Provider List - Appendix B - Southwest General Health Center
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ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? HNI Healthcare Abboud Rami MD Yes Southwest Family Physicians Abdallah Ghassan A. MD Yes Southwest Family Physicians Abdallah Karyn L. MD Yes UHMG Peds-Neonatology Achanti Babu R. MD No HNI Healthcare Acun Zeki MD No Southwest Family Physicians Adler Corrine L. DO Yes Individual Adornato Dominick C. DDS No UHMG Peds-Neonatology Akbar Khalid MD No Premier Physicians Centers Alalwani Mohamed MD No TeamHealth Northeast Alarafi Jamil A. DO No HNI Healthcare Alers Alexis MD Yes Premier Physicians Centers Alhaddad Bassam MD No UHMG Peds-Neonatology Alley Lisa A. NNP No HNI Healthcare Altaqi Basel MD No SGMG Women's Health Alton John A. MD Yes NOMS Southwest Orthopaedics Anderson Connor J. PA-C No Dermatology Partners, Inc. Andreano Judith M. MD No Wound Center Andrews Cynthia A. CNP Yes Radiology Partners, Inc. Angari David H. MD No HNI Healthcare Annam Anthony R. DO No NOMS Southwest Orthopaedics Anthony Mary E. DO No Americare Kidney Institute Anton Hany S. MD No SGMG Women's Health Urogynecology Apostolis Costas A. MD Yes Individual Arceneaux Susan M. MD No Mobile Hyperbaric Centers Argekar Ashok W. MD No Americare Kidney Institute Argekar Pushkar MD No TeamHealth Northeast Arman Jenny M. DO No Southwest Employed CNP Armao Mary A. CNP Yes Radiology Partners, Inc. Armstrong Linda K. DO No TeamHealth Northeast Ataya Ramsey K. MD No UHMP Brunswick Rheumatology & Internal Medicine Ayers Katherine E. MD No Radiology Partners, Inc. Backus Shane K. MD No Strongsville Psychological Services Baenen Randall S. Ph.D. No Radiology Partners, Inc. Bailey Ronald A. MD No SGMG Behavioral Health Baishnab Raman D. DO Yes Big Creek Surgery Center Anesthesiology Bala Alison O. CRNA No UH Neurological Surgery Bambakidis Nicholas C. MD No OrthoWest, Ltd. Banks Michael A. MD No Radiology Partners, Inc. Bansal Neil K. MD No Kane Podiatry Baracz-Zimmerman Elizabeth A. DPM No Southwest Urology, Inc. Barkoukis Michael T. MD No UHMP Kids in the Sun Barnes Lisa A. CPNP No NOMS Southwest Foot and Ankle Associates Bartal Joseph R. DPM No Ohio Anesthesia Group, Inc. Bartal Jason DO No UHMG Seidman Cancer Center Barton Fredrick J. MD No SGMG Behavioral Health Basco Laura A. CNP Yes Cleveland Dermatology Group Baud Eric B. MD No UHMG Peds-Neonatology Bearer Cynthia F. MD No Radiology Partners, Inc. Beasley Mary M. MD No Health and Wellness Clinic Beetler Alexandria N. CNP Yes SGMG Women's Health Medina OB/GYN Bellante Anita M. MD Yes Big Creek Surgery Center Benchek Jenna M. PA-C No SGMG Women's Health Bennett Shirley L. MD Yes TeamHealth Northeast Benz Kaleigh N. CNP No North Coast Eye Surgery Berger Ravi B. MD No Individual Berglund Sandra M. DO No SGMG Cardiothoracic Surgery Beriswill Gail CNP Yes SGMG General Surgery Berlekamp Amanda A. DO Yes UPDATED 3/3/2022 Page 1 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Southwest Urology, Inc. Berte Michael T. MD No Radiology Partners, Inc. Betterman Mary J. MD No Individual Bhaiji Alok MD No Individual Bhatt Mukesh C. MD No Radiology Partners, Inc. Bhavsar Anil S. MD No UHMG Peds-Neonatology Bhola Monika MD No Southwest Family Physicians Biglow Kimberly W. MD Yes Martin & Tipton, Inc. Bilfield Laurence H. MD No SGMG Family Practice/Internal Med Strongsville Bindra Sarpreet MD Yes SGMG Endocrinology, Diabetes & Metabolism Bindra Sanjit S. MD Yes Cardiovascular Medicine Assoc, Inc. Bisen Vikram S. MD No UHMG Seidman Cancer Center Biswas Tithi MD No Radiology Partners, Inc. Bitonte David A. DO No Radiology Partners, Inc. Bittles Mark A. MD No SGMG Radiology Blackburn Bradley A. MD Yes Big Creek Surgery Center Anesthesiology Blackmur Jay R. AA-C No Individual Blanchard Janet M. MD No SGMG Family Practice Middleburg Hts. Blankfield Robert P. MD Yes North Coast Jaw & Implant Center Blood William S. DDS, MD No ID Consultants Blossom David B. MD No UHMP Rheumatology Blumenthal David E. MD No SGMG Family Practice North Royalton Bocanegra Jose A. MD Yes Ohio Anesthesia Group, Inc. Bologna John F. MD No Radiology Partners, Inc. Bonetti Renee W. MD No Radiology Partners, Inc. Booya Fargol MD No Big Creek Surgery Center Anesthesiology Bostelman Mark A. MD No TeamHealth Northeast Boyd Andrea L. PA-C No SGMG Vascular Surgical Associates Brandt Jamie J. CNP Yes UHMP Pediatric Services Brewer JoAnn L. MD No Big Creek Surgery Center Anesthesiology Brewer Theodore K. AA-C No Radiology Partners, Inc. Brown Mark G. MD No HNI Healthcare Brown Kevin C. MD No HNI Healthcare Brown Derek M. DO No SGMG Vascular Surgical Associates Brown Michael P. DO Yes SGMG Gastroenterology Bruno Alison L. CNP Yes SGMG General Surgery Brzozowski Leonard L. MD Yes UHMG Seidman Cancer Center Bseiso Ali W. MD No Premier Physicians Centers Bshara Ibrahim MD No Radiology Partners, Inc. Buchino James J. MD No Ohio Anesthesia Group, Inc. Budde Jessica K. AA-C No HNI Healthcare Burcham Jenna CNP No HNI Healthcare Burke Shelley A. MD Yes UH Parma Harrington Heart & Vascular Institute Burma Gerald M. MD, PhD No Radiology Partners, Inc. Burnett Antonio C. MD No HNI Healthcare Caceres Polo Manuel MD No SGMG Gastroenterology Calabrese Debra M. PA-C Yes Radiology Partners, Inc. Campbell Laura K. DO No SGMG Vascular Surgical Associates Cantor Giovanna E. CNP Yes HNI Healthcare Cappello James P. DO Yes UHMP Pediatric Services Carlin Kristina L. DO No UHMP Pediatric Services Carruozzo Michele MD No Health and Wellness Clinic Casto Erica L. CNP Yes UH Parma Harrington Heart & Vascular Institute Castro-Dominguez Yulanka S. MD No Bayless-Pathmark Diagnostic Pathology Consultants Chang Yilan L. MD No TeamHealth Northeast Cheng David C. MD No UHMP Family Medicine Center of Strongsville Chirdon Timothy B. DO No UHMG Seidman Cancer Center Choi Serah MD, PhD No Premier Physicians Centers Choudhary Sanjay K. MD No UPDATED 3/3/2022 Page 2 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Individual Cingle Kimberly A. MD No Individual Cirino Anthony J. DO No HNI Healthcare Cleveland Kyle T. DO No OrthoWest, Ltd. Coale Robert M. MD No Cardiovascular Medicine Assoc, Inc. Cohen Jamie N. MD No Individual Coloma Arlene J. DDS No Southwest Urology, Inc. Corrigan Jonathan P. PA-C No UHMG Maternal/Fetal Corteville Jane E. MD No Radiology Partners, Inc. Covey Kelly A. MD No Radiology Partners, Inc. Cox Chad S. MD No Podiatry of Greater Cleveland Craig Alexander B. DPM No Radiology Partners, Inc. Critchley Eric P. MD No Radiology Partners, Inc. Crocker Norman L. MD No UHMG Peds-Neonatology Crowley Moira A. MD No SGMG Women's Health OB-GYN Associates Dahman Ayman MD Yes Ohio Anesthesia Group, Inc. Damron Kyle M. DO No Individual Damtew Belai MD No Ohio Anesthesia Group, Inc. Darke Riki Lee CRNA No Radiology Partners, Inc. Darling James D. MD No SGMG Gastroenterology Davessar Nitin MD Yes Mobile Hyperbaric Centers Davis Candice S. CNP No Southwest Employed CNP Davis Molly L. CNP Yes Radiology Partners, Inc. Davis Brady S. DO No Radiology Partners, Inc. Davis Melissa B. MD No Radiology Partners, Inc. Dean L. Mark MD No Radiology Partners, Inc. Dearing Mark E. MD No Radiology Partners, Inc. DeChambeau Amber N. DO No SGMG Geriatrics/Internal Medicine Demko Monika MD Yes UHMP Southwest Internal Medicine Desai Dipali A. MD No SGMG Behavioral Health/Psychiatry Desai Sonia P. MD Yes Cardiovascular Medicine Assoc, Inc. Deucher Michael F. MD No HNI Healthcare Deutch Zachary MD No Radiology Partners, Inc. Deutch Steven J. MD No SGMG Behavioral Health DeWeese Rebecca A. CNP Yes Premier Physicians Centers Diab Isam A. MD No UH Ohio Medical Group DiLisi Linda M. MD No TeamHealth Northeast Dimitris Kelly C. MD No UHMP Southwest Internal Medicine Dohar Robert M. DO No Southwest Family Physicians Dolega Christopher J. MD Yes UH Neurological Surgery Donnelly Dustin J. MD, PhD No UHMG Seidman Cancer Center Dorth Jennifer A. MD No SGMG Spine Center/Pain Management Dover Susan R. CNP Yes Southwest Family Physicians Drazdik Janeen M. MD Yes Radiology Partners, Inc. Drews Freddy MD No UHMG Seidman Cancer Center D'Rummo Kevin A. MD No UHMP University Southwest Surgeons Dubchuk Vladimir MD No SGMG Women's Health Dubchuk Natalya MD Yes Ohio Anesthesia Group, Inc. Dubsky Jonathan A. MD No TeamHealth Northeast Duldner John E. MD No HNI Healthcare Duran Castillo Marina Y. MD No Premier Physicians Centers Eapen Babu M. MD No Big Creek Surgery Center Anesthesiology Eberlein Jonathan S. AA-C No UHMG Peds-Neonatology Eck Victoria A. NNP No Radiology Partners, Inc. Eckman Jerald A. MD No Eye Medical and Surgical Assoc, Inc. Edwards James J. MD No Big Creek Surgery Center Anesthesiology Eisenberg Paul I. MD No Radiology Partners, Inc. Eisenberg Danny MD No Certified Dermatologists Elias Anthony R. MD No UPDATED 3/3/2022 Page 3 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? HNI Healthcare Elshamy Mohammed E. MD No Individual Epstein James G. MD No HNI Healthcare Esho Adetokunbo O. MD No Radiology Partners, Inc. Evans David M. DO No SGMG General Surgery Eyman Craig M. DO Yes TeamHealth Northeast Fallon Michelle A. DO No UHMG Peds-Neonatology Fanaroff Jonathan M. MD, JD No HNI Healthcare Farag Hany MD No North Ohio Heart Center, Inc. Farhat Naim Z. MD No Ohio Anesthesia Group, Inc. Farro Oksana AA-C No Mobile Hyperbaric Centers Fedorko Ladislav MD No TeamHealth Northeast Ferguson Elizabeth A. MD No Mobile Hyperbaric Centers Ferrini Vincent F. MD No SGMG Comprehensive Family Care Fetterman Timothy J. MD Yes Ohio Kidney + Hypertension Center Fields Aaliyah CNP No Americare Kidney Institute Flauto Ronald P. DO No Southwest Employed PA-C Florian Marius PA-C Yes SGMG Women's Health Medina OB/GYN Foote Meghan J. DO Yes Southwest Employed PA-C Ford Heather A. PA-C Yes UHMG Peds-Neonatology Ford Stephanie M. MD No UH Parma Harrington Heart & Vascular Institute Forouzandeh Farshad MD No Radiology Partners, Inc. Foster Elisa M. DO No SGMG Behavioral Health/Psychiatry Fox David L. MD Yes Radiology Partners, Inc. Fox Jason H. MD No Western Reserve OMS Frazee Troy A. DDS, MD No UHMG Seidman Cancer Center Freck Samantha L. CNP No Individual Freedman Paul S. MD No FootCare Consultants of Cleveland Freireich Ronald A. DPM No Southwest Family Physicians Frost Jennifer A. CNP Yes Southwest Family Physicians Fuentes Ashley C. DO Yes SGMG Behavioral Health Gabor Michael D. CNP Yes Radiology Partners, Inc. Gandhi Kabir MD No UHMG Peds-Neonatology Gardner Pamela M. NNP No Ohio Anesthesia Group, Inc. Gedeon Darleen S. CRNA No TeamHealth Northeast Gee Kirsten MD No Individual George Antony M. MD No UHMP Kids in the Sun Gerardo Ernesto A. MD No Southwest Urology, Inc. Gervasi Lawrence A. MD No Radiology Partners, Inc. Ghori Saima MD No Cardiovascular Medicine Assoc, Inc. Giannattasio Bartolomeo MD, PhD No Gingo, Inc. Gingo Anthony J. MD No Radiology Partners, Inc. Giuliano Anne W. MD No SGMG Endocrinology, Diabetes & Metabolism Gliga A. Monica MD Yes Radiology Partners, Inc. Glover Adam P. DO No Radiology Partners, Inc. Glover Alyssa M. DO No The Cosmetic Surgery Center Goldschmidt Matthew J. MD, DMD No UHMP Kids in the Sun Golonka Gregory G. MD No Ohio Anesthesia Group, Inc. Golota Oleg P. CRNA No Big Creek Surgery Center Anesthesiology Goomber Roger MD No Radiology Partners, Inc. Gould Paul N. MD No Yatish Goyal MD, Inc. Goyal Yatish MD No Radiology Partners, Inc. Goyal Manish MD No Radiology Partners, Inc. Greenspan Stacy DO No NOMS Southwest Foot and Ankle Associates Greer Hillary M. DPM No Radiology Partners, Inc. Griffiths Victoria F. MD No Health and Wellness Clinic Groth Jacqueline D. CNP Yes Residential Hospice Gundapaneni Ramesh C. MD Yes Cleveland Spine Institute Gurley Jerold P. MD No UPDATED 3/3/2022 Page 4 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Ohio Anesthesia Group, Inc. Guthrie Megan CRNA No Ohio Anesthesia Group, Inc. Haber Roy H. CAA No UHMG Maternal/Fetal Hackney David N. MD No UHMP Kids in the Sun Hagen Elizabeth A. MD No Big Creek Surgery Center Anesthesiology Hagen Safeta Sandy CRNA No SGMG Women's Health Hahn William K. MD Yes HNI Healthcare Haj Abdulkader Adham MD No TeamHealth Northeast Hajdari Astrit H. MD No Lake Point Medical Group Haldeman Michelle H. DPM No TeamHealth Northeast Hall Buel E. PA-C No Radiology Partners, Inc. Hall Gregory J. MD No Radiology Partners, Inc. Haller Robert J. MD No Podiatry of Greater Cleveland Halpert Jeffrey A. DPM No Ohio Foot and Ankle Clinics Hamm Nathaniel A. DPM No HNI Healthcare Hammad Abdulrahman Y. MD No ID Consultants Han Zhuolin MD No UHMG Vascular Surgery Han Samuel MD No Ohio Anesthesia Group, Inc. Hanchosky Brandi M. CRNA No St. Vincent Medical Group-Orthopedics Hanycz Roman PA-C No TeamHealth Northeast Harris Mark J. MD No UHMG Seidman Cancer Center Harris Eleanor E.R. MD No Radiology Partners, Inc. Harris Carolyn S. DO No Radiology Partners, Inc. Harrison Andrew J. DO No Radiology Partners, Inc. Hartz William H. MD No TeamHealth Northeast Hasan Ibrahim M MD No TeamHealth Northeast Hastings O. Mark MD No Bayless-Pathmark Diagnostic Pathology Consultants Hauer Christopher A. MD No Big Creek Surgery Center Anesthesiology Havens Emily N. CRNA No Radiology Partners, Inc. Hawk Kristina E. MD, PhD No Southwest Employed PA-C Hayes Joan A. PA-C Yes Ohio Anesthesia Group, Inc. Hegarty Joel M. MD No Ohio Anesthesia Group, Inc. Hegarty Michael J. CAA No Individual Hellwig Jane Ph.D. No Radiology Partners, Inc. Hendrix Christopher K. DO No SGMG Behavioral Health/Psychiatry Henton Alison R. CNP Yes UHMG Peds-Neonatology Herrick Anna M. CPNP No Radiology Partners, Inc. Hess Mark D. DO No UHMG Peds-Neonatology Hibbs Anna Maria MD No HNI Healthcare Hickey Gregory G. DO No Radiology Partners, Inc. Hill Kevin F. MD No Radiology Partners, Inc. Hogan Laura A. MD No NOMS Southwest Foot and Ankle Associates Holfinger James R. DPM No Radiology Partners, Inc. Holmes Laila W. MD No Radiology Partners, Inc. Hosein Hazem H. MD No Ohio Kidney + Hypertension Center Howe Katherine M. CNP No Individual Hu Benjamin V. MD No Radiology Partners, Inc. Huang Charles L. MD No SGMG Women's Health OB-GYN Associates Hudock Paul A. MD Yes Radiology Partners, Inc. Hussain Faheem MD No HNI Healthcare Hussein Yazid DO No Radiology Partners, Inc. Hutson Rodney K. MD No Southwest Employed PA-C Idada Michelle K. PA-C Yes Premier Physicians Centers Ignat Gheorghe P. MD No HNI Healthcare Iltchev Daniel V. MD No TeamHealth Northeast Imhof Katie C. MD No HNI Healthcare Ingold Curtis J. DO No Radiology Partners, Inc. Iqbal Nadeem MD No SGMG Behavioral Health Irwin Lindsey M. CNP Yes UPDATED 3/3/2022 Page 5 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Radiology Partners, Inc. Isaacson Jared S. MD No SGMG Gastroenterology Issa Mazen MD Yes Radiology Partners, Inc. Jacobson Leslie S. MD No SGMG Cardiovascular Medicine Jain Than M. MD Yes Bayless-Pathmark Diagnostic Pathology Consultants Jain Shail MD No Ohio Anesthesia Group, Inc. Jasinsky Ashley P. CRNA No Radiology Partners, Inc. Jedrzejczyk Andy MD No Radiology Partners, Inc. Jennings Karsten G. DO No UH North Ridgeville Family Physicians Jesse Michael L. DO No SGMG ENT Associates Johnson Freedom MD Yes Ohio Kidney + Hypertension Center Jolley Lauren M. CNP No Bayless-Pathmark Diagnostic Pathology Consultants Kabira Ana-Tereza A. MD No Cardiovascular Medicine Assoc, Inc. Kairouz Victor F. MD No Premier Physicians Centers Kakumanu Vijay MD No Individual Kansal Sunil C. MD No UHMP Southwest Internal Medicine Kappus Brendan F. DO No Radiology Partners, Inc. Kar Mitryan MD No Radiology Partners, Inc. Karia Pratima MD No UH Ohio Medical Group Karim Mohammad S. MD No Radiology Partners, Inc. Karlberg Benjamin D. MD No NOMS Southwest Orthopaedics Karns Daniel J. MD No UHMG Seidman Cancer Center Katcher Jerald MD No Paladina Health Kaushal Nina MD No Cleveland Urology Associates Kedia Kailash R. MD No Ohio Kidney + Hypertension Center Keetha Narsimha R. MD No UH Ohio Medical Group Kelly James T. MD No Radiology Partners, Inc. Kelminson Stephen B. MD No SGMG Behavioral Health Kendig Saissy E. CNP Yes St. Vincent Medical Group-Orthopedics Keppler Louis MD No Big Creek Surgery Center Anesthesiology Kessel Amanda L. AA-C No UH Ohio Medical Group Khan Mohammed S. MD No A & S Khandelwal MD, Inc. Khandelwal Anand V. MD No A & S Khandelwal MD, Inc. Khandelwal Vivek MD No Podiatry of Greater Cleveland Khlopas Hannah DPM No Individual Khoury Wissam E. DPM No Premier Physicians Centers Khoury Habib J. MD No TeamHealth Northeast Killian Valerie N. MD No Radiology Partners, Inc. Kim Benedict Y. DO No Radiology Partners, Inc. Kim Dong H. MD No Buckeye Foot Care Kimmel Howard M. DPM No Health and Wellness Clinic King Kellie H. CNP Yes UHMG Seidman Cancer Center Kirby Eric T. MD No TeamHealth Northeast Kiss Attilla B. MD No TeamHealth Northeast Klabbatz Leslie D. MD No Radiology Partners, Inc. Klausner Todd S. MD No Ohio Anesthesia Group, Inc. Klein Leonard R. MD No SGMG Comprehensive Family Care Klein Mary R. MD Yes SGMG Internal Medicine Middleburg Kodz Irena C. MD Yes Rockside Medical Associates Koepke Charles R. MD No Rockside Medical Associates Koepke Morgan R. MD No Individual Kohberger Cortney A. MD No SGMG Family Practice Brunswick Korkor Rammy K. MD Yes HNI Healthcare Korn Kaitlyn C. DO Yes Southwest Urology, Inc. Kosdrosky Martin A. MD No SGMG Family Practice/Internal Med Strongsville Kovacevic Olga MD Yes HNI Healthcare Kovaci Bledar MD Yes Radiology Partners, Inc. Koza Joseph G. MD No Gingo, Inc. Kraus Kimberly A. MD No UPDATED 3/3/2022 Page 6 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Gingo, Inc. Krieger Susan K. CNM No Radiology Partners, Inc. Kroeger Kevin R. MD No HNI Healthcare Krueger Mary K. CNP No UHMP Brunswick Rheumatology & Internal Medicine Kuchynski Marie MD No Individual Kumar Suresh MD No Ohio Anesthesia Group, Inc. Kungl Martin J. MD No HNI Healthcare Kuo Heather P. MD Yes UHMG Peds-Neonatology Kuper-Sasse Margaret E. MD No HNI Healthcare Kupferberg David H. MD No Radiology Partners, Inc. Kutlick Cory A. DO No Big Creek Surgery Center Anesthesiology LaMacchia Marc A. AA-C No Cleveland Urology Associates Lapeyrolerie Jeffrey C. MD No Individual Larsen Teresa K. DO No Southwest Family Physicians Lash David C. MD Yes SGMG Women's Health Berea LaSota Emily A. MD Yes Southwest Employed RNFA Laubert James H. RNFA Yes SGMG ENT Associates Laubert Matthew J. CNP Yes Southwest Employed PA-C Laurenty David C. PA-C Yes Individual Lavery Mary Ann MD No Ohio Kidney + Hypertension Center Lazor Jennifer A. DO No Radiology Partners, Inc. Leahy Ryan F. DO No SGMG Cardiothoracic Surgery Lee Jai H. MD Yes Radiology Partners, Inc. Lee Esther DO No OrthoWest, Ltd. Lembach Mark L. MD No SGMG Endocrinology, Diabetes & Metabolism Lemus Leah M. PA-C Yes Radiology Partners, Inc. Leonard Eric L. MD No HNI Healthcare Levandusky Megan M. CNP No TeamHealth Northeast Levine David A. MD No UHMP Kids in the Sun Levy-Mandalla Michelle MD No UH Breast Surgery Li Pamela H. MD No UH Parma Harrington Heart & Vascular Institute Li Jun MD No Individual Liang James T. MD No UHMP Pediatric Services Libecco Julia A. MD No NOMS Southwest Orthopaedics Lika Larry G. DO No Radiology Partners, Inc. Lile Robert L. MD No Radiology Partners, Inc. Lin Joel G. DO No UH Parma General Surgery Linz David N. MD No Bayless-Pathmark Diagnostic Pathology Consultants Liu Zejin J. MD No Mobile Hyperbaric Centers Lockhart Eric R. MD No Radiology Partners, Inc. Lorenz Giovanni E. DO No SGMG Family Practice Berea Ludwig David C. MD Yes SGMG Behavioral Health Luther Charles W. MD Yes Radiology Partners, Inc. Luyckx Benoit A. MD No Radiology Partners, Inc. Lyle Cynthia S. MD No St. John Medical Group Cardiology Lyons Sean V. MD No UHMG Seidman Cancer Center Lyons Janice A. MD No UHMG Seidman Cancer Center Macklis Roger M. MD No UHMG Peds-Neonatology Madden Jessica W. MD No Radiology Partners, Inc. Mader Michael T. MD No Center for Thyroid Diseases and Endocrinology Madhun Zuhayr T. M.D. No HNI Healthcare Madhun Toufik Z. MD No Center for Thyroid Diseases and Endocrinology Madhun Nabil Z. DO No UHMG University Hospital Medical Group Magrey Marina N. MD No Individual Mahajan Subhash Chander MD No Individual Mahajan Suresh K. MD No HNI Healthcare Majumdar Neal DO Yes Premier Physicians Centers Makowski Tanya I. NP-C No TeamHealth Northeast Maloney Gerald E. DO No UPDATED 3/3/2022 Page 7 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Radiology Partners, Inc. Mannava Rakesh MD No Radiology Partners, Inc. Mansfield William P. MD No UHMG Seidman Cancer Center Mansur David B. MD No UHMG Maternal/Fetal March Melissa I. MD No Radiology Partners, Inc. Markovic Michael A. MD No Wound Center Martin Kathleen M. CNP Yes UHMP Kids in the Sun Maruskin Lynn L. CPNP No Residential Hospice Massouh Rafik MD Yes Southwest Urology, Inc. Mates Matthew A. PA-C No Ohio Anesthesia Group, Inc. Maulorico Thomas J. CRNA No Southwest Urology, Inc. May Timothy A. PA-C No Ohio Foot and Ankle Clinics McCallister Eric M. DPM No SGMG Women's Health OB-GYN Associates McCaslin Genevieve J. CNM Yes Big Creek Surgery Center Anesthesiology McClain Thomas C. DO No NOMS Southwest Orthopaedics McCoy Blane W. MD No Residential Hospice McDade Cheryl L. CNP Yes Health and Wellness Clinic McDermott Alexandra C. CNP Yes SGMG Women's Health Berea McDowell Katherine M. MD Yes Ohio Anesthesia Group, Inc. McManus Michael C. MD No HNI Healthcare Meacham Benjamin P. DO No SGMG ENT Associates Mehle Mark E. MD Yes Radiology Partners, Inc. Mehta Snehal D. MD No Radiology Partners, Inc. Melitz Celine MD No UHMG Seidman Cancer Center Mendpara Suresh D. MD No Radiology Partners, Inc. Meoli Frederick G. MD No TeamHealth Northeast Mercer Alana R. PA-C No Radiology Partners, Inc. Merkle John A. MD No UHMP Family Medicine Center of Strongsville Mielke Heather C. DO No UHMG Peds-Neonatology Miguel Barbara Ann M. NNP No Radiology Partners, Inc. Millare Giovanni G. MD No Ohio Anesthesia Group, Inc. Miner James F. CAA No HNI Healthcare Minier Jayne A. MD No Ohio Anesthesia Group, Inc. Miranda Samuel P. MD No UH Parma Harrington Heart & Vascular Institute Modi Raju MD No Ohio Anesthesia Group, Inc. Moore Christine M. AA-C No Radiology Partners, Inc. Morris Colleen M. MD No North Ohio Heart Center, Inc. Mosteller Robert D. MD No Health and Wellness Clinic Motil Amy M. CNP Yes Individual Moussa Basel MD No UHMP Southwest Internal Medicine Munjapara Valji D. MD No Cleveland Urology Associates Murdy Brianna J. PA-C No Radiology Partners, Inc. Murri Jason T. DO No TeamHealth Northeast Musselman Jansen G. PA-C No SGMG Gastroenterology Muthunayagam Newton P. MD Yes Radiology Partners, Inc. Nagar Veena A. MD No Premier Physicians Centers Narichania Dilip B. MD No SGMG Behavioral Health Nelson Nan E. MD Yes Ohio Anesthesia Group, Inc. Nemanis Kriste AA-C No SGMG Vascular Surgical Associates Nemeth Kimberly M. DO Yes HNI Healthcare Neuman Tzvi DO No Radiology Partners, Inc. Newman Barbara A. MD No OrthoWest, Ltd. Newman Nicole A. PA-C No UHMP Pediatric Services Nikonchik Andrea S. MD No Radiology Partners, Inc. Nisbet John J. MD No UHMG Peds-Neonatology Nock Mary L. MD No SGMG Behavioral Health Noga David J. MD Yes NOMS Southwest Orthopaedics Notaro Kelliann N. PA-C No UHMG Seidman Cancer Center Novak Louis J. MD No UPDATED 3/3/2022 Page 8 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Ohio Anesthesia Group, Inc. Novak Andrea CRNA No Individual Novotny David A. MD No Individual Nuggud Villie R. DDS No SGMG Family Practice Berea O'Brien Lucy K. DO Yes Radiology Partners, Inc. Ockner James L. MD No Radiology Partners, Inc. Oettel David J. DO No Radiology Partners, Inc. Oh Eugene MD No Ohio Anesthesia Group, Inc. Okal Rosemarie CRNA No UHMG Peds-Neonatology Olicker Arielle L. MD No SGMG Women's Health O'Neill Johanna R. MD Yes Ohio Chest Physicians O'Regan Catherine D. CNP No HNI Healthcare O'Toole John M. MD No Radiology Partners, Inc. Otto Tara M. MD No UHMG Seidman Cancer Center Ove Roger MD, PhD No UHMG Seidman Cancer Center Padula Gilbert D.A. MD No Observation Unit CNP Pallotta Mary K. CNP Yes UHMP Pandrangi Plastic Surgery Pandrangi Vasu MD No OrthoWest, Ltd. Panigutti Mark A. MD No Allergy and Immunology Health Services Panuto John A. MD No TeamHealth Northeast Parente John J. DO No Wound Center Paris Joni R. CNP Yes SGMG Cardiothoracic Surgery Park Soon J. MD Yes Individual Parras George P. MD No Radiology Partners, Inc. Parven Stephen G. MD No Radiology Partners, Inc. Passerini Stephen M. MD No Radiology Partners, Inc. Patel Malaykumar M. MD No Ohio Kidney + Hypertension Center Patel Amitkumar V. MD No Cardiovascular Medicine Assoc, Inc. Patel Meet MD No HNI Healthcare Patel Yogeshwar A. MD No Radiology Partners, Inc. Pathadan Paul MD No UHMG Peds-Neonatology Patrinos Mary Elaine MD No HNI Healthcare Patterson Linda A. MD No Radiology Partners, Inc. Patterson Richard D. MD No UH Parma Harrington Heart & Vascular Institute Patterson Andrew J. MD, PhD No TeamHealth Northeast Pay Jeffrey L. DO No UHMG Peds-Neonatology Payne Allison H. MD No Oakview Locum Tenens Pennington James G. MD Yes Radiology Partners, Inc. Perez-Young Irene V. MD No UHMP University Southwest Surgeons Pesetsky Laura B. CNP No Radiology Partners, Inc. Peters Austin J. DO No Americare Kidney Institute Petras Keith M. MD No Radiology Partners, Inc. Phelps Susan J. MD No SGMG Vascular Surgical Associates Plecha Ferdinand M. MD Yes North Coast Jaw & Implant Center Plona Gregory A. DMD No North Coast Jaw & Implant Center Plona Raymond P. DDS, MD No Cardiovascular Medicine Assoc, Inc. Pohorence Donald J. PA-C No Observation Unit CNP Pollack Rebecca A. CNP Yes SGMG Behavioral Health/Psychiatry Polster Daniel S. MD Yes UH Parma Harrington Heart & Vascular Institute Poommipanit Paul B. MD No Individual Popa Carmen MD No Ohio Anesthesia Group, Inc. Popelas Kristina L. CRNA No Individual Poreh Amir M. Ph D No Martin & Tipton, Inc. Posch John N. MD No UHMP Kids in the Sun Postma Brian S. MD No Southwest Employed PA-C Potopsky Kali M. PA-C Yes Radiology Partners, Inc. Poulton Thomas B. MD No Radiology Partners, Inc. Prabhuswamy Anjan MD No Individual Prescott Jon S. MD No UPDATED 3/3/2022 Page 9 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Southwest Family Physicians Prezenkowski Michele L. CNP Yes Radiology Partners, Inc. Priddy Nathan K. MD No St. Vincent Medical Group Pristas Leslie L.K. DO No Visage Surgical Institute Quereshy Faisal A. MD No Bayless-Pathmark Diagnostic Pathology Consultants Rabinowitz Martin Z. MD No UHMG Peds-Neonatology Raffay Thomas M. MD No Radiology Partners, Inc. Rafie Shervin MD No Radiology Partners, Inc. Raines-Hepple Robert P. MD No Raj Plastic Surgery Raj Joyesh MD No SGMG Cardiovascular Medicine Ramanavarapu Sampath K. MD Yes Radiology Partners, Inc. Ramas Carla MD No Premier Physicians Centers Ramella Aman N. MD No UH Parma Harrington Heart & Vascular Institute Ramicone James C. DO No Americare Kidney Institute Rao Akhilesh MD No UH Ohio Medical Group Rashidi Arash MD No UH Ohio Medical Group Ravi Ram C. MD No Southwest Neurology, Inc. Ravishankar Kempsagar C. MD No Rockland A. Ray, DDS Ray Rockland A. DDS No TeamHealth Northeast Rayokovich Brooke A. PA-C No HNI Healthcare Reddy Aparna N. MD Yes Radiology Partners, Inc. Redlich Robert S. MD No Associates in Dermatology Reep Michael D. MD No Observation Unit CNP Reese-Rusnak Charlene M. CNP Yes HNI Healthcare Repenning Dennis B. MD Yes Southwest Employed PA-C Reynolds Paul PA-C Yes Ohio Anesthesia Group, Inc. Reynolds Stuart M. CAA No UH Neurological Surgery Rhiew Richard B. MD, Ph D No TeamHealth Northeast Rice Janice L. DO No ID Consultants Riebel William J. MD No Brunswick Family Practice Robusto G. Richard DO No Individual Rodriguez Orlando E. MD No SGMG Gastroenterology Rodriguez Bianca M. CNP Yes SGMG Vascular Surgical Associates Rogers Gregory J. MD Yes UH Parma Medical Associates, Inc Roheny Nader S. MD No Radiology Partners, Inc. Ronchi Mark G. DO No SGMG Internal Medicine Associates Rossi Mirela R. MD Yes Radiology Partners, Inc. Rush Brett A. DO No Radiology Partners, Inc. Russell Timothy G. MD No TeamHealth Northeast Russell Darilynn (Tom) MD No UHMG Seidman Cancer Center Russo Suzanne M. MD No North Ohio Heart Center, Inc. Rusterholtz Lori A. MD No SGMG Spine Center/Pain Management Ryan David A. MD Yes Individual Sabbagh Emile I. MD No Radiology Partners, Inc. Sabo Stephen W. DO No Individual Saghafi Kourosh DO No Yatish Goyal MD, Inc. Sahni Priyanka MD No HNI Healthcare Saleem Sidrah DO Yes TeamHealth Northeast Salgia Anup D. DO No Radiology Partners, Inc. Samaroo Tejas J. MD No Radiology Partners, Inc. Santa Maria Jed A. MD No Radiology Partners, Inc. Savit Russ M. MD No HNI Healthcare Scaccianoce Maria D. CNP No Radiology Partners, Inc. Scalf Richard E. MD No Radiology Partners, Inc. Schirmang Todd C. MD No Cuyahoga Valley Spine & Arthritis Center, Inc. Schnell John E. MD No St. Vincent Medical Group-Orthopedics Schnell Lisa M. PA-C No NOMS Southwest Orthopaedics Schnell Scott G. MD No TeamHealth Northeast Schrock Jon W. MD No UPDATED 3/3/2022 Page 10 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Individual Seballos Raymond M. MD No UH Parma Harrington Heart & Vascular Institute Sechler James L. MD No HNI Healthcare Seffo Firas MD Yes UH Neurological Surgery Selman Warren R. MD No Radiology Partners, Inc. Sessions Jordan R. DO No Pain Management Clinic Sfeir David M. MD No Individual Shah Arunika N. MD No UHMP Southwest Internal Medicine Shah Tushar K. MD No Radiology Partners, Inc. Shah Samir S. MD No Associates in Dermatology Shah Mihir M. MD No Ohio Kidney + Hypertension Center Shaheen Khaldoon MD No Center for Thyroid Diseases and Endocrinology Sharkey-Wells Traci L. CNP No Cardiovascular Medicine Assoc, Inc. Sharma Trilok C. MD No Radiology Partners, Inc. Sherwin Joshua L. MD No HNI Healthcare Shibeika Dalia A. MD Yes Radiology Partners, Inc. Shockley Joel A. MD No Radiology Partners, Inc. Short James H. MD No Southwest Urology, Inc. Sidor Tim A. MD No Big Creek Surgery Center Anesthesiology Siegferth Jessica A. CRNA No HNI Healthcare Simon Margo DO Yes UH Breast Surgery Simpson Ashley B. DO No Southwest Urology, Inc. Singh Ravi K. PA-C No Radiology Partners, Inc. Singh Supreet MD No Ohio Anesthesia Group, Inc. Siverd Stephanie L. CRNA No SGMG Women's Health Urogynecology Skabar Amy L. CNP Yes TeamHealth Northeast Skelly Kelsey L. PA-C No HNI Healthcare Slavin Lee MD No UH Neurological Surgery Sloan Andrew E. MD No UH Neurological Surgery Smith Gabriel A. MD No UHMG Peds-Neonatology Smith Kristin L. NNP No UHMP Pediatric Services Snair Trisha L. DO No Radiology Partners, Inc. Snodgrass Stephen A. DO No UHMG Peds-Cardiology Snyder Christopher S. MD No Radiology Partners, Inc. Soehnlen Michael W. MD No TeamHealth Northeast Somple John M. MD No SGMG Family Practice North Royalton Song Grace MD Yes Radiology Partners, Inc. Sousaris Nicholas A. MD No HNI Healthcare Sowunmi Olumuyiwa T. MD Yes Radiology Partners, Inc. Spain James W. MD, Ph D No Southwest Employed PA-C Sparks Tyler R. PA-C Yes Southwest Employed PA-C Sparks Ian H. PA-C Yes Ohio Anesthesia Group, Inc. Spencer Mary L. AA-C No SGMG Behavioral Health Sprague Laura H. CNP Yes UHMG Seidman Cancer Center Spratt Daniel E. MD No Southwest Employed PA-C St. Aubin Jessica M. PA-C Yes Summit Hand Center Stachowicz Rafal Z. MD No TeamHealth Northeast Staebler Hillary L. MD No Southwest Family Physicians Staraitis Suzanne M. DO Yes Ohio Anesthesia Group, Inc. Staszak John J. DO No Radiology Partners, Inc. Stears Robert L.G. MD No Radiology Partners, Inc. Stein Jeffrey L. MD No Wound Center Steinbrenner Jodi L. NP-C Yes Residential Hospice Stevenson Megan E. CNP Yes Southwest Urology, Inc. Stout W. John PA-C No UHMG Peds-Cardiology Strainic James P. MD No Health and Wellness Clinic Strazisar Lauren C. CNP Yes Southwest Employed PA-C Street Jacquelyn F. PA-C Yes SGMG Spine Center/Pain Management Such Julie M. CNP Yes UPDATED 3/3/2022 Page 11 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Radiology Partners, Inc. Sullivan John P. MD No Spring & Sprout Pediatric Dentistry Sunna Manal R. BDS-DDS No Ohio Kidney + Hypertension Center Suresh Keelapandal R. MD No HNI Healthcare Swedeh Mohamed A. MD No Radiology Partners, Inc. Swope David K. MD No SGMG Behavioral Health/Psychiatry Syed Aasia K. MD Yes ID Consultants Szathmary Eva A. MD No Podiatry of Greater Cleveland Taddeo John R. DPM No Cardiovascular Medicine Assoc, Inc. Taghizadeh Touraj MD No Certified Dermatologists Tam Christine C. MD No Individual Tandra Usharani V. MD No SGMG Behavioral Health Tarr Kara E. CNP Yes UHMG Peds-Neonatology Taylor-Hach Susan M. NNP No ID Consultants Tello Muhannad MD No Allied Health-CNP Terrigno Marisa C. CNP No Ohio Anesthesia Group, Inc. Thall Robert M. CAA No Thomas and Thomas Ophthalmology, Inc. Thomas Richard G. MD No Thomas and Thomas Ophthalmology, Inc. Thomas Stephanie W. MD No Ohio Anesthesia Group, Inc. Thomas W. David MD No TeamHealth Northeast Thomas John C. PA-C No HNI Healthcare Thompson Michael W. DO No Radiology Partners, Inc. Timm David D. MD No Radiology Partners, Inc. Tomich Jennifer L. MD No HNI Healthcare Tonks Dallin R. DO No TeamHealth Northeast Tout Susan E. MD No Tozzi Foot & Ankle, LLC Tozzi Mark A. DPM No Radiology Partners, Inc. Tran Benson D. MD No Radiology Partners, Inc. Tran Nha Phong MD No HNI Healthcare Trokhimenko Alla CNP No Ohio Anesthesia Group, Inc. Trotter Rachel A. CRNA No UH Berea Family Medicine Troy Nicole C. MD No UH Ohio Medical Group Truong Khon D. DO No SGMG Behavioral Health Tunningley Leah J. CNP Yes Associates in Dermatology Turgeon Karen J. MD No Southwest Urology, Inc. Turk David S. MD No UH Parma Harrington Heart & Vascular Institute Ulatowski Arthur S. DO No UH Parma General Surgery Ungvarsky Richard F. MD No Big Creek Surgery Center Anesthesiology Vaccaro Patrick S. CRNA No Ohio Chest Physicians Vaitkus Linas F. MD No Ohio Chest Physicians Vaitkus Vytas A. DO No Southwest Family Physicians Vallabhaneni Rajani V. MD Yes Radiology Partners, Inc. Vandenmooter Synda MD No Individual Vargo Frank E. DPM No Ohio Anesthesia Group, Inc. Veale Laura E. AA-C No Cardiovascular Medicine Assoc, Inc. Velloze Sabino D. MD No UHMG Seidman Cancer Center Vempati Prashant MD No TeamHealth Northeast Villarosa Anthony M. MD No Docere Physicians Viscomi Jeffrey J. MD No SGMG Oncology/Hematology Vitek Amanda L. CNP Yes Americare Kidney Institute Vlasie Anca C. MD No UHMP Pediatric Services Vogelgesang Ryan J. MD No SGMG Gastroenterology Vollweiler Jason F. MD Yes UHMP Southwest Internal Medicine Vyas Chinmay B. MD No TeamHealth Northeast Waldman Alex J. MD No Radiology Partners, Inc. Waldo John P. MD No Ohio Anesthesia Group, Inc. Wallace Sasha A. CRNA No Radiology Partners, Inc. Wallace Brian D. MD No Observation Unit CNP Walschon Melanie D. CNP Yes UPDATED 3/3/2022 Page 12 of 13
ENGLISH Provider List - Appendix B Covered by Southwest GROUP / AFFILIATION LAST FIRST MI TITLE Financial Assistance Policy? Bayless-Pathmark Diagnostic Pathology Consultants Wang Hai MD No Observation Unit CNP Wanjiku Anne W. CNP Yes Radiology Partners, Inc. Ward Matthew J. MD No Radiology Partners, Inc. Warpinski Amy L. DO No UHMG Seidman Cancer Center Warren Gregory P. MD No UHMP Family Medicine Center of Strongsville Waters Judith K. MD No Radiology Partners, Inc. Weber James L. MD No NOMS Southwest Orthopaedics Wehe Jason A. PA-C No HNI Healthcare Weiner David M. MD No Ohio Anesthesia Group, Inc. Wessel Jillian R. AA-C No Ohio Anesthesia Group, Inc. Wessler Danielle E. CRNA No Individual White Darrell E. MD No Dermatology Partners, Inc. White Christopher M. DO No Diabetic Foot Clinic Wiemken Gregory L. DPM No Ohio Anesthesia Group, Inc. Williams Brian J. MD No Southwest Employed PA-C Williams Donna M. PA-C Yes UHMG Peds-Neonatology Wilson-Costello Deanne E. MD No MetroHealth November Family Health Center Wimpie Nina F. MD No UH Ohio Medical Group Wojnar Walter J. MD No NOMS Southwest Orthopaedics Wolanin Andre F. MD No NOMS Southwest Orthopaedics Wolanin Dina L. PA-C No SGMG Oncology/Hematology Woloszyn Jessica L. CNP Yes TeamHealth Northeast Wong Rosie M. MD No UHMG Peds-Neonatology Yalcinkaya Gulgun F. MD No TeamHealth Northeast Yarosh Michael J. PA-C No Individual Yerukhim Michael V. MD No North Ohio Heart Center, Inc. Youssefi Mojtaba E. MD No Ohio Anesthesia Group, Inc. Yu Guangxiang (Joe) MD No SGMG Spine Center/Pain Management Zaidan Sultan D. MD Yes Radiology Partners, Inc. Zaidi Syed F. MD No HNI Healthcare Zalud Lee D. MD Yes HNI Healthcare Zang Jie MD Yes SGMG Behavioral Health/Psychiatry Zarko Rebecca M. MD Yes Radiology Partners, Inc. Zenooz Navid A. MD No Radiology Partners, Inc. Zhou Jingyu MD No NOMS Southwest Foot and Ankle Associates Zirm Richard J. DPM No Big Creek Surgery Center Anesthesiology Zivkovic Dejan AA-C No TeamHealth Northeast Zozulya Nicholas D. PA-C No Radiology Partners, Inc. Zwick Matthew D. MD No UPDATED 3/3/2022 Page 13 of 13
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