ncqa diabetes recognition program recognized physicians ...ncqa diabetes recognition program...
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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
Page 169 of 317
NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)
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
NCQA Diabetes Recognition Program Recognized Physicians (as of 05/31/2012)
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
Page 225 of 317
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
Page 265 of 317
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
Page 266 of 317
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
Page 267 of 317
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