nica 2014 participating physicians license number last name … participating... · 2018. 12....

24
NICA 2014 Participating Physicians License Number Last Name First Name Participation Date Year OS0008233 ABDALLA EMIL 01/01/2014 2014 ME0046054 ABDELAZIZ MOHAMED 01/01/2014 2014 ME0117610 ABERN LAUREN 02/07/2014 2014 ME0060459 ABREU JOSE 01/01/2014 2014 ME0063019 ABRUDESCU NICHOLAS 01/01/2014 2014 ME0063982 ABU JOHN 01/01/2014 2014 ME0119463 ACEVEDO MELISSA 10/29/2014 2014 ME0110712 ACHILLE FABIENNE 01/01/2014 2014 ME0050608 ACHOLONU FELIX 01/01/2014 2014 ME0104535 ACKERMAN JOSHUA 01/01/2014 2014 ME0100481 ACON NG ALICIA 01/01/2014 2014 ME0052037 ACOSTA ROMEO 01/01/2014 2014 ME0093989 ACUNA JOANN 01/01/2014 2014 ME0096125 ADAMS CHANDRA 01/01/2014 2014 ME0094265 ADAMS CHRISTINA 01/01/2014 2014 ME0045738 ADAMS NELSON 01/01/2014 2014 ME0105385 ADDAE YUSIF 01/01/2014 2014 ME0078786 ADEBOYEJO GHEA 01/01/2014 2014 OS0007383 ADLER DAVID 01/01/2014 2014 ME0067571 AGRIOS ANTHONY 01/01/2014 2014 ME0059459 AKHIYAT MOHAMED 01/01/2014 2014 ME0117235 AKSU AHMET 01/01/2014 2014 ME0102729 ALAMI REDA 01/01/2014 2014 ME0046827 ALBERT MIGUEL 01/01/2014 2014 ME0116310 ALDABBAGH SIDIQ 01/01/2014 2014 ME0110723 ALEJANDRO-CORDERO NATALIA 01/01/2014 2014 ME0078854 ALEXIS RENEE 02/03/2014 2014 ME0036984 ALEXIS WINSTON 01/01/2014 2014 ME0094697 ALLEN SHENE 01/01/2014 2014 ME0119638 ALLISON ALLESSA 06/17/2014 2014 ME0074032 AL-MALT AHMED 01/01/2014 2014 ME0046652 ALTENHOFEN DEAN 01/01/2014 2014 ME0059124 ALVARADO MANUEL 01/01/2014 2014 ME0058869 ALVAREZ PEDRO 01/01/2014 2014 ME0070630 ALVAREZ WILFREDO 01/01/2014 2014 ME0067244 ALVAREZ-HERNANDEZ JORGE 01/01/2014 2014 ME0075757 AMOROSO MICHELE 01/01/2014 2014 ME0112697 AMYRADAKIS GEORGE 01/01/2014 2014 OS0007816 ANCHETA ARLEIGH 01/01/2014 2014 ME0120614 ANDRADE RODRIGUEZ FAUSTO 11/12/2014 2014 ME0053597 ANDRES FRANK 01/01/2014 2014 ME0068243 ANDREWS ROBERT 01/01/2014 2014 ME0110894 ANIM TANYA 06/20/2014 2014 ME0044615 ANTONETTI EMILIO 01/01/2014 2014 ME0086004 ANTONY THOMAS 01/01/2014 2014 ME0082650 ANTOUN MANAL 01/01/2014 2014 ME0086146 APOLLON KATIA 01/01/2014 2014 ME0113010 APONTE EDGARDO 01/01/2014 2014 ME0111550 ARANGO-LONGO JENNY 01/01/2014 2014 ME0066771 ARCELIN GOSTAL 01/01/2014 2014 ME0043737 ARMAS IGNACIO 01/01/2014 2014 ME0074299 ARNOLD HEIDI 01/01/2014 2014

Upload: others

Post on 15-Sep-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearOS0008233 ABDALLA EMIL 01/01/2014 2014ME0046054 ABDELAZIZ MOHAMED 01/01/2014 2014ME0117610 ABERN LAUREN 02/07/2014 2014ME0060459 ABREU JOSE 01/01/2014 2014ME0063019 ABRUDESCU NICHOLAS 01/01/2014 2014ME0063982 ABU JOHN 01/01/2014 2014ME0119463 ACEVEDO MELISSA 10/29/2014 2014ME0110712 ACHILLE FABIENNE 01/01/2014 2014ME0050608 ACHOLONU FELIX 01/01/2014 2014ME0104535 ACKERMAN JOSHUA 01/01/2014 2014ME0100481 ACON NG ALICIA 01/01/2014 2014ME0052037 ACOSTA ROMEO 01/01/2014 2014ME0093989 ACUNA JOANN 01/01/2014 2014ME0096125 ADAMS CHANDRA 01/01/2014 2014ME0094265 ADAMS CHRISTINA 01/01/2014 2014ME0045738 ADAMS NELSON 01/01/2014 2014ME0105385 ADDAE YUSIF 01/01/2014 2014ME0078786 ADEBOYEJO GHEA 01/01/2014 2014OS0007383 ADLER DAVID 01/01/2014 2014ME0067571 AGRIOS ANTHONY 01/01/2014 2014ME0059459 AKHIYAT MOHAMED 01/01/2014 2014ME0117235 AKSU AHMET 01/01/2014 2014ME0102729 ALAMI REDA 01/01/2014 2014ME0046827 ALBERT MIGUEL 01/01/2014 2014ME0116310 ALDABBAGH SIDIQ 01/01/2014 2014ME0110723 ALEJANDRO-CORDERO NATALIA 01/01/2014 2014ME0078854 ALEXIS RENEE 02/03/2014 2014ME0036984 ALEXIS WINSTON 01/01/2014 2014ME0094697 ALLEN SHENE 01/01/2014 2014ME0119638 ALLISON ALLESSA 06/17/2014 2014ME0074032 AL-MALT AHMED 01/01/2014 2014ME0046652 ALTENHOFEN DEAN 01/01/2014 2014ME0059124 ALVARADO MANUEL 01/01/2014 2014ME0058869 ALVAREZ PEDRO 01/01/2014 2014ME0070630 ALVAREZ WILFREDO 01/01/2014 2014ME0067244 ALVAREZ-HERNANDEZ JORGE 01/01/2014 2014ME0075757 AMOROSO MICHELE 01/01/2014 2014ME0112697 AMYRADAKIS GEORGE 01/01/2014 2014OS0007816 ANCHETA ARLEIGH 01/01/2014 2014ME0120614 ANDRADE RODRIGUEZ FAUSTO 11/12/2014 2014ME0053597 ANDRES FRANK 01/01/2014 2014ME0068243 ANDREWS ROBERT 01/01/2014 2014ME0110894 ANIM TANYA 06/20/2014 2014ME0044615 ANTONETTI EMILIO 01/01/2014 2014ME0086004 ANTONY THOMAS 01/01/2014 2014ME0082650 ANTOUN MANAL 01/01/2014 2014ME0086146 APOLLON KATIA 01/01/2014 2014ME0113010 APONTE EDGARDO 01/01/2014 2014ME0111550 ARANGO-LONGO JENNY 01/01/2014 2014ME0066771 ARCELIN GOSTAL 01/01/2014 2014ME0043737 ARMAS IGNACIO 01/01/2014 2014ME0074299 ARNOLD HEIDI 01/01/2014 2014

Page 2: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0072837 ARONSON GIL 01/01/2014 2014ME0082662 ARRONTE JULIO 01/01/2014 2014ME0107529 ARROYO PATRICIA 01/01/2014 2014ME0109743 ASEVEDO MARIA 01/01/2014 2014ME0102718 ASHBY GEM 01/01/2014 2014ME0081778 ASHMAWY YESSIN 01/01/2014 2014ME0103582 ATLANOVA YELENA 01/01/2014 2014ME0102841 ATTA EMAD 01/01/2014 2014ME0113326 AUFFANT JESSICA 01/01/2014 2014ME0047828 AUGUSTINO MICHAEL 01/01/2014 2014ME0042610 AUGUSTUS CHARLES 02/26/2014 2014ME0106690 AUSTIN SARAH 01/01/2014 2014ME0079087 AYALA JOHN 01/01/2014 2014ME0121426 AYUSO ANDRES 10/13/2014 2014ME0083251 BAAB HOLLY 01/01/2014 2014OS0011842 BAGLEY CATHERINE 01/01/2014 2014ME0063592 BAILEY LEISA 01/01/2014 2014ME0106231 BAIN KIMBERLY 01/01/2014 2014ME0089610 BAKER MARISA 01/01/2014 2014ME0106229 BALANKY EMILY 01/01/2014 2014ME0091420 BALDWIN CYNTHIA 01/01/2014 2014ME0105573 BALDWIN MELISHA 01/01/2014 2014ME0095497 BALINT LYNDA 01/01/2014 2014OS0010052 BALLIRAM-MANOHALAL DEBRA 01/01/2014 2014ME0100114 BANOONI AMY 01/01/2014 2014ME0111975 BARDACH REUT 01/01/2014 2014ME0021607 BARHOUSH AHMED 01/01/2014 2014ME0076566 BARON JAMES 01/01/2014 2014ME0092113 BARREIRO JUDITH 01/01/2014 2014ME0110194 BARRIONUEVO CARLOS 01/01/2014 2014ME0038101 BARRIOS HUMBERTO 01/01/2014 2014ME0071558 BARTFIELD MICHAEL 01/01/2014 2014ME0057197 BASS ROBERT 01/01/2014 2014ME0038102 BATTLE GEORGE 01/01/2014 2014ME0045747 BAZLEY ROBERT 01/01/2014 2014ME0116984 BECKER BRANDY 01/01/2014 2014ME0058884 BECKETT THOMAS 01/01/2014 2014ME0105780 BEISWENGER TIMOTHY 01/01/2014 2014ME0092935 BELIARD GEROME ALEX 01/01/2014 2014ME0100299 BENDAYAN JOSE 01/01/2014 2014ME0089256 BENEZRA VICTOR 01/01/2014 2014ME0112951 BENITEZ PRIETO ANA 01/01/2014 2014ME0027661 BENRUBI GUY 01/01/2014 2014ME0040289 BENSON BETH 01/01/2014 2014OS0011643 BERG JESSICA 01/01/2014 2014ME0097326 BERNSTEIN RACHEL 01/01/2014 2014ME0092729 BESONG GEORGE 01/01/2014 2014ME0113219 BEST ERIN 01/01/2014 2014ME0093166 BEST KELLY 01/01/2014 2014ME0100519 BESTARD JOSE 01/01/2014 2014ME0077152 BEVILACQUA LORRAINE 01/01/2014 2014ME0087742 BEVINS JENNIFER 01/01/2014 2014

Page 3: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0031721 BEYDOUN SAMIR 01/01/2014 2014ME0039710 BHALANI KANTILAL 01/01/2014 2014ME0118598 BHOGAL MARJORIE 08/11/2014 2014ME0086331 BHULLAR AMANPREET 01/01/2014 2014ME0066424 BIELAWNY MARK 01/01/2014 2014ME0072743 BIGAY-RODRIGUEZ FELIX 01/01/2014 2014ME0071666 BING KATHRYN 01/01/2014 2014ME0099515 BIRMAN ALEX 01/01/2014 2014ME0069089 BISS KIMBERLY 01/01/2014 2014ME0053454 BITRAN MAURICIO 01/01/2014 2014ME0047527 BLACHAR LEONARDO 01/01/2014 2014ME0093894 BLACK-BOXILL SANDRA-LINDA 06/03/2014 2014ME0084586 BLANCO EMILIO 01/01/2014 2014ME0071138 BLISS WINSTON 01/01/2014 2014ME0025645 BLOCKER WAYNE 01/01/2014 2014ME0117082 BOLET DANIEL 01/01/2014 2014ME0091321 BONILLA ROSELYN 01/01/2014 2014ME0040466 BOONE SCOTT 01/01/2014 2014ME0059137 BORDELON JOHN 01/01/2014 2014OS0012035 BORDONI PAOLA 01/01/2014 2014ME0106009 BORODO KAROLINA 01/01/2014 2014ME0101932 BOTELHO JILL 01/01/2014 2014ME0090653 BOTHA TRACEY 01/01/2014 2014ME0070127 BOULTING EDMUND 01/01/2014 2014ME0083608 BOWERS JUDY 01/01/2014 2014ME0085799 BOYD WILLIAM 01/01/2014 2014ME0058525 BRADLEY CYNTHIA 01/01/2014 2014ME0059488 BRASAC PEDRO 01/01/2014 2014ME0063045 BRAY CARYN 01/01/2014 2014ME0075918 BRAZZEL RICHARD 01/01/2014 2014ME0052972 BREIT BRUCE 01/01/2014 2014ME0082374 BRELAND HENRY 01/01/2014 2014ME0007519 BRICKLER ALEXANDER 01/01/2014 2014ME0045474 BRICKLER ALEXANDER 01/01/2014 2014ME0119440 BRIDGE JASON 07/11/2014 2014ME0078839 BROCK MITZI 01/01/2014 2014ME0069231 BRODY SCOTT 01/01/2014 2014ME0116983 BROGAN KARA 01/01/2014 2014ME0026840 BROOKS JEFFREY 05/20/2014 2014ME0075871 BROWN KATHLEEN 01/01/2014 2014ME0112367 BROWN LARAE 01/01/2014 2014ME0066658 BROWN NANCY 01/01/2014 2014OS0011490 BROWN-BURGESS KATINA 01/01/2014 2014ME0071561 BROWN-GRAHAM COLETTE 01/01/2014 2014ME0083126 BRUDER KAREN 01/01/2014 2014ME0103714 BRUNER PHILLIP 01/01/2014 2014ME0117001 BRUSCATO ELIZA 04/22/2014 2014ME0106237 BRYANT ACQUINONETTE 01/01/2014 2014ME0113594 BUBUCEA MARIANA 01/01/2014 2014ME0045002 BUCHANAN GEORGE 01/01/2014 2014ME0104383 BUKKAPATNAM JAYASRI 01/01/2014 2014ME0100722 BULLARD GUINEVERE 01/01/2014 2014

Page 4: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0042625 BURES-FORSTHOEFEL JANA 01/01/2014 2014ME0035335 BURIGO JOHN 01/01/2014 2014ME0032009 BURKETT GENE 01/01/2014 2014ME0121061 BURLISON CHARLES 11/19/2014 2014ME0106713 BURNETT ERIN 07/15/2014 2014ME0088050 BURNS JOLITA 07/03/2014 2014ME0051930 BUSH SUZANNE 01/01/2014 2014ME0061504 BUSOWSKI JOHN 01/01/2014 2014ME0061218 BUTLER MADELYN 01/01/2014 2014ME0104790 BYUN SHARON 01/01/2014 2014ME0089729 CACCAM EVALEEN 01/01/2014 2014ME0094481 CACCIATORE MICHAEL 01/01/2014 2014ME0111862 CAIN MARY 01/01/2014 2014OS0012157 CAITO CHRISTINA 04/22/2014 2014ME0064963 CALDERA-NIEVES LUIS 01/01/2014 2014ME0077531 CALDERON GUILLERMO 01/01/2014 2014ME0112334 CALDOW KRISTIN 01/01/2014 2014ME0039273 CALTENCO ELIAS 01/01/2014 2014ME0076109 CALVO PATRICIA 01/01/2014 2014ME0102865 CAMACHO NATALIA 06/18/2014 2014ME0115063 CAMINERO SUNY 01/01/2014 2014ME0042393 CAMPBELL KEVIN 01/01/2014 2014ME0078977 CANTOR CRAIG 01/01/2014 2014OS0008369 CAPLAN SHERRI 01/01/2014 2014ME0072916 CARAVELLO JOHN 01/01/2014 2014ME0062153 CARBIENER PAMELA 01/01/2014 2014ME0056177 CARDELLA ISIDRO 01/01/2014 2014ME0050282 CARDENAL JUAN 01/01/2014 2014ME0109915 CARDENAS ERNESTO 01/01/2014 2014ME0082250 CARDENAS JOSE 01/01/2014 2014ME0063738 CARDUCCI THERESA 01/01/2014 2014ME0042583 CARLSON JEFFREY 01/01/2014 2014ME0073434 CARLSON MELISSA 01/01/2014 2014ME0113638 CARRION ZARAGOZA CAROLINE 01/01/2014 2014ME0099929 CARROCCIO SHEYNA 01/01/2014 2014ME0114951 CARUGNO JOSE 08/28/2014 2014OS0008678 CASAVANT MATTHEW 01/01/2014 2014ME0097833 CASTELLANOS VIDAURRE AUDRY 01/01/2014 2014ME0113043 CASTILLO EMERITA 01/01/2014 2014ME0027923 CASTILLO MELVIN 01/01/2014 2014ME0055233 CASTILLO RAMON 01/01/2014 2014ME0117147 CATALANO VAZQUEZ LEONARDO 06/18/2014 2014ME0104432 CATES-SMITH PAMELA 01/01/2014 2014ME0090488 CAVALARIS JOY 01/01/2014 2014ME0113753 CAVANAGH CHRISTINA 01/01/2014 2014ME0101410 CHAMBERLAIN KELLY 01/01/2014 2014ME0109112 CHAMBERS CHERISE 01/01/2014 2014ME0102380 CHAMORRO ROBERTS ZAYDA 01/01/2014 2014ME0099440 CHAMPION NATASHA 01/01/2014 2014ME0061226 CHANNEY STEPHEN 01/01/2014 2014ME0120310 CHELLIAH ANUSHKA 06/20/2014 2014ME0094073 CHEN PATRICIA 01/01/2014 2014

Page 5: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0110695 CHERNAEVA DANIELA 01/01/2014 2014ME0083080 CHI SUSAN 01/01/2014 2014ME0043336 CHIDIAC ADIB 01/01/2014 2014ME0087180 CHITHRIKI BABU 01/01/2014 2014ME0106780 CHLOUBER RICHARD 01/01/2014 2014ME0098547 CHOI DAVID 01/01/2014 2014ME0110738 CHUDGAR PRANAV 01/01/2014 2014OS0011839 CHVOTZKIN SHELLY 01/01/2014 2014ME0103868 CIACCIO-STILWELL RACHEL 01/01/2014 2014OS0010308 CLEMENTS EMILY 01/01/2014 2014ME0078395 CLEMONS SUZANNE 01/01/2014 2014ME0039732 CLIMER CLYDE 01/01/2014 2014ME0058922 CODY WILLIAM 01/01/2014 2014ME0052052 COELLO JULIO 01/01/2014 2014ME0052053 COFFEY MICHAEL 01/01/2014 2014ME0099428 COFIELD MICHELE 01/01/2014 2014ME0090080 COHEN DEBORAH 01/01/2014 2014ME0050970 COHEN JAY 01/01/2014 2014ME0062683 COHEN WAYNE 01/01/2014 2014ME0095595 COLAS-LACOMBE MARION 01/01/2014 2014ME0113120 COLLIER ANGELA 01/01/2014 2014ME0053310 COLLINS EVAN 01/01/2014 2014ME0105583 COMPANIONI MONICA 01/01/2014 2014ME0060791 CONNERY SHEILA 01/01/2014 2014ME0092670 CONNOR DIANA 01/01/2014 2014ME0080725 CONNORS DONNA 03/03/2014 2014ME0067034 CONRAD MATTHEW 01/01/2014 2014ME0067035 CONRAD TERESA 01/01/2014 2014ME0111536 COOK STACIE 01/01/2014 2014ME0118715 COOLS KATHLEEN 10/30/2014 2014ME0081932 COOPER-MERCADO RACHEL 01/01/2014 2014ME0067305 CORTEZ STEPHEN 01/01/2014 2014ME0061235 COTTER MICHAEL 01/01/2014 2014ME0077793 COTTER SHENARY 01/01/2014 2014ME0103321 COTTON AMY 01/01/2014 2014ME0050296 COURTNEY WENDELL 01/01/2014 2014ME0085163 COX CAROL 01/01/2014 2014ME0034911 CRANDALL BLANE 01/01/2014 2014ME0095903 CRANDALL BLANE 01/01/2014 2014ME0090456 CRIDER MARK 01/01/2014 2014ME0111117 CROOKE EVA 01/01/2014 2014ME0061289 CROSSMAN MARGARET 01/01/2014 2014ME0104562 CRUZ-PACHANO FRANCISCO 01/01/2014 2014ME0085694 CRUZ-TORRES PEDRO 01/01/2014 2014ME0071206 CUETO LUISA 01/01/2014 2014ME0119383 CURRY CHRISTINE 04/02/2014 2014ME0070418 DA SILVA CHRISTINE 01/01/2014 2014ME0119651 DACHA APARNA 09/02/2014 2014OS0008075 DADISMAN KATHERINE 01/01/2014 2014ME0026049 DAEE HOSAIN 01/01/2014 2014ME0092579 DAI XIAORONG 01/01/2014 2014ME0090087 DALEY ODETTE 01/01/2014 2014

Page 6: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0070721 DAMERY GREGORY 01/01/2014 2014ME0066354 DAMIAN GRACIA 01/01/2014 2014ME0076195 DANCE VANESSA 02/05/2014 2014ME0062545 DANIEL JANE 01/01/2014 2014ME0078811 DANIEL MONICA 01/01/2014 2014ME0063066 DANNA PENNY 01/01/2014 2014ME0025681 DAVENPORT JAMES 01/01/2014 2014ME0113619 DAVIDSON KATHRYN 01/01/2014 2014ME0061862 DAVILA SUSAN 01/01/2014 2014ME0066010 DAVILA VIRGIL 01/01/2014 2014ME0110199 DAVIS ANNA 01/01/2014 2014ME0051789 DAVIS JOHN 01/01/2014 2014ME0045724 DAVIS MARK 01/01/2014 2014OS0010338 DE LA TORRE LESLEY 01/01/2014 2014ME0042913 DE LEON ROLANDO 01/01/2014 2014ME0073376 DE SANTIS TIMOTHY 01/01/2014 2014ME0080156 DECESARE JULIE 01/01/2014 2014ME0115888 DECOTIS SMITH DIANA 01/01/2014 2014ME0081011 DEL BOCA ADRIAN 01/01/2014 2014ME0061869 DEL VALLE GERARDO 01/01/2014 2014ME0061748 DELGADO PABLO 01/01/2014 2014ME0099385 DELGADO-SPASIC YARA 01/01/2014 2014ME0058422 DELKE ISAAC 01/01/2014 2014ME0092692 DELKER JILL 01/01/2014 2014ME0082519 DELONG GREGORY 01/01/2014 2014ME0093017 DEN HAESE GREG 01/01/2014 2014OS0009922 DENARDIS MICHAEL 01/01/2014 2014OS0011813 DENIS TAINA 01/01/2014 2014ME0076539 DESAI MEETESH 01/01/2014 2014ME0112420 DESAI NEERAJ 01/01/2014 2014ME0093963 DESMARAIS SHARON 01/01/2014 2014ME0042359 DESOUZA ALISON 01/01/2014 2014ME0038147 DESPER DAVID 01/01/2014 2014OS0005626 DESPRES BERNARD 01/01/2014 2014ME0103999 DEUTSCH ELANA 01/01/2014 2014ME0057234 DEVALL DIANA 01/01/2014 2014ME0080990 DEVANESAN SHEILA 01/01/2014 2014ME0104834 DHAS VIJAYSELWYN 01/01/2014 2014ME0083622 D'HEUREUX--JONES ANN 01/01/2014 2014ME0115492 DIAZ-SOCARRAS CLAUDIO 09/03/2014 2014ME0069586 DICKENS FRANK 01/01/2014 2014ME0030235 DIEBEL NORMAN 01/01/2014 2014ME0055252 DIEFFENBACH LOUIS 01/01/2014 2014ME0044665 DIEGUEZ CARLOS 01/01/2014 2014ME0078454 DILL LAURA 01/01/2014 2014ME0046414 DILLON RICHARD 01/01/2014 2014ME0039293 DIMINO THOMAS 01/01/2014 2014ME0097163 DINER BETH 01/01/2014 2014ME0034345 DIRO MAKBIB 01/01/2014 2014OS0012858 DISALVO HEIDI 11/17/2014 2014OS0008966 DIXON DAVID 01/01/2014 2014OS0009970 DOBAK WILLIAM 01/01/2014 2014

Page 7: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0100807 DOLSKAYA ELENA 05/07/2014 2014ME0057596 DOMINGO JOSE 01/01/2014 2014ME0113513 DOMINGUEZ ALEXIS 04/24/2014 2014ME0092339 DORR CLYDE 01/01/2014 2014ME0070523 DOYLE DEANNA 01/01/2014 2014ME0033533 DRAULANS GILBERT 01/01/2014 2014OS0012103 DUERKES JAMES 06/18/2014 2014ME0058108 DUFF WILLIAM 01/01/2014 2014ME0102267 DUKE BILLY 01/01/2014 2014OS0008773 DUKE-ELMORE JAIRAN 01/01/2014 2014ME0068213 DUKES STEVEN 01/01/2014 2014ME0116416 DUNCAN KAREN 01/01/2014 2014OS0004300 DUNKIN SCOTT 01/01/2014 2014OS0011706 DUPREE CRISTINA 01/01/2014 2014ME0067143 DURKEE DENNISE 01/01/2014 2014ME0066796 DYAL RUTH 01/01/2014 2014ME0044444 EASON RONALD 01/01/2014 2014ME0059922 EASTERLING GARY 01/01/2014 2014ME0065358 EBENGER MARTIN 01/01/2014 2014ME0110140 ECHAVARRIA LINA 01/01/2014 2014ME0071316 ECKERT JEANNE 01/01/2014 2014OS0009412 EDELENBOS ERIC 01/01/2014 2014ME0075682 EDGEWORTH DEBORAH 01/01/2014 2014ME0068617 EDWARDS ERIC 03/13/2014 2014ME0090460 ELIZ NATASHA 01/01/2014 2014ME0068397 ELKIN AARON 01/01/2014 2014ME0065958 ELLMAN DAVID 01/01/2014 2014OS0008940 ENYART THOMAS 01/01/2014 2014ME0096851 ERICSSON DAWN 01/01/2014 2014ME0083152 ERVIN JOHN 01/01/2014 2014ME0111328 ESEMUEDE NEFERTARI 01/01/2014 2014ME0065279 ESMAIL-RAWJI HUSSAIN 05/08/2014 2014ME0096713 ESPINAL LADYNEZ 02/10/2014 2014ME0096081 ESQUENAZI BENNY 01/01/2014 2014ME0118745 ESQUIVEL PATRICIA 07/15/2014 2014ME0037824 ESSERMAN JAMES 01/01/2014 2014ME0081353 ESSES ELLEN 01/01/2014 2014ME0099617 ESTES CHRISTOPHER 01/01/2014 2014ME0113774 EVERS TANYA 01/01/2014 2014ME0021472 FALLIERAS NICHOLAS 01/01/2014 2014ME0108466 FALQUEZ ALBERTO 01/01/2014 2014ME0072672 FALZONE SAMUEL 01/01/2014 2014ME0091145 FARROW MERIDITH 01/01/2014 2014ME0114166 FASHNER JULIA 01/01/2014 2014ME0043613 FAZZANO FRANCIS 01/01/2014 2014OS0009567 FEINGOLD LAUREN 01/01/2014 2014ME0057911 FELD JEFFREY 01/01/2014 2014ME0078384 FELDMAN MITCHELL 01/01/2014 2014ME0047565 FELDMAN ROBERT 01/01/2014 2014ME0074791 FERN STEVEN 01/01/2014 2014ME0060274 FERNANDEZ ELIZABETH 01/01/2014 2014ME0072428 FERNANDEZ HECTOR 01/01/2014 2014

Page 8: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0078426 FERNANDEZ-BORATTI MARUJA 01/01/2014 2014ME0092163 FERRA RAMON 01/01/2014 2014ME0052907 FERRARA HUGO 01/01/2014 2014ME0090403 FERRO ALEJANDRO 01/01/2014 2014ME0065256 FIDALGO EDWARD 01/01/2014 2014ME0092164 FIGUEREDO ARIEL 01/01/2014 2014ME0106528 FIGUEROA VERONICA 01/01/2014 2014ME0119015 FIGUEROA-RIVERA NITZA 07/11/2014 2014ME0048470 FINAZZO MICHAEL 01/01/2014 2014ME0083030 FINK RANDY 01/01/2014 2014ME0096394 FISH DEIDRE 01/01/2014 2014ME0095364 FISHBERG ALEXANDER 01/01/2014 2014ME0072825 FISHMAN LOEL 01/01/2014 2014ME0105417 FLORES ROSA 01/01/2014 2014ME0114110 FODA MOHAMED 01/01/2014 2014ME0113133 FORDE-KELLY SHERRA 01/01/2014 2014OS0008516 FOSNOT SUSAN 01/01/2014 2014ME0078114 FOSTER WESLEY 01/01/2014 2014ME0097354 FOUNTAIN LORNA 01/01/2014 2014ME0106954 FOUTZ LINDSAY 01/01/2014 2014ME0089247 FOX FELICIA 01/01/2014 2014OS0004158 FOX SUSAN 01/01/2014 2014OS0008453 FRANCOIS JOSEPH 01/01/2014 2014ME0098951 FRANZ ALEXANDER 01/01/2014 2014ME0082774 FRIALL ANDREA 01/01/2014 2014ME0076170 FRIEDMAN MELISSA 01/01/2014 2014ME0036632 FRIEFELD RICHARD 01/01/2014 2014ME0088316 FRITZ EMMA 01/01/2014 2014ME0072733 FU KAI 01/01/2014 2014ME0079050 FUDGE MARILYN 01/01/2014 2014ME0119649 FUHRIG LAUREN 07/11/2014 2014ME0075129 FYFFE GEORGE 01/01/2014 2014ME0076117 GABB EARL 01/01/2014 2014ME0087530 GABRIEL CARLOS 01/01/2014 2014ME0092596 GADH KOMPAL 01/01/2014 2014ME0100821 GAITAN LUCIA 01/01/2014 2014ME0058146 GALLO JORGE 01/01/2014 2014ME0025890 GANESH SELVA 01/01/2014 2014ME0082428 GARAS TAREK 01/01/2014 2014ME0088547 GARCIA CARLOS 01/01/2014 2014OS0006831 GARCIA EDNA 01/01/2014 2014ME0041595 GARCIA MARTIN 01/01/2014 2014ME0094509 GARNER KYLE 01/01/2014 2014ME0073125 GARZON MARTHA 01/01/2014 2014ME0043937 GATTO VINCENT 01/01/2014 2014ME0061898 GAUDIER FRANCISCO 01/01/2014 2014ME0068039 GEARITY DOUGLAS 01/01/2014 2014ME0092177 GEORGE ADRIENNE 01/01/2014 2014ME0074859 GEORGE SUE 01/01/2014 2014ME0067081 GERACI JANIE 01/01/2014 2014ME0047289 GERKOVICH JACK 01/01/2014 2014ME0075377 GILBY JENNIFER 01/01/2014 2014

Page 9: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0071247 GILLES JERRY 01/01/2014 2014ME0098980 GILMORE TEDRA 01/01/2014 2014ME0118105 GIRTELSCHMID MICHAEL 04/24/2014 2014ME0113879 GITU ALFRED 01/01/2014 2014OS0011862 GLAS ERIKA 01/01/2014 2014ME0008956 GLICK HENRY 01/01/2014 2014MFC001687 GOFORTH GARY 01/01/2014 2014OS0006703 GOLDBERG TODD 01/01/2014 2014ME0090561 GOLDMAN JOSHUA 01/01/2014 2014OS0012086 GOMEZ CHRISTINA 01/01/2014 2014ME0102113 GOMEZ MARIO 01/01/2014 2014ME0071207 GOMEZ ROLANDO 01/01/2014 2014ME0120125 GONZALEZ ANGELA 07/11/2014 2014ME0107643 GONZALEZ MADELYN 01/01/2014 2014ME0049008 GONZALEZ ROLANDO 01/01/2014 2014ME0061911 GONZALEZ-GARCIA ADOLFO 01/01/2014 2014ME0068545 GONZALEZ-QUINTERO VICTOR 01/01/2014 2014ME0101116 GOODEN NATASHA 01/01/2014 2014OS0004910 GORDON ROBERT 01/01/2014 2014ME0046920 GOSS DAVID 01/01/2014 2014OS0009924 GRABER CARI 01/01/2014 2014ME0043945 GRABOIS B 01/01/2014 2014ME0098982 GRAHAM MELINDA 01/01/2014 2014ME0086089 GRAHAM SCOTT 01/01/2014 2014ME0058169 GRAMMER JOHN 01/01/2014 2014ME0098714 GRANGER STEVEN 01/01/2014 2014ME0113471 GRANT REBEKAH 12/09/2014 2014ME0117908 GRAY ANGELA 01/01/2014 2014ME0099455 GRAY MEGAN 01/01/2014 2014ME0118233 GRAY MEREDITH 09/02/2014 2014ME0101946 GRAY SHRUSAN 01/01/2014 2014ME0058171 GREEN LINDA 01/01/2014 2014ME0054896 GREENBERG STEVEN 01/01/2014 2014ME0045241 GREENBLUM JESSE 01/01/2014 2014ME0055935 GREENE CALVIN 01/01/2014 2014ME0095384 GREENE DAINA 01/01/2014 2014ME0058618 GREENHAW JOSEPH 01/01/2014 2014ME0084965 GREENWALD AMY 01/01/2014 2014ME0109874 GREGG ANTHONY 01/01/2014 2014ME0041486 GREGUSH EUGENE 01/01/2014 2014ME0056893 GRENITZ MARK 01/01/2014 2014ME0067027 GREVENGOOD CHRIS 01/01/2014 2014ME0091886 GREVES CHRISTINE 01/01/2014 2014ME0096115 GREVES COLE 01/01/2014 2014OS0007118 GRIFFIN VICKY 01/01/2014 2014ME0048170 GRIZZLE ARTHUR 01/01/2014 2014ME0101920 GUELL GREGORY 01/01/2014 2014ME0104419 GUERRA DAVID SECUNDINO 01/01/2014 2014ME0107374 GUICHARD RAPHAEL 01/01/2014 2014ME0102785 GUIDETTI DENISE 01/01/2014 2014ME0077046 GUINOT RAFAEL 01/01/2014 2014ME0113333 GURAM PORTER JENNIFER 01/01/2014 2014

Page 10: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0097361 GUTOVITZ CARON 01/01/2014 2014ME0069119 GUZMAN RUBEN 01/01/2014 2014OS0010169 HAAG TERRY 01/01/2014 2014ME0070643 HADDOX LINDA 01/01/2014 2014ME0073073 HAKKARAINEN GLORIA 01/01/2014 2014ME0062735 HALPERIN ANDREW 01/01/2014 2014ME0098993 HAMEL KELLY 01/01/2014 2014ME0099742 HANCOCK LEENA 01/01/2014 2014ME0056896 HANNA FARIS 01/01/2014 2014ME0062736 HANUBAL SHIVAKUMAR 01/01/2014 2014ME0061066 HARDING PATRICIA 01/01/2014 2014ME0090667 HARDY-HUNTER ELEANINE 01/01/2014 2014OS0007613 HARGROVE DONNA 01/01/2014 2014ME0094715 HARPER JENNIFER 01/01/2014 2014ME0093727 HARRIS-WATSON BRENDA 01/01/2014 2014ME0051220 HATE VIDYA 01/01/2014 2014ME0097687 HATFIELD ANN 01/01/2014 2014ME0088861 HECHTMAN JILL 01/01/2014 2014ME0046943 HEITMANN JEFFREY 01/01/2014 2014ME0083428 HENNESSEY MICHAEL 01/01/2014 2014ME0053384 HERBST SETH 09/19/2014 2014ME0104246 HERNANDEZ ANA 01/01/2014 2014ME0106840 HERNANDEZ EILEEN 01/01/2014 2014ME0083551 HERON PATRICK 01/01/2014 2014ME0103054 HERRERA MANUEL 01/01/2014 2014ME0088034 HERSHBERGER JONATHAN 01/01/2014 2014ME0089985 HICKS ANA 01/01/2014 2014ME0072896 HILDAHL DEAN 01/01/2014 2014ME0061923 HILL DAVID 01/01/2014 2014ME0112616 HINSON-KNIPPLE LINDSAY 01/01/2014 2014ME0018044 HIRSCH NATHAN 01/01/2014 2014ME0065435 HIRSCHBERG KAREN ROBIN 01/01/2014 2014ME0097918 HJORT AMY 01/01/2014 2014ME0116501 HO MONIQUE 01/01/2014 2014ME0036232 HOCHBERGER DAVID 01/01/2014 2014ME0116750 HOCHE NAY 01/01/2014 2014ME0062227 HOCHMAN MICHAEL 01/01/2014 2014ME0103688 HOFFMAN JULIA 01/01/2014 2014OS0010838 HOFFMEISTER TIMOTHY 01/01/2014 2014ME0090448 HOLMSTROM SHELLY 01/01/2014 2014ME0064400 HOOD ANTHONY 01/01/2014 2014ME0087709 HOOD KIMBERLY 01/01/2014 2014ME0080155 HOPPER JIMMY 01/01/2014 2014ME0082332 HORST THOMAS 01/01/2014 2014ME0098647 HRADEK DALIBOR 01/01/2014 2014ME0106143 HUDSON TYMESIA 01/01/2014 2014ME0107279 HULTSTRAND VICTOR 01/01/2014 2014ME0076481 HUMPHREY RACHEL 01/01/2014 2014ME0074648 HUMPHREY WENDY 01/01/2014 2014ME0016044 HUNT SEABORN 01/01/2014 2014ME0119270 HYATT ROSALIA 04/17/2014 2014ME0056732 HYLER DAVID 01/01/2014 2014

Page 11: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0063455 IANNACCONE VICTOR 01/01/2014 2014ME0071624 ICELY SUZANNE 01/01/2014 2014ME0068760 INGRAM MICHAEL 01/01/2014 2014ME0115976 INGRAM SHARON 01/01/2014 2014ME0102966 IOBST JOSEPH 01/01/2014 2014ME0047310 IPARRAGUIRRE JOSE 01/01/2014 2014ME0095665 IRANI JENNIFER 01/01/2014 2014ME0017090 IRBY B. 01/01/2014 2014ME0087126 IRVIN-RAHAIM KIERA 01/01/2014 2014ME0098193 ISHOOF SABRIYA 01/01/2014 2014ME0118958 IYOYO MELISSA 07/03/2014 2014ME0048532 JACKSON BRYCE 01/01/2014 2014ME0110404 JACKSON MICHAEL 01/01/2014 2014ME0046958 JAEGER MICHAEL 01/01/2014 2014ME0095792 JAGO KELLY 01/01/2014 2014ME0026703 JAMES GEOFFREY 01/01/2014 2014ME0086181 JAMES JASON 01/01/2014 2014ME0091538 JAMISON RICHARD 01/01/2014 2014ME0076581 JARDINE LISA 01/01/2014 2014ME0102811 JAVATE EMANUEL 01/01/2014 2014ME0040903 JIMENEZ FRANCISCO 01/01/2014 2014ME0049037 JOHNSON HOWARD 01/01/2014 2014ME0079673 JOHNSON ILYA 01/01/2014 2014OS0007290 JOHNSON KENNETH 01/01/2014 2014ME0119250 JOHNSON MEGAN 07/11/2014 2014ME0093480 JONES ALLYSON 01/01/2014 2014ME0075592 JONES ANNE-MARIE 01/01/2014 2014ME0064730 JONES DEBRA 01/01/2014 2014ME0030687 JONES GALEN 01/01/2014 2014ME0051097 JONES JAMES 01/01/2014 2014ME0061075 JONES KURT 01/01/2014 2014ME0062994 JONES MARNIQUE 01/01/2014 2014ME0116001 JOSEPHS TAJA 01/01/2014 2014ME0093481 JOTHIVIJAYARANI A 01/01/2014 2014ME0034634 JOYNER JAMES 01/01/2014 2014ME0022806 JOYNER WILLIAM 01/01/2014 2014ME0113417 JUBIZ GIOVANNI 01/01/2014 2014ME0061566 JURADO CARLOS 01/01/2014 2014ME0079122 KAELBER JOHN 01/01/2014 2014ME0087205 KAMERMAN MAX 01/01/2014 2014OS0005582 KANG JULIE 01/01/2014 2014ME0104520 KANT KRISTA 01/01/2014 2014ME0100910 KAPITZ MARTHA 01/01/2014 2014ME0085307 KAREEM YASMINE 01/01/2014 2014ME0102731 KAREN ANDREW 01/01/2014 2014ME0102715 KARSENTI REBECCA 01/01/2014 2014ME0035841 KASSIN KENNETH 01/01/2014 2014OS0011616 KAZEMFAR KRISTY 01/01/2014 2014ME0030698 KELLOGG SPENCER 01/01/2014 2014ME0047018 KELLY DIANE 01/01/2014 2014ME0109823 KELTNER MARSHALL 01/01/2014 2014ME0085178 KENAAN JANA 01/01/2014 2014

Page 12: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0106540 KENTON-HANEY JULIANNE 01/01/2014 2014ME0104125 KERPSACK JOSEPH 01/01/2014 2014ME0088695 KHAMVONGSA PETER 01/01/2014 2014ME0077915 KHAN GHULAM 01/01/2014 2014ME0099748 KHAN GOUHAR 03/31/2014 2014ME0094450 KHAN NASIM 01/01/2014 2014ME0122020 KHULPATEEA BEMAN 10/27/2014 2014ME0043231 KILBRIDE KATHLEEN 01/01/2014 2014ME0082731 KILEY LINDA 01/01/2014 2014ME0079461 KIM BRANDY 01/01/2014 2014ME0077123 KIM-ASHCHI SUNWOOK 01/01/2014 2014OS0012028 KING JULIA 01/01/2014 2014ME0078684 KING VANESSA 01/01/2014 2014ME0039583 KING WILLIAM 01/01/2014 2014ME0106952 KING III JOSEPH 03/10/2014 2014ME0042173 KIRDNUAL AMNATH 01/01/2014 2014ME0109938 KJERULFF ESENAM 01/01/2014 2014ME0041602 KLEIN ROBERT 01/01/2014 2014OS0012104 KLEMCZAK DENISE 04/29/2014 2014ME0030711 KOCH RONALD 01/01/2014 2014ME0086428 KOHAUT BETTINA 01/01/2014 2014ME0110457 KOHN GUILLERMO 01/01/2014 2014ME0094744 KONTOPOULOS EFTICHIA 01/01/2014 2014ME0035854 KORNSTEIN MARCOS 01/01/2014 2014ME0118493 KOZAKIEWICZ MELISSA 06/24/2014 2014ME0057294 KREINEST RICHARD 01/01/2014 2014ME0105615 KUESTER LATOYA 01/01/2014 2014ME0085295 KUFFSKIE MARTHA 01/01/2014 2014ME0099478 KUMAR AJOY 01/01/2014 2014ME0038875 LACAYO-ORTEGA ROLANDO 01/01/2014 2014OS0011592 LAGOW JULIA 08/12/2014 2014ME0050773 LAMBERT LORI 01/01/2014 2014ME0090841 LAMBERTY NORMAN 01/01/2014 2014ME0078183 LAMOUTTE CARLOS 01/01/2014 2014OS0007966 LANGLEY DONALD 01/01/2014 2014ME0040352 LAROSE PAUL 01/01/2014 2014ME0111693 LARRIEU TESSIE 01/01/2014 2014ME0046984 LASHWAY DAVID 01/01/2014 2014ME0093571 LATCHAW GREGORY 01/01/2014 2014ME0076229 LAUBSCHER ANNETTE 01/01/2014 2014ME0030722 LAZAR ARNOLD 01/01/2014 2014ME0113546 LAZARUS SASHA 01/01/2014 2014ME0110131 LAZO MARCELA 01/01/2014 2014ME0056754 LEAVITT ANDREW 04/17/2014 2014ME0060019 LEDERMAN SAMUEL 02/17/2014 2014ME0109090 LEE MELISSA 01/01/2014 2014ME0105072 LEE STEPHANIE 07/03/2014 2014ME0080200 LEE-NUNEZ WYNNE 01/01/2014 2014ME0080279 LEFF RICKY 01/01/2014 2014OS0008826 LEIBENSPERGER NATALIE 01/01/2014 2014ME0026539 LEICHTER PAUL 01/01/2014 2014ME0073879 LEMAY MICHELE 01/01/2014 2014

Page 13: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0079509 LEMERT ROBERT 03/12/2014 2014ME0054646 LENSE JORGE 01/01/2014 2014ME0043424 LEON ORLANDO 01/01/2014 2014ME0054944 LERNER SAUL 01/01/2014 2014ME0097667 LEVIN DANIEL 01/01/2014 2014ME0018175 LEVINE PAUL 01/01/2014 2014ME0016148 LEVITT CLIFFORD 01/01/2014 2014ME0082137 LEVY BROTHERS TROY 01/01/2014 2014ME0044916 LEWIS MICHAEL 01/01/2014 2014ME0025776 LEWIS RICHARD 01/01/2014 2014ME0093877 LEWIS-BOARDMAN MARY 01/01/2014 2014ME0056849 LEYVA LUIS 01/01/2014 2014ME0119830 LIBSTER ALINA 09/19/2014 2014ME0089786 LIBURD MARIE-CARMELLE 02/04/2014 2014ME0039493 LICHTINGER MOISES 01/01/2014 2014OS0009531 LIEVANO GUILLERMO 01/01/2014 2014OS0007086 LILE WILLIAM 01/01/2014 2014ME0076129 LIM HAE 01/01/2014 2014ME0096160 LIMOUSIN PIERRE-RICHARD 01/01/2014 2014OS0011405 LIN MARIA 01/01/2014 2014ME0067581 LINCOURT ESTER 01/01/2014 2014ME0091669 LLEWELLYN PATRICIA 01/01/2014 2014ME0087918 LOCKSMITH GREGORY 01/01/2014 2014ME0120422 LOCKWOOD CHARLES 06/11/2014 2014ME0093888 LOE SHANAN 01/01/2014 2014ME0064647 LOGAN SHERYL 01/01/2014 2014ME0086748 LONDONO JORGE 01/01/2014 2014ME0072014 LONG MOLLY 01/01/2014 2014ME0039826 LONG WILLIAM 01/01/2014 2014ME0119492 LONGMAN RYAN 04/09/2014 2014ME0063157 LOPEZ MARIA 01/01/2014 2014ME0070427 LOPEZ MARIA 01/01/2014 2014ME0092525 LOPEZ RICARDO 01/01/2014 2014ME0115729 LOPEZ LINNIKOV DIMITRI 01/01/2014 2014ME0064770 LOPEZ-ROMAN ARNALDO 01/01/2014 2014ME0111940 LOUIS JUDETTE 01/01/2014 2014ME0032853 LUKOWSKI MICHAEL 01/01/2014 2014ME0061336 LYNCH CATHERINE 01/01/2014 2014ME0063407 LYRA VIOLETTA 01/01/2014 2014ME0092866 MADANI SIMS SHIREEN 01/01/2014 2014ME0044918 MADHAV HARISHCHANDER 01/01/2014 2014ME0088404 MAGLOIRE CHRIST-ANN 01/01/2014 2014ME0109091 MAGUA JESSENIA 01/01/2014 2014ME0110390 MAGUIRE KARLA 01/01/2014 2014ME0092412 MAKI LANCE 01/01/2014 2014ME0102221 MALAVE DENI 01/01/2014 2014ME0107856 MALLORY ROSLYN 01/01/2014 2014ME0060893 MALOUF MAAN 01/01/2014 2014ME0056295 MAMMEL JAMES 01/01/2014 2014ME0044524 MANCINI JOSEPH 01/01/2014 2014ME0116016 MANUEL MARGAUX 01/01/2014 2014ME0064912 MAQUEIRA JUSTO 01/01/2014 2014

Page 14: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0068062 MARCANTEL DAVID 02/28/2014 2014ME0093414 MARCELLI SUSAN 01/01/2014 2014ME0057307 MARICHAL EDUARDO 01/01/2014 2014ME0108365 MARIMON ADRIAN 01/01/2014 2014ME0047610 MARINEAU EDWARD 01/01/2014 2014ME0051588 MARKS JEFF 01/01/2014 2014ME0074253 MARLER DAVID 01/01/2014 2014ME0070094 MARQUETTE RAYMOND 01/01/2014 2014ME0110771 MARRERO CAMIL 06/18/2014 2014ME0116186 MARROW NAICIE 01/01/2014 2014ME0060573 MARSTON JOHN 01/01/2014 2014ME0054467 MARTIN ANGELA 01/01/2014 2014ME0112645 MARTINEZ EDUARDO 01/01/2014 2014ME0032863 MARTINEZ LUCIANO 01/01/2014 2014ME0040138 MARTINEZ MIGUEL 01/01/2014 2014ME0095127 MARTINEZ MARQUEZ ALBA 01/01/2014 2014ME0094896 MARTINEZ-GONZALEZ ISIDRO 01/01/2014 2014ME0108083 MARTINO-VILLANUEVA MARIA 01/01/2014 2014ME0096165 MASLYAK SVETLANA 01/01/2014 2014ME0069511 MATHEWS RAYMOND 01/01/2014 2014ME0089082 MATOS-FRAEBEL JANE 01/01/2014 2014ME0040777 MATTA JOSE 01/01/2014 2014ME0109203 MATTA-TOOMEY KAREN 01/01/2014 2014ME0035877 MATTHEWS RICHARD 01/01/2014 2014ME0110012 MAUNEY JEANNINE 01/01/2014 2014ME0021839 MAYER GEORGE 01/01/2014 2014ME0058252 MCALPINE KENNETH 01/01/2014 2014ME0080144 MCCANCE GEORGETTE 01/01/2014 2014ME0032868 MCCAULEY RICHARD 01/01/2014 2014ME0097595 MCCREATH WAYNE 02/17/2014 2014ME0066257 MCCULLEN JENNIFER 01/01/2014 2014ME0114973 MCCURDY LAURA 01/01/2014 2014ME0117125 MCDOUGALE AUJA 01/01/2014 2014ME0061345 MCDYER DANIEL 01/01/2014 2014ME0059272 MCEACHRANE MARSH 01/01/2014 2014ME0087789 MCENDREE TERRI 01/01/2014 2014ME0114996 MCGEE ALANA 01/01/2014 2014ME0050062 MCGRATH EDMUND 01/01/2014 2014ME0078294 MCINTYRE CATHERINE 01/01/2014 2014ME0093847 MCKINNIE VIKKI 01/01/2014 2014ME0069467 MCLANAHAN MICHELLE 01/01/2014 2014ME0081277 MCLEAN KRISTINA 01/01/2014 2014ME0025809 MCLEAN WALLACE 01/01/2014 2014ME0039837 MCLEOD SAMUEL 01/01/2014 2014ME0064913 MCNEILL THOMAS 01/01/2014 2014ME0045710 MCNULTY BRIAN 01/01/2014 2014ME0072191 MCTAMMANY MARK 01/01/2014 2014ME0084622 MCWHORTER JEANNIE 01/01/2014 2014ME0099336 MEDLOCK CHARLES 01/01/2014 2014ME0111236 MEDRANO NATALYA 01/01/2014 2014ME0059672 MEHTA DAVID 01/01/2014 2014ME0103023 MELENDY SASHA 01/01/2014 2014

Page 15: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0056485 MENDIA JORGE 01/01/2014 2014ME0054475 MERCADO JAIME 01/01/2014 2014ME0098426 MERRITT APRIL 01/01/2014 2014ME0049918 MERVIS MATTHEW 01/01/2014 2014ME0067588 MEYERS JOHN 01/01/2014 2014ME0091989 MICHAEL GREGORY 01/01/2014 2014ME0119384 MICHAEL JENNY 11/18/2014 2014ME0113446 MIKHAIL EMAD 01/01/2014 2014ME0115349 MILLER DAVID 01/01/2014 2014ME0104443 MILLER HOLLY 01/01/2014 2014ME0077838 MILLER NANCY 10/24/2014 2014ME0079215 MILLER TRACEY 01/01/2014 2014ME0077016 MILLION AMY 01/01/2014 2014ME0056489 MINTON DAVID 01/01/2014 2014ME0095411 MIRANDA DAMARIS 01/01/2014 2014ME0112625 MIRAZ MARIA 01/01/2014 2014ME0103310 MODAD PATRICIA 01/01/2014 2014ME0075293 MOFFETT DOUGLAS 01/01/2014 2014ME0101708 MOHAN CHANDLER 01/01/2014 2014ME0090008 MOISE JEFF 01/01/2014 2014ME0101165 MOLINA LISSETTE 01/01/2014 2014OS0009147 MONACO CAROLYN 01/01/2014 2014ME0113026 MONDESIR WILKENS 09/19/2014 2014ME0121001 MONTANO JOLENE 09/19/2014 2014ME0109210 MONTERO FREDDY 06/17/2014 2014ME0054479 MONZON ANTONIO 01/01/2014 2014ME0075528 MOORE MELISSA 01/01/2014 2014ME0041309 MORALES OSCAR 01/01/2014 2014ME0048588 MORALES WALTER 01/01/2014 2014ME0079350 MOREL MARIE-IGNACE 01/01/2014 2014ME0101468 MORENO ZAIRA 01/01/2014 2014ME0072373 MORRIS CHERRIE 01/01/2014 2014OS0005707 MORRIS MICHAEL 01/01/2014 2014ME0065397 MORROW GREGORY 01/01/2014 2014ME0093855 MOSCOSO JANICE 01/01/2014 2014ME0078068 MOSS HEATHER 07/14/2014 2014ME0102984 MOTLEY ROHANA 01/01/2014 2014ME0056921 MUDAFORT ERIC 01/01/2014 2014ME0107286 MULVIHILL MARGARET 01/01/2014 2014ME0068116 MUNIZ ORLANDO 01/01/2014 2014ME0114997 MUNOZ-SIEVERT NATALIE 01/01/2014 2014ME0112944 MURESAN MICHAEL 01/01/2014 2014ME0038227 NAGDA RASKILAL 01/01/2014 2014ME0063722 NAHMIAS JAIME 01/01/2014 2014ME0076076 NAKANISHI KEI 01/01/2014 2014OS0006893 NAVARRO DINA 01/01/2014 2014ME0104699 NEEDHAM LAILA 01/01/2014 2014ME0113092 NEUHAUS RYAN 01/01/2014 2014ME0044548 NEUMAN CAROLE 01/01/2014 2014ME0047023 NEWMAN STEWART 01/01/2014 2014ME0040371 NEWTON WILLIAM 01/01/2014 2014ME0106749 NGUYEN QUYEN 01/01/2014 2014

Page 16: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0121589 NGUYEN THINH 11/07/2014 2014ME0020377 NICDAO CARMELITA 01/01/2014 2014ME0104808 NIKITIN KONSTANTIN 01/01/2014 2014ME0069530 NIXON JENNIFER 01/01/2014 2014OS0012569 NOLAN CHRISTY 07/11/2014 2014ME0113312 NORSWORTHY TWYLA 01/01/2014 2014ME0109379 NORTON HEATHER 01/01/2014 2014ME0084728 NOVA ALFREDO 01/01/2014 2014ME0113453 NOVAC STEFAN 01/01/2014 2014ME0120357 ODIBO ANTHONY 06/09/2014 2014ME0098199 ODOM DOROTHY 01/01/2014 2014ME0115601 OGUNLEYE OLUSEYI 01/01/2014 2014ME0069001 OJEDA EZER 01/01/2014 2014ME0054982 O'LEARY TIMOTHY 01/01/2014 2014ME0068634 OLIVA JOHN 01/01/2014 2014ME0037036 OLIVER HUGH 01/01/2014 2014ME0084000 OLOUFA SHEREEN 01/01/2014 2014ME0045423 ORIA GONZALO 01/01/2014 2014ME0084663 ORREGO FRANCO JOHN 01/01/2014 2014ME0113269 ORTIZ LEDEE DEBRA 01/01/2014 2014ME0106194 OSUNTOGUN EZEKIEL 01/01/2014 2014ME0062351 OTERO-ECHANDI ISABEL 01/01/2014 2014ME0112524 PACHORI MARIA 01/01/2014 2014ME0114242 PACHOVA DANIELA 04/08/2014 2014ME0078759 PAEZ RENE 01/01/2014 2014ME0107136 PALASZEWSKI DAWN 01/01/2014 2014OS0010224 PALAZZOLO MARK 01/01/2014 2014ME0101208 PALMER JAMES 01/01/2014 2014ME0070820 PANIELLO SANTO 01/01/2014 2014ME0103024 PAPAPANOS PETE 01/01/2014 2014ME0088723 PAPPACHEN STEPHEN 01/01/2014 2014ME0101231 PARKER JENNIFER 01/01/2014 2014ME0059032 PARKER JOHN 01/01/2014 2014ME0077273 PARKER SU 01/01/2014 2014ME0042217 PARRISH DAVID 01/01/2014 2014ME0057461 PARSONS MICHAEL 01/01/2014 2014ME0112916 PASARICA MAGDALENA 01/01/2014 2014ME0080421 PASS JULIE 01/01/2014 2014ME0116248 PASTOR CARVAJAL SABRINA 01/01/2014 2014ME0085287 PATEL ANJANA 01/01/2014 2014ME0048604 PATEL BHUPENDRAKUMAR 01/01/2014 2014ME0073120 PATEL DAXA 01/01/2014 2014ME0095114 PATEL NIRAJ 01/01/2014 2014ME0086498 PATEL URMILA 01/01/2014 2014ME0078130 PATIL GARGEY 01/01/2014 2014ME0113159 PATRICK TIFFANY 01/01/2014 2014ME0055764 PATTERSON ALAN 01/01/2014 2014ME0079208 PATTON THOMAS 09/19/2014 2014ME0118750 PAYNE JENNIFER 09/22/2014 2014ME0113271 PAZ-PABON CHARLOTTE 01/01/2014 2014OS0010079 PEARL ROBERT 01/01/2014 2014ME0107458 PEDEN CARMEN 01/01/2014 2014

Page 17: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0049565 PELAEZ ANNETTE 01/01/2014 2014OS0009099 PELLEGRINO FIORINA 01/01/2014 2014ME0062007 PENA ALEJANDRO 01/01/2014 2014ME0096839 PENA CARLOS 01/01/2014 2014ME0104880 PENA CHRISTINA 01/01/2014 2014ME0102054 PENNINGTON TONI 01/01/2014 2014ME0068150 PEPPY TERRENCE 01/01/2014 2014OS0009209 PERCY TRICIA 01/01/2014 2014ME0066884 PEREZ DENIS 01/01/2014 2014ME0090778 PEREZ ILEANA 01/01/2014 2014ME0075777 PEREZ RAFAEL 01/01/2014 2014ME0106091 PERFETTO PATRICIA 01/01/2014 2014ME0088412 PERKINS SONJA 01/01/2014 2014OS0008957 PERRIN ANTHONY 04/23/2014 2014OS0011333 PERRY MARY 01/01/2014 2014ME0057752 PERRY PETER 01/01/2014 2014ME0085370 PERRY SHONDA 01/01/2014 2014ME0114474 PERSON GARY 08/12/2014 2014ME0059299 PESCITELLI ALBERT 01/01/2014 2014ME0062814 PETERSEN RICHARD 01/01/2014 2014ME0092846 PETERSEN WILLIAM 01/01/2014 2014ME0069232 PETERSON DIRK 01/01/2014 2014ME0097396 PETERSON JOSEPH 01/01/2014 2014ME0065007 PETERSON-PADOVANI GEORGE 01/01/2014 2014ME0028633 PHELAN TIMOTHY 01/01/2014 2014ME0035912 PHILLIPS EDWARD 01/01/2014 2014ME0074279 PHOENIX AVA 01/01/2014 2014ME0107226 PIANTANIDA-WHITLOCK ANNE 01/01/2014 2014ME0068578 PICO JOSE 01/01/2014 2014ME0092535 PIERRE NADIA 01/01/2014 2014ME0084015 PIERRE-LOUIS EDNA 01/01/2014 2014ME0115637 PILE NADIA 01/01/2014 2014ME0040383 PILLOW STEVEN 01/01/2014 2014ME0099226 PIMENTEL-ALVAREZ MARIA 01/01/2014 2014ME0074410 PITT CATHERINE 01/01/2014 2014ME0103675 PIZARRO JADE 01/01/2014 2014ME0054211 PLISKOW STEVEN 01/01/2014 2014ME0095883 PLOSKER SHAYNE 01/01/2014 2014ME0102173 POLENDER ALLISON 01/01/2014 2014ME0103639 POTTINGER CARLOS 01/01/2014 2014ME0066571 POTTS DONNA 01/01/2014 2014ME0116194 POWELL KRISTIN 01/01/2014 2014ME0081007 PRAFKE JILL 01/01/2014 2014ME0070330 PRIETO JOSE 01/01/2014 2014ME0079737 PULSFUS ERIC 01/01/2014 2014ME0061645 PURETZ JEFFREY 01/01/2014 2014OS0009336 PURYGIN ARKADIY 01/01/2014 2014ME0096243 QUINONES EUGENIO 01/01/2014 2014ME0112380 QUINONES MALDONADO MICHELLE 01/01/2014 2014ME0054991 QUINTANA MANUEL 01/01/2014 2014ME0109330 QUIRINO WENDY 01/01/2014 2014ME0065703 QURESHI VICAR 01/01/2014 2014

Page 18: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0056123 RAIMER KAREN 01/01/2014 2014ME0041790 RAMAPPA RENUKA 03/03/2014 2014OS0008044 RAMIE GEORGE 01/01/2014 2014ME0113197 RAMIREZ HECTOR 04/17/2014 2014ME0112166 RAMIREZ INGRID 01/01/2014 2014ME0057765 RAMOS-SANTOS EDGARD 01/01/2014 2014ME0107784 RAMSDEN TIMOTHY 01/01/2014 2014OS0010068 RAMSEY SHAWN 01/01/2014 2014ME0116367 RAPKIN DAVID 01/01/2014 2014ME0116182 RAPKIN RACHEL 01/01/2014 2014ME0093295 RASHADA KIM 01/01/2014 2014ME0066731 RASNER TODD 01/01/2014 2014ME0086570 RASPA ROBERT 01/01/2014 2014OS0008659 RAUP AIMEE 01/01/2014 2014ME0119424 RAWLINS SAMANTHA 09/08/2014 2014ME0063371 REAL RICHARD 01/01/2014 2014ME0051115 REBENACK PAUL 01/01/2014 2014ME0108925 REESE CHANDA 01/01/2014 2014ME0058769 REICHMAN HELENA 01/01/2014 2014ME0077013 REISS MARTINA 01/01/2014 2014OS0012517 REYES ALEXANDRIA 04/04/2014 2014ME0096544 REYES CARLOS 01/01/2014 2014ME0064258 REYES MANUEL 01/01/2014 2014ME0102902 REYNOLDS JAMES 01/01/2014 2014ME0068319 RICHARDS JOANNE 01/01/2014 2014ME0095751 RICHMOND REBEKAH 01/01/2014 2014ME0119487 RICKETTS JACK 08/12/2014 2014ME0072996 RIDDELL SCOTT 01/01/2014 2014ME0053546 RIEMER IRA 01/01/2014 2014ME0116388 RIESTRA JORGE 09/19/2014 2014OS0010293 RITTER BROOKE 01/01/2014 2014ME0093735 RIVAS JOSE 01/01/2014 2014ME0087961 RIVERA FRANZ 01/01/2014 2014ME0064315 RIVERA-ORTIZ WILFREDO 01/01/2014 2014ME0104386 ROBERTSON II TED 01/01/2014 2014ME0104205 ROCA LUIS 01/01/2014 2014ME0082799 RODRIGUEZ CARLOS 01/01/2014 2014ME0094615 RODRIGUEZ CARLOS 01/01/2014 2014ME0112175 RODRIGUEZ DAMARIS 01/01/2014 2014ME0093617 RODRIGUEZ LEANDRO 01/01/2014 2014ME0073604 RODRIGUEZ LORRAINE 01/01/2014 2014ME0101769 RODRIGUEZ LUIS 01/01/2014 2014ME0092267 RODRIGUEZ SUZETTE 01/01/2014 2014ME0112444 RODRIGUEZ PALACIOS GUADALUPE 01/01/2014 2014ME0093399 RODRIGUEZ-BENITEZ JOSE 01/01/2014 2014ME0121380 ROGERS JOCELYN 10/24/2014 2014ME0076752 ROJAS ALEXIS 01/01/2014 2014ME0065738 ROJAS ARMANDO 01/01/2014 2014ME0105900 ROLLER JENNIFER 01/01/2014 2014OS0010025 ROMBRO TALI 01/01/2014 2014ME0118023 ROMERO STEPHANIE 09/02/2014 2014OS0008788 ROSS GERALD 01/01/2014 2014

Page 19: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0115958 ROTHEN MICHELLE 01/01/2014 2014OS0011657 ROTUNDO-PATINO MARIEL 01/01/2014 2014ME0090318 ROUSH CATHERINE 01/01/2014 2014ME0091103 ROUSSOS-ROSS DIKEA 01/01/2014 2014ME0098220 ROWAN NIKKI 01/01/2014 2014ME0119807 ROZNOWSKI ADRIAN 05/20/2014 2014ME0062838 RUDOLPH JANE 01/01/2014 2014ME0073548 RUDOLPH RICHARD 01/01/2014 2014OS0008317 RUNYON ERIC 01/01/2014 2014OS0009837 RUSSELL JENNIFER 01/01/2014 2014ME0047397 SAAVEDRA JOSEPH 01/01/2014 2014ME0025883 SAFINSKI ROBERT 01/01/2014 2014ME0042780 SALAMON EVA 01/01/2014 2014ME0115090 SALAZAR VALDES KAREN 01/01/2014 2014ME0108165 SALEM AREEJ 01/01/2014 2014ME0079251 SALINGER DARREN 01/01/2014 2014ME0058327 SALSBURY HELEN 01/01/2014 2014ME0076021 SAMRAJ GEORGE 01/01/2014 2014ME0046577 SANCETTA RONALD 01/01/2014 2014ME0061665 SANCHES LISA 01/01/2014 2014ME0111662 SANCHEZ RAUDER RAMON 01/01/2014 2014ME0039633 SANCHEZ-RAMOS LUIS 01/01/2014 2014ME0117098 SANDERS LESLIE 01/01/2014 2014ME0099058 SANTAELLA DEL VALLE ELLIOT 01/01/2014 2014ME0115426 SANTANA LEONARDO 04/22/2014 2014ME0014139 SANTI KATHLEEN 01/01/2014 2014ME0084613 SANTIAGO EVELYN 01/01/2014 2014ME0070475 SANTIAGO-LOPETEGUI JAIME 01/01/2014 2014ME0087512 SANTIAGO-ROMERA RUBEN 01/01/2014 2014ME0055388 SANTOS JOSE 01/01/2014 2014ME0105791 SANTOS REMBERTO 01/01/2014 2014ME0068438 SARDUY CARLOS 01/01/2014 2014ME0074593 SARGENT MARK 01/01/2014 2014ME0042498 SARVOTHAM GRACE 01/01/2014 2014OS0007980 SASSER LONA 01/01/2014 2014ME0113824 SCHELL JENNIFER 01/01/2014 2014ME0098226 SCHEY DANA 01/01/2014 2014ME0109720 SCHNEIDER ERIKA 01/01/2014 2014ME0116856 SCHREIBER NICOLETTE 01/01/2014 2014ME0080731 SCHWARTZ EDWARD 01/01/2014 2014OS0008613 SCHWARTZ PAMELA 01/01/2014 2014OS0010053 SCHWARTZ RACHELLE 01/01/2014 2014ME0119179 SCHWARTZ WILLIAM 03/19/2014 2014ME0081975 SCHWARTZBARD ELLEN 01/01/2014 2014ME0067982 SCOTT WILLIAM 01/01/2014 2014ME0099858 SEARLE THOMAS 01/01/2014 2014ME0098995 SEATON JENNIFER 01/01/2014 2014ME0094415 SEGALL KRISTEN 01/01/2014 2014ME0070647 SEIBEL BRENT 01/01/2014 2014ME0098174 SEIDEL SHARON 01/01/2014 2014ME0030838 SEKINE KENNETH 01/01/2014 2014ME0098552 SELMAN CARMEN 01/01/2014 2014

Page 20: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearOS0007222 SELTZER JAMES 01/01/2014 2014ME0116977 SEMEL ARIN 01/01/2014 2014ME0091302 SENEMAR JILA 01/01/2014 2014ME0098822 SERRANO EVELYN 01/01/2014 2014ME0092575 SEVALD LORI 01/01/2014 2014ME0075984 SHAH ARJAV 01/01/2014 2014ME0030843 SHAH BIPIN 01/01/2014 2014ME0021954 SHAHMOHAMADY MOHAMAD 01/01/2014 2014ME0062854 SHAKFEH SAMIR 01/01/2014 2014ME0107215 SHAMAS CHRISTINA 01/01/2014 2014ME0040218 SHAYKH MARWAN 02/14/2014 2014ME0105106 SHEK GILBERTO 08/26/2014 2014ME0113420 SHEN HOLLY 01/01/2014 2014ME0024560 SHEPHARD BRUCE 02/03/2014 2014ME0109734 SHEPHERD KRISTEN 01/01/2014 2014ME0079302 SHIELDS HELEN 01/01/2014 2014ME0109377 SHIENBAUM JESICA 01/01/2014 2014ME0033051 SHRODER MICHAEL 01/01/2014 2014ME0106521 SIASSIPOUR SASHA 01/01/2014 2014ME0090198 SIEGFRIED SYLVIA 01/01/2014 2014ME0080650 SIEVERT SAYRA 01/01/2014 2014ME0119275 SIFFORD ZORANA 03/27/2014 2014ME0092284 SILANEE ALLEN 01/01/2014 2014ME0049614 SILVA VICENTE 01/01/2014 2014OS0004929 SILVERS STEVEN 01/01/2014 2014ME0085440 SIMAN DEBORAH 01/01/2014 2014OS0009200 SIMPSON SHAWN 01/01/2014 2014ME0077844 SINGER JEREMY 01/01/2014 2014ME0104348 SINGER JOSEPH 01/01/2014 2014ME0084321 SIRVEN ALBERTO 01/01/2014 2014ME0107376 SITES IRA 01/01/2014 2014ME0040226 SIUDMAK ROBERT 01/01/2014 2014ME0085462 SKEETE HENRY DELISA 01/01/2014 2014ME0095266 SLATON BROOKE 01/01/2014 2014ME0096036 SLATON RUSHIA 01/01/2014 2014OS0007299 SMITH DOUGLAS 01/01/2014 2014ME0049931 SMITH STEPHEN 01/01/2014 2014ME0098456 SMITH SUSAN 01/01/2014 2014ME0107067 SMITH-THOMAS SHARON 01/01/2014 2014ME0103403 SNOOK PAMELA 01/01/2014 2014ME0051998 SNOW STEPHEN 01/01/2014 2014ME0081874 SOBEL ROSE 01/01/2014 2014ME0072641 SOLOMON AMY 01/01/2014 2014ME0034501 SOLOMON JEFFREY 01/01/2014 2014ME0118153 SOLOVIEVA ANASTASIA 02/01/2014 2014ME0028711 SOMOANO JULIO 01/01/2014 2014OS0006683 SONTAG BRIAN 01/01/2014 2014ME0092460 SOSNA TARA 01/01/2014 2014ME0090297 SOTO JAVIER 01/01/2014 2014ME0092888 SPALDING HELEN 01/01/2014 2014ME0014165 SPELLACY WILLIAM 01/01/2014 2014ME0069267 SPIEGELMAN LARRY 01/01/2014 2014

Page 21: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0068472 SPIER NIGEL 01/01/2014 2014ME0095759 SPINNATO JOSEPH 01/01/2014 2014ME0116094 SPIRYDA LISA 01/01/2014 2014ME0046290 SPORN PAUL 01/01/2014 2014ME0097425 SPREITZER LORI-ANN 01/01/2014 2014ME0110396 STALNAKER MICHELLE 01/01/2014 2014OS0010472 STANTON KARIN 01/01/2014 2014OS0011645 STARIKOV ALBERT 01/01/2014 2014ME0054029 STAVOY THOMAS 01/01/2014 2014ME0073098 STEINBERG IRWIN 01/01/2014 2014ME0109905 STEPHENS SHAWN 01/01/2014 2014ME0057480 STERGHOS STRATTON 01/01/2014 2014ME0113068 STERLACCI SUSAN 01/01/2014 2014ME0108743 STERN SETH 01/01/2014 2014ME0061421 STEWART DAVID 01/01/2014 2014ME0105067 STODDARD KELLEY 01/01/2014 2014ME0059082 STONE IRVIN 01/01/2014 2014OS0009118 STONEKING DAVID 01/01/2014 2014ME0025918 STRASSBERG RICHARD 01/01/2014 2014ME0060180 STRATHMAN ROBERT 01/01/2014 2014ME0075694 STRUBBE KENNETH 01/01/2014 2014ME0050908 STUART RONALD 01/01/2014 2014ME0105369 STURM JEROME 02/04/2014 2014ME0080584 SUAREZ ADRIANA 01/01/2014 2014ME0089915 SUDBURY AARON 01/01/2014 2014ME0116725 SUESCUM-DIAZ MARIA 01/01/2014 2014ME0043835 SULLIVAN JOHN 01/01/2014 2014ME0100368 SUNDSTROM CHRISTOPHER 01/01/2014 2014ME0096037 SWANSON JENNIFER 01/01/2014 2014ME0064008 SWEET JON 01/01/2014 2014ME0102032 Swineford Jason 01/01/2014 2014ME0094996 SWOBODA JENNIFER 01/01/2014 2014ME0100440 SZURKUS DENNIS 01/01/2014 2014ME0115376 TABBAA MOHAMMED 01/01/2014 2014OS0009527 TAIVAL TANYA 01/01/2014 2014ME0085186 TALAVERA-AVILES IDALIA 01/01/2014 2014ME0100174 TANDON SANJAY 01/01/2014 2014ME0107436 TANEJA AMY 01/01/2014 2014ME0117299 TANOUYE STACI 01/01/2014 2014ME0070976 TAPIA-SANTIAGO CECILLE 01/01/2014 2014ME0072088 TAYLOR THOMAS 01/01/2014 2014ME0120378 TCHANKOSHVILI NICKOLOZ 10/06/2014 2014ME0085684 TCHUISSE LUCIEN-MAXIMIN 01/01/2014 2014ME0116269 TEEFEY PATRICK 01/01/2014 2014ME0042346 TEITELBAUM DAVID 01/01/2014 2014ME0084091 TENZER PENNY 01/01/2014 2014ME0119774 TERRAZAS JOSE LUIS 04/28/2014 2014ME0110106 TEXIER JEANMARIE 01/01/2014 2014ME0087387 THATCHER PARMELEE 01/01/2014 2014ME0099454 THIRUMLAI PRIYA 01/01/2014 2014ME0080036 THOMAS CHARRELL 01/01/2014 2014ME0077228 THOMAS CHRISTINE 01/01/2014 2014

Page 22: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0100688 THOMAS DESMOND 01/01/2014 2014ME0094326 THOMAS-DOYLE TRACEY 01/01/2014 2014ME0044112 THOMPSON STEPHEN 01/01/2014 2014ME0082142 THORP JAMES 01/01/2014 2014ME0105686 TIDWELL NATALIE 01/01/2014 2014ME0079288 TIJERINO LINDA 01/01/2014 2014ME0112817 TINOCO LORENA 01/01/2014 2014ME0098518 TIRONE MEGAN 01/01/2014 2014ME0106080 TOBIA STEPHEN 01/01/2014 2014ME0098764 TOBON LUIS 01/01/2014 2014ME0072830 TOLAYMAT LAMA 01/01/2014 2014OS0008387 TOMASELLI ALFRED 10/02/2014 2014ME0039119 TOMBACK MARK 01/01/2014 2014ME0083642 TORRES EMILIO 01/01/2014 2014ME0081948 TORRES MANUEL 01/01/2014 2014ME0119479 TOTH ATTILA 07/30/2014 2014ME0068910 TOWSLEY GREG 01/01/2014 2014ME0101727 TRIANA ALBERT 01/01/2014 2014ME0086888 TRIANA JOSEPH 01/01/2014 2014ME0089602 TROGOLO FRANK 01/01/2014 2014ME0116413 TROY JENNIFER 01/01/2014 2014ME0052064 TUCKER ELISABETH 01/01/2014 2014ME0036365 TUDELA FRANCISCO 01/01/2014 2014ME0110654 TUDELA OLGA 01/01/2014 2014ME0084559 TUNG CHIA-LING 01/01/2014 2014ME0106657 TURMERO ALEJANDRA 01/01/2014 2014ME0036922 TURNER DAVID 01/01/2014 2014ME0036525 TUTTELMAN RONALD 01/01/2014 2014ME0106668 TWITTY PAMELA 01/01/2014 2014ME0044331 UMSTEAD THOMAS 01/01/2014 2014ME0031944 UPADHYAYA D 01/01/2014 2014ME0097176 UPDIKE KAREN 01/01/2014 2014ME0075925 URIBASTERRA PABLO 01/01/2014 2014ME0081182 URRIBARRI NISSETH 01/01/2014 2014ME0055416 VAGOVIC RICHARD 01/01/2014 2014ME0050920 VALDESCRUZ RAUL 01/01/2014 2014ME0104061 VALLEJO ELVIA 01/01/2014 2014ME0093647 VAN BENNEKOM JASON 01/01/2014 2014ME0110994 VAN LOWE-MARABLE KRYSTAL 01/01/2014 2014ME0073993 VAN SCRIVER KIMBERLY 01/01/2014 2014OS0007265 VANGILDER KELLY 01/01/2014 2014ME0051746 VANZANDT STEPHANIE 01/01/2014 2014ME0117277 VAZ STEPHANIE 04/02/2014 2014ME0063251 VAZQUEZ CARLOS 01/01/2014 2014ME0107158 VAZQUEZ-VERA ENRIQUE 01/01/2014 2014ME0043544 VEGA ANGEL 01/01/2014 2014ME0079819 VEGA-MONTALVO WILFREDO 01/01/2014 2014ME0086616 VELARDE SYLVIA 01/01/2014 2014ME0113448 VENDITTO JOSEPH 01/01/2014 2014ME0078928 VERDEJA-PEREZ ANA 01/01/2014 2014ME0099494 VEY CARRIE 01/01/2014 2014ME0088062 VILLA MARIA 04/03/2014 2014

Page 23: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0095466 VILLANO KATHRYN 01/01/2014 2014ME0087317 VINUEZA CESAR 01/01/2014 2014ME0047147 VIRTUE THOMAS 01/01/2014 2014ME0055573 VIZOSO JAVIER 01/01/2014 2014ME0037988 VON THRON JAMES 01/01/2014 2014ME0049648 WAGAMAN REBECCA 01/01/2014 2014ME0068203 WAGNER EDWARD 01/01/2014 2014ME0081275 WAHBA IRENE 01/01/2014 2014ME0116469 WALSH ASHLEY 01/01/2014 2014ME0093527 WALSH ELIZABETH 01/01/2014 2014ME0121522 WALSTATTER BENNETT 10/24/2014 2014ME0115420 WALTER ANDREW 01/01/2014 2014ME0120258 WARD KRISTY 07/15/2014 2014ME0108432 WARREN LAKRYSTAL 01/01/2014 2014ME0117831 WASHINGTON GINA 01/01/2014 2014ME0089921 WATKINS ANTOININA 01/01/2014 2014OS0010381 WATSON JENNIFER 01/01/2014 2014ME0109766 WEBER REBECCA 01/01/2014 2014OS0008972 WEINSTEIN ALAN 01/01/2014 2014ME0082245 WEISS MICHAEL 01/01/2014 2014ME0070186 WEISS SIMON 01/01/2014 2014ME0054566 WELLS DAVID 01/01/2014 2014ME0117517 WELLS TIFFANY 07/23/2014 2014ME0067568 WERNER ERIN 01/01/2014 2014ME0077765 WESTON LAURA 01/01/2014 2014ME0066730 WHITAKER DONALD 01/01/2014 2014ME0077781 WHITCOMB WENDY 01/01/2014 2014OS0012709 WHITE DAVID 05/29/2014 2014ME0109016 WHITE DOROTHY 01/01/2014 2014OS0012001 WHITE JESSICA 03/11/2014 2014ME0039128 WHITE JOHN 01/01/2014 2014ME0090532 WHITE LEIGH 01/01/2014 2014ME0099866 WHITEMAN VALERIE 01/01/2014 2014ME0039668 WILKERSON WALLACE 01/01/2014 2014ME0113691 WILKES NIKITA 01/01/2014 2014ME0094184 WILKINSON HUGH 01/01/2014 2014ME0065859 WILLIAMS AARON 01/01/2014 2014ME0102794 WILLIAMS ANNETTE 08/22/2014 2014ME0097686 WILLIAMS SHERIDA 01/01/2014 2014ME0107646 WILSON DIANA 01/01/2014 2014ME0118638 WILSON LINDA 07/11/2014 2014OS0011852 WILSON MARCIETTA 01/01/2014 2014ME0119061 WINTERROWD SAMANTHA 05/13/2014 2014OS0008825 WOLF SAMUEL 01/01/2014 2014ME0114782 WOLFE GREGORY 01/01/2014 2014ME0090227 WOLK BRADFORD 01/01/2014 2014ME0087437 WOOD MICHELLE 01/01/2014 2014ME0092492 WRENNICK AMY 01/01/2014 2014ME0089373 WYCKOFF ERICH 01/01/2014 2014ME0109670 YANKOWITZ JEROME 01/01/2014 2014ME0066572 YARIAN SUSAN 01/01/2014 2014ME0050956 YASIN SALIH 01/01/2014 2014

Page 24: NICA 2014 Participating Physicians License Number Last Name … Participating... · 2018. 12. 31. · NICA 2014 Participating Physicians License Number Last Name First Name Participation

NICA2014 Participating Physicians

License Number Last Name First Name Participation Date YearME0113480 YELVERTON ROBERT 01/01/2014 2014ME0086154 YOO GRACE 01/01/2014 2014ME0109634 YOUNG AIMEE 01/01/2014 2014ME0082845 YOUNG CHRISTOPHER 01/01/2014 2014ME0057857 YOUNG SHELLEY 01/01/2014 2014ME0077931 ZAKHARY ATEF 01/01/2014 2014ME0074481 ZENG XIAO MEI 01/01/2014 2014ME0067849 ZITTEL GREGORY 01/01/2014 2014ME0090230 ZLOBL TRACYE 01/01/2014 2014ME0096832 ZOBEL STEPHANIE 01/01/2014 2014OS0007408 ZOFFER MATTHEW 04/17/2014 2014ME0034836 ZWEIBACH STEPHEN 01/01/2014 2014