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NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Alabama

Albertville

Go, Rommel C, MD

Specialty: Internal Medicine

(256) 593-1234

3442 Hwy 431

Albertville, AL 35950

Youngblood, Jess, MD

Specialty: Family Practice

(256) 593-1234

3442 Hwy 431

Albertville, AL 35950

Andalusia

McCalman, David M., MD

Specialty: Family Practice

(334) 222-2418

135 Medical Park Drive, Suite 1A

Andalusia, AL 36420

Birmingham

Armour, Bonnie H., MD

Specialty: Family Practice

(205) 933-4520

1900 20th Avenue South, Suite 102

Birmingham, AL 35209

Blackburn, Vance G, MD

Specialty: Family Practice

2520 Valleydale Rd

Birmingham, AL 35244

Carraway-Handley, Beverly L, MD

Specialty: Internal Medicine

(205) 939-4939

1201 11th Avenue South Suite 305, Suite 305

Birmingham, AL 35205

Chestang, Jr., Anthony A., MD

Specialty: Family Practice

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Alabama

Birmingham

Dumas, II, John H., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Eisa, Osama S., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Frederickson, Robert M, MD

Specialty: Internal Medicine

(205) 877-2761

513 Brookwood Blvd., Suite 50

Birmingham, AL 35209

Harris, Cedric L., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Johnson, Juan, MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Lindsey, James R., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Real, Timothy H, MD

Specialty: Internal Medicine

(205) 877-2761

513 Brookwood Blvd., Suite 50

Birmingham, AL 35209

Riser, Margaret, MD

Specialty: Internal Medicine

(205) 877-2761

513 Brookwood Blvd., Suite 50

Birmingham, AL 35209

Alabama

Birmingham

Riser, Thomas G, MD

Specialty: Internal Medicine

(205) 877-2761

513 Brookwood Blvd., Suite 50

Birmingham, AL 35209

Short, Kathleen S., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Toma, Ramy J., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Vanbrommensten Stahl, Elizabeth J., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Wu, Joseph H., MD

Specialty: Internal Medicine

(205) 206-8100

832 Princeton Avenue SW

Birmingham, AL 35211

Centre

Allen, Clinton Joseph, MD

Specialty: Family Practice

(256) 927-3607

401 Northwood Dr.

Centre, AL 35960

Perry, Brian Alan, MD

Specialty: Family Practice

(256) 927-3607

401 Northwood Dr.

Centre, AL 35960

Page 1 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Alabama

Centre

Perry, William Barton, MD

Specialty: Family Practice

(256) 927-3607

401 Northwood Dr.

Centre, AL 35960

Citronelle

Jimenez, Karen L., MD

Specialty: Internal Medicine

(251) 866-0086

19140 South 3rd Street

Citronelle, AL 36522

Van Derwood, John G., MD

Specialty: Family Practice

(251) 866-0086

19140 South 3rd Street

Citronelle, AL 36522

CROSSVILLE

Tenchavez, Alvin V, MD

Specialty: Internal Medicine

(256) 528-7534

15239 HWY 68W, P.O.BOX 157

CROSSVILLE, AL 35962

Cullman

Hall, William Michael, MD

Specialty: Internal Medicine

(256) 737-8008

1890 Alabama Highway 157, Suite 300

Cullman, AL 35058

Hart, Melinda, MD

Specialty: Internal Medicine

(256) 737-8000

1890 AL HWY 157, SUITE 300

Cullman, AL 35058

Hoover, Laverne James, MD

Specialty: Internal Medicine

(256) 737-8000

1890 AL HWY 157, SUITE 300

Cullman, AL 35058

Alabama

Cullman

Morris, John D., MD

Specialty: Internal Medicine

(256) 737-8008

1890 Alabama Highway 157, Suite 300

Cullman, AL 35058

Peinhardt, William F, MD

Specialty: Internal Medicine

(256) 737-8000

1890 AL HWY 157, SUITE 300

Cullman, AL 35058

Ruse, Naykala A, MD

Specialty: Internal Medicine

(256) 737-8000

1890 AL HWY 157, SUITE 300

Cullman, AL 35058

Rutledge, C. Anthony, MD

Specialty: Internal Medicine

(256) 737-8008

1890 Alabama Highway 157, Suite 300

Cullman, AL 35058

Stidham, Jeremy Verbon, MD

Specialty: Internal Medicine

(256) 737-8000

1890 AL HWY 157, SUITE 300

Cullman, AL 35058

Decatur

Cheatham, Gregory, MD

Specialty: Family Practice

1813 Beltline Road SW, P.O. Box 5689

Decatur, AL 35601

Hennigan, Michael A., MD

Specialty: Internal Medicine

(256) 351-1990

1310 14th Avenue SE

Decatur, AL 35601

Dothan

Alabama

Dothan

Conner, J. Ryan, MD

Specialty: Internal Medicine

(334) 794-3192

1118 Ross Clark Circle, Suite 303

Dothan, AL 36301

Miller, Christopher L., MD

Specialty: Internal Medicine

(334) 794-3192

1118 Ross Clark Circle, Suite 303

Dothan, AL 36301

Robeson, James A., MD

Specialty: Internal Medicine

(334) 794-3192

1118 Ross Clark Circle, Suite 303

Dothan, AL 36301

Florala

Vishwanath, Sasikumar, MD

Specialty: Internal Medicine

(334) 858-2050

1073 Third Street, P.O. Box 505

Florala, AL 36442

Hamilton

Romero, Cesar, MD

Specialty: Internal Medicine

(205) 921-9416

1336 Military Street South

Hamilton, AL 35570

Headland

Rasmussen, Niel Christian, MD

Specialty: Family Practice

(334) 693-3336

204 Holman Drive

Headland, AL 36345

Hoover

Smith, Shawn Jason, MD

Specialty: Internal Medicine

(205) 995-9909

7191 Cahaba Valley Road

Hoover, AL 35242

Hueytown

Page 2 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Alabama

Hueytown

Mize, Jonathan, MD

Specialty: Family Practice

(205) 497-4083

3029 Allison Bonnett Memorial Drive

Hueytown, AL 35022

huntsville

Bramm, David L, MD

Specialty: Family Practice

(256) 539-7722

2410 Commerce Court

huntsville, AL 35801

Rao, Gorantla Subba, MD

Specialty: Internal Medicine

(256) 881-1111

1425 Weatherly Road

Huntsville, AL 35803

Saeed, Iqbal, MD

Specialty: Internal Medicine

(256) 489-9741

2227 Drake Ave Suite 7A

Huntsville, AL 35805

Madison

O'Neill, Patrick Joseph, MD

Specialty: Family Practice

(256) 772-4300

104 Spenryn Drive

Madison, AL 35758

Mobile

Alexander, Carrie O'neal, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Ang, Romsel, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Alabama

Mobile

Brutkiewicz, Robert Carl, MD

Specialty: Family Practice

(251) 344-1515

6345-S Airport Blvd

Mobile, AL 36608

Chernick, Susan Elizabeth, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Coats, Peter Chestnutt, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Curtiss, Rebecca Von sprecken, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Del fierro, Ross B, MD

Specialty: Endocrinology, Diabetes & Metabolism

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Delmas, John Francis, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Dill, Stephen R., MD

Specialty: Internal Medicine

(251) 378-3900

610 Providence Park Drive, Building 1, Suite 102

Mobile, AL 36695

Alabama

Mobile

Douglas, Allison Beull, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Israel, Robert Willis, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Jackson, Michelle S., MD

Specialty: Internal Medicine

(251) 666-2439

5621 Cottage Hill Road

Mobile, AL 36609

Johnson, Eric C., MD

Specialty: Family Practice

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Kahalley, Stephen Anthony, MD

Specialty: Internal Medicine

(251) 378-3900

610 Providence Park Drive, Building 1, Suite 102

Mobile, AL 36695

Kessler, Thomas A., MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Koffler, Warren E., MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Page 3 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Alabama

Mobile

Lambert, Marla M., MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

MacRae, David H., MD

Specialty: Internal Medicine

(251) 378-3900

610 Providence Park Drive, Building 1, Suite 102

Mobile, AL 36695

Pace, Eddie Nathaniel, MD

Specialty: Internal Medicine

(251) 342-2641

100 Memorial Hospital Drive, Suite 3A

Mobile, AL 36608-1185

Pate, David Nathan, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Prestridge, Jr., Milton D., MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Pybass, Phillip Ashley, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Rawlings, Phillip O, MD

Specialty: Family Practice

(251) 661-4454

5100 Rangeline Service Road N

Mobile, AL 36619

Alabama

Mobile

Rosa, Lenore Landers, MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Sennett, Marion L, MD

Specialty: Internal Medicine

(251) 342-2641

100 Memorial Hospital Drive, Suite 3A

Mobile, AL 36608-1185

Sherman, Alan J., MD

Specialty: Family Practice

(251) 661-4454

5100 Rangeline Service Road N

Mobile, AL 36619

Studdard, Harry Earl, MD

Specialty: Internal Medicine

(251) 342-2641

100 Memorial Hospital Drive, Suite 3A

Mobile, AL 36608-1185

Walker, James L., MD

Specialty: Internal Medicine

(251) 633-8880

6701 Airport Blvd., Suite A 101

Mobile, AL 36608

Webster, Kathleen Joy, MD

Specialty: Internal Medicine

(251) 378-3900

610 Providence Park Drive, Building 1, Suite 102

Mobile, AL 36695

Northport

Browne, Stephen, MD

Specialty: Internal Medicine

(205) 339-8282

952 Rose Drive

Northport, AL 35474

Alabama

Northport

Harding, David E., MD

Specialty: Family Practice

(205) 366-0221

3509 Watermelon Road

Northport, AL 35473

Lovelady, Steve R, MD

Specialty: Family Practice

(205) 330-5266

1325 McFarland Blvd Ste. 104, Suite 104

Northport, AL 35476

Mcentyre, Clinton Erle, MD

Specialty: Family Practice

(205) 330-5266

1325 McFarland Blvd Ste. 104, Suite 104

Northport, AL 35476

Robertsdale

Bell, Terry P., MD

Specialty: Internal Medicine

(251) 947-2000

18317 US Hwy 90

Robertsdale, AL 36567

Porter, Lynn H., MD

Specialty: Family Practice

(251) 947-2000

18317 US Hwy 90

Robertsdale, AL 36567

Steele, Joseph C., MD

Specialty: Family Practice

(251) 947-2000

18317 US Hwy 90

Robertsdale, AL 36567

Semmes

Phillips, David Michael, MD

Specialty: Family Practice

(251) 645-8946

8010 Moffat Road

Semmes, AL 36575

Talledega

Page 4 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Alabama

Talledega

Davis, Jimmy W., MD

Specialty: Internal Medicine

(256) 315-2252

320 East Coosa Street

Talledega, AL 35160

Troy

Pearlstein, Todd B., MD

Specialty: Family Practice

(334) 566-9800

801 S. Franklin Drive, PO Box 1185

Troy, AL 36081

Tusca

Buettner, Craig M., MD

Specialty: Family Practice

(205) 339-0171

100 Rice Mine Road, Suite 206

Tusca, AL 35406

Laubenthal, Jeffrey C., MD

Specialty: Family Practice

(205) 339-0171

100 Rice Mine Road, Suite 206

Tusca, AL 35406

Morr, Margaret S., MD

Specialty: Family Practice

(205) 339-0171

100 Rice Mine Road, Suite 206

Tusca, AL 35406

Robinson, James B., MD

Specialty: Family Practice

(205) 339-0171

100 Rice Mine Road, Suite 206

Tusca, AL 35406

Tuscaloosa

Alldredge, William Eugene, MD

Specialty: Internal Medicine

(205) 349-1824

100 Rice Mine Road North, Suite B

Tuscaloosa, AL 35406

Alabama

Tuscaloosa

Davis, Debra Stewart, MD

Specialty: Internal Medicine

(205) 366-0009

701 University Blvd., Suite 810

Tuscaloosa, AL 35401

Debell, William Keith, MD

Specialty: Internal Medicine

(205) 366-0009

701 University Blvd., Suite 810

Tuscaloosa, AL 35401

Grubbs, Bob Arvid, MD

Specialty: Family Practice

(205) 345-6960

904 Anna Avenue

Tuscaloosa, AL 35401

Peramsetty, Ramesh B., MD

Specialty: Family Practice

(205) 553-1900

1718 Veterans Memorial Parkway

Tuscaloosa, AL 35404

Reynolds, Douglas Shirley, MD

Specialty: Family Practice

(205) 345-6960

904 Anna Avenue

Tuscaloosa, AL 35401

Scott, Sr., Vernon L., MD

Specialty: Family Practice

(205) 391-9300

922 Fairfax Park

Tuscaloosa, AL 35406

Shamblin, Richard W., MD

Specialty: Internal Medicine

(205) 349-1824

100 Rice Mine Road North, Suite B

Tuscaloosa, AL 35406

Wilhite, James Brian, MD

Specialty: Internal Medicine

(205) 349-1824

100 Rice Mine Road North, Suite B

Tuscaloosa, AL 35406

Alaska

Eagle River

Skala, Robert David, DO

Specialty: Family Practice

(907) 696-8783

11431 Business Boulevard

Eagle River, AK 99577

Arizona

Chandler

Bolar, Ann M, FNP

Specialty: Nurse Practitioner

2875 W Ray Road, Suite 16

Chandler, AZ 85224

Phoenix

Ruiz, Roberto, MD

Specialty: Internal Medicine

(602) 253-0855

15255 N. 40th Street, Suite 127, Suite 127

Phoenix, AZ 85032

Scottsdale

Bailey, Robert T, MD

Specialty: Family Practice

(480) 860-5533

11390 E Via Linda, Suite 102

Scottsdale, AZ 85259

Yuma

Penaherrera, Sergio, MD

Specialty: Internal Medicine

(928) 344-6450

1881 W. 24th St. Suite A

Yuma, AZ 85364

Arkansas

Fort Smith

Acklin, Jimmy David, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Page 5 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Arkansas

Fort Smith

Clardy, Bryan Hollan, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Irish-clardy, Katherine A, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

King, David L, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Parker, Charles D, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Price, Lawrence C, MD

Specialty: Internal Medicine

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Spradlin, Elisa M, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Spradlin, Timothy L, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

Steed, Matthew, MD

Specialty: Family Practice

(479) 785-2431

612 South 12th Street

Fort Smith, AR 72901

California

Alameda

Carper, John, MD

Specialty: Family Practice

(510) 521-2300

2433 Central Ave

Alameda, CA 94501

Cudahy

Keusayan, Aram, MD

Specialty: General Practice

(323) 771-1713

7643 S Atlantic Ave

Cudahy, CA 90201-0201

Downey

Berger, David, MD

Specialty: Internal Medicine

(562) 861-0336

11480 Brookshire, Ste 110

Downey, CA 90241

Huntington Park

Aguilar, Richard Burt, MD

Specialty: Internal Medicine

(323) 582-7406

7705 Seville Ave, Suite B

Huntington Park, CA 90255

Calatayud, Graciela, MD

Specialty: General Practice

(323) 589-9384

3400 E. Florence Ave.

Huntington Park, CA 90255

Irvine

Wang, Ping h, MD

Specialty: Endocrinology

(949) 824-8656

Gottschalk Medical Plaza, One Medical Plaza

Irvine, CA 92697

Loma Linda

California

Loma Linda

Cash, Zachary J, PA

Specialty: Physician Assistant

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Deppe, Linda B, DO

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Hagglov, Calvin G., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Jih, William W., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Labib, Wessam K., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Lee, Hobart H., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Lin, Rubin C., DO

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Liu, Yi, MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Page 6 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

California

Loma Linda

Mahmoud, Zainab, MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Mohr, Gina M. J., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Opsahl, Michelle T., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Osborn, Jamie S., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Reeves, Michelle E., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Rhode, Julianna, PA

Specialty: Physician Assistant

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Simon, Lauren M., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

Testerman, John K., MD

Specialty: Family Practice

(909) 558-6600

25455 Barton Road, Suite 206 A

Loma Linda, CA 92354

California

Los Angeles

Fisher, Lynda Karen, MD

Specialty: Pediatrics

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Jeandron, Debra Devoe, MD

Specialty: Pediatric Endocrinology

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Kaufman, Francine, MD

Specialty: Endocrinology, Diabetes & Metabolism

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Kim, Mimi, MD

Specialty: Endocrinology, Diabetes & Metabolism

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Monzavi, Roshanak, MD

Specialty: Pediatrics

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Pitukcheewanont, Pisit, MD

Specialty: Pediatric Endocrinology

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Sandstrom, Anna, MD

Specialty: Pediatric Endocrinology

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

California

Los Angeles

Warnecke, Irma, MD

Specialty: Family Practice

(323) 226-1100

1701 Cesar E. Chavez Ave.,, Suite 230

Los Angeles, CA 90033

Wood, Jamie Ruth, MD

Specialty: Endocrinology

(323) 361-4606

4650 Sunset Boulevard #61

Los Angeles, CA 90027

Oxnard

Brand, Richard Daniel, MD

Specialty: Internal Medicine

2241 Wankel Way, Suite B

Oxnard, CA 93030

Pomona

Konca, Ewa Hanna, MD

Specialty: Internal Medicine

(909) 469-1823

1904 N. Orange Grove Avenue

Pomona, CA 91767

Pradhan, Rita Kamal, MD

Specialty: Endocrinology

(909) 469-1823

1904 N. Orange Grove Avenue

Pomona, CA 91767

Prasad, Jeereddi Anjaneya, MD

Specialty: Endocrinology

(909) 469-1823

1904 N. Orange Grove Avenue

Pomona, CA 91767

Reddy, Radha Thiruvengadam, MD

Specialty: Internal Medicine

(909) 469-1823

1904 N. Orange Grove Avenue

Pomona, CA 91767

Page 7 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

California

Pomona

Valamanesh, Daryoosh, MD

Specialty: Internal Medicine

(909) 469-1823

1904 N. Orange Grove Avenue

Pomona, CA 91767

Riverside

Chandiok, Suvesh, MD

Specialty: Endocrinology

(909) 782-6285

7117 Brockton Avenue

Riverside, CA 92506

Childs, Donald R., MD

Specialty: Pediatrics

(909) 782-6285

7117 Brockton Avenue

Riverside, CA 92506

Ventura

Poorsattar, Gulnar, MD

Specialty: Endocrinology

(805) 653-5550

3160 Telegraph Road, #101

Ventura, CA 93003

Colorado

Arvada

Dorotik, Nicole, MD

Specialty: Family Practice

(303) 425-4680

7950 Kipling, #101

Arvada, CO 80005

Freedman, Johanna, MD

Specialty: Internal Medicine

(303) 425-1018

9950 West 80th Ave., STE 23

Arvada, CO 80005

Colorado

Arvada

Glasscock, David, MD

Specialty: Family Practice

(303) 425-4680

7950 Kipling, #101

Arvada, CO 80005

Ives, Martha M., MD

Specialty: Internal Medicine

(303) 422-6331

5730 Ward Road, Suite 102

Arvada, CO 80002

Jeffers, Thomas, MD

Specialty: Family Practice

(303) 425-4680

7950 Kipling, #101

Arvada, CO 80005

Kubista, Jennifer, MD

Specialty: Family Practice

(303) 403-7381

12371 West 64th Ave., Suite B

Arvada, CO 80004

Maybach, Alexander Karl-wilhelm, DO

Specialty: Family Practice

(303) 425-4680

7950 Kipling, #101

Arvada, CO 80005

Sweeney, Tod, MD

Specialty: Family Practice

(720) 898-1110

6390 Gardenia Street, Suite 140

Arvada, CO 80004

Walter, Jonathan, MD

Specialty: Internal Medicine

(303) 425-1018

9950 West 80th Ave., STE 23

Arvada, CO 80005

Colorado

Arvada

Way, Deborah E., MD

Specialty: Family Practice

(303) 422-6331

5730 Ward Road, Suite 102

Arvada, CO 80002

West, Cydney, DO

Specialty: Family Practice

(303) 403-7381

12371 West 64th Ave., Suite B

Arvada, CO 80004

Aurora

Kliner, Dale J., MD

Specialty: Family Practice

(303) 695-8684

13650 E. Mississippi Avenue, Suite 120

Aurora, CO 80012

Boulder

Ambrose, Christa E., DO

Specialty: Family Practice

(303) 665-3036

2525 13th Street

Boulder, CO 80304

Bond, Brea A., MD

Specialty: Family Practice

(303) 665-3036

2525 13th Street

Boulder, CO 80304

Browne, Hillary L., MD

Specialty: Internal Medicine

(303) 449-3594

2575 Spruce Street

Boulder, CO 80302

Dixit, Anjoli M., MD

Specialty: Family Practice

(303) 665-3036

2525 13th Street

Boulder, CO 80304

Page 8 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Boulder

Drury, Michelle L., MD

Specialty: Family Practice

(303) 665-3036

2525 13th Street

Boulder, CO 80304

Dryden, Kevin J., MD

Specialty: Family Practice

(303) 665-3036

2525 13th Street

Boulder, CO 80304

Juenemann, Shane August, MD

Specialty: Family Practice

(720) 854-7577

6685 Gunpark Drive East Ste 110

Boulder, CO 80301

Keidan, Benjamin J, MD

Specialty: Internal Medicine

(720) 854-7272

4745 Arapahoe Ave Ste G-50

Boulder, CO 80301

Ling, Sheila Lt, MD

Specialty: Internal Medicine

(303) 449-3594

2575 Spruce Street

Boulder, CO 80302

Lipetz, Valerie E, MD

Specialty: Internal Medicine

(720) 854-6669

4745 Arapahoe Ave suite G50

Boulder, CO 80303

Broomfield

Bishop, Richard, MD

Specialty: Family Practice

(303) 469-6000

11550 N. Sheridan Blvd

Broomfield, CO 80020

Colorado

Broomfield

Christie, Stephanie R., MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Coomes, Melissa R, MD

Specialty: Family Practice

(303) 469-6000

11550 N. Sheridan Blvd

Broomfield, CO 80020

Ehrenberger, David R., MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Essig, Julia A., MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Hill, James R., MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Koza, Loree A., DO

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Richardson, Leanne, MD

Specialty: Family Practice

(303) 469-6000

11550 N. Sheridan Blvd

Broomfield, CO 80020

Robertson, Susan J., MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Colorado

Broomfield

Salas-Meyers, Monica P., DO

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Sarinopoulos, E. Mark, MD

Specialty: Family Practice

(303) 466-1866

1420 W. Midway Blvd.

Broomfield, CO 80020

Yeash, James, MD

Specialty: Family Practice

(303) 469-6000

11550 N. Sheridan Blvd

Broomfield, CO 80020

Centennial

Amador, Liberty, MD

Specialty: Family Practice

(303) 680-9150

14000 E Arapahoe Rd, Suite C-210

Centennial, CO 80112-1029

Barclay, Scott I., MD

Specialty: Family Practice

(303) 721-9984

7030 S Yosemite St

Centennial, CO 80112-2025

Hollar, Gregory F., MD

Specialty: Family Practice

(303) 721-9984

7030 S Yosemite St

Centennial, CO 80112-2025

Mellette, Carolyn A, FNP

Specialty: Nurse Practitioner

(303) 721-9984

7030 S Yosemite St

Centennial, CO 80112-2025

Page 9 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Centennial

Shebowich, Joel, MD

Specialty: Internal Medicine

(303) 680-9150

14000 E Arapahoe Rd, Suite C-210

Centennial, CO 80112-1029

Colorado Springs

Allard, Jenny D., MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Ayers, Tracy E, MD

Specialty: Family Practice

(719) 598-9446

4760 Flintridge Drive, Suite 200

Colorado Springs, CO 80918

Bartlett, Thomas J, MD

Specialty: Internal Medicine

(719) 475-9574

2222 N. Nevada Avenue, Suite 2010

Colorado Springs, CO 80907

Bianchi, Lauren E, MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Clark, Douglas P, MD

Specialty: Family Practice

(719) 380-6800

6140 Tutt Blvd., Suite 200

Colorado Springs, CO 80923

Fellhauer, Daniel, MD

Specialty: Family Practice

(719) 598-9446

4760 Flintridge Drive, Suite 200

Colorado Springs, CO 80918

Colorado

Colorado Springs

Haddenhorst, Ann M, MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Hammerstrom, Douglas, MD

Specialty: Family Practice

(719) 598-4588

3470 Centennial Blvd, Suite 205

Colorado Springs, CO 80907

Hatchell, Catherine Ann, MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Huffman, Sarah Lynn, MD

Specialty: Family Practice

(719) 548-0700

8890 N. Union Blvd, Ste. 200

Colorado Springs, CO 80920

Kim, Joseph H., MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Kinsman, James Murray, MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Lawson, Theodore S, MD

Specialty: Family Practice

(719) 548-0700

8890 N. Union Blvd, Ste. 200

Colorado Springs, CO 80920

Michael, Joyce, DO

Specialty: Family Practice

(719) 548-0700

8890 N. Union Blvd, Ste. 200

Colorado Springs, CO 80920

Colorado

Colorado Springs

Miller, Patrick A., MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Owen, Amy J., DO

Specialty: Family Practice

(719) 380-6800

6140 Tutt Blvd., Suite 200

Colorado Springs, CO 80923

Reeves, Robert Hood, MD

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Shriver, Phillip Audra, MD

Specialty: Family Practice

(719) 380-6800

6140 Tutt Blvd., Suite 200

Colorado Springs, CO 80923

Skaggs, Jacqueline Ann, DO

Specialty: Internal Medicine

(719) 548-0700

8890 N. Union Blvd, Ste. 200

Colorado Springs, CO 80920

Spangler, Michael W., DO

Specialty: Internal Medicine

(719) 633-5515

175 S. Union Blvd., #350

Colorado Springs, CO 80910

Weber, Terry Bradbury, MD

Specialty: Family Practice

(719) 380-6800

6140 Tutt Blvd., Suite 200

Colorado Springs, CO 80923

Yoesel, Michael, MD

Specialty: Family Practice

(719) 548-0700

8890 N. Union Blvd, Ste. 200

Colorado Springs, CO 80920

Page 10 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Denver

Aikin, R. Brian, MD

Specialty: Family Practice

(303) 202-0924

8015 W. Alameda Ave, #150

Denver, CO 80226

Andreen, Kristin K, MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Arthur, James, MD

Specialty: Internal Medicine

(303) 988-2680

165 S Union Blvd, suite 800

Denver, CO 80228

Augustitus, V Karen, MD

Specialty: Internal Medicine

(303) 988-2680

165 S Union Blvd, suite 800

Denver, CO 80228

Baumgartner, Werner, MD

Specialty: Internal Medicine

(303) 988-2680

165 S Union Blvd, suite 800

Denver, CO 80228

Bednarek, Joseph T, MD

Specialty: Family Practice

(303) 467-1297

4500 West 38th Ave., Suite 220

Denver, CO 80212

Bentrott, Kimberly Erin, MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Bezdek Benage, Kimberly K., MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Colorado

Denver

Blitz, Scott, MD

Specialty: Family Practice

(303) 935-4689

7550 W. Yale Ave., Bldg. B #100

Denver, CO 80227

Carlson, Christopher, MD

Specialty: Family Practice

(303) 455-3661

4301 Lowell Blvd.

Denver, CO 80211

Chen, Carolyn S., MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Coughlan, Claire M., NP

Specialty: Nurse Practitioner

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Doyle, Robert Victor, DO

Specialty: Family Practice

(303) 935-4689

7550 W. Yale Ave., Bldg. B #100

Denver, CO 80227

Durbin, Roy J., MD

Specialty: Family Practice

(303) 934-2202

1930 South Federal Boulevard, # A

Denver, CO 80219

Godina, Gabriel J., MD

Specialty: Family Practice

(303) 934-2202

1930 South Federal Boulevard, # A

Denver, CO 80219

Colorado

Denver

Hahn, Kenneth, DO

Specialty: Family Practice

(303) 256-1602

3655 East 104th Avenue, 3655 E 104th Avenue

Denver, CO 80233

Hedberg, John, MD

Specialty: Internal Medicine

(303) 988-2680

165 S Union Blvd, suite 800

Denver, CO 80228

Keller, Michael B, MD

Specialty: Family Practice

(303) 830-6666

1700 Marion Street

Denver, CO 80218

Kenney, Erika S, MD

Specialty: Family Practice

(303) 467-1297

4500 West 38th Ave., Suite 220

Denver, CO 80212

McCallum, Douglas, MD

Specialty: Internal Medicine

(303) 388-4076

425 S Cherry Street, Suite 510

Denver, CO 80246

Nash, Suzanne C, MD

Specialty: Family Practice

(303) 256-1602

3655 East 104th Avenue, 3655 E 104th Avenue

Denver, CO 80233

Navsky, Carol D., MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Page 11 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Denver

Nelson, Aimee Sue, MD

Specialty: Family Practice

(303) 238-1201

8585 W. 14th Avenue, #B-2

Denver, CO 80215

Panozzo, John, MD

Specialty: Family Practice

(303) 935-4689

7550 W. Yale Ave., Bldg. B #100

Denver, CO 80227

Pflieger, Matthew A., DO

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Rosenblum, Philip, MD

Specialty: Family Practice

(303) 256-1602

3655 East 104th Avenue, 3655 E 104th Avenue

Denver, CO 80233

Rubenstein, Richard P, MD

Specialty: Internal Medicine

(303) 864-4560

1655 Lafayette Street, Suite 100

Denver, CO 80218

Russell, Amy H., MD

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Shpall, Zachary, MD

Specialty: Family Practice

(303) 455-3661

4301 Lowell Blvd.

Denver, CO 80211

Colorado

Denver

Sidhu, Amarbir, MD

Specialty: Family Practice

(303) 256-1602

3655 East 104th Avenue, 3655 E 104th Avenue

Denver, CO 80233

Smith, Bruce Robert, MD

Specialty: Internal Medicine

(303) 864-4560

1655 Lafayette Street, Suite 100

Denver, CO 80218

Somerset, Maria T., DO

Specialty: Family Practice

(303) 665-3036

1701 W. 72nd Avenue, 3rd Floor

Denver, CO 80221

Thomas, Michelle, MD

Specialty: Internal Medicine

(303) 388-4076

425 S Cherry Street, Suite 510

Denver, CO 80246

Walsh, Kristine E., MD

Specialty: Family Practice

(303) 403-6300

2803 Roslyn St.

Denver, CO 80238

Wegner, Brian Keith, MD

Specialty: Family Practice

(303) 238-1201

8585 W. 14th Avenue, #B-2

Denver, CO 80215

Evergreen

Cohen, Kenneth, MD

Specialty: Internal Medicine

(303) 674-6062

30940 Stage Coach Blvd, 270 E

Evergreen, CO 80439

Colorado

Evergreen

McLean, Anne, MD

Specialty: Internal Medicine

(303) 674-6062

30940 Stage Coach Blvd, 270 E

Evergreen, CO 80439

Golden

Atkins, Julia, MD

Specialty: Family Practice

(303) 278-4600

1030 Johnson Road, #200

Golden, CO 80401

Brumbaugh, Patricia, MD

Specialty: Family Practice

(303) 278-4600

1030 Johnson Road, #200

Golden, CO 80401

Castro, Ernest Ross, MD

Specialty: Family Practice

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Claassen, Duane, MD

Specialty: Family Practice

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Dilorenzo, Gregory J, DO

Specialty: Internal Medicine

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Forward, Douglas Paul, MD

Specialty: Family Practice

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Page 12 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Golden

Gale, John, MD

Specialty: Family Practice

(303) 279-7844

1823 Ford Street

Golden, CO 80401

Helms, Melissa Ann, MD

Specialty: Internal Medicine

(720) 898-9427

2801 Youngfield, Suite 120

Golden, CO 80401

Kelly, Karen, MD

Specialty: Internal Medicine

(720) 898-9427

2801 Youngfield, Suite 120

Golden, CO 80401

Neighbor, Joan M., MD

Specialty: Family Practice

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Pattridge, Mark, MD

Specialty: Family Practice

(303) 278-4600

1030 Johnson Road, #200

Golden, CO 80401

Richardson, Harold, MD

Specialty: Family Practice

(303) 278-4600

1030 Johnson Road, #200

Golden, CO 80401

Rydberg, Eric, MD

Specialty: Family Practice

(303) 233-8295

1707 Cole Boulevard, Suite 250

Golden, CO 80401

Suire, Kyle M, DO

Specialty: Family Practice

(303) 279-7844

1823 Ford Street

Golden, CO 80401

Colorado

Highlands Ranch

Beezley, Brian P, MD

Specialty: Family Practice

(303) 791-0418

200 W. County Line Road, #130

Highlands Ranch, CO 80129

Jeffers, Julie, MD

Specialty: Family Practice

(303) 471-4711

9331 S. Colorado Blvd, #200

Highlands Ranch, CO 80126

Rupel, Ray T, DO

Specialty: Family Practice

(303) 791-0418

200 W. County Line Road, #130

Highlands Ranch, CO 80129

Schipper, Leslie A, DO

Specialty: Family Practice

(303) 791-0418

200 W. County Line Road, #130

Highlands Ranch, CO 80129

Lafayette

Bleistein, Abby Lise, MD

Specialty: Internal Medicine

(303) 673-1900

2600 Campus Drive, Suite A

Lafayette, CO 80026-3358

Boysen, Eric C., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Damek, Herman, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Colorado

Lafayette

Duiker, Susan S, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Funk, Karen A., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Hobson, Judy A., DO

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Johnson, Jennifer M., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Keenan, Christopher J., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Lee, Mira, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Letkomiller, Lorena R, MD

Specialty: Internal Medicine

(303) 673-1300

300 Exempla Circle, #300

Lafayette, CO 80026-3394

Longoria, Adelina, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Page 13 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Lafayette

Otteman, Shawn B, DO

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Pittenger, Sharon T, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Royer, Kristen M, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Sanders, Carolyn J, MD

Specialty: Family Practice

(303) 666-7555

1000 W. South Boulder Rd Ste 110

Lafayette, CO 80026-1905

Shepherd, Carolyn M., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Shepherd, John C., MD

Specialty: Family Practice

(303) 665-3036

200 W. South Boulder Road

Lafayette, CO 80026

Lakeside

Larson, Karen Lynn, MD

Specialty: Family Practice

(303) 232-5354

4704 Harlan Street, #500

Lakeside, CO 80212

Lakewood

Colorado

Lakewood

Amundson, Jeffrey A, MD

Specialty: Family Practice

(303) 237-2779

205 S. Garrison Street

Lakewood, CO 80226

Beck, Suzanne M, DO

Specialty: Family Practice

(303) 988-4870

12709-A West Alameda Pkwy

Lakewood, CO 80228

Borkert, Daniel, MD

Specialty: Family Practice

(303) 934-2261

3199 South Wadsworth Boulevard

Lakewood, CO 80227

Brundige, Richard Lewis, MD

Specialty: Family Practice

(303) 237-0086

8015 W. Alameda Avenue, #050

Lakewood, CO 80226

Hofeditz, Tracy Scott, MD

Specialty: Family Practice

(303) 232-8383

325 S. Teller Street, Suite 250, Suite 250

Lakewood, CO 80226

Leon, David M., MD

Specialty: Internal Medicine

(303) 231-9700

2020 Wadsworth, #18B

Lakewood, CO 80214

Oconnor, John E, MD

Specialty: Family Practice

(303) 237-2779

205 S. Garrison Street

Lakewood, CO 80226

Colorado

Lakewood

Pickett, H Manning, MD

Specialty: Internal Medicine

(303) 232-3232

1805 Kipling Street

Lakewood, CO 80215

Schindel, Michael A., MD

Specialty: Family Practice

(303) 936-0022

7444 W. Alaska Drive, Suite 200

Lakewood, CO 80226

Spencer, Marc D., MD

Specialty: Family Practice

(303) 936-0022

7444 W. Alaska Drive, Suite 200

Lakewood, CO 80226

Littleton

Baker, Dawn Marie Jimenez, MD

Specialty: Internal Medicine

(303) 730-3332

8199 SouthPark Lane #100

Littleton, CO 80120

Gidday, Lisa K, MD

Specialty: Internal Medicine

(303) 730-3332

8199 SouthPark Lane #100

Littleton, CO 80120

Ladika, Joseph, MD

Specialty: Internal Medicine

(303) 730-3332

8199 SouthPark Lane #100

Littleton, CO 80120

Lee, Charles, MD

Specialty: Internal Medicine

(303) 730-3332

8199 SouthPark Lane #100

Littleton, CO 80120

Page 14 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Littleton

Sims, Robert M, MD

Specialty: Family Practice

(303) 933-4555

6169 S Balsam Way, suite 250

Littleton, CO 80123

Story, Helen M, MD

Specialty: Family Practice

(303) 933-4555

6169 S Balsam Way, suite 250

Littleton, CO 80123

Sunde, Paul Marcus, MD

Specialty: Family Practice

(303) 963-0566

6169 S. Balsam Way, #220

Littleton, CO 80123

Valenziano, Richard J, MD

Specialty: Family Practice

(303) 963-0566

6169 S. Balsam Way, #220

Littleton, CO 80123

Lone Tree

Baker, Elizabeth A, MD

Specialty: Family Practice

(303) 706-9054

9695 S. Yosemite Street, #324

Lone Tree, CO 80124

Coleman, Mary E, MD

Specialty: Family Practice

(303) 706-9054

9695 S. Yosemite Street, #324

Lone Tree, CO 80124

Jeffers, Julie Erin, DO

Specialty: Family Practice

(303) 706-9054

9695 S. Yosemite Street, #324

Lone Tree, CO 80124

Colorado

Lone Tree

Linares, Ann Christine, MD

Specialty: Family Practice

(303) 225-0025

10103 Ridgegate Parkway, Suite G-23

Lone Tree, CO 80124

Perea, Mark Anthony, MD

Specialty: Family Practice

(303) 706-9054

9695 S. Yosemite Street, #324

Lone Tree, CO 80124

Longmont

Cagan, Laird P., MD

Specialty: Internal Medicine

(303) 776-1532

2030 W. Mountain View Avenue, #400

Longmont, CO 80501

Fretwell, James M., MD

Specialty: Family Practice

(303) 772-6244

205 S. Main Street, Ste. B

Longmont, CO 80501

Hughes, Brian R., MD

Specialty: Family Practice

(303) 772-6244

205 S. Main Street, Ste. B

Longmont, CO 80501

Kirker, Mary Elizabeth, MD

Specialty: Family Practice

(303) 776-0600

630 15th Ave, Suite 103

Longmont, CO 80501

Madden, Christopher C., MD

Specialty: Family Practice

(303) 772-5578

1309 Sunset Street

Longmont, CO 80501

Colorado

Longmont

Poole, Mary Bruce, MD

Specialty: Internal Medicine

(303) 776-1532

2030 W. Mountain View Avenue, #400

Longmont, CO 80501

Monument

Jaeger, Warren Paul, MD

Specialty: Family Practice

(719) 488-9860

550 HWY 105

Monument, CO 80132

Shahan, Patrick Brian, MD

Specialty: Family Practice

(719) 488-9860

550 HWY 105

Monument, CO 80132

Northglenn

Franzbrooke, James Earl, DO

Specialty: Family Practice

(303) 450-8214

A Center for Family Medicine, 10465 Melody Drive, Suite 306

Northglenn, CO 80234

Thornton

Barnhart, Eric D, MD

Specialty: Family Practice

(303) 452-2766

2200 E. 104th Avenue, Suite 115

Thornton, CO 80233

Blair, Jennifer, MD

Specialty: Family Practice

(303) 665-3036

8990 N. Washington Street

Thornton, CO 80229

Cobb, Stephen Wayne, MD

Specialty: Family Practice

(303) 689-6600

16570 Washington Street

Thornton, CO 80023

Page 15 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Thornton

Farrell, Ed, MD

Specialty: Family Practice

(303) 665-3036

8990 N. Washington Street

Thornton, CO 80229

Gregory, James J., MD

Specialty: Family Practice

(303) 452-2766

2200 E. 104th Avenue, Suite 115

Thornton, CO 80233

Hansen, Anne Ks, MD

Specialty: Family Practice

(303) 665-3036

8990 N. Washington Street

Thornton, CO 80229

Imhof, Ann M., MD

Specialty: Family Practice

(303) 452-2766

2200 E. 104th Avenue, Suite 115

Thornton, CO 80233

Levstik, Mark Alan, DO

Specialty: Family Practice

(303) 452-2046

3814 East 120th Avenue

Thornton, CO 80233

Messer, Joshua B., MD

Specialty: Family Practice

(303) 665-3036

8990 N. Washington Street

Thornton, CO 80229

Schreiber, Kent, MD

Specialty: Family Practice

(303) 452-2046

3814 East 120th Avenue

Thornton, CO 80233

Stoudt, Nancy L., MD

Specialty: Family Practice

(303) 452-2766

2200 E. 104th Avenue, Suite 115

Thornton, CO 80233

Colorado

Thornton

Walter, Harry J., DO

Specialty: General Practice

(303) 286-1960

8515 Pearl Street, Suite 202

Thornton, CO 80229

Weingart, James H., MD

Specialty: Family Practice

(303) 452-2766

2200 E. 104th Avenue, Suite 115

Thornton, CO 80233

Westminister

Cavanagh, Michael K., MD

Specialty: Family Practice

(303) 457-4497

12201 Pecos Street, #500

Westminister, CO 80234

Etienne, Clifton, MD

Specialty: Family Practice

(303) 457-4497

12201 Pecos Street, #500

Westminister, CO 80234

Kirk, Jude J., MD

Specialty: Family Practice

(303) 457-4497

12201 Pecos Street, #500

Westminister, CO 80234

Westminster

Archer, Steven Michael, MD

Specialty: Family Practice

(303) 427-7767

8758 Wolff Court, Suite 200, Suite 200

Westminster, CO 80031

Burnett, Karen, MD

Specialty: Family Practice

(303) 429-6600

3520 West 92nd Avenue, Suite 104

Westminster, CO 80031

Colorado

Westminster

Engel, Bernard Edward, MD

Specialty: Family Practice

(303) 427-7767

8758 Wolff Court, Suite 200, Suite 200

Westminster, CO 80031

Engelstad, Mark Donald, MD

Specialty: Family Practice

(303) 429-6600

3520 West 92nd Avenue, Suite 104

Westminster, CO 80031

Gordon, John David, MD

Specialty: Family Practice

(303) 254-7464

7625 W. 92 Ave.

Westminster, CO 80021

Hammond, Robert Scott, MD

Specialty: Family Practice

(303) 428-7449

8601 Turnpike Drive, Suite 200

Westminster, CO 80031

Hirons, Gregory Thomas, MD

Specialty: Family Practice

(303) 254-7464

7625 W. 92 Ave.

Westminster, CO 80021

Johnson, Karen Ann, MD

Specialty: Family Practice

(303) 469-1988

4570 West 120th Avenue, #100

Westminster, CO 80020-331

Lewan, Timothy Michael, MD

Specialty: Family Practice

(303) 428-8536

Northside Family Medicine, P.C., 12207 Pecos Street, Suite #800

Westminster, CO 80234

Page 16 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Colorado

Westminster

Martau, James, MD

Specialty: Geriatric Medicine/Internal Medicine

(303) 430-2640

8510 Bryant Street, Ste. 350

Westminster, CO 80031

Smith, Robin Lynne, DO

Specialty: Family Practice

(303) 428-7449

8601 Turnpike Drive, Suite 200

Westminster, CO 80031

Zoglo, Dennis Paul, MD

Specialty: Family Practice

(303) 427-7767

8758 Wolff Court, Suite 200, Suite 200

Westminster, CO 80031

Wheat Ridge

Allan, William Scott, MD

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Berge, Bryon Lee, DO

Specialty: Family Practice

(303) 403-3670

3550 Lutheran Parkway, Suite G20

Wheat Ridge, CO 80033

Elzi, Stanton Richard, MD

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Elzi, William Lee, MD

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Colorado

Wheat Ridge

Federico, Gerard Salvatore, DO

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Garfias, David F., MD

Specialty: Family Practice

(303) 238-6575

4350 Wadsworth Blvd., Suite 425

Wheat Ridge, CO 80033

Krebs, Steve Richard, MD

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Landrum, Tish R, MD

Specialty: Family Practice

(303) 953-7700

8550 West 38th Avenue, Suite 206

Wheat Ridge, CO 80033

Mix, Jennifer A, DO

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Pula, Jennifer Ruth, MD

Specialty: Internal Medicine

(303) 422-2343

7821 W. 38th Ave.

Wheat Ridge, CO 80033

Reinsma, Jay, MD

Specialty: Family Practice

(303) 403-3670

3550 Lutheran Parkway, Suite G20

Wheat Ridge, CO 80033

West, Jason R., DO

Specialty: Family Practice

(303) 403-3670

3550 Lutheran Parkway, Suite G20

Wheat Ridge, CO 80033

Colorado

Woodland Park

Snyder, Jeffrey G, MD

Specialty: Family Practice

(719) 687-6022

16222 Highway 24

Woodland Park, CO 80863

Connecticut

Amston

Venti, Rozann F, MD

Specialty: Internal Medicine

(860) 228-9463

269 Church Street

Amston, CT 06231

Avon

Chen, Wayne, MD

Specialty: Internal Medicine

(860) 674-8830

44 Dale Road

Avon, CT 06001

Grafals, Ingrid, MD

Specialty: Internal Medicine

Avon Access Center 35 Nod Road, Suite 201A

Avon, CT 06001

Sandoval, Sybil L., MD

Specialty: Internal Medicine

(860) 674-8830

44 Dale Road

Avon, CT 06001

Bloomfield

Cohen, Gary P., MD

Specialty: Internal Medicine

(860) 243-8709

705 Bloomfield Avenue

Bloomfield, CT 06002

Comia, Eileen C, MD

Specialty: Internal Medicine

701 Cottage Grove Road, Suite C-10

Bloomfield, CT 06002

Page 17 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Connecticut

Bloomfield

Fierer, Edwin J., MD

Specialty: Internal Medicine

(860) 243-8709

705 Bloomfield Avenue

Bloomfield, CT 06002

Kellerman, Roy A, MD

Specialty: Internal Medicine

(860) 243-5569

701 Cottage Grove Rd., Suite A -110

Bloomfield, CT 06002

Branford

Chan, Belinda Juliet, MD

Specialty: Internal Medicine

(203) 481-2280

420 East Main Street, Suite 3

Branford, CT 06405

Eilbott, David Jonathan, MD

Specialty: Internal Medicine

(203) 481-5665

500 East Main Street, Suite 212

Branford, CT 06405

Pasha, Saima A, MD

Specialty: Internal Medicine

(203) 488-6358

960 Main Street

Branford, CT 06405

Bridgeport

Benaviv-meskin, Danielle P, MD

Specialty: Endocrinology, Diabetes & Metabolism

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Ciminiello, Frank Angelo, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Connecticut

Bridgeport

Dorosario, Arnold, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Duchen, Douglas, MD

Specialty: Family Practice

(203) 372-4065

3715 Main Street, Suite 205

Bridgeport, CT 06606

Filiberto, Cosmo, MD

Specialty: Family Practice

(203) 372-4065

3715 Main Street, Suite 205

Bridgeport, CT 06606

Gada, Pritee, MD

Specialty: Family Practice

(203) 372-4065

3715 Main Street, Suite 205

Bridgeport, CT 06606

Heineken, Christian, MD

Specialty: Internal Medicine

(203) 373-9100

3180 Main Street, Suite 301

Bridgeport, CT 06606

Mongillo, Anthony, MD

Specialty: Internal Medicine

(203) 373-9100

3180 Main Street, Suite 301

Bridgeport, CT 06606

Nori, Kenneth Joseph, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Preda, Ioana, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Connecticut

Bridgeport

Rastogi, Amit, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Rosa, Joseph A., MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Stelman, Milla, MD

Specialty: Family Practice

(203) 372-4065

3715 Main Street, Suite 205

Bridgeport, CT 06606

Tortorello, Joseph, MD

Specialty: Internal Medicine

(203) 374-6162

4699 Main Street, Suite 105

Bridgeport, CT 06606

Vallabhaneni, Vasudha, MD

Specialty: Internal Medicine

(203) 373-9100

3180 Main Street, Suite 301

Bridgeport, CT 06606

Waynik, Myra, MD

Specialty: Family Practice

(203) 372-4065

3715 Main Street, Suite 205

Bridgeport, CT 06606

East Granby

Dieterich, Steven R, MD

Specialty: Family Practice

(860) 653-4526

13 Church Road

East Granby, CT 06026

Page 18 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Connecticut

East Granby

Ewald, Edward M, MD

Specialty: Family Practice

(860) 653-4526

13 Church Road

East Granby, CT 06026

Freedman, Elizabeth S, MD

Specialty: Family Practice

(860) 653-4526

13 Church Road

East Granby, CT 06026

Howlett, David R, MD

Specialty: Family Practice

(860) 653-4526

13 Church Road

East Granby, CT 06026

Hughes, Sandra M, MD

Specialty: Family Practice

(860) 653-4526

13 Church Road

East Granby, CT 06026

East Hartford

Diez, Jorge L., MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 528-4121

477 Connecticut Blvd #302

East Hartford, CT 06108

Kimmel, Ronald, MD

Specialty: Internal Medicine

(860) 528-4121

477 Connecticut Blvd #302

East Hartford, CT 06108

Lassman, M Nathan, MD

Specialty: Internal Medicine

(860) 528-4121

477 Connecticut Blvd #302

East Hartford, CT 06108

Connecticut

East Hartford

Zagieboylo, Roy, MD

Specialty: Family Practice

(860) 528-2138

893 Main Street, Suite 101

East Hartford, CT 06108

Enfield

Burton, Jay Scott, DO

Specialty: Internal Medicine

(860) 741-6058

701 Enfield Street, Suite 140

Enfield, CT 06082

Daw, Manjaree, MD

Specialty: Internal Medicine

(860) 253-0037

7 Elm Street Suite 207

Enfield, CT 06082

Donahue, George, MD

Specialty: Internal Medicine

(860) 763-1043

150 Hazard Ave.

Enfield, CT 06082

O'neill, Darren Stephen, MD

Specialty: Internal Medicine

(860) 741-6058

701 Enfield Street, Suite 140

Enfield, CT 06082

Fairfield

Das, Debasish, MD

Specialty: Internal Medicine

(203) 335-4193

501 Kings Highway East, Suite 106

Fairfield, CT 06825

Novik, Larry E., MD

Specialty: Family Practice

325 Reef Road, Room 203

Fairfield, CT 06824

Snowden, Lenore, MD

Specialty: Internal Medicine

325 Reef Road, Room 203

Fairfield, CT 06824

Connecticut

Fairfield

Watkins-colwell, Kellie, MD

Specialty: Family Practice

325 Reef Road, Room 203

Fairfield, CT 06824

Glastonbury

Grise, David P., MD

Specialty: Pulmonary Disease

(860) 659-0581

27 Sycamore Street, Suite 100

Glastonbury, CT 06033

Guilford

Weiss, Alan M, MD

Specialty: Family Practice

(203) 453-0677

652 Boston Post Road

Guilford, CT 06437

Weiss-Rivera, Judith M, MD

Specialty: Family Practice

(203) 453-0677

652 Boston Post Road

Guilford, CT 06437

Hamden

Chustecka, Margaret, MD

Specialty: Internal Medicine

(203) 848-1803

1952 Whitney Avenue, 3rd Floor

Hamden, CT 06517

Khodzinskiy, Roman, MD

Specialty: Internal Medicine

(203) 848-1803

1952 Whitney Avenue, 3rd Floor

Hamden, CT 06517

Lang, Robert, MD

Specialty: Endocrinology, Diabetes & Metabolism

(203) 248-4362

60 Washington Avenue, Suite 105

Hamden, CT 06518

Page 19 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Connecticut

Hamden

Rippel, Edward G., MD

Specialty: Internal Medicine

(203) 287-7500

2440 Whitney Avenue

Hamden, CT 06518

Hartford

Belsky, Mark, MD

Specialty: Family Practice

675 Tower Avenue, Ste. 401

Hartford, CT 06105

Colliton, Matthew F., MD

Specialty: Internal Medicine

(860) 527-1669

19 Woodland Street, Suite 45

Hartford, CT 06105

Harrison-Atlas, Richard, MD

Specialty: Family Practice

675 Tower Avenue, Ste. 401

Hartford, CT 06105

Kantor, Charles S., MD

Specialty: Internal Medicine

(860) 527-6745

21 Woodland Street, Suite 311

Hartford, CT 06105

Pangilinan, Danilo M., MD

Specialty: Internal Medicine

(860) 527-6745

21 Woodland Street, Suite 311

Hartford, CT 06105

Vargas, Socorro J., MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 892-6906

114 Woodland Street

Hartford, CT 06105

Walsh, Gregory C, MD

Specialty: Internal Medicine

(860) 527-1669

19 Woodland Street, Suite 45

Hartford, CT 06105

Connecticut

Hartford

Wenceslao, John F., MD

Specialty: Internal Medicine

(860) 714-5416

1000 Asylum Avenue, #3207 & #3218

Hartford, CT 06105

Wiskowski, Susan, MD

Specialty: Family Practice

675 Tower Avenue, Ste. 401

Hartford, CT 06105

Huntington

Mikan, Paul, MD

Specialty: Internal Medicine

40 Ripton Road

Huntington, CT 06484

Manchester

Garrett, Andrew P., MD

Specialty: Internal Medicine

(860) 643-0319

945 Main Street, Suite 102

Manchester, CT 06040

Garrett, Marjorie A., MD

Specialty: Internal Medicine

(860) 643-0319

945 Main Street, Suite 102

Manchester, CT 06040

Zariphes, III, Constantine, MD

Specialty: Internal Medicine

(860) 643-0319

945 Main Street, Suite 102

Manchester, CT 06040

Milford

Goldner, Stephen, MD

Specialty: Internal Medicine

(803) 882-5600

40 Commerce Park

Milford, CT 06460

Connecticut

Milford

Rosenberg, IIene,

Specialty: Internal Medicine

(803) 882-5600

40 Commerce Park

Milford, CT 06460

Spanolios, Paris, MD

Specialty: Internal Medicine

(803) 882-5600

40 Commerce Park

Milford, CT 06460

Tracy, Todd, MD

Specialty: Internal Medicine

(803) 882-5600

40 Commerce Park

Milford, CT 06460

Zarcu-Power, Flora, MD

Specialty: Internal Medicine

281 Seaside Avenue

Milford, CT 06460

New Britain

Dulipsingh, Latha, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 224-5672

100 Grand Street, Affiliate at The Hospital of Central Connecticut, 100 Grand Street

New Britain, CT 06050

Kaur, Manmeet, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 224-5672

100 Grand Street, Affiliate at The Hospital of Central Connecticut, 100 Grand Street

New Britain, CT 06050

Rosenblatt, Joseph, MD

Specialty: Internal Medicine

(860) 224-5672

100 Grand Street, Affiliate at The Hospital of Central Connecticut, 100 Grand Street

New Britain, CT 06050

New Hartford

Page 20 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Connecticut

New Hartford

Gerard, Douglas, MD

Specialty: Internal Medicine

(860) 379-7544

536 Main St.

New Hartford, CT 06057

New Haven

Camp, Anne, MD

Specialty: Internal Medicine

(203) 777-7411

374 Grand Avenue

New Haven, CT 06513

Kleinstein, Judy A, MD

Specialty: Internal Medicine

(203) 871-4444

150 Sargent Drive, Suite 1

New Haven, CT 06511

Leon-Smith, Nilda, MD

Specialty: Internal Medicine

(203) 777-7411

374 Grand Avenue

New Haven, CT 06513

Mayerson, Adam B., MD

Specialty: Endocrinology

(203) 876-2300

200 Orchard Street, Suite 207

New Haven, CT 06511

Murray, Kate, MD

Specialty: Family Practice

(203) 777-7411

374 Grand Avenue

New Haven, CT 06513

Yang, Kai H., MD

Specialty: Endocrinology, Diabetes & Metabolism

(203) 876-2300

200 Orchard Street, Suite 207

New Haven, CT 06511

New London

Connecticut

New London

Gelfand, Robert Alan, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Khan, Yasmine S, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Kington, Randi L, ANP

Specialty: Nurse Practitioner

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Lamberton, Robert P, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Neuman, Saul D, MD

Specialty: Internal Medicine

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Quevedo, Stephen F, MD

Specialty: Endocrinology, Diabetes & Metabolism

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Younger, Angela G, ANP

Specialty: Nurse Practitioner

(860) 444-4737

50 Faire Harbour Place, Suite 2E

New London, CT 06320

Rocky Hill

Connecticut

Rocky Hill

Mendelsohn, Jacques, MD

Specialty: Internal Medicine

(860) 529-1287

506 Cromwell Ave.

Rocky Hill, CT 06067

Villanueva, Elmo, MD

Specialty: Internal Medicine

(860) 529-1287

506 Cromwell Ave.

Rocky Hill, CT 06067

Seymour

Mancher, Kenneth Eli, MD

Specialty: Family Practice

17 Westerman Avenue

Seymour, CT 06483

Stratford

Chou, Lucia, MD

Specialty: Internal Medicine

2900 Main Street, Suite 3C

Stratford, CT 06614

Connolly, Michael, MD

Specialty: Internal Medicine

2900 Main Street, Suite 3C

Stratford, CT 06614

Kirkland, John, MD

Specialty: Internal Medicine

3017 Main Street

Stratford, CT 06614

Prewitt, Robert Scott, MD

Specialty: Internal Medicine

2900 Main Street, Suite 3C

Stratford, CT 06614

Trumbull

Alcedo, Francis, MD

Specialty: Internal Medicine

999 Silver Lane, 3rd Floor

Trumbull, CT 06611

Page 21 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Connecticut

Trumbull

Bertini, Nicholas, MD

Specialty: Internal Medicine

999 Silver Lane, 3rd Floor

Trumbull, CT 06611

Chanda, Kaberi, MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Hulcher, William G., MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Kocinsky, Daniel, MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Logiadis, Emmanuel, MD

Specialty: Internal Medicine

999 Silver Lane, 3rd Floor

Trumbull, CT 06611

Napolitano, Guido, MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Neiditz, Charles A., MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Sica, Daniel G., MD

Specialty: Internal Medicine

888 White Plains Road, Suite 203

Trumbull, CT 06611

Urciuoli, Stephen, MD

Specialty: Internal Medicine

999 Silver Lane, 3rd Floor

Trumbull, CT 06611

Wallingford

Connecticut

Wallingford

Gimbel, Jeffrey, MD

Specialty: Internal Medicine

(203) 269-9400

50 South Main Street, Top Floor

Wallingford, CT 06492

West Hartford

Ardolino, Sally A., MD

Specialty: Internal Medicine

(860) 586-7825

1007 Farmington Avenue

West Hartford, CT 06107

Papandrea, John, MD

Specialty: Internal Medicine

(860) 313-0448

41 North Main Street, Suite 300

West Hartford, CT 06107

Polatnick, Mark J., MD

Specialty: Internal Medicine

(860) 313-0448

41 North Main Street, Suite 300

West Hartford, CT 06107

Quinones, Maria E, MD

Specialty: Internal Medicine

(860) 570-4882

1007 Farmington Avenue

West Hartford, CT 06107

Rodriguez, Alberto J, MD

Specialty: Family Practice

345 North Main Street, Ste. 245

West Hartford, CT 06117

Tan, Sharon S., MD

Specialty: Internal Medicine

(860) 313-0448

41 North Main Street, Suite 300

West Hartford, CT 06107

Connecticut

West Hartford

Venkatachalam, Varalakshmi, MD

Specialty: Internal Medicine

(860) 586-7825

1007 Farmington Avenue

West Hartford, CT 06107

Wethersfield

Paulekas, Wayne C., MD

Specialty: Internal Medicine

(860) 263-0263

30 Jordan Lane

Wethersfield, CT 06109

Reginio, Robert L., MD

Specialty: Internal Medicine

(860) 263-0263

30 Jordan Lane

Wethersfield, CT 06109

Windsor Locks

Cagna, Richard A., MD

Specialty: Internal Medicine

(860) 627-0224

2 Concorde Way, Bldg. 2

Windsor Locks, CT 06096

Kafer, Sheldon, MD

Specialty: Internal Medicine

(860) 627-0224

2 Concorde Way, Bldg. 2

Windsor Locks, CT 06096

Winsted

McHugh, Donna M, MD

Specialty: Internal Medicine

115 Spencer Street

Winsted, CT 06098

Szczepanski, Andrew, MD

Specialty: Internal Medicine

115 Spencer Street

Winsted, CT 06098

Delaware

Wilmington

Page 22 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Delaware

Wilmington

Seshadri, Prakash, MD

Specialty: Endocrinology, Diabetes & Metabolism

(302) 661-3070

3506 Kennett Pike

Wilmington, DE 19807

District Of Columbia

Washington

Basch, Peter, MD

Specialty: Internal Medicine

(202) 546-4505

660 Pennsylvania Ave., SE, Suite 100

Washington, DC 20003-435

Davis, Robin, MD

Specialty: Internal Medicine

(202) 546-4505

660 Pennsylvania Ave., SE, Suite 100

Washington, DC 20003-435

Harris, Gerard H, MD

Specialty: Internal Medicine

(202) 877-2200

106 Irving Street, NW, Suite 4200 North

Washington, DC 20010-297

Lee, Andrew J, MD

Specialty: Internal Medicine

(202) 877-2200

106 Irving Street, NW, Suite 4200 North

Washington, DC 20010-297

Roche, Nada, MD

Specialty: Internal Medicine

(202) 223-5333

1145 19th Street, NW, Suite 700

Washington, DC 20036-371

Waterman, Daniel, MD

Specialty: Internal Medicine

(202) 546-4505

660 Pennsylvania Ave., SE, Suite 100

Washington, DC 20003-435

Florida

Altamonte Springs

Farmer, Gerald E., MD

Specialty: Family Practice

(407) 788-8200

360 Douglas Avenue

Altamonte Springs, FL 32714

Mohandas, Usha K., MD

Specialty: Internal Medicine

(407) 788-8200

360 Douglas Avenue

Altamonte Springs, FL 32714

Apopka

Bedros, Medhat G, MD

Specialty: Family Practice

(407) 884-2952

1501 West Highway 441

Apopka, FL 32712

Bloomingdale

Jose, Jolly, MD

Specialty: Internal Medicine

(813) 653-1880

406 West Bloomingdale Ave

Bloomingdale, FL 33511

Brandon

Nazario, Brunilda, MD

Specialty: Family Practice

(813) 653-3111

1933 West Lumsden Rd.

Brandon, FL 33511

Casselberry

Ahmed, Khurshid, MD

Specialty: Internal Medicine

(407) 831-3141

946 East Semoran Blvd.

Casselberry, FL 32707

Clearwater

Casanova, Adriana M., MD

Specialty: Internal Medicine

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Florida

Clearwater

Crist, Charles J, MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Diaz, Maria Carmina, MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Gross, John A., MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Hinkle, Kristin L., MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Johnrose-brown, Anne-marie Cathy, MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Kamal, Anupam Shyamkamal, MD

Specialty: Internal Medicine

(727) 725-5224

2727 McMullen-Booth Road

Clearwater, FL 33759

Madan, Sanjay K., MD

Specialty: Internal Medicine

(727) 669-2969

3190 McMullen Booth Road, Ste. 201

Clearwater, FL 33761

Page 23 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Clearwater

Martinez, Morayma, MD

Specialty: Internal Medicine

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Robison, Thomas John, MD

Specialty: Family Practice

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Schell, Gina Christine, DO

Specialty: Internal Medicine

(727) 524-2612

225 Belleair Road, Suite 226

Clearwater, FL 33764

Clermont

Ghosh, Paramita, MD

Specialty: Internal Medicine

(352) 536-2400

1120 Citrus Tower Blvd, Suite 105

Clermont, FL 34711

Timmel, Micheal D., MD

Specialty: Family Practice

(352) 536-2400

1120 Citrus Tower Blvd, Suite 105

Clermont, FL 34711

Yedwab oliver, Beth, MD

Specialty: Family Practice

(352) 241-0549

1735 B East Highway 50

Clermont, FL 34711

Coconut Creek

Lavernia, Frank, MD

Specialty: Internal Medicine

(954) 418-8146

4855 W Hillsboro Blvd, Suite B6

Coconut Creek, FL 33073

Coral Gables

Florida

Coral Gables

Bordenave, George Humberto, MD

Specialty: Cardiovascular Disease

(305) 669-4416

4908 SW 8th Street

Coral Gables, FL 33134

Deland

Alvarez, Sandra Ivelisse, MD

Specialty: Pediatrics

(386) 736-3401

854 West Plymouth Ave

Deland, FL 32720

Edgewood

David, Hazel-ann, MD

Specialty: Family Practice

(407) 245-1413

4401 S. Orange Avenue, Suite 108

Edgewood, FL 32806

Hollywood

Almaguer, Manuela C., MD

Specialty: Pediatric Endocrinology

(954) 986-6369

1150 N. 35 Avenue, Suite 520

Hollywood, FL 33021

Nemery, Robin, MD

Specialty: Pediatric Endocrinology

(954) 986-6369

1150 N. 35 Avenue, Suite 520

Hollywood, FL 33021

Steindel-Kopp, Bethel S., MD

Specialty: Pediatric Endocrinology

(954) 986-6369

1150 N. 35 Avenue, Suite 520

Hollywood, FL 33021

Indialantic

Florida

Indialantic

Crane, Lydia, MD

Specialty: Family Practice

(321) 984-1333

1220 Hwy A1A

Indialantic, FL 32903

Hagloch, Jay M., MD

Specialty: Family Practice

(321) 984-1333

1220 Hwy A1A

Indialantic, FL 32903

Hyvonen, Pauline, MD

Specialty: Family Practice

(321) 984-1333

1220 Hwy A1A

Indialantic, FL 32903

Stewart, III, Charles S., MD

Specialty: Family Practice

(321) 984-1333

1220 Hwy A1A

Indialantic, FL 32903

Indian Harbour Beach

Bisset, Robert, MD

Specialty: Family Practice

(321) 777-0900

2040 N. Highway A1A

Indian Harbour Beach, FL 32937

Newcombe, Melinda, MD

Specialty: Family Practice

(321) 777-0900

2040 N. Highway A1A

Indian Harbour Beach, FL 32937

Jacksonville

Bosque-perez, Monique, DO

Specialty: Family Practice

(904) 633-0440

761 North Edgewood Avenue

Jacksonville, FL 32254

Page 24 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Jacksonville

Briscoe, Brad A, NP

Specialty: Nurse Practitioner

(904) 633-0440

761 North Edgewood Avenue

Jacksonville, FL 32254

Carter, Pamela Street, NP

Specialty: Nurse Practitioner

1155 East 21st Street

Jacksonville, FL 32206

Fils, Rodney Antoine, PA

Specialty: Physician Assistant

(904) 633-0440

761 North Edgewood Avenue

Jacksonville, FL 32254

Gajda, Anna, MD

Specialty: Family Practice

(904) 633-0440

5205 Normandy Boulevard, #3

Jacksonville, FL 32205

Gharzuzi, Yosef, NP

Specialty: Nurse Practitioner

(904) 633-0440

761 North Edgewood Avenue

Jacksonville, FL 32254

Harris-stevens, Wendy Renee, MD

Specialty: Physician Assistant

(904) 633-0440

5205 Normandy Boulevard, #3

Jacksonville, FL 32205

Jaminal, Mar, MD

Specialty: Family Practice

1155 East 21st Street

Jacksonville, FL 32206

Lee, Kenyatta Y., MD

Specialty: Family Practice

(904) 633-0440

5045 Soutel Drive, #12

Jacksonville, FL 32208

Florida

Jacksonville

Lopez Jr., Albert A., DO

Specialty: Internal Medicine

(904) 598-1888

4250 Lakeside Drive, Suite 204

Jacksonville, FL 32210

Pratt, Ebony N., MD

Specialty: Family Practice

(904) 633-0440

3465 Village Center Drive

Jacksonville, FL 32209

Registre, Louis J., MD

Specialty: Family Practice

(904) 633-0440

1697 Kings Road

Jacksonville, FL 32209

Stewart, Eric B., MD

Specialty: Family Practice

(904) 633-0440

761 North Edgewood Avenue

Jacksonville, FL 32254

Kissimmee

Caro, Israel I, MD

Specialty: Family Practice

(407) 483-2000

327 West Oak Street

Kissimmee, FL 34741

Gomez, Hernan A., MD

Specialty: Internal Medicine

(407) 483-2000

327 West Oak Street

Kissimmee, FL 34741

Munoz-delgado, Mayra Noemi, MD

Specialty: Family Practice

(407) 483-1000

1050 Cypress Parkway

Kissimmee, FL 34759

Florida

Kissimmee

Portocarrero, Miguel, MD

Specialty: Internal Medicine

(407) 348-8338

2576 Boggy Creek Rd

Kissimmee, FL 34744

Quinones, Lismarie, MD

Specialty: Internal Medicine

(407) 348-8338

2576 Boggy Creek Rd

Kissimmee, FL 34744

Rodriguez, Rodolfo, MD

Specialty: Internal Medicine

(407) 483-1000

1050 Cypress Parkway

Kissimmee, FL 34759

Rosario, Jessicca, MD

Specialty: Family Practice

(407) 483-2000

327 West Oak Street

Kissimmee, FL 34741

San antonio, Maria C, MD

Specialty: Family Practice

(407) 483-2000

327 West Oak Street

Kissimmee, FL 34741

Lake Mary

Bougoulias, Michael, MD

Specialty: Family Practice

(407) 302-3111

725 Rodel Cove

Lake Mary, FL 32746

Caggiano, Christopher L., DO

Specialty: Family Practice

(407) 302-3111

725 Rodel Cove

Lake Mary, FL 32746

Page 25 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Lake Mary

Lawus-Scurry, Kimberly, MD

Specialty: Family Practice

(407) 302-3111

725 Rodel Cove

Lake Mary, FL 32746

Largo

Grove, Jeffrey S., DO

Specialty: Family Practice

(727) 588-9572

12020 Seminole Blvd.

Largo, FL 33778

Jensen, David Lawrence, DO

Specialty: Internal Medicine

(727) 535-3489

2780 East Bay Drive

Largo, FL 33771

Kinney, James R., DO

Specialty: Family Practice

(727) 535-3489

2780 East Bay Drive

Largo, FL 33771

Namey, Joseph J., DO

Specialty: Internal Medicine

(727) 595-2519

13644 Walsingham Road

Largo, FL 33774

Leesburg

Thomas, Jolly, MD

Specialty: Family Practice

(352) 326-4031

801 East Dixie Ave, Suite 101

Leesburg, FL 34748

Longwood

Byrd, Bill, MD

Specialty: Family Practice

(407) 834-4849

500 East State Road 434

Longwood, FL 32750

Florida

Longwood

Cabreira, Anthony L., MD

Specialty: Family Practice

(407) 262-5793

550 E. State Road 434

Longwood, FL 32750

Ragno, Joseph F., MD

Specialty: Family Practice

(407) 262-5793

550 E. State Road 434

Longwood, FL 32750

Shah, Dimple D, MD

Specialty: Internal Medicine

(407) 262-5793

550 E. State Road 434

Longwood, FL 32750

Lutz

Heinig, Daniel Lee, MD

Specialty: Internal Medicine

(813) 909-1600

23532 State Road 54

Lutz, FL 33559

Venkataram, Kathariguppa Subbaramaiah, MD

Specialty: Internal Medicine

(813) 949-4991

208 Crystal Grove Blvd.

Lutz, FL 33549

Maitland

Coronado, Boris Efrain, MD

Specialty: Internal Medicine

(407) 381-7364

800 N. Maitland Avenue, Suite 101

Maitland, FL 32751

Derrow, Martin W., MD

Specialty: Internal Medicine

(407) 381-7364

800 N. Maitland Avenue, Suite 101

Maitland, FL 32751

Florida

Maitland

Lopez, Jose R, MD

Specialty: Family Practice

(407) 381-7364

800 N. Maitland Avenue, Suite 101

Maitland, FL 32751

Nicolas, Guy E., MD

Specialty: Family Practice

(407) 381-7364

800 N. Maitland Avenue, Suite 101

Maitland, FL 32751

Malabar

Anderson, Kyle R, MD

Specialty: Internal Medicine

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Chacko, Lynn, MD

Specialty: Family Practice

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Condo, Allen, MD

Specialty: Family Practice

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Ojha, Ashish K., MD

Specialty: Family Practice

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Ruberte, Mario, MD

Specialty: Internal Medicine

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Page 26 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Malabar

Trout, Ronald V, MD

Specialty: Family Practice

(321) 409-6800

730 Malabar Road

Malabar, FL 32950

Melbourne

Balaji, Gobivenkata, MD

Specialty: Internal Medicine

(321) 215-6899

301 East Sheridan Road

Melbourne, FL 32901

Baney, Richard N, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Bhambri, Rajiv, MD

Specialty: Endocrinology, Diabetes & Metabolism

(321) 725-4500

200 E Sheridan Rd

Melbourne, FL 32901

Campbell, John, MD

Specialty: Family Practice

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Cobbold, Christian M, MD

Specialty: Internal Medicine

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Isenman, Eric, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Florida

Melbourne

Marzano, Peter M, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

McDougall, Jeffrey, MD

Specialty: Family Practice

(321) 254-4900

2100 N. Wickham Road

Melbourne, FL 32935

Ojha, Pamela, MD

Specialty: Endocrinology, Diabetes & Metabolism

(321) 725-4500

200 E Sheridan Rd

Melbourne, FL 32901

Peterson, Ann, MD

Specialty: Family Practice

(321) 254-4900

2100 N. Wickham Road

Melbourne, FL 32935

Pipek, Ruben J., MD

Specialty: Endocrinology, Diabetes & Metabolism

(321) 725-4500

200 E Sheridan Rd

Melbourne, FL 32901

Rossi, Catherine M., MD

Specialty: Family Practice

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Ruiz, Ruddy E., MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Salazar, Jorge E, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Florida

Melbourne

Sang, Nelson, MD

Specialty: Internal Medicine

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Santiago, Jose O, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Snow, Craig A, MD

Specialty: Family Practice

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Spies, Jane, MD

Specialty: Internal Medicine

(321) 242-8790

7125 Murrell Road

Melbourne, FL 32940

Szabo, Jozsef, MD

Specialty: Endocrinology

(321) 725-4500

200 E Sheridan Rd

Melbourne, FL 32901

Wahl, William A, MD

Specialty: Internal Medicine

(321) 725-4500

1223 Gateway Boulevard

Melbourne, FL 32901

Miami

Aden, Robert, MD

Specialty: Endocrinology, Diabetes & Metabolism

(305) 273-1125

9595 North Kendall Drive, Suite 210

Miami, FL 33176

New Port Richey

Page 27 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

New Port Richey

Askowitz, Michael, MD

Specialty: Internal Medicine

(727) 862-6779

9113 Little Road

New Port Richey, FL 34654

Ocoee

Buswell Charkow, Don R, MD

Specialty: Internal Medicine

(407) 877-6500

11140 W. Colonial Drive

Ocoee, FL 34761

Carr, Deanna, MD

Specialty: Family Practice

(407) 306-6302

1134A Kelton Avenue

Ocoee, FL 34761

Carr, Jeffrey, MD

Specialty: Family Practice

(407) 306-6302

1134A Kelton Avenue

Ocoee, FL 34761

Tak, Ravindra, MD

Specialty: Family Practice

(407) 306-6302

1134A Kelton Avenue

Ocoee, FL 34761

Wentzell, Thomas H, MD

Specialty: Internal Medicine

(407) 877-6500

11140 W. Colonial Drive

Ocoee, FL 34761

Orange City

Trinh, Nicholas Q., MD

Specialty: Family Practice

(386) 774-0491

2669 Enterprise Road

Orange City, FL 32763

Orlando

Florida

Orlando

Anzola, Rodrigo, MD

Specialty: Family Practice

(407) 281-1000

3333 S. Conway Road

Orlando, FL 32812

Badola, Ritu, MD

Specialty: Family Practice

(407) 281-1000

3333 S. Conway Road

Orlando, FL 32812

Boyer, David, MD

Specialty: Family Practice

(407) 381-7366

7472 Doc's Grove Circle

Orlando, FL 32819

Clement, Robert J., MD

Specialty: Family Practice

(407) 261-2962

9964 University Boulevard

Orlando, FL 32817

Eyma, Rachel M., MD

Specialty: Family Practice

(407) 261-2962

9964 University Boulevard

Orlando, FL 32817

Ferguson, Julie K., MD

Specialty: Family Practice

(407) 261-2962

9964 University Boulevard

Orlando, FL 32817

Frank, Catherine A, MD

Specialty: Family Practice

(407) 658-8866

5540 Grant Street

Orlando, FL 32822

Gibson, Calvin L, MD

Specialty: Family Practice

(407) 351-8200

8793 Commodity Circle

Orlando, FL 32819

Florida

Orlando

Goddard, Daniel G, MD

Specialty: Family Practice

(407) 275-5338

5575 S. Semoran Blvd., Suite 23

Orlando, FL 32822

Gupta, Radhika, MD

Specialty: Internal Medicine

(407) 273-7373

10829 Dylan Loren Circle

Orlando, FL 32825

Joseph, Mary V, MD

Specialty: Family Practice

(407) 438-5858

14075 S. Town Loop Blvd

Orlando, FL 32837

Kidd, Joan L., MD

Specialty: Family Practice

(407) 261-2962

9964 University Boulevard

Orlando, FL 32817

Kumar, Sonali Sanjeev, MD

Specialty: Internal Medicine

(407) 859-2882

2861 South Delaney Ave, Ste A

Orlando, FL 32806

Lim, Kenneth Bernard, MD

Specialty: Family Practice

(407) 296-2273

7242 West Colonial Drive

Orlando, FL 32818

McCommon, Dennis, MD

Specialty: Internal Medicine

(407) 282-8200

2285 South Semoran Blvd

Orlando, FL 32822

Meares, Michael J, MD

Specialty: Family Practice

(407) 351-8200

8793 Commodity Circle

Orlando, FL 32819

Page 28 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Orlando

Nieves, Nelson Antonio, MD

Specialty: Obstetrics & Gynecology

(407) 438-5858

14075 S. Town Loop Blvd

Orlando, FL 32837

Pettit, Theron M, MD

Specialty: Internal Medicine

(407) 932-4455

4137 Hunters Park Lane

Orlando, FL 32837

Pileta, Lourdes, MD

Specialty: Family Practice

(407) 219-5200

6336 West Colonial Dr

Orlando, FL 32818

Rodriguez, Sarah, MD

Specialty: Internal Medicine

(407) 856-1900

5200 Hoffner Road

Orlando, FL 32812

Rosado-Martinez, Maggie, MD

Specialty: Internal Medicine

(407) 282-8200

2285 South Semoran Blvd

Orlando, FL 32822

Santana, Reinaldo, MD

Specialty: Family Practice

(407) 273-7373

10829 Dylan Loren Circle

Orlando, FL 32825

Sepulveda, Asdrubal De jesus, MD

Specialty: Internal Medicine

(407) 438-5858

14075 S. Town Loop Blvd

Orlando, FL 32837

Stine, Sandra R, MD

Specialty: Internal Medicine

(407) 658-8866

5540 Grant Street

Orlando, FL 32822

Florida

Orlando

Vu, Huy M., MD

Specialty: Family Practice

(407) 381-7366

7472 Doc's Grove Circle

Orlando, FL 32819

Young-henley, Tonya T, MD

Specialty: Family Practice

(407) 292-0292

4300-407 Clarcona Ocoee Rd

Orlando, FL 32810

Zivalich, Jane, MD

Specialty: Family Practice

(407) 658-8866

5540 Grant Street

Orlando, FL 32822

Oviedo

Urdaneta, Javier, MD

Specialty: Family Practice

(407) 365-9000

1000 West Broadway Street, Ste 102B

Oviedo, FL 32765

Voirin, James, DO

Specialty: Family Practice

(407) 381-7387

7408 Red Bug Lake Road

Oviedo, FL 32765

Walker, Erik, MD

Specialty: Family Practice

(407) 381-7387

7408 Red Bug Lake Road

Oviedo, FL 32765

Palm Bay

Patel, Bhaskar, MD

Specialty: Internal Medicine

(321) 676-9009

5305 Babcock Street, NE

Palm Bay, FL 32905

Port Richey

Florida

Port Richey

Capone, Edward A., DO

Specialty: Family Practice

(727) 868-2151

11528 US 19

Port Richey, FL 34668

Dario, Dennis R., MD

Specialty: Family Practice

(727) 869-7755

10435 U.S. Highway 19

Port Richey, FL 34668-3133

Moye, Bernard Freeman, FNP

Specialty: Nurse Practitioner

(727) 868-2151

11528 US 19

Port Richey, FL 34668

Plummer, Ritchie R, DO

Specialty: Family Practice

(727) 849-8491

9238 US 19

Port Richey, FL 34668

Rose, Trevor A, MD

Specialty: Internal Medicine

(727) 846-0666

6551 Ridge Road, Suite 2

Port Richey, FL 34668

Strobbe, Amy M, DO

Specialty: Internal Medicine

(727) 849-8491

9238 US 19

Port Richey, FL 34668

Strobbe, Michael S, DO

Specialty: Internal Medicine

(727) 868-2151

11528 US 19

Port Richey, FL 34668

Seffner

Page 29 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Seffner

Soler, Jose Luis, MD

Specialty: Internal Medicine

(813) 654-7005

770 W. Dr. M. L. King Blvd

Seffner, FL 33584

St Petersburg

Hiltz, Derek J, DO

Specialty: General Practice

(727) 343-6119

508 Pasadena Ave South

St Petersburg, FL 33707

Lloyd, Bonnie Watson, DO

Specialty: Family Practice

(727) 345-1332

7655 38th Ave North

St Petersburg, FL 33710

St. Petersburg

Kern, John E., DO

Specialty: General Practice

(727) 347-8132

5838 9th Avenue North

St. Petersburg, FL 33710

Tampa

Bermudez, Mauricio, MD

Specialty: Family Practice

(813) 871-2717

2727 West Dr MLK Jr Blvd, Suite 850

Tampa, FL 33607

Chandra, Sumesh, MD

Specialty: Endocrinology, Diabetes & Metabolism

(813) 977-5557

3000 E. Fletcher Ave, Suite 350

Tampa, FL 33613

Fana-Souchet, Cruz Martina, MD

Specialty: Infectious Disease

(813) 514-8338

7524 North Himes Ave

Tampa, FL 33614

Florida

Tampa

Gadea, Jorge A., DO

Specialty: Internal Medicine

(813) 844-1485

2501 W. Kennedy Boulevard

Tampa, FL 33609

Helms, Stuart D, MD

Specialty: Internal Medicine

(813) 792-9541

10909 W. LINEBAUGH, SUITE 100

TAMPA, FL 33626-1741

Kumbkarni, Anjum, MD

Specialty: Internal Medicine

(813) 792-9541

10909 W. LINEBAUGH, SUITE 100

TAMPA, FL 33626-1741

Ocampo, Emma C. Bautista, MD

Specialty: Internal Medicine

(803) 236-5384

5802 North 30th Street

Tampa, FL 33610

Ocana, Antonio L, MD

Specialty: Family Practice

(813) 968-8314

6529 Gunn Highway

Tampa, FL 33625

Ramiro, Lucila E., MD

Specialty: Internal Medicine

(813) 844-1485

2501 W. Kennedy Boulevard

Tampa, FL 33609

Santayana, Ricardo, MD

Specialty: Internal Medicine

(813) 932-7303

3201 W. Waters Avenue, Suite B

Tampa, FL 33614

Florida

Tampa

Warner, Elizabeth A., MD

Specialty: Internal Medicine

(803) 236-5384

5802 North 30th Street

Tampa, FL 33610

White, Deborah Susan, MD

Specialty: Internal Medicine

(813) 792-9541

10909 W. LINEBAUGH, SUITE 100

TAMPA, FL 33626-1741

Zuber, Amy J, DO

Specialty: Internal Medicine

(813) 792-9541

10909 W. LINEBAUGH, SUITE 100

TAMPA, FL 33626-1741

Tarpon Springs

Lowe, Dolores K, MD

Specialty: Family Practice

(727) 935-0200

Manatee Village Shopping Center, 713 South Pinellas Ave., Suite A-1

Tarpon Springs, FL 34689-3709

The Villages

Apostol, Jesus M, MD

Specialty: Internal Medicine

(352) 750-2108

1400 US HWY 441 North #930

The Villages, FL 32159

Martinez-Cruz, Bayoan D, MD

Specialty: Internal Medicine

(352) 753-1727

8485 SE 165 Mulberyy Lane

The Villages, FL 32162

Purohit, Nilkhanth B, MD

Specialty: Family Practice

(352) 751-5514

910 Old Camp Rd, Suite 192,194

The Villages, FL 32162

Winter Haven

Page 30 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Florida

Winter Haven

Arbolaez, Fidel, MD

Specialty: Family Practice

(863) 297-5801

2090 Havendale Blvd.

Winter Haven, FL 33881

Georgia

Adairsville

Sullivan, Robert E., MD

Specialty: Family Practice

(770) 877-3880

14-A Legacy Way

Adairsville, GA 30103

Alpharetta

Patil, Dharmaraj H., MD

Specialty: Internal Medicine

(770) 777-0750

11379 Southbridge Pkwy., Suite A

Alpharetta, GA 30022

Armuchee

Hampton, Frank L, MD

Specialty: Family Practice

(706) 235-1156

5470 Martha Berry Highway

Armuchee, GA 30105

Smith, Robert Whitthorn, MD

Specialty: Family Practice

(706) 235-1156

5470 Martha Berry Highway

Armuchee, GA 30105

Atlanta

Clark, Teresa, MD

Specialty: Internal Medicine

(404) 351-3974

2045 Peachtree Road N.E., Suite 400

Atlanta, GA 30309

Georgia

Atlanta

El-Kebbi, Imad, MD

Specialty: Endocrinology, Diabetes & Metabolism

(404) 367-3210

105 Collier Road, N.W., STE 5020

Atlanta, GA 30309

Fasy, Elizabeth, MD

Specialty: Endocrinology, Diabetes & Metabolism

(404) 367-3210

105 Collier Road, N.W., STE 5020

Atlanta, GA 30309

Goodman, Daniel S., MD

Specialty: Internal Medicine

(770) 455-7082

4553 N. Shallowford Rd., #30 B

Atlanta, GA 30318

Augusta

Boone, Daniel H., MD

Specialty: Critical Care Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

McElroy, Christopher S., MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

Sanders, Margaret P., MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

Tarpley, Barry T., MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

Georgia

Augusta

Thompson, Mary Luella Martin, MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

Ujjin, Ruj, MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

West, Robert W., MD

Specialty: Internal Medicine

(706) 396-7510

465 North Belair Road, Suite 2-B

Augusta, GA 30809

Blairrsville

Wiles, Mary Beth Beth, MD

Specialty: Internal Medicine

(706) 745-5541

Post Office Box 1000

Blairrsville, GA 30514

Buford

Khodakaram, Mohsen, MD

Specialty: Internal Medicine

(770) 945-4800

2033 Buford hwy., Ste. 109

Buford, GA 30518

Schutte, Margaret L., MD

Specialty: Family Practice

(770) 848-5200

4445 South Lee Street

Buford, GA 30518

Calhoun

Howard, Ken, MD

Specialty: Family Practice

(706) 629-9507

1060 Redbud Road

Calhoun, GA 30701

Page 31 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Calhoun

Self, Thomas Allen, MD

Specialty: Family Practice

(706) 629-9507

1060 Redbud Road

Calhoun, GA 30701

Cartersville

Fields, Jayson W., MD

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Hanley, Alan Jamison, MD

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Hittel, Glenn Paul, MD

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Raymond, Kate, DO

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Secrest, Desha Lynn, MD

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Sward, Chris, MD

Specialty: Family Practice

(770) 382-2580

150 Gentilly Blvd.

Cartersville, GA 30120

Georgia

Cartersville

Sward, Lisa, MD

Specialty: Family Practice

(770) 387-9831

150 Gentilly Blvd., Second Floor

Cartersville, GA 30120

Cedartown

Doss, Basem, MD

Specialty: Internal Medicine

(770) 749-9600

14 Cherokee Rd.

Cedartown, GA 30125

Pryor, Heather A., MD

Specialty: Family Practice

(770) 749-9600

14 Cherokee Road

Cedartown, GA 30125

Pyle, Robert, MD

Specialty: Family Practice

(770) 749-9600

14 Cherokee Rd.

Cedartown, GA 30125

Robinson, Todd Hunter, MD

Specialty: Family Practice

(770) 749-9600

14 Cherokee Road

Cedartown, GA 30125

Cleveland

Murphey, James D, MD

Specialty: Internal Medicine

(706) 865-1234

1331 Helen Highway

Cleveland, GA 30528

Newton, Wylie Edward, MD

Specialty: Family Practice

(706) 865-1234

1331 Helen Highway

Cleveland, GA 30528

Columbus

Georgia

Columbus

Alvarez, Ricardo, MD

Specialty: Endocrinology, Diabetes & Metabolism

(706) 322-1700

2425 Brookstone Centre Parkway

Columbus, GA 31904

Carroll, Henry Banks, MD

Specialty: Family Practice

(706) 322-0304

3934 Woodruff Rd.

Columbus, GA 31904

Chipman, Charles Dean, MD

Specialty: Internal Medicine

(706) 321-2585

1900 10th Avenue, Suite 211

Columbus, GA 31901

Harris, Harvey A, MD

Specialty: Internal Medicine

(706) 321-2585

1900 10th Avenue, Suite 211

Columbus, GA 31901

Leichter, Steven B., MD

Specialty: Endocrinology, Diabetes & Metabolism

(706) 322-1700

2425 Brookstone Centre Parkway

Columbus, GA 31904

Parker, Gregory A, MD

Specialty: Family Practice

(706) 322-0304

3934 Woodruff Rd.

Columbus, GA 31904

Robinson, Phillip L., MD

Specialty: Family Practice

(706) 321-2555

106 Enterprise Court, Ste. A

Columbus, GA 31904

Shannon, George W, MD

Specialty: Family Practice

(706) 321-2555

106 Enterprise Court, Ste. A

Columbus, GA 31904

Page 32 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Columbus

Sims, Michael, MD

Specialty: Family Practice

(706) 322-0304

3934 Woodruff Rd.

Columbus, GA 31904

Whitten, William Allen, MD

Specialty: Family Practice

(706) 322-0304

3934 Woodruff Rd.

Columbus, GA 31904

Williams, Lawrence H., MD

Specialty: Internal Medicine

(706) 322-0304

3934 Woodruff Rd.

Columbus, GA 31904

Woessner, Derek, MD

Specialty: Family Practice

1800 10th Avenue

Columbus, GA 31820

Wommack, Christopher T, MD

Specialty: Family Practice

(706) 321-2555

106 Enterprise Court, Ste. A

Columbus, GA 31904

Covington

Blanchford, Christy, MD

Specialty: Internal Medicine

(770) 787-4700

1181 Hospital Drive, Suite 401

Covington, GA 30014-2565

Ehret, John R, MD

Specialty: Internal Medicine

(770) 787-4700

4181 Hospital Drive, NE, Suite 401

Covington, GA 30014

Gibson, Carter E, MD

Specialty: Internal Medicine

(770) 787-4700

4181 Hospital Drive, NE, Suite 401

Covington, GA 30014

Georgia

Covington

Kirkland, Bryan Thomas, MD

Specialty: Internal Medicine

(770) 787-6900

6175 Newton Drive

Covington, GA 30014

Little, Jr., William Norris, MD

Specialty: Internal Medicine

(770) 787-6900

6175 Newton Drive

Covington, GA 30014

Park, George Timothy, MD

Specialty: Internal Medicine

(770) 787-6900

6175 Newton Drive

Covington, GA 30014

Patton, Henry M., MD

Specialty: Internal Medicine

(770) 787-6900

6175 Newton Drive

Covington, GA 30014

Ross, Deanna Yolanda, MD

Specialty: Internal Medicine

(770) 787-4700

4181 Hospital Drive, NE, Suite 401

Covington, GA 30014

Stillerman, James D., MD

Specialty: Internal Medicine

(770) 787-4700

1181 Hospital Drive, Suite 401

Covington, GA 30014-2565

Cumming

Korte, Ulrike M., MD

Specialty: Internal Medicine

(770) 667-3120

610 Peachtree Pkwy.

Cumming, GA 30041

Georgia

Cumming

Smith, Janice J., MD

Specialty: Family Practice

(770) 886-7135

2825 Keith Bridge Rd.

Cumming, GA 30041

Trapnell, Kevin, MD

Specialty: Family Practice

(770) 844-7494

2825 Keith Bridge Rd., Ste. 100

Cumming, GA 30041

Dahlonega

Moers, Mark D., MD

Specialty: Family Practice

(706) 864-3323

95 Morrison Moore Pkwy W

Dahlonega, GA 30533

Dawsonville

Adams, Katia M, MD

Specialty: Family Practice

(706) 216-3238

45 Medical Center Dr

Dawsonville, GA 30534

Nieuwoudt, Ernst H., MD

Specialty: Family Practice

(706) 216-3238

45 Medical Center Dr

Dawsonville, GA 30534

Decatur

Harjee, Gulshan S., MD

Specialty: Internal Medicine

(770) 934-6832

2536 Lawrenceville Hwy.

Decatur, GA 30033

Duluth

Bobon, Benigno, MD

Specialty: Internal Medicine

(678) 597-3180

3505 Duluth Park Lane, Building 4, Ste 400

Duluth, GA 30096

Page 33 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Duluth

Maxa, Richard R., MD

Specialty: Internal Medicine

(678) 597-3180

3505 Duluth Park Lane, Building 4, Ste 400

Duluth, GA 30096

Voswinkel, Patrick, MD

Specialty: Family Practice

(678) 990-4828

10475 Medlock Bridge Road, Suite 815

Duluth, GA 30097

Dunwoody

Johary, Albert F., MD

Specialty: Internal Medicine

(770) 730-8908

1320 Center Drive

Dunwoody, GA 30336

Evans

Apostol, Christopher John, DO

Specialty: Family Practice

(706) 868-3100

465 N. Belair Rd. Suite 1B

Evans, GA 30809

Ikeler, Michael Raymond, MD

Specialty: Internal Medicine

(706) 868-3100

465 N. Belair Rd. Suite 1B

Evans, GA 30809

Jordan, Barry W., MD

Specialty: Family Practice

(706) 868-3100

465 N. Belair Rd. Suite 1B

Evans, GA 30809

Lamberts, Robert John, MD

Specialty: Internal Medicine

(706) 868-3100

465 N. Belair Rd. Suite 1B

Evans, GA 30809

Fayetteville

Georgia

Fayetteville

Bergere, Larry, MD

Specialty: Internal Medicine

(770) 716-7999

105 Carnegie Place, Suite 103

Fayetteville, GA 30214

Carr, Roger G., MD

Specialty: Internal Medicine

(770) 716-7999

105 Carnegie Place, Suite 103

Fayetteville, GA 30214

Goodjoin, Richard B., MD

Specialty: Internal Medicine

(770) 716-7999

105 Carnegie Place, Suite 103

Fayetteville, GA 30214

Harsch, John A., MD

Specialty: Internal Medicine

(770) 716-7999

105 Carnegie Place, Suite 103

Fayetteville, GA 30214

Osborne, William R., MD

Specialty: Internal Medicine

(770) 716-7999

105 Carnegie Place, Suite 103

Fayetteville, GA 30214

Flowery Branch

Cerny, Paul Q., MD

Specialty: Family Practice

(770) 965-9222

4919 Atlanta Highway

Flowery Branch, GA 30542

Kimball, Renee D., MD

Specialty: Family Practice

(770) 965-0847

4754 Martin Road

Flowery Branch, GA 30542

Georgia

Flowery Branch

Manekar, Jyoti Narsimharao, MD

Specialty: Family Practice

(770) 965-9222

4919 Atlanta Highway

Flowery Branch, GA 30542

Ritter, Angela D., MD

Specialty: Family Practice

(770) 965-0847

4754 Martin Road

Flowery Branch, GA 30542

Gainesville

Cain, Amanda, MD

Specialty: Family Practice

(770) 531-0530

950-B South Enota Drive Suite 200

Gainesville, GA 30501

Marler, Robert P, MD

Specialty: Internal Medicine

(770) 535-0191

725 Jesse Jewell Parkway, Suite 300

Gainesville, GA 30501

Toth, Lajos, MD

Specialty: Internal Medicine

(770) 535-0191

725 Jesse Jewell Parkway, Suite 300

Gainesville, GA 30501

Wagner, Christy, MD

Specialty: Family Practice

(770) 534-2800

1856-14 Thompson Bridge Rd.

Gainesville, GA 30501

Griffin

Crump, Mark A., MD

Specialty: Internal Medicine

(770) 228-5402

708 South 8th Street

Griffin, GA 30224

Hinesville

Page 34 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Hinesville

Bannout, Firas, MD

Specialty: Internal Medicine

(912) 877-6822

455 South Min Street, Suite 201

Hinesville, GA 31313

Hoschton

Jackson, James D, MD

Specialty: Family Practice

(770) 848-6140

5875 Thompson Mill Rd., Suite 200

Hoschton, GA 30548

Umana, Idopise E., MD

Specialty: Internal Medicine

(770) 848-6140

5875 Thompson Mill Rd., Suite 200

Hoschton, GA 30548

Jonesboro

Ayeni, Oluropo Alfred, MD

Specialty: Internal Medicine

(678) 289-8338

2759 Mt. Zion Pkwy, Ste. 3

Jonesboro, GA 30236

Kennesaw

Lloyd, Edward, MD

Specialty: Family Practice

(770) 422-1400

3825 Cherokee Street

Kennesaw, GA 30144

Rubin, Mitzi B., MD

Specialty: Family Practice

(770) 422-1400

3825 Cherokee Street

Kennesaw, GA 30144

Lawrenceville

Parikh, Amita Sanjay, MD

Specialty: Internal Medicine

(770) 822-4410

1695 Duluth Hwy., Suite A

Lawrenceville, GA 30043

Loganville

Georgia

Loganville

Groff, George S., MD

Specialty: Family Practice

(770) 554-4717

115 Lee Byrd Road

Loganville, GA 30052

Groff, Neil K., MD

Specialty: Family Practice

(770) 554-4717

115 Lee Byrd Road

Loganville, GA 30052

Munsey, Michael R., MD

Specialty: Family Practice

(770) 554-4717

115 Lee Byrd Road

Loganville, GA 30052

Marietta

Nadolne, Brian Keith, MD

Specialty: Family Practice

(770) 509-0017

1230 Johnson Ferry Place, Suite B-10

Marietta, GA 30068

O'Barr, Thomas B., MD

Specialty: Internal Medicine

(678) 797-6820

1810 White Circle, Suite 105

Marietta, GA 30066

Veliyath, Jay, MD

Specialty: Internal Medicine

(770) 971-0633

2790 Sandy Plains Road, Suite 302

Marietta, GA 30066

Videlefsky, Andrea S., MD

Specialty: Family Practice

(770) 952-1032

2520 Windy Hill Road, Suite 301

Marietta, GA 30067

McDonough

Georgia

McDonough

Anglyn, Derrell W., MD

Specialty: Family Practice

(770) 957-3922

55 Sims Street

McDonough, GA 30253

Monroe

Jani, Bhavin, MD

Specialty: Internal Medicine

(770) 207-1316

868 Michael Etchison Rd., Suite A

Monroe, GA 30655

Newnan

Hart, David C., MD

Specialty: Internal Medicine

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

McDonald, Andrew T., MD

Specialty: Internal Medicine

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

Moraitis, Evangelos J., MD

Specialty: Internal Medicine

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

Smith, James M., MD

Specialty: Internal Medicine

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

Theriot, Georgia, MD

Specialty: Family Practice

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

Page 35 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Newnan

Warren, Jr., James, MD

Specialty: Internal Medicine

(770) 251-5540

15 Cavender Street

Newnan, GA 30263

Oakwood

Flynn, Timothy R., MD

Specialty: Family Practice

(770) 503-1481

3931 Mundy Mill Road, Suite A

Oakwood, GA 30566

Gibbs, Marti R., MD

Specialty: Family Practice

(770) 534-6053

4222 Fairbanks Drive

Oakwood, GA 30566

Reisman, Andrew B., MD

Specialty: Family Practice

(770) 534-6053

4222 Fairbanks Drive

Oakwood, GA 30566

Pooler

Hightower, Richard Russell, MD

Specialty: Family Practice

(912) 303-3552

1000 Towne Center Blvd., Suite 701

Pooler, GA 31322-4063

Sliker, Russell L., MD

Specialty: Family Practice

(912) 303-3552

1000 Towne Center Blvd., Suite 701

Pooler, GA 31322-4063

Richmond Hill

Fischer, Gary H., MD

Specialty: Family Practice

(912) 303-3552

10055 Ford Avenue, Suite 5A

Richmond Hill, GA 31324

Georgia

Richmond Hill

Hoffman, Edward M., MD

Specialty: Internal Medicine

(912) 303-3552

10200 Ford Avenue, Suite 101

Richmond Hill, GA 31324

Holland, Wallace Earl, MD

Specialty: Internal Medicine

(912) 303-3552

10055 Ford Avenue, Suite 5A

Richmond Hill, GA 31324

Perry, Douglas A., MD

Specialty: Internal Medicine

(912) 303-3552

10200 Ford Avenue, Suite 101

Richmond Hill, GA 31324

Rincon

Lynn, Willert Howard, MD

Specialty: Family Practice

(912) 826-1220

802 Towne Park Dr

Rincon, GA 31326

Riverdale

Satcher, Douglas, MD

Specialty: Internal Medicine

(770) 907-0070

261 Medical Way, Suite A

Riverdale, GA 30274

Rome

Ammons, Katharine Marie, MD

Specialty: Internal Medicine

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Baker, Joseph Wiley, MD

Specialty: Internal Medicine

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Georgia

Rome

Connor, Timothy James, MD

Specialty: Family Practice

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Gonzalez, Raul Alberto, MD

Specialty: Internal Medicine

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Mansoura, Ahed, MD

Specialty: Endocrinology, Diabetes & Metabolism

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

O'neal, Fredrick Lee, MD

Specialty: Family Practice

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Reddy, Shalini Gavva, MD

Specialty: Family Practice

(706) 238-8088

1825 Martha Berry Blvd.

Rome, GA 30165

Singh, Amar Kumar, MD

Specialty: Internal Medicine

(706) 233-8593

550 Redmond Road

Rome, GA 30165

Singh, Poonam, MD

Specialty: Internal Medicine

(706) 233-8593

550 Redmond Road

Rome, GA 30165

Roswell

Page 36 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Roswell

Ferree, Suzanne J., MD

Specialty: Family Practice

(404) 446-3600

1357 Hembree Road

Roswell, GA 30076

Savannah

Bowen, Danielle Elaine, MD

Specialty: Physician Assistant

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Bradley, Paul S, MD

Specialty: Internal Medicine

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Corse, Steven K, MD

Specialty: Internal Medicine

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Cortes, Julio P.f., MD

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Delnostro, David James, MD

Specialty: Family Practice

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Dulamal, Harresh B., MD

Specialty: Family Practice

(912) 527-7211

9 Chatham Center South, Suite C

Savannah, GA 31405

Georgia

Savannah

Gaskin, David J, MD

Specialty: Internal Medicine

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Geffen, Theodore, MD

Specialty: Family Practice

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Grant, Robert Wilson, MD

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Griffin, Joe Kenneth, MD

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Mccourt, Mary, NP

Specialty: Nurse Practitioner

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Moriarity, Thomas George, DO

Specialty: Family Practice

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Murphy, Troy Andrew, DO

Specialty: Family Practice

(912) 527-7211

9 Chatham Center South, Suite C

Savannah, GA 31405

Georgia

Savannah

Oldfield, Christopher John, MD

Specialty: Family Practice

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Parrish, Carol A, FNP

Specialty: Nurse Practitioner

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Patel, Bhavesh kumar Ghanshyambhai, MD

Specialty: Internal Medicine

(912) 527-5100

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Remler, Robert Bruce, MD

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Sauers, David Edward, DO

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Smith, Kristina Marie, MD

Specialty: Nurse Practitioner

(912) 443-4226

340 Eisenhower Drive, Suite 1200

Savannah, GA 31406

Thong, Hiem, MD

Specialty: Internal Medicine

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Page 37 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Georgia

Savannah

Updegraff, Kristen A., MD

Specialty: Family Practice

(912) 527-7211

9 Chatham Center South, Suite C

Savannah, GA 31405

Victor III, Jules, MD

Specialty: Internal Medicine

(912) 527-5100

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Watson, Benjamin Luther, MD

Specialty: Internal Medicine

(912) 527-5100

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Weeks, Robert Lavon, MD

Specialty: Family Practice

(912) 303-3552

1326 Eisenhower Drive, Bldg. 2

Savannah, GA 31406

Snellville

Ghayouri, Sarah K., MD

Specialty: Internal Medicine

(770) 979-1544

1800 Tree Lane Rd., Suite 290A

Snellville, GA 30078

Statesboro

Davis, Angela Marie, MD

Specialty: Family Practice

(912) 489-4090

23702 US Hwy 80 E

Statesboro, GA 30461

Riley, Thaddeus H, MD

Specialty: Family Practice

(912) 489-4090

23702 US Hwy 80 E

Statesboro, GA 30461

Stone Mountain

Georgia

Stone Mountain

Crenshaw, Martha H., MD

Specialty: Family Practice

(770) 469-7000

1805 Parke Plaza Circle, Suite 101

Stone Mountain, GA 30087

Huggins, Sarah Catherine, MD

Specialty: Family Practice

(770) 469-7000

1805 Parke Plaza Circle, Suite 101

Stone Mountain, GA 30087

Thomson

Sheppard, James Christopher, MD

Specialty: Internal Medicine

(706) 595-1090

315 Fluker Street

Thomson, GA 30824

Wiley, Daryl Carson, MD

Specialty: Family Practice

(706) 595-1090

315 Fluker Street

Thomson, GA 30824

Toccoa

Coan, Marc, MD

Specialty: Internal Medicine

(706) 886-6819

58 Big A Road

Toccoa, GA 30577

Yates, T. Davids, MD

Specialty: Internal Medicine

(706) 886-6819

58 Big A Road

Toccoa, GA 30577

Illinois

Alton

Green, Christopher R., MD

Specialty: Internal Medicine

(618) 474-1723

Two Memorial Drive, Suite 220

Alton, IL 62002

Illinois

Alton

Kuebrich, Christopher, MD

Specialty: Emergency Medicine

(618) 465-7080

230 Regional Drive

Alton, IL 62002

Stabell, Kristen M, MD

Specialty: Internal Medicine

(618) 463-8590

1 Professional Drive

Alton, IL 62002

Wuellner, John C., MD

Specialty: Internal Medicine

(618) 474-1723

Two Memorial Drive, Suite 220

Alton, IL 62002

Arlington Heights

Balagani, Radha Krishna, MD

Specialty: Family Practice

(847) 795-3969

825 E. Golf Rd.

Arlington Heights, IL 60005

Hartl, Erica E, MD

Specialty: Family Practice

(847) 795-3969

825 E. Golf Rd.

Arlington Heights, IL 60005

Hoeper, Eric Nathaniel, MD

Specialty: Family Practice

(847) 795-3969

825 E. Golf Rd.

Arlington Heights, IL 60005

March, Anthony Thomas, DO

Specialty: Family Practice

(847) 795-3969

825 E. Golf Rd.

Arlington Heights, IL 60005

Barlett

Page 38 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Barlett

Fredericks, Jennifer S, MD

Specialty: Family Practice

(630) 315-1754

820 Route 59, Suite A

Barlett, IL 60103

Stavig, Rolf R, MD

Specialty: Family Practice

(630) 315-1754

820 Route 59, Suite A

Barlett, IL 60103

Vaikutis, John P, DO

Specialty: Family Practice

(630) 315-1754

820 Route 59, Suite A

Barlett, IL 60103

Bloomingdale

McGraw, Michael J, MD

Specialty: Family Practice

(630) 924-4009

245 South Gary Ave, Lower Level

Bloomingdale, IL 60108

Bloomington

Duncan, Eric, MD

Specialty: Internal Medicine

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Galue, Gustavo, MD

Specialty: Internal Medicine

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Ginnetti, Richard A., MD

Specialty: Family Practice

(309) 663-5050

308 St. Joseph Drive

Bloomington, IL 61701

Illinois

Bloomington

Halperin, Ira L., DO

Specialty: Internal Medicine

(309) 662-5361

302 St. Joseph Drive

Bloomington, IL 61701

Jani, Jaydev Yashwant, MD

Specialty: Family Practice

(309) 662-5361

302 St. Joseph Drive

Bloomington, IL 61701

Kantamneni, Anuradha, MD

Specialty: Internal Medicine

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Kneezel, Lawrence, MD

Specialty: Internal Medicine

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Lamb, Catherine R., MD

Specialty: Internal Medicine

(309) 662-5361

302 St. Joseph Drive

Bloomington, IL 61701

Marley, Daniel, MD

Specialty: General Practice

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Mehta, Shilpa I, MD

Specialty: Family Practice

(309) 661-2400

1405 Eastland Drive

Bloomington, IL 61701

Neil, William, MD

Specialty: Family Practice

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Illinois

Bloomington

Nord, Paul F., MD

Specialty: Obstetrics & Gynecology

(309) 663-5050

308 St. Joseph Drive

Bloomington, IL 61701

Osborne, Chad, MD

Specialty: Family Practice

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Spaniol, Jack P., MD

Specialty: Family Practice

(309) 663-5050

308 St. Joseph Drive

Bloomington, IL 61701

Wemlinger, Lori, MD

Specialty: Internal Medicine

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Woods, Michael, MD

Specialty: Family Practice

(309) 664-3001

1701 E. College Avenue

Bloomington, IL 61704

Bourbonnais

Settecase, Michael David, DO

Specialty: Family Practice

595 William Latham Drive

Bourbonnais, IL 60914

Williams, Donna C, DO

Specialty: Family Practice

595 William Latham Drive

Bourbonnais, IL 60914

Buffalo Grove

George, Regeni, MD

Specialty: Family Practice

214 Mc Henry Rd.

Buffalo Grove, IL 60089

Page 39 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Buffalo Grove

Mcgrath, Megan G, MD

Specialty: Family Practice

214 Mc Henry Rd.

Buffalo Grove, IL 60089

Burbank

Chiplunkar, Sheba, MD

Specialty: Internal Medicine

(708) 499-1545

4901 W. 79th St.

Burbank, IL 60459

Crudup, Carlos, MD

Specialty: Family Practice

(708) 499-1545

4901 W. 79th St.

Burbank, IL 60459

Diipla, Joyce K, MD

Specialty: Family Practice

4901 W. 79th St.

Burbank, IL 60459

Carol Stream

Bayer, William, MD

Specialty: Endocrinology, Diabetes & Metabolism

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Campano, Lee, MD

Specialty: Internal Medicine

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Clancy, John, DO

Specialty: Internal Medicine

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Heng, Joaquin, MD

Specialty: Internal Medicine

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Illinois

Carol Stream

Ignatius, Susan, MD

Specialty: Internal Medicine

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Miele, Angelo, MD

Specialty: Internal Medicine

(630) 668-3210

517 Thornhill Drive

Carol Stream, IL 60188

Chicago

Aboughannam, Necholas, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Arana, Enrique A., MD

Specialty: Family Practice

(847) 795-3969

4025 N. Western Ave.

Chicago, IL 60618

Bibbs, Diana-marie F, MD

Specialty: Family Practice

(847) 795-3969

1460 N. Halsted Suite 401

Chicago, IL 60622

Byas, Robia, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Cano, Mariela, MD

Specialty: Family Practice

4600 N. Ravenswood Ave.

Chicago, IL 60657

Casaclang, Brian, DO

Specialty: Family Practice

(847) 795-3969

1460 N. Halsted Suite 401

Chicago, IL 60622

Illinois

Chicago

Chacko, Emily, MD

Specialty: Internal Medicine

2511 N. Kedzie

Chicago, IL 60647

Chicos, Diana Atena, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Choksi Yalamanchili, Hiral A, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Clay, Jill D, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Crotteau, Charles Anthony, MD

Specialty: Family Practice

4600 N. Ravenswood Ave.

Chicago, IL 60657

Currie, Evelyn Frances taylor, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Currie, Laverne, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Czajkowski, George, MD

Specialty: Internal Medicine

4025 N. Western Ave.

Chicago, IL 60618

Page 40 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Chicago

Dave, Nayana, MD

Specialty: Internal Medicine

(773) 836-3000

6434 W. North Ave.

Chicago, IL 60707

Elizondo, Jose Francisco, MD

Specialty: Family Practice

4600 N. Ravenswood Ave.

Chicago, IL 60657

Ema, Linus, DO

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Fabros-munez, Desiree, MD

Specialty: Internal Medicine

4025 N. Western Ave.

Chicago, IL 60618

Fassari, Maria Laura, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Flores, Esperanza, MD

Specialty: Family Practice

(847) 795-3969

4025 N. Western Ave.

Chicago, IL 60618

Ha, Juhyun, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Hampton, Tony Anthony, MD

Specialty: Family Practice

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Illinois

Chicago

Harris, Michelle, MD

Specialty: Internal Medicine

(773) 836-3000

6434 W. North Ave.

Chicago, IL 60707

Hayes-sharpley, Carol, MD

Specialty: Family Practice

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Honasoge, Ananth, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Ignacio, Maria, MD

Specialty: Internal Medicine

4025 N. Western Ave.

Chicago, IL 60618

Jones, Forrest, MD

Specialty: Family Practice

(847) 795-3969

2301 E. 93rd St.

Chicago, IL 60617

Kandula, Aruna, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Kelsey, John, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Kowalski, Danuta, MD

Specialty: Internal Medicine

4025 N. Western Ave.

Chicago, IL 60618

Illinois

Chicago

Lasi-siddiqi, Shehla, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Law, Judy, MD

Specialty: Internal Medicine

(773) 836-3000

6434 W. North Ave.

Chicago, IL 60707

Lee, Sue, MD

Specialty: Internal Medicine

4211 N. Cicero Ave., Ste. 308

Chicago, IL 60641

Lepkowski, Joanna, MD

Specialty: Family Practice

(847) 795-3969

4211 N. Cicero Ave. Suite 308

Chicago, IL 60641

Manaparambil, Sheela, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Moaddab, Golbarg, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Mosaly, Nilima Reddy, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Natanawan, Emerito, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Page 41 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Chicago

Omerovic, Azra, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Osman, Ishrat, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Pamintuan, Rodolfo, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Patel, Pankaj, MD

Specialty: Internal Medicine

(773) 836-3000

6434 W. North Ave.

Chicago, IL 60707

Pokharna, Mandakini, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Pulido, Maria, MD

Specialty: Family Practice

(773) 292-2700

2511 N. Kedzie

Chicago, IL 60647

Reed, William Rutherford, MD

Specialty: Internal Medicine

1460 N. Halsted Suite 401

Chicago, IL 60622

Ruestow, Paul, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Illinois

Chicago

Samee, Mohammed Abdus, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Sanchez, Francisco Jose, MD

Specialty: Family Practice

(773) 292-2700

2511 N. Kedzie

Chicago, IL 60647

Sayef, Nanzeen, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Senseng, Daniel Mendoza, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Sethi, Romi, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Shah, Ali, MD

Specialty: Internal Medicine

4025 N. Western Ave.

Chicago, IL 60618

Shah, Leena, MD

Specialty: Internal Medicine

(773) 836-3000

6434 W. North Ave.

Chicago, IL 60707

Shah, Mahesh, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Illinois

Chicago

Solis, Ana, DO

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Sreerama, Shantala, MD

Specialty: Internal Medicine

(847) 795-3969

9831 S. Western Ave.

Chicago, IL 60643

Taylor, Karen Elizabeth, MD

Specialty: Family Practice

(847) 795-3969

2301 E. 93rd St.

Chicago, IL 60617

Taylor, Prentiss B, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Taylor, Prentiss B, MD

Specialty: Internal Medicine

2301 E. 93rd St.

Chicago, IL 60617

Thomas, Frances, MD

Specialty: Internal Medicine

1460 N. Halsted Suite 401

Chicago, IL 60622

Vielgo, Arnulfo, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

White, Alisha Allen, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Page 42 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Chicago

Wolf, Steven, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Yashina, Valeria, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Yeturu, Mangala, MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Yeturu, Sudhakar R., MD

Specialty: Internal Medicine

(773) 238-0800

1357 W.103rd Street

Chicago, IL 60643

Yisak, Solomon, MD

Specialty: Internal Medicine

(312) 842-7117

2345 S. King Dr.

Chicago, IL 60616

Chillicothe

Angleton, Paul M., MD

Specialty: Family Practice

(309) 673-6464

319 Fourth Street

Chillicothe, IL 61523

Riech, R. Ryan, MD

Specialty: Internal Medicine

(309) 673-6464

319 Fourth Street

Chillicothe, IL 61523

Clinton

Illinois

Clinton

Clay, Laura, DO

Specialty: Family Practice

(217) 935-5022

1231 Kleemann Drive

Clinton, IL 61727

CREST HILL

Walsh, Jean L, DO

Specialty: Family Practice

16151 WEBER ROAD

CREST HILL, IL 60403

Decatur

Ellis, Douglas R., MD

Specialty: Family Practice

(217) 876-8270

Rock Springs Family Medical Center, 330 N. Wyckles Road

Decatur, IL 62522

McCormack, Anthony T., MD

Specialty: Family Practice

(217) 428-1480

South Shores Medical Center, 550 Southland Drive, Suite 1

Decatur, IL 62521

Forsyth

Miller, Timothy A, MD

Specialty: Family Practice

(217) 876-5220

Forsyth Medical Centre, 241 W. Weaver Road, Suite 145B

Forsyth, IL 62535

Newcome, Kristin K, MD

Specialty: Family Practice

(217) 876-5250

Forsyth Medical Center, 241 W. Weaver Road, Suite 145D

Forsyth, IL 62535

Yocks, Brian C, MD

Specialty: Family Practice

241 W Weaver Road, Suite 145A

Forsyth, IL 62535

Frankfort

Illinois

Frankfort

Dixit, Sachin Narendra, MD

Specialty: Family Practice

(847) 795-3969

328 N. LaGrange Rd.

Frankfort, IL 60423

Echols-simpson, Alexandria, MD

Specialty: Family Practice

(847) 795-3969

328 N. LaGrange Rd.

Frankfort, IL 60423

Galena

Bernard, Gary O., DO

Specialty: Family Practice

(815) 777-0900

10988 Bartell Blvd.

Galena, IL 61036

Crist, G. Allen, DO

Specialty: Family Practice

(815) 777-0900

10988 Bartell Blvd.

Galena, IL 61036

Koenigs, Mary C., MD

Specialty: Family Practice

(815) 777-0900

10988 Bartell Blvd.

Galena, IL 61036

Vandigo, Gregory A., MD

Specialty: Family Practice

(815) 777-0900

10988 Bartell Blvd.

Galena, IL 61036

Galesburg

Baumgardner, Christine A., MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Page 43 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Galesburg

Flacco, Richard M., MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Flacco-Nesselroad, Valerie, MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Grady, Clyde M., MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Leonard, Ronald, MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Maere, Janine M., MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Sloan, R. Douglas, MD

Specialty: Family Practice

(309) 343-5114

3375 North Seminary Street

Galesburg, IL 61401

Glenview

Babbo, Angelo Joseph, MD

Specialty: Family Practice

1255 Milwaukee Ave.

Glenview, IL 60025

Chin, Seong, MD

Specialty: Geriatric Medicine/Family Practice

1255 Milwaukee Ave.

Glenview, IL 60025

Illinois

Glenview

Novotny, Nancy R, MD

Specialty: Internal Medicine

1255 Milwaukee Ave.

Glenview, IL 60025

Vergara, Esther F., MD

Specialty: Family Practice

1255 Milwaukee Ave.

Glenview, IL 60025

Gurnee

Bamrolia, Shilpa, MD

Specialty: Internal Medicine

(847) 623-3200

45 Tower Court, Suite C

Gurnee, IL 60031

Monahan, James P, MD

Specialty: Internal Medicine

(847) 623-3200

45 Tower Court, Suite C

Gurnee, IL 60031

Hometown

Bennett, Stephen Gerald, MD

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Chandran, Sangili, MD

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Gandhi, Rujuta R, MD

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Nickoloff, Stacey Nicole, DO

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Illinois

Hometown

Smith, Roxanne E, MD

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Townsend-scott, Kimberly Arlene, MD

Specialty: Family Practice

4140 Southwest Highway

Hometown, IL 60456

Hopedale

Caffery, Dennis R., MD

Specialty: Family Practice

(309) 449-3336

143 Ford Avenue

Hopedale, IL 61747

Joliet

Cataldo, Steven, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Drancik, Jennifer R., MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Mathew, Liji, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Pittman, David, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Page 44 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Joliet

Sarcu, Mony, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Schubert, Robert S., MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Serna, Philip, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Vajaria, Punit, MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Viswanathan, Vairavan R., MD

Specialty: Internal Medicine

(815) 725-2121

2100 Glenwood Avenue

Joliet, IL 60435

Libertyville

Bincy, Abraham, MD

Specialty: Family Practice

(847) 795-3969

716 South Milwaukee Avenue

Libertyville, IL 60048

Colodny, Charles S, MD

Specialty: Family Practice

(847) 795-3969

716 South Milwaukee Avenue

Libertyville, IL 60048

Illinois

Libertyville

Yoo, Sandra Tsai, MD

Specialty: Family Practice

(847) 795-3969

716 South Milwaukee Avenue

Libertyville, IL 60048

Mattoon

Deters, Gregory, MD

Specialty: Family Practice

200 Richmond Avenue East

Mattoon, IL 61938

Joag, Kiran, MD

Specialty: Internal Medicine

200 Richmond Ave. East

Mattoon, IL 61938

Mikel, Gary, MD

Specialty: Family Practice

200 Richmond Ave. East

Mattoon, IL 61938

Millstadt

Samson, Carla E., MD

Specialty: Family Practice

(618) 476-3373

60 Regency Place

Millstadt, IL 62260

Moline

Cabrera, Jasmin R, MD

Specialty: Family Practice

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Frank hanssen, Melissa Ann, NP

Specialty: Nurse Practitioner

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Illinois

Moline

Kurani, Ilesh A., MD

Specialty: Family Practice

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Lensing, Marilyn A., MD

Specialty: Family Practice

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Nwumeh, Emmanuel C., MD

Specialty: Family Practice

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Palmer, Melissa, PA

Specialty: Physician Assistant

(309) 765-1600

4101 John Deere Road

Moline, IL 61265

Morton

Martin-Del-Campo, Henry, MD

Specialty: Family Practice

(309) 263-2424

435 Maxine Drive

Morton, IL 61550

Pancholi, Sanjay S., MD

Specialty: Internal Medicine

(309) 263-2424

435 Maxine Drive

Morton, IL 61550

Naperville

Abraham, Alin K., MD

Specialty: Pediatrics

(630) 315-1754

636 Raymond Drive, Suite 200

Naperville, IL 60563

Page 45 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Naperville

Lengemann, James A, MD

Specialty: Internal Medicine

120 SPALDING DRIVE, SUITE 310

NAPERVILLE, IL 60540

Schriedel, Adam Thomas, MD

Specialty: Internal Medicine

120 SPALDING DRIVE, SUITE 310

NAPERVILLE, IL 60540

Tran, Douglas, MD

Specialty: Internal Medicine

2007 95TH STREET, SUITE 112

NAPERVILLE, IL 60564-8459

Normal

Carrington, Scott L., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Jani, Jyotir H., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Liu, Joseph H., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Madugula, Madhavi, MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Powers, Regina M., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Illinois

Normal

Sheppard, Susan J., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Tran, John T., MD

Specialty: Family Practice

(309) 661-6290

2200 Ft. Jesse Road, Suite 110

Normal, IL 61761

Oak Lawn

Calero, Eleazar E, MD

Specialty: Internal Medicine

4712 W. 103rd Street

Oak Lawn, IL 60453

Hasan, Farah Akhtar, MD

Specialty: Endocrinology, Diabetes & Metabolism

(847) 795-3969

4440 W. 95th Street

Oak Lawn, IL 60453

Hicks, Sarah Marie, MD

Specialty: Internal Medicine

4440 W. 95th Street

Oak Lawn, IL 60453

Hill, Aunita Marie, MD

Specialty: Internal Medicine

4440 W. 95th Street

Oak Lawn, IL 60453

Kazi, Mohammed, MD

Specialty: Endocrinology

(847) 795-3969

4440 W. 95th Street

Oak Lawn, IL 60453

Sanghani, Roshani Neeraj, MD

Specialty: Internal Medicine

(847) 795-3969

4440 W. 95th Street

Oak Lawn, IL 60453

Illinois

Oak Lawn

Stavinga, Ronald, MD

Specialty: Internal Medicine

4440 W. 95th Street

Oak Lawn, IL 60453

Tai, Lee W, MD

Specialty: Internal Medicine

4440 W. 95th Street

Oak Lawn, IL 60453

Yasmeen, Tahira, MD

Specialty: Endocrinology, Diabetes & Metabolism

(847) 795-3969

4440 W. 95th Street

Oak Lawn, IL 60453

Olympia Fields

Berry, Jennette Latrese, MD

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Imlach, William, DO

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Martin, Allison, MD

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Payne, Jacqueline, DO

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Raghavendra, Sushma M., MD

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Thakadiyil, Anita Vacha, MD

Specialty: Family Practice

4001 Vollmer Road

Olympia Fields, IL 60461

Page 46 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Orland Park

Chan, Joseph, DO

Specialty: Internal Medicine

(847) 795-3969

29 Orland Square Dr.

Orland Park, IL 60462

Elahi, Taj, MD

Specialty: Internal Medicine

29 Orland Square Drive

Orland Park, IL 60462

Hein, Doris, MD

Specialty: Internal Medicine

29 Orland Square Drive

Orland Park, IL 60462

Montelpasse, Lisa Michele, MD

Specialty: Family Practice

9550 W. 167th St

Orland Park, IL 60467

Olmstead, David, MD

Specialty: Internal Medicine

29 Orland Square Drive

Orland Park, IL 60462

Scholl, Jolyne Noel, MD

Specialty: Family Practice

(847) 795-3969

29 Orland Square Dr.

Orland Park, IL 60462

Shah, Neilesh, MD

Specialty: Family Practice

9550 W. 167th St

Orland Park, IL 60467

Palos Hills

Chaudhry, Samina, MD

Specialty: Internal Medicine

(702) 425-9000

7620 West 111th St.

Palos Hills, IL 60465

Illinois

Palos Hills

Kaza, Chandrarekha, MD

Specialty: Internal Medicine

(702) 425-9000

7620 West 111th St.

Palos Hills, IL 60465

Macri, Andrew, DO

Specialty: Internal Medicine

(702) 425-9000

7620 West 111th St.

Palos Hills, IL 60465

Paris

Akerman, Michael Bert, MD

Specialty: General Practice

(217) 465-8411

727 East Court Street

Paris, IL 61944

Phipps, Leland A, MD

Specialty: Family Practice

(217) 465-8411

727 East Court Street

Paris, IL 61944

Sutton, Reid Edward, MD

Specialty: Internal Medicine

(217) 465-8411

727 East Court Street

Paris, IL 61944

Park Ridge

Alavi, Adil, MD

Specialty: Endocrinology

1775 Ballard

Park Ridge, IL 60608

Becker, Howard Stephen, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Conley, Mark H, DO

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Illinois

Park Ridge

December, Maribeth, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Domont, Lawrence A, MD

Specialty: Endocrinology, Diabetes & Metabolism

1775 Ballard

Park Ridge, IL 60608

Goldman, Stuart Lewis, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Gravdal, Judith Ann, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Gutman, Inna, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Holmes, Thomas G, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Kang, Evan Andrew, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Kirschner, Greg Kenneth, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Page 47 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Park Ridge

Lawlor, Mary, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Maciorowski, Helen, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Moss, Robert, MD

Specialty: Family Practice

1775 Ballard Rd.

Park Ridge, IL 60068

Moss, Robert, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

O'Meara, Robin Susan, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Oserman, Stuart, MD

Specialty: Geriatric Medicine/Family Practice

1775 Ballard Rd.

Park Ridge, IL 60068

Patton, Jill Ann, DO

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Perlow, Bruce Allen, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Illinois

Park Ridge

Perlow, Tamar, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Piper, Patrick Mcgovern, MD

Specialty: Family Practice

(847) 795-3969

1775 Ballard Rd.

Park Ridge, IL 60068

Rhoades, William D., DO

Specialty: Geriatric Medicine/Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Rubenstein, Brian N, MD

Specialty: Geriatric Medicine/Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Werner, Phillip Ladd, MD

Specialty: Endocrinology, Diabetes & Metabolism

1775 Ballard

Park Ridge, IL 60608

Zimmanck, Robert, MD

Specialty: Internal Medicine

1775 Ballard Rd.

Park Ridge, IL 60068

Peoria

Adams, James K., MD

Specialty: Internal Medicine

(309) 683-5050

8600 N. State Route 91, Suite 130

Peoria, IL 61615

Agarwal, Anita, MD

Specialty: Internal Medicine

(309) 683-8100

5111 N. Glen Park Place, Suite 220

Peoria, IL 61614

Illinois

Peoria

Agarwal, Naresh Kumar, MD

Specialty: Emergency Medicine

(309) 683-5050

8600 N. State Route 91, Suite 130

Peoria, IL 61615

Blain, Timothy A., MD

Specialty: Internal Medicine

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Cadet-Saintilus, Karen, MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Chavali, Malini, MD

Specialty: Internal Medicine

(309) 683-8100

5111 N. Glen Park Place, Suite 220

Peoria, IL 61614

Clementz, Gregory L., MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Gross, Henry R., MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Higgs, Craig Louis-albert, MD

Specialty: Internal Medicine

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Hincks, Kerry L., DO

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Page 48 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Peoria

Hippler, Stephen E., MD

Specialty: Internal Medicine

(309) 683-5050

8600 N. State Route 91, Suite 130

Peoria, IL 61615

McCrea, Randolph L., MD

Specialty: Internal Medicine

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Miller, Michael A., MD

Specialty: Internal Medicine

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Moskop, Gregory T, MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Mulcahey, Kathryn A., MD

Specialty: Internal Medicine

(309) 683-5050

8600 N. State Route 91, Suite 130

Peoria, IL 61615

Mungee, Megha, MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Nguyen, Kathy, MD

Specialty: General Practice

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Rodenberg, David A., MD

Specialty: Internal Medicine

(309) 683-8100

5111 N. Glen Park Place, Suite 220

Peoria, IL 61614

Illinois

Peoria

Salazar, Vivian W., MD

Specialty: Internal Medicine

(309) 683-5050

8600 N. State Route 91, Suite 130

Peoria, IL 61615

Sfeir, Hady, MD

Specialty: Endocrinology, Diabetes & Metabolism

(309) 683-8383

5105 Glen Park Place

Peoria, IL 61614

Shallat, John S., MD

Specialty: Internal Medicine

(309) 683-8100

5111 N. Glen Park Place, Suite 220

Peoria, IL 61614

Smith, Terry E., MD

Specialty: Pediatrics

(309) 683-5600

5114 N. Glen Park Place

Peoria, IL 61614

Vilatte, Alain W., MD

Specialty: Family Practice

(309) 683-5700

5111 N. Glen Park Place

Peoria, IL 61614

Plainfield

Khatua, Sanjeeb, MD

Specialty: Family Practice

15905 Frederick Street, Suite 105

Plainfield, IL 60585

Protaziuk, Lilia, MD

Specialty: Family Practice

15905 Frederick Street, Suite 105

Plainfield, IL 60585

Roanoke

Illinois

Roanoke

Stoeker, Brad, MD

Specialty: Family Practice

(309) 923-2661

401 N. Main Street

Roanoke, IL 61561

South Holland

Assefa, Girma, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Brown, Ericka, MD

Specialty: Family Practice

(847) 795-3969

100 W. 162nd Street

South Holland, IL 60473

Cruikshank, William, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Emory, Lakshmi, MD

Specialty: Family Practice

(847) 795-3969

100 W. 162nd Street

South Holland, IL 60473

Montalvo, Daniel, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Okafor, Lawrence, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Rogers, Cornelius, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Page 49 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

South Holland

Smith, Lolita, MD

Specialty: Internal Medicine

100 W. 162nd Street

South Holland, IL 60473

Springfield

Gupta, Smita, MD

Specialty: Internal Medicine

(217) 546-0166

701 N 1st, D405, PO Box 19636

Springfield, IL 62794-9636

Hazard, Kevin D., MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 528-7541

1025 South 6th St

Springfield, IL 62794

Hoelzer, David R., MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 528-7541

1025 South 6th St

Springfield, IL 62794

Khardori, Romesh K, MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 546-0166

701 N 1st, D405, PO Box 19636

Springfield, IL 62794-9636

Said, Sufyan, MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 528-7541

1025 South 6th St

Springfield, IL 62794

Speck, Lynn M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 528-7541

1025 South 6th St

Springfield, IL 62794

Wesly, Jadwiga M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(217) 528-7541

1025 South 6th St

Springfield, IL 62794

Illinois

Sullivan

Willett, Volney L, MD

Specialty: Family Practice

(217) 728-2042

1220 W. Jackson Street

Sullivan, IL 61951

Swansea

Mcdermott, Deborah, MD

Specialty: Internal Medicine

(618) 277-7500

4 Park Place

Swansea, IL 62226

Ringhofer, Robert Brad, MD

Specialty: Internal Medicine

(618) 277-7500

4 Park Place

Swansea, IL 62226

Tinley Park

Avwla, Sunitha R, MD

Specialty: Internal Medicine

18210 S. LaGrange Road, Suite 200

Tinley Park, IL 60487

Horan, Roseann M, MD

Specialty: Family Practice

18210 S. LaGrange Road, Suite 200

Tinley Park, IL 60487

Patel, Purvi Dhaval, MD

Specialty: Internal Medicine

18210 S. LaGrange Road, Suite 200

Tinley Park, IL 60487

Veldman, Marie A, DO

Specialty: Family Practice

18210 S. LaGrange Road, Suite 200

Tinley Park, IL 60487

Will, Karen F, DO

Specialty: Family Practice

18210 S. LaGrange Road, Suite 200

Tinley Park, IL 60487

Washington

Illinois

Washington

Boley, Charles K., MD

Specialty: General Practice

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Cutinello, Anthony J., MD

Specialty: Family Practice

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Gorman, Matthew J., DO

Specialty: Internal Medicine

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Lindahl, Larry S., MD

Specialty: Geriatric Medicine/Family Practice

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Miller, Rhett L., MD

Specialty: Internal Medicine

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Piers, Shawn E., MD

Specialty: Family Practice

(309) 886-4000

10 Saint Clare Ct., Suite 100

Washington, IL 61571

Wauconda

Kruckmeyer, Warren G, MD

Specialty: Family Practice

224 Brown St.

Wauconda, IL 60084

Wheaton

Page 50 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Illinois

Wheaton

Corcoran, Marie Ellen, DO

Specialty: Family Practice

(630) 315-1754

7 Blanchard Circle, Suite 200

Wheaton, IL 60187

Oswald, Laura A, DO

Specialty: Family Practice

(630) 315-1754

7 Blanchard Circle, Suite 200

Wheaton, IL 60187

Seymour, Jay J, MD

Specialty: Family Practice

(630) 315-1754

7 Blanchard Circle, Suite 200

Wheaton, IL 60187

Wheton

Ambler, Douglas A, MD

Specialty: Internal Medicine

(630) 653-0848

7 Blanchard Circle, Suite 206

Wheton, IL 60187

Piptone, Anthony J, DO

Specialty: Internal Medicine

(630) 653-0848

7 Blanchard Circle, Suite 206

Wheton, IL 60187

Towne, Patrick J, MD

Specialty: Internal Medicine

(630) 653-0848

7 Blanchard Circle, Suite 206

Wheton, IL 60187

Winfield

Birt, Maurice W, MD

Specialty: Family Practice

(630) 315-1754

25 North Winfield Road, Suite 500

Winfield, IL 60190

Illinois

Winfield

Carsten, James F, MD

Specialty: Family Practice

(630) 315-1754

25 North Winfield Road, Suite 500

Winfield, IL 60190

Derrick, Melody Joy, MD

Specialty: Family Practice

(630) 315-1754

25 North Winfield Road, Suite 500

Winfield, IL 60190

Grganto, David M, MD

Specialty: Family Practice

(630) 315-1754

25 North Winfield Road, Suite 500

Winfield, IL 60190

Indiana

Avon

Abernathy, Emily, MD

Specialty: Family Practice

(317) 272-7013

1115 N. Ronald Reagan Pkwy, #100

Avon, IN 46123

Beard, Karen L, MD

Specialty: Family Practice

(317) 272-4920

600 Westridge Office Park, 6845 E U.S. 36

Avon, IN 46123

Benson, Mark R., DO

Specialty: Family Practice

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Brahmamdam, Anantha Lakshmi, MD

Specialty: Internal Medicine

(317) 217-2600

1115 N Ronald Reagan Pkwy, Suite 318

Avon, IN 46123

Indiana

Avon

Cougill, Andrew M, MD

Specialty: Family Practice

(317) 272-7013

1115 N. Ronald Reagan Pkwy, #100

Avon, IN 46123

Fryman, David Lawrence, MD

Specialty: Family Practice

(317) 278-3200

1115 N. Ronald Reagan Parkway, Suite 141

Avon, IN 46123-7085

Hauger, Monica, NP

Specialty: Nurse Practitioner

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Ihlendorf, Jeffrey Richard, MD

Specialty: Internal Medicine

(317) 278-3200

1115 N. Ronald Reagan Parkway, Suite 141

Avon, IN 46123-7085

Johns, Karen D., MD

Specialty: Family Practice

(317) 272-7013

1115 N. Ronald Reagan Pkwy, #100

Avon, IN 46123

Lamb, Mark R., MD

Specialty: Family Practice

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Murray, Tracy P, MD

Specialty: Family Practice

(317) 278-3200

1115 N. Ronald Reagan Parkway, Suite 141

Avon, IN 46123-7085

Page 51 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Avon

Poe, Thaddaeus M., MD

Specialty: Family Practice

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Richeson, Coby T, MD

Specialty: Internal Medicine

(317) 278-3200

1115 N. Ronald Reagan Parkway, Suite 141

Avon, IN 46123-7085

Rogers, Charles P, MD

Specialty: Family Practice

(317) 272-4920

600 Westridge Office Park, 6845 E U.S. 36

Avon, IN 46123

Rumschlag, Judith A., MD

Specialty: Internal Medicine

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Schamerloh, Jennifer, MD

Specialty: Family Practice

(317) 272-7013

1115 N. Ronald Reagan Pkwy, #100

Avon, IN 46123

Schmoll, Mary, NP

Specialty: Nurse Practitioner

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Spurgin, Gregory A, MD

Specialty: Internal Medicine

(317) 217-2600

1115 N Ronald Reagan Pkwy, Suite 318

Avon, IN 46123

Indiana

Avon

Stegemoller, Ronald K., MD

Specialty: Family Practice

(317) 745-5403

5250 East U.S. 36, Suite 610

Avon, IN 46123

Trammell, Ludmila O, MD

Specialty: Family Practice

(317) 272-4920

600 Westridge Office Park, 6845 E U.S. 36

Avon, IN 46123

Brownsburg

Bain, David, MD

Specialty: Family Practice

(317) 852-3851

1080 North Green Street Suite 200

Brownsburg, IN 46112

Cooper, Jason, MD

Specialty: Family Practice

(317) 852-3851

1080 North Green Street Suite 200

Brownsburg, IN 46112

Davis-Skaggs, Kristen, MD

Specialty: Family Practice

(317) 852-2251

1375 N Green St, Suite 100

Brownsburg, IN 46112

De las Alas, Robert, DO

Specialty: Family Practice

(317) 852-2251

1375 N Green St, Suite 100

Brownsburg, IN 46112

Hostetler, Dawn, MD

Specialty: Family Practice

(317) 852-2251

1375 N Green St, Suite 100

Brownsburg, IN 46112

Indiana

Brownsburg

Zlatniski, Neil, MD

Specialty: Family Practice

(317) 852-3851

1080 North Green Street Suite 200

Brownsburg, IN 46112

Carmel

Blad, Denise E, MD

Specialty: Family Practice

(317) 574-9090

12289 Hancock St, Suite 235

Carmel, IN 46032

Evard, Robert E, MD

Specialty: Family Practice

(317) 688-5300

11725 N Illinois St, Suite 250

Carmel, IN 46032

Johnson, Laura A, MD

Specialty: Family Practice

(317) 574-9090

12289 Hancock St, Suite 235

Carmel, IN 46032

Youngblood, Lisa A, MD

Specialty: Family Practice

(317) 688-5300

11725 N Illinois St, Suite 250

Carmel, IN 46032

Clarkesville

Bacala, Agnes C., MD

Specialty: Family Practice

(812) 200-9145

2051 Clevidence Blvd.

Clarkesville, IN 47129

Schrodt, Ronald A, MD

Specialty: Internal Medicine

(812) 200-9145

2051 Clevidence Blvd.

Clarkesville, IN 47129

Page 52 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Clarkesville

Spalding, Richard M, MD

Specialty: Internal Medicine

(812) 200-9145

2051 Clevidence Blvd.

Clarkesville, IN 47129

Fishers

Bielski, Suzanne K, MD

Specialty: Pediatrics

(317) 594-1300

9202 E 116th St

Fishers, IN 46037

Hill, Steven D, MD

Specialty: Internal Medicine

(317) 678-3800

13100 136th Street, Suite 3400

Fishers, IN 46031

Juthani, Sunil J, MD

Specialty: Internal Medicine

(317) 678-3800

13100 136th Street, Suite 3400

Fishers, IN 46031

Keller, Sean C, MD

Specialty: Internal Medicine

(317) 594-1300

9202 E 116th St

Fishers, IN 46037

Moreland, Debra L, MD

Specialty: Internal Medicine

(317) 594-1300

9202 E 116th St

Fishers, IN 46037

Rupp, Catherine C, MD

Specialty: Internal Medicine

(317) 594-1300

9202 E 116th St

Fishers, IN 46037

Indiana

Fishers

Wheeler, Jeffrey A, MD

Specialty: Pediatrics

(317) 594-1300

9202 E 116th St

Fishers, IN 46037

Flora

Dutter, Jordan Lee, MD

Specialty: Family Practice

(765) 448-8000

203 North Division St.

Flora, IN 46929

Frankfort

Croner, James Thomas, MD

Specialty: Family Practice

(765) 448-8000

550 Hoke Ave.

Frankfort, IN 46041

Regnier, David Pennington, MD

Specialty: Family Practice

(765) 448-8000

550 Hoke Ave.

Frankfort, IN 46041

Villavicencio, Amy V, MD

Specialty: Family Practice

(765) 448-8000

550 Hoke Ave.

Frankfort, IN 46041

Franklin

Beavins, Jill, MD

Specialty: Family Practice

(317) 736-8474

1300 W. Jefferson, Suite C.

Franklin, IN 46131

Hensley, Mary Beth, MD

Specialty: Family Practice

(317) 736-8474

1300 W. Jefferson, Suite C.

Franklin, IN 46131

Indiana

Franklin

Kovach, Peggy, MD

Specialty: Family Practice

(317) 736-8474

1300 W. Jefferson, Suite C.

Franklin, IN 46131

Pease, James, MD

Specialty: Family Practice

(317) 736-8474

1300 W. Jefferson, Suite C.

Franklin, IN 46131

Snyder, Wayne, MD

Specialty: Family Practice

(317) 736-8474

1300 W. Jefferson, Suite C.

Franklin, IN 46131

Goshen

Shelly, Michelle D., MD

Specialty: Family Practice

(574) 533-7600

400 W. Lincoln Avenue

Goshen, IN 46526

Greenfield

Brinkruff, James D., MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

Felker, Dean R., MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

Kinnaman, Stephanie Jo, MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

Page 53 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Greenfield

Lawton, Dennis F., MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

O'Connor, Thomas M, MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

Powell, Talessa L., MD

Specialty: Family Practice

(317) 462-5252

300 E. Boyd, Suite 100

Greenfield, IN 46140

Indianapolis

Ackermann, Ronald, MD

Specialty: Internal Medicine

(317) 655-3200

1434 S Shelby Street

Indianapolis, IN 46203

Arthur, Robert B., MD

Specialty: Family Practice

(317) 890-5500

9650 E. Washington St.

Indianapolis, IN 46229

Bowles, Rachael S, MD

Specialty: Internal Medicine

(317) 780-4080

5550 S East Street, Suite 1

Indianapolis, IN 46227

Brady, Timothy B, MD

Specialty: Internal Medicine

(317) 890-2100

9443 East 38th Street

Indianapolis, IN 46236

Indiana

Indianapolis

Breitwieser, David G, MD

Specialty: Family Practice

(317) 890-5500

9650 E. Washington St.

Indianapolis, IN 46229

Bruns, Mark D, MD

Specialty: Internal Medicine

(317) 251-6121

2625 E 62nd St, Suite 2010

Indianapolis, IN 46220

Bysani, Nanda, MD

Specialty: Internal Medicine

(317) 297-7773

Methodist Medical Plaza II, 6820 Parkdale Place, Suite 100

Indianapolis, IN 46254

Dascoli, Thomas, MD

Specialty: Family Practice

(317) 329-7400

6920 Parkdale Place, Suite 106

Indianapolis, IN 46254

Davidson, Sarah, MD

Specialty: Internal Medicine

(317) 692-2323

1002 Wishard Blvd., 4th Floor

Indianapolis, IN 46202

Day, Michael E, MD

Specialty: Family Practice

(317) 865-6750

8820 S. Meridian St, Suite 200

Indianapolis, IN 46217

Degan, Lawrence, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Indiana

Indianapolis

Delalande, Philippe B, MD

Specialty: Internal Medicine

(317) 865-6750

8820 S. Meridian St, Suite 200

Indianapolis, IN 46217

Fagan, Daniel J, MD

Specialty: Internal Medicine

(317) 251-6121

2625 E 62nd St, Suite 2010

Indianapolis, IN 46220

Farr, J Lee, MD

Specialty: Internal Medicine

(317) 890-5500

9650 E. Washington St.

Indianapolis, IN 46229

Fogel, Janine M, MD

Specialty: Family Practice

(317) 630-6523

1002 Wishard Blvd, Rm 1002

Indianapolis, IN 46202

Foley, Patrick, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Goshorn, Robyn K, MD

Specialty: Internal Medicine

(317) 780-4080

5550 S East Street, Suite 1

Indianapolis, IN 46227

Hancock, Michael Leroy, MD

Specialty: Internal Medicine

(317) 865-5904

5230A. E. Stop 11 Rd, Suite 150

Indianapolis, IN 46237

Hashmat, Aisha, MD

Specialty: Family Practice

(317) 329-7400

6920 Parkdale Place, Suite 106

Indianapolis, IN 46254

Page 54 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Indianapolis

Hernandez Mondragon, Ruben Hernan, MD

Specialty: Family Practice

(317) 554-4600

2732 W Michigan Street

Indianapolis, IN 46222-3750

Hileman, Harold James, MD

Specialty: Internal Medicine

(317) 328-6727

6920 Parkdale Place, Suite 207

Indianapolis, IN 46254

Hollingsworth, Samuel, MD

Specialty: Internal Medicine

(317) 962-5807

1801 N Senate Blvd, Suite 400

Indianapolis, IN 46202

Hoyt, Warren J, MD

Specialty: Family Practice

(317) 865-6750

8820 S. Meridian St, Suite 200

Indianapolis, IN 46217

Jain, Vipin, MD

Specialty: Family Practice

(317) 216-2700

4880 Century Plaza Rd, Suite 265

Indianapolis, IN 46254

Kiray, Gregory C, MD

Specialty: Internal Medicine

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Kiray, Susan G, MD

Specialty: Internal Medicine

(317) 251-6121

2625 E 62nd St, Suite 2010

Indianapolis, IN 46220

Indiana

Indianapolis

Kline, Elisabeth D, MD

Specialty: Internal Medicine

(317) 962-5807

1801 N Senate Blvd, Suite 400

Indianapolis, IN 46202

Kouzmova-Moneva, Miroslava, MD

Specialty: Endocrinology, Diabetes & Metabolism

(317) 865-5904

5230A. E. Stop 11 Rd, Suite 150

Indianapolis, IN 46237

Kuonen, Elizabeth Ann, MD

Specialty: Internal Medicine

(317) 890-2100

9443 East 38th Street

Indianapolis, IN 46236

Leary, Aaron Matthew, MD

Specialty: Internal Medicine

(317) 692-2323

1002 Wishard Blvd., 4th Floor

Indianapolis, IN 46202

Leon, Brian R, MD

Specialty: Internal Medicine

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Marshall, Thomas R, MD

Specialty: Internal Medicine

(317) 297-7773

Methodist Medical Plaza II, 6820 Parkdale Place, Suite 100

Indianapolis, IN 46254

Mcdougal, Paul D, MD

Specialty: Family Practice

(317) 890-5500

9650 E. Washington St.

Indianapolis, IN 46229

Indiana

Indianapolis

Misumi, Cynthia O, MD

Specialty: Internal Medicine

(317) 931-4300

2700 Dr. Martin Luther King Dr.

Indianapolis, IN 46208

Moretto, Thomas, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Msikinya, Phumeza, MD

Specialty: Family Practice

(317) 865-6750

8820 S. Meridian St, Suite 200

Indianapolis, IN 46217

Neumann, Steven J, MD

Specialty: Internal Medicine

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Pinkerton, Christina, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Pollom, Stephen H, MD

Specialty: Internal Medicine

(317) 328-6727

6920 Parkdale Place, Suite 207

Indianapolis, IN 46254

Priscu, Ana A, MD

Specialty: Endocrinology, Diabetes & Metabolism

(317) 865-5904

5230A. E. Stop 11 Rd, Suite 150

Indianapolis, IN 46237

Raghavendra, Meghana, MD

Specialty: Oncology, Medical

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Page 55 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Indianapolis

Rocillo, Gina, MD

Specialty: Family Practice

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Ryan, Todd A, MD

Specialty: Internal Medicine

(317) 216-2700

4880 Century Plaza Rd, Suite 265

Indianapolis, IN 46254

Schaefer, John F, MD

Specialty: Internal Medicine

(317) 962-5807

1801 N Senate Blvd, Suite 400

Indianapolis, IN 46202

Schmidt-Burke, Sara I, MD

Specialty: Family Practice

(317) 216-2700

4880 Century Plaza Rd, Suite 265

Indianapolis, IN 46254

Shammas, Issa, MD

Specialty: Internal Medicine

(317) 890-5500

9650 E. Washington St.

Indianapolis, IN 46229

Sloan, Leeandrea, MD

Specialty: Family Practice

(317) 251-6121

2625 E 62nd St, Suite 2010

Indianapolis, IN 46220

Solotkin, David, MD

Specialty: Internal Medicine

(317) 274-2167

550 N University Blvd, UH3005

Indianapolis, IN 46202-5149

Stanton, Jill, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Indiana

Indianapolis

Steenbergen, John A, MD

Specialty: Internal Medicine

(317) 216-2700

4880 Century Plaza Rd, Suite 265

Indianapolis, IN 46254

Sullivan, Jeremy Tyson, MD

Specialty: Internal Medicine

(317) 890-2100

9443 East 38th Street

Indianapolis, IN 46236

Sundaram, Vidya, MD

Specialty: Endocrinology, Diabetes & Metabolism

(317) 865-5904

5230A. E. Stop 11 Rd, Suite 150

Indianapolis, IN 46237

Takesue, Blaine Y, MD

Specialty: Emergency Medicine

(317) 780-4080

5550 S East Street, Suite 1

Indianapolis, IN 46227

Thompson, Freida R, MD

Specialty: Internal Medicine

(317) 216-2700

4880 Century Plaza Rd, Suite 265

Indianapolis, IN 46254

Tiritilli, Mark E, MD

Specialty: Internal Medicine

(317) 655-3200

1434 S Shelby Street

Indianapolis, IN 46203

Voegele, Daniel W, MD

Specialty: Family Practice

(317) 329-7400

6920 Parkdale Place, Suite 106

Indianapolis, IN 46254

Wyant, Mark, MD

Specialty: Family Practice

(317) 293-4113

4880 Centruy Plaza Rd, #200

Indianapolis, IN 46254

Indiana

Indianapolis

Zerr, Ann D, MD

Specialty: Internal Medicine

(317) 630-6523

1002 Wishard Blvd, Rm 1002

Indianapolis, IN 46202

Jeffersonville

Rondo, Giavonne D, MD

Specialty: Internal Medicine

(812) 282-6979

3118 E 10th Street

Jeffersonville, IN 47130

Kokomo

Bowley, Sondi Lin, MD

Specialty: Family Practice

(765) 455-5400

2330 S. Dixon Road

Kokomo, IN 46902

Lockwood, Nicole, MD

Specialty: Family Practice

(765) 455-5400

2330 S. Dixon Road

Kokomo, IN 46902

Maus, Ronald, MD

Specialty: Family Practice

(765) 455-5400

2330 S. Dixon Road

Kokomo, IN 46902

Mohr, William, MD

Specialty: Family Practice

(765) 455-5400

2330 S. Dixon Road

Kokomo, IN 46902

Tuchscherer, Eric, MD

Specialty: Family Practice

(765) 455-5400

2330 S. Dixon Road

Kokomo, IN 46902

Lafayette

Page 56 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Lafayette

Bentinganan, Leslie, DO

Specialty: Family Practice

(765) 448-8000

1500 Salem St.

Lafayette, IN 47904

Bridge, Thomas, MD

Specialty: Family Practice

3750 Landmark Drive, #A

Lafayette, IN 47905

Cooper, Carolyn, MD

Specialty: Family Practice

3750 Landmark Drive, #A

Lafayette, IN 47905

Duvall, Jeffrey L, MD

Specialty: Internal Medicine

(765) 448-8000

1 W. 240 South

Lafayette, IN 47909

Hallberg, Sarah Jean, DO

Specialty: Internal Medicine

(765) 448-8000

1500 Salem St.

Lafayette, IN 47904

Hart, Andrew R, MD

Specialty: Internal Medicine

(765) 448-8000

2600 Greenbush St.

Lafayette, IN 47904

Hazbun, Tamara Loewen, MD

Specialty: Family Practice

(765) 448-8000

1500 Salem St.

Lafayette, IN 47904

Kalwani, Ritu M, MD

Specialty: Internal Medicine

(765) 448-8000

2600 Greenbush St.

Lafayette, IN 47904

Indiana

Lafayette

Li, William Y, MD

Specialty: Family Practice

(765) 448-8000

1 W. 240 South

Lafayette, IN 47909

Mulder, Joel R, DO

Specialty: Family Practice

(765) 448-8000

1 W. 240 South

Lafayette, IN 47909

Petry, Thomas, MD

Specialty: Family Practice

3750 Landmark Drive, #A

Lafayette, IN 47905

Scheidt, Martin, MD

Specialty: Family Practice

(765) 448-8000

1 W. 240 South

Lafayette, IN 47909

Schendel, Kevin Dennis, MD

Specialty: Internal Medicine

(765) 448-8000

2600 Greenbush St.

Lafayette, IN 47904

Schleck, Julie Page, MD

Specialty: Internal Medicine

(765) 448-8000

2600 Greenbush St.

Lafayette, IN 47904

Schleck, Kurt J, MD

Specialty: Internal Medicine

(765) 448-8000

2600 Greenbush St.

Lafayette, IN 47904

Swanson, Julia D, MD

Specialty: Family Practice

(765) 448-8000

1500 Salem St.

Lafayette, IN 47904

Indiana

Lafayette

Thomas, John Martin, MD

Specialty: Family Practice

(765) 448-8000

1 W. 240 South

Lafayette, IN 47909

LaPorte

Arulandu, Joseph, MD

Specialty: Internal Medicine

(219) 874-3700

7002 W. Johnson Road

LaPorte, IN 46350

Lebanon

Defabis, Therese Lynn, NP

Specialty: Nurse Practitioner

(765) 482-7005

504 W. Camp Street

Lebanon, IN 46052

Park, Ben H., MD

Specialty: Family Practice

(765) 482-7005

504 W. Camp Street

Lebanon, IN 46052

Monticello

Hussain, Amber, MD

Specialty: Family Practice

(765) 448-8000

810 S. Sixth St.

Monticello, IN 47960

Khdour, Adel, MD

Specialty: Family Practice

(765) 448-8000

810 S. Sixth St.

Monticello, IN 47960

Mooresville

Page 57 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Mooresville

Bohney, James P., MD

Specialty: Internal Medicine

(317) 483-5000

820 Samuel Moore Parkway, Suite A

Mooresville, IN 46158-1794

Christian, Charles, MD

Specialty: Internal Medicine

(317) 843-2212

100 Town Center Dr, Suite A

Mooresville, IN 46158

Murphy, Susan, MD

Specialty: Internal Medicine

(317) 843-2212

100 Town Center Dr, Suite A

Mooresville, IN 46158

Rawlings, Michael A, MD

Specialty: Internal Medicine

(317) 483-5000

820 Samuel Moore Parkway, Suite A

Mooresville, IN 46158-1794

Weber, Katharina M, MD

Specialty: Internal Medicine

(317) 483-5000

820 Samuel Moore Parkway, Suite A

Mooresville, IN 46158-1794

Muncie

Bahrami, Mohammad S., MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Condit, Jonathan D., DO

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Indiana

Muncie

Cropper, Michelle R, DO

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Farmer, Steven, MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Gahl, Gregory K, MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Reedy, Mark A., MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Rousseau, Steve L, MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Sowers, William E., MD

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

Vinson, Erin Elizabeth, DO

Specialty: Family Practice

(765) 281-3443

3631 N. Morrison Road

Muncie, IN 47304

New Albany

Indiana

New Albany

Broadstone, Vasti L, MD

Specialty: Endocrinology, Diabetes & Metabolism

(812) 949-5700

1850 State Street

New Albany, IN 47150

Lohano, Vasdev, MD

Specialty: Endocrinology, Diabetes & Metabolism

(812) 981-6645

2315 Green Valley Road, Suite 100

New Albany, IN 47150

Mokshagundam, Sri prakash L, MD

Specialty: Endocrinology

(812) 949-5700

1850 State Street

New Albany, IN 47150

New Whiteland

Hallett, Patricia Ann, MD

Specialty: Family Practice

520 Tracy Road

New Whiteland, IN 46184

Qualls, Jefferson, MD

Specialty: Family Practice

520 Tracy Road

New Whiteland, IN 46184

Vessely, Paul, MD

Specialty: Family Practice

520 Tracy Road

New Whiteland, IN 46184

Noblesville

Guzman, Marla, MD

Specialty: Family Practice

(317) 773-0002

18051 River Avenue, Suite 200

Noblesville, IN 46062

Page 58 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

Noblesville

Kirsch, William Arthur, MD

Specialty: Family Practice

(317) 773-0002

18051 River Avenue, Suite 200

Noblesville, IN 46062

Sredzinski, Lee Michael, MD

Specialty: Internal Medicine

(317) 773-0002

18051 River Avenue, Suite 200

Noblesville, IN 46062

Van scyoc, Jon D, MD

Specialty: Family Practice

(317) 770-9353

14540 Prairie Lakes Blvd. N., Ste. 102

Noblesville, IN 46060

Wunder, William, MD

Specialty: Family Practice

(317) 773-0002

18051 River Avenue, Suite 200

Noblesville, IN 46062

Otterbein

Edwards, Andrew Keith, MD

Specialty: Family Practice

(765) 448-8000

407 N. Meadow St.

Otterbein, IN 47970

Patel, Chirag B, MD

Specialty: Family Practice

(765) 448-8000

407 N. Meadow St.

Otterbein, IN 47970

Peru

Hoover, William C., MD

Specialty: Family Practice

(765) 475-6963

315 West Old Key Drive

Peru, IN 46970

Indiana

Peru

Lorenz, Lloyd D., MD

Specialty: Family Practice

(765) 475-6963

315 West Old Key Drive

Peru, IN 46970

Mull, Michael W., MD

Specialty: Family Practice

(765) 475-6963

315 West Old Key Drive

Peru, IN 46970

Plainfield

Johnson, Donald P., MD

Specialty: Family Practice

(317) 839-9833

1100 Southfield Drive, Suite 1210

Plainfield, IN 46168

King, Jason Konrad, MD

Specialty: Family Practice

(317) 839-9833

1100 Southfield Drive, Suite 1210

Plainfield, IN 46168

Risch, Alicia R., MD

Specialty: Family Practice

(317) 839-9833

1100 Southfield Drive, Suite 1210

Plainfield, IN 46168

Rossville

Mctavish, Lisa Michele, MD

Specialty: Family Practice

(765) 448-8000

14 S. Plank St.

Rossville, IN 46065

Russiaville

Hoshaw, Martha J, MD

Specialty: Family Practice

(765) 883-2273

3309 S 750 W

Russiaville, IN 46979-9125

Indiana

Russiaville

Nuss, Sherri C, MD

Specialty: Family Practice

(765) 883-2273

3309 S 750 W

Russiaville, IN 46979-9125

Sheridan

Erb, Kent William, MD

Specialty: Family Practice

(317) 758-4477

611 E 10th St

Sheridan, IN 46069

Marcotte, Eric Allen, MD

Specialty: Family Practice

(317) 758-4477

611 E 10th St

Sheridan, IN 46069

South Bend

Ericson, Kevin R, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Fashner, Julia, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Huber, Brian, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Ludwig, Jennifer L, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Page 59 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Indiana

South Bend

Neumann, Theodore R, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Wieschhaus, Martin F, MD

Specialty: Family Practice

(574) 237-7338

837 E. Cedar St., Suite 100

South Bend, IN 46617

Warsaw

Pitts, Gary M, MD

Specialty: Family Practice

2300 Dubois Drive

Warsaw, IN 46580

West Lafayette

Fisher, Timothy Dean, MD

Specialty: Internal Medicine

(765) 448-8000

2995 N. Salisbury St.

West Lafayette, IN 47906

Miethke, Scott Carl, MD

Specialty: Internal Medicine

(765) 448-8000

2995 N. Salisbury St.

West Lafayette, IN 47906

Sutton, Sarah U., MD

Specialty: Internal Medicine

(765) 448-8000

2995 N. Salisbury St.

West Lafayette, IN 47906

Westfield

Erickson, Carla M, NP

Specialty: Nurse Practitioner

(317) 867-1236

15229 US 31 N.

Westfield, IN 46074

Indiana

Westfield

Forkin, Mary Pat, MD

Specialty: Family Practice

(317) 867-1236

15229 US 31 N.

Westfield, IN 46074

Habig, Elaine, MD

Specialty: Internal Medicine

(317) 867-1236

15229 US 31 N.

Westfield, IN 46074

Habig, Robert, MD

Specialty: Family Practice

(317) 867-1236

15229 US 31 N.

Westfield, IN 46074

Zionsville

Adams, Laurence M, MD

Specialty: Family Practice

55 Brendon Way

Zionsville, IN 46077

Jacob, Susan, MD

Specialty: Family Practice

55 Brendon Way

Zionsville, IN 46077

Vorwald, Mary Jean, MD

Specialty: Internal Medicine

(317) 873-8910

1650 W Oak St, Suite 104

Zionsville, IN 46077

Watts, Belinda J, MD

Specialty: Internal Medicine

(317) 873-8910

1650 W Oak St, Suite 104

Zionsville, IN 46077

Iowa

Akron

Iowa

Akron

Schoenfelder, Allison, MD

Specialty: Family Practice

(712) 568-2411

321 Mill St., Box 200

Akron, IA 51001

Wolff, Cynthia K., MD

Specialty: Family Practice

(712) 568-2411

321 Mill St., Box 200

Akron, IA 51001

Anthon

Rusch, James A., PA

Specialty: Physician Assistant

307 Main Street

Anthon, IA 51004

Bellevue

Hunter, Jeffrey Michael, MD

Specialty: Family Practice

208 N. 12th Street

Bellevue, IA 52031

Bettendorf

Appel, Mikka M., MD

Specialty: Family Practice

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Geick, Lynn B., MD

Specialty: Family Practice

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Goldsmith, Melissa Margaret, PA

Specialty: Physician Assistant

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Page 60 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Iowa

Bettendorf

James, Elizabeth A, PA

Specialty: Physician Assistant

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Kane, Francis L., MD

Specialty: Family Practice

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Letney, Todd L., MD

Specialty: Family Practice

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Wenck, Todd M., MD

Specialty: Family Practice

(563) 344-7400

3740 Utica Ridge Road, Suite B

Bettendorf, IA 52722

Cascade

Kelchen, Sherry Lynn, MD

Specialty: Nurse Practitioner

805 Johnson Street SW

Cascade, IA 52033

Corning

Haddadin, Maen, MD

Specialty: Family Practice

(641) 322-5245

601 Rosary Drive

Corning, IA 50841

Correctionville

Freese, Wanda,

Specialty: Nurse Practitioner

(712) 372-4145

1120 E. Hwy 20

Correctionville, IA 51106

Council Bluffs

Iowa

Council Bluffs

Mcelderry, Thomas, MD

Specialty: Family Practice

(712) 396-4000

Methodist Physicians Clinic, Council Bluffs Family and Internal Medicine, 933 East Pierce St

Council Bluffs, IA 51503

Sheppard, K., MD

Specialty: Family Practice

(712) 256-5600

1701 W. Broadway

Council Bluffs, IA 51501

Dubuque

Bellaver, Constance A., MD

Specialty: Nurse Practitioner

1000 Langworthy Street

Dubuque, IA 52001

Brock, Scott A, MD

Specialty: Endocrinology, Diabetes & Metabolism

1000 Langworthy Street

Dubuque, IA 52001

El-khatib, Osamah Sadeq, MD

Specialty: Internal Medicine

1000 Langworthy Street

Dubuque, IA 52001

Freiburger, Jared J, DO

Specialty: Family Practice

(563) 584-4113

1500 Associates Drive

Dubuque, IA 52002

Mohr, Jennifer M., DO

Specialty: Family Practice

(563) 584-4113

1500 Associates Drive

Dubuque, IA 52002

Iowa

Dubuque

Moore, Mark, MD

Specialty: Internal Medicine

(319) 584-4083

1500 Associates Drive

Dubuque, IA 52002

Nachtman, Chadwick James, MD

Specialty: Family Practice

(563) 584-3430

1000 Langwothy

Dubuque, IA 52001

Ries, Andrea Lea, MD

Specialty: Internal Medicine

(319) 584-4083

1500 Associates Drive

Dubuque, IA 52002

Runde, Mark Philip, MD

Specialty: Internal Medicine

(319) 584-4083

1500 Associates Drive

Dubuque, IA 52002

Schreiber, Thomas James, MD

Specialty: Internal Medicine

(563) 584-3430

1000 Langwothy

Dubuque, IA 52001

Sinsky, Christine A, MD

Specialty: Internal Medicine

1000 Langworthy Street

Dubuque, IA 52001

Sinsky, Thomas Anthony, MD

Specialty: Internal Medicine

1000 Langworthy Street

Dubuque, IA 52001

Steffen, Kenneth F., DO

Specialty: Family Practice

(563) 584-4113

1500 Associates Drive

Dubuque, IA 52002

Page 61 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Iowa

Dubuque

Stille, Christopher M, MD

Specialty: Family Practice

(563) 584-3430

1000 Langwothy

Dubuque, IA 52001

Stille, Ryan B., MD

Specialty: Family Practice

(563) 584-3430

1000 Langwothy

Dubuque, IA 52001

Sullivan, Brian Edward, MD

Specialty: Internal Medicine

1000 Langworthy Street

Dubuque, IA 52001

Townsend, Heidi Elizabeth, MD

Specialty: Family Practice

(563) 584-3430

1000 Langwothy

Dubuque, IA 52001

Vonhollen, Naomi J., MD

Specialty: Nurse Practitioner

1000 Langworthy Street

Dubuque, IA 52001

Dyersville

Miner, Thomas Ray, DO

Specialty: Family Practice

1121 Third Street SW

Dyersville, IA 52040

Snyder, Joseph John, DO

Specialty: Family Practice

1121 Third Street SW

Dyersville, IA 52040

Tomas, Robert Stanley, MD

Specialty: Family Practice

1121 Third Street SW

Dyersville, IA 52040

Elkader

Iowa

Elkader

Zichal, Kenneth E., MD

Specialty: Family Practice

(563) 245-1717

911 Carter St. NW

Elkader, IA 52043

Hartley

Nyunt, Soe, MD

Specialty: Family Practice

(712) 928-2820

231 N. Eight Ave.

Hartley, IA 51346

Hawarden

Hooyer, Anne P, NP

Specialty: Nurse Practitioner

(712) 551-3400

1122 Ave. L

Hawarden, IA 51027

Nystrom, Dale, MD

Specialty: Family Practice

(712) 551-3400

1122 Ave. L

Hawarden, IA 51027

Kingsley

Krohn, Jeffrey D., MD

Specialty: Family Practice

(712) 378-2921

111 S. Main Street, P.O. Box 160

Kingsley, IA 51028

Mason City

Johnson, Mark C, MD

Specialty: Radiology

(641) 422-7799

910 N Eisenhower Ave

Mason City, IA 50401

Iowa

Mason City

Schrader, Joy L, NP

Specialty: Nurse Practitioner

(641) 422-7799

910 N Eisenhower Ave

Mason City, IA 50401

Zenner, Joan K, NP

Specialty: Nurse Practitioner

(641) 422-7799

910 N Eisenhower Ave

Mason City, IA 50401

Omaha

Sadr, Farid, MD

Specialty: Internal Medicine

(712) 256-5600

1701 W Broadway

Omaha, IA 51501

Paullina

Wittrock, Becky J, PA

Specialty: Physician Assistant

(712) 949-2126

108 East Grosbeck

Paullina, IA 51046

Primghar

Desai, Shailesh D., MD

Specialty: Family Practice

(712) 957-2310

240 North Rerick Avenue

Primghar, IA 51245

Sioux City

Galli, Janice K, DO

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Page 62 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Iowa

Sioux City

Gordon, Steven F, MD

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Halbur, Gregory W., MD

Specialty: Family Practice

(712) 294-7400

3520 Singing Hills Blvd.

Sioux City, IA 51106

Jennings, Michael A, MD

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Joyce, Steven, MD

Specialty: Internal Medicine

(712) 279-2950

801 Fifth Street, Suite 100

Sioux City, IA 51101

Kellogg, Jeffrey L., DO

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Kipp, Richard J., MD

Specialty: Family Practice

(712) 294-7400

3520 Singing Hills Blvd.

Sioux City, IA 51106

Kissel, John F, MD

Specialty: Family Practice

(712) 239-4300

4230 Hamilton Boulevard

Sioux City, IA 51104

Kramer, Bruce T, MD

Specialty: Physician Assistant

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Iowa

Sioux City

Lee, Delna E, MD

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Longval, Heather N., MD

Specialty: Family Practice

(712) 294-7400

3520 Singing Hills Blvd.

Sioux City, IA 51106

Lucke, David W., MD

Specialty: Internal Medicine

(712) 279-2510

624 Jones Street, Suite 5400

Sioux City, IA 51101

Marino, Frank S, DO

Specialty: Family Practice

(712) 239-3300

2600 Outer Drive North

Sioux City, IA 51104

Mitchell, Terry Howard, MD

Specialty: Family Practice

(712) 239-4300

4230 Hamilton Boulevard

Sioux City, IA 51104

Peterson, Paul D, DO

Specialty: Family Practice

(712) 239-3300

2600 Outer Drive North

Sioux City, IA 51104

Robison, Bryce A, MD

Specialty: Family Practice

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Roge, Carol L, MD

Specialty: Family Practice

(712) 239-4300

4230 Hamilton Boulevard

Sioux City, IA 51104

Iowa

Sioux City

Schryver, Thomas E, MD

Specialty: Family Practice

(712) 239-4300

4230 Hamilton Boulevard

Sioux City, IA 51104

Shook, Steven L, MD

Specialty: Family Practice

(712) 239-3300

2600 Outer Drive North

Sioux City, IA 51104

Unger, Michael S, MD

Specialty: Physician Assistant

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Wanderscheid, Katherine K, MD

Specialty: Nurse, Registered

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Weese, James M, MD

Specialty: Physician Assistant

(712) 274-2400

4545 Sergeant Road

Sioux City, IA 51106

Kansas

Spring Hill

Widman, Jerad E, MD

Specialty: Family Practice

(913) 592-2720

22450 S. Harrison St., Ste. 100

Spring Hill, KS 66083

Kentucky

Bardstown

Sosnin, Barry Brian, DO

Specialty: Family Practice

(502) 348-6011

935 D Chambers Blvd.

Bardstown, KY 40004

Page 63 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Kentucky

Corbin

Jawed, Mohammad, MD

Specialty: Internal Medicine

(606) 523-5402

2867 Cumberland Falls Highway

Corbin, KY 40701

Covington

Rutterer, Daniel Edward, MD

Specialty: Family Practice

(859) 655-4111

1500 James Simpson Jr. Way, Suite 201

Covington, KY 41011

Dry Ridge

Koo, Gregory, MD

Specialty: Family Practice

19 S. Main Street

Dry Ridge, KY 41035

Fairdale

Aggarwal, Mini, MD

Specialty: Family Practice

(502) 366-8778

900 Fairdale Rd

Fairdale, KY 40118

Mehta, Renu M., MD

Specialty: Family Practice

(502) 366-8778

900 Fairdale Rd

Fairdale, KY 40118

Ft. Mitchell

Desai, Neel, MD

Specialty: Family Practice

(859) 341-3114

2300 Chamber Center Dr., Suite 100

Ft. Mitchell, KY 41017

Schwartz, Ellen C., MD

Specialty: Family Practice

(859) 341-3114

2300 Chamber Center Dr., Suite 100

Ft. Mitchell, KY 41017

LaGrange

Kentucky

LaGrange

Kemparajurs, Plavakeerthi, MD

Specialty: Family Practice

(502) 222-7144

501 Parker Place, Ste. 200

LaGrange, KY 40031

Siddiqi, Siraj U, MD

Specialty: Internal Medicine

(502) 225-9098

1019 Commerce Parkway, Suite 1

LaGrange, KY 40031

Louisville

Abayev, Nison I, MD

Specialty: Family Practice

(502) 995-7775

10300 Dixie Hwy.

Louisville, KY 40272

Altobellis, Stephanie S., MD

Specialty: Internal Medicine

(502) 896-4246

3920 Dutchmans Lane #312

Louisville, KY 40207

Aud, Richard E, MD

Specialty: Family Practice

(502) 852-2822

215 Central Avenue, Suite 100

Louisville, KY 40208

Baharestan, Zhalet, DO

Specialty: Internal Medicine

(502) 459-4555

1169 Eastern Parkway # 2358

Louisville, KY 40217

Balakrishna, Padmapruya, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Kentucky

Louisville

Bates, Elizabeth V., MD

Specialty: Internal Medicine

(502) 259-5284

6400 Dutchmans Lane Ste. 140

Louisville, KY 40205

Beanblossom, Robert L., MD

Specialty: Family Practice

(502) 937-3864

6801 Dixie Highway #133

Louisville, KY 40258

Bosler, III, James W., MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Breit, Christina Marie, MD

Specialty: Internal Medicine

(502) 899-4177

3920 Dutchmans Lane Ste. 315

Louisville, KY 40207

Brennan, Anne Frances, MD

Specialty: Internal Medicine

(502) 589-3844

201 Abraham Flexner Way Ste 904

Louisville, KY 40202

Bybee, David E., MD

Specialty: Endocrinology, Diabetes & Metabolism

(502) 587-6010

100 E. Liberty Street, Suite #400

Louisville, KY 40202

Charasika, James D, MD

Specialty: Family Practice

(502) 896-8041

4010 Dupont Circle, Ste. 309, Suite 308

Louisville, KY 40207

Page 64 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Kentucky

Louisville

Ciliberti, Gregory, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Ciliberti, Salvatore, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Currie, William A., MD

Specialty: Internal Medicine

(502) 259-5284

6400 Dutchmans Lane Ste. 140

Louisville, KY 40205

Cyrus, Jahangir, MD

Specialty: Endocrinology, Diabetes & Metabolism

(502) 636-0406

2355 Poplar Level Road, Suite 302

Louisville, KY 40217

Delafield, Douglas J, MD

Specialty: Family Practice

(502) 894-2459

6400 Dutchmans Pkwy. Ste. 300

Louisville, KY 40205

Donohue, Terrence P, MD

Specialty: Internal Medicine

(502) 636-7444

2355 Poplar Level Road - Suite 200

Louisville, KY 40217

Dwivedi, Sunita A, MD

Specialty: Internal Medicine

(502) 636-8095

3 Audubon Plaza Drive Suite LL@

Louisville, KY 40217

Edwards, Traci M, MD

Specialty: Family Practice

(502) 937-1717

9616 Dixie Hwy

Louisville, KY 40272

Kentucky

Louisville

Egan, Lynn O., MD

Specialty: Internal Medicine

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Ellis, Julie T., MD

Specialty: Internal Medicine

(502) 896-4246

3920 Dutchmans Lane #312

Louisville, KY 40207

Fakunle, Omolara O., MD

Specialty: Endocrinology

(502) 587-6010

100 E. Liberty Street, Suite #400

Louisville, KY 40202

Halder, Punita R, MD

Specialty: Internal Medicine

(502) 899-6178

3661 Dutchmans Lane Ste. 205

Louisville, KY 40207

Hill, Allison L, MD

Specialty: Internal Medicine

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Houghland, Stephen, MD

Specialty: Internal Medicine

(502) 813-6800

401 E Chestnut St. Ste. 370

Louisville, KY 40202

Irick, Max L, MD

Specialty: Internal Medicine

(502) 456-3990

1169 Medical Arts Building, Suite 1234

Louisville, KY 40217

Kentucky

Louisville

Kim, Jun Oh, MD

Specialty: Internal Medicine

(502) 899-6170

3991 Dutchmans Ln., Suite 205

Louisville, KY 40207

Kocian, Bradley E, MD

Specialty: Family Practice

(502) 231-3228

9342 Cedar Center Way

Louisville, KY 40291

Krishnasamy, Sathya, MD

Specialty: Endocrinology

(502) 584-8563

401 E. Chestnut Street, Suite 301

Louisville, KY 40202

Lalude, A. O'tayo, MD

Specialty: Family Practice

(502) 778-8400

2500 West Market Street

Louisville, KY 40212-1541

Lawson, Rick J., MD

Specialty: General Practice

(502) 636-7444

2355 Poplar Level Road, Suite 200

Louisville, KY 40217

May, Russell T., MD

Specialty: Internal Medicine

(502) 899-4177

3920 Dutchmans Lane Ste. 315

Louisville, KY 40207

Mcintyre, Kelley M., MD

Specialty: Internal Medicine

(502) 636-8095

3 Audubon Plaza Drive Suite LL@

Louisville, KY 40217

Page 65 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Kentucky

Louisville

McKibben, Michael A, MD

Specialty: Family Practice

(502) 937-3864

6801 Dixie Highway #133

Louisville, KY 40258

Metz-dunn, Donna L, MD

Specialty: Family Practice

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Miller, Lloyd G., MD

Specialty: Family Practice

(502) 231-3228

9342 Cedar Center Way

Louisville, KY 40291

Minter-Sauer, Alice E, MD

Specialty: Family Practice

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Morris, Cathleen J, MD

Specialty: Internal Medicine

(502) 210-4530

2401 Terra Crossing Boulevard Ste. 402, Suite 402

Louisville, KY 40245

Murrow, Joseph T, MD

Specialty: Internal Medicine

(502) 894-2459

6400 Dutchmans Pkwy. Ste. 300

Louisville, KY 40205

Nguyen, Tuyen T, MD

Specialty: Internal Medicine

(502) 933-8702

9702 Stonestreet Road, Suite 210

Louisville, KY 40272

Kentucky

Louisville

Omer, Jeffrey, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Overley, David J., MD

Specialty: Internal Medicine

(502) 259-5284

6400 Dutchmans Lane Ste. 140

Louisville, KY 40205

Ozor, Martin Chidubem, MD

Specialty: Family Practice

(502) 636-3164

720 West Hill Street

Louisville, KY 40208

Palmer - Ball, Robert B, MD

Specialty: Internal Medicine

(502) 245-4301

10284 Shelbyville Road

Louisville, KY 40223-2955

Parker, Blaine Frank, MD

Specialty: Internal Medicine

(502) 589-3844

201 Abraham Flexner Way Ste 904

Louisville, KY 40202

Quaye, Joshua N., MD

Specialty: Internal Medicine

(502) 968-3010

7926 S. Preston Hwy

Louisville, KY 40219-3848

Raghavan, Susan, MD

Specialty: Pediatric Endocrinology

(502) 327-9703

9720 Park Plaza Ave, Suite 202

Louisville, KY 40241

Kentucky

Louisville

Renco, Harry, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Rennirt, Diane A., MD

Specialty: Internal Medicine

(502) 896-2319

3920 Dutchmans Lane, # 309

Louisville, KY 40207

Rice, Anne L., MD

Specialty: Internal Medicine

(502) 955-4073

187 Adam Shepherd Parkway, Family Practice Associates South

Louisville, KY 40229

Rivera, Milagros, MD

Specialty: Family Practice

(502) 636-0406

2355 Poplar Level Road, Suite 302

Louisville, KY 40217

Rogers, Matthew P., MD

Specialty: Internal Medicine

(502) 896-4246

3920 Dutchmans Lane #312

Louisville, KY 40207

Roszell, Stephen Rhodes, MD

Specialty: Family Practice

(502) 456-7047

1250 Bardstown Road

Louisville, KY 40204

Rouse, Elizabeth Frances, MD

Specialty: Family Practice

(502) 894-2459

6400 Dutchmans Pkwy. Ste. 300

Louisville, KY 40205

Page 66 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Kentucky

Louisville

Sabharwal, Kailash C, MD

Specialty: Internal Medicine

(502) 636-0406

2355 Poplar Level Road, Suite 302

Louisville, KY 40217

Samples, Lydia C., MD

Specialty: Family Practice

(502) 937-1717

9616 Dixie Hwy

Louisville, KY 40272

Scharff, Robert P., MD

Specialty: Internal Medicine

(502) 968-6226

5100 Outer Loop

Louisville, KY 40219

Schulman, Brian, MD

Specialty: Internal Medicine

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Self, Mary T., MD

Specialty: Endocrinology, Diabetes & Metabolism

(502) 587-6010

100 E. Liberty Street, Suite #400

Louisville, KY 40202

Shams, Mitra, MD

Specialty: Internal Medicine

(502) 456-3990

1169 Medical Arts Building, Suite 1234

Louisville, KY 40217

Sharma, Anil K, MD

Specialty: Internal Medicine

(502) 995-7775

10300 Dixie Hwy.

Louisville, KY 40272

Kentucky

Louisville

Shee, George T., MD

Specialty: Internal Medicine

(502) 899-6178

3661 Dutchmans Lane Ste. 205

Louisville, KY 40207

Shpilberg, Victor James, MD

Specialty: Family Practice

(502) 937-3155

8033 Dixie Highway

Louisville, KY 40258

Smalley, Christopher M, MD

Specialty: Family Practice

(502) 968-6226

5100 Outer Loop

Louisville, KY 40219

Smallwood, Melanie Andrea, MD

Specialty: Internal Medicine

(502) 394-6200

4950 Norton Healthcare Blvd, Suite 100

Louisville, KY 40241

Stucker, Elizabeth Farmer, MD

Specialty: Internal Medicine

(502) 327-5135

213 N Hurstboune Pkwy

Louisville, KY 40222

Sutkamp, Michael W, MD

Specialty: Internal Medicine

(502) 899-6178

3661 Dutchmans Lane Ste. 205

Louisville, KY 40207

Swift, James F., MD

Specialty: Internal Medicine

(502) 899-6178

3661 Dutchmans Lane Ste. 205

Louisville, KY 40207

Kentucky

Louisville

Thompson, Jeanne M, MD

Specialty: Internal Medicine

(502) 636-8095

3 Audubon Plaza Drive Suite LL@

Louisville, KY 40217

Thornewill, Jeremy L., MD

Specialty: Family Practice

4420 Dixie Highway, Suite 114

Louisville, KY 40216

Varghese, Nisha Roy, MD

Specialty: Endocrinology, Diabetes & Metabolism

(502) 245-8988

330 Townepark Circle, Suite 100

Louisville, KY 40243

Varghese, Regi, MD

Specialty: Internal Medicine

(502) 259-5284

6400 Dutchmans Lane Ste. 140

Louisville, KY 40205

Veeneman, Emily T., MD

Specialty: Internal Medicine

(502) 636-0406

2355 Poplar Level Road, Suite 302

Louisville, KY 40217

Villafuerte, Betty Cheng,

Specialty: Endocrinology

(502) 584-8563

401 E. Chestnut Street, Suite 301

Louisville, KY 40202

Walden-Fair, Jennifer, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Walter, Henry James, MD

Specialty: Internal Medicine

(502) 456-3990

1169 Medical Arts Building, Suite 1234

Louisville, KY 40217

Page 67 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Kentucky

Louisville

Wheatley, John W., MD

Specialty: Family Practice

(502) 937-3864

6801 Dixie Highway #133

Louisville, KY 40258

Wijangco, Isabelita, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Wilding, Jonathan W., MD

Specialty: Internal Medicine

(502) 968-3010

7926 S. Preston Hwy

Louisville, KY 40219-3848

Williams, Fred A, MD

Specialty: Endocrinology, Diabetes & Metabolism

(502) 587-6010

100 E. Liberty Street, Suite #400

Louisville, KY 40202

Yson, Angelino S, MD

Specialty: Internal Medicine

(502) 636-0406

2355 Poplar Level Road, Suite 302

Louisville, KY 40217

Yuan, Tina, MD

Specialty: Internal Medicine

(502) 587-0521

250 East Liberty Street, Suite 410

Louisville, KY 40202

Lousiville

Barry, Mary G., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Kentucky

Lousiville

Cole, Sylvia A., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Curran, Kevin L., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Fineman, Larry J., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Lynn, Shannon C., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

McClellan, Christopher S., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Railey, James D., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Shaw, III, Robert W., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Villaroman, Priscilla A., MD

Specialty: Internal Medicine

(502) 540-7200

825 Barret Avenue

Lousiville, KY 40204

Kentucky

Pewee Valley

Hodge, Robert, MD

Specialty: Family Practice

(502) 241-8611

304 Mt Mercy Drive

Pewee Valley, KY 40056

Union

Fitz, Robert Mark, MD

Specialty: Internal Medicine

(859) 301-7210

1808 Mt. Zion Road

Union, KY 41091

Morgan, Kathie E, MD

Specialty: Family Practice

(859) 301-7210

1808 Mt. Zion Road

Union, KY 41091

Williamstown

Burke, Brennan Christopher, MD

Specialty: Family Practice

(859) 824-8400

300 Barnes Road

Williamstown, KY 41097

Threlkeld, William F., MD

Specialty: Family Practice

(859) 824-8400

300 Barnes Road

Williamstown, KY 41097

Willoby, Michelle L, MD

Specialty: Family Practice

(859) 824-8400

300 Barnes Road

Williamstown, KY 41097

Louisiana

Baton Rouge

Albergamo, Ignazio Joseph, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Page 68 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Louisiana

Baton Rouge

Alvarez, Frank J., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Babin, Kevin Joseph, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Barbin, Allison, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Brandt, Harold D., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Carmouche, David, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Cole, Kenny James, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Cooley, Richard Todd, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Crockett, Jewel W., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Louisiana

Baton Rouge

Depuy, Patricia, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Falcon, Lara M., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Fontenot, David W., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Graves, Kurt W., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Gruner, Rachel Mier, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Hargus, Louis, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Jones, Maureen, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Kadair, Roy, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Louisiana

Baton Rouge

Kahn, Jeffrey Martin, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Landry, Adrian P., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Lieux, T Richard, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Moore, William H, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Rolfsen, Michael, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Say, George Douglas, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Tumminello, Vincent, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Vinci, Edmund, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Page 69 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Louisiana

Baton Rouge

Waguespack, Eric M., MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

West, J David, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Wharton, John Scott, MD

Specialty: Internal Medicine

(225) 769-4044

7373 Perkins Road

Baton Rouge, LA 70808

Covington

Barfield, William T., MD

Specialty: Internal Medicine

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Benning, Gurpal, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Bradford, Roger M., MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Fitzpatrick, James B, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Louisiana

Covington

Franklin, Thom A, MD

Specialty: Internal Medicine

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Guidry, Patricia B, MD

Specialty: Internal Medicine

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Levi, Tania A, MD

Specialty: Internal Medicine

(985) 809-6195

1980 N. Hwy 190

Covington, LA 70403

Marek, Richard G, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Martin, Ernest Edward, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Nieto, Sandra S, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Plaisance, Kevin Christopher, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Louisiana

Covington

Reiser-parmenter, Jeryl Lynn, DO

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Riddell, Timothy L, MD

Specialty: Family Practice

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Valliant, Kristen France, MD

Specialty: Internal Medicine

(985) 875-2828

Ochsner Health Center - Covington, 1000 Ochsner Blvd.

Covington, LA 70433

Delhi

Albritton, Corey G., MD

Specialty: Internal Medicine

(318) 878-3737

508 Broadway Street

Delhi, LA 71232

Enriquez, Jose R., MD

Specialty: Family Practice

(318) 878-3737

508 Broadway Street

Delhi, LA 71232

Grandon, Paul W., MD

Specialty: Internal Medicine

(318) 878-3737

508 Broadway Street

Delhi, LA 71232

Le, Dung N., MD

Specialty: Family Practice

(318) 878-3737

508 Broadway Street

Delhi, LA 71232

New Iberia

Page 70 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Louisiana

New Iberia

Baker, Vina S, MD

Specialty: Internal Medicine

(337) 364-2822

602 N Lewis Ave Suite 100, Suite 100

New Iberia, LA 70563

New Orleans

Bethi, Krishnaveni, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Blake, Leslie A, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Bonner, Kirk L, MD

Specialty: Family Practice

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Bragg, James W., MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Breault, Joseph L, MD

Specialty: Family Practice

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Louisiana

New Orleans

Bustamante, Jamie E, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Cazabon, Pedro, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Degrange, Christie Violetta, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Deichmann, Richard E, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Epstein, Nona K, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Fernandez, Sara E, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Granier, Steven John, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Louisiana

New Orleans

Johnson, Kristen S, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Kronenberg, Frannie Renee, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Leary, Gloria M, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Mccormick, Mary, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Richards, Lisa F, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Selden, Basil, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Siegendorf, Stacy, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Page 71 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Louisiana

New Orleans

St. john, Fayne, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Stoll, James D, MD

Specialty: Internal Medicine

(504) 842-3000

Ochsner Medical Center - Internal Medicine, 1514 Jefferson Hwy

New Orleans, LA 70121

Shreveport

Kinstrey, Thomas Edward, MD

Specialty: Family Practice

(318) 688-0319

2120 Bertkouns, Suite M

Shreveport, LA 71118

Maine

Albion

West, C Forrest, MD

Specialty: Family Practice

(207) 437-9388

7 School Street, Suite 1

Albion, ME 04910

Ashland

Frieband, Roy N, DO

Specialty: Family Practice

(207) 435-6341

33 Walker St

Ashland, ME 04732

Rowe, Dennis N, MD

Specialty: Family Practice

(207) 435-6341

33 Walker St

Ashland, ME 04732

Auburn

Maine

Auburn

Brodsky, Kenneth, DO

Specialty: Internal Medicine

3 Willow Run

Auburn, ME 04210

Buckberg, Miriam S., MD

Specialty: Family Practice

(207) 783-3333

60 Second Street

Auburn, ME 04210

Burns, Charles H., MD

Specialty: Family Practice

(207) 784-7388

190 Stetson Road

Auburn, ME 04210

Donahue, Patricia, FNP

Specialty: Nurse Practitioner

(207) 783-3333

60 Second Street

Auburn, ME 04210

Elias, Peter B. H., MD

Specialty: Family Practice

(207) 784-7388

190 Stetson Road

Auburn, ME 04210

Hatfield, Gary, MD

Specialty: Internal Medicine

3 Willow Run

Auburn, ME 04210

Learson, Deborah A., MD

Specialty: Family Practice

(207) 783-3333

60 Second Street

Auburn, ME 04210

Matthews, Margaret E, MD

Specialty: Family Practice

117 Goff Street

Auburn, ME 04210

Maine

Auburn

Oswald, Kurt M, MD

Specialty: Family Practice

117 Goff Street

Auburn, ME 04210

Raczynski, Paul, DO

Specialty: Internal Medicine

3 Willow Run

Auburn, ME 04210

Skelton, Sarah K., MD

Specialty: Family Practice

(207) 784-7388

190 Stetson Road

Auburn, ME 04210

Smith, Douglas, MD

Specialty: Family Practice

(207) 783-3333

60 Second Street

Auburn, ME 04210

Sonti, Smita, MD

Specialty: Family Practice

(207) 783-3333

60 Second Street

Auburn, ME 04210

Augusta

Cheleuitte, Ramon E., MD

Specialty: Internal Medicine

(207) 621-2500

12 Spruce Street, Suite 7

Augusta, ME 04917

Cheng, Gene, MD

Specialty: Internal Medicine

(207) 622-4400

6 Middle Street

Augusta, ME 04330

Dufresne, Michael D, DO

Specialty: Family Practice

(207) 622-5902

77Sewall St ,Suite 1

Augusta, ME 04330

Page 72 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Augusta

Gershman, Karen, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Guzzetti, Peter D, DO

Specialty: Internal Medicine

(207) 623-8434

9 Glenridge Drive

Augusta, ME 04330

Heath, Ralph Waltz, ANP

Specialty: Nurse Practitioner

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Jokonya, Chiedza G, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Kane, Kevin, MD

Specialty: Internal Medicine

(207) 623-8434

9 Glenridge Drive

Augusta, ME 04330

Lutrzykowski, Christopher J, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Miller, Nina C, ANP

Specialty: Nurse Practitioner

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Maine

Augusta

Moss, Barbara A, DO

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Schneid, James, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Seymour, Cheryl, MD

Specialty: Geriatric Medicine/Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Smith, Donald D, MD

Specialty: Internal Medicine

(207) 623-8434

9 Glenridge Drive

Augusta, ME 04330

Strickland, Donald J, MD

Specialty: Internal Medicine

(207) 623-8434

9 Glenridge Drive

Augusta, ME 04330

Woytowicz, John, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Zurbach, Nancy L, MD

Specialty: Family Practice

(207) 626-1561

15 East Chestnut St.

Augusta, ME 04330

Baileyville

Maine

Baileyville

Mchugh, Charles T., MD

Specialty: General Practice

(207) 427-3344

71 Broadway, PO Box 699

Baileyville, ME 04694-0699

Bangor

Al-Atrash, Fida, MD

Specialty: Internal Medicine

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Barrows, Ann, FNP

Specialty: Nurse Practitioner

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Blake, Arthur F., MD

Specialty: Family Practice

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Bloom-Foster, Jessica L., MD

Specialty: Family Practice

(207) 973-8700

895 Union Street, Suite 12

Bangor, ME 04401

Bourgoin, Kathryn E., MD

Specialty: Family Practice

(207) 941-2373

302 Husson Avenue, Suite 2

Bangor, ME 04401

Bowen, Kathleen Grimble, FNP

Specialty: Nurse Practitioner

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Page 73 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Bangor

Bragg, Franklin E., MD

Specialty: Internal Medicine

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Brown, Eric R., MD

Specialty: Family Practice

(207) 973-8700

895 Union Street, Suite 12

Bangor, ME 04401

Bruehl, Michael B., MD

Specialty: Family Practice

(207) 947-9900

133 Corporate Drive, Suite 1

Bangor, ME 04401

Buck, Lisa A., MD

Specialty: Family Practice

(207) 992-2636

34 Summer Street

Bangor, ME 04401

Burger, Charles S., MD

Specialty: Family Practice

(207) 945-5048

700 Mt Hope Avenue, Suite 650

Bangor, ME 04401

Currie, Allan D., MD

Specialty: Internal Medicine

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Gause, Phoebe P, FNP

Specialty: Nurse Practitioner

(207) 941-2373

302 Husson Avenue, Suite 2

Bangor, ME 04401

Maine

Bangor

Goddard, Jacey E., DO

Specialty: Family Practice

(207) 973-8700

895 Union Street, Suite 12

Bangor, ME 04401

Gothard, Carolyn K, FNP

Specialty: Nurse Practitioner

(207) 992-2601

1012 Union Street, Suite 3

Bangor, ME 04401

Hallbert, David Mason, MD

Specialty: Internal Medicine

(207) 945-5048

700 Mt Hope Avenue, Suite 650

Bangor, ME 04401

Heineman, Frederick William, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Kingsbury, Julie S., FNP

Specialty: Nurse Practitioner

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Koffman, David, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Laverack, Elizabeth, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Maine

Bangor

Leiffer, Cynthia, ANP

Specialty: Family Practice

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Mamula, Meghan R, DO

Specialty: Family Practice

(207) 992-2601

1012 Union Street, Suite 3

Bangor, ME 04401

Michaud, Vincent E., MD

Specialty: Family Practice

(207) 941-2373

302 Husson Avenue, Suite 2

Bangor, ME 04401

Miller, Kevin G., MD

Specialty: Family Practice

(207) 941-2373

302 Husson Avenue, Suite 2

Bangor, ME 04401

Patten, John L., DO

Specialty: Family Practice

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Pritham, Robin M., MD

Specialty: Family Practice

(207) 973-8700

895 Union Street, Suite 12

Bangor, ME 04401

Prokop, David, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Riker, Kerry, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Page 74 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Bangor

Rock, Dara L, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Ronco, Paul G., MD

Specialty: Internal Medicine

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Sabbagh, Iyad, MD

Specialty: Internal Medicine

(207) 947-6141

302 Husson Avenue, Suite 1

Bangor, ME 04401

Sharp, Eric H., DO

Specialty: Family Practice

(207) 973-8700

895 Union Street, Suite 12

Bangor, ME 04401

Shulman, Ilsa, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Sprague, Leane M, FNP

Specialty: Nurse Practitioner

(207) 992-2601

1012 Union Street, Suite 3

Bangor, ME 04401

Vereault, Barbara D., DO

Specialty: Family Practice

(207) 945-5247

1012 Union Street, Suite 5

Bangor, ME 04401

Maine

Bangor

Walker, Dale C., MD

Specialty: Family Practice

(207) 941-2373

302 Husson Avenue, Suite 2

Bangor, ME 04401

Weiss, Elizabeth T, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Wood, William, MD

Specialty: Internal Medicine

(207) 907-3300

900 Broadway Bldg #3, Bldg 3

Bangor, ME 04401

Bar Harbor

Caine, Brian J., MD

Specialty: Family Practice

(207) 288-5024

17 Hancock Street

Bar Harbor, ME 04609

Gilmore, Edward, MD

Specialty: Internal Medicine

(207) 288-5024

Box 8, 10 Wayman Lane

Bar Harbor, ME 04609

Haynes, Ormond Lee, MD

Specialty: Internal Medicine

(207) 288-5024

Box 8, 10 Wayman Lane

Bar Harbor, ME 04609

Kandutsch, Mark A., MD

Specialty: Family Practice

(207) 288-5119

322 Main Street, 1st Floor

Bar Harbor, ME 04609

Maine

Bar Harbor

Painter, David, MD

Specialty: Family Practice

(207) 288-5606

Box 8, 10 Wayman Lane

Bar Harbor, ME 04609

Bath

Cadigan, Catharine M, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Demars, Carl S, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Fredricks, Catherine R, DO

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

French, Scott Walter, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Hanna, Matthew T, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Hasenfus, Nancy A, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Page 75 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Bath

Herman, Benjamin S, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Rines, James P, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Wood, Daniel H, MD

Specialty: Internal Medicine

(207) 422-0048

1356A Washington Street

Bath, ME 04530

Belfast

Tyer, Linda K., MD

Specialty: Internal Medicine

(207) 338-9358

163 Northport Avenue, PO Box 207

Belfast, ME 04915

Belgrade

Madden, Amy K., MD

Specialty: Family Practice

(207) 495-3323

4 Clement Way

Belgrade, ME 04917

Biddeford

Albaum, Michael N., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Cutone, Jennifer A., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Maine

Biddeford

Cutone, Steven R, DO

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Doane, Stephen H., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Handanos, Christine M., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Handanos, Nicholas G., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Laprise, Paul M., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Lee, Maureen Therese, DO

Specialty: Internal Medicine

(207) 286-3504

57 Barra Road, Suite #1

Biddeford, ME 04005

Lee, Woodrow Davis, DO

Specialty: Internal Medicine

(207) 286-3504

57 Barra Road, Suite #1

Biddeford, ME 04005

Strassler, David, MD

Specialty: Family Practice

(207) 283-1441

68 GRAHAM STREET

BIDDEFORD, ME 04005

Maine

Biddeford

Wilson, Nathan E., MD

Specialty: Internal Medicine

(207) 282-3349

30 West Cole Road

Biddeford, ME 04005

Brewer

Files, Kimberly, FNP

Specialty: Nurse Practitioner

(207) 945-5247

735 Wilson Street

Brewer, ME 04412

Gott, Daniel C., DO

Specialty: Family Practice

(207) 989-0550

234 State Street

Brewer, ME 04412

Hatch-Clein, Annette M., FNP

Specialty: Nurse Practitioner

(207) 989-0550

234 State Street

Brewer, ME 04412

Johnston, Pauline K., MD

Specialty: Family Practice

(207) 989-0550

234 State Street

Brewer, ME 04412

Oneill, Nancy T, MD

Specialty: Family Practice

(207) 945-5247

735 Wilson Street

Brewer, ME 04412

Simone, Kenneth G., DO

Specialty: Family Practice

(207) 989-3770

329 Wilson Street

Brewer, ME 04412

Page 76 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Brewer

Sornberger, Kris S., DO

Specialty: Family Practice

(207) 945-5247

735 Wilson Street

Brewer, ME 04412

Sturrock, William A., MD

Specialty: Family Practice

(207) 989-0550

234 State Street

Brewer, ME 04412

Bridgton

Dater, Suzanne, MD

Specialty: Internal Medicine

(207) 647-2311

25 Hospital Drive, Suite 2

Bridgton, ME 04009

Kleinert, Lisa, MD

Specialty: Internal Medicine

(207) 647-2311

25 Hospital Drive, Suite 2

Bridgton, ME 04009

Smith, Jennifer L., DO

Specialty: Family Practice

(207) 647-9021

14 Wyonegonic Road

Bridgton, ME 04009

Brunswick

Baker, Stacia C, MD

Specialty: Family Practice

(207) 721-9323

33 Bath Road

Brunswick, ME 04011

Carr, Suzanne, MD

Specialty: Family Practice

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Maine

Brunswick

Deck, Marcus, MD

Specialty: Family Practice

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Gardiner, Pamela, MD

Specialty: Family Practice

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Goodwin, Nancy B., MD

Specialty: Internal Medicine

331 Maine Street

Brunswick, ME 04011

Howe, Timothy R., MD

Specialty: Internal Medicine

331 Maine Street

Brunswick, ME 04011

Inger, David, MD

Specialty: Family Practice

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Johnstone, John, DO

Specialty: Family Practice

(207) 725-8079

6 Farley Road

Brunswick, ME 04011

Lindsley, Eric, MD

Specialty: Family Practice

(207) 725-8079

6 Farley Road

Brunswick, ME 04011

Linville, Cortney, DO

Specialty: Family Practice

(207) 729-6162

329 Maine St. Suite H

Brunswick, ME 04011

Maine

Brunswick

Maher, Jeffrey P, MD

Specialty: Family Practice

(207) 729-6162

329 Maine St. Suite H

Brunswick, ME 04011

Morgenstern, Daniel, MD

Specialty: Internal Medicine

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Nakamura, Roy, MD

Specialty: Family Practice

(207) 725-8079

6 Farley Road

Brunswick, ME 04011

Rand, Melanie C, DO

Specialty: Family Practice

(207) 729-6162

329 Maine St. Suite H

Brunswick, ME 04011

Rubero, Juan R., MD

Specialty: Internal Medicine

331 Maine Street

Brunswick, ME 04011

Taylor, Paul E, MD

Specialty: Family Practice

(207) 725-8079

6 Farley Road

Brunswick, ME 04011

Worthing, Mark, MD

Specialty: Family Practice

(207) 798-4050

74 BARIBEAU DRIVE

BRUNSWICK, ME 04011

Canaan

Page 77 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Canaan

Brooks-Rock, Kathy, FNP

Specialty: Nurse Practitioner

(207) 474-6990

333 Main Street

Canaan, ME 04924

Caribou

Ateshim, Yonas, MD

Specialty: Internal Medicine

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Bedi, Puneet N, MD

Specialty: Internal Medicine

(207) 498-3476

118 Bennett Drive, Suite 130

Caribou, ME 04736

Burchill, Krista, MD

Specialty: Family Practice

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Chua, Dione, MD

Specialty: Internal Medicine

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Cousins, Kim, FNP

Specialty: Nurse Practitioner

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Flynn, Carl, MD

Specialty: Family Practice

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Maine

Caribou

Gahagan, Ann, FNP

Specialty: Family Practice

(207) 498-2356

74 Access Highway

Caribou, ME 04736

Coopers Mills

Eckert, Carol A, MD

Specialty: Family Practice

(207) 549-7581

PO Box 207, 47 Main Street

Coopers Mills, ME 04341

Miller, Roy S, MD

Specialty: Family Practice

(207) 549-7581

PO Box 207, 47 Main Street

Coopers Mills, ME 04341

Wistar, Kathryn, MD

Specialty: Family Practice

(207) 549-7581

PO Box 207, 47 Main Street

Coopers Mills, ME 04341

Corinth

Albert, Marie, DO

Specialty: Family Practice

(207) 285-3312

492 Main Street

Corinth, ME 04427

Hayward, Thomas D., MD

Specialty: Family Practice

(207) 285-3312

492 Main Street

Corinth, ME 04427

Dover-Foxcroft

Arnold, Steven Jay, MD

Specialty: General Practice

(207) 564-8710

1008 West Main Street

Dover-Foxcroft, ME 04426

Maine

Dover-Foxcroft

Luthin, Susan L., MD

Specialty: Family Practice

(207) 564-8710

1008 West Main Street

Dover-Foxcroft, ME 04426

Eagle Lake

Conover, George Henry, MD

Specialty: Family Practice

(207) 444-5973

P.O. Box 309, 10 Carter Street

Eagle Lake, ME 04739

Pelletier, Paul Michael, MD

Specialty: Family Practice

(207) 444-5973

P.O. Box 309, 10 Carter Street

Eagle Lake, ME 04739

East Machias

Tan, Edwin V, MD

Specialty: Internal Medicine

(207) 255-0102

893 Main Street

East Machias, ME 04630

Ellsworth

Hofmann, Tasha, DO

Specialty: Family Practice

32 Resort Way

Ellsworth, ME 04605

La Rocco, Richard, MD

Specialty: Internal Medicine

32 Resort Way

Ellsworth, ME 04605

Murnik, Michael, MD

Specialty: Family Practice

32 Resort Way

Ellsworth, ME 04605

Ostertag, Susan, MD

Specialty: Family Practice

32 Resort Way

Ellsworth, ME 04605

Page 78 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Ellsworth

Rensenbrink, Kathryn, MD

Specialty: Internal Medicine

32 Resort Way

Ellsworth, ME 04605

Seay, Starie, MD

Specialty: Family Practice

32 Resort Way

Ellsworth, ME 04605

Wyshak, Patricia, MD

Specialty: Internal Medicine

32 Resort Way

Ellsworth, ME 04605

Yntema, Laurie, MD

Specialty: Internal Medicine

32 Resort Way

Ellsworth, ME 04605

Fairfield

Alto, William A, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Beressi, Anne H, MD

Specialty: Pediatrics

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Brandt, Kathryn, DO

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Calkins, Stephanie G, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Maine

Fairfield

Clark, Michael A., MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Colt, Henry F, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Feero, W Gregory, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Fein, Richard A, DO

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Harmon, Kelley J f, DO

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Pisculli, Jenny T, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Rice, Andrew C, MD

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 1

Fairfield, ME 04937

Sutherland, Mark E., DO

Specialty: Family Practice

(207) 861-5000

4 Sheridan Drive, Suite 2

Fairfield, ME 04937

Maine

FALMOUTH

BLUTSTEIN, LAURA, MD

Specialty: Family Practice

(207) 774-3070

74 GRAY RD

FALMOUTH, ME 04105

Bouchard, Mark P., MD

Specialty: Family Practice

5 Bucknam Road, Suite 2C

Falmouth, ME 04105

Frederick, Philip, MD

Specialty: Internal Medicine

(207) 400-8570

75 Clearwater Drive, Suite 106

Falmouth, ME 04105

Gearan, Tevis H, MD

Specialty: Internal Medicine

(207) 781-1600

5 Bucknam Road, Suite 2B

Falmouth, ME 04105

Gearan, Thomas, MD

Specialty: Internal Medicine

(207) 781-1600

5 Bucknam Road, Suite 2B

Falmouth, ME 04105

Hemphill, Rebecca, MD

Specialty: Internal Medicine

(207) 781-1600

5 Bucknam Road, Suite 2B

Falmouth, ME 04105

PHAN, ANDREW, MD

Specialty: Family Practice

(207) 774-3070

74 GRAY RD

FALMOUTH, ME 04105

Farmington

Audette, J. Betrand, DO

Specialty: Family Practice

(207) 778-3326

116 Franklin Ave.

Farmington, ME 04938

Page 79 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Farmington

Auger, Armand G., MD

Specialty: Family Practice

(207) 778-3326

116 Franklin Ave.

Farmington, ME 04938

Bien, Stephen J., MD

Specialty: Family Practice

(207) 778-9531

672 Wilton Road

Farmington, ME 04938

Fuson, Jeffrey W., MD

Specialty: Family Practice

(207) 778-9531

672 Wilton Road

Farmington, ME 04938

Goss, Stephen J., DO

Specialty: Internal Medicine

(207) 778-4922

131 Franklin Health Commons

Farmington, ME 04938

Hershfeld, Stacy L., DO

Specialty: Internal Medicine

(207) 778-4922

131 Franklin Health Commons

Farmington, ME 04938

O'Reilly, Robert M., DO

Specialty: Internal Medicine

(207) 778-4922

131 Franklin Health Commons

Farmington, ME 04938

Sanden, Kristine, DO

Specialty: Family Practice

(207) 778-3326

116 Franklin Ave.

Farmington, ME 04938

Wooden, Paul, MD

Specialty: Family Practice

(207) 778-6800

167 Livermore Falls Road, Suite 2

Farmington, ME 04938

Maine

Fort Fairfield

Fowler, Daniel N, MD

Specialty: Family Practice

(207) 768-4753

23 High St

Fort Fairfield, ME 04742

Fryeburg

Gerchman, Eric M., MD

Specialty: Family Practice

(207) 935-3383

253 Bridgton Road

Fryeburg, ME 04037

Gardiner

Caron, Laura P., MD

Specialty: Family Practice

(207) 582-6608

152 Dresden Avenue

Gardiner, ME 04345

Kootz, John P, MD

Specialty: Family Practice

(207) 582-6608

152 Dresden Avenue

Gardiner, ME 04345

Van Summern, John M., MD

Specialty: Family Practice

(207) 582-6608

152 Dresden Avenue

Gardiner, ME 04345

Gorham

Biggar, Carolyn R, ANP

Specialty: Nurse Practitioner

19 South Gorham Crossing

Gorham, ME 04038

Duffy, Michael Kevin, MD

Specialty: Family Practice

19 South Gorham Crossing

Gorham, ME 04038

Maine

Gorham

Friedman, Jennifer, MD

Specialty: Family Practice

(207) 839-2559

510 MAIN STREET

GORHAM, ME 04038

Harvey, Jonathan, MD

Specialty: Family Practice

(207) 839-2559

510 MAIN STREET

GORHAM, ME 04038

Loffredo, Brett, MD

Specialty: Family Practice

94 Main Street

Gorham, ME 04038

Miller, Karl A, DO

Specialty: Family Practice

19 South Gorham Crossing

Gorham, ME 04038

Segre, Tiffany, MD

Specialty: Family Practice

94 Main Street

Gorham, ME 04038

Gouldsboro

Crowley, Kerry W., MD

Specialty: Family Practice

37 Clinic Road

Gouldsboro, ME 04607

Maloney, Sean T., MD

Specialty: Family Practice

37 Clinic Road

Gouldsboro, ME 04607

Nabozny, Joseph, MD

Specialty: Family Practice

37 Clinic Road

Gouldsboro, ME 04607

Page 80 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Gouldsboro

Smith Hanson, Casey, MD

Specialty: Family Practice

37 Clinic Road

Gouldsboro, ME 04607

Gray

Hilary, Manju, MD

Specialty: Family Practice

(207) 653-3308

126 Shaker Road, Route 26B

Gray, ME 04039

Van Mourik, Frederick A., MD

Specialty: Family Practice

(207) 657-3308

116 Shaker Road

Gray, ME 04039

Hallowell

Murray-James, Nathan Richard, MD

Specialty: Family Practice

(207) 626-0606

9 Union Street

Hallowell, ME 04347

Schiff-Slater, Scott David, MD

Specialty: Family Practice

(207) 626-0606

9 Union Street

Hallowell, ME 04347

Kennebunk

Carlson, Elaine, MD

Specialty: Internal Medicine

72 Main St

Kennebunk, ME 04043

Nugent, Diane M., DO

Specialty: Family Practice

(207) 467-8988

4 Shape Drive

Kennebunk, ME 04043

Maine

Kennebunk

Perry, Richard, MD

Specialty: Internal Medicine

72 Main St

Kennebunk, ME 04043

Sullivan, Christine E., MD

Specialty: Family Practice

(207) 467-8988

4 Shape Drive

Kennebunk, ME 04043

Vaughan, Jr, Robert T., MD

Specialty: Family Practice

(207) 467-8988

4 Shape Drive

Kennebunk, ME 04043

Wolfson, Joseph L., MD

Specialty: Family Practice

(207) 467-8988

4 Shape Drive

Kennebunk, ME 04043

Lewiston

Albert, Deana, NP

Specialty: Nurse Practitioner

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Beeckel, Peter, MD

Specialty: Family Practice

(207) 777-4440

99 Campus Ave, Suite 301

Lewiston, ME 04240

Bergeron, Michael, MD

Specialty: Family Practice

(207) 777-4440

99 Campus Ave, Suite 301

Lewiston, ME 04240

Maine

Lewiston

Brown, Anne, MD

Specialty: Internal Medicine

(207) 777-8810

99 Campus Ave Ste 201

Lewiston, ME 04240

Brown, Jeff, MD

Specialty: Internal Medicine

(207) 777-8810

99 Campus Ave Ste 201

Lewiston, ME 04240

Burtis, Matija M., DO

Specialty: Family Practice

(207) 777-4440

99 Campus Ave, Suite 301

Lewiston, ME 04240

Cloutier, Lise M., MD

Specialty: Internal Medicine

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Davis, Mary Ellen, NP

Specialty: Nurse Practitioner

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Edwards, Tracy, NP

Specialty: Nurse Practitioner

(207) 795-5750

12 High Street, Suite 302

Lewiston, ME 04240

Ferguson, Eugene J., MD

Specialty: Internal Medicine

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Page 81 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Lewiston

Gordon, Seth, MD

Specialty: Internal Medicine

(207) 777-8810

99 Campus Ave Ste 201

Lewiston, ME 04240

Gushue, Trisha A., DO

Specialty: Family Practice

(207) 795-5750

12 High Street, Suite 302

Lewiston, ME 04240

Halawa, Ahmad, MD

Specialty: Internal Medicine

(207) 755-3383

106 Campus Avenue

Lewiston, ME 04240

Isaac, Michael, MD

Specialty: Internal Medicine

(207) 777-8100

99 Campus Avenue Suite 201

Lewiston, ME 04240

Johannesson, Inga, DO

Specialty: Internal Medicine

(207) 777-8810

99 Campus Ave Ste 201

Lewiston, ME 04240

Kappelmann, Richard, MD

Specialty: Internal Medicine

(207) 777-4100

100 Campus Ave, Suite 203

Lewiston, ME 04240

Kelly, Liana Belle, NP

Specialty: Nurse Practitioner

(207) 755-3222

963 Sabattus Street

Lewiston, ME 04240

Maine

Lewiston

Kennedy, Betty, MD

Specialty: Internal Medicine

(207) 755-3383

106 Campus Avenue

Lewiston, ME 04240

Lee, William M., MD

Specialty: Internal Medicine

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Michaud, Jeff, DO

Specialty: Family Practice

(207) 777-4440

99 Campus Ave, Suite 301

Lewiston, ME 04240

Panozzo, Shashi, MD

Specialty: Family Practice

(207) 513-3850

57 Birch Street

Lewiston, ME 04240

Peralta, Maylene, MD

Specialty: Internal Medicine

(207) 795-7520

287 Main Street, Suite 301

Lewiston, ME 04240

Pyenta, Jennifer S., DO

Specialty: Internal Medicine

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Ross, Pamela E., MD

Specialty: Internal Medicine

(207) 795-5700

12 High Street, Suite 400

Lewiston, ME 04240

Singh, Satya, MD

Specialty: Internal Medicine

(207) 777-8810

99 Campus Ave Ste 201

Lewiston, ME 04240

Maine

Lewiston

Skeik, Nedaa, MD

Specialty: Internal Medicine

(207) 755-3222

963 Sabattus Street

Lewiston, ME 04240

Stadnicki, Michael R., MD

Specialty: Family Practice

(207) 795-5750

12 High Street, Suite 302

Lewiston, ME 04240

Thorp, Lydia A., MD

Specialty: Family Practice

(207) 795-5750

12 High Street, Suite 302

Lewiston, ME 04240

Toner, Tracey, NP

Specialty: Nurse Practitioner

(207) 513-3850

57 Birch Street

Lewiston, ME 04240

Wyman, Peggy D., MD

Specialty: Family Practice

(207) 795-5750

12 High Street, Suite 302

Lewiston, ME 04240

Lincoln

House, Thora, FNP

Specialty: Nurse Practitioner

(207) 794-6700

175 West Broadway

Lincoln, ME 04457

Irving, Sarah E, MD

Specialty: Family Practice

(207) 794-6700

175 West Broadway

Lincoln, ME 04457

Page 82 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Lincoln

Nesin, Noah, MD

Specialty: Family Practice

(207) 794-6700

175 West Broadway

Lincoln, ME 04457

Shannon, Stratton John, DO

Specialty: Family Practice

(207) 794-6700

175 West Broadway

Lincoln, ME 04457

Lisbon

Bianconi, Gregory F., MD

Specialty: Family Practice

(207) 353-6721

2 Bisbee Street

Lisbon, ME 04250

Fairchild, Stephen A., MD

Specialty: Family Practice

(207) 353-6721

2 Bisbee Street

Lisbon, ME 04250

Stenburg, Janet, NP

Specialty: Family Practice

(207) 353-6721

2 Bisbee Street

Lisbon, ME 04250

Lisbon Falls

Carter, Phillip, MD

Specialty: Family Practice

(207) 353-8830

583 Lisbon Road

Lisbon Falls, ME 04252

Livermore

Dunlap, Mary, ANP

Specialty: Nurse Practitioner

(207) 897-6601

38 Union Street

Livermore, ME 04254

Maine

Livermore

Lee, Janice R., DO

Specialty: Family Practice

(207) 897-6601

38 Union Street

Livermore, ME 04254

Livermore Falls

Knapp, Michele Morant, DO

Specialty: Family Practice

(207) 897-6200

96 Main Street

Livermore Falls, ME 04253

Lubec

Abrams, Robert, MD

Specialty: Family Practice

(207) 733-5541

43 South Lubec Road

Lubec, ME 04652

Mechanic Falls

Bosma, Thomas J., MD

Specialty: Family Practice

(207) 345-9729

22 Pleasant Street

Mechanic Falls, ME 04256

Short, Christopher, DO

Specialty: Family Practice

(207) 345-9729

22 Pleasant Street

Mechanic Falls, ME 04256

Medway

Meserve, John P, MD

Specialty: Family Practice

(207) 794-6700

1930 Medway Road

Medway, ME 04460

N. Vassalboro

Burke, John E., MD

Specialty: Internal Medicine

(207) 873-6173

905 Main Street, 905 Main Street

N. Vassalboro, ME 04962-0247

Maine

N. Vassalboro

Smith, Clifton D., MD

Specialty: Internal Medicine

(207) 873-6173

905 Main Street, 905 Main Street

N. Vassalboro, ME 04962-0247

Naples

Harpell, Maureen, NP

Specialty: Family Practice

(207) 693-6106

410 Roosevelt Trail

Naples, ME 04055

Newport

Baker, John C., MD

Specialty: Family Practice

(207) 368-5747

26 Main Street, Suite 2

Newport, ME 04953

Sitterly, Karl F., MD

Specialty: Family Practice

(207) 368-5747

26 Main Street, Suite 2

Newport, ME 04953

North Anson

Garofalo, John, MD

Specialty: Family Practice

(207) 635-2330

167 Main Street

North Anson, ME 04958

Norway

Eshleman, James E., DO

Specialty: Family Practice

(207) 743-8031

34 Winter Street

Norway, ME 04268

Kazimierczak, Adam M., DO

Specialty: Family Practice

(207) 743-8031

34 Winter Street

Norway, ME 04268

Page 83 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Norway

Miller, Lisa W, MD

Specialty: Family Practice

(207) 743-9292

193 Main Street, Suite 2

Norway, ME 04268

Reis, Allan E, MD

Specialty: Family Practice

(207) 743-9292

193 Main Street, Suite 2

Norway, ME 04268

Oakland

Caccamo, Eric J, DO

Specialty: Family Practice

(207) 861-9355

3 Evergreen Drive

Oakland, ME 04963

Ervin, Edmund Dole, MD

Specialty: Internal Medicine

(207) 873-4325

25 First Park Drive, Suite A

Oakland, ME 04963

Filliter, Nancy Cann, MD

Specialty: Family Practice

(207) 465-2181

9 Pleasant Street

Oakland, ME 04963

Fluke, Raymond W., MD

Specialty: Family Practice

(207) 873-4325

25 First Park Drive, Suite A

Oakland, ME 04963

Glover, Henry, DO

Specialty: Family Practice

(207) 465-7342

74 Water Street

Oakland, ME 04963

Maine

Oakland

Hebda, Bruce J, MD

Specialty: Family Practice

(207) 465-2181

9 Pleasant Street

Oakland, ME 04963

Nielsen, Catherine Eisner, MD

Specialty: Family Practice

(207) 465-2181

9 Pleasant Street

Oakland, ME 04963

Old Orchard Beach

Cohen, Hal J., DO

Specialty: Internal Medicine

(207) 934-7276

1 Granny Smith Court

Old Orchard Beach, ME 04064

Old Town

Cheff, Susan, MD

Specialty: Family Practice

(207) 945-5247

242 Brunswick Street

Old Town, ME 04468

Elliott, Patricia A., MD

Specialty: Family Practice

(207) 945-5247

242 Brunswick Street

Old Town, ME 04468

Ritter, Christopher, MD

Specialty: Family Practice

(207) 945-5247

242 Brunswick Street

Old Town, ME 04468

Orono

Comstock, Kevyn L., DO

Specialty: Family Practice

(207) 866-0550

84 Kelly Road

Orono, ME 04473

Maine

Orono

Fagles, Nina E., MD

Specialty: Family Practice

(207) 866-0550

84 Kelly Road

Orono, ME 04473

Hawkins, Robert S., DO

Specialty: Family Practice

(207) 866-0550

84 Kelly Road

Orono, ME 04473

Rampe, Glenn S., MD

Specialty: Family Practice

(207) 866-0550

84 Kelly Road

Orono, ME 04473

Patten

Nielsen, Lisa, MD

Specialty: Family Practice

(207) 528-2285

30 Houlton St., PO Box 500

Patten, ME 04765

Portland

Alvarez, Sarah grace Baccay, MD

Specialty: Family Practice

(207) 553-6700

Fore River Medical Building, 195 Fore River Parkway, Suite 160

Portland, ME 04102

Barr, Douglas R., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Baum, Timothy C., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Page 84 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Portland

Belcher, Matthew, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Belisle, Charles M., MD

Specialty: Family Practice

(207) 874-2466

272 Congress Street

Portland, ME 04101

Botler, Joel L., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Caldwell, Katherine R, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Cathcart, Charles J., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Cathcart, Wendy S., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Chappelle, Cathra, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Cienawski, Mark, MD

Specialty: Internal Medicine

(207) 879-3040

144 State Street, 4th Floor

Portland, ME 04101

Maine

Portland

Cieniawski, Mark, MD

Specialty: Internal Medicine

43 Baxter Boulevard

Portland, ME 04101

Claffey, Thomas F., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Connolly, Patrick, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Couper, Douglas, MD

Specialty: Internal Medicine

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Cyr, Peggy R., MD

Specialty: Family Practice

(207) 874-2466

272 Congress Street

Portland, ME 04101

Degrinney, Timothy, MD

Specialty: Internal Medicine

(207) 879-3040

144 State Street, 4th Floor

Portland, ME 04101

Devlin, John T., MD

Specialty: Endocrinology, Diabetes & Metabolism

(207) 400-8500

959 Congress Street, 2nd Floor

Portland, ME 04102

Dobieski, Steven T., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Maine

Portland

Emery, Peter W., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Erickson, John E., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Ervin, William C., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Fraser, Robert J., DO

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Fuchs-Ertman, Debra, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Gordon, Peter T., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Harper, James, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Higgins, LeighAnn Ann, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Page 85 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Portland

Hine, Jennifer, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Katz, James A, MD

Specialty: Internal Medicine

43 Baxter Boulevard

Portland, ME 04101

Ku-ruth, Phyllidia, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Loiselle, Daniel L., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Meyer, Gail M, ANP

Specialty: Nurse Practitioner

43 Baxter Boulevard

Portland, ME 04101

Miller, Karl, DO

Specialty: Family Practice

(207) 553-6700

Fore River Medical Building, 195 Fore River Parkway, Suite 160

Portland, ME 04102

Pachta, Janet, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Maine

Portland

Ragay-lundkvist, Nena Gajunera, DO

Specialty: Family Practice

(207) 553-6700

Fore River Medical Building, 195 Fore River Parkway, Suite 160

Portland, ME 04102

Ragy-Lundkvist, Nena, DO

Specialty: Family Practice

(207) 553-6700

Fore River Medical Building, 195 Fore River Parkway, Suite 160

Portland, ME 04102

Schirmer, William, MD

Specialty: Family Practice

(207) 828-2402

331 Veranda Street

Portland, ME 04104

Schwemm, Heather N., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Stogsdill, Patricia B., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Subak-Krah, Sarah E, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Trowbridge, Nina S, MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Maine

Portland

Zeitlin, James H., MD

Specialty: Internal Medicine

(207) 774-5816

84 Marginal Way

Portland, ME 04102

Presque Isle

Alexander, Bruce D., MD

Specialty: Family Practice

(207) 764-3142

23 North St, Suite 4

Presque Isle, ME 04769

Beaulieu, John A, DO

Specialty: Family Practice

(207) 764-3142

23 North St, Suite 4

Presque Isle, ME 04769

Richard, Lucy C, ANP

Specialty: Midwifery

(207) 769-6636

140 Academy St Suite 6, Ste 6

Presque Isle, ME 04769

Sood, Mridula, MD

Specialty: Internal Medicine

(207) 764-3142

23 North St, Suite 4

Presque Isle, ME 04769

Sweeney, Lance C, DO

Specialty: Family Practice

(207) 764-3142

23 North St, Suite 4

Presque Isle, ME 04769

Richmond

Hermans, Linda, MD

Specialty: Family Practice

(207) 737-4359

24 Gardiner Street

Richmond, ME 04357

Rockport

Page 86 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Rockport

Schenk, Eric R., DO

Specialty: Internal Medicine

(207) 593-5717

825 Commercial Street, Unit 1

Rockport, ME 04856

Rumford

Aniel, Albert, MD

Specialty: Internal Medicine

(207) 364-7831

431 Franklin Street

Rumford, ME 04276

DeLuca, Thomas J., DO

Specialty: Internal Medicine

(207) 364-7831

431 Franklin Street

Rumford, ME 04276

Ledesma, Jacob A., MD

Specialty: Internal Medicine

(207) 364-7831

431 Franklin Street

Rumford, ME 04276

Saco

Carpentier, Dominique, MD

Specialty: Family Practice

(207) 283-8802

13 Industrial Park Road, Suite 2

Saco, ME 04072

Kowash, Philip M., MD

Specialty: Family Practice

(207) 283-8802

13 Industrial Park Road, Suite 2

Saco, ME 04072

Mahoney, Jill D, MD

Specialty: Family Practice

(207) 283-8802

13 Industrial Park Road, Suite 2

Saco, ME 04072

Maine

Saco

Potyk, Alan W., MD

Specialty: Family Practice

(207) 283-8802

13 Industrial Park Road, Suite 2

Saco, ME 04072

Rolerson, Mark H., MD

Specialty: Family Practice

(207) 283-8802

13 Industrial Park Road, Suite 2

Saco, ME 04072

Scarborough

Babirak, Stephan, MD

Specialty: Endocrinology

(207) 885-1516

71 US Route One, Suite J

Scarborough, ME 04074

Brodsky, Irwin, MD

Specialty: Endocrinology, Diabetes & Metabolism

(207) 885-771

175 US Route 1

Scarborough, ME 04074

Cherbuliez, Nicole, MD

Specialty: Family Practice

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Degrinney, Joseph Timothy, MD

Specialty: Internal Medicine

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Farino, Benedict, MD

Specialty: Internal Medicine

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Maine

Scarborough

Freme, Christine, MD

Specialty: Internal Medicine

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Kirsch, Stephen J, MD

Specialty: Family Practice

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Mukai, Eric, MD

Specialty: Internal Medicine

(207) 662-6209

96 Campus Avenue, 2nd Floor

Scarborough, ME 04074

Silvia, Kristen, MD

Specialty: Family Practice

(207) 883-7926

96 Campus Drive, suite 2C

Scarborough, ME 04074

Skowhegan

Paradis, Loraine, DO

Specialty: Family Practice

(207) 474-2994

344 Lakewood Road

Skowhegan, ME 04976

So. Portland

Gates, Christine L, MD

Specialty: Family Practice

(207) 874-1488

100 Foden Road West, Suite 100

So. Portland, ME 04106

Murray-Pulsifer, Kristy, DO

Specialty: Family Practice

(207) 874-1488

100 Foden Road West, Suite 100

So. Portland, ME 04106

Page 87 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

So. Portland

Staton, Megan A, MD

Specialty: Family Practice

(207) 874-1488

100 Foden Road West, Suite 100

So. Portland, ME 04106

South Portland

Ciampi, Michael, MD

Specialty: Family Practice

380 Lincoln Street

South Portland, ME 04106

SAFFER, JEFFREY, MD

Specialty: Family Practice

(207) 799-8596

51 OCEAN ST

SOUTH PORTLAND, ME 04106

SHEPHERD, A CATRIONA, MD

Specialty: Family Practice

(207) 799-8596

51 OCEAN ST

SOUTH PORTLAND, ME 04106

Southwest Harbor

Adams, Thomas, MD

Specialty: Family Practice

PO Box 786, 45 Herrick Road

Southwest Harbor, ME 04679

Kuffler, Julian P., MD

Specialty: Family Practice

(207) 244-5630

16 Community Lane

Southwest Harbor, ME 04679

Rieman, Marta, MD

Specialty: Family Practice

PO Box 786, 45 Herrick Road

Southwest Harbor, ME 04679

St. Porter

Maine

St. Porter

Ray, Jeffrey S, DO

Specialty: Family Practice

(207) 625-8126

70 Main Street

St. Porter, ME 04068

Topsham

Dechenes, Cynthia J., MD

Specialty: Family Practice

(202) 798-6200

4 Horton Way, Suite 101

Topsham, ME 04086

Jhamb, Kristin K, MD

Specialty: Internal Medicine

(207) 729-1689

1 Bowdoin Mill Island, Suite 205

Topsham, ME 04086

Meserve, Christopher W, MD

Specialty: Internal Medicine

(207) 729-1689

1 Bowdoin Mill Island, Suite 205

Topsham, ME 04086

Parker, John Joseph, MD

Specialty: Internal Medicine

(207) 729-1689

1 Bowdoin Mill Island, Suite 205

Topsham, ME 04086

Riehl, Jennifer M, MD

Specialty: Internal Medicine

(207) 729-1689

1 Bowdoin Mill Island, Suite 205

Topsham, ME 04086

Salko, David L, MD

Specialty: Family Practice

(202) 798-6200

4 Horton Way, Suite 101

Topsham, ME 04086

Trenton

Maine

Trenton

Kotas, Kathleen, MD

Specialty: Family Practice

(207) 667-5899

394 Bar Harbor Road

Trenton, ME 04605

Unity

Ducker, Gavin, MD

Specialty: Family Practice

(207) 948-2100

80 Main Street

Unity, ME 04988

Kriegel, Charles, DO

Specialty: Family Practice

(207) 948-2100

80 Main Street

Unity, ME 04988

Van Buren

Duvefelt, Hans, MD

Specialty: Family Practice

4 Main Street

Van Buren, ME 04785

Waldoboro

Dickens, John, DO

Specialty: Family Practice

592 West Main Street

Waldoboro, ME 04572

Trask-Eaton, Emily, MD

Specialty: Family Practice

592 West Main Street

Waldoboro, ME 04572

Waterville

Bilodeau, Donna, ANP

Specialty: Nurse Practitioner

(207) 872-6869

211 Main Street

Waterville, ME 04901

Page 88 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Waterville

Childs, Susan J., MD

Specialty: Family Practice

(207) 873-1181

13 Railroad Square

Waterville, ME 04901

Cooley, Nancy Jean, FNP

Specialty: Nurse Practitioner

(207) 872-6869

211 Main Street

Waterville, ME 04901

Douglas, James W, DO

Specialty: Family Practice

(207) 877-7100

10 Washington Street

Waterville, ME 04901

Dwelley, Tara Cl, NP

Specialty: Optometry

(207) 877-7100

10 Washington Street

Waterville, ME 04901

Keniston-Dubocq, Linda, MD

Specialty: Family Practice

(207) 861-6060

246 Kennedy Memorial Drive, Suite 202

Waterville, ME 04901

Knausenberger, Roland H, MD

Specialty: Internal Medicine

(207) 873-1036

16 Concourse West

Waterville, ME 04901

Lovitz, Jeffrey M., MD

Specialty: Family Practice

(207) 873-1181

13 Railroad Square

Waterville, ME 04901

Maine

Waterville

Naaz, Uzma, MD

Specialty: Internal Medicine

(207) 861-7180

174 Kennedy Memorial Drive

Waterville, ME 04901

West Falmouth

Gorman, Alison Carrie, MD

Specialty: Family Practice

66 Leighton Road

West Falmouth, ME 04105

Lane, Megan E, FNP

Specialty: Nurse Practitioner

66 Leighton Road

West Falmouth, ME 04105

Westbrook

Brewer, John C, DO

Specialty: Family Practice

(207) 857-9311

2 Chabot Street

Westbrook, ME 04092

Carter, Alan C, DO

Specialty: Family Practice

(207) 857-8400

40 Park Street

Westbrook, ME 04092

Courtney, Pamela, DO

Specialty: Internal Medicine

(207) 857-9311

2 Chabot Street

Westbrook, ME 04092

Engel, Richard, MD

Specialty: Internal Medicine

(207) 662-1340

1 Harnois Avenue

Westbrook, ME 04092

Maine

Westbrook

Gardner, George, DO

Specialty: Internal Medicine

(207) 857-9311

2 Chabot Street

Westbrook, ME 04092

Guay, Norman, DO

Specialty: Family Practice

(207) 857-8400

40 Park Street

Westbrook, ME 04092

Hayes, Stephen, MD

Specialty: Internal Medicine

(207) 662-1340

1 Harnois Avenue

Westbrook, ME 04092

Medd, Donald J., MD

Specialty: Internal Medicine

(207) 662-1340

1 Harnois Avenue

Westbrook, ME 04092

Pickus, Owen, DO

Specialty: Internal Medicine

(207) 857-9311

2 Chabot Street

Westbrook, ME 04092

Stockwell, Ira W., DO

Specialty: Family Practice

(207) 857-9311

2 Chabot Street

Westbrook, ME 04092

Sturges, Robert, MD

Specialty: Internal Medicine

(207) 662-1340

1 Harnois Avenue

Westbrook, ME 04092

Wilton

Page 89 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Wilton

Decker, Heidi Caton, MD

Specialty: Family Practice

(207) 645-4577

75 Allen Street

Wilton, ME 04294

Hamilton, Deborah J., MD

Specialty: Family Practice

(207) 645-4577

75 Allen Street

Wilton, ME 04294

Windham

Emerson, Fred E, MD

Specialty: Internal Medicine

(207) 892-3234

584 Roosevelt Trail

Windham, ME 04062

Hammond, Su anne, DO

Specialty: Family Practice

(207) 400-8600

409 Roosevelt Trail

Windham, ME 04062

Kerekes, Jill, MD

Specialty: Internal Medicine

(207) 892-3234

584 Roosevelt Trail

Windham, ME 04062

Murray, Melanie, MD

Specialty: Internal Medicine

(207) 892-3234

584 Roosevelt Trail

Windham, ME 04062

Paluso MD, Eugene, MD

Specialty: Internal Medicine

(207) 892-3234

584 Roosevelt Trail

Windham, ME 04062

Maine

Windham

Pierre, Patrick, MD

Specialty: Family Practice

(207) 400-8600

409 Roosevelt Trail

Windham, ME 04062

Schuler, Carl, DO

Specialty: Family Practice

(207) 892-7006

744 Roosevelt Trail, #206

Windham, ME 04062

Winslow

Preston, David G, MD

Specialty: Internal Medicine

(207) 873-1098

80 Garland Road

Winslow, ME 04901

Winthrop

De Wolfe, Peter, MD

Specialty: Family Practice

(207) 624-3800

149 Main Street, Suite 2A

Winthrop, ME 04364

McConnell, Jennifer, MD

Specialty: Family Practice

(207) 624-3800

149 Main Street, Suite 2A

Winthrop, ME 04364

Ostrander, James, DO

Specialty: Family Practice

(207) 624-3800

149 Main Street, Suite 2A

Winthrop, ME 04364

Silver, Kirk E, MD

Specialty: Family Practice

(207) 624-3800

149 Main Street, Suite 2A

Winthrop, ME 04364

Wiscasset

Maine

Wiscasset

Friedland, Daniel, MD

Specialty: Family Practice

49 Hooper Street

Wiscasset, ME 04578

Kitfield, Edward B, MD

Specialty: Family Practice

(207) 882-6008

PO Box 351

Wiscasset, ME 04578

Ottenstein, Karen, MD

Specialty: Family Practice

(207) 882-6008

PO Box 351

Wiscasset, ME 04578

Selvin, Rhonda, FNP

Specialty: Nurse Practitioner

(207) 882-6008

PO Box 351

Wiscasset, ME 04578

Yarmouth

Aiken, Douglas C, MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Haller, James C., MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Johnson, Wesley D., MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Page 90 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maine

Yarmouth

Martin, Stephen S., MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Patch, J. Scott, MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Pierce, Daniel C., MD

Specialty: Family Practice

(207) 846-8586

259 Main St.

Yarmouth, ME 04096

Maryland

Annapolis

Adamo, Charles P., MD

Specialty: Family Practice

(410) 266-1000

2629 Riva Road, Suite 112

Annapolis, MD 21401

Hudson, Vicki L., MD

Specialty: Internal Medicine

(410) 266-1000

2629 Riva Road, Suite 112

Annapolis, MD 21401

Mcgibbon, Karen E, MD

Specialty: Family Practice

(410) 266-1000

2629 Riva Road, Suite 112

Annapolis, MD 21401

Randall, Joseph C, MD

Specialty: Internal Medicine

(410) 266-1000

2629 Riva Road, Suite 112

Annapolis, MD 21401

Baltimore

Maryland

Baltimore

Amsel, Sheldon, MD

Specialty: Internal Medicine

(410) 396-1295

1000 Cathedral Street, 3rd Floor

Baltimore, MD 21201

Clowers, Allen F, DO

Specialty: Family Practice

(410) 686-9019

107 Beacon Road

Baltimore, MD 21220-350

Dawson, Tynnetta, CRNP

Specialty: Nurse Practitioner

(410) 396-1295

1000 Cathedral Street, 3rd Floor

Baltimore, MD 21201

Desai, Ujwala V, MD

Specialty: Internal Medicine

(410) 650-2000

1576 Merritt Boulevard, Suite 14

Baltimore, MD 21222-211

Esege, Ivara Alistair, MD

Specialty: Family Practice

(410) 328-2273

4538 Edmondson Avenue, Suite 8-N-125

Baltimore, MD 21229

Evans, Joyce, MD

Specialty: Family Practice

(410) 328-2273

4538 Edmondson Avenue, Suite 8-N-125

Baltimore, MD 21229

Kamal, Shalini, MD

Specialty: Internal Medicine

(410) 882-0600

9512 Harford Road, Suite 201

Baltimore, MD 21234-312

Maryland

Baltimore

Karkhanis, Indrayani, MD

Specialty: Family Practice

(410) 686-9019

107 Beacon Road

Baltimore, MD 21220-350

Khan, Mohammed N, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Krupitzer, Thomas R., MD

Specialty: Family Practice

(410) 650-2000

1576 Merritt Boulevard, Suite 14

Baltimore, MD 21222-211

Lipchin, Judith, PA

Specialty: Physician Assistant

(410) 882-0600

9512 Harford Road, Suite 201

Baltimore, MD 21234-312

Lotlikar, Jeffery, MD

Specialty: Internal Medicine

(410) 247-0782

4660 Wilkens Ave., Suite 100

Baltimore, MD 21229-489

Miller, Edward, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Mirza, Anisa, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Page 91 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maryland

Baltimore

Naiman, David, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Rajakumar, Susila, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Reetz, Matthew R, DO

Specialty: Family Practice

(410) 686-9019

107 Beacon Road

Baltimore, MD 21220-350

Sheikh, Arsalan, DO

Specialty: Endocrinology, Diabetes & Metabolism

(443) 552-2695

821 North Eutaw Street, Suite 300

Baltimore, MD 21201

Siegel, Neil Matthew, MD

Specialty: Family Practice

(410) 328-2273

4538 Edmondson Avenue, Suite 8-N-125

Baltimore, MD 21229

Silver, Kristi D, MD

Specialty: Endocrinology

(410) 328-6584

22 S. Greene Street, Suite N6W100

Baltimore, MD 21201

Sperling, Carl, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Maryland

Baltimore

Steinle, Nanette, MD

Specialty: Endocrinology

(410) 328-6584

22 S. Greene Street, Suite N6W100

Baltimore, MD 21201

Streeten, Elizabeth Anne, MD

Specialty: Endocrinology

(410) 328-6584

22 S. Greene Street, Suite N6W100

Baltimore, MD 21201

Thakor, Ruchira, MD

Specialty: Family Practice

(410) 869-0100

4 West Rolling Crossroads, Suite 100

Baltimore, MD 21228

Trent-Mims, Karen, MD

Specialty: Internal Medicine

(410) 869-0100

4 West Rolling Crossroads, Suite 100

Baltimore, MD 21228

Tripuraneni, Sireesh, MD

Specialty: Internal Medicine

(443) 444-5600

Russell Morgan Bldg., 3rd floor, 5601 Loch Raven Blvd

Baltimore, MD 21239-290

Walsh, Richard, MD

Specialty: Internal Medicine

(410) 247-0782

4660 Wilkens Ave., Suite 100

Baltimore, MD 21229-489

Weiner, George, MD

Specialty: Internal Medicine

(410) 882-0600

9512 Harford Road, Suite 201

Baltimore, MD 21234-312

Maryland

Baltimore

Wilson, Marc Everton, MD

Specialty: Family Practice

(410) 328-2273

4538 Edmondson Avenue, Suite 8-N-125

Baltimore, MD 21229

Bel Air

Onobrakpeya, Olufunmilayo Abidemi, MD

Specialty: Endocrinology, Diabetes & Metabolism

(443) 643-3200

510 Upper Chesapeake Drive, Suite 510

Bel Air, MD 21014

Phillips, Roy H, MD

Specialty: Endocrinology, Diabetes & Metabolism

(443) 643-3200

510 Upper Chesapeake Drive, Suite 510

Bel Air, MD 21014

Belair

Peters, Maria Jerogea, MD

Specialty: Internal Medicine

(410) 248-2650

104 Plumtree Road, Suite 115

Belair, MD 21014

Camp Springs

Coronel, Emerson L., MD

Specialty: Internal Medicine

(301) 899-0020

5801 Allentown Road, Suite 510

Camp Springs, MD 20746-459

Isaacs, David T., MD

Specialty: Internal Medicine

(301) 899-0020

5801 Allentown Road, Suite 510

Camp Springs, MD 20746-459

Easton

Page 92 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maryland

Easton

Mersey, James Harris, MD

Specialty: Endocrinology, Diabetes & Metabolism

(410) 822-1000

219 South Washington Street

Easton, MD 21601

Eldersburg

Kramer, Risa B, MD

Specialty: Family Practice

(410) 549-2000

1380 Progress Way, Suite 112

Eldersburg, MD 21784

Elkridge

Dua, Rajiv, MD

Specialty: Family Practice

(410) 730-3399

8186 Lark Brown Rd., Ste.201

Elkridge, MD 21075

Geller, Steven A, MD

Specialty: Internal Medicine

(410) 730-3399

8186 Lark Brown Rd., Ste.201

Elkridge, MD 21075

Gibbons, Joseph F, MD

Specialty: Internal Medicine

(410) 730-3399

8186 Lark Brown Rd., Ste.201

Elkridge, MD 21075

Kolodrubetz, Richard J, MD

Specialty: Family Practice

(410) 730-3399

8186 Lark Brown Rd., Ste.201

Elkridge, MD 21075

Frederick

Brinkley, Susan Barnett, MD

Specialty: Internal Medicine

(301) 846-0300

110 Baughmans Lane, Second floor

Frederick, MD 21702

Glen Burnie

Maryland

Glen Burnie

Flammer, Kristin Michelle, MD

Specialty: Endocrinology, Diabetes & Metabolism

(410) 787-4940

300 Hospital Drive, 300 Hospital Drive Suite 119

Glen Burnie, MD 21061

Munir, Kashif, MD

Specialty: Endocrinology

(410) 787-4940

300 Hospital Drive, 300 Hospital Drive Suite 119

Glen Burnie, MD 21061

Prendergast, Kathleen, MD

Specialty: Endocrinology, Diabetes & Metabolism

(410) 787-4940

300 Hospital Drive, 300 Hospital Drive Suite 119

Glen Burnie, MD 21061

Glen Dale

Allen, Vanessa Maria, MD

Specialty: Family Practice

(301) 805-7084

12200 Annapolis Rd, Suite #115

Glen Dale, MD 20769

Laurel

Mcclain, Timothy P, MD

Specialty: Internal Medicine

(301) 498-3150

8871 Gorman Road, Suite 300

Laurel, MD 20723

Siva, Prema, MD

Specialty: Internal Medicine

(301) 498-3150

8871 Gorman Road, Suite 300

Laurel, MD 20723

Warren, William A, MD

Specialty: Internal Medicine

(301) 498-3150

8871 Gorman Road, Suite 300

Laurel, MD 20723

Maryland

Millersvilled

Mcloughlin, Kathleen Elizabeth, MD

Specialty: Family Practice

(410) 729-4623

8601 Veterans Highway, Suite 111

Millersvilled, MD 21108

Middleton, Rebecca Joann, MD

Specialty: Internal Medicine

(410) 729-4623

8601 Veterans Highway, Suite 111

Millersvilled, MD 21108

Mitchellville

DuBoyce, William, MD

Specialty: Internal Medicine

(301) 430-2750

12158 Central Ave.

Mitchellville, MD 20721

Nottingham

Wilson, Jane, MD

Specialty: Family Practice

(410) 248-2650

9649 Belair Road, 2nd Floor

Nottingham, MD 21236

Perry Hall

Cool, Jeffrey A, MD

Specialty: Internal Medicine

(410) 256-5858

5009 Honeygo Center Drive, Suite 216

Perry Hall, MD 21128-981

Kats, Inna, MD

Specialty: Internal Medicine

(410) 256-5858

5009 Honeygo Center Drive, Suite 216

Perry Hall, MD 21128-981

Page 93 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Maryland

Perry Hall

Speight, Lisa, MD

Specialty: Internal Medicine

(410) 256-5858

5009 Honeygo Center Drive, Suite 216

Perry Hall, MD 21128-981

Prince Frederick

Berg, Eric, MD

Specialty: Internal Medicine

(410) 535-2005

110 Hospital Road, Suite 310

Prince Frederick, MD 20678

Gallatin, David R, MD

Specialty: Internal Medicine

(410) 535-2005

110 Hospital Road, Suite 310

Prince Frederick, MD 20678

Mendonca, Nayantara, MD

Specialty: Internal Medicine

(410) 535-2005

110 Hospital Road, Suite 310

Prince Frederick, MD 20678

Moody, Glynis A, MD

Specialty: Internal Medicine

(410) 535-2005

110 Hospital Road, Suite 310

Prince Frederick, MD 20678

O'Keefe, Julie, MD

Specialty: Endocrinology

(410) 535-2005

110 Hospital Road, Suite 310

Prince Frederick, MD 20678

Silver Spring

Bisk, Penny L., MD

Specialty: Internal Medicine

10301 Georgia Avenue, Medical Park West, Suite 301

Silver Spring, MD 20902-5020

Maryland

Silver Spring

Saavedra, Martha S., MD

Specialty: Internal Medicine

10301 Georgia Avenue, Medical Park West, Suite 301

Silver Spring, MD 20902-5020

Timonium

Angov, Nadia, MD

Specialty: Internal Medicine

(410) 561-5773

16 Greenmeadow Drive, Suite G105

Timonium, MD 21093

Massachusetts

Agawam

Cody, Irene N., MD

Specialty: Internal Medicine

(413) 789-8014

230 Main Street

Agawam, MA 01001

Kane, Matthew J., MD

Specialty: Internal Medicine

(413) 789-8014

230 Main Street

Agawam, MA 01001

Weiswasser, Daniel W., MD

Specialty: Internal Medicine

(413) 789-8014

230 Main Street

Agawam, MA 01001

Amherst

Chipkin, Stuart R., MD

Specialty: Endocrinology

(413) 256-8561

31 Hall Drive

Amherst, MA 01002

Midler, Ross S., MD

Specialty: Family Practice

(413) 256-8561

31 Hall Drive

Amherst, MA 01002

Massachusetts

Amherst

Scott, Tatiana N., MD

Specialty: Internal Medicine

(413) 256-8561

31 Hall Drive

Amherst, MA 01002

Weeber, III, Charles H., MD

Specialty: Family Practice

(413) 256-8561

31 Hall Drive

Amherst, MA 01002

Boston

Abrahamson, Martin J., MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Bashoff, Elizabeth C, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Beaser, Richard S., MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Brown, Florence Mavis, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Caballero-Robles, Enrique A., MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Page 94 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Massachusetts

Boston

Cohen, Allison Leigh, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Cypess, Aaron Martin, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Gaglia, Jason L, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Ganda, Om P., MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Goldfine, Allison, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Halprin, Elizabeth S, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Hsu, William C., MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Massachusetts

Boston

Jackson, Richard A, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Koen, Maria S., NP

Specialty: Nurse Practitioner

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Laffel, Lori, MD

Specialty: Pediatric Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Larrabee, Joan E., MD

Specialty: Internal Medicine

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Mansfield, M. Joan, MD

Specialty: Pediatric Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Miller, Ann Ronna, ANP

Specialty: Nurse Practitioner

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Mitzner, Lyle D, MD

Specialty: Pediatric Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Massachusetts

Boston

Mitzner, Lyle D, MD

Specialty: Ophthalmology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Patti, Mary Elizabeth, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Ricker, Alyne, MD

Specialty: Pediatric Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Serdy, Shanti, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Snow, Kenneth J., MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Sullivan, William M, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Weir, Gordon Campbell, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Page 95 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Massachusetts

Boston

Wolpert, Howard A, MD

Specialty: Endocrinology

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Younger, Donna M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 732-2666

One Joslin Place, Room 260

Boston, MA 02215

Cambridge

Colzani, Raffaella M, MD

Specialty: Endocrinology, Diabetes & Metabolism

(617) 354-6552

725 Concord Avenue, Suite 2100

Cambridge, MA 02138

Chicopee

Burstein, Alan S., MD

Specialty: Internal Medicine

(413) 594-3111

444 Montgomery Street

Chicopee, MA 01020

DeSantis, Franco M., MD

Specialty: Internal Medicine

(413) 594-3111

444 Montgomery Street

Chicopee, MA 01020

Yu, Zhongmo, MD

Specialty: Internal Medicine

(413) 594-3111

444 Montgomery Street

Chicopee, MA 01020

East Longmeadow

Dash, Cary M, MD

Specialty: Internal Medicine

(413) 794-3002

294 North Main St, 2nd Floor

East Longmeadow, MA 01028

Massachusetts

East Longmeadow

Shoushtari, Niloufar, MD

Specialty: Internal Medicine

(413) 794-3002

294 North Main St, 2nd Floor

East Longmeadow, MA 01028

Easthampton

Feinland, Jerald, MD

Specialty: Family Practice

(413) 529-9300

238 Northampton Street

Easthampton, MA 01027

Florence

Esrick, Steven B., MD

Specialty: Family Practice

(413) 586-8400

Northampton Health Center, 70 Main Street

Florence, MA 01062

Simkin, Henry Eric, MD

Specialty: Family Practice

(413) 586-8400

Northampton Health Center, 70 Main Street

Florence, MA 01062

Thaler, Paul Steven, MD

Specialty: Family Practice

(413) 586-8400

Northampton Health Center, 70 Main Street

Florence, MA 01062

Greenfield

Carlan, Paul D., MD

Specialty: Internal Medicine

(413) 774-6301

329 Conway Street

Greenfield, MA 01301

Futrell, Tara D., MD

Specialty: Internal Medicine

(413) 774-6301

329 Conway Street

Greenfield, MA 01301

Massachusetts

Greenfield

Gump, Marguerite C., MD

Specialty: Family Practice

(413) 774-6301

329 Conway Street

Greenfield, MA 01301

Iverson, Patricia A., MD

Specialty: Family Practice

(413) 774-6301

329 Conway Street

Greenfield, MA 01301

Palmer, Jeffrey P., MD

Specialty: Family Practice

(413) 774-6301

329 Conway Street

Greenfield, MA 01301

Hyannis

Clark, Nathaniel G, MD

Specialty: Endocrinology, Diabetes & Metabolism

(508) 862-7400

433 West Main Street

Hyannis, MA 02601

North Dartmouth

Afonso-Fede, Gloriane, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Altschuller, Alexander, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Browne, Robert, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Page 96 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Massachusetts

North Dartmouth

Caplan, William, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Chowdri, H. Ram, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Egan, Michael, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Hait, Michael, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Henderson, Scott, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Howard, Jack A., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Kuphal, Roy L., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Levin, Clinton, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Massachusetts

North Dartmouth

Levine, Eric, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Liu, Bing, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Mackler, Stephen C., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Martin, Daniel, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Messina, Matthew S., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Miesner, Judith, DO

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Pajak, Slawomir, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Pearl, Barbara, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Massachusetts

North Dartmouth

Pothier, Jahn A., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Reimer, Richard, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Sawyer, Rober, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Shih, David J., MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Will, Christine, MD

Specialty: Internal Medicine

(508) 961-0904

535 Faunce Corner Road

North Dartmouth, MA 02747

Northampton

Garretson, Adam D., MD

Specialty: Family Practice

(413) 387-4100

118 Conz Street

Northampton, MA 01060

Katz, David E., MD

Specialty: Family Practice

(413) 387-4100

118 Conz Street

Northampton, MA 01060

Page 97 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Massachusetts

Northampton

Lederman, Harvey M., MD

Specialty: Internal Medicine

(413) 387-4100

118 Conz Street

Northampton, MA 01060

Yoss, Marci S., MD

Specialty: Family Practice

(413) 387-4100

118 Conz Street

Northampton, MA 01060

South Hadley

Abare, Nathan J., MD

Specialty: Internal Medicine

(413) 533-2926

470 Granby Road, Suite 1

South Hadley, MA 01075

Bartley, Mary M., MD

Specialty: Family Practice

(413) 533-2926

470 Granby Road, Suite 1

South Hadley, MA 01075

Fay, Andrew K., MD

Specialty: Internal Medicine

(413) 533-2926

470 Granby Road, Suite 1

South Hadley, MA 01075

Krulewitz, Arthur H., MD

Specialty: Internal Medicine

(413) 533-2926

470 Granby Road, Suite 1

South Hadley, MA 01075

Springfield

Armstrong, Kelly L., MD

Specialty: Internal Medicine

(413) 733-4101

305 Bicentennial Highway

Springfield, MA 01119

Massachusetts

Springfield

Bhatt, Ritika, MD

Specialty: Internal Medicine

(413) 794-8777

3455 Main Street, Suite 6

Springfield, MA 01107

Cichon, Joanna, MD

Specialty: Internal Medicine

(413) 733-3470

77 Boylston Street

Springfield, MA 01104

Cossin, Jeffrey R., MD

Specialty: Internal Medicine

(413) 794-8777

3455 Main Street, Suite 6

Springfield, MA 01107

Cuadra, Hugo, MD

Specialty: Internal Medicine

(413) 733-3470

77 Boylston Street

Springfield, MA 01104

Iyer, Smitha S., MD

Specialty: Internal Medicine

(413) 794-8777

3455 Main Street, Suite 6

Springfield, MA 01107

Reddy, Vasantha G, MD

Specialty: Endocrinology, Diabetes & Metabolism

(413) 794-7237

3300 Main Street Suite A& B

Springfield, MA 01107

Salazar, Rodrigo G., MD

Specialty: Internal Medicine

(413) 794-8777

3455 Main Street, Suite 6

Springfield, MA 01107

Vora, Chaula K., MD

Specialty: Internal Medicine

(413) 733-4101

305 Bicentennial Highway

Springfield, MA 01119

Massachusetts

Stoughton

Fogel, Howard A, MD

Specialty: Endocrinology, Diabetes & Metabolism

(781) 297-1385

150 York Street

Stoughton, MA 02072

West Springfield

Alli, Glenn F., MD

Specialty: Internal Medicine

(413) 794-9110

46 Daggett Drive

West Springfield, MA 01089

Lao, Eric T., MD

Specialty: Internal Medicine

(413) 794-9110

46 Daggett Drive

West Springfield, MA 01089

Popkin, David E., MD

Specialty: Internal Medicine

(413) 794-9110

46 Daggett Drive

West Springfield, MA 01089

Solon, Michael H., MD

Specialty: Internal Medicine

(413) 794-9110

46 Daggett Drive

West Springfield, MA 01089

Westfield

Miller, Charlotte H., MD

Specialty: Internal Medicine

(413) 533-2900

1029 North Road

Westfield, MA 01085

Whatley

Smith, Robert D, DO

Specialty: Family Practice

(413) 665-8517

424 State Road

Whatley, MA 01093

Wilbraham

Page 98 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Massachusetts

Wilbraham

Kannel, Craig E., MD

Specialty: Internal Medicine

(413) 596-5550

2377 Boston Road, Suite 200

Wilbraham, MA 01095

Lynaugh, Sarah K., MD

Specialty: Internal Medicine

(413) 596-5550

2377 Boston Road, Suite 200

Wilbraham, MA 01095

Peluso, Jr., John F., MD

Specialty: Internal Medicine

(413) 596-5550

2377 Boston Road, Suite 200

Wilbraham, MA 01095

Michigan

Adrian

Bahhur, Nael O., MD

Specialty: Family Practice

(517) 263-5655

Grace Christman Medical Bldg., 777 Kimole Lane, Suite 230

Adrian, MI 49221

Brady, Tracy Danelle, MD

Specialty: Family Practice

(517) 263-5655

Grace Christman Medical Building, 777 Kimole Lane, Suite 230

Adrian, MI 49221

Harris, Sylvia, MD

Specialty: Internal Medicine

(517) 263-6140

901 Kimole Lane, STE A-4

Adrian, MI 49221

Battle Creek

Collins, John, DO

Specialty: Family Practice

(269) 969-6240

391 South Shore Drive, Suite 320

Battle Creek, MI 49014

Michigan

Battle Creek

Lopez, Glicerio B, MD

Specialty: Internal Medicine

(269) 969-6003

842 E COLUMBIA AVEUNE, STE. 2

BATTLE CREEK, MI 49014

Blissfield

Noel, Ella M, DO

Specialty: Internal Medicine

(517) 486-2411

Blissfield Health Center, P.O. Box 146

Blissfield, MI 49228

Brighton

Giannola, Joseph V., MD

Specialty: Family Practice

(810) 844-7950

7575 Grand River Ave., STE 209

Brighton, MI 48114

Brownstown

Badhwar, Avlokita, MD

Specialty: Internal Medicine

(734) 362-9032

17000 King Road

Brownstown, MI 48183

Badhwar, Manmohan, MD

Specialty: Internal Medicine

(734) 362-9032

17000 King Road

Brownstown, MI 48183

Byron Center

Colegrove, Neil, MD

Specialty: Family Practice

(616) 913-1350

2373 64th Street, Suite 1300

Byron Center, MI 49315

Michigan

Byron Center

Davies, Seena, MD

Specialty: Pediatrics

(616) 913-1350

2373 64th Street, Suite 1300

Byron Center, MI 49315

Delapp, Stephen, MD

Specialty: Family Practice

(616) 913-1350

2373 64th Street, Suite 1300

Byron Center, MI 49315

Foster, Thomas B, MD

Specialty: Pediatrics

(616) 913-1350

2373 64th Street, Suite 1300

Byron Center, MI 49315

Hulst, Lynda, MD

Specialty: Family Practice

(616) 913-1350

2373 64th Street, Suite 1300

Byron Center, MI 49315

Cadillac

Conrad, Alan J, MD

Specialty: Family Practice

(231) 775-2493

8950 Professional Drive

Cadillac, MI 49601

Caledonia

Breitweiser, Ann, DO

Specialty: Family Practice

(616) 252-5300

8941 North Rogers Court, SE

Caledonia, MI 49316

Finkbeiner, Channing E, MD

Specialty: Family Practice

(616) 685-8850

10047 Crossroad Ct.

Caledonia, MI 49316

Page 99 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Caledonia

Johnson, Aryn, DO

Specialty: Family Practice

(616) 252-5300

8941 North Rogers Court, SE

Caledonia, MI 49316

Joslin, Jeffery, MD

Specialty: Family Practice

(616) 685-8850

10047 Crossroad Ct.

Caledonia, MI 49316

Mecano, Liton S, MD

Specialty: Family Practice

(616) 685-8850

10047 Crossroad Ct.

Caledonia, MI 49316

Woodworth, John C., DO

Specialty: Family Practice

(616) 252-5300

8941 North Rogers Court, SE

Caledonia, MI 49316

Cedar Springs

Bargwell, Steven, DO

Specialty: Family Practice

(616) 252-6300

14211 White Creek Road

Cedar Springs, MI 49319

Elsing, Erica L., DO

Specialty: Family Practice

(616) 252-6300

14211 White Creek Road

Cedar Springs, MI 49319

Goebel, Peter G., DO

Specialty: Internal Medicine

(616) 252-6300

14211 White Creek Road

Cedar Springs, MI 49319

Coopersville

Michigan

Coopersville

Gadbois, Gregory, MD

Specialty: Family Practice

(616) 974-4860

701 W Randall

Coopersville, MI 49404

Gluck, Kendal, MD

Specialty: Family Practice

(616) 974-4860

701 W Randall

Coopersville, MI 49404

Detroit

Chan, Tracey E, NP

Specialty: Nurse Practitioner

(313) 579-4000

5555 Conner Street, Suite 2691

Detroit, MI 48213

Frankel, Jerome, DO

Specialty: Family Practice

(313) 273-1200

14001 Greenfield Road

Detroit, MI 48227

Frankel, Kevin, DO

Specialty: Family Practice

(313) 273-1200

14001 Greenfield Road

Detroit, MI 48227

Lucas, Stephenie M, MD

Specialty: Internal Medicine

(313) 885-2334

22151 Moross Rd. Suite 334

Detroit, MI 48236

Oney, Logan A, MD

Specialty: Internal Medicine

(313) 885-2334

22151 Moross Rd. Suite 334

Detroit, MI 48236

Grand Haven

Michigan

Grand Haven

Crissman, Molly P, MD

Specialty: Family Practice

(616) 846-1860

1445 Sheldon, Ste. 201

Grand Haven, MI 49417

Martin, Bruce W, MD

Specialty: Family Practice

(616) 846-1860

1445 Sheldon, Ste. 201

Grand Haven, MI 49417

McAree, John A., MD

Specialty: Internal Medicine

(616) 846-1860

1445 Sheldon, Suite 200

Grand Haven, MI 49417

Ottenbaker, David T, MD

Specialty: Family Practice

(616) 846-1860

1445 Sheldon, Ste. 201

Grand Haven, MI 49417

Powers, Daniel B, MD

Specialty: Family Practice

(616) 846-1860

1445 Sheldon, Ste. 201

Grand Haven, MI 49417

Grand Rapids

Al-Hamid, Asma, MD

Specialty: Geriatric Medicine/Family Practice

(616) 459-8338

1300 Michigan NE, Suite 103

Grand Rapids, MI 49503

App, Michael, MD

Specialty: Internal Medicine

(616) 464-2888

1300 Michigan Stret, Suite 202

Grand Rapids, MI 49503

Page 100 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Grand Rapids

Ashmead, Steven, MD

Specialty: Family Practice

(616) 685-6922

Suite 4000/4200 - Family Medicine, 300 Lafayette Se

Grand Rapids, MI 49503

Baranowski-Birkmeier, Teresa, DO

Specialty: Internal Medicine

(616) 252-4642

1925 Brenton Road SE, Suite 202

Grand Rapids, MI 49506

Baty, Philip, MD

Specialty: Family Practice

(616) 685-8350

5171 Plainfield Avenue NE

Grand Rapids, MI 49525

Beltran, Rhoda, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Blair, David E, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Brenner, Kristopher L., DO

Specialty: General Practice

4200 North Division, NE

Grand Rapids, MI 49321

Bultje, Jill, MD

Specialty: Family Practice

(616) 685-8621

1471 East Beltline NE Suite 201, Suite 201

Grand Rapids, MI 49525

Michigan

Grand Rapids

Clegg, Bradley J., DO

Specialty: Family Practice

(616) 252-1500

4300 Cascade Road

Grand Rapids, MI 49546

Collins, Emilie, MD

Specialty: Internal Medicine

(616) 685-3098

300 Lafayette Ave NE

Grand Rapids, MI 49503

Deines, Gregory, MD

Specialty: Internal Medicine

(616) 726-8700

4069 Lake Drive SE, Suite 117

Grand Rapids, MI 49546

Durfee, Gerald G, MD

Specialty: Family Practice

(616) 685-8350

5171 Plainfield Avenue NE

Grand Rapids, MI 49525

Elsen, Paul, MD

Specialty: Family Practice

(616) 685-8150

933 3 Mile Road NW, Suite 210, Suite 210

Grand Rapids, MI 49544

Harold, Donna, MD

Specialty: Internal Medicine

(616) 464-2888

1300 Michigan Stret, Suite 202

Grand Rapids, MI 49503

Heilman, Jody, MD

Specialty: Internal Medicine

(616) 685-6919

300 Lafayette SE, Suite 3000

Grand Rapids, MI 49503

Michigan

Grand Rapids

Hilts, Thomas, DO

Specialty: Family Practice

(616) 685-8621

1471 East Beltline NE Suite 201, Suite 201

Grand Rapids, MI 49525

Hull, Bryan, MD

Specialty: Internal Medicine

(616) 685-6919

300 Lafayette SE, Suite 3000

Grand Rapids, MI 49503

Joseph, Mark, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Kerby, James Thomas, MD

Specialty: Family Practice

(616) 949-2410

829 Forest Hill Avenue SE

Grand Rapids, MI 49546

Khan, Nasir, MD

Specialty: Internal Medicine

(616) 685-6919

300 Lafayette SE, Suite 3000

Grand Rapids, MI 49503

Kliphuis, Sally, MD

Specialty: Family Practice

(616) 685-8150

933 3 Mile Road NW, Suite 210, Suite 210

Grand Rapids, MI 49544

Kornoelje, Edwin J., DO

Specialty: Family Practice

(616) 252-1500

4300 Cascade Road

Grand Rapids, MI 49546

Page 101 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Grand Rapids

McCarthy, Anne, MD

Specialty: Internal Medicine

(616) 464-2888

1300 Michigan Stret, Suite 202

Grand Rapids, MI 49503

Mejeur, Rhonda, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Nguyen, An, MD

Specialty: Family Practice

(616) 685-8150

933 3 Mile Road NW, Suite 210, Suite 210

Grand Rapids, MI 49544

Olson, Peter, MD

Specialty: Internal Medicine

(616) 538-2100

1545 68th Street SE

Grand Rapids, MI 49508

Passinault, James P, MD

Specialty: Geriatric Medicine/Family Practice

(616) 685-6919

300 Lafayette SE, Suite 3000

Grand Rapids, MI 49503

Pomeroy, Nathan, MD

Specialty: Endocrinology, Diabetes & Metabolism

(616) 284-8950

4069 Lake Drive SE #315

Grand Rapids, MI 49546

Quiroz, Ernest, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Michigan

Grand Rapids

Reyelts, Fredric, MD

Specialty: Family Practice

(616) 685-8150

933 3 Mile Road NW, Suite 210, Suite 210

Grand Rapids, MI 49544

Rood, Robert S, MD

Specialty: Internal Medicine

(616) 685-3098

300 Lafayette Ave NE

Grand Rapids, MI 49503

Saleh, Mohammad, MD

Specialty: Internal Medicine

(616) 685-8621

1471 East Beltline NE Suite 201, Suite 201

Grand Rapids, MI 49525

Schuler, Cynthia L, MD

Specialty: Family Practice

(616) 647-3770

721 Three Mile Rd. NW, Suite 200

Grand Rapids, MI 49544

Sevensma, Susan, DO

Specialty: Family Practice

(616) 252-4642

1925 Brenton Road SE, Suite 202

Grand Rapids, MI 49506

Smith, Lisa, MD

Specialty: Family Practice

(616) 685-8350

5171 Plainfield Avenue NE

Grand Rapids, MI 49525

Spoolstra, Mark, MD

Specialty: Internal Medicine

(616) 685-6919

300 Lafayette SE, Suite 3000

Grand Rapids, MI 49503

Michigan

Grand Rapids

Steen, Stacyann, MD

Specialty: Family Practice

(616) 685-8450

150 Jefferson Se

Grand Rapids, MI 49503

Talmo, Janet, MD

Specialty: Family Practice

(616) 685-6922

Suite 4000/4200 - Family Medicine, 300 Lafayette Se

Grand Rapids, MI 49503

Tay, Eugene, MD

Specialty: Family Practice

(616) 685-8350

5171 Plainfield Avenue NE

Grand Rapids, MI 49525

Thomas, Jean, MD

Specialty: Family Practice

(616) 685-6922

Suite 4000/4200 - Family Medicine, 300 Lafayette Se

Grand Rapids, MI 49503

Thompson, Bethanie, MD

Specialty: Family Practice

(616) 647-3770

721 Three Mile Rd. NW, Suite 200

Grand Rapids, MI 49544

Travis, Marc, MD

Specialty: Family Practice

(616) 685-8621

1471 East Beltline NE Suite 201, Suite 201

Grand Rapids, MI 49525

Vanschagen, John, MD

Specialty: Family Practice

(616) 685-6922

Suite 4000/4200 - Family Medicine, 300 Lafayette Se

Grand Rapids, MI 49503

Page 102 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Grand Rapids

Vanwingen, Jeffrey Joseph, MD

Specialty: Family Practice

(616) 647-3770

721 Three Mile Rd. NW, Suite 200

Grand Rapids, MI 49544

Wabeke, Janice K., DO

Specialty: Family Practice

4200 North Division, NE

Grand Rapids, MI 49321

Wallace, Daniel Leland, DO

Specialty: Family Practice

(616) 949-2410

829 Forest Hill Avenue SE

Grand Rapids, MI 49546

Wright, Terrence Patrick, MD

Specialty: Family Practice

(616) 647-3770

721 Three Mile Rd. NW, Suite 200

Grand Rapids, MI 49544

Grandville

Applegate, James, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Duemler, Scott, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Frunza, Ana A, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Macholan, Thomas, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Michigan

Grandville

Martzke, Gary, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Merritt, Mona, MD

Specialty: Family Practice

(616) 685-8250

3380 44th St SW

Grandville, MI 49418

Grant

VanWieren, Gerald E., MD

Specialty: Internal Medicine

(231) 834-5676

71 Front Street

Grant, MI 49327

Hudsonville

Van Noord, Steven C., MD

Specialty: Family Practice

(616) 252-8622

3912 32nd Ave

Hudsonville, MI 49426

Jenison

Andersen, Amy Renee, MD

Specialty: Family Practice

(616) 913-8701

7782 20th Avenue

Jenison, MI 49428

Jary, Mark Lee, MD

Specialty: Family Practice

(616) 913-8701

7782 20th Avenue

Jenison, MI 49428

Ritsema, Peter Scott, MD

Specialty: Family Practice

(616) 913-8701

7782 20th Avenue

Jenison, MI 49428

Michigan

Jenison

Sackett, Gary, MD

Specialty: Family Practice

(616) 252-8600

7686 Georgetown Center Drive

Jenison, MI 49428

Vannoord, Janine, MD

Specialty: Family Practice

(616) 913-8701

7782 20th Avenue

Jenison, MI 49428

Kalamazoo

Campbell, Douglas G, MD

Specialty: Internal Medicine

(269) 226-5957

1717 Shaffer Road, Suite 124

Kalamazoo, MI 49048

Kanaparthi, Aparna, MD

Specialty: Internal Medicine

(269) 226-5290

1701 Gull Road

Kalamazoo, MI 49048

Oprescu, Alexandra G., MD

Specialty: Internal Medicine

(269) 226-5290

1701 Gull Road

Kalamazoo, MI 49048

Valitutto, Michael, DO

Specialty: Internal Medicine

(269) 226-8321

1722 Shaffer Street, Suite 3

Kalamazoo, MI 49048

Watson, Stacey, MD

Specialty: Internal Medicine

(269) 226-5957

1717 Shaffer Road, Suite 124

Kalamazoo, MI 49048

Page 103 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Kalamazoo

Wortz, Terry, MD

Specialty: Internal Medicine

(269) 226-5957

1717 Shaffer Road, Suite 124

Kalamazoo, MI 49048

Kentwood

Bishop, Michael Conrad, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Dillbeck, Rachel, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Harro, Daniel, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Hoffius, David, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Krieger, Jonathan, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Polizzi, Joseph, DO

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Michigan

Kentwood

Scott, Helen, MD

Specialty: Family Practice

(616) 685-8100

2080 44th St Se

Kentwood, MI 49508

Lambertville

Reames, David R., MD

Specialty: Family Practice

(734) 856-5494

3175 Smith Road, P.O. Box 590

Lambertville, MI 48144

True, Roger A., MD

Specialty: Family Practice

(734) 856-5494

3175 Smith Road, P.O. Box 590

Lambertville, MI 48144

Livonia

Appiah, Jacqueline G., MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Rd, Ste 210

Livonia, MI 48152

Bradley, Maura, MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Rd, Ste 210

Livonia, MI 48152

Deighton, Kevin, MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Road, Suite 210

Livonia, MI 48152

Fitzgibbons, Kelly, MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Road, Suite 210

Livonia, MI 48152

Michigan

Livonia

O'Dowd, Stacey, MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Road, Suite 210

Livonia, MI 48152

Stacherski, Mark, MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Road, Suite 210

Livonia, MI 48152

Steinberger, David Saul, MD

Specialty: Internal Medicine

(248) 477-8000

20276 Middlebelt Rd, Ste 7

Livonia, MI 48152

Sternberg, Randall David, MD

Specialty: Internal Medicine

(248) 477-8000

20276 Middlebelt Rd, Ste 7

Livonia, MI 48152

White, William P., MD

Specialty: Family Practice

(734) 432-7581

37595 Seven Mile Road, Suite 210

Livonia, MI 48152

Midland

Boboc, Lavinia, MD

Specialty: Internal Medicine

(989) 837-9008

4401 Campus Ridge Drive, Suite C2200

Midland, MI 48640

Morenci

Gray, William J., MD

Specialty: Internal Medicine

(517) 458-6109

13101 Sims Highway

Morenci, MI 49256

Muskegon

Page 104 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Muskegon

Banka, Michael, MD

Specialty: Family Practice

(231) 672-3177

1223 Mercy Drive

Muskegon, MI 49444

Novi

Balon, Michael, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Barad, Anjana M, MD

Specialty: Family Practice

(248) 662-4200

26850 Providence Parkway, Suite 375

Novi, MI 48374

Bodiya, Anita Terese, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Boomer, Robert, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Carter, Robert, MD

Specialty: Family Practice

(248) 662-4200

26850 Providence Parkway, Suite 375

Novi, MI 48374

Clary, Bethany, MD

Specialty: Family Practice

(248) 553-2200

28455 Haggerty Road, Suite 100

Novi, MI 48377

Michigan

Novi

DeWitt, Coleen, DO

Specialty: Family Practice

(248) 553-2200

28455 Haggerty Road, Suite 100

Novi, MI 48377

Klein, Steven, MD

Specialty: Family Practice

(248) 553-2200

28455 Haggerty Road, Suite 100

Novi, MI 48377

Linden, Stephanie, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Murray, William F., MD

Specialty: Geriatric Medicine/Family Practice

(248) 476-9250

39500 W Ten Mile, Suite 101

Novi, MI 48375

Parrinello, Frank, DO

Specialty: Family Practice

(248) 662-4200

26850 Providence Parkway, Suite 375

Novi, MI 48374

Sadasivan, Sushma, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Taylor, Glenn E., MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Michigan

Novi

Zoghlin, Gayla, MD

Specialty: Family Practice

(248) 465-4160

26850 Providence Parkway, Suite 375

Novi, MI 48374

Plainwell

Heed, Nancy, PA

Specialty: Physician Assistant

(269) 552-0100

345 Naomi Street

Plainwell, MI 49080

Niergarth, Megan, PA

Specialty: Physician Assistant

(269) 552-0100

345 Naomi Street

Plainwell, MI 49080

Saad, Tom T., MD

Specialty: Family Practice

(269) 552-0100

345 Naomi Street

Plainwell, MI 49080

Shaikh, Abdul S., MD

Specialty: Internal Medicine

(269) 552-0100

345 Naomi Street

Plainwell, MI 49080

Portage

Bradtke, John L, MD

Specialty: Internal Medicine

(269) 324-8670

7895 Currier Drive

Portage, MI 49002

DeJong, Sandra, FNP

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Page 105 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Portage

Duranceau, Jesse W., DO

Specialty: Internal Medicine

(269) 324-8670

7895 Currier Drive

Portage, MI 49002

Gatz, Timothy S., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Ghosh, Sian Agers, NP

Specialty: Nurse Practitioner

(269) 324-8670

7895 Currier Drive

Portage, MI 49002

Goldberger, Daniel, MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Graham, Yon Y., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Hagerman, Patricia, NP

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Helgerson, Kurt P., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Michigan

Portage

Holleman, Kevin M., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Konzen, Dennis W., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Ku, Michael T., DO

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Makowski, David N., DO

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Martinek, Jonathan Thomas, MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

McKay, Gianna L., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

McLive, Terri Jo, NP

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Michigan

Portage

Mumford, Constance A., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Newhouse, Peter A., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Pinon, Al J., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Slater, Mary E., MD

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Thurmer, Jr., Richard, DO

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Ulmer, Lawrence A., DO

Specialty: Family Practice

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Wessendorf, Karen, NP

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Page 106 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Portage

Wile, Jr., Larry E., MD

Specialty: Nurse Practitioner

(269) 324-8600

7901 Angling Road

Portage, MI 49024

Rockford

Cunningham, Daniel B., DO

Specialty: Family Practice

(616) 252-3100

4685 Belding Road

Rockford, MI 49341

Dew, John S., DO

Specialty: Family Practice

(616) 252-3100

4685 Belding Road

Rockford, MI 49341

Southfield

Zambare, Suchitra V, MD

Specialty: Internal Medicine

(248) 849-8747

22255 Greenfield Rd Suite 130

Southfield, MI 48075

Sparta

Schneider, John H, MD

Specialty: Family Practice

(616) 685-1300

475 South State Street, PO Box 50

Sparta, MI 49345

Taylor

Aggarwal, Satinder, MD

Specialty: Internal Medicine

(313) 295-7200

10501 Telegraph, Suite 101

Taylor, MI 48180

Troy

Michigan

Troy

Hunt, Curtis L., MD

Specialty: Internal Medicine

(248) 680-8400

2888 E. Long Lake Rd., #110

Troy, MI 48085

Walker

Ahrens, William, MD

Specialty: Family Practice

(616) 685-8650

1175 Wilson Ave NW

Walker, MI 49534-349

Duhn, John, DO

Specialty: Family Practice

(616) 685-8650

1175 Wilson Ave NW

Walker, MI 49534-349

Halverson, Jaime, DO

Specialty: Family Practice

(616) 685-8650

1175 Wilson Ave NW

Walker, MI 49534-349

Mcbride, Kevin, MD

Specialty: Family Practice

(616) 685-8650

1175 Wilson Ave NW

Walker, MI 49534-349

Witherell, Gerald, MD

Specialty: Family Practice

(616) 685-8650

1175 Wilson Ave NW

Walker, MI 49534-349

Wayland

Bessert, Linda M., MD

Specialty: Family Practice

(269) 792-6263

893 East Superior Street

Wayland, MI 49348

Michigan

Wayland

Fenton, Charles R., DO

Specialty: Family Practice

(269) 792-6263

893 East Superior Street

Wayland, MI 49348

West Bloomfield

Elconin, Lisa B., MD

Specialty: Internal Medicine

(248) 406-1000

5777 Maple Rd, Ste 140

West Bloomfield, MI 48322

Goldfaden, Amy, MD

Specialty: Internal Medicine

(248) 406-1000

5777 Maple Rd, Ste 140

West Bloomfield, MI 48322

Katz, Laurie B., MD

Specialty: Internal Medicine

(248) 406-1000

5777 Maple Rd, Ste 140

West Bloomfield, MI 48322

Kerner, Genise Eilender, MD

Specialty: Internal Medicine

(248) 406-1000

5777 Maple Rd, Ste 140

West Bloomfield, MI 48322

Wyoming

Albrecht, David J., DO

Specialty: Internal Medicine

(616) 252-8300

2215 44th Street SW, Suite 100

Wyoming, MI 49519

Belsito, Frank E., DO

Specialty: Family Practice

(616) 252-8300

2215 44th Street, SW, Suite 201 A

Wyoming, MI 49519

Page 107 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Michigan

Wyoming

Bethune, Craig H., DO

Specialty: Family Practice

(616) 252-8300

2215 44th Street SW, Suite 200

Wyoming, MI 49519

Johnson, Scott A., DO

Specialty: General Practice

(616) 252-8300

2215 44th Street SW, Suite 200

Wyoming, MI 49519

Owens, Lance M., DO

Specialty: Family Practice

(616) 252-8300

2215 44th Street SW, Suite 200

Wyoming, MI 49519

Pell, Mary R., DO

Specialty: Family Practice

(616) 252-8300

2215 44th Street SW, Suite 200

Wyoming, MI 49519

Stevens, Jeffrey M., MD

Specialty: Family Practice

(616) 252-8300

2215 44th Street, SW, Suite 201 A

Wyoming, MI 49519

Minnesota

Bloomington

Benjamin, Barbara A., MD

Specialty: Family Practice

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Bratten, Kent K., MD

Specialty: Internal Medicine

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Minnesota

Bloomington

Burnett, Bruce E., MD

Specialty: Internal Medicine

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Jeddeloh, Robert J., MD

Specialty: Internal Medicine

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Mandel, Jeffrey L., MD

Specialty: Internal Medicine

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Mitchell, Richard F., MD

Specialty: Family Practice

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Pagidipala, Surekha,

Specialty: Family Practice

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Scherman, Debra A., MD

Specialty: Family Practice

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Turchetti, Donna M., MD

Specialty: Internal Medicine

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Yang, Jianping, MD

Specialty: Family Practice

(952) 993-2400

5320 Hyland Greens Dr

Bloomington, MN 55437

Minnesota

Brooklyn Center

Bonifas, Amy M., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Chessor, Alfredmy G., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Christenson, Laura L., MD

Specialty: Internal Medicine

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

DePaolis, Mark W, MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Hall, Kathleen M., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Kim, Robert S., MD

Specialty: Internal Medicine

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Marroquin, Rosa M., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Martens, Thomas W, MD

Specialty: Internal Medicine

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Page 108 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

Brooklyn Center

Mattson, Kari L., MD

Specialty: Internal Medicine

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Reed, Steven H, MD

Specialty: Internal Medicine

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Swedenburg, Susan M., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Van Dyke, Brooke A., MD

Specialty: Family Practice

(952) 993-4900

6000 Earle Brown Dr

Brooklyn Center, MN 55430

Burnsville

Balkissoon, Geeta L.,

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Engstrom, Suzanne M., MD

Specialty: Internal Medicine

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Hesse, Jeanne M., MD

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Minnesota

Burnsville

Hutchison, LeAnn G., MD

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Kremer, Matthew T, MD

Specialty: Internal Medicine

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Luo, Zhen Zhen X, MD

Specialty: Emergency Medicine

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Malvey, Craig J., MD

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Nguyen, Son Hong, MD

Specialty: Internal Medicine

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Siddiqui, Shabana, MD

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Sullivan, Daniel J., MD

Specialty: Family Practice

(952) 993-8700

14000 Fairview Dr.

Burnsville, MN 55337

Chanhassen

Minnesota

Chanhassen

Carney, Steven J., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Costello, Sujata R, MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Guzman, Martha L., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Kakacek, Virginia L., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Knopp, William D, MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Leenay, Stephen L., MD

Specialty: Internal Medicine

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Lofness Steele, Gail C, MD

Specialty: Ophthalmology

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Page 109 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

Chanhassen

Rutledge, Anne M., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Sczublewski, Jeffrey A., MD

Specialty: Internal Medicine

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Simonson, Rolf J., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Trcka, Leslie A., MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Young, Helen C, MD

Specialty: Family Practice

(952) 993-4300

300 Lake Dr E

Chanhassen, MN 55317

Duluth

Sjoberg, Robert J., MD

Specialty: Internal Medicine

1011 E 1st St

Duluth, MN 55805

Eagan

Holm, Todd H, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Minnesota

Eagan

Permuth, Suzanne F, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Rawal, Shivani, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Reed, Illene T, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Robrock, John P, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Thadepalli, Fernando H, MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Von Weiss, David L., MD

Specialty: Family Practice

(952) 993-4001

1885 Plaza Dr.

Eagan, MN 55122

Eden Prairie

Boehm, Curtis A., MD

Specialty: Internal Medicine

(952) 993-4931

7905 Golden Tri Dr., Ste 190

Eden Prairie, MN 55344

Minnesota

Eden Prairie

Kaihoi, Dean A., MD

Specialty: Family Practice

(952) 993-7400

8455 Flying Cloud Dr, Ste 200

Eden Prairie, MN 55344

Kaldor, Paul E, MD

Specialty: Family Practice

(952) 993-7400

8455 Flying Cloud Dr, Ste 200

Eden Prairie, MN 55344

Kline, Sally A., MD

Specialty: Family Practice

(952) 993-7400

8455 Flying Cloud Dr, Ste 200

Eden Prairie, MN 55344

Olson, David M., MD

Specialty: Family Practice

(952) 993-7400

8455 Flying Cloud Dr, Ste 200

Eden Prairie, MN 55344

Timmerman, Aaron J, MD

Specialty: Family Practice

(952) 993-7400

8455 Flying Cloud Dr, Ste 200

Eden Prairie, MN 55344

Golden Valley

Beck, Richard L., MD

Specialty: Internal Medicine

(952) 993-8300

8240 Golden Valley Dr.

Golden Valley, MN 55427

Daleiden, Amy S, MD

Specialty: Family Practice

(952) 993-8300

8240 Golden Valley Dr.

Golden Valley, MN 55427

Page 110 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

Golden Valley

Dardick, Samuel J., MD

Specialty: Internal Medicine

(952) 993-8300

8240 Golden Valley Dr.

Golden Valley, MN 55427

Millman, Louis H, MD

Specialty: Internal Medicine

(952) 993-8300

8240 Golden Valley Dr.

Golden Valley, MN 55427

Reierson, Britta R, MD

Specialty: Family Practice

(952) 993-8300

8240 Golden Valley Dr.

Golden Valley, MN 55427

Maple Grove

Pattee, Paul F, MD

Specialty: Internal Medicine

(952) 993-1440

15800 95th Ave N.

Maple Grove, MN 55369

Minneapolis

Arnason, Frederick R, MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Eckhoff, Alison A., MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Levitt, John I, MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Minnesota

Minneapolis

Lindquist, Sara A., MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Petersen, Dale R, MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Seaburg, Mark D, MD

Specialty: Internal Medicine

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Stenzler, Benjamin M., DO

Specialty: Family Practice

(952) 993-8000

2001 Blaisdell Ave

Minneapolis, MN 55405

Minnetonka

Berger, Ericka L., MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Carlson, Danita J., MD

Specialty: Internal Medicine

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Gmitro, Michael G., MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Minnesota

Minnetonka

Hench, Mark S, MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Larson, Kathleen M., MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Pease, Benjamin, MD

Specialty: Internal Medicine

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Peterson, Sieglinde, MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Pryor, Timothy D, MD

Specialty: Family Practice

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Sanchez, Alvaro H, MD

Specialty: Internal Medicine

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Wolfson, Michael R, MD

Specialty: Internal Medicine

(952) 992-4500

15111 Twelve Oaks Ctr Dr

Minnetonka, MN 55305

Plymouth

Page 111 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

Plymouth

Lowin, Douglas L., MD

Specialty: Family Practice

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

McGown, Ronald G, MD

Specialty: Family Practice

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Miley, Mary Z, MD

Specialty: Internal Medicine

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Norris Sanchez, Stephanie Norris, MD

Specialty: Internal Medicine

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Peterson, Maren E, MD

Specialty: Internal Medicine

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Ray, Jonathan R, MD

Specialty: Family Practice

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Richmond, Lawrence G, MD

Specialty: Family Practice

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Minnesota

Plymouth

Stiepani, Rosemarie C, MD

Specialty: Family Practice

(952) 993-8900

3007 Harbor Ln N

Plymouth, MN 55447

Prior Lake

Asante-Buabeng, Samuel,

Specialty: Emergency Medicine

(952) 993-7750

4670 Park Nicollet Ave SE

Prior Lake, MN 55372

Bergeron, Wendy M., MD

Specialty: Family Practice

(952) 993-7750

4670 Park Nicollet Ave SE

Prior Lake, MN 55372

Trajano, Daniel A., MD

Specialty: Family Practice

(952) 993-7750

4670 Park Nicollet Ave SE

Prior Lake, MN 55372

Shakopee

Busch, Trevor L., MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Freund, Patricia I, MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Hauschulz, Daniel W,

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Minnesota

Shakopee

Navarrete, Gustavo H,

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Ready, Stephen A., MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Rinowski, Joseph F, MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Spagnolo, Anthony A., MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Thrall, Maria L., MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Westholder, Mark J, MD

Specialty: Family Practice

(952) 993-7750

1415 St Francis Ave

Shakopee, MN 55379

Shorewood

Kelly, Suruchi S, MD

Specialty: Internal Medicine

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

Page 112 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

Shorewood

Kiefer, Thomas A., MD

Specialty: Family Practice

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

Mitlyng, Sara J., MD

Specialty: Family Practice

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

Stolz, Allison M., MD

Specialty: Family Practice

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

Van Sloun, Nancy Jo, MD

Specialty: Internal Medicine

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

Weimerskirch, Marcia L., MD

Specialty: Family Practice

(952) 953-5900

19685 Hwy 7

Shorewood, MN 55331

St Louis Park

Anderson, Sean E, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Axelson, John T, MD

Specialty: Family Practice

(952) 993-5080

3931 Louisiana Ave, Ste W515

St Louis Park, MN 55426

Minnesota

St Louis Park

Bartlett, John R, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Bartlett, Rebecca A., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Beh, Merritt M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Borowsky, Steven J, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Brezinski, Michele M., MD

Specialty: Family Practice

(952) 993-5080

3931 Louisiana Ave, Ste W515

St Louis Park, MN 55426

Buck, II, Christopher G, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Dahl, Genia K, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Damberg, Gregory S, MD

Specialty: Endocrinology, Diabetes & Metabolism

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Minnesota

St Louis Park

Davis, Philip D, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

DeBold, C Rowan, MD

Specialty: Endocrinology, Diabetes & Metabolism

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Desai, Nima A., MD

Specialty: Family Practice

(952) 993-5080

3931 Louisiana Ave, Ste W515

St Louis Park, MN 55426

Dukinfield, Michael P., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Emmons, Samuel B, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Fish, Lisa H, MD

Specialty: Endocrinology, Diabetes & Metabolism

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Gantzer, Heather E, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Gustafson, Holly B, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Page 113 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

St Louis Park

Gutenkauf, Joseph J, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Haugen, John A., MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Henke-Le, Tanya K, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Houle, Cara H, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Jarvis, Nancy J, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Jay, Podaly U, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Kendall, David M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Kind, Steven L., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Minnesota

St Louis Park

Kopski, Kristen M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Labayen, Cynthia M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

LaFave, Laura T, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Lehman, Gregory T, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Lynch, David J, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Manning, Lynn P, MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

McCabe, Steven T, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

McCoy, Charles E, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Minnesota

St Louis Park

Milburn, Jodi K, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Moser, Staci R, DO

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Moxness, Rebecca M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Neale, Shannon M., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Ngo, Angela K, MD

Specialty: Endocrinology, Diabetes & Metabolism

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Olson, Kenneth P, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Parnell, James T, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Pine, Donald A., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Page 114 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Minnesota

St Louis Park

Pofahl, Benjamin N, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Quinn, Teresa E., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Rajtora, Timothy C, MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Shklyarova, Bella S, MD

Specialty: Family Practice

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Springer, Jeremy S., MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Trostel, Kristi A., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Van Hee, Tonya M., MD

Specialty: Internal Medicine

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Wagner, Mary D, MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Minnesota

St Louis Park

Wilkens, Mary E, MD

Specialty: Family Practice

(952) 993-5707

6600 Excelsior Blvd, Ste 160

St Louis Park, MN 55426

Wingert, Terence D, MD

Specialty: Endocrinology, Diabetes & Metabolism

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Woolley, Anthony C, MD

Specialty: Nephrology

(952) 993-2527

3850 Park Nicollet Blvd.

St Louis Park, MN 55416

Wayzata

Anderson, William H, MD

Specialty: Internal Medicine

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Doan, Robert E, MD

Specialty: Internal Medicine

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Ellgaard, Annemarie K, MD

Specialty: Family Practice

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

McCarthy, Christine M., MD

Specialty: Family Practice

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Minnesota

Wayzata

Olson, Laura N, MD

Specialty: Family Practice

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Pandita, Deepti, MD

Specialty: Internal Medicine

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Parsons, Leonard F, MD

Specialty: Family Practice

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Sahgal, Kamal K, MD

Specialty: Internal Medicine

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Showalter, Dennis K, MD

Specialty: Family Practice

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Tiede, William S, MD

Specialty: Internal Medicine

(952) 993-3400

250 Central Ave N, Ste 220

Wayzata, MN 55391

Mississippi

Booneville

Reynolds, Christopher Sean, MD

Specialty: Family Practice

(662) 728-2071

1301 North Second Street

Booneville, MS 38829

Columbus

Page 115 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Mississippi

Columbus

Stanback, John, MD

Specialty: Family Practice

(662) 328-9702

4508 highway 45 North

Columbus, MS 39702

Crystal Springs

Ervin, James Wilfred, MD

Specialty: Family Practice

(601) 892-3063

104 West Railroad Avenue South

Crystal Springs, MS 39059

Flowood

Woo, Wayne, MD

Specialty: Endocrinology, Diabetes & Metabolism

(601) 932-1223

2610 Courthouse Circle

Flowood, MS 39232

Fulton

Arriola, Raymond Rudolph, MD

Specialty: Family Practice

(662) 862-5200

1 Medical Drive

Fulton, MS 38843

Kelly, Charles, DO

Specialty: Family Practice

(662) 862-5200

1 Medical Park Drive

Fulton, MS 38843

Iuka

Bagwell, Michael Brian, DO

Specialty: Family Practice

(662) 423-6014

1771 Curtis Drive

Iuka, MS 38852

Gillespie, III, George, DO

Specialty: Family Practice

(662) 423-6014

1771 Curtis Drive

Iuka, MS 38852

Maben

Mississippi

Maben

Simmons, Winnie Sue, MD

Specialty: Pediatrics

(662) 263-5900

49 Turner Street

Maben, MS 39750

Magee

Pruitt, Charles, MD

Specialty: Family Practice

(601) 849-1230

360 Simpson Hwy 149, Suite 300

Magee, MS 39111

New Albany

Thompson-Davis, Jennifer, MD

Specialty: Family Practice

(662) 534-5036

400 Doctors Drive

New Albany, MS 38652

Oxford

Castle, Mona M, MD

Specialty: Family Practice

(662) 234-1791

2161 South Lamar Boulevard

Oxford, MS 38655

Pontotoc

Koehler, Kevin, MD

Specialty: Family Practice

(662) 489-7430

345 Highway 15 North

Pontotoc, MS 38863

Wing, Dale, MD

Specialty: Family Practice

(662) 489-7430

345 Highway 15 North

Pontotoc, MS 38863

Southaven

Mississippi

Southaven

Wassef, Magdi S, MD

Specialty: Internal Medicine

(662) 349-1999

7680 Airways Boulevard

Southaven, MS 38671

Tupelo

Allen, John William, MD

Specialty: Internal Medicine

(662) 377-5930

845 S . Madison Street

Tupelo, MS 38801

Fortenberry, Frank, MD

Specialty: Internal Medicine

(662) 377-5930

845 S . Madison Street

Tupelo, MS 38801

Greer, Curtis Lee, MD

Specialty: Family Practice

(662) 377-5930

845 S. Madison Street

Tupelo, MS 38801

Haire, Anne, DO

Specialty: Family Practice

3411 West Main

Tupelo, MS 38801

Menefee, Derreck, MD

Specialty: Internal Medicine

(662) 377-5930

845 S . Madison Street

Tupelo, MS 38801

Palmer, Julie, DO

Specialty: Family Practice

3411 West Main

Tupelo, MS 38801

White, Deanna R, MD

Specialty: Internal Medicine

(662) 377-5930

845 S . Madison Street

Tupelo, MS 38801

West Point

Page 116 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Mississippi

West Point

Wartak, Andrjez, MD

Specialty: Internal Medicine

(662) 494-1870

850 Emergency Drive

West Point, MS 39773

Missouri

Arnold

Abercrombie, Christopher S, DO

Specialty: Family Practice

(636) 282-9899

18 Fox Valley Center

Arnold, MO 63010

Ream, Sheryl S., MD

Specialty: Pediatrics

(636) 717-6776

3619 Richardson Square Drive, Suite 170

Arnold, MO 63010

Sharma, Sanjay, DO

Specialty: Family Practice

(636) 296-7510

Arnold Mall, # 8

Arnold, MO 63010

Weick, Mary B, MD

Specialty: Family Practice

(636) 717-6776

3619 Richardson Square Drive, Suite 170

Arnold, MO 63010

Ballwin

Houston, Mark T, MD

Specialty: Family Practice

(636) 256-5380

15945 Clayton Road, Suite 330

Ballwin, MO 63011

Murphy, Timothy P., MD

Specialty: Family Practice

(636) 256-5380

15945 Clayton Road, Suite 330

Ballwin, MO 63011

Missouri

Ballwin

Schlitt, David F., MD

Specialty: Internal Medicine

(636) 256-5359

15945 Clayton Road, Suite 319

Ballwin, MO 63011

Bridgeton

Fisher, Dion Grant, MD

Specialty: Internal Medicine

(314) 298-3893

12277 DePaul Drive, Ste. 504

Bridgeton, MO 63044

McLaughlin, Sean T., MD

Specialty: Internal Medicine

(314) 298-3893

12277 DePaul Drive, Suite 504

Bridgeton, MO 63044

Poetz, Robert P., DO

Specialty: Family Practice

(314) 291-0505

12255 DePaul Drive, Suite 865

Bridgeton, MO 63044

Chesterfield

Hastings, Thomas F., MD

Specialty: Internal Medicine

(314) 434-4278

1585 Woodlake Drive, Suite 100

Chesterfield, MO 63017

Kennington, L Joseph, MD

Specialty: Family Practice

(314) 434-3333

14377 Woodlake Drive, Suite 300

Chesterfield, MO 63017

Ketchum, James, MD

Specialty: Internal Medicine

(314) 878-1905

1585 Woodlake Drive, Suite 106

Chesterfield, MO 63017

Missouri

Chesterfield

Schoenwalder, David, MD

Specialty: Internal Medicine

(314) 878-1905

1585 Woodlake Drive, Suite 106

Chesterfield, MO 63017

Schoenwalder, Michael S., DO

Specialty: Internal Medicine

(314) 878-1905

1585 Woodlake Drive, Suite 106

Chesterfield, MO 63017

Sigman, Christine A., MD

Specialty: Internal Medicine

(314) 878-1905

1585 Woodlake Drive, Suite 106

Chesterfield, MO 63017

Smith, Kevin B., MD

Specialty: Family Practice

(314) 434-3333

14377 Woodlake Drive, Suite 300

Chesterfield, MO 63017

Cuba

Lamble, Peter J, MD

Specialty: Family Practice

(636) 231-3638

301 Theresa Street

Cuba, MO 65453

Des Peres

Rudnick, Caroline M., MD

Specialty: Family Practice

(314) 977-9600

2325 Dougherty Ferry Road, Ste 100

Des Peres, MO 63122

Eureka

Dubois, John Joseph, DO

Specialty: Internal Medicine

20 Legends Parkway

Eureka, MO 63025

Page 117 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

Eureka

Michaels, Robert Bradley, MD

Specialty: Family Practice

(314) 938-3399

179 Eureka Towne Center Drive

Eureka, MO 63025

Farmington

Kirkley, Scott, MD

Specialty: Internal Medicine

(573) 756-6751

1103 West Liberty

Farmington, MO 63640

Fenton

Broyles, Damon Robert, MD

Specialty: Family Practice

(636) 717-6704

Fenton Family Medicine, 714 Gravois Road, Ste. 210

Fenton, MO 63026

Fritz, Tracy A, MD

Specialty: Family Practice

(636) 717-1350

1203 Smizer Mill Road, Suite 105

Fenton, MO 63026

Hugo, Justin E., MD

Specialty: Family Practice

(636) 717-6704

Fenton Family Medicine, 714 Gravois Road, Ste. 210

Fenton, MO 63026

Johnson, Melissa D., DO

Specialty: Family Practice

(636) 717-6704

Fenton Family Medicine, 714 Gravois Road, Ste. 210

Fenton, MO 63026

Festus

Patel, Ashutosh H, MD

Specialty: Internal Medicine

(636) 937-1528

1400 HWY 61 S., Suite 150

Festus, MO 63028

Missouri

Festus

Sides, Gary W, DO

Specialty: Family Practice

(636) 937-3611

Jefferson County Family Medicine, 1216 W. Main Street, Box 399

Festus, MO 63028

Sides, Kevin J, DO

Specialty: Family Practice

(636) 937-3611

Jefferson County Family Medicine, 1216 W. Main Street, Box 399

Festus, MO 63028

Florissant

Brown, David M, MD

Specialty: Internal Medicine

(314) 838-8686

1776 Florissant Road

Florissant, MO 63033

Eckert, Joseph C., DO

Specialty: Family Practice

(314) 831-2600

3533 Dunn Road, Suite 204

Florissant, MO 63033

Faron, Jeffrey C., MD

Specialty: Internal Medicine

(314) 831-8600

91 Florissant Oaks Shopping Center

Florissant, MO 63031

Faron, Mark A., MD

Specialty: Internal Medicine

(314) 831-8600

91 Florissant Oaks Shopping Center

Florissant, MO 63031

Kazdan, Andrew M, MD

Specialty: Internal Medicine

(314) 831-8600

91 Florissant Oaks Shopping Center

Florissant, MO 63031

Missouri

Florissant

Knapp, William Stephen, MD

Specialty: Family Practice

(314) 831-0181

2175 Charbonier, STE B

Florissant, MO 63031

Moore Beckerle, Carla, ANP

Specialty: Nurse Practitioner

(314) 838-5702

125 Dunn Road

Florissant, MO 63031

Perkins, Cindy, FNP

Specialty: Nurse Practitioner

(314) 831-0181

2175 Charbonier, STE B

Florissant, MO 63031

Plisco, Irwin, MD

Specialty: Internal Medicine

(314) 839-4554

1150 Graham Road, Suite 111

Florissant, MO 63031

Rice, John, MD

Specialty: Internal Medicine

(314) 838-5702

125 Dunn Road

Florissant, MO 63031

Scaglione, Karen Louise, ACNP

Specialty: Nurse Practitioner

(314) 838-5702

125 Dunn Road

Florissant, MO 63031

Treisman, Michael C., MD

Specialty: Internal Medicine

(314) 831-8600

91 Florissant Oaks Shopping Center

Florissant, MO 63031

Page 118 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

Florissant

Whitehead, Daniel W, MD

Specialty: Internal Medicine

243 Dunn Road

Florissant, MO 63031

Florrissant

Adams, Susan, MD

Specialty: Internal Medicine

(314) 838-5702

125 Dunn Road

Florrissant, MO 63031

Anderson, Scott, MD

Specialty: Internal Medicine

(314) 838-5702

125 Dunn Road

Florrissant, MO 63031

Boehmer, Joyce, MD

Specialty: Internal Medicine

(314) 838-5702

125 Dunn Road

Florrissant, MO 63031

Gerald

Scheer, Jennifer L., MD

Specialty: Family Practice

(573) 764-4362

739 West Springfield Road

Gerald, MO 63037

Hazelwood

Beaman, William F, MD

Specialty: Internal Medicine

(314) 731-1113

755 Dunn Road, Suite 110

Hazelwood, MO 63136

Conway, Philip G., MD

Specialty: Internal Medicine

(314) 731-1113

755 Dunn Road, Suite 110

Hazelwood, MO 63136

Missouri

Hazelwood

Dotson, Delores Chantel, MD

Specialty: Family Practice

(314) 919-2700

801 Hazelwest Dr.

Hazelwood, MO 63042

Gray, Gary D., MD

Specialty: Internal Medicine

(314) 731-1113

755 Dunn Road, Suite 110

Hazelwood, MO 63136

Kasalova, Marketa, MD

Specialty: Internal Medicine

(314) 731-1113

755 Dunn Road, Suite 110

Hazelwood, MO 63136

Markollari, Artan, MD

Specialty: Family Practice

(314) 919-2700

801 Hazelwest Drive

Hazelwood, MO 63042

Mulford, Terrell J., DO

Specialty: Family Practice

(314) 919-2700

801 Hazelwest Drive

Hazelwood, MO 63042

Jefferson City

Rauba, Alan T., MD

Specialty: Internal Medicine

(573) 635-5264

1241 West Stadium Blvd

Jefferson City, MO 65109

Kansas City

Chapman, Thomas C., DO

Specialty: Internal Medicine

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Missouri

Kansas City

Day, James G., DO

Specialty: Family Practice

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Granger, Nathan D., MD

Specialty: Family Practice

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Joslin, Paul M., MD

Specialty: Internal Medicine

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Kuennen, Scott H., MD

Specialty: Family Practice

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

McDonald, James H., MD

Specialty: Internal Medicine

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Ortiz, Richard, MD

Specialty: Family Practice

(816) 842-4440

5501 NW 62nd Terrace, Suite 100

Kansas City, MO 64151

Kirkwood

Busch, Julie Elizabeth, MD

Specialty: Family Practice

(314) 543-5943

10296 Big Bend Blvd., Suite 111

Kirkwood, MO 63122

Page 119 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

Kirkwood

King, Kevin P, MD

Specialty: Family Practice

(314) 822-6830

816 South Kirkwood Rd., Suite 210

Kirkwood, MO 63122

Tadros, Charles H., MD

Specialty: Internal Medicine

(314) 543-5943

10296 Big Bend Blvd., Suite 111

Kirkwood, MO 63122

Lake St. Louis

Charnond, Siroth, MD

Specialty: Internal Medicine

(636) 561-8100

107 Brevco Plaza

Lake St. Louis, MO 63367

Vatterott, Paul B., MD

Specialty: Internal Medicine

(636) 561-8100

107 Brevco Plaza

Lake St. Louis, MO 63367

Manchester

Hand, Jason A., MD

Specialty: Internal Medicine

(314) 821-1313

2200 Barrett Station Road

Manchester, MO 63021

Helton, J. Gavin, MD

Specialty: Internal Medicine

(314) 821-1313

2200 Barrett Station Road

Manchester, MO 63021

Hilgeman, Joseph T, MD

Specialty: Internal Medicine

(314) 821-1313

2200 Barrett Station Road

Manchester, MO 63021

Missouri

Manchester

Panasci, Thomas J, MD

Specialty: Internal Medicine

(314) 821-1313

2200 Barrett Station Road

Manchester, MO 63021

Marthasville

Long, Timothy P, MD

Specialty: Family Practice

(636) 231-3638

200 N. Hwy 47

Marthasville, MO 63357

New Haven

Davis, Thomas E, MD

Specialty: Family Practice

9513 Hwy 100 west

New Haven, MO 63068

North Kansas City

Graves, Karladine E, DO

Specialty: Family Practice

(816) 221-7744

2750 Clay Edwards Drive, Suite 612

North Kansas City, MO 64116

Graves, Wayne D., DO

Specialty: Emergency Medicine

(816) 221-7744

2750 Clay Edwards Drive, Suite 612

North Kansas City, MO 64116

O'Fallon

Beckerdite, Matthew A., MD

Specialty: Family Practice

(636) 978-8600

300 Winding Woods Drive, Suite 222

O'Fallon, MO 63366

Grus, Brian, MD

Specialty: Internal Medicine

(636) 344-2400

2 Progress Point Pkwy, Suite 101 E

O'Fallon, MO 63368

Missouri

O'Fallon

O'Brien, John J., MD

Specialty: Family Practice

(636) 561-5999

9426 Phoenix Village Parkway

O'Fallon, MO 63368

Piontek, Erin E., MD

Specialty: Family Practice

(636) 978-8600

300 Winding Woods Drive, Suite 222

O'Fallon, MO 63366

Roos, Scott, MD

Specialty: Family Practice

(636) 240-5454

2630 Highway K

O'Fallon, MO 63366

Ryan, Geraldine A., MD

Specialty: Internal Medicine

(636) 561-5999

9426 Phoenix Village Parkway

O'Fallon, MO 63368

Sommers, Thomas S., MD

Specialty: Family Practice

(636) 978-8600

300 Winding Woods Drive, Suite 222

O'Fallon, MO 63366

Stachecki, George P., MD

Specialty: Family Practice

(636) 240-5454

2630 Highway K

O'Fallon, MO 63366

Zimmer, Beth A, MD

Specialty: Family Practice

(636) 561-5999

9426 Phoenix Village Parkway

O'Fallon, MO 63368

Pacific

Page 120 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

Pacific

Rademann, Anna, NP

Specialty: Nurse Practitioner

(636) 231-3638

307 Noonan Drive

Pacific, MO 63069

Rickmeyer, Mark D, DO

Specialty: Family Practice

(636) 231-3638

307 Noonan Drive

Pacific, MO 63069

Schmidt, Craig J, MD

Specialty: Family Practice

(636) 231-3638

307 Noonan Drive

Pacific, MO 63069

Vargas, Teodoro C., MD

Specialty: Family Practice

(636) 271-3500

319 North First Street

Pacific, MO 63069

Richmond Heights

Tracy, Elizabeth, MD

Specialty: Internal Medicine

(314) 645-3743

1027 Bellevue, Suite 107

Richmond Heights, MO 63117

Saint Charles

Thurman, Jerome E, MD

Specialty: Endocrinology, Diabetes & Metabolism

(636) 669-2219

1551 Wall Street, Suite 430

Saint Charles, MO 63303

Saint Louis

Brunts, Kathleen S., MD

Specialty: Internal Medicine

(314) 645-3743

1027 Bellevue, #107

Saint Louis, MO 63117

Missouri

Saint Louis

Buck, Denise Lynne, MD

Specialty: Family Practice

(314) 961-0900

Dr. Denise Lynne Buck, 8793 Watson Road

Saint Louis, MO 63119

Byrne, Robert, MD

Specialty: Internal Medicine

(314) 739-4166

12255 DePaul Drive, Suite 700

Saint Louis, MO 63044

Corder, J Collins, MD

Specialty: Internal Medicine

(314) 872-9900

3009 N. Ballas Rd., Suite 300 A

Saint Louis, MO 63131

Grabowski, Andrew Micah, DO

Specialty: Family Practice

(314) 543-5996

4438 Telegraph Road

Saint Louis, MO 63129

Kairuz, Bartolome C., MD

Specialty: Family Practice

(314) 843-4444

10004 Kennerly Road, Suite 115A

Saint Louis, MO 63128

Launch, Leslie A., MD

Specialty: Internal Medicine

(314) 739-4166

12255 DePaul Drive, Suite 700

Saint Louis, MO 63044

Mehra, Subodh Kumar, MD

Specialty: Internal Medicine

(314) 638-9100

9700 Mackenzie, Suite 105

Saint Louis, MO 63021

Missouri

Saint Louis

Staten, Stephen Francis, MD

Specialty: Family Practice

(314) 543-5996

4438 Telegraph Road

Saint Louis, MO 63129

Vriezelaar, Stanley, MD

Specialty: Internal Medicine

(314) 645-3743

1027 Bellevue, #107

Saint Louis, MO 63117

Williams, Marva, NP

Specialty: Nurse Practitioner

(314) 645-3743

1027 Bellevue, #107

Saint Louis, MO 63117

St Louis

Hawatmeh, Sam S, MD

Specialty: Internal Medicine

(314) 645-8200

6651 Chippewa Suite 202

St Louis, MO 63109

Huynh, Justin, MD

Specialty: Internal Medicine

(314) 919-2500

10024 Watson Road

St Louis, MO 63126

Zalewski, John F., MD

Specialty: Internal Medicine

(314) 919-2500

10024 Watson Road

St Louis, MO 63126

St. Charles

Houser, Michael K., MD

Specialty: Family Practice

(636) 723-6800

330 First Capitol Drive, Suite 260

St. Charles, MO 63301

Page 121 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

St. Charles

Meyr-Cherry, Wendy Lynn, MD

Specialty: Family Practice

(636) 947-2334

400 First Capitol Dr., Suite 405

St. Charles, MO 63301

Nayak, Tejaswini R., MD

Specialty: Internal Medicine

(636) 928-1237

2740 Highway 94 South, Suite D

St. Charles, MO 63303

Normile, Christopher B, MD

Specialty: Family Practice

(636) 947-2334

400 First Capitol Dr., Suite 405

St. Charles, MO 63301

St. Clair

Brockman, Kirk Edward, MD

Specialty: Family Practice

(636) 231-3638

1001 Cardwell Street

St. Clair, MO 63077

Smith, Patrick Raymond, MD

Specialty: Family Practice

(636) 231-3638

1001 Cardwell Street

St. Clair, MO 63077

St. Louis

Ban, David, MD

Specialty: Internal Medicine

(314) 996-5900

3009 N. Ballas Road, Bldg. A,Suite 315

St. Louis, MO 63131

Basheer, Saad, MD

Specialty: Family Practice

(314) 251-6335

621 S. New Ballas Road, Ste. 507A

St. Louis, MO 63141

Missouri

St. Louis

Bauer, Daniel James, MD

Specialty: Internal Medicine

12855 North Forty Drive

St. Louis, MO 63141

Baxter, Andrea Ann, MD

Specialty: Family Practice

(314) 781-4922

Generations Family Medicine, P.C., 1035 Bellevue Ave., Ste. 206

St. Louis, MO 63117

Bellamy, Michele T, MD

Specialty: Internal Medicine

(314) 919-2600

1715 Deer Tracks Trail, Suite 110

St. Louis, MO 63131

Bettonville, Peter V, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Bhalla, Amita R, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Bowe, Christopher Charles, MD

Specialty: Internal Medicine

(314) 525-4225

10012 Kennerly Road, Suite 102

St. Louis, MO 63128

Brewer, Teresa Lynn, FNP

Specialty: Nurse Practitioner

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Brightfield, Kenneth R, MD

Specialty: Internal Medicine

12855 North Forty Drive

St. Louis, MO 63141

Missouri

St. Louis

Burns, Bryan Patrick, DO

Specialty: Internal Medicine

(314) 525-4990

12700 SouthFork Road, Suite 280

St. Louis, MO 63128

Calcaterra, Curt, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Cizek, Kathleen, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Cole, Sarah Z., DO

Specialty: Family Practice

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Curtin, Robert F., MD

Specialty: Internal Medicine

(314) 525-4971

12700 South Fork Rd., Ste. 270

St. Louis, MO 63129

Danis, Peter G, MD

Specialty: Family Practice

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Ebel, James, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Fedak, Michael, MD

Specialty: Internal Medicine

(314) 842-4744

13303 Tesson Ferry Road, Suite 150

St. Louis, MO 63128

Page 122 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

St. Louis

Fischer, Robert Stuart, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Foersterling, Brett, MD

Specialty: Family Practice

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Fuller, Michael, MD

Specialty: Internal Medicine

(314) 996-7800

3009 N Ballas Rd, Suite 227A

St. Louis, MO 63131

Gage, Kelly Dean, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Gakes, Marian, PA

Specialty: Physician Assistant

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Geekie, Robert, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Gibfried, Matthew J, MD

Specialty: Internal Medicine

(314) 525-1200

12700 South Fork Road, Suite 220

St. Louis, MO 63128

Greco, Thomas J, MD

Specialty: Internal Medicine

(314) 432-5555

3009 N. New Ballas Road, Ste. 226 A

St. Louis, MO 63131

Missouri

St. Louis

Griffing, George T., MD

Specialty: Endocrinology, Diabetes & Metabolism

(314) 610-0145

1034 S. Brentwood Blvd., Suite 1150

St. Louis, MO 63117

Gutmann, Thomas P., MD

Specialty: Internal Medicine

(314) 996-5900

3009 N. Ballas Road, Bldg. A,Suite 315

St. Louis, MO 63131

Hammond, Todd, MD

Specialty: Internal Medicine

(314) 842-4744

13303 Tesson Ferry Road, Suite 150

St. Louis, MO 63128

Harrahill, Eileen Marie, MD

Specialty: Internal Medicine

(314) 543-5920

12700 Southfork, Ste. 290

St. Louis, MO 63128

Hawley, Lisa, FNP

Specialty: Nurse Practitioner

(314) 355-1660

11155 Dunn Road, Suite 205 E

St. Louis, MO 63136

Herrera, Felix Emmanuel, MD

Specialty: Family Practice

(314) 487-5515

Dr. Felix Herrerra, Family Medical Care Center, LLC., 2901 Union Road, Ste. 100

St. Louis, MO 63125

Hester, Jennifer K, MD

Specialty: Internal Medicine

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Missouri

St. Louis

Hoekzema, Grant S., MD

Specialty: Family Practice

(314) 251-8888

12680 Olive Blvd., Suite 300

St. Louis, MO 63141

Jansen, Victoria L, MD

Specialty: Internal Medicine

(314) 543-5242

Tesson Park Family Medicine, 12812 Tesson Ferry Road

St. Louis, MO 63128

Johnson, Homer Thomas, MD

Specialty: Family Practice

(314) 977-9600

Family Medicine @ SLU Care DesPeres, 2325 Dougherty Ferry Road, Suite 100

St. Louis, MO 63122

Koenig, Carolyn L., MD

Specialty: Internal Medicine

(314) 251-6335

621 S. New Ballas Road, Ste. 507A

St. Louis, MO 63141

Krasnoff, Mark S, MD

Specialty: Internal Medicine

(314) 644-6161

1035 Bellevue Avenue, Ste. 305

St. Louis, MO 63117

Lane (Detmer), Stacie, FNP

Specialty: Nurse Practitioner

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Lord, James L, MD

Specialty: Family Practice

(314) 251-8888

12680 Olive Blvd., Suite 300

St. Louis, MO 63141

Page 123 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

St. Louis

Lowder, Catherine L, MD

Specialty: Internal Medicine

(314) 525-4990

12700 SouthFork Road, Suite 280

St. Louis, MO 63128

Maassen, Gary, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Maestas, Daniel J., MD

Specialty: Family Practice

(314) 993-2400

9338 Olive Blvd., Ste. 100

St. Louis, MO 63132

McGregor, Veronica P., MD

Specialty: Endocrinology, Diabetes & Metabolism

(314) 251-4330

621 S. New Ballas, Suite 460A

St. Louis, MO 63141

Merbaum, Marc O., MD

Specialty: Internal Medicine

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Mertens, Marsha K., MD

Specialty: Family Practice

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Meyer, Janice Ann, FNP

Specialty: Nurse Practitioner

(314) 525-4225

10012 Kennerly Road, Suite 102

St. Louis, MO 63128

Missouri

St. Louis

Minchow-Proffitt, Sandra K., MD

Specialty: Family Practice

(314) 251-8900

12680 Olive Blvd., Suite 100

St. Louis, MO 63141

Montooth, Audrey K, MD

Specialty: Family Practice

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Morgan, Heather, DO

Specialty: Family Practice

(314) 593-5242

43405 Butler Hill Road

St. Louis, MO 63128

Narkiewicz, Lawrence Steven, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Nester, Stephen, MD

Specialty: Family Practice

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Ocampo, Ma Cristina M., MD

Specialty: Family Practice

(314) 843-7557

10 Ronnie's Plaza

St. Louis, MO 63126

O'Connor, Carmen M., NP

Specialty: Nurse Practitioner

(314) 525-4990

12700 SouthFork Road, Suite 280

St. Louis, MO 63128

Olsen, Thomas, MD

Specialty: Internal Medicine

(314) 977-6100

3660 Vista Ave.

St. Louis, MO 63112

Missouri

St. Louis

Pogue, Douglas, MD

Specialty: Internal Medicine

(314) 996-7800

3009 N Ballas Rd, Suite 227A

St. Louis, MO 63131

Pozzi, Robert, DO

Specialty: Family Practice

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Radparvar, Amin, MD

Specialty: Internal Medicine

(314) 878-5530

12401 Olive Blvd, Suite 207

St. Louis, MO 63141

Rehm, Charles H, MD

Specialty: Internal Medicine

(314) 251-6335

621 S. New Ballas Road, Ste. 507A

St. Louis, MO 63141

Rice, Timothy, MD

Specialty: Internal Medicine

(314) 977-6100

3660 Vista Ave.

St. Louis, MO 63112

Richardson, Donald, MD

Specialty: Internal Medicine

(314) 849-6000

12345 West Bend Dr., Suite 300

St. Louis, MO 63128

Riordan, Tracy M., MD

Specialty: Internal Medicine

(314) 364-3780

621 South New Ballas Road, Suite 189-A

St. Louis, MO 63141

Page 124 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

St. Louis

Roethemeyer, Janelle A., MD

Specialty: Internal Medicine

(314) 842-4744

13303 Tesson Ferry Road, Suite 150

St. Louis, MO 63128

Rourke, Kelly A., MD

Specialty: Internal Medicine

(314) 467-3800

12348 Old Tesson Road, Suite 160

St. Louis, MO 63128

Rourke, Kelly, MD

Specialty: Internal Medicine

(314) 842-7959

12348 Old Tesson Rd., Ste. 240

St. Louis, MO 63128

Saffa, James Dennis, MD

Specialty: Internal Medicine

12855 North Forty Drive

St. Louis, MO 63141

Saitz, Robert, MD

Specialty: Internal Medicine

(314) 843-7333

5034 Griffin Road

St. Louis, MO 63128

Sanders, Stephen G., MD

Specialty: Internal Medicine

(314) 364-3780

621 South New Ballas Road, Suite 189-A

St. Louis, MO 63141

Schmidt-Turner, Mary C, MD

Specialty: Internal Medicine

(314) 355-1660

11155 Dunn Road, Suite 205 E

St. Louis, MO 63136

Schroyer, Meredyth, PA

Specialty: Physician Assistant

(314) 842-4744

13303 Tesson Ferry Road, Suite 150

St. Louis, MO 63128

Missouri

St. Louis

Schultz, Lisa A., NP

Specialty: Nurse Practitioner

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Scullin, Kristen A., MD

Specialty: Internal Medicine

(314) 842-7959

12348 Old Tesson Rd., Ste. 240

St. Louis, MO 63128

Senkottaiyan, Neelavathi, MD

Specialty: Endocrinology, Diabetes & Metabolism

(314) 251-4330

621 S. New Ballas, Suite 460A

St. Louis, MO 63141

Senol, Laurie D., MD

Specialty: Internal Medicine

(314) 919-2600

1715 Deer Tracks Trail, Suite 110

St. Louis, MO 63131

Sewing, Jennifer P., DO

Specialty: Family Practice

(314) 647-9444

1031 Bellevue Avenue, #280

St. Louis, MO 63117

Shah, Sonal A., MD

Specialty: Internal Medicine

(314) 842-4744

13303 Tesson Ferry Road, Suite 150

St. Louis, MO 63128

Shniter, Lorinna, MD

Specialty: Internal Medicine

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Singer, Morton J, MD

Specialty: Family Practice

3844 South Lindbergh Blvd, Suite 160

St. Louis, MO 63127

Missouri

St. Louis

Speiser, James, MD

Specialty: Internal Medicine

(314) 849-6000

12345 West Bend Drive, Suite 300

St. Louis, MO 63128

Thampy, George K., MD

Specialty: Endocrinology, Diabetes & Metabolism

(314) 842-1588

10004 Kennerly Road, Suite 160B

St. Louis, MO 63128

Thomure, Jessica Ann, NP

Specialty: Nurse Practitioner

(314) 525-4990

12700 SouthFork Road, Suite 280

St. Louis, MO 63128

Tredway, Dorrie Catherine, MD

Specialty: Family Practice

(314) 543-5242

Tesson Park Family Medicine, 12812 Tesson Ferry Road

St. Louis, MO 63128

Walden, Michael Jay, MD

Specialty: Internal Medicine

12855 North Forty Drive

St. Louis, MO 63141

Watson-Ficken, Leanne E., DO

Specialty: Internal Medicine

(314) 467-3800

12348 Old Tesson Road, Suite 160

St. Louis, MO 63128

Wilcox, William D., MD

Specialty: Family Practice

(314) 993-2400

9338 Olive Blvd., Ste. 100

St. Louis, MO 63132

Wilke, Catherine S, MD

Specialty: Internal Medicine

(314) 842-7959

12348 Old Tesson Rd., Ste. 240

St. Louis, MO 63128

Page 125 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

St. Louis

Willey, Charles, MD

Specialty: Internal Medicine

(314) 843-4794

9915 Kennerly Road

St. Louis, MO 63128

Zoberi, Kimberly A, MD

Specialty: Family Practice

(314) 977-9600

Family Medicine @ SLU Care DesPeres, 2325 Dougherty Ferry Road, Suite 100

St. Louis, MO 63122

St. Peters

Meghjee, Zinnat, MD

Specialty: Internal Medicine

(636) 916-9016

6 Jungermann Circle, Suite 108

St. Peters, MO 63376

Meyer, Matthew Benjamin, DO

Specialty: Family Practice

107 Piper HIll Dr., Suite 150

St. Peters, MO 63376

Voges, Chad Morris, MD

Specialty: Family Practice

107 Piper HIll Dr., Suite 150

St. Peters, MO 63376

Sullivan

Eljaiek, Felipe, MD

Specialty: Internal Medicine

(636) 231-3638

101 Progress Parkway

Sullivan, MO 63080

Remo, Jose, MD

Specialty: Internal Medicine

(636) 231-3638

101 Progress Parkway

Sullivan, MO 63080

Missouri

Sullivan

Tiefenbrunn, Matthew J, MD

Specialty: Family Practice

(636) 231-3638

102 Grande Centre

Sullivan, MO 63080

Sunset Hills

Gunby, Mark, MD

Specialty: Internal Medicine

(314) 525-0490

3844 South Lindbergh, Suite 210

Sunset Hills, MO 63127

Kohn, Howard, MD

Specialty: Internal Medicine

(314) 525-0490

3844 South Lindbergh, Suite 210

Sunset Hills, MO 63127

Union

Adams, Christopher Franklin, MD

Specialty: Family Practice

(636) 583-2508

1935 Prairie Dell Road, Suite 400

Union, MO 63084

Borgmann, Jamie Marie, MD

Specialty: Family Practice

(636) 583-2946

97 St. Andrews Dr

Union, MO 63084

Kluesner, Gretchen Elizabeth, MD

Specialty: Internal Medicine

(636) 583-2946

97 St. Andrews Dr

Union, MO 63084

Thanawalla, Shaukat A, MD

Specialty: Internal Medicine

(636) 583-2946

97 St. Andrews Dr

Union, MO 63084

Warrenton

Missouri

Warrenton

Grimes, James Robert, MD

Specialty: Family Practice

(636) 456-6103

605 E. Booneslick, Ste B

Warrenton, MO 63383

Washington

Ayers, Bryce A, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Bain, Kelly J, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Colter, Kim D, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Dumontier, Gary, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Guss, David P, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Halsted, Robert W, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Page 126 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Missouri

Washington

Holzem, Craig S, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

King, Trevor P, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Kunkel, Robert R, MD

Specialty: Family Practice

(636) 239-6808

851 East 5th Street, Suite 140

Washington, MO 63090

Manhart, Melissa E, NP

Specialty: Nurse Practitioner

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Ostrom, Kyle Fritz, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Ratcliff, Keith M, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Rau, Michael E, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Missouri

Washington

Seeck, Sarah Jean, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Smith, Kenneth B, MD

Specialty: Internal Medicine

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Stearnes Rosas, Jennifer Joy, MD

Specialty: Family Practice

(636) 390-9090

851 E. Fifth Street, Suite 208

Washington, MO 63090

Turner, James D, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Weidle, Kristin Ann marie, MD

Specialty: Family Practice

(636) 231-3638

901 Patients First Drive

Washington, MO 63090

Webster Groves

Robinson, Carol, MD

Specialty: Internal Medicine

(314) 968-1551

8045 Big Bend Blvd., Suite 100

Webster Groves, MO 63119

Wildwood

Hull, Susan R., DO

Specialty: Family Practice

(636) 458-0646

16555 Manchester Road, Suite 100

Wildwood, MO 63040

Missouri

Wildwood

Weick, Raymond M., MD

Specialty: Family Practice

(636) 458-0646

16555 Manchester Road, Suite 100

Wildwood, MO 63040

Montana

Billings

Cabell, Karen S., DO

Specialty: Internal Medicine

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Emery, Dale W., MD

Specialty: Internal Medicine

(406) 256-2575

760 Wicks Lane

Billings, MT 59105

Ferries, Laura M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Gall, Daniel L., MD

Specialty: Family Practice

(406) 238-2945

2675 Central Avenue

Billings, MT 59102

Gnecco, Julian, MD

Specialty: Internal Medicine

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Gunville, Fred E., MD

Specialty: Pediatrics

(406) 238-2303

2800 10th Avenue North

Billings, MT 59101

Page 127 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Montana

Billings

Guzman, Glenn K., MD

Specialty: Family Practice

(406) 256-2575

760 Wicks Lane

Billings, MT 59105

Hemmer, Lawrence A., MD

Specialty: Family Practice

(406) 238-2945

2675 Central Avenue

Billings, MT 59102

Husby, Lucinda M., MD

Specialty: Internal Medicine

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Kale, Kari V., MD

Specialty: Internal Medicine

(406) 238-2945

2675 Central Avenue

Billings, MT 59102

King, James E., MD

Specialty: Family Practice

(406) 238-2945

2675 Central Avenue

Billings, MT 59102

Klee, Karen C., MD

Specialty: Internal Medicine

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Mack, James A., MD

Specialty: Endocrinology, Diabetes & Metabolism

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Rathe, Laura E., MD

Specialty: Internal Medicine

(406) 256-2575

760 Wicks Lane

Billings, MT 59105

Montana

Billings

Severa, Larry A., MD

Specialty: Family Practice

(406) 256-2575

760 Wicks Lane

Billings, MT 59105

Sorli, Christopher H., MD

Specialty: Endocrinology, Diabetes & Metabolism

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Weiss, Deric O., MD

Specialty: Internal Medicine

(406) 255-8429

801 North 29th Street

Billings, MT 59107

Wittnam, Charles, MD

Specialty: Internal Medicine

(406) 238-2945

2675 Central Avenue

Billings, MT 59102

Columbus

Kane, David, MD

Specialty: Family Practice

(406) 322-4542

407 North A Street

Columbus, MT 59019

Klee, Richard K., MD

Specialty: Family Practice

(406) 322-4542

407 North A Street

Columbus, MT 59019

Miles City

Lieb, Christopher, MD

Specialty: Cardiac Electrophysiology

(406) 233-7000

620 South Haynes Avenue

Miles City, MT 59301

Montana

Miles City

Vadheim, A. Lewis, MD

Specialty: Internal Medicine

(406) 233-7000

620 South Haynes Avenue

Miles City, MT 59301

Red Lodge

George, William, MD

Specialty: Family Practice

(406) 446-2412

10 South Oakes Street

Red Lodge, MT 59068

Nebraska

Blair

Simonson, John, MD

Specialty: Family Practice

(402) 426-4611

810 N 22 Street

Blair, NE 68008

Villafranca, Ruth, MD

Specialty: Family Practice

(402) 426-4611

810 N 22 Street

Blair, NE 68008

Weckmuller, Carol, MD

Specialty: Family Practice

(402) 426-4611

810 N 22 Street

Blair, NE 68008

Wilkins, Chauncey, MD

Specialty: Family Practice

(402) 426-4611

810 N 22 Street

Blair, NE 68008

Florence

Mcstay, Lou Ann M., MD

Specialty: Family Practice

(402) 280-4780

7909 N 30 St

Florence, NE 68112

Lincoln

Page 128 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Nebraska

Lincoln

Coady, Wiliam, DO

Specialty: Family Practice

(402) 421-0896

8055 O Street, Suite 300

Lincoln, NE 68510

Johnson, Susan, MD

Specialty: Family Practice

(402) 421-0896

8055 O Street, Suite 300

Lincoln, NE 68510

McNeely, Phillip, MD

Specialty: Family Practice

(402) 421-0896

8055 O Street, Suite 300

Lincoln, NE 68510

Vandenhul, Suzanne, MD

Specialty: Family Practice

(402) 421-0896

8055 O Street, Suite 300

Lincoln, NE 68510

Omaha

Al-Turk, Mohammad, MD

Specialty: Family Practice

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Andersen, Mark D, MD

Specialty: Psychiatry

(402) 343-4521

14450 Eagle Run Drive, Suite 104

Omaha, NE 68116

Bowen, J., MD

Specialty: Family Practice

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Nebraska

Omaha

Connolly, Christopher J, MD

Specialty: Family Practice

(402) 343-4521

14450 Eagle Run Drive, Suite 104

Omaha, NE 68116

Cook, J Paul, MD

Specialty: Family Practice

(402) 896-1242

14214 U Street

Omaha, NE 68137

Davidian, Michael H., MD

Specialty: Internal Medicine

(402) 280-1185

5002 Underwood Ave

Omaha, NE 68132

Domalakes, Michael J, MD

Specialty: Internal Medicine

(402) 354-1356

Methodist Physicians Clinic, Regency Internal Medicine, 10060 Regency Cir

Omaha, NE 68114

Drincic, Andjela T., MD

Specialty: Endocrinology, Diabetes & Metabolism

(402) 280-1185

5002 Underwood Ave

Omaha, NE 68132

Dunning, J., MD

Specialty: Family Practice

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Eirinberg, Lewis W, MD

Specialty: Family Practice

(402) 343-4521

14450 Eagle Run Drive, Suite 104

Omaha, NE 68116

Nebraska

Omaha

Fulton, Michael, MD

Specialty: Internal Medicine

(402) 593-1700

8074 S 84 St

Omaha, NE 68128-3305

Head, G. Gilbert, MD

Specialty: Family Practice

(402) 896-1242

14214 U Street

Omaha, NE 68137

Hoeft, David J, MD

Specialty: Family Practice

(402) 572-3900

6829 N 72 St Ste 3100

Omaha, NE 68122-1708

Keller, David M, MD

Specialty: Family Practice

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Morgan, Heather M, MD

Specialty: Internal Medicine

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Moseman, Lynnette A, MD

Specialty: Family Practice

(402) 343-4521

14450 Eagle Run Drive, Suite 104

Omaha, NE 68116

Mullen, Julia, MD

Specialty: Internal Medicine

(402) 397-5236

7710 Mercy Raod, Suite 601

Omaha, NE 68124-2346

Page 129 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Nebraska

Omaha

Murdock-Langan, Patricia, MD

Specialty: Family Practice

(402) 758-5400

16909 Lakeside Hills Court, Suite 300

Omaha, NE 68130-4664

Scott, Lynn K, MD

Specialty: Internal Medicine

(402) 354-1378

10060 Regency Cir

Omaha, NE 68114

Spencer, Julie, MD

Specialty: Family Practice

(402) 330-0222

2734 N 61 Street

Omaha, NE 68104

Stacey, Karen, MD

Specialty: Internal Medicine

(402) 393-1000

1805 N 145 Street

Omaha, NE 68154

Weyhrich, Steven, MD

Specialty: Family Practice

8901 W. Dodge Road

Omaha, NE 68114

Woodruff, John, MD

Specialty: Internal Medicine

(402) 397-5236

7710 Mercy Raod, Suite 601

Omaha, NE 68124-2346

Pender

Felber, Matthew D., MD

Specialty: Physician Assistant

(402) 385-3033

100 Valley View Drive

Pender, NE 68047

Nebraska

Pender

Munderloh, Jeffrey L., PA

Specialty: Physician Assistant

(402) 385-3033

100 Valley View Drive

Pender, NE 68047

Timm, Matthew, MD

Specialty: Family Practice

(402) 385-3033

100 Valley View Drive

Pender, NE 68047

Schuyler

Wong, Thomas K., MD

Specialty: Family Practice

(402) 352-3745

1721 Colfax Street

Schuyler, NE 68661

South Sioux City

Binder, Tamera R, PA

Specialty: Physician Assistant

(402) 494-3064

501 First Avenue

South Sioux City, NE 68776

Folchert, Kevin J, MD

Specialty: Family Practice

(402) 412-4220

3410 Futures Drive

South Sioux City, NE 68776

Hattan, Michael L, MD

Specialty: Family Practice

(402) 412-4220

3410 Futures Drive

South Sioux City, NE 68776

Knerl, Jeffrey S, MD

Specialty: Family Practice

(402) 494-3064

501 First Avenue

South Sioux City, NE 68776

Nebraska

South Sioux City

Vande vegte, Sharon K, DO

Specialty: Family Practice

(402) 412-4220

3410 Futures Drive

South Sioux City, NE 68776

Wente, Thomas J, DO

Specialty: Family Practice

(402) 412-4220

3410 Futures Drive

South Sioux City, NE 68776

Valley

Macdonald, Cheryl R, MD

Specialty: Family Practice

(402) 359-2277

625 S. Pine St.

Valley, NE 68064

Mahloch, Mark L, MD

Specialty: Family Practice

(402) 359-2277

625 S. Pine St.

Valley, NE 68064

Mccarville, Patrick J, MD

Specialty: Family Practice

(402) 359-2277

625 S. Pine St.

Valley, NE 68064

Wayne

Lindau, James A., MD

Specialty: Family Practice

(402) 375-2500

615 E. 14th Street

Wayne, NE 68787

Martin, Benjamin J., MD

Specialty: Family Practice

(402) 375-2500

615 E. 14th Street

Wayne, NE 68787

Page 130 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Nebraska

Wayne

McCorkindale, Mark, MD

Specialty: Family Practice

(402) 375-2500

615 E. 14th Street

Wayne, NE 68787

New Hampshire

Belmont

Naiva, Denise L, FNP

Specialty: Family Practice

(603) 267-7-17

14 Mill St. 3rd Floor

Belmont, NH 03220

Obrien, Richard J, MD

Specialty: Family Practice

(603) 267-7-17

14 Mill St. 3rd Floor

Belmont, NH 03220

Bristol

Doane, Peter G, MD

Specialty: Family Practice

(603) 744-5441

5 School St.

Bristol, NH 03222

Concord

Betchart, Frank A, MD

Specialty: Family Practice

(603) 226-3400

280 Pleasant Street

Concord, NH 03301

Biernat, Lukasz, MD

Specialty: Internal Medicine

(603) 228-7555

60 Commercial Street, Suite 401

Concord, NH 03301

Clancy, Patricia E, MD

Specialty: Family Practice

(603) 226-3400

280 Pleasant Street

Concord, NH 03301

New Hampshire

Concord

Durand, Lynn A, MD

Specialty: Family Practice

81 Hall Street

Concord, NH 03301

Fox, Katharine T, MD

Specialty: Family Practice

(603) 226-3400

280 Pleasant Street

Concord, NH 03301

Kremzner, Boguslawa, MD

Specialty: Family Practice

(603) 228-0071

18 Foundry Street, Suite 201

Concord, NH 03301

Oshman, Lauren, MD

Specialty: Family Practice

(603) 228-0071

18 Foundry Street, Suite 201

Concord, NH 03301

Derry

Brooks, Theodore T, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Daley, John P, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Egenolf, Cristi M, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Hand, Christine M, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

New Hampshire

Derry

Harris, James M, MD

Specialty: Nurse Practitioner

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Kilroy, Jonathan D, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Krasnof, Rebecca Erickson, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Low, Scott J, DO

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Lynch, Gregory M, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Mercuro, Elisa J, DO

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Murai, Sarah E., MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Page 131 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Hampshire

Derry

Northcutt, Albert C, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Rork, Dennis G, MD

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Wheeler, John H, DO

Specialty: Family Practice

(603) 537-1300

6 Tsienneto Road, Suite 100

Derry, NH 03038

Gilford

Clifford, James H, MD

Specialty: Family Practice

(603) 527-7114

145 Maple St.

Gilford, NH 03249

Keene

Boule, Judith Anne, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Caruso, Don, MD

Specialty: General Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

New Hampshire

Keene

Cochran, Robert Bruce, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Croteau, Rachel Elizabeth, DO

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Hall, David N, MD

Specialty: General Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Hathcock, Stephen Allen, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Heneghan, Helen, MD

Specialty: General Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Kasschau, Michael Foster, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

New Hampshire

Keene

Keene, Douglas W, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Larocca, Christopher, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Mazanowski, Donald Mark, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Nabi-Tremblay, Suzanne F., MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Ostroski, Marika H., MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Pitts, Leslie T., MD

Specialty: General Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Page 132 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Hampshire

Keene

Reilly, Brian J, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Tremblay, Andrew M, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Walter, John Nicholas, MD

Specialty: Family Practice

(603) 354-5400

Cheshire Medical Center/Dartmouth Hitchcock Keene, 580/590 Court Street

Keene, NH 03431

Meredith

Capron, Theodore H., MD

Specialty: Family Practice

(603) 279-7433

238 Daniel Webster Highway

Meredith, NH 03253

Crosby, Carolyn S., MD

Specialty: Family Practice

(603) 279-7433

238 Daniel Webster Highway

Meredith, NH 03253

Nolan, Colleen A., FNP

Specialty: Nurse Practitioner

(603) 279-7433

238 Daniel Webster Highway

Meredith, NH 03253

Nashua

New Hampshire

Nashua

Chuang, Ellie, MD

Specialty: Endocrinology, Diabetes & Metabolism

(603) 577-5760

29 Northwest Boulevard

Nashua, NH 03063

Guseva, Nina, MD

Specialty: Endocrinology, Diabetes & Metabolism

(603) 577-5760

29 Northwest Boulevard

Nashua, NH 03063

Spatola, Elizabeth Jane, MD

Specialty: Internal Medicine

(603) 595-3971

172 Kinsley Street

Nashua, NH 03061

New Hampton

Kistler, Diane L, DO

Specialty: Family Practice

(603) 744-5377

5 Academy Drive

New Hampton, NH 03256

Pelham

Kodali, Srilatha, MD

Specialty: Internal Medicine

(603) 635-2802

49 Atwood Road, Suite #1, P.O. Box 434

Pelham, NH 03076

Penacook

Kropp, Eric, MD

Specialty: Family Practice

(603) 753-4302

1 Merrimack Street

Penacook, NH 03301

Portsmouth

Lutz, Stephen, MD

Specialty: Family Practice

(603) 430-5041

161 Corporate Drive

Portsmouth, NH 03801

New Hampshire

Portsmouth

Remillong, Elizabeth, MD

Specialty: Family Practice

(603) 430-5041

161 Corporate Drive

Portsmouth, NH 03801

Stark, John Cowan, MD

Specialty: Family Practice

(603) 430-5041

161 Corporate Drive

Portsmouth, NH 03801

Rochester

Cappello, Richard, DO

Specialty: Family Practice

(603) 335-2401

245 Rochester Hill Road, Suite A

Rochester, NH 03867

Cashman, Maureen E., MD

Specialty: Family Practice

(603) 335-2401

245 Rochester Hill Road, Suite A

Rochester, NH 03867

Kamil, Matthew F, MD

Specialty: Endocrinology, Diabetes & Metabolism

(603) 994-0120

245 Rochester Hill Road, Suite B

Rochester, NH 03867

Olken, David C, DO

Specialty: Internal Medicine

(603) 332-8981

21 Whitehall Road, Suite 303

Rochester, NH 03867

Warner

Maitland, Lauri Ann, DO

Specialty: Family Practice

2 East Main Street, Unit #2

Warner, NH 03278

West Franklin

Page 133 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Hampshire

West Franklin

Elsammani, Osama A, MD

Specialty: Internal Medicine

(603) 934-2060

15 Aiken Ave.

West Franklin, NH 03235

Friend, Paul K, MD

Specialty: Family Practice

(603) 934-9017

125 South Main St.

West Franklin, NH 03235

Goodrich, Joanne B, MD

Specialty: Family Practice

(603) 934-9017

125 South Main St.

West Franklin, NH 03235

Macdonald, Danielle L, MD

Specialty: Family Practice

(603) 934-9017

125 South Main St.

West Franklin, NH 03235

New Jersey

Bayonne

Silber, Danuta, MD

Specialty: Endocrinology, Diabetes & Metabolism

(201) 858-0848

740 Kennedy Blvd

Bayonne, NJ 07002

Cedar Knolls

Gibbions, Jr., James, MD

Specialty: Family Practice

(973) 267-2122

11 Saddle Road

Cedar Knolls, NJ 07927

Greenbaum, Herbert, DO

Specialty: Family Practice

(973) 267-2122

11 Saddle Road

Cedar Knolls, NJ 07927

Clifton

New Jersey

Clifton

Jasper, Josephine V., MD

Specialty: Endocrinology

(973) 777-0900

829 Allwood Road

Clifton, NJ 07012

Denville

Collum, Robert, MD

Specialty: Internal Medicine

16 Pocono Road, Suite 317

Denville, NJ 07834

Levy, Seth, MD

Specialty: Internal Medicine

16 Pocono Road, Suite 317

Denville, NJ 07834

Egg harbor Township

Driscoll Twardzik, Jennifer L, DO

Specialty: Internal Medicine

(609) 407-2310

2500 English Creek Ave, Bldg. 900, Suite 907

Egg harbor Township, NJ 08234

Novotny, Gregory R, DO

Specialty: Internal Medicine

(609) 407-2310

2500 Egnlish Creek, BLDG 900 STE 907

Egg Harbor Township, NJ 08234

Paradela, Ephrem hector S, MD

Specialty: Internal Medicine

(609) 407-2310

2500 Egnlish Creek, BLDG 900 STE 907

Egg Harbor Township, NJ 08234

Emerson

Daud, Sameera, MD

Specialty: Endocrinology, Diabetes & Metabolism

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

New Jersey

Emerson

Dombrowski, Mark, MD

Specialty: Family Practice

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

Glaubiger, Carol, MD

Specialty: Internal Medicine

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

Gold, Edward J, MD

Specialty: Internal Medicine

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

Ko, Christopher J, MD

Specialty: Internal Medicine

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

Levine, Lester, MD

Specialty: Internal Medicine

(201) 666-3900

452 Old Hook Rd

Emerson, NJ 07630

Florham Park

Freid, Robert S., MD

Specialty: Internal Medicine

(973) 377-0164

205 Ridgedale Avenue

Florham Park, NJ 07932

Li, Zhexiang, MD

Specialty: Internal Medicine

171 Ridgedale Avenue

Florham Park, NJ 07932

Hammonton

Page 134 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Jersey

Hammonton

Loughlin-Pherribo, Donna, DO

Specialty: Family Practice

(609) 561-4211

120 White Horse Pike

Hammonton, NJ 08037

Salvo, Anthony, MD

Specialty: Family Practice

(609) 561-4211

120 White Horse Pike

Hammonton, NJ 08037

Hillsborough

Selke, Melissa D., MD

Specialty: Family Practice

(908) 281-1199

390 Amwell Road, Building 4, Suite 405

Hillsborough, NJ 08844

Lakewood

Cohen, Jonathan I, MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

Gordon, Barry M., MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

Green, Tamar B., MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

Lempel, Allen J., MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

New Jersey

Lakewood

Ogun, David J., MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

Sokol, Norton M., MD

Specialty: Internal Medicine

(732) 370-5100

1352 River Avenue

Lakewood, NJ 08701

Little Egg Harbor

Keiner, Lisa R, DO

Specialty: Family Practice

(609) 296-4014

459 Route 9 South

Little Egg Harbor, NJ 08087

Marmora

Hutchison, Melissa M., MD

Specialty: Family Practice

(609) 407-2225

210 S. Shore Road, Suite 201

Marmora, NJ 08223

Millburn

Pinho, Paulo Bandeira, MD

Specialty: Internal Medicine

(973) 912-7273

225 Millburn Avenue, Suite 303

Millburn, NJ 07041

Mine Hill

Estrada, Aristides M., MD

Specialty: Internal Medicine

(973) 366-6060

195 Rt. 46, Suite 102

Mine Hill, NJ 07803

Forward, John B., MD

Specialty: Internal Medicine

(973) 366-6060

195 Rt. 46, Suite 102

Mine Hill, NJ 07803

Morristown

New Jersey

Morristown

Nielsen, Earl F., MD

Specialty: Internal Medicine

(973) 267-0346

21 Perry Street

Morristown, NJ 07960

NEPTUNE

Asnani, Sunil, MD

Specialty: Endocrinology, Diabetes & Metabolism

(732) 897-3980

2240 STATE ROUTE 33

NEPTUNE, NJ 07753

Lann, Danielle Erin, MD

Specialty: Endocrinology, Diabetes & Metabolism

(732) 897-3980

2240 STATE ROUTE 33

NEPTUNE, NJ 07753

Tarina, Dana, MD

Specialty: Internal Medicine

(732) 897-3980

2240 STATE ROUTE 33

NEPTUNE, NJ 07753

New Brunswick

Agrin, Richard J., MD

Specialty: Endocrinology

(732) 545-1065

137 Louis Street

New Brunswick, NJ 08901

Shulman, Leon H., MD

Specialty: Endocrinology

(732) 545-1065

137 Louis Street

New Brunswick, NJ 08901

Paramus

Biller, Jeanette, DO

Specialty: Family Practice

(201) 291-6120

15 Essex Road, Suite 504

Paramus, NJ 07652

Page 135 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Jersey

Paramus

Desplat, Philippe, DO

Specialty: Family Practice

(201) 291-6120

15 Essex Road, Suite 504

Paramus, NJ 07652

Ferreras, Jessie, MD

Specialty: Family Practice

(201) 291-6120

15 Essex Road, Suite 504

Paramus, NJ 07652

Howe, Michele, DO

Specialty: Family Practice

(201) 291-6120

15 Essex Road, Suite 504

Paramus, NJ 07652

Strassberg, David, MD

Specialty: Internal Medicine

(201) 291-6120

15 Essex Road, Suite 504

Paramus, NJ 07652

Phillipsburg

Lombardi, Frank T, DO

Specialty: Family Practice

(908) 859-6568

207 Strykers Road

Phillipsburg, NJ 08865

Randolph

Shareef, Kishwar, MD

Specialty: Internal Medicine

(973) 442-3016

447 Route 10 East, Suite 15

Randolph, NJ 07869

Raritan

George, Sarah S, DO

Specialty: Family Practice

(908) 253-6640

901 US HWA 202 N, Upper Floor

Raritan, NJ 08869

New Jersey

Raritan

Jordan-scalia, Lisa J, DO

Specialty: Family Practice

(908) 253-6640

901 US HWA 202 N, Upper Floor

Raritan, NJ 08869

Ocasio, Maria E., MD

Specialty: Family Practice

(908) 253-6640

901 US HWA 202 N, Upper Floor

Raritan, NJ 08869

Russo, Steven, MD

Specialty: Internal Medicine

(908) 253-6640

901 US HWA 202 N, Upper Floor

Raritan, NJ 08869

Scalia, Joseph F, DO

Specialty: Family Practice

(908) 253-6640

901 US HWA 202 N, Upper Floor

Raritan, NJ 08869

Somerset

Lahiri, Mohanlal, MD

Specialty: Internal Medicine

(908) 595-1900

1 Eastern Avenue

Somerset, NJ 08876

Springfield

Cantor, Susan J., MD

Specialty: Internal Medicine

(973) 378-8778

11 Cleveland Place

Springfield, NJ 07081

Succasunna

Rubinetti, Mark J., MD

Specialty: Internal Medicine

(973) 927-2888

20 Commerce Blvd, Suite D

Succasunna, NJ 07876

Teaneck

New Jersey

Teaneck

Cohen, Nadine Jodi, MD

Specialty: Internal Medicine

(201) 836-7664

780 Cedar Lane

Teaneck, NJ 07666

Pottick-Schwartz, Eliane, MD

Specialty: Family Practice

(201) 836-7664

780 Cedar Lane

Teaneck, NJ 07666

Ventnor City

Rosenthal, Leslie S., MD

Specialty: Internal Medicine

(609) 441-2199

7313 Ventnor Avenue

Ventnor City, NJ 08406

Warren

Bobella, Stephen K., MD

Specialty: Internal Medicine

(908) 561-8600

8 Mountain Blvd., Suite A

Warren, NJ 07059

Ferrante, Maurice A., MD

Specialty: Internal Medicine

(908) 561-8600

8 Mountain Blvd., Suite A

Warren, NJ 07059

Fine, Alan I., MD

Specialty: Internal Medicine

(908) 561-8600

8 Mountain Blvd., Suite A

Warren, NJ 07059

Westfield

Fuhrman, Robert A., MD

Specialty: Endocrinology

(908) 654-3377

552 Westfield Avenue

Westfield, NJ 07090

Page 136 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New Jersey

Westfield

Henry-Dindial, Nicole A., MD

Specialty: Family Practice

(908) 301-0888

592 Springfield Avenue

Westfield, NJ 07090

Leistikow, Kathleen H., MD

Specialty: Family Practice

(908) 232-5858

563 Westfield Avenue

Westfield, NJ 07090

Reedy, Jamie L., MD

Specialty: Family Practice

(908) 301-0888

592 Springfield Avenue

Westfield, NJ 07090

Tabachnick, John F., MD

Specialty: Family Practice

(908) 232-5858

563 Westfield Avenue

Westfield, NJ 07090

Wagner, Claudia A., MD

Specialty: Family Practice

(908) 232-5858

563 Westfield Avenue

Westfield, NJ 07090

New Mexico

Albuquerque

Kaufman, Ellen, MD

Specialty: Pediatrics

(505) 563-6530

201 Cedar SE, Suite 4640

Albuquerque, NM 87106

New York

Albany

Gardner, Michael J, MD

Specialty: Internal Medicine

(518) 489-2812

1444 Western Ave. Suite A

Albany, NY 12203

New York

Albany

Kowal, William J, MD

Specialty: Internal Medicine

(518) 489-2812

1444 Western Avenue Suite A

Albany, NY 12203

Barneveld

Dejesus, Michael, MD

Specialty: Family Practice

(315) 624-8440

7980 State Route 12

Barneveld, NY 13309-3531

Berne

Kolanchick, Gary J., MD

Specialty: Family Practice

(518) 872-9262

1772 Helderberg Trail

Berne, NY 12023

Bethpage

Linzer, Diane, DO

Specialty: Internal Medicine

(516) 937-5000

530 Bethpage Rd.

Bethpage, NY 11714

Big Flats

Rodgers, Thomas, MD

Specialty: Family Practice

(607) 562-8901

455 Maple Street, Suite 1

Big Flats, NY 14814

Bronx

Adeyemo, Adenike Aderonke, MD

Specialty: Internal Medicine

(718) 960-2768

1225 Gerard Avenue

Bronx, NY 10452-8001

Afflack, Phabillia, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

New York

Bronx

Ariganjoye, Rafiu Olagboyega, MD

Specialty: Pediatrics

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Bhate, Priyadarshini Anil, MD

Specialty: Pediatrics

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Carnevale, Caroline, FNP

Specialty: Nurse Practitioner

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Chan, Tricia, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Cindrich, Richard Bryan, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Cortijo, Amaryllis R., MD

Specialty: Family Practice

(718) 583-9000

130 West Tremont Avenue

Bronx, NY 10453-5436

Cuevas, Juana Lucia, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Page 137 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Bronx

Daniel, Vijai Joseph, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Dapkins, Isaac P, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

De la Cruz, Angel E, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Deak, Lehel Frank, PA

Specialty: Physician Assistant

(718) 960-2768

1225 Gerard Avenue

Bronx, NY 10452-8001

Dupret, Heidi, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Egbuna-okolo, Winifred Obiageli, MD

Specialty: Internal Medicine

(718) 579-1774

545 East 142nd Street

Bronx, NY 10454-2110

Esquivel, Jorge Isaac, MD

Specialty: Internal Medicine

(718) 579-6399

234 East 149th Street

Bronx, NY 10451-5504

New York

Bronx

Fazal, Barkat Ali, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Ferris, David Craig, MD

Specialty: Infectious Disease

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Flesher, James H, NP

Specialty: Nurse Practitioner

3424 Kossuth Avenue

Bronx, NY 10467-2410

Flores, Christina Rachel, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Fuks, Aleksandr M., MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Gabler, Andrew S., MD

Specialty: Family Practice

(718) 583-3060

1894 Walton Avenue

Bronx, NY 10453-6018

Goswami, Gayotri, MD

Specialty: Endocrinology

3424 Kossuth Avenue

Bronx, NY 10467-2410

Gross, Benita, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

New York

Bronx

Guerrero-Cueto, Ramon, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Hagmann, Stefan, MD

Specialty: Pediatrics

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Ham, Larry, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Henry, Michael W., MD

Specialty: Infectious Disease

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Kanter, Timothy Joseph, MD

Specialty: Infectious Disease

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Kaul, Rashmi, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

King, Thomas Francis, MD

Specialty: Internal Medicine

(718) 579-1774

545 East 142nd Street

Bronx, NY 10454-2110

Page 138 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Bronx

Kokotek, Blair, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Love, Matthew D, MD

Specialty: Internal Medicine

(718) 918-8141

1400 Pelham Parkway S

Bronx, NY 10461-1138

Lvovsky, Dmitry, MD

Specialty: Critical Care Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Machuca, Jenny Stay, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Marder, Jonathan, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Medina Mercado, Margarita, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Mendoza, Maria A, ANP

Specialty: Nurse Practitioner

(718) 918-8141

1400 Pelham Parkway S

Bronx, NY 10461-1138

New York

Bronx

Menon, Latha, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Mikhail, Magdy, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Mishra, Aruna, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Molina-Ortiz, Elizabeth I., MD

Specialty: Family Practice

(718) 583-9000

130 West Tremont Avenue

Bronx, NY 10453-5436

Mora-Mclaughlin, Fernando Sebastian, MD

Specialty: Internal Medicine

(718) 960-2768

1225 Gerard Avenue

Bronx, NY 10452-8001

Morrow, Robert W, MD

Specialty: Family Practice

(718) 884-9803

5997 RIVERDALE AVE

BRONX, NY 10471-1602

O'connor, Eileen M, MD

Specialty: Nurse Practitioner

(718) 884-9803

5997 RIVERDALE AVE

BRONX, NY 10471-1602

New York

Bronx

Purswani, Murli Udharam, MD

Specialty: Pediatrics

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Riess, Andrzej J, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Salako, Abayomi Oluwaremilekun, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Shah, Kirti Chandulal, MD

Specialty: Nephrology

(718) 579-1774

545 East 142nd Street

Bronx, NY 10454-2110

Sidlow, Robert, MD

Specialty: Internal Medicine

(718) 918-8141

1400 Pelham Parkway S

Bronx, NY 10461-1138

Simons, Monica J, MD

Specialty: Obstetrics & Gynecology

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Sohail, Meera, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Page 139 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Bronx

Telzak, Edward Elliot, MD

Specialty: Infectious Disease

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Uytiepo, Emilio, MD

Specialty: Internal Medicine

3424 Kossuth Avenue

Bronx, NY 10467-2410

Venkatram, Sindhaghatta K, MD

Specialty: Internal Medicine

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Wittenberg, Ian Saul, MD

Specialty: Pediatrics

(718) 960-

1650 Grand Concourse

Bronx, NY 10457-7606

Brooklyn

Anthony, Antoinette, MD

Specialty: Internal Medicine

(718) 826-4000

1000 Church Avenue

Brooklyn, NY 11218-2710

Bhutani, Satish K, MD

Specialty: Internal Medicine

(718) 245-3422

451 Clarkson Avenue, E Building, 7th Floor

Brooklyn, NY 11203-2057

Brathwaite, Evan Anthony, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

New York

Brooklyn

Cherubin, Roosevelt, MD

Specialty: Family Practice

(718) 783-0070

210 Flatbush Avenue

Brooklyn, NY 11217-2116

Conway, Richard, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

Corzo, Pedro, MD

Specialty: Internal Medicine

(718) 250-8621

121 DeKalb Avenue

Brooklyn, NY 11201-5425

Daniels, Indra D, MD

Specialty: Internal Medicine

(718) 245-3422

451 Clarkson Avenue, E Building, 7th Floor

Brooklyn, NY 11203-2057

Dantchenko, Victoria, MD

Specialty: Family Practice

(718) 250-8621

121 DeKalb Avenue

Brooklyn, NY 11201-5425

Gambarin, Boris L, MD

Specialty: Internal Medicine

5923 16th Avenue

Brooklyn, NY 11204

Gambarin, Boris L, MD

Specialty: Internal Medicine

(718) 780-5130

506 6th Street - KP6, Outpatient Medical Clinic - KP6

Brooklyn, NY 11215-3609

Gelin, Emmanuel, MD

Specialty: Internal Medicine

(718) 240-0400

2094 Pitkin Ave., 1063577831

Brooklyn, NY 11207-3509

New York

Brooklyn

Glatzer, Clifford, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

Gozun, Benjamin, MD

Specialty: Family Practice

5923 16th Avenue

Brooklyn, NY 11204

Gozun, Benjamin, MD

Specialty: Family Practice

(718) 209-0888

1771 Utica Avenue

Brooklyn, NY 11234

Humera, Rafath, MD

Specialty: Internal Medicine

1110 Eastern Parkway

Brooklyn, NY 11213

Jenkins, Monique, NP

Specialty: Nurse Practitioner

(718) 277-8303

999 Blake Avenue

Brooklyn, NY 11208-3535

Jones, Romeo Piquette, MD

Specialty: Internal Medicine

(718) 245-3422

451 Clarkson Avenue, E Building, 7th Floor

Brooklyn, NY 11203-2057

Khan, Farida, MD

Specialty: Endocrinology

263 7th Avenue

Brooklyn, NY 11215

Kharash, Galina, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

Page 140 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Brooklyn

Klein, David, MD

Specialty: Internal Medicine

(718) 439-2115

740 W. 64th Street

Brooklyn, NY 11220-4714

Kohli, Rattanjit S., MD

Specialty: Internal Medicine

(718) 245-3422

451 Clarkson Avenue, E Building, 7th Floor

Brooklyn, NY 11203-2057

Kondamudi, Vasantha, MD

Specialty: Geriatric Medicine/Family Practice

(718) 250-8621

121 DeKalb Avenue

Brooklyn, NY 11201-5425

Koyfman, Simon, MD

Specialty: Family Practice

5923 16th Avenue

Brooklyn, NY 11204

Lee, Fong Leo, MD

Specialty: Family Practice

(718) 422-8000

195 Montague Street, 2nd Floor

Brooklyn, NY 11201-3628

Leong, Alfred B, MD

Specialty: Family Practice

(718) 780-5130

506 6th Street - KP6, Outpatient Medical Clinic - KP6

Brooklyn, NY 11215-3609

Levy, Eduard, MD

Specialty: Internal Medicine

(718) 963-8000

760 Broadway, Room 2B321

Brooklyn, NY 11206-5317

New York

Brooklyn

Lowe, Steven, MD

Specialty: Internal Medicine

(718) 686-7600

1312 38th Street

Brooklyn, NY 11218-3612

Marshall, Janet, NP

Specialty: Nurse Practitioner

(718) 963-8000

760 Broadway, Room 2B321

Brooklyn, NY 11206-5317

Mehra, Sheela Rajan, MD

Specialty: Internal Medicine

585 Schenectady Avenue

Brooklyn, NY 11203

Moktan, Sabita, MD

Specialty: Endocrinology

(718) 780-5130

506 6th Street - KP6, Outpatient Medical Clinic - KP6

Brooklyn, NY 11215-3609

Moktan, Sabita, MD

Specialty: Endocrinology

263 7th Avenue

Brooklyn, NY 11215

Nissenbaum, Andrea, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

Price, Marlene, MD

Specialty: Internal Medicine

(718) 245-3422

451 Clarkson Avenue, E Building, 7th Floor

Brooklyn, NY 11203-2057

New York

Brooklyn

Riboti, Zachary, MD

Specialty: Internal Medicine

5923 16th Avenue

Brooklyn, NY 11204

Riboti, Zachary, MD

Specialty: Internal Medicine

(718) 209-0888

1771 Utica Avenue

Brooklyn, NY 11234

Simon, Herold, MD

Specialty: Internal Medicine

(718) 240-0400

2094 Pitkin Ave., 1063577831

Brooklyn, NY 11207-3509

Singh, Jagjit, MD

Specialty: Family Practice

(718) 388-0390

94-98 Manhattan Avenue

Brooklyn, NY 11206-2501

Srivastava, Amrita, MD

Specialty: Endocrinology, Diabetes & Metabolism

263 7th Avenue

Brooklyn, NY 11215

Srivastava, Amrita, MD

Specialty: Endocrinology, Diabetes & Metabolism

(718) 780-5130

506 6th Street - KP6, Outpatient Medical Clinic - KP6

Brooklyn, NY 11215-3609

Tal, Avraham, MD

Specialty: Internal Medicine

(718) 616-4877

2601 Ocean Parkway

Brooklyn, NY 11235-7745

Teitelbaum, Jeffrey L, MD

Specialty: Internal Medicine

(718) 859-8391

913 Avenue L

Brooklyn, NY 11230

Page 141 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Brooklyn

Teitelbaum, Jeffrey L., MD

Specialty: Internal Medicine

(718) 686-7600

1312 38th Street

Brooklyn, NY 11218-3612

Valery, Emmanuel, MD

Specialty: Internal Medicine

(718) 783-0070

210 Flatbush Avenue

Brooklyn, NY 11217-2116

Wadhwa, Veena P, MD

Specialty: Internal Medicine

585 Schenectady Avenue

Brooklyn, NY 11203

Young, Clifford Urias, MD

Specialty: Internal Medicine

(718) 260-7898

100 North Portland Avenue

Brooklyn, NY 11205-2005

Brooklyn,

Robertson, Virginia Elizabeth, DO

Specialty: Family Practice

(646) 459-9400

360 Snediker Avenue

Brooklyn,, NY 11207-4552

Buffalo

Albini, Christine, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Baez, Maritza Yvette, MD

Specialty: Family Practice

(716) 878-2700

899 Main Street

Buffalo, NY 14203-9998

New York

Buffalo

Bakhai, Smita Yogesh, MD

Specialty: Internal Medicine

(716) 898-3339

Erie County Medical Center, Internal Medicine Center,Suit 15, 462 Grider St.

Buffalo, NY 14215

Bethin, Kathleen, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Buchlis, John G., MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Fourtner, Shannon, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Gartner, Lou Ann, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Kucera, Jon C., MD

Specialty: Internal Medicine

(716) 875-2904

155 Lawn Avenue, Rm 100

Buffalo, NY 14207-1816

New York

Buffalo

Mastrandrea, Lucy, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Quattrin, Teresa, MD

Specialty: Pediatric Endocrinology

(716) 878-7262

Women And Children's Hospital of Buffalo - Diabetes Center, 239 Bryant Street

Buffalo, NY 14222

Szimonisz, Susan M., MD

Specialty: Internal Medicine

(716) 875-2904

155 Lawn Avenue, Rm 100

Buffalo, NY 14207-1816

Caledonia

Reidy, Jill O, MD

Specialty: Family Practice

(585) 538-6250

3350 Brown Road

Caledonia, NY 14423

Canajoharie

Riley, Kenneth D, DO

Specialty: Family Practice

(518) 673-5555

56 Montgomery Street

Canajoharie, NY 13317-1212

Castleton

Lettrick, Michael A., MD

Specialty: Family Practice

(518) 477-1191

1528 Columbia Turnpike

Castleton, NY 12033

Cobleskill

Page 142 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Cobleskill

Bitran, Joyce, MD

Specialty: Family Practice

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Burton, Joyce, MD

Specialty: Internal Medicine

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Emerson, Susan, MD

Specialty: Family Practice

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Gomez - DiCesare, Caroline, MD

Specialty: Pediatrics

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Harrison, Aaron, MD

Specialty: Family Practice

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Korn, Jr., Roy, MD

Specialty: Internal Medicine

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Kozak, Cyril, MD

Specialty: Family Practice

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

New York

Cobleskill

Luz, Joseph, MD

Specialty: Family Practice

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Novak, John, MD

Specialty: Internal Medicine

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Sellers, Joseph, MD

Specialty: Internal Medicine

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Strasser, Stephen, MD

Specialty: Internal Medicine

(518) 234-2555

121 Legion Drive

Cobleskill, NY 12043

Cooperstown

Beechy, Carol, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Dalton, James, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Davies-Wait, Brenda, DO

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

New York

Cooperstown

De Long, Douglas, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Dier, John, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Howard, Peter, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Kuzminski, Antoinette, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

LaCava, James, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Tirrell, Paul, MD

Specialty: Internal Medicine

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Williams, Brian, MD

Specialty: Family Practice

(607) 547-6543

1 Atwell Road

Cooperstown, NY 13326

Dryden

Page 143 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Dryden

Klepack, William, MD

Specialty: Family Practice

(607) 844-8181

5 Evergreen Street

Dryden, NY 13053-0008

Silcoff, Howard, MD

Specialty: Family Practice

(607) 844-8181

5 Evergreen Street

Dryden, NY 13053-0008

Elmhurst

Ast, Denise, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Chang, Ching-hung, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Huang, Huajun, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Patel, Rahul Y., MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Reich, Lawrence M., MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

New York

Elmhurst

Tejwani, Shivkumar, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Toueg, Sam, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Veeraswamy, Pramila, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Yoo, Chang, MD

Specialty: Internal Medicine

(718) 334-4000

79-01 Broadway

Elmhurst, NY 11373-1329

Elmira

Dait, Marianne T., DO

Specialty: Family Practice

1138 Broadway

Elmira, NY 14904

Kaffenbarger, Kimberly P, MD

Specialty: Internal Medicine

(607) 735-4833

602 Ivy Street, 2nd floor

Elmira, NY 14905

Reddy, Dayakar Kamjula, MD

Specialty: Internal Medicine

(607) 735-4833

602 Ivy Street, 2nd floor

Elmira, NY 14905

Rizk, Wafaa I, MD

Specialty: Internal Medicine

(607) 735-4833

602 Ivy Street, 2nd floor

Elmira, NY 14905

New York

Elmira

Rubio, Sandra I., MD

Specialty: Internal Medicine

600 Fitch Street, Suite 202

Elmira, NY 14905

Rupik, Aleksander Jozef, MD

Specialty: Internal Medicine

600 Ivy Street, Suite 205

Elmira, NY 14905

Endwell

Bowling, Bruce T, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Desantis, Kimberly M, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Gasparis, Demetrios, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Harris, Jonathan A, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Holler, James C, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Patel, Rekha S, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Page 144 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Endwell

Patel, Suchet R, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Perry, John S, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Sze-tu, Duncan, MD

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Tunick, Michael, DO

Specialty: Family Practice

(607) 754-3863

415 Hooper Rd

Endwell, NY 13760-3646

Far Rockaway

Grohovski, Maria, MD

Specialty: Internal Medicine

(718) 869-7739

327 Beach 19th Street

Far Rockaway, NY 11691

Rohatgi, Rajesh, MD

Specialty: Nuclear Cardiology

(718) 869-7739

327 Beach 19th Street

Far Rockaway, NY 11691

Forest Hills

Chopra, Rajpal Singh, MD

Specialty: Endocrinology, Diabetes & Metabolism

68-60 Austin St

Forest Hills, NY 11375

New York

Forest Hills

Kissin, Esther, MD

Specialty: Internal Medicine

68-60 Austin St

Forest Hills, NY 11375

Leder, Marvin Albert, MD

Specialty: Internal Medicine

(718) 268-4500

69-15 Yellowstone Blvd

Forest Hills, NY 11375

Patel, Sunil C, MD

Specialty: Internal Medicine

68-60 Austin St

Forest Hills, NY 11375

Freeport

Ostuni, John A., MD

Specialty: Endocrinology

(516) 379-3139

155 W Merrick Rd, STE 101

Freeport, NY 11520

Fresh Meadows

Arevalo, Carlos, MD

Specialty: Endocrinology

(718) 670-2903

182-15 Horace Harding Expressway

Fresh Meadows, NY 11365

Huang, Loli, MD

Specialty: Endocrinology, Diabetes & Metabolism

(718) 670-2903

182-15 Horace Harding Expressway

Fresh Meadows, NY 11365

Schwartz, Natalie, MD

Specialty: Internal Medicine

(718) 670-2903

182-15 Horace Harding Expressway

Fresh Meadows, NY 11365

Gansevoort

New York

Gansevoort

Messitt, Christopher, DO

Specialty: Family Practice

(518) 926-1935

135 North Road

Gansevoort, NY 12831

Garden City

Ariola-hopkins, Francisca, MD

Specialty: Internal Medicine

(516) 564-4682

229 7th Street, Suite 307

Garden City, NY 11530-574

Montoni, Vincenzo, DO

Specialty: Internal Medicine

(516) 742-5346

233 7th Street, Suite 101

Garden City, NY 11530-574

Popli, Purnima, MD

Specialty: Internal Medicine

(516) 564-4682

229 7th Street, Suite 307

Garden City, NY 11530-574

Robinson, Ronald, MD

Specialty: Internal Medicine

(516) 742-5346

233 7th Street, Suite 101

Garden City, NY 11530-574

Shperling, Irena, MD

Specialty: Internal Medicine

(516) 742-5346

233 7th Street, Suite 101

Garden City, NY 11530-574

Glen Cove

Bennett, William J., MD

Specialty: Family Practice

(516) 674-7900

101 Saint Andrews Lane

Glen Cove, NY 11542

Page 145 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Glen Cove

Capobianco, Luigi M, MD

Specialty: Family Practice

1 School St., Ste 203

Glen Cove, NY 11542

Caporaso, Anthony M., MD

Specialty: Family Practice

(516) 674-7900

101 Saint Andrews Lane

Glen Cove, NY 11542

Chudy, Sylvia H, MD

Specialty: Family Practice

1 School St., Ste 203

Glen Cove, NY 11542

Deluca, Philip V, MD

Specialty: Internal Medicine

1 School St., Ste 203

Glen Cove, NY 11542

Galan, Jana M., MD

Specialty: Family Practice

(516) 674-7900

101 Saint Andrews Lane

Glen Cove, NY 11542

Keber, Barbara A., MD

Specialty: Family Practice

(516) 674-7900

101 Saint Andrews Lane

Glen Cove, NY 11542

Paulus, Santhosh K., MD

Specialty: Family Practice

(516) 674-7900

101 Saint Andrews Lane

Glen Cove, NY 11542

Schinder, Harry J, MD

Specialty: Family Practice

1 School St., Ste 203

Glen Cove, NY 11542

New York

Glen Cove

Surma, Beata, MD

Specialty: Family Practice

1 School St., Ste 203

Glen Cove, NY 11542

Glens Falls

Hogan-Moulton, Amy Elizabeth, MD

Specialty: Internal Medicine

2 Broad Street Plaza

Glens Falls, NY 12801

Granville

Gordon, Thomas, DO

Specialty: Family Practice

(518) 926-5907

79 North Street

Granville, NY 12832

Great Neck

Balwan, Khousidai Sandy, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Boutis, George Arthur, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Cacace, Frank, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Carter, Lawrence D., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

New York

Great Neck

Ehrlich, Jason C., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Gottridge, JoAnne, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Hirsch, Susan C., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Lee, Grace J, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Leong, Pauline, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Morley, Jeanne K., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Stokes, Mark G., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Verbsky, Jennifer Diane, MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Page 146 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Great Neck

Zolli, Janet R., MD

Specialty: Internal Medicine

(516) 622-5001

865 Northern Blvd., Suite 102

Great Neck, NY 11021-5310

Greenburgh

Dodoo, Benjamin, MD

Specialty: Internal Medicine

330 Tarrytown Road

Greenburgh, NY 10607

Greenwich

Masaba, Edit Kalmar, MD

Specialty: Internal Medicine

(518) 692-9861

Greenwich Regional Medical Center, 1134 State Route 29

Greenwich, NY 12834

Quinn, Colleen Margaret, MD

Specialty: Family Practice

(518) 692-9861

Greenwich Regional Medical Center, 1134 State Route 29

Greenwich, NY 12834

Westad, Frank Hiroshi, FNP

Specialty: Nurse Practitioner

(518) 692-9861

Greenwich Regional Medical Center, 1134 State Route 29

Greenwich, NY 12834

HAMBURG

Maclean, Craig K, DO

Specialty: Family Practice

(716) 646-6700

3040 AMSDELL ROAD

HAMBURG, NY 14075

Hamilton

New York

Hamilton

Buschatzke, Richard, MD

Specialty: Family Practice

(315) 825-3111

160 Broad Street

Hamilton, NY 13346

Harrison

Bloomgarden, David, MD

Specialty: Endocrinology

550 Mamaroneck Avenue, Suite 101

Harrison, NY 10470

Kunreuther, Elizabeth P, MD

Specialty: Endocrinology, Diabetes & Metabolism

550 Mamaroneck Avenue, Suite 101

Harrison, NY 10470

Herkimer

Islam, Fatema T, MD

Specialty: Family Practice

321 East Albany Street

Herkimer, NY 13350

Kramer, Frank V, MD

Specialty: Internal Medicine

321 East Albany Street

Herkimer, NY 13350

Parker, William, MD

Specialty: Internal Medicine

(315) 574-2300

201 E. State Street

Herkimer, NY 13350-2370

Tangel, Colette T, MD

Specialty: Internal Medicine

321 East Albany Street

Herkimer, NY 13350

Huntington

Boxer, Jonathan A., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

New York

Huntington

Caporuscio, Jessica Leigh, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Cordani, Gerald J., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Courgi, Robert G., MD

Specialty: Endocrinology, Diabetes & Metabolism

(631) 673-9422

475 New York Avenue

Huntington, NY 11743

Desai, Basavaraj Veeranna, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Dinh, Linh T, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Fetterman, Alan D., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Kechejian, Joanne M., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Lalli, Corradino Michael, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Page 147 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Huntington

Mantia, Augustus G, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Mantia, Philip, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Mirica, Marilena, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Moorley, Maya D., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Nakamura, Hachiro, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Neumann, Deborah J., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Ocampo, Enrico, MD

Specialty: Internal Medicine

(631) 673-9422

475 New York Avenue

Huntington, NY 11743

Radzik, Andrew, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

New York

Huntington

Reina, Grace E, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Rosett, Glenn, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Schmitz, George M., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Singer, Mark A, DO

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Trager, Gary A., MD

Specialty: Endocrinology

(631) 673-9422

475 New York Avenue

Huntington, NY 11743

Walsh, Kenneth A, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Weiss, Deborah J., MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

New York

Huntington

Witanowski, Stephen, MD

Specialty: Internal Medicine

(631) 351-3703

325 Park Ave.

Huntington, NY 11743

Hyde Park

Isabell, Lee J., DO

Specialty: Internal Medicine

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Jellett, Carol, MD

Specialty: Family Practice

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Landanno, Clement R, MD

Specialty: Family Practice

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Page, Dorothy Eve, MD

Specialty: Family Practice

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Schiskie, Melissa A., DO

Specialty: Family Practice

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Teubl, William P., MD

Specialty: Internal Medicine

(845) 229-1020

11 Crum Elbow Road

Hyde Park, NY 12538-2851

Islip

Page 148 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Islip

Schaefer, Elaine Margaret, DO

Specialty: Family Practice

260 Main St.

Islip, NY 11751

Jamaica

Awwal, Sabina, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

Cardinal, Lucien John, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

Khan, Nazmul Hossain, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

Kim, Paul Joon, MD

Specialty: Internal Medicine

(718) 883-3000

82-68 164th Street, N-8

Jamaica, NY 11432

Misra, Sameer K, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

Peress, Gay, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

Qureshi, Saira, MD

Specialty: Internal Medicine

(646) 458-382

82-68 164th ST

Jamaica, NY 11432-1121

New York

Jamaica

Reich, David Michael, MD

Specialty: Endocrinology, Diabetes & Metabolism

(718) 883-3000

82-68 164th Street, N-8

Jamaica, NY 11432

Sachmechi, Isaac, MD

Specialty: Endocrinology

(718) 883-3000

82-68 164th Street, N-8

Jamaica, NY 11432

Tavares, Rosa Anabela, MD

Specialty: Family Practice

(718) 657-7088

97-04 Stuphin Blvd.

Jamaica, NY 11435-4721

Wezenter, Barbara Ann, MD

Specialty: Endocrinology, Diabetes & Metabolism

(718) 883-3000

82-68 164th Street, N-8

Jamaica, NY 11432

Johnson City

Florini, Marita, FNP

Specialty: Nurse Practitioner

(607) 770-7376

84 Lusk Street

Johnson City, NY 13790

Gill, Roy, MD

Specialty: Internal Medicine

(607) 770-7376

84 Lusk Street

Johnson City, NY 13790

Moukala-cadet, Anne-marie Laure, DO

Specialty: Family Practice

(607) 770-7376

84 Lusk Street

Johnson City, NY 13790

Lake Success

New York

Lake Success

Brenner, David E, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Carey, Dennis, MD

Specialty: Pediatric Endocrinology

1991 Marcus Avenue

Lake Success, NY 11030

Fatima, Zumaira, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Frank, Graeme, MD

Specialty: Pediatric Endocrinology

1991 Marcus Avenue

Lake Success, NY 11030

Goetz, Barry, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Hamlin, Paul A, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Haughney, Elizabeth, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Hsu, Yeouching, MD

Specialty: Pediatrics

1991 Marcus Avenue

Lake Success, NY 11030

Kellman, Scott L, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Page 149 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Lake Success

Kreitzer, Paula, MD

Specialty: Pediatrics

1991 Marcus Avenue

Lake Success, NY 11030

Kushner, Hillary S, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Robbins, Anne C, MD

Specialty: Family Practice

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Rosen, Ronald, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Russo, Roseann M, MD

Specialty: Pulmonary Disease

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Saul, Michael A, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Speiser, Phyllis, MD

Specialty: Pediatric Endocrinology

1991 Marcus Avenue

Lake Success, NY 11030

Wiqas, Azra, MD

Specialty: Internal Medicine

2800 Marcus Avenue, Suite 200

Lake Success, NY 11042

Lakeville

New York

Lakeville

Emerson, Drew T, MD

Specialty: Family Practice

(585) 346-3660

3509 Thomas Drive, Suite #4

Lakeville, NY 14480

Latham

Michelena, Karen Kimbel, MD

Specialty: Family Practice

(518) 220-9413

930 Albany Shaker Rd.

Latham, NY 12110

Lowville

Lyndaker, Steven L, MD

Specialty: Internal Medicine

(315) 376-5188

7785 North State Street, Suite 140

Lowville, NY 13367-1229

Massapequa

Anzalone, Vincent P, MD

Specialty: Internal Medicine

(516) 798-0441

847 N. Broadway #103

Massapequa, NY 11758

Mechanicville

Herdzik, Katherine, MD

Specialty: Family Practice

(518) 664-6125

202 South Central Avenue

Mechanicville, NY 12118

Sgambati, Sr., Stephen, MD

Specialty: Family Practice

(518) 664-6125

202 South Central Avenue

Mechanicville, NY 12118

Mineola

Genovese, Karrin A., MD

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

New York

Mineola

Geraci, Vincent J, MD

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Hazan, Lainie M, MD

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Lehnert, Lisa Joan, DO

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Loewy, Jeffrey A, DO

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Mcbane, Deborah, DO

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Misciagno, Christopher S, MD

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Mossman, Harvey Arthur, MD

Specialty: Internal Medicine

(516) 294-4220

80 East Jericho Turnpike Suite 200

Mineola, NY 11501

Orbon, Paul G, DO

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Page 150 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Mineola

Rotolo, Joseph C, MD

Specialty: Internal Medicine

(516) 663-6976

222 Station Plaza North, Suite 605

Mineola, NY 11501

Spisak, Gregory Michael, MD

Specialty: Internal Medicine

(516) 741-8891

80 E. Jericho Turnpike Suite 100

Mineola, NY 11501

Monroe

Zelenko, Vladimir, MD

Specialty: Family Practice

(845) 782-0000

745 Route 17M, #770

Monroe, NY 10950-2660

Moravia

Stormann, Nita, MD

Specialty: Nurse Practitioner

(315) 497-9066

97 Main Street

Moravia, NY 13118

Mount Vernon

Mandipalle, Bhargavi, MD

Specialty: Family Practice

(914) 699-7200

107 West Fourth Street

Mount Vernon, NY 10550

New Hartford

Cavallaro, Diane, MD

Specialty: Internal Medicine

(315) 624-8300

3946 Oneida Street

New Hartford, NY 13413-9702

Walsh, Michael Kevin, DO

Specialty: Family Practice

(315) 624-8300

3946 Oneida Street

New Hartford, NY 13413-9702

New York

New York

Acinapura, Lauren, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Adamian, Julia, MD

Specialty: Internal Medicine

(212) 434-6776

178 E 85th St, Second Fl

New York, NY 10028

Adler, Rhodes S, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Ahmadi, Ladan, MD

Specialty: Internal Medicine

(212) 434-6776

178 E 85th St, Second Fl

New York, NY 10028

An, Huanlin, MD

Specialty: Family Practice

(212) 812-3562

275 Seventh Avenue, 4th Floor

New York, NY 10001-6757

Ariyibi, Oluyemisi Omotola, MD

Specialty: Internal Medicine

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Asgary, Ramin, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

New York

New York

Bardes, Charles, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Bickell, Nina A, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Boutin-Foster, Carla, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Broussard, Andre, MD

Specialty: Obstetrics & Gynecology

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Bryan, Craigh K, MD

Specialty: Internal Medicine

(212) 939-8167

506 Lenox Avenue

New York, NY 10037-1802

Burney, Naghma, MD

Specialty: Internal Medicine

(212) 283-2099

3418 Broadway, 2nd floor

New York, NY 10031-7408

Busse, Rachel, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Page 151 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

New York

Caithamer, Tamara M, MD

Specialty: Internal Medicine

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Carmel, Amanda, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Charney, Pamela, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Chen, Abigail R, MD

Specialty: Internal Medicine

(212) 812-3562

275 Seventh Avenue, 4th Floor

New York, NY 10001-6757

Cheriff, Adam David, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Chin, Harold, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Cumps, Evelyne, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

New York

New York

Dayal, Anju S., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Demopoulos, Byron P, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Dersimonian, Kohar, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Diaz, Rita, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Dove, Arthur Renner, MD

Specialty: Internal Medicine

(212) 932-6500

264 West 118th Street

New York, NY 10026-1620

Dyksterhouse, Robert Max, MD

Specialty: Family Practice

(212) 812-3562

275 Seventh Avenue, 4th Floor

New York, NY 10001-6757

Edelman, Laurie B, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

New York

New York

Federman, Alex D, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Felix, David J., MD

Specialty: Internal Medicine

(212) 213-1777

161 Madison Avenue

New York, NY 10016-5421

Fleck, Elaine M., MD

Specialty: Internal Medicine

(212) 305-7896

575 West 181st Street, 575 181st Street Clinic 2nd Flr

New York, NY 10033-5002

Frank, Judith, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Ganz-Lord, Fran, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Geer, Kamini, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Gonzalez, Guadalupe, MD

Specialty: Internal Medicine

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Page 152 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

New York

Goodrich, James T., MD

Specialty: Internal Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

Graham, Robert, MD

Specialty: Internal Medicine

(212) 434-6776

178 E 85th St, Second Fl

New York, NY 10028

Gucalp, Canan, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Hall-Ross, Sandra, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Haque, Muhammad Misbah, MD

Specialty: Internal Medicine

(212) 283-2099

3418 Broadway, 2nd floor

New York, NY 10031-7408

Helenius, Ira M, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Henriquez, Roger, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

New York

New York

Horowitz, Carol R, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Inamdar, Sarla, MD

Specialty: Pediatric Rheumatology

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Kadeishvili, Khatuna, MD

Specialty: Infectious Disease

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Kale, Minal, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Kent, Jennifer A., MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Korenstein, Deborah R, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Lam, Lily, DO

Specialty: General Practice

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

New York

New York

Lee, Hung-Sam, DO

Specialty: Internal Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

Lenox, Theodore, MD

Specialty: Infectious Disease

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Lin, Jenny J., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Liu, George Chi kao, MD

Specialty: Internal Medicine

(212) 226-1177

185 Canal Street, 6th Floor

New York, NY 10013

Lurio, Joseph M., MD

Specialty: Family Practice

(212) 865-4104

690 Amsterdam Avenue

New York, NY 10025-6901

Mack, Jason, MD

Specialty: Pediatrics

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

MacNaughton, Honor, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Page 153 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

New York

Manini, Corinna C, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Martinez, Johanna, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Mazurkiewicz, Rebecca A., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Mcneely, Jennifer, MD

Specialty: Infectious Disease

(212) 562-7691

462 1st Avenue

New York, NY 10016-9196

Mele, Joseph P, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Mensah, Doreen A., MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Mensah, Doreen A., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

New York

New York

Meyer, Bailey Robert, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Morales, Susanna R, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Mumford, James M., MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Nissim, Julie A, DO

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Nissim, Julie A., MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Ommen, Elizabeth S, MD

Specialty: Nephrology

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Ortiz, Martin Diego, MD

Specialty: Internal Medicine

(212) 932-6500

264 West 118th Street

New York, NY 10026-1620

New York

New York

Osvath, Judit, MD

Specialty: Internal Medicine

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Patel, Vinisha J, MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Pathak, Indu, MD

Specialty: Pediatric Infectious Disease

(212) 423-6262

1901 First Avenue

New York, NY 10029-7404

Peccoralo, Lauren A., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Pelzman, Fred N, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Perez, Xavier, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Ponieman, Diego A., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Page 154 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

New York

Rios, Carlos, MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Ripp, Jonathan A, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Santini, Diana L, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Savillo, Robert L, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Shi, Shelley Xiaoping, MD

Specialty: Internal Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

Sigel, Keith Magnus, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Song, Min, MD

Specialty: Internal Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

New York

New York

Stern, David T, MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Stulman, James K, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Teets, Raymond, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Tewari, Shalini, MD

Specialty: Internal Medicine

(212) 812-3562

275 Seventh Avenue, 4th Floor

New York, NY 10001-6757

Thiagarajah, Yogasaundari, MD

Specialty: Internal Medicine

(212) 939-8167

506 Lenox Avenue

New York, NY 10037-1802

Thomas, David C. C., MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Truncali, Andrea, MD

Specialty: Internal Medicine

(212) 562-7691

462 1st Avenue

New York, NY 10016-9196

New York

New York

Tung, Judy, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Vasiliadis, Athanasia S, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Vega, Aida C, MD

Specialty: Internal Medicine

(212) 241-6500

17 East 102nd Street, 4th Floor

New York, NY 10029-5204

Vidal, Angela, MD

Specialty: Family Practice

(212) 206-5200

16 East 16th Street, 1st

New York, NY 10003-3105

Wajnberg, Ania, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Weinstein, Luise L, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Wenderoth, Suzanne, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Page 155 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

New York

White, Handel G.A., MD

Specialty: Internal Medicine

(212) 932-6500

264 West 118th Street

New York, NY 10026-1620

Wilkenfeld, Marc, MD

Specialty: Occupational Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

Winston, Ginger J, MD

Specialty: Internal Medicine

(212) 746-3331

505 E 70th Street, Helmsley Tower, 4th Floor

New York, NY 10021-4872

Xu, Min, MD

Specialty: Internal Medicine

(212) 238-7685

227 Madison Street

New York, NY 10002-7537

Yamada, Erika, MD

Specialty: Internal Medicine

(212) 824-7539

17 E 102nd Street, 7th Floor

New York, NY 10029-5204

Zafar, Naureen, MD

Specialty: Family Practice

(212) 932-6500

264 West 118th Street

New York, NY 10026-1620

Newburgh

Castro, Jonathan Manuel perez, MD

Specialty: Endocrinology, Diabetes & Metabolism

(845) 563-8000

147 Lake Street, The Kaplan Family Pavilion

Newburgh, NY 12550-5263

Niskayuna

New York

Niskayuna

Murphy, Christine M, MD

Specialty: Internal Medicine

(518) 374-1444

2546 Balltown Rd, Suite 200

Niskayuna, NY 12309

North Massapequa

Shiff, Jeffrey H., MD

Specialty: Endocrinology

(516) 797-4035

727 North Broadway, Suite B1

North Massapequa, NY 11758

Norwich

Cohen, Scott A, MD

Specialty: Family Practice

(607) 336-6362

55 Calvary Drive

Norwich, NY 13815-1032

Holmes, Grace D, MD

Specialty: Family Practice

(607) 336-6362

55 Calvary Drive

Norwich, NY 13815-1032

Holmes, Thomas R, MD

Specialty: Family Practice

(607) 336-6362

55 Calvary Drive

Norwich, NY 13815-1032

Ogdensburg

Jaitly, Manasvi, MD

Specialty: Internal Medicine

(315) 394-7542

St. Lawrence Health Alliance, 3 Lyon Place

Ogdensburg, NY 13669

Shah-sekhon, Sarika, MD

Specialty: Internal Medicine

(315) 394-7542

3 Lyon Place, Suite 200

Ogdensburg, NY 13669

New York

Oneonta

Landry, Gerald A, MD

Specialty: Internal Medicine

(607) 433-1790

125 Main Street

Oneonta, NY 13820-2531

Levenstein, Michael, MD

Specialty: Internal Medicine

(607) 433-1790

125 Main Street

Oneonta, NY 13820-2531

Palumbo, Deanna, MD

Specialty: Internal Medicine

(607) 433-1790

125 Main Street

Oneonta, NY 13820-2531

Walker, James W, MD

Specialty: Internal Medicine

(607) 433-1790

125 Main Street

Oneonta, NY 13820-2531

Orchard Park

Dilamarter, Thomas I, MD

Specialty: Family Practice

(716) 667-3200

6300 Powers Road

Orchard Park, NY 14127

Gunasingham, Vyjanthanath, MD

Specialty: Internal Medicine

(716) 667-3200

6300 Powers Road

Orchard Park, NY 14127

Kelley, Geraldine, MD

Specialty: Internal Medicine

(716) 667-3200

6300 Powers Road

Orchard Park, NY 14127

Page 156 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Orchard Park

Perez, Maria, MD

Specialty: Internal Medicine

(716) 667-3200

6300 Powers Road

Orchard Park, NY 14127

Vakante-jankovic, Diana, MD

Specialty: Family Practice

(716) 972-0279

3671 Southwestern Blvd, Suite 101

Orchard Park, NY 14127

Whalen, Guy Michael, MD

Specialty: Internal Medicine

(716) 972-0279

3671 Southwestern Blvd, Suite 101

Orchard Park, NY 14127

Ossining

Rovito, Lucy, MD

Specialty: Family Practice

(914) 941-1263

165 Main Street

Ossining, NY 10562-4702

Oyster Bay

Beberman, Hillary Klein, DO

Specialty: Family Practice

(516) 922-1151

70 West Main St.

Oyster Bay, NY 11771

Sherman, Bradley, MD

Specialty: Internal Medicine

(516) 922-1151

70 West Main St.

Oyster Bay, NY 11771

Penfield

Campbell, Jennifer, MD

Specialty: Internal Medicine

(585) 598-8505

Penfield Crossings Medical Center, 2212 Penfiled Road, Suite 100

Penfield, NY 14526

New York

Penfield

Momot, Christopher D, MD

Specialty: Family Practice

(585) 598-8505

Penfield Crossings Medical Center, 2212 Penfiled Road, Suite 100

Penfield, NY 14526

Tamura, Yoshiko, MD

Specialty: Internal Medicine

(585) 598-8505

Penfield Crossings Medical Center, 2212 Penfiled Road, Suite 100

Penfield, NY 14526

Weiss, Jerome A, MD

Specialty: Internal Medicine

(585) 598-8505

Penfield Crossings Medical Center, 2212 Penfiled Road, Suite 100

Penfield, NY 14526

Poughkeepsie

Hoffman, Daniel P, MD

Specialty: Internal Medicine

(845) 454-5000

375 Hooker Ave

Poughkeepsie, NY 12603

Purchase

Feuer, Barry H, MD

Specialty: Internal Medicine

(914) 831-4100

3020 Westchester Ave, 2nd Floor

Purchase, NY 10577-2579

Levat, Jay M, MD

Specialty: Internal Medicine

(914) 831-4100

3020 Westchester Ave, 2nd Floor

Purchase, NY 10577-2579

Pelebecky, George W, MD

Specialty: Internal Medicine

(914) 831-4100

3020 Westchester Ave, 2nd Floor

Purchase, NY 10577-2579

New York

Purchase

Sharma, Nitya, MD

Specialty: Internal Medicine

(914) 831-4100

3020 Westchester Ave, 2nd Floor

Purchase, NY 10577-2579

Queensbury

Adams, Michael, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Bachman, Paul, MD

Specialty: Internal Medicine

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Beaty, Robert, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Borgos, William, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Carney, Nancy, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

North, James, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Page 157 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Queensbury

Stratton, Jennifer, MD

Specialty: Family Practice

(518) 761-0300

Administrative Offices, 9 Carey Road

Queensbury, NY 12804

Ravena

Caulfield, Patrick F, MD

Specialty: Family Practice

(518) 756-7390

2524 Route 9\W

Ravena, NY 12143-2804

Rensselaer

Barbarotto, Paul, DO

Specialty: Family Practice

(518) 286-4899

2 Empire Drive, Suite 101

Rensselaer, NY 12144

Dyer-Martin, Mary Kyle, DO

Specialty: Family Practice

(518) 286-4899

2 Empire Drive, Suite 101

Rensselaer, NY 12144

Fischer, William, MD

Specialty: Family Practice

(518) 286-4899

2 Empire Drive, Suite 101

Rensselaer, NY 12144

Katz, Michael, MD

Specialty: Family Practice

(518) 286-4899

2 Empire Drive, Suite 101

Rensselaer, NY 12144

North, Catherine, MD

Specialty: Family Practice

(518) 286-1922

279 Troy Road

Rensselaer, NY 12144

New York

Rensselaer

Rebehn, Keith, MD

Specialty: Family Practice

(518) 286-1922

279 Troy Road

Rensselaer, NY 12144

Rochester

Abbott, Richard E, MD

Specialty: Internal Medicine

(585) 244-7783

2030 Monroe Avenue, Building F

Rochester, NY 14618

Agostinelli, Robert Joseph, MD

Specialty: Internal Medicine

2655 Ridgeway Aenue, Suite 480

Rochester, NY 14626

Bank, John T., MD

Specialty: Family Practice

(585) 889-0750

3173 Chili Avenue, Suite 400

Rochester, NY 14624-5400

Baxter, Margaret, MD

Specialty: Family Practice

(585) 368-4350

1100 Long Pond Road, Suite 250

Rochester, NY 14626-1177

Bergin, Margaret, MD

Specialty: Internal Medicine

(581) 341-7299

2400 South Clinton Avenue, Bldg H, Suite 210

Rochester, NY 14618-2690

Berkowitz, Sharon G, MD

Specialty: Internal Medicine

(585) 341-3658

809 East Ridge Road

Rochester, NY 14621

New York

Rochester

Bingemann, Todd L, MD

Specialty: Internal Medicine

(585) 654-5432

913 Culver Road

Rochester, NY 14609

Bollineni, Sunitha, MD

Specialty: Internal Medicine

(585) 368-6370

2300 Buffalo Road, Bldg. 800

Rochester, NY 14624-1360

Borbas, Judith K., MD

Specialty: Internal Medicine

(585) 723-7778

1561 Long Pond Road, Suite 202

Rochester, NY 14626-4117

Budd, James L, MD

Specialty: Internal Medicine

(585) 244-7783

2030 Monroe Avenue, Building F

Rochester, NY 14618

Campbell, Tom L, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Christidas, Elias P., MD

Specialty: Internal Medicine

(585) 254-2594

103 Canal Landing Boulevard, Building C

Rochester, NY 14626-5108

Clark (Shafer), Nancy, MD

Specialty: Internal Medicine

(585) 341-7697

2400 S. Clinton Ave., Bldg G-2

Rochester, NY 14618

Page 158 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Rochester

Cox, III, John F, MD

Specialty: Internal Medicine

(585) 341-7697

2400 S. Clinton Ave., Bldg G-2

Rochester, NY 14618

D'Angelo, Christopher, MD

Specialty: Internal Medicine

(585) 341-7207

2400 South Clinton Avenue, Bldg H, Suite 230

Rochester, NY 14626

Deiss, Katharine D, MD

Specialty: Pediatrics

(585) 723-3330

2300 West Ridge Road, 3rd Floor

Rochester, NY 14626

Eisinger, Steve, MD

Specialty: Obstetrics & Gynecology

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Epstein, Ronald M, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Farnand, Bernard J., MD

Specialty: Internal Medicine

2655 Ridgeway Aenue, Suite 480

Rochester, NY 14626

Fortuna, Robert, MD

Specialty: Internal Medicine

(581) 341-7299

2400 South Clinton Avenue, Bldg H, Suite 210

Rochester, NY 14618-2690

New York

Rochester

Gupta, Bharat B., MD

Specialty: Internal Medicine

(585) 368-6370

2300 Buffalo Road, Bldg. 800

Rochester, NY 14624-1360

Gupta, Mala R, MD

Specialty: Internal Medicine

(585) 341-7697

2400 S. Clinton Ave., Bldg G-2

Rochester, NY 14618

Hamilton, David L, MD

Specialty: Internal Medicine

(585) 341-7207

2400 South Clinton Avenue, Bldg H, Suite 230

Rochester, NY 14626

Herrmann, Cheryl, MD

Specialty: Family Practice

(585) 368-4350

1100 Long Pond Road, Suite 250

Rochester, NY 14626-1177

Howe, Paul Q, MD

Specialty: Family Practice

(585) 341-3658

809 East Ridge Road

Rochester, NY 14621

Janmuhammad, Shazia, MD

Specialty: Family Practice

(585) 254-1850

2260 Lake Avenue, Suite 1000

Rochester, NY 14612-5758

Jonnala, Srinivas, MD

Specialty: Internal Medicine

(585) 723-7778

1561 Long Pond Road, Suite 202

Rochester, NY 14626-4117

New York

Rochester

Karlic, Alexander, MD

Specialty: Internal Medicine

(585) 368-4050

105 Canal Landing Blvd., Suite 1

Rochester, NY 14626

Kringstein, Dina P, MD

Specialty: Internal Medicine

(585) 427-9950

400 White Spruce Blvd., Suite 400 A

Rochester, NY 14623

Labanowski, Mary C, MD

Specialty: Internal Medicine

(585) 427-9950

400 White Spruce Blvd., Suite 400 A

Rochester, NY 14623

Lorenz, Alan, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Mirabelli, Mark H, MD

Specialty: Sports Medicine

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Mittereder, Richard F., MD

Specialty: Family Practice

(585) 368-4050

105 Canal Landing Blvd., Suite 1

Rochester, NY 14626

Nazar, Michael D., MD

Specialty: Family Practice

(585) 254-1850

2260 Lake Avenue, Suite 1000

Rochester, NY 14612-5758

Page 159 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Rochester

Nead, Karen G, MD

Specialty: Pediatrics

(585) 654-5432

913 Culver Road

Rochester, NY 14609

Nolan, Timothy Leo, MD

Specialty: Internal Medicine

2655 Ridgeway Aenue, Suite 480

Rochester, NY 14626

Novak, Sue Ann E., MD

Specialty: Family Practice

(585) 889-0750

3173 Chili Avenue, Suite 400

Rochester, NY 14624-5400

Pastor, Thomas J., MD

Specialty: Internal Medicine

(585) 723-7778

1561 Long Pond Road, Suite 202

Rochester, NY 14626-4117

Pierce, Deb, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Ponnuri, Jyothsna, MD

Specialty: Internal Medicine

(585) 368-4050

105 Canal Landing Blvd., Suite 1

Rochester, NY 14626

Pulcino, Tiffany Lynn, MD

Specialty: Internal Medicine

(585) 654-5432

913 Culver Road

Rochester, NY 14609

Pum, William D, MD

Specialty: Family Practice

(585) 889-0750

3173 Chili Avenue, Suite 400

Rochester, NY 14624-5400

New York

Rochester

Shamaskin, Ann R, MD

Specialty: Internal Medicine

(581) 341-7299

2400 South Clinton Avenue, Bldg H, Suite 210

Rochester, NY 14618-2690

Singh, Rajendra P, MD

Specialty: Internal Medicine

(585) 279-4680

777 South Clinton Avenue, Suite 200

Rochester, NY 14450

Singla, Vikas, MD

Specialty: Internal Medicine

(585) 368-6370

2300 Buffalo Road, Bldg. 800

Rochester, NY 14624-1360

Stein, Phillip G, MD

Specialty: Internal Medicine

(585) 244-7783

2030 Monroe Avenue, Building F

Rochester, NY 14618

Stratton-Smith, Scott A., MD

Specialty: Family Practice

(585) 889-0750

3173 Chili Avenue, Suite 400

Rochester, NY 14624-5400

Swanger, Carlos Maria, MD

Specialty: Internal Medicine

(585) 341-7143

2400 South Clinton Avenue, Building H Suite 110

Rochester, NY 14618

Terwilliger, Megan M, MD

Specialty: Internal Medicine

(581) 341-7299

2400 South Clinton Avenue, Bldg H, Suite 210

Rochester, NY 14618-2690

New York

Rochester

Van Tol, Lois, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Watkins, Ingrid K, MD

Specialty: Family Practice

(585) 279-4846

777 S. Clinton Avenue

Rochester, NY 14620-1448

Witmer, Thomas W, MD

Specialty: Internal Medicine

(585) 341-7207

2400 South Clinton Avenue, Bldg H, Suite 230

Rochester, NY 14626

Zatreanu, Daniel, MD

Specialty: Family Practice

(585) 368-4050

105 Canal Landing Blvd., Suite 1

Rochester, NY 14626

Rye

Ceccarelli, Silvio J, MD

Specialty: Internal Medicine

(914) 848-8700

1 Theall Rd

Rye, NY 10580-1404

DiCosmo, Bruno, MD

Specialty: Internal Medicine

(914) 848-8700

1 Theall Rd

Rye, NY 10580-1404

Doyle, James J, MD

Specialty: Internal Medicine

(914) 848-8700

1 Theall Rd

Rye, NY 10580-1404

Page 160 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Rye

Rothbart, Gary E, MD

Specialty: Internal Medicine

(914) 848-8700

1 Theall Rd

Rye, NY 10580-1404

Salamanca

Smith, Mary Elizabeth, ANP

Specialty: General Practice

(716) 945-0361

4039 Route 219 Suite 101

Salamanca, NY 14779

Saratoga Springs

Hill, Kenneth Owen, MD

Specialty: Family Practice

(518) 587-3438

19 West Avenue

Saratoga Springs, NY 12866

Sauquoit

Constantine, Francis, MD

Specialty: Internal Medicine

2888 Oneida Street

Sauquoit, NY 13456

Scarsdale

Kubersky, Steven M, MD

Specialty: Internal Medicine

(914) 722-6200

495 Central Park Ave

Scarsdale, NY 10583-1038

Lipman, Marvin M, MD

Specialty: Internal Medicine

259 Heathcote Road

Scarsdale, NY 10583

Morel, Richard, MD

Specialty: Internal Medicine

(914) 722-6200

495 Central Park Ave

Scarsdale, NY 10583-1038

Schenectady

New York

Schenectady

Afejuku, Neema, MD

Specialty: Family Practice

(518) 347-5286

624 McClellan St., Suite 101

Schenectady, NY 12308

Lopez, Pablo M., MD

Specialty: Family Practice

(518) 243-3334

1201 Nott Street, Medical Arts Building, Suite 307

Schenectady, NY 12308-2530

Mika, Philip John, MD

Specialty: Endocrinology, Diabetes & Metabolism

(518) 382-8350

1201 Nott Street, Suite 203

Schenectady, NY 12308

Saha, Manish, MD

Specialty: Internal Medicine

(518) 347-5286

624 McClellan St., Suite 101

Schenectady, NY 12308

Taccad-reyes, Sandra, MD

Specialty: Endocrinology, Diabetes & Metabolism

(518) 382-8350

1201 Nott Street, Suite 203

Schenectady, NY 12308

Welch, Michael C., MD

Specialty: Chiropractic

(518) 347-5286

624 McClellan St., Suite 101

Schenectady, NY 12308

Sherburne

Haswell, David P, MD

Specialty: Family Practice

(607) 674-9557

20 Chapel Street

Sherburne, NY 13460-9753

New York

Sherburne

Steward, Gary D, MD

Specialty: Family Practice

(607) 674-9557

20 Chapel Street

Sherburne, NY 13460-9753

Valencia, Mauricio, MD

Specialty: Family Practice

(607) 674-9557

20 Chapel Street

Sherburne, NY 13460-9753

Sleepy Hollow

Meyer, Patricia, MD

Specialty: Family Practice

(914) 631-4141

80 Beekman Avenue

Sleepy Hollow, NY 10591-2503

Slingerlands

Aitken, Geri L, DO

Specialty: Family Practice

(518) 439-2460

1240 New Scotland, Suite 203

Slingerlands, NY 12159

Southampton

Fein, Allen Lawrence, MD

Specialty: Family Practice

(631) 283-6446

205 Windmill Lane, #Suite A

Southampton, NY 11968

Spencerport

Conolly, Melanie R., MD

Specialty: Family Practice

(585) 352-8999

377 South Union Street, Suite 100

Spencerport, NY 14559-1735

Feltner, Elizabeth, MD

Specialty: Family Practice

5 Land Re Way, Suite 100

Spencerport, NY 14559

Page 161 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Spencerport

Mcgrath, Patrick, MD

Specialty: Family Practice

5 Land Re Way, Suite 100

Spencerport, NY 14559

Spring Valley

Katz, Doron Z, MD

Specialty: Internal Medicine

(845) 354-9305

728 North Main Street

Spring Valley, NY 10977-8916

Weltin, Johannes D, MD

Specialty: Family Practice

(845) 354-9305

728 North Main Street

Spring Valley, NY 10977-8916

Springville

Berger, Andrew J, MD

Specialty: Family Practice

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Dale, Priscilla K, MD

Specialty: Internal Medicine

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Fanton, Melissa, MD

Specialty: Physician Assistant

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Hudzinski, Lori D, MD

Specialty: Family Practice

(716) 592-3600

210 E. Main Street

Springville, NY 14141

New York

Springville

Manning, Karen W, FNP

Specialty: Nurse Practitioner

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Osborn, Kenneth M, MD

Specialty: Physician Assistant

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Wnuk, William Joseph, MD

Specialty: Internal Medicine

(716) 592-3600

210 E. Main Street

Springville, NY 14141

Stamford

Nelson, Yvonne Sue, MD

Specialty: Family Practice

(607) 652-2537

28650 state highway 23

Stamford, NY 12167-1712

Staten Island

Brandt, David, MD

Specialty: Internal Medicine

(718) 226-6088

57 Bay Street

Staten Island, NY 10301

Castellanos, Mario, MD

Specialty: Internal Medicine

242 Mason Avenue

Staten Island, NY 10305-3498

Dabaghian, Garbis, MD

Specialty: Internal Medicine

242 Mason Avenue

Staten Island, NY 10305-3498

New York

Staten Island

Holuka, Eugene, MD

Specialty: Internal Medicine

(718) 226-6088

57 Bay Street

Staten Island, NY 10301

Kozhinskiy, Vladimir, MD

Specialty: Internal Medicine

242 Mason Avenue

Staten Island, NY 10305-3498

Labarbera, Marianne, MD

Specialty: Family Practice

(718) 667-1200

1776 Richmond Road

Staten Island, NY 10306

Malisova, Larisa, DO

Specialty: Geriatric Medicine/Internal Medicine

(718) 967-5630

420 Lyndale Avenue

Staten Island, NY 10312

Omprakash, Kuduvalli, MD

Specialty: Internal Medicine

(718) 876-1732

235 Port Richmond Avenue

Staten Island, NY 10302

Seminara, Donna, MD

Specialty: Internal Medicine

(718) 967-5630

420 Lyndale Avenue

Staten Island, NY 10312

Sosinsky, Jeffrey, MD

Specialty: Internal Medicine

242 Mason Avenue

Staten Island, NY 10305-3498

Trompeta-wong, Rizalina N, FNP

Specialty: Nurse Practitioner

(718) 876-1732

235 Port Richmond Avenue

Staten Island, NY 10302

Page 162 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

Syracuse

Johnson, Lewis W, MD

Specialty: Internal Medicine

(315) 464-5726

3229 East Genesee Street

Syracuse, NY 13214

Lipeski, Lauren, MD

Specialty: Pediatric Endocrinology

(315) 464-5726

3229 East Genesee Street

Syracuse, NY 13214

Troy

Jain, Rajinder, MD

Specialty: Endocrinology, Diabetes & Metabolism

(518) 273-3755

1304 Park Blvd

Troy, NY 12180

Unadilla

Keo, Naron I, MD

Specialty: Family Practice

(607) 369-2271

16 Clifton Street

Unadilla, NY 13849-3361

Utica

Clark, D Christopher, MD

Specialty: Family Practice

(315) 624-5710

4301 Middlesettlement Road

Utica, NY 13413-5317

Patil, Mangala, MD

Specialty: Family Practice

(315) 624-8400

35 Riverside Drive

Utica, NY 13502-2320

VALLEY STREAM

Leeman, Benjamin, MD

Specialty: Internal Medicine

20 W LINCOLN

VALLEY STREAM, NY 11580

Walton

New York

Walton

Nguyen, Michael, MD

Specialty: Family Practice

(607) 865-6541

130 North Street

Walton, NY 13856-1218

Waterloo

Tavarez, Marino D., MD

Specialty: Family Practice

(315) 787-4977

367 E. Main Street

Waterloo, NY 13165

Watertown

Kellogg, Jr., Collins F, MD

Specialty: Internal Medicine

(315) 782-2141

53-59 Public Square, #301

Watertown, NY 13601-2674

Lapointe, Julie M., MD

Specialty: Internal Medicine

(315) 782-2141

53-59 Public Square, #301

Watertown, NY 13601-2674

VanDeWall, Laverne R., MD

Specialty: Internal Medicine

(315) 782-2141

53-59 Public Square, #301

Watertown, NY 13601-2674

Waterville

Petrie, David, MD

Specialty: Family Practice

(315) 841-4973

358 Madison Street

Waterville, NY 13480-1116

Webster

Herbert, Basya V., MD

Specialty: Family Practice

(585) 787-0720

1672 Empire Blvd., Suite 100

Webster, NY 14580

White Plains

New York

White Plains

Alter, Sheldon, MD

Specialty: Internal Medicine

(914) 831-2900

33 Davis Ave

White Plains, NY 10605-1015

Berger, Jack J, MD

Specialty: Rheumatology

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Comninellis, Aris, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Fink, Steven M, MD

Specialty: Gastroenterology

(914) 831-2900

33 Davis Ave

White Plains, NY 10605-1015

Friend, Todd M, DO

Specialty: Family Practice

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Kaplan, Morrie, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Kraftowitz, Lawrence S, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Page 163 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

New York

White Plains

Meixler, Steven M, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Moshman, Eliot P, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Newman, Barney, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Pretto, Zorayda, MD

Specialty: Internal Medicine

(914) 831-2900

33 Davis Ave

White Plains, NY 10605-1015

Saltzman, Lori, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Sanchez-Levi, Ruth M, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Seligman-Haas, Susan B, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Silver, Michael M, MD

Specialty: Internal Medicine

(914) 831-2900

33 Davis Ave

White Plains, NY 10605-1015

New York

White Plains

Stein, Randy, MD

Specialty: Endocrinology

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Thompson, Carolyn H, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Weiser, Kenneth R, MD

Specialty: Internal Medicine

(914) 682-0700

210 Westchester Ave

White Plains, NY 10604-2901

Wynn, Jonathan, MD

Specialty: Internal Medicine

(914) 831-2900

33 Davis Ave

White Plains, NY 10605-1015

Whitesboro

Frederick, James E, MD

Specialty: Family Practice

(315) 624-8800

37 Main Street

Whitesboro, NY 13492-1034

Ryan, William, MD

Specialty: Family Practice

(315) 624-8800

37 Main Street

Whitesboro, NY 13492-1034

Teng, Jianye, MD

Specialty: Family Practice

(315) 624-8800

37 Main Street

Whitesboro, NY 13492-1034

Yonkers

New York

Yonkers

Campanella, Jerry, MD

Specialty: Internal Medicine

(914) 831-6840

1254 Central Park Ave

Yonkers, NY 10704-1059

Dennet, Ronald B, MD

Specialty: Internal Medicine

(914) 831-6840

1254 Central Park Ave

Yonkers, NY 10704-1059

Schiller, Branford C, MD

Specialty: Internal Medicine

(914) 831-4160

1915-25 Central Park Ave

Yonkers, NY 10710-2949

North Carolina

Apex

Madan, Ragini Tandon, MD

Specialty: Family Practice

(919) 350-0550

120 Healthplex Way

Apex, NC 27502

Archdale

Escajeda, Richard Timothy, MD

Specialty: Family Practice

(336) 802-2070

10188 North Main Street

Archdale, NC 27263

Asheboro

Grisso, Greg Alan, MD

Specialty: Internal Medicine

(336) 636-5546

327 Rock Crusher Road

Asheboro, NC 27203

Thomas, Millard Brady, MD

Specialty: Family Practice

(336) 625-3333

138 Dublin Square Road, Suite C

Asheboro, NC 27203

Page 164 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Asheboro

Whyte, Thomas M., MD

Specialty: Family Practice

(336) 672-3200

350 North Cox Street, Suite #20

Asheboro, NC 27203

Asheville

Bradley, Diana Faison, MD

Specialty: Family Practice

(828) 296-0880

136 Charlotte Highway

Asheville, NC 28803

Frayne, Daniel J., MD

Specialty: Family Practice

(828) 771-3436

118 W.T. Weaver Boulevard

Asheville, NC 28804

Twardon, Elizabeth M., MD

Specialty: Family Practice

(828) 296-0880

136 Charlotte Highway

Asheville, NC 28803

Bessemer

Saluke, Julia K., MD

Specialty: Family Practice

(704) 629-0412

3326 Bessemer City Road

Bessemer, NC 28016

Calabash

Moreci, James, MD

Specialty: Internal Medicine

(910) 579-8363

9970 Beach Drive, SW, Suite 1, Suite 1

Calabash, NC 28467-2755

Cary

Agarwal, Neelu, MD

Specialty: Internal Medicine

(919) 233-2022

550 New Waverly Place, Suite 105

Cary, NC 27518

North Carolina

Cary

Bilbro, Scott Carter, MD

Specialty: Internal Medicine

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Capps, Michael T., MD

Specialty: Internal Medicine

(919) 380-7531

224 High House Road, Suite 100

Cary, NC 27513

Crittenden, Susan Lawrence, MD

Specialty: Internal Medicine

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Jordan, Joan T., MD

Specialty: Internal Medicine

(919) 233-3959

530 New Waverly Place, Ste. 101

Cary, NC 27518

Juneja, Vijay K., MD

Specialty: Internal Medicine

(919) 467-6125

103 Baines Court, Suite 200

Cary, NC 27511

Outlaw, David T., MD

Specialty: Internal Medicine

(919) 380-7531

224 High House Road, Suite 100

Cary, NC 27513

Parikh-Desai, Amrita S., MD

Specialty: Internal Medicine

(919) 467-6125

103 Baines Court, Suite 200

Cary, NC 27511

Patel, Prashant K., MD

Specialty: Internal Medicine

(919) 467-6125

103 Baines Court, Suite 200

Cary, NC 27511

North Carolina

Cary

Raman, Sujatha, MD

Specialty: Internal Medicine

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Shoffner, Sylvia Piqueras, MD

Specialty: Internal Medicine

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Singh, Harmeet Chatrath, MD

Specialty: Family Practice

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Van Cleeff, Martin, MD

Specialty: Internal Medicine

(919) 859-5955

530 New Waverly Place, Suite 200

Cary, NC 27518

Womble, James C., MD

Specialty: Internal Medicine

(919) 380-7531

224 High House Road, Suite 100

Cary, NC 27513

Chapel Hill

Aleman, Marco A, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Amann, Kristen, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Page 165 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Chapel Hill

Aylward, Gillian A., MD

Specialty: Family Practice

(919) 942-8500

110 Timberhill Place, 77 Vilcom Circle, Suite 200

Chapel Hill, NC 27514

Berkowitz, Lee R, MD

Specialty: Oncology, Medical

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Bryan, James A, MD

Specialty: Ophthalmology

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Cary, Timothy S, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Chelminski, Paul R, MD

Specialty: Pediatrics

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Collins, Deborah, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Daaleman, Tim Paul, DO

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

North Carolina

Chapel Hill

Daugird, Allen Joe, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Denniston, Clark Rohwer, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Dewalt, Darren A, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Donahue, Katrina Erika P., MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Evans, James P, MD

Specialty: Clinical Genetics-M.D.

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Fedoriw, Kelly Bossenbroek, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Goldstein, Adam Oliver, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

North Carolina

Chapel Hill

Gourlay, Margaret Lee, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Gwynne, Mark D, DO

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Helton, Margaret Rose, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Henley, Nancy Sue, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Hillman Stephens, Anne, MD

Specialty: Internal Medicine

(919) 960-6094

11312 US 15-501 North, suite 308

Chapel Hill, NC 27517

Hobbs, Keia Kishelle, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Huin, Alexandre W, MD

Specialty: Family Practice

(919) 942-8500

110 Timberhill Place, 77 Vilcom Circle, Suite 200

Chapel Hill, NC 27514

Page 166 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Chapel Hill

Jackson, Leron C, MD

Specialty: Surgery

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Keyserling, Thomas C, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Khandelwal, Christine Mazzola, DO

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Klein, David A., MD

Specialty: Family Practice

(919) 942-8500

110 Timberhill Place, 77 Vilcom Circle, Suite 200

Chapel Hill, NC 27514

Koonce, Thomas Fredrick, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Kurz, Jr., James E, MD

Specialty: Pediatrics

(919) 960-6094

11312 US 15-501 North, suite 308

Chapel Hill, NC 27517

Kylstra, Kimberly, MD

Specialty: Internal Medicine

(919) 960-6094

11312 US 15-501 North, suite 308

Chapel Hill, NC 27517

North Carolina

Chapel Hill

Lewis, Carmen L, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Miller, Thomas M, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Monaco, Julie A, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Moore, Carlton R, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Mounsey, Anne Leathes, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Newton, Warren Polk, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Page, Cristen Parker, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

North Carolina

Chapel Hill

Pathman, Don E, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Pignone, Michael P, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Ratner, Shana P, MD

Specialty: Surgery, Orthopedic

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Rayala, Brian Zaguirre, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Reddy, Vinay Chintala, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Reuland, Daniel S, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Shaheen, Amy W, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Page 167 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Chapel Hill

Sheridan, Stacey L, MD

Specialty: Adolescent and Young Adult Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Sigmon, Evaron R, FNP

Specialty: Nurse Practitioner

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Slatkoff, Susan Faith, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Sonis, Jeffrey Hal, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Spencer, Donald Charles, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Stafford, Harry Cozene, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Stetson, Margaret A., MD

Specialty: Family Practice

(919) 942-8500

110 Timberhill Place, 77 Vilcom Circle, Suite 200

Chapel Hill, NC 27514

North Carolina

Chapel Hill

Tedder, Janice Lee, NP

Specialty: Nurse Practitioner

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Viera, Anthony Joseph, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Weir, Sam S, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Wiley cene, Crystal N, MD

Specialty: Internal Medicine

(919) 966-2276

Ambulatory Care Center, Mason Farm Road, Third Floor

Chapel Hill, NC 27514

Zolotor, Adam Jason, MD

Specialty: Family Practice

(919) 966-3711

590 Manning Drive

Chapel Hill, NC 27599

Charlotte

Abaqueta, Alvin, MD

Specialty: Family Practice

(704) 344-2170

8401 Medical Plaza Drive, Suite 300

Charlotte, NC 28262

Adcock, Jimmie W., MD

Specialty: Internal Medicine

(704) 384-7085

210 East Trade St., Suite D-230

Charlotte, NC 28202

North Carolina

Charlotte

Albright, Harold Dowe, MD

Specialty: Internal Medicine

(704) 384-7085

210 East Trade St., Suite D-230

Charlotte, NC 28202

Alexander, James Chester, MD

Specialty: Internal Medicine

(704) 302-8200

3030 Randolph Road, Suite 200

Charlotte, NC 28211

Almquist, Robert E., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Amin, Ketan B., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Ayers, Lorri A, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Banks, Rachel Renee, MD

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

Barkley, Karl L., MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

Page 168 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Barnabei, Robert Anthony, MD

Specialty: Family Practice

(704) 384-1225

8310 University Executive Park Drive, Suite 550

Charlotte, NC 28262

Barnard, Anne E., MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Bartee-Allen, Sylvia A., MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

Belgrave, Enrico O, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Benedum, John L., MD

Specialty: Internal Medicine

(704) 302-8200

3030 Randolph Road, Suite 200

Charlotte, NC 28211

Benson, Terry L, MD

Specialty: Family Practice

(704) 384-1800

1701 Abbey Pl., Suite 310

Charlotte, NC 28209-3733

Bhagia, Priti, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

North Carolina

Charlotte

Bonner, Steven P., MD

Specialty: Family Practice

(704) 446-2360

309 S. Sharon Amity Road,, Suite 100

Charlotte, NC 28211

Bono, Erika L, MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Bowen, III, Robert, C., MD

Specialty: Internal Medicine

(704) 302-8200

3030 Randolph Road, Suite 200

Charlotte, NC 28211

Bracken, Roberta Samuelson, MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 316-1125

1918 Randolph Road, Suite 220

Charlotte, NC 28207

Brancato, Jason A, MD

Specialty: Internal Medicine

(704) 302-8900

13640 Steelecroft Parkway, Suite 320

Charlotte, NC 28273

Brantley, David A, MD

Specialty: Endocrinology

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Bridges, Lloyd, MD

Specialty: Family Practice

(704) 384-9920

6708 Albemarle Road

Charlotte, NC 28212

North Carolina

Charlotte

Brooks, Olga Yevseyevna, MD

Specialty: Internal Medicine

(704) 302-8700

10650 Park Road, Suite 420

Charlotte, NC 28210

Brown, Rhett L.r., MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Bullock, William R., MD

Specialty: Internal Medicine

(704) 384-7085

210 East Trade St., Suite D-230

Charlotte, NC 28202

Burke, Jennifer W., MD

Specialty: Internal Medicine

(704) 863-9700

101 E. W.T. Harris Blvd., Suite 5002

Charlotte, NC 28262

Callahan, Catherine Brittain, MD

Specialty: Internal Medicine

(704) 302-8700

10650 Park Road, Suite 420

Charlotte, NC 28210

Cappleman, William F., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Cardwell, Jeffrey G, MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

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North Carolina

Charlotte

Cheng, Iris S, MD

Specialty: Internal Medicine

(704) 446-1242

1350 S. Kings Drive

Charlotte, NC 28207

Christoffersen, Brett, MD

Specialty: Internal Medicine

(704) 384-1166

11030 Golf Links Drive, Suite 100

Charlotte, NC 28277

Clark, Talaya B., MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Clements, Thad A., MD

Specialty: Family Practice

(704) 344-2170

8401 Medical Plaza Drive, Suite 300

Charlotte, NC 28262

Cole, Alice W., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Collins, Gregory V., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Collins, Jonathan Mark, MD

Specialty: Family Practice

(704) 316-4460

3315 Springbank Lane, Suite 202

Charlotte, NC 28226-3918

North Carolina

Charlotte

Conard, David, MD

Specialty: Internal Medicine

(704) 384-1500

8401 Medical Plaza Drive, #250

Charlotte, NC 28262

Constantine, Jeffrey C., MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Craven, Murray B., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Crawford, John T., MD

Specialty: Family Practice

(704) 384-1260

9101 Monroe Road, Suite 155

Charlotte, NC 28270

Dair, Marvin P, MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Daniels-Mitchell, Karen E., MD

Specialty: Family Practice

(704) 863-1550

5801 Executive Center Drive, Suite 100

Charlotte, NC 28212

Davis, Harriet N., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

North Carolina

Charlotte

Davis, Wiley M, MD

Specialty: Family Practice

(704) 384-1166

11030 Golf Links Drive, Suite 100

Charlotte, NC 28277

Dean, Elizabeth A., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

DeSantis, Andrea Mary, DO

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

Desena, Curtis W, MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

Devine, Brian D, MD

Specialty: Family Practice

(704) 382-1425

10220 Prosperity Park Drive Suite 300, Suite 300

Charlotte, NC 28269

Dulin, Michael F, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Ekwueme-Sturdivant, Nnemka, MD

Specialty: Endocrinology

(704) 316-1125

1918 Randolph Road, Suite 220

Charlotte, NC 28207

Page 170 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Elkins, Anthony D., DO

Specialty: Family Practice

(704) 316-1750

8420 University Executive Park, Suite 850

Charlotte, NC 28262

Ellison, Aaron Gregory, MD

Specialty: Family Practice

(704) 587-2400

9908 Couloak Drive, Ste 202

Charlotte, NC 28216

Evans, Adrien C, MD

Specialty: Internal Medicine

(704) 316-1750

8420 University Executive Park, Suite 850

Charlotte, NC 28262

Evivie, Patrick E., MD

Specialty: Internal Medicine

(704) 335-0806

3627 Beatties Ford Road

Charlotte, NC 28216

Ferree, Charles E., MD

Specialty: Internal Medicine

(704) 302-8700

10650 Park Road, Suite 420

Charlotte, NC 28210

Filippi, Robin L, MD

Specialty: Internal Medicine

(704) 384-1500

8401 Medical Plaza Drive, #250

Charlotte, NC 28262

Fleishman, Lawrence M., MD

Specialty: Internal Medicine

(704) 752-7000

7030 Pineville Matthews Road

Charlotte, NC 28226

North Carolina

Charlotte

Floberg, Dane R, MD

Specialty: Family Practice

(704) 316-3970

10816 Blackdog Lane, Suite 160

Charlotte, NC 28214

Foster, Michelle L, MD

Specialty: Internal Medicine

(704) 446-1242

1350 S. Kings Drive

Charlotte, NC 28207

Friedland, Michael B., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Ganguli, Chandana, MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Garner, L. Cooper, MD

Specialty: Internal Medicine

(704) 384-1925

15825 John J. Delaney Drive, Suite 200

Charlotte, NC 28277

Getter, Marisa G., MD

Specialty: Internal Medicine

(704) 863-9700

101 E. W.T. Harris Blvd., Suite 5002

Charlotte, NC 28262

Grant, Heather M., MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

North Carolina

Charlotte

Greene, Jr., Ralph L, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Hagler, Rachel, MD

Specialty: Family Practice

(704) 384-1166

11030 Golf Links Drive, Suite 100

Charlotte, NC 28277

Hall, Mary N, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Hanger, Barry J, MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Hanrahan, Philip A., MD

Specialty: Internal Medicine

(704) 384-1925

15825 John J. Delaney Drive, Suite 200

Charlotte, NC 28277

Harrell, Jane Stubbs, MD

Specialty: Internal Medicine

(704) 302-8000

1025 Morehead Medical Drive, Suite 200

Charlotte, NC 28204

Harris, Charles W, MD

Specialty: Internal Medicine

(704) 384-1800

1701 Abbey Pl., Suite 310

Charlotte, NC 28209-3733

Page 171 of 317

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North Carolina

Charlotte

Hendrix, Nneka A, MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Henson, Gala Cureton, MD

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

Hester, M. Mark, MD

Specialty: Family Practice

(704) 384-1260

9101 Monroe Road, Suite 155

Charlotte, NC 28270

Hill-Erskine, Cynthia R., MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Hoben, Michael S, MD

Specialty: Family Practice

(704) 384-8680

200 Greenwich Road

Charlotte, NC 28211

Houchin, Lisa D., MD

Specialty: Pediatric Endocrinology

(704) 334-7950

130 Providence Road

Charlotte, NC 28207

Hudson, Albert D., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

North Carolina

Charlotte

Hudson, Tonya M., MD

Specialty: Family Practice

(704) 863-9893

5436 Prosperity Church Road, Suite 2200

Charlotte, NC 28269

Huff, Janice E., MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Hughes, Bruce W., MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

Hull, Lauren, MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Ibe, Elena G., MD

Specialty: Family Practice

(704) 384-8680

200 Greenwich Road

Charlotte, NC 28211

Jacobs, Lane K, MD

Specialty: Internal Medicine

(704) 446-1242

1350 S. Kings Drive

Charlotte, NC 28207

James, Felice Anais, MD

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

North Carolina

Charlotte

Johnson, Walter W., MD

Specialty: Internal Medicine

(704) 384-1750

1918 Randolph Road, Suite 350

Charlotte, NC 28207

Jones, Robert L, MD

Specialty: Sports Medicine

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Jones, Tammy, MD

Specialty: Family Practice

(704) 384-1354

1918 Randolph Rd., Suite 275

Charlotte, NC 28207-1109

Justis, Peter S., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Jyothinagaram, Sathya G., MD

Specialty: Endocrinology

(704) 355-5375

1001 Blythe Blvd

Charlotte, NC 28203

Kaiser, Jessica N., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Kannan, Tami, MD

Specialty: Internal Medicine

(704) 316-1750

8420 University Executive Park, Suite 850

Charlotte, NC 28262

Page 172 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Kaur, Suneet, MD

Specialty: Internal Medicine

(704) 446-1242

1350 S. Kings Drive

Charlotte, NC 28207

Kelley, R. Griffin, MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Kendall, Michael W., MD

Specialty: Internal Medicine

(704) 542-2543

3025 Springbank Lane, Suite 100

Charlotte, NC 28226

Kersten, Brian P., MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Kirk, Benjamin A., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Kirkland, Kenesha A., MD

Specialty: Internal Medicine

(704) 302-8900

13640 Steelecroft Parkway, Suite 320

Charlotte, NC 28273

Kleinmann, Richard, MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 316-1125

1918 Randolph Road, Suite 220

Charlotte, NC 28207

North Carolina

Charlotte

Kramer, Norman J., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Kramer, Norman John, MD

Specialty: Internal Medicine

4525 Cameron Valley Parkway, Suite 4100

Charlotte, NC 28211

Kwaku, Hans M., MD

Specialty: Internal Medicine

(704) 335-0806

3627 Beatties Ford Road

Charlotte, NC 28216

Kwon, Lanna S, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Lackey, Victoria D., MD

Specialty: Internal Medicine

(704) 302-8200

3030 Randolph Road, Suite 200

Charlotte, NC 28211

Landis, Eric Tyler, MD

Specialty: Internal Medicine

(704) 302-8700

10650 Park Road, Suite 420

Charlotte, NC 28210

Layton, Dennis S., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

North Carolina

Charlotte

Lewin, Marc R., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Lingo, Stephen T., MD

Specialty: Internal Medicine

(704) 542-2543

3025 Springbank Lane, Suite 100

Charlotte, NC 28226

Mabry, David B., MD

Specialty: Internal Medicine

(704) 752-7000

7030 Pineville Matthews Road

Charlotte, NC 28226

Malta, Katherine M, MD

Specialty: Family Practice

(704) 316-3970

10816 Blackdog Lane, Suite 160

Charlotte, NC 28214

Marion, Malcolm L., MD

Specialty: Family Practice

(803) 328-3828

200 Hawthorne Lane, PO Box 33549

Charlotte, NC 28233

McDonald, Robert L., MD

Specialty: Internal Medicine

(704) 384-1925

15825 John J. Delaney Drive, Suite 200

Charlotte, NC 28277

McGrath, Andrea M., MD

Specialty: Internal Medicine

(704) 302-8700

10650 Park Road, Suite 420

Charlotte, NC 28210

Page 173 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

McIver, John C., MD

Specialty: Internal Medicine

(704) 542-2543

3025 Springbank Lane, Suite 100

Charlotte, NC 28226

McKoy Watts, Teressa, MD

Specialty: Family Practice

(704) 587-2400

9908 Couloak Drive, Ste 202

Charlotte, NC 28216

McMillan, Marshall P, MD

Specialty: Family Practice

(704) 384-1260

9101 Monroe Road, Suite 155

Charlotte, NC 28270

McPhee, Sherryl A., MD

Specialty: Internal Medicine

(704) 752-7000

7030 Pineville Matthews Road

Charlotte, NC 28226

Mcpherson, Vanessa L, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Mendelsohn, David R, MD

Specialty: Family Practice

(704) 316-1700

2610 West Arrowood Road

Charlotte, NC 28273

Menscer, Darlyne, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Miller, Stuart O'dell, MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

North Carolina

Charlotte

Mitlehner, Richard J, MD

Specialty: Internal Medicine

(704) 863-9700

101 E. W.T. Harris Blvd., Suite 5002

Charlotte, NC 28262

Mohanan, Sveta, MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Moll, Matthew Todd, MD

Specialty: Internal Medicine

(704) 863-9700

101 E. W.T. Harris Blvd., Suite 5002

Charlotte, NC 28262

Mueller, Andrew T., MD

Specialty: Family Practice

(704) 316-5080

5815 Blakeney Park Dr., Suite 200, Suite 200

Charlotte, NC 28277-5712

Mueller, Joseph Cole, MD

Specialty: Family Practice

(704) 384-8680

200 Greenwich Road

Charlotte, NC 28211

Pardee, Angela, MD

Specialty: Internal Medicine

(704) 384-1750

1918 Randolph Road, Suite 350

Charlotte, NC 28207

Parker, Mark, MD

Specialty: Pediatric Endocrinology

(704) 334-7950

130 Providence Road

Charlotte, NC 28207

North Carolina

Charlotte

Parker, Thomas E., MD

Specialty: Internal Medicine

(704) 384-1605

330 Billingsley Road

Charlotte, NC 28211

Pierce, Caroline C., MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Pinckney, Jr., Joseph Delacy, MD

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

Price, David E, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Qureshi, Nosheen T, MD

Specialty: Family Practice

(704) 446-9991

251 Eastway Drive

Charlotte, NC 28213

Rabassa, Jill L, MD

Specialty: Family Practice

(704) 384-1354

1918 Randolph Rd., Suite 275

Charlotte, NC 28207-1109

Rafferty, Maureen, MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Raymond, Lawrence W, MD

Specialty: Internal Medicine

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Page 174 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Resto-flores, Wilma, MD

Specialty: Internal Medicine

(704) 384-7085

210 East Trade St., Suite D-230

Charlotte, NC 28202

Rich, Charles Boyce, MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Robinson, Douglas B., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Robinson, Wanda S., MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Rolband, Gary C, MD

Specialty: Endocrinology, Diabetes & Metabolism

4525 Cameron Valley Parkway, Suite 4100

Charlotte, NC 28211

Rolband, Gary C., MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Roy, Perry, MD

Specialty: Internal Medicine

(704) 384-0570

8310 University Executive Park Drive, Suite 550

Charlotte, NC 28262

North Carolina

Charlotte

Russ, Donald J., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Saddy, Chanchal R, MD

Specialty: Internal Medicine

(704) 384-9960

10514 Park Road

Charlotte, NC 28210

Saha, Animita C., MD

Specialty: Internal Medicine

(704) 446-1242

1350 S. Kings Drive

Charlotte, NC 28207

Sappenfield, Daniel M., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Saxe, Jessica S., MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Schaeper, Mark M., MD

Specialty: Family Practice

(704) 510-8000

10810 Mallard Creek Road

Charlotte, NC 28262

Schaffer, James William, MD

Specialty: Family Practice

(704) 384-0588

6324 Fairview Rd, Suite 201

Charlotte, NC 28210-327

North Carolina

Charlotte

Shapiro, Marvin B., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Sharma, Isha Puri, MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Shelton, G. Ryan, MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Shenouda, Hany Shokry, MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 316-1125

1918 Randolph Road, Suite 220

Charlotte, NC 28207

Shoaf, Edwin H., MD

Specialty: Internal Medicine

(704) 384-1750

1918 Randolph Road, Suite 350

Charlotte, NC 28207

Shoemake, Joshua K., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

Sokany, Nancy M., MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Page 175 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Spitz, Adam F, MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 316-1125

1918 Randolph Road, Suite 220

Charlotte, NC 28207

Stowe, Mary Wassell, MD

Specialty: Internal Medicine

(704) 302-8000

1025 Morehead Medical Drive, Suite 200

Charlotte, NC 28204

Svecharnik, Marina, MD

Specialty: Family Practice

(704) 446-2360

309 S. Sharon Amity Road,, Suite 100

Charlotte, NC 28211

Swaim, Iveta S, MD

Specialty: Internal Medicine

(704) 384-1750

1918 Randolph Road, Suite 350

Charlotte, NC 28207

Taylor, Lori M., MD

Specialty: Family Practice

(704) 384-8680

200 Greenwich Road

Charlotte, NC 28211

Teague, Carmen I., MD

Specialty: Internal Medicine

(704) 302-8800

200 S. College Street, Suite 500

Charlotte, NC 28202

Thalinger, Alan R., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

North Carolina

Charlotte

Tucker, W. Stuart, MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Underwood, Gregory A., MD

Specialty: Internal Medicine

(704) 381-8840

1001 Blythe Blvd., Suite 500

Charlotte, NC 28203

Usadi, Moshe M, MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Vanderwel, Mark Roger, MD

Specialty: Pediatric Endocrinology

(704) 334-7950

130 Providence Road

Charlotte, NC 28207

Villier, James A., MD

Specialty: Internal Medicine

(704) 367-8415

330 Billingsley Road, Suite 100

Charlotte, NC 28211

Walthall, Jr., J. Byron, MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Watts, Hope, MD

Specialty: Family Practice

(704) 316-1750

8420 University Executive Park, Suite 850

Charlotte, NC 28262

North Carolina

Charlotte

Waxman, Dael M, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Weidner, Gregory R., MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Weidner, Julianne F., MD

Specialty: Internal Medicine

(704) 302-9300

4525 Cameron Valley Parkway, Ste 3100

Charlotte, NC 28211

White, Patricia S, MD

Specialty: Family Practice

(704) 304-7000

2001 Vail Avenue, Suite 400

Charlotte, NC 28207

Wilson, Michelle J., MD

Specialty: Internal Medicine

(704) 302-8100

15110 John J Delaney Dr, Suite 200

Charlotte, NC 28203

Wise, Jaime Christine, MD

Specialty: Family Practice

(704) 384-1260

9101 Monroe Road, Suite 155

Charlotte, NC 28270

Wrinkle, Geoffrey T., MD

Specialty: Family Practice

(704) 542-6577

10000 Park Cedar Drive

Charlotte, NC 28210

Page 176 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Charlotte

Wynn, Richard T., MD

Specialty: Family Practice

(704) 446-2360

309 S. Sharon Amity Road,, Suite 100

Charlotte, NC 28211

Zink, Irene M, MD

Specialty: Family Practice

(704) 446-9987

1801 Rozzelles Ferry Road

Charlotte, NC 28208

Cherryville

White, Thomas R., MD

Specialty: Family Practice

(704) 435-1100

112 South Oak Street

Cherryville, NC 28021

China Grove

Diloreto, David Daniel, MD

Specialty: Family Practice

(704) 855-8338

307 East Thom Street

China Grove, NC 28023

Claremont

Larson, Sean Mark, MD

Specialty: Family Practice

2890 S. Lookout Street

Claremont, NC 28610

Clemmons

Passero, Nicholas J., MD

Specialty: Family Practice

(336) 766-6473

6301 Stadium Drive

Clemmons, NC 27012

Pollock, Deborah, MD

Specialty: Family Practice

(336) 766-6473

6301 Stadium Drive

Clemmons, NC 27012

North Carolina

Clemmons

Warnimont, Christopher J., MD

Specialty: General Practice

(336) 766-0547

105 Stadium Oaks Drive

Clemmons, NC 27012

Wray, Jr., Walter H., MD

Specialty: Family Practice

(336) 766-6473

6301 Stadium Drive

Clemmons, NC 27012

Concord

Bastadjian, Sylvie, MD

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

Bongaard, Bridget S, MD

Specialty: Internal Medicine

(704) 403-7050

301 Medical Park Drive, Suite 201

Concord, NC 28025

Bright, Dellyse M., MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Cain, Brian K., MD

Specialty: Internal Medicine

(704) 403-7700

3020 Weddington Road

Concord, NC 28027

Christopherson, David L., MD

Specialty: Family Practice

(704) 784-4330

845 Church St. N, Suite 107

Concord, NC 28025

North Carolina

Concord

Cicci, Leigh G., MD

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

Cody, David Mark, MD

Specialty: Family Practice

(704) 782-1955

5641 Poplar Tent Road

Concord, NC 28027

Condrey, Staci F., MD

Specialty: Internal Medicine

(704) 403-7700

3020 Weddington Road

Concord, NC 28027

Daye, Melinda D., MD

Specialty: Physician Assistant

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Delaney, Paul A., MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Foust, Kim M, MD

Specialty: Internal Medicine

(704) 403-3658

200 Medical Park Drive, Suite 300

Concord, NC 28025

Gismondi-Eagan, Carmella, MD

Specialty: Internal Medicine

(704) 403-1307

200 Medical Park Drive, Suite 550

Concord, NC 28025

Page 177 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Concord

Griffin, Keith E, MD

Specialty: Internal Medicine

(704) 316-1040

5325 Vining Street, NW, Suite 101

Concord, NC 28027-294

Gupta, Aradhana P., MD

Specialty: Internal Medicine

(704) 403-3658

200 Medical Park Drive, Suite 300

Concord, NC 28025

Harrison, Matthew Philip, MD

Specialty: Family Practice

(704) 788-1134

1028 Lee-Ann Drive, Suite 100

Concord, NC 28025-2904

Hoffman, Jeffrey D., MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Holland, Daniel L, MD

Specialty: Family Practice

(704) 788-1134

1028 Lee-Ann Drive, Suite 100

Concord, NC 28025-2904

Holt, James A, MD

Specialty: Endocrinology, Diabetes & Metabolism

(704) 403-1311

200 Medical Park Drive, Suite 460

Concord, NC 28025-0941

Jones, Carla D., MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

North Carolina

Concord

Keipper, Vincent L, MD

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

Kelling, Jr., Douglas G, MD

Specialty: Internal Medicine

(704) 403-1307

200 Medical Park Drive, Suite 550

Concord, NC 28025

Kunesh, Benjamin P, MD

Specialty: Internal Medicine

845 Church St N

Concord, NC 28025

Kunesh, Benjamin P., MD

Specialty: Internal Medicine

(704) 403-2200

390 Copperfield Blvd.

Concord, NC 28025

LynShue, Kecha A., MD

Specialty: Pediatric Endocrinology

(704) 403-2660

100 Medical Park Drive, Suite 310

Concord, NC 28025

Mangieri, Deanna Ashley, DO

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

McMurry, David W., MD

Specialty: Internal Medicine

(704) 403-3658

200 Medical Park Drive, Suite 300

Concord, NC 28025

North Carolina

Concord

Monroe, George C, MD

Specialty: Internal Medicine

(704) 403-1307

200 Medical Park Drive, Suite 550

Concord, NC 28025

Monroe, George C., MD

Specialty: Internal Medicine

(704) 403-2200

390 Copperfield Blvd.

Concord, NC 28025

Nymberg, Jerome H, MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Owens-watterson, Dawn Patrice, DO

Specialty: Family Practice

(704) 788-1134

1028 Lee-Ann Drive, Suite 100

Concord, NC 28025-2904

Pfeifer, Thea L., MD

Specialty: Pediatrics

(704) 403-2660

100 Medical Park Drive, Suite 310

Concord, NC 28025

Rackoff, Geoffrey D., MD

Specialty: Internal Medicine

(704) 403-3658

200 Medical Park Drive, Suite 300

Concord, NC 28025

Robinson, Mark D., MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Page 178 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Concord

Roycroft, Robert D., MD

Specialty: Internal Medicine

(704) 403-7700

3020 Weddington Road

Concord, NC 28027

Rung, Rebecca, MD

Specialty: Family Practice

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Seymour, Lori J., MD

Specialty: Occupational Therapy

(704) 721-2069

270 Copperfield Blvd., Suite 102

Concord, NC 28025

Speiser, Craig J., DO

Specialty: Endocrinology

(704) 403-1311

200 Medical Park Drive, Suite 460

Concord, NC 28025-0941

Surratt, Robert W, MD

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

Thompson, Kerri-Ann R, MD

Specialty: Internal Medicine

(704) 260-8650

1085 North East Gateway Ct. NE, Suite 200

Concord, NC 28025

Tignor, David C., MD

Specialty: Family Practice

(704) 782-1955

5641 Poplar Tent Road

Concord, NC 28027

North Carolina

Concord

Vuong, Trang, MD

Specialty: Internal Medicine

(704) 316-1040

5325 Vining Street, NW, Suite 101

Concord, NC 28027-294

Walden, Tony L, MD

Specialty: Endocrinology

(704) 403-1311

200 Medical Park Drive, Suite 460

Concord, NC 28025-0941

Weston, David Chadwick, MD

Specialty: Family Practice

(704) 782-1955

5641 Poplar Tent Road

Concord, NC 28027

Wheless, James E, MD

Specialty: Internal Medicine

(704) 403-3658

200 Medical Park Drive, Suite 300

Concord, NC 28025

Conover

Coffey, III, David G, MD

Specialty: Family Practice

(828) 464-3821

305 FIrst Street East

Conover, NC 28613

Kahill, Ailisa Hipp, MD

Specialty: Family Practice

(828) 464-3821

305 FIrst Street East

Conover, NC 28613

Long, William, MD

Specialty: Family Practice

(828) 464-3821

305 FIrst Street East

Conover, NC 28613

North Carolina

Conover

Michael, Douglas, MD

Specialty: Family Practice

(828) 464-3821

305 FIrst Street East

Conover, NC 28613

Vierling, Brian S, MD

Specialty: Family Practice

(828) 464-3821

305 FIrst Street East

Conover, NC 28613

Cornelius

Capps Jr., Richard H, MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Cook, David M., MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Lindquist, Lee B., MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Novitt, Cecilia A, MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Thomas, Michael B., MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Page 179 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Cornelius

Wolff, Christian G, MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Zagar, Christopher A, MD

Specialty: Family Practice

(704) 384-1775

19485 Old Jetton Road, Suite 100

Cornelius, NC 28031

Creedmoor

Berstler, Yvonne E, MD

Specialty: Family Practice

(919) 528-1535

2527 Lyon Station Road

Creedmoor, NC 27522

Bostelman, Catherina, MD

Specialty: Family Practice

(919) 528-1535

2527 Lyon Station Road

Creedmoor, NC 27522

Hoffmeier, Craig, MD

Specialty: Family Practice

(919) 528-1535

2527 Lyon Station Road

Creedmoor, NC 27522

Smith, Allen T, MD

Specialty: Family Practice

(919) 528-1535

2527 Lyon Station Road

Creedmoor, NC 27522

Stall, Tamra, MD

Specialty: Family Practice

(919) 528-1535

2527 Lyon Station Road

Creedmoor, NC 27522

Davidson

North Carolina

Davidson

Beamon, Ronnie T., MD

Specialty: Family Practice

(704) 892-7905

705 Griffith Street, Suite 100

Davidson, NC 28036

Ellison, Raycinia K, MD

Specialty: Family Practice

(704) 892-7905

705 Griffith Street, Suite 100

Davidson, NC 28036

Figueroa, Robert L., MD

Specialty: Family Practice

(704) 892-7905

705 Griffith Street, Suite 100

Davidson, NC 28036

Jeffcoat, Carolyn Hess, MD

Specialty: Family Practice

(704) 892-7905

705 Griffith Street, Suite 100

Davidson, NC 28036

Smith, Lori Danielle, MD

Specialty: Internal Medicine

(704) 439-3730

2101 Shiloh Church Road, Suite 201

Davidson, NC 28036

Denver

Biondi, Daniel T., DO

Specialty: Family Practice

(704) 489-0365

1585 Forney Creek Parkway, Suite 2100

Denver, NC 28037

Restino, Elizabeth, MD

Specialty: Family Practice

6127 s Hwy 16

Denver, NC 28037

North Carolina

Denver

Ryan, John J, MD

Specialty: Family Practice

(704) 316-4930

7482 Waterside Crossing, Suite 202

Denver, NC 28037

Stoffel, Elisabeth A, MD

Specialty: Family Practice

(704) 316-4930

7482 Waterside Crossing, Suite 202

Denver, NC 28037

Durham

Aderoju, Elizabeth, MD

Specialty: Internal Medicine

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

Black, Tracy M, MD

Specialty: Endocrinology, Diabetes & Metabolism

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

Blackford, Susan P., MD

Specialty: Internal Medicine

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

Bright, David K., MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Brown, James Trig, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Page 180 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Durham

Clowse, Martin C., MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Coleman, Arnett, MD

Specialty: Internal Medicine

(919) 383-1854

1901 Hillandale Road Suite F, Suite F

Durham, NC 27705

Gard, Allison K., MD

Specialty: Family Practice

(919) 383-5437

1901 Hillandale Road, Sutie B

Durham, NC 27705

Halbrooks, Ronald F., MD

Specialty: Internal Medicine

(919) 544-6644

5832 Fayetteville Road, Suite 113

Durham, NC 27702

Hart-Brothers, Elaine M, MD

Specialty: Internal Medicine

(919) 383-1854

1901 Hillandale Road Suite F, Suite F

Durham, NC 27705

Hawkins, Hilary N, MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

Isbey, Susan F., MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Johnson, Libre, MD

Specialty: Family Practice

5317 Highgate Drive, Suite 117

Durham, NC 27713

North Carolina

Durham

Joy, Scott V., MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Kavanaugh, Patrick E., MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

Lee, Sabina M., MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Linfors, Eugene William, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Marsland, Thomas, MD

Specialty: Hematology

5317 Highgate Drive, Suite 117

Durham, NC 27713

Mathias, Matthew D., MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

McCrary, Marion M., MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Meredith, Michael W., MD

Specialty: Internal Medicine

(919) 544-6644

5832 Fayetteville Road, Suite 113

Durham, NC 27702

North Carolina

Durham

Metz, Louise Dysart, MD

Specialty: Internal Medicine

(919) 544-6644

5832 Fayetteville Road, Suite 113

Durham, NC 27702

Nadler, Elisabeth B., MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

O'Donnell, Timothy Andrew, MD

Specialty: Family Practice

(919) 383-5437

1901 Hillandale Road, Sutie B

Durham, NC 27705

Paterson, Robert W., MD

Specialty: Internal Medicine

(919) 544-6644

5832 Fayetteville Road, Suite 113

Durham, NC 27702

Peyser, Bruce T., MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Phelps, Anne F., MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Pisharody, Anita M, MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

Prasad, Alka, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Page 181 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Durham

Ramsey, Colleen P., MD

Specialty: Internal Medicine

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

Rookwood, Jacqueline Louise, MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Rubin, Sharon Suson, MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Shipley, Michael B., MD

Specialty: Internal Medicine

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

Singletary, Jr., William Vance, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Sotolongo, Carlos, MD

Specialty: Family Practice

(919) 572-2000

6020 Fayetteville Road

Durham, NC 27713

Toher,Jr., Raymond J, MD

Specialty: Internal Medicine

(919) 471-1518

4220 N. Roxboro Road

Durham, NC 27704

North Carolina

Durham

Uthe, William F., MD

Specialty: Internal Medicine

(919) 544-6644

5832 Fayetteville Road, Suite 113

Durham, NC 27702

Waite, Kathleen, MD

Specialty: Internal Medicine

(919) 668-4478

3024 Pickett Road

Durham, NC 27705

Whelan, John W, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Winslow, Bristol Rouse, MD

Specialty: Internal Medicine

(919) 477-6900

4205 Ben Franklin Blvd.

Durham, NC 27704

Eden

Daniel, Terry G., MD

Specialty: Family Practice

(336) 623-5171

250 W Kings Highway

Eden, NC 27288-5010

Howard, Kevin P., MD

Specialty: Family Practice

(336) 623-5171

250 W Kings Highway

Eden, NC 27288-5010

Sasser, Paul W., MD

Specialty: Family Practice

(336) 623-5171

250 W Kings Highway

Eden, NC 27288-5010

Elkin

North Carolina

Elkin

Erlandson, Stephen E., MD

Specialty: Family Practice

(336) 835-4819

600 Chatham Medical Park

Elkin, NC 28621

Faith

Fink, Gary L, MD

Specialty: Internal Medicine

(704) 279-3777

1000 Brown Street

Faith, NC 28041

Forest City

Albala, Natalie, MD

Specialty: Internal Medicine

(828) 286-9036

181 Daniel Road

Forest City, NC 28043

Albala, Todd, MD

Specialty: Internal Medicine

(828) 286-9036

181 Daniel Road

Forest City, NC 28043

Bennett, John Mark, MD

Specialty: Family Practice

(828) 245-6400

281 East Main Street

Forest City, NC 28043

Daigle, Seema N., MD

Specialty: Internal Medicine

(828) 286-9036

181 Daniel Road

Forest City, NC 28043

Dickson, Loretta A., MD

Specialty: Family Practice

(828) 245-6400

281 East Main Street

Forest City, NC 28043

Page 182 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Forest City

Kirkpatrick, Jane D., MD

Specialty: Internal Medicine

(828) 286-9036

181 Daniel Road

Forest City, NC 28043

Franklinton

Brown, Stephanie, MD

Specialty: Internal Medicine

(919) 494-9949

3320 US 1 Highway, Suite D

Franklinton, NC 27525-843

Garner

Breiner, Jeffrey Hugh, MD

Specialty: Internal Medicine

(919) 773-1223

200 Health Park Drive, Suite 100

Garner, NC 27529

Mayer, Karen Elizabeth, MD

Specialty: Internal Medicine

(919) 773-1223

200 Health Park Drive, Suite 100

Garner, NC 27529

Turner, Steven Howard, MD

Specialty: Family Practice

(919) 773-1223

200 Health Park Drive, Suite 100

Garner, NC 27529

Gasonia

O'Leary, Gregory, MD

Specialty: Family Practice

(704) 853-3627

2290 Reomount Road

Gasonia, NC 28054

Gastonia

Bathula, Sailatha, MD

Specialty: Internal Medicine

(704) 854-8799

1867 Remount Road, Suite D

Gastonia, NC 28054

North Carolina

Gastonia

Bolin, Lewis Bryant, MD

Specialty: Family Practice

(704) 512-3930

1896 Remount Road

Gastonia, NC 28054

Costner, James M., MD

Specialty: Family Practice

3715 Union Road

Gastonia, NC 28056

Edel, Kenneth P., MD

Specialty: Family Practice

(704) 316-4979

2290 Remount Rd.

Gastonia, NC 28054-4725

Evanoff, Allison M, MD

Specialty: Family Practice

(704) 316-4979

2290 Remount Rd.

Gastonia, NC 28054-4725

Latham, Robert Q., MD

Specialty: Family Practice

3715 Union Road

Gastonia, NC 28056

Layne, David Andrew, MD

Specialty: Family Practice

3715 Union Road

Gastonia, NC 28056

Van Meter, Richard Anthony, PA

Specialty: Internal Medicine

3715 Union Road

Gastonia, NC 28056

Wilkinson, Michelle E, MD

Specialty: Family Practice

(704) 316-4979

2290 Remount Rd.

Gastonia, NC 28054-4725

Graham

North Carolina

Graham

Crissman, Mark, MD

Specialty: Family Practice

(336) 226-2448

214 E. Elm Street

Graham, NC 27253

Granite Falls

Guttler, Sanford, MD

Specialty: Family Practice

(828) 396-3136

One Trade Street

Granite Falls, NC 28630

Kerr, Kirsten, MD

Specialty: Family Practice

(828) 396-3136

One Trade Street

Granite Falls, NC 28630

Greensboro

Dewey, Elizabeth R, MD

Specialty: Family Practice

(336) 288-8857

1941 New Garden Road

Greensboro, NC 27410-255

Greenville

Tanenberg, Robert J., MD

Specialty: Endocrinology, Diabetes & Metabolism

(252) 744-2567

600 Moye Blvd., Module A

Greenville, NC 27834

Harrisburg

Beal-Landis, Esther Rebecca, MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Blanks, Esther L., MD

Specialty: Internal Medicine

(704) 454-7360

5424 Highway 49 South, 5427 Hwy 49 South

Harrisburg, NC 28075

Page 183 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Harrisburg

Brunton, Stephen, MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Delaney, Rebecca, MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Faircloth, Jr., Jackie Rex, MD

Specialty: Family Practice

(704) 455-9388

12170 University City Boulevard

Harrisburg, NC 28075

Gaines, Ashley P., MD

Specialty: Internal Medicine

(704) 454-7360

5424 Highway 49 South, 5427 Hwy 49 South

Harrisburg, NC 28075

Ha, Victor L. K., MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Martin, Stacey L. W., MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

McMillan, Jennifer L., MD

Specialty: Family Practice

(704) 455-9388

12170 University City Boulevard

Harrisburg, NC 28075

North Carolina

Harrisburg

Muolo, Charlotte A., PA

Specialty: Physician Assistant

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Pollack, Ronald A., MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Suggs, Theodore F., MD

Specialty: Family Practice

(704) 455-9388

12170 University City Boulevard

Harrisburg, NC 28075

Walker, Katherine M., MD

Specialty: Family Practice

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

White, Gloria J., MD

Specialty: Family Practice

(704) 455-9388

12170 University City Boulevard

Harrisburg, NC 28075

Wilder, James Marcus, PA

Specialty: Physician Assistant

(704) 455-6521

4315 Physicians Blvd., Ste. 101

Harrisburg, NC 28075

Woosley, Kirk Lyle, MD

Specialty: Family Practice

(704) 455-9388

12170 University City Boulevard

Harrisburg, NC 28075

Henderson

North Carolina

Henderson

Hall-Wilson, Hope Diane, MD

Specialty: Family Practice

(252) 492-3152

480 Ruin Creek Road

Henderson, NC 27536

Mills, John Franklin, MD

Specialty: Family Practice

(252) 492-3152

480 Ruin Creek Road

Henderson, NC 27536

Wiggs-Grimes, Aretha, DO

Specialty: Family Practice

(252) 492-3152

480 Ruin Creek Road

Henderson, NC 27536

Hickory

Burton, Michael, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

Caporossi, Lisa M, MD

Specialty: Family Practice

(828) 485-2762

212 29th Avenue NE, Suite 2

Hickory, NC 28601

Chambers, Dana LeAnn, MD

Specialty: Family Practice

(828) 485-2762

212 29th Avenue NE, Suite 2

Hickory, NC 28601

De La Garza, Carlos, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

Page 184 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Hickory

Duralia, David R., MD

Specialty: Family Practice

(828) 294-4100

2712 HWY 127 S.

Hickory, NC 28602

Faltermayer, William C, MD

Specialty: Family Practice

(828) 256-9853

2359 Springs Road

Hickory, NC 28601

Glenn, Robert, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

Hirsch, Michael M, MD

Specialty: Internal Medicine

(828) 322-1213

1375 4th Street Dr NW

Hickory, NC 28601

Lee, Robert H., MD

Specialty: Family Practice

(828) 294-4100

2712 HWY 127 S.

Hickory, NC 28602

Leonard, Baxter, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

Nelson, John Doug, MD

Specialty: Family Practice

(828) 256-9853

2359 Springs Road

Hickory, NC 28601

Polster, Scott, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

North Carolina

Hickory

Tridico, Trina Insook, MD

Specialty: Family Practice

(828) 328-2231

24 Second Ave. NE

Hickory, NC 28601

Witke, Christopher J, MD

Specialty: Family Practice

221 13th Ave Place Ste. 202

Hickory, NC 28601

High Point

Aguiar, Rafaela M., MD

Specialty: Family Practice

(336) 802-2050

4515 Premier Drive, Suite 308

High Point, NC 27265

Aguiar, Rafaela M., MD

Specialty: Family Practice

(336) 802-2040

4515 Premier Drive, Suite 201

High Point, NC 27265

Burns, Kevin L., MD

Specialty: Internal Medicine

(336) 802-2060

810 Lindsay Street

High Point, NC 27262

Cabeza, Yuri, MD

Specialty: Internal Medicine

(336) 802-2075

624 Quaker Lane, Suite 200-D

High Point, NC 27262

Gallemore, Warren G., MD

Specialty: Internal Medicine

(336) 802-2060

810 Lindsay Street

High Point, NC 27262

Haimes, David M., MD

Specialty: Family Practice

(336) 802-2040

905 Phillips Ave

High Point, NC 27262

North Carolina

High Point

Hawks, Aldene Nelson, MD

Specialty: Family Practice

(336) 802-2210

4515 Premier Drive, Suite 402

High Point, NC 27265

Kalish, Michael J., MD

Specialty: Family Practice

(336) 802-2050

4515 Premier Drive, Suite 308

High Point, NC 27265

Kelly, Samuel S., MD

Specialty: Family Practice

(336) 802-2050

4515 Premier Drive, Suite 308

High Point, NC 27265

Mahaffey, Danielle L., MD

Specialty: Family Practice

(336) 802-2040

905 Phillips Ave

High Point, NC 27262

Mcfadden, John C., MD

Specialty: Family Practice

(336) 802-2040

905 Phillips Ave

High Point, NC 27262

Orr, Richard Lowman, MD

Specialty: Internal Medicine

(336) 802-2025

1814 Westchester Drive, Suite 301

High Point, NC 27262

Pollock, Nelson E., MD

Specialty: Internal Medicine

(336) 802-2060

810 Lindsay Street

High Point, NC 27262

Portner, Bruce, MD

Specialty: Internal Medicine

(336) 802-2025

1814 Westchester Drive, Suite 301

High Point, NC 27262

Page 185 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

High Point

Rice, Kathleen Mary, MD

Specialty: Family Practice

(336) 802-2040

905 Phillips Ave

High Point, NC 27262

Rostand, Robert Alton, MD

Specialty: Internal Medicine

(336) 802-2025

1814 Westchester Drive, Suite 301

High Point, NC 27262

Smith, Lafayette Lyle, MD

Specialty: Internal Medicine

(336) 802-2075

4515 Premier Drive, Suite204

High Point, NC 27265

Smith, Roger E., MD

Specialty: Endocrinology, Diabetes & Metabolism

(336) 802-2240

4515 Premier Drive, Suite 401

High Point, NC 27265

Stone, Grady M, MD

Specialty: Internal Medicine

(336) 802-2075

4515 Premier Drive, Suite204

High Point, NC 27265

Terrell, Grace Emerson, MD

Specialty: Internal Medicine

(336) 802-2025

1814 Westchester Drive, Suite 301

High Point, NC 27262

Tonuzi, Racquel Marie, MD

Specialty: Internal Medicine

(336) 802-2025

1814 Westchester Drive, Suite 301

High Point, NC 27262

North Carolina

High Point

Velazquez, Gretchen Yazmine, MD

Specialty: Internal Medicine

(336) 802-2075

4515 Premier Drive, Suite204

High Point, NC 27265

Weaver, John W., MD

Specialty: Family Practice

(336) 802-2040

905 Phillips Ave

High Point, NC 27262

Woods, Samuel T, MD

Specialty: Internal Medicine

(336) 802-2075

4515 Premier Drive, Suite204

High Point, NC 27265

Hillsborough

Crummett, Daniel, MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

Orendorff, Rebecca L, MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

Page, Coin T., MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

Ringel, Sarah, MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

North Carolina

Hillsborough

Satter, Jane, MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

Shapley-quinn, Todd, MD

Specialty: Family Practice

(919) 732-8131

405 Meadowland Drive

Hillsborough, NC 27278

Huntersville

Archer, Beth A, MD

Specialty: Internal Medicine

(704) 316-5600

10030 Gilead Road, Suite 200

Huntersville, NC 28078

Baker, Brian D., MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Barringer, Loveleen, MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Batchelor, Thomas A., MD

Specialty: Internal Medicine

(704) 896-2095

16455 Statesville Rd., Ste. 360

Huntersville, NC 28078

Berger, Jeffrey A., MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Page 186 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Huntersville

Carpenter, Kent D, MD

Specialty: Internal Medicine

(704) 316-5600

10030 Gilead Road, Suite 200

Huntersville, NC 28078

Day, Temple V., MD

Specialty: Internal Medicine

(704) 896-2095

16455 Statesville Rd., Ste. 360

Huntersville, NC 28078

English, Martin E., MD

Specialty: Internal Medicine

(704) 896-2095

16455 Statesville Rd., Ste. 360

Huntersville, NC 28078

Flannery, William K., MD

Specialty: Pediatrics

(704) 384-8720

17220 Northcross Drive, Suite 110

Huntersville, NC 28078

Gibson, John McNeill, MD

Specialty: Internal Medicine

(704) 302-8600

16455 Statesville Rd, Ste 200

Huntersville, NC 28078

Hodges, Timothy William, MD

Specialty: Family Practice

(704) 801-3310

9726 Sam Furr Road

Huntersville, NC 28078

Jayne, Beth Ann, MD

Specialty: Internal Medicine

(704) 384-8720

17220 Northcross Drive, Suite 110

Huntersville, NC 28078

North Carolina

Huntersville

Jenike, Thomas E., MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Lessaris, Thomas P., MD

Specialty: Internal Medicine

(704) 316-5635

10030 Gilead Road, Suite 360

Huntersville, NC 28078-754

Meyer, Barbara E, MD

Specialty: Family Practice

(704) 316-1265

14330 Oakhill Park Lane, Suite 200

Huntersville, NC 28078

Phillips, Shari S., MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Pryor, Evelyn B, MD

Specialty: Internal Medicine

(704) 302-8600

16455 Statesville Rd, Ste 200

Huntersville, NC 28078

Sherrill, Thomas M., MD

Specialty: Family Practice

(704) 384-1725

16525 Holly Crest Lane, Suite 150

Huntersville, NC 28078-4911

Indian Trail

Chen, Douglas S., MD

Specialty: Family Practice

(704) 882-1666

6208 Creft Circle, Suite 222

Indian Trail, NC 28079

North Carolina

Indian Trail

Cook, Donald Eugene, MD

Specialty: Family Practice

(704) 821-6900

4503 Old Monroe Road

Indian Trail, NC 28079

Hockey, David, MD

Specialty: Family Practice

(704) 226-1705

1480 Wesley Chaple Road

Indian Trail, NC 28079

Jacksonville

Osunkoya, Abayomi W., MD

Specialty: Internal Medicine

(910) 353-4878

25 Office Park Drive

Jacksonville, NC 28546

Jamestown

Jobe, Daniel Brian, MD

Specialty: Internal Medicine

(336) 802-2015

604 West Main Street

Jamestown, NC 27282

Kannapolis

Bianchi, Kerry R., MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

Ha, Anupama S., MD

Specialty: Family Practice

4949 Professional Park Drive, Suite 101

Kannapolis, NC 28081

Jain, Prachee, MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

Page 187 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Kannapolis

Levy, Robert M, MD

Specialty: Family Practice

(704) 938-6521

4949 Professional Park Drive, Suite 101

Kannapolis, NC 28081

Morris, Brigid A., MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

Moser, Robert G., MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

Phillip, Wayne B., MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

Shepherd, James H., MD

Specialty: Family Practice

4949 Professional Park Drive, Suite 101

Kannapolis, NC 28081

Steinbacher, Erika A., MD

Specialty: Family Practice

4949 Professional Park Drive, Suite 101

Kannapolis, NC 28081

Thomas, Harold D, MD

Specialty: Internal Medicine

(704) 932-1155

559 Jackson Park Road, 559 Jackson Park Road

Kannapolis, NC 28083

North Carolina

Kannapolis

Trantham, Erin J., MD

Specialty: Family Practice

4949 Professional Park Drive, Suite 101

Kannapolis, NC 28081

Kernersville

Boals, Aaron M, MD

Specialty: Family Practice

(336) 933-8181

291 Broad Street

Kernersville, NC 27284

Kelly, William S., MD

Specialty: Family Practice

(336) 993-1618

420 W Mountain Street

Kernersville, NC 27284

Nnadi, Victoria O, MD

Specialty: Internal Medicine

(336) 993-2128

445 Pineview Drive, Suite 240, Suite 240

Kernersville, NC 27284

Radiontchenko, Alexei, MD

Specialty: Family Practice

(336) 933-8181

291 Broad Street

Kernersville, NC 27284

Record, Charles L, MD

Specialty: Family Practice

(336) 933-8181

291 Broad Street

Kernersville, NC 27284

Ryter-Brown, Sherry M, MD

Specialty: Family Practice

(336) 933-8181

291 Broad Street

Kernersville, NC 27284

North Carolina

Kernersville

Snider, Alison T, MD

Specialty: Family Practice

(336) 992-1234

900 Old Winston Road, Suite 222

Kernersville, NC 27284

King

Gersh, Annie C, DO

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Gilliam, Ryan Dwain, MD

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Graham, William A., MD

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Jung, Peter W, MD

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Marlowe-Rogers, Heidi ., MD

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Vogler, Scott L., MD

Specialty: Family Practice

(336) 983-4346

216 Moore Road

King, NC 27021

Knightdale

Page 188 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Knightdale

Hebda, William B, MD

Specialty: Family Practice

(919) 232-5205

162 Legacy Oaks Drive

Knightdale, NC 27545

Laurinburg

Locklear, Jennifer Pickens, MD

Specialty: Family Practice

700 Progress Place

Laurinburg, NC 28352

Leland

Price, Kevin David, DO

Specialty: Internal Medicine

(910) 383-1600

509 Olde Waterford Way, Suite 200

Leland, NC 28451-4126

Lewisville

Beal, Alicia Pauley, MD

Specialty: Family Practice

(336) 712-0700

1225 Lewisville-Clemmons Rd

Lewisville, NC 27023

Hess, Terry D., MD

Specialty: Family Practice

(336) 712-0700

1225 Lewisville-Clemmons Rd

Lewisville, NC 27023

Lee, David Ethan, MD

Specialty: Family Practice

(336) 712-0700

1225 Lewisville-Clemmons Rd

Lewisville, NC 27023

Lis, Kimberly Jean, MD

Specialty: Family Practice

(336) 712-0700

1225 Lewisville-Clemmons Rd

Lewisville, NC 27023

North Carolina

Lewisville

Williams, W. Cameron, MD

Specialty: Family Practice

(336) 712-0700

1225 Lewisville-Clemmons Rd

Lewisville, NC 27023

Lexington

Hinson, Jonathan C., MD

Specialty: Family Practice

(336) 248-8692

110 West Medical Park Drive

Lexington, NC 27292-6773

Meyer, Paul, MD

Specialty: Family Practice

102 W. Medical Park Drive

Lexington, NC 27292

Sundararajan, Sundararajan, MD

Specialty: Family Practice

102 W. Medical Park Drive

Lexington, NC 27292

Weiser, Mark Robert, MD

Specialty: Family Practice

(336) 248-8692

110 West Medical Park Drive

Lexington, NC 27292-6773

Wilson, Benjamin, MD

Specialty: Family Practice

102 W. Medical Park Drive

Lexington, NC 27292

Lincolnton

Benton, Cammy Renae, MD

Specialty: Family Practice

(704) 732-3266

612 Center Drive

Lincolnton, NC 28092

Reid, Jr., Robert L., MD

Specialty: Family Practice

(704) 735-7413

614 Center Drive

Lincolnton, NC 28092

North Carolina

Lincolnton

Schwanz, Joan I., MD

Specialty: Family Practice

(704) 735-7413

614 Center Drive

Lincolnton, NC 28092

Senft, Daniel S., DO

Specialty: Family Practice

(704) 735-7413

614 Center Drive

Lincolnton, NC 28092

Sykes, Paul Wilson, MD

Specialty: Family Practice

(704) 732-3266

612 Center Drive

Lincolnton, NC 28092

Tran, Raymond, MD

Specialty: Family Practice

(704) 735-7413

614 Center Drive

Lincolnton, NC 28092

Locust

Trzebiatowski, Margaret I., DO

Specialty: Family Practice

(704) 786-6521

103 Stanley Parkway Drive, Suite A

Locust, NC 28097

Vargas, Ricardo, MD

Specialty: Family Practice

(704) 384-9590

236 Market Street, Suite 110

Locust, NC 28097-943

Louisburg

Collins, Nicole A, MD

Specialty: Internal Medicine

(919) 496-4250

205 Sandalwood Avenue, Suite A

Louisburg, NC 27549-2679

Page 189 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Louisburg

Reyes, Lavinia T, MD

Specialty: Internal Medicine

(919) 496-4250

205 Sandalwood Avenue, Suite A

Louisburg, NC 27549-2679

Thompson, Timothy B, MD

Specialty: Internal Medicine

(919) 496-4250

205 Sandalwood Avenue, Suite A

Louisburg, NC 27549-2679

Maiden

Chesson, III, Andrew, MD

Specialty: Family Practice

(828) 428-2446

137 Island Ford Road

Maiden, NC 28650

Schultz, Curtis, MD

Specialty: Family Practice

(828) 428-2446

137 Island Ford Road

Maiden, NC 28650

Matthews

Beverly-Rudisel, Nettie Yvette, MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Blount, Charles, MD

Specialty: Family Practice

(704) 384-8480

1450 Matthews Township Parkway, Suite 450

Matthews, NC 28105

Bradford, Edward A., MD

Specialty: Internal Medicine

(704) 302-8500

332 Sam Newell Road, Suite 2000

Matthews, NC 28105

North Carolina

Matthews

Burgess, Jr., William C., MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Copsis, Peter N., MD

Specialty: Internal Medicine

(704) 302-8500

332 Sam Newell Road, Suite 2000

Matthews, NC 28105

Friedman, Roy Joseph, MD

Specialty: Internal Medicine

(704) 384-8480

1450 Matthews Township Parkway, Suite 450

Matthews, NC 28105

Hall, David H., MD

Specialty: Family Practice

(704) 384-8480

1450 Matthews Township Parkway, Suite 450

Matthews, NC 28105

Holevas, John G., MD

Specialty: Internal Medicine

(704) 316-2127

3330 Siskey Parkway

Matthews, NC 28105

Karriker, Charlotte K, MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Knish, Edward J., MD

Specialty: Internal Medicine

(704) 302-8500

332 Sam Newell Road, Suite 2000

Matthews, NC 28105

North Carolina

Matthews

Malone, David P., MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Martin, Michael J., MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Maugel, Larry E., MD

Specialty: Family Practice

(704) 384-8480

1450 Matthews Township Parkway, Suite 450

Matthews, NC 28105

Mody, Sachin S., MD

Specialty: Family Practice

(704) 512-4560

2407 Plantation Drive, Suite 102

Matthews, NC 28105

Musa, Gregory D., MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Owens, Susan L., MD

Specialty: Internal Medicine

(704) 384-6901

1401 Matthews Township Parkway, Suite 200

Matthews, NC 28105

Smith, Michael W., MD

Specialty: Internal Medicine

(704) 302-8500

332 Sam Newell Road, Suite 2000

Matthews, NC 28105

Page 190 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Matthews

Thomas, Sasha C, MD

Specialty: Internal Medicine

(704) 302-8500

332 Sam Newell Road, Suite 2000

Matthews, NC 28105

Wolfhope, Barbara, MD

Specialty: Family Practice

(704) 384-8480

1450 Matthews Township Parkway, Suite 450

Matthews, NC 28105

Wong, Alllen M, MD

Specialty: Internal Medicine

(704) 316-2127

3330 Siskey Parkway

Matthews, NC 28105

Mebane

Aldridge, Barbara D, MD

Specialty: Family Practice

(919) 563-8400

100 E. Dogwood Drive

Mebane, NC 27302

Olmedo, Mario Ernesto, MD

Specialty: Family Practice

(919) 563-8400

100 E. Dogwood Drive

Mebane, NC 27302

Midland

Cloud, Edith Elaine, MD

Specialty: Family Practice

(704) 888-3702

12925 Hwy 601 South, Suite 300

Midland, NC 28107

Dy, Marc K., MD

Specialty: Family Practice

(704) 888-3702

12925 Hwy 601 South, Suite 300

Midland, NC 28107

Mint Hill

North Carolina

Mint Hill

Chen, Jenny L., MD

Specialty: Family Practice

(704) 384-8760

11304 Hawthorne Drive

Mint Hill, NC 28227

Heitbrink, Mark J, MD

Specialty: Family Practice

(704) 384-8760

11304 Hawthorne Drive

Mint Hill, NC 28227

Richardson, Michael S., MD

Specialty: Internal Medicine

(704) 863-9500

10545 Blair Road, Suite 2100

Mint Hill, NC 28227

Simon, Stephanie Y, MD

Specialty: Internal Medicine

(704) 863-9500

10545 Blair Road, Suite 2100

Mint Hill, NC 28227

Whalen, Joseph B., MD

Specialty: Family Practice

(704) 384-8760

11304 Hawthorne Drive

Mint Hill, NC 28227

Mocksville

Edwards, Joel L., MD

Specialty: Family Practice

(336) 761-8000

485 Valley Road

Mocksville, NC 27028

Nguyen, Phuong M., MD

Specialty: Family Practice

(336) 761-8000

485 Valley Road

Mocksville, NC 27028

North Carolina

Mocksville

Renfroe, William O, MD

Specialty: Family Practice

(336) 761-8000

485 Valley Road

Mocksville, NC 27028

Monroe

Blank, Roy C, MD

Specialty: Internal Medicine

(704) 384-1140

1995 Wellness Blvd.,, Ste 110, Bldg B

Monroe, NC 28110-7772

Camp, Michael S., MD

Specialty: Internal Medicine

(704) 289-6474

1423 East Franklin Street, Suite D

Monroe, NC 28112

Campo, Daniel, MD

Specialty: General Practice

(704) 289-5443

1106 Reynolds Street, Ste. 100

Monroe, NC 28112

Holler, Jody D, MD

Specialty: Family Practice

613 East Roosevelt Blvd

Monroe, NC 28112

Hoover, Charles H, MD

Specialty: Internal Medicine

(704) 282-0488

1303 Dove Street

Monroe, NC 28112

Laguerre, Jacques P., MD

Specialty: Family Practice

(704) 291-7111

1640 E. Roosevelt Blvd.

Monroe, NC 28112

Page 191 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Monroe

Lester, William, MD

Specialty: Family Practice

(704) 289-5443

1106 Reynolds Street, Ste. 100

Monroe, NC 28112

McDonald, Camille, MD

Specialty: Family Practice

(704) 291-7111

1640 E. Roosevelt Blvd.

Monroe, NC 28112

Patil, Chandrashekhar Y., MD

Specialty: Family Practice

(704) 289-5443

1106 Reynolds Street, Ste. 100

Monroe, NC 28112

Tellis, Valencia, MD

Specialty: Family Practice

(704) 289-5443

1106 Reynolds Street, Ste. 100

Monroe, NC 28112

Velasco, Luis D., MD

Specialty: Internal Medicine

(704) 289-6474

1423 East Franklin Street, Suite D

Monroe, NC 28112

Vick, John C., MD

Specialty: Family Practice

(704) 289-5443

1106 Reynolds Street, Ste. 100

Monroe, NC 28112

Mooresville

Bundy, Robert F, MD

Specialty: Family Practice

(704) 316-1635

130 Plantation Ridge Drive, Ste. 100

Mooresville, NC 28117

North Carolina

Mooresville

Calhoun, Aubrey D., MD

Specialty: Internal Medicine

(704) 663-4443

137 Professional Park Drive

Mooresville, NC 28117

Elkins, Stephanie B, MD

Specialty: Family Practice

(704) 316-1635

130 Plantation Ridge Drive, Ste. 100

Mooresville, NC 28117

Ferguson, Stephen D., MD

Specialty: Internal Medicine

(704) 663-4443

137 Professional Park Drive

Mooresville, NC 28117

Fry, Patrick L., MD

Specialty: Internal Medicine

(704) 663-4443

137 Professional Park Drive

Mooresville, NC 28117

Mather, Bruce S., MD

Specialty: Family Practice

(704) 316-1635

130 Plantation Ridge Drive, Ste. 100

Mooresville, NC 28117

Mcguinness, John Lyle, DO

Specialty: Internal Medicine

(704) 663-4443

137 Professional Park Drive

Mooresville, NC 28117

Panuski, Rebecca M, MD

Specialty: Family Practice

(704) 316-1635

130 Plantation Ridge Drive, Ste. 100

Mooresville, NC 28117

Morrisville

North Carolina

Morrisville

Adeyina, Feyisayo Adenike, MD

Specialty: Family Practice

(919) 655-1000

6402 McCrimmon Pkwy, Suite 100

Morrisville, NC 27560

Sen, Ananya B, MD

Specialty: Family Practice

(919) 327-1630

10950 Chapel Hill Road

Morrisville, NC 27560

Sugg, John Brinkley, NP

Specialty: Nurse Practitioner

(919) 327-1630

10950 Chapel Hill Road

Morrisville, NC 27560

Vaikunth, Aparna B, MD

Specialty: Family Practice

(919) 655-1000

6402 McCrimmon Pkwy, Suite 100

Morrisville, NC 27560

Mount Airy

Dodd, Mark A., DO

Specialty: Family Practice

(336) 719-6100

865 Westlake Drive

Mount Airy, NC 27030

Hooks, William B., MD

Specialty: Family Practice

(336) 719-6100

865 Westlake Drive

Mount Airy, NC 27030

Kerley, Roger K., MD

Specialty: Family Practice

(336) 719-6100

865 Westlake Drive

Mount Airy, NC 27030

Mount Holly

Page 192 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Mount Holly

Beatty, Lee A., MD

Specialty: Family Practice

(704) 827-3413

215 S. Main Street

Mount Holly, NC 28120

Toosi, Soraya, MD

Specialty: Family Practice

(704) 827-3413

215 S. Main Street

Mount Holly, NC 28120

Mt. Pleasant

Andersen, Susan R., MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

Boan, Tiffany L., FNP

Specialty: Optometry

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

Dobson, Lolo Allen, MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

Kelly, Darren B., MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

Pons, Lara J., MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

North Carolina

Mt. Pleasant

Rhodes, Charles W., MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

Sexton, Cheryl D., MD

Specialty: Family Practice

(704) 436-6521

8560 Cook Street

Mt. Pleasant, NC 28124

North Wilkesboro

Derick, Jeffrey M., MD

Specialty: Family Practice

(336) 651-2980

1919 West Park Drive

North Wilkesboro, NC 28659

Hefner, Kenny D., MD

Specialty: General Practice

(336) 651-2980

1919 West Park Drive

North Wilkesboro, NC 28659

Swofford, Joel H., MD

Specialty: Family Practice

(336) 651-2980

1919 West Park Drive

North Wilkesboro, NC 28659

Ocean Isle

Garland, Thomas F., MD

Specialty: Family Practice

(910) 575-5242

120 Causeway Drive, Suite 4

Ocean Isle, NC 28469-7581

Oxford

Anderson, John B, MD

Specialty: Family Practice

(919) 693-3972

101-A Professional Park Drive

Oxford, NC 27565

North Carolina

Oxford

Ivery, Latonja M., MD

Specialty: Family Practice

(919) 693-3972

101-A Professional Park Drive

Oxford, NC 27565

Koinis, Thomas F., MD

Specialty: Family Practice

(919) 693-3972

101-A Professional Park Drive

Oxford, NC 27565

Monical, Cheryl J., MD

Specialty: Family Practice

(919) 693-3972

101-A Professional Park Drive

Oxford, NC 27565

Pittsboro

Burgert, Woodward, MD

Specialty: Family Practice

(919) 545-0911

P.O Box 806

Pittsboro, NC 27312

Raleigh

Bean, Gary O., MD

Specialty: Family Practice

(919) 875-0539

4414 Lake Boone Trail, Suite 502

Raleigh, NC 27607

Bhat, Bhavna, MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Block, Mitchell Howard, MD

Specialty: Internal Medicine

(919) 571-6465

3100 Duraleigh Road, Suite 200

Raleigh, NC 27612

Page 193 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Raleigh

Bloom, O Josh, MD

Specialty: Family Practice

8300 Health Park, Suite 107

Raleigh, NC 27615-4731

Blount, James G, MD

Specialty: Family Practice

8300 Health Park, Suite 107

Raleigh, NC 27615-4731

Campbell, Donald B., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Carlson, Curtis Bradley, MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Carr II, Josiah M., MD

Specialty: Family Practice

(919) 878-0900

3400 Executive Drive, Suite 205

Raleigh, NC 27609

Delbuono, Catherine M., NP

Specialty: Nurse Practitioner

(919) 327-1650

7200 Creedmoor Road

Raleigh, NC 27613

Dougherty, Kevin E., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Drabick, Andrew J., MD

Specialty: Family Practice

(919) 875-8150

3500 Bush Street, Suite 103

Raleigh, NC 27609

North Carolina

Raleigh

Edmundson, Warner Lee Wells, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Erickson, Amy Schafer, DO

Specialty: Family Practice

(919) 484-8345

10211 Aim Street

Raleigh, NC 27617

Fischer, Benjamin Peter, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Flescher, Jonathan, MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Flick, Conrad Lloyd, MD

Specialty: Family Practice

(919) 875-8150

3500 Bush Street, Suite 103

Raleigh, NC 27609

Foreman, Brett H, MD

Specialty: Family Practice

8300 Health Park, Suite 107

Raleigh, NC 27615-4731

Forsyth, Richard J., MD

Specialty: Family Practice

(919) 878-8596

3320 Executive Drive, Ste. 214

Raleigh, NC 27609

Gavankar, Sandeep S, DO

Specialty: Family Practice

8300 Health Park, Suite 107

Raleigh, NC 27615-4731

North Carolina

Raleigh

Glover, Anne K, MD

Specialty: Internal Medicine

(919) 484-8345

10211 Aim Street

Raleigh, NC 27617

Goldman, Brian H, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Griffiths, William Owen, MD

Specialty: Internal Medicine

(919) 846-2125

7021 Harps Mill Road, Suite 100

Raleigh, NC 27615

Hamrick, Alger V., MD

Specialty: Family Practice

(919) 875-0539

4414 Lake Boone Trail, Suite 502

Raleigh, NC 27607

Harper, Wayne L., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Henderson, Paul M., MD

Specialty: Family Practice

(919) 878-8596

3320 Executive Drive, Ste. 214

Raleigh, NC 27609

Holt, Kenneth A., MD

Specialty: Internal Medicine

(919) 877-1100

3320 Executive Drive, Suite 222

Raleigh, NC 27609

Horton, Robert M., MD

Specialty: Family Practice

(919) 782-2333

3124 Blue Ridge Road, #101

Raleigh, NC 27612

Page 194 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Raleigh

Hughes, Sarah Plowman, MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Israel, Rodger D., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Jacobs, William R, MD

Specialty: Gastroenterology

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Jariwala, Arvind N., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Jenkins, Sharrah Ericka, MD

Specialty: Internal Medicine

(919) 846-2125

7021 Harps Mill Road, Suite 100

Raleigh, NC 27615

Lang, III, John Albert, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Levin, Stuart J., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

North Carolina

Raleigh

Marucheck, John Thomas, MD

Specialty: Internal Medicine

(919) 855-8911

3320 Wake Forest Road

Raleigh, NC 27609

Meier, John Jacob, MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Mollin, Daniel J., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Moore, III, Stephen I., MD

Specialty: Family Practice

(919) 875-8150

3500 Bush Street, Suite 103

Raleigh, NC 27609

Noble, Richard Claiborne, MD

Specialty: Internal Medicine

(919) 855-8911

3320 Wake Forest Road

Raleigh, NC 27609

Rico, Anthony L., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Rubino, John, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Schneider, Richard J., MD

Specialty: Internal Medicine

(919) 327-1650

7200 Creedmoor Road

Raleigh, NC 27613

North Carolina

Raleigh

Seo, Esther E, MD

Specialty: Internal Medicine

(919) 846-2125

7021 Harps Mill Road, Suite 100

Raleigh, NC 27615

Short, Douglas Brian, MD

Specialty: Internal Medicine

(919) 341-3618

3521 Haworth Drive

Raleigh, NC 27609

Stevens, James R, MD

Specialty: Family Practice

8300 Health Park, Suite 107

Raleigh, NC 27615-4731

Tyson, Treva W., MD

Specialty: Internal Medicine

(919) 781-7500

3100 Blue Ridge Rd., Suite 300

Raleigh, NC 27612

Wilkins, Ezra Brooks, MD

Specialty: Family Practice

(919) 571-6465

3100 Duraleigh Road, Suite 200

Raleigh, NC 27612

Rocky Mount

Abel, Mark S, MD

Specialty: Family Practice

(252) 443-3133

804 English Rd, Suite 100, Suite 100

Rocky Mount, NC 27804

Michal, Richard G, MD

Specialty: Family Practice

(252) 443-3133

804 English Rd, Suite 100, Suite 100

Rocky Mount, NC 27804

Parker, John Ashley, MD

Specialty: Family Practice

(252) 443-3133

804 English Rd, Suite 100, Suite 100

Rocky Mount, NC 27804

Page 195 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Salisbury

Barrier, Ronnie Jay, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

Connelly, Jason Robert, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

Farrington, Cecil M, MD

Specialty: Family Practice

(704) 637-1123

401 Mocksville Avenue, Suite 200

Salisbury, NC 28144-2737

Kribbs, John B, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

McNeill, Robert E, MD

Specialty: Internal Medicine

(704) 637-1123

401 Mocksville Avenue, Suite 200

Salisbury, NC 28144-2737

Myers, Kim Morgan, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

Ott, Benjamin Thomas, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

South, Bethany July, MD

Specialty: Family Practice

(704) 637-3373

650 Julian Road

Salisbury, NC 28147

North Carolina

Sandord

Esteves, Deborah, MD

Specialty: Internal Medicine

(919) 718-9512

1301 Central Drive

Sandord, NC 27330

Yoo, Sung-Eun, MD

Specialty: Endocrinology, Diabetes & Metabolism

(919) 718-9512

1301 Central Drive

Sandord, NC 27330

Shallotte

Isenhour, Christopher B, MD

Specialty: Family Practice

(910) 754-4441

204 Smith Avenue

Shallotte, NC 28470-445

Thompson, Angela R, MD

Specialty: Family Practice

(910) 754-4441

204 Smith Avenue

Shallotte, NC 28470-445

Shelby

Novak, Albert J., DO

Specialty: Family Practice

(704) 302-8200

1124 N. Washington Street

Shelby, NC 28150

Smith, Larry E., MD

Specialty: Family Practice

(704) 302-8200

1124 N. Washington Street

Shelby, NC 28150

Summerfield

Burnett, Brent Alan, MD

Specialty: Family Practice

(336) 643-7711

4431 USHighway 220N

Summerfield, NC 27358

North Carolina

Summerfield

Kaplan, Kristen, PA

Specialty: Obstetrics & Gynecology

(336) 643-7711

4431 USHighway 220N

Summerfield, NC 27358

Stallings, Sheila Clark, MD

Specialty: Family Practice

(336) 643-7711

4431 USHighway 220N

Summerfield, NC 27358

Wilson, Fred Henry, MD

Specialty: Family Practice

(336) 643-7711

4431 USHighway 220N

Summerfield, NC 27358

Taylorsville

Merrill, Steven, MD

Specialty: Family Practice

50 Macedonia Church Rd

Taylorsville, NC 28681

Okuboye, Deji O, DO

Specialty: Family Practice

50 Macedonia Church Rd

Taylorsville, NC 28681

Thomasville

Asres, Alehegn, MD

Specialty: Family Practice

(336) 475-8121

309 Pineywood Road

Thomasville, NC 27360

Bosken, Donald W., MD

Specialty: Family Practice

(336) 475-7163

903 Randolph Street

Thomasville, NC 27360

Carter, Monica S., DO

Specialty: Internal Medicine

(336) 475-8121

309 Pineywood Road

Thomasville, NC 27360

Page 196 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Thomasville

Clark, Katherine J., MD

Specialty: Internal Medicine

(336) 475-8121

309 Pineywood Road

Thomasville, NC 27360

Furr, Sara M., MD

Specialty: Internal Medicine

(336) 474-1995

711 National Highway, Suite 500

Thomasville, NC 27360

Hayes, Anthony R, MD

Specialty: Family Practice

(336) 475-7163

903 Randolph Street, Suite 1

Thomasville, NC 27360

Imam, Abul F., MD

Specialty: General Practice

(336) 475-7163

903 Randolph Street, Suite 1

Thomasville, NC 27360

Johns, Terrance P., MD

Specialty: Internal Medicine

(336) 475-8121

309 Pineywood Road

Thomasville, NC 27360

Mckinney, John J., DO

Specialty: Internal Medicine

(336) 474-1995

711 National Highway, Suite 500

Thomasville, NC 27360

Trinity

Jacobucci, Nicola Joseph, MD

Specialty: Family Practice

(336) 802-2270

6329 Unity Street, Suite I

Trinity, NC 27360

Troutman

North Carolina

Troutman

Pellegrino, Yvette, MD

Specialty: Family Practice

(704) 528-1444

285 N. Main Street

Troutman, NC 28166

Vale

Glass, Jason Lee, MD

Specialty: Family Practice

(704) 748-2245

4429 W. Hwy 27

Vale, NC 28168

Wadesboro

Sutton, Elena K., MD

Specialty: Family Practice

919 East Caswell Street

Wadesboro, NC 28170

Wagram

Williams, Taneka M, MD

Specialty: Family Practice

24420 Marlboro Street

Wagram, NC 28396

Wake Forest

Cefalu, Joseph A., MD

Specialty: Family Practice

(919) 562-2225

3213 Rogers Road

Wake Forest, NC 27587-3805

Konopka, Scott E., MD

Specialty: Family Practice

(919) 562-2225

3213 Rogers Road

Wake Forest, NC 27587-3805

Rounds, J. Carson, MD

Specialty: Family Practice

(919) 562-2225

3213 Rogers Road

Wake Forest, NC 27587-3805

North Carolina

Wake Forest

Weber, Thomas N., MD

Specialty: Family Practice

(919) 562-2225

3213 Rogers Road

Wake Forest, NC 27587-3805

Walkertown

Schaeffer, Stanley Dean, MD

Specialty: Family Practice

(336) 595-3699

2800 Darrow Road

Walkertown, NC 27051

Waxhaw

Guthmann, Howard M, MD

Specialty: Family Practice

(704) 384-8604

3614 Providence road, Suite 200, Suite 200

Waxhaw, NC 28173

Martin III, William G., MD

Specialty: Family Practice

(704) 384-8604

3614 Providence road, Suite 200, Suite 200

Waxhaw, NC 28173

Tomcho, Paige B., DO

Specialty: Family Practice

(704) 243-2254

524 N. Broome Street

Waxhaw, NC 28173

Weddington

Ladd-Snively, Susan E., MD

Specialty: Family Practice

(704) 841-2175

1928 Highway 84

Weddington, NC 28104

Sharma, Anuj, MD

Specialty: Family Practice

(704) 841-2175

1928 Highway 84

Weddington, NC 28104

Page 197 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Wilmington

Withers, Sydnor Terry, MD

Specialty: Family Practice

(910) 791-5426

5058 Wrightsville Avenue

Wilmington, NC 28403-7048

Winston Salem

Collins, David Dutrow, MD

Specialty: Internal Medicine

(336) 765-5250

3333 Brookview Hills Blvd, Suite 207

Winston Salem, NC 27103

Day, James W., MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Galbreath, John W., MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Garrison, Michael S., MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Klein, Patricia Mills, PA

Specialty: Physician Assistant

(336) 765-5250

3333 Brookview Hills Blvd, Suite 207

Winston Salem, NC 27103

Klein, Steven Russell, MD

Specialty: Internal Medicine

(336) 765-5250

3333 Brookview Hills Blvd, Suite 207

Winston Salem, NC 27103

North Carolina

Winston Salem

Marx, Richard S, MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Nadler, Jaclyn Sheri, MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Ragonesi, Peter B, MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Smith, William T., MD

Specialty: Internal Medicine

(336) 765-5250

3333 Brookview Hills Blvd, Suite 207

Winston Salem, NC 27103

Valente, Louis Rocco, PA

Specialty: Physician Assistant

(336) 765-5250

3333 Brookview Hills Blvd, Suite 207

Winston Salem, NC 27103

Wigand bolling, Gwendolyn, MD

Specialty: Internal Medicine

(336) 718-0100

1381 Westgate Center Drive

Winston Salem, NC 27103

Winston-Salem

Abbott, Thomas D, MD

Specialty: Family Practice

(336) 764-2324

12208 Hwy 150 North

Winston-Salem, NC 27127

North Carolina

Winston-Salem

Andrews, Daniel Floyd, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Basrai, Khaishoon N., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Bernstein, Jonna, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Bissette, Stephen G., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Brasher, Bruce U., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Braswell, Sherill D., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Cannon, Thomas B., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Card, John P., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Page 198 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Winston-Salem

Christakos, Christopher N., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Cullen, Peter P., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Dalton, Timothy J., MD

Specialty: Internal Medicine

(336) 718-4043

1995 Bethabara Road

Winston-Salem, NC 27106

Davis, John F., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

English, Betsy M., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Farmer, Tracie,

Specialty: Endocrinology, Diabetes & Metabolism

(336) 765-0020

755 Highland Oaks Drive, Suite 201

Winston-Salem, NC 27103

Fink, James T., MD

Specialty: Family Practice

(336) 277-7000

5110 Robinhood Village Drive

Winston-Salem, NC 27106

Fromson, Gerald A, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

North Carolina

Winston-Salem

Fromson, Jean V, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Helman, Steven Edward, MD

Specialty: Internal Medicine

(336) 774-3740

3333 Brookview Hills Boulevard, Suite 204

Winston-Salem, NC 27103

Hilton, Suzanne Elizabeth, MD

Specialty: Family Practice

(336) 760-8380

3333 Brookview Hills Blvd, Suite 107

Winston-Salem, NC 27103

Hollar, Larry A, MD

Specialty: Family Practice

(336) 721-2375

390 Salem Avenue

Winston-Salem, NC 27101-586

Howell, Leigh Ellis, MD

Specialty: Family Practice

(336) 721-2375

390 Salem Avenue

Winston-Salem, NC 27101-586

Howell, Travis Worth, MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Hux, Stephen M., MD

Specialty: Family Practice

(336) 764-2324

12208 Hwy 150 North

Winston-Salem, NC 27127

North Carolina

Winston-Salem

Jones, Jr., Champ M., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Kelly, Robert G., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Kummer, Anthony J, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Lee, Holly W., MD

Specialty: Family Practice

(336) 721-2375

390 Salem Avenue

Winston-Salem, NC 27101-586

Lendle, Donald L., MD

Specialty: Family Practice

(336) 718-4043

1995 Bethabara Road

Winston-Salem, NC 27106

Lischke, Aimee S, MD

Specialty: Family Practice

(336) 760-8380

3333 Brookview Hills Blvd, Suite 107

Winston-Salem, NC 27103

Lokesh, Anitha, MD

Specialty: Family Practice

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Page 199 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Winston-Salem

Mchugh, Peter H, MD

Specialty: Endocrinology, Diabetes & Metabolism

(336) 765-0020

755 Highland Oaks Drive, Suite 201

Winston-Salem, NC 27103

Mebrahtu, Semret T., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Morgan, G Lon, MD

Specialty: Family Practice

(336) 788-4664

5010 Peters Creek Parkway

Winston-Salem, NC 27127

Moyer, Frank R., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Murphy, Martin J., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Murphy, Nancy L, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Nicklas, II, Edward W., MD

Specialty: Endocrinology, Diabetes & Metabolism

(336) 765-0020

755 Highland Oaks Drive, Suite 201

Winston-Salem, NC 27103

Peral, Lindsay S, MD

Specialty: Family Practice

(336) 277-7000

5110 Robinhood Village Drive

Winston-Salem, NC 27106

North Carolina

Winston-Salem

Pierce, Helen Elizabeth, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Pressly, Cressent Hudson, MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Roach, III, John G., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Rose, Donald R, MD

Specialty: Endocrinology

(336) 765-0020

755 Highland Oaks Drive, Suite 201

Winston-Salem, NC 27103

Rose, Jr., Donald, MD

Specialty: Endocrinology

(336) 765-0020

755 Highland Oaks Drive, Suite 201

Winston-Salem, NC 27103

Rosen, Robert Dean, MD

Specialty: Family Practice

(336) 659-0076

2805 Lyndhurst Avenue

Winston-Salem, NC 27103-4109

Sapp, Amy Caroline, MD

Specialty: Family Practice

(336) 659-0076

2805 Lyndhurst Avenue

Winston-Salem, NC 27103-4109

North Carolina

Winston-Salem

Seltzer, Barry R., MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Stugart, Rick H., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Tegeler, Debra Renee, MD

Specialty: Internal Medicine

(336) 718-4043

250 Charlois Boulevard

Winston-Salem, NC 27103

Thomas, John B.R., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Toborg, Robert Ted, MD

Specialty: General Practice

(336) 774-3740

3333 Brookview Hills Boulevard, Suite 204

Winston-Salem, NC 27103

Van Zandt, Keith B., MD

Specialty: Family Practice

(336) 718-0800

100 Robinhood Medical Plaza

Winston-Salem, NC 27106

Worf, Richard C., MD

Specialty: Family Practice

(336) 718-7800

105 Vest Mill Circle

Winston-Salem, NC 27103

Yadkinville

Page 200 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

North Carolina

Yadkinville

Williams, Joanie R., MD

Specialty: General Practice

(336) 679-2661

305 East Lee Avenue

Yadkinville, NC 27055

Williams, John T., MD

Specialty: General Practice

(336) 679-2661

305 East Lee Avenue

Yadkinville, NC 27055

Yuson, Susan B., MD

Specialty: General Practice

(336) 679-2661

305 East Lee Avenue

Yadkinville, NC 27055

North Dakota

Bismarck

Ahmed, Bilal, MD

Specialty: Endocrinology, Diabetes & Metabolism

(701) 530-6402

401 North Ninth Street

Bismarck, ND 58501

Ohio

Akron

Hamrich, Lynn M, MD

Specialty: Family Practice

(330) 375-4049

55 Arch St, Suite 3A

Akron, OH 44304

Hines, Richard M, MD

Specialty: Family Practice

(330) 375-4049

55 Arch St, Suite 3A

Akron, OH 44304

King, Toni M, MD

Specialty: Endocrinology

(330) 379-5048

444 N. Main Street, Suite 306

Akron, OH 44310

Ohio

Akron

Krishen, Adarsh E, MD

Specialty: Family Practice

(330) 375-4049

55 Arch St, Suite 3A

Akron, OH 44304

Miller, Kevin S, MD

Specialty: Endocrinology, Diabetes & Metabolism

(330) 379-5048

444 N. Main Street, Suite 306

Akron, OH 44310

Morocco, Michael D, MD

Specialty: Endocrinology

(330) 379-5048

444 N. Main Street, Suite 306

Akron, OH 44310

Salem, James K., MD

Specialty: Endocrinology

(330) 253-1899

75 Arch Street, Suite 301

Akron, OH 44304

Shewbridge, Richard Kevin, MD

Specialty: Endocrinology, Diabetes & Metabolism

(330) 379-5048

444 N. Main Street, Suite 306

Akron, OH 44310

Smucker, William D, MD

Specialty: Family Practice

(330) 375-4049

55 Arch St, Suite 3A

Akron, OH 44304

Sullivan, Christopher P., MD

Specialty: Endocrinology, Diabetes & Metabolism

(330) 253-1899

75 Arch Street, Suite 301

Akron, OH 44304

Ohio

Akron

Valeri White, Anne Marie, DO

Specialty: Family Practice

(330) 375-4049

55 Arch St, Suite 3A

Akron, OH 44304

Athens

Cook, Joseph A., DO

Specialty: Family Practice

(740) 566-4880

65 Hospital Drive

Athens, OH 45701

Petznick, Allison M, DO

Specialty: Family Practice

(740) 566-4880

65 Hospital Dr.

Athens, OH 45701

Shubrook, Jay H., DO

Specialty: Family Practice

(740) 566-4880

65 Hospital Drive

Athens, OH 45701

Avon Lake

Tadross, Nabil, MD

Specialty: Internal Medicine

450 Avon Belden Road

Avon Lake, OH 44012

Batavia

Hariharan, Parameswaran, MD

Specialty: Internal Medicine

(513) 732-0663

2055 Hospital Drive, Suite 300

Batavia, OH 45103

Beachwood

Bal, Baljit, MD

Specialty: Internal Medicine

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Page 201 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Beachwood

Bonomo, Rita, MD

Specialty: Internal Medicine

(216) 464-1115

3909 Orange Place, Suite 2400, #2400

Beachwood, OH 44122

Borukh, Elena, MD

Specialty: Internal Medicine

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Feinleib, Steven, MD

Specialty: Internal Medicine

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Feudo, Scott C., MD

Specialty: Internal Medicine

(216) 464-1115

3909 Orange Place, Suite 2400, #2400

Beachwood, OH 44122

Friedman, Darci, MD

Specialty: Internal Medicine

(216) 464-7878

23250 Mercantile Road

Beachwood, OH 44122

Goodman, Kenneth, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Goraya, Shazia, MD

Specialty: Internal Medicine

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Ohio

Beachwood

Hirsh, Alan, MD

Specialty: Internal Medicine

(216) 464-1115

3909 Orange Place, Suite 2400, #2400

Beachwood, OH 44122

Klarfeld, Jonathan E., MD

Specialty: Internal Medicine

(216) 464-7878

23250 Mercantile Road

Beachwood, OH 44122

Lipold, Laura, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Mapus, Renee, MD

Specialty: Internal Medicine

(216) 464-1115

3909 Orange Place, Suite 2400, #2400

Beachwood, OH 44122

Podl, Tod, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Rabovsky, Michael, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Turner, Daniel, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Ohio

Beachwood

Varghai, Nayyer, MD

Specialty: Family Practice

(216) 839-3000

26900 Cedar Road

Beachwood, OH 44122

Yasinow, Eric, MD

Specialty: Internal Medicine

(216) 464-1115

3909 Orange Place, Suite 2400, #2400

Beachwood, OH 44122

Beavercreek

Apple, David G, DO

Specialty: Family Practice

(937) 427-1757

2510 Commons Drive, # 110

Beavercreek, OH 45431

Froehlich, Janette R., MD

Specialty: Family Practice

(937) 426-0106

2322 Lakeview Dr.

Beavercreek, OH 45431

Gardner, Robert R, DO

Specialty: Family Practice

(937) 427-1757

2510 Commons Drive, # 110

Beavercreek, OH 45431

Perez, Maureen K, MD

Specialty: Family Practice

(937) 426-0106

2322 Lakeview Dr.

Beavercreek, OH 45431

Sefton, John C., MD

Specialty: Family Practice

(937) 427-1757

2510 Commons Drive, # 110

Beavercreek, OH 45431

Bedford

Page 202 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Bedford

Lu, Ghai, MD

Specialty: Internal Medicine

(440) 735-2800

UH Rockside Health Center, 22750 Rockside Rd. #301

Bedford, OH 44146

Pillai, Latha R, MD

Specialty: Internal Medicine

(440) 735-2800

UH Rockside Health Center, 22750 Rockside Rd. #301

Bedford, OH 44146

Schaffer, Suzanne, MD

Specialty: Internal Medicine

(440) 735-2800

UH Rockside Health Center, 22750 Rockside Rd. #301

Bedford, OH 44146

Song, Grace, MD

Specialty: Family Practice

(440) 232-5400

University Hospitals Bedford Medical Center, 50 Blaine Ave, #2200

Bedford, OH 44146

Bellbrook

Foster, James E, MD

Specialty: Family Practice

(937) 848-9010

4403 St. Rt. 725, Suite D

Bellbrook, OH 45305

Heinemeyer, Lisa, MD

Specialty: Family Practice

(937) 848-9010

4403 St. Rt. 725, Suite D

Bellbrook, OH 45305

Heinemeyer-foster, Lisa K, MD

Specialty: Family Practice

(937) 848-9010

4403 St. Rt. 725, Suite D

Bellbrook, OH 45305

Ohio

Bellbrook

Henderson, Thomas H, DO

Specialty: Family Practice

(937) 848-6421

4120 W. Franklin Street

Bellbrook, OH 45305

Russell, Michelle M., DO

Specialty: Family Practice

(937) 848-9010

4403 St. Rt. 725, Suite D

Bellbrook, OH 45305

Beloit

Corallo, Marco R., DO

Specialty: Endocrinology, Diabetes & Metabolism

(330) 938-3333

18586 W. 5th Street

Beloit, OH 44609

Bethel

Sarah, Amal, MD

Specialty: Family Practice

(513) 734-6979

3088 Angel Drive

Bethel, OH 45106

Blacklick

Bohnert, Christina M, MD

Specialty: Family Practice

(614) 864-8000

7340 E Broad St, Suite B

Blacklick, OH 43004

Narcelles, Andrew M, MD

Specialty: Family Practice

(614) 864-8000

7340 E Broad St, Suite B

Blacklick, OH 43004

Bolivar

Hiestand, Matthew E, MD

Specialty: Internal Medicine

(330) 874-7165

10724 State Route 212 NE

Bolivar, OH 44612

Ohio

Bolivar

Hillyer, Mark Andrew, MD

Specialty: Internal Medicine

(330) 874-7165

10724 State Route 212 NE

Bolivar, OH 44612

Mcdonnell, Harry G, DO

Specialty: Family Practice

(330) 874-7165

10724 State Route 212 NE

Bolivar, OH 44612

Brecksville

Stern, Denise, MD

Specialty: Internal Medicine

(440) 838-8222

The Breck Medical Building, 6909 Royalton Rd. #101

Brecksville, OH 44141

Brunswick

Cain, Robert, MD

Specialty: Family Practice

(330) 225-8886

3574 Center Road

Brunswick, OH 44212

Meacham, Mark, MD

Specialty: Family Practice

(330) 225-8886

3574 Center Road

Brunswick, OH 44212

Miller, Timothy, MD

Specialty: Family Practice

(330) 225-8886

3574 Center Road

Brunswick, OH 44212

Tulisiak, Thomas, MD

Specialty: Family Practice

(330) 225-8886

3574 Center Road

Brunswick, OH 44212

Page 203 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Brunswick

Williams, Marc, MD

Specialty: Family Practice

(330) 225-8886

3574 Center Road

Brunswick, OH 44212

Bucyrus

Harris, Roy W., DO

Specialty: Internal Medicine

(419) 562-9834

510 Hill Street

Bucyrus, OH 44820

Canal Winchester

Graesser, Nancy L., DO

Specialty: Family Practice

(614) 835-3838

7901 Diley Rd Ste 200

Canal Winchester, OH 43110

Lane, Edward J, MD

Specialty: Family Practice

(614) 835-3838

7901 Diley Rd Ste 200

Canal Winchester, OH 43110

Smith, Angela, DO

Specialty: Family Practice

(614) 835-3838

7901 Diley Rd Ste 200

Canal Winchester, OH 43110

Canton

Cooper, Richard Alan, MD

Specialty: Internal Medicine

(330) 455-5595

2425 13th Street

Canton, OH 44708

Johns, James D., MD

Specialty: Family Practice

(330) 455-0800

211 15th St. NW

Canton, OH 44703

Ohio

Canton

Korableva, Irina B., MD

Specialty: Endocrinology, Diabetes & Metabolism

(330) 477-0255

4634 Hills and Dales, NW

Canton, OH 44708

Wietecha, Kevin G., DO

Specialty: Endocrinology

(330) 477-0255

4634 Hills and Dales, NW

Canton, OH 44708

Centerville

Kinkopf, Edward J., DO

Specialty: Family Practice

(937) 434-7353

1989 Miamisburg - Centerville Road, Suite 301

Centerville, OH 45459

Lugo, Anthony F, MD

Specialty: Family Practice

(937) 438-4691

7720 Paragon Road, Suite 8

Centerville, OH 45459

Terlecky, Wasyl, MD

Specialty: Family Practice

(937) 434-7353

1989 Miamisburg - Centerville Road, Suite 301

Centerville, OH 45459

Chagrin Falls

Chen, Yong, MD

Specialty: Internal Medicine

(440) 893-9393

551 East Washington Street

Chagrin Falls, OH 44022

Long, Donald, MD

Specialty: Internal Medicine

(440) 893-9393

551 East Washington Street

Chagrin Falls, OH 44022

Ohio

Chagrin Falls

Young, Christopher, MD

Specialty: Family Practice

(440) 893-9393

551 East Washington Street

Chagrin Falls, OH 44022

Chardon

Burgun, Stephen James, MD

Specialty: Endocrinology, Diabetes & Metabolism

(440) 285-3621

13241 Ravenna Rd.

Chardon, OH 44024

Ilieva, Antoaneta, MD

Specialty: Internal Medicine

(440) 286-9588

Geauga Medical Building, 13170 Ravenna Rd. #112

Chardon, OH 44024

Pawlicki, Matthew Bernard, MD

Specialty: Family Practice

(440) 286-8841

100 Seventh Ave #111

Chardon, OH 44024

Whitney, Erika A, DO

Specialty: Internal Medicine

(440) 286-9588

Geauga Medical Building, 13170 Ravenna Rd. #112

Chardon, OH 44024

Cincinnati

Bort, Thaddeus M, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Braun, Margaret C, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Page 204 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Cincinnati

Cohen, Robert Maynard, MD

Specialty: Endocrinology, Diabetes & Metabolism

(513) 475-7400

222 Piedmont Avenue, Suite 4300

Cincinnati, OH 45219

Demarco, David John, MD

Specialty: Family Practice

(513) 389-1400

6480 Harrison Avenue

Cincinnati, OH 45248

Denney, Amanda Marie, MD

Specialty: Endocrinology

(513) 272-0313

4440 Red Bank Expressway, Suite 210

Cincinnati, OH 45227

Donnelly, Walter E, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Fazlani, Naveed A., MD

Specialty: Internal Medicine

(513) 931-9600

1380 Compton road

Cincinnati, OH 45231

Goldenberg, Naila M, MD

Specialty: Endocrinology, Diabetes & Metabolism

(513) 475-7400

222 Piedmont Avenue, Suite 4300

Cincinnati, OH 45219

Greenberg, Bruce, MD

Specialty: Internal Medicine

(513) 686-4840

4750 East Galbraith Road, Suite 207

Cincinnati, OH 45040

Ohio

Cincinnati

Hancher, Douglas L., MD

Specialty: Family Practice

(513) 771-7213

212 West Sharon Road

Cincinnati, OH 45246

Hazen, Joseph P, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Ave

Cincinnati, OH 45211

Heile, Micheal K, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Heuker, Sonja A., MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue, 6331 Glenway Avenue

Cincinnati, OH 45211

Hsieh, Ron J., MD

Specialty: Internal Medicine

(513) 891-3664

8041 Hosbrook Rd, Suite 200

Cincinnati, OH 45236

Kohls, Regina A, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Magenheim, Douglas A., MD

Specialty: Internal Medicine

(513) 631-6963

9050 Montgomery Road, Suite B

Cincinnati, OH 45242

Ohio

Cincinnati

Mccarren, Timothy J, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Mechley, Amy R, MD

Specialty: Family Practice

(513) 389-1400

6480 Harrison Avenue

Cincinnati, OH 45248

Overbeck-zisko, Terri L, MD

Specialty: Family Practice

(513) 389-1400

6331 Glenway Avenue

Cincinnati, OH 45211

Pritchard, James Clay, MD

Specialty: Family Practice

(513) 891-3664

8041 Hosbrook Rd., Suite 200

Cincinnati, OH 45236

Schroer, Melissa L, MD

Specialty: Family Practice

(513) 347-6922

5314 Delhi Pike Suite 1

Cincinnati, OH 45238-5396

Webb, Barry W., MD

Specialty: Family Practice

(513) 771-7213

212 West Sharon Road

Cincinnati, OH 45246

Yaqub, Nadia, MD

Specialty: Endocrinology, Diabetes & Metabolism

(513) 475-7400

222 Piedmont Avenue, Suite 4300

Cincinnati, OH 45219

Page 205 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Cincinnati

Zapf, Lisa V, NP

Specialty: Nurse Practitioner

(513) 475-7400

222 Piedmont Avenue, Suite 4300

Cincinnati, OH 45219

Circleville

Frank, Kevin D., MD

Specialty: Internal Medicine

(740) 474-8818

140 Morris Road

Circleville, OH 43113

Prosperi, Anne H., DO

Specialty: Family Practice

(740) 474-8818

140 Morris Road

Circleville, OH 43113

Cleveland

Bronson, David, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Erokwu, Evelyn, MD

Specialty: Internal Medicine

(216) 291-4886

Sevorance Medical Arts Buiilding, 5 Sevorance Circle, # 514

Cleveland, OH 44118

Hull, Alan, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Jin, Xian Wen, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Ohio

Cleveland

Kothari, Shakuntala, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Kumar, Praveer, MD

Specialty: Internal Medicine

(216) 291-4886

Sevorance Medical Arts Buiilding, 5 Sevorance Circle, # 514

Cleveland, OH 44118

Lefferts, Geoffrey, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Mayer, Mark, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Mehta, Neil, MD

Specialty: Radiation Oncology

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Nielsen, Craig, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Sikon, Andrea, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Ohio

Cleveland

Teng, Kathryn, MD

Specialty: Internal Medicine

(216) 444-5665

9500 Euclid Ave, G10

Cleveland, OH 44195

Columbus

Addington, William E., DO

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Alexis, Thomas R, MD

Specialty: Internal Medicine

(614) 274-7799

4310 Clime Rd Ste B

Columbus, OH 43228

Anderson, Kevin J., MD

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Austin, Kimberly Bradshaw, MD

Specialty: Family Practice

(614) 566-0950

4850 E Main St

Columbus, OH 43213

Beesley, Brian Joseph, DO

Specialty: Family Practice

(614) 299-2557

100 West Third Avenue

Columbus, OH 43201

Blackman, John D, MD

Specialty: Endocrinology, Diabetes & Metabolism

(614) 566-9922

500 E. Main St., Suite 100

Columbus, OH 43215

Page 206 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Columbus

Blakely, Keith Allen, MD

Specialty: Family Practice

(614) 898-0150

5925 Cleveland Ave

Columbus, OH 43231

Bushek, Stephen, MD

Specialty: Family Practice

(614) 267-1440

6721 Karl Road

Columbus, OH 43229

Chernick, Edward M, MD

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Conklin, Jacob Ezra, MD

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Courser, Maria C., MD

Specialty: Internal Medicine

(614) 299-0215

1117 West First Avenue

Columbus, OH 43212

Courser, Maria Chrisan, MD

Specialty: Internal Medicine

(614) 299-6333

2150 Marble Cliff Office Park

Columbus, OH 43215

Cronau, Holly R., MD

Specialty: Family Practice

(614) 293-3681

2231 N High Street

Columbus, OH 43201

Davis, LaBronz, MD

Specialty: Family Practice

2872 West Broad Street

Columbus, OH 43204-2465

Ohio

Columbus

Devine, Robin C., DO

Specialty: Family Practice

(614) 231-2729

3180 East Broad Street

Columbus, OH 43209-2055

Dougherty, Dana Lynn, MD

Specialty: Family Practice

(614) 856-0700

150 Taylor Station Road, Suite 140

Columbus, OH 43213

Doyle, Patrick B., MD

Specialty: Family Practice

(614) 231-2729

3180 East Broad Street

Columbus, OH 43209-2055

Fahey, Patrick J, MD

Specialty: Family Practice

(614) 293-3681

2231 N High Street

Columbus, OH 43201

Finnie, Douglas G, MD

Specialty: Internal Medicine

(614) 274-7799

4310 Clime Road, Suite B

Columbus, OH 43228

Ghiloni, Bryan W., MD

Specialty: Family Practice

(614) 267-1440

6721 Karl Road

Columbus, OH 43229

Ghosh, Mimi Ananya, MD

Specialty: Family Practice

(614) 545-4790

929 Jasonway Avenue, Suite B

Columbus, OH 43214

Giersch, Jennifer Ann, MD

Specialty: Family Practice

(614) 856-0700

150 Taylor Station Road, Suite 140

Columbus, OH 43213

Ohio

Columbus

Harrigal, Michael Joseph, MD

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Heintz, John Stephen, MD

Specialty: Pediatrics

(614) 299-6333

2150 Marble Cliff Office Park

Columbus, OH 43215

Jammu, Balpreet S., MD

Specialty: Emergency Medicine

(614) 430-9582

7400 Huntington Park Drive, Suite 200

Columbus, OH 43235

Jipa, Daniela, MD

Specialty: Internal Medicine

(614) 274-7799

4310 Clime Rd Ste B

Columbus, OH 43228

Kalb, Julie L, DO

Specialty: Family Practice

(614) 234-9887

81 East Wilson Bridge RJ

Columbus, OH 43085

Loy, Nancy, MD

Specialty: Family Practice

(614) 234-9887

81 East Wilson Bridge RJ

Columbus, OH 43085

Lozano, Rolando A, MD

Specialty: Pediatric Endocrinology

(614) 839-3040

55 Dillmont Dr, Suite 100

Columbus, OH 43235

Page 207 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Columbus

Lutmer, William J, MD

Specialty: Endocrinology

(614) 566-9922

500 E. Main St., Suite 100

Columbus, OH 43215

Macerollo, Allison Avery, MD

Specialty: Family Practice

(614) 257-3560

1492 East Broad Street, Suite 1302

Columbus, OH 43205

Mackessy, James Patrick, MD

Specialty: Family Practice

(614) 231-2729

3180 East Broad Street

Columbus, OH 43209-2055

Mast, Maurice C., MD

Specialty: Internal Medicine

(614) 566-9933

500 E Main St., Ste. 100

Columbus, OH 43215

Mccamey, Kendra Lee, MD

Specialty: Family Practice

(614) 293-7417

1615 Fishinger Road

Columbus, OH 43221

McClure, David B., MD

Specialty: Internal Medicine

(614) 533-3475

300 Polaris Pkwy, Suite 3400

Columbus, OH 43082

Mcconaghy, John R, MD

Specialty: Family Practice

(614) 293-7417

1615 Fishinger Road

Columbus, OH 43221

Ohio

Columbus

McDougle, Leon, MD

Specialty: Family Practice

(614) 257-3560

1492 East Broad Street, Suite 1302

Columbus, OH 43205

Mckee, Jean, MD

Specialty: Family Practice

(614) 898-0150

5925 Cleveland Avenue

Columbus, OH 43231

Melaragno, Daniel P., MD

Specialty: Internal Medicine

(614) 267-8371

3400 Olentangy River Road, Ste. 150

Columbus, OH 43202

Melmed, Sanford Z., MD

Specialty: Internal Medicine

(614) 338-8833

2222 Welcome Place

Columbus, OH 43209

Miser, William Frederick, MD

Specialty: Family Practice

(614) 293-3681

2231 N High Street

Columbus, OH 43201

Mokhtari, Mina R, MD

Specialty: Family Practice

(614) 274-7799

4310 Clime Rd Ste B

Columbus, OH 43228

Murden, Robert A., MD

Specialty: Internal Medicine

(614) 293-8054

2050 Kenny Road, Suite 2400

Columbus, OH 43221

Ohio

Columbus

Neiger, David, MD

Specialty: Internal Medicine

(614) 459-3687

770 Jasonway Avenue, G-2

Columbus, OH 43214

Nowell, Leslie Ann, DO

Specialty: Family Practice

(614) 898-0150

5925 Cleveland Avenue

Columbus, OH 43231

Oppenheim-knudsen, Eunice, MD

Specialty: General Practice

(614) 293-7417

1615 Fishinger Road

Columbus, OH 43221

Padamadan, Hosi, MD

Specialty: Family Practice

(614) 293-2334

1727 Bethel Road

Columbus, OH 43220

Phillips, Antonio M, MD

Specialty: Family Practice

2872 West Broad Street

Columbus, OH 43204-2465

Rizer, Milisa K, MD

Specialty: Family Practice

(614) 293-3681

2231 N High Street

Columbus, OH 43201

Ryazansky, Irina, MD

Specialty: Internal Medicine

(614) 274-7799

4310 Clime Road, Suite B

Columbus, OH 43228

Siddiqi, Bushra N, MD

Specialty: Family Practice

(614) 293-2850

445 East Dublin-Granville Road

Columbus, OH 43085

Page 208 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Columbus

Steginsky, Alan D., MD

Specialty: Internal Medicine

810 Jasonway Blvd., Suite B

Columbus, OH 43214

Suggs, Cassandra, MD

Specialty: Family Practice

(614) 237-1067

3341 E Livingston Avenue, Ste. D

Columbus, OH 43227

Tayal, Neeraj H., MD

Specialty: Internal Medicine

(614) 293-8054

2050 Kenny Road, Suite 2400

Columbus, OH 43221

Thompson, Douglas C, MD

Specialty: Internal Medicine

(614) 533-4000

7630 Rivers Edge Dr

Columbus, OH 43235-1329

Tweel, Jr., Charles T., MD

Specialty: Family Practice

(614) 459-1976

4945 Olentangy River Rd.

Columbus, OH 43214

Tyberg, Shifra, MD

Specialty: Family Practice

(614) 237-1067

3341 E Livingston Avenue, Ste. D

Columbus, OH 43227

Welker, Mary jo P, MD

Specialty: Family Practice

(614) 293-3681

2231 N High Street

Columbus, OH 43201

Woodlief, Cameron M., MD

Specialty: Internal Medicine

(614) 322-9640

6465 E. Broad Street, Suite D

Columbus, OH 43213

Ohio

Columbus

Wulf, J William, MD

Specialty: Internal Medicine

810 Jasonway Blvd., Suite B

Columbus, OH 43214

Zipf, William Byron, MD

Specialty: Pediatric Endocrinology

(614) 839-3040

55 Dillmont Dr, Suite 100

Columbus, OH 43235

Concord

Noall, Carol L, MD

Specialty: Family Practice

(440) 358-5440

University Hospitals Concord Health Center, 7500 Auburn Rd., #2400

Concord, OH 44077

Dayton

Brown, Morris L., MD

Specialty: Family Practice

(937) 561-0800

301 W. First

Dayton, OH 45402

Derksen, James A, MD

Specialty: Family Practice

(937) 293-9640

948 Patterson Road

Dayton, OH 45419

Glowienka, Paul Robert, MD

Specialty: Internal Medicine

(937) 401-7575

1989 Miamisburg - Centerville Road, Suite 304

Dayton, OH 45459

Greer, Thomas C, MD

Specialty: Family Practice

(937) 293-9640

948 Patterson Road

Dayton, OH 45419

Ohio

Dayton

Hirt, Thomas W., MD

Specialty: Family Practice

(937) 428-6830

6520 Acro Ct.

Dayton, OH 45459

Hoyng, Carl F, DO

Specialty: Family Practice

(937) 277-1722

77 East Woodbury, Ste 110

Dayton, OH 45415

Hoyng, Carl F, MD

Specialty: Family Practice

(937) 277-1722

100 Forest Park Drive

Dayton, OH 45405

Martin, Paul A, DO

Specialty: Family Practice

(937) 277-1722

77 East Woodbury, Ste 110

Dayton, OH 45415

Mauer, John E., MD

Specialty: Internal Medicine

(937) 293-1117

540 Lincoln Park Blvd, Suite 200

Dayton, OH 45429

Nishiyama, Fumie Jill, MD

Specialty: Endocrinology, Diabetes & Metabolism

(937) 401-7575

1989 Miamisburg - Centerville Road, Suite 304

Dayton, OH 45459

Nwokoro, Ugochukwu, MD

Specialty: Internal Medicine

(937) 224-4325

1 ELIZABETH PLACE, SUITE 260

DAYTON, OH 45408

Page 209 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Dayton

Owusu dekyi, Kwabena, MD

Specialty: Family Practice

(937) 428-6830

6520 Acro Ct.

Dayton, OH 45459

Randall, William J, MD

Specialty: Family Practice

(937) 293-9640

948 Patterson Road

Dayton, OH 45419

Romer, Douglas E., MD

Specialty: Family Practice

(937) 428-6830

6520 Acro Ct.

Dayton, OH 45459

Schibler, Kelly A, MD

Specialty: Family Practice

(937) 254-6114

1343 Woodman Dr.

Dayton, OH 45432

Schloneger, Mark R., MD

Specialty: Family Practice

(937) 274-2117

7211 North Main Street, Suite 1

Dayton, OH 45415

Seiler, James F., MD

Specialty: Family Practice

(937) 274-2117

7211 North Main Street, Suite 1

Dayton, OH 45415

Togliatti, Tamara C., MD

Specialty: Internal Medicine

(937) 293-1117

540 Lincoln Park Blvd, Suite 200

Dayton, OH 45429

Twyman, Marlon D., MD

Specialty: Family Practice

(937) 268-3483

1152 W. Third Street

Dayton, OH 45402

Ohio

Defiance

Arshad, Amer, MD

Specialty: Internal Medicine

(419) 784-2776

1250 Ralston Ave., Suite 202

Defiance, OH 43512

Reiter, Rosemary K, MD

Specialty: Family Practice

(419) 782-8332

1250 Ralston Ave., Suite 204

Defiance, OH 43512

Dublin

Barr, James J, MD

Specialty: Family Practice

(614) 761-2244

250 West Bridge St.

Dublin, OH 43017

Boyle, Brian Joseph, MD

Specialty: Family Practice

(614) 761-2244

250 West Bridge St.

Dublin, OH 43017

Carducci, Joseph, MD

Specialty: Family Practice

(614) 761-2244

250 West Bridge St.

Dublin, OH 43017

Pelfrey, John David, MD

Specialty: Family Practice

(614) 761-2244

250 West Bridge St.

Dublin, OH 43017

East Liverpool

Beatty, Richard W., MD

Specialty: Internal Medicine

(330) 385-9492

48462 Bells School Rd., Ste. 2A

East Liverpool, OH 43920

Euclid

Ohio

Euclid

Bhatt, Jyoti J., MD

Specialty: Internal Medicine

(216) 383-5920

UH Euclid Health Center, 18599 Lakeshore Blvd., # 200

Euclid, OH 44119

Cogan, David P., MD

Specialty: Internal Medicine

(216) 383-5920

UH Euclid Health Center, 18599 Lakeshore Blvd., # 200

Euclid, OH 44119

Eckstein, Margaret Ann, MD

Specialty: Internal Medicine

(216) 383-5920

UH Euclid Health Center, 18599 Lakeshore Blvd., # 200

Euclid, OH 44119

Hoppes, Delbert A, DO

Specialty: Family Practice

(216) 383-5920

UH Euclid Health Center, 18599 Lakeshore Blvd., # 200

Euclid, OH 44119

Lin, Wen-An, MD

Specialty: Internal Medicine

(216) 383-5920

UH Euclid Health Center, 18599 Lakeshore Blvd., # 200

Euclid, OH 44119

Fairfield

Herzig, Edward B., MD

Specialty: Rheumatology

(513) 645-1125

5150 Sandy Lane

Fairfield, OH 45014

Koehl, Rebecca S., MD

Specialty: Family Practice

(513) 829-2618

741 Wessel Drive

Fairfield, OH 45014

Page 210 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Fairfield

Mauntel, William J., MD

Specialty: Family Practice

(513) 829-2618

741 Wessel Drive

Fairfield, OH 45014

Meier, Christopher J., MD

Specialty: Family Practice

(513) 829-2618

741 Wessel Drive

Fairfield, OH 45014

Samaan, Robert G., MD

Specialty: Internal Medicine

(513) 682-7273

3050 Mack Blvd., #305

Fairfield, OH 45014

Stone, Ann, CRNP

Specialty: Nurse Practitioner

(513) 645-1125

5150 Sandy Lane

Fairfield, OH 45014

Farmersville

Ratcliff, Lawrence Gene, MD

Specialty: Family Practice

(937) 696-2858

49 E. Center St.

Farmersville, OH 45325

Findlay

Schroeder, Leroy L, MD

Specialty: Internal Medicine

(419) 424-0380

200 West Pearl Street

Findlay, OH 45840

Fostoria

Byatt, James S., MD

Specialty: Family Practice

(419) 436-1035

501 Van Buren Street, Suite 202

Fostoria, OH 44830

Ohio

Fostoria

Harvey, Roy E, MD

Specialty: Family Practice

(419) 436-1226

506 Van Buren Street

Fostoria, OH 44830

Ruehl, Kristine M, NP

Specialty: Nurse Practitioner

(419) 436-1226

506 Van Buren Street

Fostoria, OH 44830

Gahanna

Alexander, Michael James, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Bacon, Patricia Ann, DO

Specialty: Family Practice

(614) 855-4746

1045 Beecher Crossing N, Suite B

Gahanna, OH 43230

Hooper, Kimberly Clay, DO

Specialty: Family Practice

(614) 855-4746

1045 Beecher Crossing N, Suite B

Gahanna, OH 43230

Manfresca, Charles J, DO

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Mason, Janet Rae, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Ohio

Gahanna

Ndife, Anita Nwamaka, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Petri, Benita M, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Wexler, Randell K, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Wood, Joel Christopher, MD

Specialty: Family Practice

(614) 293-2614

920 N. Hamilton Road, Suite 300

Gahanna, OH 43230

Galloway

Cocumelli, John Anthony, DO

Specialty: Family Practice

(614) 878-0036

986 S Galloway Rd

Galloway, OH 43119

Geneva

Mikhail, Yasser, MD

Specialty: Internal Medicine

(440) 466-4641

890 W. Main Street, Suite 103, #103

Geneva, OH 44041

Tchelidze, Tea, MD

Specialty: Internal Medicine

(440) 720-3260

890 W. Main Street # 103

Geneva, OH 44041

Germantown

Page 211 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Germantown

Berks, Bernard L, DO

Specialty: Family Practice

(937) 855-4135

1265 W. Market Street

Germantown, OH 45327

Fedrizzi, Krisell Dawn, DO

Specialty: Family Practice

(937) 855-6006

1870 Dayton Pike

Germantown, OH 45327

Watson, Noel J, MD

Specialty: Family Practice

(937) 855-7275

1217 W. Market Street

Germantown, OH 45327

Granville

Eubanks, Angela A, MD

Specialty: Family Practice

(740) 587-0870

1945 Newark - Granville Road

Granville, OH 43023

Grove City

Buendia, Francisco C, MD

Specialty: Family Practice

(614) 875-0011

3154 Park Street

Grove City, OH 43123

Furci, Donald R, DO

Specialty: Family Practice

(614) 566-0987

2030 Stringtown Rd., Third floor

Grove City, OH 43123

Henceroth-Gatto, Nancy A, DO

Specialty: Family Practice

(614) 875-3649

Grove City Family Practice, 3774 Broadway

Grove City, OH 43123

Ohio

Grove City

Janczak, Richard Matthew, MD

Specialty: Family Practice

(614) 875-0011

3154 Park Street

Grove City, OH 43123

Sams, Sarah Leann, MD

Specialty: Family Practice

(614) 566-0987

2030 Stringtown Rd., Third floor

Grove City, OH 43123

Urse, Geraldine N, DO

Specialty: Family Practice

(614) 566-0987

2030 Stringtown Rd., Third floor

Grove City, OH 43123

Wallace, Douglas Craig, MD

Specialty: Family Practice

(614) 875-0011

3154 Park Street

Grove City, OH 43123

Wendorff, Daniel J, MD

Specialty: Internal Medicine

(614) 875-9900

3055 Columbus St

Grove City, OH 43123

Groveport

York, Nowell R., MD

Specialty: Family Practice

(614) 546-4266

5345 Hendron Rd.

Groveport, OH 43125

Hamilton

Mital, Chetna, MD

Specialty: Internal Medicine

(513) 867-2622

1010 Cereal Ave., Ste. 307, Suite 307

Hamilton, OH 45013

Harbor Heights

Ohio

Harbor Heights

Hunter, Robert L., DO

Specialty: Family Practice

(937) 233-7146

8701 Old Troy Pike, Suite 20

Harbor Heights, OH 45424

Hilliard

Chidester, Kara Elizabeth, MD

Specialty: Family Practice

(614) 876-7330

3958 Leap Rd., Ste. 101

Hilliard, OH 43026

Columber, Heather Elaine, DO

Specialty: Family Practice

(614) 850-9311

5548 Hilliard Rome Office Pk

Hilliard, OH 43026

deVillers, Rebecca E, DO

Specialty: Family Practice

4600 Leap Ct

Hilliard, OH 43026

Dewalt, Mark Andrew, DO

Specialty: Family Practice

(614) 777-9250

3535 Fishinger Blvd, Ste 150

Hilliard, OH 43026

Efaw, Brad S., MD

Specialty: Family Practice

(614) 876-7330

3958 Leap Rd., Ste. 101

Hilliard, OH 43026

Fleshman, Daniel, MD

Specialty: Family Practice

(614) 234-9777

3617 Heritage Club Dr.

Hilliard, OH 43026

Heinlen, Leah E, MD

Specialty: Family Practice

(614) 876-7330

3958 Leap Rd., Ste. 101

Hilliard, OH 43026

Page 212 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Hilliard

Hines, Heather Dawn, DO

Specialty: Family Practice

(614) 850-9311

5548 Hilliard Rome Office Pk

Hilliard, OH 43026

Jeu, Joseph M., MD

Specialty: Family Practice

(614) 876-7330

3958 Leap Rd., Ste. 101

Hilliard, OH 43026

Kang, Dong hui, MD

Specialty: Internal Medicine

(614) 234-9777

3617 Heritage Club Dr

Hilliard, OH 43026

Kromer, Dana Marie, DO

Specialty: Family Practice

4600 Leap Ct

Hilliard, OH 43026

Mougey, Ketki P, MD

Specialty: Family Practice

(614) 234-9777

3617 Heritage Club Dr.

Hilliard, OH 43026

Sage, Ann Michelle, DO

Specialty: Family Practice

(614) 850-8334

6314 Scioto Darby Rd

Hilliard, OH 43026

Schroer, Eric C., MD

Specialty: Family Practice

(614) 876-9558

3823 Trueman Court

Hilliard, OH 43026

Seshadri, Lakshmi, MD

Specialty: Family Practice

(614) 234-9777

5300 Nike Dr.

Hilliard, OH 43026

Ohio

Hilliard

Stone, Derek Edward, DO

Specialty: Family Practice

4600 Leap Ct

Hilliard, OH 43026

Sullivan, Lori Ann, MD

Specialty: Family Practice

(614) 234-9777

3617 Heritage Club Dr.

Hilliard, OH 43026

Turner, Marsha Jayne, DO

Specialty: Family Practice

4600 Leap Ct

Hilliard, OH 43026

Watkins, Nicholas Robert, MD

Specialty: Family Practice

(614) 876-7330

3958 Leap Rd., Ste. 101

Hilliard, OH 43026

Zulliger, Laurel A, MD

Specialty: Family Practice

(614) 876-9558

3823 Trueman Court

Hilliard, OH 43026

Huber Heights

Bennett, Barbara A, DO

Specialty: Family Practice

(937) 233-1184

8701 Old Troy Pike, Suite 50

Huber Heights, OH 45424

Koren, Joni M, DO

Specialty: Family Practice

(937) 233-0231

8701 Old Troy Pike, Suite 50

Huber Heights, OH 45424

Riddiford, Terri Wilkerson, MD

Specialty: Family Practice

(937) 233-5169

6255 Chambersburg Road

Huber Heights, OH 45424

Ohio

Huber Heights

Turner, Donald L, DO

Specialty: Family Practice

(937) 233-5169

6255 Chambersburg Road

Huber Heights, OH 45424

Hudson

Cash, Shelby Joseph, MD

Specialty: Internal Medicine

(330) 655-2161

University Hospitals Hudson Health Center, 5778 Darrow Rd. #D

Hudson, OH 44236

Gerlach, Bruce A, MD

Specialty: Family Practice

(330) 655-2161

University Hospitals Hudson Health Center, 5778 Darrow Rd. #D

Hudson, OH 44236

Ismail, Saira Banu, MD

Specialty: Family Practice

(330) 655-2161

University Hospitals Hudson Health Center, 5778 Darrow Rd. #D

Hudson, OH 44236

MacCallum, Charles L, MD

Specialty: Family Practice

(330) 655-2161

University Hospitals Hudson Health Center, 5778 Darrow Rd. #D

Hudson, OH 44236

Independence

Batur, Pelin, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Page 213 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Independence

Dellaportas, Sandra, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Deyling, Cynthia, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Kelleher, Ann, DO

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Russ, Jocelyn, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Schall, Perry, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Zuber, Jeanne, MD

Specialty: Internal Medicine

(216) 986-4000

5001 Rockside Road, Crown Centre II

Independence, OH 44131

Lakewood

Bautista, Jan, MD

Specialty: Internal Medicine

(216) 521-4400

16215 Detroit Avenue

Lakewood, OH 44107

Ohio

Lakewood

Colacarro, Robert, MD

Specialty: Internal Medicine

(216) 521-4400

16215 Detroit Avenue

Lakewood, OH 44107

Culley, Carl, MD

Specialty: Internal Medicine

(216) 521-4400

16215 Detroit Avenue

Lakewood, OH 44107

Lewis Center

Gordish, Deborah A, MD

Specialty: Internal Medicine

(614) 688-7169

6515 Pullman Dr., Suite 2200

Lewis Center, OH 43035

Mostov, Perry D, DO

Specialty: Family Practice

(614) 688-7169

6515 Pullman Dr., Suite 2200

Lewis Center, OH 43035

Louisville

Tabb, Catharine J, MD

Specialty: Family Practice

(330) 875-3353

1303 California Avenue

Louisville, OH 44641

Madison

Manohar, Chenguttai, MD

Specialty: Internal Medicine

(440) 428-7511

701 N. Lake Street, #101

Madison, OH 44057

Mikhail, Josephine, MD

Specialty: Internal Medicine

(440) 428-1106

UH Madison Clinic, 701 N. Lake St. #102

Madison, OH 44057

Marysville

Ohio

Marysville

Applegate, David T., MD

Specialty: Family Practice

1044 Columbus Avenue

Marysville, OH 43040

Applegate, Mary S., MD

Specialty: Family Practice

1044 Columbus Avenue

Marysville, OH 43040

Wilson, Deborah, MD

Specialty: Family Practice

(937) 578-4004

498 London Ave, Suite C

Marysville, OH 43040

Mason

Kotzin, Scott Aaron, DO

Specialty: Internal Medicine

(513) 229-4900

7450 Mason-Montgomery Road, Suite 200

Mason, OH 45040

Neack, Lawrence E., MD

Specialty: Internal Medicine

(513) 573-1444

770 Reading Road, Suite A

Mason, OH 45040

Massillon

Clarke, Ashley Williams, DO

Specialty: Family Practice

(330) 880-5671

2520 Wales Ave NW #220

Massillon, OH 44646

Lach, Joseph R., MD

Specialty: Internal Medicine

(330) 830-9378

2037 Wales Avenue, Suite 130

Massillon, OH 44646

Page 214 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Massillon

Westerbeck, John C., MD

Specialty: Internal Medicine

(330) 830-9378

2037 Wales Avenue, Suite 130

Massillon, OH 44646

Maumee

Cox, Thomas, MD

Specialty: Family Practice

(419) 891-6210

650 Beaver Creek, Suite 110

Maumee, OH 43537

Dregansky, Glenn V, DO

Specialty: Family Practice

(419) 891-6210

650 Beaver Creek, Suite 110

Maumee, OH 43537

Ewry, James A, MD

Specialty: Family Practice

(419) 891-6210

650 Beaver Creek, Suite 110

Maumee, OH 43537

Halasy, Christopher, MD

Specialty: Family Practice

(419) 893-1971

120 W. Dudley

Maumee, OH 43537

Mattison, Timothy J, MD

Specialty: Internal Medicine

(419) 887-5833

5757 Monclova Road, Suite 15

Maumee, OH 43537

Ostrowski, Emily, MD

Specialty: Family Practice

(419) 891-6210

650 Beaver Creek, Suite 110

Maumee, OH 43537

Ohio

Maumee

Roth, Matt D, MD

Specialty: Family Practice

(419) 891-6210

650 Beaver Creek, Suite 110

Maumee, OH 43537

Singh, Shalini, DO

Specialty: Family Practice

(419) 887-8780

5757 Monclova #11

Maumee, OH 43537

Mayfield Heights

Faiman, Gregg, MD

Specialty: Endocrinology, Diabetes & Metabolism

(440) 646-2200

5850 Landerbrook Road, Suite #100

Mayfield Heights, OH 44124

Stanescu, Gabriel, MD

Specialty: Internal Medicine

(440) 720-3260

5850 Landerbrook Road, Suite 105, #105

Mayfield Heights, OH 44124

Tawney, Kathryn, MD

Specialty: Internal Medicine

(440) 720-3260

5850 Landerbrook Road, Suite 105, #105

Mayfield Heights, OH 44124

Wolovitz, Brian, MD

Specialty: Internal Medicine

(440) 646-2200

5850 Landerbrook Road, Suite #100

Mayfield Heights, OH 44124

Medina

Denton, Alice, MD

Specialty: Internal Medicine

(330) 725-3009

3617 Reserve Commons Drive

Medina, OH 44256

Ohio

Medina

Monheim, Karen, MD

Specialty: Internal Medicine

(330) 725-3009

3617 Reserve Commons Drive

Medina, OH 44256

Ronyak, Julie A, DO

Specialty: Internal Medicine

(330) 725-3009

UH Medina Health center, 4001 Carrick Dr., #210

Medina, OH 44256

Medway

Hubach, Edward A., DO

Specialty: Family Practice

(937) 849-1363

105 Sycamore Street

Medway, OH 45341

Mentor

Beller, Nancy O., MD

Specialty: Internal Medicine

(440) 974-4404

U.H. Mentor Health Center, 9000 Mentor Avenue, #105

Mentor, OH 44060

Lele, Anju, MD

Specialty: Internal Medicine

(440) 974-4404

U.H. Mentor Health Center, 9000 Mentor Avenue, #105

Mentor, OH 44060

Senft, James, MD

Specialty: Internal Medicine

(440) 974-4404

UH Mentor Health Center, 9000 Mentor Ave., Suite 105

Mentor, OH 44084

Metamora

Page 215 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Metamora

Evanoff, Jr., John C., MD

Specialty: Family Practice

(419) 644-4818

1990 County Rd.

Metamora, OH 43540

Middleburg Heights

Gundapaneni, Ramesh, MD

Specialty: Internal Medicine

(440) 816-2777

7255 Old Oak Blvd., #209

Middleburg Heights, OH 44130

Munjapara, Valji, MD

Specialty: Internal Medicine

(440) 816-2777

7255 Old Oak Blvd., #209

Middleburg Heights, OH 44130

Middlefield

Tumbush, John A, DO

Specialty: Family Practice

(440) 632-0408

Evans Middlefield Medical Center, 15976 East High St.

Middlefield, OH 44062

Williams-Reid, Jennifer L, MD

Specialty: Family Practice

(440) 632-0408

Evans Middlefield Medical Center, 15976 East High St.

Middlefield, OH 44062

Middletown

Avera, Leah M, MD

Specialty: Family Practice

(513) 217-5850

1042 Summit Dr.

Middletown, OH 45042

Mount Gilead

Ohio

Mount Gilead

Bachelder, Brian L., MD

Specialty: Family Practice

(419) 947-7015

642 West Marion Road

Mount Gilead, OH 43338

New Albany

Boysel, Steven C., MD

Specialty: Family Practice

(614) 855-4878

55 North High St.

New Albany, OH 43054

Fate, Troy D., MD

Specialty: Family Practice

(614) 855-4878

55 North High St.

New Albany, OH 43054

Gruenther, Raymond C., MD

Specialty: Family Practice

(614) 855-4878

55 North High St.

New Albany, OH 43054

Jolly, Inga, DO

Specialty: Family Practice

(614) 855-4878

55 N High St

New Albany, OH 43054

North Canton

Young, Maria Siobhanne, MD

Specialty: Internal Medicine

(330) 433-1200

6046 Whipple Ave NW

North Canton, OH 44720

Orange Village

Stein, Richard, MD

Specialty: Internal Medicine

(216) 383-6397

3909 Orange Place, Suite 2400

Orange Village, OH 44122

Oregon

Ohio

Oregon

Gill, Kaleem U., MD

Specialty: Family Practice

(419) 690-7686

2751 Bay Park Drive, 2751 Bay Park Drive, Suite 303

Oregon, OH 43616

Yuan, Joses K h, MD

Specialty: Family Practice

(419) 690-7686

2751 Bay Park Drive, 2751 Bay Park Drive, Suite 303

Oregon, OH 43616

Painesville

Beck, Glenn, DO

Specialty: Family Practice

(440) 354-9900

470 Bacon Rd.

Painesville, OH 44077

Brinkman, Angela, DO

Specialty: Family Practice

(440) 354-9900

470 Bacon Rd.

Painesville, OH 44077

Perrysburg

Badik, Bryan J., MD

Specialty: Family Practice

(419) 872-7745

1601 Brigham Drive, Suite 250

Perrysburg, OH 43551

Bialecki-Haase, Dee Ann, MD

Specialty: Family Practice

(419) 872-7745

1601 Brigham Drive, Suite 250

Perrysburg, OH 43551

Evans, Jason L., MD

Specialty: Family Practice

(419) 872-7745

1601 Brigham Drive, Suite 250

Perrysburg, OH 43551

Page 216 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Perrysburg

Matousek, Michelle L., DO

Specialty: Family Practice

(419) 872-7745

1601 Brigham Drive, Suite 250

Perrysburg, OH 43551

Schwartz, Richard, MD

Specialty: Family Practice

(419) 872-7745

1601 Brigham Drive, Suite 250

Perrysburg, OH 43551

Pickerington

Benedict, Stephanie L, MD

Specialty: Family Practice

(614) 833-0880

641 Hill Rd N, Suite A

Pickerington, OH 43147-9346

Kageorge, David A., MD

Specialty: Family Practice

(614) 833-0880

641 Hill Rd N, Suite A

Pickerington, OH 43147-9346

Koch, Stephen M., MD

Specialty: Family Practice

(614) 833-0880

641 Hill Rd N, Suite A

Pickerington, OH 43147-9346

Martin, Peter Mathew, DO

Specialty: Family Practice

(614) 533-5400

Pickerington Primary Care, 1509 Stonecreek Dr. S

Pickerington, OH 43147

Silver, Jennifer A, MD

Specialty: Family Practice

(614) 833-0880

641 Hill Rd N, Suite A

Pickerington, OH 43147-9346

Ohio

Pickerington

Winchell, Joseph S., MD

Specialty: Family Practice

(614) 833-0880

641 Hill Rd N, Suite A

Pickerington, OH 43147-9346

Royalton

Nekl, Kenneth, MD

Specialty: Internal Medicine

(440) 582-9600

14200 Ridge Road

Royalton, OH 44133

Wiggers, Alan B., DO

Specialty: Internal Medicine

(440) 582-9600

14200 Ridge Road

Royalton, OH 44133

S. Euclid

Kent, Lawrence T., MD

Specialty: Rheumatology

(216) 381-4103

University Suburban Health Center, 1611 S. Green Road #260, #260

S. Euclid, OH 44121

King, Thomas Joseph, MD

Specialty: Internal Medicine

(216) 381-4103

University Suburban Health Center, 1611 S. Green Road #260, #260

S. Euclid, OH 44121

Morgenstern-Clarren, Hadley S., MD

Specialty: Internal Medicine

(216) 381-4103

University Suburban Health Center, 1611 S. Green Road #260, #260

S. Euclid, OH 44121

Ohio

S. Euclid

Steiner, William Wayne, MD

Specialty: Internal Medicine

(216) 381-4103

University Suburban Health Center, 1611 S. Green Road #260, #260

S. Euclid, OH 44121

Solon

Braver, Yvonne, MD

Specialty: Internal Medicine

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Cobb, Kendalle, MD

Specialty: Family Practice

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

DeSantis, Lisa, MD

Specialty: Family Practice

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Fuller, Keith, MD

Specialty: Internal Medicine

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Kratche, Richard, MD

Specialty: Family Practice

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Lipton, Mark, MD

Specialty: Internal Medicine

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Page 217 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Solon

Neides, Daniel, MD

Specialty: Family Practice

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Rich, Todd, MD

Specialty: Internal Medicine

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

Sullivan, Daniel, MD

Specialty: Internal Medicine

(440) 519-6800

29800 Bainbridge Road

Solon, OH 44139

South Euclid

DeJoseph, Debra Anne, MD

Specialty: Internal Medicine

(216) 691-3518

1611 South Green Road, Suite 160

South Euclid, OH 44121

Junglas, Phillip, MD

Specialty: Internal Medicine

(216) 691-3518

1611 South Green Road, Suite 160

South Euclid, OH 44121

Morgan, Janet Denese, MD

Specialty: Internal Medicine

(216) 691-3518

1611 South Green Road, Suite 160

South Euclid, OH 44121

Turoczi, Steven, MD

Specialty: Internal Medicine

(216) 691-3518

1611 South Green Road, Suite 160

South Euclid, OH 44121

Ohio

South Euclid

Tyler, Melanie D., MD

Specialty: Internal Medicine

(216) 691-3518

1611 South Green Road, Suite 160

South Euclid, OH 44121

Springboro

Barry, James H, MD

Specialty: Family Practice

(937) 885-0701

70 Remick Blvd.

Springboro, OH 45066

Fisco, James R, DO

Specialty: Family Practice

(937) 885-0701

70 Remick Blvd.

Springboro, OH 45066

Mason-Zied, Dena, DO

Specialty: Family Practice

(937) 428-6030

243 W. Central Ave

Springboro, OH 45066

Slaughenhaupt, James F, DO

Specialty: Family Practice

(937) 428-6030

243 W. Central Ave

Springboro, OH 45066

Strongsville

Davis, Nicholas, MD

Specialty: Family Practice

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Dejak, Irene, MD

Specialty: Internal Medicine

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Ohio

Strongsville

Harhay, Jeffrey, MD

Specialty: Internal Medicine

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Hopkins, Kevin, MD

Specialty: Family Practice

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Jewell, John, MD

Specialty: Internal Medicine

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Khatri, Lakshmi, MD

Specialty: Internal Medicine

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Miller, Joshua, DO

Specialty: Internal Medicine

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Reddy, Suresh, MD

Specialty: Family Practice

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Sheridan, Catherine, MD

Specialty: Family Practice

(440) 878-2500

16761 SouthPark Center

Strongsville, OH 44136

Waters, Judith Kuczek, MD

Specialty: Family Practice

(440) 238-7676

18181 Pearl Rd. #A104

Strongsville, OH 44136

Page 218 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Strongsville

Zelis, Brian David, MD

Specialty: Family Practice

(440) 238-7676

18181 Pearl Rd. #A104

Strongsville, OH 44136

Zelis, Cynthia, MD

Specialty: Family Practice

(440) 238-7676

18181 Pearl Rd. #A104

Strongsville, OH 44136

Sunbury

Hum, Hillman H, MD

Specialty: Internal Medicine

(740) 965-5500

44 South Kintner Parkway, Suite B

Sunbury, OH 43074

Sylvania

Durkin, Margaret, MD

Specialty: Internal Medicine

5308 Harroun Road Suite 170

Sylvania, OH 43560

Josh, Sanjiv K., MD

Specialty: Family Practice

5308 Harroun Road Suite 170

Sylvania, OH 43560

Tipp City

Harju, Aaron Christopher, MD

Specialty: Family Practice

(937) 669-3418

450 North Hyatt, Suite 202

Tipp City, OH 45371

Toledo

Beham, Richard A, MD

Specialty: Endocrinology

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Ohio

Toledo

Bodine, Kristen L., MD

Specialty: Family Practice

(419) 843-8100

7140 Port Sylvania Drive Suite 300, 7140 Port Sylvania Drive, Ste. 300

Toledo, OH 43617

Brunner, John E., MD

Specialty: Endocrinology, Diabetes & Metabolism

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Cantor, Cathy L., MD

Specialty: Internal Medicine

(419) 578-7036

2865 N. Reynolds Rd., Ste. 130

Toledo, OH 43615

Chakravarty, Jyoti, MD

Specialty: Endocrinology, Diabetes & Metabolism

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Darah, George N., DO

Specialty: Family Practice

(419) 843-8100

7140 Port Sylvania Drive Suite 300, 7140 Port Sylvania Drive, Ste. 300

Toledo, OH 43617

Delamater, Paul, MD

Specialty: Pediatric Endocrinology

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Edwards-Tuttle, Cynthia, NP

Specialty: Nurse Practitioner

(419) 843-8145

Flower Hospital Medical Office, 5308 Harroun Rd., Suite 155

Toledo, OH 43560

Ohio

Toledo

Emch, Kelly, MD

Specialty: Family Practice

3740 W. Sylvania Avenue Suite 100

Toledo, OH 43623

Facey, William, MD

Specialty: Family Practice

3740 W. Sylvania Avenue Suite 100

Toledo, OH 43623

Federman, Susan M, MD

Specialty: Family Practice

(419) 291-2670

3909 Woodley Road Suite 500, 3909 Woodley Rd., Suite 500

Toledo, OH 43606

Grossman, David L., MD

Specialty: Internal Medicine

(419) 843-8150

4640 W. Alexis Road

Toledo, OH 43623

Gundabolu, Bhaskar, MD

Specialty: Endocrinology, Diabetes & Metabolism

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Guntsch, Deborah, MD

Specialty: Family Practice

3740 W. Sylvania Avenue Suite 100

Toledo, OH 43623

Hacker, Timothy B., MD

Specialty: Internal Medicine

(419) 843-8150

4640 W. Alexis Road

Toledo, OH 43623

Harris-martorana, Melissa Marie, MD

Specialty: Internal Medicine

(419) 291-6720

3909 Woodley Rd., Ste 300, 3909 Woodley Road, Suite 300

Toledo, OH 43606

Page 219 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Toledo

Hoffman, Elizabeth A., MD

Specialty: Internal Medicine

(419) 291-6720

3909 Woodley Rd., Ste 300, 3909 Woodley Road, Suite 300

Toledo, OH 43606

Hopple, Craig T., MD

Specialty: Internal Medicine

(419) 843-8150

4640 W. Alexis Road

Toledo, OH 43623

Ilo, Eugenia, DO

Specialty: Internal Medicine

(419) 843-8150

4640 W. Alexis Road

Toledo, OH 43623

Kruse, Roger J., MD

Specialty: Family Practice

(419) 578-7036

2865 N. Reynolds Rd., Ste. 130

Toledo, OH 43615

Louth-Schmitt, Dorrie J, MD

Specialty: Internal Medicine

(419) 473-6610

ProMedica Health Center - Woodley, 3909 Woodley Rd., Suite 100

Toledo, OH 43606

Luce, Kathleen J., DO

Specialty: Family Practice

(419) 843-8100

7140 Port Sylvania Drive Suite 300, 7140 Port Sylvania Drive, Ste. 300

Toledo, OH 43617

Mallory, David, MD

Specialty: Family Practice

3740 W. Sylvania Avenue Suite 100

Toledo, OH 43623

Ohio

Toledo

McAlear, Thomas G., MD

Specialty: Internal Medicine

(419) 291-6720

3909 Woodley Rd., Ste 300, 3909 Woodley Road, Suite 300

Toledo, OH 43606

North, James L, MD

Specialty: Family Practice

(419) 291-2670

3909 Woodley Road Suite 500, 3909 Woodley Rd., Suite 500

Toledo, OH 43606

Przynosch, Stephen L, MD

Specialty: Family Practice

(419) 291-2670

3909 Woodley Road Suite 500, 3909 Woodley Rd., Suite 500

Toledo, OH 43606

Rae, Sean Sean, MD

Specialty: Internal Medicine

(419) 843-8145

Flower Hospital Medical Office, 5308 Harroun Rd., Suite 155

Toledo, OH 43560

Reiner, Louis M., MD

Specialty: Internal Medicine

(419) 291-6720

3909 Woodley Rd., Ste 300, 3909 Woodley Road, Suite 300

Toledo, OH 43606

Scheer, David K., MD

Specialty: Internal Medicine

(419) 291-6760

3909 Woodley Road Suite 600, 3909 Woodley Rd., Suite 600

Toledo, OH 43606

Stadler, Nancy, MD

Specialty: Family Practice

(419) 291-2670

3909 Woodley Road Suite 500, 3909 Woodley Rd., Suite 500

Toledo, OH 43606

Ohio

Toledo

Sundheimer, Alan B., MD

Specialty: Internal Medicine

(419) 291-6760

3909 Woodley Road Suite 600, 3909 Woodley Rd., Suite 600

Toledo, OH 43606

Vogel, Donald, MD

Specialty: Family Practice

3740 W. Sylvania Avenue Suite 100

Toledo, OH 43623

Watkins, Mark G, DO

Specialty: Pediatric Endocrinology

(419) 537-5111

3140 West Central Ave

Toledo, OH 43606

Watkins, Traci N, MD

Specialty: Family Practice

(419) 291-2670

3909 Woodley Road Suite 500, 3909 Woodley Rd., Suite 500

Toledo, OH 43606

Wenzke, Robert E., MD

Specialty: Internal Medicine

(419) 843-8150

4640 W. Alexis Road

Toledo, OH 43623

Wright, Lori Creadon, MD

Specialty: Family Practice

(419) 843-8100

7140 Port Sylvania Drive Suite 300, 7140 Port Sylvania Drive, Ste. 300

Toledo, OH 43617

Twinsburg

Posk, Lori, MD

Specialty: Internal Medicine

2365 Edison Blvd., Suite 100

Twinsburg, OH 44087

Uniontown

Page 220 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Uniontown

Mcintosh, G, Andrew, MD

Specialty: Family Practice

(330) 899-9533

3705 Massillon Rd

Uniontown, OH 44685

Upper Arlington

Harrold, Melissa, MD

Specialty: Internal Medicine

(614) 487-0210

1975 Guilford Rd

Upper Arlington, OH 43221

Vandalia

Couch, Mark A., MD

Specialty: Family Practice

(937) 428-6030

1 East National Rd.

Vandalia, OH 45377

Gebhart, Rick W, DO

Specialty: Family Practice

(937) 454-5296

505 Corporate Center Drive

Vandalia, OH 45377

Wadsworth

Dulle, David J, MD

Specialty: Family Practice

(330) 239-4455

5133 Ridge Rd.

Wadsworth, OH 44281-9708

Hoynes, Sean D, MD

Specialty: Family Practice

(330) 239-4455

5133 Ridge Rd.

Wadsworth, OH 44281-9708

Mone, Tyra L, MD

Specialty: Family Practice

(330) 239-4455

5133 Ridge Rd.

Wadsworth, OH 44281-9708

Ohio

Wadsworth

Zeiger, Todd M, MD

Specialty: Family Practice

(330) 239-4455

5133 Ridge Rd.

Wadsworth, OH 44281-9708

Waynesville

Allgeyer, Deanna Marie, MD

Specialty: Family Practice

(513) 897-1386

109 N. Main Street

Waynesville, OH 45068

Opsahl, Paul J, MD

Specialty: Family Practice

(513) 897-6219

4353 E Street, Rt.73

Waynesville, OH 45068

West Jefferson

Toplak, Bogdan A., MD

Specialty: Family Practice

(614) 879-8141

35 S Twin St

West Jefferson, OH 43162

Weller, Samuel David, MD

Specialty: Family Practice

(614) 879-8141

35 South Twin Street

West Jefferson, OH 43162

Westerville

Adamcak, Christine, MD

Specialty: Family Practice

(614) 898-5690

495 Cooper Rd Ste 311

Westerville, OH 43081

Amico, Jacqueline M., MD

Specialty: Internal Medicine

(614) 882-2521

3382 Paris Blvd.

Westerville, OH 43081

Ohio

Westerville

Buchanan, Timothy K., MD

Specialty: Family Practice

101 Commerce Park Drive

Westerville, OH 43082

Hughes, Jeannine Marie, MD

Specialty: Family Practice

(614) 899-2700

444 N Cleveland Ave, Suite 220

Westerville, OH 43082

Hurm, Thomas J, DO

Specialty: Family Practice

(614) 898-5690

495 Cooper Rd Ste 311

Westerville, OH 43081

Kurzer, Scott A, MD

Specialty: Family Practice

85 Commerce Park Drive

Westerville, OH 43082

Quinn, Thomas, MD

Specialty: Family Practice

(614) 891-0005

555 W Schrock Rd Ste A

Westerville, OH 43081

Recker, Bethany Anne, MD

Specialty: Family Practice

(614) 891-0005

555 W Schrock Rd Ste A

Westerville, OH 43081

Richard, Neil Edward, MD

Specialty: Family Practice

(614) 899-2700

444 N Cleveland Ave, Suite 220

Westerville, OH 43082

Slayman, Terry Scott, MD

Specialty: Family Practice

(614) 899-2700

444 N Cleveland Ave, Suite 220

Westerville, OH 43082

Page 221 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Westerville

Taddeo, Ronald Michael, MD

Specialty: Internal Medicine

(614) 882-2521

3382 Paris Blvd.

Westerville, OH 43081

Wurmbrand, Joan E., MD

Specialty: Family Practice

(614) 901-2273

291 West Schrock Rd.

Westerville, OH 43081

Zimmerman, Robert, MD

Specialty: Family Practice

(614) 891-0005

555 W Schrock Rd Ste A

Westerville, OH 43081

Westlake

Allan, Daniel, MD

Specialty: Family Practice

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Baaklini, Samia, MD

Specialty: Internal Medicine

(440) 250-2070

UH Westlake Center, 960 Clague Road, #3260

Westlake, OH 44145

Below, Richard A., DO

Specialty: Family Practice

(440) 808-8620

25651 Detroit Road, Suite 304, 25651 Detroit Rd. #304

Westlake, OH 44145

Bohn, Timothy, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Ohio

Westlake

Conway, Jessica, MD

Specialty: Family Practice

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Eyre, John, MD

Specialty: Internal Medicine

(440) 250-2070

UH Westlake Center, 960 Clague Road, #3260

Westlake, OH 44145

Gannon, Patricia, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Gutierrez, James, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Herbert, Eileen, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Knapp, Joseph, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Marsh, Lisa, MD

Specialty: Family Practice

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Ohio

Westlake

Peckham, Roger, MD

Specialty: Endocrinology, Diabetes & Metabolism

(440) 808-5950

St. John Medical Center, 29101 Health Campus Dr., Bldg. 2 #295

Westlake, OH 44145

Pressler, Richard, MD

Specialty: Family Practice

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Rice, Sheila, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Sexton-Cicero, Donna, MD

Specialty: Rheumatology

(440) 250-2070

UH Westlake Center, 960 Clague Road, #3260

Westlake, OH 44145

Southworth, Elizabeth, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Sweeney, Daniel, MD

Specialty: Family Practice

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Tan, Annie R, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Page 222 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Ohio

Westlake

Thomas, John, MD

Specialty: Family Practice

(440) 808-8620

25651 Detroit Road, Suite 304, 25651 Detroit Rd. #304

Westlake, OH 44145

Wu, Nancy, MD

Specialty: Internal Medicine

(440) 899-5555

30033 Clemens Road

Westlake, OH 44145

Willoughby Hills

Cornette, Victoria, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Druzina, Irene, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Engel-Kominsky, Suzanne, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Fuentes, Freddie, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Hackett, Michael, MD

Specialty: Family Practice

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Ohio

Willoughby Hills

Hanna, Lisa, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Hughes, Lawrence, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Juhasz, Robert, DO

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Kostraba, Andrew, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

McDonough, Joan, DO

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Mossad, Dalia, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Porter, Victoria, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Sumego, Marianne, MD

Specialty: Internal Medicine

(440) 943-2500

2570 SOM Center Road

Willoughby Hills, OH 44094

Ohio

Worthington

Jammu, Balpreet Singh, MD

Specialty: Emergency Medicine

(614) 234-9889

81 E Wilson Bridge Rd

Worthington, OH 43085

Patel, Kanishka Bhalla, MD

Specialty: Family Practice

(614) 234-9889

81 e.Wilson Bridge Rd

Worthington, OH 43085

Tuttle, Elizabeth S, MD

Specialty: Family Practice

(614) 293-2850

445 E. Granville Road

Worthington, OH 43085

Oklahoma

Tulsa

Brown, Terry N, MD

Specialty: Internal Medicine

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Dalton, Christopher, DO

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Dutton - Gaddis, Jonelle, DO

Specialty: Internal Medicine

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Farish, Kent G, MD

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Page 223 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Oklahoma

Tulsa

Fincher, Stephen G, MD

Specialty: Internal Medicine

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

King, Lance Carlton, MD

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Maddox, Michael E, DO

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

McBryde, Gary A, MD

Specialty: Internal Medicine

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Murphy, Patrick L, MD

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Schlecht, Joseph Raymond, DO

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Scott, Richard D, MD

Specialty: Family Practice

(918) 491-5990

6600 S. Yale, Suite 600

Tulsa, OK 74136

Oregon

Canby

Oregon

Canby

Peter, David Russell, MD

Specialty: Family Practice

(503) 525-7600

452 NW 1st Ave

Canby, OR 97013

Cottage Grove

Harrison, James F, MD

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Moser, Michael L, MD

Specialty: Internal Medicine

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Padilla-vazquez, Arnoldo Alejandro, MD

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Steier, Paul J, DO

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Stowell, Christian R. d., MD

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Torguson, Lyle R, MD

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Oregon

Cottage Grove

Wieckowska, Zuzanna M., MD

Specialty: Family Practice

(541) 942-6555

1515 Village Drive

Cottage Grove, OR 97424

Eugene

Ballman, Jr., Robert J., MD

Specialty: Internal Medicine

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Barrington-Shulenberger, Rosa L, ANP

Specialty: Nurse Practitioner

(541) 222-7600

Santa Clara Clinic, 2484 River Road

Eugene, OR 97404

Beckstrand, Katherine L., MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Bigley, Lorne E., MD

Specialty: Family Practice

(541) 342-3338

3299 Hilyard Street

Eugene, OR 97405

Bolz, Christopher W, MD

Specialty: Family Practice

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Brunader, Richard Ea, MD

Specialty: Family Practice

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Page 224 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Oregon

Eugene

Buie, James C, MD

Specialty: Internal Medicine

(541) 222-7600

Santa Clara Clinic, 2484 River Road

Eugene, OR 97404

Chaplin, Jill J., MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Danielson, Christa, MD

Specialty: Family Practice

(541) 342-3338

3299 Hilyard Street

Eugene, OR 97405

Doerksen, Juanita P, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Dukeminier, W. Mark, MD

Specialty: Internal Medicine

(541) 984-4611

3299 Hilyard Street

Eugene, OR 97405

Fillingame, Ralph A, MD

Specialty: Family Practice

(541) 984-2175

2484 River Road

Eugene, OR 97404

Gabriele, Mary E, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Oregon

Eugene

Hirons, Larry W, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Holtzapple, John B, MD

Specialty: Family Practice

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Jakious, Laura L, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Jarvis, Barry S, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Junior, Emma Lee, MD

Specialty: Internal Medicine

(541) 984-4611

3299 Hilyard Street

Eugene, OR 97405

Kincade, Richard G, MD

Specialty: Emergency Medicine

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Kraynyak, Michael, MD

Specialty: Family Practice

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Oregon

Eugene

Larkin, Jeffrey K, MD

Specialty: Family Practice

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Laurie, Michael A, MD

Specialty: Internal Medicine

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Lyon, Mark B, MD

Specialty: Family Practice

(541) 342-3338

3299 Hilyard Street

Eugene, OR 97405

Mehlhaff, Dawn Leslie, MD

Specialty: Internal Medicine

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Merrick, John Patrick, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Meyers, Sharon A, DO

Specialty: Internal Medicine

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Ramsey, Mary Jo P, MD

Specialty: Internal Medicine

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

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NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Oregon

Eugene

Scarborough, Allison L, MD

Specialty: Geriatric Medicine/Internal Medicine

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Simmons, Geoffrey S, MD

Specialty: Internal Medicine

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Sunkomat, Julia N. E., MD

Specialty: Internal Medicine

(541) 984-4611

3299 Hilyard Street

Eugene, OR 97405

Yeh, H Robert, MD

Specialty: Internal Medicine

(541) 242-8300

4010 Aerial Way

Eugene, OR 97402

Yoder, Steven, MD

Specialty: Family Practice

(541) 687-6011

1162 Willamette Street, 1162 Willamette Street

Eugene, OR 97401

Florence

Hodulik, Michael J., MD

Specialty: Family Practice

(541) 997-7137

380W Ninth Street

Florence, OR 97439

Powley, David George, DO

Specialty: Internal Medicine

(541) 997-7137

380W Ninth Street

Florence, OR 97439

Gresham

Oregon

Gresham

Bergstrom, Robert W, MD

Specialty: Internal Medicine

(503) 661-3439

831 NW Council Drive, Suite 125

Gresham, OR 97030

John, Michelle L, MD

Specialty: Internal Medicine

(503) 674-8322

24988 SE Stark St, Suite 220

Gresham, OR 97030-8322

Jovanovic, Vesna A, MD

Specialty: Family Practice

(503) 661-3439

831 NW Council Drive, Suite 125

Gresham, OR 97030

Schultz, Sarah, MD

Specialty: Internal Medicine

(503) 661-3439

831 NW Council Drive, Suite 125

Gresham, OR 97030

Junction City

Fletchall, Marlon G, MD

Specialty: General Practice

(541) 998-6314

430 West 7th

Junction City, OR 97448

Lake Oswego

Martin, Kenneth Lyle, MD

Specialty: Internal Medicine

(503) 525-7500

18010 SW McEwan Road

Lake Oswego, OR 97035

Portland

Farrell, Lori J., MD

Specialty: Internal Medicine

(503) 413-4134

300 N Graham, Suite 200

Portland, OR 97227-1630

Oregon

Portland

Garcia-jordan, Rosa M., MD

Specialty: Internal Medicine

(503) 413-8988

1130 NW 22nd Ave, Suite 220

Portland, OR 97210-3025

Goldenberg, Daniela Celia, MD

Specialty: Internal Medicine

(503) 413-8988

1130 NW 22nd Ave, Suite 220

Portland, OR 97210-3025

Kinzie, Amy Karyl, ANP

Specialty: Nurse Practitioner

(503) 255-3404

10101 SE Main Street, Suite 1001

Portland, OR 97216

Mallov, Joseph S, MD

Specialty: Endocrinology, Diabetes & Metabolism

(503) 255-3404

10101 SE Main Street, Suite 1001

Portland, OR 97216

Marr, Curtis, MD

Specialty: Internal Medicine

(503) 413-8988

1130 NW 22nd Ave, Suite 220

Portland, OR 97210-3025

Muller, Melinda, MD

Specialty: Internal Medicine

(503) 413-7074

1200 NW 23rd Avenue

Portland, OR 97210-2906

Nguyen, Ngan-lien T, MD

Specialty: Internal Medicine

(503) 255-7550

10201 SE Main Street, Suite 12

Portland, OR 97216

Page 226 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Oregon

Portland

Norris, Eric S, MD

Specialty: Family Practice

(503) 413-4134

300 N Graham, Suite 200

Portland, OR 97227-1630

Ronan, Nancy M, FNP

Specialty: Family Practice

(503) 255-2186

10000 SE Main Street, West Pavilion, Suite 224

Portland, OR 97216

Scott, Kelly Faith, MD

Specialty: Internal Medicine

(503) 413-8988

1130 NW 22nd Ave, Suite 220

Portland, OR 97210-3025

Scribner, Gregory Clark, MD

Specialty: Internal Medicine

(503) 256-0636

11510 SE Stark Street

Portland, OR 97216

Tewfik, Michael Helmy, MD

Specialty: Internal Medicine

(503) 413-4134

300 N Graham, Suite 200

Portland, OR 97227-1630

Wise, Todd V, MD

Specialty: Internal Medicine

(503) 251-6313

10000 SE Main Street, West Pavillion, Suite 128

Portland, OR 97216

Yeggy, Julie Elizabeth, MD

Specialty: Internal Medicine

(503) 413-4340

2800 N Vancouver, Suite 230

Portland, OR 97227-1630

Salem

Oregon

Salem

Techentin, Anna Louise, MD

Specialty: Family Practice

(503) 814-4400

875 Oak St SE, Suite 4090

Salem, OR 97301

Sisters

Miller, Eden M., DO

Specialty: Family Practice

(541) 549-9609

354 W. Adams

Sisters, OR 97759

Miller, Kevin T., DO

Specialty: Family Practice

(541) 549-9609

354 W. Adams

Sisters, OR 97759

St. Helens

Murray, Eric L, MD

Specialty: Internal Medicine

(503) 397-0471

500 N Columbia Hwy, Suite 6

St. Helens, OR 97051-1297

Tualatin

Sammond, Elizabeth Reyes, MD

Specialty: Internal Medicine

(503) 692-7785

19875 SW 65th Ave, Suite 100

Tualatin, OR 97065-8353

West Linn

Connor, Rodney W, MD

Specialty: Internal Medicine

(503) 655-3320

2020 8th Ave, Suite 100

West Linn, OR 97068

Zimmerman, Michael, MD

Specialty: Family Practice

(503) 655-3320

2020 8th Ave, Suite 100

West Linn, OR 97068

Pennsylvania

Pennsylvania

Albion

Kroemer, Peter O, MD

Specialty: Family Practice

(814) 452-5296

155 East State Street

Albion, PA 16401

Aliquippa

Gandhe, Ashwini, MD

Specialty: Internal Medicine

(724) 378-0830

2360 Hospital Drive

Aliquippa, PA 15001

Simons, Bernie M., MD

Specialty: Family Practice

(724) 378-6640

99 Buss Road

Aliquippa, PA 15001

Allentown

Candio, Joseph, MD

Specialty: Internal Medicine

(610) 402-8950

1230 S. Cedar Crest Blvd., Ste. 201

Allentown, PA 18103

Connelly, John E., DO

Specialty: Family Practice

(610) 434-4760

501 North 17th Street, Suite 108

Allentown, PA 18104

Dehoff, J. Howard, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Estrada, Cromwell C, DO

Specialty: Family Practice

(610) 437-7181

3060 Hamilton Blvd, Suite 100

Allentown, PA 18103

Page 227 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Allentown

Garcia, Jose R, MD

Specialty: Internal Medicine

(610) 628-7900

1901 W. Hamilton St., Suite 300

Allentown, PA 18104

Gertner, Eric, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Karess, Gina, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Kender, Mark, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Khan, Nina, MD

Specialty: Internal Medicine

(484) 223-3300

3050 Hamilton Street, Suite 110

Allentown, PA 18103

Kochuba, Jonathan, DO

Specialty: Internal Medicine

(610) 402-8950

1230 S. Cedar Crest Blvd., Ste. 201

Allentown, PA 18103

Kovacs, Robert, MD

Specialty: Internal Medicine

(610) 402-8950

1230 S. Cedar Crest Blvd., Ste. 201

Allentown, PA 18103

Pennsylvania

Allentown

Lakata, Thomas, DO

Specialty: Internal Medicine

(610) 402-8950

1230 S. Cedar Crest Blvd., Ste. 201

Allentown, PA 18103

Lyster, Thomas H., DO

Specialty: Family Practice

(610) 435-0816

2319 Union Blvd

Allentown, PA 18109

McGorry Jr., Dennis M, MD

Specialty: Family Practice

(610) 432-2013

3050 Hamilton Blvd

Allentown, PA 18103

Mishkin, Mark H, MD

Specialty: Internal Medicine

(484) 223-3300

3050 Hamilton Street, Suite 110

Allentown, PA 18103

Mishriki, Yehia, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Powers, Victor J, MD

Specialty: Internal Medicine

(610) 628-7900

1901 W. Hamilton St., Suite 300

Allentown, PA 18104

Pryblick, Gary, DO

Specialty: Family Practice

3131 College Heights Blvd., Suite 1100

Allentown, PA 18104

Pryblick, Judith R., DO

Specialty: Family Practice

3131 College Heights Blvd., Suite 1100

Allentown, PA 18104

Pennsylvania

Allentown

Rozanski, Jennifer, DO

Specialty: Family Practice

(610) 434-4760

501 North 17th Street, Suite 108

Allentown, PA 18104

Shalaby, Marc, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Smith, Stacey, MD

Specialty: Internal Medicine

(610) 402-1150

1210 S. Cedar Crest Blvd., STE 3600

Allentown, PA 18103

Winas, Matthew, DO

Specialty: Internal Medicine

(610) 402-8950

1230 S. Cedar Crest Blvd., Ste. 201

Allentown, PA 18103

Altoona

Haerian-Ardakani, Haleh, MD

Specialty: Endocrinology

(814) 946-7551

1414 9th Avenue, Station Medical Center

Altoona, PA 16602

Humphrey, Michael L., DO

Specialty: Endocrinology

(814) 946-7551

1414 9th Avenue, Station Medical Center

Altoona, PA 16602

Page 228 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Altoona

Wilford, Mark R., MD

Specialty: Endocrinology

(814) 946-7551

1414 9th Avenue, Station Medical Center

Altoona, PA 16602

Ambridge

Cassoff, Richard G., MD

Specialty: Internal Medicine

(724) 266-0707

1155 Merchant Street

Ambridge, PA 15003

Cheponis, George B., MD

Specialty: Internal Medicine

(724) 266-0707

1155 Merchant Street

Ambridge, PA 15003

Craig, Donna J., MD

Specialty: Family Practice

(724) 266-3239

72 First Street

Ambridge, PA 15003

Fuchs, Hans J., MD

Specialty: Internal Medicine

(724) 266-0707

1155 Merchant Street

Ambridge, PA 15003

Karp, Michael A., MD

Specialty: Family Practice

(724) 266-3239

72 First Street

Ambridge, PA 15003

Osten, Kathleen M., MD

Specialty: Family Practice

(724) 266-3239

72 First Street

Ambridge, PA 15003

Pennsylvania

Ambridge

Perry, Stephanie L., MD

Specialty: Internal Medicine

(724) 266-0707

1155 Merchant Street

Ambridge, PA 15003

Annville

Engle, David M., MD

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Heeter, David W., DO

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Loose, George T., DO

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Mateer, Daniel T., DO

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Nielsen, Robert K., MD

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Smith, Brent A., DO

Specialty: Family Practice

(717) 867-4671

475 N. Weaber Street

Annville, PA 17003

Baden

Pennsylvania

Baden

Hein, Jeffery P, MD

Specialty: Family Practice

210 Ohio River Blvd

Baden, PA 15005

Beaver

Baska, John K, MD

Specialty: Internal Medicine

(724) 774-0232

701 Fifth Street

Beaver, PA 15009

Everhart, Brian G., DO

Specialty: Internal Medicine

(724) 728-8751

500 Sharon Road

Beaver, PA 15009

Farland, Monica L, MD

Specialty: Internal Medicine

1211 Third Street

Beaver, PA 15009

Jackson, Timothy L., MD

Specialty: Internal Medicine

(724) 728-8751

500 Sharon Road

Beaver, PA 15009

Madder, Robert D., DO

Specialty: Internal Medicine

(724) 728-8751

500 Sharon Road

Beaver, PA 15009

Wright, Matthew L., DO

Specialty: Internal Medicine

(724) 774-0232

701 Fifth Street

Beaver, PA 15009

Beaver Falls

Ehrenberg, Eric E., MD

Specialty: Family Practice

2620 Constitution Blvd, Upper Level

Beaver Falls, PA 15010

Page 229 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Beaver Falls

Feldmeier, Curtis J., MD

Specialty: Internal Medicine

(724) 843-4700

1307 6th Ave.

Beaver Falls, PA 15010

Grieco, Robert L, MD

Specialty: Family Practice

2620 Constitution Boulevard, Lower Level

Beaver Falls, PA 15010

Guffey, Michael T., MD

Specialty: Family Practice

(724) 847-2950

2400 Darlington Road

Beaver Falls, PA 15010

Palguta, Robert F., MD

Specialty: Family Practice

2620 Constitution Blvd, Upper Level

Beaver Falls, PA 15010

Prendergast, Maurice D., MD

Specialty: Internal Medicine

(724) 843-4700

1307 6th Ave.

Beaver Falls, PA 15010

Rodriguez, Jason Allen, MD

Specialty: Family Practice

2620 Constitution Blvd, Upper Level

Beaver Falls, PA 15010

Sestito, Carl G., MD

Specialty: Internal Medicine

(724) 843-4700

1307 6th Ave.

Beaver Falls, PA 15010

Zvonar, Kristin M., MD

Specialty: Internal Medicine

(724) 843-4700

1307 6th Ave.

Beaver Falls, PA 15010

Pennsylvania

Bernville

Mann-Harbonic, Barbara L, MD

Specialty: Family Practice

(610) 488-6291

7173 Bernville Road

Bernville, PA 19506

Stewart, Thomas A., MD

Specialty: Family Practice

(610) 488-6291

7173 Bernville Road

Bernville, PA 19506

Bethel Park

Bobby, John, MD

Specialty: Family Practice

(412) 831-1522

Preferred Primary Care Physicians, John L Bobby, 2000 Oxford Drive

Bethel Park, PA 15102

Betherl Park Road

Purighalla, Uma, MD

Specialty: Internal Medicine

(412) 835-6653

3400 South Park Road

Betherl Park Road, PA 15102

Bethlehem

Abgott, Michael, MD

Specialty: Family Practice

(610) 865-6112

1545 Broadway

Bethlehem, PA 18015

Dorville, Fabio L., MD

Specialty: Internal Medicine

(610) 625-4400

5325 Northgate Drive, STE 201

Bethlehem, PA 18017

Flores, Julio Daniel, MD

Specialty: Family Practice

(610) 866-7417

608 Pierce Street

Bethlehem, PA 18015

Pennsylvania

Bethlehem

Gray, John, MD

Specialty: Surgery, General Vascular

(610) 867-3874

801 W. Broad Street

Bethlehem, PA 18018

Kuehner, William P, MD

Specialty: Internal Medicine

(610) 954-3600

4311 Easton Avenue

Bethlehem, PA 18020

Levy, Jenni, MD

Specialty: Internal Medicine

(610) 954-3600

4311 Easton Avenue

Bethlehem, PA 18020

Long, J. Stephen, MD

Specialty: Family Practice

(610) 865-6112

1545 Broadway

Bethlehem, PA 18015

Mathur, Christopher L, DO

Specialty: Internal Medicine

(610) 954-3600

4311 Easton Avenue

Bethlehem, PA 18020

Myers, Carol L, DO

Specialty: Internal Medicine

(610) 954-3600

4311 Easton Avenue

Bethlehem, PA 18020

Nguyen, Uyen Anh, DO

Specialty: Family Practice

(610) 865-6112

1545 Broadway

Bethlehem, PA 18015

Rana, Hiralal, MD

Specialty: Internal Medicine

(610) 625-4400

5325 Northgate Drive, STE 201

Bethlehem, PA 18017

Page 230 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Bethlehem

Scharle, W. Timothy, MD

Specialty: Internal Medicine

(610) 865-3431

35 E. Elizabeth Ave, Suite 37

Bethlehem, PA 18018

Birdsboro

Buczewski, Mark, DO

Specialty: Family Practice

321 Furnace Street, Suite 100

Birdsboro, PA 19508

Christensen, David W., MD

Specialty: Family Practice

100 S. Spruce Street

Birdsboro, PA 19508

Coates, John, DO

Specialty: Family Practice

321 Furnace Street, Suite 100

Birdsboro, PA 19508

Napolitano, Michael, MD

Specialty: Internal Medicine

321 Furnace Street, Suite 100

Birdsboro, PA 19508

Boyertown

Foley, F. L., MD

Specialty: Family Practice

(610) 369-7121

146 South Reading Avenue

Boyertown, PA 19605

Pande, Chhavi, MD

Specialty: Family Practice

(610) 369-7121

146 South Reading Avenue

Boyertown, PA 19605

Stock-Keister, Mary, MD

Specialty: Family Practice

(610) 369-7121

146 South Reading Avenue

Boyertown, PA 19605

Bradford

Pennsylvania

Bradford

Nadella, V. Rao, MD

Specialty: General Practice

(814) 368-7000

6 North Center Street

Bradford, PA 16701

Singh, Dilbagh, MD

Specialty: Family Practice

(814) 368-7000

6 North Center Street

Bradford, PA 16701

Bridgeville

Chiesa, Nicolette E., MD

Specialty: Internal Medicine

(412) 257-2050

1168 Washington Pike

Bridgeville, PA 15017

McFarland, Donald E., DO

Specialty: Internal Medicine

(412) 257-2050

1168 Washington Pike

Bridgeville, PA 15017

Varma, Swarna, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 221-4740

1370 Washington Pike - Chemtech Bldg., Suite L8

Bridgeville, PA 15017

Brodheadsville

Hiemenz, Donald W, MD

Specialty: Family Practice

(570) 992-4206

Rodenbach Lane, PO Box 37

Brodheadsville, PA 18322

Martucci, William J, MD

Specialty: Family Practice

(570) 992-4206

Rodenbach Lane, PO Box 37

Brodheadsville, PA 18322

Brownstown

Pennsylvania

Brownstown

Campanella, Cary L., MD

Specialty: Family Practice

(717) 859-1123

4131 Oregon Pike, PO Box 489

Brownstown, PA 17508

Jackson, T. Scott, MD

Specialty: Family Practice

(717) 859-1123

4131 Oregon Pike, PO Box 489

Brownstown, PA 17508

Longenecker, William E., DO

Specialty: Family Practice

(717) 859-1123

4131 Oregon Pike, PO Box 489

Brownstown, PA 17508

Sneller, Jonathan A., DO

Specialty: Family Practice

(717) 859-1123

4131 Oregon Pike, PO Box 489

Brownstown, PA 17508

Canonsburg

Martina, Peter A, DO

Specialty: Family Practice

(724) 745-4100

67 East Pike Street

Canonsburg, PA 15317

Slomiany, Walter P, MD

Specialty: Family Practice

(724) 745-4100

67 East Pike Street

Canonsburg, PA 15317

Speicher, Monica L, MD

Specialty: Family Practice

(724) 745-4100

67 East Pike Street

Canonsburg, PA 15317

Carlisle

Page 231 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Carlisle

Bero, Christopher, MD

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Bower, Douglas, MD

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Neiderer, Phillip, DO

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Robison, Terry, DO

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Taylor, Debra, MD

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Vonah, William, MD

Specialty: Internal Medicine

(717) 249-1929

220 Wislon Street

Carlisle, PA 17013

Carnegie

Bader, William, MD

Specialty: Internal Medicine

(412) 279-0320

102 Broadway Avenue

Carnegie, PA 15106

Pennsylvania

Carnegie

Civitarese, Frank, DO

Specialty: Family Practice

(412) 276-1560

2375 Greentree Road

Carnegie, PA 15106

Civitarese, Louis, DO

Specialty: Family Practice

(412) 276-1560

2375 Greentree Road

Carnegie, PA 15106

Garretson, David, DO

Specialty: Family Practice

(412) 276-1560

2375 Greentree Road

Carnegie, PA 15106

Cecil

Duncan, Sarah Carolyn, MD

Specialty: Family Practice

(724) 873-7414

3415 Millers Run Road

Cecil, PA 15321

Center Valley

Alkasov, Isabella, MD

Specialty: Family Practice

(610) 282-2155

5848 Old Bethlehem Pike, Suite 101

Center Valley, PA 18034

Bhatt, Bankim, MD

Specialty: Endocrinology, Diabetes & Metabolism

(610) 419-7300

3701 Corporate Parkway, Suite 130

Center Valley, PA 18034

Burke, JoAnn, DO

Specialty: Family Practice

(610) 282-2155

5848 Old Bethlehem Pike, Suite 101

Center Valley, PA 18034

Clairton

Pennsylvania

Clairton

Lilienthal, David S., MD

Specialty: Internal Medicine

(412) 469-7744

575 Coal Valley Road, Suite 374

Clairton, PA 15025

Clarion

Kreider, Randy M, MD

Specialty: Family Practice

(814) 227-1221

342 S Fifth Ave.

Clarion, PA 16214

Zlotnicki, David M, MD

Specialty: Family Practice

(814) 227-1221

342 S Fifth Ave.

Clarion, PA 16214

Clinton

Bayuk, John D., MD

Specialty: Family Practice

(724) 573-5600

1254 Route 30

Clinton, PA 15026

Conneautville

Mclaughlin, Frank Joseph, DO

Specialty: Family Practice

(814) 373-2276

906 Washington Street, P.O. Box E

Conneautville, PA 16406

Conshohocken

Franklin, Rodney D., MD

Specialty: Family Practice

(610) 828-8500

612 Fayette Street Second Floor, Second Floor

Conshohocken, PA 19428

Page 232 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Conshohocken

Kusmirek, Joanna S, MD

Specialty: Family Practice

(610) 828-8500

612 Fayette Street Second Floor, Second Floor

Conshohocken, PA 19428

Rubin, Janis W., MD

Specialty: Family Practice

(610) 828-8500

612 Fayette Street Second Floor, Second Floor

Conshohocken, PA 19428

Woodbury, Deborah, MD

Specialty: Family Practice

(610) 828-8500

612 Fayette Street Second Floor, Second Floor

Conshohocken, PA 19428

Coraopolis

Gates, Michael E., MD

Specialty: Family Practice

(412) 269-0899

1101 Fifth Avenue, Suite 202

Coraopolis, PA 15108

Neely, Eileen P., MD

Specialty: Internal Medicine

(412) 299-8400

935 Thorn Run Road, Suite 204

Coraopolis, PA 15108

Osmanski, Stephen J., MD

Specialty: Internal Medicine

(412) 299-8400

935 Thorn Run Road, Suite 204

Coraopolis, PA 15108

Schneiderman, Marc J., MD

Specialty: Family Practice

(412) 269-0899

1101 Fifth Avenue, Suite 202

Coraopolis, PA 15108

Creighton

Pennsylvania

Creighton

Wang, Helen, MD

Specialty: Internal Medicine

(724) 337-1591

521 Freeport Road

Creighton, PA 15030

Edinboro

Getson, William R, MD

Specialty: Family Practice

(814) 734-1618

450 Erie St.

Edinboro, PA 16412

Reynolds, Sam David, MD

Specialty: Family Practice

(814) 734-1618

450 Erie St.

Edinboro, PA 16412

Streiff, John Joseph, MD

Specialty: Family Practice

(814) 734-1618

450 Erie St.

Edinboro, PA 16412

Elizabethtown

Craig, Sally L., DO

Specialty: Family Practice

(717) 361-0666

1 Continental Drive

Elizabethtown, PA 17022

Gilhool, Patrick E., DO

Specialty: Family Practice

(717) 367-1430

300 Continental Drive

Elizabethtown, PA 17022

Newman, Miles G., DO

Specialty: Family Practice

(717) 367-1430

300 Continental Drive

Elizabethtown, PA 17022

Pennsylvania

Elizabethtown

Wren, Andrew, DO

Specialty: Family Practice

(717) 361-0666

1 Continental Drive

Elizabethtown, PA 17022

Elverson

Eck, Gordon R., DO

Specialty: Family Practice

(610) 286-9000

11 S. Pine Street

Elverson, PA 19520

Huyett, Rebecca, DO

Specialty: Family Practice

(610) 898-5240

315 Darby Square

Elverson, PA 19520

Emmaus

Brown, Katherine I, PA

Specialty: Physician Assistant

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Bub, Carol, MD

Specialty: Family Practice

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Bub, Sam, MD

Specialty: Family Practice

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Holbrook, Todd R., MD

Specialty: Family Practice

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Page 233 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Emmaus

Schmeltzle, Timothy C., DO

Specialty: Family Practice

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Tice, Barry M, PA

Specialty: Physician Assistant

(610) 628-8200

619 Dalton Street

Emmaus, PA 18049

Erie

Beaver, Warren J., MD

Specialty: Family Practice

(814) 833-5653

3822 Colonial Avenue

Erie, PA 16506

Chilcott, Margaret Eileen, DO

Specialty: Family Practice

(814) 825-4262

2240 East 38th Street, Suite 200

Erie, PA 16510

Clark, Caitlin S, DO

Specialty: Family Practice

(814) 452-5904

2314 Sassafrass Street, Suite 200

Erie, PA 16502

Deimel, Joseph F, MD

Specialty: Family Practice

(814) 461-6626

145 West 23 Street, Suite 100

Erie, PA 16502

Fox, Bradley P, MD

Specialty: Family Practice

(814) 868-9828

3413 Cherry Street

Erie, PA 16509

Pennsylvania

Erie

Gausman, Paul J, DO

Specialty: Family Practice

(814) 833-2902

4535 West Ridge Road

Erie, PA 16506

Jageman, James R, MD

Specialty: Family Practice

(814) 864-6039

3530 Peach Street

Erie, PA 16508

Leone, Mark A, DO

Specialty: Family Practice

(814) 835-2041

4671 West Lake Road

Erie, PA 16505

Masteller, Mark, DO

Specialty: Family Practice

(814) 825-4262

2240 East 38th Street, Suite 200

Erie, PA 16510

Mingey, John Richard, MD

Specialty: Internal Medicine

(814) 452-7875

145 West 23 Street, Suite 101

Erie, PA 16502

Overare, David E, MD

Specialty: Family Practice

(814) 452-0158

238 West 22nd Street

Erie, PA 16502

Pelkowski, Timothy D., MD

Specialty: Family Practice

(814) 833-5653

3822 Colonial Avenue

Erie, PA 16506

Ranish, Deborah A, MD

Specialty: Family Practice

(814) 680-5970

3413 Cherry Street

Erie, PA 16508

Pennsylvania

Erie

Ruffa, Anthony Mark, DO

Specialty: Psychiatry, Geriatric

(814) 899-7000

4950 Buffalo Road

Erie, PA 16510

Shaffer, Kevin P., MD

Specialty: Family Practice

(814) 833-5653

3822 Colonial Avenue

Erie, PA 16506

Snyder, Allison E., DO

Specialty: Family Practice

(814) 461-6626

145 West 23 Street, Suite 100

Erie, PA 16502

Steele, James R., DO

Specialty: Family Practice

(814) 825-4262

2240 East 38th Street, Suite 200

Erie, PA 16510

Yakish, Jack E., MD

Specialty: Family Practice

(814) 833-5653

3822 Colonial Avenue

Erie, PA 16506

Young, Linda L, MD

Specialty: Family Practice

(814) 680-5970

3413 Cherry Street

Erie, PA 16508

Fredericksburg

Haggard, Robert, MD

Specialty: Family Practice

(717) 865-6644

Tan & Chestnut Streets

Fredericksburg, PA 17026

Page 234 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Fredericksburg

Margut, Shelby, MD

Specialty: Family Practice

(717) 865-6644

Tan & Chestnut Streets

Fredericksburg, PA 17026

Miller, Myron D., MD

Specialty: Family Practice

(717) 865-6644

Tan & Chestnut Streets

Fredericksburg, PA 17026

Sears, Carol, MD

Specialty: Family Practice

(717) 865-6644

Tan & Chestnut Streets

Fredericksburg, PA 17026

Weaner, Pamela, MD

Specialty: Family Practice

(717) 865-6644

Tan & Chestnut Streets

Fredericksburg, PA 17026

Gettysburg

Acharya, Shubha R., MD

Specialty: Internal Medicine

(717) 339-2424

37 N. Fifth Street

Gettysburg, PA 17325

Grey, Marijka A., MD

Specialty: Internal Medicine

(717) 339-2424

37 N. Fifth Street

Gettysburg, PA 17325

Gibsonia

Deakin, Susan L., DO

Specialty: Internal Medicine

(724) 444-4700

5375 William Flynn Highway

Gibsonia, PA 15044

Pennsylvania

Gibsonia

DeMarco, Andrew D., MD

Specialty: Internal Medicine

(724) 444-4700

5375 William Flynn Highway

Gibsonia, PA 15044

Rossetti, Mary-lori C, DO

Specialty: Internal Medicine

(724) 444-4700

5375 William Flynn Highway

Gibsonia, PA 15044

Girard

Gerhart, Adrienne L., DO

Specialty: Family Practice

(814) 774-3128

5165 Imperial Parkway

Girard, PA 16417

Hilbert, Wesley A, MD

Specialty: Family Practice

(814) 774-3128

5165 Imperial Parkway

Girard, PA 16417

Treusch, Lisa Ann, MD

Specialty: Family Practice

(814) 774-3128

5165 Imperial Parkway

Girard, PA 16417

Greenville

Liszewski, James, MD

Specialty: Family Practice

(724) 588-4240

90 Shenango Street

Greenville, PA 16125

Hamburg

Blauser, Robert, MD

Specialty: Family Practice

(610) 439-7508

700 Hawk Ridge Road

Hamburg, PA 19526

Pennsylvania

Hamburg

Chaudhry, Sana M., MD

Specialty: Family Practice

(610) 562-9020

31 Industrial Drive

Hamburg, PA 19526

Clymer, David, MD

Specialty: Family Practice

(610) 439-7508

700 Hawk Ridge Road

Hamburg, PA 19526

D'Ancona, Sara, MD

Specialty: Family Practice

(610) 562-9020

31 Industrial Drive

Hamburg, PA 19526

Henning, Michelle, DO

Specialty: Family Practice

(610) 439-7508

700 Hawk Ridge Road

Hamburg, PA 19526

Kindt, Jason H., DO

Specialty: Family Practice

(610) 562-9020

31 Industrial Drive

Hamburg, PA 19526

Odorizzi, Rebecca, DO

Specialty: Family Practice

(610) 439-7508

700 Hawk Ridge Road

Hamburg, PA 19526

Srinivasan, Raji, MD

Specialty: Family Practice

(610) 439-7508

700 Hawk Ridge Road

Hamburg, PA 19526

Hanover

Page 235 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Hanover

Eisenberg, Maureen, DO

Specialty: Family Practice

(717) 632-4449

111 Penn Street

Hanover, PA 17331

Kirby, Catherine, MD

Specialty: Family Practice

(717) 630-8366

300 Frederick Street, Suite 3

Hanover, PA 17331

Lieb, John G., MD

Specialty: Family Practice

(717) 632-4449

111 Penn Street

Hanover, PA 17331

Lunsford, John W., MD

Specialty: Family Practice

(717) 637-5590

112 Clover Lane

Hanover, PA 17331

Preston, Vernon, MD

Specialty: Family Practice

(717) 632-7474

100 Frederick Street, Suite 101

Hanover, PA 17331

Rapp, Thomas, MD

Specialty: Family Practice

(717) 632-2700

848 Broadway

Hanover, PA 17331

Rein, Jennifer A., MD

Specialty: Family Practice

(717) 637-5590

112 Clover Lane

Hanover, PA 17331

Harrisburg

Pennsylvania

Harrisburg

Bird, William M., DO

Specialty: Family Practice

(717) 657-4040

121 Nyes Rd., Suite A

Harrisburg, PA 17112

Keiter, Karel A., DO

Specialty: Family Practice

(717) 657-4040

121 Nyes Rd., Suite A

Harrisburg, PA 17112

Miller, William H., DO

Specialty: Family Practice

(717) 657-4040

121 Nyes Rd., Suite A

Harrisburg, PA 17112

Poole, Kevin J., MD

Specialty: Family Practice

(717) 232-4553

1711 North Front Street

Harrisburg, PA 17102

Richard, David C., MD

Specialty: Family Practice

(717) 657-4040

121 Nyes Rd., Suite A

Harrisburg, PA 17112

Harrisonburg

D'Eramo, Brian F., DO

Specialty: Internal Medicine

(717) 657-2595

4830 Londonderry Road

Harrisonburg, PA 17109

Jeffries, Richard H., DO

Specialty: Internal Medicine

(717) 657-2595

4830 Londonderry Road

Harrisonburg, PA 17109

Pennsylvania

Harrisonburg

Scwartz, Robert, MD

Specialty: Internal Medicine

(717) 657-2595

4830 Londonderry Road

Harrisonburg, PA 17109

Hellertown

Aleksandrova, Yulia, MD

Specialty: Family Practice

(610) 838-1010

255 Front Street

Hellertown, PA 18055

Borshansky, Maryana, MD

Specialty: Family Practice

(610) 838-1010

255 Front Street

Hellertown, PA 18055

Jeannette

Byers, Joanne S, MD

Specialty: Family Practice

(724) 744-2500

3000 Penny Lane, Suite 103

Jeannette, PA 15644

Crossey, Robert A, DO

Specialty: Family Practice

(724) 744-2500

3000 Penny Lane, Suite 103

Jeannette, PA 15644

Johnstown

Pruchnic, William F., MD

Specialty: Internal Medicine

(814) 539-7038

1020 Franklin Street

Johnstown, PA 15905

Kenhorst

Cane, Brian R., MD

Specialty: Family Practice

(610) 603-0183

600 High Boulevard

Kenhorst, PA 19607

Page 236 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Kenhorst

Migliarino, Luciano, MD

Specialty: Family Practice

(610) 603-0183

600 High Boulevard

Kenhorst, PA 19607

Tumelty, Daniel S, MD

Specialty: Family Practice

(610) 603-0183

600 High Boulevard

Kenhorst, PA 19607

Kutztown

Kunsman, Natalie M, MD

Specialty: Family Practice

(610) 683-7393

15050 Kutztown Road

Kutztown, PA 19530

Lancaster

Bieber, Larien G., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Brown, Kimberly M, PA

Specialty: Physician Assistant

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Charles, Hyasmine M., MD

Specialty: Internal Medicine

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

D'Andrea - Spica, Marilyn, MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Pennsylvania

Lancaster

Diamantoni, Stephen G., MD

Specialty: Family Practice

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

Fuchs, David E., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Hirsch, Lorin S., MD

Specialty: Family Practice

(717) 393-3881

1671 Oregon Pike

Lancaster, PA 17601

King, John A., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Lloyd, Mark, DO

Specialty: Family Practice

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

Manolas, Michael C., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

McLane, Christopher G., MD

Specialty: Family Practice

(717) 393-3881

1671 Oregon Pike

Lancaster, PA 17601

Morphy, Heather Anne, MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Pennsylvania

Lancaster

Mueller, Garry L., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Murphy, Greg L., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Perlis, Maria, MD

Specialty: Family Practice

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

Quin, Timothy E., MD

Specialty: Family Practice

(717) 393-3881

1671 Oregon Pike

Lancaster, PA 17601

Redman, Francine L, CRNP

Specialty: Nurse Practitioner

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Rice, Samuel A., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Sadhukhan, Ankur, MD

Specialty: Family Practice

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

Page 237 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Lancaster

Sadhukhan, Madhumita, MD

Specialty: Family Practice

(717) 431-3000

2112 Harrisburg Pike, Suite 3

Lancaster, PA 17604

Scott, John J., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Scott, Thomas C., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Snyder, Scott E., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Spicher, James E., MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Todd, Stephanie, MD

Specialty: Internal Medicine

(717) 397-2738

2301 Columbia Avenue

Lancaster, PA 17603

Warren, Michael W., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Weed, Michael K., MD

Specialty: Family Practice

(717) 898-2900

3045 Marietta Avenue

Lancaster, PA 17601

Pennsylvania

Lancaster

Wolf, James C., MD

Specialty: Family Practice

(717) 393-3881

1671 Oregon Pike

Lancaster, PA 17601

Leesport

Makatche, Timothy J., MD

Specialty: Family Practice

(610) 926-5707

5 South Centre Avenue, Suite A

Leesport, PA 19533

Tuke, Gregory C., MD

Specialty: Family Practice

(610) 926-5707

5 South Centre Avenue, Suite A

Leesport, PA 19533

Lehighton

Durako, Robert A., DO

Specialty: Internal Medicine

(610) 379-0200

1001 Mahoning Street

Lehighton, PA 18235

Miller, Edward J., MD

Specialty: Internal Medicine

(610) 377-6225

204 State Road

Lehighton, PA 18235

O'Neill, David A., DO

Specialty: Internal Medicine

(610) 379-0200

1001 Mahoning Street

Lehighton, PA 18235

Lemont Furnace

Chalfant, John C., MD

Specialty: Family Practice

(724) 437-8880

106 Commonwealth Drive

Lemont Furnace, PA 15456

Lemoyne

Pennsylvania

Lemoyne

Borror, Megan, MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Brier, Peter M., MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Campbell, Karen A., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Cincotta, Joseph A, MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Cohick, Bruce C., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Davis, Lisa M., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Davis, Richard L., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Gerlach, Charles D., MD

Specialty: Internal Medicine

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Page 238 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Lemoyne

Gluck, Michael L., MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Harm, Jr., Kenneth P., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Harr, Denise F., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

James, Geoffrey M., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Jatto, Claudette G, MD

Specialty: Internal Medicine

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Josef, Ernest M., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Knouse, Albert B., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Larson, Jeanne N., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Pennsylvania

Lemoyne

Mirarchi, Dominic, DO

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Montisano, Denise F., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Nipple, John H., DO

Specialty: Internal Medicine

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Potter, Jeffrey N., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Quirk, Brian C., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Ratnasamy, Patrick, MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Rowehl, Jane B., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Saha, Banani, MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Pennsylvania

Lemoyne

Sangillo, Cathleen K., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Schwartz, Gary M., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Sweeney, Alan J., MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Thieblemont, Michael A., MD

Specialty: Family Practice

(717) 761-0208

3 Walnut Street, STE 206

Lemoyne, PA 17043

Tyndall, James A., MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Viswanathan, Pratheesh, MD

Specialty: Internal Medicine

(717) 774-1388

108 Lowther Street

Lemoyne, PA 17043

Lewisburg

Brown, Michael D., MD

Specialty: Family Practice

(570) 524-4443

98 Reitz Blvd.

Lewisburg, PA 17837

Page 239 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Lewisburg

Kramm, Steven R., DO

Specialty: Family Practice

(570) 524-4443

98 Reitz Blvd.

Lewisburg, PA 17837

Lititz

Bade, Steven C., MD

Specialty: Family Practice

(717) 627-1214

2320 Rothsville Road, Suite 200

Lititz, PA 17543

Ginder, John D, DO

Specialty: Family Practice

(717) 581-9000

116B West Airport Road

Lititz, PA 17543

Mershon, Charles R., MD

Specialty: Family Practice

(717) 627-2108

6 West Newport Road

Lititz, PA 17543

Morrissey, Douglas R., MD

Specialty: Family Practice

(717) 627-2108

6 West Newport Road

Lititz, PA 17543

Vassil, Paul E., MD

Specialty: Family Practice

(717) 627-1214

2320 Rothsville Road, Suite 200

Lititz, PA 17543

Mc Kees Rocks

Bubenheim, Daniel M., MD

Specialty: Family Practice

(412) 722-1003

Robinson Medical Center, Suite 2A, 311 Church Hill Road

Mc Kees Rocks, PA 15136

Pennsylvania

Mc Kees Rocks

Burgo, Alfred J., MD

Specialty: Internal Medicine

(412) 722-1003

Robinson Medical Center, Suite 2A, 311 Church Hill Road

Mc Kees Rocks, PA 15136

Palmieri, Danny, MD

Specialty: Internal Medicine

(412) 722-1003

Robinson Medical Center, Suite 2A, 311 Church Hill Road

Mc Kees Rocks, PA 15136

Starenchak, Scott M., MD

Specialty: Family Practice

(412) 722-1003

Robinson Medical Center, Suite 2A, 311 Church Hill Road

Mc Kees Rocks, PA 15136

McDonald

Speca, Michael, DO

Specialty: Family Practice

(724) 926-3320

313 Barr street

McDonald, PA 15057

McMurray

Colodny, Stephanie L., MD

Specialty: Internal Medicine

(724) 941-8877

5000 Waterdam Plaza Road, Suite 120

McMurray, PA 15317

Mally, Ashith, MD

Specialty: Internal Medicine

(724) 941-8877

5000 Waterdam Plaza Road, Suite 120

McMurray, PA 15317

Pennsylvania

McMurray

Robison, Walter J., MD

Specialty: Internal Medicine

(724) 941-8877

5000 Waterdam Plaza Road, Suite 120

McMurray, PA 15317

Mechanicsburg

Harker, Richard C., MD

Specialty: Family Practice

(717) 620-2500

6375 Mercury Drive, STE 200

Mechanicsburg, PA 17050

Herold, Jr., Creston C., MD

Specialty: Family Practice

(717) 620-2500

6375 Mercury Drive, STE 200

Mechanicsburg, PA 17050

Mertztown

McGee, Janet Lorraine, DO

Specialty: Family Practice

(610) 682-2137

506 Woodside Avenue

Mertztown, PA 19539

Rachshtut, Ilana, MD

Specialty: Family Practice

(610) 682-2137

506 Woodside Avenue

Mertztown, PA 19539

Shah, Chandrakant, MD

Specialty: Internal Medicine

(610) 682-2137

506 Woodside Avenue

Mertztown, PA 19539

Monaca

Zernich, Gregg S., DO

Specialty: Family Practice

(724) 775-5833

3950 Brodhead Road, Suite 200

Monaca, PA 15061

Monroeville

Page 240 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Monroeville

Almoukamal, Salah A, MD

Specialty: Family Practice

(724) 733-5151

1620 Golden Mile Highway, Suite 100

Monroeville, PA 15146

Butler, Christopher L, MD

Specialty: Family Practice

(724) 733-5151

1620 Golden Mile Highway, Suite 100

Monroeville, PA 15146

Byers, Gerald T, MD

Specialty: Family Practice

(724) 733-5151

1620 Golden Mile Highway, Suite 100

Monroeville, PA 15146

Colangelo, Francis R, MD

Specialty: Internal Medicine

(412) 380-2800

One Monroeville Center, 3824 Northern Pike, Suite 500

Monroeville, PA 15146

Hynes, Mary Ann, MD

Specialty: Internal Medicine

(412) 380-2800

One Monroeville Center, 3824 Northern Pike, Suite 500

Monroeville, PA 15146

Moon Township

Bassilios, Fouad A., MD

Specialty: Internal Medicine

(412) 262-4130

935 Thorn Run Road, Suite 214

Moon Township, PA 15108

Klutz, Joseph P., MD

Specialty: Family Practice

(412) 264-1918

993 Brodhead Road

Moon Township, PA 15108

Pennsylvania

Moon Township

Park, Nancy H., MD

Specialty: Family Practice

(412) 264-1918

993 Brodhead Road

Moon Township, PA 15108

Mountville

Bernheisel, James A., MD

Specialty: Family Practice

(717) 285-3144

2 College Avenue

Mountville, PA 17554

Butler, Louise R., MD

Specialty: Family Practice

(717) 285-3144

2 College Avenue

Mountville, PA 17554

Parke, J. William, MD

Specialty: Family Practice

(717) 285-3144

2 College Avenue

Mountville, PA 17554

Spence, Stacy M, MD

Specialty: Physician Assistant

(717) 285-3144

2 College Avenue

Mountville, PA 17554

Westgate, Randy R., MD

Specialty: Family Practice

(717) 285-3144

2 College Avenue

Mountville, PA 17554

Mt.Carmel

Abdul-al, Houssam, MD

Specialty: Internal Medicine

(570) 339-4513

10990 State Route 61

Mt.Carmel, PA 17851

Natrona Heights

Pennsylvania

Natrona Heights

Petz, Darrell W., DO

Specialty: Internal Medicine

(724) 224-6700

1621 C Union Avenue

Natrona Heights, PA 15065

Nazareth

Brotzman, Ann, DO

Specialty: Internal Medicine

(610) 459-2208

305 W. North Street

Nazareth, PA 18064

Martin, James J., MD

Specialty: Family Practice

(610) 459-2208

305 W. North Street

Nazareth, PA 18064

Pogodzinski, Christopher, MD

Specialty: Family Practice

(610) 759-1200

25 South Broad Street, Suite 104

Nazareth, PA 18064

Schrei-Broadt, Catherine, DO

Specialty: Family Practice

(610) 759-1200

25 South Broad Street, Suite 104

Nazareth, PA 18064

New Holland

Kreider, Kathleen A, MD

Specialty: Family Practice

(717) 354-2235

301 E. Main Street

New Holland, PA 17557

North Versailles

Costlow, James S, MD

Specialty: Internal Medicine

(412) 824-5820

1916 Lincoln Highway

North Versailles, PA 15137

Page 241 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

North Versailles

McQuigg, Richard N, MD

Specialty: Internal Medicine

(412) 824-5820

1916 Lincoln Highway

North Versailles, PA 15137

Rosenthal, Richard H, MD

Specialty: Internal Medicine

(412) 824-5820

1916 Lincoln Highway

North Versailles, PA 15137

Orefield

Gabriel, Michael D., DO

Specialty: Family Practice

(610) 398-2600

3560 Route 309

Orefield, PA 18069

Rodowicz, Kevin F, DO

Specialty: Family Practice

(610) 398-2600

3560 Route 309

Orefield, PA 18069

Ottsville

Kotz, Kristi L., DO

Specialty: Family Practice

(610) 847-2071

7790 Easton Rd.

Ottsville, PA 18942

O'Neill, Joseph, DO

Specialty: Family Practice

(610) 847-2071

7790 Easton Rd.

Ottsville, PA 18942

Palmyra

Gross, Shanin R., DO

Specialty: Family Practice

(717) 838-6305

941 Park Drive

Palmyra, PA 17078

Pennsylvania

Palmyra

Henning, George F., MD

Specialty: Family Practice

(717) 838-6305

941 Park Drive

Palmyra, PA 17078

Keller, David A., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Leach, Mark W., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Lee, Jenny S., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Messmer, John J., MD

Specialty: Family Practice

(717) 838-6305

941 Park Drive

Palmyra, PA 17078

Rashid, Samuel F., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Silvis, Matthew L., MD

Specialty: Family Practice

(717) 838-6305

941 Park Drive

Palmyra, PA 17078

Wagner, J. Kent L., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Pennsylvania

Palmyra

Welch, John P., MD

Specialty: Family Practice

(717) 838-1301

1400 S. Forge Road

Palmyra, PA 17078

Pennsburg

Cianfrani, Peter M., MD

Specialty: Family Practice

(215) 679-4421

925 Main Street, Suite 100

Pennsburg, PA 18073

Myers, Tina M., DO

Specialty: Family Practice

(215) 679-4421

925 Main Street, Suite 100

Pennsburg, PA 18073

Pittsburgh

Austin, Barry, DO

Specialty: Internal Medicine

(412) 531-2902

1050 Bower Hill Road, Suite 202

Pittsburgh, PA 15220

Beasley, Robert D., DO

Specialty: Family Practice

(412) 242-0777

1000 Integrity Drive, Suite 100

Pittsburgh, PA 15235

Bennett, Nathan, MD

Specialty: Family Practice

(412) 650-5623

140 Curry Hollow Road

Pittsburgh, PA 15236

Biedrzycki, Mark R, MD

Specialty: Family Practice

(412) 781-0400

100 Delafield Road, Suite 313

Pittsburgh, PA 15215

Page 242 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Pittsburgh

Bigi, Lori M., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Bononi, Patricia L, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 578-1724

5140 Liberty Avenue

Pittsburgh, PA 15224

Brooks, Heather E, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Bui, Thuy D., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Bump, Greg M., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Buranosky, Raquel Antoinette, MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Butler, Cynthia P., DO

Specialty: Internal Medicine

(412) 920-0283

615 Washington Road, #TL4

Pittsburgh, PA 15220

Pennsylvania

Pittsburgh

Challinor, Sue M, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Conaway, Bruce E, MD

Specialty: Family Practice

(412) 847-2615

1130 Perry Highway

Pittsburgh, PA 15237

Cox, Amy E, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Daroski, Marilyn Sabina, MD

Specialty: Internal Medicine

(412) 920-0283

615 Washington Road, #TL4

Pittsburgh, PA 15220

Demauro, Samantha, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Dhawan, Sonia, MD

Specialty: Internal Medicine

(412) 359-3682

1307 Federal Street, Suite 304

Pittsburgh, PA 15212

Ditullio, Nicholas P., MD

Specialty: Internal Medicine

(412) 920-0283

615 Washington Road, #TL4

Pittsburgh, PA 15220

Pennsylvania

Pittsburgh

Dombrowski, Marianne, DO

Specialty: Internal Medicine

(412) 922-8490

651 Holiday Drive, Foster Plaza Building # 5

Pittsburgh, PA 15220

Dunaevsky, Victoria, MD

Specialty: Family Practice

(412) 922-8490

651 Holiday Drive, Foster Plaza Building # 5

Pittsburgh, PA 15220

Egan, Richard, MD

Specialty: Family Practice

(412) 920-0400

300 Fleet Street, Suite 100

Pittsburgh, PA 15220

Evron, Wayne, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 578-1724

5140 Liberty Avenue

Pittsburgh, PA 15224

Fatigati, Mario Jay, MD

Specialty: Internal Medicine

(412) 920-0283

615 Washington Road, #TL4

Pittsburgh, PA 15220

Fischer, Gary S., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Florian, Fred M, MD

Specialty: Family Practice

(412) 847-2615

1130 Perry Highway

Pittsburgh, PA 15237

Page 243 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Pittsburgh

Goldman, Joshua, DO

Specialty: Internal Medicine

(412) 920-0400

300 Fleet Street, Suite 100

Pittsburgh, PA 15220

Granieri, Rosanne, MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Green, Robert Michael, MD

Specialty: Family Practice

(412) 920-0400

300 Fleet Street, Suite 100

Pittsburgh, PA 15220

Hasley, Peggy B., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Hodak, Steven Paul, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Houston, MaryJo A., MD

Specialty: Family Practice

(412) 242-0777

1000 Integrity Drive, Suite 100

Pittsburgh, PA 15235

Hozakowska, Ewa, MD

Specialty: Family Practice

(412) 920-0400

300 Fleet Street, Suite 100

Pittsburgh, PA 15220

Pennsylvania

Pittsburgh

Itskowitz, Marc, MD

Specialty: Internal Medicine

(412) 359-3682

1307 Federal Street, Suite 304

Pittsburgh, PA 15212

Janiak, Daniel D., DO

Specialty: Family Practice

(412) 922-6093

One Walsh Road

Pittsburgh, PA 15205

Jasti, Harish, MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

John, Lawrence R., MD

Specialty: Family Practice

(412) 781-0400

100 Delafield Road, Suite 313

Pittsburgh, PA 15215

Kershaw, Erin E, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Korytkowski, Mary T, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Kraemer, Kevin L, MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Pennsylvania

Pittsburgh

Kroboth, Frank J., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Lowden, Patrick M, MD

Specialty: Family Practice

(412) 242-0777

1000 Integrity Drive, Suite 100

Pittsburgh, PA 15235

Mackey, Christine, MD

Specialty: Internal Medicine

(412) 359-3682

1307 Federal Street, Suite 304

Pittsburgh, PA 15212

Matasy, Victoria L., MD

Specialty: Family Practice

(412) 922-8490

651 Holiday Drive, Foster Plaza Building # 5

Pittsburgh, PA 15220

Morris, David Wayne, MD

Specialty: Family Practice

(412) 847-2615

1130 Perry Highway

Pittsburgh, PA 15237

Oczypok, Maureen P., MD

Specialty: Internal Medicine

(412) 922-6093

One Walsh Road

Pittsburgh, PA 15205

Oczypok, Paul M., MD

Specialty: Internal Medicine

(412) 922-6093

One Walsh Road

Pittsburgh, PA 15205

Page 244 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Pittsburgh

Painter, Thomas D, MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Palchick, Bryce, MD

Specialty: Family Practice

(412) 650-5623

140 Curry Hollow Road

Pittsburgh, PA 15236

Pavlick, Geno J., MD

Specialty: Family Practice

(412) 242-0777

1000 Integrity Drive, Suite 100

Pittsburgh, PA 15235

Preiss, Jennifer Ellen, MD

Specialty: Internal Medicine

(412) 922-8490

651 Holiday Drive, Foster Plaza Building # 5

Pittsburgh, PA 15220

Probst-Siska, Jamie L, MD

Specialty: Family Practice

(412) 781-0400

100 Delafield Road, Suite 313

Pittsburgh, PA 15215

Purighalla, Raman S., MD

Specialty: Internal Medicine

(412) 531-2902

1050 Bower Hill Road, Suite 202

Pittsburgh, PA 15220

Rajupet, Kamala, MD

Specialty: Endocrinology

(412) 578-1724

5140 Liberty Avenue

Pittsburgh, PA 15224

Pennsylvania

Pittsburgh

Rao, Rayasam Harsha, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Reider, Jodie Alton, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Roberts, Michelle M, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Rozen, Shari, MD

Specialty: Family Practice

(412) 650-5623

140 Curry Hollow Road

Pittsburgh, PA 15236

Sharma, Usha, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 578-1724

5140 Liberty Avenue

Pittsburgh, PA 15224

Smith, John R., MD

Specialty: Family Practice

(412) 825-0500

100 Forest Hills Plaza

Pittsburgh, PA 15221

Spagnoletti, Carla L., MD

Specialty: Internal Medicine

(412) 692-4821

MUH 9 South 200 Lothrop Street, W933 MUH, Attn: Joanne Riley

Pittsburgh, PA 15213

Pennsylvania

Pittsburgh

Stefanovic, Maja, MD

Specialty: Internal Medicine

(412) 586-9704

3601 Fifth Avenue

Pittsburgh, PA 15213

Stroud, Hilary A, MD

Specialty: Family Practice

(412) 847-2615

1130 Perry Highway

Pittsburgh, PA 15237

Tal, Alexander, MD

Specialty: Endocrinology, Diabetes & Metabolism

(412) 578-1724

5140 Liberty Avenue

Pittsburgh, PA 15224

Vargo, Scott, DO

Specialty: Internal Medicine

(412) 359-3682

1307 Federal Street, Suite 304

Pittsburgh, PA 15212

Wegrzynowicz, Denise D., DO

Specialty: Family Practice

Robinson Plaza Three, Suite 210A

Pittsburgh, PA 15205

Wilhelm, Dorothy, MD

Specialty: Family Practice

(412) 825-0500

100 Forest Hills Plaza

Pittsburgh, PA 15221

Yaros, John, MD

Specialty: Family Practice

(412) 279-9900

363 Vanadium Road, Suite 202

Pittsburgh, PA 15243

Quuakertown

Stauffer, Daniel J., MD

Specialty: Family Practice

(215) 536-7998

1021 Park Ave., Suite 203

Quuakertown, PA 18951

Page 245 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Reading

Bonner, Mary J., MD

Specialty: Internal Medicine

101 West Lancaster Avenue

Reading, PA 19607

Brackbill, Robert M, MD

Specialty: Internal Medicine

(610) 921-9363

3200 Reading Crest Avenue

Reading, PA 19605

Bub, Ivan, MD

Specialty: Family Practice

(610) 775-3316

225 North Kenhorst Blvd.

Reading, PA 19607

Christiansen, Leif E., DO

Specialty: Internal Medicine

2234 Perkiomen Avenue

Reading, PA 19606

Hassel, Jeffrey L, MD

Specialty: Internal Medicine

(610) 376-0353

640 Walnut Street

Reading, PA 19601

Heisey, John Claymon, MD

Specialty: Internal Medicine

(610) 779-8013

4885 DeMoss Road, Suite 200

Reading, PA 19606

High, Bertrand John, MD

Specialty: Internal Medicine

(610) 779-8013

4885 DeMoss Road, Suite 200

Reading, PA 19606

Karabelnik, Don, MD

Specialty: Family Practice

(610) 775-3316

225 North Kenhorst Blvd.

Reading, PA 19607

Pennsylvania

Reading

Kastenbaum, Michael, MD

Specialty: Internal Medicine

101 West Lancaster Avenue

Reading, PA 19607

Leisawitz, Elliott G., MD

Specialty: Internal Medicine

101 West Lancaster Avenue

Reading, PA 19607

Levine, Alan Paul, MD

Specialty: Internal Medicine

(610) 779-8013

4885 DeMoss Road, Suite 200

Reading, PA 19606

Parikh, Shirish Nanalal, MD

Specialty: Internal Medicine

(610) 376-4033

1800 Hampden Blvd.

Reading, PA 19604

Reimels, Brian, MD

Specialty: Family Practice

3701 Perkiomen Avenue

Reading, PA 19606

Wirth, Timothy M, MD

Specialty: Internal Medicine

(610) 921-9363

3200 Reading Crest Avenue

Reading, PA 19605

Wittels, Emanuel, MD

Specialty: Family Practice

(610) 775-3316

225 North Kenhorst Blvd.

Reading, PA 19607

Riegelsville

Berdini, John A., MD

Specialty: Family Practice

(610) 749-2118

302 Ash Lane

Riegelsville, PA 18077

Ronks

Pennsylvania

Ronks

Duprey, James G, MD

Specialty: Family Practice

(717) 299-5711

29 Eastbrook Road

Ronks, PA 17572

Hess, J. Clair, MD

Specialty: Family Practice

(717) 299-5711

29 Eastbrook Road

Ronks, PA 17572

Jackson, Richard D, MD

Specialty: Family Practice

(717) 299-5711

29 Eastbrook Road

Ronks, PA 17572

Siegrist, J. Donald, MD

Specialty: Family Practice

(717) 299-5711

29 Eastbrook Road

Ronks, PA 17572

Schaefferstown

Darpino, Anita R., DO

Specialty: Family Practice

(717) 949-2777

P. O. Box 455 Route 501 North

Schaefferstown, PA 17088

Folk, Mark E., DO

Specialty: Family Practice

(717) 949-2777

P. O. Box 455 Route 501 North

Schaefferstown, PA 17088

Shay, Steven D., DO

Specialty: Family Practice

(717) 949-2777

P. O. Box 455 Route 501 North

Schaefferstown, PA 17088

Scranton

Page 246 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Scranton

Chintanaboina, Jaya Krishna, MD

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Deck, Charles, MD

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Guzek, John R., MD

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Hyzinski, Martin, MD

Specialty: Hematology/Oncology

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Irukulla, Pavan, MD

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Weber, Valerie D., MD

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Weinberger, Richard L, DO

Specialty: Internal Medicine

(570) 357-7731

640 Madison Avenue

Scranton, PA 18510

Sewickley

Pennsylvania

Sewickley

Bernat, Karl R., MD

Specialty: Internal Medicine

(412) 741-0985

701 Broad Street, Suite B

Sewickley, PA 15143

Bogdewic, Thomas A., MD

Specialty: Family Practice

(412) 741-4044

525 Locust Place

Sewickley, PA 15143

Hogan, Richard C., MD

Specialty: Internal Medicine

(412) 741-0985

701 Broad Street, Suite B

Sewickley, PA 15143

Meditch, James S, MD

Specialty: Internal Medicine

(412) 741-0985

701 Broad Street, Suite B

Sewickley, PA 15143

Pierce, Kim M, MD

Specialty: Internal Medicine

(412) 741-0985

701 Broad Street, Suite B

Sewickley, PA 15143

Shinn, Sarah B., MD

Specialty: Internal Medicine

(724) 935-2620

2591 Wexford Bayne Road, Spectra Bldg. II, Suite 206

Sewickley, PA 15143

Swan, David M., MD

Specialty: Family Practice

(412) 741-4044

525 Locust Place

Sewickley, PA 15143

Silverdale

Pennsylvania

Silverdale

Kuhar, Kim P, DO

Specialty: Internal Medicine

(215) 258-1289

164 Main Street, P.O. Box 420

Silverdale, PA 18962

Sinking Spring

Kleiman, Louis M., DO

Specialty: Family Practice

2921 Windmill Road, Suite 1

Sinking Spring, PA 19608

Sorensen, Christian, MD

Specialty: Family Practice

2913 Windmill Road, Suite 7

Sinking Spring, PA 19608

Sinking Springs

Flores-Posadas, Margaret G., MD

Specialty: Family Practice

(610) 670-2522

4400 Penn Avenue

Sinking Springs, PA 19608

Manubay, John M., MD

Specialty: Family Practice

(610) 670-2522

4400 Penn Avenue

Sinking Springs, PA 19608

State College

Purdum, Barbara A, CRNP

Specialty: Nurse Practitioner

(814) 234-8800

1850 East Park Avenue

State College, PA 16803

Trainor, Susan, CRNP

Specialty: Nurse Practitioner

(814) 234-8800

1850 East Park Avenue

State College, PA 16803

Page 247 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

State College

Ulbrecht, Jan S., MD

Specialty: Endocrinology, Diabetes & Metabolism

(814) 234-8800

1850 East Park Avenue

State College, PA 16803

Steelton

Szada, Maryjo Ellen, MD

Specialty: Family Practice

(717) 986-0794

381 S Front St

Steelton, PA 17113

Tamaqua

Calabrese, Joanne, DO

Specialty: Internal Medicine

(570) 668-6541

1299 E. Broad St

Tamaqua, PA 18252

Gilbert, Richard, DO

Specialty: Family Practice

(570) 668-0180

34 S. Railroad St.

Tamaqua, PA 18252

Krause, Craig J., DO

Specialty: Family Practice

(570) 668-0180

34 S. Railroad St.

Tamaqua, PA 18252

Tarentum

Martin, Margaret Leffler, MD

Specialty: Family Practice

(724) 226-2900

317 First Avenue

Tarentum, PA 15084

Shin, David H, MD

Specialty: Internal Medicine

(724) 226-2900

317 First Avenue

Tarentum, PA 15084

Temple

Pennsylvania

Temple

Jacobson, Martin Aaron, MD

Specialty: Internal Medicine

4201 Kutztown Road

Temple, PA 19560

Reyner, Peter Cooper, MD

Specialty: Internal Medicine

4201 Kutztown Road

Temple, PA 19560

Zapata, William Anthony, MD

Specialty: Internal Medicine

4201 Kutztown Road

Temple, PA 19560

Trexlertown

deAngelis, Patricia, DO

Specialty: Family Practice

(610) 402-0101

Health Center at Trexlertown, 6900 Hamilton Blvd., P.O. Box 127

Trexlertown, PA 18087

Glueck, David, MD

Specialty: Family Practice

(610) 402-0101

Health Center at Trexlertown, 6900 Hamilton Blvd., P.O. Box 127

Trexlertown, PA 18087

McNeill, Kevin, MD

Specialty: Family Practice

(610) 402-0101

Health Center at Trexlertown, 6900 Hamilton Blvd., P.O. Box 127

Trexlertown, PA 18087

Motsay, Stephen, MD

Specialty: Family Practice

(610) 402-0101

Health Center at Trexlertown, 6900 Hamilton Blvd., P.O. Box 127

Trexlertown, PA 18087

Pennsylvania

Trexlertown

Sandoval, Victorino, MD

Specialty: Family Practice

(610) 402-0101

Health Center at Trexlertown, 6900 Hamilton Blvd., P.O. Box 127

Trexlertown, PA 18087

Tunkhannock

Zurad, Edward G, MD

Specialty: Family Practice

(570) 836-9074

5950 SR 6, 3rd Floor

Tunkhannock, PA 18657

Uniontown

Cook, II, Richard Allen, MD

Specialty: Family Practice

(724) 438-1808

104 McClellandtown Road

Uniontown, PA 15401

Cook, Richard A., MD

Specialty: Family Practice

(724) 438-1808

104 McClellandtown Road

Uniontown, PA 15401

Felder, Jill, MD

Specialty: Endocrinology

(724) 438-6200

139 West Fayette St.

Uniontown, PA 15217

Hartley, Paul, MD

Specialty: Internal Medicine

(724) 437-1109

202 Jacob Murphy Lane, Suite 201

Uniontown, PA 15401

Labuda, Joseph M., MD

Specialty: Family Practice

(724) 438-1808

104 McClellandtown Road

Uniontown, PA 15401

Verona

Page 248 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Verona

Saxena, Priya Prabhakar, MD

Specialty: Internal Medicine

(412) 712-1077

6149 Saltsburg Rd

Verona, PA 15147

Walnutport

Doherty, Lisa, DO

Specialty: Family Practice

(610) 760-8080

330 North Best Avenue, Suite A

Walnutport, PA 18088

Washington

Cullen, Paul T., MD

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Minteer, Jeffrey F., MD

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Slomiany, Walter P, MD

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Stantspainter, Matthew Seth, DO

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Vore, Kim Keller, MD

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Pennsylvania

Washington

Weinstein, Maryann Brandt, MD

Specialty: Family Practice

(724) 223-3100

95 Leonard Avenue Bldg. 2, Suite 300

Washington, PA 15301

Waynesboro

Gallo, Gary L., MD

Specialty: Family Practice

(717) 762-9118

1051 East Main Street, Suite 1

Waynesboro, PA 17268

Rettig, Stephen J., MD

Specialty: Family Practice

(717) 762-9118

1051 East Main Street, Suite 1

Waynesboro, PA 17268

Stewart, III, Joseph H., DO

Specialty: Family Practice

(717) 762-9118

1051 East Main Street, Suite 1

Waynesboro, PA 17268

West Mifflin

Annear, William Cameron, MD

Specialty: Family Practice

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Beck, Ronald C., MD

Specialty: Family Practice

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Bhat, Mohan Rama, MD

Specialty: Internal Medicine

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Pennsylvania

West Mifflin

Edwards, Anita, MD

Specialty: Internal Medicine

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Kraftowitz, Robert Elliott, MD

Specialty: Internal Medicine

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Nair, Sreelatha C., MD

Specialty: Internal Medicine

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

Syeda, Asma M., MD

Specialty: Family Practice

(412) 655-8650

2027 Lebanon Church Road

West Mifflin, PA 15122

West Reading

Silverman, Edward James, MD

Specialty: Internal Medicine

(610) 375-7229

606 Museum Road

West Reading, PA 19611

Willow Street

Aichele, Robert K, DO

Specialty: Family Practice

(717) 464-2838

2605 Willow Street Pike

Willow Street, PA 17584

Diehl, Daniel, MD

Specialty: Family Practice

(717) 464-3112

222 Willow Valley Lakes Drive

Willow Street, PA 17584

Page 249 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Willow Street

Frey, Richard P, DO

Specialty: Family Practice

(717) 464-2838

2605 Willow Street Pike

Willow Street, PA 17584

Pratt, Robert S, MD

Specialty: Family Practice

(717) 464-2759

25 Nolt Avenue

Willow Street, PA 17584

Smith, Corey R, DO

Specialty: Family Practice

(717) 464-8770

25 Nolt Avenue

Willow Street, PA 17584

Wind Gap

DeFranco, Albert B.,

Specialty: Family Practice

(610) 863-7020

497 Bushkill Plaza Lane

Wind Gap, PA 18091

Womelsdorf

Bigos, Edward T, MD

Specialty: Family Practice

(610) 589-2555

1137 West Penn Avenue

Womelsdorf, PA 19567

Dietrich, Scott A, MD

Specialty: Family Practice

(610) 589-2555

1137 West Penn Avenue

Womelsdorf, PA 19567

Minnich, Ryan, DO

Specialty: Family Practice

(610) 589-2555

1137 West Penn Avenue

Womelsdorf, PA 19567

Wrightsville

Pennsylvania

Wrightsville

Jensen, John M., DO

Specialty: Family Practice

(717) 252-1575

900 Hellam Street

Wrightsville, PA 17368

Wyomissing

Aynardi, Jay Marc, MD

Specialty: Internal Medicine

(610) 898-1820

301 South Seventh Ave., Suite 210

Wyomissing, PA 19610

Chacko, Vinod, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Erlikh, Tatyana, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Heffernan, John M., MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Herb, Ronald K., DO

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Jashi, Manuja,

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Pennsylvania

Wyomissing

Jenckes, George, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Lee, Jennie Sook, MD

Specialty: Family Practice

(610) 898-5280

560 Van Reed Road, Suite 102

Wyomissing, PA 19610

Nat, Hridayesh Singh, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Rahmanian, Nader, MD

Specialty: Internal Medicine

1416 Penn Avenue

Wyomissing, PA 19610

Rohrbach, Anne M, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Smith, Christopher M, DO

Specialty: Internal Medicine

(610) 898-1820

301 South Seventh Ave., Suite 210

Wyomissing, PA 19610

Steffy, David F, MD

Specialty: Internal Medicine

(610) 898-1820

301 South Seventh Ave., Suite 210

Wyomissing, PA 19610

Travers, Jr., John, MD

Specialty: Family Practice

(610) 898-5280

560 Van Reed Road, Suite 102

Wyomissing, PA 19610

Page 250 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Pennsylvania

Wyomissing

Vanden-Bosch, John T, MD

Specialty: Internal Medicine

(610) 898-1820

301 South Seventh Ave., Suite 210

Wyomissing, PA 19610

Vu, Son, MD

Specialty: Optometry

(610) 898-5280

560 Van Reed Road, Suite 102

Wyomissing, PA 19610

Wagner, Jr., Charles, DO

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Winans, Lewis E, MD

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

Zimmerman, Debra A, DO

Specialty: Internal Medicine

(610) 375-7222

950A N. Wyomissing Blvd.

Wyomissing, PA 19610

York

Brusse, Dawn M., MD

Specialty: Family Practice

(717) 741-9462

80 Wyntre Brooke Drive

York, PA 17403

Carpenter, Cathy P., MD

Specialty: Family Practice

(717) 741-9462

80 Wyntre Brooke Drive

York, PA 17403

Pennsylvania

York

Kepner, Diane M., MD

Specialty: Family Practice

(717) 741-9462

80 Wyntre Brooke Drive

York, PA 17403

Manning, Cathy J., DO

Specialty: Internal Medicine

(717) 845-8623

924 Colonial Avenue

York, PA 17403

Yoo, Heui G., MD

Specialty: Internal Medicine

(717) 845-8623

924 Colonial Avenue

York, PA 17403

South Carolina

Aiken

Degnan, Alyssa M., DO

Specialty: Internal Medicine

(803) 649-5300

102 Summerwood Way

Aiken, SC 29803

Gordon, Gerald, MD

Specialty: Internal Medicine

(803) 649-5300

102 Summerwood Way

Aiken, SC 29803

Mondschein, Frank J., MD

Specialty: Clinical & Laboratory Dermatological Immunology

(803) 649-5300

102 Summerwood Way

Aiken, SC 29803

Muniz, Leopoldo M., MD

Specialty: Family Practice

(803) 642-3505

101 Summerwood Way

Aiken, SC 29803

Anderson

South Carolina

Anderson

Abercrombie, Stoney A, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Bradford, Nathan F, MD

Specialty: Internal Medicine

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Cayelli, Maria A.O., MD

Specialty: Family Practice

(864) 260-1590

2000 East Greenville Street, Suite 2000

Anderson, SC 29621

Clemow, Diana D, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Cline, Matthew K, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Cook, Anne G, MD

Specialty: Internal Medicine

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Greer, Chad Christopher, MD

Specialty: Sports Medicine

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Page 251 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Anderson

Kunkel, Michael, MD

Specialty: Internal Medicine

(864) 716-6024

200 East Greenville Street, Suite 3850

Anderson, SC 29621

Miranda, Susan E, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Nelson, Kyle, DO

Specialty: Family Practice

(864) 226-1899

1520 Whitehall Road

Anderson, SC 29621

Sanders, Caroline H, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Sofley, C. Wilson, MD

Specialty: Internal Medicine

(864) 716-6024

200 East Greenville Street, Suite 3850

Anderson, SC 29621

Woodall, Hunter E, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

Young, Natawadee P, MD

Specialty: Family Practice

(864) 512-1475

2000 E. Greenville Street, Suite 3700

Anderson, SC 29621

bluffton

South Carolina

bluffton

Mikkelson, Michael K, MD

Specialty: Family Practice

(843) 757-5400

167c bluffton rd

bluffton, SC 29910

Boiling Springs

Dickerson, John Graham, MD

Specialty: Family Practice

(864) 578-9735

2212 Old Furnace Road

Boiling Springs, SC 29316

Gibson, Gregory, MD

Specialty: Family Practice

(864) 560-3650

3941 Highway 9

Boiling Springs, SC 29316

Gonda, Frank E., MD

Specialty: Family Practice

(864) 578-9735

2212 Old Furnace Road

Boiling Springs, SC 29316

Bonneau

Rodgers, David P., MD

Specialty: Family Practice

(843) 825-3404

1401 Main Street

Bonneau, SC 29431

Calhoun Falls

McQuown, James A, MD

Specialty: Internal Medicine

535 Jackson St

Calhoun Falls, SC 29628

Camden

Smith, Roy E, MD

Specialty: Family Practice

(803) 425-1330

1111 Mill Street

Camden, SC 29020

Chapin

South Carolina

Chapin

Venegas, J. Manuel, MD

Specialty: Family Practice

(803) 345-1829

1612 Chapin Road

Chapin, SC 29036

Charleston

Arnau, Thomas B., MD

Specialty: Family Practice

(843) 572-1200

9313 Medical Plaza Drive, Suite 202

Charleston, SC 29406

Benich, Joseph John, MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Bolster, D Eric, MD

Specialty: Internal Medicine

(843) 851-2000

201 Oakbrook Lane, Suite 202, Suite 202

Charleston, SC 29485

Bolt, Thomas R., MD

Specialty: Family Practice

(843) 572-1200

9313 Medical Plaza Drive, Suite 202

Charleston, SC 29406

Brock, Clive D., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Brown, Rush, MD

Specialty: Internal Medicine

(843) 763-3700

2270 Ashley Crossing Drive, Suite 170

Charleston, SC 29414

Page 252 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Charleston

Cain, Robert W., MD

Specialty: Internal Medicine

(843) 266-4400

615 Wesley Drive, Ste. 300

Charleston, SC 29407

Carek, Peter J., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Caton, Kirt A, MD

Specialty: Family Practice

1754 Yeaman's Hall Rd

Charleston, SC 29406

Chessman, Alexander W., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Detar, D. Todd, DO

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Dewhirst, Brian D., MD

Specialty: Family Practice

(843) 572-1200

9313 Medical Plaza Drive, Suite 202

Charleston, SC 29406

Diaz, Vanessa A., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Durrence, Hugh Dowdy, MD

Specialty: Family Practice

(843) 795-5362

418 Folly Rd, Suite A

Charleston, SC 29412

South Carolina

Charleston

Edwards, Matthew J., MD

Specialty: Family Practice

(843) 522-0400

5325 Appian Way

Charleston, SC 29420

Freedy, John R., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Frithsen, Ivar, MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Gibson, Maria V., MD

Specialty: Family Practice

(843) 876-7031

9298 Medical Plaza Dr.

Charleston, SC 29406

Glaser, Anthony N, MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Gonsalves, Wanda, MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Grossman, Colby H, MD

Specialty: Internal Medicine

(843) 851-2000

201 Oakbrook Lane, Suite 202, Suite 202

Charleston, SC 29485

South Carolina

Charleston

Hainer, Barry L., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Hebbar, Airody K., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Hickman, Cary S, MD

Specialty: Internal Medicine

(843) 571-6880

615 Wesley Drive, Suite 200

Charleston, SC 29407

Hiott, Joann, MD

Specialty: Family Practice

(843) 763-9472

2270 Ashley Crossing Drive, Suite 165

Charleston, SC 29414

Hueston, William J., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Hutson, Arthur Cleve, DO

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

King, Dana E., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Page 253 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Charleston

Lackey, Keith W., MD

Specialty: Internal Medicine

(843) 266-4400

615 Wesley Drive, Ste. 300

Charleston, SC 29407

Matheson, Eric, MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Michael, Fred A., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Minson, George E, MD

Specialty: Hematology

(843) 797-1958

2845 Tricom Street

Charleston, SC 29406

Otruba, Michael S, DO

Specialty: Internal Medicine

(843) 851-2000

201 Oakbrook Lane, Suite 202, Suite 202

Charleston, SC 29485

Player, Marty S., MD

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Redwine, John Mark, MD

Specialty: Family Practice

(843) 522-0400

5325 Appian Way

Charleston, SC 29420

South Carolina

Charleston

Rodden, Ann M., DO

Specialty: Family Practice

(843) 792-3451

295 Calhoun Street

Charleston, SC 29425

Smith, Charles L, MD

Specialty: Internal Medicine

(843) 571-6880

615 Wesley Drive, Suite 200

Charleston, SC 29407

Snyder, William H, MD

Specialty: Internal Medicine

(843) 571-6880

615 Wesley Drive, Suite 200

Charleston, SC 29407

Thompson, P. H. Gordon, MD

Specialty: Family Practice

(843) 572-1200

9313 Medical Plaza Drive, Suite 202

Charleston, SC 29406

Vandegrift, Tara N., MD

Specialty: Family Practice

(843) 572-1200

9313 Medical Plaza Drive, Suite 202

Charleston, SC 29406

Chester

Stone, Samuel R, MD

Specialty: Family Practice

(803) 581-2800

517 Doctors Court

Chester, SC 29706

Clemson

Swann, Theodore J., MD

Specialty: Family Practice

(864) 654-2067

386 College Avenue

Clemson, SC 29631

Clover

South Carolina

Clover

Holman, David O, MD

Specialty: Family Practice

(803) 222-3063

207 Church Street

Clover, SC 29710

Columbia

Allison III, James R., MD

Specialty: Internal Medicine

(803) 799-1922

1301 Taylor Street, Suite 8-A

Columbia, SC 29201

Baxley, Elizabeth G., MD

Specialty: Family Practice

(803) 434-6113

3209 Colonial Drive

Columbia, SC 29203

Birdsong, Claire L, MD

Specialty: Family Practice

190 Parkridge Drive, Suite 250

Columbia, SC 29212

Crutcher, Samuel John, MD

Specialty: Family Practice

(803) 434-6113

3209 Colonial Drive

Columbia, SC 29203

Fitzgibbon, Rodney, MD

Specialty: Family Practice

(803) 736-6262

3000 NE Medical Park, Suite 209

Columbia, SC 29223

Goldstein, Francis P., MD

Specialty: Internal Medicine

(803) 799-1922

1301 Taylor Street, Suite 8-A

Columbia, SC 29201

Gould, III, John, DO

Specialty: Internal Medicine

(803) 799-1922

1301 Taylor Street, Suite 8-A

Columbia, SC 29201

Page 254 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Columbia

Hall, Jeffrey W., MD

Specialty: Family Practice

(803) 434-6113

3209 Colonial Drive

Columbia, SC 29203

Hartvigsen, Robert Erik, MD

Specialty: Family Practice

(803) 736-0731

115 Blarney Drive, Suite 212

Columbia, SC 29223

Hernandez, Johan, MD

Specialty: Family Practice

(803) 434-6113

3209 Colonial Drive

Columbia, SC 29203

Hester, Brabham M, MD

Specialty: Family Practice

(803) 695-5450

5900 Garners Ferry Road

Columbia, SC 29209

Hester, Martha P, MD

Specialty: Family Practice

(803) 695-5450

5900 Garners Ferry Road

Columbia, SC 29209

Hook, Jeffrey D, MD

Specialty: Internal Medicine

(803) 462-9200

3000 NE Medical Park, Suite 108

Columbia, SC 29223

Hudson, Deidre J, MD

Specialty: Family Practice

190 Parkridge Drive, Suite 250

Columbia, SC 29212

Huffman, Leroy J., MD

Specialty: Internal Medicine

(803) 799-1922

1301 Taylor Street, Suite 8-A

Columbia, SC 29201

South Carolina

Columbia

Hummel, Melissa H, MD

Specialty: Internal Medicine

(803) 254-2786

2701 Middleburg Drive

Columbia, SC 29204-2405

Hutto, Eric N, MD

Specialty: Family Practice

190 Parkridge Drive, Suite 250

Columbia, SC 29212

Massey, Jean A, MD

Specialty: Nurse Practitioner

(803) 462-9200

3000 NE Medical Park, Suite 108

Columbia, SC 29223

Nunnery, Michael, MD

Specialty: Family Practice

(803) 699-7255

76 Polo Road

Columbia, SC 29223

Patel, Nitin A, MD

Specialty: Internal Medicine

(803) 462-9200

3000 NE Medical Park, Suite 108

Columbia, SC 29223

Risinger, Sharon A, MD

Specialty: Family Practice

(803) 695-5450

5900 Garners Ferry Road

Columbia, SC 29209

Robinson, William K., MD

Specialty: Internal Medicine

(803) 462-9200

3000 NE Medical Park, Suite 108

Columbia, SC 29223

Rouse, Kelle Bolden, MD

Specialty: Internal Medicine

(803) 451-7390

11 Atrium Ridge Court

Columbia, SC 29223

South Carolina

Columbia

Schaefer, Catherine A, MD

Specialty: Family Practice

(803) 462-6733

1606 Horseshoe Drive

Columbia, SC 29223

Shumpert, Evelynne Diane, MD

Specialty: Nurse Practitioner

(803) 695-5450

5900 Garners Ferry Road

Columbia, SC 29209

Toliver-Dingle, Peggy V., MD

Specialty: Internal Medicine

(803) 799-1922

1301 Taylor Street, Suite 8-A

Columbia, SC 29201

Cowpens

Cupstid, Henry Griffin, MD

Specialty: Family Practice

(864) 343-4072

5470 North Main Street, PO Box C

Cowpens, SC 29330

Daniel Island

Davis, Lucy G., MD

Specialty: Family Practice

(843) 856-6402

900 Island Park Drive, Suite 101

Daniel Island, SC 29492

Spicer, Leigh M., MD

Specialty: Pain Management

(843) 856-6402

900 Island Park Drive, Suite 101

Daniel Island, SC 29492

Due West

Henry, Brian, MD

Specialty: Family Practice

(864) 379-2345

6 College Street, PO Box 638

Due West, SC 29639-9554

Page 255 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Duncan

Lucarelli, Richard, DO

Specialty: Family Practice

(864) 560-3500

1575 East Main Street

Duncan, SC 29334

Elloree

Carpenter, Richard Lee, MD

Specialty: Family Practice

(803) 897-2128

2734 Cleveland Street

Elloree, SC 29047

Florence

Skinner, Motte Gilliam, MD

Specialty: Family Practice

(843) 662-1533

305 E. Cheves Street, Suite 160, McLeod Medical Park West

Florence, SC 29506

Fort Mill

Bellafonte, Lisa, MD

Specialty: Internal Medicine

(803) 802-5181

1698 W. Hwy 160, Ste. 140

Fort Mill, SC 29708

Nunnery, Kenneth Edward, MD

Specialty: Family Practice

(803) 547-7541

1690 Hwy 160 West

Fort Mill, SC 29708-8024

Pope, Brian O, MD

Specialty: Family Practice

(803) 835-0420

704 Gold Hill Road, Suite 107

Fort Mill, SC 29715

Truesdale, Dorenda Gregg, MD

Specialty: Family Practice

(803) 835-0420

704 Gold Hill Road, Suite 107

Fort Mill, SC 29715

South Carolina

Fort Mill

Weber, Karl, MD

Specialty: Internal Medicine

(803) 802-5181

1698 W. Hwy 160, Ste. 140

Fort Mill, SC 29708

Gaffney

Barnhill, Herbert Francis, MD

Specialty: Family Practice

(864) 489-8168

722 Hyatt Street, Suite A

Gaffney, SC 29341

Cutchin, Richard C, MD

Specialty: Family Practice

(864) 487-7655

517 Chesnee Highway, Suite A

Gaffney, SC 29341

Nazareno, Marilu L., MD

Specialty: Family Practice

(864) 489-3300

1341 North Limestone Street

Gaffney, SC 29340

Stroup, Charles P, MD

Specialty: Family Practice

(864) 489-2400

722 Hyatt STreet, Suite C

Gaffney, SC 29341-2644

Goose Creek

Campbell, John White, MD

Specialty: Family Practice

(843) 572-8201

100 Spring Hall Drive

Goose Creek, SC 29445

Campbell, Patricia A, MD

Specialty: Family Practice

(843) 266-2520

110-A Springhall Dr., 110-A Springhall Dr.

Goose Creek, SC 29445

South Carolina

Goose Creek

Hanna, Donald Timothy, MD

Specialty: Family Practice

(843) 572-8201

100 Spring Hall Drive

Goose Creek, SC 29445

Sutterlin, III, John D., MD

Specialty: Family Practice

(843) 553-4383

7 S. Alliance Drive, Suite 201

Goose Creek, SC 29445

Tucker, William Martin, MD

Specialty: Family Practice

(843) 266-2520

110-A Springhall Dr., 110-A Springhall Dr.

Goose Creek, SC 29445

Viduya, Sherry J., MD

Specialty: Family Practice

(843) 574-0060

105-A Springhall Drive, 105-A Springhall Dr.

Goose Creek, SC 29445

Greenville

Fields, Carolyn D., MD

Specialty: Family Practice

(864) 271-1464

1028 North Church Street

Greenville, SC 29601

Siegel, Jeffrey A., MD

Specialty: Internal Medicine

(864) 232-8296

317 St. Francis Drive, Suite 130

Greenville, SC 29601

Greenwood

Casey, Bryan Hodges, DO

Specialty: Family Practice

(864) 229-4446

311 Main Street

Greenwood, SC 29646

Page 256 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Greenwood

Todd, Chandler, MD

Specialty: Pediatrics

(864) 229-4446

311 Main Street

Greenwood, SC 29646

Greer

Leigh, J. Hunter, DO

Specialty: Family Practice

(864) 877-9066

406 Memorial Drive Ext.

Greer, SC 29651

Smith, Christopher A., MD

Specialty: Family Practice

(864) 849-9170

2755 S. Highway 14, Suite 1200C

Greer, SC 29650

Hampton

Vega, Luis R, MD

Specialty: Family Practice

(803) 943-3813

300 Maple St. West

Hampton, SC 29924

Honea Path

Smith, James A., MD

Specialty: Family Practice

(864) 369-1826

21 South Shirley Street

Honea Path, SC 29654

Indian Land

Furse, James A, MD

Specialty: Family Practice

(803) 283-2011

7666 Charlotte Highway, Suite 120, Suite 120

Indian Land, SC 29707

South Carolina

Indian Land

Harris, Tami Jean, MD

Specialty: Family Practice

(803) 283-2011

7666 Charlotte Highway, Suite 120, Suite 120

Indian Land, SC 29707

Kimmerle, Gregory R., MD

Specialty: Internal Medicine

(704) 302-9600

7666 Charlotte Highway, Suite 200

Indian Land, SC 29707

Morris, William Arthur, MD

Specialty: Family Practice

(803) 283-2011

7666 Charlotte Highway, Suite 120, Suite 120

Indian Land, SC 29707

Thomas, William Lee, MD

Specialty: Family Practice

(803) 548-9393

7580 Charlotte Highway, Suite 1000

Indian Land, SC 29707-781

Irmo

AbdulRahman, Amjad, MD

Specialty: Internal Medicine

(803) 732-4001

7430 College Street

Irmo, SC 29063

Bridgers, David Keith, MD

Specialty: Internal Medicine

(803) 732-4001

7430 College Street

Irmo, SC 29063

Browning, Rosalie E., MD

Specialty: Internal Medicine

(803) 732-4001

7430 College Street

Irmo, SC 29063

South Carolina

Irmo

Hite, III, Louis Carey, MD

Specialty: Internal Medicine

(803) 732-4001

7430 College Street

Irmo, SC 29063

Patrick, Elizabeth A., MD

Specialty: Internal Medicine

(803) 732-4001

7430 College Street

Irmo, SC 29063

Johns Island

Feldman, Lynn Frederick, DO

Specialty: Family Practice

(843) 768-4800

345 Freshfields Driver, Ste. J101

Johns Island, SC 29455

Lake Wylie

Miszkiewicz, Steven, MD

Specialty: Family Practice

(803) 631-2858

1200 Village Harbor Drive

Lake Wylie, SC 29710

Lancaster

Shealy, Keith D., MD

Specialty: Family Practice

(803) 285-7414

1025 West Meeting Street

Lancaster, SC 29720

Lexington

Dacus, William S, MD

Specialty: Family Practice

(803) 957-8400

122 Powell Drive

Lexington, SC 29072

Korman, William T, MD

Specialty: Family Practice

(803) 957-8400

122 Powell Drive

Lexington, SC 29072

Page 257 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Lexington

Lyle, David P, MD

Specialty: Family Practice

(803) 957-8400

122 Powell Drive

Lexington, SC 29072

Martin, Henry, MD

Specialty: Internal Medicine

(803) 957-8400

122 Powell Drive

Lexington, SC 29072

Wallace, Timothy R, DO

Specialty: Family Practice

(803) 356-3609

4711 Sunset Boulevard

Lexington, SC 29072

Wenner, Allen Richard, MD

Specialty: Family Practice

(803) 356-3609

4711 Sunset Boulevard

Lexington, SC 29072

Williams, James O, MD

Specialty: Family Practice

(803) 356-3609

4711 Sunset Boulevard

Lexington, SC 29072

Moncks Corner

Ackermann, Jeremy James, DO

Specialty: Family Practice

(843) 761-8800

2061 Hwy. 52 S

Moncks Corner, SC 29461

Bounds, Charles Wilson, MD

Specialty: Family Practice

(843) 761-8800

2061 Hwy. 52 S

Moncks Corner, SC 29461

South Carolina

Moncks Corner

Floyd, Meredith D., MD

Specialty: Family Practice

(843) 761-2815

Palmetto Primary Care Physicians-Moncks Corner, 115 Executive Parkway

Moncks Corner, SC 29461

Hogue, Caisson Timber, MD

Specialty: Family Practice

(843) 761-2815

Palmetto Primary Care Physicians-Moncks Corner, 115 Executive Parkway

Moncks Corner, SC 29461

Jones, Edward Johnson, MD

Specialty: Internal Medicine

(843) 761-2815

Palmetto Primary Care Physicians-Moncks Corner, 115 Executive Parkway

Moncks Corner, SC 29461

Santi, Jeffrey R., MD

Specialty: Family Practice

(843) 761-8800

2061 Hwy. 52 S

Moncks Corner, SC 29461

Wilhoit, Gordon B., MD

Specialty: Family Practice

(843) 761-8800

2061 Hwy. 52 S

Moncks Corner, SC 29461

Mount Pleasant

Datta, Susan M., MD

Specialty: Internal Medicine

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

Feely, Thomas Archibald, MD

Specialty: Internal Medicine

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

South Carolina

Mount Pleasant

Mikola, Michael G., MD

Specialty: Internal Medicine

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

Mills, Richard E., MD

Specialty: General Practice

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

Rowe, Jr., John R., MD

Specialty: Family Practice

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

Thomas, Karen W, MD

Specialty: Internal Medicine

(843) 884-1777

180 Wingo Way, Suite 207

Mount Pleasant, SC 29464

Mt. Pleasant

Feller, Mitchell D., MD

Specialty: Family Practice

(843) 884-1341

900 Bowman Rd., Suite 203

Mt. Pleasant, SC 29464

Pacolet

Bishop, Preston, MD

Specialty: Family Practice

(864) 474-1528

7221 South Pine Street

Pacolet, SC 29372

Pageland

Butler, George A, MD

Specialty: Family Practice

(843) 672-6127

301 N Van Lingle Mungo Blvd

Pageland, SC 29728

Page 258 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Pageland

Sutton, Elena K., MD

Specialty: Family Practice

(843) 672-6127

301 N Van Lingle Mungo Blvd

Pageland, SC 29728

Pawleys Island

Haseltine, David K, MD

Specialty: Internal Medicine

(843) 325-5521

254 Red Tail Hawk Loop

Pawleys Island, SC 29585

Kelly, Larry W, MD

Specialty: Internal Medicine

(843) 314-1314

64 Business Center Drive

Pawleys Island, SC 29585

Reardon, Terry J, MD

Specialty: Internal Medicine

(843) 314-1314

Pawleys Pediatrics and Adult Medicine, 64 Business Center Dr

Pawleys Island, SC 29585

Richburg

Yousefian, Mehrdad, MD

Specialty: Internal Medicine

(803) 789-6111

3248 Edgeland Road

Richburg, SC 29729

Rock Hill

Anandpura, Parag S., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

Barron, Jr., George T., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

South Carolina

Rock Hill

Fulmer, Robert V., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

Jackson, William A., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

Martin, Stephen R., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

McMahon, Sandra E., MD

Specialty: Internal Medicine

(803) 326-0181

2450 India Hook Road, Suite B

Rock Hill, SC 29732

Miller, Fred H., MD

Specialty: Internal Medicine

(803) 326-0181

2450 India Hook Road, Suite B

Rock Hill, SC 29732

Netzler, Clifford K., MD

Specialty: Internal Medicine

(803) 326-0181

2450 India Hook Road, Suite B

Rock Hill, SC 29732

Pennington, Amanda M., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

Sample, Jerry J., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

South Carolina

Rock Hill

Sick, Brandon R., MD

Specialty: Family Practice

(704) 752-7050

2633 Celanese Rd.

Rock Hill, SC 29732

White, George Huggin, MD

Specialty: Family Practice

(803) 328-3828

1435 Ebenezer Road, PO Box 33549

Rock Hill, SC 29732

Seneca

Mcalpine, Cathryn P, MD

Specialty: General Practice

(864) 886-2000

15575 Wells Hwy

Seneca, SC 29678

Simpsonville

Johnson, Gretchen H, MD

Specialty: Family Practice

(864) 963-1548

717 Southeast Maine Street

Simpsonville, SC 29681

Lewis, Katherine Therese, MD

Specialty: Family Practice

(864) 963-1548

717 SE Main Street

Simpsonville, SC 29681

Lewis, Katherine Therese, MD

Specialty: Family Practice

(864) 963-1548

717 Southeast Maine Street

Simpsonville, SC 29681

Spartanburg

Allan, Richmond P., MD

Specialty: Internal Medicine

(864) 582-1201

1690 Skylyn Drive, Ste. 300

Spartanburg, SC 29307

Page 259 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Spartanburg

Arlauskas, Victoria Anne, MD

Specialty: Internal Medicine

(864) 598-1962

2995 Reidville Road, Suite 210

Spartanburg, SC 29301

Bouknight, Patricia J., MD

Specialty: Family Practice

(864) 560-6193

853 North Church Street, Suite 510

Spartanburg, SC 29303

Cole, Jack Martin, MD

Specialty: Internal Medicine

(864) 598-1962

2995 Reidville Road, Suite 210

Spartanburg, SC 29301

Collier, Jennifer A., DO

Specialty: Family Practice

(864) 560-6193

853 North Church Street, Suite 510

Spartanburg, SC 29303

Craft, Jeffrey M., MD

Specialty: Internal Medicine

(864) 560-6851

100 East Wood Street, Suite 401

Spartanburg, SC 29303

Finch, Susan Gail, MD

Specialty: Internal Medicine

(864) 582-1201

1690 Skylyn Drive, Ste. 300

Spartanburg, SC 29307

Glace, Charles Lawrence, MD

Specialty: Family Practice

(864) 598-1962

2995 Reidville Road, Suite 210

Spartanburg, SC 29301

Llewelyn, Timothy S., MD

Specialty: Internal Medicine

(864) 560-6851

100 East Wood Street, Suite 401

Spartanburg, SC 29303

South Carolina

Spartanburg

Medlock, Melvin, MD

Specialty: Family Practice

(864) 342-4072

130 Dillon Drive

Spartanburg, SC 29307

Norton, Eric Daniel, MD

Specialty: Family Practice

(864) 598-1962

2995 Reidville Road, Suite 210

Spartanburg, SC 29301

Nowatka, T. Christain, MD

Specialty: Family Practice

(864) 342-4072

130 Dillon Drive

Spartanburg, SC 29307

Patel, Pranay R, MD

Specialty: Internal Medicine

(864) 576-5764

3020 Reidville Rd,Suite B

Spartanburg, SC 29301

Porter, Jan L., MD

Specialty: Family Practice

(864) 342-4072

170 Camelot Drive

Spartanburg, SC 29301

Robinson, Thomas L., MD

Specialty: Internal Medicine

(864) 582-1201

1690 Skylyn Drive, Ste. 300

Spartanburg, SC 29307

Smith, T. Ravenel, MD

Specialty: Family Practice

(864) 582-5223

1690 Skylyn Drive, Suite 210

Spartanburg, SC 29307

Webb, Omri Kenneth, MD

Specialty: Family Practice

(864) 342-4072

170 Camelot Drive

Spartanburg, SC 29301

South Carolina

St. Stephens

Schumann, Samuel Owens, MD

Specialty: Family Practice

(843) 567-3206

104 Funk Avenue

St. Stephens, SC 29479

Summerville

Black, Amy G., MD

Specialty: Family Practice

(843) 871-9440

213 West 8th N. Street

Summerville, SC 29483

Castellone, David L., MD

Specialty: Family Practice

(843) 873-0681

213 West 4th North Street

Summerville, SC 29483

Dawson, Claudius S., MD

Specialty: Family Practice

(843) 873-0681

213 West 4th North Street

Summerville, SC 29483

Deberry, Skye N., MD

Specialty: Family Practice

(843) 871-9440

213 West 8th N. Street

Summerville, SC 29483

Engelman, Otis Edward, MD

Specialty: Family Practice

(843) 875-0400

87 Springview Lane, 87 Springview Lane

Summerville, SC 29485

Giove, Edward J., DO

Specialty: Family Practice

(843) 875-0400

87 Springview Lane, 87 Springview Lane

Summerville, SC 29485

Page 260 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Carolina

Summerville

Katz, Barry S., MD

Specialty: Family Practice

(843) 873-1720

412 N. Gum Street

Summerville, SC 29483

Keller, Brian K., MD

Specialty: Family Practice

(843) 873-0202

300 West 4th North Street

Summerville, SC 29483

Montoya, Sara B., MD

Specialty: Pathology, Forensic

(843) 875-0600

507 N. Laurel Street

Summerville, SC 29483

Tabor, Marcella A., DO

Specialty: Family Practice

(843) 875-0400

87 Springview Lane, 87 Springview Lane

Summerville, SC 29485

Sumter

Grunsky, Mitchell Robert, MD

Specialty: Family Practice

(843) 412-1590

325 Broad Street Suite 100

Sumter, SC 29150

Ingram, James Roper, MD

Specialty: Family Practice

(803) 775-6374

738 A West Liberty Street

Sumter, SC 29150

Leonard, Jason M, MD

Specialty: Family Practice

(843) 412-1590

325 Broad Street Suite 100

Sumter, SC 29150

South Carolina

Sumter

Lowder, Clayton R, MD

Specialty: Family Practice

(843) 412-1590

325 Broad Street Suite 100

Sumter, SC 29150

Mahr, Christopher, MD

Specialty: Family Practice

(843) 412-1590

220 Broad Street

Sumter, SC 29150

Stewart, Ike Christopher, MD

Specialty: Family Practice

(843) 412-1590

220 Broad Street

Sumter, SC 29150

Whaley, David Glenn, MD

Specialty: Family Practice

(843) 412-1590

325 Broad Street Suite 100

Sumter, SC 29150

Waterloo

Chan, Kam W, MD

Specialty: Family Practice

(864) 819-4900

17124 Highway 72 W

Waterloo, SC 29384

West Columbia

Koli, Vijay A, MD

Specialty: Internal Medicine

(803) 794-3320

103 Saluda Ridge Court

West Columbia, SC 29169

Markowitz, Brad B, MD

Specialty: Internal Medicine

(803) 794-3320

103 Saluda Ridge Court

West Columbia, SC 29169

South Carolina

West Columbia

Markowitz, Jay M, MD

Specialty: Internal Medicine

(803) 794-3320

103 Saluda Ridge Court

West Columbia, SC 29169

Seawright, Tanya G, MD

Specialty: Internal Medicine

(803) 794-3320

103 Saluda Ridge Court

West Columbia, SC 29169

York

Crotwell, Henry F., MD

Specialty: Family Practice

(803) 684-3738

1023 Creekside Medical Drive

York, SC 29745-1661

McBean, Mary R., MD

Specialty: Family Practice

(803) 684-3738

1023 Creekside Medical Drive

York, SC 29745-1661

Shuler, Donald W., MD

Specialty: Family Practice

(803) 684-3738

1023 Creekside Medical Drive

York, SC 29745-1661

South Dakota

Dakota Dunes

Danner, Kristine Thayer, MD

Specialty: Family Practice

(605) 217-2175

345 West Steamboat Drive

Dakota Dunes, SD 57049

Opheim, Kathryn D, MD

Specialty: Family Practice

(605) 217-2175

345 West Steamboat Drive

Dakota Dunes, SD 57049

Page 261 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

South Dakota

Dakota Dunes

Remer-gillette, Lisa A, MD

Specialty: Family Practice

(605) 217-2175

345 West Steamboat Drive

Dakota Dunes, SD 57049

Schenk, Nancy P, MD

Specialty: Family Practice

(605) 217-2175

345 West Steamboat Drive

Dakota Dunes, SD 57049

Tennessee

Alcoa

Proffitt, James D., MD

Specialty: Internal Medicine

(865) 984-6823

201 Corporate Place

Alcoa, TN 37701

Bartlett

Latif, Kashif Ahmed, MD

Specialty: Endocrinology

(901) 384-0065

2996 Kate Bond Road, Suite 413

Bartlett, TN 38138

Clinton

Tharp, Melody Camille, MD

Specialty: Family Practice

(865) 584-4747

121 Frank L Diggs Drive

Clinton, TN 37716

Greeneville

Austin, Jr., Joseph W, MD

Specialty: Internal Medicine

(423) 638-4114

Laughlin Medical Building #3, 1404 Tusculum Blvd, Suite 3100

Greeneville, TN 37745

Tennessee

Greeneville

Austin, Maynard W., MD

Specialty: Internal Medicine

(423) 638-4114

Laughlin Medical Building #3, 1404 Tusculum Blvd, Suite 3100

Greeneville, TN 37745

Beckner III, Thomas F, MD

Specialty: Internal Medicine

(423) 638-4114

Laughlin Medical Building #3, 1404 Tusculum Blvd, Suite 3100

Greeneville, TN 37745

Hartsell, Michael H, MD

Specialty: Family Practice

(423) 683-1188

314 Tusculum Blvd., Suite 2100

Greeneville, TN 37745

Scott, William Joseph, MD

Specialty: Internal Medicine

(423) 638-4114

Laughlin Medical Building #3, 1404 Tusculum Blvd, Suite 3100

Greeneville, TN 37745

Thwing, Philip Tolleson, MD

Specialty: Family Practice

(423) 639-0707

400 Y Street

Greeneville, TN 37743

Woods, Sonja B., MD

Specialty: Family Practice

(423) 683-1188

314 Tusculum Blvd., Suite 2100

Greeneville, TN 37745

Hermitage

Baucom, William E, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Tennessee

Hermitage

DiNella, Thomas J, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Elrod, James T, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Mckean, William G, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Scott, Brian M, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Witherspoon, Christi A, MD

Specialty: Internal Medicine

(615) 391-3971

5653 Frist Blvd., Suite 630

Hermitage, TN 37076

Jefferson City

Byrd, Leann M, MD

Specialty: Family Practice

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Carter, Richard B, MD

Specialty: Internal Medicine

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Page 262 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Tennessee

Jefferson City

Kirby, John Austin, MD

Specialty: Internal Medicine

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Manley, Emmett S, MD

Specialty: Family Practice

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Patton, Lance S, MD

Specialty: Pediatrics

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Ramsey, William W, MD

Specialty: Internal Medicine

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Worley, Clyde W, MD

Specialty: Internal Medicine

(865) 584-4747

120 Hospital Drive, Suite 30

Jefferson City, TN 37760

Knoxville

Anderson, Thomas I., MD

Specialty: Family Practice

(865) 584-5762

7211 Wellington Drive, Suite 201 Upper Level

Knoxville, TN 37919

Baker, Kelly L, MD

Specialty: Family Practice

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Tennessee

Knoxville

Bhandari, Ashok, MD

Specialty: Internal Medicine

(865) 549-4900

1819 Clinch Avenue, Suite 213

Knoxville, TN 37916

Bhandari, Punam S, MD

Specialty: Internal Medicine

(865) 531-8848

200 Ft. Sanders West Blvd, Ste. 304

Knoxville, TN 37922

Bilbrey, Brett S, MD

Specialty: Family Practice

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Buchanan, J. Kevin, MD

Specialty: Family Practice

(865) 675-1953

11201 Westpoint Drive, Suite 102

Knoxville, TN 37934

Burkhart, William L., MD

Specialty: Family Practice

(865) 633-9400

939 Emerald Avenue, Suite 810

Knoxville, TN 37917

Bushore, John T, MD

Specialty: Family Practice

(865) 584-5762

7211 Wellington Drive, Suite 201 Upper Level

Knoxville, TN 37919

Carlson, J. Michael, DO

Specialty: Family Practice

(865) 584-5762

7211 Wellington Drive, Suite 201 Upper Level

Knoxville, TN 37919

Tennessee

Knoxville

Chambers, R. Todd, MD

Specialty: Family Practice

(865) 688-2522

1208 Merchants Road

Knoxville, TN 37912

Clark, Charles N., MD

Specialty: Internal Medicine

(865) 691-0733

10215 Kingston Pike, Suite 100

Knoxville, TN 37922

Clark, Jack C, MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Cloud, Mark W, MD

Specialty: Family Practice

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Collier, Michael Shawn, MD

Specialty: Internal Medicine

(865) 966-3940

11808 Kingston Pike, Suite160

Knoxville, TN 37934

Cooper, John F, MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Drinnen, Jeffrey W., MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Ferguson, James V, MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Page 263 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Tennessee

Knoxville

Good, Edward M., MD

Specialty: Internal Medicine

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Gray, Nathan A, MD

Specialty: Internal Medicine

(865) 966-3940

11808 Kingston Pike, Suite160

Knoxville, TN 37934

Hart, Tadhg M., MD

Specialty: Family Practice

(865) 966-3940

11808 Kingston Pike, Suite160

Knoxville, TN 37934

Haskins, Thomas G, MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Hawkins, Jimmy L, MD

Specialty: Internal Medicine

(865) 531-8848

200 Ft. Sanders West Blvd, Ste. 304

Knoxville, TN 37922

Hill, Michael W., MD

Specialty: Internal Medicine

(865) 218-6677

10810 Parkside Drive, Ste. 103

Knoxville, TN 37934

Hurst, James Wilson, MD

Specialty: Internal Medicine

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Jackson, Rebecca T., MD

Specialty: Internal Medicine

(865) 691-0733

10215 Kingston Pike, Suite 100

Knoxville, TN 37922

Tennessee

Knoxville

Johnson, W. Reeves, MD

Specialty: Family Practice

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Kirby, James T., MD

Specialty: Internal Medicine

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Littlefield, Thomas R., MD

Specialty: Internal Medicine

(865) 966-3940

11808 Kingston Pike, Suite160

Knoxville, TN 37934

Manning, Rickey D, MD

Specialty: Family Practice

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Masters, Steven B., MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Mathes, Catherine L., MD

Specialty: Internal Medicine

(865) 531-8848

200 Ft. Sanders West Blvd, Ste. 304

Knoxville, TN 37922

McHargue, Donna D., MD

Specialty: Internal Medicine

(865) 218-6677

10810 Parkside Drive, Ste. 103

Knoxville, TN 37934

McKenzie, Jerome F, MD

Specialty: Family Practice

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Tennessee

Knoxville

Meyer, Angela M., MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Mitchell, Michael E, MD

Specialty: Internal Medicine

(865) 531-8848

200 Ft. Sanders West Blvd, Ste. 304

Knoxville, TN 37922

Montgomery, Robert N, MD

Specialty: Internal Medicine

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Morton, Anthony W., MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Mosrie, Brian T., MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Nowell, Walker E., DO

Specialty: Internal Medicine

(865) 691-0733

10215 Kingston Pike, Suite 100

Knoxville, TN 37922

Otis, Michael V., MD

Specialty: Family Practice

(865) 584-5762

7211 Wellington Drive, Suite 201 Upper Level

Knoxville, TN 37919

Page 264 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Tennessee

Knoxville

Passarello, Michael J, MD

Specialty: Internal Medicine

(865) 584-4747

501 20th Street, Ste 404

Knoxville, TN 37916

Passarello, Michael J., MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Pierce, J. Mark, MD

Specialty: Internal Medicine

(865) 691-0733

10215 Kingston Pike, Suite 100

Knoxville, TN 37922

Ramos, Antonio L, MD

Specialty: Internal Medicine

(865) 531-8848

200 Ft. Sanders West Blvd, Ste. 304

Knoxville, TN 37922

Reese, Kenneth C., MD

Specialty: Internal Medicine

(865) 577-9247

200 Blount Avenue, Ste. 303, Baptist Professional Bldg.

Knoxville, TN 37920

Rivers, Jr., James B., MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Rose, Richard C, MD

Specialty: Internal Medicine

(865) 584-4747

1819 Clinch Ave, Suite 114

Knoxville, TN 37916

Tennessee

Knoxville

Rosine, Amy Rebecca, MD

Specialty: Family Practice

(865) 687-1973

103 Midlake Drive

Knoxville, TN 37918

Russell, Carabeth W., MD

Specialty: Internal Medicine

(865) 691-0733

10215 Kingston Pike, Suite 100

Knoxville, TN 37922

Sherrill, S. Beth, MD

Specialty: Internal Medicine

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Stallings, Ted R., MD

Specialty: Family Practice

(865) 531-4600

9333 Parkwest Boulevard

Knoxville, TN 37923

Stevens, Jeffrey L, MD

Specialty: Family Practice

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Sturgeon, II, Rodney E., MD

Specialty: Family Practice

(865) 584-4747

4117 East Emory Road

Knoxville, TN 37938

Toney, Lee E, MD

Specialty: Family Practice

(865) 584-5762

7211 Wellington Drive, Suite 201 Upper Level

Knoxville, TN 37919

Tennessee

Knoxville

Wakefield, Paul H., MD

Specialty: Family Practice

(865) 688-2522

1208 Merchants Road

Knoxville, TN 37912

Lafollette

Burdeaux, Richard R, DO

Specialty: Family Practice

(865) 584-4747

919 East Central Avenue, STE 202

Lafollette, TN 37909

Lenoir City

Morse, James A., MD

Specialty: Family Practice

(865) 986-4450

1018 Highway 321 North

Lenoir City, TN 37771

Morton, Randall T., MD

Specialty: Family Practice

(865) 986-4450

1018 Highway 321 North

Lenoir City, TN 37771

Walter, Gail-Marie, MD

Specialty: Family Practice

(865) 986-4450

1018 Highway 321 North

Lenoir City, TN 37771

Maryville

Cline, Kim H., MD

Specialty: Internal Medicine

(865) 982-7101

111 Station Drive

Maryville, TN 37804

Gardner, M. Scott, DO

Specialty: Family Practice

(865) 983-0082

603 Smithview Drive

Maryville, TN 37803

Memphis

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NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Tennessee

Memphis

Neira, Claudia P., FNP

Specialty: Nurse Practitioner

(901) 683-0024

1068 Cresthaven Rd Suite 300

Memphis, TN 38119

Velasquez, Pedro, MD

Specialty: Pediatric Endocrinology

(901) 683-0024

1068 Cresthaven Rd Suite 300

Memphis, TN 38119

Oak Ridge

Bridgeman, Pamela A., MD

Specialty: Family Practice

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Casey, Robert R., MD

Specialty: Family Practice

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Giles, James W., MD

Specialty: Internal Medicine

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Hayes, Wesley L., MD

Specialty: Internal Medicine

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Henderson, Michael A., MD

Specialty: Internal Medicine

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Tennessee

Oak Ridge

Taylor, Susan J., MD

Specialty: Family Practice

(865) 483-3172

801 Oak Ridge Turnpike

Oak Ridge, TN 37830

Powell

Allan, J. Davis, MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Alley, Robert C., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Barton, Ronald P., MD

Specialty: Family Practice

(865) 938-3627

201 East Emory Rd., P.O. Box 635

Powell, TN 37849

Bentley, Amy E., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Brakebill, Larry C., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Brandon, Miriam, MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Tennessee

Powell

Chism, Kathy N, MD

Specialty: Family Practice

(865) 938-3627

201 East Emory Rd., P.O. Box 635

Powell, TN 37849

Dean, R. Wesley, MD

Specialty: Family Practice

(865) 938-3627

201 East Emory Rd., P.O. Box 635

Powell, TN 37849

Durbin, David C., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Flaming, Brad A, MD

Specialty: Family Practice

(865) 938-3627

201 East Emory Rd., P.O. Box 635

Powell, TN 37849

Gibbs, Cassandra F., MD

Specialty: Geriatric Medicine/Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Griffin, II, James C., DO

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Johnson, Mark W., MD

Specialty: Family Practice

(865) 938-7517

2125 Emory Road

Powell, TN 37849

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NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Tennessee

Powell

Leahy, Michael Douglas, MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Lorino, Stephen P., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Mancebo, Gerald L., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Ochoa, Peter J., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Taylor, N. Lynne, MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Thornton IV, Nicholas P, MD

Specialty: Family Practice

(865) 938-3627

201 East Emory Rd., P.O. Box 635

Powell, TN 37849

Vannoy, John F., MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Tennessee

Powell

Vonclef, III, Julius S, MD

Specialty: Family Practice

(865) 938-5922

2125 Emory Road, P.O. Box 867

Powell, TN 37849

Wooten, B. David, MD

Specialty: Internal Medicine

(865) 546-9751

7557 Dannaher Way, Building B, Ste 225

Powell, TN 37849

Rockwood

Meadows, Angela E, MD

Specialty: Internal Medicine

(865) 354-7799

450 S. Chamberlain, Ste. 300

Rockwood, TN 37854

Sevierville

Bozeman, II, Charles H., MD

Specialty: Family Practice

(865) 428-0583

641 Middle Creek Road

Sevierville, TN 37862

Fry, William J., MD

Specialty: Family Practice

(865) 428-0312

1124 Fox Meadows Blvd., Ste. 3

Sevierville, TN 37862

Gust, Amy Lynn, MD

Specialty: Family Practice

(865) 453-2029

675 Middle Creek Road

Sevierville, TN 37862

Razzak, Ammar, MD

Specialty: Internal Medicine

(865) 453-5530

1124 Fox Meadows Blvd., Ste. 2

Sevierville, TN 37862

Tennessee

Sevierville

Wheatley, Hubert C., MD

Specialty: Internal Medicine

(865) 428-0312

1124 Fox Meadows Blvd., Ste. 3

Sevierville, TN 37862

Seymour

Moore, Robert S., MD

Specialty: Family Practice

(865) 577-4836

11657 Chapman Hwy

Seymour, TN 37865

Shelbyville

Ilarde, Aldo, MD

Specialty: Internal Medicine

(931) 684-5554

841 Union Street, Suite 200

Shelbyville, TN 37160

Sweetwater

Harvey, William L, MD

Specialty: Family Practice

(865) 584-4747

602 South Main Street

Sweetwater, TN 37874

Texas

ABILENE

Schultz, Dean Allen, MD

Specialty: Family Practice

(325) 670-4050

1850 HICKORY ST, STE 103A

ABILENE, TX 79601

Arlington

Barker, Thomas E, MD

Specialty: Internal Medicine

(817) 468-3393

811 W. I-20, Suite 120

Arlington, TX 76017

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NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Arlington

Brock, Steven D, MD

Specialty: Internal Medicine

(817) 468-3393

811 W. I-20, Suite 120

Arlington, TX 76017

Buschow, Robert A, MD

Specialty: Internal Medicine

(817) 460-0257

809 W. Randol Mill Road

Arlington, TX 76012

Dao, Michael V, MD

Specialty: Family Practice

501 Rita Lane, Suite 109

Arlington, TX 76014

Hunter, David S, MD

Specialty: Internal Medicine

(817) 468-3393

811 W. I-20, Suite 120

Arlington, TX 76017

Martin, John R, MD

Specialty: Internal Medicine

(817) 468-3393

811 W. I-20, Suite 120

Arlington, TX 76017

McClaran, Joseph D, MD

Specialty: Internal Medicine

400 West Arbrook, Suite 200

Arlington, TX 76014

McGowen, Bernard A, MD

Specialty: Internal Medicine

400 West Arbrook, Suite 200

Arlington, TX 76014

Perryman, Joe Lee, MD

Specialty: Internal Medicine

(817) 276-6850

400 West Arbrook, Suite 100

Arlington, TX 76014-3107

Texas

Arlington

Smitherman, Robert K, MD

Specialty: Internal Medicine

(817) 468-3393

811 W. I-20, Suite 120

Arlington, TX 76017

Vega, Damaris, MD

Specialty: Endocrinology, Diabetes & Metabolism

(866) 693-4223

DiabetesAmerica Health Center at Arlington, 4519 Matlock Rd, Suite 135

Arlington, TX 76018

Austin

Blevins, Thomas C., MD

Specialty: Endocrinology, Diabetes & Metabolism

(512) 334-3516

6500 N MoPac, Bldg. 3 Suite 200

Austin, TX 78731

Casaubon, Luis, MD

Specialty: Endocrinology, Diabetes & Metabolism

(512) 334-3516

6500 N MoPac, Bldg. 3 Suite 200

Austin, TX 78731

Espinosa, Valerie Diane, MD

Specialty: Endocrinology

(512) 334-3516

6500 N MoPac, Bldg. 3 Suite 200

Austin, TX 78731

Baytown

Burns, Carrie, MD

Specialty: Family Practice

(281) 422-4141

4308 Allenbrook Dr.

Baytown, TX 77521

Beaumont

Texas

Beaumont

Ahmed, Jehanara, MD

Specialty: Endocrinology

(409) 654-6819

3570 College

Beaumont, TX 77702

Anwar, Syed I., MD

Specialty: Internal Medicine

(409) 654-6819

3570 College

Beaumont, TX 77702

Aziz, Muhammad T., MD

Specialty: Internal Medicine

(409) 833-9797

2929 Calder, Suite 100

Beaumont, TX 77702

Curry, Marissa Banatwala, MD

Specialty: Family Practice

(409) 833-9797

2010 Dowlen

Beaumont, TX 77706

Deiparine, Caesar, MD

Specialty: Family Practice

(409) 833-9797

2010 Dowlen

Beaumont, TX 77706

Duncan, Norma, CRNP

Specialty: Nurse Practitioner

(409) 833-9797

2929 Calder, Suite 100

Beaumont, TX 77702

Halbert, Dean, MD

Specialty: Family Practice

(409) 833-9797

2010 Dowlen

Beaumont, TX 77706

Page 268 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Beaumont

Holly, James L., MD

Specialty: General Practice

(409) 654-6819

3570 College

Beaumont, TX 77702

Leifeste, Alan E., MD

Specialty: Family Practice

(409) 654-6819

3570 College

Beaumont, TX 77702

Murphy, Vincent P, MD

Specialty: Family Practice

(409) 833-9797

2929 Calder, Suite 100

Beaumont, TX 77702

Satterwhite, Kelli Bouvais, MD

Specialty: Family Practice

(409) 833-9797

2010 Dowlen

Beaumont, TX 77706

Thomas, Michael Paul, MD

Specialty: Internal Medicine

(409) 833-9797

2929 Calder, Suite 100

Beaumont, TX 77702

Bedford

Bindner, Stephen R, MD

Specialty: Family Practice

1615 Hospital Parkway, Suite 103

Bedford, TX 76022

Jutras, Michael A, MD

Specialty: Family Practice

(817) 494-5000

3024 State Hwy 121

Bedford, TX 76021

Texas

Bedford

Kotha, Vani, MD

Specialty: Endocrinology

(817) 685-4175

1604 Hospital Parkway, Suite 407

Bedford, TX 76022

Pavey, Scott A, MD

Specialty: Family Practice

1615 Hospital Parkway, Suite 103

Bedford, TX 76022

Terry, James R, MD

Specialty: Family Practice

(817) 494-5000

3024 State Hwy 121

Bedford, TX 76021

Walker, Joel W, MD

Specialty: Internal Medicine

1615 Hospital Parkway, Suite 103

Bedford, TX 76022

Benbrook

Via, Eddy R, MD

Specialty: Family Practice

1004 Winscott Road

Benbrook, TX 76126

Carrollton

Chiniwala, Rupal, MD

Specialty: Internal Medicine

4333 North Josey Lane, Plaza II, Suite 202

Carrollton, TX 75010

Lam, Van, MD

Specialty: Pediatrics

4333 North Josey Lane, Plaza II, Suite 202

Carrollton, TX 75010

Texas

Carrollton

Maust, Joel R, MD

Specialty: Family Practice

(972) 242-0185

4360 North Josey Lane

Carrollton, TX 75010-4602

Teng, Jay, MD

Specialty: Internal Medicine

4323 North Josey Lane, Plaza I, Suite 200

Carrollton, TX 75010

Teng, Li R, MD

Specialty: Internal Medicine

3730 North Josey Lane,, Suite 111

Carrollton, TX 75007

Channelview

Nino, Donald R, MD

Specialty: Family Practice

(281) 452-4747

15055 East Freeway, Suite A-10, Suite A-10

Channelview, TX 77530

China Spring

Talbert, Amy, MD

Specialty: Family Practice

(254) 202-7400

6600 North River Crossing

China Spring, TX 76633

Cleburne

Bates, Edward E, MD

Specialty: Internal Medicine

(817) 641-2650

808 N Nolan River Rd

Cleburne, TX 76033

Becerra, Oscar D, MD

Specialty: Family Practice

(817) 641-2650

808 N Nolan River Rd

Cleburne, TX 76033

Dallas

Page 269 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Dallas

Abdurrahim, Shehetaj G, MD

Specialty: Internal Medicine

(972) 283-5998

3650 W. Wheatland Road, Suite C

Dallas, TX 75277

Banarer, Salomon, MD

Specialty: Endocrinology, Diabetes & Metabolism

(972) 566-7799

7777 Forest Lane, C-685

Dallas, TX 75230

Carroll, James Mitchell, MD

Specialty: Internal Medicine

(214) 345-7121

8200 Walnut Hill Lane, Jackson Clinic B

Dallas, TX 75231

Johnston, Mark A, MD

Specialty: Internal Medicine

7515 Greenville Avenue, Suite 600

Dallas, TX 75231

Mehta, Saumil A, MD

Specialty: Internal Medicine

12606 Greenville Avenue, Suite 120

Dallas, TX 75243

Sanders, John P, MD

Specialty: Internal Medicine

7515 Greenville Avenue, Suite 600

Dallas, TX 75231

Taylor, Paul B, MD

Specialty: Family Practice

10677 East NW Highway, Suite 100

Dallas, TX 75238

Denton

Burke, Anna Sessi, MD

Specialty: Internal Medicine

1614 Scripture Street, Suite 200

Denton, TX 76201

Texas

Denton

Haq, Seema, MD

Specialty: Endocrinology

(940) 566-4919

2501 Scripture, Suite 300

Denton, TX 76201

Harris, Timothy, MD

Specialty: Internal Medicine

(940) 387-9400

2900 N. I-35, Suite 110

Denton, TX 76201

Mcguire, Timothy Christian, MD

Specialty: Family Practice

1614 Scripture St, Suite 8

Denton, TX 76201

Mckinney, Kevin Moore, MD

Specialty: Family Practice

1614 Scripture Street, Suite 10

Denton, TX 76201

Morrill, Audrey, MD

Specialty: Family Practice

3323 Colorado Blvd., Suite B

Denton, TX 76210

Strittmatter, Marla, MD

Specialty: Family Practice

3323 Colorado Blvd., Suite B

Denton, TX 76210

Talbot, Scott E, MD

Specialty: Family Practice

(940) 484-4424

2609 Scripture

Denton, TX 76201

Yates, Judy Lyn, MD

Specialty: Internal Medicine

1614 Scripture, Suite 100

Denton, TX 76201

Emory

Texas

Emory

Rodgers, Jerry W, MD

Specialty: Family Practice

(903) 473-3036

886 E Lennon, Suite 105

Emory, TX 75440

Flower Mound

Bucan-Kurepa, Jelena, MD

Specialty: Internal Medicine

3101 Churchill Drive, Suite 310

Flower Mound, TX 75022-2716

Phipps, Lowell F, MD

Specialty: Family Practice

3101 Churchill Drive, Suite 310

Flower Mound, TX 75022-2716

Pravong, Que thu L, DO

Specialty: Family Practice

1001 Cross Timbers Rd, Suite 1250

Flower Mound, TX 75028

Fort Worth

Conway, Patrick A, DO

Specialty: Family Practice

(817) 346-1925

7001 Grandbury Road

Fort Worth, TX 76133

Eldridge, James, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Eppstein, Roger S, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Page 270 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Fort Worth

Godbey, Teresa E, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Guevara, Jr., Alex, DO

Specialty: Family Practice

(817) 625-7733

1217 Grand Avenue

Fort Worth, TX 76164

Guthrie, William S, MD

Specialty: Internal Medicine

(817) 346-5960

6100 Harris Parkway, Suite 345

Fort Worth, TX 76132

Hames, Robert, DO

Specialty: Family Practice

(817) 237-0515

4504 Boat Club Rd, Suite 800

Fort Worth, TX 76135

Hulse, Alfred T, DO

Specialty: Family Practice

(817) 346-1925

7001 Grandbury Road

Fort Worth, TX 76133

Hutcheson, Richard M, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Johnson, Steven E, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Texas

Fort Worth

Lester, Lynn A, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Machos, Robert J, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Mewis, Beth A, MD

Specialty: Internal Medicine

(817) 346-5960

6100 Harris Parkway, Suite 345

Fort Worth, TX 76132

Nelson, Edward R, MD

Specialty: Internal Medicine

(817) 334-1400

800 Fifth Avenue, Suite 300, Suite 300

Fort Worth, TX 76104

Penny, Richard E, MD

Specialty: Internal Medicine

(817) 346-5960

6100 Harris Parkway, Suite 345

Fort Worth, TX 76132

Readinger, James C, MD

Specialty: Internal Medicine

(817) 346-5960

6100 Harris Parkway, Suite 345

Fort Worth, TX 76132

Richwine, Randall T, DO

Specialty: Family Practice

(817) 732-2878

4421 Oak Park Lane, Suite 102

Fort Worth, TX 76109

Texas

Fort Worth

Smith, Steven L, MD

Specialty: Internal Medicine

(817) 346-5960

6100 Harris Parkway, Suite 345

Fort Worth, TX 76132

Frisco

Culver, Jennifer L, MD

Specialty: Family Practice

2595 Dallas Parkway, Suite 405

Frisco, TX 75034

Ft. Worth

Childers, James S, MD

Specialty: Internal Medicine

(817) 336-7191

909 9th Ave., Suite 300

Ft. Worth, TX 76104

Grapevine

Perkins, Randall C, DO

Specialty: Family Practice

3801 William D Tate Avenue, Suite 840

Grapevine, TX 76051

Greenville

Gray, Peter F, MD

Specialty: Family Practice

(903) 453-2901

4101 Wesley, Suite D

Greenville, TX 75401

Harlingen

Calo, Luis, MD

Specialty: Family Practice

(956) 230-1823

802 South Loop 499,, Ste 4

Harlingen, TX 78550-2519

Hawkins

Pruitt, Charles B, DO

Specialty: Family Practice

(903) 769-2990

5321 FM 14

Hawkins, TX 75765

Page 271 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Houston

Basa, Amelita lourdes Patricio, MD

Specialty: Endocrinology

(866) 693-4223

2495 S. Braeswood

Houston, TX 77030

Blackmon, Ana L., MD

Specialty: Internal Medicine

(713) 441-4280

The Methodist Hospital Physician Organization Internal Medicine Group, 6560 Fannin, 6560 Fannin, Suite 1950

Houston, TX 77030

Burns, Tiffany Caro, MD

Specialty: Family Practice

(281) 737-0899

18220 Tomball Parkway, Suite 390

Houston, TX 77070

Daumas-Britsch, Lilette, MD

Specialty: Family Practice

(713) 455-1306

12755 Woodforest Blvd

Houston, TX 77015-2737

Elliott, Tricia C, MD

Specialty: Family Practice

(713) 442-0000

2727 West Holcombe

Houston, TX 77025

Erani, David Michael, MD

Specialty: Endocrinology, Diabetes & Metabolism

(832) 237-3500

11321 Fallbrook Drive, Suite 100

Houston, TX 77065

Gentry, Ronnie A, MD

Specialty: Internal Medicine

(713) 441-4280

The Methodist Hospital Physician Organization Internal Medicine Group, 6560 Fannin, 6560 Fannin, Suite 1950

Houston, TX 77030

Texas

Houston

Green, Karen M, NP

Specialty: Nurse Practitioner

(832) 237-3500

11321 Fallbrook Drive, Suite 100

Houston, TX 77065

Hamilton, Dale James, MD

Specialty: Endocrinology

(713) 441-0006

6550 Fannin, Suite 1101

Houston, TX 77030

Hawkins, Wendy Jessica, MD

Specialty: Endocrinology

2495 South Braeswood Blvd

Houston, TX 77030

Hendricks, Saundra Joyce, NP

Specialty: Nurse Practitioner

(713) 441-0006

6550 Fannin, Suite 1101

Houston, TX 77030

Hightower, Erica E, MD

Specialty: Endocrinology, Diabetes & Metabolism

11301, Fallbrook drive, STe 304

Houston, TX 77065

Ihaza, Eunice, NP

Specialty: Nurse Practitioner

(713) 441-0006

6550 Fannin, Suite 1101

Houston, TX 77030

Klein, Mervyn, MD

Specialty: Internal Medicine

(713) 442-0000

1111 Augusta Drive

Houston, TX 77057

Texas

Houston

Mecklai, Almas A., MD

Specialty: Family Practice

(281) 477-9138

18220 Tomball Parkway, Suite 335

Houston, TX 77070

Miller, Susan M, MD

Specialty: Family Practice

(713) 441-0006

6550 Fannin, Suite 1101

Houston, TX 77030

Robben, Christopher P, MD

Specialty: Internal Medicine

(713) 441-4280

The Methodist Hospital Physician Organization Internal Medicine Group, 6560 Fannin, 6560 Fannin, Suite 1950

Houston, TX 77030

Rollins, Johnny, NP

Specialty: Nurse Practitioner

(713) 441-0006

6550 Fannin, Suite 1101

Houston, TX 77030

Stubbers, Sheena, MD

Specialty: Internal Medicine

(713) 441-4280

The Methodist Hospital Physician Organization Internal Medicine Group, 6560 Fannin, 6560 Fannin, Suite 1950

Houston, TX 77030

Wechsler, Adriana H., MD

Specialty: Endocrinology

(832) 237-3500

11321 Fallbrook Drive, Suite 100

Houston, TX 77065

Page 272 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Houston

Zaniewski, Michelle, MD

Specialty: Endocrinology, Diabetes & Metabolism

(281) 580-7401

17070 Red Oak Dr suite 309, Suite # 103

Houston, TX 77090

Humble

Weddington, Lloyd Damon, MD

Specialty: Internal Medicine

9473, FM1960 Bypass, Suite 300

Humble, TX 77338

Irving

Conoley, Megan J, MD

Specialty: General Practice

(972) 373-0303

6750 North MacArthur Blvd., Bldg. 2, Suite 150

Irving, TX 75039

Demarie, Bryan K, MD

Specialty: Internal Medicine

(972) 556-1616

6750 N. MacArthur, Suite 350

Irving, TX 75039

Hays, Lowell B, MD

Specialty: Internal Medicine

(972) 556-1616

6750 N. MacArthur, Suite 350

Irving, TX 75039

Johnston, Richard C, MD

Specialty: Internal Medicine

(972) 556-1616

6750 N. MacArthur, Suite 350

Irving, TX 75039

Lyde, Paul Daniel, MD

Specialty: Internal Medicine

(866) 693-4223

DiabetesAmerica Health Center at Las Colinas, 6420 N. MacArthur Blvd. Suite 130

Irving, TX 75039

Texas

Irving

Matthews, Edwin C, MD

Specialty: Internal Medicine

(972) 556-1616

6750 N. MacArthur, Suite 350

Irving, TX 75039

Rathkamp, Quynh K, MD

Specialty: Internal Medicine

(972) 373-0303

6750 North MacArthur Blvd., Bldg. 2, Suite 150

Irving, TX 75039

Jacksonville

Carson, Billy D, MD

Specialty: Family Practice

(903) 586-5678

2026 S Jackson

Jacksonville, TX 75766

Katy

Parikh, Shreya, MD

Specialty: Endocrinology, Diabetes & Metabolism

(713) 840-5150

707 S. Fry Road, Ste 290

Katy, TX 77450

Kaufman

Glick, Matthew, DO

Specialty: Family Practice

(972) 932-5555

874 Ed Hall Drive, Suite B-108

Kaufman, TX 75142

Keller

Swegler, Erica W, MD

Specialty: Family Practice

(817) 431-3800

300 North Rufe Snow Drive

Keller, TX 76248

Kilgore

Texas

Kilgore

Langley, Clark, MD

Specialty: Family Practice

(903) 983-2110

1718 S Henderson

Kilgore, TX 75662

Mineola

Gully, Kyle L, MD

Specialty: Family Practice

(903) 569-5383

1302 N Pacific

Mineola, TX 75773

Odessa

Prasad, Suresh, MD

Specialty: Internal Medicine

(432) 332-3400

601 E. 2ND ST., Suite # A

Odessa, TX 79761

Pasadena

Chiu, Alice C, MD

Specialty: Endocrinology, Diabetes & Metabolism

3333 Bayshore Blvd ste 240, ste 240

Pasadena, TX 77504

Cordero, Rocio Alexandra, MD

Specialty: Internal Medicine

3333 Bayshore Blvd ste 240, ste 240

Pasadena, TX 77504

Pearland

Daniel, Timothy, MD

Specialty: Endocrinology

(866) 693-4223

10970 Shadow Creek Parkway, #270

Pearland, TX 77584

Makhoul, Claudia, MD

Specialty: Internal Medicine

(866) 693-4223

10970 Shadow Creek Parkway, #270

Pearland, TX 77584

Plano

Page 273 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Plano

Albracht, Jamison M., DO

Specialty: Family Practice

(972) 599-6600

5425 W. Spring Creek Pkwy., Suite 200

Plano, TX 75024

Bakhtari, Ladan, MD

Specialty: Internal Medicine

(972) 758-4455

5941 Dallas Parkway

Plano, TX 75093

Bang, Linda S, MD

Specialty: Internal Medicine

(972) 758-4455

5941 Dallas Parkway

Plano, TX 75093

Bratcher, Christina Riecken, MD

Specialty: Endocrinology, Diabetes & Metabolism

(866) 693-4223

1708 Coit Road, Suite 100

Plano, TX 75075

Crow, Christopher C., MD

Specialty: Family Practice

(972) 599-6600

5425 W. Spring Creek Pkwy., Suite 200

Plano, TX 75024

Garza, David E, MD

Specialty: Internal Medicine

(972) 758-4455

5941 Dallas Parkway

Plano, TX 75093

Gothard, Sander J., MD

Specialty: Family Practice

(972) 599-6600

5425 W. Spring Creek Pkwy., Suite 200

Plano, TX 75024

Texas

Plano

Graham, Robert L, MD

Specialty: Internal Medicine

(972) 596-5222

4001 W. 15th Street, Suite 245

Plano, TX 75093

Harris, Carolyn A, MD

Specialty: Internal Medicine

(972) 596-5222

4001 W. 15th Street, Suite 245

Plano, TX 75093

Lajara, Rosemarie, MD

Specialty: Endocrinology, Diabetes & Metabolism

(866) 693-4223

1708 Coit Road, Suite 100

Plano, TX 75075

Moon, III, John, MD

Specialty: Family Practice

(972) 599-6600

5425 W. Spring Creek Pkwy., Suite 200

Plano, TX 75024

Shore, Kenneth A, MD

Specialty: Internal Medicine

(972) 596-1747

5501 Independence Parkway, Suite 110, Suite 110

Plano, TX 75023

Torres, Louis, MD

Specialty: Internal Medicine

(972) 596-1747

5501 Independence Parkway, Suite 110, Suite 110

Plano, TX 75023

Tran, Khang N, MD

Specialty: Internal Medicine

(972) 596-5222

4001 W. 15th Street, Suite 245

Plano, TX 75093

Texas

Plano

Weyenberg, Matthew G., MD

Specialty: Family Practice

(972) 599-6600

5425 W. Spring Creek Pkwy., Suite 200

Plano, TX 75024

Wittenberg, John F, MD

Specialty: Internal Medicine

(972) 596-5222

4001 W. 15th Street, Suite 245

Plano, TX 75093

Richardson

Kwan, Louise A, MD

Specialty: Family Practice

(972) 238-8092

970 Coit Road, Suite 3040

Richardson, TX 75080-5418

Wood, John K, MD

Specialty: Family Practice

(972) 238-8092

970 Coit Road, Suite 3040

Richardson, TX 75080-5418

Round Rock

Shaw, Stephanie, MD

Specialty: Endocrinology, Diabetes & Metabolism

(512) 458-8400

170 Deepwood Drive, Ste 104

Round Rock, TX 78681

Rowlett

Hollingsworth, Nataki A, MD

Specialty: Family Practice

(972) 412-8832

7600 Lakeview Pkwy, Suite 200

Rowlett, TX 75088

Saginaw

Godfrey, Mark A, MD

Specialty: Family Practice

833 Towne Court

Saginaw, TX 76179-1280

San Antonio

Page 274 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

San Antonio

Fetchick, Dianne Alaia, MD

Specialty: Endocrinology, Diabetes & Metabolism

7863 Callaghan Road, Building 2, Suite 206

San Antonio, TX 78229

Katselnik, Daniel, MD

Specialty: Endocrinology, Diabetes & Metabolism

7863 Callaghan Road, Building 2, Suite 206

San Antonio, TX 78229

LaCivita, Kathy Ann, MD

Specialty: Endocrinology

(210) 358-7000

701 South Zarzamora

San Antonio, TX 78207

Ocampo, Gloria L., MD

Specialty: Endocrinology, Diabetes & Metabolism

(210) 358-7000

701 South Zarzamora

San Antonio, TX 78207

Reasner, Charles, MD

Specialty: Endocrinology

(210) 358-7000

701 South Zarzamora

San Antonio, TX 78207

Rusinko, Rachel Y., MD

Specialty: Endocrinology

(210) 358-7000

701 South Zarzamora

San Antonio, TX 78207

Shenandoah

Young, Milicent Eva, MD

Specialty: Internal Medicine

(866) 693-4223

DiabetesAmerica Health Center at The Woodlands, 17937 I-45 South, Suite 115

Shenandoah, TX 77385

Southlake

Texas

Southlake

Dotti, Michael W., MD

Specialty: Family Practice

(817) 329-8364

1050 E. Hwy. 114, Suite 100

Southlake, TX 76092

Drake, William N., MD

Specialty: Family Practice

(817) 329-8364

1050 E. Hwy. 114, Suite 100

Southlake, TX 76092

Sugar Land

Anderson, Cathlyn Ann, MD

Specialty: Internal Medicine

(832) 237-3500

15200 S. US 59 Hwy, Suite 360

Sugar Land, TX 77478

Bauer, David W, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Brooks, Magdalena Lorraine, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Chang, Terence M, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Crouch, Michael Avery, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Texas

Sugar Land

Do, Victoria Tu, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Fiesinger, Troy T, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Fite, Michael Q., MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Gossard, Geraldine C, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Howard, Percy, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Moquist, Dale C, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Moscoso-donoso, Wilson R, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Stasicha, Thomas, MD

Specialty: Internal Medicine

(713) 442-0000

11555 University Boulevard

Sugar Land, TX 77478

Page 275 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Sugar Land

Stephan, Elias, MD

Specialty: Internal Medicine

(281) 980-1899

15200 S.W. FREEWAY, SUITE 270

SUGAR LAND, TX 77478

Wang, Samuel C, MD

Specialty: Family Practice

(281) 325-4100

14023 Southwest Freeway

Sugar Land, TX 77478

Sunnyvale

Fowler, Donald B, MD

Specialty: Family Practice

341 Wheatfield Drive, Suite 100

Sunnyvale, TX 75182

The Woodlands

Choksi, Ulupi Asit, MD

Specialty: Endocrinology, Diabetes & Metabolism

(281) 419-3820

9200 Pinecroft Dr., Ste. 470

The Woodlands, TX 77380

Tyler

Anderson, Richard A, MD

Specialty: Internal Medicine

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Arce, Luis R, MD

Specialty: Endocrinology, Diabetes & Metabolism

(903) 510-1173

910 E. Houston Suite 250

Tyler, TX 75702

Casas, Luis, MD

Specialty: Pediatric Endocrinology

(903) 510-1173

910 E. Houston Suite 250

Tyler, TX 75702

Texas

Tyler

Esfandiari, Neda, MD

Specialty: Family Practice

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Keuer, Steven P, MD

Specialty: Internal Medicine

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Lively, James A, MD

Specialty: Family Practice

(903) 509-8888

3802 Manhatton

Tyler, TX 75701

Mullins, Ryan D, MD

Specialty: Family Practice

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Robinson, Brian, DO

Specialty: Endocrinology

(903) 510-1173

910 E. Houston Suite 250

Tyler, TX 75702

Smith, Sally L, MD

Specialty: Family Practice

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Stovall, James G., MD

Specialty: Internal Medicine

(903) 593-1721

520 E Douglas

Tyler, TX 75702

Waco

Texas

Waco

Allison, Dale Crawford, MD

Specialty: Family Practice

(254) 202-6000

2201 McArthur, Suite 100

Waco, TX 76708

Barron, Lauren, MD

Specialty: Family Practice

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Blattman, Scott Elliott, MD

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

Blattman, Todd Eric, MD

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

Bull, Brian Douglas, MD

Specialty: Family Practice

(254) 202-7500

851 N Loop 340

Waco, TX 76705

Findley, Michael Stan, MD

Specialty: Family Practice

(254) 202-7500

851 N Loop 340

Waco, TX 76705

Graham, James, MD

Specialty: Family Practice

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Guerra, Carlos Arnoldo, MD

Specialty: Family Practice

(254) 202-6000

2201 MacArthur

Waco, TX 76708

Page 276 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Waco

Hinson, III, Horace G., MD

Specialty: Family Practice

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Horner, Keith, MD

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

Hulme, Kyle L, MD

Specialty: Family Practice

(254) 202-6000

2201 McArthur, Suite 100

Waco, TX 76708

Kosarek, John, MD

Specialty: Family Practice

(254) 202-7700

7702 Central Park Drive

Waco, TX 76712

Marroquin, Gerard Anthony, MD

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

McCoy, Deborah, FNP

Specialty: Nurse Practitioner

(254) 202-7700

7702 Central Park Drive

Waco, TX 76712

Nichols, Steven Lee, MD

Specialty: Family Practice

(254) 202-7500

851 N Loop 340

Waco, TX 76705

Texas

Waco

Petty, Michael Kent, DO

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

Raley, Steve, MD

Specialty: Family Practice

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Ralston, Samuel, MD

Specialty: Family Practice

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Salinas, Gerald, MD

Specialty: Family Practice

(254) 202-7700

7702 Central Park Drive

Waco, TX 76712

Schiller, Timothy, MD

Specialty: Family Practice

(254) 202-7500

851 N Loop 340

Waco, TX 76705

Shelton, John, MD

Specialty: Family Practice

(254) 202-2600

7300 Bosque Blvd.

Waco, TX 76710

Skaggs, Tiffany, MD

Specialty: Pediatrics

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Texas

Waco

Speckmiear, John W., MD

Specialty: Family Practice

(254) 202-7700

7702 Central Park Drive

Waco, TX 76712

Stark, Patricia C., ANP

Specialty: Nurse Practitioner

(254) 202-7800

1001 Hewitt Drive

Waco, TX 76712

Turnage, Elizabeth, MD

Specialty: Family Practice

(254) 202-6000

2201 McArthur, Suite 100

Waco, TX 76708

Wilcox, Patricia A, MD

Specialty: Family Practice

(254) 752-2300

6614 Sanger Avenue

Waco, TX 76710

Wilcox, Robert W., MD

Specialty: Family Practice

(254) 752-2300

6614 Sanger Avenue

Waco, TX 76710

Weatherford

Khan, Nusrat Ali, MD

Specialty: General Practice

(817) 596-3700

2111 Ft Worth Highway

Weatherford, TX 76086

Webster

Arian, Muhammad Ashfaque, MD

Specialty: Endocrinology, Diabetes & Metabolism

(281) 604-1300

250 Blossom St. #400

Webster, TX 77598

Page 277 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Texas

Webster

Matwijiw, Igor Evan, MD

Specialty: Endocrinology, Diabetes & Metabolism

(281) 604-1300

250 Blossom St. #400

Webster, TX 77598

Weslaco

Penalo, Pedro J, MD

Specialty: Internal Medicine

(956) 447-8600

906 S. Bridge

Weslaco, TX 78596-7129

Whitehouse

Hurley, Janet L., MD

Specialty: Family Practice

(903) 839-2585

601 N Hwy 110, Bay O

Whitehouse, TX 75791

Winnsboro

Wilson, Jennifer M, DO

Specialty: Family Practice

(903) 342-3760

719 W Coke Rd

Winnsboro, TX 75494

Vermont

Bennington

Gorson, David, MD

Specialty: Internal Medicine

(802) 442-3022

140 Hospital Drive, Suite 301

Bennington, VT 05201

Derby

Wood, Robert W., MD

Specialty: Anesthesiology

(802) 766-4794

2338 US Rt. #5

Derby, VT 05829

Virginia

Bridgewater

Virginia

Bridgewater

Huffman, Rufus C, MD

Specialty: Family Practice

200 High Street

Bridgewater, VA 22812

Carrollton

Belvin, David G, MD

Specialty: Family Practice

(757) 542-2000

20209 Sentara Way Ste 200

Carrollton, VA 23314-3575

Smith Griffin, Kimberly Ann, MD

Specialty: Internal Medicine

(757) 542-2000

20209 Sentara Way Ste 200

Carrollton, VA 23314-3575

Weitzman, Douglas K, MD

Specialty: Family Practice

(757) 542-2000

20209 Sentara Way Ste 200

Carrollton, VA 23314-3575

Chesapeake

Barnes, Hal W, MD

Specialty: Family Practice

(757) 548-1400

213 Riverwalk Pkwy Ste 101

Chesapeake, VA 23320

Blowe, Vanessa A, MD

Specialty: Family Practice

(757) 233-4700

633 S. Battlefield Blvd Ste 300

Chesapeake, VA 23323

Hanna, Edward S, MD

Specialty: Family Practice

(757) 233-4700

633 S. Battlefield Blvd Ste 300

Chesapeake, VA 23323

Virginia

Chesapeake

Harris, Charles Larry, MD

Specialty: Family Practice

(757) 233-4700

633 S. Battlefield Blvd Ste 300

Chesapeake, VA 23323

Hartline, Steven M, MD

Specialty: Family Practice

(757) 233-4700

633 S. Battlefield Blvd Ste 300

Chesapeake, VA 23323

Morris, Sequita M, MD

Specialty: Family Practice

(757) 548-1400

213 Riverwalk Pkwy Ste 101

Chesapeake, VA 23320

Palting, Arlene B, MD

Specialty: Family Practice

(757) 548-1400

213 Riverwalk Pkwy Ste 101

Chesapeake, VA 23320

Dayton

Pence, Robert, MD

Specialty: Family Practice

P.O. Box 900

Dayton, VA 22821

Schubert, Ronald, MD

Specialty: Family Practice

P.O. Box 900

Dayton, VA 22821

Gloucester

Davis, Robert T, MD

Specialty: Nurse Practitioner

(804) 693-2720

7547 Hospital Drive, Suite 2200

Gloucester, VA 23061

Page 278 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Gloucester

Reynolds, Wayne J, DO

Specialty: Family Practice

(804) 210-1025

5659 Parkway Dr, Ste 210

Gloucester, VA 23061

Thomas, Geoffrey H, MD

Specialty: Internal Medicine

(804) 693-2720

7547 Hospital Drive, Suite 2200

Gloucester, VA 23061

Watkins, Roger A, MD

Specialty: Internal Medicine

(804) 693-2720

7547 Hospital Drive, Suite 2200

Gloucester, VA 23061

Zullo, Peter J, MD

Specialty: Internal Medicine

(804) 693-2720

7547 Hospital Drive, Suite 2200

Gloucester, VA 23061

Grafton

Evans, III, Paul E, MD

Specialty: Family Practice

(757) 968-5700

2855 Denbigh Boulevard

Grafton, VA 23692-6501

Lee, Vonetta Charlene, MD

Specialty: Family Practice

(757) 968-5700

2855 Denbigh Boulevard

Grafton, VA 23692-6501

McConaughy, Teresa L, MD

Specialty: Family Practice

(757) 968-5700

2855 Denbigh Boulevard

Grafton, VA 23692-6501

Hampton

Virginia

Hampton

Adcock, Jr., O T, MD

Specialty: Family Practice

(757) 827-1940

2148 W. Mercury Blvd.

Hampton, VA 23666

Barron, Natalie A, MD

Specialty: Family Practice

(757) 850-1311

191-D Fox Hill

Hampton, VA 23669

Boyer, Debra, MD

Specialty: Family Practice

(757) 850-1311

191-D Fox Hill

Hampton, VA 23669

Dowling, Nequita Anjanette, MD

Specialty: Family Practice

(757) 827-1940

2148 W. Mercury Blvd.

Hampton, VA 23666

Fisher, Anthony P, MD

Specialty: Family Practice

(757) 726-5000

200 Eaton St

Hampton, VA 23669

Francis, Albert Hall, MD

Specialty: Family Practice

(757) 827-9979

2104 Executive Dr

Hampton, VA 23666

Green, Melvin Gaddis, MD

Specialty: Internal Medicine

(757) 827-0420

3000 Coliseum Dr. Ste 200

Hampton, VA 23666

Hunter, Robert H, MD

Specialty: Family Practice

(757) 827-0420

3000 Coliseum Dr. Ste 200

Hampton, VA 23666

Virginia

Hampton

Johnson, Sandra S, MD

Specialty: Internal Medicine

(757) 827-0420

3000 Coliseum Dr. Ste 200

Hampton, VA 23666

Johnson, Shonna J., MD

Specialty: Family Practice

(757) 850-1311

191-D Fox Hill

Hampton, VA 23669

Karandana, Kamani Nirmala, MD

Specialty: Family Practice

(757) 827-0420

3000 Coliseum Dr. Ste 200

Hampton, VA 23666

Shipman, Deborah A, MD

Specialty: Family Practice

(757) 726-5000

200 Eaton St

Hampton, VA 23669

Weisman, Todd A, MD

Specialty: Family Practice

(757) 726-5000

200 Eaton St

Hampton, VA 23669

Harrisonburg

Bradshaw, Douglas Mark, MD

Specialty: Family Practice

1733 Erickson Avenue

Harrisonburg, VA 22801

Brobby, Vivian Lilly, MD

Specialty: Family Practice

(540) 433-2554

1661 South Main Street

Harrisonburg, VA 22801

Godshall, Stephen E., MD

Specialty: Family Practice

(540) 433-3344

1751 Erickson Avenue

Harrisonburg, VA 22801

Page 279 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Harrisonburg

Iudica, Anthony Christian, MD

Specialty: Family Practice

1831 Reservoir Street

Harrisonburg, VA 22801

Iudica, Kathleen St. john, MD

Specialty: Family Practice

1831 Reservoir Street

Harrisonburg, VA 22801

Jesteadt, Gregory C, MD

Specialty: Family Practice

1831 Reservoir Street

Harrisonburg, VA 22801

Kollman, Robin D, MD

Specialty: Family Practice

2010 THealth Campus Drive

Harrisonburg, VA 22801

Morgan, Alan J, MD

Specialty: Family Practice

(540) 433-2554

1661 South Main Street

Harrisonburg, VA 22801

Moss, Jonathan David, MD

Specialty: General Practice

563 Neff Avenue - Suite A

Harrisonburg, VA 22801

Nio, Deborah Agnes, MD

Specialty: Family Practice

1831 Reservoir Street

Harrisonburg, VA 22801

Smith, J. Douglas, MD

Specialty: Family Practice

(540) 433-3344

1751 Erickson Avenue

Harrisonburg, VA 22801

Steller, Frank, MD

Specialty: General Practice

2322 Blue Stone Hills Drive, Suite 260

Harrisonburg, VA 22801

Virginia

Harrisonburg

Wenger, John D, DO

Specialty: Family Practice

(540) 433-2554

1661 South Main Street

Harrisonburg, VA 22801

Witman, John A., MD

Specialty: Family Practice

(540) 433-3344

1751 Erickson Avenue

Harrisonburg, VA 22801

Mathews

Griswold, Steven M, MD

Specialty: Family Practice

(804) 725-5005

10976 Buckley Hall Road

Mathews, VA 23109

Newport News

Anderson, Peter Bland, MD

Specialty: Family Practice

(757) 594-3602

10852 Warwick Boulevard

Newport News, VA 23601

Bercasio, Roland M, MD

Specialty: Family Practice

(757) 594-1850

11803 Jefferson Av,, Ste 100

Newport News, VA 23606

Brooks, Bonnie J, MD

Specialty: Internal Medicine

(757) 594-1803

11803 Jefferson Av Ste 140

Newport News, VA 23606

Edwards, Jr., James T., MD

Specialty: Family Practice

(757) 594-4111

12 Bruton Avenue

Newport News, VA 23601

Virginia

Newport News

Ervine, Jr., William Earl, DO

Specialty: Family Practice

(757) 595-9880

12655 Warwick Blvd, Suite A

Newport News, VA 23606

Ledger, Theresa M, DO

Specialty: Family Practice

(757) 594-1850

11803 Jefferson Av,, Ste 100

Newport News, VA 23606

Putland, Kenneth W, MD

Specialty: Family Practice

(757) 594-3602

10852 Warwick Boulevard

Newport News, VA 23601

Ratcliffe, Kimberly Ann, MD

Specialty: Internal Medicine

(757) 594-4431

12420 Warwick Boulevard, Bldg 3, Suite 4A

Newport News, VA 23606

Remchuk, Deborah M, MD

Specialty: Internal Medicine

(757) 594-1803

11803 Jefferson Av Ste 140

Newport News, VA 23606

Ross, Glenn S, MD

Specialty: Internal Medicine

(757) 594-1803

11803 Jefferson Av Ste 140

Newport News, VA 23606

Souther, Mark E, MD

Specialty: Internal Medicine

(757) 594-4431

12420 Warwick Boulevard, Bldg 3, Suite 4A

Newport News, VA 23606

Page 280 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Newport News

Spiller, James C, DO

Specialty: Internal Medicine

(757) 594-4431

12420 Warwick Boulevard, Bldg 3, Suite 4A

Newport News, VA 23606

Norfolk

Bademian, Robert L, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Choi, H Steven, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Dickinson, Daniel J, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Hodge, Edwin B, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Jain, Kirn, MD

Specialty: Internal Medicine

301 Riverview Ave Suite 810

Norfolk, VA 23510

Jones, Glenn, MD

Specialty: Internal Medicine

(757) 252-9300

301 Riverview Ave Suite 900

Norfolk, VA 23510

Virginia

Norfolk

Kahatapitiya, Ravindra C, DO

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Keys-frezzell, Dana J, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Lisner, Charles A, MD

Specialty: Internal Medicine

(757) 252-9300

301 Riverview Ave Suite 900

Norfolk, VA 23510

Mann, Jonathan R, MD

Specialty: Internal Medicine

301 Riverview Ave Suite 710

Norfolk, VA 23510

Pecsok, Thomas R, MD

Specialty: Internal Medicine

301 Riverview Ave Suite 710

Norfolk, VA 23510

Roberts, Joanna L, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Snider, Gary B, MD

Specialty: Family Practice

301 Riverview Ave Suite 810

Norfolk, VA 23510

Sutton, Stuart K, MD

Specialty: Internal Medicine

301 Riverview Ave Suite 710

Norfolk, VA 23510

Virginia

Norfolk

Tuanquin-gonzalez, Leilanie C, MD

Specialty: Internal Medicine

(757) 261-0001

850 Kempsville Road, Suite 200 A

Norfolk, VA 23502

Weisman, Mark D, MD

Specialty: Internal Medicine

(757) 252-9300

301 Riverview Ave Suite 900

Norfolk, VA 23510

Reston

Eapen, Anne Rose Navarro, MD

Specialty: Internal Medicine

(703) 707-0607

1860 Town Center Drive, Suite 230

Reston, VA 20190

Richmond

Taylor, Gail L.., MD

Specialty: Family Practice

(804) 423-5050

1108-D Courthouse Road

Richmond, VA 23236

Staunton

Chernoff, David B, MD

Specialty: Family Practice

Staunton Medical Center, 40 Lambert Street, Suite 522

Staunton, VA 24401

De los reyes, Octavio, DO

Specialty: Family Practice

Staunton Medical Center, 40 Lambert Street, Suite 522

Staunton, VA 24401

Prucha, Ronald J, MD

Specialty: Family Practice

Staunton Medical Center, 40 Lambert Street, Suite 522

Staunton, VA 24401

Suffoik

Page 281 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Suffoik

Fitzharris, Joan G, MD

Specialty: Internal Medicine

(757) 983-2200

3920 Bridge Rd, Bldg A Ste 207

Suffoik, VA 23435

Kazemi, Siamak, DO

Specialty: Family Practice

(757) 983-2200

3920 Bridge Rd, Bldg A Ste 207

Suffoik, VA 23435

Koduri, Prashanthi Bora, MD

Specialty: Family Practice

(757) 983-2200

3920 Bridge Rd, Bldg A Ste 207

Suffoik, VA 23435

Waddy, James Mitchell, MD

Specialty: Family Practice

(757) 983-2200

3920 Bridge Rd, Bldg A Ste 207

Suffoik, VA 23435

Virginia Beach

Alper, Jason B., DO

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Anderson, Robin N, MD

Specialty: Family Practice

(757) 318-6900

2017 Pleasure House Rd

Virginia Beach, VA 23455

Bakhshi, Raja M, MD

Specialty: Family Practice

(757) 425-7180

303 35th St Ste 102

Virginia Beach, VA 23451

Virginia

Virginia Beach

Britt, Charlene M, MD

Specialty: Family Practice

(757) 363-6800

816 Independence Blvd Ste 100

Virginia Beach, VA 23455

Callahan, Robert D, MD

Specialty: Family Practice

(757) 962-8720

3745 Holland Rd

Virginia Beach, VA 23452

Chai, Shirley S., MD

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Charles, Michael G, MD

Specialty: Family Practice

(757) 962-8720

3745 Holland Rd

Virginia Beach, VA 23452

Croteau, Louis J., MD

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Davies, Nicola J, MD

Specialty: Family Practice

(757) 363-6800

816 Independence Blvd Ste 100

Virginia Beach, VA 23455

Dowdy, Robert L., MD

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Fenderson, Allen R., MD

Specialty: Family Practice

(757) 499-5550

351 Edwin Drive, Suite 102

Virginia Beach, VA 23462

Virginia

Virginia Beach

Gonzales, Norman M, MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Hardt, Anthony B., MD

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Hufford, Dennis L., MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Jalbert, Kristen D, MD

Specialty: Family Practice

(757) 395-6630

1080 First Colonial Rd Ste 200

Virginia Beach, VA 23454

Javier, Francis V, MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Jefferson, Lisa Eleanor, DO

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Johnson, Jason R, MD

Specialty: Family Practice

(757) 507-0305

1950 Glen Mitchell Dr Ste 300

Virginia Beach, VA 23456

Jones, Benita W, MD

Specialty: Family Practice

(757) 962-8720

3745 Holland Rd

Virginia Beach, VA 23452

Page 282 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Virginia Beach

Kubicki, Ted M., MD

Specialty: Family Practice

(757) 321-4077

1024 First Colonial Road

Virginia Beach, VA 23454

Law, Katherine P, MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Lipton, Eric C, MD

Specialty: Family Practice

(757) 363-6800

816 Independence Blvd Ste 100

Virginia Beach, VA 23455

McGeehan, Karen M, MD

Specialty: Family Practice

(757) 395-6630

1080 First Colonial Rd Ste 200

Virginia Beach, VA 23454

Palting, John K, MD

Specialty: Family Practice

(757) 395-1300

2859 Virginia Beach Blvd Ste 100

Virginia Beach, VA 23452

Pearman, Steven D, MD

Specialty: Family Practice

(757) 301-9200

1380 Tuscany Dr

Virginia Beach, VA 23456

Robichaud, Marie k R, MD

Specialty: Family Practice

(757) 301-9200

1380 Tuscany Dr

Virginia Beach, VA 23456

Rose, Meredith B, MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Virginia

Virginia Beach

Sullivan, Karen A, MD

Specialty: Family Practice

(757) 413-7600

5320 Providence Rd Ste 301

Virginia Beach, VA 23464

Sun, Tommy, MD

Specialty: Family Practice

(757) 507-0305

1950 Glen Mitchell Dr Ste 300

Virginia Beach, VA 23456

Tisdale, Bradford W, MD

Specialty: Family Practice

(757) 962-8720

3745 Holland Rd

Virginia Beach, VA 23452

Weinberg, Howard N, MD

Specialty: Family Practice

(757) 395-1300

2859 Virginia Beach Blvd Ste 100

Virginia Beach, VA 23452

Williams, Harry T, MD

Specialty: Family Practice

(757) 395-1300

2859 Virginia Beach Blvd Ste 100

Virginia Beach, VA 23452

Winters, Mark R., MD

Specialty: Family Practice

(757) 499-5550

351 Edwin Drive, Suite 102

Virginia Beach, VA 23462

Wittenberg, Samuel H, MD

Specialty: Family Practice

(757) 395-1300

2859 Virginia Beach Blvd Ste 100

Virginia Beach, VA 23452

Wong, George S, MD

Specialty: Family Practice

(757) 318-6900

2017 Pleasure House Rd

Virginia Beach, VA 23455

Virginia

Virginia Beach

Woods, David W, MD

Specialty: Family Practice

(757) 363-6800

816 Independence Blvd Ste 100

Virginia Beach, VA 23455

Waynesboro

Heck, Christopher C, MD

Specialty: Family Practice

428 S. Magnolia Avenue

Waynesboro, VA 22980

Weyers Cave

Weirich, Gordon D, MD

Specialty: Family Practice

1151 Keezletown Rd, Suite 101

Weyers Cave, VA 24486

Williamsburg

Biernacki, Gregory J., MD

Specialty: Family Practice

(757) 220-2795

4374 New Town Av. Ste 200

Williamsburg, VA 23188

Boquist, Christopher G, MD

Specialty: Family Practice

(757) 345-2555

120 Kings Way, Suite 1400

Williamsburg, VA 23185

Fitzpatrick, Michael D., MD

Specialty: Family Practice

(757) 345-4600

400 Sentara Cir Ste 450

Williamsburg, VA 23188

Floyd, Jay William, MD

Specialty: Family Practice

(757) 220-8300

5231 John Tyler Highway

Williamsburg, VA 23185

Page 283 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Virginia

Williamsburg

Hoag, Thomas B, DO

Specialty: Family Practice

(757) 345-4600

400 Sentara Cir Ste 450

Williamsburg, VA 23188

Khoshnaw, Tara A, MD

Specialty: Internal Medicine

(757) 208-0005

477 McLaws Cir, Ste 1

Williamsburg, VA 23188

Majdic, James P, DO

Specialty: Internal Medicine

(757) 259-6770

4374 New Town Av, Ste 102

Williamsburg, VA 23188

Massengill, Christopher L, MD

Specialty: Family Practice

(757) 345-2555

120 Kings Way, Suite 1400

Williamsburg, VA 23185

Rauchwarg, Glenn T, DO

Specialty: Family Practice

(757) 345-4600

400 Sentara Cir Ste 450

Williamsburg, VA 23188

Tucker, Jane L, MD

Specialty: Family Practice

(757) 345-4600

400 Sentara Cir Ste 450

Williamsburg, VA 23188

Tylman, Kathleen M, DO

Specialty: Internal Medicine

(757) 208-0005

477 McLaws Cir, Ste 1

Williamsburg, VA 23188

Tylman, Thomas A, DO

Specialty: Internal Medicine

(757) 208-0005

477 McLaws Cir, Ste 1

Williamsburg, VA 23188

Virginia

Williamsburg

Walter, Philip S, MD

Specialty: Internal Medicine

(757) 259-6770

4374 New Town Av, Ste 102

Williamsburg, VA 23188

Woodbridge

Wynn, Alan Howard, MD

Specialty: Internal Medicine

(703) 490-3997

1900 F Opitz Blvd

Woodbridge, VA 22191

Washington

Bellevue

Choudhury, Neetilekha, MD

Specialty: Internal Medicine

(425) 957-9000

13231 SE 36th Street, Suite 110

Bellevue, WA 98006

Esmail, Naheed P, DO

Specialty: Family Practice

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Hei, Thomas K., MD

Specialty: Family Practice

(425) 957-9000

13231 SE 36th Street, Suite 110

Bellevue, WA 98006

Hwang, Lucy, MD

Specialty: Family Practice

(425) 957-9000

13231 SE 36th Street, Suite 110

Bellevue, WA 98006

Lazarous, Patsy C., MD

Specialty: Internal Medicine

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Washington

Bellevue

Liu, Esther F.l., MD

Specialty: Family Practice

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Mcfarland, David K., MD

Specialty: Family Practice

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Nguyen, Thi Cam, MD

Specialty: Family Practice

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Platzner, Anne B., MD

Specialty: Family Practice

(425) 957-9000

13231 SE 36th Street, Suite 110

Bellevue, WA 98006

Terasaki, Wesley L, MD

Specialty: Internal Medicine

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Xue, Run, MD

Specialty: Internal Medicine

(425) 641-4000

12917 SE 38th St., Ste. 100

Bellevue, WA 98006

Yung, Pamela M., MD

Specialty: Family Practice

(425) 957-9000

13231 SE 36th Street, Suite 110

Bellevue, WA 98006

Bellingham

Page 284 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Bellingham

Anderson, Rodney J, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Andert, Sara Elizabeth, MD

Specialty: Family Practice

(360) 738-2200

4545 Cordata Parkway

Bellingham, WA 98225

Austin, Daniel E, MD

Specialty: Family Practice

(360) 671-3345

2075 Barkley Blvd, #105

Bellingham, WA 98226

Binder, Richard H, MD

Specialty: Family Practice

(360) 340-4402

3015 Squalicum Parkway, #160

Bellingham, WA 98225

Blackwell, Linda J, MD

Specialty: Family Practice

(360) 340-4402

3015 Squalicum Parkway, #160

Bellingham, WA 98225

Bloom, Edward W, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Foster, Denis G, MD

Specialty: Family Practice

(360) 671-6350

1815 C Street, # K-37

Bellingham, WA 98225

Gargano, Charles Anthony, MD

Specialty: Internal Medicine

(360) 738-2200

4545 Cordata Parkway

Bellingham, WA 98225

Washington

Bellingham

Gavareski, David J, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Hoffmann, Kelly, MD

Specialty: Family Practice

(360) 738-2200

4545 Cordata Parkway

Bellingham, WA 98225

Hopper, James G, MD

Specialty: Family Practice

(360) 752-2865

2220 Cornwall Avenue

Bellingham, WA 98225

Jacobs, Kellie L, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Jacobson, Margaret A, MD

Specialty: Family Practice

(360) 733-7974

3015 Squalicum Parkway, #120

Bellingham, WA 98225

Knowles, Ann M, MD

Specialty: Family Practice

(360) 733-7974

3015 Squalicum Parkway, #120

Bellingham, WA 98225

Lindner, Serge Alain, MD

Specialty: Internal Medicine

(360) 715-4186

3015 Squalicum Parkway, Suite 100

Bellingham, WA 98225

McClenahan, Richard F, MD

Specialty: Family Practice

(360) 733-7974

3015 Squalicum Parkway, #120

Bellingham, WA 98225

Washington

Bellingham

Mckinney, David, MD

Specialty: Internal Medicine

(360) 738-2200

4545 Cordata Parkway

Bellingham, WA 98225

Moren, James A, MD

Specialty: Family Practice

(360) 671-3345

2075 Barkley Blvd, #105

Bellingham, WA 98226

Ross, James A, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Schneider, Thomas F, MD

Specialty: Family Practice

(360) 671-3900

3500 Orchard Place

Bellingham, WA 98225

Short, Jason T, MD

Specialty: Family Practice

(360) 671-3345

2075 Barkley Blvd, #105

Bellingham, WA 98226

Srinivasan, Murali, MD

Specialty: Geriatric Medicine/Internal Medicine

(360) 715-4186

3015 Squalicum Parkway, Suite 100

Bellingham, WA 98225

Stockburger, John Scott, MD

Specialty: Family Practice

(360) 738-8100

1000 McKenzie Avenue, #15

Bellingham, WA 98225

Page 285 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Bellingham

Whitehead, Brent, MD

Specialty: Family Practice

(360) 738-2200

4545 Cordata Parkway

Bellingham, WA 98225

Wu, Chao-ying, MD

Specialty: Family Practice

(360) 671-3345

2075 Barkley Blvd, #105

Bellingham, WA 98226

Blaine

Pederson, Bruce M, MD

Specialty: Family Practice

(360) 371-5855

8097 Harborview Road

Blaine, WA 98230

Bothell

Daniel, Brett V., MD

Specialty: Family Practice

1909 214th Street, Suite 300

Bothell, WA 98021

Eckert, Buckley A, MD

Specialty: Internal Medicine

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Esser, Sally R, MD

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Higginbotham, David A, DO

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Washington

Bothell

Leonardo, Lilaine C, MD

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Platz, Theresa A, MD

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Sefton, Peter V, MD

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Wilson, Thomas A, MD

Specialty: Family Practice

(425) 486-9131

10025 NE 186th St

Bothell, WA 98011

Burien

Donovan, Janet, MD

Specialty: Family Practice

(206) 246-1012

16110 8th Avenue S.W., Suite A-1

Burien, WA 98166

Habib, Sadia, MD

Specialty: Internal Medicine

(206) 246-1012

16110 8th Avenue S.W., Suite A-1

Burien, WA 98166

Manole, Irina, MD

Specialty: Family Practice

(206) 246-1012

16110 8th Avenue S.W., Suite A-1

Burien, WA 98166

Washington

Burien

Neary, Wendy, MD

Specialty: Family Practice

(206) 242-8280

16110 8th Ave SW, Suite A-2

Burien, WA 98166

Vanbodegom, John S., MD

Specialty: Internal Medicine

(206) 242-8280

16110 8th Ave SW, Suite A-2

Burien, WA 98166

Centralia

Ban, Jong-wook, MD

Specialty: Internal Medicine

(360) 807-7966

1010 S. Scheuber Rd.

Centralia, WA 98531

Clarkston

Martin, David B, MD

Specialty: Family Practice

(509) 751-9981

1119 Highland Ave, Suite 3, Suite 3

Clarkston, WA 99403

Des Moines

Dimbil, Mumin Daud, MD

Specialty: Family Practice

(206) 870-7331

22000 Marine View Drive, Suite 200

Des Moines, WA 98198

Pittier, Michael V., MD

Specialty: Internal Medicine

(206) 870-7331

22000 Marine View Drive, Suite 200

Des Moines, WA 98198

Shamsa, Mandana, MD

Specialty: Internal Medicine

(206) 870-7331

22000 Marine View Drive, Suite 200

Des Moines, WA 98198

Page 286 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Edmonds

Babcock, Judith, MD

Specialty: Family Medicine, Hospice and Palliative Care

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Cronyn, Maurene P, MD

Specialty: Family Medicine, Hospice and Palliative Care

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Fuhrmann, David S, MD

Specialty: Family Medicine, Hospice and Palliative Care

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Lockard, Gretchen D, MD

Specialty: Family Practice

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Luther, Keith Alexander, MD

Specialty: General Practice

(425) 640-4900

7320 216th Street S.W., Suite 200

Edmonds, WA 98026

Matko, Matthew J., MD

Specialty: Internal Medicine

(425) 640-4900

7320 216th Street S.W., Suite 200

Edmonds, WA 98026

Nelson, Marci M, MD

Specialty: Family Practice

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Washington

Edmonds

Nguyen, Bich-khanh T., MD

Specialty: Internal Medicine

(425) 640-4900

7320 216th Street S.W., Suite 200

Edmonds, WA 98026

Spiro, David A, MD

Specialty: Family Practice

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Strong, Linda K., MD

Specialty: Internal Medicine

(425) 640-4900

7320 216th Street S.W., Suite 200

Edmonds, WA 98026

Zeh, Catherine A, MD

Specialty: Family Practice

(425) 640-4950

21911 76th Avenue West, Suite 110

Edmonds, WA 98026

Federal Way

Chaffee, John R., MD

Specialty: Family Practice

(253) 839-3030

32018 23rd Avenue South

Federal Way, WA 98003

Dini, Robert Michael, MD

Specialty: Family Practice

(253) 839-3030

32018 23rd Avenue South

Federal Way, WA 98003

Fang, Victoria B., MD

Specialty: Internal Medicine

(253) 839-3030

32018 23rd Avenue South

Federal Way, WA 98003

Washington

Federal Way

Yoo, Eunjoo, MD

Specialty: Family Practice

(253) 839-3030

32018 23rd Avenue South

Federal Way, WA 98003

Ferndale

Bates, Jennifer A, MD

Specialty: Family Practice

(360) 384-1511

5580 Nordic Way

Ferndale, WA 98248

Hruby, John S, MD

Specialty: Family Practice

(360) 384-1511

5580 Nordic Way

Ferndale, WA 98248

Lewis, Stephen A, MD

Specialty: Family Practice

(360) 384-1511

5580 Nordic Way

Ferndale, WA 98248

Safford, Bertha H, MD

Specialty: Family Practice

(360) 384-1511

5580 Nordic Way

Ferndale, WA 98248

Issaquah

Anderson, Sandra J., MD

Specialty: Family Practice

(425) 391-3900

1455 11th Avenue NW

Issaquah, WA 98027

Mandell, Randy B., MD

Specialty: Internal Medicine

(425) 391-3900

1455 11th Avenue NW

Issaquah, WA 98027

Page 287 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Issaquah

Read-Williams, Patricia G., MD

Specialty: Family Practice

(425) 391-3900

1455 11th Avenue NW

Issaquah, WA 98027

Rittenberg, Steven W, MD

Specialty: Internal Medicine

(425) 394-0700

2005 NW Sammamish Rd., Bld. B

Issaquah, WA 98027

Kenmore

Anderson, Timothy Scott, DO

Specialty: Family Practice

(425) 485-6561

18208 66th Avenue NE, Suite 200

Kenmore, WA 98028

Curtis, Milton Leo, MD

Specialty: Family Practice

(425) 485-6561

18208 66th Avenue NE, Suite 200

Kenmore, WA 98028

Telge, Christopher J, DO

Specialty: Family Practice

(425) 485-6561

18208 66th Avenue NE, Suite 200

Kenmore, WA 98028

Kent

Chan, Philip Y., MD

Specialty: Family Practice

(425) 228-3440

24920 104th Avenue SE

Kent, WA 98030

Despreaux, Michele A., MD

Specialty: Internal Medicine

(206) 870-8880

23213 Pacific Highway South

Kent, WA 98032

Washington

Kent

Durch, Steve M., MD

Specialty: Family Practice

(425) 228-3440

24920 104th Avenue SE

Kent, WA 98030

Dy, Edward Sy, MD

Specialty: Internal Medicine

(206) 870-8880

23213 Pacific Highway South

Kent, WA 98032

Golden, Elisabeth B, MD

Specialty: Nurse Practitioner

(425) 228-3440

16850 SE 272nd

Kent, WA 98042

Hemmen, Gia L, MD

Specialty: Family Practice

(425) 228-3440

24920 104th Avenue SE

Kent, WA 98030

Herner, Kimberly K, MD

Specialty: Family Practice

(425) 228-3440

16850 SE 272nd

Kent, WA 98042

Lauinger, J. Michael, MD

Specialty: Internal Medicine

(206) 870-8880

23213 Pacific Highway South

Kent, WA 98032

Lew, Arthur, MD

Specialty: Family Practice

(425) 228-3440

24920 104th Avenue SE

Kent, WA 98030

Washington

Kent

Peterson-Buckley, Sheri Lynn, MD

Specialty: Family Practice

(425) 228-3440

24920 104th Avenue SE

Kent, WA 98030

Rogers Marckel, Erin K, MD

Specialty: Physician Assistant

(425) 228-3440

16850 SE 272nd

Kent, WA 98042

Kirkland

Buehrens, Paul E, MD

Specialty: Family Practice

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Chaput, Debra M, MD

Specialty: Family Practice

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Chen, Shirley, MD

Specialty: Family Practice

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Edwards, Erin K., MD

Specialty: Internal Medicine

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Hansen, Eric, MD

Specialty: Internal Medicine

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Page 288 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Kirkland

Lund, James A., MD

Specialty: Internal Medicine

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Mayeda, Paul K, MD

Specialty: Family Practice

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Nacht, Larry E, MD

Specialty: Family Practice

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Pearson, Kathryn A., MD

Specialty: Internal Medicine

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Radlo, Carol, MD

Specialty: Family Practice

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Sandstrom, Paul E, MD

Specialty: Internal Medicine

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Swenson, Dana A., MD

Specialty: Internal Medicine

(425) 814-5000

12910 Totem Lake Blvd. NE, Suite 100

Kirkland, WA 98034

Washington

Kirkland

Wani, Roohi H, MD

Specialty: Internal Medicine

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Wu, Chao-ching, MD

Specialty: Internal Medicine

(425) 821-4040

12710 Totem Lake Blvd

Kirkland, WA 98034

Longview

Aaron, Shawn J., MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Asuncion, Dexter James De Guzman, MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Bakshi, Anuradha, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Bartlett, Michael Lee, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Bittner, Cordon D., MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Washington

Longview

Collins, Christopher J., MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Cotterell, Louis William, MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Crider, James T, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Doherty, Lisa L, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Evans, Lisa M., MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Hamill, John William, MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Hamlik, Beverly J., NP

Specialty: Nurse Practitioner

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Page 289 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Longview

McCoy, Ann-Marie Bath, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Peterson, Patricia J., MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Potschka, Gretchen Marie, MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Randall, Timothy A, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Rosenzweig, Sandi Y., ANP

Specialty: Nurse Practitioner

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Stoneking, Kim Warren, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Thorson, Mark R, MD

Specialty: Internal Medicine

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Washington

Longview

Wang, Xin, MD

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Whitaker, David Ellis, DO

Specialty: Family Practice

(360) 414-7719

1615 Delaware Street

Longview, WA 98632

Lynden

Caldwell, Robin W, MD

Specialty: Family Practice

(360) 354-1333

1610 Grover Street, #D-1

Lynden, WA 98264

Hartwell, Larry J, MD

Specialty: Family Practice

(360) 354-1333

1610 Grover Street, #D-1

Lynden, WA 98264

Hiemstra, John R, DO

Specialty: Family Practice

(360) 354-1333

1610 Grover Street, #D-1

Lynden, WA 98264

Petersen, L Dana, MD

Specialty: Pediatrics

(360) 354-1333

1610 Grover Street, #D-1

Lynden, WA 98264

Lynnwood

Cantor, Jeffrey B., MD

Specialty: Family Practice

(425) 744-7153

19401 40th Ave. West, #100

Lynnwood, WA 98036

Washington

Lynnwood

Halm, Timothy J., MD

Specialty: Family Practice

(425) 744-7153

19401 40th Ave. West, #100

Lynnwood, WA 98036

Hibbert, Karen E., MD

Specialty: Internal Medicine

(425) 744-7153

19401 40th Ave. West, #100

Lynnwood, WA 98036

Maple Valley

Markegard, Shannon Lynn, DO

Specialty: Family Practice

(425) 656-4100

27203 216th Ave SE, Suite D

Maple Valley, WA 98038

Mehta, Shreeketa, MD

Specialty: Family Practice

(425) 656-4100

27203 216th Ave SE, Suite D

Maple Valley, WA 98038

Sweiger, David W, MD

Specialty: Family Practice

(425) 656-4100

27203 216th Ave SE, Suite D

Maple Valley, WA 98038

Tomchick, John A, MD

Specialty: Physician Assistant

(425) 656-4100

27203 216th Ave SE, Suite D

Maple Valley, WA 98038

Port Angeles

Garlick, Stanley A, MD

Specialty: Family Practice

(360) 452-7891

240 W. Front Street

Port Angeles, WA 98362

Page 290 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Port Angeles

Hennessey, Katherine, MD

Specialty: Family Practice

(360) 452-7891

240 W. Front Street

Port Angeles, WA 98362

Weller, Katrina C, MD

Specialty: Family Practice

(360) 452-7891

240 W. Front Street

Port Angeles, WA 98362

Redmond

Aeschliman, Gregory Don, MD

Specialty: Family Practice

(425) 881-8813

8299 161st. Ave NE. Suite 101

Redmond, WA 98072

Bayles, Robert Hugh, MD

Specialty: Family Practice

(425) 881-8813

8299 161st. Ave NE. Suite 101

Redmond, WA 98072

Renton

Avalon, Richard O, DO

Specialty: Family Practice

(425) 228-3440

14410 SE Petrovitsky Road, Suite 104

Renton, WA 98058

Bowles, Richard, DO

Specialty: Family Practice

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Butcher, Mary E., MD

Specialty: Family Practice

(425) 656-5500

451 Duvall Ave NE, Suite 100

Renton, WA 98059

Washington

Renton

Butler, Charles W., MD

Specialty: Family Practice

(425) 656-4400

4033 Talbot Rd S, Ste 570

Renton, WA 98055

Gamponia, Grace B., MD

Specialty: Family Practice

(425) 656-4400

4033 Talbot Rd S, Ste 570

Renton, WA 98055

Ghormley, Joni, MD

Specialty: Nurse Practitioner

(425) 228-3440

7203 129th Avenue SE, Ste. # 100

Renton, WA 98056

Gonzalez, Rachael E., MD

Specialty: Family Practice

(425) 917-0700

700 SW 39th Street, Suite 216

Renton, WA 98057

Hawley, Tina M., MD

Specialty: Family Practice

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Joshi, Amit, MD

Specialty: Internal Medicine

(425) 228-3440

7203 129th Avenue SE, Ste. # 100

Renton, WA 98056

Kaminski, Michael J., MD

Specialty: Family Practice

(425) 228-3440

14410 SE Petrovitsky Road, Suite 104

Renton, WA 98058

Washington

Renton

Kropp, Shannon Kathleen, MD

Specialty: Family Practice

(425) 656-5500

451 Duvall Ave NE, Suite 100

Renton, WA 98059

Liu, Eric, MD

Specialty: Internal Medicine

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Luna, Wuaca K, MD

Specialty: Family Practice

(425) 656-4400

4033 Talbot Rd S, Ste 570

Renton, WA 98055

Maddox, Sonja P., MD

Specialty: Family Practice

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Monponbanua, Aileen H., MD

Specialty: Family Practice

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Nakabayashi, Kemi, MD

Specialty: Internal Medicine

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Nelsen, Michele K, MD

Specialty: Family Practice

(425) 228-3440

14410 SE Petrovitsky Road, Suite 104

Renton, WA 98058

Page 291 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Renton

Park, James E, MD

Specialty: Family Practice

(425) 228-3440

7203 129th Avenue SE, Ste. # 100

Renton, WA 98056

Platas, Angelina A., MD

Specialty: Internal Medicine

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Pollara, Trisha Lee, MD

Specialty: Family Practice

(425) 228-3440

7203 129th Avenue SE, Ste. # 100

Renton, WA 98056

Reddy, Shailaja N. M., MD

Specialty: Internal Medicine

(425) 223-7000

601 South Carr Road, Suite 100

Renton, WA 98055

Samavedi, Vandita S, MD

Specialty: Internal Medicine

(425) 228-3440

14410 SE Petrovitsky Road, Suite 104

Renton, WA 98058

Sammamish

Chen, LuAnn L, MD

Specialty: Family Practice

(425) 455-2845

22707 SE 29th St

Sammamish, WA 98075

Seattle

Allen, Victoria E., MD

Specialty: Internal Medicine

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Washington

Seattle

Anderson, Ken N., MD

Specialty: Family Practice

(206) 320-3400

7210 Roosevelt Way NE

Seattle, WA 98115

Babcock, Marty R., ANP

Specialty: Nurse Practitioner

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Baumgaertel, Susan Jennifer, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Bonsack, Bruce A., MD

Specialty: Internal Medicine

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Britton, Lisa M, MD

Specialty: Family Practice

(206) 763-5057

9635 17th Avenue SW

Seattle, WA 98106

Brown, Katherine, MD

Specialty: Family Practice

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Brunsvold, Nancy Jane, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Washington

Seattle

Clark, Linda J., MD

Specialty: Family Practice

(206) 525-5777

11011 Meridian Ave. N, Suite 200

Seattle, WA 98133

Couret, Michel Martin, MD

Specialty: Nurse Practitioner

(206) 933-1041

4744 41st Ave SW, Suite 101

Seattle, WA 98116

Cufley, Davonna R., MD

Specialty: Internal Medicine

(206) 505-1101

1101 Madison Street, Suite 301

Seattle, WA 98104

Deans, Amy M, MD

Specialty: Internal Medicine

(206) 320-3335

2208 NW Market, Ste. 410

Seattle, WA 98107

Duke, Rebecca S., MD

Specialty: Family Practice

(206) 320-4888

1600 East Jefferson Street, Suite 510

Seattle, WA 98122

Dym, Andrew M., MD

Specialty: Internal Medicine

(206) 517-6000

10416 5th Ave. NE

Seattle, WA 98125

Edrich, Vanessa Beth, MD

Specialty: Family Practice

(206) 525-5777

11011 Meridian Ave. N, Suite 200

Seattle, WA 98133

Page 292 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Seattle

Fein, Warren L, MD

Specialty: Internal Medicine

(206) 320-3335

2208 NW Market, Ste. 410

Seattle, WA 98107

Ferrucci, Cynthia G., MD

Specialty: Internal Medicine

(206) 443-0400

2505 2nd Avenue, Suite 200

Seattle, WA 98121

Friedmann, Daniel Theodore, MD

Specialty: Family Practice

(206) 781-6079

1801 NW Market Street, Suite 203

Seattle, WA 98107

Frownfelter, Milah B, MD

Specialty: Internal Medicine

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Gonchar, Marc David, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Gross, Kenneth M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Guerra, Juan J., MD

Specialty: Family Practice

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Harris, Bradley Rennie, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Washington

Seattle

Hatfield, Kevin, MD

Specialty: Family Practice

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Heitritter, Shannon Marie, MD

Specialty: Endocrinology

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Hogg, Robert T., MD

Specialty: Family Practice

(206) 320-3335

2208 NW Market, Ste. 410

Seattle, WA 98107

Hyde, Martha Lynn, MD

Specialty: Internal Medicine

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

John, Gregory Martin, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

King, Thomas Steele, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Kiyonaga, Glen K., MD

Specialty: Family Practice

(206) 322-1211

2902 Beacon Avenue S.

Seattle, WA 98144

Washington

Seattle

Kovar, Michael A., MD

Specialty: Family Practice

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Lackermann, Ellen, MD

Specialty: Family Practice

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Lee, Elton Robert, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Lord, Sandra M., MD

Specialty: Internal Medicine

(206) 443-0400

2505 2nd Avenue, Suite 200

Seattle, WA 98121

Ludwig, William R., MD

Specialty: Internal Medicine

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Mayeda, Kenneth E., MD

Specialty: Family Practice

(206) 322-1211

2902 Beacon Avenue S.

Seattle, WA 98144

McCarthy, Elizabeth R., MD

Specialty: Family Practice

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

McDonald, Pamela H., MD

Specialty: Family Practice

(206) 329-1760

3216 NE 45th Place, Suite 200

Seattle, WA 98105

Page 293 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Seattle

McIntyre, Scott Talley, MD

Specialty: Family Practice

(206) 329-1760

3216 NE 45th Place, Suite 200

Seattle, WA 98105

Meehan, Jeffrey Richard, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Moen, John A, MD

Specialty: General Practice

(206) 320-3351

1001 Fourth Ave. Plaza, Ste. 420

Seattle, WA 98154

Mulia, Antonius Gusti, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Murray, Robert William, MD

Specialty: Endocrinology, Diabetes & Metabolism

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Olson, Jeanne, MD

Specialty: Family Practice

(206) 933-1041

4744 41st Ave SW, Suite 101

Seattle, WA 98116

Oswald, Lisa, MD

Specialty: Internal Medicine

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Pepin, Christopher John, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Washington

Seattle

Peterson, Mitchell J., MD

Specialty: Family Practice

(206) 525-5777

11011 Meridian Ave. N, Suite 200

Seattle, WA 98133

Raymer, Patricia A., MD

Specialty: Family Practice

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Rose, Caroline, MD

Specialty: Family Practice

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Rosen, Gary David, MD

Specialty: Family Practice

(206) 781-6079

1801 NW Market Street, Suite 203

Seattle, WA 98107

Rossi, Ralph A., MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Shaffer, Anita M., MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Sharp, Gregory N, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Sherman, Roberta R., MD

Specialty: Family Practice

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Washington

Seattle

Showell, Patrizia A., MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Sikora, Agata Katharina, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Smith, Christopher H., MD

Specialty: Internal Medicine

(206) 505-1101

1101 Madison Street, Suite 301

Seattle, WA 98104

Smith, Frederick B., MD

Specialty: Family Practice

(206) 320-3351

1001 Fourth Ave. Plaza, Ste. 420

Seattle, WA 98154

Stimson, John Boyd, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Summerfield, Jill A, MD

Specialty: Internal Medicine

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Taki, James A, MD

Specialty: Family Practice

(206) 320-3351

1001 Fourth Ave. Plaza, Ste. 420

Seattle, WA 98154

Terasaki, Rodney, MD

Specialty: Internal Medicine

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Page 294 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Seattle

Townsend, Oren George, MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Transue, Emily, MD

Specialty: Internal Medicine

(206) 860-4700

509 Olive Way, Suite 900

Seattle, WA 98101

Tregillus, Leslie C, MD

Specialty: Family Practice

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Tribble, Stacy A., MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Wang, Constance, MD

Specialty: General Practice

(206) 320-3351

1001 Fourth Ave. Plaza, Ste. 420

Seattle, WA 98154

Ware, Elisabeth P., MD

Specialty: General Practice

(206) 517-6000

10416 5th Ave. NE

Seattle, WA 98125

Waterman, Sara, MD

Specialty: Family Practice

(206) 326-2400

1200 12th Avenue South

Seattle, WA 98144

Watson, Ronald O, MD

Specialty: Internal Medicine

(206) 320-3399

3400 California Ave. SW, Ste. 300

Seattle, WA 98116

Washington

Seattle

Ways, Martha, MD

Specialty: Internal Medicine

(206) 517-6000

10416 5th Ave. NE

Seattle, WA 98125

Wilcox, Cynthia L., MD

Specialty: Family Practice

(206) 517-6000

10416 5th Ave. NE

Seattle, WA 98125

Wolber, Teresa A., ANP

Specialty: Nurse Practitioner

(206) 517-6000

10416 5th Ave. NE

Seattle, WA 98125

Wolff-Gee, Jeffrey S, MD

Specialty: Internal Medicine

(206) 320-3335

2208 NW Market, Ste. 410

Seattle, WA 98107

Woo, William, MD

Specialty: Internal Medicine

(206) 320-3335

2208 NW Market, Ste. 410

Seattle, WA 98107

Younger, Jon P., MD

Specialty: Internal Medicine

(206) 329-1760

904 7th Avenue

Seattle, WA 98104

Yuskaitis, Matthew P., MD

Specialty: Family Practice

(206) 320-3364

2450 33rd Avenue W.

Seattle, WA 98199

Shoreline

Washington

Shoreline

Jaffy, Matthew B., MD

Specialty: Family Practice

(206) 542-5656

1355 N 205th St

Shoreline, WA 98133

O'Kane, Elizabeth (Betsy) Bauer, MD

Specialty: Family Practice

(206) 542-5656

1355 N 205th St

Shoreline, WA 98133

Patni, Yaquta Mustafa, MD

Specialty: Family Practice

(206) 542-5656

1355 N 205th St

Shoreline, WA 98133

Phillips, Thomas E., MD

Specialty: Geriatric Medicine/Internal Medicine

(206) 542-5656

1355 N 205th St

Shoreline, WA 98133

Roskam, Sarah, MD

Specialty: Internal Medicine

(206) 542-5656

1355 N 205th St

Shoreline, WA 98133

Spokane

Anderson, Amy, MD

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Hixon, Michael D., MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Page 295 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Spokane

Hough, Charlie B., MD

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Klim, John N., MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Laudenbach, Charles, MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Meiers, Rebecca, DO

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Michels, Joseph T., MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Nordeen, Steven, MD

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Seely, Allen, MD

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Shanbour, J Makrina, MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Washington

Spokane

Stream, Glen R., MD

Specialty: Family Practice

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Wukelic, Michael, MD

Specialty: Internal Medicine

(509) 838-2531

400 E. 5th Avenue, P.O. Box 3649

Spokane, WA 99220

Tukwila

Edwards, Connie I., ANP

Specialty: Nurse Practitioner

(206) 242-6500

Riverton Family Medicine, 13030 Military Rd S, Suite 210

Tukwila, WA 98168

Flores, Maria L, MD

Specialty: Family Practice

13030 Military Rd. S, Suite 106

Tukwila, WA 98168

Vancouver

Dumler, Cynthia E, MD

Specialty: Family Practice

(360) 487-2727

2101 NE 139th St, Suite 460

Vancouver, WA 98686

Heid, James, MD

Specialty: Obstetrics & Gynecology

(360) 487-4848

2101 NE 139th ST, Suite 450

Vancouver, WA 98686

Miracle, Greta Louise, PA

Specialty: Physician Assistant

(360) 566-4840

16703 Se McGillivray Blvd, Suite 120

Vancouver, WA 98683

Washington

Vancouver

Moynihan, Daniel, MD

Specialty: Family Practice

(360) 487-4848

2101 NE 139th ST, Suite 450

Vancouver, WA 98686

Roddy, Timothy J, MD

Specialty: Internal Medicine

(360) 487-2727

2101 NE 139th St, Suite 460

Vancouver, WA 98686

Stamatakos, Chris, MD

Specialty: Physician Assistant

(360) 487-4848

2101 NE 139th ST, Suite 450

Vancouver, WA 98686

Williams, Karen R, MD

Specialty: Internal Medicine

(360) 896-6944

417 SE 164th Avenue, Suite 300

Vancouver, WA 98684

Woodinville

Burner, Tim G., MD

Specialty: Family Practice

(425) 485-4100

17638 140th Avenue NE

Woodinville, WA 98072

Debelak, Danielle B., MD

Specialty: Family Practice

(425) 485-4100

17638 140th Avenue NE

Woodinville, WA 98072

Emmons, Stephen W., MD

Specialty: Family Practice

(425) 485-4100

17638 140th Avenue NE

Woodinville, WA 98072

Page 296 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Washington

Woodinville

Johnson, Larry Don, MD

Specialty: Family Practice

(425) 481-6363

17000 140th Ave NE #101

Woodinville, WA 98072

Kramer, Sarah S., MD

Specialty: Family Practice

(425) 485-4100

17638 140th Avenue NE

Woodinville, WA 98072

West Virginia

Williamson

Beckett, C. Donovan, DO

Specialty: Family Practice

(304) 235-2930

184 E. 2nd Avenue, Suite 1

Williamson, WV 25661

Wisconsin

Athens

Staubs, Charles R., DO

Specialty: Family Practice

(715) 387-5511

729 Pine Street

Athens, WI 54411

Bloomer

Frohling, Sandra, MD

Specialty: Internal Medicine

(715) 568-6220

1711 York Street

Bloomer, WI 54724

Stringer, Elena A, MD

Specialty: Family Practice

(715) 568-6220

1711 York Street

Bloomer, WI 54724

Brookfield

Wisconsin

Brookfield

Boschek, Michael, MD

Specialty: Internal Medicine

(414) 302-5404

13950 W. Capitol Drive

Brookfield, WI 53005

Dorow, Mark A., MD

Specialty: Family Practice

(262) 928-7100

2085 N. Calhoun Road

Brookfield, WI 53005

Forward, Daniel J., MD

Specialty: Internal Medicine

(262) 780-4070

19475 W. North Ave.,, # 305

Brookfield, WI 53045

Hanson, Rita, MD

Specialty: Internal Medicine

(414) 302-5404

13950 W. Capitol Drive

Brookfield, WI 53005

Jest, Timothy M, MD

Specialty: Internal Medicine

(262) 780-4070

19475 W. North Ave.,, # 305

Brookfield, WI 53045

Melzer, Daryl, MD

Specialty: Internal Medicine

(414) 302-5404

13950 W. Capitol Drive

Brookfield, WI 53005

Olson, David C., MD

Specialty: Family Practice

(262) 928-7100

2085 N. Calhoun Road

Brookfield, WI 53005

Quryshi, Mir Ishmail, MD

Specialty: Internal Medicine

(414) 302-5404

13950 W. Capitol Drive

Brookfield, WI 53005

Wisconsin

Brookfield

Roach, Donald, MD

Specialty: Internal Medicine

(262) 780-4070

19475 W. North Ave.,, # 305

Brookfield, WI 53045

Trampe, Erin J., MD

Specialty: Family Practice

(262) 928-7100

2085 N. Calhoun Road

Brookfield, WI 53005

Brown Deer

Hartlaub, Paul, MD

Specialty: Family Practice

(414) 355-1850

4301 W. Brown Deer Rd, #202

Brown Deer, WI 53223

Maehl, Jeffrey R., MD

Specialty: Family Practice

(414) 371-8800

4301 W. Brown Deer Rd, #201

Brown Deer, WI 53223

Ronayne, Sean P., MD

Specialty: Family Practice

(414) 355-1850

4301 W. Brown Deer Rd, #202

Brown Deer, WI 53223

Spiekerman, Jill M., MD

Specialty: Family Practice

(414) 371-8800

4301 W. Brown Deer Rd, #201

Brown Deer, WI 53223

Walbrandt, Melissa A., MD

Specialty: Family Practice

(414) 371-8800

4301 W. Brown Deer Rd, #201

Brown Deer, WI 53223

Burlington

Page 297 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Burlington

Rein, Arthur K., MD

Specialty: Internal Medicine

(262) 767-8264

248 McHenry Street

Burlington, WI 53105

Taylor, David L., MD

Specialty: Family Practice

(262) 767-8264

248 McHenry Street

Burlington, WI 53105

Twardy, Jolanta M., MD

Specialty: Geriatric Medicine/Family Practice

(262) 767-8264

248 McHenry Street

Burlington, WI 53105

Webber, Paul R., MD

Specialty: Family Practice

(262) 767-8264

248 McHenry Street

Burlington, WI 53105

Zaremba, Katarzyna I., MD

Specialty: Internal Medicine

(262) 767-8264

248 McHenry Street

Burlington, WI 53105

Cadott

Joseph, Amrish R, MD

Specialty: Family Practice

(715) 387-5511

305 S Highway 27

Cadott, WI 54727

Valerio, Anna Francesca L, MD

Specialty: Family Practice

(715) 387-5511

305 S Highway 27

Cadott, WI 54727

Cedar Grove

Wisconsin

Cedar Grove

Demaster, Brian J, MD

Specialty: Family Practice

(920) 668-8502

313 South Main Street

Cedar Grove, WI 53013

Soerens, Allison E, ANP

Specialty: Nurse Practitioner

(920) 668-8502

313 South Main Street

Cedar Grove, WI 53013

Chetek

Hinde, Lisa A, NP

Specialty: Nurse Practitioner

(715) 924-2000

806 2nd St.

Chetek, WI 54728

Marquardt, Jeffrey M, MD

Specialty: Family Practice

(715) 924-2000

806 2nd St.

Chetek, WI 54728

Chippewa Falls

Bieging, James K, MD

Specialty: Internal Medicine

(715) 723-2287

2655 Cty Hwy I

Chippewa Falls, WI 54729

Carlson, Stephen, MD

Specialty: Family Practice

(715) 723-2287

2655 Cty Hwy I

Chippewa Falls, WI 54729

Harrison, Leslie P, MD

Specialty: Internal Medicine

(715) 738-3700

12961 27th Ave.

Chippewa Falls, WI 54729

Wisconsin

Chippewa Falls

Maniquiz, Reynaldo C, MD

Specialty: Family Practice

(715) 723-2287

2655 Cty Hwy I

Chippewa Falls, WI 54729

Sandager, Thomas D, MD

Specialty: Family Practice

(715) 738-3700

12961 27th Ave.

Chippewa Falls, WI 54729

Shepich, Jeffrey, MD

Specialty: Family Practice

(715) 738-3700

12961 27th Ave.

Chippewa Falls, WI 54729

Sperlingas, Stacey J, MD

Specialty: Family Practice

(715) 738-3700

12961 27th Ave.

Chippewa Falls, WI 54729

Colby

Hoerneman, Tanya Kausch, MD

Specialty: Family Practice

(715) 223-2331

111 Dehne Drive

Colby, WI 54421

Krieg, George, PA

Specialty: Physician Assistant

(715) 223-2331

111 Dehne Drive

Colby, WI 54421

Viergutz, Milton J, PA

Specialty: Physician Assistant

(715) 223-2331

111 Dehne Drive

Colby, WI 54421

Page 298 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Colby

Wehman-Tubbs, Kelli R, DO

Specialty: Internal Medicine

(715) 223-2331

111 Dehne Drive

Colby, WI 54421

Cornell

Dickson, Erik, MD

Specialty: Emergency Medicine

(715) 387-5511

600 Woodside Drive

Cornell, WI 54732

Schauer, Bradley Bovee, PA

Specialty: Physician Assistant

(715) 387-5511

600 Woodside Drive

Cornell, WI 54732

Cudahy

Certalic, Kirstin, MD

Specialty: Family Practice

(414) 769-6600

3533 E. Ramsey Ave.

Cudahy, WI 53110

Hannah, Stuart, MD

Specialty: Family Practice

(414) 769-6600

3533 E. Ramsey Ave.

Cudahy, WI 53110

Lamnari, Anna, MD

Specialty: Geriatric Medicine/Internal Medicine

(414) 769-6600

3533 E. Ramsey Ave.

Cudahy, WI 53110

Yorke, Victoria L., MD

Specialty: Family Practice

(414) 769-6600

3533 E. Ramsey Ave.

Cudahy, WI 53110

Cumberland

Wisconsin

Cumberland

Rieper, Jayne L, NP

Specialty: Nurse Practitioner

(715) 387-5511

1200 State Hwy 48

Cumberland, WI 54829

De Pere

Andres-Palines, Jesusa S, MD

Specialty: Internal Medicine

(920) 403-8000

1881 Chicago Street

De Pere, WI 54115

Bachhuber, Raymond G, MD

Specialty: Internal Medicine

(920) 403-8000

1881 Chicago Street

De Pere, WI 54115

Colassacco, Lawrence E, MD

Specialty: Family Practice

(920) 403-8000

1881 Chicago Street

De Pere, WI 54115

Gray, John D., MD

Specialty: Family Practice

(920) 403-8000

1881 Chicago Street

De Pere, WI 54115

Nitke, Jason M, DO

Specialty: Internal Medicine

(920) 403-8000

1881 Chicago Street

De Pere, WI 54115

Delafield

Vacek, Steven J, MD

Specialty: Family Practice

(262) 646-1440

2808 Heritage Drive

Delafield, WI 53018

Wisconsin

Delafield

Watson, Roger D., MD

Specialty: Pediatrics

2750 Golf Road

Delafield, WI 53018

Delavan

Canda, Alex C., MD

Specialty: Internal Medicine

(262) 740-4200

1550 Hobbs Drive

Delavan, WI 53115

Dousman

Millman, Carol J, ANP

Specialty: Nurse Practitioner

(262) 965-6910

370 Venture Drive

Dousman, WI 53118

Eagle River

Hrdina, Diane E, MD

Specialty: Family Practice

(715) 387-5511

500 Commerce Loop

Eagle River, WI 54521

East Troy

Knight, Margaret M., MD

Specialty: Family Practice

(262) 642-2000

2483 Corporate Circle Drive

East Troy, WI 53120

Eau Claire

Adkins, Aron S, MD

Specialty: Endocrinology, Diabetes & Metabolism

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Page 299 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Eau Claire

Babaria, Dharmesh, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Gonzaga, Michael, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Halkova, Tatsiana, MD

Specialty: Family Practice

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Hidalgo, Martha A, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Jacoby, Philip E, MD

Specialty: Family Practice

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Joles, Thomas I, MD

Specialty: Urology

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Liu, Lily H, MD

Specialty: Family Practice

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Wisconsin

Eau Claire

Lofgren, David J, MD

Specialty: Family Practice

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Morgan, Odette, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Rahman, Seema, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Ray, Kent E, DO

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Smith, Michael J, MD

Specialty: Internal Medicine

(715) 830-9990

714 W. Hamilton Ave.

Eau Claire, WI 54701

Soomar, Nasima R, MD

Specialty: Internal Medicine

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Sueldo, Efrain, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Vandezande, Victoria Lynn, MD

Specialty: Internal Medicine

(715) 858-4949

2116 Craig Rd.

Eau Claire, WI 54701

Wisconsin

Eau Claire

Warffuel, Morgan E, MD

Specialty: Family Practice

(715) 858-4200

3501 Golf Road

Eau Claire, WI 54701

Elkhorn

Thies, David C., MD

Specialty: Family Practice

(262) 723-3100

205 E. Commerce Street

Elkhorn, WI 53121

Fond du Lac

Litman, Gabriel, MD

Specialty: Internal Medicine

(920) 907-7000

210 Wisconsin American Drive, Hwy. 23 East

Fond du Lac, WI 54935

Macmillan, Catherine M, DO

Specialty: Family Practice

(920) 907-7000

210 Wisconsin American Drive, Hwy. 23 East

Fond du Lac, WI 54935

Sergi, Michael, MD

Specialty: Internal Medicine

(920) 907-7000

210 Wisconsin American Drive, Hwy. 23 East

Fond du Lac, WI 54935

Steiner, John D, MD

Specialty: Family Practice

(920) 907-7000

210 Wisconsin American Drive, Hwy. 23 East

Fond du Lac, WI 54935

Page 300 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Fond du Lac

Stephany, Joanne M, ANP

Specialty: Nurse Practitioner

(920) 907-7000

210 Wisconsin American Drive, Hwy. 23 East

Fond du Lac, WI 54935

Fox Point

Uberoi-Nangia, Rupika, MD

Specialty: Internal Medicine

(414) 352-2011

8675 N. Port Washington Road

Fox Point, WI 53217-2209

Franklin

Aman, Saleem, MD

Specialty: Internal Medicine

(414) 325-4930

10101 S. 27th Street, 4th Floor A

Franklin, WI 53132

Donovan, Daniel J, DO

Specialty: Family Practice

(414) 325-4930

10101 S. 27th Street, 4th Floor A

Franklin, WI 53132

Donovan, Daniel, DO

Specialty: Family Practice

(414) 325-4940

10101 S. 27th St, 4th Floor F

Franklin, WI 53132

Golden, Patricia F., DO

Specialty: Family Practice

(414) 425-7000

7400 W Rawson Ave, #G30

Franklin, WI 53132

Grass, Timothy, MD

Specialty: Family Practice

(414) 325-4940

10101 S. 27th St, 4th Floor F

Franklin, WI 53132

Wisconsin

Franklin

Hill, Susan J., MD

Specialty: Family Practice

(414) 425-7000

7400 W Rawson Ave, #G30

Franklin, WI 53132

Hussain, Fahmina, MD

Specialty: Internal Medicine

10101 S. 27th Street, 3rd Floor P

Franklin, WI 53132

Ibric, Jean, MD

Specialty: Family Practice

(414) 425-7000

7400 W Rawson Ave, #G30

Franklin, WI 53132

Scalzitti, Sandra L., MD

Specialty: Pediatrics

(414) 425-7000

7400 W Rawson Ave, #G30

Franklin, WI 53132

Shah, Vinodkumar, MD

Specialty: Internal Medicine

(414) 325-4930

10101 S. 27th Street, 4th Floor A

Franklin, WI 53132

Snell, Mary B., MD

Specialty: Internal Medicine

7400 W. Rawson Ave. Suite 213

Franklin, WI 53132

Soni, Nalin, MD

Specialty: Internal Medicine

(414) 325-4930

10101 S. 27th Street, 4th Floor A

Franklin, WI 53132

Spiering, Patrick R., MD

Specialty: Family Practice

(414) 425-7000

7400 W Rawson Ave, #G30

Franklin, WI 53132

Wisconsin

Franklin

Treichel, William A., MD

Specialty: Family Practice

(414) 325-4940

10101 S. 27th St, 4th Floor F

Franklin, WI 53132

Wozniewicz, Dorota B., MD

Specialty: Internal Medicine

(414) 529-9232

9200 W Loomis, #116

Franklin, WI 53132-9665

Green Bay

Barnes, Suzanne H, DO

Specialty: Family Practice

(920) 468-2400

1565 Allouez Avenue

Green Bay, WI 54311

Bollom, Steven James, MD

Specialty: Internal Medicine

(920) 496-4700

2793 Lineville Road, PO Box 19070

Green Bay, WI 54307-9070

Carels, Gail, MD

Specialty: Family Practice

760 Pilgrim Way

Green Bay, WI 54307

Casis, Ferdinand C, MD

Specialty: Endocrinology

(920) 288-8400

2845 Greenbrier Road, 4th Floor

Green Bay, WI 54308

Fagre, Timothy A, MD

Specialty: Family Practice

(920) 468-2400

1565 Allouez Avenue

Green Bay, WI 54311

Page 301 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Green Bay

Goolsby, P. Lane, MD

Specialty: Family Practice

(920) 468-2400

1565 Allouez Avenue

Green Bay, WI 54311

Greene, Richard C, MD

Specialty: Internal Medicine

(920) 327-7300

2253 W. Mason Street, # 200

Green Bay, WI 54303

Kiser, John P., MD

Specialty: Family Practice

(920) 327-7300

2253 W. Mason Street, # 200

Green Bay, WI 54303

Mihailescu, Gabriel, MD

Specialty: Internal Medicine

(920) 288-8100

2845 Greenbrier Road, 1st Floor

Green Bay, WI 54308

Minca, Violeta, MD

Specialty: Internal Medicine

(920) 327-7300

2253 W. Mason Street, # 200

Green Bay, WI 54303

Nitke, Leah A, MD

Specialty: Internal Medicine

(920) 288-8100

2845 Greenbrier Road, 1st Floor

Green Bay, WI 54308

Rosich, Aleksandar V., MD

Specialty: Family Practice

(920) 288-8100

2845 Greenbrier Road, 1st Floor

Green Bay, WI 54308

Stevens, Robert J., MD

Specialty: Family Practice

(920) 468-2400

1565 Allouez Avenue

Green Bay, WI 54311

Wisconsin

Green Bay

Sze, David B, MD

Specialty: Internal Medicine

(920) 327-7300

2253 W. Mason Street, # 200

Green Bay, WI 54303

Greenwood

Brown, Scott A, PA

Specialty: Physician Assistant

(715) 267-6600

102 West Cannery Street

Greenwood, WI 54437

Zdor-North, Deborah, MD

Specialty: Family Practice

(715) 267-6600

102 West Cannery Street

Greenwood, WI 54437

Hartford

Pfotenhauer, Joseph R, MD

Specialty: Internal Medicine

(262) 644-2900

1640 E Sumner Street

Hartford, WI 53027

Tye, Michael K., MD

Specialty: Family Practice

(262) 644-2900

1640 E Sumner Street

Hartford, WI 53027

Hartland

Arnold, Kevin J., DO

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Fickel, Ronald D., MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Wisconsin

Hartland

Geralts, Mary L., MD

Specialty: Internal Medicine

(262) 369-7040

600 Walnut Ridge Drive

Hartland, WI 53029

Khan, Fawad K., MD

Specialty: Internal Medicine

(262) 369-7040

600 Walnut Ridge Drive

Hartland, WI 53029

Kultgen, Karin I., MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Lesniak, John C, MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Miller, Todd A, MD

Specialty: Family Practice

(262) 369-7040

600 Walnut Ridge Drive

Hartland, WI 53029

Phelan, Kathleen M, MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Schwab, John D, MD

Specialty: Internal Medicine

(262) 369-7040

600 Walnut Ridge Drive

Hartland, WI 53029

Uy, Michael M., MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Page 302 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Hartland

Way, Catherine E., MD

Specialty: Family Practice

(262) 928-7500

1500 Walnut Ridge Drive

Hartland, WI 53029

Kaukauna

Cherkasky, Alan H., MD

Specialty: Family Practice

(920) 766-3200

2700 Crooks Avenue

Kaukauna, WI 54130

Schimke, Andrea, MD

Specialty: Family Practice

(920) 766-3200

2700 Crooks Avenue

Kaukauna, WI 54130

Kenosha

Agaiby, John M, MD

Specialty: Family Practice

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Antoo, Alby K, MD

Specialty: Family Practice

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Capelli, A. John, MD

Specialty: Family Practice

(262) 656-7800

7540 22nd Avenue

Kenosha, WI 53143

David, Diana A., MD

Specialty: Internal Medicine

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Wisconsin

Kenosha

Feldy, Scott R, DO

Specialty: Internal Medicine

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Kupriyenko, Lidiya, MD

Specialty: Internal Medicine

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Rashid, Ikram U, MD

Specialty: Internal Medicine

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Rocco, Gregory N., MD

Specialty: Family Practice

(262) 948-6839

10400 75th Street

Kenosha, WI 53142

Kiel

Deubler, David J., MD

Specialty: Family Practice

(920) 894-2636

1001 Service Road

Kiel, WI 53042

Ladysmith

Barusya, Caroline, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Charipar, Ron M, MD

Specialty: Geriatric Medicine/Internal Medicine

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Wisconsin

Ladysmith

Cosiquien, Joannabelle So, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Cosiquien, Reginald Sy, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Krupa, Carol, PA

Specialty: Physician Assistant

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Nogler, Robert A, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Pawar, Ganesh, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Placencia, Cecilia, DO

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Roberts, Mark R, DO

Specialty: Internal Medicine

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Ziemer, John L, MD

Specialty: Family Practice

(715) 387-5511

906 College Ave West

Ladysmith, WI 54848

Page 303 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Lake Geneva

Gerber, Greg J, MD

Specialty: Family Practice

(262) 249-5000

146 E. Geneva Square

Lake Geneva, WI 53147

Peterson, Stephen P., MD

Specialty: Family Practice

(262) 249-5000

146 E. Geneva Square

Lake Geneva, WI 53147

Rosol, Laura M, MD

Specialty: Family Practice

(262) 249-5000

146 E. Geneva Square

Lake Geneva, WI 53147

Schneider, Garth R., MD

Specialty: Family Practice

(262) 249-5000

146 E. Geneva Square

Lake Geneva, WI 53147

Manitowoc

DeBruyn, Donald J., MD

Specialty: Internal Medicine

(920) 682-8841

601 Reed Avenue, P. O. Box 1270

Manitowoc, WI 54221

Maatman, Timothy J, MD

Specialty: Internal Medicine

(920) 682-8841

601 Reed Avenue, P. O. Box 1270

Manitowoc, WI 54221

Teehan, Tresa A, MD

Specialty: Internal Medicine

(920) 686-5717

4100 Dewey Street

Manitowoc, WI 54220

Wisconsin

Manitowoc

Theobald, Richard W, MD

Specialty: Internal Medicine

(920) 682-8841

601 Reed Avenue, P. O. Box 1270

Manitowoc, WI 54221

Marinette

Daroach, Gian C, MD

Specialty: Internal Medicine

(715) 735-7421

3130 Shore Drive

Marinette, WI 54143

Panja, Srinivas, MD

Specialty: Internal Medicine

(715) 735-7421

3130 Shore Drive

Marinette, WI 54143

Ramaiah, Shobha, MD

Specialty: Internal Medicine

(715) 735-7421

3130 Shore Drive

Marinette, WI 54143

Slater, Tracy L F, ANP

Specialty: Nurse Practitioner

(715) 735-7421

3130 Shore Drive

Marinette, WI 54143

Marshfield

Andersen, Niels C, MD

Specialty: Family Practice

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Andersen, Victoria E, MD

Specialty: Family Practice

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Wisconsin

Marshfield

Aswani, Vijay Hotchand, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Bassi, Tarun, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Cody, Lee B, MD

Specialty: Pediatrics

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Daly-O'Neill, Linda, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Devadas, Grace C, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Earnhart, Todd D, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Espada, Ramon A, MD

Specialty: Family Practice

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Page 304 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Marshfield

Greenburg, Marian L, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Gui, Gaojun, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Guzowski, Frank S, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Habash-Bseiso, Dana, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Hackett, Laurel A, NP

Specialty: Nurse Practitioner

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Haleem, Muhammad S, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Hamus, Carol M, NP

Specialty: Nurse Practitioner

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Wisconsin

Marshfield

Hoynacke, Renee Ann, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Hussain, Asif, MD

Specialty: Pediatrics

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Karl, Mary, NP

Specialty: Nurse Practitioner

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Koehler, Roderick D, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Kubica, Ewa, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Manickam, Panneer S, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Mayeux, Allyson, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Wisconsin

Marshfield

Mckenzie, Alan K, MD

Specialty: Endocrinology, Diabetes & Metabolism

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Meyer, Sharon, PA

Specialty: Physician Assistant

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Moldysz, Urszula, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Parimanath, Sherine, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Przybylinski, John, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Rahim, Eram, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Remeika, Lori J, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Singh, Raj V, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Page 305 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Marshfield

Singh, Rama, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Sternitzky, Jill, NP

Specialty: Nurse Practitioner

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Thorne, Wayne E, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Van Oudenhoven, Gary P, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Yale, Eileen Scott, MD

Specialty: Internal Medicine

(715) 387-5511

1000 N Oak Ave

Marshfield, WI 54449

Menomonie

Parkhurst, Brandon, MD

Specialty: Family Practice

(715) 387-5511

3603 Schneider Rd

Menomonie, WI 54751

Ruth, Donald H, MD

Specialty: Family Practice

(715) 387-5511

3603 Schneider Rd

Menomonie, WI 54751

Wisconsin

Menomonie

Strong, Jennifer A, MD

Specialty: Family Practice

(715) 387-5511

3603 Schneider Rd

Menomonie, WI 54751

Mercer

Bronsberg, Margaret A, NP

Specialty: Nurse Practitioner

(715) 387-5511

5110 Us Hwy 51

Mercer, WI 54547

Olson, Nils A, DO

Specialty: Family Practice

(715) 387-5511

5110 Us Hwy 51

Mercer, WI 54547

Merrill

Crapster-Pregont, Barbara B, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Crapster-Pregont, Mark, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Evans, Donald L, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Gill, Gregory, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Wisconsin

Merrill

Krohn-Gill, Kathryn A, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Moore, Jeffrey L, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Thompson, Paul A, MD

Specialty: Family Practice

(715) 387-5511

1205 O'day Street

Merrill, WI 54452

Milwaukee

Al-jaghbeer, Eshraq, MD

Specialty: Internal Medicine

(414) 649-6780

2801 W Kinnickinnic Parkway, #245

Milwaukee, WI 53215

Ballecer, Raymond R, MD

Specialty: Internal Medicine

(414) 479-2300

1055 N. Mayfair Road

Milwaukee, WI 53226

Bates, Barbara A., MD

Specialty: Family Practice

(414) 445-6520

5408 W. Burleigh

Milwaukee, WI 53210

Berry, Bruce B, MD

Specialty: Internal Medicine

(414) 389-2790

2025 W. Oklahoma Avenue - Ste. 100

Milwaukee, WI 53215

Page 306 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Milwaukee

Bhatia, Rambha, MD

Specialty: Pediatric Critical Care

(414) 649-6732

2801 W. Kinnickinnic River Pkwy., Suite 250

Milwaukee, WI 53215

Botros, Nazih, MD

Specialty: Family Practice

(414) 421-8400

6901 W. Edgerton Avenue

Milwaukee, WI 53220

Caine, Marc Randall, MD

Specialty: Internal Medicine

(414) 385-8600

2801 W. Kinnickinnic River Parkway, #135

Milwaukee, WI 53215

Chandel, Anil, MD

Specialty: Endocrinology, Diabetes & Metabolism

(414) 649-6780

2801 W Kinnickinnic Parkway, #245

Milwaukee, WI 53215

Chang, Edward C., MD

Specialty: Internal Medicine

(414) 645-4240

3201 S. 16th Street, #1000

Milwaukee, WI 53215

Dawson, Michael J., MD

Specialty: Internal Medicine

(414) 328-8630

2424 S. 90th Street, # 310

Milwaukee, WI 53227

Deboe, Frederick M, MD

Specialty: Family Practice

(414) 283-8444

1575 N River Center Drive

Milwaukee, WI 53212

Wisconsin

Milwaukee

Eisenberger, Darryl L., MD

Specialty: Family Practice

7961 N 76th St

Milwaukee, WI 53223

Eskarous, Nady I, MD

Specialty: Family Practice

(414) 479-2300

1055 N. Mayfair Road

Milwaukee, WI 53226

Gardezi, Syed A, MD

Specialty: Internal Medicine

(414) 649-6780

2801 W Kinnickinnic Parkway, #245

Milwaukee, WI 53215

Grzaba-Gracz, Barbara, MD

Specialty: Family Practice

(414) 385-8600

2801 W. Kinnickinnic River Parkway, #135

Milwaukee, WI 53215

Gupta, Madhu N., MD

Specialty: Internal Medicine

(414) 385-8600

2801 W. Kinnickinnic River Parkway, #135

Milwaukee, WI 53215

Komozec, Pero, MD

Specialty: Family Practice

2745 W. Layton Avenue Suite 206

Milwaukee, WI 53221

Lewis, Richard, MD

Specialty: Family Practice

(262) 670-1800

110 Lone Oak Lane

Milwaukee, WI 53207

Leybishkis, Biana, MD

Specialty: Internal Medicine

(414) 219-7136

1020 N.12th Street, 2nd Floor

Milwaukee, WI 53233-1308

Wisconsin

Milwaukee

Mikhaeel, Hany G., MD

Specialty: Family Practice

(414) 421-8400

6901 W. Edgerton Avenue

Milwaukee, WI 53220

Nolan, Sara J., MD

Specialty: Family Practice

(414) 479-2300

1055 N. Mayfair Road

Milwaukee, WI 53226

Nordin, Daniel J, MD

Specialty: Internal Medicine

(414) 385-8600

2801 W. Kinnickinnic River Parkway, #135

Milwaukee, WI 53215

Olmedo-Estrada, Francisca A., MD

Specialty: Family Practice

(414) 445-6520

5408 W. Burleigh

Milwaukee, WI 53210

Pentala, Jolanta, MD

Specialty: Internal Medicine

(414) 328-8630

2424 S. 90th Street, # 310

Milwaukee, WI 53227

Rao, Veluvolu, MD

Specialty: Internal Medicine

(414) 645-4240

3201 S. 16th Street, #1000

Milwaukee, WI 53215

Rathour, Rajendra, MD

Specialty: Internal Medicine

(414) 645-4240

3201 S. 16th Street, #1000

Milwaukee, WI 53215

Richlen, Matthew, MD

Specialty: Family Practice

7961 N 76th St

Milwaukee, WI 53223

Page 307 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Milwaukee

Robertson, Felicia D., MD

Specialty: Family Practice

(414) 479-2300

1055 N. Mayfair Road

Milwaukee, WI 53226

Stickels, Susan F., MD

Specialty: Family Practice

(414) 421-8400

6901 W. Edgerton Avenue

Milwaukee, WI 53220

Usatinsky, Julia, MD

Specialty: Internal Medicine

(414) 219-7136

1020 N.12th Street, 2nd Floor

Milwaukee, WI 53233-1308

Uzquiano, Jorge, MD

Specialty: Internal Medicine

(414) 645-4240

3201 S. 16th Street, #1000

Milwaukee, WI 53215

Varghese, Reny, MD

Specialty: Family Practice

(414) 357-5233

9255 N 76th St

Milwaukee, WI 53223

Zaki, Maggie K., MD

Specialty: Family Practice

(414) 421-8400

6901 W. Edgerton Avenue

Milwaukee, WI 53220

Minocqua

Drewry, Anne, MD

Specialty: Family Practice

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Wisconsin

Minocqua

Drewry, Matthew M, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Fossen, Richard F, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Gauthier, Amy M, PA

Specialty: Physician Assistant

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Goral, Tomasz, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Janak, Steve W, MD

Specialty: Family Practice

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Knautz, Michael H., MD

Specialty: Family Practice

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Lonsdorf, Charles A, MD

Specialty: Family Practice

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Wisconsin

Minocqua

Mansfield, Diane M, NP

Specialty: Nurse Practitioner

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Mroz, J Barbara, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Nemcek, John G, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Reichel, Sheila S, MD

Specialty: Physician Assistant

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Scholten, Sara Walker, PA

Specialty: Physician Assistant

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Seale, Linda, MD

Specialty: Internal Medicine

(715) 387-5511

9601 Townline Rd

Minocqua, WI 54548

Mishicot

Steinhauer, Lisa, ANP

Specialty: Nurse Practitioner

(920) 755-2101

175 South State Street

Mishicot, WI 54228

Mosinee

Page 308 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Mosinee

Dillon, David P, MD

Specialty: Family Practice

(715) 387-5511

390 Orbiting Drive

Mosinee, WI 54455

Grim, Gerald W, MD

Specialty: Family Practice

(715) 387-5511

390 Orbiting Drive

Mosinee, WI 54455

Nash, Richard G, MD

Specialty: Family Practice

(715) 387-5511

390 Orbiting Drive

Mosinee, WI 54455

Sheff, Jerome R, MD

Specialty: Family Practice

(715) 387-5511

390 Orbiting Drive

Mosinee, WI 54455

Mukwonago

Allen-Gryzwa, Shannon P., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Amadon, Sandra G., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Ellenbolt, Darren R., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Wisconsin

Mukwonago

Fehr, Steven C., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Johnson, Daniel E., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Strehlow, Scott R., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Walloch, Jane L., MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Woolever, Jon L, MD

Specialty: Family Practice

(262) 928-1900

240 Maple Avenue

Mukwonago, WI 53149

Muskego

Chapman, James M., MD

Specialty: Internal Medicine

(262) 513-7000

S69 W15636 Janesville Road

Muskego, WI 53150

Cheng, Daniel, MD

Specialty: Internal Medicine

(262) 513-7000

S69 W15636 Janesville Road

Muskego, WI 53150

Wisconsin

Muskego

Dufresne, Stephen J., MD

Specialty: Internal Medicine

(262) 513-7000

S69 W15636 Janesville Road

Muskego, WI 53150

Mamerow, Steven J, MD

Specialty: Internal Medicine

(262) 513-7000

S69 W15636 Janesville Road

Muskego, WI 53150

Neenha

Goldshlack, Brian L, MD

Specialty: Family Practice

(920) 720-8200

1136 Westowne Drive

Neenha, WI 54956

Jadin-Cardelli, Roxanne L, MD

Specialty: Internal Medicine

(920) 720-8200

1136 Westowne Drive

Neenha, WI 54956

New Berlin

Kessen, Marci D., MD

Specialty: Family Practice

(262) 928-4500

13900 W National Avenue

New Berlin, WI 53151

Kuhl, Gary L., DO

Specialty: Family Practice

(262) 928-4500

13900 W National Avenue

New Berlin, WI 53151

Mankiewicz, Thomas, MD

Specialty: Family Practice

(262) 785-1366

3610 Michelle Witmer, Memorial Dr., #200

New Berlin, WI 53151

Page 309 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

New Berlin

Moldvan-Jacobs, June, MD

Specialty: Family Practice

(262) 785-1366

3610 Michelle Witmer, Memorial Dr., #200

New Berlin, WI 53151

Ritter, Jodi L, DO

Specialty: Family Practice

(262) 860-8700

2801 S Moorland Road

New Berlin, WI 53151

New Franken

Kroll, Mark R, DO

Specialty: Family Practice

(920) 866-6100

4070 Equestrian Road

New Franken, WI 54229-9649

Quidzinski, Erich J, DO

Specialty: Family Practice

(920) 866-6100

4070 Equestrian Road

New Franken, WI 54229-9649

Vandenhouten, Terri L, NP

Specialty: Nurse Practitioner

(920) 866-6100

4070 Equestrian Road

New Franken, WI 54229-9649

Warpinski, Luke T, MD

Specialty: Family Practice

(920) 866-6100

4070 Equestrian Road

New Franken, WI 54229-9649

North Fond du Lac

Sheehan, Julie A, DO

Specialty: Family Practice

(920) 926-7800

700 Park Ridge Ln.

North Fond du Lac, WI 54937

Oconomowoc

Wisconsin

Oconomowoc

Bamrah, Paramjit K, MD

Specialty: Family Practice

(262) 434-5000

36500 Aurora Drive

Oconomowoc, WI 53066

Boschek, Brenda L., MD

Specialty: Internal Medicine

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Cleary, Dan Thomas, MD

Specialty: Internal Medicine

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Cooper, William R., MD

Specialty: Internal Medicine

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Fitzgerald, Patrick T, MD

Specialty: Pediatrics

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Gatto, James J, MD

Specialty: Family Practice

(262) 434-5000

36500 Aurora Drive

Oconomowoc, WI 53066

Hutjens, Kirk J, MD

Specialty: Internal Medicine

(262) 434-5000

36500 Aurora Drive

Oconomowoc, WI 53066

Lenz, Michael A., MD

Specialty: Internal Medicine

(262) 569-2424

1260 B Brown Street

Oconomowoc, WI 53066

Wisconsin

Oconomowoc

Linzer, Brett A., MD

Specialty: Internal Medicine

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Marszalek, Renee Beth, MD

Specialty: Internal Medicine

(262) 434-5000

36500 Aurora Drive

Oconomowoc, WI 53066

Schlomer, David D., MD

Specialty: Internal Medicine

1185 Corporate Center Drive #175

Oconomowoc, WI 53066

Zuzick, Paul H, MD

Specialty: Family Practice

(262) 434-5000

36500 Aurora Drive

Oconomowoc, WI 53066

Oshkosh

Alzoubi, Ammar, MD

Specialty: Internal Medicine

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Blaha, Steven C., MD

Specialty: Internal Medicine

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Bonell, Jamie G, ANP

Specialty: Nurse Practitioner

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Carlson, Jon K, MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Page 310 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Oshkosh

Duffy, Michael A, MD

Specialty: Internal Medicine

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Duwell, Eric C, MD

Specialty: Family Practice

(920) 303-5100

414 Doctor's Court

Oshkosh, WI 54901

Fischer, Matthew P, MD

Specialty: Psychiatry

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Green, Kevin R., MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Knier, Michael Steven, MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Lee, Phyllis, MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Maassen, Stephen James, MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Wisconsin

Oshkosh

Schroeder, Rebekah R, MD

Specialty: Internal Medicine

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Weber, John R. S., MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Zernzack, Lance E, MD

Specialty: Family Practice

(920) 303-8700

855 N Westhaven Drive

Oshkosh, WI 54901

Osseo

Feeney-Schroeder, Linda R, NP

Specialty: Nurse Practitioner

(715) 387-5511

13029 9th Street

Osseo, WI 54758

Paddock Lake

Carroll, Joel, MD

Specialty: General Practice

(262) 843-2336

25320 75th Street, #102

Paddock Lake, WI 53168

Park Falls

Adleman, Sharon M., NP

Specialty: Nurse Practitioner

(715) 387-5511

50 Sherry Ave

Park Falls, WI 54552

Anderson, Richard A., NP

Specialty: Nurse Practitioner

(715) 387-5511

50 Sherry Ave

Park Falls, WI 54552

Wisconsin

Park Falls

Chauhan, Amit, MD

Specialty: Internal Medicine

(715) 387-5511

50 Sherry Ave

Park Falls, WI 54552

Danial, Louay O, MD

Specialty: Family Practice

(715) 387-5511

50 Sherry Ave

Park Falls, WI 54552

Lindgren, Timothy, MD

Specialty: Family Practice

(715) 387-5511

50 Sherry Ave

Park Falls, WI 54552

Peshtigo

Post, Michael J, MD

Specialty: Internal Medicine

(715) 732-8100

4061 Old Peshtigo Rd, P.O. Box 18

Peshtigo, WI 54143

Pewaukee

Carr, Donald, MD

Specialty: Internal Medicine

(262) 785-7440

1155 Quail Ct.

Pewaukee, WI 53072

Tran, Xuan Thy T., MD

Specialty: Family Practice

1292 Capitol Dr.

Pewaukee, WI 53072

Wisnefski, Lori L., MD

Specialty: Family Practice

1292 Capitol Dr.

Pewaukee, WI 53072

Phillips

Page 311 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Phillips

Anderson, Lee A, MD

Specialty: Family Practice

(715) 339-2101

104 Trinity Drive

Phillips, WI 54555

Geiger, Tracy M, MD

Specialty: Family Practice

(715) 339-2101

104 Trinity Drive

Phillips, WI 54555

Houkom, Everin C, MD

Specialty: Family Practice

(715) 339-2101

104 Trinity Drive

Phillips, WI 54555

Kozak, Deborah A, MD

Specialty: Family Practice

(715) 339-2101

104 Trinity Drive

Phillips, WI 54555

Platteville

Connolly, Michael Edward, MD

Specialty: Internal Medicine

(608) 348-6266

1240 Big Jack Road

Platteville, WI 53818

White, Jeffrey L, DO

Specialty: Family Practice

(608) 348-6266

1240 Big Jack Road

Platteville, WI 53818

Plymouth

Kapur, Chanda, MD

Specialty: Internal Medicine

(920) 449-7000

2600 Kiley Way

Plymouth, WI 53073

Wisconsin

Plymouth

Murthy, Dharmesh, MD

Specialty: Family Practice

(920) 449-7000

2600 Kiley Way

Plymouth, WI 53073

Peschke, Scott R., MD

Specialty: Family Practice

(920) 449-7000

2600 Kiley Way

Plymouth, WI 53073

Sharon, Mark W., MD

Specialty: Family Practice

(920) 449-7000

2600 Kiley Way

Plymouth, WI 53073

Smith, David R., MD

Specialty: Family Practice

(920) 449-7000

2600 Kiley Way

Plymouth, WI 53073

Racine

Brennan, John, MD

Specialty: Nephrology

(262) 687-8340

3803 Spring St, #600

Racine, WI 53405

Brittig, Jennifer, MD

Specialty: Family Practice

(262) 687-5995

2408 Four Mile Rd

Racine, WI 53402

Chance-Lawson, Sharee, MD

Specialty: Family Practice

(262) 687-7606

6232 Bankers Rd

Racine, WI 53403

Wisconsin

Racine

Clark, Richard R., MD

Specialty: Family Practice

(262) 687-5995

2408 Four Mile Rd

Racine, WI 53402

Crevier, Carlynn, MD

Specialty: Internal Medicine

(262) 687-7606

6232 Bankers Rd

Racine, WI 53403

Dhingra, Pankaj, MD

Specialty: Nephrology

(262) 687-8340

3803 Spring St, #600

Racine, WI 53405

Durbin, Paul C., MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Gierahn, James, MD

Specialty: Internal Medicine

(262) 687-6100

One Main St

Racine, WI 53403

Gist, Darnella D., MD

Specialty: Family Practice

(262) 687-7606

6232 Bankers Rd

Racine, WI 53403

Gullberg, Robert, MD

Specialty: Internal Medicine

(262) 687-8310

3811 Spring St, #301, I

Racine, WI 53405

Page 312 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Racine

Hansen, Linda, MD

Specialty: Internal Medicine

(262) 687-8115

3807 Spring St, 3rd Floor E

Racine, WI 53405

James, Jehana, DO

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Lopez, John M., MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Mathew, Joseph P., MD

Specialty: Internal Medicine

(262) 687-5995

2408 Four Mile Rd

Racine, WI 53402

Moses, Lynda, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Nicholson, William, MD

Specialty: Family Practice

(262) 687-8173

3807 Spring St, 2nd Floor F

Racine, WI 53405

Panchal, Sachin, MD

Specialty: Internal Medicine

(262) 687-7606

6232 Bankers Rd

Racine, WI 53403

Pierce-Ruhland, Richard A., MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Wisconsin

Racine

Prabhakar, Sathyavani M, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Pudzisz, Bogdan, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Rackliffe, Paige, MD

Specialty: Internal Medicine

(262) 687-6100

One Main St

Racine, WI 53403

Ross, Daniel B., MD

Specialty: Internal Medicine

(262) 687-6100

One Main St

Racine, WI 53403

Schulgit, Ronald, MD

Specialty: Family Practice

(262) 687-8173

3807 Spring St, 2nd Floor F

Racine, WI 53405

Takata, Jennifer, MD

Specialty: Internal Medicine

(262) 687-5995

2408 Four Mile Rd

Racine, WI 53402

Turner, Derek, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Vravick, Thomas, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Wisconsin

Racine

Willard, Kaye-Eileen, MD

Specialty: Internal Medicine

(262) 687-8260

3803 Spring St., #410

Racine, WI 53405

Wisniewski, Gerald, MD

Specialty: Internal Medicine

(262) 687-6100

One Main St

Racine, WI 53403

Wolf, Lisa A, MD

Specialty: Family Practice

(262) 687-5995

2408 Four Mile Rd

Racine, WI 53402

Yun, Elizabeth, MD

Specialty: Internal Medicine

(262) 687-8303

3807 Spring St, 3rd Floor I

Racine, WI 53405

Zablotney, David C, MD

Specialty: Family Practice

(262) 752-2100

5333 Douglas Avenue

Racine, WI 53402

Radisson

Bratvold, Lisa M, NP

Specialty: Nurse Practitioner

(715) 945-2800

3661 N. Highland Dr.

Radisson, WI 54867

Random Lake

Veldboom, Brenda M, NP

Specialty: Nurse Practitioner

(920) 994-9094

110 Butler Street

Random Lake, WI 53075

Redgranite

Page 313 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Redgranite

Hankey, Terry L., MD

Specialty: Family Practice

(920) 566-0620

620 Warren Street, P.O. Box 476

Redgranite, WI 54970-0476

Rice Lake

Bekkum, Bradley P, MD

Specialty: Internal Medicine

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Carlson, Lawrence D, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Cragg, Michael M, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Eastwold, Conrad E, MD

Specialty: Internal Medicine

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Erickson, Daniel, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Henningsen, David J, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Wisconsin

Rice Lake

Holthaus, Stephen T, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Hoyer, Jean E, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Lundquist, Thomas W, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Mcclelland, Janice M, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Mink, Lisa A, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Nymo, Mark T, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Ocwieja, Mary A, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Olson, John L, MD

Specialty: Internal Medicine

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Wisconsin

Rice Lake

Osterbauer, Joseph J, MD

Specialty: Internal Medicine

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Pebler, Richard F, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Peters, James M, DO

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Smith, William A, MD

Specialty: Family Practice

(715) 236-8100

1700 West Stout Street

Rice Lake, WI 54868-5000

Shawano

Hiltgen, Gregrey G, MD

Specialty: Family Practice

(920) 526-6244

1346 E Green Bay Street

Shawano, WI 54166

Sheboygan

Beiersdorf, Rieck W., MD

Specialty: Family Practice

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Best, Catherine M., MD

Specialty: Family Practice

(920) 565-4595

620 S. Wisconsin Drive

Sheboygan, WI 53083

Page 314 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Sheboygan

Crawford, William C, MD

Specialty: Family Practice

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Derse, Scott, MD

Specialty: Family Practice

(920) 458-4010

1813 Ashland Ave

Sheboygan, WI 53081

Hancock, Curtis W, MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Nedoba, Petra, MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Nora, Elizabeth H, MD

Specialty: Endocrinology

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Northup, Cynthia Peska, MD

Specialty: Family Practice

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Quinones, Nikolo C, MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Wisconsin

Sheboygan

Remington, Robert J., MD

Specialty: Family Practice

(920) 565-4595

620 S. Wisconsin Drive

Sheboygan, WI 53083

Schmitt, Bryan T., MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Schmitt, Jill I., MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Stauffer-vrzal, Kari Marie, MD

Specialty: Family Practice

(920) 458-4010

1813 Ashland Ave

Sheboygan, WI 53081

Wenberg, Robert D., DO

Specialty: Family Practice

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Westcott, Stephen C, MD

Specialty: Internal Medicine

(920) 457-4461

2414 Kohler Memorial Drive

Sheboygan, WI 53081

Sheboygan Falls

Lynds, Jeffrey C, MD

Specialty: Obstetrics & Gynecology

(920) 467-2424

1146 Plankview Green Blvd.

Sheboygan Falls, WI 53085

Wisconsin

Sheboygan Falls

Rejman-Peterson, Michelle L., MD

Specialty: Family Practice

(920) 467-2424

1146 Plankview Green Blvd.

Sheboygan Falls, WI 53085

Shorewood

Ogor, Pamela M., MD

Specialty: Family Practice

(414) 527-5690

3970 N. Oakland Ave, 2nd Floor

Shorewood, WI 53211

Totodova, Zinoviya, MD

Specialty: Internal Medicine

(414) 527-5690

3970 N. Oakland Ave, 2nd Floor

Shorewood, WI 53211

Sister Bay

Flood, Michael F, ANP

Specialty: Physician Assistant

(920) 854-2347

2521 South BayShore Drive

Sister Bay, WI 54234

Slinger

Fernandez, Edmund J, MD

Specialty: Family Practice

(262) 644-2900

1061 E. Commerce Blvd., PO Box 190

Slinger, WI 53086

Weber, Eric Frank, MD

Specialty: Internal Medicine

(262) 644-2900

1061 E. Commerce Blvd., PO Box 190

Slinger, WI 53086

Stratford

Page 315 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Stratford

Shulman, Karen Ann, MD

Specialty: Family Practice

(715) 221-8790

101 Wisconsin Ave

Stratford, WI 54484

Sturgeon Bay

Anclam, Keith R, DO

Specialty: Family Practice

(920) 746-7200

1910 Alabama Street

Sturgeon Bay, WI 54235

Bhatia, Ashwani, MD

Specialty: Internal Medicine

(920) 746-7200

1910 Alabama Street

Sturgeon Bay, WI 54235

Conger, David G., MD

Specialty: Family Practice

(920) 746-7200

1910 Alabama Street

Sturgeon Bay, WI 54235

Sussex

Hardy, Kimberly J., MD

Specialty: Family Practice

(262) 820-3093

N57 W24950 North Corporate Circle

Sussex, WI 53089

Twin Lakes

Cassidy, Kristin K., MD

Specialty: Internal Medicine

(262) 877-2124

700 N. Lake Avenue, #102

Twin Lakes, WI 53181

Karls, Charlene M, DO

Specialty: Family Practice

(262) 877-2124

700 N. Lake Avenue, #102

Twin Lakes, WI 53181

Two Rivers

Wisconsin

Two Rivers

Carroll, Andrea J., MD

Specialty: Internal Medicine

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Diaz, Alfredo, MD

Specialty: Internal Medicine

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Hester-Diaz, Julia D., MD

Specialty: Family Practice

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Martin-Foster, Cheryl A., MD

Specialty: Family Practice

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Roman, Ekaterina, MD

Specialty: Family Practice

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Smith, Glenn A., MD

Specialty: Family Practice

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Thayer, Cedric V., MD

Specialty: Internal Medicine

(920) 793-2281

2219 Garfield Street

Two Rivers, WI 54241

Union Grove

Wisconsin

Union Grove

Barsness, Brigg, MD

Specialty: Family Practice

(262) 878-4424

1120 Main Street

Union Grove, WI 53182

Demers, Gerald A, MD

Specialty: Family Practice

(262) 878-1211

4320 67th Dr

Union Grove, WI 53182

Simonds, James, MD

Specialty: Family Practice

(262) 878-4424

1120 Main Street

Union Grove, WI 53182

Simonds, Lisa, MD

Specialty: Family Practice

(262) 878-4424

1120 Main Street

Union Grove, WI 53182

Valders

Samundsen, Paul C, MD

Specialty: Family Practice

(920) 775-4111

721 S Calumet Dr

Valders, WI 54245

Wales

Reiners, Thomas K, MD

Specialty: Family Practice

(262) 968-6160

144 E Summit Avenue, Suite 100

Wales, WI 53149

Waterford

Decker, Jennifer J., MD

Specialty: Family Practice

(262) 514-3700

818 Forrest Lane

Waterford, WI 53185

Watertown

Page 316 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Watertown

Keefe, Beth G., MD

Specialty: Internal Medicine

(262) 928-5100

109 Air Park Drive

Watertown, WI 53094

Waukesha

Boehm, William, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Brownell, Caryn A., MD

Specialty: Family Practice

2130 Big Bend Road

Waukesha, WI 53189

Cantieri, Thomas P, MD

Specialty: Internal Medicine

2130 Big Bend Road

Waukesha, WI 53189

Cooper, Wendy, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Gallagher, Thomas, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Klemish, Steven W., MD

Specialty: Family Practice

2130 Big Bend Road

Waukesha, WI 53189

Krismer, Patrick G., MD

Specialty: Family Practice

(262) 896-6000

W231 N1440 Corporate Ct.

Waukesha, WI 53186

Wisconsin

Waukesha

Lewis, Tracy M., MD

Specialty: Family Practice

2130 Big Bend Road

Waukesha, WI 53189

Long, Michael J, MD

Specialty: Family Practice

721 American Avenue, Suite 310

Waukesha, WI 53188

Morgan, Stephen E., MD

Specialty: Family Practice

(262) 928-4200

N17 W24100 Riverwood Drive, Suite 150

Waukesha, WI 53188

Muggler, Debra, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

O'Neill, Paul, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Reed, Jennifer Lynn, MD

Specialty: Family Practice

2130 Big Bend Road

Waukesha, WI 53189

Roznik, Mark, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Sieraski, Madelyn C, MD

Specialty: Family Practice

2130 Big Bend Road

Waukesha, WI 53189

Wisconsin

Waukesha

Thirumakizhmaran, Uma, MD

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Vegeais, Donna S., MD

Specialty: Internal Medicine

2130 Big Bend Road

Waukesha, WI 53189

Yiannias, Chris, DO

Specialty: Internal Medicine

(262) 549-3030

N14 W23900 Stoneridge Drive

Waukesha, WI 53186

Wausau

Baker, Vicky A, MD

Specialty: Infectious Disease

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Laynes, Grace V, MD

Specialty: Internal Medicine

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Oswald, Jeffrey S, MD

Specialty: Family Practice

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Patterson, Katherine P, MD

Specialty: Family Practice

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Penniman, Eric R, DO

Specialty: Family Practice

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Page 317 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Wausau

Putlur, Pradeep, MD

Specialty: Internal Medicine

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Richetto, Mark A, MD

Specialty: Internal Medicine

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Roush, Stephen C, MD

Specialty: Family Practice

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Schaller, Ivan B, MD

Specialty: Internal Medicine

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Sorenson, Cynthia, NP

Specialty: Nurse Practitioner

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Veldhuizen, Leon P, MD

Specialty: Family Practice

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Whitaker, Kristin J, MD

Specialty: Family Practice

(715) 847-0800

3605 Stewart Ave

Wausau, WI 54401

Wisconsin

Wausau

Yang, Kou Kevin, MD

Specialty: Family Practice

(715) 847-3450

2727 Plaza Drive

Wausau, WI 54401

Wautoma

Chulski, Thomas G., MD

Specialty: Family Practice

(920) 303-8700

900 E. Division Street

Wautoma, WI 54982

Ryan, Thomas A., MD

Specialty: Internal Medicine

(920) 303-8700

900 E. Division Street

Wautoma, WI 54982

Wauwatosa

Barrett, Thomas, MD

Specialty: Internal Medicine

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

Caine, Glenn, MD

Specialty: Family Practice

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

Conradson, Eric P., MD

Specialty: Internal Medicine

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

Ignace, Gerald L., MD

Specialty: Internal Medicine

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

Wisconsin

Wauwatosa

Kelly, Thomas M., MD

Specialty: Endocrinology, Diabetes & Metabolism

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

Maes, Paul M, DO

Specialty: Family Practice

(414) 302-3800

8320 W Bluemound Rd, #125

Wauwatosa, WI 53213

Magliocco, James, MD

Specialty: Family Practice

(414) 258-7799

201 . Mayfair Road, #505

Wauwatosa, WI 53226

Reichel, Jeffrey K, MD

Specialty: Family Practice

(414) 258-7799

201 . Mayfair Road, #505

Wauwatosa, WI 53226

Sidhu, Jaswinder K., MD

Specialty: Internal Medicine

(414) 771-8228

201 N. Mayfair Road, 2nd Floor

Wauwatosa, WI 53226

West Allis

Azcueta, Renato S., MD

Specialty: Family Practice

7220 National Avenue

West Allis, WI 53214

Bustos, Alice C., MD

Specialty: Family Practice

7220 National Avenue

West Allis, WI 53214

Saydel, Kenneth M, DO

Specialty: Family Practice

7220 National Avenue

West Allis, WI 53214

West Bend

Page 318 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

West Bend

Blommel, Gregory G, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Bodensteiner, Robert T, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Buck, James, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Cameron, Carey, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Cornelius, Peter L, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Flink, Paul, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Froehlich, James D, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Gajic, Zoran D, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Wisconsin

West Bend

Gershan, Robert, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Gibson, Robert D, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Glasenapp, Karen 'kate', NP

Specialty: Nurse Practitioner

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Griswold, Bruce G, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Guthrie, Anthony S, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Gvora, Thomas, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Hallerman, Elizabeth, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Wisconsin

West Bend

Hennessy, Donald, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Herdrich, Gary M, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Hildebrandt, Amber, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Holmburg, Charles, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Imse, David, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Jahnke, Renee R, MD

Specialty: Internal Medicine

(262) 338-1123

205 Valley Avenue

West Bend, WI 53095

Kaufmann, Charles T, DO

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Klausmeier, Nicole L, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Page 319 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

West Bend

Knoernschild, Andrew, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Liedtke, Robert, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Marx, Douglas, DO

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Miller, Amy L, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Mosley, G Michael, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Preisler, Gary L, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Sammis, Charles E, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Sims, Malini, MD

Specialty: Internal Medicine

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Wisconsin

West Bend

Urlakis, Kenneth, MD

Specialty: Family Practice

(262) 334-3451

1700 W Paradise Drive

West Bend, WI 53095

Weston

Abraham, Jeanette M., MD

Specialty: Family Practice

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Isaacson, Bart J, MD

Specialty: Internal Medicine

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Kabir-Islam, Lopa, MD

Specialty: Internal Medicine

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Kulstad, Roger M, MD

Specialty: Internal Medicine

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Le Noir, Jeanette M, MD

Specialty: Family Practice

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Macalalad, J F Herbert R, MD

Specialty: Internal Medicine

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Wisconsin

Weston

Malfese, David C, MD

Specialty: Family Practice

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Sheehan, Michael T, MD

Specialty: Endocrinology, Diabetes & Metabolism

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Varma, Anshu, MD

Specialty: Internal Medicine

(715) 393-1050

3501 Cranberry Blvd

Weston, WI 54476

Winneconne

Beougher, Scott, MD

Specialty: Family Practice

(920) 582-0600

6085 Harbour View Drive

Winneconne, WI 54986

Wisconsin Rapids

Ahmad, Khadijah B, MD

Specialty: Family Practice

(715) 387-5511

220 24th St South

Wisconsin Rapids, WI 54494

Arias, Joseph J, MD

Specialty: Family Practice

(715) 387-5511

220 24th St South

Wisconsin Rapids, WI 54494

Pakalns, Ruta M, MD

Specialty: Family Practice

(715) 387-5511

220 24th St South

Wisconsin Rapids, WI 54494

Wittenberg

Page 320 of 317

NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)

Wisconsin

Wittenberg

Young, James J., MD

Specialty: Family Practice

(715) 253-2119

201 Liberty Drive

Wittenberg, WI 54499

Wyoming

Cody

Bowlby, Adair M., MD

Specialty: Family Practice

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Hines, Jonie Myrstol, MD

Specialty: Family Practice

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Mccue, Gregory, MD

Specialty: Family Practice

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Morton, Douglas, MD

Specialty: Pediatrics

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Peters, Adam S, MD

Specialty: Family Practice

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Trotter, John C., MD

Specialty: Family Practice

(307) 527-7561

201 Yellowstone Avenue

Cody, WY 82414

Page 321 of 317

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