Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1...

598
H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list of PrimeTime Health Plan’s network providers. This directory is for Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas, and Wayne counties of Ohio. This directory is current as of May 30, 2017. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about PrimeTime Health Plan’s network providers in your area, you can visit www.PrimeTimeHealthPlan.com or call our Customer Service Department at 330-363-7407 or 1-800-577-5084, Monday through Friday from 8 a.m. to 8 p.m. October 1 - February 14 we are available 7 days a week, 8 a.m. to 8 p.m. TTY users should call 330-363-7460 or 1-800-617-7446. Our Customer Service Department has free language interpreter services available for non-English speakers. This information is available in alternate formats such as large print, audio CD, or other alternate formats. Please call Customer Service at the number listed above if you need plan information in another format or language. PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. Enrollment in PrimeTime Health Plan depends on contract renewal. The provider network and/or pharmacy network may change at any time. You will receive notice when necessary.

Transcript of Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1...

Page 1: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

H3664_ProvDir_2017_NM

Pg. 1

PrimeTime Health PlanHMO Plan

Provider DirectoryThis directory provides a list of PrimeTime Health Plan’s network providers.

This directory is for Carroll, Columbiana, Harrison, Holmes, Mahoning, Medina, Portage, Stark,Summit, Trumbull, Tuscarawas, and Wayne counties of Ohio.

This directory is current as of May 30, 2017. Some network providers may havebeen added or removed from our network after this directory was printed. We do notguarantee that each provider is still accepting new members. To get the most up-to-dateinformation about PrimeTime Health Plan’s network providers in your area, you can visitwww.PrimeTimeHealthPlan.com or call our Customer Service Department at 330-363-7407or 1-800-577-5084, Monday through Friday from 8 a.m. to 8 p.m. October 1 - February 14we are available 7 days a week, 8 a.m. to 8 p.m. TTY users should call 330-363-7460 or1-800-617-7446. Our Customer Service Department has free language interpreter servicesavailable for non-English speakers.

This information is available in alternate formats such as large print, audio CD, or otheralternate formats. Please call Customer Service at the number listed above if you need planinformation in another format or language.

PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. Enrollment inPrimeTime Health Plan depends on contract renewal.

The provider network and/or pharmacy network may change at any time. You will receivenotice when necessary.

Page 2: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 2

Table of Contents

Section 1 - Introduction ................... 3What is the service area forPrimeTime Health Plan? ........................... 6How do you find PrimeTime HealthPlan providers in your area? .................. 6

Section 2 – List of NetworkProviders .............................................................8Ancillary Services ...........................................8Durable Medical Equipment .................12Skilled Nursing Facilities ........................ 16Hospitals .............................................................20Urgent Care Facilities ...............................21Carroll County

Primary Care Physicians ................. 23Specialty Physicians ........................... 23

Columbiana CountyPrimary Care Physicians ................. 30Specialty Physicians ........................... 32

Harrison CountyPrimary Care Physicians ................. 59Specialty Physicians ........................... 59

Holmes CountyPrimary Care Physicians ................. 62Specialty Physicians ........................... 63

Jefferson CountyPrimary Care Physicians ................. 72Specialty Physicians ........................... 74

Mahoning CountyPrimary Care Physicians ................. 85Specialty Physicians ........................... 94

Medina CountyPrimary Care Physicians ...............168Specialty Physicians ........................ 168

Portage CountyPrimary Care Physicians ...............180Specialty Physicians ........................ 183

Stark CountyPrimary Care Physicians ...............199Specialty Physicians ........................ 212

Summit CountyPrimary Care Physicians ...............335Specialty Physicians ........................ 344

Trumbull CountyPrimary Care Physicians ...............452Specialty Physicians ........................ 455

Tuscarawas CountyPrimary Care Physicians ...............474Specialty Physicians ........................ 476

Wayne CountyPrimary Care Physicians ...............503Specialty Physicians ........................ 505

Section 3 – List of NetworkPharmacy Providers ......................535Introduction ....................................................536Retail Pharmacies ....................................537Home Infusion Pharmacies ............... 555Long-Term Care Pharmacies ...........555Mail Order Pharmacies .........................556

Alphabetical Provider Listing.....................................................................................562

Multi-language InterpreterServices / Non-discriminationNotice ............................................................... 596

Page 3: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 3

Section 1 – Introduction

This directory provides a list of PrimeTime Health Plan’s network providers. To get detailedinformation about your health care coverage, please see your Evidence of Coverage.

Your PrimeTime Health Plan Provider & Pharmacy Directory has separated each providerby counties they are located in and by his/her specialty. For those with Part D Prescriptioncoverage, a Pharmacy Directory is located in the back of this book, listed under Section 3.

You will have to choose one of our network providers who are listed in this directory to beyour Primary Care Physician (PCP). The term “PCP” will be used throughout this directory.Generally, you must get your health care services from your PCP. Your PCP is a physician,nurse practitioner, or health care professional who meets state requirements and is trained togive you basic medical care. You will get your routine or basic care from your PCP. Your PCPwill also coordinate the rest of the covered services you get as a member of our plan.

The “network providers” listed in this directory have agreed to provide you with your healthcare services. You may go to any of our network providers listed in this directory, however,some services may require a referral. If you have been going to one network provider, youare not required to continue to go to that same provider. In some cases, you may get coveredservices from non-network providers.

If you need Medicare covered services, and the providers in our network cannot providethis service, you may be able to receive this service from an out-of-network provider. PriorAuthorization must be obtained from the plan prior to seeking services from an out-of-networkprovider with the exception of emergency/urgently needed care and out-of-area dialysis.Please refer to the Evidence of Coverage, Chapter 3, for information on how to submit a PriorAuthorization request.

Our plan offers a Point of Service (POS) option for services associated with certain planbenefits. The POS option gives you the flexibility to use any qualified provider of your choice.Please refer to the Summary of Benefits or Evidence of Coverage for a definition of whatservices your plan allows under the POS option and what your cost-sharing would be if youchoose to see a provider using this option.

How to submit a billWhen you receive health care services from a provider who is not part of our network, you areresponsible for paying your cost-sharing amount and you should tell the provider to bill ourplan for the balance of the payment. However, if you have received a bill from the provider youshould not pay the bill, but submit it to us for processing and determination of member liability,if any. Please send that claim to PrimeTime Health Plan, P.O. Box 6905, Canton, Ohio, 44706.If you have any questions about what to pay a provider or where to send a paper claim, pleasecall our Customer Service Department (phone numbers are listed on page 1).

Page 4: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 4

What if I am out-of the area and have a "medical emergency" or urgentneed for care?A "medical emergency" is when you believe that your health is in serious danger. A medicalemergency includes severe pain, a bad injury, a sudden illness, or a medical condition that isquickly getting much worse.

If you have a medical emergency:• Get medical help as quickly as possible. Call 911 for help or go to the nearest emergencyroom, hospital, or urgent care center. You do not need to get approval or a referral first fromyour doctor or other network provider.• As soon as possible, make sure that we know about your emergency, because we need tobe involved in following up on your emergency care. You or someone else should call to tellus about your emergency care, usually within 48 hours.• We will talk with the doctors who are giving you emergency care to help manage andfollow up on your care. When the doctors who are giving you emergency care say that yourcondition is stable and the medical emergency is over, then you are still entitled to follow-up post stabilization care. Your follow-up post stabilization care will be covered accordingto Medicare guidelines. In general, if your emergency care is provided out of network wewill try to arrange for network providers to take over your care as soon as your medicalcondition and the circumstances allow.

What is covered if you have a medical emergency?• You may get covered emergency medical care whenever you need it, anywhere in theUnited States or world-wide.• Ambulance services are covered in situations where other means of transportation wouldendanger your health.

What if it was not a medical emergency?Sometimes it can be hard to know if you have a medical emergency. For example, youmight go in for emergency care – thinking that your health is in serious danger – and thedoctor may say that it was not a medical emergency after all. If this happens, you are stillcovered for the care you got to determine what was wrong, as long as you thought yourhealth was in serious danger. If you get any extra care after the doctor says it was not amedical emergency, the Plan will pay its portion of the covered additional care only if youget it from a network provider. We will pay our portion of the covered additional care from anout-of-network provider if you are out of our service area, as long as the additional care youget meets the definition of "urgently needed care" that is given below.

Page 5: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 5

What is urgently needed care?Urgently needed services are non-emergency, unforeseen medical illnesses, injuries, orconditions that require immediate medical care. Urgently needed services may be furnishedby network providers or by out-of-network providers when network providers are temporarilyunavailable or inaccessible. The unforeseen condition could, for example, be a suddenflare-up of a known condition that you have.

What if you are in the plan’s service area when you have an urgent need for care?You should always try to obtain urgently needed services from network providers. However,if providers are temporarily unavailable or inaccessible and it is not reasonable to wait toobtain care from your network provider when the provider becomes available, we will coverurgently needed services that you get from an out-of-network provider.

You do not need a referral, prior authorization, or to notify the plan prior to receiving urgentlyneeded care. However, you must seek care through an Urgent Care Center.

What if you are outside the plan’s service area when you have an urgent need for care?When you are outside the service area and cannot get care from a network provider, ourplan will cover urgently needed services that you get from any provider.

Our plan will cover urgently needed services or any other emergency care if you receive thecare outside of the United States.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neitherMedicare nor PrimeTime Health Plan will be responsible for the costs.

The Point of Service option, or POS, gives you additional flexibility to use any Medicare-approved doctor that is not found within the PrimeTime Health Plan network. The POSoption allows members to receive specific services outside of the plan’s provider network.This option provides our members with additional choices in obtaining health care serviceswithout the plan’s normal out-of-network referral or prior authorization rules, but membersmay also have higher financial liability (cost-sharing) for these POS services.

Please refer to your Summary of Benefits or Evidence of Coverage for a definition of whatservices your plan allows under the POS option and what your cost-sharing would be if youchoose to see a doctor using this option.

Page 6: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 6

What is the service area for PrimeTime Health Plan?

The counties in our service area are listed below.

CarrollColumbianaHarrisonHolmesMahoningMedina

PortageStarkSummitTrumbullTuscarawasWayne

How do you find PrimeTime Health Plan providers in your area?

Your PrimeTime Health Plan Provider Directory has separated each provider by the countythey are located in and by his/her specialty. On page 2, you will find a Table of Contents whichwill help you easily locate doctors in your county. For those with Part D prescription coverage,a Pharmacy Directory is located in the back of this book.

If you have questions about PrimeTime Health Plan or require assistance in selecting aPCP, please call our Customer Service Department at 330-363-7407 or 1-800-577-5084,Monday through Friday 8 a.m. to 8 p.m. (October 1 - February 14, we are available 7 daysa week, 8 a.m. to 8 p.m.) TTY users should call 330-363-7460 or 1-800-617-7446. Or, visitwww.PrimeTimeHealthPlan.com.

Page 7: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Pg. 7

How to use this directoryIn order to help you choose the best doctor for you, we have included several pieces ofinformation regarding each doctor. Here is an example and how to interpret it:

Page 8: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Ancillary Services

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 8 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

Ancillary Services ( 91)

ADVANCED INFUSIONSVCS LTD160 OPPORTUNITY PKWYSTE 102AKRON 44307330-972-3311

AFFINITY CLINICALGASTROENTEROLOGYINC3722 DRESSLER RD NWSTE BCANTON 44718330-479-4230

AKRON GENERALCENTER FOR NEURO &SPINE3562 RIDGE PARK DRSTE D1AKRON 44333330-665-4100

AKRON GENERALCENTER FOR UROLOGICHEALTH320 W EXCHANGE STAKRON 44302330-535-442895 ARCH STSTE 165AKRON 44304330-375-4848201 FIFTH ST NESTE 5BARBERTON 44203330-864-80082651 W MARKET STFAIRLAWN 44333330-864-80083869 DARROW RDSTE 206STOW 44224330-864-80081946 TOWN PARK BLVDUNIONTOWN 44685330-535-4428

AKRON GENERAL CTRFOR BEHAVIORALMEDICINE & WELLNESSGREEN1946 TOWN PARK BLVDUNIONTOWN 44685330-896-5058

AKRON GENERALHEALTH & WELLNESSCENTER NORTH4300 ALLEN RDSTOW 44224330-945-9300

AKRON GENERALHEALTH & WELLNESSCENTER WEST4125 MEDINA RDAKRON 44333330-665-8000

AKRON GENERALHEALTH & WELLNESSCTR GREEN1940 TOWN PARK BLVDUNIONTOWN 44685330-896-5000

AKRON GENERALRADIOLOGY - ARLINGTON3593 S ARLINGTON RDSTE D ROOM 8AKRON 44312330-344-5570

AKRON GENERALREHABILITATION &SPORTS THERAPY1500 CANTON RDAKRON 44312330-784-1271577 GRANT STAKRON 44311330-375-1300585 WHITE POND DRAKRON 44320330-869-6014

AKRON GENERALTALLMADGE HEALTHCENTER33 NORTH AVETALLMADGE 44278330-630-3142

AKRON GENERAL THESPINE & PAIN INSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672307 W MAIN STSTE CKENT 44240800-941-667229001 CEDAR RDSTE 303LYNDHURST 44124800-941-6672

AKRON SURGICAL ASSOCLLC DBA THE SURGERYCTR AT AKRON GEN HLTH& WELLNESS4125 MEDINA RDSTE 104AKRON 44333330-665-8120

ASSUMPTION VILLAGE9800 MARKET STREETNORTH LIMA 44452330-549-2434

AULTMAN CARROLLTONLABORATORY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-0091

AULTMAN HOSPITALLABORATORY SVCS2600 SIXTH ST SWCANTON 44710330-452-9911

Page 9: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Ancillary Services

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 9

AULTMAN INFUSION SVCS2821 WOODLAWN AVE NWCANTON 44708330-479-4800

AULTMAN LOUISVILLELABORATORY SVCS♿1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050

AULTMAN NORTHDIAGNOSTIC CENTER6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999

AULTMAN NORTHLABORATORY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999

AULTMAN RADIATIONONCOLOGY OF ALLIANCECOMMUNITY HOSPITAL♿885 S SAWBURG AVESTE 108ALLIANCE 44601330-823-1000

AULTMAN WESTDIAGNOSTIC CTR2021 WALES AVE NWMASSILLON 44646330-834-1111

AULTMAN WESTLABORATORY SVCS2021 WALES AVE NWMASSILLON 44646330-834-1111

AULTMAN WOODLAWNINPATIENT REHAB UNIT2821 WOODLAWN AVE NWCANTON 44708330-479-4800

AULTMAN WOODLAWNTRANSITIONAL CARE CTR2821 WOODLAWN AVE NWCANTON 44708330-479-4800

AULTWORKSOCCUPATIONALMEDICINE4650 HILLS & DALES RDNWSTE 200CANTON 44708330-491-9675

BOARDMAN MATERNALFETAL MEDICINE8423 MARKET STSTE 207BOARDMAN 44512330-480-2235

DOBKINS CENTER FORADDICTION405 TALLMADGE RDCUYAHOGA FALLS 44221330-436-0950

EDWIN SHAWREHABILITATIONINSTITUTE NORTH4300 ALLEN RDSTOW 44224330-945-3153

GLENBEIGH CTR OFCANTON4661 BELPAR NWCANTON 44718800-234-1001

GLENBEIGH CTR OFROCK CREEK2863 STATE RTE 45ROCK CREEK 44084800-234-1001

HM HOME CARE979 TIBBETS WICK ROADSTE AGIRARD 44420888-480-3776

2801 SALT SPRINGS RDYOUNGSTOWN 44509330-746-1996

HM HOME PHARMACY979 TIBBETS WICK RDSTE AGIRARD 44420888-480-3776

HOSPICE OF THE VALLEY5190 MARKET STYOUNGSTOWN 44512330-788-1992

HOWLAND MATERNALFETAL MEDICINE1930 NILES CORTLAND RDNEWARREN 44484330-480-2235

HUMILITY HOUSE755 OHLTOWN RDAUSTINTOWN 44515330-505-0144

HUMILITY OF MARYHEALTH PARTNERS LABSITE476 S MAIN STANDOVER 44403330-841-45506252 MAHONING AVEAUSTINTOWN 44515330-792-74818401 MARKET STBOARDMAN 44512330-729-14281160 NILES CORTLAND RDNILES 44446330-652-45981296 TOD PL NWWARREN 44485330-306-50401930 NILES CORTLAND RDNEWARREN 44484330-856-4151

Page 10: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Ancillary Services

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 10 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

2219 E MARKET STWARREN 44483330-306-5795667 EASTLAND AVE SEWARREN 44484330-841-40261044 BELMONT AVEYOUNGSTOWN 44504330-480-28021340 BELMONT AVEYOUNGSTOWN 44504330-747-06187000 SOUTH AVESTE 1YOUNGSTOWN 44512330-729-9514

LIFELINE GREEN SLEEPCENTER4880 S MAIN STAKRON 44319330-655-8211

MERCY MEDICAL CTR OFHOMECARE & HOSPICE4369 WHIPPLE AVE NWCANTON 44718234-203-3211

MERIDIAN HEALTHCARE♿527 N MERIDIAN RDYOUNGSTOWN 44509330-797-0070

MERIDIAN HEALTHCAREWOMEN'S CENTER♿550 WEST CHALMERS AVEYOUNGSTOWN 44511330-797-0070

MERIDIAN HEATHCAREMEN'S CENTER♿550 WEST CHALMERS AVEYOUNGSTOWN 44511330-797-0070

MOGADORE RADIOLOGYAND PT754 S CLEVELAND AVEMOGADORE 44260330-628-3956

MONTROSE SLEEPCENTER4125 MEDINA RDSTE 210AKRON 44333330-665-8211

NEW START TREATMENTCTR FOR CHEMICALDEPENDENCY1296 TOD PL NWSTE 205WARREN 44485330-306-5010

REFLECTIONS BREASTHEALTH CENTERFAIRLAWN2603 W MARKET STSTE 200AKRON 44313800-941-6672

REFLECTIONS BREASTHEALTH CENTERTALLMADGE33 NORTH AVESTE 202TALLMADGE 44278330-630-9381

ST ELIZABETH & STJOSEPH SURGICALWEIGHT LOSS CTR452 BROADWAY AVEYOUNGSTOWN 44504330-480-2866

ST ELIZABETHBOARDMANANTICOAGULATIONCLINIC905 SAHARA TRAILPOLAND 44514330-729-1372

ST ELIZABETHBOARDMAN CAMPUSCANCER CARE CTR8401 MARKET STBOARDMAN 44512330-629-7500

ST ELIZABETHBOARDMAN CAMPUSWELLNESS CTR AT THEDD & VELMA DAVISFAMILY YMCA45 MCCLURG RDBOARDMAN 44512330-729-1440

ST ELIZABETHBOARDMAN HEALTHCENTER POLANDIMAGING6615 CLINGAN RDSTE FPOLAND 44514330-757-3643

ST ELIZABETHBOARDMAN SLEEPLABORATORY7000 SOUTH AVESTE 3YOUNGSTOWN 44512330-726-0771

ST ELIZABETHBOARDMAN WOUNDCARE250 DEBARTOLO PLSTE 1622BOARDMAN 44512330-729-13727010 SOUTH AVESTE 6BOARDMAN 44512330-729-3175

ST ELIZABETHEMERGENCY &DIAGNOSTIC CTR6252 MAHONING AVEAUSTINTOWN 44515330-792-7418

Page 11: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Ancillary Services

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 11

ST ELIZABETH FAMILYHEALTH CTR1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605

ST ELIZABETH HEALTHCTR PHYSICAL THERAPY420 CAROLINEYOUNGSTOWN 45501330-480-3010

ST ELIZABETH HEARTAND VASCULAR CENTER715 E WESTERN RESERVERDPOLAND 44514330-726-3204

ST ELIZABETHREHABILITATION CTR5533 MAHONING AVEYOUNGSTOWN 44515330-480-3010

ST E'S HEART &VASCULAR - ACI NEWCASTLE145 ENCLAVE DRNEW CASTLE 16105724-658-0620

ST E'S HEART &VASCULAR - ACI POLAND905 SAHARA TRLPOLAND 44514330-726-0100

ST JOSEPH DIAGNOSTICSLEEP LABORATORY8600 E MARKET STSTE 5WARREN 44484330-841-4406

ST JOSEPH EMERGENCY& DIAGNOSTIC CTR476 S MAIN STANDOVER 44403330-841-4550

476 SOUTH MAIN STANDOVER 44003330-841-4550

ST JOSEPH HEALTH CTR(OP REHABILITATIONSVCS)8720 E MARKET STWARREN 44484330-856-1520

ST JOSEPH MINOREMERGENCY &DIAGNOSTIC CTR1296 TOD PL NWWARREN 44485330-306-5040

ST JOSEPH SURGERYCTR1934 NILES CORTLAND RDNEWARREN 44484330-841-4032

ST JOSEPH URGENTCARE CTR1950 NILES CORTLAND RDNEWARREN 44484330-856-4151

STARK AMBULATORYSURGERY CTR4360 FULTON DR NWCANTON 44718330-305-2020

STOW URGENT CARE &PRIMARY CARE CTR3913 DARROW RDSTE 100STOW 44224330-688-7900

THE HOSPICE HOUSE9803 SHARROT RDPOLAND 44514330-549-5850

THE UNION HOSP ASSOC300 MEDICAL PARK DRSTE 105DOVER 44622330-308-3700

TRINITY MEDICAL CTREAST380 SUMMIT AVESTEUBENVILLE 43952740-264-8000

TUSCARAWAS COUNTYALCOHOL & ADDICTIONPROGRAM897 E IRON AVEDOVER 44622330-343-5555

TUSCARAWAS VALLEYREGIONAL CANCERCENTER300 MEDICAL PARK DRDOVER 44622330-364-8959

UH KENT HEALTHCENTER1850 ST RTE 59KENT 44240330-676-9544401 DEVON PLKENT 44240330-677-3434411 DEVON PLKENT 44240330-677-7680

UH STREETSBOROHEALTH CENTER9318 ST RTE 14STREETSBORO 44241330-626-3455

UH WALDEN HEALTHCENTER700 WALDEN PLAURORA 44202330-562-3169

Page 12: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Durable Medical Equipment

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 12 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

UNION HOSPITALINPATIENT REHAB UNIT659 BOULEVARD STDOVER 44622330-343-3311

VASCULAR MEDICINEAND SURGICAL ASSOC540 PARMALEE AVESTE 210YOUNGSTOWN 44510330-747-2244

WESTERN RESERVEHOSP AT HUDSON5655 HUDSON DRSTE 120HUDSON 44236330-650-6710

WESTERN RESERVEHOSP LAB AT HUDSON5655 HUDSON DRSTE 315HUDSON 44236330-655-5110

WESTERN RESERVEHOSP LAB AT KENT307 W MAIN STSTE BKENT 44240330-678-7782

WESTERN RESERVEHOSP LAB AT NORDONIA7689 SAGAMORE HILLSBLVDSAGAMORE HILLS 44067330-926-3231

WESTERN RESERVEHOSP LAB AT STATE RD3033 STATE RDSTE 201CUYAHOGA FALLS 44223330-678-5234

WESTERN RESERVEHOSP LAB AT STOW4465 DARROW RDSTOW 44224330-688-1323

WESTERN RESERVEHOSP LAB AT WHITEPOND701 WHITE POND DRSTE 300AKRON 44320330-971-7000

WESTERN RESERVEHOSP NATATORIUMREHABILITATION ANDWELLNESS CTR2345 FOURTH STCUYAHOGA FALLS 44223330-926-0384

WESTERN RESERVEHOSP PHYSICALTHERAPY AT MAIN ST999 N MAIN STAKRON 44310330-940-5708

WESTERN RESERVEHOSP STRESS TESTINGAT TALLMADGE116 EAST AVESTE 3TALLMADGE 44278330-633-7782

WOOSTER COMMUNITYHOSPITAL REHAB UNIT1761 BEALL AVEWOOSTER 44691330-263-8100

YOUNGSTOWNMATERNAL FETALMEDICINE1044 BELMONT AVEYOUNGSTOWN 44504330-480-2235

Durable Medical Equipment( 30)

ASHLAND HOME TOWNEPHARMACY INC849 SMITH RDASHLAND 44805419-281-4040

AULTMAN HOMEMEDICAL SUPPLY2600 SIXTH ST SWCANTON 44710330-363-69462820 TUSCARAWAS WCANTON 44708330-363-93505220 TUSCARAWAS ST WCANTON 44708330-478-96231261 WOOSTER RDSTE 115MILLERSBURG 44654330-674-15416046 WHIPPLE AVE NWSTE 210NORTH CANTON 44720330-433-1236

BOARDMAN MEDICALSUPPLY CO INC300 N STATE STGIRARD 44420330-545-6700

BREWSTER FAMILYPHARMACY360 N WABASHBREWSTER 44613330-767-3436

CHV HOME MEDICALEQUIPMENT CO LLC160 OPPORTUNITY PKWYSTE 101AKRON 44307330-434-1114

Page 13: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Durable Medical Equipment

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 13

1 AKRON GENERAL AVESTE 101AKRON 44307330-434-1114

CUSTER PHARMACY241 S MAINCADIZ 43907740-942-2726

DASCO HOME MEDICALEQUIPMENT270 E STATE STSTE 130ALLIANCE 44601330-829-05651656 EAGLE WAYASHLAND 44805419-289-6489

DAVIES DRUG INC6046 WHIPPLE AVE NWN CANTON 44720330-305-9075

DAVIES PHARMACY INC2915 TUSCARAWAS ST WCANTON 44708330-454-5151

DISCOUNT DRUG MART711 CANTON RDAKRON 44312330-794-1181300 LEAVITT RDAMHERST 44001440-984-24391631 CLAREMONT STASHLAND 44805419-281-78803032 N RIDGE RD EASHTABULA 44004440-998-066333552 DETROIT RDAVON 44011440-937-451033382 WALKER RDAVON LAKE 44012440-933-2327

4441 STATE RTE 725BELLBROOK 45305937-848-37001673 PEARL RDBRUNSWICK 44212330-225-96155270 CENTER RDBRUNSWICK 44212330-273-83004730 HILLS & DALES NWCANTON 44708330-477-1558592 12TH ST NWCARROLLTON 44615330-627-90051575 LYONS RDCENTERVILLE 45458937-439-977916765 CHILLICOTHE RDCHAGRIN FALLS 44023440-543-884412575 CHILLICOTHE RDCHESTERLAND 44026440-729-240017815 PURITAS AVECLEVELAND 44135216-267-46303889 E 71ST STCLEVELAND 44105216-341-73704170 FULTON RDCLEVELAND 44144216-741-39931062 W MCPHERSON HWYCLYDE 43410419-547-40005599 N HAMILTON RDCOLUMBUS 43230614-472-097238 S MEDINA LINE RDCOPLEY 44321330-670-0060655 W PORTAGE TRLCUYAHOGA FALLS 44221330-923-8332

3015 N WOOSTER AVEDOVER 44622330-343-770034100 VINE STEASTLAKE 44095440-942-3330110 CHESTNUT COMMONSELYRIA 44035440-366-6785500 N ABBE RDELYRIA 44035440-365-9839725 E 200TH STEUCLID 44119216-531-17007617 DAYTONSPRINGFIELD RDFAIRBORN 45324937-863-0045739 CARTER DRGALION 44833419-468-31392290 STRINGTOWN RDGROVE CITY 43126614-539-4880765 ALPHA DRHIGHLAND HEIGHTS 44143440-684-11125863 DARROW RDHUDSON 44236330-342-5500420 CLEVELAND RD EHURON 44839419-433-45656160 BRECKSVILLE RDINDEPENDENCE 44131216-524-1835107 S CHESTNUT STJEFFERSON 44047440-576-31111763 E MAIN STKENT 44240330-678-3001

Page 14: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Durable Medical Equipment

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 14 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

13123 DETROIT RDLAKEWOOD 44256216-529-910015412 DETROIT AVELAKEWOOD 44107216-226-06008951 S OLD STATE RDLEWIS CENTER 43035614-841-7555661 WOOSTER STLODI 44254330-948-05202253 COLORADO AVELORAIN 44052440-288-019125 BRIGGS DRMANSFIELD 44906419-529-81016148 DUNHAM RDMAPLE HEIGHTS 44137216-663-47116172 TYLERSVILLE RDMASON 45040513-754-1361135 HARDING STMEDINA 44256330-725-71175923 WOOSTER PIKE RDMEDINA 44256330-721-06008500 MENTOR AVEMENTOR 44060440-255-00401145 ALLIANCE RD NWMINERVA 44657330-868-3252525 W MARION RDMOUNT GILEAD 43338419-947-1404238 SECOND ST NWNEW PHILADELPHIA 44663330-339-6040

1695 NORTH MAINSTREETNORTH CANTON 44720330-497-93934925 PORTAGE STREETNWNORTH CANTON 44720330-966-211524485 LORAIN RDNORTH OLMSTED 44070440-734-38805500 WALLINGS RDNORTH ROYALTON 44133440-230-9100201 CLINE STNORWALK 44857419-668-302412289 LEAVITT RDOBERLIN 44074440-774-52128191 COLUMBIA RDOLMSTED FALLS 44138440-235-87876476 YORK RDPARMA HEIGHTS 44130440-845-6800845 HILL RD NPICKERINGTON 43147614-920-33309965 SAWMILL PKWYPOWELL 43065614-659-03113100 GLENWOOD BLVDREMINDERVILLE 44087330-405-6650124 E PERKINS AVESANDUSKY 44870419-625-07335298 DETROIT RDSHEFFIELD VILLAGE 44035440-934-3840219 MANSFIELD AVESHELBY 44875419-347-8055

240 W CENTRAL AVESPRINGBORO 45066937-748-30004044 FISHCREEK RDSTOW 44224330-688-614013919 PROSPECT RDSTRONGSVILLE 44149440-238-24001155 E WYANDOT AVEUPPER SANDUSKY 43351419-294-59004208 LIBERTY AVEVERMILLION 44089440-967-30001005 HIGH STWADSWORTH 44281330-334-5811814 N MAIN STWELLINGTON 44090440-647-343627300 DETROIT AVEWESTLAKE 44145440-871-6077307 W WALTON AVEWILLARD 44890419-935-4018629 BEALL AVEWOOSTER 44691330-264-8404

EDGEPARK MEDICALSUPPLIES1810 SUMMIT COMMERCEPARKTWINSBURG 44087330-963-6998

ELEGANT ESSENTIALS5164 NORMANDY PARKDRSTE 300MEDINA 44256330-723-8880

Page 15: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Durable Medical Equipment

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 15

HANGER PROSTHETICS &ORTHOTICS1 CANAL SQUARE PLZSTE 140AKRON 44308330-374-95441220 W STATE STALLIANCE 44601330-821-4918930 TRAILWOOD DRBOARDMAN 44512330-758-11434663 WHIPPLE AVE NWCANTON 44718330-479-00208029 E MARKET STREETWARREN 44484330-856-6990

HASTINGS HOME HEALTHCTR INC4120 SHUFFEL STREETNWNORTH CANTON 44720330-818-2300

MEDICAL SERVICECO DBA HURSHHEALTHCARE92 N DIAMOND STMANSFIELD 44902440-232-3000

MEDICINE CENTERPHARMACY2526 W TUSCARAWAS STCANTON 44708330-455-5422700 W MAIN STLOUISVILLE 44641330-875-5525251 EAST STMINERVA 44657330-868-6200551 W HIGH STNEW PHILADELPHIA 44663330-339-4466

MEDI-WISE PHARMACY245 W STATE STNEWCOMERSTOWN 43832740-498-6337

MILLER'S RENTAL &SALES INC4705 TUSCARAWAS ST WCANTON 44708800-686-5641

MOTION MOBILITY INC6490 PROMLER NWNORTH CANTON 44720330-244-9723

ORTHOTIC & PROSTHETICSVCS INC799 N COURT STSTE 1MEDINA 44256330-723-6679

RICHARDS MEDICAL INC826 COOKSON AVE SENEW PHILADELPHIA 44663330-339-7744

RITZMAN PHARMACIESINC1323 COPLEY RDAKRON 44320330-867-878095 ARCH STG 15AKRON 44304330-376-17711055 SUGARBUSH DRASHLAND 44805419-282-9800390 ROBINSON AVESTE ABARBERTON 44203330-745-00184900 OAK STBERLIN 44610330-893-3179

7138 FULTON DR NWCANTON 44718330-834-34003000 N WOOSTER AVEDOVER 44622330-364-3079275 FOREST MEADOWSDRMEDINA 44256330-725-05353626 MEDINA RDMEDINA 44256330-725-50002105 GLEN DRMILLERSBURG 44654330-674-18914047 S CLEVELANDMASSILLON RDNORTON 44203330-825-34001114 W HIGH STORRVILLE 44667330-683-2060234 N MAIN STRITTMAN 44270330-927-3175255 CENTER STSEVILLE 44273330-769-2995119 N MARKET STSHREVE 44676330-567-2823126 N BROADWAYSUGARCREEK 44681330-852-24451790 GRAYBILL RDSTE 150UNIONTOWN 44685330-899-8600120 HIGH STWADSWORTH 44281330-335-2594235 W LIBERTY STWOOSTER 44691330-202-9081

Page 16: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Skilled Nursing Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 16 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

3540 BURBANK RDWOOSTER 44691330-345-5908

SALEM HOME MEDICAL2235 E PERSHING STSTE GSALEM 44460330-337-9922

SCRIPTSHOP PHARMACY4254 ERIE AVE SWNAVARRE 44662330-879-5626

SHAW OTT MEDICAL270 LEXINGTON AVEMANSFIELD 44907419-524-4388

SORRENTINO'SORTHOTICS60 N CANFIELD NILES RDSTE 800AUSTINTOWN 44515330-792-6361

VALLEY VIEW PHARMACY11141 ST RTE 800 NEMAGNOLIA 44643330-866-3380

WAYNE HEALTH SVCS &SUPPLIES2571 CLEVELAND RDWOOSTER 44691330-345-7730

WESTERN RESERVEPROSTHETICS &ORTHOTICS CTR INC♿6431 MAHONING AVEAUSTINTOWN 44515330-792-68262235 E PERSHING STSALEM 44460330-337-8333

YANKE BIONICS INC303 W EXCHANGE STAKRON 44302330-762-64113975 EMBASSY PKWYAKRON 44333330-668-40702461 W STATE STSTE CALLIANCE 44601330-821-87004604 TUSCARAWAS ST WCANTON 44708330-479-96621444 E MAIN STSTE BKENT 44240330-673-1904380 N MAIN STSTE L101MANSFIELD 44902419-529-23002400 WALES AVE NWSTE HMASSILLON 44646330-833-09552300 E HIGH AVENEW PHILADELPHIA 44663330-339-79002922 CLEVELAND RDWOOSTER 44691330-345-6657

Skilled Nursing Facility ( 83)

ALTERCARE OFALLIANCE CTR FORREHABILITATION &NURSING CARE INC11750 KLINGER AVE NEALLIANCE 44601330-823-8263

ALTERCARE OFCUYAHOGA FALLS CTRFOR REHABILITATION &NURSING CARE2728 BAILEY RDCUYAHOGA FALLS 44221330-929-4231

ALTERCARE OFHARTVILLE CTR FORREHABILITATION &NURSING CARE INC1420 SMITH KRAMER RDHARTVILLE 44632330-877-2666

ALTERCARE OFLOUISVILLE CTR FORREHABILITATION &NURSING CARE INC7187 ST FRANCIS ST NELOUISVILLE 44641330-875-4224

ALTERCARE OFNAVARRE CTR FORREHABILITATION &NURSING CARE INC517 PARK ST NWNAVARRE 44662330-879-2765

ALTERCARE OF NOBLESPOND INC7006 FULTON DR NWCANTON 44718330-834-4800

AMBERWOOD MANOR245 251 S BROADWAYNEW PHILADELPHIA 44663330-339-2151

AMHERST MEADOWSCARE CTR1610 FIRST ST NEMASSILLON 44646330-830-8500

Page 17: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Skilled Nursing Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 17

ARBORS AT MINERVA400 CAROLYN CTMINERVA 44657330-868-4104

ASTORIA SKILLEDNURSING & REHAB♿3537 12TH ST NWCANTON 44708330-455-5500

AUBURN SKILLEDNURSING &REHABILITATION451 VALLEY RDSALEM 44460330-537-4621

AULTMAN ORRVILLEHOSP832 S MAIN STORRVILLE 44667330-682-3010

AULTMAN WOODLAWNTRANSITIONAL CARE CTR2821 WOODLAWN AVE NWCANTON 44708330-479-4800

BEL AIR CARE CENTER♿2350 CHERRY AVE SALLIANCE 44601330-821-3939

BETHANY NURSING HOMEINC626 34TH ST NWCANTON 44709330-492-7171

BRENN-FIELD NURSINGCENTER1980 LYNN DRORRVILLE 44667330-683-4075

BRETHREN CAREVILLAGE LLC2000 CENTER STASHLAND 44805419-289-1585

BREWSTER PARKE, INC264 MOHICAN ST NEBREWSTER 44613330-767-4179

CANAL POINTE NURSING& REHAB CTR145 OLIVE STAKRON 44310330-762-0901

CANTERBURY VILLA OFALLIANCE1785 N FRESHLEY AVEALLIANCE 44601330-821-4000

CANTON CHRISTIANHOME2550 CLEVELAND AVE NWCANTON 44709330-456-0004

CAPRICE HEALTH CARECTR9184 MARKET STNORTH LIMA 44452330-965-9200

CARRIAGE INN OF CADIZ308 W WARREN STCADIZ 43907740-942-8084

CARROLL HEALTH CARECENTER648 LONGHORN ST NWCARROLLTON 44615330-627-5501

CHAPEL HILLCOMMUNITY12200 STRAUSSER ST NWCANAL FULTON 44614330-854-4177

CIRCLE OF CARE1985 E PERSHING STSALEM 44460330-332-1588

COMMUNITY CARECENTER200 E STATE STALLIANCE 44601330-596-7600

COUNTRY CLUB CTRHOMES LLC860 E IRON AVEDOVER 44622330-343-5568

COUNTRY LAWN CTRFOR REHABILITATION &NURSING CARE, INC.10608 NAVARRE RD SWNAVARRE 44662330-767-3455

COVINGTON SKILLEDNURSING & REHAB100 COVINGTON DREAST PALESTINE 44413330-426-2920

CRANDALL MEDICALCENTER800 S 15TH STSEBRING 44672330-938-6126

DOYLESTOWN HEALTHCARE CTR95 BLACK DRDOYLESTOWN 44230330-545-1550

ESSEX OF SALEM I2511 BENTLEY DRSALEM 44460330-337-9503

ESSEX OF SALEM II250 CONTINENTAL DRSALEM 44460330-337-9503

Page 18: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Skilled Nursing Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 18 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ESSEX OF SALEM III230 CONTINENTAL DRSALEM 44460330-337-9503

GLENDORA HEALTHCARECTR1552 N HONEYTOWN RDWOOSTER 44691330-264-0912

GREEN MEADOWSHEALTH & WELLNESS7770 COLUMBUS RD NELOUISVILLE 44641330-875-1456

GV MANOR INC DBAMANOR OF GRANDEVILLAGE2610 E AURORA RDTWINSBURG 44087330-963-3600

HANOVER HEALTHCARECTR435 AVIS AVE NWMASSILLON 44646330-837-1741

HEATHER KNOLLRETIREMENT VILLAGEINC1134 NORTH AVETALLMADGE 44278330-688-8600

HENNIS CARE CENTRE OFDOVER1720 N CROSS STDOVER 44622330-364-8849

HENNIS CARE CTR OFBOLIVAR300 YANT STBOLIVAR 44612330-874-9999

JACKSON RIDGEREHABILITATION & CARE7055 HIGH MILL AVE NWCANAL FULTON 44614330-854-4545

LEGENDS CARE CTR2311 NAVE RD SEMASSILLON 44646330-837-1001

MAJORA LANE CTR FORREHAB & NURSING CAREINC105 MAJORA LNMILLERSBURG 44654330-674-4444

MANOR CARE HEALTHSVCS AKRON1211 W MARKET STAKRON 44313330-867-8530

MANOR CARE HEALTHSVCS BARBERTON85 THIRD ST SEBARBERTON 44203330-753-5005

MANOR CARE HEALTHSVCS BELDEN VILLAGE5005 HIGBEE AVE NWCANTON 44718330-492-7835

MCCREA MANORNURSING &REHABILITATION2040 MCCREA STALLIANCE 44601330-823-9005

MCKINLEY HEALTH CARECTR800 MARKET AVE NCANTON 44702330-456-1014

MEADOW WIND HEALTHCARE CTR300 23RD ST NEMASSILLON 44646330-833-2026

MINERVA HEALTHCAREAND REHABILITATIONCTR1035 E LINCOLNWAYMINERVA 44657330-868-4147

NATIONAL CHURCHRESIDENCES BATH RD300 E BATH RDCUYAHOGA FALLS 44223330-929-6272

NEW DAWN HEALTH/RETIREMENT CENTER865 E IRON AVEDOVER 44622330-343-5521

OAK HILLS MANOR CARECTR4466 LYNNHAVEN AVELOUISVILLE 44641330-875-5060

OAK POINTE NURSING &REHAB CTR130 BUENA VISTA STBALTIC 43804330-897-4311

PARK VILLAGE HEALTHCARE CTR1525 CRATER AVEDOVER 44622330-364-4436

REGINA HEALTH CTR5232 BROADVIEW RDRICHFIELD 44286330-659-4161

Page 19: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Skilled Nursing Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 19

RIVERSIDE MANORNURSING & REHAB CTR1100 E STATE RDNEWCOMERSTOWN 43832740-498-5165

ROSE LANE HEALTH &REHABILITATION INC5425 HIGH MILL AVE NWMASSILLON 44646330-833-3174

ROSELAWN GARDENS11999 KLINGER AVE NEALLIANCE 44601330-823-0618

SALEM REGIONALMEDICAL CTR1995 E STATE STSALEM 44460330-332-1551

SCHOENBRUNNHEALTHCARE2594 E HIGH AVENEW PHILADELPHIA 44663330-339-3595

SHADY LAWN HEALTHCARE15028 OLD LINCOLN WAYEDALTON 44618330-828-2278

SIGNATUREHEALTHCARE OFCOSHOCTON100 S WHITEWOMAN STCOSHOCTON 43812740-622-1220

SIGNATUREHEALTHCARE OFWARREN2473 NORTH RD NEWARREN 44483330-372-2251

SMITHVILLE WESTERNINC4110 E SMITHVILLEWESTERN RDWOOSTER 44691330-345-9050

SPRENGER HEALTHCARE OF MASSILLON205 ROHR AVEMASSILLON 44646440-989-5200

ST JOSEPH NURSINGHOME2308 RENO DRLOUISVILLE 44641330-875-5562

ST LUKE LUTHERANCOMMUNITY-PORTAGELAKES615 LATHAM LNAKRON 44319330-644-3914

ST LUKE LUTHERANHOME FOR THE AGING220 APPLEGROVE STREETNENORTH CANTON 44720330-499-8341

STONE CROSSINGBY LAMPLIGHTCOMMUNITIES836 34TH ST NWCANTON 44709330-492-7131

STOW GLEN INC4285 KENT RDSTOW 44224330-686-7100

SUNNYSLOPE NURSINGHOME102 BOYCE DRBOWERSTON 44695740-269-8001

SYCAMORE RUNNURSING & REHAB CTR6180 ST RTE 83MILLERSBURG 44654330-674-0015

THE LAURELS OFCANTON♿2714 13TH ST NWCANTON 44708330-456-2842

THE LAURELS OFMASSILLON♿2000 SHERMAN CIR NEMASSILLON 44646330-830-9988

THE PINES3015 17TH ST NWCANTON 44708330-454-6508

THE VILLAGE AT STEDWARD3131 SMITH RDFAIRLAWN 44333330-666-1183

WALNUT HILLS NURSINGHOME4748 OLDE PUMP STWALNUT CREEK 44687330-893-3200

WEST VIEW HEALTHYLIVING1715 MECHANICSBURGRDWOOSTER 44691330-264-8640

WOOSTER COMMUNITYHOSPITAL SKILLEDNURSING FACILITY1761 BEALL AVEWOOSTER 44691330-263-8100

Page 20: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Hospital

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 20 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WOOSTER SUB ACUTE3071 N ELYRIA RDWOOSTER 44691330-264-7881

Hospital ( 22)

AFFINITY MEDICALCENTERAccreditation: HFAP875 EIGHTH ST NEMASSILLON 44646330-832-8761

AKRON GENERALMEDICAL CENTERAccreditation: THE JOINTCOMMISSION1 AKRON GENERAL AVEAKRON 44307330-344-6000

ALLIANCE COMMUNITYHOSPITALAccreditation: HFAP200 E STATE STALLIANCE 44601330-453-4755

AULTMAN HOSPITALAccreditation: THE JOINTCOMMISSION♿2600 SIXTH ST SWCANTON 44710330-363-5419

AULTMAN ORRVILLEHOSPAccreditation: THE JOINTCOMMISSION832 S MAIN STORRVILLE 44667330-682-3010

CRYSTAL CLINICORTHOPAEDIC CTR LLCAccreditation: THE JOINTCOMMISSION3975 EMBASSY PKWYAKRON 44333330-668-4050

444 N MAIN STAKRON 44310330-668-4040

EDWIN SHAWREHABILITATIONINSTITUTEAccreditation: THE JOINTCOMMISSION330 BROADWAY ST ECUYAHOGA FALLS 44221330-436-0910

HARRISON COMMUNITYHOSPAccreditation: THE JOINTCOMMISSION951 E MARKET STCADIZ 43907740-942-4631

LODI COMMUNITYHOSPITALAccreditation: THE JOINTCOMMISSION225 ELYRIA STLODI 44254330-948-1222

MERCY MEDICAL CENTERAccreditation: THE JOINTCOMMISSION149 E SIMPSON STALLIANCE 44601330-823-38561320 MERCY DR NWCANTON 44708330-489-10001459 SUPERIOR AVE NECANTON 44705330-588-48921811 SCHNEIDER AVE NECANTON 44721330-494-64801001 CANTON RD NWCARROLLTON 44615330-627-8873125 CANTON RD NWCARROLLTON 44615330-627-7641

1302 W MAIN STLOUISVILLE 44641330-489-14482935 LINCOLN WAY WMASSILLON 44647330-236-23007337 CARITAS CIR NWMASSILLON 44646330-830-61101031 W HIGH AVENEW PHILADELPHIA 44663330-365-51016200 WHIPPLE AVE NWNORTH CANTON 44720330-966-8884432 KING CHURCH AVESWUNIONTOWN 44685330-877-5000

NORTHSIDE MEDICALCENTERAccreditation: THE JOINTCOMMISSION500 GYPSY LNYOUNGSTOWN 44504330-884-1000

POMERENE HOSPAccreditation: CIHQ(Center for Improvement inHealthcare Quality)981 WOOSTER RDMILLERSBURG 44654330-674-1015

SALEM REGIONALMEDICAL CTRAccreditation: THE JOINTCOMMISSION1995 E STATE STSALEM 44460330-332-1551

Page 21: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Urgent Care Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 21

ST ELIZABETHBOARDMAN HOSPITALAccreditation: THE JOINTCOMMISSION8401 MARKET STBOARDMAN 44512330-729-2929

ST ELIZABETHYOUNGSTOWN HOSPITALAccreditation: THE JOINTCOMMISSION1044 BELMONT AVEYOUNGSTOWN 44504330-480-7211

ST JOSEPH WARRENHOSPITALAccreditation: THE JOINTCOMMISSION667 EASTLAND AVE SEWARREN 44481330-871-4000

TRINITY HOSP TWIN CITYAccreditation: THE JOINTCOMMISSION819 N FIRST STDENNISON 44621740-922-2800

TRINITY MEDICAL CTRWESTAccreditation: THE JOINTCOMMISSION4000 JOHNSON RDSTEUBENVILLE 43952740-283-7761

UH PORTAGE MEDICALCENTERAccreditation: THE JOINTCOMMISSION6847 N CHESTNUT STRAVENNA 44266330-297-0811

UNION HOSPITALAccreditation: DNVGL659 BOULEVARD STDOVER 44622330-343-3311

WESTERN RESERVEHOSPAccreditation: HFAP1900 23RD STCUYAHOGA FALLS 44223330-971-7000

WOOSTER COMMUNITYHOSPITALAccreditation: THE JOINTCOMMISSION1761 BEALL AVEWOOSTER 44691330-263-8100

Urgent Care Facility ( 19)

910 RAPID CARE LLC910 BOARDMAN CANFIELDRDBOARDMAN 44512330-965-0075

AKRON GENERALEXPRESS CARE739 GRAHAM RDCUYAHOGA FALLS 44221330-344-8560♿82 WEST STREETSBOROSTHUDSON 44236330-344-76504494 ST RTE 43KENT 44240330-344-1600

AKRON GENERALURGENT CARE3593 S ARLINGTON RDSTE DAKRON 44312330-344-557033 NORTH AVESTE 104TALLMADGE 44278330-344-3990

1946 TOWN PARK BLVDSTE 110UNIONTOWN 44685330-344-5487

AULTMAN AFTER HOURSCLINIC2600 SIXTH ST SWCANTON 44710330-363-5313

AULTMAN CARROLLTONIMMEDIATE CARE1020 TRUMP RD NWCARROLLTON 44615330-627-0091

AULTMAN NORTH♿6100 WHIPPLE AVENORTH CANTON 44720330-305-6999

AULTMAN WESTIMMEDIATE CARECENTER2021 WALES AVE NWMASSILLON 44646330-834-1111

BLOOMINGTON MEDICALSERVICES LLC DBA NOWCLINIC♿3727 FRIENDSVILLE RDSTE 6WOOSTER 44691330-263-8360

CALCUTTAEXPRESSCLINIC15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920330-932-0909

Page 22: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | Urgent Care Facility

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 22 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CRYSTAL CLINIC QUICKCARE CLINIC♿1622 EAST TURKEYFOOTLAKE RDSTE 201AKRON 44312330-776-44443975 EMBASSY PKWYSTE 003AKRON 44333330-670-4242

HEALTH ALLIANCE INCDBA ACH AFTER HOURSCARE2461 W STATE STSTE AALLIANCE 44601330-596-6640

HEALTH ALLIANCE INCDBA ACH FAMILY CAREURGENT CARE CENTER506 W MAIN STLOUISVILLE 44641330-875-5625

MERCY MEDICAL CENTERINC - STATCARE1811 SCHNEIDER AVE NECANTON 44721330-494-6480125 CANTON RD NWCARROLLTON 44615330-627-76412935 LINCOLN WAY WMASSILLON 44647330-236-23007337 CARITAS CIR NWMASSILLON 44647330-830-61101031 W HIGH AVENEW PHILADELPHIA 44663330-365-51006200 WHIPPLE AVE NWNORTH CANTON 44720330-966-8884

POMERENE EXPRESSCARE♿4900 OAK STBERLIN 44610330-893-1318

TRINITY HOSPITALHOLDING COMPANY DBATRINITY MEDICAL CTREXPRESS CARE♿148 MAIN STWINTERSVILLE 43953740-346-2702

UH QCARE350 HILLCREST DRASHLAND 44805419-207-2502

UH STREETSBOROHEALTH CENTER URGENTCARE9318 ST RTE 14FIRST FLRSTREETSBORO 44241330-626-3455

UNION HOSPITALFIRSTCARE♿340 OXFORD STDOVER 44622330-343-3311

WESTERN RESERVESTOW URGENT &PRIMARY CARE3913 DARROW RDSTE 100STOW 44224330-688-7900

Page 23: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 23

ALLERGY & IMMUNOLOGY(1)

TAMBOLI, ARDESHIR ( Male)ADIE TAMBOLI MD INC222 SCIO RDCARROLLTON 44615330-627-7643Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITALATHLETIC TRAINER (6)

AVELLINO, NEIL ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALGITTINGER, MICHAEL ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHGREATHOUSE, BETH ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

HAWKE, TRICIA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHHAYS, JOHN ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHHOSKINS, JOE ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHCARDIOLOGY (3)

DUFFY, BRENDAN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1020 TRUMP RD NWCARROLLTON 44615330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

HAMDAN, FIRAS ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1020 TRUMP RD NWCARROLLTON 44615330-627-0091Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITALNIDAMANURI, KAVITHA ( Female)CARDIOVASCULARCONSULTANTS OF OPPC1020 TRUMP RD NWCARROLLTON 44615330-627-0091Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, SALEMREGIONAL MEDICALCENTER, ALLIANCECOMMUNITY HOSPITALCHIROPRACTIC (5)

BURIK, DOUGLAS ( Male)BURIK CHIROPRACTIC INC1244 CANTON RD NWCARROLLTON 44615330-627-7112Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 24: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 24 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DIDOMENICO, ROBERT ( Male)DIDOMENICOCHIROPRACTIC1164 ALLIANCE RD NWMINERVA 44657330-821-0999Accepting new patientsLanguage(s) Spoken:ENGLISHGRUBBS, WILLIAM ( Male)GRUBBS FAMILYCHIROPRACTIC DBATHE NECK & BACK PAINRELIEF CTR713 CANTON RD NWCARROLLTON 44615330-627-4745Accepting new patientsLanguage(s) Spoken:ENGLISHMYERS, LOWELL II ( Male)CARROLLTONCHIROPRACTIC CTR INC559 CANTON RD NWCARROLLTON 44615330-627-7611Accepting new patientsLanguage(s) Spoken:ENGLISHSHIFFLET, NICHOLAS ( Male)CARROLLTONCHIROPRACTIC CTR INC559 CANTON RDCARROLLTON 44615330-627-7611Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH

FAMILY MEDICINE (8)

CLARK, RICHARD ( Male)CARROLL COUNTYGENERAL HEALTHDISTRICT301 MOODY AVE SWCARROLLTON 44615330-627-4866Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHFRY, CARL ( Male)AMG FAMILY MEDICINE OFCARROLLTON1020 TRUMP RD NWSTE 4CARROLLTON 44615330-627-0884Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALHAAS, MANDAL ( Male)AMG FAMILY MEDICINE OFCARROLLTON1020 TRUMP RD NWSTE 2CARROLLTON 44615330-627-7055Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

INMAN, MATTHEW ( Male)MERCY PROFESSIONALCARE CORP125 CANTON RD NWSTE ACARROLLTON 44615330-627-8163Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSTASIAK, JONI ( Female)CARROLL FAMILYHEALTHCARE635 LOCUST STMALVERN 44644330-863-9061Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,MERCY MEDICAL CENTERSTASIAK, STEVEN ( Male)CARROLL FAMILYHEALTHCARE635 LOCUST STMALVERN 44644330-863-9061Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 25: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 25

STINE, WALTER ( Male)AMG FAMILY MEDICINE OFCARROLLTON1020 TRUMP RD NWSTE 2CARROLLTON 44615330-627-7055Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWADE, NICOLE ( Female)AMG FAMILY MEDICINE OFCARROLLTON1020 TRUMP RD NWSTE 4CARROLLTON 44615330-627-0884Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

NEPHROLOGY (6)

BHARGAVA, PRAMOD( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken: HINDI,GUJURATI, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITALDEGENHARD, ANTHONY ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

GARTON, JOHN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITALKELLEY, KEVIN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

Page 26: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 26 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

RAJAN, JAMES ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTERSOTO, LUIS ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC125 CANTON RD NWCARROLLTON 44615330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTERNURSE PRACTITIONER (2)

INMAN, HOLLY ( Female)MERCY PROFESSIONALCARE CORP125 CANTON RD NWSTE ACARROLLTON 44615330-627-8163Accepting new patientsLanguage(s) Spoken:ENGLISH

LOVETT, STEPHANIE ( Female)AMG FAMILY MEDICINE OFCARROLLTON1020 TRUMP RD NWSTE 2CARROLLTON 44615330-627-7055Accepting new patientsLanguage(s) Spoken:ENGLISHOBSTETRICS ANDGYNECOLOGY (1)

NANNAPANENI, INDIRA ( Female)PREMIER WOMENS CARE125 CANTON RD NWSTE BCARROLLTON 44615330-834-4000Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTEROCCUPATIONALTHERAPY (13)

BARNES, MARYKAY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

DUKE, JESSICA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHDURBIN, MELISSA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHFOSTER, DONALD JR( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHFRUM, ANNA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHGILBERT, SUSAN ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 27: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 27

GOTSCHALL, AMBER ( Female)AULTMAN CARROLLTON1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHGROMAN, MARY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHIADANZA, JANELLE ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHKUHARICH, RYAN ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHREMARK, GIORGIA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

SUTER, PAMELA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHWATSON, AMANDA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHOPTOMETRY (2)

FAIR, GREGORY ( Male)FAIR VISION INC70 N LISBON STCARROLLTON 44615330-627-2430Accepting new patientsLanguage(s) Spoken:ENGLISHNAYLOR, KELSEA ( Female)FAIR VISION INC70 N LISBON STCARROLLTON 44615330-627-2430Accepting new patientsLanguage(s) Spoken:ENGLISH

ORTHOPEDIC SURGERY(1)

WATSON, THOMAS ( Male)OMNI ORTHOPAEDICS INC1020 TRUMP RD NWCARROLLTON 44615330-627-0091Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPHYSICAL THERAPY (25)

BAUSELL, ABBI ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHBELTZ, ANDREW ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHBOPP, STACY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 28: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 28 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BRESSON, ALLEN ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHBUCKOSH, SCOTT ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHBURCH, DAPHNE ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHCAMPAGNA MCGRIFFIN,ANGELA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHCASTO, MORGAN ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

DONALDSON, MEGAN ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHELSON, ROBERT ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHEXPOSITO, JASON ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHFISH, SHERI ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHGOODING, CHAD ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

HORN, AMY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHHOSTETLER, JULIA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHKARAM, ERIC ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHKING, DARLEEN ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHLINDER, SALLY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 29: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | CARROLL County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 29

LOMBARDI, MELISSA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHMATHESON, CYNTHIA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHMOHN, KELLEY ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHPOWERS, TONYA ( Female)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHSNYDER, PATRICK ( Male)AULTMAN CARROLLTON1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISH

SYKES, JONAS ( Male)AULTMAN THERAPY SVCS1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHTAYLOR, CRISTINA ( Female)AULTMAN CARROLLTON1020 TRUMP RD NWCARROLLTON 44615330-627-6801Accepting new patientsLanguage(s) Spoken:ENGLISHPODIATRY (2)

DIDOMENICO, LINDA ( Female)LINDA M DIDOMENICODPM1164 ALLIANCE RD NWMINERVA 44657330-868-4599Accepting new patientsLanguage(s) Spoken:ENGLISHGATALYAK, NIKOLAY ( Male)ANKLE AND FOOTCENTERS OF OHIO LLC125 CANTON RD NWCARROLLTON 44615330-627-7676Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

PSYCHOLOGY (1)

MILLER, ROBERT ( Male)ROBERT F MILLER1196 KENSINGTON RD NECARROLLTON 44615330-575-5364Accepting new patientsLanguage(s) Spoken:ENGLISHUROLOGY (3)

HEISER, DAVID ( Male)UROLOGY ONE INC125 CANTON RD NWCARROLLTON 44615330-456-6760Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER, MERCYMEDICAL CENTEROCHS, STEVEN ( Male)UROLOGY ONE INC125 CANTON RD NWCARROLLTON 44615330-456-6760Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,POMERENE HOSPITAL,AKRON GENERALMEDICAL CENTER

Page 30: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 30 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

TABET, BECHARA ( Male)UROLOGY ONE INC125 CANTON RD NWCARROLLTON 44615330-456-6760Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTERInternal Medicine (17)

AGGARWAL, KAMLESH ( Male)RIVER VALLEYPHYSICIANS LLC119 WEST SIXTH STREETEAST LIVERPOOL 43920330-385-7170Accepting new patientsRIVER VALLEYPHYSICIANS LLC123 WEST SIXTH STREETEAST LIVERPOOL 43920330-385-7170Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken: HINDI,ENGLISHBUCH, ALBERT ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISH

DEMAIOLO, STEVEN ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHHASSAN, SAMINA ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHOMER, ANETA ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

HUSAIN, MUMTAZ ( Male)THOMAS & HUSAINMEDICAL ASSOC48681 CALCUTTA SMITHFERRY RDEAST LIVERPOOL 43920330-385-4004Accepting new patientsLanguage(s) Spoken:ENGLISHKEMPE, JEFFREY ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLUNNE, DENIS ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 31: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 31

MATEO, FRANCISCO ( Male)FRANCISCO A MATEO MDINC2094 EAST STATE STSTE GSALEM 44460330-337-0177Accepting new patientsBoard Certified in: CRITICALCARE MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALROCKENBERGER,VALERIE ( Female)VALERIE ROCKENBERGERDO1517 NORTH MARKETSTREETEAST PALESTINE 44413330-426-3578Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

SHIMEK, JOCELYN ( Female)JOCELYN SHIMEK DO2380 SOUTHEAST BLVDSTE BSALEM 44460330-337-7807Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERSINGH, MOHINDER ( Male)DHARAM BIR BATISH INC1100 PENNSYLVANIA AVEEAST LIVERPOOL 43920330-385-7394Accepting new patientsDHARAM BIR BATISH INC119 WEST SIXTH STREETEAST LIVERPOOL 43920330-382-7660Accepting new patientsDHARAM BIR BATISH INC702 MAIN STWELLSVILLE 43968330-532-4431Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHTHOMAS, SHERY ( Female)THOMAS & HUSAINMEDICAL ASSOC48681 CALCUTTA SMITHFERRY RDEAST LIVERPOOL 43920330-385-4004Accepting new patientsLanguage(s) Spoken:ENGLISH

TIMKO, THOMAS ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALEAVESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERVILLAPLANA, LUIS ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 32: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 32 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

VOLINO, LOUIS ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALWILSON, GEORGE ( Male)GEORGE S WILSON DOINC2222 OAK STSALEM 44460330-420-0200Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL

Pediatrics (4)

MACABOBBY, DANIELLE ( Female)SCH PROFESSIONALCORP1076 E STATE STSALEM 44460330-332-2710Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERMAPA, HELOUISE ( Female)MAPA & MAPA INC142 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-2273Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHORTIZ, MADELEINE ( Female)SCH PROFESSIONALCORP1076 E STATE STSALEM 44460330-332-2710Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

TIU, MARILYN ( Female)MARILYN C TIU MD LLC16728 SAINT CLAIR AVEEAST LIVERPOOL 43920330-385-1477Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHALLERGY & IMMUNOLOGY(2)

HOUSER, WILLIAM JR( Male)WILLIAM L HOUSER JR MD1995 E STATE STSALEM 44460330-758-2285Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERTAMBOLI, ARDESHIR ( Male)ADIE TAMBOLI MD INC1830-A S LINCOLN AVESALEM 44460330-332-0709Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITAL

Page 33: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 33

AUDIOLOGY (1)

THORNBERRY, BARBARA ( Female)RIVER VALLEYPHYSICIANS LLC15613 PINEVIEW DRSTE CEAST LIVERPOOL 43920330-382-1422Accepting new patientsLanguage(s) Spoken:ENGLISHCARDIOLOGY (19)

ANREDDY, SANDEEP ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1995 E STATE STSALEM 44460330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

BELVEDERE, DAVID ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC107 ROYAL BIRKDALE DRSTE DCOLUMBIANA 44408330-482-0937Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC425 WEST FIFTH STREETEAST LIVERPOOL 43920330-386-3672Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALDUFFY, BRENDAN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1995 E STATE STSALEM 44460330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

ESPER, RICHARD ( Male)TRIAD HEALTH SERVICESLLC1995 E STATE STSALEM 44460330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALGRAZIANO, JOSEPH ( Male)TRIAD HEALTH SERVICESLLC1995 E STATE STSALEM 44460330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 34: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 34 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HALLEY, JEFFREY ( Male)TRIAD HEALTH SERVICESLLC1995 E STATE STSALEM 44460330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALHAMDAN, FIRAS ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1995 E STATE STSALEM 44460330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITAL

HOUSTON, ROBERT ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC107 ROYAL BIRKDALE DRSTE DCOLUMBIANA 44408330-482-0937Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALHUSSEIN, KARIM ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC425 WEST FIFTH STREETEAST LIVERPOOL 43920330-386-3672Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

JOHNSON, TODD ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1995 E STATE STSALEM 44460330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,AFFINITY MEDICALCENTER, AULTMANHOSPITALMAGGE, SATHISH ( Male)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, HINDI, TAMILHospital Affiliation(s):TRINITY HOSPITALTWIN CITY, HARRISONCOMMUNITY HOSPITAL,TRINITY HEALTH SYSTEM

Page 35: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 35

MILLER, KWON ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC425 WEST FIFTH STREETEAST LIVERPOOL 43920330-386-3672Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALMURTY, RAMANA ( Male)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHOSPITAL TWIN CITYNANDRA, CHARN ( Male)REGIONALCARDIOVASCULAR &MEDICINE CENTER119 WEST SIXTH STREETEAST LIVERPOOL 43920330-382-7660Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

NIDAMANURI, KAVITHA ( Female)CARDIOVASCULARCONSULTANTS OF OPPC1995 E STATE STSALEM 44460330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, SALEMREGIONAL MEDICALCENTER, ALLIANCECOMMUNITY HOSPITALREA, MARK ( Male)TRIAD HEALTH SERVICESLLC1995 E STATE STSALEM 44460330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALROHELA, HIRA ( Male)HIRA ROHELA MD INC130 WEST FOURTHSTREETEAST LIVERPOOL 43920330-385-7945Accepting new patientsLanguage(s) Spoken:ENGLISH, HINDI

SCAVINA, MICHAEL ( Male)TRIAD HEALTH SERVICESLLC1995 E STATE STSALEM 44460330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALYARLAGADDA, CHAKRI ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC425 WEST FIFTH STREETEAST LIVERPOOL 43920330-386-3672Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 36: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 36 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CHILD & ADOLESCENTPSYCHIATRY (1)

SEMAN, CHRISTOPHER ( Male)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISHCHIROPRACTIC (7)

BAKER, JUSTIN ( Male)TRINITY FAMILY CARECTRS15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920740-266-3866Accepting new patientsLanguage(s) Spoken:ENGLISHDIDOMENICO, JOSEPH ( Male)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISHGRUBBS, WILLIAM ( Male)GRUBBS FAMILYCHIROPRACTIC DBATHE NECK & BACK PAINRELIEF CTR40 PARK DRRIVEEAST PALESTINE 44413330-426-9453Accepting new patientsLanguage(s) Spoken:ENGLISH

HOSPODAR, ANDREW ( Male)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-386-6500Accepting new patientsLanguage(s) Spoken:ENGLISHPETERS, THOMAS ( Male)DR. THOMAS PETERS, LLC568 E STATE STSALEM 44460330-337-1441Accepting new patientsLanguage(s) Spoken:ENGLISHSCHMUTZ, ANDREW ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHSCOTT, JOSEPH ( Male)JOSEPH J SCOTT DC LLC1285 E PIDGEON RDSTE BSALEM 44460330-420-0325Accepting new patientsLanguage(s) Spoken:ENGLISH

COUNSELING (5)

BAREFIELD, KRISTEN ( Female)KRISTEN BAREFIELDTHERAPY9 E PARK AVECOLUMBIANA 44408330-257-7547Accepting new patientsLanguage(s) Spoken:ENGLISHDIRENZO, CASSIE ( Female)FAMILY RECOVERY CTR964 N MARKET STLISBON 44432330-424-1468Accepting new patientsLanguage(s) Spoken:ENGLISHFRAMPTON, AMY ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC321 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC1995 EAST STATE STREETSALEM 44460330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC2789 E STATE STSTE 7SALEM 44460234-575-0112Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 37: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 37

HERR, CHERYLE ( Female)FAMILY RECOVERY CTR964 N MARKET STLISBON 44432330-424-1468Accepting new patientsLanguage(s) Spoken:ENGLISHMARSCH, BARBARA ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC321 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC2789 E STATE STSTE 7SALEM 44460234-575-0112Accepting new patientsLanguage(s) Spoken:ENGLISH

EAR, NOSE & THROAT/OTOLARYNGOLOGY (2)

PASCOLINI, MICHAEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC225 E ST RTE 14COLUMBIANA 44408330-729-1934Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALZIPFEL, TERRENCE ( Male)RIVER VALLEYPHYSICIANS LLC15613 PINEVIEW DRSTE CEAST LIVERPOOL 43920330-382-1422Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISH

FAMILY MEDICINE (34)

BAGWELL, BRIANNE ( Female)FAMILY PRACTICE CTR OFSALEM INC2370 SOUTHEAST BLVDSALEM 44460330-332-9961Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERBANNING, RICHARD ( Male)FAMILY PRACTICE CTR OFSALEM INC2370 SOUTHEAST BLVDSALEM 44460330-332-9961Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 38: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 38 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BATISH, DHARAM ( Male)DHARAM BIR BATISH INC1100 PENNSYLVANIA AVEEAST LIVERPOOL 43920330-385-7349Accepting new patientsDHARAM BIR BATISH INC119 WEST SIXTH STREETEAST LIVERPOOL 43920330-385-7349Accepting new patientsDHARAM BIR BATISH INC702 MAIN STREETWELLSVILLE 43968330-385-7349Accepting new patientsLanguage(s) Spoken:ENGLISHBONETTI, ANN MARIE ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERCHROBAK, THEODORE ( Male)CHROBAK LLC DBADOCTORS ON CALL332 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-6339Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

COHEN, JEFFREY ( Male)FIRESTONE HEALTH CAREINC132 NORTH MARKETSTREETEAST PALESTINE 44413330-426-9484Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITALCOUNTO, VIDYA ( Female)COLUMBIANA FAMILYCARE CTR750 E PARK AVECOLUMBIANA 44408330-482-3871Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, HINDI, MARATHI,KONKANIHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

CROWL, LORI ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERDEIST, DAMIEN ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHDOMBROSKI, WALTER ( Male)WALTER W. DOMBROSKIMD2235 EAST PERSHING STSALEM 44460330-332-7803Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH,POLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 39: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 39

ECONOMOUS,CONSTANTINE ( Male)FAMILY PRACTICE CTR OFSALEM INC2370 SOUTHEAST BLVDSALEM 44460330-332-9961Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERESSAD, KRISTYN ( Female)FIRESTONE HEALTHCAREINC132 NORTH MARKETSTREETEAST PALESTINE 44413330-426-9484Accepting new patientsFIRESTONE HEALTHCAREINC2364 SOUTHEAST BLVDSALEM 44460330-332-4833Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

EVANS, MARK H ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERFAKEH, AYMAN ( Male)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMFAWCETT, RICHARD ( Male)FAMILY PRACTICE CTR OFSALEM INC2370 SOUTHEAST BLVDSALEM 44460330-332-9961Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

GETZINGER, KARL ( Male)FAMILY HEALTHCARE OFCOLUMBIANA COUNTY356 E LINCOLN WAYLISBON 44432330-424-1404Accepting new patientsFAMILY HEALTHCARE OFCOLUMBIANA COUNTY166 VINE STSALEM 44460330-337-3500Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERHEINTZELMAN, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC225 E ST RTE 14COLUMBIANA 44408330-482-2903Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHJACKSON, KIMBERLY ( Female)RIVER VALLEYPHYSICIANS LLC15655 STATE ROUTE 170STE HEAST LIVERPOOL 43920330-932-0183Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

Page 40: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 40 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

JUNG, TAE ( Male)TAE JUNG MD INC15424 SPRUCEVALE RDEAST LIVERPOOL 43920330-382-0388Accepting new patientsLanguage(s) Spoken:ENGLISHLUGIBIHL, JAY ( Male)JAY LUGIBIHL DO INC29627 STATE RTE 30HANOVERTON 44423330-223-1547Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER, STELIZABETH BOARDMANHOSPITALMARNEJON, JANET ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC225 E ST RTE 14COLUMBIANA 44408330-482-2903Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

ORLANG, LAVERN ( Male)TRINITY FAMILY CARECTRS501 JEFFERSON STREETEAST LIVERPOOL 43920330-385-1116Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:GERMAN, ENGLISHRICH, ANTHONY ( Male)EAST PALESTINEMEDICAL FAMILYPRACTICE50410 STATE ROUTE 14EAST PALESTINE 44413330-426-2422Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ITALIAN, ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERROUSHER, JOSEPH ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

RYHAL, MARIA ( Female)FAMILY HEALTHCARE OFCOLUMBIANA COUNTY356 E LINCOLN WAYLISBON 44432330-424-1404Accepting new patientsFAMILY HEALTHCARE OFCOLUMBIANA COUNTY166 VINE STSALEM 44460330-337-3500Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERSEVILLA, MICHAEL ( Male)FAMILY PRACTICE CTR OFSALEM INC2370 SOUTHEAST BLVDSALEM 44460330-332-9961Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 41: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 41

SHIVERS, RICHARD ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERSIMMONS, RICHARD ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRCOLUMBIANA 44408330-332-5232Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

SKINNER, HOMER ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-332-5232Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERTRAIKOFF, THOMAS ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERUCCHINO, MARC ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRCOLUMBIANA 44408330-332-5232Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

VOLOVAR, CHAD ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALVRABLE, THOMAS ( Male)FIRESTONE HEALTHCAREINC132 NORTH MARKETSTREETEAST PALESTINE 44413330-426-9484Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITALWITTENAUER, VENUS ( Female)VENUS S WITTENAUERDO56 S WALNUT STEAST PALESTINE 44413330-426-3578Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 42: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 42 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GASTROENTEROLOGY (5)

JAHDI, NASROLLAH ( Male)TRINITY FAMILY CARECTRS48462 BELL SCHOOLROADSTE CEAST LIVERPOOL 43920740-282-9093Accepting new patientsLanguage(s) Spoken:ENGLISH, FAROESEHospital Affiliation(s):TRINITY HEALTH SYSTEMKOLOZSI, WILLIAM ( Male)SCH PROFESSIONALCORP2020 E STATE STSTE HSALEM 44460330-337-8709Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERMARINA, RICHARD ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

MCNALLY, MEREDYTHE ( Female)GASTROENTEROLOGYCENTER OF SALEM2020 E STATE STSTE HSALEM 44460330-337-8709Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERTERMANINI, BASEL ( Male)TRINITY FAMILY CARECTRS146 W 5TH STEAST LIVERPOOL 43920740-264-2686Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SYRIAN, ARABICHospital Affiliation(s):TRINITY HEALTH SYSTEM

GENERAL SURGERY (9)

CHIRICHELLA , THOMASIII ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC107 ROYAL BIRKDALE DRSTE DCOLUMBIANA 44408330-482-0937Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALEVAN, STEPHEN ( Male)RIVER VALLEYPHYSICIANS LLC15655 STATE ROUTE 170EAST LIVERPOOL 43920330-386-6444Accepting new patientsRIVER VALLEYPHYSICIANS LLC205 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-6444Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 43: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 43

LAL, TANMAY ( Male)RIVER VALLEYPHYSICIANS LLC205 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-6444Accepting existing patientsonlyBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHLEE, WILLIAM ( Male)SALEM GENERALSURGERY2094 E STATE STSTE ASALEM 44460330-337-2868Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERMADISON, MICHAEL ( Male)JOHN R MADISON MD INC2094 E STATE STSTE DSALEM 44460330-337-7316Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

PULIDO, JONATHAN ( Male)SALEM GENERALSURGERY2094 E STATE STSTE ASALEM 44460330-337-2868Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERRASHID, MOHAMMAD ( Male)RIVER VALLEYPHYSICIANS LLC205 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-6444Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITALREDDY, JAYAPAL ( Male)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920740-282-8746Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

SANKOVIC, DANNY ( Male)DANNY E SANKOVIC MDINC1515 E STATE STSALEM 44460330-337-6000Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER, AKRONGENERAL MEDICALCENTERHEMATOLOGY/ONCOLOGY (1)

MENDEZ, ZORAIDA ( Female)HEMATOLOGYONCOLOGY OF SALEM CO1995 E STATE STSALEM 44460330-332-7672Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERMEDICAL ONCOLOGY (1)

BHANDARI, RANJAN ( Male)TRISTATE REGIONALCANCER CTR15898 ST CLAIRE AVEEAST LIVERPOOL 43920330-385-0404Accepting new patientsLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM

Page 44: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 44 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NEPHROLOGY (12)

AGRAWAL, GAUTAM ( Male)ADVANCED NEPHROLOGYASSOC PC325 W SIXTH STEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIBAROODY, SAMUEL ( Male)ADVANCED NEPHROLOGYASSOC PC325 WEST SIXTH ST EXTEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHGAUNTNER, WALLACE ( Male)ADVANCED NEPHROLOGYASSOC PC325 WEST SIXTH ST EXTEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH

KHALIL, PATRICIA ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMKHAN, USMAN ( Male)NEPHROLOGY ASSOC INC356 E LINCOLN WAYLISBON 44432330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC1995 E STATE STSALEM 44460330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,SALEM REGIONALMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL

NAIK, NIMISH ( Male)ADVANCED NEPHROLOGYASSOC PC325 W SIXTH STEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHNATH, PARINEESHA ( Female)ADVANCED NEPHROLOGYASSOC PC325 W SIXTH STEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH

Page 45: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 45

NEGRETE, HILMER ( Male)NEPHROLOGY ASSOC INC750 E PARK AVESTE DCOLUMBIANA 44408330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC356 E LINCOLN WAYLISBON 44432330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC1995 E STATE STSALEM 44460330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER

ROY, PRAKASH ( Female)NEPHROLOGY ASSOC INC750 E PARK AVESTE DCOLUMBIANA 44408330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC356 E LINCOLN WAYLISBON 44432330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC1995 E STATE STSALEM 44460330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISH, GUJURATI,HINDIHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL

SARAC, ERDAL ( Male)NEPHROLOGY ASSOC INC750 E PARK AVESTE DCOLUMBIANA 44408330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC356 E LINCOLN WAYLISBON 44432330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC1995 E STATE STSALEM 44460330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:TURKISH, GERMAN,ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 46: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 46 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

TANGIRALA, BHARGAVI ( Female)NEPHROLOGY ASSOC INC750 E PARK AVESTE DCOLUMBIANA 44408330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC16687 SAINT CLAIR AVESTE 203EAST LIVERPOOL 43920330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC356 E LINCOLN WAYLISBON 44432330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC1995 E STATE STSALEM 44460330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

WEINBERG, GABRIEL ( Male)ADVANCED NEPHROLOGYASSOC PC325 WEST SIXTH ST EXTEAST LIVERPOOL 43920330-385-4040Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHNEUROLOGY (1)

YAN, CHAOHUA ( Female)NEUROLOGY CENTER OFSALEM1995 E STATE STSALEM 44460330-337-4940Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISH, CHINESE-CLASSICALHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERNURSE PRACTITIONER(29)

ABATE, ALICIA ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920740-282-8746Accepting new patientsLanguage(s) Spoken:ENGLISH

AMMON, CHARLES ( Male)TRINITY FAMILY CARECTRS15655 ST RTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISHANDERSON, MARY ( Female)TRINITY FAMILY CARECTRS48462 BELL SCHOOLROADSTE CEAST LIVERPOOL 43920740-282-9093Accepting new patientsLanguage(s) Spoken:ENGLISHCANDLE, CIARA ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHCORLL, LINDSAY ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 47: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 47

CRESANTO, LORRAINE ( Female)GASTROENTEROLOGYCENTER OF SALEM750 E PARK AVESTE DCOLUMBIANA 44408330-337-8709Accepting new patientsGASTROENTEROLOGYCENTER OF SALEM2020 E STATE STSTE HSALEM 44460330-337-8709Accepting new patientsLanguage(s) Spoken:ENGLISHDAILEY, RENAE ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsLanguage(s) Spoken:ENGLISHDALEY, VIRGINIA ( Female)EHAB SARGIOUS MD INC12680 SALEM WARRENRDSALEM 44460330-337-0088Accepting new patientsLanguage(s) Spoken:ENGLISH

ENSINGER, SARAH ( Female)TRINITY FAMILY CARECTRS15655 ST RTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISHFERREE, DONALD ( Male)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISHGAGLIONE, CATHERINE ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsLanguage(s) Spoken:ENGLISHGATES, ROXANE ( Female)TRINITY FAMILY CARECTRS15655 ST RTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISH

GRENICH, LORI ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHHRITZ, LEEANN ( Female)GASTROENTEROLOGYCENTER OF SALEM750 E PARK AVESTE DCOLUMBIANA 44408330-337-8709Accepting new patientsGASTROENTEROLOGYCENTER OF SALEM2020 E STATE STSTE HSALEM 44460330-337-8709Accepting new patientsLanguage(s) Spoken:ENGLISHKLINGER, BRITTANY ( Female)TRINITY FAMILY CARECTRS15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920740-266-3866Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 48: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 48 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KORNBAU, KASSANDRA ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC321 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC326 W 5TH STEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC2789 E STATE STSTE 7SALEM 44460234-575-0112Accepting new patientsLanguage(s) Spoken:ENGLISHMARTIN, LORENE ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, LYNN ( Female)TRINITY FAMILY CARECTRS15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISH

MOLESKY, ABBY ( Female)TRINITY FAMILY CARECTRS15655 ST RTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISHNOEL, ASHLEIGH ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC321 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC326 W 5TH STEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC2789 E STATE STSTE 7SALEM 44460234-575-0112Accepting new patientsLanguage(s) Spoken:ENGLISHPEASE, SARA ( Female)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISH

POWERS, JEFFREY ( Male)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISHROBINSON,SONSHEEHRAY ( Female)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISHROCK, DEANNA ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsLanguage(s) Spoken:ENGLISHSCOTT, KELLEY ( Female)TRINITY FAMILY CARECTRS15655 ST RTE 170STE BEAST LIVERPOOL 43920330-932-0909Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 49: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 49

SLIDER, MICHELE ( Female)SALEM WOMENS HEALTHPARTNERS2094 E STATE STSTE BSALEM 44460330-332-1939Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, KENNETH ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, CASSANDRA ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsLanguage(s) Spoken:ENGLISHSWAN, MICHELE ( Female)TRINITY FAMILY CARECTRS146 WEST FIFTH STREETEAST LIVERPOOL 43920330-382-0165Accepting new patientsLanguage(s) Spoken:ENGLISH

OBSTETRICS ANDGYNECOLOGY (10)

BARTON, THOMESHA ( Female)SALEM WOMENS HEALTHPARTNERS2094 E STATE STSTE BSALEM 44460330-332-1939Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERDOTY, ANGELA ( Female)SALEM WOMENS HEALTHPARTNERS750 E PARK AVECOLUMBIANA 44408330-332-1939Accepting new patientsSALEM WOMENS HEALTHPARTNERS2094 E STATE STSTE BSALEM 44460330-332-1939Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

DRAKE, DAVID ( Male)SALEM WOMENS HEALTHPARTNERS2094 E STATE STSTE BSALEM 44460330-332-1939Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERJOHNSON, KRISTI ( Female)SALEM WOMENS HEALTHPARTNERS750 E PARK AVECOLUMBIANA 44408330-332-1939Accepting new patientsSALEM WOMENS HEALTHPARTNERS2094 E STATE STSTE BSALEM 44460330-332-1939Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 50: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 50 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KOULIANOS, ANTHONY ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALLEE, FU NEN ( Male)FU NEN LEE MD2376 SOUTHEAST BLVDSALEM 44460330-332-9989Accepting new patientsLanguage(s) Spoken:ENGLISH, INDIAN,MANDARINHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERNICHOLAS, SARA ( Female)THE CENTER FOR WOMENINC923 COLUMBIANACANFIELD RDCOLUMBIANA 44408330-892-8185Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTER

PATEL, PRIYA ( Female)THE CENTER FOR WOMENINC923 COLUMBIANACANFIELD RDCOLUMBIANA 44408330-892-8185Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERPAYNE, ALBERT ( Male)RIVER VALLEYPHYSICIANS LLC16761 SAINT CLAIR AVESTE B/2EAST LIVERPOOL 43920330-385-9670Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:GERMAN, ENGLISHWRIGHT, JOHN ( Male)RIVER VALLEYPHYSICIANS LLC16761 SAINT CLAIR AVESTE B/2EAST LIVERPOOL 43920330-385-9670Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH

OCCUPATIONALMEDICINE (1)

DUNNE, JOHN ( Male)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-758-9400Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHOPHTHALMOLOGY (10)

AEY, JOHN ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALBRINE, BART ( Male)DISEASES &SURGERY OF THE EYEOPHTHALMOLOGY1059 E STATE STSALEM 44460330-332-9991Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTER

Page 51: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 51

CONEY, JOSEPH ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERERZURUM, SERGUL ( Female)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLEWIS, SHAWN ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH

PEDERZOLLI, ANDREW ( Male)DISEASES &SURGERY OF THE EYEOPHTHALMOLOGY1059 E STATE STSALEM 44460330-332-9991Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERSMITH, SARAH ( Female)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALWANG, HAI SHIUH ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, KOREAN,CHINESE-CLASSICALHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

WILSON, KEITH ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALYAKUBOV, LYN ( Female)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALOPTOMETRY (8)

BARRETT, GUY ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 52: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 52 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BARTOLOVICH, WILLIAM ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHFAGERT, GREGORY ( Male)GREGORY J FAGERT OD14 NORTH MAIN STREETBOX 355COLUMBIANA 44408330-482-4124Accepting new patientsLanguage(s) Spoken:ENGLISHGERBERRY, ROBERT ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHGRISCHOW, THOMAS ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHLIPPIATT, LORIE ( Female)THE SALEM EYECARECENTER INC616 E STATE STSALEM 44460330-332-2080Accepting new patientsLanguage(s) Spoken:ENGLISH

MORESCHI, CHAD ( Male)COLUMBIANA VISIONCARE147 S MAIN STREETCOLUMBIANA 44408330-482-2424Accepting new patientsLanguage(s) Spoken:ENGLISHSHULTZ, CHAD ( Male)EYE CARE ASSOC INC242 WEST FIFTH STREETEAST LIVERPOOL 43920330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHORTHOPEDIC SURGERY(6)

DICKEY, MARCY ( Female)RIVER VALLEYPHYSICIANS LLC425 WEST FIFTH STREETEAST LIVERPOOL 43920330-386-2047Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHDOMER, TIMOTHY ( Male)TRIAD HEALTH SVCS LLC16687 SAINT CLAIR AVESTE 101EAST LIVERPOOL 43920330-385-4610Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH

JOHNSTON, JEFFREY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC107 ROYAL BIRKDALE DRSTE DCOLUMBIANA 44408330-482-0937Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALPAUMIER, JOHN ( Male)J CLETUS PAUMIER MD2376 SOUTHEAST BLVDSALEM 44460330-337-7255Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITALPETERS, DOMINIC ( Male)SALEM ORTHOPEDICSURGERY1995 E STATE STSALEM 44460330-332-7840Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 53: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 53

SIMON, LEE ( Male)SALEM ORTHOPEDICSURGERY1995 E STATE STSALEM 44460330-332-7840Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERPHYSICAL MEDICINE &REHABILITATION (5)

CERIMELE, JOSEPH ( Male)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-386-6500Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

ENGLE, MICHAEL ( Male)PM&R NORTH INC225 E STATE RTE 14STE 206COLUMBIANA 44408330-758-8223Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHELDMAN, IRENE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-758-9400Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALMCGRATH, SEAN ( Male)PM&R NORTH INC225 E STATE RTE 14STE206COLUMBIANA 44408330-758-8223Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

YARAB, RONALD ( Male)PM&R NORTH INC225 E STATE RTE 14STE 206COLUMBIANA 44408330-758-8223Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALPHYSICAL THERAPY (15)

BARREDO, JOEY ( Male)TUDOR PHYSICALTHERAPY CENTERS319 N MAIN STCOLUMBIANA 44408330-965-9330Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS332 WEST SIXTH STREETSTE BEAST LIVERPOOL 43920330-965-9330Accepting new patientsLanguage(s) Spoken:ENGLISHCOXSON, RONALD ( Male)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 54: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 54 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DURHAM, DANIEL ( Male)PHYSICAL THERAPY &OCCUPATIONAL REHABINC15765 STATE ROUTE 170EAST LIVERPOOL 43920330-386-5252Accepting new patientsLanguage(s) Spoken:ENGLISHDYE, LAURA ( Female)TUDOR PHYSICALTHERAPY CENTERS225 E ST RTE 14STE B001COLUMBIANA 44408330-482-3680Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS1098 N ELLSWORTH AVESTE ASALEM 44460234-567-4687Accepting new patientsLanguage(s) Spoken:ENGLISHHECK, DAVID ( Male)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-386-6500Accepting new patientsLanguage(s) Spoken:ENGLISH

HUTTON, AUSTEN ( Male)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISHJONDA, JILL ( Female)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISH

KOVACIC, KELLY ( Female)TUDOR PHYSICALTHERAPY CENTERS225 E ST RTE 14STE B001COLUMBIANA 44408330-482-3680Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS332 WEST SIXTH STREETEAST LIVERPOOL 43920330-382-9950Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS1098 N ELLSWORTH AVESTE ASALEM 44460234-567-4687Accepting new patientsLanguage(s) Spoken:ENGLISHLECHNER, MICHELLE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-386-6500Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 55: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 55

MILLER, ANDREW ( Male)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISHPERRY, JUSTIN ( Male)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISHPORTER, STEPHANIE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISH

SILVERIO, EDWARD ( Male)SILVERIO PHYSICALTHERAPY100 ROYAL BIRKDALE DRCOLUMBIANA 44408330-482-3726Accepting new patientsSILVERIO PHYSICALTHERAPY2308 SOUTHEAST BLVDSALEM 44460330-332-8488Accepting new patientsLanguage(s) Spoken:ENGLISHSUMMERS, GEORGE ( Male)EXCEL PHYSICALTHERAPY INC7735 ST RTE 45LISBON 44432330-424-9033Accepting new patientsLanguage(s) Spoken:ENGLISHYARAB, SUSAN ( Female)PM&R NORTH INC225 E STATE RTE 14206COLUMBIANA 44408330-758-8223Accepting new patientsLanguage(s) Spoken:ENGLISH

PODIATRY (13)

ASHDOWN, THOMAS ( Male)ADVANCED FOOT &ANKLE CENTERS INC21 NORTH MAIN STREETCOLUMBIANA 44408330-482-2161Accepting new patientsADVANCED FOOT &ANKLE CENTERS INC200 EAST PERSHINGSTREETSALEM 44460330-332-8882Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST JOSEPH WARRENHOSPITALBAER, DAVID ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 56: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 56 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BARRETT, JOHN ( Male)ANKLE & FOOT CARECTRS2380 SOUTHEAST BLVDSALEM 44460330-337-8970Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALBLASKO, GREGORY ( Male)ANKLE & FOOT CARECTRS2380 SOUTHEAST BLVDSALEM 44460330-337-8870Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,SALEM REGIONALMEDICAL CENTERDEBIEC, ROBERT ( Male)ANKLE & FOOT CARECTRS750 E PARK AVECOLUMBIANA 44468330-482-1960Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

DIDOMENICO, LAWRENCE( Male)ANKLE & FOOT CARECTRS16844 SAINT CLAIR AVESTE 2EAST LIVERPOOL 43920330-385-2413Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALEMCH, KENNETH ( Male)ANKLE & FOOT CARECTRS16844 SAINT CLAIR AVESTE 2EAST LIVERPOOL 43920330-385-2413Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

FRANCISCO, JOSEPH ( Male)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALKARNAVAS, DIANA ( Female)ADVANCED FOOT &ANKLE CENTERS INC21 NORTH MAIN STREETCOLUMBIANA 44408330-482-2161Accepting new patientsADVANCED FOOT &ANKLE CENTERS INC200 EAST PERSHINGSTREETSALEM 44460330-332-8882Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL

Page 57: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 57

KUNKEL, THOMAS ( Male)THOMAS W KUNKEL DPMINC151 NORTH WALNUTSTREETEAST PALESTINE 44413330-759-4724Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERLUCKINO, FRANK ( Male)ANKLE & FOOT CARECTRS16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-385-2413Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERNIEHAUS, LESLIE ( Male)ALLIANCE FOOT & ANKLECLINIC295 N ELLSWORTH AVESALEM 44460330-332-5750Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTER

SMESKO, MARK ( Male)ANKLE & FOOT CARECTRS16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-385-2413Accepting new patientsANKLE & FOOT CARECTRS2380 SOUTHEAST BLVDSALEM 44460330-337-8870Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERPSYCHIATRY (4)

CIANCONE, ANN ( Female)GREATER AKRONPSYCHIATRY2020 E STATE STSALEM 44460330-337-4935Accepting new patientsBoard Certifiedin: PSYCHIATRY,EMERGENCY MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

KAZA, KOTESWARA ( Male)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC321 WEST FIFTH STREETEAST LIVERPOOL 43920330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC1995 E STATE STSALEM 44460330-385-8800Accepting new patientsCOMPREHENSIVEBEHAVIORAL HEALTHASSOC INC2789 E STATE STSTE 7SALEM 44460234-575-0112Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERSARGIOUS, EHAB ( Male)EHAB SARGIOUS MD INC12680 SALEM WARRENRDSALEM 44460330-337-0088Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISH

Page 58: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | COLUMBIANA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 58 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SEMAN, CHRISTOPHER ( Male)PSYCARE INC DBACALCUTTA FAMILY CARE15303 STATE ROUTE 170EAST LIVERPOOL 43920330-368-0540Accepting new patientsLanguage(s) Spoken:ENGLISHPSYCHOLOGY (3)

MCARTHUR, DENNIS ( Male)TOWN & COUNTRYPSYCHOLOGICAL SVCSINC2539 DEPOT RDSALEM 44460330-332-5203Accepting new patientsLanguage(s) Spoken:ENGLISHSYLVIES, ROBERT ( Male)DR ROBERT B SYLVIES236 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-7870Accepting new patientsLanguage(s) Spoken:ENGLISHWALKER, ROBERT ( Male)DR ROBERT WALKER425 WEST FIFTH ST6TH FLOOREAST LIVERPOOL 43920330-386-2047Accepting new patientsLanguage(s) Spoken:ENGLISH

PULMONARY DISEASE (2)

AZIZ, GHULAM ( Male)TRI-STATE LUNG & SLEEPASSOC16218 ST CLAIR AVEEAST LIVERPOOL 43920330-382-9355Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,CRITICAL CAREMEDICINE, SLEEPMEDICINELanguage(s) Spoken: URDU,ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMMATEO, FRANCISCO ( Male)FRANCISCO A MATEO MDINC2094 EAST STATE STSTE GSALEM 44460330-337-0177Accepting new patientsBoard Certified in: CRITICALCARE MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

RHEUMATOLOGY (2)

GREIFENSTEIN, ELAINE ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALESTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460330-482-9350Accepting new patientsBoard Certified in:RHEUMATOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHASSAN, SAMINA ( Female)PRIMA HEALTH CARE LLC107 ROYAL BIRKDALE DRSTE ACOLUMBIANA 44408330-482-9350Accepting new patientsPRIMA HEALTH CARE LLC564 E SECOND STSALEM 44460234-567-8150Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH

Page 59: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HARRISON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 59

SLEEP MEDICINE (1)

AZIZ, GHULAM ( Male)TRI-STATE LUNG & SLEEPASSOC16218 ST CLAIR AVEEAST LIVERPOOL 43920330-382-9355Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,CRITICAL CAREMEDICINE, SLEEPMEDICINELanguage(s) Spoken: URDU,ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMSPORTS MEDICINE (2)

ORLOSKY, AARON ( Male)TRINITY FAMILY CARECTRS15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920740-266-3866Accepting new patientsBoard Certified in: SPORTSMEDICINE, FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

SCARPONE, MICHAEL ( Male)TRINITY FAMILY CARECTRS15655 STATE ROUTE 170STE BEAST LIVERPOOL 43920740-266-3866Accepting new patientsBoard Certified in: SPORTSMEDICINE, FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMUROLOGY (4)

BLACK, BRADFORD ( Male)NE OHIO UROLOGICALSURGEONS INC2360 SOUTHEAST BLVDSALEM 44460330-337-1134Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTER, MERCY MEDICALCENTERPARULKAR, SUNIL ( Male)RIVER VALLEYPHYSICIANS LLC205 WEST SIXTH STREETEAST LIVERPOOL 43920330-386-9212Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISH, HINDI

SCOLIERI, MICHAEL ( Male)NE OHIO UROLOGICALSURGEONS INC2360 SOUTHEAST BLVDSALEM 44460330-337-1134Accepting new patientsBoard Certified in:UROLOGY, FEMALEPELVIC MEDICINE &RECONSTRUCTIVESURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTERSTIFF, CHRISTOPHER ( Male)NE OHIO UROLOGICALSURGEONS INC2360 SOUTHEAST BLVDSALEM 44460330-337-1134Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTER

Page 60: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HARRISON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 60 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CARDIOLOGY (1)

MURTY, RAMANA ( Male)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHOSPITAL TWIN CITYCHIROPRACTIC (1)

STEVENS, ROBERT ( Male)STEVENS CHIROPRACTIC109 E MARKETCADIZ 43907740-942-2290Accepting new patientsLanguage(s) Spoken:ENGLISHDERMATOLOGY (1)

AGGARWAL, KRISHAN ( Male)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL

EAR, NOSE & THROAT/OTOLARYNGOLOGY (1)

NOCHE, EMMANUEL ( Male)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsLanguage(s) Spoken:ENGLISH, ENGLISHHospital Affiliation(s):TRINITY HOSPITALTWIN CITY, HARRISONCOMMUNITY HOSPITALFAMILY MEDICINE (2)

JONES, DANIEL II ( Male)BELMONT COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-8638Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL

SHOFF, FRED ( Male)HARRISON COMMUNITYHOSP943 E MARKET STCADIZ 43907740-942-6216Accepting new patientsHARRISON COMMUNITYHOSPITAL HOPEDALECLINIC302 LAHM DRHOPEDALE 43916740-937-2331Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHGASTROENTEROLOGY (1)

TERMANINI, BASEL ( Male)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SYRIAN, ARABICHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 61: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HARRISON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 61

GENERAL SURGERY (1)

MURTHY, ANANDHI ( Female)HARRISON COMMUNITYHOSP943 E MARKET STCADIZ 43907740-943-3749Accepting new patientsHARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-6322Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITALGYNECOLOGY (1)

O'KARMA, KARA ( Female)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH

MEDICAL ONCOLOGY (1)

BHANDARI, RANJAN ( Male)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMNEPHROLOGY (2)

KHALIL, PATRICIA ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM

MURTY, PREETHI ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISH, SPANISH,TELUGAHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMNURSE PRACTITIONER (7)

ABATE, ALICIA ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsLanguage(s) Spoken:ENGLISHBISE, MEGAN ( Female)MARIA TRANTO DO243 S MAIN STCADIZ 43907740-942-6216Accepting new patientsHARRISON COMMUNITYHOSP943 E MARKET STCADIZ 43907740-942-6216Accepting new patientsDR MARIA TRANTO101 CHURCH STSCIO 43988740-945-3655Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 62: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 62 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BROCK, DEREK ( Male)HARRISON COMMUNITYHOSP FAMILY CLINIC951 E MARKETCADIZ 43907740-942-6300Accepting new patientsHARRISON COMMUNITYHOSPITAL HOPEDALECLINIC302 LAHM DRHOPEDALE 43916740-937-2331Accepting new patientsLanguage(s) Spoken:ENGLISHDAILEY, RENAE ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsLanguage(s) Spoken:ENGLISHGAGLIONE, CATHERINE ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, CASSANDRA ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsLanguage(s) Spoken:ENGLISH

SWAN, MICHELE ( Female)TRINITY FAMILY CARECTRS951 E MARKET STCADIZ 43907740-942-6209Accepting new patientsLanguage(s) Spoken:ENGLISHPAIN MEDICINE (1)

SAKLA, SAMY ( Male)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITALPODIATRY (1)

MIRHAIDARI, MORTEZA( Male)MORTEZA MIRHAIDARIDPM951 E MARKET STCADIZ 43907330-364-8884Accepting new patientsLanguage(s) Spoken:ENGLISH, PERSIANHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITAL

PULMONARY DISEASE (1)

MORISETTY,SATYASAGAR ( Male)HARRISON COMMUNITYHOSP951 E MARKET STCADIZ 43907740-942-4631Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM, TRINITYHOSPITAL TWIN CITYInternal Medicine (3)

KIRCHNER, LOREN ( Male)POMERENE INTERNALMEDICINE4900 OAK STBERLIN 44610330-893-1318Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL

Page 63: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 63

LATOUF, BUTROS ( Male)MILLERSBURG CLINIC INC1261 WOOSTER RDSTE 230MILLERSBURG 44654330-674-3434Accepting new patientsBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ARABIC, ENGLISH,FRENCHHospital Affiliation(s):POMERENE HOSPITALOMRAN, YASSER ( Male)MILLERSBURG CLINIC INC1261 WOOSTER RDSTE 230MILLERSBURG 44654330-674-3434Accepting new patientsBoard Certified in:INTERNAL MEDICINE,INFECTIOUS DISEASELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):POMERENE HOSPITALALLERGY & IMMUNOLOGY(1)

TAMBOLI, ARDESHIR ( Male)ADIE TAMBOLI MD INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-674-3836Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITAL

AUDIOLOGY (3)

BYRER, KELLY ( Female)HEARINC INC4907-A DALBEY LNBERLIN 44610800-773-7932Accepting new patientsLanguage(s) Spoken:ENGLISHHISSNER, ANGELA ( Female)KURT C GARREN MD INC890 WOOSTER RDMILLERSBURG 44654330-343-9600Accepting new patientsLanguage(s) Spoken:ENGLISHSCHNELL, LYNN ( Female)KURT C GARREN MD INC890 WOOSTER RDMILLERSBURG 44654330-343-9600Accepting new patientsLanguage(s) Spoken:ENGLISHCARDIOLOGY (5)

ANREDDY, SANDEEP ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1261 WOOSTER RDMILLERSBURG 44654330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

DUFFY, BRENDAN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC1261 WOOSTER RDMILLERSBURG 44654330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERJOHNSON, TODD ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1261 WOOSTER RDMILLERSBURG 44654330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,AFFINITY MEDICALCENTER, AULTMANHOSPITAL

Page 64: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 64 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PODUGU, RAMANA ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1261 WOOSTER RDMILLERSBURG 44654330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, MERCYMEDICAL CENTERPRABHAKAR, SOURABH ( Male)CARDIOVASCULARCONSULTANTS OF OPPC1261 WOOSTER RDMILLERSBURG 44654330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

CERTIFIED NURSEMIDWIFE (1)

AUGUSTINE, DONNA ( Female)POMERENE FAMILY CARE4900 OAK STBERLIN 44610330-893-2754Accepting new patientsPOMERENE FAMILY CARE4606 TOWNSHIP ROAD634MOUNT HOPE 44660330-674-3333Accepting new patientsLanguage(s) Spoken:ENGLISHCHIROPRACTIC (9)

ALEXANDER, JEFF ( Male)ACTIVE CHIROPRACTICINC1038 S WASHINGTON STMILLERSBURG 44654330-674-4373Accepting new patientsLanguage(s) Spoken:ENGLISHBEDOCS, GENE ( Male)ACTIVE CHIROPRACTICINC1038 S WASHINGTON STMILLERSBURG 44654330-674-4373Accepting new patientsLanguage(s) Spoken:ENGLISHCASS, STAUSH ( Male)HOLMES SPINE & SPORTCHIRO1245 GLEN DRMILLERSBURG 44654330-674-0444Accepting new patientsLanguage(s) Spoken:ENGLISH

CHAFFEE, TAMI ( Female)CHAFFEE FAMILY CHIROINC5336 COUNTY RD 201STE CMILLERSBURG 44654330-345-4440Accepting new patientsLanguage(s) Spoken:ENGLISHCHAFFEE, BRYCE ( Male)CHAFFEE FAMILY CHIROINC5336 COUNTY RD 201STE CMILLERSBURG 44654330-345-4440Accepting new patientsLanguage(s) Spoken:ENGLISHFLANDERS, JEREMY ( Male)CHAFFEE FAMILY CHIROINC5336 COUNTY RD 201STE CMILLERSBURG 44654330-893-0444Accepting new patientsLanguage(s) Spoken:ENGLISHPYLE, JULIE ( Female)CHAFFEE FAMILY CHIROINC5336 COUNTY RD 201STE CMILLERSBURG 44654330-893-0444Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 65: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 65

REIS, MARIA ( Female)CHAFFEE FAMILY CHIROINC5336 COUNTY RD 201STE CMILLERSBURG 44654330-893-4440Accepting new patientsLanguage(s) Spoken:ENGLISHSCHMIDT, ERIC ( Male)HOLMES SPINE & SPORTCHIRO1245 GLEN DRMILLERSBURG 44654330-674-0444Accepting new patientsLanguage(s) Spoken:ENGLISHCOUNSELING (2)

GERKEN, MELISSA ( Female)FAMILY LIFE COUNSELING& PSYCHIATRIC SVCS10 S CLAY STSTE 101MILLERSBURG 44654330-275-0573Accepting new patientsLanguage(s) Spoken:ENGLISHSGAMBELLONE, CAROL ( Female)FAMILY LIFE COUNSELING& PSYCHIATRIC SVCS10 S CLAY STSTE 101MILLERSBURG 44654330-275-0573Accepting new patientsLanguage(s) Spoken:ENGLISH

EAR, NOSE & THROAT/OTOLARYNGOLOGY (2)

GARREN, KURT ( Male)KURT C GARREN MD INC1261 WOOSTER RDSTE 210MILLERSBURG 44654330-343-9600Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,AFFINITY MEDICALCENTERWARTMANN,CHRISTOPHER ( Male)WOOSTER ENT ASSOC1245 GLEN DRMILLERSBURG 44654330-264-9699Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL

FAMILY MEDICINE (10)

BOYD, KIM ( Male)EAST HOLMES FAMILYCARE4907 DALBEY LNSTE ABERLIN 44610330-893-2341Accepting existing patientsonlyEAST HOLMES FAMILYCARE4981 WALNUT STWALNUT CREEK 44687330-893-2431Accepting existing patientsonlyEAST HOLMES FAMILYCARE2040 TWP RD 661WINESBURG 44690330-359-5989Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, DUTCH-FLEMISHHospital Affiliation(s):POMERENE HOSPITAL

Page 66: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 66 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BOYD, ZACHARY ( Male)EAST HOLMES FAMILYCARE4907A DALBEY LNBERLIN 44610330-893-2341Accepting existing patientsonlyEAST HOLMES FAMILYCARE4981 WALNUT STWALNUT CREEK 44687330-893-2431Accepting existing patientsonlyEAST HOLMES FAMILYCARE2040 TWP RD 661WINESBURG 44690330-359-5989Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITALBROWN, SCOTT ( Male)HOLMES FAMILYMEDICINE INC151 PARKVIEW DRMILLERSBURG 44654330-674-1200Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

DUTCHER, TITUS ( Male)EAST HOLMES FAMILYCARE4907 DALBEY LNSTE ABERLIN 44610330-893-2341Accepting existing patientsonlyEAST HOLMES FAMILYCARE4981 WALNUT STWALNUT CREEK 44687330-893-2431Accepting existing patientsonlyEAST HOLMES FAMILYCARE2040 TWP RD 661WINESBURG 44690330-359-5989Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, DUTCHHospital Affiliation(s):POMERENE HOSPITALHART, ROBERT ( Male)HOLMES FAMILYMEDICINE INC151 PARKVIEW DRMILLERSBURG 44654330-674-1200Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL

KORNHAUS, R ( Male)EAST HOLMES FAMILYCARE4907 DALBEY LNSTE ABERLIN 44610330-893-2341Accepting existing patientsonlyEAST HOLMES FAMILYCARE4981 WALNUT STWALNUT CREEK 44687330-893-2431Accepting existing patientsonlyEAST HOLMES FAMILYCARE2040 TWP RD 661WINESBURG 44690330-359-5989Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL

Page 67: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 67

MCFADDEN, DWIGHT ( Male)POMERENE FAMILY CARE1261 WOOSTER RDSTE 200MILLERSBURG 44654330-674-3333Accepting new patientsPOMERENE FAMILY CARE4606 TOWNSHIP ROAD634MOUNT HOPE 44660330-674-3333Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):POMERENE HOSPITALMIEDEL, HANNAH ( Female)POMERENE FAMILY CARE1261 WOOSTER RDSTE 200MILLERSBURG 44654330-674-3333Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):POMERENE HOSPITAL

MILLER, J ERIC ( Male)EAST HOLMES FAMILYCARE4907 DALBEY LNSTE ABERLIN 44610330-893-2341Accepting existing patientsonlyEAST HOLMES FAMILYCARE4981 WALNUT STWALNUT CREEK 44687330-893-2431Accepting new patientsEAST HOLMES FAMILYCARE2040 TWP RD 661WINESBURG 44690330-359-5989Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITALVACCARIELLO, JOHN ( Male)HOLMES FAMILYMEDICINE INC151 PARKVIEW DRMILLERSBURG 44654330-674-1200Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL

GENERAL SURGERY (2)

MILLER, LEON ( Male)LEON MILLER MD1261 WOOSTER RDSTE 215MILLERSBURG 44654330-674-7777Accepting new patientsLanguage(s) Spoken:GERMAN, ENGLISHHospital Affiliation(s):POMERENE HOSPITALSCHELL, MICHAEL ( Male)POMERENE SURGICALSVCS1261 WOOSTER RDSTE 210MILLERSBURG 44654330-763-2018Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITALINFECTIOUS DISEASE (1)

OMRAN, YASSER ( Male)MILLERSBURG CLINIC INC1261 WOOSTER RDSTE 230MILLERSBURG 44654330-674-3434Accepting new patientsBoard Certified in:INTERNAL MEDICINE,INFECTIOUS DISEASELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):POMERENE HOSPITAL

Page 68: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 68 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NEPHROLOGY (7)

ASFOURA, JEHAD ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:GERMAN, FRENCH,ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, ALLIANCECOMMUNITY HOSPITAL,MERCY MEDICAL CENTERBHARGAVA, PRAMOD( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken: HINDI,GUJURATI, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

DEGENHARD, ANTHONY ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERGARTON, JOHN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

KELLEY, KEVIN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITALMAKEY, DAYANAND ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER STSTE 220MILLERSBURG 44654330-674-3000Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UNIONHOSPITAL, AFFINITYMEDICAL CENTER,AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL

Page 69: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 69

RAJAN, JAMES ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTERNURSE PRACTITIONER (3)

BYLER, DANIELLE ( Female)POMERENE FAMILY CARE1261 WOOSTER RDSTE 200MILLERSBURG 44654330-674-3333Accepting new patientsLanguage(s) Spoken:ENGLISHKING, JONATHAN ( Male)HOLMES FAMILYMEDICINE INC151 PARKVIEW DRMILLERSBURG 44654330-674-1200Accepting new patientsLanguage(s) Spoken:ENGLISH

YODER, CANDY ( Female)POMERENE FAMILY CARE1261 WOOSTER RDSTE 200MILLERSBURG 44654330-674-3333Accepting new patientsLanguage(s) Spoken:ENGLISHOBSTETRICS ANDGYNECOLOGY (1)

WEEMAN, JOHN ( Male)WOOSTER OBGYN INC1261 WOOSTER RDSTE 200MILLERSBURG 44654330-674-2318Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:FRENCH, ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, POMERENEHOSPITALOCCUPATIONALTHERAPY (2)

JAHN, JERI ( Female)POMERENE HOSPITALREHAB SVCS1261 WOOSTER RDSTE 130MILLERSBURG 44654330-674-9066Accepting new patientsLanguage(s) Spoken:ENGLISH

MASON, ELYSSA ( Female)WALNUT HILLS NURSINGHOME4748 OLDE PUMP STWALNUT CREEK 44687330-893-3200Accepting new patientsLanguage(s) Spoken:ENGLISHOPHTHALMOLOGY (4)

FENZL, THOMAS ( Male)WOOSTEROPHTHALMOLOGISTSINC DBA WOOSTER EYECENTER1197 GLEN DRSTE CMILLERSBURG 44654330-345-7200Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITALMIEDEL, ANSON ( Male)WOOSTEROPHTHALMOLOGISTSINC DBA WOOSTER EYECENTER1197 GLEN DRSTE CMILLERSBURG 44654330-345-7200Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITAL

Page 70: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 70 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PERKINS, JEFFREY ( Male)WOOSTEROPHTHALMOLOGISTSINC DBA WOOSTER EYECENTER1197 GLEN DRSTE CMILLERSBURG 44654330-345-7200Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITALSTEINER, SCOTT ( Male)WOOSTEROPHTHALMOLOGISTSINC DBA WOOSTER EYECENTER1197 GLEN DRSTE CMILLERSBURG 44654330-345-7200Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITALOPTOMETRY (6)

ATTERHOLT, NATHAN ( Male)FAMILY EYECARE ASSOC1275 GLEN DRMILLERSBURG 44654330-674-6121Accepting new patientsLanguage(s) Spoken:ENGLISH

CONWAY, HOLLY ( Female)FAMILY EYECARE ASSOC1275 GLEN DRMILLERSBURG 44654330-674-6121Accepting new patientsLanguage(s) Spoken:ENGLISHCONWAY, JAMES ( Male)FAMILY EYECARE ASSOC1275 GLEN DRMILLERSBURG 44654330-674-6121Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, JAMES ( Male)ROBERT L MILLER OD INC4907 DALBEY LNSTE BBERLIN 44610330-893-2215Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, ROBERT ( Male)ROBERT L MILLER OD INC4907 DALBEY LNSTE BBERLIN 44610330-893-2215Accepting new patientsLanguage(s) Spoken:ENGLISHOMLOR, RANDY ( Male)ROBERT L MILLER OD INC4907 DALBEY LNSTE BBERLIN 44610330-893-2215Accepting new patientsLanguage(s) Spoken:ENGLISH

ORTHOPEDIC SURGERY(4)

GESLER, JAMES ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, POMERENEHOSPITAL, AULTMANORRVILLE HOSPITALKNAPIC, MICHAEL ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITAL,POMERENE HOSPITAL

Page 71: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | HOLMES County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 71

MILLER, RODNEY ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, POMERENEHOSPITAL, AULTMANORRVILLE HOSPITALWIDMER, STEVEN ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITALPHYSICAL THERAPY (9)

BARLOW, MICHAEL ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsLanguage(s) Spoken:ENGLISH

BOYD, JOSHUA ( Male)WALNUT HILLS NURSINGHOME4748 OLDE PUMP STWALNUT CREEK 44687330-893-3200Accepting new patientsLanguage(s) Spoken:ENGLISHJONES, LESLIE ( Female)WALNUT HILLS NURSINGHOME4748 OLDE PUMP STWALNUT CREEK 44687330-893-3200Accepting new patientsLanguage(s) Spoken:ENGLISHLONG, CHRISTINE ( Female)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsLanguage(s) Spoken:ENGLISHMCGHEE, PAUL ( Male)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsLanguage(s) Spoken:ENGLISH

MULLET, SHEILA ( Female)POMERENE HOSPITALREHAB SVCS1261 WOOSTER RDSTE 130MILLERSBURG 44654330-674-9066Accepting new patientsLanguage(s) Spoken:ENGLISHROACH, NICOLE ( Female)POMERENE HOSPITALREHAB SVCS1261 WOOSTER RDSTE 130MILLERSBURG 44654330-674-9066Accepting new patientsLanguage(s) Spoken:ENGLISHSTROUD, KARLI ( Female)POMERENE HOSPITALREHAB SVCS1261 WOOSTER RDSTE 130MILLERSBURG 44654330-674-9066Accepting new patientsLanguage(s) Spoken:ENGLISHZACOUR, SARAH ( Female)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDSTE 120MILLERSBURG 44654330-674-0775Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 72: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 72 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PODIATRY (5)

HORN, NICOLE ( Female)PERFORMANCE FOOT &ANKLE LLC890 WOOSTER RDMILLERSBURG 44654330-473-1447Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, POMERENEHOSPITALMILLER, ANDREW ( Male)MYERS & MILLERPODIATRY INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-674-3000Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,UNION HOSPITALMORSE, SONYA ( Female)WOOSTER ORTHO &SPORTS MED1261 WOOSTER RDMILLERSBURG 44654330-804-9712Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITAL,POMERENE HOSPITAL

MYERS, ADAM ( Male)MYERS & MILLERPODIATRY INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-674-3000Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UNIONHOSPITALSCHERER, RONALD ( Male)BI-COUNTY FOOT CARE212 N WASHINGTON STMILLERSBURG 44654330-674-4462Accepting new patientsLanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s): UNIONHOSPITAL, POMERENEHOSPITALPSYCHOLOGY (1)

COBLENTZ, ELVIN ( Male)FAMILY CARECOUNSELING CTRS INC5130 TR 359BERLIN 44610330-893-2100Accepting new patientsFAMILY CARECOUNSELING CTRS INC6 WOODLAND DRMILLERSBURG 44654330-674-9200Accepting new patientsLanguage(s) Spoken:ENGLISH

SLEEP MEDICINE (1)

LATOUF, BUTROS ( Male)MILLERSBURG CLINIC INC1261 WOOSTER RDSTE 230MILLERSBURG 44654330-674-3434Accepting new patientsBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ARABIC, ENGLISH,FRENCHHospital Affiliation(s):POMERENE HOSPITALSPEECH THERAPY (1)

HODKINSON, KATHERINE ( Female)POMERENE HOSPITALREHAB SVCS1261 WOOSTER RDSTE 130MILLERSBURG 44654330-674-9066Accepting new patientsLanguage(s) Spoken:ENGLISHUROLOGY (1)

OCHS, STEVEN ( Male)UROLOGY ONE INC1261 WOOSTER RDSTE 220MILLERSBURG 44654330-456-6760Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,POMERENE HOSPITAL,AKRON GENERALMEDICAL CENTER

Page 73: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 73

Internal Medicine (11)

COLFLESH, MATTHEW ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 205STEUBENVILLE 43952740-346-2092Accepting new patientsTRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMCONTE, CORINNE ( Female)TRINITY FAMILY CARECTRS1 ROSS PARK BLVDSTE G1STEUBENVILLE 43952740-283-7677Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-283-7677Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

GIANNAMORE, MICHAEL ( Male)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):TRINITY HEALTH SYSTEMGUPTA, SANJAY ( Male)REGIONALCARDIOVASCULAR &MEDICINE CENTER114 BRADY CIR ESTEUBENVILLE 43952740-284-5522Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMKURUC, STEPHEN ( Male)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

LOFSTEAD, MARIA ( Female)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMLOPEZ, FRANCISCO ( Male)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-5055Accepting new patientsTRINITY FAMILY CARECTRS864 MAIN STWINTERSVILLE 43953740-266-3855Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM,TRINITY HOSPITAL TWINCITYLYNCH, EDWARD ( Male)TRINITY FAMILY CARECTRS401 MARKET STSTE 902STEUBENVILLE 43952740-282-0607Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 74: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 74 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

POWELL, DEREK ( Male)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMTRANTO, MARIA ( Female)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITALVAN WEELDEN, GEORGE ( Male)TRINITY FAMILY CARECTRS864 MAIN STWINTERSVILLE 43953740-266-3855Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Pediatrics (2)

ALKAED, AMJAD ( Male)TRINITY FAMILY CARECTRS1 ROSS PARK BLVDSTE 106STEUBENVILLE 43952740-283-2455Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-6271Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMMATHEW, ANAND ( Male)TRINITY FAMILY CARECTRS107 MAIN STWINTERSVILLE 43953740-266-2930Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMALLERGY & IMMUNOLOGY(2)

PATEL, KUMAR ( Male)KUMAR PATEL MD340 S HOLLYWOOD BLVDSTEUBENVILLE 43952724-224-5440Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

TAMBOLI, ARDESHIR ( Male)ADIE TAMBOLI MD INC227 CANTON RDWINTERSVILLE 43953740-266-2161Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITALAUDIOLOGY (3)

ROSNICK, TINA ( Female)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsLanguage(s) Spoken:ENGLISHSMARRELLA, DANIELLE ( Female)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsLanguage(s) Spoken:ENGLISHSPENCER, STELLA ( Female)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 75: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 75

CARDIOLOGY (5)

MAGGE, SATHISH ( Male)TRINITY FAMILY CARECTRS401 MARKET STSTE 200STEUBENVILLE 43952740-282-5000Accepting new patientsTRINITY FAMILY CARECTRS864 MAIN STWINTERSVILLE 43953740-266-3855Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, HINDI, TAMILHospital Affiliation(s):TRINITY HOSPITALTWIN CITY, HARRISONCOMMUNITY HOSPITAL,TRINITY HEALTH SYSTEMMURTY, RAMANA ( Male)TRINITY FAMILY CARECTRS401 MARKET STSTE 200STEUBENVILLE 43952740-282-5000Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHOSPITAL TWIN CITY

NANDRA, CHARN ( Male)REGIONALCARDIOVASCULAR &MEDICINE CENTER114 BRADY CIR ESTEUBENVILLE 43952740-284-5522Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMSCHMULEVICH, RAFAEL ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 207STEUBENVILLE 43952740-266-9169Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMSHANKAR, SANJAY ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 207STEUBENVILLE 43952740-266-9169Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HOSPITAL TWINCITY, TRINITY HEALTHSYSTEM

CHILD & ADOLESCENTPSYCHIATRY (1)

BOREN, MARY ( Female)JEFFERSON BEHAVIORALHEALTH SYSTEM220 MURDOCK AVEMINGO JUNCTION 43938740-535-1314Accepting new patientsJEFFERSON BEHAVIORALHEALTH SYSTEM3200 JOHNSON RDSTEUBENVILLE 43952740-264-7751Accepting new patientsBoard Certified in:PSYCHIATRY, CHILD& ADOLESCENTPSYCHIATRYLanguage(s) Spoken:ENGLISHCHIROPRACTIC (2)

BAKER, JUSTIN ( Male)TRINITY FAMILY CARECTRS3151 JOHNSON RDSTE 2STEUBENVILLE 43952740-266-3866Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-266-3866Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 76: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 76 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SCHRICKEL, THADDAEUS ( Male)WINTERSVILLE MEDICALGRP1562 CADIZ RDWINTERSVILLE 43953740-264-6235Accepting new patientsLanguage(s) Spoken:ENGLISHDERMATOLOGY (1)

GANZER, GREGORY ( Male)OHIO VALLEYDERMATOLOGY4100 JOHNSON RDSTE 201STEUBENVILLE 43952740-266-9823Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMEAR, NOSE & THROAT/OTOLARYNGOLOGY (2)

DIBIASE, PAUL ( Male)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

MASTROS, NICHOLAS ( Male)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMENDOCRINOLOGY,DIABETES, &METABOLISM (1)

FELDER, JILL ( Female)TRINITY FAMILY CARECTRS3150 JOHNSON RD1ST FLSTEUBENVILLE 43952740-314-8881Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, &METABOLISM,NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

FAMILY MEDICINE (7)

BEETHAM, PORSCHE ( Female)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITALFAKEH, AYMAN ( Male)TRINITY FAMILY CARECTRS387 THIRD STBERGHOLZ 43908740-768-1077Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-5087Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 77: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 77

FIGEL, JOHN ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 601STEUBENVILLE 43952740-284-1779Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMKISSINGER, MARK ( Male)TRINITY FAMILY CARECTRS107 MAIN STWINTERSVILLE 43953740-264-1656Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMKOCHENBACH,KATHERINE ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 206STEUBENVILLE 43952740-346-2081Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

STARRE, JEFFREY ( Male)HOLY FAMILY MEDICALPRACTICE1369 FRANKLIN AVETORONTO 43964740-537-9277Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMTAMBOLI, JASMIN ( Female)TAMBOLI MD INC227 CANTON RDWINTERSVILLE 43953740-266-2161Accepting new patientsLanguage(s) Spoken:ENGLISH, HINDI,GUJURATIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMGASTROENTEROLOGY (3)

DESAI, HIMANSHU ( Male)TRINITY FAMILY CARECTRS1805 SINCLAIR AVESTEUBENVILLE 43953740-346-2766Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

JAHDI, NASROLLAH ( Male)TRINITY FAMILY CARECTRS1 ROSS PARKSTE G-2STEUBENVILLE 43952740-282-9093Accepting new patientsLanguage(s) Spoken:ENGLISH, FAROESEHospital Affiliation(s):TRINITY HEALTH SYSTEMTERMANINI, BASEL ( Male)TRINITY FAMILY CARECTRS1805 SINCLAIR AVESTEUBENVILLE 43953740-264-2686Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SYRIAN, ARABICHospital Affiliation(s):TRINITY HEALTH SYSTEMGENERAL SURGERY (5)

COLELLA, JOSEPH ( Male)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLRSTEUBENVILLE 43952740-266-5960Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 78: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 78 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GILMAN, DENISE ( Female)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLRSTEUBENVILLE 43952740-346-2216Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMLICATA, SAMUEL ( Male)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLRSTEUBENVILLE 43952740-266-5959Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMOSER, CRAIG ( Male)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLSTEUBENVILLE 43952740-264-8538Accepting new patientsBoard Certified in:GENERAL SURGERY,PLASTIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

REDDY, JAYAPAL ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 202STEUBENVILLE 43952740-282-8746Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMINFECTIOUS DISEASE (1)

WOODS, KENNETH ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 202STEUBENVILLE 43952740-264-8537Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMMEDICAL ONCOLOGY (1)

BHANDARI, RANJAN ( Male)TRISTATE REGIONALCANCER CTR100 WELDAY AVEWINTERSVILLE 44953740-264-6844Accepting new patientsLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM

NEPHROLOGY (3)

FELDER, JILL ( Female)TRINITY FAMILY CARECTRS3150 JOHNSON RD1ST FLSTEUBENVILLE 43952740-314-8881Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, &METABOLISM,NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMKHALIL, PATRICIA ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 1100STEUBENVILLE 43952740-282-1624Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM

Page 79: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 79

MURTY, PREETHI ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 1100STEUBENVILLE 43952740-282-1624Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISH, SPANISH,TELUGAHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMNEUROLOGY (1)

AHMED, MUNAZZA ( Female)TRINITY FAMILY CARECTRS1524 SUNSET BLVDSTE BSTEUBENVILLE 43952740-314-5828Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMNURSE PRACTITIONER(38)

ABATE, ALICIA ( Female)TRINITY FAMILY CARECTRS1805 SINCLAIR AVESTEUBENVILLE 43953740-266-3560Accepting new patientsLanguage(s) Spoken:ENGLISH

AMMON, CHARLES ( Male)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHANDERSON, MARY ( Female)TRINITY FAMILY CARECTRS1 ROSS PARKSTE G-2STEUBENVILLE 43952740-282-9093Accepting new patientsLanguage(s) Spoken:ENGLISHBARCALOW, ELISA ( Female)TRINITY FAMILY CARECTRS3150 JOHNSON RD2ND FLSTEUBENVILLE 43952740-792-4110Accepting new patientsLanguage(s) Spoken:ENGLISHBAUMAN, CHAD ( Male)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISH

BECKER, APRIL ( Female)TRINITY FAMILY CARECTRS4232 MALL DRSTEUBENVILLE 43952740-314-8420Accepting new patientsLanguage(s) Spoken:ENGLISHBRYAN, AMY ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 207STEUBENVILLE 43952740-266-9169Accepting new patientsLanguage(s) Spoken:ENGLISHBUKSA, MELISSA ( Female)TRINITY FAMILY CARECTRS107 MAIN STWINTERSVILLE 43953740-264-1656Accepting new patientsLanguage(s) Spoken:ENGLISHCOOPER, RHONDA ( Female)JEFFERSON BEHAVIORALHEALTH SYSTEM1 ROSS PARKSTE 201STEUBENVILLE 43952740-264-7751Accepting new patientsTRINITY FAMILY CARECTRS380 SUMMIT AVE2ND FLSTEUBENVILLE 43952304-723-2635Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 80: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 80 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DAILEY, RENAE ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 200STEUBENVILLE 43952740-282-5000Accepting new patientsLanguage(s) Spoken:ENGLISHDEGORI, MEGAN ( Female)TRINITY FAMILY CARECTRS1805 SINCLAIR AVESTEUBENVILLE 43953740-346-2766Accepting new patientsLanguage(s) Spoken:ENGLISHDORSEY, AMY ( Female)TRINITY FAMILY CARECTRS107 MAIN STWINTERSVILLE 43953740-264-1656Accepting new patientsLanguage(s) Spoken:ENGLISHELLENBERGER,STEPHANIE ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 202STEUBENVILLE 43952740-264-8537Accepting new patientsLanguage(s) Spoken:ENGLISH

ENSINGER, SARAH ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHFLETCHER, MARLO ( Female)TRINITY FAMILY CARECTRS1524 SUNSET BLVDSTE DSTEUBENVILLE 43952740-283-1100Accepting new patientsLanguage(s) Spoken:ENGLISHGAGLIONE, CATHERINE ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 1100STEUBENVILLE 43952740-282-1624Accepting new patientsLanguage(s) Spoken:ENGLISHGATES, ROXANE ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISH

GRECO, JOYCE ( Female)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLRSTEUBENVILLE 43952740-266-5959Accepting new patientsLanguage(s) Spoken:ENGLISHHARRIS, KEVIN ( Male)TRINITY FAMILY CARECTRS1 ROSS PARK BLVDG1STEUBENVILLE 43592740-283-7677Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-283-7677Accepting new patientsLanguage(s) Spoken:ENGLISHHATHAWAY, ALECIA ( Female)OHIO VALLEYDERMATOLOGY4100 JOHNSON RDSTE 201STEUBENVILLE 43952740-266-9823Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 81: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 81

KLINGER, BRITTANY ( Female)TRINITY FAMILY CARECTRS3151 JOHNSON RDSTE 2STEUBENVILLE 43952740-266-3866Accepting new patientsLanguage(s) Spoken:ENGLISHKNIGHT, PAULA ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 206STEUBENVILLE 43952740-346-2081Accepting new patientsLanguage(s) Spoken:ENGLISHKUSH, LISA ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 601STEUBENVILLE 43952740-284-1779Accepting new patientsTRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 205STEUBENVILLE 43952740-346-2092Accepting new patientsLanguage(s) Spoken:ENGLISH

MEADOWS, DANA ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHMILHOAN, PATRICIA ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 208STEUBENVILLE 43952740-346-0496Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, LYNN ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsTRINITY HOSPITALHOLDING COMPANY DBATRINITY MEDICAL CTREXPRESS CARE148 MAIN STWINTERSVILLE 43953740-346-2702Accepting new patientsLanguage(s) Spoken:ENGLISH

MOLESKY, ABBY ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHRADIVOJ, CHRISTINE ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHRADVANSKY, MALLORY ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISHROCK, DEANNA ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 200STEUBENVILLE 43952740-282-5000Accepting new patientsTRINITY FAMILY CARECTRS864 MAIN STWINTERSVILLE 43953740-266-3855Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 82: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 82 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ROSEL, FABIAN ( Male)TRINITY FAMILY CARECTRS1 ROSS PARK BLVDSTE 106STEUBENVILLE 43952740-283-2455Accepting new patientsTRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-6271Accepting new patientsTRINITY FAMILY CARECTRS107 MAIN STWINTERSVILLE 43953740-266-2930Accepting new patientsLanguage(s) Spoken:ENGLISHSCOTT, KELLEY ( Female)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-3898Accepting new patientsLanguage(s) Spoken:ENGLISH

SMITH, CASSANDRA ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 200STEUBENVILLE 43952740-282-5000Accepting new patientsTRINITY FAMILY CARECTRS864 MAIN STWINTERSVILLE 43953740-266-3855Accepting new patientsLanguage(s) Spoken:ENGLISHSWAN, MICHELE ( Female)TRINITY FAMILY CARECTRS1805 SINCLAIR AVESTEUBENVILLE 43953740-346-2766Accepting new patientsLanguage(s) Spoken:ENGLISHTRIMMER, ROSANN ( Female)TRINITY FAMILY CARECTRS401 MARKET STSTE 601STEUBENVILLE 43952740-284-1779Accepting new patientsLanguage(s) Spoken:ENGLISH

TRUEX, SARAH ( Female)OHIO VALLEYDERMATOLOGY4100 JOHNSON RDSTE 201STEUBENVILLE 43952740-266-9823Accepting new patientsLanguage(s) Spoken:ENGLISHWINE, JANE ( Female)WHEELING HOSP INC48258 NATIONAL RDST CLAIRSVILLE 43950740-695-1811Accepting new patientsLanguage(s) Spoken:ENGLISHWRIGHT, MELODY ( Male)TRINITY FAMILY CARECTRS401 MARKET STSTE 601STEUBENVILLE 43952740-284-1779Accepting new patientsLanguage(s) Spoken:ENGLISHOPHTHALMOLOGY (1)

AGRESTA, RONALD ( Male)FORT STEUBENOPTHALMOLOGY2315 SUNSET BLVDSTE BSTEUBENVILLE 43952740-264-7148Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 83: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 83

OPTOMETRY (1)

JAGELA, EDWARD ( Male)OHIO VALLEY VISION CTR4100 JOHNSON RDSTE 204STEUBENVILLE 43952740-283-3937Accepting new patientsLanguage(s) Spoken:ENGLISHORTHOPEDIC SURGERY(1)

AMIN, KUMAR ( Male)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 102STEUBENVILLE 43952740-283-2062Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERY,SPORTS MEDICINELanguage(s) Spoken:ENGLISH, GUJURATIHospital Affiliation(s):TRINITY HEALTH SYSTEMPAIN MEDICINE (1)

GAHLOT, LUXMI ( Female)TRINITY FAMILY CARECTRS3150 JOHNSON RD2ND FLSTEUBENVILLE 43952740-792-4110Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGY,HOSPICE AND PALLIATIVEMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

PHYSICAL MEDICINE &REHABILITATION (1)

SWABY, MILTON ( Male)TRINITY FAMILY CARECTRS1 ROSS PARK BLVDFIFTH FLSTEUBENVILLE 43952740-283-7050Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):TRINITY HEALTH SYSTEMPLASTIC SURGERY (1)

OSER, CRAIG ( Male)TRINITY FAMILY CARECTRS4000 JOHNSON RD2ND FLSTEUBENVILLE 43952740-264-8538Accepting new patientsBoard Certified in:GENERAL SURGERY,PLASTIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMPODIATRY (2)

BREM, JOHN ( Male)COMPLETE FOOT ANDANKLE CARE LLC401 MARKET STSTE 802STEUBENVILLE 43952740-282-0861Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

GRANT, WILLIAM ( Male)WILIAM S GRANT DPM319 MAIN STREETWINTERSVILLE 43953740-264-4200Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITALPSYCHIATRY (6)

AJAYI, RICHARD ( Male)TRINITY FAMILY CARECTRS380 SUMMIT AVE2ND FLSTEUBENVILLE 43952304-797-6410Accepting new patientsBoard Certified in:PSYCHIATRY, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMANDRONIC, MAURA ( Female)TRINITY FAMILY CARECTRS380 SUMMIT AVESECOND FLRSTEUBENVILLE 43952304-218-2023Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 84: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | JEFFERSON County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 84 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BOREN, MARY ( Female)JEFFERSON BEHAVIORALHEALTH SYSTEM220 MURDOCK AVEMINGO JUNCTION 43938740-535-1314Accepting new patientsJEFFERSON BEHAVIORALHEALTH SYSTEM3200 JOHNSON RDSTEUBENVILLE 43952740-264-7751Accepting new patientsBoard Certified in:PSYCHIATRY, CHILD& ADOLESCENTPSYCHIATRYLanguage(s) Spoken:ENGLISHCHATTHA, JASWINDER ( Female)JEFFERSON BEHAVIORALHEALTH SYSTEM3200 JOHNSON RDSTEUBENVILLE 43952740-264-7751Accepting new patientsLanguage(s) Spoken:ENGLISH, PUNJABI

DEOL, PRABHJOT ( Male)JEFFERSON BEHAVIORALHEALTH SYSTEM1 ROSS PARKSTE 201STEUBENVILLE 43952740-264-7751Accepting new patientsTRINITY FAMILY CARECTRS380 SUMMIT AVE2ND FLSTEUBENVILLE 43952304-723-2635Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISH, PUNJABIHospital Affiliation(s):TRINITY HEALTH SYSTEMPUREWAL, NAVDEEP ( Male)JEFFERSON BEHAVIORALHEALTH SYSTEM1 ROSS PARKSTE 201STEUBENVILLE 43952740-264-7751Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISH

PULMONARY DISEASE (1)

MORISETTY,SATYASAGAR ( Male)MORISETTY MEDICALASSOC DBA CARES1 ROSS PARK BLVDSTE G3STEUBENVILLE 43952740-314-5819Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEM, TRINITYHOSPITAL TWIN CITYRHEUMATOLOGY (1)

DHILLON, NAMRATA ( Female)TRINITY FAMILY CARECTRS4100 JOHNSON RDSTE 103STEUBENVILLE 43952740-266-5966Accepting new patientsBoard Certified in:RHEUMATOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 85: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 85

SPEECH THERAPY (1)

JACOBS, KRISTEN ( Female)TRINITY FAMILY CARECTRS2315 SUNSET BLVDSTEUBENVILLE 43952740-266-7006Accepting new patientsLanguage(s) Spoken:ENGLISHSPORTS MEDICINE (3)

ORLOSKY, AARON ( Male)TRINITY FAMILY CARECTRS3151 JOHNSON RDSTE 2STEUBENVILLE 43952740-266-3866Accepting new patientsBoard Certified in: SPORTSMEDICINE, FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

SCARPONE, MICHAEL ( Male)TRINITY FAMILY CARECTRS1235 UNIVERSITY BLVDSTEUBENVILLE 43952740-266-3866Accepting new patientsTRINITY FAMILY CARECTRS3151 JOHNSON RDSTE 2STEUBENVILLE 43952740-266-3866Accepting new patientsBoard Certified in: SPORTSMEDICINE, FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):HARRISON COMMUNITYHOSPITAL, TRINITYHEALTH SYSTEMSNELL, EDWARD ( Male)TRINITY FAMILY CARECTRS3151 JOHNSON RDSTE 2STEUBENVILLE 43952740-266-3866Accepting new patientsBoard Certified in: SPORTSMEDICINE, FAMILYMEDICINELanguage(s) Spoken:ENGLISH, GERMANHospital Affiliation(s):TRINITY HEALTH SYSTEM

UROLOGY (3)

ANDREINI, HUGO JR( Male)TRINITY FAMILY CARECTRS1800 FRANKLIN ST EXTTORONTO 43964740-537-5081Accepting new patientsLanguage(s) Spoken:ENGLISHFERRERA, DOMINIC ( Male)DOMINIC N FERRERA MD1 ROSS PARK BLVDSTE 103STEUBENVILLE 43952740-283-7300Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEMSINGH, SATBIR ( Male)TRINITY FAMILY CARECTRS1524 SUNSET BLVDSTE ASTEUBENVILLE 43952740-282-6291Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):TRINITY HEALTH SYSTEM

Page 86: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 86 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

Internal Medicine (55)

AHMED, ASHRAF ( Male)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-938-9920Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALAWADALLA, MAGED ( Male)MAGED AWADALLA MD725 BOARDMANCANFIELD RDUNIT 0YOUNGSTOWN 44512330-758-7571Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

BRINE, PATRICK ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3709Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALBUCH, ALBERT ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHBURKERT, THOMAS ( Male)THOMAS S BURKERT MD205 S MAIN STPOLAND 44514330-757-8941Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

CHAMBERS, CATHERINE ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHCHARLTON, JI HYE ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, KOREANCUBBISON, THEODORE ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHDEMAIOLO, STEVEN ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 87: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 87

DIB, JEAN ( Male)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-938-9920Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTEREL HAYEK, MOUNIR ( Male)MOUNIR EL HAYEK MD2955 CANFIELD RDYOUNGSTOWN 44511330-270-0118Accepting new patientsLanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALEL MOBASHER, GAMAL ( Male)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-966-9920Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

ELLIS, GEORGE JR ( Male)DR GEORGE ELLIS JR MD910 BOARDMANCANFIELD RDBOARDMAN 44512330-965-0832Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SPANISH,ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALGIANETTI, JOHN ( Male)TRIAD HEALTH SERVICESLLC7629 MARKET STSTE 100YOUNGSTOWN 44512330-884-2444Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHASSAN, SAMINA ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH

HAYEK, BENJAMIN ( Male)PRIMARY HEALTH CAREASSOC2111 BELMONT AVESTE 1YOUNGSTOWN 44505330-744-0221Accepting new patientsBoard Certified in:INTERNAL MEDICINE,GERIATRIC MEDICINELanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALHOMER, ANETA ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALKEMPE, JEFFREY ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 88: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 88 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KHOOBLALL, NECKLALL( Male)ARK PROFESSIONALBLDG253 S CANFIELD NILES RDAUSTINTOWN 44515330-792-9630Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALKIM, JUNG ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsBoard Certified in:INTERNAL MEDICINE,OCCUPATIONALMEDICINELanguage(s) Spoken:ENGLISH, KOREANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

KOVAL, JOHN ( Male)TRIAD HEALTH SERVICESLLC7629 MARKET STSTE 100YOUNGSTOWN 44512330-884-2444Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTERKRAVEC, JAMES ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3709Accepting new patientsBoard Certified in:INTERNAL MEDICINE,HOSPICE AND PALLIATIVEMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

KRAVEC, CYNTHIA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3676Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLAKHANI, PRABHUDAS ( Male)PRABHUDAS R LAKHANIMD INC3798 SPERONE DRCANFIELD 44406330-726-0198Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 89: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 89

LEWIS, DOUGLAS ( Male)HEALTHRIDGE MEDICALCTR INC315 STRUTHERS LIBERTYRDCAMPBELL 44405330-750-1333Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERLILEAS, MICHAEL ( Male)TRIAD HEALTH SVCS LLC7629 MARKET STSTE 200YOUNGSTOWN 44504330-965-4540Accepting new patientsBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLUNNE, DENIS ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

MALMER, MICHAEL ( Male)FOUNDATION HEALTHCARE INC821 MCCARTNEY RDYOUNGSTOWN 44505330-743-4440Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMARAKAS, JOHN ( Male)TRUMBULL MAHONINGMEDICAL GRP901 TRAILWOOD DRYOUNGSTOWN 44512330-726-3000Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

MARNEJON, THOMAS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3676Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMENDEZ, CONSUELO ( Female)CONSUELO MENDEZ MD2955 CANFIELD RDYOUNGSTOWN 44511330-270-0118Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 90: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 90 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MILLER, EDWARD ( Male)TRIAD HEALTH SERVICESLLC7629 MARKET STSTE 100YOUNGSTOWN 44512330-884-2444Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMOSER, ROBERT ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE APOLAND 44514330-757-7211Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

NALLAPANENI, SUDHIR ( Male)YOUNGSTOWN INTERNALMEDICINE250 DEBARTOLO PLSTE 1620BOARDMAN 44512330-758-7312Accepting new patientsYOUNGSTOWN INTERNALMEDICINE550 PARMALEE AVESTE 400YOUNGSTOWN 44510330-743-6270Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TELUGUHospital Affiliation(s):ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALNOVAK, GLENN ( Male)GLENN J NOVAK DO INC51 WESTCHESTER DRYOUNGSTOWN 44515330-799-1718Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

PARK, SARAH ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3709Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALRAVI, BHARGAVA ( Male)BHARGAVA RAVI MD LLC602 PARMALEE AVESTE 200YOUNGSTOWN 44510330-743-9292Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 91: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 91

RICCIARDI, SANTUCCIO ( Male)PRIMARY CARE ASSOC602 PARMALEE AVESTE 400YOUNGSTOWN 44510330-747-8611Accepting new patientsPRIMARY CARE ASSOC7067 TIFFANY BLVDSTE 250YOUNGSTOWN 44514330-726-4500Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALSELIM, SUZAN ( Female)TRUMBULL MAHONINGMEDICAL GRP901 TRAILWOOD DRYOUNGSTOWN 44512330-726-3000Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

SHAH, JYOTINDRA ( Male)JYOTINDRA P SHAH MD780 SQUIRREL HILL DRBOARDMAN 44512330-501-6372Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALSHARMA, ABHAY ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDISINGH, TEJDEEP ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC4694 BELMONT AVEYOUNGSTOWN 44505330-480-7655Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDI, PUNJABIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

SPRATT, ROBERT ( Male)ROBERT G SPRATT MD IM231 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-4097Accepting new patientsLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALSTARR, VIVIAN ( Female)PRIMARY CARE ASSOC602 PARMALEE AVESTE 400YOUNGSTOWN 44510330-747-8611Accepting new patientsPRIMARY CARE ASSOC7067 TIFFANY BLVDSTE 250YOUNGSTOWN 44514330-726-4500Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 92: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 92 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

TANEJA, REEMA ( Female)REEMA TANEJA MD INC1280 BOARDMANCANFIELD RDSTE 3BOARDMAN 44512330-726-1900Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, GUJURATIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALTARESHAWTY, EUGENE ( Male)HOPE CTR FOR CANCERCARE835 SOUTHWESTERN RUNYOUNGSTOWN 44514330-318-1100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

TIMKO, THOMAS ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERTOFIL, SCOTT ( Male)PRIMARY CARE ASSOC602 PARMALEE AVESTE 400YOUNGSTOWN 44510330-747-8611Accepting new patientsPRIMARY CARE ASSOC7067 TIFFANY BLVDSTE 250YOUNGSTOWN 44514330-726-4500Accepting new patientsBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

VILLAPLANA, LUIS ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALVOLINO, LOUIS ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALWATANAKUNAKORN,PAUL ( Male)YOUNGSTOWN OHIOPHYSICIAN SVCS CO LLC500 GYPSY LNYOUNGSTOWN 44504330-884-4250Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

Page 93: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 93

WETZEL, ROBERT ( Male)ROBERT H WETZEL MDINC900 TRAILWOOD DRBOARDMAN 44512330-726-2575Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALWILKINS, CHARLES ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-2516Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALYOUSSEF, SAMEH ( Male)TRUMBULL MAHONINGMEDICAL GRP20 OHLTOWN RDYOUNGSTOWN 44515330-797-9705Accepting new patientsBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL

ZENO, JOSEPH ( Male)TRIAD HEALTH SERVICESLLC7629 MARKET STSTE 100YOUNGSTOWN 44512330-884-2444Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALPediatrics (10)

ADEKUNLE, EMMANUEL ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHBAIR, BOOKER ( Male)BOOKER T BAIR MD6505 MARKET STSTE 3020BOARDMAN 44512330-726-2140Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

ELSABAGH, OSAMA ( Male)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALFADELL, CARRIE ( Female)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALHABO, KHALID ( Male)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

Page 94: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 94 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

IQBAL, KHALID ( Male)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALIQBAL, RIFFAT ( Female)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsLanguage(s) Spoken:ENGLISH, URDUHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALKHANKAN, HIBA ( Female)PEDIATRIC ASSOC OFYOUNGSTOWN823 SOUTHWESTERN RUNPOLAND 44514330-965-7454Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ARABIC, ENGLISH

KOWAL, MARIA ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, UKRAINIANLEWIS, DOUGLAS ( Male)HEALTHRIDGE MEDICALCTR INC315 STRUTHERS LIBERTYRDCAMPBELL 44405330-750-1333Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERALLERGY & IMMUNOLOGY(4)

DERAMO, ANTHONY ( Male)ALLERGY ASSOCIATES OFYOUNGSTOWN INC5701 MARKET STYOUNGSTOWN 44512330-758-5779Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL

HOUSER, WILLIAM JR( Male)WILLIAM L HOUSER JR MD250 DEBARTOLO PLSTE 1510BOARDMAN 44512330-758-2285Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERKHAN, ASIF ( Male)ASTHMA & ALLERGY CTR755 BOARDMANCANFIELD RDSTE A3BOARDMAN 44512330-759-3415Accepting new patientsASTHMA & ALLERGY CTR3040 BELMONT AVESTE AYOUNGSTOWN 44505330-759-3415Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, URDU, HINDI,PUNJABIHospital Affiliation(s):NORTHSIDE MEDICALCENTER

Page 95: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 95

KOLLIPARA, ROOP ( Female)ROOP K KOLLIPARA MD1280 BOARDMANCANFIELD RDBOARDMAN 44512330-629-2494Accepting new patientsROOP K KOLLIPARA MD540 PARMALEE AVESTE 410YOUNGSTOWN 44510330-707-4553Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALCARDIOLOGY (22)

AMORN, ALLEN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERD2ND FLRPOLAND 44514330-965-3363Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

BALLAS, STEVEN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALBARAKAT, URWA ( Male)TRUMBULL MAHONINGMEDICAL GRP20 OHLTOWN RDYOUNGSTOWN 44515330-797-9705Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

BELVEDERE, DAVID ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALESPER, RICHARD ( Male)TRIAD HEALTH SERVICESLLC250 DEBARTOLO PLSTE 2750YOUNGSTOWN 44512330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 96: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 96 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GEMMA, LEE ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERD2ND FLRPOLAND 44514330-965-3363Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALGRAZIANO, JOSEPH ( Male)TRIAD HEALTH SERVICESLLC250 DEBARTOLO PLSTE 2750YOUNGSTOWN 44512330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL

HALLEY, JEFFREY ( Male)TRIAD HEALTH SERVICESLLC250 DEBARTOLO PLSTE 2750YOUNGSTOWN 44512330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALHOFFMAN, DAVID ( Male)DR DAVID A HOFFMAN INC1220 BELMONT AVEYOUNGSTOWN 44504330-743-3644Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

HOUSTON, ROBERT ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

Page 97: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 97

HOUT, WAHOUB ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

HUNT, ROBERT ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL

HUSSEIN, KARIM ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

Page 98: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 98 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KATZ, ALLAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERD2ND FLRPOLAND 44514330-965-3363Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MILLER, KWON ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALREA, MARK ( Male)TRIAD HEALTH SERVICESLLC250 DEBARTOLO PLSTE 2750YOUNGSTOWN 44512330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

SCAVINA, MICHAEL ( Male)TRIAD HEALTH SERVICESLLC250 DEBARTOLO PLSTE 2750YOUNGSTOWN 44512330-758-7703Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALSCROCCO, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

Page 99: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 99

SWEENEY, WALTER ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALVARGHESE, REKHI ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

YARLAGADDA, CHAKRI ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

YOUNG, GARY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALCERTIFIED NURSEMIDWIFE (3)

PARISH, NICOLE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-746-7211Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 100: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 100 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SIEMAN, RACHEL ( Female)PROGRESSIVE WOMENSCARE INC7600 SOUTHERN BLVDSTE 1BOARDMAN 44512330-629-8466Accepting new patientsPROGRESSIVE WOMENSCARE INC500 GYPSY LNYOUNGSTOWN 44504330-629-8466Accepting new patientsLanguage(s) Spoken:ENGLISHSYMPSON, GAYE ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsLanguage(s) Spoken:ENGLISHCHILD & ADOLESCENTPSYCHIATRY (2)

MATHUR, PRADEEP ( Male)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsBoard Certified in:PSYCHIATRY, CHILD& ADOLESCENTPSYCHIATRYLanguage(s) Spoken:ENGLISH, HINDI

SEMAN, CHRISTOPHER ( Male)PRIMA HEALTH CARE LLC7355 CALIFORNIA AVEBOARDMAN 44460330-726-7100Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHCHIROPRACTIC (16)

CRUM, JOSEPH ( Male)PARKSIDE CHIROPRACTIC& REHAB CENTER945 BOARDMANCANFIELD RDSTE 11BOARDMAN 44512330-726-8164Accepting new patientsLanguage(s) Spoken:ENGLISHDENIRO, FRANK ( Male)FRANK J DENIRO DC2763 E MIDLOTHIAN BLVDSTRUTHERS 44471330-755-2174Accepting new patientsLanguage(s) Spoken:ENGLISHDESANTIS, DAVID ( Male)MAHONING VALLEYCHIROPRACTIC7747 SOUTH AVEBOARDMAN 44512330-729-9111Accepting new patientsLanguage(s) Spoken:ENGLISH

DIDOMENICO, JOSEPH ( Male)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISHDIVITO, THOMAS ( Male)POLAND CHIROPRACTICCLINIC44 NORTH MAIN STREETPOLAND 44514330-757-4029Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH,SLOVAKESARCO, JOHN II ( Male)ESARCO CHIROPRACTICCTR7505 CALIFORNIA AVESTE ABOARDMAN 44512330-758-1599Accepting new patientsLanguage(s) Spoken:ENGLISHEVERETT, DWAINE ( Male)EVERETT HEALTHCENTER INC115 E OHIO AVESEBRING 44672330-938-0001Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 101: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 101

GALOUZIS,KONSTANTINOS ( Male)TOTAL HEALTH &WELLNESS CTR263 W MCKINKLEY WAYSTE 101POLAND 44514330-707-9129Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKGRANETO, JAMES ( Male)JAMES J GRANETO DCFACO16844 SAINT CLAIR AVEEAST LIVERPOOL 43920330-386-6500Accepting new patientsJAMES J GRANETO DCFACO1216 BELMONT AVEYOUNGSTOWN 44504330-744-5735Accepting new patientsJAMES J GRANETO DCFACO7291 W BLVDYOUNGSTOWN 44512330-758-5119Accepting new patientsLanguage(s) Spoken:ENGLISHHOSPODAR, ANDREW ( Male)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISH

ROGERS, RONALD ( Male)COLUMBIANACHIROPRACTIC CENTER14420 SOUTH AVECOLUMBIANA 44408330-482-3778Accepting new patientsLanguage(s) Spoken:ENGLISHSANSONE, JAMES ( Male)APPLEWOOD INJURYCARE CENTER INC6775 APPLEWOOD BLVDBOARDMAN 44512330-758-2353Accepting new patientsLanguage(s) Spoken:ENGLISHSCHMUTZ, ANDREW ( Male)PRIMA HEALTH CARE LLC9471 MARKET STSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHSCOTT, JOSEPH ( Male)JOSEPH J SCOTT DC LLC4822 MARKET STSTE 230BOARDMAN 44512330-332-4307Accepting new patientsLanguage(s) Spoken:ENGLISH

SZALAY, THOMAS ( Male)POLAND FAMILYCHIROPRACTIC8270 YOUNGSTOWNPITTSBURGHPOLAND 44514330-757-8077Accepting new patientsLanguage(s) Spoken:ENGLISH, FRENCH,ITALIANYANKUSH, THOMAS ( Male)DR THOMAS P YANKUSH725 BOARDMANCANFIELD RDA-1YOUNGSTOWN 44512330-726-6540Accepting new patientsLanguage(s) Spoken:ENGLISHCLINICAL NURSESPECIALIST (4)

CLARK, FRANCES ( Female)TRIAD HEALTH SERVICESLLC3304 STONES THROW AVEPOLAND 44514330-707-1115Accepting new patientsLanguage(s) Spoken:ENGLISHELLIOTT, LISA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERD2ND FLRPOLAND 44514330-965-3363Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 102: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 102 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MCCLAIN, JESSE ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3709Accepting new patientsLanguage(s) Spoken:ENGLISHPENKALA, MARY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC667 EASTLAND AVE SEWARREN 44484330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-2199Accepting new patientsLanguage(s) Spoken:ENGLISH

COLON AND RECTALSURGERY (1)

DUNCH, DAVID ( Male)DAVID J DUNCH MD INC250 DEBARTOLO PLSTE 1640YOUNGSTOWN 44512330-726-2602Accepting new patientsBoard Certified in: COLONAND RECTAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALCOMPLEX GENERALSURGICAL ONCOLOGY (1)

BOGEN, GREGG ( Male)GREGG L BOGEN MD1450 SOUTH CANFIELDNILES RDSTE DYOUNGSTOWN 44515330-792-9038Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL, STELIZABETH BOARDMANHOSPITAL

COUNSELING (13)

ALTOMARE, JANA ( Female)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsLanguage(s) Spoken:ENGLISHBAREFIELD, KRISTEN ( Female)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsLanguage(s) Spoken:ENGLISHBOHR, THERESA ( Female)ADVANCED COUNSELINGSOLUTIONS LLC5204 MAHONING AVESTE 105YOUNGSTOWN 44515330-797-0036Accepting new patientsLanguage(s) Spoken:ENGLISHDECORT, JAYNE ( Female)JAYNE DECORT LISW12680 SALEM WARRENRDSALEM 44460330-337-0088Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 103: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 103

FELLABAUM-PALUMBO,DIANE ( Female)MERIDIAN HEALTHCARE527 N MERIDIAN RDYOUNGSTOWN 44509330-797-0070Accepting new patientsMERIDIAN HEALTHCARE550 WEST CHALMERSAVEYOUNGSTOWN 44511330-797-0070Accepting new patientsLanguage(s) Spoken:ENGLISHJENNINGS, GARY ( Male)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsLanguage(s) Spoken:ENGLISHLANE, JENNIFER ( Female)MERIDIAN HEALTHCARE527 N MERIDIAN RDYOUNGSTOWN 44509330-797-0070Accepting new patientsMERIDIAN HEALTHCARE550 WEST CHALMERSAVEYOUNGSTOWN 44511330-797-0070Accepting new patientsLanguage(s) Spoken:ENGLISH

LIBBEY, PAULA ( Female)CANFIELD COUNSELINGCLINIC INC3974 BOARDMANCANFIELD RDCANFIELD 44406330-533-6767Accepting new patientsLanguage(s) Spoken:ENGLISHMARKULIN, LESLIE ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHMARSCH, BARBARA ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC104 JAVIT CTAUSTINTOWN 44515330-797-4050Accepting new patientsLanguage(s) Spoken:ENGLISHNELSON, ANNA ( Female)MERIDIAN HEALTHCARE527 N MERIDIAN RDYOUNGSTOWN 44509330-797-0070Accepting new patientsMERIDIAN HEALTHCARE550 WEST CHALMERSAVEYOUNGSTOWN 44511330-797-0070Accepting new patientsLanguage(s) Spoken:ENGLISH

PASCARELLA, NICOLLE ( Female)ADVANCED COUNSELINGSOLUTIONS LLC5204 MAHONING AVESTE 105YOUNGSTOWN 44515330-797-0036Accepting new patientsLanguage(s) Spoken:ENGLISHTAYLOR, CATINA ( Female)CARLA RENAE ARLIENPHD DBA APEXPSYCHOLOGICAL CARE &MEMORY CTR945 WINDHAM CTSTE 2BOARDMAN 44512330-953-1354Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 104: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 104 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CRITICAL CARE MEDICINE(5)

BAILEY, REBECCA ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALBAUTISTA, MANUEL ( Male)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

GOLDSTEIN, LAWRENCE ( Male)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALKARTAN, RITHA ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

VEYNOVICH, BRYAN( Male)PULMONARYREHABILITATION ASSOC925 TRAILWOOD DRYOUNGSTOWN 44512330-758-7575Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALDERMATOLOGY (4)

ARMILE, JAMES ( Male)JAMES ARMILE DO INC8262 SOUTH AVEBOARDMAN 44512330-726-8725Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 105: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 105

BERNAT, JOHN ( Male)ADVANCEDDERMATOLOGY SKINCANCER CTR1039 BOARDMANCANFIELD RDBOARDMAN 44512330-965-8760Accepting new patientsADVANCEDDERMATOLOGY SKINCANCER CTR987 BOARDMANCANFIELD RDBOARDMAN 44512330-965-8760Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHCORALLO, DAVID ( Male)DERMATOLOGY &DERMATOLOGICALSURGERY18586 W FIFTH STBELOIT 44609330-938-3333Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

SHANNON, PATRICK ( Male)ADVANCEDDERMATOLOGY SKINCANCER CTR1039 BOARDMANCANFIELD RDBOARDMAN 44512330-965-8760Accepting new patientsADVANCEDDERMATOLOGY SKINCANCER CTR987 BOARDMANCANFIELD RDBOARDMAN 44512330-965-8760Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHEAR, NOSE & THROAT/OTOLARYNGOLOGY (3)

BUNEVICH, JARED ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-1934Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

PASCOLINI, MICHAEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-1934Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALREED, DAVID ( Male)DAVID G REED MD INC7087 W BOULEVARDYOUNGSTOWN 44512330-758-0591Accepting existing patientsonlyBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

Page 106: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 106 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ENDOCRINOLOGY,DIABETES, &METABOLISM (2)

CORALLO, MARCO ( Male)MARCO CORALLO DO LLC18586 5TH STBELOIT 44609330-938-3333Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALSHAH, KRUTI ( Male)TRUMBULL MAHONINGMEDICAL GRP901 TRAILWOOD DRYOUNGSTOWN 44512330-726-3000Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

FAMILY MEDICINE (70)

AGNEW, SCOTT ( Male)TRUMBULL MAHONINGMEDICAL GRP901 TRAILWOOD DRYOUNGSTOWN 44512330-726-3000Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALALBANI, THOMAS JR( Male)TRIAD HEALTH SVCS LLC6715 TIPPECANOE RDBLDG ESTE 101CANFIELD 44406330-533-7300Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

AMBROSE, JOSEPH ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC61 TALSMAN DRCANFIELD 44406330-533-2218Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALBACHUS, ALICIA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 107: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 107

BARILLARE, SHANNON ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC3685 STUTZ DRSTE 101CANFIELD 44406330-729-9514Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALBARTELS, WILLIAM ( Male)WILLIAM T BARTELS MD459 LISBON STREETCANFIELD 44406330-533-9515Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERBLACK, MICHAEL ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE APOLAND 44514330-757-7211Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

BOBOVNYIK, DENISE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC3660 STUTZ DRSTE 102CANFIELD 44406330-702-1585Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALBONETTI, ANN MARIE ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERBUCCINO, PATSY( Female)PATSY BUCCINO DO INC624 YOUNGSTOWNPOLAND RDSTRUTHERS 44471330-755-1495Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

CATTERLIN, RICHARD ( Male)RICHARD L CATTERLIN DOINC1360 N CANFIELD NILESRDMINERAL RIDGE 44440330-652-6556Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITALCATTERLIN, GLORIA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1360 N CANFIELD NILESRDMINERAL RIDGE 44440330-652-6556Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL

Page 108: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 108 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

COHEN, JEFFREY ( Male)FIRESTONE HEALTH CAREINC28885 ST RTE 62DAMASCUS 44619330-537-4661Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITALCONTI, DOMINIC ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC80 MARWOOD CIRBOARDMAN 44512330-758-2346Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALCROWL, LORI ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

DEIST, DAMIEN ( Male)PRIMA HEALTH CARE LLC9471 MARKET STSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHDURAN, ARTHUR ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE CPOLAND 44514330-757-7888Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERECONOMUS,CHRISTOPHER ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC61 TALSMAN DRCANFIELD 44406330-533-2218Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

ESSAD, KRISTYN ( Female)FIRESTONE HEALTHCAREINC28885 ST RTE 62DAMASCUS 44619330-537-4661Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTEREVAN, MICHAEL ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE APOLAND 44514330-757-7211Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 109: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 109

EVAN-HYMES, KRISTEN ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC3660 STUTZ DRSTE 102CANFIELD 44406330-702-1585Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALFACEMYER, GREGORY ( Male)GREGORY J FACEMYERMD LLC DBA AUSTINSQUARE MEDICAL GROUP5121 MAHONING AVESTE 201YOUNGSTOWN 44515330-799-3223Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

FEDYNA, DINAH ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALFITZPATRICK, DANIEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44515330-729-3175Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMT,GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL

FRANGOPOULOS,MICHAEL ( Male)FOUNDATION HEALTHCARE INC821 MCCARTNEY RDYOUNGSTOWN 44505330-743-4440Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALGALLO, JOSEPH ( Male)MIDLOTHIAN MEDICALCENTER2010 E MIDLOTHIAN BLVDYOUNGSTOWN 44502330-788-8791Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALGODLEWSKI, EMILY ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 110: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 110 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HANDEL, JESSICA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHEINTZELMAN, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHENDRICKS, ROBERT ( Male)DR ROBERT HENDRICKS10251 MAIN STNEW MIDDLETOWN 44442330-542-2315Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISH

IERACI, ADRIAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC80 MARWOOD CIRBOARDMAN 44512330-758-2346Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALKOIRALA, SUMIRA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

KOPRUCKI, SHAWNA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC4694 BELMONT AVEYOUNGSTOWN 44505330-480-7655Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALKRAFFT, RUDOLPH ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 111: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 111

LATTANZIO, ANTHONY ( Male)YOUNGSTOWN OHIOPHYSICIAN SVCS CO LLC20 OHLTOWN RDSTE 2FYOUNGSTOWN 44515330-884-1583Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERLEMBERGER-SCHOR,HARRIET ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC4694 BELMONT AVEYOUNGSTOWN 44505330-480-7655Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

LESNOSKI, PAUL ( Male)TRUMBULL MAHONINGMEDICAL GRP901 TRAILWOOD DRYOUNGSTOWN 44512330-726-3000Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLOCKSHAW, DAVID ( Male)MANOR AVE CLINIC INC296 E MANOR AVESTRUTHERS 44471330-755-3233Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

LOCKSHAW, ANDREW III( Male)MANOR AVE CLINIC INC296 E MANOR AVESTRUTHERS 44471330-755-3233Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMACABOBBY, THOMAS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 112: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 112 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MALKOVITS, VINCENT ( Male)VINCENT J MALKOVITS DOLLC25 N CANFIELD NILES RDSTE 160AUSTINTOWN 44515330-792-2976Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MASHBURN, MEDFORD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC667 EASTLAND AVE SEWARREN 44484330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-2199Accepting new patientsBoard Certified in: FAMILYMEDICINE, HOSPICE ANDPALLIATIVE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MILLER, LAURA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMORCOS, ROY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 113: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 113

MORRISON, RUSSELL III( Male)MIDLOTHIAN MEDICALCENTER2010 E MIDLOTHIAN BLVDYOUNGSTOWN 44502330-788-8791Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERNAPLES, SANDY ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE CPOLAND 44514330-757-7888Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

OBRIEN, MICHAEL JR( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE APOLAND 44514330-757-7211Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALPARONISH, MICHAEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

PASSARELLO, WALTER ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE CPOLAND 44514330-757-7888Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALRICH, DAVID ( Male)DAVID RICH MD INC2959 CANFIELD RDSTE 8 & 9YOUNGSTOWN 44511330-797-0222Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALRICH, FRANK ( Male)DR FRANK A RICH920 TRAILWOOD DRYOUNGSTOWN 44512330-758-8331Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 114: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 114 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

RODRIGUEZ, ANGELINA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALROUSHER, JOSEPH ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

RUBINO, NINO ( Male)POLAND MEDICAL CTR6615 CLINGAN RDSTE CPOLAND 44514330-757-7888Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTERSCHINNER, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC905 SAHARA TRLPOLAND 44514330-259-9611Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALSCOTT, RONALD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

SHULTZ, MICHAEL ( Male)HEALTHRIDGE MEDICALCTR INC315 STRUTHERS LIBERTYRDCAMPBELL 44405330-750-1333Accepting new patientsBoard Certified in:GERIATRIC MEDICINE,FAMILY MEDICINE ANDOMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTERSIMMONS, RICHARD ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERSKINNER, HOMER ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER

Page 115: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 115

TOMASIC, KELLY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC3685 STUTZ DRSTE 101CANFIELD 44406330-729-9514Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALTRAIKOFF, THOMAS ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

TUROCY, FRANCIS ( Male)FOUNDATION HEALTHCARE INC755 BOARDMANCANFIELD RDSTE F 5BOARDMAN 44512330-726-3806Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALUCCHINO, MARC ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERVARGO, JOHN ( Male)DR JOHN VARGO INC5480 NORQUEST BLVDAUSTINTOWN 44515330-779-0529Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

VOLOVAR, CHAD ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALVRABLE, THOMAS ( Male)FIRESTONE HEALTHCAREINC28885 ST RTE 62DAMASCUS 44619330-537-4661Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 116: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 116 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WASKO, GERALD JR( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE DAUSTINTOWN 44515330-793-2701Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALWISE, RICHARD ( Male)RICHARD G WISE DO INC11 SYCAMORE DRNEW MIDDLETOWN 44442330-542-2881Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER

YEASTED, CHRISTIAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE DYOUNGSTOWN 44515330-792-5247Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALZEIGLER, ALYSIA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC53 STATE STSTRUTHERS 44471330-729-1950Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

FAMILY MEDICINE ANDOMT (1)

KRAKER, GARY ( Male)MERIDIAN HEALTHCARE527 N MERIDIAN RDYOUNGSTOWN 44509330-797-0070Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITALGASTROENTEROLOGY (2)

MARINA, RICHARD ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsPRIMA HEALTH CARE LLC918 TRAILWOOD DRSTE 1YOUNGSTOWN 44512330-726-7598Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 117: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 117

YOSSEF, SAYED ( Male)TRIAD HEALTH SERVICESLLC3304 STONES THROW AVEPOLAND 44514330-707-1115Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s): STELIZABETH BOARDMANHOSPITALGENERAL SURGERY (25)

AMBROSE, JOSEPH ( Male)COMPREHENSIVESURGICAL GRP OF NE OHLTD7645 MARKET STSTE 200BOARDMAN 44512330-707-0771Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

AWAD, MOUNIR ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC755 BOARDMANCANFIELD RDSTE A1BOARDMAN 44512330-726-8881Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALAWAD ALEXANDER,MARIE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC755 BOARDMANCANFIELD RDSTE A1BOARDMAN 44512330-726-8881Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

BITEMAN, BENJAMIN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC452 BROADWAY AVEYOUNGSTOWN 44504330-480-2866Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITALBOGEN, GREGG ( Male)GREGG L BOGEN MD1450 SOUTH CANFIELDNILES RDSTE DYOUNGSTOWN 44515330-792-9038Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL, STELIZABETH BOARDMANHOSPITAL

Page 118: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 118 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CHIRICHELLA , THOMASIII ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-1860Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC9471 MARKET STNORTH LIMA 44452330-482-0937Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-5910Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

DELATORE, JASON ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 410YOUNGSTOWN 44510330-747-1106Accepting new patientsBoard Certified in:VASCULAR SURGERY,GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALDEVITO, PETER ( Male)PETER M DEVITO MD7600 SOUTHERN BLVDSTE 2YOUNGSTOWN 44512330-758-3985Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

EL-HAYEK, SALIM ( Male)DR SALIM C EL-HAYEK MD515 N MERIDIAN RDYOUNGSTOWN 44509330-799-1861Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALEVAN, STEPHEN ( Male)COMPREHENSIVESURGICAL GRP OF NE OHLTD7645 MARKET STSTE 200BOARDMAN 44512330-707-0771Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 119: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 119

FIRDAUS, TAHIR ( Male)TAHIR FIRDAUS MD INC550 PARMALEE AVESTE 300YOUNGSTOWN 44510330-743-3404Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERGADY, JOSHUA ( Male)COMPREHENSIVESURGICAL GRP OF NE OHLTD7645 MARKET STSTE 200BOARDMAN 44512330-707-0771Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALGANTT, NANCY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-5910Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

GRUBER, BRIAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE AAUSTINTOWN 44515330-480-2371Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-480-2371Accepting new patientsBoard Certified in:GENERAL SURGERY,SURGICAL CRITICAL CARELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALLYRAS, LOUIS ( Male)LOUIS S LYRAS MD INC7645 MARKET STSTE 200YOUNGSTOWN 44512330-726-0156Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MARTIN, JOSEPH ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC452 BROADWAY AVEYOUNGSTOWN 44504330-480-2866Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMILOSEVIC, IGOR ( Male)COMPREHENSIVESURGICAL GRP OF NE OHLTD7645 MARKET STSTE 200BOARDMAN 44512330-707-0771Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, SERBIANHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 120: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 120 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MOUNT, MICHAEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE AAUSTINTOWN 44515330-480-2371Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:GENERAL SURGERY,SURGICAL CRITICAL CARELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALORR, DENNIS II ( Male)DENNIS P ORR II DO LLC7010 SOUTH AVESTE 6BOARDMAN 44512330-729-1266Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

RANSOM, KENNETH ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:GENERAL SURGERY,SURGICAL CRITICAL CARELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALRHODES, RONALD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-480-2371Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

THOMAS, DAVID ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-1860Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC9471 MARKET STNORTH LIMA 44452330-482-0937Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALVANEK, VINCENT ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 121: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 121

WOODRUFF, ROBERT JR( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC452 BROADWAY AVEYOUNGSTOWN 44504330-480-2866Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITALYURICH, JOSEPH ( Male)COMPREHENSIVESURGICAL GRP OF NE OHLTD7645 MARKET STSTE 200BOARDMAN 44512330-707-0771Accepting new patientsSURGICAL ASSOC OFYOUNGSTOWN LLC3292 STONES THROW AVEPOLAND 44514330-707-0771Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

GYNECOLOGICONCOLOGY (1)

WAGGONER, STEVEN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsBoard Certified in:GYNECOLOGICONCOLOGY, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALGYNECOLOGY (2)

EUCKER, JONATHAN ( Male)DRS CATHERINE EMOLLOY & MELINDA KSMITH INC800 E WESTERN RESERVERDPOLAND 44514330-726-4833Accepting new patientsBoard Certified in:GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

SMITH, MELINDA ( Female)DRS CATHERINE EMOLLOY & MELINDA KSMITH INC800 EAST WESTERNRESERVE RDPOLAND 44514330-726-4833Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALHEMATOLOGY (1)

KRISHNAN, ELEDATH ( Female)BLOOD & CANCER CTR3695A BOARDMANCANFIELD RDCANFIELD 44406330-533-3040Accepting new patientsBoard Certified in:INTERNAL MEDICINE,MEDICAL ONCOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 122: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 122 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HEMATOLOGY/ONCOLOGY (6)

AWAIDA, AMY ( Female)HOPE CTR FOR CANCERCARE835 SOUTHWESTERN RUNYOUNGSTOWN 44514330-318-1100Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALCHAHINE, ANTOINE ( Male)BLOOD & CANCER CTR3695A BOARDMANCANFIELD RDCANFIELD 44406330-533-3040Accepting new patientsST JOSEPH ONCOLOGYDEPT667 EASTLAND AVE SEWARREN 44484330-841-4177Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

EL AMIL, ZEINA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-8015Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST JOSEPHWARREN HOSPITALGARG, SUDERSHAN ( Male)BLOOD & CANCER CTR3695A BOARDMANCANFIELD RDCANFIELD 44406330-533-3040Accepting new patientsBoard Certified in:INTERNAL MEDICINE,HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

KHALID, SANAULLAH ( Male)HOPE CTR FOR CANCERCARE835 SOUTHWESTERN RUNYOUNGSTOWN 44514330-318-1100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITALKNIGHT, CHRIS ( Male)HOPE CTR FOR CANCERCARE835 SOUTHWESTERN RUNYOUNGSTOWN 44514330-318-1100Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 123: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 123

INFECTIOUS DISEASE (6)

CALDERON, JAVIER ( Male)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

CUTRONA, ANTHONY ( Male)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,SALEM REGIONALMEDICAL CENTER

LIMBU, INDRA ( Male)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,SALEM REGIONALMEDICAL CENTER

Page 124: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 124 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NGUYEN, HUONG ( Female)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

SHAH, MUNIR ( Male)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL, SALEMREGIONAL MEDICALCENTER

SUNGKAPALEE,THRISSAWAN ( Female)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 125: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 125

MATERNAL AND FETALMEDICINE (2)

KHAWLI, OSCAR ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 207BOARDMAN 44512330-729-7901Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST JOSEPHWARREN HOSPITALZARLINGO, THOMAS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 207BOARDMAN 44512330-729-7901Accepting new patientsBoard Certified in:MATERNAL AND FETALMEDICINE, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST JOSEPHWARREN HOSPITAL

NEPHROLOGY (16)

AMEDIA, CHESTER JR( Male)CENTER FOR VASCULARACCESS LLC8423 MARKET STSTE 210BOARDMAN 44512330-629-2855Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALBAINS, ANUP ( Male)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

DOE, NATHANIEL ( Male)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 126: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 126 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ENOCH, CHRISTOPHER ( Male)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHAROON, NIVIN ( Male)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

KHAN, USMAN ( Male)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC3622 BELMONT AVESTE 22YOUNGSTOWN 44505330-729-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,SALEM REGIONALMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL

MARTINUCCI, PATRICK ( Male)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 127: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 127

NEGRETE, HILMER ( Male)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC3622 BELMONT AVESTE 22YOUNGSTOWN 44505330-759-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER

PADGITT, KATHLEEN ( Female)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL

PANDYA, HASIT ( Male)CENTER FOR VASCULARACCESS LLC8423 MARKET STBOARDMAN 44512330-629-2855Accepting new patientsTHE KIDNEY GROUP INC970 WINDHAM CTSTE 6ABOARDMAN 44512330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

Page 128: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 128 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ROY, PRAKASH ( Female)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC3622 BELMONT AVESTE 22YOUNGSTOWN 44505330-759-0059Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISH, GUJURATI,HINDIHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL

SARAC, ERDAL ( Male)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC3622 BELMONT AVESTE 22YOUNGSTOWN 44505330-759-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:TURKISH, GERMAN,ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

SHAER, ANDREA ( Female)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER

Page 129: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 129

SOLIMAN, SHERIF ( Male)CENTER FOR VASCULARACCESS LLC8423 MARKET STSTE 210BOARDMAN 44512330-629-2855Accepting new patientsTHE KIDNEY GROUP INC970 WINDHAM CTSTE 6ABOARDMAN 44512330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL

TANGIRALA, BHARGAVI ( Female)NEPHROLOGY ASSOC INC807 SOUTHWESTERN RUNPOLAND 44514330-729-0059Accepting new patientsNEPHROLOGY ASSOC INC3622 BELMONT AVESTE 22YOUNGSTOWN 44505330-759-0059Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

VASSILAROS, LEONIDAS ( Male)THE KIDNEY GROUP INC3685 STUTZ DRCANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1700 E MARKET STSTE 118WARREN 44483330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL

Page 130: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 130 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NEUROLOGICALSURGERY (2)

BROCKER, BRIAN ( Male)BRIAN P BROCKER MDINC1616 COVINGTON STYOUNGSTOWN 44510330-747-9215Accepting new patientsBoard Certified in:NEUROLOGICALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTER,ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALUGOKWE, KENE ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 510YOUNGSTOWN 44510330-743-1928Accepting new patientsBoard Certified in:NEUROLOGICALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

NEUROLOGY (3)

BECKER, JOHN ( Male)JOHN R BECKER JR MDINC550 PARMALEE AVESTE 200YOUNGSTOWN 44510330-746-4001Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERBROCKER, ROBERT JR( Male)ROBERT J BROCKER JRMD INC1616 COVINGTON STYOUNGSTOWN 44510330-747-9215Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

TAMULONIS, DONALD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3069Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1340 BELMONT AVESTE 2200YOUNGSTOWN 44504330-746-7400Accepting new patientsBoard Certified in:NEUROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALNURSE PRACTITIONER(53)

BARNES, CHRISTY ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHBLACK, CYNTHIA ( Female)BABITHA NALLURI MD7067 TIFFANY BLVDSTE 220POLAND 44514330-758-2041Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 131: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 131

BRENNAN, JULIE ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsLanguage(s) Spoken:ENGLISHBURATTI, JONI ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1360 N CANFIELD NILESRDMINERAL RIDGE 44440330-652-6556Accepting new patientsLanguage(s) Spoken:ENGLISHCANDLE, CIARA ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHCICCHILLO, JENNIFER ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsLanguage(s) Spoken:ENGLISH

COATES, HEATHER ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHCONCANNON, PAMELA ( Female)PROGRESSIVE WOMENSCARE INC7600 SOUTHERN BLVDSTE 1BOARDMAN 44512330-629-8466Accepting new patientsPROGRESSIVE WOMENSCARE INC500 GYPSY LNYOUNGSTOWN 44504330-629-8466Accepting new patientsLanguage(s) Spoken:ENGLISHCORLL, LINDSAY ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHDEARDUFF, MICHELLE ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsLanguage(s) Spoken:ENGLISH

DEESER, BRENDA ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsLanguage(s) Spoken:ENGLISHDEMETRIOS, MARK ( Male)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM CTSTE 2BOARDMAN 44512330-726-9570Accepting new patientsLanguage(s) Spoken:ENGLISHDOOLEY, ALAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC667 EASTLAND AVE SEWARREN 44484330-480-2199Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-2199Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 132: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 132 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

FRISCHKORN, HEATHER ( Female)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-938-9920Accepting new patientsLanguage(s) Spoken:ENGLISHFROST, PATRICK ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHGALGAN, SHANNON ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3709Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1340 BELMONT AVESTE 2200YOUNGSTOWN 44504330-746-7400Accepting new patientsLanguage(s) Spoken:ENGLISH

GEDRA, SEVASTI ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsLanguage(s) Spoken:ENGLISHGRENICH, LORI ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHGUTSHALL, ERICA ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsLanguage(s) Spoken:ENGLISHHILDEBRAND, KIMBERLY ( Female)HOPE CTR FOR CANCERCARE835 SOUTHWESTERN RUNYOUNGSTOWN 44514330-318-1100Accepting new patientsLanguage(s) Spoken:ENGLISH

IANAZONE, GINA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-2182Accepting new patientsLanguage(s) Spoken:ENGLISHKEMPER, ALBERTA ( Female)HEALTHRIDGE MEDICALCTR INC315 STRUTHERS LIBERTYRDCAMPBELL 44405330-750-1333Accepting new patientsLanguage(s) Spoken:ENGLISHKOHUT, BARBARA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC667 EASTLAND AVE SEWARREN 44484330-841-4177Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 133: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 133

KORNBAU, KASSANDRA ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC104 JAVIT CTAUSTINTOWN 44515330-797-4050Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC4694 BELMONT AVEYOUNGSTOWN 44505330-480-7655Accepting new patientsLanguage(s) Spoken:ENGLISHKOTHEIMER, AMANDA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsLanguage(s) Spoken:ENGLISH

MANCINI, BRITTANY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsLanguage(s) Spoken:ENGLISHMAZANEC, HOLLY ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsLanguage(s) Spoken:ENGLISHMCDONNELL, JUANITA ( Female)CANFIELD COUNSELINGCLINIC INC3974 BOARDMANCANFIELD RDCANFIELD 44406330-533-6767Accepting new patientsLanguage(s) Spoken:ENGLISH

MCFARLAND, ANGELA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERD2ND FLRPOLAND 44514330-965-3363Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsLanguage(s) Spoken:ENGLISHMELLINGTON, TERESA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-8015Accepting new patientsLanguage(s) Spoken:ENGLISHMESSINA, HOLLY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE DAUSTINTOWN 44515330-793-2701Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 134: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 134 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MILLER, APRIL ( Female)NORTHEAST OHINFECTIOUS DISEASEASSOC INC1995 E STATE STSALEM 44460330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC1044 BELMONT AVEYOUNGSTOWN 44504330-744-4369Accepting new patientsNORTHEAST OHINFECTIOUS DISEASEASSOC INC540 PARMALEE AVESTE 610YOUNGSTOWN 44510330-744-4369Accepting new patientsLanguage(s) Spoken:ENGLISHMOORE, BRITTNEY ( Female)PLANNED PARENTHOODOF GREATER OHIO77 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-788-2487Accepting new patientsLanguage(s) Spoken:ENGLISHMYERS, AMY ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISH

NOEL, ASHLEIGH ( Female)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC104 JAVIT CTAUSTINTOWN 44515330-797-4050Accepting new patientsLanguage(s) Spoken:ENGLISHNOGGLE, JEREMIAH ( Male)HEALTHRIDGE MEDICALCTR INC315 STRUTHERS LIBERTYRDCAMPBELL 44405330-750-1333Accepting new patientsLanguage(s) Spoken:ENGLISHNOVAK, CYNTHIA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsLanguage(s) Spoken:ENGLISH

PANTELIS, DIANE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsLanguage(s) Spoken:ENGLISHPARISH, LISA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-2371Accepting new patientsLanguage(s) Spoken:ENGLISHPYKARE, JUSTIN ( Male)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 135: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 135

REED, DANIEL ( Male)THE KIDNEY GROUP INC3685 STUTZ DRSTE 101CANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsLanguage(s) Spoken:ENGLISHROCK, TRACY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsLanguage(s) Spoken:ENGLISHROMEO, BRIDGET ( Female)TRIAD HEALTH SERVICESLLC7629 MARKET STSTE 100YOUNGSTOWN 44512330-884-2444Accepting new patientsLanguage(s) Spoken:ENGLISHROTH, LARISSA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 510YOUNGSTOWN 44510330-743-1928Accepting new patientsLanguage(s) Spoken:ENGLISH

ROWLEY, LISA ( Female)THE KIDNEY GROUP INC3685 STUTZ DRSTE 101CANFIELD 44406330-746-1488Accepting new patientsTHE KIDNEY GROUP INC1340 BELMONT AVESTE 2300YOUNGSTOWN 44504330-746-1488Accepting new patientsLanguage(s) Spoken:ENGLISHSANTANGELO, ANTONIA ( Female)TRIAD HEALTH SVCS LLC7645 MARKET STSTE 210BOARDMAN 44512330-726-3724Accepting new patientsLanguage(s) Spoken:ENGLISHSHIELDS, CYNTHIA ( Female)ASSOC IN PULMONARYMEDICINE8423 MARKET STSTE 100YOUNGSTOWN 44512330-707-5864Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, KENNETH ( Male)PRIMA HEALTH CARE LLC9471 MARKET STSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISH

SPATAR, LESLIE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC715 E WESTERN RESERVERDPOLAND 44514330-726-3204Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1001 BELMONT AVEYOUNGSTOWN 44504330-747-6446Accepting new patientsLanguage(s) Spoken:ENGLISHSTROLLO, NICOLE ( Female)PATRICK J SKAROTE MDINC22 MCCLURG RDBOARDMAN 44512330-965-9400Accepting new patientsLanguage(s) Spoken:ENGLISHSVOBODA, ANDREA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1340 BELMONT AVESTE 2200YOUNGSTOWN 44504330-746-7400Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 136: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 136 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

THOMAS, NANCY ( Female)PRIMARY CARE ASSOC602 PARMALEE AVESTE 400YOUNGSTOWN 44510330-747-8611Accepting new patientsPRIMARY CARE ASSOC7067 TIFFANY BLVDSTE 250YOUNGSTOWN 44514330-726-4500Accepting new patientsLanguage(s) Spoken:ENGLISHWALDEN, AMBER ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHOBSTETRICS ANDGYNECOLOGY (23)

BAIRD, JENNIFER ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTER

BUCKLEY, JOHN SR( Male)JOHN J BUCKLEY MD INC935 TRAILWOOD DRSTE CYOUNGSTOWN 44512330-758-8146Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALCANBY, JONI ( Female)PROGRESSIVE WOMENSCARE INC7600 SOUTHERN BLVDSTE 1BOARDMAN 44512330-629-8466Accepting new patientsPROGRESSIVE WOMENSCARE INC500 GYPSY LNYOUNGSTOWN 44504330-629-8466Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGY, FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

ECONOMUS,CONSTANTINE ( Male)CONSTANTINE GECONOMUS MD LLC20 OHLTOWN RDAUSTINTOWN 44515330-884-2400Accepting new patientsCONSTANTINE GECONOMUS MD LLC7641 MARKET STSTE 3BOARDMAN 44512330-884-2400Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALEL-HAYEK, ANTOINE ( Male)ADVANCED WOMENSCARE1111 BOARDMANCANFIELD RDBOARDMAN 44512330-965-0909Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 137: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 137

GARRITANO, NICHOLAS ( Male)DR N M GARRITANO INC3660 STARR CENTRE DRSTE 2CANFIELD 44406330-702-1606Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHADI, ANTONIUS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-729-4350Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-746-7211Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

HAGGERTY, MICHAEL ( Male)MICHAEL P HAGGERTYMD LLC5533 MAHONING AVESTE DAUSTINTOWN 44515330-793-7966Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHILL, RODNEY ( Male)ASSOCIATES IN WOMENSHEALTH OF THEMAHONING VALLEY INC1350 FIFTH AVESTE 324YOUNGSTOWN 44504330-746-7007Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER, STELIZABETH BOARDMANHOSPITAL

KALIA, NISHA ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERKOULIANOS, ANTHONY ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsANTHONY P KOULIANOSMD INC935 TRAILWOOD DRSTE AYOUNGSTOWN 44512330-953-3204Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 138: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 138 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

LEONELLI, JAMES ( Male)JAMES E LEONELLI MD1040 SOUTH COMMONSPLSTE 100YOUNGSTOWN 44514330-726-2496Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALMCCLUSKY, ROBERT ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-746-7211Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MUSSER, LAURA ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERNALLURI, BABITHA ( Female)BABITHA NALLURI MD7067 TIFFANY BLVDSTE 220BOARDMAN 44514330-758-2041Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

NICHOLAS, SARA ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERPATEL, PRIYA ( Female)THE CENTER FOR WOMENINC4139 BOARDMANCANFIELD RDCANFIELD 44406330-702-1281Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTER

Page 139: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 139

QUIRK, WILLIAM III ( Male)WILLIAM M QUIRK MDFACOG OB/GYN LLC5533 MAHONING AVESTE DAUSTINTOWN 44515330-793-7966Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGY, FEMALEPELVIC MEDICINE &RECONSTRUCTIVESURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALSIPUSIC, ELIZABETH ( Female)PATRICK J SKAROTE MDINC22 MCCLURG RDBOARDMAN 44512330-965-9400Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

SKAROTE, PATRICK ( Male)PATRICK J SKAROTE MDINC22 MCCLURG RDBOARDMAN 44512330-965-9400Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALST JULIEN, JACQUES ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-746-7211Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

WAHIB, SAMIR ( Male)WOMENS OB GYN CARELLC1570 S CANFIELD NILESRDBLDG ASTE 101YOUNGSTOWN 44515330-779-3901Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALWINCHESTER, TARA ( Female)ADVANCED WOMENSCARE1111 BOARDMANCANFIELD RDBOARDMAN 44512330-965-0909Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 140: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 140 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

OCCUPATIONALMEDICINE (1)

DUNNE, JOHN ( Male)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHOCCUPATIONALTHERAPY (1)

NICHOLAS, CARLA ( Female)TUDOR PHYSICALTHERAPY CENTERS7620 SOUTHERN BLVDSTE 3BOARDMAN 44512330-965-9330Accepting new patientsLanguage(s) Spoken:ENGLISH

OPHTHALMOLOGY (19)

AEY, JOHN ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALCONEY, JOSEPH ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

CONTI, STEPHEN ( Male)VITREO RETINALCONSULTANTS45 MANOR HILL DRSTE 200CANFIELD 44406330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, MERCYMEDICAL CENTERDEWAN, SANJEEV ( Male)OHIO EYE ALLIANCE3645 STUTZ DRSTE BCANFIELD 44406330-533-1041Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken: HINDI,ENGLISH, FRENCHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

Page 141: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 141

ERZURUM, SERGUL ( Female)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALGARFINKLE, PAUL ( Male)OHIO EYE ALLIANCE3645 STUTZ DRSTE BCANFIELD 44406330-533-1041Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

KAUFMAN, STEPHEN ( Male)VITREO RETINALCONSULTANTS45 MANOR HILL DRSTE 200CANFIELD 44406330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERLEE, TAC ( Male)LEE EYE CTR8135 MARKET STYOUNGSTOWN 44512330-758-2790Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERLEHRER, RICHARD ( Male)OHIO EYE ALLIANCE3645 STUTZ DRSTE BCANFIELD 44406330-533-1041Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

LEWIS, SHAWN ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHMATTHEWS, MAUREEN ( Female)PAUL J MAHAR MD INC7087 W BLVDSTE 3YOUNGSTOWN 44512330-758-8183Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 142: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 142 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PACHYDAKI, SOPHIA ( Female)VITREO RETINALCONSULTANTS45 MANOR HILL DRSTE 200CANFIELD 44406330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):AULTMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALROHOLT, PHILIP ( Male)ROHOLT VISIONINSTITUTE25 MANOR HILL DRCANFIELD 44406330-702-8755Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALSEVACHKO, GERALD ( Male)LEE EYE CTR8135 MARKET STYOUNGSTOWN 44512330-758-0900Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

SMITH, SARAH ( Female)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALWANG, HAI SHIUH ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, KOREAN,CHINESE-CLASSICALHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

WENZ, ROBERT ( Male)VITREO RETINALCONSULTANTS45 MANOR HILL DRSTE 200CANFIELD 44406330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,NORTHSIDE MEDICALCENTERWILSON, KEITH ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 143: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 143

YAKUBOV, LYN ( Female)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALOPTOMETRY (16)

AHLQUIST, BETSY ( Female)AHLQUIST EYE CARE45 MANOR HILL DRSTE 100CANFIELD 44406330-702-3937Accepting new patientsLanguage(s) Spoken:ENGLISHAMBROSE, MICHAEL ( Male)AMBROSE FAMILY EYECENTER LLC61 TALSMAN DRCANFIELD 44406330-702-0503Accepting new patientsLanguage(s) Spoken:ENGLISH

BARRETT, GUY ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHBARTOLOVICH, WILLIAM ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHGAETANO, H ( Male)H ROBERT GAETANO ODINC3155 CANFIELD RDYOUNGSTOWN 44511330-792-4923Accepting new patientsLanguage(s) Spoken:ENGLISH

GERBERRY, ROBERT ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHGRISCHOW, THOMAS ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHHIRSCHL, JEFFREY ( Male)JEFFREY G HIRSCHL ODINC8277 MARKET STBOARDMAN 44512330-726-5544Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 144: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 144 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

JEFFRIES, BRUCE ( Male)JEFFRIES EYE CARE331 S 15TH STSEBRING 44672330-938-2647Accepting new patientsLanguage(s) Spoken:ENGLISHKUBIS, TIFFANY ( Female)AHLQUIST EYE CARE45 MANOR HILL DRSTE 100CANFIELD 44406330-702-3937Accepting new patientsLanguage(s) Spoken:ENGLISHLAWRENCE, NICHOLAS ( Male)ROHOLT VISIONINSTITUTE25 MANOR HILL DRCANFIELD 44406330-702-8755Accepting new patientsH ROBERT GAETANO ODINC3155 CANFIELD RDYOUNGSTOWN 44511330-792-4923Accepting new patientsLanguage(s) Spoken:ENGLISHMATHIE, BRIAN ( Male)ROHOLT VISIONINSTITUTE25 MANOR HILL DRCANFIELD 44406330-702-8755Accepting new patientsLanguage(s) Spoken:ENGLISH

SHULTZ, CHAD ( Male)EYE CARE ASSOC INC1075 W WESTERNRESERVE RDPOLAND 44514330-746-7691Accepting new patientsEYE CARE ASSOC INC10 DUTTON DRYOUNGSTOWN 44502330-746-7691Accepting new patientsLanguage(s) Spoken:ENGLISHWARD, MANDY ( Female)LEE EYE CTR8135 MARKET STYOUNGSTOWN 44512330-758-0900Accepting new patientsLanguage(s) Spoken:ENGLISHWOLOSCHAK, MICHAEL ( Male)MICHAEL J WOLOSCHAKOD INC2670 SOUTH RACCOONRDSTE 1YOUNGSTOWN 44515330-799-3937Accepting new patientsLanguage(s) Spoken:ENGLISHYOUNG, DAVID ( Male)OHIO EYE ALLIANCE3645 STUTZ DRSTE BCANFIELD 44406330-533-1041Accepting new patientsLanguage(s) Spoken:ENGLISH

ORAL/MAXILLOFACIALSURGERY (5)

BUSHEY, ANDREW ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3195Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,SALEM REGIONALMEDICAL CENTERHULY, PATRICK ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3195Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALROCCIA, WAYNE ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3195Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 145: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 145

WAGLEY, CRAIG ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3195Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALWIBLE, RUSSELL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3195Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

ORTHOPEDIC SURGERY(12)

BONIFACE, THOMAS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALBONIFACE, RAYMOND ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

BUTLER, ADRIAN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERY,HAND SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALDOMER, TIMOTHY ( Male)TRIAD HEALTH SVCS LLC6615 CLINGAN RDSTE APOLAND 44514330-729-9910Accepting new patientsTRIAD HEALTH SVCS LLC1335 BELMONT AVEYOUNGSTOWN 44504330-747-2700Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH

Page 146: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 146 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DUFFETT, RAYMOND ( Male)UNIVERSITYORTHOPAEDICS1335 BELMONT AVEYOUNGSTOWN 44504330-747-2700Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALGENTILE, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-729-2929Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

JOHNSTON, JEFFREY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC9471 MARKET STNORTH LIMA 44452330-482-0937Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALPANTELAKIS, JAMES ( Male)TRIAD HEALTH SVCS LLC6615 CLINGAN RDSTE APOLAND 44514330-729-9910Accepting new patientsTRIAD HEALTH SVCS LLC7641 MARKET STSTE 2YOUNGSTOWN 44512330-884-2444Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

SCHRICKEL, TYSON ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-729-2929Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALSONTICH, JOHN ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

Page 147: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 147

STANICH, MICHAEL ( Male)MICHAEL STANICH DO INC4147 WESTFORD DRCANFIELD 44406330-702-1489Accepting new patientsMICHAEL STANICH DO INC500 GYPSY LNYOUNGSTOWN 44504330-884-1000Accepting new patientsMICHAEL STANICH DO INC7067 TIFFANY BLVDSTE 150YOUNGSTOWN 44514330-726-9022Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

STEFANCIN, JOHN ( Male)TRIAD HEALTH SVCS LLC1335 BELMONT AVESTE 200YOUNGSTOWN 44504330-747-2700Accepting new patientsTRIAD HEALTH SVCS LLC1450 S CANFIELD NILESRDYOUNGSTOWN 44515330-747-2700Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTERPAIN MEDICINE (2)

ANDREWS, GEORGE ( Male)ST CYRIL PAIN CLINIC725 BOARDMANCANFIELD RDSTE J2BOARDMAN 44512330-856-2881Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER

DONATELLI, SHAWN ( Male)MAHONING ANESTHESIACONSULTANTS LLC7067 TIFFANY BLVDSTE 230YOUNGSTOWN 44514330-758-2748Accepting new patientsBoard Certified in:ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALPEDIATRICGASTROENTEROLOGY (1)

HADDAD, IBRAHIM ( Male)IBRAHIM J HADDAD MD8560 SOUTH AVESTE 3YOUNGSTOWN 44514330-729-9140Accepting new patientsBoard Certifiedin: PEDIATRICGASTROENTEROLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):AULTMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 148: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 148 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PHYSICAL MEDICINE &REHABILITATION (9)

BALINT, HEATHER ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3069Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALCERIMELE, JOSEPH ( Male)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

ENGLE, MICHAEL ( Male)PM&R NORTH INC822 E WESTERN RESERVERDPOLAND 44514330-758-8223Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALHELDMAN, IRENE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALMASTERNICK-BLACK,JANEEN ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

MCGRATH, SEAN ( Male)PM&R NORTH INC822 E WESTERN RESERVERDPOLAND 44514330-758-8223Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALPUET, TERRY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3069Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 149: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 149

WASSEF, CYBELE ( Female)CYBELE A WASSEF MD725 BOARDMANCANFIELD RDSTE A2BOARDMAN 44512330-629-2726Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:FRENCH, ARABIC,ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERYARAB, RONALD ( Male)PM&R NORTH INC822 E WESTERN RESERVERDPOLAND 44514330-758-8223Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

PHYSICAL THERAPY (17)

BARREDO, JOEY ( Male)TUDOR PHYSICALTHERAPY CENTERS1397 S CANFIELD NILESRDUNIT 1AUSTINTOWN 44515330-965-9330Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS7620 SOUTHERN BLVDSTE 3BOARDMAN 44512330-965-9330Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS30 S MAIN STPOLAND 44514330-757-9772Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS2959 CANFIELD RDSTE 7YOUNGSTOWN 44511330-965-9330Accepting new patientsLanguage(s) Spoken:ENGLISHCHAFFEE, MICHAEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISH

DENTON, DAVID ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISHDYE, LAURA ( Female)TUDOR PHYSICALTHERAPY CENTERS822 E WESTERN RESERVERDSTE 2YOUNGSTOWN 44514330-953-2088Accepting new patientsLanguage(s) Spoken:ENGLISHHECK, DAVID ( Male)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 150: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 150 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KOVACIC, KELLY ( Female)TUDOR PHYSICALTHERAPY CENTERS1397 S CANFIELD NILESRDUNIT 1AUSTINTOWN 44515330-270-5410Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS17 EAST RIVER STREETSTE ABOARDMAN 44444330-872-7242Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS7620 SOUTHERN BLVDSTE 3BOARDMAN 44512330-965-9330Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS30 S MAIN STPOLAND 44514330-757-9772Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS2959 CANFIELD RDSTE 7YOUNGSTOWN 44511330-799-6298Accepting new patientsTUDOR PHYSICALTHERAPY CENTERS822 E WESTERN RESERVERDSTE 2YOUNGSTOWN 44514330-953-2088Accepting new patientsLanguage(s) Spoken:ENGLISH

LECHNER, MICHELLE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISHLOVE, KATHERINE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISHNORTON-TOTH, LISA ( Female)HANDS ON PHYSICALTHERAPY LLC45 STATE STREETSTRUTHERS 44471330-755-6552Accepting new patientsLanguage(s) Spoken:ENGLISHPOLON, MICHELLE ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISH

PORTER, STEPHANIE ( Female)OHIO SPORTS & SPINEINSTITUTE LTD1265 BOARDMANCANFIELD RDBOARDMAN 44512330-758-9400Accepting new patientsLanguage(s) Spoken:ENGLISHRUCHTIE, KRISTEN ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISHSTEIN, DANIEL ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISHSTICKEL, LINSEY ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 151: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 151

TELLMAN, DAWN ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC835 MCKAY COURTSTE 100BOARDMAN 44512330-758-4399Accepting new patientsLanguage(s) Spoken:ENGLISHWESTON, BRUCE ( Male)TRI COUNTYREHABILITATIONS INC567 E MAIN STCANFIELD 44406330-533-1080Accepting new patientsLanguage(s) Spoken:ENGLISHYARAB, SUSAN ( Female)ALLPOINTS822 E WESTERN RESERVERDPOLAND 44514330-758-8223Accepting new patientsLanguage(s) Spoken:ENGLISHPLASTIC SURGERY (3)

BUCKLEY, JOHN JR( Male)DR JOHN J BUCKLEY JRMD935 TRAILWOODSTE CBOARDMAN 44512330-758-8146Accepting new patientsBoard Certified in: PLASTICSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

CASH, ADAM ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-3128Accepting new patientsBoard Certified in: PLASTICSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALGENERALOVICH, BROCK ( Male)TRIAD HEALTH SVCS LLC7645 MARKET STSTE 210BOARDMAN 44512330-726-3724Accepting new patientsBoard Certified in: PLASTICSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL

PODIATRY (33)

ABADCO, DARLEEN ( Female)AUSTINTOWN PODIATRYASSOC INC1300 S CANFIELD NILESRDAUSTINTOWN 44515330-792-6519Accepting new patientsAUSTINTOWN PODIATRYASSOC INC7010 SOUTH AVESTE 3BOARDMAN 44512330-729-1200Accepting new patientsONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 152: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 152 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ANANIA, MICHELLE ( Female)ANKLE & FOOT CARECTRS49 STATE STSTRUTHERS 44471330-757-4089Accepting new patientsANKLE & FOOT CARECTRS4696 MAHONING AVE NWWARREN 44483330-847-0072Accepting new patientsANKLE & FOOT CARECTRS1450 S CANFIELD NILESRDYOUNGSTOWN 44515330-270-2700Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-729-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

ARTERS, JOSEPH ( Male)AUSTINTOWN PODIATRYASSOC INC1300 S CANFIELD NILESRDAUSTINTOWN 44515330-792-6519Accepting new patientsAUSTINTOWN PODIATRYASSOC INC7010 SOUTH AVESTE 3BOARDMAN 44512330-729-1200Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITALASHDOWN, THOMAS ( Male)ADVANCED FOOT &ANKLE CENTERS INC1570 S CANFIELD NILESROADBLD B102AUSTINTOWN 44515330-270-0900Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL

BAER, DAVID ( Male)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERBARAK, JOSEPH ( Male)BARAK PODIATRY LLC6715 TIPPECANOE RDBLDG DSTE 100CANFIELD 44406330-286-0462Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERBARRETT, JOHN ( Male)ANKLE & FOOT CARECTRS1265 BOARDMANCANFIELD RDYOUNGSTOWN 44512330-758-8808Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 153: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 153

BEAUDIS, MICHAEL ( Male)ANKLE & FOOT CARECTRS9375 EAST MARKET STHOWLAND 44482330-394-4180Accepting new patientsANKLE & FOOT CARECTRS8511 MAIN STKINSMAN 44428866-903-4180Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERBLASKO, GREGORY ( Male)ANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL,SALEM REGIONALMEDICAL CENTER

CARBONELL, CHRISTIAN ( Male)ANKLE & FOOT CARECTRS17674 MAHONING AVELAKE MILTON 44429330-654-2251Accepting new patientsANKLE & FOOT CARECTRS500 GYPSY LNYOUNGSTOWN 44504330-747-4888Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALCERNICA REICHARD,MARY ( Female)ONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsLanguage(s) Spoken:ENGLISH

CHIARO, JOHN ( Male)ANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALCHUBA, VERN ( Male)ASSOCIATES FAMILYFOOT CARE1543 E MARKET STWARREN 44512330-746-7660Accepting new patientsASSOCIATES FAMILYFOOT CARE3000 BELMONT AVEYOUNGSTOWN 44505330-746-7660Accepting new patientsASSOCIATES FAMILYFOOT CARE819 MCCARTNEY RDYOUNGSTOWN 44505330-746-7660Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, NORTHSIDEMEDICAL CENTER

Page 154: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 154 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CIBELLA, VINCENT ( Male)GENE J PUSATERI DPMINC80 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-782-6113Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERDALVIN, MITCHELL ( Male)DR MITCHELL DALVIN1749 S RACCOON RDAUSTINTOWN 44515330-799-3383Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

DEBIEC, ROBERT ( Male)ANKLE & FOOT CARECTRS720 YOUNGSTOWN NILESRDNILES 44446330-652-0535Accepting new patientsANKLE & FOOT CARECTRS3262 CENTER RDPOLAND 44514330-707-1220Accepting new patientsANKLE & FOOT CARECTRS1265 BOARDMANCANFIELD RDYOUNGSTOWN 44512330-758-8808Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

DIDOMENICO, LAWRENCE( Male)ANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-729-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALDIORIO, WILLIAM ( Male)DR WILLIAM S DIORIO INC2894 CENTER RDPOLAND 44514330-757-9444Accepting new patientsLanguage(s) Spoken:ENGLISHEMCH, KENNETH ( Male)ANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 155: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 155

FLAUTO, JOHN ( Male)AUSTINTOWN PODIATRYASSOC INC1300 S CANFIELD NILESRDAUSTINTOWN 44515330-792-6519Accepting new patientsAUSTINTOWN PODIATRYASSOC INC7010 SOUTH AVESTE 3BOARDMAN 44512330-729-1200Accepting new patientsAUSTINTOWN PODIATRYASSOC INC3802 ELM RD NEWARREN 44483330-372-1500Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTERFRANCISCO, JOSEPH ( Male)PRIMA HEALTH CARE LLC9471 MARKET STSTE ANORTH LIMA 44452330-726-7100Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

GRONER, THOMAS ( Male)ANKLE & FOOT CARECTRS1450 S CANFIELD NILESRDYOUNGSTOWN 44515330-270-2700Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ALLIANCECOMMUNITY HOSPITALKARLOCK, LAWRENCE ( Male)AUSTINTOWN PODIATRYASSOC INC1300 S CANFIELD NILESRDAUSTINTOWN 44515330-792-6519Accepting new patientsAUSTINTOWN PODIATRYASSOC INC7010 SOUTH AVESTE 3BOARDMAN 44512330-729-1200Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

KARLOCK, CATHERINE ( Female)AUSTINTOWN PODIATRYASSOC INC1300 S CANFIELD NILESRDAUSTINTOWN 44515330-792-6519Accepting new patientsAUSTINTOWN PODIATRYASSOC INC7010 SOUTH AVESTE 3BOARDMAN 44512330-729-1200Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWN HOSPITALKARNAVAS, DIANA ( Female)ADVANCED FOOT &ANKLE CENTERS INC1570 S CANFIELD NILESROADBLD BAUSTINTOWN 44515330-270-0900Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL

Page 156: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 156 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

LUCKINO, FRANK ( Male)ANKLE & FOOT CARECTRS500 GYPSY LNYOUNGSTOWN 44504330-747-4888Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

PODOLSKY, EUGENE ( Male)ANKLE & FOOT CARECTRS720 YOUNGSTOWNWARREN RDNILES 44446330-652-0535Accepting new patientsANKLE & FOOT CARECTRS4696 MAHONING AVE NWWARREN 44483330-847-0072Accepting new patientsANKLE & FOOT CARECTRS1450 S CANFIELD NILESRDYOUNGSTOWN 44515330-270-2700Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

PROMMERSBERGER,JAMES ( Male)JAMES EPROMMERSBERGER DPM940 WINDHAM COURTSTE 3BOARDMAN 44512330-726-3348Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERPUSATERI, GENE ( Male)GENE J PUSATERI DPMINC80 E MIDLOTHIAN BLVDYOUNGSTOWN 44507330-782-6113Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 157: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 157

REYES, CARMELITA ( Female)ASSOCIATES FAMILYFOOT CARE2950 GREENVILLE RDCORTLAND 44410330-637-2273Accepting new patientsASSOCIATES FAMILYFOOT CARE1543 E MARKET STWARREN 44483330-393-3338Accepting new patientsASSOCIATES FAMILYFOOT CARE3000 BELMONT AVEYOUNGSTOWN 44505330-759-8690Accepting new patientsASSOCIATES FAMILYFOOT CARE819 MCCARTNEY RDYOUNGSTOWN 44505330-746-7660Accepting new patientsLanguage(s) Spoken:ENGLISH, TAGALOGHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST JOSEPHWARREN HOSPITALRUSZKOWSKI, LESLEE ( Female)DR RUSZKOWSKI, FOOTAND ANKLE18586 W FIFTH STBELOIT 44609330-704-7400Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH

SMESKO, MARK ( Male)ANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERWILLIAMS, KWAME ( Male)ANKLE & FOOT CARECTRS1265 BOARDMANCANFIELD RDYOUNGSTOWN 44512330-758-8808Accepting new patientsANKLE & FOOT CARECTRS500 GYPSY LNYOUNGSTOWN 44504330-747-4888Accepting new patientsANKLE & FOOT CARECTRS5170 BELMONT AVEYOUNGSTOWN 44505330-759-5180Accepting new patientsANKLE & FOOT CARECTRS8175 MARKET STYOUNGSTOWN 44512330-629-8800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

PSYCHIATRY (9)

ADITYANJEE, A ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsLanguage(s) Spoken:ENGLISHKASSAWAT, MUHANNAD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-729-2979Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISH, SPANISH,ARABIC

Page 158: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 158 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KAZA, KOTESWARA ( Male)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC104 JAVIT CTAUSTINTOWN 44515330-797-4050Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):SALEM REGIONALMEDICAL CENTERKING, STEVEN ( Male)CENTER FORBEHAVIORIAL HEALTH725 BOARDMANCANFIELD RDSTE DBOARDMAN 44574330-783-9690Accepting new patientsCENTER FORBEHAVIORIAL HEALTH1950 NILES CORTLANDRDSTE 3WARREN 44484330-783-9690Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

KOIRALA, RAJENDRA ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsONE HEALTH OHIO726 WICK AVEYOUNGSTOWN 44505330-747-9551Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALMANUDHANE, PRADEEP ( Male)COMPREHENSIVEBEHAVIORAL HEALTHASSOC INC104 JAVIT CTAUSTINTOWN 44515330-797-4050Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER

MATHUR, PRADEEP ( Male)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsBoard Certified in:PSYCHIATRY, CHILD& ADOLESCENTPSYCHIATRYLanguage(s) Spoken:ENGLISH, HINDISEMAN, CHRISTOPHER ( Male)PRIMA HEALTH CARE LLC7355 CALIFORNIA AVEBOARDMAN 44460330-726-7100Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHSPIRTOS, LEWIS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-729-2929Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 159: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 159

PSYCHOLOGY (10)

ARLIEN, CARLA ( Female)CARLA RENAE ARLIENPHD DBA APEXPSYCHOLOGICAL CARE &MEMORY CTR945 WINDHAM CTSTE 2BOARDMAN 44512330-953-1354Accepting new patientsLanguage(s) Spoken:ENGLISHBURGER, AMANDA ( Female)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1053 BELMONT AVEYOUNGSTOWN 44504330-480-3605Accepting new patientsLanguage(s) Spoken:ENGLISHCERIMELE, GERARD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3676Accepting new patientsLanguage(s) Spoken:ENGLISHESPERON, JAMES ( Male)JAMES P ESPERON PHD5721 SHIELDS RDCANFIELD 44406330-533-7671Accepting new patientsLanguage(s) Spoken:ENGLISH

JORDAN, CARY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 101BOARDMAN 44512330-729-8700Accepting new patientsLanguage(s) Spoken:ENGLISHNEUMAN, ALICE ( Female)CANFIELD COUNSELINGCLINIC INC3974 BOARDMANCANFIELD RDCANFIELD 44406330-533-6767Accepting new patientsLanguage(s) Spoken:ENGLISHPOMA, HEATHER ( Female)CARLA RENAE ARLIENPHD DBA APEXPSYCHOLOGICAL CARE &MEMORY CTR945 WINDHAM CTSTE 2BOARDMAN 44512330-953-1354Accepting new patientsLanguage(s) Spoken:ENGLISH

STERN, MICHAEL ( Male)COMPREHENSIVEPSYCHIATRY GRP INC955 WINDHAM COURTBOARDMAN 44512330-726-9570Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERTHORNE, CHARLES ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3679Accepting new patientsLanguage(s) Spoken:ENGLISHWALLER, MARY ( Female)TOTAL CAREPSYCHOLOGICAL &COUNSELING SVCS5500 MARKET STSTE 90YOUNGSTOWN 44512330-782-8785Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 160: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 160 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PULMONARY DISEASE (10)

BAILEY, REBECCA ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALBARREIRO, TIMOTHY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3258Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

BASIT, ABDUL ( Male)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-938-9920Accepting new patientsBoard Certified in:PULMONARY DISEASE,SLEEP MEDICINE,CRITICAL CARE MEDICINELanguage(s) Spoken: URDU,ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALBAUTISTA, MANUEL ( Male)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

BIGDELI, GHAZELAH( Female)PULMONARYREHABILITATION ASSOC925 TRAILWOOD DRYOUNGSTOWN 44512330-758-7575Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALCROPP, ALAN ( Male)PULMONARYREHABILITATION ASSOC925 TRAILWOOD DRYOUNGSTOWN 44512330-758-7575Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 161: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 161

GOLDSTEIN, LAWRENCE ( Male)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALKARTAN, RITHA ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

RUSSO, ASHLEE ( Female)PULMONARY MEDICINECONSULTANTS925 TRAILWOOD DRYOUNGSTOWN 44512330-758-7575Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALVEYNOVICH, BRYAN( Male)PULMONARYREHABILITATION ASSOC925 TRAILWOOD DRYOUNGSTOWN 44512330-758-7575Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

RADIATION ONCOLOGY (4)

AHMAD, MUNIR ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsBoard Certified in:RADIATION ONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 162: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 162 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

EL DABH, RASHAD ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsBoard Certified in:RADIOLOGYLanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

PETERSON, CARL III( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsBoard Certified in:RADIATION ONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST JOSEPHWARREN HOSPITAL,ST ELIZABETHYOUNGSTOWN HOSPITAL

SHAMSUDDIN, SHAJU ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8401 MARKET STBOARDMAN 44512330-629-7500Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3655Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsBoard Certified in:RADIATION ONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITALRHEUMATOLOGY (4)

GREIFENSTEIN, ELAINE ( Female)PRIMA HEALTH CARE LLC9471 MARKET STSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:RHEUMATOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH

Page 163: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 163

HASSAN, SAMINA ( Female)PRIMA HEALTH CARE LLC9471 MARKET STREETSTE ANORTH LIMA 44452330-726-7100Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHREGULE, DAVID ( Male)JOINT CARE ASSOC LTD8175 MARKET STBOARDMAN 44512330-758-8205Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3676Accepting new patientsBoard Certified in:RHEUMATOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

ROTHENBERG, RALPH ( Male)TRIAD HEALTH SERVICESLLC7641 MARKET STSTE 2YOUNGSTOWN 44512330-964-4950Accepting new patientsBoard Certified in:RHEUMATOLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERSLEEP MEDICINE (2)

BAILEY, REBECCA ( Female)EASTERN OHPULMONARYCONSULTANTS INC960 WINDHAM CTSTE 1BOARDMAN 44512330-726-3357Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

BASIT, ABDUL ( Male)PREMIER HEALTH ASSOCINC116 S 15TH STSEBRING 44672330-938-9920Accepting new patientsBoard Certified in:PULMONARY DISEASE,SLEEP MEDICINE,CRITICAL CARE MEDICINELanguage(s) Spoken: URDU,ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALSURGICAL CRITICALCARE (2)

DORION, HEATH ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-480-2371Accepting new patientsBoard Certified in:SURGICAL CRITICALCARE, GENERALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 164: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 164 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HUANG, GREGORY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC5533 MAHONING AVESTE AAUSTINTOWN 44515330-480-2371Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC8423 MARKET STSTE 205BOARDMAN 44512330-729-3128Accepting new patientsMERCY HEALTHPHYSICIANSYOUNGSTOWN LLC1044 BELMONT AVEYOUNGSTOWN 44504330-480-3990Accepting new patientsBoard Certified in:SURGICAL CRITICALCARE, GENERALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

THORACIC AND CARDIACSURGERY (4)

FIRDAUS, TAHIR ( Male)TAHIR FIRDAUS MD INC550 PARMALEE AVESTE 300YOUNGSTOWN 44510330-743-3404Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,NORTHSIDE MEDICALCENTERFULTON, JEFFREY ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 510YOUNGSTOWN 44510330-744-2118Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL

HENN, LUCAS ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 510YOUNGSTOWN 44510330-744-2118Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERY, GENERALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITALSCHMETTERER,LAWRENCE ( Male)LAWRENCE ISCHMETTERER MD20 OHLTOWN RDSTE 206YOUNGSTOWN 44515330-743-3604Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Page 165: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 165

UROLOGY (10)

MCELROY, JOHN ( Male)TRIAD HEALTH SVCS LLC3915 E MARKET STWARREN 44484330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC904 SAHARA TRLYOUNGSTOWN 44514330-758-9787Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

MEMO, MARK ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-744-2272Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALMEMO, RICHARD ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-744-2272Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,ST JOSEPH WARRENHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

MUSSELMAN, PAUL ( Male)TRIAD HEALTH SVCS LLC3915 E MARKET STWARREN 44484330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC904 SAHARA TRLYOUNGSTOWN 44514330-758-9787Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

Page 166: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 166 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NORD, RICHARD ( Male)TRIAD HEALTH SVCS LLC3915 E MARKET STWARREN 44484330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC904 SAHARA TRLYOUNGSTOWN 44514330-758-9787Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTER

RICCHIUTI, ROBERT ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-744-2272Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,ST JOSEPH WARRENHOSPITAL

RICCHIUTI, VINCENT ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-744-2272Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

Page 167: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MAHONING County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 167

RICCHIUTI, DANIEL ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-744-2272Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):ST JOSEPH WARRENHOSPITAL, ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL,NORTHSIDE MEDICALCENTER

STILLE, JAMES ( Male)TRIAD HEALTH SVCS LLC3915 E MARKET STWARREN 44484330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC6262 MAHONING AVESTE BYOUNGSTOWN 44515330-758-9787Accepting new patientsTRIAD HEALTH SVCS LLC904 SAHARA TRLYOUNGSTOWN 44514330-758-9787Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):NORTHSIDE MEDICALCENTERSTYN, NICHOLAS ( Male)NEO UROLOGY ASSOCINC6262 MAHONING AVESTE CAUSTINTOWN 44515330-779-6815Accepting new patientsNEO UROLOGY ASSOCINC7430 SOUTHERN BLVDBOARDMAN 44512330-729-9214Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITAL

VASCULAR SURGERY (4)

DELATORE, JASON ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 410YOUNGSTOWN 44510330-747-1106Accepting new patientsBoard Certified in:VASCULAR SURGERY,GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, ST ELIZABETHYOUNGSTOWN HOSPITALKAKKASSERIL,PRATHEEK ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 410YOUNGSTOWN 44510330-747-1106Accepting new patientsBoard Certified in:VASCULAR SURGERY,GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITAL

Page 168: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 168 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KOLLIPARA, VENKATA ( Male)MERCY HEALTHPHYSICIANSYOUNGSTOWN LLC540 PARMALEE AVESTE 410YOUNGSTOWN 44510330-747-1106Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWNHOSPITAL, ST ELIZABETHBOARDMAN HOSPITALSCHMETTERER,LAWRENCE ( Male)LAWRENCE ISCHMETTERER MD20 OHLTOWN RDSTE 206YOUNGSTOWN 44515330-743-3604Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ST ELIZABETHYOUNGSTOWN HOSPITAL,SALEM REGIONALMEDICAL CENTER,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITAL

Internal Medicine (2)

FINDLAY, ALYCIA ( Female)LODI COMMUNITY CARECTR225 ELYRIA STLODI 44254330-948-9939Accepting new patientsLanguage(s) Spoken:ENGLISHHUMMEL, KAREN ( Female)MEDINA PHYSICIANPRACTICES4001 CARRICK DRSTE 150MEDINA 44256330-721-8500Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISH

ALLERGY & IMMUNOLOGY(1)

SANYURAH, SAAD ( Male)ALLERGY & ASTHMATREATMENT CTR3637 MEDINA RDSTE 225MEDINA 44256330-723-2923Accepting new patientsALLERGY & ASTHMATREATMENT CTR185 WADSWORTH RDSTE HWADSWORTH 44281330-334-6212Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISH, ARABIC,FRENCHAUDIOLOGY (2)

LOS, DONNA ( Female)MARK S BRIGHAM DO INC195 WADSWORTH RDSTE 401WADSWORTH 44281330-336-8717Accepting new patientsLanguage(s) Spoken:ENGLISHWAGAR, TIFFANY ( Female)MARK S BRIGHAM DO INC195 WADSWORTH RDSTE 401WADSWORTH 44281330-336-8717Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 169: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 169

CARDIOLOGY (5)

HAQUE, IHSAN ( Male)CITY CARDIOLOGY ASSOC185 WADSWORTH RDSTE 3JWADSWORTH 44281330-753-6699Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERHEGDE, VINAYAK ( Male)AKRON GENERALCARDIOLOGY225 ELYRIA STLODI 44254330-344-7400Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, MARATHIHospital Affiliation(s):AKRON GENERALMEDICAL CENTERJAIN, THAN ( Male)SOUTHWEST GENERALMEDICAL GRP INC970 E WASHINGTON STSTE 2EMEDINA 44256330-722-8707Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH

RAMANAVARAPU,SAMPATH ( Male)SOUTHWEST GENERALMEDICAL GRP INC970 E WASHINGTON STSTE 2EMEDINA 44256330-722-8707Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHSALEEM, TARIQ ( Male)CITY CARDIOLOGY ASSOC185 WADSWORTH RDSTE 3JWADSWORTH 44281330-753-6699Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERCHIROPRACTIC (1)

ROSSI, BRUNO ( Male)MEDINA CENTERPOINTECHIROPRACTIC4085 N JEFFERSON STMEDINA 44256330-723-2225Accepting new patientsLanguage(s) Spoken:ENGLISH

CLINICAL NURSESPECIALIST (1)

BARTOSIK, PATRICIA ( Female)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISHCOUNSELING (8)

ACURIO, PATRICK ( Male)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISHDOUGAN, VIRGINIA ( Female)PSYCHOLOGYCONSULTANTS INC3591 RESERVE COMMONSDRSTE 301MEDINA 44256330-764-7916Accepting new patientsLanguage(s) Spoken:ENGLISHHARTIS, MICHELLE ( Female)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 170: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 170 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KAUFMAN, MEGAN ( Female)AVENUES OFCOUNSELING &MEDIATION LLC230 S COURT STMEDINA 44256330-723-7977Accepting new patientsLanguage(s) Spoken:ENGLISHKOST, SAMANTHA ( Female)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISHMISTIC, NETTIE ( Female)AVENUES OFCOUNSELING &MEDIATION LLC230 S COURT STMEDINA 44256330-723-7977Accepting new patientsLanguage(s) Spoken:ENGLISHNALL, TERENCE ( Male)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISH

STEINER, ERIC ( Male)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISHDERMATOLOGY (3)

KILLIAN, PATRICK ( Male)HMT DERMATOLOGYASSOC INC5779 WOOSTER PIKEMEDINA 44256330-721-9990Accepting new patientsHMT DERMATOLOGYASSOC INC5783 WOOSTER PIKEMEDINA 44256330-725-0569Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHPOPOVSKY, JENNIFER ( Female)DERMATOLOGICSURGERY CTR OF NEOHIO INC1133 MEDINA RDSTE 100MEDINA 44256330-239-4350Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

TOROK, HELEN ( Female)HMT DERMATOLOGYASSOC INC5779 WOOSTER PIKEMEDINA 44256330-721-9990Accepting new patientsHMT DERMATOLOGYASSOC INC5783 WOOSTER PIKEMEDINA 44256330-725-0569Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHEAR, NOSE & THROAT/OTOLARYNGOLOGY (1)

BRIGHAM, MARK ( Male)MARK S BRIGHAM DO INC195 WADSWORTH RDSTE 401WADSWORTH 44281330-336-8717Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGY,PLASTIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN ORRVILLEHOSPITAL

Page 171: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 171

FAMILY MEDICINE (4)

GODLEWSKI, EMILY ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALREEVES, JULIE ( Female)JULIE REEVES MD INC3637 MEDINA RDSTE 220MEDINA 44256330-764-7378Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHSHEETS, KIMBERLY ( Female)LODI COMMUNITY CARECTR225 ELYRIA STLODI 44254330-948-5533Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER, LODICOMMUNITY HOSPITAL

STUART, ANN MARIE ( Female)MEDINA PHYSICIANPRACTICES4001 CARRICK DRSTE 150MEDINA 44256330-721-8500Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHGASTROENTEROLOGY (2)

DEL RIO, RICHARD ( Male)DIGESTIVE DISEASECONSULTANTS OFMEDINA INC1299 INDUSTRIAL PKWYNORTHSTE 110BRUNSWICK 44212330-225-6468Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISHMERHEB, MAYA ( Female)DIGESTIVE DISEASECONSULTANTS OFMEDINA INC1299 INDUSTRIAL PKWY NSTE 110BRUNSWICK 44212330-225-6468Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH

GENERAL SURGERY (5)

DAWSON, KRISTEN ( Female)THE CLEVELAND CLINICFOUNDATION3574 CENTER RDBRUNSWICK 44212330-225-8886Accepting new patientsTHE CLEVELAND CLINICFOUNDATION1000 E WASHINGTON STMEDINA 44256330-725-1000Accepting new patientsTHE CLEVELAND CLINICFOUNDATION970 E WASHINGTON STSTE 6CMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH

Page 172: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 172 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MILJKOVIC-GOODRICH,SUSAN ( Female)THE CLEVELAND CLINICFOUNDATION3574 CENTER RDBRUNSWICK 44212330-225-8886Accepting new patientsTHE CLEVELAND CLINICFOUNDATION1000 E WASHINGTON STMEDINA 44256330-725-1000Accepting new patientsTHE CLEVELAND CLINICFOUNDATION970 E WASHINGTON STSTE 6CMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, SERBO-CROATIANPAPOURAS, WILLIAM ( Male)WILLIAM C PAPOURAS MD225 ELYRIA STLODI 44254330-344-7200Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

ROSE, WARREN ( Male)THE CLEVELAND CLINICFOUNDATION3574 CENTER RDBRUNSWICK 44212330-225-8886Accepting new patientsTHE CLEVELAND CLINICFOUNDATION970 E WASHINGTON STSTE 6CMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, FRENCHWANEK, STEVEN ( Male)THE CLEVELAND CLINICFOUNDATION3574 CENTER RDBRUNSWICK 44212330-225-8886Accepting new patientsTHE CLEVELAND CLINICFOUNDATION1000 E WASHINGTON STMEDINA 44256330-725-1000Accepting new patientsTHE CLEVELAND CLINICFOUNDATION970 E WASHINGTON STSTE 6CMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH

INFECTIOUS DISEASE (2)

DUGGAL, ANURAG ( Male)STEPHEN J FRANCISMD INC DBA PINNACLEINFECTIOUS DISEASE970 E WASHINGTON STSTE 204MEDINA 44256330-253-9727Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITALSAHNI, RAJIV ( Male)STEPHEN J FRANCISMD INC DBA PINNACLEINFECTIOUS DISEASE970 E WASHINGTON STSTE 204MEDINA 44256330-253-9727Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, AKRONGENERAL MEDICALCENTER

Page 173: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 173

NURSE PRACTITIONER(15)

BEESON, STEPHANIE ( Female)UNITY HEALTH NETWORK3780 MEDINA RDSTE 230MEDINA 44256330-253-1411Accepting new patientsLanguage(s) Spoken:ENGLISHBERNHART, MELISSA ( Female)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsLanguage(s) Spoken:ENGLISHDADE, SUZANNE ( Female)HMT DERMATOLOGYASSOC INC5779 WOOSTER PIKEMEDINA 44256330-721-9990Accepting new patientsHMT DERMATOLOGYASSOC INC5783 WOOSTER PIKEMEDINA 44256330-725-0569Accepting new patientsLanguage(s) Spoken:ENGLISH

DEARDUFF, MICHELLE ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsLanguage(s) Spoken:ENGLISHDEESER, BRENDA ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsLanguage(s) Spoken:ENGLISHDENNIS, GINA ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsLanguage(s) Spoken:ENGLISHKLONARIS, NICOLE ( Female)LODI COMMUNITY CARECTR225 ELYRIA STLODI 44254330-948-5533Accepting new patientsLanguage(s) Spoken:ENGLISH

LANG, HOLLY ( Female)CRYSTAL CLINICORTHOPAEDIC CTR LLC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsLanguage(s) Spoken:ENGLISHMAZANEC, HOLLY ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsLanguage(s) Spoken:ENGLISHNAGEL, CHARLENE ( Female)LODI COMMUNITY CARECTR225 ELYRIA STLODI 44254330-948-5533Accepting new patientsLanguage(s) Spoken:ENGLISHRACKOW, CONNIE ( Female)PLANNED PARENTHOODOF GREATER OHIO4018C MEDINA RDMEDINA 44256330-723-1300Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 174: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 174 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

TRILL, KRISTIN ( Female)LODI COMMUNITY CARECTR225 ELYRIA STLODI 44254330-948-9939Accepting new patientsLanguage(s) Spoken:ENGLISHWATTLEY, KAITLYN ( Female)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsCRYSTAL CLINIC INC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsLanguage(s) Spoken:ENGLISHWAY, MELISSA ( Female)CRYSTAL CLINIC INC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsLanguage(s) Spoken:ENGLISHWRIGHT, SUSAN ( Female)MEDINA OB/GYNPHYSICIANS INC.3985 MEDINA RDSTE 200MEDINA 44256330-952-2251Accepting existing patientsonlyLanguage(s) Spoken:ENGLISH

OBSTETRICS ANDGYNECOLOGY (4)

BELLANTE, ANITA ( Female)MEDINA OB/GYNPHYSICIANS INC.3985 MEDINA RDSTE 200MEDINA 44256330-952-2251Accepting existing patientsonlyBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHFOOTE, MEGHAN ( Female)MEDINA OB/GYNPHYSICIANS INC.3985 MEDINA RDSTE 200MEDINA 44256330-952-2251Accepting existing patientsonlyBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH

GAICH, STEVEN ( Male)MEDINA OB/GYNPHYSICIANS INC.3985 MEDINA RDSTE 200MEDINA 44256330-952-2251Accepting existing patientsonlyBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERPAP, STEVEN ( Male)AKRON GENERALOBSTETRICS &GYNECOLOGY225 ELYRIA STLODI 44254330-344-8565Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTEROCCUPATIONALTHERAPY (1)

VOJTKO, STEVE ( Male)HOPS THERAPY SVCS305 CENTER STSEVILLE 44273330-769-4677Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 175: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 175

OPHTHALMOLOGY (4)

BODNAR, MYRON ( Male)MEDINA EYE ASSOC INC970 E WASHINGTONSTREETSTE 201MEDINA 44256330-725-7748Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, UKRAINIANCHI, THOMAS ( Male)OHIO EYE CARECONSULTANTS LLC221 ELYRIA STSTE 104LODI 44254330-722-8300Accepting new patientsOHIO EYE CARECONSULTANTS LLC3583 RESERVE COMMONSDRMEDINA 44256330-722-8300Accepting new patientsOHIO EYE CARECONSULTANTS LLC1 PARK CENTRE DRSTE 106WADSWORTH 44281330-722-8300Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH

HULL, THOMAS ( Male)THE RETINA GROUP OFNE OH INC3591 RESERVE COMMONSDRSTE 101MEDINA 44256330-721-2727Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERTSAI, THOMAS ( Male)THE RETINA GROUP OFNE OH INC3591 RESERVE COMMONSDRSTE 101MEDINA 44256330-721-2727Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

ORTHOPEDIC SURGERY(10)

CHONKO, DOUGLAS ( Male)UNITY HEALTH NETWORKLLC DBA NORTHSTARORTHOPEDICS195 WADSWORTH RDWADSWORTH 44281330-929-2694Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALDIULUS, CARRIE ( Female)CRYSTAL CLINICORTHOPAEDIC CTR LLC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER

Page 176: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 176 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

FISHER, DONALD ( Male)CRYSTAL CLINIC INC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTERFLEISSNER, PAUL JR( Male)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERKASE, JONATHAN ( Male)CRYSTAL CLINIC INC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,WESTERN RESERVEHOSPITAL

KAY, DAVID ( Male)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,CRYSTAL CLINICORTHOPAEDIC CENTERKLEINMAN, ROBERT ( Male)CRYSTAL CLINIC INC323 HIGH STSTE CWADSWORTH 44281330-335-1586Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTERMUSGRAVE, MARK ( Male)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,WESTERN RESERVEHOSPITAL

ROSE, RICHARD ( Male)RICHARD F ROSE MD970 E WASHINGTON STSTE 102MEDINA 44256330-722-1610Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHTALIWAL, RAJIV ( Male)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,CRYSTAL CLINICORTHOPAEDIC CENTERPAIN MEDICINE (1)

KARETI, MOHAN ( Male)MOHAN KARETI INC805 EAST WASHINGTONSTSTE 120MEDINA 44256330-721-4477Accepting new patientsBoard Certified in: PAINMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): LODICOMMUNITY HOSPITAL

Page 177: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 177

PHYSICAL THERAPY (10)

CHMURA, VICTORIA ( Female)MILLENNIUMREHABILITATION2546 CENTER RDHINCKLEY 44233330-558-0100Accepting new patientsLanguage(s) Spoken:ENGLISHFRAME, ALAN ( Male)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC3780 MEDINA RDSTE 300MEDINA 44256330-952-1882Accepting new patientsFERRELL WHITEDPHYSICAL THERAPY SVCSLLC700 E WASHINGTON STMEDINA 44256330-722-3781Accepting new patientsLanguage(s) Spoken:ENGLISHGRAF, JASON ( Male)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC3780 MEDINA RDSTE 300MEDINA 44256330-952-1882Accepting new patientsFERRELL WHITEDPHYSICAL THERAPY SVCSLLC700 E WASHINGTON STMEDINA 44256330-722-3781Accepting new patientsLanguage(s) Spoken:ENGLISH

GRAF, MEGHAN ( Female)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC3780 MEDINA RDSTE 300MEDINA 44256330-952-1882Accepting new patientsFERRELL WHITEDPHYSICAL THERAPY SVCSLLC700 E WASHINGTON STMEDINA 44256330-722-3781Accepting new patientsLanguage(s) Spoken:ENGLISHMILLIGAN, KYLE ( Male)CENTERPOINTECHIROPRACTIC ANDPHYSICAL THERAPY4085 N JEFFERSON STMEDINA 44256330-723-2225Accepting new patientsLanguage(s) Spoken:ENGLISHRIDGE, DANA ( Female)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC700 E WASHINGTON STMEDINA 44256330-722-3781Accepting new patientsLanguage(s) Spoken:ENGLISH

STRAZAR, PATRICIA ( Female)MILLENNIUMREHABILITATION2546 CENTER RDHINCKLEY 44233330-558-0100Accepting new patientsLanguage(s) Spoken:ENGLISHTRNKA, MATTHEW ( Male)IN MOTION PHYSICALTHERAPY & WELLNESSLLC241 GREAT OAKS TRLWADSWORTH 44281330-336-8700Accepting new patientsLanguage(s) Spoken:ENGLISHVOJTKO, LORETTA ( Female)HOPS THERAPY SVCS305 CENTER STSEVILLE 44273330-769-4677Accepting new patientsLanguage(s) Spoken:ENGLISHYEO, KATE ( Female)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC3780 MEDINA RDSTE 300MEDINA 44256330-952-1882Accepting new patientsFERRELL WHITEDPHYSICAL THERAPY SVCSLLC700 E WASHINGTON STMEDINA 44256330-722-3781Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 178: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 178 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PLASTIC SURGERY (2)

CERVINO, A LAWRENCE ( Male)CRYSTAL CLINIC INC4975 FOOTE RDSTE 100MEDINA 44256330-721-8232Accepting new patientsBoard Certified in: PLASTICSURGERY, GENERALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,CRYSTAL CLINICORTHOPAEDIC CENTERPAPAS, NICHOLAS ( Male)RENAISSANCE PLASTICSURGEONS LTD3780 MEDINA RDSTE 110MEDINA 44256330-334-7800Accepting new patientsBoard Certified in: PLASTICSURGERYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):AKRON GENERALMEDICAL CENTERPODIATRY (2)

BOYER, MICHAEL ( Male)MICHAEL J BOYER DPM119 BROAD STWADSWORTH 44281330-334-1534Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): LODICOMMUNITY HOSPITAL

LIMPEROS, RICHARD ( Male)PRESTIGE FOOT & ANKLECENTER LLC784 MEDINA RDSTE 107MEDINA 44256330-591-9635Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERPSYCHIATRY (4)

ALCORN, ROBERT ( Male)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHBRAR, RAVINDER ( Female)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsLanguage(s) Spoken:ENGLISH

MAHAJAN, NITIKA ( Female)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHSPARHAWK, G ROGER JR( Male)ALTERNATIVE PATHS INC246 NORTHLAND DRSTE 200AMEDINA 44256330-725-9195Accepting new patientsBoard Certified in:PSYCHIATRYLanguage(s) Spoken:ENGLISHPSYCHOLOGY (4)

DAVIS, STEVEN ( Male)PSYCHOLOGYCONSULTANTS INC3591 RESERVE COMMONSDRSTE 301MEDINA 44256330-764-7916Accepting new patientsLanguage(s) Spoken:ENGLISHHOLMES, ELIZABETH ( Female)AVENUES OFCOUNSELING &MEDIATION LLC230 S COURT STMEDINA 44256330-723-7977Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 179: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | MEDINA County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 179

MONKOWSKI, PAUL ( Male)AVENUES OFCOUNSELING &MEDIATION LLC230 S COURT STMEDINA 44256330-723-7977Accepting new patientsLanguage(s) Spoken:ENGLISHSCOZZARO, PHILIP ( Male)PSYCHOLOGYCONSULTANTS INC3591 RESERVE COMMONSDRSTE 301MEDINA 44256330-764-7916Accepting new patientsLanguage(s) Spoken:ENGLISHUROLOGY (8)

BENTLEY, DENNIS ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

BOLOGNA, RAYMOND( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsPHYSICIANS UROLOGY195 WADSWORTH RDWADSWORTH 44281330-375-4848Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERBREAUX, TODD ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

CANTERBURY, BRIAN ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERDANESIS, GREGORY ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITAL

Page 180: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 180 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GANGEL, MICHAEL JR( Male)PHYSICIANS UROLOGY225 ELYRIA STSTE 103LODI 44254330-864-8008Accepting new patientsPHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITALGREEN, DOUGLAS ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITALWEGRYN, JOHN JR ( Male)PHYSICIANS UROLOGY970 E WASHINGTON STS 6TH FLMEDINA 44256330-721-5700Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISH

Internal Medicine (20)

ANDREWS, ANNETTE ( Female)TOTAL LIFETIME CAREMEDICAL AFFILIATES1 MEMORY LNSTE 200GARRETTSVILLE 44231330-527-4852Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERANWAR, KASHIF ( Male)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

BANOZIC, RICHARD ( Male)PORTAGE INTERNALMEDICINE6847 NORTH CHESTNUTSTSTE 310RAVENNA 44266330-296-2819Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERCERRONI, KELLEY ( Female)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

Page 181: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 181

CLAPPER, JENNIFER ( Female)RAVENNA PRIMARY CARE6847 NORTH CHESTNUTSTSTE 200RAVENNA 44266330-296-9606Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERDEAN, STEVEN ( Male)PORTAGE INTERNALMEDICINE6847 NORTH CHESTNUTSTSTE 310RAVENNA 44266330-296-2819Accepting new patientsPORTAGE INTERNALMEDICINE9318 ST RTE 143RD FLRSTREETSBORO 44241330-422-0916Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

DEMYAN, NATALIE ( Female)TWINSBURG FAMILYMEDICINE700 WALDEN PLAURORA 44202330-562-3169Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERFANTELLI, DAVID ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALJANINEH, JOULIANA ( Female)PORTAGE INTERNALMEDICINE9318 ST RTE 143RD FLRSTREETSBORO 44241330-422-0916Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ARABIC, ENGLISH

JASTRZEMSKI, EDWARD ( Male)PORTAGE FAMILYMEDICINE408 DEVON PLSTE BKENT 44240330-678-2500Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERKWON, OKAP ( Male)OKAP KWON MD964 E. MAIN STRAVENNA 44266330-296-3483Accepting new patientsLanguage(s) Spoken:ENGLISH, KOREANHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 182: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 182 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

LUCARDIE, NATHAN ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsUNITY HEALTH NETWORK9150 MARKET SQUAREDRSTE 201STREETSBORO 44241330-626-0549Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALMINEO, KEVIN ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

RAUX, WILLIAM III ( Male)RAVENNA PRIMARY CARE6847 NORTH CHESTNUTSTSTE 200RAVENNA 44266330-296-9606Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERRIGBY, SCOTT ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALSARAC-LEONARD,SUZANA ( Female)PORTAGE INTERNALMEDICINE9318 ST RTE 143RD FLRSTREETSBORO 44241330-422-0916Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ITALIAN,SERBO-CROATIANHospital Affiliation(s): UHPORTAGE MEDICALCENTER

SHANAFELT, MICHAEL ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTERSMITH, SCOTT ( Male)TOTAL LIFETIME CAREMEDICAL AFFILIATES1 MEMORY LNSTE 200GARRETTSVILLE 44231330-527-4852Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERUHALL, DAVID ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7782Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTER

Page 183: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 183

YANELLI, EMMANUEL ( Male)RAVENNA PRIMARY CARE6847 NORTH CHESTNUTSTSTE 200RAVENNA 44266330-296-9606Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERPediatrics (1)

ADEKUNLE, EMMANUEL ( Male)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsLanguage(s) Spoken:ENGLISHALLERGY & IMMUNOLOGY(2)

MILKOVICH, GARY ( Male)GARY MILKOVICH DO INC9088 SUPERIOR AVESTE 103STREETSBORO 44241330-626-2963Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGYLanguage(s) Spoken:ENGLISH

SINGH, INDERPRIT ( Male)INTERPRIT SINGH MD33 NORTH AVESTE 104TALLMADGE 44278330-344-8064Accepting new patientsBoard Certified in:RHEUMATOLOGY,ALLERGY &IMMUNOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDI, PUNJABIHospital Affiliation(s): UHPORTAGE MEDICALCENTERCERTIFIED NURSEMIDWIFE (3)

ADAMSON, MARY ( Female)NORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsLanguage(s) Spoken:ENGLISHMEUCHE, DEBRA ( Female)NORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsLanguage(s) Spoken:ENGLISH

RIDENBAUGH, CHERYL ( Female)NORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsLanguage(s) Spoken:ENGLISHCHIROPRACTIC (5)

BELTZ, JOHN ( Male)JOHN BELTZ DC821 W MAIN STRAVENNA 44333330-296-9030Accepting new patientsLanguage(s) Spoken:ENGLISHBLUETER, WILLIAM ( Male)WILLIAM D BLUETER DC6693 N CHESTNUT STSTE 128RAVENNA 44266330-297-9797Accepting new patientsLanguage(s) Spoken:ENGLISHSTEPHENS, JOHN ( Male)STEPHENS PAINRECOVERY CTR INC8961 ST RTE 14STREETSBORO 44241330-626-4300Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEK

Page 184: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 184 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WHEAT, GARY ( Male)STREETSBOROCHIROPRACTIC CLINIC9125 ST RTE 14STREETSBORO 44241330-626-5561Accepting new patientsLanguage(s) Spoken:ENGLISHWILHELM, ROGER JR( Male)WILHELM CHIROPRACTIC4155 TALLMADGE RDROOTSTOWN 44272330-325-2575Accepting new patientsLanguage(s) Spoken:ENGLISHCLINICAL NURSESPECIALIST (2)

JOHNSON, COLLEEN ( Female)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsLanguage(s) Spoken:ENGLISHSEAVEY, JENNA ( Female)RAVENNA PRIMARY CARE6847 NORTH CHESTNUTSTSTE 200RAVENNA 44266330-296-9606Accepting new patientsLanguage(s) Spoken:ENGLISH

CRITICAL CARE MEDICINE(2)

KIM, ALBERT ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, KOREANHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALTURNER, CODY ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in: CRITICALCARE MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL

ENDOCRINOLOGY,DIABETES, &METABOLISM (3)

GEHLAUT, RICHA ( Female)WESTERN RESERVEHOSP PHYSICIANS9318 ST RTE 14STREETSBORO 44241330-422-7715Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALKAUR, MANJINDER ( Female)WESTERN RESERVEHOSP PHYSICIANS9318 ST RTE 14STREETSBORO 44241330-422-7715Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, &METABOLISM, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

Page 185: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 185

WOJTOWICZ, JENNIFER ( Female)WESTERN RESERVEHOSP PHYSICIANS9318 ST RTE 14STREETSBORO 44241330-422-7715Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALFAMILY MEDICINE (16)

BARR, SHERRI ( Female)UNITY HEALTH NETWORK9150 MARKET SQUAREDRSTE 201STREETSBORO 44241330-626-0549Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

BITTENCE, JESSICA ( Female)GARRETTSVILLE FAMILYMEDICINE.10724 SOUTH STGARRETTSVILLE 44231330-527-2617Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERCHASE, JOSEPH ( Male)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERDEAN-SCOTT, ROSANNA ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

FACTOR, VIRGINIA ( Female)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHJANOVICK, PATRICK ( Male)MIDDLEFIELD MEDICALCENTER10803 MAIN STMANTUA 44255330-274-2170Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERLEFOER, DOMINIC ( Male)STREETSBORO FAMILYMEDICINE9318 ST RTE 143RD FLOORSTREETSBORO 44241330-626-3111Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 186: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 186 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MORENO, MICHELLE ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsBoard Certified in: FAMILYMEDICINE, FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISH, SPANISHMUNGAI, MAINA ( Male)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, SWAHILIHospital Affiliation(s): UHPORTAGE MEDICALCENTERO'NEILL, HUGH ( Male)UNITY HEALTH NETWORK9150 MARKET SQUAREDRSTE 201STREETSBORO 44241330-626-0508Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

PRESTEGAARD,BENJAMIN ( Male)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERSAFKO, LONNA ( Female)STREETSBORO FAMILYMEDICINE9318 ST RTE 142ND FLRSTREETSBORO 44241330-626-3111Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERSCOTT, EDWARD ( Male)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

SLATER-LANG, SARAH ( Female)STREETSBORO FAMILYMEDICINE9318 ST RTE 142ND FLRSTREETSBORO 44241330-626-3111Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERSUZELIS, IAN ( Male)RAVENNA PRIMARY CARE6847 NORTH CHESTNUTSTSTE 200RAVENNA 44266330-296-9606Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALTHOMAS, HEATHER ( Female)BRIMFIELD FAMILYPRACTICE1365 KELSO DRKENT 44240330-676-0488Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 187: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 187

FAMILY MEDICINE ANDOMT (1)

MORENO, MICHELLE ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsBoard Certified in: FAMILYMEDICINE, FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISH, SPANISHGYNECOLOGY (1)

LUCAS, ROBERT ( Male)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH

NEPHROLOGY (3)

DEO, DATINDER ( Male)UNITY HEALTH NETWORKLLC DBA PREMIER RENALCARE6847 N CHESTNUT STSTE 225RAVENNA 44266330-331-4466Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTER, AKRONGENERAL MEDICALCENTERSINGH, MANSUMEET ( Male)UNITY HEALTH NETWORKLLC DBA PREMIER RENALCARE6847 N CHESTNUT STSTE 225RAVENNA 44266330-331-4466Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

VEGASANA, RAVI ( Male)UNITY HEALTH NETWORKLLC DBA PREMIER RENALCARE6847 N CHESTNUT STSTE 225RAVENNA 44266330-331-4466Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, AKRONGENERAL MEDICALCENTERNEUROLOGY (3)

COCHRAN, AARON ( Male)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISH

Page 188: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 188 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DORSETT, ROSWELL III( Male)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTERRAFECAS, JOSE ( Male)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

NURSE PRACTITIONER(21)

BEESON, STEPHANIE ( Female)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsLanguage(s) Spoken:ENGLISHBIGHAM, BETH ( Female)UH STREETSBOROHEALTH CENTER URGENTCARE9318 ST RTE 14FIRST FLRSTREETSBORO 44241330-626-3455Accepting new patientsLanguage(s) Spoken:ENGLISHCROSON, AMY ( Female)WESTERN RESERVEHOSP PHYSICIANS9150 W MARKET SQUAREDRSTE 201STREETSBORO 44241330-971-7246Accepting new patientsLanguage(s) Spoken:ENGLISHD'ORAZIO-SKOWRONSKI,ANNAMARIE ( Female)ULRICH PROFESSIONALGROUP401 DEVON PLSTE 215KENT 44240330-673-9501Accepting new patientsLanguage(s) Spoken:ENGLISH

GONCZY, MARCY ( Female)TOTAL LIFETIME CAREMEDICAL AFFILIATES1 MEMORY LNSTE 200GARRETTSVILLE 44231330-527-4852Accepting new patientsLanguage(s) Spoken:ENGLISHGREEN, FELECIA ( Female)UH STREETSBOROHEALTH CENTER URGENTCARE9318 ST RTE 14FIRST FLRSTREETSBORO 44241330-626-3455Accepting new patientsLanguage(s) Spoken:ENGLISHHODAKIEVIC, KAREN ( Female)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsLanguage(s) Spoken:ENGLISHIANNICCA, SUSAN ( Female)WESTERN RESERVEHOSP PHYSICIANS9318 ST RTE 14STREETSBORO 44241330-422-7715Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 189: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 189

KREITZBURG, LORI ( Female)PORTAGE FAMILYMEDICINE408 DEVON PLSTE BKENT 44240330-678-2500Accepting new patientsLanguage(s) Spoken:ENGLISHLEONE, ELISE ( Female)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsLanguage(s) Spoken:ENGLISHNKEZE SHU, KEVIN ( Male)PORTAGE INTERNALMEDICINE6847 NORTH CHESTNUTSTSTE 310RAVENNA 44266330-296-2819Accepting new patientsLanguage(s) Spoken:ENGLISHPARNELL, MARISSA ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsLanguage(s) Spoken:ENGLISH

PEREZ, KELLY ( Female)AKRON GENERALEXPRESS CARE4494 ST RTE 43KENT 44240330-344-1600Accepting new patientsLanguage(s) Spoken:ENGLISHRADDISH, JONATHAN ( Male)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsTHE SPINE & PAININSTITUTE307 W MAIN STSTE CKENT 44240330-677-3628Accepting new patientsLanguage(s) Spoken:ENGLISHRICKERD, WENDY ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsLanguage(s) Spoken:ENGLISH

SIMS, SYBIL ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, BETHANY ( Female)AXESSPOINTECOMMUNITY HEALTH CTRINC1993 ST RTE 59KENT 44240888-975-9188Accepting new patientsLanguage(s) Spoken:ENGLISHSTUTZ, KIMBERLY ( Female)NORTHEAST OBGYN401 DEVON PLSTE 210KENT 44240330-676-9465Accepting new patientsNORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsNORTHEAST OBGYN9318 ST RTE 143RD FLOORSTREETSBORO 44241330-626-2710Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 190: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 190 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

THOMAS, MELISSA ( Female)UNITY HEALTH NETWORKLLC DBA PREMIER RENALCARE6847 N CHESTNUT STSTE 225RAVENNA 44266330-331-4466Accepting new patientsLanguage(s) Spoken:ENGLISHWILLIAMS, TIFFANY ( Female)UNITY HEALTH NETWORKLLC DBA PREMIER RENALCARE6847 N CHESTNUT STSTE 225RAVENNA 44266330-331-4466Accepting new patientsLanguage(s) Spoken:ENGLISHWOMACK, KARIN ( Female)UH STREETSBOROHEALTH CENTER URGENTCARE9318 ST RTE 14FIRST FLRSTREETSBORO 44241330-626-3455Accepting new patientsLanguage(s) Spoken:ENGLISH

OBSTETRICS ANDGYNECOLOGY (5)

BANERJEE, TANYA ( Female)NORTHEAST OBGYN9318 ST RTE 143RD FLOORSTREETSBORO 44241330-626-2710Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERCARROLL, JENNIFER ( Female)NORTHEAST OBGYN700 WALDEN PLSTE 100AURORA 44202330-626-2710Accepting new patientsNORTHEAST OBGYN9318 ST RTE 143RD FLOORSTREETSBORO 44241330-626-2710Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

HOMAFAR, SOGHRA ( Female)NORTHEAST OBGYN401 DEVON PLSTE 210KENT 44240330-676-9465Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERREYNOLDS, BETH ( Female)NORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 191: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 191

ROSENWASSER, ALAN ( Male)NORTHEAST OBGYN6847 NORTH CHESTNUTST3RD FLRRAVENNA 44266330-296-4165Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTEROPHTHALMOLOGY (6)

CINGLE, KIMBERLY ( Female)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALHULL, THOMAS ( Male)THE RETINA GROUP OFNE OH INC2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

JONES, MARC ( Male)NORTHEAST OHIO EYESURGEONS2013 ST RT 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, SPANISH,PORTUGUESEHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALLOHMAN, LAWRENCE ( Male)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERTSAI, THOMAS ( Male)THE RETINA GROUP OFNE OH INC2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

WILLETT, MATHEW ( Male)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALOPTOMETRY (6)

GREINER, KATIE ( Female)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsLanguage(s) Spoken:ENGLISHHASTINGS, KATHERINE ( Female)NORTHEAST OHIO EYESURGEONS2013 ST RT 59KENT 44240330-678-0201Accepting new patientsLanguage(s) Spoken:ENGLISHMUCKLEY, ELIZABETH ( Female)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 192: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 192 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PIPITONE, MARCELLA ( Female)NORTHEAST OHIO EYESURGEONS2013 ST RT 59KENT 44240330-678-0201Accepting new patientsLanguage(s) Spoken:ENGLISHRUDY, WILLIAM ( Male)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsLanguage(s) Spoken:ENGLISHSCHMID, PETER ( Male)CLEAR VISION CENTERS1155 ST RTE 303STREETSBORO 44241330-422-2020Accepting new patientsLanguage(s) Spoken:ENGLISH

ORTHOPEDIC SURGERY(10)

DEAN, ERIN ( Female)CRYSTAL CLINICORTHOPAEDIC CTR LLC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsCRYSTAL CLINICORTHOPAEDIC CTR LLC9318 STATE RT 14STREETSBORO 44241330-422-1905Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,CRYSTAL CLINICORTHOPAEDIC CENTER,UH PORTAGE MEDICALCENTEREHRLER, DOUGLAS ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,AKRON GENERALMEDICAL CENTER

KAY, MATTHEW ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,UH PORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALMINEO, RONALD ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,WESTERN RESERVEHOSPITALNELMAN, KYLE ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,UH PORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

Page 193: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 193

NOYES, MATTHEW ( Male)WESTERN RESERVEHOSP PHYSICIANS307 W MAIN STSTE BKENT 44240330-929-2694Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITALPAKAN, WILLIAM ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITAL

STACHOWICZ, RAFAL ( Male)CRYSTAL CLINICORTHOPAEDIC CTR LLC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH, POLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,UH PORTAGE MEDICALCENTER, AKRONGENERAL MEDICALCENTERTALIWAL, RAJIV ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,CRYSTAL CLINICORTHOPAEDIC CENTER

THARP, JEFFREY ( Male)UNITY HEALTH NETWORKLLC DBA NORTHSTARORTHOPEDICS307 W MAIN STSTE BKENT 44240330-929-2694Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTERPAIN MEDICINE (5)

GOLDNER, JOSHUA ( Male)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

Page 194: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 194 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MCINTYRE, PATRICK ( Male)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERSABLE, JAMES ( Male)WESTERN RESERVEHOSP PHYSICIANS9150 W MARKET SQUAREDRSTE 201STREETSBORO 44241330-971-7246Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

SOUZDALNITSKI, DMITRI ( Male)WESTERN RESERVEHOSP PHYSICIANS9150 W MARKET SQUAREDRSTE 201STREETSBORO 44241330-971-7246Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, UH PORTAGEMEDICAL CENTERVUCETIC, HENRY ( Male)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsBoard Certified in:ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER

PEDIATRICOPHTHALMOLOGY (1)

LOCASTRO, ANTHONY ( Male)NORTHEAST OHIO EYESURGEONS2013 ST RTE 59KENT 44240330-678-0201Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERPHYSICAL MEDICINE &REHABILITATION (2)

CREMER, STEVEN ( Male)UNITY HEALTH NETWORKLLC DBA NORTHSTARORTHOPEDICS307 W MAIN STSTE BKENT 44240330-929-2694Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL

Page 195: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 195

MEHTA, BINA ( Female)THE SPINE & PAININSTITUTE265 W MAIN STSTE 201KENT 44240800-941-6672Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, AKRONGENERAL MEDICALCENTERPHYSICAL THERAPY (4)

FILLA, KIERSTIN ( Female)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7338Accepting new patientsLanguage(s) Spoken:ENGLISHGRAF, JASON ( Male)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC4211 STATE RT 44STE 1400ROOTSTOWN 44272330-754-2545Accepting new patientsLanguage(s) Spoken:ENGLISH

RIDGE, DANA ( Female)FERRELL WHITEDPHYSICAL THERAPY SVCSLLC307 W MAIN STKENT 44240330-860-0846Accepting new patientsFERRELL WHITEDPHYSICAL THERAPY SVCSLLC4211 STATE RT 44STE 1400ROOTSTOWN 44272330-754-2545Accepting new patientsLanguage(s) Spoken:ENGLISHSARRIS, DEAN ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-678-7338Accepting new patientsLanguage(s) Spoken:ENGLISHPODIATRY (6)

BENEDICT, JAMES ( Male)BENEDICT PODIATRYGROUP1627 E MAIN STKENT 44240330-673-3505Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER, UHPORTAGE MEDICALCENTER

CAMPITELLI, NICHOLAS ( Male)UNITY HEALTH NETWORK9318 ST RTE 14STREETSBORO 44241330-926-3231Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITAL, AKRONGENERAL MEDICALCENTER, UH PORTAGEMEDICAL CENTERFATH, JENNIFER ( Female)A+ FAMILY FOOT & ANKLECTR INC1221 S WATER STSTE AKENT 44240330-474-0500Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER, UHPORTAGE MEDICALCENTERPAUL, ERIC ( Male)ERIC J PAUL DPM6693 N CHESTNUT STSTE 12-BRAVENNA 44266330-297-1211Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 196: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 196 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

PHAM, HAI ( Male)A+ FAMILY FOOT & ANKLECTR INC1221 S WATER STSTE AKENT 44240330-474-0500Accepting new patientsLanguage(s) Spoken:ENGLISH, VIETNAMESE,FRENCHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, AKRONGENERAL MEDICALCENTERRASPER, RICHARD ( Male)UNITY HEALTH NETWORK307 W MAIN STSTE BKENT 44240330-926-3468Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,WESTERN RESERVEHOSPITALPSYCHOLOGY (1)

PELUSO, EUGENIO ( Male)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsLanguage(s) Spoken:ENGLISH

PULMONARY DISEASE (9)

AKERS, SHANTI ( Female)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALBOTROS, NADER ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,SLEEP MEDICINE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

DENTLER, MICHAEL ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):WESTERN RESERVEHOSPITALFUENNING, CHARLES ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

Page 197: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 197

KHAN, MOHAMMADSALMAN ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDI, URDUHospital Affiliation(s):WESTERN RESERVEHOSPITALKIM, ALBERT ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, KOREANHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

KRAUZA, MATTHEW ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,SLEEP MEDICINE,CRITICAL CARE MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALMAKKAR, HITESH ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

WHITE, BRIAN ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALRHEUMATOLOGY (1)

SINGH, INDERPRIT ( Male)INTERPRIT SINGH MD33 NORTH AVESTE 104TALLMADGE 44278330-344-8064Accepting new patientsBoard Certified in:RHEUMATOLOGY,ALLERGY &IMMUNOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDI, PUNJABIHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Page 198: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | PORTAGE County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 198 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SLEEP MEDICINE (3)

KIM, ALBERT ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, KOREANHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALMAKKAR, HITESH ( Male)UNITY HEALTH NETWORK6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-6969Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

RAFECAS, JOSE ( Male)UNITY HEALTH NETWORKLLC DBA NEUROLOGY &NEUROSCIENCE ASSOCINC6847 N CHESTNUT STSTE 330RAVENNA 44266330-296-8048Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALSPORTS MEDICINE (1)

NELMAN, KYLE ( Male)CRYSTAL CLINIC INC2007 ST RTE 59KENT 44240330-673-6299Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):CRYSTAL CLINICORTHOPAEDIC CENTER,UH PORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL

THORACIC AND CARDIACSURGERY (1)

GHUMRAWI, BADR ( Male)BADR K GHUMRAWI MD6693 N CHESTNUT STSTE 268ARAVENNA 44266330-296-2829Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERYLanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTERUROLOGY (2)

MINOTT, HOWARD ( Male)PHYSICIANS UROLOGY3963 LOOMIS PKWYRAVENNA 44266330-296-6441Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER, UHPORTAGE MEDICALCENTER

Page 199: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 199

ZHAO, JOHN ( Male)PHYSICIANS UROLOGY3963 LOOMIS PKWYRAVENNA 44266330-296-6441Accepting new patientsBoard Certified in:UROLOGYLanguage(s) Spoken:ENGLISH, FAROESEHospital Affiliation(s):AKRON GENERALMEDICAL CENTER, UHPORTAGE MEDICALCENTERVASCULAR SURGERY (1)

GHUMRAWI, BADR ( Male)BADR K GHUMRAWI MD6693 N CHESTNUT STSTE 268ARAVENNA 44266330-296-2829Accepting new patientsBoard Certified in:THORACIC AND CARDIACSURGERYLanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER

Internal Medicine (82)

AHMED, SUMAYYA ( Female)INTERNAL MEDICINECLINIC LTD4368 DRESSLER RD NWSTE 202CANTON 44718330-492-2702Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken: HINDI,URDU, BENGALI, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERAHMED, ASHRAF ( Male)PREMIER HEALTH ASSOCINC22792 HARRISBURGWESTVILLE RDALLIANCE 44601330-823-4000Accepting new patientsPREMIER HEALTH ASSOCINC625 N MARKET STMINERVA 44657330-868-4187Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

AHMED, MICHELLE ( Female)PREMIER HEALTH ASSOCINC22792 HARRISBURGWESTVILLE RDALLIANCE 44601330-823-4000Accepting new patientsPREMIER HEALTH ASSOCINC625 N MARKET STMINERVA 44657330-868-4187Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALAHMED, MAAZ ( Male)INTERNAL MEDICINECLINIC LTD4368 DRESSLER RD NWSTE 202CANTON 44718330-492-2702Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken: URDU,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTER

Page 200: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 200 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BARTRAM, CHESTER ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBEARD, JENNIFER ( Female)OHIO PHYSICIANSPROFESSIONAL CORP2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsOHIO PHYSICIANSPROFESSIONAL CORP2600 SIXTH ST SWCANTON 44710330-363-2180Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

BERTMAN, STANLEY ( Male)STANLEY BERTMAN MDINC3030 TUSCARAWAS ST WCANTON 44708330-452-4455Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBOLYARD, JENNIFER ( Female)CANTON MEDICAL EDUCFOUNDATION2600 SEVENTH ST SWCANTON 44710330-438-6235Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBRUNO, JOANNA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

CHAKKA, ASHA ( Female)OHIO PHYSICIANSPROFESSIONAL CORP2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsBoard Certified in:INTERNAL MEDICINE,GERIATRIC MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCHAMBERS, CATHERINE ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHCHARLTON, JI HYE ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, KOREAN

Page 201: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 201

CHOW, CHRISTOPHER ( Male)MEDCORP OF STARK COINC2500 WALES AVE NWSTE AMASSILLON 44646330-833-8996Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERCHUKWUMERIJE,AGATHA ( Female)INTERNAL MEDICINESPECIALISTS OF CANTONINC1930 FULTON RD NWSTE 101CANTON 44709330-454-9766Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, IGBOHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCISNEROS, GERARDO ( Male)MERCY PROFESSIONALCARE CORP601 CLEVELAND AVE NWCANTON 44702330-456-8592Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

COOPER, RICHARD ( Male)ASTUTE MEDICAL ASSOCINC2425 13TH ST NWCANTON 44708330-455-5595Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCUBBISON, THEODORE ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHDAVID, KERRIE ( Female)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsSTARK MEDICALSPECIALTIES INC875 EIGHTH ST NEMASSILLON 44646330-832-7777Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

DIB, JEAN ( Male)PREMIER HEALTH ASSOCINC22792 HARRISBURGWESTVILLE RDALLIANCE 44601330-823-4000Accepting new patientsPREMIER HEALTH ASSOCINC625 N MARKET STMINERVA 44657330-868-4787Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTER

Page 202: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 202 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

EL MOBASHER, GAMAL ( Male)PREMIER HEALTH ASSOCINC120 E STATE STALLIANCE 44601330-596-7940Accepting new patientsPREMIER HEALTH ASSOCINC22792 HARRISBURGWESTVILLE RDALLIANCE 44601330-823-4000Accepting new patientsPREMIER HEALTH ASSOCINC625 N MARKET STMINERVA 44657330-868-4187Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALFAYEN, WILLIAM ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

FIORENTINO, JULIA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERGALANG, LAMBERTO ( Male)MERCY PROFESSIONALCARE CORP1459 SUPERIOR AVE NECANTON 44705330-588-4892Accepting new patientsMERCY PROFESSIONALCARE CORP7337 CARITAS CIR NWSTE 220MASSILLON 44646330-830-6202Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TAGALOGHospital Affiliation(s):MERCY MEDICAL CENTER

GUDLA, JYOTHI ( Female)NOVUS HEALTH &WELLNESS2823 AARONWOOD AVENEMASSILLON 44646330-830-8666Accepting new patientsBoard Certified in:GERIATRIC MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, AKRONGENERAL MEDICALCENTERHADID, JABR ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC2860 LINCOLN WAY EMASSILLON 44646330-832-3127Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, AFFINITYMEDICAL CENTER,AULTMAN HOSPITAL

Page 203: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 203

HADID, ANNA ( Female)DOCTORS HOSPPHYSICIAN SVCS LLC2860 LINCOLN WAY EMASSILLON 44646330-832-3127Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITALHAYEK, FREDRICK ( Male)FREDRICK C HAYEK MDINC4911 MUNSON ST NWCANTON 44718330-494-2228Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ITALIAN, FRENCH,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERHILAND, THOMAS ( Male)MANSARD MEDICAL2600 TUSCARAWAS ST WSTE 500CANTON 44708330-452-8858Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

HILL, KEVIN ( Male)AULTMAN MEDICALGROUP KEVIN HILL MD201 DUEBER AVE SWCANTON 44706330-453-4000Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 W TUSCARAWAS STSTE 440CANTON 44708330-453-4000Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERHOLLAWAY, STACEY ( Female)STARK COUNTY MEDICALGROUP INC4810 MUNSON ST NWCANTON 44718330-499-3377Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

HOSTETTLER, MARK ( Male)MANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1207 W STATE STSTE NALLIANCE 44601330-821-3244Accepting new patientsMANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1168 ALLIANCE RD NWMINERVA 44657330-863-3711Accepting new patientsLanguage(s) Spoken:ENGLISHJANOWICZ, JANINE ( Female)JANINE JANOWICZ MD1605 WHIPPLE AVE NWCANTON 44708330-478-5595Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERJOHNSON, MICHAEL ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 204: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 204 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

JOHNSON, CLIFFORD ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERJONES, RICHARD JR( Male)AULTMAN INTERNALMEDICINE CTR2600 TUSCARAWAS ST WSTE 440CANTON 44708330-682-3010Accepting new patientsAULTMAN INTERNALMEDICINE CTR2600 W TUSCARAWAS STSWSTE 240CANTON 44708330-684-1300Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL

KENDIS, BETSY ( Female)PRIMARY CAREPHYSICIAN ASSOC INC4575 STEPHENS CIR NWCANTON 44718330-499-9944Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKHALIL, AMIN ( Male)EAST CANTON MEDICALGRP113 CEDAR ST SOUTHEAST CANTON 44730330-488-0767Accepting new patientsHARTVILLE INTERNALMEDICINE855 W MAPLE STSTE 130HARTVILLE 44632330-877-9388Accepting new patientsMINERVA MEDICAL CTR200 CAROLYN CTMINERVA 44657330-868-4184Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

KIMBELL, DAVID ( Male)MANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS4080 HOLIDAY ST NWCANTON 44718330-492-8117Accepting new patientsMANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1168 ALLIANCE RD NWMINERVA 44657330-863-3711Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKRISHNAMURTHI,RAMESH ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER

Page 205: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 205

LACH, JOSEPH ( Male)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERLANG, JEAN ( Female)TRI-COUNTY MEDICALSVCS855 W MAPLE STSTE 120HARTVILLE 44632330-877-6613Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER

LOPEZ CSORBA, MAGALY( Female)US HEALTHWORKSMEDICAL GRP OF OHIOINC2626 FULTON DR NWCANTON 44718330-453-6050Accepting new patientsHEALTH ALLIANCE INCDBA ACH FAMILY CARE506 W MAIN STLOUISVILLE 44641330-875-5625Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALMANOHAR, MURLI ( Male)MURLI MANOHAR MD4942 HIGBEE AVE NWCANTON 44718330-492-4321Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALMARTINO, LUIS ( Male)MANSARD MEDICAL2600 TUSCARAWAS ST WSTE 500CANTON 44708330-452-8858Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

MCFEELY, PATRICK ( Male)MEDCORP OF STARK COINC2500 WALES AVE NWSTE AMASSILLON 44646330-833-8996Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTERMCGOWEN, CHARLES ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHMORRISON, KATHARINE ( Female)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 206: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 206 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NAM, STEVE ( Male)STEVE K NAM MD1441 SOUTH MAIN STNORTH CANTON 44720330-244-8888Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERNAM, KUN ( Male)K W NAM MD1441 SOUTH MAIN STNORTH CANTON 44720330-244-8888Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERNARAYANAN, RAMA ( Female)AULTMAN INTERNALMEDICINE CLINIC2600 SEVENTH ST SWCANTON 44710330-363-6235Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TAMIL, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

NGUYEN, HOAI-NGHIA ( Male)MERCY PROFESSIONALCARE CORP4909 MUNSON RD NWCANTON 44718330-837-9249Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISH, VIETNAMESEHospital Affiliation(s):MERCY MEDICAL CENTERNORCH, ELENA ( Female)E K NORCH MD INC6447 FRANK AVE NWCANTON 44720330-305-9919Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTEROBERLY, JULIE ( Female)STARK COUNTYINTERNAL MEDICINE1401 SOUTH MAINSTREETSTE 101NORTH CANTON 44720330-497-8636Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

PANSINO, TERRENCE ( Male)LOUISVILLE MEDICAL CTR1917 WILLIAMSBURG WAYLOUISVILLE 44641330-875-3366Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPAUSKAR, PRIVI ( Female)AULTMAN INTERNALMEDICINE CLINIC2600 SEVENTH ST SWCANTON 44710330-363-6235Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, INDIANHospital Affiliation(s):AULTMAN HOSPITAL

Page 207: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 207

PENVOSE, LAWRENCE ( Male)LAWRENCE C PENVOSEDO1445 HARRISON AVE NWSTE 105CANTON 44708330-455-4531Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPERRY, ANTHONY JR( Male)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsSTARK MEDICALSPECIALTIES INC875 EIGHTH ST NEMASSILLON 44646330-832-7777Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

PODUGU, RADHA ( Female)MANSARD MEDICAL2600 TUSCARAWAS ST WSTE 500CANTON 44708330-452-8858Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, TELUGAHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPRAKASH, ROHIT ( Male)ROHIT PRAKASH MD255 DUEBER AVE SWCANTON 44706330-455-0291Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AULTMAN HOSPITALPROSSER, ELIZABETH ( Female)LOUISVILLE MEDICAL CTR1917 WILLIAMSBURG WAYLOUISVILLE 44641330-875-3366Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

RAGHEB, ESSAM ( Male)MERCY PROFESSIONALCARE CORP1459 SUPERIOR AVE NECANTON 44705330-588-4892Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER,ST JOSEPH WARRENHOSPITALRAJKUMAR, AARTHI ( Female)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRAO, ARUNA ( Female)AFFINITY HEALTH CTR ATBELDEN VILLAGE4455 DRESSLER RD NWCANTON 44718330-497-6555Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 208: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 208 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

RAWAL, ISH ( Male)TOTAL MEDICAL CARELLC1445 HARRISON AVE NWSTE 103CANTON 44708330-956-6058Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRIGGS, KARIN ( Female)PRIMARY CAREPHYSICIAN ASSOC INC4575 STEPHENS CIR NWCANTON 44718330-499-9944Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken: SIGN,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRODOCOY, PAMELA ( Female)MANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1207 W STATE STSTE NALLIANCE 44601330-821-3244Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

RODRIGUEZ, DANIEL ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyLanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSHAH, RISHI ( Male)MERCY PROFESSIONALCARE CORP149 E SIMPSON STALLIANCE 44601330-823-3856Accepting new patientsMERCY PROFESSIONALCARE CORP6310 MIDDLEBRANCH AVENENORTH CANTON 44721330-493-8580Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

SHAHEEN, LOUIS ( Male)MANSARD MEDICAL2600 TUSCARAWAS ST WSTE 500CANTON 44708330-452-8858Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSHARMA, ABHAY ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, HINDISTACHEL, DAVID ( Male)DAVID C STACHEL1445 HARRISON AVE NWSTE 202CANTON 44708330-458-3260Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 209: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 209

TALUG, ESER ( Female)CANTON INTERNALMEDICINE ASSOC INC4076 HOLIDAY ST NWCANTON 44718330-492-5455Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:TURKISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERTARR, JENNIFER ( Female)MEDCORP OF STARK COINC2500 WALES AVE NWSTE AMASSILLON 44646330-833-8996Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERTIRMONIA, MICHAEL ( Male)MICHAEL TIRMONIA DOINC1330 MERCY DR NWSTE 324CANTON 44708330-489-1428Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

TUDOSIE, MIOARA ( Female)MIOARA TUDOSIE MD LLC2600 TUSCARAWAS ST WSTE 640CANTON 44708330-455-1511Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERVOLK, BARBARA ( Female)STARK COUNTY MEDICALGROUP INC4810 MUNSON ST NWCANTON 44718330-499-3377Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:GERMAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWANG, ERIC ( Male)CANTON PRIMARY CARE4168 HOLIDAY ST NWCANTON 44718330-454-1693Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:CHINESE-CLASSICAL,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

WEAVER, STEVEN ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1770Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWESTERBECK, JOHN ( Male)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 210: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 210 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WILLIAMS, SCOTT ( Male)STARK MEDICALSPECIALTIES INC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-832-7777Accepting new patientsSTARK MEDICALSPECIALTIES INC323 MARION AVE NWMASSILLON 44646330-837-1111Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERYOUNG, MARIA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

ZIMMERMAN, DONALD ( Male)MEDCORP OF STARK COINC2500 WALES AVE NWSTE AMASSILLON 44646330-833-8996Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERPediatrics (15)

ADEKUNLE, EMMANUEL ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHBLASER, MARK ( Male)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1000Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, GERMANHospital Affiliation(s):MERCY MEDICAL CENTER

HEATHERLY, DANIEL ( Male)MARGARET SHIPLEYCHILD HEALTH CLINIC INC919 SECOND ST NECANTON 44704330-453-3386Accepting new patientsLanguage(s) Spoken:ENGLISHHOLLAWAY, STACEY ( Female)STARK COUNTY MEDICALGROUP INC4810 MUNSON ST NWCANTON 44718330-499-3377Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKANTARAS, MARLA ( Female)CHILDRENS PHYSICIANSINC4575 EVERHARD RD NWCANTON 44718330-494-5600Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 211: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Primary Care Physicians

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 211

KENDIS, BETSY ( Female)PRIMARY CAREPHYSICIAN ASSOC INC4575 STEPHENS CIR NWCANTON 44718330-499-9944Accepting existing patientsonlyBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKOWAL, MARIA ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, UKRAINIANKUNGLE, JENNIFER ( Female)CHILDRENS PHYSICIANSINC4575 EVERHARD RD NWCANTON 44718330-494-5600Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

LAVI, RICHARD ( Male)ALLERGY ASTHMA &SINUS RELIEF CTR4016 MASSILLON RDSTE CUNIONTOWN 44685330-423-4444Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGY,PEDIATRICS, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALNGUYEN, HOAI-NGHIA ( Male)MERCY PROFESSIONALCARE CORP4909 MUNSON RD NWCANTON 44718330-837-9249Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:ENGLISH, VIETNAMESEHospital Affiliation(s):MERCY MEDICAL CENTERRAMACHANDRAN,VIDHYA ( Male)CANTON PEDIATRICS INC4900 FRANK AVENUE NWNORTH CANTON 44720330-494-9797Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISH, TAMILHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

REPUYAN, OTHELLO ( Male)MERIDIAN PEDIATRICS OFCANTON4188 HOLIDAY STCANTON 44718330-492-4277Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:SPANISH, ENGLISH,FILIPINOHospital Affiliation(s):MERCY MEDICAL CENTERRIGGS, KARIN ( Female)PRIMARY CAREPHYSICIAN ASSOC INC4575 STEPHENS CIR NWCANTON 44718330-499-9944Accepting existing patientsonlyBoard Certified in:PEDIATRICSLanguage(s) Spoken: SIGN,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERVOLK, BARBARA ( Female)STARK COUNTY MEDICALGROUP INC4810 MUNSON ST NWCANTON 44718330-499-3377Accepting new patientsBoard Certified in:INTERNAL MEDICINE,PEDIATRICSLanguage(s) Spoken:GERMAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 212: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 212 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

YOUNUS, ASIF ( Male)STARK PEDIATRICS INC3030 W TUSCARAWAS STSTE 300CANTON 44708330-452-6109Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERALLERGY & IMMUNOLOGY(4)

GIVEN, JOHN ( Male)JOHN T GIVEN MD4048 DRESSLER RD NWSTE 100CANTON 44718330-479-3333Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGY,PULMONARY DISEASE,INTERNAL MEDICINE,SLEEP MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

LAVI, RICHARD ( Male)ALLERGY ASTHMA &SINUS RELIEF CTR4016 MASSILLON RDSTE CUNIONTOWN 44685330-423-4444Accepting new patientsBoard Certified in: ALLERGY& IMMUNOLOGY,PEDIATRICS, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITALMANOHAR, MURLI ( Male)MURLI MANOHAR MD4942 HIGBEE AVE NWCANTON 44718330-492-4321Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALTAMBOLI, ARDESHIR ( Male)ADIE TAMBOLI MD INC270 E STATE STSTE 140ALLIANCE 44601330-823-1222Accepting new patientsBoard Certified in:PEDIATRICSLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s): UNIONHOSPITAL, HARRISONCOMMUNITY HOSPITAL

ATHLETIC TRAINER (10)

ARNOLD, KATHY ( Female)CONCORDE THERAPYGRP INC2484 W STATE STALLIANCE 44601330-829-2338Accepting new patientsCONCORDE THERAPYGRP INC4645 BELPAR ST NWCANTON 44718330-493-4210Accepting new patientsCONCORDE THERAPYGRP INC850 W MAPLE STHARTVILLE 44632330-877-3488Accepting new patientsCONCORDE THERAPYGRP INC513 E MAIN STLOUISVILLE 44641330-875-0888Accepting new patientsCONCORDE THERAPYGRP INC1611 N MAIN STSTE BNORHT CANTON 44720330-494-1912Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 213: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 213

AVELLINO, NEIL ( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

FORD, MALCOLM ( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISH

GITTINGER, MICHAEL ( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 214: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 214 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GREATHOUSE, BETH ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

HAWKE, TRICIA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

HAYS, JOHN ( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 215: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 215

HOSKINS, JOE ( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

LAUBACHER, JENNIFER( Female)CONCORDE THERAPYGRP INC2484 W STATE STALLIANCE 44601330-829-2338Accepting new patientsCONCORDE THERAPYGRP INC850 W MAPLE STHARTVILLE 44632330-877-3488Accepting new patientsCONCORDE THERAPYGRP INC513 E MAIN STLOUISVILLE 44641330-875-0888Accepting new patientsCONCORDE THERAPYGRP INC1611 NORTH MAINSTREETSTE BNORTH CANTON 44720330-494-1912Accepting new patientsLanguage(s) Spoken:ENGLISH

VICKERS, JASON ( Male)CONCORDE THERAPYGRP INC2484 W STATE STREETALLIANCE 44601330-829-2338Accepting new patientsCONCORDE THERAPYGRP INC4645 BELPAR STREET NWCANTON 44718330-493-4210Accepting new patientsCONCORDE THERAPYGRP INC850 W MAPLE STREETHARTVILLE 44632330-877-3488Accepting new patientsCONCORDE THERAPYGRP INC513 E MAIN STREETLOUISVILLE 44641330-875-0888Accepting new patientsCONCORDE THERAPYGRP INC1611 NORTH MAINSTREETSTE BNORTH CANTON 44720330-494-1912Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 216: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 216 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

AUDIOLOGY (10)

ANTHONY, KIMBERLY ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 245ALLIANCE 44601330-596-6520Accepting new patientsLanguage(s) Spoken:ENGLISHBYRER, KELLY ( Female)HEARINC INC220 WEST MAPLE STNORTH CANTON 44720234-347-0155Accepting new patientsLanguage(s) Spoken:ENGLISHKOSTELNIK, REBECCA ( Female)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsLanguage(s) Spoken:ENGLISHLANDENBERGER,KRISTINE ( Female)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsLanguage(s) Spoken:ENGLISH

REESE, CRAIG ( Male)REESE AUDIOLOGY3996 FULTON DR NWSTE ACANTON 44718330-491-1421Accepting new patientsLanguage(s) Spoken:ENGLISHTESTA, DENISE ( Female)AULTMAN MEDICALGROUP AUDIOLOGY2821 WOODLAWN AVE NWCANTON 44708330-433-1450Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)1020 TRUMP RD NWCARROLLTON 44615330-433-1450Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISHWARNER, LAURA ( Female)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsLanguage(s) Spoken:ENGLISH

YODER, AMY ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)4320 CLEVELAND AVE SWCANTON 44707330-484-2584Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6525 MARKET AVE NCANTON 44721330-494-7494Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)1020 TRUMP RD NWCARROLLTON 44615330-433-1450Accepting new patientsAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1450Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 217: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 217

ZICKEFOOSE, JULIA ( Female)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsLanguage(s) Spoken:ENGLISHZIFER, ASHLEY ( Female)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsLanguage(s) Spoken:ENGLISH

CARDIOLOGY (38)

ANREDDY, SANDEEP ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWA-2 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVE NWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, TELUGA, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

BONAVITA, GREGORY ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVENUENWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTERCUMMINGS, JENNIFER ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 218: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 218 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DENNING, STEPHEN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVENUENWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTER

DOPIRAK, MILAN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVENUENWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTER

DUFFY, BRENDAN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2- 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVE NWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 219: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 219

FABRE, CARLOS ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVENUENWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTERFRIEDLANDER, IRA ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTER

GROSS, WAYNE ( Male)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

HAMDAN, FIRAS ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWA-2 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVE NWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITAL

Page 220: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 220 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HIRSCH, STEVEN ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERJAN, MOHAMMAD ( Male)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, URDU, PUSHTO,HINDIHospital Affiliation(s):TRINITY HOSPITAL TWINCITY, MERCY MEDICALCENTER

JOHNSON, TODD ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2- 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVE NWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):POMERENE HOSPITAL,AFFINITY MEDICALCENTER, AULTMANHOSPITAL

JONES, SIMONETTE ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERKASSIR, MOHAMAD ( Male)AFFINITY SPECIALTYPHYSICIANS-CARDIOLOGY4455 DRESSLER RD NWCANTON 44718330-837-6841Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 221: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 221

KLOEHN, GREGORY ( Male)AFFINITY SPECIALTYPHYSICIANS830 AMHERST RD NESTE 106MASSILLON 44646330-830-1645Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTERMALONEY, JAMES ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

MARKEL, MICHAEL ( Male)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTERMKPARU, FIDELIS ( Male)THE PARAGON HEARTGROUP INC2565 S UNIONALLIANCE 44601330-823-0894Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

NAGAJOTHI,NAGAPRADEEP ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SW A2STE 710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTER

Page 222: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 222 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NIDAMANURI, KAVITHA ( Female)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2- 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVE NWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, SALEMREGIONAL MEDICALCENTER, ALLIANCECOMMUNITY HOSPITAL

PATEL, DILIP ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, CRITICALCARE MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, GUJURATI,HINDIHospital Affiliation(s):MERCY MEDICAL CENTERPAULOWSKI, JOHN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC6046 WHIPPLE AVENUENWNORTH CANTON 44720330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

PIPOLY, STEPHEN ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERPODUGU, RAMANA ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, MERCYMEDICAL CENTER

Page 223: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 223

PRABHAKAR, SOURABH ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPRODAFIKAS, JOHN ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITAL, SALEMREGIONAL MEDICALCENTER

RUBIN, PATRICIA ( Female)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2 710CANTON 44710330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2021 WALES RD NEMASSILLON 44646330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSARDAR, MUHAMMAD ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2- 710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

SATTI, SRINIVASA ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTERSEESE, GEORGE ( Male)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANORRVILLE HOSPITAL,UNION HOSPITAL,AULTMAN HOSPITAL

Page 224: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 224 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SHAH, AKBAR ( Male)CARDIOVASCULARCONSULTANTS OF OPPC270 E STATE STALLIANCE 44601330-454-8076Accepting new patientsCARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISH, URDUHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERSHANMUGAM,MAKILZHAN ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:CARDIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

SIMMONS, BRIAN ( Male)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER, AULTMANHOSPITALSURMITIS, JOSEPH ( Male)AFFINITY HEALTH CTR ATBELDEN VILLAGE4455 DRESSLER RD NWCANTON 44718330-497-6555Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

TEGTMEIER, TERRY ( Male)CARDIOVASCULARCONSULTANTS OF OPPC2600 SIXTH ST SWSTE A2-710CANTON 44710330-454-8076Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITALTSAI, JOHN ( Male)AFFINITY SPECIALTYPHYSICIANS-CARDIOLOGY4455 DRESSLER RD NWCANTON 44718330-837-6841Accepting new patientsDOCTORS HOSPPHYSICIAN SVCS LLC830 AMHERST RD NESTE 205MASSILLON 44646330-489-1386Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 225: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 225

UTLAK, DAVID ( Male)AFFINITY HEALTH CTR ATBELDEN VILLAGE4455 DRESSLER RD NWCANTON 44718330-492-2102Accepting new patientsBoard Certified in:CARDIOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTERCERTIFIED NURSEMIDWIFE (9)

ALEXOVICH, LOUANN ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALBLAKE, DESIREE ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

CORRIERE, DAWN ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALFOX, JAIME ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsLanguage(s) Spoken:ENGLISHGALVAN, LAURIE ( Female)MERCY MEDICAL CENTEROB1320 MERCY DR NWSTE 200CANTON 44708330-489-1065Accepting new patientsATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

MILLER, KAREN ( Female)ALLIANCE FAMILY HEALTHCTR INC270 E STATE STSTE G110ALLIANCE 44601330-596-7580Accepting new patientsLanguage(s) Spoken:ENGLISHRYAN, SHARON ( Female)ALLIANCE FAMILY HEALTHCTR INC1401 SOUTH ARCH AVEALLIANCE 44601330-596-7580Accepting new patientsALLIANCE FAMILY HEALTHCTR INC270 E STATE STSTE G110ALLIANCE 44601330-596-7580Accepting new patientsLanguage(s) Spoken:ENGLISHTHOMPSON, RICHELE ( Female)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 226: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 226 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WELCH, HALLE ( Female)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsLanguage(s) Spoken:ENGLISHCHIROPRACTIC (66)

ANDREJCIK, JOSEPH ( Male)JOSEPH ANDREJCIK DC908 W MAIN STLOUISVILLE 44641330-875-3400Accepting new patientsLanguage(s) Spoken:ENGLISHBEANLAND, REX ( Male)CHAPEL STREETCHIROPRACTIC INC316 S CHAPEL STLOUISVILLE 44641330-875-2225Accepting new patientsLanguage(s) Spoken:ENGLISHBLOOD, BRANDON ( Male)SYNAPTIC CHIROPRACTICCENTER INC4883 DRESSLER RD NWSTE 100CANTON 44718330-479-9193Accepting new patientsLanguage(s) Spoken:ENGLISH

BRECHBILL, VINCENT ( Male)BRECHBILLCHIROPRACTIC LLC4336 FULTON DR NWCANTON 44718330-649-2700Accepting new patientsLanguage(s) Spoken:ENGLISHBUBANIC, BERNARD ( Male)BUBANIC CHIROPRACTICINC4082 FULTON DR NWCANTON 44718330-491-8100Accepting new patientsLanguage(s) Spoken:ENGLISHBUKUTS, NATHAN ( Male)BUKUTS CHIROPRACTICHEALTH & WELLNESSCENTER LTD3821 WALES AVE NWMASSILLON 44646330-834-2537Accepting new patientsLanguage(s) Spoken:ENGLISHBUKUTS, KATHRYN ( Female)BUKUTS CHIROPRACTICHEALTH & WELLNESSCENTER LTD3821 WALES AVE NWMASSILLON 44646330-834-2537Accepting new patientsLanguage(s) Spoken:ENGLISH

BUSBY, GREG ( Male)AXIS HEALTHCHIROPRACTIC CTR6535 MARKET AVENUENORTHSTE 201NORTH CANTON 44721330-433-9000Accepting new patientsLanguage(s) Spoken:ENGLISHCAIN, MICHAEL ( Male)CAIN CHIROPRACTICCLINIC6822 WHIPPLE AVENUENWNORTH CANTON 44720330-499-0147Accepting new patientsLanguage(s) Spoken:ENGLISHCASE, DONALD ( Male)CASE CHIROPRACTICCENTER425 ELGIN AVE NWCANTON 44708330-454-5716Accepting new patientsLanguage(s) Spoken:ENGLISHCHEATLE, JASON ( Male)CHEATLE CHIROPRACTIC& REHAB CTR2315 LINCOLN WAY EMASSILLON 44646330-833-7007Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 227: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 227

CHEVALIER, EDWARD ( Male)CHEVALIERCHIROPRACTIC INC7257 FULTON NWSTE 73CANTON 44718330-834-1444Accepting new patientsLanguage(s) Spoken:ENGLISHCROUSE, ABBEY ( Female)POWELL CHIROPRACTICCLINIC4867 MUNSON ST NWCANTON 44718330-494-5533Accepting new patientsLanguage(s) Spoken:ENGLISHDAVIS, TODD ( Male)DAVIS CHIROPRACTIC INC200 W LINCOLNWAYMINERVA 44657330-868-4452Accepting new patientsLanguage(s) Spoken:ENGLISHDIDOMENICO, ROBERT ( Male)DIDOMENICOCHIROPRACTIC1372 W STATE STALLIANCE 44601330-821-0999Accepting new patientsLanguage(s) Spoken:ENGLISH

FEDORKO, JEFFREY ( Male)FEDORKO CHIROPRACTICHEALTH CTR4774 MUNSON ST NWSTE 302CANTON 44718330-494-0422Accepting new patientsLanguage(s) Spoken:ENGLISHFERGUSON, PETER ( Male)FERGUSONCHIROPRACTIC3313 LEE STREET NWNORTH CANTON 44720330-818-2196Accepting new patientsLanguage(s) Spoken:ENGLISHFERGUSON, BRIAN ( Male)FERGUSON FAMILYCHIROPRACTIC &WELLNESS CTR3313 LEE ROAD NWNORTH CANTON 44720330-818-2196Accepting new patientsLanguage(s) Spoken:ENGLISHFERGUSON, AMANDA ( Female)FERGUSON FAMILYCHIROPRACTIC &WELLNESS CTR3313 LEE ROAD NWNORTH CANTON 44720330-818-2196Accepting new patientsLanguage(s) Spoken:ENGLISH

FOUGHTY, JACK ( Male)FOUGHTY CHIROPRACTICCLINIC INC6822 WHIPPLE AVENUENWNORTH CANTON 44720330-499-0147Accepting new patientsLanguage(s) Spoken:ENGLISHGATELARO, JULIE ( Female)FEDORKO CHIROPRACTICHEALTH CTR4774 MUNSON ST NWSTE 302CANTON 44718330-494-0422Accepting new patientsLanguage(s) Spoken:ENGLISHHAYCOCK, KENNETH ( Male)MODERN HEALTHALTERNATIVES INC276 FEDERAL AVE NWMASSILLON 44647330-833-2085Accepting new patientsLanguage(s) Spoken:ENGLISHJAMES, MICHAEL ( Male)CENTER OF HOLISTICMEDICINE LLC4001 WHIPPLE AVE NWSTE LLCANTON 44718330-479-9345Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 228: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 228 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KAGER, ZACHARY ( Male)SYNAPTIC CHIROPRACTICCENTER4883 DRESSLER RD NWSTE 100CANTON 44718330-479-9193Accepting new patientsWALDO CHIROPRACTICCTR INC1317 TERRACE ROAD NWNORTH CANTON 44720330-497-9797Accepting new patientsLanguage(s) Spoken:ENGLISHKNIGHT, JAMES ( Male)HERITAGE CHIROPRACTICHEALTH CENTER2445 SOUTH LOCUST STCANAL FULTON 44614330-854-4544Accepting new patientsLanguage(s) Spoken:ENGLISHKNOP, WILLIAM III ( Male)KNOP CHIROPRACTIC INC450 W MAPLE STSTE 1HARTVILLE 44632330-877-2203Accepting new patientsLanguage(s) Spoken:ENGLISHKOINOGLOU, NICK ( Male)FAMILY HEALTHPHYSICAL MEDICINE LLC641 E STATE STALLIANCE 44601330-821-4455Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH,GREEK

LONGWORTH, CRAIG ( Male)LONGWORTHCHIROPRACTIC7023 MEARS GATE DRIVENORTH CANTON 44720330-494-5554Accepting new patientsLanguage(s) Spoken:ENGLISHMALEY, MICHAEL ( Male)JOCDOC INC4082 FULTON DR NWCANTON 44718330-491-8100Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHMCBREARTY, PATRICK ( Male)MCBREARTY FAMILY &SPORT CHIROPRACTICLLC807 30TH ST NECANTON 44714330-491-0381Accepting new patientsLanguage(s) Spoken:ENGLISHMCKENDREE, ZACHARY ( Male)MODERN HEALTHALTERNATIVES INC276 FEDERAL AVE NWMASSILLON 44647330-833-2085Accepting new patientsLanguage(s) Spoken:ENGLISH

MCMICHAEL, AARON ( Male)MCMICHAELCHIROPRACTIC3945 FULTON DR NWCANTON 44718330-492-1010Accepting new patientsLanguage(s) Spoken:ENGLISHMCMICHAEL, RICK ( Male)MCMICHAELCHIROPRACTIC3945 FULTON DR NWCANTON 44718330-492-1010Accepting new patientsLanguage(s) Spoken:ENGLISHMCMICHAEL, RYAN ( Male)MCMICHAELCHIROPRACTIC3945 FULTON DR NWCANTON 44718330-492-1010Accepting new patientsLanguage(s) Spoken:ENGLISHNEIDERT, WILLIAM ( Male)AXIS HEALTHCHIROPRACTIC CTR6535 MARKET AVENUENORTHSTE 201NORTH CANTON 44721330-433-9000Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 229: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 229

NOVELLI, TIMOTHY ( Male)NOVELLI CHIROPRACTIC525 NORTH MAIN STREETNORTH CANTON 44720330-497-1942Accepting new patientsLanguage(s) Spoken:ENGLISHNULL, WALTER IV ( Male)POWELL CHIROPRACTICCLINIC4867 MUNSON ST NWCANTON 44718330-494-5533Accepting new patientsLanguage(s) Spoken:ENGLISHOLSZEWSKI, LYNN ( Female)MODERN HEALTHALTERNATIVES INC276 FEDERAL AVE NWMASSILLON 44647330-833-2085Accepting new patientsLanguage(s) Spoken:ENGLISHO'NEILL, BRIAN ( Male)O'NEILL CHIROPRACTICCLINIC LLC4190 HOLIDAY ST NWCANTON 44718330-497-7007Accepting new patientsLanguage(s) Spoken:ENGLISH, GERMAN

PEREZ, ERIC ( Male)MCBREARTY FAMILY &SPORT CHIROPRACTICLLC807 30TH ST NECANTON 44714330-491-0381Accepting new patientsLanguage(s) Spoken:ENGLISHPINGHERO, JOHN ( Male)ATLANTIC CHIROPRACTIC3501 LESH ST NECANTON 44705330-456-3487Accepting new patientsLanguage(s) Spoken:ENGLISHPOWELL, JAMES ( Male)POWELL CHIROPRACTICCLINIC4867 MUNSON ST NWCANTON 44718330-494-5533Accepting new patientsLanguage(s) Spoken:ENGLISHPRESTON, WENDI ( Female)PRESTON CHIROPRACTICLLC4190 HOLIDAY ST NWCANTON 44718330-966-0030Accepting new patientsLanguage(s) Spoken:ENGLISH

SCHAFFNER, SARAH ( Female)CHAPEL STREETCHIROPRACTIC INC316 S CHAPEL STLOUISVILLE 44641330-875-2225Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHSHIEPIS, KERIC ( Male)SHIEPIS CLINIC OFCHIROPRACTIC2756 CLEVELAND AVE NWCANTON 44709330-453-7733Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKSHIEPIS, GEORGE ( Male)SHIEPIS CLINIC OFCHIROPRACTIC2756 CLEVELAND AVE NWCANTON 44709330-453-7733Accepting new patientsLanguage(s) Spoken:ENGLISH, GREEKSHIFFLET, NICHOLAS ( Male)CANAL FULTONCHIROPRACTIC LLC2186 LOCUST ST SCANAL FULTON 44614330-408-7550Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISH

Page 230: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 230 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SIKORA, NATHAN ( Male)CENTER OF HOLISTICMEDICINE LLC4001 WHIPPLE AVE NWSTE LLCANTON 44718330-479-9345Accepting new patientsLanguage(s) Spoken:ENGLISHSIMIONIDES, NICK ( Male)CARNATIONCHIROPRACTIC CTR INC2301 W STATE STALLIANCE 44601330-821-1777Accepting new patientsLanguage(s) Spoken:ENGLISHSMITH, WILLIAM ( Male)WILLIAM A SMITH DCMELLETT CHIROPRACTIC3904 TUSCARAWAS ST WCANTON 44708330-477-1339Accepting new patientsLanguage(s) Spoken:ENGLISHSNOW, SCOTT ( Male)SCOTT M SNOW DC7981 KILLEEN ST NWMASSILLON 44646330-832-2939Accepting new patientsLanguage(s) Spoken:ENGLISH

SPRANDEL, JUDSON II( Male)SPRANDELCHIROPRACTIC CLINICINC1412 CLEVELAND AVE NWCANTON 44703330-455-4602Accepting new patientsLanguage(s) Spoken:ENGLISHTHEIS, KARL ( Male)AXIS HEALTHCHIROPRACTIC CTR6535 MARKET AVENUENORTHSTE 201NORTH CANTON 44721330-433-9000Accepting new patientsLanguage(s) Spoken:ENGLISHTILLEY, LARISSA ( Female)FEDORKO CHIROPRACTICHEALTH CTR4774 MUNSON ST NWSTE 302CANTON 44718330-494-0422Accepting new patientsLanguage(s) Spoken:ENGLISHUNGAR, BRENT ( Male)BELDEN VILLAGECHIROPRACTIC &WELLNESS CTR2424 WHIPPLE AVE NWCANTON 44708330-493-0009Accepting new patientsLanguage(s) Spoken:ENGLISH

VARGO, RONALD ( Male)VARGO CHIROPRACTIC &REHABILITATION2424 WHIPPLE AVE NWCANTON 44708330-478-2255Accepting new patientsLanguage(s) Spoken:ENGLISHVARNEY, STEVEN ( Male)VARNEY CHIROPRACTICCLINIC INC4865 W TUSCARAWASCANTON 44708330-477-5654Accepting new patientsLanguage(s) Spoken:ENGLISHVAUGHT, MARTIN ( Male)PRO CHIROPRACTIC3085 STATE ST NWUNIONTOWN 44685330-268-1768Accepting new patientsLanguage(s) Spoken:ENGLISHVIERHELLER, TIMOTHY ( Male)MODERN HEALTHALTERNATIVES INC276 FEDERAL AVE NWMASSILLON 44647330-833-2085Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 231: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 231

VOGELGESANG, CHAD ( Male)VOGELGESANG FAMILYCHIROPRACTIC INC7266 PORTAGE ST NWSTE CMASSILLON 44646330-818-1212Accepting new patientsLanguage(s) Spoken:ENGLISHWALDO, EDWARD ( Male)WALDO CHIROPRACTICCTR INC1317 TERRACE ROAD NWNORTH CANTON 44720330-497-9797Accepting new patientsLanguage(s) Spoken:ENGLISHWEIR, TIMOTHY ( Male)WEIR CHIROPRACTIC INC3325 MIDDLEBRANCH AVENECANTON 44705330-452-4040Accepting new patientsLanguage(s) Spoken:ENGLISHWEISEL, RONALD II ( Male)HARTVILLE HEALTH &WELLNESS CTR INC843 W MAPLE STHARTVILLE 44632330-877-3177Accepting new patientsLanguage(s) Spoken:ENGLISH

WILSON, NICOLE ( Female)FEDORKO CHIROPRACTICHEALTH CTR4774 MUNSON ST NWSTE 302CANTON 44718330-494-0422Accepting new patientsLanguage(s) Spoken:ENGLISHYANG, CHARLES ( Male)PERRY CHIROPRACTIC &THERAPY CTR4933 W TUSCARAWAS STWCANTON 44708330-477-3036Accepting new patientsLanguage(s) Spoken:ENGLISHYOUNG, DAVID ( Male)FEDORKO CHIROPRACTICHEALTH CTR4774 MUNSON ST NWSTE 302CANTON 44718330-494-0422Accepting new patientsLanguage(s) Spoken:ENGLISHCLINICAL NURSESPECIALIST (5)

BRECHBILL, GIUSTINA ( Female)BREAST SURGERYSPECIALISTS2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsLanguage(s) Spoken:ENGLISH

CANFIELD, BETH ( Female)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1478Accepting new patientsLanguage(s) Spoken:ENGLISHFAUTAS, JENNIFER ( Female)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1478Accepting new patientsLanguage(s) Spoken:ENGLISHMELLINGER, MELISSA ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHVACCANI, JOANNE ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 232: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 232 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

COLON AND RECTALSURGERY (1)

ALBERTSON, STEVEN ( Male)SURGICAL ASSOC OFCANTON OF OPPC2600 TUSCARAWAS ST WSTE 620CANTON 44708330-455-8000Accepting new patientsBoard Certified in:GENERAL SURGERY,COLON AND RECTALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCOUNSELING (29)

ALLEN, JEFFREY ( Male)CRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-452-6000Accepting new patientsLanguage(s) Spoken:ENGLISHBALIGA-BROWN,DARLENE ( Female)CRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-452-9812Accepting new patientsLanguage(s) Spoken:ENGLISH

BOTTI, PETER ( Male)COMMQUEST SVCS INC46 FEDERAL AVE NWSTE 1MASSILLON 44647330-833-0234Accepting new patientsLanguage(s) Spoken:ENGLISHBOWERS, GINA ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-455-0374Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsLanguage(s) Spoken:ENGLISHBRADFORD, STEPHANIE ( Female)CRISIS INTERVENTION &RECOVERY CTR2421 13TH ST NWCANTON 44708330-588-2204Accepting new patientsCRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-452-9812Accepting new patientsVISTA PSYCHOLOGICAL &COUNSELING CTR LLC1201 S MAIN STSTE 100NORTH CANTON 44720330-244-8782Accepting new patientsLanguage(s) Spoken:ENGLISH

CHAIDO, MICHELLE ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-455-0374Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-875-8516Accepting new patientsLanguage(s) Spoken:ENGLISHDYER, CHRISTINE ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 233: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 233

EVANS, MARGARET ( Female)CHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)1207 W STATE STSTE GALLIANCE 44601330-823-5335Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)4641 FULTON DR NWCANTON 44718330-433-1843Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)919 SECOND ST NECANTON 44704330-454-7917Accepting new patientsLanguage(s) Spoken:ENGLISHGIANNOS, PATRICIA ( Female)BARBARA FORDYCE &ASSOC LLC3722 WHIPPLE AVE NWCANTON 44718330-492-2006Accepting new patientsLanguage(s) Spoken:ENGLISH

HAMPTON, LATOYA ( Female)CRISIS INTERVENTION &RECOVERY CTR2421 13TH ST NWCANTON 44708330-452-6000Accepting new patientsCRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-455-9407Accepting new patientsLanguage(s) Spoken:ENGLISHHUNYADI, MICHAEL ( Male)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHJAMES, HOPE ( Female)CRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-452-9812Accepting new patientsLanguage(s) Spoken:ENGLISH

JONES, LA VERNE ( Female)COMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISHLEMME, DONALD ( Male)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISHLITTON-BETTS, MICHELLE( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 234: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 234 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MACK, ANYA ( Female)COMMQUEST SVCS INC1660 NAVE RD SEMASSILLON 44646330-837-9411Accepting new patientsLanguage(s) Spoken:ENGLISHMARKULIN, LESLIE ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHMCALISTER, SANDRA ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISH

MILLER, KAREN ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsNEW DAY COUNSELING &PSYCHIATRIC SVCS INC4450 BELDEN VILLAGE STNWSTE 606CANTON 44718330-305-9696Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISHMYERS, APRIL ( Female)QUEST RECOVERY &PREVENTION SVCS1341 MARKET AVE NCANTON 44714330-453-8252Accepting new patientsCOMMQUEST SVCS INC811 FAIRCREST ST SWCANTON 44706330-639-4408Accepting new patientsLanguage(s) Spoken:ENGLISH

PAVICHEVICH, BARBARA ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHSCHNELLER, RORI ( Female)CHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)1207 W STATE STSTE GALLIANCE 44601330-823-5335Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)4641 FULTON DR NWCANTON 44718330-433-6075Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)919 SECOND ST NECANTON 44704330-454-7917Accepting new patientsLanguage(s) Spoken:ENGLISHSINGLETON, LOVE ( Male)COMMQUEST SVCS INC1341 MARKET AVE NCANTON 44714330-453-8252Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 235: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 235

STA MARIA, JANICE ( Female)CHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)1207 W STATE STSTE GALLIANCE 44601330-823-5335Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)4641 FULTON DR NWCANTON 44718330-433-6075Accepting new patientsCHILD & ADOLESCENTBEHAVIORAL HEALTH(C&A)919 SECOND ST NECANTON 44704330-454-7917Accepting new patientsLanguage(s) Spoken:ENGLISHTHOMAS, STEPHEN ( Male)COLEMAN PROFESSIONALSVCS INC400 TUSCARAWAS ST WSTE 200CANTON 44702330-438-2400Accepting new patientsLanguage(s) Spoken:ENGLISH

WEBER, JERRY ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHWILLETT, MARNIE ( Female)NEO BEHAVIORALHEALTH LTD4510 DRESSLER RD NWCANTON 44718330-494-5155Accepting new patientsLanguage(s) Spoken:ENGLISHWOODS, MARK ( Male)COLEMAN PROFESSIONALSVCS INC400 TUSCARAWAS ST WSTE 200CANTON 44702330-438-2400Accepting new patientsLanguage(s) Spoken:ENGLISHZIMMERMAN-MILLER,MONICA ( Female)CRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-452-6000Accepting new patientsLanguage(s) Spoken:ENGLISH

CRITICAL CARE MEDICINE(10)

BOU SERHAL, CHADI ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, SLEEPMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBOUTROS, NIHAD ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in: CRITICALCARE MEDICINE,PULMONARY DISEASELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 236: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 236 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DECOY, DONALD ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 418CANTON 44708330-489-1454Accepting new patientsMERCY PROFESSIONALCARE CORP7337 CARITAS CIR NWSTE 280MASSILLON 44646330-458-4180Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINE, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERKEFALAS, GEORGE ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in: CRITICALCARE MEDICINE,PULMONARY DISEASELanguage(s) Spoken:GREEK, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

KNOCH, MATTHEW ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMILLER, JEFFREY ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

NASHAWATI, EYAD ( Male)PULMONARY PHYSICIANSINC2600 TUSCARAWAS ST WSTE 100CANTON 44708330-452-8844Accepting new patientsBoard Certified in:PULMONARY DISEASE,INTERNAL MEDICINE,CRITICAL CAREMEDICINE, SLEEPMEDICINELanguage(s) Spoken:FRENCH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPACKER, ROBERT ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 418CANTON 44708330-489-1454Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 237: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 237

RAPAKA, VIMALA ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERRUDICK, ALAN ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 418CANTON 44708330-489-1454Accepting new patientsMERCY PROFESSIONALCARE CORP7337 CARITAS CIR NWSTE 280MASSILLON 44646330-458-4180Accepting new patientsBoard Certified in:PULMONARY DISEASE,CRITICAL CAREMEDICINE, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER,AFFINITY MEDICALCENTER

DERMATOLOGY (7)

CHARIF, MARIA ( Female)PHOENIX DERMATOLOGY4340 FULTON DR NWCANTON 44718330-244-8886Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISH, ARABIC,FRENCHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERFOX, MONTE ( Male)TRI-COUNTYDERMATOLOGY4240 MUNSON ST NWCANTON 44718330-492-2327Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UHPORTAGE MEDICALCENTER, WESTERNRESERVE HOSPITAL,MERCY MEDICAL CENTERPOWERS, P. LIZABETH ( Female)LIZABETH POWERS MD6461 FRANK AVENUE NWNORTH CANTON 44720330-494-4222Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

SAYOC, LISA ( Female)DERMATOLOGY ASSOCOF CANTON LLC4565 DRESSLER RD NWSTE LL3CANTON 44718330-491-4700Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSICARD, GUILLERMO ( Male)DR SICARD4825 MUNSON ST NWCANTON 44718330-497-7525Accepting new patientsBoard Certified in:DERMATOLOGY,DERMATOPATHOLOGYLanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITALSICARD, FAUSTO ( Male)DR SICARD4825 MUNSON ST NWCANTON 44718330-497-7525Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 238: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 238 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WIKAS, SCHIELD ( Male)TRI-COUNTYDERMATOLOGY4240 MUNSON ST NWCANTON 44718330-492-2327Accepting new patientsBoard Certified in:DERMATOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,WESTERN RESERVEHOSPITAL, MERCYMEDICAL CENTEREAR, NOSE & THROAT/OTOLARYNGOLOGY (9)

BARAT, MICHAEL ( Male)MICHAEL BARAT MD INC830 AMHERST RD NESTE 208MASSILLON 44646330-837-6842Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ROMANIAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERBLUMER, SCOTT ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC3545 LINCOLN WAY EMASSILLON 44646330-837-3559Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER

BOGDAN, CHARLES ( Male)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITALBRESCIA, AARON ( Male)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITAL

KANAGY, DAVID ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 245ALLIANCE 44601330-596-6520Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, SALEMREGIONAL MEDICALCENTEROSSAKOW, STEVEN ( Male)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITAL

Page 239: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 239

RAMSEY, KENT ( Male)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTERSMITH, DARRELL ( Male)OHIO HEAD & NECKSURGEONS INC4912 HIGBEE AVE NWSTE 200CANTON 44718330-492-2844Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,UNION HOSPITALVOGELGESANG, MARK ( Male)JOHN T GIVEN MD4048 DRESSLER RD NWSTE 100CANTON 44718330-479-3333Accepting new patientsBoard Certified in: EAR,NOSE & THROAT/OTOLARYNGOLOGYLanguage(s) Spoken:ENGLISH

ENDOCRINOLOGY,DIABETES, &METABOLISM (6)

HAROLD, SUZANNE ( Female)NORTHEAST OHIOENDOCRINOLOGY4634 HILLS & DALES NWCANTON 44708330-477-0255Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTERKORABLEVA, IRINA ( Female)NORTHEAST OHIOENDOCRINOLOGY4634 HILLS & DALES NWCANTON 44708330-477-0255Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken:RUSSIAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

KRISHNA, ARVIND ( Male)DIABETES & ENDO ASSOCOF STARK COUNTY4565 DRESSLER RD NWSTE 111CANTON 44718330-493-0013Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRAGHUNATHAN,KALPANA ( Female)AULTMANENDOCRINOLOGY2600 TUSCARAWAS STSWSTE 420CANTON 44708330-682-3010Accepting new patientsAULTMANENDOCRINOLOGY2600 W TUSCARAWAS STSWSTE 240CANTON 44708330-684-1300Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, &METABOLISM, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL

Page 240: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 240 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

RUDICK, JAMES ( Male)JAMES RUDICK MD4765 HIGBEE AVE NWSTE BCANTON 44718330-492-2266Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, &METABOLISM, INTERNALMEDICINELanguage(s) Spoken:HEBREW, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWIETECHA, KEVIN ( Male)NORTHEAST OHIOENDOCRINOLOGY4634 HILLS & DALES NWCANTON 44708330-477-0255Accepting new patientsBoard Certified in:ENDOCRINOLOGY,DIABETES, & METABOLISMLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

FAMILY MEDICINE (83)

ANDERSON, STANLEY ( Male)JACKSON FAMILYPRACTICE7072 MEARS GATE DRIVENWNORTH CANTON 44720330-966-1319Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBARR, EDWARD ( Male)GREAT TRAIL FAMILYPRACTICE1028 E LINCOLNWAYMINERVA 44657330-868-6044Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINE, GERIATRICMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBARTOS, PAUL ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

BELARDO, LITO ( Male)COMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERBLUMER, DANIEL ( Male)DRS BLUMER & BLUMER2662 COLUMBUS RD NECANTON 44705330-453-8168Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALBREWSTER, DIANA ( Female)BREWSTER FAMILYWELLNESS CTR4172 HOLIDAY ST NWCANTON 44718330-433-9260Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 241: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 241

BROPHY, ROBERT ( Male)WAYNESBURG FAMILYPRACTICE8320 WAYNESBURG DRSEWAYNESBURG 44688330-866-2510Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALCAIN, BRIAN ( Male)BRIAN R CAIN MD &ASSOCIATES LLC650 SOUTH PROSPECTAVENUESTE 202HARTVILLE 44632330-877-3008Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTERCHAUDHRI, PARUL ( Female)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

CLARKE, ASHLEY ( Female)CLARKE FAMILYMEDICINE LLC2520 WALES RDSTE 220MASSILLON 44646330-880-5671Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALCOLA, DAVID ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISH

COOK, JOSEPH ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC830 AMHERST RD NESTE 201MASSILLON 44646330-834-4725Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTERDANG, SON ( Male)MASSILLON FAMILY CAREINC2606 WALES AVE NWSTE BMASSILLON 44646330-834-4735Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, VIETNAMESEHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 242: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 242 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DISTEL, LAURA ( Female)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyCOMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINE, SPORTSMEDICINELanguage(s) Spoken:ENGLISHDUFFEY, JEFFREY ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC830 AMHERST RD NESTE 201MASSILLON 44646330-834-4725Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

DUGGAN, WILLIAM ( Male)MERCY PROFESSIONALCARE CORP1413 PORTAGE STREETNWNORTH CANTON 44720330-499-7591Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTEREICHNER, WILLIAM ( Male)WILLIAM EICHNER MD1640 S UNION AVEALLIANCE 44601330-821-5566Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,ALLIANCE COMMUNITYHOSPITALEISENTROUT, TAMMY( Female)PARTNERS IN FAMILYPRACTICE4048 DRESSLER RDSTE 203CANTON 44718330-478-4132Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

FALVO LANG, JESSICA ( Female)COMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERGASHASH, HOUNEINE ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsBoard Certified in:PATHOLOGY-CLINICALLanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 243: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 243

GIBBS, THOMAS ( Male)COMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsTRI COUNTY MEDICALSVCS855 W MAPLE STSTE 120HARTVILLE 44632330-877-6613Accepting new patientsCOMMQUEST SVCS INC1660 NAVE RD SEMASSILLON 44646330-837-9411Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

GODLEWSKI, EMILY ( Female)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsPLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsAULTMAN PHYSICIAN CTROF OPPC4319 HILLS & DALES RDNWCANTON 44708330-363-6211Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALGRIMES, MICHAEL ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 240ALLIANCE 44601330-596-6560Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL

HABAN, GREGORY ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERHAEUFGLOECKNER,ANTHONY ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)4320 CLEVELAND AVE SWCANTON 44707330-484-2584Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, MERCYMEDICAL CENTERHAKE, SUSAN ( Female)FAMILY MEDICINE OFSTARK COUNTY6512 WHIPPLE AVENUENWNORTH CANTON 44720330-499-5600Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 244: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 244 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HARBERT, KELLY ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 240ALLIANCE 44601330-596-6560Accepting new patientsALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC514 W MAIN STLOUISVILLE 44641330-875-5716Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHAUPT, KATHY ( Female)FAMILY MEDICINE OFSTARK COUNTY6512 WHIPPLE AVENUENWNORTH CANTON 44720330-499-5600Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

HAWKINS, W ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERISON, RODNEY ( Male)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHJENRETTE, MARILYN ( Female)N CANTON FAMILYPHYSICIANS133 WILBUR DRIVE NENORTH CANTON 44720330-494-6012Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

JOHNS, JAMES ( Male)LITTLE FLOWER FAMILYPRACTICE INC211 15TH ST NWCANTON 44703330-455-0800Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINE, SPORTSMEDICINELanguage(s) Spoken: LATIN,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKOLARIK, LOUISE ( Female)COMMUNITY HEALTHCARE INC855 W MAPLE STSTE 110HARTVILLE 44632330-877-3616Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKOTHARI, SAROJ ( Female)KOTHARI MEDICAL ASSOCINC4051 LINCOLN WAY EMASSILLON 44646330-477-7800Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 245: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 245

KOTNIK, TRACY ( Female)MERCY PRIMARY CAREAARONWOOD2859 AARONWOOD AVENESTE 3MASSILLON 44646330-832-2280Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken: SIGN,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKREPTOWSKI, DIANNE ( Female)KREPTOWSKI FAMILYPRACTICE6509 FRANK AVE NWNORTH CANTON 44720330-244-0480Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER, MERCYMEDICAL CENTER

KRUSEMARK MILLIN,JENNIFER ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)4320 CLEVELAND AVE SWCANTON 44707330-484-2584Accepting existing patientsonlyAULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER, AULTMANHOSPITALKUENTZ, DUANE ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 240ALLIANCE 44601330-596-6560Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

LAVINDER, JULIE ( Female)HEALTH ALLIANCE INCDBA ACH FAMILY CARE506 W MAIN STLOUISVILLE 44641330-875-5625Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALLICAUSE, MATTHEW ( Male)FAMILY MEDICINE OFSTARK COUNTY6512 WHIPPLE AVENUENWNORTH CANTON 44720330-499-5600Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERLUPISAN, KERWIN JOEL ( Male)CANTON SOUTH FAMILYHEALTHCARE LLC4822 CLEVELAND AVE SCANTON 44707330-484-1607Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, FILIPINOHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 246: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 246 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

LUTZKE, WAYNE ( Male)FAMILY PRACTICE ASSOCINC2300 WALES AVE NWMASSILLON 44646330-832-3188Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMALLAMACI, DAVID ( Male)JACKSON FAMILYPRACTICE7072 MEARS GATE DRIVENWNORTH CANTON 44720330-966-1319Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMANNOS, JOHN ( Male)DR JOHN MANNOS333 SECOND ST SECANTON 44702330-452-3200Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:GREEK, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

MARSHALL, HOWARD ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMETZGER, HOWARD JR( Male)FAMILY MEDICINE OFSTARK COUNTY6512 WHIPPLE AVENUENWNORTH CANTON 44720330-499-5600Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMIRANDE, MELANIE ( Female)FAMILY MEDICINE INC6525 MARKET AVE NSTE 101CANTON 44721330-494-9785Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

MORGAN, SUZANNE ( Female)AMG NORTH CANTONMEDICAL CTR6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERMUSA, ROGER ( Male)WAYNESBURG FAMILYPRACTICE8320 WAYNESBURG DRSEWAYNESBURG 44688330-866-2510Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, FRENCH,ARABICHospital Affiliation(s):AULTMAN HOSPITALNAIR, AJAY ( Male)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

Page 247: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 247

NORMAN, ROBERT ( Male)AFFINITY FAMILYPHYSICIANS-TOWPATH1230 MARKET ST NENAVARRE 44662330-879-5983Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN ORRVILLEHOSPITAL, AFFINITYMEDICAL CENTEROLSON, DAVID ( Male)COMMUNITY HEALTHCARE INC855 W MAPLE STSTE 110HARTVILLE 44632330-877-3616Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTEROPRANDI, ALLISON ( Female)FAMILY CARE CTR4319 HILLS & DALES RDNWCANTON 44708330-478-6333Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

PANTELAS, GUST ( Male)FAMILY MEDICINE OFSTARK COUNTY6512 WHIPPLE AVENUENWNORTH CANTON 44720330-499-5600Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:GREEK, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPARRISH, JILL ( Female)COMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

PAVLICA, MARY ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 240ALLIANCE 44601330-596-6560Accepting new patientsALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC514 W MAIN STLOUISVILLE 44641330-875-5716Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALPERKOWSKI, VINCENT ( Male)MERCY PROFESSIONALCARE CORP3300 BAILEY ST NWSTE 102MASSILLON 44646330-834-9761Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 248: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 248 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

POGORELEC, EUGENE ( Male)FAMILY PRACTICE ASSOCINC2300 WALES AVE NWMASSILLON 44646330-832-3188Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER, WESTERNRESERVE HOSPITALRUCKI, PAMELA ( Female)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHSCHEUFLER, STEVEN ( Male)COMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

SCROGGINS, KATHLEEN ( Female)MERCY PROFESSIONALCARE CORP7337 CARITAS CIR NWSTE 220MASSILLON 44646330-830-6202Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERSEAGER, JON ( Male)COMMUNITY HEALTHCARE INC855 W MAPLE STSTE 110HARTVILLE 44632330-877-3616Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSEIBERT, MEGAN ( Female)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

SEIBERT, DALSON ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSHEMORY, THOMAS ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 249: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 249

SHERIDAN, KATHERINE ( Female)AULTMAN FAMILYMEDICINE CTR OFCANTON2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsOHIO PHYSICIANSPROFESSIONAL CORP4319 HILLS & DALES RDNWCANTON 44708330-478-6333Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):AULTMAN HOSPITALSIMON, MARK ( Male)FAMILY PRACTICE ASSOCINC2300 WALES AVE NWMASSILLON 44646330-832-3188Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

SINGH, KUSUM ( Female)ALLIANCE FAMILYPRACTICE2011 GLAMORGANALLIANCE 44601330-823-3951Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALSOTO, CARMEN ( Female)COMMUNITY HEALTHCARE INC4761 HIGBEE AVE NWCANTON 44718330-493-0476Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSPALDING, JANICE ( Female)HEALTH ALLIANCE INCDBA ACH FAMILY CARE506 W MAIN STLOUISVILLE 44641330-875-5625Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

STEINECK, BRADY ( Male)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsCOMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERSTETLER, CHRISTOPHER ( Male)MERCY PROFESSIONALCARE CORP432 KING CHURCH AVESWUNIONTOWN 44685330-877-0781Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 250: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 250 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SWISHER, BENJAMIN ( Male)STARK FAMILY HEALTHCTR4465 FULTON DR NWSTE 100CANTON 44718330-497-2700Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERTABB, CATHARINE ( Female)FAMILY PRACTICE CTR OFLOUISVILLE1303 CALIFORNIA AVELOUISVILLE 44641330-875-3353Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERTAMBURRO, LEONARD ( Male)MERCY PROFESSIONALCARE CORP1413 PORTAGE STREETNWNORTH CANTON 44720330-499-7591Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

TOLENTINO-BELEN,MARIQUITA ( Female)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsOHIO PHYSICIANSPROFESSIONAL CORP8320 WAYNESBURG DRSEWAYNESBURG 44688330-866-2510Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALVOLPE, GINA ( Female)PARTNERS IN FAMILYPRACTICE4048 DRESSLER RD NWSTE 203CANTON 44718330-478-4132Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

VRABEL, JOSEPH ( Male)COMMQUEST SVCS INC1341 MARKET AVE NCANTON 44714330-453-8252Accepting new patientsCOMMQUEST SVCS INC1680 NAVE RD SEMASSILLON 44646330-830-8740Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERWERSTLER, KEITH ( Male)FAMILY CARE CTR4319 HILLS & DALES RDNWCANTON 44708330-478-6333Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 251: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 251

WITHNELL, PHILIP ( Male)COMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWURST, TERESA ( Female)WAYNESBURG FAMILYPRACTICE8320 WAYNESBURG DRSEWAYNESBURG 44688330-866-2510Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALWYMYSLO, EDMUND ( Male)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

YUTZY, MICHAEL ( Male)AULTMAN WOUND CARESVCS2600 SIXTH ST SWCANTON 44710330-363-4977Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERGASTROENTEROLOGY(16)

AL LAHHAM, BASSEL ( Male)GASTROENTEROLOGYASSOCIATES INC4665 BELPAR ST NWCANTON 44718330-493-1480Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTER

CONGENI, JONATHAN ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERELLIOTT, RICHARD ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC3722 DRESSLER RD NWCANTON 44718330-479-9000Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERFAHMY, NABIL ( Male)GASTROENTEROLOGY& HEPATOLOGYSPECIALISTS INC4360 FULTON DR NWCANTON 44718330-305-2020Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTER

Page 252: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 252 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GURNEY, MICHAEL ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERHLIVKO, JONATHAN ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 120ALLIANCE 44601330-829-0951Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

KAMEL, SAMEH ( Male)GASTROENTEROLOGY& HEPATOLOGYSPECIALISTS INC4360 FULTON DR NWSTE BCANTON 44718330-305-2020Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERKHETARPAL, SANJIV ( Male)GASTROENTEROLOGYASSOCIATES INC4665 BELPAR ST NWCANTON 44718330-493-1480Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERKHULLAR, SANJIV ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken: HINDI,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

KORKOR, KHALIL ( Male)GASTROENTEROLOGY OFCANTON INC4124 MUNSON ST NWSTE ACANTON 44718330-492-6662Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERLIBERTIN, ANDREW ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSCHIRACK, EDWARD ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC3722 DRESSLER RD NWCANTON 44718330-479-9000Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

Page 253: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 253

SHAY, MONA ( Female)DOCTORS HOSPPHYSICIAN SVCS LLC3722 DRESSLER RD NWCANTON 44718330-479-9000Accepting new patientsBoard Certified in:GASTROENTEROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERVAN NESS, MICHAEL ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:FRENCH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

XIAO, ZUOLIANG ( Male)GASTROENTEROLOGY& HEPATOLOGYSPECIALISTS INC4360 FULTON DR NWSTE BCANTON 44718330-305-2020Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISH, CHINESE-CLASSICALHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERYUNG, KENNY ( Male)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsBoard Certified in:GASTROENTEROLOGY,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

GENERAL SURGERY (24)

ALBERTSON, STEVEN ( Male)SURGICAL ASSOC OFCANTON OF OPPC2600 TUSCARAWAS ST WSTE 620CANTON 44708330-455-8000Accepting new patientsBoard Certified in:GENERAL SURGERY,COLON AND RECTALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBISCONTI, NICHOLAS JR( Male)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 254: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 254 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BOONE, GREGORY ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 319CANTON 44708330-580-4706Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERBORTH, DEAN ( Male)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBOUTSICARIS, PETER ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 319CANTON 44708330-580-4706Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

BUTLER, BRETT ( Male)REGIONAL VASCULAR &VEIN6046 WHIPPLE AVE NWSTE 100NORTH CANTON 44720234-347-0390Accepting new patientsBoard Certified in:VASCULAR SURGERY,GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s): UNIONHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTERCONKLIN, CHARLES ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC323 MARION AVE NWSTE 100MASSILLON 44646330-832-8800Accepting new patientsBoard Certified in:GENERAL SURGERY,VASCULAR SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

COUGHLIN, LISA ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 420CANTON 44708330-588-4697Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERDE PERALTA, CLAUDIO ( Male)ALLIANCE SURGICALCARE INC2461 W STATE STSTE CALLIANCE 44601330-823-4424Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERHUDZIK, PAUL ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 120ALLIANCE 44601330-823-8452Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

Page 255: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 255

KELLY, STEVEN ( Male)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKHAN, NABEEL ( Male)CANTON PLASTICSURGEONS4665 DOUGLAS CIR NWSTE 103CANTON 44718330-499-2209Accepting new patientsBoard Certified in:GENERAL SURGERY,PLASTIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALKOFOL, WARREN ( Male)STARK COUNTYSURGEONS2037 WALES RD NWSTE 110MASSILLON 44646330-837-8300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

LAFFERTY, MARK ( Male)STARK COUNTYSURGEONS2037 WALES RD NWSTE 110MASSILLON 44646330-837-8300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERLITVAK, DAVID ( Male)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALMESHEKOW, ALAN ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC323 MARION AVESTE 100MASSILLON 44646330-832-8800Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

MILLER, MATTHEW ( Male)REGIONAL VASCULAR &VEIN6046 WHIPPLE AVE NWSTE 100NORTH CANTON 44720234-347-0390Accepting new patientsBoard Certified in:GENERAL SURGERY,VASCULAR SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL, MERCYMEDICAL CENTERMITCHELL, DANIEL ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC200 E STATE STALLIANCE 44601330-596-7940Accepting new patientsALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 120ALLIANCE 44601330-823-8452Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

Page 256: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 256 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ROBERTS, NICHOLAS ( Male)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER,AULTMAN HOSPITALSAADEY, JOSEPH ( Male)SURGICAL ASSOC OFCANTON OF OPPC2600 TUSCARAWAS ST WSTE 620CANTON 44708330-455-8000Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSHACKOUR, MAZIN ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 420CANTON 44708330-588-4697Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

SHILAD, SABRINA ( Female)BREAST SURGERYSPECIALISTS2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsSURGICAL ASSOC OFCANTON OF OPPC2600 TUSCARAWAS ST WSTE 620CANTON 44708330-455-8000Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSTJERNHOLM, MELVIN ( Male)SURGICAL ASSOC OFCANTON OF OPPC2600 TUSCARAWAS ST WSTE 620CANTON 44708330-455-8000Accepting new patientsBoard Certified in:GENERAL SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTER

SWEITZER, KIRBY ( Male)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 319CANTON 44708330-580-4706Accepting new patientsBoard Certified in:GENERAL SURGERY,COLON AND RECTALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERGERIATRIC MEDICINE (4)

BARR, EDWARD ( Male)GREAT TRAIL FAMILYPRACTICE1028 E LINCOLNWAYMINERVA 44657330-868-6044Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINE, GERIATRICMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 257: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 257

BIROS, KENNETH ( Male)FAMILY MEDICAL CARECTR9164 RUBY RIDGE ST NWCANAL FULTON 44614330-854-1892Accepting new patientsFAMILY MEDICAL CARECTR5005 HIGBEE AVE NWCANTON 44718330-492-7835Accepting new patientsFAMILY MEDICAL CARECTR2308 RENO DRLOUISVILLE 44641330-875-5562Accepting new patientsFAMILY MEDICAL CARECTR7770 COLUMBUS RD NELOUISVILLE 44641330-875-1456Accepting new patientsFAMILY MEDICAL CARECTR2311 NAVE RD SEMASSILLON 44646330-837-1001Accepting new patientsFAMILY MEDICAL CARECTR435 AVIS AVE NWMASSILLON 44646330-837-1741Accepting new patientsFAMILY MEDICAL CARECTR220 APPLEGROVESTREET NENORTH CANTON 44720330-966-5619Accepting new patientsBoard Certified in: FAMILYMEDICINE AND OMTLanguage(s) Spoken:ENGLISH

Hospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTERGUDLA, JYOTHI ( Female)NOVUS HEALTH &WELLNESS2823 AARONWOOD AVENEMASSILLON 44646330-830-8666Accepting new patientsBoard Certified in:GERIATRIC MEDICINE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, AKRONGENERAL MEDICALCENTERISON, RODNEY ( Male)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyBoard Certified in: FAMILYMEDICINELanguage(s) Spoken:ENGLISH

GYNECOLOGICONCOLOGY (1)

HOPKINS, MICHAEL ( Male)OHIO PHYSICIANSPROFESSIONAL CORP2600 SEVENTH STREETSWCANTON 44708330-363-6135Accepting new patientsAULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsOHIO PHYSICIANSPROFESSIONAL CORP2600 TUSCARAWAS ST WSTE 420CANTON 44708330-438-6274Accepting new patientsBoard Certified in:GYNECOLOGICONCOLOGY, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER, MERCYMEDICAL CENTER

Page 258: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 258 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GYNECOLOGY (6)

BAKER, ROGER ( Male)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:GYNECOLOGY,OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTERBRISTER, EVELYN ( Female)ALBERT T DOMINGO MSMD INC3120 PARKWAY ST NWSTE ACANTON 44708330-452-9460Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

DRUMMOND-RAY,PAMELA ( Female)LIFE STAGES WOMENSHEALTH & WELLNESS3120 PARKWAY ST NWSTE BCANTON 44708330-832-7362Accepting new patientsLIFE STAGES WOMENSHEALTH & WELLNESS2606 WALES AVE NWSTE 300MASSILLON 44646330-832-7302Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMORETUZZO, RICHARD ( Male)REPRODUCTIVEGYNECOLOGY INC2600 TUSCARAWAS ST WSTE 560CANTON 44708330-452-6010Accepting new patientsBoard Certified in:REPRODUCTIVEENDOCRINOLOGY/INFERTILITY, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISH, ITALIANHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,AULTMAN HOSPITAL

RAMAIAH, PRIYABALA ( Female)TOTAL WOMENS CAREINC1445 HARRISON AVE NWSTE 302CANTON 44708330-452-9900Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:TAMIL, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERROMERO, JORGE ( Male)CANTON WOMENS CTR6555 FRANK AVENUE NWNORTH CANTON 44720330-966-9090Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 259: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 259

HEMATOLOGY (2)

JAKOB, JOHN ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSCHMOTZER, JAMES ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

HEMATOLOGY/ONCOLOGY (12)

GABRAIL, NASHAT ( Male)GABRAIL CANCER CTR4875 HIGBEE AVE NWCANTON 44718330-492-3345Accepting new patientsBoard Certified in: MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ASSYRIAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, MERCYMEDICAL CENTERHAUT, MITCHELL ( Male)HEMATOLOGY &ONCOLOGY ASSOC INC1455 HARRISON AVE NWSTE 105CANTON 44708330-453-9993Accepting new patientsBoard Certified in:INTERNAL MEDICINE,HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, ALLIANCECOMMUNITY HOSPITAL,MERCY MEDICAL CENTER

IQBAL, AMIR ( Male)AULTMAN CANCERCENTER AT ALLIANCECOMMUNITY HOSPITAL885 SAWBURG RDSTE 110ALLIANCE 44601330-596-1811Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALJAKOB, JOHN ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 260: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 260 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KAUR, HANSPREET ( Female)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, UNIONHOSPITALMCGEE, SCOTT ( Male)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AKRON GENERALMEDICAL CENTER,AULTMAN HOSPITAL,MERCY MEDICAL CENTER

NAGAJOTHI,NAGAPRASAD ( Male)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsBoard Certified in:INTERNAL MEDICINE,HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:TELUGU, TAMIL, HINDI,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERRAFIQUE, NOMAN ( Male)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsBoard Certified in:MEDICAL ONCOLOGY,HEMATOLOGYLanguage(s) Spoken:ENGLISH, URDUHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

SCHMOTZER, JAMES ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERVEMULAPALLI, SUNITHA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 261: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 261

WAGAMON, SHARON ( Female)HEMATOLOGY &ONCOLOGY ASSOC INC1455 HARRISON AVE NWSTE 105CANTON 44708330-453-9993Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s): STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTER,AFFINITY MEDICALCENTER, ALLIANCECOMMUNITY HOSPITALWEEMAN, KISA ( Female)AULTMAN HOSPITAL2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

HOSPICE AND PALLIATIVEMEDICINE (1)

LEHRER, DEBRA ( Female)HEALTH ALLIANCE INC200 E STATE STALLIANCE 44601330-596-6000Accepting new patientsBoard Certified in:HOSPICE AND PALLIATIVEMEDICINE, HOSPICE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALINFECTIOUS DISEASE (5)

AL NEMR, BADIE ( Male)PREMIER SPECIALISTSIN INFECTIOUS DISEASE,LLC4316 DRESSLER RD NWCANTON 44718216-849-0706Accepting new patientsBoard Certified in:INFECTIOUS DISEASELanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

FIORENTINO,MARCANTONIO ( Male)CLINICIANS ININFECTIOUS DISEASESINC128 WERTZ AVE NWSTE CCANTON 44708330-454-7722Accepting new patientsBoard Certified in:INFECTIOUS DISEASELanguage(s) Spoken:ITALIAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERGALANG, GABRIEL ( Male)CLINICIANS ININFECTIOUS DISEASESINC128 WERTZ AVE NWSTE CCANTON 44708330-454-7722Accepting existing patientsonlyBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, UNIONHOSPITAL, MERCYMEDICAL CENTER

Page 262: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 262 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KOBE, MARGARET ( Female)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,PEDIATRIC INFECTIOUSDISEASESLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERLEININGER, ROBERT ( Male)CLINICIANS ININFECTIOUS DISEASESINC128 WERTZ AVE NWSTE CCANTON 44708330-454-7722Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,INTERNAL MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICALCENTER, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

MATERNAL AND FETALMEDICINE (2)

GILL, PRABHCHARAN ( Male)MATERNAL FETALMEDICINE2600 SIXTH ST SWCANTON 44710330-438-6296Accepting new patientsMATERNAL FETALMEDICINE2600 W TUSCARAWAS STSWSTE 300CANTON 44708330-363-6296Accepting new patientsBoard Certified in:MATERNAL AND FETALMEDICINE, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISH, SWAHILI,PUNJABIHospital Affiliation(s):AULTMAN HOSPITAL

KREW, MICHAEL ( Male)MATERNAL FETALMEDICINE2600 SIXTH ST SWCANTON 44710330-438-6296Accepting new patientsMATERNAL FETALMEDICINE2600 W TUSCARAWAS STSWSTE 300CANTON 44708330-363-6296Accepting new patientsBoard Certified in:MATERNAL AND FETALMEDICINE, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITALMEDICAL ONCOLOGY (4)

CORTESE, FERDINANDO ( Male)HEMATOLOGY &ONCOLOGY ASSOC INC1455 HARRISON AVE NWSTE 105CANTON 44708330-453-9993Accepting new patientsBoard Certified in: MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ITALIAN, FRENCH,SPANISH, ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, AFFINITYMEDICAL CENTER, MERCYMEDICAL CENTER

Page 263: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 263

JAKOB, JOHN ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in:HEMATOLOGY, MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKHAN, RAZA ( Male)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in: MEDICALONCOLOGYLanguage(s) Spoken: URDU,PUNJABI, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,POMERENE HOSPITAL,MERCY MEDICAL CENTER

TREHAN, SHRUTI ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)2600 SIXTH ST SWCANTON 44710330-438-6333Accepting new patientsBoard Certified in: MEDICALONCOLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERNEONATAL-PERINATALMEDICINE (3)

OLOYA, RICHARD ( Male)PERINATAL & PEDIATRICSVCS INC2600 SIXTH ST SWCANTON 44710330-438-7430Accepting new patientsBoard Certified in:NEONATAL-PERINATALMEDICINE, PEDIATRICSLanguage(s) Spoken: LWO,ENGLISH, OCCITANHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITAL,MERCY MEDICAL CENTER

SOBOWALE, ADEYEMI ( Male)PERINATAL & PEDIATRICSVCS INC2600 SIXTH ST SWCANTON 44710330-438-7430Accepting new patientsBoard Certified in:NEONATAL-PERINATALMEDICINE, PEDIATRICSLanguage(s) Spoken:ENGLISH, YORUBAHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,ALLIANCE COMMUNITYHOSPITALVAZQUEZ, ROGER ( Male)PERINATAL & PEDIATRICSVCS INC2600 SIXTH ST SWCANTON 44710330-438-7430Accepting new patientsBoard Certified in:NEONATAL-PERINATALMEDICINE, PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTER

Page 264: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 264 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NEPHROLOGY (11)

ASFOURA, JEHAD ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:INTERNAL MEDICINELanguage(s) Spoken:GERMAN, FRENCH,ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, ALLIANCECOMMUNITY HOSPITAL,MERCY MEDICAL CENTERBHARGAVA, PRAMOD( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC270 E STATE STSTE 100ALLIANCE 44601330-649-9400Accepting new patientsKIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken: HINDI,GUJURATI, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

DEGENHARD, ANTHONY ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC270 E STATE STSTE 100ALLIANCE 44601330-649-9400Accepting new patientsKIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,UNION HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

GARTON, JOHN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC270 E STATE STSTE 100ALLIANCE 44601330-649-9400Accepting new patientsKIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITALKELLEY, KEVIN ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, AFFINITYMEDICAL CENTER, UNIONHOSPITAL

Page 265: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 265

KONTAMWAR, ABHIJIT( Male)RENAL CONSULTANTSINC2600 TUSCARAWAS ST WSTE 160CANTON 44708330-454-9126Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERMAITRA, ARUP ( Male)RENAL CONSULTANTSINC2600 TUSCARAWAS ST WSTE 160CANTON 44708330-454-9126Accepting new patientsBoard Certified in:NEPHROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, ALLIANCECOMMUNITY HOSPITAL,UNION HOSPITAL

MAKEY, DAYANAND ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC270 E STATE STSTE 100ALLIANCE 44601330-823-5264Accepting new patientsKIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s): UNIONHOSPITAL, AFFINITYMEDICAL CENTER,AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITALPRADHAN, NISHIGANDHA ( Female)RENAL CONSULTANTSINC2600 TUSCARAWAS ST WSTE 160CANTON 44708330-454-9126Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTER

RAJAN, JAMES ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTERSOTO, LUIS ( Male)KIDNEY & HYPERTENSIONCONSULTANTS INC4689 FULTON DR NWCANTON 44718330-649-9400Accepting new patientsBoard Certified in:NEPHROLOGY, INTERNALMEDICINELanguage(s) Spoken:SPANISH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL, UNIONHOSPITAL, AFFINITYMEDICAL CENTER

Page 266: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 266 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

NEUROLOGICALSURGERY (2)

TABET, JEAN CLAUDE ( Male)OHIO SPECIALTYPHYSICIANS CORP2600 TUSCARAWAS ST WSTE 540CANTON 44708330-454-0350Accepting new patientsBoard Certified in:NEUROLOGICALSURGERYLanguage(s) Spoken:FRENCH, ENGLISHHospital Affiliation(s):AULTMAN HOSPITALWEINER, MARK ( Male)OHIO SPECIALTYPHYSICIANS CORP2600 TUSCARAWAS ST WSTE 520CANTON 44708330-454-0702Accepting new patientsBoard Certified in:NEUROLOGICALSURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

NEUROLOGY (8)

BAVIS, JAMES JR ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,POMERENE HOSPITAL,AULTMAN ORRVILLEHOSPITAL, AFFINITYMEDICAL CENTER

BERKE, JAY ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC6100 WHIPPLE AVENUENWNORTH CANTON 44720330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTER

Page 267: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 267

CASANOVA, JOSE ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsAULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:SPANISH, ENGLISH,ITALIANHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

DRAKE, RYAN ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC6100 WHIPPLE AVENUENWNORTH CANTON 44720330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

DRAKE, JENNIFER ( Female)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC6100 WHIPPLE AVENUENWNORTH CANTON 44720330-494-2097Accepting new patientsBoard Certified in:NEUROLOGY, SLEEPMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 268: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 268 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KINAST, MORRIS ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC7442 FRANK AVENUE NWNORTH CANTON 44720330-499-5700Accepting new patientsBoard Certified in:NEUROLOGY-SPECIALQUALIFICATION IN CHILDNEUROLOGY, PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, ALLIANCECOMMUNITY HOSPITAL,MERCY MEDICAL CENTER

STALKER, ANDREW ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC6100 WHIPPLE AVENUENWNORTH CANTON 44720330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL, AFFINITYMEDICAL CENTER, MERCYMEDICAL CENTER

ZOLLINGER, CHARLES ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC6100 WHIPPLE AVENUENWNORTH CANTON 44720330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, MERCYMEDICAL CENTER,ALLIANCE COMMUNITYHOSPITAL

Page 269: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 269

NEUROLOGY-SPECIALQUALIFICATION IN CHILDNEUROLOGY (1)

KINAST, MORRIS ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsNEUROCARE CTR INC2021 WALES RD NEMASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsNEUROCARE CTR INC7442 FRANK AVENUE NWNORTH CANTON 44720330-499-5700Accepting new patientsBoard Certified in:NEUROLOGY-SPECIALQUALIFICATION IN CHILDNEUROLOGY, PEDIATRICSLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, ALLIANCECOMMUNITY HOSPITAL,MERCY MEDICAL CENTER

NURSE PRACTITIONER(124)

AKERS, MARY ( Female)COMMUNITY HEALTHCARE INC855 W MAPLE STSTE 110HARTVILLE 44632330-877-3616Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHAPPLEMAN, CARLY ( Female)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyCOMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHASHCRAFT, NATASHA ( Female)CRISIS INTERVENTION &RECOVERY CTR2421 13TH ST NWCANTON 44708330-452-6000Accepting new patientsCRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-455-9407Accepting new patientsLanguage(s) Spoken:ENGLISH

BAKER, KELLI ( Female)DIABETES & ENDO ASSOCOF STARK COUNTY4565 DRESSLER RD NWSTE 111CANTON 44718330-493-0013Accepting new patientsLanguage(s) Spoken:ENGLISHBARKHEIMER, RHONDA ( Female)ALBERT T DOMINGO MSMD INC3120 PARKWAY NWSTE ACANTON 44708330-452-9460Accepting new patientsLanguage(s) Spoken:ENGLISHBARNES, CHRISTY ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHBAUM-BEIGIE, ABBEY ( Female)BETHANY MEDICAL CTRINC626 34TH ST NWCANTON 44709330-492-7171Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 270: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 270 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

BAUMBERGER,MARYBETH ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)4320 CLEVELAND AVE SECANTON 44707330-433-1258Accepting new patientsLanguage(s) Spoken:ENGLISHBERKSHIRE, JILLIAN ( Female)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsLanguage(s) Spoken:ENGLISHBLACKWELL, DONNA ( Female)DIV OF MED EDUCATION2600 SIXTH ST SWCANTON 44710330-452-9911Accepting new patientsLanguage(s) Spoken:ENGLISHBOSLER, GINGER ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)4320 CLEVELAND AVE SWCANTON 44707330-484-2584Accepting existing patientsonlyLanguage(s) Spoken:ENGLISH

BURKEY, LINDSAY ( Female)DOCTORS HOSPPHYSICIAN SVCS LLC3722 DRESSLER RD NWCANTON 44718330-479-9000Accepting new patientsLanguage(s) Spoken:ENGLISHCAMPBELL, CYNTHIA ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STG105ALLIANCE 44601330-829-8699Accepting new patientsLanguage(s) Spoken:ENGLISHCAMPBELL, ROSE ( Female)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsLanguage(s) Spoken:ENGLISH

CICCARELLI, ANITA ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISHCLINE, MICHELLE ( Female)HEALTH ALLIANCE INC200 E STATE STALLIANCE 44601330-596-6000Accepting new patientsLanguage(s) Spoken:ENGLISHCOATES, HEATHER ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 271: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 271

COLLIER, SANDRA ( Female)LITTLE FLOWER FAMILYPRACTICE211 15TH ST NWCANTON 44703330-455-0800Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHCONKEY, MARTHA ( Female)TOTAL WOMENS CAREINC1445 HARRISON AVE NWSTE 302CANTON 44708330-452-9900Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISH

CRAWFORD, CAROL( Female)DIV OF MED EDUCATION2600 SIXTH ST SWCANTON 44710330-452-9911Accepting new patientsLanguage(s) Spoken:ENGLISHDAPOZ, LOUISE ( Female)AULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsLanguage(s) Spoken:ENGLISHDARNELL, DEBORAH ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHDAUGHERTY, HEIDI ( Female)DIABETES & ENDO ASSOCOF STARK COUNTY4565 DRESSLER RD NWSTE 111CANTON 44718330-493-0013Accepting new patientsLanguage(s) Spoken:ENGLISH

DEARDUFF, MICHELLE ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHDEESER, BRENDA ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHDENNIS, JACQUELYN ( Female)MANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1207 W STATE STSTE NALLIANCE 44601330-821-3244Accepting new patientsMANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1168 ALLIANCE RD NWMINERVA 44657330-863-3711Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 272: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 272 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

DICKENS, LATOYA ( Female)AULTMAN INPATIENTMEDICINE2600 SIXTH ST SWCANTON 44710330-363-2180Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHDRAHUSCHAK, STACEY ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISH

DREVON, DARCY ( Female)COMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyCOMMUNITY HEALTHCARE INC7452 FULTON RDSTE BMASSILLON 44646330-833-4596Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHFISH, ROXANNE ( Female)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsLanguage(s) Spoken:ENGLISHFISHER, JOSEPH ( Male)JOHN T GIVEN MD4048 DRESSLER RD NWSTE 100CANTON 44718330-479-3333Accepting new patientsLanguage(s) Spoken:ENGLISH

FITZGIBBON, LAURIE ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 418CANTON 44708330-489-1454Accepting new patientsLanguage(s) Spoken:ENGLISHFORADIS, LINDSEY ( Female)PEDIATRIC & FAMILYMEDICINE HEALTH CAREINC2400 WALES AVE NWSTE CMASSILLON 44646330-837-4467Accepting new patientsLanguage(s) Spoken:ENGLISHFOX, JAIME ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsLanguage(s) Spoken:ENGLISHFRENCH, DAWN ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STSTE 120ALLIANCE 44601330-829-0951Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 273: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 273

FRIES, LAURA ( Female)DIABETES & ENDO ASSOCOF STARK COUNTY4565 DRESSLER RD NWSTE 111CANTON 44718330-493-0013Accepting new patientsLanguage(s) Spoken:ENGLISHFRISCHKORN, HEATHER ( Female)PREMIER HEALTH ASSOCINC22792 HARRISBURGWESTVILLE RDALLIANCE 44601330-823-4000Accepting new patientsPREMIER HEALTH ASSOCINC625 N MARKET STMINERVA 44657330-868-4187Accepting new patientsLanguage(s) Spoken:ENGLISHFROST, PATRICK ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHGAGER, ANGELA ( Female)COMMUNITY HEALTHCARE INC855 W MAPLE STSTE 110HARTVILLE 44632330-877-3616Accepting existing patientsonlyLanguage(s) Spoken:ENGLISH

GARRETT, MICHELLE ( Female)COLEMAN PROFESSIONALSVCS INC400 TUSCARAWAS ST WSTE 200CANTON 44702330-438-2400Accepting new patientsLanguage(s) Spoken:ENGLISHGOOCH, MATTHEW ( Male)MANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1207 W STATE STSTE NALLIANCE 44601330-821-3244Accepting new patientsMANOR MANAGEMENTCO INC DBA INTERNALMEDICINE PHYSICIANS1168 ALLIANCE RD NWMINERVA 44657330-863-3711Accepting new patientsLanguage(s) Spoken:ENGLISHGOUCHER, CAMI ( Female)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyLanguage(s) Spoken:ENGLISH

GREAVES, JOSCELYN ( Female)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsLanguage(s) Spoken:ENGLISHGROGG, CORRIE ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHGUTLOVE, SUSAN ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1770Accepting new patientsLanguage(s) Spoken:ENGLISHHANNAY, DIANA ( Female)DIV OF MED EDUCATION2600 SIXTH ST SWCANTON 44710330-452-9911Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 274: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 274 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

HATHAWAY, KATHLEEN ( Female)MERCY PROFESSIONALCARE CORP149 E SIMPSON STALLIANCE 44601330-823-3856Accepting new patientsLanguage(s) Spoken:ENGLISHHAYMAKER, SHONDA ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHHENDERHAN-MILLER,KELLI ( Female)ALBERT T DOMINGO MSMD INC3120 PARKWAY NWSTE ACANTON 44708330-452-9460Accepting new patientsLanguage(s) Spoken:ENGLISHHENRY, JYL ( Female)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsLanguage(s) Spoken:ENGLISH

HERSHBERGER, JEFFREY( Male)FAMILY PRACTICE ASSOCINC2300 WALES AVE NWMASSILLON 44646330-832-3188Accepting new patientsLanguage(s) Spoken:ENGLISHHICKS, LYNN ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsLanguage(s) Spoken:ENGLISHHILL, JONNETTA ( Female)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsLanguage(s) Spoken:ENGLISHHISSNER, ANGELA ( Female)COMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyLanguage(s) Spoken:ENGLISH

HOOPINGARNER,SHARON ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHHORVATH, TIFFANY ( Female)FAMILY MEDICINE INC6525 MARKET AVE NSTE 101CANTON 44721330-494-9785Accepting new patientsLanguage(s) Spoken:ENGLISHHOSTETLER, JENNIFER ( Female)OHIO PHYSICIANSPROFESSIONAL CORP2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsLanguage(s) Spoken:ENGLISHHOWMAN, LAUREN ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 275: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 275

HUFF, STACIE ( Female)MARGARET SHIPLEYCHILD HEALTH CLINIC INC919 SECOND ST NECANTON 44704330-453-3386Accepting new patientsLanguage(s) Spoken:ENGLISHJENNINGS, BERTIA ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsCOMMQUEST SVCS INC4450 BELDEN VILLAGE STNWSTE 605-606CANTON 44718330-305-9696Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISHJOHNSON, AMANDA ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsLanguage(s) Spoken:ENGLISH

JONES, GINA ( Female)PARTNERS IN FAMILYPRACTICE4048 DRESSLER RD NWSTE 203CANTON 44718330-478-4132Accepting new patientsLanguage(s) Spoken:ENGLISHKANDIS, ASHLEY ( Female)AMG NORTH CANTONMEDICAL CTR6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISHKAUDERER, TINA ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsLanguage(s) Spoken:ENGLISHKESSLER, FRANCES ( Female)AULTMAN NEONATAL ICU2600 SIXTH ST SWCANOTN 44710330-363-5433Accepting new patientsLanguage(s) Spoken:ENGLISH

KICOS, GINA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISHKIESLING, MARCIA ( Female)AULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsAULTMAN PHYSICIAN CTROF OPPC8320 WAYNESBURG DRSEWAYNESBURG 44688330-866-2510Accepting new patientsLanguage(s) Spoken:ENGLISHKOHLER, JENNY ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 276: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 276 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KONOVSKY, MELISSA ( Female)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsLanguage(s) Spoken:ENGLISHKREAREAS, HEATHER ( Female)DANIELLE KIKO MD LLC128 WERTZ AVE NWSTE BCANTON 44708330-956-5300Accepting new patientsLanguage(s) Spoken:ENGLISHKREITZER, DIANE ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsLanguage(s) Spoken:ENGLISHLAIGN, JENNIFER ( Female)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsLanguage(s) Spoken:ENGLISH

LAUBACH, LYNN ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISHLAUGHLIN, ASHLEY ( Female)OHIO SPECIALTYPHYSICIANS CORP2600 TUSCARAWAS ST WSTE 540CANTON 44708330-454-0350Accepting new patientsLanguage(s) Spoken:ENGLISHLENIGAR, TERRI ( Female)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC200 E STATE STALLIANCE 44601330-596-7940Accepting new patientsLanguage(s) Spoken:ENGLISH

LINCOLN, TAMARA ( Female)COMMUNITY HEALTHCARE INC944 E CHERRY STCANAL FULTON 44614330-854-4574Accepting existing patientsonlyCOMMUNITY HEALTHCARE INC6724 WALES AVE NWMASSILLON 44646330-837-4264Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHLISUCH, DIANA ( Female)GABRAIL CANCER CTR4875 HIGBEE AVE NWCANTON 44718330-492-3345Accepting new patientsLanguage(s) Spoken:ENGLISHLUSTER, ERIKA ( Female)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsLanguage(s) Spoken:ENGLISHMAIO, KIMBERLY ( Female)FAMILY PHYSICIANS INC4860 FRANK AVENUE NWNORTH CANTON 44720330-494-7099Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 277: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 277

MATSUI, ALEXA ( Female)COMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHMAZANEC, HOLLY ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHMCCUNE, JESSICA ( Female)TOTAL MEDICAL CARELLC1445 HARRISON AVE NWSTE 103CANTON 44708330-956-6058Accepting new patientsLanguage(s) Spoken:ENGLISHMCGUYRT, SHAWN ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsLanguage(s) Spoken:ENGLISH

MCNATT, TERRI ( Female)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHMELVIN, STACI ( Female)MERCY PROFESSIONALCARE CORP432 KING CHURCH AVESWUNIONTOWN 44685330-877-0781Accepting new patientsLanguage(s) Spoken:ENGLISH

MERCURIO, KASEY ( Female)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, JULIE ( Female)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, KAREN ( Female)ALLIANCE FAMILY HEALTHCTR INC270 E STATE STSTE G110ALLIANCE 44601330-596-7580Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 278: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 278 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MILLER, KENZIE ( Female)OHIO SPECIALTYPHYSICIANS CORP2600 TUSCARAWAS ST WSTE 520CANTON 44708330-454-0702Accepting new patientsLanguage(s) Spoken:ENGLISHMILLS, CHRISTINA ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 319CANTON 44708330-580-4706Accepting new patientsLanguage(s) Spoken:ENGLISHMIZER, THERESA ( Female)DANIEL J CAIN DO INCDBA TWIN SPRINGSOBGYN123 THIRD ST SEMASSILLON 44646330-832-2229Accepting new patientsLanguage(s) Spoken:ENGLISHMOHLER, BONNIE ( Female)GASTROENTEROLOGYASSOCIATES INC4665 BELPAR ST NWCANTON 44718330-493-1480Accepting new patientsLanguage(s) Spoken:ENGLISH

MORABITO, ERIN ( Female)TOTAL MEDICAL CARELLC1445 HARRISON AVE NWSTE 103CANTON 44708330-956-6058Accepting new patientsLanguage(s) Spoken:ENGLISHMOYER, JENNIFER ( Female)JOHN T GIVEN MD4048 DRESSLER RD NWSTE 100CANTON 44718330-479-3333Accepting new patientsLanguage(s) Spoken:ENGLISHMUNCY, MELINDA ( Female)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsLanguage(s) Spoken:ENGLISHMYERS, AMY ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISH

NASH, KEVIN II ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHPARSONS, ROBERT ( Male)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsLanguage(s) Spoken:ENGLISHPERKOWSKI, MARILYN ( Female)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 279: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 279

PETICCA, MEGAN ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHPETRILLO, AMY ( Female)CANTON GENERALSURGERY2600 TUSCARAWAS ST WSTE 600CANTON 44708330-453-4300Accepting new patientsCOMMUNITY HEALTHCARE INC1302 W MAIN STSTE ALOUISVILLE 44641330-875-5544Accepting existing patientsonlyLanguage(s) Spoken:ENGLISHPOWERS, APRIL ( Female)CRISIS INTERVENTION &RECOVERY CTR2421 13TH ST NWCANTON 44708330-452-6000Accepting new patientsCRISIS INTERVENTION &RECOVERY CTR832 MCKINLEY AVE NWCANTON 44703330-455-9407Accepting new patientsLanguage(s) Spoken:ENGLISH

PYKARE, JUSTIN ( Male)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHRACKOW, CONNIE ( Female)PLANNED PARENTHOODOF GREATER OHIO2663 CLEVELAND AVE NWCANTON 44709330-456-7191Accepting new patientsLanguage(s) Spoken:ENGLISHRAGON, MARISSA ( Female)COMMQUEST SVCS INC1207 W STATE STSTE MALLIANCE 44601330-821-8407Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC412 LINCOLN WAY EMASSILLON 44646330-833-8516Accepting new patientsLanguage(s) Spoken:ENGLISH

RICE, TEREE ( Female)MERCY PROFESSIONALCARE CORP1330 MERCY DR NWSTE 101CANTON 44708330-588-4676Accepting new patientsLanguage(s) Spoken:ENGLISHRIORDAN, SELENA ( Female)AULTMAN NORTHCANTON MEDICAL GRP(ANCMG)6046 WHIPPLE AVENUENWNORTH CANTON 44720330-433-1200Accepting new patientsLanguage(s) Spoken:ENGLISHRUE, MARIAH ( Female)TRI COUNTYHEMATOLOGY &ONCOLOGY ASSOC7337 CARITAS CIR NWSTE 150MASSILLON 44646330-478-0001Accepting new patientsLanguage(s) Spoken:ENGLISHSANDER, MARY ( Female)GASTROENTEROLOGYSPECIALISTS INC2726 FULTON DR NWCANTON 44718330-455-5011Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 280: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 280 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

SANDERS, AMANDA ( Female)AMG CANTON UROLOGY2600 TUSCARAWAS ST WSTE 400CANTON 44708330-458-2000Accepting new patientsLanguage(s) Spoken:ENGLISHSCHULTZ, KARLA ( Female)STARK MEDICALSPECIALTIES INC323 MARION AVE NWSTE 200MASSILLON 44646330-837-1111Accepting new patientsLanguage(s) Spoken:ENGLISHSHIREY, CHRISTINE ( Female)FAMILY PRACTICE CTR OFLOUISVILLE1303 CALIFORNIA AVELOUISVILLE 44641330-875-3353Accepting new patientsLanguage(s) Spoken:ENGLISH, SPANISHSHUMWAY, ANTHONY ( Male)ALLIED HEALTHCARE9701 CLEVELANDAVENUE NWSTE 150NORTH CANTON 44720330-913-7109Accepting new patientsLanguage(s) Spoken:ENGLISH

SMITH, MICHELLE ( Female)ALLIANCE FAMILY HEALTHCTR INC1401 SOUTH ARCH AVEALLIANCE 44601330-596-7580Accepting new patientsALLIANCE FAMILY HEALTHCTR INC270 E STATE STSTE G110ALLIANCE 44601330-596-7580Accepting new patientsLanguage(s) Spoken:ENGLISHSPICER, STEFANIE ( Female)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1000Accepting new patientsLanguage(s) Spoken:ENGLISHSPIES, JENNIFER ( Female)PHOENIX RISINGBEHAVIORALHEALTHCARE &RECOVERY INC624 MARKET AVE NCANTON 44702330-493-4553Accepting new patientsLanguage(s) Spoken:ENGLISH

STUTZMAN, REBEKAH ( Female)AFFINITY SPECIALTYPHYSICIANS3545 LINCOLN WAY EMASSILLON 44646330-837-3559Accepting new patientsLanguage(s) Spoken:ENGLISHTHOMPSON, RICHELE ( Female)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsLanguage(s) Spoken:ENGLISHTYNESKI, KRISTEN ( Female)OHIO PHYSICIANSPROFESSIONAL CORP2600 SIXTH ST SWCANTON 44710330-363-2180Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 281: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 281

WAHL, KARI ( Female)COMMQUEST SVCS INC1341 MARKET AVE NCANTON 44714330-453-8252Accepting new patientsCOMMQUEST SVCS INC625 CLEVELAND AVE NWCANTON 44702330-455-0374Accepting new patientsCOMMQUEST SVCS INC1660 NAVE RD SEMASSILLON 44646330-837-9411Accepting new patientsLanguage(s) Spoken:ENGLISHWALDEN, AMBER ( Female)ONE HEALTH OHIO1390 S ARCH AVEALLIANCE 44601330-821-3961Accepting new patientsLanguage(s) Spoken:ENGLISHWELCH, HALLE ( Female)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsLanguage(s) Spoken:ENGLISH

WYCOFF, KENNETH ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC2725 LINCOLN ST ECANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsLIFECARE FAMILY HEALTH& DENTAL CTR INC820 AMHERST RD NEMASSILLON 44646330-454-2000Accepting new patientsLanguage(s) Spoken:ENGLISHYAGIELA, JESSICA ( Female)N CANTON FAMILYPHYSICIANS133 WILBUR DRIVE NENORTH CANTON 44720330-494-6012Accepting new patientsLanguage(s) Spoken:ENGLISH

OBSTETRICS ANDGYNECOLOGY (31)

BRANDAU, DAVID ( Male)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERCAIN, DANIEL ( Male)OHIO PHYSICIANSPROFESSIONAL CORP2600 SIXTH ST SWCANTON 44710330-363-4951Accepting new patientsDANIEL J CAIN DO INCDBA TWIN SPRINGSOBGYN123 THIRD ST SEMASSILLON 44646330-832-2229Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AULTMAN ORRVILLEHOSPITAL, AFFINITYMEDICAL CENTER, MERCYMEDICAL CENTER

Page 282: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 282 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CURD, GERALD II ( Male)AMANI WOMENSWELLNESS6225 FRANK AVE NWNORTH CANTON 44720330-493-3800Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERDIGIACOMO, PETER ( Male)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTER

DOMINGO, ALBERT ( Male)ALBERT T DOMINGO MSMD INC3120 PARKWAY NWSTE ACANTON 44708330-452-9460Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:GERMAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERDOWNEY, ERICA ( Female)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, AULTMANORRVILLE HOSPITAL

ERUO, FREDERICK ( Male)EURO OBGYN INC2525 13TH ST NWSTE 102CANTON 44708330-438-1701Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERGILL, PRABHCHARAN ( Male)MATERNAL FETALMEDICINE2600 SIXTH ST SWCANTON 44710330-438-6296Accepting new patientsMATERNAL FETALMEDICINE2600 W TUSCARAWAS STSWSTE 300CANTON 44708330-363-6296Accepting new patientsBoard Certified in:MATERNAL AND FETALMEDICINE, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISH, SWAHILI,PUNJABIHospital Affiliation(s):AULTMAN HOSPITAL

Page 283: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 283

GOODRICH , BREEZE ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERHOPPE, JASON ( Male)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERJAGADISH, SUNITHA ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, HINDIHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

KIKO, DANIELLE ( Female)DANIELLE KIKO MD LLC128 WERTZ AVE NWSTE BCANTON 44708330-956-5300Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKREW, MICHAEL ( Male)MATERNAL FETALMEDICINE2600 SIXTH ST SWCANTON 44710330-438-6296Accepting new patientsMATERNAL FETALMEDICINE2600 W TUSCARAWAS STSWSTE 300CANTON 44708330-363-6296Accepting new patientsBoard Certified in:MATERNAL AND FETALMEDICINE, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

KRIVETZKY, JOANN ( Female)PREMIER GYNECOLOGYINC4256 FULTON DR NWSTE BCANTON 44718330-546-0751Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERLAING, AMELIA ( Female)WOMEN'S HEALTH SVCS830 S MAIN STSTE 101ORRVILLE 44667330-684-1300Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):WOOSTER COMMUNITYHOSPITAL, AULTMANORRVILLE HOSPITALLEMIN, SARA ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 284: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 284 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MENIRU, GODWIN ( Male)JUNAELO WOMENSCLINIC4601 EVERHARD RD NWCANTON 44718330-497-9400Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISH, IGBOHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERNANNAPANENI, INDIRA ( Female)PREMIER WOMENS CARE2606 WALES AVE NWSTE 100MASSILLON 44646330-834-4000Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

NASH, DAVID ( Male)REPRODUCTIVEGYNECOLOGY INC2600 TUSCARAWAS ST WSTE 560CANTON 44708330-452-6010Accepting new patientsBoard Certified in:REPRODUCTIVEENDOCRINOLOGY/INFERTILITY, OBSTETRICSAND GYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER

O'DEAR, CRAIG ( Male)ALLIANCE FAMILY HEALTHCTR INC1401 SOUTH ARCH AVEALLIANCE 44601330-596-7580Accepting new patientsALLIANCE FAMILY HEALTHCTR INC270 E STATE STSTE G110ALLIANCE 44601330-596-7580Accepting new patientsMERCY MEDICAL CENTEROB1320 MERCY DR NWSTE 200CANTON 44708330-489-1065Accepting new patientsATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTER,AULTMAN HOSPITAL

Page 285: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 285

ONUORA, COSMAS ( Male)HALL OF FAME WOMENSCLINIC INC4775 HIGBEE AVE NWCANTON 44718330-493-9940Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken: IBO,ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERPATIBANDLA, SUJANA ( Female)SUJANA K PATIBANDLAMD INC4186 HOLIDAY ST NWCANTON 44718330-492-5210Accepting new patientsSUJANA K PATIBANDLAMD INC830 AMHERST RD NESTE 107MASSILLON 44646330-837-6844Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:INDIAN, ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

SCHLEICH, CARL ( Male)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSHEROCK, NICHOLAS JR( Male)NICHOLAS E SHEROCK JRDO LLC100 LILLIAN GISH BLVDSWSTE 201MASSILLON 44647330-809-0460Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN ORRVILLEHOSPITALSTARCHER, RANDALL ( Male)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

STAUB, MEGAN ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERVASSAS, MELISSA ( Female)STARK COUNTY WOMEN'SCLINIC INC5000 HIGBEE AVE NWCANTON 44718330-493-0313Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 286: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 286 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

VERCHIO, MELISSA ( Female)MERCY MEDICAL CENTEROB1320 MERCY DR NWSTE 200CANTON 44708330-489-1065Accepting new patientsAULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44708330-363-6211Accepting new patientsATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,AFFINITY MEDICALCENTERWILLARD, STEVEN ( Male)DANIELLE KIKO MD LLC128 WERTZ AVE NWSTE BCANTON 44708330-956-5300Accepting new patientsAULTMAN PHYSICIAN CTROF OPPC2600 SEVENTH ST SWCANTON 44710330-363-6211Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

WILSON, JAMES ( Male)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERWYCHANKO, NAOMI ( Female)ATRIUM OB/GYN INC4151 HOLIDAY ST NWCANTON 44718330-492-8001Accepting new patientsBoard Certified in:OBSTETRICS ANDGYNECOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

OCCUPATIONALMEDICINE (1)

REICHERT, RICHARD ( Male)US HEALTHWORKSMEDICAL GRP OF OHIOINC2626 FULTON DR NWCANTON 44718330-453-6050Accepting new patientsBoard Certified in:OCCUPATIONALMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTEROCCUPATIONALTHERAPY (19)

BACHMAN, STEPHANIE ( Female)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsSPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 287: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 287

BARNES, MARYKAY ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-4131Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsLanguage(s) Spoken:ENGLISHDOEMEL, LISA ( Female)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsLanguage(s) Spoken:ENGLISHDUKE, JESSICA ( Female)AULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

DURBIN, MELISSA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHEISEL, TERRI ( Female)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsLanguage(s) Spoken:ENGLISH

FOSTER, DONALD JR( Male)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHFRUM, ANNA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 288: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 288 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

GILBERT, SUSAN ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISH

GOTSCHALL, AMBER ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHGROMAN, MARY ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISH

IADANZA, JANELLE ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHKING, DEBORAH ( Female)CONCORDE THERAPYGRP INC2484 W STATE STALLIANCE 44601330-829-2338Accepting new patientsCONCORDE THERAPYGRP INC4645 BELPAR ST NWCANTON 44718330-493-4210Accepting new patientsCONCORDE THERAPYGRP INC1611 NORTH MAINSTREETNORTH CANTON 44720330-494-1912Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 289: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 289

KUHARICH, RYAN ( Male)AULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHREESE, JENNIFER ( Female)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsLanguage(s) Spoken:ENGLISH

REMARK, GIORGIA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS1925 WILLIAMSBURG WAYNELOUISVILLE 44641330-875-6050Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISHSTEWART, MICHELLE ( Female)BAIR-HERMANENTERPRISE DBA EJTHERAPY10870-1 PORTAGE ST NWCANAL FULTON 44614330-262-4449Accepting new patientsSPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsLanguage(s) Spoken:ENGLISH

SUTER, PAMELA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-4131Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-244-8113Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 290: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 290 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

WATSON, AMANDA ( Female)AULTMAN THERAPY SVCS2600 SIXTH ST SWCANTON 44710330-363-5419Accepting new patientsAULTMAN THERAPY SVCS2615 TUSCARAWAS ST WCANTON 44708330-363-6215Accepting new patientsAULTMAN THERAPY SVCS2051 WALES RD NWMASSILLON 44646330-834-4101Accepting new patientsAULTMAN THERAPY SVCS6100 WHIPPLE AVE NWNORTH CANTON 44720330-305-6999Accepting new patientsLanguage(s) Spoken:ENGLISHOPHTHALMOLOGY (26)

ASSAAD, MANAL ( Female)GLAUCOMA & EYESPECIALIST4360 FULTON DR NWSTE ACANTON 44718330-433-0000Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:FRENCH, ARABIC,ENGLISH, SPANISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER

BARCHIESI, BARBARA ( Female)CANTONOPHTHALMOLOGY ASSOC2600 TUSCARAWAS ST WSTE 200CANTON 44708330-456-0047Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBENJAMIN, ERIN ( Female)THE EYE CLINIC INC3545 LINCOLN WAY EMASSILLON 44646330-837-5191Accepting new patientsTHE EYE CLINIC INC1605 PORTAGE RD NWNORTH CANTON 44720330-433-1350Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHCELMER, MEAGAN ( Female)ROHOLT VISIONINSTITUTE1207 W STATE STALLIANCE 44601330-829-2311Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,ALLIANCE COMMUNITYHOSPITAL

CONGENI, JEFFREY ( Male)CANTONOPHTHALMOLOGY ASSOC2600 TUSCARAWAS ST WSTE 200CANTON 44708330-456-0047Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCONTI, STEPHEN ( Male)VITREO RETINALCONSULTANTS4676 DOUGLAS CIR NWCANTON 44718330-533-8851Accepting new patientsEYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-452-8884Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, FRENCHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, MERCYMEDICAL CENTER

Page 291: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 291

DEWAN, SANJEEV ( Male)OHIO EYE ALLIANCE985 SAWBURG AVEALLIANCE 44601330-823-1680Accepting new patientsOHIO EYE ALLIANCE4469 FULTON DR NWSTE 100CANTON 44718330-823-1680Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken: HINDI,ENGLISH, FRENCHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTERESTAFANOUS, MARC ( Male)EYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-458-3000Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTER

FLADEN, TODD ( Male)THE FLADEN EYE CENTER1330 MERCY DR NWSTE 310CANTON 44708330-489-1441Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERGARFINKLE, PAUL ( Male)OHIO EYE ALLIANCE985 SAWBURG AVEALLIANCE 44601330-823-1680Accepting new patientsOHIO EYE ALLIANCE4469 FULTON DR NWSTE 100CANTON 44718330-823-1680Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

GERSMAN, MARK ( Male)VITREO RETINALCONSULTANTS4676 DOUGLAS CIR NWCANTON 44718330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERKAPLAN, LILI ( Female)OHIO RETINAASSOCIATES4690 MUNSON ST NWCANTON 44718330-966-9800Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHKARNS, LAURENCE ( Male)EYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-452-8884Accepting new patientsEYE CENTERS OF OHIO6407 FRANK AVENUE NWNORTH CANTON 44720330-966-1111Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

Page 292: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 292 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

KAUFMAN, STEPHEN ( Male)VITREO RETINALCONSULTANTS4676 DOUGLAS CIR NWCANTON 44718330-533-8851Accepting new patientsEYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-458-3000Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL, STELIZABETH BOARDMANHOSPITAL, NORTHSIDEMEDICAL CENTERLEHRER, RICHARD ( Male)OHIO EYE ALLIANCE985 SAWBURG AVEALLIANCE 44601330-823-1680Accepting new patientsOHIO EYE ALLIANCE4469 FULTON DR NWSTE 100CANTON 44718330-823-1680Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, MERCYMEDICAL CENTER

MACHER, JERRY ( Male)EYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-452-8884Accepting new patientsEYE CENTERS OF OHIO6407 FRANK AVENUE NWNORTH CANTON 44720330-966-1111Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERNOTHNAGEL, ARNOLD ( Male)OHIO RETINAASSOCIATES4690 MUNSON ST NWCANTON 44718330-966-9800Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

PACHYDAKI, SOPHIA ( Female)VITREO RETINALCONSULTANTS4676 DOUGLAS CIR NWCANTON 44718330-533-8851Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH, GREEKHospital Affiliation(s):AULTMAN HOSPITAL,NORTHSIDE MEDICALCENTER, ST ELIZABETHBOARDMAN HOSPITALROHOLT, PHILIP ( Male)ROHOLT VISIONINSTITUTE1207 W STATE STSTE EALLIANCE 44601330-829-2311Accepting new patientsROHOLT VISIONINSTITUTE5890 MAYFAIR ROADNORTH CANTON 44720330-305-2200Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 293: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 293

RONNING, LAWRENCE ( Male)THE EYE CLINIC INC3545 LINCOLN WAY ESTE AMASSILLON 44646330-837-5191Accepting new patientsTHE EYE CLINIC INC1605 PORTAGE RD NWNORTH CANTON 44720330-433-1350Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERSCHARTMAN, JEROME ( Male)OHIO RETINAASSOCIATES4690 MUNSON ST NWCANTON 44718330-966-9800Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISH

TURGEON, PAUL ( Male)EYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-452-8884Accepting new patientsEYE CENTERS OF OHIO6407 FRANK AVENUE NWNORTH CANTON 44720330-966-1111Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWENZ, ROBERT ( Male)VITREO RETINALCONSULTANTS4676 DOUGLAS CIR NWCANTON 44718330-533-8851Accepting existing patientsonlyBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER,NORTHSIDE MEDICALCENTER

WIND, BRIAN ( Male)THE EYE CLINIC INC3545 LINCOLN WAY EMASSILLON 44646330-837-5191Accepting new patientsTHE EYE CLINIC INC1605 PORTAGE RD NWNORTH CANTON 44720330-433-1350Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERWOOD, MICHAEL ( Male)THE EYE CLINIC INC3545 LINCOLN WAY EMASSILLON 44646330-837-5191Accepting new patientsTHE EYE CLINIC INC1605 PORTAGE RD NWNORTH CANTON 44720330-433-1350Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 294: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 294 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

ZUCKER, JAMIE ( Male)CANTONOPHTHALMOLOGY ASSOC2600 TUSCARAWAS ST WSTE 200CANTON 44708330-456-0047Accepting new patientsBoard Certified in:OPHTHALMOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTEROPTOMETRY (28)

BELLES, CHARLES ( Male)DR CHARLES E BELLES4233 FULTON DR NWCANTON 44718330-494-5020Accepting new patientsLanguage(s) Spoken:ENGLISHBLAKE, SUSAN ( Female)CANTON OPTOMETRYCORP2216 LINCOLN WAY EMASSILLON 44646330-832-9966Accepting new patientsCANTON OPTOMETRYCORP4865 FRANK AVENUE NWNORTH CANTON 44720330-494-1710Accepting new patientsCANTON OPTOMETRYCORP8100 CLEVELAND AVE NWNORTH CANTON 44720330-305-9999Accepting new patientsLanguage(s) Spoken:ENGLISH

BLEVINS, MARY ( Female)LOUISVILLE VISION CTR503 E MAIN STLOUISVILLE 44641330-875-2300Accepting new patientsLanguage(s) Spoken:ENGLISHDICKEY, PHILIP ( Male)EYE CENTERS OF OHIO800 MCKINLEY AVE NWCANTON 44703330-452-8884Accepting new patientsEYE CENTERS OF OHIO6407 FRANK AVENUE NWNORTH CANTON 44720330-966-1111Accepting new patientsLanguage(s) Spoken:ENGLISHHANSEN, STEVEN ( Male)THE EYE CLINIC INC3545 LINCOLN WAY EMASSILLON 44646330-837-5191Accepting new patientsTHE EYE CLINIC INC1605 PORTAGE RD NWNORTH CANTON 44720330-433-1350Accepting new patientsLanguage(s) Spoken:ENGLISHKAIL, BRADEN ( Male)WAYNESBURG VISIONCARE LTD8163 WAYNESBURG DRSEWAYNESBURG 44688330-866-7732Accepting new patientsLanguage(s) Spoken:ENGLISH

KNIGHT, ANNA ( Female)ADVANCED EYE CARE2425 LOCUST ST SCANAL FULTON 44614330-854-1393Accepting new patientsLanguage(s) Spoken:ENGLISHKNIGHT, GREGORY ( Male)ADVANCED EYE CARE2425 LOCUST ST SCANAL FULTON 44614330-854-1393Accepting new patientsLanguage(s) Spoken:ENGLISHLAWRENCE, NICHOLAS ( Male)ROHOLT VISIONINSTITUTE1207 W STATE STALLIANCE 44601330-829-2311Accepting new patientsLanguage(s) Spoken:ENGLISHLEGGETT, NATHANIEL ( Male)CANTON SOUTHEYECARE3017 A CLEVELAND AVESWCANTON 44707330-484-2569Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 295: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 295

LIEBERMAN, PERRY ( Male)PERRY M LIEBERMAN OD206 N MARKET STMINERVA 44657330-455-1011Accepting new patientsLanguage(s) Spoken:ENGLISHMATHIE, BRUCE ( Male)LOUISVILLE FAMILY EYECARE1403 W MAIN STLOUISVILLE 44641330-875-4320Accepting new patientsCANTON OPTOMETRYCORP2216 LINCOLN WAY EMASSILLON 44646330-832-9966Accepting new patientsCANTON OPTOMETRYCORP4865 FRANK AVENUE NWNORTH CANTON 44720330-494-1710Accepting new patientsCANTON OPTOMETRYCORP8100 CLEVELAND AVE NWNORTH CANTON 44720330-305-9999Accepting new patientsLanguage(s) Spoken:ENGLISH

MATHIE, BRIAN ( Male)ROHOLT VISIONINSTITUTE1207 W STATE STSTE EALLIANCE 44601330-829-2311Accepting new patientsROHOLT VISIONINSTITUTE5890 MAYFAIR ROADNORTH CANTON 44720330-305-2200Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, SHERI ( Female)CANTON OPTOMETRYCORP2216 LINCOLN WAY EMASSILLON 44646330-832-9966Accepting new patientsCANTON OPTOMETRYCORP4865 FRANK AVENUE NWNORTH CANTON 44720330-494-1710Accepting new patientsCANTON OPTOMETRYCORP8100 CLEVELAND AVE NWNORTH CANTON 44720330-305-9999Accepting new patientsLanguage(s) Spoken:ENGLISHMILLER, JAMES ( Male)HARTVILLE FAMILYEYECARE500 S PROSPECT AVEHARTVILLE 44632330-877-2117Accepting new patientsLanguage(s) Spoken:ENGLISH

MILLER, ROBERT ( Male)HARTVILLE FAMILYEYECARE500 S PROSPECT AVEHARTVILLE 44632330-877-2117Accepting new patientsLanguage(s) Spoken:ENGLISHMOOMAW, THOMAS ( Male)LAKE VISION CARE800 W MAPLE STHARTVILLE 44632330-877-6996Accepting new patientsLanguage(s) Spoken:ENGLISHOMLOR, RANDY ( Male)ROBERT L MILLER OD INC500 S PROSPECT AVEHARTVILLE 44632330-877-2117Accepting new patientsLanguage(s) Spoken:ENGLISHRATH, TED ( Male)TED A RATH OD4233 FULTON DR NWCANTON 44718330-494-5020Accepting new patientsTED A RATH OD1174 ALLIANCE RD NWMINERVA 44657330-868-0076Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 296: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 296 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

RAYMONDI, JAMES ( Male)WASHINGTON SQUAREEYE CARE1981 EAST MAPLESTREETNORTH CANTON 44720330-966-8201Accepting new patientsLanguage(s) Spoken:ENGLISHSHAHEEN, KALEEL II( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsHILLS & DALES VISION INC4555 HILLS & DALES RDNWCANTON 44708330-478-8996Accepting new patientsLanguage(s) Spoken:ENGLISHSHAHEEN, KALEELJAMES ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsHILLS & DALES VISION INC4555 HILLS & DALES RDNWCANTON 44708330-478-8996Accepting new patientsLanguage(s) Spoken:ENGLISH, ARABIC

SHAHEEN, MICHAEL ( Male)LIFECARE FAMILY HEALTH& DENTAL CTR INC408 NINTH ST SWCANTON 44707330-454-2000Accepting new patientsHILLS & DALES VISION INC4555 HILLS & DALES RDNWCANTON 44708330-478-8996Accepting new patientsLanguage(s) Spoken:ENGLISH, ARABICSKENDELAS, WILLIAM ( Male)CANTON OPTOMETRYCORP4865 FRANK AVENUE NWNORTH CANTON 44720330-494-1710Accepting new patientsCANTON OPTOMETRYCORP8100 CLEVELAND AVE NWNORTH CANTON 44720330-305-9999Accepting new patientsLanguage(s) Spoken:ENGLISHSTALKER, KRISTI ( Female)CANTONOPHTHALMOLOGY ASSOC2600 TUSCARAWAS ST WSTE 200CANTON 44708330-456-0047Accepting new patientsLanguage(s) Spoken:ENGLISH

WARNER, DIRK ( Male)WARNER EYE CARE &OPTICAL760 S SAWBURG AVEALLIANCE 44601330-821-4362Accepting new patientsLanguage(s) Spoken:ENGLISHWISE, CAITLIN ( Female)CANTONOPHTHALMOLOGY ASSOC2600 TUSCARAWAS ST WSTE 200CANTON 44708330-456-0047Accepting new patientsLanguage(s) Spoken:ENGLISHYOUNG, DAVID ( Male)OHIO EYE ALLIANCE985 SAWBURG AVEALLIANCE 44601330-823-1680Accepting new patientsOHIO EYE ALLIANCE4469 FULTON DR NWSTE 100CANTON 44718330-823-1680Accepting new patientsLanguage(s) Spoken:ENGLISH

Page 297: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 297

ORAL/MAXILLOFACIALSURGERY (5)

ASH, DAVID ( Male)THE INSTITUTE OF JAW &FACIAL SURGERY INC4181 HOLIDAY ST NWCANTON 44718330-493-1605Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER, MERCYMEDICAL CENTERBRUNO, GERARD ( Male)ORAL AND FACIALSURGERY LTD4573 EVERHARD RD NWCANTON 44718330-499-2000Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCARPENTER, JOE ( Male)CTR FOR ORAL/MAXILLOSURG6653 FRANK AVENUE NWNORTH CANTON 44720330-498-9920Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

POPORAD, EMIL ( Male)EMIL D POPORAD DMD4124 FULTON DR NWSTE 102CANTON 44718330-493-4700Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERSUNDHEIMER, RICHARDNEIL ( Male)THE INSTITUTE OF JAW &FACIAL SURGERY INC4181 HOLIDAY ST NWCANTON 44718330-493-1605Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AKRON GENERALMEDICAL CENTER, MERCYMEDICAL CENTERORTHOPEDIC SURGERY(32)

ARORA, RAKESH ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

BICKETT, MELISSA ( Female)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERBLAKE, BRIAN ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCANDAGE, RAYMOND JR( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 298: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 298 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

CECIL, MARK ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCHARLICK, DANIEL ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERCOCHRAN, JEFFREY ( Male)TRI COUNTYORTHOPEDIC SURGEONS3244 BAILEY ST NWMASSILLON 44646330-837-8391Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

CONLAN, TIM ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERCOSS, H STEVEN ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERY,SPORTS MEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERDULIK, JEFFREY ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

ERICKSON, ROBERT II( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERFICCO, RYAN ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC1401 SOUTH ARCH AVEALLIANCE 44601330-821-0201Accepting new patientsALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC1900 S UNION AVESTE 100ALLIANCE 44601330-596-6500Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL

Page 299: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 299

HELLMANN, JOSEPH JR( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERJOHNSON, ERICKA ( Female)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERJOHNSON, ERIC ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, MERCYMEDICAL CENTER

KLIMO, GERALD ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERKRUPKO, THOMAS ( Male)ALLIANCE ORTHO &SPORTS MED2461 W STATE STSTE CALLIANCE 44601330-823-4424Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, MERCYMEDICAL CENTERLONDON, MICHAEL ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

LYKINS, MICHAEL ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERMARSHALL, DEAN ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, AULTMANHOSPITAL, MERCYMEDICAL CENTERMORETTA, DANIEL ( Male)TRI COUNTYORTHOPEDIC SURGEONS3244 BAILEY ST NWMASSILLON 44646330-837-8391Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 300: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 300 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

MUNGO, DAVID ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC1900 S UNION AVESTE 100ALLIANCE 44601330-596-6500Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALNECCI, MICHAEL ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC1900 S UNION AVESTE 100ALLIANCE 44601330-596-6500Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALPAPACOSTAS, GEORGE ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISH, SPANISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

PENTZ, ANTHONY ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRAZZANO, ANDREW ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERRICHTERMAN, IRA ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTER

SETH, AJAY ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERSHEPARD, MARK ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERSTEFANKO, JARED ( Male)SPECTRUMORTHOPAEDICS INC7442 FRANK AVE NWNORTH CANTON 44720330-305-0838Accepting new patientsLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTER

Page 301: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://

www.doprofiles.org/index.cfmThis list is subject to change. For an up-to-date listing please visit www.PrimeTimeHealthPlan.com.

Pg. 301

WAKE, VINCE ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERWATSON, THOMAS ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:ORTHOPEDIC SURGERYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPAIN MEDICINE (8)

BATALLA, GAMALIEL ( Male)DOCTORS HOSPPHYSICIAN SVCS LLC2815 AARONWOOD AVEMASSILLON 44646330-834-4792Accepting new patientsBoard Certified in: PAINMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER

CASANOVA, JOSE ( Male)NEUROCARE CTR INC1401 S ARCH AVEALLIANCE 44601330-494-2097Accepting new patientsNEUROCARE CTR INC4105 HOLIDAY ST NWCANTON 44718330-494-2097Accepting new patientsAULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsNEUROCARE CTR INC875 EIGHTH ST NESTE NU1MASSILLON 44646330-494-2097Accepting new patientsBoard Certified in:NEUROLOGYLanguage(s) Spoken:SPANISH, ENGLISH,ITALIANHospital Affiliation(s):AULTMAN HOSPITAL,AFFINITY MEDICALCENTER, MERCY MEDICALCENTERFELDEN, ROBERT ( Male)AULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsBoard Certified in:ANESTHESIOLOGY, PAINMEDICINELanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

GUTLOVE, DAVID ( Male)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1478Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):MERCY MEDICAL CENTERHILL, JOHN ( Male)ALLIANCE COMMUNITYMEDICAL FOUNDATIONLLC270 E STATE STG105ALLIANCE 44601330-829-8699Accepting new patientsBoard Certified in:ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITALLABIB-TAKLA, AMGAD ( Male)AULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL

Page 302: Provider Directory HMO Plan PrimeTime Health Plan... · 2017-07-13 · H3664_ProvDir_2017_NM Pg. 1 PrimeTime Health Plan HMO Plan Provider Directory This directory provides a list

Section 2 | List of Network Providers | STARK County Specialists

The most current board certification status can be found on the American Board of MedicalSpecialties (ABMS) website: http://www.abms.org or the American Osteopathic Association at https://www.doprofiles.org/index.cfmPg. 302 This list is subject to change. For an up-to-date listing please visitwww.PrimeTimeHealthPlan.com.

LEWIS, JAMESETTA ( Female)MERCY PROFESSIONALCARE CORP1320 MERCY DR NWCANTON 44708330-489-1478Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AFFINITY MEDICALCENTER, MERCY MEDICALCENTERWASEF, ATEF ( Male)AULTMAN CTR FOR PAINMGMT2051 WALES AVE NWMASSILLON 44646330-834-4150Accepting new patientsBoard Certified in:PAIN MEDICINE,ANESTHESIOLOGYLanguage(s) Spoken:ARABIC, ENGLISHHospital Affiliation(s):AULTMAN HOSPITALPEDIATRICGASTROENTEROLOGY (1)

HADDAD, IBRAHIM ( Male)IBRAHIM J HADDAD MD2600 SIXTH ST SWCANTON 44710330-729-9140Accepting new patientsBoard Certifiedin: PEDIATRICGASTROENTEROLOGYLanguage(s) Spoken:ENGLISH, ARABICHospital Affiliation(s):AULTMAN HOSPITAL,NORTHSIDE MEDICALCENTER

PEDIATRIC INFECTIOUSDISEASES (1)

KOBE, MARGARET ( Female)WEST MEDICAL INC2037 WALES AVE NWSTE 130MASSILLON 44646330-830-9378Accepting new patientsBoard Certified in:INFECTIOUS DISEASE,PEDIATRIC INFECTIOUSDISEASESLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERPHYSICAL MEDICINE &REHABILITATION (8)

AHMAD, ARSAL ( Male)OHIO REHAB CTR II INCDBA OHIO PAIN & REHABSPECIALISTS6651 FRANK AVENUE NWNORTH CANTON 44720330-498-9865Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,WOOSTER COMMUNITYHOSPITAL, MERCYMEDICAL CENTER

DORFMAN, DANIEL ( Male)OMNI ORTHOPAEDICS INC4760 BELPAR ST NWCANTON 44718330-492-9200Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISHHospital Affiliation(s):AULTMAN HOSPITAL,MERCY MEDICAL CENTERGADE-PULIDO, KAREN ( Female)KAREN GADE PULIDO MDLLC1900 S UNION AVESTE 100ALLIANCE 44601330-596-6515Accepting new patientsALLIANCE MEDICALASSOCIATES INC200 E STATE STALLIANCE 44601330-596-6100Accepting new patientsBoard Certified in:PHYSICAL MEDICINE &REHABILITATIONLanguage(s) Spoken:ENGLISH, DANISHHospital Affiliation(s):ALLIANCE COMMUNITYHOSPITAL, AULTMANHOSPITAL, AFFINITYMEDICAL CENTER, MERCYMEDICAL CENTER