Provider List - Appendix B - Southwest General Health Center

Page created by Sidney Mejia
 
CONTINUE READING
ENGLISH

Provider List - Appendix B
                                                                                                      Covered by Southwest
GROUP / AFFILIATION                               LAST                   FIRST        MI   TITLE
                                                                                                   Financial Assistance Policy?
HNI Healthcare                                    Abboud                 Rami              MD                  Yes
Southwest Family Physicians                       Abdallah               Ghassan      A.   MD                  Yes
Southwest Family Physicians                       Abdallah               Karyn        L.   MD                  Yes
UHMG Peds-Neonatology                             Achanti                Babu         R.   MD                  No
HNI Healthcare                                    Acun                   Zeki              MD                  No
Southwest Family Physicians                       Adler                  Corrine      L.   DO                  Yes
Individual                                        Adornato               Dominick     C.   DDS                 No
UHMG Peds-Neonatology                             Akbar                  Khalid            MD                  No
Premier Physicians Centers                        Alalwani               Mohamed           MD                  No
TeamHealth Northeast                              Alarafi                Jamil        A.   DO                  No
HNI Healthcare                                    Alers                  Alexis            MD                  Yes
Premier Physicians Centers                        Alhaddad               Bassam            MD                  No
UHMG Peds-Neonatology                             Alley                  Lisa         A.   NNP                 No
HNI Healthcare                                    Altaqi                 Basel             MD                  No
SGMG Women's Health                               Alton                  John         A.   MD                  Yes
NOMS Southwest Orthopaedics                       Anderson               Connor       J.   PA-C                No
Dermatology Partners, Inc.                        Andreano               Judith       M.   MD                  No
Wound Center                                      Andrews                Cynthia      A.   CNP                 Yes
Radiology Partners, Inc.                          Angari                 David        H.   MD                  No
HNI Healthcare                                    Annam                  Anthony      R.   DO                  No
NOMS Southwest Orthopaedics                       Anthony                Mary         E.   DO                  No
Americare Kidney Institute                        Anton                  Hany         S.   MD                  No
SGMG Women's Health Urogynecology                 Apostolis              Costas       A.   MD                  Yes
Individual                                        Arceneaux              Susan        M.   MD                  No
Mobile Hyperbaric Centers                         Argekar                Ashok        W.   MD                  No
Americare Kidney Institute                        Argekar                Pushkar           MD                  No
TeamHealth Northeast                              Arman                  Jenny        M.   DO                  No
Southwest Employed CNP                            Armao                  Mary         A.   CNP                 Yes
Radiology Partners, Inc.                          Armstrong              Linda        K.   DO                  No
TeamHealth Northeast                              Ataya                  Ramsey       K.   MD                  No
UHMP Brunswick Rheumatology & Internal Medicine   Ayers                  Katherine    E.   MD                  No
Radiology Partners, Inc.                          Backus                 Shane        K.   MD                  No
Strongsville Psychological Services               Baenen                 Randall      S.   Ph.D.               No
Radiology Partners, Inc.                          Bailey                 Ronald       A.   MD                  No
SGMG Behavioral Health                            Baishnab               Raman        D.   DO                  Yes
Big Creek Surgery Center Anesthesiology           Bala                   Alison       O.   CRNA                No
UH Neurological Surgery                           Bambakidis             Nicholas     C.   MD                  No
OrthoWest, Ltd.                                   Banks                  Michael      A.   MD                  No
Radiology Partners, Inc.                          Bansal                 Neil         K.   MD                  No
Kane Podiatry                                     Baracz-Zimmerman       Elizabeth    A.   DPM                 No
Southwest Urology, Inc.                           Barkoukis              Michael      T.   MD                  No
UHMP Kids in the Sun                              Barnes                 Lisa         A.   CPNP                No
NOMS Southwest Foot and Ankle Associates          Bartal                 Joseph       R.   DPM                 No
Ohio Anesthesia Group, Inc.                       Bartal                 Jason             DO                  No
UHMG Seidman Cancer Center                        Barton                 Fredrick     J.   MD                  No
SGMG Behavioral Health                            Basco                  Laura        A.   CNP                 Yes
Cleveland Dermatology Group                       Baud                   Eric         B.   MD                  No
UHMG Peds-Neonatology                             Bearer                 Cynthia      F.   MD                  No
Radiology Partners, Inc.                          Beasley                Mary         M.   MD                  No
Health and Wellness Clinic                        Beetler                Alexandria   N.   CNP                 Yes
SGMG Women's Health Medina OB/GYN                 Bellante               Anita        M.   MD                  Yes
Big Creek Surgery Center                          Benchek                Jenna        M.   PA-C                No
SGMG Women's Health                               Bennett                Shirley      L.   MD                  Yes
TeamHealth Northeast                              Benz                   Kaleigh      N.   CNP                 No
North Coast Eye Surgery                           Berger                 Ravi         B.   MD                  No
Individual                                        Berglund               Sandra       M.   DO                  No
SGMG Cardiothoracic Surgery                       Beriswill              Gail              CNP                 Yes
SGMG General Surgery                              Berlekamp              Amanda       A.   DO                  Yes

UPDATED 3/3/2022                                          Page 1 of 13
ENGLISH

Provider List - Appendix B
                                                                                                         Covered by Southwest
GROUP / AFFILIATION                                 LAST                    FIRST      MI   TITLE
                                                                                                      Financial Assistance Policy?
Southwest Urology, Inc.                             Berte                   Michael    T.   MD                    No
Radiology Partners, Inc.                            Betterman               Mary       J.   MD                    No
Individual                                          Bhaiji                  Alok            MD                    No
Individual                                          Bhatt                   Mukesh     C.   MD                    No
Radiology Partners, Inc.                            Bhavsar                 Anil       S.   MD                    No
UHMG Peds-Neonatology                               Bhola                   Monika          MD                    No
Southwest Family Physicians                         Biglow                  Kimberly   W.   MD                    Yes
Martin & Tipton, Inc.                               Bilfield                Laurence   H.   MD                    No
SGMG Family Practice/Internal Med Strongsville      Bindra                  Sarpreet        MD                    Yes
SGMG Endocrinology, Diabetes & Metabolism           Bindra                  Sanjit     S.   MD                    Yes
Cardiovascular Medicine Assoc, Inc.                 Bisen                   Vikram     S.   MD                    No
UHMG Seidman Cancer Center                          Biswas                  Tithi           MD                    No
Radiology Partners, Inc.                            Bitonte                 David      A.   DO                    No
Radiology Partners, Inc.                            Bittles                 Mark       A.   MD                    No
SGMG Radiology                                      Blackburn               Bradley    A.   MD                    Yes
Big Creek Surgery Center Anesthesiology             Blackmur                Jay        R.   AA-C                  No
Individual                                          Blanchard               Janet      M.   MD                    No
SGMG Family Practice Middleburg Hts.                Blankfield              Robert     P.   MD                    Yes
North Coast Jaw & Implant Center                    Blood                   William    S.   DDS, MD               No
ID Consultants                                      Blossom                 David      B.   MD                    No
UHMP Rheumatology                                   Blumenthal              David      E.   MD                    No
SGMG Family Practice North Royalton                 Bocanegra               Jose       A.   MD                    Yes
Ohio Anesthesia Group, Inc.                         Bologna                 John       F.   MD                    No
Radiology Partners, Inc.                            Bonetti                 Renee      W.   MD                    No
Radiology Partners, Inc.                            Booya                   Fargol          MD                    No
Big Creek Surgery Center Anesthesiology             Bostelman               Mark       A.   MD                    No
TeamHealth Northeast                                Boyd                    Andrea     L.   PA-C                  No
SGMG Vascular Surgical Associates                   Brandt                  Jamie      J.   CNP                   Yes
UHMP Pediatric Services                             Brewer                  JoAnn      L.   MD                    No
Big Creek Surgery Center Anesthesiology             Brewer                  Theodore   K.   AA-C                  No
Radiology Partners, Inc.                            Brown                   Mark       G.   MD                    No
HNI Healthcare                                      Brown                   Kevin      C.   MD                    No
HNI Healthcare                                      Brown                   Derek      M.   DO                    No
SGMG Vascular Surgical Associates                   Brown                   Michael    P.   DO                    Yes
SGMG Gastroenterology                               Bruno                   Alison     L.   CNP                   Yes
SGMG General Surgery                                Brzozowski              Leonard    L.   MD                    Yes
UHMG Seidman Cancer Center                          Bseiso                  Ali        W.   MD                    No
Premier Physicians Centers                          Bshara                  Ibrahim         MD                    No
Radiology Partners, Inc.                            Buchino                 James      J.   MD                    No
Ohio Anesthesia Group, Inc.                         Budde                   Jessica    K.   AA-C                  No
HNI Healthcare                                      Burcham                 Jenna           CNP                   No
HNI Healthcare                                      Burke                   Shelley    A.   MD                    Yes
UH Parma Harrington Heart & Vascular Institute      Burma                   Gerald     M.   MD, PhD               No
Radiology Partners, Inc.                            Burnett                 Antonio    C.   MD                    No
HNI Healthcare                                      Caceres Polo            Manuel          MD                    No
SGMG Gastroenterology                               Calabrese               Debra      M.   PA-C                  Yes
Radiology Partners, Inc.                            Campbell                Laura      K.   DO                    No
SGMG Vascular Surgical Associates                   Cantor                  Giovanna   E.   CNP                   Yes
HNI Healthcare                                      Cappello                James      P.   DO                    Yes
UHMP Pediatric Services                             Carlin                  Kristina   L.   DO                    No
UHMP Pediatric Services                             Carruozzo               Michele         MD                    No
Health and Wellness Clinic                          Casto                   Erica      L.   CNP                   Yes
UH Parma Harrington Heart & Vascular Institute      Castro-Dominguez        Yulanka    S.   MD                    No
Bayless-Pathmark Diagnostic Pathology Consultants   Chang                   Yilan      L.   MD                    No
TeamHealth Northeast                                Cheng                   David      C.   MD                    No
UHMP Family Medicine Center of Strongsville         Chirdon                 Timothy    B.   DO                    No
UHMG Seidman Cancer Center                          Choi                    Serah           MD, PhD               No
Premier Physicians Centers                          Choudhary               Sanjay     K.   MD                    No

UPDATED 3/3/2022                                             Page 2 of 13
ENGLISH

Provider List - Appendix B
                                                                                                     Covered by Southwest
GROUP / AFFILIATION                       LAST                     FIRST         MI     TITLE
                                                                                                  Financial Assistance Policy?
Individual                                Cingle                   Kimberly      A.     MD                    No
Individual                                Cirino                   Anthony       J.     DO                    No
HNI Healthcare                            Cleveland                Kyle          T.     DO                    No
OrthoWest, Ltd.                           Coale                    Robert        M.     MD                    No
Cardiovascular Medicine Assoc, Inc.       Cohen                    Jamie         N.     MD                    No
Individual                                Coloma                   Arlene        J.     DDS                   No
Southwest Urology, Inc.                   Corrigan                 Jonathan      P.     PA-C                  No
UHMG Maternal/Fetal                       Corteville               Jane          E.     MD                    No
Radiology Partners, Inc.                  Covey                    Kelly         A.     MD                    No
Radiology Partners, Inc.                  Cox                      Chad          S.     MD                    No
Podiatry of Greater Cleveland             Craig                    Alexander     B.     DPM                   No
Radiology Partners, Inc.                  Critchley                Eric          P.     MD                    No
Radiology Partners, Inc.                  Crocker                  Norman        L.     MD                    No
UHMG Peds-Neonatology                     Crowley                  Moira         A.     MD                    No
SGMG Women's Health OB-GYN Associates     Dahman                   Ayman                MD                    Yes
Ohio Anesthesia Group, Inc.               Damron                   Kyle          M.     DO                    No
Individual                                Damtew                   Belai                MD                    No
Ohio Anesthesia Group, Inc.               Darke                    Riki          Lee    CRNA                  No
Radiology Partners, Inc.                  Darling                  James         D.     MD                    No
SGMG Gastroenterology                     Davessar                 Nitin                MD                    Yes
Mobile Hyperbaric Centers                 Davis                    Candice       S.     CNP                   No
Southwest Employed CNP                    Davis                    Molly         L.     CNP                   Yes
Radiology Partners, Inc.                  Davis                    Brady         S.     DO                    No
Radiology Partners, Inc.                  Davis                    Melissa       B.     MD                    No
Radiology Partners, Inc.                  Dean                     L.            Mark   MD                    No
Radiology Partners, Inc.                  Dearing                  Mark          E.     MD                    No
Radiology Partners, Inc.                  DeChambeau               Amber         N.     DO                    No
SGMG Geriatrics/Internal Medicine         Demko                    Monika               MD                    Yes
UHMP Southwest Internal Medicine          Desai                    Dipali        A.     MD                    No
SGMG Behavioral Health/Psychiatry         Desai                    Sonia         P.     MD                    Yes
Cardiovascular Medicine Assoc, Inc.       Deucher                  Michael       F.     MD                    No
HNI Healthcare                            Deutch                   Zachary              MD                    No
Radiology Partners, Inc.                  Deutch                   Steven        J.     MD                    No
SGMG Behavioral Health                    DeWeese                  Rebecca       A.     CNP                   Yes
Premier Physicians Centers                Diab                     Isam          A.     MD                    No
UH Ohio Medical Group                     DiLisi                   Linda         M.     MD                    No
TeamHealth Northeast                      Dimitris                 Kelly         C.     MD                    No
UHMP Southwest Internal Medicine          Dohar                    Robert        M.     DO                    No
Southwest Family Physicians               Dolega                   Christopher   J.     MD                    Yes
UH Neurological Surgery                   Donnelly                 Dustin        J.     MD, PhD               No
UHMG Seidman Cancer Center                Dorth                    Jennifer      A.     MD                    No
SGMG Spine Center/Pain Management         Dover                    Susan         R.     CNP                   Yes
Southwest Family Physicians               Drazdik                  Janeen        M.     MD                    Yes
Radiology Partners, Inc.                  Drews                    Freddy               MD                    No
UHMG Seidman Cancer Center                D'Rummo                  Kevin         A.     MD                    No
UHMP University Southwest Surgeons        Dubchuk                  Vladimir             MD                    No
SGMG Women's Health                       Dubchuk                  Natalya              MD                    Yes
Ohio Anesthesia Group, Inc.               Dubsky                   Jonathan      A.     MD                    No
TeamHealth Northeast                      Duldner                  John          E.     MD                    No
HNI Healthcare                            Duran Castillo           Marina        Y.     MD                    No
Premier Physicians Centers                Eapen                    Babu          M.     MD                    No
Big Creek Surgery Center Anesthesiology   Eberlein                 Jonathan      S.     AA-C                  No
UHMG Peds-Neonatology                     Eck                      Victoria      A.     NNP                   No
Radiology Partners, Inc.                  Eckman                   Jerald        A.     MD                    No
Eye Medical and Surgical Assoc, Inc.      Edwards                  James         J.     MD                    No
Big Creek Surgery Center Anesthesiology   Eisenberg                Paul          I.     MD                    No
Radiology Partners, Inc.                  Eisenberg                Danny                MD                    No
Certified Dermatologists                  Elias                    Anthony       R.     MD                    No

UPDATED 3/3/2022                                    Page 3 of 13
ENGLISH

Provider List - Appendix B
                                                                                                            Covered by Southwest
GROUP / AFFILIATION                              LAST                    FIRST        MI       TITLE
                                                                                                         Financial Assistance Policy?
HNI Healthcare                                   Elshamy                 Mohammed     E.       MD                    No
Individual                                       Epstein                 James        G.       MD                    No
HNI Healthcare                                   Esho                    Adetokunbo   O.       MD                    No
Radiology Partners, Inc.                         Evans                   David        M.       DO                    No
SGMG General Surgery                             Eyman                   Craig        M.       DO                    Yes
TeamHealth Northeast                             Fallon                  Michelle     A.       DO                    No
UHMG Peds-Neonatology                            Fanaroff                Jonathan     M.       MD, JD                No
HNI Healthcare                                   Farag                   Hany                  MD                    No
North Ohio Heart Center, Inc.                    Farhat                  Naim         Z.       MD                    No
Ohio Anesthesia Group, Inc.                      Farro                   Oksana                AA-C                  No
Mobile Hyperbaric Centers                        Fedorko                 Ladislav              MD                    No
TeamHealth Northeast                             Ferguson                Elizabeth    A.       MD                    No
Mobile Hyperbaric Centers                        Ferrini                 Vincent      F.       MD                    No
SGMG Comprehensive Family Care                   Fetterman               Timothy      J.       MD                    Yes
Ohio Kidney + Hypertension Center                Fields                  Aaliyah               CNP                   No
Americare Kidney Institute                       Flauto                  Ronald       P.       DO                    No
Southwest Employed PA-C                          Florian                 Marius                PA-C                  Yes
SGMG Women's Health Medina OB/GYN                Foote                   Meghan       J.       DO                    Yes
Southwest Employed PA-C                          Ford                    Heather      A.       PA-C                  Yes
UHMG Peds-Neonatology                            Ford                    Stephanie    M.       MD                    No
UH Parma Harrington Heart & Vascular Institute   Forouzandeh             Farshad               MD                    No
Radiology Partners, Inc.                         Foster                  Elisa        M.       DO                    No
SGMG Behavioral Health/Psychiatry                Fox                     David        L.       MD                    Yes
Radiology Partners, Inc.                         Fox                     Jason        H.       MD                    No
Western Reserve OMS                              Frazee                  Troy         A.       DDS, MD               No
UHMG Seidman Cancer Center                       Freck                   Samantha     L.       CNP                   No
Individual                                       Freedman                Paul         S.       MD                    No
FootCare Consultants of Cleveland                Freireich               Ronald       A.       DPM                   No
Southwest Family Physicians                      Frost                   Jennifer     A.       CNP                   Yes
Southwest Family Physicians                      Fuentes                 Ashley       C.       DO                    Yes
SGMG Behavioral Health                           Gabor                   Michael      D.       CNP                   Yes
Radiology Partners, Inc.                         Gandhi                  Kabir                 MD                    No
UHMG Peds-Neonatology                            Gardner                 Pamela       M.       NNP                   No
Ohio Anesthesia Group, Inc.                      Gedeon                  Darleen      S.       CRNA                  No
TeamHealth Northeast                             Gee                     Kirsten               MD                    No
Individual                                       George                  Antony       M.       MD                    No
UHMP Kids in the Sun                             Gerardo                 Ernesto      A.       MD                    No
Southwest Urology, Inc.                          Gervasi                 Lawrence     A.       MD                    No
Radiology Partners, Inc.                         Ghori                   Saima                 MD                    No
Cardiovascular Medicine Assoc, Inc.              Giannattasio            Bartolomeo            MD, PhD               No
Gingo, Inc.                                      Gingo                   Anthony      J.       MD                    No
Radiology Partners, Inc.                         Giuliano                Anne         W.       MD                    No
SGMG Endocrinology, Diabetes & Metabolism        Gliga                   A.           Monica   MD                    Yes
Radiology Partners, Inc.                         Glover                  Adam         P.       DO                    No
Radiology Partners, Inc.                         Glover                  Alyssa       M.       DO                    No
The Cosmetic Surgery Center                      Goldschmidt             Matthew      J.       MD, DMD               No
UHMP Kids in the Sun                             Golonka                 Gregory      G.       MD                    No
Ohio Anesthesia Group, Inc.                      Golota                  Oleg         P.       CRNA                  No
Big Creek Surgery Center Anesthesiology          Goomber                 Roger                 MD                    No
Radiology Partners, Inc.                         Gould                   Paul         N.       MD                    No
Yatish Goyal MD, Inc.                            Goyal                   Yatish                MD                    No
Radiology Partners, Inc.                         Goyal                   Manish                MD                    No
Radiology Partners, Inc.                         Greenspan               Stacy                 DO                    No
NOMS Southwest Foot and Ankle Associates         Greer                   Hillary      M.       DPM                   No
Radiology Partners, Inc.                         Griffiths               Victoria     F.       MD                    No
Health and Wellness Clinic                       Groth                   Jacqueline   D.       CNP                   Yes
Residential Hospice                              Gundapaneni             Ramesh       C.       MD                    Yes
Cleveland Spine Institute                        Gurley                  Jerold       P.       MD                    No

UPDATED 3/3/2022                                          Page 4 of 13
ENGLISH

Provider List - Appendix B
                                                                                                               Covered by Southwest
GROUP / AFFILIATION                                 LAST                    FIRST         MI      TITLE
                                                                                                            Financial Assistance Policy?
Ohio Anesthesia Group, Inc.                         Guthrie                 Megan                 CRNA                  No
Ohio Anesthesia Group, Inc.                         Haber                   Roy           H.      CAA                   No
UHMG Maternal/Fetal                                 Hackney                 David         N.      MD                    No
UHMP Kids in the Sun                                Hagen                   Elizabeth     A.      MD                    No
Big Creek Surgery Center Anesthesiology             Hagen                   Safeta        Sandy   CRNA                  No
SGMG Women's Health                                 Hahn                    William       K.      MD                    Yes
HNI Healthcare                                      Haj Abdulkader          Adham                 MD                    No
TeamHealth Northeast                                Hajdari                 Astrit        H.      MD                    No
Lake Point Medical Group                            Haldeman                Michelle      H.      DPM                   No
TeamHealth Northeast                                Hall                    Buel          E.      PA-C                  No
Radiology Partners, Inc.                            Hall                    Gregory       J.      MD                    No
Radiology Partners, Inc.                            Haller                  Robert        J.      MD                    No
Podiatry of Greater Cleveland                       Halpert                 Jeffrey       A.      DPM                   No
Ohio Foot and Ankle Clinics                         Hamm                    Nathaniel     A.      DPM                   No
HNI Healthcare                                      Hammad                  Abdulrahman   Y.      MD                    No
ID Consultants                                      Han                     Zhuolin               MD                    No
UHMG Vascular Surgery                               Han                     Samuel                MD                    No
Ohio Anesthesia Group, Inc.                         Hanchosky               Brandi        M.      CRNA                  No
St. Vincent Medical Group-Orthopedics               Hanycz                  Roman                 PA-C                  No
TeamHealth Northeast                                Harris                  Mark          J.      MD                    No
UHMG Seidman Cancer Center                          Harris                  Eleanor       E.R.    MD                    No
Radiology Partners, Inc.                            Harris                  Carolyn       S.      DO                    No
Radiology Partners, Inc.                            Harrison                Andrew        J.      DO                    No
Radiology Partners, Inc.                            Hartz                   William       H.      MD                    No
TeamHealth Northeast                                Hasan                   Ibrahim       M       MD                    No
TeamHealth Northeast                                Hastings                O.            Mark    MD                    No
Bayless-Pathmark Diagnostic Pathology Consultants   Hauer                   Christopher   A.      MD                    No
Big Creek Surgery Center Anesthesiology             Havens                  Emily         N.      CRNA                  No
Radiology Partners, Inc.                            Hawk                    Kristina      E.      MD, PhD               No
Southwest Employed PA-C                             Hayes                   Joan          A.      PA-C                  Yes
Ohio Anesthesia Group, Inc.                         Hegarty                 Joel          M.      MD                    No
Ohio Anesthesia Group, Inc.                         Hegarty                 Michael       J.      CAA                   No
Individual                                          Hellwig                 Jane                  Ph.D.                 No
Radiology Partners, Inc.                            Hendrix                 Christopher   K.      DO                    No
SGMG Behavioral Health/Psychiatry                   Henton                  Alison        R.      CNP                   Yes
UHMG Peds-Neonatology                               Herrick                 Anna          M.      CPNP                  No
Radiology Partners, Inc.                            Hess                    Mark          D.      DO                    No
UHMG Peds-Neonatology                               Hibbs                   Anna Maria            MD                    No
HNI Healthcare                                      Hickey                  Gregory       G.      DO                    No
Radiology Partners, Inc.                            Hill                    Kevin         F.      MD                    No
Radiology Partners, Inc.                            Hogan                   Laura         A.      MD                    No
NOMS Southwest Foot and Ankle Associates            Holfinger               James         R.      DPM                   No
Radiology Partners, Inc.                            Holmes                  Laila         W.      MD                    No
Radiology Partners, Inc.                            Hosein                  Hazem         H.      MD                    No
Ohio Kidney + Hypertension Center                   Howe                    Katherine     M.      CNP                   No
Individual                                          Hu                      Benjamin      V.      MD                    No
Radiology Partners, Inc.                            Huang                   Charles       L.      MD                    No
SGMG Women's Health OB-GYN Associates               Hudock                  Paul          A.      MD                    Yes
Radiology Partners, Inc.                            Hussain                 Faheem                MD                    No
HNI Healthcare                                      Hussein                 Yazid                 DO                    No
Radiology Partners, Inc.                            Hutson                  Rodney        K.      MD                    No
Southwest Employed PA-C                             Idada                   Michelle      K.      PA-C                  Yes
Premier Physicians Centers                          Ignat                   Gheorghe      P.      MD                    No
HNI Healthcare                                      Iltchev                 Daniel        V.      MD                    No
TeamHealth Northeast                                Imhof                   Katie         C.      MD                    No
HNI Healthcare                                      Ingold                  Curtis        J.      DO                    No
Radiology Partners, Inc.                            Iqbal                   Nadeem                MD                    No
SGMG Behavioral Health                              Irwin                   Lindsey       M.      CNP                   Yes

UPDATED 3/3/2022                                             Page 5 of 13
ENGLISH

Provider List - Appendix B
                                                                                                          Covered by Southwest
GROUP / AFFILIATION                                 LAST                     FIRST        MI   TITLE
                                                                                                       Financial Assistance Policy?
Radiology Partners, Inc.                            Isaacson                 Jared        S.   MD                  No
SGMG Gastroenterology                               Issa                     Mazen             MD                  Yes
Radiology Partners, Inc.                            Jacobson                 Leslie       S.   MD                  No
SGMG Cardiovascular Medicine                        Jain                     Than         M.   MD                  Yes
Bayless-Pathmark Diagnostic Pathology Consultants   Jain                     Shail             MD                  No
Ohio Anesthesia Group, Inc.                         Jasinsky                 Ashley       P.   CRNA                No
Radiology Partners, Inc.                            Jedrzejczyk              Andy              MD                  No
Radiology Partners, Inc.                            Jennings                 Karsten      G.   DO                  No
UH North Ridgeville Family Physicians               Jesse                    Michael      L.   DO                  No
SGMG ENT Associates                                 Johnson                  Freedom           MD                  Yes
Ohio Kidney + Hypertension Center                   Jolley                   Lauren       M.   CNP                 No
Bayless-Pathmark Diagnostic Pathology Consultants   Kabira                   Ana-Tereza   A.   MD                  No
Cardiovascular Medicine Assoc, Inc.                 Kairouz                  Victor       F.   MD                  No
Premier Physicians Centers                          Kakumanu                 Vijay             MD                  No
Individual                                          Kansal                   Sunil        C.   MD                  No
UHMP Southwest Internal Medicine                    Kappus                   Brendan      F.   DO                  No
Radiology Partners, Inc.                            Kar                      Mitryan           MD                  No
Radiology Partners, Inc.                            Karia                    Pratima           MD                  No
UH Ohio Medical Group                               Karim                    Mohammad     S.   MD                  No
Radiology Partners, Inc.                            Karlberg                 Benjamin     D.   MD                  No
NOMS Southwest Orthopaedics                         Karns                    Daniel       J.   MD                  No
UHMG Seidman Cancer Center                          Katcher                  Jerald            MD                  No
Paladina Health                                     Kaushal                  Nina              MD                  No
Cleveland Urology Associates                        Kedia                    Kailash      R.   MD                  No
Ohio Kidney + Hypertension Center                   Keetha                   Narsimha     R.   MD                  No
UH Ohio Medical Group                               Kelly                    James        T.   MD                  No
Radiology Partners, Inc.                            Kelminson                Stephen      B.   MD                  No
SGMG Behavioral Health                              Kendig                   Saissy       E.   CNP                 Yes
St. Vincent Medical Group-Orthopedics               Keppler                  Louis             MD                  No
Big Creek Surgery Center Anesthesiology             Kessel                   Amanda       L.   AA-C                No
UH Ohio Medical Group                               Khan                     Mohammed     S.   MD                  No
A & S Khandelwal MD, Inc.                           Khandelwal               Anand        V.   MD                  No
A & S Khandelwal MD, Inc.                           Khandelwal               Vivek             MD                  No
Podiatry of Greater Cleveland                       Khlopas                  Hannah            DPM                 No
Individual                                          Khoury                   Wissam       E.   DPM                 No
Premier Physicians Centers                          Khoury                   Habib        J.   MD                  No
TeamHealth Northeast                                Killian                  Valerie      N.   MD                  No
Radiology Partners, Inc.                            Kim                      Benedict     Y.   DO                  No
Radiology Partners, Inc.                            Kim                      Dong         H.   MD                  No
Buckeye Foot Care                                   Kimmel                   Howard       M.   DPM                 No
Health and Wellness Clinic                          King                     Kellie       H.   CNP                 Yes
UHMG Seidman Cancer Center                          Kirby                    Eric         T.   MD                  No
TeamHealth Northeast                                Kiss                     Attilla      B.   MD                  No
TeamHealth Northeast                                Klabbatz                 Leslie       D.   MD                  No
Radiology Partners, Inc.                            Klausner                 Todd         S.   MD                  No
Ohio Anesthesia Group, Inc.                         Klein                    Leonard      R.   MD                  No
SGMG Comprehensive Family Care                      Klein                    Mary         R.   MD                  Yes
SGMG Internal Medicine Middleburg                   Kodz                     Irena        C.   MD                  Yes
Rockside Medical Associates                         Koepke                   Charles      R.   MD                  No
Rockside Medical Associates                         Koepke                   Morgan       R.   MD                  No
Individual                                          Kohberger                Cortney      A.   MD                  No
SGMG Family Practice Brunswick                      Korkor                   Rammy        K.   MD                  Yes
HNI Healthcare                                      Korn                     Kaitlyn      C.   DO                  Yes
Southwest Urology, Inc.                             Kosdrosky                Martin       A.   MD                  No
SGMG Family Practice/Internal Med Strongsville      Kovacevic                Olga              MD                  Yes
HNI Healthcare                                      Kovaci                   Bledar            MD                  Yes
Radiology Partners, Inc.                            Koza                     Joseph       G.   MD                  No
Gingo, Inc.                                         Kraus                    Kimberly     A.   MD                  No

UPDATED 3/3/2022                                              Page 6 of 13
ENGLISH

Provider List - Appendix B
                                                                                                         Covered by Southwest
GROUP / AFFILIATION                                 LAST                    FIRST      MI     TITLE
                                                                                                      Financial Assistance Policy?
Gingo, Inc.                                         Krieger                 Susan      K.      CNM                No
Radiology Partners, Inc.                            Kroeger                 Kevin      R.      MD                 No
HNI Healthcare                                      Krueger                 Mary       K.      CNP                No
UHMP Brunswick Rheumatology & Internal Medicine     Kuchynski               Marie              MD                 No
Individual                                          Kumar                   Suresh             MD                 No
Ohio Anesthesia Group, Inc.                         Kungl                   Martin     J.      MD                 No
HNI Healthcare                                      Kuo                     Heather    P.      MD                 Yes
UHMG Peds-Neonatology                               Kuper-Sasse             Margaret   E.      MD                 No
HNI Healthcare                                      Kupferberg              David      H.      MD                 No
Radiology Partners, Inc.                            Kutlick                 Cory       A.      DO                 No
Big Creek Surgery Center Anesthesiology             LaMacchia               Marc       A.      AA-C               No
Cleveland Urology Associates                        Lapeyrolerie            Jeffrey    C.      MD                 No
Individual                                          Larsen                  Teresa     K.      DO                 No
Southwest Family Physicians                         Lash                    David      C.      MD                 Yes
SGMG Women's Health Berea                           LaSota                  Emily      A.      MD                 Yes
Southwest Employed RNFA                             Laubert                 James      H.      RNFA               Yes
SGMG ENT Associates                                 Laubert                 Matthew    J.      CNP                Yes
Southwest Employed PA-C                             Laurenty                David      C.      PA-C               Yes
Individual                                          Lavery                  Mary       Ann     MD                 No
Ohio Kidney + Hypertension Center                   Lazor                   Jennifer   A.      DO                 No
Radiology Partners, Inc.                            Leahy                   Ryan       F.      DO                 No
SGMG Cardiothoracic Surgery                         Lee                     Jai        H.      MD                 Yes
Radiology Partners, Inc.                            Lee                     Esther             DO                 No
OrthoWest, Ltd.                                     Lembach                 Mark       L.      MD                 No
SGMG Endocrinology, Diabetes & Metabolism           Lemus                   Leah       M.      PA-C               Yes
Radiology Partners, Inc.                            Leonard                 Eric       L.      MD                 No
HNI Healthcare                                      Levandusky              Megan      M.      CNP                No
TeamHealth Northeast                                Levine                  David      A.      MD                 No
UHMP Kids in the Sun                                Levy-Mandalla           Michelle           MD                 No
UH Breast Surgery                                   Li                      Pamela     H.      MD                 No
UH Parma Harrington Heart & Vascular Institute      Li                      Jun                MD                 No
Individual                                          Liang                   James      T.      MD                 No
UHMP Pediatric Services                             Libecco                 Julia      A.      MD                 No
NOMS Southwest Orthopaedics                         Lika                    Larry      G.      DO                 No
Radiology Partners, Inc.                            Lile                    Robert     L.      MD                 No
Radiology Partners, Inc.                            Lin                     Joel       G.      DO                 No
UH Parma General Surgery                            Linz                    David      N.      MD                 No
Bayless-Pathmark Diagnostic Pathology Consultants   Liu                     Zejin      J.      MD                 No
Mobile Hyperbaric Centers                           Lockhart                Eric       R.      MD                 No
Radiology Partners, Inc.                            Lorenz                  Giovanni   E.      DO                 No
SGMG Family Practice Berea                          Ludwig                  David      C.      MD                 Yes
SGMG Behavioral Health                              Luther                  Charles    W.      MD                 Yes
Radiology Partners, Inc.                            Luyckx                  Benoit     A.      MD                 No
Radiology Partners, Inc.                            Lyle                    Cynthia    S.      MD                 No
St. John Medical Group Cardiology                   Lyons                   Sean       V.      MD                 No
UHMG Seidman Cancer Center                          Lyons                   Janice     A.      MD                 No
UHMG Seidman Cancer Center                          Macklis                 Roger      M.      MD                 No
UHMG Peds-Neonatology                               Madden                  Jessica    W.      MD                 No
Radiology Partners, Inc.                            Mader                   Michael    T.      MD                 No
Center for Thyroid Diseases and Endocrinology       Madhun                  Zuhayr     T.      M.D.               No
HNI Healthcare                                      Madhun                  Toufik     Z.      MD                 No
Center for Thyroid Diseases and Endocrinology       Madhun                  Nabil      Z.      DO                 No
UHMG University Hospital Medical Group              Magrey                  Marina     N.      MD                 No
Individual                                          Mahajan                 Subhash    Chander MD                 No
Individual                                          Mahajan                 Suresh     K.      MD                 No
HNI Healthcare                                      Majumdar                Neal               DO                 Yes
Premier Physicians Centers                          Makowski                Tanya      I.      NP-C               No
TeamHealth Northeast                                Maloney                 Gerald     E.      DO                 No

UPDATED 3/3/2022                                             Page 7 of 13
ENGLISH

Provider List - Appendix B
                                                                                                      Covered by Southwest
GROUP / AFFILIATION                              LAST                   FIRST         MI   TITLE
                                                                                                   Financial Assistance Policy?
Radiology Partners, Inc.                         Mannava                Rakesh             MD                  No
Radiology Partners, Inc.                         Mansfield              William       P.   MD                  No
UHMG Seidman Cancer Center                       Mansur                 David         B.   MD                  No
UHMG Maternal/Fetal                              March                  Melissa       I.   MD                  No
Radiology Partners, Inc.                         Markovic               Michael       A.   MD                  No
Wound Center                                     Martin                 Kathleen      M.   CNP                 Yes
UHMP Kids in the Sun                             Maruskin               Lynn          L.   CPNP                No
Residential Hospice                              Massouh                Rafik              MD                  Yes
Southwest Urology, Inc.                          Mates                  Matthew       A.   PA-C                No
Ohio Anesthesia Group, Inc.                      Maulorico              Thomas        J.   CRNA                No
Southwest Urology, Inc.                          May                    Timothy       A.   PA-C                No
Ohio Foot and Ankle Clinics                      McCallister            Eric          M.   DPM                 No
SGMG Women's Health OB-GYN Associates            McCaslin               Genevieve     J.   CNM                 Yes
Big Creek Surgery Center Anesthesiology          McClain                Thomas        C.   DO                  No
NOMS Southwest Orthopaedics                      McCoy                  Blane         W.   MD                  No
Residential Hospice                              McDade                 Cheryl        L.   CNP                 Yes
Health and Wellness Clinic                       McDermott              Alexandra     C.   CNP                 Yes
SGMG Women's Health Berea                        McDowell               Katherine     M.   MD                  Yes
Ohio Anesthesia Group, Inc.                      McManus                Michael       C.   MD                  No
HNI Healthcare                                   Meacham                Benjamin      P.   DO                  No
SGMG ENT Associates                              Mehle                  Mark          E.   MD                  Yes
Radiology Partners, Inc.                         Mehta                  Snehal        D.   MD                  No
Radiology Partners, Inc.                         Melitz                 Celine             MD                  No
UHMG Seidman Cancer Center                       Mendpara               Suresh        D.   MD                  No
Radiology Partners, Inc.                         Meoli                  Frederick     G.   MD                  No
TeamHealth Northeast                             Mercer                 Alana         R.   PA-C                No
Radiology Partners, Inc.                         Merkle                 John          A.   MD                  No
UHMP Family Medicine Center of Strongsville      Mielke                 Heather       C.   DO                  No
UHMG Peds-Neonatology                            Miguel                 Barbara Ann   M.   NNP                 No
Radiology Partners, Inc.                         Millare                Giovanni      G.   MD                  No
Ohio Anesthesia Group, Inc.                      Miner                  James         F.   CAA                 No
HNI Healthcare                                   Minier                 Jayne         A.   MD                  No
Ohio Anesthesia Group, Inc.                      Miranda                Samuel        P.   MD                  No
UH Parma Harrington Heart & Vascular Institute   Modi                   Raju               MD                  No
Ohio Anesthesia Group, Inc.                      Moore                  Christine     M.   AA-C                No
Radiology Partners, Inc.                         Morris                 Colleen       M.   MD                  No
North Ohio Heart Center, Inc.                    Mosteller              Robert        D.   MD                  No
Health and Wellness Clinic                       Motil                  Amy           M.   CNP                 Yes
Individual                                       Moussa                 Basel              MD                  No
UHMP Southwest Internal Medicine                 Munjapara              Valji         D.   MD                  No
Cleveland Urology Associates                     Murdy                  Brianna       J.   PA-C                No
Radiology Partners, Inc.                         Murri                  Jason         T.   DO                  No
TeamHealth Northeast                             Musselman              Jansen        G.   PA-C                No
SGMG Gastroenterology                            Muthunayagam           Newton        P.   MD                  Yes
Radiology Partners, Inc.                         Nagar                  Veena         A.   MD                  No
Premier Physicians Centers                       Narichania             Dilip         B.   MD                  No
SGMG Behavioral Health                           Nelson                 Nan           E.   MD                  Yes
Ohio Anesthesia Group, Inc.                      Nemanis                Kriste             AA-C                No
SGMG Vascular Surgical Associates                Nemeth                 Kimberly      M.   DO                  Yes
HNI Healthcare                                   Neuman                 Tzvi               DO                  No
Radiology Partners, Inc.                         Newman                 Barbara       A.   MD                  No
OrthoWest, Ltd.                                  Newman                 Nicole        A.   PA-C                No
UHMP Pediatric Services                          Nikonchik              Andrea        S.   MD                  No
Radiology Partners, Inc.                         Nisbet                 John          J.   MD                  No
UHMG Peds-Neonatology                            Nock                   Mary          L.   MD                  No
SGMG Behavioral Health                           Noga                   David         J.   MD                  Yes
NOMS Southwest Orthopaedics                      Notaro                 Kelliann      N.   PA-C                No
UHMG Seidman Cancer Center                       Novak                  Louis         J.   MD                  No

UPDATED 3/3/2022                                         Page 8 of 13
ENGLISH

Provider List - Appendix B
                                                                                                           Covered by Southwest
GROUP / AFFILIATION                              LAST                   FIRST        MI       TITLE
                                                                                                        Financial Assistance Policy?
Ohio Anesthesia Group, Inc.                      Novak                  Andrea                CRNA                  No
Individual                                       Novotny                David        A.       MD                    No
Individual                                       Nuggud                 Villie       R.       DDS                   No
SGMG Family Practice Berea                       O'Brien                Lucy         K.       DO                    Yes
Radiology Partners, Inc.                         Ockner                 James        L.       MD                    No
Radiology Partners, Inc.                         Oettel                 David        J.       DO                    No
Radiology Partners, Inc.                         Oh                     Eugene                MD                    No
Ohio Anesthesia Group, Inc.                      Okal                   Rosemarie             CRNA                  No
UHMG Peds-Neonatology                            Olicker                Arielle      L.       MD                    No
SGMG Women's Health                              O'Neill                Johanna      R.       MD                    Yes
Ohio Chest Physicians                            O'Regan                Catherine    D.       CNP                   No
HNI Healthcare                                   O'Toole                John         M.       MD                    No
Radiology Partners, Inc.                         Otto                   Tara         M.       MD                    No
UHMG Seidman Cancer Center                       Ove                    Roger                 MD, PhD               No
UHMG Seidman Cancer Center                       Padula                 Gilbert      D.A.     MD                    No
Observation Unit CNP                             Pallotta               Mary         K.       CNP                   Yes
UHMP Pandrangi Plastic Surgery                   Pandrangi              Vasu                  MD                    No
OrthoWest, Ltd.                                  Panigutti              Mark         A.       MD                    No
Allergy and Immunology Health Services           Panuto                 John         A.       MD                    No
TeamHealth Northeast                             Parente                John         J.       DO                    No
Wound Center                                     Paris                  Joni         R.       CNP                   Yes
SGMG Cardiothoracic Surgery                      Park                   Soon         J.       MD                    Yes
Individual                                       Parras                 George       P.       MD                    No
Radiology Partners, Inc.                         Parven                 Stephen      G.       MD                    No
Radiology Partners, Inc.                         Passerini              Stephen      M.       MD                    No
Radiology Partners, Inc.                         Patel                  Malaykumar   M.       MD                    No
Ohio Kidney + Hypertension Center                Patel                  Amitkumar    V.       MD                    No
Cardiovascular Medicine Assoc, Inc.              Patel                  Meet                  MD                    No
HNI Healthcare                                   Patel                  Yogeshwar    A.       MD                    No
Radiology Partners, Inc.                         Pathadan               Paul                  MD                    No
UHMG Peds-Neonatology                            Patrinos               Mary         Elaine   MD                    No
HNI Healthcare                                   Patterson              Linda        A.       MD                    No
Radiology Partners, Inc.                         Patterson              Richard      D.       MD                    No
UH Parma Harrington Heart & Vascular Institute   Patterson              Andrew       J.       MD, PhD               No
TeamHealth Northeast                             Pay                    Jeffrey      L.       DO                    No
UHMG Peds-Neonatology                            Payne                  Allison      H.       MD                    No
Oakview Locum Tenens                             Pennington             James        G.       MD                    Yes
Radiology Partners, Inc.                         Perez-Young            Irene        V.       MD                    No
UHMP University Southwest Surgeons               Pesetsky               Laura        B.       CNP                   No
Radiology Partners, Inc.                         Peters                 Austin       J.       DO                    No
Americare Kidney Institute                       Petras                 Keith        M.       MD                    No
Radiology Partners, Inc.                         Phelps                 Susan        J.       MD                    No
SGMG Vascular Surgical Associates                Plecha                 Ferdinand    M.       MD                    Yes
North Coast Jaw & Implant Center                 Plona                  Gregory      A.       DMD                   No
North Coast Jaw & Implant Center                 Plona                  Raymond      P.       DDS, MD               No
Cardiovascular Medicine Assoc, Inc.              Pohorence              Donald       J.       PA-C                  No
Observation Unit CNP                             Pollack                Rebecca      A.       CNP                   Yes
SGMG Behavioral Health/Psychiatry                Polster                Daniel       S.       MD                    Yes
UH Parma Harrington Heart & Vascular Institute   Poommipanit            Paul         B.       MD                    No
Individual                                       Popa                   Carmen                MD                    No
Ohio Anesthesia Group, Inc.                      Popelas                Kristina     L.       CRNA                  No
Individual                                       Poreh                  Amir         M.       Ph D                  No
Martin & Tipton, Inc.                            Posch                  John         N.       MD                    No
UHMP Kids in the Sun                             Postma                 Brian        S.       MD                    No
Southwest Employed PA-C                          Potopsky               Kali         M.       PA-C                  Yes
Radiology Partners, Inc.                         Poulton                Thomas       B.       MD                    No
Radiology Partners, Inc.                         Prabhuswamy            Anjan                 MD                    No
Individual                                       Prescott               Jon          S.       MD                    No

UPDATED 3/3/2022                                         Page 9 of 13
ENGLISH

Provider List - Appendix B
                                                                                                           Covered by Southwest
GROUP / AFFILIATION                                 LAST                FIRST        MI      TITLE
                                                                                                        Financial Assistance Policy?
Southwest Family Physicians                         Prezenkowski        Michele      L.      CNP                    Yes
Radiology Partners, Inc.                            Priddy              Nathan       K.      MD                     No
St. Vincent Medical Group                           Pristas             Leslie       L.K.    DO                     No
Visage Surgical Institute                           Quereshy            Faisal       A.      MD                     No
Bayless-Pathmark Diagnostic Pathology Consultants   Rabinowitz          Martin       Z.      MD                     No
UHMG Peds-Neonatology                               Raffay              Thomas       M.      MD                     No
Radiology Partners, Inc.                            Rafie               Shervin              MD                     No
Radiology Partners, Inc.                            Raines-Hepple       Robert       P.      MD                     No
Raj Plastic Surgery                                 Raj                 Joyesh               MD                     No
SGMG Cardiovascular Medicine                        Ramanavarapu        Sampath      K.      MD                     Yes
Radiology Partners, Inc.                            Ramas               Carla                MD                     No
Premier Physicians Centers                          Ramella             Aman         N.      MD                     No
UH Parma Harrington Heart & Vascular Institute      Ramicone            James        C.      DO                     No
Americare Kidney Institute                          Rao                 Akhilesh             MD                     No
UH Ohio Medical Group                               Rashidi             Arash                MD                     No
UH Ohio Medical Group                               Ravi                Ram          C.      MD                     No
Southwest Neurology, Inc.                           Ravishankar         Kempsagar    C.      MD                     No
Rockland A. Ray, DDS                                Ray                 Rockland     A.      DDS                    No
TeamHealth Northeast                                Rayokovich          Brooke       A.      PA-C                   No
HNI Healthcare                                      Reddy               Aparna       N.      MD                     Yes
Radiology Partners, Inc.                            Redlich             Robert       S.      MD                     No
Associates in Dermatology                           Reep                Michael      D.      MD                     No
Observation Unit CNP                                Reese-Rusnak        Charlene     M.      CNP                    Yes
HNI Healthcare                                      Repenning           Dennis       B.      MD                     Yes
Southwest Employed PA-C                             Reynolds            Paul                 PA-C                   Yes
Ohio Anesthesia Group, Inc.                         Reynolds            Stuart       M.      CAA                    No
UH Neurological Surgery                             Rhiew               Richard      B.      MD, Ph D               No
TeamHealth Northeast                                Rice                Janice       L.      DO                     No
ID Consultants                                      Riebel              William      J.      MD                     No
Brunswick Family Practice                           Robusto             G. Richard           DO                     No
Individual                                          Rodriguez           Orlando      E.      MD                     No
SGMG Gastroenterology                               Rodriguez           Bianca       M.      CNP                    Yes
SGMG Vascular Surgical Associates                   Rogers              Gregory      J.      MD                     Yes
UH Parma Medical Associates, Inc                    Roheny              Nader        S.      MD                     No
Radiology Partners, Inc.                            Ronchi              Mark         G.      DO                     No
SGMG Internal Medicine Associates                   Rossi               Mirela       R.      MD                     Yes
Radiology Partners, Inc.                            Rush                Brett        A.      DO                     No
Radiology Partners, Inc.                            Russell             Timothy      G.      MD                     No
TeamHealth Northeast                                Russell             Darilynn     (Tom)   MD                     No
UHMG Seidman Cancer Center                          Russo               Suzanne      M.      MD                     No
North Ohio Heart Center, Inc.                       Rusterholtz         Lori         A.      MD                     No
SGMG Spine Center/Pain Management                   Ryan                David        A.      MD                     Yes
Individual                                          Sabbagh             Emile        I.      MD                     No
Radiology Partners, Inc.                            Sabo                Stephen      W.      DO                     No
Individual                                          Saghafi             Kourosh              DO                     No
Yatish Goyal MD, Inc.                               Sahni               Priyanka             MD                     No
HNI Healthcare                                      Saleem              Sidrah               DO                     Yes
TeamHealth Northeast                                Salgia              Anup         D.      DO                     No
Radiology Partners, Inc.                            Samaroo             Tejas        J.      MD                     No
Radiology Partners, Inc.                            Santa Maria         Jed          A.      MD                     No
Radiology Partners, Inc.                            Savit               Russ         M.      MD                     No
HNI Healthcare                                      Scaccianoce         Maria        D.      CNP                    No
Radiology Partners, Inc.                            Scalf               Richard      E.      MD                     No
Radiology Partners, Inc.                            Schirmang           Todd         C.      MD                     No
Cuyahoga Valley Spine & Arthritis Center, Inc.      Schnell             John         E.      MD                     No
St. Vincent Medical Group-Orthopedics               Schnell             Lisa         M.      PA-C                   No
NOMS Southwest Orthopaedics                         Schnell             Scott        G.      MD                     No
TeamHealth Northeast                                Schrock             Jon          W.      MD                     No

UPDATED 3/3/2022                                            Page 10 of 13
ENGLISH

Provider List - Appendix B
                                                                                                         Covered by Southwest
GROUP / AFFILIATION                              LAST                 FIRST         MI     TITLE
                                                                                                      Financial Assistance Policy?
Individual                                       Seballos             Raymond       M.     MD                     No
UH Parma Harrington Heart & Vascular Institute   Sechler              James         L.     MD                     No
HNI Healthcare                                   Seffo                Firas                MD                     Yes
UH Neurological Surgery                          Selman               Warren        R.     MD                     No
Radiology Partners, Inc.                         Sessions             Jordan        R.     DO                     No
Pain Management Clinic                           Sfeir                David         M.     MD                     No
Individual                                       Shah                 Arunika       N.     MD                     No
UHMP Southwest Internal Medicine                 Shah                 Tushar        K.     MD                     No
Radiology Partners, Inc.                         Shah                 Samir         S.     MD                     No
Associates in Dermatology                        Shah                 Mihir         M.     MD                     No
Ohio Kidney + Hypertension Center                Shaheen              Khaldoon             MD                     No
Center for Thyroid Diseases and Endocrinology    Sharkey-Wells        Traci         L.     CNP                    No
Cardiovascular Medicine Assoc, Inc.              Sharma               Trilok        C.     MD                     No
Radiology Partners, Inc.                         Sherwin              Joshua        L.     MD                     No
HNI Healthcare                                   Shibeika             Dalia         A.     MD                     Yes
Radiology Partners, Inc.                         Shockley             Joel          A.     MD                     No
Radiology Partners, Inc.                         Short                James         H.     MD                     No
Southwest Urology, Inc.                          Sidor                Tim           A.     MD                     No
Big Creek Surgery Center Anesthesiology          Siegferth            Jessica       A.     CRNA                   No
HNI Healthcare                                   Simon                Margo                DO                     Yes
UH Breast Surgery                                Simpson              Ashley        B.     DO                     No
Southwest Urology, Inc.                          Singh                Ravi          K.     PA-C                   No
Radiology Partners, Inc.                         Singh                Supreet              MD                     No
Ohio Anesthesia Group, Inc.                      Siverd               Stephanie     L.     CRNA                   No
SGMG Women's Health Urogynecology                Skabar               Amy           L.     CNP                    Yes
TeamHealth Northeast                             Skelly               Kelsey        L.     PA-C                   No
HNI Healthcare                                   Slavin               Lee                  MD                     No
UH Neurological Surgery                          Sloan                Andrew        E.     MD                     No
UH Neurological Surgery                          Smith                Gabriel       A.     MD                     No
UHMG Peds-Neonatology                            Smith                Kristin       L.     NNP                    No
UHMP Pediatric Services                          Snair                Trisha        L.     DO                     No
Radiology Partners, Inc.                         Snodgrass            Stephen       A.     DO                     No
UHMG Peds-Cardiology                             Snyder               Christopher   S.     MD                     No
Radiology Partners, Inc.                         Soehnlen             Michael       W.     MD                     No
TeamHealth Northeast                             Somple               John          M.     MD                     No
SGMG Family Practice North Royalton              Song                 Grace                MD                     Yes
Radiology Partners, Inc.                         Sousaris             Nicholas      A.     MD                     No
HNI Healthcare                                   Sowunmi              Olumuyiwa     T.     MD                     Yes
Radiology Partners, Inc.                         Spain                James         W.     MD, Ph D               No
Southwest Employed PA-C                          Sparks               Tyler         R.     PA-C                   Yes
Southwest Employed PA-C                          Sparks               Ian           H.     PA-C                   Yes
Ohio Anesthesia Group, Inc.                      Spencer              Mary          L.     AA-C                   No
SGMG Behavioral Health                           Sprague              Laura         H.     CNP                    Yes
UHMG Seidman Cancer Center                       Spratt               Daniel        E.     MD                     No
Southwest Employed PA-C                          St. Aubin            Jessica       M.     PA-C                   Yes
Summit Hand Center                               Stachowicz           Rafal         Z.     MD                     No
TeamHealth Northeast                             Staebler             Hillary       L.     MD                     No
Southwest Family Physicians                      Staraitis            Suzanne       M.     DO                     Yes
Ohio Anesthesia Group, Inc.                      Staszak              John          J.     DO                     No
Radiology Partners, Inc.                         Stears               Robert        L.G.   MD                     No
Radiology Partners, Inc.                         Stein                Jeffrey       L.     MD                     No
Wound Center                                     Steinbrenner         Jodi          L.     NP-C                   Yes
Residential Hospice                              Stevenson            Megan         E.     CNP                    Yes
Southwest Urology, Inc.                          Stout                W.            John   PA-C                   No
UHMG Peds-Cardiology                             Strainic             James         P.     MD                     No
Health and Wellness Clinic                       Strazisar            Lauren        C.     CNP                    Yes
Southwest Employed PA-C                          Street               Jacquelyn     F.     PA-C                   Yes
SGMG Spine Center/Pain Management                Such                 Julie         M.     CNP                    Yes

UPDATED 3/3/2022                                          Page 11 of 13
ENGLISH

Provider List - Appendix B
                                                                                                       Covered by Southwest
GROUP / AFFILIATION                              LAST               FIRST         MI      TITLE
                                                                                                    Financial Assistance Policy?
Radiology Partners, Inc.                         Sullivan           John          P.      MD                    No
Spring & Sprout Pediatric Dentistry              Sunna              Manal         R.      BDS-DDS               No
Ohio Kidney + Hypertension Center                Suresh             Keelapandal   R.      MD                    No
HNI Healthcare                                   Swedeh             Mohamed       A.      MD                    No
Radiology Partners, Inc.                         Swope              David         K.      MD                    No
SGMG Behavioral Health/Psychiatry                Syed               Aasia         K.      MD                    Yes
ID Consultants                                   Szathmary          Eva           A.      MD                    No
Podiatry of Greater Cleveland                    Taddeo             John          R.      DPM                   No
Cardiovascular Medicine Assoc, Inc.              Taghizadeh         Touraj                MD                    No
Certified Dermatologists                         Tam                Christine     C.      MD                    No
Individual                                       Tandra             Usharani      V.      MD                    No
SGMG Behavioral Health                           Tarr               Kara          E.      CNP                   Yes
UHMG Peds-Neonatology                            Taylor-Hach        Susan         M.      NNP                   No
ID Consultants                                   Tello              Muhannad              MD                    No
Allied Health-CNP                                Terrigno           Marisa        C.      CNP                   No
Ohio Anesthesia Group, Inc.                      Thall              Robert        M.      CAA                   No
Thomas and Thomas Ophthalmology, Inc.            Thomas             Richard       G.      MD                    No
Thomas and Thomas Ophthalmology, Inc.            Thomas             Stephanie     W.      MD                    No
Ohio Anesthesia Group, Inc.                      Thomas             W.            David   MD                    No
TeamHealth Northeast                             Thomas             John          C.      PA-C                  No
HNI Healthcare                                   Thompson           Michael       W.      DO                    No
Radiology Partners, Inc.                         Timm               David         D.      MD                    No
Radiology Partners, Inc.                         Tomich             Jennifer      L.      MD                    No
HNI Healthcare                                   Tonks              Dallin        R.      DO                    No
TeamHealth Northeast                             Tout               Susan         E.      MD                    No
Tozzi Foot & Ankle, LLC                          Tozzi              Mark          A.      DPM                   No
Radiology Partners, Inc.                         Tran               Benson        D.      MD                    No
Radiology Partners, Inc.                         Tran               Nha           Phong   MD                    No
HNI Healthcare                                   Trokhimenko        Alla                  CNP                   No
Ohio Anesthesia Group, Inc.                      Trotter            Rachel        A.      CRNA                  No
UH Berea Family Medicine                         Troy               Nicole        C.      MD                    No
UH Ohio Medical Group                            Truong             Khon          D.      DO                    No
SGMG Behavioral Health                           Tunningley         Leah          J.      CNP                   Yes
Associates in Dermatology                        Turgeon            Karen         J.      MD                    No
Southwest Urology, Inc.                          Turk               David         S.      MD                    No
UH Parma Harrington Heart & Vascular Institute   Ulatowski          Arthur        S.      DO                    No
UH Parma General Surgery                         Ungvarsky          Richard       F.      MD                    No
Big Creek Surgery Center Anesthesiology          Vaccaro            Patrick       S.      CRNA                  No
Ohio Chest Physicians                            Vaitkus            Linas         F.      MD                    No
Ohio Chest Physicians                            Vaitkus            Vytas         A.      DO                    No
Southwest Family Physicians                      Vallabhaneni       Rajani        V.      MD                    Yes
Radiology Partners, Inc.                         Vandenmooter       Synda                 MD                    No
Individual                                       Vargo              Frank         E.      DPM                   No
Ohio Anesthesia Group, Inc.                      Veale              Laura         E.      AA-C                  No
Cardiovascular Medicine Assoc, Inc.              Velloze            Sabino        D.      MD                    No
UHMG Seidman Cancer Center                       Vempati            Prashant              MD                    No
TeamHealth Northeast                             Villarosa          Anthony       M.      MD                    No
Docere Physicians                                Viscomi            Jeffrey       J.      MD                    No
SGMG Oncology/Hematology                         Vitek              Amanda        L.      CNP                   Yes
Americare Kidney Institute                       Vlasie             Anca          C.      MD                    No
UHMP Pediatric Services                          Vogelgesang        Ryan          J.      MD                    No
SGMG Gastroenterology                            Vollweiler         Jason         F.      MD                    Yes
UHMP Southwest Internal Medicine                 Vyas               Chinmay       B.      MD                    No
TeamHealth Northeast                             Waldman            Alex          J.      MD                    No
Radiology Partners, Inc.                         Waldo              John          P.      MD                    No
Ohio Anesthesia Group, Inc.                      Wallace            Sasha         A.      CRNA                  No
Radiology Partners, Inc.                         Wallace            Brian         D.      MD                    No
Observation Unit CNP                             Walschon           Melanie       D.      CNP                   Yes

UPDATED 3/3/2022                                        Page 12 of 13
ENGLISH

Provider List - Appendix B
                                                                                                          Covered by Southwest
GROUP / AFFILIATION                                 LAST                 FIRST         MI      TITLE
                                                                                                       Financial Assistance Policy?
Bayless-Pathmark Diagnostic Pathology Consultants   Wang                 Hai                   MD                  No
Observation Unit CNP                                Wanjiku              Anne          W.      CNP                 Yes
Radiology Partners, Inc.                            Ward                 Matthew       J.      MD                  No
Radiology Partners, Inc.                            Warpinski            Amy           L.      DO                  No
UHMG Seidman Cancer Center                          Warren               Gregory       P.      MD                  No
UHMP Family Medicine Center of Strongsville         Waters               Judith        K.      MD                  No
Radiology Partners, Inc.                            Weber                James         L.      MD                  No
NOMS Southwest Orthopaedics                         Wehe                 Jason         A.      PA-C                No
HNI Healthcare                                      Weiner               David         M.      MD                  No
Ohio Anesthesia Group, Inc.                         Wessel               Jillian       R.      AA-C                No
Ohio Anesthesia Group, Inc.                         Wessler              Danielle      E.      CRNA                No
Individual                                          White                Darrell       E.      MD                  No
Dermatology Partners, Inc.                          White                Christopher   M.      DO                  No
Diabetic Foot Clinic                                Wiemken              Gregory       L.      DPM                 No
Ohio Anesthesia Group, Inc.                         Williams             Brian         J.      MD                  No
Southwest Employed PA-C                             Williams             Donna         M.      PA-C                Yes
UHMG Peds-Neonatology                               Wilson-Costello      Deanne        E.      MD                  No
MetroHealth November Family Health Center           Wimpie               Nina          F.      MD                  No
UH Ohio Medical Group                               Wojnar               Walter        J.      MD                  No
NOMS Southwest Orthopaedics                         Wolanin              Andre         F.      MD                  No
NOMS Southwest Orthopaedics                         Wolanin              Dina          L.      PA-C                No
SGMG Oncology/Hematology                            Woloszyn             Jessica       L.      CNP                 Yes
TeamHealth Northeast                                Wong                 Rosie         M.      MD                  No
UHMG Peds-Neonatology                               Yalcinkaya           Gulgun        F.      MD                  No
TeamHealth Northeast                                Yarosh               Michael       J.      PA-C                No
Individual                                          Yerukhim             Michael       V.      MD                  No
North Ohio Heart Center, Inc.                       Youssefi             Mojtaba       E.      MD                  No
Ohio Anesthesia Group, Inc.                         Yu                   Guangxiang    (Joe)   MD                  No
SGMG Spine Center/Pain Management                   Zaidan               Sultan        D.      MD                  Yes
Radiology Partners, Inc.                            Zaidi                Syed          F.      MD                  No
HNI Healthcare                                      Zalud                Lee           D.      MD                  Yes
HNI Healthcare                                      Zang                 Jie                   MD                  Yes
SGMG Behavioral Health/Psychiatry                   Zarko                Rebecca       M.      MD                  Yes
Radiology Partners, Inc.                            Zenooz               Navid         A.      MD                  No
Radiology Partners, Inc.                            Zhou                 Jingyu                MD                  No
NOMS Southwest Foot and Ankle Associates            Zirm                 Richard       J.      DPM                 No
Big Creek Surgery Center Anesthesiology             Zivkovic             Dejan                 AA-C                No
TeamHealth Northeast                                Zozulya              Nicholas      D.      PA-C                No
Radiology Partners, Inc.                            Zwick                Matthew       D.      MD                  No

UPDATED 3/3/2022                                             Page 13 of 13
You can also read