NCQA Physician Practice Connections Medical Home Recognized Physicians (As of 05/31/2012)

NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Alabama Alabama Alabama Alexander City Birmingham Dothan Pediatric Associates of Alexander City The Kirklin Clinic Dothan Pediatric Clinic 1962 Cherokee Road 2000 6th Ave South 126 Clinic Drive Alexander City, AL 35010 Birmingham, AL 35233 Dothan, AL 36303 (256) 234-5021 (205) 801-8322 (334) 793-1881 Pediatrics Internal Pediatrics Medicine Tyler, Eric Owen, Barron, Jr., William Rodney, Cohen, Stuart J, Anniston Benak, Robert Joseph, Garver, Patricia L, Anniston Pediatric, Inc. Brown, Kenneth Carlton, Geer, Michael James, 1001 Leighton Avenue Freeman, Michelle Susce, Anniston, AL 36207 Vigil, Jennifer, Johnson-Wirt, Aimee, (256) 237-1618 Williams, James E, Leland, John Paul, Pediatrics Calera McKinley, Joanna Andrews, Doggett, Lewis, BHC Chelsea Ramsey, Michael Jeffrey, Vullaganti, Ramarao, 206 Highway 304 Scott, Jr., Aubrey Lee, Purohit Pediatric Clinic LLC Calera, AL 35040 516 Quintard Ave (205) 668-0626 Strassburg, Mark Frederick, Anniston, AL 36201 Family Tamburin, Jeffrey Michael, (256) 741-9799 Practice Internal Medicine Associates of Dotha Pediatrics Nolen, Thomas N., P.A. Branch, Andrea, Wilson, Breezy, 210 Westside Dr. Dothan, AL 36303 Purohit, Naresh, Centreville (334) 793-5074 Ray, Gary M, Cahaba Medical Care Internal Wallis, Vicki Jo, 195 Hospital Drive Medicine Centreville, AL 35042 Auburn Bedsole, Russell L., (205) 926-2992 Pediatric Associates of Auburn Fincher, Robert J., Family 411B Opelika Road Practice Jackson, Ivan D., Auburn, AL 36830 Waits, John Bryan, Reid, Calvin L., (334) 821-4766 Citronelle Soppet, Charles M., Adolescent and Young Adult Medicine Providence Family Physicians - Spedale, Anthony R., Citronelle Freeman, Richard M., Gardendale 19140 South 3rd Street Baptist Health Center Gardendale Pediatrics Citronelle, AL 36522 758 South Main Street Stubblefield, Andrew W., (251) 866-0086 Gardendale, AL 35071 Birmingham Family Practice Family Carraway Internal Medicine Associates Practice PC Van Derwood, John Gayle, Gray, Sharon D., 1201 11th Avenue South Suite 305, Internal Suite 305 Medicine Kennebrew, Terry V., Birmingham, AL 35205 Jimenez, Karen L, Graysville (205) 939-4939 Dothan Graysville Medical Group Internal 1451 South Main Street Medicine Dothan Pediatric Clinic Graysville, AL 35073 126 Clinic Drive Carraway-Handley, Beverly L, (205) 674-9406 Dothan, AL 36303 (334) 793-1881 Page 1 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Alabama Alabama Alabama Graysville Huntsville Huntsville Graysville Medical Group Huntsville Pediatric Associates The Valley Foundation 1451 South Main Street 1963 Memorial Parkway, Suite 5 301 Governors Drive Graysville, AL 35073 Huntsville, AL 35801 Huntsville, AL 35801 (205) 674-9406 (256) 265-2464 (256) 539-7757 Family Pediatrics Obstetrics & Practice Gynecology Ellis, Kevin S., Keith, W Andrew, Takacs, Amy Marie, Gunter, Kate D., General Pediatrics Klemm, Michael E., Practice Abston, Pippa Coulter, Patz, Brian D., Milko, Thomas, Battle, Steffane Miles, Stewart, Timothy A., Headland Grostick, Laura Alan, The Valley Foundation Niel C. Rasmussen, MD, PC DBA Knight, Patrice A, Headland Family Medicine 301 Governors Drive 204 Holman Drive Huntsville, AL 35801 Salazar, Maria L, (256) 539-7757 Headland, AL 36345 Kellyton (334) 693-3336 Emergency Medicine Pediatric Associates of Alexander City Family 200 Highway 280 Shah, Sheila R, Practice Kellyton, AL 35089 Rasmussen, Niel Christian, Family (256) 234-5021 Practice Hoover Pediatrics Behringer, Melissa Blair, BHC Hoover Family Healthcare Tauro, Arnold J, Chesebro, Marcia Jane, 5295 Preserve Parkway, Suite 210 Mobile Hoover, AL 35244 Crestani, Mary Margaret, LivingWell Health Center w/ (205) 682-6077 Daniell, Marsha Drake, HealthSpring ΓÇô Mobile Family Lundy, Nancy B, 610 Providence Park Drive, East Practice Mobile, AL 36695 Maycock, Tiffani N, Bullock, Gary Morgan, (251) 243-9300 Samlowski, Ralph C, Gilstrap, Jody Edward, Family Sarrels, Morgan Scott, Practice BHC Hoover Internal Medicine Associates Satcher, Laura Ann, Phillips, David Michael, 5295 Preserve Parkway, Suite 240 Geriatric Medicine/Internal Internal Hoover, AL 35244 Medicine Medicine (205) 682-9124 Al-tureihi, Farrah Ibrahim jafar, Dill, Stephen Reeves, Internal Internal Kahalley, Stephen Anthony, Medicine Medicine MacRae, David Haskins, Miller, Frank Denton, Centor, Robert M, Pate, David Nathan, Traffanstedt, F Darlene Harrison, Corman, Lourdes Carlotta, Sternberg, Melville Jay, Huntsville Fahey, David A, Webster, Kathleen Joy, Huntsville Pediatric Associates Mcconnell, Victoria J, 1963 Memorial Parkway, Suite 5 Wing, Stacey Woodall, Montgomery, Melanie L, Huntsville, AL 35801 Providence Family Physicians-Airport (256) 265-2464 Yedla, Parekha G, 6901 Airport Blvd. Family Obstetrics & Mobile, AL 36608 Practice Gynecology (251) 693-5070 Cochran, Rebecca S., Acuff, Rachel Elizabeth, Family Light, James R, Practice Page 2 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Alabama Alabama Alaska Mobile Piedmont Anchorage Providence Family Physicians-Airport Dorothy Nelder, M.D. Southcentral Foundation Primary Car 6901 Airport Blvd. 210 Rome Avenue 4320 Diplomacy Drive, Suite 2630 Mobile, AL 36608 Piedmont, AL 36272 Anchorage, AK 99508 (251) 693-5070 (256) 447-1375 (907) 729-3340 Family Family Family Medicine, Hospice and Palliative Practice Practice Care Johnson, Eric Charles, Nelder, Dorothy Karen, Andre, Katharine A, Internal Troy Ko, Patricia A, Medicine Southern Health Associates, LLC Family Joiner, Sarah E., 801 S. Franklin Drive, PO Box 1185 Practice Providence Health Care Services Troy, AL 36081 Clawson, Elizabeth A, 6701 Airport Blvd., Suite A 101 (334) 566-9800 Corbett, Verlyn L, Mobile, AL 36608 Family Ko, Harry S, (251) 633-8880 Practice Lohse, Shanda, Internal Pearlstein, Todd B., Medicine Montesano, Peter J, Tuscaloosa Alexander, Carrie O'neal, Pickett, Tamara E, Tuskaloosa Internal Medicine, LLC Ang, Romsel, 1100 Ruby Tyler Parkway General Practice Chernick, Susan Elizabeth, Tuscaloosa, AL 35404 Hately, Mari C, Coats, Peter Chestnutt, Internal Medicine Linfield, Jana L, Curtiss, Rebecca Von sprecken, Fulgham, Scott R., Olnes, Laurie E, Delmas, John Francis, Jones, Leonard W., Robinson, Dean L, Douglas, Allison Beull, Miller, George P., Saltonstall, William L, Israel, Robert Willis, Summerford, John P., Stockhouse, Bruce C, Kessler, Thomas A., Vaughn, Ross B., Internal Koffler, Warren E., Medicine Warren, John S., Lambert, Marla M., Hickel, Jack E, Alaska Pate, David Nathan, Nurse Prestridge, Jr., Milton D., Anchorage Practitioner Pybass, Phillip Ashley, Providence Health & Services / Kantor, Linda L, Providence Family Medicine Center Rosa, Lenore Landers, 1201 E 36th Avenue Torrance, Naomi, Walker, James L., Anchorage, AK 99508 Pathology, Anatomic & Clinical Oxford (907) 561-4500 Family Norris Jr, Kenneth J, Purohit Pediatric Clinic of Oxford Practice 641 Snow Street Pediatrics Oxford, AL 36203 Johnston, Harold Lewis, Myers, Michelle R, (256) 831-2601 Musser, Anne Elizabeth, Ratzlaff, Michale D, Pediatrics Samaan, Michael J, Schamber, Pamela C, Branch, Andrea, Schwartz, John H., Spencer, Scott S, Purohit, Naresh, Thomas, Kimberly Beth, Physician Wallis, Vicki Jo, Assistant Piedmont Campbell, Christopher J, Ott, Laurie A, Page 3 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Alaska Arizona Arizona Anchorage Gilbert Mesa Southcentral Foundation Primary Care Gilbert Center for Family Medicine, Atrinea Health 4320 Diplomacy Drive, Suite 2630 LLC 1982 W. Main Street Anchorage, AK 99508 81 W Guadalupe Road, Suite 111 Mesa, AZ 85201 (907) 729-3340 Gilbert, AZ 85233 (505) 338-3851 (480) 539-8680 Physician Internal Assistant Family Medicine Practice Thompson, Jasen R, Kanter, Bruce Emmett, Callison, Mary L., Social Worker, Phoenix Clinical Kesara, Vivek, Acacia Internal Medicine Specialists Browner, William S, Schlotterback, Mark, 19636 North 27th Avenue, Suite 202 Arizona Wolfe, Jeanne M., Phoenix, AZ 85027 (623) 869-5000 Chandler Nurse Practitioner Internal Maricopa Integrated Health System - Medicine Chandler Family Health Center Neal, Connie, 811 S. Hamilton St. Young, Anthony, Ostrom, Tara M, Chandler, AZ 85225 Physician Rink, Marie Sluka, (480) 344-6100 Assistant Sink, Danielle, Family Sethi, Neerja, JCL Dearing Family Medicine Practice Glendale 19841 N. 27th Ave, Suite 101 Donesa-zuzak, Kathryn, Phoenix, AZ 85027 Arrowhead Health Centers Internal (602) 942-6939 Medicine 16222 N 59th Avenue #A-100 Glendale, AZ 85306 Family Skinner, Shannon, Practice (623) 334-4000 Dearing, James J., Vutien, Roselyne, Family Physician Practice Meleth, Jason Joseph, Assistant Fereidouni, Sam Saman, St. Joseph's Hospital & Medical Cente Family Medicine Clinic Kappes, Jessica Ann, Johnston, Janice G, El Mirage 2927 N. 7th Ave, Window 3 Knowles, Patrick M, Phoenix, AZ 85013 Maricopa Integrated Health System- El Mahadevan, Arvind, (602) 406-3834 Mirage Family Health Center 12428 W. Thunderbird Rd Guadalupe Family Practice El Mirage, AZ 85335 Maricopa Integrated Health System - (623) 344-6500 Guadalupe Family Health Center Garcia, Robert M, Family 5825 E. Calle Guadalupe Rd Pena, Sara, Guadalupe, AZ 85283 Practice Steinberg, Paul R, (480) 344-6000 Roy, Mason John, Veres, Sharry K, Family Watanabe, Takenori, Practice Woods-grimm, Serena Dawn, Nurse Smarik, Christina Marie, Zaragoza-lao, Emily J, Practitioner Mesa Tucson Stanca, Alina, Atrinea Health Carondelet Medical Group Physician Assistant 1982 W. Main Street 6567 E. Carondelet Dr., Suite 555 Mesa, AZ 85201 Tucson, AZ 85710 Lijoi, Katherine, (505) 338-3851 (520) 885-3588 Gilbert Internal Family Medicine Practice Page 4 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Arizona Arizona Arizona Tucson Tucson Tucson Carondelet Medical Group El Rio Community Health Center - El Rio Community Health Center - 6567 E. Carondelet Dr., Suite 555 Northwest Clinic Southeast Clinic Tucson, AZ 85710 320 W. Prince Rd. 6950 E. Golf Links Rd (520) 885-3588 Tucson, AZ 85705 Tucson, AZ 85730 (520) 670-3766 (520) 670-3766 Family Practice Family Pediatrics Practice Bessette, Mark S., Ahearn, Denise, Gaoriye, Gabrieel, Moher, Christian J, Nusbaum, Tammy, Perez, Felipe, Morris, Dustin G, El Rio Community Health Center - Timmons, Tammy, Southwest Clinic Nicoletti, Rosanna R., Internal 1510 W. Commerce Court Schwager, Edward J, Medicine Tucson, AZ 85745 Wristen, Moira E, (520) 670-3766 Cai, Zhe, Desert Star Family Health Internal Pediatrics 5300 E Erickson Dr., Suite 108 Medicine Hemzawi, Ziad, Tucson, AZ 85712 Chowdhury-Jackson, Zeenat, (520) 721-5330 Kurtzman, Tracey, Dasari, Rama, Family Markowitz, Michael, Soltani, Lisa, Practice Nisbet, Fanny, Pediatrics Adler, Kenneth G, Sadalla, Alissa, Modak, Rajiv, Brysacz, Thomas L, Zimmerman, Mary, Samoy, Sarah, Moynihan, Michael W, El Rio Community Health Center - Strempel, Patricia, El Rio Community Health Center - Robert Gomez Clinic Congress Pediatrics Clinic 839 W. Congress Street El Rio Community Health Center- 839 W. Congress Street Tucson, AZ 85745 Pascua Clinic Tucson, AZ 85745 7490 S. Camino de Oeste Family Tucson, AZ 85757 Pediatrics Practice (520) 670-3766 Adams, Cecilia, Williams, Linda, Family Arthur, Andrew, Internal Practice Medicine Faddoul, Diala, Renteria, Adalberto, Aggarwal, Mridula, Pacheco, Pedro, Saguaro Physicians, LLC: Office of Finley, Nicola, El Rio Community Health Center - El Kathleen Iveson, M.D. Pueblo Clinic Jansky, Milan, 1200 N el Dorado Place, Suite F670 Tucson, AZ 85715 101 W. Irvington Kisso, Bassel, Tucson, AZ 85706 (520) 324-2517 Rein, Jeffrey, (520) 670-3766 Internal Wilson, Scott, Family Medicine Practice El Rio Community Health Center - Iveson, Kathleen Adele, Southeast Clinic Brosanders, Melissa, Saguaro Physicians, LLC: Office of 6950 E. Golf Links Rd Wesley Vaughn, M.D. Dixon, Christopher, Tucson, AZ 85730 1200 N. El Dorado Place, F-460 Mockbee, Joy, (520) 670-3766 Tucson, AZ 85715-4648 Tonnies, Alicia, Family (520) 324-2517 Practice Pediatrics Internal May, Stephanie, Ochoa-Buck, Julissa, Medicine Pediatrics Vaughn, Wesley,

Page 5 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Arizona Arkansas Arkansas Tucson Bella Vista Hazen Saguaro Physicians, LLC: Office of Bella Vista Medical Center ARcare - 40 William L. Abraham, M.D. 600 S Memorial Drive 24 East Front Street, P.O. Box 731 105 S. Houghton Rd., Suite 101 Bella Vista, AR 72714-1847 Hazen, AR 72064 Tucson, AZ 85748 (417) 820-3516 (870) 255-3696 (520) 324-2517 Family Family Internal Practice Practice Medicine Lee, Mark S, Raghavan, Senthil K, Abraham, William L., Internal Jonesboro Arkansas Medicine ARcare - 22 Augusta Sammer, Michael D, 2816 Fox Meadow Lane ARcare - 10 Brinkley Jonesboro, AR 72404 (870) 336-1675 623 North 9th Street, P.O. Box 497 ARcare - 70 Augusta, AR 72006-0497 615 North Main Street Internal (870) 347-2534 Brinkley, AR 72021 Medicine Family (870) 734-1150 Allen, Henry William West, Practice Nurse Nurse Daniel, Amy M, Practitioner Practitioner Nurse Hooks, Paula, Long, Jennifer, Practitioner Manatt, Courtney B, Kensett Briscoe, Katina, Surgery ARcare - 80 Bald Knob Athota, Prasad J, 606 Wilbur D Mills North Kensett, AR 72082 ARcare - 16 Carlisle 178 Hwy 167 North, P.O. Box 456 (501) 742-5697 ARcare - 17 Bald Knob, AR 72010 Family (501) 724-6207 821 East Park St., Hwy 70, P.O. Box 24 Practice Carlisle, AR 72024 Family Killough, Larry R, (870) 552-7303 Practice Moore, Jesse Daniel, Family Vest, Carl E, Practice Nurse Nurse Practitioner Edattukaren, Varghese, Practitioner Oakes, Janet M, Merritt, Edward J, Taylor, Nikki Michelle, Lake City Physician Batesville Assistant ARcare - 65 ARcare - 35 McClelland, Mendy, 1009 Hwy 18 1175 Vine Street Lake City, AR 72437-9622 Cotton Plant Batesville, AR 72501 (870) 237-9928 ARcare - 20 (870) 793-4600 Nurse Nurse 125 Oak Street Practitioner Practitioner Cotton Plant, AR 72036 McCoy, Victoria, Kerr, Robin, Nurse Practitioner Little Rock Obstetrics & Dept. of Family & Preventive - Family Gynecology Sanders, Martha, Medical Center Hazen Reynolds, Tara P, 521 Jack Stephens Drive Bella Vista ARcare - 40 Little Rock, AR 72205 24 East Front Street, P.O. Box 731 (501) 686-6560 Hazen, AR 72064 (870) 255-3696 Page 6 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Arkansas California California Little Rock Cupertino Fountain Valley Dept. of Family & Preventive - Family Sheldon A. Zitman, MD/B. Sofia Jalilie, Edinger Medical Group Medical Center MD 9900 Talbert Ave, Suite 204 521 Jack Stephens Drive 20555 Prospect Road Fountain Valley, CA 92708 Little Rock, AR 72205 Cupertino, CA 95014 (714) 965-2553 (501) 686-6560 (408) 996-9339 Internal Family Family Medicine Practice Practice Mcconnaughey, Douglas, Howard, Jamie, Jalilie, B. Sofia, Middlebrooks, Jack K, Hudson, C. Philip, Zitman, Sheldon A., Seymour, Lauri B, Knight, Daniel A., Internal Nurse Medicine Nelsen, David A., Practitioner Kar, Aradhana, Prajapti, Sarita, Wergles, Susan E, El Monte Sports Pediatrics Medicine AltaMed Health Services - El Monte Brouwer, Valery, Rodriguez, Jorge O., 10418 East Valley Blvd. Chacon, Shelley, El Monte, CA 91731 Wynne Family Nguyen, Lam L, ARcare - 60 Practice Pellman, Harry, 611 East Julia St. Barrera, Raul, Tran, Mai khanh, Wynne, AR 72396 (870) 238-0377 Carpio, Felix, Willis, Burton, Nurse Casillas, Gustavo, Glendale Practitioner Liao, Kevin, Family Medicine Center Purnell, Denise, Rico, Cristian, 801 South Chevy Chase Drive #230 Glendale, CA 91205 California Nurse (818) 500-5594 Bakersfield Practitioner Vargas, Traci Renee, Family Gem Care Practice 4550 California Ave. Pediatrics Bassuk, Pablo Javier, Bakersfield, CA 93309 Moy, Jaime, (562) 787-1403 Cunningham, Janet A, Fountain Valley Internal Howard, Julie Ann, Edinger Medical Group Medicine Khanoyan, Sirvard, 9900 Talbert Ave, Suite 204 Memon, Parvez Razzaque, Fountain Valley, CA 92708 Miller, Katrina Demaris, Coronado (714) 965-2553 Yu, Jack N, Patrick R Yassini, MD Inc Family Loma Linda 230 Prospect Place, Suite 340-D Practice Loma Linda University Family Medic Coronado, CA 92118 Yu, Betty Chow, Group, Inc. (619) 522-4005 Internal 25455 Barton Road, Suite 206 A Family Medicine Loma Linda, CA 92354 Practice Arnold, Stanley W, (909) 558-6600 Yassini, Patrick, Boone, Matthew C, Emergency Cupertino Medicine Don, Karen M, Schlaerth, Katherine R. D., Fogarty, Tamara M, Family Grodin, Elaine Gail, Practice Hembree, Cambria Marie, Choudhary, Suneeta, Page 7 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

California California California Loma Linda Orange Sacramento Loma Linda University Family Medical St. Joseph Heritage Medical Group - Cares Clinic Group, Inc. Chapman-Orange Site 1500 21st Street 25455 Barton Road, Suite 206 A 2501 E. Chapman Avenue, Suite 303 Sacramento, CA 95814 Loma Linda, CA 92354 Orange, CA 92869 (916) 914-6281 (909) 558-6600 (714) 628-3103 Infectious Family Family Disease Practice Practice Troia-cancio, Paolo Vincenzo, Deppe, Linda B, Joe, Steven H., Internal Hagglov, Calvin G., Kreng, Virany Margaret, Medicine Haynes-Lee, Joan E., Long, Dennis Robert, Flynn, Neil Munro, Jih, William W., Rabinowitz, Samuel Chain, Maniar, Archana, Labib, Wessam K., Smith, Glenn Scott, San Diego Lin, Rubin C., Tuvera, Fernando Penera, TRICARE OUTPATIENT- Liu, Yi, Internal CLAIREMONT, Primary Care Clinic Medicine TOC Clairemont, 8808 Balboa Ave Mohr, Gina M. J., San Diego, CA 92123 Cho, Laura Meeree, Osborn, Jamie S., (619) 645-0160 Neilan, Robert Lowry, Reeves, Michelle E., Internal Pediatrics Medicine Simon, Lauren M., Bennett, Marc William, Tseng, Justina J., Testerman, John K., Riverside Nurse Long Beach Practitioner Riverside Family Physicians, A Long Beach Internal Medical Group, Professional Medical Corporation Plourd, Donna Michelle, Inc. 4310 Orange Street 2650 Elm Ave., Suite 309 Santa Ana Riverside, CA 92501 Long Beach, CA 90806 (951) 781-6335 St. Joseph Heritage Medical Group - (562) 595-8549 Santa Ana Site Family Internal 2212 E. 4th Street Practice Medicine Santa Ana, CA 92705 Mahdi, Tarek Zaki, (714) 628-3103 Bitter, Ronald A, Riverside Family Physicians, APMC Family Hryniewicki, Stephen W, 4244 Riverwalk Parkway, Suite #150 Practice Kaneshige, Peter, Riverside, CA 92505 Andersen, Athena Elizabeth, Phu, Danny T, (951) 781-6335 Bindra, Gurpreet Kaur, Worcester, Howard Lester, Family Madrid, Philip Edgar, Practice Orange Martinez, Fernando Galvan, Mai, Vicky Ninh, St. Joseph Heritage Medical Group - Pediatrics Chapman-Orange Site Ricks, George T., Althoen, Sinda Woods, 2501 E. Chapman Avenue, Suite 303 Smith, Marion Lawrence, Orange, CA 92869 Bartlett, Connie P., Pediatrics (714) 628-3103 Kellogg, Leonard Frank, Soltani, Maryam Samadi, Family Osburn, Stephen Eric, Practice Sacramento Rosin, Melissa Joy, Awad, Nicole Hiba, Cares Clinic Winkelman, John Lawrence, Constantine, Paul A., 1500 21st Street Sacramento, CA 95814 Tustin Gilbert, Michael W., (916) 914-6281 Ing, Arlene Susabda, Page 8 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

California Colorado Colorado Tustin Aurora Broomfield St. Joseph Heritage Medical Group - Metro Community Provider Network - New West Physicians - Broomfield Tustin Site PSHC Family Practice 1095 Irvine Boulevard 700 Potomac St., Suite A, Suite A 11550 N. Sheridan Blvd Tustin, CA 92780 Aurora, CO 80011-6845 Broomfield, CO 80020 (714) 628-3103 (303) 761-1977 (303) 469-6000 Family Family Family Practice Practice Practice Ballentine, Renee H., Martin, Barry, Richardson, Leanne, Cho, Stanley W., Boulder Yeash, James, Sodaro, David Leigh, Clinica Family Health Services - Canon City People's Internal St. Thomas More Physician Group 2525 13th Street Medicine St. Thomas More Hospital, 1338 Phay Boulder, CO 80304 Lekawa, Sajee Deepike, Ave (303) 665-3036 Canon City, CO 81212 Motta, Kimberly Lyn, Family (719) 285-2450 Pediatrics Practice Family Frankel, Robert Bruson, Ambrose, Christa E., Practice Genser, Paul Anthony, Bond, Brea A., Hill, Brian, Morley, James Peter, Dixit, Anjoli M., Shamis, Mason Sidney, Colorado Drury, Michelle L., Castle Rock Arvada Dryden, Kevin J., Castle Rock Pediatrics New West Physicians - Arvada Family Obstetrics & 1001 S Perry St. #101B Practice Gynecology Castle Rock, CO 80104 7950 Kipling, #101 O'Dea, Bessie M., (303) 688-2228 Arvada, CO 80005 Strates, Elene M., Obstetrics & (303) 425-4680 Gynecology Pediatrics Family Peters, Kelly Ann, Practice Dawson, Peter M., Pediatrics Dorotik, Nicole, Spruce Street Internal Medicine Thieme, Rita E, Glasscock, David, 2575 Spruce Street Boulder, CO 80302 Physician Assistant Jeffers, Thomas, (303) 449-3594 Adrid, Eric, Maybach, Alexander Karl-wilhelm, Internal New West Physicians -Arvada Internal Medicine Colorado Springs Medicine Browne, Hillary L., Colorado Springs Health Partners, 9950 West 80th Ave., STE 23 Ling, Sheila Lt, PC - Briargate Arvada, CO 80005 2405 Research Pky (303) 425-1018 Broomfield Colorado Springs, CO 80920 Internal New West Physicians - Broomfield Internal Medicine Family Practice Medicine 11550 N. Sheridan Blvd Freedman, Johanna, Day, Wendy, Broomfield, CO 80020 Walter, Jonathan, (303) 469-6000 Demuth, Patrick J, Aurora Family Golden, Gordon R, Practice Noble, Michael J, Bishop, Richard, Schneider, Dennis, Coomes, Melissa R, Schultz, Kari, Page 9 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Colorado Springs Colorado Springs Denver Colorado Springs Health Partners, Colorado Springs Health Partners, PC - Clinica Family Health Services - Pecos PC - Briargate West 1701 W. 72nd Avenue, 3rd Floor 2405 Research Pky 2020 W Colorado Ave Suites 100 201 Denver, CO 80221 Colorado Springs, CO 80920 Colorado Springs, CO 80904 (303) 665-3036 Internal Family Family Medicine Practice Practice Shaffer, Sabine, Brady, Julie M, Quarles, Leto, Tanabe, Robert M, Malabre, William A, Russell, Amy H., Colorado Springs Health Partners, PC - Colorado Springs Senior Medicine Somerset, Maria T., East 3225 International Circle, Suite 102 Nurse 6340 Barnes Road Colorado Springs, CO 80910 Practitioner Colorado Springs, CO 80922 (719) 475-5065 Coughlan, Claire M., Family Geriatric Medicine/Internal Practice Medicine Obstetrics & Gynecology Nevarez, Max A, Kulp, Jeffrey T, Lomonaco McLean, Jennifer A., Pennington, Philip A, Craig Truitt, Sarah T., Tewes, L Bradford, Moffat Family Clinic Pediatrics Internal 600 Russell Street Medicine Craig, CO 81625 Siegel Friefeld, Carol D., Duncan, Albert, (970) 824-3252 Denver Health - Bernard Gibson Eastside Family Health Center Robison, Kendra D, Family Practice Unit 36 Eastside Clinic, 501 28th Stree Solano, Royce, Denver, CO 80205 Crowe, Catherine, Colorado Springs Health Partners, PC - (303) 436-4716 Kipe, Larry W., Southwest Family 2610 Tenderfoot Hill St. Roberts, Gregory L., Practice Colorado Springs, CO 80906 Denver Krotchko, John F, Family Apex Family Medicine Internal Practice 300 S Jackson st #100 Medicine Ballard, Phillip W, Denver, CO 80209 Hanratty, Rebecca L, Evans, Richard O, (303) 321-0222 Hoch, Allan, Hemsworth, Michael, Family Joseph, Nicole M, Practice Thomas, Richard, Quinzanos alonso, Itziar, Mohr, Michael J., Internal Sutton, Scott T, Medicine Scott, Mia Louise, Young, Lisa Marin sommers, Baldauf, Caryn D, Clinica Family Health Services - Pecos Pediatrics Bell, John J, 1701 W. 72nd Avenue, 3rd Floor Denver, CO 80221 Braun, Patricia A, Brodie, Steven K, (303) 665-3036 Edwards, William H, Mcconnaughy, Richard A, Family Love-osborne, Kathryn A, Colorado Springs Health Partners, PC - Practice West Melnicoe, Lora H, Bezdek Benage, Kimberly K., 2020 W Colorado Ave Suites 100 201 Physician Bezdek Benage, Kimberly K., Colorado Springs, CO 80904 Assistant Chen, Carolyn S., Family Johnson, Sherry L, Practice Navsky, Carol D., Welken, Elizabeth Jean, Adler, Jay L, Pflieger, Matthew A., Page 10 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Denver Denver Denver Denver Health - La Casa/Quigg Newton Denver Health - Montbello Family Denver Health - Sam Sandos Westside Family Health Center Health Center Family Health Center Unit 33, 4545 Navajo Street Unit 39, 12600 East Albrook Drive Unit 32, 1100 Federal Blvd Denver, CO 80211 Denver, CO 80239 Denver, CO 80204 (720) 956-2672 (720) 956-2044 (303) 436-4266 Family Nurse Midwifery Practice Practitioner Flores, Margarita, Askenazi, Morris M, Hansen, Linda J, Lackey, Joy Lynne, Gehred, John Michael, Pediatrics Loebel, Kathy, Loomis, Lucy W, Federico, Steven G, Obstetrics & Russum, Michael E, O'leary, Sonja C, Gynecology Schiavoni, Andrew Joseph, Denver Health - Park Hill Family Brown, William W, Health Center Serrano, Luz Marcela, Hyer, Jennifer, Unit 45, 4995 East 33rd Avenue Occupational Denver, CO 80207 Miranda-seijo, Pedro, Medicine (303) 602-3735 Witzeman, Kathryn A, Johns, Martha Beth, Family Pediatrics Denver Health - Lowry Family Health Practice Henderson, Megan, Center Anderson, Katherine P, Unit 26 Lowry Clinic, 1001 Yosemite Jimenez, Luz Maria, Bock, George W, Street, Suite 100 Leve, Meegan Elise, Denver, CO 80230 Fedde, Karen, O'connor, Mary E, (720) 956-2044 Gehred, John Michael, Tomcho, Margaret, Family Martinez, Rebecca L, Practice Varnell, Heather, Nurse Benavidez, Michael J, Vogler, Stephen D, Practitioner Kornfeld, Richard, Warnecke, Kindra Lynn, Underwood, Frankie L, Miller, Katherine M, Physician Denver Health - Sam Sandos Westside Assistant Torok, Bradley A., Family Health Center Conrad, Ryan, Internal Unit 32, 1100 Federal Blvd Medicine Denver, CO 80204 Edick, Tara J, (303) 436-4266 Pines, Irina M, Hoyman, Sandra Gayle, Internal Nurse Le-mackenzie, Trang T, Medicine Practitioner Psychology, Adams, Jennifer E, Brownlee, Sara M, Clinical Appel, Alicia L, Denver Health - Montbello Family Fischer, Henry H, Health Center Estacio, Raymond O, Denver Health - Wellington E. Webb Unit 39, 12600 East Albrook Drive Lieber, Kathryn, Center for Primary Care Denver, CO 80239 Padilla, Ricardo, Pavillion G Unit 40, Wellington E (720) 956-2044 Webb Center for Primary Care, 301 Rozwadowski, Jeanne M, Family 6th avenue Practice Steele, Andrew W, Denver, CO 80204 (303) 602-8311 Maxwell pflieger, Janelle, Tsai, Adam Gilden, Family Penny, Lara, Midwifery Practice Nurse Burke, Christine E, Alfonsi, Grace A, Practitioner Connor, Pauline Frances, Dealleaume, Lauren, Page 11 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Denver Denver Denver Denver Health - Wellington E. Webb Denver Health - Westwood Family New West Physicians- Cherry Creek Center for Primary Care Health Center Internal Medicine Pavillion G Unit 40, Wellington E Unit 35, 4320 West Alaska 425 S Cherry Street, Suite 510 Webb Center for Primary Care, 301 Denver, CO 80219 Denver, CO 80246 6th avenue (720) 956-2921 (303) 388-4076 Denver, CO 80204 Family Internal (303) 602-8311 Practice Medicine Family Cook, Kurt, McCallum, Douglas, Practice Koch-laking, Amber, Thomas, Michelle, Gutierrez, Greg P, Lee, Jay H, Rose Family Medicine Keeley, Robert D, Physician 4545 E 9th Ave., Suite 010 Kortsch, Daniel U, Assistant Denver, CO 80220 Mang, Michelle C, (303) 584-7918 Levine, Anna Michelle, Nill, Andrew E., Family New West Physicians - Bear Valley Practice Shlay, Judith C., Family Practice Bacak, Brian S., Internal 7550 W. Yale Ave., Bldg. B #100 Medicine Denver, CO 80227 Hartman, Chandra C, (303) 935-4689 Batal, Holly A, Hill, John C., Family Ginosar, David M, Illige, Martha, Practice Hurley, Laura P, Poddar, Sourav, Blitz, Scott, Kolpak, Steven J, Smith, Peter C., Doyle, Robert Victor, Long, Jeremy A, Stern, Jacqueline, Panozzo, John, Mehler, Philip Sydney, University Family Medicine - AF New West Physicians - Lakewood Williams Pines, Irina M, Internal Medicine 3055 Roslyn Street, Suite 100 165 S Union Blvd, suite 800 Venci, Julie A, Denver, CO 80238 Denver, CO 80228 Yasui, Robin K, (720) 848-9000 (303) 988-2680 Zirakzadeh, Ali, Family Internal Practice Nurse Medicine Practitioner Bross, Michael H, Arthur, James, Knierim, Shanna, Burke, Daniel J, Augustitus, V Karen, Pediatrics Cain, Jeffrey, Baumgartner, Werner, Anderson, Mark E, Conry, Colleen M, Hedberg, John, Auster, Alison B, Deffenbacher, Brandy Reed, New West Physicians - North Denver Hambidge, Simon J, Internal Medicine Gaspar, David L., Lande, Michele A, 4301 Lowell Blvd. Kelly, Barbara F., Denver, CO 80211 Lie, Ariadne Guinevere, Khodaee, Morteza, (303) 455-3661 Melinkovich, Paul, Langner, Shannon, Family Vostrejs, Mary, Practice Leclair, Caroline J, Physician Carlson, Christopher, Madigosky, Wendy S., Assistant Shpall, Zachary, Meeuwsen, Annamarie Neumann, Solano, Janine T, Montgomery, Linda Curchin, Surgery Nowels, David, Johnson, Janan E, Page 12 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Denver Evans Fort Collins University Family Medicine - AF Sunrise Community Health - Monfort DeYoung Family Medicine Williams Family Clinic 1024 Centre Ave Bldg E, Ste 100 A 3055 Roslyn Street, Suite 100 2930 11th Ave Fort Collins, CO 80526 Denver, CO 80238 Evans, CO 80550 Family (720) 848-9000 (970) 350-4606 Practice Physician Family DeYoung, Douglas B, Assistant Practice Internal Medicine Clinic of Fort Przekwas, Julie Anne, Caragol, Jennifer Anne, Collins, PC Englewood Finnoff, Gregory, 1100 Poudre River Drive Fort Collins, CO 80524 Provident Adult & Senior Health Powell, Patricia Kay, (970) 224-9508 799 E Hampden Ave, Suite 300 Trevino, Julia Bernadine, Englewood, CO 80113 Internal Volk, John W, (303) 493-5270 Medicine Pediatrics Family Abbey, David M., Practice Kaplan, Kenneth Harris, Homburg, Robert C., Gipson Jr., Bernard F., Physician Stafford, Neil K., Assistant Higgins, Kerry T., Poudre Valley Hospital Dickey, Thomas Lee, Jolly, Richard W., Family Medicine Center, 1025 Pennoc Johnson, Herbert Elton, Place General Practice Wray, Jason Richard, Fort Collins, CO 80524 (970) 495-8800 Blanchard, Thomas J., Evergreen Family Internal New West Physicians - Evergreen Practice Medicine Internal Medicine Bailey, Austin G, Burdakin, Jr., John H., 30940 Stage Coach Blvd, 270 E Evergreen, CO 80439 Bermingham, Roger P, Buttrick, Theodore R., (303) 674-6062 Birnbaum, Bernard J, Greos, Jean Marie, Internal Glazner, J Cherie, Koftan, Charles E., Medicine Hoenig, Mark, McGowan, James M., Cohen, Kenneth, Marchant, David R, Swietarski, Robert, McLean, Anne, Sullivan, Donna L, Estes Park Fort Carson Webber, Pamela, Timberline Medical, LLC EVANS ACH-FT. CARSON Wozniak, Janell R, 131 Stanley Ave, Suite 202 1650 Cochran Circle, Bldg 7300, Estes Park, CO 80517 ATTN: C, Internal Medicine Clinic Fountain Fort Carson, CO 80913 (970) 586-2343 Colorado Springs Health Partners, PC (719) 524-7512 Family _ Fountain Practice Internal 5115 Fontaine Blvd Medicine Fonken, Paul W, Fountain, CO 80817 Markusfeld, Jack M, Family Murphy, Sean P, Practice Physician Norris, Erika Jane, Assistant Johnson, Thomas G, Woolman, Bruce Alan, Brewer, Karl William, Miller, Richard A, Evans Hughes, Linnea C, Veselka, Deanne L, Fort Collins Golden

Page 13 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Golden Grand Junction Greeley New West Physicians - Applewood Primary Care Partners, PC - Western North Colorado Family Medicine Internal Medicine Colorado Physician's Group 1600 23rd Avenue 2801 Youngfield, Suite 120 1120 Wellington Avenue Greeley, CO 80634 Golden, CO 80401 Grand Junction, CO 81501 (970) 346-2735 (720) 898-9427 (970) 241-6011 Family Internal Family Practice Medicine Practice Ogden, Samuel C, Helms, Melissa Ann, Madrid, Glen M., Rommereim-madden, Daphne Kae, Kelly, Karen, Mashburn, Rebecca L., Smith, David B, New West Physicians - Denver West Omura, Greg K., Sunrise Community Health - Monfort Family Practice Page, Patrick W., Childrens Clinic 1707 Cole Boulevard, Suite 250 100 N. 11th Avenue Golden, CO 80401 Steel, Marshall T., Greeley, CO 80631 (303) 233-8295 St. Mary's Family Medicine Center & (970) 352-8898 Residency Family Pediatrics Practice 2698 Patterson Road Grand Junction, CO 81506 Filipowska, Iwona R, Castro, Ernest Ross, (970) 244-2864 Kakakhel, Masroor, Forward, Douglas Paul, Family Physician Neighbor, Joan M., Practice Assistant Rydberg, Eric, Davis, Amy, Staniar, Devin Leah, Internal Dickerson, Keith, Greenwood Village Medicine Digioia, Sabrina Lorraine, Dilorenzo, Gregory J, DTC Family Health Dorman, Caroline, 8200 E. Belleview Ave., #100E New West Physicians - Golden Central Keel, Shannon Kathleen, Greenwood Village, CO 80111 Family Practice (303) 771-3939 1823 Ford Street Morisseau, Monique, Golden, CO 80401 Price, Richard James, Family (303) 279-7844 Practice Reynoso, Lance, Family Dudley, Timothy Eugene, Roller, Jennifer A, Practice Gilchrist, Lindy Sue, Simmons, Paul D, Gale, John, Joffe, Lynn Susan, Straw, Sherman D., Suire, Kyle M, Highlands Ranch Whiteford, Elvera R., New West Physicians - Golden View New West Physicians - Highlands 1030 Johnson Road, #200 Whiteside, John W, Ranch Family Practice Golden, CO 80401 Greeley 200 W. County Line Road, #130 (303) 278-4600 Highlands Ranch, CO 80129 North Colorado Family Medicine (303) 791-0418 Family 1600 23rd Avenue Practice Greeley, CO 80634 Family Practice Atkins, Julia, (970) 346-2735 Beezley, Brian P, Brumbaugh, Patricia, Family Pattridge, Mark, Practice Rupel, Ray T, Richardson, Harold, Coonrod, Rita Aline, Schipper, Leslie A, Grand Junction Dallow, Kurt T, Junction Fahrenholtz, Herbert Daniel, Jeffers, Wayne S,

Page 14 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Junction Lakewood Littleton Primary Care Partners - Family Lakewood Family Medicine Altitude Family & Internal Medicine Physician of Western Colorado (FPWC) 1555 S. Wadsworth Blvd 13402 W Coal Mine Ave, Suite 230 3150 N. 12th Street Lakewood, CO 80232 Littleton, CO 80127 Junction, CO 81502 (303) 985-1597 (303) 730-2167 (970) 254-2381 Family Family Family Practice Practice Practice Hermann, Joseph F, Hansen, Douglas, Bratteli, Amy O., Lipson, Yvonne, Quigley, Jill Andrea, Bratteli, John S., Metro Community Provider Network - Physician Campbell, Joshua R., Jeffco Assistant Dirks, David W., 8500 W. Colfax Ave. Adrid, Eric, Lakewood, CO 80215-4011 Flanagan, John P., Jon J. Cram (303) 761-1977 Hilty, Jill S., 6179 South Balsam Way, Suite 210 Pediatrics Littleton, CO 80123 Madsen, Mark C., Sigdestad, Karin Ann, (303) 347-2000 Mohler, Andrew M., Physician Health Partners - Belmar Family Mohler, Phillip J., Family Medicine Practice Pierce, Kathryn E., 325 S. Teller Street, Suite 250, Suite 250 Cram, Jon J, Lakewood, CO 80226 Pramenko, Michael J., New West Physicians - Arapahoe (303) 232-8383 Internal Medicine Quackenbush, James L., Family 8199 SouthPark Lane #100 Sayers, Susan M., Practice Littleton, CO 80120 Seppi, Britta, Hofeditz, Tracy Scott, (303) 730-3332 Shrago, Stephanie L., Lamar Internal Medicine Sturges, Paul H., High Plains Community Health Center Baker, Dawn Marie Jimenez, Sullivan, Daniel P., 201 Kendall Drive Lamar, CO 81052 Gidday, Lisa K, Weaver, Christopher S., (719) 336-0261 Ladika, Joseph, Lafayette Family Lee, Charles, Clinica Family Health Services - Practice Lafayette New West Physicians - Lakeview Hudson, Wayne Ross, 200 W. South Boulder Road Family Medicine Lafayette, CO 80026 Internal 6169 S. Balsam Way, #220 Medicine (303) 665-3036 Littleton, CO 80123 Gibans, Loranne J, (303) 963-0566 Family Practice Midwifery Family Practice Boysen, Eric C., Chesnut, Cheryl Lynn, Sunde, Paul Marcus, Funk, Karen A., Nurse Practitioner Valenziano, Richard J, Johnson, Jennifer M., Shy, Mary E., Lone Tree Keenan, Christopher J., Physician Michael Douglas Mignoli, MD Shepherd, Carolyn M., Assistant 9218 Kimmer Drive, Suite 106 Shepherd, John C., Hillman, Meagan L, Lone Tree, CO 80124 Lakewood (303) 768-0900 Littleton Internal Medicine Mignoli, Michael D., Page 15 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Colorado Lone Tree Loveland Pueblo New West Physicians - Park Ridge Sunrise Community Health - Loveland Southern Colorado Family Medicine Family Medicine Community Health Center 902 Lakeview Ave. 9695 S. Yosemite Street, #324 450 N. Cleveland Ave. Pueblo, CO 81004 Lone Tree, CO 80124 Loveland, CO 80537 (719) 557-5799 (303) 706-9054 (970) 669-4855 Family Family Family Practice Practice Practice Dickerman, Joel L, Baker, Elizabeth A, Egan, Catherine J, Low, Kern, Coleman, Mary E, Mockler, James Neil, Low, Kern, Jeffers, Julie Erin, Physician Milligan, Steven L, Assistant Perea, Mark Anthony, Milligan, Steven L, Dean, Jessica K, Physician Health Partners - Lone Tree Murbach, Candace R., Family Practice, PC Tehrani, Barbara Ann, Murillo herrera, Sergio, 10103 Ridgegate Parkway, Suite G-23 Williamson, Wayne, Lone Tree, CO 80124 Murillo herrera, Sergio, Monument (303) 225-0025 Raye, Charles Harry, Family Colorado Springs Health Partners, PC - Stein, Laura A, Practice Monument 1770 Deer Creek Road Stein, Laura A, Linares, Ann Christine, Monument, CO 80132 Strange, Lynn M, Longmont Family Internal Mark W. Hinman, MD, LLC Practice Medicine 1350 Tulip Street Brewner, Eric A, Longmont, CO 80501 Salvatore, Shirley Uhl, Voth, John W, (303) 776-6872 Rockrimmon Pueblo Family Colorado Springs Health Partners, PC Practice Centura Family Care Center Rockrimmon Hinman, Mark Wallace, 916 Indiana Ave, Suite #120 6025 Delmonico Drive Pueblo, CO 81004 Rockrimmon, CO 80919 Louisville (719) 562-1122 Family Coal Creek Family Medicine Family Practice 1044 S 88th Street, Suite 200 Practice Silveira, Linda, Louisville, CO 80027 Low, Kern, (303) 666-7119 Thornton Low, Kern, Family Clinica Family Health Services - Practice Milligan, Steven L, Thornton 8990 N. Washington Street Boehm, Kevin Scott, Milligan, Steven L, Thornton, CO 80229 Murillo herrera, Sergio, Lavigne, Marcie, (303) 665-3036 Murillo herrera, Sergio, Talamantes, Lisa H, Family Flatiron Internal Medicine Stein, Laura A, Practice 90 Health Park Drive, Suite 350 Stein, Laura A, Blair, Jennifer, Louisville, CO 80027 Southern Colorado Family Medicine Hansen, Anne Ks, (303) 666-7560 902 Lakeview Ave. Messer, Joshua B., Internal Pueblo, CO 81004 Obstetrics & Medicine (719) 557-5799 Gynecology Mondrow, Erik M, Family Kepner, Colleen S., Loveland Practice Walsenburg Page 16 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Colorado Colorado Connecticut Walsenburg Westminster Berlin Spanish Peaks Regional Health Center Westminster Inc. Berlin Pediatric Associates 23500 US Highway 160 8601 Turnpike Drive, Suite 200 742 Worthington Ridge Walsenburg, CO 81089 Westminster, CO 80031 Berlin, CT 06037 (719) 738-5135 (303) 428-7449 (860) 829-7337 Family Family Pediatrics Practice Practice Lopreiato, Matteo Joseph, Moll, Lori S, Saffer, Tracy, Bloomfield Moll, Michael A, Smith, Robin Lynne, ProHealth Physicians, Inc. - Westminister Woodland Park Bloomfield Internists Physician Health Partners - Westmed Colorado Springs Health Partners, PC - 6 Northwestern Drive, Suite 201 Family Healthcare Woodland Park Bloomfield, CT 06002 12201 Pecos Street, #500 41 N. Highway 67 (860) 242-6297 Westminister, CO 80234 Woodland Park, CO 80863 Internal (303) 457-4497 Family Medicine Family Practice Cox-Chapman, James W, Practice Chen, Casie, Keating, Herbert J, Cavanagh, Michael K., Hoffman, Randall G, Shastri, Munish K, Etienne, Clifton, Uusinarkaus, Kari, ProHealth Physicians, Inc. - Children Kirk, Jude J., Connecticut Medical Group Bloomfield Westminster 6 Northwestern Drive Avon Bloomfield, CT 06002 St. Anthony North Family Medicine Hartford Medical Group - Avon (860) 242-8830 Residency 100 Simsbury Road, Suite 203 8510 Bryant Street, Suite #210 Pediatrics Avon, CT 06001-3793 Westminster, CO 80031 Brown, David L, (860) 284-5111 (303) 430-6027 Luxemburg, Maury, Family Family Practice Rubin, Viviann M, Practice Erman, Spencer G, Weinerman, Harry C, Eliassen, Megan W, Internal Wrzesinski, Tamara J, Groff, Elizabeth M, Medicine SFHCP-Collins Medical Associates 2, Hartman, Monica H., Dainiak, Sarah G, P.C. Jendry, Ronald Joseph, Kim, Chi H, 421 Cottage Grove Road, Suite A Kondrad, Elin, Bloomfield, CT 06002 Quintero, Sandra M, (860) 242-3933 Ludemann, Matt R, Physician Internal Assistant Maeder, Gregory S., Medicine Williams, Terence Dale, Miller, John Lee, Ramirez, Gilberto E., ProHealth Physicians, Inc. - Soda, Kenneth M, Bristol Rothenberg Thron-weber, Penelope Helen, 8-D Canal Court Community Health Center - Bristol Westminster Inc. Avon, CT 06001 59 North Main Street 8601 Turnpike Drive, Suite 200 (860) 674-9825 Bristol, CT 06010 Westminster, CO 80031 Family (860) 585-5000 (303) 428-7449 Practice Family Family Rothenberg, Robert A, Practice Practice Rausche, Melanie, Berlin Hammond, Robert Scott,

Page 17 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Bristol Bristol Cheshire ProHealth Physicians, Inc. - Adler ProHealth Physicians, Inc. - The MidState Medical Group - Women's 621 Terryville Avenue Family Medical Group Primary Care Specialists Bristol, CT 06011 25 Collins Road 1781 Highland Ave, Suite 106 (860) 583-0053 Bristol, CT 06010 Cheshire, CT 06410 (860) 589-8882 (203) 271-2120 Internal Medicine Family Internal Practice Medicine Adler, Jack H, Selinger, Andrew H, Cardon, Erin Kathleen, Varma, Surendran Raja, Brookfield O'Regan, Eileen Elizabeth, ProHealth Physicians, Inc. - Behjet 202 Queen Street Brookfield Family Medicine ProHealth Physicians, Inc. - Cheshire Bristol, CT 06010 60 Old New Milford Road Family Medicine (860) 583-1605 Brookfield, CT 06804 335 Highland Avenue (203) 775-6365 Cheshire, CT 06410 Internal (203) 271-3063 Medicine Family Practice Family Behjet, Nadeem S, Practice Amara, Matthew D., ProHealth Physicians, Inc. - Bristol Balfour, Sarah E., Pediatric Center Auerbach, Julia W., Balfour, Sarah E., 160 Wolcott Street Farrell, Matthew M., Bristol, CT 06010 Olsen, Michael M, (860) 589-8872 Mascia, Robert A., Viereg, Kathleen A, Pediatrics Modwel, Kumkum S., Williams, Richard G, Brownstein, William J, Moulton, Martha J., ProHealth Physicians, Inc. - Pediatric Knox, A.E. Hertzler, Pellegrino, Kenneth J., & Adolescent Medicine Cheshire Ward, Thomas G, Ivette E. Diaz, MD, LLC 288 Highland Avenue 304 Federal Rd, Suite 201 Cheshire, CT 06410 ProHealth Physicians, Inc. - Brookfield, CT 06804 (203) 271-3610 Scappaticci, Licata & Guerriere (203) 740-2593 625 Clark Avenue Pediatrics Bristol, CT 06010 Internal Tsuei, Vivian P, (860) 583-7700 Medicine Clinton Internal Diaz, Ivette E., Community Health Center - Clinton Medicine Brooklyn 114 East Main Street Guerriere, Richard P, Day Kimball Healthcare-Brooklyn Clinton, CT 06413 Licata, Charles J, Family Medical Associates (860) 664-0787 63 Canterbury Road Scappaticci, Antonio, Family Brooklyn, CT 06234 Practice ProHealth Physicians, Inc. - The (860) 779-0539 Family Medical Group Barrow, Alvin, Family 25 Collins Road Practice Westbrook, Troy, Bristol, CT 06010 (860) 589-8882 Gutierrez, Andrea M, Colchester Family Cheshire ProHealth Physicians, Inc. - Sparrow Commons Family Practice Practice MidState Medical Group - Women's 119 Broadway Street Bailey, Lea, Primary Care Specialists Colchester, CT 06415 1781 Highland Ave, Suite 106 Goldberg, Jeffrey R, (860) 537-9901 Cheshire, CT 06410 Liftman, Michael, (203) 271-2120 Family Rosen, Jonathan, Practice Laporte, J. Carey, Page 18 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Danbury Danielson East Hartford Community Health Center - Danbury Day Kimball Healthcare-Danielson Hartford Medical Group - East 8 Delay St. Medical Associates Hartford Danbury, CT 06810 45 Green Hollow Road 265 Ellington Road (203) 797-8330 Danielson, CT 06239 East Hartford, CT 06108-1158 (860) 774-1255 (860) 569-8800 Family Practice Family Family Practice Practice Gellrich, Gabriella, Davis, Marguerite Mary, Shieh, William S, Nurse Practitioner Purcell, Anthony John, Internal Medicine Wagner, monte, Raiford, Philip Rufus, Heller, Cynthia B, Connecticut Institute For Communities, Wilterdink, David Martin, Inc. Stein, Jeffrey E, Hematology/Oncology 7 Old Sherman Turnpike, Suite 212 Nurse Danbury, CT 06810 Practitioner Slater, Dennis, (203) 743-9760 Larue, Tracie, East Granby Internal Physician Medicine SFHCP- East Granby Family Practice Assistant Delli Carpini, Frank, 13 Church Road Hall, Alison M, East Granby, CT 06026 Magavi, Nirmalamma S, (860) 653-4526 SFHCP - Prime Health Care-East Magavi, Shivyogi V, Hartford Internal Med Family Gateway Square, 893 Main Street, Mauks, Anne E., Practice Suite 202 Mauks, Kathleen S., Dieterich, Steven R, East Hartford, CT 06108 Nurse Ewald, Edward M, (860) 714-5467 Practitioner Freedman, Elizabeth S, Internal Wetzel, Margaret, Medicine Howlett, David R, Pediatrics Kimmel, Ronald, Hughes, Sandra M, Koepke, Uwe C., SFHCP ΓÇô The Family Medicine Reiher, Anne M, Center @ East Hartford Physician Assistant East Hampton 893 Main Street, Suite 101 East Hartford, CT 06108 Mauks-koepke, Emilie F, Middlesex Hospital Family Practice Group - East Hampton (860) 528-2138 Danbury Hospital Seifert & Ford 42 East High Street Family Community Health Center East Hampton, CT 06424 Practice 70 Main Street (860) 358-3500 Danbury, CT 06810-7832 Acevedo, Yadira E., (203) 791-5042 Family Feller, Andrew L., Practice Internal Kamens, Cathy Ann, Medicine Kramer, Adriel, Zagieboylo, Roy, Delaney, William M, Shields, Gregory, Internal Danielson ProHealth Physicians, Inc. - Chatham Medicine Family Practice Day Kimball Healthcare-Danielson 205 East High Street Singh, Kamal, Medical Associates East Hampton, CT 06424 East Lyme 45 Green Hollow Road (860) 267-2593 Danielson, CT 06239 (860) 774-1255 Family Practice Family Practice Zack, Cathy J, Page 19 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut East Lyme Enfield Glastonbury Charter Oak Walk In Medical Center Pioneer Valley Pediatrics Hartford Medical Group - Glastonbur PC 115 Elm Street 676 Hebron Avenue 324 Flanders Rd Enfield, CT 06082 Glastonbury, CT 06033-2410 East Lyme, CT 06333 (860) 745-3336 (860) 696-2250 (860) 739-6953 Pediatrics Internal Family Medicine Hoberman, Dena A, Practice Czarnecki, Gregory R., Segool, Richard Alan, Beason, William L, Riddle, Cara Damiano, ProHealth Physicians, Inc. - Calnen Welsch, Robert J, 7 Elm Street, Suite 304 ProHealth Physicians, Inc. - Grimaldi General Enfield, CT 06082 622 Hebron Ave, Suite 101 Practice (860) 253-7236 Glastonbury, CT 06033 Albrecht, Richard C, (860) 659-3110 Pediatrics Enfield Family Calnen, Gerald, Practice Community Health Center - Enfield SFHCP-Collins Medical Associates 2, Grimaldi, Stephen N, 5 North Main Stree P.C. Enfield, CT 06082 139 Hazard Avenue ProHealth Physicians, Inc. - Henry & (860) 253-9024 Enfield, CT 06082 Adamenko 320 Western Boulevard, Suite 102 Family Internal Glastonbury, CT 06033 Practice Medicine (860) 633-9235 Suozzi, Theresa, Daw, Manjaree, Pediatrics Enfield Medical Associates (Springfield Essex Medical Associates, Inc.) Adamenko, Robert S., Essex Internal Medicine 701 Enfield Street, Suite 140 Henry, William B, Enfield, CT 06082 10 Wildwood Medical Center Post, Leah G, (860) 741-6058 Essex, CT 06426 (860) 767-0145 Psychiatric Internal Nurse Medicine Family Practice Kirwin, Kathleen Mary, Burton, Jay Scott, Baldwin, Michael David, ProHealth Physicians, Inc. - Inchalik Hession, Melissa A., Internal 2130 Main Street O'neill, Darren Stephen, Medicine Glastonbury, CT 06033 (860) 659-4414 Powers, Robin E., Hornbake, Earl Rodney, Pediatrics Ro, Howard D., Spagnola, Alan Michael, Inchalik, Kenneth R, Hartford Medical Group - Enfield Farmington 100 Hazard Ave, Suite 101 ProHealth Physicians, Inc. - Mintell Enfield, CT 06082-5447 ProHealth Physicians, Inc. - ProHealth Physicians of Farmington 320 Western Blvd, Suite 104 (860) 741-3069 21 South Road, Suite 110 Glastonbury, CT 06033 Family Farmington, CT 06032 (860) 633-6832 Practice (860) 284-4945 Internal Lindberg, Nancy H, Medicine Family Internal Practice Mintell, David, Medicine Fojtik, Dorothy, ProHealth Physicians, Inc. - ProHealt Mckell, Bernadette S, Physicians of Glastonbury Internal Physician Medicine 320 Western Blvd, Suite 104 Assistant Glastonbury, CT 06033 Balazs, Denes Vilmos, (860) 633-1008 Wright, Harold S, Dauphinais, Karl,

Page 20 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Glastonbury Glastonbury Hamden ProHealth Physicians, Inc. - ProHealth ProHealth Physicians, Inc. - Vella & ProHealth Physicians, Inc. - ProHealt Physicians of Glastonbury Graniero Physicians of Hamden 320 Western Blvd, Suite 104 969 Hebron Avenue 2560 Dixwell Avenue, #2-B Glastonbury, CT 06033 Glastonbury, CT 06033 Hamden, CT 06514 (860) 633-1008 (860) 633-1131 (203) 230-2546 Family Internal Family Practice Medicine Practice Banerjee, Arjun, Vella, Paul M, Gupta, Bhawna, Internal Groton Internal Medicine Medicine Community Health Center - Groton Papernik, Morris, 333 Long Hill Road Braverman, Tamar Ranon, ProHealth Physicians, Inc. - Salm & Groton, CT 06340 Ranani, Dana, Herlands (860) 446-8858 Hartford 55 Nye Road Family ProHealth Physicians, Inc. - Glastonbury, CT 06033 Practice (860) 633-2487 Anyatonwu Kucharchik, Thomas, 85 Seymour Street, Suite 1009 Internal Hartford, CT 06106 Medicine Guilford (860) 728-6674 Herlands, Stuart E, ProHealth Physicians, Inc. - Guilford Family Practice Internal Salm, David, 1591 Boston Post Road, Suite 100 Medicine Nurse Guilford, CT 06437 Anyatonwu, Samuel K, Practitioner (203) 453-9911 ProHealth Physicians, Inc. - Collins Scarlett, Arlene, Family 19 Woodland Street, Suite 42 ProHealth Physicians, Inc. - Somerset Practice Hartford, CT 06105 Family Health Care, Internal Medicine Curdo, Christopher S, (860) 247-1036 379 Naubuc Avenue Hurlburt, Nancy, Family Glastonbury, CT 06033 Practice (860) 652-3320 Kopp, Jeffrey A, Collins, Kevin Lamont, Internal Kyrcz, Robert W, ProHealth Physicians, Inc. - Woznica Medicine Mascia, Anthony, 673 Maple Avenue Kasaraneni, Devika R, Youngling, Anne E, Hartford, CT 06134 Klaus, Melissa Mae, Hamden (860) 525-1904 Lieu, Steven, Edward Rippel, M.D., Quinnipiac Internal ProHealth Physicians, Inc. - Somerset Internal Medicine, P.C. Medicine Family Health Care, Pediatrics 2440 Whitney Avenue Woznica, Zbigniew, 379 Naubuc Avenue Hamden, CT 06518 SFHCP - Saint Francis Medical Group Glastonbury, CT 06033 (203) 287-7500 Inc.-Knoll (860) 652-3325 Internal 1000 Asylum Avenue, Suite 1004 Pediatrics Medicine Hartford, CT 06105 Craig, Steven L, Rippel, Edward G., Internal Medicine Freilich, Cecille, ProHealth Physicians, Inc. - ProHealth Physicians of Hamden Knoll, Rolf, Hong, Joy E, 2560 Dixwell Avenue, #2-B SFHCP- Collins Medical Associates, 2 Kozar, Christina A, Hamden, CT 06514 P.C. - Belsky Pool, Sharon K, (203) 230-2546 675 Tower Avenue, Ste. 401 Family Hartford, CT 06105 Practice Page 21 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Hartford Hartford Kensington SFHCP- Collins Medical Associates, 2, SFHCP-Saint Francis Medical Group, ProHealth Physicians, Inc. - Solano P.C. - Belsky Inc The Gengras Medical Clinic Medical 675 Tower Avenue, Ste. 401 1000 Asylum Avenue 211 New Britain Road, Suite 105 Hartford, CT 06105 Hartford, CT 06105 Kensington, CT 06037 Family Internal (860) 224-9879 Practice Medicine Internal Belsky, Mark, Martin, Ralph, Medicine Harrison-Atlas, Richard, Ramanan, Sundaram, Solano, Elizabeth, Wiskowski, Susan, Tiru, Mihaela, Physician Assistant SFHCP- The Family Medicine Center SFHCP-The Burgdorf Medical Clinic Robbins, Tina, @ Asylum Hill, Inc. 131 Coventry Street 99 Woodland Street Hartford, CT 06002 Litchfield Hartford, CT 06105 Internal ProHealth Physicians, Inc. - Litchfield (860) 714-4212 Medicine Internal Medicine, Litchfield Family Advani, Kavita, 340 Bantam Road Practice Litchfield, CT 06759 Flitcraft, Anne H, Agresta, Thomas P., (860) 567-9493 Goldman, Kathryn Rosenthal, Blumenfeld, Hugh, Internal Gould, Bruce E., Medicine Cementina, Alan M., Nestler, Ellen Olarsch, Nguyen, Ethan T, Cushman, Robert A., Vomeigen, Keith, Ryan, Terrence, Gold, Robin B., Pediatrics Staub, Charles L.H., Guerrera, Mary P., Alerte, Anton, Manchester Henderson, David D., Joyce, Patricia, Hartford Medical Group - Mancheste Kim, Edmund A, O'Brien, Grael, 256 North Main Street Mansilla-rivera, Kenia, Manchester, CT 06042-2004 Terranova, Jody, Orientale, Eugene, (860) 696-2300 Higganum Internal Family Medicine ProHealth Physicians, Inc. - Higganum Practice Family Medical Group Heiman, Diana L., Osley, Robert P, 415 Killingworth Road Wolpaw, David, SFHCP-Prime Healthcare, P.C. Higganum, CT 06441 353-357 Franklin Avenue (860) 345-8535 Internal Hartford, CT 06114 Medicine Family Internal Practice Goldberg, Frank E, Medicine Amleto, Mario, Guanco, Basilio M, Buccheri, Santo, Buckley, Timothy J, Harding, Richard, SFHCP-Saint Francis Medical Group, Underwood, Michael J, Inc The Gengras Medical Clinic Kalinowski, Michael, 1000 Asylum Avenue Schroth, Linda H, ProHealth Physicians, Inc. - Guardino 945 Main Street, Suite 308 Hartford, CT 06105 Kensington Manchester, CT 06040 Internal ProHealth Physicians, Inc. - Solano (860) 646-1900 Medicine Medical Diez-Morales, Luis, 211 New Britain Road, Suite 105 Internal Medicine Jha, Adarsh, Kensington, CT 06037 (860) 224-9879 Guardino, Joseph J, Krishnaswamy, Jayapriya,

Page 22 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Manchester Marlborough Meriden ProHealth Physicians, Inc. - Han ProHealth Physicians, Inc. - MidState Medical Group - Primary 515 West Middle Turnpike Marlborough Family Practice Center Care Specialists - Meriden Manchester, CT 06040 14 Jones Hollow Road 61 Pomeroy Avenue (860) 533-4176 Marlborough, CT 06447 Meriden, CT 06450 (860) 295-8217 (203) 694-5340 Family Practice Family Internal Practice Medicine Han, Minh A, Buchek, Susan, Helmeczi, Ildiko, ProHealth Physicians, Inc. - Kuru 515 West Middle Turnpike Harris, Donald T, Ionita, Marina Ruxandra, Manchester, CT 06040 Ouellette, James A, ProHealth Physicians, Inc. - Kahn (860) 533-4176 Tuttle, Mark D, 35 Pleasant Street, Suite 1-B Internal Meriden, CT 06450 ProHealth Physicians, Inc. - Pediatric Medicine (203) 235-7415 Associates of Marlborough Kuru, Ranjit, 5 Hebron Road Internal Medicine ProHealth Physicians, Inc. - Nair Marlborough, CT 06447 515 West Middle Turnpike (860) 295-9592 Kahn, Benjamin, Manchester, CT 06040 Pediatrics ProHealth Physicians, Inc. - Kaplan (860) 533-4176 Kumar, Gubbanna V, 816 Broad Street, Suite 29 Internal Meriden, CT 06450 Streim, Carrie S, Medicine (203) 238-1125 Meriden Nair, Anil, Internal Medicine ProHealth Physicians, Inc. - Nieto Community Health Center - Meriden 153 Main Street 134 State Street Feld, Tatiana K, Meriden, CT 06450 Manchester, CT 06040 Kaplan, Jay, (860) 646-2721 (203) 237-2229 ProHealth Physicians, Inc. - Meriden Geriatric Medicine/Family Family Family Practice Practice Practice 816 Broad Street, Suite 24 Nieto, Ramon A, Bravo, Teresa, Meriden, CT 06450 (203) 634-0086 ProHealth Physicians, Inc. - Tardif & Channamsetty, Veena, Ettinger Olayiwola, Nwando, Family 515 West Middle Turnpike Practice Patel, Dipak, Manchester, CT 06040 Brumberger, Bruce J, (860) 533-4176 Rivera Godreau, Ivelisse, Faustin, Alex, Internal Wilensky, Daniel, Phillips-Cole, Barbara, Medicine Wynn, Daisy, Schwarz, Alan, Ettinger, Jeffrey L, General Nurse Tardif, Daniel R, Practice Practitioner Marlborough Haddad, Marwan, Wisniewski, Amy, Nurse ProHealth Physicians, Inc. - Practitioner ProHealth Physicians, Inc. - Meriden Marlborough Family Practice Center Pediatric Associates Wilson, Laura, 14 Jones Hollow Road 816 Broad Street, Building 1, Suite 16 Marlborough, CT 06447 Pediatrics Meriden, CT 06450 (860) 295-8217 Butler, Danielle, (203) 238-1256 Family Kirby, Jacqueline, Pediatrics Practice Lelko, Susan E, Bentley, Christopher W, Middletown Page 23 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Middletown Middletown New Britain Community Health Center - ProHealth Physicians, Inc. - Middlesex Community Health Center - New Middletown Family Physicians Britain 635 Main Street 400 Saybrook Road, Suite 205 One Washington Square Middletown, CT 06457 Middletown, CT 06457 New Britain, CT 06051 (860) 347-6971 (860) 346-7738 (860) 224-3642 Family Family Family Practice Practice Practice Huddleston, Matthew, Eichengreen, Roy P, Mohammadu, Fusaini, Lecce, Carl, Good, Michael D, Pediatrics Rosener, Stephanie, Hirsch, Rubin W, Dudley, Robert, Rosener, Stephanie, Novak, Daniel B, Farb, Alan, Weischedel, Anne-Katrin, ProHealth Physicians, Inc. - Middlesex ProHealth Physicians, Inc. - Trouern- Pediatric Associates Trend Nurse Practitioner 400 Saybrook Road, Suite 206 40 Hart Street, Building D Middletown, CT 06457 New Britain, CT 06052 Eddinger, Ann, (860) 344-0333 (860) 223-5396 Obstetrics & Pediatrics Pediatrics Gynecology Alonso, Lisa C, Trouern-Trend, John B, Ozbek, Aysegul, Boucher, Correne L, New Haven Ozbek, Aysegul, Cue, Diane, Middlesex Hospital Family Practice Yale Health Group - Middletown Klein, Michael A, 55 Lock Street New Haven, CT 06511 90 South Main Street, First Floor Tillinghast, David, Middletown, CT 06457 (203) 432-6157 ProHealth Physicians, Inc. - Pediatric (860) 344-6300 & Adolescent Medical Group Gastroenterology

Family 540 Saybrook Road, Suite 100 Practice Middletown, CT 06457 Genecin, Paul, Douglass, Alan, (860) 347-6683 Internal Medicine Kazakoff, Michael, Pediatrics Holland-Toftness, Cynthia J, Rosener, Stephanie E., Jubelirer, Brad A, Rosener, Stephanie E., Lawrence, Christopher C, Pediatrics DeSanto, Christopher M, Sinusas, Keith, Northrop, Elizabeth Jane, Steeter, Gordon Chase, Stehney, Michael, Roman, Tina, Physician Obstetrics & Whitaker, Allison H, Gynecology Assistant New Britain Ozbek, Aysegul, Dzujna, Helen, Community Health Center - New New London Ozbek, Aysegul, Britain Pediatrics One Washington Square Community Health Center - New New Britain, CT 06051 London O'Callahan, Cliff, (860) 224-3642 One Shaw's Cove ProHealth Physicians, Inc. - Middlesex New London, CT 06320 Family Physicians Family Practice (860) 224-3642 400 Saybrook Road, Suite 205 Family Borgonos, Ovanes, Middletown, CT 06457 Practice (860) 346-7738 Hassan, Syed, Doerwaldt, Hartmut, Family Mathulla, Cible, Practice New Milford Page 24 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut New Milford North Grosvenordale Norwalk New Milford Medical Group Day Kimball Healthcare-Pediatric Soundview Medical Associates 11 Old Park Lane Center-Thompson 761 Main Avenue, Suite 201 New Milford, CT 06776-2507 415 Riverside Drive Norwalk, CT 06851-1080 (860) 355-1149 North Grosvenordale, CT 06255 (203) 299-0154 Family Pediatrics Internal Practice Matsen, Krista E, Medicine Beck, Jonathan D, Norwalk Varadarajan rukmani, Vidhya, Internal Yasner, Robert S, Community Health Center - Norwalk Medicine 49 Day Street Rheumatology Kamm, Harold J., Norwalk, CT 06854 Konik, Doreen, (203) 854-9292 Beger, Erik, Leonardi, Christian, Family Norwich Practice Tyler, Jeffrey C., West Side Medical Center Weir, Lori, Newington 606 West Main Street Soundview Medical Associates Norwich, CT 06360 ProHealth Physicians, Inc. - Newington 761 Main Avenue, Suite 201 (860) 889-1400 Pediatrics Norwalk, CT 06851-1080 505 Willard Avenue, Building 2, Suite C Family (203) 299-0154 Newington, CT 06111 Practice (860) 666-5601 Endocrinology, Diabetes & Hernandez, William H, Metabolism Pediatrics Internal Schussheim, Debra, Medicine Baumer, Amy L, Siegel, Glenn Michael, Viswanathan, Kartik K, Harvey, Richard C, Family Plainfield Isaac, Shiji A., Practice Macgilpin, Douglas, Day Kimball Healthcare-Adult Bookas, Timothy, Primary Care Pickett, Laura J, Lipira, Eugene M, 12 Lathrop Road Siraco, John, Svogun, John A, Plainfield, CT 06374 Internal Veale, Christopher J, Gastroenterology Medicine Niantic Jann, Mae, Drs Thompson, Cooper, Goldberg & Adelmann, Charles J, Kroll, Sherry Lee, Donka Riback, Harvey L, 22 W. Main St Nixon, Leilani L, Internal Niantic, CT 06360-2340 Medicine Day Kimball Healthcare-Pediatric (860) 739-4431 Chi, Tao-nan, Center-Plainfield Internal 31 Dow Road Cochran, Charles P, Medicine Plainfield, CT 06374 Cooper, Bruce, Kelly, Paul R, Pediatrics Donka, Abel A, Kumar, Sujatha B, Moes, Robert, Goldberg, Robert Paul, Papaharis, Basil J, Powell, Suzanne M, Thompson, David Duvall, Sammarco, Frank S, Plainville Schwartz, Michael B., North Grosvenordale ProHealth Physicians, Inc. - Zebrows Day Kimball Healthcare-Pediatric Sotsky, Mindy J, 120 West Main Street Center-Thompson Sparks, Maura L, Plainville, CT 06062 415 Riverside Drive (860) 747-0411 Stern, Edra Lea, North Grosvenordale, CT 06255

Page 25 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Plainville Putnam South Windsor ProHealth Physicians, Inc. - Zebrowski ProHealth Physicians, Inc. - Putnam ProHealth Physicians, Inc. - Sobelman 120 West Main Street Medical Associates Pediatrics Plainville, CT 06062 330 Pomfret Street 828 Sullivan Avenue (860) 747-0411 Putnam, CT 06260 South Windsor, CT 06074 (860) 928-2736 (860) 644-3417 Internal Medicine Family Pediatrics Practice Baran, Kevin Matthew, Sobelman, Steven J., Austin, Nancy, Zebrowski, Stephen, ProHealth Physicians, Inc. - Sutay & Catsam, Arthur, Stewart Portland Cooper, Timothy E, 15 Morgan Farms Drive Middlesex Hospital Family Practice South Windsor, CT 06074-1372 Howe, Jeffrey, Group - Portland (860) 644-5458 595 Main Street Rocky Hill Pediatrics Portland, CT 06480 ProHealth Physicians, Inc. - Children's (860) 358-7100 Stewart, Kurt R, Medical Group Rocky Hill Family 1086 Elm Street Sutay, Jay B, Practice Rocky Hill, CT 06067 South Woodstock McArthur, Karen, (860) 529-6124 Day Kimball Healthcare-Woodstock Weis, Otto, Pediatrics Medical Associates Putnam Wilion, Felicia, 168 Route 171 South Woodstock, CT 06267 SFHCP - Collins Medical Associates 2, Day Kimball Healthcare-Pediatric (860) 928-1397 Center-Putnam PC 320 Pomfret Street 506 Cromwell Ave. Internal Medicine Putnam, CT 06260 Rocky Hill, CT 06067 (860) 529-1287 Chieffalo, Anthony, Nurse Practitioner Internal Dickinson, Gail Louise, Medicine Jakubisin-konicki, Annette, Klare, Ronald Wilder, Mendelsohn, Jacques, Pediatrics Southbury Villanueva, Elmo, Cerrone, Marc B, Primary Care of Southbury South Windsor Pradhan, Gunjan, 22 Old Waterbury Road,, Suite 108 Southbury, CT 06488 Smith, Richard D, ProHealth Physicians, Inc. - London 1330 Sullivan Avenue (203) 262-4200 Day Kimball Healthcare-Pomfret South Windsor, CT 06074 Street Family Medical Associates Family (860) 644-3421 Practice 235 Pomfret Street Putnam, CT 06260 Internal Carr, Robert J., Medicine (860) 928-0493 Hoenicke, David A., London, Raymond G, Family Poznanska, Agata, Practice ProHealth Physicians, Inc. - Sacheti Internal Baik, Rania, 1728 Ellington Road Medicine South Windsor, CT 06074 Wreschner, Charles L, Ott, Casey K., (860) 644-1533 Nurse Southington Practitioner Pediatrics Sacheti, Bhavna, Midstate Medical Group - Primary St jean, Karen, Care Specialists - Southington Sacheti, Vandana, 98 Main Street, Third Floor Southington, CT 06489 (860) 621-6704

Page 26 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut Southington Torrington Wallingford Midstate Medical Group - Primary ProHealth Physicians, Inc. - Litchfield ProHealth Physicians, Inc. - Care Specialists - Southington Internal Medicine, Torrington Wallingford Family Practice 98 Main Street, Third Floor 52 Peck Road, Suite A 950 Yale Avenue Southington, CT 06489 Torrington, CT 06790 Wallingford, CT 06492 (860) 621-6704 (860) 489-6899 (203) 265-9600 Family Internal Family Practice Medicine Practice Osnaga, Alina I, Bryant, Stephen E, Gero, Michele L, ProHealth Physicians, Inc. - Babiarz Oh, Jong Gil, Ross-Russell, David A, 360 North Main Street Yoelson, Stephen, Unsworth, Stacy T, Southington, CT 06489 Nurse Valentin, Carlos R, (860) 621-1024 Practitioner Watertown Internal Hamilton, Selma L., Medicine Town and Country Pediatrics and ProHealth Physicians, Inc. - Torrington Babiarz, Joseph A, Family Medicine, PC 333 Kennedy Drive, Suite L-201 380 Main Street Stamford Torrington, CT 06790 Watertown, CT 06795 Community Health Center - Stamford (860) 489-3449 (860) 274-8891 141 Franklin Street Family Family Stamford, CT 06901 Practice Practice (203) 969-0802 Chiu, Judy, Lustig, Jacqueline O, Family Rosenberg, Clifford B, Pediatrics Practice Vernon Bartfeld, Ephraim P, Ayubcha, Soussan, ProHealth Physicians, Inc. - Vernon Weatogue Lorilla, Ivy, Family Medicine ProHealth Physicians, Inc. - Simsbury Internal Medicine of Stamford, PC 554 Talcottville Road Pediatrics David M Radin, MD, 27 Oak Street Vernon, CT 06066 225 Hopmeadow Street Stamford, CT 06905 (860) 875-6700 Weatogue, CT 06089 (203) 359-4888 Family (860) 658-0465 Internal Practice Medicine Pediatrics Schifferdecker, John, Radin, David M, Johnston, Janice J, Wallingford Tolland Ladenheim, Sydney, ProHealth Physicians, Inc. - Pediatric Pericat, Elizabeth T, ProHealth Physicians, Inc. - Tolland & Adolescent Medicine Wallingford Internal Medicine 1062 Barnes Road Sabo, Mark Andrew, 384-K Merrow Road Wallingford, CT 06492 West Hartford Tolland, CT 06084 (203) 294-6328 (860) 871-8851 Hartford Medical Group - Bishops Pediatrics Corner West Hartford Internal Alonso, Luis, 336 North Main Street Medicine West Hartford, CT 06117-2510 Keanna, Craig Michael, Bayona, Gerald M, (860) 232-4891 Pouliot, Marie Helene, Torrington Family Vassell-Klaus, Kerline, Practice ProHealth Physicians, Inc. - Litchfield Internal Medicine, Torrington ProHealth Physicians, Inc. - Weiss, Linda J, Wallingford Family Practice 52 Peck Road, Suite A Internal Torrington, CT 06790 950 Yale Avenue Medicine (860) 489-6899 Wallingford, CT 06492 (203) 265-9600 Migliorato, Marcie A, Page 27 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Connecticut Connecticut Connecticut West Hartford West Hartford Wethersfield Hartford Medical Group - Bishops SFHCP - Collins Medical Associates 2, ProHealth Physicians, Inc. - Mullaney Corner West Hartford P.C Truex & Schachter 336 North Main Street 41 North Main Street, Suite 300 1260 Silas Deane Highway, Suite 103 West Hartford, CT 06117-2510 West Hartford, CT 06107 Wethersfield, CT 06109 (860) 232-4891 (860) 313-0448 (860) 257-4814 Internal Internal Internal Medicine Medicine Medicine Schmetterling, Jack A, Papandrea, John, Mullaney, John F, Physician Polatnick, Mark J., Schachter, Andrew B, Assistant Tan, Sharon S., Truex, Richard, Phillips, Jessica, SFHCP - West Hartford Internal Willimantic Hartford Medical Group - South Main Medicine LLC ProHealth Physicians, Inc. - El-Hache West Hartford 1007 Farmington Avenue, Suite 9 140 Mansfield Avenue 445 South Main Street West Hartford, CT 06107 Willimantic, CT 06226 West Hartford, CT 06110-1646 (860) 586-7825 (860) 561-7111 (860) 423-1400 Internal Internal Medicine Internal Medicine Medicine Ardolino, Sally Ann, Gurtman, Frances B, El-Hachem, Roger, Venkatachalam, Varalakshmi, Keightley, Deborah A, Windsor Wethersfield Sereny, Peter, Hartford Medical Group - Windsor Hartford Medical Group - Wethersfield 1060 Day Hill Road Stone, Susan Michelle, 1025 Silas Deane Highway Windsor, CT 06095-5705 Sports Wethersfield, CT 06109-4229 (860) 683-2690 Medicine (860) 696-2400 Family Brown, Jeffrey R, Internal Practice Medicine ProHealth Physicians, Inc. - Elmwood Bissell, Kristin F, Medical Group Oliveri, Janice Ann, Luger, Steven W, 97 South Street, Suite 101 Spada, Michael Paul, West Hartford, CT 06110 Vitale, Marie Pauroso, Stahl, Kent I, (860) 953-5151 Internal Family Weinreb, Steven L, Medicine Practice Pediatrics Gigstad, Joan E, West, Paul B, Eror, Ellyssa L, Schuck, Elizabeth, Internal Physician Winsted Medicine Assistant ProHealth Physicians, Inc. - Lomibao Dolinsky, Paul A, Keckley, Diane B, 115 Spencer Street ProHealth Physicians, Inc. - ProHealth ProHealth Physicians, Inc. - Banack Winsted, CT 06098 Physicians of West Hartford Smith-Slatas (860) 738-5814 631 South Quaker Lane 1331 Silas Deane Highway Internal West Hartford, CT 06110 Wethersfield, CT 06109 Medicine (860) 233-7161 (860) 529-9933 Lomibao, Amor C, Internal Pediatrics Medicine Delaware Banack, Sherry, Genser, Stuart S, Wilmington Smith-Slatas, Candra, Jimenez, Michael,

Page 28 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Delaware District Of Columbia District Of Columbia Wilmington Washington Washington Family Medicine Center at Foulk Road Children's National Medical Center - Children's National Medical Center - 1401 Foulk Rd, Suite 100B Children's Health Center @ Adams Children's Health Center @ Sheikh Wilmington, DE 19803 Morgan Zayed Campus (302) 477-3300 Dorchester House, 1630 Euclid Street, 111 Michigan Ave NW NW Washington, DC 20010 Family Washington, DC 20009 (202) 476-5491 Practice Pediatrics Pediatric Bercaw, David M, Castro, Rosella A, Orthopedic Kavanaugh, Erin, Cora-Bramble, Denice E, Coleman, Nailah, Maxwell, Lisa C, Pourrat, Monica Del carmen, Pediatrics Rosenthal, Michael P, Quion, Nathalie B, Beers, Lee A, Savoy, Margot L, Children's National Medical Center - Fratantoni, Karen Ruth, Simpson, David A, Children's Health Center @ Good Fu, Linda Y, Family Medicine Center at Wilmington Hope Road Hollo, Ruth Ellen, Annex 2501 Good Hope Road SE Wilmington Annex, 1400 Washington Washington, DC 20020-3011 Lowe, John A, Street, 3rd Floor (202) 476-5491 Mirza, Nazrat, Wilmington, DE 19801 Emergency Moon, Rachel Y, (302) 477-3300 Medicine Tender, Jennifer A, Family Hancock, Yolandra, Practice Vaidya, Susma, Pediatrics Bittner-Fagan, Heather, Weissman, Mark I, Bellard, Jr., Alsan, Dassel, Jeffrey W.R., Wolf, Muriel D, Horn, Ivor B, Waitz, Margot L, Children's National Medical Center - Sriram, Sanjeev Kumar, Children's Health Center @ THEARC Sports Medicine Tyler-Beynum, Khandra, 1901 Mississippi Avenue, SE Washington, DC 20020 Reed, Tony S, Children's National Medical Center - Children's Health Center @ Martin Pediatrics District Of Columbia Luther King, Jr. Avenue Lewis-Ragland, Yolanda Anita, Washington 3029 Martin Luther King, Jr. Avenue SE White, Marcee C, Children's National Medical Center - Washington, DC 20032 Adolescent Health Center @ Sheikh MedStar Health Physicians -MedStar Zayed Campus (202) 476-5491 Physician Partners @ 19th Street 111 Michigan Avenue NW Pediatrics 1145 19th Street, NW, Suite 700 Washington, DC 20036-371 Washington, DC 20010 Kind, Terry R, (202) 476-5491 (202) 223-5333 Lichtenstein, Cara, Adolescent and Young Adult Internal Medicine Long, Sahira, Medicine D'Angelo, Lawrence J., Rhodes, Hope, Roche, Nada, Silber, Tomas J, Children's National Medical Center - Stone, Theresa A, Children's Health Center @ Shaw Woodward, Kathy, MedStar Physician 2220 11th Street, NW Partners/Washington Hospital Center Pediatric Emergency Washington, DC 20001 106 Irving Street, NW, Suite 4200 Nor Medicine (202) 476-5491 Washington, DC 20010-297 Rosman, Brooke, Pediatrics (202) 877-2200 Dudley, Clarissa M, Internal Medicine Saunders, Victoria, Birmingham, Fitzgerald, Page 29 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

District Of Columbia Florida Florida Washington Belle Glade Bunnell MedStar Physician Metcare Belle Glade Metcare of Bunnell Partners/Washington Hospital Center 349 NW 16th Street, Suite 104 279 East Moody Blvd, Suite 104 106 Irving Street, NW, Suite 4200 North Belle Glade, FL 33430 Bunnell, FL 32110 Washington, DC 20010-297 (561) 996-1990 (386) 586-7005 (202) 877-2200 Internal Family Internal Medicine Practice Medicine Abbas, Rahat, Francis, Katherine Schaffer, Dibble, Robert T, Mendez, Antonio, Callahan Harris, Gerard H, Belleview University of Florida and Shands King, Francisco C, Jacksonville - Callahan Family Practic The Family Doctors of Belleview - Center Lee, Andrew J, Belleview 450077 State Road 200, Suite 12 5051 SE 110th Street MedStar Physician Callahan, FL 32011 Partners/Washington Primary Care Belleview, FL 34420 (904) 633-0560 Physicians (352) 245-9157 660 Pennsylvania Ave., SE, Suite 100 Family Family Practice Washington, DC 20003-435 Practice (202) 546-4505 Day, Charles Michael, Hildner, Joseph Carl, Internal Kecskemeti-kovacs, Timea Alexandra, Medicine Steed, James David, Solomon, William Curtis, Basch, Peter, Whinnen, Daniel William, Casselberry Brooks, Rodney, Pediatrics Fischer, Stephen Edward, Family Physicians of Casselberry Davis, Robin, 946 East Semoran Blvd. Bloomingdale Waterman, Daniel, Casselberry, FL 32707 Florida Bloomingdale Primary Care Center (407) 831-3141 406 West Bloomingdale Ave Altamonte Springs Internal Bloomingdale, FL 33511 Medicine Family Physicians Group - Altamonte (813) 653-1880 Ahmed, Khurshid, Springs Internal Clearwater 360 Douglas Avenue Medicine Altamonte Springs, FL 32714 Jose, Jolly, JSA Healthcare Corporation - (407) 788-8200 Clearwater Primary Care Center Pittman, Carol Ann, Family 2465 McMullen Booth Rd. Practice Boca Raton Clearwater, FL 33759 (727) 725-5224 Farmer, Gerald E., Metcare Boca Internal 2900 North Military Trail, Suite 201 Internal Medicine Boca Raton, FL 33431 Medicine Mohandas, Usha K., (561) 241-0025 Kamal, Anupam, Apopka Internal Morton Plant Mease Primary Care - Medicine Countryside I Family Physicians of Apopka Bendeck, Elias, 3251 McMullen Booth Rd., Suite 104 1501 West Highway 441 Clearwater, FL 33761 Taubman, Randall, Apopka, FL 32712 (724) 799-0415 (407) 884-2952 Bunnell Internal Family Metcare of Bunnell Medicine Practice 279 East Moody Blvd, Suite 104 Carls, J H, Bedros, Medhat G, Bunnell, FL 32110 Jacobs, Stephen H., Belle Glade (386) 586-7005

Page 30 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Clearwater Clearwater Clearwater Morton Plant Mease Primary Care - Morton Plant Mease Primary Care, Morton Plant Mease Primary Care, Countryside II Inc. - Enterprise II Inc. - Turley Family Health Center 3251 McMullen Booth Road, Suite 103 2461 Enterprise Road, Suite C 807 N. Myrtle Avenue Clearwater, FL 33761 Clearwater, FL 33763 Clearwater, FL 33755 (727) 725-1003 (727) 725-5060 (727) 467-2400 Family Internal Family Practice Medicine Practice Swoager, James, Held, Jeffrey Alan, Lawrence, Elizabeth Ann, Morton Plant Mease Primary Care, Tripodis, Stanton P, Lewis, Paul A., Inc. - Bellair Internal Medicine Morton Plant Mease Primary Care, Reyes, Manuel A., 1016 Ponce de Leon Blvd Inc. - Jeffords Internal Medicine Sourbeer, Jeffrey J., Clearwater, FL 33756 1007 Jeffords Street,, Suite 101 (727) 586-6200 Clearwater, FL 33756 General Practice Internal (727) 442-5123 Medicine Greengold, Julian B., Internal Smitherman, Mark, Medicine Clermont Morton Plant Mease Primary Care, Feingold, Howard, Family Physicians Group of Clermont Inc. - Countryside III Kiriazis, Chrisoula, 1735 B East Highway 50 3251 McMullen-Booth Road, Suite 103 Clermont, FL 34711 Ramirez-Ortega, Xiomara, Clearwater, FL 33761 (352) 241-0549 (727) 799-6385 Morton Plant Mease Primary Care, Inc. - Lakeview Internal Medicine Family Internal Practice Medicine 516 Lakeview Rd., Bldg.4 Clearwater, FL 33756 Yedwab oliver, Beth, Peditto, Kathleen Louise, (727) 461-7908 Cocoa Beach Morton Plant Mease Primary Care, Internal Inc. - Druid Road Internal Medicine/ Health First Physicians - Chau Medicine Family Practice 105 S. Banana River Blvd 612 Druid Road East, Suite B Miller, Todd, Cocoa Beach, FL 32931 Clearwater, FL 33756 Wanger, Michael, Family (727) 443-1122 Practice Morton Plant Mease Primary Care, Family Inc. - Landmark Primary Care Chau, Anh N, Practice 2531 Landmark Drive, Suite 103 Health First Physicians - Sabol/Walls Nosek, Daniel Anthony, Clearwater, FL 33761 699 W. Cocoa Beach Cswy, Suite #506 (727) 796-4396 Internal Cocoa Beach, FL 32931 Medicine Internal Internal Medicine Fox, John G, Medicine Rommel, Michael, Whiting, Mark Alan, Sabol, Dusan, Santana, Jose Ramon, Morton Plant Mease Primary Care, Walls, Brian Bolivar, Inc. - Enterprise I Morton Plant Mease Primary Care, Health First Physicians - Wilson 2461 Enterprise Rd., Ste C Inc. - Turley Family Health Center 699 W. Cocoa Beach Cswy, Suite #403 Clearwater, FL 33763 807 N. Myrtle Avenue Cocoa Beach, FL 32931 (727) 799-6265 Clearwater, FL 33755 (321) 868-8348 (727) 467-2400 Internal Internal Medicine Family Medicine Practice Bernstein, David A., Wilson, Darin Keith, Bryan, Sean T, Schaffer, Benjamin C., Daytona Beach Farrar, Ted A,

Page 31 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Daytona Beach Dunedin Jacksonville Metcare of Daytona Morton Plant Mease Primary Care, Baptist Primary Care-Bennett 405 Clyde Morris Blvd Inc. - Mease Medical Arts III 4131 University BLVD South Daytona Beach, FL 32114 646 Virginia St, Suite 601 Jacksonville, FL 32216 (386) 257-1626 Dunedin, FL 34698 (904) 396-9911 (727) 734-9494 Family Family Practice Internal Practice Medicine Lucas, Kenneth J, Waldron, Anne H, Bracamonte, Percy, Dunedin Baptist Primary Care-Orange Park Fort Lauderdale Peds Argyle Morton Plant Mease Primary Care - 6353 Argyle Forect Blvd, Suite 4 Mease Medical Arts II Linda A. Groene, M.D., P.A. Jacksonville, FL 32244 646 Virginia Street, Suite 204 6405 N. Federal Hwy, Suite 102 (904) 908-0200 Dunedin, FL 34698 Fort Lauderdale, FL 33308 (727) 736-3212 (954) 772-0062 Pediatrics Internal Internal Dellinger, Charles T, Medicine Medicine Gehret, Richard G, Borecky, Derrick, Groene, Linda A., Sauer, Shiree, Franco, Daniel, Gainesville Spearman, Dan R, Morton Plant Mease Primary Care, Alliance Pediatrics, PA Woolwine, Rhonda L, Inc. - Dunedin Primary Care 4627 NW 53rd Avenue Rainbow Center/UF CARES - 180 Patricia Ave Gainesville, FL 32653-4857 University of Florida Jacksonville Dunedin, FL 34698 (352) 335-8888 (727) 733-4193 653-1 West 8th Street, LRC 3rd Floor Pediatrics Jacksonville, FL 32209 Family (904) 244-3051 Practice Mas, Olga M, Infectious Charles, Ana, Massias, Michelle D., Disease Grover, Pamela, Sarantos, Katheryn E, Ramirez, Luis U., Mathew, Dani, Holiday Internal Morton Plant Mease Primary Care, Morton Plant Mease Primary Care - Medicine Holiday Family Care Inc. - Mease Medical Arts IA Ravi, Malleswari S, 646 Virginia Street, 7th Floor 1812 U.S. 19 North Nurse Dunedin, FL 34698 Holiday, FL 34691 Practitioner (727) 736-2730 (727) 939-2410 Fulton, Carol Marie, Internal Family Medicine Practice Pediatric Infectious Disease Desouza, Melanie A, Nickel, Jodi, Alvarez, Ana Mabel, Miller, Cynthia E, Phelps, Lisa, Mahmoudi, Saniyyah Itani, Morton Plant Mease Primary Care, Stamoolis, Christina E., Inc. - Mease Medical Arts III Homestead Maraqa, Nizar Fuad, 646 Virginia St, Suite 601 CAC - Florida Medical Centers - Rathore, Mobeen Hasan, Dunedin, FL 34698 Homestead Pediatrics (727) 734-9494 650 North Homestead Blvd. Miller, Michael, Family Homestead, FL 33030 Practice (786) 243-5900 Mirza, Ayesha, Karakossian, Vartan, Family Internal Practice Medicine Santana-Porben, Idalmis,

Page 32 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Jacksonville Jacksonville Jacksonville University of Florida and Shands University of Florida and Shands University of Florida and Shands Jacksonville - Anchor Plaza Family Jacksonville - College Park Primary Jacksonville - Murray Hill Family Medicine and Pediatric Center Care Practice 5460 Blanding Boulevard, Suite 3 1697 Kings Road 5205 Normandy Boulevard, #3 Jacksonville, FL 32244 Jacksonville, FL 32209 Jacksonville, FL 32205 (904) 633-0610 (904) 633-0440 (904) 633-0440 Family Family Family Practice Practice Practice Anand, Subashini, Registre, Louis J., Gajda, Anna, Internal University of Florida and Shands University of Florida and Shands Medicine Jacksonville - Commonwealth Family Jacksonville - San Jose Family Practic Practice & Pediatric Center Center Grewal, Reetu, 761 North Edgewood Avenue 5614 San Jose Boulevard Pediatrics Jacksonville, FL 32254 Jacksonville, FL 32207 Chua-ravago, Leslie Surara, (904) 633-0440 (904) 633-0475 University of Florida and Shands Family Family Jacksonville - Augustine Oaks Family Practice Practice Medicine Center Perez-Bosque, Monique D., Ober, Vincent Hilles, 11481 Old St. Augusine Road, #101 Jacksonville, FL 32258 Stewart, Eric B., University of Florida and Shands Jacksonville - Shands Jacksonville (904) 633-0210 University of Florida and Shands Internal Medicine Jacksonville - Dunn Avenue Family Family Practice Center 655 West 8th Street Practice 2377 Dunn Avenue Jacksonville, FL 32209 Brieva, Jairo Alvarez, Jacksonville, FL 32218 (904) 383-1003 University of Florida and Shands (904) 633-0700 Infectious Jacksonville - Baymeadows Family Disease Family Practice & Pediatric Center Practice Alexandraki, Irene, 8274 Bayberry Road Jacksonville, FL 32256 Haddad, Charles Joseph, Internal Medicine (904) 633-0800 Hadzic, Amra, Edwards, Linda Robertson, Geriatric Medicine/Family Peterson, Kevin William, Practice House, Jeffrey Guy, University of Florida and Shands Array, Samir Yamil, Jacksonville - Eastside Family Practice Kuo, Hsiao-yen, and Pediatric Center Pediatrics Masri, Ghania, 1155 East 21st Street Arango, Carlos Antonio, Jacksonville, FL 32209 Palacio, Carlos, Array, Victoria Carolina, (904) 633-0440 Phillips, James Milton, University of Florida and Shands Family Sottile, Eliza Marie, Jacksonville - Brentwood Family Practice University of Florida and Shands Practice Jaminal, Mar A., Jacksonville - Soutel Family Practice 3465 Village Center Drive 5045 Soutel Drive, #12 Jacksonville, FL 32209 Pediatrics Jacksonville, FL 32208 (904) 633-0440 McCatty, Sonyini A., (904) 633-0440 Family University of Florida and Shands Family Practice Jacksonville - Murray Hill Family Practice Practice Pratt, Ebony N., 5205 Normandy Boulevard, #3 Lee, Kenyatta Y., Jacksonville, FL 32205 (904) 633-0440

Page 33 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Jacksonville Jacksonville Jacksonville University of Florida and Shands University of Florida and Shands University of Florida and Shands Jacksonville - UF Kernan Square Jacksonville - University of Florida Jacksonville - University of Florida Family Medicine Center Internal Medicine at Emerson Medical Monument Landing Family Medicine 12620 Beach Boulevard, Suite 8 Plaza Center Jacksonville, FL 32246 4555 Emerson Street, Suite 200 2485 Monument Road (904) 633-0585 Jacksonville, FL 32207 Jacksonville, FL 32225 (904) 383-1003 (904) 383-1026 Family Practice Internal Family Medicine Practice Chaves, Clare Ines, Masri, Ghania, Rosada, Miguel A, Clarke, Mark Anthony, Phillips, James Milton, University of Florida and Shands University of Florida and Shands Jacksonville - University of Florida Jacksonville - University of Florida University of Florida and Shands New Berlin Family Medicine Center Community Health Center Jacksonville - University of Florida 3122 New Berlin Road 655 West 8th Street, 4th Floor, ACC Internal Medicine at Faculty Clinic Bldg 653 West 8th Street Jacksonville, FL 32226 Jacksonville, FL 32209 Jacksonville, FL 32209 (904) 633-0340 (904) 383-1002 (904) 383-1003 Family Practice Family Infectious Practice Disease Scuderi, Christopher B, Dimmitt, Steven Gregory, Alexandraki, Irene, Physician Assistant Haddad-lacle, Judella Edwina, Internal Medicine Foley, Tim E, Hussain, Mahrukh, Edwards, Linda Robertson, University of Florida and Shands Salman, Farah Malik, Jacksonville - University of Florida House, Jeffrey Guy, Warterberg, David Ira, Normandy Family Practice Center Kuo, Hsiao-yen, University of Florida and Shands 8093 Normandy Boulevard Jacksonville - University of Florida Masri, Ghania, Jacksonville, FL 32221 Family Medicine Center at Lem Turner (904) 633-0640 Phillips, James Milton, 1255 Lila Avenue Family Sottile, Eliza Marie, Jacksonville, FL 32208 Practice (904) 383-1001 University of Florida and Shands Corpus, Lorenzo Mil, Jacksonville - University of Florida Family Merrill Road Family Medicine Center Jupiter Practice 7645 Merrill Road, Suite 301 Funderburk, Marcia Wayne, Metcare Jupiter Jacksonville, FL 32277 345 Jupiter Lakes Blvd., Suite 202 Lavina, Joel Soria, (904) 633-0285 Jupiter, FL 33458 Manning-dimmitt, Linda Lea, Family (561) 238-0928 Practice Oosterman, Stephan Ernest, Internal Elramady, Dalia, Medicine Reeder, Harold Barton, Internal Zeda, David, University of Florida and Shands Medicine Jacksonville - University of Florida Kissimmee Internal Medicine at Emerson Medical Hoffmann, Susan Lee, Plaza Family Physicians Group - Kissimmee Physician 327 West Oak Street 4555 Emerson Street, Suite 200 Assistant Jacksonville, FL 32207 Kissimmee, FL 34741 Diana, Michael Raymond, (904) 383-1003 (407) 483-2000 Internal Family Medicine Practice Kuo, Hsiao-yen, Caro, Israel I,

Page 34 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Kissimmee Largo Largo Family Physicians Group - Kissimmee Morton Plant Mease Primary Care - Morton Plant Mease Primary Care, 327 West Oak Street Bardmoor Internal Medicine Inc. - Bardmoor IV Kissimmee, FL 34741 8787 Bryan Dairy Road, Suite 230 8787 Bryan Dairy Road, Suite 275 (407) 483-2000 Largo, FL 33777 Largo, FL 33777 (727) 394-5601 (727) 394-5560 Family Practice Internal Family Medicine Practice Rosario, Jessicca, Jorgenson, Michele A., Hout, Charisse J, Internal Medicine Jorgenson, Michele A., Kuhn, Allen R, Gomez, Hernan A., Paganini, Cynthia A., Morton Plant Mease Primary Care, Inc. - Indian Rocks Family Physicians Group - Poinciana Paganini, Cynthia A., 12046 Indian Rocks Rd., Unit 103 1050 Cypress Parkway Morton Plant Mease Primary Care - Largo, FL 33774 Kissimmee, FL 34759 Bardmoor V (727) 596-9490 (407) 483-1000 8787 Bryan Dairy Road, Suite 320 Family Family Largo, FL 33777 Practice Practice Internal Carlson, Beth L, Munoz-delgado, Mayra Noemi, Medicine Francis, David James, Internal Patel, Deepa S., Medicine Morton Plant Mease Primary Care, Morton Plant Mease Primary Care, Inc. - Seminole Family Care Rodriguez, Rodolfo, Inc. - Bardmoor Family Practice 8839 Bryan Dairy Rd., Ste. 200 12955 Seminole Blvd., Suite 100 Family Physicians Group of BVL Largo, FL 33777 Largo, FL 33778 2576 Boggy Creek Rd (727) 391-6296 (727) 559-8748 Kissimmee, FL 34744 Family (407) 348-8338 Family Practice Practice Internal Braddy-Roberts, Julie Vaden, Medicine Mickey, Jaimie L., Stephens, Amber Rae, Portocarrero, Miguel, Salansky, Jennifer, Leesburg Quinones, Lismarie, Skinner, Tara L., Lady Lake Morton Plant Mease Primary Care, Family Physicians Group of Leesburg Inc. - Bardmoor Internal Medicine & 801 East Dixie Ave, Suite 101 The Family Doctors of Belleview - Pediatrics Leesburg, FL 34748 Villages 8787 Bryan Dairy Rd., Ste. 275 (352) 326-4031 8575 NE 138th Lane, Suite 201 Largo, FL 33777 Lady Lake, FL 32159 Family (727) 394-5650 Practice Family Internal Thomas, Jolly, Practice Medicine Longwood Pead, Christopher Scott, Mikus II, Paul M., Family Physicians Group Of Longwoo Largo Pediatrics 500 East State Road 434 Morton Plant Mease Primary Care - Arline, Laura E., Longwood, FL 32750 Bardmoor Internal Medicine (407) 834-4849 8787 Bryan Dairy Road, Suite 230 Becklin, Brent, Largo, FL 33777 Morton Plant Mease Primary Care, Family (727) 394-5601 Inc. - Bardmoor IV Practice 8787 Bryan Dairy Road, Suite 275 Internal Byrd, Bill, Largo, FL 33777 Medicine Loxahatchee (727) 394-5560 Fogarty, Julie B., Fogarty, Julie B., Page 35 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Loxahatchee Miami NEW PORT RICHEY Metcare Wellington HCN Borinquen Health Care Center - Morton Plant Mease Primary Care, 12953 Palms West Drive, Suite 102 Main Inc. - Easthaven Family Care Loxahatchee, FL 33470 3601 Federal Highway 8600 Easthaven Court (561) 793-1713 Miami, FL 33137 New Port Richey, FL 34655 (727) 847-6292 Internal Nurse Medicine Practitioner Family Practice Pandey, Ravi, Vega, Jennifer, Mercer, Connie K., Melbourne Pediatrics Rankin, Payton S, Health First Physicians - Viera Burgos, Gloria E, 8725 N Wickham Rd, Suite #302 Delgado, Livia America, Morton Plant Mease Primary Care, Inc. - North Bay Medical Arts I Melbourne, FL 32940 Fuentes, Ileana, 6633 Forest Avenue, Suite 105 Family Severino, Loida Mercedes, New Port Richey, FL 34653 Practice Silencieux-cineas, Marie Gema, (727) 845-4300 Laird, Timothy Patrick, NEW PORT RICHEY Internal Internal Medicine Medicine Morton Plant Mease Primary Care - Alpizar, Sady, Oak View Family Care King, Melody O, 2044 Trinity Oaks Blvd., Suite 125 Fink, Andrew, Merritt Island NEW PORT RICHEY, FL 34655 Morton Plant Mease Primary Care, Health First Physicians - MI HPlex (727) 372-2501 Inc. - North Bay Medical Arts II 255 Borman Dr, Second Floor Family 6633 Forest Avenue, Suite 203 Merritt Island, FL 32953 Practice New Port Richey, FL 34653 (727) 815-7205 Family Ferreira, Robert J., Practice Internal Nagy, Jonathan P., Fadigan, Skyhawk, Medicine Vieira, Leonardo M., Vijayvargiya, Prema, Besch, Kurt T., Morton Plant Mease Primary Care - Garcia, Marcos F, Internal Trinity Family Medicine Medicine 2044 Trinity Oaks Blvd., Suite 130 Morton Plant Mease Primary Care, Trevino, David Arnold, New Port Richey, FL 34655 Inc. - Walker Family Care (727) 375-0601 4619 Little Road Miami New Port Richey, FL 34655 Family HCN Borinquen Health Care Center - (727) 372-9918 Practice Main Family Crall, Eric, 3601 Federal Highway Practice Miami, FL 33137 Marx, Jennifer, Bruneau, Matthew L, General Noll, Rachel, Practice Mattison, Richard W, Morton Plant Mease Primary Care, North Miami Beach Archer, Harry, Inc. - River Crossing Family Care Internal 8601 Easthaven Court Bernd Wollschlaeger,MD PA Medicine New Port Richey, FL 34655 16899 NE 15th Avenue Coronado, Elsy M, (727) 372-0096 North Miami Beach, FL 33162 (305) 940-8717 Dufreny, Alphonse Giloux, Family Practice Family Gracia, Deborah, Lastra, Frank A., Practice Nurse Wollschlaeger, Bernd Arthur, Practitioner Riquetti, Peter Andrew, Oldsmar Figueredo, Raiza,

Page 36 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Oldsmar Orlando Orlando Morton Plant Mease Primary Care, Family Physicians Group - Semoran Family Physicians Group of Rosemont Inc. - Oldsmar Family Medicine 2285 South Semoran Blvd 4300-407 Clarcona Ocoee Rd 120 Pine Avenue North Orlando, FL 32822 Orlando, FL 32810 Oldsmar, FL 34677 (407) 282-8200 (407) 292-0292 (813) 814-9504 Internal Family Family Medicine Practice Practice McCommon, Dennis, Young-henley, Tonya T, Falla, Juan Francisco, Rosado-Martinez, Maggie, Family Physicians Group of West Fong, Amy Shih-mei, Colonial Family Physicians Group of Conway 6336 West Colonial Dr Fox II, Danny M., 3333 S. Conway Road Orlando, FL 32818 Vicencio, Ronald Pobre, Orlando, FL 32812 (407) 219-5200 (407) 281-1000 Orange Park Family Family Practice Baptist Primary Care - Orange Park Practice Pediatrics Smith Street Pileta, Lourdes, 2140 Smith St Anzola, Rodrigo, Family Physicians of Lake Underhill Orange Park, FL 32072 Badola, Ritu, (904) 269-2140 10829 Dylan Loren Circle Vyas, Nayana I, Orlando, FL 32825 Pediatrics Family Physicians Group of Edgewood (407) 273-7373 Dellinger, Charles T, 2861 South Delaney Ave, Ste A Family Gehret, Richard G, Orlando, FL 32806 Practice (407) 859-2882 Sauer, Shiree, Santana, Reinaldo, Internal Ormond Beach Spearman, Dan R, Medicine Woolwine, Rhonda L, Kumar, Sonali Sanjeev, Metcare Ormond Beach 1200 West Granada Blvd., Suite 5 University of Florida and Shands Family Physicians Group of Hoffner Jacksonville - Family Medicine & Ormond Beach, FL 32174 Pediatric Center at Plantation Oaks 5200 Hoffner Road (386) 615-8122 Orlando, FL 32812 4215 Plantation Oaks Boulevard Family (407) 856-1900 Orange Park, FL 32065 Practice (904) 633-0820 Internal Medicine Johnson, Kenneth, Pediatrics Altino, Anthony, Oviedo Munipalli, Bala Sita, Rodriguez, Sarah, Family Physicians of Oviedo Orlando 1000 West Broadway Street, Ste 102B Family Physicians Group of Hunter's Oviedo, FL 32765 Family Physicians Group of Metro Creek West (407) 365-9000 14075 S. Town Loop Blvd 6320 Old Winter Garden Rd Orlando, FL 32837 Family Orlando, FL 32835 (407) 438-5858 Practice (407) 290-0555 Family Urdaneta, Javier, Internal Practice Palm Bay Medicine Joseph, Mary V, Akula, Malathi Laima, Health First Physicians - Bayside Internal 3425 Bayside Lakes Blvd, Unit 108 Campo, Lawrence J, Medicine Palm Bay, FL 32909 Family Physicians Group - Semoran Sepulveda, Asdrubal De jesus, Family 2285 South Semoran Blvd Obstetrics & Practice Orlando, FL 32822 Gynecology Arias, Erich, (407) 282-8200 Nieves, Nelson Antonio, Page 37 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Palm Bay Palm Harbor Port Orange Health First Physicians - David S. Morton Plant Mease Primary Care, Metcare Port Orange Norris, MD Inc. - Palm Harbor West Medical 1211 Dunlawton Avenue 1421 Malabar Road, Suite 210 Center Port Orange, FL 32127 Palm Bay, FL 32907 2939 Alternate 19 (386) 675-4410 (321) 868-8312 Palm Harbor, FL 34683 Internal (727) 785-2298 Internal Medicine Medicine Family Chudasama, Pradyumansinh, Practice Norris, David S., Vasile, Dragos, Jenkins, Julia C, Health First Physicians - Port Richey Slanac/Malhotra Santos, Louise Oyco, 820 Palm Bay Rd NE, Suite #110 Morton Plant Mease Primary Care, Gulf Coast Medical Center Palm Bay, FL 32905 Inc. - Woodlands Park 11528 US 19 Internal 4140 Woodlands Parkway, Ste. B Port Richey, FL 34668 Medicine Palm Harbor, FL 34685 (727) 868-2151 Malhotra, Kiron, (727) 773-1013 Family Practice Slanac, Violet, Family Practice Capone, Edward A., Health First Physicians - Town Center Anderson, Julie, 1071 Port Malabar Blvd NE, Suite #109 Internal Medicine Palm Bay, FL 32905 Shepard Orr, Elizabeth Brooke, Strobbe, Michael S, Internal Ronald C. Fernandez, M.D. Medicine 31922 US Highway 19N Gulf Coast Medical Center II Krishnamurthy, Rajasri P, Palm Harbor, FL 34684 9238 US 19 (727) 787-7520 Port Richey, FL 34668 Ratajczak-Dambek, Renata Maria, Family (727) 849-8491 Palm Harbor Practice Family Morton Plant Mease Primary Care - Fernandez, Ronald Charles, Practice Ridgemoor Commons Pensacola Plummer, Ritchie R, 4962 Ridgemoor Blvd. Strobbe, Steven M, Palm Harbor, FL 34685 NBHC NATTC PENSACOLA - (727) 789-1762 Primary Care Clinic Internal 760 East Ave, Bldg 3911 Medicine Internal Medicine Pensacola, FL 32508-5140 Strobbe, Amy M, (850) 505-6029 Evans, Kimberley, JSA Healthcare Corporation - Port Family Richey Primary Care Center Mattia, Camille R., Practice 10435 U.S. Highway 19 Morton Plant Mease Primary Care, Luckie, Uriel Ross, Port Richey, FL 34668-3133 Inc. - Palm Harbor Family Care/ (727) 869-7755 Internal Medicine Plantation 30522 US 19 North, Suite 119 Family Metcare Plantation Practice Palm Harbor, FL 34684 301 NW 84th Avenue, Suite 101 Dario, Dennis R., (727) 786-5058 Plantation, FL 33324 Family (954) 581-1900 Morton Plant Mease Primary Care, Practice Inc. - Regency Family Care Internal 8535 Regency Park Blvd Ullo, Thomas J, Medicine Port Richey, FL 34668 Internal Bonner, Gail, (727) 815-3312 Medicine Nickelson, Kim, Family Perruci, Valeria R, Port Orange Practice Soudijn, Peter N., Launder, Melissa N.,

Page 38 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida Port Richey St Petersburg St Petersburg Morton Plant Mease Primary Care, St. Anthony's Primary Care - Baywalk St. Anthony's Primary Care - Main Inc. - Regency Family Care 116 1st St. N Campus 8535 Regency Park Blvd St Petersburg, FL 33701 560 Jackson Street North, Suite 302 Port Richey, FL 34668 (727) 895-5210 St Petersburg, FL 33705 (727) 815-3312 (727) 895-9640 Family Family Practice Internal Practice Medicine Gross, John A., Pazmino-Vera, Mildred, Casanova, Adriana M., Physician Safety Harbor Assistant Schell, Gina Christine, Morton Plant Mease Primary Care, Rivenburgh, Dennis, St. Petersburg Inc. - Mease Countryside St. Anthony's Primary Care - Carillon JSA Medical Group - Kern Family 1840 Mease Drive, Suite 110 III Practice Safety Harbor, FL 34695 900 Carillon Parkway, Suite 304 5838 9th Avenue North (727) 712-0980 St Petersburg, FL 33716 St. Petersburg, FL 33710 Internal (727) 561-0912 (727) 347-8132 Medicine Family General Thomas, Bindu, Practice Practice Zeien II, Timothy, Thompson, Frank A., Kern, John E., Seffner Pediatrics Morton Plant Mease Primary Care, Inc. - Park Street Family Care Seffner Primary Care Center Melchert, Paul, 5405 Park Street 770 W. Dr. M. L. King Blvd St. Anthony's Primary Care - Fifth Ave St. Petersburg, FL 33709 Seffner, FL 33584 Medicine (727) 547-8425 (813) 654-7005 1201 5th Ave North, Suite 408 St Petersburg, FL 33705 Family Internal Practice Medicine Internal Moss, Trinette Desdemona, Soler, Jose Luis, Medicine Nguyen, Phuong, Smyrna Beach Saberi, Ali, St. Anthony's Primary Care - Fourth Internal Metcare New Smyrna Street Family Care Medicine 1722 SR 44 7005 4th St., N, Suite 1 Cabiac, Annette R, Smyrna Beach, FL 32168 St Petersburg, FL 33702 (386) 468-3241 St. Anthony's Primary Care - Allenda (727) 521-1524 3085 Dr. Martin Luther King Jr., St. N General Family Practice St. Petersburg, FL 33704 Practice (727) 822-3238 Tanner, James Wesley, Hinkle, Kristin L., Family Internal St. Anthony's Primary Care - Jackson Practice Medicine Street Bishop, Jerry W, Flasterstein, Frank, 560 Jackson Street, Suite 301 Crist, Charles J, St Petersburg St Petersburg, FL 33705 St. Anthony's Primary Care - Carillon Family St. Anthony's Primary Care - 38th Ave 900 Carillon Parkway #303 Family Care Practice St. Petersburg, FL 33716 3745 33rd Street North Robison, Thomas John, St Petersburg, FL 33713 Family St. Anthony's Primary Care - Main Practice Family Campus Practice 560 Jackson Street North, Suite 302 Johnrose-brown, Anne-marie Cathy, Pudur, Archana, St Petersburg, FL 33705 (727) 895-9640

Page 39 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Florida Florida Florida St. Petersburg The Villages Yulee St. Anthony's Primary Care - Tyrone Family Physicians Group of Lake University of Florida and Shands 1700 66th Street North, Suite 403 Sumter Jacksonville - Yulee Family Practice St. Petersburg, FL 33710 910 Old Camp Rd, Suite 192,194 Center The Villages, FL 32162 851042 US Highway 17 Family Yulee, FL 32097 Practice (352) 751-5514 Family Diaz, Maria Carmina, Family Practice Practice Sun City Center Purohit, Nilkhanth B, Price, James William, Sun City Primary Care Center Family Physicians Group of Mulberry Reid, Robert Paul, 733 Cortaro Drive 8485 SE 165 Mulberyy Lane Wright, Anna Mary, Sun City Center, FL 33573 The Villages, FL 32162 (813) 634-2500 Georgia (352) 753-1727 Family Alpharetta Internal Practice Medicine North Atlanta Primary Care-Alpharet Brar, Gurinder K., Martinez-Cruz, Bayoan D, 3400 C Old Milton Pkwy, Ste 270 Tampa Alpharetta, GA 30005 Family Physicians Group of The (770) 442-1911 Family Physicians Group of West Villages Tampa 1400 US HWY 441 North #930 Family 4710 Habana Avenue Suite 107 The Villages, FL 32159 Practice Tampa, FL 33614 (352) 750-2108 Bat, Thomas E., (813) 870-3767 Internal Hall, David L., Internal Medicine Moraczewski, Terence L., Medicine Apostol, Jesus M, Shack, Richard D, Figueroa- Nieves, Tomas, Winter Haven Syrop, Tama Lynn, Morton Plant Mease Primary Care, Family Physicians Group of Winter Inc. - Hampton Lakes Tobin, Leah C., Haven 12780 Race Track Road, Suite 205 2090 Havendale Blvd. Athens TAMPA, FL 33626 Winter Haven, FL 33881 (813) 814-2534 Clarke-Oconee Family Practice LLC (863) 297-5801 1010 Prince Ave Ste 182 Family Family Athens, GA 30606 Practice Practice (706) 353-7747 Brown, Joedrecka, Arbolaez, Fidel, Family Tarpon Springs Practice Winter Park Morton Plant Mease Primary Care, Cook, Jonathan Mitchell, Family Physicians Group of Winter Inc. - Tarpon Springs Internal Medicine Park Atlanta 1919 N. Pinellas Avenue 255 North Lakemont Avenue Suite 100, GHS - North Fulton Health Center Tarpon Springs, FL 34689 Ste 101 7741 Roswell Rd. (727) 942-8702 Winter Park, FL 32792 Atlanta, GA 30350 Internal (407) 647-6070 Medicine (404) 612-2273 Family Ellis, Yael Y., Practice Family Practice Kleinbart, Jennifer M, Mashkouri, Morteza, Hoos, Ann Elizabeth, The Villages Yulee Pediatrics Silvera-Schwartz, Aixa I, Sumner, Deborah B, Augusta

Page 40 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Georgia Georgia Georgia Augusta Augusta Cumming Center for Primary Care, P.C. Georgia Health Sciences University - Lanier Adult Medicine 1701 Magnolia Way, Suite 101 Department of Family Medicine 106 Pilgrim Village Drive, Suite 400 Augusta, GA 30909 1120 15th St. Cumming, GA 30040 (706) 902-6600 Augusta, GA 30912 (678) 455-0030 (706) 721-4588 Family Internal Practice Family Medicine Practice Barefield, Tracy R., Karnstedt, Laena M, Hobbs, Joseph, Clark, Robert M., North Atlanta Primary Care-Cummin Johnson, Diana, Colvin, Randall K., 1100 Northside Forsyth Dr, Ste 240 LeClair, Bruce M., Cumming, GA 30041 Deshpande, Priya S., Mammen, Annamma T., Family Fischer, Paul M., Practice Nixon, George A., Franklin, Robert C., Cheaves, Deborah Lynn, Panchel, Pina, Frederick, Robyn L., Easley, Raymond E., Parrish, Ramon, Hendrich, Julia E., Jenkins, Michelle Renee, Pelletier, Allen, Hooper, Joseph A., Robertson, Katina, Phillips, William G., Jester, David M., Duluth Rojas-Roldan, Ledy, Kennedy, Denise S., St. Joseph Medical Group Wilkins, Thad J., Kennedy, Phillip S., 4855 River Green Parkway, Suite 700 Young, Sara E., Krueger, Jodi L., Duluth, GA 30096 Brooklet (770) 622-4231 Lambert, Jerry A., Family Livingston, Richard W., Bohler Family Practice PC 128 North Parker Avenue Practice McKenzie, Timothy W., Brooklet, GA 30415 Boyle, Susan H, Pollard, Leslie J., (912) 842-2101 Mizrahi, Nelly, Rassekh, Riaz, Family East Point Practice Scott, Edwin H., Morehouse School of Medicine Bohlke, William Scott, Singhal, Meenu G., Department of Family Medicine Cairo Suykerbuyk, Robert A., 1513 E. Cleveland Avenue, Building 50 East Point, GA 30344 Talley, Rebecca A., Cairo Medical Care, LLC 1178 5th Street, SE (404) 756-1233 Tomeo, Jay A., Cairo, GA 39828 Family Georgia Health Sciences University - (229) 377-2002 Practice Department of Family Medicine Family Babalola, Dolapo, 1120 15th St. Practice Augusta, GA 30912 Bell-carter, Denise Marie, (706) 721-4588 Lynch, Jonathan P, Harper, Darren J., Family Lynch, S kendra Thomaston, Heiman, Harry J., Practice Register, Jr., Garland A, Herbert-carter, Janice, Coffin, Janis S., Cumming Kelsey-harris, Riba, Dahl-Smith, Julie L., Lanier Adult Medicine Meng, Yuan-xiang, DuBose, Jacqueline, 106 Pilgrim Village Drive, Suite 400 Omole, Folashade, Forney, Paul D., Cumming, GA 30040 (678) 455-0030 Plummer, Valens, Foster, James A., Internal Powell, Lawrence Donald, Greer, Steven A., Medicine Rust, George, Page 41 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Georgia Georgia Georgia East Point Fort Gordon Rome Morehouse School of Medicine EISENHOWER AMC-FT. GORDON Floyd Family Medicine Residency Department of Family Medicine Family Medicine Medical Home, 300 304 Shorter Avenue, Suite 201 1513 E. Cleveland Avenue, Building 500 Hospital Road, EISENHOWER AMC- Rome, GA 30165 East Point, GA 30344 FT. GORDON (706) 509-3359 (404) 756-1233 Fort Gordon, GA 30905 Family (706) 787-9355 Family Practice Practice Pediatrics Crawley, Denise A, Sow, Charles, Lewis, Mary, Desmond, John J, Strayhorn, Gregory, Sports Don Diego, Frank R, Medicine Strothers, Harry, Miller, John Mark, Torrance, Andrew William, Taylor, Beverly Deaderick, Thomas, Melvin H., Gainesville Turner, Eddie, Villalon-Gomez, Jose Manuel, Obstetrics & Northeast Georgia Physicians Group Internal Gynecology 601 S. Enota Drive, Suite P Medicine Gainesville, GA 30501 Booker, Karla Lorraine, (770) 219-8412 Jester, Mark A, Pediatric Hematology- Harbin Clinic Internal Medicine Oncology Family Practice 550 Redmond Road Adamkiewicz, Thomas Vincent, Dalley, Gary M, Rome, GA 30165 Pediatrics (706) 233-8593 Jackson, James D, Fowlkes-Callins, Jennifer, Internal Internal Medicine Fort Benning Medicine Singh, Amar Kumar, Martin Army Medical Home - Primary Rich, Christina H, Care Singh, Poonam, Rios, Antonio, Martin Army Community Hospital, Valley Health Care 7950 Martin Loop Tirado, Jr., Edwin B, 909 North 5th Avenue Fort Benning, GA 31905-5637 Umana, Idopise E., Rome, GA 30165 (706) 604-4827 Oakwood (706) 295-5150 Family Family Practice The Longstreet Clinic, P.C. - Oakwood Family Practice Practice Martin, Earl Thomas, 4222 Fairbanks Drive White, Anne Louise, Raju, Sundari A., Oakwood, GA 30566 Savannah Zagorski, Kim Joseph, (770) 534-6053 Memorial Health University Medical Family Speech Center Practice Pathology 1107 East 66th St Clay, Emily Carlson, Gibbs, Marti R., Savannah, GA 31404 (912) 350-3785 Fort Gordon Range, John Neel, Reisman, Andrew B., Family EISENHOWER AMC-FT. GORDON Practice Family Medicine Medical Home, 300 Rome Hospital Road, EISENHOWER AMC- Buckley, Regina Letrice, Floyd Family Medicine Residency FT. GORDON 304 Shorter Avenue, Suite 201 Dhanji, Sarfaraz Shiraz, Fort Gordon, GA 30905 Rome, GA 30165 Gleit, Cindy, (706) 787-9355 (706) 509-3359 Pallay, Robert Milton, Family Practice Family Rives, Peter, Practice Kriegel, David Lynn, Statesboro Cornforth, Matthew Thomas, Page 42 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Georgia Georgia Hawaii Statesboro Thomson Aiea Family Health Care Center Family Care Group of Thomson Hawai'i Pacific Health Straub - 23702 US Hwy 80 E 315 Fluker Street Pearlridge Statesboro, GA 30461 Thomson, GA 30824 98-151 Pali Momi Street (912) 489-4090 (706) 595-1090 Aiea, HI 96701 (808) 483-6400 Family Internal Practice Medicine Internal Medicine Davis, Angela Marie, Sheppard, James Christopher, Wu, Daniel W., Riley, Thaddeus H, McDuffie Medical Associates, PC Ele'ele Suwanee 505 Mt Pleasant Rd, PO Box 900 Thomson, GA 30824 Hawai'i Pacific Health Kaua'i Medica North Atlanta Primary Care-Johns (706) 595-1461 Center - Ele'ele Clinic Creek 4382 Waialao 4235 Johns Creek Parkway, Ste A Family Practice Ele'ele, HI 96766 Suwanee, GA 30024 (808) 335-0499 Land, Susan H, Family Family Practice Lemley, James L, Practice Lim, Fred T, Internal Haack, Dennis J., Medicine Pandya, Tanya Oberoi, Krebs, Clara T., Fincher, Jacqueline W, Internal Penner, Steven J., Medicine Lemley, Robert K, Williamson, Thomas B., Reingold, David M, Woodstock Honolulu Thomasville North Atlanta Primary Care- Woodstock Thomasville Family Medicine Center Hawai'i Pacific Health Straub - Hawa 250 Parkbrooke Place, Ste 300 Kai 951 South Broad Street Woodstock, GA 30189 Koko Marina Shopping Center, 7192 Thomasville, GA 31792 Kalanianaole Hwy (229) 228-4130 Family Practice Honolulu, HI 96825-184 Family (808) 396-6321 Practice Williams, Charles D, Family Geer, Amy Elizabeth, Internal Practice Medicine Poole, Jeremy W, Yee, Eric K.s., Scott, Marvetta A., Reams, III, Calvin J, Internal Hawaii Thomson, Timothy O, Medicine Aiea General Kwan, Yvonne Yee-wan, Practice Hawai'i Pacific Health Straub - Nakamura, Travis Hideki, Pearlridge Sanders, Charles Richard, Nordyke, Thomas J., 98-151 Pali Momi Street Nurse Aiea, HI 96701 Price, Monica M., Practitioner (808) 483-6400 Hawai'i Pacific Health Straub - Main Voyles, Bonny, Clinic and Hospital King Street Family Thomson Practice 888 S King St Honolulu, HI 96813-300 Family Care Group of Thomson Relles, Natalie Leinani, (808) 522-4000 315 Fluker Street Internal Internal Thomson, GA 30824 Medicine Medicine (706) 595-1090 Kurosawa, Michael N., Arnold, Stephen D., Family Lencinas, Claudio L, Practice Chekuri, Asha R, Nguyen, Marisa A., Wiley, Daryl Carson, Chen, Janny Huei, Page 43 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Hawaii Hawaii Hawaii Honolulu Kaneohe Lana'i City Hawai'i Pacific Health Straub - Main Hawai'i Pacific Health Straub - Hawai'i Pacific Health Straub - Lana' Clinic and Hospital King Street Kaneohe 628 7th St 888 S King St 46-056 Kamehameha Highway, Suite Lana'i City, HI 96763 Honolulu, HI 96813-300 221 Family Kaneohe, HI 96744 (808) 522-4000 Practice (808) 233-6200 Internal Le, Mary N. d., Medicine Family Practice Lihue China, Todd James, Mickels, Ellen K., Aloha Medical Center Fu, Rebekah, General 4484 Pahee Street Kozak, Kathleen R., Practice Lihue, HI 96766 Loui, Bennett Y.c., (808) 246-3800 Kubo, Todd T., Mickey, John V., Family Internal Practice Nekomoto, Jeffrey Sadato, Medicine Lanson, Edward S., Omori, Sean H., Chang, Melvin K., Internal Jose, Erma F., Rayner, Enid Lynn, Medicine Lee, Mark C., Williams, Katherine Ann, Flora, Constante J., Mitsunaga, Dave A., Zerez, Charles R., Nurse Kailua Kapaa Practitioner Acute Care Medical Services Hawai'i Pacific Health Kaua'i Medical Wright, Ellen F, 660 Kailua Road Center - Kapaa Clinic Hawai'i Pacific Health Kaua'i Medica Kailua, HI 96734 4-1105 Kuhio Highway, Suite A1 Center - Internal Medicine Lihue (808) 234-9884 Kapaa, HI 96746 3-3420 Kuhio Highway, Ste B (808) 822-3431 Family Lihue, HI 96766 Practice Family (808) 245-1540 Practice Sussman, Robert Benjamin, Family Goodale, Richard M., Practice Hawai'i Pacific Health Straub - Kailua 602 Kailua Road # 200 Internal Oglivie, Patrick D., Kailua, HI 96734 Medicine Scheppers, Dennis R., Family Trpkovski, Tony, Internal Practice Kaua'i Medicine Aoki, John E., Hawai'i Pacific Health Kaua'i Medical Muana, Owen V., Christensen, Susan Margaret, Center - Koloa Clinic Pixler, Mary G., 5371 Koloa Rd Concepcion, Lehualani Kealohi, Splittstoesser, Lisa S, Kaua'i, HI 96756 Glenn, Dale M., (808) 742-1621 Mililani Taba, Marti Y., Family Hawai'i Pacific Health Straub - Milila Internal Practice 95-1249 Meheula Pkwy # 187 Medicine Murray, Joseph M., Mililani, HI 96789-179 (808) 625-6444 Brady, Stephen, Lana'i City Family Kaneohe Hawai'i Pacific Health Straub - Lana'i Practice 628 7th St Kauhane, Aaron D., Lana'i City, HI 96763 Kwan, Siuling Y., Family Practice Internal Medicine Janikowski, John Edward, Page 44 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Hawaii Illinois Illinois Mililani Addison Belvidere Hawai'i Pacific Health Straub - Mililani Elmhurst Clinic - Addison SwedishAmerican Medical Group - 95-1249 Meheula Pkwy # 187 303 West Lake Street, Suite 202 Belvidere Mililani, HI 96789-179 Addison, IL 60101 1700 Henry Luckow Lane (808) 625-6444 (630) 832-0000 Belvidere, IL 61008 (815) 544-8030 Internal Family Medicine Practice Family Practice Baliad, Val B., Singla, Vineet, Simmons, Mary, Dang, Andrew W.y., Aurora Bloomingdale Matsukawa, Robin Izumi, Dreyer Medical Clinic Dupage Medical Group Stratford Idaho 1870 W. Galena Blvd Aurora, IL 60506 Internal Medicine Aberdeen (630) 906-5211 30 Stratford Drive, Suite 110 Bloomingdale, IL 60108 Health West Inc- Aberdeen Clinic Family (630) 893-2210 330 N. Main Practice Aberdeen, ID 83210-0419 Internal Cosgrove Counts, Kristen M, (208) 397-4126 Medicine Ho, Vivien T, Family Hurst, Robert J, Internal Practice Maida, Gerald A, Medicine Horrocks, Mark, Patel, Sonal G, Dave, Shilpa S., Pocatello Rossi, Waheeda S, Rush-Copley Family Medicine Center- Health West Inc. - Pocatello Clinic Rush-Copley Family Medicine Slonek, Ronald A, 845 West Center St, Suite 200 Residency Program Elmhurst Clinic - Bloomingdale Pocatello, ID 83204-4237 2020 Ogden Avenue, Ste.330 471 West Army Trail Road, Suite 102 (208) 232-6260 Aurora, IL 60504 Bloomingdale, IL 60108 (630) 978-4850 Family (630) 671-8020 Practice Family Pediatrics Hill, Richard Cutler, Practice Hoffman, Michael T., Rodriguez, Yolanda, Choi, Natalie J., Zeitler, Kirsten E., Physician Fann, Brenda K., Byron Assistant Lasher, Maria, Bieniasz, Paul, Bartlett SwedishAmerican Medical Group - Byron Clinic Reynolds, Kerry Robert, Dupage Medical Group Bartlett Family 220 W. Blackhawk Illinois Practice Byron, IL 61010 1124 Sterns Road Addison (815) 234-2611 Bartlett, IL 60103 Family Dupage Medical Group Salt Creek (630) 213-7788 Family Practice Practice Family 303 West Lake Street, Suite 105 Rogers, Emily, Practice Addison, IL 60101 Carbondale (630) 628-8889 Chirila, Monica S, Rojas, Raymond, SIU Family & Community Medicine Family Residency - Carbondale Practice Rondeau, Lisa, 305 W. Jackson, Suite 200 Anderson, Craig S, Internal Carbondale, IL 62901 Drugas, Gina E, Medicine (618) 536-6621 Sherman, Judith A, Espinosa, Edwin V, Family Practice Wojcik, Corinna L, Belvidere

Page 45 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Carbondale Chicago Chicago SIU Family & Community Medicine Advocate Medical Group - Sykes La Rabida Children's Hospital-Medic Residency - Carbondale 2345 S. King Dr. home for Chidlren with Special Health 305 W. Jackson, Suite 200 Chicago, IL 60616 Care Needs Carbondale, IL 62901 (312) 842-7117 La Rabida Children's Hospital, 6501 (618) 536-6621 South Promontory Drive Family Chicago, IL 60649 Family Practice (773) 363-6700 Practice Brookenthal, Heidi Sharon, Pediatrics Moore-Connelley, Marci L, Internal Roy, Ruby, Naing, Kyaw T., Medicine Rush Health - West Loop University Scott, Quincy O., Ema, Linus, Medicine, LTD Smaga, Sharon A., Ha, Juhyun, 1725 W Harrison, Suite 010 Carol Stream Honasoge, Ananth, Chicago, IL 60612 (312) 942-6013 Dupage Medical Group Mona Kea Lasi-siddiqi, Shehla, Internal Family Practice Pamintuan, Rodolfo, 393 Schmale Road Medicine Pokharna, Mandakini, Carol Stream, IL 60188 Bailey, Michele Lynne, Ruestow, Paul, (630) 665-6500 Bryan, Nancy Elizabeth, Sayef, Nanzeen, Family Kelly, Frank C, Practice Senseng, Daniel Mendoza, Mace, Laco Lane, Glas, Beverly C, Wolf, Steven, Rush Health - Associates In Internal Pace, John B, Yashina, Valeria, Medicine Chicago Yisak, Solomon, 1725 W. Harrison Street, Suite 263 Chicago, IL 60612 Advocate Medical Group - Beverly Pediatrics 9831 S. Western Ave. (312) 942-6700 Farnsworth, David, Chicago, IL 60643 Internal (847) 795-3969 Miller, Paul, Medicine Family Palmer, Shari, Ansell, David A, Practice La Rabida Children's Hospital-Medical Behal, Rajneesh, home for Chidlren with Special Health Bell, Evelyn Michele, Diethelm, Jessica Marie, Care Needs Hampton, Tony Anthony, La Rabida Children's Hospital, 6501 Strauss, Pamela D, Internal South Promontory Drive Rush Health - Lifetime Medical Medicine Chicago, IL 60649 Associates Aboughannam, Necholas, (773) 363-6700 1645 W. Jackson Blvd, Suite 215 Byas, Robia, Neonatology Chicago, IL 60612 (312) 942-8000 Gormley, Nanette, Hobaugh, Michael R, Family Manaparambil, Sheela, Practice Pediatric Infectious Mykoniatis, Gabrielle Eileen, Disease Mehrotra, Surabhi, Natanawan, Emerito, Bishku, Dilek A, General Practice Omerovic, Azra, Chernoff, Edith Jacobson, Nam, Teresa K, Sreerama, Shantala, Fritz, Nancy Elaine, Pripstein, Jeremy B, Advocate Medical Group - Sykes Qamar, Izhar U, 2345 S. King Dr. Internal Pediatrics Chicago, IL 60616 Medicine Jaudes, Paula K, (312) 842-7117 Parks, Clarence A,

Page 46 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Chicago Chicago Decatur Rush Health - Rush Pediatric Primary Rush Health - Rush University Decatur Memorial Hospital Medical Care Physicians at Lincoln Park Group 1645 W. Jackson, Suite 200 2835 N Sheffield Avenue, Suite 104 102 W. Kenwood Av., Ste. 130 Chicago, IL 60612 Chicago, IL 60657 Decatur, IL 62526 (312) 942-2200 (773) 472-3704 (217) 876-6350 Pediatrics Family Family Practice Practice Drazba, Carrie Lyn, Pitlosh, Max John, Mccormack, Anthony T, Felten, Daniel Eric, Internal Decatur Memorial Hospital Medical Hanrahan, Austin Edward, Medicine Group-North Monroe Family Medicin Kewalramani, Anita Lall, #1 Forys, Olivia C, Leonard, Sherald R, North Monroe Family Medicine #1, Walsh, Patricia A, 2220 N Monroe Ave Suite 104 Levin, Gerald S, Rush University Family Physicians Decatur, IL 62526 Levy, Uma S, 1700 W. Van Buren, Suite 470 (217) 876-6330 Lowell, Gina S., Chicago, IL 60612 Family (312) 942-0400 Practice Lui, Karen J, Family Konda, Sudhakar Reddy, Martin, Molly A, Practice Decatur Memorial Hospital Medical Scotellaro, Margaret A, Augustin, Joel J, Group-North Monroe Family Medicin Sholiton, Sharon E, #2 Brown, Maria I, Slade, Renee F, North Monroe Family Medicine #2, Kring, Gina L, 2220 North Monroe Ave Suite 104 Voigt, Bridget L, Rothschild, Steven K, Decatur, IL 62526 Volin, Beth A, (217) 876-6330 Ryan, Norman S, Rush Health - Rush Senior Care Group Family Salas, Miguel A, 1725 W. Harrison Street, Suite 955 Practice Chicago, IL 60612 Southeast Center - Advocate Medical Pabalate, Roberto Garcia, Group (312) 942-7030 2301 E. 93rd St. Decatur Memorial Hospital Medical Geriatric Medicine/Family Chicago, IL 60617 Group-West Hay Medical Center Practice West Hay Medical Center, 304 W Hay Family St Suite 312 Bednarczyk, Magdalena, Practice Decatur, IL 62526 Dong, Xinqi, Echols-simpson, Alexandria, (217) 876-5600 Geriatric Medicine/Internal Jones, Forrest, Internal Medicine Medicine Nelson, Senora, Gorbien, Martin J, Baumberger, David W, Taylor, Karen Elizabeth, Leiding, Michael J., Nurse Internal Practitioner Olson, Jack C, Medicine Coventry, Mary Helen, Perry, Anthony J, Currie, Laverne, Rush Health - Rush University Moaddab, Golbarg, SIU Family & Community Medicine Physicians at Lincoln Park Residency - Decatur 2835 N Sheffield Avenue, Suite 104 Osman, Ishrat, 250 West Kenwood Ave. Chicago, IL 60657 Decatur Decatur, IL 62526 (217) 872-0854 (773) 472-3704 Decatur Memorial Hospital Medical Family Group Family Practice 102 W. Kenwood Av., Ste. 130 Practice Bowser, Robert L, Decatur, IL 62526 Arguelles, Cesar S., (217) 876-6350 Page 47 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Decatur Elmhurst Forsyth SIU Family & Community Medicine Elmhurst Clinic - Center for Health Decatur Memorial Hospital Medical Residency - Decatur 1200 South York Road, 2nd Floor Group Forsyth North 250 West Kenwood Ave. Elmhurst, IL 60126 241 W Weaver Rd., Suite 145D Decatur, IL 62526 (630) 941-2600 Forsyth, IL 62535 (217) 872-0854 (217) 876-5250 Internal Family Medicine Family Practice Practice Kaliski, Joseph S., Bradley, John G, Newcome, Kristin K, Nosek, Michael T., Ellington, Charles R, Decatur Memorial Hospital Medical Van Reken, Philip, Group Forsyth West Junker, Jessie Ann, Pediatrics 241 W Weaver Road, Suite 145A Scott, Mark, Andersen, Robert S., Forsyth, IL 62535 Downers Grove Gracey, Therese M., Family Practice Dupage Medical Group - Downers Lopatka, Julie M., Grove Internal Medicine Yocks, Brian C, 3743 Highland Avenue, Suite 1001 Matusiak, David M., Nurse Downers Grove, IL 60515 Senese, Marianne, Practitioner (630) 435-9888 Uribe, Victoria, Shelton, Megan A., Internal Elmhurst Clinic - Schiller Medicine Gillespie 172 Schiller Street Macoupin Family Practice Centers, Cheung, Joanne Sooin, Elmhurst, IL 60126 LLP - Gillespie Cordero, Weiser E, (630) 993-9686 715 West Broadway St. Ip, Gigi, Family Gillespie, IL 62033 Practice Krouse, Richard A, (217) 839-4491 Benages, John A., Labotka, David, Family Boskov, Tanja, Practice McPartlin, Richard F, Littman, Jonathan W., Poirot, Chris Philip, Pentony, Eileen D, Pae, Nathaniel, Weber, Bruce Frank, Pitrak, James G, Spiewak, Matthew, Glen Ellyn Schmitz, Steven M, Internal Dupage Medical Group Glen Ellyn Elgin Medicine Internal Medicine V Susarla MD SC Damergis, John A., 430 Pennsylvania Avenue, Suite 310 860 Summit Street Glen Ellyn, IL 60137 Malloy, Mary Ann, Elgin, IL 60120 (630) 790-1792 Pantano, Maelen M., (847) 741-0026 Family Family Pillai, Anita P., Practice Practice Forsyth Kumar, Ashok, Susarla, Savitha, Decatur Memorial Hospital Internal Internal 240 W Weaver Road Ste 145B Medicine Medicine Forsyth, IL 62535 Briney, Jr., Walter F, Susarla, Viswanatham, (217) 876-5220 Delew, Jonathan C., Elmhurst Family Duvel, Adelbert C, Practice Elmhurst Clinic - Center for Health Houlihan, Jean M, 1200 South York Road, 2nd Floor Miller, Timothy A, Kungl, Mary Eileen, Elmhurst, IL 60126 (630) 941-2600 Marshall, Thomas E.,

Page 48 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Glen Ellyn Lombard Naperville Dupage Medical Group Glen Ellyn Dupage Medical Group Lombard Dupage Medical Group - RollingRidge Internal Medicine Internal Medicine Family Practice/Internal Medicine 430 Pennsylvania Avenue, Suite 310 1801 South Highland Avenue, Suite 130 2940 Rolling Ridge Road, Suite 300 Glen Ellyn, IL 60137 Lombard, IL 60148 Naperville, IL 60564 (630) 790-1792 (630) 627-4722 (630) 646-5800 Internal Internal Family Medicine Medicine Practice Regan, Kevin W, Andreoni, II, Julia C, Pulluru, Soujanya R, Tolani, Sonya R, Bhagwakar, Ojash T, Rusthoven, Donald M, Tomaszewski, Jeffrey D, Dungan, David D, Internal Medicine Wolfe, Caroline M, Jentel, Jacques J, Dy, Jason C, Hinsdale Kicsak, Kathleen M, Dupage Medical Group Hobson Famil Meyer, Paul M, Dupage Medical Group - Hinsdale Practice Internal Medicine Momoyama, Yoko, 1220 Hobson Road, Suite 204 908 N. Elm, Suite 301 Nikoleit, James R, Naperville, IL 60540 Hinsdale, IL 60521 (630) 416-7766 (630) 323-3540 Schwartzers, Debra L, Family Smith, Elizabeth M, Internal Practice Medicine Elmhurst Clinic - Lombard Bennett, Kimberly H, Arand, Walter A, 130 South Main Street Connolly, Mary C, Carbone, Robert A, Lombard, IL 60148 (630) 652-4200 Grobe, Glenn N, Gallagher, Thomas J, Family Weithman, Donatus F, Griffin, Jason D, Practice Winkler, Beth M, Hashimoto, Amy, Cespedes, Carlos M., Internal Koliopoulos, Elias J, Cespedes, David B., Medicine Sievertsen, Grant D, Internal Lee, John K., Medicine Virant, Jennifer T, Dupage Medical Group Martin Ave Litchfield Kandel, Ninel, Internal Medicine 10 West Marting Avenue, Suite 240 Litchfield Family Practice Center Vukomanovic, Emela, Naperville, IL 60540 1285 Franciscan Dr Pediatrics (630) 355-6200 Litchfield, IL 62056 Conroy, Michelle N., (217) 324-6127 Internal Marengo Medicine Family Practice SwedishAmerican Medical Group - Collins, James J, Marengo Clinic Ishmael, Timothy L, Dupage Medical Group Midwest 204 E Prairie Street Internal Medicine Johnson, Phillip W, Marengo, IL 60152 1020 East Ogden Avenue, Suite 115 Wujek, Daniel A, (815) 568-3300 Naperville, IL 60563 Lombard Family (630) 717-8707 Practice Dupage Medical Group Lombard Internal Internal Medicine Lopez, Cassandra, Medicine 1801 South Highland Avenue, Suite 130 Naperville Franklin, Malcolm Bernard, Lombard, IL 60148 Geannopoulos, Audrey H, (630) 627-4722 King, Robert F, O'leary, Brian M, Page 49 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Naperville Naperville Park Ridge Dupage Medical Group Midwest Dupage Medical Group Washington Advocate Medical Group - Nesset Internal Medicine Internal Medicine Family Medicine 1020 East Ogden Avenue, Suite 115 640 South Washington, Suite 268 1775 Ballard Rd. Naperville, IL 60563 Naperville, IL 60540 Park Ridge, IL 60068 (630) 717-8707 (630) 961-2710 (847) 795-3969 Internal Internal Family Medicine Medicine Practice Shah-rhodes, Sonal R, Hashmi, Naira D, Chicoine, Brian Allen, Vercelli, Kenneth, Hashmi-Basha, Maleeha N, Efstathiou, Anastasia, Dupage Medical Group Spalding Oak Park Goldman, Stuart Lewis, Family Practice Elmhurst Clinic - Oak Park Gravdal, Judith Ann, 100 Spalding Drive, SUITE 400 1100 Lake Street, Suite 230 Naperville, IL 60540 Gutman, Inna, Oak Park, IL 60301 (630) 717-2646 Hoeper, Eric Nathaniel, (708) 524-1420 Family Kirschner, Greg Kenneth, Practice Family Practice Ninan, Reji, Dorsey-Johnson, Karla C, Hutton, Mary C., O'Meara, Robin Susan, Fitzgerald, Michael E, Kyle, Michael L., Perlow, Bruce Allen, Kay, Stephanie, Liu, Ingrid Y., Perlow, Tamar, Lazar, Aaron J, Oblong Vormittag, Kara Ann, Mistry, Marilyn S, Crawford Memorial Hospital Rural Peoria Dupage Medical Group Spalding Health - Oblong Internal Medicine OSF Medical Group-Peoria - Route 91 104 North Garfield Intermal Medicine 100 Spalding Drive, Suite 408 Oblong, IL 62449-1426 8600 N. State Route 91, Suite 130 Naperville, IL 60540 (618) 592-3119 Peoria, IL 61615 (630) 717-2630 Family (309) 683-5050 Internal Practice Medicine Emergency Sharma, John A., Medicine Carpenter, Robert G, Palestine Agarwal, Naresh Kumar, Hong, Jerome J, Crawford Memorial Hospital Rural Internal Kim, Susan S, Health - Palestine Medicine Lee, Alicia K, 209 E Grand Prairie Adams, James K., Palestine, IL 62451-1254 Michl, Edward G, Hippler, Stephen E., (618) 586-2153 Trevino, Gregory M, Mulcahey, Kathryn A., Nurse Dupage Medical Group Three Farms Practitioner Salazar, Vivian W., Family Practice Plainfield DUPAGE MEDICAL GROUP THREE Burbank, Patricia Jean, FARMS FAMILY PRACTICE, 1948 Park Ridge Dupage Medical Group Plainfield THREE FARMS AVENUE Internal Medicine Advocate Medical Group - Nesset NAPERVILLE, IL 60540 24020 W. Riverwalk Court, Suite 102 Family Medicine (630) 527-1818 Plainfield, IL 60544 1775 Ballard Rd. (815) 676-2575 Family Park Ridge, IL 60068 Practice (847) 795-3969 Internal Medicine Gaonkar, Tushar R, Family Love, Scott W, Practice Franklin, Malcolm B, Martin, Alicia A, Briner, William, Shah-Rhodes, Sonal R, Page 50 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Quincy Quincy Robinson Quincy Family Practice Quincy Medical Group-Quincy Crawford Memorial Hospital Rural 612 North 11th Street 1025 Maine Health - Robinson Quincy, IL 62301-2662 Quincy, IL 62301 1101 North Allen Street (217) 224-9484 (217) 222-6550 Robinson, IL 62454-1168 (618) 544-3500 Family Internal Practice Medicine Internal Medicine Friye, Pamela Phillips, Kim, Louis Y, Becker, Vickie, Kim, May, Leimbach, Kurt L, Kastner, Gregory Paul, Kruse, Jerry E, Patel, Pravinchandra C, Williams, Janssen Jacob, Mackrides, Paula S, Scott, John K, Nurse Miller, Thomas H, Nephrology Practitioner

Ott, Timothy Titus, Hudson, Robin L, Evans, Dan H, Phillips, Debra M, Rockford Ghanekar, Hrishikesh, Stanton, Ranae, Nurse SwedishAmerican Medical Group- Fiv White, Donna L, Practitioner Points Clinic Physician 2404 Charles Street Campbell, Becky, Assistant Rockford, IL 61108 Grigsby, Susan, (815) 391-7919 Miller, Erica Marie, Maxeiner, Angelia, Family Oakley, Theresa H, Practice Ourth-finlay, Joni, Surgery, Ironside, Mary jo, Orthopedic Peterson, Jane, Ross, Joseph E, Daniels, James M, Stumpf, Elizabeth J, SwedishAmerican Medical Group- Quincy Medical Group-Quincy Pediatrics Valley Clinic 1025 Maine Go, Dennis E., 6824 Newburg Road Quincy, IL 62301 Minnick, Larry C, Rockford, IL 61108 (217) 222-6550 (815) 391-7160 Schlepphorst, Richard F, Emergency Family Medicine Torre-hilotin, Temotea, Practice Reyburn, Stephanie A, Pulmonary Everson, Ralph W, Disease Family SwedishAmerican Medical Group- Practice Nassery, Manoocher, Woodside Clinic Allen, Tawny L., Robinson 3775 N. Mulford Road Altman, Dana B, Crawford Memorial Hospital Rural Rockford, IL 61114 Batra, Divya, Health - Robinson Pediatrics 1101 North Allen Street Davis, Larry J., Hall, Kendra M, Robinson, IL 62454-1168 Eling, Michael J., (618) 544-3500 Springfield Love, Kreg, Family SIU Center for Family Medicine Practice Noble, Richard K, 520 N. 4th Street Atienza-tennison, Eleanor Umali, Springfield, IL 62702 Real, Lance David, (217) 757-8137 Reyburn, Adam M, Tennison, Gary A, Family General Internal Practice Practice Medicine Aldridge, Tracy A, Andrews, Gregory R, Phillippe, Michael Gene, Barnhart, Amber J, Page 51 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Illinois Illinois Illinois Springfield West Frankfort Wheaton SIU Center for Family Medicine West Frankfort Family Medicine Dupage Medical Group Wheaton 520 N. 4th Street 2553 Ken Gray Blvd Internal Medicine Springfield, IL 62702 West Frankfort, IL 62896-4174 1800 North Main Street (217) 757-8137 (618) 932-3937 Wheaton, IL 60187 (630) 510-6900 Family Family Practice Practice Internal Medicine Brenham, Careyana M, Humphrey, Jon O, Herzing, Rita J, Dynda, Michal, Malone, Sara, Pierson, Stephen L, Ewart, Robert M, Shelton, Socorro J, Scruggs, James W, Gleason, Christopher L, Tippy, Penelope K, Personalized Physicians Group Graham, David Buoy, Westmont 7 Blanchard Circle, Suite 106 Lopp, Lauri F, Dupage Medical Group - Westmont Wheaton, IL 60189 Mirocha, Nichole, Family Practice (630) 580-7600 801 N. Cass Ave., Suite 300, SUITE 300 Thomas, Cynthia G, Family Westmont, IL 60559 Practice Nurse (630) 963-4570 Practitioner Born, John, Family Ledbetter, Cynthia A, Practice Internal Medicine Physician Bicek, Paul D, Assistant Kolbaba, Scott, Hung, Stephen C, Albertini, Brad C, Wood Dale Janowitz, Robert A, Sims, Zachary, Elmhurst Clinic - Wood Dale Internal Special Proficiency in Osteopathic Medicine 236C East Irving Park Road Manipulative Medicine Wood Dale, IL 60191 Bhatt, Shamir, (630) 860-1622 Lausen, Harald, Kalache, Zeina, Family Sullivan Wheaton Practice Decatur Memorial Hospital Medical Boyd, Laura B., Group - Sullivan Medical Center Dupage Medical Group Wheaton Family Practice 1220 W. Jackson Street Woodridge 1800 North Main Street Sullivan, IL 61951 Wheaton, IL 60187 Dupage Medical Group Woodridge (217) 728-2042 Family Practice (630) 510-6900 Family 7409 Woodridge Drive, Suite A Practice Family Woodridge, IL 60517 Practice (630) 241-1000 Allega, Rohn S, Isoniemi, Mark K, Family Washington Kemp, Robert W, Practice OSF Medical Group-Peoria - Nelson, Mark P, Costabile, Dominic, Washington Pediatrics 10 Saint Claire Ct. Nelson, Sara L, Fernandez, Anthony M, Washington, IL 61571 Rikert, Dejan, Nelson, Glenn E, Internal Su, Lenora J, Towers, Joseph D, Medicine Youngs, Shawn M, Indiana Alonso, Lynessa A, General Avon Pediatrics Practice Carlson, Scott, Patel, Sapan M, Shallat, Shelly,

Page 52 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Indiana Indiana Indiana Avon Indianapolis Indianapolis IU Medical Group-Primary Care- IU Medical Group - Primary Care - IU IU Medical Group Primary Care - Clarian West (Avon) Hospital Epler Parke 1115 N. Ronald Reagan Parkway, Suite 550 N University Blvd, UH3005 5550 S East Street, Suite 1 141 Indianapolis, IN 46202-5149 Indianapolis, IN 46227 Avon, IN 46123-7085 (317) 274-2167 (317) 780-4080 (317) 278-3200 Oncology, Internal Family Medical Medicine Practice Raghavendra, Meghana, Fitzgerald, John F, Fryman, David Lawrence, IU Medical Group - Primary Care _ Goshorn, Robyn K, Mckeag, Douglas B, Glendale Pediatrics Murray, Tracy P, 2625 E 62nd St, Suite 2010 Indianapolis, IN 46220 Porter, David H, Internal (317) 251-6121 Vik, Wynter K, Medicine Family Wilson, Jane E, Ihlendorf, Jeffrey Richard, Practice IU Medical Group-Primary Care - MCcormick, Meredith L, Sloan-Brown, Leeandrea, Eagle Highlands Richeson, Coby T, Internal Methodist Medical Plaza II, 6820 Fishers Medicine Parkdale Place, Suite 100 Indianapolis, IN 46254 Bruns, Mark D, IU Medical - Group Primary Care - (317) 297-7773 Saxony Fagan, Daniel J, 13100 136th Street, Suite 3400 Internal Kiray, Susan G, Medicine Fishers, IN 46031 (317) 678-3800 Pediatrics Bysani, Nanda, Internal Harris, Terri L., Marshall, Thomas R, Medicine Kelley, Patrick E., Pediatrics Hill, Steven D, Robb, Alicyn D., Rose, Susan P., Juthani, Sunil J, IU Medical Group - Riley MSA 1 Stotsky, Gail, Indianapolis 702 barnhill Drive, #1300 Wishard Health Services/Eskenazi IU Medical Group - Primary Care - IU Indianapolis, IN 46202-5128 Medical Group - Forest Manor Hospital (317) 274-2801 3840 N. Sherman Drive 550 N University Blvd, UH3005 Pediatrics Indianapolis, IN 46226 Indianapolis, IN 46202-5149 (317) 541-3400 Liu, Gilbert, (317) 274-2167 Family Rushton, Jerry L., Family Practice Szczepaniak, Dorota A., Practice Fan, Ellen, Treadwell, Patricia A., Nommensen, Michael J., Rhyant, Broderick J, IU Medical Group Primary Care - Rocillo, Gina, Shreder, Vera A, Epler Parke Internal 5550 S East Street, Suite 1 Internal Medicine Indianapolis, IN 46227 Medicine Kiray, Gregory C, (317) 780-4080 Durr-stein, Vada, Leon, Brian R, Emergency Mamlin, Burke W, Medicine Neumann, Steven J, Nurse Solotkin, David, Takesue, Blaine Y, Practitioner Solotkin, David, Internal Jefferis, Jeanette P, Medicine Oncology, Pediatrics Bowles, Rachael S, Medical Cates-Lonberger, Patrice Marie, Page 53 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Indiana Indiana Indiana Indianapolis Indianapolis Indianapolis Wishard Health Services/Eskenazi Wishard Health Services/Eskenazi Wishard Health Services/Eskenazi Medical Group - Forest Manor Medical Group - Center of Senior Medical Group - North Arlington 3840 N. Sherman Drive Health 2505 N. Arlington Avenue Indianapolis, IN 46226 1001 W. 10th Street, Regenstrief Health Indianapolis, IN 46218-331 Center, 4th Floor (317) 541-3400 Internal Indianapolis, IN 46202 Pediatrics Medicine Geriatric Medicine/Internal Ciccarelli, Mary, Goebel, Laurie A, Medicine Djuricich, Alexander M, Lynn-Hiller, Dana, James, Todd Christopher, Mckenna, Sarah J, Shew, Marcia L, Westmoreland, Glenda R, Nace, Jeffrey J, Treadwell, Patricia A, Internal Vanreken, David E, Medicine Reed, Cynthia K, Wishard Health Services/Eskenazi Nazir, Arif, Pediatrics Medical Group - Adult Medicine Wishard Health Services/Eskenazi Cobbs, Elizabeth, 1002 Wishard Blvd., 4th Floor Medical Group - Cottage Corner Wishard Health Services/Eskenazi Indianapolis, IN 46202 1434 S Shelby Street Medical Group - PCC 2 Pediatrics (317) 692-2323 Indianapolis, IN 46203 1002 Wishard Blvd., 2nd Floor Internal (317) 655-3200 Indianapolis, IN 46202 Medicine Internal Pediatric Davidson, Sarah, Medicine Rheumatology Lapitz, Alvaro, Battiwalla, Meher M, Klausmeier, Thomas L, Litzelman, Debra K, Lonberger, Azarias Shamus, Pediatrics Robles, Maria Parker spector, Tiritilli, Mark E, Carroll, Aaron, Schwartz, Peter H, Vasquez, Nora Linda, Downs, Stephen M, Simonaitis, Linas, Neonatal-Perinatal Fox, Dianna L, Medicine Solotkin, David, Gonzalez, Robert, Conway, Lamenta S, Solotkin, David, Gray, Frances L, Wishard Health Services/Eskenazi Steinmetz, Christopher A, Medical Group - Grassy Creek Phipps, Erin J, Wishard Health Services/Eskenazi 9443 East 38th Street Pryor, Karl D, Medical Group - Blackburn Indianapolis, IN 46236 Stelzner, Sarah M, 2700 Dr. Martin Luther King Dr. (317) 890-2100 Indianapolis, IN 46208 Wishard Health Services/Eskenazi Internal Medical Group - Primary Care-Pecar (317) 931-4300 Medicine 6940 N. Michigan Road, Suite 140 Family Brady, Timothy B, Indianapolis, IN 46268 Practice Kuonen, Elizabeth Ann, (317) 266-2901 Rinderknecht, Seth David, Wehr, Audrey Michelle, Family Internal Practice Medicine Wishard Health Services/Eskenazi Medical Group - House Calls Lobo, Daniela, Misumi, Cynthia O, 1001 W. 10th Street, OPW-M200 Schwen, Sarah A, Pediatrics Indianapolis, IN 46202 Internal Bradshaw, Patricia, Geriatric Medicine/Internal Medicine Medicine Kunzer, John, Klotz, Kenneth Edward, Beck, Robin, Means, Ira K, Marquez salazar, Karla Erika, Pediatrics Bair, Rita, Page 54 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Indiana Indiana Iowa Indianapolis Mooresville Ames Wishard Health Services/Eskenazi IU Medical Group - Primary Care - McFarland Clinic PC - Family Medical Group - Primary Care-Pecar Mooresville Medicine North 6940 N. Michigan Road, Suite 140 820 Samuel Moore Parkway, Suite A 3815 Stange Road Indianapolis, IN 46268 Mooresville, IN 46158-1794 Ames, IA 50010-3014 (317) 266-2901 (317) 483-5000 Nurse Pediatrics Internal Practitioner Medicine Haut, Dawn P, Rippey, Rhonda Ellen, Bohney, James P., Reinoso, Deanna R, Des Moines Rawlings, Michael A, Wishard Health Services/Eskenazi Broadlawns Medical Center Medical Group - Westside Weber, Katharina M, 1801 Hickman Road 2732 W Michigan Street Noblesville Des Moines, IA 50314-1597 Indianapolis, IN 46222-3750 (515) 282-3217 (317) 554-4600 American Health Network 18077 River Avenue, Suite 104 Family Family Practice Noblesville, IN 46062 Practice (317) 674-0208 Atzen, Angelia Renee, Fortin-Erazo, Saura, Family Danley, Dana L., Hendrickson, Holly M, Practice Galioto, Nicholas, Hernandez Mondragon, Ruben Hernan, Beaver, Walter, Matson, Christopher R, Nace, Nicole Mercer, Iowa Saad, Salman, Routledge, Betty A, Ames Severidt, Larry, Internal McFarland Clinic PC - Family Soldat, Lisa, Medicine Medicine East Stubblefield, Joshua, Agarwal, Neeta Bhavalkar, 1018 Duff Avenue Walter, Dennis, Mackie, Palmer J, Ames, IA 50010-3014 (515) 663-8621 Workman, Douglas, Pediatrics Family Internal Helphinstine, Jill V, Practice Medicine Wishard Health Services/Eskenazi Bird, Michael Robert, Thondapu, Vanaja, Medical Group - Women's Center of Excellence Carlyle, David Adam, Dubuque 1002 Wishard Blvd, Rm 1002 Erbes, Gary Max, Medical Associates Clinic - East Indianapolis, IN 46202 Grandgenett, Ryan L, Campus (317) 630-6523 1000 Langwothy Physician Family Assistant Dubuque, IA 52001 Practice (563) 584-3430 Zellweger, Jessica F, Fogel, Janine M, Emergency McFarland Clinic PC - Family Medicine Internal Medicine North Medicine Sullivan, Brian Edward, 3815 Stange Road Harris, Lisa E, Ames, IA 50010-3014 Family Practice Rohr-kirchgraber, Theresa Marie, Family Nachtman, Chadwick James, Zerr, Ann D, Practice Stille, Christopher M, Mooresville Baughman, Matthew James, Jordison, Bradley J, Internal Medicine Skinner, Donald Leigh, Abele, Jonathan Bruce, Nurse Practitioner Cihak, Debbie A,

Page 55 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Iowa Iowa Kansas Dubuque Dubuque Kansas City Medical Associates Clinic - East Medical Associates Clinic, P.C., Childrens Mercy West Campus Internal Medicine - West Campus 4313 State Avenue, 816 701 5279 1000 Langwothy 1500 Associates Drive Kansas City, KS 66102 Dubuque, IA 52001 Dubuque, IA 52002 (816) 701-5279 (563) 584-3430 (563) 584-4113 Adolescent Medicine and Internal Pediatrics Pediatric Medicine Reyerson, Donald H, Schuman, Stephen Jose, Janes, Mark K, Sioux City Pediatrics Schmid, Douglas A, Siouxland Community Health Center Brewer, Lorraine A, Schreiber, Thomas James, PO Box 5410 Ellzey, Jennifer Diane, Sinsky, Christine A, Sioux City, IA 51102 Haley, Michelle, Sinsky, Thomas Anthony, (712) 202-1010 Riojas, Lisa A, Pediatrics Emergency Medicine Lenexa Bonner, Bethann, Swanson, Thor D, Encompass Medical Group - Lenexa Hanson, Julie F, Office Family Olk, Douglas G., Practice 8550 Marshall Drive Lenexa, KS 66214 Medical Associates Clinic, P.C., Gordon, Steven F, (913) 495-2046 Internal Medicine - West Campus Hattan, Gary R, 1500 Associates Drive Family Dubuque, IA 52002 Heaton, Julia S, Practice (563) 584-4113 Prince, Danielle Davida, Armstrong, Melodie, Family Taylor, Jonathan B, Craemer, Chris, Practice Walz, Kristi D, Mahon, John J, Freiburger, Jared J, Internal Nauer, Paula L, Internal Medicine Medicine Internal Tudor, Maria Dana, Medicine Daoud, Diana S, Nurse Fitzmaurice, Kevin J, Moore, Mark, Practitioner Gruenebaum, Michael, Ries, Andrea L, Chilton, Elizabeth W, Iyer, Lila, Runde, Mark P, Guthmiller, Cynthia A, Pediatrics Obstetrics & Jacobs, Christopher L, Gynecology Khurana, Satish K, Pick, Ann M, Berger, Joseph P, Shawnee Mission Primary Care - Wilson, Mary Michelle, Lenexa Mehta, Trupti S, Wurth, Rachel, 8700 Bourgade, Suite 2 Neal, Laura, Lenexa, KS 66219 Physician (913) 789-3928 O'Donnell, Erika R, Assistant Family Tinsman, Peter W, Earleywine, Molly Lynn, Practice Ophthalmology Faldmo, David N, Hendricks, William John, Fitch, Diane K., Brock, James E, Ruble, Rebecca A, Guerdet, Randy, Pediatrics Internal Krause, Lori K, Medicine Hubbard, James R, Wilkinson, Clifford W, Schultz, Jennifer L., Mullen, Kevin M, Kansas Olathe

Page 56 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Kansas Kansas Kentucky Olathe Spring Hill Crestview Hills Olathe Family Practice Spring Hill Family Medicine SEP-Crestview Hills Pediatrics 18695 W 151 St 22450 S. Harrison St., Ste. 100 230 Thomas More Pkwy. Olathe, KS 66062-2738 Spring Hill, KS 66083 Crestview Hills, KY 41017 (913) 782-3322 (913) 592-2720 (859) 341-3383 Family Family Pediatrics Practice Practice Janning, Jeffrey Thomas, Feehan, John M, Widman, Jerad E, Weghorn, Lesley Marie, Overland Park Troy Dry Ridge Kansas City Internal Medicine - Heartland Clinics- Gaul Family Practice SEP-Dry Ridge Menorah 207 Main PO Box 547 19 South Main Street, P.O. Box 266 12140 Nall, Suite 100 Troy, KS 66087 Dry Ridge, KY 41035 Overland Park, KS 66209 (785) 985-2211 (859) 823-5441 (913) 451-8500 Family Family Internal Practice Practice Medicine Gaul, Bradley Jay, Ashcraft, Troy Kenneth, Brown, Jennifer L, Kentucky Koo, Gregory Thomas, Jacobs, Jonathan T., Butler Utter, Sandra J, Jantz, G Keith, SEP-Pendleton Florence Judy, Bernard O, 79 Country Club Drive Shawnee Butler, KY 41006 SEP-Florence Ewing (859) 654-2283 7766 Ewing Boulevard Suite L KU MedWest Family Practice Florence, KY 41042 Family 7405 Renner Blvd (859) 371-1153 Shawnee, KS 66217 Practice Family (913) 588-8400 Schafer, Michael G, Practice Family Internal Bishop, Stacey E, Practice Medicine Sander, Mark D, Fraire Almaguer, Brenda A., Schack, Brian W, Santos, Ria Asistin, Kirby, Jamie Ellen, Covington Velaquez, Elizabeth Fischer, Sullivan, Phyllis L., SEP-Covington Physician Vinh, Anh H, 1500 James Simpson Way, Suite 201 Assistant Covington, KY 41011 Shawnee Mission Primary Care- Ravencraft, James E, Shawnee Crossings (859) 655-4111 6815 Hilltop Road Family SEP-Florence Turfway Shawnee, KS 66226 Practice 7370 Turfway Road Suite 100, Suite 10 (913) 422-2020 Burns, Patrick Thomas, Florence, KY 41042 (859) 212-4700 Family Jarkani, Ashok P, Practice Family Keller, Tim Burke, Practice Johnson, Clifford Dean, Philippe, Marc Todd, Reutman, William E, Rettinger, Steven D, Rutterer, Daniel Edward, Schneider, James, Tran, Van T., Crestview Hills Vonderbrink, Joseph P, Winters, Chad, SEP-Crestview Hills Pediatrics Internal Internal 230 Thomas More Pkwy. Medicine Medicine Crestview Hills, KY 41017 Dorsch, Curtis, Martin, Philip Eugene, (859) 341-3383 Goderwis, Douglas,

Page 57 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Kentucky Kentucky Louisiana Independence Williamstown Bastrop SEP-Nicholson Summit Medical Group - St. Elizabeth Affinity Health Group, LLC - Noble 1974 Walton Nicholson Road Physicians - Williamstown Medical Office Independence, KY 41051 300 Barnes Road 355 West Hickory (859) 356-6800 Williamstown, KY 41097 Bastrop, LA 71220 (859) 824-8400 (318) 281-4450 Family Practice Family Family Practice Practice Catanzaro, Lori A, Burke, Brennan Christopher, Noble, Jack Cole, Isaacs, Edward, Threlkeld, William F., Batchelor Sanders, Craig David, Willoby, Michelle L, Louisville Innis Community Health Center Louisiana 6450 Louisana Highway 1 Charasika Open Access Healthcare, Batchelor, LA 70715 P.S.C. Abbeville (225) 492-3775 4010 Dupont Circle, Ste. 309, Suite 308 Iberia Comprehensive Community Louisville, KY 40207 Family Health Center, Inc.-Abbeville Practice (502) 896-8041 Community Health Center Seferovic, Admir, Family 800 Charity Street Practice Abbeville, LA 70510 Williams, Leon D., (337) 893-3443 Charasika, James D, Baton Rouge Family Union Capitol City Family Health Center Practice SEP-Union Mt. Zion 3140 Florida street Marshall, Marilyn Dianne, 1808 Mt. Zion Road Baton Rouge, LA 70806 Union, KY 41091 Ramsey, Keith Gregory, (225) 650-2000 (859) 301-7210 Abita Springs Anesthesiology

Family Ochsner Health Center- Abita Springs Practice 22070 Hwy 59 Stewart, Luther, Gallus, Corey, Abita Springs, LA 70420 Family (985) 892-0879 Practice Morgan, Kathie E, Family Langie, Jacqueline, Internal Practice Medicine Internal Palmisano, Vernon K, Medicine Fitz, Robert Mark, Avondale Campbell, Jr., Walter Lee, Walton Avondale- Jefferson Community HCC Nurse SEP-Walton 4028 US Highway 90 Practitioner 13260 Service Road Avondale, LA 70094 Webber, Joseph, Walton, KY 41094 (504) 436-2223 (859) 485-4116 Our Lady of the Lake Franciscan Clin 7777 Hennessy Blvd., Suite 1009 Family General Practice Practice Baton Rouge, LA 70808 Pandit, Bharathi, (225) 765-5853 Gooch, Linda F, Family Shupe, Nancy, Obstetrics & Gynecology Practice Tayce, Anne T, Curole, David N., Davis, Tiffany Lyn, Internal Wolfson, Neil, Internal Medicine Medicine Bastrop Martin, Joseph E, Nguyen, Nhung Kim, Williamstown Bogalusa

Page 58 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Louisiana Louisiana Louisiana Bogalusa Clinton Ferriday LSU Bogalusa Medical Center Family RKM Primary Care Concordia Community Health Center Medicine Clinic 11990 Jackson Street 1810 E E Wallace Blvd STE 6 420 Ave. F Clinton, LA 70722 Ferriday, LA 71334 Bogalusa, LA 70427 (225) 683-5292 (318) 757-6969 (985) 730-6715 Family Obstetrics & Family Practice Gynecology Practice Attuso, Marie M, Kemmerly, Kenneth Wright, Crooks, William Pryor, Counts, Melody L, Gilliam LSU Bogalusa Medical Center General Pediatric Clinic David Raines Community Health Practice Center - Gilliam 712 Willis Ave. 12763 Lay Street Bogalusa, LA 70427 Gilliam, Darie S, Gilliam, LA 71029 Nurse Pediatric Emergency (318) 296-4287 Medicine Practitioner Baker, Judy, Family Mangat, Raghubir Kaur, Practice Dart, William, Jr. D, Pediatrics Henderson, George C, Randall, Zelma C, Beatty, Katherine Knighten, Nurse LSU-Bogalusa Medical Center Thomas Nurse, Practitioner Registered Clinic Miller, Angela C, 433 Plaza Street Hunt, Ginger A, Hammond Bogalusa, LA 70427 Covington (985) 727-2416 North Oaks Pediatric Clinic Kidmed Northlake Medicine and Wellness North Family 1980 N. Hwy 190 15695 Professional Plaza Practice Covington, LA 70403 Hammond, LA 70403 Cain, Elizabeth M., (985) 809-6195 (985) 542-2599 Thomas, Jerry A., Internal Pediatrics Medicine Bossier City Donner, Jr, Francis, Levi, Tania A, David Raines Community Health Tran, Jean G., Center - Bossier Levi, Tania A, 1514 Doctors Drive Haynesville Delhi Bossier City, LA 71111 David Raines Community Health (318) 549-2500 Delhi Rural Health Clinic Center- Haynesville 508 Broadway Street 1953 East Main Street Family Practice Delhi, LA 71232 Haynesville, LA 71038 (318) 878-3737 (318) 624-1995 Anne, Pratibha, Family Family Daniels, Larry Clyde, Practice Practice Koduru, Suneetha, Enriquez, Jose R., Henderson, George C, Nurse Le, Dung N., Nurse Practitioner Practitioner Mcdonald, Kenneth E., Parker, Mary Charlene, Jackson, Louella M, Internal Pediatrics Medicine Houma Grados, Flor, Albritton, Corey G., Chabert Medical Center Su, Hester, Grandon, Paul W., 1978 Industrial Boulevard Houma, LA 70363 Psychiatry Wagnon, Cynthia S., (985) 873-1263 Williamson, Larrie Ann, Ferriday

Page 59 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Louisiana Louisiana Louisiana Houma Lafayette Marrero Chabert Medical Center University Medical Center Pediatric Marrero Clinic - Jefferson Communit 1978 Industrial Boulevard Clinic HCC Houma, LA 70363 2390 West Congress Street 1855 Ames Boulevard (985) 873-1263 Lafayette, LA 70506 Marrero, LA 70072 (337) 261-6169 (504) 371-8958 Family Practice Neonatal-Perinatal Internal Medicine Medicine Johnson, Therryll L., Sharma, Sarita, Price, Genelle S., Marmande, William A., Pediatric Merryville Internal Cardiology Medicine Iberia Comprehensive Community Dalal, Geeta N, Daberkow, Dayton William, Health Center, Inc.-Merryville Lake Charles Community Health Center Delord, Terry J., 567 Walker Street Eschete, Mary L., W.O. Moss Regional Medical Center Merryville, LA 70653 Primary Care Clinic (337) 825-1728 Ferguson, Thomas G., 1000 Walters Street General Marts, Ronald C., Lake Charles, LA 70607 Practice (337) 475-8196 O'Bryan, Gerald K., Mcmillan, John Errol, Infectious Simmons, Rhonesia, Disease Minden Nephrology Choucino, Carlos Manuel, David Raines Community Health Internal Center - Minden Gupta, Shaminder M., Medicine 128 Homer Road Pediatrics Minden, LA 71055 Lie, Albert (Ping Kok), Brooke, Richard L., (318) 377-1545 Pediatrics Dupont, Adela P., Family Drez, Susan Elizabeth, Practice Lao, Jimmy O., Livonia Anne, Pratibha, Perez, Carlos C., Livonia Community Health Center Koduru, Suneetha, Independence 3041 Fordoche Road Nurse Multipractice Clinic, Inc Livonia, LA 70755 Practitioner (225) 637-3535 281 West 4th Street, P.O. Box 130 Jackson, Louella M, Independence, LA 70443 Family Miller, Angela C, (985) 878-1006 Practice Monroe Internal Parkman, Allison, Medicine Internal Affinity Health Group, L.L.C - The Keshelava, George Tengiz, Medicine Medical Office 112 St. John Street Lafayette Breaux, Jeryl, Monroe, LA 71201 St. Clare's Medical Home Marrero (318) 361-0900 501 West St. Mary Blvd., Suite 100 Marrero Clinic - Jefferson Community Emergency Lafayette, LA 70506 HCC Medicine (337) 289-4222 1855 Ames Boulevard Blackmon, Charles Douglas, Cardiovascular Marrero, LA 70072 Family Disease (504) 371-8958 Practice Russell, Lawrence I., General Jones, Patrick Gary, Practice Melton, Stuart L, Warrier, Jaya S., Raulerson, Robert M,

Page 60 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Louisiana Louisiana Louisiana Monroe Monroe New Orleans Affinity Health Group, L.L.C. - Primary Health Services Center-SD Hill NO/AIDS Task Force Yarbrough Medical Office 850 South Second Street 2601 Tulane Avenue, Suite 500 3400 Medical Park Drive, Suite B Monroe, LA 71202 New Orleans, LA 70119 Monroe, LA 71202 (318) 651-0041 (504) 821-2601 (318) 387-6803 Family Internal Family Practice Medicine Practice Suddala, Satheesh, Murphy, Mary Josephine, Yarbrough, David A, New Iberia Ruth U Fertel Tulane Community Nurse Health Center Iberia Comprehensive Community Practitioner 711 North Broad Street Health Center, Inc.-Iberia Stephens, Matilda Elliott, Comprehensive Community Health New Orleans, LA 70119 Center (504) 988-3000 Affinity Health Group, LLC - Pediatrics Plus 806 Jefferson Terrace Internal 3401 Magnolia Cove New Iberia, LA 70560 Medicine (337) 365-4945 Monroe, LA 71203 Christopher, Caroline V., (318) 325-6311 Family Joplin, Christopher Andrew, Nurse Practice Price, Eboni G., Practitioner Marshall, Marilyn Dianne, Simoneaux, Michele Lee, Carr, Vivian S., Ramsey, Keith Gregory, Skelding, Philip, Pediatrics Whitney, Keyna Juri, Opelousas Dyess, Bonita H, General Zukowski, Nancy, Practice SWLPHC Mcmillan, John Errol, 8762 Hwy 182 Affinity Health Group, LLC - Smith Opelousas, LA 70570 Medical Office Internal (337) 942-2005 3510 Magnolia Cove Medicine Emergency Monroe, LA 71202 Jackson, Victor, (318) 329-2927 Medicine New Orleans Internal Elliott, Leone F., EXCELth Family Health Center - Medicine Psychiatry Gentilly Smith, Richard Douglas, 2050 Caton St. Bowers, Charles Houma dixon, Franciscan Clinic New Orleans, LA 70122 Plaquemine 920 Oliver Road, Suite 1600A (504) 620-9868 Pediatric Associates Monroe, LA 71201 Internal 59325 River West Drive, Suite D (318) 966-2008 Medicine Plaquemine, LA 70764 Internal Ogbuefi, Chioma Ebele, (225) 687-3055 Medicine New Orleans East Community Health Pediatrics George, Mattew K, Center Elkins, Kathryn C., Primary Health Services Center 4262 Alcee Fortier Blvd., Suite D Port Allen 2913 DeSiard Street New Orleans, LA 70129 Monroe, LA 71201 (504) 255-8665 WBR Primary Care (318) 651-9914 Family 751 Court Street Nurse Practice Port Allen, LA 70767 Practitioner Nguyen, Tuan B., (225) 683-5292 Clark, Rebecca S., Internal Internal Medicine Medicine Winfrey, Keith L., McKnight, George T,

Page 61 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Louisiana Louisiana Louisiana Port Allen Sicily Island Vivian WBR Primary Care Wisner Medical Cener North Caddo Medical Center Medical 751 Court Street 126 Watson Street And Surgical Clinic Port Allen, LA 70767 Sicily Island, LA 71378 1003 South Spruce St (225) 683-5292 (318) 724-7008 Vivian, LA 71082 (318) 375-3239 Nurse Pediatrics Practitioner Family Smith, Roger A., Practice Johnson, Meredith V, Slidell May, Walker, River Ridge Ochsner Health Center - Slidell Taylor, Stephen Glenn, River Ridge Clinic - Jefferson Ochsner Health Center -Slidell, 2750 E. Community HCC Gause Blvd. Winnfield 11312 Jefferson Highway Slidell, LA 70461 Winn Community Health Center River Ridge, LA 70123 (985) 639-3777 100 South Magnolia St. (504) 463-3002 Family Winnfield, LA 71483 Internal Practice (318) 648-0375 Medicine Baez, Raymond, Internal Dumas, Jeremy G., Medicine Bryan, Thornton Embry, Shreveport Shelton, Mark V., Taylor, Robert W, Nurse David Raines Community Health Tebbe, James T, Centers - Shreveport Practitioner Internal 1625 David Raines Road Howard (Duckworth), April F., Medicine Shreveport, LA 71107 Physician Lefran, Jose Antonio, (318) 425-2252 Assistant Pulmonary Family Acosta, Bryant A., Practice Disease Winnsboro Anne, Pratibha, Candal, Francisco J, Winnsboro Medical Clinic Henderson, George C, St. Joseph 3326 Front Street, Suite B Nurse Tensas Community Health Center Winnsboro, LA 71295 Practitioner 1115 Levee Road, PO Box 46 (318) 435-7333 Farmer, Betty Jones, St. Joseph, LA 71366 Family (318) 766-1967 Miller, Angela C, Practice General Pediatrics Reed, Charles E, Practice Grados Valderrama, Flor, Nurse Neumann, Thomas A., Practitioner Suh, Hester, Nurse Hensley, Rhonda D, Sicily Island Practitioner Maine Sicily Island Medical Center Dykes, Ryan Slade, Auburn 307 Chisum Street Vivian Sicily Island, LA 71368 CMMG - Family Health Care North Caddo Medical Center Medical (318) 389-5727 Associates And Surgical Clinic Urology 1003 South Spruce St 190 Stetson Road Auburn, ME 04210 Trunzler, Basil G, Vivian, LA 71082 (318) 375-3239 (207) 784-7388 Wisner Medical Cener Family Family 126 Watson Street Practice Sicily Island, LA 71378 Practice Burns, Charles H., (318) 724-7008 Chance, Jody Dale, Elias, Peter B. H., Pediatrics Haynes, John Harlan, Page 62 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Auburn Auburn Bangor CMMG - Family Health Care St. Mary's Regional Medical Center - EMMC - Center for Family Medicine Associates Second Street Family Practice 895 Union Street, Suite 12 190 Stetson Road 60 Second Street Bangor, ME 04401 Auburn, ME 04210 Auburn, ME 04210 (207) 973-8700 (207) 784-7388 (207) 783-3333 Family Family Family Practice Practice Practice Pritham, Robin M., Rifkin, Michael R., Learson, Deborah A., Raczek, James A., Skelton, Sarah K., Learson, Deborah A., Redding, Katherine E., Tardif, Raymond J., Sonti, Smita, Sharp, Eric H., CMMG - Minot Avenue Family Nurse Steele, Erik N, Medicine Practitioner Thom, Kristen I., 789 Minot Avenue Donahue, Patricia, Auburn, ME 04210 EMMC - Husson Family Medicine Augusta (207) 795-8475 302 Husson Avenue, Suite 2 Family Maine Dartmouth Family Residency Bangor, ME 04401 Practices/Family Medicine Institute Practice (207) 941-2373 15 East Chestnut St. Pece, Carolyn Kase, Augusta, ME 04330 Family Practice Stone, Raymond H., (207) 626-1561 Bourgoin, Kathryn E., St. Mary's Regional Medical Center - Family Auburn Medical Associates Practice Michaud, Vincent E., 15 Gracelawn Road Gershman, Karen, Miller, Kevin G., Auburn, ME 04210 Walker, Dale C., (207) 330-3950 Jokonya, Chiedza G, Nurse Internal Lutrzykowski, Christopher J, Practitioner Medicine Moss, Barbara A, Gause, Phoebe P, Johannesson, Inga S., Schneid, James, EMMC - Husson Internal Medicine Margolskee, Howard, St. Pierre, Susan, 302 Husson Avenue, Suite 1 St. Mary's Regional Medical Center - Woytowicz, John, Bangor, ME 04401 L/A Internal Medicine Zurbach, Nancy L, (207) 947-6141 3 Willow Run Auburn, ME 04210 Geriatric Medicine/Family Internal Practice Medicine Internal Medicine Seymour, Cheryl, Bragg, Franklin E., Brodsky, Kenneth, Internal Currie, Allan D., Medicine Hatfield, Gary, Ronco, Paul G., Onion, Dan K, Raczynski, Paul, Sabbagh, Iyad, Bangor St. Mary's Regional Medical Center - Nurse Second Street Family Practice EMMC - Center for Family Medicine Practitioner 60 Second Street 895 Union Street, Suite 12 Kingsbury, Julie S., Bangor, ME 04401 Auburn, ME 04210 EMMC - Husson Pediatrics (207) 973-8700 (207) 783-3333 302 Husson Avenue, Suite 3 Family Family Bangor, ME 04401 Practice Practice (207) 941-1155 Buckberg, Miriam S., Bloom-Foster, Jessica L., Pediatrics Buckberg, Miriam S., Brown, Eric R., Barrett, Amy E.,

Page 63 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Bangor Bangor Biddeford EMMC - Husson Pediatrics Penobscot Community Health Center SMMC PrimeCare Physicians - 302 Husson Avenue, Suite 3 1012 Union Street, Suite 5 Internal Medicine Bangor, ME 04401 Bangor, ME 04401 30 West Cole Road (207) 941-1155 (207) 945-5247 Biddeford, ME 04005 (207) 282-3349 Pediatrics Family Practice Internal Burch, Melissa W., Medicine Stone, Rowlinda A, Clough, Scott J., Albaum, Michael N., Vereault, Barbara D., Holmberg, Jr., Robert E., Cutone, Jennifer A., Penobscot Pediatrics Rieley, Margaret, 1048 Union Street, Suite 5 Cutone, Steven R, Ross, Michael Aaron, Bangor, ME 04401 Doane, Stephen H., Sabbagh, Colette M., (207) 945-0147 Handanos, Christine M., Martin's Point Health Care - Bangor Pediatrics Handanos, Nicholas G., 700 Mt Hope Avenue, Suite 650 Benanti, Sandra R., Bangor, ME 04401 Laprise, Paul M., Carmack, Adrienne W., (207) 945-5048 Wilson, Nathan E., Lever, Thomas F., Family Blue Hill Practice Milliken, John F., Blue Hill Family Medicine Burger, Charles S., Prokopova, Katarina L., 65 Water Street, P.O. Box 823 Frederick, Elizabeth H, Souweine, Kristen L., Blue Hill, ME 04614 (207) 374-2311 Kovanko, Alexander P., Belfast Family Kovanko, Alexander P., Seaport Family Practice Practice Internal 41 Wright Street Medicine Belfast, ME 04915 Bugbee, Thomas G., Hines, Richard G., Hallbert, David Mason, (207) 338-6900 Lesko, Lisa A., Penobscot Community Health Care - Family Practice Summer Street Clinic Newkirk, Arthur, Kramer, Christine L., 34 Summer Street Norris, Merideth C., Bangor, ME 04401 Kuhn, Carol, (207) 992-2636 Walden, Stacey L., Loxterkamp, David A., Family Internal Practice Belgrade Medicine Buck, Lisa A., Belgrade Regional Health Center Zentz, Elizabeth L., 4 Clement Way Nurse Brewer Belgrade, ME 04917 Practitioner Brewer Health Center, PA (207) 495-3323 Ulrich, David, 401 South Main Street Family Brewer, ME 04412 Penobscot Community Health Center Practice (207) 989-5588 1012 Union Street, Suite 5 Madden, Amy K., Bangor, ME 04401 Family (207) 945-5247 Biddeford Practice Family SMMC PrimeCare Physicians - Ross, Gary M., Practice Internal Medicine Brewer Medical Center - PCHC 30 West Cole Road Buck, Christopher, 735 Wilson Street Biddeford, ME 04005 Brewer, ME 04412 Holland, Ann L., (207) 282-3349 (207) 945-5247 Patten, John L.,

Page 64 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Brewer Bridgton Caribou Brewer Medical Center - PCHC Bridgton Hospital Medical Group - TAMC Caribou Health Center 735 Wilson Street North Bridgton Family Practice 118 Bennett Drive, Suite 130 Brewer, ME 04412 14 Wyonegonic Road Caribou, ME 04736 (207) 945-5247 Bridgton, ME 04009 (207) 498-3476 (207) 647-9021 Family Internal Practice Family Medicine Practice Sornberger, Kris S., Bedi, Puneet N, Smith, Craig M., EMMC - Family Medicine of Brewer Castine 234 State Street Smith, Jennifer L., Blue Hill Memorial Hospital - Castine Brewer, ME 04412 Brunswick Community Heath Services (207) 989-0550 Martin's Point Health Care, Inc.- 102 Court St. Family Brunswick Castine, ME 04421 Practice 6 Farley Road (207) 374-3961 Gott, Daniel C., Brunswick, ME 04011 Family (207) 725-8079 Practice Johnston, Pauline K., Family Olivari, Marjorie A., Sturrock, William A., Practice Nurse Dixfield Johnstone, John, Practitioner Elsemore Dixfield Family Medicine Lindsley, Eric, Hatch-Clein, Annette M., 146 Weld Street Nakamura, Roy, Dixfield, ME 04224 Bridgton Sharkey, Heather, (207) 369-1165 Bridgton Hospital Medical Group - Family Bridgton Internal Medicine Sharkey, Heather, Practice 25 Hospital Drive, Suite 2 Taylor, Paul E, Bridgton, ME 04009 Callender, G Sean, Pediatrics (207) 647-2311 Marden, Rick A, Seder, Norman, Internal Fairfield Medicine Bucksport Maine Dartmouth Family Medicine Carty, Deanna L, Blue Hill Memorial Hospital - Residency Practices/Four Seasons Dater, Suzanne, Bucksport Family Medicine Family Practice 58 Main St 4 Sheridan Drive, Suite 2 Kleinert, Lisa, Bucksport, ME 04416 Fairfield, ME 04937 Laband, Paul, (207) 374-3961 (207) 861-5000 Roy, Henry, Family Family Practice Nurse Practice Practitioner Calcott, Karen, Calkins, Stephanie G, Owens, Christina, Hatanpa, Deborah Ann, Feero, W Gregory, Bridgton Hospital Medical Group - Nurse Fein, Richard A, Bridgton Pediatrics Practitioner Sutherland, Mark E., Bridgton Pediatrics, 25 Hospital Drive, Byard, Elizabeth Diane, Suite Maine Dartmouth Family Residency Bridgton, ME 04009 Caribou Practices/Maine Dartmouth Family Practice (207) 647-4232 TAMC Caribou Health Center 4 Sheridan Drive, Suite 1 Pediatrics 118 Bennett Drive, Suite 130 Fairfield, ME 04937 Caribou, ME 04736 Chan, Allison, (207) 861-5000 (207) 498-3476 Ryan, Lisa, Family Internal Practice Saunders, Wenda, Medicine Page 65 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Fairfield Gray Lewiston Maine Dartmouth Family Residency CMMG - Gray Family Health Center Central Maine Family Practice Practices/Maine Dartmouth Family 116 Shaker Road 12 High Street, Suite 302 Practice Gray, ME 04039 Lewiston, ME 04240 4 Sheridan Drive, Suite 1 (207) 657-3308 (207) 795-5750 Fairfield, ME 04937 Family Family (207) 861-5000 Practice Practice Family Hilary, Manju, Carey, Sean P., Practice Van Mourik, Frederick A., Gushue, Trisha A., Alto, William A, Greenville Stadnicki, Michael R., Clark, Michael A., Thorp, Lydia A., Colt, Henry F, Northwoods Healthcare 364 Pritham Avenue Wyman, Peggy D., Pisculli, Jenny T, Greenville, ME 04441 CMMG - Central Maine Internal Rice, Andrew C, (207) 695-5220 Medicine Pediatrics Family 12 High Street, Suite 400 Beressi, Anne H, Practice Lewiston, ME 04240 (207) 795-5700 Farmington Peck, Darin M., Kennebunk Internal Wilson Stream Family Practice Medicine 672 Wilton Road SMMC PrimeCare Physicians ΓÇô Cloutier, Lise M., Farmington, ME 04938 Kennebunk Family Practice (207) 778-9531 4 Shape Drive Ferguson, Eugene J., Kennebunk, ME 04043 Family Gupta, Neera, Practice (207) 467-8988 Joseph, James G., Bien, Stephen J., Family Practice Latkovich, Katarina Z., Fuson, Jeffrey W., DelPrete, Elisabeth M., Lee, William M., Fryeburg Nugent, Diane M., Pyenta, Jennifer S., Fryeburg Family Medicine Parent, Charles M., Ross, Pamela E., 253 Bridgton Road CMMG - Central Maine Family Fryeburg, ME 04037 Sullivan, Christine E., Medicine Residency (207) 935-3383 Vaughan, Jr, Robert T., 76 High St, Suite 100 Family Wolfson, Joseph L., Lewiston, ME 04240 Practice Leeds (207) 795-2800 Gerchman, Eric M., DFD Russell Medical Center - Leeds Family Practice Royer, Gene M., 180 Church Hill Road Slayton, Eric, Leeds, ME 04263 Carden, Geoffrey H., Nurse (207) 524-4001 Claxton, Jr., Edmund V., Practitioner Family Kenney, Bruce W., Practice Wilson, Julie, Lovett, Erica D., Barus, Maxwell, Gray Picker, Bethany J., Lewiston CMMG - Gray Family Health Center Rivard, Gary S., 116 Shaker Road Central Maine Family Practice General Practice - 12 High Street, Suite 302 Gray, ME 04039 Dental (207) 657-3308 Lewiston, ME 04240 Woolever, Donald Raj, Family (207) 795-5750 Practice Family Practice Page 66 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Lewiston Lewiston Lisbon CMMG - Central Maine Pediatrics St. Mary's Regional Medical Center - CMMG - Lisbon Family Practice 12 High St, Suite 301 Campus Avenue Family Practice 2 Bisbee Street Lewiston, ME 04240 99 Campus Ave, Suite 301 Lisbon, ME 04250 (207) 295-5730 Lewiston, ME 04240 (207) 353-6721 (207) 777-4440 Pediatric Family Cardiology Family Practice Practice Hamilton, Wade T., Bianconi, Gregory F., Bergeron, Michael, Pediatrics Cogle, Denise M., Burtis, Matija M., Baker, David R., Fairchild, Stephen A., Michaud, Jeff, Hemingway, Diane R., Lisbon Falls St. Mary's Regional Medical Center - Jacobs, Stephen B., Lewiston Medical Associates St. Mary's Regional Medical Center - Lisbon Falls Family Health Center Marsh, Richard J., 106 Campus Avenue 583 Lisbon Road Scholer, Aaron, Lewiston, ME 04240 Lisbon Falls, ME 04252 (207) 755-3383 Tomasi, Torah A., (207) 353-8830 Cardiovascular Pediatric Associates of Lewiston, P.A. Disease Family 33 Mollison Way Practice Baker, Lawrence D., Lewiston, ME 04240 Carter, Phillip, (207) 333-3113 Internal Medicine Mars Hill Pediatrics Halawa, Ahmad, Mars Hill Health Center Glass, George, 106 Maine Street Kennedy, Betty, Glass, Linda, Mars Hill, ME 04758 St. Mary's Regional Medical Center - Loo, Ray Mun, (207) 435-6611 Sabattus Street Internal Medicine Family St. Mary's Regional Medical Center - 963 Sabattus Street Practice B Street Health Center Lewiston, ME 04240 57 Birch Street (207) 755-3222 Olugbemi, Ayodele T, Lewiston, ME 04240 Family Mechanic Falls (207) 513-3850 Practice CMMG - Mechanic Falls Family Family Beeckel, Peter, Practice Center Practice 22 Pleasant Street Internal Panozzo, Shashi, Medicine Mechanic Falls, ME 04256 Nurse (207) 345-9729 Skeik, Nedaa, Practitioner Family St. Mary's Regional Medical Center - Toner, Tracey, Practice St. Mary's Medical Associates St. Mary's Regional Medical Center - 99 Campus Ave Ste 201 Bosma, Thomas J., Dr. Richard Kappelman Lewiston, ME 04240 Short, Christopher, 100 Campus Ave, Suite 203 (207) 777-8810 Monmouth Lewiston, ME 04240 Internal (207) 777-4100 DFD Russell Medical Center - Medicine Monmouth Internal Brown, Anne, 11 Academy Road Medicine Brown, Jeff, Monmouth, ME 04259 Kappelmann, Richard, (207) 524-4001 Gordon, Seth, Family Isaac, Michael J., Practice Singh, Satya, Yindra, John, Lisbon Page 67 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine N. Vassalboro Newport Orono Mid-Maine Internal Medicine Sebasticook Valley Health Family EMMC - Orono Family Medicine 905 Main Street, 905 Main Street Care - Newport 84 Kelly Road N. Vassalboro, ME 04962-0247 8 Main Street Orono, ME 04473 (207) 873-6173 Newport, ME 04953 (207) 866-0550 (207) 368-4292 Internal Family Medicine Internal Practice Medicine Burke, John E., Comstock, Kevyn L., Badeen, Steven J, Smith, Clifton D., Comstock, Kevyn L., North Anson Naples Evans, Heather A., New Horizons Health Care - North Bridgton Hospital Medical Group - Fagles, Nina E., Anson Naples Family Practice 167 Main Street Grimes, Lora, 410 Roosevelt Trail North Anson, ME 04958 Hawkins, Robert S., Naples, ME 04055 (207) 635-2330 (207) 693-6106 Hawkins, Robert S., Family Family Kallen, Dianne, Practice Practice Kallen, Dianne, Garofalo, John, Harpell, Maureen, Rampe, Glenn S., Oakland Wright, Erinn H., Rampe, Glenn S., Newcastle Inland Family Care 74 Water Street Rawcliffe, David J., Lifespan Family Healthcare, LLC Oakland, ME 04963 Rawcliffe, David J., 80 River Road (207) 465-7342 Stewart, Sarah E., Newcastle, ME 04553 Family (207) 563-3366 Stewart, Sarah E., Practice Family Pittsfield Glover, Henry, Practice Sebasticook Valley Health Family Schwingel, Laurel, Clark, Michael H., Care - Pittsfield Old Town Newport 470 Somerset Avenue Helen Hunt Health Center Pittsfield, ME 04967 Newport Family Practice, PA 242 Brunswick Street (207) 487-5154 26 Main Street, Suite 2 Old Town, ME 04468 Family Newport, ME 04953 (207) 945-5247 Practice (207) 368-5747 Family Arceo, Reynaldo A, Family Practice Practice Arceo, Reynaldo A, Cheff, Susan, Baker, John C., Cianchette, Emily B, Elliott, Patricia A., Sitterly, Karl F., Robertson, Cynthia Ria, Kallen, Dianne E, Internal Internal Medicine Kallen, Dianne E, Medicine Armatis, Carol M., Ritter, Christopher, Margolskee, Howard R, Charity, Jennifer A., Orono Nurse Practitioner Sebasticook Valley Health Family EMMC - Orono Family Medicine Millett, Jeffrey Michael, Care - Newport 84 Kelly Road 8 Main Street Orono, ME 04473 Poland Newport, ME 04953 (207) 866-0550 (207) 368-4292 Family Practice

Page 68 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Poland Portland Portland CMMG - Community Health Center InterMed - Marginal Way Internal Martin's Point Health Care (Portland) 364 Maine Street Medicine 331 Veranda Street Poland, ME 04274 84 Marginal Way Portland, ME 04104 (207) 998-2100 Portland, ME 04102 (207) 828-2402 (207) 774-5816 Family Family Practice Internal Practice Medicine Little, Dana W., Connolly, Patrick, Claffey, Thomas F., Raby, Nathan C, Gagne, Tim, Dobieski, Steven T., St. Mary's Regional Medical Center Harper, James, Poland Family Practice Emery, Peter W., Hine, Jennifer, 1230 Main Street Erickson, John E., Poland, ME 04274 Montegut, Alain, Ervin, William C., (207) 998-4483 Pachta, Janet, Fraser, Robert J., Family Schirmer, William, Practice Fuchs-Ertman, Debra, Internal Smith, Douglas, Gordon, Peter T., Medicine Portland Higgins, LeighAnn Ann, Couper, Douglas, Family Medicine Center - Portland King, Sarah R, Shepp, Margaret, 272 Congress Street Ku-ruth, Phyllidia, Pediatrics Portland, ME 04101 Loiselle, Daniel L., MacDonald, Kimberly, (207) 874-2466 Schwemm, Heather N., Vogt, John, Family Practice Smith, Robert P, Presque Isle Belisle, Charles M., Stogsdill, Patricia B., Fort Fairfield Health Center Bouchard, Mark P., Subak-Krah, Sarah E, 140 Academy Street Presque Isle, ME 04769 Cyr, Peggy R., Trowbridge, Nina S, (207) 768-4000 Holt, Christina T., Valenti, August John, Family Rothenberg, Debra A., Zeitlin, James H., Practice Skelton, Ann K., InterMed - Pediatrics Fowler, Daniel, InterMed - Marginal Way Internal 84 Marginal Way, Suite 1000 TAMC Family Practice and Internal Medicine Portland, ME 04102 Medicine 84 Marginal Way (207) 774-4092 23 North St, Suite 4 Portland, ME 04102 Pediatrics Presque Isle, ME 04769 (207) 774-5816 (207) 764-3142 Bennett, Christine A, Internal Family Foster, James C, Medicine Practice Lynch, David W, Barr, Douglas R., Alexander, Bruce D., Ritger, Paul D, Baum, Timothy C., Sweeney, Lance C, Martin's Point Health Care (Portland) Botler, Joel L., Internal 331 Veranda Street Medicine Caldwell, Katherine R, Portland, ME 04104 Sattar, Beena, Carnes, Timothy Dewitt, (207) 828-2402 Sood, Mridula, Cathcart, Charles J., Family Practice Cathcart, Wendy S., Belcher, Matthew, Cekleniak, Julie A, Chappelle, Cathra, Page 69 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maine Presque Isle Skowhegan Topsham TAMC Women's Health Center New Horizons Health Care - Madison CMMG - Topsham Family Practice 140 Academy St Suite 6, Ste 6 344 Lakewood Road 4 Horton Way, Suite 101 Presque Isle, ME 04769 Skowhegan, ME 04976 Topsham, ME 04086 (207) 769-6636 (207) 474-2994 (202) 798-6200 Family Family Family Practice Practice Practice Olugbemi, Ayodele T, Paradis, Loraine, Dechenes, Cynthia J., Midwifery So. Portland Salko, David L, Richard, Lucy C, Intermed - Foden Road Family Practice Turner Rumford 100 Foden Road West, Suite 100 DFD Russell Medical Center - Turner So. Portland, ME 04106 River Valley Internal Medicine 7 South Main St. (207) 874-1488 431 Franklin Street Turner, ME 04282 Rumford, ME 04276 Family (207) 524-4001 Practice (207) 364-7831 Family Buehner, Morgen M, Practice Internal Medicine Gates, Christine L, Huntress, Laurie Ann, Aniel, Albert, Murray Pulsifer, Kristy, Unity DeLuca, Thomas J., Pelletier, Tara Kay, New Horizons Health Care - Unity Ledesma, Jacob A., Staton, Megan A, 80 Main Street Unity, ME 04988 Swift River Family Medicine Southwest Harbor (207) 948-2100 430 Franklin Street Community Health Center Rumford, ME 04276 Family 16 Community Lane (207) 369-0146 Practice Southwest Harbor, ME 04679 Ducker, Gavin, Family (207) 244-5630 Practice Kriegel, Charles, Family Kreckel, Dieter, Practice Nurse Practitioner Kroger, John, Heniser, Michael, Mora, Jennifer, Saco Kuffler, Julian P., Waterville SMMC PrimeCare Physicians Stonington AssociatesΓÇô Saco Family Practice Inland Family Care Blue Hill Memorial Hospital - Island 13 Industrial Park Road, Suite 2 Family Medicine 16 Concourse West Saco, ME 04072 354 Airport Road Waterville, ME 04901 (207) 283-8802 Stonington, ME 04681 (207) 873-1036 Family (207) 374-3961 Family Practice Practice Family Carpentier, Dominique, Practice Bonney, John Kent, Collins, Gregory A., Huff, Robin N., Douglas, James W, Kim, Donna C., Irwin kapsha, Elysia, Keniston-Dubocq, Linda, Kowash, Philip M., Zelnick, Charles J, Sejour, Jodine, Mahoney, Jill D, Topsham Internal Medicine Papura, William A., CMMG - Topsham Family Practice Knausenberger, Roland H, Potyk, Alan W., 4 Horton Way, Suite 101 Topsham, ME 04086 Optometry Raleigh, Mary S., (202) 798-6200 Dwelley, Tara Cl, Rolerson, Mark H.,

Page 70 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maine Maine Maryland Waterville Winthrop Annapolis Inland Hospital - Inland Medical MGHA -Winthrop Pediatric and Annapolis Internal Medicine Associates Adolescent Medicine 116 Defense Highway, Suite 400 174 Kennedy Memorial Drive 149 Maine Street, Suite 1A Annapolis, MD 21401 Waterville, ME 04901 Winthrop, ME 04364 (410) 897-9841 (207) 861-7180 (207) 242-0605 Endocrinology Internal Pediatrics Medicine Mansfield, Carol, Smadja-Gordon, Michele R., Naaz, Uzma, Walsh, Lara, Internal Pillai, Ansi, Medicine Winthrop Family Medicine Waterville Family Practice 149 Main Street, Suite 2A Abraham, Titus C., 13 Railroad Square Winthrop, ME 04364 Freedman, Michael, Waterville, ME 04901 (207) 624-3800 Friend, Joseph N., (207) 873-1181 Family Goldstein, Howard D., Family Practice Practice Groszkowski, Kevin Michael, De Wolfe, Peter, Childs, Susan J., Hamilton, Stephen Clarke, McConnell, Jennifer, Lovitz, Jeffrey M., Milne-Krohn, Courtney Alexandra, Ostrander, James, Phelps, Julie J., Annapolis Primary Care Silver, Kirk E, Westbrook 2002 Medical Parkway, Suite 670 Yarmouth Annapolis, MD 21401 Westbrook Internal Medicine InterMed - Yarmouth Pediatrics (443) 481-1150 1 Harnois Avenue 259 Main Street Family Westbrook, ME 04092 Yarmouth, ME 04096 Practice (207) 662-1340 (207) 846-9602 Canan, Patrick Joseph, Internal Pediatrics Medicine Czapp, Patricia A., Blaisdell, Laura L, Engel, Richard, Eden, Robert S., Peterson, Jeffrey, Hayes, Stephen, McGlone, Andrew Patrick, InterMed Yarmouth Family Practice Medd, Donald J., Sahinci, Semra, 259 Main St. Potomac Physicians, P.A. - Annapolis Sturges, Robert, Yarmouth, ME 04096 Health Center Westbrook Pediatrics (207) 846-8586 2629 Riva Road, Suite 112 1 Harnois Pediatrics Family Annapolis, MD 21401 Westbrook, ME 04092 Practice (410) 266-1000 (207) 662-0735 Aiken, Douglas C, Family Pediatrics Haller, James C., Practice Brewster, Thomas G., Johnson, Wesley D., Adamo, Charles P., Girard, John M., Martin, Stephen S., Amudipe, Olubukola Tokunbo, Ho, Jane S., Patch, J. Scott, Mcgibbon, Karen E, Youth, Brian P., Pierce, Daniel C., Internal Winthrop Medicine Maryland MGHA -Winthrop Pediatric and Hudson, Vicki L., Annapolis Adolescent Medicine Randall, Joseph C, 149 Maine Street, Suite 1A Annapolis Internal Medicine Pediatrics Winthrop, ME 04364 116 Defense Highway, Suite 400 (207) 242-0605 Annapolis, MD 21401 Elsamanoudi, Salwa, Pediatrics (410) 897-9841 Pickering, Olufunke S, Page 71 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Annapolis Baltimore Baltimore Ulmer Family Medicine Jai Medical Center - Hollis Seunarine, Johns Hopkins Community Physicians 2000 Medical Parkway, Suite 605 M.D., P.A. - Monument Street at Wyman Park, Internal Medicine Annapolis, MD 21401 1235 East Monument Street Department (410) 266-5667 Baltimore, MD 21202 3100 Wyman Park Drive (410) 327-5100 Baltimore, MD 21211 Family (410) 338-3421 Practice Internal Medicine Internal Ulmer, Emily, Medicine Scott, Nathan, Arnold Freedman, Amy, Jai Medical Center - Hollis Seunarine, Bay Crossing Family Medicine M.D., P.A. - Park Heights Hairston, Sandra W., 269 Peninsula Farm Rd, Ste F 4340 Park Heights Avenue Hairston, Sandra W., Arnold, MD 21012 Baltimore, MD 21215 Mcguire, Maura J, (410) 518-9808 (410) 542-8130 Mross, Kerrian, Family Pediatrics Practice Patel, Kashiben G., Lwin, Hninzi-thet, Seidel, Ramona Gwen, Patel, Kashiben G., Johns Hopkins Community Physicians Baltimore at Canton Crossing Purcell, Shanta A, Eutaw Medical Center - Hollis 1501 South Clinton Street Purcell, Shanta A, Seunarine, M.D., P.A. Baltimore, MD 21225 Maryland Family Care/Overlea 2425 Eutaw Place (410) 338-3412 Personal Physicians Baltimore, MD 21217 Internal 7602 Belair Road (410) 728-6900 Medicine Baltimore, MD 21236 Ophthalmology Connors, Robert L., (410) 663-8100

Connors, Robert L., Family Chiang, Peter, Practice Schrock, Susan H., Family Health Centers of Baltimore - Martin, Michael D., Cherry Hill Schrock, Susan H., Internal 631 Cherry Hill Road Pediatrics Medicine Baltimore, MD 21225 Cordero-Parrish, Catherine A., (410) 354-2000 Doyle, Timothy G., Cordero-Parrish, Catherine A., Family Ferro, Fernando J., Crocetti, Michael, Practice Kowalewski, Marion C., Johns Hopkins Community Physicians Kane, Erika N, Lieman, Ari M., at Wyman Park, Internal Medicine Shaull, Melissa Anne, Department Lowe, George E., Internal 3100 Wyman Park Drive Peffall, Shawn M., Medicine Baltimore, MD 21211 Zang, Michael D., Higgs-shipman, Francine, (410) 338-3421 MedStar Health Physicians - Adult Internal Siddiqi, Nahid F, Medicine Specialists @ Falls Road Medicine Pediatrics 3730 Falls Road Anjaria, Jayant R, Abbott, Bernard R, Baltimore, MD 21211 Anjaria, Jayant R, Jai Medical Center - Hollis Seunarine, Internal M.D., P.A. - Monument Street Brown, Melva J., Medicine 1235 East Monument Street Brown, Melva J., Fay, Betsy A., Baltimore, MD 21202 Eisenberg, David L., Hennawi, George, (410) 327-5100 Eisenberg, David L., Tawil, Camille, Internal Medicine Freedman, Amy,

Page 72 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Baltimore Baltimore Baltimore MedStar Health Physicians - MedStar MedStar Health Physicians-Franklin MedStar Physician Partners/North Physician Partners @ Metropolitan Square Hospital Center@Family Parkville Health Center Medical Asso.. Health Center 9512 Harford Road, Suite 201 Russell Morgan Bldg., 3rd floor, 5601 Medical Arts Building, Suite 205, 9105 Baltimore, MD 21234-312 Loch Raven Blvd Franklin Square Drive (410) 882-0600 Baltimore, MD 21239-290 Baltimore, MD 21237 Pediatrics (443) 444-5600 Family Yamcek-Meleka, Yvette, Internal Practice Medicine Goodell, Maryellen R, Physician Assistant Frujinoiu, Anca-Magdalena, Gordon, Lauren A, Lipchin, Judith, Khan, Mohammed N, King, Joyce E, MedStar Physician Partners/Wilkens Miller, Edward, Niehoff, John M, Medical Center Mirza, Anisa, Perkins, Karen Elizabeth, 4660 Wilkens Ave., Suite 100 Baltimore, MD 21229-489 Naiman, David, Richie, Emily L, (410) 247-0782 Rajakumar, Susila, Thakur, Netra M, Family Sperling, Carl, Uduhiri, Kelechi A, Practice Tripuraneni, Sireesh, Weiner, Jay S, Kalazny, Barbara, MedStar Health Physicians - MedStar Internal Internal Physician Partners @ Middle River Medicine Medicine Family Practice 107 Beacon Road Rixey, Sallie, Lotlikar, Jeffery, Baltimore, MD 21220-350 MedStar Physician Partners/Medical Walsh, Richard, (410) 686-9019 Center of Dundalk Nurse 1576 Merritt Boulevard, Suite 14 Family Practitioner Practice Baltimore, MD 21222-211 (410) 650-2000 Jones, Jane C., Brown, Danielle L, Family Pediatrics Clowers, Allen F, Practice Chander, Cheruvari S, MedStar Health Physicians - MedStar Krupitzer, Thomas R., Chipchin, Judith, Physician Partners @ Rotunda Pediatrics Internal Potomac Physicians, P.A. - Security 711 West 40th Street, Suite 429 Medicine Health Center Baltimore, MD 21211 Desai, Ujwala V, 4 West Rolling Crossroads, Suite 100 Baltimore, MD 21228 Pediatrics MedStar Physician Partners/North Parkville Health Center (410) 869-0100 Oung, Irene, 9512 Harford Road, Suite 201 Family Wilson-colbert, Elaine V., Baltimore, MD 21234-312 Practice MedStar Health Physicians-Franklin (410) 882-0600 Baldwin, Joy Angela, Square Hospital Center@Family Internal Health Center Thakor, Ruchira, Medicine Medical Arts Building, Suite 205, 9105 Internal Franklin Square Drive Kamal, Shalini, Medicine Baltimore, MD 21237 Weiner, George, Brockington, Mcneal, Family Nurse Onejeme, Chinwuba C., Practice Practitioner Robinson, Ramona L., Cardona, Michelle, Streat, Karen, Trent-Mims, Karen, Deza, Florence V, Pediatrics Pediatrics Dwyer, Michael X, Currin, Julie C, Fuentes, Gloria, Page 73 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Baltimore Baltimore Belcamp Potomac Physicians, P.A. - Security University of Maryland Pediatrics at Johns Hopkins Community Physicians Health Center the Harbor at Water's Edge 4 West Rolling Crossroads, Suite 100 3 East Lee Street 103 Bata Boulevard Baltimore, MD 21228 Baltimore, MD 21202 Belcamp, MD 21017 (410) 869-0100 Pediatrics (410) 338-3412 Pediatrics Feigelman, Susan, Family Practice Surichamorn, Patcharin, Finkelstein, Laura H, Canter, Karen L., Seton Medical Group Gladstein, Jack, 1120 North Rolling Road Canter, Karen L., Jacobs, Howard, Baltimore, MD 21228 Pondek, Steven T., (410) 744-8811 Jacobs, Pamela J, Pondek, Steven T., Internal Johns, Stephanie Lynn, Yang, Howard C., Medicine Keane, Virginia A, Yang, Howard C., Ceasar, Nana O., Kempthorne, Valda J, Internal Cook, IV, Joseph W., Kim, John S, Medicine Durst, George, Lewin, Linda, Birnbaum, Bernhard, Ghiorzi, Thomas J., Parrott, Maureen A, Feeser, Scott A., Levickas, Gregory T., UniversityCare at Edmondson Village Feeser, Scott A., Williams, Kenneth H., 4538 Edmondson Avenue, Suite 8-N-125 Ghosal, Somajita, University of Maryland Department of Baltimore, MD 21229 Pediatrics Family and Community Medicine (410) 328-2273 29 S. Paca St. Family Brown, Vera B., Baltimore, MD 21201 Practice Brown, Vera B., (410) 328-2627 Dixon, Etosha D, Cooper, Marilyn Moshay, Family Esege, Ivara Alistair, Cooper, Marilyn Moshay, Practice Evans, Joyce, Physician Barnet, Beth, Fripp, Natelaine Emmanuelle, Assistant Colgan, Richard, Siegel, Neil Matthew, Monks, Warren Scott, Cothran, Valerie, Wilson, Marc Everton, Berlin Davis, Stephanie Lynn, Belair Berlin Primary Care Feinstein, Sharon Elyse, 10344 Old Ocean City Blvd, Ste B Potomac Physicians, P. A. - Belair Ferentz, Kevin, Berlin, MD 21811 Health Center (410) 728-2905 Ntiri, Shana O, 104 Plumtree Road, Suite 115 Rooks, Yvette Louise, Belair, MD 21014 Family (410) 248-2650 Practice Rose, Vivienne, Internal Conran, Deborah Lynn, Stewart, David L, Medicine Bethesda Warrington, Verlyn, Acevedo-Vila, Jorge J., MedStar Physician Partners/ Bethesda Williams, Mozella, Peters, Maria Jerogea, 6410 rockledge Drive, Suite 401 University of Maryland Pediatrics at Shaughnessy, Craig M., Bethesda, MD 20871-184 the Harbor (301) 897-5001 3 East Lee Street Pediatrics Internal Baltimore, MD 21202 Mabrouk, Fadia, Medicine Pediatrics Tyler, Beverly Ann, Garg, Anjali, El-Kamary, Samer, Belcamp Horwitz, Deborah, Page 74 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Bowie Cumberland Elkton Dobin and Hoeck Internal Medicine Children's Medical Group Union Primary Care 4175 North Hanson Court, Ste 203A 500 Greene Street 111 W. High Street, #318 Bowie, MD 20716 Cumberland, MD 21502 Elkton, MD 21921 (301) 464-9660 (301) 724-7616 (410) 392-2808 Internal Pediatrics Family Medicine Practice Hurtt, Debra B, Dobin, Andrew Scott, Akinkunmi, Lanre Tajudeen, Lazusky, Heather M, Hoeck, Jeffery T, Breslow, Lisa, Levitas, Michael A, Primary Pediatrics - Bowie Breslow, Steven J, Nuber, Susan M, 17001 Science Drive, Suite 116 Ma, Jose, Bowie, MD 20715 Williams, Rodney A, Teal, Cydney, Pediatrics Davidsonville Finksburg Brown, Stephen F., the Pediatric Group - Davidsonville 2772 Rutland Road Family Medical Associates-Finksburg Lu, Mei-Lin, Davidsonville, MD 21035 2970 Dede Road, Suite 4 Werner, Ann S., (443) 607-1033 Finksburg, MD 21048 (410) 861-8960 Camp Springs Nurse MedStar Physician Partners/ Camp Practitioner Family Practice Springs Danielson, Susan, 5801 Allentown Road, Suite 510 Wilson, Victoria V, Lanciano, Kathryn A., Camp Springs, MD 20746-459 Physician Mickler, Alexandra, (301) 899-0020 Assistant Pediatrics Internal Hicks, Beth A, Medicine Graw, Jr., Robert G., Frederick Coronel, Emerson L., O'croinin, Proinnsias, Parkview Medical Group - Rosehill Isaacs, David T., Dunkirk 1564 Opossumtown Pike, B5-11 Wosu, Uchechi N, CIMG Dunkirk Frederick, MD 21702 Crofton 10845 Town Center Blvd, Suite 204 (301) 663-3137 Dunkirk, MD 20754 the Pediatric Group - Crofton Family (410) 535-2000 Practice 2225-E Defense Highway Crofton, MD 21114 Internal Asuncion, Melissa M, Medicine (410) 721-2273 Costello, Michael W, Gallatin, David R, Pediatrics Le, Kimanh T, Gallatin, David R, Aliabadi, Farhad, Lowery, Jason Eric, Judge, Charles A., Davis, Craytonia L., Nguyen, Dung-thu, Judge, Charles A., Gage, Deborah Marie, Potomac Physicians , PA - Frederick Gilliard, Jackie L., Lowenthal, Jonathan D., Health Center 110 Baughmans Lane, Second floor Cumberland Lowenthal, Jonathan D., Frederick, MD 21702 Mendonca, Nayantara, Children's Medical Group (301) 846-0300 Mendonca, Nayantara, 500 Greene Street Internal Cumberland, MD 21502 Moody, Glynis A, Medicine (301) 724-7616 Moody, Glynis A, Brinkley, Susan Barnett, Pediatrics Weigel, John H., Tesfalidet, Azeb, Dawson, Robert J, Weigel, John H., Pediatrics Haworth, Byron A, Page 75 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Frederick Hagerstown Hollywood Potomac Physicians , PA - Frederick Johns Hopkins Community Shah Associates, MD, LLC - PJBean Health Center Physicians - Hagerstown Building 110 Baughmans Lane, Second floor 12916 Conamar Dr., Suite 204 24035 Three Notch Road Frederick, MD 21702 Hagerstown, MD 21742 Hollywood, MD 20636 (301) 846-0300 (410) 338-3504 (301) 373-7900 Pediatrics Family Pediatrics Practice Hsu, Pauline, Fahmi, Fahmi, Blash, Steven J, Rodriguez, Pedro, Lafeer, Mohamed, Janus, Jennifer Cox, Germantown Hunt Valley Mace, Kelly Marie, Family HealthCare GBMC Primary Care at Hunt Valley 20528 Boland Farm Road,, Suite 104 Sharma, Sarita, 9 Shilling Road Germantown, MD 20876 Shranatan, Larry, Hunt Valley, MD 21031 (301) 972-0400 Internal (410) 771-9220 Family Medicine Family Practice Theodoru, Redu M, Practice Howard, Monica J., Nurse Brown, John R, Sadikman, Jesse C., Practitioner Motter-Mast, Robin M, Skurla, Martha C., Haupt, Richard, Internal Medicine Wollman-Rosenwald, Megan, Hancock Lamos, Mark A, Glen Dale Hahn And Nelson Family Medicine 131 N. Pennsylvania Ave Olaru, Andreea, Natural Family Wellness Hancock, MD 21750 12200 Annapolis Rd, Suite #115 Nurse (301) 678-7007 Practitioner Glen Dale, MD 20769 (301) 805-7084 Family Jones, Deborah H, Practice Family Kaczor, Julie Leslie, Hahn, Matthew Abner, Practice Laurel Allen, Vanessa Maria, Nelson, Marilyn MK, MedPeds Glenarden Hollywood 7350 Van Dusen Rd, Suite #130 Gerald Family Care - Glenarden Shah Associates, MD, LLC - PJBean Laurel, MD 20707 7940 Johnson Ave Building (301) 498-8880 Glenarden, MD 20706 24035 Three Notch Road Family Hollywood, MD 20636 Practice Family (301) 373-7900 Practice Jalali, Reema, Family Gerald, Melvin D, Johnson Weaver, Joi, Practice Gerald, Melvin D, Plunkett - Reid, Karen, Gupta, Archana, Marshall, Eric Cornelius, Internal Internal Medicine Williams, Edwin Saxton, Medicine Duncan, Angela, Hagerstown Federle, David, Eaton, Seth R., Johns Hopkins Community Gill, Rajbinder, Physicians - Hagerstown Rosenstock, Jill, Jhaveri, Bhasker, 12916 Conamar Dr., Suite 204 Potomac Physicians, P. A. - Laurel Sajja, Chandra, Hagerstown, MD 21742 Health Center (410) 338-3504 Siddiqui, Shahid, 8871 Gorman Road, Suite 300 Family Pediatrics Laurel, MD 20723 Practice (301) 498-3150 Page 76 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Laurel Millersville North Beach Potomac Physicians, P. A. - Laurel UniversityCare-Shipley's Choice Calvert Primary Care - Twin Beaches Health Center 8601 Veterans Highway, Suite 111 83924 Chesapeake Avenue 8871 Gorman Road, Suite 300 Millersville, MD 21108 North Beach, MD 20714 Laurel, MD 20723 (410) 729-4609 (410) 257-7279 (301) 498-3150 Family Nurse Family Practice Practitioner Practice Cook, Roger Harvey, Pitman, Lacy Twining, Madonna, Susan, Mcloughlin, Kathleen Elizabeth, Oakland Internal Internal Medicine Mountain Laurel Medical Center Medicine 1027 Memorial Drive Mcclain, Timothy P, Middleton, Rebecca Joann, Oakland, MD 21550 Siva, Prema, Mitchellville (301) 533-3300 Warren, William A, Family MedStar Physician Partners - Practice Primary Pediatrics - Laurel Mitchellville 9811 Mallard Drive, Suite 109 12158 Central Ave. Richter, Donald Ray, Laurel, MD 20708 Mitchellville, MD 20721 Nurse (301) 776-8000 (301) 430-2750 Practitioner Pediatrics Internal Friend-Lantz, Rachel, Medicine Anlage, Valorie L., Ocean City DuBoyce, William, Bland, Louis H., Townsend Medical Center Gadsby, Angela L., Mt. Airy 1001 Philadelphia Avenue Ocean City, MD 21811 Lutherville Parkview Medical Group - Mt. Airy 1502 S.Main Street, Suite 202 (410) 289-6241 Green Spring Internal Medicine, LLC Mt. Airy, MD 21771 Family 2360 W Joppa Road, Suite 210 (301) 829-9570 Practice Lutherville, MD 21093 Family Donmoyer, Lorren Michael, (410) 583-2890 Practice Internal Waters, Stephen F, Acol, Jose C, Medicine Owings Milles Griffin, Gail T, Dahlman, Holly Ryerson, MedStar Health Physicians - MedStar Nurse Thaker, Nilay Bhasker, Physician Partners @ Owings Mills Practitioner Myersville 23 Crossroads Drive Suite 325, Owings Milles, MD 21117 Luebehusen, Amy Marie, Parkview Medical Group - Myersville Internal Manchester 3000D Ventrie Court Medicine Myersville, MD 21773 Family Medical Associates- Manchester (301) 293-2549 Okoye, Mercy E., 4175-A Hanover Pike Perry Hall Manchester, MD 21102 Family Practice (410) 239-2662 MedStar Physician Partners/Honeygo Lopez-Warren, Yvette Lopez, Center Family Practice North Beach 5009 Honeygo Center Drive, Suite 216 Perry Hall, MD 21128-981 Eyer, Michael Gale, Calvert Primary Care - Twin Beaches (410) 256-5858 Miller, Wendy Leigh, 83924 Chesapeake Avenue Internal North Beach, MD 20714 Millersville Medicine (410) 257-7279 Cool, Jeffrey A, Nurse Practitioner Kats, Inna,

Page 77 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Perry Hall Prince Frederick Severna Park MedStar Physician Partners/Honeygo Shah Associates, MD, LLC - Calvert the Pediatric Group - Severna Park Center Site 692-A Ritchie Highway 5009 Honeygo Center Drive, Suite 216 130 Hospital Road, St 300 Severna Park, MD 21146 Perry Hall, MD 21128-981 Prince Frederick, MD 20678 (410) 721-2273 (410) 256-5858 Internal Nurse Internal Medicine Practitioner Medicine Munshi, Anwar, Forsyth, Carol D., Speight, Lisa, Shah, Dhiren, Pediatrics Prince Frederick Reisterstown Gibson, Robert G., Calvert Primary Care - Calvert Family Medical Associates- Silver Spring Convenient Care Reisterstown Comprehensive Women's Health 130 Hospital Road, Suite 201 113 Westminster Road, Suite 101 2101 Medical Park Drive, #300E Prince Frederick, MD 20678 Reisterstown, MD 21136 Silver Spring, MD 20902 (410) 535-5660 (410) 517-2840 (301) 754-2222 Family Family Practice Practice Internal Medicine Bruney, Francisca Claudia, Wilson, Victoria V, Marshall, Angela Michelle, Nurse Rising Sun Practitioner MedStar Physician Partners - Silver (Joseph K. Weidner, Jr. MD L.L.C. Spring Pitman, Lacy Twining, dba) Stone Run Family Medicine 10301 Georgia Avenue, Medical Park CIMG Prince Frederick 101 Colonial Way, Suite A West, Suite 301 110 Hospital Road, Suite 310 Rising Sun, MD 21911 Silver Spring, MD 20902-5020 Prince Frederick, MD 20678 (410) 658-6696 Internal (410) 535-2005 Family Medicine Practice Internal Bisk, Penny L., Medicine Steiner, Stefanie Margit, Dhar, Anjana M., Gallatin, David R, Weidner, Joseph Kern, Saavedra, Martha S., Gallatin, David R, Rockville Primary Pediatrics - Silver Spring Judge, Charles A., Johns Hopkins Community Physicians - 2415 Musgrove Road, Suite 207 Judge, Charles A., Montgomery County Silver Spring, MD 20904 14955 Shady Grove Road Lowenthal, Jonathan D., Pediatrics Rockville, MD 20850 Lowenthal, Jonathan D., (410) 338-3504 Abhyank, Sewapna, Mendonca, Nayantara, Family Anderson, Inas M., Mendonca, Nayantara, Practice Nguyen, My-Huong, Moody, Glynis A, Jafri, Ayesha, Solomons Moody, Glynis A, Joel, Malini K, Calvert Primary Care - Solomons Weigel, John H., Jordan shaffer, Caitlin Stetson, 14090 H.G. Trueman Road, Suite 2100 Weigel, John H., Okuwobi, Obafemi, Solomons, MD 20688 (410) 394-3712 Shah Associates, MD, LLC - Calvert Internal Site Medicine Family Practice 130 Hospital Road, St 300 Gnatt, Michael, Prince Frederick, MD 20678 Villar, Kenneth S, Linares, Veronica L, Internal Internal Medicine Mehta, Urvi M, Medicine Guduri, Vijaya, Reitman, Lori L, Kodali, Leena R., Page 78 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Maryland Maryland Maryland Solomons Waldorf Westminster CIMG Solomons Cambridge Pediatrics, LLC Johnston Family Medicine 14090 H.G. Trueman Road,, Suite 2500 3500 Old Washington Road, Suite 101 444 WMC Drive, Suite 114 Solomons, MD 20688 Waldorf, MD 20602-3205 Westminster, MD 21158 (410) 535-2005 (301) 645-1133 (410) 751-6684 Infectious Pediatrics Family Disease Practice Smith, Nicole, Pomilla, Paul V, Johnston, Kimberly A, Patient First - Waldorf Internal 2855 Crain Highway Nurse Medicine Waldorf, MD 20601 Practitioner Angov, Nadia, (240) 427-1926 Baugher, Vicky, Barth, III, Joseph John, Family Brady, Simone H, Practice Berg, Eric, Martin, Amy Arbaugh, Chapman, Corry, Berg, Eric, Orlando-hart, Renee J, Gross, Dhimitri, Thurmont Massachusetts Jackson, Frank R., WellSpan Medical Group - Thurmont Acton Family Medicine Lam, Phi, Acton Medical Associates, PC Thurmont Professional Center, 48 Mcdonald, Asia Tshane, Water Street 321 Main Street Thurmont, MD 21788 Moghadam, Faranak E., Acton, MA 01720 (978) 263-1425 Family Stoner, Melissa, Practice Suri, Rohit, Internal Medicine Cooper, Brad J, Tastet, Heidi, Aggarwal, Sapna, Nair, Smitha, Wilson, Paul Michael, Churchill, Amy S., Timonium Internal Medicine DeMartino, Peter J., Potomac Physicians, P. A. - Timonium Medical Center Childress, III, Lorenzo, Eliezer, Caren B., 16 Greenmeadow Drive, Suite G105 Dave, Harish, Girolamo, Allessandro A., Timonium, MD 21093 Shah Associates, MD, LLC - Waldorf Gorman, Ingrid L., (410) 561-5773 Site Knights, Edwin B., Family 12070 Old Line Center, suite 100 Kovacs, Deborah B., Practice Waldorf, MD 20602 Raucher, Leonard, (301) 705-7870 Oh, Kathryn K., Waldorf Internal Paparello, Scott P., Medicine Cambridge Pediatrics, LLC Rodman, Mariellen T., 3500 Old Washington Road, Suite 101 Castrence, Arnel C, Steger, Elliot F., Waldorf, MD 20602-3205 Davison, Robert Langdon, Talland, Claudia S., (301) 645-1133 Haft, Howard Mark, Pediatrics Nurse Smith, Meindert, Practitioner Cohen, Mark W., Westminster Landrum-tsu, Cynthia, Cooper, Christopher P., Johnston Family Medicine Pediatrics Davis Werner, Margaret D., 444 WMC Drive, Suite 114 Iannini, Alexandra L., Abney, Dianna E, Westminster, MD 21158 Campbell, Cynthia Heather, (410) 751-6684 Jakimczyk, John J., Farooqui, Sayeed, Family Rubinstein, Jessica R., Practice Shah, Minaxi N, Simon, Deborah E., Page 79 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Acton Attleboro Attleboro Acton Medical Associates, PC Sturdy Memorial Associates - Attleboro Sturdy Memorial Associates - Sturdy 321 Main Street Medical Associates - 19 Pediatric Associates Acton, MA 01720 19 Sturdy Street 303 North Main Street (978) 263-1425 Attleboro, MA 02703 Attleboro, MA 02703 (508) 236-8370 (508) 222-3960 Pediatrics Internal Pediatrics Travassos, Michelle L., Medicine Dunetz, Danielle, Amherst Johnson, Peter B., Germain, Bradford S, Katherine Atkinson MD, PC Loew, Matthew Justin, 29D Cottage Street Guillette, Raymond A., Siddall-bensson, Jean M., Amherst, MA 01002 Latif, Shazia, Sturdy Memorial Associates - Attleboro (413) 549-8400 Marino, Kathryn, Medical Associates - 28 Family 28 Sturdy Street Auburn Practice Attleboro, MA 02703 Reliant Medical Group - Auburn Atkinson, Katherine J, (508) 236-8360 Internal Medicine Baecher, Paul S, Internal 35 Millbury Street Valley Medical Group - Amherst Medicine Auburn, MA 01501 31 Hall Drive Barrera, Noellemarie, Family Amherst, MA 01002 Practice Bensson, Steven A, (413) 256-8561 Ali, Syed Shujaat, Tucker, Glenn Alan, Endocrinology Internal Sturdy Memorial Associates - Emory Medicine Medical Associates Chipkin, Stuart R., 159 Pleasant Street Gaines, William M, Family Attleboro, MA 02703 Guilbert, Daniel B, Practice (508) 226-0213 Gurwitz, Jerry H, Jackson, Rebecca, Internal Murthy, P Ramana, Midler, Ross S., Medicine Osorio, Natalie G, Schiller, Harvey Jon, Watson, Erik N., Platt, John C, Weeber, III, Charles H., Sturdy Memorial Associates - Pleasant Street Pediatrics Rogerson, Oksana, Internal 159 Pleasant Street Medicine Belchertown Attleboro, MA 02703 Furcolo, Tina L., (508) 223-2474 Baystate Medical Practices - Quabbin Adult Medicine Belchertown Proctor, Lauren T., Pediatrics 95 Sargent Street, Rt. 9 Scott, Tatiana N., Berard, Dennis J., Belchertown, MA 01007 (413) 323-7212 Podiatry Thomson, Jennifer K., Internal Erskine, John B., Sturdy Memorial Associates - South Medicine Attleboro Avenue Pediatrics 28 South Avenue Beauzile, Ronald, Sturdy Memorial Associates - Attleboro Medical Associates - 19 Attleboro, MA 02703 Garg, Anuja, (508) 226-2290 19 Sturdy Street Lysse, Mario, Attleboro, MA 02703 Pediatrics Boston (508) 236-8370 Entwistle, Raymond, Internal Medicine Gottesman, Cheryl S.,

Page 80 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Boston Boston Braintree Harvard Vanguard Medical Harvard Vanguard Medical Harvard Vanguard Medical Associates - Faulkner Associates - Post Office Square Associates - Braintree 1153 Centre Street 147 Milk Street 111 Grossman Drive Boston, MA 02130-3446 Boston, MA 02169-4330 Braintree, MA 02184-4998 (617) 559-8383 (617) 559-8386 (781) 849-1000 Internal Endocrinology, Diabetes & Internal Medicine Metabolism Medicine Copello, Maria V., Herman, Talia N., Bhatia, Lini S., Lauretti, Linda A., Internal Heyworth, Leonie, Medicine Mccord, Laura L., Holmes, George W., Diamond, Eric N., Nekhlyudov, Larissa G., Isihara, Hikaru, Georgia Estrera, Chloeanne, Harvard Vanguard Medical Kelly, Sara F., Associates - Kenmore Hunt, Helen M., Qureshi, Mahmooda, 133 Brookline Avenue Kaufman, Julie, Boston, MA 02215-3904 Radden, Nancy F., Krieger, David B, (617) 421-1000 Reel, Ross C., Leong, Deborah Wonwah, Internal Reis, Paula J., Medicine Ramchandani, Shirly Hashumal, Romano, Elisa L., Baumwoll, Robert E, Uhlmann, Angelique T., Sawitz, Eric H., Camac-weiser, Joyce M, Yoffe, Patty M., Shkuratov, Svetlana, Campion, Francis X., Senior Health, Massachusetts General Thomas, Holly M., Hospital Carbonara, Pascale, 165 Cambridge Street, 502 Brewster Cohen, Calvin J., Boston, MA 02114 Theodor Herwig MD, PC Foxworthy, Donald M., (617) 726-4607 1 Independence Way Garland, James L, Geriatric Medicine/Family Brewster, MA 02631 Practice Koplan, Kate E., (508) 896-0050 Wong, Monera B., Lee, Jae Yong, Family Geriatric Medicine/Internal Practice Pennoyer, Hildred B., Medicine Herwig, Theodor Thomas, Racine, Susan M., Bauman, Joel Scott, Burlington Roseto, James P., Hesse, Katherine A., Harvard Vanguard Medical Seetharaman, Kavita, Internal Associates - Burlington Sequist, Thomas D., Medicine 20 Wall Street Burlington, MA 01803-4758 Spar, Ellen, Hamann, Claus, (617) 559-8377 Sridhar, Shanthy, Minaker, Kenneth Lloyd, General Tapp, Sheila E., Braintree Practice Tharayil, Mary, Harvard Vanguard Medical Ohanian, Irina Gabriela, Associates - Braintree Tramposch, Helen D, Internal 111 Grossman Drive Medicine Weiser, Gary A., Braintree, MA 02184-4998 Zuckerman, Carol J., (781) 849-1000 Dandamudi, Saroja, Family Wong, Edward R., Practice Cambridge Odegaard, Mary E.,

Page 81 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Cambridge Concord Dorchester Harvard Vanguard Medical Harvard Vanguard Medical Bowdoin Street Health Center Associates - Cambridge Associates - Concord 230 Bowdoin Street 1611 Cambridge Street 242 Baker Avenue Dorchester, MA 02122 Cambridge, MA 02138-4397 Concord, MA 01742-2188 (617) 754-0098 (617) 661-5500 (617) 559-8386 Family Internal Internal Practice Medicine Medicine Anderson, Barbara L, Atkind, Robert G, Gomez, Monica, Phan, An K, Brush, Alan D., Jain, Sandeep, Internal Canty, Leann R., Jiang, Lei, Medicine Johnson, Mary E, Kramer, Melvyn W., Alves, Jean J, Khan, Bushra, Kwon, Ronald C., Bidwell, Harvey W, Lennox, Sara L., Lopez, Anthony P., Ingelfinger, Joseph A, Mathews, Rashika S., Peters, Barbara T., Leddy, Giovanna M., Moawad elnaa, Mahmoud Ahmed, Roomi, Noor A., Pediatrics Selim, Alfredo J., Schwab, Leslie E., Bonacci, Anthony F, Zorn, Joseph B., Tilles, Dan S., Delgado, Hernan M, Chelmsford Tong, Ya tze, Harbor Health Services Inc. - Geiger- Gibson Community Health Center Harvard Vanguard Medical Zifcak, Sarah B., 250 Mt. Vernon Street Associates - Chelmsford Dedham Dorchester, MA 02125 228 Billerica Road (617) 288-1140 Chelmsford, MA 01824-3680 Dedham Medical Associates - Dedham (978) 250-6000 One Lyons Street Family Dedham, MA 02026 Practice Internal (781) 329-1400 Medicine Kumar, Meenakshi B., Cardiovascular DaSilva, Karen C., Nowak, Elizabeth, Disease Drake, Milton A., Nurse Lee, Daniel C-s, Practitioner Gupta, Raj R., Internal Fraser, Dawn Anu, Konkle, Rebecca L., Medicine Rosenfield, Patti, Lee, Wen Yee, Barr, Connie S, Pediatrics Meda, Mythily, Blom, David G, Gustafson, Paul, Montaperto, Patricia A., Chatterjee, Nobita, Harbor Health Services Inc. - Neponse Morgenstern, Steven A, Forman, Jonathan S., Health Center Nemkov, Melvin, Gopinath, Sreelekha, 398 Neponset Avenue Samardzic, Danka, Johnston, Jehane C, Dorchester, MA 02122 (617) 282-3200 Satyam, Venkata G., Kirstein, Randy J, Family Sivasankar, Lakshmi, Miller, Michael S, Practice Wei, Christina L, Querner, Michael J, Chunduru, Padmavathy P., Concord Tarnell, Elizabeth B, Schiermer, Donald C., Tarnell, Laurie A, Tsai, Elly C., Wu, Regina, Internal Dorchester Medicine

Page 82 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Dorchester Easthampton Foxboro Harbor Health Services Inc. - Neponset Valley Medical Group - Easthampton Sturdy Memorial Associates - Foxboro Health Center 238 Northampton Street Center for Women's & Family Health 398 Neponset Avenue Easthampton, MA 01027 18 Washington Street Dorchester, MA 02122 (413) 529-9300 Foxboro, MA 02035 (617) 282-3200 (508) 698-0044 Family Internal Practice Family Medicine Practice Feinland, Jerald, Baer, Phyllis B, Hemmingsen, Karin Janet, Lopez del Castillo, Kharmen, Nurse Wulf Silver, Rachel, Perry, Ylfa Y., Practitioner Framingham Internal Branson, Edward H., Medicine Southboro Medical of Framingham Dellheim, Miriam, Slack, David M., 761 Worcester Road Desir, Charmaine Hyacinth, Framingham, MA 01504-5224 Fitchburg Foley, Allison R., Family Reliant Medical Group - Fitchburg Practice Lay, Sarah, Family Practice Buchanan, Stephen S, Lipson, Sonia, 370 Lunenburg Street Fitchburg, MA 01420 Martin, Meredith Ann, Morgan, Ann Marie, Family Internal Oesterle, Allison G., Practice Medicine Roberts, John R., Parker, William J, Bolkhovsky, Alla, Schroder, Lauren A., Rollo, Mark J, Chen, Linyun, Schuster, Pamela M., Snioch, Agnieszka B, Cooper, Michael A., Pediatrics Florence Correia, Christian A, Hoch, Robert A., Valley Medical Group-Florence Nurnberger, Matthias M, Morris, Dianne, Northampton Health Center, 70 Main Greenfield Nutt, Ann T., Street Florence, MA 01062 Baystate Medical Practices - Franklin Duxbury Adult Medicine (413) 586-8400 48 Sanderson Street Ulrike Kohler MD Family Greenfield, MA 01301 95 Tremont Street, Suite 10 Practice (413) 794-4232 Duxbury, MA 02332 Esrick, Steven B., (781) 934-0060 Family Kaufman, David M., Practice Internal Medicine Kilip, Shersten, Rourke, Sara A, Kohler, Ulrike B, Simkin, Henry Eric, Internal Medicine East Longmeadow Thaler, Paul Steven, Odulio, Rosette Perseveranda O, Baystate Medical Practices - East Psychiatry, Child & Longmeadow Adult Medicine Adolescent Randhawa, Sanjeevan, 294 North Main St, 2nd Floor Kriebel, Jr., George W., Thomas, Deepu Alex, East Longmeadow, MA 01028 McCarthy-Lenz, Justine S., Baystate Medical Practices - Greenfiel (413) 794-3002 Pediatrics - Greenfield Foxboro Internal 48 Sanderson Street Medicine Sturdy Memorial Associates - Foxboro Greenfield, MA 01301 Center for Women's & Family Health Barnett, Scott M., Pediatrics 18 Washington Street Dash, Cary M, Foxboro, MA 02035 Copeland, Herbert W, Shoushtari, Niloufar, (508) 698-0044 Page 83 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Greenfield Hyannis Lawrence Baystate Medical Practices - Greenfield Harbor Health Services Inc. - Mid GLFHC - Haverhill Street Pediatrics - Greenfield Upper Cape Community Health Center 34 Haverhill Street 48 Sanderson Street 30 Elm Avenue Lawrence, MA 01841-2884 Greenfield, MA 01301 Hyannis, MA 02601 (978) 686-0090 (508) 778-0300 Pediatrics Family Fernandez, Bert, Family Practice Practice Roberts, Hugh D, Gravel, Joseph W, Pena, Kathy M., Sola-gomez, Orlando J, Meyers, James A, Internal Roberts, Blair Cooke, Valley Medical Group - Greenfield Medicine 329 Conway Street General Parnes, Mindy M., Greenfield, MA 01301 Practice Nurse (413) 774-6301 Bolduc, Philip Joseph, Practitioner Family Obstetrics & Crabtree, Marjorie M., Practice Gynecology Mathews, Tina, Biggie, Jessica M., Rottman, Joey, Tucker, Patricia Louise, Gump, Marguerite C., Surgery, General Iverson, Patricia A., Pediatrics Vascular Palmer, Jeffrey P., Lacy, Steven J., Gordon, Jonathan K, Potee, Ruth A., Kingston GLFHC - South 73D Winthrop Avenue Internal South Shore Medical Center - Kingston Lawrence, MA 01843-1556 Medicine 5 Tarklin Road (978) 686-3017 Carlan, Paul D., Kingston, MA 02364 (781) 261-4783 Family Futrell, Tara D., Practice Internal Rheumatology Medicine Krueger, John Paul,

Castiglione, Thomas F, Krueger, John Paul, Brown, Richard A., Castiglione, Thomas F, Spires, Ann B, Holden Linscott, Mara K, Psychiatry Reliant Medical Group - Holden Geller, Jeffrey S, Family Practice Linscott, Mara K, 27 Shrewsbury Street Metzger, Jonathan P, GLFHC - West Holden, MA 01520 Metzger, Jonathan P, 700 Essex Street Lawrence, MA 01841-4398 Family Murphy, Sarah G, Practice (978) 689-2400 Murphy, Sarah G, Alexander, Rani, Family Lawrence Practice Ali, Asjad Mahmood, GLFHC - Haverhill Street Glatz, Richard M., Benjevin, Elizabeth M, 34 Haverhill Street Leominster Mathur, Monika, Lawrence, MA 01841-2884 Reliant Medical Group - Leominster Smith, Stephen J, (978) 686-0090 Family Practice Hyannis Emergency 165 Mill Street Medicine Leominster, MA 01453 Harbor Health Services Inc. - Mid Upper Cape Community Health Center Fennell, Elton G., (978) 466-3208 30 Elm Avenue Family Family Hyannis, MA 02601 Practice Practice (508) 778-0300 DeGuzman, Dorothy, Langman, Anna,

Page 84 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Leominster Medford Millbury Reliant Medical Group - Leominster Harvard Vanguard Medical Reliant Medical Group - Millbury Family Practice Associates - Medford Internal Medicine 165 Mill Street 26 City Hall 94 Elm Street Leominster, MA 01453 Medford, MA 02155 Millbury, MA 01527 (978) 466-3208 (617) 559-8386 Internal Family Internal Medicine Practice Medicine Cavanaugh, Robert J, Parker, William J, D'Ambrosio, Giovanni A., Dilley, S patricia, Schneeweis, John R, Feiss, Paul J., Jain, Preeti, Veno, Daniel A, Geary, Amanda K., Naravane, Seema, Reliant Medical Group - Leominster Hirsowitz, Geoffrey S., Milton Internal Medicine Lopez, Richard J., 165 Mill Street William E Cobb, MD Leominster, MA 01453 McFadden, Caroline A., 100 Highalnd Street, Suite 209 Milton, MA 02186 Family Nagpaul, Chander M., (617) 698-8184 Practice Paskal, Steven W., Farb, Perry G, Endocrinology Perla, Rachel A., Internal Plovnick, Herbert S., Medicine Cobb, William E, Schilling, Thad F., Hryniewich, Mark, North Attleboro Virmani, Anjini, Munoz, Myria, Sturdy Memorial Associates - North Warner, Cheryl K., Attleboro Medical Center Longmeadow Zaimoglu, Candan, 170 Draper Avenue Pioneer Valley Pediatrics North Attleboro, MA 02760 Pediatrics 123 Dwight Road (508) 695-9421 Almasri, Wedad, Longmeadow, MA 01106 Family (413) 567-1031 Furth, Thomas W., Practice Pediatrics Pert, James C., Benitez, Jose Luis, Camera, Karen, Schwaner, Janet L., Bowie, Lisa D., Ginsburg, Sally H, Urology Kajencki, S. Paul, Tapper, Judith E, Ku, James C., Rana, Ahmad M, Tredeau, Richard J, Milford Young, Mark R., Yunis, Joseph E, Reliant Medical Group - Milford Northampton Internal Medicine Medford Baystate Medical Practices - Pioneer 176 West Street Valley Family Medicine Harvard Vanguard Medical Milford, MA 01757 Associates - Medford 118 Conz Street 26 City Hall Internal Northampton, MA 01060 Medford, MA 02155 Medicine (413) 387-4100 (617) 559-8386 Bhat, Abdul R, Family Practice Gastroenterology Sanjay, Brinda,

Trotter, Wayne D, Duncan, Joyce E., Kemp, James Alan, Millbury Garretson, Adam D., Michaelson, Ira P., Katz, David E., Reliant Medical Group - Millbury Internal Internal Medicine Silverman, Stephanie D., Medicine 94 Elm Street Yoss, Marci S., Cacciola, James G., Millbury, MA 01527 Page 85 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Northampton Norwood Plainville Baystate Medical Practices - Pioneer Dedham Medical Associates - Norwood Sturdy Memorial Associates - Plainvil Valley Family Medicine 325 River Ridge Drive Family Practice 118 Conz Street Norwood, MA 02620 74 Taunton Street Northampton, MA 01060 (781) 329-1400 Plainville, MA 02762 (413) 387-4100 (508) 695-2020 Internal Internal Medicine Family Medicine Practice Anderson, Sung K, Lederman, Harvey M., Oakley, Bernard E., Birnbaum, Neil S, Norton Phillips, Bruce A., Brody, Jill S, Pleasants, Peter L., Sturdy Memorial Associates - Norton Kim, Marilyn S, Medical Center Plymouth 14 Taunton Avenue Perman, Scott R, Norton, MA 02766 Wahid, Naila, Raafat Attia Hanna MD, PC (508) 285-9500 110 Long Pond Road, Suite 110 Osterville Plymouth, MA 02360 Family Mark Collins, MD (508) 747-0041 Practice 10 Osterville-West Barnstable Road Internal Mallick, Rajani K, Osterville, MA 02655 Medicine Zullo, Mark C., Internal Attia-hanna, Raafat I, Norwell Medicine Sergio M.Camargo, MD South Shore Medical Center - Norwell Collins, Mark, 100 Long Pond Road, Suite 205 75 Washington Street Peabody Plymouth, MA 02360 Norwell, MA 02061 Harvard Vanguard Medical Internal (781) 878-5200 Associates - Peabody Lynnfield Medicine Family 2 Essex Center Drive Camargo, Sergio, Practice Peabody, MA 01960 Quincy Corkins, Scott P., (978) 977-4000 Eric Cohen, MD Miner, Teri L., Internal Medicine 67 Coddington Street O'Connell, Sarah J., Quincy, MA 02169 Austin, Leonard N., Ryan, Benjamin C., Internal Boyd, William F., Shtern, Marina, Medicine Brown, James F., Internal Cohen, Eric R, Medicine Caldwell, Karen Elizabeth, Granite Medical Group Barbosa, Anna A., Cunningham, Mary E., 500 Congress Street Quincy, MA 02169 Gordon, Pamela G., Enneguess, Jeanne M., (617) 471-0033 Halle, David A., Francis, Amy, Cardiovascular Mellors, Jr., Robert C., Gates, Sarah C., Disease Mudgett, Michele K., Haley, Eileen C., Berman, Neil J, Nuciforo, Sara J., Kontamwar, Mridul, Noonan, Robert H, Smith, Gregory J., Mazzoni, Cynthia L., Internal Turner, John L., Odiet, Jeff A., Medicine Norwood O'Neil-Callahan, Kristin M., Berrick, Alan, Raizin, Mark D., Black, Richard, Saltzman, Stephen J., Cullinane, Cynthia, Shmase, Frederic S, Drew, Nancy, Page 86 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Quincy Rehoboth S Boston Granite Medical Group Sturdy Memorial Associates - Rehoboth South Boston Community Heatlh 500 Congress Street Seekonk Medical Center Center Quincy, MA 02169 538 Winthrop Street 409 W Broadway (617) 471-0033 Rehoboth, MA 02769 S Boston, MA 02127 (508) 336-9200 (617) 464-7545 Internal Medicine Family Internal Practice Medicine Einstein, Kenneth, Kambe, Arbetta M., Cattel, Pamela, Farah, Walid S, Internal Kalish, Richard, Goldin, Dennis, Medicine Lin, Suru, Hoernle, Nils R, Douglas, Megan P., Mehssen, Mohamed Azzam, Khan, Saima S, Revere Reinhold, Lars E, Pressberg, Robert, CHA Revere Family Health Center Saxena, Sheel, Salzman, Robert, 454 Broadway Nurse Schwartz, Charles, Revere, MA 02151 Practitioner (781) 485-8220 Sheff, Daniel, Daley, Megan, Family Sipzener, Robert, Practice Marshall, Alison, Spinelli, Guy, Engelbart, Bonnie L, Pediatrics Weinberg, Robert M, Hsiao, Leal, Fitzgerald, Virginia, Harvard Vanguard Medical Internal Schuch, Thomas J, Associates - Quincy Medicine Presidents Place -- South Tower, 1250 Thakrar, Nisha, Carman, Laura, Hancock Street Sandwich Quincy, MA 02169-4330 Jorgensen, Andrew C, (617) 774-0600 Ramon Espinosa MD, PC Karalakulasingam, Christanthe Jasmine, 90 Route 6-A, Bldg. #5 Sextant Hill Critical Care Littlefield, Megan B, Sandwich, MA 02563 Medicine (508) 833-1569 Roll, David M, Lawrence, Sheila M., Internal Stout, Somava S, Internal Medicine Medicine Pediatrics Espinosa, Ramon, Kuang, Qiao Ting, Finger, Lenna F, Somerville Lin, Chien H., S Boston CHA Union Square Family Health Mani, Obli Chetty maragatha, South Boston Community Heatlh 337 Somerville Ave. Matfis, Steven B., Center Somerville, MA 02143 409 W Broadway Moss, Martha E., (617) 665-3370 S Boston, MA 02127 Family Tsang, So-Fai, (617) 464-7545 Practice Rehoboth Family Burns, Jonathan E., Practice Sturdy Memorial Associates - Rehoboth Cohen, Bonnie F., Seekonk Medical Center Bakshi, Munish Rai, Demasi, Monica H., 538 Winthrop Street Chiakpo, Evelyne N, Rehoboth, MA 02769 Hall, Lara E., (508) 336-9200 Goldman, Laura N, Meisinger, Kristen K., Hines, Thomas C, Family Sabia, Patrick M., Practice Kaligian, Aram V, Shah, Neha M., Frank, Steven, Miselis, Heather H,

Page 87 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Somerville Southboro Springfield CHA Union Square Family Health Southboro Medical Group Baystate Brightwood Health Center 337 Somerville Ave. 24 Newton Street 380 Plainfield Street Somerville, MA 02143 Southboro, MA 01772-1215 Springfield, MA 01107 (617) 665-3370 (508) 460-3033 Internal Family Family Medicine Practice Practice Goldfield, Norbert I, Siegel, Rachel, Harris, Tammy C., Guhn, Audrey S, Subbarao, Susheela L., Internal Lincoln, Thomas A, Medicine Wheeler, Rachel, Rivera-rivera, Hilda, Atlassi, Hassna, Harvard Vanguard Medical Scavron, Jeffrey H, Associates - Somerville Bean, Matthew John, Vongoeler, Dorothea S, 40 Holland Street Buckman, Kimberly Renee, Somerville, MA 02144-2705 Pediatrics Chau, Frank, (617) 629-6000 London, Naomi D, Crowe, Daniel, Internal Baystate General Pediatrics Medicine Howe, James E, 3300 Main Street, Suite 4A Angel, Andrew R., Jandl, Robert C., Springfield, MA 01105 Berger, Rachel J., Mahr, Melissa Robbins, Pediatrics Hobbs, Eleanor T., Mirzabegian, Armineh, Branch, Hilary, Liu, James C., Rodberg, Nadia, Gerstle, Robert S., Matei, Manuela C., Spencer Levine, Gary F., Padro, Silvina B, Reliant Medical Group - Spencer O'reilly, John R., Slavsky, Tatiana, 407 Main Street Wittcopp, Chrystal Ann, Spencer, MA 01562 South Hadley Baystate Medical Practices - Northern Internal Edge Adult Medicine Baystate Medical Practices - South Medicine Hadley Adult Medicine 3455 Main Street, Suite 6 470 Granby Road, Suite 1 Batbouta, John C, Springfield, MA 01107 South Hadley, MA 01075 Bou-harb, Talal J, (413) 794-8777 (413) 533-2926 Fillipon, Nicholas G, Internal Medicine Family Sama, Ralph J, Practice Bhatt, Ritika, Springfield Bartley, Mary M., Boss, Eugene F., Baystate Brightwood Health Center Internal Cossin, Jeffrey R., Medicine 380 Plainfield Street Springfield, MA 01107 Iyer, Smitha S., Abare, Nathan J., Family Salazar, Rodrigo G., Fay, Andrew K., Practice Springfield Medical Associates Krulewitz, Arthur H., Gerstle, Katherine S, 2150 Main Street Southboro Goncero, Grace Dorotan, Springfield, MA 01107 (413) 739-5676 Southboro Medical Group Kassis, Peter B, 24 Newton Street Family Nathan, Martha A, Southboro, MA 01772-1215 Practice (508) 460-3033 Plasencia, Veronica, Cheung, Sheri D., Family Torres-muniz, Noraymar, Moskovitz, Andrew G., Practice Internal Internal Dorfman, Justin Nathaniel, Medicine Medicine Page 88 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts Springfield Ware Wellesley Springfield Medical Associates Baystate Medical Practices - Quabbin Harvard Vanguard Medical 2150 Main Street Pediatrics Associates - Wellesley Springfield, MA 01107 83 South Street, Suite 112 230 Worcester Street (413) 739-5676 Ware, MA 01082 Wellesley, MA 02481-5491 (781) 431-5400 Internal Pediatrics Medicine Nagpal, Kirti, Internal Medicine Cameron, Sandra D., Siege, Scott A, Barker, Mary K., Cook, Victoria L., Tokarz, Jeannette M, Britton, Peter C., Wychowski, Adam G., Watertown Brogan, Mary Jean, Valley Medical Associates Harvard Vanguard Medical Burd, Carol A., 3640 Main St., Suite 207 Associates - Watertown Springfield, MA 01107 485 Arsenal Street Gorenburg, Ida P., (413) 739-0669 Watertown, MA 02472-5091 Hill, Rebecca J., Emergency (617) 972-5400 Ingard, John U., Medicine Internal Kim, Mun R., D'alessandro, Michael, Medicine Klaus, Katrina E., Internal Bail, Richard N., Medicine Bauer, Mark R., Krohn, David I., Glading-Dilorenzo, Lise Ann, Galgano, Richard C., Rubin, David B, Pediatrics Kim, Joo Y., Tracy, Charles A., Cennerazzo, Albert J, Meltzer, Jack N, Vishniavsky, Nahum, Turners Falls Mundhe, Ranjana R., Wahi, Madhu A., Connecticut River Internists,LLP Shokri, Jahansouz, Wilkinson, Joanne M., 8 Burnham Street St-Goar, Anne F, West Suburban Internists, PC Turners Falls, MA 01376 65 Walnut Street, Suite 619 Wagner, Audrey Susan, (413) 774-3751 Wellesley, MA 02481 Internal Webster (781) 237-3395 Medicine Reliant Medical Group - Webster Internal Blacksin, Adam Scott, Internal Medicine Medicine Gavryck, Wayne A, 344Thompson Road Hall, Burt Whitney, Webster, MA 01570 Klein, Laurence H, Zara, Ana cynthia P., Internal Viadero, Joseph J, Medicine West Roxbury Ware Levenson, Dmitry, Harvard Vanguard Medical Associates - West Roxbury Baystate Medical Practices - Quabbin Mandala, Madhavi Reddy, Adult Medicine - Ware 291 Independence Drive Tarantan, Mark, 83 South Street, Suite 8 West Roxbury, MA 02467 (617) 325-2800 Ware, MA 01082 Wellesley Internal Harvard Vanguard Medical Internal Medicine Associates - Wellesley Medicine Gul, Muhammad Atif, 230 Worcester Street Braun, Edith E., Wellesley, MA 02481-5491 Dupuis, Elizabeth A, Baystate Medical Practices - Quabbin (781) 431-5400 Pediatrics Faldetta, Thomas J., 83 South Street, Suite 112 Internal Fontaine, Nicolette C, Ware, MA 01082 Medicine Greenspan, Harold Z., Pediatrics Angiolillo, Dea F., Page 89 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Massachusetts Massachusetts West Roxbury Weymouth Wilbraham Harvard Vanguard Medical South Shore Medical Center Riverbend Medical Group - Wilbraha Associates - West Roxbury 90 Libbey Parkway 70 Post Office Park 291 Independence Drive Weymouth, MA 02189 Wilbraham, MA 01095 West Roxbury, MA 02467 (781) 682-5900 (413) 794-3877 (617) 325-2800 Family Internal Internal Practice Medicine Medicine Padala, Lakshmi Naravana, Banker, Brian J., Hallett, Ann M., Internal Pediatrics Mckinney, Renee M, Medicine Haller, Spencer L., Minkina, Nataly, Buencamino-Francisco, Maria Clarinda Worcester A., Sherritt, Karen M., Chiang, David, Reliant Medical Group - May Street Shuster, Matthew M., Internal Medicine Nalband, Edward W., West Springfield 191 May Street Vedensky, Veronica, Worcester, MA 01602 Baystate Medical Practices - West Side Adult Medicine Whately Internal Medicine 46 Daggett Drive Baystate Medical Practices - Greenfield West Springfield, MA 01089 Pediatrics - Deerfield Georgian, Frederick P, (413) 794-9110 424 State Road Holla, Prashantha Devidas, Whately, MA 01093 Internal Honig, Robert M, Medicine Pediatrics Morris, Evelyn L, Alli, Glenn F., Checchi, Adele G, Schrank, Mark L, Lao, Eric T., Whatley Shukla, Manjul, Popkin, David E., Baystate Medical Practices - Deerfield Reliant Medical Group - NLA Solon, Michael H., Adult Medicine 425 North Lake Ave 424 State Road Westboro Worcester, MA 01605 Whatley, MA 01093 Reliant Medical Group - Westboro (413) 665-8517 Internal FP/IM Medicine 106 East Main Street Family Practice Csudae, Rajitha R, Westboro, MA 01581 Smith, Robert D, Javlekar, Shubhada D, Family Practice Wilbraham Kronlund, Kenneth H, Mark, Seamus, Baystate Medical Practices - Wibraham O'Grady, Kathleen M, Internal Adult Medicine Parulkar, Smita B, 2377 Boston Road, Suite 200 Medicine Sachdev, Malvika, Wilbraham, MA 01095 Sadagopan, Andal, (413) 596-5550 Reliant Medical Group - Plantation St Samant, Ninad N, Internal Medicine Internal 630 Plantation Street Weymouth Medicine Worcester, MA 01605 South Shore Medical Center Dorantes, Jennifer L., Family 90 Libbey Parkway Duffelmeyer, Michelle E., Practice Weymouth, MA 02189 Kannel, Craig E., Kadirvelu, Sudarshan, (781) 682-5900 Lynaugh, Sarah K., Internal Family Medicine Practice Peluso, Jr., John F., Bergman, Wendy J, Kapoor-Mohimen, Bonu, Bessette, Laura J, Nowosielski, Laura, Page 90 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Massachusetts Michigan Michigan Worcester Allendale Burton Reliant Medical Group - Plantation St Spectrum Health Medical Group Integrated Group Practice - Fremont Internal Medicine Campustowne Family Medicine Halboth, MD 630 Plantation Street 4868-2 Lake Michigan Dr 1096 S Belsay Rd, Ste. F Worcester, MA 01605 Allendale, MI 49401 Burton, MI 48509 Internal (616) 391-7747 (810) 424-2219 Medicine Family Family Burday, Michael D, Practice Practice Garber, Lawrence D, Gianturco, Michelle, Halboth, Fremont, Gopalswamy, Sabitha R, Hayes, Kevin J, Integrated Group Practice - Jagdish Shah, MD Oostema, Angela R, Kelleher, Michael H, 4001 Wallis Strasse, Ste. B Sidhu, Amanjot, Blissfield Burton, MI 48509 Subbarao, Dilipkumar B, ProMedica Physician Group - Ella M. (810) 424-2219 Noel, DO Michigan Internal Blissfield Health Center, P.O. Box 146 Medicine Adrian Blissfield, MI 49228 Shah, Jagdish K, (517) 486-2411 ProMedica Physician Group - DeMots, Integrated Group Practice- Abdul Rhames & Brady Internal Razzak, MD Grace Christman Medical Building, Medicine 1513 S. Center Rd. 777 Kimole Lane, Suite 230 Noel, Ella M, Burton, MI 48509 Adrian, MI 49221 Bloomfield Hills (810) 744-0660 (517) 263-5655 Internal Family Mark E. Florek, M.D., F.A.C.P and Medicine Practice Bruce K. Miller, M.D. 42557 Woodward Avenue, Suite 210 Abdulrazzak, Abdulkader, Brady, Tracy Danelle, Bloomfield Hills, MI 48304 Integrated Group Practice- Ariel Demots, William J, (248) 253-1608 Ponce, DO Rhames, Jody C, Internal G-4075 S. Center Rd. ProMedica Physician Group - Tatiana Medicine Burton, MI 48519 Masyk, MD Florek, Mark Edward, Pediatrics 901 Kimole Lane, Suite A-4 Miller, Bruce Kenneth, Ponce, Ariel, Adrian, MI 49221 (517) 263-6140 Brooklyn Integrated Group Practice- Cheri Mys Curtis, DO Emergency Allegiance Famiy Medicine-Brooklyn 1096 S. Belsay Rd., Suite E Medicine 153 Wamplers Lake Rd Burton, MI 48509 Brooklyn, MI 49230 Masyk, Tatiana, (810) 742-4218 (517) 592-1963 Albion Internal General Medicine Allegiance Family Medicine-Albion Practice 27931 C. Drive North Mys-curtis, Cheri, Bloomer, Roger Earl, Albion, MI 49224 Integrated Group Practice- George Raymond Cole, DO, PC - Jackson Tumaneng, MD Family Physicians Alliance Practice 1096 S. Belsay Rd., Suite C 107 Chicago Street Burton, MI 48509 Makulski, Miranda Rhonda, Brooklyn, MI 49230 Allendale (315) 635-9802 Family Practice Family Practice Tumaneng, George A, Cole, Raymond E., Burton Page 91 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Burton Cadillac Cedar Springs Integrated Group Practice- Gerald Cadillac Family Physicians Metropolitan Enterprise - Metro Fulton, MD, Paul Karr Jr., MD 8950 Professional Drive Health Cedar Springs 1096 S. Belsay Rd., Suite A Cadillac, MI 49601 14211 White Creek Road Burton, MI 48509 (231) 775-2493 Cedar Springs, MI 49319 (616) 252-6300 Family Family Practice Practice Family Practice Fulton, Gerald A, Conrad, Alan J, Elsing, Erica L., Karr, Jr., Paul H, LeBaron, Tania M., Internal Integrated Group Practice- James Sanburn, Christiane M., Lum, DO Medicine Smith, Thomas G., 1096 S. Belsay Rd. Suite D Goebel, Peter G., Whelan, James R., Burton, MI 48509 Clarkston Family Caledonia Integrated Group Practice - Daniel Practice Advantage Physician Health Network - Bielak, DO Lum, James, Caledonia Family Medicine 5900 Waldon Rd. Integrated Group Practice- Mohamad 10047 Crossroad Ct. Clarkston, MI 48436 Nadar, MD, Kristin Nikolakeas, DO Caledonia, MI 49316 (810) 424-2219 (616) 685-8850 1513 S. Center Rd. Family Burton, MI 48509 Family Practice (810) 742-5700 Practice Bielak, Daniel M, Family Finkbeiner, Channing E, Integrated Group Practice- Shawn Practice Joslin, Jeffery, Conner, MD Nadar, Mohamad, Mecano, Liton S, 5900 Waldon Rd Nikolakesas, Kristin, Clarkston, MI 48346 Metropolitan Enterprise - Metro Byron Center Health Caledonia Family 8941 North Rogers Court, SE Practice Advantage Health Physicians - Southwest Family Medicine Campus Caledonia, MI 49316 Conner, Shawn K, 2373 64th Street, Suite 1300 (616) 252-5300 Clio Byron Center, MI 49315 Family Integrated Group Practice - Jonathon (616) 913-1350 Practice Arbogast, MD Family Johnson, Aryn, 4154 W Vienna Rd Practice Woodworth, John C., Clio, MI 48420 (810) 424-2219 Chamberlain, Jeffery Lee, Internal Colegrove, Neil, Medicine Family Practice Delapp, Stephen, Wiltrakis, Michael R., Arbogast, Jonathan A, Hulst, Lynda, Pediatrics Integrated Group Practice - Nadiene Pediatrics Bouch, Laura S., Haynes, MD Foster, Thomas B, Cedar Springs 4154 W Vienna Rd Clio, MI 48420 Cadillac Metropolitan Enterprise - Metro Health Cedar Springs (810) 424-2219 Cadillac Family Physicians 14211 White Creek Road Family 8950 Professional Drive Cedar Springs, MI 49319 Practice Cadillac, MI 49601 (616) 252-6300 (231) 775-2493 Haynes, Nadiene E, Family Family Practice Practice Bargwell, Steven,

Page 92 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Clio Davison Dearborn Integrated Group Practice- Pauline Integrated Group Practice- Davison Midwest Medical Center Aquino, MD Family Practice- Thomas Bossi, DO, 5050 Schaefer Road 4154 W. Vienna Rd. Christie Samuels, MD, James Walter, Dearborn, MI 48126 MD Clio, MI 48420 (313) 581-2600 (810) 686-2212 8020 Davison Rd. Davison, MI 48423 Pediatrics Family (810) 653-4145 Barnett, Marjorie, Practice Family Catrambone, Renee L., Aquino, Pauline C, Practice East Grand Rapids Coopersville Bossi, Thomas L, Spectrum Health Medical Group Coopersville Family Medicine Samuels, Christie L, Gaslight Family Medicine 701 W Randall Internal 2249 Wealthy Street SE, Suite 110 Coopersville, MI 49404 Medicine East Grand Rapids, MI 49506 (616) 974-4860 Walter, James D, Family Family Practice Practice Integrated Group Practice- Mohammed Saleem , MD Armstrong, Erica L, Gadbois, Gregory, 1260 N. Irish Rd., Suite C Griemsman, Stacie L, Gluck, Kendal, Davison, MI 48423 Phillips, Brian V, Davison Pediatrics Phillips, Susan M, be Integrated Group Practice-Salawa Saleem, Mohammed A, Ahmed, MD Fenton Integrated Group Practice- Rommel 1510 S State Rd., Ste. A Aquino, MD Integrated Group Practice - James Davison, MI 48423 Garfield, DO 1510 S State Rd., Ste A (810) 424-2219 17100 Silver Pkwy, Ste. D Davison, MI 48423 Internal (810) 424-2219 Fenton, MI 48430 Medicine (810) 424-2219 Family Ahmed, Salwa S., Practice General Practice Integrated Group Practice - Jennifer Aquino, Rommel, Klock, DO Garfield, James, Dearborn 8020 Davison Rd Flint Davison, MI 48423 Midwest Medical Center Integrated Group Practice - Prasad (810) 424-2219 5050 Schaefer Road Kommareddi, MD Dearborn, MI 48126 Family 3709 E Court (313) 581-2600 Practice Flint, MI 48506 Klock, Jennifer L, Emergency (810) 424-2219 Medicine Integrated Group Practice- Bill Hukill, Internal II, DO Orr, Robert C, Medicine 8477 Davison Rd. Family Kommareddi, Prasad, Davison, MI 48423 Practice Integrated Group Practice- Craig (810) 653-5933 Faraj, Daoud A., Dolven, DO Internal Internal 3441 Lapeer Rd. Medicine Medicine Flint, MI 48503 Hukill, Bill E, Godoy, Carlos A, (810) 742-2060 Omran, Amal Moustafa, General Practice Shapiro, Jack, Dolven, Craig A, Pediatrics Banister, Suhail M, Page 93 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Flint Flint Flint Integrated Group Practice- Douglas Integrated Group Practice- Larry Integrated Group Practice- The Benton, DO, Regis Benton Jr., DO Kage, DO Children's Office- Duane Allyn, DO, G-6092 Fenton Rd. 1311 Linden Rd. Suite C Paul Chrenka, MD, Cynthia Horning, Flint, MI 48507 Flint, MI 48532 MD, Kienan Murphy, DO, Sarah Sanchez, MD, Joseph Simmert, DO (810) 239-4697 Family 2184 S. Ballenger Hwy Practice Family Flint, MI 48503 Practice Kage, Larry E, (810) 232-5627 Benton, Regis A, Integrated Group Practice- Linda Pediatrics General Norrell, MD Allyn, Duane R, Practice 1515 W. Atherton Rd. Chrenka, Paul, Benton, Douglas J, Flint, MI 48507 Horning, Cynthia R, Integrated Group Practice- Harvey Family Ring, DO Practice Murphy, Kienan F, G-5377 Corunna Rd Norrell, Linda D, Sanchez, Sarah R, Flint, MI 48532 Integrated Group Practice- Michael Simmert, Joseph B, Family Young, DO Practice G-3535 Beecher Rd., Suite A Integrated Group Practice-Charles Ellsworth, DO Flint, MI 48532 Ring, Harvey V, 3037 Flushing Rd. Integrated Group Practice- Inderjit Family Flint, MI 48504 Bhatti, MD Practice Family G-3380 Beecher Rd.-Suite B Young, Michael W, Practice Flint, MI 48532 Integrated Group Practice- Mohamed Ellsworth, Charles P., Internal Al-Jabban, MD, Neimat Ahmed, MD Medicine 5232 Richfield Rd. Flushing Bhatti, Inderjit S, Flint, MI 48506 Integrated Group Practice- John Commet, DO Integrated Group Practice- Kavitha Internal 1434 Flushing Rd. Baddam, MD, Dale Hanson, MD, Medicine Flushing, MI 48433 Teresa Sherman, MD Al-jabban, Mohamad, 1515 W. Atherton Rd., PO Box 7427 Family Integrated Group Practice- Parmanand Practice Flint, MI 48507 Khandelwal, MD Family G-4007 W. Court St., Suite C Commet, John Matthew, Practice Flint, MI 48532 Fremont Baddam, Kavitha, Internal Pine Medical Group Hanson, Dale A, Medicine 230 W. Oak Street Sherman, Teresa K, Khandelwal, Parmanand, Fremont, MI 49412 Integrated Group Practice- Kelvin Integrated Group Practice- Ronald Family Callaway, MD Coriasso, DO, Bhagwan Sayal, MD , Practice Dirk Snyder, MD G-3380 Beecher Rd. Suite C Bont, Timothy M., Integrated Group Practice- Ronald Flint, MI 48532 Coriasso, DO, Bhagwan Sayal, MD Boss, Richard S., Internal Flint, MI 48507 Ceton, Randall J., Medicine (810) 424-2219 DeWeerd, Carol L., Callaway, Kelvin, Family DeWeerd, Michael J., Integrated Group Practice- Larry Practice Kage, DO Coriasso, Ronald, Hudson, Christopher J., 1311 Linden Rd. Suite C Sayal, Bhagwan D, Lenz, Michelle L., Flint, MI 48532 Snyder, Dirk W, Minasian, Michael S., Renaud, Paul T, Page 94 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Fremont Grand Blanc Grand Blanc Pine Medical Group Integrated Group Practice - Brenda Integrated Group Practice - Susan 230 W. Oak Street Fortunate, DO Renee Krusniak, DO Longe, MD Fremont, MI 49412 2462 Hill Rd, Ste. 1 2462 Hill Rd, Ste. 2 Grand Blanc, MI 48439 Grand Blanc, MI 48439 Family Practice (810) 424-2219 (810) 424-2219 Rose, Erica R., Family Family Practice Practice Welsh, Stephen L., Fortunate, Brenda R, Longe, Susan H, Obstetrics & Gynecology Krusniak, Renee M, Integrated Group Practice- Ayman Tadros, MD, Mark Trudell, MD Michele, Tami J., Integrated Group Practice - Dhiraj Bedi, DO 2070 E. Hill Rd. Patenge, James W., 2462 Hill Rd, Ste. 3 Grand Blanc, MI 48439 Pediatrics Grand Blanc, MI 48439 Family Practice Norris, Julie A., (810) 424-2219 Tadros, Ayman E, Welsh, Elizabeth J., Family Practice Surgery Surgery Bedi, Dhiraj, Trudell, Mark G, Johnson, Douglas A., Integrated Group Practice - Grand Integrated Group Practice- Delia McAlister, Jennifer M., Blanc Family Medicine Ebuen-Mercado, MD Vanderkooi, Theodore J., 8423 N Holly Rd, Ste. A 8447 Holly Rd. Suite E Grand Blanc, MI 48439 Surgery, Grand Blanc, MI 48439 (810) 424-2219 Hand/Orthopedic Family Hood, Brian S., Family Practice Practice Goodrich Ebuen-mercado, Delia R, Kia, Manisha, Integrated Group Practice- Mark Integrated Group Practice- Jay Shull, Joseph R, Clark, MD, Valerie Duerr, MD Sharma, MD 7477 State Rd. Youngs, Kevin W, 8447 Holly Rd. Grand Blanc, MI 48439 Goodrich, MI 48438 Integrated Group Practice - Nancy Family Kursik, MD Family Practice 8483 Holly Rd Practice Grand Blanc, MI 48439 Clark, Mark, Tandon-sharma, Jaishree, (810) 424-2219 Duerr, Valerie J, Integrated Group Practice- Kunadi Family Reddy, MD, Uday Kunadi, MD Grand Blanc Practice 414 Perry Rd. Integrated Group Practice - Ashish Kursik, Nancy J, Grand Blanc, MI 48439 Sarin, MD (810) 694-8423 Integrated Group Practice - Patrick 8447 Holly Rd, Ste. D Chang, MD Family Grand Blanc, MI 48439 10785 S Saginaw St, Bldg E, Ste D Practice (810) 424-2219 Grand Blanc, MI 48439 Kunadi, Uday R, Family (810) 424-2219 Practice Internal Family Medicine Sarin, Ashish, Practice Reddy, Kunadi S, Integrated Group Practice - Brenda Chang, Patrick, Fortunate, DO Renee Krusniak, DO Integrated Group Practice- Sean Gilin MD, Dennis Pank, MD, James Walker 2462 Hill Rd, Ste. 1 II, MD Grand Blanc, MI 48439 8483 Holly Rd. (810) 424-2219 Grand Blanc, MI 48439

Page 95 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Grand Blanc Grand Rapids Grand Rapids Integrated Group Practice- Sean Gilin, Advantage Health Physician Network - Advantage Health Physician Network MD, Dennis Pank, MD, James Walker Downtown Office Northwest Family Medicine II, MD 150 Jefferson Se 933 3 Mile Road NW, Suite 210, Suite 8483 Holly Rd. Grand Rapids, MI 49503 210 Grand Blanc, MI 48439 (616) 685-8450 Grand Rapids, MI 49544 (616) 685-8150 Family Family Practice Practice Family Practice Gilin, Sean E, Beltran, Rhoda, Elsen, Paul, Pank, Dennis J, Blair, David E, Kliphuis, Sally, Grand Haven Joseph, Mark, Nguyen, An, Grand Haven Family Medicine Mejeur, Rhonda, Reyelts, Fredric, 1445 Sheldon, Ste. 201 Meyer, David, Grand Haven, MI 49417 Rolinski, Jill Marjorie, (616) 846-1860 Quiroz, Ernest, Family Medicine Specialists, PC Steen, Stacyann, Family 721 Three Mile Rd. NW, Suite 200 Practice Advantage Health Physician Network Grand Rapids, MI 49544 East Beltline Office Family Practice Crissman, Molly P, (616) 647-3770 and Pediatrics Martin, Bruce W, 1471 East Beltline NE Suite 201, Suite Family Practice Mehra, Ruchira, 201 Grand Rapids, MI 49525 Schuler, Cynthia L, Ottenbaker, David T, (616) 685-8621 Thompson, Bethanie, Powers, Daniel B, Family Vanwingen, Jeffrey Joseph, Grand Haven Internal Medicine Practice Wright, Terrence Patrick, 1445 Sheldon, Suite 200 Buckler, Brian A, Grand Haven, MI 49417 Grand Valley Medical Specialists, PLC Bultje, Jill, (616) 846-1860 1900 Wealthy Street SE, Suite 150 Hilts, Thomas, Internal Grand Rapids, MI 49506 Medicine Silvernale, Troy Dewain, (616) 988-0774 Alguire, Thomas F., Travis, Marc, Family Practice McAree, John A., Internal Medicine Bultje, Michael J., Ortiz, Joseph Daniel, Saleh, Mohammad, Hamersma, John W., L Michael Sterenberg DO 600 Park Avenue Scanlon, Susan Marie, Internal Medicine Grand Haven, MI 49417 Advantage Health Physician Network (616) 847-8700 Northeast Family Medicine Baer, II, William H., General 5171 Plainfield Avenue NE Drumm, Daniel R., Practice Grand Rapids, MI 49525 Humphries, Gary N., (616) 685-8350 Sterenberg, Lee Michael, Ice, Melanie S., Family Grand Rapids Practice Kinsey Callaway, Lisa J., Advantage Health Physician Network - Baty, Philip, Kuhl, Peter A., Downtown Office 150 Jefferson Se Daum, Laurie, Langerak, Bruce A., Grand Rapids, MI 49503 Durfee, Gerald G, Maurer, John R., (616) 685-8450 Smith, Lisa, McGrath, David M., Family Tay, Eugene, Rasikas, Kyle A., Practice Wiarda, Alanna Joy, Woo, Jeffrey A., Page 96 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Grand Rapids Grand Rapids Grand Rapids GVHP Family Health Center - Michigan Medical P.C. - Grand Rapids Spectrum Health Medical Group - Beckwith Family Medicine Internal Medicine 2680 Leonard NE 3322 E. Beltline Ct. NE 4069 Lake Drive SE, Suite 117 Grand Rapids, MI 49525 Grand Rapids, MI 49525 Grand Rapids, MI 49546 (616) 949-2410 (616) 364-7015 (616) 726-8700 Family Family Internal Practice Practice Medicine Kerby, James Thomas, Dyke, Saleh F., Chebes, Andrzej M., Wallace, Daniel Leland, Krol, Kara L., Chebes, Andrzej M., Metropolitan Enterprise - Metro Patel, Tarulata P., Giovannucci, Sam J., Health Allendale Weirich, Angela R., Giovannucci, Sam J., 1925 Breton Road, Ste 202, Attn: Elyse Palmer General Oleszkowicz, Marian E., Practice Grand Rapids, MI 49506 Oleszkowicz, Marian E., (616) 252-4646 Maskill, John D., Osborne, Theresa A., Family Saint Mary's Health Care Peter M. Osborne, Theresa A., Practice Wege Center Family Medicine Riley, Robert Andrew, Boyd, Matthew P., Suite 4000/4200 - Family Medicine, 300 Lafayette Se Yavich, Yelena, Metropolitan Enterprise - Metro Grand Rapids, MI 49503 Health Cascade Spectrum Health Medical Group (616) 685-6922 4300 Cascade Road Alpine Internal Medicine and Pediatri Grand Rapids, MI 49546 Family 2332 Alpine Avenue NW Practice (616) 252-1500 Grand Rapids, MI 49544 Ashmead, Steven, (616) 392-6255 Family Practice Ayashi, Maha, Internal Medicine Clegg, Bradley J., Cavacece, John, Jarve, Robert K, Kern, Kristi S., Talmo, Janet, Lee, Gerald R, Kornoelje, Edwin J., Thomas, Jean, Spectrum Health Medical Group Stults, Melissa A., Vanschagen, John, Kalamazoo Internal Medicine Metropolitan Enterprise - Metro Saint Mary's Health Care Peter M. 665 Seward Avenue NW, Suite 520 Health Comstock Park Wege Center Internal Medicine Grand Rapids, MI 49504 4200 North Division, NE 300 Lafayette SE, Suite 3000 (616) 486-6701 Grand Rapids, MI 49321 Grand Rapids, MI 49503 Internal (616) 685-6919 Family Medicine Practice Geriatric Medicine/Family Beversluis, Marcus G, Wabeke, Janice K., Practice Brink, Thomas W, General Passinault, James P, Geissler, James A, Practice Internal Brenner, Kristopher L., Medicine McCormick, Kevin J, Michigan Medical P.C. - Grand Rapids Heilman, Jody, Stout, Micheal T, Family Medicine Hull, Bryan, Spectrum Health Medical Group Sout 3322 E. Beltline Ct. NE Pavilion Internal Medicine Khan, Nasir, Grand Rapids, MI 49525 80 68th Street SE, Suite 201 (616) 364-7015 Spoolstra, Mark, Grand Rapids, MI 49548 Family (616) 391-8356 Practice Internal Barnes, Christopher R., Medicine Page 97 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Grand Rapids Grandville Grass Lake Spectrum Health Medical Group South Advantage Health Physician Network Allegiance Famiy Medicine-Grass Lak Pavilion Internal Medicine Rivertown Family Medicine 12369 E. Michigan Ave 80 68th Street SE, Suite 201 3380 44th St SW Grass Lake, MI 49240 Grand Rapids, MI 49548 Grandville, MI 49418 (517) 522-6408 (616) 391-8356 (616) 685-8250 Family Internal Family Practice Medicine Practice Moore, Matthew Gresser, Valeeswaran, Chandini, Duemler, Scott, Jackson Physicians Alliance - Sacred Spectrum Health Medical Group Frunza, Ana A, Heart Pediatrics Sparta Family Medicine Macholan, Thomas, 11755 E Michigan Avenue 2111 12 Mile Road Grass Lake, MI 49240 Martzke, Gary, Grand Rapids, MI 49345 (315) 635-9802 (616) 391-8476 Merritt, Mona, Pediatrics Family Sheuly, Jobeda, Dinverno, Joel Benjamin, Practice Spectrum Health Medical Group Harbor Springs Armstrong, Mark W., Rivertown Internal Medicine and Pediatrics Kitts, Barry A., Little Traverse Primary Care 3185 Macatawa Drive, Suite A 8881 M-119 Ranta, James P., Grandville, MI 49418 Harbor Springs, MI 49740 Siefert, Sharon L., (616) 391-4510 (231) 347-0505 VanderLinde, Marie W., Internal Family Medicine Zook, Brenda S., Practice Schipper, Benjamin R, DeCarli, Kaylynn, Spectrum Health Medical Group Summit Park Internal Medicine and Wielhouwer, Eric J, Hart Pediatrics Spectrum Health Medical Group West Hart Family Medical Center 3271 Clear Vista Court NE Pavilion Family Medicine 611 East Main Street Grand Rapids, MI 49525 6105 Wilson Avenue SW, Suite 203 Hart, MI 49420 (616) 391-7801 Grandville, MI 49418 (231) 873-5675 Internal (616) 486-5291 Medicine Family Family Practice Fawcett, Kenneth J, Practice Strbich, Constance, Henderson, Philip E., Fabian, Allison J, Wagner, Paul A, Heslip, John E, Foe, Lawrence G, General Lang, Robert D, Spectrum Health Medical Group West Practice Pavilion Internal Medicine Mackinder, Robert C, Ochs, Rudy C, 6105 Wilson Avenue SW, Suite 202 Pediatrics Grandville, MI 49418 Hastings Macedo, Stephen J, (616) 486-5291 Family Tree Medical Associates Grandville Internal 1375 W. Green Street Medicine Hastings, MI 49058 Advantage Health Physician Network Rivertown Family Medicine Bilisko, Thomas V, (269) 945-7497 3380 44th St SW Heyboer, David R, Family Grandville, MI 49418 Practice Grass Lake (616) 685-8250 Carlson, R. Troy, Allegiance Famiy Medicine-Grass Lake Family Garber, Matthew R., Practice 12369 E. Michigan Ave Grass Lake, MI 49240 Holland Applegate, James, (517) 522-6408

Page 98 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Holland Holland Holland Holland Pediatric Associates Lakeshore Health Partners - Pediatrics South Washington Family Medicine 926 South Washington Avenue, and Internal Medicine/Pediatrics 904 S. Washington Avenue, Suite 210 Building C 3235 North Wellness Drive, Building A, Holland, MI 49423 Holland, MI 49423 Suite 120A (616) 796-2880 (616) 393-0166 Holland, MI 49424 Family (616) 399-0902 Pediatrics Practice Pediatrics Davis, Kathryn M, Broekhuizen, Jamie, Locke, Karen, Dykema, Paul, Dykstra, Russell L., Macfield, Masuma Farhan haq, Green, Eric R, Foulds, Karen L., Rutkoski, Timothy, Vandermeer, Diane Devoll, Stid, Mark A., Lakeshore Internal Medicine and Holland South Internal Medicine Vance, Peter J., Pediatric Assoc. 890 S. Washington, Suite 130 437 N. 120th Ave Hollard Holland, MI 49423 Holland, MI 49424 (616) 396-1907 Mark N. Folkening MD, PC (616) 738-0737 3299 N. Wellness Drive Suite150 Internal Internal Hollard, MI 49424 Medicine Medicine (616) 786-0185 Eding, Tara L., Drozdowski, Brian, Family Fink, Christopher D., Miller, Tricia R, Practice Fuentes, Maricarmen, Schrotenboer, Gregory A, Folkening, Mark N, Oostendorp, John W., Lakewood Family Medicine, PLC Hudsonville Rajani, Samir A., 382 N. 120th Avenue Metropolitan Enterprise - Metro Scott, John R., Holland, MI 49424 Health Hudsonville (616) 796-3424 3912 32nd Ave Lakeshore Health Partners - Internal Hudsonville, MI 49426 Medicine Family (616) 252-8622 3235 Wellness Drive, Building A, Suite Practice 120B Berent, Martin, Family Holland, MI 49424 Practice DeCook, Cecilia, (616) 399-9522 Van Noord, Steven C., Gustafson, Eric, Internal Zeeland Community Hospital Doing Medicine Hulst, Patrick, Business As Georgetown Physicians Conlon, Timothy, Johnson, Charlotte, 3152 Port Sheldon, Suite C Hudsonville, MI 49426 Howell, Christopher, Kroeze, Jon, (616) 669-9238 Mathur, Sanjeev, Lindberg, Kurt, Family Mauger, Stephen J, Meinhart-Hoekman, Hillechien, Practice Murphy, Tyler, Peter, Beth, Byars, Michael, Walko, Shanon, Smith, Timothy, Dykstra, John T, Young, David, Vander Vliet, William, Sterk, Kabet J, Lakeshore Health Partners - Pediatrics South Washington Family Medicine Verkaik, Steven, and Internal Medicine/Pediatrics 904 S. Washington Avenue, Suite 210 Pediatrics 3235 North Wellness Drive, Building A, Holland, MI 49423 Suite 120A (616) 796-2880 Lirio, Ruel, Holland, MI 49424 Family Raj, Joash A, (616) 399-0902 Practice Jackson Pediatrics Bonzelaar, William B., Golin, Daniel, Page 99 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Jackson Jackson Jackson Allegiance Family Medicine - Summit Allegiance Famiy Medicine-Cascade Jackson Physicians Alliance - Lorna Woods Ridge Pinson, MD, PLLC 2585 Spring Arbor Road 3333 Spring Arbor Rd Ste 100 744 W. Michigan, Suite 101 Jackson, MI 49203 Jackson, MI 49203 Jackson, MI 49201 (517) 784-0032 (517) 817-7648 Preventive Family Family Medicine Practice Practice Pinson, Lorna G, Bivens, William Bradley, Ferguson, Margo Kimberlee, Jackson Physicians Alliance - Lynn Nurse Imdad Butt, MD, PC - Jackson Van Wagnen, MD, PC Practitioner Physicians Alliance 1310 Greenwood Ave Davies, Amy, 2575 Spring Arbor Road Jackson, MI 49203 Jackson, MI 49203 Allegiance Family Medicine - Townsend Internal (315) 635-9802 Medicine 400 Hinckley Blvd., Ste. 100 Jackson, MI 49203 General Vanwagnen, Lynn Clark, Practice (517) 784-0141 Jackson Physicians Alliance - Riversid Butt, Imdad Hussain, Family Pediatrics Practice Jackson Physicians Alliance - Aaron 760 W. Franklin VanWagnen, MD Jackson, MI 49201 Bigelow, Bruce S, 1310 Greenwood Avenue (315) 635-9802 Foust, Michael, Jackson, MI 49203 Pediatrics Freese-Beal, Kimberly S, Internal Ellis, Jolene, Lake, Jon M, Medicine Kilian, Sandra, Allegiance Family Medicine-Internal Vanwagnen, Aaron Michael, Medicine Jackson Jackson Physicians Alliance - Jackson Physicians Alliance - David Springcrest Family Physicians, PC 900 E. Michigan Ave. Ste 106 Munro, MD, PC 2424 Spring Arbor Road Jackson, MI 49201 500 Lansing Avenue Jackson, MI 49203 (517) 787-9009 Jackson, MI 49201 (315) 635-9802 Internal Family Family Medicine Practice Practice Barbour, Bruce Stephen, Munro, Joshua D, Heilborn, Paul D, Nurse Jackson Physicians Alliance - Million, Lisa K, Practitioner Greenwood Pediatric Clinic Raby, Sandra Kay, 720 W Franklin, #1 Jackson Physicians Alliance-David Jackson, MI 49201 Halsey, MD Allegiance Family Medicine-North 1310 Greenwood Avenue Street (315) 635-9802 Jackson, MI 49203 1401 W. North St Pediatrics (517) 787-2232 Jackson, MI 49202 Humayun, Naseer, (517) 782-2555 Internal Jackson Physicians Alliance - Jackson Medicine Family Pediatric Associates Halsey, David Lee, Practice 2100 Fourth Street Adamczyk, Brian Arthur, Jackson, MI 49203 Mid Michigan Health Centers - Jackson Physicians Alliance Burgess, Michael W, Pediatrics 214 N. West Avenue Allegiance Famiy Medicine-Cascade Vanschoick, Timothy Scott, Jackson, MI 49201-1903 Ridge Vanwagnen, Lenae E, (315) 635-9802 3333 Spring Arbor Rd Ste 100 Williams, Jessica, General Jackson, MI 49203 Practice (517) 817-7648 Rosenberg, Matt Toren,

Page 100 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Jackson Kentwood Mason Trimas Family Care, PLLC - Jackson Spectrum Health Medical Group Allegiance Family Medicine-Mason Physicians Alliance Family Medicine - Kentwood 810 Hogsback Rd Ste A 3165 County Farm Road 4600 Breton Road South East Mason, MI 48854 Jackson, MI 49201 Kentwood, MI 49508 (517) 244-0434 (315) 635-9802 (616) 919-9705 Family Family Family Practice Practice Practice Iza, Wanda B, Trimas, Eric T, Bruins, George S., Nurse Jenison Walsh, Thomas J., Practitioner Advantage Health Physicians - Jenison Lambertville Carl, Dana L, Family Medicine Promedica Physician Group - Bedford Physician 7782 20th Avenue Medical Arts Assistant Jenison, MI 49428 3175 Smith Road, P.O. Box 590 Klott, Vida Hb, (616) 913-8701 Lambertville, MI 48144 Michigan Center Family (734) 856-5494 Practice Allegiance Family Medicine-Michigan Family Center Andersen, Amy Renee, Practice 4304 Page Ave Ste 200 Jary, Mark Lee, Reames, David R., Michigan Center, MI 49254 Ritsema, Peter Scott, True, Roger A., (517) 817-7582 Vannoord, Janine, Leslie Family Practice Vanwienen, Gregory, Allegiance Famiy Medicine-Leslie Shaikh, Rubina, Metropolitan Enterprise - Metro 130 N. Sherman Health Jenison Leslie, MI 49251 Middleville 7686 Georgetown Center Drive (517) 589-5071 Douglas J. Smendik, MD Jenison, MI 49428 Family 490 Edward (616) 252-8600 Practice Middleville, MI 49333 Family Coombs, Raechel Elizabeth, (269) 795-4434 Practice Deweerd, Jeffrey Scott, Family Breitweiser, Karl O., Practice Physician Dillman, Diana L., Assistant Smendik, Douglas J, Sackett, Gary, Brandt, Roberta Wright, Millington Kentwood Linden Integrated Group Practice - Sridhar Rao, MD Advantage Health Physician Network Integrated Group Practice - Linden Southeast Family Medicine Family Medical 9030 State Rd 2080 44th St Se 6379 Silver Lake Rd Millington, MI 48746 Kentwood, MI 49508 Linden, MI 48451 (810) 424-2219 (616) 685-8100 (810) 424-2219 Family Practice Family Family Practice Practice Rao, Sridhar A, Bishop, Michael Conrad, Edgar, William B, Morenci Dillbeck, Rachel, King, Gary R, ProMedica Physician Group - William Harro, Daniel, Perry, Mona, Gray MD 811 Coomer Street Krieger, Jonathan, Mason Morenci, MI 49256 Polizzi, Joseph, Internal Scott, Helen, Medicine

Page 101 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Morenci Muskegon Muskegon ProMedica Physician Group - William Harborwood Family Medicine Mercy Health Partners - Lakes Family Gray MD 1675 Leahy Street, Suite 301 Medicine 811 Coomer Street Muskegon, MI 49442 6207 Harvey Street, Suite A Morenci, MI 49256 (231) 728-5000 Muskegon, MI 49444 (231) 799-2515 Internal Family Medicine Practice Family Practice Gray, William J, Merz, Glenn E., Klanke, Michelle Carol, Mt. Morris Rexford, Todd W., Mercy Westshore Internal Medicine Integrated Group Practice - Allan Varnado, Byron L., Ebert, DO 1150 E. Sherman Blvd, Suite 1100 Vermaire, Robert P., G-7057 N Clio Rd Muskegon, MI 49444 Mt. Morris, MI 48458 Mercy Health Partners - Kinney & (231) 672-2203 Parrett Family Practice (810) 424-2219 Internal 1325 Mercy Dr. Suite 1 Medicine Family Muskegon, MI 49444 Practice Campbell, Don E., (231) 672-2483 Ebert, Allan M, Grace, James R., Family Integrated Group Practice - Jeffrey Practice Novakosky, Marcela A., Arnold, DO Kinney, Jason, Taylor, Paul, 4485 E Mt. Morris Road Mt. Morris, MI 48458 Parrett, Diane, Ye, Ken, (810) 424-2219 Mercy Health Partners - Adult Norton Family Practice Family Medicine Specialists 3535 Park Street, Suite 110 Practice 6401 Prairie Street, Suite 2800 Muskegon, MI 49442 Muskegon, MI 49444 Arnold, Jeffrey B, (231) 733-3155 (231) 724-7848 Integrated Group Practice- Mark Family Schaaf, DO Internal Practice Medicine 4485 E. Mt. Morris Rd. Addison, Scott, Farrell, Daniel A, Mt. Morris, MI 48458 Booth, David, Larson, Erlund J, Family Deitrick, David, Practice Mercy Health Partners - Harbour Goltz, Gretchen, Schaaf, Mark, Pointe Medical Associates 3587 Henry Street, Suite 200 Heeres, Dale, Muskegon Muskegon, MI 49441 Marti, Erin, Harborwood at the Lakes (231) 672-6700 Nadeau, David, 6401 Prairie Street, Suite 1600 Family Rop, Eric, Muskegon, MI 49444 Practice (231) 727-7920 Twesten-O'Toole, James, Kaye, Thomas R., Family West View Family Medicine Parra, Irma P., Practice 6401 Prairie, Suite 2600 Crandle, Jeffrey A., Pline, Kyle S., Muskegon, MI 49444 Dukes, William H., Mercy Health Partners - Lakes Family (231) 724-7830 Medicine VanWinkle, David A., Family 6207 Harvey Street, Suite A Practice Internal Muskegon, MI 49444 Vanittersum, Koryn M, Medicine (231) 799-2515 West, Mary C, Hatt, Edward A., Family Practice Hildwein, Antoinette Marie,

Page 102 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Muskegon North Muskegon Ortonville Westshore Family Medicine Harbour View Family Medicine Integrated Group Practice- Antonio 1223 Mercy Drive 1909 Ruddiman Drive DeLeon, MD, Stephanie Estrellas, MD Muskegon, MI 49444 North Muskegon, MI 49445 1221 Ortonville Rd. (231) 672-3177 (231) 744-9360 Ortonville, MI 48462 Family Family Family Practice Practice Practice Banka, Michael, Franklyn, Noelle K., Estrellas, Stephanie D, Brown, Kristen K., Kiley, Kevin M., Otolaryngology

Burdo, Brian S., Mercy Health Partners - Bear Creek Health Center Deleon, Antonio R, Keller, Kathy G., 1877 North Getty Street Rockford Schmidt, Elaine M., North Muskegon, MI 49445 GVHP Family Health Center - (231) 728-5052 Uptigrove, Chad K., Rockford Young, Katherine L., Family 590 10 Mile NE Practice Muskegon Hts. Rockford, MI 49341 Davidson, Diana, Hackley Community Care Center Family Practice 2700 Baker Street, Third Floor LeRoux, Howard, Muskegon Hts., MI 49444 Saenz, Adelia, Kerby, James Thomas, (231) 737-1335 Internal Metropolitan Enterprise - Metro Family Medicine Health Rockford 4685 Belding Road Practice Elliott, Craig M., Rockford, MI 49341 Hall, Julia, Lescay, Hernan, (616) 252-3100 Holman, Harland, Olson, Katrina, Family Koestner, Danielle, Novi Practice Kohn, Wayne, William F. Murray, MD, P.C. Cunningham, Daniel B., Kuiper, Mark, 39500 W Ten Mile, Suite 101 Dew, John S., Internal Novi, MI 48375 Pediatrics Medicine (248) 476-9250 Johnson, Susan P., Das, Vierenda, Geriatric Medicine/Family Practice Spectrum Health Medical Group Hultman, Jennifer, Rockford Family Medicine Murray, William F., N. Muskegon 570 E. Division Onsted Rockford, MI 49341 Mercy Health Partners - Northshore (616) 863-3156 Family Practice Allegiance Family Medicine-Onsted 1915 Holton Rd. 8958 W. M50 Family N. Muskegon, MI 49445 Onsted, MI 49265 Practice (231) 672-3413 (517) 467-4424 DeFrang, Aaron J, Family Family Demock, Kristi L, Practice Practice Spring Arbor Anderson, Shelley A., Vansickle, Melissa S, Allegiance Family Medicine-Spring Blanchard, Saundra, Physician Arbor Assistant Izokaitis, Anthony V., 7845 Spring Arbor Rd Barancin, Lisa K, Spring Arbor, MI 49283 Roelandt, Darrell S., Ortonville (517) 750-3038 North Muskegon Family Practice

Page 103 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Michigan Michigan Spring Arbor Walker Wyoming Allegiance Family Medicine-Spring Advantage Health Physician Network - HealthPark Medical Specialists Arbor Walker Standale Office 2093 Health Drive, Suite 302 7845 Spring Arbor Rd 1175 Wilson Ave NW Wyoming, MI 49519 Spring Arbor, MI 49283 Walker, MI 49534-349 (616) 284-5210 (517) 750-3038 (616) 685-8650 Internal Family Family Medicine Practice Practice McCully, Michael C., Dadivas, Cecile Catalan, Ahrens, William, Papes, Anna, Spring Lake Duhn, John, Quinn, Erin, Halverson, Jaime, Lakeshore Family Care Wolfe, Adam, 601 W Savidge Street Mcbride, Kevin, Rheumatology Spring Lake, MI 49456 Witherell, Gerald, (231) 672-3133 GVHP Family Health Center - Walker Key, Jolene, Family Practice 650 3 Mile NW Metropolitan Enterprise - Metro Walker, MI 49544 Health Southwest East Haight, Paul A, Family 2215 44th Street, SW, Suite 201 A Kval, Timothy E, Practice Wyoming, MI 49519 Stempky, Gregory, Wallace, Daniel Leland, (616) 252-8300 Traverse City Wayland Family Practice West Front Primary Care Metropolitan Enterprise - Metro Belsito, Frank E., 3537 West Front Street, Suite E Health Wayland Traverse City, MI 49684 893 East Superior Street Stevens, Jeffrey M., (231) 935-8980 Wayland, MI 49348 Metropolitan Enterprise - Metro Family (269) 792-6263 Health Southwest IM Practice Family 2215 44th Street SW, Suite 100 Goodwin, Bradley P, Practice Wyoming, MI 49519 (616) 252-8300 Smith, William L, Bessert, Linda M., Internal Fenton, Charles R., Songer, Anessa Leigh, Medicine Internal Ward, Paul J, Albrecht, David J., Medicine Young, Kari L., Selfe, Robert W., Metropolitan Enterprise - Metro General Health Southwest Peds Practice Wyoming 2215 44th Street SW, Suite 201 B Fraser, Tobin J, HealthPark Medical Specialists Wyoming, MI 49519 2093 Health Drive, Suite 302 (616) 252-8300 March, Nathan E, Wyoming, MI 49519 Neonatal-Perinatal Radiology (616) 284-5210 Medicine Weber, Kevin P, Internal Salhadar, Alaa E., Medicine Walker Metropolitan Enterprise - Metro Advantage Health Physician Network - Blair, Matthew, Health Southwest West Walker Standale Office Cory, Jennifer, 2215 44th Street SW, Suite 200 1175 Wilson Ave NW Wyoming, MI 49519 de Longpre, David, Walker, MI 49534-349 (616) 252-8300 Friend, Chad, (616) 685-8650 Family Family Furlong, Kevin, Practice Practice Gleffe, Robert, Bethune, Craig H.,

Page 104 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Michigan Minnesota Minnesota Wyoming Brooklyn Center Elk River Metropolitan Enterprise - Metro HealthPartners Medical Group - HealthPartners RiverWay Clinics - E Health Southwest West Brooklyn Center Clinic River Clinic 2215 44th Street SW, Suite 200 6845 Lee Ave N. 560 3rd St NW Wyoming, MI 49519 Brooklyn Center, MN 55429 Elk River, MN 55330 (616) 252-8300 (763) 503-4400 (763) 587-4800 Family Family Family Practice Practice Practice Owens, Lance M., Ahmed, Nasra M, Leesman, Craig J, Pell, Mary R., Droullard, Robert C, Pediatrics General Mastin, Keith B, Rabe, William H, Practice Nutritionist Lino Lakes Johnson, Scott A., Holten, Paul F, HealthPartners North Suburban Zeeland Pediatrics Family Physicians - Lino Lakes Clinic 576 Apollo Dr. Lakeshore Health Partners - Family du Rivage, Stephen Kent, Medicine Lino Lakes, MN 55014 8300 Westpark Way Kloehn, David B, (651) 784-1611 Zeeland, MI 49464 Preventive Family (616) 772-7314 Medicine Practice Family Jahnsen, Yelena K, Perry, Danielle R, Practice Coon Rapids Zimmerman, Julie G, Myers, Jason P, HealthPartners Medical Group - Coon Maplewood Myers, Jason P, Rapids Clinic HealthPartners Medical Group - Internal 11475 Robinson Dr NW Maplewood Clinic Medicine Coon Rapids, MN 55433 2165 White Bear Ave., North (952) 883-7178 Everhart, Joshua Michael, Maplewood, MN 55109 Family (952) 883-7178 Zeeland Community Hospital Doing Practice Business As Zeeland Physicians Family 8333 Felch St, Suite 200 Koldoba, Galina L, Practice Zeeland, MI 49464 Nelson, Bryan A, Ardeleanu, Ovidiu G, (616) 748-2850 Norquist, Nathan R, Ferrario, Linda K, Family Oramalu, Francis C, Practice Rethwill, Michael A, Rider, Vivian R, Forsman, Kenneth, Ricke, Lori A, Rolfe, Phillip B, Herd, Colin C, Internal Medicine Shen, Maoxing, McBee, Samantha A, Bloomberg, Paul, Elk River VanDyke, Rebecca Sutherland, Chaffee, Jaclyn F, Waalkes, Annica, HealthPartners RiverWay Clinics - Elk River Clinic Curry, Endea J, Waalkes, Philip M, 560 3rd St NW Pediatrics Pediatrics Elk River, MN 55330 Hasegawa, Duane K, Lund, Kelli Rae, (763) 587-4800 Preventive Family Worpel, Charlotte Jean, Medicine Practice Minnesota Thomas, Andrew J, Clifford, Michael E, Brooklyn Center Minneapolis Erickson, Charles Burton, Gu, Kefeng (Kevin),

Page 105 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Minnesota Minnesota Mississippi Minneapolis Saint Paul Tupelo HealthPartners Medical Group - HealthPartners Medical Group - NMMC - FMRC Riverside Clinic Midway Clinic/Center for International 1665 South Green Street 2220 Riverside Ave., South Health Tupelo, MS 38804 Minneapolis, MN 55454 451 N Dunlap St (662) 377-6237 (612) 371-1600 Saint Paul, MN 55104 Family (651) 999-4700 Family Practice Practice Preventive Hughes, Karen, Medicine Gustafson, Gayl L, Mitchell, John R., Jhocson, Antonio L, Haefemeyer, James W, O'Dell, Michael, HealthPartners Medical Group - St. Von Sternberg, Thomas L, Paul Clinic Perrine, Terry Ray, Internal 205 S. Wabasha St. Smith, Jr., Dennis, Medicine Saint Paul, MN 55107 Missouri Kim, Young Dae, (952) 883-7178 Raikar, Sharmishtha H, Family Advance Practice Uddin, Meskath (Max), Cross Trail Medical Center Mahmood, Shehbana, 106 N. Oak Street Pediatrics Tomes, Michelle E, Advance, MO 63730 Donald, William Brooks, (573) 722-3034 Trehus, Eric T, Johnson, Debra D, General Yasin, Asima X, Liebo, Rhoda V, Practice Internal Orey, Vivian, Green, Darryl A., Medicine Preventive Eureka Cornetto, Roger J, Medicine Patients First Health Care - Eureka Koch, Robert N, Conroy, Mary M, 20 The Legends Parkway Pediatrics Saint Paul Eureka, MO 63025 Ganeshan, Vathsala, Internal HealthPartners Medical Group - Medicine Midway Clinic/Center for International Maxwell, Jason R, Health Nordin, James D, Dubois, John Joseph, 451 N Dunlap St Soumekh, Flora, Moore, Kristi A, Saint Paul, MN 55104 Fenton (651) 999-4700 Preventive Medicine Family Mercy Clinic Pediatrics- Smizer Mill Practice Johnson, Bruce M, 1203 Smizer Mill Road, Suite 108 Fenton, MO 63026 Afgarshe, Mohamud D, Mississippi (636) 717-1340 Internal Southaven Medicine Pediatrics Southaven Internal Medicine McBride, Megan, Cardenas, Kimberely K, 7680 Airways Boulevard Flagstad, Brian M, Southaven, MS 38671 Rezabek, George, Jama, Sadia A, (662) 349-1999 Thierauf, Stephen, Perelman, Mikhail, Internal Gerald Medicine Settgast, Ann M, Mercy Clinic Family Medicine- Gerald Herbert, Lily, 739 West Springfield Road Walker, Patricia F, Missak, Mary S, Gerald, MO 63037 Pediatrics Wassef, Magdi S, (573) 764-4362 Rathmann, Kimberly K, Tupelo Family West, Leann M, Practice Page 106 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri Gerald Independence Kansas City Mercy Clinic Family Medicine- Gerald Encompass Medical Group - Clay Platte Family Medicine Clinic 739 West Springfield Road Independence Office 5501 NW 62nd Terrace, Suite 100 Gerald, MO 63037 4811 S Arrowhead Drive Kansas City, MO 64151 (573) 764-4362 Independence, MO 64055 (816) 842-4440 (816) 356-5000 Family Family Practice Family Practice Practice Scheer, Jennifer L., Joslin, Paul M., Raina, Nasrin, Gladstone Kuennen, Scott H., Shaikh, Ghazal A, Encompass Medical Group - Northland Ortiz, Richard, Internal Office Internal Medicine 101 NW Englewood Road Medicine Gladstone, MO 64118 Nguyen, Khanh, Chapman, Thomas C., (816) 453-1818 Pourakbar, Mohammed K, McDonald, James H., Family Wortham, Edward A, Practice Encompass Medical Group - Hickman Jefferson City Hills Clinic Harlan, Christopher George, 11201 Colorado Avenue Community Health Center of Central Koehn, Everett E, Missouri Kansas City, MO 64137 Shivathirthan, Shreya, 3400 W Truman Blvd (816) 763-5200 Internal Jefferson City, MO 65109 Family Medicine (573) 632-2777 Practice Buren, Anthony W, Family Buie, Steven E, Practice Laningham, Susan Lou, Franey, Michelle R, Friedebach, Katherine A., Hamilton Kricsfeld, David Jeffrey, Pediatrics Northwest Health Services-Hamilton Mallot, Cora A, Flanagan, Nancy, Medical Clinic Messmore, Virginia Paula, One Cross Street Kansas City Regas, Stephen L, Hamilton, MO 64644-0248 Barry Pointe Family Care (816) 583-2713 Richardson, Sequita L, 9151 NE 81st Terrace, Suite 105 Smolen, Melanie L, Family Kansas City, MO 64158 Practice (816) 994-8787 Encompass Medical Group - Troost Irby, William V, Office Family 6724 Troost, Suite 400 Jain, Arihant, Practice Kansas City, MO 64131 Hermann Brose, Amy Elaine, (816) 276-6200 Patients First Health Care - Hermann Granberg, Dana Hutchison, Family 2066 Village Lane Hern, Katie Elizabeth, Practice Hermann, MO 65041 Kelley, III, Thomas Dennis, Marshall, Teresa P, Family Internal Practice Clay Platte Family Medicine Clinic 5501 NW 62nd Terrace, Suite 100 Medicine Davis, Thomas E, Kansas City, MO 64151 Morohunfola, Kehinde A, Independence (816) 842-4440 Encompass Medical Group - Wornall Encompass Medical Group - Family Office Independence Office Practice 373 W 101st Terrace 4811 S Arrowhead Drive Day, James G., Kansas City, MO 64114 Independence, MO 64055 (816) 942-8200 Delaney, Adrian J., (816) 356-5000 Granger, Nathan D., Page 107 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri Kansas City Kansas City Kansas City Encompass Medical Group - Wornall Hospital Hill Medical Pavilion Priority Care Pediatrics, LLC Office 2301 Charlotte 9405 North Oak Trafficway 373 W 101st Terrace Kansas City, MO 64108 Kansas City, MO 64155 Kansas City, MO 64114 (816) 404-3855 (816) 412-2900 (816) 942-8200 Family Pediatrics Family Practice Guertin, Julie Gail, Practice Butler, Kenneth Lawrence, Jones, Bonnie Lynn, Simanovsky, Michael D, Olomiye, Oluwamodupe Melinda, Nguyen, Lily anh Thuy, Internal Internal Medicine KansasCity Medicine Allen, Thomas P, Smith, Shadrach J, Cabot Westside Health Center Glass, Cynthia J, 2121 Summit Street Kansas City Internal Medicine - KansasCity, MO 64108 Gruenebaum, Steven A, Research (816) 471-0900 Mahmoud, Lirio U, 6420 Prospect, Suite T101 Kansas City, MO 64132 Family Goppert-Trinity Family Care (816) 363-4100 Practice 6650 Troost Ave, Suite 301 Little, Timothy J, Kansas City, MO 64131 Internal Medicine (816) 995-3088 Nurse Arvan, Andrea A, Practitioner Family Practice Hoeper, Jr., Sam D, Kennedy, Eileen F, Arabindoo, Kavitha K, Maliszewski, James A, Ornelas-rios, Yvonne, Frost, Jennifer, Szeto, J Simon, Pediatrics Kelley, Jennifer, Williams, II, Gerald F, Herrera, Rafaela, Lepinski, Sandra L, Kansas City Internal Medicine - St. Kennett Joseph Ommen, Shari L, Southeast Missouri Health Network- 1010 Carondelet, Suitte 224 A Otto Bean Medical Center Parvin, Gazala, Kansas City, MO 64114 509 South Bypass Philgreen, Donald E, (816) 943-0706 Kennett, MO 63857 Rues, Lawrence, Internal (573) 717-1332 Medicine Salanski, Stephen, Family Baker, Eric K, Practice Sly, Anne, Crabtree, Stephanie Brooke, Laiolo, Betina, Stark, Warren Carlton, Humphreys, Kristin Elizabeth, King City Suenram, Mark, Wendland, Robert J, Northwest Health Services-King City Suppes, Terry D, Clinic Whitaker, Theodore M., Teferra, Samuel, 305 Rhode Island, P.O Box 278 Wilt, David A, Tieman, Jennifer C., King City, MO 64463-0278 Priority Care Pediatrics, LLC Welsh, Jon, Nurse 9405 North Oak Trafficway Practitioner Wood, Julie, Kansas City, MO 64155 Pankau, Debra, Hospital Hill Medical Pavilion (816) 412-2900 Lees Summit 2301 Charlotte Pediatrics Kansas City, MO 64108 Kansas City Internal Medicine - Beardman, Alejandra Mariana, (816) 404-3855 Murray Road Cattaneo, Raymond Anthony, 506 NW Murray Road Family Lees Summit, MO 64081 Practice Grimes, Robert Alan, (816) 524-4400

Page 108 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri Lees Summit Marthasville Pacific Kansas City Internal Medicine - Patients First Health Care- Marthasville Patients First Health Care - Pacific Murray Road 200 N. Hwy 47 307 Noonan Drive 506 NW Murray Road Marthasville, MO 63357 Pacific, MO 63069 Lees Summit, MO 64081 (636) 231-3638 Family (816) 524-4400 Family Practice Internal Practice Rickmeyer, Mark D, Medicine Long, Timothy P, Schmidt, Craig J, Buss, Mary, Mound City Platte City Gannavaram, Srilatha Konduri, Northwest Health Services-Mound City Heartland Clinic - Platte City Gendel, Jonathan, Clinic 2703 Running Horse Rd 1303 State Street Hemaya, Amir, Platte City, MO 64079 Mound City, MO 64470-114 Steinbrecher, Janis M, (816) 858-7050 (660) 442-5464 Lee's Summit Family Family Practice Encompass Medical Group - Lees Practice Summit Office Riggs, Ann O, Espejo, Maria Magnolia Soriano, 1741 NE Douglas Road, Suite 200 Voran, David Avery, Lee's Summit, MO 64086 Fernandez, Eduardo W, Pediatrics (916) 246-0200 New Haven Lowry, David A, Family Patients First Health Care - New Haven Sedalia Practice 9513 Hwy 100 Boyd, Gregory W, New Haven, MO 63068 Regional Health Care Clinic, dba Katy Trail Community Health- Sedalia Bruner, Christina Lee, Family Practice 821 Westwood Drive Tarvin, Randy J, Sedalia, MO 65301-2102 Davis, Thomas E, Internal (660) 826-1571 Medicine Owensville Family Muro, Washington S, Patients First Health Care - Owensville Practice Manchester 440 N. Hwy 19 Giles, Cheryl K, Owensville, MO 65066 Mercy Clinic Internal Medicine- Hamric, Randal Lee, DesPeres Family Practice Sikeston 2200 Barrett Station Road Manchester, MO 63021 King, Trevor P, Southeast Missouri Health Network- Sikeston Family Clinic (314) 821-1313 Ozark 200 Southland Internal St. John's Clinic - Ozark Sikeston, MO 63801 Medicine 1106 W. Jackson (573) 472-1770 Hand, Jason A., Ozark, MO 65721 Nurse Helton, J. Gavin, (417) 581-3548 Practitioner Hilgeman, Joseph T, Family Bradley, William, Practice Panasci, Thomas J, Surgery, Benedict, Holly J., Thoracic Marble Hill Brand, John C, Domjan, Daniel, Cross Trails Medical Center 109 Highway 51 North Gordin, Audrey L., Springfield Marble Hill, MO 63764 Williams, Rick W., Family Medical Care Center General Pacific 1423 N. Jefferson Ave., Suite B 100 Practice Springfield, MO 65802 Doyle, Edward J, (417) 269-8817 Page 109 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri Springfield Springfield St. Joseph Family Medical Care Center St. John's Clinic, Family Medicine - Heartland Clinics - Heartland Clinic 1423 N. Jefferson Ave., Suite B 100 SGC, Ste 140 Comprehensive Family Care Springfield, MO 65802 3231 S National, Suite 140 5210 North Belt Highway (417) 269-8817 Springfield, MO 65807 St. Joseph, MO 64506 (417) 890-4136 (816) 271-1330 Emergency Medicine General Family Practice Practice Paulson, John D., Carey, Larry J, Dominguez, Juan C, Family Practice St Joseph Kempton, Ronald Scott, Carron, Danielle N., Buckles Family Health Care Shams, Ameer Z, Crymes, Cameron A., 220 South Woodbine Rd Turner, Davin G, St Joseph, MO 64506 Fisher, Mary Jo J., Wiederholt, Sarah Renee, (816) 676-1300 Foster, Kristin A., Nurse Family Practitioner Fursa, Timothy A., Practice Israel, Paula M, Graves, Susan E., Buckles, Randy Scott, Heartland Clinics - Heartland Interna Griffin, Kyle W., St Louis Medicine Consultants Hahn, Shelby R., Mercy Clinic Internal Medicine- 5514 Corporate Drive Suite 120 Harper, Jason M., Crestwood St. Joseph, MO 64507 10024 Watson Road (816) 271-7169 Kelly, W. Shannon, St Louis, MO 63126 Internal Roark, Lisa D., (314) 919-2500 Medicine Shaw, Luke P.R., Internal Holda, Thomas R., Spruill, J-Pia K., Medicine Nurse Van Bibber, Jessica A., Hiner, Rose Lee, Practitioner Van Bibber, Jessica A., Huynh, Justin, Stevenson, Kerri, Wolfe, Eric C., Zalewski, John F., Heartland Clinics - Internal Medicine Associates General St. Clair 3715 Beck Road Practice Patients First Health Care- St. Clair St. Joseph, MO 64506 Halverson, Larry W., 1001 Cardwell Street (816) 271-4935 Obstetrics & St. Clair, MO 63077 Internal Gynecology (636) 231-3638 Medicine Bell, Laird A., Family Practice Berkowitz, Ellis R., St. John's Clinic, Family Medicine - Rivas-Gotz, Federico L., SGC, Ste 140 Brockman, Kirk Edward, 3231 S National, Suite 140 Smith, Patrick Raymond, Sprague, Gita G, Springfield, MO 65807 St. Joseph Heartland Clinics- Heartland Pediatri (417) 890-4136 and Adult Care Heartland Clinics - Heartland Clinic 105 Far West Drive Family Comprehensive Family Care Practice St. Joseph, MO 64506 5210 North Belt Highway (816) 271-8110 Alumno, Martin R, St. Joseph, MO 64506 Family Middleton, Rachelene, (816) 271-1330 Practice Tarsney, Sean P, Family Practice Ridens-Dale, Corinne M, General Internal Practice Brewer, Alan W., Medicine

Page 110 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri St. Joseph St. Joseph St. Joseph Heartland Clinics- Heartland Pediatric Heartland Clinics- Specialists of Northwest Health Services-Savannah and Adult Care Internal Medicine Medical Clinic 105 Far West Drive 901 Heartland Road, Suite 3800 803 Highway 71 West St. Joseph, MO 64506 St. Joseph, MO 64506 St. Joseph, MO 64506 (816) 271-8110 (816) 671-4800 (816) 324-3121 Internal Internal Family Medicine Medicine Practice Brownfield, Cynthia Marie, Eksinar, Sukru, Villahermosa, Juanito L, Nurse Islam, Sumbul, Nurse Practitioner Practitioner Kammerer, Edward Paul, Gilbertson, Sandra, Williams, Rhea J, Rippe, William F, Vorderstrasse, Tiffany, Northwest Health Services-South Side Nurse Health Center Pediatrics Practitioner 5001 Lake Avenue Bartulica, Nikola Karlo, Chatfield, Charles E, St. Joseph, MO 64504 Heartland Clinics- Lakeside Pediatrics Howard, Christine Dawn, (816) 238-7788 902 North Riverside Road Suite 100 Northwest Health Services- North End Family St. Joseph, MO 64507 Health Center Practice (816) 271-1350 1515 St. Joseph Avenue Cianciolo, Matthew, Nurse St. Joseph, MO 64505 Watkins, Cristyn, Practitioner (816) 233-3338 Nurse Arnold, Sarah Elizabeth, Family Practitioner Practice Kapp, Dana L, Stroud, Michael H, Sandberg, Chris B, Pediatrics St. Louis Zaman, Aref, Cebulko, Michelle Y, Nurse Mercy Clinic Family Medicine- Olive Murphy, Timothy P, Practitioner Mason Veligati, Narayan L, 12680 Olive Blvd., Suite 300 Davis, Kathleen M, St. Louis, MO 63141 Williams, Amanda Dawn, Northwest Health Services-Family (314) 251-8888 Heartland Clinics- Primary Care Medicine Associates Family Associates 2303 Village Drive Practice 1314-C North 36th Street St. Joseph, MO 64506 Cole, Sarah Z., St. Joseph, MO 64506 (816) 232-6818 (816) 271-4022 Danis, III, Peter G., Family Family Practice Hoekzema, Grant S., Practice Seth, Raman, Lord, Jr., James L., Alderson, Thomas W, Nurse Mertens, Marsha K., Heartland Clinics- Specialists of Practitioner Minchow-Proffitt, Sandra K., Internal Medicine Kimble, Vickie J, 901 Heartland Road, Suite 3800 Phruttitum, Serin, St. Joseph, MO 64506 Northwest Health Services-Savannah Medical Clinic Mercy Clinic Family Medicine- Olive- (816) 671-4800 Mason 803 Highway 71 West 12680 Olive Blvd., Suite 100 Internal St. Joseph, MO 64506 Medicine St. Louis, MO 63141 (816) 324-3121 Abbas, Marghoob, (314) 251-8900 Family Internal Agarwal, Vikas, Practice Medicine Clark, Robert C, Opena, Jayne lora Lagutan, Merbaum, Marc O., Page 111 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Missouri Missouri St. Louis Union Washington Mercy Clinic Pediatrics- Sunset Hills Patients First Health Care - Union Patients First Health Care - 9701 Landmark Parkway Drive, Suite 97 St. Andrews Dr Washington 111 Union, MO 63084 901 Patients First Drive St. Louis, MO 63127 (636) 583-2946 Washington, MO 63090 (314) 849-3885 (636) 231-3638 Internal Pediatrics Medicine Family Practice Atteberry, Robert K., Kluesner, Gretchen Elizabeth, Colter, Kim D, Ganninger, Maria V., Thanawalla, Shaukat A, Guss, David P, Mueth, Steven R., Pediatrics Holzem, Craig S, Seematter, Colleen, Hammer, Elizabeth P, Ratcliff, Keith M, Mercy Clinic Pediatrics ΓÇôOld Tesson Warrenton 12348 Old Tesson Road, Suite 160 Turner, James D, Patients First Health Care - Warrenton St. Louis, MO 63128 605 E. Booneslick, Ste B Weidle, Kristin Ann marie, (314) 467-3800 Warrenton, MO 63383 Internal Pediatrics (636) 456-6103 Medicine Daly-Wilson, Tracey, Family Ayers, Bryce A, Hunt, Michael G., Practice Dumontier, Gary, Grimes, James Robert, Regen, Amanda, Halsted, Robert W, Rohatgi, Sandeep, Washington Halsted, Teresa M, Sakmar, Douglas, Mercy Clinic Family Medicine- Ostrom, Kyle Fritz, Washington Suite 104 Paul Stein, M.D. 851 East 5th Street, Suite 140 Rau, Michael E, 555 North New Ballas Road,, Suite 110 Washington, MO 63090 Seeck, Sarah Jean, St. Louis, MO 63141 (636) 239-6808 Smith, Kenneth B, (314) 872-8470 Family Pediatrics Internal Practice Medicine Warren, Timothy James, Kunkel, Robert R, Stein, Paul M., Wentzville Mercy Clinic Family Medicine- Union Washington Suite 208 Crider Health Center Mercy Clinic Family Medicine- Union 851 E. Fifth Street, Suite 208 1032 Crosswinds Court 1935 Prairie Dell Road, Suite 400 Washington, MO 63090 Wentzville, MO 63385 Union, MO 63084 (636) 390-9090 (636) 332-8305 (636) 583-2508 Family Family Practice Practice Family Practice Stearnes Rosas, Jennifer Joy, Anderson, Blake, Adams, Christopher Franklin, Stone, Michael, Nurse Practitioner Burkheart, Amanda, Vanbibber, Jessica Renee, Hankins-Farber, Rebecca, Patients First Health Care - Union Vanbibber, Jessica Renee, 97 St. Andrews Dr Obstetrics & Patients First Health Care - Gynecology Union, MO 63084 Washington (636) 583-2946 901 Patients First Drive Handler, Michael R, Family Washington, MO 63090 Pediatrics Practice (636) 231-3638 Krewet, Peter, Borgmann, Jamie Marie, Family Wildwood Practice Internal Medicine Bain, Kelly J, Page 112 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Missouri Montana Montana Wildwood Cut Bank Livingston Mercy Clinic Family Medicine- Glacier Community Health Center Community Health Partners - Wildwood 519 E. Main St., Livingston 16555 Manchester Road, Suite 100 Cut Bank, MT 59427 126 South Main St Wildwood, MO 63040 (406) 873-5670 Livingston, MT 59047-2624 (636) 458-0646 (406) 222-1111 Family Family Practice Emergency Practice Medicine Fultz, Marvin Clark, Burns, Lisa C., Schulein, Mark, Helena Hull, Susan R., Family St Peters Medical Group- North Practice Richardson, Michael, Montana Clinic Lange, Stefanie Katherine, Weick, Raymond M., 3150 North Montana Ave Helena, MT 59602 Physician Montana (406) 495-6601 Assistant Bozeman Family Hintze, Rebecca, Bozeman Deaconess - Family Medicine Practice Marti, Michelle M, and Pediatrics Dodge, Jenifer Patricia, 935 Highland Blvd Suite 1100 Missoula Krainacker, David A, Bozeman, MT 59715 Grant Creek Family Practice (406) 587-5123 Wessel, Katy, 3075 N Reserve St., Suite Q General St. Peters Medical Group Missoula, MT 59808 Practice 2550 Broadway (406) 327-1850 Patterson, John S, Helena, MT 59601 Family (406) 457-4180 Practice Pediatrics Family Cycholl, Brandon, Blake, Michael Joseph, Practice Davis, Carla Elaine, Hodgson, Mark G, Bailey, Jessica Ann elliott, Lindley, Jeffrey Karl, Community Health Partners - Bozeman Brunsdon, Jennifer Lee, 214 E Mendenhall Stenger, Robert J, Burkholder, James Neuen, Bozeman, MT 59715-3638 Nurse (406) 585-1360 Lechner, David William, Practitioner Emergency Nowak, Diane P, Granger, Jamie, Medicine Geriatric Medicine/Family Physician Eisel, Justin Clayton, Practice Assistant Family Batey, William Mark, Castillo, Roger E, Practice Wampler, Todd Brian, West Yellowstone Meyers, Christina Michel, Internal Community Health Partners - West Nurse Medicine Yellowstone Practitioner Kellogg, Kathleen, 11 South Electric Pessl, Liese, West Yellowstone, MT 59758-1101 Skillman, Donald Roland, (406) 646-9441 Cut Bank Nurse Emergency Practitioner Glacier Community Health Center Medicine 519 E. Main St., Roope, Beverly Colleen, Eisel, Justin Clayton, Cut Bank, MT 59427 Livingston (406) 873-5670 Nebraska Family Crete Practice Atherton, Marsha Lynn, Page 113 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Nebraska Nebraska Nebraska Crete Omaha Omaha Crete Area Medical Center Physician Midwest Regional Health Services, OneWorld Community Health Center Clinic LLC - Clarkson West G 2910 Betten Drive 2727 S 144th Street 4920 South 30th Street, Ste. 103 Crete, NE 68333 Omaha, NE 68144 Omaha, NE 68107 (402) 826-6538 (402) 778-5490 (402) 502-8843 Emergency Physician Physician Medicine Assistant Assistant Hesser, Jason K., Scholting, Patty J., Bangert, Vicki Lee, Miller, Troy, Midwest Regional Health Services, Huber, Kristen A, LLC - Downtown Family Levy, Bethany Jean, Practice 4242 Farnam Street, Suite 150 Omaha, NE 68131 Singh, Sarah, Ebke, Russel J., (402) 552-6744 Swierczek, Misty Dawn, Hesser, Kate E., Family University of Nebraska Medical Cente Omaha Practice Physicians Midtown Clinic 139 S. 40th St Alegent Health Clinic-Eagle Run Byrd, Phyllis J., Omaha, NE 68131 14450 Eagle Run Drive, Suite 104 Internal (402) 559-6789 Omaha, NE 68116 Medicine Internal (402) 343-4521 Darst, Donald J., Medicine Family Physician Bessmer, Joel R, Practice Assistant Canaris, Gay J, Connolly, Christopher J, Hanson, Robert A., Fedderson, Julie L, Eirinberg, Lewis W, OneWorld Community Health Center - Moseman, Lynnette A, G Jansen, Mary G, 4920 South 30th Street, Ste. 103 Physician Johnson, Michelle F, Assistant Omaha, NE 68107 Neumeister, J Scott, (402) 502-8843 Bertucci, Rebecca J, Runge, Rebecca Anne, Family Brewer, Michaelyn Marie, Practice Shiffermiller, Jason F, Gass, Janeen, Dethlefs, Henry John, Tape, Thomas G, Psychiatry Dworak, Alex, Taylor, Regan Marie, Andersen, Mark D, Faber, Donna Lynne, Thierfelder, Jean L, Midwest Regional Health Services, Hennessy, Therese A, Vasey, Andrew, LLC - Clarkson West 2727 S 144th Street Machuca, Francisco, Vokoun, Chad W, Omaha, NE 68144 Margalit, Ruth Naomi, Nurse, Registered Anesthetist (402) 778-5490 Mcvea, Kristine Lyn, Bonnema, Rachel, Emergency Sagrero, Katie Marie, Medicine Pediatrics Samindla, Deepthi, Blad, Kenneth L., Parker, Jennifer R, Nurse Family Practitioner Valley Practice Buschkemper, Elizabeth H, Methodist Physicians Clinic - Valley Bisenius, Marjorie S., Jorgensen, Leah S, 625 S. Pine St. Lancaster, Rebecca M., Valley, NE 68064 Poyner, Eloise Cowling, Moshman, Gordon S., (402) 359-2277 Pediatrics Physician Family Assistant Vargas, Monica Maria, Practice Page 114 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Nebraska Nevada Nevada Valley Henderson Las Vegas Methodist Physicians Clinic - Valley Healthcare Partners Medical Group - Healthcare Partners Medical Group - 625 S. Pine St. Whitney Ranch Centennial Hills Valley, NE 68064 600 North Whitney Ranch Drive #B-6 6850 North Durango Drive #208 (402) 359-2277 Henderson, NV 89014 Las Vegas, NV 89149 (702) 547-0088 (702) 952-0999 Family Practice Family Internal Practice Medicine Macdonald, Cheryl R, Liu, Jasper Estein, Mangahas, Mylene C, Mahloch, Mark L, Ritchey, Robert K, Healthcare Partners Medical Group - Mccarville, Patrick J, Central Valley Southwest Medical Associates - Siena Nevada 4275 South Burnham Street #365 2825 Siena Heights Drive Las Vegas, NV 89119 Carson City Henderson, NV 89052 (702) 731-1105 Aspen Family Medical (702) 617-1227 Family 2874 N. Carson Street #127 Family Practice Carson City, NV 89706 Practice Ruppert, Ronald C, (775) 882-1300 Metcalf, James J., Healthcare Partners Medical Group - Family Internal Civic Center Practice Medicine 2365 Reynolds Avenue #211 Lyons, Colleen Caralyn, Houston, Patrice, Las Vegas, NV 89119 Nurse Singson, Concepcion Reyes, (702) 399-1287 Practitioner Pediatrics Family Pugsley, Brenda A, Practice Chowdhry, Ishtiaq Ahmad, Henderson Vicuna, Joselo Atienza, Las Vegas Healthcare Partners Medical Group - Internal Henderson Healthcare Partners Medical Group - Medicine 129 West Lake Mead #10 Buffalo Uche, Chukwudum, Henderson, NV 89015 1700 North Buffalo (702) 565-1007 Las Vegas, NV 89128 Healthcare Partners Medical Group - (702) 233-8855 Desert Springs Internal 4275 South Burnham Street #270 Medicine Family Practice Las Vegas, NV 89119 Her, Michael Jungho, (702) 946-5399 Hong, Teresa Ong, Tanenggee, Frederick Jones, Internal Sholeff, Gregory T, Healthcare Partners Medical Group - Medicine Siena Healthcare Partners Medical Group - Bruce, Afi Y, 2843 Saint Rose Parkway #110 Burnham Krstic, Marija, Henderson, NV 89052 4275 South Burnham Street #220 (702) 616-7049 Las Vegas, NV 89119 Healthcare Partners Medical Group - (702) 369-0088 Flamingo Internal 4275 South Burnham Street #105 Medicine Family Practice Las Vegas, NV 89119 Lao, Maria, (702) 734-6363 Burris, Wendell G, Healthcare Partners Medical Group - Family Whitney Ranch Healthcare Partners Medical Group - Practice 600 North Whitney Ranch Drive #B-6 Centennial Hills Mirkil, Vincent Jerome, Henderson, NV 89014 6850 North Durango Drive #208 (702) 547-0088 Las Vegas, NV 89149 Villaflor, Florence M, (702) 952-0999 Family Practice Page 115 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Nevada Nevada Nevada Las Vegas Las Vegas Las Vegas Healthcare Partners Medical Group - Healthcare Partners Medical Group - Southwest Medical Associates - Green Valley Summerlin Montecito 9077 South Pecos Road #3800 2035 Village Center Circle #111 7061 Grand Montecito Parkway Las Vegas, NV 89074 Las Vegas, NV 89134 Las Vegas, NV 89149 (702) 947-1940 (702) 228-7117 (702) 750-3800 Internal Internal Family Medicine Medicine Practice Hong, Patrick Sychay, Stocking, Barbara J, Bauzon, Samuel Remulla, Wakefield, Tracy J, Healthcare Partners Medical Group - Miedico, Tania Morales, Tenaya Healthcare Partners Medical Group - Internal North Rainbow 2851 North Tenaya Way #103 Medicine Las Vegas, NV 89128 1000 South Rainbow Blvd Nguyen, Tim Tuan huy, Las Vegas, NV 89145 (702) 240-0088 Pediatrics (702) 259-0088 Internal Medicine Henderson, Anita Mishra, Geriatric Medicine/Internal Medicine Vancise, Simi S, Southwest Medical Associates - Nellis Dani, Roopa Prashant, Healthcare Partners Medical Group - 650 North Nellis Blvd Valley Las Vegas, NV 89110 Internal (702) 459-7424 Medicine 400 Shadow Lane Las Vegas, NV 89106 Pediatrics Adekunle, Foluke Adeyinka, (702) 382-7760 Banfro, Caroline Seena, Healthcare Partners Medical Group - Internal Parkway Reyta, Virginia, Medicine 100 North Green Valley Parkway #240 Southwest Medical Associates - North Batugal, Oscar Aquino, Las Vegas, NV 89074 Tenaya (702) 938-0088 Jacobs & Modaber Primary Care 2704 North Tenaya Way Family 2870 S. Maryland Pkwy, Suite 300 Las Vegas, NV 89128 Practice Las Vegas, NV 89109 (702) 243-8500 (702) 735-0619 Wedlow, Camille E, Internal Family Medicine Internal Practice Medicine Khan, Susan, Ng, Jeffrey, Bonuel, Nida E, Reddy, Venumbaka C, Internal Healthcare Partners Medical Group - Von Hartleben, Kurt Matthew, Medicine Spring Valley Southwest Medical Associates - South Addis, Laura D, 5320 South Rainbow Blvd #150 Eastern Las Vegas, NV 89118 Jacobs, Leslie Caryl, 4475 South Eastern Avenue (702) 944-7105 Jacobs, Loring Bradford, Las Vegas, NV 89119 Family (702) 737-1880 Jacobs, Parvin Modaber, Practice Internal Jayachandran, Archana, Harries, Karyn, Medicine Muro, Victor M, Healthcare Partners Medical Group - Caimol, Joseph S, Summerlin Shoemaker, William R, Clavecilla, Pio D, 2035 Village Center Circle #111 Southwest Medical Associates - Jia, Ran, Las Vegas, NV 89134 Montecito (702) 228-7117 7061 Grand Montecito Parkway Obstetrics & Gynecology Internal Las Vegas, NV 89149 Medicine (702) 750-3800 King, Richard N, Schwartzer, Marlene,

Page 116 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Nevada New Hampshire New Hampshire Las Vegas Bedford Berlin Southwest Medical Associates - West Dartmouth-Hitchcock Bedford Primary Coos County Family Health Services - Charleston Care Pleasant 2316 West Charleston Blvd 25 South River Road 133 Pleasant St Las Vegas, NV 89102 Bedford, NH 03110 Berlin, NH 03570 (702) 877-8600 (603) 695-2572 (603) 752-2040 Family Family Family Practice Practice Practice Clark, Edward Francis, Cozzi, Kevin J., Bourbeau, Josee Lucie, Martin, Matthew Lane, Morbey, Paul, Lake, Christopher, Southwest Medical Associates - West Urban, Michelle A, Sullivan, Mitchell, Flamingo Internal Nurse 6330 West Flamingo Road Medicine Practitioner Las Vegas, NV 89103 Braun, Mary, Charest, Jeanne D, (702) 876-4449 Lundy, Geoffrey, Chevarie, Janet, Family Practice Mosher, Jodee, Shute, Patricia, Karamanides, Anastasia, Elliot Family Medicine at Bedford Charlestown Commons Reno Springfield Medical Care Systems - 25 South River Road Charlestown Family Medicine Renown Medical Group - South Bedford, NH 03110 125 Main Street Meadows (603) 626-4392 10085 Double R. Blvd #120 Charlestown, NH 03603 Family Reno, NV 89521 (603) 826-5711 Practice (775) 982-8176 Family Bennett, Lydia B, Practice Internal Medicine Burns, Emily A., Caloras, Daniel, Miyagawa, Dean K., Fitzgerald, James F, Concord Renown Medical Group (Ryland) Rosenbaum, Daniel J, Concord Hospital Family Health 975 Ryland Street Berlin Center-Concord Reno, NV 89502 250 Pleasant Street Coos County Family Health Services - (775) 982-5000 Concord, NH 03301 Page Hill (603) 227-7000 Family 59 Page Hill Road Practice Berlin, NH 03570 Family Practice Kiser, Michele J., (603) 752-2900 Bannister, J. Bryan, Kiser, Michele J., Family Practice Internal Dreffer, Douglas, Medicine Krishnamani, Keerthy, Dreffer, Douglas, Sundstrom, Steven M., Shute, Keith, Fayre, Gail, Sundstrom, Steven M., Internal Geffken, Dominic, Medicine Watson, John M, Harker, Phenton, Perry, Debra, Surgery, General King, Cynthia, Vascular Nurse Practitioner Madan, Michael, Watson, John M, Eaton, Raina C, Orzano, A. John, New Hampshire Yerdon-McLeod, Angela, Bedford

Page 117 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Hampshire New Hampshire New Hampshire Concord Concord Contoocook Concord Hospital Medical Group - Concord Hospital Medical Group - Concord Hospital Medical Group - Community Medical Associates Internal Medicine Family Tree Health Center - Hopkinto 60 Commercial Street, Suite 401 248 Pleasant Street, Suite 2800 19 Farrington Corner Road Concord, NH 03301 Concord, NH 03301 Contoocook, NH 03229 (603) 228-7555 (603) 224-4003 (603) 228-7575 Internal Internal Family Medicine Medicine Practice Biernat, Lukasz, Antinerella, Nicole M., Lawrence, Stephen, Ziesmer, Valerie, Ciak, Carl S., Mcleod, Michael M, Concord Hospital Medical Group - Clark, Paul R., Milligan, Francis J., Concord Family Medicine Vanderlinde, Tanja, Derry 18 Foundry Street, Suite 201 Concord, NH 03301 Concord Hospital Medical Group - Derry Medical Center Pleasant Street Family Medicine (603) 228-0071 6 Tsienneto Road, Suite 100 280 Pleasant Street Derry, NH 03038 Family Concord, NH 03301 Practice (603) 537-1300 (603) 226-3400 Clardy, Elizabeth A., Family Family Practice Hayes, Francis A, Practice Brooks, Theodore T, Kremzner, Boguslawa, Betchart, Frank A, Daley, John P, Martel, Amy L., Clancy, Patricia E, Egenolf, Cristi M, Nelson, Richard M, Fox, Katharine T, Hand, Christine M, Oshman, Lauren, Kiefner, Robert, Kilroy, Jonathan D, Pollak, Eric F, Shugol, Margarita, Krasnof, Rebecca Erickson, Sobelson, Gary S, Dartmouth-Hitchcock Concord Pediatrics Liu, Shu Wei, Concord Hospital Medical Group - Family Care of Concord 253 Pleasant Street Low, Scott J, 248 Pleasant Street, Suite 2600 Concord, NH 03301 Lynch, Gregory M, (603) 226-2200 Concord, NH 03301 Mackinnon, Diane, (603) 753-4302 General Practice Mercuro, Elisa J, Family Practice Hallowell, Christian, Murai, Sarah E., Angelo, Wendy, Pediatrics Northcutt, Albert C, Giglio, Barry L, Brunelle, Ashley A., Rork, Dennis G, Sawyer, Mathew, Carney, Mark D., Welter, John F, Concord Hospital Medical Group - Lafortune-Greenberg, Tessa J., Wheeler, John H, Family Tree Health Care - Concord Oliveria, Theresa M., Gorham 81 Hall Street Shulman, Eric A., Coos County Family Health Services - Concord, NH 03301 Gorham Family Smith, Elizabeth R., 2 Broadway Street Practice Storo, William R., Gorham, NH 03581 Durand, Lynn A, VanVranken, Nancy J., (603) 466-2741 Concord Hospital Medical Group - Contoocook Family Internal Medicine Practice 248 Pleasant Street, Suite 2800 Kernan, Donald, Concord, NH 03301 Lang, Kenneth Charles, (603) 224-4003 Page 118 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Hampshire New Hampshire New Hampshire Gorham Lebanon Lebanon Coos County Family Health Services - Dartmouth-Hitchcock Lebanon Dartmouth-Hitchcock Medical Center Gorham Pediatrics Lebanon 2 Broadway Street Medical Center Drive 1 Medical Center Drive Gorham, NH 03581 Lebanon, NH 03756 Lebanon, NH 03756 (603) 466-2741 (603) 650-5000 (603) 650-6943 Family Pediatrics Internal Practice Medicine Bernstein, Henry (Hank) H., Mcdowell, John, Furmanski, Lisa A, Chapman, Steven H., Temme, Thomas, Herndon, M. Brooke, Fall, Leslie H., Tracy, Sherrill, Hort, Shoshana J, Gifford, Kimberly A., Nurse Kieffer, Kelly A, Jenkins, Pamela C., Practitioner Krasnoff, Margo J, Kittredge, Diane, Mclane, Alice, L'Heureux, Michelle M, McClure, Auden C., Hillsboro Medora, Christine R, Olson, Ardis L., Concord Hospital Medical Group - Palac, Diane M, Concord Hospital Family Health Poret, Todd M., Center-Hillsboro-Deering Pastel, Lisa C, Sargent, James D., 15 Antrim Rd Pinto-Powell, Roshini C, Hillsboro, NH 03244 Wenger, Jodi K., Ross, Jonathan M, (603) 464-3434 Whalen, Bonny L., Schwartz, Lynn S, Family Yukica, Rebecca L., Practice Wolfe, Elizabeth K, Yukica, Rebecca L., Brehio, Teri L., Littleton Dartmouth-Hitchcock Medical Center Dreffer, Douglas, Lebanon Ammonoosuc Community Health Services-Littleton Dreffer, Douglas, 1 Medical Center Drive Lebanon, NH 03756 25 Mount Eustis Road Thesing, Gregory J., (603) 650-6943 Littleton, NH 03561 Keene (603) 444-8223 Geriatric Medicine/Family Dartmouth-Hitchcock Keene Pediatrics Practice Family Practice 590 Court Street Batsis, John A, Keene, NH 03431 Geriatric Medicine/Internal Lawson, Phil, (603) 354-5454 Medicine Tarrabain, Mohammed, Pediatrics Bynum, Julie P. W., Internal Campbell, Patricia I., Dolkart, Kenneth M, Medicine Mourad, Ibrahim, Fisher, Kathleen M., Internal Hansen, Deborah R., Medicine Lyme Payton, Jessica, Beaver, Cathleen R, Dartmouth-Hitchcock General Intern Medicine Lyme Rubin, Geraldine, Bibeau, Carole E, 204 Dartmouth College Highway Brackett, Charles D, Silverstein, Marni A., Lyme, NH 03768 Lebanon Brokaw, Frances C, (603) 650-1070 Dartmouth-Hitchcock Lebanon Brooks, W. Blair, Internal Pediatrics Dacey, Linda B, Medicine Medical Center Drive Eisenberg, Ellen H, Bradley, Elizabeth, Lebanon, NH 03756 Cimpean, Delia, (603) 650-5000 Fleming, Elaine L, Friedman, Harley P, Mather, Cheri, Page 119 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Hampshire New Hampshire New Hampshire Manchester Nashua Newmarket Dartmouth-Hitchcock Manchester Dartmouth Hitchcock - Nashua Lamprey Health Care - Newmarket Adult Primary Care Pediatrics Health Center 100 Hitchcock Way 591 West Hollis Street, A 207 South Main Street Manchester, NH 03104 Nashua, NH 03060 Newmarket, NH 03857 Family (603) 577-4400 (603) 659-2494 Practice Internal Pediatrics Medicine Braga, Christopher C, Oxnard, Sarah C, Gunturu, Kristen, Olnick, Carol, Pelham Shannon, Karen, Pediatric Surgery Pelham Healthcare Associates General 49 Atwood Road, Suite #1, P.O. Box 43 Levine, Gilbert, Practice Pelham, NH 03076 Binczewski, Brian, Pediatrics (603) 635-2802 Internal Cappetta, Charles T., Internal Medicine Frumkin, Michell, Medicine Jones, Jennifer T, Kopp, Stacey, Kodali, Srilatha, Marks, Heather, Sznycer, Liliane, Penacook Nguyen, Phat, Taub, Abner, Concord Hospital Medical Group - Penacook Family Physicians Poliyedath, Anupama, Youssef, Denise, 1 Merrimack Street Song, Lijun, New London Penacook, NH 03301 (603) 753-4302 Ullah, Sana, Life Long Care of New London, PLLC Upadrasta, Vijaya, 276 Newport Road Family Practice Dartmouth-Hitchcock Manchester New London, NH 03257 Pediatrics (603) 526-4144 Gabrielli, Robert D, 100 Hitchcock Way Family Kropp, Eric, Manchester, NH 03104 Practice Niegisch, Carol, (603) 695-2750 Kidder, Kathleen M., Smith, W Kent, Internal Rossignol, Monique, Medicine Spencer, Michelle T, Nurse Plotnik, Lisa Michele, Practitioner Plaistow Pediatrics Lyon, Sean, Core Physicians LLC Hollister, John R., Plaistow Health, 24 Plaistow Road, Un Newmarket 2 Mandel, Michele F., Lamprey Health Care - Newmarket Plaistow, NH 03865 Nordgren, Robert, Health Center (978) 382-4972 207 South Main Street Olson, Elizabeth H., Family Newmarket, NH 03857 Practice Paris, Steven, (603) 659-2494 Litsch, Sarah, Rosenwasser, Christine K., Family Mullaney, Steven, Schneebaum, Ron, Practice Pernyeszi, Jr., Gabor, Schuman, Andrew, Friedrichs, Paul, Plymouth Shessler, Erik, Osadsky, Rastislav, Mid-State Health Center Spiro, Amanda, Obstetrics & Gynecology 101 Boulder Point Drive, Suite 1 Spivak, Paul S., Plymouth, NH 03264 Pruna, Sirona, Wiegand, Margaret, (603) 536-4000 Pediatrics Nashua Page 120 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Hampshire New Hampshire New Jersey Plymouth Warner Branchburg Mid-State Health Center Concord Hospital Medical Group - Dein Shapiro, M.D. 101 Boulder Point Drive, Suite 1 Family Tree Health Care - Warner 3461 Route 22 Plymouth, NH 03264 2 East Main Street, Unit #2 Branchburg, NJ 08876 (603) 536-4000 Warner, NH 03278 (908) 526-4499 Family Family Family Practice Practice Practice Arsenault, Diane L., Klinger, Angela, Shapiro, Dein, Diederich, Gary, Maitland, Lauri Ann, Ruby Halper - Erkkila Lloyd, John, Sutton, Shawn I., 48 Robbins Rd. Branchburg, NJ 08876 Rosen, Alan E., West Franklin (908) 526-8300 Internal Westside Healthcare Family Medicine 125 South Main St. Practice Fagan, David, West Franklin, NH 03235 Halper-Erkkila, Ruby Ann, (603) 934-9017 Kelsey, Frederick S., Brick Family Purimetla, Venkata, Practice Ocean County Family Care - Brick Nurse Friend, Paul K, 2125 Route 88 East Practitioner Brick, NJ 08724 Hanrahan, Melissa B., Fader, Kimberly, (732) 892-4548 New Jersey Joslin, Sonia, Internal Barrington Medicine Lessard, Amberlee, Rothberg, Michael S., Pediatrics Runnemede Family Practice 208 White Horse Pike, Suite 3 White, Kelley J., Our Family Practice Barrington, NJ 08007 1899 Route 88 Portsmouth (856) 796-9204 Brick, NJ 08724 Martin's Point Health Care, Inc.- Internal (732) 810-8177 Portsmouth Medicine Family 161 Corporate Drive Draganescu, Mirela, Practice Portsmouth, NH 03801 Bayonne Cascarina, Michael, (603) 430-5041 Eapen, Prema, Family United Medical, PC- Bayonne Practice 19 East 27th Street Tesoriero, Laura, Bayonne, NJ 07002 Lutz, Stephen, Browns Mills (201) 339-6111 Remillong, Elizabeth, Browns Mills Medical Services Family Stark, John Cowan, Practice 212 Trenton Road, 2nd floor Browns Mills, NJ 08015 Suncook Neopane, Padam K., (856) 796-9204 Concord Hospital Medical Group - Internal Family Family Physicians of Pembroke Medicine Practice 121 Pembroke Street Hoffman, Mark A., Suncook, NH 03275 Uriguen-Ashby, Samantha, Neno, Rosa M., (603) 485-8441 Burlington Salomon, Pierre R., Family Burlington Family Medical Center Practice Branchburg 666 Madison Avenue Lowne, Joseph, Burlington, NJ 08016 Niegisch, Robert W, (856) 796-9204 Stidwill, Robert J,

Page 121 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Burlington Cherry Hill Clinton Burlington Family Medical Center Cherry Hill Family Care Hunterdon Medical Center - 666 Madison Avenue 951 Haddonfield-Berlin Road Hunterdon Pediatric Associates Clinto Burlington, NJ 08016 Cherry Hill, NJ 08034 1738 Route 31 North, Suite 201 (856) 796-9204 (856) 796-9204 Clinton, NJ 08809 (908) 735-3960 Family Family Practice Practice Pediatrics Luke, Ciby Babukunju, Barr, Larry A., Coraggio, Michael J, Markunas, Stanley A, Parchuri, Hima Bindu, Roche, Kevin B, Family Practice of Burlington Cinnaminson Hunterdon Medical Center - Riverfiel 1900 Burlington - Mount Holly Road, Family Health Center Clinton Triboro Family Physicians Suite 2C 1783 Route 31 North, Suite 203 1104 Route 130, Suite K Burlington, NJ 08016 Clinton, NJ 08809-2014 Cinnaminson, NJ 08077 (856) 796-9204 (908) 735-4645 (856) 796-9204 Family Family Practice Family Practice Practice Patel, Manish A, Karpinski-failla, Susan, Gettings, Matthew James, Cedar Knolls Klein, Martin E, General The Medical Institute of New Jersey Practice Paul-Yee, Sabine, 11 Saddle Road Switenko, Zenon Michael, Vandenburg, James J, Cedar Knolls, NJ 07927 Clifton MorningStar Family Health Center (973) 267-2122 54 OLD HWY 22 New Jersey Physicians, LLC - Allwood Family Clinton, NJ 08809 Practice 925 Allwood Road (908) 735-9344 Clifton, NJ 07012 Gellerstein, Alan S, (973) 777-7911 Family Gibbions, Jr., James, Practice Internal Gopin, Joan, Medicine Golden-Tevald, Jean Marie, Greenbaum, Herbert, DeBell, David A., Novak, Eva Cesnek, Monka, Ira P., Graber, David J., The Doctor Is In, PA at Clinton 59 Old Route 22 Chatham Lintz, Robert M., Clinton, NJ 08809 Chatham Family Practice Associates Obrien, Joseph P., (908) 730-6363 492 Main Street United Medical, PC-Clifton Family Chatham, NJ 07928 300 Parker Avenue Practice (908) 522-5700 Clifton, NJ 07011 Klein, Randy S, Family (973) 546-6844 Practice Cranford Family Baker, Janice E., Practice Cranford Family Practice Gruber, Amy D., Muccino, Gary P., 123 N. Union Avenue, Suite 204 Cranford, NJ 07016 Holland, Elbridge T., Clinton (908) 272-7990 Tribuna, Joseph, Hunterdon Medical Center - Family Cherry Hill Hunterdon Pediatric Associates Clinton Practice 1738 Route 31 North, Suite 201 Eidus, Robert, Cherry Hill Family Care Clinton, NJ 08809 951 Haddonfield-Berlin Road (908) 735-3960 Eidus, Robert, Cherry Hill, NJ 08034 Pediatrics Edison (856) 796-9204 Braff, Ricky A, Page 122 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Edison Emerson FLEMINGTON JFK Medical Center Old Hook Medical Associates, LLC Hunterdon Family Practice & 65 James Streeet 452 Old Hook Rd Obstetrics Edison, NJ 08820 Emerson, NJ 07630 1100 Wescott Dr., Suite 101 (732) 321-7493 (201) 666-3900 Flemington, NJ 08822-4600 (908) 806-8222 Family Family Practice Practice Family Practice Chae, Sung, Dombrowski, Mark, Plunkett, Lisa, Metz, Deborah L, Gastroenterology Hunterdon Medical Center - Metz, John P., Cornerstone Family Practice Goldstein, David, Milne, Charlene E., 1 Wescott Drive, Suite 101 Zucker, Ira I, Nadkarni, Swati Girish, Flemington, NJ 08822-4655 Internal (908) 788-8220 Odell, Kimberly, Medicine Family Patel, Dipen K, Glaubiger, Carol, Practice Picciano, Anne, Gold, Edward J, Lecusay, Dario A, Wilks, Michelle, Ko, Christopher J, Ray, Meredith H, Winter, Robin O., Levine, Lester, Hunterdon Medical Center - Emerson Hunterdon Family Medicine Farmingdale 190 Highway 31, Suite 500 Bergen Gastroenterology- Emerson Farmingdale Family Practice Associates Flemington, NJ 08822-5763 466 Old Hook Road Suite 1 43 Main Street (908) 788-6161 Emerson, NJ 07630 Farmingdale, NJ 07727 Family Family (732) 938-6471 Practice Practice Family Mehta, Anand, McConnell, Julie Wilma, Practice Hunterdon Medical Center - Internal Angello, Philip J, Hunterdon Pediatric Associates Medicine Schauer, Joseph W., Reading Ridge Briker, Alan J, 8 Reading Road FLEMINGTON Flanzman, Susan, Flemington, NJ 08822-2081 Adult and Adolescent Medical (908) 788-6070 Griggs, Allen R, Associates Pediatrics Lan, Vivian E, 4 WALTER FORAN BLVD, SUITE 101 FLEMINGTON, NJ 08822 Clarin, Mitchell I, Motiwala, Neeta, (908) 782-3204 Krupinski, Donna J, Randall, Jennifer, Internal Prosswimmer, Geralyn M, Tempesta, Sabrina L, Medicine Hunterdon Medical Center - Old Hook Medical Associates, LLC Novy, Donald Stuart, Hunterdon Pediatric Associates Sandh 452 Old Hook Rd Hunterdon Family Practice & 6 Sandhill Road, Suite 202 Emerson, NJ 07630 Obstetrics Flemington, NJ 08822-4946 (201) 666-3900 1100 Wescott Dr., Suite 101 (908) 782-6700 Cardiovascular Flemington, NJ 08822-4600 Pediatrics Disease (908) 806-8222 Douvris, John S, Jacowitz,, Joel D, Family Fellmeth, Wayne G, Endocrinology, Diabetes & Practice Metabolism Lewis, Mary Kendra, Kroon, Jody L, Daud, Sameera, Mattei, Cruz A., Rushton, Alan R, Pauch-mcnamara, Dorothy A,

Page 123 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey FLEMINGTON Freehold Hackensack The Doctor Is In, PA at Flemington Family Practice of Central Jersey - Center for Healthy Senior Living 149 M Hwy 31 Medical Arts 5 Summit Ave, Suite 204 Flemington, NJ 08822 901 West Main Street, Suite 106 Hackensack, NJ 07601 (908) 782-7700 Freehold, NJ 07728 (201) 336-8685 Family Family Internal Practice Practice Medicine Messina, Charles I, Faistl, Kenneth W., Mansour, Loris N, Forked River Feingold, Marc, Hammonton Dennis Novak, MD PA Garwood Atlanticare Family Medicine - 1001 Lacey Road, P.O. Box 780 PMG - Internal Medicine at Garwood Hammonton Forked River, NJ 08731 400 Center Street 120 South White Horse Pike (609) 693-8900 Garwood, NJ 07027 Hammonton, NJ 08037 (609) 407-2225 Family (908) 789-0118 Practice Internal Family Practice Novak, Dennis E., Medicine DeTata, Gerald C., Freehold Calcara, Epifanio, Stephen A. Nurkiewicz, MD CentraState Family Medicine Talavera, Joyce R., 858 South White Horse Pike, B-2 Residency Practice Green Brook Hammonton, NJ 08037 1001 West Main Street, Suite B Medemerge (609) 561-2345 Freehold, NJ 07728 1005 No Washington Ave. (732) 294-2540 Family Green Brook, NJ 08812 Practice Family (732) 968-1552 Practice Nurkiewicz, Stephen A., Family Hampton Alday, Geronima, Practice Bader, Christopher, Carrieri, David A, Hunterdon Medical Center - Highland Family Health Center Ciminelli, Maria, Hammoud, Marwan, 61 Frontage Road Dermer, Alicia, Pilla, John D., Hampton, NJ 08827-4001 Mellor, Lisa, Popeck, Paul J, (908) 735-2594 Raymond, Joshua, Sgambelluri, Carol E, Family Practice Shenker, Bennett, Internal Mitev, Iliya D, Geriatric Medicine/Family Medicine Practice Ahmed, Syed Fahim, Polizzi, David R, Chen, Robert, Geronimo, Maria socorro Ambulo, Hasbrouck Heights Obstetrics & Sharon, Yoran, Heights Medical Associates Gynecology 288 Boulevard Hackensack Cipriano, Joseph, Hasbrouck Heights, NJ 07604 Center for Healthy Senior Living (201) 288-6781 Cipriano, Rebecca, 5 Summit Ave, Suite 204 Family Pacana, Susan, Hackensack, NJ 07601 Practice Zehnder, Amy, (201) 336-8685 Bellavia, Thomas S., Sports Geriatric Medicine/Internal Medicine Medicine Internal Medicine Weintraub, Steve, Parulekar, Manisha Santosh, Renner, Carl J., Sarkar, Arunima, Hillsborough Tank, Lisa Kaushal,

Page 124 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Hillsborough Jackson Lakewood Richard Corson MD LLC CentraState Family Healthcare at Ocean County Internal Medicine & 313 Courtyard Drive Bartley Corner Associates, P.C. Hillsborough, NJ 08844 161 Bartley Rd. 1352 River Avenue (908) 722-9962 Jackson, NJ 08527 Lakewood, NJ 08701 (732) 363-6140 (732) 370-5100 Family Practice Family Internal Practice Medicine Corson, Richard Lawrence, Alday, Geronima, Lempel, Allen J., Shaffrey, Thomas, Raymond, Joshua, Ogun, David J., Your Doctors Care 71 Route 206 Shenker, Bennett, Sokol, Norton M., Hillsborough, NJ 08844-4142 Geriatric Medicine/Family Lambertville (908) 685-1887 Practice Hunterdon Medical Center - Phillips Family Chen, Robert, Barber Family Health Center Practice Ocean County Family Care - Jackson 72 Alexander Road Dunn, Davonnie Marie, 2290 W. County Line Road Lambertville, NJ 08530-2200 Landesman, Glen S, Jackson, NJ 08527 (609) 397-3535 (732) 364-3881 Family Smith, Joseph A, Practice Internal Weinstein, Joseph R, Medicine Barter, Cindy, Hopewell Kulczycki, Alex, Eichman, Margaret J, Hunterdon Medical Center - Hopewell Jersey City Koorie, Elizabeth L., Family Practice 84 East Broad Street Hudson Primary Care Professionals Kroth, Patricia, Hopewell, NJ 08525-1895 709 Newark Ave Meyer, Monica A, (609) 466-1101 Jersey City, NJ 07306 Schmitt, David J, (201) 239-9200 Family Shlimbaum, Terry E, Practice Family Practice Waters, John S, Bock, David Andrew, Fritz, John A, Wiedemer, Joseph P, Holdcraft, Suzanne, Lakewood Lebanon Iselin Ocean County Family Care - Lakewood Annandale Family Practice, LLC Avenel Iselin Medical Group 400 New Hampshire Avenue 56 Payne Road, Suite 21 400 Gill Lane Lakewood, NJ 08701 Lebanon, NJ 08833 Iselin, NJ 08830 (732) 901-6400 (908) 806-8222 (732) 404-1591 Internal Family Family Medicine Practice Practice DeDona, Anna, Sacchieri, Theresa Ann, Mayer, Marc, Ocean County Internal Medicine & Little Egg Harbor Mayer, Mitchell M., Associates, P.C. APG - Little Egg Harbor Perilstein, Neil J., 1352 River Avenue 459 Route 9 South Riggi, Joseph, Lakewood, NJ 08701 Little Egg Harbor, NJ 08087 (732) 370-5100 Internal (609) 296-4014 Medicine Internal Medicine Family Ghabras, Magda, Practice Cohen, Jonathan I, Jackson Keiner, Lisa R, Gordon, Barry M., Whiting, Philip, Green, Tamar B., Page 125 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Little Egg Harbor Twp. Lyndhurst Marmora Family Medicine Center United Medical P.C.-Lyndhurst AtlantiCare - Marmora Family 279 Mathistown Road 612 Rutherford Avenue Medicine Little Egg Harbor Twp., NJ 08087 Lyndhurst, NJ 07071 210 S. Shore Road, Suite 201 (609) 296-1101 (201) 460-0063 Marmora, NJ 08223 (609) 407-2225 Family Internal Practice Medicine Family Practice Glenn, William B., Kim, A. DongHyun, Hutchison, Melissa M., Kenny, John J., Lee, SungWon, Martinsville Mastro, Caroline B., Park, Byong K., Medenilla, Rosenio P., Manasquan Martinsville Family Practice, PA 1973 Washington Valley RD Raguso-Failla, Michael J., Sea Girt Medical Associates, P.C. Martinsville, NJ 08836 Tracy, Toby W., 235 Route 71 (732) 560-9225 Manasquan, NJ 08736 Lumberton Family (732) 223-4300 Practice Virtua -Family Medicine Center- Family Lumberton Frisoli, Anthony, Practice 1636 Route 38 and Eayrestown Road Labbadia, Francesco, Lumberton, NJ 08048 Von suskil, Kurt Eugene, Price, Kelly, (609) 261-7035 Internal Medicine Medford Family Practice Almeida, Frank G, Virtua -Internal Medicine-Medford Daniel, Beena M., Kossev, Viliana D, 103 Old Marlton Pike, Suite 111 Medford, NJ 08055 Ibay, Annamarie, Kuzmick, Peter John, (609) 953-7111 Naticchia, Jennifer, Marlton Family Smith, Kindra Renee, Eves Medical Practice Practice Toporowski, Beverly C, 1 Eves Drive, Suite 109 Roesly, Melissa, Marlton, NJ 08053 Lyndhurst Zarroli, Hannah, (856) 796-9204 First Care Medical Group Internal Family Medicine 750 Valley Brook Avenue Practice Lyndhurst, NJ 07071 Glass, James M., Lichtman, Lisa B, (201) 896-0900 Scuderi, Steven, Virtua -Family Medicine-Marlton Family Nurse Practice 534 Lippincott Drive Marlton, NJ 08053 Practitioner Corrigan, Lynn, (856) 985-7373 Smolsky, Elizabeth Ann, General Family Middletown Practice Practice Vellas, Elaine, Family Practice of Middletown, a Casey, Daniel, division of Integrated Medicine Allian Internal Levinson, Elizabeth, 140 Tindall Road Medicine Middletown, NJ 07748 Mccormick, Ryan, Ambrosio, George, (732) 671-0860 Miller, Scott, Lipsitch, Carol, Family Marmora Practice United Medical P.C.-Lyndhurst 612 Rutherford Avenue Chapman, James M., Lyndhurst, NJ 07071 Giacona, Caryn M., (201) 460-0063 Thompson, Roger M., Page 126 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Milford New Brunswick Newark Hunterdon Medical Center - Delaware Medical Associates of New Brunswick Adult Health Center Valley Family Health Center 8 Aver Court, Suites C & D 166 Lyons Ave 200 Frenchtown Road New Brunswick, NJ 08816 Newark, NJ 07112 Milford, NJ 08848-1329 (732) 254-2216 (973) 926-7245 (908) 995-2251 Internal Internal Family Medicine Medicine Practice Tucci, Mauro A., Ayub, Muhammed Gauhar, Bauman, Susan M, Robert Wood Johnson Family Medicine Cohen, Ellen, Bryhn, Lisa K.e., at Monument Square Koduah, Doris Afreh, Curry, Debra Wohl, 317 George Street, 1st Floor New Brunswick, NJ 08901 Liao, Theresa, Hewens, Jeremy C, (732) 235-7828 Pediatrics Jardim, Carla, Family Sicat, Jon F, Kayal, William Jesse, Practice Beth Prime Care Kroth, Patricia, Acevedo, Rhina Aracely, 166 Lyons Ave Lucco, Julianne, Afran, Joyce, Newark, NJ 07112 (973) 926-7300 Murry, Robert Lester, Clark, Elizabeth C, Internal Turenne-kolpan, Laurie, Heath, Cathryn, Medicine Millburn Howarth, David, Crews, Asa, Laumbach, Sonia C. g., PASE Healthcare, PC Rice, Fabian Dein, 225 Millburn Avenue, Suite 303 Levine, Jeffrey, Srivastava, Sushama, Millburn, NJ 07041 Lin, Wei ru karen, (973) 912-7273 Forest Hill Family Health Associates, Mcgarry, Barbara jo, A. Internal Medicine Morton, Kinshasa, 465 Mt. Prospect Avenue Newark, NJ 07104 Roemheld-hamm, Beatrix, Pinho, Paulo Bandeira, (973) 483-3640 Swee, David, Montville Family Changebridge Medical Associates, PA Tallia, Alfred, Practice 170 Changebridge Road, C3 Wu, Justine, Almodovar, Astrid T, Montville, NJ 07045 Sports Geriatric Health Center (973) 575-5540 Medicine 156 Lyons Ave Family Womack, Jason Peter, Newark, NJ 07112 Practice New Providence Internal Iannetta, Frank, Medicine PMG - New Providence Pediatrics Pallay, Arnold I, Umakanthan, Suganthini, 180 South St., Suite 204 Neshanic Station New Providence, NJ 07974 Physician Assistant Pleasant Run Family Physicians (908) 771-9824 925 U.S. Highway 202 Pediatrics Matos, Annamarie, Neshanic Station, NJ 08853 Cuddihy, Kathleen M., Ironbound Medical Assoc. LLC (908) 788-9468 239 Lafayette Street Newark Family Newark, NJ 07105 Practice Adult Health Center (973) 690-5555 166 Lyons Ave Barr, James E., Internal Newark, NJ 07112 Medicine Rigatti, Damian F., (973) 926-7245 Abdullah, Muhammad, Ryan, William D., Page 127 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Newark Paramus Passaic Rhomur Medical Services Bergen Gastroenterology -Paramus New Jersey Physicians, LLC - Gregor 297 16th Avenue 1 West Ridgewood Ave Suite 301 200 Gregory Avenue Newark, NJ 07103 Paramus, NJ 07652 Passaic, NJ 07055 (973) 374-3020 (201) 445-1660 (973) 473-2597 Internal Internal Internal Medicine Medicine Medicine Chomsky, Steve Allen, Griggs, Allen R, Foxall, Ian S., Francis, Thomas Paul, Lan, Vivian E, Porras, Cornelio J., Northvale Motiwala, Neeta, Schactman, Brian H., FirstMed Family Healthcare LLC Randall, Jennifer, New Jersey Physicians's, LLC - Broadway 244 Livingston Street Tempesta, Sabrina L, Northvale, NJ 07647 540 Broadway Forest Healthcare Associates, P.C. (201) 768-1200 Passaic, NJ 07055 277 Forest Avenue, Suite 200 (973) 472-2100 Family Paramus, NJ 07652 Practice Cardiovascular (201) 986-1881 Disease Patel, Vishal V, Internal Charlap, Shlomo, Ocean City Medicine Gastroenterology Anshelevich, Irina, AtlantiCare - Ocean City Family Medicine Kavaler, Robert V., 201 West Avenue Baum, Howard B., Kushner, Evan G., Ocean City, NJ 08226 Internal (609) 407-2225 Menacker, Morey, Medicine Family Winer, Steven A., Jawetz, Harold L., Practice Yousaf, Javed M., Pennington Chew, Jason M, Park Ridge Hunterdon Medical Center - Hopewel Old Bridge Family Practice Pennington Bergen Gastroenterology-Grand 84 Route 31 North, Suite 103 Center For Family Medicine Avenue Pennington, NJ 08534-3605 69 County Road 516 236 Grand Avenue (609) 730-1771 Old Bridge, NJ 08857 Park Ridge, NJ 07656 (732) 254-1515 (201) 967-8221 Family Practice Family Family Practice Practice Bretan, Amy Faith, Nevins, John J., McConnell, Julie Wilma, Pennsauken Uray, Maria, Internal Lourdes Pediatric Associates Medicine 2475 McClellan Ave, Suite B201 Paramus Griggs, Allen R, Pennsauken, NJ 08109 Bergen Gastroenterology -Paramus (856) 796-9204 Tempesta, Sabrina L, 1 West Ridgewood Ave Suite 301 Allergy & Paramus, NJ 07652 Passaic Immunology (201) 445-1660 New Jersey Physicians, LLC - Gregory Glasofer, Eric, Family 200 Gregory Avenue Practice Passaic, NJ 07055 Pediatrics Desai, Veena, (973) 473-2597 Chong, Penny M, McConnell, Julie Wilma, Gastroenterology Coss, Wanda I,

Internal Fendrick, Gerald M, Rubin, Larry I., Medicine Phillipsburg

Page 128 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Phillipsburg Red Bank Saddle Brook Coventry Family Practice Chapel Hill Family Medicine- a division Wiener & Pagano, P.A. 755 Memorial Pkwy, Suite 300 of Integrated Medicine Alliance 299 Market St., Suite 110 Phillipsburg, NJ 08865 370 Highway 35 Saddle Brook, NJ 07663 (908) 454-5161 Red Bank, NJ 07701 (201) 368-1717 (732) 758-0048 Family Family Practice Family Practice Practice Buch, Raymond S, Pagano, Francesco P, Haddad, Ahmad John, Decker, Eugene M, Wiener, Michael I, Schneebaum, Katherine, Mcginley, Thomas, Sea Girt Triola, Victoria, Siciliano, Mary, Partners in Freedom LLC Red Bank Medical The Doctor Is In, PA at Phillipsburg 2130 Hwy 35 Bldg C., Suite 324 Roosels/Krisza/Marza 1205 US Route 22 Sea Girt, NJ 08750 27 Pinckney Road Phillipsburg, NJ 08865 (792) 974-8005 Red Bank, NJ 07701 (908) 213-2211 (732) 747-4600 Family Practice Family Internal Practice Medicine Rittberg, Shannon B., Ortiz Evans, Ileana, Krisza, Mary Lynn, Internal Medicine Village Medical Center Marza, Lizett, 207 Strykers Road Deluca, Anthony C., Roosels, Marianne, Phillipsburg, NJ 08865 Vitali, John, (908) 859-6568 Riverton Somerville Family Riverton Family Practice Betty Sanchez-Catanese, MD LLC Practice 605 Main street, Suite 104 315 East Main Street Bautista, Lucien S, Riverton, NJ 08077 Somerville, NJ 08876 (856) 796-9204 Delmonico, Gerard J., (908) 722-3442 Family Kropf, Laura D, Practice Internal Lombardi, Frank T, Medicine Burke, Margaret Linda, Internal Sanchez-Catanese, Betty, Laws-mobilio, Susan Wendi, Medicine Hunterdon Medical Center - Hotchkin, Karen L, Nurse Branchburg Family Health Center Practitioner 2143 South Branch Road Raritan Dixon-Murriell, Charmane, Somerville, NJ 08876-3929 Raritan Family Healthcare Rutherford (908) 369-8871 901 US HWA 202 N, Upper Floor Family New Jersey Physicians, LLC - Raritan, NJ 08869 Practice Rutherford (908) 253-6640 128 Union Avenue Giangrante, Matthew E, Family Rutherford, NJ 07070 Hamilton, Kathryn Diane, Practice (201) 939-8834 George, Sarah S, Somerset Family Practice Internal 110 Rehill Avenue Jordan-scalia, Lisa J, Medicine Somerville, NJ 08876 Ocasio, Maria E., Chava, Padma, (908) 685-2584 Scalia, Joseph F, Isralowitz, David L., Family Practice Internal Wooton, Robert P., Medicine Bucek, John, Saddle Brook Russo, Steven, Gora, Jill,

Page 129 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Somerville Tom River Verona Somerset Family Practice Ocean County Family Care - Tom River Town Medical Associates, P.A. 110 Rehill Avenue 9 Mule Road 271 Grove Avenue Somerville, NJ 08876 Tom River, NJ 08755 Verona, NJ 07044 (908) 685-2584 (732) 797-1535 (973) 239-8805 Family Internal Family Practice Medicine Practice Guyton, Margaret, Vida, Jay, Lacara, Dena L, Lundholm, Joanne Katherine, Toms River Mazzella, Carmine A, Micek-galinat, Laura A, Water Street Physicians, LLC. McCarrick, Thomas P, Spector, Elisabeth, 300 W. Water Street Murray, Richard S, Toms River, NJ 08753 Wu, Frances, Voorhees (732) 349-3241 South River Holly Oak Internal Medicine Family Girgis Family Medicine Practice 2301 Evesham Road, Suite 505 Voorhees, NJ 08043 171 Main st ste 4 Hinkle, Bradford R., South River, NJ 08882 (856) 796-9204 Pino, John A., (732) 254-9494 Internal Ventnor City Medicine Family Practice APG - Ventnor Internal Medicine Josephson, Tina M, Girgis, Linda, 7313 Ventnor Avenue Virtua- Tatem-Brown Family Practice Ventnor City, NJ 08406 Center and Residency Program Girgis, Moris, (609) 441-2199 2225 Evesham Road, Suite 101 Springfield Internal Voorhees, NJ 08043 PMG - Internal Medicine at Springfield Medicine (856) 795-4330 11 Cleveland Place Rosenthal, Leslie S., Family Springfield, NJ 07081 Practice Verona (973) 378-8778 Dimapilis, Annabelle B, Mountainside Family Practice Internal DiRenzo, Robert Michael, Medicine Associates 799 Bloomfield Ave Maffei, Mario Stephen, Cantor, Susan J., Verona, NJ 07044 O'Hare, Kendal Eggers, Profeta, Susan B., (973) 259-3570 Post, Robert Edward, Reder, Lorie J., Family Practice Warren Summit Deitz, Ruth E., PMG - Internal Medicine at Warren Overlook Family Practice Associates 8 Mountain Blvd., Suite A 33 Overlook Road, Suite L01 Miller, Jr., George Walter, Warren, NJ 07059 Summit, NJ 07901 Schlam, Everett, (908) 561-8600 (908) 522-5700 Pediatrics Internal Family Saba, Ragheda, Medicine Practice Town Medical Associates, P.A. Bobella, Stephen K., Kaye, Susan Tama, 271 Grove Avenue Brodkin, Lisa, Tom River Verona, NJ 07044 Clemente, Joseph A., Ocean County Family Care - Tom River (973) 239-8805 Ferrante, Maurice A., 9 Mule Road Family Tom River, NJ 08755 Practice Fine, Alan I., (732) 797-1535 Cirello, Richard, Stoch, Sharon R., Gorman, Robert T, Page 130 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Jersey New Jersey New Jersey Warren Westfield Whitehouse Station PMG - Thomas H. Kloos, MD Internal PMG - Pediatrics at Westfield Hunterdon Medical Center - Medicine 592 B Springfield Avenue Hunterdon Pediatric Associates 8 Mountain Blvd., Suite C Westfield, NJ 07090 Whitehouse Warren, NJ 07059 (908) 654-8877 537 Route 22E (908) 698-4784 Whitehouse Station, NJ 08889 Pediatrics (908) 823-1100 Internal Bernstein, Stacy A., Medicine Pediatrics Percy, John O., Kloos, Thomas H., Bouffard, Margaret M, Shapren, Kristen M., Washington Scott, Peter J, PMG - Westfield Family Practice 2 Hunterdon Medical Center - Riverfield Willingboro Family Health Center Washington 592 Springfield Avenue Westfield, NJ 07090 Willingboro Town Center Family 140 Boulevard Practice (908) 301-0888 Washington, NJ 07882-1761 200 Campbell Drive, Suite 102 (908) 689-3200 Family Willingboro, NJ 08046 Practice Family (856) 796-9204 Practice Henry-Dindial, Nicole A., Family Kolpan, Brett, Reedy, Jamie L., Practice Samaddar, Soumen, PMG- Westfield Family Practice 1 Plasner, Samantha M., Washington, 563 Westfield Avenue Salkind, Gary David, Westfield, NJ 07090 Weinar, Marvin, Warren Hills Family Practice (908) 232-5858 315 Route 31 South Woodbridge Family Washington,, NJ 07882 Practice Woodbridge Medical Associates, P.A. (908) 835-3022 Leistikow, Kathleen H., 1000 Route 9, Suite 302 Family Woodbridge, NJ 07095 Practice Tabachnick, John F., (732) 634-0036 Gilly, Frank J, Wagner, Claudia A., Internal Goodwin, James E, Westmont Medicine Jaques, James P, Haddonfield Internal Medicine Friedman, Louis A., Paterno, Jeanette Diane, 216 Haddon Avenue, Suite 100 Maza, Lauren M., Westmont, NJ 08108 Yevdokimova, Oksana, O'Donnell, Mary T., (856) 854-6600 Nurse New Mexico Family Practitioner Practice Albuquerque Hawley, Kelly C, Manalis, Helen, Corazon Family Health PC - West Orange Internal Albuquerque Family Health Internal Medicine Faculty Practice Medicine 4824 McMahon Blvd NW, #115 101 Old Short Hills Roads Joynes, Robert J., Albuquerque, NM 87114 West Orange, NJ 07052 (505) 792-2815 Mclintock, Glenn R, (973) 322-6256 Family Whitehouse Station Internal Practice Medicine Hunterdon Medical Center - VanArsdale-Imani, Yvonne D, Hunterdon Pediatric Associates Carlino, Anthony, Whitehouse Presbyterian Medical Group (PMG) - Atrisco Houng, Mindy S., 537 Route 22E 3901 Atrisco, NW Parikh, Ashish D., Whitehouse Station, NJ 08889 Albuquerque, NM 87120 (908) 823-1100 Sapru, Sunil, Family Pediatrics Practice Page 131 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Mexico New Mexico New Mexico Albuquerque Albuquerque Albuquerque Presbyterian Medical Group (PMG) - Presbyterian Medical Group (PMG) - Presbyterian Medical Group (PMG) - Atrisco Kaseman POB San Mateo 3901 Atrisco, NW 8300 Constituition Avenue, Building D 401 San Mateo Blvd., NE Albuquerque, NM 87120 Albuquerque, NM 87110 Albuquerque, NM 87108 Family Nurse Family Practice Practitioner Practice George-Lucero, Dayana, Conlon, Deborah M., Guttman, John L, Higi, Marcus T, Guttmann, Louvida J, Vigil, Ronald D, Papafrangos, Elaine D, Presbyterian Medical Group (PMG) - Internal Montgomery Medicine Probasco, James Michael, 8800 Montgomery Blvd., NE Fisher, Travis W, Rivera, Patrick, Albuquerque, NM 87111 Mena Gutierrez, Alejandra Maria, Welker, Tina Y, (505) 823-8727 Montano, Carmen E, Nurse Family Practitioner Practice Pediatrics Lujan-Pino, Christine, Held, Allison, Gladwell, Jacqueline M, Woodall, Rosemary Jane, Romero, Jimmy L, Rothfeld, Thomas O, Presbyterian Medical Group (PMG) - Salleh, Judith Salaam, Szymanski, Debra A, Kaseman POB Stuart, John R, Presbyterian Medical Group (PMG) - 8300 Constituition Avenue, Building D Wyoming Albuquerque, NM 87110 Internal Medicine 5550 Wyoming Blvd. NE Emergency Albuquerque, NM 87109 Medicine Shah, Syed N, Family Mcilwain, Christopher J, Shalini, Kothandapany S, Practice Family Presbyterian Medical Group (PMG) - Allen, Kevin J, Practice Northside 5901 Harper Dr. NE Eisberg, George L, Bloom, James Curtis, Albuquerque, NM 87109 Giudice, Vivian B, Chan, Benjamin Q, Family Loetscher, Sara, Evans, S Karen, Practice Miera, Christopher R, Gallant, Dion E, Charlie, Jimmie R, Silverhart, Julie A, Gomez, Jamie C, Herfter, Ernesto, Vigil, Anthony R, Jones, Anne C, Tuchler, Robin J, Presbyterian Medical Group (PMG) Liljestrand, John E, Pediatrics Isleta Mcelrath, Patricia A, Cvijanovich, Alexandra J, 3436 Isleta Blvd, SW Albuquerque, NM 87105 Internal Garcia, Monique P, (505) 823-8727 Medicine Kennicott, Karen L, Family Comunas, Francis J, Luna, Alice M, Practice Jameson, Philip A, Tapia-Sauerman, Maria A, Campos, Naomi M, Kwan Wong, Luz W, Wensink, Mariska A, Cherukuri, Leena, Moller, Ralph L, Physician Gallegos-Macias, Angela, Schultz, Russell C, Assistant General Scrase, David R, Jarmul, Deborah B, Practice Todd, Richard J, Barnes, Galen P,

Page 132 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Mexico New Mexico New Mexico Albuquerque Albuquerque Albuquerque Presbyterian Medical Group (PMG) UNMHSC-Primary Care- Pediatric UNMHSC-Primary Care-Family Isleta Clinic (Faculty) Health (UNM) 3436 Isleta Blvd, SW 2211 Lomas NE (3ACC) 1209 University Blvd NE Albuquerque, NM 87105 Albuquerque, NM 87131 Albuquerque, NM 87102 (505) 823-8727 (505) 272-8635 (505) 272-8635 Internal Pediatrics Emergency Medicine Medicine Sebesta, Emilie A, Benton, Charles F, Dominguez, David C, Todd, Chandler F, Pediatrics Family Veitenheimer, Nicole J, Practice Archuleta, Manuel C., Vigil, Teresa A, Camarata, Christopher James, Chavez, Rhonda R, UNMHSC-Primary Care-Family Saavedra, Laura K, Lamon, Edward, Health (Northeast Heights) Smoker, Linda A, Napoleone, Robin M, 7801 Academy Blvd. NE Albuquerque, NM 87109 Solan, Brian G, UNMHSC Primary Care-Young (505) 272-8635 Children's Health Center Stulberg, Daniel Leeny, Family 306 A San Pablo SE Internal Practice Albuquerque, NM 87108 Medicine (505) 272-8635 Lemon, Mary E, Archambault, Mara R., Pathology North, Charles Q, Arndell, Cynthia L, Stelzner, Alex Burton, Rhyne, Robert L, Bigney, Jessica B, Pediatrics General Fotieo, Dana R, Practice Aceves, Javier, Gonzales, David V, Broyles, Julie, Aguirre, Joseph, Voss, Carolyn, Internal UNMHSC-Primary Care- Pediatric Medicine Wilson, Bronwyn E, Clinic (Faculty) 2211 Lomas NE (3ACC) Adolphe, Allen B, Obstetrics & Gynecology Albuquerque, NM 87131 Comerci, George D, (505) 272-8635 Palley, Toby B, Fancovic, Edward R, Pediatrics UNMHSC-Primary Care-Family UNMHSC-Primary Care-Family Health (Westside) Anderson, Teresa T, Health (Southeast Heights) 4808 McMahon Blvd NW 8200 Central Avenue SE Behnken, Annalisa P, Albuquerque, NM 87114 Albuquerque, NM 87108 Bluefeather, Sara, (505) 272-8635 (505) 272-8635 Brandt, Peggy Sue, Internal Family Medicine Cordova de Ortega, Loretta M, Practice Arora, Madhu, Duran, Anna L, Leiderman, Joshua D., Pediatrics Fisk, James K, Phillips, Jennifer K, Duong, Truc-Ha Luu, Hoffman, Benjamin D, Rohan-Minjares, Felisha C, Nelson, Holly C., Hsi, Andrew, UNMHSC-Primary Care-Family Health (UNM) Whisler, Sandra L, Knott, Randall O, 1209 University Blvd NE UNMHSC-Primary Care-Family Mares, Janelle R., Albuquerque, NM 87102 Practice Clinic Pratt-Chavez, Heather A., (505) 272-8635 2400 Tucker NE Reynolds, Meredith E, Emergency Albuquerque, NM 87131 Medicine (505) 272-8635 Saavedra, Melissa A.,

Page 133 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Mexico New Mexico New Mexico Albuquerque Albuquerque Artesia UNMHSC-Primary Care-Family UNMHSC-Primary Care-Pediatric BCA Medical Associates - Artesia Site Practice Clinic Clinic (Resident) 612 North 13th, Suite H 2400 Tucker NE 1127 University Blvd. NE Artesia, NM 88210 Albuquerque, NM 87131 Albuquerque, NM 87131 (575) 746-8880 (505) 272-8635 (505) 272-8635 Pediatrics Family Pediatrics Carson, Karen Lynne, Practice Anaya, Theresa M, Elliott, Beverley Ann, Bachofer, Sally N, UNMHSC-Primary Care-Senior Health Garcia, Abelardo, Bardack, Michelle Ann, Clinic Haney, Fatma, Benton, Antoinette R., 101 Medical Arts Avenue, NE Albuquerque, NM 87108 Kowals, Daniel W, Heffron, Warren A, (505) 272-8635 Macias, Margarita Reloza, Leeman, Lawrence M, Geriatric Medicine/Family Tan, Gim H, Leggott, John A, Practice Whitlock, Rachel M., McGrew, Christopher A, McCabe, Melvina, Belen McGrew, Martha, Internal Medicine Umland, Berthold E, Presbyterian Medical Group (PMG) - Herman, Carla J, Belen Wagner, Lana K, 609 S. Christopher Rd Neale, Devon A, Williams, Byrch, Belen, NM 87002 Nephrology Williams, Robert L, Family

Practice Wilterding, James M., Romero, Linda J, Madden, Richard F, UNMHSC-Primary Care-General UNMHSC-Primary Care-Truman Medicine Clinic Internal Street Clinic 2211 Lomas Blvd. NE Medicine 625 Truman Street NE Albuquerque, NM 87131 Albuquerque, NM 87110 Moore, Richard A, (505) 272-8635 (505) 272-8635 Nurse Internal Practitioner Infectious Medicine Disease Sinclair, Cheryl A, Jernigan, Jennifer R., Iandiorio, Michelle J, Clovis UNMHSC-Primary Care-Medicine Internal Trinity Family Medicine, P.C. Faculty Clinic Medicine 701 Arizona Street, Suite A 2211 Lomas Blvd. NE Clovis, NM 88101 Albuquerque, NM 87131 Mertz, Gregory J, (575) 742-3033 Endocrinology, Diabetes & Thomas, Elaine, Physician Metabolism Thornton, Karla A, Assistant Kapsner, Patricia, Williams, Steven B, Otero, Charles D, Internal Artesia Medicine Estancia BCA Medical Associates - Artesia Site Hashimoto, Frederick, Presbyterian Medical Services 612 North 13th, Suite H Esperanza Family Health Center Simson, John Mitchell, Artesia, NM 88210 903 C 5th Street UNMHSC-Primary Care-Pediatric (575) 746-8880 Estancia, NM 87016 Clinic (Resident) General Family 1127 University Blvd. NE Practice Practice Albuquerque, NM 87131 Liakos, William George, (505) 272-8635 Stogner, Linda Marie, Pediatrics Pediatrics Farmington Page 134 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Mexico New Mexico New Mexico Farmington Rio Rancho Rio Rancho Presbyterian Medical Services ABQ Health Partners Presbyterian Medical Services Rio Farmington Community Health Center 1721 Rio Rancho Blvd SE Rancho Family Health Center 1001-D West Broadway Rio Rancho, NM 87125 184 Unser Boulevard NE Farmington, NM 87401-5638 (505) 896-8600 Rio Rancho, NM 87124 (505) 327-4796 (505) 896-0928 Pediatrics Family Family Medicine, Hospice and Palliative Gutierrez-barela, Kristina, Practice Care Kasemsap, Pawitta, Marren, Thomas F, Gibson, Lance Ross, Presbyterian Medical Group (PMG) - Nurse Roswell Rio Rancho High Resort Practitioner 4005 High Resort Blvd BCA Medical Associates Brooker, Nancy I, Rio Rancho, NM 87124 813 North Washington Fournier, Julie Ann, Family Roswell, NM 88201 Pediatrics Practice (575) 622-2606 Diedrich, Richard Grenville, Borgeson, William A, General Practice Osei fordjour, Ruth, Fontana, Santana M, Liakos, Jr., William G., Grants Hannagan, Michele, Pediatrics Presbyterian Medical Services Western Lopez Colberg, Isabel, Carson, Karen L., New Mexico Medical Group-Grants Lopez Colberg, Isabel, 1217 Bonita Street Elliott, Beverley A., Reagan, Terrance D, Grants, NM 87020 Garcia, Abelardo, (505) 287-2958 Trost, Louis F, Haney, Fatma, Family Voorhees, James Dayton, Kowals, Daniel W., Practice Internal Macias, Mergarita R., Piernot, Ellen E, Medicine Whitlock, Rachel M., Los Lunas Chartrand, Michael C, Santa Fe Presbyterian Medical Group (PMG) - Galvez, Rosa M, Los Lunas Gardner, Robert A, Santa Fe Medical Group - Corazon 200 Emilio Lopez Rd Family Health Halpern, Neal B, Los Lunas, NM 87031 3600 Rodeo Ln Suite-A2 Nemariam, Frie E, Santa Fe, NM 87507 Family Practice Quan, Hung D, (505) 629-4400 Bello, Damian R, Rodriguez, Edmee, Internal Medicine Mullis, Sharon Marie, Pediatrics Ruiz, Phillip Adrian, Sanchez, Mark Roque, Bruce, James S, Santa Fe Medical Group - Santa Fe Rio Rancho Crago, Sylvia S, Family Health Center ABQ Health Partners Inigo, Carmen Paulina, 2801 Rodeo Rd Suite B13 1721 Rio Rancho Blvd SE Jochems, Gregory E, Santa Fe, NM 87507 Rio Rancho, NM 87125 (505) 474-0120 Keller, Eric J, (505) 896-8600 Family Maben, Kevin C, Practice Nurse Practitioner Walsh, Karen E, Briggs, Philip D, Garcia, Jodie Lynne, Zipp, Linda R, Ropp, Andrew, Myers, Lori, Registered Nurse - First Stengel, Zachary J, Assistant Pediatrics Ember-Bartulomei, Marlene, Good, John M, Page 135 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New Mexico New York New York Santa Fe Albany Alexandria Bay Women's Health Services Braverman-Panza Medical Group River Hospital 901 West Alameda, Suite 25 1375 Washington Ave, Suite 202 4 Fuller St Santa Fe, NM 87501 Albany, NY 12206 Alexandria Bay, NY 13607-1316 (505) 988-8869 (518) 482-5176 (315) 482-2511 Family Internal Family Practice Medicine Practice Craig, Julie, Braverman-Panza, Jill, Huizenga, Aaron Dale, Pierce, Jennifer, Community Care Physicians, P.C.- Razzaq, Mahreen Abdul, Albany Family Practice Group Internal Amenia Medicine 2 Clara Barton Drive, Suite 201 Albany, NY 12208-3472 Hudson River HealthCare, Inc. - Bickley, Lynn S., (518) 207-2273 Amenia Nurse 3360 Route 343, P.O. Box 108 Family Practitioner Amenia, NY 12501-5619 Practice Landau, Naomi, (845) 373-9006 Kilby, Kimberly Ann, Wickman, Cristy H, Family Mack, Brigid, Practice Socorro Rutter, Ann Elizabeth, Straus, Lisa A., Presbyterian Medical Services Socorro Stetzer, Lee Michael, Internal Community Health Center Medicine 1300 Enterprise Road Nurse Practitioner Socorro, NM 87801 Tocco, Amy M., (575) 835-4444 Clark, Catherine N., Nurse Practitioner Family Whitney M. Young, Jr. Health Practice Services - Albany Health Center Tantri, Rachel, 920 Lark Drive Bodensteiner, Sally, Amherst Albany, NY 12207-1300 Taos (518) 465-4771 Amherst Medical Associates 6000 North Bailey Avenue, Suite 1 D Taos Clinic for Children and Youth Pediatrics 123 Cruz Alta Road Amherst, NY 14226-5102 Pride-Boone, Janice, Taos, NM 87571 (716) 834-4266 (575) 758-8651 Albion Family Practice General Eileen K. Kosieracki, D.O., P.C. Practice 3916 Long Bridge Road Stone, Steven, Villarreal, Sylvia Fernandez, Albion, NY 14411-931 Walter, Lonny, (585) 589-6247 Pediatrics Internal Family Medicine Sewell, Jeffery William, Practice Hartman, David, New York Kosieracki, Eileen Katherine, Pietak, Kathylynn, Albany Lake Plains Medical PLLC/General Sheriff, Fuad, Braverman-Panza Medical Group Physician SUB 1 PLLC 1375 Washington Ave, Suite 202 243 South Main Street Lifetime Health Medical Group - Amherst Health Center Albany, NY 12206 Albion, NY 14411-1658 1185 Sweet Home Road (518) 482-5176 (585) 798-3345 Amherst, NY 14226-1018 Internal Family (716) 689-0040 Practice Medicine Chamarthy, Srinivasu, Family Dalzell, Melissa J, Practice Madejski, Thomas J, Internal Cruz, Jesenia, Medicine Alexandria Bay Page 136 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Amherst Amherst Arverne Lifetime Health Medical Group - WNY Medical PC - Harlem Joseph P. Addabbo Family Health Amherst Health Center 4979 Harlem Road, Suite 1 Center. Inc. - ARVERNE SITE 1185 Sweet Home Road Amherst, NY 14226-2547 6200 Beach Channel Drive Amherst, NY 14226-1018 (716) 923-4380 Arverne, NY 11692-1409 (716) 689-0040 (718) 945-7150 General Family Practice Infectious Practice Disease Benjamin, Linda Lazarus, Jordan, Michael R., Kim, Jeongwon, Internal Kodial, Sukhwinder S., Medicine Internal Medicine Mafi, Esfandiar, Bauers, John, Chan, Alfonso Yu, Wands, Ann M., Sadiq, Riffat, Go, Eddie, Internal Arcade Medicine Obstetrics & Dale L Deahn MD PC Gynecology Vienne, Richard P., 401 Main Street Rahman, Monzila Hassen, Pediatrics Arcade, NY 14009 Astoria Bartels, Matthew F., (585) 492-5088 Family Astoria Pediatric Center Sweet Home Family Medicine Practice 29-22 30th Ave 1416 Sweet Home Road, Suite 12 Astoria, NY 11102-2565 Amherst, NY 14228-2784 Deahn, Dale L, (718) 545-2500 (716) 636-7800 Nurse Family Practitioner Pediatrics Practice Baker, Karen M, Frousios, Costas A, Usen, Joshua Michael, Physician Pediatric Plus Assistant UB|MD Internal Medicine 31-87 Steinway Street, Suite 6, Suite 6 3980 Sheridan Dr, Dent Tower, 6th Jarnot, Angela M, Astoria, NY 11103-3952 (718) 626-4881 Floor Kirsch, Stephanie Ann, Amherst, NY 14226-1727 Pediatrics (716) 961-9900 Armonk Gupta, Indranil, Family Westchester Health Associates - Practice Cohen/Armonk Quality NP Family Health 16 Orchard Drive 2928 Ditmars Blvd Mcmichael, Bonnie A, Armonk, NY 10504-1437 Astoria, NY 11105-2731 Internal (914) 273-3404 (718) 545-1620 Medicine Internal Nurse Khan, Nasir Mahmood, Medicine Practitioner Mcdaniel, Timothy, Contacessa, Frank, Mesquita, Alma, Milling, David, Arverne Queens Long Island Medical Group, P.C.-Astoria Medical Group Reed, Pamela, Joseph P. Addabbo Family Health 31-75 23rd St. Rich, Ellen, Center. Inc. - ARVERNE SITE Astoria, NY 11106-4134 6200 Beach Channel Drive Pulmonary Internal Disease Arverne, NY 11692-1409 (718) 945-7150 Medicine Ahuja, Karuna, Family Batra, Kamal, WNY Medical PC - Harlem Practice Bose, Shishir K., 4979 Harlem Road, Suite 1 Chen, Chin-song, Amherst, NY 14226-2547 Sabharwal, Chanchal D, (716) 923-4380 Infectious Trojic, Rebecca, Disease Page 137 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Astoria Ballston Lake Bayshore Queens Long Island Medical Group, Scotia Glenville Family Medicine RBK Pediatrics P.C.-Astoria Medical Group 112 Charlton Road 20 A South Saxon Avenue 31-75 23rd St. Ballston Lake, NY 12019-2547 Bayshore, NY 11706-8503 Astoria, NY 11106-4134 (518) 399-7723 (631) 666-1300 Pediatrics Physician Pediatrics Assistant Harnett-robinson, Roy E, Haltiwanger, Kimberly, O'brien, Michael Francis, Matos-rivera, Irma M, Kaplan, Allen Michael, Barneveld Baldwinsville Kaplan, Allen Michael, Family Practice Associates of Dryden- Faxton-St. Luke's Mathew-Cheriyan, Jasilin, Cayuga Area Physicians Alliance Healthcare/Adirondack Community Physicians - Barneveld Mills Medical Mathew-Cheriyan, Jasilin, 15 E. Genesee Street Office Baldwinsville, NY 13027 Reilly, James P, 7980 State Route 12 (315) 635-9802 Barneveld, NY 13309-3531 Rogu, George, Family (315) 624-8440 Rogu, George, Practice Family Rogu, Nicholas, Niziol, Michael Stanley, Practice Ryzova, Yekaterina, Gannett Health Services - Cayuga Area De Jesus, Michael, Physicians Alliance Simon, Nina, Elwell, Bruce, 15 E. Genesee Street Simon, Nina, Batavia Baldwinsville, NY 13027 Bayside (607) 274-4527 Pembroke Family Medicine - Batavia Children's Medical Group ado Allied Emergency 229 Summit Street, Suite 10 Pediatrics of New York, PLLC - Medicine Batavia, NY 14020-1645 Bayside Hall, Alexandra, (585) 815-1323 26-11 Corporal Kennedy St. Bayside, NY 11360-2452 Family Family Practice Practice (718) 224-6000 Gole, Thomas F., Fernaays, Matthew M., Pediatrics Rubineau, Angela Joan, Obear, Mary E., Capilupi, Thomas, Wentzel, David, Bay Shore Cohen, Joseph Brian, Internal Brightwaters Internal Medicine, PLLC Fell, Brad E., Medicine 200 Howells Road Hogan, Timothy, Bay Shore, NY 11706-5351 Koppel, Edward, Kahan, Joel L., (631) 665-5074 Miller, Susan, Millington-Capilupi, Deborah J., Internal Radomski, Linda, Medicine Beaver Falls Pediatrics Siegelheim, Mark R., Lewis County General Hospital - Beaver River Family Health Center Hughes, Stephen J., Bayshore 9559 Main St, PO Box 180 Progressive Medicine of Ithaca, PC - RBK Pediatrics Cayuga Area Physicians Alliance Beaver Falls, NY 13305-0180 20 A South Saxon Avenue 15 E. Genesee Street Family Bayshore, NY 11706-8503 Baldwinsville, NY 13027 Practice (631) 666-1300 (315) 635-9802 Birk, Thomas Peter, Pediatrics Family Tuttle-Malone, Shirley, Practice Bellovin, IV, Neil M., Binghamton Weston, John, Bellovin, IV, Neil M., Ballston Lake Haltiwanger, Kimberly,

Page 138 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Binghamton Bowmansville Bronx Family Practice - Upper Front Street - Lancaster-Depew Pediatrics Anil Gupta, MD, PC Binghamton - Our Lady of Lourdes 5330 Genesee St 1624 Crosby Avenue Memorial Hospital, Inc. Bowmansville, NY 14026-1035 Bronx, NY 10461-5201 1130 Upper Front Street (716) 684-6140 (718) 822-0676 Binghamton, NY 13903 Pediatrics Pediatrics Family Practice Bezbatchenko, Mark D., Gupta, Anil, Hiester, Erik Douglas, Davis, Elizabeth, AW Medical PC 1624 University Ave. Our Lady of Lourdes Memorial Rabice, Michael, Bronx, NY 10453-6948 Hospital, Inc. - Primary Care Terranova, Michael D., Associates - Robinson Street (718) 294-4008 Brentwood 276-280 Robinson Street Internal Binghamton, NY 13904 Sarita Dorschug, D.O., P.C. Medicine Family 652 Suffolk Avenue, Suite 208 Hildalgo, Maria D, Brentwood, NY 11717-4305 Practice Best Care Ever Med Group, PC (631) 231-3535 Zavilyansky, Sergey, 3010 Grand Concourse Family Our Lady of Lourdes Memorial Bronx, NY 10458-1334 Practice Hospital, Inc. - Riverside Medical (718) 220-2433 161 Riverside Drive, Suite 306 Dorschug, Sarita K., General Binghamton, NY 13905 Brewster Practice Internal Jay A. Zaslow, M.D., PLLC Goris, Jose A, Medicine 155 E. Main St., Suite 106 Goris, Jose A, Ahmed, Shoaib, Brewster, NY 10509-152 Boston Road Pediatrics, PC (845) 279-6999 UHS - Primary Care Clinton Street 1262 Boston Road Suite 1 142 Clinton Street Family Bronx, NY 10456-3602 Binghamton, NY 13905 Practice (718) 617-2500 (607) 762-2660 Zaslow, Jay Abram, Pediatrics Family Mount Kisco Medical Group - Patterson Practice Cornielle, Jorge Luis, 2050 Route 22 Mochizuki, Miki E., Roche, Timothy S, Brewster, NY 10509-5949 Briggs Family Pediatrics UHS- Pediatrics Binghamton (914) 242-1493 2844 Briggs Avenue 10-42 Mitchell Avenue Internal Bronx, NY 10458-3302 Binghamton, NY 13903 Medicine (718) 220-6272 (607) 762-2468 Herrera, Nilo E., Pediatrics Nurse Briarcliff Manor Practitioner Compres, Desla, Mount Kisco Medical Group - Stalter, Stacey A, Briarcliff Manor Lazala, Carmen, UHS -Primary Care Binghamton 537 N. State Road Bronx Lebanon and Martin Luther 33 Mitchell Avenue Briarcliff Manor, NY 10510-1573 King Health Centers - BronxCare Binghamton, NY 13903 (914) 242-1493 A.C.N. Clinics 1650 Grand Concourse (607) 762-3281 Internal Bronx, NY 10457-7606 Internal Medicine (718) 960- Medicine Van Der Hoeven, Annette, Zhao, Meng, Infectious Bronx Disease Bowmansville Cindrich, Richard Bryan, Henry, Michael W.,

Page 139 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Bronx Bronx Bronx Bronx Lebanon and Martin Luther Bronx Lebanon and Martin Luther Bronx Lebanon and Martin Luther King Health Centers - BronxCare King Health Centers - BronxCare at King Health Centers - MLK Franklin A.C.N. Clinics POE Clinics 1650 Grand Concourse 2432 Grand Concourse 1265 Franklin Ave Bronx, NY 10457-7606 Bronx, NY 10458-5204 Bronx, NY 10456-3501 (718) 960- (718) 817-7900 (718) 503-7700 Infectious Internal Pediatrics Disease Medicine Aggarwal, Neena, Kanter, Timothy Joseph, Naqvi, Zeenat, Sunku, Sarika, Telzak, Edward Elliot, Bronx Lebanon and Martin Luther CCN General Medicine PLLC King Health Centers - BronxCare at Internal Third Avenue 1262 Boston Road Medicine 2737-41 3rd Avenue Bronx, NY 10456-3602 Chan, Tricia, Bronx, NY 10451-5801 (718) 569-7929 Dapkins, Isaac P, (718) 838-1016 Internal Medicine Salako, Abayomi Oluwaremilekun, Adolescent Medicine and Pediatric Calderon, Cecilia Griselda, Sohail, Meera, Lewis, Cynthia, Children of Zion Pediatrics, P.C. Nurse Practitioner Bronx Lebanon and Martin Luther 225A East 149th Street King Health Centers - BronxCare Bronx, NY 10451-5525 Carnevale, Caroline, Fulton Family Medical Center (718) 665-3387 Pediatrics 1276 Fulton Avenue Pediatrics Ariganjoye, Rafiu Olagboyega, Bronx, NY 10456-3402 Apoeso, Taiye O., (718) 901-8236 Bhate, Priyadarshini Anil, Community Healthcare Network - Family Hagmann, Stefan, Bronx Health Center Practice Purswani, Murli Udharam, 975 Westchester Avenue Benyaminova, Irina, Bronx, NY 10459-3204 Wittenberg, Ian Saul, Milanova, Stanya Z, (718) 320-4466 Bronx Lebanon and Martin Luther Pediatrics Nurse King Health Centers - BronxCare at Practitioner Ogden Lopez, Jose, Dubois, Elizabeth M., 1067 Ogden Avenue (165thStreet) Bronx Lebanon and Martin Luther Bronx, NY 10452-4601 King Health Centers - BronxCare Dubois, Elizabeth M., (718) 466-3255 Tiffany Concourse Village Primary Care PLL 853 Tiffany Street (Southern Blvd) Family 769 Concourse Village West Bronx, NY 10459-4503 Practice Bronx, NY 10451-3137 (718) 378-4764 Maskey, Sachin, (718) 402-4021 Pediatrics Yalla, Rajyalakshmi, Internal Luna, Betty, Medicine Bronx Lebanon and Martin Luther King Health Centers - BronxCare at Bronx Lebanon and Martin Luther Macenat, Jean Robert, POE King Health Centers - MLK Franklin Dr. Baldevbhai V. Patel M.D. Pediatri 2432 Grand Concourse Clinics 1715 University Avenue Bronx, NY 10458-5204 1265 Franklin Ave Bronx, NY 10453-6961 (718) 817-7900 Bronx, NY 10456-3501 (718) 294-0700 (718) 503-7700 Internal Pediatrics Medicine Internal Medicine Patel, Baldevbhai V, Cruz, Yvonne, Durojaiye, Ojeponle A, Mclean, Barbara Ann, Pediatrics Page 140 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Bronx Bronx Bronx Help PSI Bronx K. S. Prakask P.C. Montefiore - Comprehensive Family 1543-1545 Inwood Avenue 2358 Crotona Ave Care Center Bronx, NY 10452-2001 Bronx, NY 10458-8571 1621 Eastchester Road (718) 681-8700 (718) 733-2600 Bronx, NY 10461-2604 Nurse Family Pediatrics Practitioner Practice Tan, Jade Marie, Fernandez, Beverly A., Singiri, Archana, Montefiore - MAP8 IFH - Mt. Hope Family Practice Pediatrics 3400 Bainbridge Avenue 130 West Tremont Avenue Kancherla, Prakash Surya, Bronx, NY 10467-2404 Bronx, NY 10453-5436 (718) 920-8888 Lincoln Medical and Mental Health (718) 583-9000 Center, Ambulatory Care Pavilion Internal Family 234 East 149th Street Medicine Practice Bronx, NY 10451-5504 Fried, Robert E, Cortijo, Amaryllis R., (718) 579-6399 Montefiore - Marble Hill Molina-Ortiz, Elizabeth I., Internal 5525 Broadway Medicine IFH - Parkchester Family Practice Bronx, NY 10463-5202 1597 Unionport Road Esquivel, Jorge Isaac, (718) 884-0279 Bronx, NY 10462-7911 Hennessey, Karen L., Family (718) 822-1818 Practice Thermidor-Daoud, Majorie, Nurse Galleno-Aponte, Maya, Luisa Perez MD Practitioner 3054 Godwin Terrace, Suite A Montefiore - Riverdale Brown, Collette, Bronx, NY 10463-5312 3510 Johnson Avenue IFH - Walton Family Practice (347) 587-4020 Bronx, NY 10463-1603 (718) 601-8205 1894 Walton Avenue Internal Bronx, NY 10453-6018 Medicine Internal (718) 583-3060 Medicine Perez, Luisa A., Family Nelligan, Maureen, Melchor T. Domingo MD PC Practice 2062 Morris Avenue Sykes, Gerard F, Gabler, Andrew S., Bronx, NY 10453-3538 Montefiore - West Farms Family Jerome Medical Office, PC (718) 367-9030 Practice 1055 East Tremont Avenue 2386 Jerome Ave Pediatrics Bronx, NY 10468-6400 Bronx, NY 10460-2306 Domingo, Melchor T., (718) 220-1771 (718) 842-8040 Montefiore - Bronx East Family Family Practice 2300 Westchester Avenue Practice Bronx, NY 10462-5072 Martinez, Virginia, Munshi, Shibani, (718) 829-1900 Internal Nurse Internal Medicine Practitioner Medicine Gonzalez, Fausto A, O'connor, Eileen M, Lee, Jeffrey Jung, Ramirez, Julio A, Montefiore - Williamsbridge Family Montefiore - Castle Hill Family Practice Practice K. S. Prakask P.C. 2175 Westchester Ave 3448 Boston Road 2358 Crotona Ave Bronx, NY 10462-4734 Bronx, NY 10469-2512 Bronx, NY 10458-8571 Family (718) 547-6111 (718) 733-2600 Practice Family Family Smith, Claudine A, Practice Practice

Page 141 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Bronx Bronx Bronx Montefiore - Williamsbridge Family Morrisania Diagnostic and Treatment NYC HHC - North Bronx Healthcare Practice Center, Internal Medicine Network (Jacobi Medical Center and 3448 Boston Road 1225 Gerard Avenue North Central Bronx Hospital) Bronx, NY 10469-2512 Bronx, NY 10452-8001 1400 Pelham Parkway S (718) 547-6111 (718) 960-2768 Bronx, NY 10461-1138 (718) 918-8141 Family Pediatrics Practice Nurse Sanchez, Angela, Practitioner Johnston-briggs, Belinda, Vizcaino-Reyes, Belkia, Easy, Coleen Rosemarie, Villar, Ryna, Physician Mendoza, Maria A, Montefiore Family Health Center Assistant Pediatric Allergy & 360 East 193rd Street Deak, Lehel Frank, Bronx, NY 10458-4710 Immunology NYC HHC - North Bronx Healthcare (718) 933-2400 Wiznia, Andrew A, Network - Gunhill Family Health Family Center Pediatric Practice 1012 E. Gun Hill Road Nephrology Hartman, Scott, Bronx, NY 10469-3720 Burks, Joseph A, Morris Heights Health Center - Nurse Pediatrics Burnside Practitioner Phang, Christopher A, 85 West Burnside Avenue Flesher, James, Bronx, NY 10453-4015 Volpe, Linda S, Pediatrics (718) 716-4400 NYC HHC Segundo Ruiz Belvis Malonzo, Mario S, Diagnostic and Treatment Center Internal Medicine NYC HHC - North Bronx Healthcare 545 East 142nd Street Network - North Central Bronx Bronx, NY 10454-2110 Amenechi-Enahoro, Susan, Hospital - Primary Care Services (718) 579-1774 Pediatric 3424 Kossuth Avenue Nephrology Endocrinology Bronx, NY 10467-2410 Poduval, Aruna Divakaran, Infectious Shah, Kirti Chandulal, Physician Disease Pediatrics Assistant Wang, Wen, Khanam, Lutfa, Nwosu, Julius, Internal Santana, Rita, Morrisania Diagnostic and Treatment Medicine Center, Internal Medicine Uytiepo, Emilio T, Ola Pediatrics 1225 Gerard Avenue 3054 Godwin Terrace Suite C NYC HHC - North Bronx Healthcare Bronx, NY 10452-8001 Network (Jacobi Medical Center and Bronx, NY 10463-5314 (718) 960-2768 North Central Bronx Hospital) (718) 548-4040 Internal 1400 Pelham Parkway S Pediatrics Medicine Bronx, NY 10461-1138 Matos Olivero, Ana Rita, Adeyemo, Adenike Aderonke, (718) 918-8141 Optimum Family Medicine PC Adolescent and Young Adult Mora-Mclaughlin, Fernando Sebastian, 675 Nereid Ave Medicine Nurse Bronx, NY 10470-1514 Practitioner Fried, Clare D, (718) 655-7777 Levi, Linda, Internal Family Medicine Practice Mofunanya, Constance N., Hoffman, Julie, Adeyanju, Olufunmilayo O, Pediatrics Love, Matthew D, Arshad, Ghazala, Sidlow, Robert, Fornaris, Hortensia Maria, Page 142 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Bronx Bronx Bronx Park South Medical Rodlfo Guzman MD Union Community Health Center- 1545 Unionport Road 860 Grand Concourse #1K 2021 Grand Concourse Bronx, NY 10462-7714 Bronx, NY 10033 2021 Grand Concourse (718) 892-2201 (718) 585-5060 Bronx, NY 10453-4304 (718) 901-9570 Internal Endocrinology Medicine Internal Medicine Ezratty, Monte, Guzman, Rodolfo, Erroa, Manuel D, Harris, John, Ruben U. Carvajal MDPC Union Community Health Center-188 Parkchester Medical Services of N.Y., 2271 Grand Avenue Street P.C. Bronx, NY 10468-6905 260 East 188th Street 1211 White Plains Road (718) 733-2621 Bronx, NY 10458-5302 Bronx, NY 10455-4900 Internal (718) 618-8236 (718) 828-6610 Medicine Internal Internal Carvajal, Ruben U, Medicine Medicine St. Barnabas Hospital Ambulatory Carrero, Braulio, Simons, Stephan B, Care Center Union Community Health Center- Perry Avenue Family Medical Center 4487 Third Avenue Fordham Plaza 3071 Perry Avenue Bronx, NY 10457-1526 470 East Fordham Road Bronx, NY 10467 (718) 960-9454 Bronx, NY 10458-5108 (718) 231-6700 Internal (718) 960-3805 Medicine Family Family Practice Belliard Estevez, Christian Arturo, Practice Tokar, Svetlana, Smina, Cristina Irina, Eng, Nelson, Infectious The New York Children's Hospital of Wong, Chui fan, Disease Montefiore Medical Center Urban Health Plan - Bella Vista Healt Drepaul, Loris, 853 Longwood Avenue Bronx, NY 10459-4036 Center Internal (718) 588-4460 890 Hunts Point Avenue Medicine Bronx, NY 10474-5402 Nurse Ahuja, Kishore, (718) 589-2141 Practitioner Pediatrics Nurse Quinones, Wendy V., Practitioner Ahuja, Rita K., Tiga Pediatrics Minami, Ayumi, Project Samaritan Health Services, 3510 BainBridge Avenue #S5, SUITE S5 Inc. - Starhill Clinic Bronx, NY 10467-1419 Urban Health Plan - El Nuevo San Juan Health Center 1600 Macombs Road (347) 204-9351 Bronx, NY 10452-2016 1065 Southern Boulevard Pediatrics (718) 466-8800 Bronx, NY 10459-2417 Oruwariye, Tosan N., (718) 589-2440 Internal Medicine Tracy Towers Medical P.C. Adolescent Medicine and Pediatric Farooqui, Syeda Saleha, 1560 Grand Concourse, SUITE 102 Bronx, NY 10457-8402 Bitterman, Jacalyn, Riverdale Family Practice (718) 490-1590 3050 Corlear Ave., Suite 201 Family Bronx, NY 10463-3897 Internal Practice Medicine (718) 543-2700 Ruiz, Angel, Patel, Chaula Paresh, Family Theogene, Fernand, Practice Internal Franzetti, Carl J., Medicine

Page 143 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Bronx Brooklyn Brooklyn Urban Health Plan - El Nuevo San Broadway Family Health Center, Inc. Brookdale Family Care Center - Juan Health Center 1238 Broadway Pennsylvania 1065 Southern Boulevard Brooklyn, NY 11221-2906 1110 Pennsylvania Ave Bronx, NY 10459-2417 (718) 443-2428 Brooklyn, NY 11207-9003 (718) 589-2440 (718) 240-8633 Family Internal Practice Pediatrics Medicine Bejarano, Elkin F, Coulanges, Kina, Cordero-Ferrer, Yamitza, Brookdale Family Care Center - Brooklyn Plaza Medical Center, Inc. DeLeon, Samuel A., Eastern Parkway 650 Fulton Street 2nd Floor Nurse 1873 Eastern Parkway Brooklyn, NY 11217-1517 Brooklyn, NY 11233-3214 Practitioner Family (718) 240-8705 Masson, Ella, Practice Pediatrics Miranda, Jeannette, English, Cary, Arca, Marilyn, Murray, Christine, Brownsville Community Development Valdez, Mila, Corporation - BMS @ Genesis Penrose, Sarah, 360 Snediker Avenue Brookdale Family Care Center - Veena Chadda M.D. Flatbush Brooklyn, NY 11207-4552 2202 Grand Concourse 1095 Flatbush Ave (646) 459-9400 Bronx, NY 10457-2000 Brooklyn, NY 11226-6141 Family (718) 365-6260 (718) 240-8801 Practice Pediatrics Family Robertson, Virginia Elizabeth, Chadda, Veena, Practice Brownsville Community Development VIP Community Services Ignacio, Adelfino, Corporation - Brownsville Multi- Service Family Health Center 1910 Arthur Brookdale Family Care Center - Linden 592 Rockaway Avenue Bronx, NY 10457-6305 2554 Linden Blvd Brooklyn, NY 11212-553 (718) 583-5150 Brooklyn, NY 11208-4914 (718) 345-5000 Infectious (718) 240-8612 Disease Internal Family Medicine Hassani, Morad, Practice Jean-jerome, Kernilde Fm, Brooklyn Rahman, Sultana Yasmin, Pediatrics Bedford Medical Family Health Center Brookdale Family Care Center - New Aponte, Adam, 100 Ross Street Lots Brooklyn, NY 11211-7672 465 New Lots Ave Bushwick Family Residence (718) 387-7628 Brooklyn, NY 11207-6414 1675 Broadway (718) 240-8917 Brooklyn, NY 11207-1495 Critical Care Medicine Internal (347) 294-2393 Medicine Kerstein, Moshe, Pediatrics Syed, Fouzia, Pediatrics Purcell, Sherril L, Pediatrics Ruzohorsky, Peter, Carmen Co MD PC Hannan, Mohammad, 650 5th Avenue Schulman, Gerald, Brookdale Family Care Center - Brooklyn, NY 11215-8050 Podiatry Pennsylvania (718) 788-0088 Solomon, Jeffrey D, 1110 Pennsylvania Ave Internal Broadway Family Health Center, Inc. Brooklyn, NY 11207-9003 Medicine 1238 Broadway (718) 240-8633 Co, Carmen G, Brooklyn, NY 11221-2906 Pediatrics (718) 443-2428 Page 144 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Brooklyn Brooklyn Community Healthcare Network - Dr. Deepak Amin, MD Eigth Avenue Medical Office Betty Shabazz Health Center 749 Nostrand Avenue 775 57th Street 999 Blake Avenue Brooklyn, NY 11216-4211 Brooklyn, NY 11220-3505 Brooklyn, NY 11208-3535 (718) 735-6700 (718) 439-6163 (718) 277-8303 Family Internal Nurse Practice Medicine Practitioner Patel, Rushita H., Hsuih, Terence, Jenkins, Monique, Internal Eli Rosen MD PC-Eastern Pkwy office Coney Island Hospital Adult Primary Medicine 864 Eastern Parkway Care Amin, Deepak Kantilal, Brooklyn, NY 11213-3502 2601 Ocean Parkway (718) 735-6002 Brooklyn, NY 11235-7745 Dr. David Treatman Pediatrics (718) 616-4877 416 37th Street Brooklyn, NY 11232-2510 Levine, Howard J, Internal (718) 965-2423 Medicine Eli Rosen MD PC-Kingston Ave office Family Brathwaite, Evan Anthony, 358 Kingston Avenue Practice Brooklyn, NY 11213-4332 Chua gan, Segundina, Treatman, David, (718) 778-7272 Conway, Richard, Dr. Emil Baccash Cardiovascular Glatzer, Clifford, 20 8th Avenue Disease Kharash, Galina, Brooklyn, NY 11217-3766 Tawil, Joseph B., (718) 622-7000 Nissenbaum, Andrea, Everwell Medical PC Internal Tal, Avraham, 839 58th Street, 2nd Floor Medicine Brooklyn, NY 11220-3679 Pediatrics Baccash, Emil George, (718) 686-6889 Chowdhury, Maksud A., Dr. Joseph A. Caruana Medical PC Internal Chowdhury, Maksud A., 7318 13th Avenue Medicine Feng, Hongshu, Brooklyn, NY 11228-2011 Hu, Andy K, (718) 630-1404 Ghaly, Emad A., Ezra Medical Center Family Pintiliano, Jennifer L., 1312 38th Street Practice Brooklyn, NY 11218-3612 Ratken, Frank, Caruana, Joseph A, (718) 686-7600 Watman, Jerry, Dr. Rudrama Duggirala Internal Cross County Medical, P.C. 90-45 Pitkin Ave Medicine 1262 Ocean Parkway Brooklyn, NY 11417-2706 Lowe, Steven, Brooklyn, NY 11230-5102 (917) 304-7025 Teitelbaum, Jeffrey L., (718) 859-5843 Family Family Health Care Plaza Cardiovascular Practice Disease 834 Coney Usland Ave Duggirala, Rudrama D., Brooklyn, NY 11218-5310 Eisenstein, Howard, EG Greenpoint Pediatrics LLC (718) 859-5171 Zanger, Daniel, 252 Driggs Avenue Pediatrics Internal Brooklyn, NY 11222-4681 Khan, Ferdousi A, Medicine (718) 349-0671 Family Medicine Center Charnoff, Judah, Pediatrics 121 DeKalb Avenue Gawlik, Ewa M., Brooklyn, NY 11201-5425 (718) 250-8621

Page 145 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Brooklyn Brooklyn Family Medicine Center Jasty & Manvar MDs PC- Bay Parkway Kings Highway Best Medical PC 121 DeKalb Avenue 6414 Bay Parkway 1421 Carroll St 1st Fl Brooklyn, NY 11201-5425 Brooklyn, NY 11204-3929 Brooklyn, NY 11213-4449 (718) 250-8621 (718) 783-7001 (917) 873-7466 Family Internal Family Practice Medicine Practice Dantchenko, Victoria, Abayev, Zurab T., Tseyko, Olga, Geriatric Medicine/Family Jasty & Manvar MDs PC-Flatlands Lucien D Mocombe MD PC Practice Avenue 3016 Glenwood Road Kondamudi, Vasantha, 9413 Flatlands Avenue Brooklyn, NY 11210-2642 Brooklyn, NY 11236-3726 (718) 859-2525 Internal (718) 783-7001 Medicine Internal Cardiovascular Medicine Corzo, Pedro, Disease Mocombe, Lucien Denis, Gates Pediatrics Manvar, Buddhadev N., 1532 Gates Avenue Lutheran Family Health Centers - Brooklyn, NY 11237-5773 Jasty& Manvar MDs PC- Willoughby Brooklyn Chinese Family Health Cent Street (718) 476-2501 812 54th Street 240 Willoughby Street, Suite 10 F Brooklyn, NY 11220-3251 Pediatrics Brooklyn, NY 11201-5428 (718) 210-1031 Soto, Maria B., (718) 783-7001 Family Heritage Integrated Health Services Internal Practice Medicine 34 Plaza Street, Suite 104 Zhao, Qiuqu, Brooklyn, NY 11238-5047 Jasty, Babu N., Internal (718) 230-5885 Jeffrey L. Teitelbaum MD PC Medicine Internal 913 Avenue L Lee, Paul, Medicine Brooklyn, NY 11230-4707 Pediatrics Orafidiya, Adebola O., (718) 859-8391 Meng, Gang, ICL Health Care Choices Internal 6209 16th Avenue Medicine Psychiatry Brooklyn, NY 11204-2702 Teitelbaum, Jeffry L, Wong, Ying Lan, (212) 385-3030 Joseph Gelbfish Lutheran Family Health Centers - Internal 2500 Avenue I Caribbean American Family Health Medicine Brooklyn, NY 11210-2830 Center Levy, Asya, (718) 951-0100 3414 Church Street Brooklyn, NY 11203-2714 Levy, Asya, Cardiovascular (718) 940-4633 Disease Jack I. Apelbaum, MD, PLLC Family Gelbfish, Joseph S., 2083 East 65th Street Practice Brooklyn, NY 11234-5913 Kindercare Pediatrics Cotos Mejia, David, (718) 531-5800 44 Lee Avenue, 3rd Floor Louis, Joseph A., Internal Brooklyn, NY 11211-7216 Medicine (718) 302-5437 Pediatrics Apelbaum, Jack I, Pediatrics Aguilh-Figaro, Toycina E., Jasty & Manvar MDs PC- Bay Parkway Begun, Jay R, Lutheran Family Health Centers - Family Physician Family Health Cente 6414 Bay Parkway Dick, Jeffrey Marc, Brooklyn, NY 11204-3929 5616 6th Avenue (718) 783-7001 Brooklyn, NY 11220-3419 (718) 630-6837

Page 146 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Brooklyn Brooklyn Lutheran Family Health Centers - Lutheran Family Health Centers - Lutheran Family Health Centers - Family Physician Family Health Center Shore Road Family Health Center Sunset Park Family Health Center 5616 6th Avenue 9000 Shore Road 150 55th Street, Station 20 Brooklyn, NY 11220-3419 Brooklyn, NY 11209-5449 Brooklyn, NY 11220-2559 (718) 630-6837 (718) 630-6827 (718) 630-7208 Family Family Internal Practice Practice Medicine Freyre, Orlando, Rodriguez, Ariel, Alcantara, Teodorico, Grady, Laura J, Nurse Pagano, William, Practitioner Hernandez, Juana E, Wagley, Bhupendra, Freitas, Rachel, Lyon, Claudia, Maimonides - Newkirk Family Health Lutheran Family Health Centers - Center Pye, Yar, Special Care and Immunology Services 1401 Newkirk Avenue Teng, Rui, 514 49th Street Brooklyn, NY 11226-6521 Teng, Rui, Brooklyn, NY 11220-2010 (718) 283-7427 (718) 437-5290 Yang, Nancy, Family Internal Practice Lutheran Family Health Centers - Park Medicine Ridge Family Health Center Kundu, Subhendu, Pizarro-Venegas, Marcelo, 6317 4th Avenue Maimonides - Adult Primary Care Brooklyn, NY 11220-4922 Lutheran Family Health Centers - 1250 57th Street (718) 630-6837 Sunset Park Family Health Brooklyn, NY 11219-4537 Family 5610 2nd Avenue (718) 283-7427 Practice Brooklyn, NY 11220-3559 Internal (718) 630-7117 Kennedy, Mary Jo, Medicine Nurse Kennedy, Mary Jo, Ringel, Neal, Practitioner Sastre, Jorge, Maimonides Medical Center Pediatric DeStefano, Patricia, Primary Care Internal Pediatrics Medicine 1301 57th Street Chen, Yaw Lim, Brooklyn, NY 11219-2916 Perlova, Marina, (718) 283-3626 Jayakrishnan, Uma, Pediatrics Pediatrics Lee, Quilly, Islam, Noor A, Cruvant, David, Lee, Quilly, Lutheran Family Health Centers - Park Mayers, Gabrielle Hope, Slope Family Health Center Mayer, Allen, Moalem, Karen Anne, 220 13th Street Roche, Marie-Lourdes, Brooklyn, NY 11215-4802 Odusi, Olatubosun, Villanueva, Norma, (718) 823-5980 Sundaresh, Mamatha, Yazigi, Samal, Family Mario J. Manna, D.O. Practice Lutheran Family Health Centers - Sunset Park Family Health Center 7318 13th Ave. Morales-Diaz, Mirza E, 150 55th Street, Station 20 Brooklyn, NY 11229-2011 Pediatrics Brooklyn, NY 11220-2559 (718) 630-1404 Calagos, Majesusa C, (718) 630-7208 Family Practice Calagos, Majesusa C, Endocrinology, Diabetes & Metabolism Manna, Mario J, Korin, Daniel E, Leff, John, Modeste, Karen A, Internal Medicine Page 147 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Brooklyn Brooklyn Mordechai Beityakov, MD NYC HHC Central Brooklyn Family NYC HHC Woodhull Medical Center 1455 East 24th Street Health Network - East New York Cumberland Diagnostic and Treatmen Brooklyn, NY 11210-5144 Diagnostic & Treatment Center - Center Primary Care Services (718) 645-3952 100 North Portland Avenue 2094 Pitkin Ave., 1063577831 Brooklyn, NY 11205-2005 Pediatrics Brooklyn, NY 11207-3509 (718) 260-7898 Beityakov, Mordechai, (718) 240-0400 Internal Neera Ahuja MD PC Internal Medicine Medicine 830 Marcy Avenue Young, Clifford Urias, Brooklyn, NY 11216-1524 Rahman, Maqsoodur, Pediatrics (718) 230-0350 Simon, Herold, Boakye, Cynthia, Pediatrics NYC HHC Woodhull Medical Center - Pierre-Louis, Magalie, Ahuja, Neera, Woodhull Medical Center Primary Care Services NYC HHC Woodhull Medical Center New Star Medical PC 760 Broadway, Room 2B321 Woodhull - Bushwick Communicare 6805 Fort Hamilton Parkway Brooklyn, NY 11206-5317 335 Central Avenue Brooklyn, NY 11219-5856 (718) 963-8000 Brooklyn, NY 11221-4501 (718) 836-8886 (718) 573-4853 Geriatric Medicine/Internal Family Medicine Nurse Practice Practitioner Ghanaat, Farhad, Teng, Rui Er, Marshall, Janet, Infectious Teng, Rui Er, Disease Pediatrics NYC HHC - Central Brooklyn Family Wagh, Usha Mathur, Dubuche, Carole, Health Network - Kings County Hospital Center, Adult Primary Care Internal NYC HHC Woodhull Medical Center Clinic Provilders Medicine Woodhull -Williamsburg Community Health Center 451 Clarkson Avenue, E Building, 7th Levy, Eduard, Floor 279 Graham Avenue Brooklyn, NY 11203-2057 Levy, Eduard, Brooklyn, NY 11206-4901 (718) 245-3422 Nurse (718) 963-7821 Practitioner Internal Emergency Medicine Marshall, Janet, Medicine Bhutani, Satish K, Pediatrics Sitafalwalla, Amir S., Kohli, Rattanjit S., Augustin, Lubin C., Internal Medicine Kohli, Rattanjit S., NYC HHC Woodhull Medical Center - Cumberland - Williamsburg Child Apolaya, Pamela E., Kolla, Madhavi, Health Clinic ODA Primary Health Care Center, In Price, Marlene, 279 Graham Avenue 14-16 Heyward Street Brooklyn, NY 11211-4901 Pediatric Infectious Brooklyn, NY 11249-7823 Disease (718) 387-2211 (718) 260-4600 Gesner, Matthew, Pediatrics Internal Pediatrics Prosper, Magally, Medicine Saxena, Yogendra K, Prosper, Magally, Berlin, Arnold I, NYC HHC Woodhull Medical Center - Mayer, Amir, Cumberland Diagnostic and Treatment Pediatrics Center 100 North Portland Avenue Maybody, Shideh, Brooklyn, NY 11205-2005 Sitt, Jimmy R, (718) 260-7898

Page 148 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Brooklyn Brooklyn One Hanson Place Pediatrics, PC Preferred Health Partners - Brooklyn Rutledge Pediatrics 1 Hanson Place, Suite 708 Heights Center 167 Rutledge Street Brooklyn, NY 11243-2907 195 Montague Street, 2nd Floor Brooklyn, NY 11211-8006 (718) 783-5437 Brooklyn, NY 11201-3628 (516) 972-8319 (718) 422-8000 Pediatrics Pediatric Pediatrics Endocrinology Mazza, Michael Anthony, Phillips, Danielle Marie, Goldstein, Steven J., Vinas, Sonia Miliza, Preferred Health Partners - Empire Pediatrics Orris MD PLLC Center 1192 Broadway Rosman, Howard J., 546 Eastern Parkway Brooklyn, NY 11221-3019 Brooklyn, NY 11225-1604 SL Quality Care Diagnostic and (718) 963-2364 Treatment Center, Inc. - Midwood (718) 604-4800 Internal 1220 Avenue P Family Medicine Brooklyn, NY 11229-1009 Practice (718) 376-1004 Orris, Maxine, Smith, Alford A, Internal Patel Medical Center Preferred Health Partners - Flatbush Medicine 220A St. Nicholas Avenue Center Levit, Susan, Brooklyn, NY 11237-4807 1000 Church Avenue (718) 821-9262 Brooklyn, NY 11218-2710 Muster, Sima, Internal (718) 826-4000 Obstetrics & Medicine Gynecology Internal Patel, Himanshu, Medicine Berger, Joseph, PMP Pediatrics Associates PLLC Anthony, Antoinette, The Brookdale Family Care Center@Bristol 2378 Ralph Avenue Preferred Health Partners - Brooklyn, NY 11234-5515 Lindenwood Center 1380 Linden Boulevard (718) 531-6660 2832 Linen Boulevard Brooklyn, NY 11212-3198 (718) 240-5651 Pediatrics Brooklyn, NY 11208-5132 (718) 240-2000 Pediatrics Drukman, Liliya, Internal Coulanges, Kina, Drukman, Liliya, Medicine Universal Medical Service, LLC Gabinskaya, Tatyana, Ezeagbor, Anthony Nnamdi, 4506 8th Avenue Gabinskaya, Tatyana, Quality Health Center Inc. Brooklyn, NY 11220-1516 Preferred Health Partners - Bay Ridge 432 Bedford Ave (718) 972-1233 Center Brooklyn, NY 11249-6588 Internal 740 W. 64th Street (718) 387-2408 Medicine Brooklyn, NY 11220-4714 Family Hu, Xiaoxi, (718) 439-2115 Practice Williamsburg Family Health Center Internal Yu, Kyi Win, Medicine 99 Division Ave. Rattanjit S. Kohli Physician PC Brooklyn, NY 11211 Klein, David, 443 Linden Blvd (718) 599-6200 Preferred Health Partners - Brooklyn Brooklyn, NY 11203-2821 Family Heights Center (718) 282-6333 Practice 195 Montague Street, 2nd Floor Brooklyn, NY 11201-3628 Internal Adler, Dana Spivak, Medicine (718) 422-8000 St louis, Emmanuel, Kohli, Rattanjit S, Family Practice Kohli, Rattanjit S, Lee, Fong Leo, Page 149 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Brooklyn Buffalo Buffalo Yelena Vayntrub Medical PC Buffalo Medical Group - Seton Building Elmwood Health Center 387 Eastern Parkway 2121 Main Street 2128 Elmwood Ave Brooklyn, NY 11216-4145 Buffalo, NY 14214-2693 Buffalo, NY 14207 (718) 757-7447 (716) 630-1026 (716) 566-5051 Internal Internal Internal Medicine Medicine Medicine Vayntrub, Yelena, Curran, Richard R., Blymire, Jr., William Warren, Brookville Buffalo Pediatric Associates, LLP Zambron, Mark Richard, 217 Linwood Avenue Advantage Care Diagnostic & Nurse Treatment Center, Inc. Buffalo, NY 14209-2027 Practitioner (716) 884-4665 189 Wheatly Road Marmion, Susan M, Brookville, NY 11545-2641 Pediatrics Ralbovsky, Michael Peter, (516) 686-4400 Kaplan, Robert Edward, Pediatrics Internal London, Pamela Vida, Medicine Aronica, Michael Joseph, Community Health Centre of Buffalo Bates, Julie, Evergreen Health Services 34 Benwood Avenue 206 S. Elmwood Avenue Kenney, Ann Marie, Buffalo, NY 14215-3021 Buffalo, NY 14201-2396 (716) 304-1052 Buffalo (716) 847-0212 Family Allentown Pediatric and Adolescent Nurse Practice Medicine Practitioner 505 Delaware Ave Dagher, Christiane H, Rein, Jason, Buffalo, NY 14202-1309 Internal Jefferson Family Medicine (716) 332-4472 Medicine 1315 Jefferson Avenue Pediatrics Dao, Tinh Trung, Buffalo, NY 14208-2102 Ehlenfield, Daryl Roy, Pediatrics (716) 332-3797 Raiken, Deborah, Cameron, Melinda Sue, Family Practice Buffalo Medical Group - 85 High Physician 85 High Street Assistant Figueroa, Jeanette L., Buffalo, NY 14203-1149 Wiewiorski, Michael J, Fox, Chester H., (716) 630-1026 Delaware Pediatric Assoc Patel, Vindobhai R., Endocrinology, Diabetes & 2550 Delaware Ave Metabolism Rosenthal, Thomas C., Buffalo, NY 14216-172 Yale, Sandra D., Sinha, Ravi N., (716) 884-0230 Jericho Road Family Practice Family Pediatrics Practice 184 Barton Street Ellis, Nitza F, Liu-Chen, Xinyue, Buffalo, NY 14213-1573 Hogan, Harriette F, (716) 348-3016 General Practice Lana, Steven J, Family Practice O'Brien, Matthew J., Menchini, John P, Glick, Myron Lynn, Internal Schenk, Thomas E, Nurse Medicine Elmwood Health Center Practitioner Charles, Richard E., 2128 Elmwood Ave Quinn, Heather A, White, Thomas G., Buffalo, NY 14207 (716) 566-5051 Internal Medicine Page 150 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Buffalo Buffalo Buffalo Jericho Road Family Practice at Northwest Buffalo Community Health UB|MD Internal Medicine & Pediatric Resurrection Health Center Care Center 300 Linwood Ave 1609 Genesee Street Mattina Site, 300 Niagara Street Buffalo, NY 14209-180 Buffalo, NY 14211-1616 Buffalo, NY 14201-2135 (716) 961-9400 (716) 892-2775 (716) 875-2904 Internal Family Internal Medicine Practice Medicine Sulaiman, Rosalind Nolan, Glick, Myron Lynn, Kucera, Jon C, Urban Family Practice, PC Lifetime Health Medical Group - Kucera, Jon C., 564 Niagara Street William E. Mosher Health Center Szimonisz, Susan M, Buffalo, NY 14201-1108 899 Main Street (716) 882-0366 Buffalo, NY 14203-9998 Szimonisz, Susan M., Family (716) 878-2700 Midwifery Practice Family Zitzka, Wendy E, Vazquez, Raul, Practice Nurse WNY Medical PC - Cazenovia Baez, Maritza Yvette, Practitioner 154 Cazenovia Street Cornell, Deborah B., Gutierrez, Karen L, Buffalo, NY 14210-2436 Eberl, Margaret M., Kirst, Patricia E, (716) 822-2028 Internal Kirst, Patricia E, Family Medicine Practice Langan, Marsha Burns kay, Bose, Reena, Packianathan, Emmanuel, Loefke, Melinda, Reddy, Bhaskara V., Internal Thomas, Bridget A, Medicine Pediatrics Thomas, Bridget A, Sadiq, Riffat, Fretz, Stephanie H., Werner, Wendy, Caledonia McCoy, Wayman C., Obstetrics & Northtowns Medical Group, PC Gynecology University of Rochester Medical Cente Primary Care Network / Caledonia 1783 Colvin Boulevard Frech, Michele, Medical Center Buffalo, NY 14223-1107 Hellriegel, John Curtis, 3350 Brown Road (716) 874-2150 Caledonia, NY 14423 Pediatrics Internal (585) 538-6250 Medicine Ferguson, Gail H, Family Gullickson, II, Donald E, Ferguson, Gail H, Practice Stehlik, Edward A, Jackson, Kimberly L, Reidy, Jill O, Northwest Buffalo Community Health Jackson, Kimberly L, Cambria Heights Care Center Sinha, Indrani, Queens Long Island Medical Group Mattina Site, 300 Niagara Street P.C.-Cambria Heights Medical Office Buffalo, NY 14201-2135 UB|MD Internal Medicine & Pediatrics 206-20 Linden Blvd. (716) 875-2904 300 Linwood Ave Buffalo, NY 14209-180 Cambria Heights, NY 11411-1524 Adolescent (716) 961-9400 Internal Medicine Medicine Internal Condino, Dalinda Ann, Medicine Chinnappala, Swaroopa Sangamesh, Family Abeles, Jennifer, Hobbs-green, Roxanne, Practice Blymire, William Warren, Hong, Tae-soon Q, Gomez, Ellis E, Flores, Tessa F, Patel, Suresh M, Griswold, Kim S, Grimm, Kathleen T., Camillus Page 151 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Camillus Castleton Cheektowaga Summerwood Pediatrics - West Office Community Care Physicians, P.C. - Genesee-Transit Pediatrics, LLP 5700 W. Genesee Street Schodack Medical Office 2865 Genesee Street Camillus, NY 13031-3200 81 Miller Road, Suite 800, Suite 800 Cheektowaga, NY 14225-3140 (315) 635-9802 Castleton, NY 12033-4043 (716) 895-2590 (518) 477-2167 Pediatrics Pediatrics Internal Somekh, Sharon, Dzik, John, Medicine Somekh, Sharon, Palma, Alessandra M, Barry, Kelli Ann, Canajoharie Sickels, Eric George, Leonidas, Leonard A, Yates, Ferdinand Domenic, Bassett Healthcare Network - Pediatrics Canajoharie Health Center Parkview Primary Care Physicians 56 Montgomery Street Gildersleeve, Rebecca Ann, 20 Losson Road, Suite 105 Canajoharie, NY 13317-1212 Hetrick-Platte, Tera N, Cheektowaga, NY 14227-2379 (518) 673-5555 Champlain (716) 558-7727 Family North Country Medical Group Family Practice 481 State Route 11 Practice Riley, Kenneth D, Champlain, NY 12919 Kavcic, John, (518) 298-2621 Carthage General Carthage Area Hospital - Carthage Family Practice Family Health Center Practice Hendricks, Orville, 117 N Mechanic St Racine, Maurice A, Internal Carthage, NY 13619-1353 Cheektowaga Medicine (315) 493-1000 AspireWNY Bastible, Deirdre, Family Practice 7 Community Drive Cervi, Joseph, Cheektowaga, NY 14225-2523 Shah, Neel, Chestertown (716) 505-5630 Pediatrics HHHN-Chester Horicon Health Cente Family El ghissassi, Mostafa, Practice 6223 State Route 9 Chestertown, NY 12817-0747 Ramazanoglu, Fatih, Abiola, Adebukola O, (518) 494-2761 Cassadaga Cleveland Hill Medical Group Internal 539 Cleveland Drive Medicor Associates of Chautauqua - Medicine Cheektowaga, NY 14225-1080 Lee Medical Group Bachman, Paul, 33 N Main St (716) 837-7130 Cicero Cassadaga, NY 14718-9600 Internal (716) 595-3001 Medicine FamilyCare Medical Group - Cicero Office Family Artim, Thomas Stephen, Practice 6253 US Route 31 Becker, Steven Brian, Cicero, NY 13039-8714 Lee, Tat sum, Nurse (315) 698-0290 Mathai, Annie, Practitioner Family Castleton Whistler, Mary Patricia, Practice Community Care Physicians, P.C. - Genesee-Transit Pediatrics, LLP Pastore, Paolo S., Schodack Medical Office 2865 Genesee Street Clayton 81 Miller Road, Suite 800, Suite 800 Cheektowaga, NY 14225-3140 Castleton, NY 12033-4043 (716) 895-2590 Samaritan Medical Center - Clayton Family Health Center (518) 477-2167 Pediatrics 909 Strawberry Lane Dzik, Darlene Ann, Clayton, NY 13624-1409

Page 152 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Clayton Cobleskill Cooperstown Samaritan Medical Center - Clayton Bassett Healthcare Network - Bassett Healthcare Network - Pediatr Family Health Center Cobleskill Health Center Clinic 909 Strawberry Lane 121 Legion Drive 1 Atwell Road Clayton, NY 13624-1409 Cobleskill, NY 12043-5111 Cooperstown, NY 13326-1394 Family (518) 234-2555 (607) 547-3070 Practice Internal Pediatrics Medicine Grybowski, Stephen, Cannon, Douglas H, Sellers, Joseph R, Jepma, John W, Gadomski, Anne Marie, Strasser, Stephen P, Rush, Jack D, Heavner, Philip A, Pediatrics Clifton Park Wassel, William Charles, Gomez-Dicesare, Caroline M, Community Care Physicians, P.C. - Bassett Healthcare Network - Prime Community Care Family Medicine Commack Care Clinic 5 Southside Drive, Suite 204 1 Atwell Road Commack Pediatrics a division of Clifton Park, NY 12065-3870 Allied Pediatrics of New York, PLLC Cooperstown, NY 13326-1394 (518) 371-9355 154 Commack Road, Suite 100 (607) 547-3300 Nurse Commack, NY 11725-3457 Family Practitioner (631) 499-8282 Practice Horn, Elizabeth C., Pediatrics Williams, Brian D, Four Seasons Pediatrics, LLC Catalano, Lorraine E, Internal 532 Moe Road Medicine Ezer, Gay Elana, Clifton Park, NY 12065-3822 Beechy, Carol K, Johnston, Jean E, Pediatrics Dalton, James T, Svitek, Scott E, McCaffrey, Sarah L., Davies-Wait, Brenda J, Reichman Brown & Kaplan MD, PC Clyde 646 Commack Delong, Douglas M, Finger Lakes Health - Clyde Family Commack, NY 11725-5412 Dier, John G, Health Center (631) 499-4114 Howard, Peter J, 4 West Genesee Street Pediatrics Clyde, NY 14433-1126 Kaplan, Fred M, Bellovin, Neil, Family Lacava, James E, Practice Bellovin, Neil, McKay, Erin, Heit, Debbie L., Haltiwanger, Kimberly, Tirrell, Paul C, Cobleskill Haltiwanger, Kimberly, Copenhagen Kaplan, Allen Michael, Bassett Healthcare Network - Lewis County General Hospital - Dr Cobleskill Health Center Kaplan, Allen Michael, Shambo 121 Legion Drive Mathew-Cheriyan, Jasilin, 9732 New York 12 Cobleskill, NY 12043-5111 Copenhagen, NY 13626-2906 (518) 234-2555 Mathew-Cheriyan, Jasilin, Family Family Reilly, James P, Practice Practice Rogu, George, Shambo, Roger Brian, Bitran, Joyce V, Rogu, George, Corfu Wright, Darah, Rogu, Nicholas, Pembroke Family Medicine - Pembrok Internal Ryzova, Yekaterina, 860 Main Rd Medicine Simon, Nina, Corfu, NY 14036-9753 Korn, Jr., Roy J, (585) 599-6446 Simon, Nina, Novak, John S, Cooperstown Page 153 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Corfu Cuba Depew Pembroke Family Medicine - Pembroke Southern Tier Community Health Genesee-Transit Pediatrics, LLP 860 Main Rd Center - Cuba site 4899 Transit Road Corfu, NY 14036-9753 132 W. Main Street Depew, NY 14043-477 (585) 599-6446 Cuba, NY 14727-1317 (716) 558-5437 (716) 375-7500 Family Pediatrics Practice Family Palma, Alessandra M, Practice Fernaays, Matthew M, Sickels, Eric George, Kotmire, Sushama, Obear, Mary Edith, Yates, Ferdinand Domenic, Delanson Corona Lancaster Medical Bassett Healthcare Network - Delanson Sunrise Medical PC Health Center 4893 Transit Road 40-39 Junction Blvd One Cooley Heights Depew, NY 14043-4776 Corona, NY 11368-2121 Delanson, NY 12053-2442 (716) 608-7040 (718) 397-8866 (518) 895-2000 Family Internal Practice Family Medicine Practice Kuehnling, William Robert, Martinez, Sergio A, Kozak, Cyril, Internal Urban Health Plan - Plaza del Sol Medicine Internal Health Center Medicine Cleary, Kevin G, 37-16 108th St Corona, NY 11368-2025 Burton, Joyce B, WNY Medical PC - French (718) 651-4000 Delhi 1310 French Road Depew, NY 14043-4870 Nurse Bassett Healthcare Network - Delhi (716) 668-2592 Practitioner Health Center Internal Trossello, Catherine R., Flint Office Building Medicine Delhi, NY 13753-7407 Cortland (607) 746-0550 Carlson, Richard A, Cortland Medical Associates Family DERBY 1259 Fisher Avenue Practice Cortland, NY 13045 General Physician, PC Amy Damiani- Nguyen, Michael, DERBY (607) 756-4600 Delmar 7020 ERIE ROAD Family DERBY, NY 14047 Practice Community Care Physicians, P.C. - (716) 562-7064 The Office of Dr Marino Baselice Biondi, Nicholas C., 199 Delaware Avenue Internal Medicine diGiovanna, Anthony J., Delmar, NY 12051-1229 Johnson, Cindy, (518) 439-6306 Damiani, Amy, Internal Family Mcternan, Thomas, Medicine Practice WNY Medical PC - Derby Hayes, Patrick J., Shin, Joong Eun, 6970 Erie Road Cuba Depew Derby, NY 14047-9591 (716) 947-9147 Southern Tier Community Health Genesee-Transit Pediatrics, LLP Center - Cuba site 4899 Transit Road Family Practice 132 W. Main Street Depew, NY 14043-477 Cuba, NY 14727-1317 (716) 558-5437 Siepel, Timothy Vincent, (716) 375-7500 Pediatrics Internal Family Medicine Dzik, Darlene Ann, Practice Sadiq, Riffat, Dzik, John, Page 154 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Dover Plains Dunkirk East Hampton Hudson River HealthCare, Inc - Dover Medicor Associates of Chautauqua - East End Pediatrics Plains Medicor Associates of Dunkirk 200 Pantigo Place, Suite E 3147 Route 22 504 Central Ave East Hampton, NY 11937-5921 Dover Plains, NY 12522-5924 Dunkirk, NY 14048-2515 (631) 324-8030 (845) 877-4793 (716) 366-9008 Social Worker, Family Gastroenterology Clinical Practice Cramer, Elizabeth, Timell, Anna M., Alam, Hyder, East Rockaway Dryden Internal Medicine East Rockaway Pediatrics ado Allied Cayuga Area Physicians Alliance - Pediatrics of New York, PLLC Dryden Family Medicine Ayuyao, Nilo F, 58 Main Street 5 Evergreen Street Henson, Ruth De guzman, East Rockaway, NY 11747-1929 Dryden, NY 13053-0008 East Amherst (516) 599-7353 (607) 844-8181 Pediatrics Tonawanda Pediatrics - East Amherst Family Dellorusso, Giusseppe, Practice 6477 Transit Road East Amherst, NY 14051-1427 Hahami, Zivi, Klepack, William A, (716) 691-4311 Korn, Sheila, Silcoff, Howard, Pediatrics Staiman, Keith M, Internal Gennuso-Piwko, Jennifer, Medicine East Syracuse Kanaley, Justin, Gordon, Cindy, CNY Family Care, LLP East Aurora Dundee 4939 Brittonfield Parkway East Aurora Family Practice East Syracuse, NY 13057-9208 Finger Lakes Health - Dundee Family (315) 463-7316 Health Center 112 Olean, Ste. 220 50 Millard Street East Aurora, NY 14052-2540 Family Dundee, NY 14837-9400 (716) 805-1072 Practice Family Family Steves, Robert, Practice Practice Edwards Cotton, Shawn E., Daoud, Magda, EJ Noble Hospital - Edwards Health Dunkirk DeGaetano, Danielle A., Center 8 Church Street Amy Damiani MD - Dunkirk NY Lawton, David A., Edwards, NY 13635-3198 609 Central Avenue McMahon, Kevin C., Dunkirk, NY 14048 Physician John P. Ward D.O. Assistant (716) 363-6960 7531 Seneca Street Gamel, Sarah, Family East Aurora, NY 14052-9407 Practice (716) 652-5309 Elbridge Sodhi, Vikram, Family FamilyCare Medical Group - Elbridge Internal Practice Office Medicine Ward, John Patrick, 5566 Jordan Road Elbridge, NY 13060-9617 Damiani, Amy, East Hampton (315) 685-1833 Mcternan, Thomas, East End Pediatrics Family Medicor Associates of Chautauqua - 200 Pantigo Place, Suite E Practice Medicor Associates of Dunkirk East Hampton, NY 11937-5921 Kroeger, Karin G., 504 Central Ave (631) 324-8030 Soderberg, Peer A., Dunkirk, NY 14048-2515 Social Worker, (716) 366-9008 Clinical Elizabethtown Page 155 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Elizabethtown Elmhurst Elmhurst Elizabethtown Community Hospital - 9317 Medical Office PC Khin Aung Medical PC Elizabethtown Community Health 40-08 Forley Street 87-08 Justic Avenue, C3 Center Elmhurst, NY 11373-1427 Elmhurst, NY 11373-4590 66 Park St (718) 446-0270 (718) 672-3693 Elizabethtown, NY 12932 Pediatrics Internal (518) 873-3113 Medicine Perea, Annette, Internal Aung, Khin, Medicine Perea, Annette, NYC HHC Elmhurst Hospital Center Demuro, Rob Luke, Advanced Pediatrics, PC Medical Primary Care 94-36 59th Avenue Ellenville 79-01 Broadway Elmhurst, NY 11373-5151 IFH - Family Practice Center of Elmhurst, NY 11373-1329 (718) 271-2600 Ellenville (718) 334-4000 Pediatrics 50 Shop Rite Boulevard Internal Ellenville, NY 12428-5632 Lao, Wilfredo S, Medicine (845) 647-4500 Sabogal, Gonzalo, Ast, Denise, Internal Candida Catucci MD PC Chang, Ching-hung, Medicine 40-10 Forley Street Huang, Huajun, Bhitiyakul, Saharat, Elmhurst, NY 11373-1427 Reich, Lawrence M., Sperling, Walter L., (718) 565-6565 Tejwani, Shivkumar, Project Samaritan Health Services, Internal Inc. - Ellenville Medicine Toueg, Sam, 751 Briggs Highway Catucci, Candida, Veeraswamy, Pramila, Ellenville, NY 12428-5501 Dr. Paul Mantia Yoo, Chang, (845) 647-2000 83-10 Queens Blvd Pediatric Emergency Family Elmhurst, NY 11373-4245 Medicine Practice (718) 651-2002 Lim, Lucy T., Beninati, Catherine, Internal Pediatrics Model, Lawrence Marc, Medicine Atanassova-Lineva, Daniela K, Elma Mantia, Paul J, Atanassova-Lineva, Daniela K, Buffalo Medical Group - Elma Edgar Flores-Castillo, MD PC 2741 Transit Road 4053 75th Street Gill, Alice, Elma, NY 14059-9634 Elmhurst, NY 11373-1011 Golbraykh, Mya, (718) 426-6270 (716) 630-1026 Gonzalez, Pilar, Pediatrics Internal Hsu, Mei Hwa, Medicine Flores-Castillo, Edgar A, Polanco, Larissa, Gais, Dawn A., Gandhi, Jyoti R. MD Preposi, Cesar, Elmhurst 84-25 Elmhurst Ave. Preposi, Cesar, 9317 Medical Office PC Elmhurst, NY 11373-3324 40-08 Forley Street (718) 457-0500 Queens Long Island Medical Group P.C.-Elmhurst Medical Office Elmhurst, NY 11373-1427 Pediatrics 86-15 Queens Blvd (718) 446-0270 Gandhi, Jyoti R, Elmhurst, NY 11373-4427 Internal Khin Aung Medical PC Medicine Family 87-08 Justic Avenue, C3 Practice Sosa, Alain A, Elmhurst, NY 11373-4590 Yee, Walter, Sosa, Alain A, (718) 672-3693 Internal Pediatrics Medicine Page 156 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Elmhurst Endicott Evans Mills Queens Long Island Medical Group UHS - Primary Care Endicott Samaritan Medical Center - LeRay P.C.-Elmhurst Medical Office 1302 E. Main Street Family Health Center 86-15 Queens Blvd Endicott, NY 13760 26908 Independence Way, Suite 101 Elmhurst, NY 11373-4427 (607) 754-2323 Evans Mills, NY 13637 Internal Family Family Medicine Practice Practice Chaglassian, Mary D, Leonti, Vincent Joseph, Brown, Jamey Ann, Lapinel, Sergie P, Nurse Rudd, Benjamin David, Lee, Hwasun, Practitioner Far Rockawawy Bambara, Julie, Rybak, Jurij, Joseph P. Addabbo Family Health Sheelawanti, Sheela, Ponticiello, Jacqueline, Center, Inc. - Far Rockaway Site 1288 Central Avenue Sychikov, Lubov, Endwell Far Rockawawy, NY 11691-3909 Queens Long Island Medical Group Endwell Family Physicians (718) 945-7150 P.C.-Elmhurst Pediatric Medical Office 415 Hooper Rd Obstetrics & Endwell, NY 13760-3646 88-06 55TH Avenue Gynecology Elmhurst, NY 11373-4437 (607) 754-3863 Jacinto-Francisco, Gertrudes, Pediatrics Family Practice Ulep, Rosita Razo, Barberis, Carl L, Bowling, Bruce T, Far Rockaway Fitzgerald, Michael P., Desantis, Kimberly M, Queens Long Island Medical Group Lau, Nina, P.C.-Rockaway Medical Office Gasparis, Demetrios, Miranda, Louella M, 29-15 Far Rockaway Blvd. Harris, Jonathan A, Elmont Far Rockaway, NY 11691-1941 Holler, James C, Internal Nu-Health-Elmont Family Health Medicine Center Patel, Rekha S, 161 Hempstead Tpk Patel, Suchet R, Deyhimpanah, Reza, Elmont, NY 11003-1432 Perry, John S, Nurse, Sandra, (516) 571-8200 Sze-tu, Duncan, Pediatrics Family Woodburn-hourie, Karen, Practice Tunick, Michael, Apollon, Monique Rachelle, UHS - Primary Care Endwell Fayetteville 800 Hooper Road Endicott St. Joseph's Medical, PC - Northeast Endwell, NY 13790 4101 Medical Center Drive Our Lady of Lourdes Memorial (607) 757-0444 Fayetteville, NY 13066-6600 Hospital, Inc. - Primary Care Associates - East Main Street Internal (315) 657-7878 415 East Main Street Medicine Family Endicott, NY 13760 Osborne, Thomas, Practice Family Nurse Dibble, William J, Practice Practitioner Fishkill Skiadas, Melissa, Hoda, Tahirul, Imtiaz A. Mallick MD UHS - Primary Care Endicott Evans Mills 798 Route 9 1302 E. Main Street Samaritan Medical Center - LeRay Fishkill, NY 12524-1393 Endicott, NY 13760 Family Health Center (845) 896-2204 (607) 754-2323 26908 Independence Way, Suite 101 Internal Family Evans Mills, NY 13637 Medicine Practice Mallick, Imtiaz A.,

Page 157 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Fishkill Flushing Flushing Mid Hudson Medical Group, PC - Flushing Hospital Medical Center Queens-Long Island Medical Group - Fishkill Ambulatory Care Center Flushing North Medical Office 600 Westage Business Center Drive 4500 Parsons Blvd. 140-15 Sandford Avenue Fishkill, NY 12524-2281 Flushing, NY 11355-2199 Flushing, NY 11355-2557 (845) 231-5504 (718) 670-5960 (516) 941-4082 Internal Internal Family Medicine Medicine Practice Tillmon, Bernadette R., Klein, Sherman Mark, Parikh, Suneel V, Floral Park Paik, Woong Ki, Internal Medicine Park Pediatrics a division of Allied Pediatrics Leung, Liana H, Pediatrics of New York, PLLC Hiza, Ashley, 271 Jericho Turnpike Qureshi, Roshan, Floral Park, NY 11001 Hong Jia Medical PC Shteynman, Alla, (516) 354-7575 13329 41 Road, Suite 2D Flushing, NY 11355-3695 Torres, Francisco, Pediatrics (718) 886-0131 Pediatrics Cascio-Leva, Melissa D, Family Bhaskar, Mahesh, Dellorusso, Ana M, Practice Reejsinghani, Rosie, Friedman, Daniel L, Hong, Jia, Xiaoxia Zhang MD PC Friedman, Eugene B, Kanghan Medical Services, P.C. 39-07 Prince Street, Ste 6H 38-34 Parson Blvd., Suite #1A Kaye, Arthur S, Flushing, NY 11354-5308 Flushing, NY 11354-5840 (718) 886-8718 Morris, Elliot, (718) 762-3240 Family Flushing Family Practice Charles B. Wang Community Health Practice Zhang, Xiaoxia, Center, Inc. -Flushing Hwang, Lina S, 136-26 37th Ave. 2nd Floor Yeahson Bruinings MD Family Practi Kang, Byung C., Flushing, NY 11354-4143 PLLC Queens Long Island Medical Group Family 163-28 Northern Blvd, Suite 2F P.C.-Flushing South Medical Office Practice Flushing, NY 11358-2645 59-25 Kissena Blvd (718) 360-5768 Li, Jim, Flushing, NY 11355-2557 Family Internal Internal Practice Medicine Medicine Bruinings, Yeahseon C, Chiao, Marie T., Qureshi, Roshan, Forest Hills Obstetrics & Shteynman, Alla, Gynecology Jonathan W. Mohrer MD PC Torres, Francisco, Wong, Helen S, 11406 Queens Blvd, Suite A-8 Pediatrics Forest Hills, NY 11375-7001 Pediatrics Bhaskar, Mahesh, (718) 575-9787 Jung, Josephine Oi-Chun, Queens-Long Island Medical Group - Internal Mao, Amy, Flushing North Medical Office Medicine Dioamo Pediatrics ado Allied Pediatrics 140-15 Sandford Avenue Mohrer, Jonathan W, of New York, PLLC Flushing, NY 11355-2557 NY Medical & Health P.C. 25-16 169th Street (516) 941-4082 70-64 Yellowstone Blvd, Suite 1 Flushing, NY 11358-1114 Family Forest Hills, NY 11375-3563 (718) 428-5800 Practice (718) 897-0900 Pediatrics Forde, Sandra L, Internal Amodio, Stefano, Medicine Page 158 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Forest Hills Freeport Geneva NY Medical & Health P.C. Jacqueline Delmont, M.D., P.C. FLCMH - Geneva Community Health 70-64 Yellowstone Blvd, Suite 1 55 N. Main Street Center Forest Hills, NY 11375-3563 Freeport, NY 11520-2243 601 B Washington St. (718) 897-0900 (516) 377-8014 Geneva, NY 14456-2119 (315) 781-8448 Internal Internal Medicine Medicine Internal Medicine Sandler, Bella, Delmont, Jacqueline, Eagleson, Elizabeth, Queens Long Island Medical Group South Ocean Care, LLC P.C.-Forest Hills Medical Office 101 SO. Bergen Place Shelly, Robert, 96-10 Metropolitan Ave Freeport, NY 11520-3528 FLH Medical, PC - Internal Medicine Forest Hills, NY 11375-6625 (516) 623-3600 Geneva Family Family 200 North Street, Suite 102 Practice Practice Geneva, NY 14456 Thomas, Nicole, Hawthorne, Horace A, Internal Medicine Internal Gansevoort Medicine Pita-acevedo, Dora, Community Care Physicians, P.C. - Dhandayutham, Karur S., Community Care Pediatrics Saratoga Glens Falls Staniloiu, Maria, 5 Mountain Ledge Dr., Suite 1 HHHN-Health Center on Broad Stree Pediatrics Gansevoort, NY 12831-1856 100 Broad Street (518) 584-0355 Glens Falls, NY 12801-4349 Gocs, Diane M, Pediatrics (518) 792-2223 Quijano, Emelyn C, Almond, Megan E., Family Franklin Square Practice Jordgensen, Stephanie E., Primary Health Care Plus Doagnostic Beaty, Robert, and Treatment Facility Garden City North, James, 1209 Hempstead Turnpike Garden City Pediatrics ado Allied Franklin Square, NY 11010-1537 Pediatrics of New York, PLLC Portuese, Thomas, (516) 352-8300 1101 Stewart Avenue, Suite 306 Pediatrics Family Garden City, NY 11530-4808 Flatau, Irene, Practice (516) 222-0893 Goshen Salerno, Mildred, Pediatrics Crystal Run Healthcare Goshen Bisacco, John Francis, Pediatrics 7 Hatfield Lane Labranche, Ottie, Cohen, Claire O, Goshen, NY 10941-6757 Fredonia Pagnotta, Laura A, (845) 703-6999 Internal Medicor Associates of Fredonia Sartori, Richard L, Medicine 12 Center St Suite 1 Wolodzko, Yvonne A, Viray, Alvin Ko., Fredonia, NY 14063-1769 Pediatric Associates of Long Island ado (716) 679-2233 Allied Pediatrics of New York, PLLC Hudson River HealthCare, Inc. - Goshen Internal 1101 Stewart Avenue, Ste. 306 Medicine Garden City, NY 11530-4808 888 Pulaski Highway Goshen, NY 10924-6034 Bartholomew, Anthony Orlando, (516) 746-2299 (845) 657-2298 Bishop, G Jay, Pediatrics Family Facer, Jeffery Todd, Battista, Anthony J., Practice Landis, Andrew James, Cooper, Seymour M., Figueroa, Jeannette T., Freeport Geneva Gouverneur

Page 159 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Gouverneur Great Neck Hamburg Dr. Yusef Hazimeh North Shore University Hospital - Lakeshore Primary Care Associates 77 West Barney Street Division of General Internal Medicine 4855 Camp Road, Ste. 100 Gouverneur, NY 13642-1040 865 Northern Blvd., Suite 102 Hamburg, NY 14075 (315) 535-9309 Great Neck, NY 11021-5310 (716) 646-1084 (516) 622-5001 Internal Family Medicine Internal Practice Medicine Hazimeh, Yusef M, Kane, Michael P, Leong, Pauline, Grand Island Robillard, Kristin M, Monks, Christine Ann, Tonawanda Pediatrics - Island Sullivan, Maria E, Morley, Jeanne K., Pediatrics Tucker, Sherri L, 2271 Grand Island Boulevard Stokes, Mark G., Internal Grand Island, NY 14072-1819 Zolli, Janet R., Medicine (716) 775-3400 Roland Nassim, MD Forehand, Lisa G, Nurse Practitioner 1000 Northern Blvd., Suite 375 Obstetrics & Great Neck, NY 11021-5312 Gynecology Dann, Maureen A., (516) 773-3942 Zuccala, Scott J, Pediatrics Internal Pediatrics Mascia, Christopher C., Medicine Cook, Sarah A, Great Neck Nassim, Roland, Lifetime Health Medical Group - Greenvale MD's 4 Kids Medical ado Allied Hamburg Health Center Pediatrics of New York, PLLC Neighborhood Pediatrics ado Allied 151 Elmview Avenue 935 Northern Blvd., Suite 300 Pediatrics of New York, PLLC Hamburg, NY 14718-3762 Great Neck, NY 11021-5328 87 Glen Cove Road (716) 648-3040 (516) 466-5437 Greenvale, NY 11548-1037 Family Pediatrics (516) 759-1131 Practice Gerba, William Michael, Pediatrics Golding, Douglas, Inguagiato, Peter J., Cavanaugh, Lisa A, Kolbert, Mary K., Mirkin, Gary M., Groton Steven P. Herman, M.D. Rubel, Karen A., Peter Clark, MD 5893 Camp Road Suite 4 Russ, Heidi R., 220 W. South Street Hamburg, NY 14075-4470 Groton, NY 13073 (716) 649-7722 North Shore University Hospital - (607) 727-4462 Division of General Internal Medicine Family 865 Northern Blvd., Suite 102 Family Practice Great Neck, NY 11021-5310 Practice Herman, Steven Peter, (516) 622-5001 Clark, Peter David, WNY Medical PC - Hamburg Internal Hamburg 229 Main Street Medicine Hamburg, NY 14075-4915 Donald W. Robinson, MD (716) 649-1342 Balwan, Khousidai Sandy, 3969 Legion Drive Cacace, Frank, Hamburg, NY 14075-3709 Family Practice Carter, Lawrence D., (716) 649-6687 Goodwin, Eric H, Ehrlich, Jason C., Family Practice Internal Gottridge, JoAnne, Robinson, Donald W, Medicine Hirsch, Susan C., Sadiq, Riffat, Lee, Grace J, Hamilton

Page 160 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Hamilton Hempstead Herkimer Bassett Healthcare Network - Hamilton Nu-Health-Hempstead Family Health Bassett Healthcare Network - Herkim Health Center Center Health Center 160 Broad Street 135 Main St 321 East Albany Street Hamilton, NY 13346-9575 Hempstead, NY 11550-2414 Herkimer, NY 13350-2016 (315) 825-3111 (516) 572-1300 (315) 867-2700 Family Family Internal Practice Practice Medicine Buschatzke, Richard M, Horn, Kelly C., Tangel, Colette T, Hancock Internal Faxton-St. Luke's Healthcare, Medicine Adirondack Community Physicians - Our Lady of Lourdes Memorial Mohawk Hospital, Inc. - Family Practice - East Hussaini, Naseem A., 201 E. State Street Main Street - Hancock Obstetrics & Herkimer, NY 13350-2370 39 East Main Street Gynecology (315) 574-2300 Hancock, NY 13783 Behar, Marc S., Family Family Practice Practice Pediatrics Aranda, Christine, Berg, Richard, Lombardy, Diane Elaine, Ficano, Jeffrey, Harrison Queens Long Island Medical Group P.C.-Hempstead Medical Office Internal Scarsdale Medical Group-Harrison Site 226 Clinton Street Medicine 1 Hempstead, NY 11550-2614 550 Mamaroneck Avenue, Suite 101 Parker, William, Family Harrison, NY 10528-4523 Practice Hicksville (914) 630-5477 Parris, Marcia, Ira B. Toback, MD ado Allied Endocrinology Pediatrics of New York, PLLC Pascal, Sandra, 400 S. Oyster Bay Road Bloomgarden, David, Internal Hicksville, NY 11801-3500 Medicine (516) 931-8688 Gastroenterology David, Monica, Pediatrics Schoen, Malcolm S, Panish, Mark B, Mehrotra, Deepti, Scarsdale Medical Group-Harrison Site Sharma, Manjoo, Toback, Ira B, 2 Pediatrics Queens Long Island Medical Group 600 Mamaroneck Avenue, Suite 200 Madad, Saiyeda, P.C.-Hicksville Medical Office Harrison, NY 10528-4523 350 South Broadway (914) 630-5477 Sokol, Scott K., Hicksville, NY 11801-5006 Internal Herkimer Internal Medicine Bassett Healthcare Network - Herkimer Medicine Adler, Bradley K, Health Center Anand, Chandni K., Cappucci, Roger V, 321 East Albany Street Herkimer, NY 13350-2016 Greenberg, Ronald, Croen, Kenneth D, (315) 867-2700 Massand, Seema, Felberg, Claudia M, Family Pottanat, Marie T, Reinitz, Elizabeth, Practice Reisman, Thomas, Yuen, Jeannette L, Islam, Fatema T, Zelener, Marina, Internal Hempstead Pediatrics Medicine Balachandar, Viswanath, Joseph, Ashly, Cheruvanky, Thulasi, Kramer, Frank V, Page 161 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Hicksville Howard Beach Islandia Queens Long Island Medical Group Medisys Family Care Center - Howard Islandia Northside Primary d/b/a P.C.-Hicksville Medical Office Beach Healthworks 350 South Broadway 156-10 Crossbay Blvd. 3001 Expressway Drive North, Suite Hicksville, NY 11801-5006 Howard Beach, NY 11414 200C Islandia, NY 11749-5301 Pediatrics (718) 323-3589 (631) 435-4358 Trecartin, Susan E, Internal Medicine Internal Hollis Medicine Marino, Lawrence John, Medisys Family Care Center (Hollis Folan, John F., Pediatrics Tudor) Kao, Wei K., 200-16 Hollis Ave Numann, Sousan, Ithaca Hollis, NY 11423-1712 Huntington (718) 736-8204 Cayuga Area Physicians Alliance - Island Medicine Cayuga Medical Associates, P.C. Family 210 East Main Street Practice 8 Brentwood Drive, Suite B Huntington, NY 11743-2979 Ithaca, NY 14850 Clarke, Fred, (631) 757-9500 (607) 266-7500 Hopewell Junction Family Internal Practice Community Primary Care Medicine Burns, Patrick B., 45 Foster Road Cotton, Elisabeth M, Hopewell Junction, NY 12533-6153 Hyde Park Margie, Walter Edward, (845) 226-4590 IFH - Family Practice Center of Hyde Mead, John-paul Daniel, Internal Park Medicine 11 Crum Elbow Road Cayuga Area Physicians Alliance - Family Medicine Associates of Ithaca Sinha, Rabi R., Hyde Park, NY 12538-2851 8 Brentwood Avenue (845) 229-1020 Mid Hudson Medical Group, PC - Ithaca, NY 14850-5429 Hopewell Junction Office Family (607) 277-4341 10 Cranberry Drive Practice Hopewell Junction, NY 12533-5367 Family Jellett, Carol, Practice (845) 231-5504 Landanno, Clement R, Baker, Wallace, Internal Medicine Page, Dorothy Eve, Breiman, Robert J, Weisel, Thomas, Schiskie, Melissa A., Darlow, Lloyd A, Houghton Internal Midura, Alan T, Medicine Southern Tier Community Health Shallish, Neil Frederick, Isabell, Lee J., Center - Houghton Site Vonfelten, Elizabeth, 9864 Luckey Drive Teubl, William P., Ziegler, Sharon L, Houghton, NY 14744-8706 Island Park (716) 375-7500 Cayuga Area Physicians Alliance - Beach Pediatrics ado Allied Pediatrics Muhammad Wattoo, MD Nurse of New York, PLLC 2359 North Triphammer Road Practitioner 312 Long Beach Road Ithaca, NY 14850-105 Thornton, Sharon E, Island Park, NY 11558-1510 (607) 257-3452 Howard Beach (516) 945-3032 Internal Pediatrics Medisys Family Care Center - Howard Medicine Beach Jaffe, Rina, Wattoo, Muhammad Ahmad, 156-10 Crossbay Blvd. Jonisch, Elise Marcia, Howard Beach, NY 11414 (718) 323-3589 Shinder, Lauren,

Page 162 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Ithaca Jackson Heights Jamaica Cayuga Family Medicine, PC General Medical Services of Queens, Jamaica Hospital Medical Center - AC 302 West Seneca Street P.C. 8900 Van Wyck Expressway Ithaca, NY 14850-4130 37-47 77th Street Jamaica, NY 11418 (607) 697-0360 Jackson Heights, NY 11372-6629 (718) 206-7049 (718) 803-7300 Family Nephrology Practice Internal Medicine Howson, Mary F, Falk, Bryan M, Pimentel, Ramon R, Northeast Pediatrics and Adolescent Pediatrics Medicine - Cayuga Area Physicians RRG Medical Practice, PC Featherstone, Melvin, Alliance 90-01A Roosevelt Ave 10 Graham Road, West Jackson Heights, NY 11372-7938 Fokas, Anastasia, Ithaca, NY 14850 (718) 505-0030 Punsalan, Imelda, (315) 635-9802 Internal Joseph P. Addabbo Family Health Pediatric Medicine Center, Inc. - GUY R. BREWER SITE Endocrinology Rodriguez, Rafael, 118-11 Guy R. Brewer Boulevard Woo, Melissa Lee Mei, Jamaica, NY 11434-2101 The New York Hospital Medical Center (718) 945-7150 Pediatric Infectious of Queens - Jackson Heights Family Disease Health Center Obstetrics & Gynecology Snedeker, Jeffrey D, 73-15 Northern Blvd. Jackson Heights, NY 11372-1144 Khatri, Sarita, Pediatrics (718) 424-2788 Mondesir-Harewood, Carlene, Bradshaw, John A, Family Udon-Rice, Izuka, Bradshaw, Suzanne Marie, Practice Joseph P. Addabbo Family Health Desilva, Audrey H, Henriguez, Edmee, Center, Inc. - JAMAICA SITE Timothy Cardina, MD-Cayuga Area Jamaica 114-39 Sutphin Boulevard Physicians Alliance Community Healthcare Network - Jamaica, NY 11434-1022 821 Cliff Street Queens Health Center (718) 945-7150 Ithaca, NY 14850-2017 97-04 Stuphin Blvd. Family (315) 635-9802 Jamaica, NY 11435-4721 Practice Internal (718) 657-7088 Madhurapantula, Madhavi, Medicine Family Internal Cardina, Timothy M, Practice Medicine Jackson Heights Tavares, Rosa Anabela, Holalkere, Rajagopal, Ernst F. Jean MD PC Cuidado Medico Geriatrico of Queens, Nurse P.C. 87-59 171st Street Practitioner 37-44 75 Street Jamaica, NY 11432-4554 Ahern, Barbara, Jackson Heights, NY 11372-6444 (718) 523-2200 (718) 672-6232 Obstetrics & General Gynecology Internal Practice Medicine Brown, Elaine Patricia, Jean, Ernst F, Martinez de Pimentel, Nadia A, NYC HHC Queens Hospital Center - Jamaica Hospital Medical Center - ACC Primary Care Services General Medical Services of Queens, 8900 Van Wyck Expressway 82-68 164th ST P.C. Jamaica, NY 11418 Jamaica, NY 11432-1121 37-47 77th Street (718) 206-7049 (646) 458-382 Jackson Heights, NY 11372-6629 Internal (718) 803-7300 Infectious Medicine Disease Internal Galibov, Vyacheslav, Medicine Restrepo, Erfidia, Page 163 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Jamaica Jamaica Jamaica NYC HHC Queens Hospital Center - Project Samaritan Health Services, TJH Medical Services, PC Primary Care Services Inc. - Damian Clinic 134-20 Jamaica Avenue 1st Floor 82-68 164th ST 137-50 Jamaica Ave Jamaica, NY 11418-2832 Jamaica, NY 11432-1121 Jamaica, NY 11435-3610 (718) 206-6782 (646) 458-382 (718) 298-5100 Internal Internal Obstetrics & Medicine Medicine Gynecology Delman, Moisey, Awwal, Sabina, Proctor, Vernon Eugene, Pathak, Naveen, Cardinal, Lucien John, Queens Long Island Medical Group Jamestown P.C.-Jamaica Estates Medical Office Goytia, Elliott J., 180-05 Hillside Avenue Family Health Medical Services- Khan, Nazmul H, Jamaica, NY 11432-4727 Dunham 42 Dunham Ave Misra, Sameer K, Family Jamestown, NY 14701-2514 Qureshi, Saira, Practice (716) 665-7007 Pediatrics Deratus, Karl G, Family Balaoura, Kathrin, General Practice Practice Zam, Paul E, Persia, Albert, Chasky, Dean Cole, NYC HHC Queens Hospital Center- Riedesel, Jeremy, Parsons Communicare Medical Center Internal Selioutski, Alexander, 90- 37 Parsons Blvd Medicine Jamaica, NY 11432-6032 Ahmed, Najma A., Preventive Medicine (717) 334-6440 Bharara, Meenakshi, Berke, Robert, Pediatrics Patel-pannullo, Julie, Family Health Medical Services-Prath Goldberg, Jody F, Percy, Marie S, 320 Prather Ave, Suite 100 Mahdy-Gewaily, Olaft H, Rayzman, Maya, Jamestown, NY 14701-6820 NYC HHC Queens Hospital Center- Pediatrics (716) 338-9797 South Queens Multi- Service Center Chacko, Lissiamma, Family 114-02 Guy Brewer Blvd Practice Jamaica, NY 11434-1234 Rodrigues, Roy J, Persia, Albert, (718) 883-6699 Sheppard, Beverly A, Riedesel, Jeremy, Pediatrics Wang, Linda, Selioutski, Alexander Z, Liverpool, Louise Anne, Smart Medical Care, PC Preventive Singer, Andrew Noble, 8746 168 St. Medicine Project Samaritan Health Services, Jamaica, NY 11432-0130 Berke, Robert, Inc. - Damian Clinic (718) 526-6660 137-50 Jamaica Ave Pediatrics Jamestown Pediatric Associates Jamaica, NY 11435-3610 816 Fairmount Avenue Chowdhury, Aym M, (718) 298-5100 Jamestown, NY 14701-2519 Chowdhury, Aym M, (716) 664-2589 Family Practice TJH Medical Services, PC Pediatrics 134-20 Jamaica Avenue 1st Floor Begum, Kaniz Fatema, Campion, Virginia B, Jamaica, NY 11418-2832 Internal (718) 206-6782 Dunham, Lynn M, Medicine Geriatric Medicine/Internal Mincarelli, Barbara A, Pulido, Leonidas B, Medicine Przygodzki, Jerzy, Triantafillou, Nicholas, Doshi, Kaushik J, Rowan, Carrie L,

Page 164 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Jamestown Jericho Keene Jamestown Pediatric Associates Monica Melamedoff, MD ado Allied Adirondack Medical Center - Mounta 816 Fairmount Avenue Pediatrics of New York, PLLC Health Center Jamestown, NY 14701-2519 380 N. Broadway, Suite 12 2841 NYS (716) 664-2589 Jericho, NY 11753-2109 Keene, NY 12942 (516) 931-1776 (518) 576-9771 Pediatrics Pediatrics General Toms, Billy R, Practice Melamedoff, Monica M, Jamestown Primary Care Hyson, Christopher P, 17 Sherman St, Suite 2100 Snow, Amorita, Kingston Jamestown, NY 14701 Tellechea, Natasha A, (716) 665-8184 Johnson City IFH - Family Practice Center of Kingston Family Practice UHS Primary Care - Johnson City 1 Family Practice Drive Family Care Center Kingston, NY 12401-6449 Collins, Patrick Stephen, 40 Arch Street (845) 338-6400 Johnson, Andrea M, Johnson City, NY 13790-2102 Family (607) 763-5334 Krahn, Wolf-Dieter, Practice Family Mueller, Diane L, Ali, Syed, Practice Powers, Catherine Elaine, Josefski, Mark A., Bujak, Hannah, Internal Roth, Robert M., Medicine UHS- Primary Care Main St 507 Main Street Woodley, Walter E., Mueller, Rudolph James, Johnson City, NY 13790 Mid Hudson Medical Group PC Nurse (607) 763-8008 Kingston Pediatric Site Practitioner Internal 140 Pine Street Professional Park, Sui Daniels, Debra B, Medicine 210 Kingston, NY 12401-0000 Physician Gill, Roy, (845) 331-4484 Assistant Jewell, James R, Nurse Massa, Chelsey, Modrak, Maryanne E, Practitioner The Resource Center Rivera - Padilla, Hiram, Owitz, Mathew Scott, 890 E. Second Jamestown, NY 14701-2528 Nurse Kirkwood Practitioner (716) 661-4700 UHS - Primary Care Circle Florini, Marita, Family 5 Mile Point Plaza Practice Katonah Kirkwood, NY 13795 (607) 775-1771 Munir, Adnan, Mount Kisco Medical Group - Katonah General 111 Bedford Road Family Practice Katonah, NY 10536-2115 Practice Putnam, Thomas Alan, (914) 242-1493 Consolazio, Anthony, Internal Internal Lafayette Medicine Medicine Lafayette Health Center Karimi, Mumtaz, Wein, Michael S., 2561 Route 11 Jericho Keene Lafayette, NY 13084-3352 (315) 677-3186 Monica Melamedoff, MD ado Allied Adirondack Medical Center - Mountain Pediatrics of New York, PLLC Health Center Nurse Practitioner 380 N. Broadway, Suite 12 2841 NYS Jericho, NY 11753-2109 Keene, NY 12942 Kane, Gail, (518) 576-9771 (516) 931-1776 Lake Placid Page 165 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Lake Placid Lake Success Levittown Adirondack Medical Center - Lake Queens Long Island Medical Group ProKids ado Allied Pediatrics of New Placid Health Center P.C.-Lake Success Medical Office York, PLLC 29 Church St 1991 Marcus Avenue 636 Wantagh Avenue Lake Placid, NY 12946 Lake Success, NY 11042-2057 Levittown, NY 11756 (518) 523-8306 Family (516) 945-3032 Family Practice Pediatrics Practice Barasch, Daphna-raquel, Capon, Daphne O., Bartos, Elizabeth, Internal Drucker, Susan D., Siddiqui, Majeed, Medicine Geller, Adina Beth, General Loona, Reena, Kahn, Ronald Allan, Practice Perdik, Peter, Miner, Daniel Wayne, Mccahill, Woods, Ramsaroop, Nanda D, Lewiston Nurse Pediatrics Practitioner Niagara Family Medicine Associates, Higgins, Kenneth J, Levitz, Mary, P.C. Lakeville 720 Cayuga Street Dr. Josh Schwartzberg Lewiston, NY 14092-1721 29 Church Road University of Rochester Medical Center (716) 754-8083 Lake Placid, NY 12946-1805 Primary Care Network / Genesee Valley Family Medicine - Lakeville (518) 963-4007 Family 3509 Thomas Drive, Suite #4 Practice Family Lakeville, NY 14480 Practice Andres, Jerome C, (585) 346-3660 Schwartzberg, Josh, Little Falls Family Lake Ronkonkoma Practice Bassett Healthcare Network - Little Falls Health Center Emerson, Drew T, Queens Long Island Medical Group 140 Burwell Street P.C.-Ronkonkoma Medical Office Latham Little Falls, NY 13365-1725 640 Hawkins Avenue (315) 823-4546 Lake Ronkonkoma, NY 11779-2324 Community Care Physicians, P.C. - Latham Internal Medicine Family Family Capital Region Health Park, 711 Troy Practice Practice Schenectady Road, Suite104 Adamson, Dale B, Tako, Modesta M, Latham, NY 12110-2454 (518) 783-3110 Grace, Amy, Vinayagasundaram, Bhanumathy, Internal Liverpool Internal Medicine Medicine Summerwood Pediatrics - North Offic Divakara, Murthy Gowdara, 4811 Buckley Road Chadha, Manish, Liverpool, NY 13088-3676 Chawla, Opkar S, Community Care Physicians, P.C. - Latham Medical Group (315) 635-9802 Kochar, Jasjit S, 713 Troy Schenectady Road, Suite 224 Pediatrics Latham, NY 12110-2490 Lee, Michael, Somekh, Sharon, (518) 785-5881 Pediatrics Somekh, Sharon, Family Guram, Mohinder K, Practice Livingston Winkler, Ian M, Locke, Elizabeth Anne, Mid Hudson Medical Group, PC - Lake Success Livingston Site Locke, Elizabeth Anne, 2400 Route 9 Queens Long Island Medical Group Levittown P.C.-Lake Success Medical Office Livingston, NY 12534-0000 1991 Marcus Avenue (518) 537-4900 Lake Success, NY 11042-2057 Page 166 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Livingston Long Island City Lowville Mid Hudson Medical Group, PC - Community Healthcare Network Lowville Medical Associates, LLP Livingston Site (CHN) - Long Island City Health Center 7785 North State Street, Suite 140 2400 Route 9 36-11 21st Street Lowville, NY 13367-1229 Livingston, NY 12534-0000 Long Island City, NY 11106-4505 (315) 376-5188 (518) 537-4900 (718) 482-7772 Internal Family Internal Medicine Practice Medicine Lyndaker, Steven L, Jaeger, Jean Ann, Winston, Ginger J, Pediatrics Lockport Nurse Feilmeier, Mary Lou, Practitioner Eaton Medicine, PC Palmer, Shereen E, 6000 Brockton Dr., Suite 106 Hahn, Erica K., Manoj R. Vora, M.D. Lockport, NY 14094 Pediatrics (716) 433-6936 7785 North State Street Amin, Prina P, Lowville, NY 13367-1229 Family Charnow, Noemi A., (315) 376-5128 Practice Jaiswal, Arti C., Internal Eaton, Molly, Medicine Jaiswal, Arti C., Suresh Sofat Vora, Manoj R, 64 Davison Court Rolston, Sandra, Meny, Howard T. M.D. PC Lockport, NY 14094-5370 The Floating Hospital 7785 North State Street (716) 634-1890 PO Box 8397 Lowville, NY 13367-1229 Internal Long Island City, NY 11101-8397 (315) 376-5480 Medicine (718) 784-2240 Family Sofat, Suresh, Family Practice Practice Long Island City Kwicklis, Monica J, Alexander, Janelle, Community Healthcare Network Meny, Howard T, (CHN) - Long Island City Health Center Alexander, Janelle, Lyons Falls 36-11 21st Street Sethna, Mark, Long Island City, NY 11106-4505 Sethna, Mark, Lewis County General Hospital - Sout (718) 482-7772 Lewis Family Health Center Lowville Internal 3927 State Rte 12, PO Box 247 Medicine Drs. Root and Williams Lyons Falls, NY 13368-0247 Apolaya, Pamela E., 7785 North State Street Family Lowville, NY 13367-1229 Practice Demopoulos, Byron P, (315) 376-5287 Pisaniello, Daniel P., Demopoulos, Byron P, Family Malone Phillips-Ceasar, Erica G., Practice Alice Hyde Medical Center Ramis, Carmen M, Root, Daniel Timothy, 16 Third Street Ramis, Carmen M, Williams, Catherine Louise, Malone, NY 12953 Roach, Keith W, Lewis County General Hospital - Dr (518) 481-2824 Stillman Roach, Keith W, Internal 7785 North State Street Medicine Sirotin, Nicole Ashley, Lowville, NY 13367-1229 Richards, Craig W, Sirotin, Nicole Ashley, Family Anjni Bhagat, MD Wenderoth, Suzanne, Practice 5 Clay Street Stillman, Elwin L, Wenderoth, Suzanne, Malone, NY 12953-1905 Winston, Ginger J, (518) 483-0705

Page 167 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Malone Mayville Middleburgh Anjni Bhagat, MD Family Health Medical Services- Bassett Healthcare Network - 5 Clay Street Mayville Middleburgh Health Center Malone, NY 12953-1905 95 E. Chautauqua Street, PO Box 168 109 Baker Avenue (518) 483-0705 Mayville, NY 14757-1017 Middleburgh, NY 12122-0637 (716) 753-7107 (518) 827-7730 Internal Medicine Preventive Family Medicine Practice Bhagat, Anjni, Berke, Robert, Harrison, Aaron I, Benardot Pediatrics 58 Elm Street Medford Middletown Malone, NY 12953 Medford Northside Primary d/b/a Crystal Run Healthcare, LLP 155 (518) 483-5800 Healthworks Crystal Run Road Middletown Pediatrics 1743 North Ocean Avenue 155 Crystal Run Road Medford, NY 11763-2649 Middletown, NY 10941-4028 Benardot, Emile, (631) 758-3100 (845) 703-6999 Gerald Cahill, MD Family Family 23 Fourth Street, Suite 1 Practice Practice Malone, NY 12953 Ryder, Michael, Sulangi-Lorenc, Sheryl, (518) 483-8990 Internal Internal Family Medicine Medicine Practice Dacosta, Robin Sue, Gonzalez-Klayman, Noemi, Cahill, Gerald W, Medina Crystal Run Healthcare, LLP 300 Myrna Sanchez, MD Crystal Run Road Middletown 183 Park Street Lake Plains Medical PLLC/General 300 Crystal Run Road Malone, NY 12953 Physician Sub 1 PLLC Middletown, NY 10941-4013 (518) 483-0482 100 Ohio Street (845) 703-6999 Medina, NY 14103-1191 Internal Pediatrics Medicine (585) 798-3345 Remenar, Lin-Lin Y, Sanchez, Myrna A, Internal Medicine Monroe North Country Health Care Chamarthy, Srinivasu, 24 Fourth Street Vladimir Zelenko, MD PC Malone, NY 12953 Madejski, Thomas J, 745 Route 17M, #770 (518) 481-6044 Middle Village Monroe, NY 10950-2660 (845) 782-0000 Family Renato Yu MD FAAP P.C. Practice 75-06 Eliot Ave, #1 Family Practice Medved, Marina, Middle Village, NY 11379-1207 Medved, Vladimir, (718) 898-1515 Zelenko, Vladimir, Mayville Pediatrics Monticello Family Health Medical Services- Yu, Robert, Hudson River HealthCare, Inc. - Monticello Mayville Middleburgh 95 E. Chautauqua Street, PO Box 168 23 Lakewood Avenue Bassett Healthcare Network - Monticello, NY 12701-2021 Mayville, NY 14757-1017 Middleburgh Health Center (716) 753-7107 (845) 794-2010 109 Baker Avenue Family Family Middleburgh, NY 12122-0637 Practice Practice (518) 827-7730 McIntyre, Sophia L., Persia, Albert, Family Riedesel, Jeremy, Practice Selioutski, Alexander, Bennett, Peter H, Page 168 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Monticello New Hartford New York The Discovery Health Center Faxton-St. Luke's 139 Medical Facility, PC 606 Old Route 17 Healthcare/Adirondack Community 3418 Broadway, 2nd floor Monticello, NY 12701-7013 Physicians - Washington Mills Medical New York, NY 10031-7408 Office (845) 707-8530 (212) 283-2099 3946 Oneida Street Pediatrics New Hartford, NY 13413-9702 Internal Medicine Gill, Amarjit S, (315) 624-8300 Burney, Naghma, Olasin, Regina Flynn, Family Practice Haque, Muhammad Misbah, Moravia Hall, William, Pediatrics Family Health Network of CNY, Inc. - Moravia Health Center Internal Haque, Muhammad Mazharul, Medicine 97 Main Street A.T. Adebayo, MD PC Moravia, NY 13118 Brownstein, Lance, 40 West 135th Street, Suite 1D (315) 497-9066 Cavallaro, Diane, New York, NY 10037-2530 (212) 281-6403 Nurse New Paltz Practitioner Internal IFH - Family Practice of New Paltz Stormann, Nita, Medicine 279 Main St Mount Kisco New Paltz, NY 12561-1624 Adebayo, Adegboyega T, Mount Kisco Medical Group - Main (213) 633-0800 Academy Medical Care PC Campus Family 571 Academy Street 90 & 110 South Bedford Road Practice New York, NY 10034-4550 Mount Kisco, NY 10549-3412 (212) 567-0550 Balutowski, Marek, (914) 242-1493 Internal Gastroenterology Medicine Internal Medicine Acosta, Dalsia J, Bleski, John Andrew, Gross, Jeffrey D., Tallaj, Ramon Modesto, Internal Mount Vernon Medicine Arthur Dove Mount Vernon Neighborhood Health Sprague, Davis, 85 West 118TH Street Center New York, NY 10026-1903 Physician 107 West Fourth Street (212) 876-8655 Assistant Mount Vernon, NY 10550 Internal Bakey, William, (914) 699-7200 Medicine New Rochelle Infectious Dove, Arthur R., Disease Pediatric Associates of Southern Dove, Arthur R., Berger, Barbara, Westchester 145 Huguenot Street, Suite 200 Asian and Pacif Islander Coalition on Nanuet HIV/AIDS, Inc. APICHA New Rochelle, NY 10801-5252 400 Broadway Clarkstown Pediatrics - Nanuet (914) 235-1400 35 Smith Street New York, NY 10013-3519 Pediatrics Nanuet, NY 10954-2914 (212) 334-6029 (845) 623-7100 Meisler, Susan, Internal Pediatrics New York Medicine Hamburgh, Monica E, 139 Medical Facility, PC Murayama, Robert, 3418 Broadway, 2nd floor Hudson, Harriet P., Betances Health Center New York, NY 10031-7408 280 Henry Street New Hartford (212) 283-2099 New York, NY 10002-4816 Internal (212) 227-8401 Medicine

Page 169 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York Betances Health Center Charles B. Wang Community Health Community Health Project, Inc. DBA 280 Henry Street Center, Inc. - Canal Callen-Lorde Community Health New York, NY 10002-4816 268 Canal Street Center (212) 227-8401 New York, NY 10013-3599 356 W. 18th Street (212) 379-6988 New York, NY 10011-4401 Family (212) 271-7230 Practice Internal Medicine Family Li, Brian, Practice Cheung, Barbara, Internal Braun, James F, Medicine Kwok, Phyllis Mei-Hui, Community Healthcare Network - Cellario, Maria, Lee, Catherine, Downtown Health Center Forouzesh, Avisheh, Wu, Duchu, 150 Essex Street Midwifery Nurse New York, NY 10002-2301 Practitioner (212) 477-1120 Turner, Leslie, Sze, Keen Fan Rebecca, Internal Nurse Medicine Practitioner Charles B. Wang Community Health Center, Inc. -Walker Acety, Gloria, Rubel, Laurie, 125 Walker Street Community Healthcare Network - Bienvenido Fajardo, MD PC New York, NY 10013-3599 Helen B. Atkinson Health Center 2-12 Sickles Street (212) 226-8866 81 West 115th Street New York, NY 10040-1809 Pediatrics New York, NY 10026-3138 (212) 942-0808 (212) 426-0088 Huang, Sherry Shao Fen, Internal Pediatrics Medicine Zhu, Sha, Serrano, Ileana M., Fajardo, Bienvenido, Citicare, Inc. Covenant House NY Brian Sumner M.D. 154 West 127th Street 460 W 41st Street 4 E. 88th St New York, NY 10027-3739 New York, NY 10036-6898 New York, NY 10128-0509 (212) 749-3507 (212) 613-0315 (212) 570-9731 General Practice Pediatrics Internal Medicine Bhatti, Mohammad Bashir, Heslop, Pauline, Sumner, Brian M, Pediatrics David A. Gomez Bukhman MD PC Bencosme, Ursulina, 395 Fort Washington Ave, #6 New York, NY 10033-6741 208 East 116th Street City Care Family Practice PC (212) 928-1400 New York, NY 10029-1451 160 East 32nd Street, Suite 102 (917) 593-1101 New York, NY 10016-6004 Internal Medicine Family (212) 545-1888 Practice Gomez, David Adolfo, Family Bukhman, Leonid, Practice Decoo Medical Charles B. Wang Community Health Chung, Bruce K., 330 Wadsworth Avenue #1A Center, Inc. - Canal New York, NY 10040-4133 Community Health Project, Inc. DBA (646) 662-1034 268 Canal Street Callen-Lorde Community Health New York, NY 10013-3599 Center Pediatrics (212) 379-6988 356 W. 18th Street Decoo, Ydelfonso A., Family New York, NY 10011-4401 Practice (212) 271-7230 Yeung, Tsz-Yin, Family Practice

Page 170 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York Diagnostic and Treatment Center Empire State Medical Associates, P.C. Heights Physician Medical Care, PC Upper Room AIDS Ministry ADHC 501 Main Street 616 W. 184th St. 123-125 West 124th Street New York, NY 10044-0190 New York, NY 10033-3908 New York, NY 10027-4920 (212) 832-2310 (212) 927-5200 (212) 531-1300 Internal Pediatrics Family Medicine Castanos, Dilla M., Practice Resnick, Jack A., Heritage Healthcare Tolbert-Walker, Derrick, First Step Pediatrics, P.C. 1727 Amsterdam Ave 4th Flr Downtown Renal Medicine, P.C. 3421 Broadway, (Corner 139th) New York, NY 10031-4611 41 Elizabeth St, Suite 302 New York, NY 10031-6885 (212) 862-0054 New York, NY 10013-4637 (212) 283-6100 Nurse (212) 334-8108 Pediatrics Practitioner Internal Molina, Maria M, Knibbs, Melida S, Medicine Molina, Maria M, Lok, Laura A, Nguyen, Dang D, Frank Babb, MD Hispaniola Medical Care, P.C. Dr. Juan Alba 870 St. Nicholas Ave #A8 19 Hamilton Place 29 WADSWORTH AVENUE, SUITE #1B New York, NY 10032-5215 New York, NY 10031 New York, NY 10033-4823 (212) 926-6900 (212) 234-0800 (212) 928-1366 Internal Internal Medicine Medicine Family Practice Babb, Frank C, Rosario, Francisco, Alba, Juan A., Grupo Medico Dominicano Housing Works - Cylar House Health Center East Harlem Council for Human 629 West 185th Street Services Inc. - Boriken Neighborhood New York, NY 10033 743 East 9th Street, 2nd Floor Health Center (212) 928-3900 New York, NY 10009-5335 (212) 677-7999 2253 3rd Avenue, 3rd Floor, 3rd Floor Internal New York, NY 10035-2206 Medicine General (212) 289-6650 Practice Hidalgo, Gregorio, Pediatrics Weinstein, Jonathan, Valdivia, Martha Maria, Rao, Katikaneni, Housing Works - West Village Health Zarkadas, Konstantinos, Center Rao, Katikaneni, Harlem Medical Associates 320 West 13th Street, 4th Floor, 4th Vazquez Aran, Annette, 75 East 116th Street Floor Vazquez Aran, Annette, New York, NY 10029-1150 New York, NY 10014-1200 (212) 828-7700 (212) 645-8111 East Side Primary Medical Care, P.C. 229 East 79th Street Internal Internal New York, NY 10075-0866 Medicine Medicine (212) 737-2000 Issah, Abdul-Haki, Poitevien, Vaty M, Internal Health Unlimited IFH - Amsterdam Family Health Cent Medicine 40 Montgomery Street 690 Amsterdam Avenue Klein, Daniel P., New York, NY 10002-6514 New York, NY 10025-6901 (212) 233-5033 (212) 865-4104 Empire State Medical Associates, P.C. 501 Main Street Family Family New York, NY 10044-0190 Practice Practice (212) 832-2310 Charlotten, Kevin A, Lurio, Joseph M., Internal Medicine Page 171 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York IFH - Family Health Center at North Manhattan's Physician Group - Manhattan's Physician Group - Upper General Flatiron District Office East Side Office 1879 Madison Ave 21 East 22nd Street 215 East 95th Street New York, NY 10035-2709 New York, NY 10010 New York, NY 10128-4077 (212) 423-4500 (212) 582-7117 (212) 582-7117 Family Family Pediatrics Practice Practice Spang, Rigmor Elizabeth, Kang, Elaine You mi, Nain Ganatra, Anjna, Manhattan's Physician Group - Upper Internal Nguyen, James, Manhattan Office Medicine Tomback, Julie, 1865 Amsterdam Avenue at 152nd Madhava, Valsa, Street Internal New York, NY 10031-1716 IFH - Phillips Family Practice Medicine (212) 582-7117 16 East 16th Street, 1st Morgan, Julie Mason, New York, NY 10003-3105 Internal Manhattan's Physician Group - Lincoln Medicine (212) 206-5200 Square Office Itzkovitz, Ina, Family 154 West 71st Street Practice New York, NY 10023-4005 Ramnarine, Jotir, Geer, Kamini, (212) 582-7117 Pediatrics MacNaughton, Honor, Family Motiram, Savitri, Practice Mumford, James M., Manhattan's Physician Group - Granas, Andrew, Washington Heights Office Teets, Raymond, Miller, Alisha, 4337 Broadway Geriatric Medicine/Family New York, NY 10033-2411 Practice Manhattan's Physician Group - (212) 568-6300 Midtown McCormick, Elizabeth T., 590 Fifth Avenue Family McCormick, Elizabeth T., New York, NY 10036-4702 Practice IFH - Sidney Hillman Family Practice (212) 582-7117 Khanderia, Vikrant, 16 East 16th Street, 3rd Floor Cardiovascular Internal New York, NY 10003-3105 Disease Medicine (212) 924-7744 Egelman, Alan, Pinkhasova, Tamara, Family Manhattan's Physician Group - Upper Zeitlin, Joseph, Practice East Side Office Medical Associates of Manhattan, P.C Kang, Elaine, 215 East 95th Street 121 East 60th Street New York, NY 10128-4077 Vidal, Angela, New York, NY 10022-1117 (212) 582-7117 Jose A Goris MD PC (212) 230-1133 Family 435 Fort Washington Ave,, Suite 1C Cardiovascular Practice New York, NY 10033-3506 Disease (212) 923-1919 Kennedy, Mary jo, Woldenberg, David H., General Kennedy, Mary jo, Gastroenterology Practice Internal Goris, Jose A, Medicine Grant, Dov Z., Goris, Jose A, Coleman, Mark M, Herman, Lawrence L., Manhattan's Physician Group - Mathew, Joel Jacob, Medinova Physicians PLLC - Bronx Flatiron District Office Rios, Carlos, 423 East 138th Street, Suite 201 21 East 22nd Street New York, NY 10454-3014 New York, NY 10010 Rios, Carlos, (212) 582-7117 Pediatrics Page 172 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York Medinova Physicians PLLC - Bronx Mount Sinai Hospital - Faculty Practice Mount Sinai Hospital - Visiting Doctor 423 East 138th Street, Suite 201 Associates Primary Care Associates Program New York, NY 10454-3014 17 East 102nd Street, 4th Floor 1 Gustave L. Levy Place, Box # 1216 New York, NY 10029-5204 New York, NY 10029 Family Practice (212) 241-6500 (212) 241-4141 Ravi, Venkata Ramana, Internal Geriatric Medicine/Family Medicine Practice Melissa M Chan MD PLLC Vega, Aida C, Mccormick, Elizabeth T, 70-72 Bowery, #505 New York, NY 10013-4607 Mount Sinai Hospital - Jack Martin Mccormick, Elizabeth T, Clinic (212) 343-2536 Geriatric Medicine/Internal 17 East 102nd Street, 3rd Floor Internal Medicine New York, NY 10087-7759 Medicine Hernandez, Cameron R, (212) 241-6500 Chan, Melissa, Internal Infectious Medicine Michael Correa MD P.C. Disease 1302 Amsterdam Avenue Hernandez, Cameron R, Fierer, Daniel S, New York, NY 10027-4244 Mack, Jessica Phylis, (212) 665-8012 Forsyth, Beverly A., Meah, Yasmin S, Internal Gaisa, Michael M., Sheinfeld, Joanna B, Medicine Huprikar, Shirish S., New York Presbyterian Hospital/Weil Correa, Michael, Klein, Robert S., Cornell Medical Center - Helmsley Mount Sinai Hospital - Adolescent Posada, Roberto, Medical Tower Pediatrics Ambulatory Health Center Care Wallach, Frances R., 312 East 94th Street 505 E 70th Street, Helmsley Tower, 5t New York, NY 10087-7759 Internal Floor (212) 241-6500 Medicine New York, NY 10021-4872 Pediatric Emergency Borrego, Fernando J, (212) 746-3331 Medicine Krauskopf, Katherine Anne, Adolescent Medicine and Pediatric Steever, John B., Krauskopf, Katherine Anne, Ipp, Lisa S, Pediatrics Sigel, Keith Magnus, Internal Nucci, Anne, Sigel, Keith Magnus, Medicine Mount Sinai Hospital - Faculty Practice Pediatrics Associates Primary Care Associates Abramson, Erika, Shust, Gail F., 17 East 102nd Street, 4th Floor Maternal & Fetal New York, NY 10029-5204 Mount Sinai Hospital - Med/Peds Medicine (212) 241-6500 1468 Madison Avenue, 4th floor Chasen, Stephen T, New York, NY 10087-7689 Internal Gelber, Shari Ellen, Medicine (212) 241-6500 Obstetrics & Internal Kent, Jennifer A., Gynecology Medicine Mensah, Doreen A., Asfaw, Tirsit Shiferaw, DeLaet, David E., Nissim, Julie A., Gupta, Divya, Truglio, Joseph, Patel, Vinisha J, Holcomb, Kevin M, Pediatrics Rios, Carlos, Post, Robert C, Waite, Eva A, Rios, Carlos, Prasad, Lona, Stern, David T, Taubel, Debra A, Stern, David T, Pediatrics

Page 173 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York New York Presbyterian Hospital/Weill New York Presbyterian Hospital/Weill New York Presbyterian Hospital/Weil Cornell Medical Center - Helmsley Cornell Medical Center - Helmsley Cornell Medical Center - Weill Corne Medical Tower Pediatrics Ambulatory Medical Tower Women's Health Internal Medicine Associates Care Services 505 E 70th Street, Helmsley Tower, 4t 505 E 70th Street, Helmsley Tower, 5th 505 E 70th Street, Helmsley Tower, 5th Floor Floor Floor New York, NY 10021-4872 New York, NY 10021-4872 New York, NY 10021-4872 (212) 746-3331 (212) 746-3331 (212) 746-3331 Internal Pediatrics Obstetrics & Medicine Gynecology Bostwick, Susan B, Cole, Curtis L, Prasad, Lona, Chang, Jane, Demopoulos, Byron P, Taubel, Debra A, Dipace, Jennifer I, Demopoulos, Byron P, Pediatrics Frank, Maura D, Fein, Oliver T, Bostwick, Susan B, Gorman, Allison G, Ganz, Fran A., Chang, Jane, Green, Cori M, Gossey, John Travis, Dipace, Jennifer, Jaiswal, Arti C, Hall-Ross, Sandra, Frank, Maura D, Jaiswal, Arti C, Harris, Christina, Gorman, Allison G, Jirasevijinda, Thanakor, Hollenberg, James P, Green, Cori Meredith, Ono, Jenine G., Hupert, Nathaniel, Jaiswal, Arti C., Osorio, Snezana N, Kang, Yoon, Jaiswal, Arti C., Wilson-taylor, Melanie, Logio, Lia S, Jirasevijinda, Thanakorn, New York Presbyterian Hospital/Weill Martinez, Johanna, Cornell Medical Center - Helmsley Ono, Jennie G., Mele, Joseph P, Medical Tower Women's Health Osorio, Snezana N., Services Meyer, Bailey Robert, Wilson-taylor, Melanie, 505 E 70th Street, Helmsley Tower, 5th Morales, Susanna R, Floor New York Presbyterian Hospital/Weill Mushlin, Alvin I, New York, NY 10021-4872 Cornell Medical Center - Weill Cornell (212) 746-3331 Internal Medicine Associates Pelzman, Fred N, Adolescent Medicine and 505 E 70th Street, Helmsley Tower, 4th Press, Matthew J, Pediatric Floor New York, NY 10021-4872 Roach, Keith W, Ipp, Lisa S., (212) 746-3331 Roach, Keith W, Internal General Medicine Savillo, Robert L, Practice Sirotin, Nicole Ashley, Abramson, Erika, Santini, Diana L, Sirotin, Nicole Ashley, Maternal & Fetal Internal Medicine Storey-johnson, Carol L, Medicine Chasen, Stephen T, Tung, Judy, Acinapura, Lauren, Gelber, Shari Ellen, Bishop, Tara Fernando, Weinstein, Luise L, Obstetrics & Wenderoth, Suzanne, Boutin-Foster, Carla, Gynecology Wenderoth, Suzanne, Carrillo, Juan Emilio Emilio, Asfaw, Tirsit Shiferaw, Winston, Ginger J, Charney, Pamela, Gupta, Divya, Winston, Ginger J, Cheriff, Adam David, Holcomb, Kevin M, Nurse Chin, Harold, Post, Robert C, Practitioner

Page 174 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York New York Presbyterian Hospital/Weill New York Presbyterian Hospital/Weill New York-Presbyterian Cornell Medical Center - Weill Cornell Cornell Medical Center - Wright Hospital/Columbia University Medica Internal Medicine Associates Center on Aging Center - Associates in Internal 505 E 70th Street, Helmsley Tower, 4th 1484 First Avensue, (78th Street) Medicine (AIM) Practice Floor New York, NY 10075-2304 622 West 168th Street New York, NY 10021-4872 (212) 746-3331 New York, NY 10032-3720 (212) 746-3331 (212) 305-7896 Geriatric Medicine/Internal Nurse Medicine Internal Practitioner Medicine Raman, Bharathi O, Ang, Vivien Jean T, Lerner, Barron H., Reid, Manney C, HERBST, KENNETH, Liebowitz, Richard, Siegler, Eugenia L, Lubansky, Stasi A, Luchsinger, Jose A., Internal NIKOLOVA, MILENA, Medicine Moran, Andrew E., Wei, Esther, Adelman, Ronald D, Shea, Steven J., New York Presbyterian Hospital/Weill Delcarmen, Tessa marie Lopez, Shea, Steven J., Cornell Medical Center - Weill Cornell Lofaso, Veronica, Taylor, Delphine S., Internal Medicine Associates at Wright 1484 First Avenue, (78th Street), 2nd Ouchida, Karin-elizabeth Michelle, Rheumatology

Floor Raik, Barrie L, New York, NY 10075-2304 Wiesendanger, Margrit, Ramsaroop, Sharda D, (212) 746-3331 New York-Presbyterian Nurse Internal Hospital/Columbia University Medica Practitioner Medicine Center - Audubon Practice Mole, Deirdre A, Acinapura, Lauren A, 21 Audubon Avenue New York Primary Care Medicine PC New York, NY 10032-4655 Ganz, Fran A., 639 West 185th Street (212) 305-7896 Press, Matthew J, New York, NY 10033-3102 Pediatrics Sirotin, Nicole Ashley, (212) 568-6156 Hofstetter, Annika M., Sirotin, Nicole Ashley, Family Kostacos, Connie H., Practice Wenderoth, Suzanne, Krause, Margaret C., Chabla, Juan, Wenderoth, Suzanne, Niketakis-Wujciak, Valerie J., New York-Presbyterian Nurse Hospital/Columbia University Medical Pfeffer, Betsy S., Practitioner Center - Associates in Internal Soren, Karen, HERBST, KENNETH, Medicine (AIM) Practice Stockwell, Melissa Scharf, NIKOLOVA, MILENA, 622 West 168th Street New York, NY 10032-3720 Thomas, Omolara A., Santos, Ryan, (212) 305-7896 Timko, Nikki L., New York Presbyterian Hospital/Weill Internal Cornell Medical Center - Wright Williams, Laurence L., Medicine Center on Aging New York-Presbyterian Barr, Robert G., 1484 First Avensue, (78th Street) Hospital/Columbia University Medica New York, NY 10075-2304 Barr, Robert G., Center - Broadway Practice (212) 746-3331 Chang, Nancy M., 4781-83 Broadway Geriatric Medicine/Internal New York, NY 10034-4915 Fiebach, Nicholas H., Medicine (212) 305-7896 Gowda, Deepthiman K., Finkelstein, Emily S, Emergency Jones, Deborah P., Medicine Lachs, Mark S, Kahn, Nancy F., Garcia, Johanny M., Mehta, Sonal S, Page 175 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York New York-Presbyterian New York-Presbyterian NYC HHC - Metropolitan Hospital Hospital/Columbia University Medical Hospital/Columbia University Medical Center Center - Broadway Practice Center - Rangel Practice 1901 First Avenue 4781-83 Broadway 534 West 135th Street New York, NY 10029-7404 New York, NY 10034-4915 New York, NY 10031-8644 (212) 423-6262 (212) 305-7896 (212) 305-7896 General Internal Internal Practice Medicine Medicine Lam, Lily, Altman, Monica, Pavon, Alex R., Infectious Pediatrics Pediatrics Disease Beutler, Heidi E., Berger-Jenkins, Evelyn, Kadeishvili, Khatuna, Lane-Bradley, Mariellen M., Cunningham, Hetty, Lenox, Theodore, Rausch, John C., Winkfield-Royster, Tawana K., Internal Medicine Robbins-Milne, Laura E., New York-Presbyterian Hospital/Columbia University Medical Ariyibi, Oluyemisi Omotola, New York-Presbyterian Center - Washington Heights Family Hospital/Columbia University Medical Caithamer, Tamara M, Health Center Center - Farrell Family Medicine Gonzalez, Guadalupe, Practice 575 West 181st Street, 575 181st Street Clinic 2nd Flr 610 West 158th Street Osvath, Judit, New York, NY 10033-5002 New York, NY 10032-7104 Obstetrics & (212) 305-7896 (212) 305-7896 Gynecology Internal Family Broussard, Andre, Medicine Practice Pediatric Infectious Fleck, Elaine M., Bermon, Nancy A., Disease Getaneh, Asqual, Dempster, Joanne S., Bamji, Mahrukh, Pediatrics Fink, Mary J., Pathak, Indu, Caddle, Steven I., Irani, Dinaz, Pediatric Catallozzi, Marian, Rheumatology Jani, Beena H., Gissen, Melanie, Inamdar, Sarla, Paladine, Heather L., Matiz, Luz A., Pediatrics Richman, Marion E., McCord, Mary M., Cumps, Evelyne, Softness, Anita M., Meyer, Dodi D., Diaz, Rita, Swica, Yael, Saslaw, Minna M., Frank, Judith, Younge, Richard G., Sirota, Dana R., Gucalp, Canan, Nurse Practitioner North Manhattan Pediatrics Henriquez, Roger, Hall, Elizabeth K., 2311 Adam Clayton Powell Jr. Blvd., Mack, Jason, Ground Flr. New York-Presbyterian New York, NY 10030-2663 NYC HHC - Bellevue Hospital Center Hospital/Columbia University Medical Primary Care Services (212) 234-1112 Center - Rangel Practice 462 1st Avenue 534 West 135th Street Pediatrics New York, NY 10016-9196 New York, NY 10031-8644 Cariaso, Jerome Abellana, (212) 562-7691 (212) 305-7896 NYC HHC - Metropolitan Hospital Family Internal Center Practice Medicine 1901 First Avenue Rolita, Lydia, Gaines, Henry D., New York, NY 10029-7404 (212) 423-6262 Page 176 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York NYC HHC - Bellevue Hospital Center - NYC HHC - Harlem Hospital Center NYC HHC Renaissance Healthcare Primary Care Services Ambulatory Care Services Network - Lenox Health Center 462 1st Avenue 506 Lenox Avenue 115 West 116th Street New York, NY 10016-9196 New York, NY 10037-1802 New York, NY 10026-2676 (212) 562-7691 (212) 939-8167 (212) 961-5740 Geriatric Medicine/Internal Family Pediatrics Medicine Practice Williams-Wilson, Tumika, Manheimer, Eric, Zafar, Naureen, NYU Langone Medical Center / Facul Internal Infectious Group Practice Medicine Disease 530 First Avenue, Suite 7B Kyanko, Kelly A, Serlin, Michael H., New York, NY 10016-6402 (212) 263-0433 Moazen, Laleh, Zeana, Cosmina B, Family Truncali, Andrea, Internal Practice Medicine Pediatrics Pate, Denise, Bryan, Craigh K, Dreyer, Benard, Szerencsy, Adam C, Kim, Michael I., Graves, Rhonda, Szerencsy, Adam C, Thiagarajah, Yogasaundari, Palusci, Vincent, Internal Pediatrics Rheumatology Medicine Nweze, Ngozi C, Emert, Roger Ira, Qayyum, Basit, Silvera, Marguerite A, Kalik, Lisa Joan, NYC HHC - Gouverneur Healthcare NYC HHC Gouverneur Healthcare Pediatrics 2000 Services Services - Roberto Clemente Family 600 W. 150th St., Apt. 4 227 Madison Street Guidance Center New York, NY 10031-2428 New York, NY 10002-7537 540 East 13th Street (212) 694-2000 (212) 238-7685 New York, NY 10009-3519 (212) 387-7400 Pediatrics Internal Medicine Family Korin, Daniel E, Practice Goodrich, James T., Pediatrics 2000 III PLLC Matos, Ana Lee, Lee, Hung-Sam, 135 Haven Avenue NYC HHC Renaissance Health Care New York, NY 10032-1131 Shi, Shelley Xiaoping, Network - Sydenham Health Center (212) 923-5500 Song, Min, 264 West 118th Street Pediatrics Xu, Min, New York, NY 10026-1620 Aponte Rodriguez, Jose Tomas, (212) 932-6500 Pediatrics Premier Healthcare Diagnostic and Internal Ly, Kelly Kim, Treatment Center - Main Medicine Santiago, Felix E., 460 W 34th St., 9th Floor Dove, Arthur Renner, New York, NY 10001-2320 NYC HHC - Harlem Hospital Center Dove, Arthur Renner, (212) 273-6378 Ambulatory Care Services 506 Lenox Avenue White, Handel G.A., Gastroenterology

New York, NY 10037-1802 Pediatrics (212) 939-8167 Garcia, Arlene, Wilson, Tumika K.P., Endocrinology, Diabetes & Project Renewal, Inc. - Fort NYC HHC Renaissance Healthcare Metabolism Washington Network - Lenox Health Center 651 West 168th Street Cobbs, Ronald K., 115 West 116th Street New York, NY 10032-3704 Family New York, NY 10026-2676 (212) 543-4507 Practice (212) 961-5740 Page 177 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York Project Renewal, Inc. - Fort St. Luke's Roosevelt Hospital Center, The ChildrenΓÇÖs Aid Society Washington Center for Comprehensive Care - St. Milbank Medical Group 651 West 168th Street Luke's Division 14-32 West 118th Street New York, NY 10032-3704 1111 Amsterdam Avenue, Stuyvesant New York, NY 10026-1998 (212) 543-4507 7Fl (212) 369-8339 New York, NY 10025 Internal Pediatrics (212) 523-6050 Medicine Nishawala, Amish N, Infectious Glicksman, Roslynn S, Disease The Mount Sinai Hospital - Internal Project Renewal, Inc. - MedVan Medicine Associates Ferris, David Craig, 8 East 3rd Street (satellite) 17 E 102nd Street, 7th Floor New York, NY 10017-3301 Ferris, David Craig, New York, NY 10029-5204 (212) 529-4781 Internal (212) 824-7539 Medicine Family Internal Practice Fefer, Jose Jacobo, Medicine Zoubtsova, Minzalia, Gandhi, Vani, Adler, Rhodes S, Project Renewal, Inc. - Third Street Suh, Jin, Asgary, Ramin, 8 East 3rd Street Pediatrics Bernstein, Richard Howard, New York, NY 10003-8908 Arpadi, Stephen, Bickell, Nina A, (212) 529-4781 St. Luke's Roosevelt Hospital Center, Blohm, Ana T, Family Center for Comprehensive Care - West Practice Briones, Alan S, 17th Street Clinic Brownlow, Nathaniel, 230 West 17th Street, 6th Floor Chang, Dennis T., Ramon A. Moquete MD PC Heights New York, NY 10011-5325 Dayal, Anju S., Medical Office (212) 523-6050 Dayal, Anju S., 248 Audubon Ave. Ste 1 Family DeCherrie, Linda V, New York, NY 10033-6301 Practice (212) 568-6972 Dunn, Andrew S, Douglas, Orin Albert, Internal Edelman, Laurie B, Infectious Medicine Disease Federman, Alex D, Moquete, Ramon A, Demidont, Adrian C, Helenius, Ira M, St. Luke's Roosevelt Hospital Center, Demidont, Adrian C, Helenius, Ira M, Center for Comprehensive Care - Roosevelt Division Internal Horowitz, Carol R, Medicine 1000 Tenth Avenue, Rm 1G-133 Jervis, Ramiro, New York, NY 10019 Bailey, Lloyd, Kannry, Joseph L, (212) 523-6050 Dalton, Patrick F, Korenstein, Deborah R, Internal Salinas, Jean-louis, Medicine Krauskopf, Katherine Anne, Salinas, Jean-louis, Gonzalez, Efrain, Krauskopf, Katherine Anne, Stages Pediatrics, P.C. Paredes, Josephine, Lin, Jenny J., 128 Fort Washington Avenue, Suite IJ Psevdos, Jr., George, New York, NY 10032-4735 Manini, Corinna C, Tsveniashvilli, Lia, (212) 923-5050 Markoff, Brian A., Pediatrics Mazurkiewicz, Rebecca A., Gamundi-Joaquin, Rosa E, Mensah, Doreen A., Pena, Clotide D, Muller, David, Nissim, Julie A,

Page 178 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York The Mount Sinai Hospital - Internal The Mount Sinai Hospital- Greenwich Twilight Medical Medicine Associates Village 64 Nagle Avenue 17 E 102nd Street, 7th Floor 275 7th Avenue, 12th Floor New York, NY 10040-1406 New York, NY 10029-5204 New York, NY 10001-6708 (212) 544-8800 (212) 824-7539 (212) 604-1701 Family Internal Infectious Practice Medicine Disease Gianoukakis, Nicholas, Peccoralo, Lauren A., Johnson, Livette, Union Health Center Ponieman, Diego A., Internal 275 Seventh Avenue, 4th Floor Medicine Reyna, Maria A, New York, NY 10001-6757 Johnston, Barbara E, (212) 812-3562 Ripp, Jonathan A, Klein, Oscar, Family Russo, Stefani, Practice Lugo, Luz A, Sigel, Keith Magnus, An, Huanlin, Rapaport, Steven Isaiah, Sigel, Keith Magnus, Dyksterhouse, Robert Max, Siegal, Frederick P, Smith, Kristofer L, Internal Turett, Glenn S, Soriano, Theresa A, Medicine The Mount Sinai Hospital- Pediatrics Stern, David T, Chen, Abigail R, 1468 Madison Avenue, 4th floor Stern, David T, New York, NY 10087-7689 Tewari, Shalini, Stulman, James K, (212) 241-6500 University Medical Practice Associates - 1090-4 - (Affiliated with Thomas, David C. C., Pediatrics Continuum Health Partners) Vasiliadis, Athanasia S, Boguski-Filgueira, Lisa F., 1090 Amsterdam Avenue, Floor 4, 4TH Wajnberg, Ania, Brody, Erica L., FLOOR New York, NY 10025-1737 Yamada, Erika, Edwards, Sharon, (212) 315-0144 Zhang, Meng, Forman, Joel A., Internal The Mount Sinai Hospital- Geriatrics Gault, Allison T., Medicine 1440 Madison Avenue Gribetz, Irwin, Chitu, Carmen, New York, NY 10029-6508 Ho, Wing Wah, Vidya Valada Internal Medicine P.C. (212) 241-6500 Kirkham, Elizabeth Ann, 800 A 5th Ave, Suite 301 Geriatric Medicine/Family New York, NY 10065-7215 Practice Rosen, Carolyn M., (212) 755-0037 Meier, Diane Eve, Vangeepuram, Nita, Internal Geriatric Medicine/Internal Zylbert, Susan L., Medicine Medicine Trinity Medical Group Valada, Vidya, Chai, Emily J, 104 Vermilyea Ave Suite B1 Village Diagnostic & Treatment Cente Hernandez, Cameron R, New York, NY 10034-3209 121A West 20th street (212) 544-8854 Internal New York, NY 10014-3600 Medicine Pediatrics (212) 337-9290 Chang, Christine, Ayanruoh, Steve T, Internal Medicine Goldberg, Gabrielle R, Twilight Medical Hitzeman, Lawrence G., Hernandez, Cameron R, 64 Nagle Avenue New York, NY 10040-1406 Salinas, Jean-Louis, Kelley, Amy Steves, (212) 544-8800 Salinas, Jean-Louis, Lim, Betty B., Family Sanjana, Veeraf M., Sherman, Frederick T, Practice Page 179 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York New York New York New York Village Diagnostic & Treatment Center Weill Cornell Medical Associates - East William F. Ryan Community Health 121A West 20th street Pediatrics Network - Ryan - NENA Community New York, NY 10014-3600 211 East 80th Street Health Center (212) 337-9290 New York, NY 10075-0531 279 East 3rd Street (646) 962-7300 New York, NY 10009-7813 Nurse (212) 477-8513 Practitioner Pediatrics General Moberg, Kenneth Allen, Schwabe, Audrey Olivera, Practice Paek, Changhee, Weill Cornell Medical Associates - Lyman, Andrea, West Adult Samuels, Michelle K., 12 West 72nd Street Internal Washington Heights Pediatrics- 149th New York, NY 10023-4163 Medicine Street (646) 962-7800 Langdon, Christina T, 600 W. 149th Street New York, NY 10031-3211 Internal Pediatrics Medicine (212) 923-8452 Tiyyagura, Sripriya, Baskin, Cindy H., Pediatrics William F. Ryan Community Health Hoffman, Margaret L., Network - Ryan/Chelsea-Clinton Checo, Yuderqui, Community Health Center Kraft, Ronald B., Washington Heights Pediatrics- 645 10th Avenue Broadway Painter, Lucy N., New York, NY 10036-2904 4260 Broadway Weill Cornell Medical Associates - (212) 484-5800 New York, NY 10033-3726 West Pediatrics Internal (212) 923-8451 12 West 72nd Street Medicine Pediatrics New York, NY 10023-4163 Gotlin, Andrew D., (646) 962-7800 Barbery, Maria-Pilar, Obstetrics & Internal Weill Cornell Medical Associates - East Gynecology Medicine Adult Wahl, Eric M., 211 East 80th Street Rosenberg, Eric Adam, Zoe Liu Medical Office PC New York, NY 10075-0531 Pediatrics (646) 962-7300 39 East Broadway Suite 307, Suite 307 Chu, May Kaitlyn, New York, NY 10002-6804 Internal Hiltebeitel, Carolyn B., (212) 766-8168 Medicine Svensson, Mia H., Internal Altman, Monica, Medicine William F. Ryan Community Health Baker, Jason C., Center Liu, Zoe zhechun, Fenyves, Paul Jason, 110 West 97th Street, Nephrology LaScalea, Keith A., New York, NY 10025-6450 (212) 316-7906 Lash-Dardia, Meredith F., Zhou, Eric Yuanchun, Internal Stracher, Adam R., Newburgh Medicine Weill Cornell Medical Associates - East The Greater Hudson Valley Family Metroka, Craig E, Pediatrics Health Center 211 East 80th Street Nurse 147 Lake Street, The Kaplan Family New York, NY 10075-0531 Practitioner Pavilion (646) 962-7300 Gniadek, Sarah J, Newburgh, NY 12550-5263 (845) 563-8000 Pediatrics Pediatrics Internal Gandhi, Gargi G., Gidwani, Sonia, Medicine Ogen-wolgemuth, Eric, Ramos-Ramirez, Bertha, Castro, Jonathan Manuel perez, Rowe, Chloe E., Wolf, Janice L., Page 180 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Newburgh No Babylon North Collins The Greater Hudson Valley Family Queens Long Island Medical Group Tri-County Family Medicine Health Center P.C.-Babylon Medical Office Associates, PC 147 Lake Street, The Kaplan Family 300 Bay Shore Road 10744 Main Street Pavilion No Babylon, NY 11703-2823 North Collins, NY 14111 Newburgh, NY 12550-5263 Family (716) 337-3010 (845) 563-8000 Practice Family Pediatrics Krotz, William C, Practice Bernstein, Alan Barry, Mazid, Mohammad N, Anderson, Dana P, Niagara Falls Internal Wild, James E, Niagara Family Medicine Associates, Medicine North Tonawanda P.C. Goswamy, Ichcha, Kaleida Health - Geriatric Center of 7300 Porter Road Rao, Jhansi L, WNY Niagara Falls, NY 14304-5716 445 Tremont St Schmelzer, Barbara D, (716) 298-5862 North Tonawanda, NY 14120-0750 Family Pediatrics (716) 690-2410 Practice Mcinerney-lopez, Regina Imelda, Internal Dyster, John G, Thallur, Seetha D, Medicine Dyster, Melvin B, North Babylon Garbarino, Kenneth, Komin, Maria J, Dr. Anthony Cipolla Norwich Reubens, Harold V, 1350 Deer Park Avenue Bassett Healthcare Network - Norwich Singh, Ashok, North Babylon, NY 11703 Health Center (631) 422-3200 55 Calvary Drive Singh, Sonjoy, Norwich, NY 13815-1032 Internal Zorich, Daniel W, Medicine (607) 336-6362 Ronald J. Clarke, D.O. Cipolla, Anthony, Family 6950 Williams Road Practice Jason Hitner, MD - Allied Pediatrics of Niagara Falls, NY 14304-3025 New York, PLLC Cohen, Scott A, (716) 297-1027 754 Deer Park Avenue Greggo, Jennifer, Family North Babylon, NY 11703-4307 Holmes, Grace D, Practice (516) 945-3032 Holmes, Thomas R, Clarke, Ronald J, Pediatrics Ticknor, Arthur Sterling, TMO Medical Hitner, Jason B, 4515 Military Road UHS CMH - Internal Medicine Jason Hitner, MD ado Allied Pediatrics Niagara Falls, NY 14305-1335 179 North Broad Street of New York, PLLC (716) 236-7880 Norwich, NY 13815-1019 925 Deer Park Avenue (607) 337-4040 Internal North Babylon, NY 11703-3808 Medicine (631) 661-1200 Nurse Practitioner Orszulak, Todd M, Pediatrics Saber, Kendall, No Babylon Hitner, Jason B., NYC Queens Long Island Medical Group North Collins P.C.-Babylon Medical Office Polina Liss MD PLLC 300 Bay Shore Road Tri-County Family Medicine 305 Second Ave, Suite 4 Associates, PC No Babylon, NY 11703-2823 NYC, NY 10003-2746 10744 Main Street (212) 375-0005 Family North Collins, NY 14111 Practice (716) 337-3010 Internal Kamineni, Bharathi, Medicine

Page 181 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York NYC Olean Orchard Park Polina Liss MD PLLC Olean Medical Group, LLP Buffalo Medical Group - Orchard Par 305 Second Ave, Suite 4 535 Main Street 3345 Southwestern Blvd. NYC, NY 10003-2746 Olean, NY 14760-1500 Orchard Park, NY 14127-1506 (212) 375-0005 (716) 376-2247 (716) 630-1026 Internal Internal Family Medicine Medicine Practice Liss, Polina, Michotek, Michael Joseph, Caparaso, Darren M., Oakfield Oehman, Donna, O'Keeffe, David A., Alan J. Barcomb, MD Pediatrics Internal Medicine 41 Main Street Stoica, Ana Maria, Oakfield, NY 14125 Cellino, Michael R., Southern Tier Community Health (585) 948-8077 Center - Olean Site Jobes, Gregory A., Family 500 Main Street Kim, Mark Y., Practice Olean, NY 14760-1514 Notaro, John C., Barcomb, Alan James, (716) 375-7500 Carrow Street Pediatrics Oceanside Family Practice 24 Carrow Street South Nassau Family Medicine Orchard Park, NY 14127-2604 Anderson, Galvin D, 196 Merrick Road (716) 662-3443 Oceanside, NY 11572-1420 Roosa, Christina Patricia, Pediatrics (516) 255-8415 Zimmermann, Annmarie, Kita, Joseph T., Family Oneonta Practice Reimer, Tara Lyn, Bassett Healthcare Network - Oneonta Hanna, Emad S., Wegman, Theresa Marie, 125 Main Street Weiss, Steven Daniel, Ippolito, Scott, Oneonta, NY 13820-2531 Porter, Russell, (607) 433-1790 Jennifer & Robert Erickson, DO 3671 Southwestern Blvd., Suite 213 Roethel, Linda, Internal Medicine Orchard Park, NY 14127 Sandowski, Samuel, (716) 662-7008 Landry, Gerald A, Sokolsky, Lawrence, Family Levenstein, Michael, Olean Practice Palumbo, Deanna, Munir A Salmi M.D. Erickson, Jennifer N, Walker, James W, 2223 W. State Street, Suite 114 Erickson, Robert J, Pediatrics Olean, NY 14760-1938 O'Connor Medical Group (716) 372-8660 Blasco, Elizabeth, 3075 Southwestern Blvd. Internal Brane, Monica, Orchard Park, NY 14127-1236 Medicine (716) 712-0490 Mooney, Lisa Koehl, Salimi, Munir Ahmed, Internal Orchard Park Olean Medical Group, LLP Medicine 535 Main Street Bonnie Sunday M.D. Oconnor, Gale, 3065 Southwestern Blvd., Suite 100 Olean, NY 14760-1500 Oconnor, Terence, (716) 376-2247 Orchard Park, NY 14127 (716) 675-7443 Orchard Park Family Practice, PC Family 3680 Eggert Road Practice Family Practice Orchard Park, NY 14127-1963 Thangathurai, Josephine, (716) 209-6000 Sunday, Bonnie, Internal Family Medicine Practice Page 182 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Orchard Park Orchard Park Ozone Park Orchard Park Family Practice, PC Southwestern Medical Associates Medisys Family Care Center - Ozone 3680 Eggert Road 3671 Southwestern Blvd, Suite 101 Park Orchard Park, NY 14127-1963 Orchard Park, NY 14127 91-20 Atlantic Avenue (716) 209-6000 (716) 972-0279 Ozone Park, NY 11417 (718) 641-8207 Family Internal Practice Medicine Pediatrics Burke, Amy J., Whalen, Guy Michael, Caldera, Aura, Degrave, Thomas E., Pediatrics Panama Degrave, Thomas E., Goodman, Gail, Family Health Medical Services- Panama Miller, Deborah F., Western New York Pediatric Associates, LLP 1 West Main Street Ruh, Jennifer M., 5800 Big Tree Road Panama, NY 14767-9709 Ruh, Richard R., Orchard Park, NY 14127-4116 (716) 782-2685 Orchard Park Pediatrics (716) 662-7337 Family Practice 3725 N. Buffalo Road, Suite A Pediatrics Orchard Park, NY 14127-185 Persia, Albert, Cooley-Guth, Carol M., (716) 662-2300 Riedesel, Jeremy, Lauria, Gerald A., Pediatrics Selioutski, Alexander Z, Mattimore, Colleen A., Bowman, Lori A, Preventive Miller, Jennifer E., Conley, Danielle M, Medicine Schamann, Mary E., Dyson-budzinski, Kathleen Marie, Berke, Robert, Szumigala, Maxine E., Schreck, Frank T., Peekskill Ossining Quaker Medical Associates Hudson River HealthCare, Inc. - 3560 North Buffalo Road Open Door Family Medical Center - Peekskill Orchard Park, NY 14127-1934 Ossining 1037 Main Street (716) 662-8510 165 Main Street Peekskill, NY 10566-2913 Ossining, NY 10562-4702 Internal (914) 734-8800 (914) 941-1263 Medicine Internal Family Carr, Anna Marie, Medicine Practice Poppenberg, Kristin Elizabeth, Velez-Phillips, Madeline, Meyer, Patricia J., Wandass, Joseph Henry, Pediatrics Rovito, Lucy V., Wymer, Dana Lynn, Brescia, Andrea M., Owego Pediatrics Sanchez, Angela, Family Practice - Owego - Our Lady of Penfield Deberny, David Robert, Lourdes Memorial Hospital, Inc. Mezzadri, Francis Charles, 500 5th Avenue University of Rochester Medical Cente Owego, NY 13827 Primary Care Network / Penfield Southwestern Medical Associates Family Medicine 3671 Southwestern Blvd, Suite 101 Urology Penfield Crossings Medical Center, Orchard Park, NY 14127 Wilson, Heidi Renee, 2212 Penfiled Road, Suite 100 (716) 972-0279 Penfield, NY 14526 UHS - Primary Care Owego (585) 598-8505 Endocrinology, Diabetes & 502 Fifth Avenue Metabolism Owego, NY 13827 Family Wnek, Amy Lynn, (607) 687-0350 Practice Family Family Momot, Christopher D, Practice Practice Renner, Debra, Vakante-jankovic, Diana, Kwiatkowski, David E, Williams, David D, Page 183 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Penfield Peru Plainville University of Rochester Medical Center Adirondack Medical Practice Pediatric Health Associates a Division Primary Care Network / Penfield 3384 Route 22 of Allied Pediatrics of New York, PLL Family Medicine Peru, NY 12972 100 Manetto Hill, Suite 302 Penfield Crossings Medical Center, (518) 643-8008 Plainville, NY 11747 2212 Penfiled Road, Suite 100 (516) 931-7337 Penfield, NY 14526 Physician Assistant Pediatrics (585) 598-8505 Ahern, Elizabeth Rose, Chalson, Margaret, Family Practice Hinson, Robin Marie, Fierstein, Kerry, Williams, David D, Peru Family Health Center Goldstein, Brian, Internal 9 Elm St Keschner, Lori, Medicine Peru, NY 12972 Lippman, Nancy, (518) 643-7038 Weiss, Jerome A, Read, Rosemarie, Family Penn Yan Practice Samuel, Stewart, FLH Medical, PC - Keuka Health Care Smith, David W, Plattsburgh 418 North Main Street Penn Yan, NY 14527 Pine Plains Adirondack Primary Care (315) 531-2944 Hudson River HealthCare, Inc. - Pine 210 Cornelia Street, Suite 404 Plains Plattsburgh, NY 12901 Internal (518) 562-7337 Medicine 11 Pilch Street, P.O. Box 527 Pine Plains, NY 12567-5657 Internal De witt, Eleanor Hinds, (518) 398-1100 Medicine FLH Medical, PC - Pre-Emption Internal Wolczynski, Zbigniew, Family Medicine Medicine 1930 Pre-Emption Road CVPH Health Care Center Penn Yan, NY 14527 Walker, David A., 206 Cornelia Street, Suite 201 (315) 536-0086 Plainview Plattsburgh, NY 12901 (518) 562-7989 Family Children's Medical Group ado Allied Practice Pediatrics of New York, PLLC - Family Practice Anderson, Robert, Plainview 1171 Old Country Road Gilchrist, Wendy A, Perry Plainview, NY 11803-5035 Heintz, Steven G, Letchworth Family Medicine, P.C. (516) 931-4343 Internal 3 Handley Street Pediatrics Perry, NY 14530-1219 Medicine Capilupi, Thomas, (585) 237-3227 Brena, Anne E, Cohen, Joseph Brian, Family Frost, Richard B, Practice Fell, Brad E., CVPH-Great North Woods Medical Logan, Rodney D, Hogan, Timothy, 23 Hammond Lane Zerbe, Daniel L, Kahan, Joel L., Plattsburgh, NY 12901 (518) 562-7989 Peru Millington-Capilupi, Deborah J., Family Adirondack Medical Practice Plainville Practice 3384 Route 22 Pediatric Health Associates a Division De lucas, James L, Peru, NY 12972 of Allied Pediatrics of New York, PLLC (518) 643-8008 100 Manetto Hill, Suite 302 Internal Medicine Internal Plainville, NY 11747 Medicine (516) 931-7337 Guile, Alison J., Politi, Anthony Francis, Pediatrics

Page 184 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Plattsburgh Poughkeepsie Pulaski Kristin Ambler, MD Frank C. Pedevillano, D.O. Northern Oswego County Health 128 Boynton Ave 21 Springside Ave Services, Inc. Plattsburgh, NY 12901 Poughkeepsie, NY 12603-1837 61 Delano Street (518) 324-3399 (845) 454-0244 Pulaski, NY 13142-1400 (315) 298-6569 Internal Family Medicine Practice Family Practice Ambler, Kristin, Pedevillano, Frank C., Kim, Charles C, Lake City Primary Care Hudson River HealthCare, Inc. - 16 Degrandpre Way, Suite 300 Atrium Purchase 1 Webster Avenue, Suite 202 Plattsburgh, NY 12901 WESTMED Medical Group - 3020 (518) 561-5300 Poughkeepsie, NY 12601-1362 Westchester Avenue (845) 483-5700 Family 3020 Westchester Ave, 2nd Floor Practice Family Purchase, NY 10577-2579 Practice (914) 831-4100 Desmangles, Gilbert, Labrenz, Bryon E., Internal Orkin, Tracy S, Medicine General Plattsburgh Pediatrics Practice Feuer, Barry H, 151 Bridge St Plattsburgh, NY 12901 Ramsey, Kelly S, Levat, Jay M, (518) 561-1860 Poughkeepsie Medical Group Pelebecky, George W, Nurse 375 Hooker Ave Sharma, Nitya, Practitioner Poughkeepsie, NY 12603 (845) 454-5000 Queens Passino, Martha Kathleen, Internal Amazing Medical Service P.C Stephen Guy Hausrath, MD Medicine 110-16 Sutphin Blvd., 1st Floor 210 Cornelia Street, Suite 202 Queens, NY 11435-5716 Hoffman, Daniel P, Plattsburgh, NY 12901 (718) 526-7600 (518) 563-4253 Nephrology Internal Internal Medicine Medicine Yang, Shu R., Dairo, Oluwatoyosi E., Hausrath, Stephen Guy, Thomas S. Robinson MD Better Care, Inc 21 Springside Avenue William Pelton, MD 25-92 Steinway Street Poughkeepsie, NY 12603-1837 210 Cornelia Street, Suite 305 Queens, NY 11103-3767 (845) 485-2720 Plattsburgh, NY 12901 (718) 721-6100 (518) 561-1122 Family Practice Pediatrics Internal Medicine Robinson, Thomas S., Mohammed, Magdy Ibrahim, Pelton, William N, Pulaski CrossCounty Medical Care, PC 2038-11 Braddock Avenue Port Ewen Northern Oswego County Health Queens, NY 11426-1147 Services, Inc. IFH - Family Practice Center of Port (516) 641-0600 Ewen 61 Delano Street Pulaski, NY 13142-1400 Internal 213 Broadway Medicine Port Ewen, NY 12466-5015 (315) 298-6569 (845) 331-2355 Family Belotte, Marie A., Practice Family Dalai Medical Care Practice Carguello, Patrick J, 136-20 38th Avenue, Suite 6C Queens, NY 11354-4232 Anderson, John, Chapman, Jay W, (718) 886-8299 Poughkeepsie Chapman, Patricia L,

Page 185 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Queens Queens Queens Dalai Medical Care Kew Gardens Hills Pediatrics Wenjing Tao Medical Care PC 136-20 38th Avenue, Suite 6C 141-49 70 Road 136-20 38th Avenue Queens, NY 11354-4232 Queens, NY 11367-1936 Queens, NY 11355-3666 (718) 886-8299 (718) 268-5282 (718) 886-8807 Family General Pediatrics Practice Practice Tao, Wenjing, Zhou, Dalai, Green-Mayer, Kimberly, Queensbury Dharamjit Kumar, MD Pediatric HHHN-Queensbury Family Health 103-14 Lefferts Blvd. Endocrinology 14 Manor Drive Queens, NY 11419-2012 Goldstein, Steven J., Queensbury, NY 12804-1906 (718) 843-2244 Pediatrics (518) 798-6400 Internal Hoch, Lori R., Medicine Family Levine, Jack M., Practice Kumar, Dharamjit, Borgos, William, Mayer Ballas, M.D. P.C. Doctors of Northport Primary Medical Care P.C. 11045 Queens Boulevard, Suite 114 Stratton, Jennifer, 94-06 59th Ave Queens, NY 11375-5519 Ravena (718) 520-0001 Queens, NY 11373-5151 CapitalCare Family Practice Ravena (718) 699-9737 Cardiovascular 2524 Route 9\W Disease Internal Ravena, NY 12143-2804 Medicine Ballas, Mayer, (518) 756-7390 Leva, Ginny, National Pediatric PC Family Leva, Paul R., 102-11 Roosevelt Avenue Practice Queens, NY 11368-2331 Greenpoint Pediatric PC Caulfield, Patrick F, (718) 898-5200 47-10 Greenpoint Avenue Red Hook Queens, NY 11104-1710 Pediatrics Mid Hudson Medical Group, PC - Re (718) 389-2500 Florimon de la rosa, Hector Bienvenido, Hook Family Practice Pediatrics Reynoso, Elsa Sofia, 50 Old Farm Road Florimon De La Rosa, Hector Bienvenido, Q-Care Affordable Medical Care, Red Hook, NY 12571-0000 PLLC (845) 758-5821 International Pediatrics Plus 41-50 78th St., Apt. 102 93-20A Roosevelt Avenue Family Queens, NY 11373-1901 Practice Queens, NY 11372-7911 (718) 570-6565 (718) 334-6700 Heymann, Karl Michael, Family Pediatrics Rego Park Practice Golamco, Florence P, Daniela Atanassova Lineva MD, Charlotten, Kevin Alexander, Pediatrics, PC Physician Nurse 63-95 Austin St Assistant Practitioner Rego Park, NY 11374-3051 Collado, Damaris, Ma, Amy X., (718) 268-9100 Jackson Heights Latin Medical Group Sudhanshu Narendra, MD Pediatrics P.C. 103-14 Lefferts Blvd. 93-15 Roosevelt Avenue Attanassova Lineva, Daniela, Queens, NY 11419-2012 Queens, NY 11372-7927 Attanassova Lineva, Daniela, (718) 843-2244 (718) 308-7847 Meyerovich Medical & Diagnostic PC Pediatrics Family 98-11 Queens Blvd, # 1E Practice Narendra, Sudhanshu, Rego Park, NY 11374-3309 Philippe, Camille, (718) 830-0400

Page 186 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Rego Park Richmond Hill Rochdale Meyerovich Medical & Diagnostic PC Queens Long Island Medical Group Queens Long Island Medical Group 98-11 Queens Blvd, # 1E P.C.-Richmond Hill Medical Office P.C.-Rochdale Medical Office Rego Park, NY 11374-3309 125-06 101st Avenue 169-59 137th Avenue (718) 830-0400 Richmond Hill, NY 11419-1412 Rochdale, NY 11434-4517 Internal Family Internal Medicine Practice Medicine Meyerovich, Naum S., Shah, Sapna, Andrews, Charlene A., Michael L. Richter M.D. Internal Pierre-shoulton, Yardly, Medicine 92-15 63rd Drive Shnaydman, Faina, Rego Park, NY 11374-3739 Chadda, Jitendra S, Wu, Patrick K, (718) 897-6223 Chung, Howard, Pediatrics Internal Contovasilis, John W, Medicine Laboard, Barbara A, Szandrowski, Denise S, Richter, Michael L, Rodrigues, Maria L, Vogiatzis, Nicholas, Queens Star Medical Rochester Pediatrics 63-118 Woodhaven Blvd. Anthony Jordan Health Center Rego Park, NY 11374-4841 Greenfield, Elizabeth A, 82 Holland Street (718) 416-0303 Mclaughlin, Reginald D, Rochester, NY 14605-2131 Internal Ridgewood (585) 423-5875 Medicine Family Dr. Tatyana's Pediatric PC Levy, Asya, Practice 64-15 Fresh Pond Road Levy, Asya, Ridgewood, NY 11385-3330 Kennedy, Richard G., Levy, Eduard, (718) 381-9500 Internal Medicine Levy, Eduard, Pediatrics Atalla, Nashat, Richmond Hill Ledovsky, Tatyana, Physician Riverhead E-Z Medical Care Assistant 112-16 Jamaica Ave Peconic Pediatrics ado Allied Pediatrics Chapman, Roger, Richmond Hill, NY 11418-2451 of New York, PLLC (718) 849-3340 54 Commerce Drive, Ste.2 Good, Camille, Family Riverhead, NY 11901-4454 Brown Square Health Center Practice (631) 722-8880 322 Lake Ave Sami, Shazia A, General Rochester, NY 14608-1017 Practice (585) 254-6480 Medisys Richmond Hill Family Medicine Center Shaer, Jennifer L, Family Practice 133-03 Jamaica Avenue Pediatrics Richmond Hill, NY 11418-2618 Dent, Richard Scott, Lao, Rogelio S, (718) 657-7093 Donohue, Laurie, Meah, Fatema P, Family Fogarty, Colleen, Practice Rochdale Zinkand, Heidi, Roth, Alan Robert, Queens Long Island Medical Group P.C.-Rochdale Medical Office Geriatric Medicine/Family Sports Practice Medicine 169-59 137th Avenue Rochdale, NY 11434-4517 Kuchma, Roksolana, Cruz, Philip M, Internal Nurse Medicine Practitioner Alerte, Serge G., Lee, Susan S,

Page 187 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Rochester Rochester Rochester Brown Square Health Center Lifetime Health Medical Group - Pediatric Group of the University of 322 Lake Ave Artemis Health Center Rochester Rochester, NY 14608-1017 2561 Lac De Ville Blvd., Suite 202 601 Elmwood Ave, Box 632 (585) 254-6480 Rochester, NY 14618-5645 Rochester, NY 14642-0002 (585) 244-7330 (585) 275-6034 Physician Assistant Internal Pediatrics Medicine Ragin, Terri, Aronzon, Denise B, Ahlman, Diane E., Highland Family Medicine Aronzon, Denise B, Baratta, Brenda B., 777 S. Clinton Avenue Brown, Kelly A, Rochester, NY 14620-1448 Newman, Valerie J., Halterman, Jill S, (585) 279-4846 Woluchem, Miltonia M., Herendeen, Neil E, Family Lifetime Health Medical Group - Chili Practice Hoilette, Leesha Kerene, Pediatrics Campbell, Tom L, 849 Paul Road, Suite 110 Jee, Sandra H, Devine, Mathew J, Rochester, NY 14624-4426 Kaczorowski, Jeffrey M, (585) 889-0740 Epstein, Ronald M, Mcconnochie, Kenneth M, Pediatrics Holub, David Craig, Nazarian, Lawrence F, Henoch, Monica J., Mendoza, Michael Dale, Rand, Cynthia M, Lifetime Health Medical Group - Cole Pierce, Deb, Ronis, Sarah D, Medical Office Vantol, Lois J, 1880-8 Ridge Road East Schaffer, Stanley J, Watkins, Ingrid K, Rochester, NY 14622-2450 Sherman, Andrew, (585) 467-4290 Sports Szilagyi, Moira, Medicine Family Szilagyi, Peter, Practice Mirabelli, Mark H, Ridgeview Internal Medicine Group Houpt, Darren C, Internal Medicine Faculty/Resident 1850 E. Ridge Rd. Practice Korni, Roopa M, Rochester, NY 14622-2475 601 Elmwood Ave., Box 696 Lifetime Health Medical Group - (585) 342-3870 Rochester, NY 14642-0002 Marion B. Folsom Health Center Internal (585) 275-5681 1850 Brighton-Henrietta Townline Road Medicine Internal Rochester, NY 14623-2532 DiPoala, Joseph A., Medicine (585) 424-6210 Unity Health System - Unity Family Berliant, Marc Norman, Psychology, Medicine at Chili Center Clinical Clark, Nancy S., 3173 Chili Avenue, Suite 400 McKee, Michael M., Grable, John, Rochester, NY 14624-5400 Pediatric Group of the University of (585) 889-0750 Internal Medicine Group Rochester General Medicine Division, 601 Family 601 Elmwood Ave, Box 632 Elmwood Ave,, Box 320 Practice Rochester, NY 14642-0002 Rochester, NY 14642-0001 Bank, John T., (585) 275-6034 (585) 275-7424 Novak, Sue Ann E., Adolescent Internal Medicine Pum, William D, Medicine Kodjo, Cheryl, Stratton-Smith, Scott A., Berliant, Marc Norman, Neonatology Clark, Nancy S,

Grable, John C., Cook, Stephen R, Lambert, David R., Page 188 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Rochester Rochester Rochester Unity Health System - Unity Family Unity Health System - Unity Internal University of Rochester Medical Cente Medicine at Country Village Medicine at Canal Ponds Primary Care Network / Clinton 1100 Long Pond Road, Suite 250 103 Canal Landing Boulevard, Building Medical Associates Rochester, NY 14626-1177 C 2400 S. Clinton Ave., Bldg G-2 (585) 368-4350 Rochester, NY 14626-5108 Rochester, NY 14618 (585) 254-2594 (585) 341-7697 Family Practice Internal Internal Medicine Medicine Baxter, Margaret, Christidas, Elias P., Cox, III, John F, Herrmann, Cheryl, Unity Health System - Unity Internal Ferrantino, Andrea N, Unity Health System - Unity Family Medicine at Cornerstone Medicine at Orchard Street Gupta, Mala R, 2300 Buffalo Road, Bldg. 800 158 Orchard Street Rochester, NY 14624-1360 University of Rochester Medical Cente Rochester, NY 14611-1361 Primary Care Network / Cornhill (585) 368-6370 (585) 368-4500 Internal Medicine Internal Internal 777 South Clinton Avenue, Suite 200 Medicine Medicine Rochester, NY 14450 Bollineni, Sunitha, (585) 279-4680 Reed, Kellie L., Gupta, Bharat B., Internal Unity Health System - Unity Family Medicine Medicine at Parkway Singla, Vikas, Singh, Rajendra P, 500 Island Cottage Road Unity Health System - Unity Internal Rochester, NY 14612-2308 Medicine at Park Ridge University of Rochester Medical Cente (585) 368-6000 1561 Long Pond Road, Suite 202 Primary Care Network / Culver Medical Group Family Rochester, NY 14626-4117 Practice (585) 723-7778 913 Culver Road Rochester, NY 14609 Ma, Marian, Internal (585) 654-5432 Medicine Unity Health System - Unity Family Internal Medicine at St. Bernard's Borbas, Judith K., Medicine 2260 Lake Avenue, Suite 1000 Jonnala, Srinivas, Rochester, NY 14612-5758 Bingemann, Todd L, Pastor, Thomas J., (585) 254-1850 Caiola, Enrico, Salipante, Joseph S., Family Fortuna, Robert J, Practice Unity Health System - Unity Pediatrics Pulcino, Tiffany Lynn, Holley, Sheryl R., 819 West Main Street Rochester, NY 14611-2334 Pediatrics Janmuhammad, Shazia, (585) 235-0360 Nead, Karen G, Nazar, Michael D., Pediatrics University of Rochester Medical Cente Unity Health System - Unity Family Primary Care Network / East Ridge Liano, Douglas J., Medicine at St. Mary's Family Medicine 89 Genesee Street Liu, Vicky C., 809 East Ridge Road Rochester, NY 14611-3201 University of Rochester Medical Center Rochester, NY 14621 (585) 368-3031 Primary Care Network / Clinton (585) 341-3658 Crossings Internal Medicine Family Family Practice 2400 South Clinton Avenue, Building H Practice Suite 110 Brown, Matthew J., Rochester, NY 14618 Howe, Paul Q, Donahue, Kathleen M., (585) 341-7143 Internal Medicine Internal Medicine Berkowitz, Sharon G, Swanger, Carlos Maria, Lavender, Marc Sean, Page 189 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Rochester Rochester Roosevelt University of Rochester Medical Center University of Rochester Medical Center Nu-Health-Roosevelt/Freeport Family Primary Care Network / Greece Primary Care Network / Twelve Health Center Medical Associates Corners Internal Medicine 380 Nassau Road 2300 West Ridge Road, 3rd Floor 2030 Monroe Avenue, Building F Roosevelt, NY 11575-1343 Rochester, NY 14626 Rochester, NY 14618 (516) 571-8600 (585) 723-3330 (585) 244-7783 Family Pediatrics Internal Practice Medicine Deiss, Katharine D, Garcia, Emilio, Abbott, Richard E, University of Rochester Medical Center Obstetrics & Primary Care Network / Olsan Medical Budd, James L, Gynecology Group Stein, Phillip G, Mullokandov, Snezhana, 2400 South Clinton Avenue, Bldg H, Suite 230 University of Rochester Medical Center Pediatrics Primary Care Network /Calkins Creek Rochester, NY 14626 Vargas-Chen, Nubia Stella, Family Medicine (585) 341-7207 200 Red Creek Drive, Suite 100 Rosedale Internal Rochester, NY 14623-5261 Medicine MS Family Medicine Health Care, P.C (585) 334-0130 241-08 149th Avenue D'Angelo, Christopher, Family Rosedale, NY 11422-2022 Gasparino, Joseph, Practice (718) 949-0146 Hamilton, David L, Cicilline, Michelle Susan, Family Witmer, Thomas W, Internal Practice Medicine University of Rochester Medical Center Reed, Michele C., Primary Care Network / Pulsifer Denney-Koelsch, Erin, Walker, Suzanne, Medical Associates Woodward Health Center Walker, Suzanne, 2400 South Clinton Avenue, Bldg H, 480 Genesee St. Suite 210 Pediatrics Rochester, NY 14611-3634 Rochester, NY 14618-2690 (585) 672-1765 Dickson, Tere H, (581) 341-7299 Family Russell Internal Practice Medicine EJ Noble Hospital - Russell Health Fiscella, Kevin A, Center Shamaskin, Ann R, 9 Pestle St. Road Vanheukelum, Bradley A, Shamaskin, Ann R, Russell, NY 13684-0000 Yosha, Amanat M, Terwilliger, Megan M, Physician Nurse Assistant University of Rochester Medical Center Practitioner Primary Care Network / Rochester Gamel, Sarah, Internal Medicine Associates Snow-holmes, Karen A., Rye 400 White Spruce Blvd., Suite 400 A Pediatrics Rochester, NY 14623 WESTMED Medical Group - 1 Theall Hoilette, Leesha Kerene, (585) 427-9950 Road Physician 1 Theall Rd Internal Assistant Rye, NY 10580-1404 Medicine Martin, Jessica Lynne, (914) 848-8700 Bergin, Margaret M, Roosevelt Internal Kringstein, Dina P, Medicine Nu-Health-Roosevelt/Freeport Family Labanowski, Mary C, Ceccarelli, Silvio J, Health Center 380 Nassau Road DiCosmo, Bruno, Roosevelt, NY 11575-1343 Doyle, James J, (516) 571-8600 Martimucci, William A., Page 190 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Rye Scarsdale Schoharie WESTMED Medical Group - 1 Theall WESTMED Medical Group - 495 Bassett Healthcare Network - Road Central Park Avenue Schoharie Health Center 1 Theall Rd 495 Central Park Ave 111 Barton Hill Road Rye, NY 10580-1404 Scarsdale, NY 10583-1038 Schoharie, NY 12157-4806 (914) 848-8700 (914) 722-6200 (518) 295-8521 Internal Internal Family Medicine Medicine Practice Rothbart, Gary E, Kubersky, Steven M, Luz, Joseph M, Sherling, Bruce E., Morel, Richard, Schroon Lake Pediatrics Schenectady HHHN-Schroon Lake Health Center Blanco, Christina C., Ellis Family Health Center 24 Fairfield Avenue Schroon Lake, NY 12870-0292 Coven, Barbara Jane, 624 McClellan St., Suite 101 Schenectady, NY 12308 (518) 532-7120 Macbeth, Laura Christine, (518) 347-5286 Internal Sessa, Vito R, Medicine Chiropractic Saranac Lake Bachman, Paul, Adirondack Internal Medicine & Welch, Michael C., Sherburne Pediatrics, PC - Saranac Lake Family Bassett Healthcare Network - 2249 State Route 86, Suite 3 Practice Sherburne Health Center Saranac Lake, NY 12983 Afejuku, Neema, 20 Chapel Street (518) 891-3845 Sherburne, NY 13460-9753 Internal Family Medicine (607) 674-9557 Practice Saha, Manish, Family Wright, Megan Patricia, Practice Ellis Family Practice Associates Scarsdale Haswell, David P, 1201 Nott Street, Medical Arts Scarsdale Medical Group-Heathcote Building, Suite 307 Steward, Gary D, Site Schenectady, NY 12308-2530 Valencia, Mauricio, 259 Heathcote Road (518) 243-3334 Scarsdale, NY 10583-4409 Sherman Family (914) 630-5477 Practice Westfield Family Physicians, PC - Sherman location Geriatric Medicine/Internal Lopez, Pablo M., Medicine 115 East Main Street, PO Box 570 Hometown Health Centers Sherman, NY 14781-9701 Noteroglu, Emre H, 1044 State Street (716) 761-6144 Internal Schenectady, NY 12307-1508 Medicine Family (518) 370-1441 Practice Fialk, Mark A, Nephrology Kitchen, Timothy M, Goldberg, David M, Shortsville Lipman, Marvin M, Shahata, Hani Laoiz, Thompson Health Family Practice - Pechman, Paul, Pediatrics Shortsville Raizes, Gary S, Broderick, Bethany A, 15 Canandaigua Street Shortsville, NY 14548-9763 WESTMED Medical Group - 495 Schoharie Central Park Avenue (585) 289-3560 Bassett Healthcare Network - 495 Central Park Ave Schoharie Health Center Family Practice Scarsdale, NY 10583-1038 111 Barton Hill Road (914) 722-6200 Schoharie, NY 12157-4806 Sillick, Craig Daniel, (518) 295-8521 Shrub Oak Page 191 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Shrub Oak Smithtown Spencerport Westchester Health Associates - Smithtown Pediatric Group ado Allied Unity Health System - Unity Family Mahopac/Uppal Pediatrics of New York, PLLC Medicine at Spencerport 691 Old Route 6 260 Middle Country Road, Suite 107 377 South Union Street, Suite 100 Shrub Oak, NY 10588-2101 Smithtown, NY 11787-2923 Spencerport, NY 14559-1735 (914) 245-2270 (631) 979-9590 (585) 352-8999 Internal Pediatrics Family Medicine Practice Bernstein, Harvey E, Uppal, Rajneesh, Conolly, Melanie R., Inkeles, Sharon L, Silver Creek Feltner, Elizabeth J., Martinez, Paul A, McGrath, Patrick J., Medicor Associates of Chautauqua- Parles, James G, Barnes Primary Care Spring Valley 113 Main St Parles, Stephen T, Silver Creek, NY 14136-1452 Valmassoi, Janice, Refuah Health Center (716) 934-4518 728 North Main Street Wecker, Nora E, Spring Valley, NY 10977-8916 Internal Sodus (845) 354-9305 Medicine FLCMH - Sodus Community Health Family Barnes, Steven Edmund, Center Practice Pediatrics 6692 Middle Road, Suite 2100 Katz, Tamir B, Roth, Carl, Sodus, NY 14551-9602 Weltin, Johannes D, (315) 483-1199 Sleepy Hollow Internal Internal Medicine Open Door Family Medical Center - Medicine Sleepy Hollow Katz, Doron Z, 80 Beekman Avenue Eagleson, Elizabeth, Schwartz, Jerrold F, Sleepy Hollow, NY 10591-2503 Shelly, Robert, (914) 631-4141 Pediatrics Nurse Family Practitioner Epstein, Nina, Practice Ross, Jenny, Springfield Gardens Meyer, Patricia, South Glens Falls NYC HHC Queens Hospital Center- Rovito, Lucy V., Springfield Medical Center HHHN-Moreau Family Health 134-64 Springfield Blvd. Slingerlands 1448 Route 9 Springfield Gardens, NY 11413-1449 South Glens Falls, NY 12803-1285 CapitalCare Family Medicine (718) 334-6801 Slingerlands (518) 761-6961 Pediatrics 1240 New Scotland, Suite 203 Family Slingerlands, NY 12159 Practice Copper, Donna Elise, (518) 439-2460 Adams, Michael, Springville Family Pediatrics General Physician PC - Concord Practice Flatau, Irene, 210 E. Main Street Aitken, Geri L, Springville, NY 14141 Spencerport Smithtown (716) 592-3600 Unity Health System - Unity Family Smithtown Pediatric Group ado Allied Family Medicine at Spencerport Pediatrics of New York, PLLC Practice 377 South Union Street, Suite 100 260 Middle Country Road, Suite 107 Spencerport, NY 14559-1735 Berger, Andrew J, Smithtown, NY 11787-2923 (585) 352-8999 Hudzinski, Lori D, (631) 979-9590 Family Internal Pediatrics Practice Medicine Baram, Lena D, Page 192 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Springville Staten Island Staten Island General Physician PC - Concord Dr. Salvatore Volpe (Oakwood Medical Vijaya L. Chandrakant MD PC 210 E. Main Street Solutions) 1468-B Richmond Avenue Springville, NY 14141 2760 Amboy Road Staten Island, NY 10314-1550 (716) 592-3600 Staten Island, NY 10304-2141 (718) 982-8922 (718) 351-2222 Internal Pediatrics Medicine Internal Chandrakant, Vijaya L., Medicine Dale, Priscilla K, Sunnyside Volpe, Salvatore S., Wnuk, William Joseph, Island Internists Carla Lucatel, MD St. Albans 420 Lyndale Ave. 39-45 Queens Blvd Medisys Family Care - St. Albans Staten Island, NY 10312-6131 Sunnyside, NY 11104-3305 111-20 Merrick Boulevard (718) 967-1700 (718) 482-6814 St. Albans, NY 11433-4016 Geriatric Medicine/Internal Pediatrics (718) 206-9888 Medicine Lucatel, Carla A, Family Malisova, Larisa, Syracuse Practice Internal Damineni, Sailaja, Family Medicine Medical Service Medicine Group, LLP Internal Seminara, Donna P, 475 Irving Avenue, Suite 200 Medicine Syracuse, NY 13210-1528 Nika Medicals Perkins, Arlene, (315) 464-7003 55 Midland Avenue Stamford Staten Island, NY 10306-2427 Family Practice Bassett Healthcare Network Stamford (917) 647-7821 28650 state highway 23 Internal Bailey, R Eugene, Stamford, NY 12167-1712 Medicine FamilyCare Medical Group - CGH (607) 652-2537 Romashova, Veronika, Office 4900 Broad Road, POB Ste 4K Family Staten Island Physician Practice Practice Syracuse, NY 13215-2265 4771 Hylan Blvd (315) 492-5784 Nelson, Yvonne Sue, Staten Island, NY 10312-6315 Internal State Island (718) 948-8200 Medicine South Shore Physicians, P.C. Family Practice Brodey, Mitchell V., 3589 Hylan Boulevard FamilyCare Medical Group - State Island, NY 10308-3513 Makarovskaya, Marina, Compassionate Family Medicine (718) 966-3700 Internal 311 Green Street Medicine Internal Syracuse, NY 13203-2911 Medicine Banerji, Deba, (315) 425-1431 Gazzara, Paul C., Berman, Bruce Lee, Family Marchisella, Joseph, Kaplinsky, Diana, Practice Ortiz, Viola, Kelleher, Maureen M, Triana, Ted J, Staten Island Kogos, Alexander, Pediatrics Dr. Salvatore Volpe (Oakwood Medical Krishnan, Sharila, Quinones-guzman, Maribel, Solutions) Lozah, Mamdouh, FamilyCare Medical Group - Sangani 2760 Amboy Road Office Staten Island, NY 10304-2141 Patel, Jitenrda R, 191 Intrepid Lane (718) 351-2222 Patil, Rajashree S, Syracuse, NY 13205-2548 Internal Velez, Wilfredo U., (315) 469-3373 Medicine Zhang, Jing, Page 193 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Syracuse Thornwood Troy FamilyCare Medical Group - Sangani Westchester Health Associates - Community Care Physicians, P.C. - Office Internal Medicine for Women Capital Healthcare Associates 191 Intrepid Lane 645 Marble Avenue 2001 Fifth Avenue, 2nd Floor Syracuse, NY 13205-2548 Thornwood, NY 10594-1062 Troy, NY 12180-3340 (315) 469-3373 (914) 763-1600 (518) 274-9126 Internal Internal Internal Medicine Medicine Medicine Sangani, Geeta, Andersen, Margaret, Thompson, Dean Alan, Syracuse Community Health Center, Tonawanda Trumansburg Inc. Sheridan Medical Group Cayuga Area Physicians Alliance - 819 South Salina Street 1491 Sheridan Drive Trumansburg Family Health Center Syracuse, NY 13202-3527 Tonawanda, NY 14217 4435 Seneca Road (315) 476-7921 (716) 332-4476 Trumansburg, NY 14886-920 Internal (607) 387-5707 Medicine Family Practice Family Augustin, Yola, Practice Elliott, Fredrick Michael, Chionuma, Henry N, Blegen, Michelle Paliani, Internal Obstetrics & Medicine Geriatric Medicine/Family Gynecology Practice Carlson, Jr., Richard A., Howard, Myles, Lessinger, Eric, Jain, Rajiv K., Scott, Kenroy, Tupper Lake UB Family Medicine Radiology 2465 Sheridan Drive Adirondack Internal Medicine & Smith, Roy A, Tonawanda, NY 14150-9407 Pediatrics, PC - Tupper Lake (716) 835-9800 7 Stetson Road Syracuse Community Health Center, Tupper Lake, NY 12986 Inc. - South Family (518) 359-7002 1701 South Ave. Practice Family Syracuse, NY 13207-2004 Symons, Andrew B, (315) 234-8336 Practice Wilkins, Diana G, Family Wright, Megan Patricia, Zionts, Michael E, Practice Unadilla Burgun, Chanele M, Physician Assistant Bassett Healthcare Network - Unadilla Syracuse Community Health Center, 16 Clifton Street Larson, Aimee S., Inc. - West Unadilla, NY 13849-3361 603 Oswego Street Troy (607) 369-2271 Syracuse, NY 13204-3127 Brunswick Family Practice Family (315) 424-0800 785 Hoosick Road Practice Pediatrics Troy, NY 12180 Keo, Naron I, (518) 279-4065 La rosa, Niurka, Uniondale Thornwood Family Practice Emmanuel St Louis, MD Westchester Health Associates - 905 Uniondale Avenue Aram, James Peter, Internal Medicine for Women Uniondale, NY 11553-3235 645 Marble Avenue Community Care Physicians, P.C. - (516) 489-3681 Thornwood, NY 10594-1062 Capital Healthcare Associates Family 2001 Fifth Avenue, 2nd Floor (914) 763-1600 Practice Troy, NY 12180-3340 Internal St. Louis, Emmanuel, Medicine (518) 274-9126 Utica Page 194 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Utica Valley Stream Warrensburg Faxton-St. Luke's Valley Stream Pediatrics ado Allied HHHN-Warrensburg Health Center Healthcare/Adirondack Community Pediatrics of New York, PLLC 3767 Main Street Physicians - New Hartford Medical 167 East Merrick Road Warrensburg, NY 12885-1890 Office Valley Stream, NY 11580-5925 (518) 623-2844 4301 Middlesettlement Road (516) 825-3030 Utica, NY 13413-5317 Family Pediatrics Practice (315) 624-5710 Berman, Lori S, Carney, Nancy, Family Practice Lashley, Marc S, Internal Medicine Clark, D Christopher, Vestal Bachman, Paul, Krause, William F., Our Lady of Lourdes Memorial Waterloo Faxton-St. Luke's Hospital, Inc. - Vestal Medical Associates Healthcare/Adirondack Community Finger Lakes Health - Seneca Family Physicians - North Utica Medical Office 1020 Vestal Parkway East Health Center 35 Riverside Drive Vestal, NY 13850 367A East Main Street Utica, NY 13502-2320 Internal Waterloo, NY 13165-1693 (315) 624-8400 Medicine Family Family Jamil, Shabana, Practice Practice W. Amherst Olszowska, Agata Katarzyna, Patil, Mangala, Tonawanda Medical Group Zgleszewski, Edward Joseph, Valley Stream 2800 sweethome rd suite 6 FLH Medical, PC - Internal Medicine Queens Long Island Medical Group W. Amherst, NY 14228-1300 Waterloo P.C.-Valley Stream Medical Office (716) 691-1300 369 East Main Street 260 W Sunrise Highway Internal Waterloo, NY 13165 Valley Stream, NY 11581-1011 Medicine Family Family Abialmouna, Jihad Hassan, Practice Practice Walden Reese, Andrew, Johnson, Charmaine S, Hudson River HealthCare, Inc. - Watertown Geriatric Medicine/Internal Walden Internal Medicine of NNY Medicine 75 Orange Avenue 53-59 Public Square, Suite 201 Lam, Binh, Walden, NY 12586-1816 Watertown, NY 13601-267 Internal (845) 778-2700 (315) 782-0056 Medicine Family Internal Kaul, Vanita S, Practice Medicine Kolotinskaya, Irina, Dhanyamraju, Sumitra, Mitchell, Scott H, Sarkissian, Edmond, Wappingers Falls Rhode, Frank, Siddiqui, Qaiser, Hudson Valley Primary Care Podiatry 1323 Route 9, Suite 203 Pediatrics White, Jason F., Wappingers Falls, NY 12590-4977 Bichotte-ligonde, Sophia, (845) 298-7022 North Country Children's Clinic Primary Care Clinic Isenberg, Howard W, Internal 238 Arsenal Street Medicine Valley Stream Pediatrics ado Allied Watertown, NY 13601-2504 Pediatrics of New York, PLLC Foster, Mark, (315) 782-6400 167 East Merrick Road Warrensburg Valley Stream, NY 11580-5925 Pediatrics (516) 825-3030 Basit, Farhana, Pediatrics Phillips, Harold Miller,

Page 195 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Watertown Waterville West Amherst North Country Family Medicine, PLLC Faxton-St. Luke's Healthcare, Tonawanda Pediatrics - West Amhers 161 Clinton Street, Suite 111 Adirondack Community Physicians - 3950 East Robinson Road Watertown, NY 13601-3622 Waterville Medical Office West Amherst, NY 14228-2044 (315) 788-4880 358 Madison Street (716) 691-3400 Waterville, NY 13480-1116 Family Pediatrics (315) 841-4973 Practice Lopat-Winter, Mary Beth, Family Emerton, Jon A, Practice Manka-Black, Michele, Samaritan Medical Center - Plaza Walsh, Michael, McDonald, Deanna, Family Heath Center 1575 Washington Street Webster Segal, Barbara, Watertown, NY 13601-9371 University of Rochester Medical Center Szalkowski, Thomas J., Primary Care Network / Webster Family West Nyack Practice Family Medicine 1672 Empire Blvd., Suite 100 Rockland Pulmonary and Medical Maharjan, Bina, Webster, NY 14580 Associates Saxena, Parul, (585) 787-0720 2 Crosfield Ave, Suite 318 West Nyack, NY 10994 Tyler, Ryan E, Family (845) 353-5600 Wetterhahn, Joseph, Practice Internal Herbert, Basya V., Infectious Medicine Disease West Amherst Shah, Parag Jitendra, Duah, Marylene, Highgate Medical Group West Seneca Watertown Internists, PC 3950 East Robinson Road, Suite 207 53-59 Public Square, #301 West Amherst, NY 14228-2044 Dr. David Novelli Watertown, NY 13601-2674 (716) 564-0318 290 Center Road West Seneca, NY 14224-1945 (315) 782-2141 Family (716) 677-4178 Internal Practice General Medicine Bogner, Thomas B, Practice Kellogg, Jr., Collins F, Doldan, Michael T., Novelli, David J, Lapointe, Julie M., Pawlowski, David Anthony, Dr. David S. Clifford VanDeWall, Laverne R., Tonawanda Pediatrics - West Amherst 290 Center Road Nurse 3950 East Robinson Road West Seneca, NY 14224-1945 Practitioner West Amherst, NY 14228-2044 (716) 677-4159 (716) 691-3400 Kolton, Kathryn A, Family Lepine, Ann M, Nurse Practice Practitioner Servage, Bonnie L, Clifford, David S, Anderson, Inger, Spicer, Nancy J, Lifetime Health Medical Group - Wes Braun, Karen, Seneca Health Center Waterville Pietrzyk, Mary Ann, 120 Gardenville Parkway Faxton-St. Luke's Healthcare, West Seneca, NY 14224-1324 Smith, Barbara A., Adirondack Community Physicians - (716) 668-3600 Waterville Medical Office Pediatrics 358 Madison Street Family Bonnevie, Danielle, Practice Waterville, NY 13480-1116 (315) 841-4973 Braun, Amy, Penta, Pramila, Family Heimerl, Michael J., Internal Medicine Practice Hurvitz, Evelyn, Bousader-Armstrong, Nathalie N., Petrie, David, Leonard, Dolores,

Page 196 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York West Seneca Westbury White Plains Lifetime Health Medical Group - West Nu-Health-New Cassel/Westbury WESTMED Medical Group - 210 Seneca Health Center Family Health Center Westchester Avenue 120 Gardenville Parkway 682 Union Blvd 210 Westchester Ave West Seneca, NY 14224-1324 Westbury, NY 11590-3552 White Plains, NY 10604-2901 (716) 668-3600 (571) 516-9500 (914) 682-0700 Internal Family Internal Medicine Practice Medicine Sood, Ritu, Celestin, Marie B, Moshman, Eliot P, Tarrazona-Yu, Pamela A., Pediatrics Newman, Barney, Pediatrics Jinna, Rajender R, Saltzman, Lori, Perry, Mark F., Westfield Sanchez-Levi, Ruth M, Steinacher, Robyn S., Westfield Family Physicians Seligman-Haas, Susan B, Martin A. Casey, M.D. 138 East Main Street, P.O. Box 10 Thompson, Carolyn H, Westfield, NY 14787-0010 290 Center Road Pediatrics West Seneca, NY 14224-1945 (716) 326-4678 Proskin, Wendy Aleda, (716) 675-7693 Family Practice Scheinthal, Deborah M., Family Practice Brautigam, Donald F., Stevens, Mitchell Alvin, Casey, Martin A, Eggleston, Gary E., WESTMED Medical Group - 33 Davis Avenue Southgate Medical Group, LLP Gorman, Timothy A., 33 Davis Ave 1026 Union Road Lashbrook, Lorie A., White Plains, NY 10605-1015 West Seneca, NY 14224-3445 (914) 831-2900 (716) 712-1000 Westport Gastroenterology Family Elizabethtown Community Hospital -

Practice Westport Health Center 6097 NYS Route 9N Fink, Steven M, Murak, Daniel J., Westport, NY 12993 Internal Internal (518) 962-2313 Medicine Medicine Family Alter, Sheldon, DiPirro, Joseph C., Practice Feingold, Martin Lawrence, Gunther, David E., Caputo, Pasqualino, Pretto, Zorayda, Hoffman, Lisa B., White Plains Rie, Jonathan T., Rodes, Alfredo M., WESTMED Medical Group - 210 Whitesboro Sy, Claude G., Westchester Avenue 210 Westchester Ave Varavenkataraman, Ragupathy, Faxton-St. Luke's White Plains, NY 10604-2901 Healthcare/Adirondack Community Villacorta, Rodolfo L., (914) 682-0700 Physicians - Whitesboro Medical Offic 37 Main Street West Winfield Family Whitesboro, NY 13492-1034 Bassett Healthcare Network - West Practice (315) 624-8800 Winfield Health Center Friend, Todd M, 544 East Main Street Family Internal Practice West Winfield, NY 13491-2912 Medicine (315) 822-6348 Frederick, James E, Comninellis, Aris, Family Ryan, Jr., William, Practice Kaplan, Morrie, Teng, Jianye, Pearce, Aimee C, Kraftowitz, Lawrence S, Williamsvile Westbury Meixler, Steven M, Page 197 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Williamsvile Williamsville Williamsville Buffalo Pediatric Associates, LLP Buffalo Medical Group - 325 Essjay Limestone Primary Care Physicians 1360 North Forest Road, Suite 101 325 Essjay Drive 18 Limestone Dr. Suite 5 Williamsvile, NY 14221-1299 Williamsville, NY 14221-8243 Williamsville, NY 14226-8602 Pediatrics (716) 630-1026 (716) 632-1400 Baron-stone, Judith L, Family Family Practice Practice Nemeth, Lawrence J, Fisher, Chandra M, Scrivani, Stephen Philip, Vergos, Katherine A, Halsdorfer, Andrew W, Sinatra, Lawrence Thomas, Williamsville Lopez, Andre L, Internal Amherst Pediatric Associates Medicine Symons, Nicole L, 25 Hopkins Road Shafik, Ihab M, Williamsville, NY 14221-4641 Internal Medicine Maple Med-Peds (716) 632-8050 Waffner, Eric J, 1835 Maple Road Pediatrics Williamsville, NY 14221-2780 Dr. Allyn M. Norman, D.O. Cozza, Thomas F, (716) 634-5410 1825 Maple RD., Suite: Lower B Francemone, Charles J, Williamsville, NY 14221-2723 Family Practice Le, Nga T, (716) 204-4532 Thierman, Eric J, Maggioli, Albert J, Internal Medicine General Montgomery, Maureen E, Practice Norman, Allyn Michael, Vaughan, Russell S, Aquino, Nicholas James, Family Care Physician, P.C. Buffalo Medical Group - 295 Essjay 61 Maple Road Internal 295 Essjay Road Williamsville, NY 14221 Medicine Williamsville, NY 14221-8216 (716) 565-1234 Heyden, Timothy Michael, (716) 630-1026 Family Hrab, Dawn Patricia, Family Practice Practice Pediatrics Palumbo, Vito D, Cimato, Dominic A., Hartrich, William Michael, Roche, Bertrand P, Purizhansky, Polina, Primary Care of Western New York, Wisnoski, Jennifer A, LLP Pusatier, Michael F., Internal 30 NORTH UNION RD. Internal Medicine WILLIAMSVILLE, NY 14221-5367 Medicine (716) 839-8000 Leone, John A, Balon, Walter A., Family Highgate Medical Group Chatrath, Kapil, Practice 1150 Youngs Road, Suite # 104 Collins, Richard L., Williamsville, NY 14221-8024 Felstead, R. Keith, Hua, Shuman, (716) 636-7979 Harbison, Andrew J, Snow, Irene S., Family Lane, Darla M, Practice Wen, Hongyu, Martinke, David M, Bodkin, John J, Buffalo Medical Group - 325 Essjay Tota- Thurn, Catherine, Hirsh, Fredric M, 325 Essjay Drive Vastola, Cary, Williamsville, NY 14221-8243 Luzi, Lori, Suburban Pediatric P.C (716) 630-1026 Trock, Daniel, 8643 Sheridan Drive Family Williamsville, NY 14221-6315 Practice (716) 565-9030 Corigliano, Joseph, Pediatrics Page 198 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York New York New York Williamsville Wilmington Woodside Suburban Pediatric P.C Elizabethtown Community Hospital - Woodside Medical Practice, P.C. 8643 Sheridan Drive High Peaks Health Center 65-06 Roosevelt Ave Williamsville, NY 14221-6315 7 Community Circle Woodside, NY 11377-2928 (716) 565-9030 Wilmington, NY 12997 (718) 606-2682 (518) 946-1111 Pediatrics Internal Family Medicine Laudico, Robert R, Practice Rodriguez, Rafael, Marfurt, Jean ann M, Dimarco, Tracie L, Yonkers Mcnally, G Lawrence, Windsor Pepe, Marjorie R, Hudson River HealthCare, Inc. - Park UHS - Primary Care Windsor Care Wolf, Judi L, 5 College Avenue 2 Park Avenue UB Family Medicine of Amherst Windsor, NY 13865 Yonkers, NY 10703-3402 850 Hopkins Road (607) 655-1230 (914) 964-7862 Williamsville, NY 14221-1729 Family Pediatrics (716) 688-9641 Practice Louis-Paul, Rodolphe, Family Moukala-Cadet, Anne-Marie Laure, Practice Hudson River HealthCare, Inc. - Woodbury Valentine Lane Berger, Roseanne, 503 South Broadway, Suite 210 Queens Long Island Medical Group Kowalski, Peter, P.C-Woodbury Medical Office Yonkers, NY 10706-6202 (914) 965-9771 Luzckiewicz, Debra, 225 Froehlich Farm Blvd. Woodbury, NY 11797-2922 Family Morelli, Daniel, Practice Internal Newberger, David, Medicine Miller, Daniel, Schenk, Gregory, Vaddigiri, Venkatesh, WESTMED Medical Group - 1254 Thomas, David, Central Park Avenue Woodside Williamsville Pediatric Center 1254 Central Park Ave Bhavana R. Japi Phyisian PC 2733 Wehrle Drive, Suite 100 Yonkers, NY 10704-1059 47-14 48th Ave Williamsville, NY 14221-7348 (914) 831-6840 Woodside, NY 11377-6550 (716) 631-3510 Internal (718) 235-1811 Medicine Pediatrics Internal Campanella, Jerry, Daniels, Rebecca, Medicine Dennet, Ronald B, Kessler, Marie, Japi, Bhavana R, WESTMED Medical Group - 1915-25 Roetzer, Gloria, Roosevelt Pediatrics / Caesar Preposi Central Park Avenue MD PC Roland, Jayson, 1915-25 Central Park Ave 6820 Roosevelt Ave Yonkers, NY 10710-2949 Sokolofsky, Denise, Woodside, NY 11377-2926 (914) 831-4160 Taraboletti, Lynn, (718) 478-0505 Internal Wang, Raphael, Pediatrics Medicine Willsboro Preposi, Caesar C, Schiller, Branford C, Preposi, Caesar C, Smith House Health Care Center Yorktown Heights 39 Farell Rd Woodside Medical Practice, P.C. Mount Kisco Medical Group - Mahop Willsboro, NY 12996 65-06 Roosevelt Ave 48 Route 6 & Mahopac Avenue (518) 963-4275 Woodside, NY 11377-2928 Yorktown Heights, NY 10598-6349 Internal (718) 606-2682 (914) 242-1493 Medicine Internal Internal Demuro, Rob Luke, Medicine Medicine Page 199 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

New York North Carolina North Carolina Yorktown Heights Apex Arden Mount Kisco Medical Group - Mahopac Peak Family Medicine, PA Vista Family Health 48 Route 6 & Mahopac Avenue 1011 Pemberton Hill Rd., Ste. 101 2585 Hendersonville Road Yorktown Heights, NY 10598-6349 Apex, NC 27502 Arden, NC 28704 (914) 242-1493 (919) 367-9355 (828) 687-8647 Internal Family Family Medicine Practice Practice Grimshaw, Robert S., Azeem, Samreen W., Hill, Laura White, Koo, Jimmy, Blackwell, Samuel D., Runkle, Andrew William, Westchester Health Associates - Archdale Speers, Karl Richard, D'agnese Cornerstone Health Care - Cornerstone Asheboro 2050 Saw Mill RIver Road, 2nd Floor Family Practice-Archdale Yorktown Heights, NY 10536-4108 Corner Stone Health Care - Deep Rive 10188 North Main Street (914) 245-4330 Health and Wellness Archdale, NC 27263 138 Dublin Square Road, Suite C Internal (336) 802-2070 Asheboro, NC 27203 Medicine Family (336) 625-3333 Dagnese, Gerard, Practice Family North Carolina Escajeda, Richard Timothy, Practice Advance Arden Thomas, Millard Brady, Cornerstone Health Care, PA - Asheville Medicine & Pediatrics Cornerstone Health Care - Carolina Advance Pediatrics 600 Julian Lane, Suite 630 Primary Medicine 114 Kinderton Boulevard Arden, NC 28704 327 Rock Crusher Road Advance, NC 27006 (828) 651-0121 Asheboro, NC 27203 (336) 998-9742 (336) 636-5546 Internal Pediatrics Medicine Internal Medicine Ewing, Whitney Merrill, Morehouse, Winifred V, Grisso, Greg Alan, Gross, Kathy Lynn, Pediatrics Family and Community Medicine of Hunsinger, Susan Yurgel, Bernstein, Joshua E, Asheboro, P.A. Myracle, John H, Huneycutt, Bouasy L, 350 North Cox Street, Suite #20 Physician The Family Health Centers - Arden Asheboro, NC 27203 Assistant Family Health Center (336) 672-3200 Murphy, Kristen M., 2161 Hendersonville Road Family Arden, NC 28704 Practice Novant Medical Group / Medical (828) 684-9229 Associates of Davie Hillsdale Whyte, Thomas M., 121 Medical Drive Family Asheville Advance, NC 27006 Practice ABC Pediatrics of Asheville (336) 998-9060 Stephens, Michael D., 64 Peachtree Road, Suite 100 Family Thomas, Megan R., Asheville, NC 28803 Practice Vista Family Health (828) 277-3000 Hirata, Takashi, 2585 Hendersonville Road Pediatrics Apex Arden, NC 28704 Chu, Peter T, (828) 687-8647 Peak Family Medicine, PA Dephouse, Derek H, 1011 Pemberton Hill Rd., Ste. 101 Family Practice Errico, Robert A, Apex, NC 27502 (919) 367-9355 Fields, Robert William, Love, Douglas Scott, Gillis, Stephanie Elaine, Mustoe, Margaret Hope,

Page 200 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Asheville Asheville Belmont ABC Pediatrics of Asheville Vickery Family Medicine South Point Family Practice - Belmon 64 Peachtree Road, Suite 100 15 Yorkshire Street, Suite 201 1220 Spruce Street Asheville, NC 28803 Asheville, NC 28803 Belmont, NC 28012 (828) 277-3000 Family Family Pediatrics Practice Practice Paschall, John Spruill, Vickery, David A, Chin, Tanya Elizabeth, Biltmore Family Medicine West Buncombe Family Medicine Dyksterhouse, Andrew J, One Saint Dunstans Rd, Suite 100 91 Mt. Carmel Rd. Locklear, David, Asheville, NC 28803 Asheville, NC 28806 Mccartney, Michael S., (828) 253-3717 Family Rinehart, David A., Practice Family Practice Starr, Eric William, Anderson, Joseph Robert, Le Hew, Karen, Stephens, Caroline D., Physician Assistant Parker, Justin Christopher, Wysong, Brian Edward, Byers, William L, Rogers, David York, Beulaville Carolina Internal Medicine Associates, WNC Hypertension & Wellness Center Eastern Carolina Physicians, PA- PA 200 Charlotte Street Beulaville 390 South French Broad Avenue Asheville, NC 28801 152 Crossover Road Asheville, NC 28801-452 (919) 233-5958 Beulaville, NC 28518 (828) 258-0397 Internal (910) 298-4688 Internal Medicine Internal Medicine Caldwell, Ronald Renord, Medicine Lemauviel, Laurie, Belmont Heck, Gary Herschel, Physician John, John Kunnuthara, Assistant CaroMont Pediatric Partners - Belmont 209 Park Street, Suite 500 Bladenboro Hopper, Heather Crummey, Belmont, NC 28012-5209 Bladen Medical Associates-Bladenbor Family Care of Fairview Nurse 106 4th Street 136 Charlotte Highway Practitioner Bladenboro, NC 28320 Asheville, NC 28803 Spargo, Sherry J, (910) 863-3138 (828) 296-0880 Spargo, Sherry J, Family Family Practice Practice Pediatrics Udeozo, Chidebe, Bradley, Diana Faison, Brugman, Richard Derek, Boone Physician Brugman, Richard Derek, Assistant Blue Ridge Pediatric & Adolescent Bumgarner, Elizabeth J., Medicine, Inc Mcintyre, Jr., Frederick Lindsey, Bumgarner, Elizabeth J., 579 Greenway Road, Suite 200 MAHEC Family Medicine Residency Owensby, Susan Bignall, Boone, NC 28607-4809 Program's Family Health Center (828) 262-0100 118 W.T. Weaver Boulevard Owensby, Susan Bignall, Pediatrics Asheville, NC 28804 Physician (828) 771-3436 Assistant Adams, Gregory Lynn, Family Wright, Jeffrey Steven, Lonas, John Robert, Practice Wright, Jeffrey Steven, Monroe, Lanny Lee, Frayne, Daniel J., South Point Family Practice - Belmont St Clair, Wesley Scott, 1220 Spruce Street Zimmerman, Clinton Ballard, Belmont, NC 28012

Page 201 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Boone Candler Cary Primedical Healthcare, PA The Family Health Centers - Hominy Cary Adult Medicine 240 Highway 105 Extension, Suite 100 Valley Family Health Center 930 SE Cary Parkway Suite 200 Boone, NC 28607-429 1219 Smoky Park Highway Cary, NC 27518 (828) 264-7311 Candler, NC 28715 (919) 859-4751 (828) 667-2526 Family Internal Practice Family Medicine Practice Placentra, Nicholas Joseph, Resnik, Robert John, Dressel, Laura E., Brevard Cary Family Healthcare, PA Minnich, Kendal B., 101 S. W. Cary Parkway, Suite 290 Brevard Family Practice at Transylvania Regional Hospital Canton Cary, NC 27511 (919) 467-5678 260 Hospital Drive Haywood Pediatric & Adolescent Brevard, NC 28712 Medicine Group, PA - Canton Family (828) 885-5732 125 Park Street Practice Family Canton, NC 28716 Archinal, Ginette Anne, Practice (828) 648-1711 Gagliardi, Michael D., Brown, Rachel, Pediatrics Marshall, Sheila F., Sawyer, Emily Rogers, Hammel, Steven D., Cary Healthcare Associates, PA Shea, Timothy, McLelland, Karin R., 222 Ashville Physician Stransky, Trew J., Cary, NC 27518 Assistant (919) 233-6000 Wall, Stephen Jay, Saldutti, Steven, Family Webb-wood, Sarah, Practice Hendersonville Pediatrics - Brevard Cary Office Gilmore, Yougin N., 157 Medical Park Drive Alexander N. Newman, MD Mazen, Hamad, Brevard, NC 28712 204 Ashville Avenue, Suite 60 Young, Cynthia, (828) 884-3440 Cary, NC 27518 Cary Internal Medicine Pediatrics (919) 581-3934 103 Baines Court, Suite 200 Farash, Ann Elizabeth, Family Practice Cary, NC 27511 Myers, Versa Troutman, (919) 467-6125 Newman, Alexander N., Stombaugh, Lauretta G, Internal Carolina Family Practice and Sports Medicine Wells, Ora J, Medicine (Cary) Juneja, Vijay K., Physician 3700 NW Cary Parkway, Suite 110 Assistant Cary, NC 27513-8446 Parikh-Desai, Amrita S., Buell, Ronald Wayne, (919) 238-2000 Patel, Prashant K., Butner Family Cary Medical Group Practice 530 New Waverly Place, Suite 200 NC Pediatric Associates - Creedmoor Bloom, O Josh, Cary, NC 27518 317 Central Ave. (919) 859-5955 Butner, NC 27509 Blount, James G, (919) 528-7337 Clarey, Kristen, Family Practice Pediatrics Gavankar, Sandeep S, Singh, Harmeet Chatrath, Sessions, Fadrienne H, Cary Adult Medicine 930 SE Cary Parkway Suite 200 Internal Candler Medicine Cary, NC 27518 (919) 859-4751 Bilbro, Scott Carter, Crittenden, Susan Lawrence,

Page 202 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Cary Cary Cary Cary Medical Group Raleigh Durham Medical Group - Western Wake Medical Associates, 530 New Waverly Place, Suite 200 Cornerstone Pediatric and Adolescent PLLC Cary, NC 27518 Medicine 530 New Waverly Place, Ste. 101 (919) 859-5955 97 Cornerstone Dr Cary, NC 27518 Cary, NC 27519 (919) 233-3959 Internal Medicine Pediatrics Internal Medicine Schroder, Derek Quentin, Gelber, Richard S, Jordan, Joan T., Shoffner, Sylvia Piqueras, Nayal, Vandana, Meredith, Frances T., Van Cleeff, Martin, Parmar, Shefali Vaibhav, Cerro Gordo Generations Family Practice. PA Rutledge, William J, 110 Preston Executive Drive, Ste 108 Todd, Karen A, G&G Healthcare, P.C. Cary, NC 27513 7490 Andrew jackson highway Wedegaertner, Mary R, (919) 852-3999 Cerro Gordo, NC 28430-0250 Wilson, Brett L, (910) 654-2050 Family Practice Physician Family Assistant Mintzer, Melanie, Practice Steen, Sherill L, Pressley, Darlene, Internal Medicine & Pediatrics 224 High House Road, Suite 100 Schmidt and Catchings Family Practice Pressley, Kevin Ray, 600 New Waverly Place, Suite 205 Cary, NC 27513 Chadbourn (919) 380-7531 Cary, NC 27518 (919) 468-6820 West Columbus Family Practice Internal 110 North Brown St, PO Box 325 Medicine Family Practice Chadbourn, NC 28431 Capps, Michael T., (910) 654-1701 Shah, Dipen R., Outlaw, David T., Nurse Triangle Pediatric Center Womble, James C., Practitioner 101 SW Cary Parkway, Suite 270 Beaver, John D., James W. Jacobs, MD Cary, NC 27511 1110 SE Cary Parkway, Suite 201 (919) 467-5543 Chapel Hill Cary, NC 27518 Pediatrics Chapel Hill Pediatrics and Adolesents (919) 859-9954 PA, Chapel Hill Office Adams, William C, Internal 205 Sage Rd, Suite 100 Medicine Baer, Samantha D, Chapel Hill, NC 27514 Jacobs, James William, Capps, Mary Elizabeth, (919) 942-4173 Jacobs, James William, Chao, Irene S.T., Pediatrics Jeffers, Mann, and Artman Pediatrics, Horowitz, David A, Braithwaite, Mary Fox, PA - Cary Salter, Teresa P, Hosford, Sandra B., 530 New Waverly Place, Suite 115 Waverly Primary Care Johnson, Charles David, Cary, NC 27518 600 New Waverly Place, Suite 203 (919) 852-0177 Lail, Jennifer L., Cary, NC 27518 Pediatrics Merritt, Kathy A., Family Artman, Michael Scott, Practice Morton, Christopher W., Helton, Mary Beth Ogle, Foster, Jr., Charlie H, Salter, Kathleen E., Lehrich, Tuyet-Dung Christine, Richard, Daniel C, Singleton, Jennifer W., Regan, Erin Colleen, Zhang, Jing Jean,

Page 203 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Chapel Hill Chapel Hill Chapel Hill Duke Primary Care - Timberlyne UNC Department of Family Medicine UNC Internal Medicine Clinic Family Medical 590 Manning Drive Ambulatory Care Center, Mason Farm 110 Timberhill Place, 77 Vilcom Circle, Chapel Hill, NC 27599 Road, Third Floor Suite 200 (919) 966-3711 Chapel Hill, NC 27514 Chapel Hill, NC 27514 (919) 966-2276 Family (919) 942-8500 Practice Adolescent and Young Adult Family Medicine Denniston, Clark Rohwer, Practice Sheridan, Stacey L, Donahue, Katrina Erika P., Aylward, Gillian A., Clinical Genetics- Fedoriw, Kelly Bossenbroek, Huin, Alexandre W, M.D. Goldstein, Adam Oliver, Klein, David A., Evans, James P, Gourlay, Margaret Lee, Luyando, Yvonne, Internal Gwynne, Mark D, Medicine Stetson, Margaret A., Helton, Margaret Rose, Aleman, Marco A, UNC Child and Adolescent General Clinic Hobbs, Keia Kishelle, Cary, Timothy S, 101 Manning Drive Khandelwal, Christine Mazzola, Cene, Crystal, Chapel Hill, NC 27514 Koonce, Thomas Fredrick, Colford, Cristin, (919) 218-1113 Monaco, Julie A, Dewalt, Darren A, Adolescent and Young Adult Medicine Mounsey, Anne Leathes, Henley, Nancy Sue, Hamrick, Harvey J., Newton, Warren Polk, Jonas, Daniel, Family Page, Cristen Parker, Keyserling, Thomas C, Practice Pathman, Don E, Lewis, Carmen L, Berkoff, Molly C., Rayala, Brian Zaguirre, Miller, Thomas M, Internal Reddy, Vinay Chintala, Moore, Carlton R, Medicine Slatkoff, Susan Faith, Pignone, Michael P, Coyne-Beasley, Tamera, Sonis, Jeffrey Hal, Reuland, Daniel S, Pediatric Emergency Medicine Spencer, Donald Charles, Shaheen, Amy W, Cross, Alan W., Stafford, Harry Cozene, Ophthalmology

Pediatrics Viera, Anthony Joseph, Bryan, James A, Brown, Wallace D., Weir, Sam S, Pediatrics Byerley, Julie S., Zolotor, Adam Jason, Chelminski, Paul R, Perrin, Eliana, Nurse Practitioner Chardbourn Randolph, Gregory D., Sigmon, Evaron R, Seashore, Carl J., Chadbourn Family Practice Center, P Tedder, Janice Lee, 104 E Seventh Avenue UNC Department of Family Medicine Chardbourn, NC 28431 590 Manning Drive Surgery (910) 654-3143 Chapel Hill, NC 27599 Jackson, Leron C, (919) 966-3711 Family UNC Internal Medicine Clinic Practice Family Ambulatory Care Center, Mason Farm Eskander, Essam S, Practice Road, Third Floor Collins, Deborah, Chapel Hill, NC 27514 Charlotte (919) 966-2276 Daaleman, Tim Paul, Daugird, Allen Joe, Page 204 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Charlotte Charlotte CaroMont Family Medicine - Steele CHS - Carolinas Weight Management CHS - Charlotte Medical Clinic - MCP Creek and Wellness Center 1001 Blythe Blvd., Suite 500 11010 S. Tryon Street - Suite 108 2608 E. 7th Street Charlotte, NC 28203 Charlotte, NC 28273 Charlotte, NC 28204 (704) 381-8840 (704) 355-9484 Family Internal Practice Internal Medicine Medicine Kliesch, John, Robinson, Douglas B., Cleek, John Brooks, CHS - Pediatric Associates Scullock, Michell Denise, 3030 Randolph Road,, Suite 102 CHS - Charlotte Medical Clinic - Shapiro, Marvin B., Charlotte, NC 28211 Arboretum (704) 512-4475 3025 Springbank Lane, Suite 100 Shapiro, Marvin B., Charlotte, NC 28226 Pediatrics Underwood, Gregory A., (704) 542-2543 Givens, Linda Moore, Underwood, Gregory A., Internal CHS - Cotswold Family Medicine Henry, Christopher Sterling, Medicine 309 S. Sharon Amity Road,, Suite 100 Jackson, Meghan Genelle, Kendall, Michael W., Charlotte, NC 28211 CHS - Carmel Family Physicians Kendall, Michael W., (704) 446-2360 10000 Park Cedar Drive Lingo, Stephen T., Family Charlotte, NC 28210 Practice (704) 542-6577 Lingo, Stephen T., Bonner, Steven Paul, Family McIver, John C., Jain, Kamla Terese, Practice McIver, John C., Svecharnik, Marina, Almquist, Robert E., Toppin, Jean M., Wynn, Richard Thomas, Anderson, James, Toppin, Jean M., CHS - Elizabeth Family Medicine Davis, Harriet N., CHS - Charlotte Medical Clinic - MCP 2001 Vail Avenue Hull, Lauren, 1001 Blythe Blvd., Suite 500 Charlotte, NC 28207 Charlotte, NC 28203 Kaiser, Jessica N., (704) 304-7000 (704) 381-8840 Kelley, R. Griffin, Family Internal Practice Lewin, Marc R., Medicine Brown, Rhett L.r., Sappenfield, Daniel M., Bono, Erika L, Dulin, Michael F, Sharma, Isha Puri, Bono, Erika L, Hall, Mary N, Walthall, Jr., J. Byron, Brewer, Robyn, Kennedy, Darin Neal, Wrinkle, Geoffrey T., Friedland, Michael B., Mcpherson, Vanessa L, CHS - Carolinas Weight Management Friedland, Michael B., and Wellness Center Menscer, Darlyne, Ganguli, Chandana, 2608 E. 7th Street Price, David E, Charlotte, NC 28204 Ganguli, Chandana, Searson, Stacey S, (704) 355-9484 Hudson, Albert D., Waxman, Dael M, Family Hudson, Albert D., Practice White, Patricia S, Justis, Peter S., Tomcho, John J., Zink, Irene M, Justis, Peter S., Tomcho, John J., Internal Kirk, Benjamin A., Internal Medicine Kirk, Benjamin A., Medicine Raymond, Lawrence W, Cleek, John Brooks, Robinson, Douglas B.,

Page 205 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Charlotte Charlotte CHS - Elizabeth Family Medicine CHS- Cabarrus Family Medicine- CHS- Charlotte Pediatric Clinic- Steel 2001 Vail Avenue Prosperity Crossing Creek Charlotte, NC 28207 5436 Prosperity Church Road, Suite 13640 Steelecroft Parkway, Suite 210 (704) 304-7000 2200 Charlotte, NC 28278 Charlotte, NC 28269 (704) 512-6100 Sports (704) 863-9893 Medicine Pediatrics Family Jones, Robert L, Smoak, Charles, Practice CHS - Mecklenburg Medical Group- CHS East Charlotte Family Physician Adkins, Samuel B., Steele Creek 5801 Executive Center Drive, Suite 10 13640 Steelecroft Parkway, Suite 320 Giggs, Mia, Charlotte, NC 28212 Charlotte, NC 28273 Hudson, Tonya M., (704) 863-1550 (704) 302-8900 CHS- Charlotte Pediatric Clinic- Family Internal Morrocroft Practice Medicine 4501 Cameron Valley Parkway,, Suite Daniels-Mitchell, Karen E., Brancato, Jason A, 100 Charlotte, NC 28211 CHS Mecklenburg Medical Group - Kirkland, Kenesha A., Ballantyne (704) 367-7400 CHS - North Charlotte Medical 15110 John J Delaney Dr, Suite 200 Pediatrics Specialists- University Charlotte, NC 28203 101 WT Harris Blvd.,, Suite 5002 Almquist, Perry F, (704) 302-8100 Charlotte, NC 28262 Baker, Marty A, Cardiology (704) 863-9700 Bryant, Jr., William F., Miller, Richard F, Internal Golembe, Barry L, Dermatology Medicine

Moran, Amanda L, Burke, Jennifer Willis, Jewell, Martie L, Patt, Rhonda Pennington, Getter, Marisa J, Internal Richter, Stephanie R, Mitlehner, Richard J, Medicine Schmelzer, Anna T, Moll, Matthew Todd, Bendezu, Luis A., Shaffner, Susan C, CHS - South Charlotte Primary Care Hanger, Barry J, Shulstad, Andrew R, 7030 Pineville Matthews Road Kersten, Brian P., Charlotte, NC 28226 Smith, II, Henry L., Mawji, Zubina, (704) 752-7000 CHS- Charlotte Pediatric Clinic- Rafferty, Maureen, Internal Pineville Medicine 10348 Park Road,, Suite 300 Sokany, Nancy M., Fleishman, Lawrence M, Charlotte, NC 28210 Weidner, Gregory R., (704) 512-5060 Mabry, David B, Wilson, Michelle J., Pediatrics Mcphee, Sherryl, CHS Mecklenburg Medical Group - Alderman, James F, Brunswick White, Mack W, Spell, Arthur B, 1900 Brunswick Avenue Pediatrics Charlotte, NC 28207 Temple, Ana- Maria M, Anderson, Jack D, (704) 358-4400 CHS- Charlotte Pediatric Clinic- Steele Coppage honeycutt, Patricia, Internal Creek Medicine Glass, Larry T, 13640 Steelecroft Parkway, Suite 210 Framm, David J., Trivette, Dayna, Charlotte, NC 28278 (704) 512-6100 Pediatrics Nguyen, NGOC - DIEP, Page 206 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Charlotte Charlotte CHS Mecklenburg Medical Group - CHS Mecklenburg Medical Group - CHS Mecklenburg Medical Group - Morehead South Park Uptown 1025 Morehead Medical Drive, Suite 4525 Cameron Valley Parkway, Ste 200 S. College Street, Suite 500 200 3100 Charlotte, NC 28202 Charlotte, NC 28204 Charlotte, NC 28211 (704) 302-8800 (704) 302-8000 (704) 302-9300 Internal Internal Endocrinology Medicine Medicine Robinson, Wanda S., Haggstrom, Daniel Ernest, Brantley, David A, Teague, Carmen I., Harrell, Jane Stubbs, Clay, Kimberly Denise, CHS Randolph Internal Medicine Stowe, Mary Wassell, Hematology/Oncology 330 Billingsley Road, Suite 100

CHS Mecklenburg Medical Group - Charlotte, NC 28211 Museum Nazemzadeh, Reza, (704) 367-8415 3030 Randolph Road, Suite 200 Internal Internal Charlotte, NC 28211 Medicine Medicine (704) 302-8200 Ayers, Lorri A, Amin, Ketan B., Internal Belgrave, Enrico O, Cappleman, William F., Medicine Dean, Elizabeth A., Collins, Gregory V., Alexander, James Chester, Fortner, Molly R, Craven, Murray Baxter, Benedum, John L., Greene, Ralph L, Layton, Dennis S., Bowen, Robert C, Kheireddine, Glencora, Tucker, W. Stuart, Herbert, Allison C, Kwon, Lanna S, Villier, James A., Lackey, Victoria D., Rolband, Gary C., CHS Riverbend Family Practice - Nurse Mountain Island Lake Practitioner Russ, Donald J., 9908 Couloak Drive, Ste 202 Mitchell, Angela R, Shelton, G. Ryan, Charlotte, NC 28216 CHS Mecklenburg Medical Group - Shoemake, Joshua K., (704) 587-2400 Pineville Weidner, Julianne F., Family 10650 Park Road, Suite 420 Practice Charlotte, NC 28210 Wight, Alice Cole, Ellison, Aaron Gregory, (704) 302-8700 Neurology Watts, Teressa Mckoy, Hematology Peck, Jason A, CHS- South Lake Pediatrics- Mountai CHS Mecklenburg Medical Group - Island Lake Burgess, Earle, Uptown 9908 Couloak Drive, Suite 103 200 S. College Street, Suite 500 Internal Charlotte, NC 28216 Medicine Charlotte, NC 28202 (704) 801-2025 (704) 302-8800 Brooks, Olga Yevseyevna, Pediatrics Internal Callahan, Catherine Brittain, Medicine Coyler- Bushey, Jennifer L, Ferree, Charles E., Barnard, Anne E., Semple, Roxanne D, Landis, Eric Tyler, Carim, Marianne, CHS University Internal Medicine LaRue, James Caldwell, Constantine, Jeffrey C., 1525 W.T. Harris Blvd McGrath, Andrea M., Charlotte, NC 28288 Dair, Marvin P, (704) 590-6770 Pierce, Caroline C., Internal Rich, Charles Boyce, Medicine

Page 207 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Charlotte Charlotte CHS University Internal Medicine CMC Myers Park Pediatrics Novant Health/Randolph Pediatric 1525 W.T. Harris Blvd 1350 S. Kings Drive Associates, Charlotte Charlotte, NC 28288 Charlotte, NC 28207 2711 Randolph Road, Suite 501 (704) 590-6770 (704) 446-1422 Charlotte, NC 28207 (704) 384-8600 Internal Pediatrics Medicine Pediatrics Neuspiel, Daniel R, Peterson, David M., Chai, Janie Yun, Ramkumar, Usha J, CMC Biddle Point Family Practice Ghebremedhin, Aster, Scannell, Kasey Wymer, 1801 Rozzelles Ferry Road Wagoner, David, Charlotte, NC 28208 Physician Assistant Novant Medical Group - Blakeney (704) 446-9987 Family Physicians Steelecroft Enand, Chanda Sahni, Family 13557 Steelcroft Parkway, Suite 1200 Practice Llaneza, Keiran Walsh, Charlotte, NC 28278-7545 Clark, Talaya B., CMC NorthPark Family Practice (704) 316-2080 Cole, Alisahah Janell, 251 Eastway Drive Family Charlotte, NC 28213 Practice Grant, Heather M., (704) 446-9991 Culp, Bruce, Hendrix, Nneka A, Family Gilchrist, Steven L, Hill-Erskine, Cynthia R., Practice Novant Medical Group - Carolina Lewis, Jerona Alysse, Banks, Rachel Renee, Family Physicians Mohanan, Sveta, DeSantis, Andrea Mary, 7110 Lawyers Road Saxe, Jessica S., Henson, Gala Cureton, Charlotte, NC 28218 (704) 537-0020 Usadi, Moshe M, James-rodriguez, Felice Anais, Family CMC Faculty Physician Network ΓÇô Pinckney, Jr., Joseph Delacy, Practice Teen Health Connection Qureshi, Nosheen T, 3541 Randolph Road Gross, Pushpa L, Eastover Pediatrics Charlotte, NC 28211 Patel, Hiten, (704) 381-3886 517 S. Sharon Amity Road Charlotte, NC 28211 Novant Medical Group - Cotswold Pediatrics Medical Clinic (704) 384-1406 Matkins, Preeti P., 200 Greenwich Road Infectious Charlotte, NC 28211 Matkins, Preeti P., Disease (704) 384-8680 Mehta, Shivani Patel, Clegg, Herbert, Family CMC Myers Park Internal Medicine Pediatrics Practice 1350 S. Kings Drive Felkner, Mary, Anderson, Keith Alan, Charlotte, NC 28207 Giftos, Peter, Hoben, Michael S, (704) 446-1242 Knox, Mary, Ibe, Elena G., Internal Medicine Koonce, Elizabeth, Mueller, Joseph Cole, Cheng, Iris S, Lye, James S, Taylor, Lori M., Dreyer, Samantha C., Martin, Edward, Woolen, Thomas Hayes, Foster, Michelle L, Roddey, Jr., Oliver, Novant Medical Group - Crown Point Family Physicians Gettys, Edna Katherine, Ryan, Amy, 9101 Monroe Road, Suite 155 Jacobs, Lane K, Swetenburg, Raymond, Charlotte, NC 28270 Kaur, Suneet, (704) 384-1260 Saha, Animita C., Page 208 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Charlotte Charlotte Novant Medical Group - Crown Point Novant Medical Group - Presbyterian Novant Medical Group / Medical Plaz Family Physicians Internal Medicine Clinic Family Physicians 9101 Monroe Road, Suite 155 1918 Randolph Road, Suite 350 8401 Medical Plaza Drive, Suite 300 Charlotte, NC 28270 Charlotte, NC 28207 Charlotte, NC 28262 (704) 384-1260 (704) 384-1750 (704) 344-2170 Family Family Family Practice Practice Practice Crawford, John T., Glenn, Stephanie Morrow, Abaqueta, Alvin, Hester, M. Mark, Internal Clontz, Ted, Medicine Hondros, Dimitrios P., Long, William, Campbell, Faye Sherwood, Hutchings, Jeffrey Charles, Tucker, Walter R, Hamid, Mary Kim, McMillan, Marshall P, Novant Medical Group/Lakeside Johnson, Walter W., Family Physicians - Highland Creek Wise, Jaime Christine, Moore, Elizabeth A, 10220 Prosperity Park Drive Suite Novant Medical Group - Elizabeth 300, Suite 300 Pediatrics Pardee, Angela, Charlotte, NC 28269 2630 East 7th Street, Suite 101 Shoaf, Edwin H., (704) 382-1425 Charlotte, NC 28204 Swaim, Iveta S, Family Pediatrics Practice Novant Medical Group - Presbyterian Ankrah, Shelia Deloise, Medical Plaza Pediatrics Devine, Brian D, Ball, Joy K, 8401 Medical Plaza Drive, Suite 220 Goodman, Sarah E, Charlotte, NC 28262-870 Eichenbrenner, Timothy, Novant Medical Group/Lakeside (704) 384-1570 Holladay, Glenn, Family Physicians - Mt Island Lake Pediatrics 10816 Blackdog Lane, Suite 160 Pridemore, Laura, Cofie, Abelard Kpkpo, Charlotte, NC 28214 Novant Medical Group - First (704) 316-3970 Charlotte Physicians Epi Center Little, Charles Andrew, Family 210 East Trade St., Suite D-230 Osako, Phaenarete H, Practice Charlotte, NC 28202 Novant Medical Group - Prosperity Floberg, Dane R, (704) 384-7085 Family Physicians Internal 8310 University Executive Park Drive, Malta, Katherine M, Medicine Suite 550 Novant Medical Group/South Park Charlotte, NC 28262 Adcock, Jimmie W., Family Physicians (704) 384-1225 6324 Fairview Rd, Suite 201 Albright, Harold Dowe, Family Charlotte, NC 28210-327 Bullock, William R., Practice (704) 384-0588 Carter, Coleman D, Barnabei, Robert Anthony, Family Practice Edwards, Jonathan, Clements, Thad, Mack, Peter Bowman, Kapadia, Sheena, Novant Medical Group - Randolph Resto-flores, Wilma, Pediatrics at Pineville Schaffer, James William, 10508 Park Road, Suite 100 Novant Medical Group - Presbyterian Teigland, Lillian M., Charlotte, NC 28210-8526 Internal Medicine Clinic Novant Medical Group-Blakeney (704) 384-1440 1918 Randolph Road, Suite 350 Family Physicians and Imaging Cente Charlotte, NC 28207 Pediatrics 5815 Blakeney Park Dr., Suite 200, (704) 384-1750 Comisky, William, Suite 200 Charlotte, NC 28277-5712 Family Queen, Deborah, Practice (704) 316-5080 Zimmer, Mary,

Page 209 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Charlotte Clayton Concord Novant Medical Group-Blakeney Family Wellness Clinic CHS Cabarrus Family Medicine, PA - Family Physicians and Imaging Center 2076 NC Highway 42 W, Suite 230 Concord 5815 Blakeney Park Dr., Suite 200, Clayton, NC 27520 270 Copperfield Blvd., Suite 102 Suite 200 Concord, NC 28025 Family Charlotte, NC 28277-5712 Practice (704) 721-2069 (704) 316-5080 Vaidya-tank, Bhavna, Family Family Practice Practice Nurse Practitioner Bright, Dellyse M., Betancourt, Victoria K., Mooring, Shannon, Delaney, Paul A., Missick, Benjamin J, Jeffers, Mann, and Artman Pediatrics, Hoffman, Jeffrey D., Mueller, Andrew T., PA - Clayton Jones, Carla D., University Family Physicians 555 Medical Park Place, Suite 208 Nymberg, III, Jerome H., 10810 Mallard Creek Road Clayton, NC 27520 Charlotte, NC 28262-9771 (919) 359-3500 Richards, Tess, (704) 510-8000 Pediatrics Robinson, Mark D., Family Clark, Juliana Jackson, Rung, Rebecca, Practice Degele, Bridget McNamara, CHS Cabarrus Family Medicine, PA - Barkley, II, Karl L., Poplar Tent Langdon, Lori Moore, Bartee-Allen, Sylvia A., 5641 Poplar Tent Road Melton, Jameelah Ayesha, Concord, NC 28027 Cardwell, Jeffrey G., Clemmons (704) 782-1955 Desena, Curtis W, Family Novant Medical Group - Twin City Hughes, Bruce W., Practice Pediatrics Clemmons Karwowski, Charity Lynn, 2554 Lewisville Clemmons Road, Suite Cody, David Mark, Knox, Mary Faison Green, 308 Pope, Allison C., Clemmons, NC 27012 Miller, Stuart O., Tignor, David C., Pediatrics Schaeper, Mark M., Weston, David Chadwick, Hoyle, Margarete J, Cherryville CMC Northeast Adult Primary Care - Clyde Ardsley Internal Medicine CaroMont Family Medicine - 1085 NorthEast Gateway Court NE, Cherryville Haywood Pediatric & Adolescent Medicine Group, PA - Clyde Suite 200 120 S. Mountain Street 15 Facility Drive Concord, NC 28025-2412 Cherryville, NC 28021 (704) 403-8650 (704) 445-0422 Clyde, NC 28721 (828) 452-2211 Internal Family Medicine Practice Pediatrics Bastadjian, Sylvie, Young, Richard C., Hammel, Steven D., Bastadjian, Sylvie, China Grove McLelland, Karin R., Braun, Mark Edward, Novant Medical Group - Rowan Family Stransky, Trew J., Physicians South Wall, Stephen J., Braun, Mark Edward, 307 East Thom Street Webb-wood, Sarah, Cicci, Leigh W, China Grove, NC 28023 Cicci, Leigh W, (704) 855-8338 Concord Keipper, Vincent L, Family CHS Cabarrus Family Medicine, PA - Practice Concord Keipper, Vincent L, 270 Copperfield Blvd., Suite 102 Bowen, Meredith Davis, Mangieri, Deanna Ashley, Concord, NC 28025 Mangieri, Deanna Ashley, Diloreto, David Daniel, (704) 721-2069 Page 210 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Concord Concord Concord CMC Northeast Adult Primary Care - CMC Northeast Adult Primary Care - CMC-NorthEast Pediatric Primary Ardsley Internal Medicine NorthEast Internal and Integrative Care - Cabarrus Pediatrics 1085 NorthEast Gateway Court NE, Medicine 66 Lake Concord Road Suite 200 301 Medical Park Drive, Suite 201 Concord, NC 28025-3057 Concord, NC 28025-2412 Concord, NC 28025 (704) 403-7720 (704) 403-8650 (704) 403-7050 Pediatrics Internal Internal Mock, Laura J, Medicine Medicine O'brien, Stephen J, Surratt, Robert W, Bongaard, Bridget S, Peterson, Porter Kelling, Surratt, Robert W, Bongaard, Bridget S, CMC-NorthEast Pediatric Primary Thompson, Kerri-Ann R, CMC Northeast Adult Primary Care - Care - Piedmont Pediatrics Weddington Internal Medicine Thompson, Kerri-Ann R, 1085 Northeast Gateway Court NE, 3020 Weddington Rd Suite 290 CMC Northeast Adult Primary Care - Concord, NC 28027-815 Carolina Internal Medicine Concord, NC 28025-2412 (704) 403-7700 200 Medical Park Drive, Suite 300 (704) 403-4650 Internal Concord, NC 28025 Pediatrics Medicine (704) 403-3658 Belden, Leona M, Cain, Brian K, Internal Clancy larimer, Marisa Colleen, Medicine Cain, Brian K, Gaines, Tara G, Foust, Kim M, Condrey, Staci F, Levin, Hal W, Foust, Kim M, Condrey, Staci F, Statis, Jennifer Lopez, Gupta, Aradhana P., Roycroft, Robert D, Novant Medical Group - Lakeside Gupta, Aradhana P., Roycroft, Robert D, Primary Care - Afton McMurry, David W., CMC Northeast Adult Primary 5325 Vining Street, NW, Suite 101 CareConcord Internal Medicine McMurry, David W., Concord, NC 28027-294 200 Medical Park Drive, Suite 550 (704) 316-1040 Rackoff, Geoffrey D., Concord, NC 28025 Internal Rackoff, Geoffrey D., (704) 403-1307 Medicine Wheless, James E, Internal Griffin, Keith E, Medicine Wheless, James E, Vuong, Trang, Gismondi-Eagan, Carmella, CMC Northeast Adult Primary Care - Woolwine, Amy H, Edison Square Family Medicine Gismondi-Eagan, Carmella, Novant Medical Group - Lakeside 10030 Edison Square Drive, Suite 100 Kelling, Jr., Douglas G, Concord, NC 28027-825 Primary Care - Speedway Kelling, Jr., Douglas G, (704) 403-7830 7752 Gateway Lane, Suite 100 Monroe, III, George C, Concord, NC 28027 Family (704) 316-4950 Practice Monroe, III, George C, Family Dy, Marc, CMC-NorthEast Pediatric Primary Practice Care - Cabarrus Pediatrics Dy, Marc, 66 Lake Concord Road Trombley, Michael J, CMC Northeast Adult Primary Care - Concord, NC 28025-3057 Trufant, Scott K., NorthEast Internal and Integrative (704) 403-7720 Medicine Trufant, Scott K., Pediatrics 301 Medical Park Drive, Suite 201 Novant Medical Group - Winecoff Concord, NC 28025 Benbow, John M, Family Practice (704) 403-7050 Douglass, David P, 304 Winecoff School Road Internal Concord, NC 28027 Larrabee, Laura J, Medicine (336) 231-2521 Page 211 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Concord Cornelius Davidson Novant Medical Group - Winecoff Novant Medical Group / Lakeside CHS Davidson Clinic Family Practice Family Physicians - Jetton 705 Griffith Street, Suite 100 304 Winecoff School Road 19485 Old Jetton Road, Suite 100 Davidson, NC 28036 Concord, NC 28027 Cornelius, NC 28031 (704) 892-7905 (336) 231-2521 (704) 384-1775 Family Family Family Practice Practice Practice Price, Gregory M., Perry, Jennifer Suzette, Capps Jr., Richard H, Pediatrics Van ravesteyn, Jan A, Cook, David M., Mange, Stephen K., Univeristy Medical Associates Lindquist, Lee B., Pittoni-Condon, Ann E., (Concord) Thomas, Michael B., 2308 Kannapolis Highway Tarte, Nancy B., Wolff, Christian G, Concord, NC 28027 CMC Northeast Adult Primary Care - (704) 795-0044 Zagar, Christopher A, Ardsley Internal Medicine-Renaissanc Internal Creedmoor 2101 Shiloh Church Road, Suite 201 Medicine Davidson, NC 28036 Duke Primary Care - Butner (704) 439-3730 Revis, Sheley R, Creedmoor Family Medicine Internal Conover 2527 Lyon Station Road Medicine Creedmoor, NC 27522 Crown Health Care, PA - Conover (919) 528-1535 Paniagua, Tiziana, Family Practice 305 FIrst Street East Family Paniagua, Tiziana, Conover, NC 28613 Practice Smith, Lori Danielle, (828) 464-3821 Berstler, Yvonne E, Smith, Lori Danielle, Family Bostelman, Catherina, CMC-NorthEast Pediatric Primary Practice Hoffmeier, Craig, Care - Suburban Pediatrics - Davidson Coffey, III, David G, Smith, Allen T, 2101 Shiloh Church Rd, Suite 101 Kahill, Ailisa Hipp, Davidson, NC 28036-7603 Stall, Tamra, (704) 439-3700 Long, William, Dallas Pediatrics Vierling, Brian S, Ranjit Weerakoon Internal Medicine Garrison, Mary Pressly, Graystone Family Healthcare 701 West Trade Street Lods, Stephen C, 3511 GRAYSTONE PLACE Dallas, NC 28034 CONOVER, NC 28613 Selden, Kymberly F, Internal (828) 326-9355 Medicine Sherrill, Stephanie B, Family Weerakoon, Ranjit, Davidson Family Medicine Practice Davidson 104 Knox Court, Suite 100, P.O. Box Gold, Steven A., 4329 CHS Davidson Clinic Laney Jr., Thomas F., Davidson, NC 28036 705 Griffith Street, Suite 100 (704) 892-5454 Cornelius Davidson, NC 28036 Family Novant Medical Group / Lakeside (704) 892-7905 Practice Family Physicians - Jetton Family White, Craig J., 19485 Old Jetton Road, Suite 100 Practice Cornelius, NC 28031 General Beamon, Ronnie T., (704) 384-1775 Practice Ellison, Raycinia K, Family Carlson, Sarah P., Practice Figueroa, Robert L., Denver Alexanian, Amy L, Jeffcoat, Carolyn Hess,

Page 212 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Denver Durham Durham CHS- East Lincoln Primary Care Duke Family Medicine Duke Primary Care - Pickett Road 1585 Forney Creek Parkway, Suite 2100 2100 Erwin Rd 3024 Pickett Road Denver, NC 28037 Durham, NC 27710 Durham, NC 27705 (704) 489-0365 (919) 684-9764 (919) 668-4478 Family Family Internal Practice Practice Medicine Biondi, Daniel T., Martinez-Bianchi, Viviana Sandra, Joy, Scott V., Novant Medical Group - Lakeside Duke Primary Care - Durham Medical Lee, Sabina M., Family Physicians - Denver Center Phelps, Anne F., 7482 Waterside Crossing, Suite 202 4220 N. Roxboro Road Denver, NC 28037 Durham, NC 27704 Rookwood, Jacqueline Louise, (704) 316-4930 (919) 471-1518 Rubin, Sharon Suson, Family Internal Waite, Kathleen, Practice Medicine Wolf, Brian E, Ryan, John J, Aderoju, Elizabeth, Duke Primary Care - Sutton Station Stoffel, Elisabeth A, Blackford, Susan P., Internal Medicine Dublin Kiss, Andrea T, 5832 Fayetteville Road, Suite 113 Durham, NC 27702 Ramsey, Colleen P., Bladen Medical Associates-Dublin (919) 544-6644 16 3rd Street Shipley, Michael B., Internal Dublin, NC 28332 Toher,Jr., Raymond J, Medicine (910) 862-3528 Duke Primary Care - Family Medical Cooner, Edward W, Nurse Associates of Durham Practitioner Halbrooks, Ronald F., 1901 Hillandale Road, Sutie B Clark, Cynthia Anne, Durham, NC 27705 Meredith, Michael W., Durham (919) 383-5437 Metz, Louise Dysart, Chapel Hill Pediatrics and Adolescents, Family Montgomery Chatterjee, Ranee, Practice Durham Office Paterson, Robert W., 249 East NC Highway 54, Highway 54 Gard, Allison K., Shivadas, Anita, Durham, NC 27713 Meyers, Tracy Elizabeth, (919) 942-4173 Shivadas, Anita, O'Donnell, Timothy Andrew, Pediatrics Uthe, William F., Shaner, Brian William, Cooley, Mary Huber, Verka, Lisena G., Duke Primary Care - Metropolitan Duke Primary Care - Triangle Family Cooley, Mary Huber, Durham Medical Group Practice Dunk, Andrea Monroe, 1901 Hillandale Road Suite F, Suite F 6020 Fayetteville Road Durham, NC 27705 Dunk, Andrea Monroe, Durham, NC 27713 (919) 383-1854 Oleniacz, Joseph Paul, (919) 572-2000 Internal Family Oleniacz, Joseph Paul, Medicine Practice Woodrum, Robert Scot, Coleman, Arnett, Hawkins, Hilary N, Woodrum, Robert Scot, Hart-Brothers, Elaine M, Kavanaugh, Patrick E., Duke Family Medicine Duke Primary Care - Pickett Road Mathias, Matthew D., 2100 Erwin Rd 3024 Pickett Road Durham, NC 27710 Durham, NC 27705 Nadler, Elisabeth B., (919) 684-9764 (919) 668-4478 Pisharody, Anita M, Family Internal Sabapathi, Anuradha, Practice Medicine Page 213 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Durham Durham Elizabethtown Duke Primary Care - Triangle Family Lakewood Pediatrics and Family Bladen Medical Associates- Practice Medicine Elizabethtown 6020 Fayetteville Road 4003 N. Roxboro Street 300A East McKay Street Durham, NC 27713 Durham, NC 27704 Elizabethtown, NC 28337 (919) 572-2000 (919) 220-3333 (910) 862-5500 Family Family Family Practice Practice Practice Sotolongo, Carlos, Wenzlik, Adam Clark, Rich, Robert L, Durham Internal Medicine Associates Internal Internal 4205 Ben Franklin Blvd. Medicine Medicine Durham, NC 27704 Partridge, James A., Graham-hoskins, Pearly Berlette, (919) 477-6900 Shah, Poorvi J., Kim, Jong W, Internal Nurse Lessane, Beverly Joyce, Medicine Practitioner Pediatrics Bright, David K., Mitas, Allison Marie, Buenaseda, Jose Ornum, Brown, James Trig, Pediatrics Senthe, Nileshwa Shanmuganathan, Fleming, Ron D, Massenburg, Althea Hunte, Phillips Internal Medicine Fowler, Walter E., Physician 507 Doctor's Drive Gifford, Cameron Douglas, Assistant Elizabethtown, NC 28337 Isbey, Susan F., Boggs, Kimberly Renee, (910) 862-3212 Linfors, Eugene William, SW Durham Family Medicine Internal Medicine McCrary, Marion M., 3612 Shannon Road, Suite 105 Durham, NC 27707 Phillips, Bruce Alton, Miller, Carlton D., (919) 419-0242 Elkin Prasad, Alka, Family Singletary, Jr., William Vance, Practice Kids Count Pediatrics, PLLC 1919 North Bridge Street Suite 101 Whelan, John W, Marum, Tiffany, Elkin, NC 28621 Winslow, Bristol Rouse, O'Rourke, Krystol J., (336) 835-7337 Durham Internal Medicine Associates University Pediatrics at Highgate Pediatrics at Southpoint 5322 Highgate Drive, Suite 144 Classen, Adrienne Charles, 5107 Southpark Drive, Suite 104 Durham, NC 27713 Durham, NC 27713-8400 (919) 806-3335 Helleby, Leticia Estela, (919) 477-6900 Pediatrics Ellerbe Internal Kirsch, Susan, Montgomery County Primary Care Medicine Corp - FH FCC - Ellerbe Kwee, David, Clowse, Martin C., 112 East Ballard Street Pickens, Edward, Ellerbe, NC 28338-9730 Imperial Center Family Medicine (910) 652-2663 4309 Emperor Blvd., Ste. 125 Zimmerman, Sarah, Durham, NC 27703 Elizabethtown Family (919) 941-0158 Practice Bladen Medical Associates- Kopynec, Bohdan William, Family Elizabethtown Practice 300A East McKay Street Physician Jacokes, Dennis N., Elizabethtown, NC 28337 Assistant (910) 862-5500 Torrey, Richard K., Thomas, Julie Meredith, Family Fair Bluff Practice

Page 214 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Fair Bluff Gastonia Gastonia Fair Bluff Family Practice CaroMont Family Medicine - South CaroMont Pediatric Partners - Gaston 1112 Main Street Gaston 705 Summit Crossing PL Fair Bluff, NC 28439 3050 Riverwood Parkway, Suite B Gastonia, NC 28054 Gastonia, NC 28056 (910) 649-7571 Nurse (704) 865-1749 Family Practitioner Practice Family Driggers, Mildred James, Practice Gerald, Melvin D, Pediatrics Brown, Aaron D., Gerald, Melvin D, Davis, Ellen Satterwhite, Hansen, Todd S., Fayetteville Milroy, Gregory Todd, Jordan, Kimberly E, Family Medicine Center of Southern Sabogal, Mauricio, Regional Area Health Education Center CaroMont Family Medicine - Gastonia Singleton, Shaunese Derae, 1601 Owen Drive 2711 Xray Drive Fayetteville, NC 28304 Gastonia, NC 28054 Gaston Family Medicine (910) 678-7220 Family 3845 S. New Hope Road Family Practice Gastonia, NC 28054 Practice Patel, Manu Hira, Family Practice Carr, Sandra M, Vacalis, Steve Eleftheris, Burgess, Kenneth David, Hall, John E, CaroMont Family Medicine-Belmont Ladapo, Jumoke M, 2240 RoseMount Road Gaston Medical Associates PA 2664 Court Drive, Suite A Mergy, James A, Gastonia, NC 28054 (704) 672-5329 Gastonia, NC 28054-1449 Salzberg, Lenard D, (704) 861-9030 Family Garner Practice Internal Medicine Garner Internal Medicine Pantea, Cristian E., 200 Health Park Drive, Suite 100 Ajao, Olufolarin Akanfe, Petruska, Jay Jay, Garner, NC 27529 Nurse (919) 773-1223 Nurse Practitioner Practitioner Internal Safrit, Debra Jackson, Medicine Watts, Ann marie Trippel, Piedmont Adult and Pediatric Medicin CaroMont Integrative Family Medicine Breiner, Jeffrey Hugh, 640 Summit Crossing Place, Suite 204 2555 Court Drive - Suite 460 Mayer, Karen Elizabeth, Gastonia, NC 28054 Gastonia, NC 28054 (704) 865-0626 Turner, Steven Howard, Family Internal Gastonia Practice Medicine Novitt, Cecilia A, Adult Primary and Palliative Medicine Hoffman, Catherine Ann, 1040 X-Ray Drive Suite B CaroMont Internal Medicine Owusu-addo, Yaw Adjei, Gastonia, NC 28054 1867 Remount Road, Suite D Scheitler, John Lawrence, Internal Gastonia, NC 28054 Medicine (704) 854-8799 Williams, Johnathan Deleon, Bell, George C, Internal Goldsboro Medicine CaroMont Family Medicine - South Goldsboro Pediatrics, PA - Goldsboro Gaston Aiken, Warwick, Pediatrics 3050 Riverwood Parkway, Suite B Bathula, Sailatha, 2706 Medical Office Place Gastonia, NC 28056 Goldsboro, NC 27534 Folks, Jacqueline D., (704) 865-1749 (919) 734-4736 Gore, Shawnya A., Family General Practice Valedon, Francisco A., Practice Page 215 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Goldsboro Greensboro Greenville Goldsboro Pediatrics, PA - Goldsboro Internal Medicine Center - Moses Cone East Carolina University Department Pediatrics Health System of Family Medicine 2706 Medical Office Place 1200 North Elm Street 600 Moye Blvd. Goldsboro, NC 27534 Greensboro, NC 27401 Greenville, NC 27858 (919) 734-4736 (336) 832-8062 (252) 744-4615 General Internal Emergency Practice Medicine Medicine Bean, Cory, Golding, Elizabeth Lloyd, Keen, Susan, Pediatrics Joines, Jerry Dale, Family Practice Boyd, Erika Schosser, Klima, Lawrence David, Bray, Emily, Cook, Marilue M, Rogers, Charles Stewart, Buckman, Francis, Hoover, Jennifer Jarrett, Woodyear, Wynne E, Cao, Qing, Hoover, Michael S, Moses Cone Family Practice Daugherty, Janice, Horton, Teague, 1125 N Church Street Greensboro, NC 27401 Edwards, Justin, Howell, Amy Wood, (336) 832-7861 Firnhaber, Jonathon, Tayloe, Jr, David Thomas, Family Johnson, Ashton Fox, Granite Falls Practice Knapp, Greg, Crown Health Care, PA - Granite Falls Breen, James O, Larsen, Lars, Primary Care Clinicans Chambliss, Marshall L, One Trade Street Lee, Tae, Hale, Wayne Andrew, Granite Falls, NC 28630 Levine, Gary, (828) 396-3136 Hensel, William Arthur, Newman, Robert, Family Jordan, Sarah T, Patton, Dean, Practice Mcdiarmid, Todd Durant, Guttler, Sanford, Rawl, Richard, Neal, Sara Lynn, Kerr, Kirsten, Schmidt, Susan, Obstetrics & Greensboro Gynecology Steinweg, Kenneth K, Cornerstone Health Care, PA - Lucas Pratt, Tanya Suzanne, Ugoji, Amanze, Pediatrics Novant Medical Group - New Garden Watson, Ricky L, 1416 Yanceyville Street Medical Associates Obstetrics & Greensboro, NC 27405 1941 New Garden Road Gynecology (336) 510-5510 Greensboro, NC 27410-255 Butler, Dorothy, Pediatrics (336) 288-8857 Greene County Healthcare, Inc-JDBM Eubanks, Amy H., Family Practice 261 Belvoir Highway Lucas, Kathleen E, Greenville, NC 27834 Dewey, Elizabeth R, Orugunta, Raveendra Babu, (252) 695-6352 Shick, Kathryn Anne, Sladek-lawson, Rosemarie, Family Greenville Practice Internal Medicine Center - Moses Cone Health System East Carolina University Department Kahwagi, Maya, of Family Medicine 1200 North Elm Street Harrisburg Greensboro, NC 27401 600 Moye Blvd. CHS Cabarrus Family Medicine - (336) 832-8062 Greenville, NC 27858 Harrisburg (252) 744-4615 Internal 4315 Physicians Blvd., Ste. 101 Medicine Emergency Harrisburg, NC 28075 Medicine Butcher, Elizabeth Anne, (704) 455-6521 Page 216 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Harrisburg Harrisburg Hendersonville CHS Cabarrus Family Medicine - CMC-NorthEast Pediatric Primary Hendersonville Pediatrics PA- Harrisburg Care - Rocky River Pediatrics Hendersonville Office 4315 Physicians Blvd., Ste. 101 5427 Highway 49 South 600 Beverly Hanks Centre Harrisburg, NC 28075 Harrisburg, NC 28075-7408 Hendersonville, NC 28792 (704) 455-6521 (704) 455-5565 (828) 693-3296 Family Pediatrics Pediatrics Practice Nuse, Patricia Lyn, Wilson, Carol, Beal-Landis, Esther Rebecca, Samuel, Colleen R, Hickory Ha, Victor L. K., Soucie, Carol J, Crown Health Care, PA - Generations Martin, Stacey L. W., Henderson Family Medicine and Aesthetics Pollack, Ronald A., 212 29th Avenue NE, Suite 2 Duke Primary Care - Henderson Hickory, NC 28601 Walker, Katherine M., Family Medicine (828) 485-2762 CHS Harrisburg Family Physicians 480 Ruin Creek Road Henderson, NC 27536 Family 12170 University City Boulevard Practice Harrisburg, NC 28075 (252) 492-3152 Caporossi, Lisa M, (704) 455-9388 Family Practice Chambers, Dana LeAnn, Family Practice Hall-Wilson, Hope Diane, Crown Health Care, PA - Medical Art Clinic Faircloth, Jr., Jackie Rex, Mills, John Franklin, 24 Second Ave. NE McMillan, Jennifer L., Schmit, Kristine Marie, Hickory, NC 28601 Pittman, Susan R., Wiggs-Grimes, Aretha, (828) 328-2231 Suggs, Theodore F., Nurse Family Practitioner Practice White, Gloria J., Brinker, Celia S, Burton, Michael, Woosley, Kirk Lyle, De La Garza, Carlos, Internal Hendersonville Medicine Hendersonville Family Health Glenn, Robert, Goodwin, Bonnie, Center/Family Practice Residency Leonard, Baxter, Program CMC Northeast Adult Primary Care - 709 N. Justice Street, Suite B Polster, Scott, Ardsley Internal Medicine Harrisburg Hendersonville, NC 28791 Tridico, Trina Insook, 5424 Highway 49 South, 5427 Hwy 49 South Family Crown Health Care, PA - Springs Roa Harrisburg, NC 28075 Practice Family Practice (704) 454-7360 Crane, Steven D., 2359 Springs Road Hickory, NC 28601 Internal Jones, Geoffrey L., Medicine (828) 256-9853 Shaker, Hayam K., Blanks, Esther L., Family Hendersonville Pediatrics PA- Practice Blanks, Esther L., Hendersonville Office Faltermayer, William C, Gaines, Ashley P., 600 Beverly Hanks Centre Hendersonville, NC 28792 Nelson, John Doug, Gaines, Ashley P., (828) 693-3296 Viewmont Internal Medicine CMC-NorthEast Pediatric Primary Pediatrics 1375 4th Street Dr NW Care - Rocky River Pediatrics Hickory, NC 28601 Goodwin, Linda S, 5427 Highway 49 South (828) 322-1213 Harrisburg, NC 28075-7408 Moss, Derek W, (704) 455-5565 Internal Smith, Anne B, Medicine Pediatrics Volk, James Victor, Hirsch, Michael M, Page 217 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina High Point High Point High Point Cornerstone Health Care - Cornerstone Cornerstone Health Care - Emerywood Cornerstone Health Care-Cornerstone Internal Medicine at Premier Medical Specialties Pediatrics at Westchester 4515 Premier Drive, Suite204 810 Lindsay Street 1814 Westchester Drive, Suite 203 High Point, NC 27265 High Point, NC 27262 High Point, NC 27262 (336) 802-2075 (336) 802-2060 (336) 802-2100 Internal Internal Pediatrics Medicine Medicine Ellis, Gregory Carl, Cabeza, Yuri, Burns, Kevin L., Poston, Mary Allison, Smith, Lafayette Lyle, Gallemore, Warren G., Ravenel, Samuel Dubose, Stone, Grady M, Pollock, Nelson E., Hillsborough Velazquez, Gretchen Yazmine, Cornerstone Health Care - High Point Family Practice Duke Primary Care - Hillsborough Woods, Samuel T, Family Medicine 905 Phillips Ave 405 Meadowland Drive Cornerstone Health Care - Cornerstone High Point, NC 27262 Internal Medicine Westchester Hillsborough, NC 27278 (336) 802-2040 1814 Westchester Drive, Suite 301 (919) 732-8131 High Point, NC 27262 Family Practice Family (336) 802-2025 Practice Haimes, David M., Internal Crummett, Daniel, Medicine Mahaffey, Danielle L., Orendorff, Rebecca L, Orr, Richard Lowman, Mcfadden, John C., Page, Coin T., Rostand, Robert Alton, Rice, Kathleen Mary, Ringel, Sarah, Terrell, Grace Emerson, Weaver, John W., Satter, Jane, Tonuzi, Racquel Marie, Cornerstone Health Care - Piedmont Centre Family and Sports Medicine Shapley-quinn, Todd, Ziolkowska, Aldona, 4515 Premier Drive, Suite 201 Hillsborough Pediatric and Adolescen Cornerstone Health Care - Cornerstone High Point, NC 27265 Medicine, PLLC Premier Care (336) 802-2040 1000 Corporate Drive, Suite 401 4515 Premier Drive, Suite 402 Hillsborough, NC 27278 High Point, NC 27265 Family Practice (919) 245-3344 (336) 802-2210 Aguiar, Rafaela M., Pediatrics Family Practice Kelly, Samuel S., Clepper-Faith, Melissa R., Hawks, Aldene Nelson, Tipton, John S, Orange Family Medical Group 210 S Cameron Street Cornerstone Health Care - Deep River Cornerstone Health Care-Cornerstone Hillsborough, NC 27278 Family Medicine Pediatrics at Premier 4515 Premier Drive, Suite 308 4515 Premier Drive, Suite 203 Family High Point, NC 27265 High Point, NC 27265 Practice (336) 802-2050 (336) 802-2200 Axelbank, Arthur, Family Internal Bowen, Laura M, Practice Medicine Klein, Jonathan Edan, Kalish, Michael J., Tarter, David M, Nurse Cornerstone Health Care - Emerywood Pediatrics Practitioner Medical Specialties Anderson, James Cochran, Raymond, Dawn E, 810 Lindsay Street High Point, NC 27262 Dial, Tasha, Holly Ridge (336) 802-2060

Page 218 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Holly Ridge Huntersville Huntersville North Whiteville Urgent Care & CHS Mecklenburg Medical Group- Novant Medical Group/Lakeside Family Practice, PA Northcross Family Physicians - Northpoint 308 US Hwy 17 North 16455 Statesville Rd, Ste 200 16525 Holly Crest Lane, Suite 150 Holly Ridge, NC 28445 Huntersville, NC 28078 Huntersville, NC 28078-4911 (910) 264-2334 (704) 302-8600 (704) 384-1725 Internal Internal Family Medicine Medicine Practice Pridgen, James Henry, Gibson, John McNeill, Barringer, Loveleen, Holly Springs Pryor, Evelyn B, Berger, Jeffrey A., Carolina Family Practice and Sports Tagle, Laura Koeppel, Jenike, Thomas E., Medicine (Holly Springs) CHS- South Lake Pediatrics- Phillips, Shari S., 190 Rosewood Centre Drive, Suite 100 Huntersville Sherrill, Thomas M., Holly Springs, NC 27540 16455 Statesville Road, Suite 104 (919) 238-2000 Huntersville, NC 28078 Novant Medical Group/Lakeside Family Physicians - Rosedale Family (704) 801-3097 Practice 14330 Oakhill Park Lane, Suite 200 Pediatrics Huntersville, NC 28078 Hart, William Michael, Brody, Michelle E, (704) 316-1265 Stevens, James R, Burcal, John H, Family Practice Huntersville Clemons, Justina M, Alexanian, Aram, CHS - North Charlotte Medical Ficenec, Michael C, Specialists- Huntersville Garcia, Joseph A, 16455 Statesville Road,, Suite 360 Lawsin, Stella R, LiCause, Gina G., Huntersville, NC 28078 Mukkamala, Sasirekha, Meyer, Barbara E, (704) 801-3300 Scott, Deborah A, University Medical Associates Internal Novant Medical Group / Huntersville (Huntersville) Medicine Pediatric and Internal Medicine 10030 Gilead Road, Suite 200 Batchelor, Thomas A, 17220 Northcross Drive, Suite 110 Huntersville, NC 28078 Huntersville, NC 28078 Bohrer Brown, Carly B, (704) 316-5600 (704) 384-8720 Day, Temple V, Internal Internal Medicine English, Martin E, Medicine Archer, Beth A, CHS - Northcross Family Physicians Hooten, Josephine H, 9726 Sam Furr Road Carpenter, Kent D, Jayne, Beth Ann, Huntersville, NC 28078 McCune, Scott A., (704) 801-3310 Webb, Thomas Stephen, Jamestown Family Pediatrics Practice Barrocas, Joseph, Cornerstone Healthcare - Cornerstone Internal Medicine at Jamestown Hodges, Timothy W., Ferdinands, Lillian S, 604 West Main Street Layman, Holly Marie, Flannery, William K., Jamestown, NC 27282 (336) 802-2015 CHS Mecklenburg Medical Group- Novant Medical Group/Lakeside Northcross Family Physicians - Northpoint Internal 16455 Statesville Rd, Ste 200 16525 Holly Crest Lane, Suite 150 Medicine Huntersville, NC 28078 Huntersville, NC 28078-4911 Jobe, Daniel Brian, (704) 302-8600 (704) 384-1725 Kannapolis Hematology/Oncology Family Practice Higgs, Vetta B, Baker, Brian D., Page 219 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Kannapolis Kannapolis Kings Mountain CHS Cabarrus Family Medicine, PA - CMC-NorthEast Pediatric Primary CaroMont Family Medicine-Kings Kannapolis Care - Suburban Pediatrics Mountain 4949 Professional Park Drive, Suite 101 3396 Cloverleaf Parkway 214 N. Cleveland Avenue Kannapolis, NC 28081 Kannapolis, NC 28083-6992 Kings Mountain, NC 28086 (704) 938-6521 (704) 403-7740 (704) 730-1228 Family Pediatrics Family Practice Practice Desai, Tanvi Naresh, Ha, Anupama Singh, Wilson, Lisa M., Greenlee, Cynthia Renee, Levy, Robert M, Physician Guerriero, Gregory P, Assistant Shepherd, James H., Houston, Shelley A., Williams, Kevin R., Steinbacher, Erika A., Morgann, Robert G., Kinston Trantham, Erin J., Stewart, LaClaire W., Eastern Carolina Physicians, PA- CMC Northeast Adult Primary Care - Kernersville Kinston Kannapolis Internal Medicine 744 Airport Road 559 Jackson Park Road, 559 Jackson Cornerstone Health Care, PA - Park Road Cornerstone Pediatrics Associates of Kinston, NC 28504 Kannapolis, NC 28083 Kernersville (252) 523-0026 (704) 932-1155 861 Old Winston Road, Suite 103 Internal Kernersville, NC 27284 Medicine Internal (336) 802-2300 Medicine Heck, Gary Herschel, Pediatrics Bianchi, Kerry R., John, John Kunnuthara, Smith, Leslie Rierson, Bianchi, Kerry R., Knightdale Jain, Prachee, Physician Assistant Duke Primary Care - Knightdale Jain, Prachee, 162 Legacy Oaks Drive Darty, Shelly Warren, Knightdale, NC 27545 Morris, Brigid A., Novant Medical Group - Forsyth (919) 232-5205 Morris, Brigid A., Internal Medicine Kernersville Family Moser, Robert G., 445 Pineview Drive, Suite 240, Suite 240 Practice Kernersville, NC 27284 Moser, Robert G., Boyd, Tammy Lamonica, (336) 993-2128 Phillip, Wayne B., Hebda, William B, Internal Phillip, Wayne B., Medicine Tanner, John P, Thomas, Harold D, Nnadi, Victoria O, WFPA, PLLC Knightdale Pediatric Office Thomas, Harold D, Novant Medical Group/Kernersville Family Practice 4019 Village Park Drive CMC-NorthEast Pediatric Primary Knightdale, NC 27545 Care - Cabarrus Pediatrics - Kannapolis 291 Broad Street Kannapolis Medical Mall, 543 Jackson Kernersville, NC 27284 Pediatrics (336) 933-8181 Park Rd Brandes, Barbara A, Kannapolis, NC 28083-3657 Family Richardson, Luann F, (704) 403-7720 Practice Woods, Kristi E, Pediatrics Boals, Aaron M, LaGrange Mah, Hans S, Brown, Aleatha A, Goldsboro Pediatrics, PA - LaGrange CMC-NorthEast Pediatric Primary Radiontchenko, Alexei, Care - Suburban Pediatrics Pediatrics Record, Charles L, 3396 Cloverleaf Parkway 114 E Railroad St Kannapolis, NC 28083-6992 Ryter-Brown, Sherry M, LaGrange, NC 28551 (252) 566-5999 (704) 403-7740 Kings Mountain

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North Carolina North Carolina North Carolina LaGrange Lewisville Linville Goldsboro Pediatrics, PA - LaGrange Family Medical Associates of Charles E. Baker MD PA Pediatrics Lewisville/Novant Medical Group 436 Hospital Drive, Suite 230 114 E Railroad St 1225 Lewisville-Clemmons Rd Linville, NC 28646 LaGrange, NC 28551 Lewisville, NC 27023 (828) 737-7711 (252) 566-5999 (336) 712-0700 Family Pediatrics Family Practice Practice Ponzi, Joseph William, Baker, Charles Edwin, Lis, Kimberly Jean, Laurinburg Yale, Jerry David, Williams, W. Cameron, Scots Pine Clinic, PLLC Locust Lillington 515 Lauchwood Drive CHS Cabarrus Family Medicine- Laurinburg, NC 28352 Lillington Family Medical Center Locust (910) 276-1775 7 East Duncan St. 103 Stanley Parkway Drive, Suite A Emergency Lillington, NC 27546 Locust, NC 28097 Medicine (910) 893-2641 (704) 786-6521 Hanmer, Clark B., Family Family Practice Practice The Purcell Clinic 418 South King Street Briggs, John L, Lucas, Steven E., Laurinburg, NC 28352 Lincolnton Trzebiatowski, Margaret I., (910) 276-7570 CHS - Lincoln Family Practice Novant Medical Group/Lakeside Pediatrics 614 Center Drive Primary Care - Locust Byrd, Jeffrey Keith, Lincolnton, NC 28092 236 Market Street, Suite 110 (704) 735-7413 Locust, NC 28097-943 Gallub, Jennifer L, (704) 384-9590 Family Howard, Tharon Currin, Practice Family Mabry, Fredrick H, Practice Reid, Jr., Robert L., O'donnell, Michael Patrick, Vargas, Ricardo, Schwanz, Joan I., Leland Matthews Schwanz, Joan I., Carolinas Coastal Health, PC CHS- Charlotte Pediatric Clinic- Senft, Daniel S., 1003 Olde Waterford Way, Ste 1-C Matthews Leland, NC 28451 Senft, Daniel S., 332 Sam Newell Road, Suite 1500 (910) 338-0588 Tran, Raymond, Matthews, NC 28105 (704) 512-6820 Family CHS - Lakemont Family Medicine Practice 612 Center Drive Pediatrics Adams, James W., Lincolnton, NC 28092 Cleveland, Jeffrey A, (704) 732-3266 Lewisville Prosser, Jodie, Family Wiese, Rachel L, Family Medical Associates of Practice Lewisville/Novant Medical Group CHS Matthews Primary Care Benton, Cammy Renae, 1225 Lewisville-Clemmons Rd 2407 Plantation Drive, Suite 102 Lewisville, NC 27023 Benton, Cammy Renae, Matthews, NC 28105 (336) 712-0700 Sykes, Paul Wilson, (704) 512-4560 Family Sykes, Paul Wilson, Family Practice Practice Linville Beal, Alicia Pauley, Mody, Sachin S., Hess, Terry D., Lee, David Ethan,

Page 221 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Matthews Matthews Midland CHS Mecklenburg Medical Group - Novant Medical Group / First CMC Northeast Adult Primary Care - Matthews Charlotte Physicians Matthews Midland Family Medicine 332 Sam Newell Road, Suite 2000 1401 Matthews Township Parkway, 12925 Hwy 601 South, Suite 300 Matthews, NC 28105 Suite 200 Midland, NC 28107 (704) 302-8500 Matthews, NC 28105 (704) 888-3702 (704) 384-6901 Internal Family Medicine Internal Practice Medicine Bradford, Edward A., Cloud, Edith Elaine, Beverly-Rudisel, Nettie Yvette, Copsis, Peter N., Cloud, Edith Elaine, Burgess, Jr., William C., Johnson, Andrea D, Kelley, T. Maxwell, Karriker, Charlotte K, Kishan, Arfana, Kelley, T. Maxwell, Malone, David P., Knish, Edward J., Mint Hill Martin, Michael J., Mehta, Tejal V., CHS Charlotte Medical Clinic - Mint Musa, Gregory D., Smith, Michael W., Hill Owens, Susan L., 10545 Blair Road, Suite 2100 Thomas, Sasha C, Mint Hill, NC 28227 Nurse Wilds, Caroline, Practitioner (704) 863-9500 Matthews Internal Medicine PLLC White, Sara R, Internal 101 E Matthews Street, Suite 200 Medicine McAdenville Matthews, NC 28105 Richardson, Michael S., (704) 246-3936 CaroMont Family Medicine- Richardson, Michael S., Lowell/McAdenville Internal Simon, Stephanie Y, Medicine 105 Elm Street, PO box 490 McAdenville, NC 28101 Simon, Stephanie Y, Busse, Gregory F, (704) 824-5323 Sangmuah, Eliza N, Mocksville Family Sangmuah, Eugene B., Practice Novant Medical Group / Medical Associates of Davie Novant Medical Group - Matthews Gehle, Randall D., 485 Valley Road Children's Clinic Marquand, Wesley L., Mocksville, NC 27028 1401 Matthews Township Parkway, (336) 761-8000 Suite 100 Mebane Family Matthews, NC 28105-540 Duke Primary Care - Mebane Practice (704) 384-1080 100 E. Dogwood Drive Pediatrics Mebane, NC 27302 Edwards, Joel L., Blanton, Charles M, (919) 563-8400 Nguyen, Phuong M., Craig, Michael, Family Renfroe, William O, Practice Crosby, Betty, Shugart, Christine M, Aldridge, Barbara D, Ezzo, Stephen, Mooresville Grandis, Heidi, Goss, Laurie O, Novant Medical Group / Lakeside Olmedo, Mario Ernesto, Family Physicians-Mooresville Musgrave, Elizabeth Mcelreath, Midland 130 Plantation Ridge Drive, Ste. 100 Parish, Michele M, Mooresville, NC 28117 CMC Northeast Adult Primary Care - (704) 316-1635 Spies, Robert Scott, Midland Family Medicine Thomas, Walter, 12925 Hwy 601 South, Suite 300 Family Practice Young, Pamela, Midland, NC 28107 (704) 888-3702 Bundy, Robert F, Elkins, Stephanie B, Page 222 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Mooresville Mount Airy Mt. Olive Novant Medical Group / Lakeside Novant Medical Group / Medical Goldsboro Pediatrics, PA - Mt. Olive Family Physicians-Mooresville Associates of Surry Pediatrics 130 Plantation Ridge Drive, Ste. 100 865 Westlake Drive 327 Hwy 55 West Mooresville, NC 28117 Mount Airy, NC 27030 Mt. Olive, NC 28365 (704) 316-1635 (336) 719-6100 (919) 658-9123 Family Psychiatry Pediatrics Practice Parrish, Thomas Earl, Nickens, Larry C, Mather, Bruce S., Mount Holly Yeh, Siegfried Chang rong, Panuski, Rebecca M, CHS Riverbend Family Practice Mt. Pleasant Morrisville 215 S. Main Street CHS Cabarrus Family Medicine, PA - Avance Care, P.A. Mount Holly, NC 28120 Mt. Pleasant 6402 McCrimmon Pkwy, Suite 100 (704) 827-3413 8560 Cook Street Morrisville, NC 27560 Family Mt. Pleasant, NC 28124 (919) 655-1000 Practice (704) 436-6521 Family Beatty, Lee A., Family Practice Practice Haney, John Thomas, Adeyina, Feyisayo Adenike, Andersen, Susan R., Toosi, Soraya, Vaikunth, Aparna B, Dobson, Lolo Allen, Mt. Airy Duke Primary Care - Morrisville Kelly, Darren B., Northwest Medical Partners 10950 Chapel Hill Road 280 N. Pointe Blvd. Pons, Lara J., Morrisville, NC 27560 Mt. Airy, NC 27030-2267 Rhodes, Charles W., (919) 327-1630 (336) 719-6001 Sexton, Cheryl D., Family Practice Family Nags Head Practice Barnes-Durity, Monica, Surf Pediatrics PC Gardner, Donald Nelson, Rayala, Christopher Z, 100 East Dune Street Kim, Huyi jin, Nags Head, NC 27959 Sen, Ananya B, Minton, Challie A, (252) 449-5200 Nurse Practitioner Nurse Pediatrics Practitioner Sugg, John Brinkley, Lige, Christian Thor, Sanders, Shannon Leigh, Mount Airy Physician Mt. Holly Assistant Novant Medical Group / Medical Flock, Kellie E., Associates of Surry South Point Family Practice - Mt. Holly 865 Westlake Drive 112 Woodlawn Avenue New Bern Mt. Holly, NC 28120 Mount Airy, NC 27030 Coastal Childrens Clinic (704) 827-3575 (336) 719-6100 703 Newman Road Family Physician New Bern, NC 28562 Assistant Practice (252) 633-2900 Bradshaw, John Martin, Dodd, Mark A., Pediatrics Mt. Olive Hooks, William B., Barden, Graham A., Jackson, Joseph A., Goldsboro Pediatrics, PA - Mt. Olive Copeland, Benjamin J., Pediatrics Kerley, Roger K., 327 Hwy 55 West Crawford, Charles Marston, Seidler, Jay Richard, Mt. Olive, NC 28365 Gunsten, Gregory G., (919) 658-9123 Pediatrics Kafer, Lisa M., Thoppil, Cecil K, Pediatrics Page 223 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina New Bern Oxford PITTSBORO Coastal Childrens Clinic Duke Primary Care - Oxford Family Community Family Medicine - 703 Newman Road Physicians Pittsboro New Bern, NC 28562 101-A Professional Park Drive 75 OLD GRAHAM RD. (252) 633-2900 Oxford, NC 27565 PITTSBORO, NC 27312 (919) 693-3972 (919) 542-2731 Pediatrics Family Family Skladan, LeeAnn B., Practice Practice Warren, Calvin G., Anderson, John B, Butler, Erik Smith, Newton Craft, Patrick Phelps, Holt, James B, Newton Family Physicians, PA Ivery, Latonja M., Sajeevan, Sujatha, 767 West 1st Street Koinis, Thomas F., Princeton Newton, NC 28658-4238 (828) 465-3928 Monical, Cheryl J., Goldsboro Pediatrics, PA - Princeton Pediatrics Family Granville Family Medicine Practice 103 Professional Park A 104 Commercial Dr Princeton, NC 27569 Forshey, Alan Gray, Oxford, NC 27565 (919) 693-7108 (919) 936-3164 Lopina, Bartholomew Joseph, Pediatrics Family Peltzer, David Eric, Practice Griffin, Christopher P, Sherfey, Shannon H., Mahan, Dennis Michael, Ziemer, Carey, Story, Alan Wade, Stock, Andrew Edward, Raeford North Wilkesboro Granville Medical Center dba Karen L. Smith, MD, PA Novant Medical Group / Medical Granville Internal Medicine & 929 West Prospect Avenue Geriatrics Associates of Wilkes Raeford, NC 28376 1032 College Street 1919 West Park Drive (910) 904-1695 North Wilkesboro, NC 28659 Oxford, NC 27565-2507 Family (336) 651-2980 (919) 693-6541 Practice Family Counselor, Smith, Karen L., Practice Professional Montgomery County Primary Care Derick, Jeffrey M., Anderson, Beverly L., Corp - FH FCC - Raeford Swofford, Joel H., Internal 313 Teal Drive Medicine Wilson, Lauralee, Raeford, NC 28376-2599 Chavis, L. Francine, (910) 904-2350 General Practice Ertischek, Stephen D, Family Practice Hefner, Kenny D., Patel, Vikesh, Lowry, Garnett Marcus, Internal Pinehurst Medicine Pinehurst Family Care Center, PA Raleigh Jewell, James E., 10 Aviemore Dr Alliance Family Practice Oxford Pinehurst, NC 28374 4505 Fair Meadows Lane, Suite 101 (910) 215-5555 Raleigh, NC 27607 Duke Primary Care - Oxford Family Physicians Family Family 101-A Professional Park Drive Practice Practice Oxford, NC 27565 Jameson, John W, Brundle, Scott H, (919) 693-3972 Lam, Douglas E, Blue Ridge Pediatrics, LLP Family Manzo, Matthew T, 3124 Blue Ridge Road, Suite 102 Practice Raleigh, NC 27612 PITTSBORO (919) 782-0021 Page 224 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Raleigh Raleigh Raleigh Blue Ridge Pediatrics, LLP Duke Primary Care - Brier Creek Duke Primary Care - North Hills 3124 Blue Ridge Road, Suite 102 10211 Aim Street Internal Medicine Raleigh, NC 27612 Raleigh, NC 27617 3320 Wake Forest Road (919) 782-0021 (919) 484-8345 Raleigh, NC 27609 (919) 855-8911 Pediatrics Family Practice Internal Allen, Louis D, Medicine Bell, Andre E, D'Avanzo, Nicholas J, Thakkar, Madhvi M, Pineo, Caleb Evans, Deepa, Vijay, E. Brooks Wilkins Family Medicine, P Internal DeFlora, Ellen, Medicine 3100 Duraleigh Road, Suite 200 Parekh, Komal H, Raleigh, NC 27612 Glover, Anne K, (919) 571-6465 Parekh, Komal H, Duke Primary Care - Creedmoor Road Family Parekh, Komal, 7200 Creedmoor Road Practice Parekh, Komal, Raleigh, NC 27613 Patel, Jaimita V., (919) 327-1650 Capital Family Medicine Wilkins, Ezra Brooks, 3320 Executive Drive, Ste. 214 Internal Raleigh, NC 27609 Medicine Wilkins, Ezra Brooks, (919) 878-8596 O'connell, Patrick Austin, Internal Medicine Family Schecodnic, Heidi L, Practice Block, Mitchell Howard, Schneider, Richard J., Forsyth, Richard J., Family Medical Assoicates of Raleigh, Nurse PA Henderson, Paul M., Practitioner 3500 Bush Street, Suite 103 Capital Family Physicians, PA Delbuono, Catherine M., Raleigh, NC 27609 2417 Atrium Drive, Suite 201 Duke Primary Care - Harps Mill (919) 875-8150 Raleigh, NC 27607 7021 Harps Mill Road, Suite 100 Family (919) 232-0020 Raleigh, NC 27615 Practice Family (919) 846-2125 Drabick, Andrew J., Practice Internal Flick, Conrad Lloyd, Bommareddi, Anu, Medicine Moore, III, Stephen I., Burkard, John L., Griffiths, William Owen, Internal Medicine Associates of Griffith, Corinne, Jenkins, Sharrah Ericka, Raleigh, PA Carolina Family Practice and Sports Seo, Esther E, 3850 Ed Drive, Suite 100 Medicine (Raleigh) Shroff, Rushad Darius, Raleigh, NC 27612 8300 Health Park, Suite 107 (919) 788-9588 Raleigh, NC 27615-4731 Physician Assistant Internal Family Medicine Practice Neal, Amanda, Ibach, A. Leigh, Becker, David Lowell, Duke Primary Care - North Hills Internal Medicine James, Michael, Foreman, Brett H, 3320 Wake Forest Road Liebowitz, Steven M., Robertson, Noelle Celine, Raleigh, NC 27609 Lue, Jr., John F., Duke Primary Care - Brier Creek (919) 855-8911 Starkenburg, Robert J., 10211 Aim Street Internal Raleigh, NC 27617 Medicine (919) 484-8345 Marucheck, John Thomas, Noble, Richard Claiborne,

Page 225 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Raleigh Raleigh Raleigh Jeffers, Mann, and Artman Pediatrics, Pediatric Partners, PA Raleigh Children and Adolescents PA - Raleigh 5816 Creedmoor Road, Suite 104 Medicine, PC 2406 Blue Ridge Road, Suite 100 Raleigh, NC 27612 2800 Blue Ridge Road, Suite 401 Raleigh, NC 27607 (919) 787-9555 Raleigh, NC 27607 (919) 786-5001 (919) 781-7490 Nurse Pediatrics Practitioner Pediatrics Alexander, Maria Premilla, Gura, Georgette Fernanda, Sena, Thomas J., Herriott, Victoria Margaret, Pediatrics Raleigh Childrens and Adolescent Medicine Jeffers, Robert Gordon, Brenneman, Terry R., 10208 Cerny St, Suite 100 Mann, Larry Douglas, Walker, Melanie Paul, Raleigh, NC 27617 Overcash, Harold Payne, Piedmont Medical Associates, PA (919) 781-7490 Metro Internal Medicine, P.A 3400 Executive Drive, Suite 205 Pediatrics Raleigh, NC 27609 3320 Executive Drive, Suite 222 Fletcher, Jamila Ife Abeni Forte, Raleigh, NC 27609 (919) 878-0900 Raleigh Family Practice (919) 877-1100 Family Practice 4414 Lake Boone Trail, Suite 502 Internal Raleigh, NC 27607 Medicine Britt, Joan D., (919) 875-0539 Holt, Kenneth A., Carr II, Josiah M., Family Neuse Valley Internal Medicine Raleigh Adult Medicine Practice 701 Exposition Place, Suite 218 3100 Blue Ridge Road, Suite 210 Bean, Gary O., Raleigh, NC 27615-3359 Raleigh, NC 27612 Burkhead, Margaret Kelly, (919) 791-2900 (919) 781-7500 Hamrick, Alger V., Internal Internal Medicine Medicine Raleigh Medical Group Anderson, Troy Fletcher, James, Selina L, 3521 Haworth Drive Raleigh, NC 27609 O'Rourke, James Ralph, Jones, Mary E, (919) 341-3618 Rose, Grace Willett, Myatt, Jennifer H, Gastroenterology North Raleigh Pediatric Group Nasr, Viviane, 7205 Stonehenge Drive Rees, Michael S, Jacobs, William R, Raleigh, NC 27613 Rekuc, Gregory M, Hematology (919) 848-2229

Raleigh Children and Adolescents Pediatrics Medicine, PC Dunlap, William M, Coleman, Stephen Ray, 2800 Blue Ridge Road, Suite 401 Internal Dubal, Nirali M, Raleigh, NC 27607 Medicine (919) 781-7490 Flannelly, Christiana, Edmundson, Warner Lee Wells, Pediatrics Frerichs, R E., Fischer, Benjamin Peter, Carr, Marjorie B., McMillan, Michele, Goldman, Brian H, Fletcher, Jamila F., Wilson, Christopher, Harris, Tina Griffin, Gessner, Richard R., Pediatric Partners, PA Lang, III, John Albert, Harris, James T., 5816 Creedmoor Road, Suite 104 Rubino, John, Raleigh, NC 27612 Lehan, Leigh S., Short, Douglas Brian, (919) 787-9555 Meares, Jr., Ben M., Nurse Monroe, Rasheeda T., Practitioner Owrey, Sarah E., Page 226 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Raleigh Raleigh Rockingham Richard D. Adelman, MD Wake Internal Medicine Consultants, Montgomery County Primary Care 7320 Six Forks Rd., Ste 260 Inc. Corp - FH FCC - Richmond Family Raleigh, NC 27615 10880 Durant Road,, Suite 100 Medicine (919) 846-9292 Raleigh, NC 27614 921 South Long Drive, Suite 101 (919) 781-7500 Rockingham, NC 28379-4874 Family (910) 417-3850 Practice Internal Medicine Nurse Adelman, Richard D, Practitioner Hughes, Sarah P., Robert M. Horton Family Practice Martin, Amanda H, 3124 Blue Ridge Road, #101 McDaniels, Christopher N., Millen, Steven Dale, Raleigh, NC 27612 Meier, John J., (919) 782-2333 Physician Pediatrics Assistant Family Gutekunst, Heather R., Practice Collins, Steven B, Wakefield Medical Clinic Horton, Robert M., Montgomery County Primary Care 10831 Forest Pines Drive, Ste 104 Corp.-FH FCC- Carolina Family Wake Internal Medicine Consultants Raleigh, NC 27614 Medicine 3100 Blue Ridge Rd., Suite 300 (919) 488-8066 104 Physicians Park Drive Raleigh, NC 27612 Family Rockingham, NC 28379-5204 (919) 781-7500 Practice (910) 895-1989 Gastroenterology Wagner, Scott David, Physician

Assistant White Oak Pediatrics, PA Herschelman, Marc A., 4414 Lake Boone Trail, Suite 103 Kern, Jeffery Justin, Internal Raleigh, NC 27607 Rocky Mount Medicine (919) 787-0266 Rocky Mount Family Medical Center, Bhat, Bhavna, Pediatrics PA Campbell, Donald B., Anderson, Donna G, 804 English Rd, Suite 100, Suite 100 Carlson, Curtis Bradley, Rocky Mount, NC 27804 Daumen, Judith R, (252) 443-3133 Crater, Christina H., Kelly, Laura H, Family Dougherty, Kevin E., Munt, Robert L, Practice Flescher, Jonathan, William Lee Family Medicine, PA Abel, Mark S, Gillespie, Michael J., 4201 Lake Boone Trail, Suite 102 Hart, Jennifer M, Harper, Wayne L., Raleigh, NC 27607 Mcfadden, Jeffrey Alan, (919) 896-8383 Israel, Rodger D., Michal, Richard G, Family Jariwala, Arvind N., Practice Parker, John Ashley, Levin, Stuart J., Lee, Jr., William D., Physician Mollin, Daniel J., Assistant Rockingham Rico, Anthony L., Geissler, Sarah E, Masoud Ahdieh MD, PA Tyson, Treva W., 711 S. Long Drive Lucas, John M, Wake Internal Medicine Consultants, Rockingham, NC 28379-4315 Mcleod, Julian E, Inc. (910) 997-7180 Migdon, Steven, 10880 Durant Road,, Suite 100 Pediatrics Raleigh, NC 27614 Perry, Rachel L, Ahdieh, Masoud, (919) 781-7500 Roxboro Internal Medicine

Page 227 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Roxboro Sanford Snow Hill Roxboro Family Medicine & Community Family Medicine Greene County Health Care, Inc.-Snow Immediate Care, PC 2412 Wilkins Dr Hill 3762 Durham Road, Suite B Sanford, NC 27330 7 Professional Drive Roxboro, NC 27574 (919) 776-6000 Snow Hill, NC 28580 (336) 322-1701 (252) 747-8162 Family Family Practice Family Practice Practice Tyler, Michael J., Bolden, Taineisha Cellel, Smith, Mackenzie Marie, Nurse Godard, Michael J, Practitioner Internal Medicine Obstetrics & Julich, Cynthia, Gynecology Osta, Elie, Strayhorn, Christine, Granger, Eugene Ronald, Greene County Healthcare, Inc-KBR Shelby Salisbury 205 Martin Luther King Jr Parkway CaroMont Family Medicine - Shelby Snow Hill, NC 28580 Novant Medical Group / Rowan Family 520 N. Dekalb Street (252) 747-4199 Physicians Shelby, NC 28150 650 Julian Road Emergency (704) 484-8001 Medicine Salisbury, NC 28147 Family (704) 637-3373 Saltz, jr., James Edwin, Practice Family Obstetrics & Gynecology - CA Denning, Christopher Marshal, Practice PCP Denning, Christopher Marshal, Barrier, Ronnie Jay, Imhoff, Anna Lorraine, Jones, Mary Mckeel, Connelly, Jason Robert, Pediatrics Jones, Mary Mckeel, Kribbs, John B, Moreno, Carmen Lucia, Lachance, Lynda M, Myers, Kim Morgan, Southern Pines Lachance, Lynda M, Ott, Benjamin Thomas, Premier Pediatrics, PA SCCN-15 South, Bethany July, 135 Turner St 711 N. Dekalb Street Southern Pines, NC 28387-7054 Sanford Shelby, NC 28150 (910) 246-2229 (704) 482-1482 Brick City Primary Care Pediatrics 125 Chatham Street Internal Ramgoolam, Andres, Sanford, NC 27330 Medicine (919) 775-1115 Roberson, Jill R., Aldinger, Kyle Anthony, Family Sandhills Pediatrics, Inc. Besson, Gideon, Practice 195 West Illinois Avenue Caunt, Calvin Leslie, Garrett, Dana L, Southern Pines, NC 28374 Coalson, Barry Edward, (910) 692-2444 Physician Assistant Davis, Daniel Edwin, Pediatrics Lloyd, Larry Phillip, Melton-Smith, Renee Brontae, Boals, Joseph Calloway, Community Family Medicine Rabindran, Evelyn Angelina, Carlton, Wendi M., 2412 Wilkins Dr Ribadeneyra, Michael G., Diasio, Christoph Robert, Sanford, NC 27330 Rheumatology Locklear, Sarah Ransom, (919) 776-6000

Mason, Nora Catherine, Emergency Ferrell, P Brent, Medicine Sherrington, Brian Thomas, Snow Hill Wilson, Robert, Stewart, William Lee, Stanley

Page 228 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Stanley Thomasville Vale CaroMont Family Medicine- Stanley Cornerstone Health Care - Piedmont CHS - West Lincoln Family Medicine 700 North Main Street Internal Medicine 4429 W. Hwy 27 Stanley, NC 28164 711 National Highway, Suite 500 Vale, NC 28168 (704) 263-8945 Thomasville, NC 27360 (704) 748-2245 (336) 474-1995 Family Family Practice Internal Practice Medicine Emerson, Russell I., Glass, Jason Lee, Furr, Sara M., Larsen, Per L., Glass, Jason Lee, Mckinney, John J., Mccants, Deidra Dayoka, Wake Forest Cornerstone Health Care-Thomasville Physician Family Practice Duke Primary Care - Wake Forest Assistant Family Physicians 201 West Holly Hill Road 11635 Northpark Drive, Suite 200 Sikes, Michael Randolph, Thomasville, NC 27360 Wake Forest, NC 27587 South Point Family Practice - Stanley (336) 475-9164 (919) 570-6060 159 E. Dallas Raod Family Stanley, NC 28164 Practice Family (704) 263-0300 Practice Dellinger, Robert Cedric, Battle, Jamila R., Family Futrell, Thomas Milton, Practice Troiano, Jason, Gentry, Daniel Earl, Reed, Derek M., Wilson, Larry, Trinity Starr, Eric William, Jeffers, Mann, and Artman Pediatrics Stovall Cornerstone Health Care - Cornerstone PA - Wake Forest Family Practice at Trinity 110 Capcom Avenue, Suite 110 Granville Health System dba Stovall 6329 Unity Street, Suite I Wake Forest, NC 27587 Medical Center Trinity, NC 27360 (919) 453-5363 100 Durham Street (336) 802-2270 Stovall, NC 27565-0022 Pediatrics Family (919) 690-8880 Covington, Suzanne Steele, Practice Family Loibissio, Joseph Charles, Jacobucci, Nicola Joseph, Practice Village Family Care (Wake Forest) Troy Mahan, Dennis Michael, 3213 Rogers Road Summerfield FirstHealth Family Care Center - Troy Wake Forest, NC 27587-3805 522 Allen St., Suite 101 (919) 562-2225 Cornerstone Family Practice at Troy, NC 27371 Summerfield Family (910) 571-5545 4431 USHighway 220N Practice Family Summerfield, NC 27358 Cefalu, Joseph A., Practice (336) 643-7711 Konopka, Scott E., Eller, Chrystal Faye, Family Rounds, J. Carson, Practice Mid Carolina Family Medicine Weber, Thomas N., Burnett, Brent Alan, PO Box 726, 1038 Albemarle Road Troy, NC 27371 Wake Forest Pediatric Associates Moreira, Fernanda, (910) 572-1785 1655 Wake Drive, Suite 101 Stallings, Sheila Clark, Family Wake Forest, NC 27587 Wilson, Fred Henry, Practice (919) 556-4779 Obstetrics & Vang, Touber, Pediatrics Gynecology Vale Brandes, Barbara A, Kaplan, Kristen, Davis, Kimberly, Thomasville Ercolino, Peter, Page 229 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Wake Forest West End Whiteville Wake Forest Pediatric Associates Montgomery County Primary Care Peggy Sue Barnhill, MD 1655 Wake Drive, Suite 101 Corp - FH FCC - Seven Lakes 116 Memory Plaza Wake Forest, NC 27587 1035-C Seven Lakes Drive Whiteville, NC 28472 West End, NC 27376-9081 (919) 556-4779 Family (910) 673-0045 Pediatrics Practice Physician Jain-Rodriguez, Anitha Kamla, Barnhill, Peggy S, Assistant Richardson, Luann F, Signet Healthcare, Inc Matthews, Daniel Alan, 109 N. JK Powell Blvd, PO Box 1527 Ulrich, Beth Anne, Whiteville Whiteville, NC 28472 Weinstein, Naomi, Carolinas Health Care System (910) 640-7070 Walstonburg 500 Jefferson Street Family Greene County Healthcare, Inc-WMC Whiteville, NC 28472 Practice 205 Main Street (910) 653-7000 Verrett, Charlotte Inez, Walstonburg, NC 27888 Family Internal (252) 753-3771 Practice Medicine Physician Ragsdale, Kimberly Renee, Berry, Richard Garth, Assistant Columbus County Health Dept Southeast Primary Care Mizell, Rachel Kathryn marie, 304 Jefferson Street, PO Box 810 619 Jefferson Street Waxhaw Whiteville, NC 28472-0810 Whiteville, NC 28472 (910) 641-3914 Novant Medical Group - Waxhaw (910) 642-0331 Family Physicians & Sports Medicine Nurse Family 3614 Providence road, Suite 200, Suite Practitioner Practice 200 Brown, Rebecca Hinnant, Perdue, Christy T, Waxhaw, NC 28173 Columbus Internal Medicine (704) 384-8604 Internal 800 Jefferson Street, Suite 113 Medicine Family Whiteville, NC 28472 Hodgson, John David, Practice (910) 642-3356 Martin, David A, Evans, Lilian Q, Internal Guthmann, Howard M, Medicine Whiteville Cardio-Pulmonary PC 329 Jefferson Street Martin III, William G., Fernz, Miriam Minu, Whiteville, NC 28472 Warren, Eric Thomas, Columbus Pediatrics & Adolescent (910) 642-4711 Care PA Weddington Family 800 Jefferson Street, Suite 116 Practice CHS - Weddington Family Medicine Whiteville, NC 28472-3702 1928 Highway 84 (910) 642-2642 Farias, Shobha, Weddington, NC 28104 Pediatrics Whiteville Medical Associates (704) 841-2175 823 Jefferson St, PO Box 1528 Matthews, Coy Randolph, Family Whiteville, NC 28472 Practice Wilkins, III, John, (910) 642-6121 Branton, Tara Lorraine, Physician Family Assistant Practice Branton, Tara Lorraine, Shanks, Amalie Beth, Thigpen, Fronis Ray, Ladd-Snively, Susan E., Peggy Sue Barnhill, MD Traylor, Henry W, Ladd-Snively, Susan E., 116 Memory Plaza Pediatrics Sharma, Anuj, Whiteville, NC 28472 Waldman, Richard M, Sharma, Anuj, Family Wilmington West End Practice Page 230 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Wilmington Wilmington Winston Salem New Hanover Community Health New Hanover Medical Group - Ogden Cornerstone Health Care - Brookview Center 7420 Market Street Hills Internal Medicine 925 N. 4th Street Wilmington, NC 28411 3333 Brookview Hills Blvd, Suite 207 Wilmington, NC 28401 Winston Salem, NC 27103 Family (910) 343-0270 Practice (336) 765-5250 Family Dickerson, Janice F, Internal Practice Medicine Messier, Amy E, Baijnath, Nalini Shrimattie, Klein, Steven Russell, Pierson, Margaret Wooten, New Hanover Medical Group - Central Smith, William T., Pierson, Noah Ross, 1960 S. 16th Street Physician Wilmington, NC 28401 Internal Assistant (910) - Medicine Klein, Patricia Mills, Family Manolukas, Peter, Valente, Louis Rocco, Practice Messier, Matthew R, Forsyth Internal Medicine Almond, Charles M, New Hanover Regional Medical Center 1381 Westgate Center Drive Bridger, Dewey H, Coastal Family Medicine Center, 2523 Winston Salem, NC 27103 Delaney Avenue Carter, Deborah S, (336) 718-0100 Wilmington, NC 28403 Internal (910) 330-3602 Internal Medicine Medicine Family Eakins, Joey William, Practice Day, James W., Herring, Charles B, Downs, Heather L, Day, Jennifer Beth, Kornegay, Jeffrey Todd, Meyer, Jr., Albert A, Eberle, Robert A., Lewis, Clifford T, Winston - Salem Galbreath, John W., New Hanover Medical Group - Myrtle Garrison, Michael S., Downtown Health Plaza Grove 1200 MLK Drive Marx, Richard S, 5145 S. College Road Winston - Salem, NC 27101 Wilmington, NC 28412 Nadler, Jaclyn Sheri, (336) 713-9800 Family Ragonesi, Peter B, Pediatrics Practice Wigand bolling, Gwendolyn, Albertini, Laurie A, Daniel, Christian P, Winston-East Pediatrics Musselwhite, III, Neill H, Cohen, Gail Michelle, 2295 E. 14th Street Suite 100 Winston Salem, NC 27105 Player, John Gregory, Goodpasture, Meggan Lee, (336) 713-8865 Internal Krowchuk, Daniel Peter, Pediatrics Medicine Krowchuk, Daniel Peter, Dockery-Howard, Pamela Sharee, Gregory, Dixon Elijah, Parks, Lenore Yvonne, Fleming, Charlene McCain, Karras, Dean H, Sagerman, Paul James, Gordon, Karyn Bayinah, Martin, Shona Ferrier, Winston Salem Physician Warhaftig, Jeffrey L, Cornerstone Health Care - Brookview Assistant New Hanover Medical Group - Ogden Hills Internal Medicine Dillard, Wilbert Clark, 7420 Market Street 3333 Brookview Hills Blvd, Suite 207 Wilmington, NC 28411 Winston Salem, NC 27103 Winston-Salem (336) 765-5250 Family Ardmore Family Practice Practice Internal 2805 Lyndhurst Avenue Medicine Boldizar, John D, Winston-Salem, NC 27103-4109 Collins, David Dutrow, (336) 659-0076 Broadbent, Bryan Jh, Page 231 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Winston-Salem Winston-Salem Winston-Salem Ardmore Family Practice Downtown Health Plaza Adult Novant Medical Group - Friedberg 2805 Lyndhurst Avenue Medicine Clinic Family Medicine Winston-Salem, NC 27103-4109 1200 Martin Luther King Drive 5010 Peters Creek Parkway (336) 659-0076 Winston-Salem, NC 27101 Winston-Salem, NC 27127 (336) 713-9602 (336) 788-4664 Family Practice Internal Family Medicine Practice Rosen, Robert Dean, Feiereisel, Kirsten B, Morgan, G Lon, Sapp, Amy Caroline, Lichstein, Peter R, Novant Medical Group - Gateway Cornerstone Health Care - Total Family Practice Family Care Miller, David P, 390 Salem Avenue 3333 Brookview Hills Blvd, Suite 107 Pedley, Carolyn R, Winston-Salem, NC 27101-586 Winston-Salem, NC 27103 Velez, Ramon, (336) 721-2375 (336) 760-8380 Wofford, James L, Family Family Practice Practice Maplewood Family at the Village Hollar, Larry A, Hilton, Suzanne Elizabeth, 5110 Robinhood Village Drive Winston-Salem, NC 27106 Howell, Leigh Ellis, Lischke, Aimee S, (336) 277-7000 Lee, Holly W., Cornerstone Health Care, PA - Ford, Family Simpson, Lively & Rice Pediatrics Novant Medical Group - Robinhood Practice 2909 Maplewood Avenue Pediatrics and Adolescent Medicine Winston-Salem, NC 27103 Davis, Vu D., Center (336) 794-3380 Fink, James T., Robinhood Medical Plaza, Building 20 Winston-Salem, NC 27106 Family Peral, Lindsay S, Practice Pediatrics Novant Medical Group - Forsyth Rice, Kathleen Mary, Pediatrics Westgate Anderson, David Scott, Pediatrics 1351 Westgate Center Drive Bell, Alfred Dudley, Winston-Salem, NC 27103-293 Armentrout, Mary E., Clifford, Barbara Ann, Pediatrics Cannon, Karen S., Krowchuk, Daniel Peter, Adams, Melanie, Erickson, Carrie, Krowchuk, Daniel Peter, Alden, Margaret Stokes, Ford, Robert V., Latta, Harold Frank, Erickson, Lia Simpson, Kooy-smith, Gwyn E, Pinder, Julie M, Gardner, James D., Silkstone, Margaret L., Rainey, David Y, Griffith, Mary M., Simpson, Martha K., Novant Medical Group - Twin City Hadley, Mary, Pediatrics Stewart, William P, Paynter, Robert M, 2821 Maplewood Avenue Yoder, Amy Beisswanger, Winston-Salem, NC 27103-413 Robinson, Ellen R., Downtown Health Plaza Adult Family Medicine Clinic Rogers, James Michael, Practice 1200 Martin Luther King Drive Williams, Robert L., Brammer, Jennifer A, Winston-Salem, NC 27101 Novant Medical Group - Friedberg Pediatrics (336) 713-9602 Family Medicine General 5010 Peters Creek Parkway Ajizian, Vanessa K, Practice Winston-Salem, NC 27127 Harper, Katherine Meadows, Denizard-Thompson, Nancy M, (336) 788-4664 Kribbs, Leticia M, Internal Family Satterwhite, III, William H., Medicine Practice Taha, Samina Habib, Page 232 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

North Carolina North Carolina North Carolina Winston-Salem Winston-Salem Winston-Salem Novant Medical Group - Twin City Novant Medical Group / Salem Family Wake Forest Baptist Health Family Pediatrics Practice Physicians 2821 Maplewood Avenue 105 Vest Mill Circle Medical Center Blvd Winston-Salem, NC 27103-413 Winston-Salem, NC 27103 Winston-Salem, NC 27157 Pediatrics (336) 718-7800 (336) 716-2833 Warner, Benjamin Welton, Family Physician Practice Assistant Novant Medical Group / Maplewood Family Practice Thomas, John B.R., Shull, Catherine Neal, 100 Robinhood Medical Plaza Worf, Richard C., Wake Forest university - Peace Haven Family Medicine Winston-Salem, NC 27106 Wake Forest Baptist Health Family (336) 718-0800 Physicians Medical Center Blvd, Piedmont Buidling, Dept. Family Medicine Family Medical Center Blvd Winston-Salem, NC 27157 Practice Winston-Salem, NC 27157 (336) 716-9015 Bissette, Stephen G., (336) 716-2833 Family Family Cannon, Thomas B., Practice Practice Jones, Jr., Champ M., Andrews, Mark Douglas, Adler, Michael Langly, Kelly, Robert G., Andrews, Mark Douglas, Andrews, Mark Douglas, Moyer, Frank R., Farland, Sandra Bryant, Andrews, Mark Douglas, Pressly, Cressent Hudson, Stewart, Alicia Walters, Cartwright, Sarah Lieber, Stugart, Rick H., Westgate Pediatrics Case, Kimberly Anne, Van Zandt, Keith B., 3746 Vest Mill Road Cassidy-vu, Lisa Anne, Winston-Salem, NC 27103 Novant Medical Group / North Point Medical Associates Celestino, Frank Samuel, (336) 774-0710 1995 Bethabara Road Coates, Michael Lee, Pediatrics Winston-Salem, NC 27106 Jackson, Jr., David Stone, Bates, Shayne, (336) 718-4043 Knudson, Mark Paul, Heinrich, Marcela, Family Practice Latham-Sadler, Brenda Arlene, Kreiter, Shelley, Lendle, Donald L., Lord, Richard William, Weinshilboum, Rebecca, Internal Namak, Shahla Y, Yadkinville Medicine Rosenbaum, Daryl A, Yadkin Valley Community Physicians Dalton, Timothy J., Spangler, John G, 624 W. Main Street, PO Box 68 Yadkinville, NC 27055 Madden, Christopher A, Strickland, Carmen G, (336) 679-6758 Novant Medical Group / Salem Family Thornton, Heath Crumpler, Practice Family General Practice 105 Vest Mill Circle Practice Winston-Salem, NC 27103 Long, Thomas Smither, Clinch, Charles Randall, (336) 718-7800 McGrath, James Stuart, Internal Family General Medicine Practice Practice Barham, Ann Hiott, Braswell, Sherill D., Ziglar, Jerry Thomas, Christakos, Christopher N., Physician Assistant Ohio Davis, John F., Curtis, Laura Gail, Beachwood Howell, Travis Worth, Marion, Gail S, Roach, III, John G., Page 233 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Beachwood Brunswick Cincinnati Cleveland Clinic Beachwood Family Cleveland Clinic Brunswick Family Dr. Jeffrey L. Craig and Dr. John R. Health and Surgery Center, Health Center, Departments of Internal Schroder Departments of Internal Medicine and Medicine and Family Medicine 3805 Edwards Road, Suite 130 Family Medicine 3574 Center Road Cincinnati, OH 45209 26900 Cedar Road Brunswick, OH 44212 (513) 564-3960 Beachwood, OH 44122 (330) 225-8886 Internal (216) 839-3000 Internal Medicine Family Medicine Craig, Jeffrey, Practice Aldoori, Dhia, Schroder, John R, Goodman, Kenneth, Salay, Elizabeth M., Group Health Associates - Anderson Lipold, Laura, Chagrin Falls 7810 Five Mile Rd Podl, Tod, Cleveland Clinic Chagrin Falls Family Cincinnati, OH 45230 Powell, Brenda, Health Center, Departments of Internal (513) 246-7000 Medicine and Family Medicine Rabovsky, Michael, Family 551 East Washington Street Practice Varghai, Nayyer, Chagrin Falls, OH 44022 Breslin, Kevin J, Internal (440) 893-9393 Medicine Handleton, Michael R, Family Bal, Baljit, Practice Kleinfelder, James, Borukh, Elena, Hamler, Scott, Internal Medicine Feinleib, Steven, Juliano, Erin, Abbott, Susan, Goraya, Shazia, Young, Christopher, Brune, Marybeth, Beavercreek Yunus, Samina, Nicholas, Sharon, Daniel L. Whitmer, MD Internal 2510 Commons Blvd, Suite 275 Medicine Rechtin, Robert, Beavercreek, OH 45431 Chen, Yong, Vrishabhendra, Leela, (937) 431-3700 Long, Donald, Group Health Associates - Kenwood Family South Russell Family Practice, Inc. 8245 Northcreek Dr Practice 5192 Chillicothe Road, Suite 101 Cincinnati, OH 45236 Whitmer, Daniel L, Chagrin Falls, OH 44022 (513) 246-7000 Brunswick (440) 338-3366 Internal Medicine Cleveland Clinic Brunswick Family Family Health Center, Departments of Internal Practice Frias, Mayra, Medicine and Family Medicine Garren-Hudson, Kimberly Ann, Hamad, Joseph, 3574 Center Road Kale, Neelima Jayavant, Hellmann, Robert, Brunswick, OH 44212 (330) 225-8886 Rood, Mark N., Marklay, Jennifer M, Family Cincinnati Mccoy, Malinda M, Practice Charles Eger, MD and Theodore S. Pembaur, Berthold, Cain, Robert, Marty III, MD Group Health Associates - Western Meacham, Mark, 1507 Springfield Pike Hills Cincinnati, OH 45215 2001 Anderson Ferry Rd Miller, Timothy, (513) 821-6500 Cincinnati, OH 45238 Poptic, Jennifer, Internal (513) 246-7000 Tulisiak, Thomas, Medicine Internal Williams, Marc, Eger, Charles H, Medicine Marty, Theodore S, Fieler, Lisha, Page 234 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Cincinnati Cincinnati Cincinnati Group Health Associates - Western Group Health Associates - Springdale My Doctor, LLC Hills 55 Progress Place 9050 Montgomery Road, Suite B 2001 Anderson Ferry Rd Cincinnati, OH 45246 Cincinnati, OH 45242 Cincinnati, OH 45238 (513) 346-5000 (513) 631-6963 (513) 246-7000 Internal Internal Internal Medicine Medicine Medicine Lafranconi, Paula J., Magenheim, Douglas A., Mueller, Thomas, Neirouz, Yvette, Queen City Medical Group Reuss, Raymond, Smith, Ronald, 463 Ohio Park, #300 Seltzer, Kimberly, Cincinnati, OH 45255 Wallace, Christine, (513) 528-5600 Sharma, Yogesh, Lincoln Heights Health Center Internal Group Health Associates - Clifton 1401 Steffen Ave Medicine 2915 Clifton Ave. Cincinnati, OH 45215 Collins, Francis M., Cincinnati, OH 45220 (513) 483-3091 (513) 246-7000 Dolensky, Diane J., Family Family Practice Feghali, Georges M., Practice Krebs, Heidi, Kourie, Michel A., Itzkowitz, Maralyn, Internal Macavei, Sorina M., Niemeyer, Lee E, Medicine Massoud, Paul J., Pullen-James, Shayla, Lenchitz, Bernard, Queen City Physicians-Madeira Internal Weatherington, Mary A, 7825 Laurel Avenue Medicine Nurse Cincinnati, OH 45243-2608 Firestone, Melvin, Practitioner (513) 561-4811 Froschauer, William, Colella, Christine L, Family Practice Jadeed, Katheryn Ellen, Lisa Larkin M.D. & Associates Dressler, Robert E, Lustig, David, 4460 Red Bank Expressway, Suite 100 Cincinnati, OH 45227 Internal Miller, E Huxley, (513) 271-5111 Medicine Smith, Robert C, Internal Kholodenko, Yana, Youkilis, Abbie, Medicine Weinberg, Nolan L, Group Health Associates - Finneytown Joliat, Lisa, Queen City Physicians-Western Hills 9070 Winton Rd Larkin, Lisa C, Internal Medicine Cincinnati, OH 45231 Miller, Kim L, 6350 Glenway Avenue #400, Suite 400 (513) 246-7000 Cincinnati, OH 45211-6396 Stegman, Susan, Internal (513) 481-3400 Medicine Wright, Maria Beth, Internal Budke, Kevin, Mt Healthy Family Practice Medicine Spaedy, Melanie, 8146 Hamilton Avenue Alexander, Marc A, Cincinnati, OH 45231 Group Health Associates - Springdale Aurand, Theresa A, (513) 483-3080 55 Progress Place Carrigan, Terrence J, Cincinnati, OH 45246 Family Practice Shetty, M.V. V, (513) 346-5000 Enriquez, Jessica C, Shetty, Roshni, Internal Medicine Nurse Tante-Takougang, Prudence, Practitioner Kallenberg, Richard B., Johnsen, Debra A, Page 235 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Cincinnati Cincinnati Cincinnati Queen City Physicians-Western Ridge TriHealth Physician Practices LLC - TriHealth Physician Practices LLC - Internal Medicine Blue Ash Family Physicians R.N. Shenai MD, Inc 6949 Good Samaritan Drive, Suite 210 4422 Carver Woods Drive, Suite 100 10196 Springfield Pike Cincinnati, OH 45247 Cincinnati, OH 45242 Cincinnati, OH 45215 (513) 931-2400 (513) 792-4700 (513) 771-0800 Internal Family Family Medicine Practice Practice Dammel, Richard M, Fiehrer, Kevin D, Saraf, Smita Anil, Gall, Ronald M, Stretcher, Denise M, Shenai, Usha R, LaHue, Dale J., TriHealth Physician Practices LLC - TriHealth Physician Practices LLC - Madeira Family Practice Robles & Moreira Internal Medicine Palermo, Gerald A, 7829 Laurel Avenue Associates Rose, Geoffrey A., Cincinnati, OH 45243 10495 Montgomery Road, Suite 15 The Christ Hospital Medical Associates (513) 561-6266 Cincinnati, OH 45242 (513) 936-8900 2123 Auburn Avenue, Suite 334 Family Cincinnati, OH 45219 Practice Internal (513) 585-1500 Medicine Beiter, Patrick A, Internal Moreira, Nora E., Messer, Jennifer A, Medicine Robles, Rosa M, Moore, Douglas L, Costello, Benjamin Thomas, TriHealth Physician Practices LLC - Sheridan, Katherine Elizabeth, Jennings, Michael Robert, Western Family Physicians Weiskittel, David G, Redington, Jr., Thomas J., 3425 North Bend Road TriHealth Physician Practices LLC - Cincinnati, OH 45239-7660 Schrand, Mark Edward, Montgomery Family Medicine (513) 853-4900 The Family Medical Group, LLC 11029 Montgomery Road Emergency 6331 Glenway Avenue, 6331 Glenway Cincinnati, OH 45249 Medicine Avenue (513) 891-2211 Cincinnati, OH 45211 Hunstad, Stephanie A, Family (513) 389-1400 Family Practice Practice Family Grimm, Thomas W, Practice Eby, Robert S., Kindt, Sarah M, Bort, Thaddeus M., Lazaron, Lisbeth M, Merling, Jeffrey W, Braun, Margaret C., Neal, Amy, Moody, Douglas C, DeMarco, David J., Ruschulte, Amy R., Vonderbrink, Richard H, Donnelly, Walker E., Internal TriHealth Physician Practices LLC - Medicine Hazen, Joseph P., Physician Associates of Good Goldfarb, Richard S, Heile, Michael K., Samaritan Hospital, Northwest TriHealth Physician Practices, LLC - Heuker, Sonja A., 1253 Kemper Meadow Drive, #250 Cincinnati, OH 45240 Physician Associates of Good Kohls, Regina A., Samaritan Hospital - Delhi (513) 741-7200 McCarren, Timothy J., 425 Farrell Ct. Internal Cincinnati, OH 45233 Mechley, Amy R., Medicine (513) 451-6871 Overbeck-Zisko, Terri L., Ambe, Aparna P, Internal Philip, Joyce M, Medicine Huschart, Joseph, Khodadad, Rhazi,

Page 236 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Cincinnati Cincinnati Cleveland TriHealth Physician Practices, LLC - UC Health Primary Care (Montgomery) Cleveland Clinic Main Campus, Physician Associates of Good 9275 Montgomery Road Department of Internal Medicine Samaritan Hospital - Delhi Cincinnati, OH 45242 9500 Euclid Ave, G10 425 Farrell Ct. (513) 936-4510 Cleveland, OH 44195 Cincinnati, OH 45233 (216) 444-5665 Internal (513) 451-6871 Medicine Internal Internal Medicine Finlay, Robert Dawson, Medicine Nielsen, Craig, Johnson, Kay Ann, Massa, Scott J., Shivadas, Anita, Walker, Nita, Metzger, Raymond, Shivadas, Anita, Winton Hills Medical & Health Center Rojas, Antoino A., Inc. Sikon, Andrea, TriHealth Physician Practices, LLC - 5275 Winneste Avenue Teng, Kathryn, White Oak Family Practice Cincinnati, OH 45232 Radiation 7631 Cheviot Rd (513) 242-1033 Cincinnati, OH 45247 Oncology General (513) 923-1886 Mehta, Neil, Practice Family Cuyahoga Physician Network/Srinivas Brown, Edward R, Practice Merugu, MD Internal Brown, Kelly A., 2351 E. 22nd Street, Suite 130 Medicine Cleveland, OH 44115 Green, Thomas E., Robinson, Alaba, (216) 658-8410 Mouch, David E, Cleveland Internal Reilly, Eugene W., Medicine Cleveland Clinic Main Campus, TriHealth Q dba Queen City Physicians Department of Internal Medicine Merugu, Srinivas R, 2753 Erie Avenue 9500 Euclid Ave, G10 Division of Comprehensive Care, Dept Cincinnati, OH 45208 Cleveland, OH 44195 of Pediatrics (513) 246-8030 (216) 444-5665 2500 MetroHealth Drive, Room G 439 Family Internal Cleveland, OH 44109 Practice Medicine (216) 778-5198 Manahan, Jill C., Achilleos, Andreas N., Developmental Behavioral Pediatrics Internal Bronson, David, Medicine Dietz, Irene Cihon, Browning, Kara, Cleves, G. Stephen, Internal Coe, Bonita, Medicine Krause, Julie A., Cusumano, Philip, Noritz, Garey Heath, UC Health Internal Medicine Resident Clinic Fowler, Adele, Nurse 234 Goodman Street Hayden, Stephen, Practitioner Cincinnati, OH 45219-2316 Hull, Alan, Forster, Ann Louise, (513) 584-6229 Isaacson, J. Harry, MetroHealth Lee-Harvard Health Internal Center Jain, Anil, Medicine 4071 Lee Road, Suite 260 Riegler, Sandra L, Jin, Xian Wen, Cleveland, OH 44128 UC Health Primary Care (Montgomery) Jolly, Stacey E., Family 9275 Montgomery Road Kothari, Shakuntala, Practice Cincinnati, OH 45242 Lefferts, Geoffrey, Antenucci, Christina M, (513) 936-4510 Manne, Mahesh B., Beachy, Nathan R, Mayer, Mark, Beachy, Rochele M, Page 237 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Cleveland Cleveland Cleveland MetroHealth Lee-Harvard Health MetroHealth System - Buckeye Health MetroHealth System - MetroHealth Center Center Medical Center, Main Campus Intern 4071 Lee Road, Suite 260 2816 East 116th St Medicine Dept Cleveland, OH 44128 Cleveland, OH 44120 2500 MetroHealth Drive Cleveland, OH 44109 Family Internal Practice Medicine Internal Medicine Bell, Erron L, Cox, Diethra, Eisen, Matthew, Internal Kea, Karen E, Medicine Falck-Ytter, Corinna D, Redahan, Anita P, Bolen, Shari Danielle, Gelles, Ellen J, Ryan, Martin J, Pediatrics Haddad, Maryanne, Walker, E. Harry, Platt houston, Candis N, Jones, David C, Pediatrics MetroHealth System - Asia Town Lindheim, Nora J, Brand, Lisa R, Health Center McCreery, Laurie S, 2999 Payne Ave., Suite 216 Fitzgerald, Elaine E, Ricanati, Steven, Cleveland, OH 44114 Glazer, Gwen K, Rosenberg, Jeffrey S, Family Orraca-Tetteh, Sophia, Practice Spinelli, Linda M, MetroHealth System - J. Glen Smith Liu, Sheng, Health Center MetroHealth System - Thomas F. MetroHealth System - Broadway 11100 St Clair Ave McCafferty Health Center Health Center Cleveland, OH 44108 4242 Lorain Ave Cleveland, OH 44113 6835 Broadway Ave Internal Cleveland, OH 44105 Medicine Family Practice Family Gregory, Jolee H, Practice Cicek, Wendy Therese, Pediatrics Bruner, Julia E, Friess, Eric G, Daprano, Joseph K, El-Khoury, Gaby S, Gillespie, Christopher, MetroHealth System - MetroHealth Frisof, Kenneth B, Medical Center, Main Campus Family Misak, James E, Medicine Dept Labastille, Joseph Y, Tolentino, Rumilia Caroline Cruz, 2500 MetroHealth Drive Lowenthal, Rebecca, Cleveland, OH 44109 Van Auken, Douglas P, Zack, Amy Morrison, Family Nurse MetroHealth System - Brooklyn Health Practice Practitioner Center Adebambo, Ifeolorunbide, Stredney, Carrie R, 5208 Memphis Ave Pediatrics Cleveland, OH 44144 Alexander, Christine A, Ekstein, Laurie, Family Dasarathy, Jaividhya, Practice Forde, Wayne A, Kiefer, Harry K, Leu, Melanie Lynne, Krofina, Mark E, MetroHealth System - West Park Health Center Singh, Anita, Raddock, Michael Louis, 3838 West 150th St Internal Senthilkumar, Hemalatha, Cleveland, OH 44111 Medicine MetroHealth System - MetroHealth Family Finizia, Anthony J, Medical Center, Main Campus Internal Practice Medicine Dept Kuentz, David M, Shank, Daniel J., 2500 MetroHealth Drive Pediatrics Cleveland, OH 44109 Internal Bashour, Samar Haddad, Medicine Page 238 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Cleveland Columbus Columbus MetroHealth System - West Park Central Ohio Medicine Columbus Neighborhood Health Health Center 4030 West Henderson Road Center, Inc. - East Central Health 3838 West 150th St Columbus, OH 43220 Center, Inc. Cleveland, OH 44111 (614) 442-7550 1180 East Main Street Columbus, OH 43205 Internal Internal (614) 645-5535 Medicine Medicine Nurse Behmer, Mary Ellen, Varveris, Maria Y, Practitioner Galvin, Jeffrey Owen, Child Care Consultants, Inc - North Chou, Shui-chu, Ginley, Thomas D, Office 5957 Cleveland Avenue, Suite A Columbus Neighborhood Health Greco, Peter J, Columbus, OH 43231 Center, Inc. - John Maloney Health Center Inc. Sieben, Louise A, (614) 523-1666 3781 South High Street Pediatrics Pediatrics Columbus, OH 43207 Fragassi, Philip A, Bass, Steven M, (614) 645-3163 Neighborhood Family Practice Bauer, Stephen R, Family 3569 Ridge Road Practice Cannon, Patricia A, Cleveland, OH 44102 Fleming, Kelly, (216) 281-8945 Dillinger, Dawn C, Nurse Hamilton, Dana L, Family Practitioner Practice White, Matthew M, King, Catherine L, Conway, Katharine, Child Care Consultants, Inc - West Columbus Neighborhood Health Office Elguero, Carlos Lucien, Center, Inc. - Northeast Health Center 111 Inah Avenue Reichsman, Ann B, Inc. Columbus, OH 43228 3433 Agler Road, Suite 2800 Wise, Anne S, (614) 878-6415 Columbus, OH 43219 Nurse Pediatrics (614) 645-1600 Practitioner Bass, Steven M, Nurse Dobbs, Brandi Nicole, Practitioner Bauer, Stephen R, Ebbitt, Amy, Wimberly, Lisa, Cannon, Patricia A, Parkanzky, Natalia, Columbus Neighborhood Health Dillinger, Dawn C, Columbus Center, Inc. - St. Stephen's Health Hamilton, Dana L, Center Inc. Central Ohio Medicine 1500 East 17th Ave White, Matthew M, 4030 West Henderson Road Columbus, OH 43219 Columbus, OH 43220 Columbus Neighborhood Health (614) 645-2700 (614) 442-7550 Center, Inc. - East Central Health Center, Inc. Family Internal 1180 East Main Street Practice Medicine Columbus, OH 43205 Childs, Adam M, Barnes, Sean Benjamin, (614) 645-5535 Nurse Gordon, Amanda E, Family Practitioner Practice Horn, Lisa G, Kritikos, Niki, Stewart, Suellywn, Hundley, Julie B, Columbus Neighborhood Health Internal Center, Inc. - Westside Health Center Jipa, Mihai, Medicine Inc. Moffa, John K, 2300 West Broad Street Laroque, Barbara, Steginsky, Alan D, Columbus, OH 43204 Nurse (614) 645-2300 Stone, Robert L, Practitioner

Page 239 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Columbus Columbus Columbus Columbus Neighborhood Health Nationwide Children's Hospital - Nationwide Children's Hospital - Center, Inc. - Westside Health Center Linden Primary Care Center Northland Primary Care Center Inc. 1390 Cleveland Avenue 4560 Morse Centre Road 2300 West Broad Street Columbus, OH 43211 Columbus, OH 43229 Columbus, OH 43204 (614) 355-9300 (614) 355-9400 (614) 645-2300 Pediatric Infectious Pediatrics Internal Disease Anderson, Wendy Kathleen, Medicine Seese, Robert Thomas, Ghosh, Tanushree, Ghosh, Anindita, Pediatrics Gupta, Uma, Pediatrics Amponsah, Akua, Rosenfeld, Rachel Ann, Ortiz, Anahi M., Kopechek, Jack A, Ugbana, Obiaghanwa S, Lower Lights Christian Health Center Nationwide Children's Hospital - Main Nationwide Children's Hospital - 1251 West Braod Street Campus Primary Care Red Olentangy Primary Care Center Columbus, OH 43222 555 S. 18th Street 1275 Olentangy River Road (614) 272-5443 Columbus, OH 43205 Columbus, OH 43212 Family (614) 722-5750 (614) 355-9500 Practice Pediatrics Pediatrics Rerko, Lindsay, Caldwell, Nicole Van steyn, Jostpille, Ranee Marie, Vallangeon, Dana S, Hersey, Stephen J, Rakowsky, Alexander Theophil, Nurse Nationwide Children's Hospital - Main Practitioner Sangvai, Shilpa Gangadhar, Campus Primary Care Yellow Black, Sharon S, 555 South 18th Street Nationwide Children's Hospital - Sout High Primary Care Center Nationwide Children's Hospital - Columbus, OH 43205 Eastland Primary Care Center (614) 722-5750 1392 South High St. Columbus, OH 43207 4434 Crossroads Center Family (614) 355-9000 Columbus, OH 43232 Practice (614) 355-9600 Internal Meyer, Melissa A, Medicine Pediatrics Pediatrics Bates, Kimberly, Castrop, Julie Anne, Pippin, Cheryl Dawn, Curren, Camilla, Haase, Jennifer A, Smiley, William M, Curren, Camilla, Jones, Angela Vachon, Urs, Jagadisharaje Karthikere, Pediatrics Kelly, Sara M, Nationwide Children's Hospital - Near Bates, Kimberly, Nationwide Children's Hospital - East Primary Care Center Hilltop Primary Care Center 1125 East Main Street Chun, Linda E, 2857 W. Broad St Columbus, OH 43205 Holliday, Scott Ashton, Columbus, OH 43204 (614) 355-9200 Sports Medicine/Internal (614) 355-9900 Pediatrics Medicine Pediatrics Groner, Judith A, Rodenberg, Richard Edward, Copenheaver, Duane R, Kuzma, Mary kay, Nationwide Children's Hospital - Goleman, Martha Jane, Westside Primary Care Center Mclaughlin, Douglas James, Kollar, Maureen P, 441 Industrial Mile Road Nationwide Children's Hospital - Columbus, OH 43228 Kollar, Maureen P, Northland Primary Care Center (614) 355-9700 Snyder, Dane A, 4560 Morse Centre Road Columbus, OH 43229 Pediatrics (614) 355-9400 Bester, Stefanie R,

Page 240 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Columbus Columbus Columbus Nationwide Children's Hospital - OSU Family Practice Services - Family OSU General Internal Medicine - Westside Primary Care Center Practice East Grandview 441 Industrial Mile Road 1492 E. Broad Street, Suite 1302 1609 Northwest Blvd. Columbus, OH 43228 Columbus, OH 43205 Columbus, OH 43212 (614) 355-9700 (614) 257-3560 (614) 293-7980 Pediatrics Family Internal Practice Medicine Cacioppo, Carrie E., Mcdougle, Leon, Bates, Kimberly, Castaneda, Milagro Patricia, Tucker, Angela U, Lehman, Kristina Marie, Cotton, William Herbert, OSU Family Practice Services - Family Pediatrics Revis, Sarah, Practice Upper Arlington Bates, Kimberly, Northwest Family Physicians 1615 Fishinger Road 3311 Tremont Road, Suite 101 Columbus, OH 43221 Brill, Seuli, Columbus, OH 43221 (614) 293-7417 Koesters, Stephen C., (614) 457-4806 Family Pediatric Associates, Inc. - Whitehall Family Practice 1021 Country Club Road, Suite A Practice Mccamey, Kendra Lee, Columbus, OH 43214 Blosser, T Laurence, (614) 501-7337 Mcconaghy, John R, Dusseau, Joseph, Pediatrics General Dusseau, Paul D, Practice Blake, Kathleen Degroft, Long, Rick L, Oppenheim-knudsen, Eunice, Boyle, Sandra Lee, Rowland, Timothy E, OSU General Internal Medicine Croft, Ann Marie, Waterfield, Catherine A, 2050 Kenny Road, Suite 2335 - Lee, Robert Thomas, Morehouse Pavilion Wilt, Roger D, Columbus, OH 43221 Waynar, Marin Beth, Winzenread, John W, (614) 293-2049 Richard C. Brandes MD Inc/dba Villiage Family Medicine OSU Family Practice Services - Family Internal Practice Bethel Medicine 1299 Olentangy River Road, Ste B Columbus, OH 43212 1727 Bethel Road Aldiab, Muna, Columbus, OH 43220 (614) 940-4679 Conners, Kristin, (614) 293-2334 Family Curren, Camilla, Practice Emergency Medicine Curren, Camilla, Blumberg, Lara, Draeger, Steven Charles, Gnanasekaran, Gowrishankar, Greiwe, Cathy A, Family Grever, Gail M., Lange, Tishana R, Practice Jasti, Indira, Turner, Katherine, Padamadan, Hosi, Jonaus, Sarah A, Weinstock, Elizabeth A, Shanker, Kirti, Lamb, James F, Riverside Pediatrics Associates OSU Family Practice Services - Family Langan, Michael S., 4885 Olentangy River Rd Practice East Columbus, OH 43214 Li, Guibin, 1492 E. Broad Street, Suite 1302 (614) 267-7878 Columbus, OH 43205 Murden, Robert A, Allergy & (614) 257-3560 Tayal, Neeraj Harl, Immunology Family Weed, Harrison G, Forsythe, Robert C, Practice Pediatrics Kakabadze, Shalva V, Barrett, Gregory A, Macerollo, Allison Avery, Page 241 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Columbus Defiance Dublin Riverside Pediatrics Associates ProMedica Physician Group - Defiance OSU General Internal Medicine - 4885 Olentangy River Rd Internal Medicine Stoneridge Columbus, OH 43214 1250 Ralston Ave., Suite 202 3900 Stoneridge Lane, Suite B (614) 267-7878 Defiance, OH 43512 Dublin, OH 43017 (419) 784-2776 (614) 293-0080 Pediatrics Internal Internal Boudinot, Wanda C, Medicine Medicine Dickerson, Kevin M., Arshad, Amer, Grandominico, Jodi, Sterling, Donna L, Obri, Samer S, Kloda, Piotr, White, Jennifer R, ProMedica Physician Group - Kreger, Cynthia G., Williams, Gwynette M, Rosemary Karen Reiter, MD Nabeel, Ismail, The OSU Rardin Family Practice 1250 Ralston Ave., Suite 204 Vaughan, Geoffrey C, Center Defiance, OH 43512 2231 N High Street (419) 782-8332 River's Edge Pediatrics, Inc. Columbus, OH 43201 Family 100 N. High Street, Suite A (614) 293-3681 Practice Dublin, OH 43017 (614) 889-7772 Family Reiter, Rosemary K, Practice Pediatrics Delaware Buoni, William, Dairo, Omolara Y, Pediatric Associates, Inc. - Lewis Center Casey, Anthony Michael, 7420 Gooding Blvd., Suite 100 Mahoney, Michele V, Cronau, Holly R, Delaware, OH 43015 Sotos, John P, (740) 657-8000 Fahey, Patrick J, Fairfield Pediatrics Mack, Donald Owen, MMA - Fairfield Family Medicine Krueck, Katherine Jane, Miser, William Fredrick, 741 Wessel Drive Toth, John, Fairfield, OH 45014 Mueller, Kathe, (513) 829-2618 Dublin Oza, Rupal S, Family Rizer, Milisa K, Hand In Hand Pediatrics, Inc. - Dublin Practice 6051 Memorial Dr. Welker, Mary jo P, Koehl, Rebecca S., Dublin, OH 43017 Defiance (614) 799-6044 Mauntel, William J., ProMedica Physician Group - Defiance Pediatrics Meier, Christopher J., Family Physicians Crickard, Elizabeth Ann, MMA Internists of Fairfield 1250 Ralston Avenue, Suite 104 5150 Sandy Lane Defiance, OH 43512 Eilerman, Kimberly A, Fairfield, OH 45014 (419) 785-3280 Kollar, Maureen P, (513) 645-1125 Family Kollar, Maureen P, Family Practice Morran, Stacy L, Practice Besaw, Beth A., OSU General Internal Medicine - Armstrong, Diane L, Mills, Shelly Kay, Stoneridge Internal Winner, David E., 3900 Stoneridge Lane, Suite B Medicine Dublin, OH 43017 ProMedica Physician Group - Defiance Behler, Anthony F, (614) 293-0080 Internal Medicine Hoffman, Lisa M, 1250 Ralston Ave., Suite 202 Internal Defiance, OH 43512 Medicine Roper, Emmett C, (419) 784-2776 Burgin, Michael A., Nurse Practitioner Caligiuri, Jeanne L,

Page 242 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Fairfield Gahanna Huber Heights MMA Internists of Fairfield OSU Family Practice Services - Family Providence Medical Group - Suburba 5150 Sandy Lane Practice Gahanna Family Practice - Assoc. Fairfield, OH 45014 920 N Hamilton Road 8701 Old Troy Pike, Suite 50 (513) 645-1125 Gahanna, OH 43230 Huber Heights, OH 45424 (614) 293-2614 (937) 233-1184 Nurse Practitioner Family Family Practice Practice Stone, Ann, Petri, Benita M, Bennett, Barbara A, Fostoria Wexler, Randell K, Independence ProMedica Physician Group - Drs Badik and Badik Wood, Joel Christopher, Cleveland Clinic Independence Family 455 West Fourth Street Suite 100 Hilliard Health Center, Departments of Intern Fostoria, OH 44830 Medicine and Family Medicine American Health Network - Hilliard 5001 Rockside Road, Crown Centre II Family 3823 Trueman Court Independence, OH 44131 Practice Hilliard, OH 43026 (216) 986-4000 Badik, Jill K, (614) 876-9558 Family Badik, Michael D, Family Practice Practice ProMedica Physician Group - Fostoria Edwards, Tanya, Family Medicine Bloch, Daniel Joe, Internal 501 Van Buren Street, Suite 202 Schroer, Eric Christian, Medicine Fostoria, OH 44830 (419) 436-1035 Zulliger, Laurel A, Batur, Pelin, Family Pediatric Associates, Inc. - Hilliard Dellaportas, Sandra, Practice 3720 Ridge Mill Drive Deyling, Cynthia, Hilliard, OH 43026 Byatt, James S., Kelleher, Ann, (614) 529-0771 ProMedica Physician Group - Rogen, Bruce I., Graystone Family Practice Pediatrics Russ, Jocelyn, 506 Van Buren Street Giragos, Jumana Camille, Schall, Perry, Fostoria, OH 44830 Lamonte, Robert Charles, (419) 436-1226 Sobecks, Nancy, Rayo, Barbara Brooks, Family Velagapalli, Spoorthi, Practice Reis, Robert Drake, Zuber, Jeanne, Harvey, Roy E, Wagner, Diana Theresa, Lakewood Gahanna Hillsboro Cleveland Clinic Lakewood Family Zile Family Health Care Inc. OSU Family Practice Services - Family Health Center 1402 North High Street Practice Gahanna 16215 Detroit Avenue Hillsboro, OH 45333 920 N Hamilton Road Lakewood, OH 44107 (937) 393-4899 Gahanna, OH 43230 (216) 521-4400 (614) 293-2614 Family Internal Practice Family Medicine Practice Zile, Ronnie A, Bautista, Jan, Clark, Aaron, Huber Heights Colacarro, Robert, Conroy, Maria Riza, Providence Medical Group - Suburban Culley, Carl, Jones, Edna Marie, Family Practice - Assoc. 8701 Old Troy Pike, Suite 50 Lebanon Manfresca, Charles J, Huber Heights, OH 45424 Mason, Janet Rae, (937) 233-1184 Ndife, Anita Nwamaka, Page 243 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Lebanon Loveland Marysville TriHealth Physician Practices LLC - TriHealth Physician Practices LLC - Marysville Primary Care Deerfield Family Practice Loveland Family Medicine 1044 Columbus Avenue 100 Arrow Springs Blvd, Suite 2800 411 W Loveland Avenue, #102 Marysville, OH 43040 Lebanon, OH 45036 Loveland, OH 45140 (937) 644-1441 (513) 282-7300 (513) 683-3020 Family Family Family Practice Practice Practice Applegate, II, David T, Caceres, Mauricio H, Esmaili, Neama, Sorg, Laura L, Sieben, Candice M, Noory, Mahboob, Internal TriHealth Physician Practices, LLC - Maineville Medicine Bethesda Group Practice - Arrow Applegate, Mary S, Springs Maineville Family Physicians 100 Arrow Springs Blvd., Ste. 2700 67 Nunner Rd. Mustillo, Peter John, Maineville, OH 45039 Lebanon, OH 45036 Nurse (513) 282-7911 (513) 677-0734 Practitioner Internal Family Forrest, Marissa P, Medicine Practice Sabo, Julie A, Armitage, Jeffrey N., Schoettinger, Ted J, Pediatrics Grendel, Steven H., Stanforth, Shelley A, Krueger, Justin K, Karas, Bill, Marion Mason Scharf, Michael, Smith Clinic Pediatrics 1040 Delaware Ave Group Health Associates - Mason Turchin, Natalie, Marion, OH 43302 6010 Mason-Montgomery Rd Lewis Center (740) 383-7940 Mason, OH 45040 (513) 246-7000 OSU Family Practice Services - Family Pediatrics Practice Lewis Internal Friedley, Walter Jonathan, 6515 Pullman Dr., Suite 2200 Medicine Lewis Center, OH 43035 Janchar, Leonard J, Hayner, Jay, (614) 688-7169 Lee, Steven, Hendrixson, Michael, Family Rheumatology Saini, Anita, Practice Maumee Alexander, Michael James, Shekhawat, Rashmi, ProMedica Physician Group - Mostov, Perry D, Marysville Arrowhead Family Physicians Internal Hand In Hand Pediatrics, Inc. - 660 Beaver Creek Circle Suite 110 Medicine Marysville Maumee, OH 43537 Gordish, Deborah A, 114 Scott Farms Blvd. Family Marysville, OH 43040 Taj-schaal, Nazhat, Practice (937) 642-0535 Louisville Cox, Thomas, Pediatrics Louisville Medical Center Physicians, Dregansky, Glenn V, Crickard, Elizabeth Ann, Inc. Ewry, James A, 1909 Williamsburg Way Eilerman, Kimberly A, Ostrowski, Emily, Louisville, OH 44641 Kollar, Maureen P, (330) 875-3366 Roth, Matt D, Kollar, Maureen P, Internal Metamora Medicine Morran, Stacy L, Pansino, Terrence L., Prosser, Elizabeth A., Page 244 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Metamora Orient Pickerington ProMedica Physician Group - Pickaway Health Services Pediatric Associates, Inc. - Pickeringto Metamora Family Practice 9085 Southern Street, Suite A 1310 Hill Road North 1990 County Road U Orient, OH 43123 Pickerington, OH 43147 Metamora, OH 43540 (614) 877-4652 (314) 864-3222 Family Internal Pediatrics Practice Medicine Jenkins, Catherine Masterson, Evanoff, John C, Mcmahon, David Earl, Long, William Walter, Milford Perrysburg Stevens, Nicholas Steve, TriHealth Physician Practices LLC - ProMedica Physician Group - River Tyson, H Scott, Bethesda Group Practice, Milford Road Family Physicians 5861 Cinema Drive 1601 Brigham Drive, Suite 250 Solon Milford, OH 45150 Perrysburg, OH 43551 Cleveland Clinic Solon Family Health (513) 248-8800 (419) 872-7745 Center, Departments of Internal Medicine and Family Medicine Family Family Practice Practice 29800 Bainbridge Road Solon, OH 44139 Sheth, Sheela E, Badik, Bryan J., (440) 519-6800 Internal Bialecki-haase, Dee ann, Medicine Family Evans, Jason, Practice Grischy, Robert C, Matousek, Michelle L., Cobb, Kendalle, Simon, Mathew J, Meier, John, DeSantis, Lisa, Tumbusch, Theresa M, Schwartz, Richard, Jebbia, Josie, Oregon Pickerington Kratche, Richard, Oregon Clinic Mount Carmel Pickerington Family Neides, Daniel, 3841 Navarre Avenue Practice Oregon, OH 43616 Internal 641 Hill Rd N, Suite A (419) 691-8132 Medicine Pickerington, OH 43147-9346 Balasubramanian, Vijayalakshmi, Internal (614) 833-0880 Medicine Braver, Yvonne, Family Bommana, Venu Gopala Reddy, Practice Chandra Prakash, Aparna, Chaudhary, Riaz N, Benedict, Stephanie L, Cooper, Cathy, Darr, Mahmood R, Kageorge, David, Fuller, Keith, Mahajan, Kewal K, Koch, Stephen, Lipton, Mark, Rathore, Ranvir Singh, Silver, Jennifer A, Rich, Todd, ProMedica Physician Group - Bay Park Winchell, Joseph, Sullivan, Daniel, Family Practice Pediatric Associates, Inc. - Pickerington South Bloomfield 2751 Bay Park Drive, 2751 Bay Park Drive, Suite 303 1310 Hill Road North Helping Hands Pediatric Oregon, OH 43616 Pickerington, OH 43147 5030 N Walnut Street (419) 690-7686 (314) 864-3222 South Bloomfield, OH 43103 Family Pediatrics (740) 983-0015 Practice Barnes-mullett, Carrie Jean, Pediatrics Gill, Kaleem U., Burns, Shari Lyn, Iskra, Linda A, Yuan, Joses K h, Deibel, Amy Elizabeth, Moore, Angela Marie, Orient Dunlea, Julie Rubino, Strongsville Heitzman, Megan,

Page 245 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Strongsville Sylvania Toledo Cleveland Clinic Strongsville Family ProMedica Physician Group - Harroun ProMedica Physician Group - Family Health and Surgery Center, Road Family Physicians Practice of Toledo Departments of Internal Medicine and 5308 Harroun Road Suite 170 3740 W. Sylvania Avenue Suite 100 Family Medicine Sylvania, OH 43560 Toledo, OH 43623 16761 SouthPark Center Internal Family Strongsville, OH 44136 Medicine Practice (440) 878-2500 Durkin, Margaret, Vogel, Donald, Family Practice Toledo ProMedica Physician Group - Port Sylvania Family Physicians Davis, Nicholas, ProMedica Physician Group - Alexis 7140 Port Sylvania Drive Suite 300, Medical Center Devans, Richard, 7140 Port Sylvania Drive, Ste. 300 4640 W. Alexis Road Toledo, OH 43617 Hopkins, Kevin, Toledo, OH 43623 (419) 843-8100 Kaesgen, Anne, (419) 843-8150 Family Reddy, Suresh, Internal Practice Medicine Sheridan, Catherine, Bodine, Kristen, Grossman, David L, Smolak, Michael, Darah, George N, Hacker, Timothy B, Internal Francis, Todd P, Medicine Hopple, Craig T, Luce, Kathleen, Al-Marrawi, Mohammed, Ilo, Eugenia, Wright, Lori C, Dejak, Irene, Wenzke, Robert E, ProMedica Physician Group - Sylvani Harhay, Jeffrey, ProMedica Physician Group - Dr. Adult and Pediatric Medicine Dorrie Schmitt Jewell, John, 7140 Port Sylvania Drive Suite 420 3909 Woodley Suite 100 Toledo, OH 43617 Khatri, Lakshmi, Toledo, OH 43606 Miller, Joshua, Internal Internal Medicine MetroHealth System - Strongsville Medicine Rae, Robert Sean, Health Center Louth-schmitt, Dorrie J, 16000 Pearl Road Pediatrics ProMedica Physician Group - Drs. Strongsville, OH 44136 Cantor and Freeman Machanda, Katie E, Family 2865 Reynolds Road Suite 260 ProMedica Physician Group - West Practice Toledo, OH 43615 Central Medical Group Mansour, David J, Internal 3909 Woodley Road Suite 600, 3909 Woodley Rd., Suite 600 Internal Medicine Toledo, OH 43606 Medicine Cantor, Cathy Lynn, (419) 291-6760 Perzy, Holly B, ProMedica Physician Group - Family Internal Practice of Toledo Sadlon, Stephanie J, Medicine 3740 W. Sylvania Avenue Suite 100 Pediatrics Toledo, OH 43623 Scheer, David K., Allshouse, Lisa C, Family Sundheimer, Alan B, Sylvania Practice ProMedica Physician Group - Westga ProMedica Physician Group - Harroun Barnes, David P, Medical Group Road Family Physicians 3909 Woodley Road Suite 500, 3909 Emch, Kelly, 5308 Harroun Road Suite 170 Woodley Rd., Suite 500 Sylvania, OH 43560 Facey, William, Toledo, OH 43606 (419) 291-2670 Family Guntsch, Deborah, Practice Mallory, David, Family Practice Josh, Sanjiv K, Page 246 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Ohio Toledo West Chester Westlake ProMedica Physician Group - Westgate Alliance Primary Care - West Chester Cleveland Clinic Westlake Family Medical Group 5900 West Chester Road, Suite G Health Center, Departments of Intern 3909 Woodley Road Suite 500, 3909 West Chester, OH 45069 Medicine and Family Medicine Woodley Rd., Suite 500 (513) 585-5100 30033 Clemens Road Toledo, OH 43606 Westlake, OH 44145 Family (419) 291-2670 (440) 899-5555 Practice Family Family Bhargava, Lena, Practice Practice Lichter, Timothy Joseph, Federman, Susan M, Allan, Daniel, TriHealth Physicians Practices - West North, James L, Conway, Jessica, Chester Przynosch, Stephen L, 7665 Monarch Ct., #101 Fababe, Kelly, Stadler, Nancy, West Chester, OH 45069 Komitau, Jason, (513) 777-8300 Watkins, Traci N, Marsh, Lisa, Family ProMedica Physician Group - Pressler, Richard, Practice Wildwood Family Practice Sweeney, Daniel, 2865 N. Reynolds Road Suite 130 Bernardon, Michael D, Internal Toledo, OH 43615 Bundy, Kevin M, Medicine Family Internal Bohn, Timothy, Practice Medicine Gannon, Patricia, Kruse, Roger John, Drohan, Edward P., Garcia, Rafael, ProMedica Physician Group - Woodley Drummond, Arnold E., Park Internal Medicine Gutierrez, James, University Family Physicians - 3909 Woodley Rd., Ste 300, 3909 University Pointe Herbert, Eileen, Woodley Road, Suite 300 7700 Univeristy Court, Suite 1000 Toledo, OH 43606 Knapp, Joseph, West Chester, OH 45069 (419) 291-6720 Neri-Nixon, Maria S. L., (513) 475-8264 Internal Rice, Sheila, Medicine Family Practice Southworth, Elizabeth, Harris-martorana, Melissa Marie, Singh, Manoj Kumar, Tan, Annie R, Hoffman, Elizabeth A., Westerville Wu, Nancy, McAlear, Thomas G., River's Edge Pediatrics, Inc. Whitehall Reiner, Louis M., 444 N. Cleveland Avenue, Suite 210 Nationwide Children's Hospital - Washington Court House Westerville, OH 43082 Whitehall Primary Care Center ABC Pediatrics of Ohio (614) 889-7772 561 South Yearling Road 1510 Columbus Ave, Suite 310 Pediatrics Whitehall, OH 43213 (614) 355-9800 Washington Court House, OH 43160 Mahoney, Michele V, (740) 335-0886 Pediatrics Sotos, John P, Pediatrics Alkhoury, Razan, Westlake Fitton, Lenora A, Fine Rosenstein, Patricia Leight, Cleveland Clinic Westlake Family West Chester Health Center, Departments of Internal Jackson, Aurelia J, Medicine and Family Medicine Alliance Primary Care - West Chester Oyortey, Michele Armande, 5900 West Chester Road, Suite G 30033 Clemens Road Willoughby Hills West Chester, OH 45069 Westlake, OH 44145 (513) 585-5100 (440) 899-5555 Family Family Practice Practice Page 247 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Ohio Ohio Oregon Willoughby Hills Wooster Beaverton Cleveland Clinic Willoughby Hills Cleveland Clinic - Wooster Family Pacific Medical Group - Beaverton Family Health Center, Departments of Health Center 4510 SW Hall Blvd Internal Medicine and Family Medicine 1740 Cleveland Road Beaverton, OR 97005 2570 SOM Center Road Wooster, OH 44691 (503) 644-1171 Willoughby Hills, OH 44094 (330) 287-4500 Family (440) 943-2500 Internal Practice Family Medicine Dhingra, Anshu, Practice Reynolds, David B, Gilligan, John F, Hackett, Michael, Schaeffer, Jill A, Hawthorne, Wendy, Hickner, John, Talampas, Liza, Silverman, Burton L, Internal Velasquez, Victor H, Medicine Canby Worthington Cornette, Victoria, Davies Clinic Druzina, Irene, OSU Family Practice Services - Family 345 N Grant Street Practice Worthington Canby, OR 97013-9701 Engel-Kominsky, Suzanne, 445 E. Granville Road (503) 266-2066 Fuentes, Freddie, Worthington, OH 43085 Family (614) 293-2850 Gifford, Susan A., Practice Family Greenwald, Rose, Bridgeman, DeOna Lynn, Practice Hanna, Lisa, Davies, Richard Carl, Frazier, Alice Andrews, Hughes, Lawrence, Nurse Siddiqi, Bushra N, Juhasz, Robert, Practitioner Tuttle, Elizabeth S, Kostraba, Andrew, Anders, Joanna, Oklahoma McDonough, Joan, Pacific Medical Group - Canby Duncan 1185 Elm St Mossad, Dalia, Duncan Medical Associates Canby, OR 97013 Porter, Victoria, 2515 West Elk (503) 723-4661 Solivas-Maluyao, Jennifer, Duncan, OK 73533 Family Practice Sumego, Marianne, (580) 252-6080 Kadwell, Lynn A, Wooster Family Practice Internal Cleveland Clinic - Wooster Family Medicine Health Center Herndon, Christopher M, 1740 Cleveland Road Jones, Jeffrey C, Hughson, Daniel L, Wooster, OH 44691 Seymour, Elizabeth, Zenoniani, Marc A, (330) 287-4500 Obstetrics & Nurse Family Gynecology Practitioner Practice Elfrink, Stacie Herndon, Blust, Dianne Eileen, Angerman, Dale C, Oregon Lake Oswego Cebul, III, Frank, Beaverton Pediatric Associates of the NW, PC- Donaldson, Paul Streiner, Lake Oswego Pacific Medical Group - Beaverton Elderbrock, Mark D, 4103 SW Mercantile Drive 4510 SW Hall Blvd Lake Oswego, OR 97035 Kontak, Jeffery Randall, Beaverton, OR 97005 (503) 636-4508 Internal (503) 644-1171 Pediatrics Medicine Family Carr, Elizabeth A, Kirchner, Loren Michael, Practice Chaffin, Albert, Page 248 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Oregon Oregon Oregon Lake Oswego Portland Portland Pediatric Associates of the NW, PC- Fanno Creek Clinic Portland Family Practice Lake Oswego 2400 SW Vermont 541 NE 20th Ave 4103 SW Mercantile Drive Portland, OR 97219 Portland, OR 97232 Lake Oswego, OR 97035 (503) 452-0915 (503) 233-6940 (503) 636-4508 Internal Family Pediatrics Medicine Practice Dahl, Laura L, Mcharris, Louise, Graves, Rachel Sinex, Rosenbloom, Jay S., Myers, Gloria Jean, Kasten, Thomas Lloyd, Schunk, Jack P, Valerio, Donald A, Mccartney, Lyndsey, Oregon City Pacific Medical Group - North Portland Pulliam, Kerry Abbot, 6445 N Greeley Ave Pacific Medical Group - Oregon City Roberts, Lauren Whipple, Portland, OR 97217 1001 Molalla Avenue, Suite 100 Shaff-chin, Cynthia, (503) 285-6607 Oregon City, OR 97045 Uphoff, Eugene, (503) 723-4646 Family Practice White, Charles Thayer, Family Practice Chan, Simon K, Wilson, Elisa Anne, Todd, Debra L, Green, Clare A, Nurse Practitioner Internal Stevens, Eugene A, Michels, Joel Aaron, Medicine Nurse Edwards, George M, Practitioner Pfeiffer, Heather Mary, Li, Kai, Cody, Leslie, Sunset Medical Practice Group Nurse Pediatric Associates of the NW - 12400 NW Cornell Rd, Suite 100 Practitioner Portland Portland, OR 97229 (503) 626-0939 Scheibe-Mirek, Tanya, 2525 NW Lovejoy, Suite 200 Portland, OR 97210 Family Portland (503) 227-0671 Practice Fanno Creek Clinic Nurse Barry, Harold Bruce, 2400 SW Vermont Practitioner Doshi, Heena Satish, Portland, OR 97219 Siebold, Jennifer J, (503) 452-0915 Geddes, Gary Ross, Pediatrics Family Krisciunas, Vic, Birk, Bruce J, Practice Williams, Patrick Scott, Bluhm, James S, Folk, Cathleen A, The Children's Clinic, PC Internal Buerk, Pilar H, 9555 SW Barnes Road #301 Medicine Evans-smith, Mari kay, Portland, OR 97225 (503) 297-3371 Bentz, Charles Joseph, Gopal, Yasodha R, Nurse Chawla, Renu, Porter, David W, Practitioner Choong, Meei Y, Schunk, Jack P, Wade, Dodi L, Coodley, Gregg O, Portland Family Practice Pediatrics Creitz, Bonnie J, 541 NE 20th Ave Alexander, Hugh E, Demetrion, George B, Portland, OR 97232 (503) 233-6940 Devore, Joanne Greg, Dronkowski, Carl William, Family Gillespie, Robert J, Faber, Holly Ilena, Practice Han, Iris J, Gragnola, Thomas G, Callahan, Kerry Ben, Lacey, Rebecca, Levitte, Marc G, Page 249 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Oregon Oregon Pennsylvania Portland Tualatin Abington The Children's Clinic, PC The Childrens Clinic Abington General Internal Medicine 9555 SW Barnes Road #301 19260 SW 65th, Suite 340 Levy Medical Plaza, 1235 Old York Portland, OR 97225 Tualatin, OR 97062 Road, Suite G-10 (503) 297-3371 (503) 691-9777 Abington, PA 19001 (215) 481-6161 Pediatrics Pediatrics Internal Nichols, William D, Armsby, David H, Medicine Pereira, Natasha, Cannon, Sara J, Lee, Melissa, Pettersen, Teri L, Craft, Robert M, Musho, Michael A, Purnell, Susanne H, Fienne yeager, Julie A, Niemoller, Ulrich Marcus, Reynolds, Lisa A, Gleason, Daniel L, Nurse Thompson, Catherine W, Kilty, John Edmund, Practitioner Tomkoria, Smita, Luck, Cameron D, Mcgrath, Patricia, Tigard Murphy, Laura Keatley, Abington Pediatric Associates 1047 Old York Road Pacific Medical Group - Tigard Smart, Kari Lyn, Abington, PA 19001 13200 SW Pacific Highway Smith, Christine Wessels, (215) 884-8021 Tigard, OR 97223 Unrau, Audrey C, (503) 598-2001 Pediatrics Wallis, Kristin L, Family Chanoine, Pierre Patrick, Pennsylvania Practice Chanoine, Pierre Patrick, Berney, Joyce M, Abington Fellheimer, Susan, Berney, Joyce M, Abington Adult Medicine Fellheimer, Susan, Suite 302, 1245 Highland Avenue Clack, Susan M, Greenberg, Adena, Abington, PA 19001 Clack, Susan M, (215) 481-1723 Greenberg, Adena, Graham, Daniel L, Internal Hutton, Lisa J, Graham, Daniel L, Medicine Hutton, Lisa J, Hortsch, Michael P, Boigon, Margot, Parnes, Curt I, Hortsch, Michael P, Eisenstaedt, Richard, Parnes, Curt I, Newberry, Stephen G, Hofmann, Mary T, Sivitz, Michael C, Newberry, Stephen G, Peff, Ann, Sivitz, Michael C, Rember, Katrenka R, Ramirez, Rachel Leah, Stefurak, Maria, Rember, Katrenka R, Rosenzweig, Andrew B, Stefurak, Maria, Wills, David, Schneider, Doron, Abington Plaza Medical Associates Wills, David, Smith, David Gary, 1235 Old York Road, Levy Medical Plaza, Suite 113 Young, Robert C, Nurse Practitioner Abington, PA 19001 Young, Robert C, (215) 481-6180 Graham, Donna, Nurse Internal Practitioner Abington General Internal Medicine Medicine Nash, Coral A, Levy Medical Plaza, 1235 Old York Road, Suite G-10 Da veiga, Edward C, Tualatin Abington, PA 19001 Gorbos-Spina, Michelle, (215) 481-6161 Jalil, Lilian L, Internal Jilani, Aysha A, Medicine

Page 250 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Abington Allentown Allentown Abington Plaza Medical Associates Lehigh Family Medicine Associates LVPG Internal Medicine of the Lehigh 1235 Old York Road, Levy Medical 1251 S. Cedar Crest Blvd., Ste. 102A Valley Plaza, Suite 113 Allentown, PA 18103 1230 S. Cedar Crest Blvd., Ste. 201 Abington, PA 19001 (610) 402-3940 Allentown, PA 18103 (215) 481-6180 (610) 402-8950 Family Internal Practice Internal Medicine Medicine Liu, Henry T., Mahoney, James, Candio, Joseph, Zienkiewicz, Joseph J., Mcallister, Joseph, Kochuba, Jonathan, Lehigh Valley Family Health Center Shah, Ankur G, 1730 Chew Street Kovacs, Robert, Zakrzewski, Kevin, Allentown, PA 18104 Lakata, Thomas, (610) 969-3500 Nurse Mahajan, Monika, Practitioner Family Winas, Matthew, Practice Cross, Deborah, Altoona Binning, Holly L., Isett, Karin A, Dostal, Julie A., Altoona Family Physicians Lapa, Kelly Ann, 501 Howard Ave. Ste. F2 Jain, Sweety, Abington Primary Care Medicine Altoona, PA 16601 1400 Old York Road, Suite A Mathieu, Jeffrey S., (814) 889-2020 Abington, PA 19001 Mathieu, Susan S., Family (215) 576-1776 Practice Miller, William L., Internal Beckstead, Donald M, Stello, Brian, Medicine Karuppiah, Sabesan, Stoll, Malaika S., Cowan, Steven I, Mclellan, Fiona J, LVPG - General Internal Medicine Cozen, Bennett H, 1210 S. Cedar Crest Blvd., STE 3600 Morrow, Arthur William, Gable, Sundee L, Allentown, PA 18103 Rice, Patrick D, Children's Health Centers of VNA (610) 402-1150 Community Services, Inc Ruhl, Terry S, Internal 1421 Highland Avenue Medicine Siems, Laura J, Abington, PA 19001 Costello, Brian J., Sweeney, Kathleen E, (215) 572-7880 Dehoff, J. Howard, Internal Nurse Medicine Practitioner Gertner, Eric, Good, Jennifer L, Gresko, Susan B., Jahanbin, Bahar, Ambler Morgan, Patricia, Karess, Gina, Ambler Medical Associates Pediatrics Kender, Mark, 500 Willow Avenue Stock, Rita C, Mishriki, Yehia, Ambler, PA 19002 Allentown Shalaby, Marc, (215) 646-9220 Lehigh Family Medicine Associates Smith, Stacey, Family Practice 1251 S. Cedar Crest Blvd., Ste. 102A LVPG Internal Medicine of the Lehigh Allentown, PA 18103 Valley Beale, Eileen P., (610) 402-3940 1230 S. Cedar Crest Blvd., Ste. 201 Decker, Steven E, Family Allentown, PA 18103 Fidler, Susan, Practice (610) 402-8950 Romanzo, George M., Dilks, Michelle K., Internal Medicine Internal Keane, Anna B., Medicine Page 251 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Ambler Aspers Berwick Ambler Medical Associates WellSpan Medical Group - Biglerville Geisinger Medical Group - Berwick 500 Willow Avenue Family Medicine 2200 West Front Street Ambler, PA 19002 2060 Carlisle Road Berwick, PA 18603 (215) 646-9220 Aspers, PA 17304 (570) 759-1228 (717) 339-2585 Internal Diagnostic Laboratory Medicine Nurse Immunology/Allergy & Immunology Practitioner Mcginley, Mary R., Freely, Alison B., Gourley, Danielle, Urbanski, Timothy E, Family Barto Practice Ambler Pediatrics 602 S. Bethlehem Pike Pottstown Medical Specialists, Inc. Ashton, Michael Robert, Ambler, PA 19002 (PMSI) - Bally Medical Group Internal (215) 643-7771 1315 Route 100 Medicine Barto, PA 19504 Pediatrics Lewis, Stephen A., (610) 367-4375 Serota, Fredric T., Bethlehem Family Horsham Family Practice Practice St. Luke's Family Medicine Residency Horsham Family Practice, 1116 Harrison, Keith W, 2830 Easton Avenue Horsham Road, Suite 10 Bethlehem, PA 18017 Maydonovitch, Daniel J, Ambler, PA 19002 (610) 954-3550 (215) 643-8500 Schank, Dennis J, Family Family Bellefonte Practice Practice Geisinger Medical Group - Bellefonte Bordelon, Paula C, Wydan, Anthony G, 819 East Bishop Street Ghetu, Maria, Aspers Bellefonte, PA 16823 Krafczyk, Michael, (814) 353-3505 Wellspan Medical Group - Adams Lam, Nguyet-cam, Cumberland Family Medicine Family 2060 Carlisle Road Practice Langan, Robert C, Aspers, PA 17304 Burke, P. Brian, Mcgarey, Martha Elizabeth, (717) 339-2585 Oesterling, Brett R., Birdsboro Family Practice Rozick, Mark S., Family Medicine Associates of Birdsboro Bernville Mcbeth, Jr., Orville Glenn, 321 Furnace Street, Suite 100 Nolt, Jeffrey Scott, Bernville Family Practice Center Birdsboro, PA 19508 7173 Bernville Road Wampler, David Lee, Family Bernville, PA 19506 Practice Nurse (610) 488-6291 Practitioner Buczewski, Mark, Family Azemar, Beverly Lynne, Practice Coates, John, WellSpan Medical Group - Biglerville Mann-Harbonic, Barbara L, Internal Family Medicine Medicine Stewart, Thomas A., 2060 Carlisle Road Napolitano, Michael, Aspers, PA 17304 Physician Bloomsburg (717) 339-2585 Assistant Geisinger Medical Group - Bloomsbur Family Fichthorn, Ross H, Reichart Road Practice Berwick 2407 Reichart Road Pennings, Laura Snyder, Bloomsburg, PA 17815 Nurse (570) 784-8303 Practitioner

Page 252 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Bloomsburg Blue Bell Brodheadsville Geisinger Medical Group - Bloomsburg LMG Family Practice - Blue Bell LVPG - Pleasant Valley Family Practi Reichart Road 1379 Skippack Pike 12 Kevin Lane 2407 Reichart Road Blue Bell, PA 19422 Brodheadsville, PA 18322 Bloomsburg, PA 17815 (610) 272-9400 (570) 992-7620 (570) 784-8303 Family Family Family Practice Practice Practice Kliger, Morris, Burke, Jonathan J., Campbell, Ernest W., Boyertown Thomas-Gobalakrishna, Diasy, Christian, Dean Arthur, Pottstown Medical Specialists, Inc. Brogue Luxardo, Karl O., (PMSI) - Boyertown Medical Associates WellSpan Medical Group - Chancefor Marancenbaum, Heather, 23 North Walnut Street Family Medicine Boyertown, PA 19512 Pediatrics 10 Muddy Creek Forks Road (610) 367-9654 Brogue, PA 17309 Everett, Amy Vanessa, Family Family Manning, Amanda R., Practice Practice Sengupta, Tapash Kumar, Bingener, Kenneth C, Brango, Carl William, Weader, Joseph Alvin, Petruso, Kimberly A, Broomall Blue Bell The Reading Hospital Medical group at CHOP Care Network-Broomall Boyertown Blue Bell Family Practice 2000 Sproul Road, Suite 206 146 South Reading Avenue 653 Skippack Pike, Suite 130 Broomall, PA 19008 Boyertown, PA 19605 Blue Bell, PA 19422 (610) 284-0200 (610) 369-7121 (215) 643-0707 Pediatrics Family Family Practice Kaplan, Richard, Practice Foley, F. L., Miller, Susan, Blumenthal, Andrew R, Pande, Chhavi, Rubin, Tigerlily lee, Mcfadden, Dominic, Bridgeville Main Line HealthCare - Bryn Mawr Tiernan, Julia C, Family Practice Preferred Primary Care Physicians - Broad Axe Family Medicine of 1991 Sproul Road, Suite 300 Division 20, Washington Pike Fornance Physician Services, Inc. Broomall, PA 19008 1168 Washington Pike 721 Skippack Pike, Suite 3 (610) 325-1390 Bridgeville, PA 15017 Blue Bell, PA 19422 (412) 257-2050 Family (215) 793-0600 Practice Internal Family Medicine Chiu, Priscilla P, Practice Chiesa, Nicolette E., Fuhr, Wendy E, Luetke, Nicole K., McFarland, Donald E., Greco, Joseph A, Peet, David C., Brodheadsville Rubin, Seth Ryan, Wasserman, Charles M., LVPG - Pleasant Valley Family Practice Internal Yutzler-overton, Heidi J., Medicine 12 Kevin Lane LMG Family Practice - Blue Bell Brodheadsville, PA 18322 Ballard, Ian M, 1379 Skippack Pike (570) 992-7620 Buckingham Blue Bell, PA 19422 (610) 272-9400 Family Buckingham Family Medicine Practice Family 4897 York Road, P.O. Box 278 Practice Blasi, Steven R., Buckingham, PA 18912 (215) 794-7471 Kish, Charles, Block, Christine K.,

Page 253 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Buckingham Canonsburg Carnegie Buckingham Family Medicine Washington Hospital Family Medicine - Preferred Primary Care Physicians - 4897 York Road, P.O. Box 278 Canonsburg Family Medicine Division 5 Buckingham, PA 18912 67 East Pike Street 102 Broadway Avenue (215) 794-7471 Canonsburg, PA 15317 Carnegie, PA 15106 (724) 745-4100 (412) 279-0320 Family Practice Family Internal Practice Medicine DiPietro, David E., Goss, Lisa A, Bader, William, Godek, Brent W., Martina, Peter A, Catawissa Latta, Priscilla W., Romesburg, Kristen A, Marino, Louis C., Geisinger Medical Group - Catawissa Slomiany, Walter P, 353 Main Street Spiro, Paul D., Catawissa, PA 17820 Speicher, Monica L, Camp Hill (570) 808-5953 Carbondale PSHMG Camp Hill Family 3025 Market Street, Entrance B Geisinger Medical Group - Carbondale Practice Peds Camp Hill, PA 17011-4518 Sheehe, Dennis M., (717) 691-1212 42 N. Scott Street Carbondale, PA 18407 Cecil Family (570) 282-6660 Practice Washington Hospital Family Medicine Pediatrics Cecil Family Medicine Bogdan, Ann M, 3415 Millers Run Road Lena, Marie S., Gawlas, Michael Raymond, Cecil, PA 15321 Physicians Health Alliance-Carbondale (724) 873-7414 Greiner, Vernne W, 150 Brooklyn St Family Oser, Sean Michael, Carbondale, PA 18407 Practice Oser, Tamara Kay, (570) 282-7646 Duncan, Sarah Carolyn, Sempeles, Kathleen L, Family Eisley, Matthew J, Practice Internal Sherwood, Mylaina L, Medicine Hopkins, Jamie A, Center Valley Warehime, Sarah, Internal Medicine Nurse ABC Family Pediatricians Practitioner Moro, Frank M, 3800 Sierra Circle Center Valley, PA 18034 Grigoryan-Sainz, Zhanna E, Carlisle (484) 664-2090 Canonsburg Dunham USAHC Pediatrics Corkery, Heise, Dainesi, Trapanotto - 450 Gibner Road Suite # 1, Carlisle Fugazzotto, Pasquale Joseph, West Penn Allegheny Health System Barracks 1000 Waterdam Plaza Drive, Suite 200 Carlisle, PA 17013-5086 Jibilian, Amy Armen, (717) 245-3326 Canonsburg, PA 15317 Long, Elmer Charles, (724) 941-7144 Family Practice Chalfont Internal Medicine Bailey, Bruce O, CHOP Care Network High Point 1700 Horizon Drive Corkery, Thomas Bryan, Physician Chalfont, PA 18914 Assistant Dainesi, Edward G, (215) 822-7700 Ware, Karen Lea, Heise, Michael J, Pediatrics Carnegie Trapanotto, Vincent J, Gershenson, Stephen, Gershenson, Stephen,

Page 254 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Chalfont Clarks Summit Coatesville CHOP Care Network High Point Dr. Kondash, Dr. Robertson, Dr. Gateway Medical Associates - Gatewa 1700 Horizon Drive Kareha Colonial Family Practice Chalfont, PA 18914 790 Northern Blvd., Suite K 217 Reeceville Road, Suite A (215) 822-7700 Clarks Summit, PA 18411 Coatesville, PA 19320 (570) 586-4141 (610) 269-9448 Pediatrics Family Family Macdonald, Sarah, Practice Practice O'shea Crocker, Kathleen, Kondash, Michael L, Boucher, Brian R, Rosenblum, Frances, Robertson, Lisa E, Burgess, Geoffrey M, Santos, Richard, Physicians Health Alliance-Clarks Nicholas, Angela Marie, LMG Family Practice - Chalfont Summit Nikas, Marianne R, 1500 Horizon Drive, Suite 102 407 North State St Chalfont, PA 18914 Clarks Summit, PA 18411 Uhler, Gene F, (215) 712-2500 (570) 586-1134 Vadher, Alpa, Family Family Nurse Practice Practice Practitioner Beck, Jonathan, Montgomery, Jeffrey Michael, Champlin, Martha J., Portner, Jeffrey, Internal Gateway Medical Associates - Gatewa Medicine Internal Medicine at Brandywine Chester Springs Gordon, Michael H, 217 Reeceville Rd, Suite C Eagle Family Medicine Center Coatesville, PA 19320 Clymer 134 Pottstown Pike (610) 384-5110 Chester Springs, PA 19425 Clymer Family Medicine Internal (610) 458-8881 349 Franklin Street Medicine Clymer, PA 15728 Family Bamezai, Vitasta, Practice (724) 254-4314 Goldblum, Kenneth D, Orr, Daniel G., Family Practice Codorus Gateway Village Family Health 222 Byers Road Bassler, Arwen E, WellSpan Medical Group - Jefferson Family Medicine Chester Springs, PA 19425 Drozdiak, Russell, (610) 321-0200 65 Baltimore Street, P.O. Box 277 Vaglia, Amanda, Codorus, PA 17311 Family Coatesville Practice Family CHOP Care Network-Coatesville Practice Holgado, Ian Dennis, 495 Highlands Blvd. Suite 100 Lekawa, Thaddeus, Khalifa, John N, Coatesville, PA 19320 Stein, Thomas, Internal Pediatrics Medicine Collegeville Burns, Sandra, Kohli, Susan Marie, PMA Medical Specialists- Perkiomen Magee, Joan, Valley Family Practice Clarks Summit Spivack, Jordan, 78 Second Avenue Dr. Kondash, Dr. Robertson, Dr. Collegeville, PA 19426 Tilton, Bruce, Kareha (610) 409-9999 790 Northern Blvd., Suite K Gateway Medical Associates - Gateway Family Clarks Summit, PA 18411 Colonial Family Practice Practice (570) 586-4141 217 Reeceville Road, Suite A Fiorillo, Timothy J., Family Coatesville, PA 19320 Practice (610) 269-9448 Schurtz, Rannette C., Kareha, Louis M,

Page 255 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Collegeville Columbia Crum Lynne Pottstown Medical Specialists, Inc. Lancaster General Medical Group - Crozer-Keystone Health Network - (PMSI) - Collegeville Family Practice Twin Rose Family Medicine- Columbia Crozer Medical Associates - Crum 555 Second Avenue 306 North Seventh Street Lynne Collegeville, PA 19426 Columbia, PA 17512 Ridley Professional Building, 1553 (610) 454-9727 (717) 684-9106 Chester Pike, Suite 201 Crum Lynne, PA 19022 Family Family (610) 499-7180 Practice Practice Family Bingaman, Beth A, Kistler, Heidi, Practice Doghramji, Paul P, Martenson, Trevor Brett, Warrington, Peter R., Wiswe, Birgit M, Riley, Timothy Daniel, Internal Trappe Family Practice of Fornance Young, Brian, Medicine Physician Services, Inc. Physician Capalongo, Dina F., 1 Iron Bridge Drive, Suite 150 Assistant Collegeville, PA 19426 Rana, Ashish V., Field, Kelly, (610) 489-9374 Scoles, Karen S., Kline, Jennifer P, Family Zirker, William S., Practice Conshohocken Dallas Keim, Jon A., Conshohocken Family Practice Geisinger Medical Group - Dallas 612 Fayette Street Second Floor, Odonnell, Matthew, 40 Dallas Shopping Center, Rt 309 Second Floor Tiburcio, Clara C., Dallas, PA 18612 Conshohocken, PA 19428 (570) 675-2000 General (610) 828-8500 Practice Family Family Practice Hennessey, Kathryn R., Practice Kovalick, Michael A., Trappe Pediatric Care of Fornance Franklin, Rodney D., Physician Services, Inc. Dallastown Kusmirek, Joanna S, 1 Iron Bridge Drive, Suite 100 Rubin, Janis W., WellSpan Medical Group - Dallastown Collegeville, PA 19426 Family Medicine (610) 489-5782 Woodbury, Deborah, 755 S Pleasant Ave Nurse Covington Twp Dallastown, PA 17313 Practitioner Physicians Health Alliance-Moscow Family Bedell, Gail, 260 Daleville Hwy, Ste 103 Practice DesMarais, Jill, Covington Twp, PA 18444 Eckert, Daniel Stephen, Pediatrics (570) 842-7746 Glinski, Diane, Brogan, Donald R., Family Heiland, Angela Harty, Practice Finch, Eric M, Lackey, Robert Boyd morrison, Dewarren, Eric C, Mahmud, Mariam Rahman, Mcgann, Thomas Ross, Internal Vitelli, Shannon L., Medicine Modi, Mihir Govind, Columbia Felins, Raymond J, Schwartzkopf, Paul B, Lancaster General Medical Group - Crum Lynne Sharmin, Mokarroma, Twin Rose Family Medicine- Columbia Crozer-Keystone Health Network - Turosinski, Richard John, 306 North Seventh Street Crozer Medical Associates - Crum Columbia, PA 17512 Physician Lynne Assistant (717) 684-9106 Ridley Professional Building, 1553 Lamison, Jr., William Walter, Family Chester Pike, Suite 201 Practice Crum Lynne, PA 19022 Danville (610) 499-7180 Page 256 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Danville Darby Doylestown Geisinger Medical Group - Knapper Consultants in Medical Oncology & Central Bucks Family Practice 100 N.Academy Avenue Hematology, PC - Darby 252 West Swamp Road, Suite #41 Danville, PA 17822 Medical Science Building, Ground Doylestown, PA 18901 (570) 271-7907 floor, 1500 Lansdowne Avenue (215) 348-1706 Darby, PA 19023 Family Family (610) 534-9190 Practice Practice Oncology, Billas, Anthony, Lewcun, Robert G., Medical Bogner, Edward W., Robin, Sarah E., Ennis, Peter D, Gibson, Keith, Robin, Sarah E., Dover Guilfoose, Mark Alan, Smith, David A., WellSpan Medical Group - Dover Haupt, Darlene L., Internal Medicine Smith, David A., Tobin, Richard S., 4020 Carlisle Rd. Tafflin, Dennis H., Dover, PA 17315 Neonatology Tafflin, Dennis H., Family Practice Treiman, Philip R., Grauso-Eby, Nancy L., Skibicki, Christy Renee, Treiman, Philip R., Pediatric Wright, Deborah S., Rheumatology Internal Medicine Wright, Deborah S., Hahn, Thomas Francis, Gandionco, John Rizzari, CHOP Care Network-Central Bucks Pediatrics Nallapati, Rajesh Kumar, 708 Shady Retreat Road, Suite 3-4 Bruno, Pat J., Doylestown, PA 18901 Nurse Maksimak, Janis Felice, Practitioner Pediatrics Rudloff, Loretta Marion, Pollack, Russell Alan, Barba, William, Geisinger Medical Group- General Downingtown Harrington, Pamela, Internal Medicine 100 N. Academy Ave. Gateway Medical Associates - Gateway Nicholas, Michael, Danville, PA 17822 Family Practice Downingtown Schonfeld, Margery, 101 Manor Avenue (570) 271-6164 Spitalny, Sarah, Downingtown, PA 19335 Geriatric Medicine/Family (610) 269-7656 Doylestown and Warrington Family Practice Practice Family Cover, Kenneth L., Practice 14B Memorial Drive Internal Doylestown, PA 18901 Barr, Charles J, Medicine (215) 348-4914 Nguyen, Bao-dan Tran, Darer, Jonathan David, Family Norris, Monica L, Practice Rolston, David Dalip Kumar, Doylestown Winneg, Karen, Darby Central Bucks Family Practice Zoller, Mary, Consultants in Medical Oncology & Hematology, PC - Darby 252 West Swamp Road, Suite #41 Drexel Hill Doylestown, PA 18901 Medical Science Building, Ground CHOP Care Network-Drexel Hill (215) 348-1706 floor, 1500 Lansdowne Avenue 2100 Keystone Avenue, Suite 404 Darby, PA 19023 Family Drexel Hill, PA 19026 (610) 534-9190 Practice (610) 284-0200 Hematology/Oncology Laphen, Jeffrey T., Pediatrics

Laphen, Jeffrey T., Bove, Mary Elizabeth, Mikhail, Michael M, Lewcun, Robert G., Pollack, David,

Page 257 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Drexel Hill Drexel Hill Drexel Hill CHOP Care Network-Drexel Hill Crozer-Keystone Health Network - Crozer-Keystone Health Network - 2100 Keystone Avenue, Suite 404 Drexel Hill Medical Associates State Road Medical Associates Drexel Hill, PA 19026 Drexeline Professional Building, 5030 Drexeline Professional Building, 5030 (610) 284-0200 State Road, Suite 2-400 State Road, Suite 2-500 Drexel Hill, PA 19026 Drexel Hill, PA 19026 Pediatrics (610) 394-1350 (610) 394-1380 Sammaritano, Renee, Internal Internal Teachey, Rochelle, Medicine Medicine Consultants In Medical Oncology & Friedrich, Brian G, Colombo, Jr., John, Hematology, PC - Drexel Hill Rastogi, Neeti, Kosa, Namir B., 2100 Keystone Avenue, Suite 502 MOB Drexel Hill, PA 19026 Crozer-Keystone Health Network - Szabo, Patricia, Kenis (610) 622-3818 Yeung, Sin Kei, 3909 State Road Hematology/Oncology Drexel Hill, PA 19026 Dunmore

(610) 449-3330 Physicians Health Alliance-Ash St Sprandio, John D, Family 501 Ash St Oncology, Practice Dunmore, PA 18509 Medical Kenis, Lisa, (570) 344-2244 Denshaw-Burke, Mary T, Crozer-Keystone Health Network - Internal Medicine Jenab-Wolcott, Jenia, Kropp Dzielak, Edward, Shore, Stephen A, 3909 State Road Drexel Hill, PA 19026 Thirumaran, Rajesh P, Galella, Yvonne, (610) 853-2544 Greco, Joseph P, Crozer-Keystone Health Network - Family Birardi & McGee Practice Philbin, Joseph F, DCMH Health Pavilion, 3030 Garrett Speicher, Julie M, Road Kropp, Dennis W., Drexel Hill, PA 19026 Crozer-Keystone Health Network - East Berlin (610) 622-7933 Ortley WellSpan Medical Group - East Berlin Family Drexeline Professional Building, 5030 Family Medicine Practice State Road, Suite 2-400 105 Fourth St. PO Box 727 Drexel Hill, PA 19026 East Berlin, PA 17316 Birardi, Teresa, (610) 394-1390 Family Crozer-Keystone Health Network - Family Practice Busillo Practice DCMH Health Pavilion, 3030 Garrett Heilman, Catherine Booth, Ortley, Glen, Road Henry, Mark Richard, Drexel Hill, PA 19026 Crozer-Keystone Health Network - Ott Hoffacker, Wynne Ann, (610) 622-7933 Drexeline Professional Building, 5030 Nelson, Edward Arnold, Internal State Road, Suite 2-400 Medicine Drexel Hill, PA 19026 Walther, Bruce, (610) 394-1365 Busillo, Nicholas, East Norriton Family Crozer-Keystone Health Network - Practice Norriton Family Medicine of Fornanc Drexel Hill Medical Associates Physician Services, Inc. Drexeline Professional Building, 5030 Ott, Anita, 342 W. Germantown Pike, Suite 200 State Road, Suite 2-400 East Norriton, PA 19403 Drexel Hill, PA 19026 (610) 279-1500 (610) 394-1350 Family Internal Practice Medicine Altomonte, Joseph, Page 258 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania East Norriton Elkins Park Erie Norriton Family Medicine of Fornance Cheltenham Internal Medicine Saint Vincent Family Medicine Physician Services, Inc. Suite 104, 7848 Old York road 2314 Sassafrass Street, Suite 200 342 W. Germantown Pike, Suite 200 Elkins Park, PA 19027 Erie, PA 16502 East Norriton, PA 19403 (215) 635-6270 (814) 452-5904 (610) 279-1500 Internal Family Family Medicine Practice Practice Balint, Steven, Chidester, Amy Dawn, Grzybowski, Joan M., Elkins Park Medical Associates Clark, Caitlin S, Morrison, Jeanette M, Elkins Park Medical Associates, 8302 Clark, Christopher C, Volokhonsky, Helen, Old York Road, Briarhouse Elkins Park, PA 19027 Gebhardt, Bruce Cushman, Internal (215) 885-8550 Mikelonis, Robert J, Medicine Internal Pelkowski, Timothy D, Carlin, Bernard H, Medicine Silko, Gary John, Edgemont Ekizian, Stephanie, Geriatric Medicine/Internal Newtown Edgemont Family Practice Manin, Bradley, Medicine 5048 West Chester Pike Silverstein, Daniel, Candib, Dorothy, Edgemont, PA 19028 Wanner, Jeffrey L, Family Sports Medicine Practice Elverson Mckrell, Jonathan D, Carroll, William L, The Family Medical Center at the Wood, Madeline S, Heritage Saint Vincent Internal Medicine - 11 S. Pine Street Hillside Elizabethtown Elverson, PA 19520 145 West 23 Street, Ste.101 PSHMG - Elizabethtown (610) 286-9000 Erie, PA 16502 (814) 452-7875 1 Continental Drive Family Elizabethtown, PA 17022 Practice Internal (717) 361-0666 Medicine Eck, Gordon R., Family Mingey, John Richard, Practice The Reading Hospital Medical Group at Morgantown Etters Craig, Sally L., 315 Darby Square WellSpan Medical Group - Valley Wren, Andrew, Elverson, PA 19520 Green Family Medicine (610) 898-5240 Elkins Park 1790 Old Trail Road Family Etters, PA 17319 Albert Einstein Healthcare Network - Practice Elkins Park Family/IM Family 401 E. Township Line Road, Suite B Huyett, Rebecca, Practice Elkins Park, PA 19027 Lavin, Erin, Develin, Edward Dunham, (215) 663-0246 Ephrata Edla, Surender Reddy, Family Lincoln Family Medicine Nurse Practice Practitioner 1635 West Main Street Shore, Matthew, Ephrata, PA 17522 Miller, Jennifer Lewis, Cheltenham Internal Medicine (717) 738-0660 Exton Suite 104, 7848 Old York road Family All Star Pediatrics Elkins Park, PA 19027 Practice (215) 635-6270 702 Gordon Drive Hager, Christopher L., Exton, PA 19341 Internal Hershey, Curtis L., (610) 363-1330 Medicine Kelly, James M., Pediatrics Page 259 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Exton Flourtown Forty Fort All Star Pediatrics CHOP Care Network-Flourtown Geisinger Medical Group - Forty Fort 702 Gordon Drive 1811 Bethelehem Pike, Suite A106 Peds Exton, PA 19341 Flourtown, PA 19031 190 Wells Street, Suite 122 Forty Fort, PA 18704 (610) 363-1330 Pediatrics (570) 718-4141 Pediatrics Bonita, Catherine Hyun, Pediatrics Chambers, Aaron Andrew, Limmer, Kathryn, Coroniti, Lisa J., Duncheskie, Robert C., Mullin corcoran, Sharon, InterMountain Medical Group - Dr. Dyer, Bradley J., Tomaine, Scott, James W. Galasso III Italia, Kathryn E, Fogelsville 1169 Wyoming Avenue Melnychuk, Jennifer O., Forty Fort, PA 18704 Fogelsville Family Medicine (570) 283-3301 Fairfield 8031 Main Street, PO Box 668 Fogelsville, PA 18051 Family WellSpan Medical Group - Fairfield Practice Family Medicine (610) 336-4676 Galasso, III, James William, 4910A Fairfield Rd Family Fairfield, PA 17320 Practice Fountainville Family Stanton, Elizabeth Lee, Peace Valley Internal Medicine, P.C. Practice Fort Washington 5039 Swamp Road, Suite 401, PO Box Farkas, Andrew A, 417 Family Practice Associates of Upper Fountainville, PA 18923 Moore, David Sadler, Dublin (215) 230-8380 Feasterville 1244 Fort Washington Avenue, Suite E- 2 Family Feasterville Family Health Care Fort Washington, PA 19034 Practice Feasterville Family Health Care, 1665 (215) 646-1686 McEwan, Jack R., Bustleton Pike Feasterville, PA 19053 Family Internal Practice Medicine (215) 355-9770 Devinney, Colleen Ann, Abramowitz, Alan I, Family Practice Kuklinski, Louise Helen, Purcell, Susan M, Pak-lee, Susan, Liu, Cassandra Jinn, Shaw, Diana S, Peniston, John, Mulligan, Margaret Ann, Frackville Rosenberg, Steven M, Snyder, Julia Alexandra, Geisinger Medical Group - Frackville Feasterville Family Practice, LLP Soltner, Gregory Thomas, PO Box 506, 701 W. Oak Street Frackville, PA 17931 523 Bustleton Pike Turk, Adam Theodore, Feasterville, PA 19053 (570) 874-4100 Nurse (215) 355-7900 Practitioner Family Family Practice Purcell, Alison, Practice Graf, Thomas R., Forty Fort Mcdonald, John Z, Langon, James P., Geisinger Medical Group - Forty Fort Sabalaske, Thomas E, Lewis, Ivor Fenton, Peds Flourtown 190 Wells Street, Suite 122 Furlong CHOP Care Network-Flourtown Forty Fort, PA 18704 Broderman Internal Medicine 1811 Bethelehem Pike, Suite A106 (570) 718-4141 2325 Heritage Center Drive, Suite 116 Flourtown, PA 19031 Internal Furlong, PA 18925 Pediatrics Medicine (215) 794-2462 Belser, Nancy, Carlos, Fernando S.,

Page 260 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Furlong Glen Mills Glenolden Broderman Internal Medicine CHOP Care Network-Chadds Ford Crozer-Keystone Health Network - 2325 Heritage Center Drive, Suite 116 1766 Wilmington Pike Folcroft Family Practice Furlong, PA 18925 Glen Mills, PA 19342 39 S. Chester Pike, Second Floor Glenolden, PA 19036 (215) 794-2462 Pediatrics (610) 586-2122 Internal Gallatig, Kathleen Marie, Medicine Family Kutz, Bethany, Practice Broderman, Susan J, Crozer-Keystone Health Network - Green, Holly, Gettysburg Brinton Lake Family Medicine Ziegler, Elizabeth, WellSpan Medical Group - Adams Crozer Medical Plaza at Brinton Lake, County Internal Medicine 300 Evergreen Drive, Suite 310 Glenside Glen Mills, PA 19342 450 South Washington Street Glenside Internal Medicine (610) 579-3555 Gettysburg, PA 17325 115 East Glenside Avenue, Suite 9 Internal Family Glenside, PA 19038 Medicine Practice (215) 885-0300 Nawaz, Abroo T, Arredondo, Matthew, Internal Wellspan Medical Group - Gettysburg Arredondo, Matthew, Medicine Adult Medicine Mousaw, Christie, Brownstein, Elliot, 37 N. Fifth Street Mousaw, Christie, Glenside Medical Associates Gettysburg, PA 17325 115 East Glenside Avenue, Suite 7 (717) 339-2424 Savinese, Jr., Stanley J., Glenside, PA 19038 Internal Crozer-Keystone Health Network - (215) 572-8944 Medicine DiMarco & Krafchick Family Crozer Medical Plaza at Brinton Lake, Acharya, Shubha R., Practice 300 Evergreen Drive, Suite 330 Grey, Marijka A., Glen Mills, PA 19342 Silver, Carlton I, Physician (610) 579-3444 Grove City Assistant Family Family Healthcare Partners - Grove Cannon, Rebecca J., Practice City WellSpan Medical Group - Herrs Ridge DiMarco, Anthony, 420 Hillcrest Avenue Family Medicine Krafchick, Michael, Grove City, PA 16127 820 Chambersburg Rd (724) 458-4950 Gettysburg, PA 17325 Crozer-Keystone Health Network - Family Physicians @ The Pavilion Family Family 145 Brinton Lake Rd., 1st Floor Practice Practice Glen Mills, PA 19342 Smith, Edward G., Farkas, Andrew A, (610) 459-1619 Sprando, Christopher, Kratz, Leo E, Family Family Healthcare Partners - Pine Practice Nurse Medical Practitioner Broyles, Melissa, Pine Medical Center, 675 North Broad Street Ext Garverick, Neal, Delfin, Donna, Grove City, PA 16127 Glen Mills Feinberg, Joshua, (724) 458-5872 CHOP Care Network-Chadds Ford Klingen, Donald, Family 1766 Wilmington Pike Wisser, Michael, Practice Glen Mills, PA 19342 Glenolden Thomas, Kevin A., Pediatrics Pediatrics Brewer, Una, Hefner, David W., Dreyer, Michael, Hamburg

Page 261 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Hamburg Harrisburg Hatboro Hamburg Family Practice PSHMG - Front Street Hatboro Medical Associates 700 Hawk Ridge Road 1711 North Front Street 345 N York Rd, PO Box 606 Hamburg, PA 19526 Harrisburg, PA 17102 Hatboro, PA 19040 (610) 439-7508 (717) 232-4553 (215) 675-1516 Family Family Cardiovascular Practice Practice Disease Blauser, Robert, Poole, Kevin J., Polin, Nancy J.m., Clymer, David, Pediatrics Family Practice Henning, Michelle, Kantner, Anne C., Cohen, Harris B, Martin, Cynthia D., PSHMG - Nyes Road I Judd, James D, Odorizzi, Rebecca, 121 Nyes Rd., Suite A Harrisburg, PA 17112 Miller, Thomas J, Srinivasan, Raji, (717) 657-4040 O'brien, Lauren Lynne, Northern Berks Family Medicine Family Rosen, Rachel E, 31 Industrial Drive Practice Hamburg, PA 19526 Haverford Ashbaugh, Stephanie J, (610) 562-9020 Bird, William M., CHOP Care Network-Haverford Family 600 Haverford Road, Suite 100 Practice Keiter, Karel A., Haverford, PA 19041 Chaudhry, Sana M., Miller, William H., Pediatrics D'Ancona, Sara, Richard, David C., Allen, Amy, Kindt, Jason H., PSHMG Nyes Road II Giombetti, Carl, Hanover Township 121 Nyes Road, Suite F Harrisburg, PA 17112-3248 Long, Kathleen, InterMountain Medical Group - Dr. (717) 214-6545 Magargee, Susan, John Menio 133 Oxford street Family Mattone-volpe, Francesca, Practice Hanover Township, PA 18706 Offit, Bonnie, Albertson, Brian Keith, (570) 208-4035 Swarup, Zarana R., Felix, Todd Matthew, Family Woehling, Joanne, Practice Heathcote, Marybeth, Hazle Twp Menio, John N, Michel, Frederick J., Geisinger Medical Group - Hazleton Harrisburg Harrisville Peds Family Care of Lower Paxton Family Healthcare Partners - 426 Airport Road, 6 Beltways Commo P.O. Box 8700 409 S. Second St. Harrisville Hazle Twp, PA 18202 Harrisburg, PA 17105 321 East Mercer Street (570) 501-7512 (717) 231-8923 Harrisville, PA 16038 Pediatrics (724) 735-4241 Family Bianco, Graciela C., Practice Family Hazleton Bui, Tuong Nguyen, Practice Geisinger Medical Group - Hazleton DeArmitt, Don Alan, Mcafee, Ronald D., 126 Airport Road DeArmitt, John Y., Surgery Hazleton, PA 18202 Saacks, Dennis Lewis, Hoyt, Bernard S., (570) 808-5953 PSHMG - Front Street Hatboro Family 1711 North Front Street Practice Harrisburg, PA 17102 Jacobs, Bruce Eliott, (717) 232-4553 Page 262 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Hazleton Hershey Holland Geisinger Medical Group - Hazleton Internal Medicine Associates, West Albert Einstein Healthcare Network - 126 Airport Road Campus Holland Pediatrics Hazleton, PA 18202 500 University Drive, Suite 200 HS98 295 Buck Road, Suite 106 (570) 808-5953 Hershey, PA 17033-2360 Holland, PA 18966 (717) 531-4221 (215) 753-4225 Family Practice Internal Pediatrics Medicine Sparich, Salvatore Peter, Barkan, Craig Adam, Mccall-hosenfeld, Jennifer Susan, Internal Coyte, Thomas, Medicine Moser, Eileen Marie, Dever, Lynn, Todd, Rhonda S., Osevala, Nicole Marie, Feldstein, Brad, Hershey Sciamanna, Christopher N, Ferrara, Lynn, Weitekamp, Michael R, Internal Medicine Associates, East Mufti, Sadia, Campus Physician Naval-Blyden, Pamela, 35 Hope Drive Suite 104 Assistant Hershey, PA 17033-2086 Travor, Scott, Jacobs, Kimberley W, (717) 531-5160 Huntingdon PSHMG Fishburn Road Internal Lawndale Internal Medicine Medicine 845 Fishburn Road Hershey, PA 17033-2015 793 Huntingdon Pike Ballentine, Noel H, (717) 531-8181 Huntingdon, PA 19006 Bollard, Edward R, Emergency (215) 780-2000 Caputo, Gregory M, Medicine Internal Medicine Chuang, Cynthia H, Leong, Shou ling, Affatato-Bradley, Lisa, Goldstein, Jennifer P, Family Practice Feldman, Robert A, Hess, Stacy Lyn, Adelman, Alan M, Reinprecht, James T, Jones, Lawrence H, Chambers, Linda L, Singer, Fred, Miller, Debra Q, Fredrick, N Benjamin, Huntingdon Valley Physician Assistant Gingrich, Dennis L, Rockledge Medical Associates Weaver, Anne S, Heim, Roger A, 801 A. Huntingdon Pike Huntingdon Valley, PA 19006 Internal Medicine Associates, West Herman, James M, (215) 379-3200 Campus Lewis, Peter R, 500 University Drive, Suite 200 HS98 Family Malone, Michael Andrew, Hershey, PA 17033-2360 Practice (717) 531-4221 Pujalte, George Guntur abanes, Koehler, William, Gastroenterology Robles, Edwin L, Jamison

Schlegel, Daniel J, Abington Pediatric Associates - Jamiso Jeffries, Graham H, Wallen, Beth, 2370 Jamison Suite A-8 Internal Weida, Thomas J, Jamison, PA 18929 Medicine (215) 491-5100 Midwifery Bomberger, Shana, Pediatrics Curci, Katherine M, Green, Michael J, Chanoine, Pierre Patrick, Nurse Haidet, Paul matthew, Practitioner Chanoine, Pierre Patrick, Masters, Philip A, Whary, Joanne, Fellheimer, Susan, Masters, Rebecca B, Holland Fellheimer, Susan,

Page 263 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Jamison Jeanette Jenkintown Abington Pediatric Associates - Jamison Western PA Family Medicine Associates Pediatric Care Group 2370 Jamison Suite A-8 2057 State Route 130 261 Old York Road, Suite 620 Jamison, PA 18929 Jeanette, PA 15644 Jenkintown, PA 19046 (215) 491-5100 (724) 527-5001 (215) 885-8700 Pediatrics Family Pediatrics Practice Greenberg, Adena, Carrier-Kinsley, Marie, Wong, Kevin Michael, Greenberg, Adena, Mahoney, Maria M, Jenkintown Hutton, Lisa J, Mundell, Marylee, Hutton, Lisa J, Abington Family Medicine Jenkintown, 500 Old York Road, Suite 108 Parnes, Curt I, Jenkintown, PA 19046 Internal Medicine Associates of Abington Parnes, Curt I, (215) 481-2725 500 Old York Road, Suite 203 Sivitz, Michael C, Family Jenkintown,, PA 19046 Practice Sivitz, Michael C, (215) 481-4268 Clark, Mathew M, Central Bucks Family Practice Jamison Family 2370 York Rd, #F1 Clouse, Amy Lynn, Practice Jamison, PA 18929 Fenstemacher, Pamela, Grossman, Jay S, (215) 343-5444 Russell, John J, Grossman, Sheila S, Family Skolnik, Neil S, Internal Practice Medicine Laphen, Jeffrey Thomas, Albert Einstein Healthcare Network - Jenkintown Pediatrics Botero, Andres, Laphen, Jeffrey Thomas, 201 Old York Road, Suite 202 Ecker, Michelle, Lewcun, Robert George, Jenkintown, PA 19046 Lintgen, Arthur B, (267) 763-1060 Lewcun, Robert George, O'connell, Bryan Daniel, Pediatrics Robin, Sarah E., Rigotti, Joseph A, Kovats, Eniko, Robin, Sarah E., Seraj, Samina, Marc Kress, M.D. & Assoc. Smith, David Alan, 610 Old York Road, Jenkins North Shackelford, Jason Michael, Smith, David Alan, Court, Suite 70 Song, Ruiping, Tafflin, Dennis Harvey, Jenkintown, PA 19046 Spencer, Steven, (215) 887-3100 Tafflin, Dennis Harvey, Sweigard, Keith W, Family Treiman, Philip, Practice Trichtinger, Martin D, Treiman, Philip, Kress, Marc M, Zhou, Zhihong, Wright, Deborah Sue, Oyejide, Kaya J, Nurse Wright, Deborah Sue, Practitioner Internal Jeanette Medicine Braverman, Barbara, Western PA Family Medicine Associates Meller, Susan, Naimoli, Betty E, 2057 State Route 130 Physician Jermyn Jeanette, PA 15644 Assistant The Wright Center for Primary Care (724) 527-5001 Wetzel, Jennifer T, Midvalley Practice Family Pediatric Care Group 5 S Washington Avenue Practice 261 Old York Road, Suite 620 Jermyn, PA 18433 Bakshi, Viharika Kiran, Jenkintown, PA 19046 (570) 383-9934 Mathos, Julia T, (215) 885-8700 Internal Medicine Page 264 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Jermyn Kennett Square Kingston The Wright Center for Primary Care - CHOP Care Network-Kennett Square Geisinger Medical Group - Kingston Midvalley Practice 891 East Baltimore Pike 499 Wyoming Avenue 5 S Washington Avenue Kennett Square, PA 19348 Kingston, PA 18704 Jermyn, PA 18433 Pediatrics (570) 283-2161 (570) 383-9934 Gonzalez, Elaine, Family Internal Practice Medicine Karcsh, Henry, Chollak, Joseph P., Novak, Gregg J., Kaul, Venita, Kordek, Michael E., Sheth, Jignesh Yasmin, King of Prussia Kosek, Gunnar Francis, Thomas, Linda J, Family Practice Associates of King of Kovalick, Kimberly Ann M., Prussia of Fornance Nurse Wyoming Valley Family Medicine Practitioner 625 Clark Avenue, Suite 13 King of Prussia, PA 19406-1438 Residency Program Greer, Nancy, (610) 265-8566 2 Sharpe St. Pediatrics Kingston, PA 18704-3715 Family (570) 552-8900 Maidana-Moreno, Maria-Beatrice, Practice Family Johnstown Camp, Anthony M, Practice Darby, Janine Massa, Conemaugh Health Systems Gross, Gretta A, 1086 Franklin St George, Ann D, Litchman, Maureen M, Johnstown, PA 15905 Smith, Michelle A, (814) 534-9000 Shanbaky, Isis, King of Prussia Family Medicine of Spring, Deborah A, Family Fornance Physician Services Practice The Merion Building, 700 S. Henderson Kulpmont Casey, Lisa M., Road, Suite 306 Geisinger Medical Group - Kulpmont King of Prussia, PA 19406 Gore, Alvin I, 1 Nevada Drive (610) 265-0726 Johnston, Lynn C, Kulpmont, PA 17834 Family (570) 373-1250 Koeller, Royal, Practice Family Shah, Suryakant, Edde, Peter B., Practice Spencer, Jeanne, Panaro, Rudolph J., Hood, Thomas J., Kenhorst Richardson, Kimberly A, Nye, Jill E., Kenhorst Family Medical Center Internal Romanic, Bruce Mark, 600 High Boulevard Medicine Roth, Raymond David, Kenhorst, PA 19607 Ecker, Andrew M., (610) 603-0183 Tomedi, John R., King of Prussia Medicine Kutztown Family 860 First Avenue, Suite 4B Practice King of Prussia, PA 19422 Kutztown Family Practice Kane, Brian R, (610) 265-1251 15050 Kutztown Road Lopez, Florita Cordero, Internal Kutztown, PA 19530 (610) 683-7393 Migliarino, Luciano, Medicine Family Tumelty, Daniel S, Becker, Frederic Scott, Practice Nurse Becker, Irwin, Kunsman, Natalie M, Practitioner Cognetti, Melissa Reimel, Lancaster Hanna, Ezzat A, Till, Ann Gallagher, Kennett Square Kingston

Page 265 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Lancaster Lancaster Lansdale Eden Park Pediatric Associates Roseville Pediatrics, LGMG LMG Family Practice - Lansdale 1725A Oregon Pike 160 North Pointe Blvd., Suite 110 1019 S. Broad Street Lancaster, PA 17601 Lancaster, PA 17601 Lansdale, PA 19446 (717) 569-8518 (717) 569-6481 (215) 361-5090 Nurse Pediatrics Family Practitioner Practice Hoshauer, Cathy J, Evans, Ashley Anne, Nadwodny, Linda A, Kernen, Lisa Marie martz, Pediatrics Lebanon Krak, Ronald V, Cook-moine, Colleen Lee, Reilly, Anne K, Good Samaritan Family Practice Cent Hipple, Judith Holt, 4th & Willow Street, Second Floor Sanchez, Kimberly W, Lebanon, PA 17042 Knox-lee, Margaret Mary, Shamimi-noori, Sara Koohdary, (717) 270-2345 Valuch, Jill Elaine, Tifft, Stephen W, Family Lancaster General Hospital - Practice Zehr, Bonnie M, Downtown Family Medicine Lane, Aaron Brice, 555 North Duke Street, P.O. Box 3555 Langhorne Lovett, William J, Lancaster, PA 17604-3555 Newtown Medical Group (717) 544-1880 1703 Langhorne-Newtown Road, Suite 1 Mcgeary, James E., Family Langhorne, PA 19047 Scherr, Roberta, Practice (215) 968-3655 Sheffield, John C, Cohen, Donna, Family Levittown Gates, Thomas, Practice Kulka, Matthew Robert, New Falls Medical Center Hermansen, Christian, 2 Qunicy Drive Kuttler kelly, Suzanne, Olin, Stephen, Levittown, PA 19057 Rast, Mark, Lansdale (215) 943-1200 Ratcliffe, Stephen, Green and Seidner Family Practice Family Associates Practice Wood, John C., 826 N Broad Street Kane, Jill R., Zervanos, Nikitas, Lansdale, PA 19446 Kane, John T., Nurse (215) 855-1054 Kane, Megan C., Practitioner Family Boll, Laura, Practice Lewisburg Roseville Pediatrics, LGMG Green, Barry P, Geisinger Medical Group - Lewisburg 160 North Pointe Blvd., Suite 110 Kennedy, Susan H, 250 Reitz Boulevard Lewisburg, PA 17837 Lancaster, PA 17601 Knudsen, Sandra J, (717) 569-6481 (570) 523-0056 Lee, William M, Nurse Family Practitioner Rosenfeld, Jack C, Practice Grady, Betsy E., Seidner, Michael R, Arisumi, Susan K., Pediatrics Lawrence I Miller DO PC Internal 2031 North Broad Street, Suite 121 Medicine Ammons, Jennifer S, Lansdale, PA 19446 Chappen, Margaret Eileen, Bowen, Sara D., (215) 412-4910 Speake, Mark Robert, Gross, Frances C, Family Still, Margaret M., Hanna, Christine M, Practice Lewistown Haught, W. Michael, Miller, Lawrence Ian,

Page 266 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Lewistown Lititz Mahanoy City Geisinger Medical Group - Lewistown Lancaster General Medical Group - Geisinger Medical Group - Mahanoy 21 Geisinger Lane Lititz Family Medicine City Lewistown, PA 17044 562 West Second Avenue 31 South Main Street (717) 242-4200 Lititz, PA 17543 Mahanoy City, PA 17948 (717) 626-2167 (570) 773-3042 Family Practice Nurse Family Practitioner Practice Bardella, Betty Jean, Terenchin, Shirley B, Kane, Francis J., Manganaro, Kimberly Joan, Littlestown Manchester Nungesser, Raymond Francis, Zetterberg, Frans T., WellSpan Medical Group - Littlestown WellSpan Medical Group - Wheatlyn Family Medicine Family Medicine Internal 300 West King Street, Ste C 212 Rosedale Dr Medicine Littlestown, PA 17340 Manchester, PA 17345 Antony, Oana M., Family Family Galvin, Sharon Halbedl, Practice Practice Rajasekharaiah, Anitha, George, Christopher J, Bamford, Jennifer Brennan, Szulawski, Ireneusz, Nurse Bojja, Lavanya, Practitioner Pediatric Karri, Lavanya, Clark, Jennifer Maue, Nephrology Pater, David Russel, Lock Haven Dedeoglu, Ismail Ozhan, St John, Kevin Brian, Pediatrics Geisinger Medical Group - Lock Haven Nurse Romeo, Joseph, 955 Bellefonte Avenue Practitioner Lock Haven, PA 17745 Limerick Hofmeister, Barbara Ann, (570) 748-7714 Maple Glen PMA Medical Specialists- Limerick Family 410 W. Linfield-Trappe Road, Suite 100 Practice Horsham Medical Associates Limerick, PA 19468 Gabinskiy, Boris, 701 Limekiln Pike, Suite 3 & 4 (610) 495-2300 Maple Glen, PA 19002 Internal (215) 646-0642 Internal Medicine Medicine Family Ackley, Charles V., Freehafer, John F., Practice Lower Gwynedd Real, Mark B., Jacobson, Kenneth L, Family Medicine, Geriatrics and Stepansky, David W., Internal Wellness Medicine Lititz 714 North Bethlehem Pike, Suite 101 Channick, Steven A, Lancaster General Medical Group - Lower Gwynedd, PA 19002 Lititz Family Medicine (215) 540-4411 Marcus Hook 562 West Second Avenue Family Crozer-Keystone Health Network - Lititz, PA 17543 Practice Family Care Associates (717) 626-2167 Mambu, Joseph F., 1000 Market Street Marcus Hook, PA 19061 Family Internal (610) 485-2578 Practice Medicine Family Andersen, Thomas W, Marcus, Hillary N., Practice Russo, Marc S, Mahanoy City Munshower, John, Sailer, Dale W, McKees Rocks Scibal, Gary J, Superdock, David T, Page 267 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania McKees Rocks McMurray Media Pine Hollow Medical Associates Primary Care South Crozer-Keystone Health Network - Robinson Medical Center, 133 Church 3402 Washington RD, Suite 301 Family Physicians @ Middletown Hill Road, Suite 2 McMurray, PA 15317 Center for Family Health, 176 S. New McKees Rocks, PA 15136 (724) 941-2018 Middletown Road (412) 722-1021 Media, PA 19063 Family (610) 627-3690 Family Practice Practice Family Murphy, Colleen, Practice Bubenheim, Daniel M, Media Chandler, Khariyyan Mack, Starenchak, Scott M, CHOP Care Network-Media PennCare Internal Medicine Assoc of Internal 176 S. New Middletown Road, Suite 202 De co Medicine Media, PA 19063 605 W State St, 2nd floor Burgo, Alfred J, (610) 284-0200 Media, PA 19063 Palmieri, Danny, Pediatrics (610) 565-8600 Robert F. Yellenik M.D. Kleiman, David, Internal 27 Heckel Road, Suite 112 Medicine Crozer-Keystone Health Network - McKees Rocks, PA 15136 Crozer Medical Associates - Media Eberly, David E, (412) 777-4380 200 E. State Street, Suite 224 Fink, Albert H, Family Media, PA 19063 Meyer, Carl A, Practice (610) 499-7180 Nonack, Peter B, Yellenik M.D., Robert F, Geriatric Medicine/Family Soffer, Daniel E, McKeesport Practice Srulevich, Michael E., Wertheimer, Marc J, Latterman Family Health Center - UPMC Internal Mercer Medicine 2347 Fifth Avenue Family Healthcare Partners - Mercer McKeesport, PA 15132 Fosnocht, Kevin, 400 West Butler Street (412) 673-4567 Kahn, Deborah, Mercer, PA 16137 Family (724) 662-4990 Lainoff, David, Practice Family Williams, Susan, Conti, Tracey D, Practice Crozer-Keystone Health Network - Demian, Essam, Hoyt, David G., Family Physicians @ Media Johns, Martin G, Media Medical Plaza, 200 E. State Mertztown Street, Suite 106 Markle, William H, The Reading Hospital Medical Group Media, PA 19063 Mcgonigle, Cathleen S, at Mertztown Family 506 Woodside Avenue Shenouda, Emeil M., Practice Mertztown, PA 19539 McMurray Gavis, Jan, (610) 682-2137 Preferred Primary Care Physicians, Prime, Michael F, Family Inc. - Division 3, Waterdam Plaza Practice Crozer-Keystone Health Network - 5000 Waterdam Plaza Road, Suite 120 Family Physicians @ Middletown McGee, Janet Lorraine, McMurray, PA 15317 Center for Family Health, 176 S. New Middletown (724) 941-8877 Middletown Road PSHMG Middletown Internal Media, PA 19063 3100 Schoolhouse Road Medicine (610) 627-3690 Middletown, PA 17057-354 Colodny, Stephanie L., Family (717) 948-5180 Mally, Ashith, Practice Family Robison, Walter J., Broyles, David, Practice Page 268 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Middletown Milton Montoursville PSHMG Middletown Geisinger Medical Group - Milton Geisinger Medical Group - Lycoming 3100 Schoolhouse Road 155 South Arch Street 780 Broad Street Middletown, PA 17057-354 Milton, PA 17847 Montoursville, PA 17754 (717) 948-5180 (570) 742-2655 (570) 368-2870 Family Family Family Practice Practice Practice Baase, Carol A, Rohrer, George Redsecker, Eshleman, Jere R., Crimmel, Ellen M, Thein, Win, Michael, Sharon Rosalia, Curry, Gwendolyn W, Internal Pediatrics Medicine Curry, Willliam J, Beall, Sandra Cheryl, Chow, Danquing, Nasir, Munima, Moosic Mohnton Nurse Geisinger Medical Group - Moosic Practitioner The Reading Hospital Medical Group 4004 Birney Avenue Fedor, Michael John, at Gateway Moosic, PA 18507 1020 Grings Hill Road Mifflin (570) 344-4711 Mohnton, PA 19540 Family Geisinger Medical Group - Juniata (610) 898-5030 Practice 56 Jam House Road Family Wessel, Andrea, Mifflin, PA 17058 Practice (717) 436-8986 Internal Kleiman, Louis M, Medicine Family Minnich, Ryan J, Practice Chiumento, Nicholas Patrick, Reimels, Brian M, Cox, Laurie Ann, Morton Internal Fuoco, John J., Medicine Crozer-Keystone Health Network - Millville Conroy & Associates Bonner, Mary J., 61 S Morton Avenue, Suite 6 Geisinger Medical Group - Millville Jain, Bina, Morton, PA 19070 515 Jerseytown Road Kastenbaum, Michael, (610) 328-4460 Millville, PA 17846 Family (570) 458-5597 Leisawitz, Elliott G, Practice Family Monroeville Conroy, Sean, Practice Forbes Family Practice Shor-Conroy, Robyn, Bang, Sam S., 2566 Haymaker Road TeKolste, Keala R., DuBartell, Michael Lawrence, Monroeville, PA 15146 (412) 858-2764 Mount Pocono Milmont Park Family Geisinger Medical Group - Mount Crozer-Keystone Health Network - Practice Pocono Milmont Park Family Practice 21 Commerce Court 500 MacDade Blvd. Pingul-Ravano, Rowena, Mount Pocono, PA 18344 Milmont Park, PA 19033 Sturm, Charles Fredrick, (570) 839-3633 (610) 619-7300 Wolfe, Steven R, Family Family Yao, Michael Joseph, Practice Practice Montoursville Bigatel, Levelle D, Hermann, Robert F, Geisinger Medical Group - Lycoming Brown, Timothy Michael, Hermann, Robert F, 780 Broad Street Kozma, Matthew R., Sacharok, Cynthia A, Montoursville, PA 17754 Internal Milton (570) 368-2870 Medicine Page 269 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Mount Pocono Myerstown New Freedom Geisinger Medical Group - Mount ELCO Family Health Center WellSpan Medical Group - Spring Pocono 6 Perri Avenue Valley Family Medicine 21 Commerce Court Myerstown, PA 17067 13515 Wolfe Road Mount Pocono, PA 18344 (717) 270-2345 New Freedom, PA 17349 (570) 839-3633 Family Family Internal Practice Practice Medicine Kovarikova, Daria, Burney, Amara Zubair, Yusko, Christopher, Yoder, John Byard, Cutti, Eric Moore, Pediatrics Nanticoke Prince, Douglas H, Hardy, Allyson C., Geisinger Medical Group - Nanticoke Schlosser, Michelle Lorraine, Kawamura, Akiko, Peds Skinner, Elizabeth Anne, 6 W. Green Street Mountainhome Taylor, Brian J, Nanticoke, PA 18634 Geisinger Medical Group - (570) 735-0385 Nurse Mountainhome Practitioner PO BOX 607, Route 390 Pediatrics Pollack, Russell Alan, Mountainhome, PA 18342 Grabowski, Marie Agatha, (570) 595-7535 New Kensington Natrona Heights Family University of Pittsburgh Health Plan - Practice Allegheny Valley Internal UPMC of St. Margaret New Medicine/WPAHS Kensington Family Health Center-C69 Bolock, Sylvia Maria, 1719 Union Avenue 301 Eleventh Steet, Suite C Patel, Darshan B., Natrona Heights, PA 15065 New Kensington, PA 15068 Mountaintop (724) 226-2128 (724) 334-3640 Family Geisinger Medical Group - Family Practice Mountaintop Practice 12 Kirby Avenue Guhanand, Nithya, Han, Jonathan K., Mountaintop, PA 18707 Internal New Oxford (570) 808-5953 Medicine WellSpan Medical Group - Cross Key Family Defrances, Dominick A, Internal Medicine Practice Hanzlik, Heather M, 2900 Carlisle Pike Aquilina, Anthony D., Wang, Xiaohong, New Oxford, PA 17350 Radziewicz, Mark M., New Britain Family Tomczyk, Kenneth H., Practice Chalfont Family Practice Dalton, Tatiana Alycia, Geisinger Medical Group - 65 E. Butler Avenue, Suite 201 Mountaintop Peds New Britain, PA 18901 Internal 10 1/2 South Mountain Blvd. Medicine (215) 822-3113 Mountaintop, PA 18707 Rubenstein, Morton Jerome, (570) 474-5072 Family Practice Newtown Pediatrics Bagnick, Joseph Francis, CHOP Care Network-Newtown Samonte, Alexies Osorio, Dacier, Christine Marie, 6 Penns Trail, Suite 105 Myerstown Newtown, PA 18940 Danzis, Jeffrey J, ELCO Family Health Center Pediatrics Lieberman, Bruce Lawrence, 6 Perri Avenue Brister, Randy, Myerstown, PA 17067 Shaeffer, Joseph Martin, Kardos, Julie, (717) 270-2345 New Freedom Sasson, Robert,

Page 270 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Newtown Nicholson Olyphant CHOP Care Network-Newtown Geisinger Medical Group - Nicholson Physicians Health Alliance - Olyphant 6 Penns Trail, Suite 105 PO BOX K Route 11 Lackawanna Trail 109 Terrace Drive Newtown, PA 18940 Nicholson, PA 18446 Olyphant, PA 18447 Pediatrics (570) 942-6124 (570) 383-0236 Walder, Mary ellen, Family Internal Practice Medicine Family Practice Center of Newtown Russell, Gary D., Lukose, Ludy, 638 Newtown Yardley Road, Suite 2E Newtown, PA 18940 Russell, Susan R., Mulloth, Rajan, (215) 968-1616 Norristown Oreland Family Montgomery Family Practice Center Upper Dublin Internal Medicine Practice 1330 Powell Street, Suite 409 200 Pennsylvania Avenue Saracino, Barbara M, Norristown, PA 19401 Oreland, PA 19075 Spratt-turner, Catherine R, (610) 277-0964 (215) 887-7422 Margiotti & Kroll Pediatrics- Newtown Family Internal Practice Medicine 2861 S. Eagle Road Newtown, PA 18940 Andino, J. Federico, Litman, Stephen E, (215) 968-5800 Evans, Susanna G., Orwigsburg Nurse Lowery, Teresa, Geisinger Medical Group - Orwigsbur Practitioner Rose, Gina L, 200 Pinebrook Place, Suite 5 Mcgowan, Theresa Mary, Orwigsburg, PA 17961 Santillano, Eugene, Pediatrics (570) 366-1557 Srinivasan, Mahalakshmi, Margiotti, Gerard Anthony, Family Norristown Family Physicians of Practice Nadel, Bonnie G, Fornance Physician Services, Inc. Darhun, Benjamin P., Newtown Square 1437 DeKalb Pike, Suite 201 Norristown, PA 19401 Kozlowski, Anita Erine, Consultants in Medical Oncology & Hematology, PC - Newtown Square (610) 272-5341 Lord, Kenneth J., The Bryn Mawr Hospital Health Family Terlingo, Marlene, Center, Cancer Center Ground Floor, Practice 3855 West Chester Pike Pediatrics Calamia, Joseph A, Newtown Square, PA 19073 Tenney, Barbara Lea, Drumm, Christopher, (610) 356-1888 Yarczower, Bret S., Melnick, Kevin R, Oncology Palmyra Old Forge Rovito, Marc A, PSHMG - Palmyra Prime Health Network - 6003 Physicians Health Alliance - Old Forge 941 Park Drive 4667 West Chester Pike, Suite D1 315 S. Main Avenue, 415 South Main St Palmyra, PA 17078 Newtown Square, PA 19073 Old Forge, PA 18518 (717) 838-6305 (570) 457-8364 (610) 356-7870 Family Family Family Practice Practice Practice Graves, Nancy S., Charabati, Jihad, DeMario, Maria C, Gross, Shanin R., Montgomery, Dana Marie, Papa, Michelle E, Henning, George F., Sallavanti, Armondo R., Nicholson Messmer, John J., Olyphant Silvis, Matthew L., Paoli

Page 271 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Paoli Philadelphia Philadelphia CHOP Care Network-Paoli Albert Einstein Healthcare Network - Albert Einstein Healthcare Network - 250 W. Lancaster Avenue, Suite 340 Colgate Pediatrics Germantown Prof Family/IM Paoli, PA 19301 6129 Colgate Street 5753 Wayne Avenue Philadelphia, PA 19111 Philadelphia, PA 19144 Pediatrics (215) 725-2105 (215) 848-8800 Gelman, Kennethd, Pediatrics Family Hariharan, Lakshmi, Practice Angell, Karen P, Labik, Jeanna A., Hannaway, Barbara Ann, Selbst, Alison, Rosato, Anne, Love, Carol, Sterner, Todd M, Schetman, Anna, Internal Albert Einstein Healthcare Network - Medicine Strassman, Ira, Front & Olney IM Phila 101 East Olney Avenue, Suite C5 Sargeant, Delwyn, Philadelphia, PA 19120 Albert Einstein Healthcare Network - Elefant Galante PC (215) 927-1937 Germantown-5519 IM 9501 Roosevelt Blvd 5519 Germantown Avenue Phila, PA 19114 Internal Medicine Philadelphia, PA 19144 (215) 673-7070 (215) 438-2055 Hoellein, Kenneth, Internal Internal Medicine Polan, Erik, Medicine Galante, Lisa, Albert Einstein Healthcare Network - Baugh, Wilfreta Gourdine, Germantown Family/IM Wolf, Steven U, 625 E. Wister Street, MOB - 2 Penn Albert Einstein Healthcare Network - Philadelphia Blvd., Suite 110 Mayfair Family 7131-39 Frankford Avenue Albert Einstein Healthcare Network - Philadelphia, PA 19144 Aramingo Family (215) 843-8272 Philadelphia, PA 19135 (215) 332-4164 3300 Aramingo Avenue Family Philadelphia, PA 19134 Practice Family (215) 634-5110 Practice Generette, Pasha, Family Carabello, Rita, Internal Practice Medicine Lubin, Thomas Ira, Brown, Nancy, Costantino, Michele Linne, Scaven, Christopher, Internal Albert Einstein Healthcare Network - Voddi, Swetha D, Medicine Germantown IM Albert Einstein Healthcare Network - Oxenberg, Gary, 7500 Germantown Avenue, Elders Hall, Morton Street Family Suite 101 Albert Einstein Healthcare Network - 6302 Morton Street Philadelphia, PA 19119 Center One Family Philadelphia, PA 19144 (215) 248-0112 9880 Bustleton Avenue, Suite 301 (215) 843-8578 Philadelphia, PA 19115 Internal Family (215) 827-1552 Medicine Practice Family Mirow, Yuan, Marks, Barry L, Practice Albert Einstein Healthcare Network - Albert Einstein Healthcare Network - Fontanilla, Arnold Glen, Germantown Pediatrics NE Family Medicine 625 E. Wister Street, MOB - 2 Penn Schachter, Bonnie, 335 E. Wyoming Avenue Blvd., Suite 111 Philadelphia, PA 19120 Spector, Harvey M., Philadelphia, PA 19144 (215) 455-0113 (215) 381-1160 Family Pediatrics Practice Booker, Felicia M, Blender, Burton, Page 272 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Philadelphia Philadelphia Philadelphia Albert Einstein Healthcare Network - Albert Einstein Healthcare Network - Andorra Pediatrics NE Family Medicine Roxborough Pediatrics 8945 Ridge Ave St 5 335 E. Wyoming Avenue 6001 Ridge Avenue Philadelphia, PA 19128 Philadelphia, PA 19120 Philadelphia, PA 19128 (215) 483-8558 (215) 455-0113 (215) 487-2260 Pediatrics Family Pediatrics Cozza, Joann C., Practice Casher, Danielle, Selig, Daniel Scott, Tadley, Gerald, Albert Einstein Healthcare Network - Selig, Robert Mark, Albert Einstein Healthcare Network - Wadsworth Family/IM Pennypack Pediatrics 1602-04 Wadsworth Avenue Aria Health Physician Services Centra 8556 Bustleton Avenue Philadelphia, PA 19150 Square Medical Center Philadelphia, PA 19152 (215) 753-9438 2451 Grant Avenue, Suite 1B (215) 338-4949 Philadelphia, PA 19114 Family (215) 671-8900 Pediatrics Practice Family Roberts, Leigh, Helm, Denina, Practice Roy, Dipanwita, Internal Palat, Herman W., Medicine Tatar, Emiliano, Internal Qureshi, Azra, Albert Einstein Healthcare Network - Medicine Powell Family Albert Einstein Healthcare Network - Abbruzzi, Anthony Joseph, 6013 Green Street Wadsworth Pediatrics Philadelphia, PA 19144 1602-04 Wadsworth Avenue Care Network South Philadelphia (215) 438-1030 Philadelphia, PA 19150 1930 South Broad Street, 2nd Floor (215) 753-9438 Philadelphia, PA 19147-1947 Family (215) 590-4132 Practice Pediatrics Pediatrics Lee Powell, Roberta F, Levin, Stephen, Behin-Aein, Taraneh, Powell, Jr., Thomas F, Albert Einstein Healthcare Network - Wynne-Baker Pediatrics Dang, Khoi Cong, Albert Einstein Healthcare Network - Rising Sun Pediatrics 5753 Wayne Avenue Gessman, Laura Michelle, Philadelphia, PA 19144 7201 Rising Sun Avenue Grundmeier, Robert, Philadelphia, PA 19111 (215) 848-8800 Malet'a, Viviana, (215) 722-8105 Pediatrics Marein-Efron, Gabriela, Pediatrics Wynne-Baker, Denise, Nasto, Kristen, Whitman, Randal, Albert Einstein Healthcare Network - York House South IM Novick, Dorothy, Albert Einstein Healthcare Network - Roxborough IM 5325 Old York Road, Suite 15 Ortolano, Susan, Philadelphia, PA 19141 6001 Ridge Avenue Rosales, Noel, Philadelphia, PA 19128 (215) 924-1234 Smoger Rios, Danah, (215) 487-2260 Internal Medicine Tierney, Anna-Marie, Internal Medicine Gonzalez-prado, Angeles, Center City Pediatrics Goldwein, Marlene, Lipkin, David E, 1740 South Street, Suite 301 Philadelphia, PA 19146 Manin, Beth, Andorra Pediatrics (215) 735-5600 Albert Einstein Healthcare Network - 8945 Ridge Ave St 5 Pediatrics Roxborough Pediatrics Philadelphia, PA 19128 6001 Ridge Avenue (215) 483-8558 Berger, Eric D., Philadelphia, PA 19128 Pediatrics Madani, Reza, (215) 487-2260 Page 273 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Philadelphia Philadelphia Philadelphia Center City Pediatrics CHOP Care Network-Cobbs Creek CHOP Care Network-University City 1740 South Street, Suite 301 225 Cobbs Creek Parkway 3819-33 Chestnut Street Suite 120 Philadelphia, PA 19146 Philadelphia, PA 19139 Philadelphia, PA 19104 (215) 735-5600 Pediatrics Pediatrics Pediatrics Patel, Rakhee, Eubanks, Chenia, Somekh, Sharon, Reich, Alice, Fabio, Mary, Somekh, Sharon, Sutherland, Sharon, Ferran, Claudia, Warren, Cynthia Collier, Wilson, Michele, Fiks, Alexander, Chestnut Hill Family Practice CHOP Care Network-Market Street Gajary, Zia, 8815 Germantown Avenue, 5th floor 3550 Market St. 5th Floor Hausman, Cheryl L., Philadelphia, PA 19118 Philadelphia, PA 19104 (215) 248-8035 Huang, Elena E, Pediatrics Family Master, Christina L, Biggs, Lisa, Practice Rezet, Beth, Cohen, Jodi, Breish, Russell S., Winston, Flaura, Defelice, Peggy, Hunter, Anne, CHOP General Pediatrics Faculty Karnik, Arati, Elliott, Elizabeth, Practice 3550 Market Street, 4th Floor Mahaniah, Wakengo, Everly, Eileen, Philadelphia, PA 19104 Guevara, James P, Pendley, Valerie, (215) 590-2998 Haecker, Trude, Surgery, Pediatrics Orthopedic Owusu-antwi, Jacqueline, Banner, David W, Mckenna, Marc W., Renedo, Dina E, Gawthrop, Sarah M, CHOP Care Network - Chestnut Hill Sammaritano, Donna, 7700 Germantown Ave Herrell, Kristine A, Voulalas, Debra, Philadelphia, PA 19118 Hogan, Annique Kozak, Wall, James Joseph, (215) 247-1172 Ludwig, Stephen, Youssef, Mariam E, Pediatrics Olivieri, Suzanne P, CHOP Care Network-Roxborough Fitzpatrick, Denise, Rubin, David M, 5003 Umbria Street Gewirtzman, Steven, Philadelphia, PA 19128 Rutstein, Richard M, Ingersoll, Wendy, Pediatrics Siegel, Alyssa Harrison, Kline, Mary J., Dacosta, Anna-maria, Zsolway, Kathleen M, Magee, John G., Joshi, Asmita, Drexel Family Medicine Associates- White, Deborah A., Manayunk Klock, Barbara, 10 Shurs Lane, Suite 203 CHOP Care Network-Cobbs Creek Rolnick, Barbara, Philadelphia, PA 19127 225 Cobbs Creek Parkway (215) 482-4744 Philadelphia, PA 19139 Watson, Annette, Family Pediatrics CHOP Care Network-University City 3819-33 Chestnut Street Suite 120 Practice Aveta, Jacquelyn, Philadelphia, PA 19104 Berkson, David A, Desrochers, Colette, Pediatrics Gadegbeku, Annette, Joslin, Jenny, Bryant-stephens, Tyra, Hamilton, Jennifer, Katz, Miriam, Campbell, Carla, Hlavac, Julieanne, Minto, Natalie, Draper, Kari, Hong, Eugene S, Mui, Mariko, Page 274 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Philadelphia Philadelphia Philadelphia Drexel Family Medicine Associates- Holland Medical Associates Matthew C. Frankel, MD, FACP Manayunk 10160 Bustleton Avenue, Suite A 135 South 19th St 10 Shurs Lane, Suite 203 Philadelphia, PA 19116 Philadelphia, PA 19103-4912 Philadelphia, PA 19127 (215) 464-2248 (215) 564-6500 (215) 482-4744 Internal Internal Family Medicine Medicine Practice Ponamgi, Vinita A., Frankel, Matthew Charles, Simmons, Barry Brent, Rosenbaum, Carl A., Mt. Airy Family Practice Yeh, Julie Ann, Jefferson Internal Medicine Associates 760 Carpenter Lane Internal 833 Chestnut Street, Suite 701 Philadelphia, PA 19119 Medicine Philadelphia, PA 19107 (215) 848-6880 Maulitz, Russell Charles, (215) 955-6180 Family Practice Zinn, Steven L, Internal Medicine Clarke, Deborah A, Sports Medicine Axelrod, David J., Good, Linda W., Sandella, Bradley James, Knight, Barbara S., Leath, Susan J., Frankford Avenue Family Practice Kyrillos, Janine V., Lewis, David W., 8846 Frankford Avenue Lee, Albert, Lyon, Thomas F., Philadelphia, PA 18966 Morrissette-Ney, Erin Louise, Ninth Street Internal Medicine Assoc. (215) 332-8221 LTD Rattner, Susan L., Family 211 South Ninth Street, Suite 401 Practice Reddy, Arthi Chenna, Philadelphia, PA 19107 Franzi, Joseph J, Shenai, Shaila Marie, (215) 440-8681 Miller, Paul H, Shpigel, Aleksandr, Family Practice Stein, Franklin M, Spandorfer, John M., Oppenheim, Laura, Wohl, Allan M, Yin, Dongfang Diana, Internal Greenhouse Internists, PC Ziring, Barry S., Medicine 345 E. Mt. Airy Avenue Rehabilitation Barmach, Kenneth R, Philadelphia, PA 19119 Medicine (215) 242-5000 Cohn, Lillian E., Schreiber, Adam Louis, Internal Crimm, Allan C., Mary Howard Health Center Medicine 125 S. 9th Street Font, Zuleika C., Chandrasekaran, Shivanandh, Philadelphia, PA 19107 Gefen, Marisa, Fabens, Elizabeth L., (215) 592-4500 Major, David A., Peterson, Daniel J., Nurse Smith, Arthur E., Practitioner Schiffman, Melissa G., Penn Center for Primary Care Goldring, Carol, Wolf, Erica, Penn Presbyterian Medical Center, Greco, M. Magdalene, Holland Medical Associates 39th and Market St, Medical Arts Building Suite 102 10160 Bustleton Avenue, Suite A McGlaughlin, Dorothea, Philadelphia, PA 19104 Philadelphia, PA 19116 Otte, Carol, (215) 662-9990 (215) 464-2248 Ward, Fran, Infectious Internal Matthew C. Frankel, MD, FACP Disease Medicine 135 South 19th St Gluckman, Stephen J, Liaw, Phillip, Philadelphia, PA 19103-4912 Mullen, Mark J., (215) 564-6500 Page 275 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Philadelphia Philadelphia Philadelphia Penn Center for Primary Care Penn Family Care - St. Leonard's Court PennCare Internal Medicine Associate Penn Presbyterian Medical Center, 3819 Chestnut Street, Suite 205 3701 Market St, 7th floor 39th and Market St, Medical Arts Philadelphia, PA 19104 Philadelphia, PA 19104 Building Suite 102 (215) 662-8777 (215) 615-3951 Philadelphia, PA 19104 Family Internal (215) 662-9990 Practice Medicine Internal Mcfillin-petrongolo, Terri, Jaeger, Jeffery R., Medicine Nicholson, James A, Lautenbach, Gillian L., Barden maja, Aba, Reed, Elaine, Nierman, Eliot H., Canada, Robin Elizabeth, Teel, Joseph Ryan, Nurse Cato, Robert, Practitioner PennCare Edward S. Cooper Internal Ende, Jack, Medicine Practice Sellin, Amanda J., Kosseim, Laura M, 3701 Market Street, Suite 640 PHMC Health Connection Lee, Anita C, Philadelphia, PA 19104 1035 West Berks Street (215) 615-3951 Rusk, Matthew, Philadelphia, PA 19122 Internal (215) 756-6690 Penn Family Care - Mutch Building Medicine 51 N. 39th Street, Penn Presbyterian Nurse Medical Center, Andrew Mutch Armstrong, Katrina, Practitioner Building 7th Floor Christensen, Kristin, Boczar, Kathleen, Philadelphia, PA 19104 Desai, Nirali Subhash, Brian, Donna B., (215) 662-8949 Ferguson, Monica O., Hewson, Patricia Moul, Family Practice Jan, Sophia, Kelly, Megan P., Bogner, Hillary R, Kogan, Jennifer Renee, LaJoie, Joan, Bowman, Marjorie A, Malhotra, Jr., Meera Laxmi, Mahoney, Kathleen R., Cronholm, Peter F, Mignott, Harold L., Pron, Ann L., Erickson, Lee Kim, Strom, Brian L., Walker, Karen E., Johnson, Margaret Elizabeth, Szalda, Dava, Wimmer, Deborah, Kapur, Rahul, Tomescu, Oana, Rising Sun Health Center Margo, Katherine L, Weiner, Mark, 500 Adams Avenue Philadelphia, PA 19120 Martin, Laura Margaret, Wright, Charmaine Smith, Nurse Neill, Richard A, Wynne, Craig Scott, Practitioner Nguyen, Giang T, PennCare Internal Medicine Associates Feldman, Hope, 3701 Market St, 7th floor Nicklin, David, Mariam, Salahou, Philadelphia, PA 19104 Penn Family Care - St. Leonard's Court (215) 615-3951 Markin-Plank, Lorraine, 3819 Chestnut Street, Suite 205 Rittenhouse Internal Medicine Philadelphia, PA 19104 Internal Medicine 1632 Pine Street (215) 662-8777 Bowles, Karen E., Philadelphia, PA 19103 Family (215) 670-5843 Practice Brigidi-Frasch, Antonette, Internal Bennett, Ian M, Chou, Carol, Medicine Demarco, Mario P, Guerra, Carmen E., Bellows Rowbotham, Jillan, Duvall, Monica, Horowitz, David A., Saltzman, Leslie A., Mao, Jun J, Hu, Michelle F.,

Page 276 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Philadelphia Philadelphia Phoenixville Thomas Jefferson University Thomas Jefferson University PMA Medical Specialists- Phoenixville 833 Chestnut Street, Suite 301 833 Chestnut Street, Suite 301 826 Main Street,, Suite 100 Philadelphia, PA 19107 Philadelphia, PA 19107 Phoenixville, PA 19460 (215) 955-5878 (215) 955-5878 (610) 633-8484 Family Family Family Practice Practice Practice Altshuler, Marc J, Salzman, Brooke E., Rothenberger, Rodger, Arenson, Christine A, Scott, Kevin Charles, Internal Medicine Arenson, Christine A., Sifri, Randa D, Brown, Mark S., Barash, Joshua, Snyderman, Danielle Amy, DiBlasio, Jacqueline, Brisbon, Nancy E, Swartz, Kristine, Eisner, Joel W., Buchanan, Edward M, Swartz, Kristine, Naegle, Matthew B., Chambers, Christopher V, Trayes, Kathryn Pool, Nguyen, Hang, Cheng, Cynthia, Valko, George P, Pottstown Medical Specialists, Inc. Close, Jeremy David, Weinstein, Lara C, (PMSI) - Marion C. Childs, M.D. Collins, Lauren G, Wender, Richard C, 500 Gay Street DeSimone, Kristin L, Winn, Robert, Phoenixville, PA 19460 (610) 935-7500 Deu, Rajwinder Singh, Witt, Deborah K, Internal Diaz, Victor A, Zawora, Michele Q, Medicine duBreuil, Anne L., General Childs, Marion C, Practice Goodman, Andrew W, Pittsburgh Studdiford, James S, Hackman, Anne Nason, Bernacki Family Practice & Wellness Physical Medicine & Hackman, Anne Nason, Center Rehabilitation Haines, Christopher A, 521 Greenfield Avenue Guthrie, Morton R., Pittsburgh, PA 15207 Harwood, Marc I, Phillipsburg (412) 422-6500 Hersh, Lauren Rachel, Geisinger Medical Group - Moshannon Family Hersh, Lauren Rachel, Valley Practice Hillson, Christina, 210 Medical Center Drive Bernacki, Bernard J., Phillipsburg, PA 16866 Hsieh, Christine, Bonner, Brian K, (814) 342-8020 Jerpbak, Christine M, East End Community Health Center Family Markham, Fred W, Practice 7227 Hamilton Ave Pittsburgh, PA 15206 McManus, R. Patrick, Pilgram, Philip Alan, (412) 404-4004 Mills, Geoffrey David, Geriatric Medicine/Family Family Practice Novielli, Karen D, Practice Westrick, Diann Marie, Parks, Susan M, Hawkins, Andrew, Internal Parks, Susan M., Lapp, Daniel P, Medicine Perkel, Robert L, Reddy, Lakshmi, Kollman, Kevin James, Plumb, James D, Schlar, Lisa, Pediatrics Pravs, Daila Melita, Schlar, Lisa, Brech, Kilian H., Rabinowitz, Howard K, Sawardekar, Satish Murari, Salzman, Brooke E, Page 277 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Pittsburgh Pittsburgh Pittsburgh East Liberty Family Health Care Center Gleason Medical Associates (GMA) - Preferred Primary Care Physicians-D 7171 Churchland Street University of Pittsburgh Medical 2 - Bower Hill Pittsburgh, PA 15206 Center (UPMC) 1050 Bower Hill Road, Suite 202 (412) 361-8284 1789 S. Braddock Avenue, Suite 510 Pittsburgh, PA 15220 Pittsburgh, PA 15218 (412) 531-2902 Family (412) 244-8760 Practice Internal Internal Medicine Balestrino, Diane, Medicine Austin, Barry, Blandino, David A, Negrini, Bryan P, Purighalla, Raman S., Blandino, David A, Greentree Medical Associates Purighalla, Uma, Cooke, Krista Lynn, 651 Holiday Drive, Foster Plaza Shadyside Family Health Center Tran, Minhduc P, Building # 5 Pittsburgh, PA 15220 5215 Centre Avenue Internal (412) 922-8490 Pittsburgh, PA 15232 Medicine (412) 454-6182 Family Boyle, Eileen Marie, Practice Family Williams, Lynne Louise, Practice Basi, Manpreet, Nurse Blandino, David A, Dunaevsky, Victoria, Practitioner Blandino, David A, Matasy, Victoria L., Tatman, Elizabeth Mae, Coutinho, Barry V, Internal East Liberty Family Health Care Medicine Finkelstein, Alan Lewis, Center Inc 6023 Harvard Street Dombrowski, Marianne, Gallik, Gregory Joseph, Pittsburgh, PA 15206-3053 Preiss, Jennifer Ellen, Knox, Mark Alan, (412) 661-2802 Pediatrics Kolb, Norman Randall, Family Massella, Elizabeth W, Schlar, Lisa Pearl, Practice Hazelwood Family Health Center Schlar, Lisa Pearl, Hall, David George, 4918 Second Ave Skinker, Benjamin M, Irvin, Frances Elizabeth, Pittsburgh, PA 15207 Stiefel, Lori A, Kliber, Allison Anna, (412) 422-9520 Takedai, Teiichi, Lemarquand, Wendy Jane, Family Practice Weaver-agostoni, Jacqueline S, Shepherd, Ruby, Dirks, Susan, Pediatrics Wahrenberger, Jack Todd, North Side Christian Health Center - Simasek, Madeline, Wahrenberger, Jack Todd, North Side Squirrel Hill Health Center Zimmerman, Richard K, 816 Middle Street 200 JHF Drive Pittsburgh, PA 15212 Internal Pittsburgh, PA 15217 Medicine (412) 482-6827 (412) 904-5285 Boyle, Eileen Marie, Family Family Practice Gleason Medical Associates (GMA) - Practice University of Pittsburgh Medical Miller, Laura Leigh, Gilboa, Deborah Ruth, Center (UPMC) Wahrenberger, Jack Todd, 1789 S. Braddock Avenue, Suite 510 Internal Pittsburgh, PA 15218 Wahrenberger, Jack Todd, Medicine (412) 244-8760 Pediatrics Fox, Andrea Rose, Internal Craddock, Shallon Tore, Medicine Deantonis, Kathleen Owens, Gleason, james A, Page 278 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Pittsburgh Pittsburgh Pittsburgh University of Pittsburgh Health Plan - University of Pittsburgh Physicians, UPMC Shadyside Senior Care Institut UPMC St. Margaret Bloomfield , General Internal Medicine 5200 Centre Avenue, Suite 405 Garfield-0876 MUH 9 South 200 Lothrop Street, Pittsburgh, PA 15232 5475 Penn Avenue W933 MUH, Attn: Joanne Riley (412) 623-2700 Pittsburgh, PA 15206 Pittsburgh, PA 15213 Internal (412) 361-7562 (412) 692-4821 Medicine Family Internal Ahuja, Namita, Practice Medicine Gennari, Amelia S, McGaffey, Ann L., Mancoll, Rebecca, Hassan, Shuja, Middleton, Jennifer L., McNeil, Melissa, UPMC Solano & Kokales Internal Rao, Goutham, Painter, Thomas D, Medicine Associates University of Pittsburgh Medical Spagnoletti, Carla L., Suite 100A-University Center, 120 Center HIV/AIDS Program Unligil, Peral, Lytton Avenue Suite 510 Keystone Bldg., 3520 Fifth Pittsburgh, PA 15213 UPMC Ave. (412) 647-4545 Pittsburgh, PA 15213 3471 Fifth Ave, Suite 500 Geriatric Medicine/Internal (412) 383-1044 Pittsburgh, PA 15213 Medicine (412) 692-2364 Infectious Coyle, Patricia G., Disease Geriatric Medicine/Internal Medicine Internal Ho, Ken Sujin, Medicine Palmer, Robert M., Macatangay, Bernard jonas Calingasan, Billeh, Rana, Internal Mcmahon, Deborah K, Medicine Burns, Emily S, Riddler, Sharon A, Nace, David A, Fiorillo, Anthony B, Sheridan, Kathleen, Rodriguez, Eric G, Kokales, John G., Veldkamp, Peter J, Rossi, Michelle Ida, Lipinski, Joseph L., Vergis, Emanuel N, Towers, Adele Lubus, March, Vicki, University of Pittsburgh Physicians, Visoiu, Adrian, Solano, Francis X., General Internal Medicine MUH 9 South 200 Lothrop Street, UPMC Downtown UPMC-St. Margaret Family Health W933 MUH, Attn: Joanne Riley Heinz 57 Center, 339 Sixth Avenue, 5th Center Pittsburgh, PA 15213 Floor Lawrenceville Family Health Center, (412) 692-4821 Pittsburgh, PA 15222 3937 Butler Street (412) 560-8762 Pittsburgh, PA 15201 Internal (412) 454-6182 Medicine Internal Medicine Family Bigi, Lori M., Practice Duca, Mark A., Bui, Thuy D., Friedlander, Mary Pat, Ellis, Lawrence D., Bump, Greg M., Moyer, Karen M., Reasbeck, Jeffrey L., Buranosky, Raquel Antoinette, Sauereisen, Sandra C., Tabas, Debra H., Fischer, Gary S., Pittston Yates, Anthony P., Gonzaga, Alda Marie R., Geisinger Medical Group - Pittston UPMC Shadyside Senior Care Institute Granieri, Rosanne, 57 North Main Street 5200 Centre Avenue, Suite 405 Pittston, PA 18640 Hasley, Peggy B., Pittsburgh, PA 15232 (570) 654-0880 Jasti, Harish, (412) 623-2700 Family Kapoor, Wishwa N., Internal Practice Medicine Kroboth, Frank J., Page 279 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Pittston Port Matilda Pottstown Geisinger Medical Group - Pittston Geisinger Medical Group - Gray's Pottstown Medical Specialists, Inc. 57 North Main Street Woods (PMSI) - Division of Internal Medicine Pittston, PA 18640 132 Abigail Lane 1561 Medical Drive (570) 654-0880 Port Matilda, PA 16870 Pottstown, PA 19464 (814) 272-7200 (484) 945-0405 Family Practice Pediatrics Family Practice Spagnolini, Luigi, Coggins, David Allen, Geissen, Cornelius Marvin, Plumsteadville Cook, Jeffrey M., Internal Gill, Shaheen M., Plumsteadville Family Practice Medicine 5612 Easton Rd, Box 866 Pottstown Blackstone, Peter E., Plumsteadville, PA 18949 PMA Medical Specialists - Pottstown (215) 766-8844 Heisman-Rifkin, Nicole J., 13 Armand Hammer Blvd, Suite 100 Pottsville Family Pottstown, PA 19494 Practice (610) 323-3100 Geisinger Medical Group - Pottsville Blore jr, James P., Internal 529 Terry Reiley Way Blore, Scott M, Medicine Pottsville, PA 17901 (570) 624-4444 Ferrara, Joseph D., Lumley, Jeffery, Family Mckenna, Elizabeth A., Raman, Manjula Kandaa, Practice Plymouth Meeting Saunders, Richard M., Kuczmarski, Michael Benjamin, PMA Medical Specialists- Suburbia Plymouth Meeting Family Medicine of Pediatrics Fornance Physician Services, Inc. Square 4070 Butler Pike, Suite 200 66 Glocker Way Beausang, Thomas Robert, Plymouth Meeting, PA 19462 Pottstown, PA 19465 Gianfagna, William J., (610) 819-6601 (610) 825-5741 Godorov, Diane Frances, Family Family Godorov, Diane Frances, Practice Practice Kane, Patricia B., Fischer, Mark B., DiCicco, Eric, Prospect Park Mccarthy, Jennifer M., Pottstown Medical Specialists, Inc. (PMSI) - Brookside Family Practice Crozer-Keystone Health Network - Melnick, Scott A., 1555 Medical Drive Prospect Park Topakas, Deborah A, Pottstown, PA 19464 1401 Lincoln Avenue Port Matilda (610) 326-6787 Prospect Park, PA 19076 (610) 532-4306 Geisinger Medical Group - Gray's Family Woods Practice Internal 132 Abigail Lane Fleischer, Sharon J, Medicine Port Matilda, PA 16870 Fleischer, Sharon J, Stewart, Michael J., (814) 272-7200 Giamo, Gregory S, Reading Family Jeffrey Hassel, MD Practice Giamo, Gregory S, 640 Walnut Street Goldberg, Alan H, Callahan, Mary F., Reading, PA 19601 Prince, Edward Raymond, Goldberg, Alan H, (610) 376-0353 Taylor, William Fitzhugh, Stein, Hermine, Internal Medicine Pediatrics Stein, Hermine, Hassel, Jeffrey L, Brink, Lela W., Cessna, Kelly A.,

Page 280 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Reading Reading Ridley Park Laureldale Family Medicine The Reading Hospital Medical Group - Crozer-Keystone Health Network - 3212 Kutztown Road Exeter Family Practice Darnall Reading, PA 19605-2661 3703 Perkiomen Avenue The Jones Medical Office Building, On (610) 929-3380 Reading, PA 19606 Bartol Avenue, Suite 103 (610) 779-5600 Ridley Park, PA 19078 Family (610) 521-3022 Practice Family Practice Internal Baney, IV, Philip John, Medicine Bastidas, Erin, Rachshtut, Ilana, Darnall, Jeffrey T., Chelius, Alan B, Santoro, William, Crozer-Keystone Health Network - Eckert, Robert R., Nurse Fanning/Traverso Practitioner Osman, Ziad, 8 Morton Avenue, Suite 303 Wessner, Samantha, Red Lion Ridley Park, PA 19078 (610) 595-6850 Reading Crest Medical Associates WellSpan Medical Group - Gotham 3200 Reading Crest Avenue Internal Medicine Family Reading, PA 19605 3065 Windsor Rd Practice (610) 921-9363 Red Lion, PA 17356 Fanning, Jr., John M., Internal Endocrinology, Diabetes & Traverso, John, Medicine Metabolism Crozer-Keystone Health Network - Brackbill, Robert M, Patel, Alpa Pravinbhai, Taylor Primary Care Wirth, Timothy M, Internal Taylor Hospital Medical Building, 8 Medicine Morton Avenue, Suite 103 Nurse Ridley Park, PA 19078 Practitioner Chodroff, Charles H, (610) 957-1770 Hall, Lois Hartman, Krieger, Steven M, Internal Shirish Parikh, MD Owen, Cynthia Mae, Medicine 1800 Hampden Blvd. Rogers, Edward Quigley, Zibelman, Mark, Reading, PA 19604 Nurse Royersford (610) 376-4033 Practitioner Pottstown Medical Specialists, Inc. Internal Rudisill, Jean Elaine, (PMSI) - Springford Family Practice Medicine Ridley Park 307 South Lewis Road Parikh, Shirish Nanalal, Royersford, PA 19468 Consultants in Medical Oncology & Southeastern Berks Internal Medicine (610) 792-1063 Hematology, PC - Ridley Park 4885 DeMoss Road, Suite 200 Medical Science Building One, Suite Family Reading, PA 19606 305, 8 Morton Avenue Practice (610) 779-8013 Ridley Park, PA 19078 Brosius, Wade A, Internal (610) 595-0494 Wilson, Paul J, Medicine Hematology Schwenksville Heisey, John Claymon, High, Bertrand John, Roush, Jr., Robert K, PMA Medical Specialists- Schwenksville Family Practice Levine, Alan Paul, Crozer-Keystone Health Network - 102 Memorial Road Darnall The Reading Hospital Medical Group - Schwenksville, PA 19473 The Jones Medical Office Building, One Exeter Family Practice (610) 287-8129 Bartol Avenue, Suite 103 3703 Perkiomen Avenue Ridley Park, PA 19078 Family Reading, PA 19606 (610) 521-3022 Practice (610) 779-5600 Internal Ginsberg, Burton H., Family Medicine Practice Keiser, Alan L., Page 281 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Schwenksville Scranton Shavertown PMA Medical Specialists- Physicians Health Alliance - Scranton- InterMountain Medical Group - Schwenksville Family Practice Wyoming Ave. Shavertown Office 102 Memorial Road 1360 Wyoming Avenue 176 North Main Street Schwenksville, PA 19473 Scranton, PA 18509 Shavertown, PA 18708 (610) 287-8129 (570) 558-8660 (570) 675-0900 Family Internal Family Practice Medicine Practice Yang, York Chiang, Erickson, Janet Elizabeth, Boonin, Alan, Scranton PrimeMed Nothstein, Gary, 2232 Pittston Ave Geisinger Medical Group - Lake Patel, Krishnakant A, Scranton, PA 18505 Scranton Puffenberger, Mark W, 125 Scranton Pocono Highway (570) 969-6327 Internal Scranton, PA 18505 Internal Medicine (570) 342-8500 Medicine Carey, John L, Cardiovascular Minora, Thomas L, Disease Kilduff, Patrick, Wright Center for Primary Care - Stella, Joseph E., Scranton Nurse Practitioner Family 640 Madison Avenue Practice Scranton, PA 18510 Carey, Cheryl M., (570) 357-7731 Martin, Richard Alan, Mcglynn, Frances, Internal Silverdale McKenna, James Joseph, Medicine Internal Guzek, John R., Kim Kuhar DO, PC Medicine 164 Main Street, P.O. Box 420 Selinsgrove Fox, Michael Jonathon, Silverdale, PA 18962 Geisinger Medical Group - Selinsgrove (215) 258-1289 Rogan, Michael John, 201 Roosevelt Avenue Family Horizon Medical Corporation - Dr. Selinsgrove, PA 17870 Practice Sean McCall (570) 374-0151 3 W. Olive St., Suite 201 Oswald, Niccole M., Family Scranton, PA 18508 Internal Practice (570) 969-9575 Medicine Kemberling, J. Gary, Internal Kuhar, Kim P, Medicine Servano, Pedro O., Slirppery Rock McCall, Sean P, Internal Medicine Family Healthcare Partners - Slippery Michael Montella, M.D. Rock 743 South Main Avenue Kobylinski, Maria Susan, 202 Spruce Drive Scranton, PA 18504 Zola, James Albert, Slirppery Rock, PA 16057 (570) 969-0693 Sellersville (724) 794-4999 Internal Pediatrics Medicine Bruce Richman DO 817 Lawn Avenue, Ste 1 Gerlach, Kevin P., Montella, Michael K, Sellersville, PA 18960 Souderton Physicians Health Alliance - Scranton- (215) 257-1736 Wyoming Ave. CHOP Care Network-Indian Valley Family 1360 Wyoming Avenue 3456 Bethlehem Pike, Floor 2 Practice Scranton, PA 18509 Souderton, PA 18964 Richman, Bruce David, (570) 558-8660 Pediatrics Shavertown Internal Ahuja, Saranbir singh, Medicine Page 282 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Souderton Springfield State College CHOP Care Network-Indian Valley Crozer-Keystone Health Network - Geisinger Medical Group - Scenery 3456 Bethlehem Pike, Floor 2 Center for Family Health - Springfield Park Souderton, PA 18964 1260 E. Woodland Avenue 200 Scenery Drive Springfield, PA 19064 State College, PA 16801 Pediatrics (610) 690-4490 (814) 231-4565 Altman, Risa, Family Family Filograna, Kathleen, Practice Practice Hofmann, Melissa, Donohue-Henry, Christine Marie, Blaisure, Beverly Carter, Lane, Barbara, Everts, Leslie E., Devan, Victoria Joy, Santos, Arrene, Keel, Shannon K., Maxin, Charles William, Whelihan, Kristen M., Longo-Malloy, Deborah, Piatt, John Elias, Richard Byrnes, D.O. Family Practice Morchen, Sarah, Internal 650 East Broad Street Medicine Warning, William, Souderton, PA 18964 Mainali, Sapana, (215) 723-8972 Warrington, Peter R., Sulman, Scott A., Family Webner, David, Oncology, Practice Sports Medical Byrnes, Richard D, Medicine Patel, Manisha Nilesh, Southampton Collina, Steven, Sleep Crozer-Keystone Health Network - Dr. Jerry M. Roth Medicine Park 501 Street Rd, suite 101 Healthplex Pavillion I, 196 West Sproul King, A. Reauelle, Southampton, PA 18966 Road, Suite 207 Penn State Hershey Medical Group- (215) 357-5780 Springfield, PA 19064 Colonnade Internal (610) 328-2100 30 Colonnade Way Medicine Family State College, PA 16803 Roth, Jerry M, Practice (814) 272-4445 Springfield Park, Kimberlee, Family Practice CHOP Care Network-Springfield Springhouse Qiu, Juan jan, 196 W. Sproul Road, Suite 205 Medical Center @ Gwynedd Springfield, PA 19064 909 Sumneytown Pike, Suite 205 Nurse Practitioner Pediatrics Springhouse, PA 19477 Yohn, Sheilah K, Arem, Marcia, (215) 643-2403 Callaghan, Anne, Family Penn State Hershey Medical Group- Practice Park Ave Galasso, Jennifer Hosp, 1850 East Park Ave., Suite 312 Wolfert, Irwin H, Hepburn, Michelle A., State College, PA 16803 Springhouse Internal Medicine (814) 235-2480 Lee, Jonathan, 909 Sumneytown Pike, Suite 205 Family Trotzky, Margret, Springhouse, PA 19477 Practice Crozer-Keystone Health Network - (215) 643-2119 Adams, Jonathan D, Center for Family Health - Springfield Internal 1260 E. Woodland Avenue Medicine Flanagan, Michael P, Springfield, PA 19064 Campbell, Jennie, Majeroni, Barbara A, (610) 690-4490 Mass, Larry D, Ridenour, Ryan R, Family Singh, Madhavi, Practice State College Borgia, Victoria, Stowe Page 283 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Stowe Temple Upland Stowe Family Practice Muhlenberg Medical Associates Crozer Pediatric Physicians 555 Glasgow Street 4201 Kutztown Road Crozer-Chester Medical Center, 30 Stowe, PA 19464 Temple, PA 19560 Medical Center Blvd., POB 1, Suite 20 Upland, PA 19013 (484) 945-0770 Internal (610) 619-7410 Family Medicine Practice Jacobson, Martin Aaron, Pediatrics Henwood, Carol Lynn, Reyner, Peter Cooper, Bradley-Dodds, Kelly, Strasburg Zapata, William Anthony, Farias, Maria F, Strasburg Family Medicine Trevose Schnepp, Erin E., 1135 Hampden Drive Crozer-Keystone Health Network - Margiotti & Kroll Pediatrics - Trevose Strasburg, PA 17579 Crozer Internal Medicine 4829 Street Road (717) 687-0313 Crozer-Chester Medical Center, 30 Trevose, PA 19053 Medical Center Boulevard, POB I, Family (215) 364-5800 Suite 300 Practice Pediatrics Upland, PA 19013 Beidler, Leanne K., (610) 619-8500 Kauffman, Kerry R, Brenton, Nancy M., Internal Kroll, Barry Scott, Heckman, Celeste D., Medicine Tunkhannock Lupold, Christopher P., Howland, Vera, Edward G. Zurad, M.D.P.C. Putney, Christopher J., Jenkins, Dorothy, 5950 SR 6, 3rd Floor Sunbury Tunkhannock, PA 18657 Crozer-Keystone Health Network - Internal Medicine Associates Geisinger Medical Group - Sunbury (570) 836-9074 Crozer-Chester Medical Center, One 385 State Street Family Medical Center Blvd., ACP, Suite 532 Sunbury, PA 17801 Practice Upland, PA 19013 (570) 286-6773 Zurad, Edward G, (610) 447-6788 Internal Geisinger Medical Group - Internal Medicine Tunkhannock Medicine Hepner, Thomas Arthur, 110 Trieble Road, Suite 1 Cohen, Matthew F, Tunkhannock, PA 18657 Swarthmore Horvitz-Rist, Nancy, (570) 996-2700 Crozer-Keystone Health Network - Kong, Pei Ann, Springfield Primary Care Family Practice Rinker, Barry, 700 South Chester Road, Suite A Swarthmore, PA 19081 Gardner, John Carl, Zweben, Alan, (610) 328-5455 Goodrich, Brenda T., Verona Internal Masci, Robert G., Renaissance Family Practice Medicine Sayre, Rodger Clarke, 5769 Saltsburg Road Trinkley, David, Verona, PA 15147 Uniontown Tarentum (412) 793-8870 WPAHS - PHC Associates in Internal Medicine Family 25 Highland Park Drive, Suite 203 Practice 320 Third Ave Uniontown, PA 15401 Kevish, Barbara S., Tarentum, PA 15084 (724) 438-6311 (724) 224-0700 Warminster Internal Internal Medicine Abington Bucks Internal Medicine Medicine Saradar, Riad, 225 Newtown Road Meals, Margaret Elizabeth, Warminster, PA 18974 Upland Temple (215) 441-6789 Page 284 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Warminster Warrington West Chester Abington Bucks Internal Medicine Hartsville Medical Practice Chester County Primary Care 225 Newtown Road 1380 Easton Road 1646 West Chester Pike, Suite 21 Warminster, PA 18974 Warrington, PA 18976 West Chester, PA 19382 (215) 441-6789 (215) 491-5063 (610) 696-0338 Internal Family Internal Medicine Practice Medicine Chalfin, Robert J, Bertucci, Maria J, Bowen, Anne C, Goodman, Matthew, Hermann, Robert F, Johnson, Lisa B, Shirazi, Mahshid, Hermann, Robert F, CHOP Care Network-North Hills Bi-County Medical Associates Nurse 795 E. Marshall Street, Suite 301-307 225 Newtown Rd. Practitioner West Chester, PA 19380 Warminster, PA 18974 Mcneeley, Elizabeth, Pediatrics (215) 441-6500 Kressly Pediatrics, PC Bay, Kimberly, Family 1432 Easton Road, Suite 4E Bonanni-metkus, Loretta, Practice Warrington, PA 18976 Pennington, Neil, Gannon, Kelly, (215) 343-5520 Schwartz, Lori, Notte, Rachel K, Pediatrics Wallace, Wendy, Perlson, Jeffrey Hugh, David, Karen White, CHOP Care Network-West Chester Gastroenterology Kressly, Susan J, 440 E. Marshall Street, 3rd Fl. N, Suit

Margiotti & Kroll Pediatrics - 300 Wenzel, Carl Thomas, Warrington West Chester, PA 19380 1432 Easton Road, Suite 5A Brecher and Knapp Pediatrics Suite 219, 205 Newtown Road Warrington, PA 18976 Curley, Carol, Warminster, PA 18974 (215) 491-5800 (215) 672-4726 Pediatrics Fendrick, Jeffrey, Internal Sonsini, Gregg A, Krishnan, Shanti, Medicine Washington Lawton, L. gregory, Brecher, Jeffrey, Oehler, Sharon, Washington Hospital Family Medicine Knapp, Michael A, 95 Leonard Avenue Bldg. 2, Suite 300 Rissmiller, Richard, Warrington Washington, PA 15301 Gateway Medical Associates - Myers (724) 223-3100 BuxMont Medical Associates, P.C. Squire & Limpert 847 Easton Road, Suite 2500 Family 1240 Wrights Lane Warrington, PA 18976 Practice West Chester, PA 19380 (215) 918-5555 Minteer, Jeffrey F., (610) 431-1210 Family Phillips, T. Grant, Family Practice Practice Slomiany, Walter P, Mandel, Richard S, Hornick, John Fred, Stantspainter, Matthew Seth, Ryan, Carolyn Gretchen, Limpert, George H., Vore, Kim Keller, Toltzis, Melanie Hope, Myers, III, Boyd C, West Chester Wills, Roselyn Aguila, Squire, Karen M, Chester County Primary Care Nurse Internal 1646 West Chester Pike, Suite 21 Medicine Practitioner West Chester, PA 19382 Snyder, Anita, Mandel, Elisa Beth, (610) 696-0338 Villarini, Suzanne White, Internal Medicine Page 285 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania West Chester West Reading West Reading Gateway Medical Associates - Internal All About Children Pediatric Partners, Wyomissing Pediatric Associates Medicine of West Chester PC 301 South 7th Avenue, Suite 3170 520 Maple Ave, Suite 4 655 Walnut Street West Reading, PA 19611 West Chester, PA 19380 West Reading, PA 19611 (610) 374-4491 (610) 430-8200 (610) 372-9222 Pediatrics Internal Pediatrics Schadder, Cynthia Ann, Medicine Poblete, Katrina Papa, Ulmer, Lorie Radecki, Atlas, Douglas L, Schlesinger, Diana Marilyn, Wilkes Barre Hutchinson, III, Harry J, Tiwari, Rishita, Stretton, Jean B, InterMountain Medical Group - Dr. Berks General Medical Group Joseph Anistranski Sunoo, Jane, 606 Museum Road 665 Carey Avenue Thornton, Dawn M, West Reading, PA 19611 Wilkes Barre, PA 18706 (610) 375-7229 West Grove (570) 826-5038 Internal Family CHOP Care Network-West Grove Medicine Practice 390 Vineyard Way, Hood Bldg 500, Suite 501 Silverman, Edward James, Anistranski, Joseph Anthony, West Grove, PA 19390 Family Health Care Center Nurse Pediatrics Doctor's Office Building, 301 South Practitioner Seventh Avenue, Suite 200 Barkasy, Linda, Bradford, Marnetta, West Reading, PA 19611 Drop, Deborah Bross, (610) 988-8860 InterMountain Medical Group - Fami Physicians Lowe, Cheryl, Family 500 Scott Street Practice Mcdonald, Jennifer, Wilkes Barre, PA 18702 Baxter, Donald Michael, Scheid, Vicky, (570) 824-1700 Brigandi, Mary Kay, West Pittston Family Doshi, Nipa R., Practice InterMountain Medical Group - Dr. Julius, Ernest, Ernest Gelb Radosh, Lee J., Internal 16 Luzerne Avenue, Suite I Raff, Tom C., West Pittston, PA 18643 Medicine Weida, Jane, (570) 654-6714 Grasso, Michael J, RPS Internal Medicine Family Patel, Kamlesh R, Practice 301 S. Seventh Avenue West Reading, PA 19611 Nurse Gelb, Ernest R., Practitioner (610) 988-8480 West Reading Robatin, Michael F, Internal All About Children Pediatric Partners, Medicine Physician Assistant PC Alweis, Richard L., 655 Walnut Street Lynn, Monica, Majmudar, Neha R., West Reading, PA 19611 Wilkes-Barre (610) 372-9222 Scheirer, Jorge J., Geisinger Medical Group - Kistler Pediatrics Wyomissing Pediatric Associates 301 South 7th Avenue, Suite 3170 175 South Wilkes-Barre Boulevard Brod, Jennifer S., West Reading, PA 19611 Wilkes-Barre, PA 18702 Chugh, Ranjini, (610) 374-4491 (570) 829-2621 Godorov, Diane Frances, Pediatrics Family Practice Godorov, Diane Frances, Disalvo-tuckman, Maria, Evans, Stephen, Kimball, Christina Eve Jensen, Pachuski-Zipp, Janna, Page 286 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Wilkes-Barre Williamsburg Willow Grove Geisinger Medical Group - Kistler Williamsburg Family Practice North Willow Grove Family Medicine 175 South Wilkes-Barre Boulevard 306 Plum St 2701 Blair Mill Road, Suite 20 Wilkes-Barre, PA 18702 Williamsburg, PA 16693 Willow Grove, PA 19090 (570) 829-2621 (814) 832-3405 (215) 672-7070 Family Family Family Practice Practice Practice Fisher, D. Michael, Rice, Patrick D, Foxhall, James S., Huntington, Richard A., Ruhl, Terry S, Gross, Maurice D., Roth, Mary Elizabeth Anne, Siems, Laura J, Rodriguez, Anthony R., Werner, Susan A., Internal Salinas, Cynthia L., Medicine Internal Sands, Seth C., Medicine Good, Jennifer L, Willow Grove Internal Medicine Varma, Sreelatha Chintalalpati, Williamsport 2729 Blair Mill Road, Ste B Pediatrics Southside Family Medicine Willow Grove, PA 19090 (215) 481-7108 Jamal, Chaklader N., 699 Hastinngs Street Williamsport, PA 17702 Internal Lawrence, Gary, (570) 327-1335 Medicine Geisinger Medical Group - South Family Tobkin, Mary A, Wilkes-Barre Practice 166 Hanover Street, Suite 203 Voye, Thomas E, Baldys, James Steven, Wilkes-Barre, PA 18702 Womelsdorf (570) 825-8780 Williamsport Family Medicine Conrad Weiser Medical Group 699 Rural Avenue Internal 1137 West Penn Avenue Medicine Williamsport, PA 17701 Womelsdorf, PA 19567 (570) 321-3156 Chittalia, Aliasgar Z., (610) 589-2555 Family Internal Medicine, Hospice and Palliative Family Practice Care Practice Heilmann, Timothy M., Maloney, Gerald Vincent, Bigos, Edward T, Keenan, Jr., William Francis, Geisinger Medical Group - South Dietrich, Scott A, Wilkes-Barre Peds Schifferli, Janice Lynn, Wrightsville 8 Church Street, 4th Floor Verzella, Jeffrey Nicholas, Wilkes-Barre, PA 18702 Lancaster General Medical Group - (570) 970-6788 Willow Grove Twin Rose Family Medicine- Wrightsville Family Practice of Willow Grove Pediatrics 6415 Lincoln Highway 221 Davisville Road Ryan, Jamian M., Wrightsville, PA 17368-9697 Willow Grove, PA 19090 (717) 252-1200 Williamsburg (215) 659-3220 Family Williamsburg Family Practice Family Practice 306 Plum St Practice Brighter, Jennifer, Williamsburg, PA 16693 Orr, Jennifer, (814) 832-3405 Daniels, Bret, Wiedemann, Anne, Family Hussar, Eric, Practice North Willow Grove Family Medicine 2701 Blair Mill Road, Suite 20 Schucker, Scott, Beckstead, Donald M, Willow Grove, PA 19090 Shah, Shefali, Karuppiah, Sabesan, (215) 672-7070 Stultz, Esther Edith, Mclellan, Fiona J, Family Wyncote Morrow, Arthur William, Practice Page 287 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania Wyncote Wyomissing Yardley Abington Cedarbrook Internal Internal Medicine Associates of West Lower Bucks Pediatrics, P.C. Medicine Reading 1690 Big Oak Road, Suite 311 8460 Limekiln Pike, Building 1 Annex 301 South Seventh Ave., Suite 210 Yardley, PA 19067 Wyncote, PA 19095 Wyomissing, PA 19610 (215) 493-1750 (215) 884-0959 (610) 898-1820 Pediatrics Internal Internal Catalano-Amoia, Andrea, Medicine Medicine Fish, Michelle Leigh, Keller, Larry, Aynardi, Jay Marc, Gardner, Judith Ann, Wyncote Family Medicine Smith, Christopher M, Kassutto, Susan, 8101 Washington Lane, Suite 101 Steffy, David F, Wyncote, PA 19095-1625 Patel, Jasmine K, Vanden-Bosch, John T, (215) 886-0440 Sloane, Dena Cheryl, TRHMG - Berkshire Heights Family Stavalone, Jill K., Practice 950A N. Wyomissing Blvd. Wyomissing, PA 19610 Weinberg, Auren Steve, Matthews, Warren Bruce, (610) 375-7222 Penn Medicine Bucks County Shorten, Suzanne, Internal 777 Township Line Road, Suite 200 Weiss, Kenneth, Medicine Yardley, PA 19067 Nurse Chacko, Vinod, (215) 860-0775 Practitioner Erlikh, Tatyana, Family Steele, Jennifer, Practice Heffernan, John M., Wyoming Dougherty, Charles O, Herb, Ronald K., Howell, John T, Geisinger Medical Group - Wyoming Joshi, Manuja, 389 Wyoming Ave. Kiernan, Kelly, Nat, Hridayesh Singh, Wyoming, PA 18644 Sullivan, Andrew L, (570) 693-3600 Rohrbach, Anne M, Wilson, Lance B, Family Wagner, Charles A, Practice Internal Winans, Lewis E, Medicine Bloom Jr., Frederick J., Zimmerman, Debra A, Estrin, Jason Todd, Internal Wyomissing Family Medical Associates Medicine Goldberg, Harvey, 560 Van Reed Road, Suite 102 Modares, Fariba, Wyomissing, PA 19610 Kravatz, Alan, Wyomissing (610) 898-5280 Polsani, Srilatha, Berkshire Family Medicine Family Thlick, Ai-en Chu, Practice 1350 Broadcasting Blvd., Suite 201 Physician Wyomissing, PA 19610 Lee, Jennie Sook, Assistant (610) 685-9600 Travers, John Joseph, Madden, Deborah, Family Optometry York Practice Vu, Son, Family First Health Keller, Cory, Yardley 116 S George St Kohl, Thomas D, York, PA 17401 Lower Bucks Pediatrics, P.C. Internal Medicine Associates of West (717) 801-4820 Reading 1690 Big Oak Road, Suite 311 Yardley, PA 19067 Family 301 South Seventh Ave., Suite 210 Practice Wyomissing, PA 19610 (215) 493-1750 Go, Asceline So, (610) 898-1820 Pediatrics Pediatrics Aiello, Kathleen Kuykendall, Page 288 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Pennsylvania Pennsylvania York York York Family First Health WellSpan Medical Group - Pine Grove WellSpan Medical Group - York 116 S George St Adult Medicine Hospital Community Health Center York, PA 17401 300 Pine Grove Commons, Pine Grove 605 S. George St.-Suite 200 (717) 801-4820 Rd York, PA 17401 York, PA 17403 Pediatrics Nurse Nurse Practitioner Chacko, Sheebu V, Practitioner Raines, Amy Holbert, WellSpan Medical Group - Brockie Gross, Jennifer L, Internal Medicine Ranck, Melani Anne, WellSpan Medical Group - St Charles 924 Colonial Avenue Vanarsdale, Jannis Jean, Internal Medicine York, PA 17403 296 St. Charles Way Pediatrics (717) 845-8623 York, PA 17403 Contractor, Almira Abbas, Internal Medicine Internal Physician Medicine Assistant Deshmukh, Vrushali U., Rubi, Jorge Ulises, Andrews, Holly A, Jones, Karen E., Sanstead, John Kenneth, WellSpan Medical Group - Yorktown Manning, Cathy J., WellSpan Medical Group - Stony Family Medicine Yoo, Heui G., Brook Family Medicine 1575 Bannister St.-Suite 1 WellSpan Medical Group - East York 4222 Lincoln Highway York, PA 17404 Family Medicine York, PA 17406 Family 1010 Plymouth Rd Family Practice York, PA 17402 Practice Joseph, Giselle, Family Bice, Douglas Edward, Mcmillan, Deborah Marie, Practice Doherty, John Christopher, Ramage, Ann Louise, Filer, Wanda D, Gordon, Becky J, Nurse Konchar, William Carl, Mccabe, Jennifer Ward, Practitioner Seydel, Teresa Jane, Scarpelli, David J, Miller, Linda Anliot, Warner, Carleen Talbot, Wilson, David George, Vanarsdale, Jannis Jean, WellSpan Medical Group - Hayshire Wilson, Michael A, WellSpan Medicine Group - Apple Hi Family Medicine Internal Medicine 2775 N. George St WellSpan Medical Group - York 25 Monument Rd, Ste 140 Hospital Community Health Center York, PA 17406 York, PA 17402 605 S. George St.-Suite 200 Family (717) 741-8003 Practice York, PA 17401 Internal Bell, Debra Ann, Family Medicine Practice Catterall, Mark F, Baker, Richard H, Aggarwal, Preyanka, Dalton, Tatiana Alycia, Del Tredici, Sonya K, Echterling, Christopher Kent, Kellett, Marie Lynn, McKeague, Mark A, Lee, Noelle Elizabeth, Nagib, Nancy Dia, Pargament, Robert l, Shapiro, Tiffany B, Salter, Ridgley Paul, Pasumarthy, Lakshmi S, Nurse Nurse Practitioner Pollak, Brian M, Practitioner Bohanan, Robin, WellSpan Medicine Group - Thomas Leathery, Sandra Jean, Hart Family Medicine Dalal, Anjana, Ranck, Melani Anne, York Hospital, 1001 S George Street Dewees, Lisa L.r., York, PA 17405 Nagy, Judith Ann, (717) 851-2047 Page 289 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Pennsylvania Rhode Island Rhode Island York Bristol Cranston WellSpan Medicine Group - Thomas Medical Associates of Rhode Island, Inc. Coastal Medical-Garden City Hart Family Medicine 1180 Hope Street 75 Sockanosset Crossroads York Hospital, 1001 S George Street Bristol, RI 02809 Cranston, RI 02920 York, PA 17405 (401) 253-8900 (401) 946-6200 (717) 851-2047 Internal Internal Family Medicine Medicine Practice Fischer, Bruce E., Ejnes, Yul, Bushwick, Bruce M, Hamilton, Geoffrey R., Lombardi, Anthony, Delp, Andrew T, Harrop, Pamela A., Stevenson, Karen, Fawcett, Robert S, Mohlman, Leslie C., Winters, Jeffry, Goedecker, Mark, Orban, Zsolt, Richard K. Ohnmacht, M.D., LTD Gordon, Zubrod J, Perrone, Howard F., 994 Reservoir Avenue Lijoi, Andre F, Cranston, RI 02910 Ross, James A., (401) 946-7097 Matthews, John T, Torf, Alane B., Pediatrics Robert, Stacey, Pediatrics Ohnmacht, Richard K., Sloan, Richard W, Filardo, Debra K., Ohnmacht, Richard K., Nurse Central Falls Practitioner RIPCPC-c/o Michael J. Hayden, DO Conrad, David A, Blackstone Valley Community Health 712 Oaklawn Avenue, Suite 5 Care- Central Falls Cranston, RI 02920 White Rose Family Practice 9 Chestnut Street (401) 942-2320 80 Wyntre Brooke Drive Central Falls, RI 02863 York, PA 17403 Family (401) 729-0080 Practice (717) 741-9462 Family Hayden, Michael Joseph, Family Practice Practice RIPCPC-c/o Woodridge Medical Foster, America, Associates Brusse, Dawn M., Internal 351 Budlong Road Carpenter, Cathy P., Medicine Cranston, RI 02920 Kepner, Diane M., Mirabal, Ernesto A, (401) 943-1860 Physician Pediatrics Internal Assistant Medicine Howland, Peter, Hudish, Maria ., Braun, Mark E, Charlestown Pandelidis, Juliann, Hollmann, Peter Amberg, Stuart Demirs, MD Richard-Pears, Joanne E., Box 910, 4099 Old Post Road Panneerselvam, Usha, Rhode Island Charlestown, RI 02813 University Medical Group Primary Care Division @ Pontiac Avenue Bristol (401) 364-0770 1500 Pontiac Ave. Family Medical Associates of Rhode Island, Inc. Practice Cranston, RI 02920-4486 1180 Hope Street (401) 944-4300 Bristol, RI 02809 Demirs, Stuart V, Family (401) 253-8900 Cranston Practice Internal Coastal Medical-Garden City Kerzer, David G, Medicine 75 Sockanosset Crossroads Salisbury, Matthew Trowbridge, Banner, Kathryn Koncsol, Cranston, RI 02920 Somasundar, Sukanya, Constantino, Cassandra Xavier, (401) 946-6200 Dennison, Allen M., Page 290 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island Rhode Island Rhode Island Cranston East Greenwich East Providence University Medical Group Primary Coastal Medical-East Greenwich Coastal Medical - PIMS Care Division @ Pontiac Avenue 1351 South County Trail 450 Veterans Memorial Parkway 1500 Pontiac Ave. East Greenwich, RI 02818 East Providence, RI 02914 Cranston, RI 02920-4486 (401) 884-0333 (401) 435-5533 (401) 944-4300 Internal Internal Internal Medicine Medicine Medicine Fried, David, Myers, James, Botelho, Dennis D, Millerick, Thomas, Osorio, Luis, Maxim, Raymond B., Viccione, Todd, Pomerantz, Michael, Cumberland Drs Brennan, Cronin, DelSesto Pressman, Mitchell, RIPCPC-c/o Mihaela Iovanel, Inc. 2358 South County Trail Pulmonary 175 Nate Whipple Highway East Greenwich, RI 02818 Disease Cumberland, RI 02864 (401) 886-6000 Blundin, Michael, (401) 658-0511 Internal Karczmar, Peter, Internal Medicine Sherman, Charles, Medicine Brennan, Herbert J., Iovanel, Mihaela, Coastal Medical - Waterman Pediatric Cronin III, Charles L., East Greenwhich 900 Warren Avenue East Greenwich Family Practice East Providence, RI 02914 South County Hospital Family Medicine 925 Main Street (401) 421-6481 3461 South County Trail, Ste 103 East Greenwich, RI 02818 Pediatrics East Greenwhich, RI 02818 (401) 884-5333 Bliss, Cynthia, (401) 471-4760 Family Family Practice Finigan, John, Practice Kagan, Samuel, Gaines, Barbara, Henseler, Laura J., Lamendola, Chad E., Kriz, Peter, Smigel, Karen Rosalie, Slattery, John G., Lange, Elizabeth, South County Internal Medicine RIPCPC-University Family Medicine, McGookin, Ed, 3461 South County Trail, Suite 103 Inc. Shaw, Judith, East Greenwhich, RI 02879 1351 S. County Trail, Suite 301 (401) 789-0283 East Greenwich, RI 02818 Coastal Medical-Brex and Kurose 450 Veterens Memorial Parkway Internal (401) 654-4000 East Providence, RI 02914 Medicine Family (401) 435-3400 Barratt, Paul F, Practice Internal Ashley, David W, Damle, Nitin S, Medicine Blackmer, Karen, D'souza, Rikhi J, Brex, C. John, Hight, Ellen B, Horrigan, Letitia Ann, Kurose, G. Alan, Manzo, Pierre R, O'mara, Timothy J, Coastal Medical-Warren Ave Pouliot, Monique L., East Providence 900 Warren Ave, Suite 400 Sun, Gloria Y., Coastal Medical - PIMS East Providence, RI 02914 450 Veterans Memorial Parkway (401) 331-1221 East Greenwich East Providence, RI 02914 Internal Coastal Medical-East Greenwich (401) 435-5533 Medicine 1351 South County Trail Internal Bansal, Priya, East Greenwich, RI 02818 Medicine (401) 884-0333 Dorros, Carol, Gilman, Ronald, Kupchan, Audrey, Page 291 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island Rhode Island Rhode Island East Providence Johnston Lincoln Coastal Medical-Warren Ave RIPCPC-Atmed Primary Care, Inc RIPCPC-Lincoln Pediatric Associates 900 Warren Ave, Suite 400 1526 Atwood Ave Inc. East Providence, RI 02914 Johnston, RI 02919 6 Blackstone Valley Place, Suite 306 B (401) 331-1221 (401) 654-4000 Lincoln, RI 02865 (401) 654-4000 Internal Family Medicine Practice Pediatrics Meren, Tesfaye, Austin, Jason K., Hines, Thomas Patrick, Morton, Kathleen, Internal Madras, Karen Elissa, Medicine Schoenfeld, Larry, Maranzano, Elizabeth Anne, Scott, Stephen Michael, RIPCPC-c/o Gilbert Teixeira, DO Sowa, Marta S, Lincoln 1018 Waterman Avenue Teixeira, Richard Lionel, East Providence, RI 02914 Anchor Medical Associates - Lincoln Middletown (401) 434-2704 Internal Medicine Internal One Commerce Street, Adult Medicine Coastal Medical-Newport Medicine Lincoln, RI 02865 850 Aquidneck Ave Middletown, RI 02842 Ayvazyan, Herman, (401) 793-8500 (401) 846-0055 Family RIPCPC-c/o Herman Ayvazyan, MD Practice Internal 450 Veterans Memorial Parkway, Medicine Building 12 Raney, Jennifer J, Cicchielli, Robert, East Providence, RI 02914 Internal (401) 434-6464 Medicine Cunningham, David F., Internal Appenfeller, Rex W, Gutierrez, Francisco, Medicine Cohen, Robert H, RIPCPC-c/o Valley Primary Care, Inc Amalfitano, Frank John, Henderson, Kathleen M, 294 Valley Road Greenville Middletown, RI 02842 Anchor Medical Associates - Lincoln (401) 847-7772 RIPCPC-Gary G. King D.O. Pediatrics 600 Putnam Pike One Commerce Street, Pediatrics Family Greenville, RI 02828 Lincoln, RI 02865 Practice (401) 654-4000 (401) 793-8484 Del Guercio, Paul Vincent, Family Pediatrics General Practice Practice Beraha, Nathan B, King, Gary G, Del Guercio, Marianne F, Cummings, Michael L, Johnston Narragansett Gillen, Malini C., Ocean State Medical LLC Pakula, Susan L, Kristine Cunniff, D.O. 1539 Atwood Ave 350 Kingstown Rd, Suite 101 Westrick, Judith Blazar, Johnston, RI 02919 Narragansett, RI 02879 (401) 272-3410 Coastal Medical-Lincoln (401) 782-0700 6 Blackstone Valley Place, Suite 701 Internal Internal Medicine Lincoln, RI 02865 Medicine (401) 333-3111 Ferri, Frederico, Cunniff, Kristine A., Internal Savoretti, Albert, Medicine Office of Drs. Maguire, Kostrzewa, an Gonzalez Savoretti, Frank, Cushing-Brescia, Anne, 360 Kingstown Road, Suite 200 RIPCPC-Atmed Primary Care, Inc Narragansett, RI 02882 1526 Atwood Ave (401) 783-6940 Johnston, RI 02919 (401) 654-4000 Page 292 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island Rhode Island Rhode Island Narragansett Pawtucket Pawtucket Office of Drs. Maguire, Kostrzewa, and Blackstone Valley Community Health RIPCPC- c/o Family Medicine Gonzalez Care- Pawtucket Medical Specialists, Inc. 360 Kingstown Road, Suite 200 42 Park Place 174 Armistice Blvd Narragansett, RI 02882 Pawtucket, RI 02860 Pawtucket, RI 02860 (401) 783-6940 (401) 729-0080 (401) 723-7578 Family Pediatrics Family Practice Practice Fuentes, Karla P, Degood, Catherine Ann, Carter, David P, Sharma, Kunjbala, Gonzalez, Michael Jb, RIPCPC- Northeast Internal Medicine Department of Family Medicine at INC. Kostrzewa, Dariusz, Brown University and Memorial Hospital of RI 126 Prospect Street, Suite 103 Maguire, Stephen, 111 Brewster St Pawtucket, RI 02860 Newport Pawtucket, RI 02860 (401) 654-4000 Aquidneck Medical Associates, Inc. - (401) 729-2237 Internal Medicine Newport Office Family 50 Memorial Blvd. Practice Iftikhar, Sadia, Newport, RI 02840 Anandarajah, Gowri, Wen, Jiaying, (401) 847-2290 Anthony, David, RIPCPC-c/o Coppola Medical Internal Associates, LTD Medicine Borkan, Jeffrey M, 174 Armistice Blvd Earp, Ralph T., Carbonello, Christine A, Pawtucket, RI 02860 Gorelick, David S., Chandran, Rabin, (401) 725-3520 Parameswaran, Jayanthi, Damico, Karen E, Internal Medicine Ullman, Martha A., Delaporta, Sara E, Coppola, Joyce, Pediatrics Duarte, Kristina Marie, University Internal Medicine, Inc. Ettefagh, Keivan, Eaton, Charles B., 407 East Avenue, Suite 120 Salm, Jennifer M., George, Paul, Pawtucket, RI 02860 Sanders, Harold A., Goldberg, Arnold, (401) 725-4700 North Smithfiled Magee, Susanna R, Internal Medicine RIPCPC-NRI Medical Services Mccleary, Katherine D, Eller, Peter, 63 Eddie Dowling Highway, Suite 4 Nothnagle, Melissa, North Smithfiled, RI 02896 Herbert, Christine V., Rachu, Gregory, (401) 654-4000 Marcoux, David A., Rubeor, Amity, Internal Meila, Felicia, Medicine Schulman, Risa, Yerneni, Madhavi N., Hussain, Syed Iftikhar, Taylor, Julie S., Portsmouth Pawtucket Tryforos, Margaret, Aquidneck Medical Associates, Inc. - General Blackstone Valley Community Health Portsmouth Office Care- Pawtucket Medical Practice 77 Turnpike Avenue 42 Park Place Le, Quang P, Portsmouth, RI 02871 Pawtucket, RI 02860 Internal (410) 683-2290 (401) 729-0080 Medicine Pediatrics Internal Dodd, Kimberly A, Medicine Dierolf, Christina C., Hookway, Bruce, Lenard, Edward W., Providence Page 293 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island Rhode Island Rhode Island Providence Providence Smithfield Anchor Medical Associates - Providence St Joseph Health Services RIPCPC-c/o Doctors Corsi and Fraiol One Hoppin Street, Coro Building, 3rd 21 Peace Street 28 Cedar Swamp Road floor Providence, RI 02907 Smithfield, RI 02917 Providence, RI 02903 (401) 456-4054 (401) 232-3688 (401) 793-8400 Pediatrics Family Internal Practice Trivett, Robert Bowen, Medicine Fraioli, Frank, University Medical Group Primary Dorris, Heidi J, Care Division @ Maude Internal Goddard, Joan C, 50 Maude Street Medicine Mason, William T, Providence, RI 02908 Corsi, John Michael, (401) 456-5300 Mathieu, Robert S, Wakefield Internal Siedlecki, Diane R, Medicine Coastal Medical - Narragansett Bay Troise, Caroline A, Pediatrics Chammas-Aoun, Nadia, 70 Kenyon Avenue Coastal Medical - Elmhurst Kaba, Chadi, Wakefield, RI 02879 1075 Smith Street (401) 789-5924 Providence, RI 02908 Kaba, Chadi, Pediatrics (401) 421-4400 McCormack, Elise, Corcoran, Celeste, Internal Shah, Parul D, Medicine Lane, Courtney, Shah, Parul D, Carnevale, Robert, Maltz, Robert, Women & Infants Hospital Center for Terlato, Joseph, Women's Primary Care McGee-Coghlin, Barbara, Coastal Medical-Providence Edgewood 101 Dudley Street Murray, Mary, Providence, RI 02905 78 Baker Street Ziegler, Joy, Providence, RI 02905 (401) 274-1122 (401) 781-2400 Internal Coastal Medical-Wakefield Medicine 70 Kenyon Ave Internal Wakefield, RI 02879 Medicine Bodkin, Sheenagh, (401) 783-0084 Brin, Steven, Clark bilodeau, Courtney, Internal Emgushov, Rinchen-Tzo, Tong, Iris L, Medicine Goldfarb, Amy, Vanpoznak, Marisa, Johnson, Shelly, Sayeed, Syeda, Rumford Thundermist Health Center - South County Family Medicine St Joseph Health Services RIPCPC-c/o Daniel Hochberger MD 21 Peace Street Inc. 1 River Street Providence, RI 02907 400 Pawtucket Avenue Wakefield, RI 02879 (401) 456-4054 Rumford, RI 02916 (401) 783-0523 (401) 431-6224 Family Family Practice Practice Internal Medicine Roth, Steven E., Lyster, Mary, Hochberger, Daniel, Nurse Internal Practitioner Medicine Smithfield Buchanan, Anne M., Chong, Chyi Chyi, RIPCPC-c/o Doctors Corsi and Fraioli Pediatrics 28 Cedar Swamp Road Warren Smithfield, RI 02917 Hammo, Abdel-hai, (401) 232-3688 Kao, Patricia P,

Page 294 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island Rhode Island Rhode Island Warren Warwick Warwick RIPCPC-c/o Metacom Medical Coastal Medical - Bald Hill Pediatrics RIPCPC-J. Chaffey D.O., I. Paolucci Associates, Inc. 315 Commonwealth Avene M.D. 639 Metacom Avenue Warwick, RI 02886 215 Toll Gate Rd Warren, RI 02885 (401) 615-2299 Warwick, RI 02886 (401) 245-1500 (401) 654-4000 Pediatrics Internal Internal Brown, Gail, Medicine Medicine Castree, Katherine, Amalfitano, Frank John, Chaffey, John Allen, Clyne, Ailis, Marcaccio, Paul Thomas, Paolucci, Iwona, Lengyel, Carole, Zibrida, Joseph Thomas, RIPCPC-Pilgrim Park Medical MIntz, Howard, Associates, Ltd. Warren Family Practice Associates, Inc. 1243 Post Road 851 Main Street Coastal Medical Group - Toll Gate Warwick, RI 02886 Warren, RI 02885 Pediatrics, Inc. (401) 654-4000 (401) 247-1000 176 Toll Gate Road, Suite 101 Warwick, RI 02886 Family Family (401) 737-9271 Practice Practice Pediatrics Grande, Joseph Anthony, Leibowitz, David E., Ammar, Maha, Nurse Wajahat, Neelofar, Practitioner Hicks, Allyson D., Warwick Lowney, Joanne, Hunt, David, Anchor Medical Associates - Warwick RIPCPC-West Bay Primary Care Mennillo, Roger, 400 Bald Hill Road, Suite 520 176 Tollgate Road Warwick, RI 02886 Zarlengo, Raymond, Warwick, RI 02886 (401) 793-8520 Primary Medical Group of Warwick (401) 654-4000 Internal 215 Toll Gate Road, Suite 104 Internal Medicine Warwick, RI 02886 Medicine (401) 736-4570 Ellison, Robert G, Verma, Sunil Paul, Family Grumbach, Nicholas M, West Warwick Practice Hardy, George E, Thundermist Health Center - West Farnum, Elisabeth K, Johnston, Leon Mctyeire, Warwick Family Medicine Manyan, Jessica Conlon, Associates in Primary Medicine, INC 1219 Main Street 857 Post Road Roberts, Debra L., West Warwick, RI 02893 (401) 615-2800 Warwick, RI 02888 RIPCPC- Dr. Usha Stokoe (401) 467-3115 200 Toll Gate Road, Suite 204 Family Practice Family Warwick, RI 02888 Practice (401) 654-4000 Machata, John, Kerzer, Martin J, Family Rodriguez, Faridah T., Practice Steinmetz, Gregory, Internal Stokoe, Usha, Medicine Internal Medicine RIPCPC-c/o Petteruti Family Practice Leviss, Jonathan, Grande, Karen Diane, 250 Centerville Road, Building E Nurse Warwick, RI 02886 Practitioner Coastal Medical - Bald Hill Pediatrics (401) 921-5934 315 Commonwealth Avene Andalaro, Mary, Family Warwick, RI 02886 Woonsocket Practice (401) 615-2299 Petteruti, Stephen, Pediatrics

Page 295 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Rhode Island South Carolina South Carolina Woonsocket Anderson Charleston RIPCPC-Blackstone Valley Medicine AnMed Health Family Medicine Medical University of South Carolina 191 Social Street Residency Program Dept of Family Medicine Woonsocket, RI 02895 2000 East Greenville Street, Suite 3600 295 Calhoun Street (401) 654-4000 Anderson, SC 29621 Charleston, SC 29425 (864) 224-8100 (843) 792-3451 Internal Medicine Family Family Practice Practice Yearwood, Greigstone Montgomery, Miranda, Susan E, Diaz, Vanessa A., RIPCPC-Rhode Island Medicine, Inc. 20 Cumberland Hill Road Sanders, Caroline H, Freedy, John R., Woonsocket, RI 02895 Woodall, Hunter E, Frithsen, Ivar, (401) 654-4000 Young, Natawadee P, Gibson, Maria V., Internal Internal Glaser, Anthony N, Medicine Medicine Gonsalves, Wanda, Ahmad, Irfan, Bradford, Nathan F, Hainer, Barry L., Ramirez, Basilia C, Cook, Anne G, Hebbar, Airody K., Thundermist Health Center - Osburn, George H, Woonsocket Pediatric Hueston, William J., Bonneau 450 Clinton Street King, Dana E., Woonsocket, RI 02895 Palmetto Primary Care Physicians - Mallin, Robert, (401) 767-4100 Bonneau Office Matheson, Eric, Nurse 1401 Main Street Practitioner Bonneau, SC 29431 Michael, Fred A., (843) 825-3404 Butler, Christine, Orstein, Steve M., Family Pediatrics Player, Marty S., Practice Bourassa, David M, Rodden, Ann M., Rodgers, David P., Korneeva, Marina, Thiedke, Carolyn C., Charleston Nelken, Beata F, Internal Hugh D Durrence, MD, PC Medicine South Carolina 418 Folly Rd, Suite A Garr, David R., Anderson Charleston, SC 29412 (843) 795-5362 Medical University of South Carolina AnMed Health Family Medicine University Internal Medicine Residency Program Family 135 Rutledge Ave, 1241s Rutledge Practice 2000 East Greenville Street, Suite 3600 Tower Anderson, SC 29621 Durrence, Hugh Dowdy, Charleston, SC 29425 (864) 224-8100 Medical University of South Carolina (843) 876-0930 Family Dept of Family Medicine General Practice 295 Calhoun Street Practice Charleston, SC 29425 Abercrombie, Stoney A, Keith, Brad Albert, (843) 792-3451 Clemow, Christopher B, Internal Family Clemow, Diana D, Medicine Practice Cline, Matthew K, Brownfield, Elisha L, Benich, Joseph John, Counts, Scott S, Brzezinski, Walter A, Brock, Clive D., Davis, Amanda Sloan, Cave, Courtney Bealer, Carek, Peter J., Grimsley, William Ross, Fox, Donald L, Chessman, Alexander W., Mcelwee, Jr., Joseph M, Lichtenstein, Leonard S, Detar, D. Todd,

Page 296 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

South Carolina South Carolina South Carolina Charleston Chesnee Daniel Island Medical University of South Carolina Chesnee Center for Family Medicine Palmetto Primary Care Physicians - University Internal Medicine 230 S. Alabama Ave. Daniel Island Office 135 Rutledge Ave, 1241s Rutledge Chesnee, SC 29323 900 Island Park Drive, Suite 101 Tower (864) 461-4951 Daniel Island, SC 29492 Charleston, SC 29425 (843) 856-6402 Family (843) 876-0930 Practice Family Internal Practice Warren, Petra K, Medicine Davis, Lucy G., Columbia Wiley, Maria Kathleen, Spicer, Leigh M., Wong, Jeffrey G, Palmetto Health Family Medicine Center Florence Palmetto Primary Care Physicians - 3209 Colonial Drive Appian Office McLeod Family Medicine Center Columbia, SC 29203 5325 Appian Way 144 North Ravenel Street (803) 434-6113 Charleston, SC 29420 Florence, SC 29506 (843) 522-0400 Family (843) 777-2566 Practice Family Family Practice Baxley, Elizabeth G., Practice Edwards, Matthew J., Brown, Rachel Setzler, Conner, Walter E., Redwine, Sr., John M., Carter, Jr., Charles J., Cunningham, Kievers L., Palmetto Primary Care Physicians - Crutcher, Samuel John, MacDonald, Allan R., Trident Office Greenhouse, David L., Fort Mill 9313 Medical Plaza Drive, Suite 202 Hall, Jeffrey W., CHS - Rock Hill Pediatric Associates- Charleston, SC 29406 Hall, Rachel, Fort Mill (843) 572-1200 704 Gold Hill Road,, Suite 207 Hernandez, Johan, Family Fort Mill, SC 29715 Practice Keisler, Brian D., (803) 802-5900 Arnau, Thomas B., Keisler, David L., Nurse Practitioner Bolt, Thomas R., Lucas, Jamee H., Orehek, Bridgette Ashley, Dewhirst, Brian D., Milas, Monica N., Pediatrics Thompson, P. H. Gordon, Platt, Tan J., Cook, Dexter Lee, Vandegrift, Tara N., Stacy, Jason J., Lindsay, Nikita Williams, Palmetto Primary Care Physicians - Witherspoon, Patricia W., Trolley Mccaskill, Quimby E, Ylanan, Ramon C., 201 Oakbrook Lane, Suite 202, Suite Tonkowicz, Patricia Ann, 202 Geriatric Medicine/Internal Charleston, SC 29485 Medicine CHS - Shiland Family Medicine- Fort Mill (843) 851-2000 Lamar, Charles Scott, 704 Gold Hill Road, Suite 107 Internal Preventive Fort Mill, SC 29715 Medicine Medicine (803) 835-0420 Bolster, D Eric, Mann, Joshua R., Family Grossman, Colby H, Daniel Island Practice Otruba, Michael S, Palmetto Primary Care Physicians - Pope, Brian O, Daniel Island Office Chesnee Pope, Brian O, 900 Island Park Drive, Suite 101 Daniel Island, SC 29492 Truesdale, Dorenda Gregg, (843) 856-6402 Truesdale, Dorenda Gregg, Ward, Joyce Carolyn, Page 297 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

South Carolina South Carolina South Carolina Goose Creek Greenville Lake Wylie Palmetto Primary Care Physicians - Premier Family Medicine CaroMont Family Medicine - Lake Crowfield Office 304 Ashby Park Lane Wylie 7 S. Alliance Drive, Suite 201 Greenville, SC 29607 1200 Village Harbor Drive Goose Creek, SC 29445 (864) 286-9050 Lake Wylie, SC 29710 (843) 553-4383 (803) 631-2858 Family Family Practice Family Practice Practice Cecil, Lindsey Caston, Sutterlin, III, John D., Bechtel, Mark A., Edwards, Tonya Deneen, Palmetto Primary Care Physicians - Mcshea, Joseph B, Nurse Goose Creek Office Practitioner Nurse 105-A Springhall Drive, 105-A Practitioner Springhall Dr. Benson, Kathryn Kelly, Pritchett, Pamela Jean, Goose Creek, SC 29445 Hanahan (843) 574-0060 Lancaster Palmetto Primary Care Physicians - Family Hanahan Office Mackey Family Practice Practice 1254 Yeamans Hall Road 1025 West Meeting Street Viduya, Sherry J., Hanahan, SC 29418 Lancaster, SC 29720 Palmetto Primary Care Physicians - (843) 554-8312 (803) 285-7414 Springhall Family Family 110-A Springhall Dr., 110-A Springhall Practice Practice Dr. Caton, Kirt A., Culp, Steve M., Goose Creek, SC 29445 (843) 266-2520 Indian Land Sharp, Frank, Family CHS - Barnett Family Practice - Shealy, Keith D., Practice Carolina Lakes Internal 7666 Charlotte Highway, Suite 120, Medicine Campbell, Patricia A, Suite 120 Daily, Linda C., Tucker, William Martin, Indian Land, SC 29707 Greenville (803) 283-2011 Moncks Corner Center for Family Medicine Family Palmetto Primary Care Physicians - Practice Moncks Corner Office 877 W. Faris Road Palmetto Primary Care Physicians- Greenville, SC 29605 Furse, James A, Moncks Corner, 115 Executive Parkw (864) 455-9022 Furse, James A, Moncks Corner, SC 29461 Family Harris, Tami Jean, (843) 761-2815 Practice Harris, Tami Jean, Family Hanlin, Robert B, Practice Hillman, Jason Paul, Macdonald, Allan Robertson, Floyd, Meredith D., Morris, William Arthur, Mattox, Lisa, Hogue, Caisson Timber, Morris, William Arthur, Stone, Terrell Lee, Pediatrics CHS- Mecklenburg Medical Group- Swartz, Jeffery D, Carolina Lakes Jones, Edward Johnson, Premier Family Medicine 7666 Charlotte Highway, Suite 200 North Charleston 304 Ashby Park Lane Indian Land, SC 29707 (704) 302-9600 Palmetto Primary Care Physicians - Greenville, SC 29607 After Hours Clinic/Extended Care (864) 286-9050 Internal 2550 Elm Center Road Medicine Family North Charleston, SC 29406 Practice Kimmerle, Gregory R., (843) 820-3337 Brannon, Heather, Lake Wylie Family Practice Page 298 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

South Carolina South Carolina South Carolina North Charleston Spartanburg Summerville Palmetto Primary Care Physicians - Westside Internal Medicine Palmetto Primary Care Physicians - After Hours Clinic/Extended Care 3020 Reidville Rd,Suite B Pine Street Office 2550 Elm Center Road Spartanburg, SC 29301 300 West 4th North Street North Charleston, SC 29406 (864) 576-5764 Summerville, SC 29483 (843) 820-3337 (843) 873-0202 Internal Family Medicine Family Practice Practice Patel, Pranay R, Hulvey, John T., Keller, Brian K., St. Stephens Thomas, Stephen M., Palmetto Primary Care Physicians - Palmetto Primary Care Physicians - St. Summerville Office Thomas, Stephen M., Stephens Office 213 West 4th North Street 104 Funk Avenue Rock Hill Summerville, SC 29483 St. Stephens, SC 29479 CHS - Rock Hill Pediatric Associates (843) 873-0681 (843) 567-3206 1601 Ebenezer Road Family Rock Hill, SC 29732 Family Practice Practice (803) 328-6281 Castellone, David L., Schumann, Jr., Samuel O., Pediatrics Dawson, Claudius S., Summerville Alexander, Robert Mcauley, Palmetto Primary Care Physicians - Edwards, Martha Mcgavic, Palmetto Primary Care Physicians - West 8th Office Gum Street Office 213 West 8th N. Street Goodbar, Robert Clemans, 412 N. Gum Street Summerville, SC 29483 Summerville, SC 29483 Osterberg, Hattina Denise, (843) 871-9440 (843) 873-1720 Start, Susan Jo, Family General Spartanburg Practice Practice Center for Family Medicine Black, Amy G., Katz, Barry S., 853 North Church Street, Suite 510 Deberry, Skye N., Spartanburg, SC 29303 Palmetto Primary Care Physicians - Laurel Office Tennessee (864) 560-1558 507 N. Laurel Street Alcoa Family Summerville, SC 29483 Practice Summit Medical Group, PLLC - Jame (843) 875-0600 D. Proffitt, MD Bouknight, Patricia Jean, Pathology, 201 Corporate Place Boyle, Ginger Blatchford, Forensic Alcoa, TN 37701 Godenick, Mark Todd, Montoya, Sara B., (865) 984-6823 Houston, Robert Eric, Palmetto Primary Care Physicians - Internal Oakbrook Office Medicine Januchowski, Ronald Peter, 87 Springview Lane, 87 Springview Proffitt, James D., Simon, Ifekan-shango, Lane Bristol Skylyn Medical Associates, PA Summerville, SC 29485 1776 Skylyn Drive (843) 875-0400 ETSU Family Physicians of Bristol Spartanburg, SC 29307 Family 208 Medical Park blvd (864) 577-9970 Practice Bristol, TN 37620 (423) 990-3014 Family Engelman, Jr., Otis E., Practice Giove, Edward J., Family Practice Slater, Vincent C, Tabor, Marcella A., Clarity, Gregory E, Ware, Larry, Weathers, Marcella A., Conner, Patricia J, Culp, John S, Page 299 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Bristol Elizabethton Gallatin ETSU Family Physicians of Bristol Medical Care PLLC - Elizabethton LivingWell Health Center w/ 208 Medical Park blvd 1900 West Elk Avenue HealthSpring ΓÇô Gallatin Bristol, TN 37620 Elizabethton, TN 37643 179 Hancock Street, Suite 402 (423) 990-3014 (423) 929-2584 Gallatin, TN 37066 (615) 592-5943 Family Pediatrics Practice Family Gallaher, Richard Grant, Practice Moore, Jason B., Surgery Dill, Andrew Brendan, Townsend, Thomas E, Bowie, Richard R, Hooper, Halden Wayne, Clinton Mountain States Medical Group - Lau, Henry Stacy, Summit Medical Group, PLLC - Family Medicine, Elizabethton Summit Medical Group of Clinton 1497 W. Elk Avenue, Suite 21 MacConnell, Clayton M, 121 Frank L Diggs Drive Elizabethton, TN 37643 McDaniel, Robert E, Clinton, TN 37716 (423) 543-5600 Stuart, Brian James, (865) 584-4747 Family General Practice Family Practice Practice Asbury, Justin E, Cox, Joe David, Tharp, Melody Camille, Asbury, Victoria, Internal Crossville Pack, Sheryl D, Medicine Plateau Pediatrics Shipley, James M, King, Alton Sidney, 3234 Miller Avenue Fayetteville Mazurek, David Gregory, Crossville, TN 38555 (931) 707-8700 Fayetteville Medical Associates Germantown Nurse 207 Elk Avenue South UT Medical Group, Inc. Dept. of Practitioner Fayetteville, TN 37334 Medicine (931) 438-3425 Hassler, Kristel L, UTMG Dept of Medicine, 7945 Wolf Family River Blvd, #120 Pediatrics Practice Germantown, TN 38138 (901) 347-8122 Berman, Robert J, Jackson, Linda M., Berman, Suzanne K, Internal Jones, Williams R., Medicine Reed, Christine, McCauley, David R., Hayes, Burton L, Elizabethton Sain, Paul D., Thompson, Natascha Stone, Medical Care PLLC - Elizabethton Internal Womack, Catherine C, 1900 West Elk Avenue Medicine Elizabethton, TN 37643 Greeneville Ralston, Jr., Joseph Fred, (423) 929-2584 Summit Medical Group, PLLC - Pediatrics Emergency Greeneville Internal Medicine Medicine Askins, Andrea C., Laughlin Medical Building #3, 1404 Tusculum Blvd, Suite 3100 Filka, Marianne E, Spears, William K., Greeneville, TN 37745 Gallatin Family (423) 638-4114 Practice LivingWell Health Center w/ Internal HealthSpring ΓÇô Gallatin Dekic-djordjevic, Zvjezdana, Medicine Hopland, Kenneth M, 179 Hancock Street, Suite 402 Gallatin, TN 37066 Austin, Jr., Joseph W, Obstetrics & (615) 592-5943 Austin, Maynard W., Gynecology Family Beckner III, Thomas F, May, Scott E, Practice Scott, William Joseph,

Page 300 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Greeneville Hermitage Jefferson City Summit Medical Group, PLLC - Summit Medical Group, PLLC - Summit Medical Group, PLLC- Greenville Family Practice Associates Summit Medical Associates Tennessee Valley Primary Care 314 Tusculum Blvd., Suite 2100 5653 Frist Blvd., Suite 630 120 Hospital Drive, Suite 30 Greeneville, TN 37745 Hermitage, TN 37076 Jefferson City, TN 37760 (423) 683-1188 (615) 391-3971 (865) 584-4747 Family Internal Pediatrics Practice Medicine Patton, Lance S, Hartsell, Michael H, Baucom, William E, Patton, Lance S, Woods, Sonja B., DiNella, Thomas J, Johnson City Summit Medical Group, PLLC - Philip Elrod, James T, Thwing, MD Etsu Dept. of Family Medicine Johnso Mckean, William G, City Tn 400 Y Street 917 West Walnut St. Greeneville, TN 37743 Scott, Brian M, Johnson City, TN 37601 (423) 639-0707 Witherspoon, Christi A, (423) 439-6487 Family Jacksboro Practice Family Summit Medical Group, PLLC - C. Practice Thwing, Philip Tolleson, Aubrey Isham, Jr., MD Avonda, Thomas R, Summit Medical Group, PLLC - 163 Perkins Lane Summit Family Medicine Greeneville Jacksboro, TN 37757 Garrett, William Allan, Laughlin Medical Building #3, 1404 (423) 562-1181 Gerayli, Fereshteh, Tusculum Blvd, Suite 2300 Internal Woodside, Jack R, Greeneville, TN 37745 Medicine (423) 639-2161 Medical Care PLLC - Johnson City Isham, Jr., Charles Aubrey, 401 East Main Street Family Johnson City, TN 37601 Practice Jefferson City (423) 929-2584 Oakley, Jaime Gabriel, Summit Medical Group, PLLC- Tennessee Valley Primary Care Family Summit Medical Group, PLLC - 120 Hospital Drive, Suite 30 Practice Tusculum Family Physicians Jefferson City, TN 37760 Hopland, Jeffrey A, 1404 Tusculum Blvd, Ste 3000 (865) 584-4747 Greeneville, TN 37745 Partain, Cynthia P, Family (423) 783-7965 Thompson, Anne S, Practice Family Internal Allum, Kenneth M, Practice Medicine Byrd, Leann M, Nickle, Carla Annette, Caravello, Peter M, Manley, Emmett S, Nickle, Kenneth, Draper, Dianne C, Internal Hampton Pediatrics Medicine Medical Care PLLC - Hampton Kumar, P Lucy, Carter, Richard B, 437 Highway 321 Mountain States Medical Group - Carter, Richard B, Hampton, TN 37658 Family Medicine, Johnson City (423) 929-2584 Cooley, Melissa Ann, 1021 W. Oakland Avenue, Suite 301 Family Kirby, John Austin, Johnson City, TN 37604 Practice (423) 952-8000 Kirby, John Austin, Hopland, Arnold O, Family Ramsey, William W, Practice Hermitage Ramsey, William W, Austin, Ashley Lauren, Worley, Clyde W, Broyles, Lisa S, Worley, Clyde W, Lewis, Jonathan A., Page 301 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Johnson City Johnson City Kingsport Mountain States Medical Group - State of Franklin Healthcare East Tennessee State University Family Medicine, Johnson City Associates - MOB 1 201 Cassel Dr 1021 W. Oakland Avenue, Suite 301 301 Med Tech Parkway Kingsport, TN 37660 Johnson City, TN 37604 Johnson City, TN 37604-2364 (423) 245-9640 (423) 952-8000 (423) 794-5500 Family Family Internal Practice Practice Medicine Blackwelder, Reid B, Logan, Cynthia A, Proffitt, Amy Lynn, Bockhorst, Peter R, Smith, Nicholas Brett, Rolen, Richard L, D'aprile-lubrano, Joann W., State of Franklin Healthcare Sweet, Kevin D, Fox, Beth Anne, Associates - MOB 1 Williams, Mark A., 301 Med Tech Parkway Harris, Erin Elizabeth, Pediatrics Johnson City, TN 37604-2364 Rose, Douglas J., (423) 794-5500 Adams, Joseph Anthony, Holston Medical Group - Medical Plaz Family Bischoff, Paul A, 105 West Stone Drive, STE 3A Practice Bowling, Gretchen, Kingsport, TN 37660 Barbarito, Nancy G., (423) 392-6200 Bullman, Michelle Sue, Bertotti, Marian L, Family Donovan, Mark L, Practice Blackmore, Ronald L, Farmer, Margaret F, Hager, Shelton Phillip, Merrifield, Angela, Gage, Jodi, Morawski, Emily Jane, Robins, Guy W, Gill, Thomas W, Oberdick, Wendy Tipton, Stoots, Connie, Ledes, Chirstopher R, Shafer, Brian David, Swink, Rebekah, Lowery, April Dawn, Stirman, Edward Monty, Way, Brian K, Pearson, James M, Internal Internal Prudhomme, Bryan, Medicine Medicine Taylor, Tedford, Bestermann, William Henry, Brown, Paul E, Wireman, Jill, White, Judith Louise, Cary, Matthew G, State of Franklin Healthcare Mountain States Medical Group - Cook, Keith R, Associates - MOB 2 Family Medicine/Internal Medicine, Dossett, Burgin, 303 Med Tech Parkway Kingsport Dykes, James T, Johnson City, TN 37604-2364 2202 N. John B. Dennis Highway, Suit (423) 794-5500 204 Forbush, Frank A, Kingsport, TN 37660 Family Freemon, David N, (423) 229-7777 Practice Gibson, Mary jane, Family Colyar, Lee Allan, Practice Grosserode, Michael J, Gordon, Elizabeth, Mcqueen, Kelly G, Hansen, James W, Hutchins, Christina R, Mcqueen, Kelly G, Hatjioannou, Jason T, Manginelli, Stephanie C, Rajoo, Shari K, Hemphill, Christopher B, Mcdavid, Richard K, Internal Hoover, Randy W, Mclaughlin, Marion D, Medicine Monderer, Rachel, Nave, Ellen Lang, Licup, Nerissa L, Moulton, David, Kingsport Knoxville Nerren, Bryan K, Pearson, Michael Zachary, Page 302 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Knoxville Knoxville Knoxville Summit Medical Group, PLLC - Summit Medical Group, PLLC - Summit Medical Group, PLLC - Concord Medical Center Farragut Family Practice Hardin Valley Internal Medicine 10215 Kingston Pike, Suite 100 11201 Westpoint Drive, Suite 102 10252 Hardin Valley Road Knoxville, TN 37922 Knoxville, TN 37934 Knoxville, TN 37932 (865) 691-0733 (865) 675-1953 (865) 692-1220 Internal Family Internal Medicine Practice Medicine Clark, Charles N., Buchanan, J. Kevin, Carroll, John D, Jackson, Rebecca T., England, W. David, Summit Medical Group, PLLC - Karn Medical Group Mardini, Antoin H, Russell, Gerald T, 7715 Oake Ridge Highway Nowell, Walker E., Summit Medical Group, PLLC - Knoxville, TN 37931 Fountain City Family Physicians Pierce, J. Mark, (865) 694-0376 103 Midlake Drive Russell, Carabeth W., Knoxville, TN 37918 Family Practice Summit Medical Group, PLLC - Deane (865) 687-1973 Hill Hetrick, Thomas H., Family 7211 Wellington Drive, Suite 201 Upper Practice Summit Medical Group, PLLC - Level Kenneth Reese, MD Clark, Jack C, Knoxville, TN 37919 200 Blount Avenue, Ste. 303, Baptist (865) 584-5762 Drinnen, Jeffrey W., Professional Bldg. Family Haskins, Thomas G, Knoxville, TN 37920 Practice (865) 577-9247 Masters, Steven B., Anderson, Thomas I., Internal Meyer, Angela M., Medicine Bellingrath, Leonard F., Mosrie, Brian T., Reese, Kenneth C., Bushore, John T, Rosine, Amy Rebecca, Summit Medical Group, PLLC - Carlson, J. Michael, Summit Medical Group, PLLC - Halls Medical Associates Otis, Michael V., Family Physicians 9333 Parkwest Boulevard Rylands, J. Craig, 4117 East Emory Road Knoxville, TN 37923 Knoxville, TN 37938 (865) 531-4600 Toney, Lee E, (865) 584-4747 Family Wood, Armand C., Family Practice Summit Medical Group, PLLC - Dr. Practice McKenzie, Jerome F, Ashok Bhandari Bilbrey, Brett S, 1819 Clinch Avenue, Suite 213 Stallings, Ted R., Cloud, Mark W, Knoxville, TN 37916 Internal (865) 549-4900 Hurst, Fred S, Medicine Internal Huskey, Larry, Chaudhuri, Udit, Medicine Manning, Rickey D, Good, Edward M., Bhandari, Ashok, Stevens, Jeffrey L, Kirby, James T., Summit Medical Group, PLLC - Dr. Sturgeon, II, Rodney E., Montgomery, Robert N, William Burkhart 939 Emerald Avenue, Suite 810 Internal Robinson lll, William B., Medicine Knoxville, TN 37917 Sherrill, S. Beth, (865) 633-9400 Hurst, James Wilson, Smith, Louis A., Family Practice Burkhart, William L.,

Page 303 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Knoxville Knoxville Knoxville Summit Medical Group, PLLC - Summit Medical Group, PLLC - Summit Medical Group, PLLC- Norwood Family Medicine Summit Medical Group at Fort Sanders Michael Passarello 1208 Merchants Road 1819 Clinch Ave, Suite 114 501 20th Street, Ste 404 Knoxville, TN 37912 Knoxville, TN 37916 Knoxville, TN 37916 (865) 688-2522 (865) 584-4747 (865) 584-4747 Family Internal Internal Practice Medicine Medicine Chambers, R. Todd, Ferguson, James V, Passarello, Michael J, Peters, Todd M., Morton, Anthony W., Passarello, Michael J, Pritcher, Gerald M., Passarello, Michael J., Summit Medical Group, PLLC- Strawberry Plains Wakefield, Paul H., Passarello, Michael J., 7541 Crosswood Boulevard, Ste 1 West, Michael H., Rivers, Jr., James B., Knoxville, TN 37924 Summit Medical Group, PLLC - Rose, Richard C, (865) 584-4747 Parkside Internal Medicine Summit Medical Group, PLLC - Family 10810 Parkside Drive, Ste. 103 Summit Medical Group at Northshore Practice Knoxville, TN 37934 1924 Pinnacle Pointe Way, Ste. 100 Parker, Donald W, (865) 218-6677 Knoxville, TN 37912 Parker, Donald W, Internal (865) 584-5762 Medicine Internal Family Medicine Hill, Michael W., Practice Cox, Christopher R, McHargue, Donna D., Dee, Jr., Jonathan Daniel, Cox, Christopher R, Summit Medical Group, PLLC - Summit Medical Group, PLLC - Summit Medical Group at Farragut Summit Medical Group at Parkwest Lafollette 11808 Kingston Pike, Suite160 9303 Parkwest Blvd., Suite 100 Summit Medical Group, PLLC - Knoxville, TN 37934 Knoxville, TN 37923 Summit Medical Group at LaFollete (865) 966-3940 (865) 690-6451 919 East Central Avenue, STE 202 Family Family Lafollette, TN 37909 Practice Practice (865) 584-4747 Hart, Tadhg M., Morehead, Lance, Family Practice Internal Thomas, Gary L., Medicine Burdeaux, Richard R, Summit Medical Group, PLLC - Collier, Michael Shawn, Tennessee Center for Internal Medicine Lenoir City 200 Ft. Sanders West Blvd, Ste. 304 Gray, Nathan A, Summit Medical Group, PLLC - Fort Knoxville, TN 37922 Littlefield, Thomas R., Loudon Family Medical Center (865) 531-8848 1018 Highway 321 North Summit Medical Group, PLLC - Internal Lenoir City, TN 37771 Summit Medical Group at Fort Sanders Medicine (865) 986-4450 1819 Clinch Ave, Suite 114 Knoxville, TN 37916 Bhandari, Punam S, Family (865) 584-4747 Hawkins, Jimmy L, Practice Family Mathes, Catherine L., Morse, James A., Practice Mitchell, Michael E, Morton, Randall T., Baker, Kelly L, Ramos, Antonio L, Walter, Gail-Marie, Johnson, W. Reeves, Maryville Internal Medicine Cooper, John F, Page 304 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Tennessee Maryville Murfreesboro Powell Summit Medical Group, PLLC - David Family Practice Partners Summit Medical Group, PLLC - A. Cox, MD 515 East Bell Street Internal Medicine Associates of Emory 2022 Chilhowee Medical Park Murfreesboro, TN 37130 Road Maryville, TN 37804 (615) 890-9191 7557 Dannaher Way, Building B, Ste (865) 982-0170 225 Family Powell, TN 37849 Internal Practice (865) 546-9751 Medicine Andrews, Susan Toy, Internal Cox, David A., Rickard, Randall C., Medicine Summit Medical Group, PLLC - Kim Oak Ridge Allan, J. Davis, H. Cline, MD 111 Station Drive Summit Medical Group, PLLC - Alley, Robert C., Maryville, TN 37804 Summit Medical Group of Oak Ridge Bentley, Amy E., (865) 982-7101 801 Oak Ridge Turnpike Brakebill, Larry C., Oak Ridge, TN 37830 Internal Brandon, Miriam, Medicine (865) 483-3172 Durbin, David C., Cline, Kim H., Family Practice Gibbs, Cassandra F., Summit Medical Group, PLLC - M. Scott Gardner, DO Bridgeman, Pamela A., Griffin, II, James C., 603 Smithview Drive Casey, Robert R., Leahy, Michael Douglas, Maryville, TN 37803 Taylor, Susan J., Lorino, Stephen P., (865) 983-0082 Internal Mancebo, Gerald L., Family Medicine Practice Ochoa, Peter J., Giles, James W., Gardner, M. Scott, Taylor, N. Lynne, Hayes, Wesley L., Memphis Vannoy, John F., Henderson, Michael A., UT Medical Group at Harbor of Health Wooten, B. David, Powell 718 Harbor Bend Road Summit Medical Group, PLLC - Juliu Memphis, TN 38103 Summit Medical Group, PLLC - S. von Clef, MD Emory Family Practice (901) 522-1555 2125 Emory Road, P.O. Box 867 201 East Emory Rd., P.O. Box 635 Family Powell, TN 37849 Powell, TN 37849 Practice (865) 938-5922 (865) 938-3627 Nelson, Susan C.F., Family Family Practice Internal Practice Medicine Vonclef, III, Julius S, Barton, Ronald P., Sullivan, Meghan D.J., Summit Medical Group, PLLC - Mark Chism, Kathy N, W. Johnson, MD Millington Dean, R. Wesley, 2125 Emory Road NBHC NSA MID-SOUTH - Primary Flaming, Brad A, Powell, TN 37849 Care Clinic (865) 938-7517 5722 Integrity Dr, Bldg S-771 Thornton IV, Nicholas P, Family Millington, TN 38054-5021 Summit Medical Group, PLLC - Practice (850) 505-6029 Internal Medicine Associates of Emory Road Johnson, Mark W., Family Practice 7557 Dannaher Way, Building B, Ste Summit Medical Group, PLLC - 225 Robert R. Fehr, MD Edgerly, Donald William, Powell, TN 37849 2125 Emory Road, P.O. Box 605 Murfreesboro (865) 546-9751 Powell, TN 37849 Internal (865) 938-5911 Medicine Page 305 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Tennessee Tennessee Texas Powell Seymour Arlington Summit Medical Group, PLLC - Summit Medical Group, PLLC - Medical Clinic of North Texas, P.A. - Robert R. Fehr, MD Seymour Family Physicians Arlington South (AS) 2125 Emory Road, P.O. Box 605 11657 Chapman Hwy 811 W. I-20, Suite 120 Powell, TN 37849 Seymour, TN 37865 Arlington, TX 76017 (865) 938-5911 (865) 577-4836 (817) 468-3393 Family Family Internal Practice Practice Medicine Fehr, Robert R., Moore, Robert S., Barker, Thomas E, Rockwood Payne, Wesley K., Brock, Steven D, Summit Medical Group, PLLC - Sweetwater Hunter, David S, Angela Meadows, MD Summit Medical Group, PLLC - Martin, John R, 450 S. Chamberlain, Ste. 300 William L. Harvey, MD Smitherman, Robert K, Rockwood, TN 37854 602 South Main Street (865) 354-7799 Sweetwater, TN 37874 Medical Clinic of North Texas, P.A. - South Arlington Pediatrics (SAP) Internal (865) 584-4747 Medicine 811 W. I-20, Suite 214 Family Arlington, TX 76017 Meadows, Angela E, Practice (817) 557-5437 Harvey, William L, Sevierville Pediatrics Summit Medical Group, PLLC - Texas Fikkert, Chimene W, Charles H. Bozeman, II, MD Addison 641 Middle Creek Road Gibson-Hull, Stacey L, Sevierville, TN 37862 THPG- Addison Family Medicine Meyer, Matthew G, Associates (865) 428-0583 Athens 15303 Dallas Parkway, Suite 180 Family Addison, TX 75001 Trinity Clinic - Athens Practice (972) 980-5050 1505 Hwy 19 S Bozeman, II, Charles H., Family Athens, TX 75751 Summit Medical Group, PLLC - Practice (903) 675-1725 Middle Creek Family Practice Mittal, Shashi, Family 675 Middle Creek Road Practice Sevierville, TN 37862 Aledo Bass, James, (865) 453-2029 Texas Health Physicians Group -Aledo Internal Family Family Medicine Medicine Practice 317 FM 1187 North Aledo, TX 76008 Helf, Steven J., Burke, Curtis L, (817) 441-7181 Pediatrics Gust, Amy Lynn, Family Shaw, J. Elaine, Tolley, Vincent B, Practice Austin Summit Medical Group, PLLC - Kretzschmar, Shaun H, Wheatley, MD and Fry, MD Lone Star Circle of Care - Ben White Arlington 1124 Fox Meadows Blvd., Ste. 3 Health Clinic Sevierville, TN 37862 Medical Clinic of North Texas, P.A. - 1221 W. Ben White Blvd., Ste. B200 (865) 428-0312 Arlington Internal Medicine (AIM) Austin, TX 78704 809 W. Randol Mill Road (877) 800-5722 Family Practice Arlington, TX 76012 Family (817) 460-0257 Practice Fry, William J., Internal Bribiesca, Gerardo Sergio, Internal Medicine Medicine Gildersleeve, Roger W., Buschow, Robert A, Wheatley, Hubert C., Page 306 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Austin Beaumont Bedford Lone Star Circle of Care - Ben White SETMA I (Southeast Texas Medical Texas Health Physicians Group - Mid Health Clinic Associates, L.L.P.) Cities Family Care 1221 W. Ben White Blvd., Ste. B200 2929 Calder, Suite 100 3024 State Hwy 121 Austin, TX 78704 Beaumont, TX 77702 Bedford, TX 76021 (877) 800-5722 (409) 833-9797 (817) 494-5000 Internal Family Family Medicine Practice Practice Eapen, Prakash, Murphy, Vincent P, Heldridge, Tod C, Folarin, Hope, Internal Jutras, Michael A, Medicine Nurse Mansen, Joseph, Practitioner Aziz, Muhammad T., Terry, James R, Bane, Ginger, Thomas, Michael Paul, Belton Hartline, Meredith Patton, SETMA II Lone Star Circle of Care - Sparta Roa 3570 College Physician Pediatric Clinic Beaumont, TX 77702 Assistant 155 Sparta Road (409) 654-6819 Bettes, Jeanette L., Belton, TX 76513 Family Baytown (877) 800-5722 Practice Nurse Harris County Hospital District - Leifeste, Alan E., Practitioner Baytown Health Center 1602 Garth Road General Travis, Joy Nan, Practice Baytown, TX 77520 Pediatrics (281) 837-2737 Holly, James L., Davis, Tinku, Family Internal Canton Practice Medicine Olutimehin, Babaijide O., Anwar, Syed I., Trinity Clinic - Canton 18780 I-20 Service Road Roman, Rocio L., Qureshi, Absar, Canton, TX 75103 Suarez, Martha C., Pediatrics (903) 567-4841 Beaumont Colbert, Bobbie H., Family Practice Mark A. Wilson Clinic SETMA West Bedford 2010 Dowlen Medical Clinic of North Texas, P.A. - Nixon, Kenneth W, Beaumont, TX 77706 Family Physicians of the Mid-Cities Nixon, Kevin A, (409) 833-9797 1615 Hospital Parkway, Suite 103 Carrollton Family Bedford, TX 76022 Practice Medical Clinic of North Texas, P.A. - Family Carrollton Family Medicine (CFM) Practice Curry, Marissa Banatwala, 4360 North Josey Lane Deiparine, Caesar, Bindner, Stephen R, Carrollton, TX 75010-4602 Halbert, Dean, Pavey, Scott A, (972) 242-0185 Satterwhite, Kelli Bouvais, Internal Family Medicine Practice Vardiman, John, Harrell, Melinda D, Maust, Joel R, SETMA I (Southeast Texas Medical Associates, L.L.P.) Olivo, Julie L, Medical Clinic of North Texas, P.A. - Carrollton Internal MED/PEDS - 2929 Calder, Suite 100 Walker, Joel W, (CMP) Beaumont, TX 77702 4333 North Josey Lane, Plaza II, Suite (409) 833-9797 202 Carrollton, TX 75010

Page 307 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Carrollton Cedar Park Colleyville Medical Clinic of North Texas, P.A. - Lone Star Circle of Care-Dell Baylor - HealthTexas Provider Carrollton Internal MED/PEDS - Children's-Circle of Care Pediatrics at Network - Colleyville Family Medicine (CMP) Whitestone 5408 Colleyville Blvd 4333 North Josey Lane, Plaza II, Suite 1730 E. Whitestone Blvd., Suite 101 Colleyville, TX 76034 202 Cedar Park, TX 78628 Internal Carrollton, TX 75010 (512) 686-0207 Medicine General Physician Hayes, Lorrie B., Practice Assistant Coppell Lam, Van, Ringo, Rhiannon L, Baylor - HealthTexas Provider Internal Chandler Medicine Network - Baylor Family Medicine at Trinity Clinic - Chandler Coppell Chiniwala, Rupal, 803 Hwy 31 E 878 South Denton Tap Road Medical Clinic of North Texas, P.A. - Chandler, TX 75758 Coppell, TX 75019 Carrollton Internal Medicine (CIM) (903) 849-5756 Family 3730 North Josey Lane,, Suite 111 Family Practice Carrollton, TX 75007 Practice Kapil, Kamna, Internal Cherry, Thomas I, Medicine Corpus Christi Cleburne Teng, Li R, Health by Design- Valero Corpus Medical Clinic of North Texas, P.A. - Christi Wellness Center Medical Clinic of North Texas, P.A. - Cleburne Nolan River - (CNR) 1147 Cantwell Trinity - (TRN) 808 N Nolan River Rd Corpus Christi, TX 78407 4323 North Josey Lane, Plaza I, Suite (361) 289-3111 200 Cleburne, TX 76033 Carrollton, TX 75010 (817) 641-2650 Family Practice Internal Family Medicine Practice Allen, Marsha M, Teng, Jay, Becerra, Oscar D, Cross Roads Cedar Hill Internal Medical Clinic of North Texas, P.A. - Medicine Cross Timbers - (CT) Methodist Family Health Center - West 3201 Hwy. 380, Suite 101 Cedar Hill Bates, Edward E, Cross Roads, TX 76227 326 Cooper Street Dalley, Albert S, (940) 365-9389 Cedar Hill, TX 75104 Wallace, Brent H, (972) 291-7863 Family Colleyville Practice Family Practice Baylor - HealthTexas Provider Auvenshine, Michael S, Network - Colleyville Family Medicine Baker, Karen Kay, Pediatrics 5408 Colleyville Blvd Marshall, Michael Scott, Colleyville, TX 76034 Baker, Jeremy S, Vaughan, David B., Family Dallas Practice Cedar Park Baylor - HealthTexas Provider Bell, Dennis M., Network - Baylor Senior Health Lone Star Circle of Care-Dell Center - Geriatrics Center Children's-Circle of Care Pediatrics at Bush, Tyronne A, 4004 Worth Street, Suite 100 Whitestone Ensey, Jane F., Dallas, TX 75246 1730 E. Whitestone Blvd., Suite 101 Cedar Park, TX 78628 Justice, Marilyn K., Geriatric Medicine/Internal (512) 686-0207 Walter, Margaret H, Medicine Pediatrics Internal Sennour, Youcef, Medicine West, Deborah Parsons, Thompson, Joyce Mai,

Page 308 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Dallas Dallas Dallas Baylor - HealthTexas Provider Baylor - HealthTexas Provider Baylor - HealthTexas Provider Network - Baylor Senior Health Network - Baylor Family Medicine at Network - Family Medical Center at Center - Geriatrics Center Worth Street Baylor 4004 Worth Street, Suite 100 4001 Worth Street 3600 Gaston Avenue, Barnett #1109 Dallas, TX 75246 Dallas, TX 75246 Dallas, TX 75246 Internal Internal Family Medicine Medicine Practice Numajiri, Akira Stuart, Krishnan, Ruth Nisha, Evans, Rachael Carolee, Baylor - HealthTexas Provider Baylor - HealthTexas Provider Reed, Melanie Lane, Network - Signature Medicine Network - Christ's Family Clinic Sokol, Matthew Peter, 411 North Washington Avenue, Suite 9409 Preston Road 3000 Dallas, TX 75205 Baylor - HealthTexas Provider Dallas, TX 75246 Network - MedProvider Internal 3434 Swiss Avenue, Suite 107 Internal Medicine Dallas, TX 75204 Medicine Robertson, Kiran Sehdev, Internal Winter, Jr., Fred David, Baylor - HealthTexas Provider Medicine Baylor - HealthTexas Provider Network - Dallas Diagnostic Aggarwal, Raymon Kumar, Network - Baylor Family Health Center Association - Park Cities at Cityview 9101 North Central Expressway, Suite Allison, Jr., Robert Bryan, 5701 Bryant Irvin Road 300 Armstrong, William Mark, Dallas, TX 76132 Dallas, TX 75231 Brodsky, Greta Vance, Family Family Practice Practice Brooks, John Craven, Irvine-Moore, LaPonna R, Islahi, Nazish Seed, Christensen, William Thomas, Woodland, Caroline Elizabeth, Walker, Brent W, Chung, Paul, Baylor - HealthTexas Provider Internal Collier, Trenton Randall, Network - Baylor Family Medicine at Medicine Dimmitt, Dean C., Uptown Ho, Michelle May, Edwards, Jennifer L, 4161 McKinney Avenue, Suite 300 Dallas, TX 75204 Philips, Kay L., Elovitz, Reuben J., Family Sokal, Paul Jonathan, Hickl, Andrew Gerard, Practice Tilleros, Elisabeth Anne, Highbaugh, David Michael, Gamarnik, Shari Carolyn, Baylor - HealthTexas Provider Hughes, Christopher A, Graves, Julia Carol, Network - Diabetes Health & Wellness Institute Family Health Center Johnston, Michael Thomas, Kong, Jun Ho, 4500 Spring Avenue Kassanoff, Ruby Elizabeth, Veerasamy, Anitha, Dallas, TX 75210 Madeley, Paul Ewing, Family Baylor - HealthTexas Provider Muncy, Paul A, Network - Baylor Family Medicine at Practice Worth Street Neal, Troy Michael, Lester, Folashade F, 4001 Worth Street Sibley, Alison Hedeen, Dallas, TX 75246 Baylor - HealthTexas Provider Network - Family Medical Center at Simon, Fay E., Family Baylor Smith, Jr., Randlow, Practice 3600 Gaston Avenue, Barnett #1109 Berry, Christopher E., Dallas, TX 75246 Smith, Jr., Weldon Lloyd, Kane, Erin P, Family Thompson, Robert D, Practice Wang, Scott, Valachovic, Michael Scott, Bleakney, Dana Allison, Weber, Denise Samantha,

Page 309 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Dallas Dallas Dallas Baylor - HealthTexas Provider Parkland COPC - East Dallas Health Southwest Family Medicine Associates Network - MedProvider Center 8877 Harry Hines Boulevard 3434 Swiss Avenue, Suite 107 3320 Live Oak Dallas, TX 75235 Dallas, TX 75204 Dallas, TX 75204 (214) 393-2940 (214) 266-1000 Internal Family Medicine Family Practice Practice Wilder, Cynthia Kay, Dharma, Chrisette M., Raja, Manisha, Wiley, Cherese Marie, UT Southwestern General Internal Wilkerson, Jennifer Lynn, Shama, Zareena, Medicine 5303 Harry Hines Boulevard Medical Clinic of North Texas, P.A. - General Dallas, TX 75390-9124 Farmers Branch Pediatrics - (FBP) Practice (214) 645-8600 9 Medical Parkway, Plaza 4, Suite 302 Gong, Wei, General Dallas, TX 75234 Parkland COPC - EPO Health Center Practice (972) 247-1133 7920 Elmbrook, Suite 120 Pediatrics Dallas, TX 75247 Lai, Wen S, Clifford, Susan G, (214) 590-2800 Geriatric Medicine/Family Practice Medical Clinic of North Texas, P.A. - Family North Dallas Internal Medicine - (ND) Practice Gupta, Roopali, 7515 Greenville Avenue, Suite 600 Falola, Elizabeth O., Rhodes, Ramona, Dallas, TX 75231 Parkland COPC - Geriatrics Health Internal Internal Center Medicine Medicine 4811 Harry Hins Blvd. Auerbach, David Maxwell, Dallas, TX 75235 Johnston, Mark A, Balis, David Scott, (214) 590-8369 Sanders, John P, Brancaccio, Anne Marie, Internal Parkland COPC - Bluitt Flowers Medicine Croft, Carol Lynn, Health Center 303 E Overton Road Viciosos, Belinda, Favour, Susan Elizabeth, Dallas, TX 75216 Viciosos, Belinda, Goldsteen, Robert Adam, (214) 266-4200 Parkland COPC - Oak West Health Guth, Eve Susanne, Center Emergency Halm, Ethan, Medicine 4201 Brook Spring Drive Howell-Stampley, Temple Sharita, Alhazim, Dina, Dallas, TX 75224 (214) 266-1450 Jones, Robert Ellwood, Internal Medicine Pediatrics Lampe, Kristen H, Kim, Chong W, Dharani, Murad, Leach, Steven L, Nasir, Muhammad A, Mendizabal, Susanna B., Liu, Yinghui, Safari, Nasrin, Parkland COPC - Southeast Health McCord, Mary, Center Parkland COPC - deHaro Saldivar Moran, Brett Andrew, 9202 Elam Road Health Center Dallas, TX 75217 Orlino, Angela Mae, 1400 N Westmoreland Road (214) 266-1600 Peterson, Dolores M, Dallas, TX 75211 (214) 266-0500 Pediatrics Raja, Harikrishna, Emergency Gomez, Martin, Reed, William Gary, Medicine Roche, Vivyenne Marie-louise, Alhazim, Dina, Rosen, Robert Kenneth, Rubin, Craig Douglas, Page 310 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Dallas Denton Flower Mound UT Southwestern General Internal Medical Clinic of North Texas, P.A.- Medical Clinic of North Texas, P.A. - Medicine Denton Internal Medicine (DIM) Flower Mound Internal Medicine - 5303 Harry Hines Boulevard 2900 N. I-35, Suite 110 (FM) Dallas, TX 75390-9124 Denton, TX 76201 3101 Churchill Drive, Suite 310 (214) 645-8600 (940) 387-9400 Flower Mound, TX 75022-2716 Internal Internal Internal Medicine Medicine Medicine Sam, Colleen, Harris, Timothy L, Bucan-Kurepa, Jelena, Shah, Amit Arvind, Jafry, Raza A, Fort Worth Steen, Eric, Emory Baylor - HealthTexas Provider Network - Baylor Family Medicine at Trapp, Erika F, Trinity Clinic - Emory Fort Worth Vicioso, Belinda A., 886 E Lennon, Suite 105 900 West Magnolia, Suite 201 Emory, TX 75440 Vicioso, Belinda A., Fort Worth, TX 76104 (903) 473-3036 Pediatrics Family Family Practice Turer, Christy, Practice Ampelas, Michael Charles, Denton Rodgers, Jerry W, Greer, Daria Katherine, Medical Clinic of North Texas, P.A. - Flint Denton North - (DN) Jordan, David Curtis, Trinity Clinic - Lake Palestine 2609 Scripture Kneten, Craig Charles, 20208 Hwy 155 S Denton, TX 76201 Flint, TX 75762 Murphy, Jr., James Aaron, (940) 484-4424 (903) 825-6222 Baylor - HealthTexas Provider Family Network - Baylor Family Medicine at Family Practice Southwest Fort Worth Practice Talbot, Scott E, 5701 Bryant Irvin Road, Suite 301 Eli, Alan M, Fort Worth, TX 76132 Medical Clinic of North Texas, P.A. - Denton Family Medicine (DEN) Flower Mound Family 3323 Colorado Blvd., Suite 101 Baylor - HealthTexas Provider Practice Denton, TX 76210 Network - Baylor Family Medicine at Cappel, III, Joseph W., (940) 387-8888 Flower Mound 1110 Parker Square Eden, Kimberly T, Family Flower Mound, TX 75028 Baylor - HealthTexas Provider Practice Network - Internal Medicine Associate Family Barton, Courtney K, of Southwest Fort Worth Practice Morrill, Audrey C, 5801 Oak Bend Trail, Suite 200 Balarbar, Melinda Bautista, Fort Worth, TX 76132 Strittmatter, Marla A, Santiago, Joseph Patrick, Internal Medical Clinic of North Texas, P.A. - Simon, Kathryn Mary, Medicine Denton North Pediatrics (DNP) 2609 Scripture St Villalon, Jr., Raul, Garcia, Paul J, Denton, TX 76201 Medical Clinic of North Texas, P.A. - Massey, Michael Dennis, (940) 565-1601 Flower Mound Internal Medicine - Dr. Peter McDougall, MD (FM) Pediatrics 6100 Harris Pkwy, Suite 290 3101 Churchill Drive, Suite 310 Fort Worth, TX 76132 Adams, Amy J, Flower Mound, TX 75022-2716 (817) 633-6050 Jones, Carrie L, Family Family Practice Practice Phipps, Lowell F, McDougall, Peter G.,

Page 311 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Fort Worth Forth Woth Ft. Worth Medical Clinic of North Texas, P.A. - Texas Health Physicians Group - HF- Medical Clinic of North Texas, P.A. - Harris Southwest - (HS) Green Oaks Clinic Fort Worth Clinic - (FWC) 6100 Harris Parkway, Suite 345 6825 Green Oaks Rd 909 9th Ave., Suite 300 Fort Worth, TX 76132 Forth Woth, TX 76116 Ft. Worth, TX 76104 (817) 346-5960 (817) 737-7000 (817) 336-7191 Internal Family Internal Medicine Practice Medicine Guthrie, William S, Cowan, Todd Kreig, Childers, James S, Mewis, Beth A, Speaker, Jennifer Lynn, Laughton, Pierre E, Penny, Richard E, Physician Garland Assistant Readinger, James C, Baylor - HealthTexas Provider Fisher, David, Smith, Steven L, Network - Baylor Family Medicine at Huckaby, Bonnie S., Garland Medical Clinic of North Texas, P.A. - 601 Clara Barton Blvd., Suite 340 Payberah, Paul, Hogan Center - (HC) Garland, TX 75042 800 Fifth Avenue, Suite 300, Suite 300 Frisco Family Fort Worth, TX 76104 Practice (817) 334-1400 Baylor - HealthTexas Provider Network - Baylor Family Medicine at Graves, Reese Cabot, Internal Frisco Medicine 2840 Legacy Drive, Bldg # 4, Suite 400 Kerr, Jeffrey D., Eldridge, James K, Frisco, TX 75034 Nair, Rajasree J, Eppstein, Roger S, Family Tingle, Leslie Earle, Practice Godbey, Teresa E, Baylor - HealthTexas Provider Cudjoe, Stephanie Lee-blanche, Network - Baylor Senior Health Hutcheson, Richard M, Center - Garland Jenkins, Warren Blake, Johnson, Steven E, 800 North Shiloh Road Kasmiersky, Valerie Kay, Lester, Lynn A, Garland, TX 75042 Meehlhause, Mark Gary, Machos, Robert J, Geriatric Medicine/Internal Ngo, Edward K, Medicine Nelson, Edward R, Zomnir, Jennifer M., Vengalil, Marina Tomy, Texas Health Physicians Group - Family Centered Medical Group Medical Clinic of North Texas / Frisco Internal Medicine 4421 Oak Park Lane, Suite 102 Family Medicine Fort Worth, TX 76109 2595 Dallas Parkway, Suite 405 Majeed, Hashim Abdul, Frisco, TX 75034 (817) 732-2878 Nguyen, Anthony Kiem, Family Family Baylor - HealthTexas Provider Practice Practice Network - Family Medical Center of Richwine, Randall T, Culver, Jennifer L, Garland 601 Clara Blvd., Suite 200 Texas Health Physicians Group- HF- Internal Garland, TX 75042 Fossil Creek Clinic Medicine 7630 N. Beach St., Suite 140 Gonzalez, Virginia Y, Family Practice Fort Worth, TX 76137 Ft. Worth (817) 479-0840 Adcock, Jeffry F, Medical Clinic of North Texas, P.A. - Family Fort Worth Clinic - (FWC) Chandler, Becky L, Practice 909 9th Ave., Suite 300 Conselman, Nicole S, Kuenstler, Kevin Andrew, Ft. Worth, TX 76104 Day, April M, Vermette, Kenneth Norman, (817) 336-7191 Fisch, Jason P, Forth Woth Levy, Alfred E, Page 312 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Garland Garland Grand Prairie Baylor - HealthTexas Provider Parkland COPC - Garland Health Baylor - HealthTexas Provider Network - Family Medical Center of Center Network - Baylor Family Medicine at Garland 802 Hopkins Lake Ridge 601 Clara Blvd., Suite 200 Garland, TX 75040 4927 Lake Ridge Parkway, Suite 100 Garland, TX 75042 (214) 266-0700 Grand Prairie, TX 75052 Family Internal Internal Practice Medicine Medicine Mccollum, Ronald J, Khan, Yasmin, West, Penny C., Mlcak, Mark S, Pediatrics Grand Praririe Wiprud, John M, Naqvi, Fauzia M, Baylor - HealthTexas Provider Network - Baylor Family Medical Baylor - HealthTexas Provider Persaud, Donna I, Center at Riverside Network - Pediatric and Adolescent Associates of Garland Georgetown 2740 North Highway 360, Suite 100 601 Clara Barton Blvd, Suite 250 Lone Star Circle of Care - Family Grand Praririe, TX 75050 Garland, TX 75042 Medicine at Lake Aire Medical Center Family Pediatrics 2423 William Drive Practice Georgetown, TX 78628 Botone, Zachary Q., Abel, Shawn M, (512) 686-0207 Cunningham, Mara Lynn, Bassel, Paul S, Family Harvey, Ruth Terrell, Kotas, Robert Andrew, Practice Katzen, Kenneth Lee, Roderick roseberry, Rosemary H, Dent, Marenda Dawn, Katzen, Kevin Dean, Rosen, Myron Henry, Fiedler, Benjamin Paul, Nivens, Jamie Arthur, Sison limsenben, Johanna S, Internal Medicine Grapevine Baylor - HealthTexas Provider Network ΓÇô Family Medical Center Hudgins, John, Baylor - HealthTexas Provider at North Garland Wickramasinghe, Ashton, Network - Baylor Family Medical 5345 North George Bush Freeway Center at Grapevine Garland, TX 75040 Nurse 2020 West Highway 114, Suite 200 Practitioner (972) 495-5888 Grapevine, TX 76051 Benson, Susan, Family Family Practice Brubaker, Angela Faith, Practice Andersen, Robert Layne, Hedges, Amanda, Cunningham, Kelly Eilleen, Beshires, Eric D., MacDonald, Kristin, Jamal, Saira, Bragg, David Wayne, Pediatrics Internal Medicine Clark, Chris Alan, Day, Berica, Bazaldua, Carlos, Fullerton, Clifford T., Li-Pelaez, Joanne Raquel, Burnett, II, Glenn Edward, McMillin, Kimberly J., Grand Prairie Davidson, Nettie Nichole, Sadler, Jane Susan, Baylor - HealthTexas Provider Network - Baylor Family Medicine at Texas Health Physicians Group - Shumate, Jr., Bill G., Lake Ridge Hogan Medical for Your Family Parkland COPC - Garland Health 4927 Lake Ridge Parkway, Suite 100 1280 South Main Street, Suite 100 Center Grand Prairie, TX 75052 Grapevine, TX 76051 802 Hopkins Family (817) 310-0898 Garland, TX 75040 Practice Family (214) 266-0700 Hernandez, Omar, Practice Internal Hogan, Chad A, Medicine Mehta, Annu P, Hawkins Page 313 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Hawkins Houston Houston Trinity Clinic - Hawkins Baylor College of Medicine - Baylor Harris County Hospital District - 5321 FM 14 Family Medicine Settegast Health Center Hawkins, TX 75765 6620 Main Street, Suite 1250 9105 North Wayside (903) 769-2990 Houston, TX 77030 Houston, TX 77028 (713) 798-7700 (713) 636-7192 Nurse Practitioner Family Family Practice Practice Adams, Julie P., DeLeon-Scaglia, Berta Cecilia, Damsake, Paul Richard, Heath Gillis, Latricia Trena, Dholakia, Sonal, Baylor - HealthTexas Provider Network - Baylor Family Medical Horsfield, Matthew Scott, Kosuri, Murali, Center at Rockwall Lumicao, Tomas Guiab, Neal, Emily King, 6435 South FM 549, Suite 201 Rogers, John Charles, Nguyen, Phuc Xuan, Heath, TX 75032 Family Spann, Stephen Jimmie, Pabbisetty, Swarajyal Lakshmi, Practice Steinbauer, Jeffrey Robert, Winter, Ronald S., Acker, Wesley Glenn, Whitney, Simon Newcomb, Internal Medicine Bellinger, Richard Kenneth, Physician Foote, Lindsey L, Assistant Terrill, Louise Ann Bednar, Lensch, David B., Love, Elissa Lynne, Harris County Hospital District - A.C Taylor Health Clinic Meaders, Kristen Marie, Miller, Jennifer M, 13940 Bonham Street Muns, James G, Rivera-Hayes, Elisa, Houston, TX 77015 (713) 330-8904 Smithers, Victoria E, Valdez, Isabel, Pediatrics Stark, Jr., Robert N, Baylor College of Medicine - General Internal Medicine Callis, Tamara R., Henderson 6620 Main Street, Suite 1225 Harris County Hospital District - Acre Trinity Clinic - Henderson #1 Houston, TX 77030 Home Health Center 500 N Marshall (713) 798-2500 818 Ringold Street Henderson, TX 75652 Internal Houston, TX 77088 (903) 657-1653 Medicine (281) 260-3340 Family Chen, Wen-Wen Sharon, Family Practice Muthuswamy, Bhuvana K, Practice Featherston, William, Nelson, Elizabeth, Bayona, Jose, Hay, Meredith A., Polec, Sherry Wang, Butcher, Larry Ray, Perricone, Charles, Remmers, Paul Steve, Carroll, Kelley Walk, Houston Rosenbaum, Ralph Steve, Lee, Yates P., Baylor College of Medicine - Baylor Baylor College of Medicine - Houston Mitra, Shrabanee, Family Medicine Service Workers Clinic Parikh, Mihir Jagdish, 6620 Main Street, Suite 1250 2000 Crawford Street, Suite 730 Houston, TX 77030 Houston, TX 77002 Richmond, Teriya M., (713) 798-7700 (281) 822-4401 Russell, Matasha Levette, Family Family Pediatrics Practice Practice Ramanthan, Supriya, Arredondo, Odette, Linares, Adriana Catalina, Brown, Anthony Edward, Corboy, Jane Ellen,

Page 314 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Houston Houston Houston Harris County Hospital District - Harris County Hospital District - Harris County Hospital District - Aldine Health Center Gulfgate Health Center Martin Luther King Health Center 4755 Aldine Mail Route 7550 Office City Drive 3550 Swingle Houston, TX 77039 Houston, TX 77012 Houston, TX 77047 (281) 985-7620 (713) 495-3731 (713) 873-4737 Family Family Rheumatology Practice Practice Balla, Justin Dominique, Atkinson, Jonnae, Colon-Rivera, Nelda Luz, Ghosh, Lisa C., Grair, Diana, Croock, Alan David, Kaseb, Enas, Holleman, Marsha Cline, Harris County Hospital District - Northwest Health Center Lawrene, Sharlene J., Latifi, Haleema Tasneem, 1100 West 34th Street Lopez Godoy, Francisco G., Patel, Minal M., Houston, TX 77018 Mallela, Vijaya L., Zhang, Mei, (713) 867-7830 Nambiar, Anakha R., Internal Family Medicine Practice Pham, Cuong Van Phu, Gotschall, Ann, Danek, Lisa Catherine Karam, Harris County Hospital District - Casa De Amigos Health Center Masciangelo, Thomas Nicholas, Davis, Lisa Renee, 1615 North Main Street Nguyen, Huyen Thi Bich, McCormack, Owen Eugene, Houston, TX 77009 Pediatrics Pham, Khoa Van, (713) 236-7185 Gray, Karen J., Warwick, Eric [email protected], Family Practice Myers, Delbert Dennis, Harris County Hospital District - People's Healh Center Blicharski, Diana B., Harris County Hospital District - Martin Luther King Health Center 6630 De Moss Street Imperial, Valerie, 3550 Swingle Houston, TX 77074 Lateef, Misbha S., Houston, TX 77047 (713) 272-5585 McColloster, Patrick J., (713) 873-4737 Emergency Medicine Quadri, Yasmeen, Family Practice Olear, Margaret Z., Steele, Kenya, Akbar, Salma, Family Pediatrics Practice Antoine-Taylor, Mercella Patricia, Buchanan, Katherine B., Aggarwal, Anjali, Ledlie, William Boyer, Torres, Roberta W., Atwal, Diana Tej, Reed, Brian Christopher, Warren, Marcia, Buchanan, Jason Nicholas, Willis, Samuel Eric, Harris County Hospital District - El Khoury, Soledad Adrogue, Franco Lee Health Center Geriatric Medicine/Internal 8901 Boone Road Medicine Kim, Karen J., Houston, TX 77099 Hariharan, Radhika Ramesh, Lee, Eric T., (281) 454-0519 Internal Nulia, Ricardo Ernesto, Internal Medicine Geriatric Medicine/Internal Medicine Lacour-Chestnut, Frene, Medicine Singh, Punita, Lyn-Cook, Richard, Ali, Afroze, Torio, Fredrick Uy, Manning, Shelley D., Internal Torio, Rulour, Medicine Wendt, Elaine Anne, Pediatrics Afzalpurkar, Rekha, Rheumatology Dharia, Ami Desai, Luu, Phong The, Page 315 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Houston Houston Houston Harris County Hospital District - Kelsey-Seybold Clinic West UT - Family Medicine Associates People's Healh Center 1111 Augusta Drive 6410 Fannin Street, Suite 170 6630 De Moss Street Houston, TX 77057 Houston, TX 77030 Houston, TX 77074 (713) 442-0000 (832) 325-6503 (713) 272-5585 Pediatrics Family Internal Practice McAlvey, Merlene, Medicine Adeyinka, Olasunkanmin, LivingWell Health Center w/ Penmetsa, Santhi, HealthSpring ΓÇô Houston Altman, Michael A, Pediatric 1315 St. Joseph Parkway, Suite 1400 Fowler, Grant C, Endocrinology Houston, TX 77002 Montalvo chen, Rolf O, Mortazavi-Zarrabi, Maryam, (281) 727-3400 Moreno, Carlos A, Pediatrics Family Practice Reddy, Bal, Cheng, Le-beng C., Garcia, Juan P, Rianon, Nahid Jamal, Khan, Saira, McMorris, Cylde, Vasudevan, Deepa A, Harris County Hospital District - Thomas Street Health Center Internal Humble 2015 Thomas Street Medicine Harris County Hospital District - E.A. Houston, TX 77009 Aldinger, Keith A, Squatty Lyons Health Center (713) 873-4000 Braden, Albert H, 1712 First Street, M-20 Infectious Humble, TX 77338 Holmes, Terence S, Disease (281) 913-1611 Rana, Sanila, Giordano, Thomas, Family Wills, Patrick W, Jaffe, Penny, Practice Northwest Diagnostic Clinic Internal Amina, Shazia, Medicine 1140 Cypress Station Dr, Suite 105 Nguyen, Giang Le, Houston, TX 77090 Barnett, Ben J, (832) 232-5618 Sidhu, Trepanjeet Kaur, Krucke, Gus W, Family Soumahoro, Zainab Hamza, Serpa-Avarez, Jose Augusto, Practice General Kelsey-Seybold Clinic - Main Campus Bal, Hardeep, Practice 2727 West Holcombe Youngblood, Todd J, Srinivasmurthy, Nagaraja, Houston, TX 77025 Internal Kelsey - Seybold Clinic - Humble (713) 442-0000 Medicine 8484 Will Clayton Parkway Family Humble, TX 77338 Couch, William H, Practice (713) 442-0000 Fillman, Stephen D, Botsford, Lindsay K., Family Krause, James M, dela Cruz, Roberto B., Practice Mcneill, Dave E, Elliott, Tricia C, Meredith, Sara N., Strickland, Donald W, Kelsey-Seybold Clinic West Hutto 1111 Augusta Drive Sun-Wright, Amie Mao, Dell ChildrenΓÇÖs - Circle of Care Houston, TX 77057 Rheumatology Pediatrics at Hutto (713) 442-0000 123 Ed Schmidt Blvd., Suite 140 Hutto, TX 78634 Internal Perez-masuelli, Carmen M, Medicine (877) 800-5722 Wilson, Leslie E, Klein, Mervyn, Pediatrics Pediatrics Butler, Kathleen Victoria,

Page 316 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Irving Irving Irving Baylor - HealthTexas Provider Baylor - HealthTexas Provider Parkland COPC - Irving Network - Irving Interfaith Clinic Network - North Texas Health Care 1800 N. Britain Road 1711 West Irving Blvd, Suite 115 Associates - Internal Medicine at Irving, TX 75061 Irving/Coppell Irving, TX 75061 (214) 266-3000 400 West IH 635, Suite 200 Family Irving, TX 75063 Family Practice Practice Internal Dela cruz, Roberto Baylon, Medicine Liu, Chun-Tsai, Baylor - HealthTexas Provider Wasson, Bryan Lee, Jacksonville Network - Internal Medicine Associates of Irving Medical Clinic of North Texas, P.A. - Trinity Clinic - Jacksonville 2021 North MacArthur Blvd., Suite 520 Las Colinas (LC) 2026 S Jackson Irving, TX 75061 6750 N. MacArthur, Suite 350 Jacksonville, TX 75766 Irving, TX 75039 (903) 586-5678 Internal Medicine (972) 556-1616 Family Practice Abraham, Suma, Family Practice Carson, Billy D, Austin, Jeffrey Scott, Cox, Ralph F, Milawski, William, Chappell, Tenesha Richole, So, Ashley U, Proctor, Matthew Todd, Israel, Jr., Robert Warren, Internal Weaver, Austin A, Young, Jr., John David, Medicine Weaver, Craig C, Baylor - HealthTexas Provider Demarie, Bryan K, Network - Irving Coppell Internal Internal Medicine Hays, Lowell B, Medicine 400 West IH- 635, Suite 220 Johnston, Richard C, Ragland, Jane, Irving, TX 75063 Matthews, Edwin C, Verhelle, Kendra R, Internal Medical Clinic of North Texas, P.A. - Vierkant, Matthew A, Medicine MacArthur - (MAC) Bashour, Jennifer Min-wen yin, 6750 North MacArthur Blvd., Bldg. 2, Keller Suite 150 Browning, Pritha Chitkara, Baylor - HealthTexas Provider Irving, TX 75039 Network - Baylor Family Medicine at Baylor - HealthTexas Provider (972) 373-0303 Keller Network - North Texas Health Care 601 South Main Street, Suite 200 Associates - Family Medicine General Keller, TX 76248 400 West IH 635, Suite 210 Practice Irving, TX 75063 McColm, Vincent N, Family Practice Family Internal Practice Medicine Liu, Kevin, Cluff, Douglas Millet, Conoley, Megan J, Patel, Manish Prahlad, Havemann, James Frederick, Rathkamp, Quynh K, Wander, Jason Fox, Smith, Trisha Elizebeth, Pediatrics North Hills Family Medicine - Keller 300 North Rufe Snow Drive Baylor - HealthTexas Provider Copeland, Stephanie M, Network - North Texas Health Care Keller, TX 76248 Meyer, Carissa S, Associates - Internal Medicine at (817) 431-3800 Irving/Coppell Viktorin, Gina M, Family 400 West IH 635, Suite 200 Parkland COPC - Irving Practice Irving, TX 75063 1800 N. Britain Road Fuller, Gregory Michael, Internal Irving, TX 75061 Henderson, Pamela M, Medicine (214) 266-3000 Kurz, Michael Wayne, Jones, Bradley Scott,

Page 317 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Keller Lindale Mesquite North Hills Family Medicine - Keller Trinity Clinic - Lindale Baylor - HealthTexas Provider 300 North Rufe Snow Drive 3203 S Main Network - Baylor Family Health Cent Keller, TX 76248 Lindale, TX 75771 at Mesquite (817) 431-3800 (903) 266-4000 1650 Republic Parkway, Suite 100 Mesquite, TX 75150 Family Family Practice Practice Family Practice Swegler, Erica W, Bell, Russell S., Cannaday, Jerry, Texas Health Physicians Group- HF- Brooks, Melita L, Heritage Trace Clinic Cynar, Robert G., Fowler, Roger N, 3529 Heritage Trace Parkway, Suite 137 Frye, Laura L, Keller, TX 76248 Internal Medicine Garrett, Gary D., (817) 741-7570 Duplechain, Holly Katrina, Meyrat, Eva M, Family Practice Mansfield Miller, Lance J, Chacon, Francisco, Medical Clinic of North Texas, P.A. - Peterson, Valerie A, Duncan, Tommy Brent, Mansfield - (MP) Tucker, Sharon E., 2800 E. Broad, Suite 204 Physician Baylor - HealthTexas Provider Mansfield, TX 76063 Assistant Network - Baylor Senior Health (628) 518-1035 Center - Mesquite Garcia, Irasema, Pediatrics 1650 Republic Parkway, Suite 150 Weaver, Jeremy Blake, Mesquite, TX 75150 Phan, Linda K, Kilgore Geriatric Medicine/Internal Wallace, Erin E, Medicine Trinity Clinic - Kilgore Texas Health Physicians Group - Kotamarti, Aparna Rao, 1718 S Henderson Mansfield Family Clinic Kilgore, TX 75662 501 East Broad Street Internal (903) 983-2110 Mansfield, TX 76063-1709 Medicine Family (817) 473-6750 Edwards, Lewis Todd, Practice Family Farnum, Laura Marjorie, Brockway, Jason K, Practice Midlothian Langley, Clark, Ray, Gerald L, Baylor - HealthTexas Provider Miller, Mark D, Wolf, Gary D, Network - Baylor Family Medical Repasky, James E., McKinney Center at Midlothian 1441 South Midlothian Parkway, Suite Lake Worth Baylor - HealthTexas Provider 100 Network - Baylor Family Medicine at Medical Clinic of North Texas, P.A. - Midlothian, TX 76065 McKinney Lake Worth - (LW) 2730 Virginia Parkway, Suite 200 Family 3914 Telephone Road Practice McKinney, TX 75071 Lake Worth, TX 76135 Coleman, Chad Edward, (817) 238-0109 Family Practice Moreland, Matthew C, Family Practice Bass, Heather A, Yeh, Karen P, Dabelic, Rachael K, Green, Matthew Nelson, Internal Medicine Lindale Young, Brett D., Astbury, Jeffrey Albert, Trinity Clinic - Lindale Mesquite Nordstrom, Leigh Furr, 3203 S Main Lindale, TX 75771 Mineola (903) 266-4000

Page 318 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Mineola Plano Plano Trinity Clinic - Mineola Baylor - HealthTexas Provider Medical Clinic of North Texas, P.A. - 1302 N Pacific Network - Dallas Diagnostic West Plano (WP) Mineola, TX 75773 Association - Plano 4001 W. 15th Street, Suite 245 (903) 569-5383 4708 Alliance Blvd., Suite 550 Baylor Plano, TX 75093 Medical Plaza 1 (972) 596-5222 Family Plano, TX 75093 Practice Internal Internal Medicine Cargill, Calvin L, Medicine Harris, Carolyn A, Gully, Kyle L, Chapman, James B, Tran, Khang N, North Richland Hills Chen, Richard C., Wittenberg, John F, North Hills Family Medicine Duong, Trung Cong, 4351 Booth Calloway Road, Suite 101 North Plano Internal Medicine Godsey, Kenneth Basil, North Richland Hills, TX 76180 5501 Independence Parkway, Suite 11 Suite 110 (817) 431-3800 Hill, Francis Gordon, Plano, TX 75023 Krisik, Linda S, Family (972) 596-1747 Practice Kuo, Christina Jean, Internal Gabriel, John D, Long, Carl Thomas, Medicine Lambert, Joseph O, Mcafee, Mildred A., Shore, Kenneth A, Pasadena Melton, Jack Forrest, Torres, Louis A, Harris County Hospital District - Mitlyng, James Allan, THPG - AIM for Wellness Strawberry Health Center Molen, Kyle Derrick, 2100 Hedgcoxe Drive, Suite 100 927 East Shaw Plano, TX 75025 Pasadena, TX 77506 Namburi, Swati, Family (713) 636-7192 Ramirez, Kenda L, Practice Family Sample, Joseph Herman, Practice Minigutti, Andrew P, Samsula, Aaron Lee, Clark, Dana, Internal Stack, Peter Steven, Medicine Dutta, Puja M, Stewart, Carlyle Anderson, Anthony, Paul, Okoh, Jennifer, Waldo, Rick Talley, Berg, Stephanie M, Shetty, Shubha, Zimmer, Jennifer Knaak, THPG- Inova Family Physicians Truong, Hong, Medical Clinic of North Texas, P.A. - 2100 Hedgcoxe Drive, Suite 120 Internal Legacy Plano - (LY) Plano, TX 75025 Medicine 6501 Legacy Drive, Mailstop 96 (972) 769-8443 Porter, Thomas, Plano, TX 75024 Family Plano (972) 431-2345 Practice Family Hinton, III, James H, Baylor - HealthTexas Provider Practice Network - Dallas Diagnostic Kumar, Ansuya S, Association - Plano Dejecacion, Jodie P, Yeagley, Susanne Carol, 4708 Alliance Blvd., Suite 550 Baylor Medical Clinic of North Texas, P.A. - Village Health Partners Medical Plaza 1 West Plano (WP) 5425 W. Spring Creek Pkwy., Suite 20 Plano, TX 75093 4001 W. 15th Street, Suite 245 Plano, TX 75024 Geriatric Medicine/Family Plano, TX 75093 (972) 599-6600 Practice (972) 596-5222 Family Haq, Mahenaaz, Internal Practice Studley, Jill Louise, Medicine Albracht, Jamison M., Graham, Robert L,

Page 319 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Plano Richardson Round Rock Village Health Partners Baylor - HealthTexas Provider Lone Star Circle of Care - Round Roc 5425 W. Spring Creek Pkwy., Suite 200 Network - Baylor Family Health Center Health Clinic Plano, TX 75024 at Richardson 2120 North Mays, Suite 430 (972) 599-6600 2520 North Central Expressway, Suite Round Rock, TX 78664 100 (877) 800-5722 Family Richardson, TX 75080 Practice Pediatrics Family Ampaiwala, Madhavi, Practice Pankratz, Natacha Rheem, Crow, Christopher C., Bhat, Shubha P, Pankratz, Natacha Rheem, Garduno, Jr., Abel, Bindra, Amby Jeet, Turner, Tiffany John'nie, Gothard, Sander J., Bradford, Katrina Marie, Saginaw Moon, III, John, Halbrook, Linda Shelton, Medical Clinic of North Texas, P.A. - Saginaw Family Medicine - (SAG) Timm, Elaine C., Sharp, Carey B, 833 Towne Court Weyenberg, Matthew G., Round Rock Saginaw, TX 76179-1280 Port Arthur Lone Star Circle of Care - Family Family Health by Design- Valero Port Arthur Medicine at Texas A&M Health Science Practice Wellness Center 3950 N. A.W. Grimes Blvd. Godfrey, Mark A, 1801 S Gulfway Round Rock, TX 78665 Jones, Christiana N, Port Arthur, TX 77640 (877) 800-5722 San Antonio (409) 985-1819 Family Family Practice CHRISTUS Santa Rosa Family Health Practice McLemore, Christine Marie, Center 333 N. Santa Rosa St., 4th Floor Bowling, Robert Lee, Moeller, Erica, San Antonio, TX 78207 Quitman Internal (210) 704-4140 Medicine Trinity Clinic - Quitman Family 117 N Winnsboro Dasgupta, Nilanjana, Practice Quitman, TX 75783 Nurse Ballesteros, Maria D, (903) 763-5402 Practitioner Criscuolo higgins, Christine D, Family Culpepper, Carrie A., Practice Escobar, Veronica, Haynes, Susan Camille, Dopson, James D, Gonzalez, Annika Marie, Zaitchik, Jesse R., Hicks, Norman P, Karrh, Larry R, Pediatrics Red Oak Martin, James C, Bhatti, Meenu Singh, Baylor - HealthTexas Provider Norris, Simone L, Marroquin, Jaclyn Teresa, Network - Baylor Family Medical Ortiz, David Dionisio, Center at Red Oak Pautler, Denise Lea, Patteson, Pat Keith, 301 East Ovilla Road, Suite 100 Shah, Amy Hasmukh, Red Oak, TX 75154 Summers, Ashley Victoria, Lone Star Circle of Care - Round Rock Family Health Clinic Thames, Todd A, Practice 2120 North Mays, Suite 430 Nurse, Hollub, Alexander Joseph, Round Rock, TX 78664 Registered Thomison, II, James Lee, (877) 800-5722 Gill, Esmeralda, Internal Pediatrics Seguin Medicine Bacares, Edgar, Nordstrom, Jason Roy, Bacares, Edgar, Richardson Page 320 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Seguin Sugar Land Temple Cornerstone Pediatrics, PA Memorial Family Medicine Residency/ Lone Star Circle of Care - Lone Star 1339 E. Court Street, Suite 210 Physicians at Sugar Creek Circle of Care at Santa Fe Seguin, TX 78155 14023 Southwest Freeway 600 S. 25th Street (830) 433-4009 Sugar Land, TX 77478 Temple, TX 76504 (281) 325-4100 (512) 686-0207 Pediatrics Family Family Stephens, Robert P., Practice Practice Southlake Cazares, James, Hong, May, Baylor - HealthTexas Provider Chang, Terence M, Nurse Network - Southlake Family Medicine Practitioner 731 East Southlake Blvd., Suite 100 Coate, Dallas E, Duarte, Maria Carmen, Southlake, TX 76092 Crouch, Michael Avery, Tyler Family Do, Victoria Tu, Practice Fiesinger, Troy T, Trinity Clinic - Childrens Kindrick, Stephen Dwayne, 305 West Rusk Gossard, Geraldine C, Tyler, TX 75701 Morrison, Steven M, Howard III, Percy, (954) 592-7304 Ries, Penelope A, Moquist, Dale C, Pediatrics Rumalla, Smita Kasat, Moscoso, Wilson, Castle, Krystal Leigh, Stroud, Joyce L, Wang, Samuel C, Hawkins, Mary Katherine, General Practice Obstetrics & Pitts, Paul W., Gynecology O'brien-su, Eileen M., Steeger, Jennifer A., Locus, Paul A, Internal Trinity Clinic - Douglas Medicine Sulphur Springs 520 E Douglas Tyler, TX 75702 Fonte, Hiyas Dungo, Trinity Clinic - Sulphur Springs 113 Airport Road, Suite 1301 (903) 593-1721 Harder, Gerald J, Sulphur Springs, TX 75482 Family Hatcher, Stacey L, (903) 439-3285 Practice Lieving, Loree J, Pediatrics Allen, Barbara L, Schorn, Keith A, Conner, Todd S., Cushman, Kenneth D., Sugar Land Taylor Esfandiari, Neda, Kelsey - Seybold Clinic Ft. Bend Lone Star Circle of Care - LSCC Hickman, Willet J., 11555 University Boulevard Health Center at Taylor Hosch, Amy J., Sugar Land, TX 77478 305a Mallard Lane Hwang, Julia D, (713) 442-0000 Taylor, TX 76574 Mullins, Ryan D, Internal (512) 686-0207 Medicine Family Scroggins, John W, Stasicha, Thomas, Practice Smith, Sally L, Ghaffar, Anila, Memorial Family Medicine Residency/ Wadle, Roy B, Physicians at Sugar Creek Temple Wilson, Oscar R, 14023 Southwest Freeway Lone Star Circle of Care - Lone Star Sugar Land, TX 77478 Zeorlin, Anne M, Circle of Care at Santa Fe (281) 325-4100 600 S. 25th Street Internal Medicine Family Temple, TX 76504 Practice (512) 686-0207 Anderson, Richard A, Bauer, David W, Beaird, David H,

Page 321 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Texas Texas Texas Tyler Waxahachie Willow Park Trinity Clinic - Douglas Baylor - HealthTexas Provider Texas Health Physicians Group - 520 E Douglas Network - Baylor Family Medical Medical Associates at Willow Park Tyler, TX 75702 Center at Waxahachie 132 El Chico Trail (903) 593-1721 505 North Highway 77, Suite 200 Willow Park, TX 76087 Waxahachie, TX 75165 (817) 441-9252 Internal Medicine Family Family Practice Practice Bryant, Kimberley B, Linguist, David Lane, Stine, Matthew Gorman, Cardinalli-Stein, Andria, Southerland, Natalia J, Winnsboro Coltman, Douglas C., Internal Trinity Clinic - Winnsboro Keuer, Steven P, Medicine 719 W Coke Rd Olsen, Lloyd M, Bousquet, John Alphonse, Winnsboro, TX 75494 Ridenour, Lee H, Brady, Yolanda Cowley, (903) 342-3760 Stanford, James N, Joslin, Eddie Ray, Family Practice Stovall, James G., Ledbetter, Thomas Glenn, Wilson, Jennifer M, Trinity Clinic - Manhatton Powell, Patti Gilbert, 3802 Manhatton Internal Weatherford Tyler, TX 75701 Medicine (903) 509-8888 MedPeds Medical Clinic Petty, Jared B., 2111 Ft Worth Highway Family Wylie Practice Weatherford, TX 76086 (817) 596-3700 Baylor - HealthTexas Provider Knarr, Donald R, Network - Baylor Family Medicine at General Wylie Lively, James A, Practice 600 Cooper Drive, Suite 100 Lowery, Bryan M, Khan, Nusrat Ali, Wylie, TX 75098 Smith, Eric R, Weslaco Family Trinity Clinic - Pediatrics (Turtle Practice Weslaco Medical Clinic Creek) 906 S. Bridge Caudill, Travis M., 706 Turtle Creek Weslaco, TX 78596-7129 Tyler, TX 75701 Mercer< Jr., John Wesley, (956) 447-8600 (903) 595-3942 Patterson, Tena P, Internal Pediatrics Utah Medicine Barret, Mark M., Penalo, Pedro J, Park City Calvert, Jennifer L., Whitehouse Kim E. Scott, M.D Everett, Harold U., 1790 Sun Peak Dr., Suite A101 Trinity Clinic - Whitehouse Park City, UT 84098 Hargrove, Thomas A., 601 N Hwy 110, Bay O (435) 645-0800 Osteen, David C., Whitehouse, TX 75791 Family (903) 839-2585 Rogers, J. Rick, Practice Family Starr, Amy M., Practice VanLeuven, Sandra, Wick, Melanie P., Internal Gerdes, Melissa S, Waxahachie Medicine Hurley, Janet L., Scott, Kim Ellen, Baylor - HealthTexas Provider Mullins, Amy L, Network - Baylor Family Medical Vermont Center at Waxahachie Willow Park Alburg 505 North Highway 77, Suite 200 Waxahachie, TX 75165 Page 322 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Alburg Barton Bennington Northern Tier Center for Health - Barton Clinic Mt. Anthony Primary Care Alburg Health Center 488 Elm Street 655 Main Street 8 Industrial Park Road Barton, VT 05822 Bennington, VT 05201 Alburg, VT 05440 (802) 525-3539 (802) 447-2343 (802) 796-4414 Nurse Family Physician Practitioner Practice Assistant Pelletier, Rachael R, King, J. Gregory, Walker, Martha, Bellows Falls Berlin Barre Springfield Medical Care Systems - Central Vermont Medical Center, Central Vermont Medical Center, Rockingham Medical Group Medical Groups - Central Vermont Medical Groups - Associates in Family 1 Hospital Court Primary Care Health Bellows Falls, VT 05156-1489 246 Granger Rd, Suite 2 82 East View Lane, Suite 3 (802) 463-9000 Berlin, VT 05602 Barre, VT 05641 General Family (802) 371-4844 Practice Practice Family Clay, Gary A, Brock, Joseph, Practice Internal Internal Curchin, Thomas, Medicine Medicine Patti, Lucy, Leppman, John A, Robinson, Robert, Starr, Bram, Pediatrics Central Vermont Medical Center, Central Vermont Medical Center, Medical Groups - MountainView Hall, Eliot R, Medical Groups - Barre Internal Medical Medicine Physician Central Vermont Physicians Building 225 South Main Street Assistant B, 195 Hospital Loop, Suite 3 Barre, VT 05641 Houghton, Jody P, Berlin, VT 05602 (802) 479-3302 (802) 225-5400 Bennington Internal Internal Medicine Eric S. Seyferth, MD Medicine 140 Hospital Drive, Suite 310 Carr, Priscilla W, Belanger, Nicole J, Bennington, VT 05201-5018 Felsted, Laura Allen, (802) 442-7855 Dale, Peter A, Gleiner, J. Arthur, Internal Hart, Marilyn J, Gifford Health Center at Berlin Medicine Fletcher Allen Health Care - Berlin 82 East View Lane Seyferth, Eric S, Family Health 130 Fisher Road, suite 3-1 Barre, VT 05641-5713 Green Mountain Pediatrics, PC Berlin, VT 05602 (802) 229-2325 901 Main Street, Suite 1 (802) 225-7000 Pediatrics Bennington, VT 05201 (802) 442-6057 Family Gaidys, William G, Practice Pediatrics Jewett, Elizabeth H., Burdick, Timothy E, Orton, Judy Kay, Barton Jensen, Kristopher L, Mt. Anthony Primary Care Barton Clinic Kowalski, Lise S, 655 Main Street 488 Elm Street Bennington, VT 05201 Stafford, Dale D, Barton, VT 05822 (802) 447-2343 (802) 525-3539 Williams, Stuart E, Family Family Nurse Practice Practice Practitioner Dranginis, Therese E, Bourgeois, David, Puglisi, Maria K,

Page 323 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Berlin Bomoseen Brattleboro Fletcher Allen Health Care - Berlin Community Health Centers of the Brattleboro Primary Care Family Health Rutland Region-Castleton Family 21 Belmont Ave. 130 Fisher Road, suite 3-1 Health Center Brattleboro, VT 05301 Berlin, VT 05602 275 Route 30N (802) 258-3905 (802) 225-7000 Bomoseen, VT 05732 Family (802) 468-5641 Physician Practice Assistant Internal Mehl-madrona, Lewis E, Medicine Davidson, Robert R, Internal Berryhill, Bradley A, Bethel Medicine Pediatrics Bethel Health Center Damasco, Remeline C, Bauzo, Luis A, 1823 VT Rte. 107 Nurse Bethel, VT 05032 Bradford Practitioner (802) 234-9913 Upper Valley Pediatrics Seaver, Brianna L., Family 331 Upper Plain Pediatrics Practice Bradford, VT 05033 Felix, Robert L, Cantlin, Terry W., (802) 222-4722 Haydock, Anne H, Seymour, Mark G., Nurse Practitioner Richards, Elizabeth Martin, Nurse Practitioner Estrada, Katherine, Windham Family Practice Brown, Sheri A, Farrell, Susan Ann, 21 Belmont Ave., Suite 2 Brattleboro, VT 05301 Physician Foote, Nancy Ryan, (802) 275-3609 Assistant Pediatrics Family Gerdes, Tammy Michelle, Harris, Mark Steven, Practice Bomoseen Yukica, Rebecca Leigh, Foote, Peter, Community Health Centers of the Yukica, Rebecca Leigh, Bristol Rutland Region-Castleton Family Health Center Brandon Bristol Internal Medicine 6 Park Place 275 Route 30N Community Health Centers of the Bomoseen, VT 05732 Rutland Region-Brandon Medical Bristol, VT 05443-1229 (802) 468-5641 Center (802) 453-7422 Family 420 Grove St. Nurse Practice Brandon, VT 05733 Practitioner (802) 247-6305 Diercksen, Hans Peter, Lewis, Patricia, Family Foster, Julie A, Burlington Practice Jordan, James Lewis, ChristopherJ. Hebert, PC Fjeld, George C, Kornbluth, Stephen S, 28 South Williams Street Internal Burlington, VT 05401-3486 Mueller, Mark A, Medicine (802) 864-0677 Rosmus, Stephen M, Dick, John F, Internal General Brattleboro Medicine Practice Brattleboro Primary Care Hebert, Christopher J, Ellwood, Judith, 21 Belmont Ave. Community Health Centers of Infectious Brattleboro, VT 05301 Burlington, Inc. Disease (802) 258-3905 617 Riverside Avenue Stall, Jeffrey R., Family Burlington, VT 05401 Practice (802) 864-6309

Page 324 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Burlington Burlington Chester Community Health Centers of Hagan,Rinehart &Connolly Springfield Medical Care Systems - Burlington, Inc. Pediatricians Chester Family Medicine 617 Riverside Avenue 410 Shelburne Road Route 11 Main Street Burlington, VT 05401 Burlington, VT 05401 Chester, VT 05143 (802) 864-6309 (802) 860-1928 (802) 875-2546 Emergency Nurse Family Medicine Practitioner Practice Adams, David Scott, Lisak, Maryann, Schwartz, Robert J, Family Pediatrics Schwartz, Robert J, Practice Hagan, Joseph Francis, Colchester Wen, Audrey C., Rinehart, Jill Stuart, Fletcher Allen Health Care - Colcheste Internal Family Practice Timber Lane Pediatrics - North Medicine 883 Blakely Road 1127 North Avenue, PO Box 3057 Colchester, VT 05446 Saal, Andrew, Burlington, VT 05408 (802) 847-2055 Physician Pediatrics Assistant Family Aronzon, Denise B, Russell, Margaret, Practice Aronzon, Denise B, Urology Burdick, Kristin Oberg, Perron, Michelle Leigh, Inker, Rachel H, Fraser, Candace L, Veit, Alicia Jean, Jacobs, Alicia A, Dr. Eugene F. Moore 28 South Williams Street Vermont Internal Medicine Kehoe, Stephanie S, 1205 North Ave. Burlington, VT 05401 Koutras, Anya S, (802) 864-7080 Burlington, VT 05408 (802) 860-3934 Peterson, Thomas C, Internal Medicine Internal Ramsay, Allan M, Medicine Moore, Eugene F, Sproul, Marga S, Brandes, Melissa K, Fletcher Allen Health Care - Given Nurse Burlington Health Care Center Landry, Francis J, Practitioner 1 South Prospect Street Wright, John M, Hunt, Joanne E, Burlington, VT 05401 Chelsea Physician (802) 847-4531 Assistant Chelsea Health Center Internal Thompson, Deborah J, Medicine 356 VT Rte. 110 Chelsea, VT 05038 Concord Berger, Claudia, (802) 685-4400 Concord Health Center Clough, Jaina, Family U.S. Route 2, P.O. Box 355 Littenberg, Benjamin, Practice Concord, VT 05824 Luria, Scott, Sargent, Brian, (802) 695-2512 Miller, John H, General Counselor, Practice Professional Pasanen, Mark Eliot, Kiess, Robert C, Ready, Mary O, Pinckney, Richard G, Physician Ready, Mary O, Sobel, Halle G, Assistant Family Nurse Strong, Starr M, Practice Practitioner Chester Berrian, Sarah M., Mikula, Gabrielle Helen, Nurse Niquette, Tracey, Practitioner Page 325 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Concord Enosburg Falls Island Pond Concord Health Center Cold Hollow Family Practice Northern Counties Health Care, U.S. Route 2, P.O. Box 355 84 Water Tower Road, Suite 1 Inc./Island Pond Health Center Concord, VT 05824 Enosburg Falls, VT 05450-6097 82 Maple Street (802) 695-2512 (802) 933-6664 Island Pond, VT 05846-0425 (802) 748-4540 Nurse Nurse Practitioner Practitioner Internal Medicine Taney, Susan G., Mcmorrow, Lynn Bennett, Primeau, Robert E, Danville Essex Junction Ludlow Danville Health Center Fletcher Allen Health Care - Given 26 Cedar Lane, P.O. Box 185 Essex Health Care Center Springfield Medical Care Systems - Danville, VT 05828 87 Main Street Ludlow Health Center (802) 748-9405 Essex Junction, VT 05452 1 Elm Street (802) 847-8354 Ludlow, VT 05156-1301 Family (802) 228-8867 Practice Family Practice Family Fine, Sharon D., Practice Haddock, Diane, Fine, Sharon D., Beehler, II, Cecil C, Internal Internal Medicine Nurse Medicine Practitioner Bertsch, Tania Fernandez, Tanner, Timothy H., Brown, Patricia L, King, Patricia, Tanner, Timothy H., Physician Levine, Mark, Nurse Assistant Practitioner Maclean, Charles D, Sacripante, Justin Henry, Hess, Mariel K., O'brien, Roberta Pauline, Williams, Forrest E, Physician Physician Lyndonville Assistant Assistant Langmaid, Jeniane R, Bushweller, Sarah H, Corner Medical 195 Industrial Parkway, P.O. Box 83 Enosburg Hardwick Lyndonville, VT 05851 Northern Tier Center for Health - Northern Counties Health Care, (802) 748-7590 Enosburg Health Center Inc./Hardwick Area Health Center Family 44 Center Street (moving to: 382 Main 4 Slapp Hill Practice Street 03/2012) Hardwick, VT 05843-0535 Dobbertin, Joyce M., Enosburg, VT 05450 (802) 478-4540 (802) 933-5831 Gresser, Susan L., Family Nurse Practice Hebert, Albert G., Practitioner Lichtenstein, Mark D, Scott, John G., Towle, Karen, Morgan, Sarah E, Simon, Miriam I., Physician Sher, Peter M, Thompson, III, Lloyd L, Assistant Internal General Fowler, James D, Medicine Practice Enosburg Falls Buckley, Brendan N, Broderick, Thomas F., Cold Hollow Family Practice Nurse Internal 84 Water Tower Road, Suite 1 Practitioner Medicine Enosburg Falls, VT 05450-6097 Calderwood, Maria T, Erisman, Susan P., (802) 933-6664 Island Pond Manchester Nurse Practitioner Page 326 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Manchester Middlebury Milton Southwestern Vermont Medical Center Middlebury Family Health Milton Family Practice (SVMC) - Northshire Medical Center 44 Collins Drive, Suite 201 28 Centre Drive 5957 Main Street, Rte 7A North Middlebury, VT 05753 Milton, VT 05468 Manchester, VT 05255 (802) 388-1500 (802) 847-4322 (802) 464-5311 Family Family Family Practice Practice Practice Doherty-Fuller, Eileen, Ferguson, John C., Jager, Natacha I, Klitzner, Dayle, Gibson, Melissa G., Samuelson, Joshua C, Larson, Linn, Hageman, Kimberly A., Schwartz, Robert M, Middlebury Pediatric and Adolescent King, John G., Schwartz, Robert M, Medicine Little, David N., Manchester Center 1330 Exchange Street Middlebury, VT 05753 Rodgers, Kevin A., Keith Michl MD Internal Medicine (802) 388-7959 Schneider, Elizabeth, 7252 Main St, PO Box 1431 Pediatric Infectious Montpelier Manchester Center, VT 05255 Disease (802) 362-9031 Central Vermont Medical Center, Luginbuhl, Lynn M, Medical Groups - Montpelier Internal Integrative Family Health Medicine Pediatrics 156 Main Street Earle, Jr., Morris, Michl, Keith W., Montpelier, VT 05602 Middlebury Mills, Pauline, (802) 223-4738 Addison Family Medicine Seaton, Michael David, Family Practice 82 Catamount Park Porter Internal Medicine Middlebury, VT 05753-1292 116 Porter Drive Carlson, Rima Beth, (802) 388-7185 Middlebury, VT 05753 Eckhaus, Jeremiah M, (802) 388-8805 Family Laffal, Paul D, Practice Internal Morrisville Bazel, Sepinoud, Medicine Morrisville Family Health Center Graham, Michael Steven, Armstrong, Bradford, 607 Washington hwy Hodde, Naomi Moskowitz, Rouse, Jessica Alice, Morrisville, VT 05661 Zimmermann, Maja, Nurse (802) 888-5639 Practitioner Nurse Cardiology Practitioner Wilkinson, Laura, Coddaire, David, Parker, Alison, Rainbow Pediatrics Family 44 Collins Drive, Suite 202 Physician Practice Assistant Middlebury, VT 05753-8502 (802) 388-1338 Bruno, Kimberly, Beauregard, Thomas E, Nurse Kiely, Philip, Radiology Practitioner Roy, David, Smith, Scott D, Young, Lauren Elizabeth, Newport Middlebury Family Health Pediatrics Community Medical Associates 44 Collins Drive, Suite 201 Kiernan, Tawnya B., 186 Medical Village Drive, Suite 2 Middlebury, VT 05753 Newport, VT 05855 (802) 388-1500 Mayer, Jack Lawrence, (802) 334-3210 Family Mcintosh, Kate Helen, Practice Internal Milton Medicine Andersson-swayze, Jean, Page 327 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Newport Northfield Randolph Community Medical Associates Central Vermont Medical Center, Gifford Primary Care 186 Medical Village Drive, Suite 2 Medical Groups - Green Mountain 44 South Main St Newport, VT 05855 Family Practice Randolph, VT 05060 (802) 334-3210 63 Crescent Avenue (802) 728-7000 Northfield, VT 05663 Internal Family (802) 485-4161 Medicine Practice Family Harris, Peter, Borie, Kenneth G, Practice Provato, Frank Leonard, Coxon, Marcus H, Crowley, Kevin D, Rickman, Christopher E, Goulding, Jonna C, Davies, Sarah Lynn, Trembley, Robert A, General Sullivan, Craig D, Practice Nurse Orleans Practitioner Pattison, David G, Carr, Rory O, Orleans Family Medicine Infectious 30 East Street Disease Hartman, Elizabeth H, Orleans, VT 05860 Currie, James Byron, Physician (802) 754-2220 Assistant Internal Family Medicine Calobrisi, Vivian M, Practice Fowler, Milton G., Family Practice of Newport Bourgeois, David, Nurse 186 Medical Village Dr., Suite One Garrigan, Megan, Newport, VT 05855 Practitioner Nurse (802) 334-3210 O'Brien, Megan L, Practitioner Family Pediatrics Aldrich, Christie Judd, Practice Dinicola, Louis A., Arban, William J, Dennis, Susan V, Pelletier, Joseph C, Pelletier, Rachael R, Disanto, Rachel Beth, Physician Physician Holcomb, James, Assistant Assistant Lippmann, John A, Kearney, Patrick Cornelius, Heaney, Patrick, Nurse Richford Practitioner Plainfield Northern Tier Center for Health - Chasse, Linda, The Health Center Richford Health Center 157 Towne Avenue, P. O. Box 320 Newport Pediatrics and Adolescent 44 Main Street, Suite 200 Plainfield, VT 05667 Medicine Richford, VT 05476 (802) 454-8336 121 Medical Dr (802) 255-5565 Newport, VT 05855 Family Family (802) 334-5929 Practice Practice Nurse, Bisson, Linda, Lavallee, Erick Jp, Registered Crose, Ruth, Nurse Fort, Cynthia L, Internal Practitioner Pediatrics Medicine Purdell, Jenna, Bannach, Alexandra, Matthew, John, Physician Assistant Moseley, Thomas A.E., Randolph Bisson, Rosaire W, Northfield Gifford Primary Care 44 South Main St Rochester Randolph, VT 05060 (802) 728-7000 Page 328 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont Rochester So. Burlington St Albans Rochester Health Center Timber Lane Pediatrics - South Mara Vijups, M.D., P.C. 235 South Main St. 51 Timber Lane 10 Crest Road Rochester, VT 05767 So. Burlington, VT 05403 St Albans, VT 05478 (802) 767-3704 (802) 864-0521 (802) 524-6333 Internal Physician Family Medicine Assistant Practice Jewett, Mark D., Billings Margulius, Katharine, Vijups, Mara V, Rutland South Burlington St. Albans Primary Care 9 Crest Road Community Health Centers of the Fletcher Allen Health Care - South Rutland Region-Common's Street Burlington Family Practice St Albans, VT 05478 Health Center 1775 Williston Road (802) 527-0753 4 Commons Street South Burlington, VT 05403 Family Rutland, VT 05701 (802) 847-8500 Practice (802) 773-1321 Family Manchester, Stewart, Family Practice Nielsen, Terri Thomas, Practice Bolduc, Allyson M, Sadkin, Toby Renee, Kingsbauer, Matthew B, Burke, Karen H, St Johnsbury Community Health Centers of the Calkins, Whitney, Rutland Region-Rutland Community St. Johnsbury Pediatrics Health Center Lisle, David, 97 Sherman Dr 215 Stratton Rd. Luebbers, Robert A, St Johnsbury, VT 05819 Rutland, VT 05701 (802) 748-5131 Mccray, Laura Wright, (802) 773-3386 General Sirois, Micheal R, Family Practice Practice Slimovitch, Caroline L, Bixby, Debra J, Baker, Richard Carelton, Ward, Norman S, Nurse Hill, Linda J, Physician Practitioner Assistant Messier, Mark Norman, Manns, Kathleen, Pelkey, Anne M, Internal Pediatrics Medicine GoodHealth, PC Kantrowitz, Joshua David, Lovko, T Ray, 368 Dorset Street, Suite 1 South Burlington, VT 05403 Patno, Karyn Marie, Physician (802) 860-1441 Price, Mark John, Assistant Family Stasny, Elaine V, Thornton, Patty Anne, Practice St. Albans So. Burlington Pitcher, Mark Andrew, Northern Tier Center for Health - St. Timber Lane Pediatrics - South Internal Albans Heatlh Center 51 Timber Lane Medicine 48 Lower Newton Road So. Burlington, VT 05403 Baad, Stephen, St. Albans, VT 05478 (802) 864-0521 Gunther, Peter Guy Stapleton, (802) 524-4554 Pediatrics St Albans Internal Fiorenza, Monica Claire, Medicine Mara Vijups, M.D., P.C. Hunt, Elizabeth Ann, Pedersen, Pamela Carol, 10 Crest Road Kennedy, Barbara Castle, St Albans, VT 05478 Physician Assistant Quayle, Sara Avery, (802) 524-6333 Bondesen, Autumn, Physician Family Assistant Practice Page 329 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Vermont St. Johnsbury Swanton Waterbury Caledonia Internal Medicine Northern Tier Center for Health - Central Vermont Medical Center, 185 Sherman Avenue, Suite 2 Swanton Health Center Medical Groups - Waterbury Medical St. Johnsbury, VT 05819 45 Church Street Associates (802) 748-5174 Swanton, VT 05488 130 South Main St (802) 868-2454 Waterbury, VT 05676 Internal (802) 244-7874 Medicine Physician Assistant Family Lee, Claudia E, Practice Wells, Roy Franklin, Meierdiercks, Frank J, Burgoyne, Richard, Vergennes Ziobrowski, Thomas F, Payne, Christine, Physician Little City Family Practice Internal Assistant 10 North Street Medicine Vergennes, VT 05491 Robinson, Elaine L, (802) 877-3466 Cove, William, St. Johnsbury Family Health Center Family Gelbstein, Jennifer, 185 Sherman Drive, Suite 1 Practice St. Johnsbury, VT 05819 West Pawlet Adams, Rebecca H., (802) 748-5041 Community Health Centers of the Bicknell, Timothy D, Rutland Region-Mettowee Valley Family Family Health Center Practice Holmes, Lewis B, 278 Route 149 Ajamie, John M., Towle, Mattie Elizabeth, West Pawlet, VT 05775 Kraus, Dana C., General (802) 645-0580 Practice Nurse Family Practitioner Bicknell, Donald S, Practice Besch, Cathleen W., Nurse Beckler, Carl E, Practitioner Brodzinski, Carey J., Kilpatrick, Brian N, Bland, Christin, Stowe Williston Physician Stowe Family Practice Assistant Given Williston Primary Care Practic 1878 Mountain Road 353 Blair Park Road Collette, Maria Lee, Stowe, VT 05672 Williston, VT 05495 (802) 253-4601 Waitsfield (802) 847-7147 Family Central Vermont Medical Center, Internal Practice Medical Groups - Mad River Family Medicine Practice Bisbee, David, Klikunas, Marvin, 859 Old County Road Keith, Patrick, Waitsfield, VT 05673 Miller, Lucy, Marvin, Katherine, (802) 496-3838 Plante, Dennis, Volansky, Melissa, General Wilmington Practice Swanton Southwestern Vermont Medical Cente Cook, Francis W, (SVMC) - Deerfield Valley Campus Northern Tier Center for Health - Swanton Health Center Waterbury 30 Route 100 South Wilmington, VT 05363 45 Church Street Central Vermont Medical Center, (802) 464-5311 Swanton, VT 05488 Medical Groups - Waterbury Medical (802) 868-2454 Associates Family Practice Internal 130 South Main St Medicine Waterbury, VT 05676 Kurak, Kim E, (802) 244-7874 Zelazo, Robert, Park, Peter C, Tarnas, Robert H, Page 330 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Vermont Vermont Virginia Wilmington Woodstock Ashburn Southwestern Vermont Medical Center Ottauquechee Health Center Fairfax Family Practice - Broadland (SVMC) - Deerfield Valley Campus 32 Pleasant St. Family Practice 30 Route 100 South Woodstock, VT 05091 20905 Professional Plaza, Suite 330 Wilmington, VT 05363 (802) 457-3030 Ashburn, VA 20147 (802) 464-5311 (703) 726-0003 Internal Internal Medicine Family Medicine Practice Smith, Steven Bradbury, Masley, Barbara M, Cohn, Jeffrey A., Pediatrics Windsor Wilder, Jennifer S., Kilcullen, Michael John, Mt. Ascutney Hospital and Health Aylett Virginia Center Bon Secours Medical Group Aylett Alexandria 289 County Rd. Medical Center Windsor, VT 05089 Northern Virginia Family Practice Aylett Medical Center, 7864 (802) 674-7224 Associates Richmond_Tappahannock Highway Family 4401 Ford Avenue, Suite 250 Aylett, VA 23009 Practice Alexandria, VA 22302 (804) 746-1677 White, Richard B, (703) 647-4970 Family Practice Internal Family Medicine Practice Kapoor, Shailendra, Conger, Beach, Cornwell, Stephen L., Rosenberg, Mark Jacob, Devine, Katherine, Gardner, Jr., Charles W., Blacksburg Lewry-Beauvais, Natasha W., Galanes, Sari Katriina, Carilion Clinic - Blacksburg North Sachs, Marlene H, Tokarz, John P., Main 1420 North Main Street Scott, Deborah Jl, Arlington Blacksburg, VA 24060 Spencer, H. Todd, General Internal Medicine Group (540) 951-8380 3833 N. Fairfax Drive, Suite 200 Nurse Family Arlington, VA 22203 Practitioner Practice (703) 525-8863 Williams, Leesa L, Freeman, Jeremy H., Internal Wilson, Linda J, Medicine Stockburger, Robert W., Pediatrics DeBass, Brickte, Brambleton Bender, Mary P, Jolly, Jenora H., Fairfax Family Practice Centers, PC - Broadland Family Practice at Brack, Virginia C, Lin, Kenneth J., Brambleton Clattenburg, Richard N, Major, Mary J., 22895 Brambleton Plaza, Suite 200 Colwell, Anne Stacie, Min, Ellie H., Brambleton, VA 20148 (703) 772-2312 Geagan, Kathleen A, Rubin, Arthur A., Family Winooski Zweig, Louis K., Practice Winooski Family Health Zweig, Louis K., Renard, Mary R, 32B Malletts Bay Ave Ashburn Winooski, VT 05404 Rodriguez, Kelly M, (802) 655-4422 Fairfax Family Practice - Broadland Bristol Family Practice Family 20905 Professional Plaza, Suite 330 eMDee Clinica Practice Ashburn, VA 20147 14270 Lee Highway Goering, Ann, (703) 726-0003 Bristol, VA 24202 Knott, Anne Minor, (276) 669-1666

Page 331 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Virginia Virginia Bristol Chesapeake Fairfax eMDee Clinica Bon Secours Western Branch Family Fairfax Family Practice Centers, PC - 14270 Lee Highway Practice Fairfax Family Practice Bristol, VA 24202 3253 Taylor, Suite 200 3650 Joseph Siewick Drive (276) 669-1666 Chesapeake, VA 23321 Fairfax, VA 22033 (757) 686-5673 (703) 391-2020 Family Practice Family Family Practice Practice Harman, MD, Debra Lynn, Christian-taylor, Alison N, Bazemore, Andrew W., Harman, MD, Debra Lynn, Chester Blecher, Lee I., Chantilly Bon Secours Ironbridge Family Practice Burroughs, Susan H., Fairfax Family Practice Centers PC - South Riding Family Medicine 11601 Ironbridge Road, Suite 117 Ehrlich, Thomas P., Chester, VA 23831 4080 Layfayette Center Drive, Suite 170 Hermes, Marjorie A., Chantilly, VA 20151 (804) 717-5300 Ho, Garry W., (703) 766-5040 Family Practice Howard, Thomas, Family Practice Ozurumba, Onyeije Wil, Jones, Samuel M., Hwang, Irving J, Rose, Andrew L., Krist, Alexander H., Phillips, John K, Nurse Liaw, Winston, Practitioner Charlottesville McCormally, Terence, Clayton, Melissa N., University Medical Associates (UMA Merkel, Victoria L., Kuna, Christie Marie, Clinic) Phillips, Robert L., 1222 Jefferson Park Avenue, 3rd Floor, Christiansburg University of Virginia Health System Sughrue, Maura J., Charlottesville, VA 22903 Carilion Clinic - Internal Medicine Wallis, Denise, Radford (434) 924-9387 2900 Lamb Circle, Suite 250 Woessner, Sarah, Internal Christiansburg, VA 24073 Fairfax Pediatric Associates, PC Medicine (540) 639-9071 3650 Joseph Siewick Dr, Suite 101 Becker, Daniel M., Internal Fairfax, VA 22033 Goodman, Matthew J., Medicine (703) 391-0900 Heald, Evan B., Conatser, Michael K, Pediatrics Helenius, Ira M, Paras, Norberto E., Barmada-mazid, Serene, Helenius, Ira M, Tauro, Allen P, Byrnes, Laura E., Leiner, John G, Daleville Chung, Sandy L., Nadkarni, Mohan M, Carilion Clinic - Daleville Dakin, Pemmaraju Saleena, Plews-Ogan, Margaret L., 48 Wesley Road Dubinsky, Diane E., Daleville, VA 24083 Reynolds, Pamela P., Murphy, Bernadette M., (540) 992-4100 Schectman, Joel M, Ohriner, William D., Family Schorling, John B., Practice Tsai, John T, Scott, Evelyn S., Ernst, Benjamin D., Falls Church Voss, John D, Jones, Daniel R., InovaCares (Inova Health System) 6400 Arlington Blvd, Suite 200 Wolf, Andrew Michael David, Polk, Elizabeth L., Falls Church, VA 22042 Chesapeake Stidham, Gregory A., (703) 531-3110 Fairfax Pediatric Emergency Medicine Page 332 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Virginia Virginia Falls Church Herndon Manassas InovaCares (Inova Health System) Fairfax Family Practice Centers PC - Fairfax Family Practice Centers PC - 6400 Arlington Blvd, Suite 200 Herndon Family Medicine Prince William Family Medicine Falls Church, VA 22042 555 Herndon Parkway, Suite 100 8100 Ashton Ave, Suite 101 (703) 531-3110 Herndon, VA 20170 Manassas, VA 20109 (703) 834-1473 (703) 257-8090 Pediatric Emergency Medicine Family Family Practice Practice Gregory, Emily Flora, Cooper, Jason A, Aronhime, Michelle D, Pediatrics Emdadi, Trissana Lee, Gill, Aman, Brito, Albert V, Horner, Cynthia P, KC, Lilly, Duall, Carolina, Leavens, Deborah I, Pare, John L, Gainesville Plescia, Marc G, Mechanicsville Fairfax Family Practice Centers PC - Prince William Family Medicine at Ragland, Janice E, Bon Secours Memorial Medical Cente Gainesville Rentz, Anita G, 8220 Meadowbridge Road, Suite 203 8078 Crescent Park Drive, Suite 20 Mechanicsville, VA 23116 Silverstein, Michael A, Gainesville, VA 20155 (804) 281-0264 (703) 753-4999 Weaver, Kevin M, Infectious Family Lorton Disease Practice Fairfax Family Practice Centers PC - Artz, Ronald P., Peacock, Phillip, Lorton Station Family Medicine Internal Lifetime Family Medicine 8988 Lorton station Blvd, Suite 201 Medicine Lorton, VA 22079 14535 John Marshall Hwy, Suite 105 Foster, Brian J., Gainesville, VA 20155 (703) 339-7550 Kaur, Navleen, (703) 754-0425 Family Practice Kelly, David L., Family Practice Lee, Christine H., Lee, Jason P., Bruce, Julia Anne, Lee, David W., Smith, Jennifer G., Shupe, Theresa B, Manassas Nurse Practitioner Glen Allen Bull Run Family Practice - Manassas Garrett, Shannon C., Bon Secours Medical Group Brook 8640 Sudley Rd. Run Family Physcians Manassas, VA 20110 Narrows Brook Run Family Physicians, 10571 Family Carilion Clinic - Narrows Telegraph Road, Suite 210 Practice 2829 Virginia Avenue Glen Allen, VA 23059 Chambers, Joseph F, Narrows, VA 24124 (804) 266-7611 Derosa, Gary A, (540) 726-7900 Family Family Practice Feldmann, Spencer G, Practice Cook, Andrew D, Horton, Camille, Boone, John A, Nicholson, Joynita R., Latimer, Robert A w, Newport News Read, Stephen G., Parker, Frederick W, Sentara Medical Group-Sentara Herndon Perez, Michael D, Internal Medicine Physicians-Port Warwick Fairfax Family Practice Centers PC - Ratchford, Frank X, 11803 Jefferson Av, Ste 140 Herndon Family Medicine Ross, Scott A, 555 Herndon Parkway, Suite 100 Newport News, VA 23606 Herndon, VA 20170 (757) 594-1803 (703) 834-1473 Page 333 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Virginia Virginia Newport News Norfolk Portsmouth Sentara Medical Group-Sentara Sentara Internal Medicine Physicians- Portsmouth Family Medicine Internal Medicine Physicians-Port Norfolk Diagnostic Center 600 Crawford St., Ste. 300 Warwick 850 Kempsville Road, Suite 200 A Portsmouth, VA 23704 11803 Jefferson Av, Ste 140 Norfolk, VA 23502 (757) 606-1136 Newport News, VA 23606 (757) 261-0001 Family (757) 594-1803 Internal Practice Internal Medicine Baumgarten, Margaret Y, Medicine Bademian, Robert L, Bikowski, Richard Michael, Brooks, Bonnie J, Choi, H Steven, Brittman, Standley L, Remchuk, Deborah M, Dickinson, Daniel J, Britton, Bruce S, Ross, Glenn S, Hodge, Edwin B, Donnelly, Anne L, Norfolk Kahatapitiya, Ravindra C, Dooley, Erin K, Bon Secours Medical Group Amelia Keys-frezzell, Dana J, Medical Associates Georges, Rebekah L, Roberts, Joanna L, Amelia Medical Associates, 855 Jones, Tamice R, Kempsville Road, Suite 320 Tuanquin-gonzalez, Leilanie C, Norfolk, VA 23502 Ringler, Robert L, Pearisburg (757) 955-2828 Smith, Eddie L, Carilion Clinic - Giles County Family Radford Practice 1611 Wenonah Avenue Pearisburg, VA 24134 Carilion Clinic - Radford Donato, Alpa Patel, (540) 921-3636 701 Randolph Street, Suite 110 Simpson, Michael Ross, Radford, VA 24141 Family (540) 731-3200 Snider, Ian Phillip, Practice Family Internal Devereaux, Robert F., Practice Medicine Lough, Andrea Rhea, Kelly, Daniel R, Guzman-lee, Jo-jo anne, Melton, Russell W, Kincaid, Scott A, Ghent Family Medicine Walker, Kenneth J, 825 Fairfax Ave Reston Norfolk, VA 23507-1914 Geriatric Medicine/Family Practice Fairfax Family Practice Centers PC - (757) 446-5951 Town Center Family Medicine McMahon, Michael A, Family 12110 Sunset Hills Road,, LL20 Practice Portsmouth Reston, VA 20190 (703) 834-1473 Bluestein, Daniel A., NMC Portsmouth Pediatric Clinic - Burgart, Jennifer Elder, Little Creek Family 620 John Paul Jones Circle Practice Catalan-Aquino, Maria Ellen, Portsmouth, VA 23708 Bowers, Michael G, Eng, Benjamin P., (757) 953-8152 Dolcich, Augustine A, Grant, Jr., Thomas R., Pediatrics Gannon, Elizabeth H, Howard-Scott, Martha, Bermisa, Rosario Salgado, Garvert, Terry A, Humadi, Sahira A., Rathke, Charles Ernest, Harding, Andrew J, Matson, Christine C., Portsmouth Family Medicine Tran, Nathan, Mohan, Ravinder, 600 Crawford St., Ste. 300 Portsmouth, VA 23704 Richmond Rubino, Mary C., (757) 606-1136 Family Practice

Page 334 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Virginia Virginia Richmond Roanoke Roanoke Bon Secours Medical Group Primary Carilion Clinic - Brambleton Carilion Clinic Children's Hospital- Health Care Associates 3707 Brambelton Avenue Pediatric Clinic Jefferson Plaza Primary Health Care Associates, 1510 Roanoke, VA 24018 1030 S. Jefferson St, Suite 106 North 28th Street, Suite 308 (540) 725-7800 Roanoke, VA 24016 Richmond, VA 23223 (540) 985-8230 Family (804) 329-8510 Practice Pediatrics Family Arthur, Christy L., Desai, Varsha, Practice Billups, Matthew B., Henchel, Kelly D, Johnson-Threat, Yvette C., Brady, Donald I., Jaworski, Hanna, Internal Medicine Patten, Robert C., Lakhdir, Farahaba, Green, Harold T, Smith, Donald G., Permashwar, Vydia, Pham, Thanh-ha T, Carilion Clinic - Colonial Avenue South Riding 3369 Colonial Avenue Sinnatamby, Diane S, Bull Run Family Practice - South Roanoke, VA 24018 Bon Secours West End Internal Riding (540) 772-0555 Medicine 25055 Riding Plaza, Suite 220 7001 Forest Avenue Family South Riding, VA 20152 Practice Richmond, VA 23230 Family (804) 282-7857 Dickens, Brian A., Practice Internal Kellam, Stephen J., Patel, Trupti, Medicine Morgan, Stephen A., Springfield Dennis, Tiffani, Whitney, William P., Inova Juniper Program Disler, Robin S, Carilion Clinic - North Roanoke 8001 Forbes Place, Suite 200 Hayes, Christopher Patrick, 6415 Peters Creek Road Springfield, VA 22191 (703) 321-2666 Jones, III, Sidney Rivers, Roanoke, VA 24019 (540) 265-5500 Infectious Schutrumpf, Andrew C, Disease Family White, Kelley E, Practice Wheeler, David A., Dominion Medical Associates, Inc. Amick, Robert L., Troutville 1510 N. 28th Street Richmond, VA 23223 Harris, William K., Carilion Clinic - Blue Ridge (804) 225-7176 Nottingham, Clifford A., 37 Laymantown Road Troutville, VA 24175 Family Osuorah, Vivien I., Practice (540) 977-1436 Palmerton, Todd S., Covington, Damian L, Family Stavola, Anthony R., Practice Dickerson, Tasha Brooks, Carilion Clinic Children's Hospital- Burri, Sarat C., Internal Pediatric Associates Botetourt Linick, Kelli L., Medicine 89 Summers Way Jackson, Richard Allen, Roanoke, VA 24019 Overstreet, Ronald B., (540) 992-1251 Roanoke Rea, Catherine G., Pediatrics Vienna Carilion Clinic - Brambleton 3707 Brambelton Avenue Kraft, Colleen A, Fairfax Family Practice Centers, PC - Roanoke, VA 24018 Kryder, Amy C, Vienna Family Medicine (540) 725-7800 115 Park Street SE Moore, John, Vienna, VA 22108-0 Family Practice (703) 955-9100

Page 335 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Virginia Virginia Vienna Virginia Beach Virginia Beach Fairfax Family Practice Centers, PC - Sentara Medical Group-Sentara Family Sentara Medical Group-Sentara Vienna Family Medicine Medicine Physicians & Urgent Care Pediatric Physicians-Linkhorn 115 Park Street SE Physicians-Chimney Hill 933 First Colonial Rd Ste 112 Vienna, VA 22108-0 3745 Holland Rd Virginia Beach, VA 23454 (703) 955-9100 Virginia Beach, VA 23452 (757) 226-7300 (757) 962-8720 Family Pediatrics Practice Family Springer, Marianne G, Practice Huang, Jeffrey D., Strasnick, Victoria S, Callahan, Robert D, Jenkins, James P., Sentara Virginia Beach Family Practi Charles, Michael G, Reynolds, Louise D., 1024 First Colonial Road Jones, Benita W, Tandeciarz, Sandra I., Virginia Beach, VA 23454 Tisdale, Bradford W, (757) 321-4077 Internal Medicine Sentara Medical Group-Sentara Family Family Medicine Physicians & Urgent Care Practice Lee, Kenneth H., Physicians-Providence Rd Alper, Jason B., Yi, Su C., 5320 Providence Rd Ste 101 & 301 Chai, Shirley S., Vinton Virginia Beach, VA 23464 (757) 413-7600 Croteau, Louis J., Carilion Family Medicine - Parkway Physicians Family Dowdy, Robert L., Practice 415 South Pollard Street Hardt, Anthony B., Vinton, VA 24179 Gonzales, Norman M, Kubicki, Ted M., (540) 983-6700 Hufford, Dennis L., Williamsburg Family Javier, Francis V, Practice Sentara Medical Group-Sentara Fami Jefferson, Lisa Eleanor, Medicine Physicians-New Town Beirne, Timothy M, Law, Katherine P, 4374 New Town Av, Ste 200 Ivey, Henry R, Williamsburg, VA 23188 Rose, Meredith B, Miller, Richard G, (757) 220-2795 Sullivan, Karen, Rhea, Randall R, Family Sentara Medical Group-Sentara Family Practice Taliaferro, John P, Medicine Physicians-Nimmo Biernacki, Gregory J., Watts, Earl M, 1380 Tuscany Dr Boquist, Christopher G., Virginia Beach Virginia Beach, VA 23456 (757) 301-9200 Massengill, Christopher L, Sentara Medical Group-Sentara Family Medicine Physicians & Urgent Care Family Sentara Medical Group-Sentara Fami Physicians - Town Center Practice Medicine Physicians-Williamsburg 816 Independence Blvd Ste 100 Pearman, Steven D, 400 Sentara Cir, Ste, 450 Virginia Beach, VA 23455 Williamsburg, VA 23188 Robichaud, Marie k R, (757) 363-6800 (757) 345-4600 Sentara Medical Group-Sentara Family Pediatric Physicians-Linkhorn Family Practice Practice 933 First Colonial Rd Ste 112 Britt, Charlene M, Virginia Beach, VA 23454 Fitzpatrick, Michael D., Davies, Nicola J, (757) 226-7300 Hoag, Thomas B, Lipton, Eric C, Pediatrics Rauchwarg, Glenn T, Woods, David W, Choi, Hyeon D, Tucker, Jane L, Cotton, Jacqueline S, Willliamsburg Holland, Deborah Ellen,

Page 336 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Virginia Washington Washington Willliamsburg Bellevue Coeur d'Alene Sentara Medical Group-Sentara UW Medicine Factoria Clinic Group Health Cooperative - Internal Medicine Physicians-New 13231 SE 36th Street, Suite 110 Lidgerwood Medical Center Town Bellevue, WA 98006 6002 North Lidgerwood 4374 New Town Av, Ste 102 (425) 957-9000 Coeur d'Alene, WA 99208 Willliamsburg, VA 23188 (509) 482-4402 Family (757) 259-6770 Practice Pediatrics Internal Glynn-Thami, Maura E., Gupta, Nalini, Medicine Hei, Thomas K., Edmonds Majdic, James P, Hwang, Lucy, Walter, Philip S, Edmonds Family Medicine McGough, Peter M., 7315 212th ST. SW ste 101, Suite 207 Woodbridge Edmonds, WA 98026 Piehl, Janet Howard, Bull Run Family Practice - Woodbridge (425) 775-9474 Platzner, Anne B., 12701 Marblestone Drive, Suite 130 Family Woodbridge, VA 22192 Yung, Pamela M., Practice Family Internal Bagnulo, Paul, Practice Medicine Begert, Ann, Flagg, Lynne, Choudhury, Neetilekha, Bennett, Martha, Washington Nurse Practitioner Bettis, Robert B., Bellevue Creaser, Jennifer Collette, Blakeney, Ginger, Group Health Cooperative - Bellevue Borg, Sandra, Medical Center Burien Carey, Ross G., 11511 NE 10th Street Group Health Cooperative - Burien Bellevue, WA 98004 Medical Center Carter, Stephen, (425) 502-3850 140 SW 146th Street Hanson, Mark, Internal Burien, WA 98166-1992 Hollister, Rachel, Medicine (206) 901-2400 Horiuchi, Myra, Park, Esther, Family Practice Kintner, Mary Jo, Pediatrics Lindell, Ashley C., Moe, Donald G., Wiseman, Merrell Thames, Wong, Jason Huei-Chiang, Petrin, Joseph G., Group Health Cooperative - Factoria Medical Center General Proudfoot, Martin, Practice 13451 SE 36th Street Quistgaard, Susanne, Bellevue, WA 98006-1454 Philp, Sarah B, Sargent, Christopher, (425) 562-1316 Clarkston Sim, Jae, Family Martin Family Practice Practice Taibleson, David, 1119 Highland Ave, Suite 3, Suite 3 Bergman, James J., Clarkston, WA 99403 Tesch, Donald, Pliskowski, Teresa, (509) 751-9981 Thurman, Andrew, Internal Family Tolberg, Mary Ellen, Medicine Practice Weakly, Daniel, Marshall, Ronald, Martin, David B, West, Shawn Harperdick, UW Medicine Factoria Clinic Coeur d'Alene Everett 13231 SE 36th Street, Suite 110 Bellevue, WA 98006 (425) 957-9000

Page 337 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Washington Washington Washington Everett Fort Lewis Issaquah Group Health Cooperative - Everett OKUBO FAM PRACT CLIN-FT UW Medicine Issaquah Clinic Medical Center LEWIS (Madigan) Family Medicine 1455 11th Avenue NW 2930 Maple Street Clinic Issaquah, WA 98027 Everett, WA 98201-4261 Bldg 11582, 17th and C Street (425) 391-3900 (425) 261-1500 Fort Lewis, WA 98433 Physician (253) 967-2879 Family Assistant Practice Family Vierra, Michelle Lynne, Practice Erskine, Evangeline V., Kent Fioretti, Lynn, Federal Way Ft Lewis UW Medicine Kent/Des Moines Clinic Group Health Cooperative - Federal 23213 Pacific Highway South Way Medical Center MADIGAN AMC-FT. LEWIS Kent, WA 98032 301 South 320th Street 9040 Fitzsimmons Dr (206) 870-8880 Federal Way, WA 98003-5294 Ft Lewis, WA 98431 Family (253) 874-7088 (253) 968-2078 Practice Family Family Warrick, Delilah Koizumi, Practice Practice Internal Christoferson, Holly, Ho, Thinh X, Medicine Rivera, Deardra, Mealer, Daren Roger, Despreaux, Michele A., Pacific Medical Centers - Federal Way Nurse Dy, Edward Sy, 33501 First Way South Practitioner Lauinger, J. Michael, Federal Way, WA 98003 Jung, Hyosoon, (253) 214-1920 Pediatrics Parham, Zaleh, Family Blessing, Matthew Scott, MADIGAN AMC-FT. LEWIS, Practice Pediatric Clinic Kirkland Hart, Sabrina, 9040 Fitzsimmons Dr Pacific Medical Centers - Totem Lake Ft Lewis, WA 98431 Miller, Rosalie, 12910 Totem Lake Blvd. NE, Suite 100 (253) 968-0370 UW Medicine Federal Way Clinic Kirkland, WA 98034 32018 23rd Avenue South Emergency (425) 814-5000 Medicine Federal Way, WA 98003 Family (253) 839-3030 Smith, Kathleen M, Practice Family Issaquah Chen, Shirley, Practice UW Medicine Issaquah Clinic Cho, Anthony, Chaffee, John R., 1455 11th Avenue NW Radlo, Carol, Dini, Robert Michael, Issaquah, WA 98027 Internal (425) 391-3900 Yoo, Eunjoo, Medicine Family Geriatric Medicine/Family Edwards, Erin K., Practice Practice Hansen, Eric, Anderson, Sandra J., Gerber, Jaime Blank, Lund, James A., Diddee, Seema, Internal Pearson, Kathryn A., Medicine Read-Williams, Patricia G., Swenson, Dana A., Fang, Victoria B., Tanner, Korina Ann, Lynnwood Fort Lewis Internal Medicine Cao, Yunyu, Mandell, Randy B.,

Page 338 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Washington Washington Washington Lynnwood Olympia Othello Group Health Cooperative - Lynnwood Group Health Cooperative - Olympia Columbia Basin Health Association - Medical Center Medical Center Othello Family Clinic 20200 54th Avenue W 700 Lilly Road NE 140 E. Main Lynnwood, WA 98036-6389 Olympia, WA 98506-5196 Othello, WA 99344 (425) 672-6400 (360) 923-7000 (509) 488-5256 Family Midwifery Family Practice Practice Thomas, Brandy, Murphy, Lisa Carolyn, Ang, Michelle Chua, Providence St. Peter Family Medicine Richter, Andrew, 525 Lilly Road NE, Mailstop PBP09 Dinglasan, Catherine, Pacific Medical Centers - Lynnwood Olympia, WA 98506 Elali, Bashar, (360) 493-4001 19401 40th Ave. West, #100 Hofheins, David, Lynnwood, WA 98036 Family Obstetrics & (425) 744-7153 Practice Gynecology Family Dightman, Lowell Richard, Miu, Hung, Practice Haughton, Kevin Mark, Pediatrics Busch, Naomi, Johnson, Lisa Ann, Aduan, Ellen M, Cantor, Jeffrey B., Miller, Margaret Laurel, Physician Halm, Timothy J., O'Sullivan, Gabrielle Anne, Assistant Ton, Nha Ke, Plaeger-Brockway, Mariel L., Lehr, Preston J, Internal Ronning, Sonja Angeline Kirsti, Port Orchard Medicine Sawyer, Devin Richard, Freeman, Ruth A., Group Health Cooperative - Port Orchard Medical Center Nurse Hibbert, Karen E., Practitioner 1400 Pottery Avenue Maple Valley Port Orchard, WA 98366-3768 Bodle-Shingu, Rebecca Marie, (360) 895-5000 MultiCare Maple Valley Family Perkins, Jeannette Delrene, Practice Pediatrics Waller, Glenda J., 23846 SE Kent-Kangley Road, Suite E- Fahy, Edward R., 11 Pediatrics Maple Valley, WA 98038 Poulsbo Johnson, Kelvie Ann, (425) 413-1310 Group Health Cooperative - Poulsbo Othello Family Medical Center Practice Columbia Basin Health Association - 19379 7th Avenue NE 14th Avenue Medical Center Poulsbo, WA 98370 Cline, David A, 475 N. 14th Avenue (360) 394-1000 Olympia Othello, WA 99344 Family Group Health Cooperative - Olympia (509) 488-5256 Practice Medical Center Family Chin, Jean Y., 700 Lilly Road NE Practice Olympia, WA 98506-5196 Puyallup Bunch, Randel S, (360) 923-7000 Group Health Cooperative - Puyallup Bunch, Richard P, Audiology Medical Center Schuler, Christopher, 611 31st Avenue SW Williams, Jennifer K., Puyallup, WA 98373 Obstetrics & Family Gynecology (253) 445-7100 Practice Small, Monique A, Pediatrics Sparks, Angela J., Delgado, Daniel, Midwifery Renton Page 339 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Washington Washington Washington Renton Seattle Seattle Group Health Cooperative - Renton Group Health Cooperative - Family International Community Health Medical Center Health Center at Capitol Hill Services - International District 275 Bronson Way NE 125 16th Avenue E 720 8th Ave S Renton, WA 98056-4099 Seattle, WA 98112-5260 Seattle, WA 98104 (425) 235-2800 (206) 326-3530 (206) 788-3798 Family Family Family Practice Practice Practice Julian, Carey, Seelig, Michelle Dawn, Yee, Christopher K, Pacific Medical Centers - Renton Silver, Noah U, Nurse Practitioner 601 South Carr Road, Suite 100 Group Health Cooperative - Northgate Renton, WA 98055 Medical Center Shimasaki, Cynthia Eng, (425) 223-7000 9800 4th Avenue NE Song, Yuezhen, Family Seattle, WA 98115-2158 Physician Practice (206) 302-1200 Assistant Bowles, Richard, Family Duong, Honghue T., Practice Hawley, Tina M., Pacific Medical Centers - Beacon Hill Globerman, Stacy L., Maddox, Sonja P., 1200 12th Avenue South International Community Health Monponbanua, Aileen H., Seattle, WA 98144 Services - Holly Park (206) 326-2400 Tkachev, Arkadiy, 3815 S Othello St Family Internal Seattle, WA 98118 Practice Medicine (206) 788-9650 Gilmore, Ari, Liu, Eric, Family Practice Lackermann, Ellen, Nakabayashi, Kemi, Nguyen, Aikhue Thi, McCarthy, Elizabeth R., Platas, Angelina A., Pham, Uyenvy Vu, Rose, Caroline, Reddy, Shailaja N. M., Roach, Chinda, Ruddy, Ginger, Seattle Wang, Grace, Waterman, Sara, Group Health Cooperative - Downtown Seattle Medical Center Weitensteiner, Beth, Internal Medicine 1420 5th Avenue, Suite 375 Nurse Seattle, WA 98101 Practitioner Allen, Victoria E., (206) 223-2611 Huynh, DoQuyen, Ludwig, William R., Family Physician Oswald, Lisa, Practice Assistant Terasaki, Rodney, Mayer, Charles J., Duong, Honghue T., Wang, Karen, Group Health Cooperative - Family International Community Health Nurse Health Center at Capitol Hill Services - International District Practitioner 125 16th Avenue E 720 8th Ave S Seattle, WA 98112-5260 Seattle, WA 98104 Babcock, Marty R., (206) 326-3530 (206) 788-3798 Pacific Medical Centers - First Hill Family Family 1101 Madison Street, Suite 301 Practice Practice Seattle, WA 98104 (206) 505-1101 Baggett, Molly K., Chun, Alan J, Internal Bays, Holly D., Hirayama, Kimo C, Medicine Gaaserud, Annelise, Snapp, Nancy Joy, Becke, Julia, Hoock, Jennifer L., Tan, Lynne Abigail, Page 340 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Washington Washington Washington Seattle Seattle Silverdale Pacific Medical Centers - First Hill UW Medicine Belltown Clinic Group Health Cooperative - Silverdal 1101 Madison Street, Suite 301 2505 2nd Avenue, Suite 200 Medical Center Seattle, WA 98104 Seattle, WA 98121 10452 Silverdale Way NW (206) 505-1101 (206) 443-0400 Silverdale, WA 98383-9460 (360) 307-7300 Internal Internal Medicine Medicine Family Practice Cufley, Davonna R., Camitta, David Robert, Crandell, Blain A., Rongitsch, Jessica, Ferrucci, Cynthia G., Siddaiah, Vanathi, Smith, Christopher H., Hummel, Philip Jeffrey, Spokane True, David D., Lord, Sandra M., Group Health Cooperative - Riverfron Pacific Medical Centers - Northgate Physician Medical Center 10416 5th Ave. NE Assistant 322 W. North River Drive Seattle, WA 98125 Palalay, Karen C., Spokane, WA 99201 (206) 517-6000 Wilson, Linda Michelle, (509) 324-6464 Family Shoreline Family Practice Practice Bressie, Matthew, UW Medicine Shoreline Clinic 1355 N 205th St Margraf, Robert Alan, Lewis, Patricia, Shoreline, WA 98133 Reisman, Edward A., Wilcox, Cynthia L., (206) 542-5656 Schreoter, Rosemary E., General Family Woodinville Practice Practice Ware, Elisabeth P., Atkins, Tamara Zina Anne, UW Medicine Woodinville Clinic 17638 140th Avenue NE Internal Bagan, Seth Charles, Woodinville, WA 98072 Medicine Jaffy, Matthew B., (425) 485-4100 Clowry, Margaret, Jenkins, Claire Southern, Family Dym, Andrew M., Practice O'Kane, Elizabeth (Betsy) Bauer, Fong, Walter, Burner, Tim G., Patni, Yaquta Mustafa, Ways, Martha, Debelak, Danielle B., Geriatric Medicine/Internal Nurse Medicine Emmons, Stephen W., Practitioner Phillips, Thomas E., Holland, Lisa Marie, Wolber, Teresa A., Internal Kramer, Sarah S., Pediatrics Medicine Vasavada, Zubin, Arand, Gloria, Roskam, Sarah, Internal Eusebio, Emmanuel, Nurse Medicine Practitioner UW Medicine Belltown Clinic Munshi, Prachi R., 2505 2nd Avenue, Suite 200 Pamp, Chris Earle, Physician Seattle, WA 98121 Pediatrics Assistant (206) 443-0400 Folkemer, Marion Lois Keel, Rhodes, Tim C., Family Practice Silverdale Yakima Chao, Janna Briscoe, Group Health Cooperative - Silverdale Yakima Neighborhood Health Medical Center Services - Main Site Heinen, Corinne Sue, 10452 Silverdale Way NW PO Box 2605, 12 S 8th St Wall, Eric M., Silverdale, WA 98383-9460 Yakima, WA 98907-260 (360) 307-7300

Page 341 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Washington West Virginia West Virginia Yakima Clay Glenville Yakima Neighborhood Health Primary Care Systems Minnie Hamilton Health System Services - Main Site 122 Center Street Glenville Office PO Box 2605, 12 S 8th St Clay, WV 25043 809 Mineral Rd, Suite 1 Yakima, WA 98907-260 (304) 587-7301 Glenville, WV 26351 (304) 462-7322 Internal Family Medicine Practice Family Practice Sabry, Fady Fayez, Klaes, Jane M., Grant, Catherine E, Midwifery Nurse Dennis, Susan C, Practitioner Watson, David Alan, Nurse Dobbins, Victoria M., Pediatrics Practitioner Fairmont Morales, Autumn Beth, Chet, LumOr, Monongahela Valley Assoc. of Health Grantsville Centers, Inc. Gray, Jody, Minnie Hamilton Health System 1322 Locust Avenue Pediatrics 186 Hospital Drive Fairmont, WV 26554 Grantsville, WV 26147 Khalsa, Gagan, (304) 366-0700 (304) 354-9244 West Virginia Family Family Practice Charleston Practice Madduru, Lakshmi, FamilyCare HealthCenter - Patrick Grant, Catherine E, Street Oduntan, Omobola, Steger, Michael Warren, 116 Hills Plaza Paliwal, Himanshu Harihar, Charleston, WV 25312 General Practice - Schroering, Michael S, Dental (304) 720-4466 Internal Gilbert, Lynn C, Family Medicine Practice Internal Patel, Pravin I, Medicine Boggess, Darrell Kevin, Pediatrics Balasubramony, Suresh, Internal Medicine Franz, Agnes Marie, Smith, Chadwick Ray, Ahmed, Nazia, Hiltz, Deborah J, Pediatrics Nurse Manuel, Mervin Punzalan, Morales, Autumn Beth, Practitioner Fayetteville Harpers Ferry Marino, Laure J., New River Health Association - North WVU Department of Family Medicine Pediatrics Fayette Clinic Eastern Division-Harpers Ferry Fami Barracco, Kim, 221 West Maple Avenue Medicine Fayetteville, WV 25840 171 Taylor Street FamilyCare HealthCenter - SFEC (304) 574-3960 Harpers Ferry, WV 25425 1701 5th Avenue (304) 535-6343 Charleston, WV 25312 Family (304) 414-4499 Practice Family Practice Family Sayre, Anita R., Biola, Johanna, Practice General Dressler, William C., Practice Cucuzzella, Mark T, Montalto, Norman J., Thomas, Curtis Hampton, Jacques, Charles H.m., Clay Physician Jones, Kristin, Assistant Lorenzetti, Rosemarie C, Nemati, Kimberly Jean, Nau, Konrad C,

Page 342 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

West Virginia West Virginia West Virginia Harpers Ferry Lookout Mill Creek WVU Department of Family Medicine New River Health Association - Lisa Valley Health Care, Inc. Eastern Division-Harpers Ferry Family Elliott Center PO Box 247, US Routes 219 & 250 Medicine 75 Spy Rock Loop Road Mill Creek, WV 26280 171 Taylor Street Lookout, WV 25868 (304) 335-2050 Harpers Ferry, WV 25425 (304) 574-2076 Family (304) 535-6343 Physician Practice Family Assistant Frame, Stephanie L., Practice Fairchild, Patsy Jean, Princeton Rajah, Suganthi, Madison Tracy, Lloyd, Bluestone Health Association FamilyCare HealthCenter - Madison 3997 Beckley Road Pediatrics 515 Main Street Princeton, WV 24740 Moerschel, Sarah K, Madison, WV 25130 Family Smith, Eleanor A, (304) 369-0393 Practice Kingwood Family Billips, Ronald W., Practice Schwarzenberg & Schwarzenberg MDs Bird, William C., Chatlin, Ron, 110 North Price Street Clarkson, Mark A., Kingwood, WV 26537 Internal Medicine Nurse (304) 329-3500 Practitioner Frazer, Jason Allen, Family Hall, jessica D., Practice Martinsburg Rainelle Schwarzenberg, Michael R, Shenandoah Valley Medical System, Inc Rainelle Medical Center Inc. Lewisburg 99 Tavern Road Martinsburg, WV 25401 645 Kanawha Avenue Robert C. Byrd Clinic (304) 596-2610 Rainelle, WV 25962 400 North Jefferson Street (304) 483-6188 Lewisburg, WV 24901 Family Practice Family (304) 645-3220 Practice DeLanoy, Anne E., Family Butcher, Pamela S, Practice Didden, David G., Clark, Heidi Marie, Boisvert, Craig S, Maciunas, Kristina A., Pediatrics Boxwell, George F, Yellott, Chesley W., Lally, Patricia E, Cornelius, Jennifer Lynn, Internal Medicine Ranson Garlitz, John Mark, Jones, Dawn B., WVU Department of Family Medicine Johnson, Rachel L., Eastern Division - University Medical Mallott, Stephen J., Nazar, Andrea M, & Surgical Assoc. Owunna, Anthony U., Pence, Lorenzo L, 205 East 5th Avenue Reidy, Terrence J., Ranson, WV 25438 Richmond, Michael D, (304) 725-6343 Struthers, Courtney H., Steele, Thomas F, Family Pediatrics Swarm, Gail M, Practice Gundavda, Hemant P., Wahl, Jeanne Marie, Wang, Ye, Mier, Richard J., Internal WVU Department of Family Medicine Medicine Mill Creek Eastern Division - WVU Women's Health and Maternity Center Ryan, Patrick Thomas, 204 East 4th Avenue Pediatrics Ranson, WV 25438 Martin, Kathleen J, (304) 725-2038 Page 343 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

West Virginia West Virginia West Virginia Ranson Scott Depot Wheeling WVU Department of Family Medicine FamilyCare HealthCenter-Teays Valley Wheeling Health Right, Inc Eastern Division - WVU Women's 301-6 Great Teays Blvd. 61 29th Street Health and Maternity Center Scott Depot, WV 25560 Wheeling, WV 26003 204 East 4th Avenue (301) 757-6999 (304) 233-9323 Ranson, WV 25438 General Physician (304) 725-2038 Practice Assistant Family Smythe, Gai, Walker, Margaret, Practice Pediatrics Wisconsin Baltierra, David A, Ferguson, Angela, Bentley, Shannon K, Algoma Sophia Oglesby, Angela D, Bellin Medical Group - Family Medica Center Algoma Scarbro New River Health Association - Gulf Family Practice 1510 Fremont Street New River Health Association - 410 West Main Street Algoma, WI 54201 Scarbro Clinic Sophia, WV 25921 (920) 445-7276 908 Scarbro Road, P.O. Box 337 (304) 683-4304 Family Scarbro, WV 25917 Practice Family (304) 469-2905 Practice Anderson, Robert J., Family Golden, Joseph Ivan, Practice Physician Nurse Assistant Doyle, Daniel Barry, Practitioner Schmidt, Tina M., Freeman, Chara C., Flis, Lori J., Appleton Stewart, Samuel W., Weirton Affinity Medical Group - Children's Physician Health Center Pediatrics Assistant Family Medical Care Community Health Center 1506 S. Oneida St. Almond, Alayna K., 3136 West Street Appleton, WI 54915 New River Health Association - Weirton, WV 26062 (920) 730-4950 Whipple Clinic (304) 797-7733 Nurse 57 Sutphin Lane Practitioner Family Scarbro, WV 25917 Practice Lewis, Pamela R, (304) 469-4996 Aman, Tamra F., Pediatrics Family Practice Fournier, Kelli L., Bayer, Edward D, Boyce, Daniel L., Wheeling Birn, Christoffer K, Internal Doctors Urgent Care, Inc. Boulos, Mona S, Medicine 24 Homestead Ave Campbell, Sarah C, Wheeling, WV 26003 Mirza, Abdul Majid, Heyrman, Kurt A, (304) 232-1020 Scott Depot Marquis, Stephen J, Family FamilyCare HealthCenter-Teays Valley Practice Nordstrom, Mary E, 301-6 Great Teays Blvd. Kelly, Lawrendce C., Rusin, Wayne J, Scott Depot, WV 25560 (301) 757-6999 Midcap, Douglas W., Affinity Medical Group - Madison Internal Medicine General Family 1501 S. Madison St. Practice Practice Appleton, WI 54915 Wood, Victor A., Jenkins, Mary Buffington, (920) 730-4414 General Internal Practice Medicine Page 344 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Appleton Arcadia Brillion Affinity Medical Group - Madison Marshfield Clinic - Arcadia Center Bellin Medical Group - Family Medica Internal Medicine 945 S Dettloff Drive Center Brillion 1501 S. Madison St. Arcadia, WI 54612-1895 964 W. Ryan Street, Suite B Appleton, WI 54915 (608) 323-1500 Brillion, WI 54110 (920) 730-4414 (920) 756-2055 Nurse Internal Practitioner Family Medicine Practice Boe, Kathy Ann, Constantinescu, Daniela C, Sipple, Christopher, Athens Haine, James E, Physician Marshfield Clinic - Athens Center Assistant Joseph, Shanthi A, 729 Pine Street Pautz, Holly L., Lee, Teresa H, Athens, WI 54411 Brookfield Rangbulla, Aditya Kumar, (715) 387-5511 Yacoub, Hayan Lessinger, Family Froedtert and the Medical College of Practice Wisconsin, Primary Care, Springdale Nurse Health Clinic Staubs, Charles R., Practitioner 21700 Intertech Drive Ray, Vicki C, Augusta Brookfield, WI 53045 (262) 532-8300 Affinity Medical Group - Richmond Augusta Family Medicine Clinic Family Medicine 207 West Lincoln Street Internal 3329 N. Richmond St. Augusta, WI 54722 Medicine Appleton, WI 54911 (715) 286-2270 Cada, Michael, (920) 380-2715 Family Edlebeck, Anna B, Family Practice Obermyer, Mark, Practice Cayley, William E, Sawasky, Kathleen B, Adler-Fischer, Karen R, Gideonsen, Mark, Woodard, Andrea Leigh, Grant, Douglas H, Bloomer Johnson, Richard A, Froedtert and the Medical College of Marshfield Clinic - Bloomer Center Wisconsin, Primary Care, Sunnyslope Patel, Darshana G, 1711 York Street Primary Care Clinic Schelble, Thomas C, Bloomer, WI 54724 1350 Sunnyslope Rd (715) 568-6220 Brookfield, WI 53005 Schroeder, Norman J, Family (414) 805-9600 General Practice Family Practice Stringer, Elena A, Practice Bautista-Santos, Maria Editha M, Internal Dinusson, Jacquelyn F, Noble, N Carter, Medicine Hill, Joanne L, Pediatrics, Hospice and Palliative Frohling, Sandra, Meyer, Christina T, Care Brillion Norman, Sharniecia, Homburg, Nancy J, Affinity Medical Group - Brillion Internal Physical Family Medicine Medicine Therapy 708 W. Ryan St. Eapen, Sunu S., Krueger, Michael A, Brillion, WI 54110 Schaper, Aysha L, Arcadia (920) 756-5900 Shankar, Stuti, Marshfield Clinic - Arcadia Center Nurse 945 S Dettloff Drive Practitioner Vanderkooy, Kris Rudy, Arcadia, WI 54612-1895 Reszczynski, Mary A., Burlington (608) 323-1500

Page 345 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Burlington Cedar Grove Chippewa Falls Aurora Medical Group - Aurora Aurora Medical Group - Aurora Marshfield Clinic - Chippewa Center Burlington Clinic Health Center - Cedar Grove 2655 Cty Hwy I 248 McHenry Street 313 South Main Street Chippewa Falls, WI 54729 Burlington, WI 53105 Cedar Grove, WI 53013 (715) 723-2287 (262) 767-8264 (920) 668-8502 Family Family Family Practice Practice Practice Maniquiz, Reynaldo C, Baur, Martin C, Demaster, Brian J, Internal Billingsley, Sandra L, Nurse Medicine Practitioner Ellingstad, Richard A, Bieging, James K, Soerens, Allison E, Krismer, George J, Nurse Chetek Practitioner Lisak, Alicja D, Maraia, Taura, Smith, Melanie A., Marshfield Clinic - Chetek Center 806 2nd St. Pediatrics Taylor, David L., Chetek, WI 54728 Balmadrid, Dulce Vida A, Webber, Paul R., (715) 924-2000 Barkley, Sharon M, White, Samuel Crawford, Family Practice Barkley, William J, Geriatric Medicine/Family Practice Marquardt, Jeffrey M, Bieging, Deborah T, Twardy, Jolanta M., Nurse Forster, Jeremy S, Practitioner Internal Wirt, Marcia L, Medicine Hinde, Lisa A, Zander, Margaret A, Rein, Arthur K., Chilton Marshfield Clinic - Lake Hallie Center Schmidt, Randall Williams, Affinity CMC - Chilton Family 12961 27th Ave. Zaremba, Katarzyna I., Medicine Chippewa Falls, WI 54729 618 Memorial Drive (715) 738-3700 Nurse Chilton, WI 53014 Practitioner Family (920) 849-3800 Practice Bleser, Victoria M, Family Sandager, Thomas D, McKeown, Susan E, Practice Shepich, Jeffrey, Pediatrics Tipler, Gene A, Sperlingas, Stacey J, DeLaCruz, Ralando Y, Internal Internal Graciosa, Joseph D, Medicine Medicine Cadott Ali, Zulfiqar, Harrison, Leslie P, Nurse Marshfield Clinic - Cadott Center Practitioner Physician 305 S Highway 27 Assistant Cadott, WI 54727 Day, Heather, Nguyen, Chau T, (715) 387-5511 Schabach, Lisa Kaye, Clintonville Family Chippewa Falls Practice Affinity Medical Group - Clintonville Marshfield Clinic - Chippewa Center Family Medicine Joseph, Amrish R, 2655 Cty Hwy I 61 N. Anne St. Valerio, Anna Francesca L, Chippewa Falls, WI 54729 Clintonville, WI 54929 Cedar Grove (715) 723-2287 (920) 823-8700 Family Nurse Practice Practitioner Carlson, Stephen, Page 346 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Clintonville Cumberland Denmark Affinity Medical Group - Clintonville Marshfield Clinic - Cumberland Center Bellin Medical Group - Family Medica Family Medicine 1200 State Hwy 48 Center Wrightstown 61 N. Anne St. Cumberland, WI 54829 555 Quality Ct. Clintonville, WI 54929 (715) 387-5511 Denmark, WI 54208 (920) 823-8700 (920) 445-7276 Nurse Nurse Practitioner Family Practitioner Practice Hines, Christine A, Snowden, Angela B, Wozney, Bradley, Rieper, Jayne L, Physician Dousman De Pere Assistant Aurora Medical Group - Wilkinson Aurora Medical Group -Aurora Health Birling, Brooke, Clinic Dousman Center - De Pere 370 Venture Drive Colby 1881 Chicago Street Dousman, WI 53118 Marshfield Clinic - Colby-Abbotsford De Pere, WI 54115 (262) 965-6910 Center (920) 403-8000 Nurse 111 Dehne Drive Family Practitioner Colby, WI 54421 Practice (715) 223-2331 Millman, Carol J, Colassacco, Lawrence E, Family Eagle River Gray, John D, Practice Internal Marshfield Clinic - Eagle River Cente Hoerneman, Tanya Kausch, Medicine 500 Commerce Loop Writz, Paul L, Eagle River, WI 54521 Andres-Palines, Jesusa S, Internal (715) 387-5511 Bachhuber, Raymond G, Medicine Family Nitke, Jason M, Wehman-Tubbs, Kelli R, Practice Pediatrics Physician Hrdina, Diane E, Assistant Andhole, Indira P, East DePere Krieg, George, Hoyer, Jennifer L, Bellin Medical Group - Family Medica Viergutz, Milton J, Roup, Ronald E, Center DePere East 555 Redbird Circle Cornell Delafield East DePere, WI 54115 Marshfield Clinic - Cornell Center Aurora Medical Group - Wilkinson (920) 338-6870 Delafield Clinic 600 Woodside Drive Family Cornell, WI 54732 2808 Heritage Drive Practice (715) 387-5511 Delafield, WI 53018 Novotny, Steven, (262) 646-1440 Family Internal Practice Family Medicine Practice Dickson, Erik, Biernat, Bozena, Brueckert, Kurt E, Fernandez, Marifel Mitzi F, Nurse Vacek, Steven J, Physician Practitioner Assistant Denmark Pravechek, Jennifer L., Schauer, Bradley Bovee, Bellin Medical Group - Family Medical Bellin Medical Group ΓÇô Family Center Wrightstown Cumberland Medical Center DePere East Pediatric 555 Quality Ct. 555 Redbird Circle Marshfield Clinic - Cumberland Center Denmark, WI 54208 East DePere, WI 54115 1200 State Hwy 48 (920) 445-7276 Cumberland, WI 54829 (920) 338-6820 Family (715) 387-5511 Pediatrics Practice Page 347 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin East DePere Eau Claire Fond du Lac Bellin Medical Group ΓÇô Family Marshfield Clinic - Oakwood Center Aurora Medical Group - Aurora Medical Center DePere East Pediatrics 3501 Golf Road Health Center - Fond Du Lac 555 Redbird Circle Eau Claire, WI 54701 210 Wisconsin American Drive, Hwy. East DePere, WI 54115 (715) 858-4200 23 East (920) 338-6820 Fond du Lac, WI 54935 Internal (920) 907-7000 Pediatrics Medicine Family Camilli, Karen, Soomar, Nasima R, Practice Gallistel, Laura, Nurse Jessen, Kevin A, Practitioner Hoyman, Sherri, Internal Kuester, Lisa, Kellner, Joseph W., Medicine Prince, Susan, Theado, Matthew, Litman, Gabriel, Pediatrics Eau Claire Sergi, Michael, Wiedbusch, Robert, Marshfield Clinic - Eau Claire Center Steiner, John D, Physician 2116 Craig Rd. Nurse Assistant Eau Claire, WI 54701 Practitioner Moore, Brenda K, (715) 858-4949 Ahrens, Linda, UW Health Eau Claire Family Medicine Family Kostac, Greta M, Practice 617 W Clairemont Ave Stephany, Joanne M, Sarumi, Oludayo O, Eau Claire, WI 54701 (715) 839-5175 Pediatrics Vandezande, Victoria Lynn, Family Emmer-Sheldon, Amy S, Internal Practice Medicine Freund, Marian E, Breen, Dennis P, Babaria, Dharmesh, Steward, Donald C, Eddy, Jennifer J, Gonzaga, Michael, Franklin Hamblin, Joan E, Hidalgo, Martha A, Aurora St. Luke's Health Center - Mcclaflin, Richard R, Franklin #116 Kyle, Julia, Raehl, Deborah A, 9200 W Loomis, #116 Rahman, Seema, Franklin, WI 53132-9665 Elk Mound Sueldo, Efrain, (414) 529-9232 Marshfield Clinic - Elk Mound Center Pediatrics Family 112 Independence Drive Practice Husain, Naghma, Elk Mound, WI 54739 Pierce, Sarah E, Javaid, Bushra K, (715) 879-1210 Internal Marshfield Clinic - Oakwood Center Family Medicine 3501 Golf Road Practice Wozniewicz, Dorota B., Eau Claire, WI 54701 Parsley, Jennifer Lynn, (715) 858-4200 Green Bay Fond du Lac Family Aurora BayCare Health Center Practice Aurora Medical Group - Aurora Health Center - Fond Du Lac 2253 W. Mason Street, # 200 Halkova, Tatsiana, 210 Wisconsin American Drive, Hwy. Green Bay, WI 54303 (920) 327-7300 Hillerud, Andrea C, 23 East Fond du Lac, WI 54935 Family Jacoby, Philip E, (920) 907-7000 Practice Joles, Thomas I, Family Kiser, John P., Liu, Lily H, Practice Internal Lofgren, David J, Betten, Karen L, Medicine

Page 348 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Green Bay Green Bay Green Bay Aurora BayCare Health Center Aurora Medical Group - Aurora Bellin Medical Group - Family Medica 2253 W. Mason Street, # 200 BayCare Orthopedic & Sports Center Ashwaubenon Green Bay, WI 54303 Medicine Center - Pediatrics 1630 Commanche Avenue (920) 327-7300 1160 Kepler Dr Green Bay, WI 54313 Green Bay, WI 54308 (920) 430-4700 Internal (910) 288-5500 Medicine Family Nurse Practice Greene, Richard C, Practitioner Daniel, Lemkuil C., Kaul, Pankaj, Robertson, Mary E, Ebben, James, Minca, Violeta, Pediatrics Gast, James, Sze, David B, Beno, Donald J, Jerzak, James, Nurse Kathuria, Sabeena, Practitioner Mead, Robert C., Pacurar, Ines C, Steward, Kathleen G, Phillips, Maureen, Aurora Medical Group - Aurora Pediatrics Reynders, William, Health Center - Suamico Alexander, Andrew K, 2890 Lineville Rd Schacht, Michelle, Zahn, Scott G, Green Bay, WI 54313 Wurth, Jason, (910) 662-2100 Aurora Medical Group - Willows Rheumatology 1565 Allouez Avenue Family Practice Green Bay, WI 54311 Russell, Elizabeth, (920) 468-2400 Stevens, Robert J, Bellin Medical Group - Family Medica Family Stevens, Robert J, Center Clinica Hispana Practice Vaishnav, Dhwani A, 704 S. Webster Avenue, Suite 100 Barnes, Suzanne H, Green Bay, WI 54301 Nurse (920) 433-3410 Fagre, Timothy A, Practitioner Family Goolsby, P. Lane, Devalk-Holl, Cathy, Practice Stevens, Robert J., Bellin Medical Group - Family Medical Riquelme, Jean, & Wellness Center Bellevue Stevens, Robert J., 3263 Eaton Road Bellin Medical Group - Family Medica Aurora Medical Group - ABMC - 1st Green Bay, WI 54301 Center Howard Floor Physician Office Building (920) 433-6700 2714 Riverview Drive 2845 Greenbrier Road, 1st Floor Green Bay, WI 54313 Family Green Bay, WI 54308 (920) 445-7276 Practice (920) 288-8100 Family Bedi, Sabeeha, Endocrinology Practice Boyd, Thomas, Ditchen, Izabela, Casis, Ferdinand, Halsey, Steven, Fuglestad, Loren, Internal McHenry, Michael, Internal Medicine Singh, Sabrina W., Medicine Mihailescu, Gabriel, Nurse Hartig, Donald, Nitke, Leah A, Practitioner Nurse Aurora Medical Group - Aurora McHenry, Jean M., Practitioner BayCare Orthopedic & Sports Bellin Medical Group - Family Medical Freis, Cathy J., Medicine Center - Pediatrics Center Ashwaubenon 1160 Kepler Dr 1630 Commanche Avenue Green Bay, WI 54308 Green Bay, WI 54313 (910) 288-5500 (920) 430-4700 Page 349 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Green Bay Greenfield Hayward Bellin Medical Group - Family Medical Froedtert and the Medical College of Marshfield Clinic - Hayward Center Center Siegler St. Wisconsin, Primary Care, Greenfield 10212 N Greenwood Lane 124 Siegler Street Highlands Primary Care Clinic Hayward, WI 54843 Green Bay, WI 54303 4455 S. 108th Street (715) 634-6520 (920) 497-7771 Greenfield, WI 53228 Nurse Family Family Practitioner Practice Practice Fitch, Geri L, Karbon, Staci, Lo presti, Leigh S, Van Vonderen, Mary L., Internal Lo presti, Leigh S, Jackson Medicine O'Quinn, Kirsten L., Bongiorno, Edward, Froedert Health Medical Group Shah, Aparna S., Jackson Clinic Nurse Internal W225 N16711 Cedar Park Court Practitioner Medicine Jackson, WI 53037 Zollar, Tracey L., Shankar, Stuti, (262) 677-1101 Pediatrics Greenville Emergency Danowit, Jane, Medicine Affinity Medical Group - Greenville Lane, Karen, Family Medicine Rutsch, Christina Marie, W6981 Parkview Dr. Family Bellin Medical Group - Family Medical Practice Center Webster Ave. Greenville, WI 54942 725 S. Webster Avenue (920) 882-2400 Cameron, Carey M, Green Bay, WI 54301 Family Cornelius, Peter L, (920) 433-3456 Practice Gill, Lawrence A, Family Lathrop Capaul, Kari L, Practice Guthrie, Anthony S, Price, Robin T, Luther, Anshu, Witek, Diane M, Schroeder, Wendy L, Prevea Health, East Mason Health Kaukauna Greenwood Center, Internal Medicine Department Affinity Medical Home - Kaukauna 3021 Voyager Drive Marshfield Clinic - Greenwood Center 2601 FieldCrest Drive Green Bay, WI 54311 102 West Cannery Street Kaukauna, WI 54130 (920) 436-1366 Greenwood, WI 54437 (920) 462-6100 (715) 267-6600 Internal Family Medicine Family Practice Practice Pritchard, Paul M, Brady, Nicole A, Zdor-North, Deborah, Ripp, Daniel J, Smith, Daniel R, Physician Schmitz, Paul J, Assistant Nurse Greenfield Practitioner Brown, Scott A, Froedtert and the Medical College of Dewitt, Jamie Leigh, Hales Corners Wisconsin, Primary Care, Greenfield Aurora Medical Group- Aurora Healt Highlands Primary Care Clinic Aurora Medical Group -Aurora Health Center - Kaukauna 4455 S. 108th Street Center - Hales Corners 2700 Crooks Avenue Greenfield, WI 53228 5250 S 108th Street Kaukauna, WI 54130 Hales Corners, WI 53130 Family Medicine, Hospice and Palliative (920) 766-3200 (414) 525-2400 Care Family Gaglianello, Sarah M, Family Practice Practice Family Cherkasky, Alan H, Hill, Tristram C, Practice Schimke, Andrea,

Page 350 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Kenosha Kewaunee La Crosse Aurora Health Center Kenosha 22nd Bellin Medical Group - Family Medical Gundersen Lutheran Pediatrics Avenue Center Kewaunee 1900 South Avenue, FBO-004 7540 22nd Avenue 575 Fourth Street La Crosse, WI 54601 Kenosha, WI 53143 Kewaunee, WI 54216 (608) 775-2507 (262) 656-7800 (920) 388-4640 Pediatrics Family Family Johnson, Steven J., Practice Practice Klevan, Judy L., Capelli, A. John, Zenner, Thomas, Kleven, Jennifer E., Paukner, Joseph L., Physician Assistant Manson, Steven R., Aurora Medical Group - Aurora Health Center - Kenosha Fuss, Mark A., Naik, Rajiv M., 10400 75th Street Kiel Stiers, Gary R., Kenosha, WI 53142 Weber, Lori S., (262) 948-6839 Affinity Medical Group - Kiel Family Medicine Ladysmith Family 632 Fremont St. Practice Kiel, WI 53042 Marshfield Clinic - Ladysmith Center Agaiby, John M, (920) 894-3322 906 College Ave West Ladysmith, WI 54848 Antoo, Alby K, Family (715) 387-5511 Practice Capelli, Paul V, Family Hetzner, Michael H, Rizzo, Michael J, Practice Aurora Medical Group - Aurora Rizzo, Vincent M, Cosiquien, Joannabelle So, Sheboygan Clinic - Kiel Rocco, Gregory N., 1001 Service Road Cosiquien, Reginald Sy, Internal Kiel, WI 53042 Nogler, Robert A, Medicine (920) 894-2636 Placencia, Cecilia, David, Diana A., Family Ziemer, John L, Practice Feldy, Scott R, Geriatric Medicine/Internal Deubler, David J., Kayeum, Nina, Medicine La Crosse Kupriyenko, Lidiya, Charipar, Ron M, Gundersen Lutheran Pediatrics Rashid, Ikram U, Internal 1900 South Avenue, FBO-004 Nurse Medicine La Crosse, WI 54601 Practitioner Farooq, Nouman, (608) 775-2507 Mikolas, Sandra L, Roberts, Mark R, Nurse Pediatrics Practitioner Nurse Practitioner Bryan, Jennifer M, Balder-Schroeder, Mary B., Cernohous, Elizabeth Henderson, Gerlach, Diane M, Johnson, Kay C., Pediatrics Rocco, Sheri S, Litscher-Lee, Kristine M., Allen, Rebecca J, Shah, Soniya G, Ott, Ellen M., Physician Kewaunee Rude, Karen A., Assistant Bellin Medical Group - Family Medical Sackman, Emily A., Greske, Amy M., Center Kewaunee Pediatrics 575 Fourth Street Krupa, Carol, Budzak-Garza, Ann E., Kewaunee, WI 54216 Lake Geneva (920) 388-4640 Gerhard, David G., Hansen, Elizabeth R.,

Page 351 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Lake Geneva Madison Madison Aurora Health Center - Lake Geneva Dean Clinic - East Family Medicine Dean Clinic - Fish Hatchery Family 146 E. Geneva Square 1821 S. Stoughton Rd Medicine Lake Geneva, WI 53147 Madison, WI 53716 1313 Fish Hatchery Rd (262) 249-5000 (608) 260-6000 Madison, WI 53715 (608) 252-8000 Family Family Practice Practice Sports Medicine Gerber, Greg J, Eimermann, Heidi M, Gronski, David J, Peterson, Stephen P., Groff, Amy L, Dean Clinic - Fish Hatchery Internal Rosol, Laura M, Hackman, Sarah A, Medicine Schneider, Garth R., Hahn, David L, 1313 Fish Hatchery Rd Internal Hansen, Mark A, Madison, WI 53713 Medicine (608) 252-8000 Harnish, Peter R, Alabarca, Nestor C, Internal McKenna, Virginia C, Medicine Bhushan, Shashi, Shearer, David R, Daley, Amy E, Vivero, Manuel L, Turner, Stuart P, Daugherty, Donald A, Little Chute Optometry Heidel, Randy S, Affinity Medical Group - Little Chute Schueller, Kathryn E, Family Medicine Kostelyna, Orest, Dean Clinic - East Internal Medicine 200 Patriot Dr. Lu, Katherine S, Little Chute, WI 54140 1821 S. Stoughton Rd Ozers, Lawrence J, (920) 687-2800 Madison, WI 53716 (608) 260-6000 Patro, Pragyan, Family Practice Internal Rabson, Laurel D, Medicine Beutler, Karen W, Manitowoc Alt, Robert L, Meyer, Jack R, Aurora Medical Group - Aurora Bain, Philip A, Manitowoc Clinic South Scott, Brian K, Boyle, Robert W, 4100 Dewey Street Vir, Meena P, Manitowoc, WI 54220 Dimaggio, Marjorie A, Physician (920) 686-5717 Assistant Dolan, Luke A, Family Kordiyak, Peter J, Knotts, Mary H, Practice Perock, Brieanna M, Musa, Albert J, Chiu, Michal, Luxemburg Pogorelova, Mariya O, Internal Medicine Bellin Medical Group - Family Medical Utrie, Gina A, Teehan, Tresa A, Center Luxemburg Dean Clinic - Fish Hatchery Family 140 B School Creek Trail Medicine Nurse Luxemburg, WI 54217 1313 Fish Hatchery Rd Practitioner (920) 845-1370 Madison, WI 53715 Zimmermann, Rhonda M, (608) 252-8000 Family Pediatrics Practice Family Baumgardt, M Anne, Kurowski, Kurt, Practice Aurora Medical Group - Aurora Hermus, Russell J, Nurse Manitowoc North Clinic Practitioner Keil, Jeffrey M, 601 Reed Avenue, P. O. Box 1270 Rentmeester, Cheryl A., Nettum, James C., Manitowoc, WI 54221 (920) 682-8841 Madison Shah, Meetful V,

Page 352 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Manitowoc Marinette Marshfield Aurora Medical Group - Aurora Aurora Medical Group-Aurora Health Marshfield Clinic - Marshfield Center Manitowoc North Clinic Center - Marinette 1000 N Oak Ave 601 Reed Avenue, P. O. Box 1270 4061 Old Peshtigo Road Marshfield, WI 54449 Manitowoc, WI 54221 Marinette, WI 54143 (715) 387-5511 (920) 682-8841 (715) 732-8000 Internal Internal Family Medicine Medicine Practice Parimanath, Sherine, DeBruyn, Donald J., Bensi, Debora Elena, Praxel, Theodore A, Maatman, Timothy J, Nguyen, Steven T, Przybylinski, John, Theobald, Richard W, Nephrology Rahim, Eram,

Pediatrics Remeika, Lori J, Kellner, Kenneth J, Harms, Amy J., Singh, Raj V, Marshfield Marinette Singh, Rama, Marshfield Clinic - Marshfield Center Aurora Medical Group - Aurora Sullivan, Michael P, Health Center - Marinette Menominee 1000 N Oak Ave Pediatrics Marshfield, WI 54449 Thorne, Wayne E, (715) 387-5511 1510 University Drive Van Oudenhoven, Gary P, Marinette, WI 54143 Family Yale, Eileen Scott, (715) 735-3998 Practice Yanke, William E, Nurse Andersen, Niels C, Practitioner Nurse Andersen, Victoria E, Practitioner Mainhardt, Marianne H, Espada, Ramon A, Esker, Jennifer, Pediatrics Internal Graper, Pamela K, Caselton, Stephen C, Medicine Hackett, Laurel A, Ramli, Nor Hasiah, Aswani, Vijay Hotchand, Hamus, Carol M, Aurora Medical Group -Aurora Health Bassi, Tarun, Center Marinette Menominee Karl, Mary, Cody, Lee B, 3130 Shore Drive Sternitzky, Jill, Marinette, WI 54143 Daly-oneill, Linda, Woolworth, Virginia M, (715) 735-7421 Devadas, Grace C, Wright, Suzanne, Family Earnhart, Todd D, Practice Pediatrics Greenburg, Marian L, Restrepo, Diego, Devries, Edna O, Gui, Gaojun, Internal Herbst, Amy, Guzowski, Frank S, Medicine Hilbelink, Elizabeth, Habash-Bseiso, Dana, Abu Muhanna, Amjed Yousef, Meyer, James A, Haleem, Muhammad S, Arora, Mayank, Pulvermacher, Keith W., Hoynacke, Renee Ann, Daroach, Gian C, Stewart, Alice D., Hussain, Asif, Ramaiah, Shobha, Sullivan, Bradley J, Jansen, Matthew, Nurse Thappeta, Sushma, Practitioner Koehler, Roderick D, Trinh, Thu-thao, Slater, Tracy L f, Kubica, Ewa, Viegut, Victoria L, Manickam, Panneer S, Physician Mbakwe, O Helen, Assistant Moldysz, Urszula, Page 353 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Marshfield Mercer Milwaukee Marshfield Clinic - Marshfield Center Marshfield Clinic - Mercer Center AIDS Resource Center of Wisconsin 1000 N Oak Ave 5110 Us Hwy 51 820 North Plankinton Avenue Marshfield, WI 54449 Mercer, WI 54547 Milwaukee, WI 53203 (715) 387-5511 (715) 387-5511 (414) 225-1547 Physician Family Infectious Assistant Practice Disease Meyer, Sharon, Olson, Nils A, Hogan, Christine Marie, Menasha Nurse Aurora Advanced Healthcare - Mayfa Practitioner West Clinic Affinity Medical Group - Airport 1055 N. Mayfair Road Family Medicine Bronsberg, Margaret A, Milwaukee, WI 53226 878 Airport Rd. Merrill (414) 479-2300 Menasha, WI 54952 Marshfield Clinic - Merrill Center (920) 727-5982 Family 1205 O'day Street Practice Family Merrill, WI 54452 Practice Eskarous, Nady I, (715) 387-5511 Bastasic, Jeffrey M, Nolan, Sara J., Family Heifner, Gary Mark, Practice Ozman, Bridget, Pitre, Cheryl-lynn M, Crapster-Pregont, Barbara B, Robertson, Felicia D., Sousek, Reid A, Crapster-Pregont, Mark, Shaffer, William, Nurse Gill, Gregory, Teschan, Rudolf R., Practitioner Krohn-Gill, Kathryn A, Physician Vande Hey, Sarah A, Assistant Moore, Jeffrey L, Menomonee Falls Sherwood, Nancy H, Thompson, Paul A, Froedtert and the Medical College of Aurora Medical Group - Aurora Gastroenterology Health Center - Edgerton Wisconsin, Primary Care, Community Memorial Medical Commons 6901 W. Edgerton Avenue W129 N7055 Northfield Drive Evans, Donald L, Milwaukee, WI 53220 Menomonee Falls, WI 53051 Internal (414) 421-8400 Internal Medicine Family Medicine Akay, Aylin, Practice Barkimer, Brett A, Nurse Botros, Nazih, Bhosekar, Chitra Sadasiwan, Practitioner Khan, Mir W, Durst, Meghan Grace, Nikolai, Amy E., Mccoy, Mary J, Schatzman, Michael J., Weix-Klippel, Kathleen, Mikhaeel, Hany G., Pediatrics Physician Stickels, Susan F., Assistant Bartel, Shawn David, Zaki, Maggie K., Botsford, Krista, Menomonie Internal Milwaukee Medicine Marshfield Clinic - Menomonie Center AIDS Resource Center of Wisconsin 3603 Schneider Rd Mohammed, Farooq, 820 North Plankinton Avenue Menomonie, WI 54751 Aurora Medical Group - Aurora St. Milwaukee, WI 53203 (715) 387-5511 Luke's Internal Medicine Suite 135 (414) 225-1547 2801 W. Kinnickinnic River Parkway, Family #135 Practice Infectious Disease Milwaukee, WI 53215 Parkhurst, Brandon, Fangman, John J, (414) 385-8600 Mercer Page 354 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Milwaukee Milwaukee Milwaukee Aurora Medical Group - Aurora St. Aurora UW - Internal Medicine Aurora UW Medical Group - Aurora Luke's Internal Medicine Suite 135 1020 N.12th Street, 2nd Floor Center for Senior Health and Longevi 2801 W. Kinnickinnic River Parkway, Milwaukee, WI 53233-1308 1020 N. 12 St., 3rd Floor #135 (414) 219-7136 Milwaukee, WI 53233 Milwaukee, WI 53215 (414) 219-7300 Internal (414) 385-8600 Medicine Geriatric Medicine/Family Internal Practice Caceres, Anthony E., Medicine Singh, Kanwardeep, Gennis, Mark A., Caine, Marc Randall, Geriatric Medicine/Internal Leybishkis, Biana, Gupta, Madhu N., Medicine Reid, Kern A., Nordin, Daniel J, Danto-Nocton, Ellen S, Usatinsky, Julia, Pyasta, Roman T, Soryal, Soryal Ayoub, Nurse Aurora Medical Group -Aurora Health Nurse Practitioner Center River Center Practitioner McFarland, Debora A, 1575 N River Center Drive Simon, Susan K, Milwaukee, WI 53212 Pomerantz, Gigi, Columbia St Marys Family Medicine (414) 283-8444 Aurora UW - St. Luke's Family Practice Residency Family 2801 W. Kinnickinnic River Pkwy., 1121 East North Avenue Practice Suite 250 Milwaukee, WI 53211 Dauer, Andrew Joseph, Milwaukee, WI 53215 (414) 267-6531 (414) 649-6732 DeBoe, Jr., Frederick M., Family Family Practice Sethi, Amanpreet, Practice Brotzman, Gregory L, Aurora Medical Group West Allis Baumgardner, Dennis J, Physician Office Tower Gehl, Suzanne, Bidwell, Jacob L., 2424 S. 90th Street, # 310 Geiger, William J, Milwaukee, WI 53227 Brill, John R., Griffiths, Jennifer B, (414) 328-8630 Robinson, Mark W., Johnson, David P, Internal Wallace, Brian K., Medicine Lyon, Robert K, Nurse Dawson, Michael J., Manor, Betsy L, Practitioner Lillie, Douglas W, Sanders, James D, Schultz, Rebecca A, Pentala, Jolanta, Seidl, John J, Sundberg, Glenda S, Aurora Sinai Family Care Center Froedtert and the Medical College of Pediatric Critical Wisconsin, Primary Care Sargeant 1020 N 12th Street Care Milwaukee, WI 53233 Internal Medicine Clinic Bhatia, Rambha, (414) 219-7136 840 N. 87th Street Aurora UW Medical Group - Aurora Milwaukee, WI 53226 Family Center for Senior Health and Longevity (414) 805-5540 Practice 1020 N. 12 St., 3rd Floor Internal Litza, Janice A., Milwaukee, WI 53233 Medicine Siddiqi, Aamir, (414) 219-7300 Asghar, Huma A, Sullivan Vedder, Lisa A., Family Fickel, Karen, Practice Aurora UW - Internal Medicine Gillis, Rick D, 1020 N.12th Street, 2nd Floor Hydari, Rakhshi, Gilson, Ian, Milwaukee, WI 53233-1308 Geriatric Medicine/Family (414) 219-7136 Practice Green, Sandra, Demircioglu, Reyhan, Hanley, Kathryn, Page 355 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Milwaukee Milwaukee Minocqua Froedtert and the Medical College of St. Joseph Family Medicine Center, Marshfield Clinic - Minocqua Center Wisconsin, Primary Care Sargeant Dept. of Family & Community 9601 Townline Rd Internal Medicine Clinic Medicine Medical College of WI Minocqua, WI 54548 840 N. 87th Street 2400 W. Village Avenue (715) 387-5511 Milwaukee, WI 53226 Milwaukee, WI 53209 Physician (414) 805-5540 Family Assistant Internal Practice Scholten, Sara Walker, Medicine Izard, Kevin, Mosinee Kleczka, Laura M, Klehm, David, Marshfield Clinic - Mosinee Center Luy, Neil K, Slawson, James G., 390 Orbiting Drive Maguire, Ann M, Minocqua Mosinee, WI 54455 Norton, Andrew J, Marshfield Clinic - Minocqua Center (715) 387-5511 Tobin, Benjamin, 9601 Townline Rd Family General Internal Medicine - Specialty Minocqua, WI 54548 Practice Clinics Building (715) 387-5511 Dillon, David P, 9200 W. Wisconsin Avenue Family Grim, Gerald W, Milwaukee, WI 53226 Practice (414) 805-6850 Nash, Richard G, Drewry, Anne, Internal Sheff, Jerome R, Janak, Steve W, Medicine Physician Knautz, Michael H., Gilligan, Mary ann, Assistant Lonsdorf, Charles A, Hariharan, Jaishree, Joswick, David L, Tummala, Sailaja, Krippendorf, Robert, Neenah Geriatric Medicine/Internal Lamb, Geoffrey, Affinity Medical Group - Deerwood Medicine Children's Health Mackinney, Theodore G, Fossen, Richard F, 740 Deerwood Ave. Mitchell, Julie L, Internal Neenah, WI 54956 Muntz, Martin D, Medicine (920) 751-9600 Nattinger, Ann, Drewry, Matthew M, Pediatrics Neuner, Joan M, Goral, Tomasz, Gentile, Kevin E., Pruitt, Eugene M, Mroz, J Barbara, Howe-Kasper, Patricia M, Travis, Natasha A, Nemcek, John G, Kasper, William J, Ziebert, Monica M, Seale, Linda, Marsho, Tim Daniel, St. Joseph Family Medicine Center, Nurse Roloff, Peter A, Dept. of Family & Community Practitioner Affinity Medical Group - Neenah Medicine Medical College of WI Mansfield, Diane M, Primary Care 2400 W. Village Avenue 411 Lincoln St. Pediatrics Milwaukee, WI 53209 Neenah, WI 54956 Family Gudel, Joanna, (920) 727-5810 Practice Jain, Sanjeev R, Emergency Damitz, Beth A., Uy, Jenalin, Medicine Gottschlich, Laura, Physician Burns, James R, Hekman, Jill, Assistant Family Practice Helm, Robin L., Gauthier, Amy M, Ashta, Raman, Hill, Janice M., Reichel, Sheila S, Cruz, Stephen T, Page 356 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Neenah New London Oshkosh Affinity Medical Group - Neenah Affinity Medical Group - New London Affinity Medical Group - Jackson / Primary Care Family Medicine Parkway Internal Medicine 411 Lincoln St. 1420 Algoma St. 2725 Jackson St. Neenah, WI 54956 New London, WI 54961 Oshkosh, WI 54901 (920) 727-5810 (920) 982-8300 (920) 223-7500 Internal Family Family Medicine Practice Practice Raj, Radhika P, Schlais, Dale L, Larson, Karl C, Talbot, Todd J, Internal Internal Medicine Medicine Wilson, Edwin E, Weber, Marie T, Andrasko, Kevin P, Nurse Practitioner Nurse Radford, Curtis D, Practitioner Sara, Hartman M, Swanson, Lars V, Klein, Kevin K, Treder, Paul F, Nurse North Fond du Lac Practitioner Neenha Aurora Medical Group - Aurora Casey, Nancy S, Aurora Health Center - Neenah Health Center - North Fond du Lac 1136 Westowne Drive Affinity Medical Group - Jackson 700 Park Ridge Ln. Family Medicine Neenha, WI 54956 North Fond du Lac, WI 54937 2725 Jackson St. (920) 720-8200 (920) 926-7800 Oshkosh, WI 54901 Family Family (920) 223-7500 Practice Practice Family Goldshlack, Brian L, Sheehan, Julie A, Practice Internal Nurse Rocke, Christopher E, Medicine Practitioner Nurse Jadin-Cardelli, Roxanne L, Guse, Sarah J, Practitioner Nurse Oconto Falls Zernzach, Sandra K, Practitioner Affinity Medical Group - Koeller Levine, Jane E, Bellin Medical Group - Family Medical Center Oconto Falls Family Medicine New Franken 833 S. Main Street 1855 S. Koeller St. Aurora Medical Group - Aurora Oconto Falls, WI 54301 Oshkosh, WI 54902 Health Center - Bay Settlement Clinic (920) 846-3092 (920) 223-7461 4070 Equestrian Road Family Family New Franken, WI 54229-9649 Practice Practice (920) 866-6100 Heyka, James, Bollweg, Cari Ann, Family Internal Affinity Medical Group - Oakwood Practice Medicine Family Medicine Kroll, Mark R, 2700 W. Ninth Ave. Wittman, William, Quidzinski, Erich J, Oshkosh, WI 54904 Physician (920) 223-2700 Warpinski, Luke T, Assistant Family Nurse BeFay, Tracey W., Practice Practitioner Oshkosh Catania, Cindy B, Jeskewitz, Holly C, Vandenhouten, Terri L, New London

Page 357 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Oshkosh Oshkosh Oshkosh Affinity Medical Group - Oakwood Aurora Medical Group - Oshkosh West Aurora Medical Group Oshkosh Internal Medicine Clinic Doctor's Court Clinic 2700 W. Ninth Ave. 855 N Westhaven Drive 414 Doctor's Court Oshkosh, WI 54904 Oshkosh, WI 54901 Oshkosh, WI 54901 (920) 223-2650 (920) 303-8700 (920) 303-5100 Nephrology Family Family Practice Practice Zornosa, Francisco, House, Pamela T., Duwell, Eric, Affinity Medical Group - Oshkosh Knier, Michael Steven, Osseo Pediatrics Lee, Phyllis, Marshfield Clinic - Osseo Center 1855 S. Koeller St. 13029 9th Street Oshkosh, WI 54902 Maassen, Stephen James, Osseo, WI 54758 (920) 223-7200 Weber, John R. S., (715) 387-5511 Infectious Zernzack, Lance E, Disease Family Internal Practice Szabo, Susan M, Medicine Gerlinger, Bruce, Pediatrics Alzoubi, Ammar, Nurse Budiasih, Santi, Blaha, Steven C., Practitioner Gardner, Jeremy G, Schroeder, Rebekah R, Feeney-Schroeder, Linda R, Hofman, Sam, Nurse Paddock Lake Practitioner Laufer, Christopher J, Aurora Medical Group- Aurora Healt Bonell, Jamie G, Strand, Barbara J, Center - Paddock Lake Hurlbut, Susan, 25320 75th Street Affinity Medical Group-Koeller Paddock Lake, WI 53168 Internal Medicine Miller, Mary Jo, (262) 843-2336 1855 S. Koeller St Netzer, Pamela A, Oshkosh, WI 54902 Family Psychiatry (920) 223-7100 Practice Fischer, Matthew P, Emergency Hussain, Rubina Sajid, Medicine Radiology General Schaffer, Sandra K., Morales Valdes Brost, Patricia, Practice Internal Aurora Medical Group - Oshkosh West Carroll, Joel, Medicine Pediatric Clinic Park Falls 855 N Westhaven Drive, Suite 310 Kraemer, Matthew N, Marshfield Clinic - Park Falls Center Oshkosh, WI 53122 Nurse 50 Sherry Ave (920) 303-8700 Practitioner Park Falls, WI 54552 Family Kolell, Sara, (715) 387-5511 Practice Aurora Medical Group - Oshkosh West Family Thur, Jean Ruth, Clinic Practice 855 N Westhaven Drive Nurse Danial, Louay O, Oshkosh, WI 54901 Practitioner Lindgren, Timothy, (920) 303-8700 Hilgenberg, Andrea J., Internal Family Pediatrics Medicine Practice Johnson, Scott B., Chauhan, Amit, Carlson, Jon K, Ly, Vee, Nurse Duffy, Michael A, Zapolsky, Valerie, Practitioner Green, Kevin R., Adleman, Sharon M., Page 358 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Park Falls Plymouth Radisson Marshfield Clinic - Park Falls Center Aurora Health Center - Plymouth Marshfield Clinic - Radisson Center 50 Sherry Ave 2600 Kiley Way 3661 N. Highland Dr. Park Falls, WI 54552 Plymouth, WI 53073 Radisson, WI 54867 (715) 387-5511 (920) 449-7000 (715) 945-2800 Nurse Family Nurse Practitioner Practice Practitioner Anderson, Richard A., Peschke, Scott R., Bratvold, Lisa M, Snyder, Tracey E, Poullette, George T., Rice Lake Physician Sharon, Mark W., Marshfield Clinic - Rice Lake Center Assistant Smith, David R., 1700 West Stout Street Henderson, Katy, Rice Lake, WI 54868-5000 Internal Peshtigo Medicine (715) 236-8100 Family Aurora Medical Group - Peshtigo Clinic Kapur, Chanda, Practice 603 French Street Racine Peshtigo, WI 54157-1207 Carlson, Lawrence D, Aurora Health Center - Racine (715) 732-8000 Cragg, Michael M, 8348 Washington Avenue Internal Racine, WI 53406 Erickson, Daniel, Medicine (262) 884-4000 Henningsen, David J, Post, Michael J., Family Holthaus, Stephen T, Nurse Practice Hoyer, Jean E, Practitioner Brown, Robert W, Lundquist, Thomas W, Brown, Christy Ann, Manne, Sridevi, Mcclelland, Janice M, Phillips Welsh, Brady T, Mink, Lisa A, Marshfield Clinic - Phillips Center Nurse Muminovic, Amy J, 104 Trinity Drive Practitioner Phillips, WI 54555 Narins, Voldemars, Boerger, Jennifer L, (715) 339-2101 Nymo, Mark T, Ward, Susan H, Family Ocwieja, Mary A, Practice Pediatrics Osterbauer, Joseph J, Anderson, Lee A, Kumar, Pradeep G, Pebler, Richard F, Geiger, Tracy M, Aurora Medical Group - Aurora Health Center - Caledonia Peters, James M, Houkom, Everin C, 5333 Douglas Avenue Smith, William A, Nurse Racine, WI 53402 Practitioner Internal (262) 752-2100 Medicine Bushman, Britt E, Family Bekkum, Bradley P, Plymouth Practice Eastwold, Conrad E, Aurora Health Center - Plymouth Vemareddy, Sarada, Olson, John L, 2600 Kiley Way Zablotney, David C, Plymouth, WI 53073 Nurse Internal Practitioner (920) 449-7000 Medicine D'angelo, Andrea, Family Pagano, Mary E, Practice Pediatrics Radisson Gavin, Andrea M., Langreck, Laura Ann, Murthy, Dharmesh, Selezneva, Irina,

Page 359 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Rice Lake Sheboygan Stratford Marshfield Clinic - Rice Lake Center Aurora Medical Group - Aurora Marshfield Clinic - Stratford Center 1700 West Stout Street Sheboygan Clinic 101 Wisconsin Ave Rice Lake, WI 54868-5000 2414 Kohler Memorial Drive Stratford, WI 54484 (715) 236-8100 Sheboygan, WI 53081 (715) 221-8790 (920) 457-4461 Physician Family Assistant Internal Practice Medicine Tomesh, Sarah, Shulman, Karen Ann, Hancock, Curtis W, Ripon Internal Nedoba, Petra, Medicine Affinity Medical Group - Ripon Family Medicine & Pediatrics Quinones, Nikolo C, Krueger, Kori K, 635 W. Oshkosh St. Schmitt, Bryan T., Nurse Ripon, WI 54971 Practitioner Schmitt, Jill I., (920) 745-6900 Krueger, Heather A, Westcott, Stephen C, Family Sturgeon Bay Practice Aurora Medical Group - Aurora Sheboygan Clinic - Howards Grove Aurora Health Center - Aurora Health Cholewa, Ryszard, 620 S. Wisconsin Drive Center - Sturgeon Bay O'Rourke, Katherine Anne, Sheboygan, WI 53083 1910 Alabama Street Sakrison, Christal R, (920) 565-4595 Sturgeon Bay, WI 54235 (920) 746-7200 Pediatrics Family Practice Family Lyke, Jeanne M, Practice Best, Catherine M., Physician Anclam, Keith R, Assistant Remington, Robert J., Conger, David G., Stanton, John R, Aurora Medical Group - Sheboygan Pediatric Clinic Internal Seymour 2414 Kohler Memorial Drive Medicine Bellin Medical Group - Family Medical Sheboygan, WI 53081 Bhatia, Ashwani, Center Seymour (920) 457-4461 405 Commercial Street Twin Lakes Pediatrics Seymour, WI 54165 Aurora Medical Group - Aurora (920) 833-2318 Baur, Frank M., Health Center - Twin Lakes Family Britton, Jeffrey W., 700 N. Lake Avenue, #102 Twin Lakes, WI 53181 Practice Howard, Walter T., (262) 877-2124 Miaskowski, Tomasz, Opel, Elise H., Family Sheboygan Pizer, Steven J., Practice Aurora Medical Group - Aurora Sarchet, Christina L., Karls, Charlene M, Sheboygan Clinic Wake, Kristine M., 2414 Kohler Memorial Drive Kucera, Charles J, Sheboygan, WI 53081 Sheboygan Falls Internal Medicine (920) 457-4461 Aurora Medical Group - Aurora Family Health Center - Sheboygan Falls Cassidy, Kristin K., Practice 1146 Plankview Green Blvd. Two Rivers Beiersdorf, Rieck W., Sheboygan Falls, WI 53085 (920) 467-2424 Aurora Two Rivers Clinic Crawford, William C, 2219 Garfield Street Family Two Rivers, WI 54241 Northup, Cynthia Peska, Practice (920) 793-2281 Wenberg, Robert D., Lynds, Jeffrey C, Family Rejman-Peterson, Michelle L., Practice Page 360 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Two Rivers Walworth Waukesha Aurora Two Rivers Clinic Aurora Medical Group - Aurora Froedtert and the Medical College of 2219 Garfield Street Health Center - Walworth Wisconsin, Primary Care, Westbrook Two Rivers, WI 54241 525 Kenosha Street Health Center (920) 793-2281 Walworth, WI 53184 2315 E. Moreland Blvd (262) 275-2101 Waukesha, WI 53186 Family (262) 532-5700 Practice Family Practice Internal Hester-Diaz, Julia D., Medicine Lowell, Janis A, Martin-Foster, Cheryl A., Kalt, Melissa A, Mughal, Nabeela, Roman, Ekaterina, Zikos, Aggeliki, Waterford Smith, Glenn A., Waukesha Family Practice Center Aurora Medical Group - Waterford Internal 210 NW Barstow Street, Suite #201 Clinic Medicine Waukesha, WI 53188 818 Forrest Lane Carroll, Andrea J., (262) 548-6903 Waterford, WI 53185 Diaz, Alfredo, (262) 514-3700 Family Practice LaLiberte, Brian, Family Practice Fay, David L., Thayer, Cedric V., Decker, Jennifer J., Ginn, Patrick H., Pediatrics Internal Krasovich, Susanne M., Imp, Janet A., Medicine Mazzone, Michael F., Union Grove Srivastava, Alok K., Schellhase, Kenneth G., Aurora Health Center - Union Grove Pediatrics 4320 67th Dr Witt, Anna M., Bauer, Aaron J, Union Grove, WI 53182 Waunakee (262) 878-1211 Rofalikos-Welka, Nancy M, Dean Clinic - Waunakee Family Waukesha 202 S. Century Ave Practice Aurora Medical Group - Aurora Waunakee, WI 53597 Demers, Gerald A, Health Center - Waukesha (608) 849-4315 Wales W231 N1440 Corporate Ct. Allergy & Waukesha, WI 53186 Immunology Aurora Medical Group -Aurora (262) 896-6000 Wilkinson Medical Clinic - Wales Rosen, Melvin H, Family 144 E Summit Avenue, Suite 100 Family Practice Wales, WI 53149 Practice Gharia, Anjoo M, (262) 968-6160 Ranum, William H, Krismer, Patrick G., Family Thompson, Trent D, Practice Sehring, Gregory G, Wausau Reiners, Thomas K, Varghese, Reny, Marshfield Clinic - Stettin Center Walworth Froedtert and the Medical College of 3605 Stewart Ave Aurora Medical Group - Aurora Wisconsin, Primary Care, Westbrook Wausau, WI 54401 Health Center Health Center - Walworth (715) 847-0800 525 Kenosha Street 2315 E. Moreland Blvd Family Walworth, WI 53184 Waukesha, WI 53186 Practice (262) 275-2101 (262) 532-5700 Baker, Vicky A, Family Internal Practice Medicine Melms, William F, Jacobson, Dale G, Cvengros, Amy D, Oswald, Jeffrey S, Dhariwal, Mohan S, Penniman, Eric R, Page 361 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Wisconsin Wausau Wauwatosa West Bend Marshfield Clinic - Stettin Center Froedtert and the Medical College of Aurora Advanced Healthcare - West 3605 Stewart Ave Wisconsin, Primary Care, Plank Road Bend Wausau, WI 54401 Clinic 205 Valley Avenue (715) 847-0800 1155 N. Mayfair Road West Bend, WI 53095 Wauwatosa, WI 53226 (262) 338-1123 Family (414) 456-5990 Practice Family Family Practice Veldhuizen, Leon P, Practice Chikkala, Deepak, Whitaker, Kristin J, Ahmed, Syed M, George, Jennifer S., Nurse Bedinghaus, Joan M, Practitioner Sajdak, Daniel E, Bondow, Steven, Sorenson, Cynthia, Shad, Umar, Bower, Douglas J, Marshfield Clinic - Wausau Center Internal 2727 Plaza Drive David, Alan K, Medicine Wausau, WI 54401 Diehr, Sabina, Jahnke, Renee R, (715) 847-3450 Lillich, David W, Karama, Yousuf, Family Internal Mian, Muhammad Z, Practice Medicine Trivedi, Rajesh M., Patterson, Katherine P, Farrell, Michael H, Nurse Roush, Stephen C, Hartmann, Kathryn Ann, Practitioner Waldman, Arthur, Jones, Sumi D, Carlton, Paula K, Yang, Kou Kevin, Lodes, Mark W, Kirkegaard, Laura C M, Internal Perelman, Ana, Schladweiler, Tammy L, Medicine Sobczak, Christopher P, Pediatrics Laynes, Grace V, Vander Zanden, Charlene, Beerends, Jerold J, Putlur, Pradeep, Pediatrics Reichel, Colleen J, Richetto, Mark A, Baker-Franckowiak, Angela L, Seefeld, Lisa K, Schaller, Ivan B, West Allis West DePere Pediatrics Luthra, Madhu V, Froedtert and the Medical College of Bellin Medical Group - Family Medica Wisconsin, Primary Care, Lincoln Center DePere West Shepherd, Lori L, Avenue Clinic 1800 Lawrence Drive Physician 11211 W. Lincoln Avenue West DePere, WI 54115 Assistant West Allis, WI 53227 (920) 983-3220 Buchman, Angela, Family Family Practice Practice Wauwatosa Saghir, Farha, Lasecki, Cynthia, Aurora Wiselives Clinic 8320 W Bluemound Rd, #125 Internal Leiva, Jose Miguel, Medicine Wauwatosa, WI 53213 Leong, Gary, (414) 302-3800 Luy, Eric U, Lutz, Jessica, Family Milott, Joan L, Meyer, Michael, Practice Pryba, David E, Weston Bailey, Laurie A., West Bend Maes, Paul M, Marshfield Clinic - Weston Center 3501 Cranberry Blvd Reynolds, Kristin H., Weston, WI 54476 Tonelli, Danielle G., (715) 393-1050 Page 362 of 362 NCQA Physician Practice Connections Medical Home Recognized Physicians (as of 05/31/2012)

Wisconsin Wisconsin Weston Winneconne Marshfield Clinic - Weston Center Affinity Medical Group - Winneconne 3501 Cranberry Blvd Family Medicine Weston, WI 54476 916 E. Main St. (715) 393-1050 Winneconne, WI 54986 (920) 582-1100 Family Practice Family Practice Abraham, Jeanette M., Cayde Leslie, Mayumi L., Le Noir, Jeanette M, Nurse Malfese, David C, Practitioner Hematology Dahlke, Lynn K,

Wisconsin Rapids Kabir islam, Lopa S, Internal Marshfield Clinic - Wisconsin Rapids Medicine Center 220 24th St South Isaacson, Bart J, Wisconsin Rapids, WI 54494 Macalalad, J F Herbert R, (715) 387-5511 Rajesh, Chindanoor V, Family Practice Varma, Anshu, Ahmad, Khadijah B, Pediatrics Arias, Joseph J, Hessel, Melissa L, Pakalns, Ruta M, Lamont, Jeffrey H, Wittenberg Puent, Jodi J., Schumann, Ellen M, Marshfield Clinic - Wittenberg Center 201 Liberty Drive Whitewater Wittenberg, WI 54499 Whitewater Family Practice (715) 253-2119 1305 N. Main Street Family Whitewater, WI 53190 Practice (262) 473-4548 Young, James J., Family Nurse Practice Practitioner Besch, Nathaniel Stuart, Mckay, Roslyn Dee, Kidd, Kenneth R, Wedl, Roberta Jo, Nurse Practitioner Carney, Laura B, Winneconne Affinity Medical Group - Winneconne Family Medicine 916 E. Main St. Winneconne, WI 54986 (920) 582-1100 Family Practice

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