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 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44130‐ 1002 44130‐ 1002 44118‐ 1533 44118‐ 1533 44118‐ 1533 44118‐ 1533 44130‐ 1002 44130‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44130‐ 1002 44130‐ 1002 44118‐ 1533 44130‐ 1002 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 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44118‐ 1533 44146‐ 2074 44130‐ 1002 44118‐ 1533 44118‐ 1533 44136‐ 5151 44118‐ 1533 44118‐ 1533 44136‐ 5151 44118‐ 1533 44130‐ 1002 44129‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44130‐ 1002 44130‐ 1002 44118‐ 1533 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 44130‐ 1002 44130‐ 1002 44118‐ 1533 44118‐ 1533 44118‐ 1533 44118‐ 1533 44146‐ 2074 44130‐ 1002 44130‐ 1002 44118‐ 1533 44118‐ 1533 44146‐ 2074 44116‐ 3422 44130‐ 1002 44130‐ 1002 44146‐ 2074 44130‐ 1002 44118‐ 1533 44118‐ 1533 44146‐ 2074 44130‐ 1002 44146‐ 44116‐ 3422 44130‐ 1002 44130‐ 1002 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 44118‐ 1533 44118‐ 1533 44118‐ 1533 44118‐ 1533 44118‐ 1533 44130‐ 1002 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 44130‐ 1002 44118‐ 1533 44130‐ 1002 44118‐ 1533 44130‐ 1002 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 44118‐ 1533 44130‐ 1002 44130‐ 1002 44130‐ 1002 44118‐ 1533 44129‐ 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