #2
OH
44125 Cuyahoga
216‐475‐8844 440‐475‐3816
Pediatrics
Feighan
Elizabeth
B
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Feighan
Elizabeth
B
MD
University Hospitals Medical Practices
9075 Town Centre Drive, #110
OH
44147 Cuyahoga
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Fouts‐Fowler
Fouts‐Fowler
Valerie
Valerie
C
C
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
2001 Crocker Road, #600
20455 Lorain Road, #302
OH
OH
44145 Cuyahoga
44126 Cuyahoga
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Friedman
Deborah
B
MD
University Hospitals Medical Practices
14100 Cedar Road, #270
OH
44121 Cuyahoga
216‐381‐4261 216‐381‐1460
Pediatrics
Pediatrics
Pediatrics
Friedman
Friedman
Friedman
Deborah
Deborah
Deborah
B
B
B
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
OH
44139 Cuyahoga
44139 Cuyahoga
44122 Cuyahoga
440‐349‐4714 440‐349‐2729
440‐349‐4714 440‐349‐2729
216‐844‐7700 216‐844‐1703
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Furman
Gallagher
Gallagher
Garner
Gascoigne
Gascoigne
Gerardo
Gerardo
Gherman
Gherman
Lydia
Marilee
Marilee
Andrew
George
George
Ernesto
Ernesto
Cynthia
Cynthia
M
L
L
S
B
B
A
A
R
R
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
34055 Solon Road, #100
34055 Solon Road, #100
3461 Warrensville Center Road, #105
11100 Euclid Avenue
18599 Lakeshore Blvd., #100
22750 Rockside Road, #302
960 Clague Road, #1850
18599 Lakeshore Blvd., #100
22750 Rockside Road, #302
18181 Pearl Road, Suite A200
6909 Royalton Road, #304
18599 Lakeshore Blvd., #100
22750 Rockside Road, #210
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44106
44119
44146
44145
44119
44146
44136
44141
44119
44146
216‐844‐3971
216‐383‐7800
440‐735‐2525
440‐808‐9228
216‐383‐7800
440‐735‐2525
440‐526‐7881
440‐526‐8222
216‐383‐7800
440‐735‐2525
Cleveland
Parma
Solon
Shaker Heights
Richmond Heights
Garfield Heights
Mayfield Heights
Broadview Heights
Westlake
Fairview Park
University Heights
Solon
Solon
Shaker Heights
Cleveland
Euclid
Bedford
Westlake
Euclid
Bedford
Strongsville
Brecksville
Euclid
Bedford
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐8444
440‐842‐5676
440‐349‐2729
216‐991‐7329
216‐844‐8444
216‐383‐5376
440‐786‐2729
440‐808‐9234
216‐383‐5376
440‐786‐2729
216‐816‐4960
440‐526‐7881
216‐383‐5376
440‐786‐2729
Page 69 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Golonka
Golonka
Grady
Greenberg
Grinberg
Gregory
Gregory
Kathleen
Mary
Anna
G
G
T
K
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
18181 Pearl Road, Suite A200
6909 Royalton Road, #304
1850 Clague Road, #1850
960 Clague Road, #1850
13201 Granger Road, #2
OH
OH
OH
OH
OH
44136
44141
44145
44145
44125
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐526‐7881
440‐526‐8222
440‐808‐9228
440‐808‐9228
440‐475‐8844
440‐816‐4960
440‐529‐7881
440‐808‐9234
440‐808‐9234
440‐475‐3816
Pediatrics
Grinberg
Anna
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Grinberg
Grinberg
Anna
Anna
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Gunzler
Julie
L
MD
University Hospitals Medical Practices
13201 Granger Road, #2
OH
44125 Cuyahoga
216‐475‐8844 216‐475‐3816
Pediatrics
Gunzler
Julie
L
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Gunzler
Gunzler
Julie
Julie
L
L
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Pediatrics
Hagen
Hagen
Hardman
Elizabeth
Elizabeth
Angela
A
A
L
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
18181 Pearl Road, Suite A200
6909 Royalton Road, #304
13201 Granger Road, #2
OH
OH
OH
44130 Cuyahoga
44141 Cuyahoga
44125 Cuyahoga
440‐526‐7881
440‐526‐8222 440‐816‐4960
216‐475‐8844 330‐405‐9147
Pediatrics
Hardman
Angela
L
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Hardman
Hardman
Angela
Angela
L
L
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Hazen
Rebecca
A
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Strongsville
Brecksville
Westlake
Westlake
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Strongsville
Brecksville
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Hazen
Rebecca
A
PhD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Hazen
Rebecca
A
PhD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Mayfield Heights
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Hazen
Rebecca
A
PhD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Pediatrics
Hertz
Hertz
Andrew
Andrew
R
R
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
44139 Cuyahoga
44122 Cuyahoga
440‐349‐4714 440‐349‐2729
216‐844‐7700 216‐844‐1703
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
Solon
Shaker Heights
Cleveland
OH
OH
Pediatrics
34055 Solon Road, #100
3461 Warrensville Center Road, #105
11100 Euclid Avenue
OH
44106 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
18181 Pearl Road
Strongsville
OH
44136 Cuyahoga
216‐844‐7700 216‐844‐7601
Page 70 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Pediatrics
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
29000 Center Ridge Road
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Mayfield Heights
OH
44124 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
960 Clague Road
Westlake
OH
44145 Cuyahoga
216‐844‐7700 216‐844‐7601
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Jackson
Johnson
Kabbany
Kammerman
Jo Ann
Eva
Mohammad
Teresa
R
N
M
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
18599 Lakeshore Blvd., #100
11100 Euclid Avenue
6681 Ridge Road, #205
13201 Granger Road, #2
OH
OH
OH
OH
44119
44106
44129
44125
216‐383‐7800
216‐844‐3971
440‐842‐1121
216‐475‐8844
Pediatrics
Kammerman
Teresa
M
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Kammerman
Teresa
M
MD
University Hospitals Medical Practices
9075 Town Centre Drive, #110
OH
44147 Cuyahoga
440‐526‐6630 440‐526‐1487
Pediatrics
Knapp
Julie
A
PhD
University Hospitals Medical Group, Inc.
10524 Euclid Avenue
Euclid
Cleveland
Parma
Garfield Heights
Mayfield Heights
Broadview Heights
Cleveland
OH
44106 Cuyahoga
216‐844‐3230 216‐201‐5188
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Knowles
Lazebnik
Lee
Levy Mandalla
Levy Mandalla
Libecco
Malinowski
Megan
Rina
Sara
Michelle
Michelle
Julia
Mark
C
H
L
L
A
D
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
18181 Pearl Road, Suite A200
6909 Royalton Road, #304
6707 Powers Blvd., #203
13201 Granger Road, #2
OH
OH
OH
OH
OH
OH
OH
44106
44106
44106
44136
44141
44129
44125
216‐844‐8260
216‐844‐3971
216‐844‐3971
440‐526‐7881
440‐526‐8222
440‐845‐1500
216‐475‐8844
Pediatrics
Malinowski
Mark
D
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Malinowski
Mark
D
MD
University Hospitals Medical Practices
9075 Town Centre Drive, #110
OH
44147 Cuyahoga
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Pediatrics
Mcdavid
Mcghee
Mcghee
Lolita
Brenda
Brenda
M
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
2001 Crocker Road, #600
20455 Lorain Road, #302
Cleveland
Cleveland
Cleveland
Strongsville
Brecksville
Parma
Garfield Heights
Mayfield Heights
Broadview Heights
Cleveland
Westlake
Fairview Park
OH
OH
OH
44106 Cuyahoga
44145 Cuyahoga
44126 Cuyahoga
216‐844‐3971 216‐844‐5570
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Pediatrics
Pediatrics
Meropol
Occhionero
Occhionero
Sharon
Scot
Scot
B
J
J
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
2001 Crocker Road, #600
20455 Lorain Road, #302
Cleveland
OH
Westlake
OH
Fairview Park OH
44106 Cuyahoga
44145 Cuyahoga
44126 Cuyahoga
216‐844‐3971 216‐844‐8444
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Pediatrics
Pediatrics
Ponitz
Posluszny
Posluszny
Keith
Stephen
Stephen
L
J
J
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
44106 Cuyahoga
44139 Cuyahoga
44122 Cuyahoga
216‐844‐3971 216‐844‐8444
440‐349‐4714 440‐349‐2729
216‐991‐4180 216‐9917329
Postma
Postma
Rich
Brian
Brian
Justin
S
S
T
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Cleveland
Solon
Shaker Heights
Strongsville
Brecksville
Garfield Heights
OH
OH
OH
Pediatrics
Pediatrics
Pediatrics
11100 Euclid Avenue
34055 Solon Road, #100
3461 Warrensville Center Road, #105
18181 Pearl Road, Suite A200
6909 Royalton Road, #304
13201 Granger Road, #2
OH
OH
OH
44136 Cuyahoga
44141 Cuyahoga
44125 Cuyahoga
440‐816‐4950 440‐816‐4960
440‐526‐8222 440‐526‐7881
216‐475‐8844 216‐475‐3816
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐383‐5376
216‐844‐8444
440‐842‐5676
440‐475‐3816
216‐844‐8444
216‐844‐8444
216‐844‐8444
440‐526‐7881
440‐845‐9227
440‐475‐3816
Page 71 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatrics
Rich
Justin
T
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Rich
Rich
Justin
Justin
T
T
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44124 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Riebe
Riebe
Dawn
Dawn
E
E
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
44139 Cuyahoga
44122 Cuyahoga
440‐349‐4714 440‐349‐2729
216‐991‐4180 216‐991‐7329
Pediatrics
Pediatrics
Ronis
Rork
Sarah
Kristine
D
E
MD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
34055 Solon Road, #100
3461 Warrensville Center Road, #105
11100 Euclid Avenue
10524 Euclid Avenue
Mayfield Heights
Chagrin Falls
Broadview Heights
Solon
Shaker Heights
Cleveland
Cleveland
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐7700 216‐844‐8444
216‐844‐3230 216‐201‐5188
Pediatrics
Rork
Kristine
E
PhD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive
Mayfield Heights
OH
44122 Cuyahoga
440‐646‐8055 440‐646‐8033
Pediatrics
Saalouke
Zane
Y
MD
University Hospitals Medical Practices
5850 Landerbrook Drive, #301
OH
44124 Cuyahoga
440‐446‐9991 440‐446‐9998
Pediatrics
Skrinska
Algirdas
J
MD
University Hospitals Medical Practices
18660 Bagley Road, #407
OH
44130 Cuyahoga
440‐243‐8040 440‐243‐1170
Pediatrics
Pediatrics
Pediatrics
Snair
Snair
Stopko
Trisha
Trisha
Katarina
L
L
DO
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
4065 Center Road, #212
6707 Powers Blvd., #203
18660 Bagley Road, #407
OH
OH
OH
44212 Cuyahoga
44129 Cuyahoga
44130 Cuyahoga
330‐225‐6374 330‐225‐6168
440‐845‐1500 440‐845‐9227
440‐243‐8040 440‐243‐1170
Pediatrics
Pediatrics
Pediatrics
Strieter‐Boland
Strieter‐Boland
Strieter‐Boland
Cynthia
Cynthia
Cynthia
M
M
M
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
18099 Lorain Road, #304
2001 Crocker Road, #600
20455 Lorain Road, #302
Mayfield Heights
Middleburg Heights
Brunswick
Parma
Middleburg Heights
Cleveland
Westlake
Fairview Park
OH
OH
OH
44111 Cuyahoga
44145 Cuyahoga
44126 Cuyahoga
216‐476‐2300 216‐476‐9258
440‐871‐5100 440‐871‐5610
440‐331‐3302 440‐331‐3430
Pediatrics
Sumerauer
Dieter
W
MD
University Hospitals Medical Practices
18660 Bagley Road, #407
OH
44130 Cuyahoga
440‐243‐8040 440‐243‐1170
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Sundaresh
Underwood
Usis
Utech
Hurikadale
James
Eriks
Kathleen
P
M
A
K
MD
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
26250 Euclid Avenue, #201
8819 Quincy Avenue
18599 Lakeshore Avenue, #100
13201 Granger Road, #2
OH
OH
OH
OH
44132
44106
44119
44125
216‐289‐2221
216‐721‐2177
216‐383‐7800
216‐475‐8844
Pediatrics
Utech
Kathleen
K
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Utech
Kathleen
K
MD
University Hospitals Medical Practices
9075 Town Centre Drive, #110
OH
44147 Cuyahoga
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Vogelgesang
Wagner
Ryan
Katherine
J
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
6707 Powers Blvd., #203
13201 Granger Road, #2
OH
OH
44129 Cuyahoga
44125 Cuyahoga
440‐845‐1500 440‐845‐9227
216‐475‐8844 216‐475‐3816
Pediatrics
Wagner
Katherine
M
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Wagner
Wagner
Katherine
Katherine
M
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44147 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Walker
Wilbur
David
Carly
C
W
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
6707 Powers Blvd., #203
34055 Solon Road, #100
OH
OH
44129 Cuyahoga
44139 Cuyahoga
440‐845‐1500 440‐845‐9227
440‐349‐4714 440‐349‐2729
Middleburg Heights
Euclid
Cleveland
Euclid
Garfield Heights
Mayfield Heights
Broadview Heights
Parma
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Parma
Solon
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐289‐7285
216‐721‐2376
216‐383‐5376
440‐475‐3816
Page 72 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Pediatrics
Wilbur
Carly
W
MD
University Hospitals Medical Practices
44122 Cuyahoga
216‐991‐4180 216‐991‐2574
Yeh
Lloyd
R
MD
University Hospitals Medical Practices
OH
44125 Cuyahoga
216‐475‐8844 216‐475‐3816
Pediatrics
Yeh
Lloyd
R
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Yeh
Lloyd
R
MD
University Hospitals Medical Practices
9075 Town Centre Drive, #110
OH
44147 Cuyahoga
440‐526‐6630 440‐526‐1487
Pediatrics
Pediatrics
Youssef
Zack
Sarah
Brian
S
H
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
6707 Powers Blvd., #203
13201 Granger Road, #2
OH
OH
44129 Cuyahoga
44125 Cuyahoga
440‐845‐1500 440‐845‐9227
216‐475‐8844 216‐475‐3816
Pediatrics
Zack
Brian
H
MD
University Hospitals Medical Practices
6001 Landerhaven Drive, Suite C
OH
44124 Cuyahoga
440‐720‐3888 440‐720‐3882
Pediatrics
Pediatrics
Zack
Zack
Brian
Brian
H
H
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8185 E. Washington Street, #3
9075 Town Centre Drive, #110
OH
OH
44023 Cuyahoga
44124 Cuyahoga
440‐543‐3627 440‐543‐7346
440‐720‐3888 440‐720‐3882
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Plastic Surgery
Plastic Surgery
Arceneaux
Susan
M
MD
University Hospitals Medical Practices
7255 Old Oak Blvd., #C305
OH
44130 Cuyahoga
330‐721‐4776 330‐721‐0054
Baig
Mirza
I
MD
University Hospitals Medical Practices
11100 Euclid Avenue
Shaker Heights
Garfield Heights
Mayfield Heights
Broadview Heights
Parma
Garfield Heights
Mayfield Heights
Chagrin Falls
Broadview Heights
Middleburg Heights
Cleveland
OH
Pediatrics
3461 Warrensville Center Road, #105
13201 Granger Road, #2
OH
44106 Cuyahoga
216‐286‐6486 216‐983‐4825
Gaspar‐Yoo
Vicenta
C.
MD
University Hospitals Medical Practices
27155 Chardon Road, #106
OH
44143 Cuyahoga
216‐765‐2840 216‐765‐2841
Gaspar‐Yoo
Vicenta
C.
MD
University Hospitals Medical Practices
4480 Richmond Road
Richmond Heights
Warrensville
OH
44128 Cuyahoga
216‐765‐2840 216‐765‐2841
Moufawad
Sami
E
MD
University Hospitals Medical Practices
27100 Chardon Road, #150
OH
44143 Cuyahoga
440‐833‐0915 440‐347‐0930
Moufawad
Sami
E
MD
University Hospitals Medical Practices
34055 Solon Road, #204
Richmond Heights
Solon
OH
44139 Cuyahoga
440‐786‐9885 440‐735‐5153
Moufawad
Sami
E
MD
University Hospitals Medical Practices
3909 Orange Place, #2500
Orange Village OH
44122 Cuyahoga
440‐786‐9885 440‐735‐5153
Nair
Priti
MD
University Hospitals Medical Practices
OH
44145 Cuyahoga
440‐827‐5078 440‐250‐0467
Nair
Priti
MD
University Hospitals Medical Practices
29099 Health Campus Drive, #475, Westlake
Bldg. 2
960 Clague Road, #1100A
Westlake
OH
44145 Cuyahoga
440‐827‐5078 440‐250‐0467
Sahgal
Vinod
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
Cleveland
OH
44106 Cuyahoga
216‐844‐3771
Becker
Becker
Devra
Devra
B
B
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
27100 Chardon Road
OH
OH
44106 Cuyahoga
44143 Cuyahoga
216‐844‐4780 216‐844‐8667
216‐844‐4780 440‐446‐8601
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Becker
Becker
Lakin
Lakin
Lakin
Lakin
Leedy
Devra
Devra
Gregory
Gregory
Gregory
Gregory
Jason
B
B
E
E
E
E
E.
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Jason E. Leedy MD, LLC
29001 Cedar Road
29017 Cedar Road
11100 Euclid Avenue
29001 Cedar Road, #202
3999 Richmond Road
960 Clague Road, #1600
6770 Mayfield Road, #449
OH
OH
OH
OH
OH
OH
OH
216‐844‐4780
440‐461‐7999
216‐844‐7770
216‐844‐4780
216‐844‐4780
440‐250‐2800
440‐461‐6100
Pandrangi
Vasu
MD
University Hospitals Medical Practices
6681 Ridge Road, #303
44124
44124
44106
44124
44122
44145
44124‐
2299
44129
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Plastic Surgery
Cleveland
Richmond Heights
Lyndhurst
Lyndhurst
Cleveland
Lyndhurst
Beachwood
Westlake
Mayfield Heights
Parma
Cuyahoga
440‐888‐5858 440‐888‐3415
OH
County
Phone Fax
440‐446‐8601
440‐446‐8601
216‐844‐5727
440‐446‐8601
216‐844‐8667
216‐844‐2891
440‐461‐1140
Page 73 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Plastic Surgery
Pandrangi
Vasu
Plastic Surgery
Plastic Surgery
Plastic Surgery
Pandrangi
Ponsky
Ponsky
Vasu
Diana
Diana
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Ponsky
Ponsky
Rowe
Rowe
Rowe
Rowe
Rowe
Rowe
Schleicher
Schleicher
Plastic Surgery
Plastic Surgery
Plastic Surgery
MI
Cred
Group Name
Address
City
State
Zip
MD
University Hospitals Medical Practices
7255 Old Oak Blvd., #C212
OH
44130 Cuyahoga
440‐816‐2725 440‐816‐2721
C
C
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
440‐835‐6196 440‐871‐3285
216‐844‐6000 216‐844‐7497
216‐844‐3936 216‐844‐6000
Diana
Diana
David
David
David
David
David
David
William
William
C
C
J
J
J
J
J
J
F
F
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
29014 Cedar Road
3999 Richmond Road
11100 Euclid Avenue
29001 Cedar Road, #203
29017 Cedar Road
3999 Richmond Road
44 Blaine Avenue
960 Clague Road, #2470
6681 Ridge Road, #303
7255 Old Oak Blvd., Suite C212
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44122
44122
44106
44124
44124
44122
44146
44145
44129
44130
216‐844‐5436
216‐844‐3061
216‐844‐4780
216‐844‐4780
216‐844‐4780
216‐844‐3061
440‐735‐3539
440‐250‐5301
440‐888‐5858
440‐816‐2725
Schleicher
Soltanian
Soltanian
William
Hooman
Hooman
F
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #2410
11100 Euclid Avenue
27100 Chardon Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44143 Cuyahoga
440‐835‐6196 440‐871‐3285
216‐844‐4780
440‐449‐7999
Plastic Surgery
Plastic Surgery
Plastic Surgery
Plastic Surgery
Podiatry
Soltanian
Soltanian
Soltanian
Soltanian
Ritz
Hooman
Hooman
Hooman
Hooman
Gary
A
MD
MD
MD
MD
DPM
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
29001 Cedar Road, #202
29017 Cedar Road
3999 Richmond Road
960 Clague Road, #2470
3909 Orange Place, #2100
Middleburg Heights
Westlake
Cleveland
Richmond Heights
Beachwood
Beachwood
Cleveland
Cleveland
Lyndhurst
Beachwood
Bedford
Westlake
Parma
Middleburg Heights
Westlake
Cleveland
Richmond Heights
Lyndhurst
Lyndhurst
Beachwood
Westlake
Orange Village
OH
OH
OH
OH
OH
44124
44124
44122
44145
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐4780
440‐461‐7999
216‐844‐3061
440‐250‐5301 440‐461‐4713
440‐684‐9930 440‐729‐6316
Podiatry
Ritz
Gary
A
DPM
University Hospitals Medical Practices
5 Severance Circle, #514
OH
44118 Cuyahoga
440‐684‐9930 440‐729‐6316
Podiatry
Ritz
Gary
A
DPM
University Hospitals Medical Practices
5850 Landerbrook Drive, #100
OH
44124 Cuyahoga
440‐684‐9930 440‐729‐6316
Podiatry
Podiatry
Rossi
Saar
Jennifer
Barbara
A
J
DPM
DPM
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
44129 Cuyahoga
44106 Cuyahoga
440‐884‐4114 440‐884‐7661
216‐844‐3800 216‐844‐2559
Podiatry
Saar
Barbara
J
DPM
University Hospitals Medical Practices
6681 Ridge Road, #405
11100 Euclid Avenue ‐ Mather Pavilion #1800
27155 Chardon Road, #104
Podiatry
Podiatry
Sidoti
Weaver
Salvatore
Robert
P
D.
DPM
DPM
University Hospitals Medical Practices
Robert D. Weaver, DPM, Inc.
6681 Ridge Road, #405
6551 Wilson Mills Road, #104
Pulmonology
Altaqi
Basel
MD
Ohio Chest Physicians, Ltd.
Pulmonology
Altaqi
Basel
MD
Pulmonology
Altaqi
Basel
Pulmonology
Bindra
Akhil
Pulmonology
Castro
Jonathan
T.A.
Cleveland Heights
Mayfield Heights
Parma
Cleveland
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
216‐844‐5727
440‐461‐4713
440‐446‐8601
440‐461‐4713
440‐888‐3415
440‐816‐2721
OH
44143 Cuyahoga
440‐585‐6101 440‐585‐6176
OH
OH
440‐884‐4114 440‐884‐7661
440‐442‐3113 440‐442‐5137
Cuyahoga
216‐363‐2673 216‐363‐3321
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #105
Parma
OH
Cuyahoga
440‐842‐8400
MD
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #106
Parma
OH
Cuyahoga
440‐886‐2509 440‐886‐2547 MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
26110 Emery Road, #300
Warrensville Heights
Warrensville Heights
OH
44129
44143‐
3425
44115‐
3100
44129‐
5463
44129‐
5463
44128‐
5788
44128‐
5788
Cuyahoga
Cuyahoga
2322 East 22nd Street, #306
Richmond Heights
Parma
Mayfield Village
Cleveland
Cuyahoga
216‐292‐5750 216‐292‐5601
Cuyahoga
216‐292‐5750 216‐292‐5601
MD
26110 Emery Road, #300
OH
OH
Page 74 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
Pulmonology
Pulmonology
Dasenbrook
Folz
Elliott
Rodney
C
J.
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pulmonology
Iltchev
Daniel
MD
Pulmonology
Iltchev
Daniel
Pulmonology
Pulmonology
Jacono
Kakarala
Frank
Harish
Pulmonology
Pulmonology
Kazakov
Lo
State
Zip
OH
OH
44106 Cuyahoga
44106 Cuyahoga
216‐844‐8500
216‐844‐8500 216‐844‐8708
Ohio Chest Physicians, Ltd.
11100 Euclid Avenue
Cleveland
11100 Euclid Avenue, Bolwell 6th Cleveland
Floor
2322 East 22nd Street, #306
Cleveland
OH
Cuyahoga
216‐363‐2673 216‐363‐3321
MD
Ohio Chest Physicians, Ltd.
6707 Powers Blvd., #105
Parma
OH
Cuyahoga
440‐842‐8400
J
MD
MD
11100 Euclid Avenue
26110 Emery Road, #300
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
216‐292‐5750 216‐292‐5601
A
MD
MD
Cuyahoga
Cuyahoga
216‐844‐8500 216‐844‐2187
216‐292‐5750 216‐292‐5601
Montenegro
Nochomovitz
Petrozzi
Rosenberg
Rosenberg
Hugo
Michael
Mariana
David
David
D
L
C
M
M
MD
MD
MD
MD
MD
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
1000 Auburn Drive, #110
5850 Landerbrook Drive, #100
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3201
216‐844‐3201
216‐844‐3201
216‐285‐5050
440‐646‐2200
Pulmonology
Pulmonology
Pulmonology
Schilz
Silver
Sopko
Robert
Richard
Joseph
N
F
DO
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Ohio Chest Physicians, Ltd.
11100 Euclid Avenue
11100 Euclid Avenue
6707 Powers Blvd., #105
Cleveland
Warrensville Heights
Cleveland
Warrensville Heights
Cleveland
Cleveland
Cleveland
Beachwood
Mayfield Heights
Cleveland
Cleveland
Parma
OH
OH
Jordan
Kar‐Ming
University Hospitals Medical Group, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Group, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
44115‐
3100
44129‐
5463
44106
44128‐
5788
44106
44128‐
5788
44106
44106
44106
44122
44124
Pulmonology
Pulmonology
Pulmonology
Pulmonology
Pulmonology
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
216‐844‐3201 216‐844‐2187
440‐842‐8400
Pulmonology
Pulmonology
Strohl
Taylor
Kingman
Timothy
P
N
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Pulmonology
Teba
Catalina
V.
MD
University Hospitals Medical Group, Inc.
Pulmonology
Pulmonology
Radiation Oncology
Radiation Oncology
Radiation Oncology
Radiation Oncology
Van Lunteren
Zandinejad
Biswas
Biswas
Dorth
Dorth
Erik
Keivan
Tithi
Tithi
Jennifer
Jennifer
N
A
A
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
29099 Health Campus Drive, #240, Bldg. 3
11100 Euclid Avenue, Bolwell 6th Floor
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
960 Clague Road, #1200
11100 Euclid Avenue
3909 Orange Place, #1100
Radiation Oncology
Radiation Oncology
Elconin
Elconin
Joel
Joel
H
H
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Radiation Oncology
Elconin
Joel
H
MD
University Hospitals Medical Practices
Radiation Oncology
Hadziahmetovic
Mersiha
R
MD
University Hospitals Medical Practices
Radiation Oncology
Katcher
Jerald
N
MD
University Hospitals Medical Group, Inc.
Radiation Oncology
Radiation Oncology
Kumar
Kumar
Aryavarta
Aryavarta
M S
M S
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Radiation Oncology
Lo
Simon
S
MD
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
26110 Emery Road, #300
11100 Euclid Avenue
18697 Bagley Road ‐ Seidman Cancer Center
960 Clague Road, #1200 ‐ Seidman Cancer Center
11100 Euclid Avenue ‐ Seidman Cancer Center
18697 Bagley Road
11100 Euclid Avenue
6525 Powers Blvd. ‐ Seidman Cancer Center
3909 Orange Place, #1100
City
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
County
Phone Fax
216‐844‐2187
216‐844‐2187
216‐844‐2187
216‐285‐4060
216‐896‐1851
Cleveland
Westlake
OH
OH
44106
44106
44129‐
5463
44106
44145
Cuyahoga
Cuyahoga
216‐844‐3201 216‐844‐2187
440‐835‐2700 440‐835‐4975
Cleveland
OH
44106 Cuyahoga
216‐844‐8500 216‐844‐2187
Cleveland
Cleveland
Cleveland
Westlake
Cleveland
Orange Village
OH
OH
OH
OH
OH
OH
44106
44106
44106
44145
44106
44122
216‐844‐3201
216‐844‐8500
216‐286‐6740
216‐844‐3951
216‐844‐3951
216‐896‐1750
Cleveland
Middleburg Heights
Westlake
OH
OH
44106 Cuyahoga
44130 Cuyahoga
440‐250‐2001 440‐250‐2012
440‐816‐6048 440‐816‐6010
OH
44145 Cuyahoga
440‐250‐2001 440‐250‐2012
Cleveland
OH
44106 Cuyahoga
216‐844‐3103 216‐844‐2005
Middleburg Heights
Cleveland
Parma
OH
44130 Cuyahoga
440‐816‐6048
OH
OH
44106 Cuyahoga
44129 Cuyahoga
216‐844‐3951 216‐844‐2640
440‐743‐4749 440‐743‐4716
Orange Village OH
44122 Cuyahoga
216‐844‐3951 216‐844‐1038
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐2187
216‐844‐8708
216‐844‐2005
216‐844‐2640
216‐844‐2005
216‐896‐1764
Page 75 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Radiation Oncology
Lyons
Janice
A
MD
University Hospitals Medical Group, Inc.
Parma
OH
44129 Cuyahoga
440‐743‐4749 440‐473‐4716
Radiation Oncology
Radiation Oncology
Macklis
Macklis
Roger
Roger
M.
M.
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
6525 Powers Blvd. ‐ Seidman Cancer Center, MAC3
11100 Euclid Avenue
3909 Orange Place, #1100
Cleveland
OH
Orange Village OH
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
Radiation Oncology
Radiation Oncology
Radiation Oncology
Macklis
Mansur
Mansur
Roger
David
David
M.
B
B
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1200
11100 Euclid Avenue
3909 Orange Place, #1100
Westlake
OH
Cleveland
OH
Orange Village OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
Radiation Oncology
Radiation Oncology
Mansur
Novak
David
Louis
B
J
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Westlake
Parma
OH
OH
44145 Cuyahoga
44129 Cuyahoga
216‐844‐3951 216‐844‐2640
440‐473‐4749 440‐473‐4716
Radiation Oncology
Ribovich
Martin
L
MD
University Hospitals Medical Practices
44130 Cuyahoga
440‐816‐6048 440‐816‐6010
Ribovich
Martin
L
MD
University Hospitals Medical Practices
Middleburg Heights
Westlake
OH
Radiation Oncology
OH
44145 Cuyahoga
440‐250‐2001 440‐250‐2012
Radiation Oncology
Radiation Oncology
Saboori
Saboori
Mehran
Mehran
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #1200
6525 Powers Blvd. ‐ Seidman Cancer Center
18697 Bagley Road ‐ Seidman Cancer Center
960 Clague Road, #1200 ‐ Seidman Cancer Center
11100 Euclid Avenue
18697 Bagley Road
OH
OH
44106 Cuyahoga
44130 Cuyahoga
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
Radiation Oncology
Radiation Oncology
Radiation Oncology
Radiation Oncology
Saboori
Sherertz
Yao
Yao
Mehran
Tracy
Min
Min
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
960 Clague Road, #1200
11100 Euclid Avenue
18697 Bagley Road
OH
OH
OH
OH
44145
44145
44106
44130
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
216‐844‐3951
216‐844‐3951
Radiation Oncology
Yao
Min
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Cleveland
Middleburg Heights
Westlake
Westlake
Cleveland
Middleburg Heights
Orange Village
OH
44122 Cuyahoga
216‐844‐3951
Radiation Oncology
Rheumatology
Rheumatology
Rheumatology
Yao
Anthony, Jr.
Askari
Askari
Min
Donald
Ali
Ali
D
D
D
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
11100 Euclid Avenue
3909 Orange Place
Westlake
Cleveland
Cleveland
Orange Village
OH
OH
OH
OH
44145
44106
44106
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3951
216‐844‐2289 216‐844‐3860
216‐844‐2289 216‐844‐2288
216‐844‐2289 216‐844‐2288
Rheumatology
Rheumatology
Rheumatology
Flagg
Kent
Kuchynski
Douglas
Lawrence
Marie
N
T.
N
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
1611 S. Green Road, #065
1611 S. Green Road, #260
14200 Ridge Road
OH
OH
OH
44121 Cuyahoga
44121 Cuyahoga
44133 Cuyahoga
216‐291‐4050 216‐691‐3524
216‐381‐6177 216‐297‐2117
440‐582‐9600 440‐582‐5492
Rheumatology
Mandel
David
R.
MD
David R. Mandel, MD, Inc.
6551 Wilson Mills Road, #106
OH
440‐449‐8277 440‐449‐7137
Moskowitz
Muoh
Roter
Roland
Ogechi
Elisabeth
W
H
S
MD
DO
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
11100 Euclid Avenue
6789 Ridge Road, #105
27100 Chardon Road, #100
OH
OH
OH
44143‐
3440
44106
44129
44143
Cuyahoga
Rheumatology
Rheumatology
Rheumatology
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐8500
440‐842‐4500 440‐842‐4303
440‐347‐9929 440‐347‐0930
Rheumatology
Rheumatology
Rheumatology
Sexton‐Cicero
Sivaraman
Sivaraman
Donna
Padmapriya
Padmapriya
J
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road, #3201
11100 Euclid Avenue, #1500
3909 Orange Place, #3100
South Euclid
South Euclid
North Royalton
Mayfield Village
Cleveland
Parma
Richmond Heights
Westlake
Cleveland
Orange Village
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
440‐250‐2070 440‐250‐2071
216‐844‐8500 216‐844‐3860
216‐844‐8500 216‐844‐3216
Rheumatology
Rheumatology
Rheumatology
Rheumatology
Stein
Stein
Warren
Warren
Richard
Richard
Van
Van
L
L
D
D
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
33001 Solon Road, #202
34055 Solon Road, #104
11100 Euclid Avenue
18181 Pearl Road
Solon
Solon
Cleveland
Strongsville
OH
OH
OH
OH
44139
44139
44106
44136
440‐349‐1100
440‐349‐1100
216‐844‐2289
216‐844‐8500
M
County
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Phone Fax
440‐349‐1112
440‐349‐8160
216‐844‐3860
216‐844‐3860
Page 76 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Rheumatology
Warren
Van
D
MD
University Hospitals Medical Group, Inc.
3909 Orange Place
Orange Village OH
44122 Cuyahoga
216‐844‐2289 216‐844‐3860
Sleep Medicine
Sleep Medicine
Sleep Medicine
Friedlander
Lance
Lance
Samuel
Colleen
Colleen
L
G
G
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
34055 Solon Road, #104
11100 Euclid Avenue
3909 Orange Place, #3300
Solon
OH
Cleveland
OH
Orange Village OH
44139 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
440‐248‐1630 440‐914‐7870
216‐844‐8500 216‐844‐3420
216‐844‐3201
Sleep Medicine
Sleep Medicine
Lance
Lo
Colleen
Kar‐Ming
G
MD
MD
960 Clague Road, #2300
26110 Emery Road, #300
Trevor
Arun
Arun
M
D.
D.
DO
MD
MD
44145
44128‐
5788
44122
44122
44143
216‐844‐3201
216‐292‐5750 216‐292‐5601
Bullock
Mathur
Mathur
Cuyahoga
Cuyahoga
Cuyahoga
216‐646‐9636 440‐995‐3816
440‐646‐9636 440‐995‐3816
440‐646‐9636 440‐995‐3816
Sports Medicine
Sports Medicine
Mathur
Sandhu
Arun
Harkeet
D.
S.
MD
MD
University Hospitals Medical Practices
Center for Orthopedics, Inc.
88 Center Road, #88
2211 Crocker Road, #130
Westlake
Warrensville Heights
Beachwood
Beachwood
Richmond Heights
Bedford
Westlake
Cuyahoga
Cuyahoga
Sports Medicine
Sports Medicine
Sports Medicine
University Hospitals Medical Group, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
440‐646‐9636 440‐995‐3816
440‐329‐2800 440‐329‐2810
Sports Medicine
Tangen
Christopher
L
DO
University Hospitals Medical Practices
27100 Chardon Road, #120
OH
44146 Cuyahoga
44145‐ Cuyahoga
7603
44143 Cuyahoga
Sports Medicine
Sports Medicine
Sports Medicine
Sports Medicine
Sports Medicine
Sports Medicine
Surgical Oncology
Surgical Oncology
Surgical Oncology
Transplant Surgery
Transplant Surgery
Transplant Surgery
Transplant Surgery
Tangen
Voos
Voos
Voos
Voos
Voos
Ammori
Dietz
Dietz
Aeder
Aeder
Aeder
Aeder
Christopher
James
James
James
James
James
John
Jill
Jill
Mark
Mark
Mark
Mark
L
E
E
E
E
E
B
R
R
I
I
I
I
DO
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
50 Blaine Avenue, #2200
1000 Auburn Road
11100 Euclid Avenue
1611 S. Green Road, #027
3999 Richmond Road
960 Clague Road, #3110
960 Clague Road
11100 Euclid Avenue
3909 Orange Place, #4400
11100 Euclid Avenue
1611 S. Green Road
29001 Cedar Road, #203
3909 Orange Place
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44146
44122
44106
44121
44122
44145
44145
44106
44122
44106
44121
44124
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐232‐9280
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
216‐844‐7874
440‐585‐7041
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐5970
216‐844‐2888
216‐844‐1385
216‐844‐1385
216‐844‐2888
216‐844‐2888
216‐844‐2888
216‐844‐2888
Transplant Surgery
Transplant Surgery
Transplant Surgery
Transplant Surgery
Urogynecology
Urogynecology
Humphreville
Humphreville
Sanchez
Winans
Mahajan
Mahajan
Vanessa
Vanessa
Edmund
Charles
Sangeeta
Sangeeta
R
R
Q
G.
T
T
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
960 Clague Road, #2300
11100 Euclid Avenue
11100 Euclid Avenue
11100 Euclid Avenue
5850 Landerbrook Drive, #300
OH
OH
OH
OH
OH
OH
44106
44145
44106
44106
44106
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐7874
216‐844‐7874
216‐844‐7484
216‐844‐7874
216‐844‐3941
440‐720‐3250
216‐844‐2888
216‐844‐1385
216‐844‐2888
216‐844‐8619
216‐844‐8619
Urogynecology
Urology
Urology
Urology
Mahajan
Abouassaly
Abouassaly
Abouassaly
Sangeeta
Robert
Robert
Robert
T
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place, #1100
OH
OH
OH
OH
44145
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3941
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐8619
216‐844‐1900
216‐844‐1900
216‐844‐1900
Urology
Abouassaly
Robert
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #210
OH
44124 Cuyahoga
440‐646‐2211 216‐844‐1900
Urology
Urology
Urology
Abouassaly
Autorino
Autorino
Robert
Riccardo
Riccardo
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
3999 Richmond Road
OH
OH
OH
44145 Cuyahoga
44106 Cuyahoga
44122 Cuyahoga
216‐844‐5661 216‐844‐1900
216‐844‐5661 216‐844‐1900
216‐844‐5661 216‐844‐1900
1000 Auburn Road, #210
1000 Auburn Drive, #210
27155 Chardon Road, #106
Richmond Heights
Bedford
Beachwood
Cleveland
South Euclid
Beachwood
Westlake
Westlake
Cleveland
Beachwood
Cleveland
South Euclid
Lyndhurst
Orange Village
Cleveland
Westlake
Cleveland
Cleveland
Cleveland
Mayfield Heights
Westlake
Cleveland
South Euclid
Orange Village
Mayfield Heights
Westlake
Cleveland
Beachwood
State
OH
OH
OH
OH
OH
OH
OH
Zip
County
Phone Fax
440‐585‐7146 440‐585‐6340
Page 77 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Urology
Autorino
Riccardo
Urology
Urology
Urology
Urology
Urology
Urology
Autorino
Bodner
Bodner
Cherullo
Cherullo
Cherullo
Riccardo
Donald
Donald
Edward
Edward
Edward
Urology
Urology
Urology
Urology
Urology
Cherullo
Hijaz
Hijaz
Hijaz
Hijaz
Urology
MI
Cred
Group Name
Address
City
State
Zip
MD
University Hospitals Medical Practices
44143 Cuyahoga
440‐516‐8700 216‐201‐5276
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Richmond Heights
Bedford
Cleveland
South Euclid
Cleveland
South Euclid
Orange Village
OH
R
R
E
E
E
27100 Chardon Road, #100 ‐
Urological Institute
88 Center Road, #360
11100 Euclid Avenue
1611 S. Green Road
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place, #1100
OH
OH
OH
OH
OH
OH
44146
44106
44121
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐232‐8955
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐5661
440‐232‐9491
216‐382‐7832
216‐844‐1900
216‐844‐1900
216‐844‐1900
216‐382‐7832
Edward
Adonis
Adonis
Adonis
Adonis
E
K
K
K
K
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
1611 S. Green Road
29000 Center Ridge Road
3909 Orange Place
Westlake
Cleveland
South Euclid
Westlake
Orange Village
OH
OH
OH
OH
OH
44145
44106
44121
44145
44122
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐5661
216‐844‐1900
216‐844‐1900
216‐844‐1900
216‐844‐1900
216‐844‐1900
Hijaz
Adonis
K
MD
University Hospitals Medical Group, Inc.
5850 Landerbrook Drive, #210
OH
44124 Cuyahoga
216‐844‐5661 216‐844‐1900
Urology
Urology
Urology
Urology
Hijaz
Kern Laydner
Kern Laydner
Kern Laydner
Adonis
Humberto
Humberto
Humberto
K
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
OH
OH
OH
OH
44145
44106
44122
44143
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐5661
216‐844‐5651
216‐844‐5651
440‐516‐8700
216‐844‐1900
216‐844‐1900
216‐844‐1900
216‐201‐5276
Urology
Urology
Urology
Urology
Kern Laydner
Kim
Kim
Kim
Humberto
Simon
Simon
Simon
P
P
P
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
960 Clague Road
11100 Euclid Avenue
3999 Richmond Road
27100 Chardon Road, #100 ‐
Urological Institute
88 Center Road, #360
11100 Euclid Avenue
1611 S. Green Road, #106
5850 Landerbrook Drive, #210
OH
OH
OH
OH
44146
44106
44121
44124
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
440‐232‐8955
216‐844‐5661
216‐844‐5661
216‐844‐5661
440‐232‐9491
216‐844‐3797
216‐844‐1900
216‐844‐3797
Urology
Urology
Urology
Kim
Larchian
Levine
Simon
William
Frederic
P
A
J.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Drs. Levine, Reigle & Schneider, Inc.
960 Clague Road, #2480
11100 Euclid Avenue, #2500
6803 Mayfield Road, #418
OH
OH
OH
216‐844‐5661 216‐844‐1900
440‐365‐1602 440‐365‐1625
440‐753‐0018 440‐753‐0035
Ponsky
Ponsky
Ponsky
Lee
Lee
Lee
E
E
E
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
11100 Euclid Avenue
1611 S. Green Road
3909 Orange Place
44145
44106
44124‐
2214
44106
44121
44122
Cuyahoga
Cuyahoga
Cuyahoga
Urology
Urology
Urology
Mayfield Heights
Westlake
Cleveland
Beachwood
Richmond Heights
Bedford
Cleveland
South Euclid
Mayfield Heights
Westlake
Cleveland
Mayfield Heights
Cleveland
South Euclid
Orange Village
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐5661 216‐844‐1900
216‐844‐5661 216‐844‐1900
216‐844‐5661 216‐382‐7832
Urology
Reigle
Melissa
D.
MD
Drs. Levine, Reigle & Schneider, Inc.
6803 Mayfield Road, #418
Cuyahoga
440‐753‐0018 440‐753‐0035
Urology
Schneider
Kurt
W.
MD
Drs. Levine, Reigle & Schneider, Inc.
6803 Mayfield Road, #418
Cuyahoga
440‐753‐0018 440‐453‐0035
Urology
Wong
Carson
MD
Southwest Urology, Inc.
12000 McCracken Road, #451
Cuyahoga
216‐581‐0700 216‐581‐7558
Urology
Wong
Carson
MD
Southwest Urology, Inc.
6900 Pearl Road, Second Floor Cuyahoga
440‐845‐0900 440‐845‐7355
Urology
Urology
Urology
Urology
Woo
Woo
Woo
Woo
Lynn
Lynn
Lynn
Lynn
L
L
L
L
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Cuyahoga
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐5661
216‐844‐7725
216‐844‐5661
216‐844‐5661
Urology
Woo
Lynn
L
MD
University Hospitals Medical Group, Inc.
OH
OH
OH
OH
County
11100 Euclid Avenue
1611 S. Green Road, #106
29017 Cedar Road
3909 Orange Place
Mayfield Heights
Mayfield Heights
Garfield Heights
Middleburg Heights
Cleveland
South Euclid
Lyndhurst
Orange Village
OH
OH
OH
OH
44124‐
2214
44124‐
2214
44125‐
2933
44130‐
3639
44106
44121
44124
44122
960 Clague Road
Westlake
OH
44145 Cuyahoga
OH
OH
OH
Phone Fax
216‐844‐1900
216‐382‐7832
216‐844‐1900
216‐844‐1900
216‐844‐5661 216‐844‐1900
Page 78 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Vascular Surgery
Vascular Surgery
Vascular Surgery
Baele
Boyko
Darvin
Henry
Jeffrey
Howard
R
M
I.
MD
DO
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Vascular Solutions
11100 Euclid Avenue
6707 Powers Blvd., #302
3755 Orange Place, #103
Cleveland
Parma
Beachwood
OH
OH
OH
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3013 216‐844‐7716
440‐743‐2380 440‐743‐2381
216‐468‐6310 216‐468‐6313
Vascular Surgery
Vascular Surgery
Kashyap
Nemeth
Vikram
Kimberly
S
M.
MD
DO
University Hospitals Medical Group, Inc.
Cleveland Vascular Institute, LLC
Cuyahoga
Cuyahoga
216‐844‐7210
216‐991‐2600 216‐921‐1389
Persky
James
M.
MD
Vascular Solutions
South Euclid
Warrensville Heights
Beachwood
OH
OH
Vascular Surgery
1611 S. Green Road, #107
4110 Warrensville Center Road, #1002
3755 Orange Place, #103
Cuyahoga
216‐468‐6310 216‐468‐6313
Vascular Surgery
Smith
Christopher
J
MD
University Hospitals Medical Practices
OH
44106
44129
44122‐
4455
44121
44122‐
7024
44122‐
4455
44145
Cuyahoga
440‐827‐5982 440‐827‐5344
Vascular Surgery
Smith
Christopher
J
MD
University Hospitals Medical Practices
OH
44145 Cuyahoga
440‐250‐2060 440‐250‐2061
Vascular Surgery
Stanley
Jeffrey
A.
DO
Cleveland Vascular Institute, LLC
OH
Vascular Surgery
Stanley
Jeffrey
A.
DO
Cleveland Vascular Institute, LLC
Vascular Surgery
Vascular Surgery
Vascular Surgery
Wong
Wong
Wong
Virginia
Virginia
Virginia
L
L
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
OH
OH
OH
44125‐
2933
44122‐
7024
44106
44121
44122
Vascular Surgery
Wong
Virginia
L
MD
University Hospitals Medical Practices
27100 Chardon Road ‐ Harrington Richmond Heart & Vascular Institute
Heights
OH
44143 Cuyahoga
216‐844‐3800 216‐201‐5313
Allergy & Immunology
Rambasek
Todd
E.
MD
ENT and Allergy Health Services, Inc.
1221 Hayes Avenue, Suite G
Sandusky
OH
Erie
419‐609‐1800 419‐609‐1808
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Baar
Gudena
Khouri
Martelo
Rashid
Joseph
Vinay
Amer
Orlando
Mohammad
K
S
J
H
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Sandusky
Sandusky
Sandusky
Sandusky
Sandusky
OH
OH
OH
OH
OH
Erie
Erie
Erie
Erie
Erie
419‐557‐7400
419‐557‐7480
419‐557‐7480
419‐557‐7480
419‐557‐7480
Hematology/Oncology
Orthopedic Surgery
Orthopedic Surgery
Pediatric Endocrinology
Reese
Hardesty
Thompson
Splawski
Amy
Christina
George
Judy
M
K
H
B
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Sandusky
Sandusky
Sandusky
Sandusky
OH
OH
OH
OH
44870
44870
44870
44870
Erie
Erie
Erie
Erie
419‐557‐7480 419‐557‐7533
216‐844‐7200 216‐844‐1122
216‐844‐7200
216‐844‐7700 216‐844‐8397
Pediatric Gastroenterology
Splawski
Judy
B
MD
University Hospitals Medical Group, Inc.
Sandusky
OH
44870 Erie
216‐844‐7700 216‐844‐8397
Pediatric Neurology
Maxwell
Kathleen
T
CNS
University Hospitals Medical Group, Inc.
1111 Hayes Avenue
701 Tyler Street
701 Tyler Street
701 Tyler Street
701 Tyler Street ‐ Seidman Cancer Center
701 Tyler Street
1912 Hayes Avenue
1912 Hayes Avenue
1912 Hayes Avenue ‐ Outpatient Clinics
1912 Hayes Avenue ‐ Outpatient Clinics
1912 Hayes Avenue
44870‐
3345
44870
44870
44870
44870
44870
Sandusky
OH
44870 Erie
216‐844‐7700 216‐286‐6341
Pediatric Pulmonology
Craven
Daniel
I
MD
University Hospitals Medical Group, Inc.
Sandusky
OH
44870 Erie
216‐844‐7700 216‐844‐5916
Pediatric Pulmonology
Dimarino
Amy
M
DO
University Hospitals Medical Group, Inc.
1912 Hayes Avenue ‐ Outpatient Clinics
1912 Hayes Avenue
Sandusky
OH
44870 Erie
216‐844‐7700 216‐844‐5916
29101 Health Campus Drive, #450, Westlake
Bldg. 2
960 Clague Road, #2300 ‐
Westlake
Harrington Heart & Vascular Institute
12000 McCracken Road, #111
Garfield Heights
4110 Warrensville Center Road, Warrensville #1002
Heights
11100 Euclid Avenue
Cleveland
1611 S. Green Road
South Euclid
3909 Orange Place
Orange Village
OH
OH
Fax
Cuyahoga
216‐991‐2600
Cuyahoga
216‐991‐2600 216‐921‐1389
Cuyahoga
Cuyahoga
Cuyahoga
216‐844‐3013
216‐844‐3013
216‐844‐3013
419‐557‐7533
419‐557‐7533
419‐557‐7533
419‐557‐7533
Page 79 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Radiation Oncology
Hadziahmetovic
Mersiha
R
MD
University Hospitals Medical Practices
Radiation Oncology
Ribovich
Martin
L
MD
Radiation Oncology
Radiation Oncology
Allergy & Immunology
Saboori
Yao
Friedlander
Mehran
Min
Samuel
L
MD
MD
MD
Allergy & Immunology
Lavi
Richard
F.
MD
701 Tyler Street ‐ Seidman Cancer Center
University Hospitals Medical Practices
701 Tyler Street ‐ Seidman Cancer Center
University Hospitals Medical Group, Inc.
701 Tyler Street
University Hospitals Medical Group, Inc.
701 Tyler Street
University Hospitals Medical Practices
13207 Ravenna Road ‐ Specialty Clinic
Allergy, Asthma and Sinus Relief Center, Inc. 510 Fifth Street
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Psychiatry
Stansbrey
Robert
J
MD
University Hospitals Medical Group, Inc.
Carlisle
Michael
C
DO
University Hospitals Medical Practices
Behavioral Health: Psychiatry
Chen
Peijun
MD
University Hospitals Medical Practices
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Group, Inc.
Behavioral Health: Psychiatry
Heather
John
A
MD
University Hospitals Medical Practices
Behavioral Health: Psychiatry
Hunt
Andrew
W
MD
University Hospitals Medical Group, Inc.
Behavioral Health: Psychiatry
Lebedeva
Zinaida
MD
University Hospitals Medical Practices
Behavioral Health: Psychiatry
Stansbrey
Robert
J
MD
University Hospitals Medical Practices
Cardiac Electrophysiology
Cardiology
Critical Care
Cakulev
Cakulev
Baron
Ivan
Ivan
John
T
T
C
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Endocrinology, Diabetes, & Metabolism
ENT
ENT
ENT
ENT
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Gastroenterology
Burgun
Stephen
J
MD
Abbass
Abbass
Abbass
Abbass
Ervine
Harmat
Hileman
Hohenberger
Pawlicki
Sanniti
Sanniti
Williams‐Reid
Abbass
Fadi
Fadi
Hassan
Hassan
William
Jill
Craig
Allison
Matthew
Dominic
Dominic
Jennifer
Rami
Gastroenterology
Gastroenterology
Abbass
Cameron
Rami
Robert
A
A
E
A
M
M
B
V
V
L
B
Address
City
State
Zip
Sandusky
OH
44870 Erie
419‐557‐7480 419‐557‐7533
Sandusky
OH
44870 Erie
419‐557‐7480 419‐557‐7533
Sandusky
Sandusky
Chardon
OH
OH
OH
44870 Erie
44870 Erie
44024 Geauga
216‐844‐3951 216‐844‐2640
216‐844‐3951
440‐248‐1630 440‐914‐7870
Chardon
OH
330‐423‐4444 330‐777‐4414
13207 Ravenna Road
Chardon
OH
44024‐ Geauga
1076
44024 Geauga
216‐844‐3881 216‐844‐5833
13207 Ravenna Road ‐ Senior Assessment Program
13207 Ravenna Road ‐ Senior Assessment Program
13207 Ravenna Road
Chardon
OH
44024 Geauga
216‐844‐2400 440‐285‐6247
Chardon
OH
44024 Geauga
216‐844‐2400 216‐285‐6247
Chardon
OH
44024 Geauga
216‐844‐2400
Chardon
OH
44024 Geauga
216‐844‐2400 216‐285‐6247
Chardon
OH
44024 Geauga
216‐844‐2400 216‐844‐1703
13207 Ravenna Road ‐ Senior Assessment Program
13207 Ravenna Road ‐ Senior Assessment Program
100 7th Avenue
100 7th Avenue
13207 Ravenna Road ‐ Specialty Clinic
Chardon
OH
44024 Geauga
216‐844‐2400 440‐285‐6247
Chardon
OH
44024 Geauga
216‐844‐2400 216‐285‐6247
Chardon
Chardon
Chardon
OH
OH
OH
44024 Geauga
44024 Geauga
44024 Geauga
216‐844‐3800 216‐844‐1780
216‐844‐3800 216‐844‐1780
440‐415‐0187 440‐415‐0394
University Hospitals Medical Practices
13241 Ravenna Road
Chardon
OH
44024 Geauga
440‐285‐3621 440‐285‐3625
MD
MD
MD
MD
DO
DO
MD
DO
MD
DO
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Chardon
Chagrin Falls
Chardon
Chagrin Falls
Middlefield
Chesterland
Chesterland
Chardon
Chardon
Newbury
Middlefield
Middlefield
Chardon
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44024
44023
44024
44023
44062
44026
44026
44024
44024
44065
44062
44062
44024
440‐232‐6789
440‐232‐6789
440‐285‐8203
440‐232‐6789
440‐632‐0408
440‐729‐3644
440‐729‐3644
440‐286‐8841
440‐286‐8841
440‐564‐6666
440‐632‐0408
440‐632‐0408
440‐708‐1555
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
13207 Ravenna Road
8185 E. Washington Street, #1
13207 Ravenna Road
8185 E. Washington Street, #1
15976 E. High Street
8055 Mayfield Road, #107
8055 Mayfield Road, #107
150 Seventh Avenue, #111
100 Seventh Avenue, #111
11110 Kinsman Road, #2
15976 E. High Street
15976 E. High Street
13207 Ravenna Road ‐ Specialty Clinic
8185 E. Washington Street, #2
8185 E. Washington Street, #2
Chagrin Falls
Chagrin Falls
OH
OH
44023 Geauga
44023 Geauga
13207 Ravenna Road ‐ Senior Assessment Program
13207 Ravenna Road
County
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Phone Fax
440‐786‐1321
440‐786‐1321
440‐285‐6985
440‐786‐1321
440‐632‐0601
440‐7294239
440‐729‐4239
440‐286‐8867
440‐286‐8867
440‐564‐6665
440‐632‐0601
440‐632‐0601
440‐708‐1515
440‐708‐1555 440‐708‐1515
216‐691‐0900 216‐691‐3524
Page 80 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
General Surgery
General Surgery
Koehler
Koehler
Mansour
Shapiro
Khaitan
Khaitan
Michael
Michael
Nadia
Eric
Leena
Leena
K
K
K
J
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
13207 Ravenna Road
8185 E. Washington Street, #2
8185 E. Washington Street, #1
8185 Chagrin Falls
13207 Ravenna Road
13207 Ravenna Road ‐ Bariatric Lab
Chardon
Chagrin Falls
Chagrin Falls
Chagrin Falls
Chardon
Chardon
OH
OH
OH
OH
OH
OH
44024
44023
44023
44123
44024
44024
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
440‐708‐1555
216‐691‐0900
440‐708‐1555
440‐708‐1555
216‐844‐7874
440‐285‐2800
440‐708‐1515
216‐691‐3524
440‐708‐1515
440‐708‐1515
216‐844‐1385
440‐285‐3216
General Surgery
General Surgery: Hand Surgery
Reynolds Jr.
Soltanian
Harry
Hooman
L
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
8185 E. Washington Street 12340 Bass Lake Road
Chagrin Falls
Chardon
OH
OH
44023 Geauga
44024 Geauga
216‐844‐7874
440‐446‐8600 440‐461‐4713
General Surgery: Hand Surgery
Soltanian
Hooman
MD
University Hospitals Medical Group, Inc.
13207 Ravenna Road
Chardon
OH
44024 Geauga
440‐446‐8600
Gynecology
Gynecology
Hematology/Oncology
Hematology/Oncology
Wenz
Wenz
Friedman
Friedman
Margie
Margie
Judah
Judah
E
E
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Chardon
Chagrin Falls
Chardon
Chardon
OH
OH
OH
OH
44024
44023
44024
44024
Geauga
Geauga
Geauga
Geauga
440‐286‐9238 440‐286‐4832
440‐708‐1500 440‐708‐1560
866‐920‐4089
440‐460‐1616 440‐995‐1908
Infectious Disease
Internal Medicine
Internal Medicine/Pediatrics
Interventional Cardiology
Neonatology
Nephrology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurology
Neurosurgery
Jakubowycz
Ilieva
O'Hara
Stefano
Bhola
Menon
Devereaux
Hussain
Lhatoo
Luders
Rorick
Tomcik
Lechner
Marta
Antoaneta
Janet
Gregory
Monika
Aiyappan
Michael
Aamir
Samden
Hans
Mark
Colleen
Roseanna
N
I
N
T
D
O
B
B
M
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
Chardon
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44024
44024
44024
44024
44024
44024
44024
44024
44024
44024
44024
44024
44024
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
216‐844‐1988
440‐286‐9588
440‐286‐8841
440‐358‐5480
440‐285‐6000
440‐285‐6950
216‐844‐3192
440‐285‐2888
216‐844‐3192
216‐844‐3192
440‐285‐2888
216‐844‐3192
216‐285‐5115
Ob/Gyn
Koroly
Michael
V
DO
University Hospitals Medical Practices
13221 Ravenna Road #5
8185 E. Washington Street, #1
13207 Ravenna Road
13207 Ravenna Road ‐ Seidman Cancer Center
12340 Bass Lake Road
13170 Ravenna Road, #112
100 Seventh Avenue, #111
13221 Ravenna Road, #12
13207 Ravenna Road
13207 Ravenna Road
13207 Ravenna Road
13170 Ravenna Road, #102
13207 Ravenna Road
13207 Ravenna Road
13170 Ravenna Road, #102
13207 Ravenna Road
13207 Ravenna Road ‐ Specialty Clinic
13207 Ravenna Road
Chardon
OH
44024 Geauga
440‐285‐6000
Ob/Gyn
Mcnamara
Patricia
A
MD
University Hospitals Medical Practices
13221 Ravenna Road #5
Chardon
OH
44024 Geauga
440‐286‐9238 440‐286‐4832
Ob/Gyn
Mcnamara
Patricia
A
MD
University Hospitals Medical Practices
8185 E. Washington Street, #1
Chagrin Falls
OH
44023 Geauga
440‐708‐1500 440‐708‐1560
Ob/Gyn
Miller
Jennifer
A
MD
University Hospitals Medical Practices
13221 Ravenna Road #5
Chardon
OH
44024 Geauga
440‐286‐9238 440‐286‐4832
Ob/Gyn
Miller
Jennifer
A
MD
University Hospitals Medical Practices
8185 E. Washington Street, #1
Chagrin Falls
OH
44023 Geauga
440‐708‐1500 440‐708‐1560
Ob/Gyn
Mullen
Lori
S
MD
University Hospitals Medical Practices
13221 Ravenna Road #5
Chardon
OH
44024 Geauga
440‐286‐9238 440‐286‐4832
Ob/Gyn
Mullen
Lori
S
MD
University Hospitals Medical Practices
8185 E. Washington Street, #1
Chagrin Falls
OH
44023 Geauga
440‐708‐1500 440‐708‐1560
Ob/Gyn
Usis
Paula
B
MD
University Hospitals Medical Practices
13221 Ravenna Road #5
Chardon
OH
44024 Geauga
440‐286‐9238 440‐286‐4832
Ob/Gyn
Usis
Paula
B
MD
University Hospitals Medical Practices
8055 Mayfield Road, #105
Chesterland
OH
44026 Geauga
440‐729‐3030
W
216‐844‐1632
440‐286‐2837
440‐729‐8867
440‐358‐5481
440‐285‐0805
440‐285‐2895
440‐285‐2895
216‐201‐5316
Page 81 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Ob/Gyn
Usis
Paula
B
MD
University Hospitals Medical Practices
8185 E. Washington Street, #1
Chagrin Falls
OH
44023 Geauga
440‐708‐1500 440‐708‐1560
Ob/Gyn
Wollam‐Huhn
Nancy
L
MD
University Hospitals Medical Practices
13221 Ravenna Road #5
Chardon
OH
44024 Geauga
440‐286‐9238 440‐286‐4832
Ob/Gyn
Wollam‐Huhn
Nancy
L
MD
University Hospitals Medical Practices
8055 Mayfield Road, #105
Chesterland
OH
44026 Geauga
440‐729‐3030
Ob/Gyn
Wollam‐Huhn
Nancy
L
MD
University Hospitals Medical Practices
8185 E. Washington Street, #1
Chagrin Falls
OH
44023 Geauga
440‐708‐1500 440‐708‐1560
Orthopedic Surgery
Eubanks
Jason
D
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
440‐285‐6975 440‐285‐3216
Orthopedic Surgery
Feighan
John
E
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
216‐587‐5050 216‐587‐2388
Orthopedic Surgery
Orthopedic Surgery
Feighan
Leland
John
J Martin
E
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Middlefield
Chardon
OH
OH
44062 Geauga
44024 Geauga
216‐587‐5050 216‐587‐2388
440‐285‐5004 440‐285‐0805
Orthopedic Surgery
Shroyer
Jeffrey
B
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
216‐587‐5050 216‐587‐2388
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Pain Management
Shroyer
Zimmer
Zimmer
Brown
Jeffrey
Scott
Scott
Lisa
B
M
M
A
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
13207 Ravenna Road ‐ Specialty Clinic
13207 Ravenna Road ‐ Specialty Clinic
15975 E. High Street
13207 Ravenna Roadd, Specialty Clinic
13207 Ravenna Road ‐ Specialty Clinic
15975 E. High Street
13207 Ravenna Road
8185 E. Washington Street, #1P
13207 Ravenna Road ‐
Comprehensive Pain Center
Middlefield
Chardon
Bainbridge
Chardon
OH
OH
OH
OH
44062
44024
44023
44024
216‐587‐5050
440‐285‐5004
440‐285‐5004
440‐285‐2960
Pediatric Neurology
Pediatric Neurology
Pediatrics
Shahid
Wiznitzer
Bhadra
Asim
Max
Eva
M
N
L
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
15809 Madison Avenue
15809 Madison Avenue
13241 Ravenna Road, Peds Suite
Middlefield
Middlefield
Chardon
OH
OH
OH
44062 Geauga
44062 Geauga
44024 Geauga
216‐844‐8500
216‐844‐7700 216‐844‐8966
440‐285‐9166 440‐285‐1806
Pediatrics
Pediatrics
Coutinho
Failinger
Maria‐Josefa
Ann
N
L
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
8055 Mayfield Road, #106A
13241 Ravenna Road, Peds Suite
Chesterland
Chardon
OH
OH
44026 Geauga
44024 Geauga
440‐729‐4533 440‐729‐4831
440‐285‐9166 440‐285‐1806
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Plastic Surgery
Plastic Surgery
Podiatry
Feighan
Kammerman
Malinowski
Mason
O'Hara
Rowane
Utech
Yeh
Soltanian
Soltanian
Weaver
Elizabeth
Teresa
Mark
Laura
Janet
Barbara
Kathleen
Lloyd
Hooman
Hooman
Robert
B
M
D
S
N
G
K
R
D.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
DPM
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Robert D. Weaver, DPM, Inc.
8185 E. Washington Street, #3
8185 E. Washington Street, #3
8185 E. Washington Street, #3
13241 Ravenna Road
100 Seventh Avenue, #111
4212 State Route 306, #304
8185 E. Washington Street, #3
8185 E. Washington Street, #3
12340 Bass Lake Road
13207 Ravenna Road
510 Fifth Avenue
Chagrin Falls
Chagrin Falls
Chagrin Falls
Chardon
Chardon
Willoughby
Chagrin Falls
Chagrin Falls
Chardon
Chardon
Chardon
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
Geauga
440‐543‐3627
440‐543‐3627
440‐543‐3627
440‐285‐9166
440‐286‐8841
440‐946‐7391
440‐543‐3627
440‐543‐3627
440‐446‐8600
440‐446‐8600
440‐286‐4945
Pulmonology
Pulmonology
Baggott
Baron
Lee
John
A
C
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Chardon
Chardon
OH
OH
Geauga
Geauga
440‐214‐3114 440‐285‐6110
440‐415‐0187 440‐415‐0394
Radiation Oncology
Radiation Oncology
Barton
Ellis
Fredrick
Rodney
J
J
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
13221 Ravenna Road, #12
13207 Ravenna Road ‐ Specialty Clinic
13207 Ravenna Road
13207 Ravenna Road
44023
44023
44023
44024
44024
44094
44023
44023
44024
44024
44024‐
1076
44024
44024
Chardon
Chardon
OH
OH
44024 Geauga
44024 Geauga
216‐844‐3951 216‐844‐2640
216‐844‐3951 216‐844‐2640
Geauga
Geauga
Geauga
Geauga
Phone Fax
216‐587‐2388
440‐285‐0805
440‐285‐0805
440‐285‐2959
440‐543‐7346
216‐460‐8973
216‐460‐8973
440‐285‐1806
440‐729‐8867
440‐946‐7594
216‐460‐8973
216‐460‐8973
440‐461‐4713
440‐279‐1516
Page 82 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Radiation Oncology
Ellis
Rodney
J
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
216‐844‐3103 216‐844‐2005
Radiation Oncology
Katcher
Jerald
N
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
216‐844‐3103 216‐844‐2005
Radiation Oncology
Radiation Oncology
Radiation Oncology
Radiation Oncology
Lyons
Novak
Saboori
Saboori
Janice
Louis
Mehran
Mehran
A
J
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Chardon
Chardon
Chardon
Chardon
OH
OH
OH
OH
44024
44024
44024
44024
Geauga
Geauga
Geauga
Geauga
216‐844‐3951
216‐844‐3951
216‐844‐3951
216‐844‐3103
Rheumatology
Lumapas
Arminda
L
MD
University Hospitals Medical Practices
Chardon
OH
44024 Geauga
440‐285‐6000
Rheumatology
Mandel
David
R.
MD
David R. Mandel, MD, Inc.
Chardon
OH
Friedlander
Samuel
L
MD
University Hospitals Medical Practices
Chardon
OH
44024‐ Geauga
1165
44024 Geauga
440‐286‐9433 440‐286‐9522
Sleep Medicine
Urology
Levine
Frederic
J.
MD
Drs. Levine, Reigle & Schneider, Inc.
13207 Ravenna Road ‐ Seidman Cancer Center
13207 Ravenna Road ‐ Seidman Cancer Center
13207 Ravenna Road
13207 Ravenna Road
13207 Ravenna Road
13207 Ravenna Road ‐ Seidman Cancer Center
13207 Ravenna Road ‐ Specialty Clinic
320 Center Street, Dry Insurance Bldg., Suite B 13207 Ravenna Road ‐ Specialty Clinic
13221 Ravenna Road, #2
Chardon
OH
Urology
Reigle
Melissa
D.
MD
Drs. Levine, Reigle & Schneider, Inc.
13221 Ravenna Road, #2
Chardon
OH
Urology
Schneider
Kurt
W.
MD
Drs. Levine, Reigle & Schneider, Inc.
13221 Ravenna Road, #2
Chardon
OH
Cardiology
Cardiology
Orthopedic Surgery
Pediatrics
Pediatrics
Pediatrics
Allergy & Immunology
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Johnson
Kassir
Thompson
Dutko
Vacca
Wiseman
Knauer
Devulapalli
Todd
Mohamad
George
Stephen
Kimberly
Terry
Kent
Krishna
L.
S.
H
J
A
E
A
MD
MD
MD
MD
MD
MD
MD
MD
1261 Wooster Road, #220
1261 Wooster Road, #220
546 N. Union Street
1218 Cleveland Road
1218 Cleveland Road
1218 Cleveland Road
9000 Mentor Avenue, #103
8445 Munson Road
Millersburg
Millersburg
Loudonville
Sandusky
Sandusky
Sandusky
Mentor
Mentor
OH
OH
OH
OH
OH
OH
OH
OH
Antonio
Anne
S.
SPI Cardiology One Millersburg
SPI Cardiology One Millersburg
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Crossroads: Lake County Adolescent Counseling Center
LISW Anne Soltis Antonio, LISW, BCD
38039 W. Spaulding Street
Willoughby
OH
Dugan
Amy
8445 Munson Road
Mentor
OH
Dzugan
Jennifer
8445 Munson Road
Mentor
OH
Goldhamer
Susan
8445 Munson Road
Mentor
OH
Gunsch
Annmarie
8445 Munson Road
Mentor
OH
Heidemann
Melissa
8445 Munson Road
Mentor
OH
Korsch
Amy
8445 Munson Road
Mentor
OH
Mongenel
Jennifer
8445 Munson Road
Mentor
OH
Morris
Lyle
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
LISW Crossroads: Lake County Adolescent Counseling Center
8445 Munson Road
Mentor
OH
J.
44024‐
9016
44024‐
9016
44024‐
9016
44654
44654
44842
44870
44180
44870
44060
44060‐
2410
44094‐
6110
44060‐
2410
44060‐
2410
44060‐
2410
44060‐
2410
44060‐
2410
44060‐
2410
44060‐
2410
44060‐
2410
County
Phone Fax
216‐844‐2640
216‐844‐2640
216‐844‐2640
216‐844‐2005
440‐248‐1630 440‐914‐7870
Geauga
440‐753‐0018 440‐453‐0035
Geauga
440‐753‐0018 440‐753‐0035
Geauga
440‐753‐0018 440‐453‐0035
Holmes
Holmes
Holmes
Huron
Huron
Huron
Lake
Lake
330‐674‐3000
330‐674‐3000
216‐844‐7200
419‐626‐3821
419‐626‐3821
419‐626‐3821
440‐974‐4114
440‐255‐1700
Lake
440‐918‐1806 440‐918‐1807
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
Lake
440‐255‐1700 440‐205‐2417
330‐489‐1258
330‐489‐1258
419‐626‐2477
419‐626‐2477
419‐626‐7782
440‐974‐4118
440‐205‐2417
Page 83 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Cardiac Electrophysiology
Cardiology
Cardiology
Cardiology
Cardiology
Plott
Lauren
A.
Scott
Donna
Osman
Carman
Carman
Cunningham
Doyle
Mohammed
Teresa
Teresa
Michael
Timothy
Cardiology
Doyle
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Address
City
State
Zip
County
Phone LISW Psychological & Behavioral Consultants
2770 SOM Center Road, #2
Willoughby
OH
Lake
440‐614‐2520 440‐614‐2526
8445 Munson Road
Mentor
OH
Lake
440‐255‐1700 440‐205‐2417
N
L
L
J
P.
LISW Crossroads: Lake County Adolescent Counseling Center
MD
University Hospitals Medical Group, Inc.
MD
University Hospitals Medical Group, Inc.
MD
University Hospitals Medical Group, Inc.
MD
University Hospitals Medical Group, Inc.
MD
Northeast Ohio Heart Associates, LLC
7500 Auburn Road, #1500
7500 Auburn Road, #1500
9000 Mentor Avenue, #212
7590 Auburn Road
36100 Euclid Avenue, #120
Concord Twp
Concord Twp
Mentor
Concord
Willoughby
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
216‐844‐3800
216‐844‐1261
216‐844‐3800
440‐354‐1625
440‐951‐8360
Timothy
P.
MD
Northeast Ohio Heart Associates, LLC
7580 Auburn Road, #106
Concord
OH
Lake
440‐352‐9554 440‐352‐8843
Effron
El Amm
Haldar
Hamik
Jain
Jenkins
Longenecker
Manyam
Naso
Oliveira
Osman
Samsa
Barry
Chantal
Saptarsi
Anne
Mukesh
Trevor
Christopher
Harish
Arabi
Guilherme
Mohammed
John
A
A
M
H
N
A.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Northeast Ohio Heart Associates, LLC
9000 Mentor Avenue
9000 Mentor Avenue, #212
9000 Mentor Avenue
9000 Mentor Avenue
9000 Mentor Avenue
9000 Mentor Avenue, #212
9000 Mentor Avenue, #212
9000 Mentor Avenue, #212
7590 Auburn Road
9000 Mentor Avenue, #212
7500 Auburn Road, #1500
36100 Euclid Avenue, #120
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Concord
Mentor
Concord Twp
Willoughby
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
216‐844‐3800
440‐808‐5108
216‐844‐3800
440‐354‐1625
216‐844‐3800
216‐844‐3800
440‐951‐8360
Cardiology
Samsa
John
A.
DO
Northeast Ohio Heart Associates, LLC
7580 Auburn Road, #106
Concord
OH
Lake
440‐352‐9554 440‐352‐8843
Cardiology
Schrode
Marc
D.
DO
Northeast Ohio Heart Associates, LLC
36100 Euclid Avenue, #120
Willoughby
OH
Lake
440‐951‐8360 440‐951‐9408
Cardiology
Schrode
Marc
D.
DO
Northeast Ohio Heart Associates, LLC
7580 Auburn Road, #106
Concord
OH
Lake
440‐352‐9554 440‐352‐8843
Cardiology
Wilson
Thomas
S
MD
University Hospitals Medical Group, Inc.
7500 Auburn Road
Concord Twp OH
44094‐
9111
44060‐
2410
44077
44077
44060
44077
44094‐
4426
44077‐
9616
44060
44060
44060
44060
44060
44060
44060
44060
44077
44060
44077
44094‐
4426
44077‐
9616
44094‐
4426
44077‐
9616
44077
Lake
216‐844‐3800 216‐844‐1780
Cardiology
Wilson
Thomas
S
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue
Mentor
OH
44060 Lake
216‐844‐3800 216‐844‐1780
Clinical Genetics
Critical Care
Debrosse
Baron
Suzanne
John
D
C
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
9000 Mentor Avenue, #100
7500 Auburn Road, #1200
Mentor
OH
Concord Twp OH
44060 Lake
44077 Lake
216‐844‐3936 216‐844‐7497
440‐358‐5422 440‐358‐5423
Critical Care
Blair
Russell
A.
MD
Gary B. Kaplan, MD, Inc.
36001 Euclid Avenue, Suite C6
Willoughby
44094‐ Lake
4643
440‐946‐0053 440‐946‐1812
K
L
T
Group Name
OH
Fax
216‐844‐8954
216‐844‐8954
216‐844‐8954
440‐951‐9408
216‐844‐8954
216‐844‐1780
216‐368‐4087
216‐368‐4087
216‐368‐0556
216‐844‐8954
440‐808‐5109
216‐844‐8954
216‐844‐8318
216‐844‐8954
440‐951‐9408
Page 84 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Dermatology
Dermatology
Dermatology
Bahner
Baron
Garcia‐Zuazaga
Jennifer
Elma
Jorge
D
D
A.
MD
MD
MD
7500 Auburn Road, #2500
7500 Auburn Road, #2500
7580 Auburn Road, #301
Concord Twp OH
Concord Twp OH
Concord
OH
Dermatology
Moore
Brian
W.
MD
7580 Auburn Road, #301
Concord
OH
Dermatology: Mohs Surgery
Garcia‐Zuazaga
Jorge
A.
MD
7580 Auburn Road, #301
Concord
OH
Endocrinology
Mandel
Martin
L.
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Apex Dermatology and Skin Surgery Center LLC
Apex Dermatology and Skin Surgery Center LLC
Apex Dermatology and Skin Surgery Center LLC
Martin L. Mandel, MD
36100 Euclid Avenue, #320
Willoughby
OH
Endocrinology, Diabetes, & Metabolism
ENT
ENT
Family Medicine
Family Medicine
Family Medicine
Gastroenterology
Gastroenterology
Burgun
Stephen
J
MD
University Hospitals Medical Practices
7500 Auburn Road, #1200
Concord Twp OH
Abbass
Abbass
Apostol
Beck
Noall
Abbass
Ascha
Fadi
Hassan
Margaret
Glenn
Carol
Rami
Ahmad
MD
MD
MD
DO
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
North Coast Endoscopy, Inc.
9000 Mentor Avenue, #104
9000 Mentor Avenue, #104
7500 Auburn Road, #2400
470 Bacon Road
7500 Auburn Road, # 2400
9000 Mentor Avenue, #204
9500 Mentor Avenue, #380
Mentor
Mentor
Concord
Painesville
Concord Twp
Mentor
Mentor
OH
OH
OH
OH
OH
OH
OH
Gastroenterology
Brinberg
Don
E.
MD
Great Lakes Gastroenterology, LLC
36100 Euclid Avenue, #490
Willoughby
OH
Gastroenterology
Brinberg
Don
E.
MD
Great Lakes Gastroenterology, LLC
9485 Mentor Avenue, #105
Mentor
OH
Gastroenterology
Gastroenterology
Cameron
Friedenberg
Robert
Keith
B
A.
MD
MD
University Hospitals Medical Practices
Great Lakes Gastroenterology, LLC
9000 Mentor Avenue, #204
9485 Mentor Avenue, #105 Mentor
Mentor
OH
OH
Gastroenterology
Khatami
Sayed
S.
MD
Great Lakes Gastroenterology, LLC
36100 Euclid Avenue, #490
Willoughby
OH
Gastroenterology
Khatami
Sayed
S.
MD
Great Lakes Gastroenterology, LLC
9485 Mentor Avenue, #105 Mentor
OH
Gastroenterology
General Surgery
Mansour
Borison
Nadia
Daniel
K
I.
MD
MD
University Hospitals Medical Practices
Cleveland Surgical Associates
9000 Mentor Avenue, #204
36060 Euclid Avenue, #107
Mentor
Willoughby
OH
OH
General Surgery
General Surgery
General Surgery
General Surgery
Elliott
Jasper
Kim
Parks
Heidi
John
Anne
Jeffrey
L
J
C
C.
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Cleveland Surgical Associates
9000 Mentor Avenue, #209
9000 Mentor Avenue, #210
9000 Mentor Avenue, #100
36060 Euclid Avenue, #107
Mentor
Mentor
Mentor
Willoughby
OH
OH
OH
OH
General Surgery
General Surgery: Hand Surgery
Wilhelm
Soltanian
Scott
Hooman
M
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #209
9000 Mentor Avenue
Mentor
Mentor
OH
OH
44060
44060
44077
44077
44077
44060
44060‐
8717
44094‐
4488
44060‐
8722
44060
44060‐
8722
44094‐
4488
44060‐
8722
44060
44094‐
4661
44060
44060
44060
44094‐
4661
44060
44060
Geriatric Medicine
Gynecological Oncology
Gynecological Oncology
Hematology/Oncology
Goud
Nagel
Waggoner
Bergman
Gundumalla
Christa
Steven
Mark
S
I
E
D
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Faculty Practice, Inc.
7500 Auburn Road, #2300
9000 Mentor Avenue, #209
9000 Mentor Avenue, #209
36000 Euclid Avenue
Concord Twp
Mentor
Mentor
Willoughby
OH
OH
OH
OH
44077
44060
44060
44094
Hematology/Oncology
Bergman
Mark
D
MD
University Hospitals Faculty Practice, Inc.
9485 Mentor Avenue
Mentor
OH
A
E
L
State
Zip
County
Phone Fax
44077
44077
44077‐
9618
44077‐
9618
44077‐
9618
44094‐
4489
44077
Lake
Lake
Lake
440‐358‐5445 216‐201‐5213
216‐844‐8200
440‐352‐7546 440‐352‐5260
Lake
440‐352‐7546 440‐352‐5260
Lake
440‐352‐7546 440‐352‐5260
Lake
440‐951‐1073 440‐951‐1844
Lake
440‐285‐3621 440‐285‐3625
Lake
Lake
Lake
Lake
Lake
Lake
Lake
440‐974‐4174
440‐974‐4174
440‐358‐5440
440‐354‐9900
440‐358‐5440
440‐708‐1555
440‐352‐9400
Lake
440‐205‐1225
Lake
440‐205‐1225 440‐205‐1275
Lake
Lake
440‐708‐1555 440‐708‐1515
440‐205‐1225 440‐205‐1275 Lake
440‐205‐1225
Lake
440‐205‐1225 440‐205‐1275 Lake
Lake
440‐708‐1555 440‐708‐1515
440‐684‐0000 440‐684‐0049
Lake
Lake
Lake
Lake
216‐844‐7874
440‐974‐4224
216‐844‐3051
440‐684‐0000
Lake
Lake
216‐844‐7874 216‐844‐1385
440‐461‐7999
Lake
Lake
Lake
Lake
440‐350‐7444 440‐350‐7440
216‐844‐3954 216‐844‐7631
440‐974‐4403
440‐205‐5755 440‐205‐5792
44060 Lake
440‐205‐5755 440‐205‐5792
440‐786‐1321
440‐974‐4108
440‐358‐5441
440‐354‐9910
440‐358‐5441
440‐708‐1515
440‐352‐9407
216‐844‐5398
440‐974‐4151
216‐844‐7597
440‐684‐0049
Page 85 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Hematology/Oncology
Espinosa
Maria
T.
MD
9485 Mentor Avenue, #3
Mentor
OH
Espinosa
Maria
T
MD
9485 Mentor Avenue
Mentor
OH
44060‐ Lake
8711
44060 Lake
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Lake Health/University Hospitals Seidman Cancer Center Physicians Inc.
University Hospitals Faculty Practice, Inc.
Hematology/Oncology
Lobins
Raymond
L.
DO
9485 Mentor Avenue, #3
Mentor
OH
Lobins
Raymond
L
DO
9485 Mentor Avenue
Mentor
OH
44060‐ Lake
8711
44060 Lake
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Lake Health/University Hospitals Seidman Cancer Center Physicians Inc.
University Hospitals Faculty Practice, Inc.
Hematology/Oncology
Saltzman
Joel
N.
MD
9485 Mentor Avenue, #3
Mentor
OH
Saltzman
Joel
N
MD
36000 Euclid Avenue
Willoughby
OH
44060‐ Lake
8711
44094 Lake
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Lake Health/University Hospitals Seidman Cancer Center Physicians Inc.
University Hospitals Faculty Practice, Inc.
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Saltzman
Joel
N
MD
University Hospitals Faculty Practice, Inc.
9485 Mentor Avenue
Mentor
OH
44060 Lake
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Van Heeckeren
Willem
J.
MD
9485 Mentor Avenue, #3
Mentor
OH
Van Heeckeren
Willem
J
MD
36000 Euclid Avenue
Willoughby
OH
44060‐ Lake
8711
44094 Lake
440‐205‐5755 440‐205‐5792
Hematology/Oncology
Lake Health/University Hospitals Seidman Cancer Center Physicians Inc.
University Hospitals Faculty Practice, Inc.
Hematology/Oncology
Van Heeckeren
Willem
J
MD
University Hospitals Faculty Practice, Inc.
9485 Mentor Avenue
Mentor
OH
44060 Lake
440‐205‐5755 440‐205‐5792
Infectious Disease
Ogunlesi
Olusegun
A.
MD
Axelix Health Consulting, Inc.
7062 Wayside Drive
Mentor
OH
Lake
440‐867‐4800 866‐406‐9470
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Fernandes
Goud
Kakish
Lele
Lele
Manohar
Milagres
Gundumalla
Robert
Anju
Shreeniwas
Chenguttai
M
S
S
S
N
J
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
7500 Auburn Road, #2300
7500 Auburn Road, #2300
7500 Auburn Road, #2200
9000 Mentor Avenue, #105
9000 Mentor Avenue, #105
701 N. Lake Street, #101
Concord Twp
Concord Twp
Concord Twp
Mentor
Mentor
Madison
OH
OH
OH
OH
OH
OH
44060‐
6527
44077
44077
44077
44060
44060
44057
Lake
Lake
Lake
Lake
Lake
Lake
440‐358‐5555
440‐350‐7444
440‐358‐5433
440‐974‐4404
440‐974‐4404
440‐428‐7512
440‐358‐5556
440‐350‐7440
440‐358‐5434
440‐974‐4164
440‐974‐4164
440‐426‐4848
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Interventional Cardiology
Interventional Cardiology
Mikhail
Mikhail
Parris
Senft
Parikh
Schrode
Josephine
Yasser
David
James
Sahil
Marc
R
S
C
A
A
D.
MD
MD
MD
MD
MD
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Northeast Ohio Heart Associates, LLC
701 N. Lake Street
890 W. Main Street, #103
9000 Mentor Avenue, #105
9000 Mentor Avenue, #105
7500 Auburn Road
36100 Euclid Avenue, #120
Madison
Geneva
Mentor
Mentor
Concord Twp
Willoughby
OH
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
Lake
440‐428‐1106
440‐466‐4641
440‐974‐4404
440‐974‐4404
216‐844‐3800
440‐951‐8360
440‐428‐4848
440‐466‐1871
440‐974‐4164
440‐974‐4164
Interventional Cardiology
Schrode
Marc
D.
DO
Northeast Ohio Heart Associates, LLC
7580 Auburn Road, #106
Concord
OH
Lake
440‐352‐9554 440‐352‐8843
Interventional Cardiology
Stefano
Gregory
T
MD
University Hospitals Medical Practices
Concord Twp OH
Lake
440‐358‐5480 440‐358‐5481
Medical Oncology
Bergman
Mark
D.
MD
Mentor
OH
Lake
440‐205‐5755 440‐205‐5792
Nephrology
Azem
Jamal
M.
MD
Lake Health/University Hospitals Seidman Cancer Center Physicians Inc.
Jamal Azem MD
7500 Auburn Road, #1500 ‐
Harrington Heart & Vascular Institute
9485 Mentor Avenue, #3
44057
44041
44060
44060
44077
44094‐
4426
44077‐
9616
44077
36100 Euclid Avenue, #330
Willoughby
OH
Lake
440‐269‐8020 440‐269‐1646
Nephrology
Nephrology
Menon
Youssef
Aiyappan
Jacques
J.
MD
MD
University Hospitals Medical Practices
Jamal Azem MD
7500 Auburn Road, #2500
36100 Euclid Avenue, #330
Concord Twp OH
Willoughby
OH
Lake
Lake
440‐285‐6950 440‐285‐6985
440‐269‐8020 440‐269‐1646
Neurology
Rorick
Mark
B
MD
University Hospitals Medical Practices
9000 Mentor Avenue, #107
Mentor
Lake
440‐285‐2888 440‐285‐2895
OH
44060‐
8711
44094‐
4456
44077
44094‐
4489
44060
County
Phone Fax
440‐205‐5755 440‐205‐5792
440‐205‐5755 440‐250‐5713
440‐205‐5755 440‐205‐5792
440‐951‐9408
Page 86 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Neurology
Smith
Kristen
A.
MD
Associates in Neurology, Inc.
35040 Chardon Road, #110
OH
440‐946‐1200 440‐946‐5186 Sunshine
Joshua
J.
MD
Associates in Neurology, Inc.
35040 Chardon Road, #110
Lake
440‐946‐1200 440‐946‐5186
Neurology
Tani
Marie
MD
Leonard M. Weinberger, MD, Inc.
7535 Fredle Drive
Lake
440‐357‐3100 440‐357‐8254
Neurology
Neurology
Tani
Tessman
Marie
Patrick
MD
MD
University Hospitals Medical Practices
Associates in Neurology, Inc.
7535 Fredle Drive
35040 Chardon Road, #110
OH
OH
Lake
Lake
440‐357‐3100 440‐357‐8254
440‐946‐1200 440‐946‐5186
Neurology
Ob/Gyn
Weinberger
Ahuja
Leonard
Samir
M
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
7535 Fredle Drive
9000 Mentor Avenue, #215
Concord
Willoughby Hills
Concord
Mentor
OH
OH
44094‐
9004
44094‐
9004
44077‐
9406
44077
44094‐
9004
44077
44060
Lake
Neurology
Willoughby Hills
Willoughby Hills
Concord
Lake
Lake
440‐357‐3100 440‐357‐8254
440‐205‐5870 440‐205‐5881
Ob/Gyn
Gerecke
Marie
G
CNM University Hospitals Medical Practices
9000 Mentor Avenue, #215
Mentor
OH
44060 Lake
440‐205‐5870 440‐205‐5881
Ob/Gyn
Mcnamara
Patricia
A
MD
University Hospitals Medical Practices
701 N. Lake Street, #107
Madison
OH
44054 Lake
440‐708‐1500 440‐708‐1560
Ob/Gyn
Mcnamara
Patricia
A
MD
University Hospitals Medical Practices
7500 Auburn Road, #2600
Concord Twp OH
44077 Lake
440‐286‐9238 440‐286‐4832
Ob/Gyn
Miller
Jennifer
A
MD
University Hospitals Medical Practices
7500 Auburn Road, #2600
Concord Twp OH
44077 Lake
440‐358‐5466 440‐358‐5467
Ob/Gyn
Nagel
Christa
I
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #209
Mentor
OH
44060 Lake
216‐844‐3954 216‐844‐7631
Ob/Gyn
Nakayama
John
M
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #209
Mentor
OH
44060 Lake
216‐844‐3954 216‐844‐7631
Ob/Gyn
Waggoner
Steven
E
MD
University Hospitals Medical Group, Inc.
9000 Mentor Avenue, #209
Mentor
OH
44060 Lake
440‐974‐4403
Ophthalmology
Conti
Stephen
M.
MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Ophthalmology
Pachydaki
Sophia
L.
MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Ophthalmology
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Oral Surgery
Pugh
Conti
David
Stephen
B
M.
MD
MD
University Hospitals Medical Practices
Vitreo‐Retinal Consultants, Inc.
9000 Mentor Avenue, #102
7766 Reynolds Road
Mentor Mentor
OH
OH
Lake
Lake
440‐974‐4141 440‐974‐4130
440‐918‐7417 440‐918‐7440
Estafanous
Marcus
F. G. MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Gersman
Mark
A.
MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Kaufman
Stephen
R.
MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Wenz
Robert
E.
MD
Vitreo‐Retinal Consultants, Inc.
7766 Reynolds Road
Mentor
OH
Lake
440‐918‐7417 440‐918‐7440
Schneider
Keith
M.
DMD Schneider Oral & Maxillofacial Surgery, Inc.
7207 Hopkins Road
Mentor
OH
Lake
440‐255‐3700 440‐255‐4375
Orthopedic Surgery
Orthopedic Surgery
Anderson
Combs
James
Steven
R
P.
MD
MD
University Hospitals Medical Group, Inc.
Lake Orthopaedic Associates
9000 Mentor Avenue, #214
36060 Euclid Avenue, #104
Mentor
Willoughby
OH
OH
Lake
Lake
216‐844‐7200
440‐942‐1050 440‐942‐9433
Orthopedic Surgery
Orthopedic Surgery
Combs
Combs
Steven
Steven
P.
P.
MD
MD
Lake Orthopaedic Associates
Lake Orthopaedic Associates
6270 N. Ridge Road
9500 Mentor Avenue, #210
Madison
Mentor
OH
OH
44060‐
5321
44060‐
5321
44060
44060‐
5321
44060‐
5321
44060‐
5321
44060‐
5321
44060‐
5321
44060‐
6425
44060
44094‐
4661
44057‐
44060‐
8714
Lake
Lake
888‐377‐1711
440‐352‐1711 440‐352‐7562
A.
OH
OH
Fax
Page 87 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Cupp
Eubanks
Eubanks
Fitzgerald
Gillespie
Gillespie
Gobezie
Nahra
Sean
Jason
Jason
Steven
Robert
Robert
Reuben
Mitchell
A
D
D
J
J
J
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Lake Orthopaedic Associates
9000 Mentor Avenue, #209
7500 Auburn Road
9000 Mentor Avenue
7500 Auburn Road, #2500
7500 Auburn Road, #2500
9000 Mentor Avenue, #209
9000 Mentor Avenue, #107
36060 Euclid Avenue, #104
Mentor
Concord Twp
Mentor
Concord Twp
Concord Twp
Mentor
Mentor
Willoughby
OH
OH
OH
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
216‐844‐7200
440‐646‐9636
440‐942‐1050
Orthopedic Surgery
Nahra
Mitchell
E.
MD
Lake Orthopaedic Associates
9500 Mentor Avenue, #210
Mentor
OH
Lake
440‐352‐1711 440‐352‐7562
Orthopedic Surgery
Nickodem
Robert
MD
Lake Orthopaedic Associates
36060 Euclid Avenue, #104
Willoughby
OH
Lake
440‐942‐1050 440‐942‐9433
Orthopedic Surgery
Nickodem
Robert
MD
Lake Orthopaedic Associates
9500 Mentor Avenue, #210
Mentor
OH
Lake
440‐352‐1711 440‐352‐7562
Orthopedic Surgery
Parsons
Eric
M.
MD
Lake Orthopaedic Associates
36060 Euclid Avenue, #104
Willoughby
OH
Lake
440‐942‐1050 440‐942‐9433
Orthopedic Surgery
Parsons
Eric
M.
MD
Lake Orthopaedic Associates
7580 Auburn Road, #214
Concord
OH
Lake
888‐377‐1711
Orthopedic Surgery
Parsons
Eric
M.
MD
Lake Orthopaedic Associates
9500 Mentor Avenue, #210
Mentor
OH
Lake
440‐352‐1711 440‐352‐7562
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Pain Management
Wera
Zimmer
Zimmer
Bucchieri
Glenn
Scott
Scott
John
D
M
M
S.
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
Lake Orthopaedic Associates
9000 Mentor Avenue
7500 Auburn Road, #2500
9000 Mentor Avenue, #107
36060 Euclid Avenue, #104
Mentor
Concord Twp
Mentor
Willoughby
OH
OH
OH
OH
Lake
Lake
Lake
Lake
216‐844‐7200
440‐285‐5004 440‐285‐0805
440‐285‐5004 440‐285‐0805
440‐942‐1050 440‐942‐9433
Bucchieri
John
S.
MD
Lake Orthopaedic Associates
9500 Mentor Avenue, #210
Mentor
OH
Lake
440‐352‐1711 440‐352‐7562
Brown
Lisa
A
MD
University Hospitals Medical Practices
7500 Auburn Road, #1500 ‐
Comprehensive Pain Center
Concord Twp OH
44060
44077
44060
44077
44077
44060
44060
44094‐
4661
44060‐
8714
44094‐
4661
44060‐
8714
44094‐
4661
44077‐
9617
44060‐
8714
44060
44077
44060
44094‐
4661
44060‐
8714
44077
216‐844‐5970
E.
MD
MD
MD
MD
MD
MD
MD
MD
Lake
440‐285‐2960 440‐285‐2959
Pain Management
Demangone
David
A.
MD
Pain Management Associates, Inc.
6025 Commerce Circle, #2
Willoughby
OH
Lake
440‐944‐1414 440‐944‐1445
Pain Management
Pain Management
Pain Medicine
Hayek
Khalil
Ko
Salim
Al‐Amin
Timothy
M
A
Y.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Pinnacle Pain & Spine Consultants
9000 Mentor Avenue
9000 Mentor Avenue
7580 Auburn Road, #102 Mentor
Mentor
Painesville
OH
OH
OH
Lake
Lake
Lake
440‐460‐8000 440‐460‐1759
216‐844‐7330
440‐358‐1116 440‐350‐3855
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric General Surgery
Pediatric Neurology
Pediatric Neurology
Pediatric Sports Medicine
Pediatrics
Pediatrics
Pediatrics
Shivapour
Viswanathan
Aktay
Kim
Goldstein
Park
Weiss Kelly
Brindza
Burgin
Danan
Jill
Anuradha
Atiye
Anne
Jessica
Jun
Amanda
Deborah
Diane
Naser
K
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
9000 Mentor Avenue, #212
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
4212 State Route 306, #304
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Willoughby
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐3051
216‐844‐7700
216‐844‐7000
216‐844‐3595
440‐974‐4411
440‐974‐4411
440‐946‐7391
C
H
T
K
C
A
44094‐
9668
44060
44060
44077‐
9616
44060
44060
44060
44060
44060
44060
44060
44060
44060
44094
216‐844‐5970
216‐844‐5970
216‐844‐5970
440‐995‐3816
440‐942‐9433
216‐844‐5478
216‐844‐8900
216‐844‐8397
216‐844‐7597
216‐844‐8699
216‐201‐5338
216‐844‐8444
440‐974‐4173
440‐974‐4173
440‐946‐7594
Page 88 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Plastic Surgery
Plastic Surgery
Dykeman
Dykeman
Ertel
Ertel
Ertel
Gallagher
Gherman
Kannensohn
Rosace
Sheth
Usis
Keum
Susan
Susan
Joy
Joy
Joy
Marilee
Cynthia
Jon
Regina
Neha
Eriks
Matthew
M
M
B
B
B
L
R
D
M
N
A
M.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Oaktree Clinic
7500 Auburn Road, #2600
9000 Mentor Avenue, #100
7500 Auburn Road, #2600
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
9000 Mentor Avenue, #100
4212 State Route 306, #304
9000 Mentor Avenue, #100
36060 Euclid Avenue, #101
Concord Twp
Mentor
Concord Twp
Mentor
Mentor
Mentor
Mentor
Mentor
Mentor
Willoughby
Mentor
Willoughby
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
440‐358‐5455
440‐974‐4411
440‐358‐5458
440‐974‐4411
440‐974‐4411
440‐974‐4411
440‐974‐4411
440‐974‐4411
440‐974‐4411
440‐946‐7391
440‐974‐4411
440‐269‐4990
440‐358‐5456
440‐974‐4173
440‐358‐5456
440‐974‐4173
440‐974‐4173
440‐974‐4173
440‐974‐4173
440‐974‐4173
440‐974‐4173
440‐946‐7594
440‐974‐4173
440‐269‐4991
Keum
Matthew
M.
MD
Oaktree Clinic
8401 Mentor Avenue
Mentor
OH
Lake
440‐205‐9119
Keum
Matthew
M.
MD
Oaktree Clinic
9485 Mentor Avenue, #214
Mentor
OH
Lake
440‐205‐9119 440‐205‐9209
Becker
Binder
Devra
Michael
B
P.
MD
MD
University Hospitals Medical Group, Inc.
Michael P. Binder, MD
9000 Mentor Avenue
36100 Euclid Avenue, #290
Mentor
Willoughby
OH
OH
Lake
Lake
440‐205‐4505 440‐446‐8601
440‐953‐4646 440‐953‐0858
Plastic Surgery
Plastic Surgery
Plastic Surgery
Podiatry
Lakin
Rowe
Soltanian
Lupica
Gregory
David
Hooman
Jeffrey
E
J
C.
MD
MD
MD
DPM
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Lake Orthopaedic Associates
9000 Mentor Avenue
9000 Mentor Avenue
9000 Mentor Avenue
36060 Euclid Avenue, #104
Mentor
Mentor
Mentor
Willoughby
OH
OH
OH
OH
Lake
Lake
Lake
Lake
440‐461‐7999 440‐423‐5041
216‐844‐4780
440‐461‐7999
440‐942‐1050 440‐942‐9433
Podiatry
Lupica
Jeffrey
C.
DPM
Lake Orthopaedic Associates
9500 Mentor Avenue, #210
Mentor
OH
Lake
440‐352‐1711 440‐352‐7562
Podiatry
Podiatry
Ritz
Weaver
Gary
Robert
A
D.
DPM
DPM
University Hospitals Medical Practices
Robert D. Weaver, DPM, Inc.
7500 Auburn Road, #1200
29804 Lakeshore Blvd.
Concord Twp OH
Willowick
OH
Lake
Lake
440‐684‐9930 440‐729‐6316
440‐833‐2001 440‐833‐2029
Pulmonology
Pulmonology
Pulmonology
Baggott
Baron
Blair
Lee
John
Russell
A
C
A.
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Gary B. Kaplan, MD, Inc.
7500 Auburn Road, #1500
7500 Auburn Road, #1200
36001 Euclid Avenue, Suite C6
Concord
OH
Concord Twp OH
Willoughby
OH
Lake
Lake
Lake
440‐358‐5480 440‐358‐5481
440‐358‐5422 440‐358‐5423
440‐946‐0053 440‐946‐1812
Pulmonology
Kaplan
Gary
MD
Gary B. Kaplan, MD, Inc.
36001 Euclid Avenue, Suite C6
Willoughby
OH
Lake
440‐946‐0053 440‐946‐1812
Radiation Oncology
Barton
Fredrick
J.
MD
9485 Mentor Avenue, #3
Mentor
OH
Lake
440‐205‐5788 440‐205‐5781
Radiation Oncology
Novak
Louis
J.
MD
9485 Mentor Avenue, #3
Mentor
OH
Lake
440‐205‐5788 440‐205‐5781
Radiation Oncology
Radiation Oncology
Rheumatology
Rheumatology
Rheumatology
Rheumatology
Urology
Urology
Saboori
Yao
Flagg
Lumapas
Roter
Roter
Autorino
Kern Laydner
Mehran
Min
Douglas
Arminda
Elisabeth
Elisabeth
Riccardo
Humberto
N
L
S
S
MD
MD
MD
MD
MD
MD
MD
MD
Lake Health/University Hospitals Seidman Cancer Centers
Lake Health/University Hospitals Seidman Cancer Centers
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
9485 Mentor Avenue
9485 Mentor Avenue
7500 Auburn Road, #2200
7500 Auburn Road, #2200
7500 Auburn Road, #2200
9000 Mentor Avenue, #105
9000 Avenue, #209
9000 Mentor Avenue, #209
Mentor
Mentor
Concord Twp
Concord Twp
Concord Twp
Mentor
Mentor
Mentor
OH
OH
OH
OH
OH
OH
OH
OH
44077
44060
44077
44060
44060
44060
44060
44060
44060
44094
44060
44094‐
4661
44060‐
5842
44060‐
8725
44060
44094‐
4476
44060
44060
44060
44094‐
4661
44060‐
8714
44077
44095‐
4611
44077
44077
44094‐
4643
44094‐
4643
44060‐
8711
44060‐
8711
44060
44060
44077
44077
44077
44060
44060
44060
Lake
Lake
Lake
Lake
Lake
Lake
Lake
Lake
216‐844‐3951
216‐844‐3951
440‐358‐5411
440‐285‐3133
440‐358‐5411
440‐974‐4404
440‐516‐8700
440‐516‐8700
216‐844‐2640
440‐358‐5434
440‐285‐3135 440‐358‐5434
440‐974‐4164
440‐232‐9491
440‐232‐9491
Page 89 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Urology
Levine
Frederic
J.
MD
Drs. Levine, Reigle & Schneider, Inc.
7580 Auburn Road
Concord
OH
Lake
440‐753‐0018 440‐753‐0035
Urology
Reigle
Melissa
D.
MD
Drs. Levine, Reigle & Schneider, Inc.
7580 Auburn Road
Concord
OH
Lake
440‐753‐0018 440‐753‐0035
Urology
Schneider
Kurt
W.
MD
Drs. Levine, Reigle & Schneider, Inc.
7580 Auburn Road
Concord
OH
Lake
440‐753‐0018 440‐753‐0035
Vascular Medicine
Kezele
Gregory
P.
MD
Northeast Ohio Vascular Associates, Inc.
36060 Euclid Avenue, #107
Willoughby
OH
Lake
440‐269‐8346 440‐975‐5763
Vascular Medicine
Kezele
Gregory
P.
MD
Northeast Ohio Vascular Associates, Inc.
7062 Wayside Drive
Mentor
OH
Lake
440‐269‐8346
Vascular Surgery
Langenberg
Matthew
T.
MD
Northeast Ohio Vascular Associates, Inc.
36060 Euclid Avenue, #107
Willoughby
OH
Lake
440‐269‐8346 440‐975‐5763
Vascular Surgery
Rao
Vikram
K.
MD
Northeast Ohio Vascular Associates, Inc.
36060 Euclid Avenue, #107
Willoughby
OH
Lake
440‐269‐8346 440‐975‐5763
Vascular Surgery
Rollins
David
L.
MD
Northeast Ohio Vascular Associates, Inc.
36060 Euclid Avenue, #107
Willoughby
OH
Lake
440‐269‐8346 440‐975‐5763
Vascular Surgery
Rollins
David
L.
MD
Northeast Ohio Vascular Associates, Inc.
7062 Wayside Drive
Mentor
OH
Lake
440‐269‐8346
Allergy & Immunology
Panuto
John
A.
MD
ENT and Allergy Health Services, Inc.
252 E. Broad Street
Elyria
OH
Lorain
440‐329‐7760 440‐284‐0684
Allergy & Immunology
Rambasek
Todd
E.
MD
ENT and Allergy Health Services, Inc.
5065 Oberlin Avenue
Lorain
OH
Lorain
440‐282‐5910 440‐328‐4189
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Clark
Anna
Lisa
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
OH
Lorain
440‐327‐1800 440‐327‐1533
Davila
Doris
J.
LISW Applewood Centers, Inc.
347 Midway Blvd., #306
North Ridgeville
Elyria
Lorain
440‐324‐1300 440‐324‐0070
Eltrich
Pamela
P.
LISW Psychiatric & Psychological Services 750 S. Abbe Road
Elyria
OH
Lorain
440‐323‐5121 440‐ 323‐5134 Geller
Trenda
F.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
Elyria
OH
Lorain
440‐327‐1800 440‐327‐1533
Golba
Timothy
P.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
OH
Lorain
440‐327‐1800 440‐327‐1533
Golba
Timothy
P.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
North Ridgeville
Elyria
Lorain
440‐327‐1800 440‐327‐1533
Joslyn
Noreen
H.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Manns‐
Birmingham
Mayer
Patricia
A.
LISW Psychiatric & Psychological Services
Lorain
440‐323‐5121 440‐323‐5134
Joanne
M.
Lorain
440‐324‐1300 440‐324‐0070
McKenna
Colleen
Lorain
440‐327‐1800 440‐327‐1533
Migra
44077‐
9615
44077‐
9615
44077‐
9615
44094‐
4661
44060‐
6527
44094‐
4661
44094‐
4661
44094‐
4661
44060‐
6527
44035‐
6433
44053‐
3431
44039‐
3086
44035‐
2496
44035‐
7246
44035‐
0603
44039‐
3086
44035‐
0603
44039‐
3086
44035‐
7246
44035‐
2496
44039‐
3086
44035‐
7246
44039‐
3086
44035‐
0603
Lorain
440‐323‐5121 440‐323‐5134
Lorain
440‐327‐1800 440‐327‐1533
Lorain
440‐327‐1800 440‐327‐1533
OH
OH
750 S. Abbe Road
North Ridgeville
Elyria
OH
LISW Applewood Centers, Inc.
347 Midway Blvd., #306
Elyria
OH
A.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
OH
Mary
M.
LISW Psychiatric & Psychological Services
750 S. Abbe Road
North Ridgeville
Elyria
Petrey
Timothy
L.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Petrey
Timothy
L.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
North Ridgeville
Elyria
OH
OH
OH
OH
Fax
Page 90 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychology
Priester
James
W.
Roll
Emily
Sulin
Group Name
Address
City
State
Zip
County
Phone LISW Psychiatric & Psychological Services 750 S. Abbe Road Elyria
OH
Lorain
440‐323‐5121 440‐323‐5134 J.
LISW Psychiatric & Psychological Services
750 S. Abbe Road
Elyria
OH
Lorain
440‐323‐5121 440‐323‐5134
Marjorie
E.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
OH
Lorain
440‐327‐1800 440‐327‐1533
Treisch‐Chirdon
Valerie
J.
LISW Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Walker
Crystal
L.
LISW Applewood Centers, Inc.
347 Midway Blvd., #306
North Ridgeville
North Ridgeville
Elyria
Lorain
440‐324‐1300 440‐324‐0070
Bacon
Jill
E.
PsyD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
OH
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Brandon
Catherine
M.
PsyD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Brandon
Catherine
M.
PsyD
Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
North Ridgeville
North Ridgeville
Elyria
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
DeLuca
Kenneth
A.
PhD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
DeLuca
Kenneth
A.
PhD
Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Elman
Barnett
D.
PhD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Hoelscher
Joseph
P.
EdD
Kenneth A. DeLuca, PhD & Associates, Inc.
5329 N. Abbe Road, #1
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Randall
Janet
PhD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Behavioral Health: Psychology
Santantonio
Diana
S.
EDS
Psychiatric & Psychological Services
750 S. Abbe Road
Lorain
440‐323‐5121 440‐323‐5134
Behavioral Health: Psychology
Zbornik
John
J.
PhD
Kenneth A. DeLuca, PhD & Associates, Inc.
35888 Center Ridge Road, #5
Lorain
440‐327‐1800 440‐327‐1533
Cardiology
Coletta
John
E.
MD
West Side Cardiology Associates
Lorain
440‐899‐2423 440‐899‐2738
Cardiology
Nukta
Emad
D.
MD
Lorain
440‐899‐2423 440‐899‐2738
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Cardiothoracic Surgery
Chiropractic
Deo
Markowitz
Park
Robke
Barry
Salil
Alan
Soon
Jason
Janet
V
H
J
M
M.
Lorain
Lorain
Lorain
Lorain
Lorain
440‐329‐7536
440‐284‐8600
440‐284‐8600
440‐329‐7536
440‐934‐2273
Chiropractic
Poyle
Geoffrey
Lorain
440‐933‐7894 440‐933‐5231
Chiropractic
Poyle
Lorain
440‐934‐2273 440‐934‐2274
Colon & Rectal Surgery
Dermatology
Lorain
Lorain
440‐324‐0400 440‐324‐0441
440‐937‐4951 440‐937‐4956
Dermatology
44035‐
7246
44035‐
7246
44039‐
3086
44039‐
3086
44035‐
2496
44039‐
3086
44039‐
3086
44035‐
0603
44039‐
3086
44035‐
0603
44039‐
3086
44035‐
0603
44039‐
3086
44035‐
7246
44039‐
3086
44035‐
1469
44035‐
1469
44035
44035
44035
44035
44035‐
1449
44012‐
2235
44035‐
1449
44035
44011‐
4064
44011‐
4064
Lorain
440‐937‐4951 440‐937‐4956
OH
OH
OH
OH
North Ridgeville
Elyria
OH
North Ridgeville
Elyria
OH
North Ridgeville
Elyria
OH
OH
OH
OH
5323 Meadow Lane Court
North Ridgeville
Elyria
OH
OH
West Side Cardiology Associates
5323 Meadow Lane Court
Elyria
OH
MD
MD
MD
MD
DC
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Chiropractic Concepts, Inc.
630 E. River Street, #125
630 E. River Street
630 E. River Street
630 E. River Street, #125
5395 Abbe Road
Elyria
Elyria
Elyria
Elyria
Elyria
OH
OH
OH
OH
OH
A.
DC
Chiropractic Concepts, Inc.
32730 Walker Road
Avon Lake
OH
Gregory
R.
DC
Chiropractic Concepts, Inc.
5395 Abbe Road
Elyria
OH
Khan
Bedocs
Sadaf
Laleh
A.
MD
DO
University Hospitals Medical Practices
Dermatology Partners, Inc.
41201 Schadden Road
36701 American Way, #3
Elyria
Avon
OH
OH
Bedocs
Paul
M.
DO
Dermatology Partners, Inc.
36701 American Way, #3
Avon
OH
Fax
440‐329‐7727
440‐284‐8595
440‐284‐8595
440‐329‐7727
440‐934‐2274
Page 91 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Dermatology
Cevasco
Nathaniel
C.
MD
Dermatology Partners, Inc.
36701 American Way, #3
Avon
OH
Lorain
440‐937‐4951 440‐937‐4956
Dermatology
Gould
Jennifer
W.
MD
Dermatology Partners, Inc.
36701 American Way, #3
Avon
OH
Lorain
440‐937‐4951 440‐937‐4956
Dermatology
Mirando
William
MD
William S. Mirando, MD, LLC
201 N. Leavitt Road
Amherst
OH
Lorain
440‐985‐3376 440‐985‐3379
Endocrinology
Kumar
Vikramjeet
MD
Vikram Kumar, MD, Inc.
210 E. Broad Street
Elyria
OH
Lorain
440‐322‐0872 440‐322‐4991
ENT
Guay
Marc
E.
MD
ENT and Allergy Health Services, Inc.
252 E. Broad Street
Elyria
OH
Lorain
440‐329‐7760 440‐284‐0684
ENT
Guay
Marc
E.
MD
ENT and Allergy Health Services, Inc.
5065 Oberlin Avenue
Lorain
OH
Lorain
440‐282‐5910 440‐282‐5932
ENT
ENT
Guay
Mehta
Marc
Govindram
E.
K.
MD
MD
University Hospitals Medical Practices
Govindram K. Mehta, MD, Inc.
5001 Transportation Drive, #200
125 E. Broad Street, #322
Sheffield
Elyria
OH
OH
Lorain
Lorain
440‐328‐3444 440‐201‐6348
440‐329‐7345 440‐329‐7347
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Dinger
Lacerna
Morris
Viswanath
W.
Gary
Rogener
B
Heidi
A
Basavarajappa
DO
MD
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
5319 Meadow Lane Court
5319 Meadow Lane Court
489 N. Main Street
125 E. Broad Street, #209
Amherst
Elyria
Grafton
Elyria
OH
OH
OH
OH
44011‐
4064
44011‐
4064
44001‐
1124
44035‐
6431
44035‐
6433
44053‐
3431
44054
44035‐
6447
44035
44035
44044
44035
Lorain
Lorain
Lorain
Lorain
440‐934‐5575
440‐934‐5575
440‐329‐4540
440‐329‐7310
Gastroenterology
Muthunayagam
Newton
MD
North Shore Gastroenterology, Inc.
125 E. Broad Street, #115
Elyria
OH
Lorain
440‐808‐1212 440‐808‐0321
Gastroenterology
Razack
Abdul
T.
MD
Abdul T. Razack MD., Inc.
3600 Kolbe Road, #221
Lorain
OH
Lorain
440‐960‐2718 440‐960‐5633
Gastroenterology
Straub
Robert
F.
MD
North Shore Gastroenterology, Inc.
125 E. Broad Street, #115
Elyria
OH
Lorain
440‐808‐1212 440‐ 808‐0321 Gastroenterology
Tully
John
O.
MD
North Shore Gastroenterology, Inc.
125 E. Broad Street, #115
Elyria
OH
Lorain
440‐808‐1212 440‐808‐0321
General Surgery
General Surgery
General Surgery
General Surgery
Brown
Freyvogel
Khan
Warner
Joanna
Mary
Sadaf
Keith
K
E
M.
MD
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Northeast Surgical Associates of Ohio, Ltd.
125 E. Broad Street, #219
125 E. Broad Street, #101
41201 Schadden Road
125 E. Broad Street, #219
Elyria
Elyria
Elyria
Elyria
OH
OH
OH
OH
Lorain
Lorain
Lorain
Lorain
440‐326‐5420
844‐505‐3760
440‐324‐0400
440‐326‐5250
Gynecological Oncology
Hematology/Oncology
Nagel
Escuro
Christa
Ruben
I
S.
MD
MD
University Hospitals Medical Practices
Hematology Oncology Center, Inc.
41201 Schadden Road
41201 Schadden Road, #2
Elyria
Elyria
OH
OH
Lorain
Lorain
440‐324‐0400 440‐324‐0441
440‐324‐0401 440‐324‐0405
Hematology/Oncology
Kantharaj
Belagodu
N.
MD
Hematology Oncology Center, Inc.
41201 Schadden Road, #2
Elyria
OH
Lorain
440‐324‐0401 440‐324‐0405
Hematology/Oncology
Litam
Patrick
D.
MD
Hematology Oncology Center, Inc.
41201 Schadden Road, #2
Elyria
OH
Lorain
440‐324‐0401 440‐324‐0405
Hematology/Oncology
Sidloski
Jay
E.
DO
Hematology Oncology Center, Inc.
41201 Schadden Road, #2
Elyria
OH
Lorain
440‐324‐0401 440‐324‐0405
Internal Medicine
Abumeri
Sana
H.
MD
Sana Abumeri, MD, Inc. 860 E. Broad Street Elyria
OH
Lorain
440‐284‐3800 440‐284‐3813 Internal Medicine
Dhillon
Harmohinder S.
MD
University Hospitals Medical Practices
507 E. River Road, Suite A
Elyria
OH
44035‐
6429
44053‐
1652
44035‐
6429
44035‐
6429
44035
44035
44035
44035‐
6447
44035
44035‐
2220
44035‐
2220
44035‐
2220
44035‐
2220
44035‐
6542
44035
Lorain
440‐322‐4333 440‐322‐7717
Internal Medicine
Hampole
Vagesh
M.
MD
Vagesh M. Hampole, MD
125 E. Broad Street, #215
Elyria
OH
440‐329‐7360 440‐329‐7410
Internal Medicine
Mistry
Niraj
C.
MD
University Hospitals Medical Practices
125 E. Broad Street, #202
Elyria
OH
44035‐ Lorain
6429
44035 Lorain
440‐934‐5579
440‐934‐5579
440‐329‐4945
440‐329‐7749
440‐326‐5255
440‐827‐5727
440‐324‐0441
440‐326‐5255
440‐329‐7306 440‐329‐7798
Page 92 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Interventional Cardiology
Coletta
John
E.
MD
West Side Cardiology Associates
5323 Meadow Lane Court
Elyria
OH
Lorain
440‐899‐2423 440‐899‐2738
Interventional Cardiology
Nukta
Emad
D.
MD
West Side Cardiology Associates
5323 Meadow Lane Court
Elyria
OH
Lorain
440‐899‐2423 440‐899‐2738
Nephrology
Gayomali
Nestor
G.
MD
Nestor Gayomali, MD, Inc. 5311 Meadow Lane Court, #3 Elyria
OH
Lorain
440‐934‐5443 440‐934‐1077 Neurology
Mahajan
Darshan
MD
Neurology Center, Inc.
3600 Kolbe Road, #208
Lorain
OH
Lorain
440‐989‐6422 440‐989‐7075
Neurology
Mahajan
Darshan
MD
Neurology Center, Inc.
673 E. River Street
Elyria
OH
Lorain
440‐323‐6422 440‐323‐4814
Neurology
Parikh
Sanjay
R.
MD
Neurology Center, Inc.
3600 Kolbe Road, #208
Lorain
OH
Lorain
440‐989‐6422 440‐989‐7075
Neurology
Parikh
Sanjay
R.
MD
Neurology Center, Inc.
673 E. River Street
Elyria
OH
Lorain
440‐323‐6422 440‐323‐4814
Neurology
Patel
Dhruv
R.
MD
Neurology Center, Inc.
3600 Kolbe Road, #208
Lorain
OH
Lorain
440‐989‐6422 440‐989‐7075
Neurology
Patel
Dhruv
R.
MD
Neurology Center, Inc.
673 E. River Street
Elyria
OH
Lorain
440‐323‐6422 440‐323‐4814
Neurosurgery
Gonzalez
Domingo
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
OH
Lorain
440‐930‐6015 440‐930‐6094
Neurosurgery
Hazen
Gale
A.
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Neurosurgery
Sertich
Mario
M.
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Ob/Gyn
Bacevice
Anthony
E
MD
University Hospitals Medical Practices
125 E. Broad Street, #218
Sheffield Village
Sheffield Village
Sheffield Village
Elyria
OH
44035‐
1469
44035‐
1469
44035‐
1485
44053‐
1652
44035‐
5935
44053‐
1652
44035‐
5935
44053‐
1652
44035‐
5935
44035‐
1492
44035‐
1492
44035‐
1492
44035
Lorain
440‐329‐7310 440‐329‐7749
Ob/Gyn
Bacevice
Anthony
E
MD
University Hospitals Medical Practices
1997 Healthway Drive, #203
Avon
OH
44011 Lorain
440‐988‐6884 440‐988‐6896
Ob/Gyn
Farrow
Tracy
A.
MD
Erie Shore Women's Health, Inc.
5054 Waterford Place Drive
OH
Galvan
Laurie
A
CNM University Hospitals Medical Practices
508 E. Broad Street
OH
44035‐ Lorain
1497
44035 Lorain
440‐934‐8344 440‐934‐8345
Ob/Gyn
Sheffield Village
Elyria
Ob/Gyn
Galvan
Laurie
A
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
Ob/Gyn
Grove
Michelle
L
CNM University Hospitals Medical Practices
508 E. Broad Street
Elyria
OH
44035 Lorain
440‐329‐7689 440‐329‐7481
Ob/Gyn
Grove
Michelle
L
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
Ob/Gyn
Gupta
Usha
MD
University Hospitals Medical Practices
125 E. Broad Street, #218
Elyria
OH
44035 Lorain
440‐329‐7310 440‐329‐7749
Ob/Gyn
Gupta
Usha
MD
University Hospitals Medical Practices
1997 Healthway Drive, #203
Avon
OH
44011 Lorain
440‐988‐6884 440‐988‐6896
Ob/Gyn
Holmes
Aimee
S
CNM University Hospitals Medical Practices
508 E. Broad Street
Elyria
OH
44035 Lorain
440‐329‐7689 440‐329‐7481
Ob/Gyn
Holmes
Aimee
S
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
Ob/Gyn
Kovach
Corie
L.
MD
5054 Waterford Place Drive
Sheffield Village
OH
44035‐ Lorain
1497
440‐934‐8344 440‐934‐8345
Erie Shore Women's Health, Inc.
OH
OH
Fax
440‐329‐7689 440‐329‐7481
Page 93 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Lamb
Catherine
M
Ob/Gyn
Lupe
Patricia
Ob/Gyn
Lupe
Patricia
Ob/Gyn
Masri
Ob/Gyn
Group Name
Address
City
State
Zip
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
J
CNM University Hospitals Medical Practices
508 E. Broad Street
Elyria
OH
44035 Lorain
440‐329‐7689 440‐329‐7481
J
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
Ramiz
MD
University Hospitals Medical Practices
125 E. Broad Street, #218
Elyria
OH
44035 Lorain
440‐329‐7310 440‐329‐7749
Masri
Ramiz
MD
University Hospitals Medical Practices
1997 Healthway Drive, #203
Avon
OH
44011 Lorain
440‐988‐6884 440‐988‐6896
Ob/Gyn
Mihalik‐Potoczak
Karen
M.
MD
North Coast OB/GYN, Inc.
125 E. Broad Street, #201
Elyria
OH
440‐329‐7375 440‐329‐7377
Ob/Gyn
Mihalik‐Potoczak
Karen
M.
MD
North Coast OB/GYN, Inc.
590 Leavitt Road
Amherst
OH
Ob/Gyn
Mitchell
Darla
G
CNM University Hospitals Medical Practices
508 E. Broad Street
Elyria
OH
44035‐ Lorain
6429
44001‐ Lorain
1131
44035 Lorain
Ob/Gyn
Mitchell
Darla
G
CNM University Hospitals Medical Practices
910 Liberty Bell Drive
Amherst
OH
44001 Lorain
440‐989‐5111 440‐989‐5123
Ob/Gyn
Schneidler
Jennifer
M
MD
University Hospitals Medical Practices
125 E. Broad Street, #218
Elyria
OH
44035 Lorain
440‐329‐7310 440‐329‐7749
Ob/Gyn
Schneidler
Jennifer
M
MD
University Hospitals Medical Practices
1997 Healthway Drive, #203
Avon
OH
44011 Lorain
440‐988‐6884 440‐988‐6896
Ob/Gyn
Stokes
George
G.
MD
North Coast OB/GYN, Inc.
125 E. Broad Street, #201
Elyria
OH
440‐329‐7375 440‐329‐7377
Ob/Gyn
Stokes
George
G.
MD
North Coast OB/GYN, Inc.
590 Leavitt Road
Amherst
OH
Occupational Medicine
Miotto
Paul
V
MD
University Hospitals Medical Practices
39000 Center Ridge Road
OH
Ophthalmology
Bafna
Shamik
MD
Cleveland Eye Clinic
1180 E. Broad Street
North Ridgeville
Elyria
44035‐ Lorain
6429
44001‐ Lorain
1131
44039 Lorain
OH
Lorain
440‐366‐6969 440‐366‐9513
Ophthalmology
Wiley
William
MD
Cleveland Eye Clinic
1180 E. Broad Street
Elyria
OH
Lorain
440‐366‐6969 440‐366‐9513
Ophthalmology
Zegarra
Hernando
MD
Retina Associates of Cleveland, Inc.
6100 S. Broadway Avenue, #200
Lorain
OH
Lorain
440‐233‐6100 440‐233‐6108
Orthopedic Surgery
Berkowitz
Robert
MD
Center for Orthopedics, Inc.
224 W. Lorain Street, Suite B
Oberlin
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Berkowitz
Robert
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Krebs
John
K.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Palekar
Sanjay
S.
MD
Sanjay S. Palekar, MD, Inc.
436 E. River Street
Sheffield Village
Sheffield Village
Elyria
Lorain
440‐322‐0780 440‐322‐9094
Orthopedic Surgery
Stanfield
William
B.
MD
Center for Orthopedics, Inc.
1997 Healthway Drive, #203
Avon
OH
Lorain
440‐988‐6950 440‐988‐6955
Orthopedic Surgery
Stanfield
William
B.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Zanotti
Daniel
J.
MD
Center for Orthopedics, Inc.
1997 Healthway Drive, #203
Sheffield Village
Avon
44035‐
6306
44035‐
6306
44052‐
3876
44074‐
1087
44054‐
2849
44054‐
2849
44035‐
5200
44011‐
2834
44054‐
2849
44011‐
2834
Lorain
440‐988‐6950 440‐988‐6955
OH
OH
County
Phone Fax
440‐985‐3050 440‐985‐3065
440‐329‐7689 440‐329‐7481
440‐985‐3050 440‐985‐3065
440‐329‐7490 440‐329‐7492
Page 94 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Orthopedic Surgery
Zanotti
Daniel
J.
MD
Center for Orthopedics, Inc.
224 W. Lorain Street, Suite B
Oberlin
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Zanotti
Daniel
J.
MD
Center for Orthopedics, Inc.
254 Cleveland Avenue, Suite A
Amherst
OH
Lorain
440‐329‐2800
Orthopedic Surgery
Zanotti
Daniel
J.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Zanotti
Robert
M.
MD
Center for Orthopedics, Inc.
1997 Healthway Drive, #203
Sheffield Village
Avon
OH
Lorain
440‐988‐6950 440‐988‐6955
Orthopedic Surgery
Zanotti
Robert
M.
MD
Center for Orthopedics, Inc.
224 W. Lorain Street, Suite B
Oberlin
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery
Zanotti
Robert
M.
MD
Center for Orthopedics, Inc.
254 Cleveland Avenue, Suite A
Amherst
OH
Lorain
440‐329‐2800
Orthopedic Surgery
Zanotti
Robert
M.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Orthopedic Surgery: Hand Surgery
Pain Management
Krebs
John
K.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
Lorain
440‐329‐2800 440‐329‐2810
Choi
Charles
I.
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Pain Management
Gupta
Parshotam
C.
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Pain Management
Kodsy
Maher
S.
MD
Comprehensive Pain Care Center, Inc.
4804 Leavitt Road
Sheffield Village
Sheffield Village
Sheffield Village
Sheffield Village
Lorain
Lorain
440‐989‐2066 440‐989‐1153
Pain Management
Malak
Osama
MD
Comprehensive Pain Care Center, Inc.
32900 Detroit Road
Avon
OH
Lorain
440‐937‐0410 440‐989‐1153
Pain Management
Malak
Osama
MD
Comprehensive Pain Care Center, Inc.
4804 Leavitt Road
Lorain
OH
Lorain
440‐989‐2066 440‐989‐1153
Pain Management
Malak
Osama
MD
Comprehensive Pain Care Center, Inc.
5172 Leavitt Road
Lorain
OH
Lorain
440‐989‐2066 440‐989‐1153
Pain Management
Malak
Osama
MD
Comprehensive Pain Care Center, Inc.
5334 Meadow Lane Court, #200
OH
Lorain
440‐934‐8922
Pain Medicine
Eid
Joanne
MD
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Pain Medicine
Kumar
Sanjay
DO
Neurospinecare, Inc.
5319 Hoag Drive, #100
Lorain
440‐930‐6015 440‐930‐6094
Pain Medicine
Shah
Bharat
C.
MD
Comprehensive Pain Care Center, Inc.
4804 Leavitt Road
Sheffield Village
Sheffield Village
Sheffield Village
Lorain
OH
Lorain
440‐989‐2066 440‐989‐1153
Pain Medicine
Yonan
Sameh
R.
MD
Comprehensive Pain Care Center, Inc.
4804 Leavitt Road
Lorain
OH
Lorain
440‐989‐2066 440‐989‐1153
Pediatric Dermatology
Bedocs
Laleh
A.
DO
Dermatology Partners, Inc.
36701 American Way, #3
Avon
OH
Lorain
440‐937‐4951 440‐937‐4956
Pediatrics
Farner
Paula
MD
Paula M. Farner, MD, Inc.
36595 Detroit Road
Avon
OH
Lorain
440‐934‐4070 440‐934‐4884
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Hansford
Jacono
Lynch
Romero
Szollosy
Carmen
Kari
Meghan
Lynne
Frank
K
M
E
D
F.
MD
MD
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Frank Szollosy, MD
125 E. Broad Street, #302
3600 Kolbe Road, #120
3600 Kolbe Road, #120
125 E. Broad Street, #302
343 Tenney Avenue
Elyria
Lorain
Lorain
Elyria
Amherst
OH
OH
OH
OH
OH
Lorain
Lorain
Lorain
Lorain
Lorain
440‐323‐0258
440‐282‐7408
440‐282‐7408
440‐323‐0258
440‐984‐5437
Pediatrics
Turner
Kevin
L
MD
University Hospitals Medical Practices
3600 Koble Road, #120
Lorain
OH
44074‐
1087
44001‐
1620
44054‐
2849
44011‐
2834
44074‐
1087
44001‐
1620
44054‐
2849
44054‐
2849
44035‐
1492
44035‐
1492
44053‐
2382
44011‐
2018
44053‐
2382
44053‐
2384
44035‐
1469
44035‐
1492
44035‐
1492
44053‐
2382
44053‐
2382
44011‐
4064
44011‐
2846
44035
44053
44053
44035
44001‐
2248
44053
Lorain
440‐282‐7408 440‐960‐2214
OH
OH
OH
OH
OH
OH
Fax
216‐201‐6250
440‐960‐2214
440‐960‐2214
216‐201‐6250
440‐984‐5439
Page 95 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Physical Medicine & Rehabilitation
Plastic Surgery
Kumar
Sanjay
Reyes
Roland
Plastic Surgery
Plastic Surgery: Hand Surgery
Reyes
Reyes
Podiatry
MI
Cred
Group Name
Address
City
State
Zip
County
Phone DO
Neurospinecare, Inc.
5319 Hoag Drive, #100
OH
440‐930‐6015 440‐930‐6094
MD
Roland J. Reyes, MD
1997 Healthway Drive, #203
Lorain
440‐988‐6880 440‐988‐6896
Roland
Roland
J
J.
MD
MD
University Hospitals Medical Practices
Roland J. Reyes, MD
1197 Healthway Drive, #203
1997 Healthway Drive, #203
Avon
Avon
OH
OH
Lorain
Lorain
440‐988‐6880 440‐988‐6896
440‐988‐6880 440‐988‐6896
Friedman
Roger
L.
DPM
Roger L. Friedman, DPM
5321 Meadow Lane Court, #22
Elyria
OH
Lorain
440‐934‐8444 440‐934‐8447
Podiatry
Martinko
Karen
DPM
Great Lakes Podiatry Center, Inc.
1502 Lear Industrial Parkway, #1A Avon
OH
Lorain
440‐937‐5400 440‐937‐5533
Pulmonology
Ramadugu
Ashok
MD
Chest Physicians, Inc.
661 E. River Street, Suite B
Elyria
OH
Lorain
440‐323‐0082 440‐323‐3482
Radiation Oncology
Radiation Oncology
Radiation Oncology
Radiation Oncology
Rheumatology
Ellis
Mansur
Ribovich
Saboori
Hampole
Rodney
David
Martin
Mehran
Vagesh
J
B
L
M.
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Vagesh M. Hampole, MD
41201 Schadden Road
41201 Schadden Road
41201 Schadden Road
41201 Schadden Road
125 E. Broad Street, #215
Elyria
Elyria
Elyria
Elyria
Elyria
OH
OH
OH
OH
OH
Lorain
Lorain
Lorain
Lorain
Lorain
440‐324‐0400
440‐324‐0400
440‐324‐0400
440‐324‐0400
440‐329‐7360
Rheumatology
Sports Medicine
Perhala
Sandhu
Robert
Harkeet
S
S.
MD
MD
University Hospitals Medical Practices
Center for Orthopedics, Inc.
36855 American Way, Suite A
224 W. Lorain Street, Suite B
Avon
Oberlin
OH
OH
Lorain
Lorain
440‐934‐2200 440‐934‐8684
440‐329‐2800 440‐329‐2810
Sports Medicine
Sandhu
Harkeet
S.
MD
Center for Orthopedics, Inc.
5001 Transportation Drive
OH
Lorain
440‐329‐2800 440‐329‐2810
Urology
Urology
Cardiac Electrophysiology
Cardiology
Pediatric Cardiology
D'Amico
Larchian
Paladino
Paladino
Saalouke
Louis
William
Walter
Walter
Michael
A
P
P
G
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
OH
OH
OH
OH
OH
Lorain
Lorain
Mahoning
Mahoning
Mahoning
440‐329‐7315
440‐365‐1602
330‐744‐2883
330‐744‐2883
330‐533‐7797
Pediatric Hematology/Oncology Saleh
Ayman A
MD
University Hospitals Medical Group, Inc.
125 E. Broad Street, #208
1268 E. Broad Street, #4
540 Parmalee Avenue, #200
540 Parmalee Avenue, #200
4135 Boardman‐Canfield Road, #102
4137 Boardman Canfield Road
Sheffield Village
Elyria
Elyria
Youngstown
Youngstown
Canfield
44035‐
1492
44011‐
2834
44011
44011‐
2834
44035‐
0601
44011‐
1380
44035‐
5901
44035
44035
44035
44035
44035‐
6429
44011
44074‐
1087
44054‐
2849
44035
44035
44510
44510
44406
Lorain
J.
Sheffield Village
Avon
Boardman
OH
44406 Mahoning
330‐702‐7777 330‐702‐7755
Pediatric Neurology
Pediatric Neurology
Goldstein
Wiznitzer
Jessica
Max
H
N
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Canfield
Canfield
OH
OH
44406 Mahoning
44406 Mahoning
216‐844‐7700 216‐844‐8699
216‐844‐7700 216‐844‐8966
Pediatric Pulmonology
Allergy & Immunology
Myers
Sanyurah
Ross
Saad
E
A.
MD
MD
4137 Boardman Canfield Road
4137 Boardman Canfield Road, Suite LL5
University Hospitals Medical Group, Inc.
4137 Boardman Canfield Road
The Allergy & Asthma Treatment Center, Inc. 185 Wadsworth Road, Suite H
Boardman
Wadsworth
OH
OH
Mahoning
Medina
216‐844‐7700 216‐844‐3267
330‐334‐6212 330‐336‐3913
Allergy & Immunology
Sanyurah
Saad
A.
MD
The Allergy & Asthma Treatment Center, Inc. 3637 Medina Road, #225
Medina
OH
Medina
330‐723‐2923 330‐722‐8660
Allergy & Immunology
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychology
Behavioral Health: Psychiatry
Zacharias
Adamo
Dawn
John
M
J
MD
CNS
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #160
4001 Carrick Drive, #160
Medina
Medina
OH
OH
44406
44281‐
9585
44256‐
8155
44256
44256
Medina
Medina
440‐250‐5353 440‐250‐2032
216‐844‐3881 216‐844‐5883
Hertzer
John
L
MD
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #160
Medina
OH
44256 Medina
216‐844‐3881 216‐844‐5883
Tschannen
Theresa
PhD
University Hospitals Medical Practices
4001 Carrick Drive, #160
Medina
OH
44256 Medina
330‐723‐7005 330‐723‐4854
Vellanki
Roy
MD
SPI Psychiatry Medina
807 E. Washington Street
Medina
OH
44256 Medina
330‐721‐7604 330‐721‐7606
OH
Fax
440‐324‐0441
440‐324‐0441
440‐324‐0441
440‐324‐0441
440‐329‐7410
440‐329‐7316
440‐365‐1625
330‐744‐3935
330‐744‐3935
330‐5337760
Page 96 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Behavioral Health: Psychology
Clark
Marie
A.
MD
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #220
Medina
OH
44256 Medina
216‐844‐7700 216‐201‐5188
Behavioral Health: Psychology
Holan
Jane
E.
MD
University Hospitals Medical Group, Inc.
4001 Carrick Drive
Medina
OH
44256 Medina
216‐844‐7700 216‐201‐5188
Behavioral Health: Psychology
Moeller
Jessica
M
PHD
SPI Psychiatry Medina
807 E. Washington Street, #150
Medina
OH
44256 Medina
330‐721‐7604 330‐721‐7606
Cardiac Electrophysiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Costantini
Bauman
Carman
Cho
Cutler
Effron
El Amm
Fannin
Farah
Josephson
Josephson
Madan Mohan
Madan Mohan
Maloney
Manyam
Ramanavarapu
Ottorino
William
Teresa
Donald
David
Barry
Chantal
Stephen
Michel
Richard
Richard
Sri
Sri
James
Harish
Sampath
K.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
SPI NEOCS Lake Medina
SPI NEOCS Lake Medina
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
SPI NEOCS Lake Medina
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI NEOCS Wadsworth
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
City Cardiology Associates
University Hospitals Medical Group, Inc.
Medina Cardiovascular Associates, Inc.
3780 Medina Road, #200
3780 Medina Road, #200
4001 Carrick Drive, #140
4001 Carrick Drive, #140
3780 Medina Road, #200
4001 Carrick Drive, #140
4001 Carrick Drive, #140
195 Wadsworth Road
4001 Carrick Drive, #140
4001 Carrick Drive, #140
4001 Carrick Drive, #140
4001 Carrick Drive
4001 Carrick Drive, #140
185 Wadsworth Road
4001 Carrick Road, #140
970 E. Washington Street, #2E
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Wadsworth
Medina
Medina
Medina
Medina
Medina
Wadsworth
Medina
Medina
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
330‐376‐7000
330‐376‐7000
216‐844‐3800
330‐721‐8544
330‐376‐7000
216‐844‐8951
330‐721‐8482
330‐334‐7700
216‐844‐3800
216‐844‐3800
330‐721‐8544
330‐721‐8482
330‐721‐8544
330‐753‐6699
216‐844‐3800
330‐722‐8707
330‐376‐1066
330‐376‐9900
216‐844‐8954
330‐721‐8490
330‐376‐1066
216‐844‐8954
216‐844‐1780
330‐334‐0900
216‐844‐8954
216‐844‐7116
330‐721‐8490
216‐844‐8954
330‐721‐8490
330‐753‐8559
216‐844‐8954
330‐723‐5679
Cardiology
Cardiology
Clinical Genetics
Dermatology
Redle
Williams
Debrosse
Killian
Joseph
Barbara
Suzanne
Patrick
A
D
M.
MD
MD
MD
MD
SPI NEOCS Lake Medina
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
HMT Dermatology
3780 Medina Road, #200
4001 Carrick Drive, #140
4001 Carrick Drive, #220
5779 Wooster Pike Road
Medina
Medina
Medina
Medina
OH
OH
OH
OH
Medina
Medina
Medina
Medina
330‐376‐7000
330‐721‐8544
216‐844‐3936
330‐725‐0569
330‐376‐1066
330‐721‐8490
216‐844‐7497
330‐662‐0258
Dermatology
Dermatology
Dermatology
Dermatology
Dermatology
Klemme
Konheim
Korman
Mann
Popovsky
Jay
Ari
Neil
Margaret
Jennifer
C
L
J
W
L.
MD
MD
MD
MD
MD
4065 Center Road, #214
4065 Center Road, #214
4065 Center Road, #214
4065 Center Road, #214
1133 Medina Road, #100 Brunswick
Brunswick
Brunswick
Brunswick
Medina
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
216‐844‐8200
216‐844‐8200
216‐844‐8200
216‐844‐8200
330‐239‐4350
216‐201‐5426
216‐844‐3964
216‐844‐3964
216‐250‐2022
330‐239‐4584
Dermatology
Rosenmeier
Gary
J.
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Dermatologic Surgery Center of Northeast Ohio, Inc.
HMT Dermatology
44256
44256
44256
44256
44256
44256
44256
44281
44256
44256
44256
44256
44256
44281
44256
44256‐
2181
44256
44256
44256
44256‐
8816
44212
44212
44212
44212
44256‐
5779 Wooster Pike Road
Medina
OH
Medina
330‐725‐0569 330‐662‐0258
Dermatology
Rosenmeier
Gary
J.
MD
HMT Dermatology
5783 Wooster Pike Road
Medina
OH
Medina
330‐725‐0569 330‐662‐0258
Dermatology
Dermatology
Tanphaichitr
Torok
Artthapol
Helen
M.
MD
MD
University Hospitals Medical Group, Inc.
HMT Dermatology
4065 Center Road, #214
5779 Wooster Pike Road
Brunswick
Medina
OH
OH
Medina
Medina
216‐844‐8200 216‐201‐5426
330‐725‐0569 330‐662‐0258
Dermatology
Torok
Helen
M.
MD
HMT Dermatology
5783 Wooster Pike Road
Medina
OH
Medina
330‐725‐0569 330‐662‐0258
Dermatology: Mohs Surgery
Popovsky
Jennifer
L.
MD
1133 Medina Road, #100 Medina
OH
Medina
330‐239‐4350 330‐239‐4584
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Endocrinology
Clark
Holan
Ievers‐Landis
Mills
Marie
Jane
Carolyn
Ryan
A.
E.
E
MD
MD
PhD
DO
Dermatologic Surgery Center of Northeast Ohio, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI Endocrinology Lake Medina
44256‐
8816
44256‐
8816
44212
44256‐
8816
44256‐
8816
44256‐
4001 Carrick Drive, #220
4001 Carrick Drive
4001 Carrick Drive
3780 Medina Road, #200
Medina
Medina
Medina
Medina
OH
OH
OH
OH
44256
44256
44256
44256
Medina
Medina
Medina
Medina
216‐844‐7700
216‐844‐7700
216‐844‐7700
330‐434‐9121
L
I
A.
A
A
G
A
A
K
K
D.
County
Phone Fax
216‐201‐5188
216‐201‐5188
216‐201‐5188
330‐434‐7510
Page 97 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Endocrinology, Diabetes, & Metabolism
ENT
Zmeili
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Omar
MD
SPI Endocrinology Medina
3780 Medina Road, #200
Medina
OH
44256 Medina
330‐253‐1899 330‐253‐2108
Kalucis
Chris
DO
ENT and Allergy Health Services, Inc.
970 E. Washington Street, #5D
Medina
OH
Medina
330‐725‐5972 330‐723‐0449
Family Medicine
Family Medicine
Family Medicine
Blackburn
Borges
Burick
Joseph
Paulo
Joseph
M.
MD
MD
DO
South Court Family Physicians, Inc.
Community Health Care, Inc.
SPI Wadsworth Family Practice
1075 S. Court Street, #100
185 Wadsworth Road, Suite D
1 Park Center Drive, #304
Medina
Wadsworth
Wadsworth
OH
OH
OH
44256‐
2181
44256
44281
44281
Medina
Medina
Medina
330‐722‐6337 330‐722‐0481
330‐331‐7106 330‐331‐7556
330‐336‐3631 330‐336‐3762
Family Medicine
Cheich
Emily
A.
DO
Family Practice Center of Wadsworth, Inc.
251 Leatherman Road
Wadsworth
OH
44281 Medina
330‐334‐6229 330‐334‐6110
Family Medicine
Crawford
Robert
S.
MD
Medina
OH
44256 Medina
330‐379‐5051 330‐379‐5074
Family Medicine
Crawford
Robert
S.
MD
Wadsworth
OH
44281 Medina
330‐334‐0035 330‐334‐0242
Family Medicine
Cullen
Stephen
MD
SPI Orthopaedics and Sports Medicine Lake 3780 Medina Road, #200
Medina
SPI Orthopaedics and Sports Medicine 621 School Drive
Wadsworth
SPI Kase, Speelman & Cullen
3780 Medina Road, #250
Medina
OH
44256 Medina
330‐723‐3256 330‐722‐6731
Family Medicine
Family Medicine
Family Medicine
Distel
Dulle
Finneran
Laura
David
Matthew
M.
J
MD
MD
MD
Community Health Care, Inc.
University Hospitals Medical Practices
Family Practice Center of Wadsworth, Inc.
185 Wadsworth Road, Suite D
5133 Ridge Road
251 Leatherman Road
Wadsworth
Wadsworth
Wadsworth
OH
OH
OH
44281 Medina
44281 Medina
44281 Medina
330‐331‐7106 330‐331‐7556
330‐239‐4455 330‐239‐4456
330‐334‐6229 330‐334‐6110
Family Medicine
Family Medicine
Hoynes
Jackson
Sean
Glenna
D
MD
MD
University Hospitals Medical Practices
SPI Family Medicine Associates of Medina
5133 Ridge Road
3780 Medina Road, #310
Wadsworth
Medina
OH
OH
44281 Medina
44256 Medina
330‐239‐4455 330‐239‐4456
330‐725‐8441 330‐725‐8442
Family Medicine
Kase
Jeffrey
MD
SPI Kase, Speelman & Cullen
3780 Medina Road, #250
Medina
OH
44256 Medina
330‐723‐3256 330‐722‐6731
Family Medicine
Kranz
Kristin
MD
SPI Family Medicine Associates of Medina
3780 Medina Road, #310
Medina
OH
44256 Medina
330‐725‐8441 330‐725‐8442
Family Medicine
Family Medicine
Lassaletta
Lishnevski
Margarita
Diana
M.
MD
MD
La Salette Personal Primary Healthcare
SPI Wadsworth Family Practice
185 Wadsworth Road, #2E
1 Park Center Drive, #304
Wadsworth
Wadsworth
OH
OH
44281 Medina
44281 Medina
330‐336‐5046 330‐336‐5052
330‐336‐3631 330‐336‐3762
Family Medicine
Family Medicine
Family Medicine
Mone
Mosca
Raines
Tyra
Crystal
Joshua
L
L
MD
MD
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
Family Practice Center of Wadsworth, Inc.
5133 Ridge Road
5133 Ridge Road
251 Leatherman Road
Wadsworth
Wadsworth
Wadsworth
OH
OH
OH
44281 Medina
44281 Medina
44281 Medina
330‐239‐4455 330‐239‐4456
330‐239‐4455 330‐239‐4456
330‐334‐6229 330‐334‐6110
Family Medicine
Family Medicine
Reeves
Rhodes
Julie
Adam
MD
DO
Julie Reeves, MD
SPI Family Medicine Associates of Medina
3637 Medina Road, #70
3780 Medina Road, #310
Medina
Medina
OH
OH
44256 Medina
44256 Medina
330‐764‐7378 330‐723‐8357
330‐725‐8441 330‐725‐8442
Family Medicine
Speelman
Mark
MD
SPI Kase, Speelman & Cullen
3780 Medina Road, #250
Medina
OH
44256 Medina
330‐723‐3256 330‐722‐6731
Family Medicine
Family Medicine
Stuart
Surso
Ann Marie
John
MD
MD
University Hospitals Medical Practices
SPI Family Medicine Associates of Medina
4001 Carrick Drive, #150
3780 Medina Road, #310
Medina
Medina
OH
OH
44256 Medina
44256 Medina
330‐721‐8500 330‐721‐8510
330‐725‐8441 330‐725‐8442
Family Medicine
Taras
Catherine
MD
SPI Kase, Speelman & Cullen
3780 Medina Road, #250
Medina
OH
44256 Medina
330‐723‐3256 330‐722‐6731
Family Medicine
Family Medicine
Van Nostran
Zacour
Sharon
Kevin
E
DO
DO
University Hospitals Medical Practices
SPI Seville Family Practice
5133 Ridge Road, #1
267 Center Street
Wadsworth
Seville
OH
OH
44281 Medina
44273 Medina
330‐239‐4455 330‐239‐4456
330‐769‐2941 330‐769‐4804
Family Medicine
Zeiger
Todd
M
MD
University Hospitals Medical Practices
5133 Ridge Road
Wadsworth
OH
44281 Medina
330‐239‐4455 330‐239‐4456
Page 98 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Gastroenterology
Bashour
Fadi
N.
MD
Digestive Disease Consultants of Medina
1299 Industrial Parkway, N, #110
Brunswick
OH
Medina
877‐891‐3636 330‐225‐6534
Gastroenterology
Del Rio
Richard
MD
Digestive Disease Consultants of Medina
1299 Industrial Parkway, N, #110
Brunswick
OH
Medina
877‐891‐3636 330‐225‐6534
Gastroenterology
Gastroenterology
Gastroenterology
Hlivko
Mansour
Merheb
Jonathan
Nadia
Maya
K
MD
MD
MD
SPI Gastroenterology Medina
University Hospitals Medical Practices
Digestive Disease Consultants of Medina
3780 Medina Road, #200
5133 Ridge Road, #1
1299 Industrial Parkway, N, #110
Medina
Wadsworth
Brunswick
OH
OH
OH
Medina
Medina
Medina
330‐253‐1800 330‐253‐3955
440‐708‐1555 330‐239‐4456
330‐891‐3636 330‐225‐6534
Gastroenterology
Myers
David
B.
MD
Digestive Disease Consultants of Medina
1299 Industrial Parkway, N, #110
Brunswick
OH
Medina
877‐891‐3636 330‐225‐6534
Gastroenterology
Sharma
Bipin
K.
MD
Digestive Disease Consultants of Medina
1299 Industrial Parkway, N, #110
Brunswick
OH
Medina
877‐891‐3636 330‐225‐6534
Gastroenterology
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Gynecological Oncology
Gynecological Oncology
Hematology
Hematology/Oncology
Sievers
Bisconti Jr.
Bisconti Jr.
Mayors
Mayors
Schlueter
Schlueter
Breen
Cleveland
Ilodi
Istenes
Kayani
Andrews
von Gruenigen
Jakob
Bhatt
Corey
Nicholas
Nicholas
Dean
Dean
Martin
Martin
Thomas
Maryjo
Yoleetah
Nancy
Natalie
Stephen
Vivian
John
Mukesh
A.
C
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
MD
MD
MD
MD
MD
SPI Gastroenterology Medina
SPI General Surgery Medina
SPI General Surgery Wadsworth
SPI General Surgery Medina
SPI General Surgery Wadsworth
SPI General Surgery Medina
SPI General Surgery Wadsworth
SPI Wadsworth Center for Senior Health
SPI Wadsworth Center for Senior Health
SPI Wadsworth Center for Senior Health
SPI Wadsworth Center for Senior Health
SPI Wadsworth Center for Senior Health
SPI Women's Health Center Lake Medina
SPI Women's Health Center Lake Medina
SPI Summit Oncology Lake Medina
University Hospitals Medical Practices
Medina
Medina
Wadsworth
Medina
Wadsworth
Medina
Wadsworth
Wadsworth
Wadsworth
Wadsworth
Wadsworth
Wadsworth
Medina
Medina
Medina
Wadsworth
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
330‐253‐1800
330‐753‐1001
330‐753‐1001
330‐753‐1001
330‐753‐1001
330‐753‐1001
330‐753‐1001
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐723‐6060
330‐723‐6060
330‐723‐0597
440‐844‐3951
Hematology/Oncology
Bhatt
Mukesh
C
MD
University Hospitals Medical Practices
Medina
OH
44256 Medina
330‐722‐5420 330‐722‐8396
Hematology/Oncology
Chang
Richard
Y
MD
University Hospitals Medical Practices
Wadsworth
OH
44281 Medina
440‐250‐2812 440‐250‐2821
Hematology/Oncology
Hazra
Sandra
V
MD
University Hospitals Medical Practices
Wadsworth
OH
44281 Medina
440‐844‐3951 330‐722‐8396
Hematology/Oncology
Hematology/Oncology
Mahajan
Mendpara
Neeraj
Suresh
D
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Wadsworth
Wadsworth
OH
OH
44281 Medina
44281 Medina
330‐239‐7250 330‐239‐7251
440‐844‐3951 330‐239‐7221
Hematology/Oncology
Mendpara
Suresh
D
MD
University Hospitals Medical Practices
Medina
OH
44256 Medina
330‐722‐5420 330‐722‐8396
Hematology/Oncology
Hematology/Oncology
Infectious Disease
Payne
Teston
Duggal
Jennifer
Lois
Anurag
J
MD
MD
MD
SPI Summit Oncology Lake Medina
University Hospitals Medical Group, Inc.
Pinnacle Infectious Disease
3780 Medina Road, #200
3780 Medina Road, #200
195 Wadsworth Road, #301
3780 Medina Road, #200
195 Wadsworth Road, #301
3780 Medina Road, #200
195 Wadsworth Road, #301
195 Wadsworth Road
195 Wadsworth Road
195 Wadsworth Road
195 Wadsworth Road
195 Wadsworth Road
3780 Medina Road, #220
3780 Medina Road, #220
3780 Medina Road, 1st Floor
5133 Ridge Road, #5 ‐ Seidman Cancer Center
970 E. Washington Street, #4D ‐
Seidman Cancer Center
5133 Ridge Road, #5 ‐ Seidman Cancer Center
5133 Ridge Road, #5 ‐ Seidman Cancer Center
5133 Ridge Road, #3
5133 Ridge Road, #5 ‐ Seidman Cancer Center
970 E. Washington Street, #4D ‐
Seidman Cancer Center
3780 Medina Road, 1st Floor
5133 Ridge Road
970 E. Washington Street, #204
44212‐
6366
44212‐
6366
44256
44281
44212‐
6366
44212‐
6366
44212‐
6366
44256
44256
44281
44256
44281
44256
44281
44281
44281
44281
44281
44281
44256
44256
44256
44281
Medina
Wadsworth
Medina
OH
OH
OH
Medina
Medina
Medina
330‐723‐0597 330‐723‐0842
216‐844‐3951
330‐253‐9727 330‐920‐3214
Infectious Disease
Duggal
Anurag
MD
Stephen J. Francis, MD
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐920‐3124
Infectious Disease
Francis
Stephen
MD
Stephen J. Francis, MD
970 E. Washington Street, #204
Medina
OH
44256
44281
44256‐
2138
44256‐
2138
44256‐
2138
Medina
330‐253‐9727 330‐920‐3124
R.
A.
A.
J.
Fax
330‐253‐3955
330‐753‐1921
330‐753‐1921
330‐753‐1921
330‐753‐1921
330‐753‐1921
330‐753‐1921
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐723‐6462
330‐723‐6462
330‐723‐0842
330‐239‐7221
Page 99 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Infectious Disease
Kousar
Infectious Disease
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Nadia
MD
Pinnacle Infectious Disease
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐920‐3214
Kousar
Nadia
MD
Stephen J. Francis, MD
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐920‐3214
Infectious Disease
Sahni
Rajiv
MD
Pinnacle Infectious Disease
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐920‐3124
Infectious Disease
Sahni
Rajiv
MD
Stephen J. Francis, MD
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐920‐3124
Infectious Disease
Salas Vargas
Ana
V.
MD
Pinnacle Infectious Disease
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐926‐5866
Infectious Disease
Salas Vargas
Ana
V.
MD
Stephen J. Francis, MD
970 E. Washington Street, #204
Medina
OH
Medina
330‐253‐9727 330‐926‐5866
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Ayers
Bianco
Denton
Goyal
Haque
Hummel
Jain
Katherine
Michael
Alice
Yatish
Ihsan
Karen
Sushil
E
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
Michael A. Bianco, MD
University Hospitals Medical Practices
Yatish Goyal, MD
City Cardiology Associates
University Hospitals Medical Practices
Sushil K. Jain, MD, Inc. 4065 Center Road, #210
185 Wadsworth Road, Suite F
4001 Carrick Drive, #210
970 E. Washington Street, #202
185 Wadsworth Road
4001 Carrick Drive, #150
5041 Victor Drive, Suite C Brunswick
Wadsworth
Medina
Medina
Wadsworth
Medina
Medina
OH
OH
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
Medina
Medina
330‐220‐8411 330‐220‐9315
330‐336‐6646 330‐336‐5162
330‐725‐3009 330‐722‐7502
330‐725‐7277 330‐723‐1254
330‐753‐6699 330‐753‐8559
330‐721‐8500 330‐721‐8510
330‐ 723‐3338 330‐ 722‐5439 Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Khandelwal
Khandelwal
Khandelwal
Mahlay
Monheim
Peters
Anand
Shobha
Vivek
Taras
Karen
Christina
MD
MD
MD
MD
MD
DO
A & S Khandelwal MD, Inc.
A & S Khandelwal MD, Inc.
A & S Khandelwal MD, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
SPI Wadsworth Family Practice
970 E. Washington Street, #2F
970 E. Washington Street, #2F
970 E. Washington Street, #2F
4065 Center Road, #210
4001 Carrick Drive, #210
1 Park Center Drive, #304
Medina
Medina
Medina
Brunswick
Medina
Wadsworth
OH
OH
OH
OH
OH
OH
44256‐
2138
44256‐
2138
44256‐
2138
44256‐
2138
44256‐
2138
44256‐
2138
44212
44281
44256
44256
44281
44256
44256‐
6028
44256
44256
44256
44212
44256
44281
Medina
Medina
Medina
Medina
Medina
Medina
330‐723‐7999
330‐723‐7999
330‐723‐7999
330‐220‐8411
330‐725‐3009
330‐336‐3631
Internal Medicine
Internal Medicine
Ronyak
Spoljaric
Julie
Lawrence
DO
MD
University Hospitals Medical Practices
SPI Lawrence Spoljaric, MD
4001 Carrick Drive, #210
251 Leatherman Road
Medina
Wadsworth
OH
OH
44256 Medina
44281 Medina
330‐725‐3009 330‐722‐7502
330‐335‐1551 330‐335‐1552
Neurology
Aminai‐Mashhadi
Shahram
MD
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #140
Medina
OH
44256 Medina
216‐844‐3192 216‐844‐3160
Neurology
Neurology
Andrefsky
Chandos
John
Brandon
C
J.
MD
MD
University Hospitals Medical Practices
Unity Health Network
4001 Carrick Drive, #210
195 Wadsworth Road
Medina
Wadsworth
OH
OH
Medina
Medina
330‐725‐3009 330‐725‐7502
330‐336‐8831 330‐334‐2798
Neurology
Deoras
Mita
S.
MD
Unity Health Network
3985 Medina Road, #200
Medina
OH
Medina
330‐723‐2700 330‐723‐2709
Neurology
Dorsett
Roswell
B.
DO
Unity Health Network
3985 Medina Road, #200
Medina
OH
Medina
330‐723‐2700 330‐723‐2709
Neurology
Huang
Deren
MD
Unity Health Network
3985 Medina Road, #200
Medina
OH
Medina
330‐723‐2700 330‐723‐2709
Neurology
Neurosurgery
Walter
Donich
Benjamin
Dane
L
J.
MD
MD
University Hospitals Medical Group, Inc.
Donich Neurosurgery and Spine, LLC
4001 Carrick Drive, #140
3780 Medina Road, #300
Medina
Medina
OH
OH
Medina
Medina
216‐844‐3192 216‐983‐0792
330‐576‐3500 330‐576‐3900
Neurosurgery
Hartzfeld
Paul
W.
MD
Donich Neurosurgery and Spine, LLC
3780 Medina Road, #300
Medina
OH
Medina
330‐576‐3500 330‐576‐3900
Ob/Gyn
Bellante
Anita
MD
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44256
44281‐
9504
44256‐
5354
44256‐
5354
44256‐
5354
44256
44256‐
9312
44256‐
9312
44281
Medina
330‐723‐6060 330‐723‐6462
M
UI
M
K.
J.
N
M
A
Fax
330‐764‐9907
330‐764‐9907
330‐764‐9907
330‐220‐9315
330‐722‐7502
330‐336‐3762
Page 100 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Ob/Gyn
Bellante
Anita
Ob/Gyn
Foote
Meghan
Ob/Gyn
Foote
Ob/Gyn
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
MD
SPI Women's Health Center Lake Medina
3780 Medina Road, #220
Medina
OH
44256 Medina
330‐723‐6060 330‐723‐6462
J.
DO
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐723‐6060 330‐723‐6462
Meghan
J.
DO
SPI Women's Health Center Lake Medina
3780 Medina Road, #220
Medina
OH
44256 Medina
330‐723‐6060 330‐723‐6462
Gaich
Steven
A.
MD
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐723‐6060 330‐723‐6462
Ob/Gyn
Gaich
Steven
A.
MD
SPI Women's Health Center Lake Medina
3780 Medina Road, #220
Medina
OH
44256 Medina
330‐723‐6060 330‐723‐6462
Ob/Gyn
Naples
Patrick
MD
SPI Dr. Patrick Naples OB/GYN
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐722‐7664 330‐722‐4598
Ob/Gyn
Naples
Patrick
MD
SPI Dr. Patrick Naples OB/GYN
3780 Medina Road, #210
Medina
OH
44256 Medina
330‐722‐7664 330‐722‐4598
Ob/Gyn
Ross
Shannan
MD
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐723‐6060 330‐723‐6462
Ob/Gyn
Ross
Shannan
MD
SPI Women's Health Center Lake Medina
3780 Medina Road, #220
Medina
OH
44256 Medina
330‐723‐6060 330‐723‐6462
Ob/Gyn
Sedlak
Stephanie
CNM SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐745‐4748 330‐331‐1939
Ob/Gyn
Witten
Eileen
MD
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐745‐4748 330‐331‐1939
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ophthalmology
Silber
Angela
MD
SPI Wadsworth Women’s Health Center
195 Wadsworth Road, #301
Wadsworth
OH
44281 Medina
330‐723‐6060 330‐723‐6462
Silber
Angela
MD
SPI Women's Health Center Lake Medina
3780 Medina Road, #220
Medina
OH
44256 Medina
330‐723‐6060 330‐723‐6462
Chi
Thomas
SK
MD
Ohio Eye Care Consultants, LLC
3583 Reserve Commons Drive
Medina
OH
Medina
330‐722‐8300 330‐725‐0445
Ophthalmology
Chi
Thomas
SK
MD
Ohio Eye Care Consultants, LLC
One Park Centre Drive, #106
Wadsworth
OH
Medina
330‐334‐1300 330‐334‐5300
Ophthalmology
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Ophthalmology
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Ophthalmology
Mayer
Daniel
J.
MD
Daniel J. Mayer, M.D., Inc.
3591 Reserve Commons Drive, #101
3591 Reserve Commons Drive, #101
4067 N. Jefferson Street
Medina
OH
Medina
330‐725‐4174 330‐725‐4080
Ophthalmology
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Orthopedic Surgery
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
Medina
OH
Medina
330‐434‐1185 330‐434‐1190
Diulus
Carrie
A.
MD
Crystal Clinic, Inc.
3591 Reserve Commons Drive, #101
3591 Reserve Commons Drive, #101
3591 Reserve Commons Drive, #101
3591 Reserve Commons Drive, #101
4975 Foote Road, #100
Medina
OH
Medina
330‐721‐8232 330‐721‐8403
Orthopedic Surgery
Engles
Drew
R.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
4975 Foote Road, #100
Medina
OH
44256‐
8180
44281‐
9482
44256‐
5334
44256‐
5334
44256‐
5622
44256‐
5334
44256‐
5334
44256‐
5334
44256‐
5334
44256‐
8748
44256‐
8748
Medina
330‐721‐8232 330‐721‐8403 Page 101 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Orthopedic Surgery
Fleissner, Jr.
Paul
R.
MD
Crystal Clinic, Inc.
4975 Foote Road, #100
Medina
OH
Medina
330‐721‐8232 330‐721‐8403
Orthopedic Surgery
Orthopedic Surgery
Gordon
Kase
Zachary
Jonathan
L
A.
MD
MD
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
4001 Carrick Drive, #160
323 High Street, Suite C
Medina
Wadsworth
OH
OH
Medina
Medina
216‐844‐7200 216‐844‐5970
330‐335‐1586 330‐336‐4236
Orthopedic Surgery
Kay
David
B.
MD
Crystal Clinic, Inc.
4975 Foote Road, #100
Medina
OH
Medina
330‐721‐8232 330‐721‐8403
Orthopedic Surgery
Kleinman
Robert
L.
MD
Crystal Clinic, Inc.
323 High Street, Suite C
Wadsworth
OH
Medina
330‐335‐1586 330‐336‐4236
Orthopedic Surgery
Orthopedic Surgery
Liu
Musgrave
Raymond
Mark
W
M.
MD
MD
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
4001 Carrick Drive, #220
185 Wadsworth Road, Suite B
Medina
Wadsworth
OH
OH
Medina
Medina
216‐844‐7200
330‐335‐1586 330‐336‐4236
Orthopedic Surgery
Musgrave
Mark
M.
MD
Crystal Clinic, Inc.
4975 Foote Road, #100
Medina
OH
Medina
330‐721‐8232 330‐721‐8403
Orthopedic Surgery
Orthopedic Surgery: Hand Surgery
Pain Management
Salata
Engles
Michael
Drew
J
R.
MD
MD
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc. ‐ Summit Hand Center
4001 Carrick Drive, #220
4975 Foote Road, #100
Medina
Medina
OH
OH
Medina
Medina
216‐844‐7200
330‐721‐8232 330‐721‐8403 Griffiths
Maria
MD
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Drummond
Justin
T.
MD
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Drummond
Justin
T.
MD
3780 Medina Road, #110
Medina
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Fouad
Maged
F.
MD
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
3780 Medina Road, #110
Medina
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Lababidi
Tony
G.
DO
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Wynne
Marisa
M.
DO
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Pain Medicine
Wynne
Marisa
M.
DO
3780 Medina Road, #110
Medina
OH
Medina
330‐208‐2720 330‐208‐2721
Pediatric Cardiology
Pediatric Cardiology
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Gastroenterology
Pediatric Hematology/Oncology
Ashwath
Shivapour
Strainic
Macleish
Uli
Viswanathan
Zimmerman
Baez‐Socorro
Khalili
Moses
Egler
Ravi
Jill
James
Sarah
Naveen
Anuradha
Teresa
Virginia
Ali
Jonathan
Rachel
C
K
P
A
K
N
M
S
D
A
MD
MD
MD
DO
MD
MD
MD
MD
MD
MD
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
4001 Carrick Drive, #220
4001 Carrick Drive, #220
4001 Carrick Drive
4001 Carrick Drive
4001 Carrick Drive
4001 Carrick Drive, #220
4001 Carrick Drive 4001 Carrick Drive, #220
4001 Carrick Drive, #220
4001 Carrick Drive, #250
5133 Ridge Road
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Wadsworth
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44256‐
8748
44256
44281‐
1869
44256‐
8748
44281‐
1869
44256
44281‐
8330
44256‐
8748
44256
44256‐
8748
44281‐
9585
44281‐
9585
44256‐
9311
44281‐
9585
44281‐
9585
44256‐
9311
44281‐
9585
44281‐
9585
44256‐
9311
44256
44256
44256
44256
44256
44256
44256
44256
44256
44256
44281
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700 216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐8500
Connie
M
MD
University Hospitals Medical Group, Inc.
5133 Ridge Road
Wadsworth
OH
44281 Medina
216‐844‐8500
Pediatric Hematology/Oncology Piccone
Fax
216‐844‐5478
216‐844‐5478
216‐844‐5478
216‐844‐8900
216‐844‐8900
216‐844‐8900
216‐844‐8900
216‐844‐8750
216‐844‐8750
216‐844‐8750
Page 102 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Orthopedic Surgery
Bass
Gilmore
Shahid
Wiznitzer
Fleissner, Jr.
Nancy
Edward
Asim
Max
Paul
E
C
M
N
R.
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
4001 Carrick Drive
4001 Carrick Drive, #220
4001 Carrick Drive
4001 Carrick Drive
4975 Foote Road, #100
Medina
Medina
Medina
Medina
Medina
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
330‐721‐8232
216‐844‐8966
216‐844‐8966
216‐844‐8966 216‐844‐8966
330‐721‐8403
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Urology
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Chmiel
Craven
Dimarino
Hart
Myers
Brooks
Solomon
Ross
Brewer
Carruozzo
Fall
Hummel
Ievers‐Landis
James
Daniel
Amy
Meeghan
Ross
Elizabeth
Mary
Jonathan
Joann
Michele
Douglas
Karen
Carolyn
F
I
M
A
E
B
L
H
L
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
4001 Carrick Drive
4001 Carrick Drive
4001 Carrick Drive, #220
4001 Carrick Drive
4001 Carrick Drive, #220
4001 Carrick Drive
4001 Carrick Drive, #220
4001 Carrick Drive, #160
4065 Center Road, #212
4065 Center Road, #212
4001 Carrick Drive, #160
4001 Carrick Drive, #150
4001 Carrick Drive
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Brunswick
Brunswick
Medina
Medina
Medina
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐3009
330‐225‐6374
330‐225‐6374
330‐723‐7005
330‐721‐8500
216‐844‐7700
216‐844‐5916
216‐844‐5916
216‐844‐5916
216‐844‐5916
216‐844‐3267
216‐844‐7587
216‐844‐7871
L
M
E
MD
MD
DO
MD
MD
MD
DO
MD
MD
MD
MD
MD
PhD
44256
44256
44256
44256
44256‐
8748
44256
44256
44256
44256
44256
44256
44256
44256
44212
44212
44256
44256
44256
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Plastic Surgery
Libecco
Memberg
Myers
Roach‐Armao
Vogelgesang
Walker
Youssef
Arceneaux
Julia
Stacey
Martha
Laurel
Ryan
David
Sarah
Susan
A
J
L
E
J
C
S
M
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
4065 Center Road, #212
4001 Carrick Drive, #160
4001 Carrick Drive, #160
4001 Carrick Drive, #160
4065 Center Road, #212
4065 Center Road, #212
4065 Center Road, #212
805 E. Washington Street, #100
Brunswick
Medina
Medina
Medina
Brunswick
Brunswick
Brunswick
Medina
OH
OH
OH
OH
OH
OH
OH
OH
44212
44256
44256
44256
44212
44212
44212
44256
Medina
Medina
Medina
Medina
Medina
Medina
Medina
Medina
330‐225‐6374
330‐723‐7005
330‐723‐7005
330‐723‐7005
330‐225‐6374
330‐225‐6374
330‐225‐6374
330‐721‐4776
330‐225‐6168
330‐723‐4854
330‐723‐4854
330‐723‐4854
330‐225‐6168
330‐225‐6168
330‐225‐6168
330‐721‐0054
Larsen
Teresa
K.
DO
185 Wadsworth Road, Suite G
Wadsworth
OH
330‐208‐2720 330‐208‐2721 Teresa
K.
DO
3780 Medina Road, #110
Medina
OH
Medina
330‐208‐2720 330‐208‐2721 Yang
Guang
MD
185 Wadsworth Road, Suite G
Wadsworth
OH
Medina
330‐208‐2720 330‐208‐2721
Yang
Guang
MD
3780 Medina Road, #110
Medina
OH
Medina
330‐208‐2720 330‐208‐2721
Diulus, III
Lewis
A.
MD
4975 Foote Road, #100
Medina
OH
Medina
330‐721‐8232 330‐721‐8403
Plastic Surgery
Papas
Nicholas
H.
MD
Renaissance Plastic Surgeons, LTD
185 Wadsworth Road, Suite J
Wadsworth
OH
Medina
330‐334‐7800 330‐334‐3252
Plastic Surgery
Papas
Nicholas
H.
MD
Renaissance Plastic Surgeons, LTD
3780 Medina Road, #110
Medina
OH
Medina
330‐334‐7800 330‐334‐3252
Podiatry
Podiatry
Khandekar
Stein
Rahul
Ronald
P
DPM
DPM
University Hospitals Medical Practices
Agape Podiatry, Inc.
4001 Carrick Drive, #150
535 E. Smith Road
Medina
Medina
OH
OH
Medina
Medina
330‐923‐0553 330‐923‐0556
330‐725‐7075 330‐725‐3988
Podiatry
Unsdorfer
Gary
DPM
Agape Podiatry, Inc.
535 E. Smith Road
Medina
OH
44281‐
9585
44256‐
9311
44281‐
9585
44256‐
9311
44256‐
8748
44281‐
9585
44256‐
9312
44258
44256‐
2600
44256‐
2600
Medina
Larsen
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Crystal Clinic, Inc.
Medina
330‐725‐7075 330‐725‐3988
330‐225‐6168
330‐225‐6168
330‐723‐4854
330‐721‐8510
216‐201‐5188
Page 103 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Pulmonology
Kim
Albert
B.
MD
Unity Health Network
3780 Medina Road, #105
Medina
OH
Medina
330‐253‐1411 330‐253‐1720
Pulmonology
Makkar
Hitesh
MD
Unity Health Network
3780 Medina Road, #105
Medina
OH
Medina
330‐253‐1411 330‐253‐1720 Radiation Oncology
Radiation Oncology
Rheumatology
Sleep Medicine
Doncals
Shah
Kuchynski
Chandos
Desiree
Chirag
Marie
Brandon
MD
MD
MD
MD
SPI Radiation Oncology
SPI Radiation Oncology
University Hospitals Medical Practices
Unity Health Network
3780 Medina Road, 1st Floor
3780 Medina Road, 1st Floor
4065 Center Road, #210
195 Wadsworth Road
Medina
Medina
Brunswick
Wadsworth
OH
OH
OH
OH
Medina
Medina
Medina
Medina
330‐721‐6825
330‐721‐6825
330‐220‐8411
330‐336‐8831
Sleep Medicine
Roman
Frankie
MD
Unity Health Network
3985 Medina Road, #200
Medina
OH
Medina
330‐723‐2700 330‐723‐2709
Sports Medicine
Goff
James
DO
3780 Medina Road, #200
Medina
OH
Medina
330‐379‐5051 330‐379‐5074
Sports Medicine
Shah
Nilesh
MD
3780 Medina Road, #200
Medina
OH
44256 Medina
330‐379‐5051 330‐379‐5074
Thoracic Surgery
Urogynecology
Urogynecology
Urology
Urology
Debski
Rooney
South
Abouassaly
Wong
Robert
Christopher
Mary
Robert
Carson
MD
MD
MD
MD
MD
SPI Orthopaedics and Sports Medicine Lake Medina
SPI Orthopaedics and Sports Medicine Lake Medina
SPI Robert F. Debski, MD
SPI Wadsworth Women's Health Center
SPI Continence Center Lake Medina
University Hospitals Medical Group, Inc.
Southwest Urology, Inc.
44256‐
9311
44256‐
9311
44256
44256
44212
44281‐
9504
44256‐
5354
44256
3780 Medina Road, #200
195 Wadsworth Road, #301
3780 Medina Road, #200
4001 Carrick Drive
970 E. Washington Street, #5C
Medina
Wadsworth
Medina
Medina
Medina
OH
OH
OH
OH
OH
Medina
Medina
Medina
Medina
Medina
330‐475‐1674
330‐434‐0543
330‐434‐0543
216‐844‐5661
330‐725‐0600
Allergy & Immunology
Faltay
Bela
MD
6847 N. Chestnut Street, #325
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710
Behavioral Health: Psychology
Sipps
Gary
PhD
NE Ohio Pulmonary & Critical Care Associates, Inc.
SWRH Physicians, Inc.
411 Devon Place
Kent
OH
Portage
330‐677‐7680 330‐971‐7256
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Colon & Rectal Surgery
Chakravarty
Hayek
Iler
Keyser
Rubin
Sleik
Tsai
Yuh
Saneka
Emil
Mark
Philip
David
Khaled
A. Roger
Jen‐Nan
MD
MD
MD
MD
MD
MD
MD
MD
SPI NEOCS Robinson
University Hospitals Medical Practices
SPI NEOCS Robinson
SPI NEOCS Robinson
SPI NEOCS Robinson
SPI NEOCS Robinson
SPI NEOCS Robinson
Portage Surgical Associates, Inc.
6847 N. Chestnut Street, #100
55 N. Chillicothe Road, #100
6847 N. Chestnut Street, #100
6847 N. Chestnut Street, #100
6847 N. Chestnut Street, #100
6847 N. Chestnut Street, #100
6847 N. Chestnut Street, #100
3973 Loomis Parkway, Suite A
Ravenna
Aurora
Ravenna
Ravenna
Ravenna
Ravenna
Ravenna
Ravenna
OH
OH
OH
OH
OH
OH
OH
OH
Portage
Portage
Portage
Portage
Portage
Portage
Portage
Portage
330‐297‐6110
330‐342‐0806
330‐297‐6110
330‐297‐6110
330‐297‐6110
330‐297‐6110
330‐297‐6110
330‐296‐8239
Critical Care
Krauza
Matthew
L.
MD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710
Critical Care
White
Brian
J.
DO
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Dermatology
Fox
Monte
E.
DO
Tri‐County Dermatology, Inc.
401 Devon Place, #250
Kent
OH
Portage
330‐929‐9009 330‐929‐6264
Dermatology
Jahnke
Michelle
A.
MD
New Horizon Dermatology, Inc.
6693 N. Chestnut Street, #125A & B Ravenna
OH
Portage
330‐296‐2879 330‐296‐4656
Dermatology
Wikas
Schield
M.
DO
Tri‐County Dermatology, Inc.
401 Devon Place, #250
Kent
OH
Portage
330‐929‐9009 330‐929‐6264
Endocrinology
Gehlaut
Richa R.
MD
SWRH Physicians, Inc.
9318 State Route 14
Streetsboro
OH
Portage
330‐422‐7715 330‐422‐7717
Endocrinology
Kaur
Manjinder
DO
SWRH Physicians, Inc.
9318 State Route 14
Streetsboro
OH
44256
44281
44256
44256
44256‐
2181
44266‐
3929
44240‐
6480
44266
44202
44266
44266
44266
44266
44266
44266‐
1803
44266‐
3929
44266‐
3929
44240‐
6483
44266‐
3900
44240‐
6483
44241‐
5224
44241‐
5224
Portage
330‐422‐7715 330‐422‐7717
E.
N
J.
D.
J.
R
H.
Fax
330‐725‐7423
330‐725‐7423
330‐220‐9315
330‐334‐2798
330‐475‐1617
330‐434‐0599
330‐434‐0599
216‐844‐1900
330‐ 722‐4457
330‐296‐0592
330‐342‐0819
330‐296‐0592
330‐296‐0592
330‐296‐0592
330‐296‐0592
330‐296‐0592
330‐296‐6528
Page 104 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Endocrinology
Wojtowicz
Jennifer
A.
DO
SWRH Physicians, Inc.
9318 State Route 14
Streetsboro
OH
Portage
330‐422‐7715 330‐422‐7717
ENT
Abbass
Abdul
Ohio ENT Associates, Inc.
6693 N. Chestnut Street, #215
Ravenna
OH
Portage
330‐297‐9080 330‐297‐9077
ENT
Abbass
Fadi
Hassa MD
n
MD
Ohio ENT Associates, Inc.
6693 N. Chestnut Street, #215
Ravenna
OH
Portage
330‐297‐9080 330‐297‐9077
ENT
Abbass
Hassan
MD
Ohio ENT Associates, Inc.
6693 N. Chestnut Street, #215
Ravenna
OH
Portage
330‐297‐9080 330‐297‐9077
Family Medicine
Bittence
Jessica
MD
Garrettsville Family Medicine (RHA)
10327 South Street
Garrettsville
OH
Portage
330‐527‐5430 330‐527‐2472
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Chen
Chen
Foss
Hillard
Janovick
Koczab
Lane
Lang
Michael
Yongjin
John
Bradley
Patrick
Gabrielle
Isabelle
Sarah
MD
MD
MD
DO
MD
DO
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Mantua Family Medicine (RHA)
University Hospitals Medical Practices
University Hospitals Medical Practices
Streetsboro Family Practice (RHA)
9480 Rosemond Drive, #100
10803 Main Street
9480 Rosemond Drive, #100
55 N. Chillicothe Road, #100
10760 Main Street
9480 Rosemond Drive, #100
9480 Rosemond Drive, #100
9318 State Route 14, Second Floor
Streetsboro
Mantua
Streetsboro
Aurora
Mantua
Streetsboro
Streetsboro
Streetsboro
OH
OH
OH
OH
OH
OH
OH
OH
Portage
Portage
Portage
Portage
Portage
Portage
Portage
Portage
330‐626‐5566
330‐274‐2030
330‐626‐5566
330‐425‐2212
330‐274‐2170
330‐626‐5566
330‐626‐5566
330‐626‐3111
Family Medicine
Lefoer
Dominic
MD
Streetsboro Family Practice (RHA)
9318 State Route 14, Second Floor Streetsboro
OH
Portage
330‐626‐3111 330‐626‐5978
Family Medicine
Family Medicine
Family Medicine
Neely
Neely
Safko
Timothy
Timothy
Lonna
R
R
L.
DO
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Streetsboro Family Practice (RHA)
10724 South Street
Garrettsville
8307 Windham Street
Garrettsville
9318 State Route 14, Second Floor Streetsboro
OH
OH
OH
Portage
Portage
Portage
330‐527‐2617 330‐527‐5099
330‐527‐2617 330‐527‐5099
330‐626‐3111 330‐626‐5978
Family Medicine
Family Medicine
Gastroenterology
General Surgery
Sawyer
Witmer
Abbass
Gusz
Jenny
Larry
Rami
John
K
J
MD
DO
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Portage Surgical Associates, Inc.
55 N. Chillicothe Road, #100
55 N. Chillicothe Road, #100
55 N. Chillicothe Road, #100
3973 Loomis Parkway, Suite A
Aurora
Aurora
Aurora
Ravenna
OH
OH
OH
OH
Portage
Portage
Portage
Portage
330‐954‐7210
330‐425‐2212
440‐708‐1555
330‐296‐8239
General Surgery
Panzeter
Edward
MD
Portage Surgical Associates, Inc.
3973 Loomis Parkway, Suite A
Ravenna
OH
Portage
330‐296‐8239 330‐296‐6528
General Surgery
Swegan
Amy
E.
MD
Portage Surgical Associates, Inc.
3973 Loomis Parkway, Suite A
Ravenna
OH
Portage
330‐296‐8239 330‐296‐6528
General Surgery
Swegan
Amy
E.
MD
Portage Surgical Associates, Inc.
9318 State Route 14
Streetsboro
OH
Portage
330‐296‐8239 330‐296‐6528
General Surgery
Wojtasik
Lynn
MD
Portage Surgical Associates, Inc.
3973 Loomis Parkway, Suite A
Ravenna
OH
Portage
330‐296‐8239 330‐296‐6528
Hematology/Oncology
Marquinez
Frederick
P.
MD
Drs. Mubashir, Marquinez & Rehman, Inc.
3957 Loomis Parkway, #102
Ravenna
OH
Portage
330‐297‐5620 330‐297‐5685
Hematology/Oncology
Mubashir
Bashar
A.
MD
Drs. Mubashir, Marquinez & Rehman, Inc.
3957 Loomis Parkway, #102
Ravenna
OH
Portage
330‐297‐5620 330‐297‐5685
Hematology/Oncology
Rehman
Saif Ur
MD
Drs. Mubashir, Marquinez & Rehman, Inc.
3957 Loomis Parkway, #102
Ravenna
OH
Portage
330‐297‐5620 330‐297‐5685
Internal Medicine
Andrews
Annette
L.
MD
Total Lifetime Care Medical Affiliates, Inc.
1 Memory Lane
Garrettsville
OH
Portage
330‐527‐4852 330‐527‐4866
Internal Medicine
Andrews
Annette
L.
MD
Total Lifetime Care Medical Affiliates, Inc.
1 Memory Lane
Garrettsville
OH
44241‐
5224
44266‐
3900
44266‐
3900
44266‐
3900
44231‐
1121
44241
44255
44241
44202
44255‐
44241
44241
44241‐
5224
44241‐
5224
44231
44231
44241‐
5224
44202
44202
44202
44266‐
1803
44266‐
1803
44266‐
1803
44241‐
5224
44266‐
1803
44266‐
1804
44266‐
1804
44266‐
1804
44231‐
9443
44231‐
9443
Portage
330‐527‐4852 330‐527‐4866
K
C
G
J.
M
E
R.
Fax
330‐626‐2042
330‐274‐2151
330‐626‐2042
330‐425‐2779
330‐274‐2195
330‐626‐2042
330‐626‐2042
330‐626‐5978
330‐954‐7211
330‐425‐2779
440‐708‐1515
330‐296‐6528
Page 105 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Internal Medicine
Smith
Scott
B.
MD
Total Lifetime Care Medical Affiliates, Inc.
1 Memory Lane
Garrettsville
OH
Portage
330‐527‐4852 330‐527‐4866
Nephrology
Zidehsarai
Miriam
P.
DO
Akron Nephrology Associates, Inc.
401 Devon Place, #100
Kent
OH
Portage
330‐677‐2266 330‐677‐2385
Neurology
Dorsett
Roswell
B.
DO
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐8048 330‐296‐8208
Neurology
Rafecas
Jose
C.
MD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐8048 330‐296‐8208
Neurology
Riess
Gerald
T.
MD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐8048 330‐296‐8208
Neuropsychology
Peluso
Eugenio
A.
PhD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐8048 330‐296‐8208
Neurosurgery
Donich
Dane
J.
MD
Donich Neurosurgery and Spine, LLC
9318 State Route 14 Streetsboro
OH
Portage
330‐576‐3500 330‐576‐3900
Ob/Gyn
Banerjee
Tanya
MD
Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐626‐2710 330‐626‐1370
Ob/Gyn
Burkett
Amy
M.
MD
SPI Paragon Obstetrics & Gynecology Kent
1951 State Route 59, Suite C
Kent
OH
44231‐
9443
44240‐
6481
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44241‐
5224
44241‐
5224
44240
Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Carroll
Jennifer
L.
MD
Northeast Ob/Gyn (RHA)
6847 N. Chestnut Street, #300
Ravenna
OH
330‐296‐4165 330‐296‐5536
Ob/Gyn
Carroll
Jennifer
L.
MD
Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
330‐626‐2710 330‐626‐1370
Ob/Gyn
Crites
Shannon
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44266‐ Portage
3929
44241‐ Portage
5224
44240 Portage
Ob/Gyn
Ferris
Edward
M.
MD
1951 State Route 59
Kent
OH
44240 Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44240 Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Homafar
Soghra
MD
Northeast Ob/Gyn (RHA)
401 Devon Place, #210
Kent
OH
Portage
330‐676‐9465 330‐677‐5461
Ob/Gyn
Homafar
Soghra
MD
Northeast Ob/Gyn (RHA)
6847 N. Chestnut Street, #300
Ravenna
OH
Portage
330‐296‐4165 330‐296‐5536
Ob/Gyn
Homafar
Soghra
MD
Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐626‐2710 330‐626‐1370
Ob/Gyn
Kerstetter
Molly
E
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44240‐
6483
44266‐
3929
44241‐
5224
44240
Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Mendise
Thomas
J.
MD
1951 State Route 59
Kent
OH
44240 Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Mihalik
Catherine
M
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44240 Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Kent
1957 State Route 59
Kent
OH
44240 Portage
330‐677‐3638 330‐676‐0753
Ob/Gyn
Reynolds
Beth
DO
Northeast Ob/Gyn (RHA)
401 Devon Place, #210
Kent
OH
330‐676‐9465 330‐677‐5461
Ob/Gyn
Reynolds
Beth
DO
Northeast Ob/Gyn (RHA)
6847 N. Chestnut Street, #300
Ravenna
OH
Ob/Gyn
Reynolds
Beth
DO
Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
44240‐ Portage
6483
44266‐ Portage
3929
44241‐ Portage
5224
SPI Paragon Kent
SPI Paragon Obstetrics & Gynecology Kent
Fax
330‐677‐3638 330‐676‐0753
330‐296‐4165 330‐296‐5536
330‐626‐2710 330‐626‐1370
Page 106 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Ridenbaugh
Cheryl
L.
Ob/Gyn
Ridenbaugh
Cheryl
Ob/Gyn
Ridenbaugh
Cheryl
Ob/Gyn
Rosenwasser
Ob/Gyn
Address
City
State
Zip
County
Phone CNM Northeast Ob/Gyn (RHA)
401 Devon Place, #210
Kent
OH
Portage
330‐676‐9465 330‐677‐5461
L.
CNM Northeast Ob/Gyn (RHA)
6847 N. Chestnut Street, #300
Ravenna
OH
Portage
330‐296‐4165 330‐296‐5536
L.
CNM Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐626‐2710 330‐626‐1370
Alan
MD
Northeast Ob/Gyn (RHA)
401 Devon Place, #210
Kent
OH
Portage
330‐676‐9465 330‐677‐5461
Rosenwasser
Alan
MD
Northeast Ob/Gyn (RHA)
6847 N. Chestnut Street, #300
Ravenna
OH
Portage
330‐296‐4165 330‐296‐5536
Ob/Gyn
Rosenwasser
Alan
MD
Northeast Ob/Gyn (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐626‐2710 330‐626‐1370
Ob/Gyn
Warner
Lisa
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44240‐
6483
44266‐
3929
44241‐
5224
44240‐
6483
44266‐
3929
44241‐
5224
44240
Portage
330‐677‐3638 330‐676‐0753
Ophthalmology
Beyer
Todd
DO
Ripkin Vision & Laser Center, Inc.
9424 State Route 14
Streetsboro
OH
Portage
330‐422‐1111 330‐422‐1110
Ophthalmology
Beyer
Todd
DO
System Optics, Inc./Novus Clinic
518 West Avenue
Tallmadge
OH
Portage
330‐630‐9699 330‐630‐2173
Ophthalmology
Cingle
Kimberly
A.
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐678‐4272
Ophthalmology
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
Ophthalmology
Johnston
James
DO
System Optics, Inc./Novus Clinic
518 West Avenue
Tallmadge
OH
Portage
330‐630‐9699 330‐630‐2173
Ophthalmology
Jones
Marc
F.
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐678‐4272
Ophthalmology
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
Ophthalmology
Locastro
Anthony
J.
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐678‐4272
Ophthalmology
Lohman
Lawrence
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐678‐4272
Ophthalmology
Ripkin
Douglas
J.
MD
Ripkin Vision & Laser Center, Inc.
9424 State Route 14
Streetsboro
OH
Portage
330‐422‐1111 330‐422‐1110
Ophthalmology
Steiner
Scott
R.
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐678‐4272
Ophthalmology
Stephens
Donald
C.
MD
Ripkin Vision & Laser Center, Inc.
100 First Street
Hudson
OH
Portage
330‐650‐0212 330‐650‐0292
Ophthalmology
Stephens
Donald
C.
MD
Ripkin Vision & Laser Center, Inc.
9424 State Route 14
Streetsboro
OH
Portage
330‐422‐1111 330‐422‐1110
Ophthalmology
Stephens
Donald
C.
MD
System Optics, Inc./Novus Clinic
518 West Avenue
Tallmadge
OH
Portage
330‐630‐9699 330‐630‐2173
Ophthalmology
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
Ophthalmology
Willett
Matthew
C.
MD
Northeast Ohio Eye Surgeons, Inc.
2013 State Route 59
Kent
OH
Portage
330‐678‐0201 330‐ 678‐4272
Ophthalmology: Vitreoretinal Specialist
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
L
Group Name
44241‐
5226
44278‐
2117
44240‐
4113
44240‐
4113
44278‐
2117
44240‐
4113
44240‐
4113
44240‐
4113
44240‐
4113
44241‐
5226
44240‐
4113
44236‐
5384
44241‐
5226
44278‐
2117
44240‐
4113
44240‐
4113
44240‐
4113
Fax
Page 107 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Orthopedic Surgery
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
Stephens
Donald
C.
MD
System Optics, Inc./Novus Clinic
518 West Avenue
Tallmadge
OH
Portage
330‐630‐9699 330‐630‐2173
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
2013 State Route 59
Kent
OH
Portage
330‐434‐1185 330‐434‐8533
Dean
Erin
M.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Dean
Erin
M.
MD
Crystal Clinic, Inc.
9318 State Route 14
Streetsboro
OH
Portage
330‐668‐4040 330‐673‐6399
Orthopedic Surgery
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Kay
Matthew
D.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Mineo
Ronald
C.
DO
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Mineo
Ronald
C.
DO
Crystal Clinic, Inc.
9318 State Route 14
Streetsboro
OH
Portage
330‐668‐4040 330‐673‐6399
Orthopedic Surgery
Nelman
Kyle
R.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Pakan
William
A.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Stachowicz
Rafal
Z.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Stachowicz
Rafal
Z.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
9318 State Route 14
Streetsboro
OH
Portage
330‐673‐6299 330‐673‐6399
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Spine Surgery
Pain Management
Stachowicz
Rafal
Z.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Stachowicz
Rafal
Z.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
9318 State Route 14
Streetsboro
OH
Portage
330‐673‐6299 330‐673‐6399
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Griffiths
Maria
MD
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pain Medicine
Ali
Syed
S.
MD
Comprehensive Pain Management Specialists
SWRH Physicians, Inc.
411 Devon Place
Kent
OH
Portage
330‐677‐7680 330‐971‐7256
Pain Medicine
Ali
Syed
S.
MD
SWRH Physicians, Inc.
6847 N. Chestnut Street
Ravenna
OH
Portage
330‐297‐6112 330‐923‐8090
Pain Medicine
Drummond
Justin
T.
MD
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pain Medicine
Fouad
Maged
F.
MD
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pain Medicine
Lababidi
Tony
G.
DO
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pain Medicine
Narouze
Samer
N.
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
SWRH Physicians, Inc.
411 Devon Place
Kent
OH
44240‐
4113
44278‐
2117
44240‐
4113
44240‐
7610
44241‐
5224
44240‐
7610
44240‐
7610
44240‐
7610
44241‐
5224
44240‐
7610
44240‐
7610
44240‐
7610
44241‐
5224
44240‐
7610
44241‐
5224
44240‐
7610
44241‐
4571
44240‐
6480
44266‐
3929
44241‐
4571
44241‐
4571
44241‐
4571
44241‐
4571
44240‐
6480
Portage
330‐677‐7680 330‐971‐7256
Page 108 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Pain Medicine
Narouze
Samer
N.
MD
SWRH Physicians, Inc.
6847 N. Chestnut Street
Ravenna
OH
Portage
330‐297‐6112 330‐923‐8090
Pain Medicine
Sable
James
T.
MD
SWRH Physicians, Inc.
411 Devon Place
Kent
OH
Portage
330‐677‐7680 330‐971‐7256
Pain Medicine
Sable
James
T.
MD
SWRH Physicians, Inc.
6847 N. Chestnut Street
Ravenna
OH
Portage
330‐297‐6112 330‐923‐8090
Pain Medicine
Souzdalnitski
Dmitri
MD
SWRH Physicians, Inc.
411 Devon Place
Kent
OH
Portage
330‐677‐7680
Pain Medicine
Souzdalnitski
Dmitri
MD
SWRH Physicians, Inc.
6847 N. Chestnut Street
Ravenna
OH
Portage
330‐297‐6112 330‐923‐8090
Pain Medicine
Wynne
Marisa
M.
DO
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Pediatrics
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Podiatry
Baratian
Larsen
Marcus
Teresa
A
K.
MD
DO
9480 Rosemont Drive, #200
9150 Market Square Drive
Streetsboro
Streetsboro
OH
OH
Portage
Portage
330‐626‐9900 330‐626‐8048
330‐208‐2720 330‐208‐2721 Yang
Guang
9150 Market Square Drive
Streetsboro
OH
Portage
330‐208‐2720 330‐208‐2721
Cole
Windy
E.
DPM
Comprehensive Pain Management Specialists
University Hospitals Medical Practices
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Windy Cole, DPM
1533 S. Water Street
Kent
OH
Portage
330‐673‐4200 330‐673‐4228
Podiatry
Cole
Windy
E.
DPM
Windy Cole, DPM
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐626‐3392 330‐626‐3395
Podiatry
Fath
Jennifer
M.
DPM
A Plus Family Foot & Ankle Center, Inc.
1221 S. Water Street, Suite A
Kent
OH
Portage
330‐474‐0500 330‐474‐0501
Podiatry
Paul
Eric
J.
DPM
Eric J. Paul, DPM, DABPS, FASCFAS
6693 N. Chestnut Street, #12B
Ravenna
OH
Portage
330‐297‐1211 330‐297‐6550
Podiatry
Pham
Hai
DPM
A Plus Family Foot & Ankle Center, Inc.
1221 S. Water Street, Suite A
Kent
OH
Portage
330‐474‐0500 330‐474‐0501
Podiatry
Stoddard
Frank
G.
DPM
8307 Windham Street
Garrettsville
OH
Portage
330‐527‐4088 330‐833‐2267
Pulmonology
Botros
Nader
A.
MD
Massillon Foot and Ankle Clinic, Inc. dba Garrettsville Foot & Ankle Clinic‐
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
Fuenning
Charles
R.
MD
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
Hines
Robert
M.
MD
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
Kim
Albert
B.
MD
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
Krauza
Matthew
L.
MD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710
Pulmonology
Kretchmer
Kenneth
R.
MD
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
Makkar
Hitesh
MD
Unity Health Network
6847 N. Chestnut Street, #325 Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
White
Brian
J.
DO
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710 Pulmonology
White
Ralph
P.
MD
6847 N. Chestnut Street, #325
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710
Radiation Oncology
Fromm
Mitchel
NE Ohio Pulmonary & Critical Care Associates, Inc.
Akron Radiation Oncology Associates, Inc.
6847 Chestnut Street
Ravenna
OH
44266‐
3929
44240‐
6480
44266‐
3929
44240‐
6480
44266‐
3929
44241‐
4571
44241
44241‐
4571
44241‐
4571
44240‐
4471
44241‐
5224
44240‐
3843
44266‐
3900
44240‐
3843
44231‐
9406
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
44266‐
3929
Portage
330‐344‐6448 330‐344‐1195
MD
MD
Fax
Page 109 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Radiation Oncology
Godwin
Blessing
O.
MD
Akron Radiation Oncology Associates, Inc.
6847 Chestnut Street
Ravenna
OH
Portage
330‐344‐6448 330‐344‐1195
Rheumatology
Singh
Inderprit
MD
Portage Rheumatology (RHA)
9318 State Route 14, Third Floor
Streetsboro
OH
Portage
330‐422‐7790 330‐422‐7792
Sleep Medicine
Krauza
Matthew
L.
MD
Unity Health Network
6847 N. Chestnut Street, #330
Ravenna
OH
Portage
330‐296‐6969 330‐296‐7710
Sports Medicine
Bartsokas
Tom
W.
MD
9318 State Route 14
Streetsboro
OH
Portage
330‐422‐7820 330‐422‐7821
Sports Medicine
Nelman
Kyle
R.
MD
SPI Summa Physicians Orthopaedics and Sports Medicine
Crystal Clinic, Inc.
44226‐
3929
44241‐
5224
44266‐
3929
44241
2007 State Route 59
Kent
OH
Portage
330‐673‐6299 330‐673‐6399
Thoracic Surgery
Ghumrawi
Badr
K.
MD
Badr Ghumwari, MD, Inc.
6693 N. Chestnut Street, #268A
Ravenna
OH
Portage
330‐296‐2829 330‐296‐7202
Allergy & Immunology
Given
John
T.
MD
John Given, MD
4048 Dressler Road, NW, #100
Canton
OH
Stark
330‐479‐3333 330‐479‐3334
Allergy & Immunology
Lavi
Richard
F.
MD
Allergy, Asthma and Sinus Relief Center, Inc. 4016 Massillon Road, Suite C
Uniontown
OH
Stark
330‐423‐4444 330‐777‐4414
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatry
Bradford
Stephanie
A.
LISW Vista Psychological & Counseling Centre, LLC 1201 S. Main Street, #100
Stark
330‐244‐8782 330‐244‐8795
Patel
Kanubhai
C.
MD
Behavioral Psychiatric Consultants, Inc.
3745 Whipple Avenue, NW, Suite A Canton
OH
Stark
330‐493‐3313 330‐493‐6413
Behavioral Health: Psychiatry
Patel
Suresh
A.
MD
Behavioral Psychiatric Consultants, Inc.
3745 Whipple Avenue, NW, Suite A Canton
OH
Stark
330‐493‐3313 330‐493‐6413
Behavioral Health: Psychology
Humphries, Jr.
Robert
A.
PhD
Vista Psychological & Counseling Centre, LLC 1201 S. Main Street, #100
North Canton OH
Stark
330‐244‐8782 330‐244‐8795
Cardiac Electrophysiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cummings
Arshad
El Ghamry Sabe
El Ghamry Sabe
Hamdan
Hirsch
Johnson
Jones
Kassir
Patel
Pipoly
Shanmugam
Simmons
Simmons
Tsai
Utlak
Jennifer
Rabia
Ahmed
Ahmed
Firas
Steven
Todd
Simonette
Mohamad
Dilip
Stephen
Makilzhan
Brian
Brian
John
David
E
J.
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
SPI Cardiology One Canton
SPI Cardiology One Canton
SPI Cardiology One Canton
Mercy Professional Care Corporation
SPI Cardiology One Canton
Mercy Professional Care Corporation
Mercy Professional Care Corporation
SPI Cardiology One Canton
SPI Cardiology One Canton
SPI Cardiology One Massillon
SPI Cardiology One Canton
Ohio Heart Care, Inc.
1330 Mercy Drive, NW, #101
1330 Mercy Drive, NW, #101
1330 Mercy Drive, NW, #101
7337 Caritas Circle, NW, #200
4466 Fulton Drive, NW
4466 Fulton Drive, NW
4466 Fulton Drive, NW
1330 Mercy Drive, NW, #101
4466 Fulton Drive, NW
1330 Mercy Drive, NW, #101
1330 Mercy Drive, NW, #101
4466 Fulton Drive, NW
4466 Fulton Drive, NW
830 Amherst Road, NE, #202
4466 Fulton Drive, NW
4455 Dressler Road, NW
Canton
Canton
Canton
Massillon
Canton
Canton
Canton
Canton
Canton
Canton
Canton
Canton
Canton
Massillon
Canton
Canton
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
330‐588‐4676
330‐588‐4676
330‐588‐4676
330‐830‐6112
330‐489‐1386
330‐489‐1386
330‐489‐1386
330‐588‐4676
330‐489‐1386
330‐588‐4676
330‐588‐4676
330‐489‐1386
330‐489‐1386
330‐837‐6841
330‐489‐1386
330‐492‐2102
Cardiothoracic Surgery
Tawil
Mark
T.
MD
TSA ‐ Thoracic Surgical Associates, Inc.
6659 Frank Avenue, NW
North Canton OH
Stark
330‐966‐3772 330‐966‐3799
Chiropractic
Ferguson
Peter
D.
DC
Peter Ferguson Chiropractic Clinic
3507 Cleveland Avenue, NW
Canton
Stark
330‐493‐7970 330‐493‐7410
Chiropractic
Longworth
Craig
W.
DC
Longworth Chiropractic Clinic
7023 Mears Gate Drive, Suite B
North Canton OH
Stark
330‐494‐5554 330‐494‐2792
Critical Care
Critical Care
Sawhney
Sawhney
Vishal
Vishal
MD
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
1330 Mercy Drive, NW, #418
7337 Caritas Circle, NW, #280
Canton
Massillon
44240‐
7610
44266‐
3900
44718‐
2784
44685‐
7818
44720‐
4283
44718‐
4805
44718‐
4805
44720‐
4283
44708
44708
44708
44646
44718
44718
44718
44708
44718
44708
44708
44718
44718
44646
44718
44718‐
2785
44720‐
7259
44709‐
2748
44720‐
8849
44708
44646
Stark
Stark
330‐489‐1454 330‐430‐6913
330‐458‐4180 330‐481‐1274
A.
A.
L.
C.
S.
C.
W.
North Canton OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Fax
330‐588‐4677
330‐588‐4677
330‐588‐4677
330‐481‐1273
330‐489‐1258
330‐489‐1258
330‐489‐1258
330‐588‐4677
330‐489‐1258
330‐588‐4677
330‐588‐4677
330‐489‐1258
330‐489‐1258
330‐489‐1258
330‐489‐1258
330‐492‐1025
Page 110 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Dermatology
Fox
Monte
E.
DO
Tri‐County Dermatology, Inc.
4240 Munson Street, NW
Canton
OH
Stark
330‐492‐2327 330‐492‐0953
Dermatology
Sicard
Fausto
A.
MD
G.R. Sicard, MD, Inc.
4825 Munson Street, NW
Canton
OH
Stark
330‐497‐7525 330‐497‐2687
Dermatology
Sicard
Guillermo
R.
MD
G.R. Sicard, MD, Inc.
4825 Munson Street, NW
Canton
OH
Stark
330‐497‐7525 330‐497‐2687
Dermatology
Wikas
Schield
M.
DO
Tri‐County Dermatology, Inc.
4240 Munson Street, NW
Canton
OH
Stark
330‐492‐2327 330‐492‐0953
Electrodiagnostic Medicine
Casanova
Jose
M.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Electrodiagnostic Medicine
Nafziger
Ned
A.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Endocrinology
Harold
Suzanne
M.
MD
Northeast Ohio Endocrinology
4634 Hills & Dales Road, NW
Canton
OH
Stark
330‐477‐0255 330‐479‐0392
Endocrinology
Korableva
Irina
MD
Northeast Ohio Endocrinology
4634 Hills & Dales Road, NW
Canton
OH
Stark
330‐477‐0255 330‐479‐0392
Endocrinology
Wietecha
Kevin
G.
DO
Northeast Ohio Endocrinology
4634 Hills & Dales Road, NW
Canton
OH
Stark
330‐477‐0255 330‐479‐0392
ENT
Bogdan
Charles
J.
MD
Ohio Head & Neck Surgeons, Inc.
4912 Higbee Avenue, NW
Canton
OH
Stark
330‐492‐2844 330‐492‐0840
ENT
Brescia
Aaron
I.
MD
Ohio Head & Neck Surgeons, Inc.
4912 Higbee Avenue, NW
Canton
OH
Stark
330‐492‐2844 330‐492‐0840
ENT
Ossakow
Steven
J.
MD
Ohio Head & Neck Surgeons, Inc.
4912 Higbee Avenue, NW
Canton
OH
Stark
330‐492‐2844 330‐492‐0840
ENT
Ramsey
Kent
L.
MD
Ohio Head & Neck Surgeons, Inc.
4912 Higbee Avenue, NW
Canton
OH
Stark
330‐492‐2844 330‐492‐0840
ENT
Smith
Darrell
R.
MD
Ohio Head & Neck Surgeons, Inc.
4912 Higbee Avenue, NW
Canton
OH
Stark
330‐492‐2844 330‐492‐0840
Family Medicine
Andaloro
Rebecca
MD
SPI Green Family Medicine
1700 Boettler Road, #200
Uniontown
OH
44718‐
2978
44718‐
3614
44718‐
3614
44718‐
2978
44718‐
2531
44718‐
2531
44708‐
1510
44708‐
1510
44708‐
1510
44718‐
2599
44718‐
2599
44718‐
2599
44718‐
2599
44718‐
2599
44685
Stark
330‐899‐0693 330‐899‐1502
Family Medicine
Barr
Edward
N.
MD
PPN‐Great Trail Family Practice in Minerva
1028 E. Lincolnway
Minerva
OH
44657 Stark
330‐868‐6044 330‐634‐1329
Family Medicine
Bartos
Paul
B.
MD
Family Physicians, Inc.
4860 Frank Avenue, NW
North Canton OH
44720 Stark
330‐494‐7099 330‐494‐2147
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Belardo
Borges
Brewster
Clarke
Falvo Lang
Galang
Gsellman
Haban
Lito
Paulo
Diana
Ashley
Jessica
Lamberto
Robert
Gregory
MD
MD
DO
DO
MD
MD
MD
MD
Community Health Care, Inc.
Community Health Care, Inc.
Brewster Family Wellness Center
Clarke Family Medicine, LLC
Community Health Care, Inc.
Mercy Professional Care Corporation
PPN ‐ Hearthstone Family Practice
Family Physicians, Inc.
7542 Fulton Road, Suite B
1700 Boettler Road, #100
4124 Fulton Drive, NW, #101
2520 Wales Road, #220
6724 Wales Avenue
1459 Superior Avenue, NW
4444 S. Arlington Road
4860 Frank Avenue, NW
Massillon
Uniontown
Canton
Massillon
Massillon
Canton
Uniontown
North Canton
OH
OH
OH
OH
OH
OH
OH
OH
44646
44685
44718
44646
44646
44705
44685
44720
330‐833‐4596
330‐896‐0009
330‐433‐9260
330‐880‐5671
330‐837‐4264
330‐588‐4892
330‐896‐6111
330‐494‐7099
Family Medicine
Hamler
Scott
T.
MD
SPI Green Family Medicine
1700 Boettler Road, #200
Uniontown
OH
44685 Stark
330‐899‐0693 330‐899‐1502
Family Medicine
Family Medicine
Harbert
Hawkins
Kelly
Wade
M.
DO
MD
Mercy Professional Care Corporation
Family Physicians, Inc.
7337 Caritas Circle, NW, #220
4860 Frank Avenue, NW
Massillon
OH
North Canton OH
44646 Stark
44720 Stark
330‐830‐6202 330‐481‐1280
330‐494‐7099 330‐494‐2147
Family Medicine
Ison
Rodney
K.
MD
Community Health Care, Inc.
944 E. Cherry Street
Canal Fulton
44614 Stark
330‐854‐4574 330‐854‐0829
M.
W.
L.
T.
M.
OH
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Fax
330‐833‐1817
330‐896‐0032
330‐433‐9263
330‐880‐5681
330‐837‐9195
330‐588‐4895
330‐896‐6116
330‐494‐2147
Page 111 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Family Medicine
Jenrette
Marilyn
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Johns
Keith
Kolarik
Kreptowski
James
Linda
Louise
Dianne
Family Medicine
Family Medicine
Family Medicine
Lazzerini
Lohmeyer
Marshall
Frank
Barbara
Howard
Family Medicine
Family Medicine
McGrady
McKinley
Michael
Leslie
Family Medicine
Mirande
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
MI
Cred
Group Name
Address
City
MD
North Canton Family Physicians Inc
133 Wilbur Drive, NE
North Canton OH
44720 Stark
330‐494‐6012 330‐494‐0403
MD
DO
MD
DO
Little Flower Family Practice
Community Health Care, Inc.
Community Health Care, Inc.
SPI Kreptowski Family Practice
211 15th Street, NW
1700 Boettler Road, #100
855 W. Maple Street, #110
6509 Frank Avenue, NW
Canton
Uniontown
Hartville
North Canton
44703
44685
44632
44720
330‐455‐0800
330‐896‐0009
330‐877‐3616
330‐244‐0480
D.
MD
DO
MD
Premiere Family Practice
Community Health Care, Inc.
Family Physicians, Inc.
7452 Fulton Drive, NW
1700 Boettler Road, #100
4860 Frank Avenue, NW
Massillon
OH
Uniontown
OH
North Canton OH
44646 Stark
44685 Stark
44720 Stark
330‐830‐6211 330‐830‐6212
330‐896‐0009 330‐896‐0032
330‐494‐7099 330‐494‐2147
L.
T.
MD
DO
Mercy Professional Care Corporation
Family Physicians, Inc.
149 E. Simpson Street
4860 Frank Avenue, NW
Alliance
OH
North Canton OH
44601 Stark
44720 Stark
330‐823‐3856 330‐823‐6513
330‐494‐7099 330‐494‐2147
Melanie
MD
Family Medicine, Inc.
6525 Market Avenue, North, #101 Canton
OH
44721 Stark
330‐494‐9785 330‐494‐9798
Nair
Olson
Parrish
Perkowski
Rahman
Rucki
Saunders
Ajay
David
Jill
Vincent
Aisha
Pamela
Morton
MD
DO
MD
DO
MD
MD
DO
Community Health Care, Inc.
Community Health Care, Inc.
Community Health Care, Inc.
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Community Health Care, Inc.
SPI Green Family Medicine
944 E. Cherry Street
855 W. Maple Street, #110
1302 W. Main Street, Suite A
3300 Bailey Street, NW, #102
1459 Superior Avenue, NE
944 E. Cherry Street
1700 Boettler Road, #200
Canal Fulton
Hartville
Louisville
Massillon
Canton
Canal Fulton
Uniontown
OH
OH
OH
OH
OH
OH
OH
44614
44632
44641
44646
44705
44614
44685
330‐854‐4574
330‐877‐3616
330‐875‐5544
330‐834‐9761
330‐588‐5892
330‐854‐4574
330‐899‐0693
Family Medicine
Family Medicine
Family Medicine
Scheufler
Seager
Seibert
Steven
Jon
Dalson
MD
MD
MD
Community Health Care, Inc.
Community Health Care, Inc.
Family Physicians, Inc.
6724 Wales Avenue
855 W. Maple Street, #110
4860 Frank Avenue, NW
Massillon
OH
Hartville
OH
North Canton OH
44646 Stark
44632 Stark
44720 Stark
330‐837‐4264 330‐837‐9195
330‐877‐3616 330‐877‐1783
330‐494‐7099 330‐494‐2147
Family Medicine
Seibert
Megan
MD
Family Physicians, Inc.
4860 Frank Avenue, NW
North Canton OH
44720 Stark
330‐494‐7099 330‐494‐2147
Family Medicine
Shemory
Thomas
MD
Family Physicians, Inc.
4860 Frank Avenue, NW
North Canton OH
44720 Stark
330‐494‐7099 330‐494‐2147
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Shivers
Soto
Steineck
Stetler
Tamburro
R. M.
Carmen
Brady
Christopher
Leonard
MD
MD
MD
DO
DO
Mercy Professional Care Corporation
Community Health Care, Inc.
Community Health Care, Inc.
Mercy Professional Care Corporation
Mercy Professional Care Corporation
149 E. Simpson Street
4761 Higbee Avenue, NW
1302 W. Main Street, Suite A
432 King Church Avenue, SW
1413 Portage Road, NW
Alliance
Canton
Louisville
Uniontown
North Canton
44601
44718
44641
44685
44720
330‐823‐3856
330‐493‐0476
330‐875‐5544
330‐877‐0781
330‐499‐7591
Family Medicine
Family Medicine
Family Medicine
Wages
Withnell
Wymyslo
Duane
Philip
Edmund
MD
MD
MD
PPN ‐ Hearthstone Family Practice
Community Health Care, Inc.
Family Physicians, Inc.
4444 S. Arlington Road
1302 W. Main Street, Suite A
4860 Frank Avenue, NW
Uniontown
OH
Louisville
OH
North Canton OH
44685 Stark
44641 Stark
44720 Stark
330‐896‐6111 330‐896‐6116
330‐875‐5544 330‐875‐8150
330‐494‐7099 330‐494‐2147
Gastroenterology
Al‐Lahham
Bassel
MD
Gastroenterology Associates, Inc.
4665 Belpar Street, NW
Canton
OH
330‐493‐1480 330‐493‐6805
Gastroenterology
Fahmy
Nabil
MD
Canton
OH
Gastroenterology
Kamel
Sameh
Gastroenterology and Hepatology Specialists, 4360 Fulton Drive, NW, Suite B
Inc.
Gastroenterology and Hepatology Specialists, 4360 Fulton Drive, NW, Suite B
Inc.
Canton
OH
44718‐ Stark
3602
44718‐ Stark
2878
44718‐ Stark
2878
J.
A.
L.
E.
A.
C.
E.
R.
D.
W.
S.
MD
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
Zip
County
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Phone Fax
330‐455‐1453
330‐896‐0032
330‐877‐1783
330‐244‐2230
330‐854‐0829
330‐877‐1783
330‐875‐8150
330‐834‐9765
330‐588‐4895
330‐854‐0829
330‐899‐1502
330‐829‐6688
330‐493‐0921
330‐875‐8150
330‐877‐0492
330‐499‐0308
330‐305‐2020 330‐305‐9090
330‐305‐2020 330‐305‐9090
Page 112 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Gastroenterology
Khetarpal
Gastroenterology
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Sanjiv
MD
Gastroenterology Associates, Inc.
4665 Belpar Street, NW
Canton
OH
Stark
330‐493‐1480 330‐493‐6805
Xiao
Zuoliang
MD
Canton
OH
Stark
330‐305‐2020 330‐305‐9090
General Surgery
General Surgery
Boone
Borth
Gregory
Dean
M.
W.
MD
MD
Gastroenterology and Hepatology Specialists, 4360 Fulton Drive, NW, Suite B
Inc.
Mercy Professional Care Corporation
1330 Mercy Drive, NW, #319
Canton General Surgery Associates, Inc.
2600 W. Tuscarawas Street, #600
Canton
Canton
OH
OH
Stark
Stark
330‐580‐4706 330‐580‐4707
330‐453‐4300 330‐453‐3617
General Surgery
Borth
Dean
W.
MD
Canton General Surgery Associates, Inc.
North Canton OH
Stark
330‐433‐1301 330‐453‐3617
General Surgery
General Surgery
General Surgery
Boutsicaris
Coughlin
DePeralta
Peter
Lisa
Claudio
S.
M.
A.
MD
MD
MD
Stark
Stark
Stark
330‐580‐4706 330‐580‐4707
330‐588‐4697 330‐588‐4698
330‐823‐4424 330‐823‐1179
General Surgery
Kelly
Steven
M.
Stark
330‐453‐4300 330‐453‐3617
General Surgery
Kelly
Steven
Stark
330‐433‐1301 330‐453‐3617
General Surgery
Linz
Stark
330‐453‐4300 330‐453‐3617
General Surgery
Stark
330‐433‐1301 330‐453‐3617
Stark
330‐453‐4300 330‐453‐3617
Stark
330‐433‐1301 330‐453‐6317
Stark
Stark
Stark
330‐580‐4697 330‐588‐4698
330‐580‐4706 330‐580‐4706
330‐492‐8001 330‐492‐2080
Stark
330‐452‐6010 330‐454‐8538
Stark
330‐452‐6010 330‐454‐8538
Stark
330‐492‐3345 330‐492‐0462
Stark
330‐453‐9993 330‐453‐9996
Stark
330‐478‐0001 330‐837‐2646
Stark
330‐478‐0001 330‐837‐2646
Stark
330‐478‐0001 330‐837‐2646
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Alliance Surgical Care, Inc.
6046 Whipple Avenue, N.W., Entrance C
1330 Mercy Drive, NW, #319
1330 Mercy Drive, NW, #420
2461 W. State Street, Suite C
Canton
Canton
Alliance
OH
OH
OH
MD
Canton General Surgery Associates, Inc.
2600 W. Tuscarawas Street, #600
Canton
OH
M.
MD
Canton General Surgery Associates, Inc.
North Canton OH
David
N.
MD
Canton General Surgery Associates, Inc.
6046 Whipple Avenue, N.W., Entrance C
2600 W. Tuscarawas Street, #600
Linz
David
N.
MD
Canton General Surgery Associates, Inc.
North Canton OH
General Surgery
Roberts
Nicholas
B.
MD
Canton General Surgery Associates, Inc.
6046 Whipple Avenue, N.W., Entrance C
2600 W. Tuscarawas Street, #600
General Surgery
Roberts
Nicholas
B.
MD
Canton General Surgery Associates, Inc.
North Canton OH
General Surgery
General Surgery
Gynecology
Shackour
Sweitzer
Baker
Mazin
Kirby
Roger
L.
E.
MD
MD
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Atrium OB/GYN, Inc.
6046 Whipple Avenue, NW, Entrance C
1330 Mercy Drive, NW, #420
1330 Mercy Drive, NW, #319
4151 Holiday Street, NW
Canton
Canton
Canton
OH
OH
OH
Gynecology
Moretuzzo
Richard
W.
MD
Reproductive Gynecology, Inc.
2600 W. Tuscarawas Street, #560
Canton
OH
Gynecology
Nash
David
M.
MD
Reproductive Gynecology, Inc.
2600 W. Tuscarawas Street, #560
Canton
OH
Hematology/Oncology
Gabrail
Nashat
Y.
MD
Gabrail Cancer Center
4875 Higbee Avenue, NW
Canton
OH
Hematology/Oncology
Haut
Mitchell
MD
Hematology & Oncology Associates, Inc.
1455 Harrison Avenue, NW, #105
Canton
OH
Hematology/Oncology
Nagajothi
Nagaprasad
MD
7337 Caritas Circle, #150
Massillon
OH
Hematology/Oncology
Rafique
Noman
M.
MD
7337 Caritas Circle, #150
Massillon
OH
Hematology/Oncology
Rooney
Dina
K.
MD
7337 Caritas Circle, #150
Massillon
OH
Infectious Disease
Infectious Disease
Internal Medicine
Indorf
Indorf
Chenowith
Amy
Amy
Irene
S.
S.
MD
MD
MD
Tri‐County Hematology & Oncology Associates, Inc.
Tri‐County Hematology & Oncology Associates, Inc.
Tri‐County Hematology & Oncology Associates, Inc.
Mercy Professional Care Corporation
Mercy Professional Care Corporation
SPI Green Internal Medicine
1320 Mercy Drive, NW
2600 Sixth Street, SW
1835 Franks Parkway
Canton
Canton
Uniontown
OH
OH
OH
44718‐
3602
44718‐
2878
44708
44708‐
4676
44720‐
7616
44708
44708
44601‐
5609
44708‐
4676
44720‐
7616
44708‐
4676
44720‐
7616
44708‐
4676
44720‐
7616
44708
44708
44718‐
2531
44708‐
4669
44708‐
4669
44718‐
2566
44708‐
2609
44646‐
9118
44646‐
9118
44646‐
9118
44708
44710
44685‐
Stark
Stark
Stark
330‐489‐1000
330‐452‐9911
330‐899‐0103 330‐899‐0268
Internal Medicine
Internal Medicine
Cisneros
Cisneros
Gerardo
Gerardo
MD
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
1330 Mercy Drive, NW
601 Cleveland Avenue, NW
Canton
Canton
OH
OH
44714 Stark
44714 Stark
330‐456‐8592 330‐456‐9476
330‐456‐8592 330‐456‐9476
Canton
Canton
OH
OH
Page 113 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Hollaway
Holloway
Hostettler
Hostettler
Stacey
Benjamin
Mark
Mark
E.
E.
MD
MD
MD
MD
Stark County Medical Group
PPN ‐ Hearthstone Family Practice
Internal Medicine Physicians
Internal Medicine Physicians
4810 Munson Street, NW
4444 S. Arlington Road
1168 Alliance Road
1168 Alliance Street
Canton
Uniontown
Minerva
Minerva
OH
OH
OH
OH
Stark
Stark
Stark
Stark
330‐499‐3377
330‐896‐6111
330‐868‐3711
330‐868‐3711
330‐499‐1443
330‐896‐6116
330‐868‐5782
330‐868‐5782
Hostettler
Hostettler
Hostettler
Mark
Mark
Mark
E.
E.
E.
MD
MD
MD
Internal Medicine Physicians
Internal Medicine Physicians
Internal Medicine Physicians
1401 S. Arch Avenue
4080 Holiday Street, NW
75 W. Glamorgan Street, #101
Alliance
Canton
Alliance
OH
OH
OH
Stark
Stark
Stark
330‐821‐3244 330‐868‐5782
330‐492‐8117 330‐868‐5782
330‐821‐3244 330‐821‐2517
Internal Medicine
Khalil
A.
MD
East Canton Medical Group
113 Cedar Street, S
East Canton
OH
Stark
330‐488‐0767 330‐488‐2907
Internal Medicine
Khalil
A.
MD
Hartville Internal Medicine, Inc.
855 W. Maple Street, #30
Hartville
OH
Stark
330‐877‐9388 330‐877‐0183
Internal Medicine
Khalil
A.
MD
Minerva Medical Center
200 Carolyn Court
Minerva
OH
Stark
330‐868‐4184 330‐868‐5295
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Khalil
Khalil
Khalil
Kimbell
Kimbell
Amin
Amin
Amin
David
David
Josep
h
Josep
h
Josep
h
J.
J.
J.
B.
B.
MD
MD
MD
MD
MD
Hartville Internal Medicine Center, Inc.
Hartville Internal Medicine Center, Inc.
Hartville Internal Medicine Center, Inc.
Internal Medicine Physicians
Internal Medicine Physicians
113 Cedar Street, South
200 Carolyn Court
855 W. Maple Street, #130
1168 Alliance Road
1168 Alliance Street
East Canton
Minerva
Hartville
Minerva
Minerva
OH
OH
OH
OH
OH
Stark
Stark
Stark
Stark
Stark
330‐488‐0767
330‐868‐4184
330‐877‐9388
330‐868‐3711
330‐868‐3711
Internal Medicine
Internal Medicine
Internal Medicine
Kimbell
Kimbell
Kimbell
David
David
David
B.
B.
B.
MD
MD
MD
Internal Medicine Physicians
Internal Medicine Physicians
Internal Medicine Physicians
1401 S. Arch Avenue
4080 Holiday Street, NW
4080 Holiday Street, NW
Alliance
Canton
Canton
OH
OH
OH
Stark
Stark
Stark
330‐821‐3244 330‐868‐5782
330‐492‐8117 330‐868‐5782
330‐492‐8117 330‐868‐5782
Internal Medicine
Kuzmin
Olga
DO
SPI Green Internal Medicine
1835 Franks Parkway
Uniontown
OH
44718
44685
44657
44657‐
8736
44601
44718
44601‐
2938
44730‐
1305
44632‐
9668
44657‐
8758
44730
44657
44632
44657
44657‐
8736
44601
44718
44718‐
2513
44685
Internal Medicine
Internal Medicine
Internal Medicine
Stark
330‐899‐0103 330‐899‐0268
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Nguyen
Pansino
Prosser
Rodocoy
Rodocoy
Rodocoy
Rodocoy
Hoai‐Nghia
Terrence
Elizabeth
Pamela
Pamela
Pamela
Pamela
MD
MD
MD
MD
MD
MD
MD
Mercy Professional Care Corporation
PPN ‐ Louisville Medical Center
PPN ‐ Louisville Medical Center
Internal Medicine Physicians
Internal Medicine Physicians
Internal Medicine Physicians
Internal Medicine Physicians
4909 Munson Street, NW
1917 Williamsburg Way
1917 Williamsburg Way
1168 Alliance Road
1401 S. Arch Avenue
4080 Holiday Street, NW
75 W. Glamorgan Street, #101
Canton
Louisville
Louisville
Minerva
Alliance
Canton
Alliance
OH
OH
OH
OH
OH
OH
OH
Stark
Stark
Stark
Stark
Stark
Stark
Stark
330‐837‐9249
330‐875‐3366
330‐875‐3366
330‐868‐3711
330‐821‐3244
330‐492‐8117
330‐821‐3244
Internal Medicine
Subichin
Stephen
MD
SPI Green Internal Medicine
1835 Franks Parkway
Uniontown
OH
44718
44641
44641
44657
44601
44718
44601‐
2938
44685
Stark
330‐899‐0103 330‐899‐0268
Internal Medicine
Medical Oncology
Volk
Cortese
Barbara
Ferdinando
MD
MD
Stark County Medical Group
Hematology & Oncology Associates, Inc.
4810 Munson Street, NW
1455 Harrison Avenue, NW, #105
Canton
Canton
OH
OH
Stark
Stark
330‐499‐3377 330‐499‐3999
330‐453‐9993 330‐453‐9996
Medical Oncology
Cortese
Ferdinando
MD
Hematology & Oncology Associates, Inc.
885 S. Sawburg Avenue, #110 Alliance
OH
Stark
330‐829‐4234 330‐ 829‐4209 Nephrology
Kontamwar
Abhijit
MD
Renal Consultants, Inc.
2600 W. Tuscarawas Street, #160
Canton
OH
Stark
330‐454‐9126 330‐454‐9470
Nephrology
Maitra
Arup
MD
Renal Consultants, Inc.
2600 W. Tuscarawas Street, #160
Canton
OH
Stark
330‐454‐9126 330‐454‐9470
Neurology
Al Jaberi
Mohamed
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
44718
44708‐
2609
44601‐
5905
44708‐
4696
44708‐
4696
44718‐
2531
Stark
330‐494‐2097 330‐494‐9750
L.
A.
A.
A.
A.
A.
M.
330‐488‐2907
330‐488‐2907
330‐488‐2907
330‐868‐5782
330‐868‐5782
330‐837‐3054
330‐875‐1106
330‐875‐1106
330‐868‐5782
330‐868‐5782
330‐868‐5782
330‐821‐2517
Page 114 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Neurology
Bavis
James
R.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Berke
Jay
P.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Casanova
Jose
M.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Drake
Jennifer
A.
DO
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Drake
Ryan
S.
DO
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Kinast
Morris
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Stalker
Andrew
P.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurology
Zollinger
Charles
A.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Neurosurgery
Hoeprich
Mark
R.
MD
Center for Neuro and Spine, Inc.
1330 Mercy Drive, #502
Canton
OH
Stark
330‐665‐4100 330‐665‐6748
Neurosurgery
Khayyat
Ghassan
F.
MD
Center for Neuro and Spine, Inc.
1330 Mercy Drive, NW, #502
Canton
OH
Stark
330‐458‐4236 330‐458‐4237
Neurosurgery
Letarte
Peter
B.
MD
Center for Neuro and Spine, Inc.
1330 Mercy Drive NW, #502
Canton
OH
Stark
330‐458‐4236 330‐458‐4237
Neurosurgery
Markarian
Georges
Z.
MD
Center for Neuro and Spine, Inc.
1330 Mercy Drive, NW, #502
Canton
OH
Stark
330‐458‐4236 330‐458‐4237
Ob/Gyn
Alexovich
Louann
P.
CNM Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn
Brandau
David
R.
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn
Burkett
Amy
M.
MD
SPI Paragon Obstetrics & Gynecology Green
1700 Boettler Road, #225
Uniontown
OH
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44708‐
2625
44708‐
2625
44708‐
2625
44708‐
2625
44718‐
2531
44718‐
2531
44685
Stark
330‐899‐9696 330‐899‐9596
Ob/Gyn
DiGiacomo
Peter
E.
DO
Canton Women's Center
6555 Frank Avenue, NW
North Canton OH
Stark
330‐966‐9090 330‐966‐9030
Ob/Gyn
Eruo
Frederick
U.
MD
Euro Ob/Gyn, Inc.
2525 13th Street, NW, #102
Canton
OH
Stark
330‐438‐1701 330‐438‐1704
Ob/Gyn
Godwin
Jennifer
E.
MD
SPI Paragon Obstetrics & Gynecology Green
1700 Boettler Road, #225
Uniontown
OH
Stark
330‐899‐9696 330‐899‐9596
Ob/Gyn
Mitchell
Richard
L.
DO
SPI Paragon Obstetrics & Gynecology Green
1700 Boettler Road, #225
Uniontown
OH
Stark
330‐899‐9696 330‐899‐9596
Ob/Gyn
Patibandla
Sujana
K.
MD
Sujana K. Patibandla, MD
4186 Holiday Street, NW
Canton
OH
Stark
330‐492‐5210 330‐492‐5230
Ob/Gyn
Patibandla
Sujana
K.
MD
Sujana K. Patibandla, MD
830 Amherst Street, NW, #107
Massillon
OH
Stark
330‐837‐6844 330‐834‐4744
Ob/Gyn
Roberts
Breeze
M.
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn
Robinson
Thomas
D.
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn
Romero
Jorge
R.
MD
Canton Women's Center
6555 Frank Avenue, NW
North Canton OH
Stark
330‐966‐9090 330‐966‐9030
44720‐
7265
44708‐
3118
44685‐
6210
44685
44718‐
2532
44646‐
8507
44718‐
2531
44718‐
2531
44720‐
7265
Fax
Page 115 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Ob/Gyn
Tabet
Muriel
Ob/Gyn
Vance
Sara
Ob/Gyn
Welch
Ob/Gyn
MI
Cred
Group Name
Address
City
State
Zip
MD
SPI Paragon Obstetrics & Gynecology Green
1700 Boettler Road, #225
Uniontown
OH
44685 Stark
330‐899‐9696 330‐899‐9596
L.
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Halle
M.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Wilson
James
R.
CNM, Atrium OB/GYN, Inc.
NP
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn
Wychanko
Naomi
A.
MD
Atrium OB/GYN, Inc.
4151 Holiday Street, NW
Canton
OH
Stark
330‐492‐8001 330‐492‐2080
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ophthalmology
Mooney
Stephen
B.
MD
Reproductive Gynecology, Inc.
2600 W. Tuscarawas Street, #560
Canton
OH
Stark
330‐452‐6010 330‐454‐8538
Moretuzzo
Richard
W.
MD
Reproductive Gynecology, Inc.
2600 W. Tuscarawas Street, #560
Canton
OH
Stark
330‐452‐6010 330‐454‐8538
Nash
David
M.
MD
Reproductive Gynecology, Inc.
2600 W. Tuscarawas Street, #560
Canton
OH
Stark
330‐452‐6010 330‐454‐8538
Assaad
Manal
H.
MD
Glaucoma & Eye Specialist, Inc.
4360 Fulton Drive, NW, Suite A
Canton
OH
Stark
330‐433‐0000 330‐433‐0400
Ophthalmology
Conti
Stephen
M.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Conti
Stephen
M.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
OH
Stark
330‐452‐8884 330‐452‐2404
Ophthalmology
Conti
Stephen
M.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Ophthalmology
Fladen
Todd
D.
MD
The Fladen Eye Center
1330 Mercy Drive, NW, #310
Canton
OH
Stark
330‐489‐1441 330‐489‐1410
Ophthalmology
Gray
Gregory
M.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Karns
Laurence
J.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Macher
Jerry
I.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
Stark
330‐452‐8884 330‐452‐2404
Ophthalmology
Magoon
Elbert
H.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Magoon
Elbert
H.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
Stark
330‐452‐8884 330‐452‐2404
Ophthalmology
Nelson
David
W.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Nelson
David
W.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
OH
Stark
330‐452‐8884 330‐452‐2404
Ophthalmology
Pachydaki
Sophia
L.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Ophthalmology
Turgeon
Paul
W.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
Stark
330‐966‐1111 330‐966‐8333
Ophthalmology
Turgeon
Paul
W.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
Stark
330‐452‐8884 330‐452‐2404
Ophthalmology: Vitreoretinal Specialist
Conti
Stephen
M.
MD
Eye Centers of Ohio, Inc.
6407 Frank Avenue, NW
North Canton OH
44718‐
2531
44718‐
2531
44718‐
2531
44718‐
2531
44708‐
4669
44708‐
4669
44708‐
4669
44718‐
2878
44720‐
7263
44703‐
2463
44718‐
3619
44708‐
2624
44720‐
7263
44720‐
7263
44703‐
2463
44720‐
7263
44703‐
2463
44720‐
7263
44703‐
2463
44718‐
3619
44720‐
7263
44703‐
2463
44720‐
7263
Stark
330‐966‐1111 330‐966‐8333
OH
OH
OH
County
Phone Fax
Page 116 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Orthopedic Surgery
Conti
Stephen
M.
MD
Eye Centers of Ohio, Inc.
800 McKinley Avenue, NW
Canton
OH
Stark
330‐452‐8884 330‐452‐2404
Conti
Stephen
M.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Estafanous
Marcus
F. G. MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Gersman
Mark
A.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Kaufman
Stephen
R.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Nothnagel
Arnold
F.
DO
Ohio Retina Associates, Inc.
4690 Munson Street, NW
Canton
OH
Stark
330‐966‐9800 330‐966‐9803
Wenz
Robert
E.
MD
Vitreo‐Retinal Consultants, Inc.
4676 Douglas Circle, NW
Canton
OH
Stark
330‐494‐1116 330‐494‐0276
Arora
Rakesh
K.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Bickett
Melissa
M.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Blake
Brian
J.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Cecil
Mark
L.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Charlick
Daniel
A.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Hellmann
Joseph
R.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Klimo
Gerald
F.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
London
Michael
D.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Papacostas
George
P
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Pentz
Anthony
S.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Richterman
Ira
E.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Wake
Vincent
T.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery
Watson
Thomas
W.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Orthopedic Surgery: Spine Surgery
Pain Management
Pain Medicine
Wake
Vincent
T.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Gutlove
Barnett
David
Crawford
P.
F.
MD
MD
Mercy Professional Care Corporation
OMNI
1320 Mercy Drive
4760 Belpar Street, NW
Canton
Canton
OH
OH
Stark
Stark
330‐489‐1478 330‐430‐2717
330‐492‐9200 330‐492‐5454
Pain Medicine
Casanova
Jose
M.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Pain Medicine
Drummond
Justin
T.
MD
Comprehensive Pain Management Specialists
1560 Corporate Woods Parkway
Uniontown
OH
44703‐
2463
44718‐
3619
44718‐
3619
44718‐
3619
44718‐
3619
44718‐
3636
44718‐
3619
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44718‐
3603
44708
44718‐
3603
44718‐
2531
44685‐
6711
Stark
330‐208‐2720 330‐208‐2721
Page 117 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pain Medicine
Wynne
Marisa
M.
DO
1560 Corporate Woods Parkway
Uniontown
OH
330‐208‐2720 330‐208‐2721
Belardo
Kazlauskas
Weber
Younus
Diane
Rita
Erin
Asif
S.
R.
B.
MD
MD
MD
MD
7542 Fulton Road, Suite B
7542 Fulton Road, Suite B
7542 Fulton Road, Suite B
3030 W. Tuscarawas Street, #300
Massillon
Massillon
Massillon
Canton
OH
OH
OH
OH
Stark
Stark
Stark
Stark
330‐833‐4596
330‐833‐4596
330‐833‐4596
330‐452‐6109
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Plastic Surgery
Plastic Surgery
Dorfman
Daniel
M.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Nafziger
Ned
A.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Washington
William
J.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Yang
Guang
MD
1560 Corporate Woods Parkway
Uniontown
OH
Stark
330‐208‐2720 330‐208‐2721
McCormack
Papas
Michael
Nicholas
P.
H.
DO
MD
Comprehensive Pain Management Specialists
Mercy Professional Care Corporation
Renaissance Plastic Surgeons, LTD
1330 Mercy Drive, NW, #522
1946 Town Park Blvd., #100
Canton
Uniontown
OH
OH
Stark
Stark
330‐588‐4856 330‐588‐4857
330‐334‐7800 330‐334‐3252
Podiatry
Cohen
Ronald
B.
DPM
OMNI
4760 Belpar Street, NW
Canton
OH
Stark
330‐492‐9200 330‐492‐5454
Podiatry
Greger
Gary
M.
DPM
Gary M. Greger, DPM, Inc.
6227 Frank Avenue, NE
North Canton OH
Stark
330‐244‐8989 330‐244‐8882
Podiatry
Paul
Eric
J.
DPM
Eric J. Paul, DPM, DABPS, FASCFAS
450 W. Maple Street, #3
Hartville
OH
Stark
330‐297‐1211 330‐297‐6550
Podiatry
Stoddard
Frank
G.
DPM
Massillon Foot and Ankle Clinic, Inc.
934 Amherst Road, NE
Massillon
OH
Stark
330‐833‐3668 330‐833‐2267
Pulmonology
Pulmonology
Pulmonology
Bahadur
Bahadur
Blaser
Shakeel
Shakeel
Guy
A.
A.
L.
MD
MD
DO
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Guy Blaser, DO, Inc.
1330 Mercy Drive, NW, #418
7337 Caritas Circle, NW, #280
2400 Wales Avenue, NW, Suite F
Canton
Massillon
Massillon
OH
OH
OH
Stark
Stark
Stark
330‐489‐1454 330‐430‐6913
330‐458‐4180 330‐481‐1274
330‐880‐0988 330‐880‐0488 Pulmonology
Pulmonology
Pulmonology
Pulmonology
Pulmonology
Pulmonology
Pulmonology
Radiation Oncology
DeCoy
DeCoy
Harris
Packer
Rapaka
Rudick
Rudick
Ahmad
Donald
Donald
Randall
Robert
Vimala
Alan
Alan
Munir
L.
L.
J.
B.
D.
MD
MD
MD
MD
MD
DO
DO
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Mercy Professional Care Corporation
1330 Mercy Drive, NW, #418
7337 Caritas Circle, NW, #280
1330 Mercy Drive, NW, #418
1330 Mercy Drive, NW, #418
1330 Mercy Drive, NW, #418
1330 Mercy Drive, NW, #418
7337 Caritas Circle, NW, #280
1320 Mercy Drive, NW
Canton
Massillon
Canton
Canton
Canton
Canton
Massillon
Canton
OH
OH
OH
OH
OH
OH
OH
OH
Stark
Stark
Stark
Stark
Stark
Stark
Stark
Stark
330‐489‐1554
330‐458‐4180
330‐489‐1454
330‐498‐1454
330‐489‐1454
330‐489‐1454
330‐458‐4180
330‐489‐1278
Radiation Oncology
Rehabilitation Psychology
Walsh
Martin
Edward
Gregg
J.
A.
MD
PhD
Mercy Professional Care Corporation
OMNI
1320 Mercy Drive, NW
4760 Belpar Street, NW
Canton
Canton
OH
OH
Stark
Stark
330‐489‐1278 330‐430‐2778
330‐492‐9200 330‐492‐5454
Sleep Medicine
Roman
Frankie
MD
Unity Health Network
4774 Munson Street NW, #100
Canton
OH
Stark
330‐494‐8424 330‐494‐8174
Sleep Medicine
Stalker
Andrew
P.
MD
Neuro Care Center, Inc.
4105 Holiday Street, NW
Canton
OH
Stark
330‐494‐2097 330‐494‐9750
Sports Medicine
Bickett
Melissa
M.
MD
OMNI
4760 Belpar Street, NW
Canton
OH
44685‐
6711
44646
44646
44646
44708‐
4197
44718‐
3603
44718‐
2531
44718‐
2531
44685‐
6711
44708
44685‐
7855
44718‐
3603
44721‐
5700
44632‐
9646
44646‐
4568
44708
44646
44646‐
2366
44708
44646
44708
44708
44708
44708
44646
44708‐
2614
44708
44718‐
3603
44718‐
3634
44718‐
2531
44718‐
3603
Stark
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Comprehensive Pain Management Specialists
Community Health Care, Inc.
Community Health Care, Inc.
Community Health Care, Inc.
Stark Pediatrics
Stark
330‐492‐9200 330‐492‐5454
330‐833‐1817
330‐833‐1817
330‐833‐1817
330‐452‐5060
330‐430‐6913
330‐481‐1274
330‐430‐6913
330‐430‐6916
330‐430‐6913
330‐493‐4135
330‐458‐1274
330‐430‐2778 Page 118 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Sports Medicine
Goff
James
D.
DO
3838 Massillon Road, #350A
Uniontown
OH
44685 Stark
330‐899‐0035 330‐899‐0108
Sports Medicine
Hudak
Mark
J.
MD
SPI Orthopaedics and Sports Medicine Wadsworth
Mercy Health Center of Plain Community
1811 Schneider Street, NE
Canton
OH
Stark
330‐494‐6480 330‐494‐6484
Thoracic Surgery
Chryssos
Antonios
E.
MD
TSA ‐ Thoracic Surgical Associates, Inc.
6659 Frank Avenue, NW
North Canton OH
Stark
330‐966‐3772 330‐966‐3799
Thoracic Surgery
Thoracic Surgery
Urology
Ciuffo
Perry
Heiser
Giovanni
John
David
B
W.
G.
MD
MD
MD
Mercy Professional Care Corporation
Mercy Professional Care Corporation
Urology One, Inc.
1330 Mercy Drive, NW, #101
1330 Mercy Drive, NW, #101
1330 Mercy Drive, NW, #510
Canton
Canton
Canton
OH
OH
OH
Stark
Stark
Stark
330‐588‐4676 330‐588‐4677
330‐588‐4676 330‐588‐4677
330‐456‐6760 330‐452‐4557
Urology
Heiser
David
G.
MD
Urology One, Inc.
7337 Caritas Circle, #240
Massillon OH
Stark
330‐456‐6760 330‐452‐4557
Urology
Ochs
Steven
E.
MD
Urology One, Inc.
1330 Mercy Drive, NW, #510
Canton
OH
Stark
330‐456‐6760 330‐452‐4557
Urology
Ochs
Steven
E.
MD
Urology One, Inc.
7337 Caritas Circle, #240
Massillon OH
Stark
330‐456‐6760 330‐452‐4557
Urology
Tabet
Bechara
G.
MD
Urology One, Inc.
1330 Mercy Drive, NW, #510
Canton
OH
Stark
330‐456‐6760 330‐452‐4557
Urology
Tabet
Bechara
G.
MD
Urology One, Inc.
7337 Caritas Circle, #240
Massillon OH
Stark
330‐456‐6760 330‐452‐4557
Addiction Medicine
DiFrangia
Ann
L.
DO
ESR Medication Assisted Treatment
405 Tallmadge Road
Cuyahoga Falls OH
Summit
330‐436‐0950 330‐436‐0925
Addiction Medicine
Labor
Nicole
DO
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44721‐
3349
44720‐
7259
44708
44708
44708‐
2625
44646‐
9118
44708‐
2625
44646‐
9118
44708‐
2625
44646‐
9118
44221‐
3362
44310
Summit
330‐379‐8190 330‐379‐8191
Addiction Medicine
Shein
Alan
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Allergy & Immunology
Alexander
Joseph
MD
Joseph F. Alexander Jr., M.D. Inc.
3090 W. Market Street, #110
Akron
OH
Summit
330‐836‐7110 330‐836‐7423
Allergy & Immunology
Faltay
Bela
MD
224 W. Exchange Street, #380
Akron
OH
Summit
330‐344‐6676 330‐434‐3611
Allergy & Immunology
Faltay
Bela
MD
4125 Medina Road, #200C
Akron
OH
Summit
330‐344‐1260 330‐666‐2632
Allergy & Immunology
Faltay
Bela
MD
520 S. Main Street, #2436B
Akron
OH
Summit
330‐252‐9310 330‐252‐9360
Allergy & Immunology
Allergy & Immunology
Allergy & Immunology
Friedlander
Friedlander
Lavi
Samuel
Samuel
Richard
L
L
F.
MD
MD
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
Allergy, Asthma and Sinus Relief Center, Inc.
5778 Darrow Road, Suite D
8819 Commons Blvd., #100
8054 Darrow Road, #2
Hudson
Twinsburg
Twinsburg
OH
OH
OH
Summit
Summit
Summit
440‐248‐1630 440‐914‐7870
440‐248‐1630 440‐914‐7870
330‐423‐4444 330‐777‐4414
Behavioral Health: Child & Adolescent Psychiatry
Behavioral Health: Child & Adolescent Psychology
Behavioral Health: Clinical Nurse Specialist
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Tambyraja
Samuel
M.
MD
Samuel Tambyraja, MD
3200 W. Market Street, #111
Akron
OH
Summit
330‐836‐7702 330‐836‐7704
Rummell
Christina
PhD
SPI Bariatric Care Center
95 Arch Street, #260
Akron
OH
44333‐
3615
44302‐
1796
44333‐
4514
44311‐
4412
44236
44087
44087‐
2387
44333‐
3324
44304
Summit
330‐375‐6590 330‐375‐6593
Cihlar
Claudia
A.
CNS
Summit Center for Behavioral Sciences
3200 W. Market Street, #205
Fairlawn
OH
330‐836‐6825 330‐836‐6825
Hionides‐ Horner
Emily
I
444 N. Main Street, #420
Akron
OH
Hionides‐ Horner
Emily
I
LISW SPI Center for the Treatment and Study of Traumatic Stress
LISW SPI Summa Psychiatry Associates
44333‐ Summit
3325
44310 Summit
444 N. Main Street, #408
Akron
OH
44310 Summit
330‐379‐8121 330‐379‐5562
F.
County
Phone Fax
330‐379‐5094 330‐379‐5095
Page 119 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatric Social Worker
Behavioral Health: Psychiatry
Jones
Gizelle
A.
Julia
Anna
Kurzweil
Address
City
State
Zip
County
Phone LISW Bharat J. Shah, MD
63 Baker Blvd.
Akron
OH
Summit
330‐864‐6331 330‐572‐0639 M.
LISW Anna M. Julia, LISW
2495 State Road
Cuyahoga Falls OH
Summit
330‐940‐3441 330‐940‐3417
Alan D.
LISW Summit Center for Behavioral Sciences
3200 W. Market Street, #205
Fairlawn
OH
Summit
330‐836‐6825 330‐836‐6825
Maltarich
Gayle
S.
LISW Bharat J. Shah, MD
63 Baker Blvd.
Akron
OH
Summit
330‐864‐6331 330‐864‐1687
Mramor
Elizabeth
M.
LISW Bharat J. Shah, MD
63 Baker Blvd.
Akron
OH
Summit
330‐572‐0641 330‐864‐1687
Babai
Massood
R.
MD
Massood R. Babai, M.D., Inc.
275 Graham Road, #8
Cuyahoga Falls OH
Summit
330‐929‐8631 330‐929‐1686
Behavioral Health: Psychiatry
Chaturvedi
Anand
M.
MD
Summit Center for Behavioral Sciences
3200 W. Market Street, #205
Fairlawn
OH
Summit
330‐836‐6825 330‐836‐6825
Behavioral Health: Psychiatry
Deckert
David
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44333‐
3601
44223‐
1503
44333‐
3325
44333‐
3601
44333‐
3601
44223‐
2259
44333‐
3325
44310
Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychiatry
Horrigan
Deanna
CNS
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Behavioral Health: Psychiatry
Horrigan
Deanna
CNS
SPI Summa Psychiatry Associates
75 Arch Street, Suite G2
Akron
OH
44304 Summit
330‐375‐4100 330‐375‐4097
Behavioral Health: Psychiatry
Hutton
Gina
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Behavioral Health: Psychiatry
Ivan
Todd
MD
SPA ACH
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Behavioral Health: Psychiatry
Ivan
Todd
MD
SPA ACH
75 Arch Street, #410
Akron
OH
44304 Summit
330‐375‐7474 330‐375‐6129
Behavioral Health: Psychiatry
Jackson‐Wohl
Jennifer
DO
SPI Psychiatry Barberton
169 Fifth Street, SE, Suite B
Barberton
OH
44203 Summit
330‐745‐7263 330‐745‐7806
Behavioral Health: Psychiatry
Jalees
Shah
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Behavioral Health: Psychiatry
Kasper Jr.
John
MD
SPI Summa Psychiatry Associates
444 N. Main Street
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychiatry
Lewis
Heather
DO
SPI Psychiatry Barberton
169 Fifth Street, SE, Suite B
Barberton
OH
44203 Summit
330‐745‐7263 330‐745‐7806
Behavioral Health: Psychiatry
Mansour
Maher
MD
Summit Center for Behavioral Sciences
3200 W. Market Street, #205
Fairlawn
OH
330‐836‐6825 330‐836‐6825
Behavioral Health: Psychiatry
Packo
Kristine
MD
SPI Psychiatry Hudson
5655 Hudson Drive, #305
Hudson
OH
44333‐ Summit
3325
44236 Summit
330‐650‐2111 330‐650‐2211
Behavioral Health: Psychiatry
Pierson
Edward
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychiatry
Robb
Thomas
DO
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Behavioral Health: Psychiatry
Schmitt
Scott
MD
SPI Psychiatry Hudson
5655 Hudson Drive, #305
Hudson
OH
44236 Summit
330‐650‐2111 330‐650‐2211
Behavioral Health: Psychiatry
Shah
Bharat
MD
Bharat J. Shah, MD
63 Baker Blvd.
Akron
OH
330‐864‐6331 330‐864‐1687
Behavioral Health: Psychiatry
Stephenson
Camille
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44333‐ Summit
3601
44310 Summit
M.
J.
Group Name
Fax
330‐379‐9548 330‐379‐5124
Page 120 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Behavioral Health: Psychiatry
Suchan
Behavioral Health: Psychiatry
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Simona
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 6th Floor
Akron
OH
44310 Summit
330‐379‐8190 330‐379‐8191
Suchan
Simona
MD
SPI Summa Psychiatry Associates
75 Arch Street, Suite G2
Akron
OH
44304 Summit
330‐375‐4100 330‐375‐4097
Behavioral Health: Psychiatry
Swope
David
MD
SPA Green Internal Medicine
1835 Franks Parkway
Uniontown
OH
44685 Summit
330‐899‐2460 330‐899‐2461
Behavioral Health: Psychiatry
Swope
David
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychiatry
Tsatiris
Dimitrios
MD
SPI Psychiatry Hudson
5655 Hudson Drive, #305
Hudson
OH
44236 Summit
330‐650‐2111 330‐650‐2211
Behavioral Health: Psychiatry
Varley
Joseph
DO
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychiatry
Winkhart
Bradley
MD
SPI Psychiatry Barberton
169 Fifth Street, SE, Suite B
Barberton
OH
44203 Summit
330‐745‐7263 330‐745‐7806
Behavioral Health: Psychiatry
Winkhart
Bradley
MD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychology
Brinkman‐Sull
David
C
PHD
SPI Summa Psychiatry Associates
444 N. Main Street, 4th Floor
Akron
OH
44310 Summit
330‐379‐9548 330‐379‐5124
Behavioral Health: Psychology
Duncan
Jennifer
M
PsyD
SPI Bariatric Care Center
95 Arch Street, #260
Akron
OH
44304 Summit
330‐375‐6590 330‐375‐6593
Behavioral Health: Psychology
Farrer
Erin
M
PHD
SPA Cardiovascular Disease
95 Arch Street, #370
Akron
OH
44304 Summit
330‐375‐4116 330‐375‐4127
Behavioral Health: Psychology
Harrington
Ellen
F
PhD
444 N. Main Street, #420
Akron
OH
44310 Summit
330‐379‐5094 330‐379‐5095
Behavioral Health: Psychology
Holan
Jane
E.
MD
SPI Center for the Treatment and Study of Traumatic Stress
University Hospitals Medical Group, Inc.
8819 Commons Blvd., #1010
Twinsburg
OH
44087 Summit
216‐844‐7700 216‐844‐8966
Behavioral Health: Psychology
Huddleston
Amy
M
PHD
SPI Psychiatry Hudson
5655 Hudson Drive, Suite 305
Hudson
OH
44236 Summit
330‐650‐2111 330‐650‐2211
Behavioral Health: Psychology
Huddleston
Amy
M
PHD
SPI Summa Psychiatry Associates
444 N. Main Street, #408
Akron
OH
44310 Summit
330‐379‐8121 330‐379‐5562
Behavioral Health: Psychology
Kraft
Christina
A
PHD
SPA ACH
75 Arch Street, #410
Akron
OH
44304 Summit
330‐375‐7474 330‐375‐6129
Behavioral Health: Psychology
Moeller
Jessica
M
PHD
SPA Cardiovascular Disease
95 Arch Street, #370
Akron
OH
44304 Summit
330‐375‐4116 330‐375‐4127
Behavioral Health: Psychology
Moeller
Jessica
M
PHD
SPI Sleep Center
701 White Pond Drive
Akron
OH
44320 Summit
330‐835‐3922 330‐835‐4098
Behavioral Health: Psychology
Moeller
Jessica
M
PHD
SPI Summa Psychiatry Associates
161 N. Forge Street, #190
Akron
OH
44304 Summit
330‐375‐7285 330‐375‐6872
Behavioral Health: Psychology
Myerscough
Rodney
P
PHD
SPA ACH
75 Arch Street, #410
Akron
OH
44304 Summit
330‐375‐7474 330‐375‐6129
Behavioral Health: Psychology
Palmieri
Patrick
A
PHD
444 N. Main Street, #420
Akron
OH
44310 Summit
330‐379‐5094 330‐379‐5095
Behavioral Health: Psychology
Perkins
Shannon
J
PHD
SPI Center for the Treatment and Study of Traumatic Stress
SPA Green Intenal Medicine
1835 Franks Parkway
Uniontown
OH
44685 Summit
330‐899‐2460 330‐899‐2461
Behavioral Health: Psychology
Perkins
Shannon
J
PHD
SPI Summa Psychiatry Associates
444 N. Main Street, #408
Akron
OH
44310 Summit
330‐379‐8121 330‐379‐5562
Behavioral Health: Psychology
Reimer
Sarah
E
PhD
SPI Psychiatry Barberton
169 Fifth Street, SE, Suite B
Barberton
OH
44203 Summit
330‐745‐7263 330‐745‐7806
Page 121 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Behavioral Health: Psychology
Reimer
Sarah
E
PhD
SPI Psychiatry Hudson
5655 Hudson Drive, Suite 305
Hudson
OH
44236 Summit
330‐650‐2111 330‐650‐2211
Behavioral Health: Psychology
Reimer
Sarah
E
PhD
SPI Summa Psychiatry Associates
75 Arch Street, Suite G2
Akron
OH
44304 Summit
330‐375‐4100 330‐375‐4097
Behavioral Health: Psychology
Sigalow
Susan
PhD
Summit Center for Behavioral Sciences
3200 W. Market Street, #205
Fairlawn
OH
Summit
330‐836‐6825 330‐836‐6825
Behavioral Health: Psychology
Sipps
Gary
J.
PhD
SWRH Physicians, Inc.
1900 23rd Street
Cuyahoga Falls OH
Summit
330‐971‐7246 330‐971‐7256
Behavioral Health: Psychology
Sipps
Gary
J.
PhD
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐971‐7246 330‐971‐7256
Behavioral Health: Psychology
Spitznagel
Mary
B
PHD
SPI Summa Psychiatry Associates
444 N. Main Street, #408
Akron
OH
44333‐
3325
44223‐
1404
44236‐
4451
44310
Summit
330‐379‐8121 330‐379‐5562
Behavioral Health: Psychology
Spitznagel
Mary
B
PHD
SPI Summa Psychiatry Associates
444 N. Main Street, #408
Akron
OH
44310 Summit
330‐379‐8121 330‐379‐5562
Behavioral Health: Psychology
Spitznagel
Mary
B
PHD
SPI Summa Psychiatry Associates
75 Arch Street, Suite G2
Akron
OH
44304 Summit
330‐375‐4100 330‐375‐4097
Behavioral Health: Psychology
Spitznagel
Mary
B
PHD
SPI Summa Psychiatry Associates
75 Arch Street, Suite G2
Akron
OH
44304 Summit
330‐375‐4100 330‐375‐4097
Behavioral Health: Psychology
Stevanovic
Jelena
P
PHD
SPA ACH
75 Arch Street, #410
Akron
OH
44304 Summit
330‐375‐7474 330‐375‐6129
Behavioral Health: Psychology
Stevanovic
Jelena
P
PHD
SPI Care Center
75 Arch Street, #104
Akron
OH
44304 Summit
330‐375‐4851 330‐375‐4228
Behavioral Health: Psychology
Wiggers
Bridgette
M
PhD
University Hospitals Medical Practices
8819 Commons Blvd., #101
Twinsburg
OH
44087 Summit
330‐486‐9619 330‐486‐9621
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiac Electrophysiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Arruda
Arruda
Costantini
Pelini
Pelini
Pelini
Smith
Smith
Arruda
Arruda
Bauman
Bauman
Berkovitz
Carman
Chaffee
Chaffee
Cho
Cunningham
Cutler
Donelan
Donelan
Donelan
Dorfman
Effron
El Amm
Mauricio
Mauricio
Ottorino
Michael
Michael
Michael
Jason
Jason
Mauricio
Mauricio
William
William
Kenneth
Teresa
Roger
Roger
Donald
Michael
David
Brian
Brian
Brian
Philip
Barry
Chantal
S
S
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI NEOCS Summa
SPI NEOCS Barberton
SPI NEOCS Summa
SPI NEOCS West
SPI NEOCS Barberton
SPI NEOCS Summa
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI NEOCS Hudson
SPI NEOCS Summa
SPI NEOCS Summa
University Hospitals Medical Group, Inc.
SPI NEOCS Barberton
SPI NEOCS Summa
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
SPI NEOCS West
SPI NEOCS Barberton
SPI NEOCS Green
SPI NEOCS Summa
SPI Anticoagulation Clinic
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
1335 Corporate Drive
8819 Commons Blvd., #100
95 Arch Street
201 Fifth Street, NE, #16
95 Arch Street
789 White Pond Drive, Suite A
201 Fifth Street, NE, #16
95 Arch Street
1335 Corporate Drive
8819 Commons Blvd., #100
5655 Hudson Drive, #130A
95 Arch Street
95 Arch Street
8819 Commons Blvd., #100
201 Fifth Street, NE, #16
95 Arch Street
3800 Embassy Parkway, #250
8819 Commons Blvd., #100
789 White Pond Drive, Suite A
201 Fifth Street, NE, #16
1835 Franks Parkway
95 Arch Street
95 Arch Street, #100
8819 Commons Blvd., #203
8819 Commons Blvd., #203
Hudson
Twinsburg
Akron
Barberton
Akron
Akron
Barberton
Akron
Hudson
Twinsburg
Hudson
Akron
Akron
Twinsburg
Barberton
Akron
Fairlawn
Twinsburg
Akron
Barberton
Uniontown
Akron
Akron
Twinsburg
Twinsburg
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44236
44087
44304
44203
44304
44320
44203
44304
44236
44087
44236
44304
44304
44087
44203
44304
44333
44087
44320
44203
44685
44304
44304
44087
44087
330‐342‐0806
216‐844‐3800
330‐376‐7000
330‐745‐7634
330‐376‐7000
330‐376‐0500
330‐745‐7634
330‐376‐7000
330‐342‐0806
216‐844‐3800
330‐376‐0500
330‐376‐7000
330‐376‐7000
216‐844‐3800
330‐745‐7634
330‐376‐7000
330‐664‐8160
216‐844‐3800
330‐376‐0500
330‐745‐7634
330‐376‐7000
330‐376‐7000
330‐375‐3226
216‐844‐3800
216‐844‐3800
S
S
L
I
J
A.
J.
J.
J.
A
A
County
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Phone Fax
216‐844‐1780
330‐376‐1066
330‐745‐0910
330‐376‐1066
330‐376‐9900
330‐745‐0910
330‐376‐1066
216‐844‐1780
330‐376‐9900
330‐376‐1066
330‐376‐1066
216‐844‐1780
330‐745‐0910
330‐376‐1066
330‐664‐8161
216‐844‐1780
330‐376‐9900
330‐745‐0910
330‐376‐1066
330‐376‐1066
330‐375‐3229
216‐844‐8954
216‐844‐8954
Page 122 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Fannin
Ginwalla
Greene
Hayek
Heupler
Heupler
Stephen
Mahazarin
Lloyd
Emil
Stephen
Stephen
B
H
R
M.
M.
MD
MD
MD
MD
MD
MD
SPI NEOCS Barberton
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
SPI NEOCS West
SPI NEOCS Western Reserve
201 Fifth Street, NE, #16
8819 Commons Blvd., #203
8819 Commons Blvd., #100
1335 Corporate Drive
789 White Pond Drive, Suite A
1900 23rd Street, #1000
Barberton
Twinsburg
Twinsburg
Hudson
Akron
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
44203
44087
44087
44236
44320
44223
Summit
Summit
Summit
Summit
Summit
Summit
330‐745‐7634
216‐844‐3800
216‐844‐3800
330‐342‐0806
330‐376‐0500
330‐971‐7863
330‐745‐0910
216‐844‐8954
216‐844‐1780
330‐342‐0819
330‐376‐9900
330‐971‐7860
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiothoracic Surgery
Hoit
Hughes
Hughes
Hughes
Iler
Iler
Jenkins
Josephson
Keyser
Keyser
Klautky
Klautky
Klautky
Longenecker
Madan Mohan
Madan Mohan
Maloney
Maloney
Manyam
Naso
Niedermaier
Niedermaier
Penn
Pietrolungo
Pietrolungo
Pordon
Redle
Redle
Sahadevan
Saleem
Saleem
Saleem
Shaub
Silver
Silver
Syed
Taigen
Taigen
Tsai
Lee
Brian
Michael
Michael
Michael
Mark
Mark
Trevor
Richard
Philip
Philip
Stephen
Stephen
Stephen
Christopher
Sri
Sri
James
James
Harish
Arabi
Otfried
Otfried
Marc
Joseph
Joseph
Cynthia
Joseph
Joseph
Jayakumar
Tariq
Tariq
Tariq
Ted
Kevin
Kevin
Qarab
Tyler
Tyler
A. Roger
Jai
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
DO
DO
DO
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
SPI NEOCS Barberton
SPI NEOCS Green
SPI NEOCS West
SPI NEOCS Hudson
SPI NEOCS West
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI NEOCS Hudson
SPI NEOCS West
SPI NEOCS Barberton
SPI NEOCS Summa
SPI NEOCS West
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
City Cardiology Associates
City Cardiology Associates
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI NEOCS Barberton
SPI NEOCS Summa
SPI NEOCS Summa
SPI NEOCS Barberton
SPI NEOCS Summa
SPI NEOCS West
SPI NEOCS Barberton
SPI NEOCS Summa
University Hospitals Medical Group, Inc.
City Cardiology Associates
City Cardiology Associates
City Cardiology Associates
SPI Western Reserve Cardiology
SPI NEOCS Hudson
SPI NEOCS Summa
City Cardiology Associates
SPI NEOCS Barberton
SPI NEOCS Summa
SPI NEOCS Hudson
Cardiothoracic Consultants, LLC
8819 Commons Blvd., #1010
201 Fifth Street, NE, #16
1835 Franks Parkway
789 White Pond Drive, Suite A
5655 Hudson Drive, #130A
789 White Pond Drive, Suite A
8819 Commons Blvd., #203
8819 Commons Blvd., #1010
5655 Hudson Drive, #130A
789 White Pond Drive, Suite A
201 Fifth Street, NE, #16
95 Arch Street
789 White Pond Drive, Suite A
8819 Commons Blvd., #203
1 Park West Blvd., #100
8819 Commons Blvd., #1010
201 Fifth Street, NE, #18
95 Arch Street, #130
8819 Commons Blvd., #203
8819 Commons Blvd., #1010
201 Fifth Street, NE, #16
95 Arch Street
95 Arch Street
201 Fifth Street, NE, #16
95 Arch Street
789 White Pond Drive, Suite A
201 Fifth Street, NE, #16
95 Arch Street
8819 Commons Blvd., #203
201 Fifth Street, NE, #18
4466 Darrow Road, Suite A1
95 Arch Street, #130
75 Arch Street, #206
5655 Hudson Drive, #130A
95 Arch Street
201 Fifth Street, NE, #18
201 Fifth Street, NE, #16
95 Arch Street
5655 Hudson Drive, #130A
75 Arch Street, #407
Twinsburg
Barberton
Uniontown
Akron
Hudson
Akron
Twinsburg
Twinsburg
Hudson
Akron
Barberton
Akron
Akron
Twinsburg
Akron
Twinsburg
Barberton
Akron
Twinsburg
Twinsburg
Barberton
Akron
Akron
Barberton
Akron
Akron
Barberton
Akron
Twinsburg
Barberton
Stow
Akron
Akron
Hudson
Akron
Barberton
Barberton
Akron
Hudson
Akron
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44087
44203
44685
44320
44236
44320
44087
44087
44236
44320
44203
44304
44320
44087
44320
44087
44203
44304
44087
44087
44203
44304
44304
44203
44304
44320
44203
44304
44087
44203
44224
44304
44304
44236
44304
44203
44203
44304
44236
44304‐
1433
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
216‐844‐3800
330‐745‐7634
330‐376‐7000
330‐376‐0500
330‐376‐0500
330‐376‐0500
216‐844‐3800
216‐844‐3800
330‐376‐0500
330‐376‐0500
330‐745‐7634
330‐376‐7000
330‐376‐0500
216‐844‐3800
216‐844‐3800
216‐844‐3800
330‐753‐6699
330‐535‐9555
216‐844‐3800
216‐844‐3800
330‐745‐7634
330‐376‐7000
330‐376‐7000
330‐745‐7634
330‐376‐7000
330‐376‐0500
330‐745‐7634
330‐376‐7000
216‐844‐3800
330‐753‐6699
330‐535‐9555
330‐535‐9555
330‐374‐0009
330‐376‐0500
330‐376‐7000
330‐753‐6699
330‐745‐7634
330‐376‐7000
330‐376‐0500
330‐384‐9001
216‐844‐1780
330‐745‐0910
330‐376‐1066
330‐376‐9900
330‐376‐9900
330‐376‐9900
216‐844‐8954
216‐844‐1780
330‐376‐9900
330‐376‐9900
330‐745‐0910
330‐376‐1066
330‐376‐9900
216‐844‐8954
216‐844‐8954
216‐844‐1780
330‐753‐8559
330‐753‐8559
216‐844‐8954
216‐844‐1780
330‐745‐0910
330‐376‐1066
330‐376‐1066
330‐745‐0910
330‐376‐1066
330‐376‐9900
330‐745‐0910
330‐376‐1066
216‐844‐7116
330‐688‐7772
330‐688‐7772
330‐688‐7772
330‐374‐5693
330‐376‐9900
330‐376‐1066
330‐753‐8559
330‐745‐0910
330‐376‐1066
330‐376‐9900
330‐384‐9002
D
M.
M.
M.
L
A
H.
H.
A.
A.
A.
T
K
K
D.
D.
H.
H.
Page 123 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Chiropractic
Longworth
Brian
T.
DC
Health First Chiropractic Clinic
3577 S. Arlington Road, Suite A
Akron
OH
Summit
330‐896‐8500 330‐896‐8383
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Colon & Rectal Surgery
Critical Care
Cullado
Fondran
Laipply
Porter
Slezak
Bauman
Michael
John
Erica
Joel
Frederick
Brian
D.
MD
MD
MD
MD
MD
MD
SPI COMPAS
SPI COMPAS
SPI Associated Surgical Specialists
SPI Associated Surgical Specialists
SPI Associated Surgical Specialists
SPI Critical Care and Pulmonary Medicine
55 Arch Street, #2A
55 Arch Street, #2A
95 Arch Street, #150
95 Arch Street, #150
95 Arch Street, #150
95 Arch Street, #270
Akron
Akron
Akron
Akron
Akron
Akron
OH
OH
OH
OH
OH
OH
44312‐
5268
44304
44304
44304
44304
44304
44304
Summit
Summit
Summit
Summit
Summit
Summit
330‐434‐5978
330‐434‐5978
330‐564‐0728
330‐564‐0728
330‐564‐0728
330‐535‐1510
Critical Care
Bauman
Brian
D.
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Chandler
Michael
A.
MD
SPI Critical Care and Pulmonary Medicine
Akron
OH
44304 Summit
330‐535‐1510 330‐535‐1638
Critical Care
Chandler
Michael
A.
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Diwakar
Amit
MD
224 W. Exchange Street, #380
Akron
OH
Hejal
Rana
MD
95 Arch Street, #270
Akron
OH
44302‐ Summit
1796
44304 Summit
330‐344‐6676 330‐434‐3611
Critical Care
NE Ohio Pulmonary & Critical Care Associates, Inc.
SPI Critical Care and Pulmonary Medicine
Critical Care
Hejal
Rana
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Klions
Howard
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Krauza
Matthew
L.
MD
Unity Health Network
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
Summit
330‐253‐1411 330‐253‐1720
Critical Care
Krauza
Matthew
L.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
Critical Care
Krauza
Matthew
L.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
Critical Care
Krauza
Matthew
L.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Critical Care
Leano
Ann
M.
MD
4125 Medina Road, #200C
Akron
OH
Summit
330‐344‐6676 330‐666‐2632
Critical Care
Martin
Bradley
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
SPI Critical Care and Pulmonary Medicine
95 Arch Street, #270
Akron
OH
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44333‐
4514
44304
Summit
330‐375‐6642 330‐375‐7615
Critical Care
Martin
Bradley
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Matriano Lim
Charles
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Nackes
Nicholas
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Critical Care
Passero
Michael
A.
MD
4125 Medina Road, #200C
Akron
OH
Paxson
Chad E.
DO
95 Arch Street, #210
Akron
OH
330‐253‐1411 330‐253‐1720
Critical Care
Szilagy
David
DO
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44333‐ Summit
4514
44304‐ Summit
1467
44304 Summit
330‐344‐6676 330‐666‐2632
Critical Care
NE Ohio Pulmonary & Critical Care Associates, Inc.
Unity Health Network
Critical Care
Welko
Jeffrey
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
95 Arch Street, #270
Fax
330‐434‐6908
330‐434‐6908
330‐564‐0733
330‐564‐0733
330‐564‐0733
330‐535‐1638
330‐535‐1510 330‐535‐1638
330‐375‐3588 330‐375‐7615
Page 124 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Critical Care
White
Brian
J.
DO
Unity Health Network
1900 Twenty Third Street, #1000
Cuyahoga Falls OH
Critical Care
White
Brian
J.
DO
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Critical Care
White
Brian
J.
DO
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Critical Care
White
Brian
J.
DO
Unity Health Network
95 Arch Street, #210 Akron
OH
Critical Care
Wilson
James
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
Dermatology
Burg
Carol
MD
North Coast Dermatology Associates, Inc.
885 W. Aurora Road, #3
Sagamore Hills OH
Dermatology
Dermatology
Cernik
Fazekas
Christina
Zsuzsanna
MD
MD
SPI Dermatology
Falls Family Practice, Inc.
1 Park West Blvd., #370
1900 23rd Street
Akron
OH
Cuyahoga Falls OH
Dermatology
Fox
Monte
E.
DO
Tri‐County Dermatology, Inc.
421 Graham Road, Suite B
Cuyahoga Falls OH
Dermatology
Klemme
Jay
C
MD
University Hospitals Medical Group, Inc.
96 Graham Road, Suite C
Cuyahoga Falls OH
Dermatology
Dermatology
Dermatology
Dermatology
Konheim
Lohser
Mark
Wikas
Ari
Sara
Julie
Schield
L
A.
M.
MD
MD
MD
DO
University Hospitals Medical Group, Inc.
SPI Dermatology
SPI Dermatology
Tri‐County Dermatology, Inc.
8819 Commons Blvd., #202
1 Park West Blvd., #200
1 Park West Blvd., #370
421 Graham Road, Suite B
Twinsburg
Akron
Akron
Cuyahoga Falls
OH
OH
OH
OH
Developmental Pediatrics
Developmental Pediatrics
Developmental Pediatrics
Electrodiagnostic Medicine
Holan
Ievers‐Landis
Ievers‐Landis
Klejka
Jane
Carolyn
Carolyn
James
E.
E
E
P.
MD
PhD
PhD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Summit Rehabilitation Medicine, Inc.
8819 Commons Blvd., #1010
3800 Embassy Parkway, #250
8819 Commons Blvd., #100
3975 Embassy Parkway, #002
Twinsburg
Fairlawn
Twinsburg
Akron
OH
OH
OH
OH
Endocrinology
Endocrinology
Endocrinology
Endocrinology
Endocrinology
Endocrinology
Al‐Shoha
Al‐Shoha
Espiritu
Espiritu
Espiritu
Gehlaut
Ahmad
Ahmad
Rachel
Rachel
Rachel
Richa O.
O.
P.
P.
P.
R.
MD
MD
MD
MD
MD
MD
SPI Endocrinology
SPI Endocrinology Barberton
SPI Endocrinology
SPI Endocrinology Green
SPI Endocrinology Portage Lakes
SWRH Physicians, Inc.
75 Arch Street, #301
201 Fifth Street, NE, #6
75 Arch Street, #301
1835 Franks Parkway
500 Portage Lakes Drive, Suite B
5655 Hudson Drive, #315
Akron
Barberton
Akron
Uniontown
Akron
Hudson
OH
OH
OH
OH
OH
OH
Endocrinology
Kaur
Manjinder
DO
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
OH
Endocrinology
Endocrinology
Endocrinology
Endocrinology
Mills
Mills
Salem
Wojtowicz
Ryan
Ryan
James
Jennifer
DO
DO
MD
DO
SPI Endocrinology
SPI Endocrinology
SPI Endocrinology
SWRH Physicians, Inc.
1 Park West Blvd., #370
75 Arch Street, #301
75 Arch Street, #301
5655 Hudson Drive, #315
Akron
Akron
Akron
Hudson
OH
OH
OH
OH
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Endocrinology, Diabetes, & Metabolism
Hadam
Valerie
MD
University Hospitals Medical Practices
8819 Commons Blvd., #100
Twinsburg
OH
44087
44320
44320
44221‐
1344
44087
44333
44087
44333‐
8323
44304
44203
44304
44685
44319
44236‐
4451
44236‐
4454
44320
44304
44304
44236‐
4451
44087
Zmeili
Omar
MD
SPI Endocrinology
75 Arch Street, #301
Akron
Zmeili
Omar
MD
SPI Endocrinology Green
1835 Franks Parkway
Uniontown
G.
A.
State
Zip
County
Phone Fax
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44304
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐753‐6161 330‐753‐5508
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐375‐3588 330‐375‐7615
44067‐ Summit
1600
44320 Summit
44223 Summit
216‐524‐0009 216‐524‐7933
44221‐ Summit
1344
44223 Summit
330‐929‐9009 330‐929‐6264
330‐835‐9158 330‐835‐4984
330‐923‐9585 330‐923‐2290
216‐844‐8200 440‐238‐0597
Summit
Summit
Summit
Summit
216‐844‐8200
330‐835‐9158
330‐835‐9158
330‐929‐9009
216‐514‐8290
330‐835‐4984
330‐835‐4984
330‐929‐6264
Summit
Summit
Summit
Summit
216‐844‐7700
216‐844‐7700
216‐844‐7700
330‐668‐4094
216‐844‐8966
216‐201‐5188
216‐844‐7601
330‐668‐2971
Summit
Summit
Summit
Summit
Summit
Summit
330‐434‐9121
330‐434‐9121
330‐253‐1899
330‐434‐9121
330‐434‐9121
330‐650‐5110
330‐434‐7510
330‐434‐7510
330‐253‐2108
330‐434‐7510
330‐434‐7510
330‐650‐5115
Summit
330‐650‐5110 330‐650‐5115
Summit
Summit
Summit
Summit
330‐434‐9121
330‐434‐9121
330‐434‐9121
330‐650‐5110
Summit
440‐646‐2200 440‐646‐2209
OH
44304 Summit
330‐253‐1899 330‐253‐2108
OH
44685 Summit
330‐434‐9121 330‐434‐7510
330‐434‐7510
330‐434‐7510
330‐434‐7510
330‐650‐5115
Page 125 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
ENT
ENT
ENT
ENT
Abbass
Abbass
Fowler
Kutnick
Fadi
Hassan
Nicole
Steven
A
M
L.
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Akron ENT Associates
8819 Commons Blvd., #101
8819 Commons Blvd., #100
8819 Commons Blvd., #202
395 E. Market Street
Twinsburg
Twinsburg
Twinsburg
Akron
OH
OH
OH
OH
Summit
Summit
Summit
Summit
440‐232‐6789
440‐232‐6789
216‐844‐6000
330‐762‐8959
440‐786‐1321
440‐786‐1321
216‐844‐5157
330‐762‐9121
ENT
Mooney
Kenneth
E.
MD
Akron ENT Associates
395 E. Market Street
Akron
OH
Summit
330‐762‐8959 330‐762‐9121
ENT
ENT
ENT
ENT
ENT
Otteson
Ponsky
Semaan
Slepian
Steinberger
Todd
Diana
Maroun
Jacob
Sidney
D
C
T
J.
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI Plastics & Otolaryngology
Sidney J. Steinberger, MD
8819 Commons Blvd., #202
8819 Commons Blvd., #202
8819 Commons Blvd., #100
701 White Pond Drive, #200
2708 Crawfis Blvd.
Twinsburg
Twinsburg
Twinsburg
Akron
Akron
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
216‐844‐6000
216‐844‐6000
330‐486‐9616
330‐835‐4325
330‐869‐6673
ENT
Sterman
Bruce
M.
MD
Bruce Sterman, MD 2708 Crawfis Blvd.
Akron
OH
Summit
330‐869‐6673 330‐864‐3270
ENT
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Zender
Adams
Ahmed
Amlani
Bachtel
Bailey
Bashor
Bashor
Chad
Sarah
Arif
Anita
Jeffrey
James
Kendrick
Kendrick
A
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
BS Bonyo D.O. & Associates, Inc.
SPI Fairlawn Primary Care
PPN ‐ Northeast Family Health Care
SPI Bachtel & Associates
Community Health Care, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
8819 Commons Blvd., #202
1569 V. Odom Blvd.
2875 W. Market Street
65 Community Road, Suite C
182 E. Avenue
2971 Graham Road
71 Baker Blvd., #101
96 Graham Road, Suite B
Twinsburg
Akron
Fairlawn
Tallmadge
Tallmadge
Stow
Fairlawn
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
OH
OH
44087
44087
44078
44304‐
1542
44304‐
1542
44087
44087
44087
44320
44333‐
2850
44333‐
2850
44087
44320
44333
44278
44278
44224
44333
44223
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
216‐844‐6000
330‐867‐7544
330‐864‐1916
330‐633‐6601
330‐630‐9726
330‐688‐7981
330‐836‐2254
330‐923‐0553
Family Medicine
Family Medicine
Family Medicine
Benson
Bhalla
Black II
Jillian
Vivek
Ross
M
DO
MD
MD
University Hospitals Medical Practices
SPI AES Family Medicine
SPI Mill Pond Family Physicians
3535 Granger Road
388 S. Main Street, #201
265 W. Portage Trail Ext., #200
Akron
OH
Akron
OH
Cuyahoga Falls OH
44333 Summit
44311 Summit
44223 Summit
330‐666‐3400 330‐665‐5133
330‐773‐7866 330‐773‐5090
330‐928‐3111 330‐928‐2843
Family Medicine
Family Medicine
Bonyo
Bortell
Benson
Melanie
S.
K.
DO
DO
BS Bonyo D.O. & Associates, Inc.
SPI Barberton Family Practice
1569 V. Odom Blvd.
155 Fifth Street, NE
Akron
Barberton
OH
OH
44320 Summit
44203 Summit
330‐867‐7544 330‐867‐5190
330‐615‐3205 330‐615‐3221
Family Medicine
Family Medicine
Family Medicine
Brown
Burns
Bursley
James
Lauren
Christopher
J.
N
MD
DO
MD
Community Health Care, Inc.
University Hospitals Medical Practices
SPI Mill Pond Family Physicians
5147 Manchester Road
3800 Embassy Parkway, #230
265 W. Portage Trail Ext., #200
Akron
OH
Fairlawn
OH
Cuyahoga Falls OH
44319 Summit
44333 Summit
44223 Summit
330‐644‐3747 330‐644‐8632
440‐735‐2800 440‐786‐2723
330‐928‐3111 330‐928‐2843
Family Medicine
Family Medicine
Cajigas
Catlett
Israel
Justin
MD
MD
Ohio Family Practice Centers, Inc.
SHS dba Family Medicine Center of Akron
3009 Smith Road, #200
55 Arch Street, #3A
Fairlawn
Akron
OH
OH
44333 Summit
44304 Summit
330‐836‐8471 330‐665‐5830
330‐375‐3584 330‐375‐6306
Family Medicine
Cay
Abigail
M.
MD
PPN ‐ Northampton Primary Care
3239 State Road
Cuyahoga Falls OH
44223 Summit
330‐923‐4500 330‐634‐1329
Family Medicine
Cerone
Andrea
G.
MD
PPN ‐ Northampton Primary Care
3239 State Road
Cuyahoga Falls OH
44223 Summit
330‐923‐4500 330‐923‐8282
Family Medicine
Chema
Andrew
R.
MD
SPI Family Medicine Cuyahoga Falls
1860 State Road, Suite F
Cuyahoga Falls OH
44223 Summit
330‐926‐1955 330‐926‐1956
Family Medicine
Family Medicine
Family Medicine
Cochran
Cook
Cook
Steven
John
John
L
C.
C.
MD
DO
DO
University Hospitals Medical Practices
Austin Primary Care, LLC
Austin Primary Care, LLC
3535 Granger Road
101 5th Street, SE, Suite G
101 Fifth Street, SE, Suite G
Akron
Barberton
Barberton
OH
OH
OH
Summit
Summit
Summit
330‐666‐3400 330‐665‐5133
330‐745‐3151 330‐745‐9984
330‐745‐3151 330‐745‐9324
Family Medicine
Cosentino‐Bressi
Annette
DO
University Hospitals Medical Practices
8819 Commons Blvd., #100
Twinsburg
OH
44333
44203
44203‐
4225
44087
Summit
330‐425‐2212 330‐425‐2779
U.
K.
M.
B
B
216‐844‐5727
216‐844‐5727
216‐844‐5727
330‐835‐4350
330‐864‐3270
216‐844‐5727
330‐867‐5190
330‐864‐1924
330‐630‐2941
330‐630‐2194
330‐688‐7469
330‐923‐2417
330‐923‐0556
Page 126 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Family Medicine
Coven
Charles
J
MD
University Hospitals Medical Practices
718 Graham Road
Cuyahoga Falls OH
44221 Summit
330‐929‐9106 330‐929‐9584
Family Medicine
Crawford
Robert
S.
MD
SPI Orthopaedics and Sports Medicine
20 Olive Street, #201
Akron
OH
44310 Summit
330‐379‐5051 330‐379‐5074
Family Medicine
Di Sabato
John
MD
SHS dba Family Medicine Center of Akron
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
Family Medicine
Didich
Aaron
DO
Falls Family Practice, Inc.
1900 23rd Street
Cuyahoga Falls OH
44223 Summit
330‐923‐9585 330‐923‐2290
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Dieter
Dom Dera Jr.
Dorman
Drolshagen
Duncan
Duncan
Kevin
Richard
Regina
Colin
Yolanda
Yolanda
R
R
MD
MD
MD
MD
MD
MD
SPI Acute Palliative Care Unit
Ohio Family Practice Centers, Inc.
PPN ‐ Northeast Family Health Care
SPI Bachtel & Associates
University Hospitals Medical Practices
University Hospitals Medical Practices
525 E. Market Street, #3E
3009 Smith Road, #200
65 Community Road, Suite C
182 E. Avenue
71 Baker Blvd., #101
96 Graham Road, Suite C
Akron
Fairlawn
Tallmadge
Tallmadge
Fairlawn
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
44304
44333
44278
44278
44333
44223
330‐379‐5100
330‐836‐8471
330‐633‐6601
330‐630‐9726
330‐836‐2254
330‐923‐0553
Family Medicine
Family Medicine
Duppstadt
Edwards
Susan
Jonathan
A.
L.
MD
MD
BS Bonyo D.O. & Associates, Inc.
SPI Barberton Family Practice
1569 V. Odom Blvd.
155 Fifth Street, NE
Akron
Barberton
OH
OH
44320 Summit
44203 Summit
330‐867‐7544 330‐867‐5190
330‐615‐3205 330‐615‐3221
Family Medicine
Flickinger
Nancy
L.
MD
SPI Barberton Family Practice
155 Fifth Street, NE
Barberton
OH
44203 Summit
330‐615‐3205 330‐615‐3221
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Friedman
Gerlach
Goldman
Hageman
Molly
Bruce
Eileen
Jeffrey
A
K
J.
DO
MD
MD
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
SPI Family Medicine Cuyahoga Falls
8819 Commons Blvd., #100
5778 Darrow Road, #201
3535 Granger Road
1860 State Road, Suite F
Twinsburg
Hudson
Akron
Cuyahoga Falls
OH
OH
OH
OH
44087
44236
44320
44223
330‐425‐2212
330‐655‐2161
330‐666‐3400
330‐926‐1955
Family Medicine
Hamrich
Lynn
MD
SHS dba Family Medicine Center of Akron
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
Family Medicine
Higley
Scott
DO
Falls Family Practice, Inc.
1900 23rd Street
Cuyahoga Falls OH
44223 Summit
330‐923‐9585 330‐923‐2290
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Hillard
Hillard
Hillard
Hines
Bradley
Bradley
Erin
Richard
G
G
M
DO
DO
DO
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
SHS dba Family Medicine Center of Akron
8819 Commons Blvd., #100
8936 Darrow Road, Suite B
8819 Commons Blvd., #100
55 Arch Street, #3A
Twinsburg
Twinsburg
Twinsburg
Akron
44087
44087
44087
44304
330‐425‐2212
330‐405‐4850
330‐425‐2212
330‐375‐3584
Family Medicine
Family Medicine
Holmer
Hubbard
Michelle
Dawn
A.
MD
MD
Community Health Care, Inc.
SPI Mill Pond Family Physicians
2971 Graham Road
265 W. Portage Trail Ext., #200
Stow
OH
Cuyahoga Falls OH
44224 Summit
44223 Summit
330‐688‐7981 330‐688‐7469
330‐928‐3111 330‐928‐2843
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Hudak
Iranmanesh
Ismail
Jopperi
Kelley
Christine
Babak
Saira
Andrea
Cynthia
MD
MD
MD
DO
DO
SPI Acute Palliative Care Unit
Community Health Care, Inc.
University Hospitals Medical Practices
SPI AES Family Medicine
SHS dba Family Medicine Center of Akron
525 E. Market Street, #3E
1193 Norton Avenue, Suite A
5778 Darrow Road, #201
388 S. Main Street, #201
55 Arch Street, #3A
Akron
Norton
Hudson
Akron
Akron
44304
44203
44236
44311
44304
330‐379‐5100
330‐825‐0847
330‐655‐2161
330‐773‐7866
330‐375‐3584
Family Medicine
Family Medicine
Family Medicine
Kitson
Kitson
Kohara
Patricia
Patricia
Dai
A.
A.
MD
MD
DO
SPI E.A. Matos, M.D.
SPI Fairlawn Primary Care
Falls Family Practice, Inc.
20 Olive Street, #401
2875 W. Market Street
1900 23rd Street
Akron
OH
Fairlawn
OH
Cuyahoga Falls OH
44310 Summit
44333 Summit
44223 Summit
330‐376‐3105 330‐376‐0351
330‐864‐1916 330‐864‐1924
330‐923‐9585 330‐923‐2290
Family Medicine
Kollman
Robin
D
MD
University Hospitals Medical Practices
3535 Granger Road
Akron
44333 Summit
330‐666‐3400 330‐665‐5133
B
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Zip
County
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Phone Fax
330‐379‐5177
330‐665‐5830
330‐633‐2941
330‐630‐2194
330‐923‐2417
330‐923‐0556
330‐425‐2779
330‐650‐2116
330‐665‐5133
330‐926‐1956
330‐405‐4854
330‐406‐4854
330‐425‐2779
330‐375‐6306
330‐379‐5177
330‐825‐9569
330‐650‐2116
330‐773‐5090
330‐375‐6306
Page 127 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Family Medicine
Krishen
Adarsh
Family Medicine
Family Medicine
Kromalic
Laszlo
John
Daniel
Family Medicine
Laszlo
Family Medicine
Family Medicine
Family Medicine
MI
Cred
Group Name
Address
City
State
Zip
MD
SHS dba Family Medicine Center of Akron
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
DO
MD
University Hospitals Medical Practices
Falls Family Practice, Inc.
3800 Embassy Parkway, #230
1900 23rd Street
Fairlawn
OH
Cuyahoga Falls OH
44333 Summit
44223 Summit
440‐735‐2800 440‐786‐2723
330‐923‐9585 330‐923‐2290
Peter
MD
Falls Family Practice, Inc.
1900 23rd Street
Cuyahoga Falls OH
44223 Summit
330‐923‐9585 330‐923‐2290
Lebron
Lebron
Lenz
Roberto
Roberto
Paul
MD
MD
MD
SPI Kenmore
Summa Center at New Seasons
SPI Barberton Family Practice
1069 Kenmore Blvd.
1493 S. Hawkins Avenue
155 Fifth Street, NE
Akron
Akron
Barberton
OH
OH
OH
44314 Summit
44320 Summit
44203 Summit
330‐848‐0670 330‐848‐0672
330‐865‐5333 330‐865‐5331
330‐615‐3205 330‐615‐3221
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Lookabaugh
Maccallum
Machado
Machado
McLaughlin
Britni
Charles
Gary
Grenville
A.H.
MD
MD
MD
MD
DO
SPI Acute Palliative Care Unit
University Hospitals Medical Practices
Grenville Machado MD Inc.
Grenville Machado MD Inc.
Falls Family Practice, Inc.
525 E. Market Street, #3E
5778 Darrow Road, #201
2839 Copley Road
2839 Copley Road
1900 23rd Street
Akron
Hudson
Akron
Akron
Cuyahoga Falls
OH
OH
OH
OH
OH
44304
44236
44321
44321
44223
Summit
Summit
Summit
Summit
Summit
330‐379‐5100
330‐655‐2161
330‐666‐2022
330‐666‐2022
330‐923‐9585
330‐379‐5177
330‐650‐2116
330‐665‐9659
330‐665‐9659
330‐923‐2290
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Meyer
Meyer
Nassif Pla
Novak
Mark
Sue
Melissa
Laura
E.
M
L.
MD
MD
DO
MD
PPN ‐ Northeast Family Health Care
PPN ‐ Northeast Family Health Care
University Hospitals Medical Practices
SPI Barberton Family Practice
65 Community Road, Suite C
65 Community Road, Suite C
8819 Commons Blvd., #100
155 Fifth Street, NE
Tallmadge
Tallmadge
Twinsburg
Barberton
OH
OH
OH
OH
44278
44278
44087
44203
Summit
Summit
Summit
Summit
330‐633‐6601
330‐633‐6601
330‐425‐2212
330‐615‐3205
330‐630‐2941
330‐630‐2941
330‐425‐2779
330‐615‐3221
Family Medicine
Family Medicine
Pamfilie
Pamfilie
Jennifer
Jennifer
M.
M.
MD
MD
Austin Primary Care, LLC
Austin Primary Care, LLC
101 5th Street, SE, Suite G
101 Fifth Street, SE, Suite G
Barberton
Barberton
OH
OH
Summit
Summit
330‐745‐3151 330‐745‐9984
330‐745‐3151 330‐745‐9324
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Panzner
Panzner
Pirozzi
Pluskota
Pluskota
Eric
Joseph
Philomena
Mark
Mark
C
L
D
H.
H.
DO
MD
MD
DO
DO
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
Austin Primary Care, LLC
Austin Primary Care, LLC
3800 Embassy Parkway, #230
3800 Embassy Parkway, #230
3535 Granger Road
101 5th Street, SE, Suite G
101 Fifth Street, SE, Suite G
Fairlawn
Fairlawn
Akron
Barberton
Barberton
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
440‐735‐2800
440‐735‐2800
330‐666‐3400
330‐745‐3151
330‐745‐3151
Family Medicine
Rafferty
Todd
MD
Falls Family Practice, Inc.
1900 23rd Street
Cuyahoga Falls OH
44203
44203‐
4225
44333
44333
44333
44203
44203‐
4225
44223
Summit
330‐923‐9585 330‐923‐2290
Family Medicine
Family Medicine
Ritchey
Roberts
William
Amanda
DO
MD
SPI Kenmore Family Practice
SPI Montrose Family Practice
Akron
Akron
OH
OH
44314 Summit
44333 Summit
330‐745‐8802 330‐745‐0856
330‐666‐9769 330‐666‐7530
Family Medicine
Family Medicine
Family Medicine
Roth
Sabin
Sassano
Marta
Kelli
John
R.
MD
MD
DO
SPI Marta Roth, MD
Ohio Family Practice Centers, Inc.
Falls Family Practice, Inc.
1250 Kenmore Blvd.
525 N. Cleveland‐Massillon Road, #203
3094 W. Market Street, #136
3009 Smith Road, #200
1900 23rd Street
Akron
OH
Fairlawn
OH
Cuyahoga Falls OH
44333 Summit
44333 Summit
44223 Summit
330‐864‐0902 330‐864‐0920
330‐836‐8471 330‐665‐5830
330‐923‐9585 330‐923‐2290
Family Medicine
Schroeder
Lisa
M.
MD
SPI Barberton Family Practice
155 Fifth Street, NE
Barberton
OH
44203 Summit
330‐615‐3205 330‐615‐3221
Family Medicine
Smucker
William
MD
SHS dba Family Medicine Center of Akron
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
Family Medicine
Sobolewski
Erika
DO
SPI Diamond Family Practice
87 Conservatory Drive, Suite B
Barberton
OH
44203 Summit
330‐753‐2400 330‐753‐3878
Family Medicine
Family Medicine
Spagnuolo
Sperling
Gregory
David
MD
MD
University Hospitals Medical Practices
SHS dba Family Medicine Center of Akron
8819 Commons Blvd., #100
55 Arch Street, #3A
Twinsburg
Akron
OH
OH
44087 Summit
44304 Summit
330‐425‐2212 330‐425‐2779
330‐375‐3584 330‐375‐6306
C
L
J.
F
County
Phone Fax
440‐786‐2723
440‐786‐2723
330‐665‐5133
330‐745‐9984
330‐745‐9324
Page 128 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Family Medicine
Family Medicine
Family Medicine
Stokes Jr.
Striegel
Striegel
Joseph
Peter
Peter
D.
G
G
MD
MD
MD
Community Health Care, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
1193 Norton Avenue, Suite A
71 Baker Blvd., #101
96 Graham Road, Suite C
Norton
OH
Fairlawn
OH
Cuyahoga Falls OH
44203 Summit
44333 Summit
44233 Summit
330‐825‐0847 330‐825‐9569
330‐836‐2254 330‐836‐2417
330‐923‐0553 330‐923‐0556
Family Medicine
Taliwal
Ruchi
MD
SPI Mill Pond Family Physicians
265 W. Portage Trail Ext., #200
Cuyahoga Falls OH
44223 Summit
330‐928‐3111 330‐928‐2843
Family Medicine
Family Medicine
Trump
Valeri‐White
Kristin
Anne
MD
DO
Community Health Care, Inc.
SHS dba Family Medicine Center of Akron
290 9th Street, NE
55 Arch Street, #3A
Barberton
Akron
OH
OH
44203 Summit
44304 Summit
330‐745‐3514 330‐745‐5066
330‐375‐3584 330‐375‐6306
Family Medicine
Vannostran
Sharon
DO
SHS dba Family Medicine Center of Akron
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
Family Medicine
Weinstein
Cynthia
MD
SPI Montrose Family Practice
OH
44333 Summit
330‐666‐9769 330‐666‐7530
Family Medicine
Williamson
Jay
MD
SHS dba Family Medicine Center of Akron
525 N. Cleveland‐Massillon Road, Akron
#203
55 Arch Street, #3A
Akron
OH
44304 Summit
330‐375‐3584 330‐375‐6306
Family Medicine
Wilson
Sean
DO
Falls Family Practice, Inc.
1900 23rd Street
Cuyahoga Falls OH
44223 Summit
330‐923‐9585 330‐923‐2290
Family Medicine
Family Medicine
Gastroenterology
Yee
Zacour
Bandi
Dennis
Todd
Ramakrishna
DO
DO
MD
Dennis Yee, D.O.
PPN ‐ South Main St. Medical Center
SPI Digestive Health Consultants
3388 Manchester Road
4880 S. Main Street, #4
275 Graham Road, #11
Akron
OH
Akron
OH
Cuyahoga Falls OH
44319 Summit
44319 Summit
44223 Summit
330‐644‐6604 330‐644‐6615
330‐644‐2700 330‐644‐2797
330‐923‐0094 330‐920‐7533
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Cameron
Cohen
Hlivko
Hlivko
Koehler
Mansour
Mian
Park
Park
Rozman, Jr
Robert
Stanley
Jonathan
Jonathan
Michael
Nadia
Somia
John
John
Raymond
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
SPI Gastroenterology
SPI Gastroenterology Green
University Hospitals Medical Practices
University Hospitals Medical Practices
SPI Gastroenterology
SPI Gastroenterology
SPI Gastroenterology Green
University Hospitals Medical Practices
8819 Commons Blvd.
1 Park West Blvd., #100
95 Arch Street, #240
1835 Franks Parkway
8819 Commons Blvd.
5778 Darrow Road, #104
95 Arch Street, #240
95 Arch Street, #240
1835 Franks Parkway
5778 Darrow Road, #104
Twinsburg
Akron
Akron
Uniontown
Twinsburg
Hudson
Akron
Akron
Uniontown
Hudson
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44087
44320
44304
44685
44087
44236
44304
44304
44685
44236
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
440‐708‐1555
216‐844‐8500
330‐253‐1800
330‐253‐1800
440‐708‐1555
440‐708‐1555
330‐253‐1800
330‐253‐1800
330‐253‐1800
440‐708‐1555
440‐708‐1515
216‐844‐7480
330‐253‐3955
330‐253‐3955
440‐708‐1515
440‐708‐1515
330‐253‐3955
330‐253‐3955
330‐253‐3955
440‐708‐1515
Gastroenterology
Gastroenterology
Gastroenterology
General Surgery
General Surgery
General Surgery
Shapiro
Sievers
Verbeck
Barksdale
Bender
Berbiglia
Eric
Corey
Steven
Edward
Elizabeth
Lindsay
J
B
MD
MD
MD
MD
MD
DO
8819 Commons Blvd., #101
95 Arch Street, #240
95 Arch Street, #240
8819 Commons Blvd., #202
75 Arch Street, #406
95 Arch Street, #255
Twinsburg
Akron
Akron
Twinsburg
Akron
Akron
OH
OH
OH
OH
OH
OH
44087
44304
44304
44087
44304
44304
Summit
Summit
Summit
Summit
Summit
Summit
440‐708‐1555
330‐253‐1800
330‐253‐1800
216‐844‐7874
330‐762‐6251
330‐761‐9930
440‐708‐1515
330‐253‐3955
330‐253‐3955
216‐844‐8687
330‐762‐1315
330‐761‐9936
General Surgery
Berbiglia
Lindsay
B
DO
University Hospitals Medical Practices
SPI Gastroenterology
SPI Gastroenterology
University Hospitals Medical Group, Inc.
SPI Elizabeth Bender, M.D.
SPI Advanced Laparoscopic Surgery of NE Ohio
SPI ALS WRH
1900 23rd Street, #403
Cuyahoga Falls OH
44223 Summit
330‐971‐7899 330‐971‐7051
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Berbiglia
Bisconti Jr.
Ciraldo
Cocieru
Dalton
Dan
Lindsay
Nicholas
Alfred
Andrei
Arthur
Adrian
B
DO
MD
MD
MD
MD
MD
SPI Bariatric Care Center
SPI General Surgery Barberton
SPI Summit Surgical Associates
SPI Dr. Gary B. Williams
SPI Drs. Dalton & Van Fossen
SPI Advanced Laparoscopic Surgery for NE Ohio
95 Arch Street, #260
201 Fifth Street, NE, #10
75 Arch Street, #103
75 Arch Street, #405
95 Arch Street, #280
95 Arch Street, #255
Akron
Barberton
Akron
Akron
Akron
Akron
44304
44203
44304
44304
44304
44304
330‐375‐6590
330‐753‐1001
330‐376‐7207
330‐253‐5335
330‐564‐2438
330‐761‐9930
J.
A.
B
M
K
K
W
M
B.
G.
State
OH
OH
OH
OH
OH
OH
Zip
County
Summit
Summit
Summit
Summit
Summit
Summit
Phone Fax
330‐375‐6593
330‐753‐1921
330‐376‐7299
330‐253‐6233
330‐564‐2442
330‐761‐9936
Page 129 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
General Surgery
Dan
Adrian
G.
MD
SPI ALS WRH
1900 23rd Street, #403
Cuyahoga Falls OH
44223 Summit
330‐971‐7899 330‐971‐7051
General Surgery
General Surgery
General Surgery
General Surgery
Dan
Delaney
Dingeldein
Donthi
Adrian
G.
Conor
P
Michael
W
Rama Murthy
MD
MD
MD
MD
SPI Bariatric Care Center
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI Surgery R. Donthi MD
95 Arch Street, #260
8819 Commons Blvd., #202
8819 Commons Blvd., #202
275 Graham Road, #2
Akron
Twinsburg
Twinsburg
Cuyahoga Falls
OH
OH
OH
OH
44304
44087
44087
44223
Summit
Summit
Summit
Summit
330‐375‐6590 330‐375‐6593
216‐844‐7874
216‐844‐7874 216‐844‐1385
330‐923‐5123 330‐923‐6654
General Surgery
Johnston
Gregory
DO
95 Arch Street, #255
Akron
OH
44304 Summit
330‐761‐9930 330‐761‐9936
General Surgery
Johnston
Gregory
DO
SPI Advanced Laparoscopic Surgery for NE Ohio
SPI ALS WRH
1900 23rd Street, #403
Cuyahoga Falls OH
44223 Summit
330‐971‐7899 330‐971‐7051
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
General Surgery
Johnston
Lynch
Marks
Mayors
Parks
Pozsgay
Gregory
Melanie
Jeffrey
Dean
Jeffrey
Mark
DO
MD
MD
MD
MD
DO
95 Arch Street, #260
75 Arch Street, #404B
8819 Commons Blvd., #202
201 Fifth Street, NE, #10
8819 Commons Blvd., #100
95 Arch Street, #255
Akron
Akron
Twinsburg
Barberton
Twinsburg
Akron
44304
44304
44087
44203
44087
44304
330‐375‐6590
330‐253‐5335
216‐844‐8200
330‐753‐1001
216‐831‐8255
330‐761‐9930
General Surgery
General Surgery
Pozsgay
Pozsgay
Mark
Mark
DO
DO
SPI Bariatric Care Center
SPI Surgery
University Hospitals Medical Group, Inc.
SPI General Surgery Barberton
University Hospitals Medical Practices
SPI Advanced Laparoscopic Surgery for NE Ohio
SPI ALS Green
SPI ALS WRH
1835 Franks Parkway
1900 23rd Street, #403
Uniontown
OH
Cuyahoga Falls OH
44685 Summit
44223 Summit
330‐761‐9930 330‐761‐9936
330‐971‐7899 330‐971‐7051
General Surgery
General Surgery
General Surgery
General Surgery
Pozsgay
Prabhu
Reynolds Jr.
Scarcella
Mark
Ajita
Harry
Robert
DO
MD
MD
MD
SPI Bariatric Care Center
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Robert G. Scarcella, MD Inc. 95 Arch Street, #260
8819 Commons Blvd.
8819 Commons Blvd., #202
101 Fifth Street, SE, Suite E
Akron
Twinsburg
Twinsburg
Barberton
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐375‐6590 330‐375‐6593
216‐844‐7874 216‐844‐1385
216‐844‐7874
330‐848‐9209 330‐848‐9210
General Surgery
General Surgery
Schlueter
Sprance
Martin
Lee
MD
MD
SPI General Surgery Barberton
SPI Lee A. Sprance, MD
201 Fifth Street, NE, #10
155 Fifth Street, Parkview Center
Barberton
Barberton
OH
OH
44304
44087
44087
44203‐
4225
44203
44203
Summit
Summit
330‐753‐1001 330‐753‐1921
330‐753‐6717 330‐615‐4161
General Surgery
General Surgery
General Surgery
Van Fossen
Williams
Zografakis
Victoria
Gary
John
MD
MD
MD
95 Arch Street, #280
75 Arch Street, #405
95 Arch Street, #255
Akron
Akron
Akron
OH
OH
OH
44304 Summit
44304 Summit
44304 Summit
330‐564‐2438 330‐564‐2442
330‐253‐5335 330‐253‐6233
330‐761‐9930 330‐761‐9936
General Surgery
General Surgery
Zografakis
Zografakis
John
John
MD
MD
SPI Drs. Dalton & Van Fossen
SPI Dr. Gary B. Williams
SPI Advanced Laparoscopic Surgery for NE Ohio
SPI ALS Green
SPI ALS WRH
1835 Franks Parkway
1900 23rd Street, #403
Uniontown
OH
Cuyahoga Falls OH
44685 Summit
44223 Summit
330‐761‐9930 330‐761‐9936
330‐971‐7899 330‐971‐7051
General Surgery
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Zografakis
Abid
Breen
Cleveland
Drost
Ilodi
Istenes
Kayani
Lewis
Lewis
Patel
Reuben
John
Arifa
Thomas
Maryjo
Jennifer
Yoleetah
Nancy
Natalie
Timothy
Timothy
Dupal
Rufus
MD
MD
MD
MD
DO
MD
DO
MD
MD
MD
MD
MD
SPI Bariatric Care Center
SPI Internal Medicine Center
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Summit County Geriatricians
SPI Wadsworth Center for Senior Health
SPI Summit County Geriatricians
Rufus A. Reuben, MD
95 Arch Street, #260
55 Arch Street, #1B
75 Arch Street, Suite G2
75 Arch Street, Suite G2
75 Arch Street, Suite G2
75 Arch Street, Suite G2
75 Arch Street, Suite G2
75 Arch Street, Suite G2
75 Arch Street, Suite G2
195 Wadsworth Road
75 Arch Street, Suite G2
275 Graham Road, #4
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Wadsworth
Akron
Cuyahoga Falls
44304
44304
44304
44304
44304
44304
44304
44304
44304
44281
44304
44223‐
2259
330‐375‐6590
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐375‐4100
330‐926‐9409
M
C
S
L
G.
R.
A.
A.
J.
J.
A.
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
Zip
County
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Phone Fax
330‐375‐6593
330‐253‐6233
216‐844‐1385
330‐753‐1921
216‐831‐8228
330‐761‐9936
330‐375‐6593
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐375‐4097
330‐926‐9428
Page 130 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Geriatric Medicine
Gynecological Oncology
Gynecological Oncology
Gynecological Oncology
Gynecology
Sandhu
Andrews
Andrews
von Gruenigen
Moretuzzo
Satinderpal
Stephen
Stephen
Vivian
Richard
W.
MD
MD
MD
MD
MD
SPI Summit County Geriatricians
SPI Gynecological Oncology
SPI Gynecological Oncology Green
SPI Gynecological Oncology
Reproductive Gynecology, Inc.
75 Arch Street, Suite G2
161 N. Forge Street, #298
1835 Franks Parkway
161 N. Forge Street, #298
95 Arch Street, #250
Akron
Akron
Uniontown
Akron
Akron
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
330‐375‐4100
330‐379‐3514
330‐379‐3514
330‐379‐3514
330‐375‐7722
330‐375‐4097
330‐379‐9211
330‐379‐9211
330‐379‐9211
330‐253‐6708
Nash
David
M.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
Summit
330‐375‐7722 330‐253‐6708
Hematology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Jakob
Clifford
Clifford
Koenig
Mahesh
Manson
Manson
John
Bradley
Bradley
Joseph
Sameer
Greg
Greg
A.
T.
T.
MD
MD
MD
MD
MD
MD
MD
SPI Parkview Med Onc
SPI Parkview Med Onc
SPI Summit Oncology Associates
SPI Summit Oncology Associates
SPI Summit Oncology Associates
SPI Summit Oncology Green
SPI Summit Oncology Western Reserve
155 Fifth Street, NE
155 Fifth Street, NE
161 N. Forge Street, #198
161 N. Forge Street, #198
161 N. Forge Street, #198
1835 Franks Parkway
1900 23rd Street, #1000
Barberton
Barberton
Akron
Akron
Akron
Uniontown
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
OH
44304
44304
44685
44304
44304‐
1496
44304‐
1496
44203
44203
44304
44304
44304
44685
44223
Gynecology
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐753‐3583
330‐753‐3583
330‐376‐1043
330‐376‐1043
330‐376‐1043
330‐971‐7893
330‐971‐7893
Hematology/Oncology
Marquinez
Frederick
P.
MD
Drs. Mubashir, Marquinez & Rehman, Inc.
224 W. Exchange Street, #310
Akron
OH
Summit
330‐344‐5000 330‐253‐9612
Hematology/Oncology
Mubashir
Bashar
A.
MD
Drs. Mubashir, Marquinez & Rehman, Inc.
224 W. Exchange Street, #310
Akron
OH
Summit
330‐344‐5000 330‐253‐9612
Hematology/Oncology
Hematology/Oncology
Hematology/Oncology
Patel
Payne
Rehman
Mehool
Jennifer
Saif Ur
MD
MD
MD
SPI Summit Oncology Associates
SPI Summit Oncology Associates
Drs. Mubashir, Marquinez & Rehman, Inc.
161 N. Forge Street, #198
161 N. Forge Street, #198
224 W. Exchange Street, #310
Akron
Akron
Akron
OH
OH
OH
Summit
Summit
Summit
330‐376‐1043 330‐376‐9951
330‐376‐1043 330‐376‐9951
330‐344‐5000 330‐253‐9612
Hematology/Oncology
Infectious Disease
Infectious Disease
Infectious Disease
Trochelman
Agarwal
Agarwal
Duggal
R. Douglas
Shanu
Shanu
Anurag
MD
MD
MD
MD
SPI Summit Oncology Associates
SPI Akron Infectious Disease
SPI Care Center
Pinnacle Infectious Disease
161 N. Forge Street, #198
75 Arch Street, #506
75 Arch Street, #104
3033 State Road, #204
Akron
Akron
Arkon
Cuyahoga Falls
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐376‐1043
330‐375‐3894
330‐375‐4851
330‐253‐9727
Infectious Disease
Duggal
Anurag
MD
Stephen J. Francis, MD
3033 State Road, #204
Cuyahoga Falls OH
Summit
330‐253‐9727 330‐920‐3124
Infectious Disease
Infectious Disease
Infectious Disease
File Jr.
File Jr.
Francis
Thomas
Thomas
Stephen
MD
MD
MD
SPI Akron Infectious Disease
SPI Care Center
Stephen J. Francis, MD
75 Arch Street, #506
75 Arch Street, #104
3033 State Road, #204
Akron
OH
Akron
OH
Cuyahoga Falls OH
Summit
Summit
Summit
330‐375‐3894 330‐375‐6680
330‐375‐4851 330‐375‐4228
330‐253‐9727 330‐920‐3124
Infectious Disease
Kousar
Nadia
MD
Pinnacle Infectious Disease
3033 State Road, #204
Cuyahoga Falls OH
Summit
330‐253‐9727 330‐920‐3214
Infectious Disease
Kousar
Nadia
MD
Stephen J. Francis, MD
3033 State Road, #204
Cuyahoga Falls OH
Summit
330‐253‐9727 330‐920‐3214
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Leung
Leung
Mandapat
Mandapat
Miracle
Miracle
Moyenuddin
Naidu
Naidu
Poblete
Anthony
Anthony
Aimee
Aimee
Jill
Jill
Munshi
Latasha
Latasha
Jose
DO
DO
MD
MD
MD
MD
MD
MD
MD
MD
SPI Akron Infectious Disease
SPI Care Center
SPI Akron Infectious Disease
SPI Care Center
SPI Akron Infectious Disease
SPI Care Center
SPI Barberton Infectious Disease
SPI Akron Infectious Disease
SPI Care Center
SPI Akron Infectious Disease
75 Arch Street, #506
75 Arch Street, #104
75 Arch Street, #506
75 Arch Street, #104
75 Arch Street, #506
75 Arch Street, #104
75 Arch Street, #506
75 Arch Street, #506
75 Arch Street, #104
75 Arch Street, #506
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐375‐3894
330‐375‐4851
330‐375‐3894
330‐375‐4851
330‐375‐3894
330‐375‐4851
330‐375‐3894
330‐375‐3894
330‐375‐4851
330‐375‐3894
M.
M.
J.
K.
K.
L.
L.
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44302‐
1700
44302‐
1700
44304
44304
44302‐
1700
44304
44304
44304
44223‐
3600
44223‐
3600
44304
44304
44223‐
3600
44223‐
3600
44223‐
3600
44304
44304
44304
44304
44304
44304
44304
44304
44304
44304
330‐753‐3598
330‐753‐3598
330‐376‐9951
330‐376‐9951
330‐376‐9951
330‐971‐7846
330‐971‐7846
330‐376‐9951
330‐375‐6680
330‐375‐4228
330‐920‐3214
330‐375‐6680
330‐375‐4228
330‐375‐6680
330‐375‐4228
330‐375‐6680
330‐375‐4228
330‐375‐6680
330‐375‐6680
330‐375‐4228
330‐375‐6680
Page 131 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Infectious Disease
Infectious Disease
Poblete
Sahni
Infectious Disease
MI
Cred
Group Name
Address
City
Jose
Rajiv
MD
MD
SPI Care Center
Pinnacle Infectious Disease
75 Arch Street, #104
3033 State Road, #204
Akron
OH
Cuyahoga Falls OH
Sahni
Rajiv
MD
Stephen J. Francis, MD
3033 State Road, #204
Cuyahoga Falls OH
Infectious Disease
Salas Vargas
Ana
V.
MD
Pinnacle Infectious Disease
3033 State Road, #204
Cuyahoga Falls OH
Infectious Disease
Salas Vargas
Ana
V.
MD
Stephen J. Francis, MD
3033 State Road, #204
Cuyahoga Falls OH
Infectious Disease
Infectious Disease
Infectious Disease
Infectious Disease
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Scalera
Scalera
Tan
Tan
Albainy
Amanambu
Bermea
Bishop
Bullen
Cash
Chung
Nikole
Nikole
Michael
Michael
Donald
Chimezie
Raymond
Troy
Keaton
Shelby
Matthew
MD
MD
MD
MD
MD
MD
MD
MD
DO
MD
MD
SPI Akron Infectious Disease
SPI Care Center
SPI Akron Infectious Disease
SPI Care Center
SPI Internal Medicine White Pond
Pax Medical Assoc Inc.
University Hospitals Medical Practices
SHS dba Internal Medicine Center
SPI Internal Medicine
University Hospitals Medical Practices
SPI Chapel Hill Internists
75 Arch Street, #506
75 Arch Street, #104
75 Arch Street, #506
75 Arch Street, #104
791 White Pond Drive, Suite C
1655 W. Market Street, Suite L
3800 Embassy Parkway, #240
55 Arch Street, #1B
75 Arch Street, #302
5778 Darrow Road, #201
1232 Buchholzer Blvd.
Akron
Akron
Akron
Akron
Akron
Akron
Fairlawn
Akron
Akron
Hudson
Cuyahoga Falls
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Clavecilla
Crombie
Dy
Erfan
Feitl
Grady
Leo
Bradley
Jennifer
Ayesha
Julius
Patrick
MD
MD
DO
MD
MD
MD
SPI Ellet Primary Care
PPN ‐ Northeast Family Health Care
SPI Internal Medicine West
University Hospitals Medical Practices
SPI Internal Medicine
PPN ‐ Columbia Woods Medical Group
2040 E. Market Street
65 Community Road, Suite C
2875 W. Market Street, Suite A
3800 Embassy Parkway, #240
75 Arch Street, #302
3239 State Road
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Grady
Ha
Haque
Haque
Haque
Hill
Hite
Horne
Iemma
Iemma
Patrick
Linda
Ihsan
Ihsan
Ihsan
Michael
Amy
Gina
Joseph
Joseph
MD
DO
MD
MD
MD
MD
MD
DO
MD
MD
PPN ‐ Columbia Woods Medical Group
SHS dba Internal Medicine Center
City Cardiology Associates
City Cardiology Associates
City Cardiology Associates
SPI Springfield Primary Care
SPI Care Center
SPI Internal Medicine White Pond
University Hospitals Medical Practices
University Hospitals Medical Practices
Internal Medicine
Internal Medicine
Ilodi
Johnson
George
Valerie
DO
MD
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Jones
Jones
Jones
Jones
Katirji
Katsaros
Garimah
Ronald
Ronald
Ronald
Mohamed
Peter
MD
MD
MD
MD
MD
MD
B.
P
J
H.
M.
M.
UI
UI
UI
T
T
R.
R.
R.
State
Zip
County
Phone Summit
Summit
330‐375‐4851 330‐375‐4228
330‐253‐9727 330‐920‐3124
Summit
330‐253‐9727 330‐920‐3124
Summit
330‐253‐9727 330‐926‐5866
Summit
330‐253‐9727 330‐926‐5866
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44304
44223‐
3600
44223‐
3600
44223‐
3600
44223‐
3600
44304
44304
44304
44304
44320
44313
44333
44304
44304
44236
44221
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐375‐3894
330‐375‐4851
330‐375‐3894
330‐375‐4851
330‐835‐1934
330‐375‐0000
330‐665‐9800
330‐375‐3315
330‐253‐5046
330‐655‐2161
330‐928‐8700
330‐375‐6680
330‐375‐4228
330‐375‐6680
330‐375‐4228
330‐835‐1937
330‐375‐0002
330‐666‐9012
330‐375‐3760
330‐253‐5095
330‐650‐2116
330‐928‐5331
Akron
Tallmadge
Fairlawn
Fairlawn
Akron
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
44312
44278
44333
44333
44304
44223
Summit
Summit
Summit
Summit
Summit
Summit
330‐784‐2224
330‐633‐6601
330‐864‐4488
330‐665‐4430
330‐253‐5046
330‐923‐4500
330‐784‐4021
330‐630‐2941
330‐864‐3739
330‐666‐9012
330‐253‐5095
330‐923‐8282
3300 Greenwich Road, #8
55 Arch Street, #1B
201 Fifth Street, NE, #18
4466 Darrow Road, Suite A1
95 Arch Street, #130
3043 Sanitarium Road, #1
75 Arch Street, #104
791 White Pond Drive, Suite C
71 Baker Blvd., #101
96 Graham Road, Suite B
Norton
Akron
Barberton
Stow
Akron
Akron
Akron
Akron
Fairlawn
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44203
44304
44203
44224
44304
44312
44304
44320
44333
44223
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐825‐7371
330‐375‐3315
330‐753‐6699
330‐535‐9555
330‐535‐9555
330‐628‐4044
330‐375‐4851
330‐835‐1934
330‐836‐2254
330‐923‐0553
330‐825‐7482
330‐375‐3760
330‐688‐7772
330‐688‐7772
330‐688‐7772
330‐628‐3005
330‐375‐4228
330‐835‐1937
330‐923‐2417
330‐923‐0556
PPN‐ Columbia Woods Medical Group
SPI Internal Medicine Portage Lakes
3300 Greenwich Road
500 Portage Lakes Drive, Suite B
Norton
Akron
OH
OH
44203 Summit
44319 Summit
330‐825‐7371 330‐634‐1329
330‐645‐6934 330‐645‐6935
SPI Internal Medicine West
SHS dba Internal Medicine Center
SPI Internal Medicine Center
SPI Springfield Primary Care
SPI Internal Medicine Katirji
PPN ‐ Columbia Woods Medical Group
2875 W. Market Street, Suite A
55 Arch Street, #1B
55 Arch Street, #1B
3043 Sanitarium Road, #1
215 E. Waterloo Road, #10
3300 Greenwich Road, #8
Fairlawn
Akron
Akron
Akron
Akron
Norton
OH
OH
OH
OH
OH
OH
44333
44304
44304
44312
44319
44203
330‐864‐4488
330‐375‐3315
330‐375‐3315
330‐628‐4044
330‐773‐7010
330‐825‐7371
Summit
Summit
Summit
Summit
Summit
Summit
Fax
330‐864‐3739
330‐375‐3760
330‐375‐3760
330‐628‐3005
330‐773‐7055
330‐825‐7473
Page 132 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Internal Medicine
Khazaal
Internal Medicine
MI
Cred
Group Name
Address
State
Zip
Nisreen
MD
SPI Bath Family Practice
Klatt
Walter
MD
SPI Walter A. Klatt, MD
605 N. Cleve‐Massillon Road, Suite Fairlawn
B
3614 Manchester Road, #101
Akron
OH
44333 Summit
330‐666‐3333 330‐668‐6532
OH
44319 Summit
330‐644‐2234 330‐644‐7116
Internal Medicine
Laikos
George
MD
SPI Chapel Hill Internists
1232 Buchholzer Blvd.
Cuyahoga Falls OH
44221 Summit
330‐928‐8700 330‐928‐5331
Internal Medicine
Internal Medicine
Internal Medicine
Lisy
Mabee
Maggio
Todd
Scott
Michael
MD
MD
MD
PPN ‐ South Main St. Medical Center
University Hospitals Medical Practices
SPI Stow Internists
4880 S. Main Street, #4
3624 W. Market Street, #103
4466 Darrow Road, #2
Akron
Fairlawn
Stow
OH
OH
OH
44319 Summit
44333 Summit
44224 Summit
330‐644‐2700 330‐644‐2797
330‐666‐9002 330‐666‐9012
330‐688‐3657 330‐688‐3658
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Makati
Manning
Matos
McIntire
McRoberts
Monteith
Murphy
Murphy
Nemer
O'Connell
Pinta
Samir
Neal
Estanislao
Joshua
Mark
Jeffrey
Dale
Dale
Waleed
Bryan
Gary
MD
MD
MD
DO
MD
MD
MD
MD
MD
MD
MD
SPI Ellet Primary Care
SPI Springfield Primary Care
SPI E.A. Matos, M.D.
SPI Internal Medicine White Pond
SPI Springfield Primary Care
PPN ‐ Internal Medicine of Green
SHS dba Internal Medicine Center
SHS dba Internal Medicine Center
Waleed F. Nemer, MD F.A.C.P.
SPI Internal Medicine
PPN ‐ Northampton Primary Care
2040 E. Market Street
3043 Sanitarium Road, #1
20 Olive Street, #401
789 White Pond Drive, Suite C
3043 Sanitarium Road, #1
3593 S. Arlington Road, Suite A
3043 Sanitarium Road, #1
55 Arch Street, #1B
908 E. Waterloo Road, #1A
75 Arch Street, #302
3239 State Road
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Akron
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44312
44312
44310
44320
44312
44312
44312
44304
44306
44304
44223
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐784‐2224
330‐628‐4044
330‐376‐3105
330‐835‐1934
330‐628‐4044
330‐899‐9070
330‐628‐4044
330‐375‐3315
330‐773‐4500
330‐253‐5046
330‐923‐4500
330‐784‐4021
330‐628‐3005
330‐376‐0351
330‐835‐1937
330‐628‐3005
330‐899‐0651
330‐628‐3005
330‐375‐3760
330‐773‐4515
330‐253‐5095
330‐923‐8282
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Pizarro
Radwany
Raniol
Raniol
James
Julia
Marianne
Marianne
P
P
MD
MD
MD
MD
University Hospitals Medical Practices
SHS dba Internal Medicine Center
University Hospitals Medical Practices
University Hospitals Medical Practices
8819 Commons Blvd., #100
55 Arch Street, #1B
71 Baker Blvd., #101
96 Graham Road, Suite B
Twinsburg
Akron
Fairlawn
Cuyahoga Falls
OH
OH
OH
OH
44087
44304
44333
44223
Summit
Summit
Summit
Summit
330‐486‐9641
330‐375‐3315
330‐836‐2254
330‐923‐0553
330‐425‐2779
330‐375‐3760
330‐923‐2417
330‐923‐0556
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Reed III
Rich
Rich
Rich
Rozman, Jr
William
Michael
Michael
Michael
Raymond
W
MD
MD
MD
MD
MD
SPI Bachtel & Associates
SHS dba Internal Medicine Center
SPI Ellet Primary Care
SPI Internal Medicine Center
University Hospitals Medical Practices
182 E. Avenue
55 Arch Street, #1B
2040 E. Market Street
55 Arch Street, #1B
5778 Darrow Road, #104
Tallmadge
Akron
Akron
Akron
Hudson
OH
OH
OH
OH
OH
44278
44304
44312
44304
44236
Summit
Summit
Summit
Summit
Summit
330‐630‐9726
330‐375‐3315
330‐784‐2224
330‐375‐3315
440‐708‐1555
330‐630‐2194
330‐375‐3760
330‐784‐4021
330‐375‐3760
440‐708‐1515
Internal Medicine
Internal Medicine
Internal Medicine
Rucker
Shakya
Shoemaker
Christopher
Elina
Kathleen
MD
MD
DO
PPN ‐ Columbia Woods Medical Group
SPI STH Primary Care
PPN ‐ Northampton Primary Care
3300 Greenwich Road, #8
444 N. Main Street, #250
3239 State Road
Norton
OH
Akron
OH
Cuyahoga Falls OH
44203 Summit
44310 Summit
44223 Summit
330‐825‐7371 330‐634‐1329
330‐379‐9220 330‐379‐9221
330‐923‐4500 330‐923‐1329
Internal Medicine
Steidl
Daniel
MD
SPI Internal Medicine of Cuyahoga Falls
600 Portage Trail West, Suite D
Cuyahoga Falls OH
44221 Summit
330‐928‐4427 330‐928‐9957
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Stewart
Sweet
Tan
Tarter
Tarter
Taylor
Tischner
Waker
Waker
Diana
David
Stephanie
Sarah
Sarah
Matthew
Erin
Andrea
Andrea
MD
MD
MD
MD
MD
MD
DO
MD
MD
SHS dba Internal Medicine Center
SHS dba Internal Medicine Center
SHS dba Internal Medicine Center
SPI Internal Medicine
SPI Summit County Geriatricians
PPN ‐ Internal Medicine of Green
Austin Primary Care, LLC
University Hospitals Medical Practices
University Hospitals Medical Practices
55 Arch Street, #1B
55 Arch Street, #1B
55 Arch Street, #1B
75 Arch Street, #302
75 Arch Street, Suite G2
3593 S. Arlington Road, Suite A
101 5th Street, SE
71 Baker Blvd., #101
96 Graham Road, Suite B
Akron
Akron
Akron
Akron
Akron
Akron
Barberton
Fairlawn
Cuyahoga Falls
44304
44304
44304
44304
44304
44312
44203
44333
44223
330‐375‐3315
330‐375‐3315
330‐375‐3315
330‐253‐5046
330‐375‐4100
330‐899‐9070
330‐745‐3151
330‐836‐2254
330‐923‐0553
A.
W
F.
T
L.
M.
S.
R.
E
E
City
OH
OH
OH
OH
OH
OH
OH
OH
OH
County
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Phone Fax
330‐375‐3760
330‐375‐3760
330‐375‐3760
330‐253‐5095
330‐375‐4097
330‐899‐9074
330‐745‐9984
330‐923‐2417
330‐923‐0556
Page 133 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
Internal Medicine
Internal Medicine
Internal Medicine
Interventional Cardiology
Interventional Cardiology
Nephrology
Wells
Wells
Wilford
Bittenbender
Parikh
Anderson
Kenneth
Michael
Rex
Peter
Sahil
Darryl
Nephrology
Nephrology
Augustine
Boshkos
Joshua
Christopher
Nephrology
Eltayeb
Nephrology
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
MD
DO
DO
MD
MD
MD
SPI Bariatric Care Center
PPN ‐ Internal Medicine of Green
SHS dba Internal Medicine Center
SPI NEOCS
University Hospitals Medical Group, Inc.
Northeast Ohio Nephrology Associates, Inc.
95 Arch Street, #260
3593 S. Arlington Road, Suite A
55 Arch Street, #1B
95 Arch Street
8819 Commons Blvd., #100
411 E. Market Street
Akron
Akron
Akron
Akron
Twinsburg
Akron
OH
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
Summit
330‐375‐6590
330‐899‐9070
330‐375‐3315
330‐376‐7000
216‐844‐3800
330‐252‐0600
330‐375‐6593
330‐899‐9074
330‐375‐3760
330‐376‐1066
J
MD
MD
University Hospitals Medical Group, Inc.
Northeast Ohio Nephrology Associates, Inc.
1 Park West Blvd.
411 E. Market Street
Akron
Akron
OH
OH
Summit
Summit
216‐844‐8500 216‐844‐5204
330‐252‐0600 330‐252‐0700
Babiker
O.
MD
Akron Nephrology Associates, Inc.
224 W. Exchange Street, #330
Akron
OH
Summit
330‐436‐3150 330‐436‐3160
Gayomali
Charina
P.
MD
Northeast Ohio Nephrology Associates, Inc.
411 E. Market Street
Akron
OH
Summit
330‐252‐0600 330‐252‐0700
Nephrology
Nephrology
Hricik
Kayani
Donald
Thomas
E
J.
MD
MD
University Hospitals Medical Group, Inc.
Northeast Ohio Nephrology Associates, Inc.
1 Park West Blvd.
411 E. Market Street
Akron
Akron
OH
OH
Summit
Summit
216‐844‐8500 216‐844‐5204
330‐252‐0600 330‐252‐0700
Nephrology
May
Richard
E.
MD
Northeast Ohio Nephrology Associates, Inc.
411 E. Market Street
Akron
OH
Summit
330‐252‐0600 330‐252‐0700
Nephrology
Nephrology
Padiyar
Phinney
Aparna
Melinda
S.
MD
MD
University Hospitals Medical Group, Inc.
Northeast Ohio Nephrology Associates, Inc.
1 Park West Blvd.
411 E. Market Street
Akron
Akron
OH
OH
Summit
Summit
216‐844‐8500 216‐844‐8280
330‐252‐0600 330‐252‐0700
Nephrology
Raina
Rupesh
MD
Akron Nephrology Associates, Inc.
224 W. Exchange Street, #330
Akron
OH
Summit
330‐436‐3150 330‐436‐3160
Nephrology
Ray
Susan
MD
Northeast Ohio Nephrology Associates, Inc.
411 E. Market Street
Akron
OH
Summit
330‐252‐0600 330‐252‐0700
Nephrology
Nephrology
Sarabu
Tanphaichitr
Nagaraju
Natthavat
MD
MD
University Hospitals Medical Group, Inc.
Akron Nephrology Associates, Inc.
1 Park West Blvd., #100
224 W. Exchange Street, #330
Akron
Akron
OH
OH
Summit
Summit
216‐844‐8500 216‐844‐8509
330‐436‐3150 330‐436‐3160
Nephrology
Zarconi
Joseph
MD
Northeast Ohio Nephrology Associates, Inc.
411 E. Market Street
Akron
OH
Summit
330‐252‐0600 330‐252‐0700
Nephrology
Zidehsarai
Miriam
DO
Akron Nephrology Associates, Inc.
224 W. Exchange Street, #330
Akron
OH
Summit
330‐436‐3150 330‐436‐3160
Neurology
Ansari
Hossain
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Bowling
Susana
M.
MD
SPI Critical Care and Pulmonary Medicine
95 Arch Street, #270
Akron
OH
44304
44312
44304
44310
44087
44304‐
1542
44320
44304‐
1542
44302‐
1715
44304‐
1542
44320
44304‐
1542
44304‐
1542
44320
44304‐
1542
44302‐
1715
44304‐
1542
44320
44302‐
1715
44304‐
1542
44302‐
1715
44320‐
1193
44304
Summit
330‐535‐1510 330‐535‐1638
Neurology
Bowling
Susana
M.
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Neurology
Chandos
Brandon
J.
MD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
Neurology
Chandos
Brandon
J.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Deoras
Mita
S.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Dorsett
Roswell
B.
DO
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Gomes
Joao
A.
MD
SPI Critical Care and Pulmonary Medicine
95 Arch Street, #270
Akron
OH
44236‐
4454
44320‐
1193
44320‐
1193
44320‐
1193
44304
Summit
330‐535‐1510 330‐535‐1638
D.
A
P.
M.
P.
330‐252‐0700
Page 134 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Neurology
Gomes
Joao
A.
MD
Neurology
Huang
Deren
Neurology
Huang
Deren
Neurology
Neurology
Lhatoo
Mazhari
Samden
Amir
Neurology
Miller
Neurology
Address
City
State
Zip
County
Phone Fax
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
MD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
D
MD
MD
University Hospitals Medical Group, Inc.
Unity Health Network
8819 Commons Blvd.
701 White Pond Drive, #300
Twinsburg
Akron
OH
OH
Summit
Summit
216‐844‐3192 216‐844‐3014
330‐572‐1011 330‐572‐1018
Hugh
J.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Rafecas
Jose
C.
MD
Unity Health Network
1700 Boettler Road, #250
Uniontown
OH
Summit
330‐899‐5730 330‐899‐0522
Neurology
Rafecas
Jose
C.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Riess
Gerald
T.
MD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
Neurology
Saltis
Lawrence
M.
MD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
Neurology
Saltis
Lawrence
M.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurology
Neuropsychology
Tomcik
Peluso
Colleen
Eugenio
B
A.
MD
PhD
University Hospitals Medical Group, Inc.
Unity Health Network
8819 Commons Blvd., #202
701 White Pond Drive, #300
Twinsburg
Akron
OH
OH
Summit
Summit
216‐844‐3192
330‐572‐1011 330‐572‐1018
Neuropsychology
Samson
Laura
P.
PsyD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
Neuropsychology
Samson
Laura
P.
PsyD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neuropsychology
Sullivan
T.
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Neurosurgery
Neurosurgery
Bambakidis
Butler
Nicholas
John
Shaw PhD
n
C
MD
B.
MD
University Hospitals Medical Group, Inc.
Center for Neuro and Spine, Inc.
8819 Commons Blvd., #202
762 S. Cleveland‐Massillon Road
Twinsburg
Fairlawn
OH
OH
Summit
Summit
330‐486‐9600 216‐201‐5123
330‐665‐4100 330‐665‐6748
Neurosurgery
Donich
Dane
J.
MD
Donich Neurosurgery and Spine, LLC
3378 W. Market Street
Fairlawn
OH
Summit
330‐576‐3500 330‐576‐3900
Neurosurgery
Hartzfeld
Paul
W.
MD
Donich Neurosurgery and Spine, LLC
201 5th Street, NE4
Barberton
OH
Summit
330‐576‐3500 330‐576‐3900
Neurosurgery
Hartzfeld
Paul
W.
MD
Donich Neurosurgery and Spine, LLC
3378 W. Market Street
Fairlawn
OH
Summit
330‐576‐3500 330‐576‐3900
Neurosurgery
Hoeprich
Mark
R.
MD
Center for Neuro and Spine, Inc.
762 S. Cleveland‐Massillon Road
Fairlawn
OH
Summit
330‐665‐4100 330‐665‐6748
Neurosurgery
Khayyat
Ghassan
F.
MD
Center for Neuro and Spine, Inc.
762 S. Cleveland‐Massillon Road
Fairlawn
OH
Summit
330‐665‐4100 330‐665‐6748
Neurosurgery
Neurosurgery
Lechner
Letarte
Roseanna
Peter
M
B.
MD
MD
University Hospitals Medical Practices
Center for Neuro and Spine, Inc.
8819 Commons Blvd., #100
762 S. Cleveland‐Massillon Road
Twinsburg
Fairlawn
OH
OH
Summit
Summit
216‐285‐5131 216‐201‐5276
330‐665‐4100 330‐665‐6748
Neurosurgery
Markarian
Georges
Z.
MD
Center for Neuro and Spine, Inc.
762 S. Cleveland‐Massillon Road
Fairlawn
OH
44236‐
4454
44320‐
1193
44087
44320‐
1193
44320‐
1193
44685‐
6211
44320‐
1193
44236‐
4454
44236‐
4454
44320‐
1193
44087
44320‐
1193
44236‐
4454
44320‐
1193
44320‐
1193
44087
44333‐
3024
44333‐
3306
44203‐
3017
44333‐
3306
44333‐
3024
44333‐
3024
44087
44333‐
3024
44333‐
3024
Summit
330‐665‐4100 330‐665‐6748
Page 135 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Neurosurgery
Satyan
Krishna
B.
MD
Center for Neuro and Spine, Inc.
762 S. Cleveland‐Massillon Road
Fairlawn
OH
Summit
330‐665‐4100 330‐665‐4190
Ob/Gyn
Babai
Sarah
MD
Women's Health Group, Inc.
121 Northwest Avenue
Tallmadge
OH
Summit
330‐633‐1350 330‐633‐6068
Ob/Gyn
Babai
Sarah
MD
Women's Health Group, Inc.
OH
Summit
330‐899‐9626 330‐899‐0234
Ob/Gyn
Nisrine
MD
Women's Health Group, Inc.
Summit
330‐633‐1350 330‐633‐6068
Nisrine
MD
Women's Health Group, Inc.
Summit
330‐899‐9626 330‐899‐0234
Ob/Gyn
Benmessaoud‐
Zahir
Benmessaoud‐
Zahir
Burkett
919 E. Turkeyfoot Lake Road, Suite Akron
A
121 Northwest Avenue
Tallmadge
Amy
M.
MD
Ob/Gyn
Burkett
Amy
M.
Ob/Gyn
Burkett
Amy
Ob/Gyn
Burkett
Ob/Gyn
OH
SPI Paragon Akron
919 E. Turkeyfoot Lake Road, Suite Akron
A
51 Park West Blvd., #200
Akron
OH
44333‐
3024
44278‐
1809
44312‐
5250
44278‐
1809
44312‐
5250
44320
Summit
330‐869‐9777 330‐869‐0052
MD
SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
M.
MD
SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Amy
M.
MD
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Burkett
Amy
M.
MD
SPI Paragon Obstetrics & Gynecology Cuyahoga Falls
SPI Paragon Springfield
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Byler
Jamie
M
MD
University Hospitals Medical Group, Inc.
8900 Darrow Road
Twinsburg
OH
44087 Summit
440‐720‐3250 440‐720‐3241
Ob/Gyn
Claypoole
Bobbi
S
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Claypoole
Bobbi
S
CNM SPI Paragon Springfield
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Cousineau
Lisa
M.
DO
Summit
330‐668‐6545 330‐668‐2726
Ob/Gyn
Cousineau
Lisa
M.
Summit
330‐668‐6545 330‐668‐2726
Ob/Gyn
Cousineau
Lisa
M.
Summit
330‐535‐2689 330‐535‐3815
Ob/Gyn
Crites
Ob/Gyn
Ob/Gyn
OH
4300 Allen Road, #140
Stow
OH
605 N. Cleveland Massillon Road, Suite A
75 Arch Street, #401
Akron
OH
Akron
OH
Shannon
Obstetrical & Gynecological Associates of Akron, Inc.
DO
Obstetrical & Gynecological Associates of Akron, Inc.
DO
Obstetrical & Gynecological Associates of Akron, Inc.
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44224‐
1032
44333‐
2241
44304‐
1433
44320
Summit
330‐869‐9777 330‐869‐0052
Crites
Shannon
CNM SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Crites
Shannon
CNM SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Crites
Shannon
CNM SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Crites
Shannon
CNM SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Crites
Shannon
CNM SPI Paragon Springfield
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Devine
John
MD
SPI Uro‐Gynecology Barberton
86 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐745‐8789 330‐745‐8893
Ob/Gyn
Drake
Timothy
MD
SPI Women's Health Center
75 Arch Street, Suite B1
Akron
OH
44304 Summit
330‐375‐4844 330‐375‐4067
E.
Page 136 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Ob/Gyn
Edwards
Teresa
M
Ob/Gyn
Edwards
Teresa
Ob/Gyn
Ellis
Ob/Gyn
Group Name
Address
City
State
Zip
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
M
CNM SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Cecilia
A.
DO
4300 Allen Road, #140
Stow
OH
330‐668‐6545 330‐668‐2726
Cecilia
A.
DO
Akron
OH
Summit
330‐668‐6545 330‐668‐2726
Ob/Gyn
Ellis
Cecilia
A.
DO
605 N. Cleveland Massillon Road, Suite A
75 Arch Street, #401
Akron
OH
Summit
330‐535‐2689 330‐535‐3815
Ob/Gyn
Espinal
Sue
E.
MD
1860 State Road, Suite D
Cuyahoga Falls OH
44224‐
1032
44333‐
2241
44304‐
1433
44223
Summit
Ellis
Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Fenton
Bradford
W.
MD
75 Arch Street, #102
Akron
OH
44304 Summit
330‐762‐0954 330‐252‐0115
Ob/Gyn
Ferris
Edward
M.
MD
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
SPI Paragon Obstetrics & Gynecology Cuyahoga Falls
SPI Comprehensive Women's Specialty Physicians
SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Ferris
Edward
M.
MD
SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Ferris
Edward
M.
MD
SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Ferris
Edward
M.
MD
SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Ferris
Edward
M.
MD
SPI Paragon Obstetrics & Gynecology Hudson 1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Ferris
Edward
M.
MD
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Fish
Barry
J.
MD
SPI Paragon Obstetrics & Gynecology Springfield
Barry J. Fish, MD, LLC
100 Merz Blvd.
Fairlawn
OH
330‐869‐3900 330‐869‐3901
Ob/Gyn
Fish
Barry
J.
MD
Barry J. Fish, MD, LLC
754 S. Cleveland Avenue
Mogadore
OH
330‐665‐8060 330‐665‐8069
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44333‐ Summit
2816
44260‐ Summit
2210
44320 Summit
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Fox
Jaime
L
CNM SPI Paragon Springfield
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Godwin
Jennifer
E.
MD
28 Conservatory Drive, Suite C
Barberton
OH
Gorsuch
Steven
M.
MD
121 Northwest Avenue
Tallmadge
OH
Ob/Gyn
Gorsuch
Steven
M.
MD
Women's Health Group, Inc.
919 E. Turkeyfoot Lake Road, Suite Akron
A
44203‐ Summit
4275
44278‐ Summit
1809
44312‐ Summit
5250
330‐475‐0266 330‐475‐0270
Ob/Gyn
SPI Paragon Obstetrics & Gynecology Barberton
Women's Health Group, Inc.
OH
County
Phone Fax
330‐869‐9777 330‐869‐0052
330‐633‐1350 330‐633‐6068
330‐899‐9626 330‐899‐0234
Page 137 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ob/Gyn
Gradisar
Sara
G.
MD
SPI Women's Health Center
75 Arch Street, Suite B1
Akron
OH
44304 Summit
330‐375‐4844 330‐375‐4067
Ob/Gyn
Hutzler
John
N.
MD
Women's Health Group, Inc.
121 Northwest Avenue
Tallmadge
OH
Summit
330‐633‐1350 330‐633‐6068
Ob/Gyn
Hutzler
John
N.
MD
Women's Health Group, Inc.
OH
Summit
330‐899‐9626 330‐899‐0234
Ob/Gyn
Jadallah
Ahmad
K.
MD
Women's Health Group, Inc.
919 E. Turkeyfoot Lake Road, Suite Akron
A
121 Northwest Avenue
Tallmadge
Summit
330‐633‐1350 330‐633‐6068
Ob/Gyn
Jadallah
Ahmad
K.
MD
Women's Health Group, Inc.
Summit
330‐899‐9626 330‐899‐0234
Ob/Gyn
Johnson
Cheryl
J.
MD
SPI Paragon Obstetrics & Gynecology Akron
Ob/Gyn
Kerstetter
Molly
E
Ob/Gyn
Kovacevich
Gregory
J.
Ob/Gyn
Laskey
Robin
Ob/Gyn
Maseelall
Priya
Ob/Gyn
McGrievy
Ob/Gyn
919 E. Turkeyfoot Lake Road, Suite Akron
A
51 Park West Blvd., #200
Akron
OH
OH
44278‐
1809
44312‐
5250
44278‐
1809
44312‐
5250
44320
Summit
330‐869‐9777 330‐869‐0052
CNM SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
MD
SPI Women's Health Center Barberton
201 Fifth Street, NE, #6
Barberton
OH
44203 Summit
330‐745‐4748 330‐745‐4970
MD
SPI Gynecological Oncology
161 N. Forge Street, #298
Akron
OH
44304 Summit
330‐379‐3514 330‐379‐9211
B.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
Summit
330‐375‐7722 330‐253‐6708
Nancy
J.
MD
4300 Allen Road, #140
Stow
OH
Summit
330‐688‐7778
McGrievy
Nancy
J.
MD
OH
Summit
330‐668‐6545 330‐668‐2726
McGrievy
Nancy
J.
MD
605 N. Cleveland Massillon Road, Suite A
75 Arch Street, #401
Akron
Ob/Gyn
Akron
OH
Summit
330‐535‐2689 330‐535‐3815
Ob/Gyn
Mehl
Meghan
W.
DO
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
Women's Health Group, Inc.
121 Northwest Avenue
Tallmadge
OH
Summit
330‐633‐1352 330‐633‐6068
Ob/Gyn
Mehl
Meghan
W.
DO
Women's Health Group, Inc.
OH
Summit
330‐899‐9626 330‐899‐0234
Ob/Gyn
Mendise
Thomas
J.
MD
SPI Paragon Barberton
919 E. Turkeyfoot Lake Road, Suite Akron
A
28 Conservatory Drive, Suite C
Barberton
44304‐
1496
44224‐
1032
44333‐
2241
44304‐
1433
44278‐
1809
44312‐
5250
44203
Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Mendise
Thomas
J.
MD
SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Mendise
Thomas
J.
MD
SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Mendise
Thomas
J.
MD
SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Mendise
Thomas
J.
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Mendise
Thomas
J.
MD
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn
Mihalik
Catherine
M
SPI Paragon Obstetrics & Gynecology Springfield
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Mitchell
Richard
L.
DO
SPI Paragon Obstetrics & Gynecology Hudson 1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Mitchell
Richard
L.
DO
SPI Paragon Obstetrics & Gynecology Springfield
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
1463 Canton Road
OH
OH
Page 138 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Monte
James
R.
MD
SPI Paragon Obstetrics & Gynecology Hudson 1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Monte
James
R.
MD
Ob/Gyn
Neal
Laura
Ob/Gyn
Neal
Laura
Ob/Gyn
Orasanu
Ob/Gyn
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
D
SPI Paragon Obstetrics & Gynecology Springfield
CNM SPI Paragon Cuyahoga Falls
1860 State Road, Suite D
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
D
CNM SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Bogdan
MD
SPI The Continence Center
95 Arch Street, #220
Akron
OH
44304 Summit
330‐434‐0543 330‐434‐0599
Ormond III
Alexander
MD
SPI Women's Health Center
75 Arch Street, Suite B1
Akron
OH
44304 Summit
330‐375‐4844 330‐375‐4067
Ob/Gyn
O'Shea
Maura
K.
MD
4300 Allen Road, #140
Stow
OH
330‐668‐6545 330‐668‐2726
O'Shea
Maura
K.
MD
Akron
OH
Summit
330‐668‐6545 330‐668‐2726
Ob/Gyn
O'Shea
Maura
K.
MD
605 N. Cleveland Massillon Road, Suite A
75 Arch Street, #401
Akron
OH
Summit
330‐535‐2689 330‐535‐3815
Ob/Gyn
Pedersen
Sejal
V.
MD
51 Park West Blvd., #200
Akron
OH
44224‐
1032
44333‐
2241
44304‐
1433
44302
Summit
Ob/Gyn
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
Obstetrical & Gynecological Associates of Akron, Inc.
SPI Paragon Obstetrics & Gynecology Akron
Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Pedersen
Sejal
V.
MD
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐0266 330‐475‐0270
Ob/Gyn
Podojil
Nadia
E
SPI Paragon Obstetrics & Gynecology Barberton
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Podojil
Nadia
E
CNM SPI Paragon Hudson
1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Rhee
Margaret
E.
MD
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Rinehart
Carol
M
CNM SPI Paragon Barberton
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐4275 330‐475‐0270
Ob/Gyn
Rinehart
Carol
M
CNM SPI Paragon Green
1700 Boettler Road, #225
Uniontown
OH
44685 Summit
330‐899‐9696 330‐899‐9596
Ob/Gyn
Rinehart
Carol
M
CNM SPI Paragon Kent
1951 State Route 59, Suite C
Kent
OH
44240 Summit
330‐677‐3638 330‐676‐0753
Ob/Gyn
Roulette
Gregory
MD
SPI Gynecological Oncology
161 N. Forge Street, #298
Akron
OH
44304 Summit
330‐379‐3514 330‐379‐9211
Ob/Gyn
Roulette
Gregory
MD
SPI Paragon Obstetrics & Gynecology Akron
1 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Rzepka
Daniel
MD
University Hospitals Medical Practices
8900 Darrow Road, #H112
Twinsburg
OH
44087 Summit
330‐428‐2212 330‐425‐2779
SPI Paragon Obstetrics & Gynecology Akron
Page 139 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ob/Gyn
Savitski
Jennifer
L.
MD
Barry J. Fish, MD, LLC
100 Merz Blvd.
Fairlawn
OH
330‐869‐3900 330‐869‐3901
Ob/Gyn
Scott
Tara
D.
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44333‐ Summit
2816
44320 Summit
Ob/Gyn
Scott
Tara
D.
MD
SPI Paragon Obstetrics & Gynecology Hudson 1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Sedlak
Stephanie
Ob/Gyn
Shawi
Joseph
Ob/Gyn
Shondel
Ob/Gyn
330‐869‐9777 330‐869‐0052
CNM SPI Women's Health Center Barberton
201 Fifth Street, NE, #6
Barberton
OH
44203 Summit
330‐745‐4748 330‐745‐4970
I
MD
University Hospitals Medical Practices
8900 Darrow Road, #H112
Twinsburg
OH
44087 Summit
330‐428‐2212 330‐425‐2779
Susan
M
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Shondel
Susan
M
MD
Cuyahoga Falls OH
44223 Summit
330‐923‐3138 330‐923‐9652
Ob/Gyn
Shondel
Susan
M
MD
SPI Paragon Obstetrics & Gynecology 1860 State Road, Suite D
Cuyahoga Falls
SPI Paragon Obstetrics & Gynecology Hudson 1305 Corporate Drive, Suite A
Hudson
OH
44236 Summit
330‐650‐4241 330‐650‐5790
Ob/Gyn
Smelcer
Philip
J.
MD
Women's Health Group, Inc.
121 Northwest Avenue
Tallmadge
OH
330‐633‐1350 330‐633‐6068
Ob/Gyn
Smelcer
Philip
J.
MD
Women's Health Group, Inc.
OH
330‐899‐9626 330‐899‐0234
Ob/Gyn
Snelson
Marc
E
MD
University Hospitals Medical Practices
919 E. Turkeyfoot Lake Road, Suite Akron
A
8900 Darrow Road, #H112
Twinsburg
OH
44278‐ Summit
1809
44312‐ Summit
5250
44087 Summit
Ob/Gyn
Tabet
Muriel
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Tabet
Muriel
MD
28 Conservatory Drive, Suite C
Barberton
OH
44203 Summit
330‐475‐0266 330‐475‐0270
Ob/Gyn
Warner
Lisa
L
SPI Paragon Obstetrics & Gynecology Barberton
CNM SPI Paragon Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
White
Kimberly
A.
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Witten
Eileen
MD
75 Arch Street, #102
Akron
OH
44304 Summit
330‐762‐0954 330‐252‐0115
Ob/Gyn
Witten
Eileen
MD
SPI Comprehensive Women's Specialty Physicians
SPI Women's Health Center Barberton
201 Fifth Street, NE, #6
Barberton
OH
44203 Summit
330‐745‐4748 330‐745‐4970
Ob/Gyn
Yeropoli
Sevasti
K.
MD
SPI Paragon Obstetrics & Gynecology Akron
51 Park West Blvd., #200
Akron
OH
44320 Summit
330‐869‐9777 330‐869‐0052
Ob/Gyn
Yeropoli
Sevasti
K.
MD
1463 Canton Road
Akron
OH
44312 Summit
330‐784‐5406 330‐784‐3654
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Maternal & Fetal Medicine
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Ob/Gyn: Reproductive Endocrinology/Infertility
Silber
Angela
MD
75 Arch Street, #102
Akron
OH
44304 Summit
330‐762‐0954 330‐252‐0115
Silber
Angela
MD
SPI Paragon Obstetrics & Gynecology Springfield
SPI Comprehensive Women's Specialty Physicians
SPI Maternal Fetal Medicine
75 Arch Street, #101
Akron
OH
44304 Summit
330‐535‐1143 330‐375‐3153
Maseelall
Priya
B.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
330‐375‐7722 330‐253‐6708
Mooney
Stephen
B.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
Moretuzzo
Richard
W.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
44304‐ Summit
1496
44304‐ Summit
1496
44304‐ Summit
1496
330‐428‐2212 330‐425‐2779
330‐375‐7722 330‐253‐6708
330‐375‐7722 330‐253‐6708
Page 140 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Ob/Gyn: Reproductive Endocrinology/Infertility
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Nash
David
M.
MD
Reproductive Gynecology, Inc.
95 Arch Street, #250
Akron
OH
Summit
330‐375‐7722 330‐253‐6708
Awender
Awender
Beharry
Beyer
Nancy
Nancy
Nicole
Todd
E.
E.
MD
MD
MD
DO
SPI Ophthalmology
SPI The Glaucoma Center
SPI Ophthalmology Clinic
Ripkin Vision & Laser Center, Inc.
75 Arch Street, #204
1 Park West Blvd., #310
75 Arch Street, #202
100 First Street
Akron
Akron
Akron
Hudson
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐375‐7657
330‐836‐8545
330‐375‐4832
330‐650‐0212
Ophthalmology
Beyer
Todd
DO
System Optics, Inc./Novus Clinic
3510 Manchester Road
Akron
OH
Summit
330‐630‐9699 330‐630‐2173
Ophthalmology
Burket
David
G.
MD
Summit Ophthalmology, Inc.
3838 Massillon Road, #370
Uniontown
OH
Summit
330‐864‐8060 330‐899‐9123
Ophthalmology
Burket
David
G.
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Cannatti
James
A.
MD
Summit Ophthalmology, Inc.
3838 Massillon Road, #370
Uniontown
OH
Summit
330‐864‐8060 330‐899‐9123
Ophthalmology
Cannatti
James
A.
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Chi
Thomas
SK
MD
Ohio Eye Care Consultants, LLC
One Park West Blvd., #260
Akron
OH
Summit
330‐864‐0000 330‐864‐6020
Ophthalmology
Cingle
Kimberly
A.
MD
Northeast Ohio Eye Surgeons, Inc.
4277 Allen Road
Stow
OH
Summit
330‐928‐0201 330‐926‐0201
Ophthalmology
Ophthalmology
Collins
Dash‐Modi
Atif
Anita
B
MD
MD
University Hospitals Medical Group, Inc.
Summit Ophthalmology, Inc.
5778 Darrow Road, Lower Level
3838 Massillon Road, #370
Hudson
Uniontown
OH
OH
Summit
Summit
216‐844‐3601 216‐844‐7117
330‐864‐8060 330‐899‐9123
Ophthalmology
Dash‐Modi
Anita
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Donthi
Kiran
R.
MD
SPI Ophthalmology K. Donthi MD
275 Graham Road, #2
Cuyahoga Falls OH
44304‐
1496
44304
44320
44304
44236‐
5384
44319‐
1415
44685‐
6215
44320‐
4230
44685‐
6215
44320‐
4230
44320‐
4231
44224‐
1053
44236
44685‐
6215
44320‐
4230
44223
Summit
330‐923‐5123 330‐923‐6654
Ophthalmology
Ellison
Richard
R.
MD
Summit Ophthalmology, Inc.
3838 Massillon Road, #370
Uniontown
OH
Summit
330‐864‐8060 330‐899‐9123
Ophthalmology
Ellison
Richard
R.
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Ophthalmology
Grigorian
Hull
Florin
Thomas
P.
MD
MD
University Hospitals Medical Group, Inc.
The Retina Group of Northeast Ohio, Inc.
5778 Darrow Road
150 Springside Drive, #330
Hudson
Akron
OH
OH
Summit
Summit
216‐844‐3601 216‐844‐7117
330‐665‐2260 330‐665‐3485
Ophthalmology
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Ophthalmology
Jones
Marc
F.
MD
Northeast Ohio Eye Surgeons, Inc.
4277 Allen Road
Stow
OH
Summit
330‐929‐8204 330‐929‐9067
Ophthalmology
Ophthalmology
Kapadia
Lamkin
Manasvee
Jeffrey
S.
C.
MD
MD
University Hospitals Medical Group, Inc.
The Retina Group of Northeast Ohio, Inc.
5778 Darrow Road, #104
150 Springside Drive, #330
Hudson
Akron
OH
OH
Summit
Summit
216‐844‐3601 216‐983‐0544
330‐665‐2260 330‐665‐3485
Ophthalmology
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Ophthalmology
Ophthalmology
Lass
Locastro
Jonathan
Anthony
H
J.
MD
MD
University Hospitals Medical Group, Inc.
Pediatric Eye & Oculoplastic Surgeons, Inc.
5778 Darrow Road, Lower Level
300 Locust Street, #400
Hudson
Akron
OH
OH
Summit
Summit
216‐844‐3601 216‐844‐7117
330‐374‐5666 330‐375‐5340
Ophthalmology
Lohman
Lawrence
MD
Northeast Ohio Eye Surgeons, Inc.
4277 Allen Road
Stow
OH
44685‐
6215
44320‐
4230
44236
44333‐
4518
44221‐
1051
44224‐
1053
44236
44333‐
4518
44221‐
1051
44236
44302‐
1804
44224‐
1053
Summit
330‐929‐8204 330‐929‐9067
330‐375‐7693
330‐836‐8598
330‐375‐7720
330‐650‐0292
Page 141 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Ophthalmology
Peter
Charles
A.
MD
Summit Ophthalmology, Inc.
3838 Massillon Road, #370
Uniontown
OH
Summit
330‐864‐8060 330‐899‐9123
Ophthalmology
Peter
Charles
A.
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Ophthalmology
Rhee
Ripkin
Douglas
Douglas
J
J.
MD
MD
University Hospitals Medical Group, Inc.
Ripkin Vision & Laser Center, Inc.
5778 Darrow Road, #104
100 First Street
Hudson
Hudson
OH
OH
Summit
Summit
216‐844‐3601 216‐983‐0544
330‐650‐0212 330‐650‐0292
Ophthalmology
Steiner
Scott
R.
MD
Northeast Ohio Eye Surgeons, Inc.
4277 Allen Road
Stow
OH
Summit
330‐929‐8204 330‐926‐0201
Ophthalmology
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
150 Springside Drive, #330
Akron
OH
Summit
330‐665‐2260 330‐665‐3485
Ophthalmology
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Ophthalmology
Willett
Matthew
C.
MD
Northeast Ohio Eye Surgeons, Inc.
4277 Allen Road
Stow
OH
Summit
330‐928‐0201 330‐ 926‐0201
Ophthalmology
Ophthalmology
Ophthalmology
Ophthalmology
Woodruff
Woodruff
Woodruff
Yeakley
Todd
Todd
Todd
William
R.
MD
MD
MD
MD
SPI Ophthalmology
SPI Ophthalmology Clinic
SPI The Glaucoma Center
Summit Ophthalmology, Inc.
75 Arch Street, #204
75 Arch Street, #202
1 Park West Blvd., #310
3838 Massillon Road, #370
Akron
Akron
Akron
Uniontown
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐375‐7657
330‐375‐4832
330‐836‐8545
330‐864‐8060
Ophthalmology
Yeakley
William
R.
MD
Summit Ophthalmology, Inc.
One Park West, #150
Akron
OH
Summit
330‐864‐8060 330‐864‐8074
Ophthalmology
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Ophthalmology: Vitreoretinal Specialist
Orthopedic Surgery
Zhang
Hull
Amy
Thomas
D
P.
MD
MD
University Hospitals Medical Group, Inc.
The Retina Group of Northeast Ohio, Inc.
5778 Darrow Road, #104
150 Springside Drive, #330
Hudson
Akron
OH
OH
Summit
Summit
216‐844‐3601 216‐844‐7232
330‐665‐2260 330‐665‐3485
Hull
Thomas
P.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
150 Springside Drive, #330
Akron
Summit
330‐665‐2260 330‐665‐3485
Lamkin
Jeffrey
C.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
150 Springside Drive, #330
Akron
Summit
330‐665‐2260 330‐665‐3485
Tsai
Thomas
J.
MD
The Retina Group of Northeast Ohio, Inc.
650 Graham Road, #103 & #104
Cuyahoga Falls OH
Summit
330‐922‐9860 330‐922‐9861
Acus, III
Raymond
W.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Bear
Thomas
F.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Bell
Robert
H.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Bennett
Gordon
L.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Brower
Richard
S.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐535‐3396 330‐535‐4415
Orthopedic Surgery
Orthopedic Surgery
Corn
Dean
Robert
Erin
C
M.
MD
MD
University Hospitals Medical Practices
Crystal Clinic, Inc.
5778 Darrow Road, Suite C
1310 Corporate Drive
Hudson
Hudson
OH
OH
44685‐
6215
44320‐
4230
44236
44236‐
5384
44224‐
1053
44333‐
4518
44221‐
1051
44224‐
1053
44304
44304
44320
44685‐
6215
44320‐
4230
44236
44333‐
4518
44221‐
1051
44333‐
4518
44221‐
1051
44333‐
4518
44221‐
1051
44221‐
3227
44221‐
3227
44333‐
8319
44333‐
8319
44310‐
3169
44236
44236‐
4430
Summit
Summit
440‐646‐9636 440‐995‐3816
330‐475‐1631 330‐475‐1634
OH
OH
Fax
330‐375‐7693
330‐375‐7720
330‐836‐8598
330‐899‐9123
Page 142 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Orthopedic Surgery
Diulus
Carrie
A.
MD
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐475‐1634
Orthopedic Surgery
Diulus
Carrie
A.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
Akron
OH
Summit
330‐644‐7436 330‐644‐0167
Orthopedic Surgery
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
1622 E. Turkeyfoot Lake Road, #200
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Engles
Drew
R.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Eubanks
Fitzgerald
Flanagan
Fleissner, Jr.
Jason
Steven
J. Patrick
Paul
D
J
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
SPI Wound Care Center
Crystal Clinic, Inc.
8819 Twinsburg Blvd., #202
8819 Commons Blvd., #100
444 N. Main Street
3975 Embassy Parkway, #102
Twinsburg
Twinsburg
Akron
Akron
OH
OH
OH
OH
Summit
Summit
Summit
Summit
216‐844‐7200
216‐844‐7200 216‐844‐5970
330‐375‐6363 330‐379‐5144
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Furey
Gobezie
Gradisar
Christopher
Reuben
Ian
G
M.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
Crystal Clinic, Inc.
Twinsburg
Twinsburg
Akron
OH
OH
OH
Summit
Summit
Summit
216‐844‐7200
440‐646‐9636 440‐995‐3816
330‐644‐7436 330‐644‐0167
Orthopedic Surgery
Gradisar
Ian
M.
MD
Crystal Clinic, Inc.
8819 Twinsburg Blvd., #202
8819 Commons Blvd., #100
1622 E. Turkeyfoot Lake Road, #200
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Junko
Jeffrey
T.
MD
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐379‐5051 330‐379‐5074
Orthopedic Surgery
Junko
Jeffrey
T.
MD
20 Olive Street, #201
Akron
OH
44310 Summit
330‐379‐5051 330‐379‐5074
Orthopedic Surgery
Kase
Jonathan
A.
MD
SPI Orthopaedics and Sports Medicine Hudson
SPI Orthopaedics and Sports Medicine Wadsworth
Crystal Clinic, Inc.
44236‐
4430
44333‐
8319
44312‐
5277
44333‐
8319
44333‐
1782
44087
44087
44310
44333‐
8319
44087
44087
44312‐
5277
44333‐
8319
44236
3975 Embassy Parkway, #003
Akron
OH
Summit
330‐670‐4242 330‐670‐4241
Orthopedic Surgery
Kay
David
B.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Kay
David
B.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Kennedy
James
P.
MD
Crystal Clinic, Inc.
72 Fifth Street, SE, Suite A
Barberton
Summit
330‐670‐4111 330‐670‐4113
Orthopedic Surgery
Kepley
Robert
F.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Kleinman
Robert
L.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #003
Akron
OH
Summit
330‐670‐4242 330‐670‐4241 Orthopedic Surgery
Orthopedic Surgery
Lacey
Lewandowski
Stephen
Phillip
H
J.
MD
MD
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
8819 Commons Blvd., #202
3975 Embassy Parkway, #102
Twinsburg
Akron
OH
OH
Summit
Summit
216‐844‐8200
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Orthopedic Surgery
Liu
Magoline
Raymond
Michael
W
R.
MD
MD
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
8819 Commons Blvd., #202
1310 Corporate Drive
Twinsburg
Hudson
OH
OH
Summit
Summit
216‐844‐7200
330‐475‐1631 330‐475‐1634
Orthopedic Surgery
Magoline
Michael
R.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Miller
Eric
MD
20 Olive Street, #201
Akron
OH
Summit
330‐379‐5051 330‐379‐5074
Orthopedic Surgery
Miller
Scot
SPI Orthopaedics and Sports Medicine Wadsworth
Crystal Clinic, Inc.
44333‐
8320
44333‐
8319
44221‐
3227
44203‐
4201
44221‐
3227
44333‐
8320
44087
44333‐
8319
44087
44236‐
4430
44333‐
8319
44310
1310 Corporate Drive
Hudson
OH
44236‐ Summit
4430
330‐475‐1631 330‐475‐1634
R.
D.
DO
OH
Fax
Page 143 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Orthopedic Surgery
Miller
Scot
D.
DO
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Mineo
Ronald
C.
DO
Crystal Clinic, Inc.
4465 Darrow Road
Stow
OH
Summit
330‐475‐1631 330‐475‐1634
Orthopedic Surgery
Myer
Daniel
M.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐535‐3396 330‐535‐4415
Orthopedic Surgery
Myer
Daniel
M.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Myer
Timothy
J.
MD
Crystal Clinic, Inc.
437 Portage Trail
Cuyahoga Falls OH
Summit
330‐929‐9136 330‐929‐9189
Orthopedic Surgery
Nelman
Kyle
R.
MD
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐668‐1634
Orthopedic Surgery
Noble
Jeffrey
S.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Noel
Curtis
R.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Orthopedic Surgery
Pakan
William
A.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐673‐6299 330‐673‐6399
Orthopedic Surgery
Orthopedic Surgery
Orthopedic Surgery
Salata
Son‐Hing
Stachowicz
Michael
Jochen
Rafal
J
P
Z.
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc. ‐ Summit Hand Center
8819 Commons Blvd., #202
8819 Commons Blvd., #100
3925 Embassy Parkway
Twinsburg
Twinsburg
Akron
OH
OH
OH
Summit
Summit
Summit
216‐844‐7200
216‐844‐7200 216‐844‐5970
330‐668‐4055 330‐668‐4077
Orthopedic Surgery
Stemple
Kurtis
N.
MD
Crystal Clinic, Inc.
72 Fifth Street, SE, Suite A
Barberton
OH
Summit
330‐668‐4065 330‐668‐4082
Orthopedic Surgery
Taliwal
Rajiv
V.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐535‐3396 330‐535‐4415
Orthopedic Surgery
Weiner
Scott
MD
20 Olive Street, #201
Akron
OH
Summit
330‐379‐5051 330‐379‐5074
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Hand Surgery
Biondi
John
X.
MD
SPI Orthopaedics and Sports Medicine Wadsworth
Crystal Clinic, Inc. ‐ Summit Hand Center
44333‐
8319
44224‐
1884
44310‐
3169
44221‐
3227
44221‐
3227
44236‐
4430
44333‐
8319
44333‐
8319
44310‐
3169
44087
44087
44333‐
1782
44203‐
4201
44310‐
3169
44310
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐475‐1634
Biondi
John
X.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Dietrich
John
W.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Engles
Drew
R.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
McCue, Jr.
R.
Crystal Clinic, Inc. ‐ Summit Hand Center
OH
Summit
330‐644‐7436 330‐644‐0167
R.
Crystal Clinic, Inc. ‐ Summit Hand Center
1622 E. Turkeyfoot Lake Road, #200
3925 Embassy Parkway
Akron
McCue, Jr.
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Njus
Nina
Willia MD
m
Willia MD
m
M.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Reilly
Thomas
J.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐475‐1634
Reilly
Thomas
J.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
Akron
OH
Summit
330‐644‐7436 330‐644‐0167
Reilly
Thomas
J.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
1622 E. Turkeyfoot Lake Road, #200
3925 Embassy Parkway
Akron
OH
44236‐
4430
44333‐
1782
44333‐
1782
44333‐
1782
44312‐
5277
44333‐
1782
44333‐
1782
44236‐
4430
44312‐
5277
44333‐
1782
Summit
330‐668‐4055 330‐668‐4077
Page 144 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Orthopedic Surgery: Hand Surgery
Orthopedic Surgery: Spine Surgery
Orthopedic Surgery: Spine Surgery
Orthopedic Surgery: Spine Surgery
Orthopedic Surgery: Spine Surgery
Orthopedic Surgery: Spine Surgery
Orthopedic Surgery: Spine Surgery
Pain Management
Stachowicz
Rafal
Z.
MD
Crystal Clinic, Inc. ‐ Summit Hand Center
3925 Embassy Parkway
Akron
OH
Summit
330‐668‐4055 330‐668‐4077
Brower
Richard
S.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐535‐3396 330‐535‐4415
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
Akron
OH
Summit
330‐644‐7436 330‐644‐0167
Ehrler
Douglas
M.
MD
Crystal Clinic, Inc.
1622 E. Turkeyfoot Lake Road, #200
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Miller
Scot
D.
DO
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐475‐1634
Miller
Scot
D.
DO
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Taliwal
Rajiv
V.
MD
Crystal Clinic, Inc.
20 Olive Street, #200
Akron
OH
Summit
330‐535‐3396 330‐535‐4415
Geiger
Robert
S.
MD
Summit Pain Specialists, Inc.
4302 Allen Road, #300
Stow
OH
Summit
330‐945‐7246 330‐945‐9920
Pain Management
Griffiths
Maria
MD
1560 Corporate Woods Parkway
Uniontown
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Management
Pain Medicine
Moufawad
Ali
Sami
Syed
E
S.
MD
MD
Comprehensive Pain Management Specialists
University Hospitals Medical Practices
SWRH Physicians, Inc.
8819 Commons Blvd., #100
1900 23rd Street
Twinsburg
OH
Cuyahoga Falls OH
Summit
Summit
330‐425‐2212 330‐425‐2779
330‐971‐7246 330‐971‐7256
Pain Medicine
Ali
Syed
S.
MD
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Ali
Syed
S.
MD
SWRH Physicians, Inc.
701 White Pond Drive, #210
Akron
OH
Summit
330‐835‐3922 330‐971‐7256
Pain Medicine
Drummond
Justin
T.
MD
3051 Graham Road
Stow
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Drummond
Justin
T.
MD
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Fouad
Maged
F.
MD
1560 Corporate Woods Parkway
Uniontown
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Fouad
Maged
F.
MD
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
1560 Corporate Woods Parkway
Uniontown
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
3051 Graham Road
Stow
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Jones
Matthew
B.
MD
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Lababidi
Tony
G.
DO
1560 Corporate Woods Parkway
Uniontown
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Lababidi
Tony
G.
DO
2215 E. Waterloo Road, #313
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Lababidi
Tony
G.
DO
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Louwers
Michael
J.
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Summit Pain Specialists, Inc.
4302 Allen Road, #300
Stow
OH
Summit
330‐945‐7246 330‐945‐9920
Pain Medicine
Narouze
Samer
N.
MD
SWRH Physicians, Inc.
1900 23rd Street
Cuyahoga Falls OH
44333‐
1782
44310‐
3169
44312‐
5277
44333‐
8319
44236‐
4430
44333‐
8319
44310‐
3169
44224‐
1070
44685‐
6711
44087
44223‐
1404
44236‐
4454
44320‐
1193
44224‐
3654
44333‐
9270
44685‐
6711
44333‐
9270
44685‐
6711
44224‐
3654
44333‐
9270
44685‐
6711
44312‐
3856
44333‐
9270
44224‐
1070
44223‐
1404
Summit
330‐971‐7246 330‐971‐7256
Page 145 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Pain Medicine
Narouze
Samer
N.
MD
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Narouze
Samer
N.
MD
SWRH Physicians, Inc.
701 White Pond Drive, #210
Akron
OH
Summit
330‐835‐3922 330‐971‐7256
Pain Medicine
Sable
James
T.
MD
SWRH Physicians, Inc.
1900 23rd Street
Cuyahoga Falls OH
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Sable
James
T.
MD
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Souzdalnitski
Dmitri
MD
SWRH Physicians, Inc.
1900 23rd Street
Cuyahoga Falls OH
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Souzdalnitski
Dmitri
MD
SWRH Physicians, Inc.
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐971‐7246 330‐971‐7256
Pain Medicine
Souzdalnitski
Dmitri
MD
SWRH Physicians, Inc.
701 White Pond Drive, #210
Akron
OH
Summit
330‐835‐3922 330‐971‐7256
Pain Medicine
Wynne
Marisa
M.
DO
3051 Graham Road
Stow
OH
Summit
330‐208‐2720 330‐208‐2721
Pain Medicine
Wynne
Marisa
M.
DO
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Palliative Medicine
Palliative Medicine
Chandler
Chandler
Tamara
Tamara
K.
K.
MD
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
SPI Acute Palliative Care Unit
SPI Summit County Intensive Care Physicians
525 E. Market Street, #3E
525 E. Market Street, #1N
Akron
Akron
OH
OH
44236‐
4454
44320‐
1193
44223‐
1404
44236‐
4454
44223‐
1404
44236‐
4454
44320‐
1193
44224‐
3654
44333‐
9270
44304
44304
Summit
Summit
330‐379‐5100 330‐379‐5177
330‐375‐3588 330‐375‐7615
Palliative Medicine
Palliative Medicine
Palliative Medicine
Palliative Medicine
Pediatric Allergy & Immunology
Chua
Dhital
Radwany
Soltis
Silver
Daniel
Dixa
Steven
Melissa
Eli
J.
MD
MD
MD
MD
MD
SPI Acute Palliative Care Unit
SPI Acute Palliative Care Unit
SPI Acute Palliative Care Unit
SPI Acute Palliative Care Unit
University Hospitals Medical Group, Inc.
525 E. Market Street, #3E
525 E. Market Street, #3E
525 E. Market Street, #3E
525 E. Market Street, #3E
8819 Commons Blvd.
Akron
Akron
Akron
Akron
Twinsburg
OH
OH
OH
OH
OH
44304
44304
44304
44304
44087
Summit
Summit
Summit
Summit
Summit
330‐379‐5100
330‐379‐5100
330‐379‐5100
330‐379‐5100
216‐844‐7700
Pediatric Cardiology
Arruda
Maria (Janine) C.
MD
University Hospitals Medical Group, Inc.
8819 Commons Blvd., #202
Twinsburg
OH
44087 Summit
216‐844‐7700 216‐844‐5478
Pediatric Cardiology
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Endocrinology
Pediatric ENT
Pediatric Gastroenterology
Pediatric General Surgery
Pediatric General Surgery
Pediatric Infectious Disease
Pediatric Neurology
Hill
Shivapour
Uli
Viswanathan
Otteson
Aktay
Barksdale
Dingeldein
Esper
Kidder
James
Jill
Naveen
Anuradha
Todd
Atiye
Edward
Michael
Frank
Brenda
A
K
K
MD
MD
MD
MD
MD
MD
MD
MD
MD
CNS
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
8819 Commons Blvd., #202
8819 Commons Blvd., #202
8819 Commons Blvd., #1010
8819 Commons Blvd., #202
8819 Commons Blvd., #202
8819 Commons Blvd., #1010
8819 Commons Blvd., #202
8819 Commons Blvd., #202
3800 Embassy Parkway, #250
8819 Commons Blvd.
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Fairlawn
Twinsburg
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44087
44087
44087
44087
44087
44087
44087
44087
44333
44087
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐6000
216‐844‐7700
216‐844‐7874
216‐844‐7874
216‐844‐7700
216‐844‐7700
216‐844‐5478
216‐844‐5478
216‐286‐6341
216‐844‐8900
216‐844‐5727
216‐844‐8397
216‐844‐8687
216‐844‐1385
216‐844‐8362
216‐844‐8966
Pediatric Neurology
Pediatric Neurology
Pediatric Neurology
Pediatric Ophthalmology
Pediatric Orthopedic Surgery
Park
Rukin Gold Scher
Grigorian
Fleissner, Jr.
Jun
Deborah
Mark
Florin
Paul
T
R
S
MD
MD
MD
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
8819 Commons Blvd., #202
8819 Commons Blvd.
8819 Commons Blvd.
5778 Darrow Road
3975 Embassy Parkway, #102
Twinsburg
Twinsburg
Twinsburg
Hudson
Akron
OH
OH
OH
OH
OH
44087
44087
44087
44236
44333‐
8319
Summit
Summit
Summit
Summit
Summit
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐3601
330‐668‐4040
216‐201‐5338
216‐844‐8966
216‐844‐8966
216‐844‐7117
330‐668‐4078
D
M
W
P
M
R.
OH
Fax
330‐379‐5177
330‐379‐5177
330‐379‐5177
330‐379‐5177
216‐844‐3017
Page 146 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Pulmonology
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Sports Medicine
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Craven
Hart
Milgram
Myers
Silver
Briskin
Weiss Kelly
Bhardwaj
Cherullo
Coliadis
D'Avello
Feighan
Grinberg
Guerrero‐Duby
Gunzler
Hackenberg
Hardman
Ievers‐Landis
Daniel
Meeghan
Laura
Ross
Eli
Susannah
Amanda
Anita
Lisa
Jennifer
Lori
Elizabeth
Anna
Sara
Julie
Donald
Angela
Carolyn
I
A
H
E
F
L
D
L
E
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
PhD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
8819 Commons Blvd., #1010
8819 Commons Blvd., #1010
8819 Commons Blvd., #1010
8819 Commons Blvd., #100
8819 Commons Blvd.
8819 Commons Blvd.
8819 Commons Blvd.
8819 Commons Blvd., #200
8819 Commons Blvd., #200
8819 Commons Blvd., #200
3800 Embassy Parkway, #260
8819 Commons Blvd., #200
8819 Commons Blvd., #200
3800 Embassy Parkway, #260
8819 Commons Blvd., #200
3800 Embassy Parkway, #260
8819 Commons Blvd., #200
3800 Embassy Parkway, #250
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Fairlawn
Twinsburg
Twinsburg
Fairlawn
Twinsburg
Fairlawn
Twinsburg
Fairlawn
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44087
44087
44087
44087
44087
44087
44087
44087
44087
44087
44333
44087
44087
44333
44087
44333
44087
44333
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐7700
216‐844‐3595
330‐405‐9147
330‐405‐9884
330‐405‐9147
330‐664‐8120
330‐405‐9147
330‐405‐9147
330‐664‐8120
330‐405‐9147
330‐664‐8120
330‐405‐9147
216‐844‐7700
216‐844‐5916
216‐844‐5916
216‐844‐5916
216‐844‐3267
216‐844‐3017
216‐844‐8444
216‐844‐8444
330‐405‐9884
330‐405‐9884
330‐405‐9884
330‐664‐8121
330‐405‐9884
330‐405‐9884
330‐664‐8121
330‐405‐9884
330‐664‐8121
330‐405‐9884
216‐201‐5188
Pediatrics
Ievers‐Landis
Carolyn
E
PhD
University Hospitals Medical Group, Inc.
8819 Commons Blvd., #100
Twinsburg
OH
44087 Summit
216‐844‐7700 216‐844‐7601
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Joyce
Kammerman
Malinowski
Rich
Utech
Vargo
Wagner
Yeh
Zack
Ford
Julie
Teresa
Mark
Justin
Kathleen
Susan
Katherine
Lloyd
Brian
Kennard
A.
M
D
T
K
M
M
R
H
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
PPN ‐ South Main St. Medical Center
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Practices
SPI Summit Rehabilitation Medicine
4880 S. Main Street, #4
8819 Commons Blvd., #200
8819 Commons Blvd., #200
8819 Commons Blvd., #200
8819 Commons Blvd., #200
3800 Embassy Parkway, #260
8819 Commons Blvd., #200
8819 Commons Blvd., #200
8819 Commons Blvd., #200
405 Tallmadge Road, #120
Akron
Twinsburg
Twinsburg
Twinsburg
Twinsburg
Fairlawn
Twinsburg
Twinsburg
Twinsburg
Cuyahoga Falls
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
44319
44087
44087
44087
44087
44333
44087
44087
44087
44221
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐644‐2700
330‐405‐9147
330‐405‐9147
330‐405‐9147
330‐405‐9147
330‐664‐8120
330‐405‐9147
330‐405‐9147
330‐405‐9147
330‐784‐9306
Hayek
Anthony
A.
DO
Summit Rehabilitation Medicine, Inc.
405 Tallmadge Road, #120
Cuyahoga Falls OH
Summit
330‐784‐9306 330‐475‐7544
Klejka
James
P.
MD
Summit Rehabilitation Medicine, Inc.
3975 Embassy Parkway, #002
Akron
OH
Summit
330‐668‐4094 330‐668‐2971
Larsen
Teresa
K.
DO
1560 Corporate Woods Parkway
Uniontown
OH
Summit
330‐208‐2720 330‐208‐2721
Larsen
Teresa
K.
DO
2215 E. Waterloo Road, #313
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Larsen
Teresa
K.
DO
3051 Graham Road
Stow
OH
Summit
330‐208‐2720 330‐208‐2721 Larsen
Teresa
K.
DO
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721 Louwers
Michael
J.
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Summit Pain Specialists, Inc.
4302 Allen Road, #300
Stow
OH
44221‐
3342
44333‐
8323
44685‐
6711
44312‐
3856
44224‐
3654
44333‐
9270
44224‐
1070
Summit
330‐945‐7246 330‐945‐9920
M
K
M
M
J
B
330‐644‐2797
330‐405‐9884
330‐405‐9884
330‐405‐9884
330‐405‐9884
330‐664‐8121
330‐405‐9884
330‐405‐9884
330‐4‐5‐9884
330‐475‐7544
Page 147 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Plastic Surgery
Moufawad
Sami
E
MD
University Hospitals Medical Practices
8819 Commons Blvd., #100
Twinsburg
OH
44087 Summit
330‐425‐2212 330‐425‐2779
Sanderson
Jeffrey
MD
SPI Summit Rehabilitation Medicine
405 Tallmadge Road, #120
Cuyahoga Falls OH
44221 Summit
330‐784‐9306 330‐475‐7544
Weeks
Brandon
MD
Summit Rehabilitation Medicine, Inc.
405 Tallmadge Road, #120
Cuyahoga Falls OH
Summit
330‐784‐9306 330‐784‐4015
Yang
Guang
MD
2215 E. Waterloo Road, #313
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Yang
Guang
MD
3051 Graham Road
Stow
OH
Summit
330‐208‐2720 330‐208‐2721
Yang
Guang
MD
3535 S. Smith Road, Suite A
Akron
OH
Summit
330‐208‐2720 330‐208‐2721
Cervino
A.
3925 Embassy Parkway, #300
Akron
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery
Diulus, III
Lewis
Lawr MD
ence
A.
MD
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Comprehensive Pain Management Specialists
Crystal Clinic, Inc.
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐475‐1631 330‐475‐1634 Plastic Surgery
Diulus, III
Lewis
A.
MD
Crystal Clinic, Inc.
2818 S. Arlington Road
Akron
OH
Summit
330‐644‐7436 330‐644‐0167
Plastic Surgery
Diulus, III
Lewis
A.
MD
Crystal Clinic, Inc.
3925 Embassy Parkway, #300
Akron
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery
Plastic Surgery
Lewis
Papas
James
Nicholas
H.
MD
MD
SPI Plastics
Renaissance Plastic Surgeons, LTD
55 Arch Street, #2A
4125 Medina Road, #202
Akron
Akron
OH
OH
Summit
Summit
330‐252‐0154 330‐252‐9019
330‐334‐7800 330‐334‐3252
Plastic Surgery
Papas
Nicholas
H.
MD
Renaissance Plastic Surgeons, LTD
One Park West Blvd., #370
Akron
OH
Summit
330‐334‐7800 330‐334‐3252
Plastic Surgery
Pennington
Gary
A.
MD
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery
Pennington
Gary
A.
MD
Crystal Clinic, Inc.
3925 Embassy Parkway, #300
Akron
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery
Pennington
Gary
A.
MD
Crystal Clinic, Inc.
72 Fifth Street, SE, Suite A
Barberton
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery
Plastic Surgery: Hand Surgery
Ponsky
Cervino
Diana
A.
University Hospitals Medical Group, Inc.
Crystal Clinic, Inc.
8819 Commons Blvd., #202
3925 Embassy Parkway, #300
Twinsburg
Akron
OH
OH
Summit
Summit
216‐844‐6000 216‐844‐5727
330‐668‐4065 330‐668‐4082
Plastic Surgery: Hand Surgery
Pennington
Gary
C
MD
Lawr MD
ence
A.
MD
Crystal Clinic, Inc.
1310 Corporate Drive
Hudson
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery: Hand Surgery
Pennington
Gary
A.
MD
Crystal Clinic, Inc.
3925 Embassy Parkway, #300
Akron
OH
Summit
330‐668‐4065 330‐668‐4082
Plastic Surgery: Hand Surgery
Pennington
Gary
A.
MD
Crystal Clinic, Inc.
72 Fifth Street, SE, Suite A
Barberton
OH
Summit
330‐668‐4065 330‐668‐4082
Podiatry
Podiatry
Podiatry
Podiatry
Kemper
Kemper
Khandekar
Khandekar
Kimberly
Kimberly
Rahul
Rahul
P
P
DPM
DPM
DPM
DPM
PPN ‐ Pioneer Foot & Ankle Care
PPN ‐ Pioneer Foot & Ankle Care
University Hospitals Medical Practices
University Hospitals Medical Practices
3593 S. Arlington Road, Suite D
65 Community Road, Suite C
71 Baker Blvd., #101
96 Graham Road, Suite B
Akron
Tallmadge
Fairlawn
Cuyahoga Falls
OH
OH
OH
OH
44221‐
3342
44312‐
3856
44224‐
3654
44333‐
9270
44333‐
1799
44236‐
4430
44312‐
4716
44333‐
1799
44304
44333‐
4514
44320‐
4212
44236‐
4430
44333‐
1799
44203‐
4201
44087
44333‐
1799
44236‐
4430
44333‐
1799
44203‐
4201
44312
44278
44333
44223
Summit
Summit
Summit
Summit
330‐644‐1672
330‐633‐3680
330‐836‐2254
330‐923‐0553
Pulmonology
Abo Khamis
Mohammed
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Pulmonology
Botros
Nader
MD
Unity Health Network
Cuyahoga Falls OH
44223‐ Summit
1404
330‐253‐1411 330‐253‐1720
D.
A.
1900 Twenty Third Street, #404
County
Phone Fax
330‐634‐1329
330‐634‐1329
330‐923‐2417
330‐923‐0556
Page 148 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Pulmonology
Botros
Nader
A.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
Pulmonology
Botros
Nader
A.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Botros
Nader
A.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Chandler
Matthew
P.
MD
SPI Critical Care and Pulmonary Medicine
95 Arch Street, #270
Akron
OH
44203‐
3017
44236‐
4454
44304‐
1467
44304
Summit
330‐535‐1510 330‐535‐1638
Pulmonology
Chandler
Matthew
P.
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Pulmonology
Cucci
Anthony
R.
MD
Akron
OH
Dar
Mohammad
A.
MD
Akron
OH
44302‐ Summit
1796
44304 Summit
330‐344‐6676 330‐434‐3611
Pulmonology
NE Ohio Pulmonary & Critical Care 224 W. Exchange Street, #380
Associates, Inc.
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Pulmonology
Diwakar
Amit
OH
Summit
330‐344‐6676 330‐434‐3611
Pulmonology
Fuenning
Charles
R.
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Fuenning
Charles
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Fuenning
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
44302‐
1796
44223‐
1404
44236‐
4454
44304‐
1467
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44304
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐753‐6161 330‐753‐5508
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐375‐3588 330‐375‐7615
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐753‐6161 330‐753‐5508
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐753‐6161 330‐753‐5508
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐253‐1411 330‐253‐1720
MD
224 W. Exchange Street, #380
Akron
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
Unity Health Network
1900 Twenty Third Street, #404
Cuyahoga Falls OH
R.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Charles
R.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Hines
Robert
M.
MD
Unity Health Network
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
Pulmonology
Hines
Robert
M.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Pulmonology
Hines
Robert
M.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Pulmonology
Hines
Robert
M.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Pulmonology
Husain
Iftekhar
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
Pulmonology
Kim
Albert
B.
MD
Unity Health Network
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
Pulmonology
Kim
Albert
B.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Pulmonology
Kim
Albert
B.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Pulmonology
Kim
Albert
B.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Pulmonology
Krauza
Matthew
L.
MD
Unity Health Network
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
Pulmonology
Krauza
Matthew
L.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Pulmonology
Krauza
Matthew
L.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Pulmonology
Krauza
Matthew
L.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
Fax
330‐375‐3588 330‐375‐7615
Page 149 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
Zip
County
Phone Pulmonology
Kretchmer
Kenneth
R.
MD
Unity Health Network
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44333‐
4514
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44302‐
1796
44304
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Kretchmer
Kenneth
R.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
Pulmonology
Kretchmer
Kenneth
R.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Kretchmer
Kenneth
R.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Leano
Ann
M.
MD
4125 Medina Road, #200C
Akron
OH
Pulmonology
Makkar
Hitesh
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
Unity Health Network
Summit
330‐344‐6676 330‐666‐2632
1900 Twenty Third Street, #1000 Cuyahoga Falls OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Makkar
Hitesh
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
Pulmonology
Makkar
Hitesh
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Makkar
Hitesh
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Pulmonology
Murray
Timothy
MD
Akron
OH
Pulmonology
Mustafa
Masroor
NE Ohio Pulmonary & Critical Care 224 W. Exchange Street, #380
Associates, Inc.
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Summit
330‐344‐6676 330‐434‐3611
Akron
OH
Summit
330‐375‐3588 330‐375‐7615
Pulmonology
Passero
Michael
A.
MD
4125 Medina Road, #200C
Akron
OH
Pulmonology
Paxson
Chad E.
DO
NE Ohio Pulmonary & Critical Care Associates, Inc.
Unity Health Network
95 Arch Street, #210
Akron
OH
Pulmonology
Tewari
Sanjiv
MD
224 W. Exchange Street, #380
Akron
OH
Pulmonology
Tsivitse
Paul
MD
NE Ohio Pulmonary & Critical Care Associates, Inc.
SPI Critical Care and Pulmonary Medicine
95 Arch Street, #270
Akron
OH
44333‐
4514
44304‐
1467
44302‐
1796
44304
Summit
330‐344‐6676 330‐666‐2632
Summit
330‐253‐1411 330‐253‐1720
Summit
330‐344‐6676 330‐434‐3611
Summit
330‐535‐1510 330‐535‐1638
Pulmonology
Tsivitse
Paul
MD
SPI Summit County Intensive Care Physicians 525 E. Market Street, #1N
Akron
OH
44304 Summit
330‐375‐3588 330‐375‐7615
Pulmonology
Venkateshaiah
Lokesh
K.
MD
224 W. Exchange Street, #380
Pulmonology
Venkateshaiah
Lokesh
K.
MD
Pulmonology
White
Brian
J.
DO
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
Unity Health Network
Akron
OH
Summit
330‐344‐6676 330‐434‐3611
224 W. Exchange Street, #380
Akron
OH
Summit
330‐344‐6676 330‐434‐3611
1900 Twenty Third Street, #1000
Cuyahoga Falls OH
Summit
330‐253‐1411 330‐253‐1720
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
DO
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
J.
DO
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Ralph
P.
MD
224 W. Exchange Street, #380
Akron
OH
Summit
330‐344‐6676 330‐434‐3611
White
Ralph
P.
MD
4125 Medina Road, #200C
Akron
OH
Summit
330‐344‐1260 330‐666‐2632
Desai
Anand
NE Ohio Pulmonary & Critical Care Associates, Inc.
NE Ohio Pulmonary & Critical Care Associates, Inc.
SPI Radiation Oncology ACH
161 N. Forge Street, Suite G90
Akron
OH
44302‐
1796
44302‐
1796
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44302‐
1796
44333‐
4514
44304
Pulmonology
White
Brian
J.
DO
Pulmonology
White
Brian
J.
Pulmonology
White
Brian
Pulmonology
White
Pulmonology
Radiation Oncology
Summit
330‐375‐3557 330‐376‐1302
C.
MD
MD
State
Fax
Page 150 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Radiation Oncology
Radiation Oncology
Doncals
Fromm
Desiree
Mitchel
E.
MD
MD
SPI Radiation Oncology BCH
Akron Radiation Oncology Associates, Inc.
155 Fifth Street, NE
320 W. Exchange Street
Barberton
Akron
OH
OH
Summit
Summit
330‐615‐4136 330‐615‐4140
330‐535‐4428 330‐344‐1195
Radiation Oncology
Fromm
Mitchel
MD
Akron Radiation Oncology Associates, Inc.
400 Wabash Avenue
Akron
OH
Summit
330‐344‐6448 330‐344‐1195
Radiation Oncology
Godwin
Blessing
O.
MD
Akron Radiation Oncology Associates, Inc.
320 W. Exchange Street
Akron
OH
Summit
330‐535‐4428 330‐344‐1195
Radiation Oncology
Godwin
Blessing
O.
MD
Akron Radiation Oncology Associates, Inc.
400 Wabash Avenue
Akron
OH
Summit
330‐344‐1733 330‐344‐1195
Radiation Oncology
Radiation Oncology
Hong
Kunos
Susan
Charles
M.
SPI Radiation Oncology ACH
SPI Radiation Oncology ACH
161 N. Forge Street, Suite G90
161 N. Forge Street
Akron
Akron
OH
OH
Summit
Summit
330‐375‐3557 330‐376‐1302
330‐375‐3557 330‐376‐1302
Radiation Oncology
Ramalingam
Ashok
MD
MD, PHD
MD
44203
44302‐
1709
44307‐
2433
44302‐
1709
44307‐
2433
44304
44304
Akron Radiation Oncology Associates, Inc.
320 W. Exchange Street
Akron
OH
Summit
330‐535‐4428 330‐344‐1195
Radiation Oncology
Ramalingam
Ashok
MD
Akron Radiation Oncology Associates, Inc.
400 Wabash Avenue
Akron
OH
Summit
330‐344‐6448 330‐344‐1195
Radiation Oncology
Radiation Oncology
Rheumatology
Rheumatology
Rheumatology
Rheumatology
Shah
Shah
Lumapas
Muoh
Stewart
Stewart
Chirag
Chirag
Arminda
Ogechi
Kimberly
Kimberly
MD
MD
MD
DO
MD
MD
161 N. Forge Street, Suite G90
155 Fifth Street, NE
5778 Darrow Road, Suite D
3800 Embassy Parkway, #250
75 Arch Street, #514
500 Portage Lakes Drive, Suite B
Akron
Barberton
Hudson
Fairlawn
Akron
Akron
OH
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
Summit
330‐375‐3557
330‐615‐4136
440‐285‐3133
440‐842‐4500
330‐252‐0657
330‐252‐0657
330‐376‐1302
330‐615‐4140
440‐285‐3135
440‐842‐4303
330‐252‐0667
330‐252‐0667
Rheumatology
Rheumatology
Rheumatology
Sleep Medicine
Waldman
Waldman
Waldman
Chandos
Rachel
Rachel
Rachel
Brandon
J.
MD
MD
MD
MD
SPI Radiation Oncology ACH
SPI Radiation Oncology BCH
University Hospitals Medical Practices
University Hospitals Medical Practices
SPI Summa Physicians Rheumatology
Summa Physicians Rheumatology Portage Lakes
SPI Dermatology
SPI Summa Physicians Rheumatology
Summa Physicians Rheumatology
Unity Health Network
44302‐
1709
44307‐
2433
44304
44203
44236
44333
44304
44319
1 Park West Blvd.
75 Arch Street, #514
5655 Hudson Drive, #315
5655 Hudson Drive, #110
Akron
Akron
Hudson
Hudson
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐252‐0657
330‐252‐0657
330‐252‐0657
330‐342‐4020
330‐252‐0667
330‐252‐0667
330‐252‐0667
330‐342‐4040
Sleep Medicine
Chandos
Brandon
J.
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Sleep Medicine
Sleep Medicine
Sleep Medicine
Friedlander
Friedlander
Krauza
Samuel
Samuel
Matthew
L
L
L.
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Unity Health Network
5778 Darrow Road, Suite D
8819 Commons Blvd., #100
1900 Twenty Third Street, #1000 Hudson
OH
Twinsburg
OH
Cuyahoga Falls OH
Summit
Summit
Summit
440‐248‐1630 440‐914‐7870
440‐248‐1630 440‐914‐7870
330‐253‐1411 330‐253‐1720
Sleep Medicine
Krauza
Matthew
L.
MD
Unity Health Network
201 Fifth Street, NE, #15
Barberton
OH
Summit
330‐753‐6161 330‐753‐5508
Sleep Medicine
Krauza
Matthew
L.
MD
Unity Health Network
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐253‐1411 330‐253‐1720
Sleep Medicine
Krauza
Matthew
L.
MD
Unity Health Network
95 Arch Street, #210 Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Sleep Medicine
Paxson
Chad E.
DO
Unity Health Network
95 Arch Street, #210
Akron
OH
Summit
330‐253‐1411 330‐253‐1720
Sleep Medicine
Roman
Frankie
MD
Unity Health Network
1700 Boettler Road, #250
Uniontown
OH
Summit
330‐899‐5730 330‐899‐0522
Sleep Medicine
Roman
Frankie
MD
Unity Health Network
5655 Hudson Drive, #110
Hudson
OH
Summit
330‐342‐4020 330‐342‐4040
Sleep Medicine
Roman
Frankie
MD
Unity Health Network
701 White Pond Drive, #300
Akron
OH
Summit
330‐572‐1011 330‐572‐1018
Sports Medicine
Bartsokas
Tom
MD
SPI Orthopaedics and Sports Medicine
20 Olive Street, #201
Akron
OH
44320
44304
44236
44236‐
4454
44320‐
1193
44236
44087
44223‐
1404
44203‐
3017
44236‐
4454
44304‐
1467
44304‐
1467
44685‐
6211
44236‐
4454
44320‐
1193
44310
Summit
330‐379‐5051 330‐379‐5074
L
H
W.
Fax
Page 151 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
Sports Medicine
Bartsokas
Tom
W.
MD
5655 Hudson Drive, #315
Hudson
OH
44236 Summit
330‐379‐5051 330‐379‐5074
Sports Medicine
Sports Medicine
Goff
Goff
James
James
D.
D.
DO
DO
20 Olive Street, #201
201 Fifth Street, NE, #14
Akron
Barberton
OH
OH
44310 Summit
44203 Summit
330‐379‐5051 330‐379‐5074
330‐899‐0035 330‐899‐0108
Sports Medicine
Laskovski
Jovan
R.
MD
SPI Orthopaedics and Sports Medicine Hudson
SPI Orthopaedics and Sports Medicine
SPI Orthopaedics and Sports Medicine Barberton
Crystal Clinic, Inc.
Akron
OH
330‐644‐7436 330‐644‐0167
Moats
Nelman
William
Kyle
R.
MD
MD
SPI Wound Care Center
Crystal Clinic, Inc.
Akron
Hudson
OH
OH
Summit
Summit
330‐375‐6363 330‐379‐5144
330‐475‐1631 330‐668‐1634
Sports Medicine
Noel
Curtis
R.
MD
Crystal Clinic, Inc.
3975 Embassy Parkway, #102
Akron
OH
Summit
330‐668‐4040 330‐668‐4078
Sports Medicine
Shah
Nilesh
MD
5655 Hudson Drive, #315
Hudson
OH
Summit
330‐379‐5051 330‐379‐5074
Sports Medicine
Shah
Nilesh
MD
20 Olive Street, #201
Akron
OH
44310 Summit
330‐379‐5051 330‐379‐5074
Sports Medicine
Shah
Nilesh
MD
9318 State Route 14
Streetsboro
OH
44241 Summit
330‐422‐7820 330‐422‐7821
Surgical Critical Care
Surgical Critical Care
Surgical Critical Care
Thoracic Surgery
George
Herlitz
Marchand
Baranek
Richard
Georg
Tiffany
Robert
A.
MD
MD
MD
MD
SPI Orthopaedics and Sports Medicine Hudson
SPI Orthopaedics and Sports Medicine Wadsworth
Summa Physicians Orthopaedics and Sports Medicine
SPI Trauma
SPI Trauma
SPI Trauma
Thoracic & Cardiovascular Associates, Inc.
44312‐
5277
44310
44236‐
4430
44333‐
8319
44236
Summit
Sports Medicine
Sports Medicine
1622 E. Turkeyfoot Lake Road, #200
444 N. Main Street
1310 Corporate Drive
55 Arch Street, #2A
55 Arch Street, #2A
55 Arch Street, #2A
75 Arch Street, #412
Akron
Akron
Akron
Akron
OH
OH
OH
OH
Summit
Summit
Summit
Summit
330‐434‐5978
330‐434‐5978
330‐434‐5978
330‐762‐0366
Thoracic Surgery
Thoracic Surgery
Thoracic Surgery
Debski
Debski
Espinal
Robert
Robert
Eric
A.
MD
MD
MD
SPI Robert F. Debski, MD
SPI Vascular Surgery‐ BCH
SPI Cardiothoracic Surgery CF
75 Arch Street, #406
201 Fifth Street, NE, #8
1900 23rd Street, 4th Floor
Akron
OH
Barberton
OH
Cuyahoga Falls OH
44304
44304
44304
44304‐
1433
44304
44203
44223
Summit
Summit
Summit
330‐475‐1674 330‐475‐1617
330‐475‐1674 330‐475‐1617
330‐384‐9001 330‐384‐9002
Thoracic Surgery
Thoracic Surgery
Espinal
Firstenberg
Eric
Michael
MD
MD
SPI Cardiothoracic Surgery Specialists
SPI Cardiothoracic Surgery CF
75 Arch Street, #407
1900 23rd Street, 4th Floor
Akron
OH
Cuyahoga Falls OH
44304 Summit
44223 Summit
330‐384‐9001 330‐384‐9002
330‐384‐9001 330‐384‐9002
Thoracic Surgery
Transplant Surgery
Urogynecology
Urogynecology
Urogynecology
Urology
Urology
Urology
Urology
Firstenberg
Winans
Rooney
Rooney
South
Autorino
Autorino
Cherullo
Heiser
Michael
Charles
Christopher
Christopher
Mary
Riccardo
Riccardo
Edward
David
E
G.
MD
MD
MD
MD
MD
MD
MD
MD
MD
SPI Cardiothoracic Surgery Specialists
University Hospitals Medical Group, Inc.
SPI Continence Center Green
SPI The Continence Center
SPI The Continence Center
University Hospitals Medical Practices
University Hospitals Medical Practices
University Hospitals Medical Group, Inc.
Urology One, Inc.
75 Arch Street, #407
1 Park West Blvd., #1
1835 Franks Parkway
95 Arch Street, #220
95 Arch Street, #220
3800 Embassy Parkway, #250
5778 Darrow Road, #201
8819 Commons Blvd.
157 W. Cedar Street, #203
Akron
Akron
Uniontown
Akron
Akron
Fairlawn
Hudson
Twinsburg
Akron
OH
OH
OH
OH
OH
OH
OH
OH
OH
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
Summit
330‐384‐9001
216‐844‐7874
330‐434‐0543
330‐434‐0543
330‐434‐0543
440‐516‐8700
440‐516‐8700
216‐844‐5661
330‐434‐1204
Urology
Urology
Urology
Kern Laydner
Kern Laydner
McMahon
Humberto
Humberto
Daniel
R.
MD
MD
MD
University Hospitals Medical Practices
University Hospitals Medical Practices
Pediatric and Adolescent Urology Inc.
3800 Embassy Parkway, #250
5778 Darrow Road, #201
215 W. Bowery Street, #3500
Fairlawn
Hudson
Akron
OH
OH
OH
Summit
Summit
Summit
440‐516‐8700 440‐232‐9491
440‐516‐8700 440‐232‐9491
330‐376‐3332 330‐376‐2980
Urology
Urology
Ponsky
Tabet
Lee
Bechara
E
G.
MD
MD
University Hospitals Medical Group, Inc.
Urology One, Inc.
8819 Commons Blvd., #202
157 W. Cedar Street, #203
Twinsburg
Akron
OH
OH
Summit
Summit
216‐844‐5661 216‐844‐1900
330‐434‐1204 330‐434‐1248
Urology
Vascular Surgery
Woo
Baele
Lynn
Henry
L
R
MD
MD
University Hospitals Medical Group, Inc.
University Hospitals Medical Group, Inc.
8819 Commons Blvd.
8819 Commons Blvd.
Twinsburg
Twinsburg
OH
OH
44304
44320
44685
44304
44304
44333
44236
44087
44307‐
2563
44333
44236
44308‐
1024
44087
44307‐
2563
44087
44087
Summit
Summit
216‐844‐5661 216‐844‐1900
216‐844‐3013 216‐844‐7716
N.
A.
G.
County
Phone Fax
330‐434‐6908
330‐434‐6908
330‐434‐6908
330‐996‐4066
330‐384‐9002
216‐844‐2888
330‐434‐0599
330‐434‐0599
330‐434‐0599
440‐232‐9491
440‐232‐9491
216‐844‐1900
330‐434‐1248
Page 152 of 153
HEALTHSPAN - MEDICARE ADVANTAGE
JULY 2015
(Includes only Providers within the HealthSpan Integrated Care nine county Service Area. For a complete statewide listing, use the Provider Lookup option.)
Specialty
Last Name
First Name
MI
Cred
Group Name
Address
City
State
Zip
County
Phone Fax
Vascular Surgery
Vascular Surgery
Vascular Surgery
Vascular Surgery
Vascular Surgery
Vascular Surgery
Cardiology
Byrge
Fink
McShannic
Moawad
Moawad
Petrinec
Pipoly
Mark
John
Joseph
John
John
Drazen
Stephen
W.
W.
DO
MD
MD
MD
MD
MD
MD
SPI Vascular Surgery ‐ BCH
SPI Akron Vascular Associates
SPI Akron Vascular Associates
SPI Akron Vascular Associates
SPI Wound Care Center
SPI Akron Vascular Associates
Mercy Professional Care Corporation
201 Fifth Street, NE, #8
95 Arch Street, #215
95 Arch Street, #215
95 Arch Street, #215
444 N. Main Street
95 Arch Street, #215
1031 W. High Street
OH
OH
OH
OH
OH
OH
OH
44203
44304
44304
44304
44310
44304
44663
Summit
Summit
Summit
Summit
Summit
Summit
Tuscarawas
330‐475‐1616
330‐434‐4145
330‐434‐4145
330‐434‐4145
330‐375‐6363
330‐434‐4145
330‐365‐5102
330‐475‐1617
330‐375‐4985
330‐375‐4985
330‐375‐4985
330‐379‐5144
330‐375‐4985
330‐365‐5083
Cardiology
Pain Management
Tsai
Gutlove
John
David
P.
MD
MD
SPI Cardiology One Dennison
Mercy Professional Care Corporation
819 N. First Street
1031 W. High Street
OH
OH
44621 Tuscarawas 330‐489‐1386 330‐489‐1258
44663 Tuscarawas 330‐365‐5102 330‐365‐5083
Allergy & Immunology
Sanyurah
Saad
A.
MD
The Allergy & Asthma Treatment Center, Inc. 3562 Commerce Parkway, Suite B
Barberton
Akron
Akron
Akron
Akron
Akron
New Philadelphia
Dennison
New Philadelphia
Wooster
OH
Dermatology
Rosenmeier
Gary
J.
MD
HMT Dermatology
128 E. Milltown Road, #208
Wooster
OH
Dermatology
Torok
Helen
M.
MD
HMT Dermatology
128 E. Milltown Road, #208
Wooster
OH
Family Medicine
Fracasso
Paul
DO
SPI Medical Center of Rittman
223 N. Main Street
Rittman
OH
44691‐
7128
44691‐
1276
44691‐
1276
44270
Family Medicine
Family Medicine
Oliverio
Petrilla
Freeland
Eugene
DO
DO
Doylestown Medical Center, Inc.
SPI Medical Center of Rittman
400 Collier Road
223 N. Main Street
Doylestown
Rittman
Family Medicine
Sadler
Amy
MD
SPI Rittman Family Practice
25 S. Main Street, Suite B
Family Medicine
Family Medicine
Wenger
Widmer
Douglas
Darrell
MD
MD
Community Health Care, Inc.
SPI Rittman Family Practice
Neurosurgery
Hoeprich
Mark
R.
MD
Neurosurgery
Letarte
Peter
B.
MD
Wayne
330‐345‐6446 330‐345‐6444
Wayne
330‐725‐0569 330‐662‐0258
Wayne
330‐725‐0569 330‐662‐0258
Wayne
330‐925‐4911 330‐927‐9258
OH
OH
44230 Wayne
44270 Wayne
330‐658‐2081 330‐658‐4897
330‐925‐4911 330‐927‐9258
Rittman
OH
44270 Wayne
330‐925‐3857 330‐761‐6453
80 N. Portage Street
25 S. Main Street, Suite B
Doylestown
Rittman
OH
OH
44230 Wayne
44270 Wayne
330‐658‐1550 330‐658‐1699
330‐925‐3857 330‐761‐6453
Center for Neuro and Spine, Inc.
546 Winter Street
Wooster
OH
330‐665‐4100 330‐665‐6748
Center for Neuro and Spine, Inc.
1761 Beall Avenue, Suite 3B
Wooster
OH
44691‐ Wayne
2300
44691‐ Wayne
2342
330‐263‐8460 330‐601‐0061
Page 153 of 153