BFC Cumulative Appointment/Reappointment Providers (01/01 ... · 038811121 MAFLA GRISALES ANDRES F...
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BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 163916166 AHMED MOHAMMAD M PSP Internal Medicine 1/1/2017 1/26/2018 616631743 ALEXANDER ANGELO PCP Obstetrics-Gynecology 5/18/2019 8/27/2018 569821680 ALI MIR AKIF PCP Internal Medicine 1/1/2017 7/24/2018 165046295 ALIKHAN NADIRA PCP Internal Medicine 1/1/2017 1/28/2010 084334651 ARORA SARIKA PCS Obstetrics-Gynecology 1/1/2017 10/25/2018 503808244 BALAJI THANKAPPA P PSP Pediatrics 1/1/2017 6/1/2011 766433527 BARRERA MARIA INEZ PSP Licensed Clinical Social Worker 9/9/2019 12/18/2019 612200714 BARRIOS FELIPE PSP Pediatrics 1/1/2017 6/26/2017 812167400 BARTLETT ALLISON PSP Pediatrics 1/1/2017 8/28/2019 460163582 BASEER SYED A PCP Pediatrics 1/1/2017 10/23/2019 206350330 BAUMWELL STERLING H PSP Obstetrics-Gynecology 1/1/2017 2/25/2019 975006122 BAUTISTA ERLEINE FAY PSP Gynecology 1/1/2017 9/28/2018 368158950 BENATAR JOSE DANI PSP Cardiovascular Disease 1/1/2017 12/31/2018 368158950 BENATAR JOSE DANI PSP Internal Medicine 1/1/2017 12/31/2018 771266470 BENJAMIN CHERYL B PSP Physical Medicine & 1/1/2017 3/15/2019 988733431 BERRIDGE BERNADINE E PCP Pediatrics 1/1/2017 5/31/2018 576368738 BOLER LEO R PCP Obstetrics-Gynecology 1/1/2017 2/6/2020 911994032 BRETTS KENNETH M PCP Family Practice 1/1/2017 11/19/2019 198721512 BROWN ARLETTE F PSP Obstetrics-Gynecology 1/1/2017 9/26/2018 687014829 BUTLER PAULA PSP Internal Medicine 1/1/2017 1/22/2019 298201117 CAMPBELL JUAN M PCP Pediatrics 1/1/2017 5/23/2017 630920721 CARRILERO LUIS PSP Orthopedic Surgery 1/1/2017 3/7/2018 004595135 CAVENS PAULA L PCP Obstetrics-Gynecology 1/1/2017 6/7/2019 608532881 CHANDLER JOVAN MAU PSP Licensed Clinical Professional 1/1/2017 9/14/2018 008744151 CHAUDHARY MOHAMMAD Y PCP Pediatrics 1/1/2017 12/18/2019
Transcript of BFC Cumulative Appointment/Reappointment Providers (01/01 ... · 038811121 MAFLA GRISALES ANDRES F...
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 163916166 AHMED MOHAMMAD M PSP Internal Medicine 1/1/2017 1/26/2018 616631743 ALEXANDER ANGELO PCP Obstetrics-Gynecology 5/18/2019 8/27/2018 569821680 ALI MIR AKIF PCP Internal Medicine 1/1/2017 7/24/2018 165046295 ALIKHAN NADIRA PCP Internal Medicine 1/1/2017 1/28/2010 084334651 ARORA SARIKA PCS Obstetrics-Gynecology 1/1/2017 10/25/2018 503808244 BALAJI THANKAPPA P PSP Pediatrics 1/1/2017 6/1/2011 766433527 BARRERA MARIA INEZ PSP Licensed Clinical Social Worker 9/9/2019 12/18/2019 612200714 BARRIOS FELIPE PSP Pediatrics 1/1/2017 6/26/2017 812167400 BARTLETT ALLISON PSP Pediatrics 1/1/2017 8/28/2019 460163582 BASEER SYED A PCP Pediatrics 1/1/2017 10/23/2019 206350330 BAUMWELL STERLING H PSP Obstetrics-Gynecology 1/1/2017 2/25/2019 975006122 BAUTISTA ERLEINE FAY PSP Gynecology 1/1/2017 9/28/2018 368158950 BENATAR JOSE DANI PSP Cardiovascular Disease 1/1/2017 12/31/2018 368158950 BENATAR JOSE DANI PSP Internal Medicine 1/1/2017 12/31/2018 771266470 BENJAMIN CHERYL B PSP Physical Medicine & 1/1/2017 3/15/2019 988733431 BERRIDGE BERNADINE E PCP Pediatrics 1/1/2017 5/31/2018 576368738 BOLER LEO R PCP Obstetrics-Gynecology 1/1/2017 2/6/2020 911994032 BRETTS KENNETH M PCP Family Practice 1/1/2017 11/19/2019 198721512 BROWN ARLETTE F PSP Obstetrics-Gynecology 1/1/2017 9/26/2018 687014829 BUTLER PAULA PSP Internal Medicine 1/1/2017 1/22/2019 298201117 CAMPBELL JUAN M PCP Pediatrics 1/1/2017 5/23/2017 630920721 CARRILERO LUIS PSP Orthopedic Surgery 1/1/2017 3/7/2018 004595135 CAVENS PAULA L PCP Obstetrics-Gynecology 1/1/2017 6/7/2019 608532881 CHANDLER JOVAN MAU PSP Licensed Clinical Professional 1/1/2017 9/14/2018 008744151 CHAUDHARY MOHAMMAD Y PCP Pediatrics 1/1/2017 12/18/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 753111919 CHLEBOWICZ MAGDALENA AGA PCS Obstetrics-Gynecology 1/1/2017 5/23/2018 060435324 CORTINA MIGDALIA PCP Obstetrics-Gynecology 1/1/2017 6/11/2018 234429344 CVENGROS TERESA M PCP Family Practice 1/1/2017 2/25/2019 216179359 DARA NKEIRUKA O PCP Obstetrics-Gynecology 3/18/2019 5/14/2019 725865854 DE URRUTIA JOSE RAF PCP Internal Medicine 1/1/2017 10/8/2018 025084192 DELGADO ARNULFO PCP Pediatrics 1/1/2017 11/25/2019 039017127 DORAN BARBARA A PSP Certified Nurse Midwife 1/1/2017 10/12/2018 590263696 DRAY PHILIP B PSP Ophthalmology 1/1/2017 9/19/2018 318412455 EDMOND-WOODARD DANEEN PCP Internal Medicine 1/1/2017 5/7/2018 481694596 ERHARDT VIKTORIA R PSP Psychiatry 1/1/2017 9/19/2018 493150599 ESPIRITU BERNADETTE PCP Pediatrics 1/1/2017 8/13/2019 528961628 FEINKIND LEONARD N PSP Obstetrics-Gynecology 1/1/2017 2/20/2020 009888641 FISCHER ANN PCP Pediatrics 1/18/2019 3/27/2019 662934857 GAL KRYSTYNA PSP Otolaryngology 9/7/2017 8/5/2019 587223211 GALICIA HAZEL ANN PCP Pediatrics 1/1/2017 1/28/2020 958989484 GAMARRA NANCY PCP Internal Medicine 1/1/2017 6/29/2017 612230013 GARTEL MEDEIA PSP Psychiatry 1/1/2017 3/6/2018 690347826 GARVEY DANIEL F PSP Urology 9/7/2017 2/4/2019 385947520 GAWO YACOB H PSP Family Practice 1/1/2017 3/29/2018 594132437 GERENA DAVIDA N PCP Pediatrics 1/1/2017 2/13/2013 633021446 GERTZ BETSY PSP Licensed Clinical Psychology 1/1/2017 10/15/2018 447977552 GITTLER MICHELLE S PSP Physical Medicine & 1/1/2017 8/6/2019 436405539 GLICK NANCY RUTH PSP Internal Medicine 1/1/2017 8/15/2019 408092151 GOMEZ TORRES AILEEN PCP Pediatrics 1/1/2017 12/18/2019 402249350 GUERRERO GUZMAN ROSALINA PCP Internal Medicine 1/1/2017 6/24/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 948699097 HANTSCH PATRICIA J PSP Physical Medicine & 1/1/2017 3/5/2020 892564563 HATHIWALA SURESH C PSP Internal Medicine 1/1/2017 6/5/2019 710035714 HEMPHILL DONNA PCP Obstetrics-Gynecology 1/17/2019 7/17/2019 350373491 HERRIGES THOMAS A PCP Obstetrics-Gynecology 1/1/2017 12/31/2018 313451449 HUDSON ERIC PSP Licensed Clinical Professional 2/14/2017 1/17/2020 168144702 HUHN GREGORY DAVID PSP Internal Medicine 1/1/2017 6/16/2017 147928856 ILIESCU MARIA E PSP Internal Medicine 1/1/2017 11/6/2013 211243986 INNOLA PILVI PAIVI PSP Family Practice 11/2/2018 1/10/2019 152139296 JACHTOROWYCZ MARKO J PSP Gynecology 1/1/2017 6/18/2018 296527267 JANG KWANG MIN PCS Internal Medicine 1/1/2017 8/26/2019 072355824 JOBANPUTRA KETAN NAR PSP Obstetrics-Gynecology 1/1/2017 7/9/2019 775844884 JOHNSON DANIEL PSP Pediatrics 1/1/2017 6/4/2018 856773281 JOHNSON PETER JOS PCP Obstetrics-Gynecology 5/22/2018 3/22/2017 335512562 JONES ANNGELL PSP General Surgery 1/1/2017 5/30/2018 195970689 JONES NORMA P PSP Licensed Clinical Social Worker 5/24/2017 7/26/2018 672073906 KAMAL SHAISTA Y PCP Pediatrics 1/1/2017 12/8/2019 011919133 KARPINSKI ALINA PCP Pediatrics 1/1/2017 6/13/2019 978108195 KASSEM MOHAMMED A PSP Internal Medicine 1/1/2017 11/20/2017 804192446 KATZ DANIEL PSP General Surgery 1/1/2017 6/1/2011 537317818 KHANAL MAMATA PSP Pediatrics 9/13/2019 11/8/2019 165596283 KHOSLA PARAMJEET PSP Internal Medicine 1/1/2017 2/25/2019 057188166 KHOSLA SANDEEP PSP Internal Medicine 1/1/2017 7/11/2019 611657818 KIM EUNICE EUN PCP Family Practice 1/1/2017 12/11/2019 757953886 KIRSCHNER KRISTI L PSP Physical Medicine & 1/1/2017 6/6/2019 108370117 LANGCAUON HAZEL JAN PCP Family Practice 1/1/2017 7/23/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 138665185 LE NGA PCP Pediatrics 1/1/2017 4/16/2018 586370210 LEZAMA SANDRA PSP Licensed Clinical Professional 1/30/2017 6/20/2019 136366139 LOPEZ BLANCA PSP Licensed Clinical Social Worker 5/22/2018 6/28/2018 039255296 LUAYON MARIETTA M PSP Pediatrics 1/1/2017 5/23/2013 038811121 MAFLA GRISALES ANDRES F PCP Internal Medicine 1/1/2017 6/24/2019 644093933 MAGNANI JASON J PSP General Surgery 1/1/2017 6/12/2019 785156900 MAKHLOUF MANSOUR V PSP Plastic Surgery 1/1/2017 2/4/2014 414789561 MANALO ALBERTO M PCP Internal Medicine 1/1/2017 12/18/2019 776277921 MASSAD MALEK G PSP Thoracic Surgery 1/1/2017 6/17/2019 338994441 MATA CYNTHIA PCP Pediatrics 12/5/2019 8/29/2017 691775860 MATHEW ANNAMMA PCP Pediatrics 1/1/2017 1/10/2019 575878728 METZ SLOAN V PSP Podiatry 1/1/2017 12/4/2019 926008057 MEYER BARBARA E B PSP Licensed Clinical Psychology 1/1/2017 7/24/2018 289802566 MEYER JACOB M PCS Obstetrics-Gynecology 1/1/2017 5/30/2018 289802566 MEYER JACOB M PCP Obstetrics-Gynecology 1/1/2017 5/30/2018 349241758 MILBURN MASON WAY PSP Orthopedic Surgery 1/1/2017 1/30/2020 566254953 MIRANTI SANTI V PSP Licensed Clinical Psychology 1/1/2017 8/12/2019 709250634 MORRIS DAVID ERIK PSP Plastic Surgery 1/1/2017 8/28/2019 456433562 MULTACK SCOTT M PCP Obstetrics-Gynecology 8/28/2019 9/30/2015 459665556 NAGARAJU RAMALINGAPPA PCP Internal Medicine 1/1/2017 9/9/2018 744958044 NAIDU VASANTHA A PCP Pediatrics 1/1/2017 5/23/2017 670574779 NARAYAN MUKUND PCP Internal Medicine 1/1/2017 3/14/2018 945677087 ORONSAYE OSARETIN L PCP Obstetrics-Gynecology 1/1/2017 3/15/2018 108551204 PATEL NIGAM M PCP Family Practice 1/1/2017 6/1/2011 598417519 PEREGO GAETANO F PSP Obstetrics-Gynecology 8/16/2018 10/31/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 999599493 POLADIAN ANTRANIK S PSP Pediatrics 1/1/2017 6/1/2011 816401052 POLLAK ALAN C PSP Otolaryngology 9/7/2017 6/1/2011 039474181 RASTOGI ALOK PCP Pediatrics 1/1/2017 9/16/2015 723358421 REINHARD CHRISTY G PCP Pediatrics 1/1/2017 9/27/2018 688904830 RODRIGUEZ JOSE M PCP Family Practice 1/1/2017 11/8/2018 075102178 ROSALES MARY THERESA O PCP Pediatrics 1/1/2017 1/27/2020 388131502 RUSSELL LISA MAR PSP Internal Medicine 1/1/2017 9/24/2018 611020391 SALLAMME ANTOINETTE R PCP Pediatrics 1/1/2017 2/27/2020 949800954 SAPTHAVEE ANDREW PSP Otolaryngology 9/7/2017 3/2/2020 103069465 SAXENA NUPUR PSP Physical Medicine & 1/1/2017 7/11/2019 915158078 SCHLENTZ MARIE E PCP Internal Medicine 1/1/2017 6/28/2018 387994959 SEIF NEIL STU PSP Radiation Oncology 9/7/2017 12/9/2019 453393164 SELSER KAITLYN ALYS PSP Licensed Clinical Professional 11/20/2018 1/24/2020 281578415 SERAG JOHANN SEB PCP Family Practice 10/3/2019 5/23/2018 162709630 SHAH NASREEN PCP Internal Medicine 1/1/2017 12/31/2018 651964994 SINGH KALPANA PCP Obstetrics-Gynecology 1/1/2017 1/29/2020 091352199 SMITH EARL C PSP Internal Medicine 1/1/2017 6/29/2017 063041126 SOROKIN YEVGENIYA PCS Obstetrics-Gynecology 11/21/2018 2/6/2019 239804357 SRINIVASAN HARI PSP Pediatrics 1/1/2017 6/1/2011 391340281 STANCU MIHAELA MON PSP Internal Medicine 1/1/2017 4/18/2013 148295786 STOUT VALERIE L PSP Certified Nurse Midwife 1/1/2017 2/19/2020 021004624 TANKSLEY AUDREY L PCP Internal Medicine 8/28/2019 10/23/2019 500755601 TIRUVURY ANURADHA PSP Pediatrics 1/1/2017 5/10/2019 595956085 VAFA AMIR H PSP General Surgery 1/1/2017 12/6/2018 412488570 VERES CHRISTINE H PCP Internal Medicine 1/1/2017 1/22/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 458 - ACCESS COMMUNITY HEALTH NETWORK 075879183 WAHI SUKHVEER K PCP Family Practice 1/1/2017 9/18/2018 705064302 WARREN KASHARA V PSP Licensed Clinical Social Worker 4/23/2018 9/30/2019 331045780 WILLIAMS AISHAH FATI PSP Certified Nurse Midwife 6/16/2017 8/8/2019 913329027 WISE STEPHEN R PSP General Surgery 1/1/2017 8/16/2019 351171939 YADULLAHI MIR A PSP Neurology 1/1/2017 2/27/2019 785189980 YOUNG ZETAH ZAKI PSP Licensed Clinical Professional 1/5/2017 11/14/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 333 - CENTURY PHO INC 932566111 ADAB KALID NAM PSP Internal Medicine 9/7/2019 7/21/2017 806699631 ADAJAR MARC ALLAN PSP General Surgery 5/9/2017 3/24/2016 391724474 AHDAB TAREK M PSP Cardiovascular Disease 1/1/2017 12/27/2018 948284127 AHUJA RICHARD M PSP Ophthalmology 1/1/2017 3/18/2019 433218102 ALBELO ADIANEZ PCP Family Practice 1/1/2017 1/10/2019 687703373 ALSHAHROUR ADEEB PCS Obstetrics-Gynecology 1/1/2017 1/23/2019 625065326 AMPALLOOR GEORGE T PCP Pediatrics 1/1/2017 9/18/2018 944361155 BELINGON-SUERTE CIELO PCP Pediatrics 1/1/2017 6/1/2011 523311230 BERDY DAVID PSP Family Practice 7/1/2017 3/28/2018 715777043 BUSTAMANTE HECTOR O PCP Pediatrics 1/1/2017 8/23/2019 913567483 CABRERA ERNEST C PSP Internal Medicine 6/8/2018 8/22/2019 163432188 CAMACHO DAGOBERTO PCP Family Practice 1/1/2017 12/13/2019 417930582 CAMPO ADALBERTO PSP Internal Medicine 1/1/2017 8/30/2019 353782068 CANTU CARLOS P PSP Licensed Clinical Social Worker 5/8/2017 2/19/2018 690602831 CARDENAS VICENTE E PCP Family Practice 1/1/2017 1/27/2020 012090107 CHAWLA MANJEET S PSP Internal Medicine 1/1/2017 7/6/2016 138919270 DIBS SAMER RIAD PSP Internal Medicine 1/1/2017 6/1/2011 597984595 FAVELA EMANUEL PSP Family Practice 1/1/2017 12/19/2018 551816744 FRANCO JOHN PCP Family Practice 1/1/2017 9/25/2018 447977552 GITTLER MICHELLE S PSP Physical Medicine & 1/1/2017 8/6/2019 733688881 GOLDFLIES MITCHELL LEE PSP Orthopedic Surgery 1/1/2017 5/22/2018 720644820 GOYAL SUBHASH C PSP Psychiatry 1/1/2017 9/12/2018 824982967 GROBMAN WILLIAM PSP Obstetrics-Gynecology 1/1/2017 12/1/2009 027186159 HABIB FADI A PSP Urology 10/9/2017 10/20/2006 439607015 HEILIZER TIMOTHY J PSP General Surgery 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 333 - CENTURY PHO INC 104272216 HEROLD KATHERINE E PSP Certified Nurse Midwife 1/1/2017 3/28/2018 744789781 HINOJOSA JORGE A PSP Otolaryngology 1/1/2017 6/12/2018 171337149 HUSAIN SYED M PSP Internal Medicine 1/1/2017 12/30/2014 522277627 HUSSAIN MOHAMMED T PSP Hematology and Oncology 3/16/2017 3/7/2018 625752495 IZBICKI MAX A PSP Obstetrics-Gynecology 1/1/2017 3/5/2019 537757842 JABR AYMAN PCP Family Practice 1/1/2017 8/20/2019 155669289 JALEEL AISHA M PCP General Practice 1/1/2017 8/6/2019 950287039 JAMAL QAISER PSP Internal Medicine 1/1/2017 5/30/2019 543908701 JARAVA ABELARDO J PCP Family Practice 1/1/2017 6/1/2011 397046956 JENKINS NATASHA TAMI PCP Obstetrics-Gynecology 1/1/2017 11/27/2018 778556906 JUGUERTA CLAVERIA ASUNCION PCP Pediatrics 1/1/2017 7/15/2013 234825361 KIM NAM EUNG PSP Radiology 3/10/2017 6/12/2018 732477559 KULEKOWSKIS ANNMARIE PSP Podiatry 1/1/2017 12/27/2018 751311861 KUTOM ALI PSP Internal Medicine 1/1/2017 6/1/2011 322715631 LAI YING HAO PSP General Surgery 5/9/2017 11/20/2017 418535558 LEHRER NELSON JOR PCP Obstetrics-Gynecology 1/1/2017 6/6/2018 231821889 LEONG JACK C PCP Pediatrics 1/1/2017 3/15/2018 397305778 LEVI GABRIEL PSP Orthopedic Surgery 1/1/2017 9/23/2010 960621608 LOCKHART COURTNEY ALICI PSP Obstetrics-Gynecology 5/3/2017 3/24/2018 399859148 LOPEZ KRISTOPHER M PSP Podiatry 1/1/2017 6/26/2017 582056986 LOPEZ OSVALDO I PSP Ophthalmology 1/1/2017 6/1/2011 632660750 MADAMBA EDUARDO N PCP Obstetrics-Gynecology 1/1/2017 8/23/2019 058673862 MALCOM RYAN J PSP General Surgery 1/1/2017 6/2/2017 806971425 MALDONADO JANETTE PSP General Surgery 5/11/2017 7/24/2015 323294448 MALVAR THOMAS C PSP Urology 10/9/2017 12/5/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 333 - CENTURY PHO INC 818176435 MANDUJANO ALICIA PSP Obstetrics-Gynecology 9/7/2019 12/18/2018 485463604 MARRUENDA FRANCISCO PSP Ophthalmology 1/1/2017 6/1/2011 677343872 MELERO OTILIO N PCP Family Practice 1/1/2017 8/12/2019 589412704 MIZUNO ERIC T PSP Internal Medicine 1/1/2017 1/8/2020 096900110 MOHAMED FAKHRUDIN AAS PCP Family Practice 11/1/2019 10/8/2018 518213648 MOYA ADELINA R PCP Family Practice 1/1/2017 3/27/2019 994616594 MURPHY DANIEL P PCP Family Practice 1/1/2017 3/23/2018 931557823 NANDA ATUL KUM PSP General Surgery 1/1/2017 3/20/2019 300892777 NAYAR RAJEEV PSP Gastroenterology 10/21/2019 3/24/2018 263292415 NIEVES RICARDO J PSP Ophthalmology 1/1/2017 6/23/2017 887127236 OREILLY ELISE PSP Certified Nurse Midwife 5/11/2017 8/22/2019 991934138 RAIS DANA JALAL PSP Pediatrics 1/1/2017 7/20/2018 991934138 RAIS DANA JALAL PCP Pediatrics 1/1/2017 7/20/2018 687144844 RAJAN PRIYA V PSP Obstetrics-Gynecology 1/1/2017 12/30/2019 891678024 RAMADURAI RAGHU PSP Internal Medicine 1/1/2017 6/12/2017 018647155 RAMIREZ SAM PSP Podiatry 1/1/2017 6/17/2019 891684995 RASHAN RAAD N PCP Internal Medicine 1/1/2017 7/31/2019 891684995 RASHAN RAAD N PCP Internal Medicine 9/7/2019 7/31/2019 425974386 RICHARDS JANA PCP Obstetrics-Gynecology 1/1/2017 6/28/2017 506137714 RICHTER KRISTEN M PSP Family Practice 1/1/2017 8/23/2019 692633584 RINCON JACQUELINE PSP Family Practice 1/1/2017 8/26/2019 000323121 ROSSI ENRICA PSP Ophthalmology 1/1/2017 7/25/2017 405049708 ROTSKOFF BRIAN D PSP Allergy/Immunology 1/1/2017 6/1/2011 681370297 RUBIO NOEL I PCP Internal Medicine 1/1/2017 6/21/2018 961306305 SAJJAD MOHAMMED PCP Family Practice 1/1/2017 3/28/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 333 - CENTURY PHO INC 961306305 SAJJAD MOHAMMED PSP Family Practice 1/1/2017 3/28/2018 261755953 SANDERS CHARLENE MAR PSP Certified Nurse Midwife 1/1/2017 3/19/2019 343030869 SANDESARA KALYAN B PCP Pediatrics 1/1/2017 2/11/2020 262695066 SANTANGELO LOUIS D PSP Podiatry 1/1/2017 10/31/2018 319112438 SANTANGELO PAUL A PSP Podiatry 1/1/2017 2/26/2018 433864414 SAPORTA ALBERT PSP Gastroenterology 10/21/2019 1/24/2019 479579609 SHUKLA MANISH MAD PCP Family Practice 1/1/2017 5/26/2017 669570306 SIDDIQUI TAHSEEN JAVE PSP Infectious Diseases 1/1/2017 6/29/2017 206568339 SOMPALLI CHANDRASEKHAR PSP Orthopedic Surgery 12/30/2019 2/28/2018 655720774 THOMAS SONYA L PCP Obstetrics-Gynecology 1/1/2017 6/10/2019 273558411 VASELOPULOS PETER T PSP Urology 10/9/2017 9/27/2018 710937823 VERMA ARUN K PSP Internal Medicine 1/1/2017 3/17/2018 234556359 WIESMAN GARY G PSP Otolaryngology 7/19/2017 4/30/2019 024105145 WILLIAMSON WAYNE C PSP Internal Medicine 5/4/2017 6/14/2019 365363519 YAO TITO GO PCP Pediatrics 1/1/2017 1/7/2020
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 062877581 ABCARIAN ARIANE MEL PSP General Surgery 1/1/2018 1/29/2016 109661229 ABCARIAN HERAND PSP Colon-Rectal Surgery 1/1/2018 5/23/2017 437945972 ABDELHADY KHALED M PSP Thoracic Cardiovascular 1/1/2018 8/21/2009 432272954 ABIONA TITILAYO C PCP Family Practice 1/1/2018 5/8/2017 050720530 ABRAHAM MOHAN C PSP Nephrology 1/1/2018 10/8/2015 245740374 ABRAHAMIAN FRIDA P PSP Gastroenterology 1/1/2018 1/14/2016 017111401 ABREGO FIDEL PSP Obstetrics-Gynecology 1/1/2018 1/29/2016 778039595 ADAMS CARMEN MIC PSP Obstetrics-Gynecology 1/1/2018 3/24/2017 260227590 ADEGUNSOYE ADEKONLA T PCP Internal Medicine 2/9/2018 11/14/2013 500697928 ADENWALLA MOHAMED K PSP Ophthalmology 1/1/2018 12/17/2013 161952625 ADESIDA OLUREMI C PSP Neonatal-Perinatal Medicine 1/1/2018 10/9/2015 161952625 ADESIDA OLUREMI C PSP Neonatal-Perinatal Medicine 2/9/2018 10/9/2015 025580982 ADVANI TUSHAR M PSP Psychiatry 1/1/2018 4/12/2018 025580982 ADVANI TUSHAR M PSP Psychiatry 2/9/2018 4/12/2018 065594673 AGRAWAL VISHWANATH PSP Neonatal-Perinatal Medicine 1/1/2018 8/14/2019 895075936 AHMED AZAZUDDIN A PCP Internal Medicine 1/1/2018 2/1/2016 947369144 AHMED WASAY UDD PCP Internal Medicine 1/1/2018 1/26/2016 311025026 ALTIVEROS ANDREW MAR PSP Pediatrics 1/1/2018 11/20/2013 805772869 ALVI SAAD PCP Internal Medicine 1/1/2018 6/18/2018 805772869 ALVI SAAD PCP Internal Medicine 2/9/2018 6/18/2018 805772869 ALVI SAAD PCP Internal Medicine 8/1/2019 6/18/2018 624384193 AMBLEE AMBIKA P PSP Endocrinology, Diabetes & 1/1/2018 2/1/2016 692057511 ANDABLO ARACELI PCP Internal Medicine 1/1/2018 2/8/2016 492554629 ANDERSON-NELSON SUSAN PSP Ophthalmology 1/1/2018 6/1/2011 717507824 APP MEGAN ELIZ PSP Obstetrics-Gynecology 1/1/2018 2/8/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 446145865 ARENAS VIRGILIO BRIB PSP Psychiatry 1/1/2018 1/14/2016 123615668 ASIEDU CANDACE MER PCP Family Practice 1/1/2018 8/14/2018 755752834 ATHAVALE AMBARISH MUK PSP Internal Medicine 1/1/2018 1/29/2016 921297972 AUGUSTON PRISCILLA A PCP Family Practice 1/1/2018 1/13/2016 680631587 AVINASHI AALOK PSP Neonatal-Perinatal Medicine 1/1/2018 1/1/2009 502471192 AZIZ MARIAM S PSP Infectious Diseases 1/1/2018 7/30/2013 102961439 AZMAT AWAIS PCP Family Practice 1/1/2018 5/23/2013 384197886 BADRI SHEILA M PSP Infectious Diseases 1/1/2018 1/12/2016 121197856 BAMBA SONYA PSP Ophthalmology 1/1/2018 1/13/2016 384929034 BANDI SINDHURA PSP Allergy/Immunology 1/1/2018 7/18/2013 782547902 BANGAYAN LORRAINE YOU PSP Cardiovascular Disease 1/1/2018 1/27/2016 959244145 BARKER DAVID E PSP Infectious Diseases 1/1/2018 1/12/2016 612200714 BARRIOS FELIPE PSP Neonatal-Perinatal Medicine 2/9/2018 6/26/2017 779381905 BECK TRACI P PSP Urology 1/1/2018 6/1/2011 701284829 BECKER NORBERT M PSP Ophthalmology 1/1/2018 8/15/2019 663105667 BEDNARZ MICHAEL P PSP Psychiatry 1/1/2018 2/6/2018 663105667 BEDNARZ MICHAEL P PSP Psychiatry 2/9/2018 2/6/2018 319920442 BENVENUTO MARIA PSP Pediatric Cardiology 1/1/2018 5/23/2017 696071827 BERNARD JARED D PSP General Surgery 1/1/2018 6/25/2019 579552684 BERRY KRAVIS ELIZABETH M PSP Psychiatry 1/1/2018 10/8/2013 011365195 BHANDARI NEHA JAIN PSP Internal Medicine 1/1/2018 1/25/2016 874028003 BILLINGSLEA CAMILLE PCP Family Practice 1/1/2018 1/25/2016 874028003 BILLINGSLEA CAMILLE PCP Family Practice 9/30/2019 1/25/2016 417670703 BINIUS TRACY LYN PSP Psychiatry 2/9/2018 8/28/2018 751245881 BLACK STEPHANIE R PSP Infectious Diseases 1/1/2018 4/5/2017
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 996508857 BLAIR MICHAEL P PSP Ophthalmology 1/1/2018 6/1/2011 654585779 BOKHARI FARAN PSP General Surgery 1/1/2018 5/30/2013 637672028 BOVE MICHIEL PSP Otolaryngology 1/1/2018 12/1/2009 441192577 BOYER KENNETH PSP Pediatrics 1/1/2018 10/8/2013 074852211 BRANIECKI MARYLEE A PSP Dermatology 9/30/2019 6/23/2014 839872298 BRESSLER JOY E PCP Internal Medicine 1/1/2018 2/12/2016 008168358 BRUCE BENJAMIN GUE PSP Orthopedic Surgery 1/1/2018 2/2/2016 500601041 BUHRFIEND COLLEEN PSP Neurology 1/1/2018 10/8/2013 873920025 BURKE WINSTON F PSP Podiatry 1/1/2018 1/9/2013 648492749 BYRNE RICHARD PSP Neurological Surgery 1/1/2018 7/31/2013 471712661 CARDONA SULLY PCP Family Practice 1/1/2018 1/13/2016 316531466 CASE JOHN PIER PSP Rheumatology 1/1/2018 6/15/2016 773862558 CASTILLO CURIEL CHRISTIAN J PSP Neonatal-Perinatal Medicine 1/1/2018 3/9/2020 773862558 CASTILLO CURIEL CHRISTIAN J PSP Neonatal-Perinatal Medicine 2/9/2018 3/9/2020 718619821 CATCHATOURIAN ROSALIND PSP Hematology 1/1/2018 2/2/2016 492077080 CAUGHLIN BENJAMIN PAT PSP Otolaryngology 1/1/2018 5/19/2017 472250900 CEJTIN HELEN PSP Obstetrics-Gynecology 1/1/2018 1/13/2016 034135773 CHAN EDIE Y PSP General Surgery 1/1/2018 8/1/2013 602038725 CHAUDHRY VIVEK PSP Colon-Rectal Surgery 1/1/2018 1/22/2018 505113738 CHEN MICHAEL PSP Neurology 9/30/2019 7/31/2013 311960424 CHINWUBA EBELE NWO PCP Pediatrics 2/9/2018 10/4/2013 137754915 CHRISTIANS MELODY A PCP Internal Medicine 1/1/2018 1/13/2016 137754915 CHRISTIANS MELODY A PCP Internal Medicine 2/9/2018 1/13/2016 151884273 CINTRON JOSE PSP General Surgery 1/1/2018 4/24/2018 690210811 CLAPP WILLIAM PSP Pulmonary Disease 1/1/2018 2/18/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 382642517 CODISPOTI CHRISTOPHER DAVID PSP Allergy/Immunology 1/1/2018 7/29/2013 823918875 COHEN MARDGE HILL PSP Internal Medicine 1/1/2018 1/13/2016 130099251 CONLEY DAVID B PSP Otolaryngology 1/1/2018 9/10/2012 443864474 CONOVER CRAIG PSP Infectious Diseases 1/1/2018 2/23/2016 745039878 CRAWFORD CLIFFORD S PSP General Surgery 1/1/2018 7/29/2013 745039878 CRAWFORD CLIFFORD S PSP General Surgery 2/9/2018 7/29/2013 519860697 CROWLEY RICHARD W PSP Neurological Surgery 1/1/2018 10/31/2018 906452665 CUNILL DENISE R PSP Pediatrics 1/1/2018 2/9/2016 138219870 DATTA SWATI S PCP Internal Medicine 1/1/2018 2/8/2016 138219870 DATTA SWATI S PCP Internal Medicine 2/9/2018 2/8/2016 577264165 DAVIDOVICH MICHAEL JOS PCP Internal Medicine 1/1/2018 1/13/2016 135393758 DEMARAIS PATRICIA L PSP Infectious Diseases 1/1/2018 1/14/2016 426795530 DIHU JAMIL B PSP Cardiovascular Disease 10/18/2019 1/21/2015 606295949 DIXON KIMBERLY FRA PCP Internal Medicine 1/1/2018 1/29/2016 294280968 DORMAN JAMES R PSP Neurology 1/1/2018 5/19/2017 745069018 DOUKKY RAMI PSP Cardiovascular Disease 1/1/2018 4/3/2013 590263696 DRAY PHILIP B PSP Ophthalmology 1/1/2018 9/19/2018 583964788 DURHAM JOSEPH R PSP General Surgery 1/1/2018 2/5/2019 933095538 DWARAKANATHAN SURENDAR PSP Ophthalmology 1/1/2018 10/16/2013 086635045 DWORKIN MARK S PSP Infectious Diseases 1/1/2018 5/23/2017 001652319 ELDRIS NADER MAH PSP Internal Medicine 8/1/2019 5/10/2019 001652319 ELDRIS NADER MAH PSP Internal Medicine 8/24/2018 5/10/2019 687907776 ENGER MINYUEN PSP Neonatal-Perinatal Medicine 1/1/2018 7/22/2019 858014248 ENNIS PATRICK KEVIN PSP Family Practice 1/1/2018 9/5/2018 858014248 ENNIS PATRICK KEVIN PCP Family Practice 2/9/2018 9/5/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 830819843 EZEOKOLI CHUKWUDOZIE O PCP Internal Medicine 1/1/2018 1/27/2016 195636294 EZIKE CHUKWUEMEKA F PCP Internal Medicine 1/1/2018 3/27/2017 532252701 FOGELFELD LEON A PSP Endocrinology, Diabetes & 1/1/2018 8/1/2013 770209067 FONTES RICARDO B V PSP Neurological Surgery 1/1/2018 6/29/2015 770209067 FONTES RICARDO B V PSP Neurological Surgery 2/9/2018 6/29/2015 230331376 FRENCH AUDREY L PSP Infectious Diseases 1/1/2018 1/13/2016 702461710 FRICCHIONE MARIELLE JAN PSP Pediatrics 1/1/2018 9/8/2016 135210905 FRIEDMAN MARK J PSP Psychiatry 2/9/2018 1/22/2020 952333090 FULLILOVE CONSTANCE PSP Licensed Clinical Psychology 1/1/2018 2/9/2016 952333090 FULLILOVE CONSTANCE PSP Licensed Clinical Psychology 2/9/2018 2/9/2016 430431543 GAMBLE TONDALAYA LOUI PSP Obstetrics-Gynecology 1/1/2018 12/4/2009 016031972 GANDHI SEEMA R PSP Internal Medicine 1/1/2018 12/6/2013 133471239 GANDHI YOGESH N PSP Neurological Surgery 1/1/2018 5/25/2016 582611288 GANSCHOW PAMELA S PCP Internal Medicine 1/1/2018 1/13/2016 582611288 GANSCHOW PAMELA S PCP Internal Medicine 9/30/2019 1/13/2016 475691603 GASIOR ROBERT M PSP Thoracic Surgery 1/1/2018 8/22/2019 414286570 GEISSEN NICOLE MAR PSP General Surgery 1/1/2018 1/8/2020 796258917 GERBER SUSAN EVE PSP Maternal & Fetal Medicine 1/1/2018 12/1/2009 514290106 GHADIALI QURAISH PSP Ophthalmology 1/1/2018 1/21/2020 514290106 GHADIALI QURAISH PSP Ophthalmology 2/9/2018 1/21/2020 339083896 GHODE REENA PSP Licensed Clinical Psychology 1/1/2018 1/27/2016 295114439 GIORDANO LISA PSP Pediatric Hematology-Oncology 2/9/2018 2/9/2016 466151806 GIOVINGO MICHAEL C PSP Ophthalmology 1/1/2018 2/2/2016 895779443 GO BENJAMIN TAN PSP Gastroenterology 1/1/2018 1/14/2016 516788876 GO LEONARD H T PSP Pulmonary Disease 9/30/2019 2/1/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 438096947 GODSEL MARK E PSP Podiatry 1/1/2018 1/27/2016 458577002 GOLZAR YASMEEN A PSP Cardiovascular Disease 1/1/2018 2/19/2016 456584526 GOMEZ VALENCIA JAVIER A PSP Internal Medicine 1/1/2018 2/19/2016 200794985 GONZALEZ HEMIL PSP Internal Medicine 7/20/2018 9/9/2019 566215308 GREENBAUM EVAN S PSP Otolaryngology 1/1/2018 7/29/2019 566215308 GREENBAUM EVAN S PSP Otolaryngology 8/1/2019 7/29/2019 562612683 GREENBERG DAVID M PSP Ophthalmology 1/1/2018 6/18/2018 562612683 GREENBERG DAVID M PSP Ophthalmology 2/9/2018 6/18/2018 562612683 GREENBERG DAVID M PSP Ophthalmology 8/1/2019 6/18/2018 300615902 GROSS ISRAEL PSP Licensed Clinical Psychology 1/1/2018 5/18/2017 300615902 GROSS ISRAEL PSP Licensed Clinical Psychology 2/9/2018 5/18/2017 694667017 GUERET RENAUD M PSP Pulmonary Disease 1/1/2018 1/26/2016 394053104 GUERRA YANNIS S PSP Endocrinology, Diabetes & 1/1/2018 2/1/2016 965207349 GUSHCHIN ANNA G PSP Ophthalmology 1/1/2018 5/19/2017 421050977 HADDADIN RAMEZ I PSP Ophthalmology 1/1/2018 12/16/2015 526074421 HAFIZ-AHMED AFSHAN PSP Family Practice 1/1/2018 9/9/2013 144239607 HANNA ASEEL A PCP Internal Medicine 1/1/2018 2/19/2016 729645843 HANSBROUGH VALERIE J PSP Obstetrics-Gynecology 1/1/2018 4/5/2017 729645843 HANSBROUGH VALERIE J PCP Obstetrics-Gynecology 2/9/2018 4/5/2017 691147930 HAQ YASER PSP Psychiatry 1/1/2018 1/17/2018 086064207 HARRIS ALAN A PSP Infectious Diseases 1/1/2018 7/31/2013 634462575 HARRISON JACQUELINE L PSP Colon-Rectal Surgery 1/1/2018 2/2/2016 646318795 HART PETER D PSP Nephrology 1/1/2018 2/19/2016 354756678 HASSAN SOBIA PSP Rheumatology 1/1/2018 9/6/2016 354756678 HASSAN SOBIA PSP Rheumatology 2/9/2018 9/6/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 892564563 HATHIWALA SURESH C PSP Nephrology 1/1/2018 6/5/2019 003348129 HENRY REID LISA M PSP Adolescent Medicine 2/9/2018 3/16/2017 073640209 HEYDEMANN PETER PSP Neurology 1/1/2018 10/9/2013 948540369 HINAMI KEIKI PCP Internal Medicine 1/1/2018 12/1/2009 656333393 HOLLOWELL COURTNEY M PSP Urology 1/1/2018 2/2/2016 125568170 HOSEK SYBIL G PSP Licensed Clinical Psychology 1/1/2018 1/13/2016 402777523 HOUSTON JOHN TB PSP Urology 1/1/2018 6/21/2018 235285173 HOYOS PATRICIA PSP Licensed Clinical Psychology 1/1/2018 9/11/2018 470230180 HUANG HENRY D PSP Cardiovascular Disease 1/1/2018 6/10/2016 401444466 HUANG SHOU YIEN SHIR PSP Neonatal-Perinatal Medicine 1/1/2018 7/23/2019 436521561 HUERTA CARMEN P PSP Pulmonary Disease 1/1/2018 2/2/2016 168144702 HUHN GREGORY DAVID PSP Infectious Diseases 1/1/2018 6/16/2017 168144702 HUHN GREGORY DAVID PSP Infectious Diseases 8/1/2019 6/16/2017 954383639 ILIE IONUT O PCP Internal Medicine 1/1/2018 1/12/2017 114936072 IM PIL BIN PSP Family Practice 1/1/2018 3/26/2013 114936072 IM PIL BIN PCP Family Practice 2/9/2018 3/26/2013 329307939 IMRAN MUHAMMED PCP Internal Medicine 1/1/2018 4/7/2016 238925189 IQBAL ASNEHA S PSP Pediatric Hematology-Oncology 1/1/2018 10/9/2015 730261854 IRONS SHARON PCP Internal Medicine 1/1/2018 2/18/2016 094742803 JACOBS NORMAN PSP Pediatric Infectious Disease 1/1/2018 2/18/2016 383837751 JANDESKA SARA E PSP Pediatric Nephrology 1/1/2018 10/9/2013 797263368 JASUJA SUPRIYA PSP Infectious Diseases 1/1/2018 3/15/2016 797263368 JASUJA SUPRIYA PSP Infectious Diseases 2/9/2018 3/15/2016 817369902 JEGADEESH NARESH PSP Radiation Oncology 1/1/2018 6/20/2019 817369902 JEGADEESH NARESH PSP Radiation Oncology 2/9/2018 6/20/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 447547699 JIMENEZ JOSE L PSP Licensed Clinical Psychology 1/1/2018 12/27/2018 395270092 JOSEPH ELSY THO PSP Certified Nurse Practitioner 2/9/2018 2/18/2016 783401899 KAGALWALLA AMIR F PSP Pediatric Gastroenterology 1/1/2018 6/1/2011 411338309 KAMDAR SHIVANI PCP Family Practice 1/1/2018 2/11/2016 781839041 KAVINSKY CLIFFORD PSP Cardiovascular Disease 1/1/2018 10/9/2013 147129284 KEEN RICHARD R PSP General Surgery 1/1/2018 7/29/2019 147129284 KEEN RICHARD R PSP General Vascular Surgery 8/1/2019 7/29/2019 813435948 KELLY RUSSELL F PSP Cardiovascular Disease 1/1/2018 2/19/2016 682912631 KELNER DAVID DIMI PSP Psychiatry 1/1/2018 6/1/2011 130033345 KENDRICK SABRINA R PSP Infectious Diseases 1/1/2018 2/22/2016 332806124 KHAN SALMAN Z PSP Pediatrics 1/1/2018 5/25/2016 713015398 KHATTAK SAMINA N PSP Psychiatry 1/1/2018 10/24/2011 066316213 KHILFEH MANHAL H PSP Neonatal-Perinatal Medicine 1/1/2018 8/27/2019 268642983 KIM KUBINNE PSP Dermatology 1/1/2018 1/29/2016 286371077 KLEINMAN AMANDA S PSP Psychiatry 1/1/2018 10/9/2013 172518594 KOMAR THOMAS MIC PSP General Surgery 1/1/2018 5/19/2017 098464663 KOO NATHANIEL PSP General Surgery 2/9/2018 10/8/2018 195664565 KRANTZ ANNE J PCP Internal Medicine 1/1/2018 1/29/2016 195664565 KRANTZ ANNE J PSP Internal Medicine 1/1/2018 1/29/2016 732438167 KRISHNAN KOUSIK PSP Cardiovascular Disease 1/1/2018 7/29/2013 688492581 KUDARAVALLI PADMA PCP Internal Medicine 1/1/2018 5/19/2017 018083379 KUMAR RAJEEV PSP Neonatal-Perinatal Medicine 1/1/2018 8/16/2017 480888572 LAMBERTI PAUL M PSP Hand Surgery 1/1/2018 6/1/2011 726008980 LARSEN BRIAN P PSP Ophthalmology 1/1/2018 12/27/2018 726008980 LARSEN BRIAN P PSP Ophthalmology 8/1/2019 12/27/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 544035675 LASH JAMES P PSP Nephrology 1/1/2018 2/24/2020 270255422 LAVEAU ROBERT J PSP Podiatry 1/1/2018 6/3/2019 270255422 LAVEAU ROBERT J PSP Podiatry 8/1/2019 6/3/2019 548670264 LEE JHEE UN PCP Internal Medicine 1/1/2018 2/9/2016 841492579 LENHARDT RICHARD PSP Pulmonary Disease 1/1/2018 4/7/2016 414401551 LEWIS GREGORY N PSP Licensed Clinical Psychology 1/1/2018 11/15/2019 093439340 LICHT SHERRY GAIL PCP Internal Medicine 1/1/2018 1/27/2016 144495702 LIN MICHAEL Y PSP Infectious Diseases 1/1/2018 7/30/2013 680379409 LINDEN MARIA DANI PSP Psychiatry 4/20/2018 2/6/2020 674602625 LIU ELAINE PCP Internal Medicine 1/1/2018 5/22/2017 771285543 LOBE THOM E PSP Pediatric Surgery 2/9/2018 8/17/2012 084715887 LOGAN LATANIA KISA PSP Pediatric Infectious Disease 1/1/2018 10/9/2013 084715887 LOGAN LATANIA KISA PSP Pediatric Infectious Disease 2/9/2018 10/9/2013 014478756 LUBELCHEK RONALD JAY PSP Infectious Diseases 1/1/2018 1/27/2016 014478756 LUBELCHEK RONALD JAY PSP Infectious Diseases 2/9/2018 1/27/2016 181191294 LYGIZOS NICHOLAS A PSP Otolaryngology 1/1/2018 12/30/2019 211454203 LYN WHITNEY NIC PCP Family Practice 1/1/2018 1/27/2016 644093933 MAGNANI JASON J PSP Orthopedic Surgery 1/1/2018 6/12/2019 236055437 MAHAPATRA ENA PCP Internal Medicine 1/1/2018 2/8/2016 918850025 MAHMOUD HOSSAM PSP Psychiatry 2/9/2018 2/27/2019 833696973 MALIAKKAL ANTO V PCP Internal Medicine 1/1/2018 10/1/2018 532506830 MANADAN AUGUSTINE M PSP Rheumatology 1/1/2018 6/1/2011 378838676 MARCUS ELIZABETH A PSP General Surgery 1/1/2018 2/8/2016 791558913 MARSHALL JACQUELINE PSP Pediatrics 1/1/2018 2/2/2016 945505289 MARTINEZ IRENE L PSP Internal Medicine 1/1/2018 1/19/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 960496093 MASCARELL SUSANA PSP Endocrinology, Diabetes & 1/1/2018 1/19/2016 477071746 MASON ELLEN D PSP Internal Medicine 1/1/2018 1/19/2016 776277921 MASSAD MALEK G PSP Thoracic Cardiovascular 1/1/2018 6/17/2019 038676044 MATHEW SUJA M PSP Internal Medicine 1/1/2018 1/19/2016 022393396 MAYEFSKY JAY H PSP Pediatrics 1/1/2018 1/4/2017 513864659 MCCONNIE RANDOLPH PSP Pediatric Gastroenterology 1/1/2018 2/11/2015 062016494 MCDONALD SARAH F PSP Otolaryngology 1/1/2018 4/1/2014 191238753 MCDUNN SUSAN H PSP Oncology 1/1/2018 1/29/2016 691885329 MCPHERSON JULITA M PCP Family Practice 1/1/2018 1/19/2016 908960973 MEHTA SHILPA PSP Dermatology 1/1/2018 2/17/2016 313808471 MEIER GARNET PSP Internal Medicine 1/1/2018 1/19/2016 209398239 MEKHAEL FAYEZ M PSP Family Practice 1/1/2018 9/19/2018 209398239 MEKHAEL FAYEZ M PCP Family Practice 2/9/2018 9/19/2018 429586564 MENEZES RALPH CHA PSP Psychiatry 1/1/2018 11/27/2018 429586564 MENEZES RALPH CHA PSP Psychiatry 2/9/2018 11/27/2018 852939134 MENON SHREEVIDYA V PCP Pediatrics 2/9/2018 4/24/2019 648409767 MERK BRADLEY R PSP Orthopedic Surgery 1/1/2018 12/1/2009 944137227 MICCO ALAN G PSP Otolaryngology 1/1/2018 9/13/2012 517645521 MIHAILESCU DAN V PSP Endocrinology, Diabetes & 9/30/2019 6/1/2011 544118674 MILAD MAGDY P PSP Reproductive Endocrinology & 1/1/2018 12/1/2009 349241758 MILBURN MASON WAY PSP Orthopedic Surgery 1/1/2018 1/30/2020 251590004 MIRANDA OCASIO HARRY PSP Licensed Clinical Psychology 1/1/2018 1/29/2016 917879451 MISHRA SATYA M PSP Gastroenterology 1/1/2018 1/19/2016 556757685 MOHIUDDIN RESHMA F PCP Internal Medicine 1/1/2018 1/19/2016 232454236 MONTERUBIANESI LORENA A PCP Internal Medicine 1/1/2018 1/19/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 459728585 MOSWIN ARTHUR H PCP Internal Medicine 1/1/2018 11/11/2018 426847566 MOY JAMES N PSP Allergy/Immunology 1/1/2018 7/29/2013 213463326 MULLANE MICHAEL R PSP Oncology 1/1/2018 1/29/2016 601489620 MURPHY ADAM BRY PSP Urology 1/1/2018 7/21/2016 994616594 MURPHY DANIEL P PCP Family Practice 1/1/2018 3/23/2018 994616594 MURPHY DANIEL P PCP Family Practice 2/9/2018 3/23/2018 945169980 MURPHY JAMES ANT PSP Oral Maxillofacial Surgery 1/1/2018 9/9/2019 945169980 MURPHY JAMES ANT PSP Oral Maxillofacial Surgery 2/9/2018 9/9/2019 217674498 MYLVAGANAM HARI NIC PSP Ophthalmology 8/1/2019 8/22/2019 870944788 NAHEED ZAHRA J PSP Pediatric Cardiology 1/1/2018 1/27/2016 194432125 NAPOLES PHYLLIS E PSP General Surgery 1/1/2018 2/20/2015 771807199 NARH RAYMOND T PCP Internal Medicine 3/23/2018 3/29/2019 771807199 NARH RAYMOND T PCP Internal Medicine 8/1/2019 3/29/2019 089397194 NICHOLS JEFFREY W PSP Ophthalmology 1/1/2018 3/31/2014 090398501 NIKA AILDA PSP Rheumatology 1/1/2018 11/29/2012 214234593 NOLL KATHRYN MIC PSP Internal Medicine 1/1/2018 1/27/2016 906560824 NORLOCK FRANCES E PCP Internal Medicine 1/1/2018 1/27/2016 207342315 O'BRIEN JOHN M PCP Internal Medicine 1/1/2018 7/11/2016 062713154 OLIVIER MILDRED M G PSP Ophthalmology 1/1/2018 6/1/2011 840519314 ONEILL ERICA L PSP Obstetrics-Gynecology 1/1/2018 4/1/2016 525929160 OSEI ALBERT M PSP Nephrology 1/1/2018 5/23/2017 579764029 OYEDELE TEMITOPE O PSP Infectious Diseases 1/1/2018 6/19/2014 016376891 PALMA CAMILLE VICT PSP Ophthalmology 7/20/2018 4/30/2019 016376891 PALMA CAMILLE VICT PSP Ophthalmology 8/1/2019 4/30/2019 182847700 PANDIT HUMA FAIS PSP Psychiatry 1/1/2018 1/22/2020
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 562724842 PAPIEZ GREGORY R PCP Internal Medicine 2/9/2018 1/19/2016 562724842 PAPIEZ GREGORY R PSP Internal Medicine 9/30/2019 1/19/2016 704516081 PASCHOS STEVE PSP Psychiatry 1/1/2018 4/18/2019 948725358 PATEL AMIT ISH PSP Internal Medicine 1/1/2018 8/24/2016 948725358 PATEL AMIT ISH PSP Gastroenterology 2/9/2018 8/24/2016 182568442 PATEL KEVIN HAS PSP Ophthalmology 1/1/2018 10/30/2019 182568442 PATEL KEVIN HAS PSP Ophthalmology 8/1/2019 10/30/2019 996297647 PATEL SHILPA M PSP Infectious Diseases 1/1/2018 1/19/2016 996297647 PATEL SHILPA M PSP Infectious Diseases 2/9/2018 1/19/2016 719567979 PATEL URJEET A PSP Otolaryngology 1/1/2018 9/17/2012 794743160 PATRIANAKOS THOMAS D PSP Ophthalmology 1/1/2018 6/12/2018 794743160 PATRIANAKOS THOMAS D PSP Ophthalmology 8/1/2019 6/12/2018 357096497 PAUL GEORGE W PSP Pediatric Emergency Medicine 2/9/2018 4/3/2013 811333453 PAUL REENA D PSP Family Practice 1/1/2018 11/19/2018 811333453 PAUL REENA D PCP Family Practice 2/9/2018 11/19/2018 548526569 PEART MALAIKA Y PCP Internal Medicine 1/1/2018 4/7/2016 320883169 PELAEZ VICTOR M PSP Cardiovascular Disease 1/1/2018 1/19/2016 320883169 PELAEZ VICTOR M PSP Cardiovascular Disease 2/9/2018 1/19/2016 309931463 PELTA MURRAY PSP Obstetrics-Gynecology 1/1/2018 8/20/2019 646216994 PERRIN M JANE H PCP Internal Medicine 1/1/2018 3/29/2019 646216994 PERRIN M JANE H PCP Internal Medicine 8/1/2019 3/29/2019 044218230 PERRY LAMORRIS PCP Pediatrics 1/1/2018 5/23/2018 044218230 PERRY LAMORRIS PSP Pediatrics 12/13/2019 5/23/2018 044218230 PERRY LAMORRIS PCP Pediatrics 2/9/2018 5/23/2018 662477700 PERUMAL KALYANI PSP Nephrology 1/1/2018 8/4/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 817123689 PIERRE LOUIS SERGE J PSP Neurology 1/1/2018 6/1/2017 046199127 PIETTE WARREN W PSP Dermatology 1/1/2018 8/2/2013 575884162 PILLER SIMON J PCP Internal Medicine 1/1/2018 12/19/2012 439960776 PITTS THOMAS L PSP Endocrinology, Diabetes & 1/1/2018 10/31/2013 439960776 PITTS THOMAS L PSP Endocrinology, Diabetes & 2/9/2018 10/31/2013 114001727 POKU CAROLINE A PCP Internal Medicine 1/1/2018 1/19/2016 114001727 POKU CAROLINE A PCP Internal Medicine 9/30/2019 1/19/2016 797501100 POPOVICH KYLE J PSP Infectious Diseases 1/1/2018 7/30/2013 072717214 PRIETO JORGE J PSP Orthopedic Surgery 1/1/2018 9/27/2018 087965317 PRINZ RICHARD A PSP General Surgery 9/20/2019 1/25/2014 688195096 PRITZKER RACHEL NEE PSP Dermatology 1/1/2018 10/24/2013 688195096 PRITZKER RACHEL NEE PSP Dermatology 2/9/2018 10/24/2013 963896023 PULLA RICHARD J PSP Podiatry 1/1/2018 11/27/2018 963896023 PULLA RICHARD J PSP Podiatry 8/1/2019 11/27/2018 152977892 PYSLAR NATALIYA PSP Cardiovascular Disease 1/1/2018 1/25/2016 400768413 QUESADA RODRIGUEZ NANCY M PSP Pulmonary Disease 1/1/2018 2/4/2016 827274095 RABA JOHN M PSP Internal Medicine 1/1/2018 1/25/2016 587351015 RADIGAN KATHRYN ANN PSP Pulmonary Disease 1/1/2018 9/17/2012 174699801 RAFIQ ASAD PSP Gastroenterology 1/1/2018 6/13/2019 176253102 RAFIQ MUHAMMAD PCP Internal Medicine 1/1/2018 3/3/2016 069185669 RAGHU PADMANABHAN PSP Rheumatology 1/1/2018 10/22/2015 069185669 RAGHU PADMANABHAN PCP Internal Medicine 2/9/2018 10/22/2015 318552474 RAIJI VEENA RAO PSP Ophthalmology 1/1/2018 11/24/2015 556855908 RAJAGOPAL NIMMI PCP Family Practice 11/15/2019 12/22/2018 556855908 RAJAGOPAL NIMMI PCP Family Practice 9/30/2019 12/22/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 323159422 RAK MELANIE F PSP Physical Medicine & 2/9/2018 4/25/2018 451494526 RAKSIN PATRICIA B PSP Neurological Surgery 1/1/2018 1/25/2016 356679493 RASAMIMARI PHORNPHAT PSP Neonatal-Perinatal Medicine 1/1/2018 7/29/2019 099161979 REID DAVID C PSP Dermatology 1/1/2018 1/25/2016 489869081 REISS BENJAMIN PSP Ophthalmology 1/1/2018 5/19/2017 487588434 REYES ESCALONA YOLANDA PCP Internal Medicine 1/1/2018 6/1/2017 487588434 REYES ESCALONA YOLANDA PCP Internal Medicine 2/9/2018 6/1/2017 783018609 REZAI KATAYOUN PSP Infectious Diseases 1/1/2018 1/19/2016 881832276 RHEE YOONA PSP Infectious Diseases 1/1/2018 5/22/2017 881832276 RHEE YOONA PSP Infectious Diseases 2/9/2018 5/22/2017 436394629 RICE DANIELLE REN PSP Neurology 1/1/2018 4/6/2016 436394629 RICE DANIELLE REN PSP Neurology 2/9/2018 4/6/2016 804156897 RICHTER HARRY M PSP General Surgery 1/1/2018 10/9/2013 970047511 RIGAMER MARGARET CLAI PSP General Vascular Surgery 8/24/2018 7/8/2019 564252376 RIPLEY MELANIE ANN PCP Internal Medicine 8/1/2019 4/13/2018 573345477 RIVAS CHICAS OSCAR ART PSP Gastroenterology 1/1/2018 5/19/2017 280195514 ROBINS JARED C PSP Obstetrics-Gynecology 1/1/2018 8/21/2014 385037815 RODRIGUEZ VIMARIE PCP Family Practice 1/1/2018 6/1/2017 534480145 ROHR LOUIS G PCP Internal Medicine 1/1/2018 5/19/2017 110448796 ROMANTSEVA LUBOV F PSP Neurology 1/1/2018 10/9/2013 018676881 ROSENBLATT JEFFREY PSP Family Practice 7/20/2018 3/13/2019 101916588 ROWE JOCELYN ANITA PSP Ophthalmology 8/1/2019 12/27/2018 630592829 RUBIN RACHEL PCP Internal Medicine 1/1/2018 10/11/2013 630592829 RUBIN RACHEL PCP Internal Medicine 2/9/2018 10/11/2013 719775024 RUIZ NATALIA N PSP Licensed Clinical Psychology 1/1/2018 5/19/2017
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 719775024 RUIZ NATALIA N PSP Licensed Clinical Psychology 2/9/2018 5/19/2017 209753186 SADOWSKI LAURA SUE PSP Internal Medicine 1/1/2018 2/12/2016 959590268 SAEED SABA N PSP Neurology 1/1/2018 8/29/2017 959590268 SAEED SABA N PSP Neurology 2/9/2018 8/29/2017 675946801 SAKSENA FRANKLIN B PCP Internal Medicine 1/1/2018 12/30/2019 675946801 SAKSENA FRANKLIN B PSP Cardiovascular Disease 2/9/2018 12/30/2019 665178953 SANI SEPEHR PSP Neurological Surgery 1/1/2018 6/15/2016 268825869 SAWAQED RAY S PSP General Surgery 2/9/2018 12/12/2019 654949264 SCHMIDT JULIE B PSP Obstetrics-Gynecology 1/1/2018 1/19/2016 654949264 SCHMIDT JULIE B PCP Obstetrics-Gynecology 2/9/2018 1/19/2016 306099254 SCHWARTZ DAVID N PSP Infectious Diseases 1/1/2018 6/8/2016 306099254 SCHWARTZ DAVID N PSP Infectious Diseases 2/9/2018 6/8/2016 307054085 SEDER CHRISTOPHER WILLI PSP Thoracic Surgery 1/1/2018 2/27/2020 097606333 SEFER VESNA PSP Internal Medicine 1/1/2018 1/19/2016 257368367 SEGRETI JOHN PSP Infectious Diseases 1/1/2018 7/30/2013 123270332 SENGUPTA MONDRIA PSP Rheumatology 1/1/2018 7/31/2013 849404523 SEO LEE ALISA TSU PCP Pediatrics 1/1/2018 1/19/2016 769100872 SESHAGIRIRAO DONTHAMSETTI PSP Radiation Oncology 8/1/2019 6/4/2018 613803774 SHA BEVERLY E PSP Infectious Diseases 1/1/2018 9/19/2013 277694835 SHAH SEJAL PCP Internal Medicine 1/1/2018 8/20/2019 193533307 SHAPIRO MICHAEL J PSP Ophthalmology 1/1/2018 6/1/2011 409328413 SHARMA ABHA PCP Family Practice 1/1/2018 11/3/2016 516401155 SHARMA SAMEER PSP Gynecology 1/1/2018 6/28/2019 728614140 SHENG NEHA D PSP General Surgery 1/1/2018 1/19/2016 589649280 SHETH AVANI JASV PCP Family Practice 1/1/2018 12/15/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 207469030 SHIM KYUNGRAN PCP Internal Medicine 1/1/2018 1/19/2016 421810807 SHIVAKUMAR VIDYA PSP Dermatology 1/1/2018 1/19/2016 587322429 SIMS THOMAS LESL PSP Pediatric Surgery 8/24/2018 1/13/2020 185196920 SIWY GRAZYNA JOA PCP Internal Medicine 1/1/2018 1/19/2016 185196920 SIWY GRAZYNA JOA PCP Internal Medicine 2/9/2018 1/19/2016 062739888 SMITH NORA MAJ PSP Family Practice 1/1/2018 1/19/2016 371937448 SMITH PAMELA D PCP Internal Medicine 1/1/2018 1/19/2016 146824307 SMITH PATRIKA L PCP Internal Medicine 1/1/2018 7/29/2013 826285751 SMITH SEAN B PSP Pulmonary Disease 1/1/2018 2/25/2016 826285751 SMITH SEAN B PSP Pulmonary Disease 2/9/2018 2/25/2016 234379786 SOLARI HUGO PSP Psychiatry 1/1/2018 8/15/2019 234379786 SOLARI HUGO PSP Psychiatry 2/9/2018 8/15/2019 234379786 SOLARI HUGO PSP Psychiatry 8/1/2019 8/15/2019 942030089 SONENTHAL KATHY R PSP Allergy/Immunology 1/1/2018 8/17/2012 915083849 STRESS MAUREEN PSP Licensed Clinical Psychology 2/9/2018 4/27/2017 980274143 STROZDAS LINDA J PSP Licensed Clinical Psychology 1/1/2018 2/9/2016 337881974 STULBERG DEBRA B PSP Family Practice 1/1/2018 9/19/2013 047630973 SUFFERN JENNIFER L PSP Podiatry 1/1/2018 1/25/2016 047630973 SUFFERN JENNIFER L PSP Podiatry 2/9/2018 1/25/2016 728860767 SUKHAL SHASHVAT PSP Pulmonary Disease 1/1/2018 7/31/2018 728860767 SUKHAL SHASHVAT PSP Pulmonary Disease 2/9/2018 7/31/2018 288739920 SUMOZA LUIS DAVID PSP Hematology and Oncology 1/1/2018 1/27/2016 822161080 SWIFT EDDIE L PSP Obstetrics-Gynecology 1/1/2018 1/27/2016 265980142 SZCZERBA STEFAN M PSP Plastic Surgery 2/9/2018 3/11/2019 105613571 TACHAUER ALESSANDRA PSP Psychiatry 1/1/2018 1/27/2016
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 490 - COOK MEDICAL GROUP 105613571 TACHAUER ALESSANDRA PSP Psychiatry 2/9/2018 1/27/2016 677403669 TANWAR SONIA PCP Internal Medicine 1/1/2018 1/27/2016 711686765 TATEBE LEAH PSP General Surgery 8/24/2018 12/22/2016 714517970 TELANDER KYLE J PSP Licensed Clinical Psychology 1/1/2018 2/25/2019 714517970 TELANDER KYLE J PSP Licensed Clinical Psychology 2/9/2018 2/25/2019 714517970 TELANDER KYLE J PSP Licensed Clinical Psychology 8/1/2019 2/25/2019 269338682 TENNERY STEPHANIE PSP Obstetrics-Gynecology 1/1/2018 1/13/2016 088895195 THAKRAR HARISHCHANDRA V PSP Radiation Oncology 1/1/2018 6/5/2014 787548284 THOMAS BONNIE W PCP Internal Medicine 1/1/2018 1/25/2016 988120192 THOMPSON LISA S PSP Ophthalmology 1/1/2018 12/3/2018 883222293 TINFANG CHANTAL SYLV PCP Family Practice 1/1/2018 1/25/2016 249390385 TOBIN MARY C PSP Allergy/Immunology 1/1/2018 7/29/2013 698621476 TRICK WILLIAM E PCP Internal Medicine 1/1/2018 1/27/2016 491204652 TROHMAN RICHARD G PSP Cardiovascular Disease 5/18/2018 7/29/2013 395144320 TULAIMAT AIMAN PSP Pulmonary Disease 1/1/2018 1/25/2016 707234091 UDAY SHREEYALA PSP Internal Medicine 1/1/2018 1/27/2016 743820142 UKOHA OZURU OCHU PSP Thoracic Cardiovascular 1/1/2018 1/27/2016 768153372 UNGARETTI JOY A PSP Obstetrics-Gynecology 1/1/2018 2/2/2016 210673349 VALDEZ DEMETRIA MELCHOR PSP Gastroenterology 1/1/2018 1/29/2016 043786594 VEENSTRA BENJAMIN RIC PSP General Surgery 1/1/2018 10/9/2015 550429192 VERGARA-RODRIGUEZ PAMELA T PCP Internal Medicine 1/1/2018 1/27/2016 550429192 VERGARA-RODRIGUEZ PAMELA T PCP Internal Medicine 2/9/2018 1/27/2016 824027115 VIDAL PATRICIA P PSP Urology 1/1/2018 2/9/2016 131176104 VYDAS HECTOR A PSP Family Practice 1/1/2018 1/15/2016 270936077 WALTON VERNER KIMBERLY M PSP Pediatrics 1/1/2018 1/15/2016
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BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 484 - ILLINOIS PHYSICIANS ALLIANCE LLC 048965200 ABARIOTIS NICOLAOS G PSP Cardiovascular Disease 1/1/2017 6/29/2017 793915134 ADKINS TERRENCE R PSP Licensed Clinical Professional 5/3/2017 1/24/2019 922303065 AHLUWALIA MUKESH K PSP Pulmonary Disease 1/1/2017 6/1/2011 402788667 AHRANJANI M MAT PCP Obstetrics-Gynecology 1/1/2017 1/14/2020 400997512 AJMANI HARPINDER S PSP Rheumatology 1/1/2017 7/2/2019 942581084 AKHTAR-BEGUM ROKEYA PCP Internal Medicine 1/1/2017 10/22/2018 687703373 ALSHAHROUR ADEEB PCP Obstetrics-Gynecology 1/1/2017 1/23/2019 211216946 ANDERSON LYNN M PSP Nephrology 1/1/2017 7/23/2015 398050653 ARNOLD KRISHA L PSP Licensed Clinical Professional 5/3/2017 4/10/2019 601874655 ARORA ASHISH K PSP Gastroenterology 1/1/2017 6/14/2012 455587542 BADDI LISA L PSP Oncology 4/1/2019 6/1/2011 355235557 BAR NOY TAMAR PSP Licensed Clinical Professional 5/3/2017 5/29/2019 461778605 BHATTI RABIA Z PSP General Surgery 1/1/2017 1/19/2018 478803598 BIRN ANNA PCP Family Practice 1/1/2017 9/26/2018 020110136 BOKAR LAURA L PSP Licensed Clinical Professional 1/18/2018 2/23/2018 491482620 BURANOSKY MARK P PSP Ophthalmology 1/1/2017 11/4/2019 197829872 CASAS PEREZ SILVANA F PSP Licensed Clinical Social Worker 5/3/2017 1/21/2020 754073872 CHAPPIDI PRASAD V PSP Neurology 1/1/2017 6/1/2011 609130734 CHERNOFF ALLEN M PSP Urology 1/1/2017 6/1/2011 976147553 CHEROMCHA DAVID P PSP Neonatal-Perinatal Medicine 1/1/2017 10/24/2016 434604551 CHUNDI VISHNU V PSP Infectious Diseases 1/1/2017 12/30/2015 394484921 CIOBANU BETY C PSP Hematology and Oncology 4/1/2019 1/18/2017 550414035 CISNEROS FERNANDO PSP Licensed Clinical Social Worker 5/3/2017 4/30/2019 299795790 CLOYD KAREN PSP Licensed Clinical Professional 5/3/2017 2/1/2018 625213902 COLLINS SHUNQUA LAVI PSP Licensed Clinical Social Worker 5/3/2017 3/25/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 484 - ILLINOIS PHYSICIANS ALLIANCE LLC 979490751 CONTI THOMAS J PSP Ophthalmology 9/21/2017 3/29/2019 033417078 COOPER LAURA PSP Licensed Clinical Social Worker 5/3/2017 5/15/2019 060137192 D SILVA JOSEPH L PSP Orthopedic Surgery 1/1/2017 2/12/2014 298083419 DOSHI ASHOKKUMAR M PSP Thoracic Cardiovascular 1/1/2017 6/1/2011 162521277 DOUGAL MARY A PSP Ophthalmology 9/21/2017 6/15/2017 400060541 DRAZKIEWICZ MACIEJ K PSP Hematology and Oncology 1/1/2018 10/13/2015 428913492 DSOUZA MERLYN N PCP Internal Medicine 1/1/2017 2/27/2019 096743404 D'SOUZA GODWIN H PCP Internal Medicine 1/1/2017 5/10/2018 280346498 DUBOWSKI JOSEPH PSP Licensed Marriage/Family 1/18/2018 9/11/2018 828921035 EIDT STEVEN PSP Ophthalmology 1/1/2017 5/7/2018 132401930 ETHINGTON JASON G PSP Ophthalmology 9/21/2017 4/27/2017 792928367 FISH KATHRYN E PSP Licensed Marriage/Family 1/18/2018 2/27/2019 658093775 FISHMAN DAVID L PSP Cardiovascular Disease 1/1/2017 2/3/2020 761124393 FORDWOR KORANTENG AMA A PSP Neonatal-Perinatal Medicine 1/1/2017 2/5/2019 864778980 FORYS VICTOR PCP Internal Medicine 1/1/2017 7/12/2019 014628548 FROMMELT CHERYL A PSP Licensed Clinical Professional 1/18/2018 9/17/2018 071848273 FULLILOVE DEBORAH PSP Licensed Clinical Social Worker 5/3/2017 2/20/2018 407121530 GARCIA BUDER SOFIA AMA PSP Endocrinology, Diabetes & 1/1/2017 6/1/2011 362238007 GOODMAN RICHARD PSP Licensed Clinical Professional 5/3/2017 5/22/2019 321784480 GOPANIUK FOLGA ANNA PSP Nephrology 1/1/2017 6/1/2011 413263865 GOVEKAR HENRY ROB PSP General Surgery 1/1/2017 6/11/2019 120235280 GRUSZECZKI JONATHON PSP Licensed Clinical Professional 5/3/2017 3/13/2019 027186159 HABIB FADI A PSP Urology 1/1/2017 10/20/2006 257114201 HAN ALICE PSP Infectious Diseases 1/1/2017 1/25/2019 561437695 HEFTER TERRY R PSP Licensed Clinical Professional 5/3/2017 1/29/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 484 - ILLINOIS PHYSICIANS ALLIANCE LLC 275945384 HEYDARPOUR KAMRAN PSP Gastroenterology 1/1/2017 12/30/2014 770230886 HILLMAN DAVID S PSP Ophthalmology 1/1/2017 6/17/2019 743245747 HOLLISTER TIMOTHY C PSP Radiation Oncology 1/1/2017 6/6/2019 952218088 HUSSAIN MOHAMMED A PCP Internal Medicine 1/1/2017 8/22/2018 093901349 IVANOV RADA I PSP Pulmonary Disease 1/1/2017 6/1/2011 183383195 JENSEN LINDSEY LAU PSP Licensed Clinical Social Worker 1/18/2018 1/25/2018 094331170 JESWANI SEEMA P PSP Otolaryngology 10/2/2017 1/5/2017 872756807 JOHNSON JAVITA PSP Licensed Clinical Social Worker 5/3/2017 2/16/2018 702472706 KACHRU ANIL PSP Pulmonary Disease 1/1/2017 6/1/2011 703235834 KARIDES MARK PSP Oncology 1/1/2017 2/21/2019 626137054 KEENON SUZANNE W PSP Licensed Clinical Professional 1/18/2018 5/12/2017 234825361 KIM NAM EUNG PSP Radiation Oncology 1/1/2017 6/12/2018 123240764 KOHN JILL ROSE PSP Licensed Clinical Psychology 5/3/2017 6/11/2018 530245146 KOMOTOS VIOLETA J PSP Neonatal-Perinatal Medicine 1/1/2017 6/1/2011 615827096 KONDILES MILTON N PSP Podiatry 1/1/2017 3/13/2018 108615513 LEE BOEUN PSP Infectious Diseases 1/1/2017 12/20/2018 748962894 MACDONALD CHARLES C PSP Neonatal-Perinatal Medicine 1/1/2017 6/1/2011 842511167 MALAPATI PREMESH PCP Internal Medicine 1/1/2017 1/29/2019 532532535 MALKO MAREK ART PCP Internal Medicine 1/1/2017 12/20/2018 184462244 MARTIN JAMIE JAY PSP Licensed Clinical Psychology 5/3/2017 3/9/2018 194795984 MATA CHRISTINE MAR PSP Ophthalmology 9/21/2017 10/23/2017 891391013 MCCLELLAN KEVIN R PSP Ophthalmology 9/21/2017 5/14/2018 254763721 MCDANIEL SAMANTHA R PSP Licensed Clinical Social Worker 1/18/2018 9/6/2018 130754511 MCGRATH CHRISTINE M PSP Licensed Clinical Psychology 1/18/2018 7/11/2019 068827188 MERCADO ALVARO O PCP Obstetrics-Gynecology 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 484 - ILLINOIS PHYSICIANS ALLIANCE LLC 340775414 MICHAEL BELMINA N PSP Dermatology 1/1/2017 6/17/2019 392440843 MIRZA IRFAN A PSP Oncology 1/1/2017 3/29/2019 101316144 MITCHELL YVETTE J PSP Licensed Clinical Social Worker 5/3/2017 9/13/2018 119928717 MOLINA MARK A PSP Licensed Clinical Professional 1/18/2018 8/28/2019 156810152 NARDIELLO JAMES R PSP Licensed Clinical Professional 5/3/2017 4/15/2019 457022247 NOBLE CARYL PSP Licensed Clinical Social Worker 5/3/2017 3/11/2019 040841504 ODONOHUE ERIN MAR PSP Licensed Clinical Psychology 1/18/2018 8/29/2018 184195301 OHRI ARUN PSP Gastroenterology 1/1/2017 6/1/2011 183115950 OSTRANDER ERIKA PSP Licensed Clinical Professional 5/3/2017 8/27/2019 762071132 PATEL AMRITBHAI P PSP Gastroenterology 1/1/2017 10/12/2018 847660222 PATEL ANNA A PSP Gastroenterology 5/11/2017 5/30/2019 394220060 POE LISA G PSP Licensed Clinical Social Worker 5/3/2017 2/11/2019 524029921 REISHUS SCOTT A PSP General Vascular Surgery 1/1/2017 2/6/2013 816444753 RIOS RICARDO ROL PSP Urology 8/5/2018 5/23/2018 776301900 ROSENBERG NEIL PSP Pulmonary Disease 1/1/2017 12/19/2019 463618654 ROY PATRICIA H PCP Internal Medicine 1/1/2017 8/5/2019 599789732 RUDNICK LAWRENCE A PSP Pulmonary Disease 1/1/2017 12/13/2012 750380885 SADAH ALAN Y PSP Urology 1/1/2017 3/12/2020 974130785 SAPIEGIENE LINA PSP Neonatal-Perinatal Medicine 1/1/2017 1/15/2015 339378444 SAWLANI PURSHOTAM D PSP Cardiovascular Disease 5/22/2017 5/23/2017 133151319 SCARPULLA KATHLEEN M PSP Ophthalmology 1/1/2017 3/21/2018 141927079 SCHUBERT CHARLES B PSP General Vascular Surgery 1/1/2017 12/10/2012 776857897 SHAH MEHUL RAM PSP Internal Medicine 4/11/2017 7/9/2018 480255002 SHAPLEIGH SARAH E PSP Licensed Clinical Social Worker 5/3/2017 10/31/2019 229625816 SOUTHWICK KAREN PSP Licensed Clinical Social Worker 1/18/2018 3/3/2020
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 484 - ILLINOIS PHYSICIANS ALLIANCE LLC 206419348 SPERON SAM J PSP Plastic Surgery 1/1/2017 6/1/2011 664139822 SROUBEK OTAKAR PSP Cardiovascular Disease 1/1/2017 12/9/2019 247439394 STANKIEWICZ JOANNA PSP Oncology 1/1/2017 7/10/2019 789574561 STROUPE DANIEL B PSP Infectious Diseases 1/1/2017 5/22/2018 077837247 SUKENIK DMITRY PSP Cardiovascular Disease 5/22/2017 5/23/2017 929033074 SULLIVAN KEVIN PSP Ophthalmology 9/21/2017 3/10/2020 120907534 THOMAS ALEX PSP Allergy/Immunology 1/1/2017 2/19/2018 528106640 THOMAS DOLLY PSP Allergy/Immunology 1/1/2017 6/1/2011 244851618 TIESENGA FREDERICK PSP General Surgery 1/1/2017 6/1/2011 854326049 TOMACIC CHRISTINA PSP Licensed Clinical Social Worker 5/3/2017 5/16/2018 029711150 VALAITIS DAIVA K PSP Nephrology 1/1/2017 6/1/2011 623000464 VETTER MARIE ROSE PSP Audiology 8/28/2017 8/20/2019 604940744 WAMBLE MERRIAM E PSP Licensed Clinical Social Worker 5/3/2017 11/11/2019 033536147 WIACEK JAN PCP Internal Medicine 1/1/2017 6/18/2018 330773451 WILSON JOHN R PSP Neurology 1/1/2017 6/1/2011 367578789 WISNIEWSKI WLODZIMIERZ PSP Neonatal-Perinatal Medicine 1/1/2017 12/9/2015 662356787 WITEK BOZENA PSP Oncology 1/1/2017 6/10/2019 269289805 YANG BENSON P PSP Neurological Surgery 1/1/2017 6/14/2019 172799698 YANG OLIVIA S PSP Licensed Clinical Social Worker 5/3/2017 4/17/2017
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 932566111 ADAB KALID NAM PSP Internal Medicine 3/27/2019 7/21/2017 932566111 ADAB KALID NAM PSP Oncology 3/27/2019 7/21/2017 690386036 AHMED FAROOQ M PCP Family Practice 3/21/2019 2/28/2018 690386036 AHMED FAROOQ M PSP Family Practice 3/21/2019 2/28/2018 612574746 AHN PHILLIP S PCP Family Practice 1/1/2017 5/10/2018 275523387 ALEXANDER PHILIP J PSP Thoracic Surgery 3/6/2017 1/21/2020 191233384 ALLGEIER MICHAEL A PSP Chiropractic 1/1/2017 5/16/2017 975245365 ANGELES JENNIFER LIM PCP Internal Medicine 1/1/2017 11/30/2018 565300541 ARTEAGA JACQUELINE P PCP Internal Medicine 1/1/2017 7/20/2018 249267373 ARTEAGA WALDO J PCP Internal Medicine 1/1/2017 7/31/2019 076732267 ARUN VEENA V PSP Ophthalmology 1/1/2017 4/29/2016 170628118 ATASSI SAMI PSP Internal Medicine 1/1/2017 3/13/2019 441790585 AWAD MAGDY K PCP Obstetrics-Gynecology 1/1/2017 10/9/2018 472886676 BAJAJ AJAY PSP Internal Medicine 1/1/2017 6/1/2011 605343609 BALLARIN LESZEK J PCP Internal Medicine 1/1/2017 6/1/2011 630308902 BATHLA BALJINDER SING PSP Pain Management 1/1/2017 2/16/2018 119231255 BEARD GLENN ANT PSP Internal Medicine 1/1/2017 9/6/2018 461240585 BERMAN VALENTIN PSP Psychiatry 3/8/2019 11/18/2010 040961140 BEYER LORELEI L PSP Certified Nurse Midwife 1/1/2017 2/25/2019 906752036 BHURGRI ABDUL H PCP Pediatrics 1/1/2017 3/21/2018 707902850 BLANCO ROBERT R PSP Internal Medicine 1/1/2017 12/27/2018 916321020 BOATWRIGHT PATRICIA MARY PSP Gynecology 1/1/2017 6/22/2018 577841724 BOWERSOX KEITH D PSP Thoracic Surgery 3/8/2017 12/30/2015 397565879 BROWN KIMBERLY THE PCP Pediatrics 1/1/2017 5/25/2018 397565879 BROWN KIMBERLY THE PCP Pediatrics 7/1/2018 5/25/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 329081225 CHAUDHRY FARIHA Y PSP Neurology 1/1/2017 2/25/2019 951963100 CHIARAMONTE BRIAN J PSP Podiatry 1/1/2017 9/17/2018 804063020 CHOY DANNY H PCP Internal Medicine 1/1/2017 8/31/2018 797286914 CHUA DAVID C PSP Gastroenterology 4/26/2018 3/27/2013 382551315 CLARK WHITE CORDIA M PCP Obstetrics-Gynecology 1/1/2017 5/25/2018 382551315 CLARK WHITE CORDIA M PSP Obstetrics-Gynecology 1/1/2017 5/25/2018 246685757 CROSS CHADRICK A PSP Thoracic Surgery 3/8/2017 5/15/2014 038653161 CUDECKI JOHN J PSP Urology 1/1/2017 6/1/2011 072898178 DE BUSTROS ANDREE C PSP Endocrinology, Diabetes & 4/30/2018 12/31/2019 617760734 DEL PRIORE ANTHONY PCP Internal Medicine 3/20/2019 6/13/2019 508719461 DHIR POOJA PCP Internal Medicine 1/1/2017 2/25/2019 970353180 DOREN GREGORY S PSP Ophthalmology 1/1/2017 12/27/2011 865528416 ENRIQUEZ GEORGE L PSP Podiatry 1/1/2017 2/24/2020 347496469 FAIRBAIRN JAMES P PCP Internal Medicine 1/1/2017 4/27/2018 476653907 FINEGOLD RICHARD D PCP Internal Medicine 8/31/2017 1/21/2019 607567732 FISHER THOMAS LEE PSP Dermatology 1/1/2017 6/1/2011 762491872 FONT GUILLERMO E PSP Obstetrics-Gynecology 1/1/2017 6/18/2019 076892223 FRANKLIN PAMELA M PCP Internal Medicine 1/1/2017 10/24/2018 442085503 GALLIGAN ROBERT PSP Licensed Clinical Psychology 1/1/2017 4/19/2017 654806355 GARCIA LUIS F PSP Maternal & Fetal Medicine 1/1/2017 2/25/2019 475691603 GASIOR ROBERT M PSP General Vascular Surgery 1/1/2017 8/22/2019 500041461 GOMEZ MICHAEL SAZ PSP Urology 1/1/2017 6/1/2011 605468609 GOYAL RAJ K PSP Ophthalmology 1/1/2017 6/1/2011 312784431 GRUBER BENJAMIN PSP Otolaryngology 1/1/2017 7/14/2015 175817334 GUPTA ROOP R PSP Gastroenterology 1/1/2017 6/13/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 308500434 HAGEN COLLEEN PSP General Surgery 3/7/2017 7/18/2019 810562907 HALL CALVIN H PSP Internal Medicine 1/1/2017 2/7/2018 267194494 HAMPTON ALFREDA PCP Obstetrics-Gynecology 1/1/2017 9/5/2018 005932128 HELLER WILLIAM A PSP Orthopedic Surgery 1/1/2017 7/8/2015 371762490 HIRSCH SHELDON M PSP Internal Medicine 1/1/2017 5/3/2019 197133310 HODAKOWSKI GEORGE T PSP Thoracic Surgery 3/6/2017 7/9/2012 422025817 HONG RICHARD PSP Internal Medicine 1/1/2017 6/1/2011 168516126 HRISTEA NIC ION PCP Internal Medicine 1/1/2017 6/1/2011 036650181 HUANG XIURONG PCP Family Practice 1/1/2017 11/5/2019 539832676 HUBKA TERESA A PCP Obstetrics-Gynecology 1/1/2017 2/19/2020 809635980 HUSSEINI AMER PSP Internal Medicine 1/1/2017 6/1/2011 437935858 ITTIARA SHAUN T PSP Ophthalmology 1/1/2017 6/18/2018 158783276 JAIN MUKESH C PSP Internal Medicine 1/1/2017 6/1/2011 781518800 JAMEN ERIN M PCP Pediatrics 1/1/2017 12/13/2018 446829584 JENKINS JONDELLE B PSP Podiatry 1/1/2017 6/1/2011 030242323 JOHNSON PIERRE M PSP Obstetrics-Gynecology 12/12/2019 5/31/2018 492913818 JOSEPH SEBASTIAN PCP Family Practice 1/1/2017 12/30/2015 248406376 JWEIED EIAS PSP Thoracic Surgery 3/7/2017 6/1/2011 033233164 KATES GAYLE LA PCP Pediatrics 1/1/2017 1/7/2019 501016157 KATHPALIA PARU P PSP Internal Medicine 1/1/2017 7/29/2019 549661501 KENNEDY APRIL R PSP Internal Medicine 1/1/2017 11/13/2008 326738536 KLINGBEIL LINDSEY REN PSP General Surgery 10/22/2019 8/20/2019 367417711 KOKEBIE REDIET PCP Internal Medicine 1/1/2017 7/25/2017 367417711 KOKEBIE REDIET PSP Internal Medicine 1/1/2017 7/25/2017 987278104 KOREY MICHAEL S PSP Ophthalmology 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 397020399 KOSANOVICH MARK E PCP Obstetrics-Gynecology 1/1/2017 1/31/2013 487146596 KOTLER HOWARD S PSP Otolaryngology 1/1/2017 4/10/2015 952819068 KRAMER JEFFREY PSP Neurology 1/1/2017 6/12/2019 543821652 KUSHNER MARLA D PCP Family Practice 1/1/2017 3/24/2018 439293855 LANDERAS VEEDA O PSP Nephrology 6/20/2019 7/29/2019 977985090 LATALL JOHN G PSP Allergy/Immunology 1/1/2017 5/13/2013 977985090 LATALL JOHN G PSP Allergy/Immunology 2/26/2019 5/13/2013 564114673 LERMA EDGAR V PSP Internal Medicine 1/1/2017 6/1/2011 992319116 LEVINSON DENNIS J PSP Internal Medicine 1/1/2017 6/1/2011 784408496 LIOTTA MARGARET ROSE PSP Obstetrics-Gynecology 12/6/2019 12/27/2019 005855697 LUBAWSKI JAMES LAW PSP Thoracic Surgery 2/26/2019 2/4/2019 009375494 MADAY MICHAEL GEO PSP Orthopedic Surgery 1/1/2017 10/13/2016 867934437 MANDREA STEVEN N PSP Dermatology 4/22/2019 12/22/2006 974395049 MARKOS MICHAEL ACHI PSP Pulmonary Disease 1/1/2017 2/20/2019 485463604 MARRUENDA FRANCISCO PSP Ophthalmology 1/1/2017 6/1/2011 500277161 MELGAREJO GLAAB RITA PCP Family Practice 11/7/2018 8/1/2018 340775414 MICHAEL BELMINA N PSP Dermatology 1/1/2017 6/17/2019 627540847 MIKLOS JENNIFER M PSP Podiatry 1/1/2017 8/12/2010 352215517 MIKLOS ROBERT C PSP Podiatry 1/1/2017 6/1/2011 836797962 MILENKOVICH DANICA L PCP Internal Medicine 1/1/2017 9/13/2017 353213443 MINOGUE KATHRYN A PSP Licensed Clinical Psychology 1/1/2017 6/20/2019 204492020 MOINUDDIN RIZWAN PSP Internal Medicine 1/1/2017 7/2/2019 478691752 MUNIYAPPA PRAVIN K PSP Allergy/Immunology 1/1/2017 7/22/2019 300892777 NAYAR RAJEEV PSP Gastroenterology 4/27/2018 3/24/2018 170208298 NICHOLS REUBEN T PCP Internal Medicine 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 062713154 OLIVIER MILDRED M G PSP Ophthalmology 1/1/2017 6/1/2011 750273344 PATEL NEEL BHA PSP Otolaryngology 1/1/2017 6/10/2019 598417519 PEREGO GAETANO F PCP Obstetrics-Gynecology 4/27/2017 10/31/2018 746357873 PHILLIPS VALESIA PCP Internal Medicine 1/1/2017 12/16/2019 092438519 POPESCU ALEXANDRA PSP Internal Medicine 1/1/2017 1/30/2020 092438519 POPESCU ALEXANDRA PCP Internal Medicine 1/1/2017 1/30/2020 865876989 POTKUL RONALD PSP Gynecologic Oncology 10/20/2017 10/14/2015 075855661 PSARADELLIS TELLY PSP Orthopedic Surgery 1/1/2017 6/1/2011 614594255 QUINTEROS FRANCISCO A PSP Colon-Rectal Surgery 1/1/2017 1/14/2019 318552474 RAIJI VEENA RAO PSP Ophthalmology 9/4/2018 11/24/2015 641321438 RAVIKUMAR MEERA PCP Internal Medicine 3/21/2019 7/31/2019 072817459 ROQUE DAVID LOP PSP Family Practice 6/29/2017 10/13/2016 326741449 RUBIN GARY V PSP Ophthalmology 1/1/2017 6/5/2019 122832358 RUWALDT KAREN PSP Certified Nurse Midwife 8/19/2019 9/9/2019 064450576 SAMUEL BENJAMIN U PSP Internal Medicine 1/1/2017 6/21/2018 447134587 SANDIFORD SHELLEY PCP Family Practice 8/28/2018 6/18/2019 433864414 SAPORTA ALBERT PSP Gastroenterology 10/18/2019 1/24/2019 890841047 SARMA VIJAYA K PCP Internal Medicine 1/1/2017 8/23/2018 745818878 SAVAGE HUGH R PCP Internal Medicine 1/1/2017 6/1/2011 987217134 SCHAFFER LESLIE PSP Neurological Surgery 1/1/2017 6/1/2011 142976369 SCHMIDT VIRGINIA PCP Family Practice 7/30/2019 3/20/2019 989958489 SHAIKH IMRAN NISAR PCP Internal Medicine 1/1/2017 1/24/2019 772641269 SHIRAZI HAIDER ALI PSP Radiation Oncology 1/1/2017 8/20/2019 751928867 SHIRAZI SYED JAVE PSP Radiation Oncology 1/1/2017 8/20/2019 492164778 SHULRUFF REEVA PCP Pediatrics 1/1/2017 6/11/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 442484566 SLACK CHARLES M PSP Orthopedic Surgery 1/1/2017 1/21/2015 466774632 SMITH RUDYARD URIA PCP Internal Medicine 1/1/2017 11/22/2019 109501250 SOBRERO MARIA INES PSP Internal Medicine 1/1/2017 9/8/1999 635619760 SOIFER NEIL E PSP Internal Medicine 1/1/2017 6/14/2019 758105961 SOUNDARARAJAN RAMESH PSP Internal Medicine 1/1/2017 6/1/2011 216620900 STERN DAVID ROSS PSP Thoracic Surgery 3/6/2017 2/1/2016 490344991 STRUGALA ROBERT J PSP Family Practice 1/1/2017 2/22/2016 599958742 SUBRAMANIAN SESHAN PSP Internal Medicine 1/1/2017 3/5/2018 608482913 SULLIVAN HENRY JAM PSP Thoracic Surgery 1/1/2017 6/28/2013 170392479 SY HAROLD M PSP Ophthalmology 1/1/2017 12/31/2007 740987864 TEJI RANJIT K PCP Pediatrics 1/1/2017 12/31/2018 481158483 TOLITANO DOMINIC J PSP Cardiovascular Disease 1/1/2017 7/25/2017 183250754 TRIPATHI ANGIE PCP Internal Medicine 7/25/2019 10/17/2019 324313453 TSONIS LAMBROS PSP Thoracic Surgery 2/26/2019 12/30/2011 110106238 ULASZEK DAVID PCP Internal Medicine 1/1/2017 6/5/2019 969217868 UY ARLENE S PSP Internal Medicine 1/1/2017 2/4/2019 334481465 VICENCIO DANIEL P PSP Internal Medicine 1/1/2017 4/30/2019 873694004 WANG QIAN PCP Internal Medicine 8/7/2018 9/23/2019 228589649 WARD SUSAN PSP Certified Nurse Midwife 1/11/2019 3/14/2018 073899492 WESTERVELT NORMA B PCP Pediatrics 1/1/2017 4/30/2019 128876100 WILLIAMS NICOLE E PCP Obstetrics-Gynecology 1/1/2017 3/21/2013 078833519 WINDER ABIGAIL DUN PSP Gynecologic Oncology 12/6/2019 3/2/2018 298054455 WONG ALTON CHU PSP Internal Medicine 1/1/2017 8/6/2018 992350123 WONG SZE KIN PCP Family Practice 1/1/2017 3/17/2018 160149324 WOZNICA DONALD V PCP Family Practice 1/1/2017 2/3/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 155 - INDEPENDENT PHYSICIANS AT MERCY 262150749 WYATT DOVILAN LOG PSP Ophthalmology 1/1/2017 6/30/2017 361889922 XIE SHAN SHA PCP Family Practice 10/18/2018 1/16/2019 178602730 YAMANAKA TRAVIS T PSP Pulmonary Disease 5/26/2017 9/6/2019 656940112 ZENG MICHELLE YU PCP Internal Medicine 1/1/2017 11/18/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 437945972 ABDELHADY KHALED M PSP Thoracic Surgery 1/1/2017 8/21/2009 079872239 AHMED AZIZ PSP Internal Medicine 1/1/2017 5/6/2019 163916166 AHMED MOHAMMAD M PSP Internal Medicine 1/1/2017 1/26/2018 674316677 ALVA ESTHER M PSP Internal Medicine 1/1/2017 3/9/2007 734441167 ARANAS ROSALYN M PSP Neurology 1/1/2017 5/16/2019 503808244 BALAJI THANKAPPA P PSP Pediatrics 1/1/2017 6/1/2011 980286130 BANDUKWALA CINDY LYN PSP Licensed Clinical Social Worker 8/1/2019 12/18/2019 563092800 BARBER GABRIELLE WILLI PCP Family Practice 5/17/2017 2/25/2019 862398179 BARRIOS ELLEN K PCP Pediatrics 5/17/2017 2/24/2020 612200714 BARRIOS FELIPE PSP Pediatrics 1/1/2017 6/26/2017 812167400 BARTLETT ALLISON PSP Pediatrics 1/1/2017 8/28/2019 368158950 BENATAR JOSE DANI PSP Cardiovascular Disease 1/1/2017 12/31/2018 771266470 BENJAMIN CHERYL B PSP Physical Medicine & 1/1/2017 3/15/2019 172676290 BLANKSTEIN JOSEF PSP Obstetrics-Gynecology 1/1/2017 3/17/2018 244775443 BOYD ANDREA L PSP Licensed Clinical Psychology 8/1/2019 7/26/2018 561595453 BREWER AUDREY G PCP Pediatrics 1/1/2017 5/10/2018 229268549 BUCHANAN DAVID ALLEN PCP Family Practice 1/1/2017 2/15/2018 068076795 BUCKNER BRITTANY A PSP Licensed Clinical Professional 1/1/2017 9/28/2018 687014829 BUTLER PAULA PSP Internal Medicine 1/1/2017 1/22/2019 620729076 CALAS CURT W PSP Licensed Clinical Professional 8/1/2019 1/31/2019 136087480 CANNING SALLY S PSP Licensed Clinical Psychology 1/1/2017 7/10/2019 630920721 CARRILERO LUIS PSP Orthopedic Surgery 1/1/2017 3/7/2018 341891564 CASACCIO GARY A PSP Psychiatry 8/1/2019 10/30/2018 671239794 CHANG DAVID KYU PSP Orthopedic Surgery 1/1/2017 10/31/2018 930601437 CHENG JENNIFER YING PCP Family Practice 5/17/2017 7/17/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 091045762 CHIU STEPHEN C PCP Family Practice 5/17/2017 10/8/2018 935833964 CLARDY CASEY E PSP Licensed Clinical Psychology 1/1/2017 10/16/2018 202738388 DAVIS SERPAS CAROL E PSP Licensed Clinical Professional 8/1/2019 8/7/2018 755772544 DETMER GINA L PCP Pediatrics 1/1/2017 5/10/2018 299848272 DETMER WAYNE MOR PCP Family Practice 1/1/2017 6/17/2019 705124628 DONS ROBERT PSP Internal Medicine 1/1/2017 1/7/2020 457023392 DOWELL DAISEY D PCP Pediatrics 1/1/2017 5/31/2019 590263696 DRAY PHILIP B PSP Ophthalmology 1/1/2017 9/19/2018 621533667 DZIKOWSKI MATEUSZ PSP Licensed Clinical Psychology 8/1/2019 12/18/2019 019227125 EARLES LUCIUS C PSP Dermatology 1/1/2017 6/1/2011 724789913 ELIFSON CALVIN D PSP Licensed Clinical Professional 8/1/2019 4/15/2019 528961628 FEINKIND LEONARD N PSP Obstetrics-Gynecology 1/1/2017 2/20/2020 517419643 FELSKE JENNIFER M PSP Podiatry 1/1/2017 12/27/2019 025256272 FRIEDMAN BENJAMIN JAY PSP Physical Medicine & 1/1/2017 11/13/2018 441972506 GARAPATI RAJEEV PSP Orthopedic Surgery 1/1/2017 5/26/2006 886299555 GARCIA ENZO JAVI PSP Pediatrics 1/1/2017 11/6/2009 503419624 GARELICK DAVID H PSP Orthopedic Surgery 1/1/2017 10/24/2016 612230013 GARTEL MEDEIA PSP Psychiatry 1/1/2017 3/6/2018 087622221 GERALDO VICTORIA ESC PSP Pediatrics 1/1/2017 2/25/2019 633021446 GERTZ BETSY PSP Licensed Clinical Psychology 1/1/2017 10/15/2018 209066328 GOLDBERG BENJAMIN A PSP Orthopedic Surgery 1/1/2017 6/1/2011 907401951 GREELEY KARA WHI PCP Family Practice 1/1/2017 6/14/2019 696702842 GRIFFIN ANDREW J PSP Pediatrics 1/1/2017 6/1/2011 332684575 GULECYUZ MEHMET S PSP Pediatrics 1/1/2017 6/1/2011 492527068 GUO JINGTAO J PSP Ophthalmology 1/1/2017 6/6/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 955702245 HAAS BARBARA EVE PCP Obstetrics-Gynecology 1/1/2017 7/20/2018 955702245 HAAS BARBARA EVE PCS Obstetrics-Gynecology 1/1/2017 7/20/2018 355982343 HAAS CLAUDIA J PSP Licensed Clinical Psychology 8/1/2019 11/14/2019 171695392 HABEEB MURTUZA H PSP General Surgery 1/1/2017 6/1/2011 892564563 HATHIWALA SURESH C PSP Internal Medicine 1/1/2017 6/5/2019 747587784 HAYDEN M KATHLEEN PSP Licensed Clinical Psychology 8/1/2019 3/4/2019 285635081 HEGSTROM MARY PCP Family Practice 5/17/2017 3/24/2018 461438664 HICKOK MANNEBACH KATHRYN L PSP Licensed Clinical Social Worker 8/1/2019 2/19/2020 438939615 HOMSI MOHAMMED SAE PSP Neurology 1/1/2017 2/14/2020 312744436 HOOGLAND SANDRA PCP Family Practice 1/1/2017 1/7/2019 609614729 HUBER JANICE F PCP Internal Medicine 5/17/2017 2/25/2019 087266206 HUGGETT THOMAS D PCP Family Practice 5/17/2017 12/16/2019 414967789 HURULA KAREN HAY PSP Licensed Clinical Psychology 1/1/2017 3/8/2019 375031514 HUSAYNI TAREK S PSP Pediatrics 1/1/2017 6/1/2011 844164603 HWANG JAMES PCP Internal Medicine 5/17/2017 5/20/2019 147928856 ILIESCU MARIA E PSP Internal Medicine 1/1/2017 11/6/2013 117723654 IMRAN NAVEEN PSP Pediatrics 1/1/2017 6/13/2019 777626699 INGENERI AMY J PCP Pediatrics 1/1/2017 5/1/2018 437935858 ITTIARA SHAUN T PSP Ophthalmology 10/1/2019 6/18/2018 237358649 JACOB JEENA GEO PSP Licensed Clinical Psychology 8/1/2019 5/25/2018 989082908 JACOB SUSAN PCP Family Practice 1/1/2017 12/16/2019 462515466 JARVIS KAREN M PSP Licensed Clinical Professional 8/1/2019 10/23/2019 775844884 JOHNSON DANIEL PSP Pediatrics 1/1/2017 6/4/2018 802698261 JOHNSON PATRICIA PSP Licensed Clinical Psychology 1/1/2017 7/23/2019 335512562 JONES ANNGELL PSP General Surgery 1/1/2017 5/30/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 591162997 JONES ELISABETH M PCP Pediatrics 5/17/2017 6/7/2019 946951017 JUNG JANE B PSP Licensed Clinical Psychology 8/1/2019 8/6/2019 402497508 KAHLE BRADLEY C PSP Licensed Clinical Psychology 8/1/2019 2/21/2019 632709308 KANARD ROBERT C PSP General Surgery 1/1/2017 5/25/2016 978108195 KASSEM MOHAMMED A PSP Internal Medicine 1/1/2017 11/20/2017 347588503 KATERJI M AMM PSP Neurology 1/1/2017 6/1/2011 804192446 KATZ DANIEL PSP General Surgery 1/1/2017 6/1/2011 138113258 KAUFMAN GARY I PCP Pediatrics 1/1/2017 7/23/2019 913646215 KHANNA PRIYA PSP Pediatrics 1/1/2017 8/27/2018 165596283 KHOSLA PARAMJEET PSP Internal Medicine 1/1/2017 2/25/2019 057188166 KHOSLA SANDEEP PSP Internal Medicine 1/1/2017 7/11/2019 834529301 KIJOWSKI THERESA PSP Certified Nurse Midwife 6/29/2018 2/21/2019 757953886 KIRSCHNER KRISTI L PSP Physical Medicine & 1/1/2017 6/6/2019 256353310 KUHL AMY M PSP Certified Nurse Midwife 1/1/2017 8/29/2018 836292945 KUMAR GIRIJA K PCP Internal Medicine 1/1/2017 1/28/2020 514219137 KWAK DAE THE PCP Obstetrics-Gynecology 1/1/2017 3/26/2019 331269895 LEACH MARYANNE PSP Licensed Clinical Professional 1/1/2017 4/16/2018 493170796 LEE JANE KAYL PSP General Surgery 1/1/2017 11/23/2011 797240870 LEE STEVE C PSP Psychiatry 8/1/2019 7/26/2017 315429479 LIANG JAMES CHIE PSP Ophthalmology 10/1/2019 1/21/2020 755845765 LIN CATHERINE T PCP Internal Medicine 1/1/2017 5/29/2019 799726879 LINDER ANDREW O PSP Licensed Clinical Social Worker 8/1/2019 4/12/2019 502177054 LURVEY KIMBERLY S PSP Licensed Clinical Social Worker 8/1/2019 8/1/2019 175704594 LUU MINH PSP General Surgery 1/1/2017 6/1/2011 644093933 MAGNANI JASON J PSP General Surgery 1/1/2017 6/12/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 785156900 MAKHLOUF MANSOUR V PSP Plastic Surgery 1/1/2017 2/4/2014 776277921 MASSAD MALEK G PSP Thoracic Surgery 1/1/2017 6/17/2019 930722041 MCKNIGHT KRISTEN K PSP Licensed Clinical Psychology 8/1/2019 12/18/2019 797363020 MCLEAN KATHRYN PSP Licensed Clinical Psychology 1/1/2017 7/24/2018 200063289 MEHTA BRITTANY LOG PSP Certified Nurse Midwife 1/1/2017 3/13/2019 978828213 MELIA JAMES B PCP Family Practice 1/1/2017 11/29/2018 913914380 MESCHINO RICHARD JOH PSP Licensed Clinical Psychology 8/1/2019 10/6/2017 575878728 METZ SLOAN V PSP Podiatry 1/1/2017 12/4/2019 926008057 MEYER BARBARA E B PSP Licensed Clinical Psychology 1/1/2017 7/24/2018 349241758 MILBURN MASON WAY PSP Orthopedic Surgery 1/1/2017 1/30/2020 558406996 MILLER KATHRYN H PCP Family Practice 1/1/2017 9/30/2019 566254953 MIRANTI SANTI V PSP Licensed Clinical Psychology 1/1/2017 8/12/2019 709250634 MORRIS DAVID ERIK PSP Plastic Surgery 1/1/2017 8/28/2019 086708202 NAATZ LISA F PSP Licensed Clinical Psychology 8/1/2019 10/12/2018 648760782 NAOM HASSAN F PCP Internal Medicine 1/1/2017 7/31/2017 355547359 OVADIA MARC PSP Pediatrics 1/1/2017 5/15/2002 923279032 OW EARL PHIL PSP Pediatrics 1/1/2017 6/1/2011 814761973 PATEL NISHITKUMAR SAT PSP Orthopedic Surgery 1/1/2017 1/21/2019 521120964 PILLAI SRIKUMAR B PSP General Surgery 1/1/2017 3/20/2012 827444544 PIPPEL JACQUELIN A PSP Licensed Clinical Professional 8/1/2019 10/28/2019 999599493 POLADIAN ANTRANIK S PSP Pediatrics 1/1/2017 6/1/2011 191063272 PREYSS BENJAMIN A PCP Family Practice 5/17/2017 8/16/2017 901372810 PREYSS MELISSA ALIA PCP Obstetrics-Gynecology 1/26/2018 2/6/2020 511796652 PYYKKONEN BENJAMIN A PSP Licensed Clinical Psychology 8/1/2019 5/30/2017 694680998 REBUCK DAVID AAR PSP Urology 1/1/2017 9/22/2010
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 218574363 RETZNER KATHLEEN PSP Licensed Clinical Social Worker 8/1/2019 12/12/2019 539116680 REYES JOSELITO C PSP Pediatrics 1/1/2017 3/22/2018 425680702 ROIG GENEVIEVE A PSP Licensed Clinical Social Worker 8/1/2019 12/9/2019 449176571 ROMEISER ADAM H PCP Internal Medicine 5/17/2017 5/30/2018 485436593 ROWELL BRUCE W PCP Pediatrics 1/1/2017 7/10/2019 388131502 RUSSELL LISA MAR PSP Internal Medicine 1/1/2017 9/24/2018 165261380 SAKYIAMA THERESA PSP Psychiatry 8/1/2019 12/12/2019 488134602 SANDBERG CHARLENE E PSP Licensed Clinical Professional 8/1/2019 12/5/2019 806204597 SANDERS EUGENIA T PCP Pediatrics 1/1/2017 7/10/2019 949800954 SAPTHAVEE ANDREW PSP Otolaryngology 1/1/2017 3/2/2020 103069465 SAXENA NUPUR PSP Physical Medicine & 1/1/2017 7/11/2019 095862246 SCHULTZ CARYN ANN PSP Licensed Clinical Social Worker 8/1/2019 10/19/2018 986139716 SEBRO NADEW S PSP Internal Medicine 1/1/2017 12/16/2019 424992535 SELVARAJ PRAKASH PSP Ophthalmology 1/1/2017 12/19/2012 638423422 SERRANO ANDRES PSP Internal Medicine 1/1/2017 2/19/2020 121981043 SETHI AMAN PSP Internal Medicine 1/1/2017 8/1/2013 091352199 SMITH EARL C PSP Internal Medicine 1/1/2017 6/29/2017 267608070 SONG MEGAN MENG PCP Pediatrics 5/17/2017 6/24/2019 328238318 SOYANNWO BALOGUN BOLANLE S PCP Internal Medicine 1/1/2017 7/14/2015 792970004 SRINIVASAN GOPAL PSP Pediatrics 1/1/2017 6/13/2019 239804357 SRINIVASAN HARI PSP Pediatrics 1/1/2017 6/1/2011 391340281 STANCU MIHAELA MON PSP Internal Medicine 1/1/2017 4/18/2013 900758306 STEVENSON REBEKAH MAR PSP Licensed Clinical Professional 9/20/2018 9/20/2018 329450373 SUEBLINVONG VITHIDA PSP Pediatrics 1/1/2017 6/1/2011 560909314 SULLIVAN RYAN J PSP General Surgery 1/1/2017 9/4/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 454 - LAWNDALE CHRISTIAN HEALTH CENTER 427643498 SWATZELL MARQUIE KELLY JEA PSP Licensed Clinical Psychology 8/1/2019 5/21/2019 668246897 TEWELDE HELEN PCP Pediatrics 5/17/2017 12/27/2018 381065352 TINFANG RODRIGUE M PCP Family Practice 5/17/2017 9/24/2018 500755601 TIRUVURY ANURADHA PSP Pediatrics 1/1/2017 5/10/2019 684353596 TORRES KARLA A PSP Licensed Clinical Psychology 1/1/2017 7/24/2018 595956085 VAFA AMIR H PSP General Surgery 1/1/2017 12/6/2018 647562934 VENOVIC EIKO KOM PSP Licensed Clinical Psychology 8/1/2019 11/19/2018 710937823 VERMA ARUN K PSP Internal Medicine 1/1/2017 3/17/2018 680124829 WESTERHOLM MARY PCP Family Practice 5/17/2017 8/23/2019 913329027 WISE STEPHEN R PSP General Surgery 1/1/2017 8/16/2019 130938909 XU RONG PSP Internal Medicine 1/1/2017 6/13/2019 351171939 YADULLAHI MIR A PSP Neurology 1/1/2017 2/27/2019 242798011 ZAHN RACHEL SUN PSP Licensed Clinical Psychology 1/1/2017 11/14/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 410 - P E F CLINIC LTD 740496775 ALI SYED F PSP Internal Medicine 1/1/2017 8/14/2018 669303609 DAUD ASIF N PCP Family Practice 1/1/2017 3/6/2018 363542485 DODDA LAKSHMI P PCP Family Practice 1/1/2017 5/31/2018 840209969 DORSEY WILLIAM O PSP Ophthalmology 1/1/2017 10/8/2018 574200864 FRIEDELL PETER E PSP Internal Medicine 1/1/2017 1/21/2019 574200864 FRIEDELL PETER E PCP Internal Medicine 1/1/2017 1/21/2019 253376360 GADRINAB NELCAR M PSP Urology 1/1/2017 6/1/2011 886824000 GULATI ANIL PSP Neurology 1/1/2017 6/1/2011 810562907 HALL CALVIN H PSP Gastroenterology 1/1/2017 2/7/2018 065444808 HASAN SIDDIQ PSP General Surgery 1/1/2017 7/20/2018 952819068 KRAMER JEFFREY PSP Neurology 1/1/2017 6/12/2019 197631372 MAITAR MICHAEL ISSAM PSP Internal Medicine 1/1/2017 3/7/2019 118256284 MEHTA HARSHAD M PSP Psychiatry 1/1/2017 2/5/2013 874873999 MONTGOMERY SHIRLEY M PCP Pediatrics 1/1/2017 12/31/2018 478691752 MUNIYAPPA PRAVIN K PSP Allergy/Immunology 1/1/2017 7/22/2019 537835671 MURTHY BANGALORE R S PSP Internal Medicine 1/1/2017 4/15/2019 287582394 PARKER SURRENTHIA R PSP Orthopedic Surgery 1/1/2017 12/27/2018 882697994 RAHMAN ZAHIDUR PCP Family Practice 1/1/2017 6/28/2018 545494592 RAO SANJAY N PSP Ophthalmology 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 468 - PARTNERS IN HEALTH INC 242998385 ABBASI TAHIR A PSP Cardiovascular Disease 9/1/2018 4/13/2018 932566111 ADAB KALID NAM PSP Hematology and Oncology 9/1/2018 7/21/2017 602506759 AHMAD IJAZ PCP Internal Medicine 9/1/2018 1/21/2015 184605555 AKERE AYOADE O PCP Family Practice 9/1/2018 6/26/2019 007843136 AKHIGBE CLARA O PCP Pediatrics 9/1/2018 7/1/2015 645835749 ALSTON CHARLES C PCS Obstetrics-Gynecology 1/1/2017 6/1/2011 955195940 ALSTON WHITNEY PSP Obstetrics-Gynecology 9/1/2018 8/26/2019 152712614 ATRI GAURIKA M PCP Internal Medicine 9/1/2018 1/18/2018 498378635 BADEMOSI ADEBAYO ADE PCP Family Practice 9/1/2018 8/2/2013 608010853 BAUTISTA MARIA RIZA D PCP Family Practice 1/1/2017 11/13/2018 608010853 BAUTISTA MARIA RIZA D PCP Family Practice 9/1/2018 11/13/2018 125377238 BEKELE ALEMAYEHU PSP General Surgery 1/1/2017 9/24/2018 125377238 BEKELE ALEMAYEHU PSP General Surgery 9/1/2018 9/24/2018 424001615 BHANUSHALI GAUTAM K PSP Nephrology 9/1/2018 4/11/2014 974889459 BRADSHAW JOI F PSP Obstetrics-Gynecology 9/1/2018 7/12/2018 002022150 BUTLER DAVID N PSP Gastroenterology 9/1/2018 6/1/2017 230324379 CAVE ROGELIO O PCP Internal Medicine 9/1/2018 4/25/2018 738188861 CHAFFIN EDITH M PCP Family Practice 1/1/2017 12/17/2019 738188861 CHAFFIN EDITH M PCP Family Practice 9/1/2018 12/17/2019 875975016 CHAN CHEUNG HIN PSP Podiatry 1/1/2017 9/18/2018 273527450 CHAN PING H PSP Podiatry 9/1/2018 3/27/2019 446829631 DUMPIT ARCADIO L PCP Family Practice 9/1/2018 9/21/2018 019227125 EARLES LUCIUS C PSP Dermatology 1/1/2017 6/1/2011 186506337 EBIE NYAMBI PSP Hematology and Oncology 9/1/2018 6/1/2011 253376360 GADRINAB NELCAR M PSP Urology 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 468 - PARTNERS IN HEALTH INC 253376360 GADRINAB NELCAR M PSP Urology 9/1/2018 6/1/2011 786895919 GANDHI HARIVADAN K PCP Pediatrics 9/1/2018 6/1/2011 457390589 GERMAIN GEORGES B PCP Pediatrics 9/1/2018 1/21/2019 024718955 GUPTA VIVEK A PCP Internal Medicine 9/1/2018 4/30/2019 438939615 HOMSI MOHAMMED SAE PSP Neurology 1/1/2017 2/14/2020 522277627 HUSSAIN MOHAMMED T PSP Hematology and Oncology 9/1/2018 3/7/2018 957380080 IZHAR FARZANA PCP Pediatrics 9/1/2018 8/20/2019 152311596 JAIN ANUJ PCP Family Practice 9/1/2018 1/19/2016 142080951 JAJOO DEEPAK PSP Allergy/Immunology 1/1/2017 8/19/2019 041971176 JAVIER MARLU P PCP Pediatrics 1/1/2017 6/6/2019 198723363 JOHNSON CLAUDIA M PSP Gastroenterology 9/1/2018 4/1/2014 274018100 JOHNSON VIETTA L PSP Orthopedic Surgery 9/1/2018 3/15/2019 492913818 JOSEPH SEBASTIAN PCP Family Practice 9/1/2018 12/30/2015 828211930 KANAGARAJU BALA R PCP Pediatrics 1/1/2017 6/28/2017 234825361 KIM NAM EUNG PSP Radiation Oncology 9/1/2018 6/12/2018 071006232 KREVITZ CURT S PSP Podiatry 1/1/2017 10/31/2018 545667549 LAKE KATRINA T PSP Obstetrics-Gynecology 9/1/2018 6/24/2018 484203628 LAY HONG MIN PSP General Surgery 1/1/2017 9/27/2017 586615030 LEWIS JOHNNIE PSP Podiatry 1/1/2017 9/2/2015 965669713 MIGALLY FARIDA PSP Nephrology 9/1/2018 8/6/2019 364863494 MUTUA JERRY M PCP Family Practice 1/1/2017 3/17/2018 364863494 MUTUA JERRY M PCP Family Practice 9/1/2018 3/17/2018 133441136 NAIK MINAL PCP Family Practice 9/1/2018 6/12/2018 301318123 ONYEWUCHI OTUONYE E PCP Family Practice 1/1/2017 2/4/2014 774999022 PARIKH DILIPKUMAR PSP Internal Medicine 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 468 - PARTNERS IN HEALTH INC 774999022 PARIKH DILIPKUMAR PSP Cardiovascular Disease 9/1/2018 6/1/2011 028536997 PATEL VEDVATI M PSP Nephrology 9/1/2018 7/12/2012 485495912 PIMENTEL DANTE A PSP Internal Medicine 9/1/2018 12/8/2019 816401052 POLLAK ALAN C PSP Otolaryngology 9/1/2018 6/1/2011 417545421 RHEE YOUN J PCP Pediatrics 9/1/2018 9/27/2017 869238013 SELVAM M PANNIR PCP Family Practice 1/1/2017 6/6/2019 433155580 SENAT ANTONIO PSP Cardiovascular Disease 1/1/2017 6/13/2019 670930817 SHAH DEVINA ASH PCP General Practice 9/1/2018 6/1/2011 466774632 SMITH RUDYARD URIA PCP Internal Medicine 1/1/2017 11/22/2019 466774632 SMITH RUDYARD URIA PCP Internal Medicine 9/1/2018 11/22/2019 627309779 SONG CHUNG M PCP General Practice 9/1/2018 8/14/2019 398461595 SOWADE OLALEKAN OLA PCP Internal Medicine 1/1/2017 6/1/2011 398461595 SOWADE OLALEKAN OLA PCP Internal Medicine 9/1/2018 6/1/2011 203038346 STAMBOLIU HORIA PCP Internal Medicine 9/1/2018 4/16/2018 656608803 SYCHAY SONIA P PCP Family Practice 9/1/2018 3/15/2019 201565026 TERRELL DARIA PSP Orthopedic Surgery 9/1/2018 7/20/2018 867028990 THOMAS JOSEPH SIM PSP Obstetrics-Gynecology 9/1/2018 6/1/2011 794745946 WALKER ELSIE R PCP Internal Medicine 1/1/2017 3/7/2018 156989300 WALTERS LORNA V PSP Podiatry 1/1/2017 7/11/2019 462813804 WANG MIN PSP Psychiatry 9/1/2018 11/6/2018 234556359 WIESMAN GARY G PSP Otolaryngology 1/1/2017 4/30/2019 234556359 WIESMAN GARY G PSP Otolaryngology 9/1/2018 4/30/2019 068238219 WILLIAMS GARY L PSP Podiatry 9/1/2018 3/7/2018 351171939 YADULLAHI MIR A PSP Neurology 1/1/2017 2/27/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 788911938 ABOURAHMA ASHRAF HUS PSP Cardiovascular Disease 1/1/2017 2/9/2000 809531949 AGRAWAL SHRI K PSP Rheumatology 1/1/2017 6/1/2011 602506759 AHMAD IJAZ PCP Internal Medicine 1/1/2017 1/21/2015 602506759 AHMAD IJAZ Internal Medicine 1/26/2017 1/21/2015 135929252 AHMED KHALID F PCP Family Practice 1/1/2017 5/23/2017 163916166 AHMED MOHAMMAD M PSP Nephrology 1/1/2017 1/26/2018 948284127 AHUJA RICHARD M PSP Ophthalmology 1/1/2017 3/18/2019 538555751 AHUJA SATYA P PSP Internal Medicine 1/1/2017 6/1/2011 538555751 AHUJA SATYA P PSP Nephrology 1/1/2017 6/1/2011 104025651 AL-KHALED NOURI PSP Internal Medicine 1/1/2017 5/31/2018 645835749 ALSTON CHARLES C PSP Obstetrics-Gynecology 1/1/2017 6/1/2011 836996220 ANDERSON MICHAEL J PSP Infectious Diseases 1/1/2017 10/18/2018 858372036 ANDINA ROBERT J PSP Cardiovascular Disease 1/1/2017 6/1/2011 918324938 ANYADIKE DAVID PCP Pediatrics 1/1/2017 10/17/2018 565300541 ARTEAGA JACQUELINE P PSP Internal Medicine 10/2/2019 7/20/2018 249267373 ARTEAGA WALDO J PSP Internal Medicine 10/2/2019 7/31/2019 770450647 ARUN HALEYUR P PSP Pulmonary Disease 1/1/2017 1/9/2013 113923244 ATASSI WADAH A PSP Nephrology 1/1/2017 6/1/2011 774043368 AYALA JUANBOSCO PSP Pulmonary Disease 1/1/2017 9/14/2018 206148690 AZEEM MOHAMMED S PSP Hematology and Oncology 9/25/2018 8/27/2018 472886676 BAJAJ AJAY PSP Internal Medicine 1/1/2017 6/1/2011 008526734 BAKER JEFFREY PSP Podiatry 9/25/2018 6/14/2019 835284817 BARRY SHEILA M PSP Infectious Diseases 5/22/2017 3/26/2018 238342718 BASS AMEE PCP Pediatrics 9/25/2018 6/1/2011 749782869 BEEZHOLD DAVID WILLI PSP Internal Medicine 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 125377238 BEKELE ALEMAYEHU PSP General Surgery 1/1/2017 9/24/2018 128020093 BERNSTEIN JENNIFER ELIZ PSP Podiatry 9/25/2018 5/22/2019 709001825 BHAGAVAN M S PCP Internal Medicine 1/1/2017 3/5/2018 424001615 BHANUSHALI GAUTAM K PSP Nephrology 1/1/2017 4/11/2014 430289551 BIKSHORN BARRY H PSP Neurology 9/25/2018 10/13/2015 151011264 BUMP THOMAS ELTI PSP Internal Medicine 1/1/2017 6/1/2011 034297926 BURGE BETHANY K PSP Urology 9/25/2018 9/18/2018 315140418 BUSH ANETA S PSP Internal Medicine 1/1/2017 6/1/2011 002022150 BUTLER DAVID N PSP Gastroenterology 9/1/2019 6/1/2017 241906414 CADAYONA JOSEPH RYA PSP Infectious Diseases 3/1/2018 11/19/2018 004595135 CAVENS PAULA L PSP Obstetrics-Gynecology 11/18/2019 6/7/2019 204053317 CHARMAN MARK J PCP Internal Medicine 9/25/2018 8/13/2019 951963100 CHIARAMONTE BRIAN J PSP Podiatry 1/1/2017 9/17/2018 974795458 CHITTINENI SREEDEVI PSP Internal Medicine 1/1/2017 6/1/2011 760563902 CHRABOT CYRIL M PSP Colon-Rectal Surgery 1/1/2017 3/7/2019 266040857 CLAVIER ALEJANDRO PCP Pediatrics 1/1/2017 3/15/2018 602547861 DAHODWALA MOHAMED S PSP Internal Medicine 1/1/2017 6/1/2011 326090453 DIAZ OSCAR PCP Pediatrics 11/17/2019 11/6/2018 040258161 DUMITRU RODICA PSP Infectious Diseases 1/1/2017 6/1/2011 040258161 DUMITRU RODICA PSP Internal Medicine 1/1/2017 6/1/2011 476740613 EKECHUKWU KENNETH U PSP Internal Medicine 5/30/2018 8/12/2019 455903921 FEDIRKO BOHDAN PSP Internal Medicine 1/1/2017 1/10/2019 827968935 FLIEGELMAN ROBERT M PSP Infectious Diseases 1/1/2017 6/1/2011 476474609 FRENCH BRIAN J PSP Podiatry 1/1/2017 3/28/2018 495687640 FRENCH STEVEN M PSP Podiatry 1/1/2017 4/27/2017
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 253376360 GADRINAB NELCAR M PSP Urology 1/1/2017 6/1/2011 958608087 GANDHI KIRAN PSP Physical Medicine & 1/1/2017 3/3/2020 466151806 GIOVINGO MICHAEL C PSP Ophthalmology 8/9/2019 2/2/2016 366545564 GIRGIS YOUSRY GAB PCP Internal Medicine 1/1/2017 9/24/2018 366545564 GIRGIS YOUSRY GAB PCP Internal Medicine 1/27/2017 9/24/2018 366545564 GIRGIS YOUSRY GAB PCP Internal Medicine 11/1/2019 9/24/2018 367792480 GOODLOW GEORGE W PCP Pediatrics 9/25/2018 2/25/2019 949830178 GOYAL SONIA PSP Podiatry 11/2/2017 9/19/2018 866123898 GRANT CALVIN A PSP Ophthalmology 1/1/2017 6/1/2011 309321407 GUGLIELMI KELLY E PSP Internal Medicine 1/1/2017 6/1/2011 636316633 HARTING BRIAN P PSP Infectious Diseases 1/1/2017 8/8/2008 229748347 HASAN BENJAMIN A PCP Family Practice 9/25/2018 4/4/2019 633634745 HENNERS GUSTAVO E PCP Pediatrics 1/1/2017 9/21/2018 166727218 HENRY CHRISTOPHER ATTI PSP Cardiovascular Disease 9/25/2018 10/17/2018 095753239 HIRSCH DANIEL J PSP Internal Medicine 1/1/2017 6/1/2011 425382562 HOLDEN JOHN PSP Gastroenterology 1/1/2018 6/13/2019 422025817 HONG RICHARD PSP Nephrology 1/1/2017 6/1/2011 444427423 HOQUE SARAH PSP Obstetrics-Gynecology 11/17/2019 2/27/2018 168516126 HRISTEA NIC ION PSP Nephrology 1/1/2017 6/1/2011 858812004 HUERTA EZEQUIEL MEN PCP Family Practice 1/1/2017 12/31/2019 809635980 HUSSEINI AMER PSP Internal Medicine 1/1/2017 6/1/2011 321258719 HUYNH PHUONG N PSP Urology 9/25/2018 2/15/2018 303802442 IRABAGON NENITA R PCP Internal Medicine 1/1/2017 9/8/1999 437935858 ITTIARA SHAUN T PSP Ophthalmology 2/1/2018 6/18/2018 096366643 JAMES SILVA MARIA S PCP Family Practice 11/17/2019 4/25/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 354438395 KALCHBRENNER KYLE A PSP Infectious Diseases 5/22/2017 7/14/2015 076029237 KATSAMAKIS GEORGE PSP Neurology 9/25/2018 10/20/2006 885273026 KAYMAKCALAN M ORHAN PSP General Surgery 1/1/2017 5/3/2018 183111920 KELLER MICHAEL JAM PSP Pulmonary Disease 9/25/2018 2/26/2018 549661501 KENNEDY APRIL R PSP Nephrology 1/1/2017 11/13/2008 398882510 KENT JOSEPH H PSP Internal Medicine 1/1/2017 6/1/2011 457930768 KHAN ALI RAZ PSP Nephrology 4/1/2018 1/4/2012 100877676 KHAN SIDRA SAN PSP Obstetrics-Gynecology 9/25/2018 8/28/2018 130279261 KHANDEPARKER VILAS P PSP Urology 1/1/2017 2/22/2018 325646939 KIM BRYAN MIN PSP Ophthalmology 9/25/2018 10/8/2012 259375173 KIM JOSEPHINE SOO PSP Gynecologic Oncology 9/25/2018 8/16/2019 203047733 KLEIN ERIN E PSP Podiatry 9/25/2018 4/25/2018 098464663 KOO NATHANIEL PSP Pediatric Surgery 10/1/2017 10/8/2018 002860133 KOOPERMAN STEVEN A PSP Obstetrics-Gynecology 9/25/2018 3/15/2018 799793641 KOPP FABIOLA PSP Physical Medicine & 10/8/2018 1/30/2019 499255631 KRAUS MARK PSP Nephrology 4/1/2018 10/6/2017 516089136 KUKREJA NIDHI P PCP Pediatrics 2/1/2018 11/28/2017 713222853 KUMAR SAMPATH P PSP Internal Medicine 1/1/2017 6/1/2011 514219137 KWAK DAE THE PSP Obstetrics-Gynecology 11/18/2019 3/26/2019 913655064 LABANAUSKAS IGNAS G PSP Orthopedic Surgery 1/1/2017 12/5/2019 736309945 LAL SURENDER PCP Internal Medicine 1/1/2017 8/16/2017 157874273 LALMALANI GOPAL G PSP Internal Medicine 1/1/2017 3/29/2018 933085078 LI BERNARDO F PSP General Practice 1/1/2017 6/22/2018 315429479 LIANG JAMES CHIE PSP Ophthalmology 1/1/2017 1/21/2020 225738493 LIU CATHERINE PSP Obstetrics-Gynecology 11/17/2019 5/23/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 430256502 LOPEZ SANCHEZ RAFAEL PSP Psychiatry 11/17/2019 4/30/2019 958654010 MAGULURI SRILAKSHMI PSP Ophthalmology 1/1/2017 7/23/2019 374791480 MAHAFZAH MAHMOUD K PSP Internal Medicine 1/1/2017 8/19/2019 363105574 MAHAJAN SANDEEP PSP Gastroenterology 9/25/2018 6/7/2019 594539726 MARTINEZ MANUEL B PCP Pediatrics 11/1/2019 3/11/2019 582039721 MATHEW AYKARAKUTTIYIL PCP Internal Medicine 1/1/2017 6/26/2019 383560352 MCCONN TIMOTHY PAT PSP Podiatry 9/25/2018 6/18/2019 572816706 MEKHAIEL ESSAM FAT PSP Pulmonary Disease 1/1/2017 7/2/2019 166022963 MERCURIO KIMBERLY J PSP Physical Medicine & 8/1/2019 3/5/2019 965669713 MIGALLY FARIDA PSP Internal Medicine 4/1/2018 8/6/2019 336527453 MOHAN JAGAN K PSP Neurology 1/1/2017 4/17/2019 204492020 MOINUDDIN RIZWAN PSP Nephrology 4/1/2018 7/2/2019 823230475 MOREIRA DANIEL M PSP Urology 7/12/2017 12/23/2019 227195452 MOSCOSO SYLVIA J PCP Obstetrics-Gynecology 5/16/2018 10/13/2017 293445266 NAAZ IKRAMUDDIN PARVEEN PSP Nephrology 9/25/2018 10/8/2012 945677087 ORONSAYE OSARETIN L PSP Obstetrics-Gynecology 7/13/2019 3/15/2018 016376891 PALMA CAMILLE VICT PSP Ophthalmology 10/1/2018 4/30/2019 009183445 PANDIT ANANTA RAJ PSP Internal Medicine 1/1/2017 12/11/2019 464786572 PATEL MUKESH C PSP Obstetrics-Gynecology 1/1/2017 5/4/2018 329964607 PATEL SEJAL R PSP Nephrology 4/1/2018 5/14/2013 028536997 PATEL VEDVATI M PSP Nephrology 4/1/2018 7/12/2012 174566692 PELLITTERI ELVIRA PSP Licensed Clinical Social Worker 10/23/2018 1/28/2020 084105394 PETERSON SARAH C PSP Allergy/Immunology 9/25/2018 12/10/2018 329228434 PETRAK RUSSELL M PSP Infectious Diseases 1/1/2017 1/8/2014 193985288 PFAENDTNER TREVOR PSP Family Practice 9/25/2018 11/18/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 385965798 PINEDA JOWELLA R PCP Internal Medicine 9/25/2018 2/9/2018 361346328 POHL DAVID J PCP Family Practice 9/25/2018 1/16/2019 948733348 PONTARELLI KRISTINA PSP Obstetrics-Gynecology 10/23/2018 8/27/2018 901372810 PREYSS MELISSA ALIA PSP Obstetrics-Gynecology 11/18/2019 2/6/2020 901372810 PREYSS MELISSA ALIA PSP Obstetrics-Gynecology 9/19/2019 2/6/2020 285059409 RAGHAVAN VINITHA PSP Nephrology 1/1/2017 6/1/2011 588262753 RASMUSSEN WILLIAM D PSP Chiropractic 1/1/2017 1/28/2019 785636248 REINHARDT ELIZABETH Z PCP Pediatrics 11/17/2019 5/31/2018 992086576 RII JOYCE CHU PSP Infectious Diseases 1/1/2017 10/7/2011 992875127 ROSENSTEIN GREGORIO G PCP Internal Medicine 1/1/2017 3/23/2018 992875127 ROSENSTEIN GREGORIO G PCP Internal Medicine 3/13/2018 3/23/2018 326741449 RUBIN GARY V PSP Ophthalmology 1/1/2017 6/5/2019 327253115 RUBIN MARK NAT PSP Neurology 9/25/2018 1/9/2018 388131502 RUSSELL LISA MAR PSP Infectious Diseases 9/21/2018 9/24/2018 358323118 RYVKIN VICTORIA PSP Endocrinology, Diabetes & 9/25/2018 6/27/2017 246150210 SAAVEDRA JASMINE PCP Pediatrics 11/17/2019 9/9/2019 089996454 SADOWSKI DAWN L PSP Obstetrics-Gynecology 9/25/2018 6/29/2017 450004578 SALVINO RENEE M PCP Pediatrics 9/25/2018 6/1/2011 032774069 SAMUELS JORDAN SET PSP Neurology 9/25/2018 7/27/2015 261755953 SANDERS CHARLENE MAR PSP Certified Nurse Midwife 11/17/2019 3/19/2019 506410659 SCHIAPPA JAMES PSP Orthopedic Surgery 1/1/2017 2/15/2018 438189488 SCHULTZ ERIK THO PSP Internal Medicine 9/25/2018 1/7/2019 380037525 SEIDLER ANDREAS PCP Internal Medicine 9/25/2018 8/26/2019 387994959 SEIF NEIL STU PSP Radiation Oncology 8/9/2019 12/9/2019 061541191 SETIA SUMAN K PCP Family Practice 1/1/2017 3/28/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 325447444 SHAFFER LEMUEL J PSP Obstetrics-Gynecology 11/18/2019 11/15/2019 300702873 SHAH MALATHI PSP Nephrology 1/1/2017 2/18/2013 008645950 SHAH ROHAN H PSP Family Practice 9/25/2018 11/17/2017 338688472 SHAMSI TANVEER YAV PCP Pediatrics 11/17/2019 6/26/2019 189699321 SHERMAN SANFORD S PSP Neurology 9/25/2018 6/1/2011 972160097 SHREENIVAS BINDIGANAVLE G PCP Internal Medicine 1/1/2017 6/19/2017 479579609 SHUKLA MANISH MAD PCP Family Practice 1/1/2017 5/26/2017 324726752 SIDHWA KAMO G PSP Internal Medicine 1/1/2017 6/1/2011 123073263 SIDRYS LINAS A PSP Ophthalmology 1/1/2017 6/1/2011 076315080 SIMPSON KAREEN ROS PSP Nephrology 1/1/2017 6/1/2011 651964994 SINGH KALPANA PSP Obstetrics-Gynecology 11/18/2019 1/29/2020 175478718 SINGH SUNITA PCP Internal Medicine 1/1/2017 3/15/2019 003256180 SIVAPRAKASAM SUNDAR PCP Internal Medicine 1/1/2017 1/29/2020 773346893 SLUSINSKI BERNARD PCP Family Practice 1/1/2017 8/14/2019 851643957 SMITH PAMELA PCP Obstetrics-Gynecology 1/1/2017 6/30/2017 109501250 SOBRERO MARIA INES PSP Internal Medicine 1/1/2017 9/8/1999 109501250 SOBRERO MARIA INES PSP Nephrology 1/1/2017 9/8/1999 234379786 SOLARI HUGO PSP Psychiatry 10/23/2018 8/15/2019 758105961 SOUNDARARAJAN RAMESH PSP Nephrology 4/1/2018 6/1/2011 659293769 SPIER ADDIE B PSP Infectious Diseases 5/23/2017 6/11/2019 736464055 SYED UZMA N PSP Endocrinology, Diabetes & 9/26/2019 3/4/2020 099783946 SYED YAQOOB MUJ PCP Family Practice 9/25/2018 10/30/2018 293131852 TERRY SHANNON CHE PSP Licensed Clinical Professional 8/29/2019 4/17/2019 429098005 THOMAS ABRAHAM PSP Internal Medicine 1/1/2017 6/15/2013 416784571 TILWALLI DHRUVA R PSP Internal Medicine 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 334 - PROGRESS HEALTH 827422315 TRENDAFILOVA VICTORIA M PSP Endocrinology, Diabetes & 6/7/2017 1/17/2018 571318497 VAN WIEREN ANDREW J PCP Internal Medicine 11/17/2019 2/12/2018 710937823 VERMA ARUN K PSP Internal Medicine 1/1/2017 3/17/2018 330279841 WU EN-LING PCP Internal Medicine 9/5/2017 10/3/2018 365363519 YAO TITO GO PCP Pediatrics 3/17/2017 1/7/2020 602873584 YU BRIAN CU PSP Infectious Diseases 1/1/2017 11/24/2009 222288932 ZHOU TINGTING PCP Internal Medicine 9/25/2018 9/10/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 437945972 ABDELHADY KHALED M PSP Thoracic Surgery 1/1/2017 8/21/2009 036322145 AHMED KHADEER K S PSP Internal Medicine 7/20/2017 5/7/2018 163916166 AHMED MOHAMMAD M PSP Internal Medicine 1/1/2017 1/26/2018 016763419 ALDEWAIREY SUHAIR A PCP Internal Medicine 9/15/2017 4/13/2018 032834059 ALEXANDER BESLER KELLY ANN PSP Licensed Clinical Professional 9/21/2018 7/9/2019 632315774 ALKUREISHI LEE PSP Plastic Surgery 4/1/2018 3/1/2018 645835749 ALSTON CHARLES C PSP Obstetrics-Gynecology 9/1/2017 6/1/2011 189590363 AMDANI FAISAL A PSP Critical Care Medicine 1/1/2017 3/21/2018 451995453 ANCHA BASAVA P PSP Internal Medicine 1/1/2018 8/14/2019 301722142 ARIAS DAIFENY PSP Licensed Clinical Social Worker 10/17/2018 1/30/2019 249267373 ARTEAGA WALDO J PCP Internal Medicine 1/1/2017 7/31/2019 056519177 AZIZ IHAB PSP Family Practice 1/1/2018 12/27/2018 672320484 BAHAMON NAHIRIS MAR PSP Pediatrics 10/23/2018 1/30/2019 503808244 BALAJI THANKAPPA P PSP Pediatrics 1/1/2017 6/1/2011 197707540 BALFOUR CRYSTAL JAS PSP Licensed Clinical Psychology 1/1/2017 11/19/2019 612200714 BARRIOS FELIPE PSP Pediatrics 1/1/2017 6/26/2017 504984614 BARSKY GARY JAY PSP Dermatology 1/1/2017 7/10/2019 206350330 BAUMWELL STERLING H PSP Obstetrics-Gynecology 7/28/2017 2/25/2019 119231255 BEARD GLENN ANT PSP Pulmonary Disease 11/22/2017 9/6/2018 368158950 BENATAR JOSE DANI PSP Cardiovascular Disease 1/1/2017 12/31/2018 771266470 BENJAMIN CHERYL B PSP Physical Medicine & 1/1/2017 3/15/2019 487702761 BERKOWITZ PAUL M PSP Psychiatry 10/1/2017 3/17/2018 305820207 BIANCO FRANCESCO PSP General Surgery 1/1/2017 11/29/2017 172676290 BLANKSTEIN JOSEF PCP Obstetrics-Gynecology 1/1/2017 3/17/2018 621621619 BOLAND JESSICA L PSP Licensed Clinical Social Worker 10/23/2018 3/14/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 026910143 BROOKER JAY M PSP Orthopedic Surgery 8/1/2018 6/1/2011 476268857 BUDZ TOMASZ MAR PSP Podiatry 10/1/2017 1/27/2020 140946230 BUTCHER JESSICA J PSP Licensed Clinical Social Worker 7/26/2017 1/23/2018 002022150 BUTLER DAVID N PSP Gastroenterology 12/2/2019 6/1/2017 299260388 CARDONA VIVIAN M PSP Licensed Clinical Professional 1/1/2017 8/27/2019 630920721 CARRILERO LUIS PSP Orthopedic Surgery 1/1/2017 3/7/2018 733994162 CHANG GRACE HUEI PSP General Surgery 3/1/2018 9/5/2013 691307719 CHANG JEEN SOO PSP Family Practice 1/1/2018 11/14/2013 002510218 CHAUDHURI RISHI General Surgery 7/1/2018 9/26/2018 509915853 CHOI DANIEL KYU PCP Pediatric Hematology-Oncology 1/1/2017 2/14/2013 473489974 CHUA SERAFIN PSP Internal Medicine 1/1/2017 3/18/2019 920220134 CHWAJOL MARK PSP Neurological Surgery 1/1/2017 6/10/2019 720170814 COHEN MIMIS N PSP Plastic Surgery 1/1/2017 5/10/2018 480712640 CZECH KIMBERLY A PSP Pediatric Nephrology 1/1/2017 9/25/2019 711259825 CZUKERBERG DAVID PCP Obstetrics-Gynecology 1/1/2017 2/25/2019 522429093 DACUS ANNA ELIZ PSP Licensed Clinical Psychology 1/1/2017 2/19/2018 022939874 DEASA JOSEPH PSP Licensed Clinical Professional 4/1/2018 6/6/2019 955658895 DEKOJ THOMAS ROB PSP General Surgery 1/1/2017 6/19/2018 090107380 DICK AMANDA LOUI PSP Licensed Clinical Social Worker 3/3/2017 6/2/2017 690711932 DONS GAIL VAN WIN PSP Obstetrics-Gynecology 9/1/2017 12/12/2018 382334502 DOSHETTY RAKESH V PCP Internal Medicine 9/27/2018 4/18/2019 590263696 DRAY PHILIP B PSP Ophthalmology 1/1/2017 9/19/2018 573377773 DRUGAS DIANE M PSP General Surgery 7/18/2019 8/12/2019 051372976 ESPINOZA RIVAS MARGARET R PSP Licensed Clinical Professional 1/1/2018 4/9/2018 528961628 FEINKIND LEONARD N PSP Obstetrics-Gynecology 1/1/2017 2/20/2020
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 171718854 FISFALEN MARIA ELE PSP Psychiatry 1/1/2017 7/26/2017 677500675 FREDERICK PATRICE R PSP General Surgery 5/1/2018 1/24/2019 998081246 GANGEMI ANTONIO PSP General Surgery 1/1/2017 3/27/2018 612230013 GARTEL MEDEIA PSP Psychiatry 1/1/2017 3/6/2018 690347826 GARVEY DANIEL F PSP Urology 1/1/2017 2/4/2019 793547373 GEORGES ESHO HAID PSP Nephrology 1/1/2017 8/1/2019 087622221 GERALDO VICTORIA ESC PSP Pediatrics 1/1/2017 2/25/2019 633021446 GERTZ BETSY PSP Licensed Clinical Psychology 1/1/2017 10/15/2018 595000481 GIBSON MELINDA E PSP Obstetrics-Gynecology 8/25/2017 10/25/2016 739124298 GILSDORF CHRISTINA B PSP Licensed Clinical Professional 7/1/2018 10/30/2018 466151806 GIOVINGO MICHAEL C PSP Ophthalmology 8/9/2019 2/2/2016 366545564 GIRGIS YOUSRY GAB PSP Internal Medicine 12/6/2019 9/24/2018 447977552 GITTLER MICHELLE S PSP Physical Medicine & 1/1/2017 8/6/2019 436405539 GLICK NANCY RUTH PSP Infectious Diseases 9/21/2018 8/15/2019 036255229 GREIFF MARIKA L PSP Physical Medicine & 4/21/2017 9/9/2019 606613747 GROVER MICHAEL B PSP Psychiatry 1/1/2018 3/5/2018 575631675 GRUNDY HOWARD O PSP Obstetrics-Gynecology 1/1/2017 1/21/2019 927064367 GUPTA ADITYA PSP General Surgery 8/23/2017 12/23/2019 175495314 GURURAJAN KRISHNAMURTHY PSP Psychiatry 4/1/2018 12/6/2018 625799588 GUTIERREZ PROFILE PSP Licensed Clinical Professional 12/31/2018 7/29/2019 692317085 GUTOWSKI KAROL A PSP Plastic Surgery 1/1/2017 10/31/2018 692317085 GUTOWSKI KAROL A Plastic Surgery 10/1/2017 10/31/2018 955702245 HAAS BARBARA EVE PSP Obstetrics-Gynecology 1/1/2017 7/20/2018 948699097 HANTSCH PATRICIA J PSP Physical Medicine & 1/1/2017 3/5/2020 892564563 HATHIWALA SURESH C PSP Internal Medicine 1/1/2017 6/5/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 711030650 HEARD MICHAEL L PSP Licensed Clinical Social Worker 1/1/2017 4/27/2017 005932128 HELLER WILLIAM A PSP Orthopedic Surgery 8/1/2018 7/8/2015 961122833 HERNANDEZ STEPANIE PSP Psychiatry 11/20/2018 1/10/2019 058198276 HERRERA FEDERICO ISMA PCP Pediatrics 10/23/2018 8/16/2019 605496885 HERRING-WILLIAMS GIOIA M PSP Physical Medicine & 1/1/2017 12/27/2018 593461393 HODOGBEY PRINCE LOL PCP Family Practice 1/1/2017 7/25/2017 277886428 HOLLAND STEPHEN P PSP Internal Medicine 1/1/2017 8/29/2018 742645405 HUANG DORIS SHU PSP Certified Nurse Practitioner 1/1/2017 11/16/2018 171337149 HUSAIN SYED M PCP Internal Medicine 9/15/2017 12/30/2014 942496751 IDLER PEREZ ALICIA E PCP Pediatrics 10/23/2018 11/20/2017 736028881 JAIME NERY PSP Licensed Marriage/Family 10/31/2019 10/30/2019 142080951 JAJOO DEEPAK PSP Pediatrics 1/1/2017 8/19/2019 020562136 JAMES SHARON MIC PSP Obstetrics-Gynecology 1/14/2019 12/17/2019 096366643 JAMES SILVA MARIA S PCP Family Practice 10/23/2018 4/25/2018 931027508 JHA KAMLESH K PSP Neonatal-Perinatal Medicine 9/15/2017 6/7/2019 072355824 JOBANPUTRA KETAN NAR PSP Obstetrics-Gynecology 1/1/2017 7/9/2019 775844884 JOHNSON DANIEL PSP Pediatrics 1/1/2017 6/4/2018 661911940 JOLEPALEM JYOTHI PSP Pulmonary Disease 1/1/2017 7/17/2019 335512562 JONES ANNGELL PSP General Surgery 1/1/2017 5/30/2018 153036241 JOSHI JIGAR VIRE PCP Internal Medicine 1/25/2019 6/28/2018 737529276 JOSHI TILAK PCP Internal Medicine 1/1/2018 3/29/2019 632709308 KANARD ROBERT C PSP General Surgery 1/1/2017 5/25/2016 130085229 KARMALI NARENDRA D PSP Obstetrics-Gynecology 1/1/2017 8/22/2018 978108195 KASSEM MOHAMMED A PSP Internal Medicine 1/1/2017 11/20/2017 804192446 KATZ DANIEL PSP General Surgery 1/1/2017 6/1/2011
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 138113258 KAUFMAN GARY I PCP Internal Medicine 1/1/2017 7/23/2019 614100370 KCOMT WILLIAM A PSP Rheumatology 1/1/2018 11/25/2019 614100370 KCOMT WILLIAM A PSP Rheumatology 10/1/2017 11/25/2019 147129284 KEEN RICHARD R PSP General Vascular Surgery 4/1/2018 7/29/2019 982306992 KHAN NASEERUDDIN G PSP Pediatric Nephrology 4/1/2018 9/26/2018 130279261 KHANDEPARKER VILAS P PSP Urology 1/1/2017 2/22/2018 165596283 KHOSLA PARAMJEET PSP Internal Medicine 1/1/2017 2/25/2019 057188166 KHOSLA SANDEEP PSP Internal Medicine 1/1/2017 7/11/2019 461812463 KIM JAMES H PSP Obstetrics-Gynecology 1/1/2017 9/26/2018 529132189 KIM SUNG LAN PSP Physical Medicine & 9/5/2017 2/18/2019 668479678 KIROV ESTHER PCP Pediatrics 10/23/2018 2/14/2018 757953886 KIRSCHNER KRISTI L PSP Physical Medicine & 1/1/2017 6/6/2019 921981823 KOBAK WILLIAM H PSP Gynecologic Oncology 8/3/2017 1/21/2020 475725837 KOIRALA SHARAD PSP Psychiatry 1/1/2017 9/5/2019 871831251 KOVACEVIC JELENA PSP Nephrology 8/15/2018 8/23/2019 338298491 KOVACS DANIELA PSP Internal Medicine 1/1/2017 3/7/2018 836292945 KUMAR GIRIJA K PCP Internal Medicine 1/1/2017 1/28/2020 668124568 KUMMERER BRITNEY PSP Licensed Clinical Social Worker 2/24/2019 4/19/2019 484916362 LADANYI ANDRAS PSP Gynecologic Oncology 1/1/2018 1/3/2018 627142770 LAWLER MARY H PSP Physical Medicine & 1/1/2017 4/17/2019 345665469 LEE RAY PSP Physical Medicine & 1/1/2017 11/26/2019 581363379 LEVY BENJAMIN HIRS PSP Gastroenterology 1/12/2018 9/24/2018 198358859 LIE NEMETH THERESA PSP Physical Medicine & 1/1/2017 9/24/2018 730229802 LIGONS ERICA M PSP Licensed Clinical Psychology 1/1/2017 11/19/2019 225738493 LIU CATHERINE PSP Obstetrics-Gynecology 10/23/2018 5/23/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 771285543 LOBE THOM E PSP Pediatric Surgery 12/1/2017 8/17/2012 806144936 LOPEZ INGRID PSP Licensed Clinical Social Worker 7/27/2017 5/31/2018 334666095 LOPEZ ROBERTO PSP Chiropractic 1/1/2018 11/21/2019 430256502 LOPEZ SANCHEZ RAFAEL PSP Psychiatry 12/30/2018 4/30/2019 425849369 LOURGOS PETER PSP Psychiatry 7/1/2018 7/9/2018 039255296 LUAYON MARIETTA M PSP Pediatrics 1/1/2017 5/23/2013 183027325 LUCAS PAUL R PSP Podiatry 1/1/2017 6/1/2011 009375494 MADAY MICHAEL GEO PSP Orthopedic Surgery 8/1/2018 10/13/2016 644093933 MAGNANI JASON J Orthopedic Surgery 9/1/2017 6/12/2019 785156900 MAKHLOUF MANSOUR V PSP Plastic Surgery 1/1/2017 2/4/2014 195719889 MALLICK NAVEED K PSP Internal Medicine 1/1/2017 3/29/2019 457881507 MALLING SONDRA PSP Licensed Clinical Professional 9/12/2017 4/10/2018 594539726 MARTINEZ MANUEL B PCP Pediatrics 5/22/2019 3/11/2019 776277921 MASSAD MALEK G PSP Internal Medicine 1/1/2017 6/17/2019 926008057 MEYER BARBARA E B PSP Licensed Clinical Psychology 1/1/2017 7/24/2018 289802566 MEYER JACOB M PSP Obstetrics-Gynecology 9/1/2017 5/30/2018 566254953 MIRANTI SANTI V PSP Licensed Clinical Psychology 1/1/2017 8/12/2019 716388219 MIRHOSSEINI ALIREZA PSP Internal Medicine 10/1/2017 9/11/2018 233025088 MOHIUDDIN MOHTASHAM M PSP Internal Medicine 1/1/2017 9/9/2018 688244952 MOHIUDDIN MUHAMMED SAL PSP Internal Medicine 1/1/2017 8/14/2019 501521619 MORELAND CONNIE E PSP Obstetrics-Gynecology 1/1/2017 3/13/2018 709250634 MORRIS DAVID ERIK PSP Plastic Surgery 1/1/2017 8/28/2019 033083178 MUKHERJEE ASHISH PSP Interventional Cardiology 1/1/2017 6/1/2011 615353336 NEIMANAS NADIA PSP Licensed Clinical Social Worker 6/3/2019 10/2/2019 786368025 NELSON REBECCA L PSP Licensed Clinical Social Worker 1/1/2017 8/12/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 871454402 NIIRO LAURA A PCP Family Practice 7/1/2018 12/5/2018 019234140 NIZAM ATHER PCP Internal Medicine 1/1/2017 5/23/2017 439403950 NJOKU EMMANUEL N PSP Internal Medicine 1/1/2017 1/10/2014 945677087 ORONSAYE OSARETIN L PSP Obstetrics-Gynecology 1/1/2017 3/15/2018 334646284 OROZCO DANIEL PSP Neurology 8/24/2018 1/27/2020 311694280 ORTIZ CATHERINE A PSP Licensed Clinical Social Worker 1/1/2017 4/11/2018 016376891 PALMA CAMILLE VICT PSP Ophthalmology 1/10/2019 4/30/2019 009183445 PANDIT ANANTA RAJ PSP Internal Medicine 1/1/2017 12/11/2019 589033077 PARK SANGTAE PSP Urology 1/1/2017 1/27/2014 476140994 PARMAR SNEHA PSP Cardiovascular Disease 1/1/2017 11/15/2019 814761973 PATEL NISHITKUMAR SAT PSP Orthopedic Surgery 1/1/2017 1/21/2019 521989646 PATEL PRAVIN KUM PSP Plastic Surgery 1/1/2017 6/1/2011 648469049 PATINO MARIA L PSP Licensed Clinical Professional 3/1/2019 2/3/2020 706504097 PENA MIGUEL A PCP Family Practice 10/23/2018 9/30/2019 360560487 PEREZ TAMAYO ALEJANDRA PSP General Surgery 7/1/2019 3/4/2020 701737621 PERRY PORTEE RENEE PSP Licensed Clinical Professional 4/19/2019 4/8/2019 533889158 PHILLIPS LARON PSP Psychiatry 5/1/2018 5/10/2018 999599493 POLADIAN ANTRANIK S PSP Pediatrics 1/1/2017 6/1/2011 816401052 POLLAK ALAN C PSP Otolaryngology 1/1/2017 6/1/2011 816401052 POLLAK ALAN C PSP Otolaryngology 10/1/2017 6/1/2011 752237411 PORTER ROSALYN P PSP Obstetrics-Gynecology 1/1/2017 6/14/2019 075855661 PSARADELLIS TELLY PSP Orthopedic Surgery 8/1/2018 6/1/2011 033554272 QUALKINBUSH TESSA L PSP Family Practice 7/15/2019 9/30/2019 174918515 QURESHI ABDULLAH PCP Internal Medicine 9/1/2017 1/18/2018 870276806 RANZER MATTHEW J PSP General Surgery 1/1/2017 12/27/2018
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 356679493 RASAMIMARI PHORNPHAT Pediatrics 6/13/2017 7/29/2019 290499394 RATTAN PRADEEP PSP Psychiatry 1/1/2017 8/24/2018 475092252 RAVAL CHIRAG R PSP Psychiatry 7/1/2018 8/8/2013 785636248 REINHARDT ELIZABETH Z PCP Pediatrics 10/23/2018 5/31/2018 970047511 RIGAMER MARGARET CLAI PSP General Surgery 10/19/2018 7/8/2019 875473020 ROSMAN JOSEPH KEN PSP Internal Medicine 1/1/2017 3/14/2018 875473020 ROSMAN JOSEPH KEN PSP Pulmonary Disease 1/1/2018 3/14/2018 000323121 ROSSI ENRICA PSP Ophthalmology 1/1/2017 7/25/2017 085777409 SANDOVAL HERRERA CARLOS PCP Obstetrics-Gynecology 1/1/2017 12/27/2018 433864414 SAPORTA ALBERT PSP Gastroenterology 1/1/2018 1/24/2019 949800954 SAPTHAVEE ANDREW PSP Otolaryngology 1/1/2017 3/2/2020 176353670 SARBAND SARA PCP Family Practice 1/1/2017 2/11/2020 268825869 SAWAQED RAY S PSP Thoracic Cardiovascular 3/1/2018 12/12/2019 103069465 SAXENA NUPUR PSP Physical Medicine & 1/1/2017 7/11/2019 759912874 SCHMIDT MARY LOU PSP Pediatric Hematology-Oncology 1/1/2017 2/27/2019 414221381 SCHMUKLER JUAN PSP Rheumatology 9/21/2018 12/23/2019 986139716 SEBRO NADEW S PCP Internal Medicine 1/1/2017 12/16/2019 387994959 SEIF NEIL STU PSP Radiation Oncology 1/1/2017 12/9/2019 786893873 SEKER SHANTI J PSP Allergy/Immunology 1/1/2017 9/24/2009 424992535 SELVARAJ PRAKASH PSP Ophthalmology 1/1/2017 12/19/2012 995130888 SELVARAJ RAJAKUMARI P PSP Ophthalmology 1/1/2017 6/30/2015 638423422 SERRANO ANDRES PSP Internal Medicine 1/1/2017 2/19/2020 251837439 SESKE KEVIN PSP Licensed Clinical Professional 3/1/2019 5/17/2019 846491593 SETHI PUJA PSP Family Practice 8/9/2017 9/27/2018 325447444 SHAFFER LEMUEL J PSP Obstetrics-Gynecology 1/1/2017 11/15/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 005241009 SHAPIRO MICHAEL A PSP Internal Medicine 7/1/2018 12/5/2019 468879700 SHARMA JAYA PSP Hematology and Oncology 1/1/2017 6/13/2018 516401155 SHARMA SAMEER PSP Gynecologic Oncology 1/1/2017 6/28/2019 728614140 SHENG NEHA D PSP General Vascular Surgery 4/1/2018 1/19/2016 927634076 SHOKUNBI SYLVIA ADE PCP Family Practice 5/1/2018 8/1/2019 139079280 SIMON SHERRONE D PSP Obstetrics-Gynecology 1/1/2017 12/5/2018 983107475 SIMON PRICE LINDA B PSP Certified Nurse Midwife 10/23/2018 3/27/2018 587322429 SIMS THOMAS LESL PSP Pediatric Surgery 7/1/2018 1/13/2020 263413756 SINGH SUKHCHAIN Internal Medicine 4/7/2017 8/14/2019 091352199 SMITH EARL C PSP Internal Medicine 1/1/2017 6/29/2017 885205553 SOOD KANIKA PSP Obstetrics-Gynecology 1/1/2017 3/29/2019 792970004 SRINIVASAN GOPAL PSP Neonatal-Perinatal Medicine 1/1/2017 6/13/2019 792970004 SRINIVASAN GOPAL PSP Pediatrics 1/1/2017 6/13/2019 239804357 SRINIVASAN HARI PSP Pediatrics 1/1/2017 6/1/2011 391340281 STANCU MIHAELA MON PSP Cardiovascular Disease 1/1/2017 4/18/2013 787529139 STASZKO GREG WAL PSP Licensed Clinical Psychology 1/1/2017 5/22/2018 904586043 STREITMATTER NANCY I PCP Internal Medicine 1/1/2017 7/23/2019 599958742 SUBRAMANIAN SESHAN PSP Internal Medicine 1/1/2017 3/5/2018 524163725 SWEETNER JONNELLE C PCP Internal Medicine 10/1/2017 2/18/2020 736464055 SYED UZMA N PSP Endocrinology, Diabetes & 2/22/2018 3/4/2020 023646570 TABETA NICOLE EVA PSP Licensed Clinical Professional 1/1/2018 3/2/2018 146597940 TANNER CHRISTINA MAR PSP Certified Nurse Midwife 10/23/2018 7/9/2018 293131852 TERRY SHANNON CHE PSP Licensed Clinical Professional 8/29/2019 4/17/2019 280391414 THOMAS ASHA PSP Internal Medicine 1/1/2017 6/21/2018 500755601 TIRUVURY ANURADHA PSP Pediatrics 1/1/2017 5/10/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 072 - SINAI MEDICAL GROUP 463664571 TRESTER RICHARD L PSP Obstetrics-Gynecology 1/1/2017 2/21/2018 595956085 VAFA AMIR H PSP General Surgery 1/1/2017 12/6/2018 571318497 VAN WIEREN ANDREW J PCP Internal Medicine 1/1/2017 2/12/2018 736948721 VERDA LARISSA PCP Internal Medicine 7/24/2017 10/8/2018 618767414 VILLEGAS-GARCIA JUAN F PSP Pulmonary Disease 1/1/2018 1/19/2018 133221801 WARIKOO JYOTI PSP Psychiatry 1/1/2017 8/31/2018 026143439 WATSON CARLA P PSP Physical Medicine & 1/1/2017 11/4/2019 757828877 WEST JOY B PSP Obstetrics-Gynecology 1/1/2018 5/8/2019 088550213 WIAFE ABABIO KYLA M PCP Pediatrics 10/23/2018 6/13/2019 234556359 WIESMAN GARY G PSP Otolaryngology 1/1/2018 4/30/2019 913329027 WISE STEPHEN R PSP General Surgery 1/1/2017 8/16/2019 130938909 XU RONG PSP Internal Medicine 1/1/2017 6/13/2019 351171939 YADULLAHI MIR A PSP Neurology 1/1/2017 2/27/2019 271956275 YU JEFFREY PSP Neurology 1/1/2017 2/22/2018 714436842 ZAYYAD ADEL PSP Pulmonary Disease 7/1/2018 7/23/2019
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 483 - UNIFIED PHYSICIANS NETWORK INC 602506759 AHMAD IJAZ PCP Internal Medicine 1/1/2017 1/21/2015 079872239 AHMED AZIZ PSP Cardiovascular Disease 9/28/2017 5/6/2019 645835749 ALSTON CHARLES C PCP Obstetrics-Gynecology 1/1/2017 6/1/2011 152712614 ATRI GAURIKA M PCP Internal Medicine 6/10/2019 1/18/2018 349534465 BADLANI RAVI PCP Internal Medicine 8/1/2018 3/25/2019 944361155 BELINGON-SUERTE CIELO PCP Pediatrics 1/1/2017 6/1/2011 576368738 BOLER LEO R PCP Obstetrics-Gynecology 1/1/2017 2/6/2020 002022150 BUTLER DAVID N PCP Internal Medicine 1/1/2017 6/1/2017 467599585 CHAUHAN AJAY K S PSP Otolaryngology 7/26/2017 2/13/2018 944540685 COMROV STEVEN Z PCP Family Practice 6/10/2019 8/22/2019 008164131 CRUZ ELIZABETH M PCP Internal Medicine 6/10/2019 1/19/2018 178867781 DABHADE NARENDRA D PCP Internal Medicine 1/1/2017 6/6/2019 957651620 DIAMOND ILYSA R PSP Gastroenterology 6/10/2019 11/20/2019 175948179 DIAZ HAROLD R PCP Internal Medicine 6/10/2019 1/29/2020 096743404 D'SOUZA GODWIN H PCP Internal Medicine 1/1/2017 5/10/2018 522356734 DYER JULIA PSP Gastroenterology 6/10/2019 7/20/2018 655312786 ELAHI SEEMA PCP Internal Medicine 6/10/2019 2/16/2018 696849995 FERNANDES EDUARDO PSP General Surgery 6/10/2019 8/23/2019 677500675 FREDERICK PATRICE R PSP General Surgery 6/10/2019 1/24/2019 998081246 GANGEMI ANTONIO PSP General Surgery 6/10/2019 3/27/2018 733688881 GOLDFLIES MITCHELL LEE PSP Orthopedic Surgery 6/10/2019 5/22/2018 242952386 GORDON BRADLEY J PSP Neurology 6/10/2019 2/25/2019 168579152 GORDON OLENA YAKI PCP Family Practice 6/10/2019 12/18/2019 566215308 GREENBAUM EVAN S PSP Otolaryngology 6/10/2019 7/29/2019 239910833 GUERRERO CHARLEMAGNE G PCP Internal Medicine 1/1/2017 1/10/2013
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 483 - UNIFIED PHYSICIANS NETWORK INC 024718955 GUPTA VIVEK A PCP Internal Medicine 6/10/2019 4/30/2019 149510269 GUZINA TATJANA PCP Internal Medicine 1/1/2017 1/18/2016 555877034 HASSAN CHANDRA PSP General Surgery 6/10/2019 5/30/2018 239496670 HUGHES CARLETHA C PCP Pediatrics 5/23/2019 9/26/2018 952218088 HUSSAIN MOHAMMED A PCP Internal Medicine 1/1/2017 8/22/2018 755078932 ITELD LAWRENCE H PSP Plastic Surgery 1/1/2017 6/7/2007 721373265 KINTANAR FELISMENO G PCP Pediatrics 6/12/2018 5/22/2019 305318565 KOOPMAN STEVEN GEO PSP Urology 1/1/2017 11/27/2013 532532535 MALKO MAREK ART PCP Family Practice 1/1/2017 12/20/2018 594539726 MARTINEZ MANUEL B PCP Pediatrics 1/1/2017 3/11/2019 695490123 MAYUGA VALERIE VISIT PCP Family Practice 6/10/2019 1/30/2018 302441528 MCGUIRE CHRISTINE A PCP Pediatrics 9/1/2019 4/4/2017 410277589 MEADOWS MATTHEW AAR PSP Urology 1/1/2017 6/1/2011 308458462 MERRICK DANIEL SET PSP Urology 1/1/2017 6/1/2011 707635823 MINARDI FRANK PSP Orthopedic Surgery 6/10/2019 6/7/2019 589412704 MIZUNO ERIC T PCP Internal Medicine 6/10/2019 1/8/2020 768427919 MOSHOVITIS CARL K PSP Internal Medicine 6/10/2019 5/26/2017 515643656 MUNOZ MARIA MILA PCP Obstetrics-Gynecology 1/1/2017 3/29/2019 782382902 NORA ERNEST GRE PSP Obstetrics-Gynecology 6/10/2019 11/8/2019 465206600 OJEA FERNANDO A PCP Internal Medicine 1/1/2017 3/8/2018 301318123 ONYEWUCHI OTUONYE E PCP Internal Medicine 1/1/2017 2/4/2014 556693766 PATEL BHANU L PCP Internal Medicine 1/1/2017 12/11/2018 700092165 RACHEL JOHN D PSP Otolaryngology 7/26/2017 8/22/2018 992875127 ROSENSTEIN GREGORIO G PCP Internal Medicine 1/1/2017 3/23/2018 959590268 SAEED SABA N PSP Neurology 5/1/2017 8/29/2017
BFC Cumulative Appointment/Reappointment Providers (01/01/2017 - 03/16/2020) Provider ID Last Name First Name MI Prov Type Specialty Appt Date ReAppt Date 483 - UNIFIED PHYSICIANS NETWORK INC 349555647 SAWLANI AMISHI P PCP Internal Medicine 1/1/2017 1/28/2019 094742240 SAWLANI ASHOK D PCP Internal Medicine 1/1/2017 3/11/2020 385850974 SCHAEFER MEGHAN BRO PSP Urology 6/10/2019 7/17/2018 065223996 SCHREIBER GARY J PSP Radiation Oncology 6/10/2019 5/23/2017 869238013 SELVAM M PANNIR PCP Family Practice 1/1/2017 6/6/2019 321783620 SHORE DAVID M PSP Urology 6/10/2019 9/20/2012 466774632 SMITH RUDYARD URIA PCP Internal Medicine 1/1/2017 11/22/2019 464056606 SPERO NEAL ART PSP Dermatology 6/10/2019 2/5/2018 084981208 TAM MARIA T PSP Obstetrics-Gynecology 6/10/2019 11/14/2013 109189369 VERGARA CLAUDIA PCP Internal Medicine 6/10/2019 1/5/2017 870513983 WONG CHU KWAN A PCP Family Practice 1/1/2017 10/1/2019 365363519 YAO TITO GO PCP Family Practice 1/1/2017 1/7/2020 927570426 YONOVER PAUL M PSP Urology 6/10/2019 6/1/2011
