From: Varughese, Mathew To: Grouppracticefilings, OHCA Subject: Annual disclosure for Yale University, on behalf of its School of Medicine, Yale Medicine Date: Sunday, December 31, 2017 3:32:13 PM Attachments: Group_Medical_Practice_Report_PA_14_168_Yale_Medicine 2017 4811-9565-1417 v.1.xlsx

To Whom It May Concern,

Please find attached the annual report pursuant to PA 14-168 for Yale University, on behalf of its School of Medicine, Yale Medical Group.

Regards,

Mathew C. Varughese Associate General Counsel for Health and Research Affairs Office of the General Counsel Yale University 2 Whitney Avenue New Haven, CT 06510 (203) 432-4949 http://ogc.yale.edu

Annual Report Concerning Ownership of, or Affiliation with Group Medical Practices Summary of Instructions

Sections 1(f) and (g) of P.A. 14-168, AN ACT CONCERNING JOINT VENTURES AND AFFILIATIONS OF GROUP MEDICAL PRACTICES (the "Act"), effective October 1, 2014, require that hospitals, hospital systems, and group medical practices comprised of thirty or more physicians ("filers"), submit to the Attorney General ("OAG") and to the Department of Public Health ("DPH") an Annual Report providing information concerning the filers, and group practices that may be owned by or affiliated with the filers.

The Annual Report must be filed with the Attorney General and with the DPH Office of Health Care Access ("OHCA") no later than December 31, 2014 and annually thereafter.

This file includes the spreadsheets needed to fullfill the Annual Reporting requirement. There are three tabs (Medical Practices, Physician Name, and Business Entity that all must be completed. Further instructions are provided on the individual tabs. The file should be electronically submitted to the following email address: [email protected]

Key Definitions: (1) "Affiliation" means the formation of a relationship between two or more entities that permits the entities to negotiate jointly with third parties over rates for professional medical services;

(2) "Hospital" has the same meaning as provided in section 19a-490 of the general statutes;

(3) "Hospital system" means: (A) A parent corporation of one or more hospitals and any entity affiliated with such parent corporation through ownership, governance or membership, or (B) a hospital and any entity affiliated with such hospital through ownership, governance or membership;

(4) "Group practice" - please reference the P.A. 14-168 section 1(a)

(5) "Primary service area" means the smallest number of zip codes from which the group practice draws at least seventy-five per cent of its patients.

Primary Service Areas ("PSAs") are defined by a set of postal zip codes. The Act defines PSA to mean "the smallest number of zip codes from which the group practice draws at least seventy-five per cent of its patients."

Click on the following for a full copy of the Filing Instructions.

The Medicare.gov website was used for medical/physician specialties in the attached spreadsheets. For the list of specialties and descriptions of each please refer to the Medicare.gov website by clicking on the link below: http://www.medicare.gov/physiciancompare/staticpages/resources/specialtydefinitions.html?AspxAutoDetectC ookieSupport=1 Medical Practice Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

(1) (2) (3) (4) Is the Group Practice reported owned Description of the nature of the relationship of the Name of Group Practice being reported or affiliated by the Hospital or Hospital or Hospital System to the Group Practice Line Hospital System? 1 Yale Medicine, part of the Yale School of Medicine, Yale University N/A N/A 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Group Practice Reporting Page 2 of 87 Medical Practice Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1 ABBED, KHALID M Neurosurgery 2 ABDEL-RAZEQ, SONYA SAMIR Obstetrics/gynecology 3 ABEDIN, SAKENA Pediatric medicine 4 ABI-RAAD, RITA Pathology 5 ABRAHAM, CLARA Gastroenterology 6 ABRAHAMS, JAMES J Diagnostic radiology 7 ACHARYA, AMI D Obstetrics/gynecology 8 ADEKANYE, OLUWASEUN Critical care medicine (intensivists) 9 ADELMAN, RON A Ophthalmology 10 ADELSON, KERIN Medical oncology 11 ADENIRAN, ADEBOWALE J Pathology 12 ADVANI, SONALI DEVIDAS Infectious Disease 13 AGRAWAL, POOJA Emergency medicine 14 AGUILAR ZANATTA, JORGE Psychiatry 15 AHMAD, TARIQ Cardiovascular disease (cardiology) 16 AHN, KYUNG HEUP Psychiatry 17 AIELLO, PAUL A Diagnostic radiology 18 AKAR, JOSEPH G Cardiovascular disease (cardiology) 19 AKGUN, KATHLEEN M Pulmonary disease/Critical care medicine (intensivists) 20 AKHTAR, SHAMSUDDIN Anesthesiology 21 AL HADDADIN, CAROLINE Anesthesiology 22 ALIAN, AYMEN A Anesthesiology 23 ALKAWADRI, RAFEED Neurosurgery 24 ALPER, ARIK Gastroenterology 25 ALPEROVICH, MICHAEL Plastic and reconstructive surgery 26 ALPERT, ORNA Psychiatry 27 ALTALIB, HAMADA HAMID Neurology 28 ALTICE, FREDERICK RICK L Infectious Disease 29 ALTIN, SOPHIA ELISSA Cardiovascular disease (cardiology) 30 ALTWERGER, GARY Gynecological oncology 31 AMEEN, NADIA A Gastroenterology 32 AMEN, SHELLEY L Psychiatry 33 AMIN, HARDIK Neurosurgery 34 ANCUTA, MICHAEL Anesthesiology 35 ANDERSON, CHERYL ELIZABETH Pediatric medicine 36 ANDERSON, RACHEL ELEANOR Emergency medicine 37 ANDREJEVA-WRIGHT, LIVA Diagnostic radiology 38 ANDREWS, JANE L General Practice 39 ANGARITA AFRICANO, GUSTAVO ADOLFO Psychiatry 40 ANGOFF, NANCY R General Practice 41 ANNAMALAI, ANIYIZHAI General Practice 42 ANTALA, SWATI Pediatric medicine 43 ANTAYA, RICHARD Dermatology 44 ANTIN-OZERKIS, DANIELLE E Pulmonary disease/Critical care medicine (intensivists) 45 AOUAD, RIMA Anesthesiology 46 AOUN-BARAKAT, LYDIA F Infectious Disease 47 APPLEFORD, GRAHAM CHRISTOPHER Diagnostic radiology 48 APPLEFORDR, GRAHAM Diagnostic radiology

Group Practice Reporting Page 3 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 49 ARDESIA, ROBERT J Cardiovascular disease (cardiology) 50 ARICI, AYDIN M Obstetrics/gynecology 51 ARICI, MELIH H Interventional radiology 52 ARLEN, ANGELA M Urology 53 ARNOLD, CATHARINE A Rheumatology 54 ARNOLD, LINDA D Emergency medicine 55 ARONSON, PAUL L Emergency medicine 56 ARONSON, PETER S Nephrology 57 ARORA, ANITA SHINALI General Practice 58 ARUNY, JOHN Interventional radiology 59 ASARE, VIVIAN A Pulmonary disease/Critical care medicine (intensivists) 60 ASCH, WILLIAM STUART Nephrology 61 ASIS, MARIA C. Obstetrics/gynecology 62 ASLANIAN, HARRY R Gastroenterology 63 ASNES, ANDREA G Pediatric medicine 64 ASNES, JEREMY D Cardiovascular disease (cardiology) 65 ASSIS, DAVID N. Gastroenterology 66 ATTARAN, ROBERT RAMAK Cardiovascular disease (cardiology) 67 AUERBACH, MARC Emergency medicine 68 AVERSA, KRISTEN R. Obstetrics/gynecology 69 AVNI-SINGER, ABRAHAM JOSEPH Pediatric medicine 70 AVRAHAM, TOMER Plastic and reconstructive surgery 71 AYDIN, ANI Emergency medicine 72 AYYAGARI, RAJASEKHARA R. Interventional radiology 73 AZAR, MARWAN Infectious Disease 74 AZODI, MASOUD Gynecological oncology 75 BADDAM, SUMAN Psychiatry 76 BADE, BRETT CHARLES Pulmonary disease/Critical care medicine (intensivists) 77 BADER, ANNA SHLIONSKY Diagnostic radiology 78 BADER, ERIC MYER Cardiovascular disease (cardiology) 79 BAEHRING, JOACHIM M Neurosurgery 80 BAHTIYAR, MERT OZAN Obstetrics/gynecology 81 BALDASSARRE, LAUREN ANNE Cardiovascular disease (cardiology) 82 BALDASSARRI, REBECCA JOU Pathology 83 BALDASSARRI, STEPHEN R Pulmonary disease/Critical care medicine (intensivists) 84 BALDEO, SASHANI Emergency medicine 85 BALE, ALLEN E Pathology 86 BALOESCU, CRISTIANA Emergency medicine 87 BALTIMORE, ROBERT S Infectious Disease 88 BAMFORD, NIGEL S Neurology 89 BANACK, TREVOR Anesthesiology 90 BANDARANAYAKE, THILINIE D Infectious Disease 91 BAR, NOFFAR Hematology 92 BARBIERI, ANDREA LYNNE Pathology 93 BARDIA, AMIT Anesthesiology 94 BARTOLOMEI, JUAN C Neurosurgery 95 BATISTI, JENNIFER Gastroenterology 96 BATRA, RAMESH General Surgery

Group Practice Reporting Page 4 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 97 BAUM, CARL R Emergency medicine 98 BAUMBUSCH BROOKS, MARGARET ANN Obstetrics/gynecology 99 BAUMGAERTNER, MICHAEL R Critical care medicine (intensivists) 100 BAYER, ROBERT Emergency medicine 101 BAZZY-ASAAD, ALIA Pulmonary disease 102 BEACH, CHEYENNE MACNARY Cardiovascular disease (cardiology) 103 BECHER, ROBERT Critical care medicine (intensivists) 104 BECHTEL, KIRSTEN A Emergency medicine 105 BECKER, KEVIN PATRICK Neurosurgery 106 BECKER, RICHARD D Diagnostic radiology 107 BELCHER, JUSTIN Nephrology 108 BELFORT DE AGUIAR, RENATA Endocrinology 109 BELLUMKONDA, LAVANYA Cardiovascular disease (cardiology) 110 BELSKY, JUSTIN Emergency medicine 111 BENDER, JEFFREY R Cardiovascular disease (cardiology) 112 BEN-DOV, ISSAHAR Pulmonary disease/Critical care medicine (intensivists) 113 BENITEZ, VIVIANA NULL 114 BENNICK, MICHAEL C NULL 115 BERCIK, RICHARD Obstetrics/gynecology 116 BERGWITZ, CLEMENS Endocrinology 117 BERKOWITZ, ERIC General surgery 118 BERKWITT, ADAM KENNETH Critical care medicine (intensivists) 119 BERLAND, GRETCHEN K General Practice 120 BERNARDO, RAFFAELE MARIO Infectious Disease 121 BERNSTEIN, DOUGLAS M. Emergency medicine 122 BERNSTEIN, STEVEN L Emergency medicine 123 BERTONI, DANIELLE M Surgical Oncology 124 BESSE, WHITNEY Nephrology 125 BEST, KATRINA MORENE Anesthesiology 126 BEST, MARY H Neurosurgery 127 BEUCHER, MEGHAN Emergency medicine 128 BHATIA, AARTI K Medical oncology 129 BHATT, PARAS SATISH Cardiovascular disease (cardiology) 130 BHATTACHARYA, BISHWAJIT Critical care medicine (intensivists) 131 BHOLAT, SAUDA ESOOF General Practice 132 BIA, MARGARET J Nephrology 133 BIANCHI, MARK S Otolaryngology 134 BINDER, HENRY J Gastroenterology 135 BINDRA, RANJIT S Radiation oncology 136 BIZZARRO, MATTHEW JOHN Pediatric medicine 137 BLAINE, THEODORE Orthopedic surgery 138 BLASBERG, JUSTIN General Surgery 139 BLESSING, MARCELLE E Anesthesiology 140 BLOCH, MICHAEL HOWARD Psychiatry 141 BLUMBERG, HILARY PATRICA Psychiatry 142 BLUMENFELD, HAL Neurosurgery 143 BOATRIGHT, DOWIN HUGH Emergency medicine 144 BOBER-SORCINELLI, KATHLEEN Medical oncology

Group Practice Reporting Page 5 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 145 BOCKENSTEDT, LINDA K Rheumatology 146 BOD, JESSICA DARA Emergency medicine 147 BOFFA, DANIEL J General Surgery 148 BOGAN, JONATHAN S Endocrinology 149 BOGUCKI, MARY S Emergency medicine 150 BOGUE, CLIFFORD W Critical care medicine (intensivists) 151 BOKHARI, SYED AHMAD J Diagnostic radiology 152 BOLOGNIA, JEAN L Dermatology 153 BONA, ROBERT Hematology 154 BONDE, PRAMOD Thoracic Surgery 155 BONZ, JAMES WILKINSON Emergency medicine 156 BORAD, ANOLI Internal medicine 157 BORAS, JOHN G Emergency medicine 158 BOROUMAND, GILDA Diagnostic radiology 159 BOSENBERG, MARCUS W Pathology 160 BOSSUYT, VEERLE Pathology 161 BOTO, AGEDI Pathology 162 BOUBERT, FRANCOISE MARIE Obstetrics/gynecology 163 BOULWARE, SUSAN D Endocrinology 164 BOUSTANI, ANNE MARIE Nuclear medicine 165 BOYER, JAMES L Gastroenterology 166 BRADDOCK, DEMETRIOS T Pathology 167 BRADY, VIRGINIA Pulmonary disease 168 BRAGG, JENNIFER Pediatric medicine 169 BRAMLEY, KYLE THOMAS Pulmonary disease/Critical care medicine (intensivists) 170 BRANDT, DEBRA SCHWAB Medical oncology 171 BRANSON, BRITTANY NULL 172 BRENNAN, JOSEPH J Cardiovascular disease (cardiology) 173 BRENNAN, PAIGE JAMES Cardiovascular disease (cardiology) 174 BREWSTER, URSULA C Nephrology 175 BRIER, JONATHAN A. Cardiovascular disease (cardiology) 176 BRINES, PATRICIA C. Obstetrics/gynecology 177 BRITO III, JOSEPH MATHEW Urology 178 BRITTO, CLEMENTE Pulmonary disease/Critical care medicine (intensivists) 179 BRODERICK, PATRICK J Anesthesiology 180 BRONEN, RICHARD A Diagnostic radiology 181 BROWN, CAMILLE ANN Pediatric medicine 182 BRUECKNER, ERIC ANTHONY Psychiatry 183 BRUECKNER, MARTINA Cardiovascular disease (cardiology) 184 BRUNET, CRISTINA M Rheumatology 185 BRUNO, CHRISTIE J Pediatric medicine 186 BUCALA, RICHARD J Rheumatology 187 BUCKLEY, LENORE M Rheumatology 188 BUCKLEY, THOMAS M. Urology 189 BUKANOVA, ELENA Anesthesiology 190 BUNICK, CHRISTOPHER GERARD Dermatology 191 BURRELL, MORTON I Diagnostic radiology 192 BURTNESS, BARBARA A Medical oncology

Group Practice Reporting Page 6 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 193 BUSTOS, ARSENIO M Anesthesiology 194 BUTLER, RENI S Diagnostic radiology 195 BUZA, NATALIA Pathology 196 CABIN, HENRY S Cardiovascular disease (cardiology) 197 CAI, GUOPING Pathology 198 CAIN, HILARY C Pulmonary disease/Critical care medicine (intensivists) 199 CALDWELL, CARY Gastroenterology 200 CALIFANO, CLAUDIA Psychiatry 201 CALIX, ROBERTO XAVIER Obstetrics/gynecology 202 CALLENDER, GLENDA G NULL 203 CAMBI, BRIAN CHRISTOPHER Cardiovascular disease (cardiology) 204 CAMENGA, DEEPA Pediatric medicine 205 CAMERON, ANNETTE F. Pediatric medicine 206 CAMPBELL, KATHERINE H Obstetrics/gynecology 207 CAMPBELL, SHELDON M. Pathology 208 CANAPARI, CRAIG Pulmonary disease 209 CANARIE, MICHAEL F Critical care medicine (intensivists) 210 CANTERINO, JOSEPH E. Infectious Disease 211 CANTLEY, LLOYD G Nephrology 212 CAPPELLO, MICHAEL Infectious Disease 213 CAPRIO, SONIA K Endocrinology 214 CARDELLA, JONATHAN ANDREW Vascular surgery 215 CARDINALE, JOSEPH G Radiation oncology 216 CARLING, TOBIAS JE NULL 217 CARLSON, ELISE M Rheumatology 218 CARPENTER, THOMAS OLIVER Endocrinology 219 CARRASCO SANCHEZ, ROSA T Pediatric medicine 220 CARTER, CORDELIA W Orthopedic surgery 221 CARTER, RYAN MATTHEW Emergency medicine 222 CASPER, SCOTT E. Obstetrics/gynecology 223 CATANZARO, JASON Allergy/immunology 224 CATY, MICHAEL G General Surgery 225 CEDENO, PAUL ANTHONY Diagnostic radiology 226 CELLI, ROMULO A Pathology 227 CENGIZ, EDA Endocrinology 228 CHA, CHARLES Surgical Oncology 229 CHAGPAR, ANEES B Surgical Oncology 230 CHAI, TOBY Urology 231 CHAMPION III, WALTER LOUIS Diagnostic radiology 232 CHAMPIONR, WALTER Diagnostic radiology 233 CHANG, SANDY Pathology 234 CHANG, VICTOR Medical oncology 235 CHANG, WILLIAM GEE Nephrology 236 CHAPTINI, LOUIS A Gastroenterology 237 CHARCHAFLIEH, JEAN Anesthesiology 238 CHASE, VICTORIA LINDSTROM Obstetrics/gynecology 239 CHAUDHRY, SARWAT I General Practice 240 CHAWLA, NIKHIL Anesthesiology

Group Practice Reporting Page 7 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 241 CHECK, JOSEPH R. Psychiatry 242 CHEKIJIAN, SHARON A Emergency medicine 243 CHELOUCHE, ADINA R. Obstetrics/gynecology 244 CHEN, LEI Emergency medicine 245 CHEN, MICHAEL E Cardiovascular disease (cardiology) 246 CHEN, MING-KAI Nuclear medicine 247 CHEPENIK, LARA G Psychiatry 248 CHIANG, ANNE Medical oncology 249 CHIANG, VERONICA L Radiation Oncology 250 CHIRNOMAS, SARAH DEBORAH Hematology/oncology 251 CHOATE, KEITH A Dermatology 252 CHOI, NAK HYUN Emergency medicine 253 CHOKSHI, SWATI BANSAL Critical care medicine (intensivists) 254 CHOU CATANZARO, JOSEPHINE C Cardiovascular disease (cardiology) 255 CHOW, JESSICA Ophthalmology 256 CHOW, ROBERT Anesthesiology 257 CHRISTENSEN, SEAN RYAN Dermatology 258 CHRISTISON-LAGAY, EMILY RACHEL General Surgery 259 CHUN, HYUNG J Cardiovascular disease (cardiology) 260 CHUNG, GINA G Medical oncology 261 CHUNG, JOYCE Y Radiation oncology 262 CHUPP, DAVID JEFFERY Internal medicine 263 CHUPP, GEOFFREY L Pulmonary disease/Critical care medicine (intensivists) 264 CHURCHWELL, KEITH B Cardiovascular disease (cardiology) 265 CIANNELLA, JOHN FRANCIS Pediatric medicine 266 CICERO, MARK XAVIER Emergency medicine 267 CITARELLA, BRETT V Pediatric medicine 268 CLANCY, JUDE F Cardiovascular disease (cardiology) 269 CLARK, BRIAN JOSEPH Pulmonary disease/Critical care medicine (intensivists) 270 CLEMAN, MICHAEL W Cardiovascular disease (cardiology) 271 CLUNE, JAMES Plastic and reconstructive surgery 272 COHEN, ANDREW BENJAMIN Geriatric medicine 273 COHEN, PAUL JAY Pathology 274 COHN, LAUREN E Pulmonary disease/Critical care medicine (intensivists) 275 COLBERG, JOHN Urology 276 COLEGIO, OSCAR R Dermatology 277 COLLINS, STEPHEN CHARLES Obstetrics/gynecology 278 COLSON, EVE R Pediatric medicine 279 COLTON, CHRISTINE C Diagnostic radiology 280 CONE, DAVID Emergency medicine 281 CONTESSA, JOSEPH Radiation oncology 282 CONTI, MARCUS BRADLEY Diagnostic radiology 283 COOKSON, CARYN S. Obstetrics/gynecology 284 COONEY JR, LEO M Geriatric medicine 285 COOPERMAN, DANIEL R Orthopedic surgery 286 COPEL, JOSHUA A Obstetrics/gynecology 287 CORBIN, KATHLEEN JO ELAYDA Pediatric medicine 288 CORBIN, ZACHARY A Neurosurgery

Group Practice Reporting Page 8 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 289 CORSI, JOHN Otolaryngology 290 CORTES, MILAURISE Anesthesiology 291 COSTA, JOSE Pathology 292 COUGHLIN, RYAN FRANCIS Emergency medicine 293 COULOURES, KEVIN G Critical care medicine (intensivists) 294 COULOURES, OLIVERA MARSENIC Nephrology 295 COWLES, ROBERT General Surgery 296 COWPER, SHAWN Pathology 297 CRAFT, JOSEPH E Rheumatology 298 CRAIGLOW, BRITTANY GARETH Dermatology 299 CRISTOFALO, ELIZABETH Pediatric medicine 300 CRON, JULIA ANNE Obstetrics/gynecology 301 CROSBY, JILL CHRISTINE OH Emergency medicine 302 CURTIS, ANNE MCB Diagnostic radiology 303 CURTIS, JEPTHA PELHAM Cardiovascular disease (cardiology) 304 CUTERI, JOSEPH A NULL 305 CUTLER, ABIGAIL STEWART Obstetrics/gynecology 306 DABU-BONDOC, SUSAN Anesthesiology 307 DAHL, NEERA K Nephrology 308 DAHLQUIST, HEATHER Critical care medicine (intensivists) 309 DAMAST, SHARI Radiation oncology 310 DAMSKY, WILLIAM Dermatology 311 DANVE, ABHIJEET SHRIKRISHNA Rheumatology 312 DARBINYAN, ARMINE Emergency medicine 313 DARR, UMER M Thoracic Surgery 314 DASHEVSKY, MEIR Emergency medicine 315 DAVIES, ANGELA M Medical oncology 316 DAVIS JR, JOHN LUCIAN Pulmonary disease/Critical care medicine (intensivists) 317 DAVIS, KIMBERLY A Critical care medicine (intensivists) 318 DAVIS, MELISSA Diagnostic radiology 319 DEARBORN, JENNIFER LEA Neurosurgery 320 DEBIASI, ERIN M Pulmonary disease/Critical care medicine (intensivists) 321 DEBIASI, RALPH M Cardiovascular disease (cardiology) 322 DECKER, ROY H Radiation oncology 323 DEL PRIORE, LUCIAN Ophthalmology 324 DELA CRUZ, CHARLES Pulmonary disease/Critical care medicine (intensivists) 325 DELLA-GIUSTINA, DAVID Emergency medicine 326 DENG, JIE Obstetrics/gynecology 327 DENIZ, ENGIN Critical care medicine (intensivists) 328 DESAI, ANDREA Obstetrics/gynecology 329 DESAI, KUNAL Neurology 330 DESAI, NIHAR Cardiovascular disease (cardiology) 331 DESAI, VRUNDA BHAVSAR Obstetrics/gynecology 332 DESAN, PAUL H Psychiatry 333 DESHPANDE, HARI A Medical oncology 334 DESHPANDE, RANJIT Anesthesiology 335 DESIR, GARY V Nephrology 336 DESTEFANO, KATHERINE ANNE Neurology

Group Practice Reporting Page 9 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 337 DETTERBECK, FRANK C General Surgery 338 DETYNIECKI, KAMIL Neurosurgery 339 DEVITO, RALPH J. Urology 340 DEWAR, MICHAEL L. Thoracic Surgery 341 DHANASOPON, ANDREW General Surgery 342 DHARMARAJAN, KUMAR Cardiovascular disease (cardiology) 343 DHODAPKAR, KAVITA Hematology/oncology 344 DHODAPKAR, MADHAV V Hematology 345 DICAPUA, DANIEL BRYANT Neurology 346 DICOLA, VINCENT C. Cardiovascular disease (cardiology) 347 DIGIOVANNA, MICHAEL P Medical oncology 348 DILLON, BRIAN J Interventional radiology 349 DILUNA, MICHAEL LOUIS Neurosurgery 350 DINAUER, CATHERINE A. General Surgery 351 DISABATINO JR, CHARLES A Rheumatology 352 DISTEFANO, ALBERTO Ophthalmology 353 DO, ALBERT Gastroenterology 354 DODINGTON, JAMES Emergency medicine 355 DOHERTY, PATRICK F Neurosurgery 356 DOMBROWSKI, MICHAEL MCKINLEY Obstetrics/gynecology 357 DONAHUE, JOHN P Diagnostic radiology 358 D'ONOFRIO, GAIL Emergency medicine 359 DONOHUE, KENNETH WILLIAM Orthopedic surgery 360 DONOHUE, THOMAS Cardiovascular disease (cardiology) 361 DONROE, EVELYN HSIEH Rheumatology 362 DONROE, JOSEPH HSIEH General Practice 363 DOOLITTLE, BENJAMIN R General Practice 364 DORFMAN, CAROL LYNN Pediatric medicine 365 DORSEY, KAREN B Pediatric medicine 366 DOUGLAS-CHURCHWELL, LESLIE Primary Care 367 DRAGO, MATTHEW Pediatric medicine 368 DUFFY, ANDREW General Surgery 369 DUGDALE, LYDIA SUZANNE Primary Care 370 DUKES, ANZEA Anesthesiology 371 DUKES, JASON COREY General Practice 372 DUN, ERICA C Obstetrics/gynecology 373 DUNCAN, CHARLES C Neurosurgery 374 DUNNE, DANA WASSON Infectious Disease 375 DURAND, MELISSA Diagnostic radiology 376 EDELMAN, EVA JENNIFER General Practice 377 EDELSON, RICHARD LESLIE Dermatology 378 EDER, JOSEPH PAUL Medical oncology 379 EDUSA, ASIA GOODWYN Obstetrics/gynecology 380 EFFRAIM, PHILIP Anesthesiology 381 EGAN, MARIE E Pulmonary disease 382 EHRENKRANZ, RICHARD A Pediatric medicine 383 EHRLICH, LAUREN J Pediatric medicine 384 EID, TORE Pathology

Group Practice Reporting Page 10 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 385 EINARSDOTTIR, HULDA MARIA General Surgery 386 EISENBARTH, STEPHANIE C Pathology 387 EKONG, UDEME DONALD Gastroenterology 388 ELDER JR, ROBERT W Cardiovascular disease (cardiology) 389 ELDER, JOSHUA WEIMER Emergency medicine 390 ELEFTERIADES, JOHN A Thoracic Surgery 391 ELLIS, PETER J Primary Care 392 ELLISON, MARYBETH P Pediatric medicine 393 ELLMAN, MATTHEW S Primary Care 394 ELTORAI, ASHLEY LYNN SZABO Anesthesiology 395 EMERICK, KARAN M Gastroenterology 396 EMERSON, BETH LEA Emergency medicine 397 EMRE, SUKRU H General Surgery 398 EMU, BRINDA Infectious Disease 399 ENRIQUEZ, ALAN D Cardiovascular disease (cardiology) 400 ERBEN, YOUNG MI Vascular surgery 401 ESCHBACH, SARAH Pediatric medicine 402 ETESAMI, MARYAM Diagnostic radiology 403 EVANS, JANINE Rheumatology 404 EVANS, LEIGH Emergency medicine 405 EVANS, SUZANNE BUCKLEY Radiation oncology 406 EYMA, TARA Psychiatry 407 FAHEY, JOHN T Cardiovascular disease (cardiology) 408 FAJARDO, ELAINE C Pulmonary disease/Critical care medicine (intensivists) 409 FALCONE, GUIDO JOSE Neurology 410 FAN, LINDA L. Obstetrics/gynecology 411 FARES, WASSIM H Pulmonary disease/Critical care medicine (intensivists) 412 FARHADIAN, JOSHUA ANDREW Dermatology 413 FARMER, JAMES HARVEY Anesthesiology 414 FAROOQUE, PUE Neurosurgery 415 FARRELL, JAMES J Gastroenterology 416 FAUSTINO, EDWARD VINCENT S Critical care medicine (intensivists) 417 FAZZONE, HILARY Ophthalmology 418 FENICK, ADA M Pediatric medicine 419 FERDMAN, DINA J Cardiovascular disease (cardiology) 420 FERGUSON, IAN DAVID Pediatric medicine 421 FERNANDEZ ROBLES, CLAUDIA Anesthesiology 422 FERNANDEZ, SUSAN V Pathology 423 FERNANDEZ, THOMAS V. Psychiatry 424 FERRANTE, LAUREN ELENA Pulmonary disease/Critical care medicine (intensivists) 425 FERRANTE, MARC Diagnostic radiology 426 FIELLIN, DAVID A. General Practice 427 FIELLIN, LYNN SULLIVAN General Practice 428 FIKRIG, EROL Infectious Disease 429 FIKRIG, MARGARET KARIS Infectious Disease 430 FINBERG, KARIN E Pathology 431 FINEBERG, SARAH KATHRYN Psychiatry 432 FINKELSTEIN, ALEXANDER Pathology

Group Practice Reporting Page 11 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 433 FISAYO, ADENIYI Ophthalmology 434 FISCHBACH, NEAL A Medical oncology 435 FISHER, ROSEMARIE L Gastroenterology 436 FISHMAN, MINDY C Obstetrics/gynecology 437 FLAHERTY, SEAN M. Obstetrics/gynecology 438 FLAHERTY-HEWITT, MARYELLEN Pediatric medicine 439 FLANNERY, CLARE ANN Obstetrics/gynecology 440 FLEISCHMAN, STEVEN JAY Obstetrics/gynecology 441 FLETCHER, KIM C. Obstetrics/gynecology 442 FLORES, VALERIE Endocrinology 443 FOGERTY, ROBERT LAWRENCE General Practice 444 FOLEY, FINBAR T Pulmonary disease/Critical care medicine (intensivists) 445 FOLMAN, ROBERT S Medical oncology 446 FONTES, MANUEL L Anesthesiology 447 FORMAN, HOWARD P Diagnostic radiology 448 FORMICA, RICHARD N Nephrology 449 FORRAY, ARIADNA Psychiatry 450 FORREST, JOHN K Cardiovascular disease (cardiology) 451 FORSTER, SUSAN HALL Ophthalmology 452 FORSYTH, BRIAN W Pediatric medicine 453 FORTIN, AUGUSTE H General Practice 454 FORTUNATI JR, FRANK G NULL 455 FOSS, FRANCINE M Hematology 456 FOSTER JR, HARRIS E Urology 457 FOXMAN, ELLEN F Pathology 458 FRAENKEL, LIANA Rheumatology 459 FRANCO, ISRAEL Urology 460 FRANKO, DENISE MB Anesthesiology 461 FREED, LISA ANN Cardiovascular disease (cardiology) 462 FREEMAN, JAMES V Cardiovascular disease (cardiology) 463 FRENCH, ALYSSA R Emergency medicine 464 FREUDZON, LEON Anesthesiology 465 FRIED, TERRI ROBIN Geriatric medicine 466 FRIEDLAENDER, GARY E Medical oncology 467 FRIEDLAND, GERALD H Infectious Disease 468 FRIEDMAN, ALAN H Cardiovascular disease (cardiology) 469 FRIEDMAN, DANIELLE T General Surgery 470 FRIEDMAN, LLOYD N Pulmonary disease/Critical care medicine (intensivists) 471 FRIEDMAN, WILLIAM N Diagnostic radiology 472 FRUMBERG, DAVID BENJAMIN Orthopedic surgery 473 FUCCI, MICHAEL J Cardiovascular disease (cardiology) 474 FUCHS, CHARLES S Medical oncology 475 FULBRIGHT, ROBERT K Diagnostic radiology 476 FYNAN, THOMAS Medical oncology 477 GAAL, DOROTHY J Anesthesiology 478 GALAN, ANJELA Pathology 479 GALERNEAU, FRANCE Obstetrics/gynecology 480 GALLAGHER, PATRICK G Pediatric medicine

Group Practice Reporting Page 12 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 481 GANATRA, MONICA S Anesthesiology 482 GARCIA-TSAO, GUADALUPE Gastroenterology 483 GARDNER, ELIZABETH C. Sports medicine 484 GARIEPY, AILEEN Obstetrics/gynecology 485 GARLAND, MICHAEL Psychiatry 486 GARWOOD, SUSAN Anesthesiology 487 GEHA, PAUL Y Psychiatry 488 GEIRSSON, ARNAR Thoracic Surgery 489 GEISEL, JAIME LYNN Diagnostic radiology 490 GELFAND, ROBERT ALAN Endocrinology 491 GENAO, INGINIA General Practice 492 GENECIN, PAUL General Practice 493 GERBER, JAIME R. Cardiovascular disease (cardiology) 494 GERRARD, JASON LEE Neurosurgery 495 GETTINGER, SCOTT N Medical oncology 496 GHANTOUS, ANDRE Cardiovascular disease (cardiology) 497 GHIASSI, SABER General Surgery 498 GIAIMO, ANTONIO General Practice 499 GIBB, DAVID Hematology 500 GIBSON, COURTNEY ELIZABETH NULL 501 GIBSON, DAVID H Orthopedic surgery 502 GIBSON, JOANNA Pathology 503 GIELISSEN, KATHERINE A General Practice 504 GILL, THOMAS M Geriatric medicine 505 GILMORE, EMILY JEAN Neurology 506 GIOIOSO-DATTA, CRISTINA Obstetrics/gynecology 507 GIORDANO, FRANK JOHN Cardiovascular disease (cardiology) 508 GIOVANNIELLO, DOMINICK S Hematology 509 GIRARDI, MICHAEL Dermatology 510 GIULIANO, JOHN S Critical care medicine (intensivists) 511 GLANTERNIK, JULIA R Pediatric medicine 512 GLAZER, PETER M Radiation oncology 513 GLINBERG, TSILIA Psychiatry 514 GLUSAC, EARL J Pathology 515 GOKHALE, AMIT Hematology 516 GOLDBERG, PHILIP Endocrinology 517 GOLDBERG, SARAH B Medical oncology 518 GOLDEN, MARJORIE Infectious Disease 519 GOLDENBERG, MATTHEW N Psychiatry 520 GOLDFLAM, KATJA Emergency medicine 521 GOLDMAN, MICHAEL PAUL Emergency medicine 522 GOLEMBESKI, THOMAS J Anesthesiology 523 GOLIOTO, ANNMARIE Pediatric medicine 524 GOMEZ VILLALOBOS, JOSE LUIS Pulmonary disease/Critical care medicine (intensivists) 525 GOMEZ, CHRISTINA M Medical oncology 526 GONZALEZ FIOL, ANTONIO Anesthesiology 527 GONZALEZ, RAMON Diagnostic radiology 528 GOODMAN, THOMAS R Pediatric medicine

Group Practice Reporting Page 13 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 529 GOODWIN, JULIE E Nephrology 530 GORE, STEVEN DAVID Hematology 531 GORECKI, GERALD A Orthopedic surgery 532 GORK, AHMET SEMIH Pediatric medicine 533 GOTTSCHALK, P CHRISTOPHER Neurology 534 GOULD ROTHBERG, BONNIE E Medical oncology 535 GOWDA, LOHITH Hematology 536 GOZZO, YEISID F Pediatric medicine 537 GRAEBER, BRENDON LEWIS Pediatric medicine 538 GRANT, MATTHEW HARRIS Infectious Disease 539 GRANT, RYAN A Neurosurgery 540 GRAUER, JONATHAN N Neurosurgery 541 GRAY, LINDA E Pediatric medicine 542 GRECHUKHINA, OLGA Obstetrics/gynecology 543 GREEN, MICHAEL L General Practice 544 GREENBERG, JASON H Nephrology 545 GREENWALD, DANIEL J Gastroenterology 546 GREIF, DANIEL M. Cardiovascular disease (cardiology) 547 GRITZ, EMILY CHRISTINE Pediatric medicine 548 GRODBERG, DAVID MITCHELL Psychiatry 549 GROSS, CARY P General Practice 550 GROSS, STEPHEN B Orthopedic surgery 551 GROSSMAN, MATTHEW R Critical care medicine (intensivists) 552 GROSSO, JOSEPH T. Obstetrics/gynecology 553 GRUBMAN, ERIC M. Cardiovascular disease (cardiology) 554 GRUEN, JEFFREY R Pediatric medicine 555 GRUENBAUM, BENJAMIN Anesthesiology 556 GRUENBAUM, SHAUN Anesthesiology 557 GRUTZENDLER, JAIME Geriatric medicine 558 GULANSKI, BARBARA I Endocrinology 559 GULATI, MRIDU Pulmonary disease/Critical care medicine (intensivists) 560 GUNABUSHANAM, GOWTHAMAN Interventional radiology 561 GUNEL, MURAT Neurosurgery 562 GUPTA, ABHA R. Pediatric medicine 563 HAAKINSON, DANIELLE J General Surgery 564 HAEDICKE, KAY A. Medical oncology 565 HAFEEZ, IMRAN Diagnostic radiology 566 HAFEEZR, IMRAN Diagnostic radiology 567 HAFEZ, NAVID Medical oncology 568 HAFLER, DAVID ALLEN Neurology 569 HAHN, IL SONG Pathology 570 HAHN, SAMUEL SUNGUP Cardiovascular disease (cardiology) 571 HAIMS, ANDREW H Diagnostic radiology 572 HALASZYNSKI, THOMAS Anesthesiology 573 HALENE, STEPHANIE Hematology 574 HALIM, ANDREA Orthopedic surgery 575 HALL, EUGENE KEVIN Cardiovascular disease (cardiology) 576 HAN, CHAN HEE Gynecological oncology

Group Practice Reporting Page 14 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 577 HAN, DALE Surgical Oncology 578 HANKE, LEIGH FLAGLER Physical medicine and rehabilitation 579 HANSEN, CAITLIN Infectious Disease 580 HANSEN, JAMES ERNEST Radiation oncology 581 HANSON, THOMAS MICHAEL Obstetrics/gynecology 582 HAO, LIMING Pathology 583 HAO, RITCHE Infectious Disease 584 HARB, ROA Pathology 585 HARIGOPAL, MALINI Pathology 586 HARMANLI, OZ Obstetrics/gynecology 587 HARRIMAN, DAVID Emergency medicine 588 HARRISON, RAQUEL FERRER Emergency medicine 589 HARVEY, KATHERINE Medical oncology 590 HATTANGADI, SHILPA M Hematology/oncology 591 HAWK, KATHRYN FRANCES Emergency medicine 592 HAYNES, MEAGAN CAMPOL Obstetrics/gynecology 593 HEALY, JAMES M Cardiovascular disease (cardiology) 594 HEBERT, RYAN MATTHEW Neurosurgery 595 HECKMANN, REBEKAH Emergency medicine 596 HEGARTY, JAMES LOUGHLIN Psychiatry 597 HELGESON, LARS E Anesthesiology 598 HELLENBRAND, WILLIAM EUGENE Cardiovascular disease (cardiology) 599 HELWIG, CECILIA CANTO Otolaryngology 600 HENDRICKSON, JEANNE E Hematology 601 HENRICH, JANET B General Practice 602 HENRY, GLEN A Cardiovascular disease (cardiology) 603 HERBERT, PETER N. General Practice 604 HERBST, ROY S. Medical oncology 605 HERLOPIAN, ALINE Neurosurgery 606 HERMANY II, PAUL LEWIS Cardiovascular disease (cardiology) 607 HERMES, GRETCHEN LOUISE Psychiatry 608 HERNANDEZ RODRIGUEZ, ALEJANDRO Anesthesiology 609 HERNANDEZ, KEITH A Anesthesiology 610 HEROLD, KEVAN C Endocrinology 611 HERRERA, ADRIANA Anesthesiology 612 HERSH, DAVID C Critical care medicine (intensivists) 613 HERZOG, ERICA Pulmonary disease/Critical care medicine (intensivists) 614 HERZOG, RAIMUND I Endocrinology 615 HESSE, DAVID G. Urology 616 HIATT, BONNIE LYNN Cardiovascular disease (cardiology) 617 HIGGINS, SUSAN A Radiation oncology 618 HILBERT, JANET Pulmonary disease/Critical care medicine (intensivists) 619 HILDREW, DOUGLAS MICHAEL Otolaryngology 620 HINES, ROBERTA L Anesthesiology 621 HIPONA, RENE A Emergency medicine 622 HIRSCH, LAWRENCE J Neurosurgery 623 HIRSH, JACQUELINE General Practice 624 HITTELMAN, ADAM BENJAMIN Urology

Group Practice Reporting Page 15 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 625 HOCHREITER, DANIELA Critical care medicine (intensivists) 626 HOCHSTER, HOWARD S Medical oncology 627 HOFFMAN, ELLEN J Psychiatry 628 HOFSTATTER, ERIN W Medical oncology 629 HOGAN, MARY JANE S Hematology/oncology 630 HOLDER, ERIC K Physical medicine and rehabilitation 631 HOLT, ELIZABETH HOPKINS Endocrinology 632 HOLT, STEPHEN General Practice 633 HOMER, ROBERT J Pathology 634 HOMMEL, MARK P Emergency medicine 635 HONIDEN, SHYOKO Pulmonary disease/Critical care medicine (intensivists) 636 HONIG, STANTON C. Urology 637 HOOLEY, REGINA Diagnostic radiology 638 HOOPER, MICHAEL Critical care medicine (intensivists) 639 HOQUE, RAFAZ Gastroenterology 640 HOROWITZ, NINA RUTH Surgical Oncology 641 HORVATH, LAURA J Diagnostic radiology 642 HOUSRI, NADINE Radiation oncology 643 HOWARD, KIM Internal medicine 644 HOWARD, MARTHA ANN Ophthalmology 645 HOWES, CHRISTOPHER J Cardiovascular disease (cardiology) 646 HRYCELAK, MICHAEL G. Anesthesiology 647 HSIA, HENRY C Plastic and reconstructive surgery 648 HSIAO, ALLEN L Emergency medicine 649 HSU, FLORENCE IDA Allergy/immunology 650 HUANG, JONATHAN HWAIEN Urology 651 HUBBARD, MATTHEW OWEN General Surgery 652 HUBER, STEFFEN Diagnostic radiology 653 HUDNALL, STANLEY DAVID Pathology 654 HUI, PEI Pathology 655 HULL, SARAH C Cardiovascular disease (cardiology) 656 HUMPHREY, PETER A Pathology 657 HUNTINGTON, SCOTT Hematology 658 HUOT, STEPHEN J General Practice 659 HURWITZ, MICHAEL E Medical oncology 660 HUSAIN, ZAIN A Radiation oncology 661 HUSZAR, GABOR B Obstetrics/gynecology 662 HUTCHINSON, GORDON J Rheumatology 663 HUTTLER, CRAIG R. Obstetrics/gynecology 664 HUTTNER, ANITA J Pathology 665 HWANG, DAVID Y Neurology 666 IDELSON, DOUGLAS L. Pediatric medicine 667 IKEDIOBI, UCHENNA T Infectious Disease 668 IKUTA, ICHIRO Diagnostic radiology 669 ILLUZZI, JESSICA LEE Obstetrics/gynecology 670 IMAEDA, AVLIN B Gastroenterology 671 IMAEDA, SUGURU Dermatology 672 INSOGNA, KARL L Endocrinology

Group Practice Reporting Page 16 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 673 INZUCCHI, SILVIO E Endocrinology 674 IONESCU, COSTIN NICOLAE Cardiovascular disease (cardiology) 675 IONITA, CRISTIAN Neurology 676 IRANI, ROXANNA Obstetrics/gynecology 677 ISHIBE, SHUTA Nephrology 678 ISRAEL, GARY M Diagnostic radiology 679 ISUFI, IRIS Hematology 680 JACOBY, DANIEL Cardiovascular disease (cardiology) 681 JACOBY, STEVEN S. Cardiovascular disease (cardiology) 682 JADBABAIE, FARID Cardiovascular disease (cardiology) 683 JAIN, DHANPAT Pathology 684 JAKAB, SOFIA SIMONA Gastroenterology 685 JAMES, EDWARD Pediatric medicine 686 JAMIDAR, PRIYA A Gastroenterology 687 JASTREBOFF, ANIA MAGDALENA Endocrinology 688 JAYASURIYA, SASANKA N Cardiovascular disease (cardiology) 689 JEAN, CHRISNEL Emergency medicine 690 JEFFRIES, LAUREN ELIZABETH Critical care medicine (intensivists) 691 JOHNSON, DIRK C Critical care medicine (intensivists) 692 JOHNSON, KEVIN M Diagnostic radiology 693 JOHNSON, MICHELE Interventional radiology 694 JOHNSON, RAYMOND M Infectious Disease 695 JOHNSTON, LINDSAY CALLAHAN Pediatric medicine 696 JOHUNG, KIMBERLY LAUREN Radiation oncology 697 JOKL, PETER Sports medicine 698 JONAS, ELIZABETH A. Endocrinology 699 JORGE CABRERA, VALERIE Nephrology 700 JOU, ROGER Psychiatry 701 JUBANYIK-BARBER, KAREN JEAN Emergency medicine 702 JUDSON, BENJAMIN LAPSLEY Otolaryngology 703 JUTHANI-MEHTA, MANISHA Infectious Disease 704 KADAN-LOTTICK, NINA S Hematology/oncology 705 KAHLE, KRISTOPHER Neurosurgery 706 KALIANNAN, KRITHICA Diagnostic radiology 707 KALLEN, AMANDA NICOLE Obstetrics/gynecology 708 KAMINSKI, NAFTALI Pulmonary disease/Critical care medicine (intensivists) 709 KAML, GARY Critical care medicine (intensivists) 710 KANAPARTHY, SRI SMITHA Anesthesiology 711 KANDIL, SARAH Critical care medicine (intensivists) 712 KANG, ANGELA General Practice 713 KANG, INSOO Rheumatology 714 KAPEL, ROBERT C Gastroenterology 715 KAPO, JENNIFER M Hospice and palliative care 716 KARIMI, MOHSEN General Surgery 717 KARNIK, RUCHIKA Cardiovascular disease (cardiology) 718 KARSIF, BRIAN Obstetrics/gynecology 719 KASHGARIAN, MICHAEL Pathology 720 KATOCH, ANAMIKA Medical oncology

Group Practice Reporting Page 17 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 721 KATZ, LEE D Diagnostic radiology 722 KATZ, MARTIN E Medical oncology 723 KATZ, RACHEL B Psychiatry 724 KATZ, SAMUEL G Pathology 725 KAUMP, RANDALL B. Obstetrics/gynecology 726 KAZA, RAVI Obstetrics/gynecology 727 KAZMIERCZAK, BARBARA I Infectious Disease 728 KELLEHER JR., MICHAEL Diagnostic radiology 729 KELLNER, DANIEL S Urology 730 KELLY, BARBARA A Pediatric medicine 731 KEMPTON, JAMES E Ophthalmology 732 KENNEY, PATRICK A Urology 733 KENT, RISA H Diagnostic radiology 734 KERNAN JR, WALTER N Primary Care 735 KETNER JR, DAVID SCOTT Ophthalmology 736 KEUNG, BENISON H Neurology 737 KHAN, SAJID A Surgical Oncology 738 KHAN, SHAUKAT A Psychiatry (geriatric) 739 KHOKHA, MUSTAFA K Critical care medicine (intensivists) 740 KHOKHAR, BABAR Neurology 741 KIBBEY, RICHARD G Endocrinology 742 KIDWAI, WAJIH ZAHEER Medical oncology 743 KILLAM, JONATHAN Diagnostic radiology 744 KILLELEA, BRIGID KELLEY Surgical Oncology 745 KIM, HYUN S Interventional radiology 746 KIM, JENNIFER Diagnostic radiology 747 KIM, JOSEPH W Medical oncology 748 KIM, JUNG H Pathology 749 KIM, PETER L Neurology 750 KIM, TAE KON Hematology 751 KIM, YOUNG CHOI Pathology 752 KING, BRETT ANDREW Dermatology 753 KING, ROBERT A Psychiatry 754 KINNEY, DANIEL Anesthesiology 755 KIRSCH, JONATHAN D Diagnostic radiology 756 KLEMEN, NICHOLAS DONALD General surgery 757 KLIMAN, HARVEY J Obstetrics/gynecology 758 KLINGENSMITH, KATHERINE Psychiatry 759 KLUGER, HARRIET M Medical oncology 760 KNAUERT, MELISSA PAULINE Pulmonary disease/Critical care medicine (intensivists) 761 KNIGHT, HERBERT Pulmonary disease/Critical care medicine (intensivists) 762 KNIGHT, VINITA MISRA Neurology 763 KNOBELMAN, RICHARD A Diagnostic radiology 764 KNOWLTON, ARTHUR H Radiation oncology 765 KNOWLTON, CHRISTIN A Radiation oncology 766 KO, ALBERT I Infectious Disease 767 KO, CHRISTINE J Pathology 768 KODAMAN, PINAR HATICE Obstetrics/gynecology

Group Practice Reporting Page 18 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 769 KOFF, JONATHAN Pulmonary disease/Critical care medicine (intensivists) 770 KOHARI, KATHERINE SHISTER Obstetrics/gynecology 771 KOHLI, ANITA A NULL 772 KOLB, LUIS ENRIQUE Neurosurgery 773 KOLE, LAUREN CLAIRE SMITH Dermatology 774 KOMBO, NINANI Ophthalmology 775 KOO, BRIAN B Neurology 776 KOPEL, DAWN R.W. Obstetrics/gynecology 777 KOPF, GARY S Thoracic Surgery 778 KORAL, ALEXANDER Gastroenterology 779 KORTMANSKY, JEREMY Medical oncology 780 KOSLOSKY, KOURTNEY JARRELL Psychiatry 781 KOUMPOURAS, FOTIOS Rheumatology 782 KOVACEVIC, DAVID Orthopedic surgery 783 KOVAR, JEFFREY Emergency medicine 784 KOWALSKI, DIANE P Pathology 785 KOZAL, MICHAEL J Infectious Disease 786 KRAUSE, DIANE S Hematology 787 KRIEGEL, MARTIN Rheumatology 788 KRUGER, NATHAN A Cardiovascular disease (cardiology) 789 KRUMHOLZ, HARLAN M Cardiovascular disease (cardiology) 790 KRYGER, MEIR Pulmonary disease/Critical care medicine (intensivists) 791 KULKARNI, SANJAY General Surgery 792 KULON, MICHAL E Nuclear medicine 793 KUMAR, CHANDRIKA S Geriatric medicine 794 KUPFER, GARY M Hematology/oncology 795 KURUP, VIJI J Anesthesiology 796 KURUVILLA, DEENA Neurology 797 KWON, SOO HYUN Pediatric medicine 798 LAB, YALE MEDICAL GROUP Pathology 799 LABIB, KRISTY Anesthesiology 800 LACY, JILL Medical oncology 801 LAGASSE, ROBERT S Anesthesiology 802 LAKHANI, SAQUIB ALI Critical care medicine (intensivists) 803 LAMBERT, SARAH MARIE Urology 804 LAMPERT, RACHEL J Cardiovascular disease (cardiology) 805 LAN, VICTOR J Anesthesiology 806 LANDRY, MARIE L. Pathology 807 LANE, EDWARD MICHAEL Otolaryngology 808 LANGBERG, KARL M Internal medicine 809 LANGHAN, MELISSA L Emergency medicine 810 LANNIN, DONALD ROWE Surgical Oncology 811 LANSKY, ALEXANDRA Cardiovascular disease (cardiology) 812 LASALA, JOHANNA Medical oncology 813 LASKIN, WILLIAM Pathology 814 LATICH, IGOR Interventional radiology 815 LAURANS, MAXWELL SCOTT Neurosurgery 816 LEAPMAN, MICHAEL S Urology

Group Practice Reporting Page 19 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 817 LECKMAN, JAMES F Psychiatry 818 LEE, ALFRED I Hematology 819 LEE, FORRESTER A Cardiovascular disease (cardiology) 820 LEE, FRANCIS Y Medical oncology 821 LEE, GRACE S. Endocrinology 822 LEE, HO CHANG Geriatric medicine 823 LEE, PATTY J Pulmonary disease/Critical care medicine (intensivists) 824 LEE, YAN HO Otolaryngology 825 LEFFELL, DAVID J Dermatology 826 LEFKOWITZ, RAFAEL Occupational Therapy 827 LEONOVA, MARIA Anesthesiology 828 LESLIE, MICHAEL PATRICK Critical care medicine (intensivists) 829 LEVENTHAL, JOHN M Pediatric medicine 830 LEVENTHAL, JONATHAN S Dermatology 831 LEVESQUE, PAUL H Diagnostic radiology 832 LEVI, ANGELIQUE W Pathology 833 LEVINSON, MICHAEL I Diagnostic radiology 834 LEVINSONR, MICHAEL Diagnostic radiology 835 LEVIT, ORLY LUMINITA Pediatric medicine 836 LEVY, LAUREN Dermatology 837 LEVY, SUSAN R Neurosurgery 838 LEWIS, ALAN Psychiatry 839 LI, JINLEI Anesthesiology 840 LI, TING Cardiovascular disease (cardiology) 841 LIAPAKIS, ANNMARIE Gastroenterology 842 LICHTOR, J LANCE Anesthesiology 843 LILENBAUM, ROGERIO CEZAR Medical oncology 844 LIM, ILYA Dermatology 845 LIM, JOSEPH KAR-TAIK Gastroenterology 846 LIM, RENELLE POINTDUJOUR Ophthalmology 847 LIM, SU HSIEN Medical oncology 848 LIMA, DAVID M Obstetrics/gynecology 849 LIN, BEN A. Cardiovascular disease (cardiology) 850 LINDE, BRIAN J General Practice 851 LINDSKOG, DIETER M Medical oncology 852 LIPKIND, HEATHER Obstetrics/gynecology 853 LIPSKA, KASIA J Endocrinology 854 LISCHUK, ANDREW WALTER Diagnostic radiology 855 LITKOUHI, BABAK Gynecological oncology 856 LIU, JI Ophthalmology 857 LIU, RACHEL Emergency medicine 858 LLOR, XAVIER Gastroenterology 859 LOBO, ANA MARIA Anesthesiology 860 LOBO, FRANCIS M Allergy/immunology 861 LOMBARDO, DANIEL Anesthesiology 862 LOMBO LIEVANO, BERNARDO Cardiovascular disease (cardiology) 863 LOMBROSO, PAUL J Psychiatry 864 LONE, NAHEED A Anesthesiology

Group Practice Reporting Page 20 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 865 LONG, THEODORE GEORGIAN General Practice 866 LONGBRAKE, ERIN ELIZABETH Infectious Disease 867 LONGO, WALTER E General Surgery 868 LONGTINE, JANINA ANN Pathology 869 LOOMIS, CAITLIN Neurosurgery 870 LOPEZ GONZALEZ, FELIPE Pulmonary disease/Critical care medicine (intensivists) 871 LOPEZ-COHEN, GWENDOLYN L. Psychiatry 872 LORUSSO, PATRICIA MUCCI Medical oncology 873 LOSCALZO, CHRISTOPHER P. Cardiovascular disease (cardiology) 874 LOUIS, ELAN DANIEL Neurology 875 LOYAL, JASPREET Pediatric medicine 876 LUCIANO, RANDY Nephrology 877 LUI, FELIX YUEHON Critical care medicine (intensivists) 878 LUPSA, BEATRICE C Endocrinology 879 MAERZ, LINDA L Critical care medicine (intensivists) 880 MAGRIPLES, URANIA Obstetrics/gynecology 881 MAHAJAN, AMIT Diagnostic radiology 882 MAHER, MARYGREY Urology 883 MAK, WINIFRED Obstetrics/gynecology 884 MAKHANI, NAILA Neurology 885 MAKKOUK, FUAD Ophthalmology 886 MAKSIMOWSKI, KAROLINA Pediatric medicine 887 MALEFATTO, JERRY P Medical oncology 888 MALHOTRA, AJAY Diagnostic radiology 889 MALIK, ADNAN Anesthesiology 890 MALINIS, MARICAR FRANCISCO Infectious Disease 891 MALM, BRIAN J Cardiovascular disease (cardiology) 892 MALOY, BETH L Obstetrics/gynecology 893 MANCINI, PETER ANTHONY Anesthesiology 894 MANES, RICHARD PETER Otolaryngology 895 MANGI, ABEEL A. Thoracic Surgery 896 MANI, ARYA Cardiovascular disease (cardiology) 897 MARACHI, JEAN PAUL Psychiatry 898 MARANDO, ROCCO Anesthesiology 899 MARCOLINI, EVADNE G Emergency medicine 900 MARIN, ETHAN Nephrology 901 MARKS, ASHER Hematology/oncology 902 MARLATT, SUSAN W Diagnostic radiology 903 MAROTTOLI, RICHARD A Geriatric medicine 904 MARSHALL, PETER S Pulmonary disease/Critical care medicine (intensivists) 905 MARTIN, ANDRES S Psychiatry 906 MARTIN, THOMAS V. Urology 907 MARTINELLO, RICHARD ANTHONY Infectious Disease 908 MASIUKIEWICZ, URSZULA Endocrinology 909 MASOUD, AMIR Gastroenterology 910 MASSARO, STEPHANIE Hematology/oncology 911 MATEI, VERONICA ANA Anesthesiology 912 MATHUR, MAHAN Diagnostic radiology

Group Practice Reporting Page 21 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 913 MATOS SANTANA, TEOFILO ENRIQUE Psychiatry 914 MATOUK, CHARLES CHRISTIAN Neurosurgery 915 MATTHAY, RICHARD A Pulmonary disease/Critical care medicine (intensivists) 916 MATTSON, RICHARD H Neurosurgery 917 MAUNG, ADRIAN ANTHONY Critical care medicine (intensivists) 918 MAYERSON, ADAM B Endocrinology 919 MAYES, LINDA C Psychiatry 920 MCCANN, THOMAS EDWARD Diagnostic radiology 921 MCCARTHY, JOHN G. Anesthesiology 922 MCCARTHY, PAUL L Pediatric medicine 923 MCCARTY, THOMAS General Practice 924 MCCAULEY, THOMAS R Diagnostic radiology 925 MCCLOSKEY, GERARD F Anesthesiology 926 MCGIBBON, BRUCE ANDREW Radiation oncology 927 MCGRATH, JAMES M Pathology 928 MCKENZIE, KATHERINE C General Practice 929 MCLEAN, ROBERT M Rheumatology 930 MCNAMARA, JOSEPH MICHAEL Hematology/oncology 931 MCNAMARA, ROBERT Cardiovascular disease (cardiology) 932 MCNIFF, JENNIFER MADISON Pathology 933 MCVICAR, KATHRYN ANNE Neurology 934 MEADOWS, JUDITH L Cardiovascular disease (cardiology) 935 MECCA, ADAM Psychiatry 936 MEDVECKY, MICHAEL J Sports medicine 937 MEEKS, PHILIP M Anesthesiology 938 MEHAL, WAJAHAT Z Gastroenterology 939 MEHLHAFF, KRISTA MAREE Obstetrics/gynecology 940 MEHRA, SARAL Otolaryngology 941 MELNICK, EDWARD ROBERT Emergency medicine 942 MENA-HURTADO, CARLOS I Cardiovascular disease (cardiology) 943 MENDERES, GULDEN Gynecological oncology 944 MENG, LINGZHONG Anesthesiology 945 MENT, LAURA ROWE Neurology 946 MEOLI, ELISE Cardiovascular disease (cardiology) 947 MERCURIO, MARK R Pediatric medicine 948 MERRIAM, AUDREY Obstetrics/gynecology 949 MESSINA, ROBERT D Diagnostic radiology 950 MEYER, JAIMIE P. Infectious Disease 951 MEZRICH, JONATHAN Diagnostic radiology 952 MICHAELIDES, ELIAS M Otolaryngology 953 MIKHAEL, HOSNI M Anesthesiology 954 MILLARD, HUN Psychiatry 955 MILLER JR, I GEORGE Infectious Disease 956 MILLER, CINDY R Diagnostic radiology 957 MILLER, EDWARD J Cardiovascular disease (cardiology) 958 MILSTONE, LEONARD M Dermatology 959 MINER, BRIENNE Geriatric medicine 960 MINJA, FRANK JAPHET Diagnostic radiology

Group Practice Reporting Page 22 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 961 MIRZA, NADEEM Anesthesiology 962 MISHRA, VIJAYENDRA Anesthesiology 963 MISTRY, PRAMOD K Gastroenterology 964 MIZE, CAROLYN MCGANN Critical care medicine (intensivists) 965 MOBLEY, RENEE Pediatric medicine 966 MOECKEL, GILBERT Pathology 967 MOELLER, JEREMY J Neurosurgery 968 MOHAMED, BETHANN A Emergency medicine 969 MOHAMED, KHALED I Psychiatry 970 MOHSENIN, VAHID Pulmonary disease/Critical care medicine (intensivists) 971 MOJIBIAN, HAMID R Interventional radiology 972 MOLEDINA, DENNIS Nephrology 973 MOLITERNO GUNEL, JENNIFER Neurosurgery 974 MONICO, EDWARD P Emergency medicine 975 MONTGOMERY, ANGELA Pediatric medicine 976 MOORE, CHRISTOPHER Emergency medicine 977 MOORE, DANIEL C Psychiatry 978 MOR, AMIR Obstetrics/gynecology 979 MORENO, CLAUDIA Psychiatry 980 MORFORD, KENNETH General Practice 981 MORIARTY, JOHN P General Practice 982 MOROTTI, RAFFAELLA Pathology 983 MORRISON, LAURA J Hospice and palliative care 984 MORROW, JON S Pathology 985 MORTON, CHRISTOPHER General Practice 986 MOSCARELLI, RICHARD D. Obstetrics/gynecology 987 MOSCOVITZ, HARRY Emergency medicine 988 MOSKOWITZ, NANCY NULL 989 MOTAMEDINIA, PIRUZ Urology 990 MOUGALIAN, SARAH S Medical oncology 991 MOWAFI, HANI O Emergency medicine 992 MUCH, MELISSA ANNE Pathology 993 MUKHERJEE, SANDIP K Cardiovascular disease (cardiology) 994 MULLIGAN, DAVID C General Surgery 995 MUNIRAJ, THIRUVENGADAM Gastroenterology 996 MURRAY, MARY E Obstetrics/gynecology 997 MUVVALA, SRINIVAS BABU Psychiatry 998 MUZUMDAR, MANDAR D Medical oncology 999 MYERS, ELIZA H Pediatric medicine 1000 MYSLAJEK, TORI MISTY Anesthesiology 1001 MYUNG, PEGGY Pathology 1002 NADELMANN, JEREMY I. Cardiovascular disease (cardiology) 1003 NADZAM, GEOFFREY General Surgery 1004 NAGAR, ANIL B Gastroenterology 1005 NAGPAL, SAMEER General Practice 1006 NALBANTOGLU, ILKE Pathology 1007 NALLU, LOREN A Pediatric medicine 1008 NARAYAN, DEEPAK Plastic and reconstructive surgery

Group Practice Reporting Page 23 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1009 NASH, IRWIN Pathology 1010 NASSIRI, NAIEM Vascular surgery 1011 NATHANSON, MICHAEL H Gastroenterology 1012 NAVARATNAM, DHASAKUMAR S Neurology 1013 NEGI, MASARU Obstetrics/gynecology 1014 NEPARIDZE, NATALIA Hematology 1015 NEWTON, MANYA F Emergency medicine 1016 NGARUIYA, CHRISTINE Emergency medicine 1017 NGUYEN, KHANH T Medical oncology 1018 NIEDELMAN, ADAM F Cardiovascular disease (cardiology) 1019 NJEI, BASILE M Gastroenterology 1020 NO PCP Pediatric medicine 1021 NOSKA, RYAN MICHAEL Anesthesiology 1022 NOTARIANNI, ANDREW PHILIP Anesthesiology 1023 NOTO, CHRISTOPHER JOHN Anesthesiology 1024 NOVELLA, STEVEN P Neurology 1025 NOVICK, GARY S Diagnostic radiology 1026 NOVICKI, DAVID C Orthopedic surgery 1027 NOWAK, RICHARD JOSEPH Neurology 1028 NOZETZ, ERIN A. Pediatric medicine 1029 NUDEL, RON Cardiovascular disease (cardiology) 1030 NWANYANWU, KRISTEN Ophthalmology 1031 OCHOA CHAAR, CASSIUS IYAD N Vascular surgery 1032 O'CONNOR, JEREMY M Internal medicine 1033 O'CONNOR, KAITLIN ANN Obstetrics/gynecology 1034 OCONNOR, MARY IRENE Orthopedic surgery 1035 O'CONNOR, PATRICK GERARD General Practice 1036 ODELL, IAN D Dermatology 1037 OEN-HSIAO, JOYCE Cardiovascular disease (cardiology) 1038 OGBUAGU, ONYEMA EBERECHUKWU Infectious Disease 1039 OH, ANDREW Emergency medicine 1040 OLDFIELD, BENJAMIN J Pediatric medicine 1041 OLDHAM, MARK ALAN Psychiatry 1042 OLESKEY, CHRISTOPHER Psychiatry 1043 OLIVA, ISABEL Diagnostic radiology 1044 OLIVEIRA, CARLOS R Infectious Disease 1045 OLIVEIRA, KRISTIN DEANNE Critical care medicine (intensivists) 1046 OLIVER, JODI-ANN MONIQUE Anesthesiology 1047 OLIVER, LORI-ANN Anesthesiology 1048 OMAY, SACIT BULENT Neurosurgery 1049 ONIBOKUN, OLUWATOSIN Obstetrics/gynecology 1050 OPREA, ADRIANA DANA Anesthesiology 1051 ORAY-SCHROM, PINAR General Practice 1052 ORELL, JEFFREY A. Medical oncology 1053 ORION, KRISTINE CLODFELTER Vascular surgery 1054 OSBORN, HEATHER Otolaryngology 1055 OSSEO-ASARE, ABA General Practice 1056 OSTROFF, ROBERT B Psychiatry

Group Practice Reporting Page 24 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1057 OUELLET, JENNIFER Geriatric medicine 1058 OZGEDIZ, DORUK ERMAN General Surgery 1059 PAHADE, JAY K. Diagnostic radiology 1060 PAIDAS, MICHAEL JOHN Obstetrics/gynecology 1061 PAINTSIL, ELIJAH Infectious Disease 1062 PAL, LUBNA Obstetrics/gynecology 1063 PALVINSKAYA, TATSIANA Pulmonary disease/Critical care medicine (intensivists) 1064 PAN, JEFFREY Anesthesiology 1065 PANISELLO, JOSE MANUEL Critical care medicine (intensivists) 1066 PAPSUN, ALICE G General Practice 1067 PARIKH, CHIRAG R Nephrology 1068 PARIKH, SUNIL Infectious Disease 1069 PARK, HENRY SOO-MIN Radiation oncology 1070 PARK, TRISTEN S Surgical Oncology 1071 PARKASH, VINITA Pathology 1072 PARKER, TERRI L. Hematology 1073 PARSONS, STEPHEN FREDERICK Critical care medicine (intensivists) 1074 PARWANI, VIVEK Emergency medicine 1075 PASHANKAR, DINESH Gastroenterology 1076 PASHANKAR, FARZANA D Hematology/oncology 1077 PASSARELLI, JAMES F. General Surgery 1078 PASSARELLI, MARIANNE Urology 1079 PATEL, ABHIJIT A Radiation oncology 1080 PATEL, AMAR Neurology 1081 PATEL, ANISHA D Endocrinology 1082 PATEL, KIRTESH R Radiation oncology 1083 PATEL, PAYAL B Neurology 1084 PATEL, RONAK Diagnostic radiology 1085 PATHY, SHEFALI RAM Obstetrics/gynecology 1086 PATRIZIO, PASQUALE Obstetrics/gynecology 1087 PATWA, HUNED S Neurology 1088 PAVLOVIC, LISA R Pediatric medicine 1089 PAXTON, HEATHER L Psychiatry 1090 PEAPER, DAVID RYAN Pathology 1091 PEI, KEVIN Y Critical care medicine (intensivists) 1092 PEIXOTO, ALDO J Nephrology 1093 PELKER, RICHARD R Orthopedic surgery 1094 PELS, SALLEY GIBNEY Hematology/oncology 1095 PENSA, MELLISA A Internal medicine 1096 PENSAK, MEREDITH JENNY Obstetrics/gynecology 1097 PERAZELLA, MARK A Nephrology 1098 PERESE, FRANCISCO CIGARROA Anesthesiology 1099 PEREZ LOZADA, JUAN CARLOS Interventional radiology 1100 PERINCHERI, SUDHIR Pathology 1101 PERRY, JULIA General Practice 1102 PERSICO, JUSTIN Medical oncology 1103 PERSING, JOHN A Plastic and reconstructive surgery 1104 PETER, PATRICIA Endocrinology

Group Practice Reporting Page 25 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1105 PETEREC, STEVEN MARK Pediatric medicine 1106 PETERSEN, NILS H Neurology 1107 PETERSEN-CRAIR, PAMELA JEAN Psychiatry 1108 PETROFF, OGNEN A Neurosurgery 1109 PETRUCCELLI, MARIANNE R Diagnostic radiology 1110 PETRUCCI, DEBRA A Neurosurgery 1111 PETRUCELLIR, MARIANNE S Diagnostic radiology 1112 PETRYLAK, DANIEL Medical oncology 1113 PETTKER, CHRISTIAN MICHAEL Obstetrics/gynecology 1114 PFAU, STEVEN Cardiovascular disease (cardiology) 1115 PHATAK, UMA PADHYE Gastroenterology 1116 PHILPOTTS, LIANE E Diagnostic radiology 1117 PIEPMEIER, JOSEPH M Neurosurgery 1118 PIERCE, RICHARD Critical care medicine (intensivists) 1119 PILLAI, MANOJ Hematology 1120 PINAR, AYDIN UZUN Pulmonary disease/Critical care medicine (intensivists) 1121 PINTER, EMESE Pediatric medicine 1122 PINTO, MARGUERITE M Pathology 1123 PISANI, MARGARET ANN Pulmonary disease/Critical care medicine (intensivists) 1124 PITT, DAVID Neurology 1125 PITTENGER, CHRISTOPHER J. Psychiatry 1126 PIWNICA-WORMS, KATHERINE E Critical care medicine (intensivists) 1127 PLATNER, MARISSA Obstetrics/gynecology 1128 PLAVEC, MARTIN Cardiovascular disease (cardiology) 1129 PLISIC, LJILJANA Obstetrics/gynecology 1130 PODOLTSEV, NIKOLAI ALEXANDROVICH Hematology 1131 POLAN, MARY L Obstetrics/gynecology 1132 POLLAK, JEFFREY S Interventional radiology 1133 PONCIN, YANN B Psychiatry 1134 POPESCU, WANDA M Anesthesiology 1135 PORTMAN, GERALD Urology 1136 PORTO, ANTHONY F. Gastroenterology 1137 POSNER, MELISSA Pediatric medicine 1138 POSSICK, JENNIFER DYAN Pulmonary disease/Critical care medicine (intensivists) 1139 POSSICK, STEPHEN ELIOT Cardiovascular disease (cardiology) 1140 POWERS, EMILY Pediatric medicine 1141 POWSNER, SETH M Psychiatry 1142 PRABHU, MAYA Psychiatry 1143 PRASAD, MANJU Pathology 1144 PREBET, THOMAS Hematology 1145 PRESSMAN, MARTIN M. Orthopedic surgery 1146 PRICE, CHRISTINA C Allergy/immunology 1147 PRICE, DANIEL THOMAS Cardiovascular disease (cardiology) 1148 PRINGLE, REBECCA Obstetrics/gynecology 1149 PRIYANK, KUMAR Internal medicine 1150 PROCTOR, DEBORAH Gastroenterology 1151 PRONOVOST, MARY T Surgical Oncology 1152 PUCAR, DARKO Nuclear medicine

Group Practice Reporting Page 26 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1153 PUCHALSKI, JONATHAN T Pulmonary disease/Critical care medicine (intensivists) 1154 PUGLISI, LISA BALZANO General Practice 1155 PUNJALA, MAMATHA Anesthesiology 1156 PUSZTAI, LAJOS Medical oncology 1157 PUTNAM, ANDREW TYLER Hospice and palliative care 1158 PYLE, ALAINA Pediatric medicine 1159 QUAGLIARELLO, VINCENT J Infectious Disease 1160 QURAISHI, IMRAN HABIB Neurosurgery 1161 QURESHI, YAHYA Internal medicine 1162 RABIN, TRACY L General Practice 1163 RADOFF, ALAN M Cardiovascular disease (cardiology) 1164 RAGHU, MADHAVI Diagnostic radiology 1165 RAJPUT, KANISHKA Anesthesiology 1166 RAMACHANDRAN, SARIKA MANOJ Dermatology 1167 RAMBUS, CAROLYN Emergency medicine 1168 RAMPAL, NISHI Neurosurgery 1169 RAO, ANITHA KAMATH Pathology 1170 RAO, BALAJI Diagnostic radiology 1171 RAO, SHILPA Anesthesiology 1172 RASTEGAR, ASGHAR Nephrology 1173 RATNER, ELENA S Gynecological oncology 1174 RAVI, SHASHANK Emergency medicine 1175 RAVSKI, NORMAN A. Obstetrics/gynecology 1176 RAZO-VASQUEZ, ANDRES OSWALDO Anesthesiology 1177 REACH JR, JOHN STEPHEN Orthopedic surgery 1178 REDDY, VIKRAM B General Surgery 1179 REDLICH, CARRIE A Occupational Therapy 1180 REEL, MICHAEL STEPHEN Obstetrics/gynecology 1181 REGAN, CHRISTOPHER JENNINGS Cardiovascular disease (cardiology) 1182 REGUERO HERNANDEZ, JORGE LUIS General Surgery 1183 REISENBICHLER, EMILY SUZANNE Pathology 1184 REMETZ, MICHAEL S Cardiovascular disease (cardiology) 1185 REVKIN, JAMES H Cardiovascular disease (cardiology) 1186 REVZIN, MARGARITA V Diagnostic radiology 1187 RICCIO, GIOIA JO Diagnostic radiology 1188 RICHARDS, BRADLEY General Practice 1189 RICHMAN, ILANA B Internal medicine 1190 RICHMAN, SUSAN M. Obstetrics/gynecology 1191 RICKEY, LESLIE M Urology 1192 RIERA, ANTONIO Emergency medicine 1193 RIMM, DAVID L Pathology 1194 RINDER, HENRY M Pathology 1195 ROBAKIS, DAPHNE Neurology 1196 ROBERT, MARIE EMMA Pathology 1197 ROBERTS, JOHN D Medical oncology 1198 ROBERTS, KENNETH B Radiation oncology 1199 ROBERTS, KURT General Surgery 1200 ROBINSON, CEMRE Endocrinology

Group Practice Reporting Page 27 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1201 ROCHESTER, CAROLYN L Pulmonary disease/Critical care medicine (intensivists) 1202 ROCK, IRA G Anesthesiology 1203 ROCKLIN, DONALD M. Cardiovascular disease (cardiology) 1204 RODRIGUEZ, ALEXIS LUZ Pediatric medicine 1205 ROMERO, ROBBY M Anesthesiology 1206 ROSASCO, SARAH LYLA Diagnostic radiology 1207 ROSE, MARGARET J Anesthesiology 1208 ROSEN, DANYA J Gastroenterology 1209 ROSEN, MARC L Physical medicine and rehabilitation 1210 ROSENBAUM, JULIE ROTHSTEIN General Practice 1211 ROSENBAUM, STANLEY H Anesthesiology 1212 ROSENBLATT, WILLIAM H Anesthesiology 1213 ROSENFELD, LYNDA E Cardiovascular disease (cardiology) 1214 ROSENTHAL, MARJORIE S Pediatric medicine 1215 ROSOFF, JAMES S Urology 1216 ROSS, JOSEPH S General Practice 1217 ROWE, ERIN ELIZABETH Pediatric medicine 1218 ROY, BHASKAR Neurology 1219 ROY, BRITA General Practice 1220 RUBIN, LEE E Orthopedic surgery 1221 RUBIN, PHILIP Anesthesiology 1222 RUBINOWITZ, AMI N Diagnostic radiology 1223 RUDISON, DIONNE Anesthesiology 1224 RUSK, ALICE Neurology 1225 RUSKIS, ALAN F Anesthesiology 1226 RUSSI, MARK B. Occupational Therapy 1227 RUSSO, GREGORY K Diagnostic radiology 1228 RYAN, SHERYL A Pediatric medicine 1229 RYU, CHANGWAN Pulmonary disease/Critical care medicine (intensivists) 1230 SABBATH, KERT Medical oncology 1231 SACHAR, HAMITA Gastroenterology 1232 SADEGHI, MEHRAN M Cardiovascular disease (cardiology) 1233 SAFDAR, BASMAH Emergency medicine 1234 SAGNELLA, CHAD Emergency medicine 1235 SAKHAROVA, OLGA V Endocrinology 1236 SALARDINI, ARASH Geriatric medicine 1237 SALEM, RONALD R Surgical Oncology 1238 SALY, DANIELLE General Practice 1239 SAMARTINE, SILVANO NULL 1240 SAMARTINER, SILVANO R Diagnostic radiology 1241 SAMUEL, JOHN C Pediatric medicine 1242 SAMUELS, ELIZABETH ANNE Emergency medicine 1243 SANCHEZ DE LA CRUZ, MAYRA JANET Gastroenterology 1244 SANDERS, LISA General Practice 1245 SANFT, TARA B Medical oncology 1246 SANKEY, CHRISTOPHER BRANT General Practice 1247 SANSING, LAUREN H Neurology 1248 SANTIN, ALESSANDRO Gynecological oncology

Group Practice Reporting Page 28 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1249 SANTUCCI, KAREN A Emergency medicine 1250 SAPERSTEIN, LAWRENCE Nuclear medicine 1251 SARAC, TIMUR P Vascular surgery 1252 SASAKI, CLARENCE T Otolaryngology 1253 SATHER, JOHN EARL Emergency medicine 1254 SAULER, MAOR Z. Pulmonary disease/Critical care medicine (intensivists) 1255 SAVUR MORAN, MEENA Radiation oncology 1256 SAWH MARTINEZ, RAJENDRA FERNANDO Plastic and reconstructive surgery 1257 SCHILSKY, MICHAEL Gastroenterology 1258 SCHINDLER, JOSEPH LAURENCE Neurosurgery 1259 SCHLACHTER, TODD Interventional radiology 1260 SCHNEIDER, JONATHAN A Anesthesiology 1261 SCHOEN, ROBERT T Rheumatology 1262 SCHONBERGER, ROBERT Anesthesiology 1263 SCHULAM, PETER Urology 1264 SCHULTEN, CHRISTOPHER Anesthesiology 1265 SCHULTEN, RICHARD Anesthesiology 1266 SCHUSTER, KEVIN M Critical care medicine (intensivists) 1267 SCHWARTZ, IAN P Emergency medicine 1268 SCHWARTZ, JEFFREY J Anesthesiology 1269 SCHWARTZ, JEREMY IAN General Practice 1270 SCHWARTZ, PETER E Gynecological oncology 1271 SCOTT, JAMES L Psychiatry (geriatric) 1272 SCOUTT, LESLIE MILLAR Diagnostic radiology 1273 SEIFER, DAVID B Obstetrics/gynecology 1274 SELI, EMRE U Obstetrics/gynecology 1275 SELTZER, ARTHUR O. Cardiovascular disease (cardiology) 1276 SELTZER, JEFFREY P Cardiovascular disease (cardiology) 1277 SELVAM, ANAND Emergency medicine 1278 SEROPIAN, STUART Hematology 1279 SETARO, JOHN F Cardiovascular disease (cardiology) 1280 SETH, ABHINAV Rheumatology 1281 SETHI, AISHA Dermatology 1282 SFAKIANAKI, ANNA KATERINA Obstetrics/gynecology 1283 SHAH, NIKETA C Hematology/oncology 1284 SHAKIR, OMAR RAZZAQUE Ophthalmology 1285 SHAPIRO, EUGENE D Infectious Disease 1286 SHAPIRO, MARC J Emergency medicine 1287 SHARIFI, MAHNOOSH Pediatric medicine 1288 SHARKEY, MELINDA S Orthopedic surgery 1289 SHAW, ALBERT C Infectious Disease 1290 SHAYWITZ, BENNETT A Neurology 1291 SHAYWITZ, SALLY E Neurology 1292 SHEEHAN, JULIANN WILLIAMS Pediatric medicine 1293 SHEIMAN, LAURA Diagnostic radiology 1294 SHELLEY, KIRK H Anesthesiology 1295 SHENOI, SHEELA Infectious Disease 1296 SHEPHERD, JAMES CHRISTOPHER Infectious Disease

Group Practice Reporting Page 29 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1297 SHERMAN, JODI D Anesthesiology 1298 SHERR, JENNIFER LYNN Endocrinology 1299 SHERWIN, ROBERT S Endocrinology 1300 SHETH, KEVIN N Neurology 1301 SHETH, SANGINI S Obstetrics/gynecology 1302 SHIFFMAN, RICHARD N Pediatric medicine 1303 SHIH, JULIE Obstetrics/gynecology 1304 SHIH, VIVIAN C Physical medicine and rehabilitation 1305 SHIRALI, ANUSHREE Nephrology 1306 SHOOK, LYDIA Obstetrics/gynecology 1307 SHORE, RAYME LAUREN Obstetrics/gynecology 1308 SHUCH, BRIAN M Urology 1309 SHUE, ANN Ophthalmology 1310 SHULMAN, GERALD I Endocrinology 1311 SIDDON, ALEXA Pathology 1312 SIEBEL, STEPHAN Endocrinology 1313 SIEGEL, MARK D Pulmonary disease/Critical care medicine (intensivists) 1314 SIEW, LAWRENCE TSE Emergency medicine 1315 SILASI, DAN-ARIN Gynecological oncology 1316 SILASI, MICHELLE Obstetrics/gynecology 1317 SILBER, ANDREA L-M Medical oncology 1318 SILIN, DOUGLAS Interventional radiology 1319 SILVA, CICERO JOSE TORRES DE AMORIM Pediatric medicine 1320 SILVEIRA, MARINA G Gastroenterology 1321 SILVERMAN, DAVID G Anesthesiology 1322 SILVERSTONE, DAVID E. Ophthalmology 1323 SILVESTRI, DAVID M Emergency medicine 1324 SIMPSON, SAMANTHA GAYLE Obstetrics/gynecology 1325 SINARD, JOHN H Pathology 1326 SINER, JONATHAN Pulmonary disease/Critical care medicine (intensivists) 1327 SINGH, DINESH Urology 1328 SINUSAS, ALBERT J Cardiovascular disease (cardiology) 1329 SIVARAJU, ADITHYA Neurology 1330 SIVKIN, MIRIAM Obstetrics/gynecology 1331 SKLAR, JEFFREY LEWIS Pathology 1332 SLEDGE, WILLIAM Psychiatry 1333 SMITH, BRIAN G Orthopedic surgery 1334 SMITH, BRIAN RICHARD Hematology 1335 SMITH, JAMES DOUGLAS Nephrology 1336 SMITH, MARCELLA N General Practice 1337 SMITH, SAMANTHA Pediatric medicine 1338 SNYDER, EDWARD L Hematology 1339 SOARES, SARITA General Practice 1340 SOCCI, ADRIENNE RUTH Critical care medicine (intensivists) 1341 SOFAIR, ANDRE General Practice 1342 SOHRAB, MAHSA AVA Ophthalmology 1343 SOLOMON, DANIEL G. General Surgery 1344 SOMA, GAUTHAMI Critical care medicine (intensivists)

Group Practice Reporting Page 30 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1345 SOMLO, STEFAN Nephrology 1346 SONDERGAARD, KAREN Psychiatry 1347 SOUCIER, RICHARD Cardiovascular disease (cardiology) 1348 SOUFER, AARON General Practice 1349 SPATZ, ERICA SARAH Cardiovascular disease (cardiology) 1350 SPEKTOR, MICHAEL Diagnostic radiology 1351 SPENCER, DENNIS D Neurosurgery 1352 SPENCER-MANZON, MICHELE Pathology 1353 SPERANZA, MUSA L Obstetrics/gynecology 1354 SPRENKLE, PRESTON C Urology 1355 SPRINGER, SANDRA ANN Infectious Disease 1356 SPUDICH, SERENA SUSAN Infectious Disease 1357 SRAMCIK, JULIE L Anesthesiology 1358 SRESHTA, NEIL NOEL Emergency medicine 1359 STAHL, MAXIMILLIAN General Practice 1360 STAIR, BRAD RYAN Cardiovascular disease (cardiology) 1361 STANWOOD, NANCY Obstetrics/gynecology 1362 STEIN, STACEY M Medical oncology 1363 STEINBACHER, DEREK MATTHEW Plastic and reconstructive surgery 1364 STERN, HARVEY Anesthesiology 1365 STITELMAN, DAVID General Surgery 1366 STOESSEL, KATHLEEN MARY Ophthalmology 1367 STOLL, SHARON S Neurology 1368 STOUT, ROBERT G Anesthesiology 1369 STRANSKY, MARTIN J. Neurology 1370 STRAZZABOSCO, MARIO Gastroenterology 1371 STRITTMATTER, STEPHEN M Geriatric medicine 1372 STRONG, ANN M. Obstetrics/gynecology 1373 STROUP, RALPH F Urology 1374 STUBBE, DOROTHY E Psychiatry 1375 SUAREZ, ALEJANDRO LEE Gastroenterology 1376 SUBTIL DEOLIVEIRA JR, ANTONIO Pathology 1377 SUDE, LESLIE E Pediatric medicine 1378 SUDIKOFF, STEPHANIE Critical care medicine (intensivists) 1379 SUGENG, LISSA Cardiovascular disease (cardiology) 1380 SUMPIO, BAUER E Vascular surgery 1381 SUOZZI, KATHLEEN COOK Dermatology 1382 SUTER, LISA G Rheumatology 1383 SUTTON, KAREN MICHELLE Sports medicine 1384 SUTTON, RICHARD Infectious Disease 1385 SWIDLER, MARK Hospice and palliative care 1386 SWIGART, CARRIE Orthopedic surgery 1387 SZABO, CHRISTOPHER Anesthesiology 1388 SZE, GORDON K Diagnostic radiology 1389 SZEKELY, ANNA M Neurology 1390 SZNOL, MARIO Medical oncology 1391 TADDEI, TAMAR H Gastroenterology 1392 TAKYAR, SEYEDTAGHI Pulmonary disease/Critical care medicine (intensivists)

Group Practice Reporting Page 31 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1393 TAL, RESHEF Obstetrics/gynecology 1394 TALSANIA, ASHITA DILIPKUMAR Medical oncology 1395 TALWALKAR, JAIDEEP S Pulmonary disease/Critical care medicine (intensivists) 1396 TAMBORLANE JR, WILLIAM V Endocrinology 1397 TANOUE, LYNN T Pulmonary disease/Critical care medicine (intensivists) 1398 TANTAWY, HOSSAM Anesthesiology 1399 TAO, JING Anesthesiology 1400 TARA, HAROLD H. Medical oncology 1401 TARABAR, AMERISA General Practice 1402 TARABAR, ASIM Emergency medicine 1403 TAYLOR, CAROLINE R Diagnostic radiology 1404 TAYLOR, HUGH S Obstetrics/gynecology 1405 TAYLOR, LAINE Psychiatry 1406 TAYLOR, RICHARD ANDREW Emergency medicine 1407 TEITELBAUM, JASON SCOTT Diagnostic radiology 1408 TEIXEIRA VILARINHO, SILVIA M Gastroenterology 1409 TENG, CHRISTOPHER C Ophthalmology 1410 TESTA, FRANCINE Neurosurgery 1411 TESTANI, JEFFREY MOORE Cardiovascular disease (cardiology) 1412 TETRAULT, JEANETTE General Practice 1413 THANDE, NJERI Cardiovascular disease (cardiology) 1414 THOMAS, DONNA-ANN Anesthesiology 1415 THOMAS, ROBBIN ZACHERY Diagnostic radiology 1416 THOMAS, SHEEJA Emergency medicine 1417 THOMASR, ROBBIN Diagnostic radiology 1418 THOMSON, J GRANT Plastic and reconstructive surgery 1419 TIFFORD, CRAIG Sports medicine 1420 TINAZ, AYSE SULE Neurology 1421 TINETTI, MARY E Geriatric medicine 1422 TIRADO, ANNA L. Obstetrics/gynecology 1423 TIYYAGURA, GUNJAN Emergency medicine 1424 TOBIAS, LAUREN A Pulmonary disease/Critical care medicine (intensivists) 1425 TOBIN, DANIEL G General Practice 1426 TOCINO, IRENA Diagnostic radiology 1427 TOLCHIN, BENJAMIN Neurosurgery 1428 TOMAK, PATRICK R. Neurosurgery 1429 TOMASSONI, ANTHONY J Emergency medicine 1430 TOMAYKO, MARY M Dermatology 1431 TONZOLA, DENISE Obstetrics/gynecology 1432 TOPAL, JEFFREY Infectious Disease 1433 TOPRAN, ERNEST A. Obstetrics/gynecology 1434 TORMEY, CHRISTOPHER A Pathology 1435 TORRES, RICHARD Hematology 1436 TOTONCHY, MARIAM Dermatology 1437 TRAN, DANIEL Anesthesiology 1438 TRIGO BLANCO, PAULA Anesthesiology 1439 TSAI, JUSTIN YAO LUN Anesthesiology 1440 TSYRULNIK, ALINA Emergency medicine

Group Practice Reporting Page 32 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1441 TUAKLI-WOSORNU, YETSA ADEBODUNDE Physical medicine and rehabilitation 1442 TUIS ELIZALDE, JIMENA Psychiatry 1443 TURNER, JEFFREY Nephrology 1444 ULRICH, ANDREW S Emergency medicine 1445 USMANI, ASHARUL Internal medicine 1446 VACA, FEDERICO E Emergency medicine 1447 VADIVELU, NALINI Anesthesiology 1448 VAEZY, ALI Pediatric medicine 1449 VALENTINO, PAMELA Gastroenterology 1450 VAN DEUSEN, TIMOTHY Psychiatry 1451 VAN DYCK, CHRISTOPHER H Psychiatry 1452 VAN NAME, MICHELLE ANNE Endocrinology 1453 VAN TONDER, REINIER J Emergency medicine 1454 VARTHI, ARYA Neurosurgery 1455 VASH-MARGITA, ALLA NULL 1456 VASQUEZ, JUAN Hematology/oncology 1457 VAZQUEZ, MARIETTA Infectious Disease 1458 VENDER, RONALD J Gastroenterology 1459 VENKATESH, ARJUN KRISHNA Emergency medicine 1460 VERGHESE, VINU Emergency medicine 1461 VESELY, MATTHEW Dermatology 1462 VILLANUEVA, MERCEDITAS Infectious Disease 1463 VINING, DANIEL Emergency medicine 1464 VIRATA, MICHAEL Infectious Disease 1465 VOLKMAR, FRED R Psychiatry 1466 VOLLMAR, MICHAEL B. Psychiatry 1467 VOLPE, DARREN C Geriatric medicine 1468 VON KEUDELL, GOTTFRIED Hematology 1469 WALDMAN, ERIK H Otolaryngology 1470 WALKE, LISA M Geriatric medicine 1471 WALLS, RAYMOND JOHN Orthopedic surgery 1472 WALRATH, JESSICA Emergency medicine 1473 WALSH, SUSAN A Emergency medicine 1474 WALTHER, ZENTA Pathology 1475 WALTMAN, ADAM Emergency medicine 1476 WANG, ANDREW Rheumatology 1477 WANG, ANNIE MISUNG Diagnostic radiology 1478 WANG, EMILY AI HUA General Practice 1479 WANG, KAREN General Practice 1480 WAREJKO, JILLIAN KATERI Nephrology 1481 WATSKY, KALMAN LEWIS Dermatology 1482 WEINREB, JEFFREY C Diagnostic radiology 1483 WEINZIMER, STUART A Endocrinology 1484 WEISS, PNINA G Pulmonary disease 1485 WEISS, ROBERT M Urology 1486 WEISS, SARAH ANN Medical oncology 1487 WEITZMAN, CAROL C Pediatric medicine 1488 WELSH, REGAN J Obstetrics/gynecology

Group Practice Reporting Page 33 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1489 WERDIGER, NORMAN S. Neurology 1490 WESLEY, SARAH FLANAGAN Neurology 1491 WEST, ALEXANDER B Pathology 1492 WHANG, PETER G Neurosurgery 1493 WHITMAN, LAURA MARIETTE General Practice 1494 WHITMIRE, LACEY General Practice 1495 WIJESEKERA, THILAN General Practice 1496 WILKINSON, SAMUEL Psychiatry 1497 WILSON, FRANCIS P Nephrology 1498 WILSON, FREDERICK H Medical oncology 1499 WILSON, LYNN D Radiation oncology 1500 WINDISH, DONNA General Practice 1501 WIRA III, CHARLES R Emergency medicine 1502 WISKE, PRESCOTT STUART Cardiovascular disease (cardiology) 1503 WITT, DAVID H Medical oncology 1504 WOLL, CHRISTOPHER JOSEPH Emergency medicine 1505 WON, CHRISTINE H Pulmonary disease/Critical care medicine (intensivists) 1506 WONG, AMBROSE H Emergency medicine 1507 WONG, SERENA L. Pathology 1508 WONG, THOMAS Anesthesiology 1509 WOOLF, SETH Emergency medicine 1510 WOOLSTON, JOSEPH L Psychiatry 1511 WU, JOSEPH C Physical medicine and rehabilitation 1512 WU, QIAN Pathology 1513 WYSOLMERSKI, JOHN JOSEPH Endocrinology 1514 XU, MINA Pathology 1515 YAGGI, HENRY KLAR Pulmonary disease/Critical care medicine (intensivists) 1516 YANG, YIHAN General Practice 1517 YARBROUGH, WENDELL Otolaryngology 1518 YAVOREK, GEORGE General Surgery 1519 YILDIZ, ISIL Z Pathology 1520 YONKERS, KIMBERLY A Psychiatry 1521 YOO, PETER S General Surgery 1522 YOUNG, DANIEL AUGUST NULL 1523 YOUNG, LAWRENCE H Cardiovascular disease (cardiology) 1524 YOUNG, MELISSA RASAR Radiation oncology 1525 YOUNG, NWANMEGHA OSITA Otolaryngology 1526 YOUNG, RICHARD S Pediatric medicine 1527 YOUNGR, DANIEL AUGUST Diagnostic radiology 1528 YU, CONNIE YUGEE Emergency medicine 1529 YU, JAMES BYUNGHOON Radiation oncology 1530 YUN, JAMES J Thoracic Surgery 1531 ZAFAR, JILL Anesthesiology 1532 ZAHA, OANA ELENA Rheumatology 1533 ZAMORE, LEONARD H. Obstetrics/gynecology 1534 ZAMORE, STEVEN M Obstetrics/gynecology 1535 ZAPATA, HEIDI J. Infectious Disease 1536 ZARET, BARRY L Cardiovascular disease (cardiology)

Group Practice Reporting Page 34 of 87 Physician Name Data Physician Name Data

Hospitals, Hospital Systems, and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------> December 31, 2017 Full Legal Name of Entity Reporting ------> Yale University Type of Provider Reporting (see options below) ------> Group Practice (Hospital, Hospital System, Group Practice)

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 Right click on the the "PhysicianName" tab below 2 Click the "Move or Copy" option 3 Under the heading "Before Sheet:," click on "Business Entity" 4 Click inside the "create a copy" box 5 Click "OK"

Name of Group Practice ------>

(1) (2) (3) Line Physician Name (Last, First) Physician Specialty(s)

When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1537 ZEIDAN, AMER M Hematology 1538 ZHANG, HUI Z Pathology 1539 ZHANG, XUCHEN Pathology 1540 ZHOU, GARY X Anesthesiology 1541 ZHU, QINGBING Anesthesiology 1542 ZIMBREAN, PAULA C Psychiatry 1543 ZINCHUK, ANDREY Pulmonary disease/Critical care medicine (intensivists) 1544 ZOHRABIAN, VAHE M Diagnostic radiology 1545 ZUBEK, AMANDA ELISABETH Dermatology 1546 ZUCCONI, WILLIAM Diagnostic radiology 1547 1548 1549 1550 1551

Group Practice Reporting Page 35 of 87 Physician Name Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 1 BH 226 MILL HILL AVE, 226 MILL HILL AVENUE, BRIDGEPORT, CT, 06610 06513 N/A Gastroenterology 06460, 06461, 06484, 06606, 06610, 2 BH 2909 MAIN ST, 2909 MAIN STREET, STRATFORD, CT, 06614 06611, 06614, 06615 N/A Diagnostic radiology 06604, 06605, 06606, 06611, 06612, 3 BH 425 POST RD, 425 POST ROAD, FAIRFIELD, CT, 06824 06614, 06824, 06825, 06880, 06890 N/A Diagnostic radiology 06484, 06604, 06605, 06606, 06608, 4 BH 4699 MAIN ST, 4699 MAIN STREET, BRIDGEPORT, CT, 06606 06610, 06611 N/A Diagnostic radiology 06460, 06468, 06484, 06604, 06605, 06606, 06608, 06610, 06611, 06614, 5 BH 5520 PARK AVE, 5520 PARK AVENUE, TRUMBULL, CT, 06611 06615, 06824, 06825 N/A Radiation oncology

6 BRIDGEPORT HOSPITAL EMERGENCY ROOM, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06606, 06608, 06824 N/A Pathology Thoracic surgery, Pathology, Gastroenterology, 06484, 06604, 06605, 06606, 06607, Gynecological oncology, Pediatric medicine, Radiation 7 BRIDGEPORT HOSPITAL INPATIENT, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06608, 06610, 06611, 06614, 06615, 06824 N/A oncology, Obstetrics/gynecology

06484, 06604, 06605, 06606, 06607, 8 BRIDGEPORT HOSPITAL INPATIENT, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06608, 06610, 06611, 06614, 06615, 06824 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 36 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06460, 06468, 06484, 06604, 06605, Gynecological oncology, Otolaryngology, Pathology, 06606, 06607, 06608, 06610, 06611, Pediatric medicine, Radiation oncology, 9 BRIDGEPORT HOSPITAL OUTPATIENT, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06614, 06615, 06824, 06825 N/A Obstetrics/gynecology 06460, 06468, 06484, 06604, 06605, 06606, 06607, 06608, 06610, 06611, 10 BRIDGEPORT HOSPITAL OUTPATIENT, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06614, 06615, 06824, 06825 Ob/Gyn (Division) Obstetrics/gynecology

11 CHARLOTTE HUNGERFORD HOSPITAL-INPATIENT, 540 Litchfield St, TORRINGTON, CT, 06790 06019, 06063, 06098, 06790, 06791 N/A Medical oncology CONNECTICUT CHILDREN'S MEDICAL CENTER (FORMERLY NEWINGTON CHILDREN'S 12 HOSPITAL), 282 Washington St, HARTFORD, CT, 06106 06029, 06106 N/A Pediatric medicine 06405, 06437, 06443, 06511, 06512, 13 DAVITA BRANFORD, 249 West Main Street, Branford, CT, 06405 06513, 06516, 06519 N/A Nephrology 14 DAVITA HAMDEN - HD, 3000 DIXWELL AVENUE, HAMDEN, CT, 06518 06473, 06511, 06513, 06514, 06517 N/A Nephrology 06401, 06460, 06511, 06513, 06514, 15 DAVITA NEW HAVEN PD, 15 Center Street, NEW HAVEN, CT, 06510 06515, 06516, 06517, 06519 N/A Nephrology 06807, 06820, 06830, 06831, 06850, 06870, 06878, 06897, 06902, 06903, 16 GH 55 HOLLY HILL LANE, 55 HOLLY HILL LANE, GREENWICH, CT, 06830 10573, 10580 N/A Orthopedic surgery, Urology

Group Practice Reporting Page 37 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06117, 06426, 06488, 06755, 06776, 06820, 06824, 06825, 06830, 06831, 06850, 06854, 06870, 06877, 06878, 06880, 06897, 06901, 06902, 06903, 06905, 07410, 07470, 07621, 07631, 07670, 08816, 10021, 10032, 10306, 10463, 10504, 10526, 10541, 10543, 17 GH 77 LAFAYETTE PLACE, 77 LAFAYETTE PLACE, GREENWICH, CT, 06830 10562, 105 N/A Gynecological oncology

18 GREENWICH HOSPITAL EMERGENCY ROOM, 5 PERRYRIDGE ROAD, GREENWICH, CT, 06830 06807, 06820, 06830, 10573 N/A Emergency medicine 06807, 06830, 06831, 06854, 06878, 06902, 06905, 10506, 10543, 10573, 19 GREENWICH HOSPITAL INPATIENT, 5 PERRYRIDGE ROAD, GREENWICH, CT, 06830 10580, 10583 N/A Neurosurgery, Urology 06606, 06807, 06820, 06830, 06831, 06840, 06850, 06851, 06853, 06854, 06870, 06878, 06880, 06883, 06902, 06903, 06905, 06906, 06907, 10528, Pathology, Gastroenterology, Orthopedic surgery, Pediatric 20 GREENWICH HOSPITAL OUTPATIENT, 5 PERRYRIDGE ROAD, GREENWICH, CT, 06830 10543, 10573, 10580, 10583 N/A medicine, Medical oncology, Urology

Group Practice Reporting Page 38 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

21 GRIFFIN HOSPITAL-INPATIENT, 130 Division St, DERBY, CT, 06418 06403, 06418, 06483, 06484 N/A Medical oncology, Radiation oncology, Hematology/oncology 22 GRIFFIN HOSPITAL-OUTPATIENT, 130 Division Street, DERBY, CT, 06418 06401, 06483, 06484, 06488, 06516 N/A Radiation oncology 06371, 06401, 06405, 06410, 06413, 06418, 06419, 06437, 06443, 06450, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06498, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, Pediatric medicine, Pathology, Endocrinology, 23 INDEPENDENT LAB, 310 Cedar Street, NEW HAVEN, CT, 06510 06604, 066 N/A Obstetrics/gynecology, General surgery 06371, 06401, 06405, 06410, 06413, 06418, 06419, 06437, 06443, 06450, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06498, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, 24 INDEPENDENT LAB, 310 Cedar Street, NEW HAVEN, CT, 06510 06604, 066 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 39 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 25 L+M WESTERLY HOSPITAL OUTPATIENT, 25 Wells St, WESTERLY, RI, 02891 02804 N/A Hematology 06320, 06335, 06339, 06340, 06355, LAWRENCE + MEMORIAL CANCER CENTER - OUTPATIENT, 230 Parkway South, WATERFORD, 06357, 06360, 06371, 06379, 06382, 26 CT, 06385 06385, 06415 N/A Radiation oncology 06320, 06333, 06335, 06339, 06340, 27 LAWRENCE + MEMORIAL HOSPITAL - ER, 365 Montauk Ave, New London, CT, 06320 06355, 06360, 06385 N/A Emergency medicine, Pediatric medicine 06320, 06333, 06335, 06339, 06340, 28 LAWRENCE + MEMORIAL HOSPITAL - ER, 365 Montauk Ave, New London, CT, 06320 06355, 06360, 06385 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06320, 06335, 06339, 06340, 06355, 29 LAWRENCE + MEMORIAL HOSPITAL - INPATIENT, 365 Montauk Ave, NEW LONDON, CT, 06320 06357, 06360, 06370, 06382, 06385 N/A Neurosurgery, Pediatric medicine 06320, 06335, 06339, 06340, 06355, 30 LAWRENCE + MEMORIAL HOSPITAL - INPATIENT, 365 Montauk Ave, NEW LONDON, CT, 06320 06357, 06360, 06370, 06382, 06385 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06320, 06335, 06339, 06340, 06355, 31 LAWRENCE + MEMORIAL HOSPITAL - INPATIENT, 365 Montauk Ave, NEW LONDON, CT, 06320 06357, 06360, 06370, 06382, 06385 Ob/Gyn (Division) Obstetrics/gynecology

06320, 06320, 06333, 06335, 06339, 06340, 06340, 06355, 06357, 06357, Neurosurgery, Pediatric medicine, Cardiovascular disease 32 LAWRENCE + MEMORIAL HOSPITAL - OUTPATIENT, 365 Montauk Ave, New London, CT, 06320 06360, 06360, 06375, 06379, 06385, 06385 N/A (cardiology)

Group Practice Reporting Page 40 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

06320, 06320, 06333, 06335, 06339, 06340, 06340, 06355, 06357, 06357, 33 LAWRENCE + MEMORIAL HOSPITAL - OUTPATIENT, 365 Montauk Ave, New London, CT, 06320 06360, 06360, 06375, 06379, 06385, 06385 Ob/Gyn (Division) Obstetrics/gynecology 34 LEEWAY, INC, 40 Albert Street, NEW HAVEN, CT, 06511 06511, 06514 N/A Infectious disease 02891, 06320, 06333, 06335, 06339, 06340, 06355, 06357, 06360, 06375, 35 LMH 230 WATERFORD PKWY S, 230 WATERFORD PARKWAY SOUTH, WATERFORD, CT, 06385 06378, 06385 N/A Radiation oncology 36 LMH 52 HAZELNUT HILL RD, 52 HAZELNUT HILL ROAD, GROTON, CT, 06340 06320, 06333, 06340, 06360 N/A Pediatric medicine

37 MILFORD HOSPITAL-INPATIENT, 300 SEASIDE AVENUE, MILFORD, CT, 06460 06460, 06478, 06511, 06514, 06516, 06604 N/A Medical Oncology 38 NAUGATUCK URGENT CARE CENTER, 799 New Haven Road, NAUGATUCK, CT, 06770 06410, 06712 N/A Family practice, Pediatric medicine 39 NORTH HAVEN SURGICAL CENTER LLC, 52 Washington Avenue, NORTH HAVEN, CT, 06473 06410, 06418, 06473, 06514, 06517 Generations Ob/Gyn (Division) Obstetrics/gynecology

40 SAINT MARY'S HOSPITAL EMERGENCY, 56 Franklin Street, WATERBURY, CT, 06706 06702, 06704, 06705, 06706, 06708, 06710 N/A Emergency medicine, Pediatric medicine 41 SAINT MARY'S HOSPITAL INPATIENT, 56 Franklin Street, Waterbury, CT, 06706 06702, 06705, 06706, 06708, 06712 N/A Obstetrics/gynecology, Medical oncology 06405, 06413, 06437, 06443, 06471, Diagnostic radiology, Interventional radiology, Emergency 42 SHORELINE MEDICAL CTR EMERGENCY ROOM, 111 GOOSE LANE, GUILFORD, CT, 06437 06473, 06512, 06513 N/A medicine

Group Practice Reporting Page 41 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06413, 06419, 06437, 06443, Diagnostic radiology, Interventional radiology, Radiation 43 SHORELINE MEDICAL CTR OUTPATIENT, 111 GOOSE LANE, GUILFORD, CT, 06437 06471, 06475, 06512, 06513 N/A oncology

02857, 06340, 06357, 06385, 06405, 06410, 06413, 06419, 06437, 06460, Cardiovascular disease (cardiology), Medical oncology, 44 SHORELINE SURGICAL CENTER, 111 Goose Lane, GUILFORD, CT, 06437 06461, 06470, 06473, 06489, 06511, 06516 N/A Vascular surgery SISTER ANNE VIRGINIE GRIMES HEALTH CARE CENTER, 1354 Chapel Street, NEW HAVEN, CT, 45 06511 06512, 06514 N/A Infectious disease, Orthopedic surgery 06401, 06405, 06437, 06443, 06473, 06484, 06492, 06511, 06512, 06513, 46 SRC 330 Orchard Street, 330 Orchard Street, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06519 N/A Urology, Gastroenterology, General surgery 47 ST. FRANCIS HOSPITAL-IP, 114 WOODLAND, HARTFORD, CT, 06105 06066, 06082, 06084 N/A Cardiovascular disease (cardiology) Cardiovascular disease (cardiology), Interventional 06473, 06511, 06512, 06513, 06514, radiology, Gastroenterology, Obstetrics/gynecology, 48 ST. RAPHAEL'S HOSPITAL - ER, 1450 Chapel Street, New Haven, CT, 06511 06515, 06516, 06517, 06519 N/A Emergency medicine 06473, 06511, 06512, 06513, 06514, 49 ST. RAPHAEL'S HOSPITAL - ER, 1450 Chapel Street, New Haven, CT, 06511 06515, 06516, 06517, 06519 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 42 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

06405, 06437, 06460, 06471, 06473, 06477, 06492, 06511, 06512, 06513, 50 ST. RAPHAEL'S HOSPITAL - INPATIENT, 1450 Chapel Street, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06518, 06519 Generations Ob/Gyn (Division) Obstetrics/gynecology

Cardiovascular disease (cardiology), Urology, Interventional 06405, 06437, 06460, 06471, 06473, radiology, Gastroenterology, Obstetrics/gynecology, Medical 06477, 06492, 06511, 06512, 06513, oncology, Neurology, Radiation oncology, Emergency 51 ST. RAPHAEL'S HOSPITAL - INPATIENT, 1450 Chapel Street, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06518, 06519 N/A medicine, General surgery

06405, 06437, 06460, 06471, 06473, 06477, 06492, 06511, 06512, 06513, 52 ST. RAPHAEL'S HOSPITAL - INPATIENT, 1450 Chapel Street, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06518, 06519 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, Cardiovascular disease (cardiology), Urology, Interventional 06460, 06473, 06477, 06492, 06511, radiology, Gastroenterology, Obstetrics/gynecology, 06511, 06512, 06513, 06513, 06514, Neurosurgery, Orthopedic surgery, Pediatric medicine, 06515, 06516, 06517, 06518, 06519, Plastic and reconstructive surgery, Radiation oncology, 53 ST. RAPHAEL'S HOSPITAL - OUTPATIENT, 1450 Chapel Street, New Haven, CT, 06511 06519, 06525 N/A General surgery

Group Practice Reporting Page 43 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06413, 06437, 06443, 06460, 06473, 06477, 06492, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 54 ST. RAPHAEL'S HOSPITAL - OUTPATIENT, 1450 Chapel Street, New Haven, CT, 06511 06519, 06525 Ob/Gyn (Division) Obstetrics/gynecology 55 STAMFORD HOSPITAL-INPATIENT, 30 Shelburne Rd, STAMFORD, CT, 06902 06807, 06902 N/A Gynecological oncology 02138, 05829, 06032, 06039, 06320, 06385, 06405, 06410, 06437, 06472, 06473, 06492, 06511, 06512, 06513, 06515, 06516, 06517, 06518, 06519, 06525, 06606, 06615, 06704, 06810, 56 TEMPLE MEDICAL CENTER OUTPATIENT, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06824, 06880, 06883 N/A Obstetrics/gynecology, Ophthalmology

57 TEMPLE SURGICAL CENTER, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06405, 06460 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 58 TEMPLE SURGICAL CENTER, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06405, 06460 N/A Diagnostic radiology 06488, 06704, 06705, 06706, 06708, Obstetrics/gynecology, Medical oncology, Orthopedic 59 WATERBURY HOSPITAL - INPATIENT, 64 Robbins St, WATERBURY, CT, 06708 06710, 06762, 06770, 06795 N/A surgery 60 WILLIAM W BACKUS HOSPITAL - ER, 326 Washington St, NORWICH, CT, 06360 06254, 06355, 06374 N/A Cardiovascular disease (cardiology)

Group Practice Reporting Page 44 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

06330, 06331, 06335, 06351, 06360, 61 WILLIAM W BACKUS HOSPITAL - INPATIENT, 326 Washington St, NORWICH, CT, 06360 06365, 06370, 06374, 06380, 06382, 06415 N/A Radiation oncology 06254, 06331, 06351, 06354, 06360, 62 WILLIAM W BACKUS HOSPITAL - OUTPATIENT, 326 Washington St, NORWICH, CT, 06360 06365, 06370, 06374, 06382, 06415 N/A Pediatric medicine, Radiation oncology 06460, 06468, 06484, 06604, 06605, 06606, 06608, 06610, 06611, 06614, 63 Y HB YNH 5520 PARK AVE PN, 5520 PARK AVENUE, TRUMBULL, CT, 06611 06615, 06824, 06825 N/A Medical oncology 06405, 06410, 06437, 06443, 06460, 06473, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 64 YALE HEALTH PLAN, 55 Lock Street, NEW HAVEN, CT, 06511 06518, 06520, 06525 N/A Cardiovascular disease (cardiology) 06405, 06410, 06437, 06460, 06473, 06477, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 65 YALE NEW HAVEN HOSPITAL EMERGENCY ROOM, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 06519 County Obstetrics & Gynecology (Division) Obstetrics/gynecology

Group Practice Reporting Page 45 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06437, 06460, 06473, 06477, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 66 YALE NEW HAVEN HOSPITAL EMERGENCY ROOM, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 06519 Greater New Haven Ob/Gyn Obstetrics/gynecology

Cardiovascular disease (cardiology), Pathology, 06405, 06410, 06437, 06460, 06473, Dermatology, Diagnostic radiology, Gastroenterology, 06477, 06492, 06510, 06511, 06512, Emergency medicine, Neurology, Neurosurgery, 06513, 06514, 06515, 06516, 06517, Ophthalmology, Orthopedic surgery, Anesthesiology, 67 YALE NEW HAVEN HOSPITAL EMERGENCY ROOM, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 06519 N/A Pediatric medicine, Infectious disease, General surgery, P 06405, 06410, 06437, 06460, 06473, 06477, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 68 YALE NEW HAVEN HOSPITAL EMERGENCY ROOM, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 06519 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06410, 06437, 06460, 06473, 06477, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, Obstetrics Gynecology & Infertility Group 69 YALE NEW HAVEN HOSPITAL EMERGENCY ROOM, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 06519 (Division) Obstetrics/gynecology

Group Practice Reporting Page 46 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 70 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 71 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 Generations Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 47 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 72 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 Greater New Haven Ob/Gyn Obstetrics/gynecology 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, Pediatric medicine, Allergy/immunology, Anesthesiology, 06473, 06475, 06477, 06478, 06483, Pathology, Cardiovascular disease (cardiology), Urology, 06484, 06492, 06510, 06511, 06511, Dermatology, Diagnostic radiology, Gastroenterology, 06512, 06513, 06513, 06514, 06515, Emergency medicine, Endocrinology, Obstetrics/gynecology, 73 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 N/A Geriatric medicine, Gynecologic

Group Practice Reporting Page 48 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 74 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, 75 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 49 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06357, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06492, 06510, 06511, 06511, 06512, 06513, 06513, 06514, 06515, Obstetrics Gynecology & Infertility Group 76 YALE NEW HAVEN HOSPITAL INPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06516, 065 (Division) Obstetrics/gynecology 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 77 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 County Obstetrics & Gynecology (Division) Obstetrics/gynecology

Group Practice Reporting Page 50 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 78 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 Generations Ob/Gyn (Division) Obstetrics/gynecology 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 79 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 Greater New Haven Ob/Gyn Obstetrics/gynecology

Group Practice Reporting Page 51 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, Allergy/immunology, Anesthesiology, Pathology, 06475, 06477, 06478, 06483, 06484, Cardiovascular disease (cardiology), Urology, Dermatology, 06488, 06492, 06510, 06511, 06512, Diagnostic radiology, Gastroenterology, Emergency 06513, 06514, 06515, 06516, 06517, medicine, Endocrinology, Obstetrics/gynecology, Geriatric 80 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 N/A medicine, Gynecological oncology, Hematol 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 81 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 Ob/Gyn & Menopause Physicians Obstetrics/gynecology

Group Practice Reporting Page 52 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 82 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 Ob/Gyn (Division) Obstetrics/gynecology 06320, 06340, 06360, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, Obstetrics Gynecology & Infertility Group 83 YALE NEW HAVEN HOSPITAL OUTPATIENT, 20 YORK STREET, NEW HAVEN, CT, 06510 06518, 065 (Division) Obstetrics/gynecology 06405, 06412, 06437, 06443, 06461, 84 YALE SURGICAL CENTER - GUILFORD, 111 GOOSE LANE, GUILFORD, CT, 06437 06477, 06492, 06510 N/A Orthopedic surgery

Group Practice Reporting Page 53 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. Allergy/immunology, Dermatology, Endocrinology, Internal medicine, Obstetrics/gynecology, Ophthalmology, Pediatric 85 YHC 55 LOCK ST, 55 LOCK STREET, NEW HAVEN, CT, 06511 06437 N/A medicine 86 YM 12 LATHROP RD, 12 LATHROP ROAD, PLAINFIELD, CT, 06374 06239, 06351, 06354, 06374 N/A Cardiovascular disease (cardiology) 02891, 06320, 06335, 06339, 06340, 06355, 06357, 06360, 06370, 06379, 87 YM 194 Howard Street, 194 HOWARD STREET, NEW LONDON, CT, 06320 06382, 06385 N/A Neurosurgery 02891, 06320, 06339, 06340, 06355, 88 YM 196 PARKWAY SOUTH, 196 PARKWAY SOUTH, WATERFORD, CT, 06385 06357, 06371, 06375, 06385 N/A Diagnostic radiology 06405, 06410, 06472, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 89 YM 1970 WHITNEY AVE, 1970 WHITNEY AVENUE, HAMDEN, CT, 06518 06515, 06516, 06517, 06518 Greater New Haven Ob/Gyn Obstetrics/gynecology

Group Practice Reporting Page 54 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06010, 06340, 06360, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06457, 06460, 06461, 06472, 06473, 06477, 06484, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, 06611, 06614, 06615, 06708, 06770, Endocrinology, Anesthesiology, Dermatology, Pathology, 90 YM 20 YORK ST, 20 YORK STREET, NEW HAVEN, CT, 06510 06810, 068 N/A Pediatric medicine, Medical oncology 06010, 06340, 06360, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06457, 06460, 06461, 06472, 06473, 06477, 06484, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, 06611, 06614, 06615, 06708, 06770, Obstetrics Gynecology & Infertility Group 91 YM 20 YORK ST, 20 YORK STREET, NEW HAVEN, CT, 06510 06810, 068 (Division) Obstetrics/gynecology 06320, 06333, 06335, 06339, 06340, 06351, 06355, 06360, 06370, 06375, 92 YM 200 SANDY HOLLOW RD, 200 Sandy Hollow Road, MYSTIC, CT, 06355 06379, 06385 N/A Ophthalmology

Group Practice Reporting Page 55 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06333, 06340, 06351, 06355, 06357, 06360, 06370, 06371, 06375, 06385, 06405, 06413, 06417, 06419, 06422, 06426, 06437, 06442, 06443, 06472, 06473, 06475, 06498, 06511, 93 YM 206 CHURCH ST, 206 Church Street, GUILFORD, CT, 06437 06512, 06516, 06517 N/A Ophthalmology 03431, 04927, 06040, 06067, 06073, 06119, 06371, 06378, 06405, 06410, 06418, 06419, 06423, 06437, 06442, 06443, 06450, 06451, 06460, 06471, 06472, 06475, 06483, 06492, 06511, 06512, 06518, 06519, 06611, 06824, YM 230 SOUTH FRONTAGE RD, 230 SOUTH FRONTAGE RD, NEW HAVEN, CT, 06519 06840, 06880 N/A Psychiatry, Clinical Psychologist 06405, 06413, 06437, 06443, 06471, 95 YM 322 EAST MAIN ST, 322 East Main Street, BRANFORD, CT, 06405 06472, 06473, 06512, 06513 N/A Dermatology

Group Practice Reporting Page 56 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06355, 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06437, 06437, 06443, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06473, 06475, 06477, 06478, 06483, 06484, 06488, Dermatology, Gastroenterology, Neurology, Neuropsychiatry, 06489, 06492, 06492, 06510, 06511, Ophthalmology, Psychiatry, Clinical Psychologist, Colorectal 96 YM 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06511, 065 N/A surgery (proctology) 06320, 06340, 06355, 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06437, 06437, 06443, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06489, 06492, 06492, 06510, 06511, 97 YM 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06511, 065 Ob/Gyn & Menopause Physicians Obstetrics/gynecology

Group Practice Reporting Page 57 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06355, 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06437, 06437, 06443, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06489, 06492, 06492, 06510, 06511, 98 YM 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06511, 065 Ob/Gyn (Division) Obstetrics/gynecology 06807, 06820, 06830, 06831, 06840, 06870, 06877, 06878, 06880, 06897, 99 YM 55 HOLLY HILL LANE, 55 HOLLY HILL LANE, GREENWICH, CT, 06830 06902, 06903, 06905, 10573, 10580 N/A Orthopedic surgery, Urology 06460, 06461, 06468, 06470, 06477, 06478, 06482, 06483, 06484, 06516, 06518, 06604, 06605, 06606, 06607, 06608, 06610, 06611, 06612, 06614, 06615, 06824, 06825, 06840, 06850, 100 YM 5520 PARK AVE, 5520 PARK AVENUE, TRUMBULL, CT, 06611 06851, 06854, 06880 N/A Gastroenterology, Otolaryngology, Hematology

Group Practice Reporting Page 58 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06355, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, Diagnostic radiology, Internal medicine, Infectious disease, 06472, 06473, 06475, 06477, 06483, Geriatric medicine, Cardiovascular disease (cardiology), 06484, 06488, 06489, 06492, 06510, Endocrinology, Neurology, Neurosurgery, Plastic and 06511, 06512, 06513, 06514, 06515, reconstructive surgery, Otolaryngology, Urology, Orthopedic 101 YM 800 HOWARD AVE, 800 HOWARD AVENUE, NEW HAVEN, CT, 06519 06516, 065 N/A surgery, Sports medicine 102 YM 98-100 YORK ST, 98-100 YORK ST, NEW HAVEN, CT, 06511 06437, 06460, 06514 N/A Psychiatry, Clinical Psychologist 06405, 06417, 06450, 06455, 06460, 103 YMG 1 LONG WHARF DR, 1 LONG WHARF DRIVE, NEW HAVEN, CT, 06511 06498, 06519 N/A Gastroenterology, Pediatrics, Orthopedic surgery 06410, 06472, 06473, 06492, 06511, 104 YMG 100 BROADWAY, 100 BROADWAY, NORTH HAVEN, CT, 06473 06514, 06517, 06518 N/A Gastroenterology 06002, 06010, 06019, 06026, 06029, 06033, 06035, 06040, 06042, 06051, 06052, 06053, 06066, 06074, 06076, 06078, 06082, 06084, 06089, 06092, 06105, 06106, 06107, 06108, 06117, 105 YMG 1000 ASYLUM AVE, 1000 ASYLUM AVENUE, HARTFORD, CT, 06105 06118, 06248 N/A Nephrology, General surgery

Group Practice Reporting Page 59 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06422, 06450, 06451, 06457, 06472, 06473, 06489, 06492, 106 YMG 1062 BARNES RD, 1062 BARNES ROAD, WALLINGFORD, CT, 06492 06512, 06518 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 06460, 06468, 06477, 06484, 06604, 06606, 06611, 06614, 06615, 06824, 107 YMG 111 BEACH RD, 111 BEACH ROAD, FAIRFIELD, CT, 06824 06825, 06880 N/A Surgical oncology 06470, 06482, 06488, 06708, 06776, 06777, 06801, 06804, 06810, 06851, 108 YMG 111 OSBORNE ST, 111 OSBORNE STREET, DANBURY, CT, 06810 06877, 10583 N/A Gastroenterology 109 YMG 114 WOODLAND ST, 114 WOODLAND STREET, HARTFORD, CT, 06105 06039, 06066, 06109, 06114 N/A Cardiovascular disease (cardiology) 06401, 06478, 06484, 06611, 06612, 06824, 06825, 06840, 06850, 06851, 06853, 06854, 06880, 06883, 06890, 110 YMG 125 KINGS HIGHWAY NORTH, 125 KINGS HIGHWAY NORTH, WESTPORT, CT, 06880 06901, 06902, 06905, 06907 Ob/Gyn (Division) Obstetrics/gynecology 00801, 06371, 06385, 06405, 06457, 06460, 06468, 06473, 06478, 06492, 06502, 06511, 06512, 06513, 06514, 111 YMG 135 COLLEGE ST, 135 COLLEGE STREET, NEW HAVEN, CT, 06510 06517, 06519, 06524, 06615, 06712 N/A Occupational Therapy

Group Practice Reporting Page 60 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

06371, 06405, 06413, 06419, 06437, 112 YMG 135 GOOSE LANE, 135 GOOSE LANE, GUILFORD, CT, 06437 06443, 06471, 06473, 06475, 06512, 06513 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06405, 06410, 06437, 06443, 06460, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, Obstetrics Gynecology & Infertility Group 113 YMG 136 SHERMAN AVE, 136 SHERMAN AVENUE, NEW HAVEN, CT, 06511 06518, 06525 (Division) Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, 06471, 06473, 06492, 06498, 06511, 114 YMG 144 N MAIN ST, 144 N MAIN STREET, BRANFORD, CT, 06405 06512, 06513, 06514, 06515, 06516 Ob/Gyn (Division) Obstetrics/gynecology 06320, 06333, 06340, 06355, 06357, 06360, 06371, 06385, 06405, 06410, 06413, 06417, 06419, 06422, 06426, 06437, 06443, 06450, 06457, 06460, 06468, 06471, 06472, 06473, 06475, 06477, 06492, 06498, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 115 YMG 1445 BOSTON POST RD, 1445 BOSTON POST ROAD, GUILFORD, CT, 06437 06518, 065 N/A Orthopedic surgery

Group Practice Reporting Page 61 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06032, 06033, 06340, 06357, 06360, 06401, 06405, 06410, 06413, 06422, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06471, 06472, 06473, 06477, 06478, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 116 YMG 150 SARGENT DR, 150 SARGENT DRIVE, NEW HAVEN, CT, 06511 06525, 066 Ob/Gyn (Division) Obstetrics/gynecology 06010, 06029, 06033, 06365, 06415, 06419, 06457, 06482, 06488, 06489, 117 YMG 1579 STRAITS TPKE, 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762 06492, 06607, 06611, 06770, 06795 N/A Orthopedic surgery 06488, 06704, 06705, 06706, 06708, 06710, 06712, 06716, 06751, 06759, 06762, 06770, 06779, 06787, 06790, 118 YMG 1625 STRAITS TURNPIKE, 1625 Straits Turnpike, STE 306, MIDDLEBURY, CT, 06762 06795, 06798 N/A Dermatology 06488, 06704, 06705, 06706, 06708, 06710, 06712, 06716, 06751, 06759, 06762, 06770, 06779, 06787, 06790, 119 YMG 1625 STRAITS TURNPIKE, 1625 Straits Turnpike, STE 306, MIDDLEBURY, CT, 06762 06795, 06798 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 62 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06460, 06473, 06477, 06511, 06512, 06513, 06514, 06515, 06516, Cardiovascular disease (cardiology), Endocrinology, 120 YMG 175 SHERMAN AVE, 175 SHERMAN AVENUE, NEW HAVEN, CT, 06511 06517, 06518, 06519 N/A Pulmonary disease 06405, 06410, 06460, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 121 YMG 180 SHERMAN AVE, 180 SHERMAN AVENUE, NEW HAVEN, CT, 06511 06515, 06516, 06517, 06518, 06525 Ob/Gyn (Division) Obstetrics/gynecology 06333, 06340, 06357, 06371, 06385, 06412, 06413, 06417, 06419, 06423, 122 YMG 180 WESTBROOK RD, 180 WESTBROOK ROAD, ESSEX, CT, 06426 06426, 06442, 06475, 06498 Ob/Gyn & Menopause Physicians Obstetrics/gynecology

123 YMG 190 WEST BROAD ST, 190 WEST BROAD STREET, STAMFORD, CT, 06902 06484, 06807, 06830, 06850, 06902, 06906 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06410, 06413, 06422, 06437, 06443, 06450, 06460, 06473, 06492, 06511, 06512, 06513, 06514, 06516, 124 YMG 2 CHURCH ST SOUTH, 2 CHURCH ST SOUTH, NEW HAVEN, CT, 06519 06517, 06518, 06524 N/A Gastroenterology, Pediatric medicine, Psychiatry

Group Practice Reporting Page 63 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06401, 06410, 06418, 06437, 06460, 06461, 06468, 06477, 06478, 06483, 06484, 06492, 06511, 06512, 06515, 06516, 06524, 06525, 06606, 06611, 125 YMG 2 CORPORATE DR, 2 CORPORATE DRIVE, SHELTON, CT, 06484 06614, 06824, 06825, 06880 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06371, 06405, 06413, 06419, 06437, 126 YMG 2 SAMSON ROCK, 7 MEIGS AVENUE, MADISON, CT, 06443 06443, 06471, 06498 County Obstetrics & Gynecology (Division) Obstetrics/gynecology

06405, 06484, 06511, 06512, 06513, 127 YMG 200 ORCHARD ST, 200 ORCHARD STREET, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06518, 06519 Ob/Gyn (Division) Obstetrics/gynecology 06460, 06461, 06468, 06478, 06484, 06488, 06604, 06605, 06606, 06607, 06608, 06610, 06611, 06612, 06614, 128 YMG 2000 POST RD, 2000 POST ROAD, FAIRFIELD, CT, 06824 06615, 06776, 06824, 06825, 06880 N/A Gastroenterology 06511, 06512, 06513, 06514, 06515, 129 YMG 2080 WHITNEY AVE, 2080 WHITNEY AVENUE, HAMDEN, CT, 06518 06516, 06517, 06519 N/A Cardiovascular disease (cardiology), Pediatric medicine 130 YMG 234 BROAD ST, 234 BROAD ST, MILFORD, CT, 06460 06460, 06516 N/A Vascular surgery

Group Practice Reporting Page 64 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06460, 06472, 06473, 06477, 06492, 06511, 06512, 06513, 131 YMG 2446 WHITNEY AVE, 2446 WHITNEY AVENUE, HAMDEN, CT, 06518 06514, 06516, 06517, 06518, 06525 Generations Ob/Gyn (Division) Obstetrics/gynecology 06418, 06460, 06461, 06477, 06484, 132 YMG 247 Broad Street, 247 Broad Street, Milford, CT, 06460 06512, 06516, 06614 N/A Obstetrics/gynecology

06468, 06484, 06511, 06605, 06606, 06610, 06611, 06807, 06820, 06824, 06825, 06830, 06831, 06840, 06850, 06851, 06854, 06855, 06870, 06877, 06878, 06880, 06883, 06897, 06901, Neurology, Sports medicine, Rheumatology, Orthopedic 133 YMG 260 LONG RIDGE RD, 260 Long Ridge Road, STAMFORD, CT, 06927 06902, 06903, 06905, 06906, 06907, 10573 N/A surgery, Neurosurgery 06460, 06468, 06478, 06484, 06516, 06604, 06605, 06606, 06610, 06611, 134 YMG 267 GRANT ST, 267 GRANT STREET, BRIDGEPORT, CT, 06610 06614, 06770, 06824, 06825, 06883 N/A Cardiovascular disease (cardiology)

06460, 06468, 06484, 06516, 06604, 06605, 06606, 06607, 06608, 06610, 135 YMG 2874 MAIN ST, 2874 MAIN ST, STRATFORD, CT, 06614 06611, 06614, 06615, 06824, 06825, 06880 N/A Otolaryngology

Group Practice Reporting Page 65 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06401, 06460, 06461, 06477, 06483, 06484, 06511, 06513, 06515, 06516, 136 YMG 325 BOSTON POST RD, 325 BOSTON POST ROAD, ORANGE, CT, 06477 06525, 06611 Greater New Haven Ob/Gyn Obstetrics/gynecology 06460, 06461, 06477, 06483, 06484, Obstetrics Gynecology & Infertility Group 137 YMG 326 WEST MAIN ST, 326 WEST MAIN STREET, MILFORD, CT, 06460 06516, 06611, 06614, 06615 (Division) Obstetrics/gynecology 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06419, 06437, 06437, 06443, 06450, 06451, 06460, 06460, 06461, 06461, 06471, 06472, 06473, 06473, 06477, 06484, 06484, 06489, 06492, 06492, 06511, 06511, 06512, 06512, 06513, 06513, 06514, 06514, 138 YMG 330 ORCHARD ST, 330 ORCHARD STREET, NEW HAVEN, CT, 06511 06515, 065 N/A Gastroenterology, General surgery

Group Practice Reporting Page 66 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06419, 06437, 06437, 06443, 06450, 06451, 06460, 06460, 06461, 06461, 06471, 06472, 06473, 06473, 06477, 06484, 06484, 06489, 06492, 06492, 06511, 06511, 06512, 06512, 06513, 06513, 06514, 06514, 139 YMG 330 ORCHARD ST, 330 ORCHARD STREET, NEW HAVEN, CT, 06511 06515, 065 Ob/Gyn (Division) Obstetrics/gynecology 06355, 06405, 06437, 06443, 06471, 06492, 06513, 06515, 06516, 06517, 140 YMG 333 CEDAR ST, 333 CEDAR STREET, NEW HAVEN, CT, 06510 06519, 06525 N/A Cardiovascular disease (cardiology), Pathology 02891, 06237, 06320, 06339, 06340, 141 YMG 365 MONTAUK AVE, 365 MONTAUK AVE, NEW LONDON, CT, 06320 06355, 06357, 06359, 06360, 06385 N/A Obstetrics/gynecology, Pediatric medicine 142 YMG 4 CORPORATE DR, 4 CORPORATE DRIVE, SHELTON, CT, 06484 06401, 06418, 06478, 06483, 06484 N/A 06410, 06422, 06450, 06451, 06473, 06488, 06489, 06492, 06514, 06517, 143 YMG 416 HIGHLAND AVE, 416 HIGHLAND AVENUE, CHESHIRE, CT, 06410 06518, 06524, 06705, 06712, 06770 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06437, 06443, 06471, 06472, Obstetrics Gynecology & Infertility Group 144 YMG 420 EAST MAIN ST, 420 EAST MAIN STREET, BRANFORD, CT, 06405 06512, 06513 (Division) Obstetrics/gynecology

Group Practice Reporting Page 67 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 145 YMG 45 FRANKLIN ST, 45 FRANKLIN ST, WATERBURY, CT, 06706 06702, 06704, 06705, 06706, 06708 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06405, 06405, 06410, 06410, 06410, 06437, 06437, 06443, 06460, 06460, 06460, 06471, 06471, 06473, 06473, 06473, 06477, 06477, 06477, 06492, 06492, 06492, 06511, 06511, 06511, 06512, 06512, 06512, 06513, 06513, 06513, 06514, 06514, 06514, 146 YMG 46 PRINCE ST, 46 PRINCE STREET, NEW HAVEN, CT, 06519 06515, 065 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 06405, 06405, 06405, 06410, 06410, 06410, 06437, 06437, 06443, 06460, 06460, 06460, 06471, 06471, 06473, 06473, 06473, 06477, 06477, 06477, 06492, 06492, 06492, 06511, 06511, 06511, 06512, 06512, 06512, 06513, 06513, 06513, 06514, 06514, 06514, 147 YMG 46 PRINCE ST, 46 PRINCE STREET, NEW HAVEN, CT, 06519 06515, 065 Generations Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 68 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06405, 06405, 06410, 06410, 06410, 06437, 06437, 06443, 06460, 06460, 06460, 06471, 06471, 06473, 06473, 06473, 06477, 06477, 06477, 06492, 06492, 06492, 06511, 06511, 06511, 06512, 06512, 06512, 06513, 06513, 06513, 06514, 06514, 06514, 148 YMG 46 PRINCE ST, 46 PRINCE STREET, NEW HAVEN, CT, 06519 06515, 065 Greater New Haven Ob/Gyn Obstetrics/gynecology 06371, 06401, 06405, 06410, 06418, 06437, 06443, 06450, 06460, 06461, 06468, 06471, 06473, 06477, 06483, 06484, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, 06604, 06610, 06611, 06612, 06614, 06615, 06704, 149 YMG 48 WELLINGTON RD, 48 WELLINGTON ROAD, MILFORD, CT, 06461 06712, 067 N/A Orthopedic surgery

Group Practice Reporting Page 69 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services.

06371, 06405, 06410, 06413, 06419, 06437, 06443, 06471, 06472, 06473, 150 YMG 5 DURHAM RD, 5 DURHAM ROAD, GUILFORD, CT, 06437 06492, 06512, 06513, 06514, 06516, 06518 Generations Ob/Gyn (Division) Obstetrics/gynecology

06371, 06405, 06410, 06413, 06419, 06437, 06443, 06471, 06472, 06473, 151 YMG 5 DURHAM RD, 5 DURHAM ROAD, GUILFORD, CT, 06437 06492, 06512, 06513, 06514, 06516, 06518 Ob/Gyn (Division) Obstetrics/gynecology 06807, 06820, 06824, 06830, 06831, 06840, 06851, 06854, 06870, 06878, 06880, 06883, 06897, 06902, 06903, 06905, 06906, 06907, 10504, 10528, 152 YMG 5 PERRYRIDGE RD, 5 PERRYRIDGE ROAD, GREENWICH, CT, 06830 10538, 10543, 10573, 10580, 10583 N/A Gastroenterology, Pediatric medicine 06371, 06405, 06413, 06419, 06437, 153 YMG 6 WOODLAND RD, 6 WOODLAND ROAD, MADISON, CT, 06443 06443, 06471, 06475, 06512 Greater New Haven Ob/Gyn Obstetrics/gynecology 154 YMG 60 TEMPLE ST, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06410, 06460, 06473 Greater New Haven Ob/Gyn Obstetrics/gynecology

155 YMG 64 ROBBINS ST, 64 ROBBINS STREET, WATERBURY, CT, 06708 06704, 06705, 06706, 06708, 06710, 06770 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 70 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06410, 06450, 06451, 06473, 06479, 06489, 06492, 06514, 06518, 06524, Obstetrics Gynecology & Infertility Group 156 YMG 675 SOUTH MAIN ST, 675 SOUTH MAIN STREET, CHESHIRE, CT, 06410 06712, 06716 (Division) Obstetrics/gynecology 06405, 06413, 06437, 06443, 06471, 157 YMG 687 MAIN ST, 687 Main Street, BRANFORD, CT, 06405 06473, 06492, 06512, 06513 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 06371, 06413, 06419, 06437, 06443, Obstetrics Gynecology & Infertility Group 158 YMG 7 MEIGS AVE, 7 MEIGS AVENUE, MADISON, CT, 06443 06475, 06498 (Division) Obstetrics/gynecology

Obstetrics/gynecology, Pediatric medicine, General surgery, 159 YMG 747 BELDEN AVE, 747 BELDEN AVENUE, NORWALK, CT, 06850 06604 N/A Otolaryngology, Urology, Ophthalmology, Orthopedic surgery 160 YMG 789 HOWARD AVE, 789 HOWARD AVENUE, NEW HAVEN, CT, 06519 06320, 06389, 06410, 06469, 06704 N/A Cardiovascular disease (cardiology) 06249, 06254, 06331, 06334, 06340, 06351, 06354, 06360, 06365, 06370, 161 YMG 79 WAWECUS ST, 79 WAWECUS STREET, NORWICH, CT, 06360 06374, 06380, 06382, 06415 N/A Cardiovascular disease (cardiology) 02891, 06320, 06340, 06355, 06357, 162 YMG 85 POHEGANUT DR, 85 Poheganut Drive, Groton, CT, 06340 06360, 06365, 06370, 06385 N/A Vascular surgery 06410, 06422, 06450, 06451, 06472, 06473, 06489, 06492, 06513, 06514, 163 YMG 850 NORTH MAIN STREET, 850 NORTH MAIN ST, WALLINGFORD, CT, 06492 06516, 06517, 06518 Generations Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 71 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 164 YMG 95 CIRCULAR AVE, 95 CIRCULAR AVENUE, HAMDEN, CT, 06514 06514, 06517 N/A Psychiatry 165 YMG 95 SCOVILL ST, 95 SCOVILL STREET, WATERBURY, CT, 06706 06704, 06705, 06706, 06710 N/A Pediatric medicine 166 YMG GAYLORD FARM RD, GAYLORD FARM ROAD, WALLINGFORD, CT, 06492 01001, 06384, 06450, 06451, 06471 N/A Urology 06405, 06437, 06473, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 167 YMG SRC 1450 CHAPEL ST, 1450 CHAPEL STREET, NEW HAVEN, CT, 06511 06517, 06518, 06519, 06525 N/A Radiation oncology 06320, 06340, 06360, 06385, 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06437, 06437, 06443, 06443, 06450, 06451, 06457, 06460, 06460, Pediatric medicine, Interventional radiology, Pathology, 06461, 06468, 06471, 06472, 06473, Allergy/immunology, Neurology, Neurosurgery, Orthopedic 06473, 06477, 06478, 06483, 06484, surgery, Pain management, Cardiovascular disease 06492, 06492, 06511, 06511, 06512, (cardiology), Gastroenterology, Endocrinology, Nephrology, 168 YNH 1 LONG WHARF DR, 1 LONG WHARF DRIVE, NEW HAVEN, CT, 06511 06512, 065 N/A Plastic and reconstructive surgery

Group Practice Reporting Page 72 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06360, 06385, 06401, 06405, 06405, 06410, 06410, 06413, 06418, 06437, 06437, 06443, 06443, 06450, 06451, 06457, 06460, 06460, 06461, 06468, 06471, 06472, 06473, 06473, 06477, 06478, 06483, 06484, 06492, 06492, 06511, 06511, 06512, 169 YNH 1 LONG WHARF DR, 1 LONG WHARF DRIVE, NEW HAVEN, CT, 06511 06512, 065 Ob/Gyn (Division) Obstetrics/gynecology 06320, 06340, 06360, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06460, 06468, 06471, 06472, 06473, 06477, 06478, 06483, 06484, 06492, 06511, 06512, 06513, Cardiovascular disease (cardiology), Pediatric medicine, 06514, 06515, 06516, 06517, 06518, Pathology, Hematology/oncology, Allergy/immunology, 06519, 06525, 06604, 06605, 06606, Otolaryngology, Urology, Infectious disease, General 170 YNH 1 PARK ST, 1 PARK STREET, NEW HAVEN, CT, 06504 06608, 066 N/A surgery, Endocrinology, Nephrology, Neurology

Group Practice Reporting Page 73 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06340, 06360, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06460, 06468, 06471, 06472, 06473, 06477, 06478, 06483, 06484, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06525, 06604, 06605, 06606, 171 YNH 1 PARK ST, 1 PARK STREET, NEW HAVEN, CT, 06504 06608, 066 Ob/Gyn (Division) Obstetrics/gynecology

06488, 06704, 06705, 06706, 06708, 172 YNH 1075 CHASE PKWY, 1075 CHASE PARKWAY, WATERBURY, CT, 06708 06712, 06716, 06762, 06770, 06779, 06795 N/A Medical oncology

06460, 06484, 06604, 06605, 06606, 173 YNH 111 BEACH RD, 111 BEACH ROAD, FAIRFIELD, CT, 06824 06610, 06611, 06614, 06615, 06824, 06825 N/A Medical oncology Cardiovascular disease (cardiology), Diagnostic radiology, 06405, 06413, 06419, 06437, 06443, Radiation oncology, Emergency medicine, Urology, Medical 174 YNH 111 GOOSE LANE, 111 GOOSE LANE, GUILFORD, CT, 06437 06471, 06475, 06512, 06513 N/A oncology

Group Practice Reporting Page 74 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06340, 06371, 06405, 06413, 06419, 06437, 06443, 06443, 06471, 06472, 06473, 06475, 06492, 06498, 06511, 175 YNH 1291 BOSTON POST RD, 1291 BOSTON POST ROAD, MADISON, CT, 06443 06512, 06513, 06516 N/A Urology, Obstetrics/gynecology, Pulmonary disease 06340, 06371, 06405, 06413, 06419, 06437, 06443, 06443, 06471, 06472, 06473, 06475, 06492, 06498, 06511, 176 YNH 1291 BOSTON POST RD, 1291 BOSTON POST ROAD, MADISON, CT, 06443 06512, 06513, 06516 Ob/Gyn (Division) Obstetrics/gynecology 06320, 06333, 06335, 06340, 06355, 06357, 06371, 06405, 06410, 06413, 06417, 06422, 06437, 06443, 06450, 06457, 06460, 06468, 06471, 06472, 06473, 06475, 06477, 06492, 06498, 06511, 06512, 06513, 06514, 06516, 177 YNH 1445 BOSTON POST RD, 1445 BOSTON POST ROAD, GUILFORD, CT, 06437 06517, 06518, 06519 N/A Interventional radiology

06405, 06418, 06450, 06460, 06473, 06510, 06511, 06512, 06513, 06514, 178 YNH 15 YORK ST, 15 YORK STREET, NEW HAVEN, CT, 06510 06515, 06516, 06517, 06519, 06604, 06902 N/A Dermatology, Infectious disease

Group Practice Reporting Page 75 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06460, 06477, 06511, 06512, 06513, Diagnostic radiology, Pathology, Obstetrics/gynecology, 179 YNH 150 SARGENT DR, 150 SARGENT DRIVE, NEW HAVEN, CT, 06511 06514, 06515, 06516, 06517, 06519 N/A Anesthesiology 180 YNH 184 LIBERTY ST, 184 LIBERTY ST, NEW HAVEN, CT, 06510 06801 N/A Psychiatry 06405, 06410, 06472, 06473, 06492, 06511, 06512, 06513, 06514, 06515, 181 YNH 2 DEVINE ST, 2 DEVINE STREET, NORTH HAVEN, CT, 06473 06516, 06517, 06518, 06525 N/A Cardiovascular disease (cardiology)

Pathology, Emergency medicine, Gynecological oncology, 183 YNH 20 YORK ST, 20 YORK STREET, NEW HAVEN, CT, 06510 06614 N/A Pediatric medicine, Obstetrics/gynecology, General surgery 06018, 06039, 06057, 06058, 06063, 06068, 06069, 06098, 06756, 06759, 184 YNH 200 KENNEDY DR, 200 KENNEDY DRIVE, TORRINGTON, CT, 06790 06787, 06790, 06791 N/A Medical oncology

06410, 06460, 06472, 06473, 06492, 185 YNH 2080 WHITNEY AVE, 2080 WHITNEY AVENUE, NEW HAVEN, CT, 06518 06511, 06512, 06513, 06514, 06517, 06518 N/A Radiation oncology, Medical oncology 06405, 06410, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 06516, 186 YNH 2200 WHITNEY AVE, 2200 WHITNEY AVENUE, HAMDEN, CT, 06518 06517, 06518, 06525 N/A Urology

Group Practice Reporting Page 76 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06460, 06461, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 187 YNH 240 INDIAN RIVER RD, 240 INDIAN RIVER ROAD, ORANGE, CT, 06477 06515, 06516, 06525 N/A Medical oncology 06410, 06473, 06492, 06511, 06512, 188 YNH 2560 DIXWELL AVE, 2560 DIXWELL AVE, HAMDEN, CT, 06518 06514, 06515, 06517, 06518, 06525 N/A Diagnostic radiology, Interventional radiology 06401, 06418, 06460, 06461, 06477, 189 YNH 325 BOSTON POST RD, 325 BOSTON POST ROAD, ORANGE, CT, 06477 06511, 06515, 06516, 06525 N/A Cardiovascular disease (cardiology) 06405, 06410, 06437, 06460, 06473, 06477, 06483, 06484, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 190 YNH 330 ORCHARD ST, 330 ORCHARD STREET, NEW HAVEN, CT, 06511 06517, 06518, 06519, 06525 N/A Urology 191 YNH 35 PARK ST, 35 PARK STREET, NEW HAVEN, CT, 06519 06413 N/A Gynecological oncology 06401, 06403, 06418, 06478, 06483, 192 YNH 350 SEYMOUR AVE, 350 SEYMOUR AVENUE, DERBY, CT, 06418 06484, 06516, 06770 N/A Medical oncology

Group Practice Reporting Page 77 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 193 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 County Obstetrics & Gynecology (Division) Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 194 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 Generations Ob/Gyn (Division) Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 195 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 Greater New Haven Ob/Gyn Obstetrics/gynecology

Group Practice Reporting Page 78 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, Anesthesiology, Diagnostic radiology, Interventional 06510, 06511, 06512, 06513, 06514, radiology, Gastroenterology, Endocrinology, Ophthalmology, 06515, 06516, 06517, 06518, 06519, Orthopedic surgery, Plastic and reconstructive surgery, 196 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 N/A Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 197 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 198 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 79 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06413, 06437, 06443, 06450, 06460, 06471, 06472, 06473, 06475, 06477, 06483, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, Obstetrics Gynecology & Infertility Group 199 YNH 40 TEMPLE ST, 40 TEMPLE STREET, NEW HAVEN, CT, 06510 06524, 06525, 06611, 06614 (Division) Obstetrics/gynecology

06357, 06371, 06405, 06413, 06419, 200 YNH 5 PEQUOT PARK RD, 5 PEQUOT PARK ROAD, WESTBROOK, CT, 06498 06426, 06437, 06443, 06475, 06498, 06512 N/A Cardiovascular disease (cardiology) 201 YNH 500 ELM ST, 500 ELM STREET, WEST HAVEN, CT, 06516 06460, 06477, 06516 N/A Diagnostic radiology, Interventional radiology 06098, 06340, 06371, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06460, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06483, 06484, 06488, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06524, 06525, 202 YNH 55 PARK ST, 55 PARK STREET, NEW HAVEN, CT, 06511 06604, 066 N/A Pulmonary disease, Pathology

Group Practice Reporting Page 80 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06401, 06460, 06461, 06468, 06477, 06482, 06483, 06484, 06516, 06604, 06605, 06606, 06607, 06608, 06610, 06611, 06612, 06614, 06615, 06770, 06810, 06820, 06824, 06825, 06850, 203 YNH 5520 PARK AVE, 5520 PARK AVENUE, TRUMBULL, CT, 06611 06851, 06854, 06880, 06902 N/A Hematology/oncology, Pediatric medicine, Medical oncology 06401, 06460, 06461, 06468, 06477, 06482, 06483, 06484, 06516, 06604, 06605, 06606, 06607, 06608, 06610, 06611, 06612, 06614, 06615, 06770, 06810, 06820, 06824, 06825, 06850, 204 YNH 5520 PARK AVE, 5520 PARK AVENUE, TRUMBULL, CT, 06611 06851, 06854, 06880, 06902 Ob/Gyn (Division) Obstetrics/gynecology 205 YNH 556 MAIN ST, 556 MAIN ST, EAST HAVEN, CT, 06512 06405, 06512, 06513 N/A Diagnostic radiology, Interventional radiology 06405, 06410, 06437, 06450, 06460, 06471, 06472, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 06515, Allergy/immunology, Interventional radiology, Endocrinology, 206 YNH 6 DEVINE ST, 6 DEVINE STREET, NORTH HAVEN, CT, 06473 06516, 06517, 06518, 06519, 06525 N/A Rheumatology, Medical oncology

Group Practice Reporting Page 81 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06401, 06405, 06410, 06437, 06443, 06451, 06460, 06473, 06477, 06478, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 207 YNH 60 TEMPLE ST, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06519, 06525 N/A Obstetrics/gynecology 06401, 06405, 06410, 06437, 06443, 06451, 06460, 06473, 06477, 06478, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 208 YNH 60 TEMPLE ST, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06519, 06525 Ob/Gyn & Menopause Physicians Obstetrics/gynecology 06401, 06405, 06410, 06437, 06443, 06451, 06460, 06473, 06477, 06478, 06484, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 06517, Obstetrics Gynecology & Infertility Group 209 YNH 60 TEMPLE ST, 60 TEMPLE STREET, NEW HAVEN, CT, 06510 06519, 06525 (Division) Obstetrics/gynecology

Group Practice Reporting Page 82 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06320, 06333, 06335, 06339, 06340, 06355, 06357, 06360, 06371, 06378, 06382, 06385, 06405, 06412, 06413, Diagnostic radiology, Nephrology, Rheumatology, 06417, 06419, 06426, 06437, 06442, Cardiovascular disease (cardiology), Pediatric medicine, 210 YNH 633 MIDDLESEX TURNPIKE, 633 Middlesex Turnpike, Old Saybrook, CT, 06475 06443, 06471, 06475, 06498, 06513 N/A Urology, Orthopedic surgery 06001, 06010, 06037, 06074, 06320, 06340, 06355, 06360, 06385, 06401, 06405, 06410, 06413, 06416, 06418, 06422, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06475, 06477, 06478, 06480, 06483, 06484, 06489, 06492, 211 YNH 7 DEVINE ST, 7 DEVINE STREET, NORTH HAVEN, CT, 06473 06511, 065 N/A Neurology, Pediatric medicine 06484, 06604, 06606, 06610, 06611, 06810, 06820, 06824, 06825, 06830, Pediatric medicine, Hematology/oncology, Orthopedic 06840, 06850, 06851, 06853, 06854, surgery, Plastic and reconstructive surgery, Urology, 06854, 06855, 06877, 06880, 06883, Cardiovascular disease (cardiology), Gastroenterology, 212 YNH 747 BELDEN AVE, 747 BELDEN AVENUE, NORWALK, CT, 06850 06897, 06902, 06903, 06905, 06907 N/A Nephrology, Neurology

Group Practice Reporting Page 83 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06484, 06604, 06606, 06610, 06611, 06810, 06820, 06824, 06825, 06830, 06840, 06850, 06851, 06853, 06854, 06854, 06855, 06877, 06880, 06883, 213 YNH 747 BELDEN AVE, 747 BELDEN AVENUE, NORWALK, CT, 06850 06897, 06902, 06903, 06905, 06907 Ob/Gyn (Division) Obstetrics/gynecology

06401, 06405, 06410, 06437, 06450, 06460, 06473, 06477, 06484, 06492, 06511, 06511, 06512, 06513, 06513, 06514, 06514, 06515, 06515, 06516, Endocrinology, Pathology, Obstetrics/gynecology, 214 YNH 789 HOWARD AVE, 789 HOWARD AVENUE, NEW HAVEN, CT, 06519 06516, 06517, 06518, 06519, 06519, 06614 N/A Neurology, Ophthalmology, Pulmonary disease

06401, 06405, 06410, 06437, 06450, 06460, 06473, 06477, 06484, 06492, 06511, 06511, 06512, 06513, 06513, 06514, 06514, 06515, 06515, 06516, 215 YNH 789 HOWARD AVE, 789 HOWARD AVENUE, NEW HAVEN, CT, 06519 06516, 06517, 06518, 06519, 06519, 06614 Ob/Gyn (Division) Obstetrics/gynecology

Group Practice Reporting Page 84 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06405, 06410, 06437, 06450, 06460, 06472, 06473, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 216 YNH 8 DEVINE ST, 8 DEVINE STREET, NORTH HAVEN, CT, 06473 06518, 06519, 06525 N/A Sleep medicine, Psychiatry 06010, 06320, 06340, 06355, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06477, 06483, Cardiovascular disease (cardiology), Dermatology, 06484, 06488, 06492, 06510, 06511, Interventional radiology, Gastroenterology, Nephrology, 06512, 06513, 06514, 06515, 06516, Neurology, Pediatric medicine, Psychiatry, General surgery, 217 YNH 800 HOWARD AVE, 800 HOWARD AVENUE, NEW HAVEN, CT, 06519 06517, 065 N/A Vascular surgery

Group Practice Reporting Page 85 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 06010, 06320, 06340, 06355, 06360, 06371, 06385, 06401, 06405, 06410, 06413, 06418, 06437, 06443, 06450, 06451, 06457, 06460, 06461, 06468, 06471, 06472, 06473, 06477, 06483, 06484, 06488, 06492, 06510, 06511, 06512, 06513, 06514, 06515, 06516, 218 YNH 800 HOWARD AVE, 800 HOWARD AVENUE, NEW HAVEN, CT, 06519 06517, 065 Ob/Gyn (Division) Obstetrics/gynecology 06405, 06413, 06437, 06443, 06460, 06471, 06472, 06473, 06475, 06492, 06511, 06512, 06513, 06514, 06516, 219 YNH 84 NORTH MAIN ST, 84 NORTH MAIN STREET, BRANFORD, CT, 06405 06517, 06518 N/A Cardiovascular disease (cardiology) 06037, 06340, 06371, 06405, 06410, 06412, 06413, 06416, 06418, 06419, 06437, 06443, 06450, 06451, 06460, 06471, 06473, 06477, 06492, 06511, 06512, 06513, 06514, 06515, 06516, 06517, 06518, 06519, 06611, 06614, 220 YNH 874 HOWARD AVE, 874 HOWARD AVE, NEW HAVEN, CT, 06519 06770, 06825 N/A Geriatric medicine

Group Practice Reporting Page 86 of 87 Business Entity Data Business Entity Data

Hospitals, Hospital Systems and Group Practices with 30 or more physicians Written Report due by December 31st annually

Date of Filing ------December 31, 2017 Full Legal Name of Entity Reporting ------Yale University Type of Provider Reporting (see options below) ------Group Practice

If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. 1 2 3 4 5

(1) (3) (4) (5) (6) Name and address of each Business Entity that provides Primary Service Area as defined in services as part of the Group Line Location Section 1(11) of PA 14-168 Practice Description of services at this location When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services. 221 222

Group Practice Reporting Page 87 of 87 Business Entity Data