passport provider terms and adds august 2014

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Passport Provider Terminations August 2014 Last/Entity Name First Name CITY STATE COUNTY Specialty KANT KOTAGAL Madison IN INTERNIST ORTIZ-CANTILLO KATHIA Madison IN PULMONOLOGIST LETT- ANDERSON PAULINE LEBANON JUNCTION KY Bullitt INTERNIST CORNETT ANITA Manchester KY Clay INTERNIST KETCHAM SEDRA Owensboro KY Daviess APRN KETCHAM SEDRA Owensboro KY Daviess APRN MCBRIDE GAIL Owensboro KY Daviess APRN SPENCE THAIS Owensboro KY Daviess APRN WARD ALBERT Owensboro KY Daviess APRN WARREN TISHA Owensboro KY Daviess APRN JACKSON WILLIE Owensboro KY Daviess PSYCHIATRIST PURDOM BARRY Lexington KY Fayette INTERNIST HANEY BARRY Lexington KY Fayette RADIOLOGIST STANLEY ANGIE Warsaw KY Gallatin APRN HAYCRAFT AMANDA ELIZABETHTOWN KY Hardin APRN MATTHEWS BROOKE RADCLIFF KY Hardin APRN ROGERS FELICIA Elizabethtown KY Hardin APRN ALANI OMAR Radcliff KY Hardin PEDIATRICIAN MAGHSOOD SHABNAM RADCLIFF KY Hardin PEDIATRICIAN FLEISCHMANN BRANDI Elizabethtown KY Hardin PHYSICIAN ASSISTANT DUKKIPATI NANDAKISHORE Elizabethtown KY Hardin SURGEON BRIDGES DAVID Horse Cave KY Hart FAMILY PRACTICE CHADA ASHOK Horse Cave KY Hart FAMILY PRACTICE DEWITT JAN Horse Cave KY Hart FAMILY PRACTICE GOFF KATHERINE Horse Cave KY Hart FAMILY PRACTICE HARE JOSHUA Horse Cave KY Hart FAMILY PRACTICE KIRKPATRICK GEORGE Horse Cave KY Hart FAMILY PRACTICE LORENZO JOSE Horse Cave KY Hart FAMILY PRACTICE MACCARTHY JUSTIN Horse Cave KY Hart FAMILY PRACTICE MAO SONSYAN Horse Cave KY Hart FAMILY PRACTICE MARSHALL CHRISTOPHER Horse Cave KY Hart FAMILY PRACTICE MOHYUDDIN ZAHOOR Horse Cave KY Hart FAMILY PRACTICE PAJEL PERCIVAL Horse Cave KY Hart FAMILY PRACTICE RIBEYRE RICHARD HORSE CAVE KY Hart FAMILY PRACTICE ROWLAND ANDERSON Horse Cave KY Hart FAMILY PRACTICE VANDERTOLL DONALD Horse Cave KY Hart FAMILY PRACTICE UZZI IODWU Horse Cave KY Hart INTERNIST KHIANI SANJAY LOUISVILLE KY Jefferson ALLERGIST SMITH MARY Louisville KY Jefferson ALLERGIST CARILLO DONNA Louisville KY Jefferson APRN MCGEEHAN SALLY Louisville KY Jefferson APRN WARNER BONNIE Louisville KY Jefferson APRN WORDLOW KIMBERLY Louisville KY Jefferson APRN WORDLOW KIMBERLY Louisville KY Jefferson APRN WORDLOW KIMBERLY Louisville KY Jefferson APRN TRENARY PATRICK Louisville KY Jefferson CHIROPRCTOR WADLE KEVIN Louisville KY Jefferson CHIROPRCTOR ADAMS WILLIAM LOUISVILLE KY Jefferson DERMATOLOGIST JEFFY BROOKE Louisville KY Jefferson DERMATOLOGIST GAMBOA RENEE Louisville KY Jefferson FAMILY PRACTICE JOHNSON ELIZABETH Louisville KY Jefferson FAMILY PRACTICE

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Page 1: Passport Provider Terms and Adds August 2014

Passport Provider Terminations August 2014

Last/Entity Name First Name CITY STATE COUNTY Specialty

KANT KOTAGAL Madison IN INTERNIST

ORTIZ-CANTILLO KATHIA Madison IN PULMONOLOGIST

LETT- ANDERSON PAULINELEBANON

JUNCTIONKY Bullitt INTERNIST

CORNETT ANITA Manchester KY Clay INTERNIST

KETCHAM SEDRA Owensboro KY Daviess APRN

KETCHAM SEDRA Owensboro KY Daviess APRN

MCBRIDE GAIL Owensboro KY Daviess APRN

SPENCE THAIS Owensboro KY Daviess APRN

WARD ALBERT Owensboro KY Daviess APRN

WARREN TISHA Owensboro KY Daviess APRN

JACKSON WILLIE Owensboro KY Daviess PSYCHIATRIST

PURDOM BARRY Lexington KY Fayette INTERNIST

HANEY BARRY Lexington KY Fayette RADIOLOGIST

STANLEY ANGIE Warsaw KY Gallatin APRN

HAYCRAFT AMANDA ELIZABETHTOWN KY Hardin APRN

MATTHEWS BROOKE RADCLIFF KY Hardin APRN

ROGERS FELICIA Elizabethtown KY Hardin APRN

ALANI OMAR Radcliff KY Hardin PEDIATRICIAN

MAGHSOOD SHABNAM RADCLIFF KY Hardin PEDIATRICIAN

FLEISCHMANN BRANDI Elizabethtown KY Hardin PHYSICIAN ASSISTANT

DUKKIPATI NANDAKISHORE Elizabethtown KY Hardin SURGEON

BRIDGES DAVID Horse Cave KY Hart FAMILY PRACTICE

CHADA ASHOK Horse Cave KY Hart FAMILY PRACTICE

DEWITT JAN Horse Cave KY Hart FAMILY PRACTICE

GOFF KATHERINE Horse Cave KY Hart FAMILY PRACTICE

HARE JOSHUA Horse Cave KY Hart FAMILY PRACTICE

KIRKPATRICK GEORGE Horse Cave KY Hart FAMILY PRACTICE

LORENZO JOSE Horse Cave KY Hart FAMILY PRACTICE

MACCARTHY JUSTIN Horse Cave KY Hart FAMILY PRACTICE

MAO SONSYAN Horse Cave KY Hart FAMILY PRACTICE

MARSHALL CHRISTOPHER Horse Cave KY Hart FAMILY PRACTICE

MOHYUDDIN ZAHOOR Horse Cave KY Hart FAMILY PRACTICE

PAJEL PERCIVAL Horse Cave KY Hart FAMILY PRACTICE

RIBEYRE RICHARD HORSE CAVE KY Hart FAMILY PRACTICE

ROWLAND ANDERSON Horse Cave KY Hart FAMILY PRACTICE

VANDERTOLL DONALD Horse Cave KY Hart FAMILY PRACTICE

UZZI IODWU Horse Cave KY Hart INTERNIST

KHIANI SANJAY LOUISVILLE KY Jefferson ALLERGIST

SMITH MARY Louisville KY Jefferson ALLERGIST

CARILLO DONNA Louisville KY Jefferson APRN

MCGEEHAN SALLY Louisville KY Jefferson APRN

WARNER BONNIE Louisville KY Jefferson APRN

WORDLOW KIMBERLY Louisville KY Jefferson APRN

WORDLOW KIMBERLY Louisville KY Jefferson APRN

WORDLOW KIMBERLY Louisville KY Jefferson APRN

TRENARY PATRICK Louisville KY Jefferson CHIROPRCTOR

WADLE KEVIN Louisville KY Jefferson CHIROPRCTOR

ADAMS WILLIAM LOUISVILLE KY Jefferson DERMATOLOGIST

JEFFY BROOKE Louisville KY Jefferson DERMATOLOGIST

GAMBOA RENEE Louisville KY Jefferson FAMILY PRACTICE

JOHNSON ELIZABETH Louisville KY Jefferson FAMILY PRACTICE

Page 2: Passport Provider Terms and Adds August 2014

Passport Provider Terminations August 2014

Last/Entity Name First Name CITY STATE COUNTY Specialty

JOHNSON ELIZABETH Louisville KY Jefferson FAMILY PRACTICE

JOHNSON ELIZABETH LOUISVILLE KY Jefferson FAMILY PRACTICE

EL-AMIN SUNDIATA Louisville KY Jefferson INTERNIST

MEMON SAIMA Louisville KY Jefferson INTERNIST

KHAN USMAN Louisville KY Jefferson NEUROLOGIST

MOTAPARTHI MANJARI Louisville KY Jefferson NEUROLOGIST

TEZEL TONGALP Louisville KY Jefferson OPTHOMOLOGIST

JOHNS ROBERT Louisville KY Jefferson PHYSICIAN ASSISTANT

MEMON ABDUL Louisville KY Jefferson PULMONOLOGIST

HEINICKE MARK Louisville KY Jefferson RHEUMATOLOGIST

LUCAS AARON Louisville KY Jefferson SURGEON

REA FRANCO Louisville KY Jefferson SURGEON

YARED SAM Louisville KY Jefferson SURGEON

SIMMS DENNIS Hodgenville KY Larue FAMILY PRACTICE

HANDSHOE RODNEY Whitesburg KY Letcher CARDIOLOGY

BRENNAN MICHAEL Lebanon KY Marion CHIROPRCTOR

RIHMAN RASHID Lebanon KY Marion CHIROPRCTOR

SIMMS DENNIS Bardstown KY Nelson FAMILY PRACTICE

FLEISCHMANN BRANDI Bardstown KY Nelson PHYSICIAN ASSISTANT

PRICE VANESSA Beaver Dam KY Ohio PHYSICIAN ASSISTANT

JOHNS ROBERT Lagrange KY Oldham PHYSICIAN ASSISTANT

YOUNG RICHARD Bowling Green KY Warren PODOATROST

Page 3: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

MORINO PHILIP Atlanta GA RADIOLOGIST

GIOMETTI LAUREN Corydon IN CRNA

SEREY LAUREN Madison IN APRN

WOESTE ROBERTA Madison IN APRN

KUMBAR CHANDRASHEKAR Evansville IN CARDIOLOGIST

MUFTI SHAHID Evansville IN CARDIOLOGIST

YALAMANCHILI VENKATA Evansville IN CARDIOLOGIST

YELAMANCHILI PRASANNA Evansville IN CARDIOLOGIST

Clevidence Dustin Evansville IN Dentist

Clevidence Dustin Evansville IN Dentist

Dodd David Evansville IN Dentist

Henderson Andrea Evansville IN Dentist

Mills Suzanna Evansville IN Dentist

Murray Melissa Evansville IN Dentist

Williams Windy Evansville IN Dentist

DEACONESS HOME MEDICAL

EQUIPMENT AND INFUSION Evansville IN DME

DEACONESS HOME MEDICAL

EQUIPMENT AND INFUSION Newburgh IN DME

MEACHAM DAWN Madison IN FAMILY PRACTICE

DEACONESS HOSPITAL INC Evansville IN HOSPITAL

BOCKELMAN HENRY Evansville IN PATHOLOGIST

CHOON AUNG Evansville IN PATHOLOGIST

FRANKLIN ROBERT Evansville IN PATHOLOGIST

GAMBLIN MEREDITH Evansville IN PATHOLOGIST

KERNEK KEVIN Evansville IN PATHOLOGIST

LYNCH LORI Evansville IN PATHOLOGIST

RISNER DAVID Evansville IN PATHOLOGIST

YANG HONGYU Evansville IN PATHOLOGIST

NOBLITT RANDALL Jeffersonville IN PT

WILSON STEVE New Albany IN PT

BASINSKI STEVEN Evansville IN RADIOLOGIST

FINDLEY TONY Evansville IN RADIOLOGIST

HEMMERLIEN JEFFREY Evansville IN RADIOLOGIST

MCDANIEL JAMES Evansville IN RADIOLOGIST

SCHULTHEIS THOMAS Evansville IN RADIOLOGIST

SELLERS II RALPH Evansville IN RADIOLOGIST

THAKORE KILLOL Evansville IN RADIOLOGIST

VOGT ROBERT Evansville IN RADIOLOGIST

TRAN HOANG Evansville IN SURGEON

LOEHR THOMAS Evansville IN OT

PASTORA REINALDO Evansville IN OT

THARP ANDREW Evansville IN OT

WEYER ERIC Evansville IN OT

WEYER JONATHAN Evansville IN OT

WOODS LARRY Evansville IN OT

ADAIR COUNTY AMBULANCE

SERVICE Columbia KY Adair AMBULANCE

GILES CHARLES Columbia KY Adair INTERNIST

KENYON ANGELA Columbia KY Adair LPCC

WILSON KIMBERLY Columbia KY Adair LPCC

GREY COUNSELING SERVICES Columbia KY Adair PSYCOLOGIST

Page 4: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

ALLEN COUNTY PRIMARY CARE Scottsville KY Allen CLINIC

SAFFELL STREET ELEMENTARY

SCHOOL ANDERSON COUNTY Lawrenceburg KY Anderson SCHOOL

TAMMY JENNINGS Glasgow KY Barren APRN

DOWNING MCPEAK SURGERY

CENTER LLC

Glasgow KY Barren CLINIC

WILSON JEFFREY Glasgow KY Barren ENT

FISHER ERIC Glasgow KY Barren FAMILY PRACTICE

KUMMERFELDT SANDRA Glasgow KY Barren INTERNIST

HELM CHRISTIE Glasgow KY Barren LCSW

MERRISS AUTMN Glasgow KY Barren LCSW

NUNN PEGGY Glasgow KY Barren LCSW

DURKALSKI MICHELE Glasgow KY Barren LMFT

HECK ERIN Glasgow KY Barren LMFT

DOUGLAS BRYON Glasgow KY Barren LPCC

DOUGLAS BRYON Glasgow KY Barren LPCC

DOUGLAS SHARON Glasgow KY Barren LPCC

WARREN DONNA Glasgow KY Barren PEDIATRICIAN

GRIEVE FREDERICK Glasgow KY Barren PSYCHOLOGIST

KUMMERFELDT FABIAN CARLOS Glasgow KY Barren PULMONOLOGIST

TJ URGENT CARE Glasgow KY Barren URGENT CARE

BELL COUNTY HIGH SCHOOL

PROGRAN Pineville KY Bell SCHOOL

FRAKES ELEMENTARY SCHOOL Frakes KY Bell SCHOOL

MIDDLESBORO INTMED SCHOOL Middlesboro KY Bell SCHOOL

Barth Omosivwe Charity Burlington KY Boone Dentist

MEADE BRANDON Florence KY Boone CHIROPRACTOR

FROST RANDALL Florence KY Boone LPCC

PETROS ALISON Paris KY Bourbon DO

GREEN JEFFREY Paris KY Bourbon FAMILY PRACTICE

Frazier Joseph Ashland KY Boyd Dentist

ALIFF SUSAN Ashland KY Boyd APRN

STEPHENSON MARYANN Ashland KY Boyd APRN

REESE LAURA Ashland KY Boyd DO

ODELL BEN Ashland KY Boyd INTERNIST

AKHTAR NAEEM Ashland KY Boyd PSYCHIATRIST

LEITH JOSEPH Ashland KY Boyd SURGEON

Maggord Michael Danville KY Boyle Orthodontist

CASEY TERESA Danville KY Boyle APRN

ELMORE LUANN Danville KY Boyle APRN

KING VERA Danville KY Boyle APRN

UNDERWOOD BYRON Danville KY Boyle CRNA

ELLIS BRIAN Danville KY Boyle FAMILY PRACTICE

MCDOWELL MEDSOURCE Danville KY Boyle HOME HEALTH

FOWLKES TALITHA Danville KY Boyle LCSW

BRYANT ADAM Danville KY Boyle RADIOLOGIST

HOPPER DAVID Danville KY Boyle RADIOLOGIST

WHITT TIMOTHY Danville KY Boyle RADIOLOGIST

OMAR ARIF Jackson KY Breathitt CARDIOLOGIST

CRENSHAW JOHN Jackson KY Breathitt CRNA

Page 5: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

DRAKE AMANDA Jackson KY Breathitt CRNA

FEEMSTER DEBBIE Jackson KY Breathitt CRNA

HERNICZ MICHAEL Jackson KY Breathitt CRNA

HOLLOWAY MATTHEW Jackson KY Breathitt CRNA

KIRKWOOD SUSAN Jackson KY Breathitt CRNA

LAVERTY JONATHAN Jackson KY Breathitt CRNA

LOVEDAY BRYAN Jackson KY Breathitt CRNA

LOWERY MICHELLE Jackson KY Breathitt CRNA

MOREY STEVEN Jackson KY Breathitt CRNA

PONCE IRENE Jackson KY Breathitt CRNA

PUCKETT TERRY Jackson KY Breathitt CRNA

REYMANN BRENDA Jackson KY Breathitt CRNA

RHODES TABITHA Jackson KY Breathitt CRNA

SMITH JR WILLIAM Jackson KY Breathitt CRNA

WATKINS RONALD Jackson KY Breathitt CRNA

BLOUNT CYNTHIA Jackson KY Breathitt DO

SMITH PAUL Jackson KY Breathitt DO

NICHOLSON VALERIE Jackson KY Breathitt EMERGENCY PHYSICIAN

ASHER LAURA Jackson KY Breathitt FAMILY PRACTICE

OMAR ARIF Jackson KY Breathitt INTERNIST

JOHNSON EUNICE Jackson KY Breathitt OB/GYN

YEN CHIH Jackson KY Breathitt PODIATRIST

ALLA SREENIVASA Jackson KY Breathitt SURGEON

GOLDSTEIN JONATHAN Shepherdsville KY Bullitt GASTTOENTEROLOGIST

WALKER JAMES Shepherdsville KY Bullitt LCSW

GEISER ROSE Shepherdsville KY Bullitt LMFT

MOUSER TAMERON Morgantown KY Butler APRN

JONES MARILYN Morgantown KY Butler LCSW

ERION ABBY Morgantown KY Butler PT

FOSTER B SCOTT Murray KY Calloway CHIROPRACTOR

BAZZELL LARESSA Murray KY Calloway CRNA

COLSON MARIA Murray KY Calloway CRNA

DANIEL BRIAN Murray KY Calloway CRNA

GREEN JENNIFER Murray KY Calloway CRNA

GRIMBALL MARGARET Murray KY Calloway CRNA

LOCKWOOD AMY Murray KY Calloway CRNA

MCDANIEL KELLY Murray KY Calloway CRNA

LEGACY OXYGEN & HOME CARE

EQUIPMENT

Murray KY Calloway DME

ROGER JONES Southgate KY Campbell CHIROPRACTOR

FERGUSON SARA Newport KY Campbell CRNA

NWAUCHE UGWUALA Carrollton KY Carroll EMERGENCY PHYSICIAN

STEWART-HUBBARD TAKASHA LATOYA Carrollton KY Carroll INTERNIST

MEDSOURCE OF LIBERTY Liberty KY Casey HOME HEALTH

CASEY COUNTY HOSPITAL Liberty KY Casey HOSPITAL

THAYER JASON Liberty KY Casey LCSW

THAYER NANCY Liberty KY Casey LCSW

EGNEW ALEX Liberty KY Casey LPCC

MEADOWS STACI Liberty KY Casey LPCC

NOE CHRISTINA Liberty KY Casey LPCC

TROTTER SAMANTHA Liberty KY Casey LPCC

Page 6: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

Jennie Stuart Medical Center

Satellite Pharmacy Hopkinsville KY Christian Pharmacy

JONES MOLLIE Hopkinsville KY Christian APRN

PARKER KENNETH Hopkinsville KY Christian APRN

CRUMP LINDA Hopkinsville KY Christian ARNP

POUND ROBERT Hopkinsville KY Christian CHIROPRACTOR

POUND SHEILA Hopkinsville KY Christian CHIROPRACTOR

GAJERA RATILAL Hopkinsville KY Christian HEMATOLOGY

PATEL RAMESH Hopkinsville KY Christian HEMATOLOGY

ROGINEK IVAN Hopkinsville KY Christian INTERNIST

CAMPBELL DUNCAN Hopkinsville KY Christian PEDIATRICIAN

WELLS GERAME Hopkinsville KY Christian SURGEON

VARANASI GAYATRI WINCHESTER KY Clark Dentist

DELONG JASON Winchester KY Clark APRN

PASCUZZI MARK Winchester KY Clark OB/GYN

KRUGER JEREMY Winchester KY Clark PT

CLARK IMMEDIATE CARE CENTER Winchester KY Clark

URGENT CARE

ROBERTS REBECCA Manchester KY Clay APRN

DIXSON SUSAN Albany KY Clinton CHIROPRACTOR

MANAYAN REX Marion KY Crittenden SURGEON

KINGREY VICTORIA Burkesville KY Cumberland APRN

KONSAVAGE CHRISTIAN Burkesville KY Cumberland FAMILY PRACTICE

SEWELL ELLIOTT Burkesville KY Cumberland LPCC

OSBORNE SARAH Owensboro KY Daviess APRN

PHELPS LESLIE Owensboro KY Daviess ARNP

STEVENSON NICOLE Owensboro KY Daviess ARNP

VAUGHT LISA Owensboro KY Daviess ARNP

VORA KISHOR Owensboro KY Daviess CARDIOLOGIST

TINIUS LARRY Owensboro KY Daviess CHIROPRACTOR

TINIUS BRIAN Owensboro KY Daviess CHIROPRACTOR

BRYANT BILL Owensboro KY Daviess FAMILY PRACTICE

KEELEY BENJAMIN Owensboro KY Daviess FAMILY PRACTICE

NGO LIEM Owensboro KY Daviess FAMILY PRACTICE

WAHL GARY Owensboro KY Daviess INTERNIST

BOEHMAN MARLA Owensboro KY Daviess LCSW

IBRAHIM MALIK Owensboro KY Daviess NEUROLOGIST

OCCUPATIONAL THERAPY

SERVICES INC Owensboro KY Daviess OT

MAHER JANAE Owensboro KY Daviess PSYCHOLOGIST

FLAHERTY AARON Owensboro KY Daviess PT

POPE ROBERT Owensboro KY Daviess RADIOLOGIST

SAINT CAMILLUS URGENT CARE Owensboro KY Daviess URGENT CARE

ANIDO ROSARY Irvine KY Estill PEDIATRICIAN

Dodd David Lexington KY Fayette Dentist

Gates Jeremiah Lexington KY Fayette Dentist

Henderson Anrea Lexington KY Fayette Dentist

Henderson Andrea Lexington KY Fayette Dentist

Murray Melissa Lexington KY Fayette Dentist

Murray Melissa Lexington KY Fayette Dentist

Williams Windy Lexington KY Fayette Dentist

Page 7: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

Young Nelson Lexington KY Fayette Dentist

Zhang Jing-Jing Lexington KY Fayette Dentist

THOMPSON ANGELIA LEXINGTON KY FAYETTE INTERNIST

Maggord Michael Lexington KY Fayette Orthodontist

BELL KENDALL Lexington KY Fayette ANESTHESIOLOGIST

GINTER GEORGE Lexington KY Fayette ANESTHESIOLOGIST

HODGE MICHAEL Lexington KY Fayette ANESTHESIOLOGIST

HORTILLOSA MARIA Lexington KY Fayette ANESTHESIOLOGIST

JENKINS JOHN Lexington KY Fayette ANESTHESIOLOGIST

SANDERS JOHN Lexington KY Fayette ANESTHESIOLOGIST

STROTHER JOHN Lexington KY Fayette ANESTHESIOLOGIST

TAYLOR HARRY Lexington KY Fayette ANESTHESIOLOGIST

EAVES RAE Lexington KY Fayette APRN

PARTIN TERI Lexington KY Fayette APRN

BROADDUS CHARLENE Lexington KY Fayette ARNP

LUSHER STEPHANE Lexington KY Fayette ARNP

SMITH JANE Lexington KY Fayette ARNP

BAILEY FRANCIS Lexington KY Fayette CHIROPRACTOR

KENNEDY ROB Lexington KY Fayette CHIROPRACTOR

ADAMS BRAD Lexington KY Fayette CRNA

BAILEY JEFFREY Lexington KY Fayette CRNA

BRASHEAR MICHAEL Lexington KY Fayette CRNA

CESARE KIMBERLY Lexington KY Fayette CRNA

CORBIN LEIGH Lexington KY Fayette CRNA

DAVIS BENNY Lexington KY Fayette CRNA

EDWARDS ZACHARY Lexington KY Fayette CRNA

GABEHART HILBERT Lexington KY Fayette CRNA

GRIFFITHS TERRY Lexington KY Fayette CRNA

GROSE STEPHEN Lexington KY Fayette CRNA

HALL JEREMY Lexington KY Fayette CRNA

HERRELL ERIC Lexington KY Fayette CRNA

HUGHES ROBERT Lexington KY Fayette CRNA

HULZEBOS RYAN Lexington KY Fayette CRNA

HURST JOSHUA Lexington KY Fayette CRNA

JERRIGAN BRYAN Lexington KY Fayette CRNA

LEITCH PATRICIA Lexington KY Fayette CRNA

LEWIS TARA Lexington KY Fayette CRNA

LITTLE KEISHA Lexington KY Fayette CRNA

LUNSFORD JAMES Lexington KY Fayette CRNA

MAVES JEFFREY Lexington KY Fayette CRNA

MCFALL SILAS Lexington KY Fayette CRNA

MEADE DENEEN Lexington KY Fayette CRNA

MOODY MARK Lexington KY Fayette CRNA

MOTHERSHEAD ROBERT Lexington KY Fayette CRNA

RICE RODNEY Lexington KY Fayette CRNA

SAUER STACY Lexington KY Fayette CRNA

SEXTON KIMBERLY Lexington KY Fayette CRNA

SHILOT MICHAEL Lexington KY Fayette CRNA

SMALL BENJAMIN Lexington KY Fayette CRNA

STILLMAN JAY Lexington KY Fayette CRNA

SZYMONIAK CASIMIR Lexington KY Fayette CRNA

TUCKER BRIDGET Lexington KY Fayette CRNA

Page 8: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

WESTBROOK JOHN Lexington KY Fayette CRNA

WILK STAN Lexington KY Fayette CRNA

WISE CHRISTY Lexington KY Fayette CRNA

WITT RONALD Lexington KY Fayette CRNA

BOGARDUS AMY Lexington KY Fayette Dentist

BETTENHAUSEN SHERI Lexington KY Fayette LCSW

O'FARRELL RACHEL Lexington KY Fayette LCSW

SIMPSON MARIE Lexington KY Fayette LCSW

WILSON DOMINIQUE Lexington KY Fayette LPCC

JORGE ANG Lexington KY Fayette NEONATOLOGIST

JUNDI KHALDON Lexington KY Fayette NEONATOLOGIST

VOLK LAUZE Lexington KY Fayette NEONATOLOGIST

DAWSON JAMES Lexington KY Fayette OB/GYN

STEELE SHARON Lexington KY Fayette OB/GYN

THOMPSON ANGELIA Lexington KY Fayette OPTHALMOLOGIST

CUNNINGHAM JR LARRY Lexington KY Fayette ORAL SURGEON

MURPHY MICHAEL Lexington KY Fayette ORAL SURGEON

FERGUSON LANCE Lexington KY Fayette OT

SORRELL SHAWN Lexington KY Fayette PEDIATRICIAN

RODES VIVIAN Lexington KY Fayette PODIATRIST

ZIMMERMAN CHARLES Lexington KY Fayette PODIATRIST

ADAMS ERICA Lexington KY Fayette PSYCHIATRIST

FERNANDEZ ANDRE Lexington KY Fayette PSYCHIATRIST

CROWE DONALD Lexington KY Fayette PSYCHOLOGIST

MERCHANT AMANDA Lexington KY Fayette PSYCHOLOGIST

MORTON MIDDLE Lexington KY Fayette SCHOOL

PICADOME ELEMENTARY Lexington KY Fayette SCHOOL

KEARNS LARIEN Flemingsburg KY Fleming SURGEON

LESLIE ROBERT KETIH PRESTONSBURG KY Floyd Dentist

BAILEY-BURGESS KENDRA Prestonsburg KY Floyd APRN

COLLINS JENNY Harold KY Floyd APRN

WEBB KEITH Prestonsburg KY Floyd INTERNIST

LARKE DARYL Prestonsburg KY Floyd Orthodontist

SIKDER AYESHA Prestonsburg KY Floyd PULMONOLOGIST

ELLIOT PAULA Frankfort KY Franklin ARNP

AHN CHADWICK Frankfort KY Franklin ENT

BEHNKE ERNEST Frankfort KY Franklin ENT

TAHANASAB ABDOLKARIM Frankfort KY Franklin INTERNIST

SEXTON MICHAEL Fulton KY Fulton AUDIOLOGIST

COX FRED Fulton KY Fulton FAMILY PRACTICE

JONES ELIZABETH Fulton KY Fulton FAMILY PRACTICE

Ison David Williamstown KY Grant Dentist

HEEGER-HARTMAN ALICE Williamstown KY Grant CHIROPRACTOR

GRANT COUNTY DRUGS

WILLIAMSTOWN Williamstown KY Grant PHARMACY

HATFIELD LUKE Leitchfield KY Grayson LPCC

WARREN DONNA Greensburg KY Green FAMILY PRACTICE

MARTIN DEBRA Flatwoods KY Greenup APRN

STEVENSON GRANT South Shore KY Greenup FAMILY PRACTICE

Dodd David Elizabethtown KY Hardin Dentist

Gates Jeremiah Elizabethtown KY Hardin Dentist

Murray Melissa Elizabethtown KY Hardin Dentist

Page 9: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

Sturgeon Michael Elizabethtown KY Hardin Dentist

Williams Windy Elizabethtown KY Hardin Dentist

MILLER VAUGHN Elizabethtown KY Hardin CHIROPRACTOR

NOHR ADRIAN Elizabethtown KY Hardin CHIROPRACTOR

BICKETT ALEAH Elizabethtown KY Hardin FAMILY PRACTICE

BAKER KAREN Elizabethtown KY Hardin LMFT

HOLLINDEN RICHARD Elizabethtown KY Hardin PSYCHOLOGIST

ROBINSON RHONDA Harlan KY Harlan LPCC

GILKEY (VALENTE) ANNE Henderson KY Henderson APRN

MACK SHAUNA Henderson KY Henderson APRN

RIDLEY MARTHA Henderson KY Henderson APRN

WELLS KIMBERLY Henderson KY Henderson APRN

MOSLEY CASIE Henderson KY Henderson FAMILY PRACTICE

CANLAS KAREN Henderson KY Henderson GASTTOENTEROLOGIST

CANLAS JUDITH Henderson KY Henderson INTERNIST

FOX KELLI Henderson KY Henderson LCSW

HILL ELIZABETH Henderson KY Henderson LCSW

ROBERTS JASON Henderson KY Henderson LCSW

ROEHM STEPHEN Henderson KY Henderson LCSW

BURGESS FARRAH Henderson KY Henderson LPCC

CASELDEN KENNETH Henderson KY Henderson LPCC

GOUGH AARON Henderson KY Henderson LPCC

HUTCHASON JANICE Henderson KY Henderson LPCC

MESSER JANET Henderson KY Henderson LPCC

TWEDELL RALPH Henderson KY Henderson LPCC

WESLEY JEFFREY Henderson KY Henderson LPCC

NEELY THOMAS Henderson KY Henderson OB/GYN

QUATRO RAYMOND Henderson KY Henderson OB/GYN

FIFE KELLY Henderson KY Henderson PEDIATRICIAN

LILES JENNIFER Henderson KY Henderson PEDIATRICIAN

MORGAN JUSTIN Henderson KY Henderson PEDIATRICIAN

BETHEL LIBBY Henderson KY Henderson PSYCHOLOGIST

BECKER STEVEN Henderson KY Henderson RADIOLOGIST

DUNCAN VERNON Henderson KY Henderson RADIOLOGIST

MILLER JEFFERY HENDERSON KY Henderson RADIOLOGIST

TODD CRIST RICHARD MADISONVILLE KY Hopkins Dentist

LITTLEPAGE RANDY MADISONVILLE KY Hopkins Dentist

STEINFELD CARROLL Madisonville KY Hopkins ANESTHESIOLOGIST

HAGAN TRACY Madisonville KY Hopkins APRN

HALL JOELLA Madisonville KY Hopkins ARNP

KISLER NANCY Madisonville KY Hopkins AUDIOLOGIST

DUGGAL AMIT Madisonville KY Hopkins FAMILY PRACTICE

HARGROVE KENNETH Madisonville KY Hopkins FAMILY PRACTICE

NEELY THOMAS Madisonville KY Hopkins OB/GYN

QUATRO RAYMOND Madisonville KY Hopkins OB/GYN

TAYLOR TANIKA Madisonville KY Hopkins OB/GYN

TURLEY KARLA Madisonville KY Hopkins OB/GYN

DONLEY JAMES Madisonville KY Hopkins Orthodontist

ELLIOT ALLEN Madisonville KY Hopkins OT

GALLO THOMAS Madisonville KY Hopkins PULMONOLOGIST

SHAH SATISH Madisonville KY Hopkins RADIOLOGIST

CHAPMAN DARREN Madisonville KY Hopkins SURGEON

Page 10: Passport Provider Terms and Adds August 2014

Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

DODDS JAMES Madisonville KY Hopkins SURGEON

ANIDO ROSARY Mc Kee KY Jackson PEDIATRICIAN

BARRETT CHARLES LOUISVILLE KY Jefferson Dentist

Dodd David Louisville KY Jefferson Dentist

Dodd David Louisville KY Jefferson Dentist

Gates Jeremiah Louisville KY Jefferson Dentist

Henderson Andrea Louisville KY Jefferson Dentist

Koneru Shilpa Louisville KY Jefferson Dentist

Murray Melissa Louisville KY Jefferson Dentist

RASHEED MUHAMMED LOUISVILLE KY Jefferson Dentist

Schulten Jenna Louisville KY Jefferson Dentist

Wach Kenneth Louisville KY Jefferson Dentist

Williams Windy Louisville KY Jefferson Dentist

WOOD, II ROBERT LOUISVILLE KY Jefferson Dentist

Bollenback Lauren Louisville KY Jefferson Pediatric Dentist

ELMORE JENNIFER Louisville KY Jefferson APRN

HAMMONS HESTER FAYE Louisville KY Jefferson APRN

JENNINGS JENNIFER Louisville KY Jefferson APRN

LEDFORD AMY Louisville KY Jefferson APRN

RIORDAN AMANDA Louisville KY Jefferson APRN

STILP REBECCA Louisville KY Jefferson APRN

STOWERS BRITTANY Louisville KY Jefferson APRN

RAIBLE STEVEN Louisville KY Jefferson CARDIOLOGIST

ONEIL DANA Louisville KY Jefferson CHIROPRACTOR

FMC NORTHEAST OF LOUISVILLE Louisville KY Jefferson CLINIC

TUCKER CLINT Louisville KY Jefferson DERMATOLOGIST

BAYLESS JARED Louisville KY Jefferson EMERGENCY PHYSICIAN

JAVED ASAD Louisville KY Jefferson EMERGENCY PHYSICIAN

DASCO-NORTON HME Louisville KY Jefferson HOME HEALTH

AGO OSMUND Louisville KY Jefferson INTERNIST

ALNABKI ZIAD Louisville KY Jefferson INTERNIST

COOPER CHRISTIAN Louisville KY Jefferson INTERNIST

MAKAR MELISSA Louisville KY Jefferson INTERNIST

WALTERS CHAD Louisville KY Jefferson INTERNIST

ABDUR-RAHMAN RASHAAD Louisville KY Jefferson LCSW

BELL EARL Louisville KY Jefferson LCSW

COOK CATHERINE Louisville KY Jefferson LCSW

GREENE DENISE Louisville KY Jefferson LCSW

IANKE DAVID Louisville KY Jefferson LCSW

MILLER KAREN Louisville KY Jefferson LCSW

MILLS SHAWNNA Louisville KY Jefferson LCSW

OWENS JENNIFER Louisville KY Jefferson LCSW

ROBERTSON LEIGH Louisville KY Jefferson LCSW

SWETNAM JOSHUA Louisville KY Jefferson LCSW

WRIGHT TANA Louisville KY Jefferson LCSW

CLAY TONYA Louisville KY Jefferson LMFT

HARTMONS TWILA Louisville KY Jefferson LMFT

MARTIN JEANNETTE Louisville KY Jefferson LMFT

THOMAS ENRICA Louisville KY Jefferson LMFT

EVANS SUSAN Louisville KY Jefferson LPCC

HIGGINS SAMANTHA Louisville KY Jefferson LPCC

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Last/Entity Name First Name CITY STATE COUNTY SPEC

HOLLADAY DEBORAH Louisville KY Jefferson LPCC

NOE JEANNINE Louisville KY Jefferson LPCC

SARTINI NICOLE Louisville KY Jefferson LPCC

HARDIN DIANA Louisville KY Jefferson MSW

SHAH JIGNESH Louisville KY Jefferson NEUROLOGIST

AZADI ALI Louisville KY Jefferson OB/GYN

MORGAN KALEN Louisville KY Jefferson OT

ANDERSON BRIT Louisville KY Jefferson PEDIATRICIAN

BICKEL SCOTT Louisville KY Jefferson PEDIATRICIAN

CRABTREE CYNTHIA Louisville KY Jefferson PEDIATRICIAN

CRABTREE CYNTHIA Louisville KY Jefferson PEDIATRICIAN

HENDERSON NATALIE Louisville KY Jefferson PEDIATRICIAN

MENDOZA MARIA Louisville KY Jefferson PEDIATRICIAN

PASALA PRASANTHI Louisville KY Jefferson PEDIATRICIAN

VOEGELE LAURA Louisville KY Jefferson PEDIATRICIAN

WAGNER TRACEY Louisville KY Jefferson PEDIATRICIAN

WOOD AURELIA Louisville KY Jefferson PEDIATRICIAN

WOOD AURELIA Louisville KY Jefferson PEDIATRICIAN

YALAMANCHI ANITA Louisville KY Jefferson PEDIATRICIAN

DELAND FRANK Louisville KY Jefferson PSYCHIATRIST

STOCKER JR FREDERICK Louisville KY Jefferson PSYCHIATRIST

TABLER JAMES Louisville KY Jefferson PSYCHIATRIST

JONES JR ANDREW Louisville KY Jefferson PSYCHOLOGIST

MARKHAM EVA Louisville KY Jefferson PSYCHOLOGIST

PETERSON ANNA Louisville KY Jefferson PSYCHOLOGIST

SEARS LONNIE Louisville KY Jefferson PSYCHOLOGIST

WAGNER DENNIS Louisville KY Jefferson PSYCHOLOGIST

LASLEY RONALD Louisville KY Jefferson PT

OWENS CHARLES Louisville KY Jefferson PT

SMITH CRAIG Louisville KY Jefferson PT

MOLDOVEANU BOGDAN Louisville KY Jefferson PULMONOLOGIST

KOTINSLEY BENJAMIN Louisville KY Jefferson RADIOLOGIST

MERCHANT JUDITH Louisville KY Jefferson RADIOLOGIST

NORHEIM ELIZABETH Louisville KY Jefferson SURGEON

SHARPE JEFFREY Louisville KY Jefferson SURGEON

Bollenback Lauren Prospect KY Jefferson/Oldham Pediatric Dentist

Maggord Michael Nicholasville KY Jessamine Orthodontist

HUDSON BANKS Nicholasville KY Jessamine LMFT

HARDWICK EMILY Nicholasville KY Jessamine OT

SMITHER ELIZABETH Nicholasville KY Jessamine SPEECH

BROWN GARY PAINTSVILLE KY Johnson Dentist

HILLMAN JOSEPH Paintsville KY Johnson CRNA

Goeke Thomas Edgewood KY Kenton Dentist

Rich William Edgewood KY Kenton Dentist

Rich Jonathan Edgewood KY Kenton Dentist

KEITEL DUANE Crestview Hills KY Kenton ANESTHESIOLOGIST

ADAMS TRACEY Ft Mitchell KY Kenton APRN

VILLARREAL KARI Crestview Hills KY Kenton APRN

WORDEN MARGARET Ft Mitchell KY Kenton APRN

STEPHENS TRACY Ft Mitchell KY Kenton ARNP

CARRIGAN THOMAS Ft Mitchell KY Kenton CARDIOLOGIST

CLIFFORD MARK Erlanger KY Kenton CHIROPRACTOR

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Last/Entity Name First Name CITY STATE COUNTY SPEC

COMMONWEALTH

ORTHOPAEDIC CENTERS Ft Mitchell KY Kenton CLINIC

SCHULER BEVERLY Ft Mitchell KY Kenton DO

SCHULER BEVERLY Ft Mitchell KY Kenton DO

EID WAEL Ft Mitchell KY Kenton ENDOCRINOLOGIST

BARCEWSKI LAURA Crestview Hills KY Kenton FAMILY PRACTICE

LANDORF MEREDITH Ft Wright KY Kenton FAMILY PRACTICE

GUNNING PATRICIA Erlanger KY Kenton LCSW

WESPESSER LESLEY Erlanger KY Kenton LPCC

SCHULER KEVIN Ft Mitchell KY Kenton OB/GYN

DRAGONE MAUREEN Ft Mitchell KY Kenton OT

KINSLER AMY Ft Mitchell KY Kenton OT

MAGNAFICHI SUSAN Ft Mitchell KY Kenton OT

MIELECH STEPHEN Crestview Hills KY Kenton PODIATRIST

WILSON MARIE Erlanger KY Kenton PSYCOLOGIST

SIEGMUNDT-LISTERMAN DEBBIE Ft Mitchell KY Kenton PT

BAJOREK REGINA Ft Mitchell KY Kenton SPEECH

HARR MEGAN Ft Mitchell KY Kenton SPEECH

JARBOE TRACY Ft Mitchell KY Kenton SPEECH

MAGRISSO ELIZABETH Ft Mitchell KY Kenton SPEECH

RYAN MICHELE Ft Mitchell KY Kenton SPEECH

SCHAWE CLARA Ft Mitchell KY Kenton SPEECH

STAUB LISA Ft Mitchell KY Kenton SPEECH

DAVIS KEVIN Hindman KY Knott APRN

SPADY STEVEN Hindman KY Knott DO

ROHR JEANNE Barbourville KY Knox APRN

BROWNING MICHAEL Barbourville KY Knox CRNA

WIGNAKUMAR VELUPILLAI Barbourville KY Knox SURGEON

Maggord Michael Corbin KY Laurel Orthodontist

WALTERS LAURA London KY Laurel APRN

ANAND ASHWINI London KY Laurel CARDIOLOGIST

MAXEY JACKIE London KY Laurel FAMILY PRACTICE

AMERICAN HOMEPATIENT London KY Laurel HOME HEALTH

GAUZE KEVIN Louisa KY Lawrence APRN

GAUZE DAVID Louisa KY Lawrence APRN

JAMES MEDICAL EQUIPMENT

LTD Louisa KY Lawrence DME

CAIN LISA Louisa KY Lawrence EMERGENCY PHYSICIAN

VAISH SHRI Louisa KY Lawrence PSYCHIATRIST

Weber Lauren Beattyville KY Lee Dentist

TURNER MISTY Whitesburg KY Letcher APRN

MEDSOURCE OF STANFORD Stanford KY Lincoln DME

Maggord Michael Richmond KY Madison Orthodontist

COBLENTZ ELIZABETH Berea KY Madison APRN

ROBERTS KATHRYN Richmond KY Madison APRN

ROBERTS KATHRYN Richmond KY Madison APRN

SOWDEN KIMBERLY Richmond KY Madison APRN

SOWDEN KIMBERLY Richmond KY Madison ARNP

JOHNSTONE JOHN Richmond KY Madison CARDIOLOGIST

SHARPE SHELDON Richmond KY Madison CHIROPRACTOR

KAKANI ELIJAH Richmond KY Madison INTERNIST

KLEMEK NEIL Richmond KY Madison INTERNIST

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Last/Entity Name First Name CITY STATE COUNTY SPEC

SHAH GAURANG Richmond KY Madison INTERNIST

ANIDO ROSARY Richmond KY Madison PEDIATRICIAN

ANIDO ROSARY Berea KY Madison PEDIATRICIAN

ARNETT LOLA Salyersville KY Magoffin APRN

BLACKBURN AMANDA Salyersville KY Magoffin FAMILY PRACTICE

CAMPBELL LEIGH Maysville KY Mason APRN

ASBURY LESLIE Maysville KY Mason ENT

CONRAD PAUL Maysville KY Mason ENT

WOODS JAMES PADUCHA KY McCracken Dentist

BRISCOE KATINA Paducah KY McCracken APRN

JONES EMILY Paducah KY McCracken APRN

WHITEHEAD JAIME Paducah KY McCracken APRN

BRADLEY KIMBERLY Paducah KY McCracken ARNP

COOPER BRENDA Paducah KY McCracken ARNP

FOOSHEE STACI Paducah KY McCracken ARNP

LEE ROBERT Paducah KY McCracken CARDIOLOGIST

CRAWLEY KEITH Paducah KY McCracken EMERGENCY PHYSICIAN

DE LA ROSA RAYMOND Paducah KY McCracken ENDOCRINOLOGIST

ALLEN IV HENRY Paducah KY McCracken FAMILY PRACTICE

COLBURN WILLIAM Paducah KY McCracken FAMILY PRACTICE

JACKSON DARRYE Paducah KY McCracken FAMILY PRACTICE

PORTER ANDREW Paducah KY McCracken FAMILY PRACTICE

AMERICAN HOMEPATIENT INC Paducah KY McCracken HOME HEALTH

ADAMS WILLIAM JR PADUCAH KY McCracken RADIOLOGIST

BRIEN JENNIFER Paducah KY McCracken RADIOLOGIST

DUNCAN VERNON Paducah KY McCracken RADIOLOGIST

GARNEAU ROBERT Paducah KY McCracken RADIOLOGIST

HALFHILL HAROLD PADUCAH KY McCracken RADIOLOGIST

HINES HENRY Paducah KY McCracken RADIOLOGIST

JOHNSON PAUL PADUCAH KY McCracken RADIOLOGIST

PARK III FREDERIC Paducah KY McCracken RADIOLOGIST

RIHERD DANIEL Paducah KY McCracken RADIOLOGIST

SHIELDS RUSSELL Paducah KY McCracken RADIOLOGIST

VANHOOSE JAMES PADUCAH KY McCracken RADIOLOGIST

WILLIAMS BRADLEY Paducah KY McCracken RADIOLOGIST

ELLISON PATRICK Paducah KY McCracken UROLOGIST

KNOX MICHAEL Paducah KY McCracken UROLOGIST

KUPPER ROBERT Paducah KY McCracken UROLOGIST

RANSLER CHARLES Paducah KY McCracken UROLOGIST

SPICER DONALD Paducah KY McCracken UROLOGIST

COFFEY CARL Whitley City KY McCreary APRN

MILLIGAN DANA Calhoun KY McLean APRN

GLENN-BIRKHEAD CYNTHIA Calhoun KY McLean ARNP

CROWELL LORRIE Harrodsburg KY Mercer APRN

LESTER JESSICA Harrodsburg KY Mercer APRN

GILL MARJORIE Harrodsburg KY Mercer LCSW

MORSE TAMME Harrodsburg KY Mercer LPCC

JOHNSON PAMELA Harrodsburg KY Mercer PEDIATRICIAN

Greer Rebecca TOMPKINSVILLE KY Monroe Dentist

LINTON II ROBERT Mt Sterling KY Montgomery CHIROPRACTOR

POLISETTY USHA Mount Sterling KY Montgomery NEUROLOGIST

BOWLING LYNN Mount Sterling KY Montgomery PSYCOLOGIST

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Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

CHAPMAN DEANNA Beech Creek KY Muhlenberg APRN

COMM OXYGEN & MED

EQUIPMENT INC

Central City KY Muhlenberg DME

FIGUEROA SERGIO Powderly KY Muhlenberg ENDOCRINOLOGIST

VINCENT WILLIAM Central City KY Muhlenberg FAMILY PRACTICE

MUHLENBERG COMM HOSP INC

DBA MUHLENBERG RAPID CARE

Greenville KY Muhlenberg

HOSPITAL

CAMPBELL AMANDA Bardstown KY Nelson LMFT

ALLEN BRANDON CARLISLE KY Nicholas Dentist

BUTLER VISE KELLEY Carlisle KY Nicholas APRN

NEIDLINGER VELDA Beaver Dam KY Ohio APRN

HARPER MELISSA Hartford KY Ohio CRNA

WEST SABRINA Hartford KY Ohio LMFT

CONTI LISA LAGRANGE KY Oldham ANESTHESIOLOGIST

BREEDING RICHARD La Grange KY Oldham CRNA

BUTTERFIELD KAREN LAGRANGE KY Oldham CRNA

KAUFMAN DEBORAH LAGRANGE KY Oldham CRNA

LAVERTY JONATHAN LAGRANGE KY Oldham CRNA

STOLWORTHY CATHY La Grange KY Oldham CRNA

WHITE CHRISTOPHER LAGRANGE KY Oldham CRNA

EDWARDS BROOKE Owenton KY Owen UROLOGIST

ALLEN WILLIAM Hazard KY Perry ANESTHESIOLOGIST

CATAMEO NEPTHALIE Hazard KY Perry ANESTHESIOLOGIST

DEMAIO JOHN Hazard KY Perry ANESTHESIOLOGIST

GHAZALA JANAN Hazard KY Perry ANESTHESIOLOGIST

GIBSON ANTHONY Hazard KY Perry ANESTHESIOLOGIST

MAGNANI ROBIN Hazard KY Perry ANESTHESIOLOGIST

REDDY DEVENDER Hazard KY Perry ANESTHESIOLOGIST

ROTH GAVIN Hazard KY Perry ANESTHESIOLOGIST

TERMINI JOHN Hazard KY Perry ANESTHESIOLOGIST

TURNER MISTY Cornettsville KY Perry APRN

BRASHEARS MISTY Hazard KY Perry CRNA

FINCH RODNEY Hazard KY Perry CRNA

HARDIN SCOTT Hazard KY Perry CRNA

HUGHES RACHEL Hazard KY Perry CRNA

KELLY TRACY Hazard KY Perry CRNA

WARD TAMARA Hazard KY Perry CRNA

WYNN TASHA Hazard KY Perry CRNA

PRATER JEFFERY Hazard KY Perry INTERNIST

CHANDARANA JYOTIN Hazard KY Perry NEPHROLOGIST

REDDY SYAMALA Hazard KY Perry OT

JOHNSON BETH Hazard KY Perry PSYCHIATRIST

COLEMAN BOBBI MOUTHCARD KY Pike Dentist

STREET CHAD PIKEVILLE KY Pike Dentist

BAKER STEPHANIE Pikeville KY Pike APRN

CANTRELL JENNIFER Pikeville KY Pike APRN

KISER BENJAMIN Pikeville KY Pike APRN

ROBINSON TERESA South Williamson KY Pike APRN

SMITH MELISSA Pikeville KY Pike APRN

ARMSTRONG BERNITA Pikeville KY Pike ARNP

REYNOLDS CHRISTOPHER Pikeville KY Pike CARDIOLOGIST

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Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

HACKNEY GREGORY Pikeville KY Pike CHIROPRACTOR

HENSLEY JOHANNA Pikeville KY Pike CHIROPRACTOR

SUTTLES SCOTT Pikeville KY Pike CRNA

HAZELETT GREGORY Pikeville KY Pike DO

ASHBY-JONES LAURA Pikeville KY Pike FAMILY PRACTICE

HOFFMAN JOHN Pikeville KY Pike FAMILY PRACTICE

REED MARK Pikeville KY Pike FAMILY PRACTICE

JOHNSON LELA Pikeville KY Pike INTERNIST

CHAUDHARY RIZVON Pikeville KY Pike NEPHROLOGIST

WELLS AARONDA Pikeville KY Pike PEDIATRICIAN

REYNOLDS CATHERINE Pikeville KY Pike PSYCHOLOGIST

DIXON DELFINA Pikeville KY Pike SURGEON

WRIGHT MICHAEL Pikeville KY Pike SURGEON

ERTEL LARRY Stanton KY Powell PEDIATRICIAN

COFFEY HENRY SOMERSET KY Pulaski Dentist

Hamm Corey Somerset KY Pulaski Dentist

DAVIS WADE Somerset KY Pulaski CHIROPRACTOR

WILLIAM ELLISON Somerset KY Pulaski LCSW

FLYNN AIMEE Somerset KY Pulaski LPCC

FLYNN TAMMY Somerset KY Pulaski LPCC

HAMM TINA Somerset KY Pulaski LPCC

MERIWETHER AARON Somerset KY Pulaski LPCC

STAGG JAMES Somerset KY Pulaski LPCC

MARTINEZ GEORGE Somerset KY Pulaski PSYCOLOGIST

MOORE RACHELLE Somerset KY Pulaski PSYCOLOGIST

PREWITT CHASITY Somerset KY Pulaski PSYCOLOGIST

RAINWATER CHRISTY Somerset KY Pulaski PSYCOLOGIST

TUCKER ANGELA Somerset KY Pulaski PSYCOLOGIST

MEECE MIDDLE SCHOOL PULASKI

COUNTY Somerset KY Pulaski SCHOOL

SUPINSKI ROBERT Somerset KY Pulaski SURGEON

LANE RUTH Mount Vernon KY Rockcastle APRN

ANIDO ROSARY Mount Vernon KY Rockcastle PEDIATRICIAN

BRABON DAVID Mount Vernon KY Rockcastle PLASTIC SURGEON

ARNETT LARRY MOREHEAD KY Rowan Dentist

FREDERICK ANGELA MOREHEAD KY Rowan Dentist

ST CLAIRE FAMILY MEDICAL

SUPPLY Morehead KY Rowan DME

JOHNSON JENNIFER Morehead KY Rowan LCSW

CHAUDHRY RASHID Morehead KY Rowan PSYCHIATRIST

BROCK KATHY Russell Springs KY Russell APRN

Henderson Andrea Elizabethtown KY Scott Dentist

Maggord Michael Georgetown KY Scott Orthodontist

ANDERSON REGINALD Bagdad KY Shelby CHIROPRACTOR

MYERS PAUL Franklin KY Simpson CARDIOLOGIST

DANIEL WILLIAM Franklin KY Simpson SURGEON

FASIG JOHN Campbellsville KY Taylor PATHOLOGIST

GILL FARRUKH Campbellsville KY Taylor PATHOLOGIST

HESSLER RICHARD Campbellsville KY Taylor PATHOLOGIST

MILLS JOYCE Campbellsville KY Taylor PATHOLOGIST

WEARNER NEAL Campbellsville KY Taylor PATHOLOGIST

WELCH DEREK Campbellsville KY Taylor PATHOLOGIST

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Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

MURTAGH JR JAMES Campbellsville KY Taylor PULMONOLOGIST

PERRING SARAH Elkton KY Todd APRN

MCCLAIN DAVID Elkton KY Todd ARNP

GRABENSTEIN THOMAS Elkton KY Todd FAMILY PRACTICE

SHETH PARESH Cadiz KY Trigg NEUROLOGIST

PEEK THERESA Morganfield KY Union APRN

DANKO MICHAEL Bowling Green KY Warren ANESTHESIOLOGIST

KROLL PETER Bowling Green KY Warren ANESTHESIOLOGIST

BARKO VALERIYA Bowling Green KY Warren APRN

BARRINEAU RHONDA Bowling Green KY Warren APRN

BENNETT MARY Bowling Green KY Warren APRN

BERGIN DAWN Bowling Green KY Warren APRN

BURTON LISA Bowling Green KY Warren APRN

CUMMINGS ERICA Bowling Green KY Warren APRN

GOODRICH DEMARA Bowling Green KY Warren APRN

HARDCASTLE WILLETT SHELLIE Bowling Green KY Warren APRN

HOGUE ALLISON Bowling Green KY Warren APRN

NEWMAN SHERRI Bowling Green KY Warren APRN

RONE KELLYE Bowling Green KY Warren APRN

RONE KELLYE Bowling Green KY Warren APRN

STATEN TEQUILA Bowling Green KY Warren APRN

STIDHAM COVA Bowling Green KY Warren APRN

WEBB LOUISE Bowling Green KY Warren ARNP

SIMS HUGH Bowling Green KY Warren ENT

SHADOWEN REBECCA Bowling Green KY Warren INTERNIST

DAUSMAN HEATHER Bowling Green KY Warren LCSW

CAILLOUET DIANA Bowling Green KY Warren LMFT

HOCKMAN AIMEE Alvaton KY Warren LMFT

MASON DERRICK Bowling Green KY Warren LMFT

RUSH RANDY Alvaton KY Warren LMFT

SCHOECK MELISSA Bowling Green KY Warren LMFT

TRABUE DWIGHT Bowling Green KY Warren LMFT

YOUNG MATTHEW Alvaton KY Warren LMFT

FREEMAN SARAH Bowling Green KY Warren LPCC

GIBSON GEORGEANNA Bowling Green KY Warren LPCC

TRABUE JAN Bowling Green KY Warren LPCC

CHANI ARVINDER Bowling Green KY Warren PSYCHIATRIST

RAGHUVANSHI CHARU Bowling Green KY Warren PSYCHIATRIST

BRAUSCH AMY Bowling Green KY Warren PSYCHOLOGIST

EMBRY KEISHIA Bowling Green KY Warren PT

NWANGUM ONYEOZIRI Bowling Green KY Warren SURGEON

GEE NICOLE Springfield KY Washington PT

ALBRIGHT REBECCA Monticello KY Wayne APRN

JAMES MEDICAL EQUIPMENT

LTD Monticello KY Wayne DME

MONTICELLO MEDICAL

ASSOCIATES LABORATORY

Monticello KY Wayne

LAB

CHUMLEY CHRISTINA Dixon KY Webster APRN

DAVIS HEATHER Dixon KY Webster APRN

DAVIS HEATHER Providence KY Webster APRN

ROBISON REGINA Dixon KY Webster APRN

COLE KELLY Providence KY Webster FAMILY PRACTICE

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Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

COLE KELLY DIXON KY Webster FAMILY PRACTICE

GAMMON DAVID Corbin KY Whitley INTERNIST

ANDERSON DEBRA Corbin KY Whitley LCSW

BARTON STEPHANIE Corbin KY Whitley LCSW

OAKES ROBIN Corbin KY Whitley LCSW

PARTIN DAVID Corbin KY Whitley PSYCHIATRIST

HELME AMBER Versailles KY Woodford LPCC

JACOBS PAUL Cincinnati OH OB/GYN

STOVAL NATALIA Cincinnati OH OB/GYN

WOESTE EMILY Cincinnati OH OB/GYN

RANSON TINA Cincinnati OH APRN

Koneru Shilpa Cincinnati OH Dentist

VISITING NURSE ASSOC OF

GREATER CINCINNATI & NO KY

Cincinnati OHHOME HEALTH

DARPEL JOHN Cincinnati OH OB/GYN

BEAVEN RICHARD Cincinnati OH OB/GYN

BILOTTA VINCENT Cincinnati OH OB/GYN

BROXTERMAN LAURA Cincinnati OH OB/GYN

CRAWFORD ADAM Cincinnati OH OB/GYN

DEROSA JOSEPH Ironton OH OB/GYN

DONNELLY MEREDITH Cincinnati OH OB/GYN

GERWE MICHAEL Cincinnati OH OB/GYN

GIBLER WEI Cincinnati OH OB/GYN

JACKSON JOHN Cincinnati OH OB/GYN

KELLAR ANDREA Ironton OH OB/GYN

NANCI BILLOCK Cincinnati OH OB/GYN

SABIN SARAH Cincinnati OH OB/GYN

SCAIFE AARON Ironton OH OB/GYN

STAMLER ERIC Cincinnati OH OB/GYN

STEPHENS ROBERT Cincinnati OH OB/GYN

STOVAL NATALIA Cincinnati OH OB/GYN

SUTLER DENISE Cincinnati OH OB/GYN

WIWI DENNIS Cincinnati OH OB/GYN

SOUTHERN OHIO MEDICAL

CENTER Portsmouth OH CLINIC

REICHSTEIN DAVID Nashville TN OT

SCHNEIDER ERIC Nashville TN OT

ADLER MICHAEL Knoxville TN RADIOLOGIST

ALDER TIMOTHY Knoxville TN RADIOLOGIST

ARMSTRONG SHERI Knoxville TN RADIOLOGIST

BARKER RACHEL Knoxville TN RADIOLOGIST

BILYEU SAMUEL Knoxville TN RADIOLOGIST

BLUE MELINDA Knoxville TN RADIOLOGIST

DEEN JASON Knoxville TN RADIOLOGIST

EMANUEL PETER Knoxville TN RADIOLOGIST

FEASTER SAMUEL Knoxville TN RADIOLOGIST

GRAHAM GARTH Knoxville TN RADIOLOGIST

HARP DARYL Knoxville TN RADIOLOGIST

HOLMES WILLIAM Knoxville TN RADIOLOGIST

HOVIS CHRISTOPHER Knoxville TN RADIOLOGIST

KESSI MONICA Knoxville TN RADIOLOGIST

MANZANERO PHILIP Knoxville TN RADIOLOGIST

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Passport Provider Additions August 2014

Last/Entity Name First Name CITY STATE COUNTY SPEC

MCLEAN FREDERICK Knoxville TN RADIOLOGIST

NYBERG ERIC Knoxville TN RADIOLOGIST

PRESS HEYJUNG Knoxville TN RADIOLOGIST

REPKA STEVEN Knoxville TN RADIOLOGIST

RICHARDSON JOHN Knoxville TN RADIOLOGIST

ROBERTS SIDNEY Knoxville TN RADIOLOGIST

ROESCH JEFFREY Knoxville TN RADIOLOGIST

SQUIRES AMANDA Knoxville TN RADIOLOGIST

TEXADA JOHN Knoxville TN RADIOLOGIST

TEXADA JOHN Knoxville TN RADIOLOGIST

WEGRYN SCOTT Knoxville TN RADIOLOGIST

WILLIAMS JOHN Knoxville TN RADIOLOGIST

WOODWARD KEITH Knoxville TN RADIOLOGIST

ONEY TERRA Milford VA APRN

BENNETT BECKLEY BECKLEY Milford VA APRN

WHITMORE DANIEL Huntington WV DO

MARSTELLER AMY Huntington WV FAMILY PRACTICE

STOUT LINDA Huntington WV PEDIATRICIAN

ATKINS JACQUELINE Williamson WV APRN

WORKMAN-LONG SHELBA Williamson WV ARNP

AUDITOR JOSE Williamson WV EMERGENCY PHYSICIAN

FERNANDEZ ALBERTO Williamson WV EMERGENCY PHYSICIAN

ADAMS MARY Huntington WV APRN

DERASIN JETTA Huntington WV APRN

PHILLIPS TRACI Huntington WV APRN

ROBERTS TERRY Huntington WV APRN

SCHINDLER SARAH Huntington WV APRN

VANNOY JULIE Huntington WV APRN

GARMESTANI AMY Huntington WV FAMILY PRACTICE

HANSEN ZACHARY Huntington WV FAMILY PRACTICE

HOLMES GREGORY Huntington WV FAMILY PRACTICE

HURT BUDDY Huntington WV FAMILY PRACTICE

WARD MICHAEL Kermit WV FAMILY PRACTICE

MANIMEKALAI RAMAN Huntington WV INTERNIST

MORAN EDWARD Fort Gay WV INTERNIST

BOOTH JR RICHARD Huntington WV OB/GYN

HOOD ELLIE Huntington WV OB/GYN

MYERS HERB Huntington WV OB/GYN

VALLEJOS ANDREA Huntington WV OB/GYN

BARTRAM MEGAN Huntington WV PEDIATRICIAN

SMITH-MAXEY SHANNON Huntington WV PEDIATRICIAN

STROW MISTY Huntington WV PEDIATRICIAN

APRIL BAIDEN Huntington WV PSYCHIATRIST

MASILAMANI SANJAY Huntington WV PSYCHIATRIST

DAVIS SCOTT Wayne WV FAMILY PRACTICE

SALMONS-COX RENEE Huntington WV APRN